2023-11-06T12:24:31-06:00 2022-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2022-01-01 150524324 DELAWARE VALLEY HOSPITAL INC DELA 6078652197 1 TITUS PLACE WALTON NY 138561457 LUCINDA RIDER CFO 6078652160 2023-11-06 1 LUCINDA RIDER 999009999 0 MARY MADONIA P00405803 7168472651 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROLLAND BOJO CEO 1 TITUS PLACE WALTON NY 138561457 34235567 0 X WWW.NYUHS.ORG X 1950 NY TO SERVE OUR PATIENTS IN AN EFFICIENT AND PATIENT-FOCUSED MANNER AND OFFER A RANGE OF ACUTE, OUTPATIENT, DIAGNOSTIC, REHABILITATIVE, PRIMARY CARE AND WELLNESS SERVICES. 8 5 227 24 0 0 1063285 696419 28918706 33236802 237269 211505 116567 90841 30335827 34235567 0 0 0 0 11381143 12533365 0 0 0 16330856 17505873 27711999 30039238 2623828 4196329 33996975 37167150 7459055 7911672 26537920 29255478 X SEE SCHEDULE OAS A CRITICAL ACCESS HOSPITAL AND MEMBER OF THE UHS HEALTHCARE SYSTEM, UHS DELAWARE VALLEY HOSPITAL'S MISSION IS TO PROVIDE THE COMMUNITY WITH THE HIGH QUALITY, PATIENT-CENTERED SERVICES THAT ARE MOST OFTEN NEEDED; THEREBY IMPROVING ACCESS TO CARE AND REDUCING THE NEED TO TRAVEL LONG DISTANCES. WE DO THIS BY OFFERING EMERGENCY CARE, INPATIENT SHORT-TERM ACUTE CARE, PHYSICAL REHABILITATIVE CARE AND ADDICTION TREATMENT. IN ADDITION, WE PROVIDE HIGH QUALITY PRIMARY CARE; A WIDE RANGE OF DIAGNOSTIC AND TREATMENT SERVICES; ACCESS TO TOP LOCAL SPECIALTY CARE AND AN OUTPATIENT PHARMACY. UHS DELAWARE VALLEY HOSPITAL ALSO SERVES AS THE GATEWAY FOR PATIENTS TO ACCESS THE STATE-OF-THE-ART TECHNOLOGY AND HIGHLY QUALIFIED SPECIALISTS OF THE UHS SYSTEM, WHEN MORE SPECIALIZED CARE IS NEEDED. 0 0 5439147 8123089 INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O) INPATIENT AND ACUTE SERVICES: DELAWARE VALLEY HOSPITAL (DVH) FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTHCARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES. THIS INCLUDES THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM (96 HRS. OR LESS) INPATIENT ACUTE CARE, SWING BED AND ADDICTION TREATMENT SERVICES VIA ITS 25-BED HOSPITAL LOCATED ON THE MAIN CAMPUS IN WALTON IN DELAWARE COUNTY, NY. PATIENT DISCHARGES IN 2022 WERE COMPRISED OF 172 ACUTE, AND 224 SWING BED. ACUTE CARE REPRESENTED 620 PATIENT DAYS, IN ADDITION TO THE 3,692 PATIENT DAYS FOR SWING BED. INDICATIVE OF THE COMPREHENSIVE HEALTHCARE PROVIDED TO THESE PATIENTS, A TOTAL OF 15,404 LAB TESTS, 6,623 RESPIRATORY TREATMENTS, 59 X-RAYS, 16 ULTRASOUNDS, 48 CT AND 3 MRI EXAMS, 2,419 PHYSICAL THERAPY AND 1,518 OCCUPATIONAL THERAPY SESSIONS, AND 133 EKG'S WERE ADMINISTERED. OTHER SERVICES INCLUDED 35 ECHO EXAMS, AND 726 DIETARY CONSULTS. TO ENSURE OUR RURAL AREA RESIDENTS HAVE ACCESS TO HIGH QUALITY, EFFICIENT CARE IN A COMFORTABLE AND PRIVATE AREA, THE HOSPITAL'S IMAGING CENTER IS EQUIPPED WITH 3D MAMMOGRAPHY, ULTRASOUND, BONE DENSITY, X-RAY AND A 128-SLICE CT SUITE. MRI SERVICES ARE OFFERED ON SUNDAYS THROUGH AN AGREEMENT WITH A MOBILE VENDOR. NUCLEAR MEDICINE WAS ADDED IN 2021 AND IS OFFERED ONE TO TWO DAYS EACH WEEK.IN ORDER TO ADDRESS THE NEED TO FREE UP ICU AND OTHER BEDS, WITHIN BOTH THE UNITED HEALTH SERVICES SYSTEM AND THE REGION, DELAWARE VALLEY HOSPITAL PAUSED ADMISSIONS TO ITS INPATIENT ADDICTION TREATMENT PROGRAM IN OCTOBER 2021. STAFF FROM THE ADDICTION TREATMENT PROGRAM WERE RE-ASSIGNED TO THE INPATIENT MEDICAL UNIT WHICH ENSURED CARE FOR PATIENTS WITH COVID AND OTHER SERIOUS ILLNESSES, WHILE ALLOWING DVH TO CONTINUE TO ACCEPT PATIENTS WHO NEEDED ACUTE CARE, BUT WERE LESS SERIOUSLY ILL. 3384794 4170047 CLINICS (SEE SCHEDULE O)DELAWARE VALLEY HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY AND PREVENTIVE CARE SERVICES THROUGH ITS PRIMARY CARE CENTERS LOCATED IN WALTON, DOWNSVILLE, AND ROSCOE. THESE PRIMARY CARE CENTERS FORM THE FOUNDATION NECESSARY TO SERVE OUR COMMUNITIES WITH A COORDINATED SYSTEM OF CARE WHILE PAYING SPECIAL ATTENTION TO UNDER-SERVED AREAS. 2022 INCLUDED 12,417 VISITS IN WALTON, 841 IN ROSCOE, AND 2,013 IN DOWNSVILLE. DELAWARE VALLEY HOSPITAL ALSO PURCHASED A PRIVATE PRACTICE AND BROUGHT ON TWO WELL-KNOWN NURSE PRACTITIONERS, WHICH LED TO AN ADDITIONAL 4,630 PRIMARY CARE VISITS; BRINGING THE GRAND TOTAL TO 19,901. 16205696 21034507 OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O) OUTPATIENT AND AMBULATORY SERVICES: DELAWARE VALLEY HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC CARDIOPULMONARY, IMAGING, LAB AND TREATMENT SERVICES AT ITS WALTON CAMPUS. THESE INCLUDE A 7-BED EMERGENCY DEPARTMENT WHICH SERVES THE COMMUNITY 24/7. OTHER TREATMENT SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL REHABILITATIVE SERVICES, AMBULATORY PROCEDURES, CARDIAC AND PULMONARY REHABILITATION AND ACCESS TO SPECIALTY SERVICES. IN 2022 THE CARDIOLOGY SPECIALTY CLINIC HAD 718 VISITS, PAIN MANAGEMENT 12; TELE-MENTAL HEALTH CONSULTS 524, WHILE GASTROENTEROLOGY HAD 196. ORTHOPEDICS WAS ADDED IN LATE 2022 AND THAT SERVICE REALIZED 70 VISITS. THE HOSPITAL ALSO BEGAN TO DO SOME OUTREACH STARTING IN THE SUMMER OF 2022. THESE ACTIVITIES ARE OUTLINED IN THE SUPPLEMENTAL INFORMATION SECTION OF SCHEDULE H. OCCUPATIONAL HEALTH PROGRAMMING MEETS THE NEEDS OF LOCAL BUSINESSES, FIRE DEPARTMENTS, AND EMERGENCY SQUADS BY PROVIDING PHYSICALS, DRUG TESTING, AND ERGONOMIC EDUCATION: 238 IN 2022. IN 2022 THE EMERGENCY DEPARTMENT TREATED OR ADMITTED 5,588 RESIDENTS, THE LAB PERFORMED 62,616 TESTS, AND 6,434 PHYSICAL/OCCUPATIONAL THERAPY SESSIONS WERE CONDUCTED. THE IMAGING CENTER PERFORMED 9,877 X-RAYS, CT SCANS, NUCLEAR TESTING, MRI'S, ULTRASOUNDS, BONE DENSITY TESTS AND MAMMOGRAPHY FOR OUTPATIENT SERVICES. OTHER OUTPATIENT SERVICES PERFORMED IN 2022 INCLUDED 649 AMBULATORY PROCEDURES, 137 ENDOSCOPIES, 1,146 OPIATE ADDICTION TREATMENT SESSIONS, AND 1,060 SERVICES ASSOCIATED WITH CARDIAC AND PULMONARY REHABILITATION. THE CARDIOPULMONARY DEPARTMENT PERFORMED 2,209 TESTS AND/OR TREATMENTS. 1,332 CARDIAC RELATED TESTS WERE PERFORMED: EKGS, ECHOCARDIOGRAMS, CARDIAC HOLTER AND EVENT MONITORS. THERE WERE 158 DIETARY CONSULTS. THE HOSPITAL'S OUTPATIENT RETAIL PHARMACY FILLED 66,453 PRESCRIPTIONS. 25029637 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 30 0 1 227 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X ROLLAND BOJO 6078652197 DELAWARE VALLEY HOSPITAL 1 TITUS WALTON NY 138561457 HELEN JOHNSTON BOARD MEMBER/BOARD CHAIR 2.00 X X 0 0 0 JOHN CARRIGG BOARD MEMBER/VICE CHAIR 2.00 55.00 X X 0 1579359 94357 REV LARRY LIGHT BOARD MEMBER 2.00 X 0 0 0 EDWARD SNOW BOARD MEMBER/SECRETARY 2.00 X X 0 0 0 ERIN NEALE BOARD MEMBER 2.00 X 0 0 0 AMANDA HALL BOARD MEMBER/TREASURER 2.00 X X 0 0 0 DR MICHAEL FREEMAN BOARD MEMBER/MED STAFF PRE 57.00 X X 223202 0 23710 ROLLAND BOJO BOARD MEMBER/PRESIDENT/CEO 57.00 X X 233583 0 33168 DR JEFFREY GRAY CHIEF MEDICAL OFFICER 5.00 X 40000 0 0 VICTORIA CONKLING VP PATIENT CARE/CNO 55.00 X 162892 0 20290 LUCINDA RIDER CFO 55.00 X 132219 0 24400 KATHLEEN ULMSCHNEIDER STAFF NURSE 55.00 X 146279 0 26699 TITO ENDAYA LAB MANAGER 55.00 X 130341 0 31276 CYNTHIA GARDEPE DIRECTOR HUMAN RESOURCES 55.00 X 122405 0 18116 RANDY TAYLOR DIR. ANCILLARY SERVICES 55.00 X 115396 0 24238 ANN MARIE HENRY STAFF NURSE 55.00 X 115272 0 25682 1421589 1579359 