2023-11-13T12:34:22-06:00 2022-12-31 990 2022-01-01 161449491 NORTH STAR HEALTH ALLIANCE INC NORT 3153933600 214 KING STREET OGDENSBURG NY 13669 RICHARD DUVALL CEO 3153933600 2023-11-10 1 RICHARD DUVALL 999009999 0 JONATHAN MILLER P01322027 5853811000 2023-11-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RICHARD DUVALL 214 KING STREET OGDENSBURG NY 13669 0 0 X N/A X 1993 NY THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF ITS MEMBERS. ITS MEMBERS CURRENTLY COMPRISE THE NORTHERN NEW YORK PROVIDERS, CLAXTON-HEPBURN MEDICAL CENTER AND CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION. CARTHAGE AREA HOSPITAL WAS ADDED AS A MEMBER IN 2023. THE CORPORATION MONITORS MISSION OBJECTIVES, ACTIVITIES, AND RESOURCES OF ITS MEMBERS. THE CORPORATION ADVISES IN RESPECT TO THE MONITORED MATTERS TO FURTHER THE PURPOSE OF PROMOTING EFFICIENT, EFFECTIVE, AND ECONOMICAL HEALTH CARE SERVICES IN RURAL AREAS OF NORTHERN NEW YORK. 8 7 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF ITS MEMBERS. ITS MEMBERS CURRENTLY COMPRISE THE NORTHERN NEW YORK PROVIDERS, CLAXTON-HEPBURN MEDICAL CENTER, AND CLAXTON-HEPBURN MEDICAL CENTER. ADDITIONAL MEMBERS WILL BE ADDED TO NORTH STAR AS APPROPRIATE AND FEASIBLE TO CONTINUE TO STRENGTHEN NORTHERN NEW YORK HEALTHCARE. CARTHAGE AREA HOSPITAL WAS ADDED AS A MEMBER IN 2023. THE CORPORATION MONITORS MISSION OBJECTIVES, ACTIVITIES, AND RESOURCES OF ITS MEMBERS. THE CORPORATION ADVISES IN RESPECT TO THE MONITORED MATTERS TO FURTHER THE PURPOSE OF PROMOTING EFFICIENT, EFFECTIVE, AND ECONOMICAL HEALTH CARE SERVICES IN RURAL AREAS OF NORTHERN NEW YORK. 0 1 NORTH STAR HEALTH ALLIANCE (NORTH STAR) IS A PARENT HOLDING COMPANY FOR HEALTHCARE ENTITIES AND THEIR RELATED FOUNDATIONS. MEMBERS OF NORTH STAR WILL HAVE THEIR CERTIFICATES OF INCORPORATION AND BYLAWS INDICATE THAT NORTH STAR IS THEIR SOLE MEMBER ALLOWING NORTH STAR TO BE EMPOWERED UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW TO APPOINT THE BOARD OF DIRECTORS OF EACH AFFILIATE MEMBER, TO AMEND CERTIFICATES OF INCORPORATION AND BYLAWS AND APPROVE DISSOLUTIONS, MERGERS, AND ACQUISITIONS. AS THE PARENT COMPANY, NORTH STAR WILL ACT TO PROMOTE HIGH QUALITY HEALTH CARE SERVICES TO THE COMMUNITY THROUGH EFFICIENT, EFFECTIVE, AND ECONOMICAL SYSTEMS. THE INCREASINGLY REGULATED, COMPETITIVE, AND COST-CONSCIOUS ENVIRONMENT HAS LED MEMBERS TO DECREASED RESOURCES AND AN INCREASED NEED FOR COLLABORATIVE APPROACHES TO THESE CHALLENGES. IN THE ROLE OF A PARENT COMPANY, IT IS NOT ANTICIPATED THAT NORTH STAR WILL ITSELF BECOME A PROVIDER OF HEALTHCARE SERVICES OR OTHER SERVICES DIRECTED TO THE PUBLIC BUT RATHER WILL CONTINUE TO COORDINATE EFFORTS IN A COLLABORATIVE MANNER TO ADDRESS THE CHALLENGES FACED BY ITS MEMBERS SPECIFICALLY BY REDUCING FUNCTIONAL OVERLAPS AND MAXIMIZING THE UTILIZATION OF AVAILABLE RESOURCES. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 NY X RICHARD DUVALL CEO 3153933600 214 KING STREET OGDENSBURG NY 13669 MICHAEL SEIDMAN MD DIRECTOR 1.00 40.00 X 0 529898 36814 RICHARD DUVALL CEO, CHMC 1.00 40.00 X X 0 653146 9150 MAUREEN MISSERT DIRECTOR 1.00 X 0 0 0 CHRISTOPHER BRANDY MD DIRECTOR 1.00 X 0 0 0 BRYAN FELITTO TREASURER UNTIL 11/2023 1.00 X X 0 0 0 CHET TRUSKOWSKI VICE CHAIRMAN 1.00 X X 0 0 0 SANDRA LYONS DIRECTOR 1.00 X 0 0 0 JIM THEW DIRECTOR 1.00 X 0 0 0 ZVI SZAFRAN DIRECTOR 1.00 X 0 0 0 MARK MASHAW SECRETARY 1.00 X X 0 0 0 0 1183044 45964 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 X 0 0 0 X X 1 CLAXTON-HEPBURN MEDICAL CENTER 150559686 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X X X X X 0 0 0 0 0 0 0 0 0 RICHARD DUVALL CEO, CHMC 0 653146 0 0 0 0 0 9150 0 0 0 662296 0 0 MICHAEL SEIDMAN MD DIRECTOR 0 529898 0 0 0 0 0 9150 0 27664 0 566712 0 0 FORM 990, PART III, LINE 3 DURING 2022 CLAXTON-HEPBURN MEDICAL CENTER AND CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION WERE THE SOLE MEMBERS OF NORTH STAR. CARTHAGE AREA HOSPITAL STARTED DISCUSSIONS OF BECOMING A MEMBER OF NORTH STAR DURING 2022 AS MEANS OF FINDING A COLLABORATIVE ARRANGEMENT TO STRENGTHEN THE HEALTHCARE OFFERED IN NORTHERN NEW YORK. CARTHAGE AREA HOSPITAL BECAME A MEMBER OF NORTH STAR IN 2023. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PROVIDED TO NORTH STAR HEALTH ALLIANCE'S BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, BOARD MEMBERS ARE SENT A CONFLICT OF INTEREST FORM, AT WHICH TIME THEY CAN DECLARE AN "ACTUAL OR REASONABLY FORESEEABLE CONFLICT(S) OF INTEREST TO DISCLOSE". FORM 990, PART VI, SECTION B, LINE 15 THE CHMC BOARD CONTRACTS WITH YAFFE AND COMPANY, AN INDEPENDENT SALARY COMPENSATION SPECIALIST TO ADVISE ON THE CHIEF EXECUTIVE OFFICER'S SALARY PROCESS AND PHILOSOPHY. YAFFE AND COMPANY WORKS WITH THE EXECUTIVE COMMITTEE TO ASSIST THE COMMITTEE IN SETTING ANNUAL SALARIES AND BENEFITS FOR SENIOR LEADERSHIP, INCLUDING THE CEO. FORM 990, PART VI, SECTION C, LINE 18 NORTH STAR HEALTH ALLIANCE, INC.'S 990 IS AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 NORTH STAR HEALTH ALLIANCE, INC.'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CLAXTON-HEPBURN MEDICAL CENTER 214 KING STREET OGDENSBURG NY 13669 150559686 NOT FOR PROFIT HOSPITAL NY 501(C)(3) LINE 3 0 CLAXTON HEPBURN MEDICAL CENTER FOUNDATION INC 503 MANSION AVENUE OGDENSBURG NY 13669 222488389 PROVIDE FINANCIAL SUPPORT TO CLAXTON-HEPBURN MEDICAL CENTER NY 501(C)(3) LINE 12B, II NORTH STAR HEALTH ALLIANCE INC 0 CLAXTON MEDICAL PC 214 KING STREET OGDENSBURG NY 13669 264009395 ATTRACTING AND RETAINING SPECIALIZED MEDICAL PRACTITIONERS NY 501(C)(3) LINE 12B, II CLAXTON-HEPBURN MEDICAL CENTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0