SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
ST ELIZABETH MEDICAL CENTER
 
Employer identification number

15-0532245
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    2,088,144 1,215,586 872,558 0.400 %
b Medicaid (from Worksheet 3, column a) . . . . .     41,136,583 33,333,296 7,803,287 3.600 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     3,659,455 2,569,605 1,089,850 0.500 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     46,884,182 37,118,487 9,765,695 4.500 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     352,575 0 352,575 0.160 %
f Health professions education (from Worksheet 5) . . .     8,200,927 5,998,373 2,202,554 1.020 %
g Subsidized health services (from Worksheet 6) . . . .     5,581,737 5,252,122 329,615 0.150 %
h Research (from Worksheet 7) .     102,323 17,297 85,026 0.040 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     14,237,562 11,267,792 2,969,770 1.370 %
k Total. Add lines 7d and 7j .     61,121,744 48,386,279 12,735,465 5.870 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy     64,545   64,545 0.030 %
8 Workforce development            
9 Other            
10 Total     64,545   64,545 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
6,268,979
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
340,000
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
110,235,802
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
119,965,378
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-9,729,576
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 MVEC
 
GASTROENTEROLOGY SERVICES 20.000 % 0 % 0 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST ELIZABETH MEDICAL CENTER
2209 GENESEE STREET
UTICA,NY13501
X             X TEACHING HOSPITAL AND 24 HOUR ER  
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST ELIZABETH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST ELIZABETH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG
b
WWW.STEMC.ORG, HTTP://MVHEALTHSYSTEM.ORG
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
ST ELIZABETH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST ELIZABETH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2016
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Schedule H (Form 990) 2016
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2013, THE ONEIDA COUNTY HEALTH DEPARTMENT (OCHD), HOSPITALS, AND REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS CONVENED TO DEVELOP THE 2013-2017 COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. THE PLANNING GROUP MET REGULARLY TO DISCUSS THE DATA, COMMUNITY INPUT, AND HEALTH PRIORITIES. INPUT WAS COLLECTED FROM A LARGE COMMUNITY FORUM WITH STAKEHOLDER FEEDBACK ON COMMUNITY STRENGTHS, WEAKNESSES, AND PRIORITY AREAS FOR IMPROVEMENT. A CHA/CHIP PLANNING TEAM COMPRISED OF OCHD, FSL, SEMC AND RMH STAFF MET REGULARLY STARTING IN EARLY 2016. THE PLANNING TEAM MET TO REVIEW AND DISCUSS THE 2016-2018 CHA/CHIP UPDATE PROCESS, CLARIFY EXPECTATIONS, AND DEVELOP A DETAILED WORK PLAN WITH TEAM RESPONSIBILITIES, ASSIGNED TASKS, AND DEADLINES TO DEVELOP AND FINALIZE THE PLAN UPDATE. THE PLANNING TEAM CAME TO CONSENSUS ON THE APPROACH TO UPDATE THE CHA AND REASSESS PRIORITIES ESTABLISHED IN THE CHIP. DATA FROM THE ONEIDA COUNTY PREVENTION AGENDA DASHBOARD, NEW YORK STATE QUITLINE PARTNERS REPORTS, ONEIDA COUNTY TEEN ASSESSMENT PROJECT (TAP), PEDIATRIC NUTRITION SURVEILLANCE SYSTEM (PEDNSS) REPORTS, COUNTY HEALTH RANKINGS, BRIDGES COMMUNITY SURVEY, AND THE CNY CARE COLLABORATIVE (CNYCC) COMMUNITY HEALTH ASSESSMENT WERE REVIEWED TO ASSESS AREAS FOR IMPROVEMENT AND STATUS IN ACHIEVING THE GOALS AND OBJECTIVES OUTLINED IN THE PREVIOUS CHIP. THE CNYCC COMMUNITY HEALTH ASSESSMENT