DELAWARE VALLEY HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DELAWARE VALLEY HOSPITAL INC (EIN 15-0524324)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-13
- IRS object ID
- 202543179349300429
- Schema version
- 2024v5.2
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-13T07:53:57-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 222027092 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WITHUM SMITH & BROWN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 MAIN STREET SUITE 800 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142023508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150524324 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELA | BusinessNameControlTxt |
| Phone | 6078652197 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LUCINDA RIDER | PersonNm |
| Person Title | VICE PRESIDENT/CFO | PersonTitleTxt |
| Phone | 6078652160 | PhoneNum |
| Signature | 2025-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY MADONIA | PreparerPersonNm |
| PTIN | P00405803 | PTIN |
| Phone | 7168472651 | PhoneNum |
| Preparation | 2025-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROLLAND BOJO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,705,974 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NYUHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE OUR PATIENTS IN AN EFFICIENT AND PATIENT-FOCUSED MANNER AND OFFER A RANGE OF ACUTE, OUTPATIENT, DIAGNOSTIC, REHABILITATIVE, PRIMARY CARE AND WELLNESS SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 278 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $700,115 | PYContributionsGrantsAmt |
| CY Contributions Grants | $519,618 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,787,458 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $54,102,397 | CYProgramServiceRevenueAmt |
| PY Investment Income | $491,922 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,099,683 | CYInvestmentIncomeAmt |
| PY Other Revenue | $77,070 | PYOtherRevenueAmt |
| CY Other Revenue | $84,018 | CYOtherRevenueAmt |
| PY Total Revenue | $43,056,565 | PYTotalRevenueAmt |
| CY Total Revenue | $55,805,716 | 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 | $13,917,026 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,630,643 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,742,864 | PYOtherExpensesAmt |
| CY Other Expenses | $26,390,433 | CYOtherExpensesAmt |
| PY Total Expenses | $34,659,890 | PYTotalExpensesAmt |
| CY Total Expenses | $43,021,076 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,396,675 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,784,640 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,572,124 | TotalAssetsBOYAmt |
| Total Assets EOY | $61,125,761 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,476,903 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,244,252 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $39,095,221 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $52,881,509 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE OAS A CRITICAL ACCESS HOSPITAL AND MEMBER OF THE UHS HEALTHCARE SYSTEM, DELAWARE VALLEY HOSPITAL'S MISSION IS TO PROVIDE THE COMMUNITY WITH THE HIGH QUALITY, PATIENT-CENTERED SERVICES THAT ARE MOST OFTEN NEEDED; THEREBY IMPROVING ACCESS TO CARE AND REDUCING THE NEED TO TRAVEL LONG DISTANCES. WE DO THIS BY OFFERING EMERGENCY CARE, WALK-IN AND PRIMARY CARE, INPATIENT SHORT-TERM ACUTE CARE AND A COMPREHENSIVE REHABILITATION SWING BED PROGRAM. IN ADDITION, WE PROVIDE A WIDE RANGE OF DIAGNOSTIC AND TREATMENT SERVICES; ACCESS TO TOP LOCAL SPECIALTY CARE AND AN OUTPATIENT PHARMACY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,967,395 | ExpenseAmt |
| Revenue | $9,023,173 | RevenueAmt |
| Desc | INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O) INPATIENT AND ACUTE SERVICESDELAWARE VALLEY HOSPITAL (DVH) FULFILLS ITS MISSION BY COLLABORATING WITH THE COMMUNITY, PHYSICIANS, AND HEALTHCARE PARTNERS TO ENSURE THE AVAILABILITY AND QUALITY OF SERVICES. THE 25-BED HOSPITAL IN WALTON, NY PROVIDES SHORT-TERM INPATIENT ACUTE CARE (96 HOURS OR LESS), SWING BED, AND ADDICTION TREATMENT SERVICES.PATIENT VOLUME:ACUTE DISCHARGES (PATIENT DAYS) 195 (833)SWING BED DISCHARGES (PATIENT DAYS) 224 (3,581)CLINICAL SERVICES DELIVERED20,375 LAB TESTS3,018 RESPIRATORY TREATMENTS63 X-RAYS, 26 ULTRASOUNDS, 88 CT SCANS, 10 MRIS1,978 PHYSICAL THERAPY SESSIONS, 985 OCCUPATIONAL THERAPY SESSIONS, 69 SPEECH THERAPY SESSIONS187 EKGS743 DIETARY CONSULTSIMAGING CAPABILITIES:3D MAMMOGRAPHY, ULTRASOUND, BONE DENSITY TESTING, X-RAY, AND A 128-SLICE CT SUITE. DVH PROVIDES THE ONLY FULL-TIME MRI SERVICE IN DELAWARE COUNTY, ENSURING LOCAL RESIDENTS HAVE ACCESS TO ADVANCED DIAGNOSTIC IMAGING CLOSE TO HOME. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,317,155 | ExpenseAmt |
| Revenue | $8,470,204 | RevenueAmt |
| Desc | CLINICS (SEE SCHEDULE O)CLINICSDVH OFFERS A FULL RANGE OF PRIMARY AND PREVENTIVE CARE SERVICES AT ITS CENTERS IN WALTON, DOWNSVILLE, AND ROSCOE. THESE CLINICS FORM THE FOUNDATION OF A COORDINATED SYSTEM OF CARE, ADDRESSING THE NEEDS OF UNDERSERVED AREAS.2024 VISITS BY LOCATION:WALTON 16,829ROSCOE 1,777DOWNSVILLE 2,855 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,007,683 | ExpenseAmt |
| Revenue | $36,688,838 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O) OTHER OUTPATIENT SERVICES:EMERGENCY DEPARTMENT: 6,046 VISITS (INCLUDING 390 OBSERVATIONS)OCCUPATIONAL HEALTH: 262 FIRE DEPARTMENTS/EMERGENCY SQUADS SERVED (3 NEW IN 2024)DIAGNOSTICS & THERAPY: 101,067 LAB TESTS; 9,494 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS; 15,136 IMAGING PROCEDURES (X-RAY, CT, MRI, ULTRASOUND, BONE DENSITY, MAMMOGRAPHY)CARDIAC TESTING: 3,281 (EKGS, ECHOCARDIOGRAMS, HOLTER AND EVENT MONITORS)DIETARY/DIABETES CONSULTS: 3,241AMBULATORY PROCEDURES: 520ENDOSCOPIES: 215CARDIAC/PULMONARY REHAB SERVICES: 1,275OUTPATIENT RETAIL PHARMACY: 80,645 PRESCRIPTIONS FILLED | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $37,292,233 | 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 |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 278 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROLLAND BOJO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6078652197 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | DELAWARE VALLEY HOSPITAL 1 TITUS | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 138561457 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| HELEN JOHNSTON | |||||||||
| BOARD MEMBER/BOARD CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN CARRIGG | |||||||||
| BOARD MEMBER/VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $1,386,812 | $50,729 | 55.00 | ||
| REV LARRY LIGHT | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD SNOW | |||||||||
| BOARD MEMBER/SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ERIN NEALE | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| AMANDA HALL | |||||||||
