2016-11-21T12:56:33-06:00 2015-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2015-01-01 150532254 ST JOSEPHS HOSPITAL HEALTH CENTER STJO 3157032163 301 PROSPECT AVE SYRACUSE NY 132031899 LOWELL A SEIFTER ESQ SECRETARY 3154485880 2016-11-21 1 ANGELA M FRANCO P00589741 3154463600 2015 2017-02-10 21:41:12Z LOWELL A SEIFTER ESQ 301 PROSPECT AVE SYRACUSE NY 132031899 619091130 0 X SJHSYR.ORG X 1895 NY RELIGIOUS & CHARITABLE, TEACHING HOSPITAL 17 12 4695 524 -595866 -595866 10320951 7265837 542194840 553323910 1810270 1527037 49265863 56678818 603591924 618795602 0 0 0 0 307055709 312641418 0 0 0 293203335 304314935 600259044 616956353 3332880 1839249 648957477 485398291 438829997 409230768 210127480 76167523 X OUR MISSION: WE ARE PASSIONATE HEALERS DEDICATED TO HONORING THE SACRED IN OUR SISTERS AND BROTHERS.OUR VISION: TO BE WORLD-RENOWNED FOR PASSIONATE PATIENT CARE AND OUTSTANDING CLINICAL OUTCOMES.CORE VALUES: IN THE SPIRIT OF GOOD STEWARDSHIP, WE HEAL BY PRACTICING: COMPASSION THROUGH OUR KINDNESS, CONCERN AND GENUINE CARING; REVERENCE IN HONORING THE DIGNITY OF THE HUMAN SPIRIT; EXCELLENCE BY EXPECTING THE BEST OF OURSELVES AND OTHERS; INTEGRITY BY BEING AND SPEAKING THE TRUTH. 0 0 166623019 177071796 HEART DISEASE AND STROKECARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE NATION, NEW YORK STATE AND ONONDAGA COUNTY. SINCE ST. JOSEPH'S PERFORMED THE FIRST OPEN HEART SURGERY IN CENTRAL NEW YORK IN 1958, IT HAS CONTINUED TO LEAD THE WAY IN THE PREVENTION, DETECTION AND TREATMENT OF HEART DISEASE. FOR EXAMPLE:- SURGEONS PERFORM NEARLY 1,000 OPEN HEART SURGERIES YEAR.- INTERVENTIONAL CARDIOLOGISTS PERFORM NEARLY 5,035 CARDIAC CATHETERIZATIONS AND APPROXIMATELY 2,000 PERCUTANEOUS CORONARY INTERVENTIONS.- SPECIALISTS CONDUCT MORE THAN 573 ELECTROPHYSIOLOGY CASES, INCLUDING THREE-DIMENSIONAL MAPPINGS.- SURGEONS IMPLANT APPROXIMATELY 635 PACEMAKERS IN 2015.NATIONAL RECOGNITIONS INCLUDE:-BEST REGIONAL HOSPITAL BY U.S. NEWS AND WORLD REPORT-100 GREAT COMMUNITY HOSPITALS BY BECKER'S HOSPITAL REVIEW-ONLY MAGNET DESIGNATED HOSPITAL IN CENTRAL NEW YORK-AWARDED 3 STARS IN CABG, AVR & AVR+CABG BY SOCIETY OF THORACIC SURGEONS-WOMEN'S CHOICE AWARD FOR HEART CARE AND OBSTETRICS -HIGH PERFORMING IN HIP AND KNEE REPLACEMENTS BY U.S. NEWS AND WORLD REPORT-AWARDED BABY FRIENDLY HOSPITAL BY BABY-FRIENDLY USA, INC. SPONSORED BY UNICEF AND THE WHO-PRIMARY CARE OFFICES CERTIFIED NCQA LEVEL 3 PATIENT CENTERED MEDICAL HOME-LEAPFROG REPORTS ST. JOSEPH'S 3RD LOWEST C-SECTION RATE IN NY-AWARDED LEED GOLD CERTIFICATION BY THE U.S. GREEN BUILDING COUNCIL-MOST WIRED HOSPITAL SEVEN CONSECUTIVE YEARS-CARDIAC ICU RECEIVED THE GOLD BEACON AWARD OF EXCELLENCE-AMERICAN ACADEMY OF SLEEP MEDICINE ACCREDITATION-COMPREHENSIVE CENTER ACCREDITATION FOR BARIATRIC SURGERY-FULL ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE-SURGICAL INTENSIVE CARE RECEIVED BEACON AWARD OF EXCELLENCEREGIONAL DISTINCTIONS:-2015 RISK TAKERS AND DREAM MAKERS AWARD-NAACP COMMUNITY SERVICE AWARD-EXCELLUS BLUECROSS BLUESHIELD COMMUNITY HEALTH AWARD-HANYS 2015 COMMUNITY HEALTH INITIATIVES AWARD-EXCELLENCE IN HEALTH CARE AWARD, COMMUNITY PARTNER-BLUE DISTINCTION CENTER PLUS FOR KNEE AND HIP REPLACEMENT-BLUE DISTINCTION CENTER PLUS FOR SPINE SURGERY-BLUE DISTINCTION CENTER PLUS FOR CARDIAC CARE-BLUE DISTINCTION CENTER FOR MATERNITY CAREEKG TRANSMISSION FROM AMBULANCES: ST. JOSEPH'S EMERGENCY DEPARTMENT RECEIVES EKGS FROM AMBULANCES IN THE FIELD THAT ARE IN ROUTE TO THE HOSPITAL. THE NEW, WEB-BASED SYSTEM, CALLED LIFENET STEMI MANAGEMENT SOLUTION FROM PHYSIO-CONTROL, ALLOWS EMERGENCY MEDICAL TECHNICIANS (EMTS) TO ALERT THE ED STAFF TO INCOMING PATIENTS WITH A DANGEROUS FORM OF HEART ATTACK KNOWN AS STEMI (ST ELEVATION MYOCARDIAL INFARCTION). STEMI POSES A SERIOUS THREAT TO THE HEART MUSCLE, AND THE QUICKER PATIENTS RECEIVE TREATMENT THE MORE LIKELY THEY ARE TO HAVE A POSITIVE OUTCOME. EMTS USE THE SYSTEM TO TRANSMIT 12-LEAD EKGS FROM THE FIELD DIRECTLY TO THE ED. THIS HELPS SAVE TIME, WHICH IS THE KEY TO SAVING HEART MUSCLE.BY HAVING THE OPPORTUNITY TO READ THE EKG SOONER, THE ED PHYSICIANS CAN ACTIVATE THE AMI TEAM, THE SPECIFIC STAFF WHO CARE FOR HEART ATTACK PATIENTS, EARLIER. THIS EARLY WARNING SYSTEM PROVIDES AN ENORMOUS BENEFIT TO HEART ATTACK PATIENTS BECAUSE IT WILL RESULT IN A REDUCTION OF DOOR TO WIRE TIMES. THE TOOL IS PARTICULAR HELPFUL DURING OFF-SHIFTS AND WEEKENDS WHEN IT MAY TAKE A BIT LONGER TO CONVENE THE AMI TEAM.ACCORDING TO LOCAL AMBULANCE CORPS, THIS TECHNOLOGY IS A HUGE STEP TOWARD BETTER PATIENT CARE, PARTICULARLY FOR THOSE AMBULANCE CORPS THAT SERVES COUNTIES WITHOUT CARDIAC CATHETERIZATION LABS. OFTEN THOSE EMS PROVIDERS HAVE TO MANAGE UNSTABLE PATIENTS FOR MORE THAN 30 MILES TO DELIVER THEM TO THE LEVEL OF CARE THEY REQUIRE. THE CAPABILITY OF TRANSMITTING 12 LEAD EKGS HELPS PATIENTS GET THE CARE THEY NEED SOONER, SAVING BOTH LIVES AND HEART MUSCLE.CERTIFIED CHEST PAIN CENTER: IN 2013, ST. JOSEPH'S HOSPITAL RECEIVED CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS. ST. JOSEPH'S IS ONE OF TWO HOSPITALS IN CENTRAL NEW YORK WITH THIS ACCREDITATION.ST. JOSEPH'S UNDERTOOK A RIGOROUS RE-EVALUATION AND REFINEMENT OF HEART CARE PROCESSES TO INTEGRATE THE INDUSTRY'S BEST PRACTICES AND NEWEST PARADIGMS INTO ITS CARDIAC CARE SERVICES. THE HOSPITAL'S STATE-OF-THE-ART CARDIOVASCULAR PROGRAM WORKS SEAMLESSLY WITH AREA EMERGENCY MEDICAL SERVICES TO ENSURE THAT PATIENTS GET THE TREATMENT THEY NEED DURING THE CRITICAL EARLY STAGES OF A HEART ATTACK.AS AN ACCREDITED CHEST PAIN CENTER, ST. JOSEPH'S ENSURES PATIENTS WHO COME TO THE HOSPITAL COMPLAINING OF CHEST PAIN OR DISCOMFORT ARE GIVEN THE IMMEDIATE TREATMENT NECESSARY TO AVOID AS MUCH HEART DAMAGE AS POSSIBLE. PROTOCOL-BASED PROCEDURES DEVELOPED BY LEADING EXPERTS IN CARDIAC CARE TO REDUCE TIME OF TREATMENT IN THE CRITICAL EARLY STAGES OF A HEART ATTACK ARE PART OF ST. JOSEPH'S OVERALL CARDIAC SERVICES.IN ADDITION TO CHEST PAIN CENTER ACCREDITATION, ST. JOSEPH'S IS THE ONLY HOSPITAL IN SYRACUSE DESIGNATED AS A MISSION LIFELINE STEMI HOSPITAL BY THE AMERICAN HEART ASSOCIATION FOR ITS SYSTEMATIC AND MULTIDISCIPLINARY APPROACH TO TREATING HEART ATTACKS.OUTREACH TO NORTHERN NEW YORK: ST. JOSEPH'S CONTINUED ITS TELEMEDICINE PROGRAM WITH SAMARITAN MEDICAL CENTER IN WATERTOWN, N.Y., TO ACHIEVE OPTIMAL CARDIAC CARE FOR CENTRAL AND NORTHERN NEW YORK.SAMARITAN HOUSES A FREESTANDING CATHETERIZATION LABORATORY THAT SERVICES THE LARGELY RURAL JEFFERSON, ST. LAWRENCE, LEWIS AND FRANKLIN COUNTIES. SAMARITAN'S CATH LAB UTILIZES THE EXPERTISE OF ST. JOSEPH'S INVASIVE CARDIOLOGISTS. ALL PATIENTS ARE SCREENED FOR RISK FACTORS AND ANY CARDIAC CATH CANDIDATES WHO DISPLAY AT-RISK SYMPTOMATOLOGY ARE REFERRED TO ST. JOSEPH'S HOSPITAL FOR INPATIENT CARDIAC CATHETERIZATION PROCEDURES, ANGIOPLASTY OR CARDIAC SURGERY