2013-11-14T15:04:50-06:00 2012-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2012-01-01 150532254 ST JOSEPHS HOSPITAL HEALTH CENTER STJO 3157032163 301 PROSPECT AVE SYRACUSE NY 132031899 SISTER MARY OBRIST 3154485880 2013-11-13 1 ANGELA M FRANCO P00589741 3154463600 2012 2016-02-24 21:20:13Z SR MARY OBRIST 301 PROSPECT AVE SYRACUSE NY 13203 665127101 0 X SJHSYR.ORG X 1895 NY RELIGIOUS & CHARITABLE, TEACHING HOSPITAL 14 9 4831 614 488442 0 11740933 10246581 452876500 510689287 2478138 1571726 15927612 17726217 483023183 540233811 15457 13756 0 0 257302809 283077216 0 0 0 207773912 236605012 465092178 519695984 17931005 20537827 494179724 641534804 258386771 382303298 235792953 259231506 X OUR MISSION: WE ARE PASSIONATE HEALERS DEDICATED TO HONORING THE SACRED IN OUR SISTERS AND BROTHERS.OUR VISION: TO BE WORLD-RENOWNED FOR PASSIONATE PATIENT CARE AND OUTSTANDING CLINICAL OUTCOMES.CORE VALUES: IN THE SPIRIT OF GOOD STEWARDSHIP, WE HEAL BY PRACTICING: COMPASSION THROUGH OUR KINDNESS, CONCERN AND GENUINE CARING; REVERENCE IN HONORING THE DIGNITY OF THE HUMAN SPIRIT; EXCELLENCE BY EXPECTING THE BEST OF OURSELVES AND OTHERS; INTEGRITY BY BEING AND SPEAKING THE TRUTH. 0 0 119920830 133477583 HEART DISEASE AND STROKECARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE NATION, NEW YORK STATE AND ONONDAGA COUNTY. SINCE ST. JOSEPH'S PERFORMED THE FIRST OPEN HEART SURGERY IN CENTRAL NEW YORK IN 1958, IT HAS CONTINUED TO LEAD THE WAY IN THE PREVENTION, DETECTION AND TREATMENT OF HEART DISEASE. FOR EXAMPLE:- SURGEONS PERFORM OVER 880 OPEN-HEART PROCEDURES.- INTERVENTIONAL CARDIOLOGISTS PERFORM NEARLY 5,400 CARDIAC CATHETERIZATIONS AND OVER 1,900 PERCUTANEOUS CORONARY INTERVENTIONS.- SPECIALISTS CONDUCT MORE THAN 550 ELECTROPHYSIOLOGY CASES, INCLUDING THREE-DIMENSIONAL MAPPINGS.- ELECTROPHYSIOLOGISTS AND SURGEONS IMPLANT APPROXIMATELY 881 CARDIAC DEFIBRILLATORS AND PACEMAKERS.THE 12TH ANNUAL HEALTHGRADES QUALITY IN AMERICA STUDY ISSUED IN OCTOBER, 2009, RANKED ST. JOSEPH'S AMONG THE TOP FIVE PERCENT IN THE NATION FOR OVERALL CARDIAC SERVICES, CARDIAC SURGERY AND CORONARY INTERVENTIONAL PROCEDURES. IN ADDITION, ST. JOSEPH'S IS A RECIPIENT OF THE 2010 HEALTHGRADES:- CARDIAC CARE EXCELLENCE AWARD - FIVE YEARS IN A ROW- CORONARY INTERVENTION EXCELLENCE AWARD - THREE YEARS IN A ROW- CARDIAC SURGERY EXCELLENCE AWARD - FOUR YEARS IN A ROWHEALTHGRADES RANKED THE HOSPITAL:- #1 IN NEW YORK STATE FOR CARDIAC SURGERY THREE YEARS IN A ROWHEALTHGRADES RATED ST. JOSEPH'S:- FIVE STARS (BEST) FOR CARDIAC SURGERY - FOUR YEARS IN A ROW- FIVE STARS (BEST) FOR CORONARY BYPASS SURGERY- FIVE STARS (BEST) FOR VALVE REPLACEMENT SURGERY - FIVE YEARS IN A ROW- FIVE STARS (BEST) FOR CORONARY INTERVENTIONAL PROCEDURES - EIGHT YEARS IN A ROW- FIVE STARS (BEST) FOR TREATMENT OF HEART ATTACKST. JOSEPH'S HOLDS RECOGNITION AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE FROM EXCELLUS BLUECROSS BLUESHIELD.EKG TRANSMISSION FROM AMBULANCES: ST. JOSEPH'S EMERGENCY DEPARTMENT RECEIVES EKGS FROM AMBULANCES IN THE FIELD THAT ARE EN ROUTE TO THE HOSPITAL. THE NEW, WEB-BASED SYSTEM, CALLED LIFENET STEMI MANAGEMENT SOLUTION FROM PHYSIO-CONTROL, ALLOWS EMERGENCY MEDICAL TECHNICIANS (EMTS) TO ALERT THE ED STAFF TO INCOMING PATIENTS WITH A DANGEROUS FORM OF HEART ATTACK KNOWN AS STEMI (ST ELEVATION MYOCARDIAL INFARCTION). STEMI POSES A SERIOUS THREAT TO THE HEART MUSCLE, AND THE QUICKER PATIENTS RECEIVE TREATMENT THE MORE LIKELY THEY ARE TO HAVE A POSITIVE OUTCOME. EMTS USE THE SYSTEM TO TRANSMIT 12-LEAD EKGS FROM THE FIELD DIRECTLY TO THE ED. THIS HELPS SAVE TIME, WHICH IS THE KEY TO SAVING HEART MUSCLE.BY HAVING THE OPPORTUNITY TO READ THE EKG SOONER, THE ED PHYSICIANS CAN ACTIVATE THE AMI TEAM, THE SPECIFIC STAFF WHO CARE FOR HEART ATTACK PATIENTS, EARLIER. THIS EARLY WARNING SYSTEM PROVIDES AN ENORMOUS BENEFIT TO HEART ATTACK PATIENTS BECAUSE IT WILL RESULT IN A REDUCTION OF DOOR TO WIRE TIMES. THE TOOL IS PARTICULAR HELPFUL DURING OFF-SHIFTS AND WEEKENDS WHEN IT MAY TAKE A BIT LONGER TO CONVENE THE AMI TEAM.ACCORDING TO LOCAL AMBULANCE CORPS, THIS TECHNOLOGY IS A HUGE STEP TOWARD BETTER PATIENT CARE, PARTICULARLY FOR THOSE AMBULANCE CORPS THAT SERVE COUNTIES WITHOUT CARDIAC CATHETERIZATION LABS. OFTEN THOSE EMS PROVIDERS HAVE TO MANAGE UNSTABLE PATIENTS FOR MORE THAN 30 MILES TO DELIVER THEM TO THE LEVEL OF CARE THEY REQUIRE. THE CAPABILITY OF TRANSMITTING 12 LEAD EKGS HELPS PATIENTS GET THE CARE THEY NEED SOONER, SAVING BOTH LIVES AND HEART MUSCLE.CERTIFIED CHEST PAIN CENTER: IN 2009, ST. JOSEPH'S HOSPITAL RECEIVED CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS. ST. JOSEPH'S IS THE ONLY HOSPITAL IN CENTRAL NEW YORK WITH THIS ACCREDITATION.ST. JOSEPH'S UNDERTOOK A RIGOROUS RE-EVALUATION AND REFINEMENT OF HEART CARE PROCESSES TO INTEGRATE THE INDUSTRY'S BEST PRACTICES AND NEWEST PARADIGMS INTO ITS CARDIAC CARE SERVICES. THE HOSPITAL'S STATE-OF-THE-ART CARDIOVASCULAR PROGRAM WORKS SEAMLESSLY WITH AREA EMERGENCY MEDICAL SERVICES TO ENSURE THAT PATIENTS GET THE TREATMENT THEY NEED DURING THE CRITICAL EARLY STAGES OF A HEART ATTACK.AS AN ACCREDITED CHEST PAIN CENTER, ST. JOSEPH'S ENSURES PATIENTS WHO COME TO THE HOSPITAL COMPLAINING OF CHEST PAIN OR DISCOMFORT ARE GIVEN THE IMMEDIATE TREATMENT NECESSARY TO AVOID AS MUCH HEART DAMAGE AS POSSIBLE. PROTOCOL-BASED PROCEDURES DEVELOPED BY LEADING EXPERTS IN CARDIAC CARE TO REDUCE TIME TO TREATMENT IN THE CRITICAL EARLY STAGES OF A HEART ATTACK ARE PART ST. JOSEPH'S OVERALL CARDIAC SERVICES.IN ADDITION TO CHEST PAIN CENTER ACCREDITATION, ST. JOSEPH'S IS THE ONLY HOSPITAL IN SYRACUSE DESIGNATED AS A MISSION LIFELINE STEMI HOSPITAL BY THE AMERICAN HEART ASSOCIATION FOR ITS SYSTEMATIC AND MULTIDISCIPLINARY APPROACH TO TREATING HEART ATTACKS.OUTREACH TO NORTHERN NEW YORK: ST. JOSEPH'S CONTINUED ITS TELEMEDICINE PROGRAM WITH SAMARITAN MEDICAL CENTER IN WATERTOWN, N.Y., TO ACHIEVE OPTIMAL CARDIAC CARE FOR CENTRAL AND NORTHERN NEW YORK.SAMARITAN HOUSES A FREESTANDING CATHETERIZATION LABORATORY THAT SERVICES THE LARGELY RURAL JEFFERSON, ST. LAWRENCE, LEWIS AND FRANKLIN COUNTIES. SAMARITAN'S CATH LAB UTILIZES THE EXPERTISE OF ST. JOSEPH'S INVASIVE CARDIOLOGISTS. ALL PATIENTS ARE SCREENED FOR RISK FACTORS AND ANY CARDIAC CATH CANDIDATES WHO DISPLAY AT-RISK SYMPTOMATOLOGY