321936 21 0 1 0 UNITED MEDICAL ASSOCIATES 20 MITCHELL AVE BINGHAMTON NY 13903 PHYSICIAN SERVICES 3451439 SECO PHYSICALOCCUPATIONAL THERAPY 26 CONKY AVE NORWICH NY 13815 PHYSICAL/OCC. THERAPY 884286 EVANS MECHANICAL INC 314 MAPLE STREET ENDICOTT NY 13760 PLUMBING AND HEATING SERVICES 252271 PARK AVE ASSOCIATES IN RADIOLOGY 32-36 HARRISON ST JOHNSON CITY NY 13790 RADIOLOGY SERVICES 235773 ALLIANCE HEALTHCARE SERVICES INC PO BOX 96485 CHICAGO IL 60693 RADIOLOGY & ONCOLOGY SERVICES 222753 8 650672 45747 696419 OUTPATIENT SERVICES 621400 20977173 20977173 INPATIENT AND ACUTE SERVICES 621990 8100948 8100948 CLINICS 621110 4158681 4158681 33236802 211505 211505 VENDOR REBATES 900099 69996 69996 MISC REVENUE 900099 20553 20553 MEDICAL RECORD COPY FEES 900099 3917 3917 -3625 -3625 90841 34235567 33327643 0 211505 X 893463 608816 284647 9451353 7821666 1629687 301883 247544 54339 1181166 968556 212610 705500 582608 122892 223349 223349 29076 29076 101507 101507 4952 4952 3089 3089 7460626 6256225 1204401 22295 22295 1149289 555465 593824 88959 88959 323787 173955 149832 17117 11808 5309 25118 19746 5372 86169 10641 75528 1179079 1179079 174506 113292 61214 DRUGS 4489366 4489366 MEDICAL SUPPLIES 682630 682630 LAB SERVICES 609679 609679 BAD DEBT EXPENSE 450434 450434 384846 225832 159014 30039238 25029637 5009601 0 6399623 6642285 3009298 3165001 490165 457583 638576 533697 28584860 18513639 10278753 10071221 11908875 15034143 318209 318209 953476 945011 33996975 37167150 1411157 1742759 1639900 0 107423 1567354 3659511 3329042 641064 1272517 7459055 7911672 X 26206464 28894591 331456 360887 26537920 29255478 33996975 37167150 X 4196329 -1512356 33585 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4952 4952 0 PART II-B, LINE 1: AMOUNTS DISCLOSED ARE THE LOBBYING PORTIONS OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY (12.06%) AND IROQUOIS HEALTHCARE (52%). 331456 29431 360887 336845 5389 331456 335666 1179 336845 330416 5250 335666 328445 1971 330416 0.88000 0.12000 1 0 51202 51202 15213690 7792945 7420745 12947579 10720694 2226885 372389 372389 10071221 DUE TO UNITED MED. ASSOC. 314269 DUE TO UHS HOSPITALS 730239 DUE TO UHS, INC. 1187 DUE TO CMH 1502 ROU LEASE 225320 1272517 X 32306362 -1512356 33585 -1478771 33785133 450434 450434 34235567 29588804 0 29588804 450434 450434 30039238 PART V, LINE 4: PURCHASE OF CAPITAL EQUIPMENT (MEDICAL) AND IMPROVEMENT OF FACILITIES. PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2022 AND 2021, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2019 TO 2022. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTEREST RATE SWAP 37,622. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -4,037. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 450,434. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 450,434. 1 1 X 1 X 0 1 1 1 0 1 1 148000 148000 0.00500 6143006 3464038 2678968 0.09050 1193231 1457051 0 0.00000 7484237 4921089 2826968 0.09550 420333 420333 0.01420 56857 56857 0.00190 12979869 12005056 974813 0.03290 13457059 12005056 1452003 0.04900 20941296 16926145 4278971 0.14450 7214 7214 0.00020 10173 10173 0.00030 3845 3845 0.00010 21232 21232 0.00060 0 450434 44540 6302014 6189735 112279 X 1 1 1 1 DELAWARE VALLEY HOSPTITAL 1 TITUS PLACE WALTON NY 13856 X X X DELAWARE VALLEY HOSPTITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://WWW.NYUHS.ORG X 1 22 1 HTTP://WWW.NYUHS.ORG 0 1 X 200.000000000000 X X X X 1 1 X X X 1 X HTTP://WWW.NYUHS.ORG X HTTP://WWW.NYUHS.ORG X HTTP://WWW.NYUHS.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 DELAWARE VALLEY HOSPTITAL PART V, SECTION B, LINE 5: DELAWARE VALLEY HOSPITAL HAS MEMBERSHIP IN THE DELAWARE COUNTY HEALTHCARE ALLIANCE, A COALITION OF HEALTHCARE AND COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY, AS WELL AS ON ITS WELLNESS COMMITTEE. A STAFF MEMBER ALSO SERVES ON THE COMMUNITY COMMITTEE OF THE LOCAL SCHOOL. THE HOSPITAL ALSO HAS REPRESENTATION ON THE COUNTY'S EMERGENCY PREPAREDNESS COMMITTEE (BNICER). THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR PARTICIPATES IN ALL DVH VOLUNTEER MEETINGS AND ACTIVELY SEEKS THEIR INPUT AND FEEDBACK ABOUT THE HOSPITAL'S SERVICES. THE HOSPITAL'S BOARD OF DIRECTORS PROVIDES INPUT AS TO WHAT THEY HEAR FROM COMMUNITY MEMBERS. PATIENT SATISFACTION SURVEYS ARE ALSO USED IN GAINING INPUT FROM OUR PATIENTS. DELAWARE VALLEY HOSPTITAL PART V, SECTION B, LINE 6A: O'CONNOR HOSPITAL, DELHI, NYMARGARETVILLE COMMUNITY HOSPITAL, MARGARETVILLE, NY DELAWARE VALLEY HOSPTITAL PART V, SECTION B, LINE 6B: GOVERNMENT: DELAWARE COUNTY PUBLIC HEALTHHOSPITAL AND HEALTH SERVICES: UNITED HEALTH SERVICES - DELAWARE VALLEY HOSPITAL, BASSETT HEALTHCARE-O'CONNOR HOSPITAL AND WESTCHESTER MEDICAL CENTER HEALTH NETWORK- MARGARETVILLE MEMORIAL HOSPITALALLIANCES: RURAL HEALTH NETWORK OF SOUTH CENTRAL NY DELAWARE VALLEY HOSPTITAL PART V, SECTION B, LINE 11: 2022-2024 COMMUNITY SERVICE PLAN PRIORITY: PREVENT CHRONIC DISEASEFOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENTGOAL 4.1 INCREASE CANCER SCREENING RATESOBJECTIVE: THE PERCENTAGE OF DVH PATIENTS, AGE 50-75 YEARS RECEIVING A COLORECTAL SCREENING WILL INCREASE.INTERVENTIONS: WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO UTILIZE THE TOOLS WITHIN THE NEW EPIC EHR; ALSO TO ENSURE BOTH PROVIDERS AND PATIENTS RECEIVE APPROPRIATELY SPACED REMINDERS THROUGH EHR ALERTS, MAIL, PHONE CALLS, EMAIL AND/OR E-CHART NOTIFICATIONS. WORK TO SECURE ADDITIONAL ACCESS TO GI SPECIALTY CARE AND COLONOSCOPY PROCEDURES. MARKETING STAFF WILL SECURE OR CREATE ADDITIONAL EDUCATIONAL MATERIALS REGARDING COLORECTAL CANCER SO THE GENERAL PUBLIC CAN GAIN A HIGHER AWARENESS OF THE IMPORTANCE OF SCREENING.FAMILY OF MEASURES: THE PERCENT OF COMPLIANCE WITH SCREENING GUIDELINES AMONG DVH PATIENTS. NUMBER OF DAYS GI CONSULTATION AND COLONOSCOPIES ARE AVAILABLE AT DVH.MATERIALS REGARDING COLORECTAL CANCER ARE MORE ACCESSIBLE TO THE PUBLIC.BY DECEMBER 2023, WE WILL HAVE COMPLETED:THE PERCENTAGE OF PATIENTS RECEIVING SCREENING WILL INCREASE TO 32.5% FROM 31.2%OPTIONS ASSESSED TO CREATE ADDITIONAL ACCESS TO GI SPECIALTY CARE AND COLONOSCOPY PROCEDURES COLORECTAL CANCER INFORMATION WILL BE AVAILABLE IN ALL DVH FACILITIES' BROCHURE RACKS GOAL 4.3 PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITYOBJECTIVES: INCREASE THE PERCENTAGE OF PATIENTS, AGE 18-75 YEARS, WITH ADEQUATELY CONTROLLED BLOOD PRESSURE; INCREASE THE PERCENTAGE OF DIABETIC PATIENTS, AGE 18-75 YEARS WHO HAVE AN HBA1C TEST, WITHIN THE PAST YEAR WITH A RESULT <8%INTERVENTIONS: WORK WITH PRIMARY CARE PROVIDERS AND STAFF TO UTILIZE THE TOOLS WITHIN THE NEW EPIC EHR; ALSO TO ENSURE BOTH PROVIDERS AND PATIENTS RECEIVE REMINDERS THROUGH EHR ALERTS, MAIL, PHONE CALLS, EMAIL AND/OR E-CHART NOTIFICATIONS TO HAVE FOLLOW-UP VISITS.MARKETING STAFF WILL SECURE OR CREATE ADDITIONAL EDUCATIONAL MATERIALS REGARDING HYPERTENSION AND ITS RISK SO GENERAL PUBLIC CAN GAIN A BETTER AWARENESS OF THE IMPORTANCE OF ONGOING SCREENING AND ROLE DIET PLAYS IN MAINTAINING HEALTHY BLOOD PRESSURE.MARKETING STAFF WILL SECURE OR CREATE ADDITIONAL EDUCATIONAL MATERIALS REGARDING DIABETES AND ITS RISK SO THE GENERAL PUBLIC CAN GAIN A HIGHER