GUTHRIE CORTLAND MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GUTHRIE CORTLAND MEDICAL CENTER (EIN 15-0532079)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-06
IRS object ID: 201833109349302108
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	2018-11-06T13:19:21-06:00	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	150532079	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORTLAND REGIONAL MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CORT	BusinessNameControlTxt
Phone	6077563501	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1Txt
City	CORTLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13045	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DENISE WRINN CFO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6077563501	PhoneNum
Signature	2018-10-29	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	2018-10-29	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	2018-10-29	IPDt
IP Tm	10:24:20	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	95BF4D66B926A32327CE7D91ADC759B9DBEEFFE9	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C6E662CDC53A97DC23E749EE88E5C817AB1AED60	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	DENISE WRINN CFO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1Txt
City	CORTLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13045	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$103,755,483	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CORTLANDREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1892	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	CORTLAND REGIONAL MEDICAL CENTER,INC., LOCATED IN CORTLAND, NY, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES GENERAL INPATIENT, INPATIENT PSYCHIATRIC, OUTPATIENT, EMERGENCY, LONG-TERM HOME HEALTH CARE AND SKILLED NURSING SERVICES FOR RESIDENTS IN THE GREATER CORTLAND COUNTY AREA.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1185	TotalEmployeeCnt
Total Volunteers	206	TotalVolunteersCnt
Total Gross UBI	$306,405	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$154,817	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,382,573	PYContributionsGrantsAmt
CY Contributions Grants	$697,873	CYContributionsGrantsAmt
PY Program Service Revenue	$76,722,538	PYProgramServiceRevenueAmt
CY Program Service Revenue	$88,362,886	CYProgramServiceRevenueAmt
PY Investment Income	$121,904	PYInvestmentIncomeAmt
CY Investment Income	$770,963	CYInvestmentIncomeAmt
PY Other Revenue	$5,050,504	PYOtherRevenueAmt
CY Other Revenue	$6,565,076	CYOtherRevenueAmt
PY Total Revenue	$84,277,519	PYTotalRevenueAmt
CY Total Revenue	$96,396,798	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	$48,483,245	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$47,612,384	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$39,369,837	PYOtherExpensesAmt
CY Other Expenses	$42,329,279	CYOtherExpensesAmt
PY Total Expenses	$87,853,082	PYTotalExpensesAmt
CY Total Expenses	$89,941,663	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,575,563	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,455,135	CYRevenuesLessExpensesAmt
Total Assets BOY	$72,395,386	TotalAssetsBOYAmt
Total Assets EOY	$73,191,896	TotalAssetsEOYAmt
Total Liabilities BOY	$49,930,155	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$50,738,921	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$22,465,231	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,452,975	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CORTLAND REGIONAL MEDICAL CENTER PROVIDES QUALITY HEALTH CARE WITH SKILL AND COMPASSION, MEETING THE LIFE LONG HEALTH CARE NEEDS OF ALL CITIZENS OF CORTLAND AND THE SURROUNDING COMMUNITIES.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$73,665,517	ExpenseAmt
Revenue	$94,621,557	RevenueAmt
Desc	CORTLAND REGIONAL MEDICAL CENTER IS DEDICATED TO SERVING THE LIFELONG HEALTH CARE NEEDS OF CORTLAND AND THE SURROUNDING AREA. AS A TEAM-ORIENTED COMMUNITY HEALTH AND MEDICAL ORGANIZATION, CORTLAND REGIONAL MEDICAL CENTER PROVIDES QUALITY CARE, SKILL AND COMPASSION TO ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. OUR HOSPITAL IS COMMITTED TO: IMPROVING THE WELLNESS OF THE COMMUNITY THROUGH LEADERSHIP IN HEALTH-RELATED ACTIVITIES AND EDUCATION. SUPPORTING AND PRESERVING THE PERSONAL AND PROFESSIONAL GROWTH OF OUR QUALITY HEALTH-CARE TEAM, THEREBY PROVIDING STIMULATING ENVIRONMENT FOR ALL EMPLOYEES. RECRUITING AND RETAINING QUALITY HEALTH-CARE PROFESSIONALS. COOPERATING WITH OTHER HEALTH-CARE PROVIDERS,REGULATORY AGENCIES, AND INSURANCE COMPANIES TO ADVANCE OUR SERVICE TO EVERY MEMBER OF THE COMMUNITY. MAINTAINING THE HOSPITALS FINANCIAL VIABILITY FOR THE WELL-BEING OF THE COMMUNITY. ACQUIRING AND MAINTAINING EQUIPMENT REQUIRED TO PROVIDE QUALITY CARE. *ENCOURAGING THE ACTIVE PARTICIPATION OF COMMUNITY MEMBERS IN A VOLUNTEER CAPACITY IN ORDER TO AUGMENT OUR SERVICES. CORTLAND REGIONAL MEDICAL CENTER IS A VOLUNTARY, NOT-FOR-PROFIT CORPORATION. THE MEDICAL CENTER PROVIDES HEALTH CARE SERVICES OF PREVENTIVE, CURATIVE AND EDUCATIONAL NATURE. THE PRIMARY SERVICES PROVIDED ARE: ACUTE MEDICAL INPATIENT CARE (INCLUDING PEDS AND MATERNITY), PSYCHIATRIC INPATIENT CARE, RESIDENTIAL CARE (SKILLED NURSING FACILITY), EMERGENCY ROOM, AMBULATORY SURGERY, OUTPATIENT DIAGNOSTIC SERVICES, LONG TERM HOME HEALTH CARE PROGRAM, COMMUNITY HEALTH WELLNESS SCREENING, ADULT DAY CARE AND CLINIC. INPATIENT PATIENT DAYS WERE 42,677 AND OUTPATIENT SERVICE (ER, AMB SURG, REF AMB & LTHHC) VISITS WERE 107,610. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE. THE CHARGES FOREGONE UNDER THIS POLICY AMOUNTED TO $1,013,604 IN 2017.	Desc
Total Program Service Expenses	$73,665,517	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	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	91	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1185	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENISE WRINN - CORTLAND REGIONAL MED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6077563501	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1Txt
City	CORTLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13045	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MARK RAYMOND
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
STEVEN CINQUANTI
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
WILLIAM POMEROY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JOHANNA AMES
BOARD MEMBER - CHAIRPERSON	1.00	Yes (X)	$0	$0	$0	Yes (X)
JEFFREY SEIBERT
BOARD MEMBER - VICE CHAIRP	1.00	Yes (X)	$0	$0	$0	Yes (X)
PATRICK HAYES MD
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DAVID WIRTZ MD
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
GARRY VANGORDER
BOARD MEMBER - SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
REV DAVID JOHNSON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
ANNA MARIE GARCIA MD
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
LEO MCGRATTAN
BOARD MEMBER - TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
NANCY RONGO
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
CATHERINE BERTINI
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
GARY NELSON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
MARC SETTERINI MD
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
KIRWIN GIBBS MD
BD MBER EX OFFICIO TRUSTEE	1.00	Yes (X)	$35,000	$0	$0
MARK WEBSTER
PRESIDENT/CEO	40.00		$491,137	$0	$64,403	Yes (X)
TRACY GATES
VICE PRESIDENT - COO	40.00		$226,018	$0	$24,960	Yes (X)
MARY WRIGHT
VICE PRESIDENT-NURSING SER	40.00		$192,605	$0	$32,006	Yes (X)
DENISE WRINN
VICE PRESIDENT - CFO	40.00		$257,427	$0	$30,515	Yes (X)
RUSSELL FIRMAN MD
CHIEF MEDICAL OFFICER	20.00		$132,000	$0	$50	Yes (X)
ROGER SCOTT MD
VICE PRESIDENT - MEDICAL AFF	40.00		$111,481	$3,461	$1,961	Yes (X)
JOE DALLAIRD
DIRECTOR - REVENUE CYCLE	40.00		$161,774	$0	$14,707		Yes (X)
MATTHEW DENNISTON
DIRECTOR - PHARMACY	40.00		$132,250	$0	$14,475		Yes (X)
ROBERT DUTHE
DIRECTOR - IT	40.00		$169,284	$0	$8,254		Yes (X)
MICHELLE TUCKER
PHARMACIST	40.00		$123,121	$0	$31,983		Yes (X)
ALAN JAMES
CONTROLLER	40.00		$120,597	$0	$23,985		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,152,694	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,461	TotReportableCompRltdOrgAmt
Total Other Compensation	$247,299	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	28	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PREMIER ANESTHESIA LLC
2655 NORTHWINDS PARKWAY	ALPHARETTA	GA	30009	PHYSICIAN SERVICES	$1,288,833
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LABORATORY SERVICES	$831,099
UNITED HEALTH SERVICES HOSPITAL
PO BOX 303	CANAJOHARIE	NY	13317	PHYSICIAN SERVICES	$652,413
EMERGENCY MEDICINE PHYSICIANS
4535 DRESSLER ROAD NW	CANTON	OH	44718	PHYSICIAN SERVICES	$644,055
ISS SOLUTIONS
PO BOX 13700-1066	PHILADELPHIA	PA	191911066	MED EQUIP REPAIR SVCES	$625,678

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Related Organizations	$447,457	RelatedOrganizationsAmt
Government Grants	$249,463	GovernmentGrantsAmt
All Other Contributions	$953	AllOtherContributionsAmt
Total Contributions	$697,873	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$88,362,886	TotalRevenueColumnAmt
Related Or Exempt Func Income	$88,362,886	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$88,362,886	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$370,613	TotalRevenueColumnAmt
Exclusion	$370,613	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,759,035	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,358,685	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$400,350	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$400,350	TotalRevenueColumnAmt
Exclusion	$400,350	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
RELATED COMPANY REIMBURSEMENT	900099	$4,367,741	$4,367,741
CHILD DAYCARE REVENUE	900099	$343,771	$37,366	$306,405
CAFETERIA REVENUE	900099	$274,180	$274,180

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,579,384	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,579,384	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,565,076	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$96,396,798	TotalRevenueColumnAmt
Related Or Exempt Func Income	$94,621,557	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$306,405	UnrelatedBusinessRevenueAmt
Exclusion	$770,963	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,605,960	TotalAmt
Program Services	$435,994	ProgramServicesAmt
Management And General	$1,169,966	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,433,761	TotalAmt
Program Services	$29,180,903	ProgramServicesAmt
Management And General	$6,252,858	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,293,406	TotalAmt
Program Services	$1,072,333	ProgramServicesAmt
Management And General	$221,073	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,661,179	TotalAmt
Program Services	$5,559,130	ProgramServicesAmt
Management And General	$1,102,049	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,618,078	TotalAmt
Program Services	$2,052,768	ProgramServicesAmt
Management And General	$565,310	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$166,043	TotalAmt
Management And General	$166,043	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$87,608	TotalAmt
Management And General	$87,608	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$94,589	TotalAmt
Management And General	$94,589	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,994,375	TotalAmt
Program Services	$4,801,614	ProgramServicesAmt
Management And General	$2,192,761	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$122,349	TotalAmt
Program Services	$72,682	ProgramServicesAmt
Management And General	$49,667	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$779,957	TotalAmt
Program Services	$266,226	ProgramServicesAmt
Management And General	$513,731	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,298,619	TotalAmt
Program Services	$1,379,171	ProgramServicesAmt
Management And General	$919,448	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,126,327	TotalAmt
Program Services	$1,579,547	ProgramServicesAmt
Management And General	$546,780	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$240,425	TotalAmt
Program Services	$189,654	ProgramServicesAmt
Management And General	$50,771	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$79,347	TotalAmt
Program Services	$47,652	ProgramServicesAmt
Management And General	$31,695	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,187,896	TotalAmt
Program Services	$4,382,604	ProgramServicesAmt
Management And General	$805,292	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$428,487	TotalAmt
Program Services	$308,648	ProgramServicesAmt
Management And General	$119,839	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$12,642,046	$12,162,229	$479,817
PURCHASED SERVICES	$5,595,579	$5,048,240	$547,339
BAD DEBT EXPENSE	$3,351,555	$3,351,555
EQUIPMENT RENTAL & MAIN	$1,049,355	$997,065	$52,290

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,084,722	TotalAmt
Program Services	$777,502	ProgramServicesAmt
Management And General	$307,220	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$89,941,663	TotalAmt
Program Services	$73,665,517	ProgramServicesAmt
Management And General	$16,276,146	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$26,943	BOYAmt
EOY	$22,147	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,452,793	BOYAmt
EOY	$11,736,836	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$66,757	BOYAmt
EOY	$1,632,623	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,296,698	BOYAmt
EOY	$9,929,865	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$565,389	BOYAmt
EOY	$386,818	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$629,819	BOYAmt
EOY	$1,103,895	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$660,503	BOYAmt
EOY	$620,702	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$140,520,752	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$105,908,104	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,448,500	BOYAmt
EOY	$34,612,648	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,588,614	BOYAmt
EOY	$6,110,409	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,659,370	BOYAmt
EOY	$7,035,953	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$72,395,386	BOYAmt
EOY	$73,191,896	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,351,678	BOYAmt
EOY	$11,746,805	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,945,090	BOYAmt
EOY	$16,996,070	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$579,217	BOYAmt
EOY	$290,478	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,054,170	BOYAmt
EOY	$21,705,568	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,930,155	BOYAmt
EOY	$50,738,921	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,993,187	BOYAmt
EOY	$18,368,134	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,380,500	BOYAmt
EOY	$1,354,149	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,091,544	BOYAmt
EOY	$2,730,692	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$22,465,231	BOYAmt
EOY	$22,452,975	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$72,395,386	BOYAmt
EOY	$73,191,896	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,455,135	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,354,297	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,821,688	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$94,589	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$94,589	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	CORTLAND REGIONAL MEDICAL CENTERS LOBBYING ACTIVITY CONSISTED OF: COUNSEL, ADVOCACY AND REPRESENTATION OF CORTLAND REGIONAL MEDICAL CENTER WITH THE GOVERNORS OFFICE, THE LEGISLATURE AND STATE AGENCIES IN REGARD TO BUDGET OR REGULATORY ISSUES. PART OF WHAT WE PAY LAW OFFICES OF JACKSON LEWIS LLP AND A PORTION OF THE DUES PAID TO HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), IROQUOIS HEALTHCARE ASSOCIATION, HOME CARE ASSOCIATION OF NEW YORK (HCA), AMERICAN HOSPITAL ASSOCIATION (AHA) AND LEADING AGE IS DESIGNATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,472,044	BeginningYearBalanceAmt
Contributions	$31,130	ContributionsAmt
Investment Earnings Or Losses	-$194,150	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,224,183	OtherExpendituresAmt
End Year Balance	$4,084,841	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,085,760	BeginningYearBalanceAmt
Contributions	$196,550	ContributionsAmt
Investment Earnings Or Losses	-$49,528	InvestmentEarningsOrLossesAmt
Other Expenditures	$239,262	OtherExpendituresAmt
End Year Balance	$5,472,044	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,836,329	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$68,552	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,682,017	OtherExpendituresAmt
End Year Balance	$5,085,760	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,558,281	BeginningYearBalanceAmt
Investment Earnings Or Losses	$73,819	InvestmentEarningsOrLossesAmt
Other Expenditures	$795,766	OtherExpendituresAmt
End Year Balance	$6,836,329	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,188,155	BeginningYearBalanceAmt
Contributions	$1,273,892	ContributionsAmt
Investment Earnings Or Losses	$188,855	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,092,623	OtherExpendituresAmt
End Year Balance	$7,558,281	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.66850	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.33150	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,917,433	OtherCostOrOtherBasisAmt
Book Value	$2,917,433	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,955,415	OtherCostOrOtherBasisAmt
Depreciation	$49,916,551	DepreciationAmt
Book Value	$24,038,864	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,025,883	OtherCostOrOtherBasisAmt
Depreciation	$52,962,151	DepreciationAmt
Book Value	$7,063,732	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,622,021	OtherCostOrOtherBasisAmt
Depreciation	$3,029,402	DepreciationAmt
Book Value	$592,619	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$34,612,648	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN NET ASSETS OF CORTLAND MEMORIAL FOUNDATION	$5,217,929
OTHER RECEIVABLES	$1,818,024

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$7,035,953	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$4,060,915
ADDITIONAL MINIMUM PENSION LIABILITY	$14,978,811
ADVANCES FROM THIRD PARTY PAYORS	$920,238
LONG TERM INSURANCE LIABILITY	$1,750,450
LONG TERM INTEREST RATE SWAP LIABILITY	-$4,846

Field	Value	IRS element (for citing)
Total Liability	$21,705,568	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE HOSPITAL'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED TO PURCHASE MEDICAL EQUIPMENT WHICH SUPPORTS VARIOUS DEPARTMENTS OF THE HOSPITAL.

