2017-11-13T12:21:08-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 161576637 FAXTON ST LUKE'S HEALTHCARE FAXT 3156246000 PO BOX 479 UTICA NY 13502 LOUIS AIELLO CFO/SR VP 3156246143 2017-11-09 1 ANGELA M FRANCO P00589741 3154463600 2017-11-09 24.39.85.114 2017-11-09 08:42:37 ES P 40F9A3B361C6878670E99E8CE125BB29C88B706C 315614A2A569D91B0F4A84342C1D145A8997199D 2016 2017-02-10 21:41:12Z LOUIS AIELLO PO BOX 479 UTICA NY 13502 291718946 0 X FAXTONSTLUKES.COM X 2000 NY TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. 19 17 2837 235 478842 0 1757744 1409971 267603957 273563013 2822297 840502 13176907 15713744 285360905 291527230 0 0 0 0 155348867 162630575 0 0 0 125509683 127938235 280858550 290568810 4502355 958420 244819264 251469563 108140390 110242582 136678874 141226981 X FAXTON ST LUKES HEALTHCARE, INCS MISSION IS TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. OUR VISION IS TO BE THE TRUSTED HEALTHCARE SYSTEM OF CHOICE THROUGH CLINICAL QUALITY, EXCELLENCE IN SERVICE AND EDUCATION, COMPASSIONATE CARE, PROMOTION OF WELLNESS AND OPERATIONAL EFFICIENCY. 1 0 97335556 107369809 INPATIENT/ACUTE CARE SERVICES - FSLH IS A FULL SERVICE GENERAL HOSPTIAL WITH 320 LICENSED BEDS. THE HOSPTIAL PROVIDES A FULL RANGE OF ANCILLARY SERVICES, INCLUDING MATERNITY AND NEWBORN CARE SERVICES. DISBURSEMENTS MADE BY THE HOSPTIAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. FSLH PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. 31388104 47132435 AMBULATORY/OUTPATIENT SURGERY - FSLH HAS A FULL RANGE OF AMBULATORY SURGERY SERVICES ON ITS CAMPUS FOR PATIENTS THAT DO NOT REQUIRE OVERNIGHT OR LONG INPATIENT STAYS. FSLH PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. 37890729 45910547 PRIMARY CARE SERVICES - THE MHVS PRIMARY CARE NETWORK ENCOMPASSES 10 LOCATIONS AND 64 PROVIDERS (PHYS/NP), WITH 116,385 PATIENT VISITS PER YEAR. IN ADDITION TO OUR PRIMARY CARE, WE ARE EXPANDING OUR CURRENT SPECIALTY PRACTICES OF SURGERY, ORTHOPEDICS, NEUROSURGERY, PULMONARY AND VASCULAR SERVICES IN OUR COMMUNITY. FSLH PROVIDES SERVICES TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. 86180474 88385124 RENAL DIALYSIS, CANCER CARE, RADIOLOGY, AUDIO/SPEECH DIAGNOSTICS, REHABILITATION, DIABETES EDUCATION, STROKE CENTER, ORTHOPEDIC, NEUROSURGERY, VASCULAR SURGERY, PULMONARY, NEURO INTERVENTIONAL 86180474 88385124 252794863 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 375 0 1 2837 1 1 1 1 NL 0 0 0 0 0 0 0 0 X 19 17 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LOUIS AIELLO 3156246143 PO BOX 479 UTICA NY 13502 NORMAN SIEGEL CHAIR 1.50 3.50 X X 0 0 0 GREGORY B MCLEAN VICE CHAIR 1.00 2.50 X X 0 0 0 GREGORY EVANS SECRETARY 1.00 2.50 X X 0 0 0 RICHARD ZWEIFEL TREASURER 1.00 2.50 X X 0 0 0 RICHARD TANTILLO BOARD MEMBER 1.00 2.50 X 0 0 0 TODD HUTTON PHD BOARD MEMBER 1.00 2.50 X 0 0 0 STEPHEN SWEET BOARD MEMBER 1.00 2.50 X 0 0 0 DOMENIC P AIELLO MD BOARD MEMBER 1.00 2.50 X 0 0 0 MARIA GESUALDO DO BOARD MEMBER 1.00 2.50 X 0 27708 0 BONNIE WOODS BOARD MEMBER 1.00 2.50 X 0 0 0 BARBARA BRODOCK BOARD MEMBER 1.00 3.50 X 0 0 0 CATHERINE COMINSKY BOARD MEMBER 1.00 2.50 X 0 0 0 ANDREW KOWALCZYK III BOARD MEMBER 1.00 2.50 X 0 0 0 SYMEON TSOUPELIS BOARD MEMBER 1.00 2.50 X 0 0 0 BRIAN BOYLE MD BOARD MEMBER/FSLH MEDICAL 1.00 2.50 X 0 0 0 ROBERT FLEISCHER DO BOARD MEMBER/SEMC MEDICAL 1.00 2.50 X 0 0 0 JOAN COMPSON BOARD MEMBER 1.00 2.50 X 0 0 0 KATHLEEN SELLARS BOARD MEMBER 1.00 2.50 X 0 0 0 LAUREN BULL BOARD MEMBER 1.00 2.50 X 0 0 0 SCOTT PERRA FACHE PRESIDENT/CEO 30.00 25.00 X 898008 0 32124 LOUIS AIELLO SR VICE PRESIDENT/CFO 27.00 23.00 X 0 421902 27343 ROBERT SCHOLEFIELD RN MS SR VICE PRESIDENT/COO 30.00 20.00 X 0 394897 27288 MICHAEL F TREVISANI MD SR VICE PRESIDENT/CMO 30.00 20.00 X 429264 0 24498 PATRICIA ROACH MS RN NEA-BC SR VICE PRESIDENT/CNO 30.00 20.00 X 349987 0 35601 ANDREW PELLECCHIA PHYSICIAN 50.00 X 600530 0 22516 PETER OJURO MD PHYSICIAN 50.00 X 550530 0 17062 JOHN SPERLING MD PHYSICIAN 50.00 X 505063 0 11893 ROBERT WASICZKO MD PHYSICIAN 50.00 X 499626 0 20472 MEIRA YEGER-MCKEEVER MD PHYSICIAN 50.00 X 433409 0 24344 ERIC YOSS MD FORMER BOARD MEMBER 51.00 2.50 X 260951 0 11062 4527368 844507 254203 198 1 1 0 DHP MANAGEMENT SERVICES INC 265 BROOKVIEW CENTRE WAY KNOXVILLE TN 37919 PHYSICIAN/MEDICAL SERVICES 1769650 SUNSET ANESTHESIA ASSOCIATES 1676 SUNSET AVE UTICA NY 13502 ANESTHESIA SERVICES 1675161 ALLSCRIPTS HEALTHCARE LLC 8529 SIX FORKS RD FORUM IV RALEIGH NC 27615 EMR SERVICES 1614270 NY RADIATION THERAPY MNGMNT 2234 COLONIAL BLVD FORT MEYERS FL 33907 RADIATION PHYSICIAN SERVICES 1494900 YONKERS RADIATION MEDICAL PRACTICE PC 2234 COLONIAL BLVD FORT MEYERS FL 33907 RADIATION THERAPY MNGMT SERVICES 1494217 163 293032 1107341 9598 1409971 ACUTE CARE 622200 107369809 107369809 AMBULATORY SURGERY 622200 47132435 47132435 PRIMARY CARE 622200 45910547 45910547 RENAL DIALYSIS 622200 19101256 19101256 CANCER CARE 622200 15530805 15530805 38518161 38518161 273563013 1032218 1032218 478842 0 478842 478842 478842 191716 -191716 -191716 -191716 340B CONTRACT 900099 6801537 6801537 RETAIL PHARMACY 900099 4069343 4069343 NH SCANNER 900099 563039 563039 3800983 3800983 15234902 291527230 288797915 478842 840502 X 1769483 730235 1039248 135948408 119084330 16864078 6485807 5642652 843155 8576629 7461667 1114962 9850248 8569716 1280532 660363 520525 139838 396676 396676 121173 121173 44404 44404 30542397 24074767 6467630 230111 181383 48728 1018251 802627 215624 5000961 3941962 1058999 6742913 5315040 1427873 713286 562241 151045 1743087 1373973 369114 14272035 10962865 3309170 2548683 2008976 539707 MEDICAL SUPPLIES 47566970 47566970 BAD DEBT 5277238 5277238 SERVICE CONTRACTS 3114655 2455099 659556 NON MEDICAL SUPPLIES 3107890 2449766 658124 4837142 3812831 1024311 290568810 252794863 37773947 0 95789 305925 345901 25233 38999630 31516572 5873363 6280789 2945177 3283009 319512787 242095166 77041259 77417621 79443372 83697912 10993079 9432258 29081694 39510242 244819264 251469563 36024145 37821881 5915000 5660000 13218936 7805176 52982309 58955526 108140390 110242582 X 127892575 132869688 4258135 3829129 4528164 4528164 136678874 141226981 244819264 251469564 X 958420 3604758 -15071 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 44404 44404 0 PART II-B, LINE 1: PARTICIPATION IS BASED ON THE MEMBERSHIP DUES PAID TO HANYS AND IROQUOIS HEALTHCARE ASSOCIATION AS INDICATED ON LINE 2. THE FOLLOWING NARRATIVES, WERE TAKEN DIRECTLY FROM THEIR RESPECTIVE WEBSITES: 1. HANYS IS PROUD TO BE THE ONLY STATEWIDE ASSOCIATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF NEW YORK'S HOSPITALS AND HEALTH SYSTEMS AT ALL LEVELS OF THE FEDERAL AND STATE GOVERNMENT. HANYS HAS ACCESS TO POLICY LEADERS, REGARDLESS OF THEIR POLITICAL AFFILIATION AND IS AN INTEGRAL PLAYER IN HEALTH POLICY DISCUSSIONS. HANYS ALSO COMMUNICATES MEMBERS CONCERNS AND POSITIONS TO NEW YORK AND NATIONAL MEDIA IN SUPPORT OF THE ASSOCIATIONS LEGISLATIVE AND REGULATORY INTITIATIVES. 