AWARENESS OF THE IMPORTANCE OF GLUCOSE AND HGA1C SCREENING AND THE ROLE DIET PLAYS IN MAINTAINING HEALTHY BLOOD SUGAR LEVELS.FAMILY OF MEASURES:THE PERCENTAGE OF PATIENTS WHO HAVE ADEQUATELY CONTROLLED BLOOD PRESSURE.HYPERTENSION INFORMATION WILL BE MORE ACCESSIBLE TO THE PUBLIC. THE PERCENTAGE OF DIABETIC PATIENTS WHO HAVE HAD AN HGA1C READING OF <8% WITHIN THE PAST YEAR.DIABETES, DIETARY AND HGA1C TESTING INFORMATION WILL BE MORE ACCESSIBLE TO THE PUBLIC. BY DECEMBER 2023, WE WILL HAVE COMPLETED: THE PERCENTAGE OF PATIENTS WITH ADEQUATELY CONTROLLED BLOOD PRESSURE WILL INCREASE FROM 73.7% TO 78%.HYPERTENSION INFORMATION WILL BE AVAILABLE IN ALL DVH FACILITIES' BROCHURE RACKS.THE PERCENTAGE OF DIABETIC PATIENTS WHO HAVE HAD A HGA1C WITH A RESULT OF <8%, WITHIN THE PAST YEAR WILL RISE FROM 74.7% TO 78%.DIABETES INFORMATION WILL BE AVAILABLE IN ALL DVH FACILITIES' BROCHURE RACKS.PRIORITY AREA: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSTHE DISPARITY FOR ALL THE FOLLOWING WILL BE LOW-INCOME RESIDENTS AND ISOLATED RESIDENTS LIVING IN RURAL AREAS OF WALTON, NY FOCUS AREA 1: PROMOTE WELL-BEINGGOAL 1.1: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPANOBJECTIVE: IDENTIFY AND WORK TO ALLEVIATE BARRIERS TO ACCESSING SOCIALIZATION OPPORTUNITIES, REDUCING ISOLATION AND THE BEHAVIORAL HEALTH ISSUES THAT CAN OCCUR BECAUSE OF IT.INTERVENTIONS: SURVEY WALTON NY COMMUNITY MEMBERS REGARDING THEIR SOCIALIZATION PRACTICES.SURVEY WALTON NY ORGANIZATIONS, BUSINESSES, CHURCHES, SCHOOL, LIBRARY, THEATER, AND CLUBS ETC. REGARDING WHAT THEY OFFER IN TERMS OF ACTIVITIES AND EVENTS THROUGHOUT THE YEAR. COMPILE RESULTS OF BOTH SURVEYS.CREATE A RESOURCE BOOKLET AND INTERNET PAGE WHERE RESIDENTS CAN RESEARCH OPPORTUNITIES.SHARE THE COMMUNITY MEMBERS' RESPONSES WITH THE COMMUNITY ORGANIZATIONS. CREATE A WORK GROUP CONSISTING OF BOTH COMMUNITY AND ORGANIZATIONAL STAKEHOLDERS.FAMILY OF MEASURES:WILL PRESENT THE SURVEY TO AT LEAST 5 GROUPS TO ENCOURAGE PARTICIPATION AS INDIVIDUALS. REPORT OF THE RESULTS OF BOTH SURVEYS WILL BE PRODUCED.RESOURCE BOOK AND INTERNET PAGE IS AVAILABLE AND DISTRIBUTED.A PLAN FOR QUICK HIT STRATEGIES WILL BE FORMED, AS WELL AS A LIST OF FURTHER INTERVENTIONS THAT ARE NEEDED TO REDUCE ISOLATION. BY DECEMBER 2023, WE WILL HAVE COMPLETED:COLLECTED AND COLLATED ALL THE RESIDENTS AND ORGANIZATIONS' RESPONSES.USING THE REPORT, WE WILL IDENTIFY THE BARRIERS TO ACCESSING SOCIALIZATION OPPORTUNITIES. ALSO IDENTIFY THOSE ACTIVITIES THAT RESIDENTS WOULD LIKE TO SEE, BUT CURRENTLY DON'T EXIST. IDENTIFY HOW MOST RECEIVE THEIR INFORMATION ABOUT WHAT IS GOING ON IN THE COMMUNITY.IDENTIFY THE OPPORTUNITIES LOCAL GROUPS OFFER FOR SOCIALIZATION. IDENTIFY WHEN THEY ARE HELD, WHO IS THE TARGET AUDIENCE AND HOW THEY PROMOTE THE ACTIVITIES.DESIGN AND FORMAT WILL BE DECIDED AND HOW TO DISTRIBUTE WILL ALSO BE DECIDED.COMMUNITY ORGANIZATIONS WILL BE MADE AWARE OF HOW TO BETTER TARGET AND PROMOTE THEIR ACTIVITIES AND BEGIN TO INTEGRATE THEM INTO THEIR PLANNING.THE QUICK HIT PLAN WILL BE IMPLEMENTED, AND FURTHER INTERVENTIONS PRIORITIZED, AND A STRATEGY FORMED TO DEAL WITH EACH INTERVENTION.GOAL 1.2: FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES.OBJECTIVE: A STREETSCAPE PLAN WILL BE DEVELOPED FOR DELAWARE STREET (THE MAIN STREET THROUGH THE VILLAGE OF WALTON) AND INTERVENTIONS PRIORITIZED, AND AN ACTION PLAN DEVELOPED.INTERVENTIONS: A STREETSCAPE PLAN THAT WILL ENHANCE THE APPEAL, THE WALKABILITY AND CREATE AGE-FRIENDLY ACCESSIBILITY WILL BE DEVELOPED IN CONJUNCTION WITH DEL CO PLANNING, WALTON CHAMBER AND VILLAGE OF WALTON GOVERNMENT REPRESENTATIVE. THE DESIGN IS SHARED WITH STAKEHOLDERS, REVIEWED AND A PRIORITIZED ACTION PLAN DEVELOPED. FAMILY OF MEASURES: PLAN IS PRESENTED TO INTERESTED COMMUNITY MEMBERS AND ORGANIZATIONS.BY DECEMBER 2023, WE WILL HAVE COMPLETED: QUICK-HIT IMPROVEMENTS WILL BE IDENTIFIED AND FUNDED. NYS DOT WILL BE CONTACTED AND TOLD OF PLANS AND WORK TO DEVELOP A TIMELINE. LONGER-TERM OR MORE EXPENSIVE STRATEGIES WILL BE IDENTIFIED, POTENTIAL FUNDING SOURCES IDENTIFIED, AND AN ACTION PLAN DEVELOPED TO MAKE IMPROVEMENTS.ONGOING PARTICIPATION:THE DIRECTOR OF PRIMARY CARE SERVICES WILL OVERSEE THE PROGRESS OF THE INTERVENTIONS REGARDING CHRONIC DISEASE CARE AND MANAGEMENT. DELAWARE VALLEY HOSPITAL STAFF (COMMUNITY RELATIONS DIRECTOR) WILL PLAY AN INTEGRAL ROLE AND SERVE AS THE CATALYST TO BRING THE WALTON STAKEHOLDERS TOGETHER TO ENSURE THE SURVEY IS COMPLETED, THE REPORT SHARED, AND THE STREETSCAPE DESIGN IS COMPLETED. DVH WILL MAINTAIN REPRESENTATION ON THE WALTON CHAMBER OF COMMERCE AND OTHER COMMITTEE(S) AS APPROPRIATE. IF NECESSARY, DVH WILL ASSIST IN PROVIDING SUPPORT IN WRITING ANY GRANT REQUESTS NECESSARY TO FUND SELECTED INITIATIVES. DELAWARE VALLEY HOSPTITAL PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. 5 1 - WALTON FAMILY HEALTH CENTER 2 TITUS PLACE WALTON NY 13856 OUTPATIENT PHYSICIAN CLINIC 2 - DOWNSVILLE FAMILY HEALTH CENTER 28315 STATE HWY 206 DOWNSVILLE NY 13755 OUTPATIENT PHYSICIAN CLINIC 3 - ROSCOE FAMILY HEALTH CENTER 1982 OLD ROUTE 17 ROSCOE NY 12776 OUTPATIENT PHYSICIAN CLINIC 4 - PHYSICAL AND OCCUPATIONAL THERAPY 121 STOCKTON AVENUE WALTON NY 13856 REHABILITATION CLINIC 5 - DVH COMMUNITY PHARMACY 121 STOCKTON AVENUE WALTON NY 13856 COMMUNITY PHARMACY PART I, LINE 7: DELAWARE VALLEY HOSPITAL IS A CRITICAL ACCESS HOSPITAL (CAH) AS DESIGNATED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. UNLIKE NON-CAH'S THAT ARE REIMBURSED BASED ON A PROSPECTIVE REIMBURSEMENT METHODOLOGY, CAH'S ARE REIMBURSED THEIR ALLOWABLE COSTS FOR MEDICARE PURPOSES. THE MEDICARE COST REPORT (CMS 2552) AND THE MEDICAID INSTITUTIONAL COST REPORT (ICR) WAS UTILIZED FOR PURPOSES OF IDENTIFYING COSTS AND NET REVENUE. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F. PART I, LN 7 COL(F): DELAWARE VALLEY HOSPITAL REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $450,434 IN PART IX, LINE 24B. THE AFOREMENTIONED BAD DEBT EXPENSE WAS SUBTRACTED IN THE CALCULATIONS OF SCHEDULE H, PART I, LINES 7A THRU 7K. PART II, COMMUNITY BUILDING ACTIVITIES: DELAWARE VALLEY HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH ITS MEMBERSHIP AND PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS AND AGENCIES. THE PRESIDENT/CEO SERVES ON THE BOARD OF THE CATSKILL HUDSON AREA HEALTH EDUCATION CENTER AND THE SULLIVAN COUNTY DRUG TASK FORCE. THE DIRECTOR OF SUPPORT SERVICES SERVES ON THE BOARD OF THE DELAWARE COUNTY CHAMBER OF COMMERCE, WHILE THE DIRECTOR OF COMMUNITY RELATIONS SERVES ON SEVERAL ADDITIONAL BOARDS AND COMMITTEES: THE DELAWARE COUNTY COMMUNITY SERVICES BOARD AND ITS RECRUITMENT COMMITTEE, THE DELAWARE COUNTY BEHAVIORAL HEALTH COMMITTEE, DELAWARE COUNTY RURAL HEALTHCARE ALLIANCE AND WAS THE SOLE REPRESENTATIVE FOR HEALTHCARE ORGANIZATIONS ON THE DELAWARE COUNTY TRANSPORTATION COMMITTEE. SHE ALSO SERVES ON THE BOARD OF THE WALTON CHAMBER OF COMMERCE AND IS A MEMBER OF THE COMMUNITY COMMITTEE OF WALTON CENTRAL SCHOOL. IN 2022, A COMMITTEE WAS FORMED BY THE DELAWARE COUNTY PLANNING DEPARTMENT TO WORK IN CONJUNCTION WITH THE US ARMY TO BRING THE ARMY'S INNOVATIVE RESPONSIVENESS TRAINING TO DELAWARE COUNTY IN THE SUMMER