PART X, LINE 2:

INCOME TAXES: THE HOSPITAL QUALIFIES AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) 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 NEW YORK STATE TAXING AUTHORITIES ARE 2014 THROUGH 2017. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
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)
Persons Served	1348	PersonsServedCnt
Total Community Benefit Expns	$303,679	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$303,679	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	28923	PersonsServedCnt
Total Community Benefit Expns	$22,162,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,711,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,450,805	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	30271	PersonsServedCnt
Total Community Benefit Expns	$22,466,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,711,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,754,484	NetCommunityBenefitExpnsAmt
Total Expense	0.05490	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,171,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,307,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,864,259	NetCommunityBenefitExpnsAmt
Total Expense	0.10240	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,487	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,487	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,207,869	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,307,123	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,900,746	NetCommunityBenefitExpnsAmt
Total Expense	0.10280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	30271	PersonsServedCnt
Total Community Benefit Expns	$42,674,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,018,829	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,655,230	NetCommunityBenefitExpnsAmt
Total Expense	0.15770	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,351,555	BadDebtExpenseAmt
Bad Debt Expense Attributable	$364,726	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$31,812,759	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,058,922	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,246,163	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	CORTLAND REGIONAL MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1Txt
City	CORTLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13045	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CORTLANDREGIONAL.ORG	WebsiteAddressTxt
State License	1101000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CORTLAND REGIONALMEDICAL CENTER INC	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
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CORTLANDREGIONAL.ORG/ABOUT-CRMC/COMMUNITY-SERVICE-P	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	CCHD.CORTLAND-CO.ORG/INDEX.PHP/DATA-AND-REPORTS	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CORTLANDREGIONAL.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
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CORTLANDREGIONAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CORTLANDREGIONAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CORTLANDREGIONAL.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	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORTLAND REGIONAL.MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: IN ADDITION TO CORTLAND COUNTY DEPARTMENT OF HEALTH, PREVENTION AGENDA PARTNERS INCLUDE: SEVEN VALLEYS HEALTH COALITION, AREA SCHOOL DISTRICTS, CNY REGIONAL CENTER FOR TOBACCO HEALTH SYSTEMS AT ST. JOSEPH'S HOSPITAL HEALTH CENTER, CORTLAND COUNTY PLANNING DEPARTMENT, BUSINESS OWNERS, CORTLAND COUNTY COMMUNITY ACTION PROGRAM, INC (CAPCO), CHILD DEVELOPMENT COUNCIL, FAMILY HEALTH NETWORK (FHN), CORTLAND AREA COMMUNITIES THAT CARE COALITION (CACTC), CORTLAND COUNTY MENTAL HEALTH, CORTLAND PREVENTION RESOURCES, SUNY CORTLAND, SEVERAL DENTAL AND MEDICAL PRACTICES, AND THE COMMUNITY AT LARGE.
CORTLAND REGIONAL.MEDICAL CENTER, INC.	PART V, SECTION B, LINE 7D: CORTLAND REGIONAL MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT IS PLACED IN THE COUNTY'S PUBLIC LIBRARIES, INCLUDING CINCINNATUS, CORTLAND, HOMER, MARATHON AND MCGRAW. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE ON THE MEDICAL CENTER'S WEBSITE AT WWW.CORTLANDREGIONAL.ORG AND ON THE SEVEN VALLEYS HEALTH COALITION WEBSITE AT WWW.SEVENVALLEYSHEALTH.ORG.
CORTLAND REGIONAL.MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: ACCESS TO PRIMARY CARE PHYSICIANS, AS WELL AS, SPECIALTY PHYSICIANS IS A CURRENT NEED IN CORTLAND COUNTY. CORTLAND REGIONAL MEDICAL CENTER IS ACTIVELY RECRUITING FOR ORTHOPEDICS, INTERNAL MEDICINE, GASTROENTEROLOGIST, CARDIOLOGY AND FAMILY PRACTICE. CRMC HAS BEEN SUCCESSFUL RECRUITING OF INTERNAL MEDICINE, PSYCHIATRIST, PULMONOLOGIST, OPHTHALMOLOGIST, MIDWIVES, UROLOGIST AND GASTROENTEROLOGIST. IT IS IMPORTANT TO HAVE THESE PHYSICIAN SERVICES IN CORTLAND, CLOSE TO HOME FOR THE RESIDENTS OF CORTLAND COUNTY. THESE NEW SERVICES WILL GREATLY BENEFIT THE COMMUNITY HEALTH NEEDS FOR THE SURROUNDING CORTLAND AREA.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CRNURSING & REHABILITATION FACILITY
134 HOMER AVENUE	CORTLAND	NY	13045	SKILLED NURSING FACILITY
2 - CRMC OUTPATIENT SERVICE CENTER
4005 WEST ROAD - ROUTE 281	CORTLAND	NY	13045	WOUND CARE AND IMAGING SERVICE
3 - CRMC LONG TERM HOME HEALTH CARE
134 HOMER AVENUE	CORTLAND	NY	13045	LONG TERM HOME HEALTH CARE
4 - CRMC OUTPATIENT REHAB SERVICES
1259 FISHER AVENUE	CORTLAND	NY	13045	PHYSICAL & OCCUPATIONAL THERAPY
5 - CRMC LABORATORY SERVICE CENTER
4077 WEST ROAD - ROUTE 281	CORTLAND	NY	13045	LABORATORY SERVICES
6 - CRMC LABORATORY SERVICE CENTER
6 EUCLID AVENUE	CORTLAND	NY	13045	LABORATORY SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COST WAS CALCULATED USING WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES FROM SCHEDULE H INSTRUCTIONS.
PART I, LINE 7G:	MANY PHYSICIANS NO LONGER WANT TO BE IN PRIVATE PRACTICE, BUT SEEK EMPLOYMENT ARRANGEMENTS WITH HOSPITALS OR HOSPITAL-AFFILIATED PHYSICIAN GROUPS. REGIONAL MEDICAL PRACTICE (RMP), A MULTI-SPECIALTY PHYSICIAN GROUP CONTROLLED AND SUPPORTED BY THE HOSPITAL, WAS FORMED TO FURTHER THE MEDICAL CENTER'S CHARITABLE PURPOSES TO HELP RECRUIT SPECIALTY PHYSICIANS INTO THE RURAL CORTLAND AREA. THROUGH RMP, WE HAVE BEEN ABLE TO RECRUIT SPECIALTY PHYSICIANS FOR CARDIOLOGY, FAMILY PRACTICE, UROLOGY, INTERNAL MEDICINE/INFECTOUS DISEASE, HOSPITALIST, HEMATOLOGY/ONCOLOGY, ORTHOPEDICS, MIDWIVES, OPHTHALMOLOGY, PULMONOLOGIST, GASTROENTEROLOGIST, AND PSYCHIATRIST. PRIOR TO RMP, THERE WERE NO CARDIOLOGISTS AT ALL IN CORTLAND, NO UROLOGIST PERFORMING LITHOTRIPSIES AND NO ORTHOPEDIC SURGEONS PERFORMING SURGERY IN CORTLAND, SO PATIENTS HAD TO TRAVEL OVER 30 MILES FOR THESE SERVICES. ALSO, WITH THE ADDITION OF AN RMP OPHTHALMOLOGIST WERE ABLE TO RETAIN CONTINUITY OF SERVICES FOR EYE CARE IN CORTLAND COUNTY. THE HOSPITAL IS CLASSIFIED AS A SOLE COMMUNITY PROVIDER BY MEDICARE BECAUSE OF THE DISTANCE FROM OTHER HOSPITALS, SO IT IS VERY IMPORTANT TO HAVE THESE PHYSICIAN SERVICES IN CORTLAND AND NOT OVER 30 MILES AWAY. THE AMOUNTS SHOWN ON PART I, LINE 7G REPRESENT REVENUES, EXPENSES, AND THE RESULTING LOSS FOR THE YEAR. THESE LOSSES ARE CONSIDERED SUBSIDIZED HEALTH SERVICES FOR 990 REPORTING PURPOSES BECAUSE IF THE HOSPITAL DID NOT SUPPORT THESE RMP PHYSICIAN SPECIALTIES, THESE VITAL SERVICES WOULD NOT BE AVAILABLE IN THE CORTLAND COMMUNITY. RMP HAS OBTAINED ITS EXEMPTION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE FROM THE INCOME STATEMENT IS SUBTRACTED OUT.GUIDELINES FOR CREDIT AND COLLECTIONSPOLICY:THE HOSPITAL WILL FOLLOW BILLING AND DEBT COLLECTION PRACTICES THAT:(I)COMPLY WITH ALL REQUIREMENTS OF FEDERAL AND STATE LAW, INCLUDING THE FAIR DEBT COLLECTION PRACTICE ACTS AND IRS 501R STANDARDS FOR TAX-EXEMPT HOSPITALS; (II)BALANCE THE NEED TO DILIGENTLY PURSUE FUNDS OWED TO THE ORGANIZATION WITH THE NEED TO PROVIDE FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS AND TO TREAT ALL PATIENTS WITH RESPECT AND COMPASSION; AND (III) REFLECT THE MISSION AND VALUES OF THIS ORGANIZATION.PROCEDUREI.BILLINGA.INSURED PATIENTS (E.G., MEDICARE, MEDICAID OR COMMERCIAL PAYOR)1.WHERE THE PATIENT IS INSURED (AND HAS ASSIGNED TO THE HOSPITAL HIS OR HER RIGHT TO PAYMENT), THE HOSPITAL WILL SUBMIT ITS CLAIM FOR PAYMENT TO THE INSURER AND NOT BILL THE PATIENT DIRECTLY, EXCEPT AS SET FORTH IN PARAGRAPH 2.THE HOSPITAL MAY STILL BILL AN INSURED PATIENT WHO HAS ASSIGNED CLAIMS:(A)FOR PATIENT COST-SHARING AMOUNTS (E.G., CO-PAYS, COINSURANCE OR DEDUCTIBLES); AND(B)FOR SERVICES NOT COVERED BY THE PATIENT'S HEALTH PLAN, OR SERVICES COVERED BY THE PLAN BUT FOR WHICH PAYMENT IS DENIED IN WHOLE OR PART BY THE PLAN, OR BALANCES DUE AFTER INSURANCE PAYMENT, TO THE EXTENT BILLING FOR SUCH AMOUNTS ARE PERMITTED BY LAW AND BY THE HOSPITAL'S CONTRACT WITH THE INSURER.WHEN BILLING FOR SUCH AMOUNTS, THE HOSPITAL WILL FOLLOW THE PRACTICES SET FORTH IN SECTION I.B BELOW, TO THE EXTENT SUCH PRACTICES ARE PERMITTED BY LAW AND BY THE HOSPITAL'S CONTRACT WITH THE INSURER. B.UNINSURED PATIENTS (I.E., SELF-PAY PATIENTS). 