| BOARD MEMBER/TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DR MICHAEL FREEMAN | |||||||||
| BOARD MEMBER/MEDICAL STAFF PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $279,491 | $40,624 | 55.00 | ||
| ROLLAND BOJO | |||||||||
| BOARD MEMBER/PRESIDENT/CEO | 57.00 | Yes (X) | Yes (X) | $305,540 | $0 | $54,538 | |||
| LUCINDA RIDER | |||||||||
| VICE PRESIDENT/CFO | 55.00 | Yes (X) | $180,173 | $0 | $9,876 | ||||
| LAURA NORTHRUP | |||||||||
| VP PATIENT CARE SERVICES/CNO | 55.00 | Yes (X) | $164,798 | $0 | $27,844 | ||||
| KIRILL DAVIDOV | |||||||||
| CHIEF MEDICAL OFFICER | 5.00 | Yes (X) | $0 | $496,879 | $42,147 | 50.00 | |||
| KATHLEEN ULMSCHNEIDER | |||||||||
| STAFF NURSE | 55.00 | $146,172 | $0 | $35,219 | Yes (X) | ||||
| TITO ENDAYA | |||||||||
| LAB MANAGER | 55.00 | $151,319 | $0 | $18,730 | Yes (X) | ||||
| MARGARET EBELING | |||||||||
| STAFF NURSE | 55.00 | $147,702 | $0 | $20,886 | Yes (X) | ||||
| MEGAN HEAPHY | |||||||||
| DIRECTOR AMBULATORY, ED, WALK-IN, IMAGING | 55.00 | $147,768 | $0 | $45,314 | Yes (X) | ||||
| CYNTHIA GARDEPE | |||||||||
| DIRECTOR HUMAN SERVICES | 55.00 | $145,702 | $0 | $20,096 | Yes (X) | ||||
| DR JEFFREY GRAY | |||||||||
| FORMER CHIEF MED OFFICER TO 12/31/24 | 0.00 | $0 | $753,889 | $58,321 | 55.00 | Yes (X) | |||
| VICTORIA CONKLING | |||||||||
| FORMER CNO TO 05/24/24 | 0.00 | $106,975 | $0 | $11,330 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,496,149 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,917,071 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $435,654 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNITED MEDICAL ASSOCIATES | |||||
| 20 MITCHELL AVE | BINGHAMTON | NY | 13903 | PHYSICIAN SERVICES | $5,295,332 |
| AMBULNZ NEW YORK 2 LLC | |||||
| 263 ROUTE 17K SUITE 201 | NEWBURGH | NY | 12550 | AMBULANCE SERVICES | $967,497 |
| SECO PHYSICALOCCUPATIONAL THERAPY | |||||
| 26 CONKY AVE | NORWICH | NY | 13815 | PHYSICAL/OCC. THERAPY | $897,741 |
| CHIANIS AND ANDERSON ARCHITECTS PLLC | |||||
| 31 FRONT ST | BINGHAMTON | NY | 13905 | ARCHITECTS | $772,851 |
| PARK AVE ASSOCIATES IN RADIOLOGY | |||||
| 32-36 HARRISON ST | JOHNSON CITY | NY | 13790 | RADIOLOGY SERVICES | $499,666 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $505,884 | GovernmentGrantsAmt |
| All Other Contributions | $13,734 | AllOtherContributionsAmt |
| Total Contributions | $519,618 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT SERVICES | 621400 | $36,634,790 | $36,634,790 |
| INPATIENT AND ACUTE SERVICES | 621990 | $9,009,881 | $9,009,881 |
| CLINICS | 621110 | $8,457,726 | $8,457,726 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $54,102,397 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,025,933 | TotalRevenueColumnAmt |
| Exclusion | $1,025,933 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,200 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,200 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,200 | TotalRevenueColumnAmt |
| Exclusion | $4,200 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $974,008 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $900,258 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $73,750 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,750 | TotalRevenueColumnAmt |
| Exclusion | $73,750 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROFESSIONAL SERVICES RENDERED | 900099 | $69,124 | $69,124 |
| ALL OTHER REVENUE | 900099 | $10,501 | $10,501 |
| MED RECORD COPY FEES | 900099 | $193 | $193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $79,818 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,805,716 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $54,182,215 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,103,883 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,460 | TotalAmt |
| Program Services | $898,584 | ProgramServicesAmt |
| Management And General | $348,876 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,246,764 | TotalAmt |
| Program Services | $10,205,713 | ProgramServicesAmt |
| Management And General | $2,041,051 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,619 | TotalAmt |
| Program Services | $338,348 | ProgramServicesAmt |
| Management And General | $74,271 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,792,176 | TotalAmt |
| Program Services | $1,469,584 | ProgramServicesAmt |
| Management And General | $322,592 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,624 | TotalAmt |
| Program Services | $775,030 | ProgramServicesAmt |
| Management And General | $156,594 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,833 | TotalAmt |
| Management And General | $271,833 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,012 | TotalAmt |
| Management And General | $5,012 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,555 | TotalAmt |
| Management And General | $163,555 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,015 | TotalAmt |
| Management And General | $5,015 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,562,796 | TotalAmt |
| Program Services | $10,551,376 | ProgramServicesAmt |
| Management And General | $1,011,420 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,286 | TotalAmt |
| Program Services | $12,286 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,209,347 | TotalAmt |
| Program Services | $397,243 | ProgramServicesAmt |
| Management And General | $812,104 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,880 | TotalAmt |
| Management And General | $132,880 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,119 | TotalAmt |
| Program Services | $81,587 | ProgramServicesAmt |
| Management And General | $237,532 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,460 | TotalAmt |
| Program Services | $18,907 | ProgramServicesAmt |
| Management And General | $19,553 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,804 | TotalAmt |
| Program Services | $5,049 | ProgramServicesAmt |
| Management And General | $3,755 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,503 | TotalAmt |
| Management And General | $48,503 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429,621 | TotalAmt |
| Program Services | $1,429,621 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,474 | TotalAmt |
| Program Services | $134,177 | ProgramServicesAmt |
| Management And General | $74,297 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DRUGS | $7,098,593 | $7,098,593 |
| BAD DEBT EXPENSE | $1,663,439 | $1,663,439 |
| MEDICAL SUPPLIES | $970,399 | $970,399 |
| LAB SERVICES | $964,914 | $964,914 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,383 | TotalAmt |
| Program Services | $277,383 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,021,076 | TotalAmt |
| Program Services | $37,292,233 | ProgramServicesAmt |
