BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP (EIN 45-2964467)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202323199349317767
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T14:21:52+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1101 NEW YORK AVENUE NW	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	452964467	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BONS	BusinessNameControlTxt
Phone	8453685000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 LAFAYETTE AVENUE	AddressLine1Txt
City	SUFFERN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY LEAHY MD	PersonNm
Person Title	CEO - BSCHS	PersonTitleTxt
Phone	8453685000	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MARY	PersonFirstNm
Person Last	LEAHY	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Justin Lowe	PreparerPersonNm
PTIN	P01866796	PTIN
Phone	2023276000	PhoneNum
Preparation	2023-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY LEAHY MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 LAFAYETTE AVENUE	AddressLine1Txt
City	SUFFERN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$616,441,406	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5747	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BSCHS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO OPERATE SEVERAL ACUTE CARE HOSPITALS, LONG-TERM CARE FACILITIES AND OTHER HEALTHCARE SERVICES FOR THE RESIDENTS OF THE COMMUNITIES SERVED.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	3775	TotalEmployeeCnt
Total Volunteers	37	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,096,792	PYContributionsGrantsAmt
CY Contributions Grants	$14,377,832	CYContributionsGrantsAmt
PY Program Service Revenue	$576,141,451	PYProgramServiceRevenueAmt
CY Program Service Revenue	$584,661,001	CYProgramServiceRevenueAmt
PY Investment Income	$473,309	PYInvestmentIncomeAmt
CY Investment Income	$370,073	CYInvestmentIncomeAmt
PY Other Revenue	$12,018,692	PYOtherRevenueAmt
CY Other Revenue	$16,483,135	CYOtherRevenueAmt
PY Total Revenue	$606,730,244	PYTotalRevenueAmt
CY Total Revenue	$615,892,041	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,524	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,734	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$342,283,863	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$336,609,728	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$297,321,495	PYOtherExpensesAmt
CY Other Expenses	$307,878,461	CYOtherExpensesAmt
PY Total Expenses	$639,627,882	PYTotalExpensesAmt
CY Total Expenses	$644,501,923	CYTotalExpensesAmt
PY Revenues Less Expenses	-$32,897,638	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$28,609,882	CYRevenuesLessExpensesAmt
Total Assets BOY	$223,032,633	TotalAssetsBOYAmt
Total Assets EOY	$283,126,035	TotalAssetsEOYAmt
Total Liabilities BOY	$281,867,915	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$294,526,161	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$58,835,282	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$11,400,126	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION IS TO MAKE VISIBLE GOD'S LOVE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR, VULNERABLE AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$555,885,487	ExpenseAmt
Grant	$13,734	GrantAmt
Revenue	$600,366,615	RevenueAmt
Desc	BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP IS COMPOSED OF THREE ACUTE CARE HOSPITALS, A PRIMARY AND SPECIALTY MEDICAL CARE PRACTICE AND TWO LONG-TERM CARE AND RESIDENTIAL FACILITIES: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY; BON SECOURS COMMUNITY HOSPITAL; ST. ANTHONY COMMUNITY HOSPITAL; BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, PC; ST. FRANCIS CENTER AT THE KNOLLS (DBA MOUNT ALVERNO CENTER); AND VILLAS FRANCIS AT THE KNOLLS (DBA SCHERVIER PAVILION). GOOD SAMARITAN HOSPITAL (GSH) OPERATES A 286-BED HOSPITAL LOCATED IN SUFFERN, NEW YORK THAT PROVIDES EMERGENCY, MEDICAL, SURGICAL, OBSTETRICAL/GYNECOLOGICAL AND ACUTE CARE SERVICES TO ROCKLAND AND ORANGE COUNTIES, NEW YORK AND NORTHERN BERGEN COUNTY, NEW JERSEY. GSH HAS A DESIGNATED STROKE CENTER AND ACUTE MYOCARDIAL INFARCTION (AMI) PROGRAM, AND A REGIONAL CARDIOVASCULAR PROGRAM, PROVIDING OPEN HEART SURGERY, A CARDIAC CATHETERIZATION LABORATORY, EMERGENCY ANGIOPLASTY, ELECTROPHYSIOLOGY STUDIES AND A PACEMAKER CLINIC. GSH IS THE ONLY FACILITY IN THE REGION WITH AN ANGIOGRAPHY SUITE TO TREAT VASCULAR DISEASE WITH NEW 3D DIAGNOSTIC EQUIPMENT WHICH PROVIDES IMAGE GUIDED THERAPY TO EVALUTE ARTERIES AND VEINS TO IDENTIFY BLOCKAGES MORE PRECISELY. GSH HAS BEEN NAMED ONE OF HEALTH GRADES AMERICA'S 100 BEST HOSPITAL'S FOR CORONARY INTERVENTION FOR 4 YEARS IN A ROW (2018-2021). ALONG WITH THE CORONARY INTERVENTION EXCELLENCE AWARD FROM HEALTHGRADES, GSH HAS RECEIVED MANY AWARDS AND IN 2014 WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS. GSH OFFERS A COMPREHENSIVE WOMEN'S BREAST CENTER, WOUND AND HYPERBARIC CENTER, SLEEP STUDY CENTER AND MATERNAL/CHILD SERVICES, INCLUDING A LEVEL II NEONATAL INTENSIVE CARE UNIT SUPPORTED BY PEDIATRIC SUBSPECIALISTS FROM WESTCHESTER MEDICAL CENTER (WMC). THE WOMEN'S BREAST CENTER AT GSH IS THE ONLY FACILITY IN THE AREA THAT OFFERS A HIGH RISK SCREENING PROGRAM TO IDENTIFY WOMEN WHO MEET CRITERIA FOR HIGH RISK, DURING THEIR ROUTINE SCREENINGS. GSH'S SURGICAL WEIGHT LOSS INSTITUTE PROVIDES PRE-OPERATIVE, SURGICAL CARE AND OUTPATIENT POST-OPERATIVE BARIATRIC SUPPORT. GSH ALSO PROVIDES KIDNEY DIALYSIS, PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES AND A RANGE OF SOCIAL SUPPORT SERVICES, EDUCATION AND POPULATION HEALTH SERVICES. THE OB EMERGENCY DEPARTMENT IN COLLABORATION WITH THE OB HOSPITALIST PROGRAM PROVIDES EMERGENCY OBSTETRICAL SERVICES IN THE OB EMERGENCY DEPARTMENT. THE OB-GYN DEPARTMENT RECEIVED THE HEALTHGRADES FIVE STAR AWARD FOR VAGINAL DELIVERY FOR THE 6 CONSECUTIVE YEARS (2015-2020) BY HEALTHGRADES, AS WELL AS THE OBSTETRICS AND GYNECOLOGY EXCELLENCE AWARD FOR 2 CONSECUTIVE YEARS (2019-2020). THE CAMPUS ALSO INCLUDES A MEDICAL OFFICE BUILDING HOUSING A STATE-OF-THE-ART AMBULATORY SURGERY CENTER, WHICH INCLUDES PRIMARY CARE AND SPECIALTY PHYSICIANS. GSH'S CERTIFIED HOME CARE AGENCY PROVIDES HOME HEALTH SERVICES TO THE RESIDENTS OF ROCKLAND AND ORANGE COUNTIES, NEW YORK. THIS PROGRAM IS FOR PATIENTS WHO HAVE ACUTE NEEDS AND REQUIRE HOME CARE FOR A RELATIVELY SHORT PERIOD OF TIME AND WILL BE DISCHARGED WHEN THEY ARE STABILIZED OR RETURNED TO A PRE-ILLNESS LEVEL OF FUNCTIONING. ADDITIONAL SERVICES INCLUDE WOUND AND OSTOMY ASSESSMENTS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL SOCIAL WORK, NUTRITION AND HOME HEALTH AIDES. THE HOME HEALTH AGENCY IS CERTIFIED FOR EXPANSION INTO MANHATTAN AND WESTCHESTER COUNTY, NEW YORK. BON SECOURS COMMUNITY HOSPITAL (BSCH) OPERATES A 122-BED ACUTE CARE HOSPITAL LOCATED IN PORT JERVIS, NEW YORK THAT PROVIDES COMMUNITY-BASED CARE TO RESIDENTS IN THE PORT JERVIS, NEW YORK AND SURROUNDING AREAS (ORANGE AND SULLIVAN COUNTIES IN NEW YORK, SUSSEX COUNTY IN NEW JERSEY AND PIKE COUNTY IN PENNSYLVANIA). BSCH PROVIDES EMERGENCY CARE, LABORATORY AND IMAGING SERVICES, MEDICAL AND SURGICAL SERVICES, INTENSIVE CARE UNIT, INPATIENT DIALYSIS, CARDIOPULMONARY CARE, INFUSION THERAPY OUTPATIENT WOUND CARE, AND A DIABETES PROGRAMS. BSCH ALSO OFFERS INPATIENT PSYCHIATRIC SERVICES AND A CHEMICAL DEPENDENCY PROGRAM. A MEDICAL OFFICE BUILDING WITH PRIMARY CARE AND DIAGNOSTIC SERVICES IS LOCATED ACROSS THE STREET FROM BSCH. BSCH ALSO OFFERS A WIDE RANGE OF HEALTH EDUCATION AND POPULATION HEALTH SUPPORT SERVICES FOR THE COMMUNITY. ST. JOSEPH'S PLACE IS A 46-BED NURSING CARE CENTER LOCATED ON THE FIRST FLOOR OF BSCH THAT PROVIDES 24-HOUR NURSING CARE, LONG- AND SHORT-TERM REHABILITATION, TRACHEOTOMY CARE, HEAD TRAUMA CARE, RESPIRATORY CARE AND PSYCHOLOGICAL SERVICES. ST. ANTHONY COMMUNITY HOSPITAL (SACH) OPERATES A 60-BED HOSPITAL THAT IS LOCATED IN WARWICK, NEW YORK SERVING THE RESIDENTS OF ORANGE COUNTY, NEW YORK, AND SUSSEX AND PASSAIC COUNTIES, NEW JERSEY. SACH PROVIDES EMERGENCY CARE, MEDICAL AND SURGICAL SERVICES, LABORATORY AND IMAGING SERVICES, OBSTETRICAL, GYNECOLOGICAL AND ORTHOPEDICS. THE SACH AMBULATORY SERVICES CENTER PROVIDES VARIOUS CONVENIENT SERVICES, INCLUDING ADMITTING, PRE-ADMISSION SCREENING, ENDOSCOPY, MINOR SURGERY AND SAME-DAY SURGERY. AN INFUSION CENTER PROVIDES LONG-TERM INTRAVENOUS ANTIBIOTICS, BLOOD TRANSFUSIONS, IRON THERAPY, CHEMOTHERAPY AND LONG-TERM CATHETER INSERTION AND MAINTENANCE. SACH EDUCATION AND OUTREACH SERVICES INCLUDE A DIABETES EDUCATION PROGRAM AND POPULATION HEALTH IMPROVEMENT PROGRAMS. BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, PC (MEDPC) PROVIDES MEDICAL SERVICES TO SUFFERN, NEW YORK AND SURROUNDING COMMUNITIES. THEIR SERVICES INCLUDE PRIMARY CARE AND VARIOUS SPECIALTY PROFESSIONAL SERVICES. THE ORGANIZATION SEEKS TO LOCATE ITS PHYSICIAN PRACTICE SITES IN AREAS THAT MOST EFFECTIVELY MEET THE NEEDS OF THE COMMUNITY. VILLA FRANCIS AT THE KNOLLS, INC.D/B/A SCHERVIER PAVILION (SCHERVIER) IS A 122-BED, SKILLED NURSING FACILITY LOCATED IN WARWICK, NEW YORK. SCHERVIER PROVIDES THERAPEUTIC AND SOCIAL ACTIVITIES DESIGNED TO ENHANCE THE PHYSICAL AND MENTAL CAPABILITIES TO HELP RESIDENTS MAINTAIN AND OPTIMIZE THEIR LEVEL OF DAILY INDEPENDENCE. SCHERVIER IS PART OF THE 27-ACRE WARWICK CAMPUS THAT INCLUDES MOUNT ALVERNO CENTER AND SACH. LOCATED IN SCHERVIER IS A FULL-SERVICE ADULT DAY CARE PROGRAM KNOWN AS DAY-AT-A-TIME. IT PROVIDES HEALTH CARE, RECREATIONAL AND THERAPEUTIC ACTIVITIES FROM TWO TO FIVE DAYS PER WEEK FOR THE COGNITIVELY IMPAIRED AND PHYSICALLY FRAIL. THE PROGRAM PROVIDES AN ALTERNATIVE TO NURSING HOME PLACEMENT AND HOME HEALTH CARE. ST. FRANCIS CENTER AT THE KNOLLS, INC. D/B/A MOUNT AVERNO CENTER (MOUNT ALVERNO) IS AN ADULT HOME LOCATED ON THE SACH CAMPUS WITH AN ASSISTED LIVING PROGRAM SERVING 85 RESIDENTS BY PROVIDING INDIVIDUALIZED CARE PLANS DESIGNED TO HELP RESIDENTS REACH AND MAINTAIN A MAXIMUM LEVEL OF INDEPENDENCE.	Desc
Total Program Service Expenses	$555,885,487	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	199	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3775	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAUREEN BURKE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8453685305	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 LAFAYETTE AVENUE	AddressLine1Txt
City	SUFFERN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN HEIMERDINGER
SECRETARY	1.0	8.0	Yes (X)	Yes (X)	$0	$0	$0
MARY LEAHY MD
PRESIDENT & CEO	36.0	4.0	Yes (X)	Yes (X)	$0	$1,243,364	$108,073
MICHAEL ISRAEL
VICE CHAIR	1.0	39.0	Yes (X)	Yes (X)	$0	$3,405,987	$57,096
RICHARD WISHNIE
CHAIR	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
SR ANNE LUTZ
BSMH REP	1.0	39.0	Yes (X)	Yes (X)	$0	$0	$0
SR MAUREEN SULLIVAN
BSMH REP	1.0	39.0	Yes (X)	Yes (X)	$0	$0	$0
TAMER EL-RAYESS MD
1ST VICE CHAIR & TREASURER	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
