St Josephs Hospital Health Center

“The following individual received compensation of more than $10,000 from st. Joseph's hospital health center and have a family relationship to a hospital board member: 1. Adam howe, nephew of kathryn ruscitto the following key employee has a family relationship with a board member: 1. Lowell seifter, husband of sharon mcaullife the following company received compensation from a business transaction of more than $100,000 from st. Joseph's hospital health center and a board member, vincent sweeney and his family, own the company: 1. Syracuse office environment the following interested person(s) had a business transaction (compensation arrangement) of more than $100,000 from st. Joseph's hospital health center and were board members, please see part vii for further detail: 1. Kathryn ruscitto 2. Sandra sulik, md”

“The governing documents were amended in 2014 to reflect the change of the sole corporate member from the general minister and council of the sisters of st. Francis of the neumann communities, to st. Joseph's health, inc. Effective october 2014. In addition, the bylaws were amended during 2014 to comply with the nys nonprofit revitalization act.”

“St. Joseph's health, inc. Is the sole member of st. Joseph's hospital health center.”

“The sole member of the corporation, st. Joseph's health, inc. May elect the board of trustees and remove board members.”

“The sole member of the corporation, st. Joseph's health, inc., shall retain the power and authority to: - change the philosophy, mission and purpose of the corporation; - adopt and/or amend the certificate of incorporation; - adopt and/or amend the by-laws; - elect the board of trustees and remove the board members with or without cause; - appoint the president and chief executive officer of the corporation; - approve the purchase, sale, lease, mortgage of real property; and approve the purchase, sale of gift of capital assets; - approve the merger, consolidation or affiliation of the corporation with another corporation, organization or program; - approve the dissolution of the corporation and disposition of assets.”

“The finance committee and the board of trustees will review the form 990 prior to its submission. A copy of the 990 will be provided to the committee and board prior to the meeting for discussion.”

“Consistent with the hospital bylaws which requires a duty to disclose, on an annual basis at a defined time, all board of trustees are given the conflict of interest policy and form to review and complete. The president of the board of trustees tracks the submission process to ensure that all forms are completed and submitted. The information from the conflict of interest statements are reviewed at a subsequent board meeting. Any new individuals appointed as a trustee will complete this review and submission process after they have been confirmed. The interested person is required to leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. An interested person may make a presentation at the board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of and vote on the transaction or arrangement that results from the conflict of interest. The board of trustee meeting minutes reflect whenever a board member abstains from voting.”

“The hospital bylaws establishes an executive compensation committee. The compensation committee of the board of trustees, which is comprised of independent board members determined to be free of any conflict of interest, is charged with determining executive compensation and establishing performance criteria according to an approved compensation philosophy. The committee works with an independent executive compensation consulting and advisory firm, yaffe & company, that provides market survey data concerning compensation and benefit levels for functionally comparable healthcare executives in similar hospitals across the region and the nation based on several factors including size, geography, hospital type and complexity. The committee reviews and approves the compensation of the senior executives and ensures that all forms of executive compensation are reasonable, appropriate and consistent with its compensation philosophy. The committee contemporaneously documents its decisions in meeting minutes and reports its decisions to the full board of trustees.”

“St. Joseph's hospital health center does not make its governing documents, conflicts of interest policy, and financial statements available to the public. It does however produce an annual report which contains financial information and is readily distributed and made available to the public.”

“Outreach to northern new york: st. Joseph's continued its telemedicine program with samaritan medical center in watertown, n.y., to achieve optimal cardiac care for central and northern new york. Samaritan houses a freestanding catheterization laboratory that services the largely rural jefferson, st. Lawrence, lewis and franklin counties. Samaritan's cath lab utilizes the expertise of st. Joseph's invasive cardiologists. All patients are screened for risk factors and any cardiac cath candidates who display at-risk symptomatology are referred to st. Joseph's hospital for inpatient cardiac catheterization procedures, angioplasty or cardiac surgery interventions. St. Joseph's express admission line is a hotline used primarily for the speedy transfer of cardiac patients from rural hospitals without cardiac catheterization labs. It can also be a lifesaving tool used to transfer any patient in need to the appropriate level of care as soon as possible. When a patient requires specialty care unavailable at his or her current health care facility, medical personnel call the express line, which is answered 24-hours-a-day, seven-days-a-week by st. Joseph's administrative nursing coordinator. The nursing coordinator listens to the description of the patient's condition, contacts the st. Joseph's physician on call for the particular specialty needed, and within minutes all three parties are engaged in a three-way potentially lifesaving conversation. The st. Joseph's physician can obtain critical patient information and give specific instructions for care during transport, while the nursing coordinator simultaneously checks for available beds and alerts those needed to prepare for the patient's arrival. To expedite the process, hospital representatives from both locations then take care of paperwork and other important information, while the patient is enroute. The express line has literally been a lifesaver, because precious time is not spent searching for an open bed or triaging the patient a second time upon arrival at st. Joseph's, but only on making sure the patient receives the best possible medical care immediately and throughout his or her stay. Rehabilitation: st. Joseph's offers the only comprehensive cardiac rehabilitation program that is certified by the american association of cardiovascular and pulmonary rehabilitation and is the largest such program in central new york. In 2014, st. Joseph's admitted more than 195 patients, providing nearly 11,492 patient visits. A medically supervised exercise program is also held at the site. This program is specifically designed for people who want to exercise and maintain their independence, but whose chronic disease states put them at risk for exercising in standard gyms.”

“Other: program service expenses 55,651,364. Management and general expenses 11,508,383. Fundraising expenses 0. Total expenses 67,159,747.”

“Change in net assets of st. Joseph's foundation 108,591. Pension & post retirement changes -531,321. Equity transfer -24,991,914. Interest rate cap -459,511. Other 11.”

“The process has not changed from the prior year.”

“Physician contracts $19,409,708 medical purchasesd services 15,527,338 maintenance contracts 7,218,145 other purchased services 6,605,194 contracted services 5,454,689 collection agency fees 3,542,083 temporary employment services 3,339,926 laundry and linen 2,370,007 maintenance and repair 1,642,879 other professional 1,065,618 transcription services 525,949 recruitment fees 264,749 software subscriptions 182,048 other design fees 7,685 billing fees 2,906 photography services 823”