2025-11-17T12:59:41-06:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-01-01 161576637 MVHS INC MVHS 3159179966 111 HOSPITAL DRIVE UTICA NY 13502 LOUIS AIELLO SR VP, CHIEF FINANCIAL OFFICER 3159178203 2025-11-14 1 1 PATRICK CAPELLA P01359200 3154463600 2025-11-14 2024 2025-03-06 01:10:19Z WYNN HOSPITAL LOUIS AIELLO 111 HOSPITAL DRIVE UTICA NY 13502 726816530 0 X MVHEALTHSYSTEM.ORG X 2000 NY THE MISSION OF MVHS AND OUR FLAGSHIP, WYNN HOSPITAL, IS TO DELIVER PREMIER HEALTHCARE TO OUR REGION, KEEPING OUR PATIENTS AS THE FOCUS OF ALL WE DO. 14 12 4917 63 -779378 0 14558636 8549708 418352672 645705888 13137227 8514921 39759717 62560409 485808252 725330926 0 0 0 0 232278260 351405119 0 0 0 248701752 403222537 480980012 754627656 4828240 -29296730 973979136 951566591 509885204 512923760 464093932 438642831 X MVHS, INC. DBA WYNN HOSPITAL IS A FULL SERVICE HOSPITAL CAPABLE OF HANDLING VIRTUALLY ALL THE HEALTHCARE NEEDS IN THE COMMUNITY. OUR VISION IS FOR MVHS AND OUR FLAGSHIP, WYNN HOSPITAL, TO BE THE LEADING PATIENT-CENTERED MEDICAL AND HEALING ENVIRONMENT, THE EMPLOYER OF CHOICE AND THE PRIDE OF CENTRAL NEW YORK. 0 0 326186755 320230786 INPATIENT/ACUTE CARE SERVICES - MVHS, INC. DBA WYNN HOSPITAL (PREVIOUSLY FAXTON ST LUKE'S HEALTHCARE OR FSLH) IS A FULL SERVICE HOSPTIAL WITH 373 LICENSED BEDS. THE HOSPTIAL PROVIDES A FULL RANGE OF ANCILLARY SERVICES, INCLUDING MATERNITY AND NEWBORN CARE SERVICES. DISBURSEMENTS MADE BY THE HOSPTIAL ARE EXCLUSIVELY FOR SERVICES AND MATERIALS USED IN PERFORMING THE HOSPITAL'S EXEMPT FUNCTIONS. MVHS, INC PROVIDES CARE TO EVERYONE REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. 114338578 112250827 RADIOLOGY/MEDICAL IMAGING - MVHS MEDICAL IMAGING PROVIDES DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY USING RADIATION, SOUND WAVES OR MAGNETIC FIELDS IN MEDICAL DIAGNOSIS AND INCLUDES IMAGING TECHNOLOGY SUCH AS X-RAYS, COMPUTED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI) AND ULTRASOUND. MVHS OFFERS THE FOLLOWING MEDICAL IMAGING SERVICES AT 4 CENTRAL LOCATIONS, IN ADDITION TO THOSE OUTPATIENT X-RAY SERVICES PROVIDED AT VARIOUS PRIMARY CARE SITES: CT SCANS, ULTRASOUND, EMERGENCY RADIOLOGY, FLUOROSCOPY, INPATIENT X-RAY, OUTPATIENT X-RAY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE, PET SCAN, DIGITAL MAMMOGRAPHY, 3D MAMMOGRAPHY, STEREOTACTIC AND ULTRASOUND BREAST BIOPSY AND BONE DENSITY/DEXA SCAN. 17244804 16929925 CANCER CARE - AT THE CANCER CENTER, WE CARE FOR PATIENTS WHO HAVE BEEN DIAGNOSED WITH A VARIETY OF CANCERS. OUR PERSONALIZED APPROACH TO CARE IS BASED ON THE BELIEF THAT EVERY PATIENT AND THEIR NEEDS ARE UNIQUE. FROM TREATMENT OPTIONS TO SYMPTOM MANAGEMENT, THE CARE WE PROVIDE IS INDIVIDUALLY TAILORED TO EACH PATIENT. OUR WIDE RANGE OF SERVICES INCLUDE: SYMPTOM MANAGEMENT, CANCER EDUCATION, SUPPORT GROUPS, COMMUNITY RESOURCES, CLINICAL TRIALS, HORMONE THERAPY, AND SURVIVORSHIP. 199662184 259634137 LABORATORY PATHOLOGY, PHARMACY SERVICES, CLINICAL AND BLOOD, PT, OT, COMMUNITY MEDICINE PRIMARY AND SPECIALTY, CARDIAC REHAB AND TESTING, ADVANCED WOUND CARE, LEVEL III TRAUMA CARE, SLEEP DISORDER CENTER 199662184 259634137 657432321 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 349 0 1 4917 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 NY X LOUIS AIELLO 3159178203 111 HOSPITAL DRIVE UTICA NY 13502 RICHARD ZWEIFEL CHAIRMAN 1.00 2.50 X X 0 0 0 KAREN LEACH VICE CHAIRMAN 1.00 2.50 X X 0 0 0 DOMENIC P AIELLO MD SECRETARY 1.00 2.50 X X 0 0 0 JOHN BRUMSTEAD MD TREASURER 1.00 2.50 X X 0 0 0 RICHARD TANTILLO PHILANTHROPY CHAIR 1.00 2.50 X X 0 0 0 JOAN COMPSON DIRECTOR 1.00 2.50 X 0 0 0 NORMAN SIEGEL DIRECTOR 1.00 2.50 X 0 0 0 GREGORY EVANS CHAIR EMERITUS 1.00 2.50 X 0 0 0 CATHERINE BROWNELL PHD DIRECTOR 1.00 2.50 X 0 0 0 CATHERINE COMINSKY DIRECTOR 1.00 2.50 X 0 0 0 ANDREW KOWALCZYK III DIRECTOR 1.00 2.50 X 0 0 0 DARLENE STROMSTAD PRESIDENT/CEO 49.00 6.00 X X 980574 0 31533 SUSHMA KAUL MD PHYSICIAN/MED STAFF VP 50.00 0.00 X 769145 0 35562 LOUIS AIELLO SR VP/CFO 44.00 6.00 X 521657 0 46608 WILLIAM LECATES MD SR VP/COO 51.00 4.00 X 250721 0 8827 GARY D ZIMMER MD SVP/PHYSICIAN PRACTICE AND 51.00 4.00 X 217669 0 6670 JEROME DAYAO DNPMSRNNEA-BCCCRN-K SR VP/CNO 0.00 0.00 X 467890 0 23323 ROBERT SCHOLEFIELD SR VP/COO 0.00 0.00 X 545564 0 31546 LEO P SULLIVAN MD PHYSICIAN 50.00 0.00 X 1683723 0 37242 MAURIZIO A MIGLIETTA MD PHYSICIAN 50.00 0.00 X 1370284 0 37571 JONATHAN M STAHL MD PHYSICIAN 50.00 0.00 X 1194054 0 19464 MARK J CRYE MD PHYSICIAN 50.00 0.00 X 1107860 0 43143 ANDREW PELLECCHIA MD PHYSICIAN 50.00 0.00 X 797807 0 42911 9906948 0 364400 741 0 1 0 HEALTHCARE WORKFORCE LOGISTICS PO BOX 860576 MINNEAPOLIS MN 554860573 MEDICAL STAFFING 19813012 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 MEDICAL STAFFING 14754966 MOHAWK VALLEY ANESTHESIA GROUP 111 HOSPITAL DRIVE UTICA NY 13502 ANESTHESIA SERVICES 13105070 EPIC SYSTEMS CORP 1979 MILKY WAY VERONA WI 53593 IT SYSTEM 5038841 PROLINK PO BOX 789426 PHILADELPHIA PA 19178 MEDICAL STAFFING 4174735 103 4871014 2972290 706404 8549708 ACUTE CARE 621990 320230786 320230786 RADIOLOGY 621990 112250827 112250827 PHARMACY 621990 83853503 83853503 LABORATORY 621500 57745750 57710807 34943 CANCER CARE 621990 16929925 16929925 54695097 54695097 645705888 8044904 8044904 491796 1306117 -814321 -814321 -814321 649504 179487 470017 470017 470017 SPECIALTY PHARMACY 456110 48182234 48182234 340B CONTRACT 621990 6452595 6452595 CAFETERIA SALES 722514 2799337 2799337 5940564 5940564 63374730 725330926 709045675 -779378 8514921 X 3937290 1223125 2714165 295550763 255562745 39988018 10132286 8761388 1370898 21821067 18868677 2952390 19963713 17262623 2701090 11930579 10316372 1614207 885061 885061 227339 227339 126585 126585 102298391 88546802 13751589 1080748 934523 146225 2196246 1899094 297152 10752151 9297385 1454766 11864838 10220687 1644151 409426 409426 1114013 963287 150726 11562276 9997900 1564376 39267713 18575140 20692573 7468106 6457671 1010435 MEDICAL SUPPLIES 152265454 152265454 BAD DEBT 21706617 21706617 NON MEDICAL SUPPLIES 9217865 7970688 1247177 SERVICE CONTRACTS 7687098 6647034 1040064 11162031 9545683 1616348 754627656 657432321 97195335 0 1187247 782737 5029094 5003289 64848621 66973142 15797896 16461904 6673776 5988442 790159117 113665977 708299592 676493140 98739191 70170760 5800041 6070388 5247122 3217989 