INTERVENTIONS.ST. JOSEPH'S EXPRESS ADMISSION LINE IS A HOTLINE USED PRIMARILY FOR THE SPEEDY TRANSFER OF CARDIAC PATIENTS FROM RURAL HOSPITALS WITHOUT CARDIAC CATHETERIZATION LABS. IT CAN ALSO BE A LIFESAVING TOOL USED TO TRANSFER ANY PATIENT IN NEED TO THE APPROPRIATE LEVEL OF CARE AS SOON AS POSSIBLE. WHEN A PATIENT REQUIRES SPECIALTY CARE UNAVAILABLE AT HIS OR HER CURRENT HEALTH CARE FACILITY, MEDICAL PERSONNEL CALL THE EXPRESS LINE, WHICH IS ANSWERED 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK BY ST. JOSEPH'S ADMINISTRATIVE NURSING COORDINATOR. THE NURSING COORDINATOR LISTENS TO THE DESCRIPTION OF THE PATIENT'S CONDITION, CONTACTS THE ST. JOSEPH'S PHYSICIAN ON CALL FOR THE PARTICULAR SPECIALTY NEEDED, AND WITHIN MINUTES ALL THREE PARTIES ARE ENGAGED IN A THREE-WAY POTENTIALLY LIFESAVING CONVERSATION. THE ST. JOSEPH'S PHYSICIAN CAN OBTAIN CRITICAL PATIENT INFORMATION AND GIVE SPECIFIC INSTRUCTIONS FOR CARE DURING TRANSPORT, WHILE THE NURSING COORDINATOR SIMULTANEOUSLY CHECKS FOR AVAILABLE BEDS AND ALERTS THOSE NEEDED TO PREPARE FOR THE PATIENT'S ARRIVAL. TO EXPEDITE THE PROCESS, HOSPITAL REPRESENTATIVES FROM BOTH LOCATIONS THEN TAKE CARE OF PAPERWORK AND OTHER IMPORTANT INFORMATION, WHILE THE PATIENT IS ENROUTE.THE EXPRESS LINE HAS LITERALLY BEEN A LIFESAVER, BECAUSE PRECIOUS TIME IS NOT SPENT SEARCHING FOR AN OPEN BED OR TRIAGING THE PATIENT A SECOND TIME UPON ARRIVAL AT ST. JOSEPH'S, BUT ONLY ON MAKING SURE THE PATIENT RECEIVES THE BEST POSSIBLE MEDICAL CARE IMMEDIATELY AND THROUGHOUT HIS OR HER STAY.REHABILITATION: ST. JOSEPH'S OFFERS THE ONLY COMPREHENSIVE CARDIAC REHABILITATION PROGRAM THAT IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION AND IS THE LARGEST SUCH PROGRAM IN CENTRAL NEW YORK. IN 2015, ST. JOSEPH'S PROVIDED NEARLY 11,184 PATIENT VISITS. A MEDICALLY SUPERVISED EXERCISE PROGRAM IS ALSO HELD AT THE SITE. THIS PROGRAM IS SPECIFICALLY DESIGNED FOR PEOPLE WHO WANT TO EXERCISE AND MAINTAIN THEIR INDEPENDENCE, BUT WHOSE CHRONIC DISEASE STATES PUT THEM AT RISK FOR EXERCISING IN STANDARD GYMS. 24880196 18435518 MISSION SERVICES & OTHERPRIMARY CARE CENTERS & MENTAL HEALTHPRIMARY CARE CENTERSCOMMITTED TO IMPROVING ACCESS TO HEALTH CARE SERVICES FOR THOSE WHO ARE UNDERSERVED, ST. JOSEPH'S HAS ESTABLISHED PRIMARY CARE SITES IN AREAS WHERE MANY OF THESE INDIVIDUALS LIVE. THIS HELPS ADDRESS A KNOWN BARRIER, WHICH IS ACCESS TO TRANSPORTATION FOR THOSE WITHOUT INSURANCE OR WHO USE MEDICAID. PRIMARY CARE CENTER-WEST (PCC WEST): THE PCC WEST PRIMARILY SERVES PATIENTS OF ALL AGES FROM SYRACUSE'S NEAR WEST SIDE. THE BI-LINGUAL STAFF PROVIDES OBSTETRICS, GYNECOLOGICAL CARE, PEDIATRIC WELL AND SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS, BLOOD DRAWS, NUTRITION AND FINANCIAL COUNSELING, AND REFERRALS TO SPECIALISTS, AS NEEDED. PHYSICIANS ARE AVAILABLE 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK. PCC WEST SAW 17,036 PATIENT VISITS IN 2015. MANY FAMILIES COME FROM CUBA, PUERTO RICO, UKRAINE, SOMALIA, SUDAN, BOSNIA AND BURMA AND 32 PERCENT OF PATIENTS ARE NON-ENGLISH SPEAKING OR HAVE LIMITED ENGLISH PROFICIENCY. SEVENTY-THREE PERCENT OF PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY.PRIMARY CARE CENTER OB/GYN (PCC OB/GYN): LOCATED AT PCC MAIN CAMPUS, 101 UNION AVE SUITE 706, SYRACUSE, SPECIALIZES IN WOMEN'S HEALTH CARE. IN ADDITION TO PHYSICIANS, CERTIFIED NURSE MIDWIVES, NURSE PRACTITIONER AND REGISTERED NURSES PROVIDE PREGNANCY CARE AND GYNECOLOGICAL SERVICES. LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS, MATERNAL TESTING AND SONOGRAMS, SOCIAL SERVICES, NUTRITIONAL COUNSELING, FINANCIAL COUNSELING AND PHLEBOTOMY ARE ALSO AVAILABLE AT THE PCC OB/GYN OFFICE. THERE IS A STRONG CONNECTION BETWEEN PRE- AND POST-NATAL CARE FROM OUTPATIENT OBSTETRICS TO INPATIENT MATERNITY AND NEWBORN SERVICES AND THEN BACK TO OUTPATIENT OBSTETRICS AND PEDIATRIC SERVICES. 85% OF OB PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. A LARGE PERCENTAGE OF PATIENTS ARE VIETNAMESE. THE PEDIATRICS OFFICE, WHICH SAW 5,972 PATIENT VISITS IN 2015, PROVIDES PEDIATRIC SERVICES FOR PATIENTS UP TO AGE 17, WELL-CHILD VISITS, SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS AND REFERRALS TO SPECIALISTS, AS NEEDED. NUTRITION AND FINANCIAL COUNSELING ALSO ARE AVAILABLE AND SOCIAL WORKERS ARE ON SITE. AT THE PEDIATRIC OFFICE, HEALTH AND FAMILY EDUCATION AND MENTAL HEALTH SCREENINGS ARE ALSO AVAILABLE, AS WELL AS AN INITIATIVE TO IMPROVE CHILD LITERACY THROUGH THE REACH OUT AND READ PROGRAM.PRIMARY CARE CENTER-MAIN (PCC MAIN): LOCATED ON THE HOSPITAL CAMPUS, ST. JOSEPH'S PCC MAIN PRIMARY CARE CENTER IS AVAILABLE TO PROVIDE ALL THE HEALTH CARE NEEDS OF FAMILIES, INCLUDING PRENATAL, PEDIATRIC AND ADULT CARE. SERVICES INCLUDE 24-HOUR PHYSICIAN COVERAGE, OBSTETRICS, CARING FOR CHILDREN, WOMEN'S HEALTH, CARE OF HOSPITALIZED PATIENTS, AND OFFICE CARE FOR MOST MEDICAL PROBLEMS, AS WELL AS FAMILY THERAPY COUNSELING, MENTAL HEALTH SCREENING, LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS AND NUTRITIONAL, FINANCIAL AND SOCIAL WORK COUNSELING. IN 2015, THERE WERE 29,013 PATIENT VISITS, 86% OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. DENTAL OFFICE: ST. JOSEPH'S DENTAL OFFICE CARES FOR MANY OF THE AREA'S UNDERINSURED, AS WELL AS PATIENTS WITH MENTAL AND/OR PHYSICAL DISABILITIES. A 24-HOUR ON-CALL SYSTEM IS IN PLACE IN ALL OF ST. JOSEPH'S PRIMARY CARE SITES. THERE WERE 9,666 PATIENT VISITS IN 2015, INCLUDING OUR NEW PORTABLE DENTAL UNIT THAT BEGAN IN LATE 2015; 32% OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY.IN ADDITION, THE PRIMARY CARE CENTERS INCORPORATE A DENTAL ASSESSMENT IN ALL AGE GROUPS AND IF NECESSARY, REFERRALS ARE MADE TO ST. JOSEPH'S DENTAL OFFICE. IN ADDITION, ST. JOSEPH'S DENTAL OFFICE, THROUGH THE GENEROUS GRANT PROVIDED BY THE HEALTH FOUNDATION OF WESTERN & CENTRAL NY, NOW PROVIDES PORTABLE DENTAL SERVICES TO CHILDREN IN THE COMMUNITY WHO MAY NOT HAVE THE ABILITY TO RECEIVE DENTAL HYGIENE CARE.SPECIALTIES SERVICES: ST. JOSEPH'S TAKES REFERRALS FROM ITS EMERGENCY DEPARTMENT, PRIMARY CARE SERVICES AND PHYSICIANS THROUGHOUT THE COMMUNITY FOR ORTHOPEDICS/SPORTS MEDICINE, ALLERGY/ASTHMA SERVICES, SURGICAL SERVICES AND INFECTIOUS DISEASE. 