OF 2023. THE COMMUNITY RELATIONS DIRECTOR SERVED, ONCE AGAIN, AS THE SOLE, PRIVATE HEALTHCARE REPRESENTATIVE ON THE COMMITTEE. THE HOSPITAL CONTINUES TO SUPPORT MANY LOCAL ORGANIZATIONS, WHOSE ACTIVITIES ADD TO THE QUALITY OF LIFE OF AREA RESIDENTS. THESE INCLUDE BOTH THE WALTON VETERAN'S CLUB, WALTON CHAMBER OF COMMERCE, TWO LOCAL TOY BANK DRIVES, ONE 5K WALK, THE MUSIC ON THE DELAWARE GROUP WHICH BRINGS VARIOUS ENTERTAINMENT TO THE LOCAL THEATRE, 6 AREA FIRE DEPARTMENTS AND EMS CREWS. IN FACT, THE HOSPITAL HOLDS A WEEKLONG RECOGNITION OF EMERGENCY PERSONNEL AND POLICE EACH MAY. IN 2022, IT HAD A TENT AT THE HANCOCK FIREMEN'S FIELD DAYS HELPING TO ATTRACT MORE PEOPLE TO THE EVENT. IN ADDITION, WHEN THE LOCAL EMERGENCY SQUAD NEEDS TO RE-STOCK ITS AMBULANCE BUT HAS NOT BROUGHT THE PATIENT TO THE HOSPITAL'S ER, THE HOSPITAL RE-STOCKS THE AMBULANCE FREE OF CHARGE. THIS CAN HAPPEN WHEN THE AMBULANCE PERSONNEL HAVE CALLED FOR A HELICOPTER EVACUATION OF THE PATIENT(S) DIRECTLY FROM THE SCENE OF THE INCIDENT. DVH ALSO BELIEVE IN ENCOURAGING FAMILY TOGETHERNESS AND ACTIVITIES. ITS ANNUAL SANTA EVENT INCLUDED PHOTOS WITH SANTA AND A CRAFT PARENTS AND KIDS DO TOGETHER WHILE WAITING, COLORING BOOKS AND CRAYONS ARE ALSO GIVEN. IN 2022, ALL THE PLANS WERE SET, AND UNFORTUNATELY INCLEMENT WEATHER RESULTED IN THE CANCELLATION OF THE EVENT. TO ADDRESS FOOD SECURITY, DELAWARE VALLEY HOSPITAL'S REGISTERED DIETITIAN WORKS WITH THE RURAL HEALTH NETWORK OF SOUTH-CENTRAL NY TO PROVIDE FRUIT AND VEGETABLE VOUCHERS TO AREA RESIDENTS. SHE ALSO SPENDS SEVERAL HOURS WITH EACH PERSON TO HELP THEM UNDERSTAND WAYS THEY CAN BETTER INTEGRATE FRUITS AND VEGETABLES INTO THEIR DIET. IN 2022, THE HOSPITAL ALSO PURCHASED MATERIALS FROM COOPERATIVE EXTENSION TO HAVE ITS OWN RAISED BED GARDENS FOR PATIENTS AND STAFF MEMBERS. IN 2015, THE WALTON MINISTERIAL ASSOCIATION BEGAN A HUNGER WALK TO RAISE MONEY FOR THE LOCAL FOOD BANK AND CHILDREN'S NUTRITION PROGRAMS. FROM ITS INCEPTION DELAWARE VALLEY TOOK THE LEAD ON SPONSORING THIS EVENT. STAFF SERVES ON THE PLANNING COMMITTEE AND HELPS RECRUIT ADDITIONAL SPONSORS.THE HOSPITAL ALSO PROVIDES THE DELAWARE COUNTY SOLID WASTE MANAGEMENT CENTER WITH BROCHURES. IT CONTINUES TO DISTRIBUTE PRINTED COURTESY OF DVH, REGARDING SAFE NEEDLE DISPOSAL. WHEN PATIENTS BRING THEIR USED SHARPS TO THE HOSPITAL FOR DISPOSAL, THEY ARE GIVEN AN APPROPRIATELY SIZED SHARP DISPOSAL CONTAINER, FREE OF CHARGE. THE HOSPITAL ALSO PROVIDES FREE HIP KITS TO ITS SWING BED PATIENTS SO THEY CAN RECEIVE THEM IN TIME, TO BE TAUGHT TO USE THEM PROPERLY AND PRACTICE WITH THEM UNDER THE GUIDANCE OF PT AND OT STAFF MEMBERS. THIS HELPS REDUCE THE POSSIBILITY OF ANOTHER INJURY AND HELPS THE PATIENTS BE MORE SELF-SUFFICIENT IN THEIR OWN HOME. DVH ALSO PROVIDES A SPACE FOR FIDELIS, THE LARGEST MANAGED MEDICAID INSURER IN THE AREA TO SPEAK WITH AND ENROLL AREA RESIDENTS IN NEED OF INSURANCE. THEY HAVE ACCESS ON A WEEKLY BASIS. WHEN AMBULANZ, A PRIVATE AMBULANCE SERVICE, WANTED TO BEGIN TO OFFER SERVICES IN DELAWARE COUNTY, DELAWARE VALLEY PROVIDED SPACE TO STATION 2 AMBULANCES AT THE HOSPITAL, AS WELL AS PROVIDING SLEEPING QUARTERS FOR THEIR CREW. THIS NOT ONLY HELPED TO TRANSFER PATIENTS MORE EXPEDIENTLY, BUT BY GIVING THEM A BASE, AT NO CHARGE, TO WORK FROM, THE ENTIRE COUNTY BENEFITS AS THEY ARE AVAILABLE TO RESPOND TO OTHER 911 CALLS. TO ENCOURAGE YOUNG CHILDREN TO BE SAFE AND NOT TO BE AFRAID OF HEALTHCARE PROVIDERS OR HOSPITALS, DVH GENERALLY HOSTS SECOND GRADERS FROM 5 AREA SCHOOLS AT ITS TEDDY BEAR CLINIC. THEY LEARN LESSONS ABOUT SAFETY HELMETS, SEAT BELTS AND POISON, ALSO HAVE HANDS-ON EXPERIENCE IN THE ER, RADIOLOGY, AND HELP CARE FOR OUR MANNEQUIN PATIENT (A BIKE ACCIDENT PATIENT WHO DID NOT WEAR A HELMET). THEY TOUR AN AMBULANCE, LOOK INSIDE THE MEDICAL HELICOPTER, AND GET TO MEET AND LEARN ABOUT K9 OFFICERS AND THEIR DOGS. THIS EVENT WAS BROUGHT BACK IN NOVEMBER 2022 SO THAT THE HOSPITAL COULD REACH THE THIRD GRADERS THEY MISSED THE YEAR PRIOR, DUE TO COVID. IT HAS EVERY INTENTION OF BRINGING THIS EVENT BACK ON AN ANNUAL BASIS STARTING IN MAY 2023. PART III, LINE 2: THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2022 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2021 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2022, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 10.0% OF THE TOTAL BAD DEBT WRITE-OFFS. PART III, LINE 4: 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. PLEASE REFER TO FOOTNOTE 1, PAGE 6 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 8: BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE HOSPITAL HAS A POLICY TO PROVIDE A COMMUNITY BENEFIT TO UNINSURED PATIENTS THAT CONSISTS OF FEE DISCOUNTS. CERTAIN PATIENTS THAT WERE PROVIDED FEE DISCOUNTS WOULD HAVE LIKELY QUALIFIED UNDER THE CHARITY CARE POLICY. DELAWARE VALLEY HOSPITAL USES THE COST TO CHARGE RATIO METHODOLOGY UTILIZING AMOUNTS FROM THE 2022 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6. PART III, LINE 9B: UHS HOSPITALS POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.UHS HOSPITALS REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. UHS HOSPITALS PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. UHS HOSPITALS ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION. PART VI, LINE 2: THE SHEER SIZE, TOPOGRAPHY AND PAROCHIAL NATURE OF THE COMMUNITIES WITHIN DELAWARE COUNTY POSE HUGE CHALLENGES IN THE DELIVERY OF HEALTH CARE. THERE ARE MANY CHALLENGES BUT FOR DELAWARE VALLEY'S PLAN, THE KEY FINDINGS HAVE NOT CHANGED FROM THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT, AND ARE BELOW:ACCESS TO ALL TYPES OF CAREIMPORTANCE OF MENTAL HEALTH SERVICESPREVENTIVE EDUCATIONLACK OF TRANSPORTATIONNEED FOR BETTER COMMUNICATIONA COMING TOGETHER OF NATIVE AND NEWCOMER RESIDENTSCOMMUNITY EVENTS AND PROGRAMSTHE FOLLOWING IS A DESCRIPTION OF THE WAYS DELAWARE VALLEY HOSPITAL IS HELPING TO ADDRESS THE CONCERNS LISTED ABOVE. ACCESS:ACCESS TO CARE IS A HUGE CONCERN FOR DELAWARE VALLEY HOSPITAL. IN FACT, THE HOSPITAL'S MISSION STATEMENT ADDRESSES ACCESS: "AS A TRUSTED PARTNER, WE LISTEN, EDUCATE, VALUE AND INSPIRE OUR PATIENTS AS WE DELIVER THE HIGH-QUALITY CARE AND SERVICES NEEDED MOST OFTEN; ALSO SERVES AS THE GATEWAY FOR PATIENTS TO ACCESS THE SPECIALISTS AND TECHNOLOGY AVAILABLE WITHIN THE UHS SYSTEM.DVH BEGAN TO ADDRESS MANY OF THESE ISSUES IN A VARIETY OF WAYS. THE PANDEMIC CREATED CHALLENGES IN REGARD TO ACCESS, BUT DELAWARE VALLEY CONTINUES TO KEEP ACCESS TO CARE UPPERMOST IN ITS STRATEGIC PLANNING. THE HOSPITAL CONTINUES EXPANDED HOURS AT ITS WALTON PRIMARY CARE SITE AND BOTH THE DOWNSVILLE AND ROSCOE OFFICES ARE OPEN 5 DAYS PER WEEK. THE HOSPITAL'S RETAIL PHARMACY IS OPEN 7 DAYS A WEEK. THE IMAGING AND LAB DEPARTMENTS OFFER EVENING AND WEEKEND APPOINTMENTS. THE HOSPITAL'S OUTPATIENT REHABILITATION DEPARTMENT OFFERS EARLY MORNING AND EVENING APPOINTMENTS. BY EXTENDING HOURS, IT IS HOPED PATIENTS HAVE THE OPPORTUNITY TO RECEIVE CARE WITHOUT HAVING TO TAKE TIME OFF FROM WORK. MANY AGING PARENTS RELY ON THEIR CHILDREN OR NEIGHBORS/FRIENDS FOR TRANSPORTATION TO HEALTH CARE APPOINTMENTS. THIS ALLOWS THE CAREGIVERS THE ABILITY TO