DELAWARE VALLEY HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- DELAWARE VALLEY HOSPITAL INC (EIN 15-0524324)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201413189349307271
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T14:52:20-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | WALTON | City |
| State | NY | State |
| ZIP Code | 138561457 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL SUMMERS | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6078652160 | PhoneNum |
| Signature | 2014-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL SUMMERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1 |
| City | WALTON | City |
| State | NY | State |
| ZIP Code | 138561457 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,848,260 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UHS.NET/ | 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, RAHABILITATIVE, PRIMARY CARE AND WELLNESS SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 223 | TotalEmployeeCnt |
| Total Volunteers | 31 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $174,385 | PYContributionsGrantsAmt |
| CY Contributions Grants | $291,690 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,941,204 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,114,738 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,474 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,776 | CYInvestmentIncomeAmt |
| PY Other Revenue | $452,257 | PYOtherRevenueAmt |
| CY Other Revenue | $1,415,056 | CYOtherRevenueAmt |
| PY Total Revenue | $16,598,320 | PYTotalRevenueAmt |
| CY Total Revenue | $17,848,260 | 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 | $9,754,918 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,179,506 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $24,997 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,625,523 | PYOtherExpensesAmt |
| CY Other Expenses | $7,475,050 | CYOtherExpensesAmt |
| PY Total Expenses | $16,380,441 | PYTotalExpensesAmt |
| CY Total Expenses | $16,654,556 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $217,879 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,193,704 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,513,860 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,901,435 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,035,446 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,793,262 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,478,414 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,108,173 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SERVE ITS PATIENTS WITH COMPASSION AND IN AN EFFICIENT AND PATIENT FOCUSED MANNER WHILE OFFERING A RANGE OF ACUTE, OUTPATIENT, DIAGNOSTIC, REHABILITATIVE, PRIMARY CARE AND WELLNESS SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,660,424 | ExpenseAmt |
| Revenue | $7,754,662 | RevenueAmt |
| Desc | INPATIENT AND ACUTE SERVICES: DELAWARE VALLEY HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTHCARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. THIS INCLUDES THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM (96 HRS. OR LESS) INPATIENT ACUTECARE, SWING BED AND ADDICTION TREATMENT SERVICES VIA IT'S 25-BED HOSPITAL LOCATED ON THE MAIN CAMPUS IN WALTON IN DELAWARE COUNTY, NY. PATIENT DISCHARGES IN 2013 WERE COMPRISED OF 369 ACUTE, 129 SWING BED, AND 61 ADDICTION TREATMENT. ACUTE CARE REPRESENTED 1,367 PATIENT DAYS, IN ADDITION TO THE 1,401 PATIENT DAYS FOR SWING BED AND 900 PATIENT DAYS IN THE ADDICTION TREATMENT PROGRAM. INDICATIVE OF THE COMPREHENSIVE HEALTHCARE PROVIDED TO THESE PATIENTS, A TOTAL OF 6,820 LAB TESTS, 2,655 RESPIRATORY TREATMENTS, 318 X-RAYS, 777 PHYSICAL THERAPY SESSIONS, AND 231 EKG'S WERE ADMINISTERED. OTHER SERVICES INCLUDED OCCUPATIONAL AND SPEECH THERAPY, ENDOSCOPY, ECHO EXAMS, ULTRASOUNDS, CT EXAMS AND MAMMOGRAPHY. TO ENSURE OUR RURAL AREA RESIDENTS HAVE ACCESS TO HIGH QUALITY, EFFICIENT CARE IN A COMFORTABLE AND PRIVATE AREA, THE HOSPITAL'S IMAGING CENTER IS EQUIPPED WITH A 16-SLICE CT SUITE. MRI SERVICES ARE OFFERED ON SUNDAYS THROUGH AN AGREEMENT WITH A MOBILE VENDOR. EQUIPMENT PURCHASES IN 2013 CONSISTED OF; A NEW LABORATORY CHEMISTRY ANALYZER, REPLACEMENT OF OLDER VEHICLE TO A NEWER 9 PASSENGER VAN FOR THE TRANSPORTATION OF ADDICTION TREATMENT PATIENTS. REPLACEMENT OF REFRIGERATORS LOCATED IN PHARMACY, LABORATORY AND DIETARY. UPGRADE OF VITAL SIGN MONITORS WITH THE EMERGENCY DEPARTMENT AND ALSO A GLIDESCOPE WITH PEDIATRIC ADD-INS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,293,282 | ExpenseAmt |
| Revenue | $3,202,775 | RevenueAmt |
| Desc | CLINICS: DELAWARE VALLEY HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY AND PREVENTIVE CARE SERVICES THROUGH ITS PRIMARY CARE CENTERS LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE. THESE PRIMARY CARE CENTERS FORM THE FOUNDATION NECESSARY TO SERVE OUR COMMUNITIES WITH A COORDINATED SYSTEM OF CARE WHILE PAYING SPECIAL ATTENTION TO UNDER-SERVED AREAS. IN 2013 OUR CLINICS PROVIDED CARE TO 12,550 PATIENTS IN WALTON, 1,231 IN ROSCOE, AND 1,296 IN DOWNSVILLE. WITH A FOCUS ON CONTINUOUS IMPROVEMENT THE PRIMARY CARE CENTERS OPERATE UNDER A NEW HEALTH INFORMATION MANAGEMENT SYSTEM AND CONTINUE TO BE SMOKE AND TOBACCO FREE. THEY HAVE ALSO BECOME A KEY TO THE IMPROVEMENT OF CHILDHOOD IMMUNIZATION LEVELS IN COORDINATION WITH DELAWARE COUNTY'S PUBLIC HEALTH NURSING SERVICES AND OTHER AREA HEALTHCARE PROVIDERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,195,339 | ExpenseAmt |