2. THE AMERICAN HOSPITAL ASSOCIATION (AHA) IS THE NATIONAL ORGANIZATION THAT REPRESENTS AND SERVES ALL TYPES OF HOSPITALS, HEALTH CARE NETWORKS AND THEIR PATIENTS AND COMMUNITIES. HOSPITALS, HEALTH CARE SYSTEMS, NETWORKS AND OTHER PROVIDERS OF CARE, AS WELL AS INDIVIDUAL MEMBERS, COME TOGETHER TO FORM THE AHA. THROUGH AHA REPRESENTATION AND ADVOCACY ACTIVITIES, AHA ENSURES THAT MEMBERS PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES AND JUDICIAL MATTERS. ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS. THE AHA PROVIDES EDUCATION FOR HEALTH CARE LEADERS AND IS A SOURCE OF INFORMATION ON HEALTH CARE ISSUES AND TRENDS. 3.IROQUOIS IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSATE HOSPITALS AND HEALTH CARE SYSTEM MEMBERS. IROQUOIS PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. IROQUOIS PROVIDES REPRESENTATION AND ADVOCACY AT THE STATE LEVEL BY EFFECTIVELY LOBBYING THE STATE LEGISLATURE, AND ESTABLISHING CLOSE WORKING RELATIONSHIPS WITH THE GOVERNORS OFFICE, STATE AGENCY OFFICIALS, AND REGULATORY REPRESENTATIVES. IROQUOIS INFLUENCES PUBLIC POLICY DEVELOPMENT THROUGH BOTH LEGISLATIVE AND REGULATORY ADVOCACY EFFORTS. REGIONAL ACTIVITIES, SUCH AS HOSTING LEGISLATORS AND MEETING WITH LOCAL OFFICIALS, ARE CRITICAL TO MAINTAINING A UNIFIED VOICE FOR LEGISLATIVE AND REGULATORY ACTION. IROQUOIS CONTINUES TO WORK WITH THE NY STATE ADMINISTRATION TO ADDRESS ISSUES AFFECTING UPSTATE HOSPITALS, REVIEW THE EXECUTIVE BUDGET PROPOSAL AND ALSO WORK WITH THE STATE LEGISLATURE. ALL ADVOCACY EFFORTS FOCUS ON THE SIMPLE TRUTH THAT HOSPITALS EXIST TO SERVE. THEIR ABILITY TO SERVE WELL, REQUIRES A RELATIONSHIP WITH THEIR COMMUNITIES BUILT ON TRUST AND COMPASSION. TO SERVE COMMUNITES WELL, HOSPITALS MUST ALSO MANAGE RESOURCES IN A CHALLENGING ENVIRONMENT. 8831087 1654343 133577 2083349 8535658 8810474 304481 283868 8831087 8468974 341500 8810474 7959531 509443 8468974 7919823 41047 -1339 7959531 0.02090 0.53050 0.44860 0 1 1 2200047 2200047 120703694 88870996 31832698 4684619 2802878 1881741 186157299 146613579 39543720 5767128 3807713 1959415 77417621 MUTUAL FUNDS INVESTMENT 46571288 F COMMON STOCK INVESTMENT 2207935 F CORPORATE OBLIGATIONS 34587531 F CASH AND CASH EQUIVALENTS 331158 F 83697912 OTHER ASSETS 9856869 DUE FROM AFFILIATES 3406057 UNAMORTIZED DEBT ISSUANCE COSTS 370486 WC INSURANCE RECEIVABLE LT, NET 7353127 G&P INSURANCE RECEIVABLE LT, NET 16574778 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS, NET 1948925 39510242 2006 SERIES TAXABLE BONDS 9460000 CAPITAL LEASE OBLIGATIONS 9559724 UNREALIZED LOSS ON INTEREST RATE SWAPS 3966550 WC INSTURANCE RECEIVABLE ST/LT 7353127 G&P INSURANCE RECEIVABLE ST/LT 18934778 ESTIMATED SELF INSURED LIABILITIES 9681347 58955526 X PART V, LINE 4: PERMANENT ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED TO SUPPORT CHARITY CARE, HEALTH CARE SERVICES, SCHOLARSHIPS AND FACILITY MAINTENANCE. TEMPORARY ENDOWMENT FUNDS ARE DONOR CONTRIBUTIONS RESTRICTED BY THE DONORS FOR SPECIFIC PURPOSES. PART X, LINE 2: HEALTHCARE IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501C(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2016 AND 2015, HEALTHCARE DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2013-2016. HEALTHCARE DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 1 1 X 1 X 250.000000000000 1 X 325.000000000000 1 1 0 1 1 1652574 522852 1129722 0.00390 49734497 40485510 9248987 0.03180 51387071 41008362 10378709 0.03570 1158185 0 1158185 0.00400 1126267 681397 444870 0.00150 15583795 13897419 1686376 0.00580 61614 0 61614 0.00020 17929861 14578816 3351045 0.01150 69316932 55587178 13729754 0.04720 0 0 10250 0 10250 0.00000 17457 3337 14120 0.00000 1009 0 1009 0.00000 7130 525 6605 0.00000 17803 0 17803 0.00010 460828 242883 217945 0.00080 0 0 0 0 514477 246745 267732 0.00090 1 1705819 627262 107994141 136211631 -28217490 X 1 1 1 NEW HARTFORD SCANNER MEDICAL IMAGING SERVICES 0.60000 0.00000 0.40000 2 MOHAWK VALLEY ENDOSCOPY CENTER CARDIAC SURGICAL SERVICES 0.30000 0.00000 0.00000 1 1 FAXTON ST LUKES HEALTHCARE INC PO BOX 479 UTICA NY 13503 FAXTONSTLUKES.COM 17-30-91 X X X DENTAL CLINIC;DIAGNOSTICS;MEDICAL IMAGING;DIALYSIS; L&D; URGENT CARE FAXTON ST LUKES HEALTHCARE INC 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://FAXTONSTLUKES.COM X 1 16 1 HTTP:/FAXTONSTLUKES.COM 0 1 X 250.000000000000 325.000000000000 X X 1 1 X X X X 1 X WWW.MVHEALTHSYSTEM.ORG/BILLING X WWW.MVHEALTHSYSTEM.ORG/BILLING X WWW.MVHEALTHSYSTEM.ORG/BILLING X X X X X X 1 X 0 X X X 1 X 0 0 FAXTON ST LUKES HEALTHCARE, INC. PART V, SECTION B, LINE 5: IN 2013, THE ONEIDA COUNTY HEALTH DEPARTMENT (OCHD), HOSPITALS, AND REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS CONVENED TO DEVELOP THE 2013-2017 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. THE PLANNING GROUP MET REGULARLY TO DISCUSS THE DATA, COMMUNITY INPUT, AND HEALTH PRIORITIES. INPUT WAS COLLECTED FROM A LARGE COMMUNITY FORUM WITH STAKEHOLDER FEEDBACK ON COMMUNITY STRENGTHS, WEAKNESSES, AND PRIORITY AREAS FOR IMPROVEMENT. A CHA/CHIP PLANNING TEAM COMPRISED OF OCHD, FSL, SEMC AND RMH STAFF MET REGULARLY STARTING IN EARLY 2016. THE PLANNING TEAM MET TO REVIEW AND DISCUSS THE 2016-2018 CHA/CHIP UPDATE PROCESS, CLARIFY EXPECTATIONS, AND DEVELOP A DETAILED WORK PLAN WITH TEAM RESPONSIBILITIES, ASSIGNED TASKS, AND DEADLINES TO DEVELOP AND FINALIZE THE PLAN UPDATE. THE PLANNING TEAM CAME TO CONSENSUS ON THE APPROACH TO UPDATE THE CHA AND REASSESS PRIORITIES ESTABLISHED IN THE CHIP. DATA FROM THE ONEIDA COUNTY PREVENTION AGENDA DASHBOARD, NEW YORK STATE QUITLINE PARTNERS REPORTS, ONEIDA COUNTY TEEN ASSESSMENT PROJECT (TAP), PEDIATRIC NUTRITION SURVEILLANCE SYSTEM (PEDNSS) REPORTS,COUNTY HEALTH RANKINGS, BRIDGES COMMUNITY SURVEY, AND THE CNY CARE COLLABORATIVE CNYCC) COMMUNITY HEALTH ASSESSMENT WERE REVIEWED TO ASSESS AREAS FOR IMPROVEMENT AND STATUS IN ACHIEVING THE GOALS AND OBJECTIVES OUTLINED IN THE PREVIOUS CHIP. THE CNYCC COMMUNITY HEALTH ASSESSMENT AND WORK TO SUPPORT THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), AN INITIATIVE TO TRANSFORM THE HEALTH SYSTEM OF NEW YORK STATE, WERE ALSO FACTORED INTO THE ASSESSMENT PROCESS. IN MARCH 2016, THE PLANNING TEAM PRESENTED TO THE ONEIDA COUNTY HEALTH COALITION GENERAL MEMBERSHIP (APPROXIMATELY 60 PEOPLE IN ATTENDANCE) INFORMATION ON THE CHA AND CHIP ACTIVITIES. THE OCHC IS COMPRISED OF BROAD REPRESENTATION OF SECTORS AND ORGANIZATIONS THAT CONVENE UNDER THE DIRECTION OF THE OCHD TO DISCUSS AND ANALYZE DATA ON VARIOUS HEALTH ISSUES AND TRENDS. PARTNERS WERE PROVIDED WITH A SUMMARY OF THE PREVENTION AGENDA DATAAND THE SELECTED CHIP FOCUS AREAS AND WORK GROUP ACTIVITIES. MEMBERS WERE APPRISED OF AND INVITED TO PARTICIPATE IN THE WORK GROUPS AND COMMUNITY HEALTH ASSESSMENT ACTIVITIES. AS A FOLLOW UP TO COLLECT MORE IN-DEPTH PARTNER FEEDBACK, IN MAY 2016, THE PLANNING TEAM CONVENED MEMBERS OF THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE, A