77% OF THE PATIENTS SEEN IN SPECIALTIES SERVICES ARE MEDICAID, MEDICARE OR SELF-PAY. THERE WERE 2952 PATIENT VISITS IN 2015.MENTAL HEALTH AND MENTAL DISORDERSIN RESPONSE TO A CRITICAL COMMUNITY NEED, ST. JOSEPH'S MENTAL HEALTH SERVICES PROMOTES POSITIVE MENTAL HEALTH AND ADDRESSES A BROAD RANGE OF PSYCHIATRIC ILLNESSES INCLUDING BIPOLAR DISORDER, DEPRESSION, PSYCHOTIC DISORDERS, MOOD AND ANXIETY DISORDERS, SUBSTANCE ABUSE AND ADDICTION, AND CHILD AND ADOLESCENT PSYCHIATRIC DISORDERS. EACH PATIENTS INDIVIDUAL TREATMENT NEEDS ARE RESPONDED TO WITH PLANNING FOR PATIENT-SPECIFIC CARE WHICH MAY INCLUDE INDIVIDUAL PSYCHOTHERAPY, GROUP THERAPY, FAMILY COUNSELING, INPATIENT CARE, PSYCHOPHARMACOLOGY, REHABILITATION SERVICES AND VOCATIONAL COUNSELING.WHILE OUTSTANDING SERVICES ARE GIVEN TO ALL PATIENTS, WITH NEARLY ONE QUARTER OF ITS PATIENT POPULATION 17 YEARS AND YOUNGER, PROVIDERS AT ST. JOSEPH'S WORK DILIGENTLY TO OFFER INNOVATIVE STATE-OF-THE-ART TREATMENT OPTIONS THAT ARE SUCCESSFUL WITH, AND CAPTURE THE INTEREST OF, CHILDREN. ST. JOSEPH'S MENTAL HEALTH SERVICES RECORDS OVER 87,238 OUTPATIENT VISITS AS WELL AS 322 ADMISSIONS INTO THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM EOB AND 588 PSYCHIATRIC ADMISSIONS.ST. JOSEPH'S, THE LARGEST PROVIDER OF MENTAL HEALTH SERVICES IN ONONDAGA COUNTY, HAS OFFERED COMPREHENSIVE MENTAL HEALTH CARE TO THE COMMUNITY SINCE 1947. DESIGNATED BY NEW YORK STATE AS A COMMUNITY MENTAL HEALTH CENTER SINCE 1967, ST. JOSEPH'S PROVIDES A FULL CONTINUUM OF MENTAL HEALTH SERVICES. IN ADDITION TO A 30-BED INPATIENT UNIT, ST. JOSEPH'S OFFERS OUTPATIENT PSYCHOTHERAPY, REHABILITATION AND SUPPORTED EMPLOYMENT PROGRAMS, TRANSITIONAL LIVING SERVICES, ACCESS FOR THE HOMELESS AND LINK, A SCHOOL-BASED PROGRAM FOR CHILDREN AND FAMILIES. ST. JOSEPH'S ALSO OPERATES THE REGIONS ONLY PSYCHIATRIC EMERGENCY PROGRAM, PROVIDING COMPASSIONATE CARE FOR COMMUNITY MEMBERS DURING SOME OF THEIR MOST SERIOUS PSYCHIATRIC CRISES. THE MISSION OF ST. JOSEPH'S MENTAL HEALTH SERVICES REFLECTS A CONCERN WITH PREVENTING MENTAL ILLNESS, PROMOTING MENTAL HEALTH AND PROVIDING COMPREHENSIVE CARE FOR THOSE PERSONS SUFFERING FROM MENTAL DISORDERS. MENTAL HEALTH SERVICES PLACES EMPHASIS ON CONSIDERATION OF BIOLOGICAL, CULTURAL, ETHNIC, FAMILY AND SOCIAL ENVIRONMENT IN TREATING PATIENTS, AS WELL AS THE BELIEF THAT COMPREHENSIVE AND APPROPRIATE TREATMENT CAN BEST BE IMPLEMENTED AT THE LEAST RESTRICTIVE LEVEL OF CARE THAT IS THERAPEUTICALLY ADVISABLE. ADEQUATE CARE OF THE MENTALLY ILL HAS BECOME AN URGENT NEED IN THE CENTRAL NEW YORK COMMUNITY, AND ST. JOSEPH'S CONTINUES TO FIND WAYS TO PROVIDE GREATER ACCESS TO MENTAL HEALTH CARE FOR THOSE IN NEED.ST. JOSEPH'S MENTAL HEALTH SERVICES AND CPEP PARTNER WITH A VARIETY OF LOCAL ORGANIZATIONS, INCLUDING ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH, SOCIAL SERVICES AND PROBATION, ONONDAGA CASE MANAGEMENT SERVICES, INC., UNITED WAY OF CENTRAL NY, ONONDAGA WRAPAROUND, THE SYRACUSE RESCUE MISSION, SALVATION ARMY, EMERGENCY SHELTER BARNABAS HOUSE, STATE STREET APARTMENTS BOOTH HOUSE, LOCAL LAW ENFORCEMENT, UNIVERSITY HOSPITAL, ONONDAGA CASE MANAGEMENT SERVICES, INC., FAMILY TAPESTRY, ELMCREST CHILDREN'S CENTER, HILLSIDE CHILDREN'S CENTER, LIBERTY RESOURCES, INC., CENTRAL NEW YORK SERVICES, INC., NORTH SYRACUSE SCHOOL DISTRICT, EAST-SYRACUSE MINOA SCHOOL DISTRICT AND THE SYRACUSE BEHAVIORAL HEALTH CENTER.PROGRAMS:- ADULT OUTPATIENT AND CHILDREN AND YOUTH OUTPATIENT CLINICS- COMPREHENSIVE HOMELESS ACCESS TO NONTRADITIONAL CLINICAL EXPERIENCES (CHANCE)- PERSONALIZED RECOVERY ORIENTED SERVICES (PROS)- PSYCHIATRIC HOME CARE SERVICES- RESIDENTIAL SERVICES PROGRAM- ST. JOSEPH'S VOCATIONAL SERVICES- VOLUNTEER PROGRAM FOR SYRACUSE BEHAVIORAL HEALTH CLIENTS- LEADING, INTEGRATING, NETWORKING FOR KIDS (LINK)- COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP)- CPEP MOBILE CRISIS OUTREACH PROGRAM- CHILDREN'S HEALTH INNOVATION PROJECT (CHIP)- CPEP FACILITY EXPANSION AND RE-LOCATION- DOCTORS ACROSS NEW YORK PHYSICIAN LOAN REPAYMENT PROGRAM-SCHOOL-BASED PROGRAM AT ONE CITY SCHOOL IN COOPERATION WITH SYRACUSE CITY SCHOOL DISTRICT-TELEPSYCHIATRY SERVICES TO FOUR RURAL SITES 20079623 19816087 HOME CAREST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY: THE ST. JOSEPH'S HOSPITAL HEALTH CENTER NETWORK OFFERS IN-HOME SERVICES TO A DIVERSE POPULATION THROUGH ITS AFFILIATE ORGANIZATION, FRANCISCAN HEALTH SUPPORT, AND THE HOSPITAL-OWNED ST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY. HOME CARE HELPS PATIENTS TRANSITION FROM HOSPITAL TO HOME AND SUPPORTS PEOPLE WHO ARE AT HOME BY PROVIDING SERVICES THEY NEED TO AVOID READMISSION TO THE HOSPITAL OR A NURSING HOME. THE TWO AGENCIES CONDUCTED NEARLY 179,000 HOME VISITS LAST YEAR, HELPING MANY IN CENTRAL NEW YORK TO REMAIN IN THE COMFORT OF THEIR OWN HOMES. OUR CERTIFIED HOME HEALTH CARE AGENCY IS RANKED AMONG THE TOP 100 HOME CARE AGENCIES IN THE NATION AND PROVIDES SUCH SERVICES AS SKILLED NURSING; PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY; HOME HEALTH AIDE AND PERSONAL CARE SERVICES; SOCIAL SERVICES; AND NUTRITIONAL CARE. FRANCISCAN HEALTH SUPPORT OFFERS HOME HEALTH AIDE AND PERSONAL CARE SERVICES, SKILLED NURSING, AND MEDICAL EQUIPMENT.TOGETHER, THE TWO AGENCIES COMBINE FORCES TO PROVIDE THE BEST POSSIBLE CARE TO THOSE THEY SERVE, OFTEN THOSE IN THE COMMUNITY WHO ARE MOST AT NEED, INCLUDING THE ELDERLY, HOMEBOUND, ACUTELY ILL, OR DYING.THE NEED FOR HOME CARE SERVICES IN THE COMMUNITY HAS INCREASED GREATLY DUE TO THE EXPANDING ELDERLY POPULATION, THE EVER-SHORTENING HOSPITAL STAY, AND NURSING HOME DIVERSION INITIATIVES AND OUR AGENCIES CONTINUE TO INCREASE EFFORTS TO MEET THIS DEMAND AND THE NEEDS OF THE COMMUNITY. 305529694 395275033 305529694 395275033 517112532 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 0 0 1 0 0 0 1 437 0 1 4695 1 0 0 0 0 0 0 0 0 0 0 X 17 12 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MEREDITH PRICE 3157032208 301 PROSPECT AVE SYRACUSE NY 132031899 PAWAN RAO MD BOARD TRUSTEE 10.00 X 0 0 0 WILLIAM ROBERTS MD BOARD TRUSTEE 10.00 X 0 0 0 GEORGE DEPTULA ESQ BOARD TRUSTEE - CHAIR 10.00 2.00 X X 0 0 0 JOHN MURPHY III BOARD TRUSTEE 10.00 X 0 0 0 GINA MYERS PHD BOARD TRUSTEE 10.00 X 0 0 0 VINCENT P SWEENEY BOARD TRUSTEE 10.00 X 0 0 0 CHARLES ZIMMERMAN BOARD TRUSTEE 10.00 X 0 0 0 SR MARY OBRIST BOARD TRUSTEE - TREASURER 10.00 2.00 X X 0 0 0 LUCINDA DRESCHER BOARD TRUSTEE 10.00 X 0 0 0 SHARON MCAULIFFE ESQ BOARD TRUSTEE THROUGH 7/1/15 10.00 X 0 0 0 KATHRYN RUSCITTO BOARD TRUSTEE - PRESIDENT, 40.00 16.00 X X 645424 447051 29750 SANDRA SULIK MD BOARD TRUSTEE TO 7/1/15,VP OF MEDICAL AFFAIRS 40.00 5.00 X 389980 0 13812 SR HELEN MARIE BURNS BOARD TRUSTEE 10.00 X 0 0 0 RICHARD WALDMAN MD BOARD TRUSTEE 10.00 X 0 0 0 MERRIETTE POLLARD BOARD TRUSTEE 10.00 X 0 0 0 JOHN MARSHALL CPA BOARD TRUSTEE 10.00 2.00 X 0 0 0 PAUL TREMONT BOARD TRUSTEE 10.00 X 0 0 0 RICHARD O'CONNELL BOARD TRUSTEE 10.00 X 0 0 0 SANTO DIFINO MD BOARD TRUSTEE 10.00 X 0 0 0 ANNE MARIE CZYZ SR VP OPERATIONS, COO/CNO 40.00 X 348803 0 18727 FRANK SMITH JR VP SPECIAL PROGRAMS 40.00 35.00 X 385132 74039 27454 MARY W BROWN SR VP, FORMER COO 40.00 X 223956 0 2434 CHARLES J FENNELL VP INFORMATION MGMT, CIO 40.00 20.00 X 268213 0 24606 JOSEPH A SCICCHITANO VP SUPPORT SERVICES 40.00 4.00 X 247799 0 9443 MARK E MURPHY SR VP SYSTEM DEVELOP/AMBULATORY CARE 40.00 20.00 X 322772 0 22028 FREDERICK LETOURNEAU SR VP PHYSICIAN ENTERPRISE 