ARE REFERRED TO ST. JOSEPH'S HOSPITAL FOR INPATIENT CARDIAC CATHETERIZATION PROCEDURES, ANGIOPLASTY OR CARDIAC SURGERY INTERVENTIONS.ST. JOSEPH'S EXPRESS ADMISSION LINE IS A HOTLINE USED PRIMARILY FOR THE SPEEDY TRANSFER OF CARDIAC PATIENTS FROM RURAL HOSPITALS WITHOUT CARDIAC CATHETERIZATION LABS. IT CAN ALSO BE A LIFESAVING TOOL USED TO TRANSFER ANY PATIENT IN NEED TO THE APPROPRIATE LEVEL OF CARE AS SOON AS POSSIBLE. WHEN A PATIENT REQUIRES SPECIALTY CARE UNAVAILABLE AT HIS OR HER CURRENT HEALTH CARE FACILITY, MEDICAL PERSONNEL CALL THE EXPRESS LINE, WHICH IS ANSWERED 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK BY ST. JOSEPH'S ADMINISTRATIVE NURSING COORDINATOR. THE NURSING COORDINATOR LISTENS TO THE DESCRIPTION OF THE PATIENT'S CONDITION, CONTACTS THE ST. JOSEPH'S PHYSICIAN ON CALL FOR THE PARTICULAR SPECIALTY NEEDED, AND WITHIN MINUTES ALL THREE PARTIES ARE ENGAGED IN A THREE-WAY POTENTIALLY LIFESAVING CONVERSATION. THE ST. JOSEPH'S PHYSICIAN CAN OBTAIN CRITICAL PATIENT INFORMATION AND GIVE SPECIFIC INSTRUCTIONS FOR CARE DURING TRANSPORT, WHILE THE NURSING COORDINATOR SIMULTANEOUSLY CHECKS FOR AVAILABLE BEDS AND ALERTS THOSE NEEDED TO PREPARE FOR THE PATIENT'S ARRIVAL. TO EXPEDITE THE PROCESS, HOSPITAL REPRESENTATIVES FROM BOTH LOCATIONS THEN TAKE CARE OF PAPERWORK AND OTHER IMPORTANT INFORMATION, WHILE THE PATIENT IS ENROUTE.THE EXPRESS LINE HAS LITERALLY BEEN A LIFESAVER, BECAUSE PRECIOUS TIME IS NOT SPENT SEARCHING FOR AN OPEN BED OR TRIAGING THE PATIENT A SECOND TIME UPON ARRIVAL AT ST. JOSEPH'S, BUT ONLY ON MAKING SURE THE PATIENT RECEIVES THE BEST POSSIBLE MEDICAL CARE IMMEDIATELY AND THROUGHOUT HIS OR HER STAY.REHABILITATION: ST. JOSEPH'S OFFERS THE ONLY COMPREHENSIVE CARDIAC REHABILITATION PROGRAM THAT IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION AND IS THE LARGEST SUCH PROGRAM IN CENTRAL NEW YORK. IN 2012, ST. JOSEPH'S ADMITTED MORE THAN 195 PATIENTS, PROVIDING NEARLY 12,387 PATIENT VISITS. A MEDICALLY SUPERVISED EXERCISE PROGRAM IS ALSO HELD AT THE SITE. THIS PROGRAM IS SPECIFICALLY DESIGNED FOR PEOPLE WHO WANT TO EXERCISE AND MAINTAIN THEIR INDEPENDENCE, BUT WHOSE CHRONIC DISEASE STATES PUT THEM AT RISK FOR EXERCISING IN STANDARD GYMS. 45466228 25019523 MISSION SERVICES & OTHERPRIMARY CARE CENTERS & MENTAL HEALTHPRIMARY CARE CENTERSCOMMITTED TO IMPROVING ACCESS TO HEALTH CARE SERVICES FOR THOSE WHO ARE UNDERSERVED, ST. JOSEPH'S HAS ESTABLISHED PRIMARY CARE SITES IN AREAS WHERE MANY OF THESE INDIVIDUALS LIVE. THIS HELPS ADDRESS A KNOWN BARRIER, WHICH IS ACCESS TO TRANSPORTATION FOR THOSE WITHOUT INSURANCE OR WHO USE MEDICAID. WESTSIDE FAMILY HEALTH CENTER: THE WESTSIDE FAMILY HEALTH CENTER PRIMARILY SERVES PATIENTS OF ALL AGES FROM SYRACUSES NEAR WEST SIDE. THE BI-LINGUAL STAFF PROVIDES OBSTETRICS, GYNECOLOGICAL CARE, PEDIATRIC WELL AND SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS, BLOOD DRAWS, NUTRITION AND FINANCIAL COUNSELING, AND REFERRALS TO SPECIALISTS, AS NEEDED. PHYSICIANS ARE AVAILABLE 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK. THE CENTER SAW 8,961 PATIENT VISITS IN 2012. MANY FAMILIES COME FROM CUBA, PUERTO RICO, UKRAINE, SOMALIA, SUDAN, BOSNIA AND BURMA AND 85 PERCENT OF PATIENTS ARE NON-ENGLISH SPEAKING OR HAVE LIMITED ENGLISH PROFICIENCY. THE PATIENT POPULATION IS 44 PERCENT HISPANIC, 22 PERCENT AFRICAN-AMERICAN, AND TWO PERCENT NATIVE AMERICAN. SEVENTY-THREE PERCENT OF PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY.MATERNAL CHILD HEALTH CENTER OBSTETRIC AND PEDIATRIC OFFICES: LOCATED AT 516 PROSPECT AVE.,SYRACUSE, ST. JOSEPH'S MATERNAL CHILD HEALTH CENTER SPECIALIZES IN WOMEN'S HEALTH CARE. IN ADDITION TOPHYSICIANS, A PHYSICIAN'S ASSISTANT, NURSE PRACTITIONER AND REGISTERED NURSES PROVIDE PREGNANCY CARE ANDGYNECOLOGICAL SERVICES. LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS, FETAL TESTING AND SONOGRAMS, SOCIAL SERVICES, NUTRITIONAL COUNSELING, FINANCIAL COUNSELING AND PHLEBOTOMY ARE ALSO AVAILABLE AT THE MATERNAL CHILD HEALTH CENTER OB/GYN OFFICE. AT THE PEDIATRIC OFFICE, HEALTH AND FAMILY EDUCATION AND MENTAL HEALTH SCREENINGS ARE ALSO AVAILABLE, AS WELL AS AN INITIATIVE TO IMPROVE CHILD LITERACY THROUGH THE REACH OUT AND READ PROGRAM.THERE IS A STRONG CONNECTION BETWEEN PRE- AND POST-NATAL CARE FROM OUTPATIENT OBSTETRICS TO INPATIENT MATERNITY AND NEWBORN SERVICES AND THEN BACK TO OUTPATIENT OBSTETRICS AND PEDIATRIC SERVICES. SEVENTY-THREE PERCENT OF MCHC PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. A LARGE PERCENTAGE OF PATIENTS ARE VIETNAMESE. THE MATERNAL CHILD HEALTH CENTER PEDIATRICS OFFICE, WHICH SAW 9,006 PATIENT VISITS IN 2012 PROVIDES PEDIATRIC SERVICES FOR PATIENTS UP TO AGE 17, WELL-CHILD VISITS, SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS AND REFERRALS TO SPECIALISTS, AS NEEDED. NUTRITION AND FINANCIAL COUNSELING ALSO ARE AVAILABLE AND SOCIAL WORKERS ARE ON SITE.FAMILY MEDICINE CENTER: LOCATED ON THE HOSPITAL CAMPUS, ST. JOSEPH'S FAMILY MEDICINE CENTER IS AVAILABLE TO PROVIDE ALL THE HEALTH CARE NEEDS OF FAMILIES, INCLUDING PRENATAL, PEDIATRIC AND ADULT CARE. SERVICES INCLUDE 24-HOUR PHYSICIAN COVERAGE, OBSTETRICS, CARING FOR CHILDREN, WOMEN'S HEALTH, CARE OF HOSPITALIZED PATIENTS, AND OFFICE CARE FOR MOST MEDICAL PROBLEMS, AS WELL AS FAMILY THERAPY COUNSELING, MENTAL HEALTH SCREENING, LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS AND NUTRITIONAL, FINANCIAL AND SOCIAL WORK COUNSELING. IN 2012, THERE WERE 28,422 PATIENT VISITS, 77 PERCENT OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. DENTAL OFFICE: ST. JOSEPH'S DENTAL OFFICE CARES FOR MANY OF THE AREA'S UNDERINSURED, AS WELL AS PATIENTS WITH MENTAL AND/OR PHYSICAL DISABILITIES. A 24-HOUR ON-CALL SYSTEM IS IN PLACE IN ALL OF ST. JOSEPH'S PRIMARY CARE SITES. THERE WERE 11,075 PATIENT VISITS IN 2012; 83 PERCENT OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. ONE IN FIVE IS WHEELCHAIR-BOUND.IN ADDITION, THE PRIMARY CARE CENTERS INCORPORATE A DENTAL ASSESSMENT IN ALL AGE GROUPS AND IF NECESSARY, REFERRALS ARE MADE TO ST. JOSEPH'S DENTAL OFFICE. A THREE-YEAR OLD PROGRAM TO TREAT PRENATAL PATIENTS IN THE PRIMARY CARE CENTERS HELPS TO PREVENT POOR OUTCOMES TO THE FETUS RELATED TO POOR DENTAL CARE. SPECIALTIES SERVICES: ST. JOSEPH'S TAKES REFERRALS FROM ITS