GROUP OF APPROXIMATELY 20 COMMUNITY AGENCIES AND ORGANIZATIONS THAT OVERSEE AND GUIDE THE LARGERCOMMUNITY HEALTH PARTNERSHIP. PARTNERS WERE PRESENTED WITH AN OVERVIEW OF THE COMMUNITY HEALTH ASSESSMENT UPDATE AND COMMUNITY HEALTH IMPROVEMENT PLAN REQUIREMENTS, CHIP WORK GROUP PROJECTS, TIMELINES, AND STATUS IN ACHIEVING THE DEFINED GOALS AND OBJECTIVES. THE PREVENTION AGENDA INDICATOR DATA AND GOALS WERE REVIEWED ALONG WITH AN OVERVIEW OF HOW EACH OF THE FOCUS AREAS ALIGN WITH HOSPITAL DSRIP INITIATIVES, SPECIFICALLY: THE INITIATIVES OF THETOBACCO CESSATION WORK GROUP ALIGNED WITH DSRIP FOCUS AREAS TO DSRIP 4.D.I. -REDUCE PRETERM BIRTHS AND DSRIP 3.B.I. - CARDIOVASCULAR DISEASE MANAGEMENT AND THE INITIATIVES OF THE BREASTFEEDING WORK GROUP INDIRECTLY ALIGN WITH DSRIP GOALS (E.G., HEALTHY START FOR BABIES AND HEALTH BENEFITS TO MOTHER) TO REDUCE UNNECESSARY UTILIZATION THROUGH PRIMARY PREVENTION. THE PLANNING TEAM OUTLINED ITS SUCCESSES AND CHALLENGES AND OBTAINED INPUT FROM THESTEERING COMMITTEE ON AREAS FOR IMPROVEMENT AND IDENTIFIED OTHER POTENTIAL PARTNERS OR RESOURCES THAT COULD SUPPORT CHIP WORK GROUP ACTIVITIES. AS A RESULT OF THE DIALOGUE, THE OCHC STEERING COMMITTEE REAFFIRMED THAT THE PLANNING TEAM AND WORK GROUPS SHOULD CONTINUE THEIR EFFORTS TO ADDRESS THE CHIP FOCUS AREAS AND GOALS OUTLINED IN THE 2013- 2017 CHIP. THE PLANNING TEAM ALSO ESTABLISHED MECHANISMS TO COLLECT COMMUNITY PERSPECTIVE ON THECHIP FOCUS AREAS. HEALTH DEPARTMENT STAFF PRESENTED A SHORT COMMENT CARD TO COMMUNITY MEMBERS AT ALL SEVEN (7) PUBLIC HEALTH EVENTS ON NEEDS AND PERCEPTIONS RELATED TO TOBACCO CESSATION AND BREASTFEEDING. THE RESULTS OF THIS FEEDBACK ARE IN APPENDIX B. ADDITIONALLY, THE PLANNING TEAM REVIEWED THE FINDINGS FROM THE CNYCC NEEDS ASSESSMENT WHICH INCLUDED A PRIMARY CARE ASSESSMENT, CNY CONSUMER ACCESS SURVEY, CNY SAFETY NET ASSESSMENT (MEDICAID AND SELF-PAY POPULATIONS) AND KEY INFORMANT INTERVIEWS. FAXTON ST LUKES HEALTHCARE, INC. PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED FSLH, SEMC, ROME MEMORIAL HOSPITAL. FAXTON ST LUKES HEALTHCARE, INC. PART V, SECTION B, LINE 6B: PARTNERS INCLUDE THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE AND THE TWO PREVENTION AGENDA PRIORITY AREA WORK GROUPS THAT FOCUS ON TOBACCO USE CESSATION AND BREASTFEEDING. THE COALITION CONSISTS OF COMMUNITY PARTNERS INCLUDING HOSPITALS, OCHD AND COMMUNITY ORGANIZATIONS. THE STEERING COMMITTEE ASSISTED BY REAFFIRMING OUR PRIORITY AREAS AND WILL SERVE AS AN ONGOING RESOURCE FOR IMPLEMENTATION EFFORTS. OUR PRIORITY AREA WORKGROUPS INCLUDE MEMBERS FROM ONEIDA COUNTY HOSPITALS, OCHD AND COMMUNITY ORGANIZATION STAFF MEMBERS WHO HAVE A FOCUS ON THE PRIORITY AREA. FAXTON ST LUKES HEALTHCARE, INC. PART V, SECTION B, LINE 11: SINCE 2014, THE TOBACCO CESSATION AND BREASTFEEDING WORK GROUPS HAVE BEEN MEETING QUARTERLY TO REVIEW WORK PLANS AND MONITOR DATA. IN CONSULTATION WITH THE PLANNING TEAM, WORK GROUPS REVIEWED THE PREVENTION AGENDA INDICATORS SPECIFIC TO THEIR GOALS, ASSESSED CURRENT STATUS, REAFFIRMED INITIATIVES AND COMMUNITY PARTNERS AND ADJUSTED WORK PLANS FOR 2017-2018. EACH OF THE WORK GROUPS' MAJOR ACCOMPLISHMENTS AND CHALLENGES TO DATE WERE OUTLINED AS FOLLOWS:A. TOBACCO CESSATION WORK GROUP1. SUCCESSFULLY IMPLEMENTED FAX-TO-QUIT/OPT-TO-QUIT POLICIES WITHIN THREE HOSPITALS IN THE COUNTY AND APPLICABLE OCHD PROGRAM, CONTRIBUTING TO THE INCREASE IN CESSATION REFERRALS.2. SUCCESSFULLY ESTABLISHED RELATIONSHIPS WITH AREA SCHOOLS TO OFFER TOBACCO PREVENTION EDUCATION SESSIONS.3. SUCCESSFULLY DEVELOPED PARTNERSHIPS TO OFFER CESSATION CLASSES.4. SAW AN INCREASE IN NUMBER OF CALLS TO THE QUITLINE: 458 (2015) TO 980 (2016 YTD)5. ONEIDA COUNTY HEALTH DEPARTMENT CLINIC STAFF TRAINED IN AND USING 5 A'S WITH PATIENTS.B. BREASTFEEDING WORK GROUP1. SUCCESSFULLY SUPPORTED COMMUNITY PEER-TO-PEER SUPPORTS FOR BREASTFEEDING WOMEN.2. SUCCESSFULLY IMPLEMENTED DIRECT REFERRAL SYSTEMS FOR TWO OB CLINICS TO REFER WOMEN TO WIC.3. SUCCESSFULLY STARTED PARTNERSHIP WITH EDUCATION FOR CHILD CARE PROVIDERS.4. SUCCESSFULLY IMPLEMENTED THE BREASTFEEDING FRIENDLY PLACES IN THE COMMUNITY THROUGH THE BREASTFEED YOUR BABY HERE (BYBH) INITIATIVE.5. MEDIA PROMOTION TO SUPPORT OPENING OF ADDITIONAL BREASTFEEDING CAF LOCATION TARGETING UNDERSERVED POPULATIONS.6. FSLH PARTICIPATED IN GREAT BEGINNINGS LEARNING COLLABORATIVE.7. COMMUNITY EDUCATION AND WEIGH STATIONS PROVIDED ONGOING BREASTFEEDING SUPPORT (RMH AND OCHD).8. CHALLENGE IN EFFECTIVENESS OF FEEDING COUNSELING SESSIONS AT OB CLINICS. ALTHOUGH A SUBSTANTIAL AMOUNT OF WOMEN WERE EDUCATED, SIGNIFICANT CHANGES IN BREASTFEEDING OUTCOMES AT DELIVERY WERE NOT SEEN AND IT WAS NOT A SUSTAINABLE MODEL.9. CHALLENGE IN CONNECTING DELIVERY PATIENTS WITH WIC PEER COUNSELORS UPON DELIVERY. IDENTIFIED INDIRECT WAYS TO MAKE THIS TIMELY CONNECTION, MAINLY THROUGH USING SOCIAL MEDIA. 22 1 - MVHS ORTHOPEDIC GROUP 1903 SUNSET AVE UTICA NY 13502 PHYSICIAN OFFICE 2 - MVHS SURGICAL GROUP 1656 CHAMPLIN AVE PROF OFFICE BLDNG UTICA NY 13502 PHYSICIAN OFFICE 3 - WOMEN'S MEDICAL IMAGING CENTER 106 BUSINESS PARK DRIVE UTICA NY 13502 RADIOLOGY SERVICES 4 - MVHS MOHAWK VALLEY MEDICAL GROUP 201 EAST STATE STREET HERKIMER NY 13350 PHYSICIAN OFFICE 5 - HERKIMER DIALYSIS CENTER 201 EAST STATE STREET HERKIMER NY 13350 DIALYSIS SITE 6 - ONEIDA DIALYSIS CENTER 221 BROAD STREET ONEIDA NY 13421 DIALYSIS SITE 7 - DENTAL HEALTH CENTER 1714 BURRSTONE ROAD NEW HARTFORD NY 13413 DENTAL CLINIC 8 - MVHS NEW HARTFORD MEDICAL GROUP 8411 SENECA TURNPIKE NEW HARTFORD NY 13413 PHYSICIAN OFFICE 9 - MVHS WASHINGTON MILLS MEDICAL GROUP 3946 ONEIDA STREET NEW HARTFORD NY 13413 PHYSICIAN OFFICE 10 - MASONIC CARE COMMUNITY DIALYSIS 2150 BLEEKER STREET UTICA NY 13501 DIALYSIS SITE 11 - ROME DIALYSIS CENTER 91 PERIMETER ROAD SUITE 140 ROME NY 13440 DIALYSIS SITE 12 - MVHS BARNEVELD MEDICAL GROUP 7980 STATE RT 12 BARNEVELD NY 13304 PHYSICIAN OFFICE 13 - MVHS WHITESBORO MEDICAL GROUP 37 MAIN STREET WHITESBORO NY 13492 PHYSICIAN OFFICE 14 - MVHS BOONVILLE MEDICAL GROUP 13460 STATE ROUTE 12 BOONVILLE NY 13309 PHYSICIAN OFFICE 15 - MVHS NORTH UTICA MEDICAL GROUP 35 RIVERSIDE DRIVE UTICA NY 13502 PHYSICIAN OFFICE 16 - HAMILTON DIALYSIS CENTER 10 EATON STREET HAMILTON NY 13346 DIALYSIS SITE 17 - MVHS WATERVILLE MEDICAL GROUP MADISON ST BUS PARK 358 MADISON AVE WATERVILLE NY 13480 PHYSICIAN OFFICE 18 - MVHS NEUROSURGERY GROUP 1656 CHAMPLIN AVE PROF OFFICE BLDNG UTICA NY 13502 PHYSICIAN OFFICE 19 - ROME RADIATION SATELLITE 91 PERIMETER ROAD SUITE 130 ROME NY 13440 RADIATION SITE 20 - CENTER FOR REHABCONTINUING CARE SRVCS 1650 CHAMPLIN AVE UTICA NY 13502 INTENSIVE REHAB UNIT/CONTINUING CARE SERVC CTR 21 - MVHS CLINTON MEDICAL GROUP 101 COLLEGE STREET CLINTON NY 13323 PHYSICIAN OFFICE 22 - MVHS SAUQUOIT MEDICAL GROUP 2888 ONEIDA STREET SAUQUOIT NY 13456 PHYSICIAN OFFICE PART I, LINE 7: THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS. PART II, COMMUNITY