SCHEDULE THOSE APPOINTMENTS AT A MORE CONVENIENT TIME.THROUGH ITS AFFILIATION WITH UNITED HEALTH SERVICES, THE HOSPITAL AND UHS STAFF CONTINUALLY WORK TOGETHER TO BRING SPECIALTY SERVICES TO DELAWARE VALLEY. CARDIOLOGY, GASTROENTEROLOGY, ORTHOPEDICS AND VASCULAR SURGERY ARE NOW AVAILABLE AT DELAWARE VALLEY HOSPITAL. IN ADDITION, DVH HAS BROUGHT NUCLEAR MEDICINE, ECHOCARDIOGRAMS AND MOBILE MRI TO ITS WALTON LOCATION, REDUCING THE NEED FOR PATIENTS TO TRAVEL LONG DISTANCES FOR THESE TYPES OF TESTING. IMPORTANCE OF MENTAL HEALTH SERVICES:DELAWARE VALLEY HAD INTEGRATED BEHAVIORAL HEALTH SERVICES, THROUGH THE USE OF TELEHEALTH, INTO ITS PRIMARY CARE OFFICE IN WALTON. IT HAS JUST HIRED A FULL-TIME PSYCHIATRIC NURSE PRACTITIONER AND A FULL-TIME SOCIAL WORKER TO FURTHER EXPAND ITS MENTAL HEALTH CAPABILITIES. THE NURSE PRACTITIONER IS ON-SITE, WHILE THE SOCIAL WORKER WILL BE SERVING PATIENTS VIA VIDEO-CONFERENCING. THE COMMUNITY SERVICE PLAN (CSP) ADDRESSES THE NEED TO EXPAND ACCESS TO GI SERVICES. PREVENTIVE EDUCATION:THE COMMUNITY SERVICE PLAN ALLOWS FOR THE DISSEMINATION OF EDUCATIONAL MATERIALS FOR HYPERTENSION, DIABETES AND COLORECTAL CANCER AND SCREENING. LACK OF TRANSPORTATION:DELAWARE COUNTY HAS COMMISSIONED A CONSULTING FIRM TO PERFORM A TRANSPORTATION STUDY AND DEVELOP A PLAN TO BEGIN OFFERING PUBLIC TRANSPORTATION IN VARIOUS AREAS OF THE COUNTY. A COMMITTEE OF AGENCY AND ORGANIZATIONAL STAKEHOLDERS HAS BEEN FORMED TO WORK WITH THE FIRM. DELAWARE VALLEY HOSPITAL HAS A REPRESENTATIVE ON THE COMMITTEE. MENTAL HEALTH AND SUBSTANCE USE HAVE BEEN IDENTIFIED IN THE NEEDS ASSESSMENT AS A PRIORITY. THE DIRECTOR OF COMMUNITY RELATIONS SITS ON A SUB-COMMITTEE OF THE COUNTY'S COMMUNITY SERVICE DEPARTMENT, FOCUSED ON MENTAL HEALTH AND ON THE DELAWARE COUNTY COMMUNITY SERVICES BOARD. THE MOST CHALLENGING BARRIER IN ACCESSING CARE IS THE LACK OF PROVIDERS TO CARE FOR THESE PATIENTS. DVH WAS ABLE TO CONTRACT WITH AN OUTSIDE VENDOR TO BEGIN A TELE-MENTAL HEALTH PROGRAM IN JANUARY OF 2019. THE PROGRAM IS MEANT TO HAVE AT LEAST ONE PART-TIME NPP AND 2 PART-TIME LCSWS. BUT MAINTAINING THAT STAFFING RATIO HAS BEEN EXTREMELY CHALLENGING. WHILE THE NPP HAS REMAINED CONSTANT, THE LCSWS HAVE NOT. ONE WENT ON MATERNITY LEAVE, AND DECIDED NOT TO RETURN, ONE DROPPED OUT, AFTER THE COVID PANDEMIC BEGAN BECAUSE FIRST RESPONDERS IN HER COMMUNITY (LONG ISLAND) DESPERATELY NEEDED HELP; AND YET ANOTHER SAW HER PRIVATE PRACTICE SHARPLY INCREASE, DUE TO COVID, AND SHE JUST DID NOT HAVE TIME TO CONTINUE. FINALLY, ANOTHER TWO LCSWS WERE RECRUITED. THE NPP HAS REMAINED CONSTANT.THE HOSPITAL NO LONGER SERVES AS A COLLECTION SITE FOR URINE SPECIMENS FOR THE COUNTY'S DRUG COURT. THE COURT DID NOT RE-OPEN UNTIL LATE 2021 AND IN OCTOBER 2021, DVH MADE THE DECISION TO PAUSE ADMISSIONS TO ITS ADDICTION TREATMENT PROGRAM, AS THE REFERRALS HAD SIGNIFICANTLY DWINDLED AND STAFF WAS DIFFICULT TO RECRUIT. EXISTING STAFF WERE RE-DEPLOYED TO OTHER AREAS WITHIN THE HOSPITAL, OR THEY TOOK POSITIONS ELSEWHERE. A SECOND NEED IS FOR CHRONIC DISEASE MANAGEMENT AND PREVENTION. THERE IS NO LONGER ANY TRAINED STAFF TO HOLD THE STAMFORD UNIVERSITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM. DVH WILL HOWEVER, PROVIDE A VENUE FOR THE PROGRAM, WHICH CAN BE DELIVERED BY RURAL HEALTH NETWORK OF SOUTH CENTRAL NY. HOWEVER, NO REQUESTS WERE MADE IN 2021. THE HOSPITAL STILL PLANS TO RE-START ITS LUNG MATTERS PROGRAM FOR PATIENTS DIAGNOSED WITH LUNG CONDITIONS. HOWEVER, NO IN-PERSON PROGRAMMING WAS HELD IN 2021. AND THE DVH-SPONSORED CHAIR YOGA PROGRAM FOR CARDIAC/PULMONARY REHABILITATION PATIENTS HAS NOT YET RETURNED DUE TO THE PANDEMIC. BECAUSE NUTRITION PLAYS A HUGE ROLE IN THE HEALTH OF COMMUNITY MEMBERS, THE HOSPITAL'S DIETITIAN/NUTRITIONIST WORKED IN CONJUNCTION WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY TO PROVIDE 60 PATIENTS WITH COMPLIMENTARY ONE ON ONE DIETARY COUNSELING, OVER 5 MONTHS, AS THEY PROGRESSED THROUGH THE COOPERATIVE EXTENSION'S FRUIT & VEGETABLE PROGRAM. THE HOSPITAL RECOGNIZED THAT UNLESS IT IS ABLE TO ENGAGE THE COMMUNITY IN CONVERSATIONS ABOUT MANY OF THE SOCIAL DETERMINANTS OF HEALTH, A LOT OF PROGRESS CANNOT BE MADE IN THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. RESEARCH LED TO THE AARP AGE FRIENDLY LIVABLE COMMUNITY PROGRAM, WHICH IS GEARED TO ALL AGES. IN EARLY 2020, LEADERS FROM AROUND THE COUNTY ATTENDED A DAY-LONG PROGRAM FEATURING NATIONALLY RENOWNED SPEAKER, ESTHER GREENHOUSE, AN EXPERT ON AGING IN PLACE AND KAT FISHER FROM THE REGIONAL AARP OFFICE. LEADERS REPRESENTING GOVERNMENT, SERVICE ORGANIZATIONS, HEALTHCARE, SCHOOLS, CHURCHES AND COMMUNITY MEMBERS WERE PRESENT. 50 PEOPLE ATTENDED. BASED ON THIS PROGRAM, AND THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS, DVH, WORKING WITH DELAWARE COUNTY PUBLIC HEALTH AND MENTAL HEALTH PLANNED TO CONDUCT A SURVEY ABOUT HOW PEOPLE DO OR DO NOT SOCIALIZE IN THE COMMUNITY OF WALTON NY. WHILE THIS PROJECT IS BEHIND DUE TO THE PANDEMIC, IT IS MOVING FORWARD AND TAKING PLACE IN THE FALL OF 2022. A COMPONENT OF BECOMING AGE FRIENDLY IS TO CREATE SPACES WHERE PEOPLE CAN COME TOGETHER. WALTON HAS A RECLAIMED FLOOD PLAIN THAT BORDERS THE DELAWARE RIVER AND FOR YEARS PLANS HAVE BEEN DISCUSSED BUT NO ACTION HAD OCCURRED. IN 2020, THE FIRST PROJECT, A BOAT RAMP WAS INSTALLED. WITH THIS SPARK, DVH HAD APPLIED FOR SOME FUNDING TO KICK-START THE PROGRAM BUT IT HAD NOT COME THROUGH. DELAWARE COUNTY PLANNING DEPARTMENT ALSO APPLIED FOR FUNDING THAT WAS NOT SUCCESSFUL. HOWEVER, MEETINGS ARE STILL TAKING PLACE AND FUNDING OPPORTUNITIES ARE STILL BEING ASSESSED SO THAT A BEAUTIFUL PLACE WILL BE CREATED FOR FAMILIES AND VISITORS TO ENJOY RECREATION AND SOCIALIZATION. PART VI, LINE 3: DELAWARE VALLEY HOSPITAL IS COMMITTED TO PROVIDING OUR PATIENTS THE KNOWLEDGE THAT WE OFFER FINANCIAL ASSISTANCE. EACH PATIENT CARE REGISTRATION AREA HAS SIGNS TELLING THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THEM. THERE ARE ALSO BROCHURES REGARDING THE PROGRAM THROUGHOUT THE HOSPITAL'S FACILITIES AND THE INFORMATION IS ALSO POSTED ON THE WEBSITE. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. A FINANCIAL ASSISTANCE HELP LINE IS ALSO AVAILABLE AND ADVERTISED ON ALL BILLINGS. IN 2015, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CHANGED TO PROVIDE ALL SELF-PAY PATIENTS AN AUTOMATIC 35% DISCOUNT AT THE TIME OF SERVICE. IF FURTHER ASSISTANCE IS NEEDED, THE PATIENT APPLIES THROUGH THE FINANCIAL ASSISTANCE PROGRAM. DELAWARE VALLEY ALSO OFFERS PATIENTS EASY ACCESS TO A FIDELIS REPRESENTATIVE, BY PROVIDING A SITE FOR THEM TO INTERVIEW AND ENROLL RESIDENTS IN THEIR MEDICAID MANAGED CARE PRODUCT. FIDELIS IS THE ONLY PROVIDER OF THESE SERVICES FOR DELAWARE COUNTY. THE FIDELIS REPRESENTATIVE CAME BACK TO THE DVH WELLNESS ROOM TO CONDUCT IN-PERSON INTERVIEWS, BEGINNING APRIL 15 OF 2022. PART VI, LINE 4: THE LOCAL HEALTHCARE ENVIRONMENT IN DELAWARE COUNTY IS GREATLY INFLUENCED BY SPECIFIC ASPECTS OF THE PHYSICAL, LEGAL, SOCIAL, AND ECONOMIC ENVIRONMENT WITHIN THE COUNTY. IT IS LOCATED ON THE EASTERN BORDER OF UPSTATE NEW YORK'S SOUTHERN TIER REGION COVERING 1,467 SQUARE MILES, OF WHICH 1,442 MILES ARE LAND AND 