| Management And General | $5,728,843 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,374,770 | BOYAmt |
| EOY | $18,699,715 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,611,142 | BOYAmt |
| EOY | $3,608,936 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $503,886 | BOYAmt |
| EOY | $620,406 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $615,932 | BOYAmt |
| EOY | $601,201 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,943,268 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,033,650 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,090,304 | BOYAmt |
| EOY | $12,909,618 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,393,560 | BOYAmt |
| EOY | $20,962,609 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,209 | BOYAmt |
| EOY | $318,209 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $664,321 | BOYAmt |
| EOY | $3,405,067 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,572,124 | BOYAmt |
| EOY | $61,125,761 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,007,688 | BOYAmt |
| EOY | $3,130,159 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,412,510 | BOYAmt |
| EOY | $1,252,212 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,844,761 | BOYAmt |
| EOY | $2,109,939 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,211,944 | BOYAmt |
| EOY | $1,751,942 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,476,903 | BOYAmt |
| EOY | $8,244,252 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,736,348 | BOYAmt |
| EOY | $52,537,397 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $358,873 | BOYAmt |
| EOY | $344,112 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,095,221 | BOYAmt |
| EOY | $52,881,509 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,572,124 | BOYAmt |
| EOY | $61,125,761 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $12,784,640 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,001,648 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,015 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,015 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNTS DISCLOSED ARE THE LOBBYING PORTIONS OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY (10.08%) AND IROQUOIS HEALTHCARE (50%). | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $358,873 | BeginningYearBalanceAmt |
| Other Expenditures | $14,761 | OtherExpendituresAmt |
| End Year Balance | $344,112 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $360,887 | BeginningYearBalanceAmt |
| Other Expenditures | $2,014 | OtherExpendituresAmt |
| End Year Balance | $358,873 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $331,456 | BeginningYearBalanceAmt |
| Contributions | $29,431 | ContributionsAmt |
| End Year Balance | $360,887 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $336,845 | BeginningYearBalanceAmt |
| Other Expenditures | $5,389 | OtherExpendituresAmt |
| End Year Balance | $331,456 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $335,666 | BeginningYearBalanceAmt |
| Contributions | $1,179 | ContributionsAmt |
| End Year Balance | $336,845 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.92000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.08000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,202 | OtherCostOrOtherBasisAmt |
| Book Value | $51,202 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,782,722 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,975,729 | DepreciationAmt |
| Book Value | $7,806,993 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,603,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,057,921 | DepreciationAmt |
| Book Value | $3,545,353 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,506,070 | OtherCostOrOtherBasisAmt |
| Book Value | $1,506,070 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,909,618 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SAVINGS - RESTRICTED DONATIONS | $42,521 |
| SAVINGS ENHANCE NBDC | $3,226,599 |
| OPERATING LEASE ROU | $135,947 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,405,067 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO UNITED MED. ASSOC. | $484,836 |
| DUE TO UHS HOSPITALS | $1,121,056 |
| DUE TO CMH | $2,148 |
| ROU LEASE | $142,228 |
| DUE FROM UHSH SBO LOCK BOX | $1,674 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,751,942 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $55,143,925 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,001,648 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,001,648 | RevenueNotReportedAmt |
| Revenue Subtotal | $54,142,277 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,663,439 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,663,439 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $55,805,716 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $41,357,637 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $41,357,637 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,663,439 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,663,439 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $43,021,076 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PURCHASE OF CAPITAL EQUIPMENT (MEDICAL) AND IMPROVEMENT OF FACILITIES. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2024 AND 2023, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2021 TO 2024. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,663,439. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,663,439. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $162,056 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $162,056 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,227,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,779,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,448,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03520 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,389,636 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,779,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,610,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $435,967 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $435,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,336 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $493,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $493,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,882,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,779,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,103,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,434 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,434 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $295 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,450 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,179 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,663,439 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $174,700 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,590,169 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,639,505 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,049,336 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPTITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1Txt |
