DELAWARE VALLEY HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- DELAWARE VALLEY HOSPITAL INC (EIN 15-0524324)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-09
- IRS object ID
- 201843139349303239
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-09T15:11:08-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150524324 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELA | BusinessNameControlTxt |
| Phone | 6078652197 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL SUMMERS | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6078652160 | PhoneNum |
| Signature | 2018-10-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2018-10-10 | 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 | 2018-10-10 | IPDt |
| IP Tm | 11:05:13 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7E9C33F7C5CD1DA8693DD78F29AF2560BCFF7C5D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2B26D0CF862F5C09AB62214FFDF324E4AA0177DB | 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 | PAUL SUMMERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,096,598 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NYUHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE OUR PATIENTS IN AN EFFICIENT AND PATIENT-FOCUSED MANNER AND OFFER A RANGE OF ACUTE, OUTPATIENT, DIAGNOSTIC, REHABILITATIVE,PRIMARY CARE AND WELLNESS SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 223 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,281,516 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,147,511 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,976,456 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,465,102 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$24,738 | PYInvestmentIncomeAmt |
| CY Investment Income | $45,055 | CYInvestmentIncomeAmt |
| PY Other Revenue | $224,273 | PYOtherRevenueAmt |
| CY Other Revenue | $438,930 | CYOtherRevenueAmt |
| PY Total Revenue | $23,457,507 | PYTotalRevenueAmt |
| CY Total Revenue | $25,096,598 | 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 | $8,904,417 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,613,954 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $182,070 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,825,965 | PYOtherExpensesAmt |
| CY Other Expenses | $13,593,957 | CYOtherExpensesAmt |
| PY Total Expenses | $21,730,382 | PYTotalExpensesAmt |
| CY Total Expenses | $23,207,911 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,727,125 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,888,687 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,857,786 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,043,709 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,426,972 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,556,278 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,430,814 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,487,431 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS A CRITICAL ACCESS HOSPITAL AND MEMBER OF THE UHS HEALTHCARE SYSTEM, UHS DELAWARE VALLEY HOSPITAL'S MISSION IS TO PROVIDE THE COMMUNITY WITH THE HIGH QUALITY, PATIENT-CENTERED SERVICES THAT ARE MOST OFTEN NEEDED; THEREBY IMPROVING ACCESS TO CARE AND REDUCING THE NEED TO TRAVEL LONG DISTANCES. WE DO THIS BY OFFERING EMERGENCY CARE, INPATIENT SHORT-TERM ACUTE CARE, PHYSICAL REHABILITATIVE CARE AND ADDICTION TREATMENT. IN ADDITION, WE PROVIDE HIGH QUALITY PRIMARY CARE; A WIDE RANGE OF DIAGNOSTIC AND TREATMENT SERVICES; ACCESS TO TOP LOCAL SPECIALTY CARE AND AN OUTPATIENT PHARMACY. UHS DELAWARE VALLEY HOSPITAL ALSO SERVES AS THE GATEWAY FOR PATIENTS TO ACCESS THE STATE-OF-THE-ART TECHNOLOGY AND HIGHLY QUALIFIED SPECIALISTS OF THE UHS SYSTEM, WHEN MORE SPECIALIZED CARE IS NEEDED. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,559,846 | ExpenseAmt |
| Revenue | $4,906,333 | RevenueAmt |
| Desc | INPATIENT AND ACUTE SERVICES: DELAWARE VALLEY HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTHCARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. THIS INCLUDES THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM (96 HRS. OR LESS) INPATIENT ACUTE CARE, SWING BED AND ADDICTION TREATMENT SERVICES VIA ITS 25-BED HOSPITAL LOCATED ON THE MAIN CAMPUS IN WALTON IN DELAWARE COUNTY, NY. PATIENT DISCHARGES IN 2017 WERE COMPRISED OF 191 ACUTE, 143 SWING BED, AND 126 ADDICTION TREATMENT. ACUTE CARE REPRESENTED 586 PATIENT DAYS, IN ADDITION TO THE 1,764 PATIENT DAYS FOR SWING BED AND 2,001 PATIENT DAYS IN THE ADDICTION TREATMENT PROGRAM. INDICATIVE OF THE COMPREHENSIVE HEALTHCARE PROVIDED TO THESE PATIENTS, A TOTAL OF 5,568 LAB TESTS, 13,097 RESPIRATORY TREATMENTS, 207 X-RAYS, 42 ULTRASOUNDS, 91 CT, 10 MRI EXAMS, 811 PHYSICAL THERAPY SESSIONS, AND 116 EKG'S WERE ADMINISTERED. OTHER SERVICES INCLUDED OCCUPATIONAL AND SPEECH THERAPY, ENDOSCOPY, AND ECHO EXAMS. TO ENSURE OUR RURAL AREA RESIDENTS HAVE ACCESS TO HIGH QUALITY, EFFICIENT CARE IN A COMFORTABLE AND PRIVATE AREA, THE HOSPITAL'S IMAGING CENTER IS EQUIPPED WITH A 64-SLICE CT SUITE. MRI SERVICES ARE OFFERED ON SUNDAYS AND WEDNESDAYS THROUGH AN AGREEMENT WITH A MOBILE VENDOR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,575,277 | ExpenseAmt |
| Revenue | $2,436,826 | RevenueAmt |
| Desc | CLINICS: DELAWARE VALLEY HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY AND PREVENTIVE CARE SERVICES THROUGH ITS PRIMARY CARE CENTERS LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE. THESE PRIMARY CARE CENTERS FORM THE FOUNDATION NECESSARY TO SERVE OUR COMMUNITIES WITH A COORDINATED SYSTEM OF CARE WHILE PAYING SPECIAL ATTENTION TO UNDER-SERVED AREAS. 2017 INCLUDED 13,453 VISITS IN WALTON, 1,096 IN ROSCOE, AND 1,740 IN DOWNSVILLE. THE CLINICS HAVE BECOME KEY TO THE IMPROVEMENT OF CHILDHOOD IMMUNIZATION LEVELS IN COORDINATION WITH DELAWARE COUNTY'S PUBLIC HEALTH NURSING SERVICES AND OTHER AREA HEALTHCARE PROVIDERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,068,189 | ExpenseAmt |
| Revenue | $16,121,943 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES: DELAWARE VALLEY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC CARDIOPULMONARY, IMAGING LAB AND TREATMENT SERVICES AT ITS WALTON CAMPUS. THESE INCLUDE A 7-BED EMERGENCY DEPARTMENT WHICH SERVES THE COMMUNITY 24/7. OTHER TREATMENT SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL REHABILITATIVE SERVICES, AMBULATORY PROCEDURES, CARDIAC AND PULMONARY REHABILITATION AND ACCESS TO SPECIALTY SERVICES. THE HOSPITAL ALSO CONDUCTS EXTENSIVE WELLNESS PROGRAMMING THAT INCLUDES CHRONIC DISEASE SELF-MANAGEMENT, NUTRITION AWARENESS, AND DIABETES EDUCATION. THE HOSPITAL'S COMMUNITY PHARMACY FILLED 59,447 PRESCIPTIONS AND OFFERS FREE MAIL SERVICE FOR THOSE PATIENTS WHO WOULD HAVE DIFFICULTY ACCESSING THE PHARMACY. OCCUPATIONAL HEALTH PROGRAMMING MEETS THE NEEDS OF LOCAL BUSINESSES, FIRE DEPARTMENTS, AND EMERGENCY SQUADS BY PROVIDING PHYSICALS, DRUG TESTING, AND ERGONOMIC EDUCATION. IN 2017 THE EMERGENCY DEPARTMENT TREATED OR ADMITTED 5,352 RESIDENTS VIA ITS 5,000+ SQ. FT. FACILITY, THE LAB PERFORMED 66,332 TESTS, AND 6,359 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS WERE CONDUCTED. THE IMAGING CENTER PERFORMED 8,109 X-RAYS, CT SCANS, MRI'S AND MAMMOGRAPHIES FOR OUTPATIENT SERVICES. OUTPATIENT SERVICES WERE ALSO PERFORMED IN 2017 FOR 97 AMBULATORY PROCEDURES, 99 ENDOSCOPIES, 2,101 OPIATE ADDICTION SESSIONS, AND 1,155 SERVICES ASSOCIATED WITH CARDIAC AND PULMONARY REHABILITATION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $373,660 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICE REVENUE IS PRIMARILY MADE UP OF MEANINGFUL USE MEDICARE FUNDING OF $278,317. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $373,660 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $19,203,312 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 223 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL SUMMERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6078652197 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | DELAWARE VALLEY HOSPITAL 1 TITUS | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| HELEN JOHNSTON | |||||||||
| BOARD CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN CARRIGG | |||||||||
