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$ 4. 95 Presorted Standard U.S. Postage Paid Syracuse, N.Y. Permit # 568 The Central New York Business Journal 269 West Jefferson Street Syracuse, NY 13202 HealthCare Crouse offers robotic surgery for gallbladder problems STORY, PAGE 2 St. Joseph’s to open new surgical suite. Page 3. Health-Care People-on-the- Move news Page 5. The List: Radiological Diagnostic- Imaging Facilities Page 7. INSIDE PHOTO COURTESY OF CROUSE HOSPITAL NEW SURGERY OPTION June 14, 2013 BUSINESS JOURNAL NEWS NETWORK CNYBJ CNYBJ .COM CENTRAL NEW YORK BUSINESS JOURNAL BUSINESS JOURNAL

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$4.95

Presorted StandardU.S. Postage Paid

Syracuse, N.Y.Permit # 568

The Central New York Business Journal269 West Jefferson StreetSyracuse, NY 13202

HealthCare

Crouse offers robotic surgery for gallbladder

problemsSTORY, PAGE 2

St. Joseph’s to open new surgical suite. Page 3.

Health-Care People-on-the- Move newsPage 5.

The List: Radiological Diagnostic-Imaging Facilities Page 7.

INSIDE

PHOTO COURTESY OF CROUSE HOSPITAL

NEW SURGERY OPTION

June 14, 2013

B U S I N E S S J O U R N A L N E W S N E T W O R K

CNYBJCNYBJ.COM

C E N T R A L N E W Y O R K

BUSINESS JOURNALBUSINESS JOURNAL

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Page 2 • HealthCare Provider June 14, 2013

SYRACUSE — Crouse Hospital last month an-nounced it can now pro-vide single-site robotic surgery on patients need-ing gallbladder surgery.

It’s a procedure that can leave the patient “with virtually no scarring and minimal pain,” the hospital said in a news release.

Gallbladder surgery is now part of a ro-botic-surgery program that covers special-

ties, including urology, colorectal, gynecologic oncology, gynecology, and general-surgical procedures.

Surgeons performed more than 600 robotic procedures at Crouse in 2012, making it “the largest robotics pro-gram in the area,” the hospital said.

An estimated 10 to 15 percent of American adults have gallstone disease, the hospital said.

Doctors diagnose about 1 million new cases annually, and surgeons perform about 800,000 operations to treat gallstones, mak-

ing gallstone disease the “most common” gastrointestinal disorder to require hospi-talization, Crouse added.

Surgery to treat this condition has be-come “significantly less invasive” over the past two decades.

Previously, surgery to remove the gall-bladder, a procedure called cholecystec-tomy, involved a large abdominal incision and several weeks’ recovery time.

Nowadays, minimally invasive surgical techniques have made open gallbladder re-moval nearly obsolete, Dr. Kenneth Cooper, a general surgeon affiliated with Crouse Hospital and a partner in Central New York Surgical Physicians, P.C., said in the release.

Cooper is the first surgeon in Syracuse to use the advanced da Vinci surgical system to perform gallbladder removal using the single-site technique, Crouse said. The pro-cedure entails just one tiny incision rather than the four required previously.

Crouse said it is the only hospital in Syracuse currently offering this procedure.

“The minimally invasive approach, [called] laparoscopy, is the standard of care today,” said Cooper.

Robotic technology supports the sur-geon’s skill with three-dimensional (3D)

computer technology, enabling the surgeon to see vital-anatomical structures more clearly and perform surgical procedures more precisely, the hospital said.

“The biggest benefit of the single-site ap-proach is cosmetic,” Cooper said, since the procedure involved just one small incision in the belly button, leaving only a small, nearly invisible scar. “In most cases, this approach is preferred by younger patients who care about scarring, but it can be of-fered to almost everyone,” Cooper added.

Symptoms of gallbladder diseaseThe gallbladder is a small, hollow organ,

shaped like a crook-necked squash, located below the liver.

The organ stores bile until it’s needed to digest fat from food. If chemicals naturally

found in bile get out of balance, crystals form and can harden into gallstones which can block the flow of bile, causing pain, inflammation, or infection.

Symptoms of gallbladder disease are often called an “attack” because the symp-toms occur suddenly.

Gallbladder attacks often follow a fatty meal and may occur at night. A typical at-tack can cause steady pain in the upper, right side of the abdomen, and pain in the back between the shoulder blades and under the right shoulder.

These attacks may end when gallstones shift or move. However, if a blockage per-sists, the gallbladder could become in-fected and rupture.

Contact Reinhardt at [email protected]

Crouse offers single-incision robotic surgery for gallbladder problems

PHOTO COURTESY OF CROUSE HOSPITAL

Surgeons at Crouse Hospital perform a surgery using the da Vinci robot surgical system.

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OCC and CCC forge agreement on medical-records degree AUBURN — Cayuga Community College (CCC) and Onondaga Community College (OCC) recently announced an agreement that allows CCC students to earn an associate de-gree in health-information technology at OCC.

The agreement is in response to higher workforce demand for health-information technicians specializing in medical records in the regions that the Auburn school serves.

Under the agreement, CCC students can take their liberal-arts classes at the Auburn cam-pus and complete their degree requirements at OCC both online through the State University of New York (SUNY) Learning Network (SLN) and through on-site clinical-lab instruction, the schools said in a joint news release.

“Our ability to collaborate and share re-sources with peers is one of the great strengths of the SUNY system, and we’re pleased to work in partnership with Onondaga to provide an easy option for our students to complete a degree in this high-demand field,” Anne Herron, provost and VP for academic affairs at Cayuga Community College, said in the news release.

Students enrolling at CCC for the fall 2013 semester can begin taking advantage of the new agreement, the schools said.

ERIC REINHARDTJOURNAL STAFF

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HealthCare Provider • Page 3June 14, 2013

St. Joseph’s to open new surgical suite SYRACUSE — After more than a year of construc-tion, St. Joseph’s Hospital Health Center is pre-paring to open its new 73,000-square-foot surgi-cal suite, which is part of an ongoing expansion project at the Syracuse hospital.

St. Joseph’s will hold an opening event on June 17 and will begin using the facility on July 8.

The surgical-suite project cost totals $80 million, which is about two-thirds of the $123 million total cost of phase IIB of

the St. Joseph’s expan-sion project, according to Marilyn Galimi, di-rector of engineering and construction at St. Joseph’s.

