SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
ONEIDA MEDICAL PRACTICE PC
 
Employer identification number

26-1147857
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 DANA J. VICK IS THE SOLE MEMBER FOR THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A THE APPROVAL OF THE HOSPITAL(ONEIDA HEALTH SYSTEMS) IS REQUIRED TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B ALL GOVERNANCE DECISIONS ARE SUBJECT TO THE APPROVAL OF THE HOSPITAL(ONEIDA HEALTH SYSTEMS).
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DETAIL REVIEWED BY THE OFFICERS OF THE CORPORATION AND IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C ONEIDA MEDICAL PRACTICE, PC REQUIRES ALL DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUMMARIZED AND REVIEWED BY MANAGEMENT, COUNCIL AND THE EXECUTIVE COMMITTEE OF TRUSTEES TO IDENTIFY POTENTIAL CONFLICTS OF INTERESTS. WHEN A POTENTIAL CONFLICT IS IDENTIFIED (FOR EXAMPLE BY RECUSING INTERESTED PARTIES FROM CERTAIN BOARD VOTES OR ENGAGING IN COMPETITIVE BIDDING FOR CONTRACTS) ANY CONFLICT IS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION B, LINE 15 ONEIDA HEALTH SYSTEMS INCLUDING ONEIDA MEDICAL PRACTICE, PC HAS AN EXECUTIVE COMMITTEE OF TRUSTEES TO REVIEW THE PERFORMANCE AND COMPENSATION OF THE PRESIDENT AND ALL VICE PRESIDENTS. THE COMPENSATION COMMITTEE UTILIZED COMPENSATION COMPARABILITY DATA FROM YAFEE AND COMPANY AND IROQUOIS HEALTH ASSOCIATION TO SUPPORT THE DETERMINATION OF SALARY FOR THE SELECTED POSITIONS AND CONTEMPORIOUS SUBSTANTIATION INCLUDING COMMITTEE MINUTES. RELATIVE TO OFFICERS AND KEY EMPLOYEES THE CEO OF ONEIDA HEALTH SYSTEMS UTILIZES COMPENSATION COMPARABILITY DATA FROM YAFEE AND COMPANY AND IROQUOIS HEALTHCARE ASSOCIATION ALONG WITH ANNUAL PERFORMANCE EVALUATIONS TO DETERMINE THE COMPENSATION OF THESE AFOREMENTIONED INDIVIDUALS. THE COMPENSATION SURVEY DATA UTILIZED ARE FROM COMPARABLE SIZED NOT FOR PROFIT HEALTHCARE FACILITIES LOCATED IN RELATIVELY THE SAME REGION AS ONEIDA MEDICAL PRACTICE, PC.
FORM 990, PART VI, SECTION C, LINE 19 ONEIDA MEDICAL PRATICE, P.C. WILL MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND PURSUANT TO INTERNAL REVENUE SERVICE GUIDELINES.
FORM 990, PART IX, LINE 11G COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 44,644. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,644. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,547,603. MANAGEMENT AND GENERAL EXPENSES 476,993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,024,596. CONTRACTED EMPLOYEES: PROGRAM SERVICE EXPENSES 73,658. MANAGEMENT AND GENERAL EXPENSES 1,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,944.
FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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