2012-11-10T12:21:38-06:00 2011-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2011-01-01 150532180 CHENANGO MEMORIAL HOSPITAL INC CHEN 6073374111 179 NORTH BROAD STREET NORWICH NY 13815 DRAKE LAMEN MD 6073374111 2012-10-23 1 ANGELA M FRANCO P00589741 3154463600 2011 2016-02-24 21:20:13Z DRAKE LAMEN MD 179 NORTH BROAD STREET NORWICH NY 13815 65774346 0 X WWW.UHS.NET/CMH X 1910 NY CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO COUNTY. 15 9 618 0 57991 -9457 909950 1117338 59351390 63938784 267166 308094 377089 406955 60905595 65771171 50784 55362 0 0 31995357 33932059 0 0 0 27534909 29950985 59581050 63938406 1324545 1832765 29550692 33030740 28576268 35146459 974424 -2115719 X CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO COUNTY. 0 0 23326056 21364296 INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2011 TOTALED 9,316. DISCHARGES WERE 2,304, AND AVERAGE LENGTH OF STAY WAS 4.04 DAYS. LONG TERM SKILLED NURSING DAYS WERE 25,652. THERE WERE 313 BIRTHS AND 393 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2011. IN 2011, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 61 INDIVIDUALS FOR WHICH $599,255 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. 9390245 33819501 OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2011 TOTALED 155,209. INCLUDED IN THE 155,209 VISITS WERE 15,469 EMERGENCY ROOM VISITS, 1,386 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 2,698 VARIOUS OUTPATIENT SURGICAL CASES, AND 135,656 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2011 CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 471 INDIVIDUALS FOR WHICH $1,240,041 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. 15817887 8754987 CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS SIX FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER 5) SIDNEY FAMILY HEALTH CENTER AND 6) WALK-IN CENTER. OTHER OUTPATIENT SERVICES INCLUDE: 6 SCHOOL BASED HEALTH CENTERS, DENTAL CLINIC, GERIATRICS, WOMEN'S HEALTH CENTER AND GENERAL SURGERY, ENT AND HEART CENTER. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2011 TOTALED 78,770. 348964 348964 48534188 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 62 0 1 618 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 9 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X DRAKE LAMEN MD 6073374111 179 NORTH BROAD ST NORWICH NY 13815 DRAKE LAMEN MD 40.00 X X 283015 0 46466 HOWARD L ATKINSON 1.00 X 0 0 0 THOMAS C EMERSON 1.00 X 0 0 0 ROBERT W NASSAR 1.00 X X 0 0 0 MATTHEW J SALANGER 1.00 X X 0 1270752 36848 ERIC G LARSEN 1.00 X X 0 0 0 RAJESH DAVE MD 1.00 X 0 582165 33335 PETER J KWASNIK 1.00 X 0 0 0 MARILYN M QUINNEY 1.00 X X 0 0 0 AARON J VALENTINE 1.00 X X 0 0 0 KEVIN B DECKER DDS 40.00 X X 208332 0 42531 JOANNE RACE BORFITZ 1.00 X 0 0 0 ROBERT G GOMULKA 1.00 X 0 467672 33460 CATHERINE M SCARLETT 1.00 X X 0 0 0 RIC FESTARINI 1.00 X 0 0 0 CHRISTINE B WILSON DO 1.00 X X 0 0 0 MARGARET SWARTWOOD 40.00 X 117915 0 30614 RON CEROW 40.00 X 101371 0 33406 ANNE ENGLISH 40.00 X 91568 0 20364 DRU CAVANUAGH 40.00 X 126936 0 31622 WENDY SURDOVAL 40.00 X 90958 0 26915 MICHAEL TREVISANI 40.00 X 259778 0 49519 CHRISTINA KISACKY 40.00 X 88890 0 34396 CHUNJIE YANG MD 40.00 X 300019 0 82732 JOHN R BRERETON MD 40.00 X 282358 0 75074 TIMOTHY COREY MD 40.00 X 298141 0 83634 FRANK C COLE III MD 40.00 X 278830 0 78555 PERRY J SPAVENTO MD 40.00 X 288150 0 79381 2816261 2320589 818852 18 0 1 0 MORRISON PO BOX 102289 ATLANTA GA 30368 DIETARY FOOD SVCS MGMT 1529545 DELF KING MD PO BOX 819 NORWICH NY 13815 ANESTHESIA SVCS 1512280 CROTHALL 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 