The cost includes the construction, medical and mechanical equipment, consulting fees, contractor per-

mits, and legal fees, Galimi says.The hospital completed the project’s first

phase, including the parking garage, pedes-trian bridge, and expanded lobby in 2008. It also finished phase IIA, including the emergency department, in 2012.

The new surgical suite includes 15 op-erating rooms, two more than the current surgical suite. Each operating-room suite is about 50 percent larger to accommodate the current medical technology and larger surgical teams.

The new operating rooms comprise about 500 square feet of space, and the new suites are about 700 square feet apiece, Galimi says.

The surgical suite includes the PeriAnesthesia Care Unit (PACU), which is designed to enhance care for patients before and after surgery. St. Joseph’s has expanded the PACU from 16 to 25 patient beds, increasing its annual capacity from 10,500 to 14,000 patients.

In addition, the new, co-located Central Sterile Unit is nearly four times larger than the previous 40-year-old unit. Its location ad-jacent to the surgical suite increases safety and efficiency while sustainable-instrument washers will save water and electricity, ac-cording to the hospital.

It’s a “major construction” within the hospital, says Galimi.

It was more complicated than the con-struction involving the new emergency department (or Phase 2A) because it is “detached from the hospital,” she says.

“So we really didn’t have to deal with patients and noise and staff being close to the construction site, [whereas] this one is right attached to the hospital and we’re con-tinuously connecting to different existing systems like plumbing,” Galimi adds.

The construction work has continued around the ongoing work of the existing operating rooms.

“So it takes a lot of communication and cooperation, not only with the construction team but with the hospital staff,” Galimi says.

The current surgical setting has changed “dramatically” since 1992 when crews built the existing 15,000-square-foot operating-

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Page 4 • HealthCare Provider June 14, 2013

DeWITT — Electronic health records, an out-side vendor handling bill-ing, and a website for patient education ahead of an office visit. That’s all part of the technol-ogy and service package that Dr. Jeffrey Kahn uses to operate rehabwoRx Physical Medicine and Rehabilitation, PLLC.

The office is located in a 2,200-square-foot space in the Brittonfield Medical Center at 5000 Brittonfield Parkway in DeWitt. Kahn is the practice’s sole owner and practitio-ner.

In his practice, Kahn treats athletes, both competitive and recreational, including those participating in triathlons.

“Additionally, I see patients who’ve been injured on the job, injured in motor-vehicle

accidents, or who suf-fer from painful spinal or musculo-skeletal or neurological disorders who require the care of a specialist,” Kahn says.

Because of that, Kahn believes the scope of his practice is “more broad” than many other providers who may solely spe-cialize in joint care or spinal care.

rehabwoRx instituted the use of elec-tronic health records in 2011, prior to the pending federal regulations that could po-tentially lead to withholding of payments to providers who don’t use that technology, Kahn says.

In 2014, Medicare is going to require that providers treating its beneficiaries uti-lize electronic-health records technology and have the ability to prescribe electroni-cally, he adds.

Kahn instituted electronic health records to create “efficiency” in the practice, includ-ing “a more streamlined” method of manag-ing its patients, he says.

“The benefit has been significant to me, and we have had for over two years a com-pletely paperless-office system,” Kahn says.

The practice also uses a computer-based fax system and wireless technology so all incoming and outgoing records are man-aged electronically, he adds.

The system allows Kahn to review and sign off on documents in a timely manner, and rehabwoRx to schedule and treat pa-tients “in a quicker manner,” he says.

The practice also has electronic inter-faces between its scheduling and billing program, and the electronic health records, Kahn says, so following a patient visit, he’s already billed the individual.

“Our billing team, which is out of the office, is able to process the insurance claims in an efficient manner, and they are given all of the billing-related information moments after the patient has been seen,” Kahn says.

The billing vendor for rehabwoRx, Medical Management Resources, Inc., is also located in the Brittonfield Medical Center, he adds.

The practice also uses a website for pa-tient education prior to a scheduled visit.

“I’ve had a website in one form or an-other for at least 10 years, [even] when it was not common for medical practices to have websites,” Kahn says.

He worked with Scottsdale, Ariz.–based Omedix to create the website, which in-cludes a map and driving directions, infor-mation about insurance responsibilities, and details about the conditions Kahn treats, the diagnostic tests available, and the pro-cedural services the practice performs.

rehabwoRx employs one full-time worker with no plans for additional hiring in 2013. Kahn leases his space from Brittonfield Associates, LLC, but declined to disclose his monthly lease payment.

His firm generated between $500,000 and $1 million in gross revenue during 2012. Kahn expects a similar range in 2013, and perhaps more, saying he is seeing more patients since he moved the practice to Brittonfield last December.

As a practitioner, Kahn provides 500 “services” per month, he says.

Launching, moving rehabwoRxKahn came to Syracuse in 1989 following

his work at Mount Sinai Hospital in New York City to continue his work as a phys-ical-medicine and rehabilitation specialist at what was then called SUNY Upstate Medical Center.

After nine years in the academic setting, which included both teaching and patient-care responsibilities, Kahn decided to leave the school to launch his own non-surgical spinal and muculoskeletal care practice.

“There was a great deal of flux in the medical community in terms of other pro-viders merging practices, changing practic-es, and I felt that at that point in time, I was in a better position to be an independent practitioner,” Kahn says.

He launched rehabwoRx at Upstate’s Madison-Irving Medical Center in Syracuse, where it operated for 14 years.

As the years moved on, Kahn began to realize that operating his practice near a hospital wasn’t really necessary because rehabwoRx is an outpatient practice with no hospital responsibilities.

In addition, “due to increasing conges-tion and traffic difficulties,” Kahn says his patients were asking for a more suburban location.

He moved his practice to the Brittonfield Medical Center in December 2012.

“As a solo provider, who has an office which has a high degree of technology, I wanted to be able to create a single office location, which was geographically easy for patients across the broad area from which we draw patients to be able to access the of-fice, as well as move into a building where there were other providers who I could have interaction with on a clinical basis,” Kahn says.

The location affords his patients free parking, and with patients who come from the North Country, the Southern Tier, as far west as Cayuga County, and as far east as Herkimer, Kahn wanted a spot that would provide them with easy access, either via the New York State Thruway or Interstate 481, he says. q

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Page 10 • HealthCare Provider February 8, 2013

With Wellness: You Don’t Have to be a Big Business to Achieve Big ResultsWellness is a state of mind and body. It’s an individual thing. So, when it comes to employee participation, let’s not get lured into the misconception that well-ness only works in large numbers, and therefore is more fitting for a sprawl-ing Fortune 500 company than it is for a small busi-ness with 25 to 100 em-ployees.

Wellness today is for all employers and all of their employees. Even back in the 1980s

when I was consulting with small businesses, some of them had a well-ness program in place, and didn’t even realize it. When break time came, the employees of one

particular small business would take a walk around the block. Walking together during business hours was built into this com-pany’s culture. The only difference between then and now is today we would count the steps with a pedometer clipped to our belt

and walk with iPod buds stuck in our ears as opposed to a Sony Walkman. But the results remain the same.

But when it comes to getting companies to implement a wellness program into their corporate culture, it all comes down to get-ting them to practice what you preach. And what I found to be effective is utilizing the old KISS system with a slight modification — Keep It Simple Sells.

This is not to suggest that a good insur-ance agent doesn’t know that having a solid health and wellness plan in place will benefit his/her client. But sometimes the litany of objections from the employers — “There’s nothing I can do about health-care costs going up,” “It’s too expensive,” “We don’t have the facilities for exercise,” “My employees won’t want to do it” — can be overwhelming.

John Basten of The Mid-State Group in Lynchburg, Va. says employers are frustrat-ed with the ever-increasing cost of health premiums, and thus turn to brokers for solutions, which often include delivering “wellness” by implementing disincentives and benefit-design changes in an effort to change behavior. It’s a concept that Basten says doesn’t work.

“It’s only through education that you can guide employers to better understand the risks and obstacles they are facing,” he ex-plains. “Essentially, step one is to help them

identify the specific health factors within their company, because when real data drives the decision, one can plan for the expected re-sults.”

York International, a large regional bro-ker in Harrison, N.Y. derives about 25 per-cent of its $10 million in revenue from benefits serving the middle-market employ-er of 50-2,500 employees. For the past five years, York has been focusing on drawing employee benefits and wellness resources and capabilities from much larger busi-nesses to bring to smaller firms.

“The Fortune 1000 or 5000 have been practicing engaging employees in health beyond the financing of sickness for many years and we think that there is a tremen-dous opportunity to continue to do that with these middle-market companies,” ex-plains Mike Bodack of York International. “When our point of entry is who we call the ‘user buyer’ of insurance for their company, we try to engage the ‘economic buyer’ as well. It is not often the same person, but it does happen on occasion.”“When we deal with that economic buyer, we find that it is easy to focus the conversa-tion,” he adds. “Certainly, some folks will have their head in the sand. But the ones who are intelligent, rational human beings understand very quickly. Because in the end, it’s just a math problem.”

When employers perceive wellness as an added cost instead of an added benefit, bad things happen. Or nothing happens at all. Basten of the Mid-State Group has fought that battle for years.

“Employers are frustrated with the ever-increasing cost of health care and are look-ing for viable strategies to reverse the trend,” he says. “Many are looking for quick fixes which end in employers spending excessive funds in areas that don’t have long-lasting effects. Our specific focus is to educate the employer on how wellness should be defined as an employee benefit. We educate our clients that identifying the specific risk factors affecting their employee group is an essential and foundational step in creating an effective wellness program, starting with getting a minimum of 90 percent of their employees to complete a health-risk assess-ment without providing incentives.”

Getting the employees behind a well-ness program can often be the fuel that jump-starts an employer’s decision-making process, as now he/she sees what was per-ceived as a potential expense reaping poten-tial dividends in increased employee morale and decreased employee sick days.

As York International’s Bodack sees it, it’s all about the employee kick-off. “We’ve received tremendous response from our kickoff meetings,” he says. “The delivery of the health-risk assessment to an employee is a measure of control all by itself. When an employee takes the 10 minutes to read it, it may be more information than they get about their health from their own doctor. And, an annual health-risk assessment of-fers the employee a grand picture of his or

her health, year after year.”He adds, “When employees have some-

thing personalized, such as their HRA, and see directives they can look at year after year, it provides a tremendous level of control and a heightened awareness. We routinely reach 85 percent or 90 percent involvement from employees who review their Health Risk Assessments.”

One point that Bodack and Basten agree on as wellness experts is that employers should not rely on incentives for employee involvement in the program. And, converse-ly, neither should they be penalized for not participating.

“Employees are already struggling with family pressures and an uncertainty about the future,” says Basten. “The last thing em-ployees need is a work environment where they are told what not to do and being penalized for doing so. This doesn’t create a thriving corporate culture. Wellness should be offered solely as a benefit and not as a ‘reward,’ and delivered to the employees as such. Only then will the employer get the proper participation they need for the program to be successful.”

Mark Nantz of Knapp Miller Brown Insurance Services in Salem, Ind. says a key component of a successful wellness program, which he has used many times, is the shared clinic model, a benefit which also includes wellness coaches. “The shared clinic model allows smaller employers to use the clinic model, as long as there is a larger employer to act as the anchor,” says Nantz. “Think of a shopping center with the large big box store as the anchor tenant. A large employer can have its own clinic and it can act as an anchor for surrounding com-panies to share its on-site clinic. On-site clin-ics can also pull out employees with chronic illnesses and focus on wellness initiatives for those folks.”

It has become increasingly clear that workers’ compensation, employee benefits, and wellness are the three faces of employ-ee health, and the cost of that health means insurance producers must be equipped to bring a unified approach to employers. With the new health-care reform legislation, em-ployers will have an enormous need for expert advice on benefits and wellness. The insurance agents of the future are quickly arming themselves with new ways to at-tack the true root causes that are driving up health-care costs. And if employers can make their employees healthier without cutting benefits or shifting more premium costs to their employees, where is the down-side? q

Preston Diamond is managing director and co-founder of the Institute of WorkComp Professionals (IWCP), based in Asheville, N.C. In 2010, IWCP created a sister orga-nization, the Institute of Benefits & Wellness Advisors, that trains, tests, and certifies ben-efit and property & casualty insurance agents in wellness and employee benefits. Contact him at [email protected]

PRESTON DIAMONDVIEWPOINT

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Solo practice rehabwoRx uses technology for efficiencies

Kahn

eRic ReinhaRdtJouRnaL sTaff

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HealthCare Provider • Page 5June 14, 2013

ASPEN DENTAL

Gregory McCraith, D.D.S., has joined Aspen Dental in Cortland. He brings more than 25 years of dentistry experience to the community. McCraith received his doctorate in dental sur-gery from the University of Buffalo and served as chief of dental medicine at Olean General Hospital prior to joining Aspen Dental.

DELTA mEDicAL

Family nurse practitioner Patricia Marrello has joined the staff of Delta Medical. She joins inter-nal medicine physician Humberto Perez, M.D. at the new primary care practice and brings more than 40 years experience. Marrello graduated from Marcy State Hospital School of Nursing in 1968 and earned her bachelor’s of nursing at SUNYIT. She received her master’s degrees in hospital administration from the New School of Social Research and as a family nurse practitio-ner from SUNYIT.

fAxToN ST. LukE’S hEALThcArE

Jordan Little has been named director of nutri-tion and hospitality ser-vices for Faxton St. Luke’s Healthcare (FSLH) and Sodexo. He was previously director of hospitality ser-vices with FSLH. Prior to that, Little was a manager of Environmental Services for Sodexo in Pittsburgh, Pa. and Buffalo. He received his bachelor’s degree in business management from SUNY Empire State College in New York. Little is a certified health-care environmental services professional and is ServSafe-certified.

Nancy Borden has been named executive director of the Regional Cancer Center at FSLH. She previously was FSLH’s director of radiation oncology, a position she held for more than 15

years, and also served as the liaison between 21st Century Oncology and the health-care system. Borden received her as-sociate degree in radia-tion therapy from SUNY Upstate Medical University in Syracuse, her bach-elor’s degree in health-services management from SUNYIT Utica/Rome in Marcy, and her MBA in health-care management from American InterContinental University in Schaumburg, Ill.

Laurie Conover has been named oncology/palliative care social work-er for the Regional Cancer Center. Prior to joining FSLH, she held the po-sitions of oncology/inpa-tient hospital social worker for Bassett Hospital in Cooperstown, service co-ordinator for Central New York Developmental Services Office, director of social work/wellness program coordinator for Senior Network Health, LLC, and as consul-tant for Oneida County Department of Mental Health, all in Utica. Conover received her associ-ate degree in human services and counseling from Mohawk Valley Community College in Utica, her bachelor’s degree in social work/social welfare, and her master’s degree in so-cial work/social welfare from the University at Albany.

Krista O. Schlesiger has been named director of clinical nutrition for FSLH. She was previously a clinical dietitian covering acute and long-term care with FSLH. Schlesiger holds an associate degree in hotel/restaurant man-agement from Broome Community College and a bachelor’s degree in dietetics from SUNY Oneonta. She also completed an accredited di-etetic internship and graduate coursework at Stony Brook University.

Lauren Gallimo has been named manager of social services/admissions for St. Luke’s Home at FSLH. She was previously director of resident and family services for Van Rensselaer Manor Nursing Home in Troy, and a caseworker for the Neighborhood Center - School Partnership for Youth in Utica. Gallimo received her bach-

elor’s degree in psychol-ogy from Utica College and her master’s degree in social work from the University at Albany.

Vladan Obradovic, M.D., has joined the Bariatric Surgery Program at FSLH. He is affiliated with Dr. William A. Graber’s bariatric prac-tice in New Hartford. Obradovic earned his degree in nursing in Krusevac, Serbia. He received his medical de-gree and postgraduate master’s degree from the University of Belgrade School of Medicine in Belgrade, Serbia. He com-pleted a fellowship in digestive system surgery at the Institute for Digestive Diseases, First Surgical Clinic University, Clinical Center of Serbia in Belgrade, where he also became a staff surgeon at the clinical department for Hepatobiliopancreatic Surgery. Obradovic completed a residency and fellowship in bariatric and minimally invasive sur-gery at Geisinger Medical Center in Danville, Pa. Previously, he was a staff surgeon at the Surgical Department Health Centre in Krusevac, Serbia, and was a certified surgical assistant for Good Shepherd Hospital in Barrington, Ill., and St. Alexius Medical Center in Hoffman Estates, Ill.

oNEiDA hEALThcArE

David Patalino, M.D. and Jonathan Wigderson, D.O. have joined Oneida Healthcare’s Oneida Orthopedic Specialists at the Route 5 offices in Oneida. Patalino received his medical degree from SUNY Health Science Center at Syracuse College of Medicine and has a fellowship in ortho-pedic hand surgery and is board-certified in orthopedic surgery. Wigderson received his medical degree from Ohio University College of Osteopathic Medicine, Athens, Ohio. He is board-certified in orthopedic surgery and is a trained trauma specialist with a trauma fel-lowship from Mount Sinai Medical Center in New York City.

rurAL/mETro mEDicAL SErvicES

Rural/Metro Medical Services announced it has added five new employees to its Syracuse

staff. The additions were a result of a combi-nation of newly created positions and opera-tional expansion. Joining the staff as billing representatives are Traci Hanus, Debra Dobb, Laci Gillen, Elmer Gal, and Sara Hooper.

ST. joSEPh’S hoSPiTAL hEALTh cENTEr

The following individuals recently joined St. Joseph’s Hospital Health Center’s active med-ical staff. Joining emergency medicine are Katherine M. Nacca, M.D. and Nicholas E. Nacca, M.D.; joining psychiatry are Ahmed R. Nizar, M.D. and Haizhu Liu, M.D.; in surgery are Vladan N. Obradovic, M.D. and Byrant P. Carruth, M.D.; join-ing family medicine are Roslyn Chang, M.D.; and joining OB/GYN is Navpriya Oberoi, M.D.

uPSTATE uNivErSiTy hoSPiTAL

Allison M. Loi, M.D. has joined Upstate Community OB/GYN of Upstate University Hospital. She is a grad-uate of the University of Rochester School of Medicine, where she earned her medi-cal doctorate de-gree and remained at the University of Rochester to complete her residency in OB/GYN at Strong Memorial Hospital. Loi was previously in a private practice in Skaneateles. She has established a new office in the Physician Office Building North on Upstate University Hospital’s Community Campus. In addition to her office practice, Loi will be part of the OB/GYN hospitalist service.

vALLEy hEALTh SErvicES

Rachel Petkovsek recently joined the re-habilitation staff at Valley Health Services (VHS) as a physical-therapy assistant. A graduate of Herkimer County Community College (HCCC), she served one of her col-lege internships at VHS, and after graduation from HCCC, Petkovsek accepted a position in the Albany area. She later returned to the Mohawk Valley, working in Utica for more than five years. q

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Page 10 • HealthCare Provider October 26, 2012

A New York City–based not-for-profit home health-care organization has received state approval to expand its Medicaid managed long-term care plan to 24 counties out-side of the city — includ-ing several in the Syracuse and Utica areas.

The Visiting Nurse Service of New York (VNSNY) is moving on plans to spread its VNSNY Choice Medicaid Managed Long Term Care plan to Herkimer, Madison, Oneida, and Onondaga counties. That’s after the state approved the market expan-sion in September.

The managed long-term care plan is tar-geted at seniors and individuals with chron-ic illnesses and disabil-ities who cannot live

independently at home, but do not want to move into a nursing home. It’s a voluntary option for Medicaid-eligible beneficiaries that provides nurse-care managers who visit members’ homes and coordinate the health-care services they receive.

News of VNSNY Choice’s expansion follows New York Gov. Andrew Cuomo ac-cepting recommendations from a Medicaid Redesign Team in February. The redesign lifted a moratorium on the extension of existing Medicaid managed-care plans, ac-cording to Christopher Palmieri, president of VNSNY Choice Health Plans, who also acted as an adviser to the state during its Medicaid redesign. VNSNY has been open

to the option of growing its service area since before that moratorium was lifted, he adds.

“We’ve been interested in expanding our service area since about 2003,” he says. “It was something that we’ve been working on for the entire year. We started our process to apply for market expansion in the early part of 2012.”

VNSNY Choice isn’t the only Medicaid managed long-term care plan that will be growing into Central New York and its sur-rounding areas. Fidelis Care, a Catholic health plan based in Rego Park in the New York City borough of Queens, announced in August it was expanding its Fidelis Care at Home managed long-term care program into 11 counties in and around Central New York.

Numerous plans have applied to the state for expansion, Palmieri says. VNSNY Choice wants to offer its plan to all eligible New York residents eventually, he contin-ues.

“Our organization felt that we should be offering our coordinated care through managed long-term care across the state,” Palmieri says. “[This] expansion was one step toward becoming a statewide health plan and serving all 62 counties in the state.”

MV/CNY expansionVNSNY Choice has opened a Utica–area

office at 2 Ellinwood Drive in New Hartford and hired three employees to start building relationships with senior centers, nursing organizations, and hospitals that could be-come part of its network. Palmieri expects to hire more employees in Central New York and the Mohawk Valley in the future, although exact timelines and staffing levels are not set.

“It is safe to say that we’ll have a major

presence in Oneida County, Herkimer County, and Onondaga County, and we’ll look at whether we need an office in Madison County,” he says. “A lot of our work force is field based.”

VNSNY Choice has hired its own nurse care managers in New York City. It could follow that model in upstate New York, or it could turn to subcontractors if they seem like a good fit, Palmieri says.

“Those care managers have a direct relationship with the patients today,” he says. “When there aren’t those opportuni-ties, we’re happy to build the infrastructure ourselves.”

The Medicaid managed long-term care plan does not have any members in Central New York or the Mohawk Valley at the mo-ment. It could sign up interested members today but will likely make a push at the end of 2012 or beginning of 2013, according to Palmieri.

VNSNY Choice doesn’t know how many members it will sign up, and it’s not clear how many competitors it will face in the up-state market. It has nearly 14,000 managed long-term care beneficiaries in New York City, Palmieri says.

Rough estimates show the plan will re-ceive about $18,500 per member per year in Medicaid revenue. Those payments will vary by hundreds of dollars in different state rating regions, however.

“Around the first of the year is when we’ll have a formalized business plan based upon what we’ve projected and budgeted,” Palmieri says. “The challenge we have right now is, because there has not been a man-aged long-term care delivery system for this type of long-term care in the past, it’s going to be tricky to get the rates right.”

VNSNY Choice has 1,470 total employ-ees. It offers Medicare Advantage plans, Medicaid long-term care plans, and a health plan for individuals with HIV/AIDS and their children. It forecasts premium revenue of about $1 billion in 2012 — about $550 million of which will come from man-aged long-term care plans. Palmieri didn’t

have estimates of premium revenue for 2013, but says top-line revenue is estimated to be about $1.8 billion in 2013.

The managed long-term care plan has existing operations in New York City’s five boroughs and previously received state approval to grow into Nassau, Suffolk, and Westchester counties.

More recent state decisions have given it approval to expand into Herkimer, Madison, Oneida, and Onondaga counties, as well as other counties. They include Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Albany, Columbia, Delaware, Fulton, Greene, Montgomery, Otsego, Rensselaer, Schenectady, Saratoga, Schoharie, Warren, Washington, and Monroe counties.

VNSNY Choice has hired seven people in Fishkill in Dutchess County to spearhead its efforts in the Hudson Valley counties. It leased a 3,000-square-foot office there.

Palmieri is no stranger to the Mohawk Valley. He’s a Utica–area native who helped build Faxton St. Luke’s Healthcare’s Senior Network Health managed long-term health-care plan in the late 1990s, he says. q

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Page 6 • HealthCare Provider June 14, 2013

room suite and PACU, Jodi Donahue, direc-tor of surgical services at St. Joseph’s, said in a news release.

“Constructed to accommodate the re-source needs of the surgical procedures being performed at that time, the operat-ing rooms were once considered spacious. However, these rooms simply can no longer meet the demands of today’s advanced-surgical technology and procedural com-plexities,” Donahue said.

Galimi also referenced the early-1990s project creating the existing operating rooms.

“So you start seeing aging space that may still be adequate but is not efficient enough for the new technologies that you’re get-ting,” Galimi says, noting the hospital’s use of the daVinci robot for surgeries.

The project will use sustainable-design principles as the hospital seeks Leadership in Energy and Environmental Design (LEED) certification for the project.

Working with the New York State Energy Research and Development Authority (NYSERDA), the plan includes solar pan-els, daylighting views, energy-conserving systems, a greenway park, site drainage, and underground water and storm-water infrastructure, all of which are intended to reduce the hospital’s energy costs.

St. Joseph’s is using several means to finance the expansion project, which in-cludes the recently completed emergency-services building.

The Onondaga Civic Development

Corporation has provided St. Joseph’s an inducement of $177 million for tax-exempt bonding. The Onondaga County Legislature has authorized the corporation to assist nonprofit organizations that under-take economic-development projects.

The remainder of the investment will come from hospital reserves and the St. Joseph’s Hospital Foundation’s Generations capital campaign.

King + King Architects LLP of Syracuse designed the surgical suite. The Hayner Hoyt Corporation is serving as the con-struction manager on the project.

Subcontractors include Burns Bros Contractors of Syracuse, which is handling the heating, ventilation, and air condition-ing work as well as plumbing and mechani-cal work; Huen New York, Inc. of DeWitt, the local office of Broadview, Ill.–based Huen Electric, is handling the electrical work; Davis-Ulmer Sprinkler Co. of Clay is working on the sprinkler system; Edward Schalk & Son, Inc. of DeWitt is focused on the drywall work; and Raulli & Sons., Inc. of Syracuse is handling the structural steel work, according to Martin (Marty) Rainbow, project manager for Hayner Hoyt.

St. Joseph’s Hospital Health Center is a nonprofit, 431-bed hospital and health-care system providing services to patients in 16 counties in Central New York.

The hospital generated $586 million in rev-enue in 2012 with net income of $9 million.

St. Joseph’s employs more than 3,700 full-time workers.

Contact Reinhardt at [email protected]

Certified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center ofCertified Breast Imaging Center of

Continued from page 3

ST. JOSEPH’S: Hospital has 431 beds

Excellus BlueCross BlueShield medical director honored UTICA — Dr. Frank J. Dubeck, chief med-ical officer and vice president for medi-cal policy and clinical editing at Excellus BlueCross BlueShield, was recently named a Fellow by the American College of Physician Executives (ACPE) at the group’s annual meeting in New York City.

Dubeck was one of only 12 physicians in the country to receive this prestigious honor this year.

ACPE is the nation’s oldest and larg-est medical management educational as-sociation for physicians. The organization represents nearly 11,000 high-level physi-cian leaders from health-care organizations across the U.S. and throughout the world.

A nationally recognized expert on clini-cal coding and editing, Dubeck has been chief medical officer for Excellus BlueCross BlueShield’s Utica region since 1998. He serves on the BlueCross BlueShield Association’s (BCBSA) Medical Policy Panel Executive Committee and repre-sents BCBSA on the Editorial Panel of the American Medical Association’s Current Procedural Terminology (CPT) Codebook.

An internist with 20 years of clinical expe-rience, Dubeck practiced locally at Slocum Dickson Medical Group prior to joining Excellus BlueCross BlueShield, the largest health in-surer in Central New York. Dr. Dubeck and his wife, Dr. Marybeth McCall, reside in Utica.

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HealthCare Provider • Page 7June 14, 2013

RADIOLOGICAL DIAGNOSTIC-IMAGING FACILITIESRanked by No. of Radiological-Imaging Employees

Rank

NameAddressPhone/Website

No. ofRadiological

ImagingEmployees

No. ofCNY

Offices Key Executives

1.UHS10-42 Mitchell Ave.Binghamton, NY 13903(607) 762-2176/uhs.net

208 8 N Y Y Y Y N Y N N N Y N N N Matthew J. Salanger, CEORobert Gomulka, Chief Financial OfficerMichael McNally, VP, Human Resources

John Carrigg, Chief Operating Officer

2. Arnot Health Radiology1

600 Roe Ave.Elmira, NY 14905(607) 737-4100/arnothealth.org

133 5 Y Y Y Y Y - Y Y Y Y Y Y - Y Diana Ladd, Health AdministrativeDirector of Radiology

3.Lourdes Hospital Diagnostic Imaging169 Riverside DriveBinghamton, NY 13905(607) 798-5223/lourdes.com

128 1 Y Y Y Y Y - Y Y Y Y Y Y - Y Brian Wetzel, Director of DiagnosticImaging/Cardiology Vascular Lab

4.Imaging at St. Joseph's Hospital Health Center301 Prospect Ave.Syracuse, NY 13203(315) 448-5274/sjhsyr.org

125 2 Y Y Y Y Y N Y N Y Y Y N N Y Robert Whitmarsh, Director MedicalImaging

5.St. Joseph's Imaging Associates5100 W. Taft RoadLiverpool, NY 13088(315) 452-2555/stjosephsimaging.com

118 7 Y Y Y Y Y Y Y N N Y Y Y Y Y Alan B. Foster, PresidentOlga M. Stanton, Director of Radiology

6.Cayuga Medical Center Radiology101 Dates DriveIthaca, NY 14850(607) 274-4512/cayugamed.org

84 3 Y Y Y Y Y - Y Y - Y Y Y - Y Rick Kidwell, Director Imaging ServicesLori Cornell, Manager, Imaging Services

7.CRA Medical Imaging5008 Brittonfield Parkway, Suite 100East Syracuse, NY 13057(315) 234-7600/cramedicalimaging.com

80 2 Y Y Y Y Y N Y Y Y Y Y Y N Y Mary Ann Drumm, CEOTerri Colone, COO

8.SUNY Upstate Medical UniversityDepartment of Radiology750 E. Adams St.Syracuse, NY 13202(315) 464-7700/upstate.edu/radiology

76 3 Y Y Y Y Y - Y Y Y Y Y Y Y Y David Feiglin, Chairman

9.CNY Diagnostic Imaging Associates1000 E. Genesee St.Syracuse, NY 13210(315) 269-9729/cnyxray.com

70 4 Y Y Y Y Y Y Y N Y Y Y N N Y Christopher Tirabassi, PracticeAdministrator

10.Oswego Health Radiology110 W. Sixth St.Oswego, NY 13126(315) 349-5540/oswegohealth.org

67 5 Y Y Y Y Y N Y Y Y Y Y N N Y Kevin Kain, Director of Medical ImagingArlene Coppola, Fulton Site Manager for

Medical Imaging

11.Magnetic Diagnostic Resources of CNY4567 Crossroads Park DriveLiverpool, NY 13088(315) 454-4810/mdrcny.com

63 11 - Y - - - - - Y Y - - - - - Michael J. Letizia, Sr., General ManagerDonna Casselmon, Office Manager

12.Rome Memorial Hospital1500 N. James St.Rome, NY 13440(315) 338-7027/romehospital.org

60 3 Y Y Y Y Y N N N Y Y Y N N Y John R. Restivo, Medical ImagingMedical Director

Sharon M. Carson, Medical ImagingDepartment Director

13.Upstate University Hospital at Community GeneralDepartment of Medical Imaging4900 Broad RoadSyracuse, NY 13215(315) 492-5526/cgh.org

55 1 Y Y Y Y Y - Y - Y Y Y - - Y Cindy Cress, DirectorJanet Bentley, Assistant Director

Thompson Richard, Assistant Director

14.Cortland Regional Medical Center134 Homer Ave.Cortland, NY 13045(607) 756-3500/cortlandregional.org

50 2 Y Y Y Y Y N Y N Y Y Y N N Y Janice James, Interim CEO

15.Cooperative Magnetic Imaging107 Business Park DriveUtica, NY 13502(315) 792-4666/cmi4mri.com

45 5 - Y - - - - - Y Y - - - - - John J. Picano, M.D., Medical Director

.Auburn Community Hospital Radiology17 Lansing St.Auburn, NY 13021(315) 255-7261/auburnhospital.org

45 3 Y Y Y Y Y N Y N Y Y Y N N Y Kenneth C. Munro , Director of RadiologyDr. Robert A. Sullivan, Radiologist

17.Oneida Healthcare321 Genesee St.Oneida, NY 13421(315) 363-6000/oneidahealthcare.org &oneidaroboticsurgery.com

40 17 Y Y Y Y Y N Y N Y Y Y Y N Y Gene F. Morreale, President & CEO

18.Southern Tier Imaging32-36 Harrison St.Johnson City, NY 13790(607) 729-1999/stmri.com

36 2 - Y - - - - - Y Y - - - - - Edwin J. Lis, Practice Administrator

19.Massena Memorial HospitalOne Hospital DriveMassena, NY 13662(315) 769-4200/massenahospital.org

28 1 Y Y Y Y Y - - Y Y Y Y Y - Y Charles F. Fahd, II, CEOTerence Schumpert MD, Radiology

Medical DirectorRobert Elsner, Administrative Director

Medical Imaging

20.K&A Radiologic Technology Services, Inc.6400 Collamer RoadEast Syracuse, NY 13057(315) 437-1622/ipagepro.com/kaxray

25 3 N N N Y - - - - - - - - - Y Kenneth Andrews, President & Owner

.Crouse Imaging Center736 Irving Ave.Syracuse, NY 13210(315) 470-7511/crouse.org

25 1 Y Y Y Y Y N Y N Y Y Y N N Y Brad Hellwig, Director of MedicalImaging

22.Oneida Medical Imaging Center578 Seneca St.Oneida, NY 13421(315) 361-4300/oneidamedicalimagingcenter.com

20 1 Y Y Y Y Y N N - Y Y Y Y N Y Ralph L. Stevens, Medical DirectorSuzanne Hennessey, Radiology Manager

.Watertown Breast Imaging428 Washington St.Watertown, NY 13601(315) 782-5008/watertownbreastimaging.net

20 1 Y Y - - - - - - - Y - - - Y Bonnie Herman, Chief Technologist

24.Lewis County General Hospital Radiological Services7785 North State St.Lowville, NY 13367(315) 376-5213/lcgh.net

19 1 Y Y Y Y Y - Y - Y Y Y - - Y Eric R. Burch, CEO

25.Northern Radiology Imaging1571 Washington St., Suite 101Watertown, NY 13601(315) 786-5000/northernradiology.com

14 2 Y N Y Y Y N N Y Y Y N N N Y Daniel Weber, PresidentDean Phillips, Director

Kimberly Frechette, Chief OperationsOfficer

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THE LISTResearch by Nicole Collins

[email protected] (315) 579-3911

Twitter: @cnybjresearch

NOTES

1. Company did not respond; Information is from last year.

ABOUT THE LISTInformation was provided by representatives of listed organizations and their websites. Other groups may have been eligible but did not respond to our requests for information. While The Business Journal strives to print accurate information, it is not possible to independently verify all data submitted. We reserve the right to edit entries or delete categories for space considerations.

WHAT cONSTITUTES THE cNY REgION?Central New York includes Broome, Cayuga, Chemung, Chenango, Cor-tland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, Seneca, St. Lawrence, Tioga, and Tompkins counties.

NEEd A cOpY Of A LIST?Electronic versions of all our lists, with additional fields of information and survey contacts, are available for purchase at our website, cnybj.com/Research.aspx

WANT TO BE ON THE LIST?If your company would like to be considered for next year’s list, or another list, please email [email protected]

RADIOLOGICAL DIAGNOSTIC-IMAGING FACILITIESRanked by No. of Radiological-Imaging Employees

Rank

NameAddressPhone/Website

No. ofRadiological

ImagingEmployees

No. ofCNY

Offices Key Executives

1.UHS10-42 Mitchell Ave.Binghamton, NY 13903(607) 762-2176/uhs.net

208 8 N Y Y Y Y N Y N N N Y N N N Matthew J. Salanger, CEORobert Gomulka, Chief Financial OfficerMichael McNally, VP, Human Resources

John Carrigg, Chief Operating Officer

2. Arnot Health Radiology1

600 Roe Ave.Elmira, NY 14905(607) 737-4100/arnothealth.org

133 5 Y Y Y Y Y - Y Y Y Y Y Y - Y Diana Ladd, Health AdministrativeDirector of Radiology

3.Lourdes Hospital Diagnostic Imaging169 Riverside DriveBinghamton, NY 13905(607) 798-5223/lourdes.com

128 1 Y Y Y Y Y - Y Y Y Y Y Y - Y Brian Wetzel, Director of DiagnosticImaging/Cardiology Vascular Lab

4.Imaging at St. Joseph's Hospital Health Center301 Prospect Ave.Syracuse, NY 13203(315) 448-5274/sjhsyr.org

125 2 Y Y Y Y Y N Y N Y Y Y N N Y Robert Whitmarsh, Director MedicalImaging

5.St. Joseph's Imaging Associates5100 W. Taft RoadLiverpool, NY 13088(315) 452-2555/stjosephsimaging.com

118 7 Y Y Y Y Y Y Y N N Y Y Y Y Y Alan B. Foster, PresidentOlga M. Stanton, Director of Radiology

6.Cayuga Medical Center Radiology101 Dates DriveIthaca, NY 14850(607) 274-4512/cayugamed.org

84 3 Y Y Y Y Y - Y Y - Y Y Y - Y Rick Kidwell, Director Imaging ServicesLori Cornell, Manager, Imaging Services

7.CRA Medical Imaging5008 Brittonfield Parkway, Suite 100East Syracuse, NY 13057(315) 234-7600/cramedicalimaging.com

80 2 Y Y Y Y Y N Y Y Y Y Y Y N Y Mary Ann Drumm, CEOTerri Colone, COO

8.SUNY Upstate Medical UniversityDepartment of Radiology750 E. Adams St.Syracuse, NY 13202(315) 464-7700/upstate.edu/radiology

76 3 Y Y Y Y Y - Y Y Y Y Y Y Y Y David Feiglin, Chairman

9.CNY Diagnostic Imaging Associates1000 E. Genesee St.Syracuse, NY 13210(315) 269-9729/cnyxray.com

70 4 Y Y Y Y Y Y Y N Y Y Y N N Y Christopher Tirabassi, PracticeAdministrator

10.Oswego Health Radiology110 W. Sixth St.Oswego, NY 13126(315) 349-5540/oswegohealth.org

67 5 Y Y Y Y Y N Y Y Y Y Y N N Y Kevin Kain, Director of Medical ImagingArlene Coppola, Fulton Site Manager for

Medical Imaging

11.Magnetic Diagnostic Resources of CNY4567 Crossroads Park DriveLiverpool, NY 13088(315) 454-4810/mdrcny.com

63 11 - Y - - - - - Y Y - - - - - Michael J. Letizia, Sr., General ManagerDonna Casselmon, Office Manager

12.Rome Memorial Hospital1500 N. James St.Rome, NY 13440(315) 338-7027/romehospital.org

60 3 Y Y Y Y Y N N N Y Y Y N N Y John R. Restivo, Medical ImagingMedical Director

Sharon M. Carson, Medical ImagingDepartment Director

13.Upstate University Hospital at Community GeneralDepartment of Medical Imaging4900 Broad RoadSyracuse, NY 13215(315) 492-5526/cgh.org

55 1 Y Y Y Y Y - Y - Y Y Y - - Y Cindy Cress, DirectorJanet Bentley, Assistant Director

Thompson Richard, Assistant Director

14.Cortland Regional Medical Center134 Homer Ave.Cortland, NY 13045(607) 756-3500/cortlandregional.org

50 2 Y Y Y Y Y N Y N Y Y Y N N Y Janice James, Interim CEO

15.Cooperative Magnetic Imaging107 Business Park DriveUtica, NY 13502(315) 792-4666/cmi4mri.com

45 5 - Y - - - - - Y Y - - - - - John J. Picano, M.D., Medical Director

.Auburn Community Hospital Radiology17 Lansing St.Auburn, NY 13021(315) 255-7261/auburnhospital.org

45 3 Y Y Y Y Y N Y N Y Y Y N N Y Kenneth C. Munro , Director of RadiologyDr. Robert A. Sullivan, Radiologist

17.Oneida Healthcare321 Genesee St.Oneida, NY 13421(315) 363-6000/oneidahealthcare.org &oneidaroboticsurgery.com

40 17 Y Y Y Y Y N Y N Y Y Y Y N Y Gene F. Morreale, President & CEO

18.Southern Tier Imaging32-36 Harrison St.Johnson City, NY 13790(607) 729-1999/stmri.com

36 2 - Y - - - - - Y Y - - - - - Edwin J. Lis, Practice Administrator

19.Massena Memorial HospitalOne Hospital DriveMassena, NY 13662(315) 769-4200/massenahospital.org

28 1 Y Y Y Y Y - - Y Y Y Y Y - Y Charles F. Fahd, II, CEOTerence Schumpert MD, Radiology

Medical DirectorRobert Elsner, Administrative Director

Medical Imaging

20.K&A Radiologic Technology Services, Inc.6400 Collamer RoadEast Syracuse, NY 13057(315) 437-1622/ipagepro.com/kaxray

25 3 N N N Y - - - - - - - - - Y Kenneth Andrews, President & Owner

.Crouse Imaging Center736 Irving Ave.Syracuse, NY 13210(315) 470-7511/crouse.org

25 1 Y Y Y Y Y N Y N Y Y Y N N Y Brad Hellwig, Director of MedicalImaging

22.Oneida Medical Imaging Center578 Seneca St.Oneida, NY 13421(315) 361-4300/oneidamedicalimagingcenter.com

20 1 Y Y Y Y Y N N - Y Y Y Y N Y Ralph L. Stevens, Medical DirectorSuzanne Hennessey, Radiology Manager

.Watertown Breast Imaging428 Washington St.Watertown, NY 13601(315) 782-5008/watertownbreastimaging.net

20 1 Y Y - - - - - - - Y - - - Y Bonnie Herman, Chief Technologist

24.Lewis County General Hospital Radiological Services7785 North State St.Lowville, NY 13367(315) 376-5213/lcgh.net

19 1 Y Y Y Y Y - Y - Y Y Y - - Y Eric R. Burch, CEO

25.Northern Radiology Imaging1571 Washington St., Suite 101Watertown, NY 13601(315) 786-5000/northernradiology.com

14 2 Y N Y Y Y N N Y Y Y N N N Y Daniel Weber, PresidentDean Phillips, Director

Kimberly Frechette, Chief OperationsOfficer

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Page 8 • HealthCare Provider June 14, 2013

The HealthCare Provider is a publication written specifically for doctors, dentists, administrators, and other health-care professionals in Central New York, the Mohawk Valley, and Greater Binghamton regions. The publication includes articles, features, briefs, research lists, and career news for and about those who provide health care in our region.

We Directly Reach the Doctors and Practice Managers

HealthCare Provider is mailed to a completely separate database from The Business Journal:

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