AND WORK TO SUPPORT THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), AN INITIATIVE TO TRANSFORM THE HEALTH SYSTEM OF NEW YORK STATE, WERE ALSO FACTORED INTO THE ASSESSMENT PROCESS. IN MARCH 2016, THE PLANNING TEAM PRESENTED TO THE ONEIDA COUNTY HEALTH COALITION GENERAL MEMBERSHIP (APPROXIMATELY 60 PEOPLE IN ATTENTANCE) INFORMATION ON THE CHA AND CHIP ACTIVITIES. THE OCHC IS COMPRISED OF BROAD REPRESENTATION OF SECTORS AND ORGANIZATIONS THAT CONVENE UNDER THE DIRECTION OF THE OCHD TO DISCUSS AND ANALYZE DATA ON VARIOUS HEALTH ISSUES AND TRENDS. PARTNERS WERE PROVIDED WITH A SUMMARY OF THE PREVENTION AGENDA DATA AND THE SELECTED CHIP FOCUS AREAS AND WORK GROUP ACTIVITIES. MEMBERS WERE APPRISED OF AND INVITED TO PARTICIPATE IN THE WORK GROUPS AND COMMUNITY HEALTH ASSESSMENT ACTIVITIES. AS A FOLLOW UP TO COLLECT MORE IN-DEPTH PARTNER FEEDBACK, IN MAY 2016, THE PLANNING TEAM CONVENED MEMBERS OF THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE, A GROUP OF APPROXIMATELY 20 COMMUNITY AGENCIES AND ORGANIZATIONS THAT OVERSEE AND GUIDE THE LARGER COMMUNITY HEALTH PARTNERSHIP. PARTNERS WERE PRESENTED WITH AN OVERVIEW OF THE COMMUNITY HEALTH ASSESSMENT UPDATE AND COMMUNITY HEALTH IMPROVEMENT PLAN REQUIREMENTS, CHIP WORK GROUP PROJECTS, TIMELINES, AND STATUS IN ACHIEVING THE DEFINED GOALS AND OBJECTIVES. THE PREVENTION AGENDA INDICATOR DATA AND GOALS WERE REVIEWED ALONG WITH AN OVERVIEW OF HOW EACH OF THE FOCUS AREAS ALIGN WITH HOSPITAL DSRIP INITIATIVES, SPECIFICALLY: THE INITIATIVES OF THE TOBACCO CESSATION WORK GROUP ALIGNED WITH DSRIP FOCUS AREAS TO DSRIP 4.D.I. - REDUCE PRETERM BIRTHS AND DSRIP 3.B.I. - CARDIOVASCULAR DISEASE MANAGEMENT AND THE INITIATIVES OF THE BREASTFEEDING WORK GROUP INDIRECTLY ALIGN WITH DSRIP GOALS (E.G., HEALTHY START FOR BABIES AND HEALTH BENEFITS TO MOTHER) TO REDUCE UNNECESSARY UTILIZATION THROUGH PRIMARY PREVENTION. THE PLANNING TEAM OUTLINED ITS SUCCESSES AND CHALLENGES AND OBTAINED INPUT FROM THE STEERING COMMITTEE ON AREAS FOR IMPROVEMENT AND IDENTIFIED OTHER POTENTIAL PARTNERS OR RESOURCES THAT COULD SUPPORT CHIP WORK GROUP ACTIVITIES. AS A RESULT OF THE DIALOGUE, THE OCHC STEERING COMMITTEE REAFFIRMED THAT THE PLANNING TEAM AND WORK GROUPS SHOULD CONTINUE THEIR EFFORTS TO ADDRESS THE CHIP FOCUS AREAS AND GOALS OUTLINED IN THE 2013-2017 CHIP. THE PLANNING TEAM ALSO ESTABLISHED MECHANISMS TO COLLECT COMMUNITY PERSPECTIVE ON THE CHIP FOCUS AREAS. HEALTH DEPARTMENT STAFF PRESENTED A SHORT COMMENT CARD TO COMMUNITY MEMBERS AT ALL SEVEN (7) PUBLIC HEALTH EVENTS ON NEEDS AND PERCEPTIONS RELATED TO TOBACCO CESSATION AND BREASTFEEDING. THE RESULTS OF THIS FEEDBACK ARE IN APPENDIX B. ADDITIONALLY, THE PLANNING TEAM REVIEWED THE FINDINGS FROM THE CNYCC NEEDS ASSESSMENT WHICH INCLUDED A PRIMARY CARE ASSESSMENT, CNY CONSUMER ACCESS SURVEY, CNY SAFETY NET ASSESSMENT (MEDICAID AND SELF-PAY POPULATIONS) AND KEP INFORMANT INTERVIEWS.
ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 6A: OTHER REPRESENTATIVES INCLUDED FAXTON ST.-LUKE'S HEALTHCARE, ST ELIZABETH MEDICAL CENTER, AND ROME MEMORIAL HOSPITAL.
ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 6B: PARTNERS INCLUDE THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE AND THE TWO PREVENTION AGENDA PRIORITY AREA WORK GROUPS THAT FOCUS ON TOBACCO USE CESSATION AND BREASTFEEDING. THE COALITION CONSISTS OF COMMUNITY PARTNERS INCLUDING HOSPITALS, OCHD AND COMMUNITY ORGANIZATIONS. THE STEERING COMMITTEE ASSISTED BY REAFFIRMING OUR PRIORITY AREAS AND WILL SERVE AS AN ONGOING RESOURCE FOR IMPLEMENTATION EFFORTS. OUR PRIORITY AREA WORK GROUPS INCLUDE MEMBERS FROM ONEIDA COUNTY HOSPITALS, OCHD AND COMMUNITY ORGANIZATION STAFF MEMBERS WHO HAVE A FOCUS ON THE PRIORITY AREA.