GARY BRUDNICKI
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$2,333,526	$70,137
JOSHUA RATNER
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$1,068,839	$80,357
JULIE SWITZER
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$1,062,607	$47,287
LAISHY WILLIAMS CARLSON
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
MICHAEL ROSENBLUT
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
RENEE GARRICK MD
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$1,168,872	$66,731
SANDRA GRANNUM
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
STEVEN KENT
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
SUSAN GEVERTZ
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
PETER KENNIFF
CFO - thru 10/2022	39.0	1.0		Yes (X)	$8,274	$0	$616
CARY HIRSCH MD
PHYSICIAN	40.0	0.0			$707,497	$0	$9,434	Yes (X)
GUNJAN SHUKLA
PHYSICIAN	40.0	0.0			$729,877	$0	$53,491	Yes (X)
RAJIV SINGH
PHYSICIAN	40.0	0.0			$720,204	$0	$27,047	Yes (X)
SETH HURWITZ
PHYSICIAN	40.0	0.0			$720,204	$0	$39,408	Yes (X)
SUNANDAN A PANDYA
PHYSICIAN	40.0	0.0			$746,169	$0	$53,491	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,632,225	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,283,194	TotReportableCompRltdOrgAmt
Total Other Compensation	$613,168	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	830	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SHIFTWISE INC
2121 N 117 AVENUE	STE 200	OMAHA	NE	68164	TEMPORARY SUPPORT	$9,117,958
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CTR		CHICAGO	IL	60693	ENGINEERING	$7,359,160
MORRISON HEALTHCARE
PO BOX 102289		ATLANTA	GA	30368	FOOD SERVICES	$6,435,050
ACCESS REHABILITATION SERVICES
16 MAYBROOK RD	STE H	CAMPBELL HALL	NY	10916	REHAB SERVICES	$5,791,800
E4 SERVICES LLC
1540 INTERNATIONAL PKWY	STE 2000	LAKE MARY	FL	32746	IT SUPPORT	$4,279,996

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	116	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$2,058,162	RelatedOrganizationsAmt
Government Grants	$11,378,259	GovernmentGrantsAmt
All Other Contributions	$941,411	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$14,377,832	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	623000	$583,523,996	$583,523,996	$0	$0
CAPITATION REVENUE	623000	$1,137,005	$1,137,005	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$584,661,001	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$370,073	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$370,073	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$880,833	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$549,365	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$331,468	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$331,468	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$331,468	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NYS DELIVERY SYSTEM REFORM INCENTIVE PYMNT	900099	$5,500,000	$5,500,000	$0	$0
SERVICE AGREEMENTS	900099	$3,669,829	$3,669,829	$0	$0
REBATES & GPO DISCOUNTS	900099	$2,511,693	$2,511,693	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,470,145	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,024,092	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$446,053	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$16,151,667	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$615,892,041	TotalRevenueColumnAmt
Related Or Exempt Func Income	$600,366,615	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,147,594	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$13,734	TotalAmt
Program Services	$13,734	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,889	TotalAmt
Program Services	$889	ProgramServicesAmt
Management And General	$8,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$251,478,825	TotalAmt
Program Services	$232,084,536	ProgramServicesAmt
Management And General	$19,394,289	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,109,942	TotalAmt
Program Services	$7,165,997	ProgramServicesAmt
Management And General	$1,943,945	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$54,829,223	TotalAmt
Program Services	$52,628,737	ProgramServicesAmt
Management And General	$2,200,486	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,182,849	TotalAmt
Program Services	$19,268,314	ProgramServicesAmt
Management And General	$1,914,535	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$850,932	TotalAmt
Program Services	$21,644	ProgramServicesAmt
Management And General	$829,288	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$506,283	TotalAmt
Program Services	$28,194	ProgramServicesAmt
Management And General	$478,089	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$138,839	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$138,839	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,123,151	TotalAmt
Program Services	$24,022,579	ProgramServicesAmt
Management And General	$100,572	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,232,674	TotalAmt
Program Services	$59,322	ProgramServicesAmt
Management And General	$1,173,352	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,253,182	TotalAmt
Program Services	$7,743,498	ProgramServicesAmt
Management And General	$4,509,684	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,201,499	TotalAmt
Program Services	$2,659,052	ProgramServicesAmt
Management And General	$3,542,447	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,812,540	TotalAmt
Program Services	$13,023,440	ProgramServicesAmt
Management And General	$5,789,100	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$668,244	TotalAmt
Program Services	$599,754	ProgramServicesAmt
Management And General	$68,490	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$237,321	TotalAmt
Program Services	$211,489	ProgramServicesAmt
Management And General	$25,832	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,133,456	TotalAmt
Program Services	$865,002	ProgramServicesAmt
Management And General	$7,268,454	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,599,487	TotalAmt
Program Services	$22,599,487	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,089,200	TotalAmt
Program Services	$13,991,825	ProgramServicesAmt
Management And General	$97,375	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$87,600,904	$87,600,904	$0	$0
PURCHASED SERVICES	$64,544,862	$45,459,123	$19,085,739	$0
OUTSOURCED SERVICES	$35,366,942	$19,178,579	$16,188,363	$0
DIETARY SUPPLIES	$3,928,253	$654,393	$3,273,860	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,590,692	TotalAmt
Program Services	$6,004,995	ProgramServicesAmt
Management And General	$585,697	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$644,501,923	TotalAmt
Program Services	$555,885,487	ProgramServicesAmt
Management And General	$88,616,436	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,375,234	BOYAmt
EOY	$730,822	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$34,574	BOYAmt
EOY	$34,574	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$49,817,228	BOYAmt
EOY	$54,946,121	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,008,886	BOYAmt
EOY	$13,516,938	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,662,990	BOYAmt
EOY	$3,543,323	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$563,484,934	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$360,045,070	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$145,885,285	BOYAmt
EOY	$203,439,864	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$30,086	BOYAmt
EOY	$30,086	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,218,350	BOYAmt
EOY	$6,884,307	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$223,032,633	BOYAmt
EOY	$283,126,035	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$85,775,651	BOYAmt
EOY	$96,288,226	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$262,875	BOYAmt
EOY	$250,567	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$130,832	BOYAmt
EOY	$93,096	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$124,522,240	BOYAmt
EOY	$124,628,524	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,176,317	BOYAmt
EOY	$73,265,748	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$281,867,915	BOYAmt
EOY	$294,526,161	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$59,671,511	BOYAmt
EOY	-$12,236,355	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$836,229	BOYAmt
EOY	$836,229	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$58,835,282	BOYAmt
EOY	-$11,400,126	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$223,032,633	BOYAmt
EOY	$283,126,035	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$28,609,882	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$76,045,038	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,650,443	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,740,145	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,455,869	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,145,190	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,003,325	CurrentTaxYearAmt
Total	$6,994,972	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,650,443	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,740,145	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,455,869	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,145,190	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,003,325	CurrentTaxYearAmt
Total	$6,994,972	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$824,516	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,118,307	CurrentTaxYearMinus1YearAmt
Current Tax Year	$920,152	CurrentTaxYearAmt
Total	$2,862,975	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$824,516	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,118,307	CurrentTaxYearMinus1YearAmt
Current Tax Year	$920,152	CurrentTaxYearAmt
Total	$2,862,975	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$4,131,997	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$102,789	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$111,496	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$95,589	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$92,237	CurrentTaxYearMinus1YearAmt
Current Tax Year	$109,788	CurrentTaxYearAmt
Total	$511,899	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,753,232	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,851,641	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,551,458	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,237,427	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,113,113	CurrentTaxYearAmt
Total	$7,506,871	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.5504	PublicSupportCY509Pct
Public Support PY509	0.7046	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I	ONE SUBORDINATE (ST. FRANCIS CENTER AT THE KNOLLS D/B/A MOUNT ALVERNO ASSISTED LIVING CENTER) INCLUDED IN THIS RETURN HAS PUBLIC CHARITY STATUS AS AN ORGANIZATION DESCRIBED IN SECTION 509(A)(2). SCHEDULE A, PART III IS COMPLETED TO REPORT THIS ENTITY'S ACTIVITIES.
