2018-05-11T09:18:36-05:00 2017-06-30 990 2016-07-01 150532254 ST JOSEPH'S HOSPITAL HEALTH CENTER STJO 3154485111 301 PROSPECT AVE SYRACUSE NY 13203 MEREDITH PRICE SVP & CFO 3154485888 2018-05-11 2016 2022-09-23 18:48:47Z LESLIE PAUL LUKE 301 PROSPECT AVE SYRACUSE NY 13203 627974198 0 X SJHSYR.ORG X 1895 NY TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 14 9 4764 491 260579 0 1915888 15971198 276661277 609618069 2156218 1954718 28733953 276494 309467336 627820479 0 36118632 0 0 160338444 318741199 0 0 0 142020241 283567163 302358685 638426994 7108651 -10606515 480468690 433166028 429603895 390855848 50864795 42310180 X WE, ST. JOSEPH'S HOSPITAL HEALTH CENTER AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. ST. JOSEPH'S HOSPITAL HEALTH CENTER IS A MEMBER OF ST. JOSEPH'S HEALTH AND TRINITY HEALTH. 0 0 615116000 36118632 609618069 ST. JOSEPH'S HEALTH IS A NON-PROFIT REGIONAL HEALTH CARE SYSTEM BASED IN SYRACUSE, NY, PROVIDING SERVICES TO PATIENTS THROUGHOUT CENTRAL NEW YORK AND NORTHERN PENNSYLVANIA. FROM PRIMARY TO SPECIALTY TO HOME CARE, TO OUR MAGNET-RECOGNIZED HOSPITAL, AND IN COLLABORATION WITH OUR COMMUNITY PARTNERS, ST. JOSEPH'S HEALTH IS ADVANCING THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH AN EXPANDING RANGE OF HEALTH CARE SERVICES TO ENSURE OUR PATIENTS ACHIEVE OPTIMUM LONG-TERM HEALTH. ST. JOSEPH'S HOSPITAL HEALTH CENTER HAS BEEN, AND REMAINS, THE BACKBONE OF OUR INTEGRATED SYSTEM, DELIVERING AWARD-WINNING CARE AND PROVIDING ENHANCED VALUE TO OUR PRIMARY, SPECIALIZED, AND URGENT CARE FACILITIES THROUGHOUT THE REGION. THE 451-BED COMPREHENSIVE MEDICAL CARE INSTITUTION PROVIDES TOP RATED CARDIAC AND ORTHOPEDIC CARE, GENERAL MEDICAL AND SURGICAL CARE, AND A LEVEL-III NICU. SPECIALTY SERVICES INCLUDE HEMODIALYSIS, MATERNITY SERVICES, A SEPARATE BIRTH CENTER, EMERGENCY CARE, INTENSIVE CARE, WOUND CARE, DENTAL SERVICES, BEHAVIORAL HEALTH AND CERTIFIED HOME HEALTH CARE. ST. JOSEPH'S HOSPITAL HEALTH CENTER ALSO OPERATES TWO STATE-OF-THE-ART AMBULATORY SURGERY CENTERS FOR OUTPATIENT SURGERY SERVICES THAT DO NOT REQUIRE AN OVERNIGHT STAY. LOCATED IN LIVERPOOL AND FAYETTEVILLE, THE AWARD-WINNING SURGERY CENTERS OFFER GENERAL SURGERY, UROLOGY, EAR, NOSE AND THROAT, ORTHOPEDICS, PODIATRY, DENTAL SURGERY, AND PAIN MANAGEMENT SERVICES.PLEASE SEE SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.SJHSYR.ORG 615116000 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 407 0 1 4764 1 1 1 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 X JULIE EDMUNDS SMITH 3157032106 973 JAMES ST SYRACUSE NY 13203 LESLIE PAUL LUKE DIRECTOR,PRESIDENT, & CEO AS OF 2/17 50.00 5.00 X X 0 0 0 KATHRYN RUSCITTO DIRECTOR, PRESIDENT, & CEO THR 2/17 50.00 5.00 X X 0 848285 25185 GEORGE DEPTULA ESQ DIRECTOR; CHAIR 10.00 8.00 X X 0 0 0 MARY OBRIST OSF DIRECTOR; TREASURER 10.00 13.00 X X 0 0 0 CRAIG BOISE DIRECTOR AS OF 5/17 10.00 1.00 X 0 0 0 HELEN MARIE BURNS RSM DIRECTOR 10.00 1.00 X 0 5000 0 BENJAMIN CARTER DIR AS OF 9/16; TRINITY EVP & CFO 1.00 54.00 X 0 1306307 48877 SANTO DIFINO MD DIRECTOR 10.00 1.00 X 0 0 0 LUCINDA DRESCHER DIRECTOR THROUGH 12/16 10.00 1.00 X 0 0 0 JOHN MARSHALL DIRECTOR 10.00 1.00 X 0 0 0 JOHN MURPHY III DIRECTOR THROUGH 12/16 10.00 6.00 X 0 0 0 GINA MYERS PHD DIRECTOR 10.00 1.00 X 3840 0 76 RICHARD O'CONNELL DIRECTOR THROUGH 9/16; TRINITY EVP 1.00 54.00 X 0 1545409 47362 MERRIETTE POLLARD DIRECTOR 10.00 1.00 X 0 0 0 PAWAN RAO MD DIRECTOR 10.00 1.00 X 0 0 0 WILLIAM ROBERTS MD DIRECTOR 10.00 1.00 X 0 0 0 VINCENT SWEENEY DIRECTOR 10.00 7.00 X 0 0 0 PAUL TREMONT DIRECTOR 10.00 1.00 X 0 0 0 CHARLES ZIMMERMAN DIRECTOR THROUGH 12/16 10.00 1.00 X 0 0 0 LOWELL SEIFTER ESQ SECRETARY; SVP GENERAL COUNSEL 45.00 5.00 X 364306 0 26085 MEREDITH PRICE SVP & CFO 45.00 5.00 X 510074 0 31411 SANDRA SULIK MD VP MEDICAL AFFAIRS 40.00 10.00 X 452414 0 12787 FREDERICK LETOURNEAU SVP PHYSICIAN