ST ELIZABETH MEDICAL CENTER PART V, SECTION B, LINE 11: SINCE 2014, THE TOBACCO CESSATION AND BREASTFEEDING WORK GROUPS HAVE BEEN MEETING QUARTERLY TO REVIEW WORK PLANS AND MONITOR DATA. IN CONSULTATION WITH THE PLANNING TEAM, WORK GROUPS REVIEWED THE PREVENTION AGENDA INDICATORS SPECIFIC TO THEIR GOALS, ASSESSED CURRENT STATUS, REAFFIRMED INITIATIVES AND COMMUNITY PARTNERS AND ADJUSTED WORK PLANS FOR 2017-2018. EACH OF THE WORK GROUPS' MAJOR ACCOMPLISHMENTS AND CHALLENGES TO DATE WERE OUTLINED AS FOLLOWS:A. TOBACCO CESSATION WORK GROUP1. SUCCESSFULLY IMPLEMENTED FAX-TO-QUIT/OPT-TO-QUIT POLICIES WITHIN THREE HOSPITALS IN THE COUNTY AND APPLICABLE OCHD PROGRAM, CONTRIBUTING TO THE INCREASE IN CESSATION REFERRALS. 2. SUCCESSFULLY ESTABLISHED RELATIONSHIPS WITH AREA SCHOOLS TO OFFER TOBACCO PREVENTION EDUCATION SESSIONS. 3. SUCCESSFULLY DEVELOPED PARTNERSHIPS TO OFFER CESSATION CLASSES.4. SAW AN INCREASE IN NUMBER OF CALLS TO THE QUITLINE: 458 (2015) TO 980 (2016 YTD)5. ONEIDA COUNTY HEALTH DEPARTMENT CLINIC STAFF TRAINED IN AN USING 5 A'S WITH PATIENTS.B. BREASTFEEDING WORK GROUP1. SUCCESSFULLY SUPPORTED COMMUNITY PEER-TO-PEER SUPPORTS FOR BREASTFEEDING WOMEN.2. SUCCESSFULLY IMPLEMENTED DIRECT REFERRAL SYSTEMS FOR TWO OB CLINICS TO REFER WOMEN TO WIC.3. SUCCESSFULLY STARTED PARTNERSHIP WITH EDUCATION FOR CHILD CARE PROVIDERS.4. SUCCESSFULLY IMPLEMENTED THE BREASTFEEDING FRIENDLY PLACES IN THE COMMUNITY THROUGH THE BREASTFEED YOUR BABY HERE (BYBH) INITIATIVE.5. MEDIA PROMOTION TO SUPPORT OPENING OF ADDITIONAL BREASTFEEDING CARE LOCATIONS THROUGH TARGETING UNDESERVED POPULATIONS.6. FSLH PARTICIPATED IN GREAT BEGINNINGS LEARNING COLLABORATIVE.7. COMMUNITY EDUCATION AND WEIGH STATIONS PROVIDED ONGOING BREASTFEEDING SUPPORT (RMH AND OCHD).8. CHALLENGE IN EFFECTIVENESS OF FEEDING COUNSELING SESSIONS AT OB CLINICS. ALTHOUGH A SUBSTANTIAL AMOUNT OF WOMEN WERE EDUCATED, SIGNIFICANT CHANGES IN BREASTFEEDING OUTCOMES AT DELIVERY WERE NOT SEEN AND IT WAS NOT A SUSTAINABLE MODEL. 9. CHALLENGE IN CONNECTING DELIVERY PATIENTS WITH WIC PEER COUNCELORS UPON DELIVERY. IDENTIFIED INDIRECT WAYS TO MAKE THIS TIMELY CONNECTION, MAINLY THROUGH USING SOCIAL MEDIA.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2016
Page 9
Schedule H (Form 990) 2016
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address Type of Facility (describe)
1 1 - MEDICAL ARTS
4401 MIDDLE SETTLEMENT ROAD
NEW HARTFORD,NY13413
OUTPATIENT LAB/X-RAY
2 2 - SEMC AT FAMILY PRACTICE CENTER
120 HOBART STREET
UTICA,NY13501
OUTPATIENT PHYSICIAN CLINIC
3 3 - WOMEN & CHILDREN'S FAMILY HEALTH CENTER