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - OTHER INCOME, COLUMN A - 102789.0, COLUMN B - 111496.0, COLUMN C - 95589.0, COLUMN D - 92237.0, COLUMN E - 109788.0, COLUMN F - 511899.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$138,839	OtherActivitiesAmt
Total Lobbying Expenditures	$138,839	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION MAINTAINS MEMBERSHIPS IN VARIOUS HEALTHCARE PROFESSIONAL ASSOCIATIONS. PORTIONS OF THE MEMBERSHIP DUES ARE USED FOR LOBBYING ACTIVITIES. THE LOBBYING PORTION OF SUCH DUES, AS PROVIDED BY THE MEMBERSHIP ORGANIZATION, IS INCLUDED ON PART IX, LINE 11D.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,031,959	OtherCostOrOtherBasisAmt
Book Value	$5,031,959	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$229,000,110	OtherCostOrOtherBasisAmt
Depreciation	$136,972,217	DepreciationAmt
Book Value	$92,027,893	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,287,641	OtherCostOrOtherBasisAmt
Depreciation	$1,158,682	DepreciationAmt
Book Value	$128,959	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$250,562,316	OtherCostOrOtherBasisAmt
Depreciation	$211,429,268	DepreciationAmt
Book Value	$39,133,048	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,602,908	OtherCostOrOtherBasisAmt
Depreciation	$10,484,903	DepreciationAmt
Book Value	$67,118,005	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$203,439,864	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTIES	$17,057,403
LONG TERM LIABILITY	$3,000,823
CAPITAL LEASE LT LIABILITY	$3,899,865
DUE TO AFFILIATES	$11,099,078
DEFERRED EMPLOYEE SOCIAL SECUR	$4,900,644
PENSION LIABILITIES	$1,096,020
OTHER MISCELLANEOUS LIABILITIES	$68,375
IMPLEMENTATION LIABILITIES	$32,143,540
MEDICARE ADVANCE (CARES ACT)	$0

Field	Value	IRS element (for citing)
Total Liability	$73,265,748	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part IV, Line 2b Explanation of escrow agreement	FormAndLineReferenceDesc
Explanation	CERTAIN FACILITIES HOLD, SAFEGUARD, MANAGE AND ACCOUNT FOR THE PERSONAL FUNDS OF RESIDENTS WHO HAVE AUTHORIZIZED THE FACILITIES, IN WRITING, TO MANAGE PERSONAL FUNDS. FUND REQUESTS LESS THAN $50 ARE AVAILABLE FOR IMMEDIATE DISTRIBUTION TO RESIDENTS AND WRITTEN REQUESTS FOR $50 OR MORE ARE HONORED, BY CHECK, WITHIN A REASONABLE TIMEFRAME. GENERALLY, ALL CUSTODIAL FUNDS IN EXCESS OF $50 ARE HELD IN INTEREST BEARING ACCOUNTS SEPARATE FROM THAT OF THE FACILITIES.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,996,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,954,654	NetCommunityBenefitExpnsAmt
Total Expense	0.0030	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,468,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,214,112	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,254,318	NetCommunityBenefitExpnsAmt
Total Expense	0.0749	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$119,464,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,256,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,208,972	NetCommunityBenefitExpnsAmt
Total Expense	0.0779	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	110652	PersonsServedCnt
Total Community Benefit Expns	$4,623,734	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,623,734	NetCommunityBenefitExpnsAmt
Total Expense	0.0072	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	974	PersonsServedCnt
Total Community Benefit Expns	$1,050,013	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,050,013	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,934,297	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,934,297	NetCommunityBenefitExpnsAmt
Total Expense	0.0108	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	2300	PersonsServedCnt
Total Community Benefit Expns	$64,716	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,716	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	113926	PersonsServedCnt
Total Community Benefit Expns	$12,672,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,672,760	NetCommunityBenefitExpnsAmt
Total Expense	0.0197	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	113926	PersonsServedCnt
Total Community Benefit Expns	$132,137,742	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,256,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,881,732	NetCommunityBenefitExpnsAmt
Total Expense	0.0976	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	838	PersonsServedCnt
Total Community Benefit Expns	$238,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$238,277	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	405	PersonsServedCnt
Total Community Benefit Expns	$158,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,130	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	90	PersonsServedCnt
Total Community Benefit Expns	$754,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$754,918	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	270	PersonsServedCnt
Total Community Benefit Expns	$44,509	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,509	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1603	PersonsServedCnt
Total Community Benefit Expns	$1,195,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,195,834	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$34,356,197	BadDebtExpenseAmt
Reimbursed By Medicare	$121,196,865	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$180,859,002	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$59,662,137	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
GOOD SAMARITAN HOSPITAL OF SUFFERNNY
1	255 LAFAYETTE AVE	SUFFERN	NY	10901	GOODSAMHOSP.ORG	4329000H/XXX-XX-XXXX	Yes (X)	Yes (X)	Yes (X)	A
ST ANTHONY COMMUNITY HOSPITAL
2	15 MAPLE AVENUE	WARWICK	NY	10990	STANTHONYCOMMUNITYHOSP.ORG	3529000H/XXX-XX-XXXX	Yes (X)	Yes (X)	Yes (X)	A
BON SECOURS COMMUNITY HOSPITAL
3	160 EAST MAIN STREET	PORT JERVIS	NY	12771	BONSECOURSCOMMUNITYHOSP.ORG	3535001H/XXX-XX-XXXX	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.goodsamhosp.org/community-health-needs-assessment2; https://www.bonsecourscommunityhosp.	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.goodsamhosp.org/Uploads/Public/Documents/Good%20Samaritan/Healthy%20Communities%20ACO/We	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. In 2022, the Bon Secours Charity Health System hospitals partnered with the Rockland County (NY) and Orange County (NY) Health Departments, other county hospitals, health and human service agencies, and the community at large from within the greater Rockland and Orange County area to assess the health needs of the communities and to develop a comprehensive Community Health Needs Assessment (CHNA) and Community Health Improvement Plan. The research and analysis that went into choosing the health priorities was extensive and the areas of focus were chosen with the goal of improving the health and wellbeing of all residents within the service area. From March - May 2022, hospitals and the seven Local Health Departments of the Mid-Hudson (NY) Region: Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester, partnered with the Siena College Research Institute (SCRI) to conduct a public opinion survey of 5,699 Hudson Valley NY residents. Residents aged 18 and older were interviewed from within the above mentioned counties to ensure representative county-wide samples. SCRI contacted respondents via landline telephone, cell phone, an online panel, online surveys at various in-person events, and other community partnerships to enhance representation from across the region. To further supplement the data collected, several community focus group sessions were held. In the summer of 2022, county hospitals, along with the Rockland and Orange County Epidemiologists, and health department staffs, discussed areas of identified need, health disparities and areas of community assets and strength. Through community asset surveys, local residents provided their feedback on community strengths, where to focus resources to improve quality of life, and top health issues in their communities. A majority of the community felt that increasing access to basic healthcare was an important goal and the health issues that residents identified as the most concerning were preventable and chronic diseases, drug use (prescription and illegal), mental health (depression, anxiety, stress), and aging problems. Other discussions with community members highlighted a growing concern about access to affordable and nutritious food and housing. This combination of data gathering and prioritization offered valuable insight into the needs of specific communities and populations as well as the barriers they face to achieving optimal health. As guidance for the hospital CHNAs, all data gathered through this collaborative process served as the required research and public input to identify public health needs and develop action plans necessary to address the specific needs of the communities the hospital serves.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITALS WITHIN BON SECOURS CHARITY HEALTH SYSTEM CONDUCTED A JOINT COMMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): GOOD SAMARITAN HOSPITAL OF SUFFERN, NY (GSH); ST. ANTHONY COMMUNITY HOSPITAL (SACH); BON SECOURS COMMUNITY HOSPITAL (BSCH).
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. THE CHNA FOR EACH HOSPITAL WAS DISTRIBUTED AT VARIOUS COMMUNITY EVENTS. COPIES WERE PROVIDED TO VARIOUS COMMUNITY MEMBERS AND GROUPS. ADDITIONALLY, THE CHNA'S AND THE NEW YORK STATE COMMUNITY SERVICE PLANS ARE POSTED ON THE BSCHS WEBSITE.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. The Bon Secours Charity Health System's individual hospital 2022 - 2024 CHNA Implementation Plans were developed by using evidence based interventions, as recommended by the NYS prevention agenda 2019 - 2024. The overarching strategy of the NYS prevention agenda is to implement public health approaches that improve the health and well-being of entire populations and achieve health equity. This strategy includes an emphasis on social determinants of health, defined by healthy people 2020, as the conditions in the environment in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. The prevention agenda also forms the important framework through which community health needs are prioritized. The Prevention Agenda's five priority areas serve as the blueprint for state and local action to improve the health of New Yorkers. As per the NYSDOH requirements, each hospital must choose a minimum of two health goals to address from among the following five priority areas: . prevent chronic diseases . promote a healthy and safe environment . promote healthy women, infants and children . promote well-being and prevent mental and substance use disorders . prevent communicable diseases In partnership with the Rockland County health department, Rockland county hospitals, health and human service agencies, Good Samaritan Hospital has chosen the following prevention agenda goals to work towards over the next three years: * Increase Cancer Screening Rates for breast, cervical, and colorectal cancers * Improve Vaccination Rates In partnership with the Orange County health department, Orange county hospitals, health and human service agencies, Bon Secours Community Hospital and St. Anthony Community Hospital have chosen the following prevention agenda goals to work towards over the next three years: * Increase access to healthy and affordable foods and beverages * Increase food security * Increase Cancer Screening Rates for breast, cervical, and colorectal cancers * Prevent opioid and other substance misuse and deaths All three hospitals within the Bon Secours Charity Health System have chosen to work towards increasing Cancer Screening Rates as one of the community health improvement goals. To achieve this, the following evidence based interventions have been chosen: * Remove structural barriers to cancer screening by increasing primary care provider connections * Remove economic barriers to cancer screening by ensuring access to health insurance Good Samaritan Hospital will also work on Improving Vaccination Rates with the following action: * Implement and promote the use of Standing orders for vaccinations during inpatient hospitalizations. The NYS Prevention Agenda outlines that this strategy is specific for Influenza vaccines for ages 6 months and older and Pneumonia vaccines for ages 65 and older Bon Secours Community Hospital and St. Anthony Community Hospital have jointly chosen to also work towards increasing access to healthy and affordable foods and beverages and increasing food security with the following actions: * Screen for food insecurity, facilitate and actively support referrals Bon Secours Community Hospital and St. Anthony Community Hospital will also jointly implement the following actions to prevent opioid and other substance misuse and deaths: * Increase the availability of Medication Assisted Therapy, including Buprenorphine * Promote and support the expansion of the Peer RX application for peer referrals at the ED * Establish additional permanent safe disposal sites for prescription drugs and distribution of Naloxone boxes
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. PATIENTS ABOVE THE 500% FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR THE LOWER OF THE 60% DISCOUNT ON TOTAL CHARGES OR THE MEDICARE FFS RATE, AFTER THEY HAVE PAID THE REQUIRED OUT OF POCKET EXPENSE OF 20% OF FAMILY INCOME.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. BSCHS PROVIDES FINANCIAL ASSISTANCE OUTREACH SERVICES TO ALL PATIENTS WHO DO NOT HAVE INSURANCE. THE SERVICE PROVIDER EXPLAINS THE OPTIONS FOR FEDERAL AND STATE FINANCIAL ASSISTANCE AND PROVIDES ASSISTANCE IN FILLING OUT ALL REQUIRED APPLICATIONS, INCLUDING AN APPLICATION FOR CHARITY CARE. THE SERVICE PROVIDER REACHES OUT TO ALL PATIENTS WHO DO NOT HAVE INSURANCE, EITHER BY MEETING WITH PATIENTS WHO ARE STILL AT THE HOSPITAL OR REACHING OUT TO THOSE DISCHARGED. CONTACT INFORMATION IS ALSO PROVIDED ON THE FINANCIAL ASSISTANCE POLICY SUMMARY AND ON OUR CHARITY CARE APPLICATION FOR PATIENT CONVENIENCE.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. IN ADDITION TO THE METHODS REPORTED ON LINES 16A THROUGH 16I, BROCHURES ARE AVAILABLE AT THE TIME OF REGISTRATION, AND ONSITE COUNSELORS AND HOSPITAL PAID ELIGIBILITY VENDOR STAFF ARE AVAILABLE TO ASSIST PATIENTS. ALL BILLING STATEMENTS ALSO INCLUDE INFORMATION REGARDING THE FAP AND THE ELIGIBILITY VENDOR CONTACTS ALL UNINSURED PATIENTS TO DETERMINE THE PATIENT'S ELIGIBILITY FOR ALL FEDERAL AND STATE FINANCIAL ASSISTANCE PROGRAMS INCLUDING CHARITY CARE.