EMERGENCY DEPARTMENT, PRIMARY CARE SERVICES AND PHYSICIANS THROUGHOUT THE COMMUNITY FOR ORTHOPEDICS/SPORTS MEDICINE, ALLERGY/ASTHMA SERVICES AND INFECTIOUS DISEASE. IN ADDITION, IT OPERATES A HAND CLINIC, SPINAL CLINIC AND BREAST AND SURGICAL CLINIC, WHERE CANCER SCREENINGS ARE ROUTINELY PERFORMED. SIXTY-SIX PERCENT OF THE PATIENTS SEEN IN SPECIALTIES SERVICES ARE MEDICAID, MEDICARE OR SELF-PAY. THERE WERE 4,291 PATIENT VISITS IN 2012.MENTAL HEALTH AND MENTAL DISORDERSIN RESPONSE TO A CRITICAL COMMUNITY NEED, ST. JOSEPH'S MENTAL HEALTH SERVICES PROMOTES POSITIVE MENTAL HEALTH AND ADDRESSES A BROAD RANGE OF PSYCHIATRIC ILLNESSES INCLUDING BIPOLAR DISORDER, DEPRESSION, PSYCHOTIC DISORDERS, MOOD AND ANXIETY DISORDERS, SUBSTANCE ABUSE AND ADDICTION, AND CHILD AND ADOLESCENT PSYCHIATRIC DISORDERS. EACH PATIENTS INDIVIDUAL TREATMENT NEEDS ARE RESPONDED TO WITH PLANNING FOR PATIENT-SPECIFIC CARE WHICH MAY INCLUDE INDIVIDUAL PSYCHOTHERAPY, GROUP THERAPY, FAMILY COUNSELING, INPATIENT CARE, PSYCHOPHARMACOLOGY, REHABILITATION SERVICES AND VOCATIONAL COUNSELING.WHILE OUTSTANDING SERVICES ARE GIVEN TO ALL PATIENTS, WITH NEARLY ONE QUARTER OF ITS PATIENT POPULATION 17 YEARS AND YOUNGER, PROVIDERS AT ST. JOSEPH'S WORK DILIGENTLY TO OFFER INNOVATIVE STATE-OF-THE-ART TREATMENT OPTIONS THAT ARE SUCCESSFUL WITH, AND CAPTURE THE INTEREST OF, CHILDREN. ST. JOSEPH'S MENTAL HEALTH SERVICES RECORDS OVER 51,390 OUTPATIENT VISITS AS WELL AS 483 ADMISSIONS INTO THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM EOB AND 843 PSYCHIATRIC ADMISSIONS.ST. JOSEPH'S, THE LARGEST PROVIDER OF MENTAL HEALTH SERVICES IN ONONDAGA COUNTY, HAS OFFERED COMPREHENSIVE MENTAL HEALTH CARE TO THE COMMUNITY SINCE 1947. DESIGNATED BY NEW YORK STATE AS A COMMUNITY MENTAL HEALTH CENTER SINCE 1967, ST. JOSEPH'S PROVIDES A FULL CONTINUUM OF MENTAL HEALTH SERVICES. IN ADDITION TO A 30-BED INPATIENT UNIT, ST. JOSEPH'S OFFERS OUTPATIENT PSYCHOTHERAPY, ADULT AND CHILDREN'S DAY TREATMENT PROGRAMS, REHABILITATION AND SUPPORTED EMPLOYMENT PROGRAMS, TRANSITIONAL LIVING SERVICES, ACCESS FOR THE HOMELESS AND LINK, A SCHOOL-BASED PROGRAM FOR CHILDREN AND FAMILIES. IN PARTNERSHIP WITH UNIVERSITY HOSPITAL, ST. JOSEPHS ALSO OPERATES THE REGIONS ONLY PSYCHIATRIC EMERGENCY PROGRAM, PROVIDING COMPASSIONATE CARE FOR COMMUNITY MEMBERS DURING SOME OF THEIR MOST SERIOUS PSYCHIATRIC CRISES. THE MISSION OF ST. JOSEPH'S MENTAL HEALTH SERVICES REFLECTS A CONCERN WITH PREVENTING MENTAL ILLNESS, PROMOTING MENTAL HEALTH AND PROVIDING COMPREHENSIVE CARE FOR THOSE PERSONS SUFFERING FROM MENTAL DISORDERS. MENTAL HEALTH SERVICES PLACES EMPHASIS ON CONSIDERATION OF BIOLOGICAL, CULTURAL, ETHNIC, FAMILY AND SOCIAL ENVIRONMENT IN TREATING PATIENTS, AS WELL AS THE BELIEF THAT COMPREHENSIVE AND APPROPRIATE TREATMENT CAN BEST BE IMPLEMENTED AT THE LEAST RESTRICTIVE LEVEL OF CARE THAT IS THERAPEUTICALLY ADVISABLE. ADEQUATE CARE OF THE MENTALLY ILL HAS BECOME AN URGENT NEED IN THE CENTRAL NEW YORK COMMUNITY, AND ST. JOSEPH'S CONTINUES TO FIND WAYS TO PROVIDE GREATER ACCESS TO MENTAL HEALTH CARE FOR THOSE IN NEED.ST. JOSEPH'S MENTAL HEALTH SERVICES AND CPEP PARTNER WITH A VARIETY OF LOCAL ORGANIZATIONS, INCLUDING SUNY UPSTATE DEPARTMENT OF PSYCHIATRY, ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH, SOCIAL SERVICES AND PROBATION, ONONDAGA CASE MANAGEMENT SERVICES, INC., UNITED WAY OF CENTRAL NY, ONONDAGA WRAPAROUND, THE SYRACUSE RESCUE MISSION, SALVATION ARMY, EMERGENCY SHELTER BARNABAS HOUSE, STATE STREET APARTMENTS BOOTH HOUSE, LOCAL LAW ENFORCEMENT, UNIVERSITY HOSPITAL, ONONDAGA CASE MANAGEMENT SERVICES, INC., FAMILY TAPESTRY, ELMCREST CHILDREN'S CENTER, HILLSIDE CHILDREN'S CENTER, LIBERTY RESOURCES, INC., CENTRAL NEW YORK SERVICES, INC., NORTH SYRACUSE SCHOOL DISTRICT, EAST-SYRACUSE MINOA SCHOOL DISTRICT AND THE SYRACUSE BEHAVIORAL HEALTH CENTER.PROGRAMS:- ADULT OUTPATIENT AND CHILDREN AND YOUTH OUTPATIENT CLINICS- COMPREHENSIVE HOMELESS ACCESS TO NONTRADITIONAL CLINICAL EXPERIENCES (CHANCE)- CONTINUING DAY TREATMENT (CDT)- INNOVATIONS IN VOCATIONAL SUPPORT ASSISTED COMPETITIVE EMPLOYMENT (ACE PROJECT): - INTENSIVE PSYCHIATRIC REHABILITATION TREATMENT- NEW CONNECTIONS CLUBHOUSE- PSYCHIATRIC HOME CARE SERVICES- RESIDENTIAL SERVICES PROGRAM- ST. JOSEPH'S VOCATIONAL SERVICES- VOLUNTEER PROGRAM FOR SYRACUSE BEHAVIORAL HEALTH CLIENTS- LEADING, INTEGRATING, NETWORKING FOR KIDS (LINK)- COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP)- CPEP MOBILE CRISIS OUTREACH PROGRAM- CHILDREN'S HEALTH INNOVATION PROJECT (CHIP)- CPEP FACILITY EXPANSION AND RE-LOCATION- DOCTORS ACROSS NEW YORK PHYSICIAN LOAN REPAYMENT PROGRAM 3369631 22141970 HOME CAREST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY: THE ST. JOSEPH'S HOSPITAL HEALTH CENTER NETWORK OFFERS IN-HOME SERVICES TO A DIVERSE POPULATION THROUGH ITS AFFILIATE ORGANIZATION, FRANCISCAN HEALTH SUPPORT, AND THE HOSPITAL-OWNED ST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY. HOME CARE HELPS PATIENTS TRANSITION FROM HOSPITAL TO HOME AND SUPPORTS PEOPLE WHO ARE AT HOME BY PROVIDING SERVICES THEY NEED TO AVOID READMISSION TO THE HOSPITAL OR A NURSING HOME. THE TWO AGENCIES CONDUCTED NEARLY 177,399 HOME VISITS LAST YEAR, HELPING MANY IN CENTRAL NEW YORK TO REMAIN IN THE COMFORT OF THEIR OWN HOMES. OUR CERTIFIED HOME HEALTH CARE AGENCY IS RANKED AMONG THE TOP 100 HOME CARE AGENCIES IN THE NATION AND PROVIDES SUCH SERVICES AS SKILLED NURSING; PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY; HOME HEALTH AIDE AND PERSONAL CARE SERVICES; SOCIAL SERVICES; AND NUTRITIONAL CARE. FRANCISCAN HEALTH SUPPORT OFFERS HOME HEALTH AIDE AND PERSONAL CARE SERVICES, SKILLED NURSING, AND MEDICAL EQUIPMENT.TOGETHER, THE TWO AGENCIES COMBINE FORCES TO PROVIDE THE BEST POSSIBLE CARE TO THOSE THEY SERVE, OFTEN THOSE IN THE COMMUNITY WHO ARE MOST AT NEED, INCLUDING THE ELDERLY, HOMEBOUND, ACUTELY ILL, OR DYING.THE NEED FOR HOME CARE SERVICES IN THE COMMUNITY HAS INCREASED GREATLY DUE TO THE EXPANDING ELDERLY POPULATION, THE EVER-SHORTENING HOSPITAL STAY, AND NURSING HOME DIVERSION INITIATIVES AND OUR AGENCIES CONTINUE TO INCREASE EFFORTS TO MEET THIS DEMAND AND THE NEEDS OF THE COMMUNITY. 