2212 GENESEE STREET
UTICA,NY13501
OUTPATIENT PHYSICIAN CLINIC
4 4 - WOUND CARE SERVICES
4401 MIDDLE SETTLEMENT ROAD
NEW HARTFORD,NY13413
OUTPATIENT PHYSICIAN CLINIC
5 5 - FAMILY PRACTICE NEW HARTFORD
4401 MIDDLE SETTLEMENT ROAD
NEW HARTFORD,NY13413
OUTPATIENT PHYSICIAN CLINIC
6 6 - COMMUNITY MEDICINE AT EAST UTICA
1256 CULVER AVENUE
UTICA,NY13501
OUTPATIENT PHYSICIAN CLINIC
7 7 - MARIAN MEDICAL IMAGING
2211 GENESEE STREET
UTICA,NY13501
OUTPATIENT LAB/X-RAY
8 8 - LITTLE FALLS FAMILY PRACTICE
500 EAST MAIN STREET
LITTLE FALLS,NY13365
OUTPATIENT PHYSICIAN CLINIC
9 9 - TOWN OF WEBB HEALTH CENTER
114 SOUTH SHORE ROAD
OLD FORGE,NY13420
OUTPATIENT PHYSICIAN CLINIC
10 10 - COMMUNITY MEDICAL SERVICES - MOHAWK
5 ANN STREET
MOHAWK,NY13407
OUTPATIENT PHYSICIAN CLINIC
11 11 - COMMUNITY MEDICAL SERVICES SOUTH UTICA
6 HAMPDEN PLACE
UTICA,NY13501
OUTPATIENT PHYSICIAN CLINIC
12 12 - ADIRONDACK SPORTS MEDICINE
4401 MIDDLE SETTLEMENT ROAD
NEW HARTFORD,NY13413
OUTPATIENT REHAB SERVICES
Schedule H (Form 990) 2016
Page 10
Schedule H (Form 990) 2016
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,268,979.
PART III, LINE 4: 990 PART III LINE 3:THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE MEDICAL CENTER'S POLICY IS NOT TO PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE; THEREFORE, THESE AMOUNTS ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. DURING 2016 AND 2015, COSTS INCURRED BY THE MEDICAL CENTER IN THE PROVISION OF CHARITY CARE WERE BASED ON THE RATIO OF THE MEDICAL CENTER'S COSTS TO GROSS CHARGES AND APPROXIMATED $340,000 AND $225,000 FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, RESPECTIVELY. THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS COST TO CHARGE RATIO. THE SHORTFALL REPORTED IS COMMUNITY BENEFIT EXPENSE BECAUSE THIS AMOUNT REPRESENTS THE UNREIMBURSED COSTS TO THE MEDICAL CENTER FOR PROVIDING CARE FOR THE COMMUNITY'S ELDERLY AND DISABLED.
PART III, LINE 9B: COLLECTION POLICY PROVISIONS PATIENTS THAT QUALIFY FOR THE MEDICAL CENTER'S CHARITY CARE PROGRAM HAVE THE CHARGES ON THEIR ACCOUNTS FORGIVEN AS THEY ARE PLACED IN CHARITY CARE AND THE BALANCES ARE WRITTEN OFF. THE MEDICAL CENTER'S CHARITY CARE PROGRAM USED THE FEDERAL POVERTY GUIDELINES (FPG) AS A GUIDE WITH HIGH-END LIMITS AT 300% OF THE FPG. IN THOSE SITUATIONS WHERE THE PATIENT'S INCOME IS BETWEEN 200% - 300% OF THE FPG, A SMALL COST SHARE WOULD BE THE ONLY AMOUNT NOT INCLUDED IN CHARITY CARE. ADDITIONALLY THIS SMALL COST SHARE WOULD BE THE ONLY AMOUNT TURNED OVER TO COLLECTION WITH THE OPPORTUNITY OF EVENTUALLY BEING WRITTEN OF TO BAD DEBT IF NOT PAID.