25 MILES ARE WATER.THE COUNTY IS CHARACTERIZED BY A MOUNTAINOUS TERRAIN WITH WINDING, TWISTING TWO LANE ROADS, MAKING TRAVEL DIFFICULT AND EVEN HAZARDOUS DURING THE WINTER MONTHS. THE COUNTY HAS NO PUBLIC TRANSPORTATION SYSTEM, MAKING ACCESS TO CARE CHALLENGING. ALTHOUGH A FEW PRIVATE TRANSPORT SERVICES HAD BECOME AVAILABLE IN THE AREA, THE COST CAN BE PROHIBITIVE AND ONE HAS MADE THE DECISION TO ONLY DO SCHOOL TRANSPORTS DUE TO THE CHALLENGES CAUSED BY LIMITED REIMBURSEMENT FROM VARIOUS INSURANCE PROGRAMS. GEOGRAPHICALLY, DELAWARE COUNTY IS THE FOURTH LARGEST OF NEW YORK'S 62 COUNTIES AND IS THE FIFTH MOST RURAL. THE POPULATION DENSITY IS ONLY 30.6 PERSONS PER SQUARE MILE. THE LARGE SIZE OF THE COUNTY IS REFLECTED IN THE FACT THAT IT BORDERS SEVEN COUNTIES (BROOME, CHENANGO, GREENE, OTSEGO, SCHOHARIE, SULLIVAN, AND ULSTER) AS WELL AS THE STATE OF PENNSYLVANIA. ITS SIZE IS COMPARABLE TO THAT OF THE STATE OF RHODE ISLAND. UHS DELAWARE VALLEY HOSPITAL SERVES THE RESIDENTS OF WESTERN DELAWARE COUNTY AND NORTHWESTERN SULLIVAN COUNTY. IT ENCOMPASSES APPROXIMATELY A 30 MILE RADIUS WITH APPROXIMATELY 33,000 RESIDENTS. TO DETERMINE THE PRIMARY AND SECONDARY SERVICE AREA IN 2022, UNIQUE PATIENTS UTILIZING ALL DEPARTMENTS WERE COUNTED AS OPPOSED TO THOSE JUST UTILIZING PRIMARY CARE. THIS PROVIDES A MORE ACCURATE PICTURE OF THE COMMUNITIES SERVED. THE PRIMARY AND SECONDARY SERVICE AREAS REPRESENT THE AREAS WHERE 86% OF DELAWARE VALLEY'S PATIENTS RESIDE. THE PRIMARY SERVICE AREA ENCOMPASSES THOSE COMMUNITIES THAT HAD MORE THAN 200 INDIVIDUALS UTILIZING DVH. THIS INCLUDES THE FOLLOWING LOCATIONS: WALTON, DOWNSVILLE, HANCOCK, ROSCOE, SIDNEY CENTER, DELHI, EAST BRANCH AND HAMDEN. THE SECONDARY SERVICE AREA INCLUDES COMMUNITIES WHERE 100 OR MORE RESIDENTS UTILIZED DVH. THESE COMMUNITIES INCLUDE UNADILLA, FRANKLIN, SIDNEY, DEPOSIT, ONEONTA, DELANCEY AND BAINBRIDGE. UNADILLA MOVED TO THE SECONDARY SERVICE AREA AND TROUT CREEK, LEW BEACH, ANDES, AND FISHES EDDY ALL CAME OFF THE LIST AS THEY ALL HAD LESS THAN 100 RESIDENTS UTILIZING DVH. DELAWARE VALLEY HOSPITAL'S SERVICE AREA IS CENTERED IN DELAWARE COUNTY. USING PERCENTAGES, BASED ON THE NUMBERS OF UNIQUE PATIENTS UTILIZING OUR PRIMARY CARE SITES IN 2021, (AS THAT IS WHERE THE HIGHEST UTILIZATION OCCURS) THE PRIMARY SERVICE AREA ENCOMPASSES WALTON, DOWNSVILLE, ROSCOE, SIDNEY CENTER, DELHI, HAMDEN, EAST BRANCH, HANCOCK AND UNADILLA. THE PRIMARY SERVICE AREA REFLECTS WHERE 80% OF OUR PATIENTS RESIDE. THE SECONDARY SERVICE AREA CONSISTS OF THE COMMUNITIES WHERE THE NEXT 10.4% OF OUR PATIENTS RESIDE. THOSE COMMUNITIES INCLUDE: SIDNEY, DELANCEY, FRANKLIN, DEPOSIT, TROUT CREEK, LEW BEACH, ANDES, FISHS EDDY, BAINBRIDGE AND ONEONTA. DELAWARE COUNTY IS LOCATED ON THE WESTERN EDGE OF THE CATSKILL MOUNTAINS IN RURAL, UPSTATE NEW YORK. ENCOMPASSING 1446.37 SQUARE MILES, THE COUNTY'S SIZE APPROXIMATES THAT OF RHODE ISLAND AND IS THE FOURTH LARGEST OF NEW YORK STATE'S 62 COUNTIES. IN FACT, ITS SIZE IS SO GREAT THAT, SEVEN COUNTIES AND THE STATE OF PENNSYLVANIA BORDER DELAWARE COUNTY. IT ALSO RANKS AS THE FOURTH MOST RURAL COUNTY IN THE STATE WITH JUST 29.78 PERSONS PER SQUARE MILE. ITS TOPOGRAPHY IS CHARACTERIZED BY WINDING, AND TWISTING, TWO-LANE ROADS THAT TRANSVERSE A MOUNTAINOUS TERRAIN, MAKING TRAVEL CHALLENGING, ESPECIALLY DURING THE WINTER MONTHS. TRANSPORTATION IS AN EXTREMELY CHALLENGING BARRIER TO PROVIDING PATIENT CARE. THE AREA DOES NOT HAVE PUBLIC TRANSPORTATION AND WHILE RECENTLY SOME PRIVATE TRANSPORTATION SERVICES HAVE BEGUN, THEY ARE GENERALLY TOO COST PROHIBITIVE FOR MANY TO ACCESS. THE COUNTY IS HOME TO TWO OF THE STATE'S LARGEST RESERVOIRS IN THE NEW YORK CITY WATERSHED, WHICH HAS THE LARGEST UNFILTERED DRINKING WATER SUPPLY IN THE UNITED STATES. APPROXIMATELY 55% OF DELAWARE COUNTY'S POPULATION LIES WITHIN THE WATERSHED. NEW YORK CITY HAS WORKED TO PRESERVE AND SAFEGUARD THE WATERSHED FROM ENVIRONMENTAL DEGRADATION BY MEANS OF RESTRICTIONS AND REGULATIONS ON LAND USE WITHIN AND SURROUNDING THE WATERSHED. THE INITIAL IMPACT OF THE WATERSHED ON DELAWARE COUNTY HAS BEEN TO LIMIT ECONOMIC DEVELOPMENT WHICH PREVENTS EXPANSION OF THE TAX BASE. BECAUSE OF THE ENVIRONMENTAL ECOSYSTEM OF THE WATERSHED, THERE HAVE BEEN STRICT REGULATIONS PERTAINING TO AGRICULTURAL POLLUTION AND BUILDING CONSTRUCTION. MANY PROPERTIES HAVE BEEN PURCHASED BY NYC, TO FURTHER PROTECT ITS WATERSHED. LIMITING INFRASTRUCTURE GROWTH RESULTS IN DECREASED EMPLOYMENT OPPORTUNITIES. THESE UNIQUE CIRCUMSTANCES RESULT IN HEALTH CARE RELATED CHALLENGES FOR THE COUNTY RESIDENTS. THESE LIMITATIONS ALSO IMPACT THE LOCAL HEALTH AND SOCIAL SERVICE AGENCIES AND ORGANIZATIONS AND THE DELIVERY OF CARE AND SERVICES.THESE LIMITATIONS HAVE CAUSED RESIDENTS TO SEEK ALTERNATIVES TO STIMULATE ECONOMIC GROWTH. DELAWARE COUNTY FARMERS HAVE STARTED SPECIALTY INDUSTRIES. THIS IS REFLECTED IN THE INCREASED NUMBER OF SPECIALTY FARMS. OTHER ECONOMIC DEVELOPMENTS ARE TAKING THE FORM OF TOURISM (E.G. BED AND BREAKFAST), RECREATIONAL FACILITIES COMPATIBLE WITH THE ENVIRONMENT (E.G. GOLF, SKIING, HIKING, HUNTING AND FISHING), LOW POLLUTION FARMING, AND PROFESSIONAL/BUSINESS SERVICES COMPANIES.ACCORDING TO THE 2020 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES DATA PROFILES, THE POPULATION OF DELAWARE COUNTY NY IS 43,378. OF THOSE 3.9% ARE UNDER THE AGE OF 5, WHILE 24.5% ARE AGE 65 AND OVER. THE MEDIAN AGE IS 48.3 VERSUS THAT OF NY STATE AT 39. 91.8 % OF THE POPULATION IS CAUCASIAN, SO THERE IS LITTLE ETHNIC DISPARITY. THE MEDIAN HOUSEHOLD INCOME IS $ 49,945, WHICH IS $21,172 LESS THAN THAT OF NYS AND APPROXIMATELY 12.8% OF THE POPULATION LIVES IN POVERTY, WHICH IS AN DECREASE OF 3.8%. ACCORDING TO THE SAME SOURCE, THE PERCENTAGE OF RELATED CHILDREN UNDER THE AGE OF 18 LIVE BELOW THE POVERTY LEVEL 60.1% WHILE FOR CHILDREN UNDER THE AGE OF 5, THE RATE IS 54.2% IN DELAWARE COUNTY. WHILE THE PERCENT OF THOSE LIVING IN POVERTY HAS DECREASED, THE PERCENTAGE OF CHILDREN LIVING IN POVERTY HAS INCREASED SUBSTANTIALLY. PART VI, LINE 5: HEALTH PROFESSIONAL EDUCATIONRECRUITMENT OF HEALTHCARE PROFESSIONALS IS ALWAYS A CHALLENGE, ESPECIALLY IN OUR RURAL AREA. DELAWARE VALLEY HOSPITAL (DVH) AND 2 OF ITS PRIMARY CARE CENTERS MAINTAIN THEIR STANDING AS APPROVED SITES FOR PROFESSIONALS SEEKING ASSISTANCE THROUGH THE NATIONAL HEALTH SERVICE CORPS. THE HOSPITAL ALSO HOSTS BOTH RN AND CNA STUDENTS, FROM OUR LOCAL COLLEGE (SUNY DELHI) AND BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES). IN 2022, THE SUNY DELHI STUDENTS RETURNED, BUT THE BOCES STUDENTS DID NOT. IN 2022, A STUDENT SHADOW/VOLUNTEER PROGRAM WAS IMPLEMENTED. ONE LOCAL STUDENT SPENT 20 HOURS IN THE IMAGING DEPARTMENT AS A PRE-REQUISITE TO HIS COLLEGE PROGRAM; WHILE A BINGHAMTON UNIVERSITY STUDENT, FROM LONG ISLAND, SPENT 100 HOURS LEARNING ALL HE COULD ABOUT RURAL HEALTHCARE, AS HE HOPES TO CARE FOR RURAL PATIENTS IN THE FUTURE. MASH CAMP WAS BACK THIS YEAR, FOR THE FIRST TIME IN TWO YEARS, DUE TO COVID-19. AREA TENTH, ELEVENTH AND TWELFTH GRADE STUDENTS REPRESENTED ELEVEN AREA SCHOOLS. THE STUDENTS WERE ABLE TO ENJOY MANY HANDS-ON EXPERIENCES WITHIN THE CLINICAL DEPARTMENTS THEY VISITED. PARTICIPATING DEPARTMENTS INCLUDED THE INPATIENT MEDICAL UNIT, AMBULATORY SERVICES, EMERGENCY DEPARTMENT, IMAGING, LAB, RESPIRATORY AND PHYSICAL THERAPY, THE PRIMARY CARE OFFICE AS WELL AS THE OUTPATIENT PHARMACY. LUNCH, A BACKPACK FILLED WITH A VARIETY OF SWAG ITEMS AND HEALTHCARE CAREER INFORMATION ROUNDED OUT THEIR EXPERIENCE. A UHS FAMILY MEDICINE RESIDENT SPENT A FEW DAYS WITH ONE OF DELAWARE VALLEY'S FAMILY MEDICINE PHYSICIANS TO LEARN MORE ABOUT RURAL HEALTH CARE. TWO NURSING STUDENTS WORKING ON THEIR BSN, SPENT SOME TIME WITH THREE NURSING LEADERS TO LEARN MORE ABOUT ADMINISTRATION AND COMMUNITY HEALTH. 