GUTHRIE CORTLAND MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GUTHRIE CORTLAND MEDICAL CENTER (EIN 15-0532079)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201113189349307806
- Schema version
- 2010v3.4
- 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 G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T18:49:20-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | 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 | 2011-11-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH J SCHLEGEL | Name |
| Phone | 3154463600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 108833827 | 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 | PROVISION OF HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1186 | TotalNbrEmployees |
| Total Nbr Volunteers | 304 | TotalNbrVolunteers |
| Total Gross UBI | 314398 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -58648 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 896065 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1155003 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 81391866 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 82986143 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 214666 | InvestmentIncomePriorYear |
| Investment Income Current Year | 667566 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3503598 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4063024 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 86006195 | TotalRevenuePriorYear |
| Total Revenue Current Year | 88871736 | 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 | 47327233 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 49158213 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 46800 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 48000 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 185877 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 34513256 | OtherExpensePriorYear |
| Other Expenses Current Year | 36178632 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 81887289 | TotalExpensesPriorYear |
| Total Expenses Current Year | 85384845 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4118906 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3486891 | RevenuesLessExpensesCY |
| Total Assets BOY | 94599601 | TotalAssetsBOY |
| Total Assets EOY | 100718506 | TotalAssetsEOY |
| Total Liabilities BOY | 38488714 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 41670149 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 56110887 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 59048357 | 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 | 72255277 | Expense |
| Revenue | 82986143 | 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 64,831 AND OUTPATIENT SERVICE (ER, CLINIC, AMB SURG, REF AMB & LTHHC) VISITS WERE 131,410. 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 $699,000 IN 2010. | Description |
| Total Program Service Expense | 72255277 | 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 | 1 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | 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 | 66 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1186 | 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 | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 (31 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 |
|---|---|---|---|---|---|---|---|---|
| RAYMOND FRANCO | ||||||||
| BOARD MEMBER - CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | ||
| STEVEN CINQUANTI | ||||||||
| BOARD MEMBER - VICE CHAIRP | 1.00 | X | X | 0 | 0 | 0 | ||
| NANCY RONGO | ||||||||
| BOARD MEMBER - TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| WILLIAM POMEROY | ||||||||
| BOARD MEMBER - SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHANNA AMES | ||||||||
| BOARD MEMBER | 1.00 | 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 | |||
| SANDRA HOLLAND MD | ||||||||
| BD MBER EX OFFICIO TRUSTEE | 1.00 | X | 30000 | 0 | 0 | |||
| BRIAN MITTEER | ||||||||
| PRESIDENT/CEO | 37.50 | X | 377623 | 0 | 60223 | |||
| DAVID HARDY | ||||||||
| SENIOR VICE PRESIDENT/CFO | 37.50 | X | 226452 | 0 | 19202 | |||
| JEFFREY EARLE | ||||||||
| VICE PRESIDENT | 37.50 | X | 175348 | 0 | 19814 | |||
| DENISE MIRONTI | ||||||||
| SENIOR VICE PRESIDENT | 37.50 | X | 169433 | 0 | 31253 | |||
| DENISE WRINN | ||||||||
| VICE PRESIDENT | 37.50 | X | 138598 | 0 | 24710 | |||
| THOMAS HALLISEY | ||||||||
| VICE PRESIDENT | 37.50 | X | 122480 | 0 | 27225 | |||
| JUSSI MAIJALA | ||||||||
| VICE PRESIDENT | 1.00 | X | 23875 | 0 | 0 | |||
| ROBERT KARPMAN | ||||||||
| VICE PRESIDENT MEDICAL AFF | 37.50 | X | 311865 | 0 | 25948 | |||
| DAVID KAMINSKY | ||||||||
| PHARMACIST | 37.50 | 107871 | 0 | 5080 | X | |||
| THOMAS ROBERTS | ||||||||
| PHARMACIST | 37.50 | 108001 | 0 | 20953 | X | |||
| MARY WRIGHT | ||||||||
| ADMIN DIR OF LTC NURSING | 37.50 | 108418 | 0 | 26750 | X | |||
| MICHELLE TUCKER | ||||||||
| PHARMACIST | 37.50 | 103847 | 0 | 29112 | X | |||
| CHRISTINA DENNISTON | ||||||||