Field	Value	IRS element (for citing)
Facility	58	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
THE AMBULATORY SURGERY CENTER
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	AMBULATORY SURGERY CENTER
GOSHEN MEDICAL ASSOCIATES
70 HATFIELD LANE SUITE 101	GOSHEN	NY	10924	INTERNAL MEDICINE
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
2 CROSFIELD AVENUE	WEST NYACK	NY	10994	PULMONOLOGY
CENTER FOR PHYSICAL REHABILITATION
70 HATFIELD LANE	GOSHEN	NY	10924	OUTPATIENT PHYSICAL THERAPY
GOOD SAMARITAN HOME CARE
90 CRYSTAL RUN ROAD	WALLKILL	NY	10941	HOME CARE
CARDIOLOGY CONSULTANTS-STONY POINT
12 LIBERTY SQUARE MALL	STONY POINT	NY	10980	CARDIOLOGY
GOOD SAMARITAN HOME CARE
1 CROSFIELD AVENUE SUITE 202	WEST NYACK	NY	10994	HOME CARE
METROPOLITAN CARDIOLOGY CONSULTANTS SUFFERN
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
BON SECOURS NEUROLOGY
100 ROUTE 59	SUFFERN	NY	10901	NEUROLOGY
BON SECOURS UROLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	UROLOGY
RAMAPO VALLEY SURGICAL ASSOCIATES
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	OUTPATIENT AMBULATORY SURGERY
RAMAPO VALLEY SURGICAL ASSOCIATES
10 LIBERTY SQUARE MALL	STONY POINT	NY	10980	OUTPATIENT AMBULATORY SURGERY
WOMEN'S IMAGING CENTER
55 RONALD REGAN BOULEVARD	WARWICK	NY	10990	OUTPATIENT WOMEN'S IMAGING
CENTER FOR PHYSICAL REHABILITATION
153 SOUTH ROUTE 94	WARWICK	NY	10990	OUTPATIENT REHAB
HUDSON VALLEY MEDICAL ASSOCIATES
26 FIREMANS MEMORIAL DRIVE	PAMONA	NY	10924	INTERNAL MEDICINE
METROPOLITAN CARDIOLOGY CONSULTANTS GOSHEN
30 HATFIELD LANE	GOSHEN	NY	10924	CARDIOLOGY
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	PULMONOLOGY
MONSIGNOR PATRICK J FRAWLEY MENTAL HEALTH
3 CAMPBELL AVENUE	SUFFERN	NY	10901	MENTAL HEALTH
ROCKLAND HEART & VASCULAR ASSOCIATES
972 ROUTE 45 SUITE 103	PAMONA	NY	10970	CARDIOLOGY
ED PHYSICIANS
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	EMERGENCY ROOM
MOB PORT JERVIS PRIMARY
161 EAST MAIN STREET	PORT JERVIS	NY	12771	PRIMARY CARE
APS RAMAPO OBGYN
974 ROUTE 45	POMONA	NY	10970	OB/GYN
APS TALLMAN OBGYN
134 ROUTE 59	SUFFERN	NY	10901	OB/GYN
CARDIOLOGY CONSULTANTS-WEST NYACK
1 CROSFIELD AVENUE STE 407	WEST NYACK	NY	10994	CARDIOLOGY
NANUET MEDICAL
36 COLLEGE AVE	NANUET	NY	10954	INTERNAL MEDICINE
ST ANTHONY SLEEP DISORDER INSTITUTE
74 NORTH MAIN STREET	FLORIDA	NY	10921	SLEEP LAB
PORT JERVIS GASTROENTEROLOGY
39 EAST MAIN STREET	PORT JERVIS	NY	12771	GASTROENTEROLOGY
BON SECOURS MEDICAL GROUP
15 MAPLE AVENUE	WARWICK	NY	10990	INTERNAL MEDICINE
MONROE INTERNAL MEDICINE
505 ROUTE 208	MONROE	NY	10950	INTERNAL MEDICINE
GOSHEN PRIMARY CARE PHYSICIANS
1 HATFIELD LANE	GOSHEN	NY	10924	PRIMARY CARE
ROCKLAND HEART & VASCULAR ASSOCIATES
2 EXECUTIVE BOULEVARD SUITE 406	SUFFERN	NY	10901	CARDIOLOGY
BON SECOURS MEDICAL GROUP
60 DUTCH HILL RD	ORANGEBURG	NY	10962	INTERNAL MEDICINE/SPECIALTY
MEHTA PULMONARY
55 OLD NYACK TURNPIKE	NANUET	NY	10954	PULMONOLOGY
MAHWAH MEDICAL
10 FRANKLIN TURNPIKE	MAHWAH	NJ	07430	INTERNAL MEDICINE
PAIN MANAGEMENT
257 LAFAYETTE AVENUE	SUFFEREN	NY	10901	PAIN MANAGEMENT
FIRST CARE PHYSICIAN ASSOCIATES
505 ROUTE 208	MONROE	NY	10950	PRIMARY CARE
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
27 LIBERTY SQUARE MALL	STONY POINT	NY	10980	PULMONOLOGY
ORTHOPEDICS
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	ORTHOPEDICS
GOPAL SHAH MD
33 DELAWARE STREET	PORT JERVIS	NY	12771	PRIMARY CARE
ALAM PCP
906 PENNSYLVANIA AVENUE	MATAMORAS	PA	18336	PRIMARY CARE
PRIMARY MEDICAL CARE ROCKLAND
124 EAST RAMAPO ROAD SUITE 4	GARNERVILLE	NY	10923	PRIMARY CARE
ROCKLAND HEART & VASCULAR ASSOCIATES
79 ROUTE 59 SUITE 5	SUFFERN	NY	10901	CARDIOLOGY
WARWICK FAMILY PRACTICE
214 WEST STREET	WARWICK	NY	10990	INTERNAL MEDICINE
BON SECOURS MEDICAL GROUP
5 SKINNER STREET	PORT JERVIS	NY	12771	CARDIOLOGY
LAFAYETTE MEDICAL-GASPARE POLIZZI
599 STATE ROUTE 32	HIGHLAND MILLS	NY	10930	PRIMARY CARE
BON SECOURS MEDICAL GROUP
2 EXECUTIVE BOULEVARD STE 406	SUFFERN	NY	10901	PRIMARY CARE
GEORGE COX MD
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	PRIMARY CARE
LUTWAK CARDIOLOGY
505 ROUTE 208	MONROE	NY	10950	CARDIOLOGY
LUTWAK CARDIOLOGY
4 SOUTH AIRMONT ROAD	SUFFERN	NY	10901	CARDIOLOGY
BYADGI PRIMARY CARE
601 BROAD STREET	MILFORD	PA	18337	PRIMARY CARE
BON SECOURS COMMUNITY SLEEP DISORDER INS
30 CANAL ST STE 2	PORT JERVIS	NY	12771	SLEEP LAB
NEPHROLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	NEPHROLOGY
YACOV TENDLER MD
257 LAFAYETTE AVENUE	PORT JERVIS	NY	12771	CARDIOLOGY
APS CARDIAC ANESTHESIA
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
HEART FAILURE
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
PRIMARY CARE ASSOCIATES OF ROCKLAND
971 ROUTE 45 STE 204	POMONA	NY	10970	PRIMARY CARE
RAINFORD CARDIOLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10990	CARDIOLOGY
CARDIOLOGY CONSULTANTS-RAMSEY
27 SOUTH FRANKLIN TURNPIKE	RAMSEY	NJ	07446	CARDIOLOGY

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B FACILITY REPORTING GROUP A CONSISTS OF:	FACILITY 1: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY (GSH) FACILITY 2: ST. ANTHONY COMMUNITY HOSPITAL (SACH) FACILITY 3: BON SECOURS CCOMMUNITY HOSPITAL (BSCH)
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	PART I, LINE 7A CHARITY CARE AT COST IS COMPUTED BY APPLYING THE COST-TO-CHARGE RATIO TO THE AGGREGATE CHARITY ADJUSTMENTS. PART I, LINE 7B MEDICAID UNREIMBURSED MEDICAID IS COMPUTED BY DETERMINING THE COST OF MEDICAID SERVICES LESS PAYMENTS RECEIVED FOR THESE SERVICES. TO DETERMINE THE COST OF MEDICAID SERVICES PROVIDED, A COST-TO-CHARGE RATIO IS APPLIED TO TRADITIONAL AND MANAGED MEDICAID GROSS CHARGES. PAYMENTS INCLUDE PAYMENTS FOR INDIVIDUAL CLAIMS, PAYMENTS FROM THE MEDICAID PROGRAM PAID OUTSIDE THE CLAIM PROCESS (SUCH AS MEDICAL EDUCATION PAYMENTS) AND EXPECTED OR ACTUAL COST REPORT SETTLEMENTS. PART I, LINE 7C COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS UNREIMBURSED COSTS FROM OTHER MEANS-TESTED GOVERNMENT PROGRAMS ARE COMPUTED BY APPLYING A COST-TO-CHARGE RATIO TO THE TOTAL CHARGES TO PATIENTS COVERED UNDER THESE PROGRAMS. THE CHARGES ARE IDENTIFIED BY THE FINANCIAL CLASS ASSIGNED TO THE PATIENT. PART I, LINE 7 A-C COMPUTATIONS THE COST-TO-CHARGE RATIO IS DERIVED USING THE SUGGESTED COMPUTATION IN WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OPERATING EXPENSES AND GROSS PATIENT CHARGES ARE TAKEN FROM THE GENERAL LEDGER, EXPENSES FOR NONPATIENT CARE ACTIVITIES RECORDED IN OPERATING EXPENSES ARE APPROXIMATED AS DIRECTLY EQUALING OTHER OPERATING REVENUE. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ARE ACCUMULATED THROUGHOUT THE YEAR AND REPORTED AT ACTUAL COST IN A SOFTWARE PROGRAM THAT SPECIFICALLY ADDRESSES THIS PURPOSE. AS A RESULT OF THE COVID-19 PANDEMIC, INITIATED THE FOLLOWING PROGRAMS: PHYSICIAN LIAISON SERVICE AS CASES BEGAN IN THE REGION, BSCSH MADE GRADUAL CHANGES TO VISITATION POLICIES, ULTIMATELY RESULTING IN NO VISITORS ON SITE, EXCEPT PEDIATRICS AND END-OF-LIFE CIRCUMSTANCES. BSCHS LAUNCHED A PHYSICIAN LIAISON SERVICE WHERE COMMUNICATION WITH FAMILY MEMBERS WAS ACCOMPLISHED THROUGH THE FAMILY FIRST CELL PHONE APPLICATION. THIS APPLICATION ALLOWED FOR ONE WAY TEXTING OF PATIENT STATUS UPDATES TO SELECTED FAMILY MEMBERS. THIS PROVIDED GREAT COMFORT TO OUR PATIENT'S FAMILIES AND DECREASED CALLS TO OUR NURSES AND DOCTORS, THUS ALLOWING THEM TO CONTINUE TO PROVIDE CARE TO OUR PATIENTS IN NEED. COVID TESTING SITES SHORTLY AFTER THE PANDEMIC BEGAN, BSCHS SET UP COVID TESTING SITES AT EACH OF THE HOSPITAL LOCATIONS AS WELL AS VARIOUS LOCATIONS THROUGHOUT ROCKLAND AND ORANGE COUNTIES. THESE DRIVE THRU AND WALK UP TESTING SITES WERE PROVIDED TO THE COMMUNITIES AT NO COST TO THE PATIENT COVID VACCINE PROGRAM AS PART OF THE WMCHEALTH, BON SECOURS CHARITY HEALTH SYSTEM PROVIDED VACCINES IN CONJUNTION WITH THE NEW YORK STATE VACCINE PROGRAM IN 2022. PART I, LINE 7F HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION COST IS DETERMINED AS THE DIRECT AND INDIRECT COST OF QUALIFYING EDUCATION ACTIVITIES AS TRADITIONALLY REPORTED IN COLUMNS 21-24 ON WORKSHEET B OF THE MEDICARE COST REPORT AS A MEDICAL EDUCATION PROGRAM OR OTHER ALLIED HEALTH PROGRAM. PART I, LINE 7 THE FOLLOWING CHARITY CARE PECENTAGES HAVE BEEN DERIVED BY ONLY INCLUDING HOSPITAL EXPENSES: PERCENT OF TOTAL EXPENSE LINE 7A: .37 LINE 7B: 9.20 LINE 7D: 9.57 LINE 7E: .88 LINE 7F: .20 LINE 7G: 1.32 LINE 7I .01 LINE 7J: 2.42 LINE 7K: 11.99