40.00 35.00 X 355766 0 28654 DEBORAH WELCH VP PEOPLE AND MISSION INTEGRATION 40.00 X 174875 0 22091 LOWELL A SEIFTER ESQ VP GENERAL COUNSEL 40.00 10.00 X 330197 0 23987 DOUGLAS SMITH VP DEVELOPMENT 40.00 40.00 X 232188 0 16582 ERIKA DUNCAN VP HUMAN RESOURCES 40.00 4.00 X 162793 0 2596 MEREDITH PRICE VP FINANCIAL SERVICES, CFO 40.00 10.00 X 410560 0 24687 JAMES TUCKER MD PHYSICIAN 40.00 X 434025 0 17704 KWAME ADUSEI MD PHYSICIAN 40.00 X 396466 0 25410 AHMED NIZAR MD PHYSICIAN 40.00 X 424696 0 24268 JUSTIN BETRAND MD PHYSICIAN 40.00 X 392854 0 30793 DAVID KELLEY MD PHYSICIAN 40.00 X 355440 0 14448 6501939 521090 379474 365 0 1 0 THE HAYNER HOYT CORPORATION 625 ERIE BLVD WEST SYRACUSE NY 13204 CONSTRUCTION 2736591 BETTE & CRING LLC 22 CENTURY HILL DRIVE SUITE 201 LATHAM NY 12110 CONSTRUCTION 1313322 GRANT THORNTON 175 W JACKSON BLVD 20TH FLOOR CHICAGO IL 60604 CONSULTANT 1239680 TEK SYSTEMS 10 TENTH STREET NE SUITE 300 ATLANTA GA 30309 CONSULTANT 830545 PRECYSE SOLUTIONS LLC 1275 DRUMMERS LA SUITE 200 WAYNE PA 19087 CONSULTANT 829776 22 2514925 4750912 95796 7265837 PATIENT SERVICE REVENUE 621990 553323910 553323910 553323910 1585098 1585098 2506 2506 122514 122354 160 160 160 2869 109738 0 173174 2869 -63436 -60567 -60567 INTERCOMPANY REIMBURSEMENT REVENU 900099 39181197 39181197 OTHER EXEMPT OPERATING INCOME 900099 12673324 12673324 INCOME FROM JOINT VENTURES 621500 519607 1115473 -595866 4304530 4304530 56678658 618795602 610598434 -595866 1527197 X 4761913 771323 3990590 244995387 206223978 38771409 6245774 4981182 1264592 39341959 27318901 12023058 17296385 13794357 3502028 6806911 964711 5842200 985195 128909 856286 686945 5762 681183 3 3 72194192 61419459 10774733 1660014 274398 1385616 1946449 1024161 922288 6182205 4930484 1251721 13288812 10612652 2676160 883385 747666 135719 795525 462432 333093 12842959 12842959 36556604 29154927 7401677 2361704 1883525 478179 SUPPLY EXPENSE 128491225 123903135 4588090 BAD DEBT EXPENSE 9409085 9409085 NYS ASSESSMENT 1936964 1936964 7286758 4321562 2965196 616956353 517112532 99843821 0 5043418 2881953 34795603 33902139 5653388 6691914 84327477 78173431 2895728 3210089 6351919 6085889 5236301 3422897 261595267 16494421 365387103 245100846 93869165 62944193 45397375 42984940 648957477 485398291 86901006 86433047 436940 285120932 7947029 66808059 314413752 438829997 409230768 X 196514811 63730807 10380959 9103099 3231710 3333617 210127480 76167523 648957477 485398291 X 1839249 695650 -136494856 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 74162 0 0 1 68093 142255 0 PART II-B, LINE 1: LINE 1(F), GRANTS FOR LOBBYING PURPOSES DUES PAID HANYS - $37,057 ,IROQUOIS HEALTHCARE ALLIANCE - $16,808, AND AHA - $20,297 LINE 1(I), OTHER ACTIVITIES BROWN & WEINRAUB PLLC- $60,593 TRINITY HEALTH CORPORATION- $7,500 0 13612669 3174919 -74476 4276396 12436716 13028076 3986922 223532 3625861 13612669 16045585 724983 625008 4367500 13028076 13325942 2422941 536966 240264 16045585 15859880 6558936 78557 9171431 13325942 0.27000 0.73000 0 1 1 3925693 3925693 158187834 3145600 155042234 12029 647 11382 95290763 13339030 81951733 4178948 9144 4169804 245100846 DUE FROM SJLS 783319 DUE FROM SJHHC FOUNDATION -118456 DUE FROM FRANCISCAN MGT/HEALTH SUPPORT SERVICES-NET 1518170 DUE FROM AFFILIATE-MDR/MRI 915504 DUE FROM AFFILIATE-LACNY 14191344 EQUITY INTEREST IN NET ASSETS OF SJHHC FOUNDATION 18675514 RESTRICTED ASSETS 164264 DUE FROM LIVERPOOL DIALYSIS 104000 BOND INTEREST CAP PREMIUM 10786 TELP INTEREST AMORTIZATION 8209 DUE FROM IROQUOIS/ROSEWOOD 300479 DUE FROM LORETTO 557500 DUE TO/FROM SJPE 932653 LEWIS COUNTY HOSPITAL AR 14000 ST. JOSEPH'S IMAGING 11244 DUE TO/FROM TRINITY -1603009 DUE TO/FROM PLAZA 652063 DSRIP PPS 203374 INSURANCE RECEIVABLE 5663982 42984940 ACCRUED POST RETIRE HEALTH BENEFITS-LT 19843122 ACCRUED WORKERS COMP 19899716 PENSION PLAN LIABILITY 1762584 SJHHC PROPERTIES 9003533 MALPRACTICE LIABILITY 8976244 457B PLAN LIABILITY 3175374 THIRD PARTY PAYOR 8895589 SECURED NOTE TO RELATED 3RD PARTY (TRINITY) 242857590 314413752 X PART V, LINE 4: ENDOWMENTS ARE INTENDED TO SUPPORT HOSPITAL MISSION SERVICES, EDUCATION, AND TECHNOLOGY ADVANCEMENTS. PART X, LINE 2: THE HOSPITAL, SJPHPC, SJMPC AND CNY AIM ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE ("CODE") AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. BOTH SJPHPC AND SJMPC ARE SUBJECT TO TAX FOR NYS INCOME TAX PURPOSES, DUE TO LAWS SURROUNDING THE CORPORATE PRACTICE OF MEDICINE. SJHACO IS A SINGLE MEMBER LIMITED LIABILITY CORPORATION AND AS SUCH IS TREATED AS A DISREGARDED ENTITY FOR TAX PURPOSES. THE ACTIVITIES OF SJHACO WILL BE REPORTED IN THE INCOME TAX RETURN OF THE HOSPITAL, ITS SOLE MEMBER. SJM IS A PARTNER IN SJLS AND AS SUCH, INCOME FROM SJLS IS PASSED THROUGH TO SJM AND ITS OTHER MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. THE INCOME ALLOCATED TO SJM FROM SJLS IS CONSIDERED TO BE EXEMPT-PURPOSE INCOME TO SJM. SJPE IS A FOR-PROFIT ENTITY SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2015 AND 2014, THE HEALTH CENTER 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 2012 THROUGH 2015. 1 1 1 X 138.000000000000 1 X 342.000000000000 1 1 0 1 1 5313649 5313649 0.00870 100702036 72427186 28274850 0.04650 106015685 72427186 33588499 0.05520 20694278 12120588 8573690 0.01410 16580590 7079975 9500615 0.01560 3300 3300 0.00000 37278168 19200563 18077605 0.02970 143293853 91627749 51666104 0.08490 1257 1257 0.00000 26631 26631 0.00000 5000 5000 0.00000 32888 32888 1 4168262 0 150855178 220407522 -69552344 X 1 1 1 LABORATORY ALLIANCE OF CNY LABORATORY SERVICES 0.50000 0.00000 0.00000 2 MDR MRI SERVICES 0.40000 0.00000 0.60000 3 SJLS DIALYSIS SERVICES 0.51000 0.00000 0.49000 1 1 ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVE SYRACUSE NY 13203 X X X X HOME CARE AGENCY, OP PRIMARY CARE AND OP MENTAL HEALTH SERVICES ST JOSEPH'S HOSPITAL HEALTH CENTER INC 1 0 0 1 X X X X X X X X 13 1 1 1 1 X WWW.SJHSYR.ORG X 1 13 1 WWW.SJHSYR.ORG 0 0 1 X 138.000000000000 342.000000000000 X X X X 1 1 X X X 1 X WWW.SJHSYR.ORG X WWW.SJHSYR.ORG X X X X 1 X 0 X X X X 1 X 0 0 ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 5: ST. JOSEPH'S CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2012 THROUGH 2013, IN COLLABORATION WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL. IN ADDITION, THE LERNER CENTER FOR PUBLIC HEALTH PROMOTION AT THE MAXWELL SCHOOL FOR CITIZENSHIP AND PUBLIC AFFAIRS AT SYRACUSE UNIVERSITY FACILITATED COMMUNITY FORUMS IN COLLABORATION WITH THE ONONDAGA COUNTY ADVISORY BOARD OF HEALTH, THE SYRACUSE CITY SCHOOLS, AND SAY YES TO EDUCATION. THE ASSESSMENT PROCESS WAS ALSO INCLUSIVE OF FEEDBACK FROM THE FOLLOWING STAKEHOLDER GROUPS: CATHOLIC CHARITIES OF ONONDAGA COUNTY; THURSDAY MORNING ROUNDTABLE MEETING - STATE OF ONONDAGA COUNTY HEALTH; ONONDAGA COUNTY MEDICAL SOCIETY; NYS HEALTH ADVISORY BOARD; FOCUS ACADEMY; COMMUNITY PHYSICIANS; PATIENTS; NEIGHBORHOOD RESIDENTS AND LOCAL BUSINESS, RELIGIOUS AND POLITICAL LEADERS. ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 6A: UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 6B: THE ONONDAGA COUNTY HEALTH DEPARTMENT AND LERNER CENTER FOR PUBLIC HEALTH PROMOTION AT THE MAXWELL SCHOOL FOR CITIZENSHIP AND PUBLIC AFFAIRS AT SYRACUSE UNIVERSITY ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 7D: THE CHNA WAS AVAILABLE TO BE MAILED OUT BY REQUEST FREE OF CHARGE. ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PREVENTING CHRONIC DISEASE:A.) A DIABETES EDUCATION INITIATIVE HAS BEEN IMPLEMENTED AT PRIMARY CARE CENTER - WEST, TARGETING THE POOR AND UNDERSERVED. PATIENTS ARE PROVIDED COUNSELING BY A DIETITIAN WITH GUIDANCE ON MANAGING DIABETES AND OTHER CHRONIC CONDITIONS. B.) UNDER THE GUIDANCE OF A ST. JOSEPH'S DIETITIAN, "PRE-DIABETIC" PATIENTS WERE ENROLLED IN A DIABETES EDUCATION GROUP WITH THE YMCA, WITH THE GOAL OF PROMOTING WEIGHT LOSS.C.) TO IMPROVE HEALTH OUTCOMES FOR ADULTS WITH TWO OR MORE CHRONIC CONDITIONS IN ONONDAGA COUNTY, ST. JOSEPH'S INVESTED SIGNIFICANT TIME AND RESOURCES IN BECOMING THE LEAD HEALTH HOME PROGRAM IN ONONDAGA COUNTY. THROUGH THE HEALTH HOME PROGRAM, MEDICAID PATIENTS IN THE COMMUNITY WITH 2+ CHRONIC CONDITIONS ARE PROVIDED CASE MANAGEMENT SERVICES TO ENSURE THAT THE SUPPORT SERVICES REQUIRED TO KEEP COMMUNITY MEMBERS HEALTHY ARE IN PLACE AND ACCESSIBLE TO OUR COMMUNITY'S MOST VULNERABLE.D.) TO PREVENT CHRONIC DISEASE, AN ADDITIONAL FOCUS IS THE IMPROVEMENT OF ACCESS TO PRIMARY CARE. ST. JOSEPH'S HAS IMPLEMENTED A PATIENT NAVIGATOR PROGRAM IN THE EMERGENCY DEPARTMENT AND AT PRIMARY CARE CENTERS, TO ASSIST VULNERABLE COMMUNITY MEMBERS/PATIENTS WITH ACCESSING APPROPRIATE CARE AND TRANSITIONING BETWEEN CARE SETTINGS. AT THIS TIME THE NAVIGATOR PROGRAM IS FULLY FUNCTIONAL.E.) TO PREVENT CHRONIC DISEASE, ST. JOSEPH'S ALSO TARGETED THE IMPROVEMENT OF ACCESS TO DENTAL CARE IN OUR COMMUNITY. TO DO THIS, A GRANT HAS BEEN SUBMITTED FOR A MOBILE DENTAL CLINIC, WHICH, ONCE OPERATIONALIZED, WILL BE STATIONED WITHIN UNDERSERVED NEIGHBORHOODS IN ONONDAGA COUNTY. TO-DATE THE CLINIC PLAN IS UNDER REVIEW FOR APPROVAL BY THE NYS DOH PRIOR TO LAUNCH OF THE PROGRAM.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING OBESITY IN CHILDREN AND ADULTS:A.) ST. JOSEPH'S HAS COMMITTED TO THE IMPLEMENTATION OF THE HEALTHY SHOPPER REWARDS PROGRAM IN COLLABORATION WITH THE LERNER CENTER OF SYRACUSE UNIVERSITY; NOJAIM'S SUPERMARKET; AND THE NEAR WESTSIDE INITIATIVE. THE PROGRAM WILL ULTIMATELY OFFER SHOPPERS IN THIS UNDERSERVED NEIGHBORHOOD THE OPPORTUNITY TO ACCESS INCENTIVES FOR PURCHASING NUTRITIOUS FOOD, AS DEEMED SO BY THE NUVAL FOOD SCORING/LABELING SYSTEM. AT THIS TIME, THE REWARDS PROGRAM IS READY TO BE LAUNCHED, AND CLINICIANS AT PRIMARY CARE CENTER - WES HAVE BEEN TRAINED IN HOW TO USE THE NUVAL WEBSITE AS A TOOL FOR PATIENT COUNSELING.THE ULTIMATE GOAL OF THIS PROGRAM IS TO INTEGRATE, WITH CONSENT, INDIVIDUAL PURCHASING DATA INTO THE MEDICAL RECORD, TO PROVIDE A COMPREHENSIVE APPROACH TO REDUCING OBESITY THROUGH THE IMPROVEMENT OF NUTRITIONAL HABITS. B.) THROUGH A NORTH SIDE COMMUNITY HEALTH IMPROVEMENT PROJECT, ST. JOSPEH'S HAS DONATED FRUITS AND VEGETABLES REGULARLY TO A FOOD PANTRY SERVING SOME OF THE CITY'S MOST VULNERABLE RESIDENTS. IN ADDITION, ST. JOSEPH'S OFFERED A HEALTHY COOKING DEMONSTRATION FOR PANTRY CLIENTS, UTILIZING INGREDIENTS AVAILABLE WITHIN THE PANTRY.C.) TO FURTHER ADDRESS OBESITY, ST. JOSEPH'S HAS ALTERED THE CAFETERIA MENU TO OFFER HEALTHIER FOOD OPTIONS IN THE WORKPLACE. SEVERAL MENU CHANGES HAVE BEEN IMPLEMENTED RESULTING IN AN INCREASED PERCENTAGE OF "HEALTHY" MEALS OPTIONS CONSUMED BY STAFF. FURTHER DEVELOPMENT OF THIS INITIATIVE IS FOCUSED ON THE IMPLEMENTATION OF POLICIES THAT SUPPORT USE OF HEALTHY FOODS IN CAFETERIA/PATIENT ROOM SERVICE MENU.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE:A.) THROUGH ITS TOBACCO CESSATION CENTER, ST. JOSEPH'S HAS FOCUSED ON DECREASING THE PREVALENCE OF CIGARETTE USE AND DECREASING THE EXPOSURE TO SMOKE AND OTHER SECONDHAND PRODUCTS BY PROVIDING TRAINING TO LOCAL CLINICIANS. PLANS ARE ALSO IN PLACE TO FURTHER STREAMLINE COMMUNICATIONS/REFERRALS BETWEEN PROVIDERS AND THE CESSATION CENTER TO ENSURE INCREASED COMPLIANCE WITH PATIENT FOLLOW-UP.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE:A.) TO DECREASE THE INCIDENCE OF NEONATAL ABSTINENCE SYNDROME, A RECOMMENDED EDUCATION PROGRAM (SBIRT) HAS BEEN IDENTIFIED THROUGH A COMMUNITY COLLABORATIVE ADDRESSING NEONATAL ABSTINENCE. SEVERAL PROVIDERS HAVE BEEN EDUCATED ON THE PROGRAM'S BEST PRACTICES, AND ADDITIONAL EDUCATION IS PLANNED.B.) TO PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING THROUGH THE EARLY DETECTION OF BEHAVIORAL HEALTH ISSUES, A BEHAVIORAL HEALTH SCREEN HAS BEEN INCORPORATED INTO PRIMARY CARE CLINIC VISIT PROTOCOL. PROVIDERS AND NURSES HAVE BEEN TRAINED, AND THE PROTOCOL IS FULLY OPERATIONAL.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING A HEALTHY AND SAFE ENVIRONMENT:A.) TO REDUCE FALL RISKS AMONG VULNERABLE POPULATIONS, ST. JOSEPH'S HAS HOSTED A COMMUNITY FALLS DAY OPEN TO ALL COMMUNITY MEMBERS, PROVIDING EDUCATION ON THE PREVENTION OF FALLS. IN ADDITION, PLANS ARE UNDERWAY TO PROVIDE EDUCATION TO COMMUNITY PROVIDERS, AND TO PROVIDE A TOOLKIT FOR VULNERABLE PERSONS.PRIORITIES NOT ADDRESSED:IT WAS DETERMINED THAT TO BE MOST EFFECTIVE IN THE IMPROVEMENT OF COMMUNITY HEALTH, WE SHOULD ALIGN AND FOCUS OUR RESOURCES CONSISTENT WITH ST. JOSEPH'S ORGANIZATIONAL STRENGTHS, DIRECTION AND MISSION. WHILE ST. JOSEPH'S HOSPITAL HEALTH CENTER ACKNOWLEDGES THAT THE IMPLEMENTATION STRATEGY PLAN DOES NOT ADDRESS ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED, WE BELIEVE THE FOCUS AREAS SELECTED IN THIS PLAN WILL INDIRECTLY HAVE A POSITIVE IMPACT ON OTHER ITEMS REFLECTED IN THE CHNA. 8 1 - ST JOSEPH'S HOME HEALTH CARE 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 HOME HEALTH CARE SERVICES 2 - LABORATORY ALLIANCE OF CENTRAL NEW YORK 1304 BUCKLEY ROAD SYRACUSE NY 13212 CLINICAL AND ANATOMIC PATHOLOGY TESTING 3 - REGIONAL DIALYSIS CENTER 973 JAMES STREET SYRACUSE NY 13203 HEMODIALYSIS AND PERITONEAL 4 - NORTHEAST SURGERY CENTER 4208 MEDICAL CENTER DRIVE FAYETTEVILLE NY 13066 WOUND CARE, ORTHO, GENERAL SURGERY, UROLOGY 5 - NORTH SURGERY CENTER 5100 WEST TAFT ROAD LIVERPOOL NY 13088 GENERAL SURGERY, UROLOGY, ENT, ORTHOPEDICS, PODIATRY 6 - CNY INFUSION SERVICES 333 BUTTERNUT DRIVE SUITE 102 DEWITT NY 13214 INFUSION THERAPIES 7 - SLEEP LABORATORY SERVICES 945 EAST GENESSE STREET SUITE 300 SYRACUSE NY 13210 TREATS CHRONIC SLEEP DISORDERS 8 - ST FRANCIS SOCIAL ADULT DAY CARE 1108 COURT STREET SYRACUSE NY 13208 SUPPORTIVE SERVICES FOR THE ELDERLY PART I, LINE 7: COMBINATION OF THE RATIO OF COSTS TO CHARGES AS WELL AS SPECIFICALLY IDENTIFIED COSTS AND OFFSETS DERIVED FROM ACCOUNTING AND PATIENT ACCOUNTING SYSTEMS. WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENFITS AT COST, TOTAL COST EXCLUDE BAD DEBT EXPENSE. PART I, LINE 7G: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,409,084. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON ALLOWANCE FOR DOUBTFUL ACCOUNTS ($12,069,251) LESS ANY RECOVERY OF BAD DEBTS ($2,660,167). AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.PART III, SECTION A, LINE 3: CHARITY CARE IS REPORTED IN PART I, LINE 7A AND IS NOT DUPLICATED IN BAD DEBT REPORTED IN PART III, SECTION A, LINE 2.PART III SECTION A LINE 4: SEE FINANCIAL STATEMENT PAGE 15. THE HOSPITAL HAS AGREEMENTS WITH CERTAIN THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, COST-BASED REIMBURSEMENT, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE AND THE RELATED RECEIVABLES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS,THIRD-PARTY PAYORS AND OTHERS AS SERVICES ARE RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FORAPPROXIMATELY 47 PERCENT AND 11 PERCENT, RESPECTIVELY, OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2015 AND 45 PERCENT AND 11 PERCENT, RESPECTIVELY OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2014.LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. NET PATIENT SERVICE REVENUE DECREASED BY APPROXIMATELY $1.3 MILLION AND DECREASED BY $3.3 MILLION IN 2015 AND 2014, RELATED TO EITHER SETTLEMENT OF PRIOR YEAR ISSUES OR CHANGES IN ESTIMATES ASSOCIATED WITH THIRD-PARTY ISSUES.THE HOSPITAL GRANTS UNSECURED CREDIT TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE MIX OF RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS AT DECEMBER 31 WASAS FOLLOWS:2015MEDICARE 43%MEDICAID 14%PRIVATE PAYORS 3%INSURANCE AND ALL OTHERS 40%2014MEDICARE 34%MEDICAID 16%PRIVATE PAYORS 13%INSURANCE AND ALL OTHERS 40% PART III, LINE 8: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. THE METHODOLOGY USED TO CALCULATE THE MEDICARE SHORTFALL IS MEDICARE COSTS BASED ON THE MEDICARE COST REPORT RCC LESS MEDICARE PAYMENTS FROM THE PS&R AND PHYSICIAN RELATED PAYMENTS NOT REPORTED ON THE PS&R. PART III, LINE 9B: ANY PATIENT AT SJHHC WILL RECEIVE MEDICAL TREATMENT WHETHER OR NOT THE PATIENT IS INSURED OR UNINSURED IN ACCORDANCE WITH THE POLICY AND THE PROCEDURES HEREWITH. SJHHC MAY RESERVE THE RIGHT TO REFUSE FINANCIAL AID ON PRE-SCHEDULED ELECTIVE PROCEDURES ONLY. IT IS THE INTENT OF THE FINANCIAL COUNSELING REPRESENTATIVES, TO FOLLOW-UP ON EVERY CLAIM WITHIN A 30-DAY PERIOD, IN AN EFFORT TO PROVIDE FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE PROGRAMS DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. THE ACCOUNT WILL BE NOTED EACH MONTH AS TO THE FOLLOW-UP EFFORTS MADE BY THE FINANCIAL COUNSELORS BARING ANY UNFORESEEN ISSUES, DELAYS WITH PATIENT CONTACTS, DELAYS WITH THE DSS, ETC.FOR THOSE PATIENTS WHO ARE INTERESTED IN FINANCIAL ASSISTANCE, PATIENTS WILL BE CONTACTED BY A SJHHC FINANCIAL COUNSELOR (FC) AND INSTRUCTED ON THE AVAILABILITY TO ENROLL IN MEDICAID, CHILD HEALTH PLUS (CHP) AND FAMILY HEALTH PLUS (FHP), THROUGH A REFERRAL TO THOSE MEDICAID MANAGED CARE (MMC) FACILITATED ENROLLER WHO HAS A MEDICAID MANAGED CARE CONTRACT WITH SJHHC,OR A REFERRAL TO THE LOCAL COUNTY DEPARTMENT OF SOCIAL SERVICES DEPENDING ON THE PATIENTS DEMOGRAPHICS. REGARDLESS OF WHO COMPLETES THE MEDICAID APPLICATION, THE COMPLETION OF ONE MEDICAID APPLICATION ALLOWS A PATIENT ACCESS TO ENROLL IN MEDICAID, CHP OR FHP, DEPENDING ON THE COMBINED INCOME AND ASSETS OF THE PATIENT AND THEIR FAMILY (IF APPLICABLE). OTHER OPTIONSTO BE DISCUSSED WILL BE FINANCIAL AID AND MONTHLY PAYMENT PLANS.AT ALL PATIENT ACCESS POINTS THERE WILL BE FA PAMPHLETS NOTIFYING PATIENTS AND FAMILY MEMBERS OF THE EXISTENCE AND AVAILABILITY OF THE FINANCIAL COUNSELING UNIT. PATIENTS AND FAMILY MEMBERS MAY DISCUSS ALL PROGRAMS OFFERED EITHER IN PERSON OR BY PHONE.NOTE: PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID, CHILD HEALTH PLUS OR FAMILY HEALTH PLUS, WHO DO NOT COMPLY WITH THE APPLICATION REQUIREMENTS OF THEIR LOCAL DEPARTMENT OF SOCIAL SERVICES MAY NOT BE ELIGIBLE FOR FINANCIAL AID. THESE PATIENTS MAY ALSO BE SUBJECT TO BAD DEBT, IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE SJHHC BAD DEBT POLICY.IN ADDITION, OUR DATA MAILERS BEING SENT TO PATIENTS FOR ANY AMOUNT THEY MAY OWE ON A BILL NOW INCLUDES THE PHONE NUMBER OF OUR FINANCIAL COUNSELING UNIT IF THE PATIENT NEEDS FINANCIAL ASSISTANCE. THIS SECTION IS ALSO COLORIZED FOR EASY RECOGNITION. PART VI, LINE 2: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 3: PLEASE SEE DESCRIPTION OF FINANCIAL AID POLICY AT SCHEDULE H, PART III LINE 9B FOR A DESCRIPTION OF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. PART VI, LINE 4: PLEASE SEE FORM 990, PART III PART VI, LINE 5: PLEASE SEE FORM 990, PART III PART VI, LINE 6: PLEASE SEE FORM 990, PART III PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X 0 1 0 0 0 0 0 0 0 KATHRYN RUSCITTO BOARD TRUSTEE - PRESIDENT, 314770 334042 0 113009 330654 0 6454 0 23296 0 675174 447051 0 0 SANDRA SULIK MD BOARD TRUSTEE TO 7/1/15,VP OF MEDICA 346906 0 2146 0 40928 0 13812 0 0 0 403792 0 0 0 ANNE MARIE CZYZ SR VP OPERATIONS, COO/CNO 305626 0 0 0 43177 0 3056 0 15671 0 367530 0 0 0 FRANK SMITH JR VP SPECIAL PROGRAMS 199553 74039 0 0 185579 0 14979 0 9078 3397 409189 77436 0 0 MARY W BROWN SR VP, FORMER COO 84865 0 0 0 139091 0 1478 0 956 0 226390 0 0 0 CHARLES J FENNELL VP INFORMATION MGMT, CIO 241016 0 0 0 27197 0 8935 0 15671 0 292819 0 0 0 JOSEPH A SCICCHITANO VP SUPPORT SERVICES 218970 0 0 0 28829 0 8783 0 660 0 257242 0 0 0 MARK E MURPHY SR VP SYSTEM DEVELOP/AMBULATORY CARE 288072 0 0 0 34700 0 9764 0 12264 0 344800 0 0 0 FREDERICK LETOURNEAU SR VP PHYSICIAN ENTERPRISE 314758 0 0 0 41008 0 12515 0 16139 0 384420 0 0 0 DEBORAH WELCH VP PEOPLE AND MISSION INTEGRATION 174875 0 0 0 0 0 5952 0 16139 0 196966 0 0 0 LOWELL A SEIFTER ESQ VP GENERAL COUNSEL 289766 0 0 0 40431 0 11564 0 12423 0 354184 0 0 0 DOUGLAS SMITH VP DEVELOPMENT 215277 0 0 0 16911 0 2158 0 14424 0 248770 0 0 0 ERIKA DUNCAN VP HUMAN RESOURCES 110575 0 49710 0 2508 0 2596 0 0 0 165389 0 0 0 MEREDITH PRICE VP FINANCIAL SERVICES, CFO 363101 0 0 0 47459 0 9016 0 15671 0 435247 0 0 0 JAMES TUCKER MD PHYSICIAN 432831 0 642 0 552 0 17335 0 369 0 451729 0 0 0 KWAME ADUSEI MD PHYSICIAN 396466 0 0 0 0 0 12987 0 12423 0 421876 0 0 0 AHMED NIZAR MD PHYSICIAN 424696 0 0 0 0 0 6789 0 17479 0 448964 0 0 0 JUSTIN BETRAND MD PHYSICIAN 384104 0 8750 0 0 0 14654 0 16139 0 423647 0 0 0 DAVID KELLEY MD PHYSICIAN 355440 0 0 0 0 0 2843 0 11605 0 369888 0 0 0 PART I LINE 4B AFTER-TAX 457(B/F) PLAN ELIGIBILITY FOR THE AFTER-TAX 457(B/F) PLAN SHALL BE LIMITED TO THOSE INDIVIDUALS