ENTERPRISE 40.00 10.00 X 388593 0 39062 ANNEMARIE CZYZ SVP & COO/CNO 50.00 0.00 X 384759 0 25072 MARK MURPHY SVP SYSTEM DEVELOP/AMUBULATORY CARE 50.00 0.00 X 382598 0 35221 JAMES TUCKER MD PHYSICIAN 50.00 0.00 X 472237 0 11651 AHMED NIZAR MD PHYSICIAN 50.00 0.00 X 465121 0 32353 KWAME ADUSEI MD PHYSICIAN 50.00 0.00 X 431723 0 30380 SAMUEL SALEEB MD PHYSICIAN 50.00 0.00 X 376661 0 32434 GREGORY KENIEN MD PHYSICIAN 50.00 0.00 X 374308 0 26090 ERIKA DUNCAN FORMER KEY EMPLOYEE; VP HR 40.00 0.00 X 290117 0 30015 JOSEPH SCICCHITANO FORMER KEY EMP; VP SUPPORT SERVICES 39.00 1.00 X 272011 0 12806 DEBORAH WELCH FORMER KEY EMP; VP P&M INTEG. 40.00 0.00 X 209695 0 35415 CHARLES FENNELL FORMER KEY EMPLOYEE; REGIONAL CIO 25.00 25.00 X 171188 220328 51631 DOUGLAS SMITH FORMER KEY EMP; VP DEVELOPMENT 40.00 0.00 X 103807 0 7363 DIWAKAR LINGAM MD FORMER KEY EMPLOYEE; PHYSICIAN 50.00 0.00 X 221037 0 10402 FRANK SMITH JR FORMER KEY EMP;PRES FRANCISCAN ASSC 0.00 55.00 X 18700 333028 22726 5893189 4258357 594404 334 1 1 0 SYRACUSE ORTHOPEDIC SPECIALIST 5824 WIDEWATERS PARKWAY EAST SYRACUSE NY 13057 MEDICAL SERVICES 4065378 AMERICAN ANESTHESIOLOGY OF SYRACUSE PO BOX 281034 ATLANTA GA 30384 MEDICAL SERVICES 3600500 FRESENIUS MANAGEMENT SERVICES 16343 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 2032310 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 PSYCHIATRIC SERVICES 1648902 LEMOYNE COLLEGE OFCE OF THE BURSAR 1419 SALT SPRIN SYRACUSE NY 13214 NURSING EDUCATION 1212529 93 7217981 4709715 4043502 4671 15971198 NET PATIENT SERVICE REVENUE 622110 609618069 609618069 609618069 1348930 1348930 124357 108442 15915 15915 15915 552778 98287 0 45277 552778 53010 605788 605788 INCOME FROM JOINT VENTURE 621500 260579 260579 260579 627820479 609618069 260579 1970633 36118632 36118632 3529768 3529768 1771580 605706 1165874 249377249 241241945 8135304 8414020 8093194 320826 37874149 36190882 1683267 17774433 16898308 876125 475616 475616 95766 95766 97707 92891 4816 213121 213121 59605460 57576653 2028807 2117374 2013006 104368 7115484 6764753 350731 982451 934025 48426 14988570 14249764 738806 1585239 1507101 78138 8611336 8611336 27122068 25785186 1336882 3563269 3387631 175638 MEDICAL SUPPLIES 115381987 115381987 I/C PURCHASED SERVICES 23598485 22435285 1163200 EQUIPMENT MAINTENANCE 10598887 10076454 522433 HOSPITAL PROVIDER TAX 2077072 2077072 5337271 5074189 263082 638426994 615116000 23310994 0 1801781 7655094 20290152 1603207 5416956 2147517 77680501 73645585 3051702 335125 6351401 6619367 4390438 1840780 291567461 60616656 238816883 230950805 77083608 34025091 26916947 45585268 47426510 480468690 433166028 88535567 108433401 247367 708867 183774 1063995 340637187 280649585 429603895 390855848 X 38794564 25938662 8709038 12915616 3361193 3455902 50864795 42310180 480468690 433166028 X -10606515 4680464 -2628564 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 73365 1 97707 0 0 171072 0 PART II-B, LINE 1: ST. JOSEPH'S HOSPITAL HEALTH CENTER (ST. JOSEPH'S) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED ST. JOSEPH'S WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. ST. JOSEPH'S ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST TO ST. JOSEPH'S. 12070230 5979021 647259 2324992 16371518 12436716 981196 216121 1563803 12070230 13612669 3174919 -74476 4276396 12436716 13028076 3986922 223532 3625861 13612669 16045585 724983 625008 4367500 13028076 0.00000 0.21110 0.78890 0 1 1 3925693 3925693 161504928 12865155 148639773 1768091 165813 1602278 110631611 47585688 63045923 13737138 13737138 230950805 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 12026721 F HEDGE FUNDS 5727010 F EQUITY METHOD INVESTMENTS 9163216 C 26916947 I/C ACCOUNTS RECEIVABLE 566285 I/C OTHER ASSETS 1851361 INVESTMENT IN AFFILIATES 38601321 MISCELLANEOUS RECEIVABLES 6372543 OTHER LONG TERM ASSETS 35000 47426510 DEFERRED