HOUSEKEEPING SVCS 1031111 SECO PHYSICAL AND OCCUPATIONAL THERAPY PO BOX 1046 NORWICH NY 13815 THERAPY SVCS 369275 BATES-TROY 151 LAUREL AVE BINGHAMTON NY 13905 LAUNDRY SVCS 317652 6 3062 16224 707939 390113 1117338 OUTPATIENT AND AMBULAT 623000 33819501 33819501 INPATIENT, ACUTE AND L 623000 21364296 21364296 CLINICS 623000 8754987 8754987 63938784 308094 308094 3175 16224 3175 0 CAFETERIA REVENUE 623000 187667 187667 OTHER OPERATING REVENU 623000 161297 161297 CONSULTING REVENUE 623000 57991 57991 406955 65771171 64287748 57991 308094 52000 52000 3362 3362 1684596 1684596 23546314 19124470 4421844 2055227 1695038 360189 6645922 5481191 1164731 298305 298305 122695 2267 120428 82395 82395 35760 35760 10792679 6241023 4551656 4207 4207 220844 134108 86736 80202 35491 44711 93729 62329 31400 246358 246358 2248689 2248689 883521 883521 SUPPLIES 10125215 5923359 4201856 BAD DEBTS 4162205 4162205 NEW YORK STATE CASH REC 539814 539814 MISCELLANEOUS AUXILLARY 14367 14367 63938406 48534188 15404218 0 2611215 2071741 6617724 6550427 7814695 9125402 429099 383401 538582 513496 50374803 39019167 8573786 11355636 92871 94312 2872720 2936325 29550692 33030740 5749522 6135094 1831520 4057531 20995226 24953834 28576268 35146459 X -5938566 -8953715 436068 386275 6476922 6451721 974424 -2115719 29550692 33030740 X 1832765 -4922908 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 35760 35760 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: DUES PAID TO HEALTHCARE ASSOCIATION OF NYS AND IROQUOIS HEALTHCARE 6912990 1097217 -24876 1147335 6837996 6555026 885911 177728 705675 6912990 5781660 1128222 646828 1001684 6555026 7180804 1315814 -1251758 1463200 5781660 0.94350 0.05650 0 1 1 167753 167753 22586630 16458139 6128491 1295336 1013571 281765 23407147 20631314 2775833 2917937 916143 2001794 11355636 INTEREST IN CMH FOUNDATION 2147705 ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT 348355 OTHER ASSETS 440265 2936325 DUE TO THIRD-PARTY PAYORS 3626953 DUE TO AFFILIATES 4975081 LONG TERM PENSION LIABILITY 14022720 CAPITAL LEASE OBLIGATIONS 871444 OTHER LIABILITIES 1457636 24953834 65771171 63938406 1832765 -4922908 -4922908 -3090143 65700851 0 65700851 70320 70320 65771171 63868197 0 63868197 70209 70209 63938406 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUNDS IS A COMBINATION OF DESIGNATED SPECIAL PURPOSES AND GENERAL USE BY THE HOSPITAL. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN A HOSPITAL'S FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2011 AND 2010, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2008 THROUGH 2011. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN NET UNREALIZED GAINS AND LOSSES ON INVESTMENTS 1,441. CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE -111. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 51,588. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -4,950,625. CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS -25,201. TOTAL TO SCHEDULE D, PART XI, LINE 8: -4,922,908. PART XII, LINE 4B: AUXILIARY INCOME $70,320 PART XIII, LINE 4B: AUXILIARY EXPENSES $70,209 FESTIVAL OF TREES 16000 12942 3058 3058 UNIFORM SALE 2619 2502 117 117 1 780 780 19399 16224 3175 3175 3175 0 1 1 X 1 X 1 X 0.0 1 1 0 1 1 815718 461785 386873 0.00610 10998944 10413955 584989 0.00910 356296 258692 97604 0.00150 12170958 11134432 1069466 0.01670 12170958 11134432 1069466 0.01670 5060 5060 0.00010 1075 1075 0.00000 8710 8710 0.00010 5105 5105 0.00010 5100 5100 0.00010 25050 25050 0.00040 0 1664882 646445 13714329 18813342 -5099013 X 1 0 1 19 CHENANGO MEMORIAL HOSPITAL INC