62356556 100404800 973979136 951566591 115577253 101798624 318943779 311659426 4625000 5900000 70739172 93565710 509885204 512923760 X 452896000 427097454 11197932 11545377 464093932 438642831 973979136 951566591 X -29296730 2172597 1673032 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 126585 126585 0 PART II-B, LINE 1: PARTICIPATION IS BASED ON THE MEMBERSHIP DUES PAID TO HANYS AND IROQUOIS HEALTHCARE ASSOCIATION AS INDICATED ON LINE 2. THE FOLLOWING NARRATIVES, WERE TAKEN DIRECTLY FROM THEIR RESPECTIVE WEBSITES: 1. HANYS IS PROUD TO BE THE ONLY STATEWIDE ASSOCIATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF NEW YORK'S HOSPITALS AND HEALTH SYSTEMS AT ALL LEVELS OF THE FEDERAL AND STATE GOVERNMENT. HANYS HAS ACCESS TO POLICY LEADERS, REGARDLESS OF THEIR POLITICAL AFFILIATION AND IS AN INTEGRAL PLAYER IN HEALTH POLICY DISCUSSIONS. HANYS ALSO COMMUNICATES MEMBERS CONCERNS AND POSITIONS TO NEW YORK AND NATIONAL MEDIA IN SUPPORT OF THE ASSOCIATIONS LEGISLATIVE AND REGULATORY INTITIATIVES. 2. IROQUOIS IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSATE HOSPITALS AND HEALTH CARE SYSTEM MEMBERS. IROQUOIS PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. IROQUOIS PROVIDES REPRESENTATION AND ADVOCACY AT THE STATE LEVEL BY EFFECTIVELY LOBBYING THE STATE LEGISLATURE, AND ESTABLISHING CLOSE WORKING RELATIONSHIPS WITH THE GOVERNORS OFFICE, STATE AGENCY OFFICIALS, AND REGULATORY REPRESENTATIVES. IROQUOIS INFLUENCES PUBLIC POLICY DEVELOPMENT THROUGH BOTH LEGISLATIVE AND REGULATORY ADVOCACY EFFORTS. REGIONAL ACTIVITIES, SUCH AS HOSTING LEGISLATORS AND MEETING WITH LOCAL OFFICIALS, ARE CRITICAL TO MAINTAINING A UNIFIED VOICE FOR LEGISLATIVE AND REGULATORY ACTION. IROQUOIS CONTINUES TO WORK WITH THE NY STATE ADMINISTRATION TO ADDRESS ISSUES AFFECTING UPSTATE HOSPITALS, REVIEW THE EXECUTIVE BUDGET PROPOSAL AND ALSO WORK WITH THE STATE LEGISLATURE. ALL ADVOCACY EFFORTS FOCUS ON THE SIMPLE TRUTH THAT HOSPITALS EXIST TO SERVE. THEIR ABILITY TO SERVE WELL, REQUIRES A RELATIONSHIP WITH THEIR COMMUNITIES BUILT ON TRUST AND COMPASSION. TO SERVE COMMUNITES WELL, HOSPITALS MUST ALSO MANAGE RESOURCES IN A CHALLENGING ENVIRONMENT. MVHS, INC ALSO CONTRACTS WITH MANATT TO TRACK FEDERAL APPROPRIATIONS AND LEGISLATION THAT MAY EFFECT THE ORGANIZATION AND ITS OPERATIONS. 11085359 78755 11164114 10246183 839176 11085359 10982481 -736298 10246183 10413508 568973 10982481 9848704 564804 10413508 0.07040 0.37970 0.54990 0 1 1 35839777 35839777 318856035 39419588 279436447 3151164 2654095 497069 391537576 65491467 326046109 40774565 6100827 34673738 676493140 CORPORATE OBLIGATIONS 5398408 F MUTUAL FUNDS INVESTMENTS 64210195 F ASSETS LIMITED AS TO USE 562157 C 70170760 DUE FROM AFFILIATES 29724178 G&P INSURANCE RECEIVABLE LT, NET 7579639 OTHER ASSETS 21637324 WC INSURANCE RECEIVABLE LT, NET 6039574 OPERATING LEASES 35424085 100404800 CAPITAL LEASE OBLIGATIONS 1952237 DUE TO AFFILIATES 3524210 ESLB 8250070 ESTIMATED 3RD PARTY PAYOR SETTLEMENTS 8811829 ESTIMATED SELF INSURED LIABILITIES 11095941 G&P INSURANCE PAYABLE ST/LT 8248639 OPERATING LEASE OBLIGATIONS 33821689 OTHER LIABILITIES 9762969 WC INSURANCE PAYABLE ST/LT 6199126 LINE OF CREDIT 1899000 93565710 X 704930426 1306117 1306117 703624309 21706617 21706617 725330926 734227156 1306117 1306117 732921039 21706617 21706617 754627656 PART V, LINE 4: PERMANENT ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED TO SUPPORT CHARITY CARE, HEALTH CARE SERVICES, SCHOLARSHIPS AND FACILITY MAINTENANCE. TEMPORARY ENDOWMENT FUNDS ARE DONOR CONTRIBUTIONS RESTRICTED BY THE DONORS FOR SPECIFIC PURPOSES. PART X, LINE 2: MVHS, INC IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2024 AND 2023, MVHS, INC. DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTERESTS OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITES ARE 2021 THROUGH 2024. MVHS, INC. DOES NOT ANTICIPATE THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,306,117. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 21,706,617. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,306,117. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 21,706,617. 1 1 X 1 X 250.000000000000 1 X 400.000000000000 1 1 1 0 1 1 5285769 419313 4866456 0.00660 156795747 107447423 49348324 0.06730 162081516 107866736 54214780 0.07390 2160678 0 2160678 0.00290 35290089 21620723 13669366 0.01870 1055759 21370 1034389 0.00140 0 0 0 0 38506526 21642093 16864433 0.02300 200588042 129508829 71079213 0.09690 1 6393682 4131137 163267591 255366102 -92098511 X 1 1 1 MOHAWK VALLEY ENDOSCOPY CENTER ENDOSCOPY SERVICES 0.20000 0.00000 0.20000 1 1 MVHS INC DBA WYNN HOSPITAL 111 HOSPITAL DRIVE UTICA NY 13502 MVHEALTHSYSTEM.ORG 17-30-91 X X X X ACUTE,NEONAT,PEDS,PSYCH,HEMO/ONCOL,CARD,STROKE,ED,IMGING,LAB,REHAB,RX,TRAUMA WYNN HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 400.000000000000 X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X 1 X 0 0 WYNN HOSPITAL PART V, SECTION B, LINE 5: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH. THE METHODS USED TO GATHER COMMUNITY INPUT, INCLUDED CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. THESE METHODS PROVIDED ADDITIONAL PERSPECTIVES ON HOW TO SELECT AND ADDRESS TOP HEALTH ISSUES FACING THE REGION. MVHS PARTICIPATED WITH THE PARTNERS OF THE HEALTHY LIFESTYLES TASKFORCE. IN ADDITION, SEVERAL OF THOSE TASKFORCE MEMBERS (MVLA, NAACP ROME, THE CENTER, ROME HEALTH, ONEIDA COUNTY) WERE A PART OF THE STAKEHOLDER GROUP FOR FURTHER INTERVIEW. MVHS, ROME HEALTH AND ONEIDA COUNTY HEALTH DEPARTMENT MET IN MARCH TO UPDATE PROGRESS ON THE CHIP AND AGAIN IN SEPTEMBER FOR A FINAL REPORT TO THE STATE IN DECEMBER. MEETINGS ARE EVERY WEDNESDAY, ALL YEAR, FOR THE HEALTHY LIFESTYLES PARTNERSHIP TASKFORCE. WYNN HOSPITAL PART V, SECTION B, LINE 6A: THE CHA/CSP PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY A STEERING COMMITTEE, WHICH IS A PARTNERSHIP AMONG AND WITHIN OCHD, ROME HEALTH AND MVHS THAT CONVENED IN A COLLABORATIVE APPROACH TO IDENTIFY AND ASSESS PUBLIC HEALTH GAPS AND BARRIERS. THIS IS THE CURRENT STEERING COMMITTEE THAT MONITORS THE PROGRESS ON THE CHIP PLAN. WE MET IN MARCH AND AGAIN IN SEPTEMBER TO MONITOR PROGRESS TOWARDS OUR CHIP GOALS. THESE THREE ENTITIES HAVE HELD MOBILE MAMMOGRAPHY EVENTS IN ONEIDA COUNTY IN PARTNERSHIP WITH UPSTATE MOBILE MAMMOGRAPHY TO OFFER MAMMOGRAMS IN THE