COMPENSATION LIABILITY 3671939 I/C ACCOUNTS PAYABLE 23683333 I/C NOTES PAYABLE 239493934 I/C OTHER LIABILITIES 13417576 OTHER CURRENT LIABILITIES 382803 280649585 PART V, LINE 4: ENDOWMENT FUNDS SUPPORT THE ORGANIZATION'S MISSION SERVICES, AND PROVIDE FOR EDUCATION AND TECHNOLOGY ADVANCEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 6833548 6833548 0.01070 94700440 85124851 9575589 0.01500 101533988 85124851 16409137 0.02570 1 2220 2220 0.00000 3 23265760 11769932 11495828 0.01800 15 186227 16724617 7628233 9096384 0.01420 19 186227 39992597 19398165 20594432 0.03220 19 186227 141526585 104523016 37003569 0.05790 1 -2360920 0 154317914 167422743 -13104829 X 1 1 1 MDRMRI TECHNICAL SERVICES LLC MRI SERVICES 0.40000 0.00000 0.60000 2 BREAST CARE PARTNERS LLC WOMEN'S HEALTH AND CANCER CARE 0.14280 0.00000 0.51480 1 1 ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVE SYRACUSE NY 13203 WWW.SJHSYR.ORG 3301003H X X X X CERTIFIED HOME HEALTH AGENCY ST JOSEPH'S HOSPITAL HEALTH CENTER 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 15 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.SJHSYR.ORG/FINANCIAL-ASSISTANCE X HTTPS://WWW.SJHSYR.ORG/FINANCIAL-ASSISTANCE X HTTPS://WWW.SJHSYR.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 5: ST. JOSEPH'S HOSPITAL HEALTH CENTER (ST. JOSEPH'S) WAS AN ACTIVE PARTICIPANT ON THE CENTRAL NEW YORK CARE COLLABORATIVE (CNYCC) ADVISORY COMMITTEE GUIDING THE CNYCC'S COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WHICH TOOK PLACE BETWEEN AUGUST - NOVEMBER 2014. THE STEERING COMMITTEE FOR THIS PROCESS INCLUDED BUT WAS NOT LIMITED TO REPRESENTATION FROM JOHN BEN SNOW, INC. (CONSULTING); ST. JOSEPH'S; UPSTATE MEDICAL UNIVERSITY HOSPITAL; AUBURN COMMUNITY HOSPITAL, AND FAXTON-ST. LUKE'S HOSPITAL. IN ADDITION, COMMUNITY INPUT FOR THIS ASSESSMENT WAS GARNERED THROUGH A PARTNER SURVEY, CONDUCTED IN THE FIELD BETWEEN AUGUST 15 - SEPTEMBER 30, 2014; KEY INFORMANT INTERVIEWS (EXPERTS), CONDUCTED BETWEEN AUGUST 15 - OCTOBER 15, 2014; AND THROUGH LISTENING SESSIONS WITH COMMUNITY RESIDENTS, CONDUCTED FROM SEPTEMBER 15 - OCTOBER 31, 2014. THE ORGANIZATIONS ENGAGED IN EACH OF THESE ACTIVITIES (INTERVIEWS, SURVEY AND STAKEHOLDER LISTENING SESSION HOST-SITES) REPRESENT A SPECTRUM OF SERVICES WITHIN ONONDAGA COUNTY, NY, INCLUDING SERVICES FOR LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY INDIVIDUALS. SPECIFICALLY, THE COMMUNITY NEEDS OR GROUPS THAT WERE REPRESENTED AND THEIR RESPECTIVE ORGANIZATIONS ARE LISTED BELOW:NO HEALTH INSURANCE/UNDERINSURED: CHRISTIAN HEALTH SERVICE OF SYRACUSE. HOUSING VULNERABLE/BASIC NEED SUPPORT: SALVATION ARMY; RESCUE MISSION. DISABLED CHILDREN AND ADULTS: ARISE CHILD AND FAMILY; ARC OF ONONDAGA. BASIC NEEDS SUPPORT AND REFUGEE RESETTLEMENT SERVICES: CATHOLIC CHARITIES OF ONONDAGA COUNTY. CHILD AND FAMILY SUPPORT SERVICES: ONONDAGA DEPT. OF CHILDREN AND FAMILY SERVICES; HILLSIDE FAMILY OF AGENCIES; REACH CNY, INC.; ONONDAGA CASE MANAGEMENT SERVICES, INC.BEHAVIORAL & MENTAL HEALTH SUPPORT SERVICES: CNY SERVICES; LIBERTY RESOURCES, INC.; SYRACUSE BEHAVIORAL HEALTH CARE; PREVENTION NETWORK; HUTCHINGS PSYCHIATRIC CENTER/SUNRISE RECOVERY CTR.; ONONDAGA COUNTY DEPT. OF MENTAL HEALTH.WHILE THE AFOREMENTIONED COLLABORATIVE NEEDS ASSESSMENT PROCESS WAS UNDERTAKEN WITH THE GOAL OF OUTLINING PRIORITY PROJECTS FOR CENTRAL NEW YORK'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), THE SCOPE OF THE RESULTING CHNA IS COMPREHENSIVE IN NATURE, COVERING BOTH THE NEEDS OF THE UNINSURED AND MEDICAID POPULATIONS, AND EXPLORING THE BROADER HEALTH NEEDS OF OUR COMMUNITY. SUPPLEMENTING THE DATA PRESENTED IN THE DSRIP CHNA IS AN ASSESSMENT COMPLETED BY THE ONONDAGA COUNTY HEALTH DEPARTMENT IN APRIL 2016, IN PREPARATION FOR THE NEW YORK STATE DOH-MANDATED COMMUNITY SERVICE PLAN (SUBMITTED DECEMBER 2016). THE COMMUNITY SERVICE PLAN WAS COMPLETED IN COLLABORATION WITH THE COUNTY HEALTH DEPARTMENT AS WELL AS THE OTHER HOSPITALS IN ONONDAGA COUNTY. THE FINDINGS OF THIS STUDY LARGELY CONFIRM AND IN SOME CIRCUMSTANCES FURTHER UNDERSCORE COMMUNITY HEALTH NEEDS THAT SURFACED IN THE COMPREHENSIVE DSRIP ANALYSIS. ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 6A: UPSTATE MEDICAL UNIVERSITY HOSPITAL, CROUSE HOSPITAL, AUBURN COMMUNITY HOSPITAL, FAXTON-ST. LUKE'S HOSPITAL ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 6B: THE ONONDAGA COUNTY HEALTH DEPARTMENT, JOHN BEN SNOW INC, AND THE CENTRAL NEW YORK CARE COLLABORATIVE. ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES WERE UNDERTAKEN BY ST. JOSEPH'S IN FY17 TO MEET THE GOAL OF PREVENTING CHRONIC DISEASE: 1. PARTICIPATED IN THE IMPLEMENTATION OF A COLLABORATIVE, COMMUNITY-BASED PROGRAM (TRANSFORMING COMMUNITIES INITIATIVE) WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, WESTSIDE INITIATIVE, NORTHSIDE UP, SYRACUSE UNIVERSITY, AND HEALTHECONNECTIONS TO DEVELOP ENVIRONMENTS AND PROMOTE POLICY CHANGES TO IMPACT OBESITY AND TOBACCO USE. 2. PARTICIPATED IN EFFORTS TO ADVOCATE FOR TOBACCO21 LEGISLATION AT THE LOCAL (COUNTY) AND STATE LEVELS. 3. WORKED ON THE IMPLEMENTATION OF TOBACCO SCREENING AND FOLLOW-UP PROTOCOLS WITHIN HOSPITAL PRIMARY CARE CENTERS AS PART OF THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM PROJECT (DSRIP). 4. WORKED COLLABORATIVELY WITH THE SYRACUSE YMCA ON PLANS TO OFFER A DIABETES PREVENTION PROGRAM FOR ELIGIBLE PATIENTS.THE FOLLOWING INITIATIVES WERE IN PROCESS IN FY17 TO MEET THE GOAL OF PROMOTION OF MENTAL HEALTH AND THE PREVENTION OF SUBSTANCE ABUSE: 1. CONTINUED TO SUPPORT A HOST OF OUTPATIENT BEHAVIORAL HEALTH PROGRAMS, INCLUDING BUT NOT LIMITED TO ADULT & CHILDREN'S OUTPATIENT SERVICES; HEALTH HOME PROGRAM; COMMUNITY RESIDENCES; THE LINK PROGRAM; PEER ADVOCACY PROGRAM; PERSONALIZED RECOVERY ORIENTED SERVICES; AND PROJECT CHANCE (COLLABORATION WITH ONONDAGA COUNTY, RESCUE MISSION & SALVATION ARMY). 2. IMPLEMENTED A "VITAL ACCESS PROVIDER" BEHAVIORAL HEALTH GRANT PROGRAM TO OPTIMIZE CURRENT RESOURCES AND EXPAND ACCESS TO SERVICES. 3. IMPLEMENTED THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM PROJECT "STRENGTHEN MENTAL HEALTH SYSTEMS." THE FOLLOWING INITIATIVES WERE UNDERTAKEN IN FY17 TO MEET THE GOAL OF PROMOTING HEALTHY WOMEN, INFANTS AND CHILDREN: 1. MAINTAINED ACCESS TO CRITICAL OB/GYN AND FAMILY MEDICINE SERVICES THROUGH THE HOSPITAL'S PRIMARY CARE CLINICS. 2. SUPPORTED PRENATAL CARE THROUGH OUTREACH TO VULNERABLE POPULATIONS. 3. APPLIED FOR PARTICIPATION IN A DSRIP PROGRAM PROJECT, FOCUSED ON REDUCING RISKS WHICH ARE PRESENT AT PRECONCEPTION AND INTERCONCEPTION (BETWEEN PREGNANCIES), INCLUDING SMOKING, USE OF ALCOHOL/DRUGS, OTHER RISKY BEHAVIORS, AND UNINTENDED PREGNANCY.ST. JOSEPH'S ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. ST. JOSEPH'S WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEED: PROMOTION OF A HEALTHY AND SAFE ENVIRONMENT: THE CHNA IDENTIFIED THE TOP 10 LEADING CAUSES OF HOSPITALIZATIONS AMONG THE GENERAL ONONDAGA COUNTY POPULATION. FALLS ACCOUNTED FOR #1 (AGE 85+; 410/10,000), #6 (AGED 75-84; 160/10,000) AND #9 (AGED 65-74; 52/10,000) OF THAT TOP 10. THESE TRENDS, COMBINED WITH THE PROJECTED POPULATION GROWTH OF THE 65+ AGE COHORT, AND THE STAKEHOLDER IDENTIFICATION OF ELDER SUPPORT AS A COMMUNITY NEED, PROVIDED THE DATA TO SUPPORT HIGHLIGHTING THIS TOPIC AS A COMMUNITY NEED. BECAUSE THE SYSTEM LACKS THE CAPACITY AND EXPERTISE TO DEVELOP COMMUNITY-BASED, TARGETED INTERVENTIONS FOR THESE POPULATIONS, ST. JOSEPH'S HAS NOT INCLUDED THIS PRIORITY IN ITS CHNA IMPLEMENTATION PLAN. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT CURRENT COMMUNITY-BASED PROGRAMMING AND PROVIDER EDUCATION INITIATIVES AS CAN BE ACCOMMODATED WITH CURRENT RESOURCES. ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 7A: HTTPS://WWW.SJHSYR.ORG/NEWS-MEDIA-CENTER/PUBLICATIONS ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 10A: HTTPS://WWW.SJHSYR.ORG/NEWS-MEDIA-CENTER/PUBLICATIONS 5 1 - LABORATORY ALLIANCE OF CENTRAL NEW YORK 1304 BUCKLEY ROAD SYRACUSE NY 13212 CLINICAL AND ANATOMIC PATHOLOGY TESTING 2 - REGIONAL DIALYSIS CENTER 973 JAMES STREET SYRACUSE NY 13203 HEMODIALYSIS AND PERITONEAL 3 - CENTER FOR WOUND CARE & HYPERBARIC MEDI 4000 MEDICAL CENTER DR STE 206 FAYETTEVILLE NY 13066 WOUND CARE AND HYPERBARIC MEDICINE 4 - PHYSICAL THERAPY NORTHEAST 4101 MEDICAL CENTER DR STE 401 FAYETTEVILLE NY 13066 REHAB 5 - DENTAL CLINIC 101 UNION AVE SYRACUSE NY 13203 DENTAL CLINIC PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: ST. JOSEPH'S HOSPITAL HEALTH CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF NEW YORK. IN ADDITION, ST. JOSEPH'S REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, ST. JOSEPH'S INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $-2,360,920, REPRESENTS THE AMOUNT OF BAD DEBT RECOVERIES. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: ST. JOSEPH'S USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, ST. JOSEPH'S IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, THE HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: ST. JOSEPH'S IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: ST. JOSEPH'S DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: IN ADDITION TO THE CHNA, ST. JOSEPH'S PARTICIPATES IN THE COMMUNITY SERVICES PLAN (COMMUNITY HEALTH IMPROVEMENT PLAN/CHIP) PROCESS WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, CROUSE HOSPITAL, UPSTATE MEDICAL UNIVERSITY HOSPITAL, SYRACUSE UNIVERSITY, AND THE CNY CARE COLLABORATIVE. THIS PROCESS FACILITATES ANOTHER ASSESSMENT OF OUR COMMUNITY'S HEALTH NEEDS, AND REQUIRES THE SUMBISSION OF A SINGLE COLLECTIVE AND COMPREHENSIVE REPORT. IN RESPONSE TO THE NEEDS IDENTIFIED, AN ACTION PLAN IS CREATED AND ALL PARTIES MEET QUARTERLY TO DISCUSS PROGRESS WITH RESPECT TO PRIORITY INITIATIVES.ST. JOSEPH'S ALSO REVIEWS PATIENT VOLUME TRENDING TO CONTINUALLY ASSESS WHERE GAPS IN ACCESS TO CARE MAY EXIST. PART VI, LINE 3: ST. JOSEPH'S IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, ST. JOSEPH'S HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSST. JOSEPH'S COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. ST. JOSEPH'S OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. ST. JOSEPH'S HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. ST. JOSEPH'S MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: APPROXIMATELY 67% OF ST. JOSEPH'S INPATIENT MARKET SHARE IS ATTRIBUTABLE TO ONONDAGA COUNTY ALONE, AND THE MAJORITY OF CURRENT OUTPATIENT HOSPITAL-BASED SERVICES AND CLINICS ARE LOCATED WITHIN ONONDAGA COUNTY. IN ADDITION, ONONDAGA COUNTY SERVES AS THE "HUB" FOR HEALTHCARE IN THE CENTRAL NEW YORK AREA, AS IT INCLUDES TWO ADDITIONAL HOSPITALS: CROUSE HOSPITAL AND UPSTATE MEDICAL UNIVERSITY HOSPITAL; AS WELL AS A FEDERALLY QUALIFIED HEALTH CENTER: SYRACUSE COMMUNITY HEALTH CENTER.ONONDAGA COUNTY IS HOME TO THE CITY OF SYRACUSE, WHICH IS THE LARGEST CITY IN CENTRAL NEW YORK. IT IS BORDERED BY OSWEGO, MADISON, CORTLAND, AND CAYUGA COUNTY. MORE THAN 466,000 PEOPLE LIVE IN ONONDAGA COUNTY, ABOUT A THIRD OF WHOM LIVE IN THE COUNTY SEAT OF SYRACUSE. ALTHOUGH ONONDAGA HAS JUST THE ONE CITY OF SYRACUSE, THE COUNTY ALSO HAS 14 VILLAGES, 19 TOWNS, AND PART OF THE ONONDAGA NATION TERRITORY. INTERSTATES 90 AND 81 ARE THE MAJOR EAST-WEST AND NORTH-SOUTH HIGHWAYS IN ONONDAGA COUNTY.THE AVERAGE POPULATION DENSITY THROUGHOUT THE COUNTY IS 599 PEOPLE PER SQUARE MILE. THE DENSITY IS HIGHER AROUND SYRACUSE AND LOWER AWAY FROM SYRACUSE, AROUND THE EDGES OF THE COUNTY. ONONDAGA COUNTY HAS A PREDOMINANTLY WHITE POPULATION, ALTHOUGH THERE IS A HIGHER PROPORTION OF RACIAL MINORITIES LIVING IN SYRACUSE