| DIRECTOR - PHARMACY | 37.50 | 120618 | 0 | 27158 | X | |||
| CHRISTINA KISACKY | ||||||||
| VICE PRESIDENT - FORMER | 37.50 | 122208 | 0 | 25246 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2246637 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 342674 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | 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 | 1136420 |
| EMERGENCY MEDICINE PHYSICIANS OF CORTLAN | |||||
| 4535 DRESSLER ROAD NW | CANTON | OH | 44718 | PHYSICIAN SERVICES | 820008 |
| AMES LINEN SERVICE | |||||
| 67 HUNTINGTON STREET | CORTLAND | NY | 13045 | LINEN SERVICE | 776018 |
| LABORATORY CORP OF AMERICA | |||||
| 69 FIRST AVENUE | RARITAN | NJ | 08869 | LABORATORY SERVICES | 524185 |
| HOME CARE FOR CORTLAND COUNTY | |||||
| 111 PORT WATSON STREET | CORTLAND | NY | 13045 | HOME CARE SERVICES | 343066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Government Grants | 612572 | GovernmentGrants |
| All Other Contributions | 542431 | AllOtherContributions |
| Total Contributions | 1155003 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENU | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 82986143 | TotalRevenueColumn |
| Related Or Exempt Function Income | 82986143 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 82986143 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 360793 | TotalRevenueColumn |
| Exclusion | $360,793 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20268864 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 19962091 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 306773 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 306773 | TotalRevenueColumn |
| Exclusion | $306,773 | 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 | 464749 | 150351 | 314398 |
| CAFETERIA REVENUE | 900099 | 328365 | 328365 | |
| REBATES | 900099 | 144049 | 144049 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3125861 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3125861 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4063024 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88871736 | TotalRevenueColumn |
| Related Or Exempt Function Income | 86734769 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 314398 | UnrelatedBusinessRevenue |
| Exclusion | $667,566 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1784049 | Total |
| Program Services | 30000 | ProgramServices |
| Management And General | 1754049 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35033098 | Total |
| Program Services | 30535276 | ProgramServices |
| Management And General | 4395618 | ManagementAndGeneral |
| Fundraising | 102204 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2346004 | Total |
| Program Services | 1971768 | ProgramServices |
| Management And General | 366796 | ManagementAndGeneral |
| Fundraising | 7440 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7393533 | Total |
| Program Services | 6243276 | ProgramServices |
| Management And General | 1129608 | ManagementAndGeneral |
| Fundraising | 20649 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2601529 | Total |
| Program Services | 2218779 | ProgramServices |
| Management And General | 375376 | ManagementAndGeneral |
| Fundraising | 7374 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188127 | Total |
| Management And General | 188127 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127992 | Total |
| Management And General | 127992 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98291 | Total |
| Management And General | 98291 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48000 | Total |
| Fundraising | 48000 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3539595 | Total |
| Program Services | 3118526 | ProgramServices |
| Management And General | 421069 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153591 | Total |
| Management And General | 153591 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 860506 | Total |
| Program Services | 350836 | ProgramServices |
| Management And General | 509670 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 785372 | Total |
| Management And General | 785372 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3087603 | Total |
| Program Services | 2421311 | ProgramServices |
| Management And General | 666292 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315419 | Total |
| Program Services | 302054 | ProgramServices |
| Management And General | 13365 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64908 | Total |
| Program Services | 46287 | ProgramServices |
| Management And General | 18621 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5032275 | Total |
| Program Services | 4254825 | ProgramServices |
| Management And General | 777450 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 533436 | Total |
| Program Services | 481295 | ProgramServices |
| Management And General | 52141 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 12178127 | 11864428 | 313699 | |
| PROVISION FOR UNCOLLECT | 4181601 | 4181601 | ||