COMMUNITY. MVHS TRANSLATED ALL PROMOTIONAL MATERIALS INTO MULTIPLE LANGUAGES FOR BOTH OF THESE EVENTS. IN ADDITION, MVHS, ROME HEALTH AND ONEIDA COUNTY HEALTH DEVELOPED EDUCATIONAL MATERIAL REGARDING BREAST SCREENING AND EDUCATION. WYNN HOSPITAL PART V, SECTION B, LINE 6B: OCHD, RH AND MVHS CONTRACTED WITH RESEARCH AND MARKETING STRATEGIES, INC. (RMS HEALTHCARE) TO COMPLETE THE 2022-2024 CHA/CSP/CHIP. A RIGOROUS, THOROUGH, AND COMPREHENSIVE PROCESS WAS FOLLOWED, ENSURING ALIGNMENT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA STATE AND PLANNING CYCLE REQUIREMENTS, WHILE ENGAGING COMMUNITY STAKEHOLDERS TO IDENTIFY THE HEALTH NEEDS OF ONEIDA COUNTY RESIDENTS VIA THREE FORMS OF PRIMARY RESEARCH INCLUDING, CONDUCTING COMMUNITY FOCUS GROUPS, AN ONLINE SURVEY, AND IN-DEPTH INTERVIEWS OF COMMUNITY MEMBERS AND LEADERS. STAKEHOLDERS INCLUDE: ROBERTO GONZALEZ ACR HEALTH, DR. KENT HALL CHIEF EXECUTIVE OFFICER MOHAWK VALLEY HEALTH SYSTEM, CORRINE KELLEY, FNP-BC ADVANCED PRACTICE CLINICIAN, LEAD ROME HEALTH BOONVILLE HEALTH CENTER, SONIA MARTINEZ PRESIDENT MOHAWK VALLEY LATINO ASSOCIATION, MICHELLE MELLON HIGH SCHOOL SOCIAL WORKER CAMDEN SCHOOL DISTRICT, JACKIE NELSON PRESIDENT NAACP ROME, ANTHONY J. PICENTE, JR. ONEIDA COUNTY EXECUTIVE, ONEIDA COUNTY MICHAEL ROMANO DIRECTOR OFFICE FOR THE AGING AND CONTINUING CARE (OFA), KRISTIN SAUERBIER, L.C.S.W. PROGRAM DIRECTOR MOBILE CRISIS ASSESSMENT TEAM (MCAT), JENNIFER VANWAGONER MANAGER OF GRANTS & COMMUNITY ENGAGEMENT-THE CENTER RANDALL VANWAGONER PRESIDENT, MOHAWK VALLEY COMMUNITY COLLEGE (MVCC), ANNEMARIE WALKER-CZYZ, RN, ED.D., NEA-BC PRESIDENT/CHIEF EXECUTIVE OFFICER ROME HEALTH. WYNN HOSPITAL PART V, SECTION B, LINE 11: OCHD, RH AND MVHS CONTINUOUSLY EVALUATE ACTIVITIES ALIGNED WITH GOALS AND STRATEGIES THAT HAVE BEEN IDENTIFIED AND SELECTED. THIS ON-GOING EVALUATION WILL ENSURE THAT STRATEGIES ARE BEING REGULARLY MONITORED, AND BARRIERS ARE REGULARLY ASSESSED, AND SOLUTIONS ARE IDENTIFIED, WHILE FOCUSING ON ACHIEVING HEALTH EQUITY. A COMMUNITY OUTREACH PROGRAM CALLED HEALTHY LIFESTYLES INCLUDES EMPLOYED MVHS NURSES IN PARTNERSHIP WITH COMMUNITY NAVIGATORS HIRED BY PARTNER ORGANIZATIONS TO PROVIDE EDUCATION AND SCREENING FOR DIABETES, HYPERTENSION AND STROKE FOCUSED ON TARGETING MINORITY COMMUNITIES. THE MEDICAL GROUP LEADERSHIP MEETS REGULARLY TO MONITOR PROGRESS OF MEETING COMMUNITY HEALTH IMPROVEMENT PLAN GOALS. PERFORMANCE AGAINST GOALS WILL BE REGULARLY MONITORED TO EVALUATE OUTCOMES. TO ADDRESS MENTAL HEALTH, MVHS LEADERSHIP ARE MEMBERS OF THE ONEIDA COUNTY SUICIDE TASKFORCE, ONEIDA COUNTY CCBHC INTERAGENCY COLLABORATIVE. ONEIDA COUNTY 911 SUBGROUP, THE ONEIDA COUNTY OPIOID TASKFORCE AND YOUTH SERVICES COUNCIL. IN ADDITION, MVHS HAS ESTABLISHED A PSYCHIATRIC RESIDENCY PROGRAM TO ADDRESS CRITICAL WORKFORCE SHORTAGES. ROUTINE MEETINGS ARE HELD INTERNALLY WITH MVHS LEADERSHIP AND BEHAVIORAL HEALTH SERVICES TO MONITOR PROGRESS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. MVHS, ROME HEALTH AND ONEIDA COUNTY HEALTH DEPARTMENT MEET TWICE PER YEAR, TO REVIEW AND UPDATE THE COMMUNITY HEALTH IMPROVEMENT PLAN. MVHS, ROME HEALTH AND ONEIDA COUNTY HEALTH DEPARTMENT ARE ACTIVE MEMBERS OF THE HEALTHY LIFESTYLES TASKFORCE THAT MEETS WEEKLY TO SCHEDULE EVENTS AND ALIGN COMMUNITY ACTIVITIES TO OUR CHIP GOALS. THE HEALTHY LIFESTYLES OUTREACH MEETS WITH MVHS LEADERS AND THE MEDICAL GROUP ON THE CHIP PROGRESS. BEYOND HEALTHY LIFESTYLES, THE MVHS OUTREACH NURSING TEAM ALSO PROVIDES COMMUNITY EDUCATION THROUGHOUT, ONEIDA, HERKIMER AND MADISON COUNTIES ON STROKE AND TRAUMA INITIATIVES. NURSING TEAMS PROVIDE MULTIPLE IN SCHOOL SESSIONS ON TOPICS SUCH AS DISTRACTED DRIVING, BICYCLE SAFETY AND POOL SAFETY. NURSING TEAMS PROVIDE EDUCATION ON STROKE RISK AND SCREENINGS FOR STROKE AND HYPERTENSION RISK FACTORS. MVHS SRVFMC WAS AWARDED AND APPROVED AS A HEALTHYSTEPS PROGRAM SITE AND IS CURRENTLY ROLLING OUT THE PROGRAM WITH THE OFFICE OF MENTAL HEALTH. MEETINGS ARE HELD WITH INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH TO MONITOR CHIP PROGRESS. PART V, SECTION B, LINE 7A: HOSPITAL FACILITY'S WEBSITE:HTTPS://WWW.MVHEALTHSYSTEM.ORG/ABOUT-MVHS/COMMUNITY-SERVICE-PLAN/ PART V, SECTION B, LINE 7B: OTHER WEBSITE:HTTPS://ONEIDACOUNTYNY.GOV/NEWS/ONEIDA-COUNTY-RELEASES-COMMUNITY-HEALTH-ASSESSMENT-AND-IMPROVEMENT-PLAN/ PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.MVHEALTHSYSTEM.ORG/ABOUT-MVHS/COMMUNITY-SERVICE-PLAN/ PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.MVHEALTHSYSTEM.ORG/PATIENT-VISITOR-INFO/BILLING-ASSISTANCE/FINANCIAL-ASSISTANCE-PROGRAM/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.MVHEALTHSYSTEM.ORG/PATIENT-VISITOR-INFO/BILLING-ASSISTANCE/FINANCIAL-ASSISTANCE-PROGRAM/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.MVHEALTHSYSTEM.ORG/PATIENT-VISITOR-INFO/BILLING-ASSISTANCE/FINANCIAL-ASSISTANCE-PROGRAM/ 39 1 - MVHS ORTHOPEDIC GROUP 1903 SUNSET AVE UTICA NY 13502 PHYSICIAN OFFICE WITH MED IMAGING 2 - MVHS SURGICAL GROUP 1656 CHAMPLIN AVE PROF OFFICE BLDNG UTICA NY 13502 PHYSICIAN OFFICE 3 - IMAGING CENTER 106 BUSINESS PARK DRIVE UTICA NY 13502 MEDICAL IMAGING 4 - MVHS MOHAWK VALLEY MEDICAL GROUP 201 EAST STATE STREET HERKIMER NY 13350 PHYSICIAN OFFICE WITH LAB, MEDICAL IMAGING 5 - DENTAL HEALTH CENTER 1714 BURRSTONE ROAD NEW HARTFORD NY 13413 DENTAL CLINIC 6 - MVHS NEW HARTFORD MEDICAL GROUP 8411 SENECA TURNPIKE NEW HARTFORD NY 13413 PHYSICIAN OFFICE 7 - MVHS WASHINGTON MILLS MEDICAL GROUP 3946 ONEIDA STREET NEW HARTFORD NY 13413 PHYSICIAN OFFICE 8 - MVHS BARNEVELD MEDICAL GROUP 7980 STATE RT 12 BARNEVELD NY 13304 PHYSICIAN OFFICE WITH LAB, MEDICAL IMAGING 9 - MVHS WHITESBORO MEDICAL GROUP 37 MAIN STREET WHITESBORO NY 13492 PHYSICIAN OFFICE 10 - MVHS BOONVILLE MEDICAL GROUP 13460 STATE ROUTE 12 BOONVILLE NY 13304 PHYSICIAN OFFICE 11 - MVHS NORTH UTICA MEDICAL GROUP 35 RIVERSIDE DRIVE UTICA NY 13502 PHYSICIAN OFFICE 12 - MVHS NEUROSURGERY GROUP 1675 BENNETT STREET UTICA NY 13502 PHYSICIAN OFFICE 13 - CENTER FOR REHABCONTINUING CARE SRVCS 1650 CHAMPLIN AVE UTICA NY 13502 INTENSIVE REHAB UNIT/CONTINUING CARE SERVC CTR 14 - MVHS CLINTON MEDICAL GROUP 101 COLLEGE STREET CLINTON NY 13323 PHYSICIAN OFFICE WITH LAB 15 - MVHS MEDICAL INTERVENTIONAL ENDOSCOPY 1656 CHAMPLIN AVE PROF OFFICE BLDNG UTICA NY 13502 PHYSICIAN OFFICE 16 - MVHS VASCULAR SURGERY GROUP 4401 MIDDLE