269894611 13756 348960564 269894611 13756 348960564 438651300 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 0 0 0 1 301 0 1 4831 1 1 1 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ERINN HASWELL 3157032208 301 PROSPECT AVE SYRACUSE NY 132031899 PAWAN RAO MD 10.00 X 0 0 0 WILLIAM ROBERTS MD 10.00 X 0 0 0 GEORGE DEPTULA ESQ 10.00 X X 0 0 0 JOHN MURPHY III 10.00 X 0 0 0 B SIVAKUMAR MD 10.00 X 111225 0 0 VINCENT P SWEENEY 10.00 X 0 0 0 CHARLES ZIMMERMAN 10.00 X 0 0 0 SR MARY OBRIST 10.00 X X 0 0 0 LUCINDA DRESCHER 10.00 X 0 0 0 SHARON MCAULIFFE ESQ 10.00 X 0 0 0 KATHRYN RUSCITTO 40.00 X X 659671 0 97593 WILLIAM FISHER 10.00 X 0 0 0 RICHARD WALDMAN MD 10.00 X 0 0 0 MERRIETTE POLLARD 10.00 X 0 0 0 JOHN MARSHALL CPA 10.00 X 0 0 0 PAUL TREMONT 10.00 X 0 0 0 SANDRA SULIK MD 40.00 X 352247 0 12490 DENNIS EHRICH MD 40.00 X 192934 0 13245 ANNE MARIE CZYZ 40.00 X 230897 0 30592 FRANK SMITH JR 40.00 X 323464 0 32136 MARY W BROWN 40.00 X 363916 0 44586 CHARLES J FENNELL 40.00 X 237360 0 26792 MICHAEL SHAFFER 40.00 X 364915 0 43986 MARGARET M MARTIN 40.00 X 209851 0 19988 JOSEPH A SCICCHITANO 40.00 X 193561 0 15797 MARK E MURPHY 40.00 X 243781 0 34706 FREDERICK LATOURNEAU 40.00 X 312892 0 36983 DEBORAH WELCH 40.00 X 173233 0 28407 LOWELL A SEIFTER JD 40.00 X 238398 0 29409 ALFREDO LOPEZ MD 40.00 X 330763 0 19977 KWAME ADUSEI MD 40.00 X 322393 0 16066 CHAUDHURY DAVULURI MD 40.00 X 320605 0 19149 AFSHAN ASHFAQ MD 40.00 X 321794 0 17652 TANYA PAUL MD 40.00 X 320733 0 18549 THEODORE PASINSKI 0.00 X 186550 0 42136 6011183 0 600239 307 1 1 0 THE HAYNER HOYT CORPORATION 625 ERIE BLVD WEST SYRACUSE NY 13204 CONSTRUCTION 27879994 BETTE & CRING LLC 22 CENTURY HILL DRIVE SUITE 201 LATHAM NY 12110 CONSTRUCTION 2597295 KING & KING ARCHITECTS 358 WEST JEFFERSON STREET SYRACUSE NY 13202 ARCHITECTURE 876011 HANCOCK ESTABROOK LLP 1500 AXA TOWER I 100 MADISON STREE SYRACUSE NY 13202 LEGAL 500632 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 ACCOUNTING 475102 19 2623534 7462796 160251 10246581 PATIENT SERVICE REVENUE 621990 510689287 510689287 510689287 2064735 2064735 3686 3686 879650 483807 395843 395843 395843 123757346 155442 124341990 67493 -584644 87949 -496695 -496695 OTHER EXEMPT OPERATING INCOME 900099 14781909 14496645 285264 INCOME FROM JOINT VENTURES 621500 2548465 2345287 203178 17330374 540233811 529599640 488442 -100852 13756 13756 5474709 2109713 3364996 222313128 190247767 32065361 8114350 7048838 1065512 30728456 19912051 10816405 16446573 13872333 2574240 3002114 461185 2540929 1462148 281061 1181087 427664 427664 61852283 53553639 8298644 1993135 308850 1684285 1965660 915259 1050401 5997211 5083931 913280 12658722 11398884 1259838 811899 681213 130686 743236 442441 300795 3795754 3795754 20357741 17257581 3100160 1619360 1463475 155885 SUPPLY EXPENSE 108960784 104551904 4408880 BAD DEBT EXPENSE 5515302 5515302 OTHER EXPENSES 2271395 1098175 1173220 NYS ASSESSMENT 1690341 1690341 1480263 743601 736662 519695984 438651300 81044684 0 2797903 1615683 23420614 10263009 6323735 10858729 75108820 98210683 32835 30599 5480449 4710060 5367867 5635741 4121278 5791048 495140891 242730206 204127782 252410685 62139883 169964793 105258558 82043774 494179724 641534804 63896890 84539285 120505878 230587980 73984003 67176033 258386771 382303298 X 222467011 243185921 10215367 12929525 3110575 3116060 235792953 259231506 494179724 641534804 X 20537827 2900726 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 61651 0 0 1 134873 196524 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PART II-B, LINE 1(I), OTHER LOBBYING ACTIVITIES DUES PAID HANYS - $24,102,IROQUOIS HEALTHCARE ALLIANCE - $20,215, AMERICAN HOSPITAL ASSOCIATION - $17,334 AND CAPITAL FEDERAL STRATEGIES - 134,873. 0 13325942 2422941 536966 240264 16045585 15859880 6558936 78557 9171431 13325942 9069023 10459844 326334 3995321 15859880 5261797 4179194 452512 824480 9069023 3708929 4786816 105722 3128226 5473241 0.00000 0.19000 0.81000 0 1 1 3938703 3938703 259600687 104362084 155238603 6216651 2659135 3557516 163039153 133268426 29770727 62345697 2440561 59905136 252410685 DUE FROM SJLS 2406086 DUE FROM SJHHC FOUNDATION 1136790 DUE FROM FRANCISCAN MGT/HEALTH SUPPORT SERVICES-NET 797036 UNAMORTIZED DEBT/PENSION COSTS 1763938 DUE FROM AFFILIATE-MDR/MRI 17424 DUE FROM AFFILIATE-LACNY 4238492 EQUITY INTEREST IN NET ASSETS OF SJHHC FOUNDATION 21687371 RESTRICTED ASSETS 164264 DUE FROM LIVERPOOL DIALYSIS 489681 BOND INTEREST CAP PREMIUM 390792 TELP INTEREST AMORTIZATION 41046 DUE FROM IROQUOIS/ROSEWOOD 507666 DUE FROM PHYSICIAN PRACTICES 51831161 DUE FROM LORETTO 950000 DUE TO SJM -9029191 DUE FROM ST. ELIZABETH 107105 DUE FROM SJMED PC 801696 2012 BONDS - DEFERRED FINANCING 3780932 DUE TO/FROM SJPE 181325 DUE TO LDC PARTNERS -219840 82043774 ACCRUED POST RETIRE HEALTH BENEFITS-LT 21925009 ACCRUED WORKERS COMP 8116658 PENSION PLAN LIABILITY 27850488 SJHHC PROPERTIES -2165887 MALPRACTICE LIABILITY 9057258 457B PLAN LIABILITY 2392507 67176033 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENTS ARE INTENDED TO SUPPORT HOSPITAL MISSION SERVICES, EDUCATION, AND TECHNOLOGY ADVANCEMENTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOSPITAL, SJPHPC AND SJMPC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. SJPHPC AND SJMPC ARE SUBJECT TO STATE INCOME TAXES. SJM AND SJLS ARE TREATED AS A PARTNERSHIP FOR INCOME TAX PURPOSES. ACCORDINGLY, TAXABLE INCOME OF SJM AND SJLS, IF ANY, IS PASSED THROUGH TO ITS MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. THE ALLOCATION OF INCOME FROM SJM AND SJLS IS CONSIDERED TO BE EXEMPT-PURPOSE INCOME TO THE HOSPITAL. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN A HOSPITALS FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2009 THROUGH 2012. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 8017029 0 8017029 0.01600 75846493 56453245 19393248 0.03800 83863522 56453245 27410277 0.05400 3242636 2668478 574158 0.00100 19563857 9102893 10460964 0.02100 6540090 2654715 3885375 0.00800 29346583 14426086 14920497 0.03000 113210105 70879331 42330774 0.08400 8 23722 23722 0.59000 1 695 695 0.02000 1 15431 15431 0.39000 10 39848 39848 1.00000 1 2668792 140587427 162302412 -21714985 X 1 1 1 LABORATORY ALLIANCE OF CNY LABORATORY SERVICES 0.33330 0.00000 0.00000 2 MDR MRI SERVICES 0.40000 0.00000 0.60000 3 SJLS DIALYSIS SERVICES 0.60000 0.00000 0.40000 1 1 ST JOSEPH'S HOSPITAL HEALTH CENTER