| Revenue | $5,157,301 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES: DELAWARE VALLEY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC CARDIOPULMONARY, IMAGING LAB AND TREATMENT SERVICES AT ITS WALTON CAMPUS. THESE INCLUDE A 7-BED EMERGENCY DEPARTMENT WHICH SERVES THE COMMUNITY 24/7. OTHER TREATMENT SERVICES INCLUDE PHYSICAL REHABILITATIVE SERVICES, AMBULATORY PROCEDURES, AND ACCESS TO SPECIALTY SERVICES. THE HOSPITAL ALSO CONDUCTS EXTENSIVE WELLNESS PROGRAMMING THAT INCLUDES NUTRITION AWARENESS AND DIABETES EDUCATION. A FREE PRESCRIPTION DELIVERY PROGRAM IS PROVIDED FOR ROSCOE AND DOWNSVILLE PATIENTS. DOWNSVILLE IS WITHOUT A LOCAL PHARMACY AND ROSCOE JUST RECENTLY HAD A NEW PHARMACY OPEN IN THE COMMUNITY. OCCUPATIONAL HEALTH PROGRAMMING MEETS THE NEEDS OF LOCAL BUSINESSES, FIRE DEPARTMENTS, AND EMERGENCY SQUADS BY PROVIDING PHYSICALS, DRUG TESTING, AND ERGONOMIC EDUCATION. IN 2013 THE EMERGENCY DEPARTMENT TREATED OR ADMITTED 5,010 RESIDENTS VIA ITS 5,000+ SQ. FT. FACILITY, THE LAB PERFORMED 59,086 TESTS, AND 6,710 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS WERE CONDUCTED. THE IMAGING CENTER PERFORMED 7,609 X-RAYS, CT SCANS, MRI'S AND MAMMOGRAPHIES FOR OUTPATIENT SERVICES. OUTPATIENT SERVICES FOR CARDIOPULMONARY REHABILITATION (297), AMBULATORY PROCEDURES (85) AND OPIATED ADDICTION SESSIONS (1,288)WERE ALSO PERFORMED IN 2013. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $1,384,913 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES REVENUE IS PRIMARILY MADE UP OF MEANINGFUL USE MEDICARE FUNDING OF $1,265,835. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $1,384,913 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $12,149,045 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 43 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 223 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | PAUL SUMMERS | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | WALTON | City |
| State | NY | State |
| ZIP Code | 138561457 | ZIPCode |
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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| HELEN JOHNSTON | |||||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DR MICHAEL FREEMAN | |||||||||
| MEDICAL STAFF PRESIDENT | 55.00 | Yes (X) | Yes (X) | $277,156 | $0 | $0 | |||
| JOHN CARRIGG | |||||||||
| 2ND VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $472,872 | $35,832 | 54.00 | ||
| LARRY LIGHT | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| EDWARD SNOW | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SHELLEY KAISER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DRU CAVANAGH | |||||||||
| DIRECTOR/CEO | 39.00 | Yes (X) | Yes (X) | $92,495 | $39,640 | $24,674 | 16.00 | ||
| ERIN NEALE | |||||||||
| DIRECTOR | 55.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRIDGET DEMOTT | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR RAJESH DAVE | |||||||||
| 2ND VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $616,536 | $33,445 | ||||
| JOAN GUARNIERI | |||||||||
| V.P. COMM HEALTH SVCS | 55.00 | Yes (X) | $94,820 | $0 | $6,388 | ||||
| DOTTIE KRUPPO | |||||||||
| V.P. ANCILLARY SVCS | 55.00 | Yes (X) | $75,245 | $0 | $11,356 | ||||
| PAUL SUMMERS | |||||||||
| V.P. FINANCE/CFO | 55.00 | Yes (X) | $119,077 | $0 | $6,680 | ||||
| DEBORAH HITT | |||||||||
| V.P. QUALITY/SUPPORT SVCS | 55.00 | Yes (X) | $80,577 | $0 | $11,356 | ||||
| VICTORIA CONKLING | |||||||||
| V.P. NURSING/CNO | 55.00 | Yes (X) | $98,438 | $0 | $4,965 | ||||
| JASPREET SOOD | |||||||||
| PHYSICIAN | 55.00 | $159,597 | $0 | $5,833 | Yes (X) | ||||
| RYAN KIM | |||||||||
| PHYSICIAN | 55.00 | $129,428 | $0 | $4,790 | Yes (X) | ||||
| DOV CAI | |||||||||
| PHYSICIAN | 55.00 | $108,039 | $0 | $5,855 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,234,872 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,129,048 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $151,174 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDHOST OF TENNESSEE | |||||
| 2739 MOMENTUM PLACE | CHICAGO | IL | 60689 | INFORMATION TECHNOLOGY | $364,358 |
| SECO PHYSICALOCCUPATIONAL THERAPY | |||||
| 26 CONKY AVE | NORWICH | NY | 13815 | PHYSICAL/OCC. THERAPY | $341,328 |
| SIEMENS HEALTHCARE DIAGNOSTICS | |||||
| PO BOX 121102 | DALLAS | TX | 75312 | INFORMATION TECHNOLOGY | $218,881 |
| ALLIANCE HEALTHCARE SYSTEMS | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | MEDICAL SUPPORT | $186,484 |
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | MEDICAL SUPPORT | $166,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $265,720 | GovernmentGrantsAmt |
| All Other Contributions | $25,970 | AllOtherContributionsAmt |
| Total Contributions | $291,690 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $16,114,738 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,114,738 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,114,738 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,225 | TotalRevenueColumnAmt |
| Exclusion | $26,225 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $551 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $551 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $551 | TotalRevenueColumnAmt |
| Exclusion | $551 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MEANINGFUL USE MEDICARE | 900099 | $1,265,835 | $1,265,835 | |
| PHYSICIAN OTHER REVENUE | 621498 | $39,118 | $39,118 | |
| VENDING MACHINE | 722210 | $23,952 | $23,952 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,151 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,991 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,160 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,415,056 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,848,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,495,682 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $60,888 | 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 | $1,070,814 | TotalAmt |