1.BILLING AMOUNT. WHERE THE PATIENT IS UNINSURED (OR HAS NOT ASSIGNED TO THE HOSPITAL HIS OR HER RIGHT TO PAYMENT), THE HOSPITAL WILL DETERMINE THE BILLING AMOUNT AS FOLLOWS: (A)THE HOSPITAL WILL INFORM THE PATIENT OF ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH POLICY #13-7000-03. IF THE PATIENT APPLIES FOR AND IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE BILL WILL BE DISCOUNTED IN ACCORDANCE WITH SUCH POLICY. (B)PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, AND WHO DO NOT PAY WITHIN 45 DAYS OF THE DATE APPEARING ON THEIR FIRST STATEMENT, WILL THEREAFTER BE BILLED GROSS CHARGES.2. BILLING PROCEDURE. (A)THE HOSPITAL WILL SEND SUCH PATIENT A MINIMUM OF THREE STATEMENTS OVER A 120 DAY PERIOD. EACH SUCH STATEMENT WILL PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY (OR A REFERENCE TO SUCH A WEB ADDRESS WITH SUCH INFORMATION). DURING SUCH PERIOD, THE HOSPITAL SHALL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS. (B)AT 120 DAYS AFTER THE INITIAL STATEMENT, IF FULL PAYMENT HAS NOT BEEN RECEIVED OR OTHER PAYMENT ARRANGEMENTS NEGOTIATED, THE ACCOUNT MAY BE REFERRED TO THE HOSPITAL'S COLLECTION AGENCY, WHICH MAY COMMENCE EXTRAORDINARY COLLECTION ACTIONS.II.EXTRAORDINARY COLLECTION ACTIONS.A.BASIC LIMITATION ON EXTRAORDINARY COLLECTION ACTIONS. 1.THE HOSPITAL SHALL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AS DEFINED IN PARAGRAPH B BELOW, AGAINST AN INDIVIDUAL UNTIL THE HOSPITAL HAS MADE REASONABLE EFFORTS, AS DESCRIBED IN PARAGRAPH C BELOW, TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY (FAP).B.EXTRAORDINARY COLLECTION ACTIONS DEFINED 1.EXTRAORDINARY COLLECTION ACTIONS ARE ACTIONS TAKEN RELATED TO OBTAINING PAYMENT OF A BILL FOR HOSPITAL SERVICES THAT EITHER:(A)REQUIRE A LEGAL OR JUDICIAL PROCESS, (B)INVOLVE SELLING AN INDIVIDUALS' DEBT TO ANOTHER PARTY, OR (C)INVOLVE REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS. 2.ACTIONS THAT REQUIRE LEGAL OR JUDICIAL PROCESS INCLUDE, BUT ARE NOT LIMITED TO, ACTIONS TO-(A) PLACE A LIEN ON AN INDIVIDUAL'S PROPERTY;(B) FORECLOSE ON AN INDIVIDUAL'S REAL PROPERTY;(C) ATTACH OR SEIZE AN INDIVIDUAL'S BANK ACCOUNT OR ANY OTHER PERSONAL PROPERTY;(D) COMMENCE A CIVIL ACTION AGAINST AN INDIVIDUAL;(E) CAUSE AN INDIVIDUAL'S ARREST;(F) CAUSE AN INDIVIDUAL TO BE SUBJECT TO A WRIT OF BODY ATTACHMENT; AND(G) GARNISH AN INDIVIDUAL'S WAGES.C.REASONABLE EFFORTS. 1.REASONABLE EFFORTS MEANS THAT THE HOSPITAL: (A)GAVE A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE PLAN (FAP) AND OFFER AN APPLICATION FORM, TO THE PATIENT BEFORE DISCHARGE FROM THE HOSPITAL;(B)INCLUDED INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND ABOUT HOW TO ACCESS THE FAP SUMMARY WITH ALL (AND AT LEAST THREE) BILLING STATEMENTS FOR THE CARE AND ALL OTHER WRITTEN COMMUNICATIONS REGARDING THE BILL PROVIDED TO THE INDIVIDUAL DURING THE PERIOD OF DATE OF HOSPITALIZATION UNTIL 120 DAYS AFTER THE FIRST BILLINGS STATEMENT (THE NOTIFICATION PERIOD.")(C)INFORMS THE INDIVIDUAL ABOUT THE FAP IN ALL ORAL COMMUNICATIONS WITH THE INDIVIDUAL REGARDING THE AMOUNT DUE FOR THE CARE THAT OCCUR DURING THE NOTIFICATION PERIOD; AND (D)PROVIDES THE INDIVIDUAL WITH AT LEAST ONE WRITTEN NOTICE THAT (I) INFORMS THE INDIVIDUAL ABOUT THE EXTRAORDINARY COLLECTION EFFORTS THE HOSPITAL OR OTHER AUTHORIZED PARTY MAY TAKE IF THE INDIVIDUAL DOES NOT SUBMIT A FAP APPLICATION OR PAY THE AMOUNT DUE BY A DEADLINE (SPECIFIED IN THE NOTICE) THAT IS NO EARLIER THAN THE LAST DAY OF THE NOTIFICATION PERIOD; AND (II) IS PROVIDED TO THE INDIVIDUAL AT LEAST 30 DAYS BEFORE THE DEADLINE SPECIFIED IN THE WRITTEN NOTICE. 2.WITH RESPECT TO A PATIENT WHO SUBMITTED AN INCOMPLETE FAP APPLICATION, REASONABLE EFFORTS MEANS THAT THE HOSPITAL:(A)SUSPENDS EXTRAORDINARY COLLECTION EFFORTS AGAINST THE PATIENT;(B)PROVIDES THE PATIENT WITH A WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION REQUIRED, AND INCLUDES A COPY OF THE FAP; (C)COMPLIES WITH C.1.(D) ABOVE. 3.HOSPITAL WILL NOT PERMIT A THIRD PARTY COLLECTION AGENT TO COMMENCE AN EXTRAORDINARY COLLECTION EFFORT AGAINST A PERSON FOR AN UNPAID HOSPITAL SERVICES BILL UNLESS AND UNTIL A HOSPITAL OFFICIAL HAS AUTHORIZED THE SPECIFIC ACTION(S) AGAINST THE SPECIFIC PERSON. III.FAIR DEBT COLLECTION PRACTICES. A.HOSPITAL SHALL, DIRECTLY OR THROUGH COLLECTION AGENTS, COMPLY WITH THE REQUIREMENTS OF THE FEDERAL FAIR DEBT COLLECTION PRACTICES ACT. SPECIFICALLY, THE HOSPITAL SHALL NOT ENGAGE IN ANY OF THE FOLLOWING ABUSIVE AND DECEPTIVE PRACTICES WHEN ATTEMPTING TO COLLECT DEBTS: 1.HOURS FOR PHONE CONTACT: CONTACTING CONSUMERS BY TELEPHONE OUTSIDE OF THE HOURS OF 8:00 A.M. TO 9:00 P.M. LOCAL TIME;2.FAILURE TO CEASE COMMUNICATION UPON REQUEST: COMMUNICATING WITH CONSUMERS IN ANY WAY (OTHER THAN LITIGATION) AFTER RECEIVING WRITTEN NOTICE THAT SAID CONSUMER WISHES NO FURTHER COMMUNICATION OR REFUSES TO PAY THE ALLEGED DEBT, WITH CERTAIN EXCEPTIONS, INCLUDING ADVISING THAT COLLECTION EFFORTS ARE BEING TERMINATED OR THAT THE COLLECTOR INTENDS TO FILE A LAWSUIT OR PURSUE OTHER REMEDIES WHERE PERMITTED;3.CAUSING A TELEPHONE TO RING OR ENGAGING ANY PERSON IN TELEPHONE CONVERSATION REPEATEDLY OR CONTINUOUSLY: WITH INTENT TO ANNOY, ABUSE, OR HARASS ANY PERSON AT THE CALLED NUMBER; 4.COMMUNICATING WITH CONSUMERS AT THEIR PLACE OF EMPLOYMENT AFTER HAVING BEEN ADVISED THAT THIS IS UNACCEPTABLE OR PROHIBITED BY THE EMPLOYER;5.CONTACTING CONSUMER KNOWN TO BE REPRESENTED BY AN ATTORNEY;6.COMMUNICATING WITH CONSUMER AFTER REQUEST FOR VALIDATION HAS BEEN MADE: COMMUNICATING WITH THE CONSUMER OR THE PURSUING COLLECTION EFFORTS BY THE DEBT COLLECTOR AFTER RECEIPT OF A CONSUMER'S WRITTEN REQUEST FOR VERIFICATION OF A DEBT MADE WITHIN THE 30 DAY VALIDATION PERIOD (OR FOR THE NAME AND ADDRESS OF THE ORIGINAL CREDITOR ON A DEBT) AND BEFORE THE DEBT COLLECTOR MAILS THE CONSUMER THE REQUESTED VERIFICATION OR ORIGINAL CREDITOR'S NAME AND ADDRESS7.MISREPRESNTATION OR DECEIT: MISREPRESENTING THE DEBT OR USING DECEPTION TO COLLECT THE DEBT, INCLUDING A DEBT COLLECTOR'S MISREPRESENTATION THAT HE OR SHE IS AN ATTORNEY OR LAW ENFORCEMENT OFFICER;8.PUBLISHING THE CONSUMER'S NAME OR ADDRESS ON A "BAD DEBT" LIST;9.SEEKING UNJUSTIFIED AMOUNTS, WHICH WOULD INCLUDE DEMANDING ANY AMOUNTS NOT PERMITTED UNDER AN APPLICABLE CONTRACT OR AS PROVIDED UNDER APPLICABLE LAW;SEE SCHEDULE O FOR CONTINUATION
PART III, LINE 4:	AUDITED FINANCIAL STATEMENT FOOTNOTE (PAGES 13- 14) PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH 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 AND 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, THE HOSPITAL ALSO ANALYZES AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, INCLUDING CONSIDERATION OF CURRENT BUSINESS AND ECONOMIC CONDITIONS. WHEN THE HOSPITALS ESTABLISHES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IT TAKES INTO CONSIDERATION THE FACT THAT MANY SELF-PAY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 25% OF THE RELATED PATIENT ACCOUNTS RECEIVABLE, NET OF CONTRACTUAL ALLOWANCES AT DECEMBER 31, 2017.
PART III, LINE 8:	THE MEDICARE COST WAS CALCULATED USING THE WORKSHEET IN THE SCHEDULE H INSTRUCTIONS.FINANCIAL ASSISTANCE POLICY:PURPOSE: ALIGNED WITH OUR VALUES, WE PROVIDE CARE FOR PERSONS WHO ARE IN NEED AND GIVE SPECIAL CONSIDERATION TO THOSE WHO ARE MOST VULNERABLE, INCLUDING THOSE WHO ARE UNABLE TO PAY AND THOSE WHOSE LIMITED MEANS MAKE IT EXTREMELY DIFFICULT TO MEET THE HEALTH CARE EXPENSES INCURRED. CORTLAND REGIONAL MEDICAL CENTER IS COMMITTED TO:"PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE. "CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES; AND"ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THAT THEY RECEIVE.DEFINITIONS: EMERGENT (SERVICE LEVEL) - MEDICAL SERVICES NEEDED FOR A CONDITION THAT MAY BE LIFE THREATENING OR THE RESULT OF A SERIOUS INJURY AND REQUIRING IMMEDIATE MEDICAL ATTENTION. THIS MEDICAL CONDITION IS GENERALLY GOVERNED BY EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA).EXTRAORDINARY COLLECTION ACTIONS (ECA) - EXTRAORDINARY COLLECTIONS INCLUDE BUT ARE NOT LIMITED TO LAWSUITS, WAGE GARNISHMENTS OR OTHER SIMILAR COLLECTIONS PROCESSES.FAMILY -AS DEFINED BY THE U.S. CENSUS BUREAU, A GROUP OF TWO OR MORE PEOPLE WHO RESIDE TOGETHER AND WHO ARE RELATED BY BIRTH,MARRIAGE,OR ADOPTION. IF A PATIENT CLAIMS SOMEONE AS A DEPENDENT ON THEIR INCOME TAX RETURN, ACCORDING TO THE INTERNAL REVENUE SERVICE RULES, THEY MAY BE CONSIDERED A DEPENDENT FOR THE PURPOSE OF DETERMINING ELIGIBILITY UNDER THE CRMC FINANCIAL ASSISTANCE POLICY.INCOME -INCOME INCLUDES WAGES, SALARIES, SALARY AND SELF-EMPLOYMENT INCOME, UNEMPLOYMENT COMPENSATION, WORKER'S COMPENSATION,PAYMENTS FROM SOCIAL SECURITY,VETERAN'S BENEFITS, ALIMONY, SURVIVOR'S BENEFITS,PENSIONS,RETIREMENT INCOME AND ANNUITY PAYMENTS,INCOME FROM ESTATES AND TRUSTS,RENTS RECEIVED,INTEREST/DIVIDENDS, AND INCOME FROM OTHER MISCELLANEOUS SOURCES.FAMILY INCOME - A PERSON'S FAMILY INCOME INCLUDES THE INCOME OF ALL FAMILY MEMBERS IN THE HOUSEHOLD WHO CAN BE CLAIMED UPON THE TAX RETURN FILED BY THE APPLICANT. FOR PATIENTS UNDER 18 YEARS OF AGE, FAMILY INCOME INCLUDES THAT OF THE PARENTS AND/OR STEP-PARENTS, OR CARETAKER RELATIVES. TOTAL HOUSEHOLD INCOME IS INCOME FROM ALL MEMBERS OF A HOUSEHOLD FROM THE FOLLOWING SOURCES: WAGES, UNEMPLOYMENT INCOME, WORKERS COMPENSATION, VETERANS BENEFITS, SOCIAL SECURITY INCOME, DISABILITY INCOME, ALIMONY, AND OTHER CASH INCOME INCLUDING PENSION/RETIREMENT.PROOF OF EARNINGS MAY BE DETERMINED BY ANNUALIZING THE YEAR-TO-DATE FAMILY INCOME, TAKING INTO CONSIDERATION THE CURRENT EARNINGS RATE. FINANCIAL SUPPORT - SUPPORT (FINANCIAL AID, DISCOUNTS, ETC.) PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A HARDSHIP TO PAY FOR THE FULL COST OF MEDICALLY NECESSARY SERVICES PROVIDED BY CRMC WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. OUR FINANCIAL AID PROGRAM IS IN THE FORM OF A DISCOUNT OFF OF CRMC'S AVG. CONTRACTUAL ADJUSTMENT AMOUNT FOR MEDICARE FOR THE SERVICES PROVIDED. THE AVERAGE ADJUSTMENT AMOUNT IS CALCULATED ON AN ANNUAL BASIS USING MEDICARE PAYMENT DATA FOR THE PREVIOUS 12 MONTH PERIOD. FOR OUR UNINSURED PATIENTS OUR FINANCIAL AID PROGRAM IS IN THE FORM OF A DISCOUNT OFF OF CRMC'S AVG. CONTRACTUAL ADJUSTMENT AMOUNT FOR MEDICARE FOR THE SERVICES PROVIDED. THE DISCOUNT IS A SLIDING SCALE, DEPENDING ON YOUR INCOME. FOR OUR INSURED PATIENTS: ANY OPEN BALANCE INCLUDING CO-PAY AND DEDUCTIBLE ARE ELIGIBLE TO BE CONSIDERED FOR A FINANCIAL ASSISTANCE DISCOUNT WHICH WOULD BE APPLIED TO THE BALANCE THE PATIENT/GUARANTOR IS RESPONSIBLE TO PAY. THE DISCOUNT IS A SLIDING SCALE DEPENDING ON YOUR INCOME.UNINSURED PATIENT -AN INDIVIDUAL WHO IS UNINSURED, HAVING NO THIRD-PARTY COVERAGE BY A COMMERCIAL THIRD-PARTY INSURER, AN ERISA PLAN, A FEDERAL HEALTH CARE PROGRAM (INCLUDING WITHOUT LIMITATION MEDICARE, MEDICAID, SCHIP, AND CHAMPUS), WORKER'S COMPENSATION, OR OTHER THIRD PARTY ASSISTANCE TO COVER ALL OR PART OF THE COST OF CARE, INCLUDING CLAIMS AGAINST THIRD PARTIES COVERED BY INSURANCE TO WHICH CRMC IS SUBROGATED, BUT ONLY IF PAYMENT IS ACTUALLY MADE BY SUCH INSURANCE COMPANY. URGENT (SERVICE LEVEL) - MEDICAL SERVICES FOR A CONDITION NOT LIFE THREATENING, BUT REQUIRING TIMELY MEDICAL SERVICES.SERVICE AREA - A SERVICE AREA IS THE LIST OF ZIP CODES COMPRISING CRMC'S SERVICE MARKET AREA FOR PRIMARY HEALTH CARE SERVICES. PROCEDURE:I.QUALIFYING CRITERIA FOR FINANCIAL ASSISTANCE CRMC WILL ESTABLISH AND MAINTAIN A FINANCIAL ASSISTANCE POLICY (FAP) DESIGNED TO ADDRESS THE NEED FOR FINANCIAL ASSISTANCE AND SUPPORT TO PATIENTS FOR ALL ELIGIBLE SERVICES REGARDLESS OF RACE, CREED, SEX, OR AGE. ELIGIBILITY FOR FINANCIAL ASSISTANCE AND SUPPORT FROM CRMC WILL BE DETERMINED ON AN INDIVIDUAL BASIS USING SPECIFIC CRITERIA AND EVALUATED ON AN ASSESSMENT OF THE PATIENT'S AND/OR FAMILY'S HEALTH CARE NEEDS, FINANCIAL RESOURCES AND OBLIGATIONS. A.SERVICES ELIGIBLE FOR FINANCIAL SUPPORT:I.ALL MEDICALLY NECESSARY SERVICES, INCLUDING MEDICAL AND SUPPORT SERVICES PROVIDED BY CRMC WILL BE ELIGIBLE FOR FINANCIAL SUPPORT. II.EMERGENCY MEDICAL CARE SERVICES WILL BE PROVIDED TO ALL PATIENTS WHO PRESENT TO THE CRMC EMERGENCY DEPARTMENT, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. SUCH MEDICAL CARE WILL CONTINUE UNTIL THE PATIENT'S CONDITION HAS BEEN STABILIZED PRIOR TO ANY DETERMINATION OF PAYMENT ARRANGEMENTS.B.SERVICES NOT ELIGIBLE FOR FINANCIAL SUPPORT: I.COSMETIC SERVICES, OTHER ELECTIVE PROCEDURES AND SERVICES THAT ARE NOT MEDICALLY NECESSARY. II.SERVICES PROVIDED IN CRMC'S SKILLED NURSING FACILITY AND SWING BED SERVICES.III. THIS POLICY ONLY COVERS SERVICES PROVIDED BY THE HOSPITAL. THIS POLICY DOES NOT APPLY TO OTHER BILLS YOU MAY RECEIVE FROM PRIVATE PHYSICIANS WHO MAY BE INVOLVED IN YOUR CARE INCLUDING BUT NOT LIMITED TO: RADIOLOGY, PATHOLOGISTS, ANESTHESIOLOGISTS OR EMERGENCY ROOM PHYSICIAN'S.IV. AS PROVIDED IN SECTION II.CRMC WILL MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS. CRMC MAY DENY FINANCIAL SUPPORT TO THOSE INDIVIDUALS WHO DO NOT COOPERATE IN APPLYING FOR PROGRAMS THAT MAY PAY FOR THEIR HEALTH CARE SERVICES, BUT SHALL NOT ENGAGE IN EXTRAORDINARY COLLECTION EFFORTS THAT COULD JEOPARDIZE CRMC'S TAX EXEMPT STATUS.C. RESIDENCY REQUIREMENTSI. CRMC WILL PROVIDE FINANCIAL SUPPORT TO PATIENTS WHO RESIDE WITHIN ITS SERVICE AREA AND QUALIFY UNDER CRMC'S FAP. II.SERVICE AREA ZIP CODES: 13045, 13077, 13073, 13118, 13068, 13053, 13159, 13803, 13040, 13092, 13101, 13052, 13158, 13141, 13136III.CRMC WILL PROVIDE FINANCIAL SUPPORT TO PATIENTS FROM OUTSIDE ITS SERVICE AREA WHO QUALIFY UNDER CRMC FAP AND WHO PRESENT WITH AN URGENT, EMERGENT OR LIFE-THREATENING CONDITION.IV.CRMC WILL PROVIDE FINANCIAL SUPPORT TO PATIENTS IDENTIFIED AS NEEDING SERVICE BY PHYSICIAN FOREIGN MISSION PROGRAMS CONDUCTED BY ACTIVE MEDICAL STAFF FOR WHICH PRIOR APPROVAL HAS BEEN OBTAINED FROM CRMCS PRESIDENT OR DESIGNEE.D.DOCUMENTATION FOR ESTABLISHING INCOMEI.INFORMATION PROVIDED TO CRMC BY THE PATIENT AND/OR FAMILY SHOULD INCLUDE EARNED INCOME, INCLUDING MONTHLY GROSS WAGES, SALARY AND SELF-EMPLOYMENT INCOME; BANK STATEMENTS UNEARNED INCOME INCLUDING ALIMONY, RETIREMENT BENEFITS, DIVIDENDS, INTEREST AND INCOME FROM ANY OTHER SOURCE; NUMBER OF DEPENDENTS IN HOUSEHOLD; AND OTHER INFORMATION TO DETERMINE THE PATIENT'S FINANCIAL RESOURCES. II.SUPPORTING DOCUMENTS SUCH AS PAYROLL STUBS, MAY BE REQUESTED TO SUPPORT INFORMATION REPORTED AND SHALL BE MAINTAINED WITH THE COMPLETED APPLICATION AND ASSESSMENT.HOW TO APPLY: APPLICATIONS AND/OR CONFIDENTIAL ASSISTANCE WITH COMPLETION OF THE APPLICATIN IS AVAILABLE FROM ANY REGISTRAR OF FROM OUR PATIENT ACCOUNTING OFFICE BY CALLING 607-756-3838.E.PRESUMPTIVE SUPPORT - UNINSURED PATIENTS ONLYI.CRMC RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT". CRMC MAY UTILIZE CERTAIN TOOLS USING DEMOGRAPHIC INFORMATION COMMONLY AVAILABLE IN CONJUNCTION WITH A "FAST TRAK" FINANCIAL ASSISTANCE APPLICATION. APPROVAL IS FOR 6 MONTHS FROM THE DATE OF APPLICATION, SERVICE DATES PRIOR TO APPLICATION DATE ARE NOT ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE.II. ANY TOOL USED AS PART OF THE PRESUMPTIVE ELIGIBILITY APPLICATION PROCESS CANNOT BE USED AS THE SOLE BASIS TO DENY A FINANCIAL AID APPLICATION.III.EXAMPLES OF PRESUMPTIVE CASES INCLUDE:"DECEASED PATIENTS WITH NO KNOWN ESTATE "HOMELESS "UNEMPLOYED PATIENTSSEE SCHEDULE O FOR CONTINUATION
PART III, LINE 9B:	SEE FINANCIAL ASSISTANCE POLICY FROM PART III, LINE 8.
PART VI, LINE 2:	NEEDS ASSESSMENT: CRMC WORKS COLLABORATIVELY WITH THE CORTLAND COUNTY HEALTH DEPARTMENT, SUNY CORTLAND, UNITED WAY FOR CORTLAND COUNTY, FAMILY HEALTH NETWORK, AND SEVEN VALLEYS HEALTH COALITION ON AN ANNUAL BASIS TO DO A COUNTY WIDE INTEGRATED ASSESSMENT. THIS ASSESSMENT LOOKS AT 1) HEALTH & SAFETY; 2) SOCIAL COHESION, CULTURE & RECREATION; 3) EMPLOYMENT, ECONOMY, & WELFARE; 4) HOUSING & ENVIRONMENT; 5) POSITIVE DEVELOPMENT THROUGH THE LIFE STAGES & HOW THEY ALL INTERSECT WITH EACH OTHER TO EFFECT A COMMUNITIES WELL-BEING. IT IS THRU THESE ASSESSMENTS, IN CONJUCTION WITH RESOURCE AVAILABILITY THAT PUBLIC HEALTH PRIORITIES ARE ESTABLISHED.ASSESSMENT OF PUBLIC HEALTH PRIORITIES: CRITERIA OF PUBLIC HEALTH PRIORITIES-CRITERIA:FOCUS GROUPS IDENTIFIED THE PRIORITY AS ONE OF THE COUNTY'S MOST SIGNIFICANT HEALTH ISSUES.COUNTY HEALTH DEPARTMENT MEASURES RELATED TO HEALTH PRIORITIES SUPPORT THE PUBLIC'S SUBJECTIVE OPINION, I.E. THE PRIORITY-SPECIFIC COUNTY MEASURES PUBLISHED IN CORTLAND COUNTS DEVIATE FROM STATE AND NATIONAL BENCHMARKS AND HEALTHY PEOPLE 2020 GOALS.MEDICAL CENTER INTERNAL DATA SUPPORTS ISSUES AS PRIORITIES BASED ON PATIENT VOLUME AND UTILIZATION OF SERVICES ASSOCIATED WITH THEM. USE OF DATA: THE FOLLOWING WERE THE PRIMARY SOURCES OF DATA USED TO TARGET A POPULATION:COMMUNITY FORUM HEALTH TRACK, FOCUS GROUPS, AND COMMUNITY SURVEY RESULTS-AS DESCRIBED ABOVE, THESE ACTIVITIES ELICITED SUBJECTIVE DATA REGARDING HEALTH PRIORITIES. ISSUES CONSISTENTLY NAMED "TOP HEALTH PRIORITIES" INCLUDE ACCESS TO QUALITY HEALTHCARE, HEALTHY MOTHERS/HEALTHY BABIES, CHRONIC DISEASE, HEALTHY ENVIRONMENT, AND MENTAL HEALTH AND SUBSTANCE ABUSE.CORTLAND COUNTS 2017: COUNTY STATISTICS (SEE FOLLOWING TABLE) THAT DEVIATED MOST SIGNIFICANTLY FROM STATE, REGIONAL, NATIONAL, AND HEALTHY PEOPLE 2020 GOALS WERE CONSIDERED IN DEFINING COUNTY PUBLIC HEALTH PRIORITIES.INDICATOR - CORTLAND COUNTY; UPSTATE NY; NYS; NATIONAL; HEALTHY PEOPLE 2020 GOALCIGARETTE USE IN WOMEN DURING PREGNANCY- 19.9%; 8.9%; 8.0; 8.4%; 1.4%COLORECTAL CANCER INCIDENCE WOMEN- 47.0; 35.9; 35.7; 33.97; N/A MEN-45.9; 45.9; 46.9, 43.38; N/ALUNG/BRONCHUS CANCERMEN - 91.0; 75.3; 69.9; 59.36; N/A WOMEN- 61.8; 62.2; 54.2; 47.25; N/ACEREBROVASCULAR DISEASE MORTALITY RATE - 24.2; 28.2; 25.4; 37.6; 34.8CLRD OR COPD MORTALITY RATE - 48.6; 35.0; 29.0; 41.6; 102.6+*RATE PER 100,000NEW YORK STATES PREVENTION QUALITY INDICATORS (PQI): REVIEW OF HOSPITALIZATION RATES BY ZIP CODE FOR CONDITIONS GENERALLY CONSIDERED PREVENTABLE WHEN GOOD PRIMARY CARE IS ACCESSIBLE (PQI) AIDED IN DETERMINING HEALTH PRIORITIES. BECAUSE CORTLAND COUNTY IS A HPSA FOR PRIMARY MEDICAL CARE (LOW-INCOME POPULATION), THE AREAS PQIS ARE EXPECTED TO BE HIGH. PQIS WERE DETERMINED USING THE FOLLOWING PARAMETERS:THE TWELVE CONDITIONS IN THE AREAS OF CIRCULATORY, DIABETES-RELATED, RESPIRATORY, AND ACUTE ILLNESSES. CORTLAND COUNTY ZIP CODES INDIVIDUALLY AND IN SUM.CORTLAND REGIONAL MEDICAL CENTER'S SERVICE AREA ZIP CODES INDIVIDUALLY AND IN SUM.RESULTS:CONDITIONS ASSOCIATED WITH HIGHEST PQI SCORES IN THE CORTLAND AREA ARE PNEUMONIA, COPD, AND CHF (ADMISSIONS AS PERCENT EXPECTED: 207%, 139%, AND 80%, RESPECTIVELY).FURTHER ASSESSMENT INDICATES THAT CORTLAND ZIP CODE 13045 IS ASSOCIATED WITH HIGHEST PNEUMONIA & COPD PQI'S (ADMISSION AS PERCENT EXPECTED: 249% & 168%, RESPECTIVELY). RACIAL/ETHNIC DISPARITIES ARE NOT INDICATED FOR ANY CONDITION PER PQI TOOL. ADMISSIONS AS PERCENT EXPECTED BY RACE/ETHNICITY FOR HISPANIC, AFRICAN, ASIAN, AND OTHER GROUPS WERE BELOW POPULATION THRESHOLD.CORTLAND REGIONAL MEDICAL CENTER DATA - INPATIENT CASE VOLUMES BY SERVICE LINE (MEASURED AS DISCHARGES) WERE CONSIDERED IN IDENTIFICATION OF HEALTH PRIORITIES. HIGHEST VOLUMES OF INPATIENT DISCHARGES HAVE CONSISTENTLY INCLUDED THE FOLLOWING: 2012; 2013; 2014; 2015; 2016 PULMONARY/MEDICAL - 785; 696; 594; 553; 453CARDIOVASCULAR DISEASES- 547; 395; 355; 290; 313OBSTETRICS/DELIVERY - 585; 427; 411; 431; 444NEW BORN - 485; 436; 431; 428; 464MARKET EXPERT 2016 (MARKET EXPERT NOT AVAILABLE FOR 2017 AS OF OCTOBER 2018)MEASUREMENTS OF THE MEDICAL CENTER'S AMBULATORY CARE SENSITIVE CONDITIONS (ACSC), THOSE ADMISSIONS THAT COULD HAVE BEEN TREATED AS OUTPATIENTS, WERE ALSO CONSIDERED IN DETERMINING HEALTH PRIORITIES. ACCESSIBILITY OF PRIMARY CARE IS A COMMON REASON FOR ASCS ADMISSIONS, AND AS PREVIOUSLY STATED, CORTLAND COUNTY IS A HPSA FOR PRIMARY MEDICAL CARE (LOW-INCOME). DATA ANALYSIS INDICATES THE FOLLOWING TRENDS TOWARD IMPROVEMENT IN CRMC'S TOP ACSC SEVERITY 1 CASES.UNINSURED ENCOUNTERS AT CORTLAND REGIONAL MEDICAL CENTER(2)2014; 2015; 2016; 2017TOTAL ENCOUNTERS 146,905; 144,002; 135,455; 128,699NUMBER OF UNINSURED ENCOUNTERS 4716; 6449; 7705; 3774% UNINSURED ENCOUNTERS 3.2%; 4.5%; 5.7%; 2.9%(2)CORTLAND REGIONAL MEDICAL CENTER SELECTED PREVENTION AGENDA PRIORITIESBASED ON DATA ANALYSIS, THE CORTLAND COUNTY HEALTH DEPARTMENT AND CORTLAND REGIONAL MEDICAL CENTER WILL COLLABORATE ON THE FOLLOWING PUBLIC HEALTH PRIORITIES:PREVENT CHRONIC DISEASE: FOCUS WILL BE ON SMOKING CESSATION, WITH A SPECIAL FOCUS ON PREGNANT WOMEN. INCREASING ACCESS TO PRIMARY CARE SERVICES FOR COMMUNITY RESIDENTS WILL BE ADDRESSED, AS WELL AS PROMOTING AWARENESS ABOUT EXISITING PROGRAMS TO INCREASE PHYSICAL ACTIVITY.PROMOTE HEALTHY MOTHERS, BABIES, AND CHILDREN:THE PRIMARY FOCUS WILL BE ON INCREASING THE NUMBER OF BABIES EXCLUSIVELY BREASTFEED WHILE IN THE HOSPITAL. DECREASING THE SMOKING RATE AMOUNG PREGNANT WOMEN, WILL ALSO BE ADDRESSED.PROMOTE MENTAL HEALTH AND PREVENTION SUBSTANCE ABUSE: PARTNERS WILL WORK TOGETHER TO IDENTIFY AND BEGIN TO CLOSE THE GAPS IN MENTAL HEALTH AND ADDICTION SCREENING AND SERVICES. THEY WILL ESTABLISH A COALITION TO FOCUS ON STRENGTHENING MENTAL HEALTH, ADDICTION SERVICES AND INFRASTRUCTURE AND A TASK FORCE TO BEGIN TO ADDRESS AND PREVENT PRESCRIPTION DRUG MISUSE AND ABUSE. ENSURING COMMUNITY MEMBERS USE, STORE AND DISPOSE OF PERSCRIPTION DRUGS SAFELY AND APPROPRIATELY THROUGH EDUCATION AND OUTREACH WILL ALSO BE ADDRESSED.STATUS OF PRIORITIESALL PRIORITIES REPRESENT EXISTING PROGRAMS EITHER AT CORTLAND REGIONAL MEDICAL CENTER OR THE CORTLAND COUNTY HEALTH DEPARTMENT; HOWEVER, A GOAL OF THIS PROJECT IS TO INCREASE COMMUNITY AWARENESS OF EXISTING PROGRAMS BY INVOLVING MORE COMMUNITY MEMBERS IN THE IMPLEMENTATION OF NEW INITIATIVES RELATED TO IDENTIFIED PRIORITIES.THREE-YEAR PLAN OF ACTIONSTRATEGIES FOR SELECTED PRIORITIESTHE PRIORITIES SELECTED THROUGH THE COLLABORATIVE ASSESSMENT PROCESS DESCRIBED IN THE PREVIOUS SECTION ARE ALL PUBLIC HEALTH ISSUES THAT HAVE BEEN RECOGNIZED IN THE PAST AS PRIORITIES FOR THE GREATER CORTLAND COMMUNITY AND TO WHICH CRMC AND ITS COMMUNITY PARTNERS HAVE DEDICATED RESOURCES.CHRONIC DISEASECORTLAND REGIONAL MEDICAL CENTER AND ITS COMMUNITY PARTNERS WILL FOCUS ON REDUCING ILLNESS, DISABILITY AND DEATH RELATED TO OBESITY, TOBACCO USE AND SECOND HAND SMOKE EXPOSURE. THESE WILL ALL BE IMPLEMENTED USING THE MOST CURRENT EVIDENCE-BASED RECOMMENDATIONS. OBESITY:RECRUIT PRIMARY CARE PROVIDERS TO THE COMMUNITY AND EDUCATE PROVIDERS/PARENTS/ AGENCIES ON AVAILABLE PRIMARY CARE SERVICES. EDUCATE PROVIDERS/AGENCIES/RESIDENTS ON COMMUNITY PROGRAMS THAT WILL INCREASE PHYSICAL ACTIVITY. TOBACCO USE: PRENATAL PROVIDERS WILL EDUCATION PREGNANT WOMEN ABOUT PUBLIC HEALTH REFERRALS AND EVIDENCED BASED SMOKING CESSATION STRATEGIES. (CONTINUED IN SCHEDULE O)
PART VI, LINE 3:	FINANCIAL AID PROGRAMSUCCESSES AND CHALLENGESPROCESS IMPROVEMENTS AND GENERAL ACCOMPLISHMENTS:A PAMPHLET HIGHLIGHTING CRMC'S FINANCIAL AID PROGRAM AND HOW TO APPLY IS AVAILABLE AT ALL REGISTRATION LOCATIONS, ON AND OFFSITE.POLICY IS TO PROVIDE FINANCIAL AID TO INCOME LEVELS UP TO 300% OF THE FEDERAL POVERTY LEVEL.SIGNAGE ABOUT CRMC'S FINANCIAL AID PROGRAM IS IN ALL REGISTRATION AREAS, BOTH ON AND OFFSITE, AS WELL IN THE BUSINESS OFFICE AND MAIN LOBBY.DISTRIBUTED CRMC FINANCIAL AID PAMPHLETS AND APPLICATIONS AT FAMILY HEALTH NETWORK CLINIC SITESBEST PRACTICES:PROVIDE A FULL-TIME, ONSITE PATIENT FINANCIAL NAVIGATOR (CERTIFIED APPLICATION COUNSELOR THROUGH NYS) TO ASSIST IN ENROLLING THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED IN THE NYS MARKETPLACE TO ASSIST ELIGIBLE INPATIENT SELF-PAY POPULATION TO OBTAIN MEDICAID.SCREEN SELF-PAY REGISTRATIONS FOR BLUE CROSS, MEDICAID, AND/OR FIDELIS COVERAGE. PATIENTS WITHOUT COVERAGE ARE CALLED FOR CURRENT INSURANCE INFORMATION, AND IF THEY HAVE NONE, THEY ARE OFFERED FINANCIAL ASSISTANCE AND/OR MONTHLY PAYMENT OPTIONS.CHALLENGES:DIFFICULTY GAINING PATIENT COOPERATION WITH THE APPLICATION PROCESS AND PATIENTS' NON-COMPLIANCE WITH POLICY.LACK OF VALID PATIENT DEMOGRAPHIC INFORMATION, INCLUDING TELEPHONE NUMBERS.APPLICANTS DISHONESTY.ALSO, SEE WRITE UP FOR PART III, LINE 9
PART VI, LINE 4:	HOSPITAL SERVICE AREACORTLAND REGIONAL MEDICAL CENTER IS LOCATED IN THE CITY OF CORTLAND, COUNTY OF CORTLAND, IN THE CENTRAL REGION OF NEW YORK STATE. THE MEDICAL CENTER IS APPROXIMATELY 35 MILES SOUTH OF SYRACUSE, NEW YORK; 40 MILES NORTH OF BINGHAMTON, NEW YORK; AND 24 MILES NORTHEAST OF ITHACA, NEW YORK. AS THE ONLY HOSPITAL IN CORTLAND COUNTY, CRMC IS FEDERALLY DESIGNATED A SOLE COMMUNITY HOSPITAL. THE MEDICAL CENTER SERVES ALL OF CORTLAND COUNTY AND NEIGHBORING PARTS OF SEVEN CONTIGUOUS COUNTIES, INCLUDING ONONDAGA, MADISON, CHENANGO, BROOME, TIOGA, TOMPKINS, AND CAYUGA.DESCRIPTION OF SERVICE AREACORTLAND REGIONAL MEDICAL CENTER DEFINES ITS PRIMARY SERVICE AREA AS AN 18-ZIP-CODE AREA IN AND AROUND CORTLAND PROPER. IT ACCOUNTS FOR APPROXIMATELY 93% OF CORTLAND REGIONAL MEDICAL CENTER'S TOTAL INPATIENT ADMISSIONS; THIS REPRESENTS APPROXIMATELY 43.2% MARKET SHARE. CORTLAND REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES BY USING AVAILABLE RESOURCES TO MEET THE NEEDS OF THE PEOPLE WHO LIVE OR WORK IN ITS SERVICE AREA.
PART VI, LINE 5:	ACCESS TO QUALITY HEALTH CARETHE MEDICAL CENTER PARTNERS WITH COMMUNITY ORGANIZATIONS TO INCREASE MEDICAID ENROLLMENT, EXPAND ACCESS TO PROVIDERS, AND RECRUIT NEW PROVIDERS TO ENSURE A SUFFICIENT NUMBER OF PRIMARY CARE AND SPECIALTY PHYSICIANS TO MEET THE COMMUNITY'S NEEDS.MEDICAID ENROLLMENT:EMPLOY A FULL-TIME PATIENT FINANCIAL NAVIGATOR THROUGH CRMC. THIS STAFF MEMBER IS A CAC (CERTIFIED APPLICATION COUNSELOR) THROUGH NYS. ASSISTING IN ENROLLING THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED IN THE NYS MARKETPLACE. THIS STAFF IS ALSO ABLE TO ASSIST IN ENROLLING PATIENTS INTO MEDICAID AND MEDICAID MANAGED CARE PRODUCTS. THEY ARE ALSO IN CHARGE OF THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM AND WORK WITH PATIENTS TO APPLY FOR FINANCIAL AID IN ORDER TO REDUCE HOSPITAL BILLS IN ACCORDANCE TO FPL REGULATIONS. THE GOAL IS TO REDUCE THE NUMBER OF UNINSURED PEOPLE IN CORTLAND COUNTY AND THE NUMBER OF PEOPLE THAT ARE SENT TO COLLECTION DUE TO HIGH COST MEDICAL BILLS. EXPAND ACCESS TO PROVIDERS:PROVIDE INCREASED ACCESS FOR MEDICAID RECIPIENTS BY HAVING PHYSICIANS EMPLOYED BY REGIONAL MEDICAL PRACTICE, P.C. ACCEPT MEDICAID AND OTHER INSURANCES THAT MANY PHYSICIAN PRACTICES DO NOT ACCEPT. GOAL: PROVIDE MEDICAID RECIPIENTS GREATER ACCESS TO OFFICE-BASED MEDICAL CARE. MEASUREMENT: NUMBER OF MEDICAID RECIPIENTS IN RMP PHYSICIAN PRACTICES.APPROXIMATELY 30.9% OF CORTLAND COUNTY RESIDENTS ARE MEDICAID RECIPIENTS WHILE NEARLY 21.84% OF THE PATIENTS SEEN BY RMP PHYSICIANS ARE INSURED BY MEDICAID. THESE STATISTICS SUGGEST THAT CRMC'S EFFORTS TO IMPROVE MEDICAID RECIPIENTS' ACCESS TO MEDICAL CARE HAVE BEEN SUCCESSFUL. PROVIDE SUFFICIENT NUMBERS OF PROVIDERS:PHYSICIAN RECRUITMENT AND RETENTION PLAN - CORTLAND REGIONAL MEDICAL CENTER ADOPTED A COMPREHENSIVE PHYSICIAN RECRUITMENT AND RETENTION PLAN THAT ESTABLISHES RECRUITMENT PRIORITIES OVER THE NEXT FIVE YEARS BASED ON A SURVEY OF COMMUNITY PHYSICIANS, INTERNAL DATA INCLUDING MEDICAL STAFF AGES AND ANTICIPATED RETIREMENTS, AND EXTERNAL DATA ON THE SUPPLY AND DISTRIBUTION OF PHYSICIANS. -PRIORITY SPECIALTY RECRUITMENT YEARS 1-3 -PRIMARY CARE: FAMILY PRACTICE, INTERNAL MEDICINE, ORTHOPEDICS, CARDIOLOGY, AND GASTROENTEROLOGY. RECRUITMENT EFFORTS HAVE BEEN SUCCESSFUL IN THE AREAS OF OPHTHALMOLOGIST, PSYCHIATRIST, PULMUNOLOGIST, UROLOGITS, AND INTERNAL MEDICINE. -PRIORITY SPECIALTY RECRUITMENT YEARS 3-5 - HOSPITALIST MEDICINE, ENDROCRINOLOGY, GENERAL SURGERY, PSYCHIATRY AND PAIN MEDICINE. PRIMARY CARE: FAMILY PRACTICE, AND INTERNAL MEDICINE. GOAL: SUCCESSFUL RECRUITMENT OF ADDITIONAL PHYSICIANS. MEASUREMENT: NUMBER OF NEW PHYSICIANS OPENING OR JOINING EXISTING PRACTICES. HEALTHY MOTHERS/HEALTHY BABIES/HEALTHY CHILDRENCORTLAND REGIONAL MEDICAL CENTER, TOGETHER WITH COMMUNITY PARTNERS, IS FOCUSING ON IMPROVING THE QUALITY OF OBSTETRICAL AND PEDIATRIC CARE, PROVIDING EDUCATION TO PREGNANT WOMEN AND NEW MOTHERS, AND ENSURING THERE ARE SUFFICIENT NUMBERS OF PHYSICIANS IN THE COMMUNITY TO PROVIDE IMPROVED ACCESS TO OBSTETRICAL AND PEDIATRIC CARE. EDUCATION:-CHILD BIRTH CLASSES -EVERY OTHER MONTH, CRMC OFFERS A FULL TWO-DAY, WEEKEND CHILD BIRTH CLASS FOR EXPECTANT PARENTS THAT COVERS A VARIETY OF TOPICS, INCLUDING: NUTRITION; THE ROLE OF THE COACH; BREATHING AND RELAXATION TECHNIQUES FOR LABOR; CARE AND CHARACTERISTICS OF THE NEWBORN; BREASTFEEDING; PARENTING SKILLS; POST PARTUM ISSUES; AND INFANT SAFETY. CRMC ALSO PROVIDES SPACE FOR ITS COMMUNITY PARTNER, FAMILY HEALTH NETWORK, TO HOLD CHILD BIRTH CLASSES.-POSTPARTUM AND NEWBORN CARE EDUCATION - MATERNITY STAFF PROVIDE EDUCATION TO NEW MOTHERS ABOUT HOW TO CARE FOR THEMSELVES AND THEIR NEWBORNS.-POST DISCHARGE BREASTFEEDING SUPPORT - A FOLLOW UP SERVICE PROVIDED AFTER MOTHER AND BABY HAVE GONE HOME TO IMPROVE BREASTFEEDING SUCCESS AND ENCOURAGE THAT IT CONTINUES TO PROVIDE THE NEW INFANT A HEALTHY START.-HEALTHY BEGINNINGS PROGRAM - IN COLLABORATION WITH THE CORTLAND COUNTY HEALTH DEPARTMENT, CRMC DISTRIBUTES PACKETS THAT EMPHASIZE THE IMPORTANCE OF IMMUNIZATIONS AND ALSO PROVIDES INFORMATION ON LEAD POISONING PREVENTION; INFANT/CHILD SAFETY; NUTRITION; AND HEALTH AND DENTAL CARE. CRMC REGISTERS MOTHERS FOR HEALTHY BEGINNINGS NEWSLETTERS, WHICH THE HEALTH DEPARTMENT SENDS TO PARENTS AT OR AROUND THE TIME THEIR CHILD IS DUE FOR A WELL-CHILD VISIT DURING THE FIRST TWO YEARS OF LIFE.(CONTINUED IN SCHEDULE O)
PART VI, LINE 6:	PARTICIPANTSCORTLAND REGIONAL MEDICAL CENTER COLLABORATES WITH THE CORTLAND COUNTY HEALTH DEPARTMENT, SUNY CORTLAND, AND THE UNITED WAY FOR CORTLAND COUNTY TO MAINTAIN AN ONGOING COMMUNITY NEEDS ASSESSMENT UNDER THE AUSPICES OF THE SEVEN VALLEYS HEALTH COALITION. A COMMUNITY ASSESSMENT TEAM (CAT) COMPRISED OF THE MEDICAL CENTER'S CEO'S DESIGNEE AND THE CORTLAND COUNTY PUBLIC HEALTH DIRECTOR, AS WELL AS REPRESENTATIVES FROM EACH OF THE OTHER INVOLVED ORGANIZATIONS, OVERSEES THE ANNUAL UPDATING OF THE ASSESSMENT. THE FIRST EDITION OF CORTLAND COUNTS: AN ASSESSMENT OF HEALTH AND WELL BEING IN CORTLAND COUNTY WAS RELEASED IN 2001, AND COMPREHENSIVE ASSESSMENTS HAVE THEREAFTER BEEN CONDUCTED EVERY FIVE YEARS. IN THE YEARS BETWEEN FULL ASSESSMENTS, AN ABBREVIATED VERSION, THE COMMUNITY REPORT CARD, IS PUBLISHED TO PROVIDE UPDATED HIGHLIGHTS OF THE COMPREHENSIVE ASSESSMENT IN AN "AT-A-GLANCE" FORMAT. THE COMPREHENSIVE REPORT WAS LAST RELEASED IN SEPTEMBER 2013.OUTCOMESA BLUE RIBBON COMMITTEE (BRC) THAT INCLUDES BROAD COMMUNITY REPRESENTATION WAS ESTABLISHED IN 2002 TO REVIEW THE CORTLAND COUNTS ASSESSMENT IN LIGHT OF DATA PROVIDED BY FOCUS GROUPS AND CITIZEN SURVEYS CONDUCTED BY THE COMMUNITY ASSESSMENT TEAM, AS WELL AS OTHER COMMUNITY RESEARCH AND FEEDBACK. USING BOTH SUBJECTIVE AND OBJECTIVE DATA, THE BRC SET PRIORITIES AND DEVELOPED A STRATEGIC PLAN THAT CURRENTLY INCLUDES FOUR BROAD TRACKS: ECONOMIC DEVELOPMENT, YOUTH, HOUSING, AND HEALTH. A COMMUNITY ORGANIZATION, OR COALITION OF ORGANIZATIONS, IS TAKING THE LEAD TO ADDRESS EACH BROAD TRACK:THE CORTLAND COUNTY BUSINESS DEVELOPMENT CORPORATION IS SPEARHEADING ECONOMIC DEVELOPMENT INITIATIVES.THE CORTLAND AREA COMMUNITIES THAT CARE COALITION (CACTC) IS COORDINATING EFFORTS TO IMPROVE SERVICES AND EXPAND OPPORTUNITIES FOR THE YOUTH IN THE GREATER CORTLAND COMMUNITY.SEVERAL AGENCIES ARE INVOLVED IN ADDRESSING THE NEED FOR BETTER QUALITY, AFFORDABLE HOUSING.THE SEVEN VALLEYS HEALTH COALITION, IN COLLABORATION WITH CORTLAND REGIONAL MEDICAL CENTER, THE CORTLAND COUNTY HEALTH DEPARTMENT, FAMILY HEALTH NETWORK, AND OTHER COMMUNITY-BASED AGENCIES, IS DIRECTING THE FOCUS ON COMMUNITY HEALTH.THE BLUE RIBBON COMMITTEE MEETS ANNUALLY AND INVITES THE ENTIRE COMMUNITY TO PARTICIPATE IN REDEFINING PRIORITIES AND UPDATING THE STRATEGIC PLAN. CORTLAND COUNTS IS A KEY DOCUMENT THAT THE MEDICAL CENTER AND MANY COMMUNITY AGENCIES UTILIZE IN SETTING PRIORITIES FOR THE CONTINUATION OF EXISTING SERVICES AND THE DEVELOPMENT OF NEW/ENHANCED PROGRAMS AND SERVICES.PUBLIC INPUTA COMMUNITY FORUM WAS HELD IN JANUARY 2017 THAT INCLUDED STAKEHOLDERS REPRESENTING EACH OF THE FOUR STRATEGIC PLAN TRACKS. TWO ADDITIONAL MEETINGS CONCERNING THE HEALTH TRACK WERE HELD IN FEBRUARY AND MAY TO ENSURE THAT THE HEALTH GOALS HAD BEEN CLEARLY IDENTIFIED AND WERE BEING ADDRESSED. CORTLAND COUNTS IS A KEY DOCUMENT THAT THE MEDICAL CENTER AND MANY COMMUNITY AGENCIES UTILIZE IN SETTING PRIORITIES FOR THE CONTINUATION OF EXISTING SERVICES AND THE DEVELOPMENT OF NEW/ENHANCED PROGRAMS AND SERVICES.BARRIERS TO CARE/GAPS IN SERVICEACCESS TO QUALITY HEALTH CARE:THE SURVEYS REVEALED RESIDENTS OF CORTLAND COUNTY WERE CONCERNED ABOUT THEIR ABILITY TO ACCESS HIGH QUALITY SPECIALTY AND PRIMARY CARE. A SHORTAGE OF PRIMARY CARE PROVIDERS AND SPECIALISTS IS FORCING RESIDENTS TO TRAVEL TO SYRACUSE, BINGHAMTON, ITHACA, OR FURTHER TO RECEIVE THE CARE THEY NEED.MENTAL HEALTH SERVICES:THE INADEQUACY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN CORTLAND WAS IDENTIFIED AS A PRIMARY GAP IN SERVICE. EXPANSION OF EXISTING CLINICS AND EXPLORATION OF PARTNERING WITH LARGER MEDICAL FACILITIES THROUGH TELEMEDICINE GRANT OPPORTUNITIES WERE PROPOSED AS POSSIBLE SOLUTIONS.PUBLIC NOTIFICATION OF OPPORTUNITIES TO PROVIDE INPUTADVERTISEMENTS WERE PLACED IN THE LOCAL NEWSPAPER AND ANNOUNCEMENTS WERE DISTRIBUTED VIA E-MAIL AND LISTSERVS. PUBLIC ASSISTANCE PROGRAMS WERE ALSO ENCOURAGED TO POST THE NOTIFICATIONS AND TO ADVISE CLIENTS OF OPPORTUNITIES TO PARTICIPATE. UPON EVALUATION, THE PROCESS OF NOTIFYING THE PUBLIC COULD BE IMPROVED BY PLACING NOTICES WHERE THOSE RESIDENTS WHOSE ACCESS TO HEALTHCARE IS LIMITED WOULD BE MORE LIKELY TO SEE THEM. SUGGESTED LOCATIONS INCLUDE THE COUNTYS SENIOR CENTERS, LOCAL FOOD PANTRIES, CORTLAND-CHENANGO RURAL SERVICES, AND THROUGH CONTACT WITH THE FAITH COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
MARK WEBSTER
PRESIDENT/CEO	$488,840	$0	$0	$0	$2,297	$0	$41,218	$0	$23,185	$0	$555,540	$0	$0	$0
TRACY GATES
VICE PRESIDENT - COO	$225,928	$0	$0	$0	$90	$0	$0	$0	$24,960	$0	$250,978	$0	$0	$0
MARY WRIGHT
VICE PRESIDENT-NURSING SER	$192,347	$0	$0	$0	$258	$0	$6,986	$0	$25,020	$0	$224,611	$0	$0	$0
DENISE WRINN
VICE PRESIDENT - CFO	$257,169	$0	$0	$0	$258	$0	$12,817	$0	$17,698	$0	$287,942	$0	$0	$0
JOE DALLAIRD
DIRECTOR - REVENUE CYCLE	$161,774	$0	$0	$0	$0	$0	$4,347	$0	$10,360	$0	$176,481	$0	$0	$0
ROBERT DUTHE
DIRECTOR - IT	$169,284	$0	$0	$0	$0	$0	$0	$0	$8,254	$0	$177,538	$0	$0	$0
MICHELLE TUCKER
PHARMACIST	$123,121	$0	$0	$0	$0	$0	$5,284	$0	$26,699	$0	$155,104	$0	$0	$0

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	CORTLAND COUNTY DEVELOPMENT CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	455122714	BondIssuerEIN
Bond Issued	2013-02-26	BondIssuedDt
Issue Price	$21,300,000	IssuePriceAmt
Purpose	SEE PART VI	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	$21,300,000	TotalProceedsAmt
Issuance Costs From Proceeds	$637,047	IssuanceCostsFromProceedsAmt
Capital Expenditures	$5,967,331	CapitalExpendituresAmt
Other Spent Proceeds	$14,695,622	OtherSpentProceedsAmt
Substantial Completion	2014	SubstantialCompletionYr
Current Refunding	Yes (1)	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	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (1)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	KEY BANK (FORMERLY	BusinessNameLine1Txt
Business Name Line2	FIRST NIAGRA BANK)	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Term Of Hedge	10.000000000000	TermOfHedgePct
Superintegrated Hedge	0	SuperintegratedHedgeInd
Hedge Terminated	0	HedgeTerminatedInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE A, COLUMN (F)	FormAndLineReferenceDesc
Explanation	BONDS WERE USED FOR THE PURPOSE OF ASSISTING IN FINANCING AND/OR REFINANCING ALL OR A PORTION OF THE COSTS OF A CERTAIN PROJECT, WHICH DID NOT INVOLVE ANY EXTERIOR CONSTRUCTION AND/OR EXPANSION OF THE EXTERIOR OF THE FACILITY CONSISTING OF: A) ACQUISITION AND INSTALLATION OF IMAGING EQUIPMENT, CARDIAC MONITORS, WIRELESS UPGRADES FOR IV PUMPS, BOILERS, AND RELATED HOSPITAL EQUIPMENT FOR USE AT THE FACILITY. B) THE REFUNDING OF ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE CORTLAND COUNTY INDUSTRIAL DEVELOPMENT AGENCY CIVIC FACILITY RESERVE BONDS, SERIES 2002, ISSUED JUNE 20, 2002. PART II, LINE 11 - OTHER SPENT PROCEEDS OF $14,695,622 WERE USED TO REFUND A PORTION OF THE SERIES 2002 BONDS DESCRIBED IN PART I, LINE A, COLUMN (F). PART IV, LINE 2C - NO REBATE DUE BECAUSE THERE WAS ZERO INVESTMENT PROCEEDS. PART IV, LINE 7 - NO WRITTEN PROCEDURES SINCE NO ARBITRAGE WAS INVOLVED. PART V - THERE WAS A TAX COMPLIANCE AGREEMENT COMPLETED AT THE TIME OF ISSUANCE. THE VP FINANCE/CFO IS RESPONSIBLE FOR MONITORING COMPLIANCE AND CONSULTS WITH OUR BOND ATTORNEY AS NEEDED.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JOHANNA AMES	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	TRUSTEE	RelationshipDescriptionTxt
Transaction	$416,838	TransactionAmt
Transaction	OFFICER OF AMES LINEN SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	IN 2017 THROUGH RMP, THE HOSPITAL WAS ABLE TO RECRUIT SPECIALTY PHYSICANS FOR FAMILY PRACTICE,AND UROGOLGY.
FORM 990, PART VI, SECTION A, LINE 2	CORTLAND REGIONAL MEDICAL CENTER CONDUCTS BUSINESS WITH AMES LINEN, WHOSE OWNER, JOHANNA AMES, IS A TRUSTEE ON THE CORTLAND REGIONAL MEDICAL CENTER BOARD.
FORM 990, PART VI, SECTION A, LINE 6	THE PARENT, CMH GROUP, INC, IS THE SOLE MEMBER. CMH GROUP, INC. APPOINTS THE HOSPITAL BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	NO SINGLE PERSON, ONLY THE ORGANIZATION CMH GROUP, MAY ELECT OR APPOINT ONE OR MORE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER OF THE CORPORATION (THE C.M.H. GROUP) SHALL APPOINT ANNUALLY INDIVIDUALS TO FILL THE THEN-EXISTING VACANCIES ON THE BOARD (OF TRUSTEES) SO LONG AS THE BOARD HAS PROPOSED THAT THE VACANCY BE FILLED.
FORM 990, PART VI, SECTION B, LINE 11B	BEFORE THE 990 IS SUBMITTED, IT IS MADE AVAILABLE TO THE BOARD OF TRUSTEES FINANCE COMMITTEE FOR THEIR REVIEW. QUESTIONS ARE THEN DIRECTED TO THE CFO/CONTROLLER. THE 990 IS THEN MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CORTLAND REGIONAL MEDICAL CENTER ENFORCES ITS CONFLICT OF INTEREST POLICY REQUIRING OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 15	CORTLAND REGIONAL MEDICAL CENTER EXECUTIVE COMMITTEE COMPENSATION PHILOSOPHY AND RESPONSIBILITY PURPOSE: AS DELEGATED REPRESENTATIVES OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE HAS THE POWER, DUTY AND RESPONSIBILITY TO DETERMINE THE ORGANIZATION'S OVERALL COMPENSATION PHILOSOPHY AND TO ESTABLISH THE GUIDELINES, RULES AND PROCEDURES NECESSARY FOR THE PROPER AND EFFICIENT ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAM. FURTHER, THE COMMITTEE ACKNOWLEDGES ITS RESPONSIBILITY TO ENSURE THAT THE EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE IN VIEW OF ITS MISSION, TAX-EXEMPT STATUS, CHARITABLE PURPOSE, AND THAT ITS COMPENSATION AND BENEFITS ARE REASONABLE AND NOT EXCESSIVE. TO THAT END, THE EXECUTIVE COMMITTEE WILL REVIEW AND APPROVE ALL FORMS OF EXECUTIVE COMPENSATION AND BENEFITS IN A MANNER NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULES OF SECTION 4958 OF THE IRC. MEMBERSHIP: THE COMMITTEE WILL CONSIST OF THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE. COMPENSATION PHILOSOPHY: THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO ESTABLISH AND MAINTAIN A COMPENSATION PACKAGE WHICH WILL ENABLE THE ORGANIZATION TO ATTRACT, RETAIN, MOTIVATE AND REWARD THE MANAGEMENT TEAM LEADERSHIP NEEDED TO SUCCESSFULLY ACCOMPLISH THE ORGANIZATION'S STRATEGIC AND OPERATIONAL GOALS. THE FOLLOWING GUIDELINES WILL BE USED: A TOTAL COMPENSATION CONCEPT WILL BE USED EMPLOYING A COMBINATION OF BASE SALARY, INCENTIVE OPPORTUNITY, FLEXIBLE BENEFITS, DEFERRED COMPENSATION AND OTHER PERQUISITES AS MAY BE NEEDED FROM TIME TO TIME TO MAINTAIN A COMPETITIVE POSITION WITH PEER INSTITUTIONS IN THE REGION. BASE SALARY WILL BE TARGETED AT APPROXIMATELY THE 60TH PERCENTILE OF SIMILAR POSITIONS IN PEER INSTITUTIONS FOR EXPERIENCED PROFESSIONALS. PAY LEVELS FOR INDIVIDUALS WILL DEPEND UPON EXPERIENCE, OVERALL PERFORMANCE, AND CONTRIBUTION TO THE SUCCESS OF THE ORGANIZATION. ANNUAL REVIEWS WILL TAKE PLACE AS OF JANUARY 1 EACH YEAR. INCREASING EMPHASIS WILL BE PLACED ON INCENTIVE COMPENSATION TO THE EXTENT CONSISTENT WITH THE OBJECTIVE TO MAINTAIN THE TAX EXEMPT STATUS OF THE VARIOUS CORPORATE ENTITIES. THE MANAGEMENT TEAM WILL HAVE THE OPPORTUNITY TO REACH THE MAXIMUM PERCENTAGE OF TOTAL COMPENSATION AVAILABLE AT THE TOP OF THE RANGE PAID AMONG PEER INSTITUTIONS BASED ON ACHIEVING OUTSTANDING PERFORMANCE WITH STRATEGIC GOALS IN THE INCENTIVE PLAN. TARGET OPPORTUNITIES WILL BE GEARED TO THE 75TH PERCENTILE OF TOTAL COMPENSATION. DEFERRED COMPENSATION AND PREQUISITE OPPORTUNITIES WILL BE DEVELOPED TO OPTIMIZE WHATEVER TAX DEFERRAL OPPORTUNITIES EXIST WITHIN THE TAX CODE AND TO BE COMPETITIVE WITH PEER INSTITUTIONS. THIS PHILOSOPHY SHALL BE APPLIED EXCEPT AS REQUIRED TO RECRUIT HIGHLY MARKET SENSITIVE POSITIONS. THE EXECUTIVE COMPENSATION PROGRAM SHALL OPERATE AND BE CONSISTENT WITH ALL FEDERAL AND STATE LAWS, CODES, AND PROCEDURES SO LEGISLATED. COMMITTEE RESPONSIBILITIES: THE EXECUTIVE COMMITTEE HAS THE RESPONSIBILITY TO: -SET THE OVERALL COMPENSATION PHILOSOPHY -SET, MONITOR AND REVIEW THE BASE SALARY OF THE CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AS SET FORTH IN APPLICABLE LEGISLATION -ESTABLISH, MONITOR AND DETERMINE ACCOMPLISHMENT OF INCENTIVE AWARD GOALS FOR THE CEO AND OTHER APPLICABLE EXECUTIVES -OVERSEE THE CLEAR AND ACCURATE DISCLOSURE OF THE TOTAL VALUE OF COMPENSATION PAID TO EXECUTIVES AND OTHER KEY INDIVIDUALS ON THE HOSPITAL'S FORM 990 -RESOLVE AND DETERMINE ALL DISPUTES OR QUESTIONS ARISING UNDER THE PROGRAM, INCLUDING THE POWER TO DETERMINE THE RIGHTS OF EMPLOYEES AND TO REMEDY ANY AMBIGUITIES, INCONSISTENCIES OR OMISSIONS -AMEND OR RESTRUCTURE THE PROGRAM AT ANY TIME AND FOR ANY REASON ANNUAL PROCESS: BEGINNING OF CYCLE ACTIVITIES: -MEET WITH THE CEO TO IDENTIFY APPROPRIATE GOALS AND SUPPORTING OBJECTIVES TO BE INCLUDED IN THE INCENTIVE AWARD PROGRAM -PRIORITIZE OBJECTIVES, ESTABLISH/REVIEW STANDARDS OF PERFORMANCE AND AWARD LEVELS FOR THE CEO AND OTHER APPROPRIATE PARTIES -DETERMINE THE FUNDING MECHANISM FOR THE INCENTIVE AWARD -SECURE MARKET INFORMATION WITH REGARD TO THE POSITIONING OF THE CHIEF EXECUTIVE OFFICER AND OTHER APPROPRIATE EXECUTIVES AND SET BASE SALARY FOR THE PERIOD INTERIM ACTIVITY: CONDUCT PROGRESS REVIEW OF CEO'S STATED OBJECTIVES AND STANDARDS OF PERFORMANCE, AS NECESSARY END OF CYCLE ACTIVITY: -REVIEW THE STANDARDS OF PERFORMANCE FOR THE KEY OBJECTIVES AND MEASURE RESULTS -CONSIDER FACTORS INVOLVED IN MANAGERIAL EFFECTIVENESS -CONSIDER ANY UNANTICIPATED RESPONSIBILITIES OR SPECIAL ACCOMPLISHMENTS -SOLICIT PERFORMANCE EVALUATION FROM ALL BOARD MEMBERS -CONDUCT A PERFORMANCE REVIEW OF THE CEO -DETERMINE THE OVERALL EVALUATION AND AWARD LEVEL -RECEIVE A PERFORMANCE REVIEW FROM THE CEO FOR ALL OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND A SUMMARY OF PROPOSED SALARY AND INCENTIVE AWARDS
FORM 990, PART VI, SECTION C, LINE 18	CORTLAND REGIONAL MEDICAL CENTER'S 990 IS AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	CORTLAND REGIONAL MEDICAL CENTER'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN FOUNDATION 432,072. PENSION AND POST RETIREMENT 1,388,678. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 143,202. EQUITY ADJUSTMENT -9,785,640.
FORM 990 PART XII LINE 2C	THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
PART XII LINE 3B	THE YELLOWBOOK AUDIT WAS COMPLETED FOR A $20 MILLION GRANT FROM THE NEW YORK STATE.
SCHEDULE H, PART 1, LINE 7, COL F - GUIDELINES FOR CREDIT & COLLECTIONS	10.THREATENING ARREST OR LEGAL ACTION THAT IS EITHER NOT PERMITTED OR NOT ACTUALLY CONTEMPLATED; 11.ABUSIVE OR PROFANE LANGUAGE USED IN THE COURSE OF COMMUNICATION RELATED TO THE DEBT; 12.COMMUNICATION WITH THIRD PARTIES: REVEALING OR DISCUSSING THE NATURE OF DEBTS WITH THIRD PARTIES (OTHER THAN THE CONSUMER'S SPOUSE OR ATTORNEY, OR OTHERS TO THE ETXENT PERMITTED BY THE FDPA). 13.CONTACT BY EMBARRASSING MEDIA, SUCH AS COMMUNICATING WITH A CONSUMER REGARDING A DEBT BY POST CARD, OR USING ANY LANGUAGE OR SYMBOL, OTHER THAN THE DEBT COLLECTOR'S ADDRESS, ON ANY ENVELOPE WHEN COMMUNICATING WITH A CONSUMER BY USE OF THE MAILS OR BY TELEGRAM, EXCEPT THAT A DEBT COLLECTOR MAY USE HIS BUSINESS NAME IF SUCH NAME DOES NOT INDICATE THAT HE IS IN THE DEBT COLLECTION BUSINESS; 14.REPORTING FALSE INFORMATION ON A CONSUMER'S CREDIT REPORT OR THREATENING TO DO SO IN THE PROCESS OF COLLECTION.
SCHEDULE H, PART III, LINE 8 - FINANCIAL ASSISTANCE POLICY	" NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS " PATIENT BANKRUPTCIES(CHAPTER 7), AND " MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER. " PATIENTS WHO ARE NON-RESIDENTS OF NYS WHO HAVE BEEN APPROVED FOR MEDICAID BY THEIR STATE OF RESIDENCE. III. FOR PATIENTS WHO ARE NON-RESPONSIVE TO THE APPLICATION PROCESS, OTHER SOURCES OF INFORMATION, IF AVAILABLE, MAY BE USED TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE CRMC TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS. IV. FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. CRMC DOES NOT UTILIZE A CREDIT SCORING TOOL AS PART OF THIS PROCESS. F. TIMELINE FOR ESTABLISHING FINANCIAL ELIGIBILITY I. EVERY EFFORT SHOULD BE MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UP TO 240 DAYS AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. II. DETERMINATION FOR FINANCIAL SUPPORT MAY BE MADE PRESUMPTIVELY, HOWEVER PATIENT IS ENCOURAGED TO CONTINUE ALL EFFORTS TO QUALIFY FOR GOVERNMENTAL FINANCIAL ASSISTANCE OR OTHER PROGRAMS. III. CRMC WILL MAKE EVERY EFFORT TO MAKE A FINANCIAL SUPPORT DETERMINATION WITHIN 20 DAYS OF RECEIPT OF COMPLETED APPLICATION. IF OTHER AVENUES OF FINANCIAL SUPPORT ARE BEING PURSUED, CRMC WILL COMMUNICATE WITH THE PATIENT REGARDING THE PROCESS AND EXPECTED TIMELINE FOR DETERMINATION AND SHALL NOT ATTEMPT COLLECTION EFFORTS WHILE SUCH DETERMINATION IS BEING MADE. IV. A PATIENT MAY SUBMIT A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME WITHIN 240 DAYS AFTER THE FIRST BILLING STATEMENT. HOWEVER, EXTRAORDINARY COLLECTION EFFORTS MAY BE COMMENCED AFTER 120 DAYS FROM THE FIRST BILLING STATEMENT, IF NO APPLICATION HAS BEEN SUBMITTED. V. APPROVALS FOR FINANCIAL SUPPORT WILL BE FOR A PERIOD OF 6 MONTHS. ANY SERVICES PROVIDED BEYOND THE FAP APPROVAL PERIOD WILL REQUIRE A NEW APPLICATION. G. TERMS FOR FINANCIAL ASSISTANCE - FULL APPLICATION ONLY I. THE COMPLETED FULL APPLICATION MUST BE ACCOMPANIED WITH THE REQUIRED SUPPORTING DOCUMENTATION AND RETURNED TO CRMC FOR PROCESSING WITHIN 30 DAYS OF RECEIPT OF THE APPLICATION. ONCE THE COMPLETED APPLICATION AND REQUIRED DOCUMENTATION HAS BEEN RECEIVED, CRMC HAS 20DAYS TO PROCESS A WRITTEN APPROVAL OR WRITTEN DENIAL. DETERMINATION OF NEED FOR FINANCIAL ASSISTANCE WILL BE MADE BASED UPON THE INFORMATION PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION ALONG WITH DATA OBTAINED BY CRMC OR SUCH OTHER FIRM RETAINED TO ASSIST THE HOSPITAL IN PROCESSING SUCH APPLICATIONS. APPROVALS FOR FINANCIAL SUPPORT WILL BE FOR A PERIOD OF 6 MONTHS, IN ADDITION FOR APPROVED FULL APPLICATIONS ANY OPEN BALANCES (NOT IN BAD DEBT / COLLECTION) WITHIN 2 YEARS OF APPROVAL DATE ARE ALSO ELIGIBLE FOR THE FAP AWARD. II. PATIENTS HAVE 20 DAYS FROM THE DATE OF THE APPROVAL OR DENIAL TO APPEAL THE DETERMINATION. APPEALS MUST BE SUBMITTED IN WRITING TO: CORTLAND REGIONAL MEDICAL CENTER, 134 HOMER AVENUE, CORTLAND, NY 13045 ATTN: PATIENT FINANCIAL NAVIGATOR. III. INCOMPLETE APPLICATIONS AND/OR MISSING DOCUMENTATION CAN RESULT IN A DENIAL. CRMC WILL ATTEMPT TO GET THE MISSING INFORMATION AFTER THE REVIEW OF THE ORIGINAL APPLICATION. APPLICATIONS DEEMED TO BE INCOMPLETE WILL BE RETURNED TO THE APPLICANT WITH NOTIFICATION THAT FAILURE TO PROVIDE ALL REQUIRED DATA WITHIN 20 DAYS OF RECEIPT OF THE RETURNED APPLICATION WILL RESULT IN A DENIAL FOR FINANCIAL AID. IV. CRMC WILL HOLD THE BILLING FOR ANY ACCOUNTS THAT ARE BEING CONSIDERED FOR FINANCIAL AID. CRMC WILL INFORM THE PATIENT OF SUCH. V. A SEPARATE POLICY, CRMC POLICY # OP-020-23 - BILLING AND COLLECTIONS, ADDRESSES THE ACTIONS THAT THE HOSPITAL MAY TAKE IN THE EVENT OF NONPAYMENT. THOSE ACTIONS SPECIFY 1.OUR CONTRACTED COLLECTION AGENCIES COMPLY WITH CRMC'S FINANCIAL ASSISTANCE POLICY AND WILL PROVIDE APPLICATION INFORMATION TO INDIVIDUALS 2. PROHIBITS THE FORCED SALE OF FORECLOSURE OF AN INDIVIDUAL'S PRIMARY RESIDENCE 3. REQUIRES THE COLLECTION AGENCY TO OBTAIN CRMC'S APPROVAL BEFORE COMMENCING LEGAL ACTION 4. PAYMENT PLANS MONTHLY INSTALLMENTS CANNOT EXCEED 10% OF THE INDIVIDUAL'S MONTHLY GROSS INCOME. A FREE COPY OF CRMC'S BILLING AND COLLECTION POLICY IS AVAILABLE UPON REQUEST BY CALLING 607-756-3838 OR BY WRITTEN REQUEST MAILED TO: CORTLAND REGIONAL MEDICAL CENTER, 134 HOMER AVENUE, CORTLAND, NY 13045 ATTN: PATIENT FINANCIAL NAVIGATOR. VI. H. LEVEL OF FINANCIAL SUPPORT I. CRMC WILL FOLLOW THE INCOME GUIDELINES ESTABLISHED BELOW IN EVALUATING A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT. A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES (FAP), WHICH IS UPDATED ON AN ANNUAL BASIS, IS USED FOR DETERMINING A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT. HOWEVER, OTHER FACTORS, AS IDENTIFIED ABOVE, ALSO SHOULD BE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. II. FAMILY INCOME AT OR BELOW 200% OF FEDERAL POVERTY INCOME GUIDELINES: III. A FULL 100% DISCOUNT OFF ALL UNINSURED PATIENT BALANCES AND/OR INSURED PATIENT RESPONSIBLE BALANCES SPECIFIED BY THEIR INSURANCE CARRIER WILL BE PROVIDED FOR PATIENTS WHOSE FAMILY'S INCOME IS AT OR BELOW 200% OF THE MOST RECENT FEDERAL POVERTY INCOME GUIDELINES. PATIENTS WITH FAMILY INCOME UP TO AND INCLUDING 200% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANCIAL SUPPORT FOR CO-PAY AND DEDUCTIBLE AMOUNTS PROVIDED THAT THERE IS NO CONFLICT WITH CONTRACTUAL ARRANGEMENTS WITH THE PATIENT'S INSURER AND THAT THEY APPLY FOR FINANCIAL ASSISTANCE. IV. FAMILY INCOME BETWEEN 201% AND 300% OF FEDERAL POVERTY INCOME GUIDELINES: A DISCOUNT OFF ALL UNINSURED PATIENT BALANCES AND/OR PATIENT RESPONSIBLE BALANCES SPECIFIED BY THEIR INSURANCE CARRIER WILL BE PROVIDED FOR PATIENTS WHOSE FAMILY'S INCOME FALLS WITHIN 201% TO 300 %OF FPL. DISCOUNT WILL BE BASED UPON FAMILY SIZE AND INCOME, SEE ATTACHMENT A FOR INCOME AND DISCOUNT GUIDELINES. V. MEDICALLY INDIGENT SUPPORT / CATASTROPHIC: FINANCIAL SUPPORT IS ALSO PROVIDED FOR MEDICALLY INDIGENT PATIENTS. MEDICAL INDIGENCE OCCURS WHEN A PERSON IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS BECAUSE THEIR MEDICAL EXPENSES EXCEED A CERTAIN PERCENTAGE OF THEIR FAMILY OR HOUSEHOLD INCOME (FOR EXAMPLE, DUE TO CATASTROPHIC COSTS OR CONDITIONS), REGARDLESS OF WHETHER THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE FINANCIAL ELIGIBILITY REQUIREMENTS FOR FREE OR DISCOUNTED CARE UNDER CRMC'S FAP. CATASTROPHIC COSTS OR CONDITIONS OCCUR WHEN THERE IS A LOSS OF EMPLOYMENT, DEATH OF PRIMARY WAGE EARNER, EXCESSIVE MEDICAL EXPENSES OR OTHER UNFORTUNATE EVENTS. MEDICAL INDIGENCE / CATASTROPHIC CIRCUMSTANCES WILL BE EVALUATED ON A CASE-BY-CASE BASIS THAT INCLUDES A REVIEW OF THE PATIENT'S INCOME, EXPENSES AND ASSETS. IF AN INSURED PATIENT CLAIMS CATASTROPHIC CIRCUMSTANCES AND APPLIES FOR FINANCIAL ASSISTANCE, MEDICAL EXPENSES FOR AN EPISODE OF CARE THAT EXCEED 20% OF INCOME WILL PERMIT CO-PAYS AND DEDUCTIBLES TO QUALIFY AS CATASTROPHIC FINANCIAL ASSISTANCE DISCOUNTS FOR MEDICALLY INDIGENT CARE FOR THE UNINSURED WILL NOT BE LESS THAN CRMC'S AVERAGE CONTRACTUAL ADJUSTMENT AMOUNT FOR MEDICARE FOR THE SERVICES PROVIDED OR AN AMOUNT TO BRING THE PATIENTS CATASTROPHIC MEDICAL EXPENSE TO INCOME RATIO BACK TO 20%. MEDICAL INDIGENT AND CATASTROPHIC FINANCIAL ASSISTANCE WILL BE APPROVED BY CRMC DIRECTOR OF REVENUE CYCLE AND/OR MANAGER OF PATIENT FINANCIAL SERVICES VI. WHILE FINANCIAL SUPPORT SHOULD BE MADE IN ACCORDANCE WITH CRMC'S ESTABLISHED WRITTEN CRITERIA, IT IS RECOGNIZED THAT OCCASIONALLY THERE WILL BE A NEED FOR GRANTING ADDITIONAL FINANCIAL SUPPORT TO PATIENTS BASED UPON INDIVIDUAL CONSIDERATIONS. SUCH INDIVIDUAL CONSIDERATIONS WILL BE APPROVED BY CRMC CFO. G. ACCOUNTING AND REPORTING FOR FINANCIAL SUPPORT I. IN ACCORDANCE WITH THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, FINANCIAL SUPPORT PROVIDED BY CRMC IS RECORDED SYSTEMATICALLY AND ACCURATELY IN THE FINANCIAL STATEMENTS AS A DEDUCTION FROM REVENUE IN THE CATEGORY FINANCIAL ASSISTANCE. FOR THE PURPOSES OF COMMUNITY BENEFIT REPORTING, FINANCIAL ASSISTANCE IS REPORTED AT ESTIMATED COST. II. THE FOLLOWING GUIDELINES ARE PROVIDED FOR THE FINANCIAL STATEMENT RECORDING OF FINANCIAL SUPPORT: " FINANCIAL SUPPORT PROVIDED TO PATIENTS UNDER THE PROVISIONS OF "FINANCIAL ASSISTANCE PROGRAM", INCLUDING THE ADJUSTMENT FOR AMOUNTS GENERALLY ACCEPTED AS PAYMENT FOR PATIENTS WITH INSURANCE, WILL BE RECORDED UNDER "FINANCIAL ASSISTANCE ALLOWANCE." SEE SCHEDULE O FOR CONTINUATION
SCHEDULE H, PART III, LINE 8 - FINANCIAL ASSISTANCE POLICY	" WRITE-OFF OF CHARGES FOR PATIENTS WHO HAVE NOT QUALIFIED FOR FINANCIAL SUPPORT UNDER THIS PROCEDURE AND WHO DO NOT PAY WILL BE RECORDED AS "BAD DEBT." " PROMPT PAY DISCOUNTS WILL BE RECORDED UNDER "OPERATIONAL ADJUSTMENTS- ADMINISTRATIVE OR "CONTRACTUAL ALLOWANCE." " ACCOUNTS INITIALLY WRITTEN-OFF TO BAD DEBT AND SUBSEQUENTLY RETURNED FROM COLLECTION AGENCIES WHERE THE PATIENT WAS DETERMINED TO HAVE MET THE FINANCIAL SUPPORT CRITERIA BASED ON INFORMATION OBTAINED BY THE COLLECTION AGENCY WILL BE RECLASSIFIED FROM "BAD DEBT" TO FINANCIAL ASSISTANCE ALLOWANCE". II. ASSISTING PATIENTS WHO MAY QUALIFY FOR COVERAGE A. CRMC WILL 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. B. CRMC WILL HAVE UNDERSTANDABLE, WRITTEN PROCEDURES TO HELP PATIENTS DETERMINE IF THEY QUALIFY FOR PUBLIC ASSISTANCE PROGRAMS OR CRMC'S FINANCIAL ASSISTANCE POLICY. III. EFFECTIVE COMMUNICATIONS A. CRMC WILL PROVIDE FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR HEALTH CARE BILLS RELATED TO THE SERVICES THEY RECEIVED AT CRMC AND WILL MAKE THE AVAILABILITY OF SUCH COUNSELING. COUNSELING IS AVAILABLE AT TIME OF ADMISSION, DISCHARGE OR AT ANY TIME THE PATIENT CHOOSES TO REQUEST ASSISTANCE. CRMC'S PATIENT FINANCIAL NAVIGATOR IS AVAILABLE BETWEEN THE HOURS OF 8:00 AM AND 4:00 PM MONDAY THROUGH FRIDAY. THE NAVIGATORS OFFICE IS LOCATED ON THE HOSPITALS FIRST FLOOR NEXT TO THE CASHIERS OFFICE. IN ADDITION THE NAVIGATOR WILL ROUTINELY CALL OR WHERE ABLE, VISIT ALL PATIENTS ADMITTED WITH NO INSURANCE. THIS POLICY ONLY COVERS SERVICES PROVIDED BY THE HOSPITAL. THIS POLICY DOES NOT APPLY TO OTHER BILLS YOU MAY RECEIVE FROM PRIVATE PHYSICIANS WHO MAY BE INVOLVED IN YOUR CARE INCLUDING BUT NOT LIMITED TO: RADIOLOGISTS, PATHOLOGISTS, ANESTHESIOLOGISTS OR EMERGENCY ROOM PHYSICIANS. B. RMC WILL RESPOND PROMPTLY AND COURTEOUSLY TO PATIENTS' QUESTIONS ABOUT THEIR BILLS AND REQUESTS FOR FINANCIAL ASSISTANCE. C. CRMC WILL UTILIZE A BILLING PROCESS THAT IS CLEAR, CONCISE, CORRECT AND PATIENT FRIENDLY. PATIENT STATEMENTS WILL INCLUDE INFORMATION ON THE AVAILABILITY OF OUR FINANCIAL AID POLICY AND HOW TO CONTACT CRMC FOR MORE INFORMATION. D. CRMC WILL MAKE AVAILABLE FOR REVIEW BY THE PUBLIC SPECIFIC INFORMATION IN AN UNDERSTANDABLE FORMAT ABOUT WHAT THEY CHARGE FOR SERVICES. E. CRMC WILL POST SIGNS AND DISPLAY BROCHURES THAT PROVIDE BASIC INFORMATION ABOUT THEIR FINANCIAL ASSISTANCE POLICY (FAP) IN PUBLIC LOCATIONS: INCLUDING ALL OUTPATIENT REGISTRATION SITES, ER AND PROMPT CARE. IN ADDITION COPIES OF CRMC'S PLAIN LANGUAGE SUMMARY WILL BE PROVIDED TO ALL INPATIENT AND OBSERVATION PATIENTS AT TIME OF ADMISSION AND OFFERED TO ALL OUTPATIENTS AT INTAKE. F. CRMC WILL MAKE THE FINANCIAL ASSISTANCE POLICY (FAP), A PLAIN LANGUAGE SUMMARY OF THE FAP AND THE FAP APPLICATION FORM AVAILABLE TO PATIENTS UPON REQUEST, IN PUBLIC PLACES IN CRMC - INCLUDING ALL OUTPATIENT REGISTRATION SITES, ER AND PROMPT CARE, VIA MAIL AND ON THE CRMC WEBSITE. CRMC OFFERS ACCESS TO THE INTERNET FOR PATIENTS TO BE ABLE TO VIEW, DOWNLOAD AND PRINT A HARD COPY OF THESE DOCUMENTS. CRMC WILL PROVIDE ANY INDIVIDUAL WHO ASKS INFORMATION ON HOW TO ACCESS A COPY OF THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY OF THE FAP ONLINE WITH THE DIRECT WEBSITE ADDRESS, OR URL, WHERE THESE DOCUMENTS ARE POSTED. G. THESE DOCUMENTS WILL BE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF ANY POPULATION WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTES MORE THAN 100 PEOPLE OR 5 PERCENT OF THE RESIDENTS OF THE COMMUNITY SERVED BY CRMC. CRMC WILL LIST ITS FINANCIAL ASSISTANCE POLICY AND SUPPORTING DOCUMENTS ON THEIR WEBSITE. H. CRMC WILL PROVIDE A DESCRIPTION IN THE FAP OF THE MEASURES TAKEN TO NOTIFY MEMBERS OF THE COMMUNITY SERVED BY CRMC ABOUT THE FAP. SUCH MEASURES MAY INCLUDE, FOR EXAMPLE, THE DISTRIBUTION OF INFORMATION SHEETS SUMMARIZING THE FAP TO LOCAL PUBLIC AGENCIES AND NONPROFIT ORGANIZATIONS THAT ADDRESS THE HEALTH NEEDS OF THE COMMUNITY'S LOW INCOME POPULATIONS. IV. IMPLEMENTATION OF ACCURATE AND CONSISTENT POLICIES A. PATIENT FINANCIAL SERVICES AND PATIENT ACCESS WILL EDUCATE STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS, PHYSICIAN OFFICES) ABOUT BILLING, FINANCIAL ASSISTANCE, COLLECTION POLICIES AND PRACTICES, AND TREATMENT OF ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. B. CRMC WILL HONOR FINANCIAL SUPPORT COMMITMENTS THAT WERE APPROVED UNDER PREVIOUS FINANCIAL ASSISTANCE GUIDELINES. AT THE END OF THAT ELIGIBILITY PERIOD THE PATIENT MAY BE RE-EVALUATED FOR FINANCIAL SUPPORT USING THE GUIDELINES ESTABLISHED IN THIS PROCEDURE. REFERENCES: " PATIENT PROTECTION AND AFFORDABLE CARE ACT STATUTORY SECTION 501(R) " INTERNAL REVENUE SERVICE SCHEDULE H (FORM 990) DEPARTMENT OF TREASURY, INTERNAL REVENUE SERVICE, ADDITIONAL REQUIREMENTS FOR CHARITABLE HOSPITALS; PROPOSED RULE: VOLUME 77, NO. 123, PART II, 26 CFR,
SCHEDULE H, PART VI, LINE 2	DIABETIC PATIENTS: THIS INITIATIVE WILL INCLUDE DETERMINING THE STATUS OF HBA1C TESTING, LIPID TESTING, DILATED EYE EXAMS AND NEPHROPATHY MONITORING IN THE CDE'S OVERALL EVALUATION OF INPATIENT DIABETICS. THERE WILL BE AN EFFORT TO INCREASE THE NUMBER OF PATIENTS RECEIVING HBA1C TESTING DURING THEIR HOSPITAL STAY. EDUCATE PROVIDERS WHO CARE FOR THESE PATIENTS OUTSIDE THE HOSPITAL. MATERNAL INFANT HEALTH: EXPAND NUMBER OF PROVIDERS PARTICIPATING IN PERINATAL/POSTPARTUM TOBACO HEALTH SYSTEMS PLAN. CONTINUE WITH CORTLAND COUNTY BREASTFEEDING PARTNERSHIP. ONGOING EDUCATIONAL MESSAGING TO PREGNANT WOMEN, WOMEN OF CHILD-BERING AGE ABOUT THE BENEFITS OF BREASTFEEDING. WORK WITH COUNTY DOH TO DEVELOP A SYSTEM FOR REFERRAL OF BREASTFEEDING WOMEN TO PROFESSIONAL SUPPORT POST-HOSPITAL DISCHARGE. MENTAL HEALTH AND PREVENTION SUBSTANCE ABUSE: PARTNER WITH COUNTY DOH MENTAL HEALTH AGENCIES AND OTHER COMMUNITY PARTNERS TO ESTABLISH A COALITION TO FOCUS ON STRENGTHENING MENTAL HEALTH, ADDICTIONS SERVICES AND INFRASTRUCTURE. DEVELOP AN EDUCAITONAL CAMPAIGN MAKING COMMUNITY MEMBERS AWARE OF NARCAN USE AND DISTRIBUTION THROUGHOUT THE COMMUNITY. DEVELOP A TASK FORCE TO CONSIDER WAYS TO BEGIN ADDRESSING AND PREVENTING PERSCRIPTION DRUG MISUSE AND ABUSE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
CMH FOUNDATION
134 HOMER AVENUE	CORTLAND	NY	13045	222230692	RAISE FUNDS ONLY FOR THE HOSPITAL	NY	501(C)(3)	7	CMH GROUP	0
REGIONAL MEDICAL PRACTICE
134 HOMER AVENUE	CORTLAND	NY	13045	204848729	PHYSICIAN GROUP	NY	501(C)(3)	3	CORTLAND REGIONAL MEDICAL CENTER	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CMH SERVICES
134 HOMER AVENUE	CORTLAND	NY	13045	161370440	DURABLE MEDICAL EQUIPMENT	NY	CM GROUP	C	0
CMH GROUP
134 HOMER AVENUE	CORTLAND	NY	13045	222933722	PARENT CORPORATION	NY		C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
REGIONAL MEDICAL PRACTICE
A	$164,515	FMV
REGIONAL MEDICAL PRACTICE
Q	$3,402,272	FMV
REGIONAL MEDICAL PRACTICE
P	$2,857,626	FMV
REGIONAL MEDICAL PRACTICE
R	$5,100,000	FMV