Schedule H, Part II Community Building Activities	THE BSCHS COMMUNITY ENGAGEMENT TEAM WORKS WITH THE LOCAL HEALTH DEPARTMENTS, SEVERAL AREA EMPLOYERS AND SPECIFIC GEOGRAPHICAL AND RELIGIOUS GROUPS TO IDENTIFY PERSONAL HEALTH RELATED NEEDS. BY ACTIVELY PARTICIPATING AND COLLABORATING WITH THESE AGENCIES, ORGANIZATIONS, AND THE COMMUNITY, BSCHS IS ABLE TO OBTAIN INPUT AND INSIGHT ON THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITIES SERVED. BASED ON THESE NEEDS: IN 2022, BSCHS CLINICAL STAFF AND PHYSICIANS PROVIDED FREE VIRTUAL AND IN PERSON EDUCATION ON HEALTH-RELATED TOPICS TO CLOSE TO 500 EMPLOYEES AT THE FOLLOWING WORKSITES: ORANGE AND ROCKLAND UTILITIES, EAST RAMAPO SCHOOL DISTRICT, SUFFERN CENTRAL SCHOOL DISTRICT, TOWN OF RAMAPO, SOUTH ORANGETOWN SCHOOL DISTRICT, JCC OF ROCKLAND, NORTH ROCKLAND SCHOOL DISTRICT, ROCKLAND BOCES, WARWICK SCHOOL DISTRICT, THE VILLAGE OF SUFFERN. BSCHS MEDICAL AND PROFESSIONAL STAFF ALSO PARTICIPATE IN WEEKLY LOCAL RADIO STATION INTERVIEWS THROUGH WHICH OVER 60,000 LISTENERS WERE ABLE TO LEARN ABOUT A LARGE SPECTRUM OF MEDICAL CONDITIONS. ALL BSCHS FACILITIES, AND MEDICAL AND ANCILLARY STAFF, CONTINUED TO PARTICIPATE WITH THE NYSDOH IN THEIR EFFORTS TO ADMINISTER FREE COVID VACCINES THROUGHOUT 2022. IN ADDITION TO PROVIDING STAFF TO ADMINISTER THE COVID VACCINES, THE COMMUNITY ENGAGEMENT DIRECTOR PROVIDED 320 FREE SEASONAL FLU SHOTS TO THE COMMUNITY GROUPS AND LOCAL EMPLOYERS. ALSO IN 2022, A MAJOR FOCUS WAS ON FOOD INSECURITY AND HOSPITAL ALEADERSHIP AND SFTAFF FACILITATED T AND PARTICIPATED IN SEVERAL FOOD DRIVES AND PRODUCE DISTRIBUTION EVENTS. ADDITIONALLY, THE FOLLOWING ACTIVITIES AND PROGRAMS THAT BENEFIT THE COMMUNITY CONTINUED IN 2022: GSH CONTINUES TO COLLABORATE WITH THE ROCKLAND PRIDE CENTER, A LOCAL PROVIDER OF SERVICES TO THE LGBT COMMUNITY TO IDENTIFY BARRIERS IN ACCESSING HEALTHCARE AND TO UNDERSTAND SPECIFIC HEALTH NEEDS; BSCH STAFF PROVIDED EDUCATION TO THE CENTER FOR DEVELOPMENTAL DISABILITIES STAFF ON INFECTION CONTROL AND PARTICIPATED, EVERY MONTH, IN THE PROJECT DISCOVERY COMMUNITY OUTREACH PROGRAM TO PROVIDE HOUSEHOLD NECESSITIES, FOOD AND CLOTHING TO THOSE IN NEED IN THE COMMUNITY. SACH STAFF BEGAN TO SCREEN INPATIENTS FOR FOOD INSECURITY AND MADE "WARM HAND-OFF" REFERRALS TO LOCAL FOOD SOURCES AND DSS AGENCIES. ADDITIONALLY, THROUGH A PARTNERSHIP WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH, THE SACH DIETICIAN WAS ABLE TO DISTRIBUTE FOOD ASSISTANCE BAGS AND FARMERS MARKET VOUCHERS TO PATIENTS WHO SELF IDENTIFIED AS FOOD INSECURE PRIOR TO HOSPITAL DISCHARGE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE INCLUDES: 1) ACTUAL WRITE OFFS OF DISCOUNTED GROSS CHARGES WHERE IT IS DETERMINED THAT AN UNINSURED PATIENT CAN PAY AND DOES NOT PAY; AND 2) THE ESTIMATED WRITE OFFS FOR UNINSURED PATIENT ACCOUNTS WITH OUTSTANDING BALANCES AFTER DISCOUNT. ESTIMATES ARE BASED ON HISTORICAL COLLECTION RATES.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ORGANIZATION DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE ORGANIZATION TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THE ORGANIZATION MUST ASSUME THE PATIENT DOES NOT QUALIFY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PLEASE SEE FOOTNOTE 2 "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE" ON PAGE 19 IN THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ("AFS"), ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN THE SECOND PARAGRAPH OF THE FOOTNOTE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT. THE ORGANIZATION IS ASSUMING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF THE REVENUE. THE MEDICARE ALLOWABLE COSTS REFLECTED IN PART III ARE REFLECTED IN THE FACILITY'S MEDICARE COST REPORT. THE COST REPORT SEGREGATES THE TOTAL FACILITY ACTUAL EXPENSES INTO COSTS FOR SUPPORT DEPARTMENTS, CLINICAL DEPARTMENTS (ROUTINE AND ANCILLARY) AND NONREIMBURSEABLE DEPARTMENTS. THE COST REPORT USES APPROPRIATE STATISTICAL BASES TO "STEP DOWN" SUPPORT COSTS TO ALLOWABLE CLINICAL AND NONREIMBURSEABLE DEPARTMENTS. THE CHARGES FOR CLINICAL DEPARTMENTS ARE MATCHED TO THE TOTAL COST FOR THESE DEPARTMENTS FOR A COST-TO-CHARGE RATIO.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE ORGANIZATION HAS A WRITTEN POLICY THAT DESCRIBES COLLECTION PRACTICES APPLYING TO PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR FULL ASSISTANCE, NO COLLECTION EFFORTS ARE PURSUED ON THAT PATIENT'S ACCOUNT(S). IF PARTIAL ASSISTANCE IS PROVIDED, THE PATIENT IS RESPONSIBLE FOR THE ADJUSTED ACCOUNT BALANCE AND COLLECTION EFFORTS WILL FOLLOW THE ESTABLISHED PRACTICES FOR ALL PATIENTS WHERE A SELF-PAY BALANCE EXISTS. COLLECTION EFFORTS ARE NOT PURSUED ON ANY PENDING FINANCIAL ASSISTANCE PROGRAM ACCOUNT. SPECIFIC CRITERIA EXISTS FOR HOW MUCH FINANCIAL ASSISTANCE, PARTIAL OR TOTAL, WILL BE PROVIDED TO THE PATIENT BASED ON THE ASSESSED NEED. CRITERIA IS BASED ON FEDERAL POVERTY GUIDELINES AND IS REVIEWED AND UPDATED ANNUALLY. ONCE A PATIENT HAS BEEN DEEMED ELIGIBLE FOR THE PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP), THE PATIENT IS NOTIFIED BY LETTER WITHIN 60 DAYS AFTER RECEIPT OF THE APPLICATION AND SUPPORTING DOCUMENTATION. THE PATIENT RETAINS ELIGIBILITY FOR A PERIOD OF TWELVE MONTHS FROM THE DATE OF THE APPLICATION. NOTICE OF THIS ELIGIBILITY IS PROVIDED TO HOSPITAL ADMISSIONS, BILLING AND COLLECTION STAFF BY THE ASSIGNMENT OF A SPECIFIC FINANCIAL CLASS WITH ACCOMPANYING ELIGIBILITY DATES. AT THE END OF THE TWELVE MONTH PERIOD, THE PATIENT IS RESPONSIBLE FOR REAPPLYING FOR FAP ELIGIBILITY. BSCHS'S COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES WHICH ALL FACILITIES FOLLOW FOR PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THE CHARITY CARE POLICY SPECIFICALLY PROVIDES THE FOLLOWING COLLECTION PRACTICES: A. ANY FIRM CONTRACTED WITH THE HOSPITAL FOR COLLECTION PURPOSES SHALL ALSO PROVIDE INFORMATION TO BSCHS PATIENTS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE, IN ACCORDANCE WITH ALL PROVISIONS OF THIS POLICY. B. ACCOUNTS WILL NOT BE SENT TO AN EXTERNAL COLLECTION AGENCY WITHOUT THE PATIENT OR HIS/HER DESIGNEE HAVING AN OPPORTUNITY AND ADEQUATE TIME TO DEVELOP AN ALTERNATIVE PAYMENT ARRANGEMENT. ACCOUNTS WILL NOT BE REFERRED FOR COLLECTION WHILE AN APPLICATION FOR FINANCIAL ASSISTANCE IS PENDING. C. ALL PATIENTS WILL RECEIVE A MINIMUM OF THIRTY (30) DAYS WRITTEN NOTICE ON DATA MAILERS/BILLING STATEMENTS THAT THEIR ACCOUNT IS SUBJECT TO REFERRAL TO A COLLECTION AGENCY. D. BSCHS WILL NOT COMMENCE COLLECTION ACTIVITY ON ANY ACCOUNT FOR WHICH FINANCIAL ASSISTANCE HAS BEEN APPROVED. THE APPLICATION FOR CHARITY CARE WILL INCLUDE A STATEMENT THAT THE PATIENT WILL NOT BE RESPONSIBLE FOR ANY BILLS UNTIL SUCH TIME THAT A DECISION ON THE APPLICATION HAS BEEN MADE. E. ALL LEGAL FIRMS AND COLLECTION AGENCIES WITH WHOM BSCHS MAY CONTRACT FOR COLLECTION SERVICES CONDUCTS ALL COLLECTION ACTIVITIES IN ACCORDANCE WITH THE ORGANIZATION'S POLICIES AND PROCEDURES. FURTHER, SUCH FIRMS SHALL NOT COMMENCE ANY LEGAL PROCEEDINGS ON AN ACCOUNT WITHOUT THE PRIOR WRITTEN CONSENT OF BSCHS. F. BSCHS MAKES THE BEST EFFORT TO WORK WITH THE PATIENT TO DETERMINE AN EQUITABLE PAYMENT SCHEDULE/INSTALLMENT PLAN FOR ANY OUT-OF-POCKET EXPENSES, CONSIDERING THE PATIENT'S FINANCIAL AND MEDICAL CIRCUMSTANCES. THE MONTHLY PAYMENTS ON ANY INSTALLMENT PLAN WILL NOT EXCEED 10% OF THE PATIENT'S GROSS MONTHLY INCOME AND THERE WILL BE NO INTEREST CHARGES ON AN APPROVED PAYMENT PLAN. G. BSCHS, INCLUDING ANY LAW FIRM OR COLLECTION AGENCY WITH WHICH IT CONTRACTS, WILL NOT FORCE THE SALE OR FORECLOSE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT AN OUTSTANDING BILL. H. BSCHS WILL NOT PURSUE COLLECTIONS AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED.