| 2ND VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $621,591 | $35,703 | 55.00 | ||
| LARRY LIGHT | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| EDWARD SNOW | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ERIN NEALE | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| AMANDA HALL | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR MICHAEL FREEMAN | |||||||||
| MEDICAL STAFF PRESIDENT | 57.00 | Yes (X) | Yes (X) | $232,733 | $0 | $36,259 | |||
| PAUL SUMMERS | |||||||||
| PRESIDENT/CEO | 57.00 | Yes (X) | Yes (X) | $229,288 | $0 | $16,245 | |||
| DR JOHN GIANNONE | |||||||||
| CHIEF MEDICAL OFFICER | 5.00 | Yes (X) | $26,395 | $0 | $0 | ||||
| JOAN GUARNIERI | |||||||||
| V.P. ANCILLARY SVCS | 55.00 | Yes (X) | $104,680 | $0 | $14,177 | ||||
| DOTTIE KRUPPO | |||||||||
| V.P. COMMUNITY RELATIONS | 55.00 | Yes (X) | $82,399 | $0 | $17,550 | ||||
| DEBORAH HITT | |||||||||
| V.P. QUALITY/SUPPORT SVCS | 55.00 | Yes (X) | $93,088 | $0 | $19,401 | ||||
| VICTORIA CONKLING | |||||||||
| V.P. NURSING/CNO | 55.00 | Yes (X) | $111,803 | $0 | $6,264 | ||||
| KATHLEEN ULMSCHNEIDER | |||||||||
| STAFF NURSE | 55.00 | $116,336 | $0 | $20,366 | Yes (X) | ||||
| DR RAJESH DAVE | |||||||||
| FORMER 2ND VICE CHAIR | 0.00 | $0 | $652,889 | $35,515 | 55.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $996,722 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,274,480 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $201,480 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCKESSON | |||||
| 12748 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | PHARMACEUTICAL | $715,935 |
| SECO PHYSICALOCCUPATIONAL THERAPY | |||||
| 26 CONKY AVE | NORWICH | NY | 13815 | PHYSICAL/OCC. THERAPY | $430,005 |
| RICHARD WAKEMAN | |||||
| PO BOX 66 | SIDNEY | NY | 13838 | CONTRACTING/BUILDING | $410,055 |
| MEDHOST OF TENNESSEE | |||||
| 2739 MOMENTUM PLACE | CHICAGO | IL | 60689 | INFORMATION TECHNOLOGY | $342,998 |
| HOLOGIC INC | |||||
| 24506 NETWORK PLACE | CHICAGO | IL | 60673 | EQUIPMENT | $324,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,024,806 | GovernmentGrantsAmt |
| All Other Contributions | $122,705 | AllOtherContributionsAmt |
| Total Contributions | $1,147,511 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $23,465,102 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,465,102 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,465,102 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,055 | TotalRevenueColumnAmt |
| Exclusion | $45,055 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MEANINGFUL USE MEDICARE | 900099 | $278,317 | $278,317 | |
| INTEREST RATE SWAP | 900099 | $65,270 | $65,270 | |
| PHYSICIAN OTHER REVENUE | 621110 | $26,564 | $26,564 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,779 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $68,779 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $438,930 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,096,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,838,762 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $110,325 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,283 | TotalAmt |
| Program Services | $670,424 | ProgramServicesAmt |
| Management And General | $219,910 | ManagementAndGeneralAmt |
| Fundraising | $99,949 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,902,679 | TotalAmt |
| Program Services | $5,288,020 | ProgramServicesAmt |
| Management And General | $1,585,616 | ManagementAndGeneralAmt |
| Fundraising | $29,043 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,233 | TotalAmt |
| Program Services | $157,942 | ProgramServicesAmt |
| Management And General | $37,291 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $996,019 | TotalAmt |
| Program Services | $797,347 | ProgramServicesAmt |
| Management And General | $190,964 | ManagementAndGeneralAmt |
| Fundraising | $7,708 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,740 | TotalAmt |
| Program Services | $408,313 | ProgramServicesAmt |
| Management And General | $113,816 | ManagementAndGeneralAmt |
| Fundraising | $7,611 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,449 | TotalAmt |
| Management And General | $56,449 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,258 | TotalAmt |
| Management And General | $11,258 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,013 | TotalAmt |
| Management And General | $112,013 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,904 | TotalAmt |
| Management And General | $2,904 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,739 | TotalAmt |
| Management And General | $8,739 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,551,146 | TotalAmt |
| Program Services | $4,930,243 | ProgramServicesAmt |
| Management And General | $612,603 | ManagementAndGeneralAmt |
| Fundraising | $8,300 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50 | TotalAmt |
| Fundraising | $50 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,378,815 | TotalAmt |
| Program Services | $830,405 | ProgramServicesAmt |
| Management And General | $540,627 | ManagementAndGeneralAmt |
| Fundraising | $7,783 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,730 | TotalAmt |
| Management And General | $52,730 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,266 | TotalAmt |
| Program Services | $56,172 | ProgramServicesAmt |
| Management And General | $156,094 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,011 | TotalAmt |
| Program Services | $23,271 | ProgramServicesAmt |
| Management And General | $11,363 | ManagementAndGeneralAmt |
| Fundraising | $1,377 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,920 | TotalAmt |
| Program Services | $10,017 | ProgramServicesAmt |
| Management And General | $654 | ManagementAndGeneralAmt |
| Fundraising | $20,249 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,173 | TotalAmt |
| Program Services | $133,841 | ProgramServicesAmt |
| Management And General | $56,332 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,848 | TotalAmt |
| Program Services | $827,828 | ProgramServicesAmt |
| Management And General | $11,020 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,632 | TotalAmt |
| Program Services | $108,486 | ProgramServicesAmt |
| Management And General | $42,146 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DRUGS | $3,748,593 | $3,748,593 |
| BAD DEBT EXPENSE | $627,362 | $627,362 |
| MEDICAL SUPPLIES | $392,698 | $392,698 |
| EQUIPMENT | $87,062 | $87,062 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,288 | TotalAmt |
| Program Services | $105,288 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,207,911 | TotalAmt |
| Program Services | $19,203,312 | ProgramServicesAmt |
| Management And General | $3,822,529 | ManagementAndGeneralAmt |
| Fundraising | $182,070 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,014,103 | BOYAmt |
| EOY | $2,843,526 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,438 | BOYAmt |
| EOY | $511,386 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,994,226 | BOYAmt |
| EOY | $2,176,080 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $587,536 | BOYAmt |
| EOY | $601,432 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,679 | BOYAmt |
| EOY | $1,223,449 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,686,125 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,112,270 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,154,377 | BOYAmt |
| EOY | $8,573,855 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,629 | BOYAmt |
| EOY | $3,285,408 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,077,798 | BOYAmt |
| EOY | $763,573 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,000 | BOYAmt |
| EOY | $65,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,857,786 | BOYAmt |
| EOY | $20,043,709 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,233,964 | BOYAmt |
| EOY | $1,217,887 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,220,060 | BOYAmt |
| EOY | $2,840,455 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,081 | BOYAmt |
| EOY | $351,803 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,046,868 | BOYAmt |