SETTLEMENT RD NEW HARTFORD NY 13413 PHYSICIAN OFFICE 17 - MVHS NEUROPSYCHOLOGYNEURO SCIENCE GROUP 1675 BENNETT STREET UTICA NY 13502 PHYSICIAN OFFICE 18 - MVHS WATERVILLE COMMUNITY MEDICINE 117 W MAIN STREET WATERVILLE NY 13480 PHYSICIAN OFFICE 19 - MVHS PULMONARY MEDICINECRITICAL CARE 35 RIVERSIDE DRIVE UTICA NY 13502 PHYSICIAN OFFICE 20 - MVHS UROLOGY GROUP 1676 SUNSET AVENUE UTICA NY 13502 PHYSICIAN OFFICE 21 - MVHS ONEIDA MEDICAL GROUP 131 MAIN STREET ONEIDA NY 13421 PHYSICIAN OFFICE 22 - MVHS ROME MEDICAL GROUP 1617 NORTH JAMES ST ROME NY 13440 PHYSICIAN OFFICE 23 - SLEEP DISORDERS CENTER 2209 GENESEE ST UTICA NY 13502 SLEEP CLINIC 24 - MVHS IMMUNE HEALTH CLINIC 6 HAMPDEN PLACE UTICA NY 13502 PHYSICIAN OFFICE 25 - MVHS WOMEN'S HEALTH CTR 1676 SUNSET AVENUE UTICA NY 13502 PHYSICIAN OFFICE 26 - MVHS CHILDREN'S HEALTH CTR 2212 GENESEE ST UTICA NY 13502 PHYSICIAN OFFICE WITH LAB 27 - MVHS SRV FAMILY MEDICAL CTR 120 HOBART ST UTICA NY 13501 PHYSICIAN OFFICE 28 - MVHS EAST UTICA MEDICAL GROUP 1256 CULVER AVE UTICA NY 13501 PHYSICIAN OFFICE 29 - MVHS TOWN OF WEBB MEDICAL GROUP 114 S SHORE RD OLD FORGE NY 13420 PHYSICIAN OFFICE WITH LAB, MEDICAL IMAGING 30 - MVHS LITTLE FALLS MEDICAL GROUP 500 E MAIN ST SUITE 2 LITTLE FALLS NY 13365 PHYSICIAN OFFICE 31 - MVHS CARDIOTHORACIC SURGERY GROUP 2211 GENESEE ST UTICA NY 13501 PHYSICIAN OFFICE 32 - MVHS GENERAL SURGERY GROUP 1676 SUNSET AVENUE UTICA NY 13502 PHYSICIAN OFFICE 33 - MARIAN MEDICAL OFFICES 2211 GENESEE ST UTICA NY 13501 PHYSICIAN OFFICE 34 - MOHAWK VALLEY ENDOSCOPY CENTER 116 BUSINESS PARK DR UTICA NY 13502 ENDOSCOPY AMBULATORY SURGICAL CENTER 35 - FAXTON 1675 BENNETT STREET UTICA NY 13502 LAB, THERAPIES, COMPREHENSIVE CANCER/BREAST CARE, PSYCHOL, BEHAVIORAL HLTH 36 - MVHS BARIATRIC SURGERY 1675 BENNETT STREET UTICA NY 13502 PHYSICIAN OFFICE 37 - MVSH LAB AT UTICA BUSINESS PARK 125 BUSINESS PARK DRIVE SUITE 135 UTICA NY 13501 LABORATORY SERVICES 38 - MIDDLE SETTLEMENT MEDICAL ARTS 4401 MIDDLE SETTLEMENT RD NEW HARTFORD NY 13413 LAB, MEDICAL IMAG, PRIMARY, PREADMISSION, WOUND CARE 39 - MVHS OB-GYN MEDICAL 1656 CHAMPLIN AVE PROF OFFICE BLDNG UTICA NY 13502 PHYSICIAN OFFICE PART I, LINE 7: THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST TO CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED BY DIVIDING TOTAL CHARGES FROM THE FINANCIAL STATEMENTS INTO TOTAL COST FROM THE FINANCIAL STATEMENTS, LESS NON-PATIENT COSTS. PART I, LINE 7G: N UTICA PRIMARY CARE - MEETS NEED, SERVES LOW-INCOME & PEDIATRIC POPULATIONBOONVILLE PRIMARY CARE - MEETS NEED, LOW PHSYCIAN POPULATION AREAHERKIMER PRIMARY CARE - MEETS NEED, LOW PHSYCIAN POPULATION AREA PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 21,706,617. PART II, COMMUNITY BUILDING ACTIVITIES: 1. PREVENT CHRONIC DISEASES: WORK WITH HEALTHCARE PROVIDERS/CLINICS TO PUT SYSTEMS IN PLACE FOR PATIENT AND PROVIDER SCREENING REMINDERS. WORK WITH CLINICAL PROVIDERS TO ASSESS HOW MANY OF THEIR PATIENTS RECEIVE SCREENING SERVICES AND PROVIDE THEM FEEDBACK ON THEIR PERFORMANCE. ENSURE CONTINUED ACCESS TO HEALTH INSURANCE TO REDUCE ECONOMIC BARRIERS. INCREASE CANCER SCREENING RATES. CONDUCT PLANNING ACTIVITIES WITH PARTNERS, PROVISION STAFF WITH 3M TOOLS. CONDUCT GROUP EDUCATION SESSIONS. CONDUCT PLANNING ACTIVITIES WITH COMMUNITY PARTNERS TO IDENTIFY TARGET AREAS FOR GROUP EDUCATION SESSIONS. USE SMALL MEDIA SUCH AS VIDEOS, PRINTED MATERIALS (BROCHURES, NEWSLETTERS) AND HEALTH COMMUNICATIONS TO BUILD PUBLIC AWARENESS AND DEMAND. REMOVE STRUCTURAL BARRIERS TO CANCER SCREENING BY OFFERING CANCER SCREENING THOUGH MOBILE MAMMOGRAPHY VAN. ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. IN 2024, EVENTS CONDUCTED BY MVHS AND PARTNERS FOCUSED ON STROKE, HYPERTENSION AND DIABETES. MVHS EXPANDED THE PROGRAM ADDING DIETICIANS AND DIRECTOR OF MVHS SURVIVORSHIP PROGRAM. THIS COMMITMENT TO HOLISTIC HEALTH PROMOTION, INCLUDES NUTRITION AND FITNESS EDUCATION. IN 2024, MOHAWK VALLEY LIFESTYLES PARTNERSHIP MET AND EXCEEDED ITS GOALS FOR 2024. IN 2024, THE PARTNERSHIP HELD OR ATTENDED 450 COMMUNITY EVENTS, REACHED 18,663 COMMUNITY MEMBERS WITH EDUCATION AND SCREENED 8,363 COMMUNITY MEMBERS. THE OUTREACH NURSES CONDUCTED 605 FOLLOW UP CALLS AND 177 INDIVIDUALS WERE LINKED TO PRIMARY CARE. 4,833 INDIVIDUALS RECEIVED ASSISTANCE WITH HEALTH INSURANCE AND 1,689 INDIVIDUALS RECEIVED ASSISTANCE WITH OTHER SERVICES SUCH AS LEGAL, ELDER SERVICES, ETC. 3,490 HEART HEALTHY MEALS WERE PROVIDED AT EVENTS AND WRITTEN MATERIALS WERE TRANSLATED INTO 11 DIFFERENT LANGUAGES. GOAL: 5,000 CONDUCTED PRE AND POST-TESTS AT IDENTIFIED SITES. UPDATED CENSUS MAPS USING THE ACS, CDC PLACES TO IDENTIFY CENSUS OF HIGHER INCIDENCES OF STROKE, HYPERTENSION, AND DIABETES. DESPITE CONTINUED HIGH RATES IN TRACT 210 OF ONEIDA CO, THERE WAS A DECLINE IN STROKES. A REVIEW OF MVHS ED DATA FOR STROKE VISITS SHOWED AN INCREASE IN PATIENTS ARRIVING VIA AMBULANCE, ALIGNING WITH "FASTER" EDUCATION. MAINTAINED 47 STATIC SITES, WITH 29 NEW SITES IN 2023. INITIATED THE DEVELOPMENT OF A FORMAL SUSTAINABILITY PLAN IN Q4 2023 ANTICIPATING CONTINUED ACTIVITIES BY NURSING AND NAVIGATOR TEAMS ALBEIT ON A SMALLER SCALE. DEVELOPED A COMMUNITY CONSENT FORM FOR ALL EDUCATIONS AND SCREENINGS; CURRENTLY BEING TRANSLATED INTO MULTIPLE LANGUAGES; PATIENTS SCREENED AS "AT RISK" AGREE TO A FOLLOW-UP BY NURSES. THE PARTNERSHIP'S PRIMARY CHALLENGE REMAINS THE SHORTAGE OF AVAILABLE NURSES FOR SCREENINGS AND HEALTH EDUCATION AT SCHEDULED EVENTS. TO ADDRESS THIS, DISCUSSIONS HAVE TAKEN PLACE WITH ROME HEALTH TO DEVELOP AN ADDITIONAL PER DIEM POOL NURSE AND CONVERT THE OUTREACH POSITION TO F/T.2. PREVENTIVE CARE AND MANAGEMENT: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY. INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY. PROMOTE TESTING FOR PRE DIABETES IN ADULT ASYMPTOMATIC POPULATION. PROMOTE REFERRAL TO NDPP. ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. THE MOHAWK VALLEY LIFESTYLES PARTNERSHIP MET AND EXCEEDED GOALS FOR 2024. IN 2024, THE PARTNERSHIP HELD OR ATTENDED 450 COMMUNITY EVENTS, REACHED 18,663 COMMUNITY MEMBERS WITH EDUCATION AND SCREENED 8,363 COMMUNITY MEMBERS. THE OUTREACH NURSES CONDUCTED 605 FOLLOW UP CALLS AND 177 INDIVIDUALS WERE LINKED TO PRIMARY CARE. 4,833 INDIVIDUALS RECEIVED ASSISTANCE WITH HEALTH INSURNACE AND 1,689 INDIVIDUALS RECEIVED ASSISTANCE WITH OTHER SERVICES SUCH AS LEGAL, ELDER SERVICES, ETC. 3,490 HEART HEALTHY MEALS WERE PROVIDED AT EVENTS AND WRITTEN MATERIALS WERE TRANSLATED INTO 11 DIFFERENT LANGUAGES.3. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS: PREVENT SUICIDES;IDENTIFY AND SUPPORT PEOPLE AT RISK, STRENGTHEN ACCESS AND DELIVERY OF SUICIDE CARE. FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES. USE THOUGHTFUL MESSAGING ON MENTAL ILLNESS AND SUBSTANCE USE. DEVELOP MEDIA CAMPAIGN. WORK WITH OPIOID TASK FORCE COORDINATOR TO INCORPORATE MESSAGING INTO ONEIDA COUNTY OPIOID TASK FORCE ANTI STIGMA CAMPAIGN ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. MVHS CONTINUES TO STRENGTHEN PARTNERSHIP WITH THE LOCAL MCAT SERVICE & OUR ED CASES ARE NOW BEING DISPOSITIONED JOINTLY WITH THE BEHAVIORAL MEDICINE (PSYCHIATRY TEAM) MORE THAN IN THE PAST. PENDING FINAL REPORT FROM SUBSTANCE USE ANTI-STIGMA CAMPAIGN REACH (SHATTERPROOF). ACTIVE MENTAL HEALTH FIRST AID TRAINERS IN COMMUNITY IDENTIFIED AND SURVEYED (2 - CFLR AND CONNECTED COMMUNITY SCHOOLS). GAP IDENTIFIED INCLUDE LIMITED AVAILABILITY TO NO/LOW COST TRAININGS FOR THE COMMUNITY. MVHS HAS CONVENED A COALITION OF BEHAVIORAL HEALTH PROVIDER ORGANIZATION IN ONEIDA COUNTY TO DISCUSS GAPS IN CARE FOR PATIENTS DISCHARGING FROM THE WYNN HOSPITAL. THIS COALITION IS CURRENTLY REVIEWING MENTAL HEALTH FIRST AID. OCHD: ACES PLANNING WORKGROUP MET 5 TIMES IN 2024, POD CAST OBJECTIVES DEVELOPED. 2 PODCASTS RECORDED IN 2024 AND POSTED ON SYSTEMS OF CARE WEBSITE FOR USE BY COMMUNITY PROVIDERS AND SCHOOLS. THE TEAM OF MVHS, OCHD AND ROME HEALTH WORKED COLLABORATIVELY TO CREATE A RESOURCE/APP OF ALL BEHAVIORAL HEALTH RESOURCE AVAILABLE IN THE COMMUNITY THAT WOULD BE ROLLED OUT IN 2025.4. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN: SUPPORT AND ENHANCE CHILDREN AND ADOLESCENTS' SOCIAL-EMOTIONAL DEVELOPMENT AND RELATIONSHIPS. : INCREASE AWARENESS, KNOWLEDGE, AND SKILLS OF PROVIDERS SERVING CHILDREN, YOUTH, AND FAMILIES RELATED TO SOCIAL-EMOTIONAL DEVELOPMENT, ADVERSE CHILDHOOD EXPERIENCES (ACES), AND TRAUMA-INFORMED CARE. WORK WITH THE ONEIDA COUNTY YOUTH SERVICES COUNCIL'S ADVERSE CHILDHOOD EXPERIENCES (ACES). ALL PARTNERS IN THIS EFFORT WERE LISTED IN 2022. BREAST CANCER SCREENING MEASURE IS INCLUDED AS A MEASURE IN THE MEDICAL GROUP'S PRIMARY CARE QUALITY INCENTIVE PLAN PROGRAM. THIS MEASURE IS REVIEWED QUARTERLY AND PATIENT OUTREACH LETTERS (VIA MYCHART AND MAIL) ARE SENT TO PATIENTS WHO ARE DUE FOR THE SERVICE. THIS OUTREACH INCLUDES ALL PATIENTS REGARDLESS OF INSURANCE TYPE. IN ADDITION, CARE ALERTS AND HEALTH MAINTENANCE NOTIFICATIONS FOR BREAST CANCER SCREENING IS AN ACTIVE PART OF THE PATIENT'S CHART TO ALERT THE PROVIDER THE PATIENT IS DUE FOR THE SCREENING. ALSO, MAMMOGRAPHY SERVICES ARE PROVIDED AT THE SISTER ROSE VINCENT FAMILY MEDICINE CENTER TO PROVIDE BETTER ACCESS TO THE MEDICAID MANAGED CARE POPULATION. 2 MOBILE MAMMOGRAPHY EVENTS HOSTED THROUGH UPSTATE HOSPITAL IN 2024 (UTICA, DEERFIELD). PART III, LINE 2: BAD DEBT FOR SCHEDULE H REPORTING IS DETERMINED BY TAKING THE ACTUAL BAD DEBT EXPENSE REPORTED FOR THE YEAR ON THE HOSPITAL AUDITED FINANCIAL STATMENTS, LESS ANY BAD DEBT RECOVERIES RECEIVED DURING THE YEAR FROM THE AUDITED FINANCIAL STATEMENTS. THEN, ADJUSTING THAT AMOUNT TO COST BASED ON THE HOSPITAL'S CURRENT YEAR MEDICARE COST REPORT DERIVED COST TO CHARGE RATIO. THIS AMOUNT UNDERSTATES BAD DEBT SOMEWHAT BECAUSE A LARGE PORTION OF BAD DEBT IS THE RESULT OF UNPAID DEDUCTIBLE AND CONINSURANCE BALANCES. THOSE BALANCES ARE NO LONGER RECORDED AT FULL CHARGES BECAUSE CONTRACTUAL ADJUSTMENTS HAVE ALREADY REDUCED CHARGES TO AN EXPECTED REIMBURSEMENT AMOUNT; HENCE, REDUCING BY A COST-TO-CHARGE RATIO, REDUCES AN ALREADY DISCOUNTED CHARGE. WE REPORT THIS WAY BECAUSE BAD DEBT IS REPORTED IN MUTLIPLE STATE AND FEDERAL REQUIRED REPORTS, RETURNS AND DISCLOSURE STATEMENTS. IN ORDER TO BE CONSISTENT WE ARE REPORTING USING THE COSERVATIVE METHOD WHICH IS REQUIRED FOR HOSPTIAL MEDICARE COST REPORT REPORTING. PART III, LINE 3: MANY PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE ASSISTANCE ARE UNWILLING TO APPLY FOR IT. THE HOSPITAL BUSINESS OFFICE OFFERS OUR CHARITY CARE PACKAGE TO ALL PATIENTS. IN 2015, THE CHARITY CARE PROGRAM WAS EXPANDED DUE TO THE IMPLEMENTATION OF THE 340B PROGRAM. MANY PATIENTS WILL AGREE TO HAVE THE CHARITY CARE REQUEST FORMS SENT TO THEM BUT NEVER RETURN THEM. MANY PATIENTS SAY THEY CANNOT PAY BUT ARE UNWILLING TO COMPLETE ANY FORMS. THE HOSPITAL BUSINESS OFFICE, COLLECTIONS STAFF, HAVE FORMED A PERCENTAGE ESTIMATE BASED ON THE NUMBER OF CASES OF PATIENTS WHO RECEIVE CHARITY CARE FORMS AND DON'T COMPLETE THEM PLUS THE NUMBER OF PATIENTS WHO STATE THEY CANNOT PAY BUT ARE UNWILLING TO REQUEST ASSISTANCE. THIS RECORDED BAD DEBT EXPENSE WOULD BE RECORDED AS CHARITY CARE IF PATIENT'S WERE WILLING TO COMPLY WITH MINIMAL APPLICATION REQUIREMENTS. THE NATURE OF THE PRESENTATION ON HOSPITAL FIANANCIAL STATEMENTS DOES NOT DETERMINE THE COMMUNITY BENEFIT BUT RATHER THE NATURE OF THE REASON FOR THE EXPENSE. THIS IS CHARITY CARE. PART III, LINE 4: FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, MVHS, INC. RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF MVHS, INC.'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, MVHS, INC. RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY A RESERVE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, MVHS, INC. ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE RESERVE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD PARTY COVERAGE, MVHS, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS, 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), MVHS, INC. RECORDS A RESERVE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES BASED ON 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 AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: ALL OF THIS IS COMMUNITY BENEFIT; THE HOSPTIAL IS RECEIVING LESS THAN COST ON COMMUNITY MEDICARE RECIPIENTS, THUS A COMMUNITY BENEFIT TO THESE PATIENTS. THE PATIENTS COST-TO-CHARGE RATIO WAS COMPUTED USING ALL CHARGES AND EXPENSES LESS NON-ALLOWABLE. THE COST-TO-CHARGE RATIO WAS USED TO COMPUTE COST. COST-TO-CHARGE WAS DERIVED, USING THE FINANCIAL STATEMENTS, BY DIVIDING TOTAL CHARGES INTO TOTAL COSTS LESS NON-PATIENT COSTS. PART III, LINE 9B: THE HOSPITAL FAP POLICY PLACES ALL ACCOUNTS, FOR COLLECTION EFFORTS, ON HOLD FROM THE DATE OF APPLICATION UNTIL A DETERMINATION HAS BEEN MADE FOR FINANCIAL ASSISTANCE ELIGIBILITY. THE APPLICATION IS REVIEWED BY THE HOSPTIAL WITHIN THIRTY DAYS OF RECEIPT OF THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTAION. THE PATIENT OR GUARANTOR WILL BE NOTIFIFED OF THE DETERMINATION. IF DENIED, THE APPLICANT IS PROVIDED DIRECTIONS FOR AN APPEAL WITHIN THIRTY DAYS OF THE DENIAL. IF THE APPEAL IS THEN DENIED, THE PATIENT WILL BE NOTIFIED OF THE REASON AND THE STATEMENT CYCLE WILL BEGIN. FIVE STATEMENTS ARE SENT, WITHIN THE 180 DAY BILLING CYCLE. IF NOT PAID, A FINAL PRE-COLLECTION LETTER IS ISSUED ADVISING THE ACCOUNT WILL BE SENT TO COLLECTIONS WITHIN THIRTY DAYS. IF THE PATIENT IS ACCEPTED IN THE FAP PROGRAM, THIS STATUS WILL BE EFFECTIVE FOR ONE YEAR FROM ACCEPTANCE. PART VI, LINE 2: THE CHA/CSP PROCESS AND THE IDENTIFICATION OF PRIORITIES AND INTERVENTIONS IN THE IMPROVEMENT PLAN WAS GUIDED BY A STEERING COMMITTEE, WHICH IS A PARTNERSHIP AMONG AND WITHIN OCHD, RH AND MVHS THAT CONVENED IN A COLLABORATIVE APPROACH TO IDENTIFY AND ASSESS PUBLIC HEALTH GAPS AND BARRIERS AS WELL AS TO IDENTIFY AND EXECUTE ACTIONS AS SOLUTIONS TO GAPS AND BARRIERS IDENTIFIED THROUGH VARIOUS PRIMARY RESEARCH METHODOLOGIES AND EVIDENCE OF SECONDARY DATA THAT WILL BE DETAILED WITHIN THIS REPORT. THROUGH PRIMARY RESEARCH, THE STEERING COMMITTEE WAS ABLE TO OBTAIN INPUT FROM KEY COMMUNITY STAKEHOLDERS AND RESIDENTS ON PERCEPTIONS OF HEALTH ISSUES WITHIN THE COMMUNITY, CONSIDERING DETERMINANTS OF HEALTH AND PROVIDING INSIGHT ON SPECIFIC ASPECTS OF PRIORITIZING HEALTH NEEDS TO FACILITATE A THOROUGH AND THOUGHTFUL ASSESSMENT AND PLANNING PROCESS FOR DEVELOPMENT OF THE CHA, CSP AND CHIP. PART VI, LINE 3: THE HOSPITAL FAP APPLICATION AND POLICY SUMMARY ARE INCLUDED IN THE ADMISSION PACKETS MAILED TO ALL PATIENTS PRIOR TO ADMISSION FOR INPATIENT SERVICES. THE HOSPITAL PROVIDES ACCESSIBLE COMMUNICATION, WITHIN THE HOSPITAL AND ALL OFF-SITE LOCATIONS, IN THE FORM OF 1) SIGNAGE IN FIVE LANGUAGES, 2) A PATIENT PAMPHLET WHICH DESCRIBES PAYMENT OPTIONS INCLUDING FAP, WEBSITE INFORMATION AND STAFF CONTACT INFORMATION FOR ASSISTANCE. THE FAP SUMMARY AND WEBSITE INFORMATION ARE DISPLAYED IN PATIENT COMMON ENTRANCE AREAS IN THE HOSPITAL AND OFFSITE LOCATIONS. THE HOSPITAL HAS UP-FRONT FINANCIAL COUNSELORS AND CAC'S (CERTIFED APPLICATION COUNSELORS) TO ASSIST OUR PATIENTS WITH ONLINE APPLICATIONS FOR AFFORDABLE INSURANCE, MEDICAID AND OTHER PROGRAMS/GRANTS. OUR PRE-COLLECTIONS OUTSOURCE VENDOR HAS OUR POLICY INFORMATION AND COUNSELS THE PATIENT IN THE SAME MANNER AS HOSPITAL EMPLOYEES. THE DOCUMENTATION OF OUR FINANCIAL POLICY PATIENT EDUCATION IS PROVIDED IN OUR BILLING SYSTEM AND IS PRINTED ON ALL STATEMENTS. THE COLLECTION STAFF IN THE BUSINESS OFFICE, USES SCRIPTING FOR ALL CALLS AND FOLLOWS UP ON ALL APPLICATIONS SENT BY THE PRE-COLLECTIONS VENDOR. DURING THE APPLICATION PROCESS, THE ACCOUNT IS PLACED ON HOLD UNTIL A FINAL DETERMINATION IS MADE. THE DETERMINATION IS MADE WITHIN THIRTY DAYS OF RECEIVING A COMPLETED APPLICATION, INCLUDING REQUESTED SUPPORTING DOCUMENTATION IN WRITING, WITH AND EXPLANATION OF DETERMINATION. WHEN DETERMINATION REQUIRES IT, THE APPLICANT IS GIVEN INSTRUCTIONS AS TO HOW TO APPEAL A DECISION. PATIENT'S HAVE ACCESS TO THEIR MEDICAL RECORDS VIA MYCHART AND DISCLOSURES ARE MADE THERE. PART VI, LINE 4: COMMUNITY INFORMATION: RESPECTIVE AREA HOSPITAL PATIENT CENSUS DEMOGRAPHIC ANALYSIS INDICATES THAT THE MAJORITY OF PATIENTS RESIDE IN ONEIDA, HERKIMER, AND MADISON COUNTIES, WITH APPROXIMATELY 90% OF RH AND 78% OF MVHS PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. THE THREE AREA HOSPITALS PROVIDING INPATIENT AND OUTPATIENT SERVICES (PRIOR TO 10/29/2023) INCLUDED: FAXTON-ST. LUKES HEALTHCARE (FSLH), ST. ELIZABETH MEDICAL CENTER (SEMC), AND ROME HEALTH (RH). FSLH AND SEMC, BOTH A PART OF THE MOHAWK VALLEY HEALTH SYSTEM , MERGED TO FORM MVHS, INC. DBA WYNN HOSPITAL AS OF 10/29/2023. WYNN HOSPITAL IS LOCATED IN UTICA, NY. RH IS LOCATED IN THE CITY OF ROME. COMMUNITIES SERVED: ONEIDA COUNTY BORDERS FIVE OTHER COUNTIES (FIGURE 3 ABOVE): OSWEGO, MADISON, HERKIMER, OTSEGO, AND LEWIS. THE COUNTY IS THE 505TH LARGEST COUNTY IN THE UNITED STATES AND COVERS 1,257.76 SQUARE MILES OF LAND AND WATER AREA, IN COMPARISON TO A TOTAL OF 314,021 COUNTIES IN THE UNITED STATES AND DISTRICT OF COLUMBIA. ONEIDA COUNTY IS COMPRISED OF TWENTY-SIX TOWNS AND NINETEEN VILLAGES. ACCORDING TO COUNTY HEALTH RANKINGS, 33% OF RESIDENTS IN ONEIDA COUNTY ARE LIVING IN A RURAL AREADEMOGRAPHIC: AS OF 2010-2014, THE TOTAL ONEIDA COUNTY POPULATION IS 233,944, WHICH HAS SHRUNK 0.65% SINCE 2000. THE POPULATION GROWTH RATE IS LOWER THAN THE STATE AVERAGE RATE OF 3.26% AND IS MUCH LOWER THAN THE NATIONAL AVERAGE RATE OF 11.61%. ACCORDING TO THE 2021 CENSUS ESTIMATE, RESIDENTS BETWEEN THE AGES OF 45-54 YEARS OF AGE MAKE UP THE LARGEST PERCENTAGE OF THE POPULATION, WHICH IS EXPECTED TO REMAIN STEADY OVER THE NEXT FIVE YEARS. SIMILARLY, POPULATION DISTRIBUTION BY RACE IS FORECASTED TO REMAIN CONSISTENT, BUT HAS BECOME MORE DIVERSE SINCE 2000. MOST RESIDENTS IN THE COUNTY HAVE HEALTH INSURANCE, WITH PRIVATE INSURANCE BEING THE MOST PREVALENT, REPRESENTING 67.8% OF THE POPULATION. THE INSURED RATE FOR ONEIDA COUNTY IS SLIGHTLY HIGHER THAN THE OVERALL NYS RATE FOR THOSE WITH PRIVATE HEALTH INSURANCE PART VI, LINE 5: HEALTH EQUITY TASKFORCE EXPANDED MEMBERSHIP AND REBRANDED THEIR NAME TO THE MOHAWK VALLEY PARTNERSHIP FOR COMBATING HEART DISEASE, AND IS NOW THE MOHAWK VALLEY HEALTHY LIFESTYLES PARTNERSHIP. PARTNERS MEET WEEKLY AND INCLUDE THE FOLLOWING: - MOHAWK VALLEY LATINO ASSOCIATION- ROME & UTICA BRANCHES OF THE NAACP- THE CENTER - EXCELLUS BLUE CROSS BLUE SHIELD- THE COMMUNITY FOUNDATION OF HERKIMER & ONEIDA COUNTY- MOHAWK VALLEY COMMUNICATION ACTION AGENCY- UPSTATE FAMILY HEALTH- AMERICAN HEART ASSOCIATION- ONEIDA COUNTY HEALTH DEPARTMENT- MOHAWK VALLEY HEALTH SYSTEM- ROME HEALTHTHE MOHAWK VALLEY HEALTHY LIFESTYLES PARTNERSHIP MET OR EXCEEDED ITS GOALS IN 2024. MONTHLY REPORTING TEMPLATES WERE CREATED AND EMBEDDED WITHIN THE PARTNERSHIP CONTRACTS TO TRACK PROGRAM IMPACT. BOTH QUALITATIVE AND QUANTITATIVE DATA IS AGGREGATED AND REPORTED TO THE PARTNERSHIP ON A MONTHLY BASIS. INTENDED ACTIVITIES OR GOALS REQUIRING PERFORMANCE