| PURCHASED SERVICES | 3145478 | 2641522 | 503746 | 210 |
| EQUIPMENT RENTAL & MAIN | 1063813 | 977555 | 86258 | |
| COMPLIANCE OFFICE | 89147 | 89147 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 733351 | Total |
| Program Services | 615938 | ProgramServices |
| Management And General | 117413 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85384845 | Total |
| Program Services | 72255277 | ProgramServices |
| Management And General | 12943691 | ManagementAndGeneral |
| Fundraising | 185877 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8339 | BOY |
| EOY | 36756 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4912103 | BOY |
| EOY | 5505906 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 381504 | BOY |
| EOY | 737345 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16044315 | BOY |
| EOY | 15830331 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6505451 | BOY |
| EOY | 9536756 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 623099 | BOY |
| EOY | 597516 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 741130 | BOY |
| EOY | 732911 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 117555496 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 77327324 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41266351 | BOY |
| EOY | 40228172 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15528197 | BOY |
| EOY | 16650596 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8589112 | BOY |
| EOY | 10862217 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94599601 | BOY |
| EOY | 100718506 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7720061 | BOY |
| EOY | 7886818 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17608458 | BOY |
| EOY | 17198292 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1932861 | BOY |
| EOY | 1678176 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11227334 | BOY |
| EOY | 14906863 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38488714 | BOY |
| EOY | 41670149 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51598838 | BOY |
| EOY | 54286857 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 945728 | BOY |
| EOY | 1073293 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3566321 | BOY |
| EOY | 3688207 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56110887 | BOY |
| EOY | 59048357 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94599601 | BOY |
| EOY | 100718506 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3486891 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -549421 | 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 | $98,291 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 98291 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | 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 | 4512050 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 572422 | InvestmentEarningsOrLosses |
| Other Expenditures | -317067 | OtherExpenditures |
| Administrative Expenses | -5905 | AdministrativeExpenses |
| End Of Year Balance | 4761500 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3801098 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 912002 | InvestmentEarningsOrLosses |
| Other Expenditures | -195620 | OtherExpenditures |
| Administrative Expenses | -5430 | AdministrativeExpenses |
| End Of Year Balance | 4512050 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4593111 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -276675 | InvestmentEarningsOrLosses |
| Other Expenditures | -509448 | OtherExpenditures |
| Administrative Expenses | -5890 | AdministrativeExpenses |
| End Of Year Balance | 3801098 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.77500 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.22500 | 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 | 61943937 | OtherCostOrOtherBasis |
| Depreciation | 37755947 | Depreciation |
| Book Value | 24187990 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48501102 | OtherCostOrOtherBasis |
| Depreciation | 37636232 | Depreciation |
| Book Value | 10864870 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4123418 | OtherCostOrOtherBasis |
| Depreciation | 1935145 | Depreciation |
| Book Value | 2188273 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 40228172 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTEREST IN NET ASSETS OF CORTLAND MEMORIAL FOUNDATION | 4529803 |
| DEBT SERVICE FUNDS | 2298993 |
| UNAMORTIZED DEBT ISSUANCE COST | 1125665 |
| OTHER RECEIVABLES | 2907756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 10862217 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PAYORS | $2,976,062 |
| ADDITIONAL MINIMUM PENSION LIABILITY | $9,978,563 |
| ADVANCES FROM THIRD PARTY PAYORS | $1,952,238 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14906863 | TotalOfAmounts |
| Total Revenue | 88871736 | TotalRevenue |
| Total Expenses | 85384845 | TotalExpenses |
| Excess Or Deficit For Year | 3486891 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 341031 | NetUnrealizedGLOnInvestments |
| Other | -$890,452 | OtherAmount |
| Total Adjustments | -549421 | TotalAdjustments |
| Excess Or Deficit Per FS | 2937470 | 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, 2010 AND 2009, 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 2007 THROUGH 2010. 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 395,938. PENSION AND POST RETIREMENT -1,286,390. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | 0 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | JENNIFER TURCK | NameOfIndividual |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 BRAESIDE DRIVE | AddressLine1 |
| City | HOMER | City |
| State | NY | State |
| ZIP Code | 13077 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | RAISE FUNDS FOR CMH FOUNDATION | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 0 | GrossReceipts |
| Amount Retained By Contractor | 48000 | AmountRetainedByContractor |
| Net To Organization | -48000 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | 48000 | TotalRetainedByContractors |
| Total Net To Organization | -48000 | TotalNetToOrganization |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF FUNDRAISING PAYMENTS | Identifier |
| Return Reference | SCHEDULE G, PART I, LINE 2B, COLUMN (V) | ReturnReference |
| Explanation | THE HOSPITAL PAYS THE INVOICE FOR JENNIFER TURK,BUT ALL THE FUNDRAISING GOES TO CMH FOUNDATION. | Explanation |
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 | 899 | PersonsServed |
| Total Community Benefit Expense | 360740 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 360740 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30186 | PersonsServed |
| Total Community Benefit Expense | 19402163 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16941600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2460563 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02880 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31085 | PersonsServed |
| Total Community Benefit Expense | 19762903 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16941600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2821303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03300 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6782 | PersonsServed |
| Total Community Benefit Expense | 50779 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13687 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37092 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4629341 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2094943 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2534398 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29087 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 29087 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6782 | PersonsServed |
| Total Community Benefit Expense | 4709207 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2108630 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2600577 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37867 | PersonsServed |
| Total Community Benefit Expense | 24472110 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19050230 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5421880 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06340 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,159,278 | BadDebtExpenseAmount |
| Amount Attributable To | 223000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 28999577 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 31251052 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2251475 | 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 |
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 | LABORATROY SERVICES |
| CRMC LABORATORY SERVICE CENTER | ||||
| 6 EUCLID AVENUE | CORTLAND | NY | 13045 | LABORATROY SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 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 2010 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 ONE 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 2010 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 FINANACIAL 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, REPRORATE, 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 DAY 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 NOTE 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 CMH, 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 2010 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 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; 0WOMEN -54.9; 48.6; 47.3; 43.8; 0*LUNG/BRONCHUS CANCERMEN - 92.8; 89.0; 82.2; 79.4; 0WOMEN- 70.0; 62.0; 53.9; 52.6; 0*CEREBROVASCULAR DISEASE MORTALITY RATE - 63.2; 43.9; 34.0; 46.6; 48.0*CLRD OR COPDMORTALITY RATE - 57.1; 46.7; 35.3; 43.2; 60.0*CERVICAL UTERINE CANCER - 10.2; 7.5; 9.0; 8.4; 0*PROSTATE CANCER - 174.1; 174.8; 170.3; 163.0; 0 *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 6: 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. THE NURSE RESIDENCY PROGRAM PLACES EMPHASIS ON IMPROVING HEALTH OUTCOMES AND QUALITY OF CARE FOR ALL PATIENTS BUT IN PARTICULAR FOR PATIENTS WITH CHF. GOAL: REDUCE THE RATE OF READMISSIONS WITHIN 30 DAYS FOR PATIENTS WITH CHF. MEASUREMENT: NUMBER OF READMISSIONS WITH CHF DIAGNOSIS. COMPARATIVE STATISTICS FOR READMISSION OF CHF PATIENTS ARE NOT AVAILABLE AT THIS TIME.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 7: 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 CORTLAND COUNTS WAS RELEASED IN OCTOBER 2009.ADDRESSING THE FINDINGSTHE MEDICAL CENTER'S CEO IS ALSO A MEMBER OF A BLUE RIBBON COMMITTEE (BRC) THAT INCLUDES BROAD COMMUNITY REPRESENTATION. IN THE FALL OF 2009, THE BRC REVIEWED THE MOST RECENT CORTLAND COUNTS ASSESSMENT IN LIGHT OF DATA PROVIDED BY FOCUS GROUPS AND CITIZEN SURVEYS, AS WELL AS OTHER COMMUNITY RESEARCH AND FEEDBACK. USING BOTH SUBJECTIVE AND OBJECTIVE DATA, THE BRC SET PRIORITIES AND DEVELOPED AN UPDATED STRATEGIC PLAN. THE CURRENT PLAN INCLUDES FIVE BROAD TRACKS: ECONOMIC DEVELOPMENT, YOUTH, HOUSING, SUSTAINABILITY, AND HEALTH. A COMMUNITY ORGANIZATION, OR COALITION OF ORGANIZATIONS, IS TAKING THE LEAD TO ADDRESS EACH BROAD TRACK. 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.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) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| 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 (7 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 | |||||||||||||
| 301635 | 0 | 66467 | 0 | 9521 | 0 | 41700 | 0 | 18523 | 0 | 437846 | 0 | 66467 | 0 |
| DAVID HARDY | |||||||||||||
| 199981 | 0 | 24947 | 0 | 1524 | 0 | 14976 | 0 | 4226 | 0 | 245654 | 0 | 17440 | 0 |
| JEFFREY EARLE | |||||||||||||
| 155214 | 0 | 19066 | 0 | 1068 | 0 | 10067 | 0 | 9747 | 0 | 195162 | 0 | 19066 | 0 |
| DENISE MIRONTI | |||||||||||||
| 147092 | 0 | 22065 | 0 | 276 | 0 | 10606 | 0 | 20647 | 0 | 200686 | 0 | 22065 | 0 |
| DENISE WRINN | |||||||||||||
| 127664 | 0 | 10658 | 0 | 276 | 0 | 7420 | 0 | 17290 | 0 | 163308 | 0 | 10658 | 0 |
| ROBERT KARPMAN | |||||||||||||
| 293253 | 0 | 18612 | 0 | 0 | 0 | 10311 | 0 | 15637 | 0 | 337813 | 0 | 18612 | 0 |
| CHRISTINA KISACKY | |||||||||||||
| 87741 | 0 | 8344 | 0 | 26123 | 0 | 4426 | 0 | 20820 | 0 | 147454 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE HOSPITAL PAYS THE ANNUAL MEMBERSHIP DUES TO THE CORTLAND COUNTRY CLUB FOR ITS PRESIDENT/CEO. THIS AMOUNTED TO $702 IN 2010. THIS ALLOWS ACCESS TO THE FACILITY FOR PURPOSES OF ORGANIZATIONAL EVENTS SUCH AS EMPLOYEE AWARDS DINNER, PHYSICIAN RECOGNITION DINNER AND FOUNDATION FUNDRAISING EVENTS. THE CORTLAND COUNTRY CLUB DOES NOT OFFER A CORPORATE MEMBERSHIP AND THERE IS A LIMITED NUMBER OF APPROPRIATE FACILITIES IN THE AREA LARGE ENOUGH FOR THESE EVENTS. |
| PART I, LINE 1B | EVEN THOUGH SUBSTANTIATION IS NOT REQUIRED FOR THE CLUB MEMBERSHIP, ALL EXPENSES ASSOCIATED WITH USING THE FACILITY HAVE BEEN REIMBURSED ACCORDING TO THE ACCOUNTS PAYABLE WRITTEN POLICY. |
| PART I, LINE 4A | CHRISTINA KISACKY RECEIVED SERVERANCE PAYMENTS OF $24,038 |
| 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 | 776018 | OFFICER OF AMES LINEN SERVICES | 0 |
| R MICHAEL SHAFER | |||
| TRUSTEE | 6353 | PARTNER OF RIEHLMAN, SHAFER & SHAFER | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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, CORTLAND REGIONAL MEDICAL CENTER'S CFO AND CONTROLLER PRESENT THE 990 TO THE BOARD OF TRUSTEES FINANCIAL COMMITTEE FOR REVIEW. THEN IT IS PRESENTED TO THE FULL BOARD OF TRUSTEES. THE 990 IS ALSO REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. | |
| CORTLAND REGIONAL MEDICAL CENTER ENFORCES ITS CONFLICT OF INTEREST POLICY REQUIRING OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS. THE CORPORATE COMPLIANCE OFFICER PREPARES A SUMMARY REPORT. | FORM 990, PART VI, SECTION B, LINE 12C | |
| CORTLAND REGIONAL MEDICAL CENTER EXECUTIVE COMMITTEEE 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 PERQUISITE 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 HOSPITALS 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 B, LINE 15 | |
| CORTLAND REGIONAL MEDICAL CENTER'S 990 IS AVAILABLE UPON WRITTEN REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| CORTLAND REGIONAL MEDICAL CENTER'S GOVERNING DOCUMENTS, FINANCIAL STATEMENT AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 341,031. CHANGE IN FOUNDATION 395,938. PENSION AND POST RETIREMENT -1,286,390. TOTAL TO FORM 990, PART XI, LINE 5: -549,421. | FORM 990, PART XI, LINE 5: |
| 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. | ||