179 NORTH BROAD STREET NORWICH NY 13815

X X X CHENANGO MEMORIAL HOSPITAL 1 1 1 100.000000000000 1 0 1 1 X X X X X 1 X X X 1 X X X X X X X 1 X 0 1 18 CMH FAMILY HEALTH CENTER IN NORWICH

4 NEWTON AVENUE NORWICH NY 13815

FAMILY HEALTH CENTER CMH FAMILY HEALTH CENTER IN SHERBURNE

38A CLASSIC STREET SHERBURNE NY 13460

FAMILY HEALTH CENTER CMH DENTAL CENTER

32 CONKEY AVENUE NORWICH NY 13815

DENTAL HEALTH CETNER CV STRATTON CENTER FOR THERAPIES

NORWICH SHOPPING PLAZA- ROUTE 12 NORTH NORWICH NY 13815

CENTER FOR THERAPIES CMH FAMILY HEALTH CENTER IN OXFORD

40 NORTH CANAL STREET OXFORD NY 13830

FAMILY HEALTH CENTER CMH FAMILY HEALTH CENTER IN SIDNEY

44 PEARL STREET SIDNEY NY 13838

FAMILY HEALTH CENTER CMH WALK-IN CENTER

4 NEWTON AVENUE NORWICH NY 13815

WALK IN CLINIC CMH ENT CENTER

32 CONKEY AVENUE NORWICH NY 13815

ENT CENTER NORWICH HIGH SCHOOL

49 MIDLAND DRIVE NORWICH NY 13815

CMH SCHOOL BASED HEALTH CENTER NORWICH MIDDLE SCHOOL

89 MIDLAND DRIVE NORWICH NY 13815

CMH SCHOOL BASED HEALTH CENTER STANDORD J GIBSON PRIMARY SCHOOL

8 RIDGELAND ROAD NORWICH NY 13815

CMH SCHOOL BASED HEALTH CENTER PERRY BROWNE INTERMEDIATE SCHOOL

31 BEEBE AVENUE NORWICH NY 13815

CMH SCHOOL BASED HEALTH CENTER GUILFORD ELEMENTARY

132 SCHOOL STREET GUILFORD NY 13780

CMH SCHOOL BASED HEALTH CENTER OXFORD PRIMARY & HIGH SCHOOL

50 SOUTH WASHINGTON AVENUE OXFORD NY 13830

CMH SCHOOL BASED HEALTH CENTER OXFORD MIDDLE SCHOOL

2 LAFAYETTE PARK OXFORD NY 13830

CMH SCHOOL BASED HEALTH CENTER UNADILLA VALLEY CENTRAL SCHOOLS

4238 STATE HIGHWAY 8 NEW BERLIN NY 13411

CMH SCHOOL BASED HEALTH CENTER BAINBRIDGEGUILFORD CENTERL SCHOOL

18 JUILAND STREET BAINBRIDGE NY 13733

CMH SCHOOL BASED HEALTH CENTER GUILFORD GREENLAWN ELEMENTARY

43 GREENLAWN AVENUE BAINBRIDGE NY 13733

CMH SCHOOL BASED HEALTH CENTER PART I, LINE 3C: PATIENTS WHO HAVE NO INSURANCE, OR HAVE A PATIENT BALANCE ON A SINGLE ACCOUNT GREATER THAN $2,000, HAVE COMPLETED THE APPLICATION PROCESS, INCLUDING APPLYING FOR GOVERNMENT ASSISTANCE (IF DEEMED ELIGIBLE), AND ARE DENIED FOR THE SLIDING FEE FOR EXCESS INCOME, WILL BE AWARDED THE 15% "PARTICIPATION" DISCOUNT. NO FURTHER PAPERWORK IS REQUIRED. UNDER NO CIRCUMSTANCES CAN A PERSON RECEIVE BOTH A SLIDING FEE AND A 15% PARTICIPATION DISCOUNT. PART I, LINE 7: A COMBINATION OF IRS PROVIDED WORKSHEETS AND THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED. PART I, L7 COL(F): 100% OF THE ANNUAL BAD DEBT EXPENSE OF $4,162,205 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. PART II: THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES SUPPORT THE HOSPITAL'S MISSION TO DELIVER LOCAL, HIGH QUALITY HEALTHCARE, AND SERVE AS A GATEWAY TO