BUILDING ACTIVITIES: #2 ECONOMIC DEVELOPMENT:SCHOOL AND BUSINESS ALLIANCE SUMMER YOUTH EMPLOYMENT PROGRAM (SABA)-STUDENTS WERE ASSIGNED TO WORK THROUGHOUT THE ORGANIZATION FOR FIVE WEEKS. STUDENTS WERE MENTORED BY ON-SITE SABA CAREER SPECIALISTS AND FSLH PROFESSIONALS IN THEIR ASSIGNED FIELD. THE PURPOSE OF THE SYEP IS TO BUILD STUDENTS' AWARENESS OF THE JOB OPPORTUNITIES IN HEALTHCARE, INCREASE THE LIKELIHOOD OF STUDENTS TO PURSUE A CAREER IN THE FIELD AND TO ESTABLISH PRE-EMPLOYMENT SKILLS APPLICABLE TO ANY BUSINESS ORGANIZATION. SABA ASSISTS STUDENTS IN MAKING SUCCESSFUL TRANSITIONS FROM SCHOOL TO CAREERS AND SUPPORTS THE DEVELOPMENT OF A QUALIFIED WORKFORCE IN THE MOHAWK VALLEY. WELL-EDUCATED STRATEGIES ARE USED TO HELP STUDENTS UNDERSTAND THE WORLD OF WORK, DECIDE ON A CAREER, POST-SECONDARY STUDIES AND TRANSITION TO THE WORKPLACE. PARTNERSHIPS BETWEEN BUSINESSES, COMMUNITY AGENCIES, SCHOOL DISTRICTS AND COLLEGES PROVIDE OPPORTUNITIES TO UNDERSTAND THE 21ST CENTURY SKILLS NECESSARY TO BE COLLEGE, CAREER AND CITIZEN READY. #3 COMMUNITY SUPPORT : A)DURING THE SPONSORSHIP FOR THE BOILERMAKER EXPO AND ROAD RACE, THE FOLLOWING STATIONS/SERVICES WERE PROVIDED: 388 BLOOD PRESSURE AND DIABETES SCREENING; 316 BODY FAT ANALYSIS AND CALORIE ASSESSMENT; 523 HEART RISK EDUCATION EVALUATIONS. ALL OF THESE INCREASED FROM THE PRIOR YEAR. B) DIABETES SUPPORT GROUP IS A FREE SUPPORT GROUP FOR ANY PERSON WITH DIABETES OR PRE-DIABETES WHO IS INTERESTED IN SPEAKING WITH OTHERS WHO ARE LIVING SIMILAR LIFESTYLES AND DEALING WITH THE DAILY IMPACT OF DIABETES MANAGEMENT. C) MONTHLY STROKE SUPPORT GROUP FOR PATIENTS AND FAMILIES. D)COMMUNITY MEMBERS AND BREAST CANCER SURVIVORS GATHERED TOGETHER ON OCTOBER 7, 2016, TO FORM A HUMAN PINK RIBBON TO PROMOTE BREAST CANCER AWARENESS MONTH AT F.T. PROCTOR PARK IN UTICA. A BRIEF CEREMONY WAS HELD TO HONOR BREAST CANCER SURVIVORS AND THEN 85 ATTENDEES, DRESSED IN PINK, CREATED A HUMAN PINK RIBBON. THIS EVENT WAS SPONSORED BY THE MOHAWK VALLEY HEALTH SYSTEM CANCER CENTER, ONEIDA COUNTY HEALTH DEPARTMENT CANCER SERVICES PROGRAM UNDER THE LEADERSHIP OF COUNTY EXECUTIVE ANTHONY J. PICENTE, JR., UTICA MAYOR ROBERT PALMIERI, THE AFTER BREAST CANCER (ABC) SUPPORT GROUP AND THE AMERICAN CANCER SOCIETY. E) THE ABC SUPPORT GROUP WAS CREATED BY WOMEN WHO HAVE HAD BREAST CANCER. THE GROUP IS DEDICATED TO PROVIDING EDUCATION, INFORMATION AND EMOTIONAL SUPPORT TO WOMEN AND MEN WHO ARE FACING BIOPSY, SURGERY OR RECOVERY FROM BREAST CANCER. TEN MEETINGS WERE HELD AND 300 PEOPLE FROM THE COMMUNITY ATTENDED. F) THE CANCER SUPPORT GROUP FORUM, LED BY THE CANCER CENTER'S SOCIAL WORKER, OFFERS SUPPORT TO ANYONE WHO HAS RECEIVED A CANCER DIAGNOSIS. MEETINGS COVER A WIDE VARIETY OF ISSUES INCLUDING: HOW TO TALK WITH CHILDREN ABOUT MOM OR DAD HAVING CANCER, FINANCIAL CONCERNS, PHYSICAL ISSUES, INTIMACY ISSUES AND NUTRITION DURING TREATMENTS, PLUS MANY MORE. THE FORUM PROVIDES A COMFORTABLE ATMOSPHERE FOR PATIENTS AND CANCER SURVIVORS TO COME TOGETHER AND SHARE USEFUL INFORMATION. NINETEEN ATTENDEES IN THE 6 SESSIONS HELD. G) CANCER SURVIVORS DAY IS AN EVENT SPONSORED BY THE MVHS CANCER CENTER HONORING CANCER SURVIVORS AND FAMILIES. A BREAKFAST, RAFFLES AND OTHER ACTIVITIES ARE PROVIDED FOR THOSE WHO ATTEND. H) CAREGIVER BURNOUT GROUP IS A SUPPORT GROUP TO HELP COPE WITH THE DIFFICULTIES IN TAKING CARE OF OTHERS. I)RELAY FOR LIFE IS AN EVENT CONSISTING OF NUMEROUS FUNDRAISERS FOR AMERICAN CANCER SOCIETY'S SPONSORSHIP AND SUPPORT. J) CAR SEAT INSPECTION - THE FSLH SECURITY TEAM WORKED WITH THE NEW HARTFORD TOWN POLICE AND A NYS GRANT TO INSPECT CAR SEATS TO MAKE SURE THEY WERE PROPERLY INSTALLED IN VEHICLES. IF A CAR SEAT WAS FOUND TO BE UNSAFE, A NEW CAR SEAT WAS PROVIDED AND PROPERLY INSTALLED FREE OF CHARGE. #5 LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY: A) MEDICAMP- MVHS HOSTED A TWO-DAY MEDICAL CAMP AT EACH ORGANIZATION FOR TEENS AGES 15 THROUGH 18 TO DEMONSTRATE HOW A HOSPITAL OPERATES AND PROVIDES THEM WITH THE OPPORTUNITY TO EXPLORE DIFFERENT DEPARTMENTS FOR POTENTIAL CAREER ENDEAVORS. B)ONEIDA COUNTY WORKFORCE DEVELOPMENT INTERNSHIP PROGRAM: FUNDING OF COLLEGE INTERNSHIP PROGRAM IN COOPERATION WITH ONEIDA COUNTY . #6 COALITION BUILDING: FSLH WORKS WITH MULTIPLE AGENCIES, TO SUPPORT COMMUNITY HEALTH EXPOS IN THE FORM OF FINANCIAL/EDUCATIONAL/FREE HEALTH SCREENINGS: A) AMERICA'S GREATEST HEART RUN & WALK FOR THE AMERICAN HEART ASSOCIATION WITH HEART WEEKEND, WHICH INCLUDES THE HEALTH & FITNESS EXPO. B) GREATER UTICA CHAMBER EXPO IS AN ANNUAL EVENT SHOWCASING LOCAL BUSINESSES IN ONE LOCATION. C) HEALTH FRIENDS IS A PROGRAM SPONSORSHIP TO PROVIDE FINANCIAL RESOURCES FOR RX ASSISTANCE TO UN- OR UNDER-INSURED PEOPLE. #7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY: A) THE CHRONIC KIDNEY DISEASE EDUCATION PROGRAM ALLOWS FOR PATIENTS TO LEARN MORE ABOUT KIDNEY DISEASE, WAYS TO SLOW THE LOSS OF KIDNEY FUNCTION, AND HOW MEDICATIONS, DIET AND LIFESTYLE CAN AFFECT THE PROGRESSION OF THE DISEASE. PATIENTS HAVE THE OPPORTUNITY TO MEET WITH DIETICIANS, SOCIAL WORKERS AND NURSES WHO SPECIALIZE IN RENAL (KIDNEY) CARE. FAMILY MEMBERS, FRIENDS AND CAREGIVERS ARE INVITED TO ATTEND THE PROGRAM AS WELL. B) CAMPAIGN FOR QUALITY IS A PROGRAM HELD AT HAMILTON COLLEGE IN CLINTON, FEATURING NATIONAL AND LOCAL EXPERTS WHO PRESENT ON CURRENT TRENDS IN HEALTHCARE, PATIENT EXPERIENCES, POPULATION HEALTH TOPICS AND PATIENT SAFETY INITIATIVES. C) SENIOR SUNDAY LUNCH AND LEARNS ARE HELD IN THE SPRING AND FALL TO EDUCATE ELDERLY MEMBERS OF THE COMMUNITY ON IMPORTANT HEALTH AND SAFETY TOPICS INCLUDING ORGAN DONATION, RESPIRATORY THERAPY, FALL PREVENTION AND EMERGENCY CARE. A HOT LUNCH IS SERVED AND A VOLUNTARY $5 DONATION IS ASKED FOR. D) THE BALANCE CENTER AT MVHS OFFERS FREE BALANCE SCREENINGS TO HELP COMMUNITY MEMBERS WITH QUESTIONS OR SYMPTOMS RELATED TO BALANCE, VERTIGO AND INNER EAR DISORDERS. THE SCREENING EVALUATES PATIENTS FOR SPECIFIC BALANCE CONCERNS, RISK FOR FALLS AND SYMPTOMS OF VERTIGO TO DETERMINE IF THEY WILL BENEFIT FROM FORMAL TESTING AND THERAPY. E) A WOMEN'S HEALTH OPEN HOUSE IS HOSTED, ANNUALLY, TO INFORM THE COMMUNITY ABOUT SERVICES MVHS OFFERS TO WOMEN IN OUR COMMUNITY. F) MVHS IS A PRESENCE AT ALL LOCAL HEALTH FAIRS PERFORMING SCREENINGS (DIABETES, HEART, STROKE, BALANCE, ETC) AND PROVIDING EDUCATION AND INFORMATION ; IE. SENIOR CENTER, LOCAL EMPLOYERS, COMMUNITY EVENTS, ETC. G) MOHAWK VALLEY HEALTH SYSTEM (MVHS) OFFERS THE HOUSEHOLD SHARPS DISPOSAL PROGRAM FOR COMMUNITY MEMBERS TO PROPERLY DISPOSE OF THEIR MEDICAL WASTE. ITEMS SUCH AS SYRINGES AND LANCETS MAY BE DROPPED OFF ANY DAY OF THE WEEK FROM 7AM TO 3PM AT THE FSLH ENERGY CENTER LOCATED ON THE ST. LUKE'S CAMPUS OR AT THE CENTER FOR REHABILITATION AND CONTINUING CARE SERVICES (CRCCS) ALSO ON THE ST. LUKE'S CAMPUS. ONLY ITEMS FROM PRIVATE RESIDENCES IN CLEARLY MARKED "SHARPS" PUNCTURE-PROOF CONTAINERS WILL BE ACCEPTED. H) PODIATRY PROGRAM HELD 