COMPARED TO THE REST OF THE COUNTY. ONONDAGA'S SOCIOECONOMIC CONDITIONS ARE FAIRLY SIMILAR TO THOSE OF UPSTATE NEW YORK (UPSTATE NY), BUT SYRACUSE TENDS TO FARE WORSE IN TERMS OF EDUCATION, POVERTY LEVELS, AND ACCESS TO HEALTH CARE.ABOUT A THIRD OF ONONDAGA'S RESIDENTS LIVE IN SYRACUSE, ALTHOUGH 87.4% OF THE ONONDAGA POPULATION LIVES IN URBAN RATHER THAN RURAL AREAS. THE MAJORITY OF ONONDAGA'S POPULATION IS WHITE (81.6%), ALTHOUGH THERE IS A HIGHER PROPORTION OF RACIAL MINORITIES LIVING IN SYRACUSE COMPARED TO THE REST OF ONONDAGA. FOR INSTANCE, NEARLY A THIRD OF SYRACUSE'S RESIDENTS ARE BLACK (29.5%), WHICH IS HIGH COMPARED TO ONONDAGA AS A WHOLE (10.8%), UPSTATE NY (8.7%), AND NEW YORK STATE (15.7%). THERE IS ALSO A HIGHER CONCENTRATION OF FOREIGN-BORN RESIDENTS IN SYRACUSE THAN IN ONONDAGA AS A WHOLE (11.1% VERSUS 7.2%, RESPECTIVELY). ONONDAGA'S HIGH SCHOOL EDUCATION RATES, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT RATE, AND POVERTY LEVELS ARE ROUGHLY COMPARABLE TO THOSE OF UPSTATE NY. HOWEVER, SYRACUSE FARES WORSE ON THESE MEASURES COMPARED TO ONONDAGA OVERALL. THE PROPORTION OF SYRACUSE RESIDENTS WITH LESS THAN A HIGH SCHOOL EDUCATION IS NEARLY DOUBLE THAT OF ONONDAGA (19.9% VS. 10.6%, RESPECTIVELY). SYRACUSE'S MEDIAN HOUSEHOLD INCOME IS ABOUT 60% OF ONONDAGA'S ($31,459 VS. $53,593), THE UNEMPLOYMENT RATE IS MORE THAN 50% HIGHER (11.4% VS. 7.2%), AND THE PERCENT LIVING IN POVERTY IS MORE THAN DOUBLE THAT OF ONONDAGA COUNTY (33.6% VS. 14.3%). PART VI, LINE 5: ST. JOSEPH'S IS ALSO A PARTICIPANT IN A COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT INITIATIVE CALLED THE "TRANSFORMING COMMUNITIES INITIATIVE" (TCI SYRACUSE). AS PART OF TCI SYRACUSE, THE HOSPITAL FOCUSES AS A PARTNER ON THE DEVELOPMENT OF POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE STRATEGIES THAT WILL HAVE BROAD IMPACTS UPON COMMUNITY HEALTH OUTCOMES. PARTNERS IN THIS INITIATIVE INCLUDE BUT ARE NOT LIMITED TO: THE ONONDAGA COUNTY HEALTH DEPARTMENT; HEALTHECONNECTIONS; THE NORTHSIDE URBAN PARTNERSHIP; SYRACUSE UNIVERSITY'S LERNER CENTER FOR PUBLIC HEALTH PROMOTION; THE TOBACCO ACTION COALITION OF ONONDAGA COUNTY; AND ST. JOSEPH'S HEALTH. TARGETED TCI SYRACUSE WORK INCLUDES A FOCUS ON FURTHERING THE FOLLOWING INITIATIVES: ADVOCACY FOR TOBACCO 21; IMPLEMENTATION OF ENHANCED NUTRITION STANDARDS IN EARLY CHILDHOOD CENTERS; INCREASING THE AMOUNT OF PHYSICAL ACTIVITY IN SYRACUSE CITY SCHOOLS IN ALIGNMENT WITH THE SYRACUSE CITY SCHOOL DISTRICT WELNESS POLICY; AND INCREASING HEALTHY FOOD AND BEVERAGE OPTIONS IN CORNER STORES. OVER THE COURSE OF THE REPORTABLE YEAR, ST. JOSEPH'S ALSO FOCUSED EFFORTS ON IMPROVING THE AVAILABILITY OF HEALTHY VENDING OPTIONS THROUGHOUT THE HOSPITAL CAMPUS TO REACH 50% TOTAL OFFERINGS IN ACCORDANCE WITH INDUSTRY BEST PRACTICE STANDARDS. IN ADDITION, ST. JOSEPH'S INVESTED TIME AND RESOURCES INTO TOBACCO INITIATIVES. THE SMOKEFREE CAMPUS POLICY WAS REVISED TO INCLUDE PROHIBITIONS FOR E-CIGARETTES AS WELL AS CHEWING TOBACCO. SIGNAGE WAS RE-DESIGNED ACCORDINGLY. THE HOSPITAL ALSO HELPED LEAD THE REVITALIZATION OF THE TOBACCO ACTION COALITION OF ONONDAGA COUNTY AND ACTIVELY PARTICIPATED IN COLLECTIVE ADVOCACY EFFORTS BEHIND BOTH TOBACCO 21 AND SMOKEFREE MOVIES.FINALLY, ST. JOSEPH'S WORKED TO OFFER BREASTFEEDING SUPPORT GROUPS AND AN INFANT WEIGH STATION OUT OF ONE OF ITS PRIMARY CARE CENTERS, AND WORKED WITH A LOCAL HEALTH DEPARTMENT ON PLANS TO EXPAND THIS PROGRAM. THE HOSPITAL WAS ALSO AN ACTIVE PARTICIPANT ON THE CNY BREASTFEEDING CONNECTION, WHICH IS A COMMUNITY ADVOCACY AND SUPPORT ORGANIZATION. PART VI, LINE 6: ST. JOSEPH'S IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2017, GOALS INCLUDED 1) PARTICIPATING IN LOCAL COALITION AND ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, AND 2) ASSESSING CAPACITY TO IDENTIFY AND SUPPORT INDIVIDUALS THAT ARE HOUSING INSECURE