2014-11-13T12:41:04-08:00 2013-12-31 990 2013-01-01 272153849 Burdett Care Center Inc BURD 5182713393 2215 Burdett Ave Troy NY 12180 Lori Santos Director of Finance 2014-11-13 2013 2015-11-30 17:44:51Z Debbie Lajeunesse 2215 Burdett Avenue Troy NY 12180 7155164 false false X www.burdettcarecenter.org X 2010 NY The Burdett Care Center is a new not-for-profit hospital in Troy, New York, that offers high quality maternity services and other reproductive services, including sterilization services but not including abortions, to women and men in the area. Its mission is to provide high-quality, accessible reproduction-related health care services; to be the provider of choice in the community for women who are having children, as well as women and men who opt not to have children; to be an organization where employees find professional fulfillment and are proud to work. 6 6 83 0 0 6779213 7139466 4742 6288 2602 9410 6786557 7155164 0 0 3905982 3709072 0 0 3764343 3777408 7670325 7486480 -883768 -331316 7934777 7801895 9797404 9995838 -1862627 -2193943 The Burdett Care Center's mission is to provide high-quality, accessible reproduction-related health care services; to be the provider of choice in the community for women who are having children, as well as women and men who opt not to have children; to be an organization where employees find professional fulfillment and are proud to work. false false 5973890 7139466 The Burdett Care Center ("Burdett Care") is a new not-for-profit hospital in Troy, New York that commenced operations on October 1, 2011. Burdett Care is located on the second floor of Samaritan Hospital, in new condominium space previously occupied by Samaritan's maternity department. Burdett Care is dedicated to maternity and reproductive services, other than abortion. Burdett Care was formed to offer high quality maternity services to women in the area and to preserve access by those women to reproductive services (i.e. tubal ligation, Essure and Adiana) in conjunction with maternity services. The Burdett Care concept arose out of merger discussions among Northeast Health, St. Peter's Health Care Services and Seton Health System. The merger parties agreed that Northeast Health would remain secular in connection with its affiliation with the two Catholic systems, but that Northeast Health and its affiliates, including Samaritan Hospital, would abide by the Ethical and Religious Directives for Catholic Health Care Services (the "ERDs"). The merger parties further agreed that, in order to pursue the merger of health systems while preserving reproductive services in Troy, a new hospital - later named The Burdett Care Center - would be formed within the Samaritan facility, with an independent governing board, independent medical staff and independent nursing staff. Burdett Care is not bound by the ERDs.Burdett Care is a 15-bed hospital facility providing high quality inpatient and outpatient reproductive services including maternity, labor, delivery, nursery, contraceptive and sterilization. In 2013 Burdett Care delivered 1,152 babies, and provided sterilization services in connection with 43 of those deliveries. 5973890 true false false false false false false false false false true false false false true true true false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false true 13 0 true 83 true false false false false false false false false 0 false false false false false false false false false false X 6 6 false false false false false false false true true false false true true true true true true true false false X Lori Santos 5185255537 2215 Burdett Ave 200 Troy NY 12180 Dr Melody Bruce Board Member 2.00 0.00 X 0 0 0 Charlotte Buchanan Esq Vice Chair 2.00 0.00 X X 0 0 0 Robert G Burke Treasurer 2.00 0.00 X X 0 0 0 Ann G DiSarro Chairman 2.00 0.00 X X 0 0 0 Ruth Simmons Board Member 2.00 0.00 X 0 0 0 Lisa Thorn MD Secretary 2.00 0.00 X X 0 0 0 Debbie Lajeunesse Executive Direc 40.00 0.00 X 111292 0 6599 111292 6599 1 false false false Samaritan Hospital 2215 Burdett Avenue Troy NY 12180 Reimburse expenses 2519763 1 0 Net Patient Revenue 7139466 7139466 7139466 6288 6288 0 0 0 0 0 0 0 Other Miscellaneous 9410 9410 9410 7155164 7155164 0 0 0 0 111292 111292 0 3073757 3037157 36600 71450 68133 3317 212280 202423 9857 240293 229135 11158 0 3140 3140 23917 23917 0 0 0 174362 118136 56226 21492 19080 2412 808140 779655 28485 0 0 139030 139030 6076 6062 14 0 0 0 0 545060 544758 302 205562 205562 Master Service Agmt-Samaritan 1744231 870154 874077 NYS Assessment 96257 96257 Other Fees 5747 5747 Books/Periodicals 2940 2940 1454 1454 7486480 5973890 1512590 0 1525899 1798150 0 0 770550 823280 0 0 0 13537 10876 199331 271956 6190060 1297353 5423651 4892707 0 0 0 0 1809 4926 7934777 7801895 423556 464682 4468208 4230958 3634164 3634164 1271476 1666034 9797404 9995838 X -1862627 -2193943 -1862627 -2193943 7934777 7801895 -331316 X false true X true false X 4835681 747267 4088414 1354379 550086 804293 4892707 Due to Non-Affiliated Company 1629026 estimated third party settlements 37008 1666034 X 7155164 7155164 7155164 7486480 7486480 7486480 Part X : FIN48 Footnote The Internal Revenue Service has determined that Burdett Care Center is exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code. Burdett Care Center does not conduct unrelated business activities and, therefore, has made no provision for income taxes in the accompanying financial statements.Burdett Care Center has adopted the provisions of ASC 740-10, Accounting for Uncertainty in Income Taxes. Management has evaluated Burdett Care Center's tax positons, including interest and penalties attributalbe thereto, and concluded that Burdett Care Center has taken no tax positions that required adjustment to its financial statements as of December 31, 