PART VI, LINE 2: A CHA/CHIP PLANNING TEAM COMPROSED OF OCHD, FSL, SEMC AND RMH STAFF MET REGULARLY STARTING IN EARLY 2016. THE PLANNING TEAM CAME TO CONSENSUS ON THE APPROACH TO UPDATE THE CHA AND REASSESS PRIORITIES ESTABLISHED IN THE CHIP. DATA FROM THE ONEIDA COUNTY PREVENTION AGENDA DASHBOARD, NEW YORK STATE QUITLINE PARTNERS REPORTS, ONEIDA COUNTY TEEN ASSESSMENT PROJECT (TAP), PEDIATRIC NUTRITION SURVEILLANCE SYSTEM (PEDNSS) REPORTS, COUNTY HEALTH RANKINGS, BRIDGES COMMUNITY SURVEY, AND THE CNY CARE COLLABORATIVE (CNYCC) COMMUNITY HEALTH ASSESSMENT WERE REVIEWED TO ASSESS AREAS FOR IMPROVEMENT AND STATUS IN ACHIEVING THE GOALS AND OBJECTIVES OUTLINED IN THE PREVIOUS CHIP. THE CNYCC COMMUNITY HEALTH ASSESSMENT AND WORK TO SUPPORT THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP), AN INITIATIVE TO TRANSFORM THE HEALTH SYSTEM OF NEW YORK STATE, WERE ALSO FACTORED INTO THE ASSESSMENT PROCESS. THE PLANNING TEAM, IN ORDER TO SECURE STAKEHOLDER FEEDBACK, ESTABLISHED A PLAN FOR SEEKING STAKEHOLDER AND COMMUNITY FEEDBACK AS OUTLINED BELOW:IN MARCH 2016, THE PLANNING TEAM PRESENTED TO THE ONEIDA COUNTY HEALTH COALITION GENERAL MEMBERSHIP (APPROXIMATELY 60 PEOPLE IN ATTENDANCE) INFORMATION ON THE CHA AND CHIP ACTIVITIES. THE OCHC IS COMPRISED OF BOARD REPRESENTATION OF SECTORS AND ORGANIZATIONS THAT CONVENE UNDER THE DIRECTION OF THE OCHD TO DISCUSS AND ALAYZE DATA ON VARIOUS HEALTH ISSUES AND TRENDS. PARTNERS WERE PROVIDED WITH A SUMMARY OF THE PREVENTATION AGENDA DATA AND THE SELECTED CHIP FOCUS AREAS AND WORK GROUP ACTIVITIES. MEMBERS WERE APPRISED OF, AND INVITED TO PARTICIPATE IN THE WORK GROUPS AND COMMUNITY HEALTH ASSESSMENT ACTIVITIES. AS A FOLLOW UP TO COLLECT MORE IN-DEPTH PARTNER FEEDBACK, IN MAY 2016, THE PLANNING TEAM CONVENED MEMBERS OF THE ONEIDA COUNTY HEALTH COALITION STEERING COMMITTEE, A GROUP OF APPROXIMATELY 20 COMMUNITY AGENCIES AND ORGANIZATIONS THAT OVERSEE AND GUIDE THE LARGER COMMUNITY HEALTH PARTNERSHIP. PARTNERS WERE PRESENTED WITH AN OVERVIEW OF THE COMMUNITY HEALTH ASSESSMENT UPDATE AND COMMUNITY AND STATUS IN ACHIEVING THE DEFINED GOALS AND OBJECTIVES. THE PREVENTION AGENDA INDICATOR DATA AND GOALS WERE REVIEWED ALONG WITH AN OVERVIEW OF HOW EACH OF THE FOCUS AREAS ALIGN WITH HOSPITAL DSRIP INITIATIVES, SPECIFICALLY: THE INITIATIVES OF THE TOBACCO CESSATION WORK GROUP ALIGNED WITH DSRIP FOCUS AREAS TO DSRIP 4.D.I. - REDUCE PRETERM BIRTHS AND DSRIP 3.B.I. - CARDIOVASCULAR DISEASE MANAGEMENT AND THE INITIATIVES OF THE BREASTFEEDING WORK GROUP INDIRECTLY ALIGN WITH DSRIP GOALS (E.G., HEALTHY START FOR BABIES AND HEALTH BENEFITS TO MOTHER) TO REDUCE UNNECESSARY UTILIZATION THROUGH PRIMARY PREVENTION. THE PLANNING TEAM OUTLINED ITS SUCCESSES AND CHALLENGES AND OBTAINED INPUT FROM THE STEERING COMMITTEE ON AREAS FOR IMPROVEMENT AND IDENTIFIES OTHER POTENTIAL PARTNERS OR RESOURCES THAT COULD SUPPORT CHIP WORK GROUP ACTIVITIES. AS A RESULT