| Program Services | $850,971 | ProgramServicesAmt |
| Management And General | $219,843 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,367,568 | TotalAmt |
| Program Services | $4,393,622 | ProgramServicesAmt |
| Management And General | $1,973,946 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,431 | TotalAmt |
| Program Services | $90,630 | ProgramServicesAmt |
| Management And General | $48,801 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,094,909 | TotalAmt |
| Program Services | $695,267 | ProgramServicesAmt |
| Management And General | $399,642 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $506,784 | TotalAmt |
| Program Services | $352,656 | ProgramServicesAmt |
| Management And General | $148,819 | ManagementAndGeneralAmt |
| Fundraising | $5,309 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,001 | TotalAmt |
| Management And General | $2,001 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544 | TotalAmt |
| Management And General | $544 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,662 | TotalAmt |
| Management And General | $82,662 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,565 | TotalAmt |
| Management And General | $3,565 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,574 | TotalAmt |
| Management And General | $4,574 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,568,020 | TotalAmt |
| Program Services | $2,136,201 | ProgramServicesAmt |
| Management And General | $431,782 | ManagementAndGeneralAmt |
| Fundraising | $37 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282 | TotalAmt |
| Fundraising | $1,282 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,745,674 | TotalAmt |
| Program Services | $1,206,174 | ProgramServicesAmt |
| Management And General | $537,175 | ManagementAndGeneralAmt |
| Fundraising | $2,325 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,121 | TotalAmt |
| Management And General | $40,121 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,610 | TotalAmt |
| Program Services | $40,866 | ProgramServicesAmt |
| Management And General | $185,744 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,354 | TotalAmt |
| Program Services | $27,336 | ProgramServicesAmt |
| Management And General | $7,863 | ManagementAndGeneralAmt |
| Fundraising | $2,155 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,671 | TotalAmt |
| Program Services | $11,200 | ProgramServicesAmt |
| Management And General | $9,582 | ManagementAndGeneralAmt |
| Fundraising | $13,889 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,970 | TotalAmt |
| Management And General | $295,970 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,508 | TotalAmt |
| Program Services | $1,009,488 | ProgramServicesAmt |
| Management And General | $11,020 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,793 | TotalAmt |
| Program Services | $143,042 | ProgramServicesAmt |
| Management And General | $44,751 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $1,138,150 | $1,138,150 | |
| MISCELLANEOUS | $85,551 | $53,442 | $32,109 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,654,556 | TotalAmt |
| Program Services | $12,149,045 | ProgramServicesAmt |
| Management And General | $4,480,514 | ManagementAndGeneralAmt |
| Fundraising | $24,997 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,520,178 | BOYAmt |
| EOY | $2,714,926 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,187 | BOYAmt |
| EOY | $846,247 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,028,397 | BOYAmt |
| EOY | $1,709,266 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,996 | BOYAmt |
| EOY | $132,691 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,958 | BOYAmt |
| EOY | $344,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,871,674 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,950,596 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,462,728 | BOYAmt |
| EOY | $6,921,078 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,513 | BOYAmt |
| EOY | $962,908 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,507,903 | BOYAmt |
| EOY | $2,116,230 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $950,000 | BOYAmt |
| EOY | $1,153,596 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,513,860 | BOYAmt |
| EOY | $16,901,435 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $852,434 | BOYAmt |
| EOY | $846,771 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,075,249 | BOYAmt |
| EOY | $4,381,525 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,632 | BOYAmt |
| EOY | $693,814 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $789,703 | BOYAmt |
| EOY | $1,138,963 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,533,428 | BOYAmt |
| EOY | $1,732,189 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,035,446 | BOYAmt |
| EOY | $8,793,262 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,098,671 | BOYAmt |
| EOY | $7,759,595 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,533 | BOYAmt |
| EOY | $30,368 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,210 | BOYAmt |
| EOY | $318,210 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,478,414 | BOYAmt |
| EOY | $8,108,173 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,513,860 | BOYAmt |
| EOY | $16,901,435 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,193,704 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $82,687 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $353,368 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