2022 SAW THE HOSPITAL BEGIN TO OFFER THE COMMUNITY SOME OF ITS MOST POPULAR PROGRAMS ONCE AGAIN, IN THE POST-PANDEMIC TIME FRAME. SOME COMMUNITY HEALTH IMPROVEMENT ACTIVITIES INCLUDED: COMMUNITY HEALTH IMPROVEMENTTHE HOSPITAL'S FAIR BOOTH WAS STAFFED AND ACTIVE AGAIN FOR THE FIRST TIME SINCE THE COVID-19 PANDEMIC. WITH A FOCUS ON FAMILY PLAY TIME, A BASKETBALL GAME WAS SET UP AT THE BOOTH AND WAS A HUGE SUCCESS BRINGING IN HUNDREDS OF PLAYERS (AT LEAST 870) OVER THE COURSE OF THE FAIR AND INFORMATION ON THE IMPORTANCE OF PHYSICAL ACTIVITY AND FAMILIES ENJOYING ACTIVITIES TOGETHER WAS ALSO AVAILABLE. BLOOD PRESSURES WERE ALSO TAKEN AND INFORMATIONAL MATERIAL WAS AVAILABLE.THE REGISTERED DIETITIAN WORKED WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NEW YORK, INDIVIDUALLY EDUCATING AND COUNSELING 55 AREA RESIDENTS OVER A PERIOD OF SEVERAL WEEKS TO HELP THEM LEARN MORE ABOUT FRUITS AND VEGETABLES. IN AN ONGOING EFFORT TO ENCOURAGE THE PROPER DISPOSAL OF NEEDLES, DVH PROVIDES A NEW SHARPS CONTAINER, FREE OF CHARGE, TO EVERYONE WHO BRINGS THEIR NEEDLES FOR DISPOSAL. IN 2022, 224 CONTAINERS WERE DISTRIBUTED AND 896 POUNDS OF MEDICAL WASTE DISPOSED OF. AN OPEN HOUSE WAS HELD IN THE NEWLY EXPANDED PHYSICAL AND OCCUPATIONAL REHABILITATION BUILDING. STAFF WERE ON HAND TO EXPLAIN THE VARIOUS TREATMENTS THEY CAN GIVE, DEMONSTRATE USE OF THE EQUIPMENT AND SPEAK ABOUT THE DEPARTMENT'S CERTIFIED CARDIAC AND PULMONARY REHABILITATION PROGRAMS.DELAWARE VALLEY BEGAN TO HAVE SMALL STUFFED ANIMALS AVAILABLE FOR CHILDREN HAVING LAB WORK DONE OR IN THE ER.SMALL HOLIDAY ITEMS WERE ADDED TO PATIENT TRAYS BEGINNING IN NOVEMBER AND GUEST TRAYS WERE PROVIDED WITHOUT CHARGE TO FAMILY MEMBERS OR FRIENDS WHO DINED WITH THEIR HOSPITALIZED LOVED ONES. DELAWARE VALLEY STAFF MEMBERS WERE EXCITED TO WELCOME 150 THIRD-GRADERS TO ITS TEDDY BEAR CLINIC. THE OBJECTIVE IS TO HELP REDUCE POTENTIAL ANXIETY CHILDREN MAY EXPERIENCE, IF THEY OR A LOVED ONE NEEDED TO COME TO THE HOSPITAL FOR CARE, BY HAVING THEM BECOME SOMEWHAT FAMILIAR WITH THE SIGHTS AND SOME OF THE EQUIPMENT THAT MAY BE USED IN THEIR CARE. STUDENTS FROM 5 SCHOOLS TOOK PART IN THE EVENT. IN THE ER, KIDS WERE SHOWN HOW A PATIENT'S BLOOD PRESSURE AND OXYGEN SATURATION ARE TAKEN AND EACH CHILD'S STUFFED ANIMAL WAS WEIGHED. IN THE IMAGING DEPARTMENT, ALL THE ANIMALS HAD A GROUP X-RAY, AND A RIDE THROUGH THE CT MACHINE. THE TECH ALSO HAD THE KIDS EXPERIENCE THE FEELING OF RAISING AND LOWERING THE TABLE. USING A CHILD-SIZED MANNEQUIN, ONE OF THE ER NURSES HAD THE KIDS PARTICIPATE IN THEIR CARE. THEY LEARNED ABOUT VITAL SIGNS, NECK BRACES, OXYGEN TANKS AND MASKS, IVS, CONTROLLING BLEEDING, BANDAGING AND MORE. A PARAMEDIC WITH A LOCAL EMERGENCY SQUAD HAD THE KIDS WALK THROUGH THE AMBULANCE TO SEE ALL THE EQUIPMENT AND HOW IT IS SET UP. HE ALSO EXPLAINED WHAT SQUAD MEMBERS DO WHEN CARING FOR PATIENTS AND HOW TO PROPERLY CALL 9-1-1 FOR REAL EMERGENCIES. A DELAWARE COUNTY SHERIFF'S DEPUTY AND HIS K9 PARTNER ALSO ATTENDED. ELI SHOWED HE OBEYS BOTH VOICE AND HAND SIGNAL COMMANDS. ELI IS TRAINED TO FIND DRUGS, BUT ALSO CAN HELP FIND LOST PEOPLE, BY PICKING UP THEIR SCENT FROM AN OBJECT THEY TOUCHED OR PIECE OF CLOTHING THEY WORE. THE KIDS ALSO LEARNED WHAT TO DO IF THEY GET LOST. BEFORE LEAVING, EACH STUDENT RECEIVED FRUIT SNACKS AND A BACKPACK WITH A COLORING BOOK ABOUT NOT TAKING DRUGS AND BULLYING, CRAYONS AND A FRISBEE.DELAWARE VALLEY CONTINUED ITS ANNUAL SPONSORSHIP OF THE WALTON WALK FOR HUNGER EVENT TO RAISE FUNDS FOR THE COMMUNITY'S FOOD BANK, BACK PACK PROGRAM AND COMMUNITY SUPPERS. DELAWARE VALLEY PARTICIPATED IN A VETERANS' APPRECIATION DAY HELD IN SIDNEY; DISTRIBUTED COOLING BANDANAS AND THANK YOU MESSAGES FROM THE DVH STAFF. PARTICIPATED IN ROSCOE CENTRAL SCHOOL'S OPEN HOUSE INTRODUCING THE NEW PRIMARY CARE PROVIDER AND DISTRIBUTING HEALTH INFORMATION. THE HOSPITAL ALSO SPONSORS MANY COMMUNITY EVENTS SUCH AS SPEND THE DAY IN WALTON AND MUSIC ON THE DELAWARE'S SEASON OF PROGRAMMING, DOWNSVILLE'S DRAMA CLUB PRODUCTION AND THE TOWN'S 5K.DONATIONS ARE MADE TO LOCAL EMERGENCY SQUADS, THE FIRE DEPARTMENT AND THE LOCAL VETERAN'S POST. COVID VACCINES WERE GIVEN AT HANCOCK FIREMEN FIELD DAYS AND DELAWARE COUNTY OFFICE FOR THE AGING'S SENIOR PICNIC. THE CEO SERVES ON THE CATSKILL HUDSON AREA HEALTH EDUCATION COMMITTEE AS WELL AS THE SULLIVAN COUNTY DRUG TASK FORCE. THE COMMUNITY RELATIONS DIRECTOR SERVES ON THE WALTON CHAMBER OF COMMERCE AND CONTINUES TO MOVE THE STREET SCAPE PROJECT FORWARD IN CONJUNCTION WITH THE DELAWARE COUNTY PLANNING DEPARTMENT. DVH ALSO REPRESENTS HEALTHCARE PROVIDERS ON THE COUNTY-WIDE TRANSPORTATION COMMITTEE. THE COMMITTEE IS CHAIRED BY THE DELAWARE COUNTY CHAMBER OF COMMERCE AND OVERSEES A CONSULTANT'S WORK TO ANALYZE TRANSPORTATION NEEDS THROUGHOUT THE COUNTY AND PROPOSE POTENTIAL SOLUTIONS. THE WORK IS PROJECTED TO CULMINATE IN A FINAL REPORT TO THE COMMITTEE, THE COUNTY BOARD OF SUPERVISORS AND THE RESIDENTS OF DELAWARE COUNTY IN MID-2023. THE COMMUNITY RELATIONS DIRECTOR ALSO SERVES ON THE DELAWARE COUNTY COMMUNITY SERVICES BOARD, WHICH ENCOMPASSES THE WORK OF THE COUNTY'S BEHAVIORAL AND SUBSTANCE USE PROGRAMS. THE COMMUNITY RELATIONS DIRECTOR ALSO SITS ON THE DELAWARE COUNTY RURAL HEALTHCARE ALLIANCE BOARD. THE DIRECTOR OF SUPPORT SERVICES SERVES ON THE BOARD OF DIRECTORS OF THE DELAWARE COUNTY CHAMBER OF COMMERCE. THE CEO AND COMMUNITY RELATIONS STAFF WORKED WITH BOLD GOLD MEDIA, HANCOCK HERALD, AND DELAWARE COUNTY CHAMBER OF COMMERCE ON A RADIOTHON EVENT TO BENEFIT ST. JUDE CHILDREN'S HOSPITAL. THEY SPOKE ON THE RADIO, ATTENDED PLANNING MEETINGS, SECURED LOCATIONS FOR PRE-EVENT DONATIONS THROUGHOUT THE TOWN OF WALTON, AND PARTICIPATED IN A CELEBRITY BARTENDING EVENT. WHEN AMBULANZ, A PRIVATE AMBULANCE SERVICE, WANTED TO BEGIN TO OFFER SERVICES IN DELAWARE COUNTY, DELAWARE VALLEY PROVIDED SPACE TO STATION 2 AMBULANCES AT THE HOSPITAL, AS WELL AS PROVIDING SLEEPING QUARTERS FOR THEIR CREW. THIS NOT ONLY HELPED TO TRANSFER PATIENTS MORE EXPEDIENTLY, BUT BY GIVING THEM A BASE, AT NO CHARGE, TO WORK FROM, THE ENTIRE COUNTY BENEFITS AS THEY ARE AVAILABLE TO RESPOND TO OTHER 911 CALLS. THE HOSPITAL HAS A SEAT ON THE ARMY'S INNOVATIVE RESPONSIVENESS TRAINING COMMITTEE. PLANS ARE BEING MADE FOR THEIR DEPLOYMENT TO WALTON IN JULY 2023. THEY WILL OFFER FREE HEALTHCARE, OPHTHALMOLOGIC, BEHAVIORAL HEALTH, DENTAL AND VETERINARIAN CARE. THE HOSPITAL WILL BE ASSISTING WITH CREDENTIALING, HAZARDOUS WASTE REMOVAL, PROVIDING WHEELCHAIRS AND PRIVACY SCREENS. THE TRAINING IS CALLED HEALTHY DELAWARE. COVID-19 