| EOY | $1,597,112 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $484,999 | BOYAmt |
| EOY | $549,021 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,426,972 | BOYAmt |
| EOY | $6,556,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,100,454 | BOYAmt |
| EOY | $13,158,986 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,150 | BOYAmt |
| EOY | $10,235 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,210 | BOYAmt |
| EOY | $318,210 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,430,814 | BOYAmt |
| EOY | $13,487,431 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,857,786 | BOYAmt |
| EOY | $20,043,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,888,687 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $167,930 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,904 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,904 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNTS DISCLOSED ARE THE LOBBYING PORTIONS OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY AND IROQUOIS HEALTHCARE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $330,360 | BeginningYearBalanceAmt |
| Contributions | $9,996 | ContributionsAmt |
| Other Expenditures | $11,911 | OtherExpendituresAmt |
| End Year Balance | $328,445 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $324,669 | BeginningYearBalanceAmt |
| Contributions | $5,691 | ContributionsAmt |
| End Year Balance | $330,360 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $361,539 | BeginningYearBalanceAmt |
| Contributions | $5,286 | ContributionsAmt |
| Other Expenditures | $42,156 | OtherExpendituresAmt |
| End Year Balance | $324,669 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $348,578 | BeginningYearBalanceAmt |
| Contributions | $12,961 | ContributionsAmt |
| End Year Balance | $361,539 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $379,742 | BeginningYearBalanceAmt |
| Contributions | $1,700 | ContributionsAmt |
| Other Expenditures | $32,864 | OtherExpendituresAmt |
| End Year Balance | $348,578 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.97000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.03000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,202 | OtherCostOrOtherBasisAmt |
| Book Value | $51,202 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,769,613 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,678,748 | DepreciationAmt |
| Book Value | $5,090,865 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,727,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,433,522 | DepreciationAmt |
| Book Value | $1,294,374 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,137,414 | OtherCostOrOtherBasisAmt |
| Book Value | $2,137,414 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,573,855 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE UNITED MED. ASSOC. | $259,074 |
| DUE UHS HOSPITALS | $221,800 |
| DUE TO UHS, INC. | $3,147 |
| MALPRACTICE INSURANCE RESERVE | $65,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $549,021 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $24,316,091 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,316,091 | RevenueSubtotalAmt |
| Other Revenues Not Included | $780,507 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $780,507 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $25,096,598 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,207,911 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $23,207,911 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $23,207,911 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PURCHASE OF CAPITAL EQUIPMENT (MEDICAL) AND IMPROVEMENT OF FACILITIES. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2017 AND 2016, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2014 TO 2017. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS FOR PURCHASE OF EQUIPMENT 780,507. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $148,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,220,311 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,449,460 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $770,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03410 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,350 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,907 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,428,661 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,498,367 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $930,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $226,179 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $226,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,341 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $39,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,033,423 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,909,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,124,236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,298,943 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,909,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,389,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,727,604 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,407,554 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,320,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10270 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,029 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,029 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,278 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,761 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,068 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,068 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $627,362 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $351,323 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,330,448 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,258,295 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $72,153 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPTITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13856 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPTITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 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 | HTTP://WWW.NYUHS.ORG | OwnWebsiteURLTxt |
| 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 | HTTP://WWW.NYUHS.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.NYUHS.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 5: DELAWARE VALLEY HOSPITAL HAS MEMBERSHIP IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY, AS WELL AS ON ITS WELLNESS COMMITTEE. A STAFF MEMBER ALSO SERVES ON THE COMMUNITY COMMITTEE OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER). THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR PARTICIPATES IN ALL DVH VOLUNTEER MEETINGS AND ACTIVELY SEEKS THEIR INPUT AND FEEDBACK ABOUT THE HOSPITAL'S SERVICES. THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES INPUT AS TO WHAT THEY HEAR FROM COMMUNITY MEMBERS. PATIENT SATISFACTION SURVEYS ARE ALSO USED IN GAINING INPUT FROM OUR PATIENTS. |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 6A: O'CONNOR HOSPITAL, DELHI, NYTRI-TOWN REGIONAL HOSPITAL, SIDNEY, NYMARGARETVILLE COMMUNITY HOSPITAL, MARGARETVILLE, NY |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 6B: DELAWARE COUNTY GOVERNMENT AGENCIES:DELAWARE COUNTY PUBLIC HEALTH, MENTAL HEALTH, OFFICE FOR THE AGING, DEPT OF SOCIAL SERVICES, SHERIFF'S DEPT, ALCOHOL AND DRUG ABUSE COUNCIL, PLANNING DEPT, EMERGENCY SERVICES, DRUG TREATMENT COURT, WATERSHED AFFAIRSHOSPITAL AND HEALTH SERVICES:UHS DELAWARE VALLEY HOSPITAL, BASSETT HEALTHCARE-O'CONNOR HOSPITAL AND TRI-TOWN, MARGARETVILLE HOSPITAL, CATSKILL AREA HOSPICEEDUCATION:ROXBURY CENTRAL SCHOOLNURSING HOMES:ROBINSON TERRACEALLIANCES:RURAL HEALTH NETWORK OF SOUTH CENTRAL NYOTHER HUMAN SERVICE AGENCIES:CORNELL COOPERATIVE EXTENSION, RURAL 3 FOR TOBACCO FREE COMMUNITIES, CANCER SERVICE PROGRAM OF DELAWARE, OTSEGO AND SCHOHARIE COUNTIES, DELAWARE OPPORTUNITIES, NY CONNECTS, FAMILY RESOURCE NETWORK, CATHOLIC CHARITIES |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 11: 2016-2018 ACTION PLANPREVENTION STRATEGY: PREVENT CHRONIC DISEASE FOCUS AREA: REDUCE