CLINICALLY INTEGRATED SERVICES PROVIDED IN COLLABORATION WITH OTHER LOCAL, REGIONAL, AND NATIONAL CAREGIVERS. PARTICIPATION IN THE 2-YEAR MAPP PROCESS FUNDED BY A HEAL 9 GRANT TO DETERMINE HOW PUBLIC HEALTH IMPROVEMENTS COULD BE SHAPED IN THE FUTURE IS AN IMPORTANT COMPONENT OF LOCAL HEALTH PLANNING. BEING THE SOLE HOSPITAL IN THE COMMUNITY COMPELS OUR ORGANIZATION TO BE A MAJOR CONTRIBUTOR TO THAT PROCESS AND TO THE NECESSARY OUTREACH AND EDUCATION ACTIVITIES WHOSE QUALITY ONLY IMPROVES WHEN THE APPROPRIATE PARTNERS ARE COLLABORATING. THE NYSDOH PREVENTION AGENDA SHAPES THESE COLLABORATIONS, WHOSE GOALS ARE PREVENTION OF CHRONIC DISEASE, PROMOTION OF PHYSICAL ACTIVITY AND NUTRITION; ACCESS TO QUALITY HEALTH CARE, LIMITED TOBACCO USE AND EXPOSURE TO TOBACCO; AND ACHIEVING THE HEALTH AND WELL-BEING OF PRENATAL MOTHERS AND THEIR CHILDREN. PART III, LINE 4: THE ORGANIZATON'S FINANCIAL STATEMENTS DO NOT SPECIFICALLY REFERENCE OR DESCRIBE BAD DEBT EXPENSE. THE ORGANIZATION'S COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, SECTION A. LINES 2 AND 3 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES. PART III, LINE 9B: THE ORGANIZATION'S COLLECTION POLICY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS:CHARITY CARE IS GIVEN FIRST, THE REMAINING BALANCE, IS THEN SUBJECT TO AN INTEREST FREE PAY PLAN. IF THE PATIENT/ GUARANTOR CHOOSES TO IGNORE ALL FURTHER ATTEMPTS TO MAKE ARRANGEMENTS FOR PAYMENTS, AFTER 180 DAYS THE ACCOUNT IS SENT TO A COLLECTION AGENCY AT THE DISCOUNTED LEVEL. CHENANGO MEMORIAL HOSPITAL PART V, SECTION B, LINE 19D: GROSS CHARGES TO ALL PATIENTS WHETHER INSURED OR NOT. PART VI, LINE 2: CHENANGO MEMORIAL HOSPITAL USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2011, WE CONTINUED TO FOCUS ON IMPROVING COMMUNITY HEALTH CARE BY LISTENING TO INPUT FROM CUSTOMERS AND RESPONDING TO THOSE NEEDS. CHENANGO MEMORIAL HOSPITAL CONTINUALLY INVITES THE PUBLIC TO PARTICIPATE IN ITS SELF-ASSESSMENT PROCESS BY MEANS OF SURVEYS, PRIMARY MARKET STUDIES, FOCUS GROUPS, AND E-MAIL COMMENTS SUBMITTED THROUGH OUR COMPREHENSIVE INTERNET SITE. THROUGHOUT THE YEAR, INPUT FROM STAFF, THE PUBLIC AND BOARD MEMBERS IS UTILIZED IN DETERMINING AND SHAPING THE HOSPITAL'S RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. RECENT STUDIES USED BY OUR ORGANIZATION FOR THE PURPOSE OF ASSESSING OUR MARKET'S HEALTH STATUS INCLUDE:- PRESS GANEY PATIENT SATISFACTION SURVEY SCORES AND COMMENTS (ONGOING)- UHS-SPONSORED PRIMARY MARKET RESEARCH STUDIES, INCLUDING AN ONGOING CONSUMER PERCEPTION SURVEY CONDUCTED BY NRC.- MARKET EXPERT SOFTWARE FROM THE HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- ADMINISTRATIVE AND BOARD STRATEGIC PLANNING COMMITTEES.- FEEDBACK FROM PHYSICIANS- PHYSICIAN AND EMPLOYEE SATISFACTION SURVEYS.- QUALITATIVE SURVEYS AND FOCUS GROUPS TO CAPTURE CONSUMER FEEDBACK- LOCAL AND NATIONAL HEALTH-RELATED NEWS REPORTS.- REPORTS FROM INDUSTRY PUBLICATIONS AND ORGANIZATIONS.CHENANGO MEMORIAL HOSPITAL'S COMMUNITY SERVICE PLANNING IS SHAPED BY ANNUAL STRATEGIC PLANNING WHICH INCLUDES A REVIEW OF ALL AVAILABLE HEALTH/COMMUNITY ASSESSMENT DOCUMENTS, INCLUDING:- COMMUNITY HEALTH ASSESSMENT 2010-2013, CHENANGO COUNTY HEALTH DEPARTMENT- HEALTHY PEOPLE 2020- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS MARKET RESEARCH- UHS, INC. STRATEGIC PLAN 2011-2013IN 2008, NEW YORK STATE DEPARTMENT OF HEALTH DEVELOPED A PREVENTION AGENDA THAT ESTABLISHED 10 PRIORITY AREAS WITH 2011 GOALS AND MEASURABLE OBJECTIVES. AS PART OF A STATEWIDE EFFORT TO EMPHASIZE LOCAL HEALTH PLANNING, CHENANGO MEMORIAL HOSPITAL (CMH) COLLABORATED WITH THE CHENANGO COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY PARTNERS TO DETERMINE TWO PUBLIC HEALTH PRIORITIES WHICH FORM THE BASIS OF THE CMH 2010-2012 COMMUNITY SERVICE PLAN. CMH IS PROUD OF THE TRADITION OF PARTNERING WITH MANY COMMUNITY AGENCIES, BOTH FORMALLY AND INFORMALLY, TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. IN ORDER TO ASSESS COMMUNITY HEALTH NEEDS FOR THIS PLAN, CHENANGO MEMORIAL HOSPITALS COLLABORATED WITH THE CHENANGO COUNTY HEALTH DEPARTMENT AND A TASK FORCE OF REPRESENTATIVES FROM COMMUNITY AGENCIES WHICH INCLUDED:-NORWICH SCHOOL DISTRICT-SOUTH CENTRAL NEW YORK PERINATAL NETWORK-CORNELL COOPERATIVE EXTENSION OF CHENANGO COUNTY-CHENANGO HEALTH NETWORK-HOSPICE OF CHENANGO COUNTY-OPPORTUNITIES FOR CHENANGO, INC.-NBT BANKCORP, INC.-CHENANGO COUNTY AREA AGENCY ON AGING-CATHOLIC CHARITIES-EXCELLUS BLUECROSS/BLUESHIELD-CENTRAL DIAGNOSTIC IMAGING-CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES-CHENANGO COUNTY WIC-CHENANGO COUNTY HEALTH DEPARTMENT-MORRISVILLE STATE COLLEGE-GOLDEN ARTISTS COLORS-BARTLE'S PHARMACY-UNITED MEDICAL ASSOCIATES- GREENE-UNISON INDUSTRIES-COMMUNITY MENTAL HYGIENE SERVICES- CHENANGO COUNTY-THE FAMILY ENRICHMENT NETWORK-PLANNED PARENTHOOD OF SOUTH CENTRAL NEW YORK-UNITED HEALTH SERVICES HOSPITALS-DCMO BOCES-CHENANGO COUNTY HEALTHY HEART COALITIONTHE CHENANGO COUNTY COMMUNITY HEALTH ASSESSMENT IS THE RESULT OF THIS COLLABORATION AND THE BASIS FOR SELECTION OF THE PUBLIC HEALTH PRIORITIES FRAMING THIS PLAN. CMH CONTINUALLY INVITES THE PUBLIC TO PARTICIPATE IN ITS SELF-ASSESSMENT PROCESS BY MEANS OF SURVEYS, PRIMARY MARKET STUDIES, FOCUS GROUPS, AND E-MAIL COMMENTS SUBMITTED THROUGH OUR COMPREHENSIVE INTERNET SITE. THROUGHOUT THE YEAR, INPUT FROM STAFF, THE PUBLIC AND BOARD MEMBERS