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 | $3,565 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,565 | 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 | DELAWARE VALLEY HOSPITAL HAS LIMITED LOBBYING ACTIVITIES WHICH ARE CONDUCTED ON BEHALF OF THE ORGANIZATION THROUGH MEMBERSHIP IN IROQUOIS HEALTHCARE AND THE HEALTH CARE ASSOCIATION OF NEW YORK STATE (HANYS). THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTHCARE ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $379,742 | BeginningYearBalanceAmt |
| Contributions | $1,700 | ContributionsAmt |
| Other Expenditures | $32,864 | OtherExpendituresAmt |
| End Year Balance | $348,578 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $381,035 | BeginningYearBalanceAmt |
| Contributions | -$1,293 | ContributionsAmt |
| End Year Balance | $379,742 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $342,832 | BeginningYearBalanceAmt |
| Contributions | $38,203 | ContributionsAmt |
| End Year Balance | $381,035 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $424,391 | BeginningYearBalanceAmt |
| Contributions | $6,550 | ContributionsAmt |
| Other Expenditures | $88,109 | OtherExpendituresAmt |
| End Year Balance | $342,832 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $361,680 | BeginningYearBalanceAmt |
| Contributions | $145,420 | ContributionsAmt |
| Other Expenditures | $82,709 | OtherExpendituresAmt |
| End Year Balance | $424,391 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.91300 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.08700 | 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 | $9,576,074 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,388,181 | DepreciationAmt |
| Book Value | $5,187,893 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,944,804 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,562,415 | DepreciationAmt |
| Book Value | $1,382,389 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $299,594 | OtherCostOrOtherBasisAmt |
| Book Value | $299,594 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,921,078 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| WELLS FARGO - PRIN. PMTS. ON BOND | $190,074 | F |
| TEMP.RESTRICTED DONATIONS | $37,966 | F |
| CAPITAL CONST(FUNDED DEPR) | $1,888,190 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $2,116,230 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER RECEIVABLES - MALPRACTICE INS RECOVERY | Desc |
| Book Value | $1,153,596 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,153,596 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE UNITED MED. ASSOC. / CHEN. MEM. | $170,288 |
| DUE UNITED HEALTH SERVICES HOSPITALS | $329,652 |
| MALPRACTICE INSURANCE RESERVE | $1,232,249 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,732,189 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,848,260 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,848,260 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,848,260 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,301,188 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,301,188 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $353,368 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $353,368 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,654,556 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 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, 2013 AND 2012, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTERST OR PENALTIES. THE TAX YEARS OPEN 2010 THROUGH 2013. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INTEREST RATE SWAP 353,368. |
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 | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $136,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $136,716 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,529,614 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,479,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,050,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06770 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,822 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,749,152 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,479,512 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,269,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $154,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,236,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,612,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,624,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16910 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,589 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,589 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,404,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,612,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,792,048 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,153,693 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,092,005 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,061,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.26170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $501,742 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $195,749 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,104,404 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,067,765 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $36,639 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TITUS PLACE | AddressLine1 |
| City | WALTON | City |
| State | NY | State |