IMPROVEMENT PLANS ARE DISCUSSED WITH PARTNERSHIP MEMBERS. TO ADDRESS PATIENT SATISFACTION AND IMPACT, THE PARTNERSHIP MEMBERS CREATED A PRE- AND POST-TEST THAT IS UTILIZED TO ASSESS THE TOTAL NUMBER OF INDIVIDUALS WITH INCREASED KNOWLEDGE OF HOW TO PREVENT AND MANAGE CVD. AS A NEXT STEP, PARTNERS WILL BEGIN TO ADDRESS COLLECTION OF DATA FOR INTERMEDIATE AND LONG-TERM GOALS UTILIZING A SUBSET OF PATIENTS REFERRED TO PRIMARY CARE IN 2023. CLINICAL QUALITY TEAMS FROM MVHS MEDICAL GROUP AND UPSTATE FAMILY HEALTH WILL REVIEW STANDARD CLINICAL QUALITY DATA SETS TO ASSESS IMPACT ON STATED GOALS. OUTCOME REPORTS WILL BE SHARED WITH THE PARTNERSHIP AND PROGRAMMATIC COURSE CORRECTIONS MADE, IF APPLICABLE. THE MOHAWK VALLEY LIFESTYLES PARTNERSHIP MET AND EXCEED ITS OUTCOMES FOR 2024. IN 2024, THE PARTNERSHIP HELD OR ATTENDED 450 COMMUNITY EVENTS, REACHED 18,663 COMMUNITY MEMBERS WITH EDUCATI AND SCREENED 8,363 COMMUNITY MEMBERS. THE OUTREACH NURSES CONDUCTED 605 FOLLOW UP CALLS AND 177 INDIVIDUALS WERE LINKED TO PRIMARY CARE. 4,833 INDIVIDUALS RECEIVED ASSISTANCE WITH HEALTH INSURNACE AND 1,689 INDIVIDUALS RECEIVED ASSISTANCE WITH OTHER SERVICES SUCH AS LEGAL, ELDER SERVICES, ETC. 3,490 HEART HEALTHY MEALS WERE PROVIDED AT EVENTS AND WRITTEN MATERIALS WERE TRANSLATED INTO 11 DIFFERENT LANGUAGES. PART VI, LINE 6: ST. ELIZABETH MEDICAL CENTER (SEMC) AND FAXTON ST. LUKE'S HEALTHCARE (FSLH) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MOHAWK VALLEY HEALTH SYSTEM) ON MARCH 6, 2014. ON OCTOBER 29, 2023 THESE HOSPITALS MERGED AND RELOCATED SERVICES TO A NEW HEALTH CAMPUS AT 111 HOSPITAL DRIVE IN UTICA, NY. FSLH WAS RE-NAMED MVHS, INC DBA WYNN HOSPITAL AND SEMC WAS RENAMED ST ELIZABETH COMMUNITY HEALTH SERVICES. ALL PATIENT CARE IS PROVIDED UNDER MVHS INC. EIN 16-1576637MVHS MAIN CAMPUSES: WYNN CAMPUS, NOTED ABOVEST. ELIZABETH CAMPUS 2209 GENESEE STREET, UTICA, NY ST. LUKE'S CAMPUS 1656 CHAMPLIN AVENUE, NEW HARTFORD, NY FAXTON CAMPUS 1676 SUNSET AVENUE, UTICA, NY THE MVHS MEDICAL GROUP OFFERS 22 PRIMARY CARE OFFICES LOCATED THROUGHOUT ONEIDA AND HERKIMER COUNTIES, A CHILDREN'S HEALTH CENTER, WOMEN'S HEALTH CENTER AND MULTI-SPECIALTY PROVIDERS INCLUDING GENERAL, ORTHOPEDIC, VASCULAR AND CARDIAC AND THORACIC SURGERY, GASTROENTEROLOGY AND ADVANCED ENDOSCOPY, UROLOGY AND NEURO SCIENCES. THE SISTER ROSE VINCENT FAMILY MEDICINE CENTER PROVIDES PATIENT CARE SERVICES AND IS ALSO A TEACHING FACILITY FOR NEW PHYSICIANS.WYNN CAMPUS: BARIATRIC SURGERY PROGRAM MATERNAL CHILD SERVICES MOHAWK VALLEY VASCULAR CENTER STROKE CENTER SURGICAL AND AMBULATORY SERVICES TOTAL JOINT ORTHOPEDIC PROGRAMFAXTON CAMPUS CANCER CENTER OUTPATIENT REHABILITATION SERVICES MEDICAL OFFICESCENTER FOR REHABILITATION AND CONTINUING CARE SERVICES ACUTE INPATIENT REHABILITATION UNIT ST. LUKE'S HOME SENIOR NETWORK HEALTH VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTYST ELIZABETH COMMUNITY HEALTH SERVICES CAMPUS IS STILL UTILIZED FOR: MOHAWK VALLEY SLEEP DISORDERS CENTER ST. ELIZABETH COLLEGE OF NURSINGMEDICAL ARTS CAMPUS: ADVANCED WOUND CARE CENTER OUTPATIENT LABORATORY DRAW SITEOUR AFFILIATION ENHANCES SERVICES FOR THE RESIDENTS OF THE MOHAWK VALLEY THROUGH GREATER COLLABORATION AND IMPROVED CLINICAL QUALITY FOR PATIENT AND RESIDENT CARE. AS A LARGE SYSTEM, MVHS HAS MUCH TO OFFER WHEN RECRUITING NEW PHYSICIANS.SPECIALTIES THE BARIATRIC SURGERY PROGRAM IS AN AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY BARIATRIC SURGERY CENTER OF EXCELLENCE. AS AN ACCREDITED PROGRAM, MVHS DEMONSTRATES THAT OUR CENTER MEETS THE NEEDS OF BARIATRIC SURGERY PATIENTS BY PROVIDING MULTIDISCIPLINARY, HIGH-QUALITY, PATIENT-CENTERED CARE. THE CANCER CENTER PROVIDES CARE TO PATIENTS IN OUR COMMUNITY FROM THE TIME OF DIAGNOSIS THROUGH TREATMENT AND RECOVERY. SERVICES INCLUDE OUTPATIENT INFUSION, RADIATION ONCOLOGY, CLINICAL TRIALS, INPATIENT ONCOLOGY, INTEGRATIVE MEDICINE, A BREAST CARE CENTER, A NURSE NAVIGATOR PROGRAM, CANCER EDUCATION AND SUPPORT SERVICES. THE CENTRAL YORK DIABETES EDUCATION PROGRAM (CNY DIABETES) IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. CNY DIABETES OFFERS THE NATIONAL DIABETES PREVENTION PROGRAM WHICH IS ENDORSED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION.MVHS, INC DBA WYNN HOSPITAL IS THE ONLY DESIGNATED PRIMARY STROKE CENTER IN THE MOHAWK VALLEY AND ONE OF 115 DESIGNATED STROKE CENTERS IN NEW YORK STATE. THE ORGANIZATION IS A RECIPIENT OF THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE AWARD RECOGNIZES COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.MVHS'S ACUTE INPATIENT REHABILITATION PROGRAM IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. THE REHABILITATION CENTER PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES WITH LOCATIONS AT THE FAXTON CAMPUS, WYNN HOSPITAL AND ST. LUKE'S HOME. ST. LUKE'S HOME IS A 202-BED LONG TERM CARE FACILITY WITH A 40-BED SUBACUTE REHABILITATION UNIT. ST. LUKE'S HOME OPENED IN 1996 ON THE ST. LUKE'S CAMPUS AND RECENTLY UNDERWENT A $31.3 MILLION RENOVATION AND EXPANSION. THE VISITING NURSE ASSOCIATION (VNA) OF UTICA AND ONEIDA COUNTY IS ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM, INC. THE VNA OF UTICA AND ONEIDA COUNTY CELEBRATED ITS 100TH ANNIVERSARY IN 2015 AND SERVES NEARLY 2,200 PATIENTS ANNUALLY. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X X X 1 0 0 0 0 0 0 0 0 LEO P SULLIVAN MD PHYSICIAN 943689 0 726763 0 13271 0 17250 0 19992 0 1720965 0 0 0 MAURIZIO A MIGLIETTA MD PHYSICIAN 1362362 0 0 0 7922 0 10350 0 27221 0 1407855 0 0 0 JONATHAN M STAHL MD PHYSICIAN 1142486 0 50000 0 1568 0 9640 0 9824 0 1213518 0 0 0 MARK J CRYE MD PHYSICIAN 1071735 0 25000 0 11125 0 14305 0 28838 0 1151003 0 0 0 DARLENE STROMSTAD PRESIDENT/CEO 950118 0 0 0 30456 0 17250 0 14283 0 1012107 0 0 0 ANDREW PELLECCHIA MD PHYSICIAN 599989 0 196250 0 1568 0 17250 0 25661 0 840718 0 0 0 SUSHMA KAUL MD PHYSICIAN/MED STAFF VP 630602 0 132240 0 6303 0 17250 0 18312 0 804707 0 0 0 ROBERT SCHOLEFIELD SR VP/COO 523345 0 0 0 22219 0 13950 0 17596 0 577110 0 0 0 LOUIS AIELLO SR VP/CFO 516755 0 0 0 4902 0 27600 0 19008 0 568265 0 0 0 JEROME DAYAO DNPMSRNNEA-BCCCRN-K SR VP/CNO 467651 0 0 0 239 0 6228 0 17095 0 491213 0 0 0 WILLIAM LECATES MD SR VP/COO 247329 0 0 0 3392 0 0 0 8827 0 259548 0 0 0 GARY D ZIMMER MD SVP/PHYSICIAN PRACTICE AND 184804 0 0 0 32865 0 0 0 6670 0 224339 0 0 0 PART I, LINE 