GUTHRIE CORTLAND MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GUTHRIE CORTLAND MEDICAL CENTER (EIN 15-0532079)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201233199349306578
Schema version: 2011v1.2
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T17:16:52-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	161226221	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FUST CHARLES CHAMBERS LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	150532079	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CORTLAND REGIONAL MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CORT	NameControl
Phone	6077563501	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1
City	CORTLAND	City
State	NY	State
ZIP Code	13045	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DENISE WRINN	Name
Title	VP OF FINANCE/CFO	Title
Phone	6077563501	Phone
Date Signed	2012-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOSEPH J SCHLEGEL	Name
PTIN	P00301329	PTIN
Phone	3154463600	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DENISE WRINN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1
City	CORTLAND	City
State	NY	State
ZIP Code	13045	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	109538909	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CORTLANDREGIONAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1892	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	CORTLAND REGIONAL MEDICAL CENTER,INC., LOCATED IN CORTLAND, NY, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE HOSPITAL PROVIDES GENERAL INPATIENT, INPATIENT PSYCHIATRIC, OUTPATIENT, EMERGENCY, LONG-TERM HOME HEALTH CARE AND SKILLED NURSING SERVICES FOR RESIDENTS IN THE GREATER CORTLAND COUNTY AREA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1211	TotalNbrEmployees
Total Nbr Volunteers	307	TotalNbrVolunteers
Total Gross UBI	323868	TotalGrossUBI
Net Unrelated Business Txbl Income	-43738	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1155003	ContributionsGrantsPriorYear
Contributions Grants Current Year	3811631	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	82986143	ProgramServiceRevenuePriorYear
Program Service Revenue CY	84937684	ProgramServiceRevenueCY
Investment Income Prior Year	667566	InvestmentIncomePriorYear
Investment Income Current Year	534718	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4063024	OtherRevenuePriorYear
Other Revenue Current Year	3963732	OtherRevenueCurrentYear
Total Revenue Prior Year	88871736	TotalRevenuePriorYear
Total Revenue Current Year	93247765	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	49158213	SalariesEtcPriorYear
Salaries Etc Current Year	50569425	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	48000	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	141835	TotalFundrsngExpCurrentYear
Other Expense Prior Year	36178632	OtherExpensePriorYear
Other Expenses Current Year	35842603	OtherExpensesCurrentYear
Total Expenses Prior Year	85384845	TotalExpensesPriorYear
Total Expenses Current Year	86412028	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3486891	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6835737	RevenuesLessExpensesCY
Total Assets BOY	100718506	TotalAssetsBOY
Total Assets EOY	110442589	TotalAssetsEOY
Total Liabilities BOY	41670149	TotalLiabilitiesBOY
Total Liabilities EOY	51577063	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	59048357	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	58865526	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	CORTLAND REGIONAL MEDICAL CENTER PROVIDES QUALITY HEALTH CARE WITH SKILL AND COMPASSION, MEETING THE LIFE LONG HEALTH CARE NEEDS OF ALL CITIZENS OF CORTLAND AND THE SURROUNDING COMMUNITIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	73350820	Expense
Revenue	88577548	Revenue
Description	CORTLAND REGIONAL MEDICAL CENTER IS DEDICATED TO SERVING THE LIFELONG HEALTH CARE NEEDS OF CORTLAND AND THE SURROUNDING AREA. AS A TEAM-ORIENTED COMMUNITY HEALTH AND MEDICAL ORGANIZATION, CORTLAND REGIONAL MEDICAL CENTER PROVIDES QUALITY CARE, SKILL AND COMPASSION TO ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. OUR HOSPITAL IS COMMITTED TO: IMPROVING THE WELLNESS OF THE COMMUNITY THROUGH LEADERSHIP IN HEALTH-RELATED ACTIVITIES AND EDUCATION. SUPPORTING AND PRESERVING THE PERSONAL AND PROFESSIONAL GROWTH OF OUR QUALITY HEALTH-CARE TEAM, THEREBY PROVIDING STIMULATING ENVIRONMENT FOR ALL EMPLOYEES. RECRUITING AND RETAINING QUALITY HEALTH-CARE PROFESSIONALS. COOPERATING WITH OTHER HEALTH-CARE PROVIDERS,REGULATORY AGENCIES, AND INSURANCE COMPANIES TO ADVANCE OUR SERVICE TO EVERY MEMBER OF THE COMMUNITY. MAINTAINING THE HOSPITALS FINANCIAL VIABILITY FOR THE WELL-BEING OF THE COMMUNITY. ACQUIRING AND MAINTAINING EQUIPMENT REQUIRED TO PROVIDE QUALITY CARE. *ENCOURAGING THE ACTIVE PARTICIPATION OF COMMUNITY MEMBERS IN A VOLUNTEER CAPACITY IN ORDER TO AUGMENT OUR SERVICES. CORTLAND REGIONAL MEDICAL CENTER IS A VOLUNTARY, NOT-FOR-PROFIT CORPORATION. THE MEDICAL CENTER PROVIDES HEALTH CARE SERVICES OF PREVENTIVE, CURATIVE AND EDUCATIONAL NATURE. THE PRIMARY SERVICES PROVIDED ARE: ACUTE MEDICAL INPATIENT CARE (INCLUDING PEDS AND MATERNITY), PSYCHIATRIC INPATIENT CARE, RESIDENTIAL CARE (SKILLED NURSING FACILITY), EMERGENCY ROOM, AMBULATORY SURGERY, OUTPATIENT DIAGNOSTIC SERVICES, LONG TERM HOME HEALTH CARE PROGRAM, COMMUNITY HEALTH WELLNESS SCREENING, ADULT DAY CARE AND CLINIC. INPATIENT PATIENT DAYS WERE 63,462 AND OUTPATIENT SERVICE (ER, CLINIC, AMB SURG, REF AMB & LTHHC) VISITS WERE 123,679. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE. THE CHARGES FOREGONE UNDER THIS POLICY AMOUNTED TO APPROXIMATELY $739,000 IN 2011.	Description
Total Program Service Expense	73350820	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	56	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1211	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DENISE WRINN - CORTLAND REGIONAL MED	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6077563501	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1
City	CORTLAND	City
State	NY	State
ZIP Code	13045	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
STEVEN CINQUANTI
BOARD MEMBER - CHAIRPERSON	1.00	X	X	0	0	0
NANCY RONGO
BOARD MEMBER - VICE CHAIRP	1.00	X	X	0	0	0
WILLIAM POMEROY
BOARD MEMBER - TREASURER	1.00	X	X	0	0	0
JOHANNA AMES
BOARD MEMBER - SECRETARY	1.00	X	X	0	0	0
ANNA MARIE GARCIA MD
BOARD MEMBER	1.00	X		0	0	0
ANTHONY BONARTI
BOARD MEMBER	1.00	X		0	0	0
CHARLOTTE HAWKINS MD
BOARD MEMBER	1.00	X		0	0	0
LINDA HARTSOCK
BOARD MEMBER	1.00	X		0	0	0
ROSEMARIE HURLEY MD
BOARD MEMBER	1.00	X		0	0	0
JULIE CAMPBELL
BOARD MEMBER	1.00	X		0	0	0
LEO MCGRATTAN
BOARD MEMBER	1.00	X		0	0	0
MARK PRUS
BOARD MEMBER	1.00	X		0	0	0
LEE SHURTLEFF
BOARD MEMBER	1.00	X		0	0	0
JEFFREY SEIBERT
BOARD MEMBER	1.00	X		0	0	0
R MICHAEL SHAFER
BOARD MEMBER	1.00	X		0	0	0
DAVID WIRTZ MD
BD MBER EX OFFICIO TRUSTEE	1.00	X		30000	0	0
BRIAN MITTEER
PRESIDENT/CEO	37.50		X	322653	0	62928
JEFFREY EARLE
SENIOR VICE PRESIDENT	37.50		X	167228	0	20315
DENISE MIRONTI
SENIOR VICE PRESIDENT	37.50		X	155075	0	30865
DENISE WRINN
VICE PRESIDENT	37.50		X	202420	0	36539
THOMAS HALLISEY
VICE PRESIDENT	37.50		X	126984	0	28897
JUSSI MAIJALA
VICE PRESIDENT	37.50		X	133540	0	15285
ROBERT KARPMAN
VICE PRESIDENT MEDICAL AFF	37.50		X	301668	0	29317
DAVID KAMINSKY
PHARMACIST	37.50			109267	0	6222	X
THOMAS ROBERTS
PHARMACIST	37.50			104962	0	26216	X
MATTHEW DENNISTON
PHARMACIST	37.50			107030	0	12985	X
MICHELLE TUCKER
PHARMACIST	37.50			106998	0	31184	X
CHRISTINA DENNISTON
DIRECTOR - PHARMACY	37.50			123961	0	29056	X
DAVID HARDY
SENIOR VICE PRESIDENT/CFO- FORMER	37.50			119771	0	708		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2111557	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	330517	TotalOtherCompensation
Number Individuals GT100 K	16	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TEAM HEALTH EAST
307 SOUTH EVERGREEN AVE	WOODBURY	NJ	08096	PHYSICIAN SERVICES	1092102
EMERGENCY MEDICINE PHYSICIANS OF CORTLAN
4535 DRESSLER ROAD NW	CANTON	OH	44718	PHYSICIAN SERVICES	800665
AMES LINEN SERVICE
67 HUNTINGTON STREET	CORTLAND	NY	13045	LINEN SERVICE	758949
LABORATORY CORP OF AMERICA
69 FIRST AVENUE	RARITAN	NJ	08869	LABORATORY SERVICES	507247
HOME CARE FOR CORTLAND COUNTY
111 PORT WATSON STREET	CORTLAND	NY	13045	HOME CARE SERVICES	395786

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	11	NumberOfContractorsGT100K
Government Grants	3457406	GovernmentGrants
All Other Contributions	354225	AllOtherContributions
Total Contributions	3811631	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENU	Description
Business Code	621990	BusinessCode
Total Revenue Column	84937684	TotalRevenueColumn
Related Or Exempt Function Income	84937684	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	84937684	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	392526	TotalRevenueColumn
Exclusion	$392,526	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	16433336	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	16291144	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	142192	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	142192	TotalRevenueColumn
Exclusion	$142,192	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
CHILD DAYCARE REVENUE	900099	476276	152408	323868
CAFETERIA REVENUE	900099	263654	263654
REBATES	900099	142032	142032

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3081770	TotalRevenueColumn
Related Or Exempt Function Income	3081770	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	3963732	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	93247765	TotalRevenueColumn
Related Or Exempt Function Income	88577548	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	323868	UnrelatedBusinessRevenue
Exclusion	$534,718	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1814158	Total
Program Services	30000	ProgramServices
Management And General	1784158	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	36083823	Total
Program Services	31452615	ProgramServices
Management And General	4526121	ManagementAndGeneral
Fundraising	105087	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2658138	Total
Program Services	2205627	ProgramServices
Management And General	444230	ManagementAndGeneral
Fundraising	8281	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7378399	Total
Program Services	6191217	ProgramServices
Management And General	1166526	ManagementAndGeneral
Fundraising	20656	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2634907	Total
Program Services	2242156	ProgramServices
Management And General	385180	ManagementAndGeneral
Fundraising	7571	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	104464	Total
Management And General	104464	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	103403	Total
Management And General	103403	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	93912	Total
Management And General	93912	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2882810	Total
Program Services	2542033	ProgramServices
Management And General	340777	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	134863	Total
Management And General	134863	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	780315	Total
Program Services	338558	ProgramServices
Management And General	441757	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1017753	Total
Program Services	429589	ProgramServices
Management And General	588164	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3159546	Total
Program Services	2473285	ProgramServices
Management And General	686261	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	331909	Total
Program Services	315767	ProgramServices