| CONTINUATION FROM FORM 990, SCHEDULE H, PART III, LINE 8: 5. ANY PAYMENTS MADE DURING THE APPLICATION PROCESS REMAIN THE PROPERTY OF CORTLAND REGIONAL MEDICAL CENTER. 6. PAYMENTS RECEIVED FROM THIRD PARTY PAYERS (IE: MEDICARE, MEDICAID, COMMERCIAL INSURANCE, ETC.) AFTER FINANCIAL ASSISTANCE HAS BEEN GRANTED, REMAIN THE PROPERTY OF CORTLAND REGIONAL MEDICAL CENTER. 7. CRMC WILL NOT FORCE A SALE OR FORECLOSURE ON A PATIENT'S PRIMARY RESIDENCE IN ORDER TO COLLECT AN OUTSTANDING MEDICAL BILL. 8. CRMC WILL NOT FORWARD AN ACCOUNT TO COLLECTION WHILE IT IS DETERMINING THE PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY. 9. CRMC WILL NOTIFY ITS PATIENTS AT LEAST 30 DAYS PRIOR TO SENDING AN ACCOUNT TO COLLECTION. 10. CRMC WILL REQUIRE ITS COLLECTION AGENCY TO OBTAIN WRITTEN PERMISSION ON ACCOUNTS BEFORE COMMENCING LEGAL ACTION. 11. CRMC WILL EDUCATION AND TRAIN ALL APPROPRIATE STAFF AND ITS COLLECTION AGENCY ON ITS FINANCIAL AID POLICY. 12. CRMC WILL NOT PURSUE COLLECTIONS FROM PATIENTS WHO WERE ELIGIBLE FOR MEDICAL ASSISTANCE UNDER THE MEDICAID PROGRAM AT THE TIME OF SERVICE. 13. CRMC WILL SUBMIT A REPORT CERTIFIED BY ONE OF ITS SENIOR OFFICIALS AND IT WILL INCLUDE: A) HOSPITAL COSTS INCURRED AND UNCOLLECTED AMOUNTS IN PROVIDING SERVICES TO ELIGIBLE PATIENTS WITHOUT INSURANCE, INCLUDING THE AMOUNT OF CARE PROVIDED FOR A NOMINAL AMOUNT. B) HOSPITAL COSTS INCURRED AND UNCOLLECTED AMOUNTS FOR DEDUCTIBLES AND COINSURANCE FOR ELIGIBLE PATIENTS WITH INSURANCE OR OTHER THIRD-PARTY PAYOR COVERAGE. C) THE NUMBER OF PATIENTS WHO APPLIED FOR FINANCIAL ASSISTANCE BROKEN DOWN BY THOSE THAT WERE APPROVED AND THOSE THAT WERE DENIED AND BY ZIP CODES. D) REIMBURSEMENT RECEIVED FOR INDIGENT CARE FOR THE POOL ESTABLISHED BY DEPARTMENT OF HEALTH. E) THE AMOUNT OF FUNDS THAT HAVE BEEN EXPENDED ON CHARITY CARE FROM CHARITABLE BEQUESTS MADE OR TRUSTS ESTABLISHED FOR THE PURPOSE OF PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WHO ARE ELIGIBLE IN ACCORDANCE WITH THE TERMS OR SUCH BEQUEST OR TRUSTS. F) THE NUMBER OF MEDICAID APPLICATIONS THE HOSPITAL AND/OR ITS AGENT ASSISTED WITH AND THE NUMBER OF APPROVAL AND DENIALS. G) CRMC'S FINANCIAL LOSSES RESULTING FROM SERVICES PROVIDED UNDER MEDICAID. H) THE NUMBER OF LIENS PLACED ON PRIMARY RESIDENCES OF PATIENTS THROUGH THE COLLECTION PROCESS USED BY CRMC. X. APPEALS PROCESS 1. ALL APPLICANTS HAVE A RIGHT TO APPEAL THE DECISION MADE BY CRMC. 2. APPEALS MUST BE MADE IN WRITING WITHIN 20 DAYS FROM THE DATE OF APPROVAL OR DENIAL. 3. A FINAL DETERMINATION WILL BE MADE WITHIN 20 DAYS OF THE DATE OF THE APPEAL. FORWARD APPEALS TO: CORTLAND REGIONAL MEDICAL CENTER, SENIOR VICE PRESIDENT OPERATIONS/CFO, 134 HOMER AVE., CORTLAND, NEW YORK 13045 FINANCIAL AID PROGRAM SUCCESSES AND CHALLENGES ACCOMPLISHMENTS: -DISTRIBUTE PAMPHLETS HIGHLIGHTING CRMCS FINANCIAL AID PROGRAM AND HOW TO APPLY; PAMPHLET IS AVAILABLE AT ALL REGISTRATION LOCATIONS, ON AND OFFSITE -PROVIDE FINANCIAL AID TO INCOME LEVELS UP TO 300% OF THE FEDERAL POVERTY LEVEL IN ACCORDANCE THE CRMCS FINANCIAL ASSISTANCE POLICY -PROMINENTLY DISPLAY SIGNAGE ABOUT CRMCS FINANCIAL AID PROGRAM IN ALL REGISTRATION AREAS, BOTH ON AND OFFSITE, AS WELL IN THE BUSINESS OFFICE AND MAIN LOBBY -DISSEMINATE CRMC FINANCIAL AID PAMPHLETS AND APPLICATIONS AT FAMILY HEALTH NETWORK CLINIC SITES -OFFER CONVENIENT ACCESS TO THE FACILITATED ENROLLER FOR TOTAL CARE WHO 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 AND CALL PATIENTS WITHOUT COVERAGE FOR CURRENT INSURANCE INFORMATION; IF THEY HAVE NONE, PATIENTS 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 THE FINANCIAL AID PROGRAM AS STRUCTURED APPEARS TO BE WORKING WELL TO MEET CRMC'S PATIENTS' NEEDS FOR FINANCIAL ASSISTANCE. NO CHANGES ARE ANTICIPATED IN THE COMING YEAR. | ||
| SCHEDULE H, PART VI, LINE 2 (CONTINUED) STATISTICS AVAILABLE TO DATE ARE INSUFFICIENT TO DETERMINE WHETHER THESE EFFORTS ARE HAVING THE DESIRED IMPACT; HOWEVER, THE 30-DAY READMISSION RATE IN 2010 IS 15.6% VERSUS 14.8% IN 2009. FACTORS THAT CONTRIBUTED TO AN INCREASE IN THE 30-DAY READMISSION RATE RATHER THAN THE DESIRED DECREASE ARE BEING INVESTIGATED. DIABETES: CORTLAND REGIONAL MEDICAL CENTER WORKS IN COLLABORATION WITH THE CENTRAL NEW YORK DIABETES PREVENTION PARTNERSHIP. THE MEDICAL CENTER'S CERTIFIED DIABETIC EDUCATOR IS AN ACTIVE PARTICIPANT IN THIS COALITION OF PROVIDERS OF SERVICES TO DIABETICS. -CRMC DIABETES SERVICES - THE MEDICAL CENTER HAS BEEN OFFERING A COMPREHENSIVE RANGE OF SERVICES TO DIABETICS FOR MORE THAN 20 YEARS. A REGISTERED NURSE WHO IS CERTIFIED AS A DIABETIC EDUCATOR THROUGH THE AMERICAN DIABETES ASSOCIATION COORDINATES THESE SERVICES. CRMC COMMITTED SIGNIFICANT FINANCIAL RESOURCES OVER A TWO-YEAR PERIOD TO PERMIT A STAFF RN TO RECEIVE THE TRAINING NECESSARY TO BECOME CERTIFIED. THE RANGE OF SERVICES INCLUDES: OUTPATIENT COUNSELING - INDIVIDUALIZED EDUCATION REGARDING INSULIN/MEDICATION MANAGEMENT, USE OF A GLUCOMETER, AND GENERAL MANAGEMENT OF THE DISEASE. DIABETES SELF-MANAGEMENT PROGRAM - A FOUR-WEEK PROGRAM THAT COVERS VARIOUS ASPECTS OF MANAGING DIABETES, INCLUDING MEDICATIONS; NUTRITION AND MEAL PLANNING; EXERCISE; STRESS MANAGEMENT; AND EYE AND FOOT CARE. DIABETES SUPPORT GROUP - A MONTHLY FORUM THAT PROVIDES AN OPPORTUNITY FOR DIABETICS AND MEMBERS OF THEIR FAMILIES TO DISCUSS THE CHALLENGES OF LIVING WITH DIABETES. FOLLOW UP TELEPHONE CONSULTATIONS - CRMC'S CERTIFIED DIABETIC EDUCATOR FOLLOWS UP WITH EACH PARTICIPANT OF THE DIABETES SELF-MANAGEMENT PROGRAM AND EVERY PATIENT WITH WHOM THE EDUCATOR CONSULTED WHILE RECEIVING TREATMENT AT CRMC. THESE TELEPHONE