WHO ARE PRIMARILY UPPER MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE HOSPITAL WHO ARE SELECTED IN THE SOLE DISCRETION OF THE HOSPITAL'S BOARD OF TRUSTEES OR ITS DESIGNEE. ELIGIBLE EMPLOYEES WHO HAVE BEEN SELECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD ARE SET FORTH ON EXHIBIT A OF THE PLAN. ALL EMPLOYER CONTRIBUTIONS TO THE PLAN ARE IMMEDIATELY VESTED. THIS PLAN IS AN INCENTIVE TO CONTINUE TO PROVIDE VALUABLE SERVICES TO THE HOSPITAL AND AS AN INCENTIVE TO RECRUIT NEW EMPLOYEES TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY, AND AS SUCH IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE. PARTICIPANTS MARK MURPHY $ 34,340 SANDRA SULIK, MD $ 17,582 ANNE MARIE CZYZ $ 31,777 JOSEPH A SCICCHITANO $ 15,236 FREDERICK LETOURNEAU $ 29,608 CHARLES J. FENNELL $ 14,343 LOWELL A SEIFTER, ESQ $ 27,257 DOUGLAS SMITH $ 10,848 MEREDITH PRICE $ 34,276 SYRACUSE OFFICE ENVIRONMENT BUSINESS 35% OWNED BY BOARD MEMBER & RELATIVE 264621 BUSINESS TRANSACTION 0 LOWELL SEIFTER FAMILY OF BOARD MEMBER 354184 COMPENSATION ARRANGEMENT 0 PART IV LINES 1 - 3 1. SYRACUSE OFFICE ENVIRONMENT IS AN ENTITY THAT DOES BUSINESS WITH ST. JOSEPH'S AND IS OWNED >35% BY A BOARD MEMBER, VINCENT SWEENEY.2. LOWELL SEIFTER IS A KEY EMPLOYEE AND FAMILY MEMBER OF A BOARD MEMBER, SHARON MCAULIFFE. X TVS FOR PATIENT ROOMS 108 95796 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING KEY EMPLOYEE HAS A FAMILY RELATIONSHIP WITH A BOARD MEMBER: 1. LOWELL SEIFTER, HUSBAND OF SHARON MCAULIFFE THE FOLLOWING COMPANY RECEIVED COMPENSATION FROM A BUSINESS TRANSACTION OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND A BOARD MEMBER, VINCENT SWEENEY AND HIS FAMILY, OWN THE COMPANY: 1. SYRACUSE OFFICE ENVIRONMENT THE FOLLOWING INTERESTED PERSON(S) HAD A BUSINESS TRANSACTION (COMPENSATION ARRANGEMENT) OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND WERE BOARD MEMBERS, PLEASE SEE PART VII FOR FURTHER DETAIL: 1. KATHRYN RUSCITTO 2. SANDRA SULIK, MD FORM 990, PART VI, SECTION A, LINE 4 IN NOVEMBER 2014, ST. JOSEPH'S HOSPITAL HEALTH CENTER CREATED A SYSTEM PARENT, ST. JOSEPH'S HEALTH, INC. TO BECOME THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER, ST. JOSEPH'S HEALTH CENTER PROPERTIES, ST. JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION, INC. AND EMBRACING AGE. EFFECTIVE JULY 1, 2015, TRINITY HEALTH CORPORATION BECAME THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S HEALTH, INC. TRINITY HEALTH IS AN INDIANA NOT-FOR-PROFIT CORPORATION, SPONSORED BY CATHOLIC HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON OF THE HOLY ROMAN CATHOLIC CHURCH. FORM 990, PART VI, SECTION A, LINE 6 ST. JOSEPH'S HEALTH, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION, ST. JOSEPH'S HEALTH, INC. MAY ELECT THE BOARD OF TRUSTEES AND REMOVE BOARD MEMBERS FORM 990, PART VI, SECTION A, LINE 7B MEMBER AUTHORITY: THE FOLLOWING ACTIONS SHALL BE RESERVED EXCLUSIVELY TO THE MEMBER OF THE CORPORATION. SUBJECT TO THE RESERVED POWERS OF TRINITY HEALTH, THE MEMBER MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING, OR IF ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING IS OTHERWISE INITIATED, IT SHALL NOT BECOME EFFECTIVE UNLESS THE REQUISITE APPROVALS AND OTHER ACTIONS SHALL HAVE BEEN TAKEN BY THE MEMBER AND TRINITY HEALTH, AS REQUIRED PURSUANT TO THE CORPORATION'S GOVERNANCE DOCUMENTS: (A) APPROVE THE AMENDMENT OR RESTATEMENT OF THE CERTIFICATE OF INCORPORATION AND KEY BYLAWS PROVISIONS OF THE CORPORATION, IN WHOLE OR IN PART, AND RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION; (B) APPROVE THE AMENDMENT OR RESTATEMENT OF NON-KEY BYLAWS PROVISIONS OF THE CORPORATION, IN WHOLE OR IN PART; (C) APPOINT AND REMOVE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS; (D) APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; (E) APPROVE THE STRATEGIC PLAN OF THE CORPORATION, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AS PART OF THE CONSOLIDATED STRATEGIC PLAN OF THE REGIONAL HEALTH MINISTRY IN WHICH THE, CORPORATION PARTICIPATES; (F) APPROVE THOSE SIGNIFICANT FINANCE MATTERS WHICH PURSUANT TO THE SYSTEM AUTHORITY MATRIX ARE SUBJECT TO THE AUTHORITY OF THE MEMBER, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (G) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, AND RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AS PART OF THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS OF THE REGIONAL HEALTH MINISTRY IN WHICH THE CORPORATION PARTICIPATES; (H) APPROVE ANY MERGER, CONSOLIDATION, TRANSFER OR RELINQUISHMENT OF MEMBERSHIP RIGHTS, OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE OPERATING ASSETS OF THE CORPORATION (CERTAIN TRANSACTIONS AND TRANSFERS OF REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (I) APPROVE ANY DISSOLUTION, WINDING UP OR ABANDONMENT OF OPERATIONS, LIQUIDATION, FILING OF ACTION IN BANKRUPTCY, RECEIVERSHIP OR SIMILAR ACTION AFFECTING THE CORPORATION, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; J) APPROVE ANY FONNATION OR DISSOLUTION OF AFFILIATES, PARTNERSHIPS, COSPONSORSHIPS, JOINT MEMBERSHIP ARRANGEMENTS, AND OTHER JOINT VENTURES INVOLVING THE CORPORATION, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (K) APPROVE ANY PLEDGE OR ENCUMBRANCE OF ASSETS WHETHER PURSUANT TO A SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION, HYPOTHECATION, OR OTHER TRANSACTION IN EXCESS OF LIMITS ESTABLISHED BY TRINITY HEALTH (PLEDGES OR ENCUMBRANCES OF CERTAIN REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (L) APPROVE ANY CHANGE TO THE STRUCTURE OR OPERATIONS OF THE CORPORATIONWHICH WOULD AFFECT ITS STATUS AS A NOT-FOR-PROFIT ENTITY, EXEMPT FROM TAXATION UNDER SECTION 501 ( C )(3) OF THE INTERNAL REVENUE CODE, AND RECOMMEND THE SAME TO TRINITY HEALTH FOR APPROVAL; AND (M) APPROVE ALL OTHER MATTERS AND TAKE ALL OTHER ACTIONS RESERVED TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS (OR SHAREHOLDERS OF FOR-PROFIT CORPORATIONS, AS THE CASE MAY BE) BY THE LAWS OF THE STATE IN WHICH THE CORPORATION IS DOMICILED OR AS RESERVED IN THE GOVERNANCE DOCUMENTS OF THE CORPORATION. RESERVED POWERS OF TRINITY HEALTH: THE FOLLOWING ACTIONS SHALL BE RESERVED EXCLUSIVELY TO TRINITY HEALTH. TRINITY HEALTH MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING, OR IF A PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING IS OTHERWISE INITIATED, IT SHALL NOT BECOME EFFECTIVE UNLESS THE REQUISITE APPROVAL AND OTHER ACTIONS SHALL HAVE BEEN TAKEN BY TRINITY HEALTH, AS REQUIRED PURSUANT TO THE CORPORATION'S GOVERNANCE DOCUMENTS: (A) ADOPT, AMEND, MODIFY OR RESTATE THE CERTIFICATE OF LNCORPORATION AND KEY BYLAWS PROVISIONS OF THE CORPORATION, IN WHOLE OR IN PART, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (B) APPROVE THOSE SIGNIFICANT FINANCE MATTERS WHICH PURSUANT TO THE SYSTEM AUTHORITY MATRIX ARE SUBJECT