2014-11-14T14:52:20-06:00 2013-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2013-01-01 150524324 DELAWARE VALLEY HOSPITAL INC DELA 6078652197 1 TITUS PLACE WALTON NY 138561457 PAUL SUMMERS CHIEF EXECUTIVE OFFICER 6078652160 2014-11-13 1 ANGELA M FRANCO P00589741 3154463600 2013 2015-11-30 17:44:51Z PAUL SUMMERS 1 TITUS PLACE WALTON NY 138561457 17848260 0 X WWW.UHS.NET/ X 1950 NY 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. 8 5 223 31 0 0 174385 291690 15941204 16114738 30474 26776 452257 1415056 16598320 17848260 0 0 0 0 9754918 9179506 0 0 24997 6625523 7475050 16380441 16654556 217879 1193704 15513860 16901435 9035446 8793262 6478414 8108173 X 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. 0 0 4660424 7754662 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. 2293282 3202775 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. 5195339 5157301 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. 1384913 OTHER PROGRAM SERVICES REVENUE IS PRIMARILY MADE UP OF MEANINGFUL USE MEDICARE FUNDING OF $1,265,835. 1384913 12149045 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 43 0 1 223 1 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X PAUL SUMMERS 6078652197 DELAWARE VALLEY HOSPITAL 1 TITUS WALTON NY 138561457 HELEN JOHNSTON BOARD CHAIR 1.00 X X 0 0 0 DR MICHAEL FREEMAN MEDICAL STAFF PRESIDENT 55.00 X X 277156 0 0 JOHN CARRIGG 2ND VICE CHAIR 1.00 54.00 X X 0 472872 35832 LARRY LIGHT TREASURER 1.00 X X 0 0 0 EDWARD SNOW SECRETARY 1.00 X X 0 0 0 SHELLEY KAISER DIRECTOR 1.00 X 0 0 0 DRU CAVANAGH DIRECTOR/CEO 39.00 16.00 X X 92495 39640 24674 ERIN NEALE DIRECTOR 55.00 X 0 0 0 BRIDGET DEMOTT DIRECTOR 1.00 X 0 0 0 DR RAJESH DAVE 2ND VICE CHAIRMAN 1.00 X 0 616536 33445 JOAN GUARNIERI V.P. COMM HEALTH SVCS 55.00 X 94820 0 6388 DOTTIE KRUPPO V.P. ANCILLARY SVCS 55.00 X 75245 0 11356 PAUL SUMMERS V.P. FINANCE/CFO 55.00 X 119077 0 6680 DEBORAH HITT V.P. QUALITY/SUPPORT SVCS 55.00 X 80577 0 11356 VICTORIA CONKLING V.P. NURSING/CNO 55.00 X 98438 0 4965 JASPREET SOOD PHYSICIAN 55.00 X 159597 0 5833 RYAN KIM PHYSICIAN 55.00 X 129428 0 4790 DOV CAI PHYSICIAN 55.00 X 108039 0 5855 1234872 1129048 151174 5 0 1 0 MEDHOST OF TENNESSEE 2739 MOMENTUM PLACE CHICAGO IL 60689 INFORMATION TECHNOLOGY 364358 SECO PHYSICALOCCUPATIONAL THERAPY 26 CONKY AVE NORWICH NY 13815 PHYSICAL/OCC. THERAPY 341328 SIEMENS HEALTHCARE DIAGNOSTICS PO BOX 121102 DALLAS TX 75312 INFORMATION TECHNOLOGY 218881 ALLIANCE HEALTHCARE SYSTEMS PO BOX 96485 CHICAGO IL 60693 MEDICAL SUPPORT 186484 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 MEDICAL SUPPORT 166093 5 265720 25970 291690 NET PATIENT REVENUE 900099 16114738 16114738 16114738 26225 26225 551 0 551 551 551 MEANINGFUL USE MEDICARE 900099 1265835 1265835 PHYSICIAN OTHER REVENUE 621498 39118 39118 VENDING MACHINE 722210 23952 23952 86151 75991 10160 1415056 17848260 17495682 0 60888 X 1070814 850971 219843 6367568 4393622 1973946 139431 90630 48801 1094909 695267 399642 506784 352656 148819 5309 2001 2001 544 544 82662 82662 3565 3565 4574 4574 2568020 2136201 431782 37 1282 1282 1745674 1206174 537175 2325 40121 40121 226610 40866 185744 37354 27336 7863 2155 34671 11200 9582 13889 295970 295970 1020508 1009488 11020 187793 