CONSULTATIONS PROVIDE PATIENTS THE OPPORTUNITY TO ADDRESS QUESTIONS, CONCERNS, AND SPECIFIC ISSUES. GOAL: INCREASE THE NUMBER OF DIABETICS PARTICIPATING IN THESE PROGRAMS. MEASUREMENT: NUMBER OF PATIENTS ENROLLED IN DIABETIC EDUCATION PROGRAMS. THE GOAL OF INCREASING THE NUMBER OF DIABETICS PARTICIPATING IN CRMC'S PROGRAMS FOR DIABETICS WAS NOT MET IN YEAR ONE. THE NUMBER OF PARTICIPANTS IN THE DIABETES SELF-MANAGEMENT PROGRAM DECLINED FROM 45 IN THE PERIOD FROM JANUARY TO SEPTEMBER 2009 TO 18 FOR THE SAME PERIOD IN 2010. ANECDOTAL EVIDENCE SUGGESTS THAT MANY POTENTIAL CLIENTS ARE UNABLE OR UNWILLING TO PAY THE $52.50 OUT-OF-POCKET FEE DUE TO ECONOMIC UNCERTAINTY. THE FEE IS BEING REVIEWED TO DETERMINE WHETHER IT CAN BE LOWERED TO MAKE PARTICIPATION FEASIBLE FOR MORE CLIENTS. CARDIAC HEALTH: -RMP CARDIOLOGY PRACTICE - REGIONAL MEDICAL PRACTICE, P.C. (RMP) IS AN AFFILIATE OF CORTLAND REGIONAL MEDICAL CENTER THAT EMPLOYS PHYSICIANS AND DEVELOPS OFFICE-BASED PRACTICES. THROUGH THIS VEHICLE, CRMC RECRUITED A CARDIOLOGIST TO PRACTICE ONSITE, FILLING A GAP IN SERVICE FOR THIS SPECIALTY. THE RMP CARDIOLOGY PRACTICE PROVIDES A FULL ARRAY OF NON-INVASIVE CARDIAC CARE, INCLUDING CARDIAC DIAGNOSTICS AND PACE MAKER MONITORING. IN AUGUST 2010, CRMC EXPANDED THE CAPACITY OF THIS PRACTICE WITH THE ADDITION OF A SECOND CARDIOLOGIST. PLANS ARE ALSO BEING DEVELOPED TO OPEN SATELLITE OFFICES TO PROVIDE EVEN GREATER ACCESS TO OFFICE-BASED CARDIAC CARE. -CARDIAC REHABILITATION PROGRAM - CRMC OFFERS A CARDIAC REHABILITATION PROGRAM FOR PATIENTS WHO ARE RECOVERING FROM CARDIAC DISEASE. THE PROGRAM PROVIDES A PROGRESSIVE EXERCISE REGIMEN UNDER THE SUPERVISION OF A CARDIOLOGIST. -VASCULAR SCREENING PROGRAM -UNDER THE AUSPICES OF A PROPOSED CORTLAND RURAL HEALTH OUTREACH COLLABORATIVE, A PROGRAM WOULD BE INSTITUTED TO INCREASE EARLY DETECTION OF CAROTID, AORTIC, AND PERIPHERAL VASCULAR DISEASES BY CONDUCTING NON-INVASIVE DIAGNOSTIC SCREENING OF ADULTS OVER AGE 50 AT COMMUNITY HEALTH SCREENING EVENTS. INDIVIDUALS IDENTIFIED AS BEING AT RISK WOULD BE ASSISTED IN OBTAINING ACCESS TO NECESSARY DIAGNOSTIC TESTS AND PROCEDURES. IMPLEMENTATION OF A VASCULAR SCREENING PROGRAM IS CONTINGENT UPON SECURING FUNDING; TO DATE, CRMC AND ITS COMMUNITY PARTNERS HAVE NOT SUCCEEDED IN SECURING THESE FUNDS, THUS THE PROGRAM HAS NOT YET BEEN IMPLEMENTED. ADDITIONALLY, IT IS BECOMING INCREASINGLY DIFFICULT TO PROVIDE SCREENINGS AND MAINTAIN REGULATORY COMPLIANCE. -CONGESTIVE HEART FAILURE (CHF) REHABILITATION PROGRAM - CRMC PROPOSES TO FOLLOW THE MODEL OUTLINED FOR THE VASCULAR SCREENING PROGRAM TO INTRODUCE A CHF REHABILITATION PROGRAM. UNFORTUNATELY, A SOURCE OF ALTERNATIVE FUNDS TO SUPPORT THE COST OF A CHF REHABILITATION PROGRAM HAS NOT BEEN IDENTIFIED, THUS THE PROGRAM HAS NOT YET BEEN IMPLEMENTED. GOAL 1: DISEASE PREVENTION BY INCREASED PARTICIPATION IN CARDIAC HEALTH AND SCREENING PROGRAMS. MEASUREMENT: NUMBER OF PARTICIPANTS IN CARDIAC HEALTH AND SCREENING PROGRAMS. GOAL 2: PREVENT PROGRESSION OF CARDIAC DISEASE. MEASUREMENT: NUMBER OF READMISSIONS AT 30, 60, AND 90 DAYS. THE GOAL OF INCREASING THE NUMBER OF PARTICIPANTS TAKING ADVANTAGE OF CARDIAC HEALTH AND SCREENING PROGRAMS HAS BEEN PARTIALLY MET. WHILE CRMC HAS NOT YET ESTABLISHED THE VASCULAR SCREENING AND CHF REHABILITATION PROGRAMS FOR LACK OF FUNDING, PARTICIPATION IN CRMC'S CARDIAC REHABILITATION PROGRAM HAS INCREASED 46%. COMPARATIVE STATISTICS FOR READMISSION OF PATIENTS WITH CARDIAC DISEASES ARE NOT AVAILABLE AT THIS TIME. LUNG DISEASES: -PULMONARY REHABILITATION PROGRAM PULMONARY REHABILITATION IS AN EXERCISE PROGRAM DESIGNED FOR PATIENTS WITH CHRONIC PULMONARY OBSTRUCTIVE DISEASE (COPD) TO INCREASE EXERCISE TOLERANCE AND INDEPENDENCE IN ACTIVITIES OF DAILY LIVING AND TO DECREASE SYMPTOMS AND UTILIZATION OF MEDICAL RESOURCES. IN ORDER TO EXPAND ITS EXISTING PULMONARY EXERCISE PROGRAM, CRMC IS PURSUING CERTIFICATION, WHICH INVOLVES AN ACCREDITATION PROCESS TO ENSURE THE PROGRAM MEETS NATIONAL QUALITY STANDARDS. A BENEFIT OF CERTIFICATION IS THAT PHYSICIANS WILL VIEW THE PROGRAM POSITIVELY AND MORE READILY REFER PATIENTS TO IT. GOAL: ESTABLISH A CERTIFIED PULMONARY REHABILITATION PROGRAM. MEASUREMENT: NUMBER OF PARTICIPANTS IN THE CERTIFIED PROGRAM. PROGRESS IS BEING MADE TOWARD MEETING THE GOAL OF ESTABLISHING A CERTIFIED PULMONARY REHABILITATION PROGRAM. THE PRELIMINARY REQUIREMENTS HAVE BEEN MET DURING 2010; CRMC WILL MAKE ITS APPLICATION IN 2011 AND ANTICIPATES RECEIVING CERTIFICATION NEXT AUGUST. -SMOKING CESSATION INITIATIVE CRMC, IN COLLABORATION WITH THE CORTLAND COUNTY HEALTH DEPARTMENT, HAS UNDERTAKEN A BROAD-BASED CAMPAIGN AGAINST SMOKING. A SIGNIFICANT STEP IN THIS PROCESS OCCURRED IN MARCH 2006 WHEN THE FACILITY BECAME A SMOKE FREE CAMPUS. COMPONENTS OF CRMC'S SMOKING CESSATION PROGRAM INCLUDE: IDENTIFY INPATIENT SMOKERS; OFFER SMOKING CESSATION SERVICES DURING HOSPITALIZATION. DISTRIBUTE NICOTINE REPLACEMENT PRODUCTS. PROVIDE INDIVIDUAL SMOKING CESSATION COUNSELING BY LICENSED RESPIRATORY THERAPISTS. OFFER THE "TOBACCO FREE FOR LIFE" PROGRAM, A SEVEN-WEEK, COMPREHENSIVE APPROACH TO QUITTING TOBACCO USE. SPONSOR AND HOST THE ANNUAL "GREAT AMERICAN SMOKE-OUT." PARTICIPATE IN ANTI-SMOKING CAMPAIGNS AT AREA HIGH SCHOOLS. GOAL: REDUCE THE NUMBER OF SMOKERS IN CORTLAND COUNTY. MEASUREMENT: PERCENT OF COUNTY RESIDENTS WHO SMOKE. THE LATEST STATISTICS INDICATE THAT SMOKING CESSATION INITIATIVES HAVE BEEN SUCCESSFUL IN REDUCING SMOKING RATES AMONG THE GENERAL POPULATION IN CORTLAND COUNTY. SMOKING RATES HAVE DECLINED FROM 23.9% IN 2004 TO 14.2% IN 2008. SMOKING CESSATION ACTIVITIES ARE ONGOING IN ORDER TO SUSTAIN THIS POSITIVE TREND. | ||