2013.Burdett Care Center's information return filings are subject to audit by various taxing authorities. There are currently no examinations in process nor has Burdett Care Center been informed of any pending examinations. All of Burdett Care Center's information returns remain subject to examinaiton by taxing authorities. true true true X true X true true true false true true 12617 12617 0.00170 2852995 1931250 921745 0.12310 2865612 1931250 934362 0.12480 2865612 1931250 934362 0.12480 true 176839 80404 104020 -23616 X true true 1 1 Burdett Care Center Inc X true X X X X X X X X 13 true true true X http://burdettcarecenter.org X X X X false false false true true 100.0000 true 300.0000 true X X true true X X X X X X true false X X X X true X false false Part V, Line 3 - Account Input from Person Who Represent the Community Burdett Care Center community benefits program is based on the community health needs assessment (CHNA) conducted by the Healthy Capital District Initiative (HCDI). HCDI is consortium of organizations joined together to prioritize and address significant community health issues. Burdett Care Center is a member organization of HCDT. The CHNA benefited from the review and input of the members of the Community Health Needs Assessment Workgroup of the Healthy Capital District Initiative. These individuals are subject matter experts from the area county public health departments of Albany, Rensselaer, and Schenectady; and of each of the Capital Region hospitals, Albany Medical Center, Albany Memorial Hospital, Sunnyview Hospital and Rehabilitation Center, St. Marys Hospital, St. Peter's Hospital, Samaritan Hospital, and Ellis Hospital. They were joined by representatives from community based organizations, businesses, consumers, schools, academics, and disease groups for a total of 34 different organizations in our Capital Region such as Catholic Charities, Whitney M. Young, Jr FQHC, Capital District Physicians Health Plan, Fidelis Care Health Plan, University of Albany School of Public Health, YMCA, Community Gardens, and senior housing organizations. Representatives of the HCDI determined the process for completing the needs assessment, reviewed the collected data. The CHNA is the result of over a year of meetings with member organizations and community input through our survey of over 3,000 residents of the Capital District. Drafts of the sections were sent to local subject matter experts for review in the health departments of Albany, Rensselaer, and Schenectady counties and in St. Peters Health Partners, Albany Medical Center, Ellis Hospital, and Interfaith Partnership for the Homeless. Comments were addressed and changes were incorporated into the final document. The Community Health Needs Assessment was completed in and approved in June 2013. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Line 4: Burdett Care Center conducted its CHNA in collaboration with the following hospital facilities- Albany Medical Center, Albany Memorial Hospital, Ellis Hospital, St. Marys Hospital, St. Peter's Hospital, Samaritan Hospital and Sunnyview Hospital and Rehabilitation Center. Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Line 7:Of the ten areas identified as problems through the community health needs assessment for the Capital District, the organization along with community partners prioritized the prevention of chronic disease with an emphasis on (1) asthma and (2) diabetes, with a specific focus on new delivering mothers presenting with gestational diabetes. While the organization will continue to offer services addressing other pressing health needs, it felt that the increased focus on the selected areas represents the best use of resources and expertise. Other health care facilities serving our community will continue to address the other areas as well. Part V, Line 14g - Other Means Hospital Facility Publicized the Policy Information regarding the availability of a finance assistance program and who to contract is included on the billing invoices to patients. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance The hospital used the commercial rate negotiated with its highest volume commercial payor, which is consistent with New York State Public Health Law Article 28 requirements. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The Hospital's bad debt expense is calculated on an allowance/reserve basis. Each month, account balances, net of payments, discounts and contractual allowances, are sorted by the age of the receivable and payor group. Each payor and aging group is assigned a percentage that will be used to calculate a reserve/allowance for bad debt. This allowance for doubtful account total is combined with our bad debt account receivable balance to arrive at a total estimated allowance for doubtful accounts. This total is compared to our total allowance for doubtful accounts recorded in the Hospital's general ledger. The difference is recorded as bad debt expense.Account balances on patient accounts are transferred to bad debt accounts receivable once they are determined to be uncollectible. The balances are net of discounts, adjustments and payments that have been applied to these accounts.In order to determine the Hospital's bad debt expense at cost for Part III, line 2,the bad debt expense was multiplied by an overall hospital cost to charge ratio. Part III, Line 4 - Bad Debt Expense Part II, Section A Question 4: Line 4 The text of the footnote that describes bad debt expense is contained on page 11 of the attached financial statements. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients If a patient qualifies for financial assistance, their account will not be subject to the usual collection practices during this process. If the patient does not submit the necessary documentation within 120 days, then their account could be forwarded to collections. Part VI - Patient Education of Eligibility for Assistance In addition to posting Burdett Care Center's financial assistance policy on the hospital's website, Burdett Care Center physically posts the policy at almost all inpatient and outpatient intake desks. All registration personnel are trained to know the procedures for assisting patients who have no insurance. Burdett Care Center has also contracted with a firm that supplies the services of a Medicaid enroller "on-site". Part VI - Community Information Burdett Care considers the community it serves to comprise Albany and Rensselaer Counties. There are several reasons why residents of the Capital Region outside of Albany and Rensselaer Counties are unlikely to seek services from Burdett Care, and should not be considered part of "the Community." First, for most such persons, Burdett Care is more distant than other maternity and reproductive services resources, such as Ellis Hospital, Saratoga Hospital, Albany Medical Center or St. Peter's Hospital. Second, it is significant that Burdett Care is on the Troy side of the Hudson River. While residents of Albany County - particularly eastern Albany County - do use the services in Troy, to residents in population centers further west, northwest or southwest, the river is perceived as a barrier or border. Burdett Care is new, and does not yet have the name recognition or perceived prestige as competing services. But within Rensselaer and Albany counties, Burdett Care is seen as a successor provider to the maternity and reproductive services previously provided by Samaritan Hospital and Seton Health System, which were discontinued when Burdett Care opened. Over 70% of the births performed at Samaritan and Seton in 2010 came from Albany and Rensselaer Counties. Part VI - Community Building Activities Burdett Care was opened in 2011 to preserve access to sterilization service in the Troy, New York area in the context of the merging of secular and Catholic health systems in the area. In connection with this purpose and to promote womens health generally, Burdett Care continued to hold community forums in 2013, one of which celebrated it's anniversary. Attendees included representatives from a non-profit organization whose mission is to educate the public about maternity care and other community members. Burdett Care also provides Lamaze Childbirth education, Breastfeeding education and support groups, infant massage, and sibling classes.In addition, Burdett Care is managed by a board of directors composed primarily of independent leaders in the community. Burdett Care has an open medical staff. Burdett Care presently operates at a deficit, but any future surpluses will certainly be used to fund the capital and operational needs of Burdett Care's services. Part VI - Additional Information 1.7 line b - An overall hospital cost to charge ratio was calculated using total expenses over total revenue. The Hospital applied this ratio to the charges associated with the straight Medicaid payer classification and the Medicaid Managed Care payer classifications.III.8- Burdett Care Center used the overall cost to charge ratio times the charges associated with the Medicare payer classification to arrive at the Medicare allowable cost of care. Form 990, Part VI, Line 11b: Form 990 Review Process Burdett Care took steps to educate the board of directors on the compliance requirements mandated by the From 990. The form 990 is provided to the full board prior to filing. Members are updated on the major areas included in the return. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Burdett Care Center has two system-wide conflict of interest policies, one applicable to the board of directors and one applicable to administrative staff and select employees and medical staff. Together, the two policies require annual disclosure of conflicts of interest by all directors, officers and key employees, and prescribe various responses to such conflicts applying customary conflicts of interest principles. Employee disclosure forms are reviewed annually by the compliance officer for a determination of any conflicts impact on the integrity of the disclosing individuals acts and decisions. Violation of the policy subjects an employee to potential disciplinary action. Board of directors conflict of interest disclosure forms are reviewed and summarized by the compliance officer. Customary procedures are followed, including non-participation by affected individuals in the deliberation and vote on any matters that potentially conflict with the individuals outside interests. Appropriate corrective action is taken by the Board in the event of a directors failure to disclose a conflict of interest or other violation of the policy. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The executive director's evaluation is completed by the board president with input from a 360 degree evaluation process including input from direct reports and board members. The evaluation includes a review of performace and progress on meeting established goals for the year under review. It also includes goal setting related to the strategic direction established by the board. The executive director's salary is reviewed annually using 3 to 4 national healthcare compensation surveys considering location, type of hospital, number of beds, operating revenue and budget. The target for compensation is to pay at the 50th percentile of the market. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available In 2013, Burdett Care Center, Inc. did not make the above-named documents available to the public, although certifications of incorporation were available from the NYS Secretary of State