OF THE DIALOGUE, THE OCHC STEERING COMMITTEE REAFFIRMED THAT THE PLANNING TEAM AND WORK GROUPS SHOULD CONTINUE THEIR EFFORTS TO ADDRESS THE CHIP FOCUS AREAS AND GOALS OUTLINED IN THE 2013 - 2017 CHIP. THE PLANNING TEAM ALSO ESTABLISHED MECHANISMS TO COLLECT COMMUNITY PERSPECTIVE ON THE CHIP FOCUS AREAS. HEALTH DEPARTMENT STAFF PRESENTED A SHORT COMMENT CARD TO COMMUNITY MEMBERS AT ALL SEVEN (7) PUBLIC HEALTH EVENTS ON NEEDS AND PERCEPTIONS RELATED TO TOBACCO CESSATION AND BREASTFEEDING. ADDITIONALLY, THE PLANNING TEAM REVIEWED THE FINDINGS FROM THE CNYCC NEEDS ASSESSMENT WHICH INCLUDED A PRIMARY CARE ASSESSMENT, CNY CONSUMER ACCESS SURVEY, CNY SAFETY NET ASSESSMENT (MEDICAID AND SELF-PAY POPULATIONS) AND KEY INFORMANT INTERVIEWS. OCHC SUMMARY OF COMMUNITY INPUT: QUESTION RESPONSES (FROM 7 COMMUNITY EVENTS, NOT LISTED IN ANY PARTICULAR ORDER) WHAT CAN WE DO, AS A COMMUNITY TO HELP MORE MOTHERS' BREASTFEED THEIR BABIES? EDUCATION - INFORMATIONAL CLASSES FOR BREAST FEEDING, EDUCATION & SUPPORT, EDUCATE THE PUBLIC AT WORK PLACES ABOUT BREAST FEEDING, MORE EDUCATION IN SCHOOLS, MORE EDUCATION IN HOSPITALS, ESPECIALLY YOUNGER MOMS. SUPPORT - MORE SUPPORT AFTER DELIVERY, DON'T GIVE FORMULA IN HOSPITAL IF NURSING, BE ALLOWED TO PUMP AT WORK. COMMUNITY AWARENESS - RAISE AWARENESS ON RIGHT TO PUMP AT WORK, HELP PUBLIC ACCEPT BREASTFEEDING AS NATURAL, HELP PUBLIC ACCEPT BREASTFEEDING SHOULD BE ABLE TO BE DONE IN ANY LOCATION. WHAT CAN WE DO AS A COMMUNITY TO HELP MORE PEOPLE STOP SMOKING? EDUCATION - EDUCATION IN SCHOOLS TO HIGHLIGHT DANGERS, MORE FACE TO FACE EDUCATION IN SCHOOLS AND WITH EMPLOYERS (WITH PEOPLE WHO HAVE SUFFERED EFFECTS OF SMOKING), REMIND PEOPLE OF REASONS TO QUIT. CESSATION SERVICES AND SUPPORT - HYPNOSIS, ACUPUNCTURE, ACCESS TO NRT (NICOTINE REPLACEMENT THARAPY), SUPPORT TO STAY ON TOP OF QUIT ATTEMPT LONG-TERM, DOCTORS NEED TO ADDRESS MORE, SUPPORTS TO JUST DO IT OTHER - NOTHING MORE CAN BE DONE, HAS TO COME FROM THE PERSON WHEN THEY ARE READY, TRIED EVERYTHING, NOTHING LEFT TO TRY OF I'D DO IT MYSELF, STOP SELLING CIGARETTES. WHAT ARE THE TOP HEALTH ISSUES FOR YOU AND YOUR FAMILY? ACCESS - INSURANCE COST AND CONFUSION, INSURANCE HAVING IT AND KEEPING IT, FINDING FAMILY PHYSICIANS, THERAPY SERVICES (PT, OT), DENTAL. HEALTH ISSUES - OVERWEIGHT OBESITY, WEIGHT GAIN, EXERCISE, BREASTFEEDING, ALLERGIES, HEART DISEASE/CARDIAC ISSUES, HIGH BLOOD PRESSURE, EATING, NUTRITION, SUGAR, FOOD PREPARATION, TIME, MEAL PLANNING, AFFORDABILITY, FAST FOOD, KIDS (FRUITS & VEGETABLES), EXERCISE, TIME TO WORKOUT, ALZHEIMERS, LYME DISEASE/TICKS, MENTAL & PHYSICAL HEALTH, CHRONIC PAIN, WEAK BONES, CONTAGIOUS DISEASES, STDS, SMOKING, CIGARETTES, DRUGS, DRUGS IN THE STREET, DRINKING, LEAD, LEAD TESTING, HOUSING, POLLUTION, ANEMIA, HYGIENE.