Management And General	16142	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	47569	Total
Program Services	36063	ProgramServices
Management And General	11506	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5280378	Total
Program Services	4448476	ProgramServices
Management And General	831902	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	497151	Total
Program Services	435806	ProgramServices
Management And General	61345	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES	12127336	11813810	313526
PROVISION FOR UNCOLLECT	3498958	3498958
PURCHASED SERVICES	3497273	2925760	571273	240
EQUIPMENT RENTAL & MAIN	1183818	1094425	89393

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1101145	Total
Program Services	876675	ProgramServices
Management And General	224470	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	86412028	Total
Program Services	73350820	ProgramServices
Management And General	12919373	ManagementAndGeneral
Fundraising	141835	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	36756	BOY
EOY	11717	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5505906	BOY
EOY	9081016	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	737345	BOY
EOY	920557	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	15830331	BOY
EOY	17633428	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	9536756	BOY
EOY	12688686	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	597516	BOY
EOY	587032	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	732911	BOY
EOY	1246335	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	120815192	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	82383567	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	40228172	BOY
EOY	38431625	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	16650596	BOY
EOY	16823332	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	10862217	BOY
EOY	13018861	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	100718506	BOY
EOY	110442589	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	7886818	BOY
EOY	8747097	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	17198292	BOY
EOY	16767184	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1678176	BOY
EOY	1470361	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14906863	BOY
EOY	24592421	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	41670149	BOY
EOY	51577063	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	54286857	BOY
EOY	54188626	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1073293	BOY
EOY	1004967	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3688207	BOY
EOY	3671933	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	59048357	BOY
EOY	58865526	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	100718506	BOY
EOY	110442589	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6835737	ReconcilationRevenueExpenses
Reconcilation Other Changes	-7018568	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$93,912	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	93912	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	CORTLAND REGIONAL MEDICAL CENTERS LOBBYING ACTIVITY CONSISTED OF: COUNSEL, ADVOCACY AND REPRESENTATION OF CORTLAND REGIONAL MEDICAL CENTER WITH THE GOVERNORS OFFICE, THE LEGISLATURE AND STATE AGENCIES IN REGARD TO BUDGET OR REGULATORY ISSUES. PART OF WHAT WE PAY LAW OFFICES OF WILSON, ELSER, MOSKOWITZ, EDELMAN & DICKER LLP AND A PORTION OF THE DUES PAID TO HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), IROQUOIS HEALTHCARE ASSOCIATION, HOME CARE ASSOCIATION OF NEW YORK (HCA), AMERICAN HOSPITAL ASSOCIATION (AHA) AND NEW YORK ASSOCIATION OF HOME AND SERVICES FOR THE AGING (NYAHSA) IS DESIGNATED TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4761500	BeginningOfYearBalance
Contributions	169260	Contributions
Investment Earnings Or Losses	-28062	InvestmentEarningsOrLosses
Other Expenditures	225798	OtherExpenditures
End Of Year Balance	4676900	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4512049	BeginningOfYearBalance
Contributions	252043	Contributions
Investment Earnings Or Losses	105167	InvestmentEarningsOrLosses
Other Expenditures	107759	OtherExpenditures
End Of Year Balance	4761500	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3801098	BeginningOfYearBalance
Contributions	284226	Contributions
Investment Earnings Or Losses	134885	InvestmentEarningsOrLosses
Other Expenditures	-291840	OtherExpenditures
End Of Year Balance	4512049	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4593111	BeginningOfYearBalance
Investment Earnings Or Losses	-222985	InvestmentEarningsOrLosses
Other Expenditures	569028	OtherExpenditures
End Of Year Balance	3801098	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.78500	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.21500	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2987039	OtherCostOrOtherBasis
Book Value	2987039	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	62056465	OtherCostOrOtherBasis
Depreciation	39949138	Depreciation
Book Value	22107327	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	51227776	OtherCostOrOtherBasis
Depreciation	40307619	Depreciation
Book Value	10920157	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4543912	OtherCostOrOtherBasis
Depreciation	2126810	Depreciation
Book Value	2417102	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	38431625	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
BENEFICIAL INTEREST IN NET ASSETS OF CORTLAND MEMORIAL FOUNDATION	4737495
DEBT SERVICE FUNDS	2349941
UNAMORTIZED DEBT ISSUANCE COST	1072234
OTHER RECEIVABLES	4859191

Field	Value	IRS element (for citing)
Total Book Value Other Assets	13018861	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTY PAYORS	$5,159,292
ADDITIONAL MINIMUM PENSION LIABILITY	$17,859,656
ADVANCES FROM THIRD PARTY PAYORS	$752,238
LONG TERM INSURANCE LIABILITY	$821,235

Field	Value	IRS element (for citing)
Total Of Amounts	24592421	TotalOfAmounts
Total Revenue	93247765	TotalRevenue
Total Expenses	86412028	TotalExpenses
Excess Or Deficit For Year	6835737	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-351431	NetUnrealizedGLOnInvestments
Other	-$6,667,137	OtherAmount
Total Adjustments	-7018568	TotalAdjustments
Excess Or Deficit Per FS	-182831	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE HOSPITAL'S ENDOWMENT CONSISTS OF FUNDS ESTABLISHED TO PURCHASE MEDICAL EQUIPMENT WHICH SUPPORTS VARIOUS DEPARTMENTS OF THE HOSPITAL.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	INCOME TAXES: THE HOSPITAL QUALIFIES AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 NEW YORK STATE TAXING AUTHORITIES ARE 2008 THROUGH 2011. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN FOUNDATION 207,692. PENSION AND POST RETIREMENT -6,874,829. TOTAL TO SCHEDULE D, PART XI, LINE 8: -6,667,137.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	955	PersonsServed
Total Community Benefit Expense	361683	TotalCommunityBenefitExpense
Net Community Benefit Expense	361683	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	28773	PersonsServed
Total Community Benefit Expense	19509155	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17327039	DirectOffsettingRevenue
Net Community Benefit Expense	2182116	NetCommunityBenefitExpense
Percent Of Total Expense	0.02530	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	29728	PersonsServed
Total Community Benefit Expense	19870838	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17327039	DirectOffsettingRevenue
Net Community Benefit Expense	2543799	NetCommunityBenefitExpense
Percent Of Total Expense	0.02950	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	7244	PersonsServed
Total Community Benefit Expense	56073	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18194	DirectOffsettingRevenue
Net Community Benefit Expense	37879	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4869983	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2250169	DirectOffsettingRevenue
Net Community Benefit Expense	2619814	NetCommunityBenefitExpense
Percent Of Total Expense	0.03030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38285	TotalCommunityBenefitExpense
Net Community Benefit Expense	38285	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	7244	PersonsServed
Total Community Benefit Expense	4964341	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2268363	DirectOffsettingRevenue
Net Community Benefit Expense	2695978	NetCommunityBenefitExpense
Percent Of Total Expense	0.03110	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	36972	PersonsServed
Total Community Benefit Expense	24835179	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19595402	DirectOffsettingRevenue
Net Community Benefit Expense	5239777	NetCommunityBenefitExpense
Percent Of Total Expense	0.06060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,773,683	BadDebtExpenseAmount
Amount Attributable To	204000	AmountAttributableTo
Amount Reimbursed By Medicare	29782575	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	31514761	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1732186	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CORTLAND REGIONAL MEDICAL CENTER INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	134 HOMER AVENUE	AddressLine1
City	CORTLAND	City
State	NY	State
ZIP Code	13045	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	300.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CRNURSING & REHABILITATION FACILITY
134 HOMER AVENUE	CORTLAND	NY	13045	SKILLED NURSING FACILITY
CRMC OUTPATIENT SERVICE CENTER
4005 WEST ROAD - ROUTE 281	CORTLAND	NY	13045	PHYSICAL THERAPY AND IMAGING SERVICE
CRMC LONG TERM HOME HEALTH CARE
134 HOMER AVENUE	CORTLAND	NY	13045	LONG TERM HOME HEALTH CARE
CRMC LABORATORY SERVICE CENTER
4077 WEST ROAD - ROUTE 281	CORTLAND	NY	13045	LABORATORY SERVICES
CRMC LABORATORY SERVICE CENTER
6 EUCLID AVENUE	CORTLAND	NY	13045	LABORATORY SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: THE COST WAS CALCULATED USING THE OVERALL HOSPITAL COST TO CHARGE RATIO FROM WORKSHEET C OF THE 2011 COST REPORT.
PART I, LINE 7G: MANY PHYSICIANS NO LONGER WANT TO BE IN PRIVATE PRACTICE, BUT SEEK EMPLOYMENT ARRANGEMENTS WITH HOSPITALS OR HOSPITAL-AFFILIATED PHYSICIAN GROUPS. REGIONAL MEDICAL PRACTICE (RMP), A PHYSICIAN GROUP CONTROLLED AND SUPPORTED BY THE HOSPITAL, WAS FORMED TO FURTHER THE MEDICAL CENTER'S CHARITABLE PURPOSES TO HELP RECRUIT SPECIALTY PHYSICIANS INTO THE RURAL CORTLAND AREA. THROUGH RMP, WE HAVE BEEN ABLE TO RECRUIT TWO CARDIOLOGISTS AND TWO CARDIAC NURSE PRACTITIONER, SEVERAL ORTHOPEDIC SURGEONS, AND AN OBSTETRICIAN. CORTLAND IS CONSIDERED A NEW YORK STATE SPECIALTY SHORTAGE AREA FOR OBSTETRICS SO THE RECRUITMENT OF THE OB/GYN PHYSICIAN ADDRESSED A HIGH LEVEL COMMUNITY NEED. PRIOR TO RMP, THERE WERE NO CARDIOLOGISTS AT ALL IN CORTLAND AND NO ORTHOPEDIC SURGEONS PERFORMING SURGERY IN CORTLAND, SO PATIENTS HAD TO TRAVEL OVER 30 MILES FOR THESE SERVICES. THE HOSPITAL IS CLASSIFIED AS A SOLE COMMUNITY PROVIDER BY MEDICARE BECAUSE OF THE DISTANCE FROM OTHER HOSPITALS, SO IT IS VERY IMPORTANT TO HAVE THESE PHYSICIAN SERVICES IN CORTLAND AND NOT OVER 30 MILES AWAY. THE AMOUNTS SHOWN ON PART I, LINE 7G REPRESENT REVENUES, EXPENSES, AND THE RESULTING LOSSES FOR RMP CARDIOLOGY, ORTHOPEDICS, AND OBSTETRICS. THESE LOSSES ARE CONSIDERED SUBSIDIZED HEALTH SERVICES FOR 990 REPORTING PURPOSES BECAUSE IF THE HOSPITAL DID NOT SUPPORT THESE RMP PHYSICIAN SPECIALTIES, THESE VITAL SERVICES WOULD NOT BE AVAILABLE IN THE CORTLAND COMMUNITY. RMP HAS FILED FORM 1023 "APPLICATION FOR RECOGNITION OF EXEMPTION UNDER SECTION 503(C)(3) OF THE INTERNAL REVENUE CODE". THIS APPLICATION IS PENDING.