Schedule H, Part V, Section B, Line 16a FAP website	A - ST. ANTHONY COMMUNITY HOSPITAL: Line 16a URL: http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - ST. ANTHONY COMMUNITY HOSPITAL: Line 16b URL: http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - ST. ANTHONY COMMUNITY HOSPITAL: Line 16c URL: http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part VI, Line 2 Needs assessment	IN 2022, THE BON SECOURS CHARITY HEALTH SYSTEM HOSPITALS PARTNERED WITH THE ROCKLAND COUNTY (NY) AND ORANGE COUNTY (NY) HEALTH DEPARTMENTS, OTHER COUNTY HOSPITALS, HEALTH AND HUMAN SERVICE AGENCIES, AND THE COMMUNITY AT LARGE FROM WITHIN THE GREATER ROCKLAND AND ORANGE COUNTY AREA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES AND TO DEVELOP A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN. THE RESEARCH AND ANALYSIS THAT WENT INTO CHOOSING THE HEALTH PRIORITIES WAS EXTENSIVE AND THE AREAS OF FOCUS WERE CHOSEN WITH THE GOAL OF IMPROVING THE HEALTH AND WELLBEING OF ALL RESIDENTS WITHIN THE SERVICE AREA. FROM MARCH - MAY 2022, HOSPITALS AND THE SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON (NY) REGION: DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER, AND WESTCHESTER, PARTNERED WITH THE SIENA COLLEGE RESEARCH INSTITUTE (SCRI) TO CONDUCT A PUBLIC OPINION SURVEY OF 5,699 HUDSON VALLEY NY RESIDENTS. RESIDENTS AGED 18 AND OLDER WERE INTERVIEWED FROM WITHIN THE ABOVE MENTIONED COUNTIES TO ENSURE REPRESENTATIVE COUNTY-WIDE SAMPLES. SCRI CONTACTED RESPONDENTS VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, ONLINE SURVEYS AT VARIOUS IN-PERSON EVENTS, AND OTHER COMMUNITY PARTNERSHIPS TO ENHANCE REPRESENTATION FROM ACROSS THE REGION. TO FURTHER SUPPLEMENT THE DATA COLLECTED, SEVERAL COMMUNITY FOCUS GROUP SESSIONS WERE HELD. IN THE SUMMER OF 2022, COUNTY HOSPITALS, ALONG WITH THE ROCKLAND AND ORANGE COUNTY EPIDEMIOLOGISTS, AND HEALTH DEPARTMENT STAFFS, DISCUSSED AREAS OF IDENTIFIED NEED, HEALTH DISPARITIES AND AREAS OF COMMUNITY ASSETS AND STRENGTH. THROUGH COMMUNITY ASSET SURVEYS, LOCAL RESIDENTS PROVIDED THEIR FEEDBACK ON COMMUNITY STRENGTHS, WHERE TO FOCUS RESOURCES TO IMPROVE QUALITY OF LIFE, AND TOP HEALTH ISSUES IN THEIR COMMUNITIES. A MAJORITY OF THE COMMUNITY FELT THAT INCREASING ACCESS TO BAASIC HEALTHCARE WAFS AN IMPORTANTTGOAL AND THE HEALTH ISSUES THAT RESIDENTS IDENTIFIED AS THE MOST CONCERNING WERE PREVENTABLE AND CHRONIC DISEASES, DRUG USE (PRESCRIPTION AND ILLEGAL), MENTAL HEALTH (DEPRESSION, ANXIETY, STRESS), AND AGING PROBLEMS. OTHER DISCUSSIONS WITH COMMUNITY MEMBERS HIGHLIGHTED A GROWING CONCERN ABOUT ACCESS TO AFFORDABLE AND NUTRITIOUS FOOD AND HOUSING. THIS COMBINATION OF DATA GATHERING AND PRIORITIZATION OFFERED VALUABLE INSIGHT INTO THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS AS WELL AS THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. AS GUIDANCE FOR THE HOSPITAL CHNAS, ALL DATA GATHERED THROUGH THIS COLLABORATIVE PROCESS SERVED AS THE REQUIRED RESEARCH AND PUBLIC INPUT TO IDENTIFY PUBLIC HEALTH NEEDS AND DEVELOP ACTION PLANS NECESSARY TO ADDRESS THE SPECIFIC NEEDS OF THE COMMUNITIES THE HOSPITAL SERVES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON SCHEDULING, REGISTRATION, THROUGH VISIBLE POSTINGS OF THE POLICY IN COMMON AREAS THROUGHOUT THE HOSPITAL, BROCHURES AT REGISTRATION AND ON THE BON SECOURS WEBSITE. IN ADDITION, PATIENT STATEMENTS REQUEST THAT PATIENTS APPLY FOR FINANCIAL ASSISTANCE IF NEEDED, ONCE ANY PATIENT FINANCIAL OBLIGATION IS DETERMINED. BSCHS IS COMMITTED TO ENSURING ACCESS TO HEALTH CARE SERVICES FOR ALL. AS A HEALTH CARE PROVIDER, BSCHS TREATS ALL PATIENTS, WHETHER INSURED, UNDERINSURED OR UNINSURED, WITH DIGNITY, RESPECT AND COMPASSION THROUGHOUT ADMISSION, DELIVERY OF SERVICES, DISCHARGE AND BILLING AND COLLECTION PROCESSES. BSCHS ADDRESSES THE NEEDS OF THE UNINSURED BY PROVIDING FREE OR REDUCED FEES FOR HOSPITAL SERVICES AND IS ACTIVELY ENGAGED IN COMMUNITY OUTREACH EFFORTS TO ASSIST WITH ENROLLMENT IN MEDICAID AND OTHER MEDICAL COVERAGE PROGRAMS, INCLUDING FREE COMMUNITY-BASED PREVENTIVE AND PRIMARY CARE SERVICES. BSCHS PROACTIVELY SCREENS TO IDENTIFY INDIVIDUALS AND THEIR FAMILIES WHO MAY QUALIFY FOR FEDERAL, STATE OR LOCAL HEALTH INSURANCE PROGRAMS OR THE BSCHS PATIENT FINANCIAL ASSISTANCE PROGRAM ("FAP") AND ASSISTS POTENTIAL ELIGIBLE PATIENTS THROUGH THE QUALIFICATION PROCESS. POTENTIALLY ELIGIBLE PATIENTS THAT DO NOT QUALIFY FOR A FEDERAL OR STATE HEALTH INSURANCE PROGRAM ARE REFERRED TO THE FINANCIAL ASSISTANCE COORDINATOR LOCATED IN PATIENT FINANCIAL SERVICES FOR ASSISTANCE IN COMPLETING THE DOCUMENTATION REQUIRED TO ESTABLISH FAP ELIGIBILITY. PATIENTS ARE RESPONSIBLE FOR PROVIDING THE INFORMATION NECESSARY TO COMPLETE THE DOCUMENTATION. THE FAP AIDS UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR GOVERNMENT-SPONSORED HEALTH INSURANCE AND WHO COMMUNICATE THEIR INABILITY TO PAY FOR THEIR MEDICAL CARE. THE FAP PROVIDES 100% FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WITH ANNUAL FAMILY INCOMES AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). INCOMES UP TO 500% ARE ALSO DISCOUNTED AT THE LOWER PERCENTAGES AS INDICATED IN THE CHART INCLUDED IN THE FAP OR THE AMOUNTS GENERALLY BILLED ("AGB"). BSCHS OFFERS 100% CHARITY CARE TO ITS PATIENTS WITH INCOME UP TO 250% OF THE FPG. PATIENTS WITH INCOME BETWEEN 251% - 350% OF THE FPG ARE OFFERED THE LOWER OF A 50% REDUCTION OF TOTAL CHARGES OR THE APG (THE MEDICARE FFS RATE). PATIENTS WITH INCOME BETWEEN 351% - 500% OF THE FPG ARE OFFERED THE LOWER OF A 30% REDUCTION OF TOTAL CHARGES OR THE APG (THE MEDICARE FFS RATE). BSCHS IS DEDICATED TO MEETING THE NEEDS OF NON-ENGLISH SPEAKING PATIENTS BY HAVING ON-SITE SPANISH TRANSLATORS, AND OTHER LANGUAGE TRANSLATION SERVICES. IN ADDITION, BSCHS EMPLOYS A TELEPHONE LANGUAGE SERVICE WHICH ASSISTS IN MEETING ANY LANGUAGE NEEDS THAT ARISE. THE TRANSLATION SERVICES ARE OFFERED TO NON-ENGLISH SPEAKING PATIENTS FROM ADMISSION TO DISCHARGE, INCLUDING THROUGH THE FINANCIAL ASSISTANCE PROCESS. FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON SCHEDULING, REGISTRATION, THROUGH VISIBLE POSTINGS OF THE POLICY IN COMMON AREAS THROUGHOUT THE HOSPITAL, BROCHURES AT REGISTRATION AND ON BON SECOURS WEBSITE. IN ADDITION, PATIENT STATEMENTS REQUEST THAT PATIENTS APPLY FOR FINANCIAL ASSISTANCE IF NEEDED, ONCE ANY PATIENT'S FINANCIAL OBLIGATION IS DETERMINED. POLICY IN COMMON AREAS THROUGHOUT THE HOSPITAL, BROCHURES AT REGISTRATION AND ON BON SECOURS WEBSITE. IN ADDITION, PATIENT STATEMENTS REQUEST THAT PATIENTS APPLY FOR FINANCIAL ASSISTANCE IF NEEDED, ONCE ANY PATIENT'S FINANCIAL OBLIGATION IS DETERMINED.
Schedule H, Part VI, Line 4 Community information	BSCHS FACILITIES OPERATE AND SERVE POPULATIONS OF LOWER NEW YORK, PRINCIPALLY ROCKLAND AND ORANGE COUNTIES. ROCKLAND COUNTY IS LOCATED APPROXIMATELY 30 MILES NORTH OF MANHATTAN ON THE WEST SIDE OF THE HUDSON RIVER. HOME TO EIGHT PUBLIC SCHOOL DISTRICTS AND EIGHT COLLEGES AND UNIVERSITIES, THE 199-SQUARE MILE AREA INCLUDES FIVE TOWNS AND NINETEEN VILLAGES. THIS COUNTY OF 120,000 ACRES IS DESIGNATED A PRESERVE AMERICA COMMUNITY, CONTAINING MORE THAN 35,000 ACRES OF PRESERVED OPEN SPACE AND PARKLAND. ACCORDING TO DATAUSA, IN 2019, ROCKLAND COUNTY, NY HAD A POPULATION OF 325,789 PEOPLE WITH A MEDIAN AGE OF 35.9 AND A MEDIAN HOUSEHOLD INCOME OF $100,916. THE 5 LARGEST ETHNIC GROUPS IN ROCKLAND COUNTY, NY ARE WHITE (NON-HISPANIC) (62.5%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (11.3%), OTHER (HISPANIC) (9.54%), WHITE (HISPANIC) (6.82%), AND ASIAN (NON-HISPANIC) (5.91%). ORANGE COUNTY IS LOCATED IN THE SOUTHEASTERN AREA OF NEW YORK, APPROXIMATELY 40 MILES NORTH OF NEW YORK CITY, AND IS BOARDERED ON THE EAST BY THE HUDSON RIVER AND ON THE WEST BY THE DELAWARE RIVER. ORANGE COUNTY IS 839 SQUARE MILES AND IS A MIX OF URBAN, SUBURBAN, FARMLAND AND RURAL AREAS. ORANGE COUNTY HAS THREE CITIES, TWENTY TOWNS, AND NINETEEN VILLAGES. THE COUNTY HAS NINETEEN PUBLIC SCHOOL DISTRICTS AND THREE COLLEGES AND UNIVERSITIES. ACCORDING TO DATAUSA, IN 2019, ORANGE COUNTY, NY HAD A POPULATION OF 384,940 PEOPLE WITH A MEDIAN AGE OF 36.9 AND A MEDIAN HOUSEHOLD INCOME OF $84,458. THE 5 LARGEST ETHNIC GROUPS IN ORANGE COUNTY, NY ARE WHITE (NON-HISPANIC) (62.6%), WHITE (HISPANIC) (12.5%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (10.9%), OTHER (HISPANIC) (6.05%), AND ASIAN (NON-HISPANIC) (2.95%).