4A JEROME DAYAO, DNP, MS, RN, NEA-BC, CCRN-K $343,088 TERMS: $343,088.37 GROSS SEVERANCE PAID IN 9 EQUAL MONTHLY PAYMENTS OF $38,120.93. MVHS PAYS THEIR SHARE OF HEALTH AND DENTAL BENEFITS THROUGH 12/31/24. ROBERT SCHOLEFIELD $291,355 TERMS: $291,355.20 PAID OUT IN 18 EQUAL BI-WEEKLY PAYMENTS OF $16,186.40. ALSO, ONE TIME LUMP SUM PAYMENT FOR ESLB IN AMOUNT OF $42,807.26. MVHS SHARE OF HEALTH AND DENTAL PREMIUM PAID THROUGH DEC 31, 2024. DR. MAURIZIO A. MIGLIETTA, MD $56,760 TERMS: GROSS AMOUNT $90,831.28, PAID OUT $11,353.95 ON 11/1/24, ALONG WITH ACTUAL COMPENSATION FOR EMPLOYMENT FROM 10/1/24 TO 10/25/24, THEN PAYMENT OF $45,415.79 PAID 12/1/24, AND PAYMENT OF $34,061.84 ON 1/1/25. ALSO, MVHS PAYS 60 DAYS OF MEDICAL/DENTAL PREMIUMS, AND $8,560.16 FOR PTO PAYOUT. A ONEIDA COUNTY LOCAL DEVELOPMENT CORP 273190422 2019-11-21 16220000 REFINANCING OLD DEBT (2006 BONDS) 0 0 1 B ONEIDA COUNTY LOCAL DEVELOPMENT CORP 273190422 2019-11-21 12790000 EPIC EMR SYSTEM IMPLEMENTATION 0 0 1 C ONEIDA COUNTY LOCAL DEVELOPMENT CORP 273190422 2019-11-21 4040000 CAPITAL EQUIPMENT 0 0 1 D ONEIDA COUNTY LOCAL DEVELOPMENT CORP 273190422 2019-11-21 19515000 REFINANCING OLD DEBT (2019) 0 0 1 A 39038856 34282051 548900 910142 3297763 2019 1 1 1 1 B 15525986 196458 325752 15053178 29402 2019 0 0 1 1 C 5197758 74660 123796 5000000 698 2020 0 0 0 1 D 22023739 21215525 299774 497062 11378 2019 0 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 1 0 1 D 0 0 0 0 1 0 1 A 0 1 0 0 0 0 0 1 1 B 0 1 0 0 0 0 0 1 1 C 0 1 0 0 0 0 0 1 1 D 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 SCHEDULE K, PART II MVHS INC., DBA WYNN HOSPITAL, WAS A NAME CHANGE FOR FAXTON ST LUKE'S HEALTHCARE (FSLH - EIN XXX-XX-XXXX) DUE TO A MERGER WITH ST ELIZABETH MEDICAL CENTER (SEMC - EIN XXX-XX-XXXX) ON OCT 29, 2023. THE 2024 SCHEDULE K REPORTING IS A COMBINATION OF THE TWO 2022 SCHEDULE K REPORTS, FIRST PRESENTED IN THE 2023 FORM 990, THE YEAR OF MERGER. THERE WERE NO NEW BONDS ISSUED BY EITHER ORGANIZATION IN 2024. THE PROCEEDS OF THE SERIES 2006 (FSLH) AND 2019 A&B (SEMC) BONDS WERE ISSUED BY MVHS AND USED TO: 1) FINANCE THE COST OF THE NEW REGIONAL MEDICAL CENTER (WYNN HOSPITAL) INCLUDING CAPITALIZED INTEREST ON THE NEW HOSPITAL THROUGH AUGUST 2023, 2) FINANCE CAPITAL EXPENDITURES AND EQUIPMENT AT THE WYNN HOSPITAL, 3) REFINANCE THE COST OF THE EPIC EMR IMPLEMENTATION THAT WAS COMPLETED IN 2019, AND 4) REFINANCE EXISTING DEBT OF OF MVHS INC. DBA WYNN HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 MOHAWK VALLEY HEALTH SYSTEM, INC IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MOHAWK VALLEY HEALTH SYSTEM, INC APPOINTS THE DIRECTORS AND GOVERNING BODY OF THE ORGANIZATION. THE BOARD OF DIRECTORS ARE LISTED IN SECTION VII. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND FORM 990T ARE REVIEWED AT A MEETING WITH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, PRIOR TO SUBMITTING THE REPORT. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: 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 PERSONS. THIS POLICY EXISTS TO PROTECT THE ORGANIZATIONS INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE 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 DUTY TO DISCLOSE SHOULD BE ON-GOING AND 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 SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL AND STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. FORM 990, PART VI, SECTION B, LINE 15 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 POLICY: IT IS THE POLICY OF THIS HOSPITAL TO MAKE AVAILABLE TO ANYONE WHO ASKS, A COPY OF ITS ANNUAL REPORT TO THE INTERNAL REVENUE SERVICE (IRS) ON FORM 990, AND ITS EXEMPT STATUS FORM. IN ACCORDANCE WITH THE LAW, FORM 990 FOR A GIVEN YEAR, WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION FOR A THREE-YEAR PERIOD. PURPOSE: THE PURPOSE OF THIS POLICY IS TO COMPLY WITH IRS LAW, WHICH APPLIES FOR TAX YEARS BEGINNING AFTER JUNE 8, 1999 SPECIAL INSTRUCTIONS: A. A COPY OF THE ABOVE NAMED DOCUMENTS, WILL BE MADE AVAILABLE FOR INSPECTION BY A REQUESTER, IN A DESIGNATED ROOM, IN THE FINANCE DEPARTMENT OF THE HOSPITAL. B. THE DOCUMENTS WILL BE MADE AVAILABLE, IMMEDIATELY, TO ANYONE WHO APPEARS IN PERSON DURING USUAL BUSINESS HOURS. FOR WRITTEN REQUESTS FOR COPIES OF DOCUMENTS, RESPONSE WILL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT OF PAYMENT OF REASONABLE COPYING FEES*. C. EITHER THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PRESENT DURING AN INSPECTION BY A REQUESTER. D. ONLY THE HOSPITAL SENIOR VICE PRESIDENT/CFO, THE CONTROLLER, OR THEIR DESIGNATED REPRESENTATIVE WILL BE PERMITTED TO ANSWER QUESTIONS THAT A REQUESTER MAY HAVE. *SHOULD A REQUESTER ASK THE HOSPITAL FOR A PHOTOCOPY OF ANY OR ALL PARTS OF DOCUMENTS, THE HOSPITAL WILL CHARGE $1.00 FOR THE FIRST PAGE, PLUS $.15 FOR EACH ADDITIONAL PAGE. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 88,546,802. MANAGEMENT AND GENERAL EXPENSES 13,751,589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,298,391. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENTS IN FOUNDATION 270,347. CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 1,802,685. CHANGE IN RESERVE FOR DOUBTFUL ACCOUNTS DUE FROM AFFILIATE -400,000. PART XII LINE 2C: NO CHANGE FROM PRIOR YEAR MOHAWK VALLEY HEALTH SYSTEM (PARENT) PO BOX 4308 UTICA NY 13504 223124162 PROMOTE HEALTH CARE NY 501(C)(3) LINE 12B, II N/A 0 ST LUKE'S HOME RESIDENTIAL HEALTHCARE FACILITY PO BOX 6305 UTICA NY 13504 161476372 202 BED RHCF NY 501(C)(3) LINE 10 MVHS INC 0 VISITING NURSE'S ASSOCIATION OF UTICA & ONEIDA COUNTIES 2608 GENESEE STREET UTICA NY 13502 150532259 HOME HEALTH NURSING NY 501(C)(3) LINE 10 MOHAWK VALLEY HEALTH SYSTEM (PARENT) 0 ST ELIZABETH COMMUNITY HEALTH SUPPORT 2209 GENESEE STREET UTICA NY 13501 150532245 PROMOTE COMMUNITY HEALTH NY 501(C)(3) LINE 3 MOHAWK VALLEY HEALTH SYSTEM (PARENT) 0 ST ELIZABETH MEDICAL CENTER FOUNDATION 2209 GENESEE STREET UTICA NY 13501 222562170 FUNDRAISING NY 501(C)(3) LINE 10 ST ELIZABETH COMMUNITY HEALTH SUPPORT 1 MOHAWK VALLEY HEALTH SYSTEM FOUNDATION PO BOX 4309 UTICA NY 13503 223078768 FUNDRAISING NY 501(C)(3) LINE 12A, I MOHAWK VALLEY HEALTH SYSTEM (PARENT) 0 MOHAWK VALLEY ENDOSCOPY CENTER 116 BUSINESS PARK DR UTICA NY 13502 271138388 AMBULATORY SURGERY CENTER NY 501(C)(3) LINE 10 MVHS INC 0 0 0 1 0 1 0 0 0 1 1 1 0 0 1 1 1 1 1 1