ILLNESS, DISABILITY, AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSUREGOAL: PROMOTE TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH POOR MENTAL HEALTH. OBJECTIVE: PROVIDE DELAWARE COUNTY RESIDENTS WITH ACCESS TO TOBACCO CESSATION CLASSES THROUGH VIDEO-CONFERENCING, ELIMINATING THE NEED TO TRAVEL LONG DISTANCES. STRATEGY: DVH WILL OFFER SMOKING CESSATION CLASSES TO BE IMPLEMENTED WITH UHS STAY HEALTHY STAFF THROUGH THE USE OF VIDEO CONFERENCING. THIS TECHNOLOGY IS CURRENTLY IN THE DEVELOPMENT STAGE AND IS SLATED TO BE COMPLETED BY MID-2017. THERE ARE NO SMOKING CESSATION CLASSES IN DELAWARE COUNTY AT THIS TIME. DVH WILL ADVERTISE TOBACCO CESSATION PROGRAMMING TO AREA RESIDENTS IN COLLABORATION WITH OTHER HOSPITALS, THE COUNTY HEALTH DEPARTMENT, AND HEALTH CARE PROVIDERS. CLASSES WILL BEGIN TO BE OFFERED IN FALL OF 2017. THE CLASS WILL BE OFFERED AT LEAST ONCE PER YEAR. MEASURE: THROUGH THIS PARTNERSHIP, WHICH INCLUDES NOT ONLY THE DELAWARE COUNTY-BASED PROVIDERS BUT ALSO THE LARGER UHS HOSPITAL SYSTEM, THE NUMBER OF PARTICIPANTS PARTICIPATING IN AND COMPLETING TOBACCO CESSATION CLASSES WILL BE MEASURED.2017 COMMUNITY SERVICE PLAN UPDATE: DVH HAS CHANGED ITS STRATEGY FOR OFFERING TOBACCO CESSATION CLASSES. TWO STAFF MEMBERS WERE TRAINED AS FACILITATORS OF THE AMERICAN CANCER SOCIETY'S FRESH START PROGRAM. PROGRAMS ARE HELD LOCALLY EVERY FEW MONTHS. TWO TOBACCO CESSATION PROGRAMS OF FOUR SESSIONS EACH WERE HELD IN 2017.FOCUS AREA: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS GOAL: PROMOTE CULTURALLY RELEVANT CHRONIC DISEASE SELF-MANAGEMENT EDUCATION.OBJECTIVE: PATIENTS AND CAREGIVERS WILL LEARN DISEASE-MANAGEMENT STRATEGIES. STRATEGY 1. PROMOTE THE USE OF EVIDENCE-BASED INTERVENTIONS TO PREVENT OR MANAGE CHRONIC DISEASES THROUGH PATIENT MEETINGS WITH DVH'S RN PATIENT CARE COORDINATOR AND/OR CERTIFIED DIETICIAN/NUTRITIONIST. MEASURE: NUMBER OF CHRONIC DISEASE PATIENT VISITS WITH DVH PATIENT CARE COORDINATOR AND/OR DIETICIAN/NUTRITIONIST FOR EDUCATION AND/OR HELP IN ELIMINATING BARRIERS TO CARE. 2017 COMMUNITY SERVICE PLAN UPDATE: DVH'S CERTIFIED DIETITIAN/NUTRITIONIST WORKED WITH 397 PATIENTS PROVIDING DIET COUNSELING. THE RN CARE COORDINATOR WORKED WITH 48 PATIENTS, AT HIGH RISK FOR EITHER ER VISITS OR ADMISSION TO THE HOSPITAL, TO HELP EDUCATE AND PROVIDE SUPPORT AND REDUCE BARRIERS TO CARE. STRATEGY 2: DVH AND O'CONNOR HOSPITAL WILL UTILIZE RESOURCES AT THEIR DISPOSAL THROUGH THEIR RESPECTIVE HOSPITAL SYSTEMS TO IMPLEMENT THE STANFORD UNIVERSITY'S EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP). BETWEEN DVH AND O'CONNOR, THERE ARE CURRENTLY FOUR TRAINED PEER LEADERS FOR CDSMP. THE APPROACH TO THIS GOAL WILL BE TO CO-LEAD PROGRAMS WITHIN THE SERVICE AREAS OF EITHER ENTITY, AND TO UTILIZE THE RESOURCES OF THE CARE COMPASS NETWORK PPS (WHICH ALSO HAS AN ADDITIONAL TRAINED PEER LEADER), AS NEEDED. EACH ENTITY WILL PROMOTE THE USE OF THIS EVIDENCE-BASED STRATEGY TO PREVENT OR MANAGE CHRONIC DISEASES, AND THE PROGRAM WILL BE OFFERED TWICE EACH YEAR. THIS WILL BEGIN IN THE SPRING OF 2017. MEASURE: THE NUMBER OF CDSMP PROGRAMS OFFERED AND THE NUMBER OF INDIVIDUALS PARTICIPATING IN AND COMPLETING THE PROGRAM. 2017 COMMUNITY SERVICE PLAN UPDATE: THREE 6 WEEK HAPPY, HEALTHY, AND WISE WORKSHOP SERIES WERE HELD THAT FOCUSED ON CHRONIC DISEASE SELF-MANAGEMENT. 22 PARTICIPANTS BEGAN THE WORKSHOPS AND 17 COMPLETED THEM. REVIEWS WERE VERY ENTHUSIASTIC AND POSITIVE.STRATEGY 3: ONCE EACH OF THE HOSPITALS' PEER LEADERS HOLD TWO PUBLIC CDSMP PROGRAMS, THEY WILL EARN THEIR MASTER TRAINING CERTIFICATION AND WILL BE ABLE TO TRAIN OTHERS TO BECOME PEER LEADERS, WHICH WOULD INCREASE THE AVAILABILITY OF THIS PROGRAM THROUGHOUT THE SERVICE AREA, AS WELL AS THE CARE COMPASS NETWORK AREA. DVH WILL HOLD AT LEAST ONE CDSMP PEER LEADER TRAINING PER YEAR. MEASURE: NUMBER OF PROGRAMS AND NUMBER OF PEER LEADERS SUCCESSFULLY TRAINED. 2017 COMMUNITY SERVICE PLAN UPDATE: THE CLASS TO TRAIN ADDITIONAL PEER LEADERS WAS NOT HELD DUE TO A LACK OF PARTICIPANTS.STRATEGY 4: IN ADDITION, DVH AND O'CONNOR HOSPITALS PLAN TO HAVE UP TO FOUR PEOPLE TRAINED IN THE STANFORD UNIVERSITY DIABETES SELF-MANAGEMENT PROGRAM (DSMP). DVH INTENDS TO PAY FOR THE TRAINING FROM A VAP GRANT IT HAD SECURED. ONCE COMPLETED, AREA RESIDENTS WILL HAVE THE OPPORTUNITY TO TAKE PART IN THE DSMP. MEASURE: NUMBER OF PEER TRAINERS IN DSMP.STRATEGY 5: DVH WILL OFFER THE DSMP PROGRAM TO AREA RESIDENTS AT LEAST ONCE PER YEAR, BEGINNING IN THE SPRING OF 2018. MEASURE: NUMBER OF CLASSES OFFERED AND NUMBER OF PARTICIPANTS BEGINNING AND SUCCESSFULLY COMPLETING THE PROGRAM.2017 COMMUNITY SERVICE PLAN UPDATE: THIS WAS NOT COMPLETED. DVH FELT THAT THE DIABETICS ATTENDING THE SERIES OF WORKSHOPS GAINED SIGNIFICANTLY FROM THE COURSE. THE RN CARE COORDINATOR AND THE CERTIFIED DIETITIAN/NUTRITIONIST ROUTINELY WORK CLOSELY AND 1 ON 1 WITH DIABETIC PATIENTS. STRATEGY 6: RESIDENTS WILL BE OFFERED THE OPPORTUNITY TO PARTICIPATE IN THE EVIDENCE-BASED LIFESTEPS PROGRAM. THIS PROGRAM WILL BE OFFERED TWICE EACH YEAR INTEREST PERMITTING. MEASURE: THE NUMBER OF PARTICIPANTS BEGINNING AND COMPLETING THE COURSE AND THE TOTAL WEIGHT LOSS FOR THE GROUP WILL BE REPORTED.2017 COMMUNITY SERVICE PLAN UPDATE: THE LIFESTEPS PROGRAM WILL CONTINUE TO BE OFFERED. THE PROGRAM WAS DEVELOPED BY THE NATIONAL DAIRY COUNCIL. IT ADDRESSES WEIGHT MANAGEMENT THROUGH LIFESTYLE CHANGES. PARTICIPANTS WEIGH IN WEEKLY. TOPICS INCLUDE PHYSICAL ACTIVITY, SERVING SIZE, FOOD CHOICES, EATING STYLES, LAPSES, STAYING ACTIVE, AND IN-STEP. THE PROGRAM WAS PRESENTED TWICE IN 2017. A TOTAL OF 16 PEOPLE BEGAN THE PROGRAM WITH 11 CONTINUING TO COMPLETION. A TOTAL OF 92.4 POUNDS WAS LOST BETWEEN THE PARTICIPANTS COMPLETING THE PROGRAM.PREVENTION STRATEGY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT FOCUS AREA: INJURIES, VIOLENCE, AND OCCUPATIONAL HEALTH GOAL: REDUCE RISK OF FALLS, PARTICULARLY AMONG THE ELDERLY. OBJECTIVE: EVIDENCE BASED FALL PREVENTION PROGRAMMING WILL BE AVAILABLE TO AREA RESIDENTS.STRATEGY 1. PROMOTE COMMUNITY-BASED PROGRAMS FOR FALLS PREVENTION UTILIZING THE EVIDENCE-BASED MATTER OF BALANCE PROGRAM. DVH WILL PROVIDE OPPORTUNITIES THROUGHOUT THE COMMUNITY, IN PARTNERSHIP WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT AND THE DELAWARE COUNTY OFFICE FOR THE AGING (OFA), TO PARTICIPATE IN AN EVIDENCE-BASED FALLS PREVENTION PROGRAM: MATTER OF BALANCE. DVH HAS ONE CERTIFIED MATTER OF BALANCE LEADER. THEY WILL WORK WITH BOTH OFA AND THE COUNTY HEALTH DEPARTMENT TO PARTNER AND OFFER ONE PROGRAM EACH YEAR AT ITS WELLNESS CENTER. ONE OF THEIR PHYSICAL REHABILITATION STAFF MEMBERS WILL CONDUCT THE SESSION FOCUSING ON PHYSICAL AIDS AND HOW TO GET UP AFTER A FALL. OFA WILL ASSIST WITH IDENTIFYING AND RECRUITING THE TARGET POPULATION, SENIOR CITIZENS, AND ALSO HOLDS THE MASTER TRAINER LICENSE. WITH THIS LICENSE, OFA HAS THE OPPORTUNITY TO TRAIN NEW FACILITATORS FOR THE MATTER OF BALANCE CLASS. DVH WILL ALSO OFFER ITS SITE FOR USE FOR ADDITIONAL PROGRAMS. MEASURE: THE NUMBER OF PARTICIPANTS, NUMBER OF GRADUATES, AND NUMBER OF PROGRAMS WILL BE REPORTED. 2017 COMMUNITY SERVICE PLAN UPDATE: DVH DID NOT HOLD THIS PROGRAM THIS YEAR. IN THE SPRING, FOCUS WAS PLACED ON THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM AND IN THE FALL, THE HOSPITAL'S WELLNESS ROOM UNDERWENT A REMODEL. THE PLAN IS TO BEGIN OFFERING THIS AGAIN IN THE SPRING. STRATEGY 2: SUSTAIN SPONSORSHIP OF DELAWARE COUNTY OFFICE FOR AGING'S TAI CHI CLASSES.DVH WILL CONTINUE TO SPONSOR TAI CHI CLASSES FOR DELAWARE COUNTY'S OFFICE FOR THE AGING (OFA). ALTHOUGH DVH DOES NOT HAVE THE PHYSICAL OR HUMAN RESOURCES TO INDEPENDENTLY OFFER THIS PROGRAM, IT DOES WANT TO SEE THE PROGRAM AVAILABLE TO AREA RESIDENTS SO DVH WILL SPONSOR THE CLASSES BY PAYING FOR THE USE OF THE VENUES SELECTED BY OFA. THE HOSPITAL WILL SPONSOR UP TO 4 PROGRAMS EACH YEAR CONDUCTED IN ITS SERVICE AREA. OFA WILL CONTINUE THEIR ROLE IN RECRUITING BOTH TRAINERS AND PARTICIPANTS. MEASURE: THE IMPACT FOR THIS ACTIVITY WILL BE SHOWN THROUGH THE NUMBER OF PROGRAMS SPONSORED. |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. |