PART I, L7 COL(F): BAD DEBT COST WAS CALCULATED USING THE OVERALL HOSPITAL COST TO CHARGE RATIO FROM WORKSHEET C OF THE 2011 COST REPORT.CREDIT AND COLLECTION POLICY: CORTLAND REGIONAL MEDICAL CENTER WILL PRACTICE COLLECTION PROCEDURES IN A UNIFORM MANNER TO ENSURE THAT ALL PATIENTS/DEBTORS ARE TREATED FAIRLY WHEN DEALING WITH AMOUNTS OWED TO THE HOSPITAL. THE TRANSFER OF SELF PAY ACCOUNT BALANCES TO BAD DEBT AND AN OUTSIDE COLLECTION AGENCY WILL OCCUR FOLLOWING SPECIFIC STANDARDS AND GUIDELINES. 1. SELF PAY (SP) ACCOUNTS ARE DEFINED AS ACCOUNTS FOR WHICH THE BALANCE DUE IS OWED BY THE PATIENT/GUARANTOR, RATHER THAN A THIRD PARTY RESOURCE. 2. ALL BUSINESS OFFICE STAFF WILL GUIDE PATIENTS IN NEED OF ASSISTANCE PAYING ACCOUNT BALANCE(S). SPECIFICALLY, THE PATIENT ADVOCATE AND FINANCIAL COUNSELORS GENERATE REPORTS DAILY FOR THE PREVIOUS DAYS SP REGISTRATIONS. THE STAFF THEN UTILIZES VARIOUS WEB SITES TO CHECK FOR POSSIBLE THIRD PARTY PAYER COVERAGE. IF NO COVERAGE IS FOUND, OTHER METHODS ARE USED. THESE METHODS INCLUDE PHONE CALLS TO PHYSICIAN OFFICES AND PATIENTS AS WELL AS RECENT HISTORY IN MEDITECH. 3. THE PATIENT ADVOCATE IS A FACILITATED ENROLLER AND WILL OFFER ASSISTANCE IN APPLYING FOR GOVERNMENT INSURANCE PROGRAMS. THE FINANCIAL COUNSELORS WILL OFFER GUIDANCE IN APPLYING FOR FINANCIAL ASSISTANCE AND SETTING UP MONTHLY CONTRACT PAYMENT ARRANGEMENTS. 4. THE FINANCIAL COUNSELORS WILL REVIEW ALL ACCOUNTS WITH SP BALANCES PRIOR TO TRANSFERRING UNPAID ACCOUNTS TO COLLECTION. THE FINANCIAL COUNSELORS WILL ATTEMPT TO VERIFY THAT BALANCES SHOULD BE IN SP STATUS, AND THEN USE DISCRETION IN SETTING UP PAYMENT ARRANGEMENTS, ARRANGING FINANCIAL ASSISTANCE OR TRANSFERRING THE ACCOUNT(S) TO BAD DEBT WITH AN OUTSIDE COLLECTION AGENCY. 5. PATIENTS/GUARANTORS WILL RECEIVE 4 STATEMENTS AND A 10-DAY LETTER PRIOR TO TRANSFERRING THE ACCOUNT TO BAD DEBT AND COLLECTION. EXCEPTIONS: A) SMALL BALANCE ACCOUNTS UNDER $50.00 MAY RECEIVE ONLY ONE STATEMENT, THEN A 10-DAY LETTER. B) IF AT ANY TIME DURING THE SEQUENCE OF STATEMENTS A PATIENT/GUARANTOR ABSOLUTLEY REFUSES TO MAKE PAYMENT ARRANGEMENTS TO CRMC, THE 4 STATEMENT SEQUENCE MAY BE BYPASSED AT ANY POINT AND THE 10-DAY LETTER MAY BE SENT. SHOULD THIS SITUATION OCCUR, THE ACCOUNT(S) WILL BE DOCUMENTED ACCORDINGLY. C) IF WE REPEATEDLY RECEIVE RETURN MAIL WITH NO FORWARDING ADDRESS AND ARE UNABLE TO OBTAIN THE CURRENT VALID ADDRESS, THE ACCOUNT(S) WILL BE TRANSFERRED TO BAD DEBT WITH AN OUTSIDE COLLECTION AGENCY. SHOULD THIS SITUATION OCCUR, THE ACCOUNT(S) WILL BE DOCUMENTED ACCORDINGLY. REPEATEDLY IS CONSIDERED TO BE 2 CONSECUTIVE STATEMENTS OR ANY OTHER CORRESPONDENCE SENT BY CRMC. PROCEDURE: 1. OUTPATIENT ACCOUNTS REGISTERED AS SP ONLY, WILL HOLD THE FOLLOWING SEQUENCE PROVIDED NO OTHER EVENTS OCCUR TO CAUSE A DELAY IN THE PROCESS: A) A FINAL BILL WILL DROP 5 DAYS AFTER DISCHARGE IF CODING OF ACCOUNT IS COMPLETE. OTHERWISE, A FINAL BILL WILL DROP UPON COMPLETION OF CODING. B) IF FULL PAYMENT IS NOT RECEIVED, STATEMENT 1 WILL DROP 20 DAYS AFTER THE FINAL BILL IS POSTED. C) IF BALANCE REMAINS, STATEMENT 2 WILL DROP 23 DAYS AFTER STATEMENT 1. D) IF BALANCE REMAINS, STATEMENT 3 WILL DROP 23 DAYS AFTER STATEMENT 2. E) IF BALANCE REMAINS, STATEMENT 4 WILL DROP 23 DAYS AFTER STATEMENT 3. EVENTS THAT OCCUR WHICH WILL CAUSE A DELAY ARE DEFINED AS BILL REVERSAL, INSURANCE BALANCE EDIT, BAD DEBT TRANSFER, RECEIPT, ADJUSTMENT, AND REFUND. THESE EVENTS ARE ALL SET TO WAIT 1 DAY AFTER THE EVENT TAKES PLACE. WHEN ONE OF THESE EVENTS OCCUR, THE ACCOUNTS NEXT STATEMENT DATE IS THEN SET TO THE EVENTS TRANSACTION DATE PLUS 1 DAY FOR THE EVENT. IT IS IMPORTANT TO NOTE THAT THE STATEMENT FILE IS COMPILED TWICE A WEEK ON TUESDAYS AND THURSDAYS. THEREFORE IF THE NEXT STATEMENT DATE HAPPENS TO BE ON A MONDAY, THE STATEMENT WONT BE COMPILED UNTIL THE NEXT DAY. 2. ALL ACCOUNTS FOLLOW THE SAME SEQUENCE AND HAVE THE SAME DELAY EVENTS AS THE OUTPATIENT ACCOUNTS REGISTERED AS SP ONLY LISTED ABOVE. HOWEVER DIFFERENCES OCCUR IN THE SPECIFIC ACCOUNT TYPE AND INSURANCE COMBINATIONS DEFINED IN MEDITECH. THESE DIFFERENCES ARE NOTED IN THE NUMBER OF DAYS TO WAIT AFTER DISCHARGE, THE NUMBER OF DAYS TO WAIT AFTER THE BILL IS POSTED, THE MINIMUM NUMBER OF DAYS BETWEEN STATEMENTS AND THE NUMBER OF DAYS TO WAIT AFTER THE DELAY EVENTS. TWO EXAMPLES OF THIS ARE LISTED BELOW. 3. ACCOUNTS REGISTERED WITH INSURANCE(S), OTHER THAN MEDICARE PRIMARY, THAT HAVE SP BALANCES DUE WILL BE MAILED STATEMENT 1 THREE DAYS AFTER THE FINAL INSURANCE PAYMENT HAS BEEN POSTED. STATEMENTS 2, 3, AND 4 WILL FOLLOW THE SAME 23 DAY SEQUENCE AS NOTED ABOVE. THE ACTUAL DELAY EVENTS THEMSELVES ARE THE SAME AS NOTED ABOVE, HOWEVER THE NUMBER OF DAYS SET TO WAIT AFTER THE EVENT TAKES PLACE ARE NOT. 4. ACCOUNTS REGISTERED WITH MEDICARE AS THE PRIMARY INSURANCE THAT HAVE SP BALANCES DUE WILL BE MAILED STATEMENT 1 THREE DAYS AFTER THE FINAL INSURANCE PAYMENT HAS BEEN POSTED. STATEMENTS 2, 3, 4, AND 5 WILL DROP AT 40 DAY INTERVALS. NOTE: IF THE ACCOUNT HAS A BALANCE AFTER MEDICARE, THE ACCOUNT WILL NOT BE REFERRED TO BAD DEBT AND COLLECTION FOR AT LEAST 120 DAYS AFTER THE INITIAL SP STATEMENT HAS BEEN SENT TO THE PATIENT/GUARANTOR. 5. NO LONGER THAN 30 DAYS AFTER THE 4TH STATEMENT GOES OUT TO THE PATIENT/GUARANTOR, A 10-DAY LETTER IS ISSUED. THE 10-DAY LETTER SERVES AS A NOTICE OF INTENT TO SEND THE ACCOUNT(S) TO BAD DEBT AND COLLECTION. 6. IF THERE IS NO PAYMENT OR RESPONSE FROM THE PATIENT/GUARANTOR WITHIN 14 DAYS OF SENDING THE 10-DAY LETTER, THE ACCOUNT WILL BE OFFICALLY TRANSFERRED TO BAD DEBT AND AN OUTSIDE COLLECTION AGENCY. 7. CONTRACT PAYMENT ARRANGEMENTS: IF AT ANY TIME IN THE ABOVE NOTED SEQUENCE OF STATEMENTS, THE PATIENT/GUARANTOR CONTACTS CRMC, BUT CANNOT MAKE PAYMENT IN FULL, CONTRACT PAYMENT ARRANGEMENTS WILL BE OFFERED. THE FOLLOWING SHOULD BE USED AS A GUIDELINE ONLY. (NEVER REFUSE A PAYMENT OFFER, REGARDLESS OF THE AMOUNT. ACCOUNT BALANCE CONTRACT PAYMENT ARRANGEMENTS PERIOD 3.00 - 500.00 BALANCE IN FULL EXTEND UP TO 6 MONTHS 1 - 6 MONTHS 501.00 - 1000.00 MIMIMUM OF 75.00/MONTH 7 - 13 MONTHS 1001.00 - 1500.00 MINIMUM OF 100.00/MONTH 10 - 15 MONTHS 1501.00 - 2000.00 MINIMUM OF 125.00/MONTH 12 - 16 MONTHS 2001.00 - 3000.00 MINIMUM OF 150.00/MONTH 13 - 20 MONTHS 3001.00 - OVER BALANCE IF FULL EXTEND UP TO 24 MONTHS MAX - 24 MONTHS ONCE CONTRACT PAYMENT ARRANGEMENTS ARE FINALIZED, THE CONTRACT CONFIRMATION LETTER IS MAILED TO THE PATIENT/GUARANTOR. ALL TERMS ARE EXPLAINED TO AND AGREED UPON BY THE PATIENT/GUARANTOR. THE LETTER SERVES AS AN AGREEMENT BETWEEN CRMC AND THE DEBTOR. IF THE DEBTOR DEFAULTS, THE CONTRACT CONFIRMATION LETTER MAY BE USED AGAINST HIM/HER IF THE ACCOUNT IS REFERRED TO COLLECTION. 8. FINANCIAL ASSISTANCE APPLICATION: IF AT ANY TIME IN THE ABOVE NOTED SEQUENCE OF STATEMENTS THE PATIENT/GUARANTOR CONTACTS CRMC, BUT CANNOT MAKE EVAN A PARTIAL PAYMENT, A FINANCIAL ASSISTANCE APPLICATION WILL BE OFFERED. - REFER TO POLICY 13-7000-3, FINANCIAL ASSISTANCE. 9. COLLECTION ACCOUNTS: ONCE AN ACCOUNT IS TRANSFERRED TO AN OUTSIDE COLLECTION AGENCY, IT IS PREFERRED THAT THE AGENCY HANDLE ALL DIRECT PATIENT/GUARANTOR COMMUNICATION. ALL CALLS REGARDING BAD DEBT ACCOUNTS SHOULD BE REFERRED TO THE AGENCY. HOWEVER, IF THE PATIENT/GUARANTOR INSISTS ON DEALING ONLY WITH CRMC, BUSINESS OFFICE STAFF WILL ACCEPT PAYMENT OR PAYMENT TERMS. ALL PAYMENTS AND ARRANGEMENTS WILL BECOMMUNICATED TO THE COLLECTION AGENCY. 10. ACCOUNT COMMENTS: ALL COMMUNICATION, AS WELL AS COMMUNICATION ATTEMPTS, WILL BE DOCUMENTED BY THE BUSINESS OFFICE STAFF IN THE PATIENT ACCOUNT COMMENTS.
PART III, LINE 4: AUDITED FINANCIAL STATEMENT FOOTNOTE (PAGE 9) 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. CORTLAND REGIONAL MEDICAL CENTER IS THE SOLE COMMUNITY HEALTH CARE FACILITY IN THE AREA. AS A PATIENT OF CORTLAND REGIONAL MEDICAL CENTER YOU HAVE THE RIGHT TO RECEIVE TREATMENT REGARDLESS OF YOUR ABILITY TO PAY.