| ZIP Code | 13856 | ZIPCode |
| 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 HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.UHS.NET | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DELAWARE VALLEY HOSPITAL | PART V, SECTION B, LINE 3: DELAWARE VALLEY HOSPITAL WORKED CLOSELY WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT IN SEVERAL PLANNING SESSIONS TO COORDINATE EFFORTS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT WHICH WAS PUBLISHED BY THE COUNTY HEALTH DEPARTMENT AND SHARED WITH DELAWARE VALLEY HOSPITAL. PLANNING SESSIONS WERE HELD ON FEBRUARY 21, 2013 AND APRIL 9, 2013 AT DELAWARE VALLEY HOSPITAL WITH REPRESENTATIVES FROM THE COUNTYS THREE CRITICAL ACCESS HOSPITALS: DELAWARE VALLEY HOSPITAL, OCONNOR HOSPITAL, MARGARETVILLE HOSPITAL AND DELAWARE COUNTY PUBLIC HEALTH ATTENDING.DELAWARE COUNTY PUBLIC HEALTH STAFF REACHED OUT TO THE COMMUNITY THROUGH SURVEYS CONDUCTED AT VARIOUS STATE AND COUNTY SPONSORED WOMAN, INFANT & CHILD SITES, BY INTERNET AND TELEPHONE TO DETERMINE COMMUNITY PERCEPTIONS AS TO WHAT THEY FELT WERE IMPORTANT HEALTH PROBLEMS AND RISKY BEHAVIORS. THE SURVEY QUESTIONS WERE TAKEN FROM THE ACHIEVING HEALTHIER COMMUNITIES THROUGH MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), A USERS HANDBOOK.IN ADDITION, THE HEALTH DEPARTMENT USED RADIO AND PRINT ADVERTISING, PUBLIC SERVICE ANNOUNCEMENTS, FACEBOOK AND WORD OF MOUTH TO CALL FOR PARTICIPATION IN THE COMMUNITY FOCUS GROUP. INTERESTED RESIDENTS WERE ASKED A SERIES OF QUESTIONS AS PART OF THE SCREENING PROCESS. THE SCREENING TOOL INCLUDED SELF-REPORTED DEMOGRAPHIC QUESTIONS SUCH AS AGE, RESIDENCE, PROFESSION, HOUSEHOLD AS WELL AS PARTICIPATION IN COMMUNITY ORGANIZATIONS AND ATTITUDE TOWARD AND USE OF HEALTHCARE SERVICES. 22 INDIVIDUALS RESPONDED, ALL BUT ONE REPORTED HAVING HEALTH INSURANCE AND A DOCTOR FOR THEMSELVES AND FAMILY MEMBERS; 19 HAD USED HEALTHCARE AND MENTAL HEALTH SERVICES IN DELAWARE COUNTY; 16 ACCESSED SERVICES OUTSIDE THE COUNTY WITH THE NEED FOR SPECIALIST SERVICES. THOSE REPORTING THEY DID NOT SEEK TREATMENT GAVE HIGH DEDUCTIBLES AND CO-PAYS, TRAVEL DISTANCE AND GENERAL FINANCIAL BURDEN AS THE REASONS. 15 OF THESE RESPONDENTS WERE SELECTED TO PARTICIPATE IN THE COMMUNITY FOCUS GROUP.THE COMMUNITY FOCUS GROUP WAS HELD ON SATURDAY, MAY 4, 2013 AT NEW HOPE COMMUNITY CHURCH, IN WALTON, NY. DELAWARE VALLEY HOSPITAL SECURED THE SITE AND PROVIDED THE BREAKFAST FOR PARTICIPANTS, WHILE THE COUNTY HEALTH DEPARTMENT SECURED AN OUTSIDE CONSULTANT TO FACILITATE THE GROUP. 15 RESIDENTS, RANGING IN AGE FROM 19-73 YEARS, PARTICIPATED. 4 WERE MALE AND 11 FEMALE AND RESIDED IN 9 OF THE 17 TOWNS LOCATED IN DELAWARE COUNTY. THE OVERALL GOAL OF THE FOCUS GROUP WAS TO IDENTIFY WHAT THEIR COLLECTIVE IDEAL VISION FOR A HEALTHY DELAWARE COUNTY WOULD BE. MEMBERS PARTICIPATED IN A GROUP DISCUSSION ANSWERING 11 COMMUNITY AND HEALTH BASED QUESTIONS. THE SESSION WAS VIDEO TAPED AFTER WRITTEN CONSENT WAS OBTAINED FROM EACH PARTICIPANT.THE PROFESSIONAL STAKEHOLDERS FOCUS GROUP MEETING WAS HELD ON MAY 22, 2013 AND WAS CONDUCTED BY AN OUTSIDE FACILITATOR. PROFESSIONALS PROVIDING SERVICES TO DELAWARE COUNTY RESIDENTS IN GENERAL, SUCH AS LAW ENFORCEMENT, PLANNING DEPARTMENT, SCHOOL, HOSPITALS AND PUBLIC HEALTH ATTENDED AS WELL AS AGENCIES WHO SERVE THOSE WITH SPECIFIC NEEDS SUCH AS THOSE WITH LOW INCOME, THE ELDERLY, THE ADDICTED, OR THOSE WITH MENTAL HEALTH NEEDS. THE PURPOSE WAS TO ASSIST IN IDENTIFYING DISPARATE POPULATIONS AND ISSUES, RESOURCES AND POSSIBLE SOLUTIONS TO PROBLEMS REGARDING CHRONIC DISEASE AND MENTAL HEALTH AND SUBSTANCE ABUSE. 33 REPRESENTATIVES OF AGENCIES SERVING DELAWARE COUNTY RESIDENTS ATTENDED. ATTENDEES INCLUDED: DELAWARE COUNTY GOVERNMENT AGENCIES: DELAWARE COUNTY PUBLIC HEALTH, MENTAL HEALTH, OFFICE FOR THE AGING, DEPT OF SOCIAL SERVICES, SHERIFFS DEPARTMENT, ALCOHOL AND DRUG ABUSE COUNCIL, PLANNING DEPARTMENT, EMERGENCY SERVICES, DRUG TREATMENT COURT, WATERSHED AFFAIRSHOSPITAL AND HEALTH SERVICES: DELAWARE VALLEY HOSPITAL, BASSETT HEALTHCARE-OCONNOR HOSPITAL AND TRI- TOWN, MARGARETVILLE HOSPITAL, CATSKILL AREA HOSPICE.EDUCATION: ROXBURY CENTRAL SCHOOLNURSING HOMES: ROBINSON TERRACEALLIANCES: RURAL HEALTH NETWORK OF SOUTH CENTRAL NYOTHER HUMAN SERVICE AGENCIES: CORNELL COOPERATIVE EXTENSION, RURAL 3 FOR TOBACCO FREE COMMUNITIES, CANCER SERVICES PROGRAM OF DELAWARE, OTSEGO AND SCHOHARIE COUNTIES, DELAWARE OPPORTUNITIES, NY CONNECTS, FAMILY RESOURCE NETWORK AND CATHOLIC CHARITIES IT WAS ALSO DECIDED THAT WHILE THOSE OF US AT THE MEETING MAY HAVE SOME DIFFERING INITIATIVES, EITHER IN PROGRESS OR PLANNED, WE COULD ALL AGREE THAT OUR ORIGINAL THOUGHT TO FOCUS ON TWO PRIORITY AREAS: PREVENT CHRONIC DISEASES AND PROMOTE MENTAL HEALTH AND PREVENTION OF SUBSTANCE ABUSE WAS APPROPRIATE. AGAIN BOTH THE COMMUNITY GROUPS AND THE PROFESSIONAL STAKEHOLDERS GROUP CITED MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES SEVERAL TIMES.ANOTHER MEETING WAS HELD AT DELAWARE COUNTY PUBLIC HEALTH OFFICE WITH DELAWARE VALLEY HOSPITAL ALSO ATTENDING, ON SEPTEMBER 11, 2013 TO IDENTIFY THE STAKEHOLDERS THAT WOULD BE INSTRUMENTAL IN HELPING US ACHIEVE OUR GOALS. THIS WAS IN DIRECT RESPONSE TO THE PROFESSIONAL FOCUS GROUPS TOP CHOICE OF POSSIBLE INTERVENTIONS: INCREASE COLLABORATION OF AGENCIES AND ORGANIZATIONS AND THE COMMUNITYS DESIRE TO LEARN MORE ABOUT AVAILABLE RESOURCES. IT WAS DECIDED TO HOLD TWO MORE SESSIONS. ONE WOULD FOCUS ON PREVENTION OF CHRONIC DISEASES AND INVITE THOSE STAKEHOLDERS THAT WOULD HAVE A VESTED INTEREST IN WORKING ON THESE TYPES OF ISSUES, WHILE THE OTHER WOULD INCLUDE STAKEHOLDERS REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE. THE MEETINGS WERE HELD ON OCTOBER 15, 2013 IN THE DELAWARE COUNTY PUBLIC SAFETY BUILDING. STAKEHOLDERS ATTENDING THE MENTAL HEALTH/PREVENT SUBSTANCE ABUSE MEETING INCLUDED: DELAWARE COUNTY PUBLIC HEALTH SERVICES, DELAWARE VALLEY HOSPITAL, DELAWARE VALLEY HOSPITAL ADDICTION TREATMENT PROGRAM STAFF, MARGARETVILLE HOSPITAL, MEMBERS OF THE MARGARETVILLE HOSPITAL WELLNESS COMMITTEE, REHABILITATION SUPPORT SERVICES, DELAWARE COUNTY MENTAL HEALTH, DELAWARE COUNTY SOCIAL SERVICES, ALCOHOL AND DRUG ABUSE COUNCIL OF DELAWARE COUNTY AND VETERAN SERVICES. |