301 PROSPECT AVE SYRACUSE NY 13203

X X X X HOME CARE AGENCY, OP PRIMARY CARE AND OP MENTAL HEALTH SERVICES ST JOSEPH'S HOSPITAL HEALTH CENTER INC 1 0 1 1 300.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X 0 0 X X X X 1 X 0 0 8 ST JOSEPH'S HOME HEALTH CARE

7246 JANUS PARK DRIVE LIVERPOOL NY 13088

HOME HEALTH CARE SERVICES LABORATORY ALLIANCE OF CENTRAL NEW YORK

1304 BUCKLEY ROAD SYRACUSE NY 13212

CLINICAL AND ANATOMIC PATHOLOGY TESTING REGIONAL DIALYSIS CENTER

973 JAMES STREET SYRACUSE NY 13203

HEMODIALYSIS AND PERITONEAL NORTHEAST SURGERY CENTER

4208 MEDICAL CENTER DRIVE FAYETTEVILLE NY 13066

WOUND CARE, ORTHO, GENERAL SURGERY, UROLOGY NORTH SURGERY CENTER

5100 WEST TAFT ROAD LIVERPOOL NY 13088

GENERAL SURGERY, UROLOGY, ENT, ORTHOPEDICS, PODIATRY CNY INFUSION SERVICES

333 BUTTERNUT DRIVE SUITE 102 DEWITT NY 13214

INFUSION THERAPIES SLEEP LABORATORY SERVICES

945 EAST GENESSE STREET SUITE 300 SYRACUSE NY 13210

TREATS CHRONIC SLEEP DISORDERS ST FRANCIS SOCIAL ADULT DAY CARE

1108 COURT STREET SYRACUSE NY 13208

SUPPORTIVE SERVICES FOR THE ELDERLY PART I, LINE 7: COMBINATION OF THE RATIO OF COSTS TO CHARGES AS WELL AS SPECIFICALLY IDENTIFIED COSTS AND OFFSETS DERIVED FROM ACCOUNTING AND PATIENT ACCOUNTING SYSTEMS. PART I, LINE 7G: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON ALLOWANCE FOR DOUBTFUL ACCOUNTS ($6,495,576) LESS ANY RECOVERY OF BAD DEBTS ($980,273), MULTIPLIED BY A CALCULATED RCC (RATIO OF COSTS TO CHARGES). THE RCC IS CALCULATED BASED ON FINANCIAL STATEMENT COSTS ($514,564,249) DIVIDED BY GROSS CHARGES ($1,063,394,115). AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS).PART III, SECTION A, LINE 3: CHARITY CARE IS REPORTED IN PART I, LINE 7A AND IS NOT DUPLICATED IN BAD DEBT REPORTED IN PART III, SECTION A, LINE 2.PART III SECTION A LINE 4: SEE FINANCIAL STATEMENT PAGES 14 AND 15. THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, COST-BASED REIMBURSEMENT, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE AND THE RELATED RECEIVABLES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS,THIRD-PARTY PAYORS AND OTHERS AS SERVICES ARE RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARERENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.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.REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FOR APPROXIMATELY 46 PERCENT AND 8 PERCENT, RESPECTIVELY, OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2012 AND 48 PERCENT AND 6 PERCENT, RESPECTIVELY OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2011.LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. NET PATIENT SERVICE REVENUE INCREASED BY APPROXIMATELY $5.6 MILLION AND $876,000 IN 2012 AND 2011, RESPECTIVELY, RELATED TO EITHER SETTLEMENT OF PRIOR YEAR ISSUES OR CHANGES IN ESTIMATES ASSOCIATED WITH THIRD-PARTY ISSUES.THE HOSPITAL GRANTS UNSECURED CREDIT TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE MIX OF RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS AT DECEMBER 31 WAS AS FOLLOWS:2012MEDICARE 36%MEDICAID 12%PRIVATE PAYORS 10%INSURANCE AND ALL OTHERS 42%2011 MEDICARE 40%MEDICAID 18%PRIVATE PAYORS 10%INSURANCE AND ALL OTHERS 32% PART III, LINE 8: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 100% OF THE SHORTFALL SHOULD BE TREATED AS A BENEFIT TO THE COMMUNITY AS WE PROVIDE CARE TO ALL PATIENTS, REGARDLESS OF THEIR INSURANCE COVERAGE AND ABILITY TO PAY. PART III, LINE 9B: ANY PATIENT AT SJHHC WILL RECEIVE MEDICAL TREATMENT WHETHER OR NOT THE PATIENT IS INSURED OR UNINSURED IN ACCORDANCE WITH THE POLICY AND THE PROCEDURES HEREWITH. SJHHC MAY RESERVE THE RIGHT TO REFUSE FINANCIAL AID ON PRE-SCHEDULED ELECTIVE PROCEDURES ONLY. IT IS THE INTENT OF THE FINANCIAL COUNSELING REPRESENTATIVES, TO FOLLOW-UP ON EVERY CLAIM WITHIN A 30-DAY PERIOD, IN AN EFFORT TO PROVIDE FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE PROGRAMS DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. THE ACCOUNT WILL BE NOTED EACH MONTH AS TO THE FOLLOW-UP EFFORTS MADE BY THE FINANCIAL COUNSELORS BARING ANY UNFORESEEN ISSUES, DELAYS WITH PATIENT CONTACTS, DELAYS WITH THE DSS, ETC.FOR THOSE PATIENTS WHO ARE INTERESTED IN FINANCIAL ASSISTANCE, PATIENTS WILL BE CONTACTED BY A SJHHC FINANCIAL COUNSELOR (FC) AND INSTRUCTED ON THE AVAILABILITY TO ENROLL IN MEDICAID, CHILD HEALTH PLUS (CHP) AND FAMILY HEALTH PLUS (FHP), THROUGH A REFERRAL TO THOSE MEDICAID MANAGED CARE (MMC) FACILITATED ENROLLER WHO HAS A MEDICAID MANAGED CARE CONTRACT WITH SJHHC, OR A REFERRAL TO THE LOCAL COUNTY DEPARTMENT OF SOCIAL SERVICES DEPENDING ON THE PATIENTS DEMOGRAPHICS. REGARDLESS OF WHO COMPLETES THE MEDICAID APPLICATION, THE COMPLETION OF ONE MEDICAID APPLICATION ALLOWS A PATIENT ACCESS TO ENROLL IN MEDICAID, CHP OR FHP, DEPENDING ON THE COMBINED INCOME AND ASSETS OF THE PATIENT AND THEIR FAMILY (IF APPLICABLE). OTHER OPTIONS TO BE DISCUSSED WILL BE FINANCIAL AID AND MONTHLY PAYMENT PLANS.AT ALL PATIENT ACCESS POINTS THERE WILL BE FA PAMPHLETS NOTIFYING PATIENTS AND FAMILY MEMBERS OF THE EXISTENCE AND AVAILABILITY OF THE FINANCIAL COUNSELING UNIT. PATIENTS AND FAMILY MEMBERS MAY DISCUSS ALL PROGRAMS OFFERED EITHER IN PERSON OR BY PHONE.NOTE: PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID, CHILD HEALTH PLUS OR FAMILY HEALTH PLUS, WHO DO NOT COMPLY WITH THE APPLICATION REQUIREMENTS OF THEIR LOCAL DEPARTMENT OF SOCIAL SERVICES MAY NOT BE ELIGIBLE FOR FINANCIAL AID. THESE PATIENTS MAY ALSO BE SUBJECT TO BAD DEBT, IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE SJHHC BAD DEBT POLICY.IN ADDITION, OUR DATA MAILERS BEING SENT TO PATIENTS FOR ANY AMOUNT THEY MAY OWE ON A BILL NOW INCLUDES THE PHONE NUMBER OF OUR FINANCIAL COUNSELING UNIT IF THE PATIENT NEEDS FINANCIAL ASSISTANCE. THIS SECTION IS ALSO COLORIZED FOR EASY RECOGNITION. PART VI, LINE 2: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 3: PLEASE SEE DESCRIPTION OF FINANCIAL AID POLICY AT SCHEDULE H, PART III LINE 9B FOR A DESCRIPTION OF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. PART VI, LINE 4: WHILE ST. JOSEPHS SERVES A 16-COUNTY AREA, THE MAJORITY OF PATIENTS LIVE IN ONONDAGA COUNTY, AND MANY WITHIN THE CITY OF