PART III, LINE 8: THE MEDICARE COST WAS CALCULATED USING THE COST TO CHARGE RATIO FROM THE 2011 MEDICARE COST REPORT, WORKSHEET C. FINANCIAL ASSISTANCE POLICY:CORTLAND REGIONAL MEDICAL CENTER ATTEMPTS TO GIVE BACK TO THE COMMUNITY A REASONABLE AMOUNT OF ITS SERVICES WITHOUT CHARGE OR AT REDUCED CHARGES TO ELIGIBLE PERSONS WHO CANNOT AFFORD TO PAY. THIS POLICY ENSURES THAT CORTLAND REGIONAL MEDICAL CENTER IS IN COMPLIANCE WITH ALL APPLICABLE GUIDELINES AND THAT ALL APPLICATIONS FOR ASSISTANCE ARE PROCESSED ACCURATELY AND IN A TIMELY MANNER. PROCEDURE: I. INCOME GUIDELINES1. THE FEDERAL POVERTY LEVELS ARE THE GUIDELINES USED TO DETERMINE ELIGIBILITY. FINANCIAL ASSISTANCE BEGINS WITH THOSE UNINSURED PATIENTS WITH INCOMES BELOW AT LEAST THREE HUNDRED PERCENT OF THE FEDERAL POVERTY LEVEL. THESE GUIDELINES ARE UPDATED ANNUALLY. 2. THE DECISION TO PROVIDE SERVICES FREE OF CHARGE OR AT REDUCED LEVELS CAN BE CHANGED WITHIN THE CONFINES OF THE LAW BY MANAGEMENT. 3. THE AMOUNT OF THE FINANCIAL ASSISTANCE IS DETERMINED BY THE AMOUNT THAT WOULD HAVE BEEN PAID FOR THE SAME SERVICES BY THE HIGHEST VOLUME PAYOR OF CRMC. II. NOTICE TO THE PUBLIC1. NOTICES CONCERNING FINANCIAL ASSISTANCE FOR MEDICAL EXPENSES INCURRED AT CRMC ARE VISIBLY POSTED IN ALL REGISTRATION AREAS OF THE MEDICAL CENTER. 2. WHEN A PATIENT/GUARANTOR CALLS WITH PAYMENT CONCERNS, THEY ARE INFORMED OF THE FINANCIAL ASSISTANCE PROGRAM AND SENT AN APPLICATION. 3. NOTICE OF THE FINANCIAL ASSISTANCE PROGRAM IS POSTED ON THE MEDICAL CENTER'S WEBSITE. 4. NOTICE OF THE FINANCIAL ASSISTANCE PROGRAM IS INDICATED ON THE PATIENTS' BILLS. III. TERMS FOR FINANCIAL ASSISTANCE 1. PATIENTS HAVE 90 DAYS TO APPLY FOR ASSISTANCE. 2. THE COMPLETED APPLICATION ACCOMPANIED WITH THE REQUIRED SUPPORTING DOCUMENTATION MUST BE RETURNED TO CRMC FOR PROCESSING WITHIN 20 DAYS OF RECEIPT OF THE APPLICATION. 3. ONCE THE COMPLETED APPLICATION AND REQUIRED DOCUMENTATION HAS BEEN RECEIVED, CRMC HAS 30 DAYS TO PROCESS A WRITTEN APPROVAL OR WRITTEN DENIAL.4. PATIENTS HAVE 20 DAYS FROM THE DATE OF THE APPROVAL OR DENIAL TO APPEAL THE DETERMINATION.5. INCOMPLETE APPLICATIONS AND/OR MISSING DOCUMENTATION CAN RESULT IN A DENIAL. CRMC WILL ATTEMPT TO GET THE MISSING INFORMATION AFTER THE REVIEW OF THE ORIGINAL APPLICATION. 6. ANY OUTSTANDING ACCOUNTS WITHIN 2 YEARS OF THE DATE OF THE APPLICATION ARE ELIGIBLE, UNLESS THEY ARE IN THE PROCESS, OR HAVE BEEN PROCESSED,FOR A JUDGMENT. 7. CRMC WILL HOLD THE BILLING FOR ANY ACCOUNTS THAT ARE BEING CONSIDERED FOR FINANCIAL AID. CRMC WILL INFORM THE PATIENT OF SUCH. IV. PAYMENT PLAN1. FOR PATIENTS WITH INCOMES AT OR BELOW ONE HUNDRED PERCENT OF THE FEDERAL POVERTY LEVEL, CRMC WILL NOT REQUIRE ANY PAYMENT (NOMINAL AMOUNT) FOR THE PATIENT. 2. FOR PATIENTS WITH INCOMES BETWEEN AT LEAST ONE HUNDRED ONE PERCENT(101) AND ONE HUNDRED FIFTY PERCENT (150) OF THE FEDERAL LEVEL, CRMC SHALL COLLECT NO MORE THAN THE AMOUNT IDENTIFIED AFTER APPLICATION OF A PROPORTIONAL SLIDING FEE SCHEDULE UNDER WHICH PATIENTS WITH LOWER INCOMES SHALL PAY THE LOWEST AMOUNT. SUCH SCHEDULE SHALL PROVIDE THE AMOUNT THAT CRMC MAY COLLECT FOR SUCH PATIENT'S INCREASES FROM THE NOMINAL AMOUNT DESCRIBED IN IV. 1 IN EQUAL INCREMENTS AS THE INCOME OF THE PATIENT INCREASES, UP TO A MAXIMUM OF TWENTY PERCENT OF THE GREATER OF THE AMOUNT THAT WOULD HAVE BEEN PAID FOR THE SAME SERVICES BY THE HIGHEST VOLUME PAYOR FOR CRMC OR FOR SERVICES PROVIDED PURSUANT TO MEDICARE OR MEDICAID. 3. FOR PATIENTS WITH INCOMES BETWEEN AT LEAST ONE HUNDRED FIFTY-ONE PERCENT AND TWO HUNDRED FIFTY PERCENT OF THE FEDERAL POVERTY LEVEL, CRMC SHALL COLLECT NO MORE THAN THE AMOUNT IDENTIFIED AFTER APPLICATION OF A PROPORTIONAL SLIDING FEE SCHEDULE UNDER WHICH PATIENTS WITH LOWER INCOME WILL PAY THE LOWEST AMOUNTS. SUCH SCHEDULE SHALL PROVIDE THAT THE AMOUNT CRMC MAY COLLECT FOR SUCH PATIENTS INCREASES FROM THE TWENTY PERCENT FIGURE DESCRIBED IN IV. 2 IN EQUAL INCREMENTS AS THE INCOME OF THE PATIENT INCREASES, UP TO A MAXIMUM OF THE GREATER OF THE AMOUNT THAT WOULD HAVE BEEN PAID FOR THE SAME SERVICES BY THE HIGHEST VOLUME PAYOR FOR CRMC OR FOR SERVICES PROVIDED MEDICARE OR MEDICAID.4. FOR PATIENTS WITH INCOMES BETWEEN AT LEAST TWO HUNDRED FIFTY-ONE PERCENT AND THREE HUNDRED PERCENT OF THE FEDERAL POVERTY LEVEL, CRMC SHALL COLLECT NO MORE THAN THE GREATER OF THE AMOUNT THAT WOULD HAVE BEEN PAID FOR THE SERVICES BY THE HIGHEST VOLUME PAYOR FOR CRMC OR FOR SERVICES PROVIDED MEDICARE OR MEDICAID. 5. FOR THE PURPOSES OF THIS POLICY, HIGHEST VOLUME PAYOR WILL MEAN THE INSURER, CORPORATION OR ORGANIZATION LICENSED, ORGANIZED OR CERTIFIED PURSUANT TO ARTICLE THIRTY-TWO, FORTY-TWO, OR FORTY-THREE OF THE INSURANCE LAW OR ARTICLE FORTY-FOUR OF THE PUBLIC HEALTH LAW, OTHER THIRD PARTY PAYOR WHICH HAS A CONTRACT OR AGREEMENT TO PAY CLAIMS FOR SERVICES PROVIDED BY CRMC AND INCURRED THE HIGHEST VOLUME OF CLAIMS IN THE PREVIOUS CALENDAR YEAR. 6. CRMC WILL NOT TAKE INTO CONSIDERATION ASSETS OWNED BY A PATIENT, WHO IS A NEW YORK STATE RESIDENT, AND/OR OTHER LEGALLY RESPONSIBLE INDIVIDUAL, WHO HAVE ANNUAL INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL IN DETERMINING THE PATIENT'S POTENTIAL ELIGIBILITY FOR FINANCIAL ASSISTANCE AS SPECIFIED IN THIS POLICY. 7. CRMC PROVIDES THE USE OF PAYMENT BY INSTALLMENT PLANS. FOR THOSE PATIENTS THAT RECEIVE FINANCIAL ASSISTANCE THE MONTHLY PAYMENT CANNOT BE MORE THAN 10% OF THE PATIENT MONTHLY GROSS INCOME. 8. IF CRMC EVER CHARGES INTEREST ON THE UNPAID BALANCES FOR THOSE ACCOUNTS UNDER FINANCIAL ASSISTANCE PROGRAM THE RATE OF INTEREST CAN NOT EXCEED THE RATE OF A NINETY-DAY SECURITY ISSUED BY THE UNITED STATES DEPARTMENT OF TREASURY PLUS .5 PER CENT AND A MISSED PAYMENT WILL NEVER TRIGGER A HIGHER RATE OF INTEREST. 9. IF THERE IS A DEPOSIT ON A NON-EMERGENT, MEDICALLY-NECESSARY CARE ACCOUNT IT WILL BE INCLUDED AS PART OF THE FINANCIAL AID CONSIDERATION. 10. SEE CHART FOR APPLICATION OF THIS SECTION. 11. FOR PATIENTS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THERE WILL BE NO LIMITATIONS ON FINANCIAL AID FOR SERVICES BASED ON THE MEDICAL CONDITION OF THE APPLICANT, OTHER THAN TYPICAL LIMITATIONS OR EXCLUSIONS BASED ON MEDICAL NECESSITY OR THE CLINICAL OR THERAPEUTIC BENEFIT OF A PROCEDURE OR TREATMENT. V. REQUIRED DOCUMENTATION1. A COPY OF THE FEDERAL 1040 INCOME TAX RETURN AS VERIFICATION OF DEPENDANT STATUS FOR ALL HOUSEHOLD MEMBERS APPLYING FOR FINANCIAL ASSISTANCE. 2. A COPY OF THE W-2(S). 3. COPIES OF THE LAST FOUR PAY STUBS FOR ALL WORKING MEMBERS OF THE HOUSEHOLD. 4. COPIES OF THE MOST RECENT BANK STATEMENTS. 5. A VALID WRITTEN MEDICAID OR OTHER PUBLIC INSURANCE DENIAL IS REQUIRED. A DENIAL IS VALID FOR SIX MONTHS FROM THE DATE OF DENIAL. 6. PROOF OF RESIDENCY. ACCEPTABLE DOCUMENTATION INCLUDES, BUT IS NOT LIMITED TO, A POSTMARKED ENVELOPE SHOWING CURRENT ADDRESS, A UTILITY BILL (GAS, ELECTRIC, CABLE), RENT RECEIPT, ETC. VI. REQUIRED COVERED SERVICES 1. EMERGENCY SERVICES, INCLUDING EMERGENCY TRANSFERS. 2. MEDICALLY NECESSARY ACUTE CARE SERVICES.VII. DISCRETIONARY COVERED SERVICES 1. RESIDENTIAL CARE FACILITY SERVICES 2. SWING BED SERVICESVIII. NON-COVERED SERVICES 1. MEDICARE COINSURANCE AND DEDUCTIBLE AMOUNTS 2. ELECTIVE SURGERY (UNLESS MEDICALLY NECESSARY) 3. MEDICAID SPEND DOWNS AND NAMI AMOUNTS IX. GENERAL INFORMATION1. THIS POLICY APPLIES ONLY TO NEW YORK STATE RESIDENTS. HOWEVER NON-RESIDENTS WILL BE ENCOURAGED TO APPLY FOR FINANCIAL AID AND EACH APPLICATION WILL BE HANDLED ON A CASE-BY-CASE BASIS. 2. IF THE APPLICANT IS UNABLE TO APPLY IN PERSON, ONE OF THE FOLLOWING PROCEDURES IS ALLOWED: A) AN APPLICATION IS MAILED TO THE PATIENT, COMPLETED BY HIM AND RETURNED TO THE FINANCIAL COUNSELOR WITH APPROPRIATE SUPPORTING DOCUMENTS AS DISCUSSED ABOVE. B) A THIRD PARTY (SUCH AS SPOUSE, PARENT, DAUGHTER/SON, POWER OF ATTORNEY, SOCIAL SERVICES) COMPLETES AND SIGNS THE APPLICATION ON THE PATIENT'S BEHALF. THIS IS USUALLY DONE WHEN THE PATIENT IS A MINOR OR AND ELDERLY PERSON WHO IS NO LONGER CAPABLE OF HANDLING THEIR OWN AFFAIRS. C) THE INFORMATION IS OBTAINED OVER THE PHONE AND THE FINANCIAL COUNSELOR SIGNS THE PATIENT'S NAME AND NOTES THAT THEY SIGNED FOR HIM. THIS OPTION SHOULD BE USED AS A LAST RESORT AND ONLY AFTER OBTAINING THE BUSINESS OFFICE MANAGER'S APPROVAL. 3. APPLICATIONS FOR DECEASED PATIENTS CAN BE PROCESSED USING THE FOLLOWING INFORMATION: A) ELIGIBILITY IS BASED ON THE DECEDENT'S INCOME FOR THE 3 TO 12 MONTHS PRIOR PRECEDING DEATH. B) IF THE DECEDENT WAS PART OF A FAMILY HOUSEHOLD, THE FAMILY INCOME FOR THE 3 TO 12 MONTHS PRECEDING THE REQUEST IS UTILIZED. ELIGIBILITY IS DETERMINED USING THE CURRENT HOUSEHOLD INCOME, REGARDLESS OF WHEN THE PATIENT RECEIVED SERVICES OR WHEN THEY EXPIRED. 4. AN ORIGINAL COMPLETED APPLICATION AND REQUIRED SUPPORTING DOCUMENTATION CAN BE UTILIZED FOR A PERIOD OF SIX MONTHS. SEE SCHEDULE O FOR CONTINUATION
PART III, LINE 9B: SEE FINANCIAL ASSISTANCE POLICY FROM PART III, LINE 8.