| DELAWARE VALLEY HOSPITAL | PART V, SECTION B, LINE 4: UNITED HEALTH SERVICE HOSPITALS, INC.CHENANGO MEMORIAL HOSPITAL, INC. |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| WALTON FAMILY HEALTH CENTER | ||||
| 2 TITUS PLACE | WALTON | NY | 13856 | OUTPATIENT PHYSICIAN CLINIC |
| DOWNSVILLE FAMILY HEALTH CENTER | ||||
| 28315 STATE HWY 206 | DOWNSVILLE | NY | 13755 | OUTPATIENT PHYSICIAN CLINIC |
| ROSCOE FAMILY HEALTH CENTER | ||||
| 1982 OLD ROUTE 17 | ROSCOE | NY | 12776 | OUTPATIENT PHYSICIAN CLINIC |
| PHYSICAL AND OCCUPATIONAL THERAPY | ||||
| 123 STOCKTON AVENUE | WALTON | NY | 13856 | REHABILITATION CLINIC |
| SPECIALTY CLINIC | ||||
| 121 STOCKTON AVENUE | WALTON | NY | 13856 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 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. A. COSTS:I. FYE COSTS AS INDEPENDENTLY AUDITED. NON-ALLOWABLE COSTS (I.E.-PHYSICIANS, ETC.) ARE USED TO REDUCE COSTS TO ARRIVE AT ALLOWABLE COSTS.II. VARIOUS STATISTICAL BASIS ARE USED TO ALLOCATE GENERAL SERVICE COSTS (I.E.-ADMINISTRATION, PLANT OPERATIONS, HOUSEKEEPING, ETC.), VIA A "STEPDOWN" METHODOLOGY TO REVENUE PRODUCING COST CENTERS SUCH AS ANCILLARY COST CENTERS (I.E. - RADIOLOGY, LAB, PHYSICAL THERAPY, ETC.) ROUTINE COST CENTERS (MEDICAL SURGICAL, ETC.) AND OUTPATIENT COST CENTERS (EMERGENCY, CLINIC, ETC.). III. ROUTINE COSTS PER DAY ARE THEN CALCULATED BY DIVIDING DIRECT AND INDIRECT COSTS (STEPDOWN) BY TOTAL DAYS. THIS PER DAY COST CAN THEN BE MULTIPLIED BY PAYOR SPECIFIC DAYS TO ARRIVE AT ROUTINE PAYOR COSTS.IV. ANCILLARY AND OUTPATIENT COSTS RELATED TO SPECIFIC PAYORS CAN BE DETERMINED BASED ON THE RATIO OF COST TO CHARGES (RCC).1. THE RCC IS CALCULATED BY DIVIDING THE DIRECT AND INDIRECT COSTS (STEPDOWN COSTS)BY GROSS CHARGES. THE RCC CAN THEN BE MULTIPLIED BY PAYOR SPECIFIC GROSS CHARGES TO ARRIVE AT PAYOR SPECIFIC COSTS. B. REVENUE: I. MEDICARE: NET REVENUE IS BASED IN DVH'S ALLOWABLE COSTS (INPATIENT AND OUTPATIENT) ARE REIMBURSED WITH A 1% MARKUP. II. MEDICAID: NET REVENUE IS BASED ON THE FOLLOWING:A. INPATIENT - A BASE YEAR COST PER DAY TRENDED ANNUALLY FOR INFLATION.B. OUTPATIENT - MEDICAID PUBLISHED RATES.III. OTHER PAYORS: REVENUE IS BASED ON NEGOTIATED RATES OF PAYMENT. |
| PART I, LN 7 COL(F): | DELAWARE VALLEY HOSPITAL REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $1,138,150 IN PART IX, LINE 24A. THE AFOREMENTIONED BAD DEBT EXPENSE WAS NOT USED IN THE CALCULATIONS OF SCHEDULE H, PART 1, LINES 7A THRU 7K. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DELAWARE VALLEY HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH ITS MEMBERSHIP AND PARTICIPATION IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY. STAFF MEMBERS ALSO SERVE ON THE WELLNESS AND COMMUNITY COMMITTEES OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER). THE HOSPITAL HOSTS BOTH RN AND CNA STUDENTS DURING THE YEAR; HOSTS A MASH CAMP TO PROVIDE AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO LEARN ABOUT HEALTHCARE CAREERS. THE PHYSICAL THERAPY DEPARTMENT ALSO SPENT TIME WITH TWO PT STUDENTS AS THEY LEARNED MORE ABOUT THEIR CHOSEN FIELD. DURING, 2013 THE HOSPITAL WORKED HAND IN HAND WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY ORGANIZATIONS AND HEALTHCARE PROVIDERS TO PERFORM A COMMUNITY NEEDS ASSESSMENT |
| 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. |
| 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. |
| PART III, LINE 9B: | A SYSTEM-WIDE POLICY CLEARLY STATES "FORWARDING A CLAIM TO A COLLECTION AGENCY WHILE FINANCIAL ASSISTANCE IS BEING DETERMINED IS PROHIBITED." AFTER PATIENTS' REQUESTS FOR FINANCIAL ASSISTANCE ARE APPROVED THE ORGANIZATION WILL PROVIDE THEM WITH THE SAME LEVEL OF FINANCIAL ASSISTANCE FOR 6 MONTHS AT WHICH TIME ANOTHER EVALUATION OF THE PATIENT'S FINANCIAL CONDITION WILL BE MADE. |
| PART VI, LINE 2: | DELAWARE VALLEY HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH ITS MEMBERSHIP AND PARTICIPATION IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY. STAFF MEMBERS ALSO SERVE ON THE WELLNESS AND COMMUNITY COMMITTEES OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTYS EMERGENCY PREPAREDNESS COMMITTEE (BNICER). THE HOSPITAL HOSTS BOTH RN AND CNA STUDENTS DURING THE YEAR; HOSTS A MASH CAMP TO PROVIDE AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO LEARN ABOUT HEALTHCARE CAREERS. THE PHYSICAL THERAPY DEPARTMENT ALSO SPENT TIME WITH TWO PT STUDENTS AS THEY LEARNED MORE ABOUT THEIR CHOSEN FIELD. DURING 2013, THE HOSPITAL WORKED HAND IN HAND WITH THE DELAWARE COUNTY PUBLIC HEALTH DEPARTMENT AND A MULTITUDE OF COMMUNITY ORGANIZATIONS AND HEALTHCARE PROVIDERS TO PERFORM A COMMUNITY NEEDS ASSESSMENT. |
| PART VI, LINE 3: | DELAWARE VALLEY HOSPITAL, INC. IS COMMITTED TO PROVIDING FINANCIAL PATIENT EDUCATION OF ELIGIBILITY FOR 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 HOSPITALS 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. |