AND ACKNOWLEDGING OTHER BARRIERS INDIVIDUALS HAVE ACCESSING HEALTH CARE AND 3) EXPANDING ACCESS AND DELIVERY OF DIABETES PREVENTION PROGRAMS. TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED COMMUNITIES FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED NEEDS AND THAT WILL REDUCE CHILDHOOD OBESITY AND YOUTH TOBACCO USE. IN FISCAL YEAR 2017, TRINITY HEALTH INVESTED $3.3 MILLION IN TCI.AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND DEVELOPING PROGRAMS AND POLICIES TO SPECIFICALLY SUPPORT VULNERABLE POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 ST JOSEPH'S MEDICAL PC 301 PROSPECT AVE SYRACUSE NY 13203 273899821 501(C)(3) 15369431 GENERAL SUPPORT ST JOSEPH'S PHYSICIAN HEALTH PC 301 PROSPECT AVE SYRACUSE NY 13203 161516863 501(C)(3) 20749201 GENERAL SUPPORT 2 0 PART I, LINE 2: DONATIONS MADE BY ST. JOSEPH'S HOSPITAL HEALTH CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 KATHRYN RUSCITTO DIRECTOR, PRESIDENT, & CEO THR 2/17 0 585637 0 242746 0 19902 0 12066 0 13119 0 873470 0 0 BENJAMIN CARTER DIR AS OF 9/16; TRINITY EVP & CFO 0 834329 0 239942 0 232036 0 11925 0 36952 0 1355184 0 0 RICHARD O'CONNELL DIRECTOR THROUGH 9/16; TRINITY EVP 0 878773 0 258051 0 408585 0 11925 0 35437 0 1592771 0 112018 LOWELL SEIFTER ESQ SECRETARY; SVP GENERAL COUNSEL 298070 0 23759 0 42477 0 10600 0 15485 0 390391 0 0 0 MEREDITH PRICE SVP & CFO 373950 0 86786 0 49338 0 9147 0 22264 0 541485 0 0 0 SANDRA SULIK MD VP MEDICAL AFFAIRS 396866 0 21840 0 33708 0 10600 0 2187 0 465201 0 0 0 FREDERICK LETOURNEAU SVP PHYSICIAN ENTERPRISE 317219 0 25808 0 45566 0 10600 0 28462 0 427655 0 0 0 ANNEMARIE CZYZ SVP & COO/CNO 312789 0 25061 0 46909 0 2941 0 22131 0 409831 0 0 0 MARK MURPHY SVP SYSTEM DEVELOP/AMUBULATORY CARE 291708 0 41733 0 49157 0 10600 0 24621 0 417819 0 0 0 JAMES TUCKER MD PHYSICIAN 466507 0 0 0 5730 0 10800 0 851 0 483888 0 0 0 AHMED NIZAR MD PHYSICIAN 464835 0 0 0 286 0 10600 0 21753 0 497474 0 0 0 KWAME ADUSEI MD PHYSICIAN 418154 0 9261 0 4308 0 10600 0 19780 0 462103 0 0 0 SAMUEL SALEEB MD PHYSICIAN 356167 0 19261 0 1233 0 6883 0 25551 0 409095 0 0 0 GREGORY KENIEN MD PHYSICIAN 322526 0 50000 0 1782 0 9615 0 16475 0 400398 0 0 0 ERIKA DUNCAN FORMER KEY EMPLOYEE; VP HR 247176 0 14914 0 28027 0 9541 0 20474 0 320132 0 0 0 JOSEPH SCICCHITANO FORMER KEY EMP; VP SUPPORT SERVICES 227121 0 13518 0 31372 0 9200 0 3606 0 284817 0 0 0 DEBORAH WELCH FORMER KEY EMP; VP P&M INTEG. 171782 0 10754 0 27159 0 6792 0 28623 0 245110 0 0 0 CHARLES FENNELL FORMER KEY EMPLOYEE; REGIONAL CIO 159599 214426 7474 5424 4115 478 6493 22436 8264 14438 185945 257202 0 0 DOUGLAS SMITH FORMER KEY EMP; VP DEVELOPMENT 41603 0 0 0 62204 0 438 0 6925 0 111170 0 0 0 DIWAKAR LINGAM MD FORMER KEY EMPLOYEE; PHYSICIAN 220746 0 0 0 291 0 0 0 10402 0 231439 0 0 0 FRANK SMITH JR FORMER KEY EMP;PRES FRANCISCAN ASSC 0 333028 0 0 18700 0 0 0 0 22726 18700 355754 0 0 PART I, LINE 3 ST. JOSEPH'S IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. ST. JOSEPH'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF ST. JOSEPH'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2016. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DOUGLAS SMITH - $58,414 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2016. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2016, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2016. THE FOLLOWING PAYOUTS FOR 2016 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $206,373 RICHARD O'CONNELL - $221,949 THE FOLLOWING ARE PARTICIPANTS IN A ST. JOSEPH'S SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN UNDER SECTION 457(F) FOR 2016. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN ST. JOSEPH'S EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. THE FOLLOWING PAYOUTS FOR 2016 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ANNEMARIE CZYZ - $33,918 ERIKA DUNCAN - $12,816 FREDERICK LETOURNEAU - $31,602 MARK MURPHY - $36,654 MEREDITH PRICE - $36,584 LOWELL SEIFTER - $29,093 JOSEPH SCICCHITANO - $16,264 FRANK SMITH JR. - $18,700 SANDRA SULIK - $18,767 DEBORAH WELCH - $23,646 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($265,000 FOR 2016). THE FOLLOWING PAYOUT FOR 2016 FOR THESE PLANS IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: RICHARD O'CONNELL - $121,018 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. JEREMY CZYZ FAMILY MEMBER OF ANNEMARIE CZYZ, KEY EMPLOYEE 56759 EMPLOYMENT ARRANGEMENT 0 BENJAMIN FENNELL FAMILY MEMBER OF CHARLES FENNELL, FORMER KEY EMPLOYEE 42432 EMPLOYMENT ARRANGEMENT 0 AUBREY LETOURNEAU FAMILY MEMBER OF FREDERICK LETOURNEAU, KEY EMPLOYEE 39315 EMPLOYMENT ARRANGEMENT 0 ANDREA DIFINO FAMILY MEMBER OF SANTO DIFINO, MD, BOARD MEMBER 21211 EMPLOYMENT ARRANGEMENT 0 ANNE DIFINO FAMILY MEMBER OF SANTO DIFINO, MD, BOARD MEMBER 47846 EMPLOYMENT ARRANGEMENT 0 SYRACUSE OFFICE ENVIRONMENTS (SOE) VINCENT SWEENEY, BOARD MEMBER, AND HIS FAMILY MEMBERS OWN > 35% OF SOE 251697 BUSINESS TRANSACTION 0 JUDITH WALKER FAMILY MEMBER OF ANNEMARIE CZYZ, KEY EMPLOYEE 44638 EMPLOYMENT ARRANGEMENT 0 KIMBERLY ROSS FAMILY MEMBER OF FRANK SMITH JR., FORMER KEY EMPLOYEE 122066 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER (ST. JOSEPH'S) IS ST. JOSEPH'S HEALTH. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A ST. JOSEPH'S HEALTH IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER. ST. JOSEPH'S HEALTH HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF ST. JOSEPH'S HOSPITAL HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, ST. JOSEPH'S HEALTH MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. ST. JOSEPH'S HEALTH MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR ST. JOSEPH'S IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ST. JOSEPH'S HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF ST. JOSEPH'S, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF ST. JOSEPH'S AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF ST. JOSEPH'S (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO ST. JOSEPH'S OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF ST. JOSEPH'S (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF ST. JOSEPH'S. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15B QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE CEO AND CFO OF ST. JOSEPH'S IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND CFO OF ST. JOSEPH'S ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, ST. JOSEPH'S HAS A PROCESS FOR DETERMINING COMPENSATION WHICH INCLUDES THE FOLLOWING: COMPENSATION IS REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT WHO REVIEWS THE SALARIES TO ENSURE THEY ARE MARKET COMPETITIVE. THIS IS DONE ON AN ANNUAL BASIS, AND REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, ST. JOSEPH'S INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. ST. JOSEPH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN DEFERRED RETIREMENT COST 1,391,015. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 455,358. EQUITY TRANSFERS -1,018,050. INDIGENT CARE AGREEMENT -3,456,887. FORM 990, PART XII, LINE 2: ST. JOSEPH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY17 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. CNY AIM LLC 301 PROSPECT AVENUE SYRACUSE NY 13203 811461678 ACCOUNTABLE CARE ORGANIZATION NY 5250000 615597 ST JOSEPH'S HOSPITAL HEALTH CENTER CNY AIM IPA LLC 301 PROSPECT AVENUE SYRACUSE NY 13203 815385690 ACCOUNTABLE CARE ORGANIZATION NY 0 0 ST JOSEPH'S HOSPITAL HEALTH CENTER ST JOSEPH'S HEALTH ACCOUNTABLE CARE ORGANIZATION 301 PROSPECT AVENUE SYRACUSE NY 13203 474081578 ACCOUNTABLE CARE ORGANIZATION NY 0 0 ST JOSEPH'S HOSPITAL HEALTH CENTER ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE 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