Schedule H, Part VI, Line 5 Promotion of community health	BSCHS was actively engaged in community building activities which promoted the health of the communities throughout its service area. BSCHS has a dedicated community engagement department which evaluates, plans, and implements community health and education programs, based on community need as well as requests for programs on specific topics. In 2022, the following support groups met either virtually or in person: diabetes, wound and ostomy care, traumatic brain injury, amputee, mended hearts (cardiac support group), and perinatal bereavement. In addition, parenting, newborn care and breastfeeding classes met virtually with staff at Good Samaritan hospital leading those classes. In Port Jervis, the physical therapy department's "get fit Port Jervis" walking club continued to host group walks that were led by a physical therapist. Community members were able to walk as a group outdoors during the mild weather . The healthcare speaker's bureau continued to offer virtual health education to the community and continues to educate the community on broad topics such as cancer prevention and the importance of screenings, cardiac health, orthopedics, women's health, obesity, stroke, diabetes, wound care, trauma prevention, men's health, nutrition and fall prevention.
Schedule H, Part VI, Line 6 Affiliated health care system	BSCHS IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION THAT IS THE SOLE MEMBER OF LEGAL ENTITIES THAT OPERATE HOSPITALS, NURSING HOMES, AND OTHER HEALTHCARE-RELATED FACILITIES IN THE STATE OF NEW YORK. BON SECOURS MERCY, INC., FORMERLY BON SECOURS HEALTH SYSTEM, INC. ("BSMI", FORMERLY "BSHSI") A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, IS A MEMBER OF BSCHS WITH A FORTY PERCENT (40%) ECONOMIC INTEREST IN BSCHS. SISTERS OF CHARITY OF SAINT ELIZABETH ("SOCSE"), A NEW JERSEY NOT-FOR-PROFIT CORPORATION, IS A MEMBER OF BSCHS WITHOUT ANY ECONOMIC INTEREST. BSCHS, A CATHOLIC HEALTH SYSTEM, IS CANONICALLY CO-SPONSORED BY BON SECOURS MINISTRIES ("BSM"), AN AFFILIATE OF BSHSI AND SOCSE. BSMI IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, AND THE SOLE MEMBER OF WHICH IS BON SECOURS, INC. ("BSI"). BSMI IS A CORPORATION FORMED TO PARTICIPATE IN THE CHARITABLE HEALTHCARE SYSTEM NOW SPONSORED BY BSM THROUGHOUT THE UNITED STATES OF AMERICA THROUGH WHICH THE HEALTHCARE MISSION OF THE SISTERS OF BON SECOURS, USA, THE FOUNDING PARTICIPATING ENTITY OF BSM, IS FURTHERED. THE MINISTRY OF BSHSI AIDS THOSE IN NEED, PARTICULARLY THOSE WHO ARE SICK AND DYING, BY OFFERING SERVICES THAT INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: ACUTE INPATIENT, OUTPATIENT, PASTORAL, PALLIATIVE, HOME HEALTH, NURSING HOME, REHABILITATIVE, PRIMARY AND SECONDARY CARE AND ASSISTED LIVING WITHOUT REGARD TO RACE, RELIGION, COLOR, GENDER, AGE, MARITAL STATUS, NATIONAL ORIGIN, SEXUAL ORIENTATION, OR DISABILITY. AS A MEMBER OF THE CATHOLIC HEALTH MINISTRY AND A MEMBER OF BON SECOURS MERCY, INC. (BSMI), THIS ORGANIZATION AND ITS RELATED ENTITIES ARE CALLED TO CONTINUE THE HEALING MINISTRY OF JESUS. THEY EXIST TO BENEFIT THE PEOPLE LIVING IN THE COMMUNITIES WE SERVE. THROUGH ALL OF THE SERVICES OFFERED TO THE COMMUNITY, THE MISSION IS "TO BRING COMPASSION TO HEALTH CARE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH." THIS ORGANIZATION AND RELATED ORGANIZATIONS SHARE THE BSHSI VISION. "INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST AND THE CHARISM OF BON SECOURS, BON SECOURS HEALTH SYSTEM WILL BE RECOGNIZED FOR ITS LEADERSHIP IN JUSTICE, TRANSFORMING THE COMMUNITIES IN WHICH WE SERVE AND WORK INTO PLACES OF HEALTH AND HOPE, AND BEING A PROPHETIC VOICE FOR SYSTEMIC US HEALTH REFORM AND A MORE HUMANE WORLD." WESTCHESTER COUNTY HEALTHCARE CORPORATION WAS CREATED IN 1997 AS A NEW YORK PUBLIC BENEFIT CORPORATION AND OWNS AND OPERATES A NUMBER OF HEALTHCARE FACILITIES INCLUDING WESTCHESTER MEDICAL CENTER LOCATED IN VALHALLA, NEW YORK. IN DECEMBER, 2014, WMC AND BSHSI ENTERED INTO A TRANSACTION (THE "AFFILIATION") UNDER WHICH: WMC, OR ITS SUBSIDIARY, BECAME A MAJORITY CO-MEMBER IN BSCHS AND MANAGES THE DAY TO DAY OPERATIONS OF BSCHS AND ITS SUBSIDIARIES AND FACILITIES PURSUANT TO A MANAGEMENT AGREEMENT APPROVED BY THE NEW YORK STATE DEPARTMENT OF HEALTH; BSCHS AND ITS SUBSIDIARIES REMAIN A CATHOLIC HEALTHCARE MINISTRY SUBJECT TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES. WMC APPOINTS AT LEAST SIXTY PERCENT (60%) OF THE MEMBERS OF THE BSCHS BOARD OF DIRECTORS, WHILE BSHSI AND SOCSE JOINTLY APPOINT APPROXIMATELY 40% OF THE BSCHS BOARD, AND EACH MEMBER OF BSCHS HOLDS CERTAIN RESERVE POWERS. PLEASE SEE SCHEDULE R FOR LISTINGS OF THE RELATED ORGANIZATIONS AND SCHEDULE H FOR THE HOSPITALS INCLUDED IN THIS RETURN.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TRANSPORTATION FOR INDIGENT PATIENTS	GrantTypeTxt
Recipient	167	RecipientCnt
Cash Grant	$13,784	CashGrantAmt
Valuation Method Used	Cost	ValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part III, Column (b) Estimated Number Of Recipients	FormAndLineReferenceDesc
Explanation	TRANSPORTATION FOR INDIGENT PATIENTS : AVERAGE NUMBER OF PARTICIPANTS DETERMINED BASED ON TOTAL COST DIVIDED BY AVERAGE COST PER TRIP.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL ISRAEL
VICE CHAIR	$0	$2,013,987	$0	$1,365,000	$0	$27,000	$0	$0	$0	$57,096	$0	$3,463,083	$0	$0
MARY LEAHY MD
PRESIDENT & CEO	$0	$937,936	$0	$305,428	$0	$0	$0	$42,700	$0	$65,373	$0	$1,351,436	$0	$0
GARY BRUDNICKI
BOARD MEMBER	$0	$1,556,526	$0	$750,000	$0	$27,000	$0	$0	$0	$70,137	$0	$2,403,663	$0	$0
RENEE GARRICK MD
BOARD MEMBER	$0	$881,908	$0	$286,964	$0	$0	$0	$38,200	$0	$28,531	$0	$1,235,603	$0	$0
JOSHUA RATNER
BOARD MEMBER	$0	$791,139	$0	$264,950	$0	$12,750	$0	$42,700	$0	$37,657	$0	$1,149,196	$0	$0
JULIE SWITZER
BOARD MEMBER	$0	$776,327	$0	$259,280	$0	$27,000	$0	$0	$0	$47,287	$0	$1,109,894	$0	$0
CARY HIRSCH MD
PHYSICIAN	$698,063	$0	$0	$0	$9,434	$0	$0	$0	$9,434	$0	$716,931	$0	$0	$0
SETH HURWITZ
PHYSICIAN	$392,901	$0	$0	$0	$327,303	$0	$29,979	$0	$9,429	$0	$759,612	$0	$0	$0
SUNANDAN A PANDYA
PHYSICIAN	$685,648	$0	$58,828	$0	$1,693	$0	$19,470	$0	$34,021	$0	$799,660	$0	$0	$0
GUNJAN SHUKLA
PHYSICIAN	$678,173	$0	$0	$0	$51,704	$0	$19,470	$0	$34,021	$0	$783,368	$0	$0	$0
RAJIV SINGH
PHYSICIAN	$667,005	$0	$52,195	$0	$1,004	$0	$26,944	$0	$103	$0	$747,251	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J PART I LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION AS DESCRIBED BELOW: THE BOARD OF DIRECTORS, PERSONNEL AND COMPENSATION COMMITTEE SETS THE LEVEL OF TOTAL COMPENSATION (BASE SALARY AND INCENTIVE COMPENSATION) AND THE BENEFITS PROVIDED TO THE ORGANIZATION'S SENIOR EXECUTIVES. IN ORDER TO SET BASE SALARY AND INCENTIVE COMPENSATION LEVELS, THE COMMITTEE WORKS WITH A NATIONAL INDEPENDENT COMPENSATION CONSULTING FIRM. THE CONSULTING FIRM ASSISTS THE COMMITTEE WITH ITS DECISION-MAKING PROCESSES TO ENSURE THAT (I) EXECUTIVE COMPENSATION LEVELS ARE REASONABLE AND APPROPRIATE RELATIVE TO THOSE OF OTHER SIMILAR ORGANIZATIONS, AS WELL AS (II) SUCH LEVELS MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS." STANDARD COMPENSATION LEVELS ARE DETERMINED BASED ON COMPETITIVE MARKET DATA FOR COMPARABLE POSITIONS IN SIMILAR SIZE AND TYPE OF ORGANIZATIONS AND EACH EXECUTIVE'S SCOPE OF RESPONSIBILITIES. IN ADDITION, INCENTIVE COMPENSATION ARRANGEMENTS ARE BASED ON EACH EXECUTIVE'S ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS SET FORTH AT THE BEGINNING OF EACH CALENDAR YEAR, THE ACHIEVEMENT OF WHICH IS MEASURED AT THE END OF EACH CALENDAR YEAR BY THE CEO OR THE BOARD OF DIRECTORS DEPENDING ON THE EXECUTIVE.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