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHIS IS COMMUNICATED THROUGH ST ELIZABETH MEDICAL CENTER'S FACILITATED ENROLLMENT PROGRAM AND THE FINANCIAL ASSISTANCE PROGRAM. INFORMATION IS INCLUDED IN THE PATIENT INFORMATION GUIDES PRESENTED TO INPATIENTS AND OUTPATIENTS AND IS AVAILABLE ON THE HOSPITAL'S WEBSITE.ST ELIZABETH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAMTO SUPPORT OUR MISSION, THE ST ELIZABETH MEDICAL CENTER HAS DEVELOPED THE FINANCIAL ASSISTANCE PROGRAM. THE MEDICAL CENTER WILL MAKE AVAILABLE A RESONABLE AMOUNT OF UNCOMPENSATED SERVICES TO ELIGIBLE PERSONS.ST. ELIZABETH MEDICAL CENTER'S FACILITATED ENROLLMENT PROGRAMIN 2000, ST ELIZABETH MEDICAL CENTER DEVELOPED AND IMPLEMENTED THE FACILITATED ENROLLMENT PROGRAM AS A RESULT OF THE UNIQUE COLLABORATION THAT WAS FORGED BETWEEN ST ELIZABETH MEDICAL CENTER AND ONEIDA COUNTY SOCIAL SERVICES DEPARTMENT. THIS PROGAM ALLOWS ST ELIZABETH MEDICAL CENTER STAFF, PATIENT ACCOUNT REPRESENTATIVES, TO ACT AS AN AUTHORIZED REPRESENTATIVE OF THE PATIENT AT THE ONEIDA COUNTY DEPARTMENT OF SOCIAL SERVICES AND SUBMIT THE APPLICATION FOR BENEFITS. THIS SUCCESSFUL PROGRAM HAS EXPANDED THROUGHOUT THE PAST SEVERAL YEARS TO INCLUDE OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS.
PART VI, LINE 4: SERVICE AREA:THE ONEIDA COUNTY HEALTH DEPARTMENT AND THE HOSPITALS SERVE THE ENTIRE COUNTY. HOSPITAL PATIENT CENSUS INCLUDES RESIDENTS FROM HERKIMER AND MADISON AS WELL, WITH APPROXIMATELY 80% OF PATIENTS RESIDING IN ONEIDA COUNTY ZIP CODES. THE THREE HOSPITALS IN THE COUNTY INCLUDE: MOHAWK VALLEY HEALTH SYSTEM WHICH INCLUDES FAXTON-ST. LUKE'S HEALTHCARE (FSLH) AND ST ELIZABETH MEDICAL CENTER (SEMC), LOCATED IN THE CITY OF UTICA; AND ROME MEMORIAL HOSPITAL (RMH) LOCATED IN THE CITY OF ROME. GEOGRAPHY:ONEIDA COUNTY IS LOCATED IN CENTRAL NEW YORK WITH A POPULATION OF APPROXIMATELY 233,944. THERE ARE THREE CITIES IN THE COUNTY: UTICA POPULATION OF 62,000; ROME POPULATION OF 33,000; AND THE SMALL CITY OF SHERRILL. THERE ARE 45 TOWNS AND VILLAGES THAT COVER A TOTAL OF 1,257.11 SQUARE MILES. SIXTY-SEVEN PERCENT (67%) OF THE COUNTY'S POPULATION RESIDES IN URBAN AREAS AND 33% IN RURAL AREAS.AGE:LIKE MANY OTHER COMMUNITIES, ONEIDA COUNTY HAS A SIGNIFICANT AND GROWING AGING POPULATION WITH A MEDIAN AGE OF 41.2 AND 16.8% OF THE POPULATION 65 YEARS AND OLDER. RACE & ETHNICITY:THE RACIAL AND THNIC CHARACTERISTICS OF ONEIDA COUNTY ARE: WHITE (84.9%); BLACK (5.5%); ASIAN (4.0%); OTHER (2.0%), TWO OR MORE RACES (3.1%); AND HISPANIC OR LATINO (5.5%). ONEIDA COUNTY IS THE HOME OF ONE OF THE LARGEST REFUGEE RESETTLEMENT AGENCIES IN THE COUNTRY, THE MOHAWK VALLEY RESOURCE CENTER FOR REFUGEES (MVRCR). SINCE 1981, THE MVRCR HAS RESETTLED OVER 15,000 INDIVIDUALS IN THE CITY OF UTICA OF VARYING ETHNICITIES AND NATIONALITIES INCLUDING VIETNAMESE, RUSSION, BOSNIAN, SOMALI BANTU, BURMESE AND NEPALI TO NAME A FEW (MVRCR): 17.6% FOREIGN-BORN RESIDENTS CONSTITUTE THE POPULATION OF THE CITY OF UTICA. 26.6% HOUSEHOLDS IN UTICA SPEAK A LANGUAGE OTHER THAN ENGLISH.WITHIN THE COUNTY BORDER IS A PORTION OF THE MEMBERS (549) AND TERRITORY OF THE ONEIDA INDIAN NATION (NYS OFFICE OF CHILDREN AND FAMILY SERVICES, "A PROUD HERITAGE - NATIVE AMERICAN SERVICES IN NYS", 2001 EDITION) IN THE COUNTY, THERE ARE POCKETS OF AMISH AND MENNONITE POPULATIONS IN RURAL AREAS (DATA UNAVAILABLE). ECONOMIC:-PERCENTAGE OF FAMILIES AND PEOPLE WHOSE INCOME IN THE PAST 12 MONTHS IS BELOW THE POVERTY LEVEL IS 11.7% AND THE PERCENTAGE WITH RELATED CHILDREN UNDER 18 YEARS IS 20.8%; THE PERCENTAGE OF PEOPLE 65 YEARS AND OLDER BELOW THE POVERTY LEVEL IS 9.1%. THE PERCENTAGE OF THE POPULATION 16 YEARS AND OLDER THAT IS UNEMPLOYED IS 4.8%.-PERCENT WITH HIGH SCHOOL GRADUATE DEGREE OR HIGHER IS 87.5%.-PERCENT OF CIVILIAN NON-INSTITUTIONALIZED POPULATION WITH HEALTH INSURANCE COVERAGE IS 93.1%; 67.5% OF THESE HAVE PRIVATE HEALTH INSURANCE AND 40.6% WITH PUBLIC COVERAGE. 6.9% HAVE NO HEALTH INSURANCE COVERAGE. -THE EIGHT COUNTIES OF CNY HAVE A TOTAL OF 277,458 MEDICAID ENROLLEES; ONONDAGA AND ONEIDA COUNTY ACCOUNT FOR 171,713 OR 62% OF ALL OF THE MEDICAID ENROLLEES. (CENTRAL NY CARE COLLABORATIVE COMMUNITY HEALTH ASSESSMENT)
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHESE ACTIONS REPRESENT THE MEDICAL CENTER'S EMPLOYEE OUTREACH BEYOND THE HOSPITAL AND MEDICAL GROUP OFFICES INTO AREA COMMUNITIES, AND THEY SPAN A WIDE REACH OF EVENTS AND SITES. ALONG WITH HOSPITALS ACROSS THE STATE AND NATION, ST ELIZABETH NOW MONITORS HOW OUR FAITHFULNESS TO THE REGIONAL POPULATION MEETS OUR LOCAL COMMUNITIES' UNIQUE HEALTH NEEDS.THEREFORE, COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. OUR CATHOLIC TRADITION AND MEDICAL CENTER MISSION TEACH US TO PUT THE NEEDS OF THE POOR AND VULNERABLE FIRST. AMONG OUR COMMUNITY BENEFIT ACTIVITIES ARE:-CHARITY CARE FOR PEOPLE UNABLE TO AFFORD SERVICE-HEALTH EDUCATION AND ILLNESS PREVENTION-HEALTHCARE INITIATIVES FOR AT-RISK YOUTHS-FREE OR LOW-COST CLINICS AND-INITIATIVES TO RAISE AWARENESS AND RECEIVE PUBLIC INPUTMANY OF THESE ACTIVITIES ARE ADVANCED IN COLLABORATION WITH COMMUNITY MEMBERS AND OTHER ORGANIZATIONS TO IMPROVE HEALTH AND QUALITY OF LIFE. THE MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH AN OPEN MEDICAL STAFF AND A COMMUNITY BOARD. SEMC FURTHER PROMOTES THE HEALTH OF THE COMMUNITY BY USING ITS SURPLUS FOR TRAINING AND EDUCATION OF ITS EMPLOYEES AND BY INVESTING IN HEALTHCARE TECHNOLOGY.
PART VI, LINE 6: ST ELIZABETH MEDICAL CENTER (SEMC) AND FAXTON ST LUKE'S HEALTHCARE (FSLH) AFFILIATED UNDER THE MOHAWK VALLEY HEALTH SYSTEM (MVHS) ON MARCH 6, 2014. THE TWO ORGANIZATIONS ARE NOW GOVERNED BY A SINGLE, 18-MEMBER MVHS BOARD OF DIRECTORS AND A SINGLE MANAGEMENT TEAM. AS THE ORGANIZATIONS MOVE FORWARD, THEY WILL CONTINUE TO WORK COLLABORATIVELY TO MEET THEIR RESPECTIVE 2016 COMMUNITY SERVICE PLAN GOALS.
PART VI, LINE 7, REPORTS FILED WITH STATES NY
Schedule H (Form 990) 2016
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