| PART V, SECTION B, LINE 11: 2016-2018 ACTION PLAN (CONTINUED) | 2017 COMMUNITY SERVICE PLAN UPDATE: ALTHOUGH DVH WAS WILLING TO SPONSOR THE PROGRAM, THE OFFICE FOR THE AGING INFORMED US THAT THEY NOW HAVE USE OF THE VENUE WITHOUT COST. DVH IS STILL COMMITTED TO ASSISTING IF NEEDED. PREVENTION STRATEGY: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE FOCUS AREA: PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL AND BEHAVIORAL DISORDERSGOAL: PREVENT SUICIDES AMONG YOUTH AND ADULTS OBJECTIVE: BY SHARING INFORMATION, PATTERNS AND TRENDS, IF ANY, CAN BE IDENTIFIED AND ADDRESSED. STRATEGY 1: SHARE DATA ON SUICIDE, SUICIDE ATTEMPTS, AND PREVENTION EFFORTS. DVH WILL WORK CLOSELY WITH THE DELAWARE COUNTY SUICIDE PREVENTION NETWORK, MADE UP OF SEVERAL HEALTH AND HUMAN SERVICES PROVIDERS ACROSS DELAWARE COUNTY, TO AGGREGATE DATA ON COMPLETED SUICIDES, SUICIDE ATTEMPTS, AND SUICIDAL IDEATION. THE OBJECTIVE OF SHARING AND AGGREGATING DATA IN PARTNERSHIP WITH THE DELAWARE COUNTY SUICIDE PREVENTION NETWORK WILL BE TO IDENTIFY AND ADDRESS PATTERNS AND TRENDS. THE COLLECTIVE IMPACT ON THE COMMUNITY AND THE IDENTIFIED HEALTH DISPARATE POPULATION WILL BE TO UTILIZE THE INFORMATION TO DEVELOP MITIGATION STRATEGIES, PREVENTING FUTURE SUICIDES AMONG YOUTH AND ADULTS. MEASURE: DVH WILL SHARE THIS DATA ON A MONTHLY BASIS. 2017 COMMUNITY SERVICE PLAN UPDATE: DVH CONTINUES TO SHARE ITS DATA.STRATEGY 2: IN ADDITION, DVH WILL OFFER A VENUE, AS NEEDED, FOR THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT TO COORDINATE AND SCHEDULE GATEKEEPER TRAININGS, EVIDENCE-BASED SUICIDE PREVENTION PROGRAMS SUCH AS ASSIST, SAFE TALK, AND QPR (QUESTION, PERSUADE, REFER). THESE TRAININGS WILL SERVE AS AN AVENUE FOR COMMUNITY MEMBERS AND PROVIDERS ALIKE TO INCREASE TOOLS DESIGNED TO PREVENT SUICIDES. THEY DEVELOP INDIVIDUALS' KNOWLEDGE, ATTITUDES, AND SKILLS TO IDENTIFY THOSE AT RISK AND MAKE REFERRALS WHEN NECESSARY. MEASURE: GATEKEEPER TRAININGS WILL BE MEASURED BY THE NUMBER OF TRAININGS HELD AT THE DVH VENUE.2017 COMMUNITY SERVICE PLAN UPDATE: DURING 2017, GATEKEEPER TRAININGS WERE NOT HELD IN WALTON SO DVH VENUE WAS NOT REQUIRED. GOAL: PREVENT SUBSTANCE ABUSE STRATEGY 1: BRING STANFORD UNIVERSITY'S EVIDENCE-BASED CHRONIC PAIN SELF-MANAGEMENT PROGRAM (CPSMP) TO DELAWARE COUNTY RESIDENTS. DVH WILL SUPPORT AND FACILITATE THE TRAINING OF UP TO TWO PEER LEADERS TO PARTICIPATE IN THE EVIDENCE-BASED STANFORD UNIVERSITY PAIN SELF-MANAGEMENT COURSE IN THE SUMMER OF 2017. THIS HAS BEEN AN ONGOING OBJECTIVE, AS DVH ALREADY HAS THREE PEER LEADERS TRAINED IN CDSMP, WHICH IS A PRE-REQUISITE FOR THE ONLINE PAIN-MANAGEMENT TRAINING PROGRAM. MEASURE: NUMBER OF PEER LEADERS SUCCESSFULLY COMPLETING TRAINING. 2017 COMMUNITY SERVICE PLAN UPDATE: THIS IS A GOAL FOR 2018 FOR DVH STAFF. HOWEVER IN 2017, DVH BEGAN A PAIN MANAGEMENT CLINIC IN WALTON, IN CONJUNCTION WITH UHS PROVIDERS.FOCUS AREA 3: STRENGTHEN INFRASTRUCTURE GOAL: STRENGTHEN THE MENTAL HEALTH INFRASTRUCTURE OBJECTIVE: INCREASE AVAILABILITY OF MENTAL, EMOTIONAL, AND BEHAVIORAL HEALTH SERVICES THROUGH THE USE OF TELEMEDICINE TECHNOLOGY. STRATEGY 1: TELEMEDICINE TECHNOLOGY IS BEING DEVELOPED AT DVH AND WILL BE USED TO PROVIDE MEB SERVICES UTILIZING OUT-OF-AREA PROVIDERS TO STRENGTHEN INFRASTRUCTURE. DELAWARE VALLEY HOSPITAL IS WORKING CLOSELY WITH THE LARGER UHS SYSTEM TO FINALIZE PLANS FOR TELEMEDICINE TECHNOLOGY SO THAT PATIENTS HAVE INCREASED ACCESS TO MENTAL HEALTH PROFESSIONALS BY SPRING 2017. WHILE DVH DEVELOPS SYSTEMS FOR REFERRALS AND PARTNERSHIPS WITH MENTAL HEALTH PROVIDERS, UHS WILL DELIVER THE REQUIRED IT INFRASTRUCTURE. MEASURE: DVH WILL MEASURE THE NUMBER OF TIMES PER MONTH THE SERVICES ARE AVAILABLE TO PATIENTS, THE NUMBER OF VISITS COMPLETED THROUGH TELEMEDICINE EACH MONTH, AND THE NUMBER OF UNIQUE PATIENTS UTILIZING THE SERVICE. 2017 COMMUNITY SERVICE PLAN UPDATE: TELEPSYCHIATRY IS NOW AVAILABLE ON A VERY LIMITED BASIS AT DVH. THE SOLE PROVIDER AT THIS TIME IS A PRIVATE PRACTICE PHYSICIAN WHO TAKES A VERY LIMITED NUMBER OF INSURERS. WORK CONTINUES TO FIND A PROVIDER WHO CAN HELP FILL THIS ROLE. STRATEGY 2: DVH SEEKS TO STRENGTHEN THE INFRASTRUCTURE NOT ONLY WITHIN THE HOSPITAL, BUT ALSO IN THE COMMUNITY BY WORKING WITH THE DELAWARE COUNTY OFFICE OF MENTAL HEALTH (DCMH) ON THIS OBJECTIVE. DISCUSSIONS HAVE BEEN ONGOING THROUGH PARTNERSHIPS DEVELOPED, IN PART, BY THE CARE COMPASS NETWORK PPS TO INTEGRATE PRIMARY CARE AND MENTAL, EMOTIONAL, BEHAVIORAL (MEB) HEALTH SERVICES. DVH, WHICH PROVIDES A HIGH LEVEL OF EXPERTISE AND SERVICE THROUGH THEIR PRIMARY CARE PRACTICES, AND DCMH, WHICH BRINGS THE EXPERTISE OF MEB PROVIDERS, WILL CONTINUE CONVERSATIONS REGARDING THE INTEGRATION OF PRIMARY CARE AND MEB SERVICES. WHILE THESE ARE DIFFICULT SYSTEMS TO INTEGRATE DUE TO REGULATORY ISSUES THAT NEED TO BE WORKED OUT, THE FACILITIES REMAIN COMMITTED TO STRATEGIZING WAYS TO SHARE THE RESOURCES NECESSARY TO PROVIDE MORE HOLISTIC SERVICES TO PATIENTS. MEASURE: SUCCESS FOR THIS ACTIVITY WILL BE MEASURED BY THE NUMBER OF MEETINGS.2017 COMMUNITY SERVICE PLAN UPDATE: DELAWARE COUNTY MENTAL HEALTH AND DVH WORKED IN CONJUNCTION TO TRY AND SECURE ADDITIONAL MEB PROFESSIONAL PRESCRIBERS. TWO CANDIDATES WERE CONSIDERED. ONE DECIDED TO TAKE A GOVERNMENT JOB; THE OTHER DECIDED NOT TO RE-LOCATE ON A FULL TIME BASIS AT THIS TIME.RATIONALE FOR FOREGOING SOME PRIORITY AREAS PREVENT CHRONIC DISEASE- FOCUS AREA: REDUCE OBESITY IN CHILDREN AND ADULTS DVH'S CERTIFIED DIETITIAN/NUTRITIONIST CONTINUES TO OFFER THE LIFESTEPS PROGRAM. IN PRIOR YEARS, DVH HAD REACHED OUT TO SCHOOLS TO PARTICIPATE IN AFTER SCHOOL PROGRAMMING, BUT IT NEVER CAME TO FRUITION. THE HOSPITAL HAD ALSO OFFERED COOKING CLASSES AND WHILE THEY WERE VERY WELL RECEIVED, THEY ONLY REACHED A VERY LIMITED NUMBER OF PEOPLE. THEREFORE, DVH HAS DECIDED TO SHIFT ITS FOCUS TO EVIDENCE BASED CHRONIC DISEASE MANAGEMENT PROGRAMMING AS IT CONTAINS NUTRITION AND EXERCISE INFORMATION IN THE CURRICULUM AND WOULD PROVIDE PARTICIPANTS WITH A BETTER UNDERSTANDING OF THEIR DISEASE OVERALL. PROMOTE A HEALTHY AND SAFE ENVIRONMENT AIR AND WATER QUALITY ARE NOT A SERIOUS ISSUE IN OUR AREA. BUILT ENVIRONMENT THE HOSPITAL DID HELP SECURE BOTH THE WALTON VILLAGE BOARD AND THE TOWN OF COLCHESTER'S BOARD AGREEMENT TO ADOPT COMPLETE STREETS POLICIES. AND IT CONTINUES TO PROMOTE THE PRESCRIPTION TRAILS PROGRAM. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN DVH DOES NOT OFFER OB/GYN CARE OR DELIVERY CARE. AS A MATTER OF FACT, NO HOSPITALS OFFER THESE SERVICES IN DELAWARE COUNTY. WOMEN ARE TRAVELING OUTSIDE OF THE COUNTY TO SEEK THIS CARE. IT IS FELT THAT THEIR PROVIDERS WILL ENCOURAGE BREAST FEEDING, AS DOES DELAWARE COUNTY PUBLIC HEALTH AND THE WIC OFFICE IN DELAWARE COUNTY IS VERY SUPPORTIVE. PREVENT HIV, STDS, VACCINE PREVENTABLE DISEASES, AND HEALTH CARE ASSOCIATED INFECTIONS DVH DOES PROMOTE VACCINATION OF CHILDREN THROUGH ITS PRIMARY CARE PRACTICES AND FLU SHOTS FOR ALL RESIDENTS. DVH'S INFECTION CONTROL NURSE CONTINUALLY PROVIDES INFORMATION REGARDING PPE, HAND WASHING, AND IMMUNIZATIONS. THIS IS DONE AS A PART OF DVH'S NORMAL BUSINESS AND IS NOT CONSIDERED TO BE A SPECIAL INITIATIVE. THE HOSPITAL DID PROVIDE HAND WASHING EDUCATION AT THE COUNTY FAIR FOR THE PAST TWO YEARS. A HAND WASH STATION WAS SET UP, PARTICIPANTS WASHED THEIR HANDS, THEN APPLIED A SPECIAL GEL, AND LOOKED AT THEIR HANDS UNDER A BLACK LIGHT TO SEE WHERE THEY MAY HAVE MISSED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WALTON FAMILY HEALTH CENTER | ||||
| 2 TITUS PLACE | WALTON | NY | 13856 | OUTPATIENT PHYSICIAN CLINIC |
| 2 - DOWNSVILLE FAMILY HEALTH CENTER | ||||
| 28315 STATE HWY 206 | DOWNSVILLE | NY | 13755 | OUTPATIENT PHYSICIAN CLINIC |
| 3 - ROSCOE FAMILY HEALTH CENTER | ||||
| 1982 OLD ROUTE 17 | ROSCOE | NY | 12776 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - PHYSICAL AND OCCUPATIONAL THERAPY | ||||
| 123 STOCKTON AVENUE | WALTON | NY | 13856 | REHABILITATION CLINIC |
| 5 - SPECIALTY CLINIC | ||||
| 121 STOCKTON AVENUE | WALTON | NY | 13856 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | DELAWARE VALLEY HOSPITAL IS A CRITICAL ACCESS HOSPITAL (CAH) AS DESIGNATED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. UNLIKE NON-CAH'S THAT ARE REIMBURSED BASED ON A PROSPECTIVE REIMBURSEMENT METHODOLOGY, CAH'S ARE REIMBURSED THEIR ALLOWABLE COSTS FOR MEDICARE PURPOSES. THE MEDICARE COST REPORT (CMS 2552) AND THE MEDICAID INSTITUTIONAL COST REPORT (ICR) WAS UTILIZED FOR PURPOSES OF IDENTIFYING COSTS AND NET REVENUE. A. COSTS:I. FYE COSTS AS INDEPENDENTLY AUDITED. NON-ALLOWABLE COSTS (I.E.-PHYSICIANS, ETC.) ARE USED TO REDUCE COSTS TO ARRIVE AT ALLOWABLE COSTS.II. VARIOUS STATISTICAL BASIS ARE USED TO ALLOCATE GENERAL SERVICE COSTS (I.E.-ADMINISTRATION, PLANT OPERATIONS, HOUSEKEEPING, ETC.), VIA A "STEPDOWN" METHODOLOGY TO REVENUE PRODUCING COST CENTERS SUCH AS ANCILLARY COST CENTERS (I.E. - RADIOLOGY, LAB, PHYSICAL THERAPY, ETC.) ROUTINE COST CENTERS (MEDICAL SURGICAL, ETC.) AND OUTPATIENT COST CENTERS (EMERGENCY, CLINIC, ETC.). III. ROUTINE COSTS PER DAY ARE THEN CALCULATED BY DIVIDING DIRECT AND INDIRECT COSTS (STEPDOWN) BY TOTAL DAYS. THIS PER DAY COST CAN THEN BE MULTIPLIED BY PAYOR SPECIFIC DAYS TO ARRIVE AT ROUTINE PAYOR COSTS.IV. ANCILLARY AND OUTPATIENT COSTS RELATED TO SPECIFIC PAYORS CAN BE DETERMINED BASED ON THE RATIO OF COST TO CHARGES (RCC).1. THE RCC IS CALCULATED BY DIVIDING THE DIRECT AND INDIRECT COSTS (STEPDOWN COSTS) BY GROSS CHARGES. THE RCC CAN THEN BE MULTIPLIED BY PAYOR SPECIFIC GROSS CHARGES TO ARRIVE AT PAYOR SPECIFIC COSTS. B. REVENUE: I. MEDICARE: NET REVENUE IS BASED ON DVH'S ALLOWABLE COSTS (INPATIENT AND OUTPATIENT) AND ARE REIMBURSED WITH A 1% MARKUP. II. MEDICAID: NET REVENUE IS BASED ON THE FOLLOWING:A. INPATIENT - A BASE YEAR COST PER DAY TRENDED ANNUALLY FOR INFLATION.B. OUTPATIENT - MEDICAID PUBLISHED RATES.III. OTHER PAYORS: REVENUE IS BASED ON NEGOTIATED RATES OF PAYMENT. |
| PART I, LN 7 COL(F): | DELAWARE VALLEY HOSPITAL REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $627,362 IN PART IX, LINE 24B. THE AFOREMENTIONED BAD DEBT EXPENSE WAS USED IN THE CALCULATIONS OF SCHEDULE H, PART 1, LINES 7A THRU 7K. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DELAWARE VALLEY HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH ITS MEMBERSHIP AND PARTICIPATION IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY. STAFF MEMBERS SERVE ON THE COMMUNITY AND WELLNESS COMMITTEE OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER) COMMITTEE. DVH REPRESENTATIVES ATTENDED THE ROSCOE CENTRAL SCHOOL OPEN HOUSE AND PRESENTED INFORMATION ABOUT GOOD NUTRITION AND PHYSICAL ACTIVITY TO STUDENTS. WEEKLY NARCOTICS ANONYMOUS MEETINGS CONTINUE TO BE HELD AT THE HOSPITAL AND HOSPITAL STAFF PERFORMS DRUG TESTING COLLECTION FOR THE COUNTY'S DRUG TREATMENT COURT FREE OF CHARGE. THE DELAWARE COUNTY DRUG TREATMENT COURT'S MISSION IS TO HELP CHANGE THE BEHAVIORS OF ADULT NONVIOLENT DRUG AND ALCOHOL USERS THROUGH SUPERVISION AND TREATMENT RATHER THAN JUST SENDING THEM TO JAIL. THE OVERALL GOAL IS TO HELP ADDICTED INDIVIDUALS ACHIEVE LIFELONG RECOVERY AND BECOME RESPONSIBLE AND PRODUCTIVE MEMBERS OF THE COMMUNITY. DELAWARE COUNTY'S SOLID WASTE MANAGEMENT CENTER ASKED AREA HEALTHCARE PROVIDERS FOR HELP IN MAKING THE PUBLIC AWARE OF HOW TO SAFELY DISPOSE OF NEEDLES. DVH TOOK THE LEAD AND DEVELOPED A NEW BROCHURE TO BE HANDED OUT DURING CLEAN SWEEP WEEK. UHS PRODUCED THE BROCHURES FREE OF CHARGE SO THEY COULD BE DISTRIBUTED COUNTY WIDE. THE HOSPITAL ALSO SUPPLIED A VENUE FOR A SERIES OF PRESENTATIONS FOR THE ALZHEIMER'S ASSOCIATION, AS WELL AS A LOCATION FOR VARIOUS OFF-SITE MEETINGS FOR WALTON CENTRAL SCHOOL STAFF.THE HOSPITAL CONTINUED TO SUPPORT THE COMMUNITY HOLIDAY DINNER, THE TOWN'S LITTLE LEAGUE ORGANIZATION, THE LOCAL TOY BANK DRIVE, TWO 5K RUNS AND THE ROSCOE/ROCKLAND AND WALTON FIRE DEPARTMENTS. THE PRESIDENT/CEO OF DELAWARE VALLEY IS AN ACTIVE MEMBER OF THE WALTON LIONS CLUB AND DVH HOSTED A GROUP DINNER, FOR ONE OF THEIR MONTHLY MEETINGS. THE HOSPITAL CONTROLLER SERVES ON THE BOARD OF THE COLEMAN CENTER, A DAY CARE CENTER IN SIDNEY, NY.IN 2015, THE WALTON MINISTERIAL ASSOCIATION BEGAN A HUNGER WALK TO RAISE MONEY FOR THE LOCAL FOOD BANK AND CHILDREN'S NUTRITION PROGRAMS. DELAWARE VALLEY CONTINUES TO BE THE LEADING SPONSOR OF THE EVENT AND STAFF SERVES ON THE PLANNING COMMITTEE. DVH CONTINUES TO SUPPLY OFFICE SPACE FOR THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY'S OUTREACH STAFF. THE NETWORK'S MAIN OFFICE IS IN WHITNEY POINT, NY, OVER AN HOUR AWAY FROM DELAWARE COUNTY; ONE OF THEIR TARGET AREAS. BY PROVIDING THEM WITH FREE OFFICE SPACE, THEY HAVE A HOME BASE MORE CENTRALLY LOCATED TO THOSE THEY ARE TRYING TO SERVE. THE ORGANIZATION OFFERS MANY NAVIGATION-TYPE PROGRAMS, MOST ESPECIALLY ACCESS TO TRANSPORTATION SERVICES. THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR ALSO SERVES ON THE ORGANIZATION'S BOARD OF DIRECTORS. |
| PART III, LINE 2: | THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2017 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2017 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2017, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 56% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART III, LINE 4: | AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS. PLEASE REFER TO FOOTNOTE I, PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. |
| PART III, LINE 8: | BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE HOSPITAL HAS A POLICY TO PROVIDE A COMMUNITY BENEFIT TO UNINSURED PATIENTS THAT CONSISTS OF FEE DISCOUNTS. CERTAIN PATIENTS THAT WERE PROVIDED FEE DISCOUNTS WOULD HAVE LIKELY QUALIFIED UNDER THE CHARITY CARE POLICY. DELAWARE VALLEY HOSPITAL USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2017 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6. |
| PART III, LINE 9B: | UHS HOSPITALS POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.UHSH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. UHSH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. UHSH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENDING LEGAL ACTION. |
| PART VI, LINE 2: | RECRUITMENT OF HEALTHCARE PROFESSIONALS IS ALWAYS A CHALLENGE, ESPECIALLY IN OUR RURAL AREA. DELAWARE VALLEY HOSPITAL (DVH) AND ITS 3 PRIMARY CARE CENTERS MAINTAIN THEIR STANDING AS APPROVED SITES FOR PROFESSIONALS SEEKING ASSISTANCE THROUGH THE NATIONAL HEALTH SERVICE CORPS. THE HOSPITAL ALSO HOSTS BOTH RN AND CNA STUDENTS, FROM OUR LOCAL COLLEGE, (SUNY DELHI) AND BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES). DVH'S CERTIFIED DIETITIAN/NUTRITIONIST HELD TWO SPECIAL PROGRAMS FOR SUNY NURSING STUDENTS REGARDING DIABETES. A VERY SUCCESSFUL MASH CAMP IS HELD DURING THE YEAR TO PROVIDE AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO LEARN ABOUT HEALTHCARE CAREERS AND ENCOURAGE THEM TO PRACTICE IN OUR RURAL COMMUNITY. IN 2017, 22 STUDENTS ATTENDED OVER A TWO DAY PERIOD.IROQUOIS HEALTHCARE ASSOCIATION, AN ADVOCACY GROUP FOR HEALTHCARE PROVIDERS AND ISSUES, IN GENERAL ASKED THAT DVH SPONSOR MEDICAL RESIDENTS FOR A TOUR AND LUNCH SO THEY WOULD HAVE THE OPPORTUNITY TO LEARN MORE ABOUT RURAL OPPORTUNITIES FOR PHYSICIANS. THE EVENT TOOK PLACE IN OCTOBER.THROUGHOUT 2017, THE HOSPITAL CONTINUED TO WORK HAND IN HAND WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY ORGANIZATIONS AND HEALTHCARE PROVIDERS TO ADDRESS NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT. SEVERAL MEETINGS WERE HELD THROUGHOUT 2017, IN ORDER TO WORK TOGETHER TO ADDRESS ISSUES RAISED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE INITIATIVES EACH HOSPITAL OUTLINED IN THEIR COMMUNITY SERVICE PLANS. AN UPDATE OF 2017 ACTIVITIES IS LOCATED ON THE NYUHS.ORG WEBSITE.MENTAL HEALTH AND SUBSTANCE ABUSE HAVE BEEN IDENTIFIED IN THE NEEDS ASSESSMENT AS A PRIORITY. IN 2017, MEETINGS CONTINUED WITH ORGANIZATIONS AND ENTITIES THAT ADDRESS MENTAL, EMOTIONAL, AND BEHAVIORAL HEALTH, AS WELL AS SUBSTANCE ABUSE. THE DIRECTOR OF COMMUNITY RELATIONS SITS ON THE MENTAL HEALTH COMMITTEE OF DELAWARE COUNTY. THE MOST CHALLENGING BARRIER IN ACCESSING CARE IS THE LACK OF PROVIDERS TO CARE FOR THESE PATIENTS. IN 2017, DVH BEGAN A TELEPSYCHIATRY PROGRAM WITH A PRIVATE PRACTICE PSYCHIATRIST. UNFORTUNATELY, DUE TO THE PHYSICIAN'S LIMITED PARTICIPATION WITH INSURANCE CARRIERS, MANY PATIENTS IN NEED COULD NOT BE REFERRED. DVH BEGAN TO LOOK AT ALTERNATIVE WAYS TO OFFER THE SERVICE. A SECOND NEED IS FOR CHRONIC DISEASE MANAGEMENT AND PREVENTION. THE HOSPITAL HAS 3 STAFF MEMBERS TRAINED TO OFFER THE PROGRAM. IN 2017, 4 PROGRAMS WERE OFFERED TO THE PUBLIC: TWO IN THE SPRING AND 2 IN THE FALL. THE PEER LEADER TRAINING DID NOT TAKE PLACE DUE TO A LACK OF PARTICIPANTS. THE HOSPITAL ALSO ACTIVELY PARTICIPATES IN THE UHS PPS FOR THE DSRIP PROGRAM, NOW CALLED CARE COMPASS NETWORK. THE COMMUNITY RELATIONS DIRECTOR IS ACTIVELY INVOLVED IN THE ORGANIZATION'S EASTERN REGIONAL PERFORMANCE GROUP MEETINGS. |
| PART VI, LINE 3: | DELAWARE VALLEY HOSPITAL IS COMMITTED TO PROVIDING OUR PATIENTS THE KNOWLEDGE THAT WE OFFER FINANCIAL ASSISTANCE. EACH PATIENT CARE REGISTRATION AREA HAS SIGNS TELLING THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THEM. THERE ARE ALSO BROCHURES REGARDING THE PROGRAM THROUGHOUT THE HOSPITAL'S FACILITIES AND THE INFORMATION IS ALSO POSTED ON THE WEBSITE. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. A FINANCIAL ASSISTANCE HELP LINE IS ALSO AVAILABLE AND ADVERTISED ON ALL BILLINGS. IN 2015, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CHANGED TO PROVIDE ALL SELF-PAY PATIENTS AN AUTOMATIC 35% DISCOUNT AT THE TIME OF SERVICE. IF FURTHER ASSISTANCE IS NEEDED, THE PATIENT APPLIES THROUGH THE FINANCIAL ASSISTANCE PROGRAM. DELAWARE VALLEY ALSO OFFERS PATIENTS EASY ACCESS TO A FIDELIS REPRESENTATIVE, BY PROVIDING A SITE FOR THEM TO INTERVIEW AND ENROLL RESIDENTS IN THEIR MEDICAID MANAGED CARE PRODUCT. FIDELIS IS THE ONLY PROVIDER OF THESE SERVICES FOR DELAWARE COUNTY. |
| PART VI, LINE 4: | DELAWARE VALLEY HOSPITAL'S SERVICE AREA IS CENTERED IN DELAWARE COUNTY, WITH 79% OF THE PATIENTS COMING FROM THE WESTERN HALF OF DELAWARE COUNTY, AND ANOTHER 15% FROM NORTHERN SULLIVAN, BROOME, OTSEGO, AND CHENANGO COUNTIES. 85% OF DVH'S ZIP CODE SERVICE AREA INCLUDES THE COMMUNITIES OF WALTON, DOWNSVILLE, ONEONTA, ROSCOE, HANCOCK, DELHI, EAST BRANCH, SIDNEY, SIDNEY CENTER, BINGHAMTON, UNADILLA, LONG EDDY, AND HAMDEN. DELAWARE COUNTY IS LOCATED ON THE WESTERN EDGE OF THE CATSKILL MOUNTAINS IN RURAL, UPSTATE NEW YORK. ENCOMPASSING 1446.37 SQUARE MILES, ITS SIZE APPROXIMATES THAT OF RHODE ISLAND AND IS THE FOURTH LARGEST OF NEW YORK STATE'S 62 COUNTIES. IN FACT, ITS SIZE IS SO GREAT THAT, SEVEN COUNTIES AND THE STATE OF PENNSYLVANIA BORDER DELAWARE COUNTY. IT ALSO RANKS AS THE SIXTH MOST RURAL COUNTY IN THE STATE WITH JUST 33 PERSONS PER SQUARE MILE. ITS TOPOGRAPHY IS CHARACTERIZED BY WINDING, AND TWISTING, TWO-LANE ROADS THAT TRANSVERSE A MOUNTAINOUS TERRAIN, MAKING TRAVEL CHALLENGING, ESPECIALLY DURING THE WINTER MONTHS. TRANSPORTATION IS AN EXTREMELY CHALLENGING BARRIER TO PROVIDING PATIENT CARE. THE AREA DOES NOT HAVE PUBLIC TRANSPORTATION AND WHILE RECENTLY A COUPLE OF PRIVATE TRANSPORTATION SERVICES HAVE BEGUN, THEY ARE TOO COST PROHIBITIVE FOR MANY TO ACCESS. THE COUNTY IS HOME TO TWO OF THE STATE'S LARGEST RESERVOIRS IN THE NEW YORK CITY WATERSHED, WHICH HAS THE LARGEST UNFILTERED DRINKING WATER SUPPLY IN THE UNITED STATES. APPROXIMATELY 55% OF DELAWARE COUNTY'S POPULATION LIES WITHIN THE WATERSHED. NEW YORK CITY HAS WORKED TO PRESERVE AND SAFEGUARD THE WATERSHED FROM ENVIRONMENTAL DEGRADATION BY MEANS OF RESTRICTIONS AND REGULATIONS ON LAND USE WITHIN AND SURROUNDING THE WATERSHED. THE INITIAL IMPACT OF THE WATERSHED ON DELAWARE COUNTY HAS BEEN TO LIMIT ECONOMIC DEVELOPMENT WHICH PREVENTS EXPANSION OF THE TAX BASE. BECAUSE OF THE ENVIRONMENTAL ECOSYSTEM OF THE WATERSHED, THERE HAVE BEEN STRICT REGULATIONS PERTAINING TO AGRICULTURAL POLLUTION AND BUILDING CONSTRUCTION. LIMITING INFRASTRUCTURE GROWTH RESULTS IN DECREASED EMPLOYMENT OPPORTUNITIES. THESE UNIQUE CIRCUMSTANCES RESULT IN HEALTH CARE RELATED CHALLENGES FOR THE COUNTY RESIDENTS. THESE LIMITATIONS ALSO IMPACT THE LOCAL HEALTH AND SOCIAL SERVICE AGENCIES AND ORGANIZATIONS AND THE DELIVERY OF CARE AND SERVICES.THESE LIMITATIONS HAVE CAUSED RESIDENTS TO SEEK ALTERNATIVES TO STIMULATE ECONOMIC GROWTH. DELAWARE COUNTY FARMERS HAVE STARTED SPECIALTY INDUSTRIES. THIS IS REFLECTED IN THE INCREASED NUMBER OF SPECIALTY FARMS. OTHER ECONOMIC DEVELOPMENTS ARE TAKING THE FORM OF TOURISM (E.G. BED AND BREAKFAST), RECREATIONAL FACILITIES COMPATIBLE WITH THE ENVIRONMENT (E.G. GOLF, SKIING, HIKING, HUNTING AND FISHING), LOW POLLUTION FARMING, AND PROFESSIONAL/BUSINESS SERVICES COMPANIES.THE MEDIAN AGE IN DELAWARE COUNTY IS 46 YEARS, WHILE 36% ARE AGE 55 AND OVER, AND 20% OF THOSE ARE 65 YEARS AND OVER. 95% OF THE POPULATIONS ARE CAUCASIAN, SO THERE IS LITTLE ETHNIC DISPARITY. THE MEDIAN FAMILY INCOME IS $ 44,180 AND APPROXIMATELY 14% OF THE POPULATION LIVES IN POVERTY. ACCORDING TO THE 20010-2014 AMERICAN COMMUNITY SURVEY BY THE U.S. CENSUS BUREAU THE PERCENTAGE OF RELATED CHILDREN LIVING BELOW THE POVERTY LEVEL WITH A FEMALE HEAD OF HOUSEHOLD, WITH NO HUSBAND PRESENT HAS RISEN TO 59.8% FOR CHILDREN UNDER 5 YEARS OF AGE IN DELAWARE COUNTY. THIS IS WELL ABOVE THE NEW YORK AND UNITED STATES COMPARISONS OF 40.7% AND 47% RESPECTIVELY. |
| PART VI, LINE 5: | DELAWARE VALLEY HOSPITAL, A CRITICAL ACCESS HOSPITAL, PROMOTES COMMUNITY HEALTH THROUGH ITS ONGOING EFFORTS TO PROVIDE THOSE SERVICES MOST OFTEN UTILIZED BY THOSE IT SERVES. ITS INPATIENT SERVICES INCLUDE ACUTE CARE FOR THOSE PATIENTS REQUIRING 96 HOURS OR LESS OF HOSPITALIZATION; LONGER TERM REHABILITATIVE CARE FOR THOSE NEEDING TIME TO GAIN STRENGTH OR STAMINA AFTER A DEBILITATING ILLNESS OR INJURY OR A SURGICAL PROCEDURE; AND INPATIENT ADDICTION TREATMENT. THE HOSPITAL ALSO PROVIDES 24 HOUR EMERGENCY CARE. DIAGNOSTIC SERVICES INCLUDE LABORATORY, CARDIOPULMONARY, AND IMAGING SERVICES. THE HOSPITAL HAS THE CAPABILITY OF PERFORMING PULMONARY FUNCTION TESTING, EKGS, CARDIAC STRESS TESTING, AND PLACING HOLTER AND EVENT MONITORS, AS WELL AS HOME SLEEP STUDY EQUIPMENT. IN THE IMAGING CENTER X-RAY, FLUOROSCOPY, MAMMOGRAPHY, BONE DENSITOMETRY, ULTRASOUND, ECHOCARDIOGRAMS, AND CT SCANS ARE PERFORMED. A MOBILE MRI SERVICE IS AVAILABLE TWICE WEEKLY. ITS OUTPATIENT REHABILITATION DEPARTMENT OFFERS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AND A CARDIOPULMONARY REHABILITATION PROGRAM IS ALSO IN PLACE. THROUGH ITS THREE PRIMARY CARE OFFICES LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE, NY PATIENTS OF ALL AGES CAN RECEIVE ACUTE AND PREVENTIVE CARE, AS WELL AS CHRONIC DISEASE MANAGEMENT. OCCUPATIONAL HEALTH SERVICES INCLUDE PRE-EMPLOYMENT AND DOT PHYSICALS, IMMUNIZATIONS, DRUG TESTING, AND ANNUAL PHYSICALS FOR FIRE DEPARTMENT MEMBERS. VISITING SPECIALISTS INCLUDE A GENERAL SURGEON, CARDIOLOGIST, AND PODIATRIST AND BEGINNING IN 2017, A PAIN MANAGEMENT SPECIALIST. THE PAIN MANAGEMENT CLINIC BEGAN TO HELP PATIENTS UTILIZE ALTERNATIVE TREATMENT METHODS RATHER THAN USING OPIOIDS. THIS REPLACED THE SUBOXONE SEMINARS PREVIOUSLY HELD. PATIENTS ARE ABLE TO BE SEEN 2 DAYS PER MONTH BY EITHER THE ORTHOPEDIC SURGEON SPECIALIZING IN PAIN MANAGEMENT OR THEIR PHYSICIAN ASSISTANT. DELAWARE VALLEY HOSPITAL'S CERTIFIED DIETICIAN/NUTRITIONIST HELD TWO LIFESTEPS SERIES OF WORKSHOPS WHICH FOCUSED ON PARTICIPANTS' LIFESTYLES AS RELATED TO DIET AND EXERCISE. THE HOSPITAL CONTINUED ITS ANNUAL PRESENCE AT THE WEEK-LONG DELAWARE COUNTY FAIR. DURING THE WEEK, THE HOSPITAL STAFF PROVIDED LOTS OF HEALTH AND NUTRITION INFORMATION TO FAIRGOERS, PERFORMING AT LEAST 438 BLOOD PRESSURE CHECKS, 100 PLAYED THE NUTRITION GAME. 41 EMPLOYEES SPENT A TOTAL OF 354 HOURS EITHER PLANNING OR MANNING THE BOOTH AT THE 6-DAY LONG EVENT.IN 2017, SEVERAL ADDITIONAL WELLNESS INITIATIVES BEGAN. TWO STAFF COMPLETED THE AMERICAN CANCER SOCIETY'S FRESH START TOBACCO CESSATION PROGRAM TRAINING. THEY WENT ON TO HOLD THREE 4 WEEK PROGRAMS IN 2017. THE HOSPITAL ALSO BEGAN A LUNG MATTERS GROUP FOR PATIENTS AND CAREGIVERS DEALING WITH LUNG CONDITIONS. THE GROUP MEETS MONTHLY AND IS MANAGED BY THE HOSPITAL'S CARDIOPULMONARY REHABILITATION NURSE. SHE HAS ALSO INCLUDED HARMONICA PLAYING INTO THE MEETINGS, WHICH IS A HELPFUL TOOL IN BETTER BREATHING. DVH SUPPLIES THE HARMONICAS TO THE PARTICIPANTS FREE OF CHARGE.IN 2017, THREE STAFF MEMBERS WERE TRAINED TO OFFER THE STANFORD UNIVERSITY, EVIDENCED-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM. MARKETED AS, HAPPY HEALTHY AND WISE WORKSHOPS, THREE PROGRAMS WERE OFFERED IN 2017. THE PROGRAM IS GIVEN 2 1/2 HOURS A WEEK, FOR SIX WEEKS. IT FEATURES A "TOOLBOX" OF STRATEGIES PARTICIPANTS CAN USE TO HELP MANAGE THEIR CONDITIONS MORE SUCCESSFULLY. THE "TOOLBOX" INCLUDES PROBLEM-SOLVING, ACTION PLANNING, COMMUNICATION, UNDERSTANDING EMOTIONS, WEIGHT MANAGEMENT AND HEALTHY EATING, USING YOUR MIND, SLEEP, PHYSICAL ACTIVITY, MEDICATION MANAGEMENT, DECISION MAKING, BETTER BREATHING AND WORKING WITH HEALTH PROFESSIONALS STRATEGIES.TWO SPECIAL EVENTS FOCUSED ON BREAST CANCER AWARENESS AND HEART DISEASE AND DIABETES RESPECTIVELY. THE CARDIOPULMONARY REHABILITATION NURSE ALSO PRESENTED A PROGRAM TO THE WALTON LIONS CLUB REGARDING THE RELATIONSHIP BETWEEN DIABETES AND HEART DISEASE. THE HOSPITAL'S RETAIL COMMUNITY PHARMACY CONTINUED TO OFFER A FREE MAIL SERVICE FOR THOSE WHO ARE UNABLE TO COME TO THE PHARMACY TO PICK UP THEIR PRESCRIPTIONS; DELIVERS PRESCRIPTIONS TO ITS OUTLYING PRIMARY CARE CENTERS FOR PATIENTS WHO CANNOT GET TO WALTON TO PICK UP THEIR MEDICATION AND NEED IT MORE QUICKLY THAN MAIL WOULD ALLOW. STAFF PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S GO RED FOR WOMEN EVENT AND HEART WALK, AND THE DELAWARE COUNTY SENIOR PICNIC WHERE MEDICATION SAFETY WAS A HIGHLIGHT. |