IS UTILIZED IN DETERMINING AND SHAPING THE HOSPITAL'S RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. THE UHS INC., STRATEGIC PLAN 2011-2013 WAS ALSO INTEGRAL TO ASSESSING COMMUNITY HEALTH NEEDS.CHENANGO MEMORIAL HOSPITAL (CMH) HAS BEEN AN ACTIVE MEMBER OF OUR COUNTY'S RURAL HEALTH NETWORK, CHENANGO HEALTH NETWORK (CHN), SINCE ITS INCEPTION TWENTY YEARS AGO, AND A CMH REPRESENTATIVE SITS ON THE CHN BOARD. THE NETWORK'S MEMBERSHIP INCLUDES BROAD-BASED REPRESENTATIVE OF LOCAL HEALTH AND HUMAN SERVICE PROVIDERS AND BUSINESSES. THE NETWORK'S QUARTERLY BOARD MEETINGS FOCUS ON HEALTH PRIORITY AREAS IN CHENANGO COUNTY, AND THEIR WORK PROVIDED PRELIMINARY INPUT INTO THE COMMUNITY SERVICE PLAN PRIORITIES. IN ADDITION, HOSPITAL STAFF, REPRESENTATIVES OF PUBLIC HEALTH, AND CHENANGO HEALTH NETWORK FORMED A PLANNING GROUP TO GUIDE THE PRIORITY SELECTION FOR THIS PLAN. IN ADDITION, CHENANGO COUNTY COMPLETED A 2 YEAR MAPP. THIS PROCESS ELICITED CONSUMER INPUT FROM OVER 20 FOCUS GROUPS CONDUCTED THROUGHOUT THE COUNTY DURING THE SPRING AND SUMMER OF 2009 AND INCLUDES A WIDE VARIETY OF DEMOGRAPHICS. INPUT FROM THIS PROCESS HAS BEEN FACTORED INTO THE PLANNING PROCESS OF CHENANGO MEMORIAL'S COMMUNITY SERVICE PLAN. PART VI, LINE 3: OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND APPLICATION FOR FINANCIAL ASSISTANCE, AND APPLICATION CAN BE TAKEN RIGHT AT PATIENT BEDSIDE* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO MAKE PATIENTS AND THE PUBLIC AWARE OF THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 PART VI, LINE 4: CHENANGO MEMORIAL HOSPITAL, A 138-BED HEALTH CARE FACILITY IN NORWICH, NEW YORK, IS THE ONLY HOSPITAL IN CHENANGO COUNTY. THE HOSPITAL'S SERVICE AREA IS CENTERED IN CHENANGO COUNTY, WITH NEARLY 88% OF PATIENTS COMING FROM CHENANGO COUNTY COMMUNITIES AND ANOTHER 10% FROM OTSEGO, DELAWARE, MADISON AND BROOME COUNTIES. CHENANGO MEMORIAL'S 90% ZIP CODE SERVICE AREA INCLUDES THE COMMUNITIES OF NORWICH, OXFORD, SHERBURNE, NEW BERLIN, MCDONOUGH, SOUTH NEW BERLIN, BAINBRIDGE, SOUTH PLYMOUTH, MOUNT UPTON, GUILFORD, PLYMOUTH, SIDNEY, SMYRNA, GREENE, UNADILLA, EARLVILLE, SOUTH OTSELIC AND GILBERTSVILLE. PER CAPITA INCOME AS REPORTED BY THE US CENSUS BUREAU (2006-2010) IS $22,036 WITH MEDIAN HOUSEHOLD INCOME OF $43,943 (2006-2010). 