2023-11-15T14:21:52+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW Washington DC 20005 990 2022-01-01 452964467 BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP BONS 8453685000 255 LAFAYETTE AVENUE SUFFERN NY 10901 MARY LEAHY MD CEO - BSCHS 8453685000 2023-11-15 true MARY LEAHY 999009999 true Justin Lowe P01866796 2023276000 2023-11-15 2022 2023-04-26 12:10:37Z MARY LEAHY MD 255 LAFAYETTE AVENUE SUFFERN NY 10901 616441406 true true 5747 X WWW.BSCHS.ORG X NY TO OPERATE SEVERAL ACUTE CARE HOSPITALS, LONG-TERM CARE FACILITIES AND OTHER HEALTHCARE SERVICES FOR THE RESIDENTS OF THE COMMUNITIES SERVED. 16 10 3775 37 0 0 18096792 14377832 576141451 584661001 473309 370073 12018692 16483135 606730244 615892041 22524 13734 0 342283863 336609728 0 0 297321495 307878461 639627882 644501923 -32897638 -28609882 223032633 283126035 281867915 294526161 -58835282 -11400126 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. false false 555885487 13734 600366615 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. 555885487 true true false true false false false true false true false false false true false false true false false false false false false false false true true false true true false false false false false false false false false false false false false true false false false true 199 0 true 3775 true false false false false false false false false false false false false X 16 10 false false false false true true true true true false false true true true true true true true true false NY X MAUREEN BURKE 8453685305 255 LAFAYETTE AVENUE SUFFERN NY 10901 JOHN HEIMERDINGER SECRETARY 1.0 8.0 X X 0 0 0 MARY LEAHY MD PRESIDENT & CEO 36.0 4.0 X X 0 1243364 108073 MICHAEL ISRAEL VICE CHAIR 1.0 39.0 X X 0 3405987 57096 RICHARD WISHNIE CHAIR 1.0 5.0 X X 0 0 0 SR ANNE LUTZ BSMH REP 1.0 39.0 X X 0 0 0 SR MAUREEN SULLIVAN BSMH REP 1.0 39.0 X X 0 0 0 TAMER EL-RAYESS MD 1ST VICE CHAIR & TREASURER 1.0 2.0 X X 0 0 0 GARY BRUDNICKI BOARD MEMBER 1.0 39.0 X 0 2333526 70137 JOSHUA RATNER BOARD MEMBER 1.0 39.0 X 0 1068839 80357 JULIE SWITZER BOARD MEMBER 1.0 39.0 X 0 1062607 47287 LAISHY WILLIAMS CARLSON BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL ROSENBLUT BOARD MEMBER 1.0 1.0 X 0 0 0 RENEE GARRICK MD BOARD MEMBER 1.0 39.0 X 0 1168872 66731 SANDRA GRANNUM BOARD MEMBER 1.0 1.0 X 0 0 0 STEVEN KENT BOARD MEMBER 1.0 1.0 X 0 0 0 SUSAN GEVERTZ BOARD MEMBER 1.0 2.0 X 0 0 0 PETER KENNIFF CFO - thru 10/2022 39.0 1.0 X 8274 0 616 CARY HIRSCH MD PHYSICIAN 40.0 0.0 X 707497 0 9434 GUNJAN SHUKLA PHYSICIAN 40.0 0.0 X 729877 0 53491 RAJIV SINGH PHYSICIAN 40.0 0.0 X 720204 0 27047 SETH HURWITZ PHYSICIAN 40.0 0.0 X 720204 0 39408 SUNANDAN A PANDYA PHYSICIAN 40.0 0.0 X 746169 0 53491 3632225 10283194 613168 830 true true false SHIFTWISE INC 2121 N 117 AVENUE STE 200 OMAHA NE 68164 TEMPORARY SUPPORT 9117958 CROTHALL HEALTHCARE INC 13028 COLLECTIONS CTR CHICAGO IL 60693 ENGINEERING 7359160 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 6435050 ACCESS REHABILITATION SERVICES 16 MAYBROOK RD STE H CAMPBELL HALL NY 10916 REHAB SERVICES 5791800 E4 SERVICES LLC 1540 INTERNATIONAL PKWY STE 2000 LAKE MARY FL 32746 IT SUPPORT 4279996 116 0 0 0 2058162 11378259 