SYRACUSE. ONONDAGA COUNTY HAS 467,026 RESIDENTS, OF WHICH 145,170 LIVE IN SYRACUSE. WITHIN THE COUNTY, NON-HISPANIC WHITES COMPRISE 81 PERCENT OF THE POPULATION, AFRICAN-AMERICANS MAKE UP 11 PERCENT, HISPANICS FOUR PERCENT, ASIANS THREE PERCENT, AND NATIVE AMERICANS LESS THAN ONE PERCENT. THE CITY OF SYRACUSE IS HOME TO 84 PERCENT OF ONONDAGA COUNTYS AFRICAN-AMERICAN RESIDENTS, WHICH IS 29 PERCENT OF THE TOTAL CITY POPULATION. THE LATINO COMMUNITY MAKES UP LESS THAN ONE PERCENT OF THE CITYS INHABITANTS. ACCORDING TO THE 2010 CENSUS DATA, MORE THAN 10 PERCENT OF SYRACUSE RESIDENTS REPORT BEING FOREIGN BORN. TO DETERMINE THE 16-COUNTY SERVICE AREA, AN ANALYSIS OF ZIP CODES OF PATIENT DISCHARGES IS PERFORMED ANNUALLY. PART VI, LINE 5: PLEASE SEE FORM 990, PART III LINE 4B. IN ADDITION ST. JOSEPH'S OFFERS AN ARRAY OF WELLNESS AND DISEASE PREVENTION PROGRAMS, INCLUDING DIABETES SELF MANAGEMENT AND SMOKING CESSATION. ST. JOSEPH'S WELLNESS NURSES PROVIDE FREE GENERAL HEALTH SCREENINGS, SUCH AS BLOOD PRESSURE READINGS, CARDIAC AND DIABETES RISK ASSESSMENT AND COUNSELING, AS WELL AS PATIENT EDUCATION ACTIVITIES AND PUBLIC HEALTH SCREENINGS. WELLNESS NURSES ALSO PROVIDE BLOOD PRESSURE SCREENINGS, DIABETES AND CHOLESTEROL SCREENINGS, AS WELL AS PULMONARY FUNCTION TESTING THROUGHOUT THE COMMUNITY. THESE WELLNESS NURSES PARTICIPATED IN HEALTH FAIRS AND/OR COMMUNITY FAIRS, OFFERING SCREENINGS AND PROVIDING HEALTH RELATED INFORMATION TO THE PUBLIC. ST. JOSEPH'S HOSTED COMMUNITY EDUCATION PROGRAMS ON JOINT REPLACEMENT, BACK CARE, FOOT CARE ISSUES, CARDIAC CARE, LYMPHEDEMA, WEIGHT-LOSS SURGERY AND KIDNEY DISEASES/PREVENTION. IN ADDITION, HOSPITAL STAFF MEMBERS GAVE LECTURES ON STROKE AWARENESS AND GENERAL HEALTH AND WELLNESS. ST. JOSEPH'S PHYSICAL MEDICINE AND REHABILITATION OFFERED SEVERAL FREE SCREENINGS/SEMINARS THROUGH PARTICIPATION IN HEALTH FAIRS AND SEMINARS THROUGHOUT THE COMMUNITY TO EDUCATE ABOUT THE BENEFITS OF PHYSICAL THERAPY.LOW BIRTH WEIGHT IS A PROBLEM IN ONONDAGA COUNTY, ACCORDING TO THE HEALTH DEPARTMENT. THE INCIDENCE OF INFANT MORTALITY AND LOW BIRTH WEIGHT AMONG AFRICAN AMERICANS IS DOUBLE THAT OF CAUCASIANS. A SIGNIFICANT HEALTH CONCERN FOR THE COUNTY IS HIGH RATES OF LEAD TOXICITY AMONG CHILDREN, ESPECIALLY WITHIN AFRICAN REFUGEE POPULATIONS.TO COMBAT THIS ISSUE, ST. JOSEPH'S PRIMARY CARE CENTERS SCREEN ALL PATIENTS AT ONE AND TWO YEARS FOR LEAD POISONING AND ALL REFUGEES AT ANY AGE. THE CENTERS MEDICAL DIRECTORS ARE CONSIDERING ROUTINELY RE-SCREENING THE BLOOD SIX MONTHS AFTER REFUGEES ARRIVE. THIS IS DUE TO SOME STUDIES, WHICH SHOW INCREASED LEAD POISONING DEVELOPING IN REFUGEES WHO SETTLE IN POOR HOUSING SITUATIONS. IN ADDITION, PATIENTS ARE EDUCATED ON THE DANGERS OF LEAD POISONING AND HOW TO PREVENT IT. IF A PATIENT TESTS POSITIVE FOR LEAD, HE OR SHE IS REFERRED TO THE COUNTY HEALTH DEPARTMENT.RATES OF SEXUALLY TRANSMITTED DISEASES (STDS) AND HIV/AIDS CONTINUE TO BE A PROBLEM IN ONONDAGA COUNTY AND THE CITY OF SYRACUSE, ESPECIALLY AMONG AFRICAN AMERICANS. ST. JOSEPH'S PRIMARY CARE CENTERS PERFORM STD AND HIV SCREENINGS, BASED ON RISK FACTORS, BEGINNING WHEN PATIENTS ARE IN THEIR EARLY TEENS. IF A PATIENT TESTS POSITIVE FOR A STD, PHYSICIANS WILL DO AN HIV AND SYPHILIS TEST, AS WELL. HIV TESTING IS ALSO OFFERED TO ALL PREGNANT PATIENTS; NEARLY 100 PERCENT AGREE TO HAVE THE TEST PERFORMED IN THE OFFICE; IF NOT, THEY ARE REQUIRED TO HAVE IT AT THE HOSPITAL PRIOR TO DISCHARGE.MATERNAL AND NEWBORN SERVICES: ST. JOSEPH'S MATERNAL AND NEWBORN SERVICES WELCOMES EVERY BABY WITH THE PHILOSOPHY OF FAMILY-CENTERED CARE, DELIVERING 2,200 BABIES ANNUALLY. OUR STATE-OF-THE ART CHILDBIRTH FACILITIES AND HOMELIKE BIRTH PLACE ALLOW FAMILIES TO EXPERIENCE THE JOYS OF CHILDBIRTH WHILE KEEPING THEIR PERSONAL CHOICES IN MIND HELPING YOU HAVE YOUR BABY YOUR WAY. ADDITIONAL SERVICES INCLUDE CHILDBIRTH CLASSES, NEWBORN CLASSES, SIBLING CLASSES AND A BREASTFEEDING SUPPORT CENTER. REGISTERED NURSES WHO ARE CERTIFIED IN LACTATION PROVIDE ASSISTANCE AND EDUCATION TO MOTHERS BOTH DURING THEIR INPATIENT STAY AND AFTER DISCHARGE. CHILDBIRTH AND BREASTFEEDING SUPPORT: ST. JOSEPHS IS A BABY-FRIENDLY HOSPITAL BY THE WORLD HEALTH ORGANIZATION THROUGH ITS BABY-FRIENDLY HOSPITAL INITIATIVE. IT IS THE ONLY CENTRAL NEW YORK HOSPITAL WITH THIS DESIGNATION AND ONE OF 143 IN THE COUNTRY. NEW YORK STATE HAS JUST THREE OTHER HOSPITALS WITH THE DISTINCTION. THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) IS A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDRENS FUND (UNICEF) TO ENCOURAGE AND RECOGNIZE HOSPITALS AND BIRTHING CENTERS THAT OFFER AN OPTIMAL LEVEL OF CARE FOR LACTATION. THE BFHI ASSISTS HOSPITALS IN GIVING BREASTFEEDING MOTHERS THE INFORMATION, CONFIDENCE, AND SKILLS NEEDED TO SUCCESSFULLY INITIATE AND CONTINUE BREASTFEEDING THEIR BABIES AND GIVES SPECIAL RECOGNITION TO HOSPITALS THAT HAVE DONE SO. AT SIX, ST. JOSEPHS HAS THE HIGHEST NUMBER OF LACTATION CONSULTANTS OF ANY SYRACUSE HOSPITAL. IN ADDITION, THE HOSPITAL SUPPORTS ITS OWN EMPLOYEES WHO ARE BREASTFEEDING THEIR BABIES AFTER RETURNING TO WORK. A PRIVATE PUMPING ROOM IS AVAILABLE FOR EMPLOYEES TO USE. ST. JOSEPH'S PROVIDES APPROXIMATELY 400 FREE BREASTFEEDING SUPPORT CENTER VISITS TO MOMS WHO DELIVER AT ST. JOSEPH'S. IN ADDITION, ITS LACTATION CONSULTANTS TAKE HUNDREDS OF CALLS FOR ASSISTANCE/ADVICE EVERY YEAR, INCLUDING REQUESTS FROM WOMEN WHO DELIVER AT OTHER AREA HOSPITALS. FREE CLASSES ARE PROVIDED TO COUPLES WHO ARE UNABLE TO PAY FOR CHILDBIRTH PREPARATION CLASSES. THESE CLASSES ALSO ARE FREE TO MILITARY COUPLES, IF ONE PARTNER IS DEPLOYED.AT ST. JOSEPH'S WESTSIDE FAMILY HEALTH CENTER, AN INFORMAL PREGNANCY CLUB HELPS PREGNANT WOMEN STAY HEALTHY AND PREPARE FOR THEIR BIRTHS. NEARLY 250 WOMEN HAVE ATTENDED THE CLUB IN CONJUNCTION WITH THEIR PRENATAL VISITS. THEY LEARN ABOUT WHAT IS HAPPENING TO THEIR BODIES, HOW TO STAY HEALTHY AND WHAT TO EXPECT WHEN GIVING BIRTH. STAFF MEMBERS AT WESTSIDE ARE PARTICULARLY SENSITIVE TO THE FACT THAT MANY OF THESE WOMEN ARE FROM VARYING CULTURAL BACKGROUNDS AND SOME DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. THE LARGEST POPULATION OF WOMEN IS LATINAS, WHO