| SCHEDULE H, PART VI, LINE 5 (CONTINUED) -SMOKING CESSATION EDUCATION - A REMARKABLY HIGH PERCENTAGE OF PREGNANT WOMEN IN CORTLAND COUNTY SMOKE CIGARETTES THROUGHOUT THEIR PREGNANCY. CRMC WILL TARGET PREGNANT WOMEN TO RECEIVE SMOKING CESSATION EDUCATION. THE RMP OBSTETRICAL/ GYNECOLOGICAL PRACTICE WILL IDENTIFY PREGNANT WOMEN WHO SMOKE, PROVIDE SMOKING CESSATION EDUCATION TO THOSE WOMEN, AND MAKE REFERRALS TO CRMC'S SMOKING CESSATION PROGRAM, AS APPROPRIATE. GOAL: REDUCE THE NUMBER OF WOMEN SMOKING CIGARETTES DURING PREGNANCY. MEASUREMENT: PERCENT OF PREGNANT WOMEN IN CORTLAND COUNTY WHO SMOKE.THE RMP OBSTETRICAL/GYNECOLOGICAL PRACTICE IS IDENTIFYING AND REFERRING PREGNANT SMOKERS TO CRMC'S SMOKING CESSATION PROGRAM. UPDATED STATISTICS ON THE PERCENTAGE OF PREGNANT WOMEN WHO SMOKE ARE NOT AVAILABLE AT THIS TIME. SUFFICIENT PROVIDERS:-CORTLAND REGIONAL MEDICAL CENTER WILL RECRUIT AN ADDITIONAL OB/GYN PHYSICIAN TO ENSURE A SUFFICIENT NUMBER OF PHYSICIANS IN THIS SPECIALTY ARE AVAILABLE TO MEET THE COMMUNITYS NEED. GOAL: SUCCESSFULLY RECRUIT ONE ADDITIONAL OB/GYN PHYSICIAN IN THE NEXT ONE TO THREE YEARS. MEASUREMENT: AN ADDITIONAL OB/GYN PHYSICIAN HAS OPENED OR JOINED AN EXISTING PHYSICIAN PRACTICE. CRMC HAS NOT YET SUCCEEDED IN RECRUITING AN ADDITIONAL OB/GYN; HOWEVER, THE MEDICAL CENTER CONTINUES TO ACTIVELY RECRUIT FOR THIS SPECIALTY. BASED ON THE RESULTS OR LACK OF INFORMATION AVAILABLE AT THIS POINT IN TIME, THE SCOPE OF CORTLAND REGIONAL MEDICAL CENTER'S THREE-YEAR ACTION PLAN HAS NOT CHANGED. PLAN OF ACTION UPDATE AT THE CONCLUSION OF YEAR ONE OF CORTLAND REGIONAL MEDICAL CENTERS THREE-YEAR PLAN, IMPLEMENTATION HAS BEEN MET WITH A MIX OF SUCCESS AND LACK OF SUCCESS, AS NOTED IN THE PREVIOUS SECTION. FURTHER, FOR SEVERAL COMPONENTS OF THE PLAN, IT IS DIFFICULT TO STATE AT THIS EARLY STAGE OF IMPLEMENTATION WHETHER THE PROGRAMS AND ACTIVITIES OUTLINED ARE HAVING THE DESIRED IMPACT. STATISTICS RELATIVE TO THE MEASURES ESTABLISHED TO DETERMINE WHETHER OR NOT CRMCS GOALS ARE BEING MET ARE NOT YET AVAILABLE FOR EVERY GOAL. IT IS ALSO WORTH NOTING THAT WHILE VARIOUS STRATEGIES INCLUDED IN THE THREE-YEAR PLAN HAVE BEEN IMPLEMENTED IN THE PAST TWELVE MONTHS, IT WILL REQUIRE MORE THAN A YEAR FOR THEIR FULL IMPACT TO BE REALIZED. CRMC HAS SUCCESSFULLY IMPLEMENTED OR MAINTAINED THE FOLLOWING STRATEGIES; HOWEVER, FOR THE MOST PART, IT IS YET TO BE DETERMINED WHETHER THESE STRATEGIES ARE WORKING TO IMPROVE THE HEALTH AND WELLBEING OF THE POPULATIONS TARGETED. STRATEGIES TO ADDRESS CHRONIC DISEASE: -IMPLEMENTED THE TRANSITION COACH PROGRAM -PROVIDED DIABETES EDUCATION AND SUPPORT -EXPANDED RMP CARDIOLOGY PRACTICE WITH ADDITION OF A SECOND CARDIOLOGIST -INCREASED PARTICIPATION IN THE CARDIAC REHABILITATION PROGRAM -COMPLETED REQUIREMENTS TO APPLY FOR PULMONARY REHABILITATION PROGRAM CERTIFICATION -CONTINUED SMOKING CESSATION INITIATIVES STRATEGIES TO IMPROVE ACCESS TO QUALITY HEALTH CARE: -INSTITUTED NURSE RESIDENCY PROGRAM -INCREASED MEDICAID ENROLLMENT; DECREASED NUMBER OF UNINSURED ENCOUNTERS -IMPROVED ACCESS FOR MEDICAID RECIPIENTS VIA THE PHYSICIAN PRACTICES OPERATED BY CRMC'S AFFILIATE, REGIONAL MEDICAL PRACTICE, P.C. -RECRUITED SEVERAL NEW PHYSICIANS, SPECIALIZING IN ORTHOPEDICS, OB/GYN, CARDIOLOGY, PSYCHIATRY, AND ANESTHESIOLOGY STRATEGIES TO PROMOTE HEALTHY MOTHERS, BABIES, AND CHILDREN: -ESTABLISHED A NEW OB/GYN PRACTICE -BECAME A PARTNER IN MOMS (MEDICAID OBSTETRICAL AND MATERNAL SERVICES), A PROGRAM SPONSORED BY THE CORTLAND COUNTY DEPARTMENT OF HEALTH -OFFERED PRENATAL CLASSES AND POSTPARTUM EDUCATION -IDENTIFIED PREGNANT WOMEN WHO SMOKE, PROVIDED SMOKING CESSATION EDUCATION, MADE REFERRALS TO SMOKING CESSATION PROGRAMS |
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 | CORTLAND REGIONAL MEDICAL PRACTICE | C | 3189902 | 2606461 | 1.00000 |
| CMH SERVICES | |||||||||||
| 134 HOMER AVENUE | CORTLAND | NY | 13045 | 161370440 | DURABLE MEDICAL EQUIPMENT | NY | CM GROUP | C | 1069844 | 534188 | |
| 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 | 136940 | GL ACCOUNT |
| REGIONAL MEDICAL PRACTICE | ||
| D | 3025000 | GL ACCOUNT |
| REGIONAL MEDICAL PRACTICE | ||
| P | 918144 | CONSOLIDATED FINANCIAL STATEMENT |
| REGIONAL MEDICAL PRACTICE | ||
| A | 273298 | CONSOLIDATED FINANCIAL STATEMENT |
| CMH SERVICES | ||
| P | 602787 | GL ACCOUNT |
| CMH SERVICES | ||
| I | 45207 | GL ACCOUNT |
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