| PART VI, LINE 4: | DELAWARE VALLEY HOSPITALS SERVICE AREA IS CENTERED IN DELAWARE COUNTY, WITH 79% OF THE PATIENTS COMING FROM THE WESTERN HALF OF DELAWARE COUNTY, AND ANOTHER 15% FROM NORTHERN SULLIVAN, BROOME, OTSEGO, AND CHENANGO COUNTIES. DVHS 85% ZIP CODE SERVICE AREA INCLUDES THE COMMUNITIES OF WALTON, DOWNSVILLE, ONEONTA, ROSCOE, HANCOCK, DELHI, EAST BRANCH, SIDNEY, SIDNEY CENTER, BINGHAMTON, UNADILLA, LONG EDDY, AND HAMDEN. DELAWARE COUNTY IS LOCATED ON THE WESTERN EDGE OF THE CATSKILL MOUNTAINS IN RURAL, UPSTATE NEW YORK. ENCOMPASSING 1446.37 SQUARE MILES, ITS SIZE APPROXIMATES THAT OF RHODE ISLAND AND IS THE FOURTH LARGEST OF NEW YORK STATES 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 SIXTH MOST RURAL COUNTY IN THE STATE WITH JUST 33 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. THE COUNTY IS HOME TO TWO OF THE STATES LARGEST RESERVOIRS IN THE NEW YORK CITY WATERSHED, WHICH HAS THE LARGEST UNFILTERED DRINKING WATER SUPPLY IN THE UNITED STATES. APPROXIMATELY 55% OF DELAWARE COUNTYS 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. 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.THE MEDIAN AGE IN DELAWARE COUNTY IS 45.4 YEARS, WHILE 35% ARE AGE 55 AND OVER, AND 20% OF THOSE ARE 65 YEARS AND OVER. 95.6% OF THE POPULATIONS ARE WHITE, SO THERE IS LITTLE ETHNIC DISPARITY. THE MEDIAN FAMILY INCOME IS $ 43,554 AND 17.1% OF THE POPULATION LIVES IN POVERTY. ACCORDING TO THE 2009-2011 AMERICAN COMMUNITY SURVEY BY THE U.S. CENSUS BUREAU THE PERCENTAGE OF RELATED CHILDREN LIVING BELOW THE POVERTY LEVEL WITH A FEMALE HEAD OF HOUSEHOLD, NO HUSBAND PRESENT HAS RISEN TO 66.7% FOR CHILDREN UNDER 5 YEARS OF AGE IN DELAWARE COUNTY. THIS IS WELL ABOVE NEW YORK AND UNITED STATES COMPARISONS OF 42.8% AND 47% RESPECTIVELY |
| PART VI, LINE 5: | DELAWARE VALLEY HOSPITAL, CRITICAL ACCESS HOSPITAL, PROMOTES COMMUNITY HEALTH THROUGH ITS ONGOING EFFORTS TO PROVIDE THOSE SERVICES MOST OFTEN UTILIZED BY THOSE ITS SERVES. ITS INPATIENT SERVICES INCLUDE ACUTE CARE FOR THOSE PATIENTS REQUIRING 96 HOURS OR LESS OF HOSPITALIZATION; LONGER TERM REHABILITATIVE CARE FOR THOSE NEEDING TIME TO GAIN STRENGTH OR STAMINA AFTER A DEBILITATING ILLNESS OR INJURY OR A SURGICAL PROCEDURE; AND ADDICTION TREATMENT. THE HOSPITAL ALSO PROVIDES 24 HOUR EMERGENCY CARE. DIAGNOSTIC AND TREATMENT SERVICES INCLUDE LABORATORY, CARDIOPULMONARY AND IMAGING SERVICES. THE HOSPITAL HAS THE CAPABILITY OF PERFORMING PULMONARY FUNCTION TESTING, EKGS, CARDIAC STRESS TESTING, AND PLACING HOLTER AND EVENT MONITORS. IN THE IMAGING CENTER X-RAY, FLUOROSCOPY, MAMMOGRAPHY, BONE DENSITOMETRY, ULTRASOUND, ECHOCARDIOGRAMS AND CT SCANS ARE PERFORMED. A MOBILE MRI SERVICE IS AVAILABLE WEEKLY. ITS OUTPATIENT REHABILITATION DEPARTMENT OFFERS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AND A CARDIOPULMONARY REHABILITATION PROGRAM IS ALSO IN PLACE. THROUGH ITS THREE PRIMARY CARE OFFICES LOCATED IN WALTON, DOWNSVILLE AND ROSCOE, NY PATIENTS OF ALL AGES CAN RECEIVE ACUTE AND PREVENTIVE CARE. OCCUPATIONAL HEALTH SERVICES INCLUDE PRE-EMPLOYMENT AND DOT PHYSICALS, IMMUNIZATIONS, DRUG TESTING AND ANNUAL PHYSICALS FOR FIRE DEPARTMENT MEMBERS. VISITING SPECIALISTS INCLUDE A GENERAL SURGEON, CARDIOLOGIST, OB/GYN AND PODIATRIST. DURING 2013, DELAWARE VALLEY HOSPITALS CERTIFIED DIETICIAN/NUTRITIONIST HELD A LIFESTEPS CLASS WHICH FOCUSES ON PARTICIPANTS LIFESTYLES AS IT RELATES TO DIET AND EXERCISE. THE HOSPITAL CONTINUED ITS ANNUAL PRESENCE AT THE DELAWARE COUNTY FAIR, WHERE IT OFFERED VISITORS FREE BLOOD PRESSURE (APPROX. 610); BLOOD GLUCOSE SCREENING (154) AND BALANCE SCREENINGS, PULSE OX SCREENS, NUTRITION EDUCATION, ESPECIALLY ABOUT SALT AND FAT, BONE DENSITY SCREENING AND A CONTEST TO HELP PARTICIPANTS LEARN MORE ABOUT LOCAL SERVICES. 21 EMPLOYEES SPENT A TOTAL OF 194 HOURS AT THE 6 DAY LONG EVENT. THE DIETICIAN ALSO PARTICIPATED IN A DIABETES ALERT DAY, AND A DIABETES TEACHING EVENT IN SIDNEY. WEEKLY NARCOTICS ANONYMOUS MEETINGS ARE HELD AT THE HOSPITAL AND HOSPITAL STAFF PERFORMS DRUG TESTING COLLECTION FOR THE COUNTYS DRUG COURT FREE OF CHARGE. STAFF MEMBERS ALSO ATTENDED OPEN HOUSE EVENTS AT THREE AREA SCHOOLS: DOWNSVILLE, ROSCOE AND LIVINGSTON MANOR WHERE TIPS FOR HEALTHY SNACKS, AND PROMOTION OF PHYSICAL ACTIVITY INFORMATION WERE PROVIDED. THE CHILDREN RECEIVED FRISBEES TO PROMOTE OUTDOOR ACTIVITY AS WELL AS REFLECTIVE ZIPPER PULLS SO THEY WOULD BE SAFER WHEN OUTDOORS AFTER DARK. BECAUSE TWO LOCAL COMMUNITIES HAD NO PHARMACY AND TRAVEL CAN BE DIFFICULT, THE HOSPITAL CONTINUED TO OFFER ITS FREE PRESCRIPTION DELIVERY PROGRAM TO RESIDENTS IN THE DOWNSVILLE AND ROSCOE AREA. IN 2013, 56 PATIENTS WERE SERVED, RECEIVING 407 PRESCRIPTIONS THROUGH THE SERVICE. IN AN EFFORT TO ASSIST THE LOCAL COOPERATIVE EXTENSION WITH THE PROMOTION OF HEALTHY EATING AND EATING FRESH, LOCAL FARM PRODUCTS THE HOSPITAL AGREED TO HOST A FARMERS MARKET DURING THE SUMMER. THE ANNUAL COAT GIVE-AWAY WAS HELD IN OCTOBER AND STAFF PARTICIPATED IN THE LOCAL TOY DRIVE FOR CHILDREN DURING DECEMBER. |