PART V, SECTION B, LINE 19D: USED HIGHEST VOLUME THIRD PARTY PAYER RATE.	N/A
PART VI, LINE 2: ASSESSMENT OF PUBLIC HEALTH PRIORITIESCRITERIA OF PUBLIC HEALTH PRIORITIESCRITERIA:FOCUS GROUPS IDENTIFIED EACH PRIORITY AS ONE OF THE COUNTY'S MOST SIGNIFICANT HEALTH ISSUES.COUNTY HEALTH DEPARTMENT MEASURES RELATED TO HEALTH PRIORITIES SUPPORT THE PUBLIC'S SUBJECTIVE OPINION. THAT IS, THE PRIORITY-SPECIFIC COUNTY MEASURES PUBLISHED IN CORTLAND COUNTS DEVIATE FROM STATE AND NATIONAL BENCHMARKS AND HEALTHY PEOPLE 2010 GOALS.MEDICAL CENTER INTERNAL DATA SUPPORTS ISSUES AS PRIORITIES BASED ON PATIENT VOLUME AND UTILIZATION OF SERVICES ASSOCIATED WITH THEM.MEDICAL CENTER AND COUNTY HEALTH DEPARTMENT CURRENTLY HAVE RESOURCES REQUIRED TO SIGNIFICANTLY IMPACT THE ISSUES AND MEASURE OUTCOMES.USE OF DATA: PRIMARY SOURCES AND UTILIZATION OF DATA TO TARGET A POPULATION ARE AS FOLLOWS:COMMUNITY FORUM HEALTH TRACK, FOCUS GROUPS, AND COMMUNITY SURVEY RESULTS: DESCRIBED PREVIOUSLY, THESE PROVIDED SUBJECTIVE DATA REGARDING HEALTH PRIORITIES. ISSUES CONSISTENTLY CONSIDERED AS "TOP HEALTH PRIORITIES" INCLUDED ACCESS TO QUALITY HEALTHCARE, HEALTHY MOTHERS/HEALTHY BABIES, CHRONIC DISEASE, HEALTHY ENVIRONMENT, AND MENTAL HEALTH.CORTLAND COUNTS COMMUNITY REPORT CARD: COUNTY STATISTICS (SEE FOLLOWING TABLE) THAT MOST SIGNIFICANTLY DEVIATED FROM STATE, REGIONAL, NATIONAL, AND HEALTHY PEOPLE 2010 GOALS ASSISTED IN DEFINING THE COUNTY PUBLIC HEALTH PRIORITIES.INDICATOR - CORTLAND COUNTY; UPSTATE NY; NYS; NATIONAL; HEALTHY PEOPLE 2010 GOALBIRTHS TO WOMEN RECEIVING 1ST TRIMESTER PRENATAL CARE - 72.4%; 70.0%; 69.9%; 83.2%; 90%LOW BIRTH WEIGHT BABIES - 8.5%; 7.9%; 8.3%; 8.3%; 5%CIGARETTE USE IN WOMEN DURING PREGNANCY- 24.7%; 16.3%; 9.2%; 22.4%; 1%COLORECTAL CANCER INCIDENCE MEN - 71.9; 64.5; 63.5; 59.2; N/AWOMEN -54.9; 48.6; 47.3; 43.8; N/ALUNG/BRONCHUS CANCERMEN - 92.8; 89.0; 82.2; 79.4; N/AWOMEN- 70.0; 62.0; 53.9; 52.6; N/ACEREBROVASCULAR DISEASE MORTALITY RATE - 63.2; 43.9; 34.0; 46.6; 48.0CLRD OR COPDMORTALITY RATE - 57.1; 46.7; 35.3; 43.2; 60.0CERVICAL UTERINE CANCER - 10.2; 7.5; 9.0; 8.4; N/APROSTATE CANCER - 174.1; 174.8; 170.3; 163.0; N/A RATE PER 100,000NEW YORK STATES PREVENTION QUALITY INDICATORS (PQI): REVIEW OF HOSPITALIZATION RATES BY ZIP CODE FOR CONDITIONS GENERALLY CONSIDERED PREVENTABLE WHEN GOOD PRIMARY CARE IS ACCESSIBLE (PQI) AIDED IN DETERMINING HEALTH PRIORITIES. BECAUSE CORTLAND COUNTY IS A HPSA FOR PRIMARY MEDICAL CARE (LOW-INCOME POPULATION), THE AREAS PQIS ARE EXPECTED TO BE HIGH. PQIS WERE DETERMINED USING THE FOLLOWING PARAMETERS:THE TWELVE CONDITIONS IN THE AREAS OF CIRCULATORY, DIABETES-RELATED, RESPIRATORY, AND ACUTE ILLNESSES.CORTLAND COUNTY ZIP CODES INDIVIDUALLY AND IN SUM.CORTLAND REGIONAL MEDICAL CENTER'S SERVICE AREA ZIP CODES INDIVIDUALLY AND IN SUM.RESULTS:CONDITIONS ASSOCIATED WITH HIGHEST PQI SCORES IN THE CORTLAND AREA ARE COPD, CHF, AND ANGINA (ADMISSIONS AS PERCENT EXPECTED: 171%, 92%, AND 86%, RESPECTIVELY).FURTHER ASSESSMENT INDICATES THAT CORTLAND ZIP CODE 13045 IS ASSOCIATED WITH HIGHEST COPD PQI (ADMISSION AS PERCENT EXPECTED: 253%).RACIAL/ETHNIC DISPARITIES ARE NOT INDICATED FOR ANY CONDITION PER PQI TOOL. ADMISSIONS AS PERCENT EXPECTED BY RACE/ETHNICITY FOR HISPANIC, AFRICAN, ASIAN, AND OTHER GROUPS WERE BELOW POPULATION THRESHOLD.CORTLAND REGIONAL MEDICAL CENTER DATAINPATIENT CASE VOLUMES BY SERVICE LINE (MEASURED AS DISCHARGES) WERE CONSIDERED IN IDENTIFICATION OF HEALTH PRIORITIES. HIGHEST VOLUMES OF INPATIENT DISCHARGES HAVE CONSISTENTLY INCLUDED THE FOLLOWING: 2005; 2006; 2007; 2008(9 MOS.)PULMONARY/MEDICAL - 796; 696; 799; 546CARDIOVASCULAR DISEASES- 638; 562; 665; 431OBSTETRICS/DELIVERY - 545; 495; 543; 380NEW BORN - 523; 486; 530; 371TREO SERVICES 2009MEASUREMENTS OF THE MEDICAL CENTER'S AMBULATORY CARE SENSITIVE CONDITIONS (ACSC), THOSE ADMISSIONS THAT COULD HAVE BEEN TREATED AS OUTPATIENTS, WERE ALSO CONSIDERED IN DETERMINING HEALTH PRIORITIES. ACCESSIBILITY OF PRIMARY CARE IS A COMMON REASON FOR ASCS ADMISSIONS, AND AS PREVIOUSLY STATED, CORTLAND COUNTY IS A HPSA FOR PRIMARY MEDICAL CARE (LOW-INCOME). DATA ANALYSIS INDICATES THE FOLLOWING TRENDS TOWARD IMPROVEMENT IN CRMC'S TOP ACSC SEVERITY 1 CASES. TREO SERVICESACSC SEVERITY 1 & 2: CASES PER MEDICAL 1000* 2005; 2006; 2007; 2008 CRMC; NYS; CRMC; NYS; CRMC; NYS; CRMC; NYSPNEUMONIA - 84.38; 35.57; 75.35; 33.23; 71.56; 31.23; 71.19; 28.43COPD - 73.57; 17.66; 58.28; 16.76; 53.12; 16.02; 55.63; 16.93CHF - 41.14; 34.54; 45.29; 32.98; 42.30; 30.50; 30.17; 27.08CHEST PAIN-29.64; 49.48; 23.39; 48.91; 29.90; 49.77; 24.05; 46.68AMBULATORY PROMPT CARE IS CORTLAND REGIONAL MEDICAL CENTER'S PRIMARY CARE PROGRAM FOR NON-EMERGENCY CONDITIONS. EXTENDED HOURS OF SERVICE (EVENINGS, NIGHTS, AND WEEKENDS) ARE AVAILABLE TO SUPPLEMENT CARE PROVIDED AT PHYSICIANS' OFFICES DURING REGULAR BUSINESS HOURS. MEMBERS OF THE COMMUNITY WHO DO NOT HAVE ACCESS TO A MEDICAL HOME OFTEN SEEK TREATMENT THROUGH THIS SERVICE. PROMPT CARE'S PATIENT ENCOUNTER STATISTICS WERE ASSESSED IN CONSIDERATION OF PREVENTION PRIORITIES AND DEMONSTRATE CORTLAND'S STEADILY INCREASING UTILIZATION OF THE PROGRAM. THIS IS DESCRIBED AS FOLLOWS AND BASED ON INTERNAL STATISTICS:PROMPT CARE PATIENT ENCOUNTERS2005; 2006; 2007; 2008 ;2009 ;20109507; 9936; 11008; 12529 ;12868 ;12996CURRENTLY, 14% OF PATIENTS SEEN IN CORTLAND REGIONAL MEDICAL CENTER'S EMERGENCY DEPARTMENT/PROMPT CARE PROGRAM LACK HEALTH INSURANCE. THIS COMPARES TO THE MOST RECENT (2006) NATIONAL AVERAGE OF 20% FOR EMERGENCY DEPARTMENTS (AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, JULY 2009).A COMPARISON OF NATIONAL, STATE, COUNTY AND CRMC HEALTH INSURANCE COVERAGE STATISTICS APPEARS IN THE FOLLOWING TABLE:UNINSURED INDIVIDUALS (18-64YRS) (4)2008U.S. 17.1%NYS 14.5%CORTLAND COUNTY 13.3%UNINSURED ENCOUNTERS AT CORTLAND REGIONAL MEDICAL CENTER(2)2004; 2008TOTAL ENCOUNTERS 143,791; 157,309NUMBER OF UNINSURED ENCOUNTERS 13,433; 11,199% UNINSURED ENCOUNTERS 9.3%; 7.1% (2)CORTLAND REGIONAL MEDICAL CENTER; (4) WWW.CDC.GOV/BRFSS SELECTED PREVENTION AGENDA PRIORITIESBASED ON DATA ANALYSIS, THE CORTLAND COUNTY HEALTH DEPARTMENT AND CORTLAND REGIONAL MEDICAL CENTER WILL COLLABORATE ON THE FOLLOWING PUBLIC HEALTH PRIORITIES:CHRONIC DISEASE: FOCUS WILL BE ON CARDIAC HEALTH, DIABETES, AND DISEASES OF THE LUNG.ACCESS TO QUALITY HEALTH CARE: QUALITY OF NURSING CARE AT CRMC, MEDICAID ENROLLMENT, ACCESS TO PROVIDERS, AND SUFFICIENCY OF PROVIDERS AND PROVIDER SITES WILL BE ADDRESSED.HEALTHY MOTHERS/HEALTHY BABIES/HEALTHY CHILDREN: PROVISION OF QUALITY CARE, EDUCATION, AND SUFFICIENCY OF PROVIDERS AND PROVIDER SITES WILL BE ADDRESSED.STATUS OF PRIORITIESALL PRIORITIES REPRESENT EXISTING PROGRAMS THAT WILL BE SUPPLEMENTED BY INPUT AND SUPPORT FROM COMMUNITY PARTNERS.THREE-YEAR PLAN OF ACTIONSTRATEGIES FOR SELECTED PRIORITIESTHE PRIORITIES SELECTED THROUGH THE COLLABORATIVE ASSESSMENT PROCESS DESCRIBED IN THE PREVIOUS SECTION ARE ALL PUBLIC HEALTH ISSUES THAT HAVE BEEN RECOGNIZED IN THE PAST AS PRIORITIES FOR THE GREATER CORTLAND COMMUNITY AND TO WHICH CRMC AND ITS COMMUNITY PARTNERS HAVE DEDICATED RESOURCES.CHRONIC DISEASECORTLAND REGIONAL MEDICAL CENTER AND ITS COMMUNITY PARTNERS ARE FOCUSING ON CARDIAC HEALTH, DIABETES, AND DISEASES OF THE LUNG. CRMC HAS A PROGRAM TARGETED TO REDUCE READMISSION OF PATIENTS FOR CHRONIC CONDITIONS.GENERAL APPROACHES TO IMPROVE CHRONIC DISEASE MANAGEMENT: TRANSITION COACH PROGRAM - CRMC HAS A PROGRAM TO ASSIST PATIENTS SUFFERING FROM CHRONIC DISEASES, SUCH AS CONGESTIVE HEART FAILURE, PULMONARY LUNG DISEASE, AND DIABETES, IN MAKING THE TRANSITION FROM INSTITUTIONAL CARE TO INFORMAL CARE WITHIN THE HOME. SINCE NOVEMBER 2009, CRMC HAS TRAINED FIVE TRANSITION COACHES WHO HAVE WORKED WITH 96 PATIENTS AND THEIR FAMILIES ON AREAS SUCH AS MEDICATION RECONCILIATION, IMPROVED MANAGEMENT OF MEDICAL APPOINTMENTS, AND HOW TO LOOK FOR RED FLAGS OR TRIGGERS THAT MIGHT REQUIRE A CHANGE IN CARE OR MEDICAL ATTENTION. CRMC UTILIZED GRANT FUNDS TO IMPLEMENT THE TRANSITION COACH PROGRAM AND IS CURRENTLY SEEKING ADDITIONAL GRANT FUNDING TO SOLIDIFY THE PROGRAM AND CREATE A PART-TIME POSITION TO MAINTAIN IT. -LONG TERM HOME HEALTH CARE PROGRAM (LTHHCP) - CORTLAND REGIONAL MEDICAL CENTER'S LONG TERM HOME HEALTH CARE PROGRAM IS DESIGNED TO ALLOW NURSING HOME ELIGIBLE INDIVIDUALS WITH CHRONIC CONDITIONS TO REMAIN AT HOME BY PROVIDING NURSING CARE, ASSISTANCE OF HOME HEALTH AIDES, PHYSICAL THERAPY, AND A VARIETY OF OTHER SERVICES. MONITORING PATIENTS REMOTELY VIA TELEMEDICINE HAS NOT YET BEEN IMPLEMENTED BUT IS STILL BEING CONSIDERED TO IMPROVE CARE PROVIDED TO LTHHCP PARTICIPANTS. GOAL: DECREASE READMISSION TO THE HOSPITAL AT 30, 60, AND 90 DAYS. MEASUREMENT: NUMBER OF READMISSIONS AT 30, 60, AND 90 DAYS.(CONTINUED IN SCHEDULE O)
PART VI, LINE 3: FINANCIAL AID PROGRAMSUCCESSES AND CHALLENGESPROCESS IMPROVEMENTS AND GENERAL ACCOMPLISHMENTS:A PAMPHLET HIGHLIGHTING CRMC'S FINANCIAL AID PROGRAM AND HOW TO APPLY IS AVAILABLE AT ALL REGISTRATION LOCATIONS, ON AND OFFSITE.POLICY IS TO PROVIDE FINANCIAL AID TO INCOME LEVELS UP TO 300% OF THE FEDERAL POVERTY LEVEL.SIGNAGE ABOUT CRMC'S FINANCIAL AID PROGRAM IS IN ALL REGISTRATION AREAS, BOTH ON AND OFFSITE, AS WELL IN THE BUSINESS OFFICE AND MAIN LOBBY.DISTRIBUTED CRMC FINANCIAL AID PAMPHLETS AND APPLICATIONS AT FAMILY HEALTH NETWORK CLINIC SITES.FACILITATED ENROLLER FOR TOTAL CARE IS ONSITE TO ASSIST PATIENTS TWO DAYS EACH MONTH.BEST PRACTICES:PROVIDE A FULL-TIME, ONSITE FACILITATED ENROLLER FOR FAMILY HEALTH PLUS, CHILD HEALTH PLUS, AND MEDICAID.CONTRACT WITH AN OUTSIDE AGENCY, AHC, TO ASSIST ELIGIBLE INPATIENT SELF-PAY POPULATION TO OBTAIN MEDICAID.SCREEN SELF-PAY REGISTRATIONS FOR BLUE CROSS, MEDICAID, AND/OR FIDELIS COVERAGE. PATIENTS WITHOUT COVERAGE ARE CALLED FOR CURRENT INSURANCE INFORMATION, AND IF THEY HAVE NONE, THEY ARE OFFERED FINANCIAL ASSISTANCE AND/OR MONTHLY PAYMENT OPTIONS.PARTICIPATE IN ANNUAL HEALTH INSURANCE FAIR TO HELP RAISE AWARENESS OF THE OPTIONS AVAILABLE TO INDIVIDUALS WHO HAVE NO INSURANCE OR ARE UNDER INSURED.CHALLENGES:DIFFICULTY GAINING PATIENT COOPERATION WITH THE APPLICATION PROCESS AND PATIENTS' NON-COMPLIANCE WITH POLICY.LACK OF VALID PATIENT DEMOGRAPHIC INFORMATION, INCLUDING TELEPHONE NUMBERS.APPLICANTS DISHONESTY.ALSO, SEE WRITE UP FOR PART III, LINE 9
PART VI, LINE 4: HOSPITAL SERVICE AREACORTLAND REGIONAL MEDICAL CENTER IS LOCATED IN THE CITY OF CORTLAND, COUNTY OF CORTLAND, IN THE CENTRAL REGION OF NEW YORK STATE. THE MEDICAL CENTER IS APPROXIMATELY 35 MILES SOUTH OF SYRACUSE, NEW YORK; 40 MILES NORTH OF BINGHAMTON, NEW YORK; AND 24 MILES NORTHEAST OF ITHACA, NEW YORK. AS THE ONLY HOSPITAL IN CORTLAND COUNTY, CRMC IS FEDERALLY DESIGNATED A SOLE COMMUNITY HOSPITAL. THE MEDICAL CENTER SERVES ALL OF CORTLAND COUNTY AND NEIGHBORING PARTS OF SEVEN CONTIGUOUS COUNTIES, INCLUDING ONONDAGA, MADISON, CHENANGO, BROOME, TIOGA, TOMPKINS, AND CAYUGA.DESCRIPTION OF SERVICE AREACORTLAND REGIONAL MEDICAL CENTER DEFINES ITS PRIMARY SERVICE AREA AS AN 18-ZIP-CODE AREA IN AND AROUND CORTLAND PROPER. IT ACCOUNTS FOR APPROXIMATELY 92.8% OF CORTLAND REGIONAL MEDICAL CENTER'S TOTAL INPATIENT ADMISSIONS; THIS REPRESENTS APPROXIMATELY 52% MARKET SHARE. CORTLAND REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES BY USING AVAILABLE RESOURCES TO MEET THE NEEDS OF THE PEOPLE WHO LIVE OR WORK IN ITS SERVICE AREA.
PART VI, LINE 5: ACCESS TO QUALITY HEALTH CARECORTLAND REGIONAL MEDICAL CENTER INSTITUTED A NURSE RESIDENCY PROGRAM TO IMPROVE THE QUALITY OF NURSING CARE AT CRMC. ADDITIONALLY, THE MEDICAL CENTER PARTNERS WITH COMMUNITY ORGANIZATIONS TO INCREASE MEDICAID ENROLLMENT, EXPAND ACCESS TO PROVIDERS, AND RECRUIT NEW PROVIDERS TO ENSURE A SUFFICIENT NUMBER OF PRIMARY CARE AND SPECIALTY PHYSICIANS TO MEET THE COMMUNITY'S NEEDS.NURSE RESIDENCY PROGRAM FOR GRADUATE AND SPECIALTY NURSES: CRMC COMPLETED THE FIRST YEAR OF ITS NURSE RESIDENCY PROGRAM WITH SEVEN GRADUATE NURSES (GNS) COMPLETING THE PROGRAM IN JUNE 2010. THIS PROGRAM ALLOWS GNS TO SPEND A LONGER PERIOD OF TIME BEING ORIENTED TO NURSING IN THE HOSPITAL SETTING, GIVING THEM SUFFICIENT TIME TO INTEGRATE CRITICAL THINKING AND PRIORITY SETTING WITH SKILL MASTERY AND INCREASED KNOWLEDGE OF DISEASE PROCESSES BEFORE THEY ARE EXPECTED TO CARRY A FULL PATIENT LOAD ON THEIR OWN. THE SECOND YEAR OF THE RESIDENCY PROGRAM BEGAN SEPTEMBER 1, 2010 WITH A CLASS OF TEN GNS AND HAS ALSO BEEN EXPANDED TO OFFER NURSES WITH GENERAL MEDICAL/SURGICAL EXPERIENCE THE OPPORTUNITY TO SPECIALIZE IN THE OR AND ICU UNDER THE GUIDANCE OF A PRECEPTOR.MEDICAID ENROLLMENT:EMPLOY A FULL-TIME FACILITATED ENROLLER TO ASSIST INDIVIDUALS WITH THE MEDICAID ENROLLMENT PROCESS. THE CORTLAND COUNTY DEPARTMENT OF HEALTH ADMINISTERS THE GRANT THAT PROVIDES PARTIAL FUNDING FOR THIS POSITION. -OFFER ONSITE CONSULTATIONS WITH FACILITATED ENROLLER FOR TOTAL CARE. INITIATED DISCUSSIONS WITH FIDELIS TO OFFER SIMILAR SERVICE FOR ITS MANAGED CARE FOR MEDICAID PROGRAM; HOWEVER, FIDELIS DECLINED THE OPPORTUNITY. -CONTRACT WITH AHC TO ASSIST INPATIENTS WHO ARE MEDICAID ELIGIBLE TO OBTAIN COVERAGE. -PARTICIPATE IN ANNUAL HEALTH INSURANCE FAIR TO RAISE AWARENESS OF AVAILABLE COVERAGE. GOAL: REDUCE THE NUMBER OF UNINSURED INDIVIDUALS IN CORTLAND COUNTY. MEASUREMENT: NUMBER OF UNINSURED COUNTY RESIDENTS. THE GOAL OF REDUCING THE NUMBER OF UNINSURED INDIVIDUALS IN CORTLAND COUNTY IS BEING MET. THE NUMBER OF UNINSURED ENCOUNTERS AT CORTLAND REGIONAL MEDICAL CENTER HAS DECLINED FROM 9.3% IN 2004 TO 6.0% IN 2009.EXPAND ACCESS TO PROVIDERS:PROVIDE INCREASED ACCESS FOR MEDICAID RECIPIENTS BY HAVING PHYSICIANS EMPLOYED BY REGIONAL MEDICAL PRACTICE, P.C. ACCEPT MEDICAID AND OTHER INSURANCES THAT MANY PHYSICIAN PRACTICES DO NOT ACCEPT. GOAL: PROVIDE MEDICAID RECIPIENTS GREATER ACCESS TO OFFICE-BASED MEDICAL CARE. MEASUREMENT: NUMBER OF MEDICAID RECIPIENTS IN RMP PHYSICIAN PRACTICES.APPROXIMATELY 9% OF CORTLAND COUNTY RESIDENTS ARE MEDICAID RECIPIENTS WHILE NEARLY 20% OF THE PATIENTS SEEN BY RMP PHYSICIANS ARE INSURED BY MEDICAID. THESE STATISTICS SUGGEST THAT CRMC'S EFFORTS TO IMPROVE MEDICAID RECIPIENTS' ACCESS TO MEDICAL CARE HAVE BEEN SUCCESSFUL. INSTITUTED A STROKE TELEMEDICINE PROGRAM TO PROVIDE BETTER OUTCOMES FOR STROKE VICTIMS IN COLLABORATION WITH UNIVERSITY HOSPITAL IN SYRACUSE. THE PROGRAM PROVIDES ACCESS TO NEUROLOGICAL CONSULTATIONS 24 HOURS PER DAY, SEVEN DAYS PER WEEK AND ALLOWS PATIENTS TO BE ADMINISTERED TIME-SENSITIVE TREATMENT THAT IMPROVES THE CHANCES OF RECOVERY. EMS REGULATIONS REQUIRE THAT INDIVIDUALS EXHIBITING SYMPTOMS OF HAVING A STROKE BE TRANSPORTED TO THE NEAREST STROKE CENTER, WHICH IS NOT NECESSARILY THE CLOSEST FACILITY. CRMC INTENDS TO SEEK CERTIFICATION AS A STROKE CENTER IN ORDER TO RECEIVE THESE PATIENTS AND IMPROVE OUTCOMES BY ADMINISTERING MORE TIMELY TREATMENT. GOAL: RECEIVE STROKE CENTER CERTIFICATION. MEASUREMENT: NUMBER OF SUSPECTED STROKE VICTIMS TRANSPORTED TO CRMC. CRMC HAS NOT YET RECEIVED STROKE CENTER CERTIFICATION. IN 2009, NINE SUSPECTED STROKE VICTIMS WERE TRANSPORTED TO CRMC WITH THREE BEING ADMINISTERED TPI. DURING THE FIRST EIGHT MONTHS OF 2010, FOUR SUSPECTED STROKE PATIENTS WERE SEEN AT CRMC AND TWO WERE ADMINISTERED TPI.PROVIDE SUFFICIENT NUMBERS OF PROVIDERS:PHYSICIAN RECRUITMENT AND RETENTION PLAN - CORTLAND REGIONAL MEDICAL CENTER ADOPTED A COMPREHENSIVE PHYSICIAN RECRUITMENT AND RETENTION PLAN THAT ESTABLISHES RECRUITMENT PRIORITIES OVER THE NEXT FIVE YEARS BASED ON A SURVEY OF COMMUNITY PHYSICIANS, INTERNAL DATA INCLUDING MEDICAL STAFF AGES AND ANTICIPATED RETIREMENTS, AND EXTERNAL DATA ON THE SUPPLY AND DISTRIBUTION OF PHYSICIANS. -PRIORITY SPECIALTY RECRUITMENT YEARS 1-3 -PRIMARY CARE: FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, ORTHOPEDICS, OB/GYN, ENT, GENERAL SURGERY, CARDIOLOGY, UROLOGY. RECRUITMENT EFFORTS HAVE BEEN SUCCESSFUL IN THE AREAS OF ORTHOPEDICS, OBSTETRICS/ GYNECOLOGY, AND CARDIOLOGY. -PRIORITY SPECIALTY RECRUITMENT YEARS 3-5 - NEUROLOGY, GASTROENTEROLOGY, ONCOLOGY, PSYCHIATRY, PRIMARY CARE: FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS. GOAL: SUCCESSFUL RECRUITMENT OF ADDITIONAL PHYSICIANS. MEASUREMENT: NUMBER OF NEW PHYSICIANS OPENING OR JOINING EXISTING PRACTICES. RECRUITMENT FOR THESE SPECIALTIES HAS NOT YET BEGUN.HEALTHY MOTHERS/HEALTHY BABIES/HEALTHY CHILDRENCORTLAND REGIONAL MEDICAL CENTER, TOGETHER WITH COMMUNITY PARTNERS, IS FOCUSING ON IMPROVING THE QUALITY OF OBSTETRICAL AND PEDIATRIC CARE, PROVIDING EDUCATION TO PREGNANT WOMEN AND NEW MOTHERS, AND ENSURING THERE ARE SUFFICIENT NUMBERS OF PHYSICIANS IN THE COMMUNITY TO PROVIDE IMPROVED ACCESS TO OBSTETRICAL AND PEDIATRIC CARE.QUALITY CARE:-THE DECISION WAS MADE NOT TO BUILD AN ADDITION. RENOVATION TO THE LABOR AND DELIVERY AREA WILL BEGIN IN 2012. -RMP OBSTETRICAL/GYNECOLOGICAL PRACTICE -CRMC RECRUITED AN OB/GYN SPECIALIST TO JOIN ITS AFFILIATE, REGIONAL MEDICAL PRACTICE, P.C., AND OPENED A NEW PRACTICE IN THE FALL OF 2009, WHICH HAS EXPANDED ACCESS TO QUALITY PRENATAL AND POSTPARTUM CARE. -MOMS PROGRAM - THE CORTLAND COUNTY HEALTH DEPARTMENT SPONSORS A MEDICAID OBSTETRICAL MATERNAL SERVICES PROGRAM (MOMS) THAT PROVIDES EXPECTANT MOTHERS WITH AN ARRAY OF SERVICES, INCLUDING NURSING VISITS, SOCIAL WORKER SUPPORT, AND NUTRITION CONSULTS. THE RMP OBSTETRICAL/GYNECOLOGICAL PRACTICE PARTICIPATES IN THE MOMS PROGRAM TO MAKE APPROPRIATE REFERRALS AND PROVIDE MEDICAL CARE TO MOMS PARTICIPANTS THROUGHOUT THEIR PREGNANCY. GOAL: INCREASE THE NUMBER OF WOMEN RECEIVING PRENATAL CARE IN THE FIRST TRIMESTER. MEASUREMENT: NUMBER OF WOMEN RECEIVING PRENATAL CARE IN THE FIRST TRIMESTER. RPM OBSTETRICAL/GYNECOLOGICAL PRACTICE BEGAN SEEING PATIENTS IN SEPTEMBER 2009, AND ITS PATIENT LOAD HAS GROWN INCREMENTALLY IN THE ENSUING MONTHS. THE PRACTICE ALSO BECAME A MOMS PROGRAM PROVIDER IN THE FALL OF 2009. STATISTICS RELATIVE TO WOMEN RECEIVING PRENATAL CARE IN THE FIRST TRIMESTER ARE AS YET UNAVAILABLE.EDUCATION:-CHILD BIRTH CLASSES -ON A MONTHLY BASIS, CRMC OFFERS A FULL TWO-DAY, WEEKEND CHILD BIRTH CLASS FOR EXPECTANT PARENTS THAT COVERS A VARIETY OF TOPICS, INCLUDING: NUTRITION; THE ROLE OF THE COACH; BREATHING AND RELAXATION TECHNIQUES FOR LABOR; CARE AND CHARACTERISTICS OF THE NEWBORN; BREASTFEEDING; PARENTING SKILLS; POST PARTUM ISSUES; AND INFANT SAFETY. CRMC ALSO PROVIDES SPACE FOR ITS COMMUNITY PARTNER, FAMILY HEALTH NETWORK, TO HOLD CHILD BIRTH CLASSES.-POSTPARTUM AND NEWBORN CARE EDUCATION - MATERNITY STAFF PROVIDE EDUCATION TO NEW MOTHERS ABOUT HOW TO CARE FOR THEMSELVES AND THEIR NEWBORNS.-BREASTFEEDING SUPPORT CLINICS - A FOLLOW UP SERVICE PROVIDED AFTER MOTHER AND BABY HAVE GONE HOME TO IMPROVE BREASTFEEDING SUCCESS AND ENCOURAGE THAT IT CONTINUES TO PROVIDE THE NEW INFANT A HEALTHY START.-HEALTHY BEGINNINGS PROGRAM - IN COLLABORATION WITH THE CORTLAND COUNTY HEALTH DEPARTMENT, CRMC DISTRIBUTES PACKETS THAT EMPHASIZE THE IMPORTANCE OF IMMUNIZATIONS AND ALSO PROVIDES INFORMATION ON LEAD POISONING PREVENTION; INFANT/CHILD SAFETY; NUTRITION; AND HEALTH AND DENTAL CARE. CRMC REGISTERS MOTHERS FOR HEALTHY BEGINNINGS NEWSLETTERS, WHICH THE HEALTH DEPARTMENT SENDS TO PARENTS AT OR AROUND THE TIME THEIR CHILD IS DUE FOR A WELL-CHILD VISIT DURING THE FIRST TWO YEARS OF LIFE.(CONTINUED IN SCHEDULE O)
PART VI, LINE 6: PARTICIPANTSCORTLAND REGIONAL MEDICAL CENTER COLLABORATES WITH THE CORTLAND COUNTY HEALTH DEPARTMENT, SUNY CORTLAND, AND THE UNITED WAY FOR CORTLND COUNTY TO MAINTAIN AN ONGOING COMMUNITY NEEDS ASSESSMENT UNDER THE AUSPICES OF THE SEVEN VALLEYS HEALTH COALITION. A COMMUNITY ASSESSMENT TEAM (CAT) COMPRISED OF THE MEDICAL CENTER'S CEO AND THE CORTLAND COUNTY PUBLIC HEALTH DIRECTOR, AS WELL AS REPRESENTATIVES FROM EACH OF THE OTHER INVOLVED ORGANIZATIONS, OVERSEES THE ANNUAL UPDATING OF THE ASSESSMENT. AT A MINIMUM, THE CAT MEETS BIANNUALLY AND MORE FREQUENTLY IF NEEDED. CORTLAND COUNTS: AN ASSESSMENT OF HEALTH AND WELL BEING IN CORTLAND COUNTY IS A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT THAT IS UPDATED EVERY FIVE YEARS. IN THE YEARS BETWEEN FULL ASSESSMENTS, AN ABBREVIATED VERSION, THE COMMUNITY REPORT CARD, IS PUBLISHED TO PROVIDE UPDATED HIGHLIGHTS OF THE COMPREHENSIVE ASSESSMENT IN AN "AT-A-GLANCE" FORMAT. THE MOST RECENT EDITION OF CORTLAND COUNTS COMPREHENSIVE REPORT WAS RELEASED IN OCTOBER 2009.OUTCOMESA BLUE RIBBON COMMITTEE (BRC) THAT INCLUDES BROAD COMMUNITY REPRESENTATION WAS ESTABLISHED IN 2002 TO REVIEW THE CORTLAND COUNTS ASSESSMENT IN LIGHT OF DATA PROVIDED BY FOCUS GROUPS AND CITIZEN SURVEYS CONDUCTED BY THE COMMUNITY ASSESSMENT TEAM, AS WELL AS OTHER COMMUNITY RESEARCH AND FEEDBACK. USING BOTH SUBJECTIVE AND OBJECTIVE DATA, THE BRC SET PRIORITIES AND DEVELOPED A STRATEGIC PLAN THAT CURRENTLY INCLUDES FOUR BROAD TRACKS: ECONOMIC DEVELOPMENT, YOUTH, HOUSING, AND HEALTH. A COMMUNITY ORGANIZATION, OR COALITION OF ORGANIZATIONS, IS TAKING THE LEAD TO ADDRESS EACH BROAD TRACK:THE CORTLAND COUNTY BUSINESS DEVELOPMENT CORPORATION IS SPEARHEADING ECONOMIC DEVELOPMENT INITIATIVES.THE CORTLAND AREA COMMUNITIES THAT CARE COALITION (CACTC) IS COORDINATING EFFORTS TO IMPROVE SERVICES AND EXPAND OPPORTUNITIES FOR THE YOUTH IN THE GREATER CORTLAND COMMUNITY.SEVERAL AGENCIES ARE INVOLVED IN ADDRESSING THE NEED FOR BETTER QUALITY, AFFORDABLE HOUSING.THE SEVEN VALLEYS HEALTH COALITION, IN COLLABORATION WITH CORTLAND REGIONAL MEDICAL CENTER, THE CORTLAND COUNTY HEALTH DEPARTMENT, FAMILY HEALTH NETWORK, AND OTHER COMMUNITY-BASED AGENCIES, IS DIRECTING THE FOCUS ON COMMUNITY HEALTH.THE BLUE RIBBON COMMITTEE MEETS ANNUALLY AND INVITES THE ENTIRE COMMUNITY TO PARTICIPATE IN REDEFINING PRIORITIES AND UPDATING THE STRATEGIC PLAN. CORTLAND COUNTS IS A KEY DOCUMENT THAT THE MEDICAL CENTER AND MANY COMMUNITY AGENCIES UTILIZE IN SETTING PRIORITIES FOR THE CONTINUATION OF EXISTING SERVICES AND THE DEVELOPMENT OF NEW/ENHANCED PROGRAMS AND SERVICES.PUBLIC INPUT IN THE ASSESSMENT PROCESSTHE 2010 CORTLAND COUNTS COMMUNITY FORUM, SPONSORED BY THE BLUE RIBBON COMMITTEE, WAS HELD JANUARY 14, 2010. MEMBERS OF THE COMMUNITY AT LARGE AND STAKEHOLDERS REPRESENTING EACH OF THE STRATEGIC PLAN TRACKS WERE IN ATTENDANCE. THE FINDINGS PUBLISHED IN THE LATEST EDITION OF CORTLAND COUNTS WERE REVIEWED AT THIS MEETING AND ATTENDEES WERE GIVEN THE OPPORTUNITY TO PROVIDE FEEDBACK AND INPUT ON 2010 PRIORITIES FOR EACH TRACK. BASED ON THIS FEEDBACK A SUSTAINABILITY TRACK WAS ADDED TO THE STRATEGIC PLAN.CORTLAND COUNTS IS A KEY DOCUMENT THAT THE MEDICAL CENTER AND MANY COMMUNITY AGENCIES UTILIZE IN SETTING PRIORITIES FOR THE CONTINUATION OF EXISTING SERVICES AND THE DEVELOPMENT OF NEW/ENHANCED PROGRAMS AND SERVICES.BARRIERS TO CARE/GAPS IN SERVICETRANSPORTATION:LACK OF TRANSPORTATION CONTINUES TO BE A BARRIER TO ACCESSING SERVICES FOR MANY INDIVIDUALS IN THE GREATER CORTLAND COMMUNITY. DETERMINING HOW MANY RESIDENTS ARE UNABLE TO OBTAIN HEALTHCARE BECAUSE OF TRANSPORTATION ISSUES IS AN ONGOING CHALLENGE. THE COUNTY'S NOT-FOR-PROFIT AGENCIES WERE SURVEYED IN THE SPRING OF 2009 IN AN ATTEMPT TO DETERMINE THE IMPACT ON ACCESS TO SERVICES CAUSED BY BUDGET CONSTRAINTS AND DECREASED FUNDING AS THE RESULT OF THE ECONOMIC DOWNTURN. IT WAS HOPED THIS SURVEY WOULD PRODUCE DATA THAT WOULD QUANTIFY THE SCOPE AND NATURE OF THE TRANSPORTATION PROBLEM. WHILE THE RESPONSES PROVIDED VALUABLE INFORMATION ABOUT THE AGENCIES, THEIR SERVICES, AND THE EXISTENCE OF WAITING LISTS AND PROGRAMS THAT WERE NO LONGER AVAILABLE, THE SURVEY WAS NOT AS HELPFUL AS ANTICIPATED IN DEFINING THE DEMOGRAPHICS OR NUMBER OF AREA RESIDENTS UNABLE TO ACCESS CARE BECAUSE OF TRANSPORTATION ISSUES. OBTAINING THIS DATA IS A CONTINUING GOAL THAT CAN ONLY BE ACHIEVED BY COLLABORATION AMONG CORTLAND REGIONAL MEDICAL CENTER, THE CORTLAND COUNTY HEALTH DEPARTMENT, SUNY CORTLAND, THE UNITED WAY FOR CORTLAND COUNTY, AND LOCAL PHYSICIAN PRACTICES. STRATEGIES TO GATHER INFORMATION FROM RESIDENTS OF THE OUTLYING AREAS OF THE COUNTY MUST ALSO BE EMPLOYED TO UNDERSTAND THE TRANSPORTATION BARRIERS FOR THOSE LIVING ON THE PERIPHERY OF THE SERVICE AREA.MENTAL HEALTH SERVICES:THE INADEQUACY OF MENTAL HEALTH SERVICES IN THE CORTLAND COMMUNITY, PARTICULARLY FOR CHILDREN, WAS THE PRIMARY TOPIC OF DISCUSSION REGARDING GAPS IN SERVICE. EXPANSION OF EXISTING CLINICS AND EXPLORATION OF PARTNERING WITH LARGER MEDICAL FACILITIES THROUGH TELEMEDICINE GRANT OPPORTUNITIES WERE DISCUSSED AS POSSIBLE SOLUTIONS.PUBLIC NOTIFICATION OF OPPORTUNITIES TO PROVIDE INPUTADVERTISEMENTS WERE PLACED IN THE LOCAL NEWSPAPER AND ANNOUNCEMENTS WERE DISTRIBUTED VIA E-MAIL AND LISTSERVS. PUBLIC ASSISTANCE PROGRAMS WERE ALSO ENCOURAGED TO POST THE NOTIFICATIONS AND TO ADVISE CLIENTS OF OPPORTUNITIES TO PARTICIPATE. UPON EVALUATION, THE PROCESS OF NOTIFYING THE PUBLIC COULD BE IMPROVED BY PLACING NOTICES WHERE THOSE RESIDENTS WHOSE ACCESS TO HEALTHCARE IS LIMITED WOULD BE MORE LIKELY TO SEE THEM. SUGGESTED LOCATIONS INCLUDE THE COUNTYS SENIOR CENTERS, LOCAL FOOD PANTRIES, CORTLAND-CHENANGO RURAL SERVICES, AND THROUGH CONTACT WITH THE FAITH COMMUNITY.
NY	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN MITTEER
309870	0	0	0	12783	0	43074	0	19854	0	385581	0	0	0
JEFFREY EARLE
167228	0	0	0	0	0	10146	0	10169	0	187543	0	0	0
DENISE MIRONTI
154799	0	0	0	276	0	9949	0	20916	0	185940	0	0	0
DENISE WRINN
202072	0	0	0	348	0	13783	0	22756	0	238959	0	0	0
THOMAS HALLISEY
126804	0	0	0	180	0	8059	0	20838	0	155881	0	0	0
ROBERT KARPMAN
301668	0	0	0	0	0	12874	0	16443	0	330985	0	0	0
CHRISTINA DENNISTON
123961	0	0	0	0	0	0	0	29056	0	153017	0	0	0
DAVID HARDY
57054	0	0	0	62717	0	0	0	708	0	120479	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4A

CHRISTINA KISACKY RECEIVED SERVERANCE PAYMENTS OF $25,388

PART I, LINE 6

CORTLAND REGIONAL MEDICAL CENTER'S EXECUTIVE COMPENSATION PROGRAM EMPLOYS A COMBINATION OF BASE SALARY AND INCENTIVE OPPORTUNITY IN ORDER TO MAINTAIN A COMPETITIVE POSITION WITH PEER INSTITUTIONS IN THE REGION. BASE SALARY IS TARGETED AT APPROXIMATELY THE 60TH PERCENTILE OF SIMILARY POSITIONS IN PEER INSTITUTIONS FOR EXPERIENCED PROFESSIONALS. AN ADDITIONAL AMOUNT THAT INCREASES THE EXECUTIVE'S SALARY TO THE 75TH PERCENTILE AS CONSIDERED AT RISK BASED ON THE EXECUTIVE'S ACCOMPLISHMENT OF SPECIFIED ORGAINIZATIONAL GOALS. ANNUALLY THE BOARD OF TRUSTEES ESTABLISHES APPROXIMATELY 15 GOALS FOR THE EXECUTIVE LEADERSHIP OF THE MEDICAL CENTER. ONLY ONE OF THESE GOALS IS RELATED TO NET EARNINGS. THE POTENTIAL VALUE OF ACHEIVING THIS GOAL RANGES FROM .006-.024 PERCENTAGE ADDITIONAL BASE PAY.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JOHANNA AMES
TRUSTEE	758949	OFFICER OF AMES LINEN SERVICES	0
R MICHAEL SHAFER
TRUSTEE	320	PARTNER OF RIEHLMAN, SHAFER & SHAFER	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	CORTLAND REGIONAL MEDICAL CENTER CONDUCTS BUSINESS WITH AMES LINEN, WHOSE OFFICER, JOHANNA AMES IS A TRUSTEE ON THE CORLAND REGIONAL MEDICAL CENTER BOARD. LEE SHURTLEFF IS THE PRESIDENT OF THE BOARD OF TRUSTEES FOR GROTON NURSING FACILITY AND IS A TRUSTEE FOR CORTLAND REGIONAL MEDICAL CENTER. GROTON NURSING FACILITY USES AMES LINEN SERVICE, WHOSE OFFICER JOHANNA AMES IS A TRUSTEE FOR CORTLAND REGIONAL MEDICAL CENTER. CORTLAND REGIONAL MEDICAL CENTER CONDUCTS BUSINESS WITH RIEHLMAN, SHAFER & SHAFER, WHOSE PARTNER, R. MICHAEL SHAFER IS A TRUSTEE ON THE CORTLAND REGIONAL MEDICAL CENTER BOARD. THE BUSINESS BETWEEN CORTLAND REGIONAL MEDICAL CENTER AND RIEHLMAN, SHAFER & SHAFER ARE PRIMARILY FOR REAL ESTATE TRANSACTIONS.
FORM 990, PART VI, SECTION A, LINE 6	THE PARENT, CMH GROUP, INC, IS THE SOLE MEMBER. CMH GROUP, INC. APPOINTS THE HOSPITAL BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	NO SINGLE PERSON, ONLY THE ORGANIZATION CMH GROUP, MAY ELECT OR APPOINT ONE OR MORE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER OF THE CORPORATION (THE C.M.H. GROUP) SHALL APPOINT ANNUALLY INDIVIDUALS TO FILL THE THEN-EXISTING VACANCIES ON THE BOARD (OF TRUSTEES) SO LONG AS THE BOARD HAS PROPOSED THAT THE VACANCY BE FILLED.
FORM 990, PART VI, SECTION B, LINE 11	BEFORE THE 990 IS SUBMITTED, IT IS MADE AVAILABLE TO THE BOARD OF TRUSTEES FINANCE COMMITTEE FOR THEIR REVIEW. QUESTIONS ARE THEN DIRECTED TO THE CFO/CONTROLLER. THE 990 IS THEN MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING. THE 990 IS ALSO REVIEWED BY THE CORPORATE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 12C	CORTLAND REGIONAL MEDICAL CENTER ENFORCES ITS CONFLICT OF INTEREST POLICY REQUIRING OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 15	CORTLAND REGIONAL MEDICAL CENTER EXECUTIVE COMMITTEE COMPENSATION PHILOSOPHY AND RESPONSIBILITY PURPOSE: AS DELEGATED REPRESENTATIVES OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE HAS THE POWER, DUTY AND RESPONSIBILITY TO DETERMINE THE ORGANIZATION'S OVERALL COMPENSATION PHILOSOPHY AND TO ESTABLISH THE GUIDELINES, RULES AND PROCEDURES NECESSARY FOR THE PROPER AND EFFICIENT ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAM. FURTHER, THE COMMITTEE ACKNOWLEDGES ITS RESPONSIBILITY TO ENSURE THAT THE EXECUTIVE COMPENSATION PROGRAM IS APPROPRIATE IN VIEW OF ITS MISSION, TAX-EXEMPT STATUS, CHARITABLE PURPOSE, AND THAT ITS COMPENSATION AND BENEFITS ARE REASONABLE AND NOT EXCESSIVE. TO THAT END, THE EXECUTIVE COMMITTEE WILL REVIEW AND APPROVE ALL FORMS OF EXECUTIVE COMPENSATION AND BENEFITS IN A MANNER NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULES OF SECTION 4958 OF THE IRC. MEMBERSHIP: THE COMMITTEE WILL CONSIST OF THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE. COMPENSATION PHILOSOPHY: THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO ESTABLISH AND MAINTAIN A COMPENSATION PACKAGE WHICH WILL ENABLE THE ORGANIZATION TO ATTRACT, RETAIN, MOTIVATE AND REWARD THE MANAGEMENT TEAM LEADERSHIP NEEDED TO SUCCESSFULLY ACCOMPLISH THE ORGANIZATION'S STRATEGIC AND OPERATIONAL GOALS. THE FOLLOWING GUIDELINES WILL BE USED: A TOTAL COMPENSATION CONCEPT WILL BE USED EMPLOYING A COMBINATION OF BASE SALARY, INCENTIVE OPPORTUNITY, FLEXIBLE BENEFITS, DEFERRED COMPENSATION AND OTHER PERQUISITES AS MAY BE NEEDED FROM TIME TO TIME TO MAINTAIN A COMPETITIVE POSITION WITH PEER INSTITUTIONS IN THE REGION. BASE SALARY WILL BE TARGETED AT APPROXIMATELY THE 60TH PERCENTILE OF SIMILAR POSITIONS IN PEER INSTITUTIONS FOR EXPERIENCED PROFESSIONALS. PAY LEVELS FOR INDIVIDUALS WILL DEPEND UPON EXPERIENCE, OVERALL PERFORMANCE, AND CONTRIBUTION TO THE SUCCESS OF THE ORGANIZATION. ANNUAL REVIEWS WILL TAKE PLACE AS OF JANUARY 1 EACH YEAR. INCREASING EMPHASIS WILL BE PLACED ON INCENTIVE COMPENSATION TO THE EXTENT CONSISTENT WITH THE OBJECTIVE TO MAINTAIN THE TAX EXEMPT STATUS OF THE VARIOUS CORPORATE ENTITIES. THE MANAGEMENT TEAM WILL HAVE THE OPPORTUNITY TO REACH THE MAXIMUM PERCENTAGE OF TOTAL COMPENSATION AVAILABLE AT THE TOP OF THE RANGE PAID AMONG PEER INSTITUTIONS BASED ON ACHIEVING OUTSTANDING PERFORMANCE WITH STRATEGIC GOALS IN THE INCENTIVE PLAN. TARGET OPPORTUNITIES WILL BE GEARED TO THE 75TH PERCENTILE OF TOTAL COMPENSATION. DEFERRED COMPENSATION AND PREQUISITE OPPORTUNITIES WILL BE DEVELOPED TO OPTIMIZE WHATEVER TAX DEFERRAL OPPORTUNITIES EXIST WITHIN THE TAX CODE AND TO BE COMPETITIVE WITH PEER INSTITUTIONS. THIS PHILOSOPHY SHALL BE APPLIED EXCEPT AS REQUIRED TO RECRUIT HIGHLY MARKET SENSITIVE POSITIONS. THE EXECUTIVE COMPENSATION PROGRAM SHALL OPERATE AND BE CONSISTENT WITH ALL FEDERAL AND STATE LAWS, CODES, AND PROCEDURES SO LEGISLATED. COMMITTEE RESPONSIBILITIES: THE EXECUTIVE COMMITTEE HAS THE RESPONSIBILITY TO: -SET THE OVERALL COMPENSATION PHILOSOPHY -SET, MONITOR AND REVIEW THE BASE SALARY OF THE CEO AND OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AS SET FORTH IN APPLICABLE LEGISLATION -ESTABLISH, MONITOR AND DETERMINE ACCOMPLISHMENT OF INCENTIVE AWARD GOALS FOR THE CEO AND OTHER APPLICABLE EXECUTIVES -OVERSEE THE CLEAR AND ACCURATE DISCLOSURE OF THE TOTAL VALUE OF COMPENSATION PAID TO EXECUTIVES AND OTHER KEY INDIVIDUALS ON THE HOSPITAL'S FORM 990 -RESOLVE AND DETERMINE ALL DISPUTES OR QUESTIONS ARISING UNDER THE PROGRAM, INCLUDING THE POWER TO DETERMINE THE RIGHTS OF EMPLOYEES AND TO REMEDY ANY AMBIGUITIES, INCONSISTENCIES OR OMISSIONS -AMEND OR RESTRUCTURE THE PROGRAM AT ANY TIME AND FOR ANY REASON ANNUAL PROCESS: BEGINNING OF CYCLE ACTIVITIES: -MEET WITH THE CEO TO IDENTIFY APPROPRIATE GOALS AND SUPPORTING OBJECTIVES TO BE INCLUDED IN THE INCENTIVE AWARD PROGRAM -PRIORITIZE OBJECTIVES, ESTABLISH/REVIEW STANDARDS OF PERFORMANCE AND AWARD LEVELS FOR THE CEO AND OTHER APPROPRIATE PARTIES -DETERMINE THE FUNDING MECHANISM FOR THE INCENTIVE AWARD -SECURE MARKET INFORMATION WITH REGARD TO THE POSITIONING OF THE CHIEF EXECUTIVE OFFICER AND OTHER APPROPRIATE EXECUTIVES AND SET BASE SALARY FOR THE PERIOD INTERIM ACTIVITY: CONDUCT PROGRESS REVIEW OF CEO'S STATED OBJECTIVES AND STANDARDS OF PERFORMANCE, AS NECESSARY END OF CYCLE ACTIVITY: -REVIEW THE STANDARDS OF PERFORMANCE FOR THE KEY OBJECTIVES AND MEASURE RESULTS -CONSIDER FACTORS INVOLVED IN MANAGERIAL EFFECTIVENESS -CONSIDER ANY UNANTICIPATED RESPONSIBILITIES OR SPECIAL ACCOMPLISHMENTS -SOLICIT PERFORMANCE EVALUATION FROM ALL BOARD MEMBERS -CONDUCT A PERFORMANCE REVIEW OF THE CEO -DETERMINE THE OVERALL EVALUATION AND AWARD LEVEL -RECEIVE A PERFORMANCE REVIEW FROM THE CEO FOR ALL OTHER MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND A SUMMARY OF PROPOSED SALARY AND INCENTIVE AWARDS
FORM 990, PART VI, SECTION C, LINE 18	CORTLAND REGIONAL MEDICAL CENTER'S 990 IS AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	CORTLAND REGIONAL MEDICAL CENTER'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -351,431. CHANGE IN FOUNDATION 207,692. PENSION AND POST RETIREMENT -6,874,829. TOTAL TO FORM 990, PART XI, LINE 5: -7,018,568.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	CORTLAND REGIONAL MEDICAL CENTER'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. THE INDEPENDENT ACCOUNTANT PRESENTS THE AUDIT TO THE FINANCE COMMITTEE AND THE FULL BOARD OF TRUSTEES ANNUALLY. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CMH GROUP
134 HOMER AVENUE	CORTLAND	NY	13045	222933722	PARENT CORPORATION	NY	501(C)(3)	11D	N/A	0
CMH FOUNDATION
134 HOMER AVENUE	CORTLAND	NY	13045	222230692	RAISE FUNDS ONLY FOR THE HOSPITAL	NY	501(C)(3)	7		0	CMH GROUP

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
REGIONAL MEDICAL PRACTICE
134 HOMER AVENUE	CORTLAND	NY	13045	204848729	PHYSICIAN GROUP	NY	REGIONAL MEDICAL PRACTICE	C	4890923	2555799	1.00000
CMH SERVICES
134 HOMER AVENUE	CORTLAND	NY	13045	161370440	DURABLE MEDICAL EQUIPMENT	NY	CM GROUP	C	1101672	545582

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
REGIONAL MEDICAL PRACTICE
I	64800	GL ACCOUNT
REGIONAL MEDICAL PRACTICE
D	3400000	GL ACCOUNT
REGIONAL MEDICAL PRACTICE
P	938156	CONSOLIDATED FINANCIAL STATEMENT
REGIONAL MEDICAL PRACTICE
A	419137	CONSOLIDATED FINANCIAL STATEMENT
CMH SERVICES
P	649092	GL ACCOUNT
CMH SERVICES
I	47464	GL ACCOUNT