FAVOR THE ONE-ON-ONE, PERSONAL INTERACTION THE CLUB PROVIDES. ACCORDING TO MEDICAL DIRECTOR LUIS CASTRO, MD, BREASTFEEDING RATES HAVE INCREASED BY 30 PERCENT AND WOMEN WHO PARTICIPATED IN THE PROGRAM ALSO HAVE DELIVERED BABIES WITH HEALTHIER BIRTH WEIGHTS.HEALTHY OUTCOMES IN THE PREGNANCY EXPERIENCE (HOPE): THE HOPE PROGRAM'S GOAL IS TO PROVIDE PARENTS AND FAMILY MEMBERS, PARTICULARLY YOUNG MOTHERS, WITH THE SKILLS AND KNOWLEDGE TO CARE FOR THEMSELVES AND THEIR CHILDREN THROUGHOUT PREGNANCY, THE FIRST YEAR OF THEIR CHILD'S LIFE, AND BEYOND. IT WAS IMPLEMENTED IN 1996 TO ADDRESS THE NEEDS OF NEW PARENTS AND THEIR FAMILIES, SUCH AS HEALTHY PREGNANCY PATTERNS, NEWBORN CARE, BREASTFEEDING, NUTRITION AND COOKING SKILLS, ORAL CARE, PARENTING SKILLS, DOMESTIC VIOLENCE, TOBACCO CESSATION, CHILD BEHAVIOR AND HOW TO KNOW WHEN YOUR CHILD IS ILL.INTENSIVE CARE NURSERY: ST. JOSEPH'S INTENSIVE CARE NURSERY IS A NEW YORK STATE-APPROVED LEVEL THREE FACILITY, WHICH CARES FOR PREMATURE AND CRITICALLY ILL BABIES. ST. JOSEPH'S INCORPORATES STATE OF THE ART TECHNOLOGY WITH UNIQUE FAMILY CENTERED NEONATAL CARE IN A QUIET, NURTURING AND COMFORTABLE ENVIRONMENT. THE HOSPITAL CARES FOR MORE THAN 350 HIGH-RISK BABIES ANNUALLY AND AN INFANT DEVELOPMENTAL SPECIALIST PROVIDES COORDINATION OF DEVELOPMENTAL CARE FOR INFANTS. THE SPECIALIST CAN ASSESS INFANT BEHAVIOR, PROVIDE SUPPORT TO STAFF AND PARENTS, AND CHARTS THE BABIES' PROGRESS. ST. JOSEPH'S WAS THE FIRST IN CENTRAL NEW YORK TO OPEN AN INTENSIVE CARE NURSERY IN 1970, AND ALSO WAS FIRST TO DEPLOY CYCLED LIGHTING IN THE NURSERY. ITS NURSE PRACTITIONERS HAVE PRESENTED IMPORTANT RESEARCH ON INFANT SLEEP POSITION TO PREVENT SUDDEN INFANT DEATH SYNDROME TO AUDIENCES ACROSS THE COUNTRY. WHAT'S MORE, ST. JOSEPH'S NEONATOLOGISTS RUN THE REGION'S ONLY PEDIATRIC SLEEP CENTER. THE NURSERY IS THE ONLY ONE IN THE REGION THAT PARTICIPATES IN A COLLABORATIVE DATABASE, THE VERMONT OXFORD NETWORK (VON), WHICH ALLOWS IT TO COMPARE OUTCOMES WITH OTHER INTENSIVE CARE NURSERIES AROUND THE WORLD.WOMEN'S SERVICES: ST. JOSEPH'S BREAST CARE PRE-ADMISSION PRE-OPERATIVE EDUCATION PROGRAM HELPS PREPARE WOMEN WHO ARE UNDERGOING BREAST SURGERY BY ADDRESSING THEIR PRE, PERI AND POST-OPERATIVE NEEDS. THE BREAST CANCER SUPPORT GROUP HELPS PATIENTS LEARN TO LIVE WITH THEIR DISEASE AND CONTINUE TO HEAL LONG AFTER THE SURGERY IS OVER. THROUGH THE WOMEN'S HEALTH OUTREACH PROGRAM ST. JOSEPH'S EDUCATES WOMEN REGARDING THE FUNDING AVAILABLE TO THEM FOR PAP SMEARS, MAMMOGRAMS AND TREATMENT FOR BREAST OR CERVICAL CANCER. UNINSURED WOMEN MAYRECEIVE A VOUCHER FROM THE DEPARTMENT OF SOCIAL SERVICES FOR DIAGNOSTIC SCREENINGS, SUCH AS PAP SMEARS, MAMMOGRAMS AND TREATMENT FOR BREAST OR CERVICAL CANCER. PART VI, LINE 6: OTHER THAN THE PROGRAMS MENTIONED IN FORM 990, PART III AND SCHEDULE H, PART VI, LINE 5 THE HOSPITAL PROMOTES ITS HEALTH SERVICES IN CONJUCTION WITH THEIR AFFILIATED ENTITIES. THESE AFFILIATED ENTITIES INCLUDE ST. JOSEPH'S HOSPITAL FOUNDATION WHICH WORKS TO RAISE MONEY THROUGH EVENTS AND DONATIONS TO PROVIDE TO PATIENTS WHO ARE IN NEED OF SPECIFIC TREATMENTS AND TO SUPPORT THE HOSPITAL'S FACILITIES FOR BETTER PATIENT CARE. ST. JOSEPH'S HEALTH P.C. AND ST. JOSEPH'S MEDICAL P.C. ALSO WORK WITH THE HOSPITAL TO PROMOTE HEALTH SERVICES TO THE COMMUNITY BY PROVIDING PRIMARY CARE SERVICES WITHIN THE OUTLYING AREAS OF THE CITY OF SYRACUSE. REPORTS FILED WITH STATES PART VI, LINE 7 NY 1 KINGSTON REGIONAL HEALTH CARE SYSTEM 741 GRANT AVENUE LAKE KATRINE NY 12449 141684387 501(C)(3) 13756 TOBACCO CESSATION GRANT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DOCUMENTATION IS RETAINED ON FILE FOR GRANTS ISSUED TO OTHER ORGANIZATIONS INCLUDING ANY RECORD OF APPLICATION OR OTHER CORRESPONDENCE. X X X X X 0 1 0 0 0 0 0 0 0 KATHRYN RUSCITTO 580007 0 76594 0 3070 0 91104 0 6489 0 757264 0 0 0 SANDRA SULIK MD 298564 0 51551 0 2132 0 12490 0 0 0 364737 0 0 0 DENNIS EHRICH MD 190959 0 0 0 1975 0 3360 0 9885 0 206179 0 0 0 ANNE MARIE CZYZ 211009 0 14100 0 5788 0 12824 0 17768 0 261489 0 0 0 FRANK SMITH JR 299998 0 20608 0 2858 0 20424 0 11712 0 355600 0 0 0 MARY W BROWN 329992 0 30983 0 2941 0 32874 0 11712 0 408502 0 0 0 CHARLES J FENNELL 219419 0 16841 0 1100 0 13024 0 13768 0 264152 0 0 0 MICHAEL SHAFFER 332292 0 27594 0 5029 0 32274 0 11712 0 408901 0 0 0 MARGARET M MARTIN 192338 0 13320 0 4193 0 9213 0 10775 0 229839 0 0 0 JOSEPH A SCICCHITANO 177499 0 10397 0 5665 0 12050 0 3747 0 209358 0 0 0 MARK E MURPHY 229576 0 13160 0 1045 0 26618 0 8088 0 278487 0 0 0 FREDERICK LATOURNEAU 299996 0 10656 0 2240 0 22500 0 14483 0 349875 0 0 0 DEBORAH WELCH 169998 0 0 0 3235 0 13924 0 14483 0 201640 0 0 0 LOWELL A SEIFTER JD 232708 0 0 0 5690 0 20625 0 8784 0 267807 0 0 0 ALFREDO LOPEZ MD 327727 0 1280 0 1756 0 4224 0 15753 0 350740 0 0 0 KWAME ADUSEI MD 318622 0 1235 0 2536 0 4224 0 11842 0 338459 0 0 0 CHAUDHURY DAVULURI MD 317622 0 1235 0 1748 0 3624 0 15525 0 339754 0 0 0 AFSHAN ASHFAQ MD 317625 0 1232 0 2937 0 2400 0 15252 0 339446 0 0 0 TANYA PAUL MD 318544 0 1235 0 954 0 3024 0 15525 0 339282 0 0 0 THEODORE PASINSKI 110214 0 0 0 76336 0 30424 0 11712 0 228686 0 0 0 SUPPLEMENTAL INFORMATION PART III AFTER-TAX 457(F) PLAN ELIGIBILITY FOR THE AFTER-TAX 457(F) PLAN SHALL BE LIMITED TO THOSE INDIVIDUALS WHO ARE PRIMARILY UPPER MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE HOSPITAL WHO ARE SELECTED IN THE SOLE DISCRETION OF THE HOSPITAL'S BOARD OF TRUSTEES OR ITS DESIGNEE. ELIGIBLE EMPLOYEES WHO HAVE BEEN SELECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD ARE SET FORTH ON EXHIBIT A OF THE PLAN. ALL EMPLOYER CONTRIBUTIONS TO THE PLAN ARE IMMEDIATELY VESTED. THIS PLAN IS AN INCENTIVE TO CONTINUE TO PROVIDE VALUABLE SERVICES TO THE HOSPITAL AND AS AN INCENTIVE TO RECRUIT NEW EMPLOYEES TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY, AND AS SUCH IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE. PARTICIPANTS THEODORE PASINSKI $25,000 FRANK SMITH, JR. $15,000 MARY W. BROWN $28,050 CHARLES FENNELL $8,800 KATHRYN RUSCITTO $87,000 MARK MURPHY $21,194 SANDRA SULIK, MD $10,090 ANNE MARIE CZYZ $8,600 MICHAEL SHAFFER $28,050 MARGARET M MARTIN $5,589 JOSEPH