4 TIMES A YEAR, FOR PEOPLE WITH DIABETES WHO ARE AT HIGH RISK FOR CIRCULATION PROBLEMS THAT COULD LEAD TO LOSS OF SENSATION AND POOR HEALING IN THEIR FEET. PROPER SKIN AND FOOT CARE IS ESSENTIAL. THIS IS AN INFORMATIONAL SESSION AND FREE FOOT EXAM PROVIDED BY AREA PODIATRISTS. I) CHILDBIRTH CLASSES - FREE 5-WEEK SERIES OF CLASSES IN CHILDBIRTH AND INFANT CARE TAUGHT BY AN EXPERIENCED LABOR AND DELIVERY REGISTERED NURSE. J) FSLH OFFERS FREE MONTHLY BREASTFEEDING CLASSES FOR EXPECTANT PARENTS WHO HAVE CHOSEN OR ARE CONSIDERING BREASTFEEDING. K) DIABETES EDUCATION CLASSES ARE HELD THROUGHOUT THE YEAR TO PROVIDE INFORMATION TO THOSE WITH DIABETES ABOUT HOW TO SUCCESSFULLY MANAGE THEIR DISEASE. L) THE FSLH DIABETES EDUCATION DEPARTMENT OFFERS A GROCERY TOUR ON A QUARTERLY BASIS FOR EVERY DAY PEOPLE WITH DIABETES TO LEARN HOW TO MAKE NUTRITIONAL CHOICES THAT IMPACT OVERALL HEALTH AND BLOOD SUGAR. THIS FREE CLASS TEACHES PARTICIPANTS HOW TO IMPROVE THEIR DAILY CHOICES WITH BETTER NUTRITION BY GROCERY SHOPPING WITH A CERTIFIED DIABETES EDUCATOR AND NUTRITIONALIST. M) NATIONAL DIABETES MONTH OFFERED A SPEAKER (8/24/16), EDUCATION AND RECIPE TASTING, TO ANYONE IN THE COMMUNITY WHO IS INTERESTED IN ATTENDING. N)NATIONAL DIABETES PREVENTION PROGRAM FOCUSES ON TREATING THOSE WITH PRE-DIABETES TO PREVENT TYPE 2 DIABETES. O) BLOOD DRIVES ARE HOSTED TO COLLECT BLOOD FROM THOSE WHO ARE ELIGIBLE AND WILLING TO DONATE. THE FLSH BLOOD BANK WORKS IN ASSOCIATION WITH THE AMERICAN RED CROSS TO HOST THE BLOOD DRIVES. FOR EVERY UNIT OF BLOOD COLLECTED, UP TO THREE PEOPLE BENEFIT FROM THE DONATION. P) SPORTS MEDICINE INJURY SEMINAR IS A TWO-HOUR SEMINAR ON SPORTS MEDICINE INJURY CARE FOR THE PUBLIC, COACHES, ATHLETIC TRAINERS AND HEALTHCARE PROVIDERS. Q) ORTHOPEDIC ESSENTIALS FOR PRIMARY & EMERGENCY MEDICAL CARE IS A FIVE-HOUR SEMINAR FOR VARIOUS HEALTHCARE PROVIDERS. R) IN AN EFFORT TO PROMOTE THE EARLY DETECTION OR POTENTIAL FOR HEARING LOSS, THE AUDIOLOGY DEPARTMENT PROVIDES FREE HEARING AND SPEECH SCREENINGS TO THE COMMUNITY AS REQUESTED. PART III, LINE 2: BAD DEBT FOR SCHEDULE H REPORTING IS DETERMINED BY TAKING THE ACTUAL BAD DEBT EXPENSE REPORTED FOR THE YEAR ON THE HOSPITAL AUDITED FINANCIAL STATMENTS, LESS ANY BAD DEBT RECOVERIES RECEIVED DURING THE YEAR FROM THE AUDITED FINANCIAL STATEMENTS. THEN, ADJUSTING THAT AMOUNT TO COST BASED ON THE HOSPITAL'S CURRENT YEAR MEDICARE COST REPORT DERIVED COST TO CHARGE RATIO. THIS AMOUNT UNDERSTATES BAD DEBT SOMEWHAT BECAUSE A LARGE PORTION OF BAD DEBT IS THE RESULT OF UNPAID DEDUCTIBLE AND CONINSURANCE BALANCES. THOSE BALANCES ARE NO LONGER RECORDED AT FULL CHARGES BECAUSE CONTRACTUAL ADJUSTMENTS HAVE ALREADY REDUCED CHARGES TO AN EXPECTED REIMBURSEMENT AMOUNT; HENCE, REDUCING BY A COST-TO-CHARGE RATIO, REDUCES AN ALREADY DISCOUNTED CHARGE. WE REPORT THIS WAY BECAUSE BAD DEBT IS REPORTED IN MUTLIPLE STATE AND FEDERAL REQUIRED REPORTS, RETURNS AND DISCLOSURE STATEMENTS. IN ORDER TO BE CONSISTENT WE ARE REPORTING USING THE COSERVATIVE METHOD WHICH IS REQUIRED FOR HOSPTIAL MEDICARE COST REPORT REPORTING. PART III, LINE 3: MANY PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE ASSISTANCE ARE UNWILLING TO APPLY FOR IT. THE HOSPITAL BUSINESS OFFICE OFFERS OUR CHARITY CARE PACKAGE TO ALL PATIENTS. IN 2015, THE CHARITY CARE PROGRAM WAS EXPANDED DUE TO THE IMPLEMENTATION OF THE 340B PROGRAM. MANY PATIENTS WILL AGREE TO HAVE THE CHARITY CARE REQUEST FORMS SENT TO THEM BUT NEVER RETURN THEM. MANY PATIENTS SAY THEY CANNOT PAY BUT ARE UNWILLING TO COMPLETE ANY FORMS. THE HOSPITAL BUSINESS OFFICE, COLLECTIONS STAFF, HAVE FORMED A PERCENTAGE ESTIMATE BASED ON THE NUMBER OF CASES OF PATIENTS WHO RECEIVE CHARITY CARE FORMS AND DON'T COMPLETE THEM PLUS THE NUMBER OF PATIENTS WHO STATE THEY CANNOT PAY BUT ARE UNWILLING TO REQUEST ASSISTANCE. THIS RECORDED BAD DEBT EXPENSE WOULD BE RECORDED AS CHARITY CARE IF PATIENT'S WERE WILLING TO COMPLY WITH MINIMAL APPLICATION REQUIREMENTS. THE NATURE OF THE PRESENTATION ON HOSPITAL FIANANCIAL STATEMENTS DOES NOT DETERMINE THE COMMUNITY BENEFIT BUT RATHER THE NATURE OF THE REASON FOR THE EXPENSE. THIS IS CHARITY CARE. PART III, LINE 4: FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, HEALTHCARE RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF HEALTHCARES UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, HEALTHCARE RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY A RESERVE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, HEALTHCARE ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE RESERVE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD PARTY COVERAGE, HEALTHCARE ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), HEALTHCARE RECORDS A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES BASED ON ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE, OR UNWILLING, TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED)AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: ALL OF THIS IS COMMUNITY BENEFIT; THE HOSPTIAL IS RECEIVING LESS THAN COST ON COMMUNITY MEDICARE RECIPIENTS, THUS A COMMUNITY BENEFIT TO THESE PATIENTS. THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST-TO-CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED, USING THE FINANCIAL STATEMENTS, BY DIVIDING TOTAL CHARGES INTO TOTAL COSTS LESS NON-PATIENT COSTS. PART III, LINE 9B: THE HOSPITAL FAP POLICY PLACES ALL ACCOUNTS, FOR COLLECTION EFFORTS, ON HOLD FROM THE DATE OF APPLICATION UNTIL A DETERMINATION HAS BEEN MADE FOR FINANCIAL ASSISTANCE ELIGIBILITY. THE APPLICATION IS REVIEWED BY THE HOSPTIAL WITHIN THIRTY DAYS OF RECEIPT OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTAION. THE PATIENT OR GUARANTOR WILL BE NOTIFIFED OF THE DETERMINATION. IF DENIED, THE APPLICANT IS PROVIDED DIRECTIONS FOR AN APPEAL WITHIN THIRTY DAYS OF THE DENTIAL. IF THE APPEAL IS THEN DENIED, THE PATIENT WILL BE NOTIFIED OF THE REASON AND THE STATEMENT CYCLE WILL BEGIN. FIVE STATEMENTS ARE SENT, WITHIN THE 120 DAY BILLING CYCLE. IF NOT PAID, A FINAL PRE-COLLECTION LETTER IS ISSUED ADVISING THE ACCOUNT WILL BE SENT TO COLLECTIONS WITHIN THIRTY DAYS. IF THE PATIENT IS ACCEPTED IN THE FAP PROGRAM, THIS STATUS WILL BE EFFECTIVE FOR ONE YEAR FROM ACCEPTANCE. PART VI, LINE 2: A CHA/CHIP PLANNING TEAM COMPRISED OF OCHD, FSL, SEMC AND RMH STAFF MET REGULARLY STARTING IN EARLY 2016. THE PLANNING TEAM CAME TO CONSENSUS ON THE APPROACH TO UPDATE THE CHA AND REASSESS PRIORITIES ESTABLISHED IN THE CHIP. DATA FROM THE ONEIDA COUNTY PREVENTION AGENDA DASHBOAR, NEW YORK STATE QUITLINE PARTNERS REPORTS, ONEIDA COUNTY TEEN ASSESSMENT PROJECT (TAP), PEDIATRIC NUTRITION SURVEILLANCE SYSTEM (PEDNSS) REPORTS, COUNTY HEALTH RANKINGS, BRIDGES COMMUNITY SURVEY, AND THE CNY CARE COLLABORATIVE (CNYCC) COMMUNITY HEALTH ASSESSMENT WERE REVIEWED TO ASSESS AREAS FOR IMPROVEMENT AND STATUS IN ACHIEVING THE GOALS AND OBJECTIVES OUTLINED IN THE PREVIOUS CHIP. THE CNYCC COMMUNITY HEALTH ASSESSMENT