| City | WALTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13856 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE VALLEY HOSPTITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.NYUHS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.NYUHS.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.NYUHS.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 5: DELAWARE VALLEY HOSPITAL HAS MEMBERSHIP IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY, AS WELL AS ON ITS WELLNESS COMMITTEE. A STAFF MEMBER ALSO SERVES ON THE COMMUNITY COMMITTEE OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER). THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR PARTICIPATES IN ALL DVH VOLUNTEER MEETINGS AND ACTIVELY SEEKS THEIR INPUT AND FEEDBACK ABOUT THE HOSPITAL'S SERVICES. THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES INPUT AS TO WHAT THEY HEAR FROM COMMUNITY MEMBERS. PATIENT SATISFACTION SURVEYS ARE ALSO USED IN GAINING INPUT FROM OUR PATIENTS. |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 6A: O'CONNOR HOSPITAL, DELHI, NYMARGARETVILLE COMMUNITY HOSPITAL, MARGARETVILLE, NY |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 6B: GOVERNMENT: DELAWARE COUNTY PUBLIC HEALTHHOSPITAL AND HEALTH SERVICES: UNITED HEALTH SERVICES - DELAWARE VALLEY HOSPITAL, BASSETT HEALTHCARE-O'CONNOR HOSPITAL AND WESTCHESTER MEDICAL CENTER HEALTH NETWORK- MARGARETVILLE MEMORIAL HOSPITALALLIANCES: RURAL HEALTH NETWORK OF SOUTH CENTRAL NY |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 11: 2022-2024 COMMUNITY SERVICE PLAN PRIORITY: PREVENT CHRONIC DISEASEFOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENTGOAL 4.1 INCREASE CANCER SCREENING RATESOBJECTIVE: THE PERCENTAGE OF ADULT PATIENTS OF DVH, AGE 50-75 YEARS, RECEIVING A COLORECTAL SCREENING WILL INCREASEINTERVENTIONS: - WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO UTILIZE THE TOOLS WITHIN THE NEW EPIC EHR, TO ENSURE BOTH PROVIDERS AND PATIENTS RECEIVE APPROPRIATELY SPACED REMINDERS THROUGH EHR ALERTS, MAIL, PHONE CALLS, EMAIL AND/OR E-CHART NOTIFICATIONS. - WORK TO SECURE ADDITIONAL ACCESS TO GI SPECIALTY CARE AND COLONOSCOPY PROCEDURES- MARKETING STAFF WILL SECURE OR CREATE ADDITIONAL EDUCATIONAL MATERIALS REGARDING COLORECTAL CANCER SO THE GENERAL PUBLIC CAN GAIN A HIGHER AWARENESS OF THE IMPORTANCE OF SCREENINGFAMILY OF MEASURES: - % COMPLIANCE WITH SCREENING GUIDELINES AMONG DVH PATIENTS.- NUMBER OF DAYS GI CONSULTATION AND COLONOSCOPIES ARE AVAILABLE AT DVH.- MATERIALS REGARDING COLORECTAL CANCER ARE MORE ACCESSIBLE TO THE PUBLICPROJECTED YEAR 3 INTERVENTION:BY DECEMBER 2024 THE PERCENTAGE OF PATIENTS RECEIVING SCREENING INCREASED TO 46.9% FROM 33%.GOAL 4.3 PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY.OBJECTIVES:- TO INCREASE THE PERCENTAGE OF PATIENTS, AGE 18-75 YEARS, WITH ADEQUATELY CONTROLLED BLOOD PRESSURE.- TO INCREASE ACCESS TO SPECIALIZED CARDIAC CARE IN THE SERVICE AREA.- TO INCREASE THE PERCENTAGE OF DIABETIC PATIENTS, AGE 18-75 YEARS WHO HAVE AN HBA1C TEST, WITHIN THE PAST YEAR WITH A RESULT <8%- TO INCREASE ACCESS TO SPECIALIZED DIABETES CARE IN THE SERVICE AREA.INTERVENTIONS:- WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO UTILIZE THE TOOLS WITHIN THE NEW EPIC EHR, TO ENSURE BOTH PROVIDERS AND PATIENTS RECEIVE APPROPRIATELY SPACED REMINDERS THROUGH EHR ALERTS, MAIL, PHONE CALLS, EMAIL AND/OR E-CHART NOTIFICATIONS.- MARKETING STAFF WILL SECURE OR CREATE ADDITIONAL EDUCATIONAL MATERIALS REGARDING HYPERTENSION AND ITS RISK SO THE GENERAL PUBLIC CAN GAIN A HIGHER AWARENESS OF THE IMPORTANCE OF ONGOING SCREENING AND THE ROLE DIET PLAYS IN MAINTAINING HEALTHY BLOOD PRESSURE.- RECRUIT A FULL-TIME CARDIOLOGY ADVANCE PRACTICE PROVIDER SO THE RURAL POPULATION WE SERVE HAS THE SAME OPPORTUNITY FOR CARDIAC CARE AS MORE URBAN RESIDENTS.- RECRUIT A FULL-TIME ENDOCRINOLOGY ADVANCE PRACTICE PROVIDER SO THE RURAL POPULATION WE SERVE HAS THE SAME OPPORTUNITY FOR ENDOCRINOLOGY CARE AS MORE URBAN RESIDENTS.FAMILY OF MEASURES:- % OF PATIENTS WHO HAVE ADEQUATELY CONTROLLED BLOOD PRESSURE.- MORE ACCESSIBLE MATERIALS REGARDING HYPERTENSION.- PROVIDER WILL BE RECRUITED.- % OF DIABETIC PATIENTS WHO HAVE HAD AN HGA1C READING OF <8% WITHIN THE PAST YEAR.COMPLETED YEAR 3 INTERVENTION:- THE PERCENTAGE INCREASED TO 74.3% BY DECEMBER 2024. IT NEEDS TO BE NOTED HOWEVER, THAT THE MEASURE CHANGED AT UHS AND THEREFORE AT DVH, TO ONLY MEASURE DIABETIC PATIENTS.- THE CARDIAC NURSE PRACTITIONER BEGAN AT DVH, IN EARLY 2024. THIS MAKES DVH THE ONLY LOCATION IN THE COUNTY WITH FULL-TIME CARDIOLOGY CARE. THIS FREES UP THE CARDIOLOGIST, WHO HAS BEEN COMING TO DVH ON A ONCE OR TWICE A WEEK BASIS FOR YEARS, TO SEE THOSE PATIENTS NEEDING COMPLEX TESTING AND CARE. THIS ALSO ALLOWS DVH TO BRING ECHOCARDIOGRAMS AND STRESS TESTING TO OUR LOCAL AREA, REDUCING THE NEED FOR PATIENTS TO TRAVEL AN HOUR OR MORE FOR SUCH TESTING AND CONSULTATIONS.- THE ENDOCRINOLOGY NURSE PRACTITIONER BEGAN AT DVH, IN EARLY 2024. THIS MAKES DVH THE ONLY LOCATION IN THE COUNTY WITH FULL-TIME DIABETES CARE. THIS REDUCES THE NEED FOR PATIENTS TO TRAVEL AN HOUR OR MORE FOR SUCH CARE. ADDITIONALLY, A FULL-TIME CERTIFIED NURSE DIABETIC EDUCATOR WAS RECRUITED AND BEGAN IN OCTOBER.PRIORITY:PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSFOCUS AREA 1: PROMOTE WELL-BEINGGOAL 1.1: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN.OBJECTIVES:- IDENTIFY AND WORK TO ALLEVIATE BARRIERS TO ACCESSING SOCIALIZATION OPPORTUNITIES, TO HELP REDUCE THE ISOLATION AND RESULTING BEHAVIORAL HEALTH ISSUES THAT CAN OCCUR BECAUSE OF IT.INTERVENTIONS:- SURVEY WALTON NY COMMUNITY MEMBERS REGARDING THEIR SOCIALIZATION PRACTICES. COMPLETED IN 2023.- SURVEY WALTON, NY ORGANIZATIONS, BUSINESSES, CHURCHES, SCHOOLS, LIBRARY, LIBRARY, THEATER, CLUBS ETC. REGARDING WHAT THEY OFFER IN TERMS OF ACTIVITIES AND EVENTS THROUGHOUT THE YEAR. COMPLETED IN 2023.- COMPILE RESULTS OF BOTH SURVEYS. COMPLETED IN 2023FAMILY OF MEASURES:- WILL PRESENT THE SURVEY TO AT LEAST 5 GROUPS TO ENCOURAGE PARTICIPATION AS INDIVIDUALS. COMPLETED IN 2023- WILL PRESENT THE SURVEY TO AT LEAST 5 GROUPS TO ENCOURAGE PARTICIPATION OF THEIR GROUP. COMPLETED IN 2023.- REPORT OF THE RESULTS WILL BE PRODUCED. COMPLETED IN 2023.PROJECTED (OR COMPLETED) YEAR 3 INTERVENTION:- A WALKING GROUP STARTED IN WALTON IN 2024. THE LOCAL LIBRARY HOLDS A MYRIAD OF EVENTS FOR ALL AGES, SOME ARE WEEKLY, BI-WEEKLY OR MONTHLY. THEY ALSO SPONSOR SPECIAL EVENTS THROUGHOUT THE YEAR. THEY HAVE A BOOK CLUB THAT MEETS MONTHLY. IN REALITY, AT THIS POINT IN TIME THE LIBRARY IS ADDRESSING MOST OF THE INTERESTS THE RESPONDENTS MENTIONED. THEIR ACTIVITIES AND THOSE OF THE WALKING CLUB ARE PROMINENT ON FACEBOOK. AND IN THE LOCAL NEWSPAPER.