A SCICCHITANO $7,226 FREDERICK LATOURNEAU $22,500 DEBORAH WELCH $8,500 LOWELL A SEIFTER, JD $20,625 A 2010 CIVIC FACILITY MULTI-MIDAL REVENUE BONDS 800458240 2010-07-16 63480000 FINANCE REPLACEMENT AND RENOVATION PROJECT 0 0 0 B 2012 ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 682832BF6 2012-09-20 143261750 FINANCE RENOVATION PROJECT AND FUND THE DEFEASANCE OF 1997 BONDS 0 0 0 A 63480000 1413460 50000 62016540 2012 0 0 0 0 B 72723830 10826256 6305514 3577941 516750 32550971 19463148 70537921 2014 0 0 0 0 A 0 0 0 0 0.00000 0.00000 0 0 0 B 0 0 0 0 0.02500 0.02500 0 0 0 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 1 B 1 MICHAEL SHAFFER CFO, KEY EMPLOYEE X 69377 22643 0 0 1 MICHAEL SHAFFER CFO, KEY EMPLOYEE X 7956 7956 0 0 1 30599 SYRACUSE OFFICE ENVIRONMENT BUSINESS 35% OWNED BY BOARD MEMBER & RELATIVE 230908 BUSINESS TRANSACTION 0 ADAM HOWE FAMILY OF BOARD MEMBER 35168 COMPENSATION ARRANGEMENT 0 LOWELL SEIFTER FAMILY OF BOARD MEMBER 267807 COMPENSATION ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION, ST. JOSEPH'S HOSPITAL HEALTH CENTER, INCLUDE AND ARE LIMITED TO THE GENERAL MINISTER AND COUNCIL MEMBERS OF THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE CORPORATION MAY ELECT THE BOARD OF TRUSTEES AND REMOVE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE CORPORATION WHO IS THE GENERAL MINISTER AND COUNCIL MEMBERS OF THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES SHALL RETAIN THE POWER AND AUTHORITY TO: - CHANGE THE PHILOSOPHY, MISSION AND PURPOSE OF THE CORPORATION; - ADOPT AND/OR AMEND THE CERTIFICATE OF INCORPORATION; - ADOPT AND/OR AMEND THE BY-LAWS; - ELECT THE BOARD OF TRUSTEES AND REMOVE THE BOARD MEMBERS WITH OR WITHOUT CAUSE; - APPOINT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - APPROVE THE PURCHASE, SALE, LEASE, MORTGAGE OF REAL PROPERTY; AND APPROVE THE PURCHASE, SALE OF GIFT OF CAPITAL ASSETS; - APPROVE THE MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM; - APPROVE THE DISSOLUTION OF THE CORPORATION AND DISPOSITION OF ASSETS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES WILL REVIEW THE FORM 990 PRIOR TO ITS SUBMISSION. A COPY OF THE 990 WILL BE PROVIDED TO THE COMMITTEE AND BOARD PRIOR TO THE MEETING FOR DISCUSSION. FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH THE HOSPITAL BYLAWS WHICH REQUIRES A DUTY TO DISCLOSE, ON AN ANNUAL BASIS AT A DEFINED TIME, ALL BOARD OF TRUSTEES ARE GIVEN THE CONFLICT OF INTEREST POLICY AND FORM TO REVIEW AND COMPLETE. THE PRESIDENT OF THE BOARD OF TRUSTEES TRACKS THE SUBMISSION PROCESS TO ENSURE THAT ALL FORM ARE COMPLETED AND SUBMITTED. THE INFORMATION FROM THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AT A SUBSEQUENT BOARD MEETING. ANY NEW INDIVIDUALS APPOINTED AS A TRUSTEE WILL COMPLETE THIS REVIEW AND SUBMISSION PROCESS AFTER THEY HAVE BEEN CONFIRMED. THE INTERESTED PERSON IS REQUIRED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTS FORM THE CONFLICT OF INTEREST. THE BOARD OF TRUSTEE MEETING MINUTES REFLECT WHENEVER A BOARD MEMBER ABSTAINS FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL BYLAWS ESTABLISHES AN EXECUTIVE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S HOSPITAL HEALTH CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. IT DOES HOWEVER PRODUCE AN ANNUAL REPORT WHICH CONTAINS FINANCIAL INFORMATION AND IS READILY DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF ST. JOSEPH'S FOUNDATION -483,836. PENSION & POST RETIREMENT CHANGES 4,006,703. NET UNREALIZED LOSSES ON INVESTMENTS -622,141. FORM 990 PART IX LINE 11G PHYSICIAN CONTRACTS - $20,982,266 MEDICAL PURCHASESD SERVICES 16,047,181 OTHER PURCHASED SERVICES 5,727,898 MAINTENANCE CONTRACTS 4,313,141 CONTRACTED SERVICES 4,296,855 TEMPORARY EMPLOYMENT SERVICES 2,898,803 LAUNDRY AND LINEN 2,488,703 MAINTENANCE AND REPAIR 1,798,103 TRANSCRIPTION SERVICES 1,054,060 COLLECTION AGENCY FEES 1,250,314 OTHER PROFESSIONAL 895,605 RECRUITMENT FEES 91,543 PHOTOGRAPHY SERVICES 7,811 ST JOSEPH'S HOSPITAL FOUNDATION 301 PROSPECT AVE SYRACUSE NY 13203 222149775 FUNDRASING FOR HOSPITAL NY 501 (C)(3) 11A N/A 0 ST JOSEPH'S HOSPITAL PROPERTIES 301 PROSPECT AVE SYRACUSE NY 13203 237219294 PROPERTY MANAGEMENT COMPANY NY 501 (C)(3) 11A N/A 0 ST JOSEPHS PHYSICIAN HEALTH PC 301 PROSPECT AVE SYRACUSE NY 13203 161516863 PHYSICIAN PROFESSIONAL SERVICES NY 501 (C)(3) 11B ST JOSEPH'S HOSPITAL HEALTH CENTER 0 SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVE SYRACUSE NY 13203 271763712 SUPPORT ST. JOSEPH'S HOSPITAL HEATLH CENTER NY 501 (C)(3) 11A ST JOSEPH'S HOSPITAL HEALTH CENTER 0 ST JOSEPH COLLEGE OF NURSING AT ST JOSEPHS HOSPITAL HEALTH CENTER 206 PROSPECT AVE SYRACUSE NY 13203 202497520 NURSING EDUCATION NY 501 (C)(3) 11A ST JOSEPH'S HOSPITAL HEALTH CENTER 0 ST JOSEPH'S MEDICAL PC 301 PROSPECT AVE SYRACUSE NY 13203 273899821 PHYSICIAN PROFESSIONAL SERVICES NY 501 (C)(3) 11B ST JOSEPH'S HOSPITAL HEALTH CENTER 0 SJLS LLC 301 PROSPECT AVE SYRACUSE NY 13203 201796650 DIALYSIS TREATMENTS NY SJ MANAGEMENT INC RELATED 3914840 2406086 0 1 0.60000 LIVERPOOL DIALYSIS CENTER LLC 1304 BUCKLEY ROAD SYRACUSE NY 132124302 261890615 DIALYSIS TREATMENTS NY ST JOSEPH'S HOSPITAL HEALTH CENTER INC RELATED 489681 0 1 1.00000 FRANCISCAN MANAGEMENT SERVICES INC 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 161351193 MANAGEMENT SERVICES NY SJHHC PROPERTIES INC C 1.00000 1 FRANCISCAN HEALTH SUPPORT INC 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 161236354 DURABLE MEDICAL EQUIPMENT NY SJHHC PROPERTIES INC C 1.00000 1 HEALTHCARE MANAGEMENT SERVICES 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 161450960 MANAGEMENT AND BILLING SERVICES NY SJHHC PROPERTIES INC C 1.00000 1 FRANCISCAN ASSOCIATES INC 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 202991688 HOLDING COMPANY NY SJHHC PROPERTIES INC C 1.00000 1 FHS SERVICES INC 7246 JANUS PARK DRIVE LIVERPOOL NY 13088 272995699 HEALTH SERVICE PROVIDER NY SJHHC PROPERTIES INC C 1.00000 1 SJPE PRACTICE MANAGEMENT SERVICES 301 PROSPECT AVENUE SYRACUSE NY 13203 454164964 MANAGEMENT SERVICES NY STJOSEPH'S HOSPITAL HEALTH CENTER C 181325 1.00000 0 1 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1