TO THE AUTHORITY OF TRINITY HEALTH, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (C) APPROVE ANY MERGER, CONSOLIDATION, TRANSFER OR RELINQUISHMENT OF MEMBERSHIP RIGHTS, OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE OPERATING ASSETS OF THE CORPORATION (CERTAIN TRANSACTIONS AND TRANSFERS OF REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (D) APPROVE ANY DISSOLUTION, WINDING UP OR ABANDONMENT OF OPERATIONS, LIQUIDATION, FILING OF ACTION IN BANKRUPTCY, RECEIVERSHIP OR SIMILAR ACTION AFFECTING THE CORPORATION, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (E) APPROVE ANY FORMATION OR DISSOLUTION OF AFFILIATES, PARTNERSHIPS, COSPONSORSHIPS, JOINT MEMBERSHIP ARRANGEMENTS, AND OTHER JOINT VENTURES INVOLVING THE CORPORATION, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (F) APPROVE ANY PLEDGE OR ENCUMBRANCE OF ASSETS WHETHER PURSUANT TO A SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION, HYPOTHECATION, OR OTHER TRANSACTION IN EXCESS OF LIMITS ESTABLISHED BY TRINITY HEALTH (PLEDGES OR ENCUMBRANCES OF CERTAIN REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (G) APPROVE ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION WHICH WOULD AFFECT ITS STATUS AS A NOT-FOR-PROFIT ENTITY, EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OFTHE INTEMAL REVENUE CODE, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (H) APPOINT AND REMOVE THE INDEPENDENT FISCAL AUDITOR OF THE CORPORATION; (I) IN RECOGNITION OF THE BENEFITS ACCRUING TO THE CORPORATION FROM TRINITY HEALTH, AND IN ACCORDANCE TO ANY OTHER RIGHTS RESERVED TO TRINITY HEALTH UNDER APPLICABLE LAW OR GOVERNANCE DOCUMENTS OF THE CORPORATION, TRINITY HEALTH SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION, OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, TO TRINITY HEALTH OR AN ENTITY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH TRINITY HEALTH WHETHER WITHIN OR WITHOUT THE STATE OF DOMICILE OF THE CORPORATION, TO THE EXTENT NECESSARY TO ACCOMPLISH TRINITY HEALTH'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CORPORATE OR CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF ANY APPLICABLE JURISDICTION AS A RESULT OF ANY ASSET TRANSFERS TO BE MADE TO OR DIRECTED BY THE MEMBER OR TRINITY HEALTH PURSUANT TO THIS PROVISION; AND J) NEITHER THE CORPORATION, NOR ANY OF ITS AFFILIATES, SHALL TRANSFER ASSETS TO ENTITIES OTHER THAN TRINITY HEALTH WITHOUT THE APPROVAL OF TRINITY HEALTH, EXCEPT FOR (I) TRANSFERS PREVIOUSLY APPROVED BY TRINITY HEALTH, EITHER INDIVIDUALLY OR AS PART OF TRINITY HEALTH'S BUDGET PROCESS, (II) TRANSFERS TO ANY ENTITY WHICH IS A DIRECT OR INDIRECT SUBSIDIARY OF TRINITY HEALTH AND THAT IS SUBJECT TO THE RESERVED POWERS SET FORTH IN THESE BYLAWS, OR (III) TRANSFERS IN THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES WILL REVIEW THE FORM 990 PRIOR TO ITS SUBMISSION. A COPY OF THE 990 WILL BE PROVIDED TO THE COMMITTEE AND BOARD PRIOR TO THE MEETING FOR DISCUSSION. FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH THE HOSPITAL BYLAWS WHICH REQUIRES A DUTY TO DISCLOSE, ON AN ANNUAL BASIS AT A DEFINED TIME, ALL BOARD OF TRUSTEES ARE GIVEN THE CONFLICT OF INTEREST POLICY AND FORM TO REVIEW AND COMPLETE. THE PRESIDENT OF THE BOARD OF TRUSTEES TRACKS THE SUBMISSION PROCESS TO ENSURE THAT ALL FORMS ARE COMPLETED AND SUBMITTED. THE INFORMATION FROM THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AT A SUBSEQUENT BOARD MEETING. ANY NEW INDIVIDUALS APPOINTED AS A TRUSTEE WILL COMPLETE THIS REVIEW AND SUBMISSION PROCESS AFTER THEY HAVE BEEN CONFIRMED. THE INTERESTED PERSON IS REQUIRED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTS FROM THE CONFLICT OF INTEREST. THE BOARD OF TRUSTEE MEETING MINUTES REFLECT WHENEVER A BOARD MEMBER ABSTAINS FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL BYLAWS ESTABLISHES AN EXECUTIVE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S HOSPITAL HEALTH CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. IT DOES HOWEVER PRODUCE AN ANNUAL REPORT WHICH CONTAINS FINANCIAL INFORMATION AND IS READILY DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 61,419,459. MANAGEMENT AND GENERAL EXPENSES 10,774,733. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,194,192. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF ST. JOSEPH'S FOUNDATION -3,150,943. PENSION & POST RETIREMENT CHANGES -4,175,840. EQUITY TRANSFERS -130,624,397. INTEREST RATE CAP -76,097. RECLASSIFICATION OF GRANT REVENUE AND EXPENDITURES 72,421. GRANT REVENUE RECORDED AS INCOME IN A PRIOR YEAR 1,460,000. FORM 990, PART XII, LINE 2C: DUE TO THE ACQUISITION OF THE ORGANIZATION BY TRINITY HEALTH, INC., THE ORGANIZATION HAS CHANGED ITS INDEPENDENT AUDITORS FOR THE PERIOD SUBSEQUENT TO JANUARY 1, 2016. FORM 990 PART IX LINE 11G PHYSICIAN CONTRACTS $21,845,422 MEDICAL PURCHASESD SERVICES 16,591,374 MAINTENANCE CONTRACTS 5,799,644 OTHER PURCHASED SERVICES 8,854,857 CONTRACTED SERVICES 4,978,431 COLLECTION AGENCY FEES 2,097,854 TEMPORARY EMPLOYMENT SERVICES 4,514,611 LAUNDRY AND LINEN 2,374,920 MAINTENANCE AND REPAIR 1,738,505 OTHER PROFESSIONAL 1,100,704 EPIC SOFTWARE MAINTENANCE 453,152 TRANSCRIPTION SERVICES 323,906 RECRUITMENT FEES 228,092 SOFTWARE SUBSCRIPTIONS 1,255,568 LOBBYING 30,014 OTHER DESIGN FEES 6,908 PHOTOGRAPHY SERVICES 230 310 LAFAYETTE LLC 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 471987664 REAL ESTATE DE MERCY HEALTH PARTNERS ACCOUNTABLE CARE ORGANIZATION OF NEW ENGLAND LLC C/O SPHS 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 454565187 ACCOUNTABLE CARE ORGANIZATION MA SISTERS OF PROVIDENCE HEALTH SYSTEM INC AFFINIA HEALTH ACO LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 473870396 ACCOUNTABLE CARE ORGANIZATION MI MERCY HEALTH PARTNERS BIG RUN URGENT CARE LTD 6150 E BROAD STREET 3RD FLOOR COLUMBUS OH 43213 311581575 MEDICAL SERVICES OH MOUNT CARMEL HEALTH SYSTEM CLR INVESTMENTS LLC 120 W HARRIS ST CADILLAC MI 49601 320008631 REAL ESTATE RENTAL & DEVELOPMENT MI TRINITY HEALTH-MICHIGAN CENTRAL OHIO SLEEP MEDICINE LLC 6150 EAST BROAD STREET COLUMBUS OH 43213 311701029 SLEEP MEDICINE SERVICES OH MOUNT CARMEL HEALTH SYSTEM CNY AIM LLC 301 PROSPECT AVENUE SYRACUSE NY 13203 811461678 ACCOUNTABLE CARE ORGANIZATION NY ST JOSEPH'S HOSPITAL HEALTH CENTER COLLABORATIVE LABORATORY SERVICES 114 WOODLAND STREET HARTFORD CT 06105 061520109 LABORATORY SERVICES CT ST FRANCIS HOSPITAL AND MEDICAL CENTER CONNECTED CARE LLC 2601 ELECTRIC AVE PORT HURON MI 48060 465671411 ACCOUNTABLE CARE ORGANIZATION MI TRINITY HEALTH-MICHIGAN DELAWARE CARE COLLABORATION DCC LLC 701 N CLAYTON STREET WILMINGTON DE 19805 474069475 ACCOUNTABLE CARE ORGANIZATION DE ST FRANCIS HOSPITAL INC GREATER CENTRAL VALLEY HEALTHCARE LLC 1303 E HERNDON AVE FRESNO CA 93720 465551144 ACCOUNTABLE CARE 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