2024-11-13T11:42:06+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-01-01 141340054 St Luke's Cornwall Hospital STLU 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 DANIEL J MAUGHAN Business Officer 8455682881 2024-11-13 true Nicole Sokolowski P01683199 2127733000 2024-11-13 2023 2024-10-15 13:58:12Z MONTEFIORE ST LUKE'S CORNWALL HOSP DANIEL J MAUGHAN 70 DUBOIS STREET NEWBURGH NY 125504851 268994731 false X WWW.MONTEFIORESLC.ORG X 2002 NY MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE TO IMPROVE THE LIVES AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 11 9 1577 35 301761 239501 8201923 12498039 238858619 251093325 498127 2465208 3193733 2145545 250752402 268202117 3136343 6050683 0 116252173 127064151 0 0 130516244 131007019 249904760 264121853 847642 4080264 195267465 195286803 99410177 99562210 95857288 95724593 MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL, A MEMBER OF THE MONTEFIORE HEALTH SYSTEM, IS DEDICATED TO PROVIDE HIGH QUALITY, SAFE, EQUITABLE AND EXTRAORDINARY HEALTHCARE THAT: PATIENTS RECOMMEND, PHYSICIANS PREFER, EMPLOYEES ARE PROUD OF, AND THE HUDSON VALLEY TRUSTS. OUR VISION IS TO BE THE LEADER OF EXCEPTIONAL, EQUITABLE, AND ACCESSABLE CARE THAT ADVANCES THE HEALTH AND WELL-BEING OF OUR COMMUNITY. false false 228634335 6050683 251469114 Montefiore St. Luke's Cornwall (MSLC) is a two-Campus 242-bed acute care hospital located in Newburgh, NY, with a robust Ambulatory Center in Cornwall, NY, and satellite locations in Newburgh, New Windsor, and Fishkill, NY. For nearly 150 years, MSLC has been a cornerstone of high-quality healthcare, fostering a healing environment through community collaboration, dedicated staff, and a rich history. The Newburgh campus is inclusive of an Emergency Department, Level III Trauma Center, Intensive Care Unit, Birthing Center, Neonatal Intensive Care Unit and much more. In 2023, MSLC expanded its Cardiovascular Services with the newly transformed Kaplan Family Center for Cardiovascular Medicine and Interventional Radiology, which includes three state of the art Cardiac Catheterization Rooms. In addition, MSLC has vastly expanded its surgical services with the addition of Metabolic and Bariatric Surgery, Robotic Surgery, Thoracic Surgery, and advanced surgical technologies used in the treatment of urologic disorders. The Cornwall Campus has transformed into a robust outpatient center including a comprehensive Imaging Center, the Medical Group at MSLC which includes Primary and Specialty care, outpatient laboratory services, rehabilitative medicine, vascular services, dialysis, pain management, and wound care. The campus also includes the Littman Cancer Center, which offers the latest technology in radiation therapy with its newly installed Radixact system, which precisely treats cancer. This new equipment not only provides cutting edge radiation therapy but also reduces the number of necessary radiation treatments for patients undergoing cancer care. Additionally, the Infusion suite on the Cornwall campus offers everything from antibiotic treatments to chemotherapy. MSLC is proud to include a Graduate Medical Education Program, through its Internal Medicine Residency program, which was originally established in that is helping to shape the future of medicine in the Hudson Valley, offering both inpatient experience and in the outpatient setting within MSLC's Medical Practice, through the Medical Group at Montefiore St. Luke's Cornwall. MSLC experienced a great deal of growth in 2023. * On the Cornwall campus, MSLC completed extensive renovations of the main lobby to create the Joan Cusack- McGuirk Welcome and Navigation Center, streamlining how patients access care. * Recognizing the growing demand of patients with Behavioral Health needs, MSLC established an in-house Behavioral Health program with Telepsychiatry. * In collaboration with its medical staff and community members, MSLC proudly established Patient Blood Management and Bloodless Medicine Program. The program formalizes our commitment to appropriate use of blood products and to developing a culturally competent workforce that respects patient choices. * MSLC's Internal Medicine Residency Program achieved ten-year accreditation, solidifying its commitment to graduate medical education. These enhancements complement MSLC's robust existing offerings with Centers of Excellence in Cancer Care, Cardiovascular Care, Angioplasty, Cardiac Rehabilitation, Orthopedics and Sports Medicine, and Metabolic and Bariatric Surgery. Providing exceptional care is at the core of what MSLC is privilege to offer the community. This commitment is recognized by many outside organization and includes: * Magnet Designation by the American Nursing Credentialing Center (ANCC), * Certification as a Level III Trauma Center by the American College of Surgeons Committee on Trauma * American Heart Association/American Stroke Association's Get With The Guidelines-Stroke Gold Plus Quality Achievement Award for the 15th consecutive year. * American Heart Association's Mission: Lifeline STEMI Receiving Center Silver recognition * 2023 CHIME Digital Health Most Wired recognition as a certified level 7. * MBSAQIP Montefiore St. Luke's Cornwall's Institute for Metabolic and Bariatric Surgery has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). MSLC's outreach efforts are based on a strong dedication to improve the overall health of the communities we serve. These efforts include annual prevention and screening events, educational presentations, which directly address the health disparities identified in MSLC's tri-annual Community Health Needs Assessment. Each year, MSLC aims to increase the number of screening and education offerings to residents of the Hudson Valley. 228634335 true true false true false false false true true true true false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 175 0 true 1577 true true true false false false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true true true true false NY X THOMAS J GIBNEY CPA 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 AUSTIN F DUBOIS CHAIR 1.0 0.0 X X 0 0 0 CHARLES WALWYN III SECRETARY 1.0 0.0 X X 0 0 0 MARY ELLEN ROGULSK TREASURER 1.0 0.0 X X 0 0 0 MEGHAN TAYLOR VICE CHAIR 1.0 0.0 X X 0 0 0 EVAN RESNICK TRUSTEE 1.0 59.0 X 0 977934 50061 JACKIELYN MANNING CAMPBELL TRUSTEE 1.0 0.0 X 0 0 0 JASON ADSIT TRUSTEE (RESIGNED 11/1/2023) 1.0 0.0 X 0 0 0 LOURDES ZAPATA TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL BONURA TRUSTEE 1.0 0.0 X 0 0 0 STEPHANIE JOHNSON TURSTEE (APPOINTED 1/1/2023) 1.0 0.0 X 0 0 0 STEPHEN ROSENTHAL TRUSTEE (RESIGNED 12/31/2023) 1.0 59.0 X 0 1391841 49826 SUSAN GREEN-LORENZEN RN TRUSTEE 1.0 59.0 X 0 2712654 46906 WILLIAM CONYEA TRUSTEE 1.0 0.0 X 0 0 0 DANIEL J MAUGHAN PRESIDENT & CEO 50.0 5.0 X 846611 0 15735 THOMAS J GIBNEY SVP, CFO/TREASURER 50.0 5.0 X 598956 0 69436 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 31.0 24.0 X 641830 0 31956 JOSEPH T SURACE VP, OPERATIONS 55.0 0.0 X 288125 0 7662 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 55.0 0.0 X 378932 0 38023 AJAY SHARMA PHARMACIST 54.0 0.0 X 309420 0 14041 GLYNIS COWART VP, CHIEF INFORMATION OFFICER 55.0 0.0 X 307276 0 13609 LAURIE CONAN VP, HUMAN RESOURCES 55.0 0.0 X 314919 0 51254 MARLENE JOAN RIPA VP, NETWORK, STRATEGY & BUS 55.0 0.0 X 334034 0 45386 MARY V KELLEY VP, QUALITY MANAGEMENT 55.0 0.0 X 320038 0 33818 JOAN CUSACK-MCGUIRK FORMER OFFICER 1.0 0.0 X 156250 0 0 4496391 5082429 467713 366 true true false HOLT CONSTRUCTION CORPORATION 50 EAST WASHINGTON AVENUE PEARL RIVER NY 10965 CONSTRUCTION 3253639 RESTORIX HEALTH INC 3445 N CAUSEWAY BLVD METAIRIE LA 70002 MEDICAL SERVICES 2840619 UNITED WESTLABS INC 801 N PARKCENTER DRIVE SANTA ANA CA 92705 OUTSIDE LAB SERVICES 2632118 FASTAFF LLC PO BOX 911452 DENVER CO 802911452 TEMPORARY NURSES 2631852 SUNSTATE SECURITY LLC 801 CORPORATE DRIVE SUITE 3000 RALEIGH NC 27607 SECURITY SERVICES 1721649 44 4183488 7716388 598163 12498039 PATIENT SERVICE REVENUE 622110 146493051 146493051 OTHER HEALTHCARE RELATED SERVICES 621999 104600274 104600274 0 0 0 0 251093325 817347 817347 723794 720654 3140 0 3140 3140 1647861 0 1647861 1647861 1647861 72375 71960 415 415 CAFETERIA REVENUE 722514 703403 703403 PARTNERSHIP INCOME/DISTRIBUTIONS 523999 677550 375789 301761 INTERCOMPANY MANAGEMENT FEES 551114 565026 565026 196011 0 0 196011 2141990 268202117 251469114 301761 3933203 X 6050683 6050683 2957836 1090740 1867096 91081400 88178628 2902772 8922615 7791169 1131446 16972843 14382481 2590362 7129457 6014084 1115373 601587 232626 368961 403721 403721 41522064 35325675 6196389 0 1066357 3158 1063199 6679159 6492095 187064 2430281 2392288 37993 4635317 4635270 47 14998 3775 11223 73853 72613 1240 881823 881823 10497432 10497432 4751206 4751206 MEDICAL SUPPLIES 46477412 46406147 71265 INTERCOMPANY SHARED SERVICES 9508816 9238353 270463 NYS ASSESSMENT EXPENSE 1001321 1001321 BILLING & COLLECTION 337778 200656 137122 123894 123894 0 0 264121853 228634335 35487518 0 5769 5769 10198989 21484501 25882985 30462376 0 0 0 0 18274 5437883 6267274 1145515 1136162 173220414 69500824 93435410 103719590 25244264 504000 9917674 10701230 6978214 5159718 17020762 15827909 195267465 195286803 36900488 54266507 402190 0 10659609 0 52417 11008 0 0 8345166 0 43050307 45284695 99410177 99562210 91764437 95086576 4092851 638017 95857288 95724593 195267465 195286803 X 4080264 -1023279 -3189678 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 71659 71659 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY OTHER LOBBYING ACTIVITIES INCLUDE A PERCENTAGE OF MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK STATE, NORTHERN METROPOLITAN HOSPITAL ASSOCIATION AND 1199/SEIU THAT WERE USED BY THESE ORGANIZATIONS FOR LOBBYING EFFORTS. false true X 4092851 1140000 4183488 53557 995806 2211488 2956183 72 880663 194229 4092851 1274717 1286876 83 10000 340188 2211488 1561616 487597 369 459026 315839 1274717 1541744 661065 545 306356 335382 1561616 0.0 0.6785 0.3215 false true true 1684001 1684001 88362357 34323494 54038863 0 0 0 61388631 33384415 28004216 21785425 1792915 19992510 103719590 10701230 F 10701230 EST INSURANCE CLAIMS RECEIVABLE 14946000 RIGHT OF USE OPERATING LEASE ASSETS 881909 DUE FROM AFFILIATES OTHER ASSETS 15827909 EST INSURANCE CLAIMS LIABILITIES 14946000 DEFINED PENSION BENEFITS LIABILITIES 5548519 DUE TO AFFILIATES 15633017 MALPRACTICE INSURANCE LIABILITIES 5120000 DUE TO THIRD PARTY PAYORS 1693909 RIGHT OF USE OPERATING LEASE LIABILITIES 962885 EST SETTLEMENT FROM PENDING LITIGATION 0 OTHER 1380365 45284695 Schedule D, Part IV, Line 2b Explanation of escrow agreement ST. LUKE'S CORNWALL HOSPITAL HOLDS SECURITY DEPOSITS FROM TENANTS IN ESCROW PURSUANT TO THE INDIVIDUAL LEASE AGREEMENTS BETWEEN THE TENANTS AND THE ORGANIZATION. THESE DEPOSITS ARE RETURNED TO THE TENANTS ONCE THEY VACATE THEIR RENTAL UNIT LESS ANY AMOUNTS, IF ANY, DUE FROM THE TENANTS FOR DAMAGES OR UNPAID RENT. Schedule D, Part V, Line 4 Intended uses of endowment funds THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HOSPITAL. true true true 6174605 1111407 5063198 0.0192 64879530 39464413 25415117 0.0962 6999204 5871531 1127673 0.0043 0 0 78053339 46447351 31605988 0.1197 660374 0 660374 0.0025 4149314 2021980 2127334 0.0081 36338526 28450716 7887810 0.0299 0 0 0 0.0 0 0 0 0.0 0 0 41148214 30472696 10675518 0.0404 0 0 119201553 76920047 42281506 0.1601 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 457868 11193 51537704 59213198 -7675494 X true true EOASC AMBULATORY 0.3759 0.6241 LSL NEWBURGH LLC DIALYSIS SERVICE 0.15 0.3 1 1 ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 WWW.MONTEFIORESLC.ORG 3522000H X X X ST LUKE'S CORNWALL HOSPITAL 1 false false true X X X X X X X X X 22 true false false true X HTTPS://WWW.MONTEFIORESLC.ORG/COMMUNITY/COMMUNITY-SERVICE-PLAN/ X true 22 true HTTPS://WWW.MONTEFIORESLC.ORG/COMMUNITY/COMMUNITY-SERVICE-PLAN/ false true X 200.0 300.0 X X true true X X X true X HTTPS://WWW.MONTEFIORESLC.ORG/PATIENTS/BILLING-INSURANCE-INFORMATION/ X HTTPS://WWW.MONTEFIORESLC.ORG/PATIENTS/BILLING-INSURANCE-INFORMATION/ X HTTPS://WWW.MONTEFIORESLC.ORG/PATIENTS/BILLING-INSURANCE-INFORMATION/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST. LUKE'S CORNWALL HOSPITAL. THE PROCESS FOR PREPARING THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT WAS AN INTER-ORGANIZATIONAL AND COMMUNITY COLLABORATIVE PROCESS, INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT WAS REFLECTIVE OF THE NEEDS OF THE COMMUNITY. THE MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPILED USING DATA OBTAINED FROM 2022-2024 MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT AND THE 2022-2024 ORANGE COUNTY COMMUNITY HEALTH ASSESSMENT AND USED AS MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL PRIMARY DATA COLLECTION SOURCES. THE MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT WAS A COLLABORATIVE EFFORT WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH IN PARTNERSHIP WITH THE SIX OTHER MID-HUDSON REGION LOCAL HEALTH DEPARTMENT AND MULTIPLE HEALTH SYSTEMS AND HOSPITALS ACROSS NEW YORK STATE INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT WAS REFLECTIVE OF THE NEEDS OF THE COMMUNITY INCLUDING BOTH CLINICAL AND SOCIAL DETERMINANTS OF HEALTH. ON BEHALF OF THE MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT COLLABORATIVE, THE ORANGE COUNTY DEPARTMENT OF HEALTH WORKED ON A PUBLIC OPINION SURVEY CREATED AND ADMINISTERED BY SIENNA RESEARCH INSTITUTE IN THE SUMMER OF 2022. SURVEYS PARTICIPANTS WERE CONTACTED VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, AND OTHER ONLINE RECRUITMENT AT VARIOUS IN-PERSON EVENTS AND OTHER COMMUNITY PARTNERSHIP TO ENHANCE REPRESENTATION AND MEET BUDGET CONSTRAINTS. THE DESIGN OF THE LANDLINE SAMPLE WAS CONDUCTED TO ENSURE THE SELECTION OF BOTH LISTED AND UNLISTED TELEPHONE NUMBERS, USING RANDOM DIGIT DIALING. THE CELL PHONE SAMPLE WAS DRAWN FROM A SAMPLE OF DEDICATED WIRELESS TELEPHONE EXCHANGES WITHIN EACH OF THE MID-HUDSON COUNTIES. RESPONDENTS WERE SCREENED FOR RESIDENCE IN NEW YORK STATE AND SPECIFIED COUNTIES. DATA FROM ALL FOUR SOURCES WERE COMBINED AND WEIGHTED AS ONE TO PROVIDE A REPRESENTATIVE SAMPLE OF MID-HUDSON REGION RESIDENTS. TO FURTHER ASSESS THE BROAD INTERESTS OF THE COMMUNITY, SUBSEQUENT FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY PARTNERS IN MAY AND JUNE 2022, TO GAIN INSIGHT OF THE UNDERREPRESENTED POPULATIONS IN THE COMMUNITY, INCLUDING THOSE WHO ARE SENIORS, LOW INCOME, VETERANS, LGBTQ MEMBERS, THOSE EXPERIENCING HOMELESSNESS, AND RESIDENTS WITH A MENTAL HEALTH DIAGNOSIS. SPECIAL FOCUS WAS PLACED ON AGENCIES AND PARTNERS THATWORK WITH THESE INDIVIDUALS IN HOPES OF UNDERSTANDING THE OBSTACLES AND BARRIERS THAT THIS POPULATION FACES WHEN ACCESSING SERVICES. AN ONLINE SURVEY WAS ALSO CREATED SO THAT PARTNERS THAT COULD NOT ATTEND THE FOCUS GROUP COULD ALSO PROVIDE INPUT. MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL ALSO PARTICIPATED IN THE ORANGE COUNTY COMMUNITY HEALTH SUMMIT ON JUNE 28, 2022, WHICH INCLUDED 100 COMMUNITY PARTNERS, SPECIFICALLY HOSPITALS AND HEALTH CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND MEMBERS OF ACADEMIA. THESE GROUPS CAME TOGETHER TO REVIEW THE MOST CURRENT COMMUNITY HEALTH ASSESSMENT DATA, IDENTIFY, AND DISCUSS THE FORCES THAT IMPACT THE HEALTH OF THE COMMUNITY, PROVIDE INPUT ON WHICH TWO PREVENTION AGENDA PRIORITIES FOR THE 2022-2024 PLAN SHOULD BE CHOSEN, AND TO PARTICIPATE IN BREAKOUT GROUPS TO DISCUSS CURRENT EFFORTS, ASSETS, AND BARRIERS IN EACH OF THE FIVE PRIORITY AREAS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. LUKE'S CORNWALL HOSPITAL. THE TWO PRIORITY AREAS THAT MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL HAS IDENTIFIED AS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE DISCUSSION AT THE ORANGE COUNTY HEALTH SUMMIT WERE THE SAME THAT WAS SELECTED BY ORANGE COUNTY AS THE TWO PREVENTION AGENDA PRIORITIES AT THE SUMMIT: 1) PREVENT CHRONIC DISEASE AND 2) PROMOTE WELL-BEING AND PREVENT MENTAL HEALTH AND SUBSTANCE USE. AS NOTED IN THE ORANGE COUNTY DEPARTMENT OF HEALTH 2022 COMMUNITY HEALTH ASSESSMENT, HEART DISEASE AND CANCER ARE THE LEADING CAUSES OF DEATH AND OF PREMATURE DEATH BY A LARGE MARGIN. PREMATURE DEATH FOR THOSE LESS THAN 65 YEARS AND LESS THAN 75 YEARS IN ORANGE COUNTY WERE WORSE THAN THE NYS RATES BASED ON THE LATEST DATA AVAILABLE. THESE MARGINS ARE LARGER FOR THOSE AMONG RACIAL AND ETHNIC LINES, AS WELL AS IN AREAS THAT ARE SOCIOECONOMICALLY DISADVANTAGED. OBESITY IS AMONG THE LEADING CONTRIBUTOR TO THESE TOP CAUSES OF DEATH, AS WELL AS CANCER, DIABETES, STROKE, AND HYPERTENSION, ALL OF WHICH CAN LEAD TO PREMATURE DEATH. ORANGE COUNTY'S AGE-ADJUSTED ALL CANCER MORTALITY IS HIGHER THAN BOTH NYS AND THE MID-HUDSON REGION BASED ON THE LATEST AVAILABLE DATA. OVER THE PAST TEN YEARS, THE RATES OF OBESITY HAVE CONTINUALLY GROWN, AS WELL AS THE SUBSEQUENT MORBIDITY OF CVD, PREDIABETES, AND HYPERTENSION. THE COVID-19 PANDEMIC EXACERBATED MANY OF THE UNDERLYING FACTORS THAT HAVE A PROFOUND IMPACT ON HEALTH AS POVERTY, FOOD INSECURITY, EDUCATION, HOUSING, AND ACCESS TO CARE, INCLUDING HEALTH INSURANCE. ALTHOUGH STRIDES WERE MADE PRIOR TO THE PANDEMIC IN ADDRESSING SUBSTANCE ABUSE IN ORANGE COUNTY, THESE EXTERNAL STRESSORS CONTRIBUTE TO POOR MENTAL HEALTH AND SUBSTANCE USE HAVE RISEN IN THE PAST TWO YEARS. OVERDOSE DEATHS IN THE COUNTY HAVE INCREASED STEADILY OVER TIME AND AGE-ADJUSTED RATES ARE STILL HIGHER IN ORANGE COUNTY COMPARED TO NEW YORK STATE EXCLUDING NEW YORK CITY. TO ADDRESS THESE SIGNIFICANT NEEDS FOCUSING ON ORANGE COUNTY AND SPECIFICALLY THE HOSPITAL'S PRIMARY SERVICE AREA INCLUSIVE OF THE CITY OF NEWBURGH AN IMPLEMENTATION STRATEGY WAS DEVELOPED FOR THE CHOSEN AREAS OFFOCUS: - PREVENT CHRONIC DISEASE - MONTEFIORE ST. LUKE'S CORNWALL WILL FOCUS ON HEALTHY EATING AND FOOD SECURITY TO REDUCE OBESITY AND THE RISK OF CHRONIC DISEASES. THE HOSPITAL WILL SCREEN FOR FOOD INSECURITY, FACILITATE, AND ACTIVELY SUPPORT REFERRALS, CONNECT, AND ENROLL FAMILIES AND INDIVIDUALS IN ELIGIBLE NUTRITION AND COMMUNITY PROGRAMS AND INCREASE AVAILABILITY OF AFFORDABLE HEALTHY FOODS ESPECIALLY IN COMMUNITIES WITH LIMITED ACCESS THROUGH SUSTAINING ORANGE COUNTY DEPARTMENT OF HEALTH FUNDED FARM MARKETS. THESE PROGRAMS WILL TARGET COMMUNITIES WITH MINORITY MAJORITY POPULATIONS. THE SECOND FOCUS AREA SELECTED IN PREVENTING CHRONIC DISEASE IS PREVENTATIVE CARE AND MANAGEMENT. THE GOAL FOR THIS FOCUS AREA IS TO INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL AND COLORECTAL CANCERS. THE HOSPITAL WILL WORK WITH IT COMMUNITIES' PARTNERS TO REMOVE STRUCTURAL AND ECONOMIC BARRIERS TO CANCER SCREENING. - PROMOTE WELL-BEING AND PREVENT MENTAL HEALTH AND SUBSTANCE USE - MONTEFIORE ST. LUKE'S CORNWALL WILL BE WORKING WITH COMMUNITY PARTNERS WITH A GOAL OF PREVENTING OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS. THE OBJECTIVE IS TO REDUCE THE AGE-ADJUSTED OVERDOSE DEATH INVOLVING ANY OPIOID BY 7%. STRATEGIES INCLUDE INCREASING THE AVAILABILITY AND ACCESS AND LINKAGES TO MEDICATIONS FOR OPIOID USE DISORDER, PROMOTE AND SUPPORT THE EXPANSION OF THE PEER RX APPLICATION FOR PEER REFERRALS AT THE EMERGENCY DEPARTMENT AND ESTABLISHING ADDITIONAL PERMANENT SAFE DISPOSAL SITES FOR PRESCRIPTION DRUGS AND DISTRIBUTION OF NALOXONE. THE NEW YORK STATE PREVENTION AGENDA HEALTH IMPROVEMENT PLAN FOR 2019-2024 ESTABLISHED FIVE PREVENTION AGENDA PRIORITY AREAS FROM WHICH THE ORANGE COUNTY DEPARTMENT OF HEALTH HAS SELECTED TWO OF THE FIVE AREAS AS A RESULT OF ITS COLLABORATION WITH MONTEFIORE ST. LUKE'S CORNWALL AND SEVERAL OTHER COMMUNITY PARTNERS. MONTEFIORE ST. LUKE CORNWALL, IN PARTNERSHIP WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH AND OUR COMMUNITY PARTNERS WILL WORK COLLABORATIVELY TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. WHILE THE PROGRAMS SELECTED FOR THE COMMUNITY HEALTH NEED ASSESSMENT-IMPLEMENTATION STRATEGY REPORT DOES NOT ADDRESS ALL IDENTIFIED HEALTH CONCERNS, THERE ARE EXISTING AND PLANNED PROGRAMS ACROSS MONTEFIORE HEALTH SYSTEM TO ADDRESS THESE OTHER COMMUNITY-IDENTIFIED PRIORITIES. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST. LUKE'S CORNWALL HOSPITAL. THE HOSPITAL USES A CREDIT ASSESSMENT TOOL TO HELP DETERMINE IF CERTAIN PATIENTS CAN AUTO-QUALIFY FOR A CHARITY CARE DISCOUNT BASED ON PRESUMPTION ELIGIBILITY. 3 MONTEFIORE ST LUKE'S CORNWALL 19 LAUREL AVENUE CORNWALL NY 12518 HOSPITAL OUTPATIENT DEPARTMENT ST LUKE'S CORNWALL HOSPITAL FISHKILL CTR 17 OLD MAIN STREET FISHKILL NY 12524 REHABILITATION SERVICES SLCH SLEEP CENTER 400 WESTAGE BUSINESS CENTER DRIVE FISHKILL NY 12524 SPECIALTY CARE Schedule H, Part I, Line 7 THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COST-TO-CHARGE. IN CALCULATING THE PATIENT CARE COST FOR THE RATIO, THE ORGANIZATION REDUCED ITS OPERATING EXPENSES FOR ITS NON-PATIENT CARE COSTS AND COST OF ITS COMMUNITY BENEFITS AND BUILDING ACTIVITIES NOT RELYING ON THE RCC FACTOR FOR COSTING PURPOSES. Schedule H, Part I, Line 7g THE HOSPITAL HAS REPORTED TWO 501(C)(3) PHYSICIAN'S CLINICS, THAT INCLUDES ITS EMERGENCY PHYSICIANS, AS PART OF ITS SUBSIDIZED HEALTH SERVICES. THESE TWO CLINICS ARE PART OF THE INTEGRATED HEALTH CARE SERVICES PROVIDED BY ST. LUKE'S CORNWALL HOSPITAL, A SAFETY NET AND VITAL ACCESS PROVIDER, SERVING A MEDICALLY UNDERSERVED POPULATION. THESE MEDICAL CLINICS PROVIDE MUCH NEEDED HEALTH CARE SERVICES TO THE HOSPITAL LARGE MEDICARE AND MEDICAID POPULATIONS THAT ARE OPERATED BY THE HOSPITAL AT A SUBSTANTIAL LOSS TO THE ORGANIZATION. FOR 2023, THE COST INCLUDED IN PART I, LINE 7G FOR THESES MEDICAL SERVICES WERE $5,984,850. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTED TO UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON THE RESULTS OF PREDICTIVE ANALYSIS BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT HAS INSURANCE OR IF THE BILL WILL EVER BE PAID. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote AS REPORTED IN ST LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEAR ENDED DECEMBER 31, 2023, CHANGES IN THE HOSPITAL'S ESTIMATES OF EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS PROVISION FOR BAD DEBTS. THE PROVISION FOR BAD DEBT FOR THE YEAR ENDED DECEMBER 31, 2023 AND 2022, WAS NOT SIGNIFICANT". Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE AMOUNT REPORTED ON LINE 6 WAS DERIVED USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. THE MEDICARE REIMBURSEMENT HAS NOT KEPT PACE WITH THE RISING MEDICARE COSTS THUS SHIFTING THE BURDEN FOR THE DIFFERENCE TO THE ORGANIZATION FOR SERVICES RENDERED MAINLY TO A FRAIL, ELDER POPULATION THAT HAS GREAT HEALTH NEEDS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITIES ARE HALTED AND THE PATIENT IS REFERRED FOR FINANCIAL AID. IF AN ACCOUNT IS IN COLLECTION AND THE PATIENT REQUESTS FINANCIAL AID OR IF THE AGENCY DETERMINES THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS REFERRED BACK TO THE HOSPITAL WHERE THE PATIENT IS PROVIDED ASSISTANCE WITH COMPLETING AN APPLICATION FOR ASSISTANCE. DETERMINATION OF ELIGIBILITY FOR FINANCIAL AID IS MADE AS EARLY IN THE CARE PLANNING AND SCHEDULING PROCESS AS POSSIBLE. A COUNSELOR WILL ASSIST ANY PATIENT WHO REQUIRE ASSISTANCE WITH COMPLETING THE APPLICATIONS. EMERGENCY SERVICES ARE NEVER DELAYED PENDING FINANCIAL DETERMINATIONS. PATIENTS CAN APPLY FOR FINANCIAL AID PRIOR TO SERVICES OR AFTER RECEIPT OF A BILL. CERTAIN PATIENTS CAN AUTO QUALIFY FOR A FULL OR PARTIAL CHARITY CARE DISCOUNT BASED ON PRESUMPTION ELIGIBILITY. Schedule H, Part V, Section B, Line 16a FAP website - ST. LUKE'S CORNWALL HOSPITAL: Line 16a URL: HTTPS://WWW.MONTEFIORESLC.ORG/PATIENTS/BILLING-INSURANCE-INFORMATION/; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. LUKE'S CORNWALL HOSPITAL: Line 16b URL: HTTPS://WWW.MONTEFIORESLC.ORG/PATIENTS/BILLING-INSURANCE-INFORMATION/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. LUKE'S CORNWALL HOSPITAL: Line 16c URL: HTTPS://WWW.MONTEFIORESLC.ORG/PATIENTS/BILLING-INSURANCE-INFORMATION/; Schedule H, Part VI, Line 2 Needs assessment THE ORGANIZATION ASSESSES COMMUNITY NEEDS BY WORKING JOINTLY WITH A BROAD SPECTRUM OF COMMUNITY PARTNERS. ST. LUKE'S LEADS THE POPULATION HEALTH COALITION, A GROUP THAT INCLUDES MORE THAN 30 LOCAL ORGANIZATION FOCUSED ON IMPROVING THE HEALTH OF THE POPULATION SERVED. THE GROUP IS COMPRISED OF DISEASE SPECIFIC ADVOCACY, LOCAL HEALTH CARE PROVIDERS, INCLUDING PRIMARY AND SPECIALTY CARE PRACTICES, REHABILITATION CENTERS, EMERGENCY MEDICAL SERVICES, AND FEDERALLY QUALIFIED HEALTH CENTERS, AS WELL AS ORGANIZATIONS THAT FOCUS ON HOUSING, THE AGING POPULATION, EMPLOYMENT, MENTAL HEALTH AND SPECIAL NEEDS. THE POPULATION HEALTH COALITION STRIVES TO IDENTIFY GAPS IN CARE, CONSOLIDATE RESOURCES AND INFORMATION AND COLLABORATE ON PROJECTS THAT SERVE THE COMMUNITY. ST. LUKE'S ALSO USES PRIMARY AND SECONDARY DATA COLLECTIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PATIENT SURVEY DATA OBTAINED AND COMPILED BY THE ORANGE COUNTY DEPARTMENT OF HEALTH ARE USED AS A SECONDARY DATA SOURCE TO SUPPLEMENT INPUT OBTAINED DIRECTLY AT COMMUNITY AND TOWN COUNCIL MEETINGS, MEDICAL EDUCATION SEMINARS, PHYSICIAN PRESENTATIONS AND VARIOUS HEALTH SCREENING EVENTS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ALL INTAKE, REGISTRATION AND COLLECTION AGENCY STAFF IS TRAINED ON THE HOSPITAL'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. WHEN IT IS DETERMINED THAT A PATIENT IS HAVING DIFFICULTY PAYING THEIR BILL, A REFERRAL IS MADE TO THE HOSPITAL'S FINANCIAL AID OFFICE AND A FINANCIAL COUNSELOR WILL HELP THE PATIENT APPLY FOR FINANCIAL AID. THE HOSPITAL MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING WRITTEN INFORMATION AT PATIENT SERVICE AREAS, INFORMATION POSTED ON THE INTERNET AND INFORMATION SENT OUT ON PATIENT'S BILLS. A FINANCIAL ASSISTANCE PACKAGE, WITH INSTRUCTIONS AND APPLICATION, IS AVAILABLE TO ALL SELF-PAY PATIENTS AT THE TIME OF REGISTRATION OR FINANCIAL COUNSELING. Schedule H, Part VI, Line 4 Community information MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL IS A 242-BED ACUTE CARE NOT-FOR-PROFIT COMMUNITY HOSPITAL WITH CAMPUSES IN NEWBURGH AND CORNWALL NEW YORK, AS WELL AS SEVERAL OFF-SITE FACILITIES, THAT PROVIDE CARE TO MORE THAN 250,000 PATIENTS PER YEAR AND SERVES A POPULATION OF APPROXIMATELY 400,000 PEOPLE. AS A SAFETY NET AND VITAL ACCESS PROVIDER, THE HOSPITAL SERVES A POPULATION THAT HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA), SPECIFICALLY IN THE CITY OF NEWBURGH. ORANGE COUNTY IS IN THE SOUTHEASTERN AREA OF NEW YORK STATE, BOUNDED ON THE EAST BY THE HUDSON RIVER AND ON THE WEST BY THE DELAWARE RIVER. IT IS LOCATED APPROXIMATELY 40 MILES NORTH OF NEW YORK CITY WITH 43 MUNICIPALITIES. OF ORANGE COUNTY RESIDENTS, 63.1% ARE NON-HISPANIC WHITE, 10.1% ARE NON-HISPANIC BLACK AND 21.1% ARE HISPANIC. ORANGE COUNTY IS A MIX OF URBAN, SUBURBAN, FARMLAND, AND RURAL AREAS. AGRICULTURE IS A LEADING INDUSTRY IN ORANGE COUNTY AND CONSTITUTES MORE THAN HALF OF THE COUNTY'S OPEN SPACE. AT FIRST GLANCE, ORANGE COUNTY APPEARS TO BE AN AFFLUENT SUBURBAN COMMUNITY THAT ENJOYS A MEDIAN HOUSEHOLD INCOME ABOVE THE NYS AVERAGE ($80,816 VS. $71,117), A SMALLER PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LINE (11.4% VS. 13.6%), A LOWER UNEMPLOYMENT RATE (3.0% VS. 3.6%), AND BOASTS A HIGHER PERCENTAGE OF HIGH SCHOOL GRADUATES AS COMPARED TO NYS (89.9% AND 87.3%). HOWEVER, AGGREGATE COUNTY DATA ARE MISLEADING AND MASK THE DISPARITIES WITHIN THE COUNTY. THE URBAN AREAS OF ORANGE COUNTY ARE CHARACTERIZED BY SEVERE SOCIOECONOMIC AND HEALTH INEQUITIES, WITH 13.7% OF RESIDENTS IN THE THREE MAJOR CITIES LIVING BELOW THE FEDERAL POVERTY LINE (NEWBURGH (13.5%), MIDDLETOWN (13%), AND PORT JERVIS (17.1%)). HEART DISEASE AND CANCER ARE THE LEADING CAUSES OF DEATH AND PREMATURE DEATH BY A LARGE MARGIN. THESE MARGINS ARE LARGER FOR THOSE AMONG RACIAL AND ETHNIC LINES, AS WELL AS IN AREAS THAT ARE SOCIOECONOMICALLY DISADVANTAGED. OBESITY IS A LEADING CONTRIBUTOR TO THESE TOP CAUSES OF DEATH, AS WELL AS CANCER, DIABETES, STROKE, AND HYPERTENSION, ALL OF WHICH CAN LEAD TO PREMATURE DEATH. THE COVID-19 PANDEMIC EXACERBATED MANY OF THE UNDERLYING FACTORS THAT HAVE A PROFOUND IMPACT ON HEALTH SUCH AS POVERTY, FOOD INSECURITY, EDUCATION, HOUSING, AND ACCESS TO CARE, INCLUDING HEALTH INSURANCE. OTHER HEALTH AREAS WHERE ORANGE COUNTY IS WORSE THAN NEW YORK STATE OR WORSENING SINCE THE LAST ASSESSMENT INCLUDE: - PREMATURE DEATHS - STIS INCLUDING EARLY SYPHILIS, GONORRHEA, AND CHLAMYDIA - INFANT MORTALITY AMONG NON-HISPANIC BLACK WOMEN & HISPANIC WOMEN - PREMATURE BIRTHS AMONG NON-HISPANIC BLACK WOMEN - ADULT RECEIVING COLORECTAL CANCER SCREENING - CANCER MORTALITY INCLUDING ALL CANCER, FEMALE BREAST CANCER, AND COLORECTAL CANCER - CHILDHOOD IMMUNIZATION RATES AMONG CHILDREN 24-35 MONTHS OF AGE - UNEMPLOYMENT RATE - OVERDOSE DEATHS INVOLVING ANY OPIOID - GROSS RENT AS A PERCENTAGE OF HOUSEHOLD INCOME Schedule H, Part VI, Line 5 Promotion of community health MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL PROMOTES COMMUNITY HEALTH BY WORKING WITH A BOARD SPECTRUM OF COMMUNITY PARTNERS IN ORDER TO ADDRESS VARIOUS COMMUNITY HEALTH ISSUES. ST. LUKE'S LEADS THE POPULATION HEALTH COALITION, A GROUP THAT INCLUDES MORE THAN 30 LOCAL ORGANIZATION FOCUSING ON IMPROVING THE HEALTH OF THE POPULATION SERVED. THE POPULATION COALITION STRIVES TO IDENTIFY GAPS IN CARE, CONSOLIDATES RESOURCES AND INFORMATION AND COLLABORATES ON PROJECTS THAT SERVE THE COMMUNITY. THE COALITION HAS SUCCEEDED IN COMPILING AN INTERACTIVE DIRECTORY OF LOCAL COMMUNITY RESOURCES THAT CAN BE UTILIZED TO BETTER CONNECT THE POPULATION TO APPROPRIATE SERVICES THAT BEST FIT THEIR NEEDS. MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL HAS ITS OWN COMMUNITY EDUCATION PROGRAMS THAT REACH A WIDE VARIETY OF AUDIENCE ON A NUMBER OF COMMUNITY HEALTH ISSUES. EDUCATION IS PROVIDED AT A NUMBER OF LOCAL SENIOR GROUPS, WORKPLACE WELLNESS PROGRAMS, LOCAL BUSINESSES, FOOD PANTRIES, SOUP KITCHENS AND PUBLIC EVENTS. FUTURE PLANS WILL BUILD UPON THIS EXISTING MODEL BY IDENTIFYING OTHER AUDIENCES IN NEED OF EDUCATIONAL PROGRAMMING, AS WELL AS UTILIZING DIGITAL OUTREACH THROUGH THE INTERNET AND SOCIAL MEDIA. Schedule H, Part VI, Line 6 Affiliated health care system MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM. MONTEFIORE HEALTH SYSTEM, INC. IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND CREATING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: COMMUNITY SERVICE PLAN, COMMUNITY SERVICE STRATEGY, ACCOUNTABLE CARE ORGANIZATION, PATIENT-CENTERED MEDICAL HOME, DISEASE MANAGEMENT PROGRAMS AND COMMUNITY OUTREACH. THE INTEGRATION OF THESE INNOVATIVE APPROACHES SUPPORT THE HEALTH SYSTEM WELL IN ITS PROVISION OF SERVICE TO THE COMMUNITY. Schedule H, Part VI, Line 7 State filing of community benefit report NY true HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH NY 125504851 272020746 501 (c) (3) 1966898 OPERATIONAL SUPPORT HUDSON VISTA MEDICAL PC 452526738 501 (c) (3) 4017953 OPERATIONAL SUPPORT AMERICAN CANCER SOCIETY INC 131788491 501 (c) (3) 11000 SPONSORSHIP ACCESS SUPPORTS FOR LIVING INC 205404423 501 (c) (3) 6000 SPONSORSHIP AMERICAN HEART ASSOCIATION 135613797 501 (c) (3) 6000 SPONSORSHIP 5 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. MOST OF THE HOSPITAL'S ASSISTANCE WAS MADE TO TWO 501(C)(3) SUPPORTED ORGANIZATION OF THE HOSPITAL FORMED TO PROVIDE PHYSICIAN AND OTHER LICENSED HEALTH CARE TO THE COMMUNITY. THE OPERATIONS OF THESE ENTITIES ARE MANAGED THROUGH THE HOSPITAL AND ARE INCLUDED AS PART OF THE HOSPITAL'S CONSOLIDATED ACTIVITIES. THE ORGANIZATIONS ALSO MAKES A LIMITED NUMBER OF SPONSORSHIPS TO VARIOUS ORGANIZATIONS AS PART OF ITS MANY LOCAL COMMUNITY HEALTH PROGRAM ENDEAVORS. CONTRIBUTIONS AND SPONSORSHIPS ARE MADE TO DESERVING NON-PROFIT ORGANIZATIONS TO SUPPORT THE HEALTH SYSTEM'S MISSION OF ADVANCING THE HEALTH AND WELFARE OF THE COMMUNITIES THAT WE SERVE. X X X X X true true false false false false false true false EVAN RESNICK TRUSTEE 0 762574 0 215000 0 360 0 17000 0 33061 0 1027995 0 0 STEPHEN ROSENTHAL TRUSTEE (RESIGNED 12/31/2023) 0 1059377 0 85000 0 247464 0 17000 0 32826 0 1441667 0 0 SUSAN GREEN-LORENZEN RN TRUSTEE 0 1216631 0 475900 0 1020123 0 17000 0 29906 0 2759560 0 0 JOAN CUSACK-MCGUIRK FORMER OFFICER 0 0 0 0 156250 0 0 0 0 0 156250 0 0 0 DANIEL J MAUGHAN PRESIDENT & CEO 710123 0 122230 0 14258 0 13743 0 1992 0 862346 0 0 0 THOMAS J GIBNEY SVP, CFO/TREASURER 521432 0 70000 0 7524 0 22010 0 47426 0 668392 0 0 0 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 389303 0 30000 0 222527 0 5729 0 26227 0 673786 0 0 0 JOSEPH T SURACE VP, OPERATIONS 266883 0 20000 0 1242 0 1242 0 6420 0 295787 0 0 0 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 324695 0 45000 0 9237 0 9763 0 28260 0 416955 0 0 0 AJAY SHARMA PHARMACIST 171413 0 0 0 138007 0 0 0 14041 0 323461 0 0 0 GLYNIS COWART VP, CHIEF INFORMATION OFFICER 284128 0 20000 0 3148 0 12343 0 1266 0 320885 0 0 0 LAURIE CONAN VP, HUMAN RESOURCES 271616 0 40000 0 3303 0 12451 0 38803 0 366173 0 0 0 MARLENE JOAN RIPA VP, NETWORK, STRATEGY & BUS 293494 0 40000 0 540 0 6846 0 38540 0 379420 0 0 0 MARY V KELLEY VP, QUALITY MANAGEMENT 274370 0 35000 0 10668 0 6257 0 27561 0 353856 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment DURING 2023, JOAN CUSACK-MCGUIRK, A FORMER OFFICER, WAS PAID $156,250 IN SEVERANCE FROM THE ORGANIZATION. AS PART OF HER SEVERANCE AGREEMENT, SHE WAS REQUIRED TO PERFORM TRANSITIONAL SERVICES FOR THE ORGANIZATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan TWO TRUSTEES EMPLOYED BY MONTEFIORE HEALTH SYSTEM, INC. PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY A RELATED ORGANIZATION. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES EXPRESSLY REVIEWED AND APPROVED ALL COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING THESE RETIREMENT BENEFIT ARRANGEMENTS FOR SENIOR EXECUTIVES, IN A MANNER THAT QUALIFIED UNDER THE INTERMEDIATE SANCTIONS RULES OF THE FEDERAL TAX LAW, AND IN RECOGNITION OF (A) THE EXECUTIVES' YEARS OF SERVICE TO THE ORGANIZATION AND (B) THE SIGNIFICANT CONTRIBUTIONS TO ENHANCING THE ABILITY OF THE ORGANIZATION TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT WITH FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD BE VIEWED AS APPLYING TO YEARS OF SERVICE FOR THE ORGANIZATION. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DISTRIBUTIONS WERE PAID TO THE TWO TRUSTEES AND INCLUDED AS PART OF THEIR PART II, COLUMN B(III) OTHER REPORTABLE COMPENSATION: SUSAN GREEN-LORENZEN, RN - $997,537; STEPHEN ROSENTHAL - $221,591. Schedule J, Part I, Line 7 Non-fixed payments PART OF THE ANNUAL INCENTIVE AWARDS IN COLUMN (B)(II) PAID BY THE ORGANIZATION TO REPORTABLE INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A WAS BASED ON THE COMPENSATION BOARD OR MANAGEMENT DISCRETION. Form 990, Part VI, Line 16b ALL JOINT VENTURES HAVE HOSPITAL REPRESENTATION ON THE RESPECTIVE BOARDS TO ENSURE THAT THE HOSPITAL'S PARTICIPATION IN THESE JOINT VENTURE'S ARE IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE PURPOSE AND MISSION. Form 990, Part VI, Line 6 Classes of members or stockholders MONTEFIORE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL, HAS THE AUTHORITY TO APPOINT AND REMOVE THE MEMBERS OF THE ORGANIZATION'S BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL, HAS THE POWER TO AUTHORIZE AND APPROVE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE CORPORATION, THE APPOINTMENT, TERMINATION AND TERMS OF EMPLOYMENT OF THE CORPORATE OFFICERS, AUTHORIZATION AND APPROVAL OF ALL BUDGETS AND PLANS INCLUDING THE OPERATING AND CAPITAL BUDGET AND STRATEGIC PLANS, APPROVAL OF ANY MATERIAL CHANGES TO THE HOSPITAL'S CLINICAL SERVICES, THE AUTHORIZATION AND APPROVAL OF MANAGED CARE CONTRACTS, INDEBTEDNESS, MERGERS, CONSOLIDATIONS OR DISSOLUTIONS OF THE CORPORATION AND CERTAIN ADMINISTRATIVE PROCEDURES, AMONG OTHERS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY THE MONTEFIORE'S TAX DEPARTMENT WORKING CLOSELY WITH ST. LUKE'S FINANCE TEAM AND ASSISTED BY VARIOUS DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE-PRESIDENT-FINANCE AND THE MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL SENIOR LEADERSHIP INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE ST LUKE'S FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF ST. LUKE'S GOVERNING BODY PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES OF ST. LUKE'S CORNWALL HOSPITAL ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF THE HOSPITAL OR AS A BOARD MEMBER OF THE HOSPITAL. COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE SECRETARY OF THE BOARD OF TRUSTEES AND CONCERNS PRESENTED BY THE RESPONSES ARE DISCLOSED TO THE SYSTEM'S COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S PRESIDENT/CEO AND THE ORGANIZATION'S FINANCE COMMITTEE FOR DISCUSSION AND ALLEVIATION OF THE CONFLICT. DOCUMENTATION OF THE EXISTENCE AND RESOLUTION OF THE CONFLICT, INCLUDING ANY MEETING MINUTES, IS MAINTAINED BY THE SECRETARY OF THE BOARD. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST CORPORATE GOVERNANCE. THE ST. LUKE'S BOARD OF TRUSTEES HAS CHARGED THE FINANCE COMMITTEE OF THE BOARD (WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARDS TO EXECUTIVE COMPENSATION) TO SERVE AS THE EXECUTIVE COMPENSATION COMMITTEE, RESPONSIBLE WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR SELECT SENIOR MANAGEMENT OF THE CORPORATION. ALL DECISIONS MADE BY THE EXECUTIVE COMPENSATION COMMITTEE ARE APPROPRIATELY AND TIMELY DOCUMENTED IN MEETING MINUTES. THE EXECUTIVE COMPENSATION COMMITTEE'S REVIEW PROCESS FOLLOWS THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING DATA FOR COMPARABLE ORGANIZATIONS, AN ASSESSMENT OF MANAGEMENT PERFORMANCE (INCLUDING THE SERVICES PROVIDED TO THE COMMUNITY), AND OTHER BUSINESS JUDGMENT FACTORS, CONSISTENT WITH ST. LUKE'S EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTEREST OF ST. LUKE'S, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SCOPE, MISSION AND COMPLEXITY. ON AN ANNUAL BASIS, THE CHAIR OF THE COMMITTEE PROVIDES THE BOARD WITH A REPORT OF THE COMMITTEE'S ACTIVITIES AND PROGRESSIONS. Form 990, Part VI, Line 19 Required documents available to the public THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 196011, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 196011; Form 990, Part IX, Line 11g Other Fees TEMPORARY PERSONNEL - Total Expense: 5581224, Program Service Expense: 5262349, Management and General Expenses: 318875, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 10614126, Program Service Expense: 7558575, Management and General Expenses: 3055551, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 15083052, Program Service Expense: 15083052, Management and General Expenses: , Fundraising Expenses: ; MEDICAL PURCHASED SERVICES - Total Expense: 4448528, Program Service Expense: 4448528, Management and General Expenses: , Fundraising Expenses: ; LAB PURCHASED SERVICES - Total Expense: 2973171, Program Service Expense: 2973171, Management and General Expenses: , Fundraising Expenses: ; SECURITY - Total Expense: 2821963, Program Service Expense: , Management and General Expenses: 2821963, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN DEFINED PENSION AND OTHER POSTRETIREMENT PLAN LIABILITIES TO BE RECOGNIZED IN FUTURE PERIODS - 2499275; TRANSFER TO AFFILIATES - -3570429; FAIR VALUE OF A DERIVATIVE INSTRUMENT - -18754; CHANGE IN THE BENEFICIAL INTEREST IN AN AFFILIATE FOUNDATION ENTITY - -2099770; ST LUKE'S CORNWALL JV LLC 70 DUBOIS STREET NEWBURGH NY 12550 263443304 HEALTH SVCS. NY 233098 2555978 SLCH ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH NY 12550 223026261 HOLDING COMP NY 501(c)(3) Type I MHS true ST LUKE'S CORNWALL HEALTH SYSTEM FDN 70 DUBOIS STREET NEWBURGH NY 12550 223026263 FUNDRAISING NY 501(c)(3) 7 SLCHS true HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH NY 12550 272020746 HEALTHCARE NY 501(c)(3) Type I SLCH true HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 HEALTHCARE NY 501(c)(3) Type I SLCH true MONTEFIORE HEALTH SYSTEM INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NY 10591 201615393 PARENT NY 501(c)(3) Type II MMAHS true MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 10467 131740114 ACD MED CTR NY 501(c)(3) 3 MHS true MMC CORPORATION 111 EAST 210TH STREET BRONX NY 10467 133430322 REAL ESTATE NY 501(c)(3) Type I MMC true MMC RESIDENTIAL CORP I INC 3411 WAYNE AVENUE BRONX NY 10467 911943271 STAFF HOUSING NY 501(c)(2) MMC true MONTEFIORE HOSP HOUSING SECTION II INC 3450 WAYNE AVENUE BRONX NY 10467 237160641 STAFF HOUSING NY 501(c)(2) MMC true MOSHOLU PRESERVATION CORPORATION 3400 RESEVOIR OVAL EAST BRONX NY 10467 133109387 COMMUNITY SER NY 501(c)(3) Type I MMC true MONTEFIORE NEW ROCHELLE HOSPITAL 16 GUION PLACE NEW ROCHELLE NY 10801 462931956 HOSPITAL NY 501(c)(3) 3 MHS true MONTEFIORE MOUNT VERNON HOSPITAL 12 NORTH SERVENTH AVENUE MOUNT VERNON NY 10550 462916938 HOSPITAL NY 501(c)(3) 3 MHS true SCHAFFER EXTENDED CARE CENTER 16 GUION PLACE NEW ROCHELLE NY 10801 462929888 NURSING HOME NY 501(c)(3) 3 MHS true MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX NY 10467 471600439 INACTIVE NY 501(c)(3) 7 MMAHS true MONTEFIORE MEDICINE ACADEMIC HEALTH SYST 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NY 10591 471582973 SYSTEM PARENT NY 501(c)(3) Type III-FI N/A true MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HOSPITAL NY 501(c)(3) 3 MHS true WHITE PLAINS HOSPITAL MEDICAL CENTER 41 EAST POST ROAD DAVIES AVE WHITE PLAINS NY 10601 131740130 HOSPITAL NY 501(c)(3) 3 MHS true AECOM STUDENT HOUSING CO INC 1300 MORRIS PARK AVENUE BRONX NY 10461 237075620 STUDENT HOUS NY 501(c)(2) AECOM true MONTEFIORE CERC OPERATIONS INC 111 EAST 210TH STREET BRONX NY 10467 474853506 REHAB CENTER NY 501(c)(3) 3 MMC true WHITE PLAINS HOSPITAL CTR FOUNDATIONINC 41 EAST POST ROAD DAVIS AVE WHITE PLAINS NY 10601 133281507 FUNDRAISING NY 501(c)(3) Type I WPHMC true MONTEFIORE NYACK HOSPITAL FOUNDATION 160 NORTH MIDLAND AVENUE NYACK NY 10960 133245804 FUNDRAISING NY 501(c)(3) 7 NYACK HOSP true THE WINIFRED MASTERSON BURKE REHAB HOSP 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 131739937 REHAB HOSP NY 501(c)(3) 3 MHS true HUDSON VISTA CORPORATION 70 DUBOIS STREET NEWBURGH NY 12550 202286782 HEALTHCARE NY 501(c)(3) Type I N/A false MONTEFIORE MED ACAD HLTH SYS SELF INS TR 555 SOUTH BROADWAY TARRYTOWN NY 10591 824019223 INS TRUST NY 501(c)(3) Type I MMAHS true ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX NY 10461 830621846 MED COLLEGE NY 501(c)(3) 2 MMAHS true MONTEFIORE COMMUNITY SERVICES INC 111 EAST 210TH STREET BRONX NY 10467 863368007 HEALTHCARE NY 501(c)(3) 3 MMC true MONTEFIORE EINSTEIN ADVANCED CARE 555 SOUTH BROADWAY TARRYTOWN NY 10591 863090734 HEALTHCARE NY 501(c)(3) 3 MHS true MONTEFIORE ACTION FUND INC 111 EAST 210TH STREET BRONX NY 10467 872215301 INACTIVE NY 501(c)(4) MHS true MNH GARAGECO INC 160 NORTH MIDLAND AVENUE NYACK NY 109601912 880573052 PARKING NY 501(c)(3) NYACK HOSP true UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX NY 10467 133877781 MGMT SERVICES NY N/A C Corporation true THE MONTEFIORE IPA INC 111 EAST 210TH STREET BRONX NY 10467 134114915 INTEG PROVR ASSOC NY N/A C Corporation true MMC GI HOLDINGS EAST INC 111 EAST 210TH STREET BRONX NY 10467 721610013 HOLDING COMPANY NY N/A C Corporation true MMC GI HOLDINGS WEST INC 111 EAST 210TH STREET BRONX NY 10467 721610015 HOLDING COMPANY NY N/A C Corporation true MONTEFIORE BEHAVIORAL CARE IPA NO1 INC 111 EAST 210TH STREET BRONX NY 10467 133952750 INTEG PROVR ASSOC NY N/A C Corporation true BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX NY 10467 300689571 INTEG PROVR ASSOC NY N/A C Corporation true MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX NY 10467 611728539 HOLDING COMPANY NY N/A C Corporation true MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX NY 10467 320436594 INACTIVE NY N/A C Corporation true HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX NY 10467 383978087 INTEG PROVR ASSOC NY N/A C Corporation true MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX NY 10467 475106910 HOLDING COMPANY NY N/A C Corporation true HIGHLAND MEDICAL PC 160 NORTH MIDLAND AVENUE NYACK NY 10960 134034481 HEALTHCARE SERV. 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