AND WORK TO SUPPORT THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), AN INITIATIVE TO TRANSFORM THE HEALTH SYSTEM OF NEW YORK STATE, WERE ALSO FACTORED INTO THE ASSESSMENT PROCESS. THE PLANNING TEAM, IN ORDER TO SECURE STAKEHOLDER FEEDBACK, ESTABLISHED A PLAN FOR SEEKING STAKEHOLDER AND COMMUNITY FEEDBACK AS OUTLINED BELOW: IN MARCH 2016, THE PLANNING TEAM PRESENTED TO THE ONEIDA COUNTY HEALTH COALITION GENERAL MEMBERSHIP (APPROXIMATELY 60 PEOPLE IN ATTENDANCE) INFORMATION ON THE CHA AND CHIP ACTIVITIES. THE OCHC IS COMPRISED OF BROAD REPRESENTATION OF SECTORS AND ORGANIZATIONS THAT CONVENE UNDER THE DIRECTION OF THE OCHD TO DISCUSS AND ANALYZE DATA ON VARIOUS HEALTH ISSUES AND TRENDS. PARTNERS WERE PROVIDED WITH A SUMMARY OF THE PREVENTION AGENDA DATA AND THE SELECTED CHIP FOCUS AREAS AND WORK GROUP ACTIVITIES. MEMBERS WERE APPRISED OF, AND INVITED TO PARTICIPATE IN THE WORK GROUPS AND COMMUNITY HEALTH ASSESSMENT ACTIVITIES. AS A FOLLOW UP TO COLLECT MORE IN-DEPTH PARTNER FEEDBACK, IN MAY 2016, THE PLANNING TEAM CONVENED MEMBERS OF THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE, A GROUP OF APPROXIMATELY 20 COMMUNITY AGENCIES AND ORGANIZATIONS THAT OVERSEE AND GUIDE THE LARGER COMMUNITY HEALTH PARTNERSHIP. PARTNERS WERE PRESENTED WITH AN OVERVIEW OF THE COMMUNITY HEALTH ASSESSMENT UPDATE AND COMMUNITY HEALTH IMPROVEMENT PLAN REQUIREMENTS, CHIP WORK GROUP PROJECTS, TIMELINES, AND STATUS IN ACHIEVING THE DEFINED GOALS AND OBJECTIVES. THE PREVENTION AGENDA INDICATOR DATA AND GOALS WERE REVIEWED ALONG WITH AN OVERVIEW OF HOW EACH OF THE FOCUS AREAS ALIGN WITH HOSPITAL DSRIP INITIATIVES, SPECIFICALLY: THE INITIATIVES OF THE TOBACCO CESSATION WORK GROUP ALIGNED WITH DSRIP FOCUS AREAS TO DSRIP 4.D.I. REDUCE PRETERM BIRTHS AND DSRIP 3.B.I. - CARDIOVASCULAR DISEASE MANAGEMENT AND THE INITIATIVES OF THE BREASTFEEDING WORK GROUP INDIRECTLY ALIGN WITH DSRIP GOALS (E.G., HEALTHY START FOR BABIES AND HEALTH BENEFITS TO MOTHER) TO REDUCE UNNECESSARY UTILIZATION THROUGH PRIMARY PREVENTION. THE PLANNING TEAM OUTLINED ITS SUCCESSES AND CHALLENGES AND OBTAINED INPUT FROM THE STEERING COMMITTEE ON AREAS FOR IMPROVEMENT AND IDENTIFIED OTHER POTENTIAL PARTNERS OR RESOURCES THAT COULD SUPPORT CHIP WORK GROUP ACTIVITIES. AS A RESULT OF THE DIALOGUE, THE OCHC STEERING COMMITTEE REAFFIRMED THAT THE PLANNING TEAM AND WORK GROUPS SHOULD CONTINUE THEIR EFFORTS TO ADDRESS THE CHIP FOCUS AREAS AND GOALS OUTLINED IN THE 2013- 2017 CHIP. THE PLANNING TEAM ALSO ESTABLISHED MECHANISMS TO COLLECT COMMUNITY PERSPECTIVE ON THE CHIP FOCUS AREAS. HEALTH DEPARTMENT STAFF PRESENTED A SHORT COMMENT CARD TO COMMUNITY MEMBERS AT ALL SEVEN (7) PUBLIC HEALTH EVENTS ON NEEDS AND PERCEPTIONS RELATED TO TOBACCO CESSATION AND BREASTFEEDING. ADDITIONALLY, THE PLANNING TEAM REVIEWED THE FINDINGS FROM THE CNYCC NEEDS ASSESSMENT WHICH INCLUDED A PRIMARY CARE ASSESSMENT, CNY CONSUMER ACCESS SURVEY, CNY SAFETY NET ASSESSMENT (MEDICAID AND SELF-PAY POPULATIONS) AND KEY INFORMANT INTERVIEWS. OCHD SUMMARY OF COMMUNITY INPUT:QUESTION RESPONSES (FROM 7 COMMUNITY EVENTS, NOT LISTED IN ANY PARTICULAR ORDER)WHAT CAN WE DO, AS A COMMUNITY TO HELP MORE MOTHERS' BREASTFEED THEIR BABIES?EDUCATION-INFORMATIONAL CLASSES FOR BREAST FEEDING, EDUCATION & SUPPORT, EDUCATE THE PUBLIC AT WORK PLACES ABOUT BREAST FEEDING, MORE EDUCATION IN SCHOOLS, MORE EDUCATION IN HOSPITALS, ESPECIALLY YOUNGER MOMSSUPPORT- MORE SUPPORT AFTER DELIVERY, DON'T GIVE FORMULA IN HOSPITAL IF NURSING, BE ALLOWED TO PUMP AT WORKCOMMUNITY/AWARENESS- RAISE AWARENESS ON RIGHT TO PUMP AT WORK, HELP PUBLIC ACCEPT BREASTFEEDING AS NATURAL, HELP PUBLIC ACCEPT BREASTFEEDING SHOULD BE ABLE TO BE DONE IN ANY LOCATIONWHAT CAN WE DO AS A COMMUNITY TO HELP MORE PEOPLE STOP SMOKING?EDUCATION- EDUCATION IN SCHOOLS TO HIGHLIGHT DANGERS, MORE FACE TO FACE EDUCATION IN SCHOOLS AND WITH EMPLOYERS (WITH PEOPLE WHO HAVE SUFFERED EFFECTS OF SMOKING), REMIND PEOPLE OF REASONS TO QUIT.CESSATION SERVICES AND SUPPORT- HYPNOSIS, ACUPUNCTURE, ACCESS TO NRT (NICOTINE REPLACEMENT THERAPY), SUPPORT TO STAY ON TOP OF QUIT ATTEMPT LONG-TERM, DOCTORS NEED TO ADDRESS MORE, SUPPORTS TO JUST DO ITOTHER- NOTHING MORE CAN BE DONE, HAS TO COME FROM THE PERSON WHEN THEY ARE READY, TRIED EVERYTHING, NOTHING LEFT TO TRY OR I'D DO IT MYSELF, STOP SELLING CIGARETTES.WHAT ARE THE TOP HEALTH ISSUES FOR YOU AND YOUR FAMILY?ACCESS- INSURANCE COST AND CONFUSION, INSURANCE HAVING IT AND KEEPING IT, FINDING FAMILY PHYSICIANS, THERAPY SERVICES (PT, OT), DENTAL.HEALTH ISSUES- OVERWEIGHT/OBESITY, WEIGHT GAIN, EXERCISE, BREASTFEEDING, ALLERGIES, HEART DISEASE/CARDIAC ISSUES, HIGH BLOOD PRESSURE, EATING, NUTRITION, SUGAR, FOOD PREPARATION, TIME, MEAL PLANNING, AFFORDABILITY, FAST FOOD, KIDS (FRUITS & VEGETABLES), EXERCISE, TIME TO WORKOUT, ALZHEIMER'S, LYME DISEASE/TICKS, MENTAL & PHYSICAL HEALTH, CHRONIC PAIN, WEAK BONES, CONTAGIOUS DISEASES, STDS, SMOKING, CIGARETTES, DRUGS, DRUGS IN THE STREET, DRINKING, LEAD, LEAD TESTING, HOUSING, POLLUTION, ANEMIA, HYGIENE. PART VI, LINE 3: THE HOSPITAL FAP APPLICATION AND POLICY SUMMARY ARE INCLUDED IN THE ADMISSION PACKETS MAILED TO ALL PATIENTS PRIOR TO ADMISSION FOR INPATIENT SERVICES. THE HOSPITAL PROVIDES ACCESSIBLE COMMUNICATION, WITHIN THE HOSPITAL AND ALL OFF-SITE LOCATIONS, IN THE FORM OF 1)SIGNAGE IN FIVE LANGUAGES,2)A PATIENT PAMPHLET WHICH DESCRIBES PAYMENT OPTIONS INCLUDING FAP,WEBSITE INFORMATION AND STAFF CONTACT INFORMATION FOR ASSISTANCE. THE FAP SUMMARY AND WEBSITE INFORMATION ARE DISPLAYED IN PATIENT COMMON ENTRANCE AREAS IN THE HOSPITAL AND OFFSITE LOCATIONS. THE HOSPITAL HAS UP-FRONT FINANCIAL COUNSELORS AND CAC'S (CERTIFED APPLICATION COUNSELORS) TO ASSIST OUR PATIENTS WITH ONLINE APPLICATIONS FOR AFFORDABLE INSURANCE, MEDICAID AND OTHER PROGRAMS/GRANTS. OUR PRE-COLLECTIONS OUTSOURCE VENDOR HAS OUR POLICY INFORMATION AND COUNSELS THE PATIENT IN THE SAME MANNER AS HOSPITAL EMPLOYEES. THE DOCUMENTATION OF OUR FINANCIAL POLICY PATIENT EDUCATION IS PROVIDED IN OUR BILLING SYSTEM. THE COLLECTION STAFF IN THE BUSINESS OFFICE FOLLOWS UP ON ALL APPLICATIONS SENT BY THE PRE-COLLECTIONS VENDOR. DURING THE APPLICATION PROCESS, THE ACCOUNT IS PLACED ON HOLD UNTIL A FINAL DETERMINATION IS MADE. THE DETERMINATION IS MADE WITHIN THIRTY DAYS OF RECEIVING A COMPLETED APPLICATION, INCLUDING REQUESTED SUPPORTING DOCUMNETATION IN WRITING, WITH AND EXPLANATION OF DETERMINATION. WHEN DETERMINATION REQUIRES IT, THE APPLICANT IS GIVEN INSTRUCTIONS AS TO HOW TO APPEAL A DECISION. PART VI, LINE 4: SERVICE AREA: THE ONEIDA COUNTY HEALTH DEPARTMENT AND THE HOSPITALS SERVE THE ENTIRE COUNTY. HOSPITAL PATIENT CENSUS INCLUDES RESIDENTS FROM HERKIMER AND MADISON AS WELL, WITH APPROXIMATELY 80% OF PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. THE THREE HOSPITALS IN THE COUNTY INCLUDE: MOHAWK VALLEY HEALTH SYSTEM WHICH INCLUDES FAXTON-ST. LUKE'S HEALTHCARE (FSLH) AND ST. ELIZABETH MEDICAL CENTER (SEMC), LOCATED