| PART VI, LINE 6: | DELAWARE VALLEY HOSPITAL, INC. IS AN IMPORTANT PART OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHS IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATIONS INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. DVH PARTICIPATES IN THE UNITED HEALTH SERVICES SYSTEM STRATEGIC PLANNING PROCESS. CONSISTENT WITH THE MISSION AND VISION, THE PLAN FOCUSES ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO THE REGION. THE STRATEGIC PLAN IS ORGANIZED AROUND THREE OBJECTIVES: IMPROVE OUR CARE, MANAGE OUR COSTS, AND GROW OUR MARKET SHARE. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE AND DVH FURTHER DEVELOPS OBJECTIVES AS THEY WOULD RELATE TO THE HOSPITAL'S SERVICES AND THE NEEDS OF IT PATIENTS. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE OBJECTIVES ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE DVH COMMUNITY SERVICE REPORT IS INCLUDED WITH THE DELAWARE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, AND THE COMMUNITY SERVICE PLANS OF O'CONNOR HOSPITAL, TRI-TOWN REGIONAL HOSPITAL, AND MARGARETVILLE HOSPITAL, IN ONE DOCUMENT.CLINICAL EXCELLENCE: UHS IS FOCUSED ON BUILDING UPON PREVIOUS EFFORTS THAT ESTABLISHED A CONSISTENT SYSTEM-WIDE FOCUS FOR EVALUATING AND ASSURING EXCELLENCE IN THE DELIVERY OF CLINICAL CARE. UHS IS FOCUSED ON THE DEVELOPMENT OF A COMPREHENSIVE OUTPATIENT CARE MODEL, IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS TO SUPPORT SERVICE QUALITY AND EXCELLENCE, IMPLEMENTATION OF A MULTI-YEAR PROVIDER RECRUITMENT AND RETENTION STRATEGY, ORGANIZE UHS PROVIDERS TO ACCOMMODATE FUTURE PAYMENT METHODOLOGIES, ALONG WITH THE DEVELOPMENT OF A TALENT MANAGEMENT INITIATIVE TO REALIZE THE LONG TERM STRATEGY FOR A SUSTAINABLE WORKFORCE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN CARRIGG | ||||||||||||||
| 2ND VICE CHAIR | $0 | $517,113 | $0 | $94,194 | $0 | $10,284 | $0 | $16,740 | $0 | $18,963 | $0 | $657,294 | $0 | $0 |
| DR MICHAEL FREEMAN | ||||||||||||||
| MEDICAL STAFF PRESIDENT | $232,533 | $0 | $200 | $0 | $0 | $0 | $12,159 | $0 | $24,100 | $0 | $268,992 | $0 | $0 | $0 |
| PAUL SUMMERS | ||||||||||||||
| PRESIDENT/CEO | $196,560 | $0 | $32,728 | $0 | $0 | $0 | $7,739 | $0 | $8,506 | $0 | $245,533 | $0 | $0 | $0 |
| DR RAJESH DAVE | ||||||||||||||
| FORMER 2ND VICE CHAIR | $0 | $536,467 | $0 | $105,672 | $0 | $10,750 | $0 | $16,740 | $0 | $18,775 | $0 | $688,404 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6 | THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2017 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. |
| FORM 990, PART VII, SECTION A, LINE 5, UNRELATED PARTY DETAIL: | INDIVIDUAL: MICHAEL FREEMAN, MEDICAL STAFF PRESIDENT COMPENSATION RECEIVED FROM UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES (UMA) COMPENSATION: WAGES $268,992. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF DELAWARE INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 161137407 | BondIssuerEIN |
| CUSIP | 245867AA4 | CUSIPNum |
| Bond Issued | 2007-06-29 | BondIssuedDt |
| Issue Price | $5,805,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF NEW ER/IMAGING CENTER; REFINANCE HOSPITAL MORTGAGE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $5,805,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $250,826 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $5,805,000 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MICHAEL LAYTON | |||
| BROTHER-IN-LAW OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES | $55,625 | EMPLOYEE WAGES | 0 |
| BONNIE CRAIG | |||
| SISTER OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES | $36,751 | EMPLOYEE WAGES | 0 |
| NANCY VOLLKOMMER | |||
| SISTER-IN-LAW OF VICKI CONKLING, V.P. NURSING ADMIN./CNO | $30,815 | EMPLOYEE WAGES | 0 |
| MILA KATANIC-TUCKER | |||
| STEP DAUGHTER OF EDWARD SNOW, BOARD OF DIRECTORS | $25,894 | EMPLOYEE WAGES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | IN 2017, A PAIN MANAGEMENT CLINIC BEGAN TO HELP PATIENTS UTILIZE ALTERNATIVE TREATMENT METHODS RATHER THAN USING OPIOIDS. THE CLINIC IS HELD TWO DAYS PER MONTH. PATIENTS ARE SEEN BY A VISITING SPECIALIST IN PAIN MANAGEMENT. ALSO IN 2017, THREE STAFF MEMBERS WERE TRAINED TO OFFER THE STANDFORD UNIVERSITY EVIDENCED-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM. THE PROGRAM IS OFFERED 2 1/2 HOURS PER WEEK FOR 6 WEEKS. IT FEATURES A "TOOLBOX" OF STRATEGIES PARTICIPANTS CAN USE TO HELP MANAGE THEIR CONDITIONS MORE SUCCESSFULLY. OTHER ADDITIONAL WELLNESS INITIATIVES INCLUDED TRAINING FOR TWO STAFF MEMBERS IN THE AMERICAN CANCER SOCIETY'S FRESH START TOBACCO CESSATION PROGRAM. THREE 4 WEEK PROGRAMS WERE HELD IN 2017. ALSO, THE HOSPITAL BEGAN A LUNG MATTERS GROUP FOR PATIENTS AND CAREGIVERS DEALING WITH LUNG CONDITIONS. THE GROUP MEETS MONTHLY AND IS MANAGED BY THE HOSPITAL'S CARDIOPULMONARY REHABILITATION NURSE. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | ATHE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE DELAWARE VALLEY HOSPITAL, INC. (DVH) BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF FORM 990 TO MANAGEMENT. THE UHS FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15A | PERFORMANCE REVIEW OF PRESIDENT/CEO IS COMPLETED BY THE BOARD CHAIR AND 2ND VICE CHAIR/UHS, INC. LIAISON ANNUALLY. RESULTS PRESENTED TO EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF CHAIR, LIAISON, AND THREE OTHER BOARD MEMBERS. THE COMMITTEE USES SULLIVAN-COTTER, A PAID CONSULTING FIRM, TO OBTAIN NATIONAL CEO COMPENSATION DATA BY HOSPITAL TYPE, SIZE, ETC. AS THE BASIS FOR ESTABLISHING AN ACCEPTABLE COMPENSATION RANGE TO ENSURE COMPLIANCE WITH TREASURY REGULATION 53.4958-1(D)(4)(3). THE COMMITTEE THEN DETERMINES AND APPROVES THE PRESIDENT/CEO COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN SERVICES FEES: PROGRAM SERVICE EXPENSES 4,930,243. MANAGEMENT AND GENERAL EXPENSES 612,603. FUNDRAISING EXPENSES 8,300. TOTAL EXPENSES 5,551,146. |
| FORM 990, PART XII, LINE 2C | NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITALS INC | ||||||||||
| 10-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161165049 | HOSPITAL | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| PROFESSIONAL HOME CARE | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161261977 | HOME HEALTH CARE | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| CHENANGO MEMORIAL HOSPITAL | ||||||||||
| 179 NORTH BROAD STREET | NORWICH | NY | 13815 | 150532180 | HOSPITAL | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| UNITED HEALTH SERVICES INC | ||||||||||
| 20-40 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 222682421 | PARENT COMPANY | NY | 501(C)(3) | 10 | BOARD OF DIRECTORS UHS INC | 0 |
| TWIN TIER HOME HEALTH INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 222438211 | HOME HEALTH CARE | NY | 501(C)(3) | 7 | UNITED HEALTH SERVICES INC | 0 |
| PROJECT HEAR INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161462675 | HOME EMERGENCY ALARM SYSTEM | NY | 501(C)(3) | 10 | TWIN TIER HOME HEALTH INC | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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