941411 0 14377832 NET PATIENT SERVICE REVENUE 623000 583523996 583523996 0 0 CAPITATION REVENUE 623000 1137005 1137005 0 0 0 0 0 0 0 0 0 0 584661001 370073 0 0 370073 880833 0 549365 0 331468 0 331468 0 0 331468 0 0 NYS DELIVERY SYSTEM REFORM INCENTIVE PYMNT 900099 5500000 5500000 0 0 SERVICE AGREEMENTS 900099 3669829 3669829 0 0 REBATES & GPO DISCOUNTS 900099 2511693 2511693 0 0 4470145 4024092 0 446053 16151667 615892041 600366615 0 1147594 0 0 13734 13734 0 0 0 0 8889 889 8000 0 0 0 0 0 251478825 232084536 19394289 0 9109942 7165997 1943945 0 54829223 52628737 2200486 21182849 19268314 1914535 0 0 0 0 0 850932 21644 829288 0 506283 28194 478089 0 138839 0 138839 0 0 0 24123151 24022579 100572 0 1232674 59322 1173352 0 12253182 7743498 4509684 0 6201499 2659052 3542447 0 0 0 0 18812540 13023440 5789100 0 668244 599754 68490 0 0 0 0 0 237321 211489 25832 0 8133456 865002 7268454 0 0 0 0 0 22599487 22599487 0 0 14089200 13991825 97375 0 MEDICAL SUPPLIES 87600904 87600904 0 0 PURCHASED SERVICES 64544862 45459123 19085739 0 OUTSOURCED SERVICES 35366942 19178579 16188363 0 DIETARY SUPPLIES 3928253 654393 3273860 0 6590692 6004995 585697 0 644501923 555885487 88616436 0 3375234 730822 34574 34574 49817228 54946121 0 0 0 0 14008886 13516938 3662990 3543323 563484934 360045070 145885285 203439864 30086 30086 0 0 6218350 6884307 223032633 283126035 85775651 96288226 262875 250567 130832 93096 0 0 124522240 124628524 71176317 73265748 281867915 294526161 -59671511 -12236355 836229 836229 -58835282 -11400126 223032633 283126035 X -28609882 76045038 X false true X true true true X 0 0 0 0 0 0 1650443 1740145 1455869 1145190 1003325 6994972 0 0 0 1650443 1740145 1455869 1145190 1003325 6994972 0 0 0 0 0 0 0 0 824516 1118307 920152 2862975 0 0 824516 1118307 920152 2862975 4131997 0 0 0 0 0 0 0 0 0 102789 111496 95589 92237 109788 511899 1753232 1851641 1551458 1237427 1113113 7506871 0.5504 0.7046 0 0.0 X 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; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 138839 138839 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. false true X 5031959 5031959 229000110 136972217 92027893 1287641 1158682 128959 250562316 211429268 39133048 77602908 10484903 67118005 203439864 DUE TO THIRD PARTIES 17057403 LONG TERM LIABILITY 3000823 CAPITAL LEASE LT LIABILITY 3899865 DUE TO AFFILIATES 11099078 DEFERRED EMPLOYEE SOCIAL SECUR 4900644 PENSION LIABILITIES 1096020 OTHER MISCELLANEOUS LIABILITIES 68375 IMPLEMENTATION LIABILITIES 32143540 MEDICARE ADVANCE (CARES ACT) 0 73265748 Schedule D, Part IV, Line 2b Explanation of escrow agreement 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. true true X true X 250 true X 500 true true true false true true 1996552 41898 1954654 0.0030 117468430 69214112 48254318 0.0749 0 0.0 0 0 119464982 69256010 50208972 0.0779 110652 4623734 0 4623734 0.0072 974 1050013 1050013 0.0016 6934297 6934297 0.0108 0 0.0 2300 64716 64716 0.0001 0 113926 12672760 0 12672760 0.0197 0 113926 132137742 69256010 62881732 0.0976 0 0.0 0 0.0 838 238277 0 238277 0.0004 0 0.0 0 0.0 0 0.0 405 158130 0 158130 0.0002 90 754918 0 754918 0.0012 270 44509 0 44509 0.0001 0 1603 1195834 0 1195834 0.0019 