- THE FINDINGS DID NOT HIGHLIGHT BARRIERS SUCH AS CHILDCARE OR TRANSPORTATION THAT A GROUP MAY HAVE WORKED ON. HOWEVER, DVH IS PLANNING A MAJOR CONSTRUCTION PROJECT THAT WILL INCLUDE AREAS WHERE LOCAL, COUNTY OR OTHER ORGANIZATIONS CAN HOLD PROGRAMMING, OFFER SERVICES AND WORK WITH DVH STAFF TO BETTER SERVE RESIDENTS THROUGH JOINT NAVIGATION.GOAL 1.2: FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES.OBJECTIVES:- A STREET-SCAPE PLAN WILL BE DEVELOPED FOR DELAWARE STREET (THE MAIN STREET THROUGH THE VILLAGE OF WALTON) AND INTERVENTIONS PRIORITIZED, AND AN ACTION PLAN DEVELOPED.INTERVENTIONS:- A STREET-SCAPE PLAN THAT WILL ENHANCE THE APPEAL, THE WALKABILITY AND CREATE AGE-FRIENDLY ACCESSIBILITY WILL BE DEVELOPED IN CONJUNCTION WITH DEL CO PLANNING, WALTON CHAMBER AND VILLAGE OF WALTON GOVERNMENT REPRESENTATIVE.FAMILY OF MEASURES:- PLAN IS PRESENTED TO INTERESTED COMMUNITY MEMBERS AND ORGANIZATIONS.PROJECTED (OR COMPLETED) YEAR 3 INTERVENTION- THE WALKING TRAIL WAS COMPLETED. WORK HAS BEGUN TO CREATE KIOSKS SO THAT EVENTS CAN BE REGULARLY POSTED. THE VILLAGE IS REVIEWING OPTIONS TO FURTHER DEVELOP THE MAIN STREET THROUGH TOWN, IN ANTICIPATION OF SUBMITTING A GRANT TO NY STATE'S NY FORWARD PROGRAM. |
| DELAWARE VALLEY HOSPTITAL | PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WALTON FAMILY HEALTH CENTER | ||||
| 2 TITUS PLACE | WALTON | NY | 13856 | OUTPATIENT PHYSICIAN CLINIC |
| 2 - DOWNSVILLE FAMILY HEALTH CENTER | ||||
| 28315 STATE HWY 206 | DOWNSVILLE | NY | 13755 | OUTPATIENT PHYSICIAN CLINIC |
| 3 - ROSCOE FAMILY HEALTH CENTER | ||||
| 1982 OLD ROUTE 17 | ROSCOE | NY | 12776 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - PHYSICAL AND OCCUPATIONAL THERAPY | ||||
| 121 STOCKTON AVENUE | WALTON | NY | 13856 | REHABILITATION CLINIC |
| 5 - DVH COMMUNITY PHARMACY | ||||
| 121 STOCKTON AVENUE | WALTON | NY | 13856 | COMMUNITY PHARMACY |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | DELAWARE VALLEY HOSPITAL IS A CRITICAL ACCESS HOSPITAL (CAH) AS DESIGNATED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. UNLIKE NON-CAH'S THAT ARE REIMBURSED BASED ON A PROSPECTIVE REIMBURSEMENT METHODOLOGY, CAH'S ARE REIMBURSED THEIR ALLOWABLE COSTS FOR MEDICARE PURPOSES. THE MEDICARE COST REPORT (CMS 2552) AND THE MEDICAID INSTITUTIONAL COST REPORT (ICR) WAS UTILIZED FOR PURPOSES OF IDENTIFYING COSTS AND NET REVENUE. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F. |
| PART I, LN 7 COL(F): | DELAWARE VALLEY HOSPITAL REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $1,663,439 IN PART IX, LINE 24B. THE AFOREMENTIONED BAD DEBT EXPENSE WAS SUBTRACTED IN THE CALCULATIONS OF SCHEDULE H, PART I, LINES 7A THRU 7K. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | UHS DELAWARE VALLEY HOSPITAL (DVH) ACTIVELY PROMOTES THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES THROUGH LEADERSHIP INVOLVEMENT, COLLABORATION WITH COMMUNITY ORGANIZATIONS, AND ONGOING PARTICIPATION IN LOCAL INITIATIVES THAT ADDRESS PUBLIC HEALTH, SAFETY, AND QUALITY OF LIFE.THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS DEEPLY ENGAGED IN REGIONAL EMERGENCY MEDICAL SERVICES AND HEALTH EDUCATION. HE SERVES AS A MEMBER OF THE HANCOCK FIRE DEPARTMENT/EMERGENCY SERVICES, ADVISES THE DELAWARE COUNTY EMS COORDINATOR, AND HOLDS POSITIONS ON THE BOARDS OF THE CATSKILL HUDSON AREA HEALTH EDUCATION CENTER AND THE SULLIVAN COUNTY DRUG TASK FORCE. IN ADDITION, HE SERVES ON THE NEW YORK STATE RURAL AMBULANCE SERVICE TASK FORCE AND THE SUNY DELHI EXTERNAL ADVISORY COUNCIL.THE DIRECTOR OF SUPPORT SERVICES SERVES ON THE BOARD OF DIRECTORS OF THE DELAWARE COUNTY CHAMBER OF COMMERCE. THE DIRECTOR OF BUSINESS DEVELOPMENT AND FUNDRAISING IS A MEMBER OF THE DELAWARE COUNTY RURAL HEALTHCARE ALLIANCE, THE WALTON CENTRAL SCHOOL COMMUNITY COMMITTEE, UNITED WAY OF MID RURAL NEW YORK, THE HANCOCK AREA CHAMBER OF COMMERCE, THE WALTON CHAMBER OF COMMERCE, AND THE DELAWARE COUNTY BUSINESS ALLIANCE. SHE ALSO SERVES ON THE PLANNING COMMITTEE FOR WALTON'S STRIKE OUT HUNGER EVENT AND PARTICIPATES IN THE DELAWARE COUNTY SCN AND BEHAVIORAL HEALTH COLLABORATION MEETINGS. BOTH THE CEO AND DIRECTOR OF BUSINESS DEVELOPMENT ARE ACTIVE PARTICIPANTS IN THE ANNUAL ST. JUDE CHILDREN'S RESEARCH HOSPITAL THUNDER 102 RADIOTHON, HELPING RAISE FUNDS FOR PEDIATRIC CANCER RESEARCH.DVH SUPPORTS NUMEROUS COMMUNITY PROGRAMS THAT ENHANCE QUALITY OF LIFE AND PROMOTE HEALTH, INCLUDING SPONSORSHIP OF MUSIC ON THE DELAWARE, TWO LOCAL TOY DRIVES, A 5K WALK, AND SIX AREA FIRE DEPARTMENTS AND EMS SQUADS. EACH MAY, THE HOSPITAL HOLDS A WEEKLONG RECOGNITION EVENT FOR EMERGENCY PERSONNEL AND POLICE OFFICERS. THE COMMUNITY RELATIONS DEPARTMENT ALSO HOSTS HEALTH-EDUCATION BOOTHS AT COMMUNITY EVENTS SUCH AS THE DELHI TELEPHONE COMPANY OPEN HOUSE, HANCOCK COMMUNITY EDUCATION FOUNDATION CUSTOMER APPRECIATION DAY, AND THE WALTON FALL FESTIVAL.TO FOSTER COMMUNITY ENGAGEMENT AND FAMILY TOGETHERNESS, DVH PARTICIPATES ANNUALLY IN THE WALTON CHRISTMAS PARADE AND TREE LIGHTING CELEBRATION IN COLLABORATION WITH THE WALTON CHAMBER OF COMMERCE.TO ADDRESS FOOD INSECURITY, THE HOSPITAL'S REGISTERED DIETITIAN PARTNERS WITH THE RURAL HEALTH NETWORK OF SOUTH-CENTRAL NEW YORK TO DISTRIBUTE FRUIT-AND-VEGETABLE VOUCHERS TO LOCAL RESIDENTS. SHE PROVIDES INDIVIDUALIZED NUTRITION COUNSELING TO HELP PARTICIPANTS INCORPORATE MORE HEALTHY FOODS INTO THEIR DIETS. DVH ALSO SPONSORED TWO COMMUNITY DINNERS HELD ON THANKSGIVING AND CHRISTMAS DAY.DVH PROVIDES WEEKLY SPACE FOR REPRESENTATIVES FROM FIDELIS CARE, THE REGION'S LARGEST MEDICAID INSURER, TO MEET WITH AND ENROLL RESIDENTS IN NEED OF HEALTH-CARE COVERAGE.TO PROMOTE CHILD SAFETY AND HEALTH AWARENESS, DVH HOSTS AN ANNUAL TEDDY BEAR CLINIC FOR SECOND-GRADE STUDENTS FROM FIVE AREA SCHOOLS. THE PROGRAM TEACHES CHILDREN ABOUT EMERGENCY CARE AND HOSPITAL SERVICES IN A FRIENDLY, HANDS-ON SETTING. STUDENTS TOUR THE EMERGENCY DEPARTMENT AND RADIOLOGY, EXPLORE AN AMBULANCE AND MEDICAL HELICOPTER, AND MEET LOCAL K-9 OFFICERS TO LEARN ABOUT THEIR ROLE IN COMMUNITY SAFETY.THROUGH THESE DIVERSE INITIATIVES, DELAWARE VALLEY HOSPITAL CONTINUES TO STRENGTHEN COMMUNITY CONNECTIONS, PROMOTE HEALTH EDUCATION, AND IMPROVE ACCESS TO ESSENTIAL SERVICES THROUGHOUT ITS RURAL SERVICE AREA. |
| PART III, LINE 2: | THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2024 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2024 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2024, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 41% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART III, LINE 4: | AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS. PLEASE REFER TO FOOTNOTE 1, PAGE 6 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. |