IN THE CITY OF UTICA; AND ROME MEMORIAL HOSPITAL (RMH) LOCATED IN THE CITY OF ROME. GEOGRAPHY:ONEIDA COUNTY IS LOCATED IN CENTRAL NEW YORK WITH A POPULATION OF APPROXIMATELY 233,944. THERE ARE THREE CITIES IN THE COUNTY: UTICA POPULATION OF 62,000; ROME POPULATION OF 33,000; AND THE SMALL CITY OF SHERRILL. THERE ARE 45 TOWNS AND VILLAGES THAT COVER A TOTAL OF 1,257.11 SQUARE MILES. SIXTY-SEVEN PERCENT (67%) OF THE COUNTY'S POPULATION RESIDES IN URBAN AREAS AND 33% IN RURAL AREAS. AGE: LIKE MANY OTHER COMMUNITIES, ONEIDA COUNTY HAS A SIGNIFICANT AND GROWING AGING POPULATION WITH A MEDIAN AGE OF 41.2 AND 16.8% OF THE POPULATION 65 YEARS AND OLDER. RACE & ETHNICITY:THE RACIAL AND ETHNIC CHARACTERISTICS OF ONEIDA COUNTY ARE: WHITE (84.9%); BLACK (5.5%); ASIAN (4.0%); OTHER (2.0%), TWO OR MORE RACES (3.1%); AND HISPANIC OR LATINO (5.5%). ONEIDA COUNTY IS THE HOME OF ONE OF THE LARGEST REFUGEE RESETTLEMENT AGENCIES IN THE COUNTRY, THE MOHAWK VALLEY RESOURCE CENTER FOR REFUGEES (MVRCR). SINCE 1981, THE MVRCR HAS RESETTLED OVER 15,000 INDIVIDUALS IN THE CITY OF UTICA OF VARYING ETHNICITIES AND NATIONALITIES INCLUDING VIETNAMESE, RUSSIAN, BOSNIAN, SOMALI BANTU, BURMESE AND NEPALI TO NAME A FEW (MVRCR):17.6% FOREIGN-BORN RESIDENTS CONSTITUTE THE POPULATION OF THE CITY OF UTICA26.6% HOUSEHOLDS IN UTICA SPEAK A LANGUAGE OTHER THAN ENGLISHWITHIN THE COUNTY BORDER IS A PORTION OF THE MEMBERS (~549) AND TERRITORY OF THE ONEIDA INDIAN NATION (NYS OFFICE OF CHILDREN AND FAMILY SERVICES, "A PROUD HERITAGE - NATIVE AMERICAN SERVICES IN NYS", 2001 EDITION)IN THE COUNTY, THERE ARE POCKETS OF AMISH AND MENNONITE POPULATIONS IN RURAL AREAS (DATA UNAVAILABLE). ECONOMIC:PERCENTAGE OF FAMILIES AND PEOPLE WHOSE INCOME IN THE PAST 12 MONTHS IS BELOW THE POVERTY LEVEL IS 11.7% AND THE PERCENTAGE WITH RELATED CHILDREN UNDER 18 YEARS IS 20.8%; THE PERCENTAGE OF PEOPLE 65 YEARS AND OLDER BELOW THE POVERTY LEVEL IS 9.1% .THE PERCENTAGE OF THE POPULATION 16 YEARS AND OLDER THAT IS UNEMPLOYED IS 4.8%.PERCENT WITH HIGH SCHOOL GRADUATE DEGREE OR HIGHER IS 87.5% PERCENT OF CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH HEALTH INSURANCE COVERAGE IS 93.1%; 67.5% OF THESE HAVE PRIVATE HEALTH INSURANCE AND 40.6% WITH PUBLIC COVERAGE. 6.9% HAVE NO HEALTH INSURANCE COVERAGE.THE EIGHT COUNTIES OF CNY HAVE A TOTAL OF 277,458 MEDICAID ENROLLEES; ONONDAGA AND ONEIDA COUNTY ACCOUNT FOR 171,713 OR 62% OF ALL OF THE MEDICAID ENROLLEES. (CENTRAL NY CARE COLLABORATIVE COMMUNITY HEALTH ASSESSMENT) PART VI, LINE 5: THE NEW YORK STATE PREVENTION AGENDA SERVES AS A GUIDE TO HEALTH DEPARTMENTS AND HOSPITALS AS THEY DEVELOP THE CHNA AND PROMOTE COMMUNITY HEALTH. THE SIX PRIORITY AREAS WERE REVISED IN MARCH 2015. THEY ARE: IMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIES PROMOTE A HEALTHY AND SAFE ENVIRONMENT PREVENT CHRONIC DISEASES * PREVENT HIV/STDS, VACCINE PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN * PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSEDIFFERENT FOCUS AREAS FALL WITHIN EACH PRIORITY. THE * INDICATES THE TWO PRIORITY AREAS CHOSEN BY FSLH, THE OCHD AND PARTICIPATING HOSPITALS AND HEALTH PARTNERS. FSLH PROMOTES COMMUNITY HEALTH THROUGH ALL OF THE ABOVE PRIORITIES, WHILE SUPPORTING THE TWO INDICATED BY PUTTING RESOURCES TOWARDS THEIR IDENTIFIED WORKGROUPS AND GOALS. EACH OF THE WORK GROUPS' MAJOR ACCOMPLISHMENTS AND CHALLENGES WERE OUTLINED AS FOLLOWS IN QUARTER 4, 2016:TOBACCO CESSATION WORK GROUP1. SUCCESSFULLY IMPLEMENTED FAX-TO-QUIT/OPT-TO-QUIT POLICIES WITHIN THREE HOSPITALS IN THE COUNTY AND APPLICABLE OCHD PROGRAM, CONTRIBUTING TO THE INCREASE IN CESSATION REFERRALS.2. SUCCESSFULLY ESTABLISHED RELATIONSHIPS WITH AREA SCHOOLS TO OFFER TOBACCO PREVENTION EDUCATION SESSIONS.3. SUCCESSFULLY DEVELOPED PARTNERSHIPS TO OFFER CESSATION CLASSES.4. SAW AN INCREASE IN NUMBER OF CALLS TO THE QUITLINE: 458 (2015) TO 980 (2016 YTD)5. ONEIDA COUNTY HEALTH DEPARTMENT CLINIC STAFF TRAINED IN AND USING 5 A'S WITH PATIENTS.BREASTFEEDING WORK GROUP1. SUCCESSFULLY SUPPORTED COMMUNITY PEER-TO-PEER SUPPORTS FOR BREASTFEEDING WOMEN.2. SUCCESSFULLY IMPLEMENTED DIRECT REFERRAL SYSTEMS FOR TWO OB CLINICS TO REFER WOMEN TO WIC.3. SUCCESSFULLY STARTED PARTNERSHIP WITH EDUCATION FOR CHILD CARE PROVIDERS.4. SUCCESSFULLY IMPLEMENTED THE BREASTFEEDING FRIENDLY PLACES IN THE COMMUNITY THROUGH THE BREASTFEED YOUR BABY HERE (BYBH) INITIATIVE.5. MEDIA PROMOTION TO SUPPORT OPENING OF ADDITIONAL BREASTFEEDING CAF LOCATION TARGETING UNDERSERVED POPULATIONS.6. FSLH PARTICIPATED IN GREAT BEGINNINGS LEARNING COLLABORATIVE.7. COMMUNITY EDUCATION AND WEIGH STATIONS PROVIDED ONGOING BREASTFEEDING SUPPORT (RMH AND OCHD).8. CHALLENGE IN EFFECTIVENESS OF FEEDING COUNSELING SESSIONS AT OB CLINICS. ALTHOUGH A SUBSTANTIAL AMOUNT OF WOMEN WERE EDUCATED, SIGNIFICANT CHANGES IN BREASTFEEDING OUTCOMES AT DELIVERY WERE NOT SEEN AND IT WAS NOT A SUSTAINABLE MODEL.9. CHALLENGE IN CONNECTING DELIVERY PATIENTS WITH WIC PEER COUNSELORS UPON DELIVERY. IDENTIFIED INDIRECT WAYS TO MAKE THIS TIMELY CONNECTION, MAINLY THROUGH USING SOCIAL MEDIA.IN ADDITION, ALL SEVEN MVHS MEDICAL GROUP PRIMARY CARE OFFICES AFFILIATED WITH FAXTON ST. LUKE'S HEALTHCARE RECEIVED LEVEL 3 RECOGNITION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) UNDER THE 2014 STANDARDS IN DECEMBER 2016. RECOGNIZED PRACTICES INCLUDE: BARNEVELD, BOONVILLE, HERKIMER, NEW HARTFORD - CROSSROADS PLAZA, WASHINGTON MILLS, WATERVILLE - MADISON STREET AND WHITESBORO. EACH HAS RECEIVED NCQA PATIENT-CENTERED MEDICAL HOME (PCMH) RECOGNITION FOR USING EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG-TERM, PARTICIPATIVE RELATIONSHIPS. THIS IS A RENEWAL OF A PREVIOUS RECOGNITION UNDER THE 2011 STANDARDS. FSLH OFFERS NUMEROUS FREE, EDUCATIONAL EVENTS EACH YEAR TO THE PUBLIC: SENIOR SUNDAY LUNCH AND LEARN LECTURES ON TOPICS INCLUDING NUTRITION, CANCER RESOURCES AVAILABLE LOCALLY, AND AN INTEGRATED APPROACH TO AGING, WERE OFFERED THROUGH 2016 AND HAVE BEEN DISCONTINUED IN 2017. MAMMOGRAM AND PAP SCREENINGS FOR UNINSURED WOMEN GENERAL HEALTH INFORMATION FOR HEART HEALTH AT THE ANNUAL HEART RUN AND WALK EXPO. IN 2016, 390 PEOPLE COMPLETED THE HEALTH ASSESSMENT WHICH INCLUDED A CHOLESTEROL SCREENING, DIABETIC RISK SCORE, AND BLOOD PRESSURE AND PULMONARY FUNCTION TESTS. PART VI, LINE 6: ST. ELIZABETH MEDICAL CENTER (SEMC) AND FAXTON ST. LUKE'S HEALTHCARE (FSLH) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MVHS) ON MARCH 6, 2014 PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X X 0 0 0 0 0 1 1 0 0 SCOTT PERRA FACHE PRESIDENT/CEO 650000 0 122455 0 125553 0 21200 0 10924 0 930132 0 0 0 LOUIS AIELLO SR VICE PRESIDENT/CFO 0 370756 0 51146 0 0 0 18550 0 8793 0 449245 0 0 ROBERT SCHOLEFIELD RN MS SR VICE PRESIDENT/COO 0 350422 0 44475 0 0 0 18550 0 8738 0 422185 0 0 MICHAEL F TREVISANI MD SR VICE PRESIDENT/CMO 356500 0 49071 0 23693 0 10600 0 13898 0 453762 0 0 0 PATRICIA ROACH MS RN NEA-BC SR VICE PRESIDENT/CNO 273000 