| PART VI, LINE 6: | DELAWARE VALLEY HOSPITAL, INC. IS AN IMPORTANT PART OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHS IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2010, THE UNITED HEALTH SERVICES SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2010-2014. CONSISTENT WITH THE MISSION AND VISION, THE PLAN FOCUSED ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO THE REGION. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR OBJECTIVES: CLINICAL EXCELLENCE, SERVICE EXCELLENCE, MARKET GROWTH AND AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE OBJECTIVES ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE UHS COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO UHS WITH THE OTHER AFFILIATES SUBMITTING SEPARATE REPORTS. CLINICAL EXCELLENCE: UHS IS FOCUSED ON BUILDING UPON PREVIOUS EFFORTS THAT ESTABLISHED A CONSISTENT SYSTEM-WIDE FOCUS FOR EVALUATING AND ASSURING EXCELLENCE IN THE DELIVERY OF CLINICAL CARE.UHS IS FOCUSED ON THE DEVELOPMENT OF A COMPREHENSIVE OUTPATIENT CARE MODEL; IMPLEMENTATION OF SOARIAN CLINICAL SYSTEMS TO SUPPORT SERVICE QUALITY AND EXCELLENCE; IMPLEMENTATION OF A MULTI-YEAR PROVIDER RECRUITMENT AND RETENTION STRATEGY; ORGANIZE UHS PROVIDERS TO ACCOMMODATE FUTURE PAYMENT METHODOLOGIES; ALONG WITH THE DEVELOPMENT OF A TALENT MANAGEMENT INITIATIVE TO REALIZE THE LONG TERM STRATEGY FOR A SUSTAINABLE WORKFORCE.SERVICE EXCELLENCE: UHS HAS ELEVATED THE EMPHASIS ON OUTPATIENT CENTERED SERVICE DELIVERY THAT RESULTS IN A MEANINGFULLY DIFFERENT PATIENT EXPERIENCE. INCLUDED IN THIS CATEGORY WOULD BE THE FOLLOWING: IMPLEMENTING THE PRIMARY CARE MEDICAL HOME; COMPREHENSIVE EVALUATION OF PATIENT NEEDS ACROSS THE CARE CONTINUUM; FULL IMPLEMENTATION OF THE ELECTRONIC MEDICAL RECORD; DEVELOPMENT AND IMPLEMENTATION OF DISEASE MANAGEMENT PROGRAMS; AND IMPLEMENTATION OF CONSISTENT CUSTOMER SERVICE STANDARDS AND TRAINING TO DELIVER ON THE UHS BRAND PROMISE OF RESPECT AND ACCOUNTABILITY.MARKET GROWTH: UHS OPERATES IN A COMPETITIVE ENVIRONMENT WHERE KEY COMPETITORS FUNCTION AS CLOSED, SELF-CONTAINED NETWORKS. AT THE ROOT OF EACH NETWORK IS PRIMARY CARE, WHICH IS THEREFORE A KEY TO SUSTAINABLE GROWTH. KEY RESOURCES HAVE BEEN DEVOTED TO PRIMARY CARE SUPPLY, EXPANSION LOCATIONS, AND DEVELOPMENT OF CONSISTENT OPERATIONAL STANDARDS THAT ARE PATIENT-CENTERED.FINANCIAL STRENGTH: STANDING IN THE SHADOW OF HEALTHCARE REFORM, THE FINANCIAL LANDSCAPE FOR HEALTHCARE AT BOTH THE FEDERAL AND STATE LEVELS CONTINUES TO BE UNPREDICTABLE IN TERMS OF THE MAGNITUDE OF NEGATIVE IMPACTS. UHS IS FOCUSED ON RAISING THE FINANCIAL AMBITION OF THE SYSTEM. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR MICHAEL FREEMAN | ||||||||||||||
| MEDICAL STAFF PRESIDENT | $277,156 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $277,156 | $0 | $0 | $0 |
| JOHN CARRIGG | ||||||||||||||
| 2ND VICE CHAIR | $0 | $393,749 | $0 | $79,123 | $0 | $0 | $0 | $16,320 | $0 | $19,512 | $0 | $508,704 | $0 | $0 |
| DRU CAVANAGH | ||||||||||||||
| DIRECTOR/CEO | $92,495 | $39,640 | $0 | $0 | $0 | $0 | $8,787 | $3,766 | $8,485 | $3,636 | $109,767 | $47,042 | $0 | $0 |
| DR RAJESH DAVE | ||||||||||||||
| 2ND VICE CHAIRMAN | $0 | $492,574 | $0 | $109,508 | $0 | $14,454 | $0 | $16,320 | $0 | $17,125 | $0 | $649,981 | $0 | $0 |
| JASPREET SOOD | ||||||||||||||
| PHYSICIAN | $109,597 | $0 | $0 | $0 | $50,000 | $0 | $7,516 | $0 | $0 | $0 | $167,113 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF DELAWARE INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 161137407 | BondIssuerEIN |
| CUSIP | 245867AA4 | CUSIPNum |
| Bond Issued | 2007-06-29 | BondIssuedDt |
| Issue Price | $5,805,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF NEW ER/IMAGING CENTER; REFINANCE HOSPITAL MORTGAGE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $5,805,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $250,826 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $5,805,000 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MICHAEL LAYTON | |||
| BROTHER-IN-LAW OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES | $48,727 | EMPLOYEE WAGES | 0 |
| BONNIE CRAIG | |||
| SISTER OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES | $29,214 | EMPLOYEE WAGES | 0 |
| NANCY VOLLKOMMER | |||
| SISTER-IN-LAW OF VICKI CONKLING, V.P. NURSING ADMIN./CNO | $26,157 | EMPLOYEE WAGES | 0 |
| MILA KATANIC-TUCKER | |||
| STEP DAUGHTER OF EDWARD SNOW, BOARD OF DIRECTORS | $24,256 | EMPLOYEE WAGES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | A SENIOR ACCOUNTANT IN THE UHS SYSTEM GENERAL ACCOUNTING DEPARTMENT PREPARES THE DELAWARE VALLEY HOSPITAL FORM 990 AND THEN PRESENTS IT TO THE CONTROLLER AND CFO FOR REVIEW. IT IS THEN FORWARDED TO THE EXTERNAL AUDITORS, FUST CHARLES CHAMBERS FOR THEIR REVIEW. ONCE THEY DETERMINE IT TO BE COMPLETE, IT IS THEN PRESENTED TO THE PRESIDENT/CEO FOR APPROVAL PRIOR TO FILING WITH THE IRS. |
| 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 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. COMMITTEE USES SULLIVAN-CARTER, A PAID CONSULTING FIRM, TO OBTAIN NATIONAL CEO COMPENSATION DATA BY HOSPITAL TYPE, SIZE, ETC. AS BASIS FOR ESTABLISHING ACCEPTABLE RANGE OF COMPENSATION 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 2,136,201. MANAGEMENT AND GENERAL EXPENSES 431,782. FUNDRAISING EXPENSES 37. TOTAL EXPENSES 2,568,020. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 353,368. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITAL INC | ||||||||||
| 10-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161165049 | HOSPITAL | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| PROFESSIONAL HOME CARE | ||||||||||
| 4401 VESTAL PARKWAY EAST | VESTAL | NY | 13850 | 161261977 | HOME HEALTH CARE | NY | 501(C)(3) | 9 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER | ||||||||||
| 508 HIGH STREET | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501(C)(3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING | ||||||||||
| 508 HIGH STREET | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501(C)(3) | 9 | 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 HOSPITAL INC | ||||||||||
| 20-40 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | PARENT COMPANY | NY | 501(C)(3) | 9 | UNITED HEALTH SERVICES INC BOARD OF DIRECTORS | 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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