| PART III, LINE 8: | BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE HOSPITAL HAS A POLICY TO PROVIDE A COMMUNITY BENEFIT TO UNINSURED PATIENTS THAT CONSISTS OF FEE DISCOUNTS. CERTAIN PATIENTS THAT WERE PROVIDED FEE DISCOUNTS WOULD HAVE LIKELY QUALIFIED UNDER THE CHARITY CARE POLICY. DELAWARE VALLEY HOSPITAL USES THE COST TO CHARGE RATIO METHODOLOGY UTILIZING AMOUNTS FROM THE 2024 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6. |
| PART III, LINE 9B: | UHS HOSPITALS POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.UHS HOSPITALS REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. UHS HOSPITALS PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. UHS HOSPITALS ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION. |
| PART VI, LINE 2: | UHS DELAWARE VALLEY HOSPITAL (DVH) CONTINUES TO COLLABORATE CLOSELY WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT, O'CONNOR HOSPITAL, AND MARGARETVILLE MEMORIAL HOSPITAL TO ASSESS COMMUNITY HEALTH NEEDS AND DEVELOP CORRESPONDING COMMUNITY SERVICE PLANS. TOGETHER, THESE ORGANIZATIONS COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIES KEY HEALTH PRIORITIES FOR THE REGION.DVH'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN (2022-2024), ALONG WITH ANNUAL UPDATES, ARE AVAILABLE ON THE UNITED HEALTH SERVICES WEBSITE AT: HTTPS://NYUHS.WIDEN.NET/S/VVDJSZ9ZH9/DELAWARE-COUNTY-CHA-FINAL-2022-2024-LAST-UPDATED-1.25.23 HTTPS://NYUHS.WIDEN.NET/S/C2MMKPDJQF/FINAL-DELAWARE-VALLEY-HOSPITAL-COMMUNITY-SERVICE-PLAN-2022-TO-2024THESE ASSESSMENTS INFORM THE HOSPITAL'S ONGOING INITIATIVES TO ADDRESS ISSUES SUCH AS CHRONIC DISEASE MANAGEMENT, ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE-USE PREVENTION, AND FOOD INSECURITY ENSURING THAT RESOURCES ARE DIRECTED TOWARD THE MOST PRESSING COMMUNITY HEALTH NEEDS. |
| PART VI, LINE 3: | DELAWARE VALLEY HOSPITAL IS COMMITTED TO PROVIDING OUR PATIENTS THE KNOWLEDGE THAT WE OFFER FINANCIAL ASSISTANCE. EACH PATIENT CARE REGISTRATION AREA HAS SIGNS TELLING THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THEM. THERE ARE ALSO BROCHURES REGARDING THE PROGRAM THROUGHOUT THE HOSPITAL'S FACILITIES AND THE INFORMATION IS ALSO POSTED ON THE WEBSITE. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. A FINANCIAL ASSISTANCE HELP LINE IS ALSO AVAILABLE AND ADVERTISED ON ALL BILLINGS. IN 2015, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CHANGED TO PROVIDE ALL SELF-PAY PATIENTS AN AUTOMATIC 35% DISCOUNT AT THE TIME OF SERVICE. IF FURTHER ASSISTANCE IS NEEDED, THE PATIENT APPLIES THROUGH THE FINANCIAL ASSISTANCE PROGRAM. DELAWARE VALLEY ALSO OFFERS PATIENTS EASY ACCESS TO A FIDELIS REPRESENTATIVE, BY PROVIDING A SITE FOR THEM TO INTERVIEW AND ENROLL RESIDENTS IN THEIR MEDICAID MANAGED CARE PRODUCT. FIDELIS IS THE ONLY PROVIDER OF THESE SERVICES FOR DELAWARE COUNTY. |
| PART VI, LINE 4: | THE LOCAL HEALTHCARE ENVIRONMENT IN DELAWARE COUNTY IS GREATLY INFLUENCED BY SPECIFIC ASPECTS OF THE PHYSICAL, LEGAL, SOCIAL, AND ECONOMIC ENVIRONMENT WITHIN THE COUNTY. IT IS LOCATED ON THE EASTERN BORDER OF UPSTATE NEW YORK'S SOUTHERN TIER REGION COVERING 1,467 SQUARE MILES, OF WHICH 1,442 MILES ARE LAND AND 25 MILES ARE WATER.THE COUNTY IS CHARACTERIZED BY A MOUNTAINOUS TERRAIN WITH WINDING, TWISTING TWO LANE ROADS, MAKING TRAVEL DIFFICULT AND EVEN HAZARDOUS DURING THE WINTER MONTHS. THE COUNTY HAS NO PUBLIC TRANSPORTATION SYSTEM, MAKING ACCESS TO CARE CHALLENGING. ALTHOUGH A FEW PRIVATE TRANSPORT SERVICES HAD BECOME AVAILABLE IN THE AREA, THE COST CAN BE PROHIBITIVE AND ONE HAS MADE THE DECISION TO ONLY DO SCHOOL TRANSPORTS DUE TO THE CHALLENGES CAUSED BY LIMITED REIMBURSEMENT FROM VARIOUS INSURANCE PROGRAMS. GEOGRAPHICALLY, DELAWARE COUNTY IS THE FOURTH LARGEST OF NEW YORK'S 62 COUNTIES AND IS THE FIFTH MOST RURAL. THE POPULATION DENSITY IS ONLY 30.6 PERSONS PER SQUARE MILE. THE LARGE SIZE OF THE COUNTY IS REFLECTED IN THE FACT THAT IT BORDERS SEVEN COUNTIES (BROOME, CHENANGO, GREENE, OTSEGO, SCHOHARIE, SULLIVAN, AND ULSTER) AS WELL AS THE STATE OF PENNSYLVANIA. ITS SIZE IS COMPARABLE TO THAT OF THE STATE OF RHODE ISLAND. UHS DELAWARE VALLEY HOSPITAL SERVES THE RESIDENTS OF WESTERN DELAWARE COUNTY AND NORTHWESTERN SULLIVAN COUNTY. IT ENCOMPASSES APPROXIMATELY A 30 MILE RADIUS WITH APPROXIMATELY 33,000 RESIDENTS. TO DETERMINE THE PRIMARY AND SECONDARY SERVICE AREA IN 2022, UNIQUE PATIENTS UTILIZING ALL DEPARTMENTS WERE COUNTED AS OPPOSED TO THOSE JUST UTILIZING PRIMARY CARE. THIS PROVIDES A MORE ACCURATE PICTURE OF THE COMMUNITIES SERVED. THE PRIMARY AND SECONDARY SERVICE AREAS REPRESENT THE AREAS WHERE 86% OF DELAWARE VALLEY'S PATIENTS RESIDE. THE PRIMARY SERVICE AREA ENCOMPASSES THOSE COMMUNITIES THAT HAD MORE THAN 200 INDIVIDUALS UTILIZING DVH. THIS INCLUDES THE FOLLOWING LOCATIONS: WALTON, DOWNSVILLE, HANCOCK, ROSCOE, SIDNEY CENTER, DELHI, EAST BRANCH AND HAMDEN. THE SECONDARY SERVICE AREA INCLUDES COMMUNITIES WHERE 100 OR MORE RESIDENTS UTILIZED DVH. THESE COMMUNITIES INCLUDE UNADILLA, FRANKLIN, SIDNEY, DEPOSIT, ONEONTA, DELANCEY AND BAINBRIDGE. UNADILLA MOVED TO THE SECONDARY SERVICE AREA AND TROUT CREEK, LEW BEACH, ANDES, AND FISHES EDDY ALL CAME OFF THE LIST AS THEY ALL HAD LESS THAN 100 RESIDENTS UTILIZING DVH. DELAWARE VALLEY HOSPITAL'S SERVICE AREA IS CENTERED IN DELAWARE COUNTY. USING PERCENTAGES, BASED ON THE NUMBERS OF UNIQUE PATIENTS UTILIZING OUR PRIMARY CARE SITES IN 2022, (AS THAT IS WHERE THE HIGHEST UTILIZATION OCCURS) THE PRIMARY SERVICE AREA ENCOMPASSES WALTON, DOWNSVILLE, ROSCOE, SIDNEY CENTER, DELHI, HAMDEN, EAST BRANCH, HANCOCK AND UNADILLA. THE PRIMARY SERVICE AREA REFLECTS WHERE 80% OF OUR PATIENTS RESIDE. THE SECONDARY SERVICE AREA CONSISTS OF THE COMMUNITIES WHERE THE NEXT 10.4% OF OUR PATIENTS RESIDE. THOSE COMMUNITIES INCLUDE: SIDNEY, DELANCEY, FRANKLIN, DEPOSIT, TROUT CREEK, LEW BEACH, ANDES, FISHS EDDY, BAINBRIDGE AND ONEONTA. DELAWARE COUNTY IS LOCATED ON THE WESTERN EDGE OF THE CATSKILL MOUNTAINS IN RURAL, UPSTATE NEW YORK. ENCOMPASSING 1446.37 SQUARE MILES, THE COUNTY'S SIZE APPROXIMATES THAT OF RHODE ISLAND AND IS THE FOURTH LARGEST OF NEW YORK STATE'S 62 COUNTIES. IN FACT, ITS SIZE IS SO GREAT THAT, SEVEN COUNTIES AND THE STATE OF PENNSYLVANIA BORDER DELAWARE COUNTY. IT ALSO RANKS AS THE FOURTH MOST RURAL COUNTY IN THE STATE WITH JUST 29.78 PERSONS PER SQUARE MILE. ITS TOPOGRAPHY IS CHARACTERIZED BY WINDING, AND TWISTING, TWO-LANE ROADS THAT TRANSVERSE A MOUNTAINOUS TERRAIN, MAKING TRAVEL CHALLENGING, ESPECIALLY DURING THE WINTER MONTHS. TRANSPORTATION IS AN EXTREMELY CHALLENGING BARRIER TO PROVIDING PATIENT CARE. THE AREA DOES NOT HAVE PUBLIC TRANSPORTATION AND WHILE RECENTLY SOME PRIVATE TRANSPORTATION SERVICES HAVE BEGUN, THEY ARE GENERALLY TOO COST PROHIBITIVE FOR MANY TO ACCESS. THE COUNTY IS HOME TO TWO OF THE STATE'S LARGEST RESERVOIRS IN THE