13.6% OF RESIDENTS HAVE INCOME BELOW THE POVERTY LEVEL (2006-2010). CHENANGO COUNTY ALSO HAS A DISPROPORTIONATE SHARE OF RESIDENTS AGE 65+ AT 17% COMPARED TO THE NATIONAL AVERAGE OF 13.7% (2010), LOWER THAN AVERAGE % OF COLLEGE GRADUATES AT 17%, COMPARED TO 32.1% IN NEW YORK STATE. PART VI, LINE 5: THE UHS SYSTEMS MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE THE PATIENT-CENTERED, CONTEMPORARY HEALTH SERVICES IN A CARING, COMPETENT, AND CONVENIENT MANNER. SERVICE WILL BE AFFORDABLE AND WELL ORGANIZED TO MEET THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. CMH SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF AND A DIVERSE COMMUNITY BOARD OF DIRECTORS. ANY SURPLUS FUNDS GENERATED THROUGH OPERATIONS ARE USED SOLELY TO PURCHASE NEEDED MEDICAL EQUIPMENT AND TECHNOLOGY, UPGRADE FACILITIES AND PROVIDE FOR PROGRAM SERVICE ENHANCEMENTS. PART VI, LINE 6: CMH 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 CMH IN 1910 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 2011, CHENANGO MEMORIAL HOSPITAL'S SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2012-2015. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: CLINICAL EXCELLENCE,SERVICE EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE CMH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO CMH. THE OTHER HOSPITAL MEMBERS OF THE UHS SYSTEM, UHS WILSON MEDICAL CENTER, UHS BINGHAMTON GENERAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL SUBMIT SEPARATE REPORTS.- CLINICAL EXCELLENCE: CMH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY, PATIENT SAFETY AND SERVICE. CMH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS DELIVERING ON THE CMH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, CMH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE CMH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.CHENANGO MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE. 1 CMH AUXILIARY TO CMH HOSPITAL 179 NORTH BROAD STREET NORWICH NY 13815 150532180 501 (C) (3) 52000 CASH BREAST CANCER PROGRAM X X 1 1 X X X X 0 0 0 0 0 0 0 0 0 DRAKE LAMEN MD 283015 0 0 0 0 0 23066 0 23400 0 329481 0 0 0 MATTHEW J SALANGER 0 739262 0 222558 0 308932 0 15680 0 21168 0 1307600 0 0 RAJESH DAVE MD 0 434898 0 115267 0 32000 0 15680 0 17655 0 615500 0 0 KEVIN B DECKER DDS 208332 0 0 0 0 0 16979 0 25552 0 250863 0 0 0 ROBERT G GOMULKA 0 353886 0 93794 0 19992 0 15680 0 17780 0 501132 0 0 DRU CAVANUAGH 126936 0 0 0 0 0 10345 0 21277 0 158558 0 0 0 MICHAEL TREVISANI 259778 0 0 0 0 0 21172 0 28347 0 309297 0 0 0 CHUNJIE YANG MD 300019 0 0 0 0 0 24452 0 58280 0 382751 0 0 0 JOHN R BRERETON MD 282358 0 0 0 0 0 23012 0 52062 0 357432 0 0 0 TIMOTHY COREY MD 298141 0 0 0 0 0 24298 0 59336 0 381775 0 0 0 FRANK C COLE III MD 278830 0 0 0 0 0 22725 0 55830 0 357385 0 0 0 PERRY J SPAVENTO MD 288150 0 0 0 0 0 23484 0 55897 0 367531 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 UNITED HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CHENANGO MEMORIAL HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, UNITED HEALTH SERVICES, INC, SHALL ELECT TRUSTEES AT THE ANNUAL MEETING OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE HOSPITAL'S FINANCE DIVISION ASKED THE ORGANIZATION'S PUBLIC ACCOUNTANTS TO PREPARE FORM 990 WHICH IS THEN REVIEWED BY THE HOSPITAL'S CEO. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF THE HOSPITAL THAT THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS (WHICH INCLUDES CHENANGO MEMORIAL HOSPITAL) BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS; 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITAL (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN NET UNREALIZED GAINS AND LOSSES ON INVESTMENTS 1,441. CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE -111. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 51,588. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -4,950,625. CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS -25,201. TOTAL TO FORM 990, PART XI, LINE 5: -4,922,908. UNITED HEALTH SERVICES HOSPITALS INC 33-57 HARRISON STREET JOHNSON CITY NY 13790 161165049 HOSPITAL NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER INC 508 HIGH AVENUE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CO 508 HIGH AVENUE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501 (C) (3) 9 UNITED HEALTH SERVICES INC 0 TWIN TIER HOME HEALTH INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 222348211 HOME HEALTH CARE NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 UNITED HEALTH SERVICES INC 20-42 MITCHELL AVENUE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501 (C) (3) 9 BOARD OF DIRECTORS UHS INC 0 UNITED MEDMANAGEMENT 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161396133 PHYSICIAN PRACTICES NY 501 (C) (3) 11B UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 4401 VESTAL PARKWAY EAST VESTAL NY 138503556 161261977 HOME HEALTH CARE NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON NY 13856 150524324 HOSPITAL NY 501 (C) (3) 3 UNITED HEALTH SERVICES INC 0 ECKELBERGER TOWER INC 156 CORLISS AVENUE JOHNSON CITY NY 13790 237171440 MEDICAL STUDENT HOUSING NY 501 (C) (3) 9 UNITED HEALTH SERVICES INC 0 CMH FUND 179 NORTH BROAD STREET NORWICH NY 13815 222985550 INACTIVE NY 501 (C) (3) 11B CHENANGO MEMORIAL HOSPITAL INC 0 PROJECT HEAR INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161462675 HOME EMERGENCY ALARM SYSTEM NY 501 (C) (3) 3 TWIN TIER HOME HEALTH INC 0 PATHWAY HEALTH MANAGEMENT INC 20 MITCHELL AVENUE BINGHAMTON NY 13903 161228654 WINDING DOWN OF MANAGEMENT SERVICES TO SUSQUENHANA MEDICAL ASSOCIATES NY UNITED HEALTH SERVICES INC C CHENANGO MADA INC 179 N BROAD STREET NORWICH NY 13915 161290726 INACTIVE NY CMH FUND INC C 1 1 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0