RESPONSE CONTINUED THROUGHOUT THE PANDEMIC, DVH HAS BEEN CONTINUALLY IMPLEMENTING STRATEGIES TO KEEP PATIENTS, VISITORS AND STAFF SAFE. HERE ARE SOME OF DVH'S 2022 EFFORTS: SYMPTOM AND EXPOSURE SCREENING CONTINUED, PRIOR TO ANYONE ENTERING THE BUILDING, BUT SCREENING WAS MOVED BACK TO THE MAIN ENTRANCE OF THE BUILDING, WHICH IS IN MUCH CLOSER PROXIMITY TO THE ANCILLARY DEPARTMENTS AND MEDICAL UNIT. OVERHEAD CANOPIES WERE INSTALLED AT BOTH THE ER WALK-IN ENTRANCE AND THE MAIN ENTRANCE TO OFFER SOME PROTECTION FROM THE WEATHER TO PATIENTS, PART VI, LINE 6: DELAWARE VALLEY HOSPITAL, INC. IS AN IMPORTANT MEMBER OF A LARGER SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UNITED HEALTH SERVICES IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATIONS INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. DVH PARTICIPATES IN THE UNITED HEALTH SERVICES SYSTEM STRATEGIC PLANNING PROCESS. CONSISTENT WITH THE MISSION AND VISION, THE PLAN FOCUSES ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO THE REGION. THE STRATEGIC PLAN IS ORGANIZED AROUND THREE OBJECTIVES: IMPROVE OUR CARE, MANAGE OUR COSTS, AND GROW OUR MARKET SHARE. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC OBJECTIVE AND DVH FURTHER DEVELOPS OBJECTIVES AS THEY RELATE TO THE HOSPITAL'S SERVICES AND THE NEEDS OF OUR PATIENTS. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE OBJECTIVES ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES BOTH LOCALLY AND REGIONALLY. THE DVH COMMUNITY SERVICE REPORT IS INCLUDED WITH THE DELAWARE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH THE COMMUNITY SERVICE PLANS OF O'CONNOR HOSPITAL AND MARGARETVILLE HOSPITAL, ALL IN ONE DOCUMENT. PART VI, LINE 7, REPORTS FILED WITH STATES NY PART VI, LINE 2 CONTINUED: BECAUSE NUTRITION PLAYS A HUGE ROLE IN THE HEALTH OF COMMUNITY MEMBERS, THE HOSPITAL'S DIETITIAN/NUTRITIONIST WORKED IN CONJUNCTION WITH THE RURAL HEALTH NETWORK OF SOUTH CENTRAL NY TO PROVIDE 60 PATIENTS WITH COMPLIMENTARY ONE ON ONE DIETARY COUNSELING, OVER 5 MONTHS, AS THEY PROGRESSED THROUGH THE COOPERATIVE EXTENSION'S FRUIT & VEGETABLE PROGRAM. THE HOSPITAL RECOGNIZED THAT UNLESS IT IS ABLE TO ENGAGE THE COMMUNITY IN CONVERSATIONS ABOUT MANY OF THE SOCIAL DETERMINANTS OF HEALTH, A LOT OF PROGRESS CANNOT BE MADE IN THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS. RESEARCH LED TO THE AARP AGE FRIENDLY LIVABLE COMMUNITY PROGRAM, WHICH IS GEARED TO ALL AGES. IN EARLY 2020, LEADERS FROM AROUND THE COUNTY ATTENDED A DAY-LONG PROGRAM FEATURING NATIONALLY RENOWNED SPEAKER, ESTHER GREENHOUSE, AN EXPERT ON AGING IN PLACE AND KAT FISHER FROM THE REGIONAL AARP OFFICE. LEADERS REPRESENTING GOVERNMENT, SERVICE ORGANIZATIONS, HEALTHCARE, SCHOOLS, CHURCHES AND COMMUNITY MEMBERS WERE PRESENT. 50 PEOPLE ATTENDED. BASED ON THIS PROGRAM, AND THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS, DVH, WORKING WITH DELAWARE COUNTY PUBLIC HEALTH AND MENTAL HEALTH PLANNED TO CONDUCT A SURVEY ABOUT HOW PEOPLE DO OR DO NOT SOCIALIZE IN THE COMMUNITY OF WALTON NY. WHILE THIS PROJECT IS BEHIND DUE TO THE PANDEMIC, IT IS MOVING FORWARD AND TAKING PLACE IN THE FALL OF 2022.A COMPONENT OF BECOMING AGE FRIENDLY IS TO CREATE SPACES WHERE PEOPLE CAN COME TOGETHER. WALTON HAS A RECLAIMED FLOOD PLAIN THAT BORDERS THE DELAWARE RIVER AND FOR YEARS PLANS HAVE BEEN DISCUSSED BUT NO ACTION HAD OCCURRED. IN 2020, THE FIRST PROJECT, A BOAT RAMP WAS INSTALLED. WITH THIS SPARK, DVH HAD APPLIED FOR SOME FUNDING TO KICK-START THE PROGRAM BUT IT HAD NOT COME THROUGH. DELAWARE COUNTY PLANNING DEPARTMENT ALSO APPLIED FOR FUNDING THAT WAS NOT SUCCESSFUL. HOWEVER, MEETINGS ARE STILL TAKING PLACE AND FUNDING OPPORTUNITIES ARE STILL BEING ASSESSED SO THAT A BEAUTIFUL PLACE WILL BE CREATED FOR FAMILIES AND VISITORS TO ENJOY RECREATION AND SOCIALIZATION. X X X X 0 0 0 0 0 0 0 0 0 JOHN CARRIGG BOARD MEMBER/VICE CHAIR 0 981834 0 50000 0 547525 0 71251 0 23106 0 1673716 0 0 ROLLAND BOJO BOARD MEMBER/PRESIDENT/CEO 226583 0 7000 0 0 0 6093 0 27075 0 266751 0 0 0 DR MICHAEL FREEMAN BOARD MEMBER/MED STAFF PRE 223202 0 0 0 0 0 2322 0 21388 0 246912 0 0 0 VICTORIA CONKLING VP PATIENT CARE/CNO 152284 0 10608 0 0 0 8296 0 11994 0 183182 0 0 0 KATHLEEN ULMSCHNEIDER STAFF NURSE 141279 0 5000 0 0 0 7662 0 19037 0 172978 0 0 0 TITO ENDAYA LAB MANAGER 127841 0 2500 0 0 0 5626 0 25650 0 161617 0 0 0 LUCINDA RIDER CFO 123594 0 8625 0 0 0 6797 0 17603 0 156619 0 0 0 PAYMENT IN 2022 FROM A NON-QUALIFIED PLAN: JOHN CARRIGG $540,006 RE: SCHEDULE J, PART II, LINE 1, BIII - OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $540,006 INCLUDES NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). EARLY SERP DISTRIBUTIONS WERE RELATED TO INCOME TAX PAYMENTS; THE REMAINING AMOUNTS ARE DEFERRED UNTIL SUBSEQUENT TRIGGERING EVENTS. NANCY VOLLKOMMER SISTER-IN-LAW OF VICKI CONKLING, V.P. NURSING ADMIN./CNO 36502 EMPLOYEE WAGES 0 LAURIE GROSS SISTER-IN-LAW OF ROLLAND BOJO, PRESIDENT/CEO 90899 EMPLOYEE WAGES 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A UHS, INC., THE ORGANIZATION'S SOLE CORPORATE MEMBER, APPOINTS THE VOTING BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE DELAWARE VALLEY HOSPITAL, INC. (DVH) BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF FORM 990 TO MANAGEMENT. THE UHS FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A PERFORMANCE REVIEW OF PRESIDENT/CEO IS COMPLETED BY THE BOARD CHAIR AND 2ND VICE CHAIR/UHS, INC. LIAISON ANNUALLY. RESULTS PRESENTED TO EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF CHAIR, LIAISON, AND THREE OTHER BOARD MEMBERS. THE COMMITTEE USES SULLIVAN-COTTER, A PAID CONSULTING FIRM, TO OBTAIN NATIONAL CEO COMPENSATION DATA BY HOSPITAL TYPE, SIZE, ETC. AS THE BASIS FOR ESTABLISHING AN ACCEPTABLE COMPENSATION RANGE TO ENSURE COMPLIANCE WITH TREASURY REGULATION 53.4958-1(D)(4)(3). THE COMMITTEE THEN DETERMINES AND APPROVES THE PRESIDENT/CEO COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES FEES: PROGRAM SERVICE EXPENSES 6,256,225. MANAGEMENT AND GENERAL EXPENSES 1,204,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,460,626. FORM 990, PART XI, LINE 9: INTEREST RATE SWAP 37,622. CUMMULATIVE EFFECT CHANGE ACCOUNTING PRINCIPLE -4,037. FORM 990, PART XII, LINE 2C: NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. UNITED HEALTH SERVICES HOSPITALS INC 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 161165049 HOSPITAL NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501(C)(3) 10 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER 508 HIGH AVENUE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING 508 HIGH AVENUE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501(C)(3) 10 UNITED HEALTH SERVICES INC 0 CHENANGO MEMORIAL HOSPITAL 179 NORTH BROAD STREET NORWICH NY 13815 150532180 HOSPITAL NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 UNITED HEALTH SERVICES INC 20-40 MITCHELL AVENUE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 10 BOARD OF DIRECTORS UHS INC 0 TWIN TIER HOME HEALTH INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 222438211 HOME HEALTH CARE NY 501(C)(3) 10 UNITED HEALTH SERVICES INC 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0