NEW YORK CITY WATERSHED, WHICH HAS THE LARGEST UNFILTERED DRINKING WATER SUPPLY IN THE UNITED STATES. APPROXIMATELY 55% OF DELAWARE COUNTY'S POPULATION LIES WITHIN THE WATERSHED. NEW YORK CITY HAS WORKED TO PRESERVE AND SAFEGUARD THE WATERSHED FROM ENVIRONMENTAL DEGRADATION BY MEANS OF RESTRICTIONS AND REGULATIONS ON LAND USE WITHIN AND SURROUNDING THE WATERSHED. THE INITIAL IMPACT OF THE WATERSHED ON DELAWARE COUNTY HAS BEEN TO LIMIT ECONOMIC DEVELOPMENT WHICH PREVENTS EXPANSION OF THE TAX BASE. BECAUSE OF THE ENVIRONMENTAL ECOSYSTEM OF THE WATERSHED, THERE HAVE BEEN STRICT REGULATIONS PERTAINING TO AGRICULTURAL POLLUTION AND BUILDING CONSTRUCTION. MANY PROPERTIES HAVE BEEN PURCHASED BY NYC, TO FURTHER PROTECT ITS WATERSHED. LIMITING INFRASTRUCTURE GROWTH RESULTS IN DECREASED EMPLOYMENT OPPORTUNITIES. THESE UNIQUE CIRCUMSTANCES RESULT IN HEALTH CARE RELATED CHALLENGES FOR THE COUNTY RESIDENTS. THESE LIMITATIONS ALSO IMPACT THE LOCAL HEALTH AND SOCIAL SERVICE AGENCIES AND ORGANIZATIONS AND THE DELIVERY OF CARE AND SERVICES.THESE LIMITATIONS HAVE CAUSED RESIDENTS TO SEEK ALTERNATIVES TO STIMULATE ECONOMIC GROWTH. DELAWARE COUNTY FARMERS HAVE STARTED SPECIALTY INDUSTRIES. THIS IS REFLECTED IN THE INCREASED NUMBER OF SPECIALTY FARMS. OTHER ECONOMIC DEVELOPMENTS ARE TAKING THE FORM OF TOURISM (E.G. BED AND BREAKFAST), RECREATIONAL FACILITIES COMPATIBLE WITH THE ENVIRONMENT (E.G. GOLF, SKIING, HIKING, HUNTING AND FISHING), LOW POLLUTION FARMING, AND PROFESSIONAL/BUSINESS SERVICES COMPANIES.ACCORDING TO THE 2022 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES DATA PROFILES, THE POPULATION OF DELAWARE COUNTY NY IS 44,637. OF THOSE, 3.7% ARE UNDER THE AGE OF 5, WHILE 25.2% ARE AGE 65 AND OVER. THE MEDIAN AGE IS 48.9 VERSUS THAT OF NY STATE AT 38.5. 92.4% OF THE POPULATION IS CAUCASIAN, SO THERE IS LITTLE ETHNIC DISPARITY. THE MEDIAN HOUSEHOLD INCOME IS $58,338, WHICH IS $16,811 LESS THAN THAT OF NYS AND APPROXIMATELY 14.8% OF THE POPULATION LIVES BELOW THE POVERTY LEVEL, WHICH IS AN INCREASE OF 2% OVER 2020. ACCORDING TO THE SAME SOURCE, THE PERCENTAGE OF RELATED CHILDREN UNDER THE AGE OF 18 LIVING BELOW THE POVERTY LEVEL 23.3% WHILE FOR CHILDREN UNDER THE AGE OF 5, THE RATE IS 6.7% IN DELAWARE COUNTY. |
| PART VI, LINE 5: | HEALTH PROFESSIONAL EDUCATIONRECRUITING AND RETAINING HEALTHCARE PROFESSIONALS REMAINS A CONTINUAL CHALLENGE IN DVH'S RURAL SERVICE AREA. TO HELP ADDRESS THIS NEED, DELAWARE VALLEY HOSPITAL AND ITS AFFILIATED PRIMARY CARE CENTERS MAINTAIN DESIGNATION AS APPROVED SITES UNDER THE NATIONAL HEALTH SERVICE CORPS, ENABLING PROFESSIONALS TO RECEIVE FINANCIAL ASSISTANCE IN EXCHANGE FOR SERVICE IN UNDERSERVED AREAS.DVH PARTNERS WITH SUNY DELHI TO PROVIDE CLINICAL TRAINING FOR NURSING STUDENTS. HOSPITAL NURSING LEADERS ENGAGE WITH STUDENTS PURSUING BACHELOR'S DEGREES, OFFERING MENTORSHIP AND DISCUSSIONS ON LEADERSHIP, PATIENT CARE, AND NURSING ADMINISTRATION.IN 2024, THE HOSPITAL CONTINUED ITS STUDENT SHADOWING AND VOLUNTEER PROGRAM, ALLOWING PARTICIPANTS TO OBSERVE HEALTHCARE OPERATIONS AND GAIN FIRSTHAND EXPERIENCE IN CLINICAL SETTINGS.DVH ALSO HOSTED ITS ANNUAL MASH CAMP, PROVIDING TWENTY ELEVENTH- AND TWELFTH-GRADE STUDENTS FROM FIVE AREA SCHOOLS WITH HANDS-ON LEARNING EXPERIENCES IN VARIOUS CLINICAL DEPARTMENTS, INCLUDING THE INPATIENT MEDICAL UNIT, EMERGENCY DEPARTMENT, IMAGING, LABORATORY, RESPIRATORY AND PHYSICAL THERAPY, AMBULATORY SERVICES, AND PHARMACY. STUDENTS RECEIVED A BACKPACK WITH CAREER INFORMATION, EDUCATIONAL MATERIALS, AND LUNCH AS PART OF THE FULL-DAY PROGRAM.DVH REPRESENTATIVES ALSO PARTICIPATED IN CAREER DAYS AT WALTON CENTRAL, DOWNSVILLE CENTRAL, AND HANCOCK CENTRAL SCHOOLS, PROVIDING INFORMATION ABOUT HEALTHCARE PROFESSIONS AND PATHWAYS TO LOCAL EMPLOYMENT OPPORTUNITIES.COMMUNITY HEALTH IMPROVEMENT INITIATIVES DELAWARE COUNTY FAIR: DVH STAFFED A BOOTH PROVIDING BLOOD PRESSURE SCREENINGS AND DISTRIBUTING EDUCATIONAL MATERIALS ON HEALTHY LIVING. NUTRITION EDUCATION: THE HOSPITAL'S REGISTERED DIETITIAN PARTNERED WITH THE RURAL HEALTH NETWORK OF SOUTH-CENTRAL NEW YORK, COUNSELING LOCAL RESIDENTS ON HEALTHY EATING AND DISTRIBUTING FRUIT AND VEGETABLE VOUCHERS TO IMPROVE FOOD ACCESS. SHARPS DISPOSAL PROGRAM: DVH CONTINUED TO PROVIDE FREE SHARPS CONTAINERS AND SAFE DISPOSAL FOR RESIDENTS MANAGING CHRONIC CONDITIONS REQUIRING INJECTABLE MEDICATIONS. PATIENT EXPERIENCE ENHANCEMENTS: TO FOSTER COMFORT AND COMPLIANCE, DVH PROVIDES SMALL GESTURES OF KINDNESS SUCH AS STUFFED ANIMALS FOR CHILDREN IN THE LAB OR ER, COMPLIMENTARY GUEST MEALS FOR VISITORS DINING WITH PATIENTS, HOLIDAY-THEMED TRAY DECORATIONS, AND BIRTHDAY TREATS FOR INPATIENTS. TEDDY BEAR CLINIC: APPROXIMATELY 150 SECOND-GRADE STUDENTS FROM FIVE LOCAL SCHOOLS ATTENDED DVH'S ANNUAL EVENT TO REDUCE ANXIETY ABOUT HEALTHCARE EXPERIENCES. CHILDREN TOURED THE ER, IMAGING, AMBULANCE, AND HELICOPTER, INTERACTED WITH LOCAL EMERGENCY PERSONNEL, AND LEARNED ABOUT SAFETY AND EMERGENCY PREPAREDNESS. STRIKE OUT HUNGER: DVH SPONSORED THIS COMMUNITY FUNDRAISER BENEFITING THE LOCAL FOOD BANK, BACKPACK PROGRAM, AND COMMUNITY SUPPER INITIATIVES. VETERANS' APPRECIATION DAY: STAFF DISTRIBUTED PATRIOTIC KNAPSACKS AND WEEKLY PILL ORGANIZERS WHILE HONORING LOCAL VETERANS. PHYSICAL AND OCCUPATIONAL THERAPY EDUCATION: THERAPY STAFF CONDUCTED INTERACTIVE SESSIONS WITH ELEMENTARY STUDENTS, TEACHING THEM ABOUT BONES, MUSCLES, AND STRETCHING THROUGH DEMONSTRATIONS. COMMUNITY EVENTS AND SPONSORSHIPS: DVH SUPPORTED SPEND THE DAY IN WALTON, DOWNSVILLE 5K, CUSTOMER APPRECIATION DAY IN HANCOCK, AND MADE DONATIONS TO LOCAL FIRE DEPARTMENTS, EMERGENCY SQUADS, AND CIVIC EVENTS. OFFICE FOR THE AGING PICNIC: STAFF DISTRIBUTED COMMUNITY RESOURCE DIRECTORIES AND HEALTH EDUCATION MATERIALS. FREE SHREDDING DAY: DVH HOSTED AN EVENT TO HELP RESIDENTS PROTECT THEIR PERSONAL INFORMATION AND REDUCE RISK OF IDENTITY THEFT. DELAWARE OPPORTUNITIES' FAMILY FUN FESTIVAL: DVH STAFF PROVIDED HEALTH EDUCATION, DISTRIBUTED FIRST AID KITS, AND ENGAGED WITH FAMILIES ABOUT HEALTHY LIFESTYLES.COMMUNITY BENEFIT OPERATIONS THE PRESIDENT/CEO SERVES ON THE CATSKILL HUDSON AREA HEALTH EDUCATION CENTER, SULLIVAN COUNTY DRUG TASK FORCE, SUNY DELHI NURSING PROGRAM ADVISORY COUNCIL, HANCOCK FIRE DEPARTMENT, AND DELAWARE COUNTY EMS, AS WELL AS THE NEW YORK STATE RURAL AMBULANCE SERVICE TASK FORCE, WHICH FOCUSES ON IMPROVING EMERGENCY RESPONSE IN RURAL AREAS. THE DIRECTOR OF BUSINESS DEVELOPMENT AND FUNDRAISING SERVES AS A MEMBER OF THE WALTON AND HANCOCK AREA CHAMBERS OF COMMERCE, THE DELAWARE COUNTY BUSINESS ALLIANCE, THE HANCOCK ROTARY CLUB, AND THE UNITED WAY OF MID RURAL NEW YORK. THE DIRECTOR OF SUPPORT SERVICES SERVES ON THE BOARD OF DIRECTORS OF THE DELAWARE COUNTY BUSINESS ALLIANCE. DVH ALSO SPONSORS A LOCAL CHURCH WELLNESS PROGRAM THAT PROMOTES CHAIR YOGA AND HEALTHY EATING FOR OLDER ADULTS. |