0 39731 0 37256 0 21200 0 14401 0 385588 0 0 0 ANDREW PELLECCHIA PHYSICIAN 599990 0 0 0 540 0 8000 0 14516 0 623046 0 0 0 PETER OJURO MD PHYSICIAN 549990 0 0 0 540 0 2625 0 14437 0 567592 0 0 0 JOHN SPERLING MD PHYSICIAN 304908 0 196141 0 4014 0 10600 0 1293 0 516956 0 0 0 ROBERT WASICZKO MD PHYSICIAN 380070 0 114317 0 5239 0 10600 0 9872 0 520098 0 0 0 MEIRA YEGER-MCKEEVER MD PHYSICIAN 429992 0 0 0 3417 0 10600 0 13744 0 457753 0 0 0 ERIC YOSS MD FORMER BOARD MEMBER 249278 0 0 0 11673 0 0 0 11062 0 272013 0 0 0 PART I, LINE 6 AN INCENTIVE COMPENSATION PLAN EXISTS FOR THE EXECUTIVE STAFF OF FSLH. COMPENSATION IS BASED ON PERFORMANCE RELATIVE, IN PART, TO THE ORGANIZATION NET EARNINGS TARGETS, AS WELL AS, VARIOUS OTHER QUALITY RELATED PERFORMANCE TARGETS. THE INCENTIVES ARE ONLY PAID OUT UPON ACHIEVEMENT OF THESE SET TARGETS. DURING 2016, $282,550 OF INCENTIVE COMPENSATION WAS PAID OUT UNDER THIS PLAN RELATING TO THE 2015 FISCAL YEAR. $250,000 WAS ACCRUED FOR THE 2016 FISCAL YEAR INCENTIVE COMPENSATION;THE ACTUAL 2017 PAYMENTS WERE $249,609. A ONEIDA COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 166158201 682465AB5 2006-06-26 7705000 WINDOW WALL REPLACEMENT, ED PROJECT, AC WING REHAB 0 0 0 A 7705000 319348 7385652 2008 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 BANK OF AMERICA 24.800000000000 0 0 0 0 0 A 0 CONSULTING CRITICAL CARE ASSOCIATES LLP ERIC YOSS, MD- DIRECTOR (PARTNER OF THE LLP) 351885 CRITICAL CARE MEDICAL SERVICES/ MEDICAL DIRECTOR ICU 0 SUNSET ANESTHESIA ASSOCIATES BRIAN BOYLE, MD- DIRECTOR & MEDICAL STAFF PRESIDENT (MANAGING PARTNER SAA) 1675161 ANESTHESIA SERVICES 0 SLOCUM DICKSON MEDICAL GROUP MARIA GESUALDO, DO- DIRECTOR (PARTNER AT SLOCUM DICKSON) 500000 RENTAL INCOME FOR IT SYSTEMS 0 SLOCUM DICKSON MEDICAL GROUP MARIA GESUALDO, DO- DIRECTOR (PARTNER AT SLOCUM DICKSON) 547116 RENTAL INCOME FROM BUILDING LEASE 0 FORM 990, PART III, LINE 2 FAXTON ST LUKE'S HEALTHCARE HAS ADDED A NEURO ENDOVASCULAR PROGRAM IN 2016. FORM 990, PART VI, SECTION A, LINE 6 MOHAWK VALLEY HEALTH SYSTEM, INC IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MOHAWK VALLEY HEALTH SYSTEM, INC APPOINTS THE DIRECTORS AND GOVERNING BODY OF THE ORGANIZATION. THE BOARD OF DIRECTORS ARE LISTED IN SECTION VII. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND FORM 990T ARE REVIEWED AT A MEETING WITH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, PRIOR TO SUBMITTING THE REPORT. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE PURPOSE OF THE POLICIES AND DIRECTIVES SET OUT IN THIS POLICY STATEMENT IS TO ASSURE THAT THE BUSINESS CONDUCTED BY THE ORGANIZATION IS CONDUCTED FREE FROM THE POSSIBLE INFLUENCE OF CONFLICTS OF INTEREST OF INTERESTED PERSONS. THIS POLICY EXISTS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED PERSON IN THE ORGANIZATION. INTERESTED PERSONS MAY NOT ENTER INTO ANY EMPLOYMENT TRANSACTION OR OTHER ARRANGEMENT THAT MAY CAUSE OR BE PERCEIVED TO CAUSE A CONFLICT OF INTEREST. INTERESTED PERSONS MUST REVIEW THIS POLICY ANNUALLY AND COMPLETE THE ACKNOWLEDGEMENT AND DISCLOSURE FORM ANNUALLY. THE COMPLIANCE OFFICER AND/OR THE COMPLIANCE COMMITTEE WILL REVIEW ALL ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORMS AND ANY CONFLICTS OR POTENTIAL CONFLICTS IDENTIFIED. WHEN A POTENTIAL CONFLICT IS IDENTIFIED, THE COMPLIANCE OFFICER WILL ENSURE APPROPRIATE ACTIONS ARE TAKEN TO RESOLVE THE CONFLICT. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL AND STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARDS EXECUTIVE COMPENSATION COMMITTEE, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: SENIOR VICE PRESIDENT/CHIEF OPERATING OFFICER SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER SENIOR VICE PRESIDENT/CHIEF NURSING OFFICER THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO COMMITTEE, INCLUDING BUT NOT LIMITED, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEES MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEES DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. FORM 990, PART VI, SECTION C, LINE 19 POLICY: IT IS THE POLICY OF THIS HOSPITAL TO MAKE AVAILABLE TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) ON FORM 990, AND ITS EXEMPT STATUS FORM. IN ACCORDANCE WITH THE LAW, FORM 990 FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION FOR A THREE-YEAR PERIOD.PURPOSE: THE PURPOSE OF THIS POLICY IS TO COMPLY WITH IRS LAW, WHICH APPLIES FOR TAX YEARS BEGINNING AFTER JUNE 8, 1999 SPECIAL INSTRUCTIONS: A. A COPY OF THE ABOVE NAMED DOCUMENTS, WILL BE MADE AVAILABLE FOR INSPECTION BY A REQUESTER, IN A DESIGNATED ROOM, IN THE FINANCE DEPARTMENT OF THE HOSPITAL. B. THE DOCUMENTS WILL BE MADE AVAILABLE, IMMEDIATELY, TO ANYONE WHO APPEARS IN PERSON DURING USUAL BUSINESS HOURS. FOR WRITTEN REQUESTS FOR COPIES OF DOCUMENTS, RESPONSE WILL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT OF PAYMENT OF REASONABLE COPYING FEES*. C. EITHER THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PRESENT DURING AN INSPECTION BY A REQUESTER. D. ONLY THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PERMITTED TO ANSWER QUESTIONS THAT A REQUESTER MAY HAVE. *SHOULD A REQUESTER ASK THE HOSPITAL FOR A PHOTOCOPY OF ANY OR ALL PARTS OF DOCUMENTS, THE HOSPITAL WILL CHARGE $1.00 FOR THE FIRST PAGE, PLUS $.15 FOR EACH ADDITIONAL PAGE. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 24,074,767. MANAGEMENT AND GENERAL EXPENSES 6,467,630. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,542,397. FORM 990, PART XI, LINE 9: CHANGE IN FV OF INTEREST RATE SWAPS 633,888. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION -367,787. RESERVE FOR DOUBTFUL ACCOUNTS DUE FROM AFFILIATE -1,665,000. NET ASSETS RELEASED& CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 1,383,828. PART XII LINE 2C NO CHANGE FROM PRIOR YEAR PARAFFIN LLC PO BOX 479 UTICA NY 13503 271341112 LABORATORY SERVICES NY 103708 86480 FAXTON-ST LUKE'S HEALTHCARE INC MOHAWK VALLEY HEALTH SYSTEM INC PO BOX 4308 UTICA NY 13504 223124162 PROMOTE HEALTH CARE NY 501(C)(3) HOSPTIAL N/A 0 ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY PO BOX 6305 UTICA NY 13504 161476372 202 BED RHCF NY 501(C)(3) LINE 9 FAXTON ST LUKE'S HEALTHCARE INC 0 VISITING NURSE'S ASSOCIATION OF UTICA & ONEIDA COUNTIES 2608 GENESEE STREE UTICA NY 13502 150532259 HOME HEALTH NURSING NY 501(C)(3) LINE 9 MOHAWK VALLEY NETWORK INC 0 FAXTON ST LUKE'S HEALTHCARE FOUNDATION PO BOX 479 UTICA NY 13503 223078768 FUND RAISING NY 501(C)(3) LINE 9 MOHAWK VALLEY NETWORK INC 0 ST ELIZABETH'S MEDICAL CENTER INC 2209 GENESEE STREET UTICA NY 13501 150532245 HEALTH CARE NY 501(C)(3) HOSPTIAL PARTNERS IN FRANCISCAN MINISTRIES INC 0 ST ELIZABETH MEDICAL CENTER FOUNDATION 2209 GENESEE STREET UTICA NY 13501 222562170 FUNDRAISING NY 501(C)(3) 9 ST ELIZABETH MEDICAL CENTER 1 SLM CORPORATION PO BOX 479 UTICA NY 13503 161134876 REAL ESTATE MANAGEMENT NY N/A C 208859 1.00000 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0