2023-11-15T13:39:00-07:00 2022-12-31 990 2022-01-01 223124162 MOHAWK VALLEY HEALTH SYSTEM MOHA 3156246143 PO Box 4308 Utica NY 135044308 Louis Aiello CFO 3156246143 2023-11-15 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z Louis Aiello CFO PO Box 4308 Utica NY 13502 104558940 0 X www.mvhealthsystem.org X 1991 NY TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. 17 15 0 0 0 0 124507071 92537032 12892153 11924610 51869 67241 22639 30057 137473732 104558940 0 0 0 0 2071248 2272326 0 0 0 10071092 10156957 12142340 12429283 125331392 92129657 546149518 627584604 316551073 305012100 229598445 322572504 TO PROVIDE FOR EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITIES. 0 0 0 0 4263 TO IMPROVE THE QUALITY OF SERVICES DELIVERED BY THE HOSPITALS AND OTHER TAX-EXPEMPT AFFILIATES WHICH ARE HEALTH CARE PROVIDERS WHILE AVOIDING DUPLICATION OF EFFORT AND FOSTERING ECONOMIES OF SCALE. 11866500 0 11954765 PROVIDES MEDICAID MANAGED CARE TO SENIORS LOCATED IN ONEIDA AND HERKIMER COUNTIES. 0 0 0 11866500 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 19 0 1 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LOUIS AIELLO 3156246143 PO BOX 479 UTICA NY 13503 Darlene Stromstad President/CEO 1 54 X 0 1183762 23524 Sushma Kaul MD Physician/SEMC Med Staff President 0.5 53 X 0 687154 29549 Kent Hall MD SVP/Physician Practice and Operations 1 49 X 0 633862 13488 Louis Aiello SR VP/CFO 1 49 X 0 596869 31112 Mansoor Shahid SR VP/ COO 1 49 X 0 466597 29153 Eric Yoss MD Former (CMO Interim 2019- FEB 2020 0 0 X 0 281019 4904 Linda Mccormack-Miller CNO FORMER 1 49 X X 0 128463 4654 Waleed Albert MD Former 0 0 X 0 50504 0 Domenic Aiello MD Director 0.5 3 X 0 0 0 Jonathan Block MD MVHS Medical Staff Vice President 0.5 3 X 0 0 0 Andrew Kowalczyk III Director 0.5 3 X 0 0 0 Barbara Brodock Director 0.5 3 X 0 0 0 Catherine Brownell PhD Director 0.5 3 X 0 0 0 Gregory McLean Director 0.5 3 X 0 0 0 Norman Siegel Chair Emeritus 0.5 3 X 0 0 0 Catherine Cominsky Director 0.5 3 X 0 0 0 Joan Compson Chair Emeritus 0.5 3 X 0 0 0 Symeon Tsoupelis Director 0.5 3 X 0 0 0 Gregory Evans Chair 0.5 3 X X 0 0 0 Lauren Bull Vice Chair 0.5 3 X X 0 0 0 Karen Leach Secretary 0.5 3 X X 0 0 0 Richard Zweifel Treasurer 0.5 3 X X 0 0 0 Richard Tantillo Philanthropy Chair 0.5 0.5 X X 0 0 0 0 4028230 136384 0 1 1 0 0 0 0 0 0 92537032 0 92537032 PARTNERSHIP INTEREST, CMIC 623000 4263 4263 0 0 SR. NETWORK HEALTH, LLC 623000 11920347 11920347 0 0 0 0 0 0 11924610 67241 67241 0 0 0 0 0 0 1711 1711 0 0 0 0 0 0 0 DISTRIBUTION FROM VHA 623000 28346 28346 0 0 0 0 0 0 28346 104558940 12021908 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1882680 1882680 50409 50409 339237 339237 208874 208874 29907 29907 67950 29450 38500 8772541 8759172 13369 930 930 18647 18647 86421 86421 132549 132549 11739 11739 510901 510901 81556 81556 59088 59075 13 TELEPHONE 29798 29798 0 0 DUES MEMBERSHIP FEES LICENSES 43815 43815 0 0 MAINTENANCE AND REPAIRS 69534 69534 0 0 BAD DEBT EXPENSE 32707 32707 0 0 12429283 11866500 562783 0 344667 44263 7044960 6591970 166949 38787 466137053 0 296651706 466137053 266000 424590 241675236 154347941 546149518 627584604 27154328 19280757 283311122 280138431 6085623 5592912 316551073 305012100 X 6242156 5583992 223356289 316988512 229598445 322572504 546149518 627584604 X 92129657 -311255 0 0 0 1155657 X 0 1 X 1 0 X X 4 FAXTON-ST LUKE'S HEALTHCARE 161576637 7 1 0 0 VISITING NURSES ASSOCIATION OF UTICA AND ONEIDA COUNTY 150532259 10 1 0 0 ST ELIZABETH MEDICAL CENTER INC 150532245 3 1 0 0 ST LUKE'S HOME RESIDENTIAL HEALTH 161476372 3 1 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule A, Part IV, Section B, Line 1 ALL ENTITIES HAVE COMMON BOARD MEMBERS. MVHS HAS POWERS TO APPOINT AND/OR REMOVE ALL DIRECTORS. THE SUPPORTED ORGANIZATIONS DO NOT HAVE