| PART VI, LINE 6: | DELAWARE VALLEY HOSPITAL, INC. IS AN IMPORTANT MEMBER OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UNITED HEALTH SERVICES IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATIONS INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. DVH PARTICIPATES IN THE UNITED HEALTH SERVICES SYSTEM STRATEGIC PLANNING PROCESS. CONSISTENT WITH THE MISSION AND VISION, THE PLAN FOCUSES ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO THE REGION. THE STRATEGIC PLAN IS ORGANIZED AROUND THREE OBJECTIVES: IMPROVE OUR CARE, MANAGE OUR COSTS, AND GROW OUR MARKET SHARE. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE AND DVH FURTHER DEVELOPS OBJECTIVES AS THEY RELATE TO THE HOSPITAL'S SERVICES AND THE NEEDS OF OUR PATIENTS. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE OBJECTIVES ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES BOTH LOCALLY AND REGIONALLY. THE DVH COMMUNITY SERVICE REPORT IS INCLUDED WITH THE DELAWARE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH THE COMMUNITY SERVICE PLANS OF O'CONNOR HOSPITAL AND MARGARETVILLE HOSPITAL, ALL IN ONE DOCUMENT. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
| PART VI, LINE 5 CONTINUED: | THE CEO AND DIRECTOR OF BUSINESS DEVELOPMENT COLLABORATED WITH BOLD GOLD MEDIA, THE HANCOCK HERALD, AND THE DELAWARE COUNTY BUSINESS ALLIANCE ON THE THUNDER 102 ST. JUDE CHILDREN'S RESEARCH HOSPITAL RADIOTHON, PARTICIPATING IN RADIO INTERVIEWS, FUNDRAISING EVENTS, AND COMMUNITY OUTREACH ACTIVITIES. DVH CONTINUES TO SUPPORT THE OPERATION OF AN ADVANCED LIFE SUPPORT (ALS) AMBULANCE, SERVING A 2530 MILE RADIUS, TO ENSURE RAPID EMERGENCY RESPONSE AND PATIENT TRANSFERS TO HIGHER LEVELS OF CARE.SUMMARYTHROUGH ITS PARTNERSHIPS, OUTREACH, EDUCATION, AND SERVICE INITIATIVES, UHS DELAWARE VALLEY HOSPITAL FULFILLS ITS MISSION TO IMPROVE ACCESS, PROMOTE HEALTH EDUCATION, AND STRENGTHEN THE OVERALL WELLNESS AND SAFETY OF THE RURAL COMMUNITIES IT SERVES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 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 (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN CARRIGG | ||||||||||||||
| BOARD MEMBER/VICE CHAIR | $0 | $1,261,668 | $0 | $118,000 | $0 | $7,144 | $0 | $10,350 | $0 | $40,379 | $0 | $1,437,541 | $0 | $0 |
| DR JEFFREY GRAY | ||||||||||||||
| FORMER CHIEF MED OFFICER TO 12/31/24 | $0 | $682,039 | $0 | $71,850 | $0 | $0 | $0 | $10,350 | $0 | $47,971 | $0 | $812,210 | $0 | $0 |
| KIRILL DAVIDOV | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $491,679 | $0 | $5,200 | $0 | $0 | $0 | $10,350 | $0 | $31,797 | $0 | $539,026 | $0 | $0 |
| ROLLAND BOJO | ||||||||||||||
| BOARD MEMBER/PRESIDENT/CEO | $252,974 | $0 | $52,566 | $0 | $0 | $0 | $15,813 | $0 | $38,725 | $0 | $360,078 | $0 | $0 | $0 |
| DR MICHAEL FREEMAN | ||||||||||||||
| BOARD MEMBER/MEDICAL STAFF PRESIDENT | $0 | $273,191 | $0 | $6,300 | $0 | $0 | $0 | $8,624 | $0 | $32,000 | $0 | $320,115 | $0 | $0 |
| MEGAN HEAPHY | ||||||||||||||
| DIRECTOR AMBULATORY, ED, WALK-IN, IM | $135,914 | $0 | $11,854 | $0 | $0 | $0 | $7,791 | $0 | $37,523 | $0 | $193,082 | $0 | $0 | $0 |
| LAURA NORTHRUP | ||||||||||||||
| VP PATIENT CARE SERVICES/CNO | $151,875 | $0 | $12,923 | $0 | $0 | $0 | $2,400 | $0 | $25,444 | $0 | $192,642 | $0 | $0 | $0 |
| LUCINDA RIDER | ||||||||||||||
| VICE PRESIDENT/CFO | $164,703 | $0 | $15,470 | $0 | $0 | $0 | $8,998 | $0 | $878 | $0 | $190,049 | $0 | $0 | $0 |
| KATHLEEN ULMSCHNEIDER | ||||||||||||||
| STAFF NURSE | $144,472 | $0 | $1,700 | $0 | $0 | $0 | $7,715 | $0 | $27,504 | $0 | $181,391 | $0 | $0 | $0 |
| TITO ENDAYA | ||||||||||||||
| LAB MANAGER | $150,969 | $0 | $350 | $0 | $0 | $0 | $0 | $0 | $18,730 | $0 | $170,049 | $0 | $0 | $0 |
| MARGARET EBELING | ||||||||||||||
| STAFF NURSE | $147,652 | $0 | $50 | $0 | $0 | $0 | $7,477 | $0 | $13,409 | $0 | $168,588 | $0 | $0 | $0 |
| CYNTHIA GARDEPE | ||||||||||||||
| DIRECTOR HUMAN SERVICES | $131,227 | $0 | $14,475 | $0 | $0 | $0 | $6,230 | $0 | $13,866 | $0 | $165,798 | $0 | $0 | $0 |
| VICTORIA CONKLING | ||||||||||||||
| FORMER CNO TO 05/24/24 | $90,210 | $0 | $16,765 | $0 | $0 | $0 | $5,361 | $0 | $5,969 | $0 | $118,305 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, PART VII, SECTION A, LINE 5: | FormAndLineReferenceDesc |
| Explanation | INDIVIDUAL: MICHAEL FREEMAN UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $320,115 INDIVIDUAL: JEFFREY GRAY UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES, INC. TYPE AND AMOUNT OF COMPENSATION: $812,210 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURIE GROSS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SISTER-IN-LAW OF ROLLAND BOJO, PRESIDENT/CEO | RelationshipDescriptionTxt |
| Transaction | $94,504 | TransactionAmt |
| Transaction | EMPLOYEE WAGES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | UHS, INC., THE ORGANIZATION'S SOLE CORPORATE MEMBER, APPOINTS THE VOTING BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE DELAWARE VALLEY HOSPITAL, INC. (DVH) BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF FORM 990 TO MANAGEMENT. THE UHS FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15A | PERFORMANCE REVIEW OF PRESIDENT/CEO IS COMPLETED BY THE BOARD CHAIR AND 2ND VICE CHAIR/UHS, INC. LIAISON ANNUALLY. RESULTS PRESENTED TO EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF CHAIR, LIAISON, AND THREE OTHER BOARD MEMBERS. THE COMMITTEE USES SULLIVAN-COTTER, A PAID CONSULTING FIRM, TO OBTAIN NATIONAL CEO COMPENSATION DATA BY HOSPITAL TYPE, SIZE, ETC. AS THE BASIS FOR ESTABLISHING AN ACCEPTABLE COMPENSATION RANGE TO ENSURE COMPLIANCE WITH TREASURY REGULATION 53.4958-1(D)(4)(3). THE COMMITTEE THEN DETERMINES AND APPROVES THE PRESIDENT/CEO COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN SERVICES FEES: PROGRAM SERVICE EXPENSES 10,551,376. MANAGEMENT AND GENERAL EXPENSES 1,011,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,562,796. |
| FORM 990, PART XII, LINE 2C: | NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITALS INC | ||||||||||
| 10-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161165049 | HOSPITAL | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| PROFESSIONAL HOME CARE | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161261977 | HOME HEALTH CARE | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| CHENANGO MEMORIAL HOSPITAL | ||||||||||
| 179 NORTH BROAD STREET | NORWICH | NY | 13815 | 150532180 | HOSPITAL | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| UNITED HEALTH SERVICES INC | ||||||||||
| 20-40 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 222682421 | PARENT COMPANY | NY | 501(C)(3) | 10 | BOARD OF DIRECTORS UHS INC | 0 |
| TWIN TIER HOME HEALTH INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 222438211 | HOME HEALTH CARE | NY | 501(C)(3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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