143042 44751 BAD DEBT EXPENSE 1138150 1138150 MISCELLANEOUS 85551 53442 32109 16654556 12149045 4480514 24997 1520178 2714926 342187 846247 2028397 1709266 131996 132691 700958 344493 19871674 12950596 7462728 6921078 869513 962908 1507903 2116230 950000 1153596 15513860 16901435 852434 846771 5075249 4381525 784632 693814 789703 1138963 1533428 1732189 9035446 8793262 X 6098671 7759595 61533 30368 318210 318210 6478414 8108173 15513860 16901435 X 1193704 82687 353368 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3565 3565 0 PART II-B, LINE 1: 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. 379742 1700 32864 348578 381035 -1293 379742 342832 38203 381035 424391 6550 88109 342832 361680 145420 82709 424391 0.91300 0.08700 1 0 51202 51202 9576074 4388181 5187893 9944804 8562415 1382389 299594 299594 6921078 WELLS FARGO - PRIN. PMTS. ON BOND 190074 F TEMP.RESTRICTED DONATIONS 37966 F CAPITAL CONST(FUNDED DEPR) 1888190 F 2116230 OTHER RECEIVABLES - MALPRACTICE INS RECOVERY 1153596 1153596 DUE UNITED MED. ASSOC. / CHEN. MEM. 170288 DUE UNITED HEALTH SERVICES HOSPITALS 329652 MALPRACTICE INSURANCE RESERVE 1232249 1732189 X 17848260 0 17848260 0 17848260 16301188 0 16301188 353368 353368 16654556 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. 1 1 X 1 X 1 X 1 1 0 1 1 136716 0 136716 0.00880 3529614 2479512 1050102 0.06770 82822 82822 0.00530 3749152 2479512 1269640 0.08180 154569 0 154569 0.01000 11411 0 11411 0.00070 10236972 7612493 2624479 0.16910 1589 0 1589 0.00010 10404541 7612493 2792048 0.17990 14153693 10092005 4061688 0.26170 0 501742 195749 5104404 5067765 36639 X 1 0 1 1 DELAWARE VALLEY HOSPTITAL 1 TITUS PLACE WALTON NY 13856 X X X DELAWARE VALLEY HOSPITAL 1 1 X X X X X X X X X 13 1 1 1 X HTTP://WWW.UHS.NET X X X X X X X X 1 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X 1 1 X X X X 1 0 X X 1 X 0 0 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. 5 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 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 X X X X 0 0 0 0 0 0 0 0 0 DR MICHAEL FREEMAN MEDICAL STAFF PRESIDENT 277156 0 0 0 0 0 0 0 0 0 277156 0 0 0 JOHN CARRIGG 2ND VICE CHAIR 0 393749 0 79123 0 0 0 16320 0 19512 0 508704 0 0 DRU CAVANAGH DIRECTOR/CEO 92495 39640 0 0 0 0 8787 3766 8485 3636 109767 47042 0 0 DR RAJESH DAVE 2ND VICE CHAIRMAN 0 492574 0 109508 0 14454 0 16320 0 17125 0 649981 0 0 JASPREET SOOD PHYSICIAN 109597 0 0 0 50000 0 7516 0 0 0 167113 0 0 0 A COUNTY OF DELAWARE INDUSTRIAL DEVELOPMENT AGENCY 161137407 245867AA4 2007-06-29 5805000 CONSTRUCTION OF NEW ER/IMAGING CENTER; REFINANCE HOSPITAL MORTGAGE 0 0 0 A 5805000 250826 5805000 2008 0 0 1 1 A 0 0 0 0 1 0 1 A 1 1 0 0 0 0 A 0 MICHAEL LAYTON BROTHER-IN-LAW OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES 48727 EMPLOYEE WAGES 0 BONNIE CRAIG SISTER OF DEBORAH HITT, V.P. QUALITY/SUPPORT SERVICES 29214 EMPLOYEE WAGES 0 NANCY VOLLKOMMER SISTER-IN-LAW OF VICKI CONKLING, V.P. NURSING ADMIN./CNO 26157 EMPLOYEE WAGES 0 MILA KATANIC-TUCKER STEP DAUGHTER OF EDWARD SNOW, BOARD OF DIRECTORS 24256 EMPLOYEE WAGES 0 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. 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 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0