ANY POWER TO APPOINT OR ELECT DIRECTORS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 466137053 0 466137053 466137053 ASSETS LIMITED AS TO USE 132274994 INTEREST IN MVHS FOUNDATION 16988513 OPERATING LEASE RIGHT-OF USE ASSETS 5084434 154347941 0 Operating Lease Liabilities 5061452 Operating Lease Liabilities - Current Portion 531460 5592912 X -95381 0 0 0 0 0 -95381 0 104654321 104654321 104558940 562783 0 0 0 0 0 562783 0 11866500 11866500 12429283 Schedule D, Part X, Line 2 MVHS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE (CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMMINED THAT MVHS IS NOT A PRIVATE FOUNDATION AS DEFINED UNDER SECTION 509 (A) (3) OF THE CODE. MVHS FILES A TAX RETURN THAT INCLUDES ITS SINGLE MEMBER LLC, SNH, AS IT IS VIEWED AS A DIVISION OF THE MVHS TAX PURPOSES. MVHS'S POLICY US TO ACCOUNT FOR INTERST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS AS PART OF ITS PROVISION FOR FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2018 AND 2017, MVHS DID NOT HAVE ANY SIGNIFICANT UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. MVHS DOES NOT ANTICIPATE HAVING ANY RECOGNIZED TAX BENEFITS IN THE NEXT TWELVE MONTHS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2015 THROUGH 2018. Schedule D, Part XI, Line 4b SENIOR NETWORK HEALTH REVENUE, SENIOR NETWORK HEALTH GRANT Schedule D, Part XII, Line 4b SENIOR NETWORK HEALTH EXPENSE X X X X X X 1 0 0 0 0 0 0 0 0 Darlene Stromstad President/CEO 0 779400 0 150000 0 254362 0 12201 0 11323 0 1207286 Louis Aiello SR VP/CFO 0 478671 0 99062 0 19136 0 20178 0 10934 0 627981 Sushma Kaul MD Physician/SEMC Med Staff President 0 415013 0 265012 0 7129 0 12200 0 17349 0 716703 Kent Hall MD SVP/Physician Practice and Operations 0 491727 0 95481 0 46654 0 12212 0 18978 0 665052 Mansoor Shahid SR VP/ COO 0 406688 0 50000 0 9909 0 11804 0 17350 0 495751 Eric Yoss MD Former (CMO Interim 2019- FEB 2020 0 218151 0 48582 0 14286 0 8584 0 4904 0 294507 Linda Mccormack-Miller CNO FORMER 0 126518 0 0 0 1945 0 15 0 4639 0 133117 Schedule J, Part I, Line 4 LINDA MCCORMACK-MILLER - TOTAL 133,117 AS REPORTED ON SCHEDULE J PART II. A Oneida County Local Development Corp 273190422 2019-11-21 210170000 Construction of a new medical center 0 0 1 B Oneida County Local Development Corp 273190422 2021-10-14 69260000 Construction of a new medical center 0 0 1 A 0 0 222867380 0 -27700983 0 -3215670 -5331964 0 -134980781 -13338 51624645 0 0 0 1 B 0 0 77921099 0 -4809403 0 -1367412 -1818040 0 -3828520 0 66097725 0 0 0 1 A 0 0 0 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Form 990, Part VI, Section B, Line 11b THE FORM 990 WAS PRESENTED TO AND REVIEWED BY THE BOARD AT A MEETING PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c THE PURPOSE OF THE POLICIES AND DIRECTIVES SET OUT IN THIS POLICY STATEMENT IS TO ASSURE THAT THE BUSINESS CONDUCTED BY THE ORGANIZATION IS CONDUCTED FREE FROM THE POSSIBLE INFLUENCE OF CONFLICTS OF INTEREST OF INTERESTED PERSON. THE POLICY EXISTS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT PRIVATE INTEREST OF AN INTERESTED PERSON IN THE ORGANIZATION. INTERESTED PERSONS MAY NOT ENTER INTO ANY EMPLOYMENT TRANSACTION OR OTHER ARRANGEMENT THAT MAY CAUSE OR BE PERCEIVED TO CAUSE A CONFLICT OF INTEREST. INTERESTED PERSONS MUST REVIEW THIS POLICY ANNUALLY AND COMPLETE THE ACKNOWLEDGEMENT AND DISCLOSURE FORM ANNUALLY. THE COMPLIANCE OFFICER AND OR THE COMPLIANCE COMMITTEE WILL REVIEW ALL ANNUAL ACKNOWLEDGEMENT AND DISCLOSURE FORMS AND ANY CONFLICTS OR POTENTIAL CONFLICTS IDENTIFIED. WHEN A POTENTIAL CONFLICT IS IDENTIFIED THE COMPLIANCE OFFICER WILL ENSURE APPROPRIATE ACTIONS ARE TAKEN TO RESOLVE THE CONFLICT. THIS POLICY IS INTENDED TO SUPPLIEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL AND STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NON PROFIT AND CHARITABLE CORPORATIONS. Form 990, Part VI, Section B, Line 15 MVHS Compensation Policy Overview The Board of Directors has established an Executive Compensation Committee, which is responsible for reviewing the adequacy and reasonableness of the compensation paid to the President/CEO and other employees of the Executive Leadership Team. The Executive Leadership Team consists of the following positions: * President/CEO * SVP/ CFO * SVP/CNO * SVP/ CIO * SVP/ CHRO * SVP/Marketing & Strategy * SVP/Chief Legal Counsel * SVP/ Physician Practices & Operations * SVP/ Chief Quality & Patient Safety Officer On an annual basis, the Committee is responsible for (1) reviewing and recommending to the Board Chair the CEO's compensation, including salary, incentives, benefits and other prerequisites, for final approval by the Board (2) reviewing the compensation of all other employees of the Executive Leadership Team, as recommended by the CEO. The adequacy and reasonableness of all executive compensation is assessed through independent compensation consultants, which conduct market reviews using benchmarking data for comparable positions in similarly situated hospitals. This assessment is provided and reviewed by the Executive Compensation Committee on an annual basis. The independence of the committee members is reviewed and verified prior to the start of the annual compensation review process. Should a conflict present, those individuals with actual or perceived conflicts abstain from voting until such time as the conflict can be resolved or a replacement member ins appointed to the committee. The committee's deliberations and discussions are guided by a written compensation philosophy and documented through written minutes taken during each meeting. The minutes include, among other things, the written materials distributed or presented during the meeting and the specific decisions taken at the meeting. Form 990, Part VI, Section C, Line 19 IT IS THE POLICY OF THIS ORGANIZATION TO MAKE AVAILABLE, TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE ON FORM 990 AND ITS EXPEMPT STATUS FORM IN ACCORDANCE WITH THE LAW. FORM 990, FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTIONS FOR A THREE YEAR PERIOD. Form 990, Part IX, Line 11g PROGRAM SERVICE FEES WITH RELATED PARTIES: PROGRAM SERVICE EXPENSES MANAGEMENT AND GENERAL EXPENSES TOTAL EXPENSES OTHER FEES: MANAGEMENT AND GENERAL EXPENSES BANK FEES: PROGRAM SERVICE EXPENSES MANAGEMENT AND GENERAL EXPENSES TOTAL EXPENSES TOTAL OTHER FEES ON FORM 990, PART IX, LINE 11G, COL A Form 990, Part XI, Line 9 GRANT FOR CAPITAL ACQUISITIONS SENIOR NETWORK HEALTH LLC 1650 CHAMPLAIN AVE UTICA NY 13502 161603689 PROVIDES MEDICAID MANAGED CARE TO SENIORS NY -188456 6591970 MOHAWK VALLEY HEALTH SYSTEM INC FAXTON ST LUKES HEALTHCARE PO BOX 479 UTICA NY 135030479 161576637 ACUTE CARE HOSPITAL NY 501 (C) (3) 3 MOHAWK VALLEY HEALTH SYSTEM INC 1 MOHAWK VALLEY HEALTH SYSTEM FOUNDATION PO BOX UTICA NY 13503 223078768 PROMOTE AND SOLICIT FUNDS NY 501 (C) (3) 12B MOHAWK VALLEY HEALTH SYSTEM INC 1 ST LUKES HOME RESIDENTIAL HEALTH CARE FACILITY INC 1650 CHAMPLIN AVE UTICA NY 13502 161476372 RESIDENTIAL HEALTH CARE NY 501 (C) (3) 10 FAXTON ST LUKES HEALTHCARE INC 0 VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTY 1650 CHAMPLIN AVE UTICA NY 13502 150532259 HOME HEALTH CARE NY 501 (C) (3) 10 MOHAWK VALLEY HEALTH SYSTEM INC 1 ST ELIZABETH MEDICAL CENTER 2209 GENESEE STREET UTICA NY 13502 150532245 ACUTE CARE HOSPITAL NY 501 (C) (3) 3 MOHAWK VALLEY HEALTH SYSTEM INC 1 ST ELIZABETH MEDICAL CENTER FOUNDATION 2209 GENESEE STREET UTICA NY 13501 222562170 FUNDRAISING NY 501 (C) (3) 10 ST ELIZABETH MEDICAL CENTER 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 1 0 1 0 0