true 34356197 121196865 180859002 -59662137 X true true 3 1 GOOD SAMARITAN HOSPITAL OF SUFFERNNY 255 LAFAYETTE AVE SUFFERN NY 10901 GOODSAMHOSP.ORG 4329000H/XXX-XX-XXXX X X X A 2 ST ANTHONY COMMUNITY HOSPITAL 15 MAPLE AVENUE WARWICK NY 10990 STANTHONYCOMMUNITYHOSP.ORG 3529000H/XXX-XX-XXXX X X X A 3 BON SECOURS COMMUNITY HOSPITAL 160 EAST MAIN STREET PORT JERVIS NY 12771 BONSECOURSCOMMUNITYHOSP.ORG 3535001H/XXX-XX-XXXX X X X A A false false true X X X X X X X X X 22 true true false true X https://www.goodsamhosp.org/community-health-needs-assessment2; https://www.bonsecourscommunityhosp. X X true 22 true https://www.goodsamhosp.org/Uploads/Public/Documents/Good%20Samaritan/Healthy%20Communities%20ACO/We false true X 250.0 500.0 X X X true true X X X X true X http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX X http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX X http://bschs.bonsecours.com/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility 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. 58 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 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 false TRANSPORTATION FOR INDIGENT PATIENTS 167 13784 Cost Schedule I, Part III, Column (b) Estimated Number Of Recipients TRANSPORTATION FOR INDIGENT PATIENTS : AVERAGE NUMBER OF PARTICIPANTS DETERMINED BASED ON TOTAL COST DIVIDED BY AVERAGE COST PER TRIP. false true false false false false false false false MICHAEL ISRAEL VICE CHAIR 0 2013987 0 1365000 0 27000 0 0 0 57096 0 3463083 0 0 MARY LEAHY MD PRESIDENT & CEO 0 937936 0 305428 0 0 0 42700 0 65373 0 1351436 0 0 GARY BRUDNICKI BOARD MEMBER 0 1556526 0 750000 0 27000 0 0 0 70137 0 2403663 0 0 RENEE GARRICK MD BOARD MEMBER 0 881908 0 286964 0 0 0 38200 0 28531 0 1235603 0 0 JOSHUA RATNER BOARD MEMBER 0 791139 0 264950 0 12750 0 42700 0 37657 0 1149196 0 0 JULIE SWITZER BOARD MEMBER 0 776327 0 259280 0 27000 0 0 0 47287 0 1109894 0 0 CARY HIRSCH MD PHYSICIAN 698063 0 0 0 9434 0 0 0 9434 0 716931 0 0 0 SETH HURWITZ PHYSICIAN 392901 0 0 0 327303 0 29979 0 9429 0 759612 0 0 0 SUNANDAN A PANDYA PHYSICIAN 685648 0 58828 0 1693 0 19470 0 34021 0 799660 0 0 0 GUNJAN SHUKLA PHYSICIAN 678173 0 0 0 51704 0 19470 0 34021 0 783368 0 0 0 RAJIV SINGH PHYSICIAN 667005 0 52195 0 1004 0 26944 0 103 0 747251 0 0 0 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. 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; 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 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 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING AID NY NA C Corporation false WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFFICES NY NA C Corporation false WCHCC (BERMUDA) LIMITED CAP INSURANCE BD NA C Corporation false KINGSTON REGIONAL HEALTH CARE ENTERPRISE 396 BROADWAY KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY C Corporation false MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY NA C Corporation false BSCHS MEDICAL GROUP PC 10 FRANKLIN TURNPIKE MAHWAH NJ 07430 821632215 PHYSICIAN OFFICES NJ BSCHS C Corporation false false false true false false false false false false false false false false false true true true true true