THE FILING ORGANIZATION PARTICIPATES IN A BON SECOURS CHARITY HEALTH SYSTEM, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT ALLOWS FOR DEPOSITS INTO ADDITIONAL RETIREMENT PLANS AND IS AVAILABLE ONLY TO OFFICERS AND CERTAIN OTHER EMPLOYEES. THE 457(F) PLAN IS A NON-QUALIFIED PLAN AND IS SUBJECT TO A MINIMUM THREE-YEAR SERVICE REQUIREMENT BEFORE VESTING ON DEPOSITS MADE INTO THIS PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 2 SIGNIFICANT PROGRAM SERVICE CHANGES:	IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A PANDEMIC. AS A RESULT OF THE COVID-19 PANDEMIC, BSCHS EXPERIENCED A DECLINE IN PATIENT VISITS, ADMISSIONS, AND MEDICAL PROCEDURES PERFORMED. ELECTIVE MEDICAL PROCEDURES WERE SUSPENDED BY STATE AND LOCAL GOVERNMENTS AT VARYING TIME PERIODS BEGINNING IN MID-MARCH 2020 THROUGH LATE MAY 2020, CONTRIBUTING TO A SIGNIFICANT DECLINE IN NET PATIENT SERVICE REVENUE DUE TO COVID-19 WHEN COMPARED TO HISTORIC AND FORECASTED RESULTS FOR THAT PERIOD. ADDITIONALLY, IN RESPONSE TO THE PANDEMIC, BSCHS INCURRED ADDITIONAL COSTS FOR TESTING, PERSONAL PROTECTIVE EQUIPMENT, THIRD-PARTY CONTRACT SERVICES AND OTHER OPERATING COSTS ASSOCIATED WITH ENSURING EMPLOYEE AND PATIENT SAFETY WHILE OPERATING DURING A PANDEMIC. BSCHS RECEIVED GRANT PAYMENTS, WHICH ARE CONSIDERED NONEXCHANGE TRANSACTIONS, FROM THE FEDERAL GOVERNMENT DISTRIBUTED UNDER THE CARES ACT. FOR THE YEAR ENDED DECEMBER 31, 2021, BSCHS RECEIVED $7.7 MILLION, WHICH IS INCLUDED IN NONOPERATING ACTIVITIES IN THE BON SECOURS CHARITY HEALTH SYSTEM, INC. (A COMPONENT UNIT OF WESTCHESTER COUNTY HEALTH CARE CORPORATION) THE CARES ACT PAYMENTS ARE SUBJECT TO AUDIT AND COMPLIANCE WITH FEDERAL REGULATIONS. BSCHS BELIEVES IT HAS MET THE CONDITIONS TO RETAIN THESE FUNDS. THE CARES ACT ALSO PROVIDED FOR AN EXPANSION OF THE MEDICARE ACCELERATED AND ADVANCE PAYMENT PROGRAM ("MEDICARE ADVANCES") FOR PATIENT SERVICES. UNDER THE PROGRAM, BSCHS RECEIVED APPROXIMATELY $61.9 MILLION AND RECORDED THESE PAYMENTS IN OTHER SHORT-TERM AND LONG-TERM LIABILITIES IN THE STATEMENTS OF NET POSITION AT DECEMBER 31, 2020. PRIOR TO THE BEGINNING OF THE RECOUPMENT PERIOD, BSCHS CONTINUED TO BILL FOR SERVICES PROVIDED TO MEDICARE PATIENTS AND WAS PAID BY MEDICARE, AS USUAL. THE RECOUPMENT PERIOD BEGAN IN APRIL 2021 AS AMOUNTS BILLED TO MEDICARE FOR SERVICES PROVIDED ARE BEING OFFSET AGAINST THE ADVANCE PAYMENTS RECEIVED UNTIL THE ADVANCE IS FULLY RECOUPED BY THE MEDICARE PROGRAM. THE BALANCE WAS PAID IN FULL AS OF DECEMBER 31, 2022. ADDITIONALLY, THE INTERNAL REVENUE SERVICE ("IRS") ALLOWED BSCHS TO DEFER REMITTANCE OF EMPLOYER SOCIAL SECURITY TAX OF $9.8 MILLION THROUGH THE YEAR ENDED DECEMBER 31, 2020, $4.9 MILLION WAS INCLUDED IN ACCRUED SALARIES AND RELATED WITHHOLDINGS IN THE STATEMENTS OF NET POSITION AT DECEMBER 31, 2022 AND 2021, AND $4.9 MILLION WAS INCLUDED IN OTHER LONG TERM LIABILITIES IN THE STATEMENT OF NET POSITION AT DECEMBER 31, 2021. 50% OF THE DEFERRED EMPLOYER SOCIAL SECURITY TAX WAS PAID ON JANUARY 3, 2022, AND THE REMAINING BALANCE WILL BE PAID ON JANUARY 2, 2023. BSCHS ALSO RECEIVED GRANT FUNDS FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY ("FEMA") RELATED TO ADDITIONAL UNREIMBURSED COVID-19 EXPENSES INCURRED BY BSCHS DURING THE PANDEMIC. FOR THE YEAR ENDED DECEMBER 31, 2022, BSCHS RECEIVED APPROXIMATELY $3.3 MILLION FROM FEMA WHICH IS INCLUDED IN NONOPERATING ACTIVITIES IN THE STATEMENT OF REVENUES, EXPENSES AND CHANGES IN NET POSITION.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE MEMBERS OF BSCHS ARE AS FOLLOWS: WMC - ROCKLAND, INC. - 60% BON SECOURS MERCY HEALTH, INC. TOGETHER WITH SISTERS OF CHARITY (SOC) - 40%. PURSUANT TO NEW YORK STATE LAW, AS AN ORGANIZATION ENGAGED IN THE PROFESSION OF MEDICINE, BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. (MEDPC) WAS THE SOLE SHAREHOLDER OF THE ORGANIZATION WHO IS ENGAGED IN THE PRACTICE OF MEDICINE AND LICENSED TO PRACTICE IN THE STATE OF NEW YORK AND THE STATE OF NEW JERSEY.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE GOVERNING BODY OF THE MEMBERS WITHIN THE GROUP, WITH THE EXCEPTION OF MEDPC, ARE APPOINTED BY ITS MEMBERS, WMC-ROCKLAND, BSMH AND SOC AND ARE SUBJECT TO THE APPROVAL OF ITS MEMBERS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CERTAIN AUTHORITIES OF THE MEMBERS OF THE GROUP, WITH THE EXCEPTION OF BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, PC, ARE JOINTLY RESERVED TO WMC-ROCKLAND, BSMH AND SOC, CERTAIN AUTHORITIES ARE RESERVED TO BSMH AND WMC-ROCKLAND, AND CERTAIN AUTHORITIES ARE RESERVED SOLELY TO BSMH.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT WITH ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY INTERNAL LEADERSHIP AND OUR EXTERNAL TAX ADVISORS. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMC HEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) DISCLOSURE OF THE CONFLICT, 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT, 3) REQUEST IN WRITING THAT THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE ORGANIZATION HAS A COMPREHENSIVE PROCESS FOR THE OVERSIGHT AND MANAGEMENT OF REMUNERATION FOR THE CEO. COMPENSATION FOR SUCH KEY EMPLOYEES IS SET BY REVIEWING AND RELYING ON OBJECTIVE MARKET DATA TO ENSURE THEY RECEIVE COMPENSATION THAT IS IN FULL COMPLIANCE WITH THE IRS' REBUTTABLE PRESUMPTION OF REASONABLENESS. THE ORGANIZATION MAINTAINS A COMPENSATION PHILOSOPHY, REVIEWS PAY PRACTICES AGAINST LOCAL, REGIONAL AND NATIONAL HEALTHCARE ORGANIZATIONS AND APPROVES ALL REMUNERATIVE DECISIONS FOR THIS GROUP OF INDIVIDUALS. FURTHER, THE ORGANIZATION ENSURES THAT ALL LEVELS OF PAY WITHIN THE ORGANIZATION ARE REASONABLE BASED ON PERFORMANCE AND VALIDATES THAT INCENTIVES PAYMENTS, IF ANY, ARE ADEQUATELY SUPPORTED. SUCH DECISIONS ARE DOCUMENTED IN BOARD AND OTHER RELEVANT COMMITTEE MINUTES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE ORGANIZATION HAS A COMPREHENSIVE PROCESS FOR THE OVERSIGHT AND MANAGEMENT OF REMUNERATION FOR OTHER SENIOR EXECUTIVES. COMPENSATION FOR SUCH KEY EMPLOYEES IS SET BY REVIEWING AND RELYING ON OBJECTIVE MARKET DATA TO ENSURE THEY RECEIVE COMPENSATION THAT IS IN FULL COMPLIANCE WITH THE IRS' REBUTTABLE PRESUMPTION OF REASONABLENESS. THE ORGANIZATION MAINTAINS A COMPENSATION PHILOSOPHY, REVIEWS PAY PRACTICES AGAINST LOCAL, REGIONAL AND NATIONAL HEALTHCARE ORGANIZATIONS AND APPROVES ALL REMUNERATIVE DECISIONS FOR THIS GROUP OF INDIVIDUALS. FURTHER, THE ORGANIZATION ENSURES THAT ALL LEVELS OF PAY WITHIN THE ORGANIZATION ARE REASONABLE BASED ON PERFORMANCE AND VALIDATES THAT INCENTIVES PAYMENTS, IF ANY, ARE ADEQUATELY SUPPORTED. SUCH DECISIONS ARE DOCUMENTED IN BOARD AND OTHER RELEVANT COMMITTEE MINUTES.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A	SISTERS MAUREEN SULLIVAN AND ANNE LUTZ DO NOT RECEIVE COMPENSATION AS THEY HAVE TAKEN A VOW OF POVERTY.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	PERFORMANCE BASED REVENUE - Total Revenue: 2236987, Related or Exempt Function Revenue: 2236987, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; ALL OTHER REVENUE - Total Revenue: 2233158, Related or Exempt Function Revenue: 1787105, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 446053;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS FROM AFFILIATES - 76045038;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS ROAD	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(c)(3)	Type I	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(c)(3)	Type I	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY			NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(c)(3)	Type I	WCHCC	false
NORTH ROAD LHCSA INC
241 NORTH ROAD	POUGHKEEPSIE	NY	12601	465293268	HOMECARE SVCS	NY	501(c)(3)	10	WCHCC	false
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS ROAD	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(c)(3)	7	WCHCC	false
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROAD	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(c)(3)	7	WCHCC	false
HEALTHALLIANCE INC
741 GRANT AVENUE LAKE	KATRINE	NY	12449	261850453	SUPPORTING	NY	501(c)(3)	Type I	WCHCC	false
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
HEALTHALLIANCE HOSPITAL
105 MARYS AVENUE	KINGSTON	NY	12401	141338470	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	150552726	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
MARGARETVILLE NURSING HOME INC
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(c)(3)	10	MMH	false
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(c)(3)	Type I	MMH	false
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVE	SUFFERN	NY	10901	133400353	SUPPORT FDN	NY	501(c)(3)	7	BSCHS	false
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVE	SUFFERN	NY	10901	810667395	SUPPORT FDN	NY	501(c)(3)	7	BSCHS	false
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(c)(3)	7	BSCHS	false
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(c)(3)	Type III-FI	WCHCC	false
HEALTHALLIANCE FOUNDATION INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	222511450	FUNDRAISING	NY	501(c)(3)	7	HA INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE LIMITED
23 LIME TREE BAY AVE PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	BSCHS	C Corporation	false
HUDSON RIVER NORTH INSURANCE LIMITED
23 LIME TREE BAY AVE PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	HEALTHALLIANCE	C Corporation	false
NORTHEAST PROVIDER SOLUTIONS INC
			MSO & HEARING AID		NA	C Corporation	false	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
			PHYSICIAN OFFICES		NA	C Corporation	false	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WCHCC (BERMUDA) LIMITED
			CAP INSURANCE	BD	NA	C Corporation	false
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
			INVESTMENT		HAH BWAY	C Corporation	false	396 BROADWAY	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
			MEDICAL SVCS		NA	C Corporation	false	396 BROADWAY	KINGSTON	NY	12401	203564769	NY
BSCHS MEDICAL GROUP PC
			PHYSICIAN OFFICES		BSCHS	C Corporation	false	10 FRANKLIN TURNPIKE	MAHWAH	NJ	07430	821632215	NJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd