ST JOHNS RIVERSIDE HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ST JOHNS RIVERSIDE HOSPITAL (EIN 13-1740126)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-12
- IRS object ID
- 202113169349311026
- Schema version
- 2020v4.1
- 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 G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T15:57:38-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 101540102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740126 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHNS RIVERSIDE HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | ANDRUS PARKCARE & DOBBS FERRY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 9149644340 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 967 NORTH BROADWAY | AddressLine1Txt |
| City | YONKERS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 107013497 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS KEANE | PersonNm |
| Person Title | VP FOR FINANCE & CFO | PersonTitleTxt |
| Phone | 9149644340 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DENNIS | PersonFirstNm |
| Person Last | KEANE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EVAN W SEEKAMP | PreparerPersonNm |
| PTIN | P01907071 | PTIN |
| Phone | 2127589700 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RON CORTI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 967 NORTH BROADWAY | AddressLine1Txt |
| City | YONKERS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $325,073,108 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RIVERSIDEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1870 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE TO EVERY PATIENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 2299 | TotalEmployeeCnt |
| Total Volunteers | 77 | TotalVolunteersCnt |
| Total Gross UBI | $11,215 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $26,583,008 | PYContributionsGrantsAmt |
| CY Contributions Grants | $100,762,903 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $243,502,948 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $220,200,543 | CYProgramServiceRevenueAmt |
| PY Investment Income | $341,721 | PYInvestmentIncomeAmt |
| CY Investment Income | $154,855 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,560,366 | PYOtherRevenueAmt |
| CY Other Revenue | $3,925,809 | CYOtherRevenueAmt |
| PY Total Revenue | $273,988,043 | PYTotalRevenueAmt |
| CY Total Revenue | $325,044,110 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $175,382,344 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $185,583,596 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,679 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $111,361,377 | PYOtherExpensesAmt |
| CY Other Expenses | $108,969,925 | CYOtherExpensesAmt |
| PY Total Expenses | $286,743,721 | PYTotalExpensesAmt |
| CY Total Expenses | $294,553,521 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$12,755,678 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $30,490,589 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $111,521,659 | TotalAssetsBOYAmt |
| Total Assets EOY | $154,418,772 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $195,457,538 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $223,265,431 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$83,935,879 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$68,846,659 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL ANDNURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICALMANNER TO EVERY PATIENT. SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $252,291,063 | ExpenseAmt |
| Revenue | $187,428,347 | RevenueAmt |
| Desc | IN 2020, ST. JOHN'S TREATED 11,132 INPATIENTS, THROUGH 50,955PATIENT DAYS, WITH A LARGE PROPORTION BEING MEDICARE ANDMEDICAID PATIENTS. THE HOSPITAL'S INPATIENT AND OUTPATIENTSPECIALTY SERVICES INCLUDE BARIATRIC SURGERY, BEHAVIORAL HEALTHSERVICES, BREAST CARE, CANCER CARE, CARDIOLOGY SERVICES,DIAGNOSTIC IMAGING, EMERGENCY SERVICES, HOLISTIC CARE SERVICES,HOPE CENTER, HYPERBARIC OXYGEN TREATMENT, MATERNITY, ORTHOPEDICSURGERY CENTER, PHYSICAL THERAPY, RESPIRATORY THERAPY SERVICES,SLEEP SERVICES, SURGICAL SERVICES AND WOUND HEALING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,370,504 | ExpenseAmt |
| Revenue | $29,922,757 | RevenueAmt |
| Desc | IN 2020, ST. JOHN'S PROVIDED 34,197 DAYS OF INPATIENT DRUG ANDALCOHOL SUBSTANCE ABUSE SERVICES TO 5,982 PATIENTS. OUTPATIENTFOLLOW-UP TREATMENT AND SUPPORT SERVICES PROVIDED FOR 56,188CLIENT VISITS. THE INPATIENT REHABILITATION PROGRAM IS BASED UPONTHE 12 STEP PHILOSOPHY AND PROVIDES A COMPREHENSIVE ARRAY OFSERVICES TO MEN AND WOMEN IN SEPARATE, GENDER-SPECIFIC UNITS.PATIENTS WITH CO-OCCURRING PSYCHIATRIC DISORDERS AND THOSE WITH AHISTORY OF RELAPSE ARE WELCOMED. OUTPATIENT TREATMENT PROGRAMSINCLUDE A DAY REHABILITATION PROGRAM AND A CLINIC PROGRAM. FORMORE INFORMATION, SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,120,838 | ExpenseAmt |
| Revenue | $1,076,458 | RevenueAmt |
| Desc | ST. JOHN'S OPERATES THE COCHRAN SCHOOL OF NURSING, AN ASSOCIATEDEGREE PROGRAM WHOSE PURPOSE IS TO TRAIN NURSES. IN 2020, 114STUDENTS WERE ENROLLED AT THE SCHOOL. FOUNDED IN 1894 AT ST.JOHN'S RIVERSIDE HOSPITAL, THE COCHRAN SCHOOL OF NURSING IS THEOLDEST HOSPITAL-BASED SCHOOL OF NURSING IN THE METROPOLITANREGION. THE SCHOOL OFFERS A REGISTERED NURSE (RN) CURRICULUMLEADING TO A DEGREE OF ASSOCIATE IN APPLIED SCIENCE. FOR MOREINFORMATION, SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,489,574 | ExpenseAmt |
| Revenue | $1,772,981 | RevenueAmt |
| Desc | ST. JOHN'S RIVERSIDE HOSPITAL OPERATES A METHADONE MAINTENANCE PROGRAM SEVEN DAYS A WEEK, 365 DAYS A YEAR TO ENABLE CLIENTS SUFFERING NARCOTIC ADDICTION TO CONTINUE PRODUCTIVE LIVES. IN 2020, THE CLINIC HAD 78,525 VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,489,574 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,772,981 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $269,271,979 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 159 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2299 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | 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 | DENNIS KEANE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9149644340 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 967 NORTH BROADWAY | AddressLine1Txt |
| City | YONKERS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 107013497 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| IYAD ANNABI MD | ||||||||||
| ASSISTANT SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $98,617 | $0 | $41,430 | |||
| MICHAEL SCHREIBER MD | ||||||||||
| FORMER CHIEF OF STAFF | 1.00 | 0.25 | Yes (X) | $12,408 | $0 | $14,801 | ||||
| WM LEE KINNALLY JR | ||||||||||
| CHAIRMAN | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES R LETSEN | ||||||||||
| FIRST VICE CHAIRMAN | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PAMELA BARNES | ||||||||||
| SECOND VICE CHAIRMAN | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LENORE A MINERVA | ||||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROBERT C MURRAY | ||||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DOMINICK P ARTUSO MD | ||||||||||
| CHAIR DOBBS FERRY MED EXEC COM | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JONATHAN BAUMAN MD | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIM BOSTIC | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MELVINA M CARTER | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE CENTRILLO | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT DEMATTEO MD | ||||||||||
| CHIEF OF STAFF | 1.00 | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH A DI SALVO ESQ | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN T FAY | ||||||||||
| BOARD MEMBER | 1.00 | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY M FISK | ||||||||||
| BOARD MEMBER | 1.00 | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| MARK HERRMANN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANN KACHMAR | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD F KOMOSINSKI | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS T LEE MD | ||||||||||
| BOARD MEMBER | 1.00 | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| GERALD T MALONE | ||||||||||
| BOARD MEMBER | 1.00 | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| JEANNE MARTINELLI | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CECILE D SINGER | ||||||||||
| BOARD MEMBER | 1.00 | 0.25 | Yes (X) | $0 | $0 | $0 | ||||
| REV DR VICTORIA R SIROTA | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD CORTI | ||||||||||
| PRESIDENT/CEO | 37.50 | 0.35 | Yes (X) | $833,493 | $0 | $134,778 | ||||
| DENNIS KEANE | ||||||||||
| VP FINANCE/CFO | 37.50 | 0.35 | Yes (X) | $530,236 | $0 | $59,058 | ||||
| PAUL ANTONECCHIA MD | ||||||||||
| PHYSICIAN - VICE PRESIDENT | 37.50 | 0.35 | $481,129 | $0 | $48,049 | Yes (X) | ||||
| GLADYS ATTANASIO | ||||||||||
| ASSISTANT VP REVENUE CYCLE | 37.50 | 0.00 | $251,513 | $0 | $44,650 | Yes (X) | ||||
| SUSAN FRANZINO | ||||||||||
| AVP ANCILLARY SERVICES | 37.50 | 0.00 | $197,777 | $0 | $49,818 | Yes (X) | ||||
| LAURA FANNING | ||||||||||
| AVP SURGICAL SERVICES | 37.50 | 0.00 | $187,064 | $0 | $24,531 | Yes (X) | ||||
| TARA CURTIN | ||||||||||
| CHIEF NURSING OFFICER | 37.50 | 0.00 | $392,099 | $0 | $46,867 | Yes (X) | ||||
| SANDRA K SCOTT | ||||||||||
| SOCIAL WORKER | 37.50 | 0.00 | $255,136 | $0 | $55,630 | Yes (X) | ||||
| NIRAV PATEL DO | ||||||||||
| PHYSICIAN | 37.50 | 0.00 | $488,950 | $0 | $54,349 | Yes (X) | ||||
| CHRISTOPHER DIGIORNO MD | ||||||||||
| PHYSICIAN | 1.00 | 0.00 | $349,127 | $0 | $31,173 | Yes (X) | ||||
| MICHAEL DIGIORNO MD | ||||||||||
| PHYSICIAN - NEPHROLOGY | 1.00 | 0.00 | $382,890 | $0 | $44,947 | Yes (X) | ||||
| ANDREW FADER | ||||||||||
| PHYSICIAN | 1.00 | 0.00 | $277,842 | $0 | $49,852 | Yes (X) | ||||
| ROLANDO CHUMACEIRO | ||||||||||
| PHYSICIAN | 1.00 | 0.00 | $239,004 | $0 | $116,954 | Yes (X) | ||||
| DONNA MCGREGOR | ||||||||||
| FORMER VP COO | 37.50 | 0.25 | $283,474 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,260,759 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $816,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 409 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SYMPHONY MEDICAL PC | |||||
| 27 S WASHINGTON AVENUE | DOBBS FERRY | NY | 10522 | INTENSIVISTS & HOSPITALISTS | $8,480,620 |
| DOBBS FERRY EMERGENCY ROOM MEDICINE | |||||
| 35 WASHINGTON AVENUE | DOBBS FERRY | NY | 10514 | ER SERVICES | $5,312,320 |
| MEDICAL SOLUTIONS LLC | |||||
| 1010 NORTH 102 ST SUITE 300 | OMAHA | NE | 68114 | COVID AGENCY STAFFING | $2,757,524 |
| MONTEFIORE MEDICAL CENTER | |||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | LAUNDRY AND MEDICAL | $1,555,880 |
| HEALTHCARE RADIOLOGY & DIAGNOSTIC SYSTEM | |||||
| 409 LINDA AVE | HAWTHORNE | NY | 10532 | RADIOLOGY SERVICES | $1,320,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $106,317 | FundraisingAmt |
| Government Grants | $100,510,313 | GovernmentGrantsAmt |
| All Other Contributions | $146,273 | AllOtherContributionsAmt |
| Total Contributions | $100,762,903 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $209,462,247 | $209,462,247 |
| UNCOMPENSATED CARE SUBSIDIZED | 623000 | $6,934,532 | $6,934,532 |
| PHYSICIAN BILLING | 900099 | $2,725,727 | $2,725,727 |
| STUDENT TUITION ADMISSION | 900099 | $1,078,037 | $1,078,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $220,200,543 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $154,855 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $11,215 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,640 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,449,770 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,449,770 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,449,770 | TotalRevenueColumnAmt |
| Exclusion | $1,449,770 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $27,498 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $106,317 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $28,998 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,500 | TotalRevenueColumnAmt |
| Exclusion | -$1,500 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $2,173,061 | $2,173,061 |
| CAFETERIA | 900099 | $304,478 | $304,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,477,539 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $325,044,110 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $220,200,543 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,215 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,069,449 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,759,084 | TotalAmt |
| Program Services | $3,759,084 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,330 | TotalAmt |
| Program Services | $417,330 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,232,237 | TotalAmt |
| Program Services | $115,915,423 | ProgramServicesAmt |
| Management And General | $12,316,814 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,014,234 | TotalAmt |
| Program Services | $14,538,651 | ProgramServicesAmt |
| Management And General | $1,475,583 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,319,892 | TotalAmt |
| Program Services | $24,725,290 | ProgramServicesAmt |
| Management And General | $2,594,602 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,840,819 | TotalAmt |
| Program Services | $8,921,808 | ProgramServicesAmt |
| Management And General | $919,011 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,344,306 | TotalAmt |
| Program Services | $2,621,316 | ProgramServicesAmt |
| Management And General | $722,990 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $669,539 | TotalAmt |
| Program Services | $55,035 | ProgramServicesAmt |
| Management And General | $614,504 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,409 | TotalAmt |
| Management And General | $450,409 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,000 | TotalAmt |
| Management And General | $78,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,458,336 | TotalAmt |
| Program Services | $38,543,624 | ProgramServicesAmt |
| Management And General | $1,914,712 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,030 | TotalAmt |
| Management And General | $123,351 | ManagementAndGeneralAmt |
| Fundraising | $4,679 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,900,588 | TotalAmt |
| Program Services | $38,419,529 | ProgramServicesAmt |
| Management And General | $1,481,059 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,148,572 | TotalAmt |
| Program Services | $1,074,286 | ProgramServicesAmt |
| Management And General | $1,074,286 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,365,603 | TotalAmt |
| Program Services | $6,191,293 | ProgramServicesAmt |
| Management And General | $174,310 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,934 | TotalAmt |
| Program Services | $6,878 | ProgramServicesAmt |
| Management And General | $56 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,499 | TotalAmt |
| Program Services | $123,753 | ProgramServicesAmt |
| Management And General | $61,746 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,015 | TotalAmt |
| Program Services | $1,053,015 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,578,757 | TotalAmt |
| Program Services | $8,578,757 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,081,714 | TotalAmt |
| Program Services | $1,081,714 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| ALL OTHER EXPENSES | $3,119,695 | $2,367,356 | $752,339 |
| COLLECTION FEES | $1,046,858 | $609,553 | $437,305 |
| DUES, BOOKS & SUBSCRIPT | $354,070 | $268,284 | $85,786 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,553,521 | TotalAmt |
| Program Services | $269,271,979 | ProgramServicesAmt |
| Management And General | $25,276,863 | ManagementAndGeneralAmt |
| Fundraising | $4,679 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,735,133 | BOYAmt |
| EOY | $2,841,846 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,341 | BOYAmt |
| EOY | $52,256,139 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,164,445 | BOYAmt |
| EOY | $21,628,096 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,501 | BOYAmt |
| EOY | $1,069,716 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,729,953 | BOYAmt |
| EOY | $3,995,471 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,422,911 | BOYAmt |
| EOY | $2,155,164 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $297,062,774 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $255,406,757 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,626,549 | BOYAmt |
| EOY | $41,656,017 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,379,699 | BOYAmt |
| EOY | $6,555,472 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,110,114 | BOYAmt |
| EOY | $2,209,124 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,856,013 | BOYAmt |
| EOY | $20,051,727 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,521,659 | BOYAmt |
| EOY | $154,418,772 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,318,660 | BOYAmt |
| EOY | $55,518,607 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,609,938 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,228,148 | BOYAmt |
| EOY | $481,915 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,300,792 | BOYAmt |
| EOY | $167,264,909 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,457,538 | BOYAmt |
| EOY | $223,265,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$88,362,611 | BOYAmt |
| EOY | -$73,374,981 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,426,732 | BOYAmt |
| EOY | $4,528,322 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$83,935,879 | BOYAmt |
| EOY | -$68,846,659 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,521,659 | BOYAmt |
| EOY | $154,418,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $30,490,589 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,358 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$15,391,011 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | Yes (1) | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $78,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $78,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C PART IV | FormAndLineReferenceDesc |
| Explanation | PART II-B LOBBYING EXPENSES CONTACT WITH MEMBERS OF THE NYS LEGISLATURE ON GRANT FUNDING AND INCREASE THE HOSPITAL'S PRESENCE AND PROFILE WITH LOCAL GOVERNMENT LEADERS AND STATE LEGISLATORS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,379,699 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $133,282 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,957,509 | OtherExpendituresAmt |
| End Year Balance | $6,555,472 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,454,079 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $374,031 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,448,386 | OtherExpendituresAmt |
| Administrative Expenses | $25 | AdministrativeExpensesAmt |
| End Year Balance | $9,379,699 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,449,502 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $523,434 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,504,583 | OtherExpendituresAmt |
| Administrative Expenses | $14,274 | AdministrativeExpensesAmt |
| End Year Balance | $11,454,079 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $28,524,162 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,089,272 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,097,200 | OtherExpendituresAmt |
| Administrative Expenses | $66,732 | AdministrativeExpensesAmt |
| End Year Balance | $26,449,502 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,436,832 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,387,516 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $231,125 | OtherExpendituresAmt |
| Administrative Expenses | $69,061 | AdministrativeExpensesAmt |
| End Year Balance | $28,524,162 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.31000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.33000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.36000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,185,006 | OtherCostOrOtherBasisAmt |
| Book Value | $1,185,006 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,682,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,669,550 | DepreciationAmt |
| Book Value | $22,013,313 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,420,370 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,726,632 | DepreciationAmt |
| Book Value | $1,693,738 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $155,384,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $140,010,575 | DepreciationAmt |
| Book Value | $15,373,829 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,390,131 | OtherCostOrOtherBasisAmt |
| Book Value | $1,390,131 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $41,656,017 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTY PAYORS | $5,169,937 |
| OTHER NON-CURRENT ASSETS | $4,574,084 |
| OTHER RECEIVABLES | $5,226,393 |
| PROFESSIONAL INSURANCE - RCVBL | $5,081,313 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $20,051,727 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATE-CAPTIVE INSUR | $3,045,053 |
| DUE TO THIRD PARTY PAYORS | $3,970,646 |
| ACCRUED POSTRETIREMENT BENEFIT | $114,291,237 |
| OTHER LT LIAB-DEF ASBESTOS | $26,818,590 |
| MALPRACTICE LIABILITY | $19,139,383 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $167,264,909 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION, GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTIONS 501(A) AND 501(C)(3) OF THE CODE. IT IS ALSO GENERALLY EXEMPT FROM STATE AND LOCAL INCOME TAXES. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2020 AND 2019. |
| SCHEDULE D, PART V, LINE 4 | INTENDED USE OF ENDOWMENT FUNDS THE ENDOWMENT FUND OF THE HOSPITAL HAS BEEN ESTABLISHED TO PROVIDE FUNDING FOR PROGRAMS SUPPORTED BY ITS ENDOWMENT OR TO PROVIDE EMERGENCY FUNDS FOR USAGE TO BE APPROVED BY THE FINANCE COMMITTEE ON AN EMERGENCY BASIS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $133,815 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $106,317 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $27,498 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $27,498 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $1,500 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $133,815 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $106,317 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $27,498 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $27,498 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,500 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $28,998 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$1,500 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $535,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $495,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,636,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,139,661 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,496,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,171,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,179,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,992,148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,279,052 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,279,052 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,217,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,064,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,153,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,496,836 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,064,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,432,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,668,493 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,243,991 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,424,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06930 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,593,904 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,711,089 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $55,530,563 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $56,684,084 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,153,521 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| SJR HOSPITAL ANDRUS PAVILION | ||||||||||
| 1 | 967 NORTH BROADWAY | YONKERS | NY | 10701 | WWW.RIVERSIDEHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
| SJR PARK CARE PAVILION | ||||||||||
| 2 | 2 PARK AVENUE | YONKERS | NY | 10703 | WWW.RIVERSIDEHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | A | |
| SJR DOBBS FERRY PAVILION | ||||||||||
| 3 | 128 ASHFORD AVE | DOBBS FERRY | NY | 10522 | WWW.RIVERSIDEHEALTH.ORG | Yes (X) | 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 | ALL FACILITIES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | 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 |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: SJR HOSPITAL ANDRUS PAVILION, - FACILITY 2: SJR PARK CARE PAVILION, - FACILITY 3: SJR DOBBS FERRY PAVILION |
| GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 5: | COMMUNITY HEALTH NEEDS ASSESSMENTTHE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) COMMUNITY HEALTH NEEDSASSESSMENT (CHNA) WAS CONDUCTED AND IS A JOINT REPORT OF ITS THREEHOSPITAL SITES: THE ANDRUS, PARK CARE AND DOBBS FERRY PAVILIONS. THEFACILITIES SERVE A DIVERSE POPULATION IN WESTCHESTER COUNTY AND SHARE ANAUTHORIZED BODY THAT ADOPTED THIS ASSESSMENT IN DECEMBER 2019.THE ST. JOHN'S CHNA WAS DEVELOPED DURING 2019 IN COLLABORATION WITH THEWESTCHESTER COUNTY DEPARTMENT OF HEALTH'S 'HEALTH AND HOSPITAL PLANNINGTEAM AND THE MONTEFIORE OFFICE OF COMMUNITY AND POPULATION HEALTH(INCLUDING MONTEFIORE'S HUDSON VALLEY COLLABORATIVE PERFORMING PROVIDERSYSTEM (PPS) HOSPITAL GROUP).THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH (WCDOH),HTTP://HEALTH.WESTCHESTERGOV.COM/, AND THE MONTEFIORE HUDSON VALLEYCOLLABORATIVE PPS,HTTP://WWW.MONTEFIORE.ORG/HUDSON-VALLEY-COLLABORATIVE,COMMUNITY HEALTH NEEDS ASSESSMENTS, WHICH MEET BOTH IRS AND NYS NEEDSASSESSMENT AND SERVICE PLAN REQUIREMENTS, CONTAIN MORE DETAILEDINFORMATION AND DATA ON THE HEALTH STATUS OF THE POPULATION ANDDISTRIBUTION OF HEALTH ISSUES BASED ON ANALYSIS OF DEMOGRAPHIC FACTORSAND IDENTIFICATION OF THE MAIN HEALTH CHALLENGES FACING THE COMMUNITY; ASWELL AS A DISCUSSION OF THE CONTRIBUTING CAUSES OF THESE CHALLENGES,INCLUDING BROAD DETERMINANTS OF HEALTH.OUR PARTNER SESSIONS GAVE THE OPPORTUNITY FOR AREA HOSPITALS TO DISCUSSNYS PREVENTION AGENDA PRIORITIES, FEEDBACK FROM THEIR PUBLIC NEEDSASSESSMENTS, SERVICES PROVIDED, GAPS IN SERVICE AND BEST PRACTICES. WHILEALL HOSPITALS IN WESTCHESTER COUNTY SHARE THE SAME PRIORITIES, EACHHOSPITAL SELECTED PRIORITIES THAT ALIGNED WITH THEIR MISSION, WEREATTAINABLE, AND CREATED A PROGRAM THAT BEST SUITED ITS INSTITUTION ANDPATIENT SERVICE AREA. THE PUBLIC INPUT PROCESS ALSO ENCOMPASSEDCOLLABORATION WITH THE FOLLOWING PARTNERS: CITY OF YONKERS/SJRH'S HEALTHYYONKERS INITIATIVE AND THE SJRH COMMUNITY ADVISORY COMMITTEE.A MULTIDISCIPLINARY GROUP WAS INVOLVED IN ASSESSING COMMUNITY HEALTHNEEDS IN WESTCHESTER COUNTY WITH PUBLIC PARTICIPATION SOLICITED VIA ASURVEY SPONSORED BY THE WCDOH AND COMMUNITY PARTNERS. THE COLLABORATIVEPROCESS WAS BENEFICIAL IN RESEARCHING CURRENT HEALTH DATA, CONDUCTINGHEALTH NEEDS ASSESSMENTS WITHIN OUR COMMUNITIES, SHARING OF BEST PRACTICEINTERVENTIONS AND LEVERAGING OF RESOURCES.TO DETERMINE THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY, WE SURVEYEDMEMBERS OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITYPOPULATIONS IN THE SJRH SERVICE AREA, WHO REPRESENT THE HEALTH INTERESTSOF OUR PATIENTS AND THEIR FAMILIES. THE COLLABORATIVE SURVEY WASCOMPLETED BY MORE THAN 3,500 RESPONDENTS BETWEEN JANUARY AND MAY 2019.THE SURVEY COMPRISED THE PRIMARY DATA COLLECTION WITH QUERIES TAILORED TO ALIGN WITH THE PREVENTION AGENDA; THE PROCESS INCLUDED COMMUNITY BASEDFOCUS GROUPS, GRASS ROOTS DISTRIBUTION, COLLECTION ANDINTRA-ORGANIZATIONAL REVIEW OF RESIDENT NEEDS, SERVICE UTILIZATION ANDOUTCOMES. 32% OF RESPONDENTS IDENTIFIED AS HISPANIC AND43.7% IDENTIFIED AS NON-HISPANIC WHITE AND 16.2% AS NON-HISPANIC BLACK.RESPONDENTS RESIDED THROUGHOUT THE COUNTY, WITH 13% LIVING IN A WHITEPLAINS ZIP CODE (10601, 10603, 10604, 10605, 10606, 10607, 10608) ANDAPPROXIMATELY 34.6% LIVING IN THE ST. JOHN'S RIVERSIDE SERVICE AREA. ST.JOHN'S LEADERSHIP ALSO CONSIDERED ITS OWN RESOURCES, STRENGTHS, ANDABILITIES IN THE SELECTION OF SJRH'S PRIORITY COMMUNITY NEEDS.TO HELP SUPPORT AND COORDINATE THIS COLLABORATION, THE WCDOH INVITED ALLWESTCHESTER HOSPITALS TO ATTEND A KICK-OFF MEETING IN EARLY 2019. TOSUPPORT IN THE SELECTION OF PRIORITIES THE WCDOH'S HEALTH AND HOSPITALPLANNING TEAM HELD COLLABORATIVE MEETINGS THROUGHOUT 2019. IN ADDITION,MEMBERS OF THAT GROUP JOINED WITH THE WORK OF MONTEFIORE'S OFFICE OFCOMMUNITY AND POPULATION HEALTH FOR MONTHLY MEETINGS THROUGHOUT THESPRING, SUMMER, AND FALL 2019.THE COLLECTION OF PRIMARY DATA FROM A SAMPLE OF THE WESTCHESTER COUNTYRESIDENTS WAS AN IMPORTANT ELEMENT OF THE DEVELOPMENT OF THE COMMUNITYHEALTH NEEDS ASSESSMENT. SJRH ENGAGED WITH THE WCDOH'S ON-LINE COMMUNITYRESIDENT AND PROVIDER HEALTH SURVEYS TO FACILITATE THE IMPLEMENTATION OFTHE DATA COLLECTION PROCESS. WE IDENTIFIED THE FOLLOWING PARTNERS TO HELPIMPLEMENT INTERVENTIONS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT: HUDSON RIVER HEALTHCARE FQHC, HUDSON COMMUNITY HEALTHALLIANCE'S LOCAL IMPACT INITIATIVE, PRIMARY PRACTICE OFFICES, CANCERCOALITION OF WESTCHESTER, HEALTHY YONKERS INITIATIVE, SJRH BEHAVIORALHEALTH SERVICES, SJRH COMMUNITY ADVISORY TEAM, WESTCHESTER COUNTYDEPARTMENT OF HEALTH AND THE MONTEFIORE HUDSON VALLEY COLLABORATIVE.OUR PLANNING TEAM ALSO CONDUCTED A SURVEY OF SELECTED STAKEHOLDERSREPRESENTING HEALTH CARE AND SERVICE-PROVIDING AGENCIES WITHIN THECOUNTY. THE PURPOSE OF THE STUDY WAS TO PROVIDE FEEDBACK FROM COMMUNITYSERVICE PROVIDERS IN ORDER TO: 1) GUIDE STRATEGIC PLANNING, 2) HIGHLIGHTTOPICS FOR INCREASED PUBLIC AWARENESS, 3) IDENTIFY AREAS FOR TRAINING,AND 4) INFORM THE STATEWIDE PREVENTION AGENDA. THE SURVEY WAS DEVELOPEDTHROUGH A COLLABORATIVE EFFORT BY AN EIGHTEEN-MEMBER SURVEY COMMITTEEREPRESENTING COUNTY PUBLIC HEALTH DEPARTMENT AND LOCAL HOSPITALS DURINGTHE SPRING-SUMMER OF 2017. A TOTAL OF 3,500 COMMUNITY SURVEYS WERECOLLECTED, THIS IS 2,182 MORE SURVEYS THAN THE ONE CONDUCTED FOR THEPREVIOUS COMMUNITY SERVICE PLANNING PROCESS AND THE COMMUNITY HEALTHNEEDS ASSESSMENT PROCESS.TO ENSURE A BROAD ASSESSMENT OF OUR COMMUNITY HEALTH NEEDS, WE ENGAGED AVARIETY OF PARTICIPANTS INCLUDING, BUT NOT LIMITED TO, THECOMMUNITY-AT-LARGE THROUGH LOCAL RESIDENTS PARTICIPATING IN SJRHSPEAKER'S BUREAU'S HEALTH EDUCATION PROGRAMS. WE SHARED HEALTH DATA ANDSOUGHT FEEDBACK THROUGH THE FOLLOWING SJRH GROUPS: COMMUNITY ADVISORYCOMMITTEE, PASTORAL CARE COMMITTEE, PHYSICIAN ALIGNMENT COMMITTEE,RADIOLOGY ADVISORY COMMITTEE, WELLNESS COMMITTEE, BOARD OF TRUSTEES AND OUR EMPLOYEES.WE PLAN TO PROVIDE ONGOING OPPORTUNITIES FOR HOSPITALS AND OTHERSTAKEHOLDERS, I.E. COMMUNITY-BASED ORGANIZATIONS, TO STRATEGIZE ON HOW TOADDRESS HEALTH PRIORITIES. WE WILL ALSO WORK WITH PARTNERS TO PROVIDEMORE REFINED DATA TO TRACK AND EVALUATE PROGRESS IN ACHIEVING GOALSRELATED TO SELECTED PRIORITIES. SJRH WILL CONTINUE TO COMMUNICATE WITHOTHER COMMUNITY-BASED ORGANIZATIONS REGARDING ADVOCACY, PARTICIPATION INLOCAL COMMUNITY EVENTS, AND EXCHANGE OF REFERRAL INFORMATION. ENGAGINGLOCAL COMMUNITY MEMBERS IN OUR EFFORTS ENABLES US TO INVOLVE OUR HEALTHCARE INSTITUTION AND THE COMMUNITY IN THE ACTIVITIES OF NATIONAL HEALTHADVOCACY ORGANIZATIONS, INCLUDING WALKS, FAIRS, AND OTHERAWARENESS-RAISING ACTIVITIES FOR HEALTH ISSUES THAT IMPACT THECOMMUNITY.IN EARLY 2020, BEFORE THE FIRST COVID SURGE IN WESTCHESTER COUNTY, THE HOSPITAL HELD ITS FIRST MEETING OF THE CALENDAR YEAR TO REVIEW THE ONGOING SELECTED ACTIVITIES. IN LATE 2020, NY STATE DEPARTMENT OF HEALTH NOTED THAT HOSPITALS MIGHT CHANGE THEIR PRIORITIES TO ONES RELATED TO COVID OR MIGHT KEEP THE ITEMS IDENTIFIED IN THE 2019 ASSESSMENT. WHILE SJRH CONTINUES TO BE ACTIVE AND INSTRUMENTAL IN FIGHTING COVID IN THE COMMUNITY IT SERVES, THE HOSPITAL CHOSE TO CONTINUE WITH THE TWO PRIORITY AREAS CHOSEN IN LATE 2019. |
| GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 7D: | CHNA PUBLICATIONTHE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) COMMUNITY HEALTH NEEDSASSESSMENT (CHNA) PROCESS WAS CONDUCTED DURING THE 2019 PERIOD ANDAPPROVED BY ITS BOARD OF TRUSTEES ON DECEMBER 9, 2019. THE FINALAPPROVED CHNA REPORT WAS ALSO UPLOADED TO THE SJRH PUBLIC WEBSITEWWW.RIVERSIDEHEALTH.ORG BY DECEMBER 30, 2019, SHARED WITH COMMUNITYPARTNERS AND A PAPER COPY WAS MADE AVAILABLE FOR PUBLIC INSPECTION UPONREQUEST AND WITHOUT CHARGE AT THE HOSPITAL FACILITY. A PRESS RELEASE WAS SENT TO ALL LOCAL MEDIA FOR PUBLICATION, THAT THE REPORT IS AVAILABLE FORTHE PUBLIC TO REVIEW. ALL HOSPITAL ADMINISTRATIVE OFFICES ARE GIVEN ACOPY OF THE REPORT TO PRODUCE UPON REQUEST. THE COMMUNITY RECEIVEDCOMMUNICATION THROUGH OUR PRINT NEWSLETTER, "RIVERSIDE". SJRH EMPLOYEES,PHYSICIANS AND COMMUNITY PARTNERS RECEIVED NOTIFICATION THROUGH THEIREMAIL NEWSLETTERS WITH A LINK TO CONNECT THEM TO OUR WEBSITE.NOTIFICATION WAS ALSO POSTED ON THE SJRH FACEBOOK PAGE, ON YOUTUBE,TWITTER, AND INSTAGRAM. EMPLOYEES CAN ALSO ACCESS THE REPORT THROUGH THEHOSPITAL INTRANET AND COPIES CAN BE OBTAINED BY CALLING THE HOSPITAL'SPUBLIC RELATIONS OFFICE. DIRECT URL TO CHNA AND THE COMMUNITY SERVICEPLAN IS:HTTPS://WWW.RIVERSIDEHEALTH.ORG/PORTALS/0/CHNA_ISR%2012_2019.PDFBECAUSE OF THE COVID SURGE IN 2020, SJRH WAS NOT REQUIRED TO SUBMIT A REPORT TO NEW YORK STATE ON THE CHNA ACTIVITIES IN 2020. INSTEAD, SJRH WAS REQUIRED TO SUBMIT THE CONTINUING OR NEW PRIORITIES FOR 2021. |
| GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 11: | ADDRESSING COMMUNITY NEEDSTHE AFFORDABLE CARE ACT REQUIRES NOT-FOR-PROFIT HOSPITALS TO ASSESS ANDADDRESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THEDEVELOPMENT OF A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)AND IMPLEMENTATION STRATEGY (I/S). ACCORDINGLY, ST. JOHN'S RIVERSIDEHOSPITAL (SJRH) HAS TAKEN INTO ACCOUNT THE BROAD INTERESTS OF ITSCOMMUNITY MEMBERS, ANALYZED HEALTH DATA AND SUBSEQUENTLY ADOPTED A PLANTO PRIORITIZE AND MEET THE HEALTH NEEDS IDENTIFIED. THE SJRH CHNAPROVIDES A REPORT OF THE PROCESS AND RESULTS OF A COMPREHENSIVEASSESSMENT OF THE NEEDS OF ITS COMMUNITY SERVED. THE SJRH I/S ADDRESSESTHE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AND DELINEATES THE METRICS TO BE USED TO EVALUATE THE IMPACT OF THESEINITIATIVES. THE SJRH CHNA WAS DEVELOPED BASED UPON BOTH FEDERAL AND NEWYORK STATE (NYS) GUIDELINES. THE NYS GUIDELINES WERE DESIGNED TO MEET THEFEDERAL HEALTHY PEOPLE 2020 GOALS AND ENCOMPASS THE NYS DEPARTMENT OFHEALTH PREVENTION AGENDA 2019-2024.SJRH HAS CONSIDERED THE CHNA AND PREVENTION AGENDA DOCUMENTS ALONG WITHTHE DIALOGUE OF ITS COMMUNITY PARTNERS IN THE ESTABLISHMENT OF ITSTHREE-YEAR ACTION PLAN THAT INCLUDES TWO PREVENTION AGENDA PRIORITIES;BOTH OF WHICH ADDRESS A HEALTH DISPARITY IN THE COMMUNITY AND INVOLVESONGOING COLLABORATION AND ENGAGEMENT WITH PARTNERS TO ACHIEVE HEALTHIMPROVEMENT. THE SJRH CHNA IS AN OUTCOME OF THE COLLABORATIVE HEALTHNEEDS ASSESSMENT CONDUCTED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH(WCDOH) HEALTH AND HOSPITAL PLANNING TEAM AND THE MONTEFIORE OFFICE OFCOMMUNITY AND POPULATION HEALTH (IN CONJUNCTION WITH MONTEFIORE'S HUDSONVALLEY COLLABORATIVE PPS). SJRH WAS AN ACTIVE PARTICIPANT IN ALL OF THESEEFFORTS. PARTNER SESSIONS GAVE THE OPPORTUNITY FOR AREA HOSPITALS TODISCUSS PREVENTION AGENDA PRIORITIES, FEEDBACK FROM THEIR PUBLIC NEEDSASSESSMENTS, SERVICES PROVIDED, GAPS IN SERVICE AND BEST PRACTICES. AREVIEW OF THE RESULTS FROM THE PRIMARY AND SECONDARY DATA COLLECTIONPROCESS HIGHLIGHTED TWO MAJOR CATEGORIES OF HEALTH NEEDS THAT WEREIMPORTANT ACROSS THE POPULATIONS SURVEYED, REFLECTED IN THE DATA ASCRITICAL, AND IN ALIGNMENT WITH THE NYS PREVENTION AGENDA.MULTIPLE DATA SOURCES WERE USED TO SUPPORT THE ASSESSMENT OF HEALTH NEED PRIORITY ITEMS THAT WERE IDENTIFIED, SELECTED, AND REVIEWED WITHCOMMUNITY PARTNERS. A LISTING AND BRIEF SUMMARY OF THE DATA SOURCES USEDTO COMPLETE THE SECONDARY DATA ANALYSIS AND IDENTIFY THE ISSUES OFCONCERN BEYOND EXPERIENCE AND DIRECT OBSERVATION ARE INCLUDED IN THISREPORT. NUMEROUS CONVERSATIONS AND MEETINGS WERE CONVENED INTERNALLY ANDWITH EXTERNAL PARTNERS, AND A THOROUGH REVIEW OF THE DATA WAS CONDUCTED,ALL OF WHICH HAVE FRAMED THE DEVELOPMENT OF THE CHNA AND I/S. THEPRIORITY AREAS SELECTED AND EACH OF THE PLANNED INTERVENTIONS FOCUS ONSPECIFIC PRIORITY POPULATIONS AND ADDRESS THE ETHNIC AND CULTURALDISPARITY DEFINED IN THE INDICATORS FOR THE POPULATION SERVED BY SJRH.THE PROCESS TO IDENTIFY THE NEEDS OF THE COMMUNITY INVOLVED THECOLLECTION OF BOTH PRIMARY AND SECONDARY DATA.- PRIMARY DATA - SURVEYS, TOWN HALLS, FOCUS GROUPS- SECONDARY DATA - HEALTH SYSTEM, PUBLIC HEALTH, DEMOGRAPHIC DATASOURCES.THE SURVEY IDENTIFIED THE TOP COMMUNITY HEALTH PRIORITY IN SJRH'S SERVICEAS MENTAL HEALTH AND THE SECOND PRIORITY AS CHRONIC DISEASE SCREENING ANDCARE.THROUGH THIS PROCESS AND BASED ON THIS COMMUNITY INPUT, SJRH HAS SELECTEDTHE FOLLOWING PREVENTION AGENDA PRIORITIES:- PREVENT CHRONIC DISEASES (TOBACCO USE CESSATION AMONG LOW SOCIOECONOMICPOPULATIONS), AND- PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE (TREATMENT OFINDIVIDUALS WITH SUBSTANCE ABUSE AND CO-OCCURRING DEPRESSIVE DISORDERSAMONG LOW-SOCIOECONOMIC POPULATIONS).THE PRIORITIES SELECTED ALSO CREATE BETTER ALIGNMENT WITH THE INITIATIVESOF THE NEW YORK STATE DEPARTMENT OF HEALTH'S DELIVERY SYSTEM REFORMINCENTIVE PAYMENT (DSRIP) PROGRAM. DSRIP HAS A VERY STRONG FOCUS ON BOTHTHE PREVENTION AND MANAGEMENT OF CHRONIC DISEASES AND BEHAVIORAL HEALTHISSUES, INCLUDING MENTAL HEALTH.THE 2019 CHNA CONTINUES TO ADDRESS THEMES ALSO IDENTIFIED IN OUR 2016CHNA.2020 PRIORITY AREA 1 (CONTINUED FROM 2019): PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.FOCUS AREA: MENTAL AND SUBSTANCE USE DISORDERS PREVENTIONGOAL 1.2: PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATH.THIS PRIORITY AREA CONTINUED IN 2020. BECAUSE OF THE COVID SURGES, NO REPORTING ON THIS PROIRITY AREA WAS REQUIRED BY NY STATE IN 2020. WORK DID CONTINUE ON THIS PRIORITY AREA THROUGHOUT THE YEAR, AS POSSIBLE. AS THE NUMBER OF PEOPLE SEEING SUBSTANCE USE TREATMENT CONTINUES TO INCREASE IN 2021 (NOT YET MEETING 2019 LEVELS) THIS CONTINUES AS A PRIORITY AREA IN 2021. 2020 PRIORITY AREA 2 (CONTINUED FROM 2019): PREVENT CHRONIC DISEASESFOCUS AREA: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENTGOAL 4.1: INCREASE CANCER SCREENING RATES FOR BREAST CANCER.THIS PRIORITY AREA CONTINUED IN 2020. BECAUSE OF THE COVID SURGES, NO REPORTING ON THIS PROIRITY AREA WAS REQUIRED BY NY STATE IN 2020. WORK DID CONTINUE ON THIS PRIORITY AREA THROUGHOUT THE YEAR, AS POSSIBLE. HOWEVER, BECAUSE OF COVID THE NUMBER OF WOMEN SEEKING AND RECEIVING BREAST CANCER SCREENINGS DECREASED. THIS CONTINUES AS A PRIORITY AREA IN 2021 WITH EFFORTS TO INCREASE THE NUMBER OF WOMEN SEEKING SCREENING SERVICES.ADDITIONAL PRIORITY AREA FOR 2020 - COVID-19: IN 2020, WESTCHESTER COUNTY WAS ONE OF THTE FIRST COUNTIES IN THE NATION TO BE DECLARED A COVID HOT SPOT. THE HOSITAL EXPERIENCED TWO MAJOR SURGES OF COVID INFECTION DURING THAT YEAR. THE FIRST BEGAN IN MARCH 2020 AND ABATED IN JUNE 2020. THE SECOND BEGAN IN NOVEMBER 2020 AND CONTINUED INTO 2021. THE HOSPITAL PROVIDED ONGOING SUPPORT TO THE COMMUNITY DURING BOTH SURGES. DURING THE 2020 SURGES, SJRH HAD A TOTAL OF 897 ADMISSIONS FOR COVID-19 AND 131 DEATHS. THE HIGHEST SINGLE MONTH OF ADMISSIONS WAS IN APRIL 2020 WITH 482 COVID-RELATED AMISSIONS AND 131 DEATHS. PARTICULARLY HARD HIT IN OUR AREA WERE COMMUNITIES OF COLOR. AS A RESULT, IN LATE 2020 PLANS BEGAN FOR A HOSPITAL-WIDE HEALTH EQUITY PROJECT TO BEGIN TO ADDRESS THESE HEALTH DISPARITIES. |
| GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 13B: | FINANCIAL ASSISTANCE POLICYAS PART OF THE HOSPITAL'S HEALTH SOLUTIONS FINANCIAL ASSISTANCE POLICY,UNINSURED INDIVIDUALS WITH DOCUMENTED INCOME AND FAMILY SIZE LEVELS THATFALL AT OR BELOW 100% FEDERAL POVERTY LEVEL (FPL) WILL BE ENTITLED TO PAYTHE AMOUNTS SPECIFIED UNDER THE STATE'S NOMINAL PAYMENT GUIDELINES (ASSHOWN BELOW):I. INPATIENT SERVICES - $150/DISCHARGEII. AMBULATORY SURGERY - $150/PROCEDUREIII. ALL ANCILLARY SERVICES - $150/PROCEDUREIV. ADULT ER/CLINIC SERVICES - $15/VISITV. PRENATAL AND PEDIATRIC ER/CLINIC SERVICES - NO CHARGEIN THE EVENT THE TOTAL CHARGES FOR THE SERVICES RENDERED WERE LESS THANEITHER THE NOMINAL PAYMENT GUIDELINES AMOUNT, OR THE PERCENTAGE DISCOUNTOF THE AGB (AMOUNT GENERALLY BILLED) RATE, THEN THE PATIENT WILL ONLY BELIABLE FOR THE LOWER AMOUNT. WHEN APPLYING A PERCENTAGE OF THE AGB RATETO ESTABLISH THE DISCOUNT, IT WILL BE FOR THE SPECIFIC SERVICE(S)RENDERED.UNDER THE HOSPITAL'S HEALTH SOLUTIONS FINANCIAL ASSISTANCE POLICY,UNINSURED INDIVIDUALS WHOSE DOCUMENTED INCOME AND FAMILY SIZE FALLBETWEEN 101%-150% OF THE FPL GUIDELINES WILL BE ENTITLED TO DISCOUNTEDFEES BASED ON A SLIDING SCALE FOR COVERED SERVICES BASED WITH THE LOWESTINCOMES PAYING THE LOWEST AMOUNT, AND THEN INCREASING IN EQUAL INCREMENTSUP TO A MAXIMUM OF 20% OF THE RATE FOR THE SERVICE RENDERED.UNINSURED INDIVIDUALS WHOSE DOCUMENTED INCOME AND FAMILY SIZE FALL BETWEEN 151%-250% OF THE FPL GUIDELINES WILL BE ENTITLED TO DISCOUNTED FEES BASED ON A SLIDING SCALE FOR COVERED SERVICES FROM 30%-75% OF THE RATE FOR THE SERVICE RENDERED CAPPED AT THE HIGHER RATE.UNINSURED INDIVIDUALS WHOSE DOCUMENTED INCOME AND FAMILY SIZE FALL BETWEEN 251%-300% OF THE FPL GUIDELINES WILL BE CHARGED NO MORE THAN THE RATES FOR THE SERVICES RENDERED.INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HEALTH SOLUTION PROGRAM MAY RECEIVE ADDITIONAL FEE DISCOUNTS DUE TO EXTRAORDINARY CIRCUMSTANCES, WHICH WILL BE REVIEWED AND APPROVED BY THE DIRECTOR OF PATIENT ACCOUNTS. |
| GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 13H: | AMOUNTS CHARGED TO PATIENTSTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROVIDES ASSISTANCE TOINDIVIDUALS IN THE FOLLOWING GEOGRAPHIC AREAS:1. FOR EMERGENCY CARE SERVICES: ALL NEW YORK STATE RESIDENTS.2. FOR MEDICALLY NECESSARY NON-EMERGENT INPATIENT, AMBULATORY SURGERY,AND OUTPATIENT SERVICES (INCLUDING CLINICS), THE HOSPITAL'S PRIMARYSERVICE AREA (PSA) INCLUDES ALL PATIENTS RESIDING IN THE FOLLOWINGCOUNTIES: WESTCHESTER, ORANGE, PUTNAM, ROCKLAND, BRONX, MANHATTAN (NEWYORK), BROOKLYN (KINGS) AND QUEENS.PART V, LINE 16ATHE FINANCIAL ASSISTANCE POLICY (FAP) CAN BE FOUND AT THE FOLLOWING WEBSITE:HTTPS://RIVERSIDEHEALTH.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/PART V, LINE 16BTHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT THE FOLLOWINGWEBSITE:HTTPS://RIVERSIDEHEALTH.ORG/WP-CONTENT/UPLOADS/HS-APPLICATION-REVISED-MARCH-2017.PDFPART V, LINE 16CA PLAIN LANGUAGE SUMMARY OF THE SJRH FAP CAN BE FOUND AT THE FOLLOWING WEBSITE:HTTPS://RIVERSIDEHEALTH.ORG/WP-CONTENT/UPLOADS/HEALTH-SOLUTION-SUMMARY-2021-ENGLISH.PDFPART V, LINE 16IPUBLICATION OF FINANCIAL ASSISTANCE POLICYSEE SUPPLEMENTAL INFORMATION, PART VI, LINE 3 FOR MORE INFORMATION. |
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| PART I, LINE 3A AND PART V, LINE 13 | FREE CAREAS OUTLINED IN THE NEW YORK STATE HOSPITAL FINANCIAL ASSISTANCE LAW,UNINSURED INDIVIDUALS WITH DOCUMENTED INCOME AND FAMILY SIZE LEVELS THAT FALL AT OR BELOW 100% FPL WILL BE ENTITLED TO PAY THE AMOUNTS SPECIFIED UNDER THE STATE'S NOMINAL PAYMENT GUIDELINES (AS SHOWN BELOW AND INCLUDED IN THE HOSPITAL'S FINANCIAL AND CHARITY CARE PROGRAM POLICY):I. INPATIENT SERVICES - $150/DISCHARGEII. AMBULATORY SURGERY - $150/PROCEDUREIII. ALL ANCILLARY SERVICES - $150/PROCEDUREIV. ADULT ER/CLINIC SERVICES - $15/VISITV. PRENATAL AND PEDIATRIC ER/CLINIC SERVICES - NO CHARGEPART I, LINE 6ATHE HOSPITAL SUBMITTED A COMMUNITY SERVICE PLAN (CSP) TO NEW YORK STATE IN 2020 AND PREPARED A COMMUNITY HEALTH NEEDS ASSESMENT (CHNA) REPORT IN 2019. BOTH OF THESE ARE MADE AVAILABLE TO THE PUBLIC THROUGH POSTING ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. BEGINNING IN MARCH 2020 THE HOSPITAL'S EFFORTS FOCUSED ON MEDICAL SUPPORT OF THE FIGHT AGAINST COVID-19 IN THE COMMUNITY. THE MAJORITY OF THE HOSPITAL'S EFFORTS IN 2020 FOCUSED ON THIS FIGHT AGAINST COVID AND SUPPORT OF THE COMMUNITY WE SERVED. THE HOSPITAL'S MISSION STATEMENT HAS NOT CHANGED FOR THE 2019 CSP OR FOR 2020. THE HOSPITAL CONTINUES TO ADDRESS PLANNING ISSUES INCLUDING QUALITY, CULTURE AND COMMUNICATION, ACCESS TO CARE, MARKET SHARE, FINANCIAL, AND PHYSICIAN ALIGNMENT. PLEASE NOTE THAT THE HOSPITAL'S PRIMARY SERVICE AREA USED IN THE 2019 COMMUNITY SERVICE PLANNING REMAINS THE SAME AS THAT REPORTED IN THE PREVIOUS CSP. PART I, LINE 7THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM THE MEDICARE COST REPORT.PART III, LINES 2 & 4THE HOSPITAL REGULARLY REVIEWS ITS PAST COLLECTION HISTORY AND PAYMENTTRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE RESERVES. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH UNINSURED PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT IMPLICIT PRICE CONCESSION FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE RESERVE ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED.THE 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAIN A PATIENT ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 10 AND A CHARITY CARE AND UNCOMPENSATED CARE FOOTNOTE ON PAGE 13.PART III, LINE 3THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT REGARDLESS OF ABILITY TO PAY. THE AMOUNT OF $3,711,089 REPRESENTS THE HOSPITAL'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND IS COMPRISED OF THE DOLLAR VALUE OF THE DISCOUNTS MADE AVAILABLE TO PATIENTS UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY AS WELL AS THE UNCOMPENSATED CARE PROVIDED TO THE MEMBERS OF OUR COMMUNITY THAT WE SERVE WHO ARE IN NEED OF EMERGENCY AND MEDICALLY NECESSARY CARE AND DO NOT HAVE THE ABILITY TO PAY.PART III, LINE 8TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6, MEDICARE CHARGES WERE MULTIPLIED BY THE COST TO CHARGE RATIO, AS DERIVED FROM THE MEDICARE COST REPORT. |
| PART III, LINE 9B | 1. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HEALTH SOLUTION PROGRAM WILL HAVE THEIR OPEN ACCOUNTS ADJUSTED TO THE AMOUNT DUE BASED ON THE LEVEL OF ASSISTANCE THEY RECEIVE, SO THAT BILLS AND STATEMENTS WILL REFLECT THE DISCOUNTED AMOUNT DUE. PATIENTS WILL THEN BE EXPECTED TO PAY THE ADJUSTED AMOUNT DUE.2. PATIENTS WHO ARE UNABLE TO PAY THE ADJUSTED AMOUNT DUE WILL BE OFFERED PAYMENT PLANS.3. PAYMENT PLANS WILL NOT REQUIRE A PATIENT TO PAY MORE THAN 10% OF THEIR MONTHLY GROSS INCOME TOWARDS MONTHLY INSTALLMENT PAYMENTS. IF THE HOSPITAL ELECTS TO CONSIDER OTHER NON-EXCLUDED ASSETS IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY, THEN MONTHLY PAYMENTS MAY EXCEED 10%.4. THE HOSPITAL WILL NOT COLLECT FROM A PATIENT WHO IS DETERMINED TO BE ELIGIBLE FOR MEDICAID, OR WHO IS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED.5. IF A PATIENT OR RESPONSIBLE PARTY DEFAULTS ON ITS PAYMENT OBLIGATIONS, OR FAILS TO MEET THE TERMS OF ANY FINANCIAL AGREEMENT, THE ACCOUNT IN QUESTION WILL BE CONSIDERED DELINQUENT, AND MAY BE REFERRED TO A COLLECTION AGENCY BASED ON THE HOSPITAL'S COLLECTION POLICY.6. THE HOSPITAL WILL NOT SEND AN ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL AID, INCLUDING REQUIRED SUPPORTING DOCUMENTATION, WHILE THE HOSPITAL DETERMINES THE PATIENT'S ELIGIBILITY FOR SUCH AID, OR DURING THE PROCESS WHERE THE PATIENT HAS APPEALED AN ELIGIBILITY DETERMINATION.7. THE HOSPITAL WILL REVIEW ALL ACCOUNTS DETERMINED TO BE REFERRED TOOUTSIDE COLLECTION TO ENSURE THAT ITS FINANCIAL POLICY AND PROCEDURESWERE FOLLOWED.8. THE HOSPITAL WILL PROVIDE WRITTEN NOTIFICATION AND A NOTICE ON THE PATIENT'S BILL LESS THAN 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO OUTSIDE COLLECTION.9. THE HOSPITAL WILL SEND EACH OF ITS COLLECTION AGENCIES A COPY OF ITS FINANCIAL ASSISTANCE POLICY AND PROCEDURES, AND WILL INSTRUCT THE AGENCY TO FOLLOW THESE PROCEDURES WHEN INSTRUCTING THE PATIENT HOW TO APPLY FOR SUCH AID.10. COLLECTION AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT PRIOR TO COMMENCING A LEGAL ACTION ON A PATIENT'S ACCOUNT.11. LEGAL ACTION MAY INCLUDE GARNISHMENT OF WAGES WHERE THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS/HER FINANCIAL OBLIGATION UNDER THIS POLICY.12. THE HOSPITAL WILL NOT PERMIT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE IN ORDER TO COLLECT AN OUTSTANDING MEDICAL BILL.2. NEEDS ASSESSMENTWHILE UNPLANNED, THE COVID-19 PANDEMIC QUICKLY BECAME THE HOSPITAL'S NUIMBER ONE PRIORITY IN 2020. COVID-19 WAS THE MAJOR FOCUS FOR THE HOSPITAL AND ITS COMMUNITY DURING THE YEAR. THE HOSPITAL HAD 897 COVID-RELATED INPATIENT ADMISSIONS IN 2020 AND 181 DEATHS FROM THE DISEASE. ONCE THE VACCINE BECAME AVAILABLE, A MAJOR FOCUS FOR THE HOSPITAL BECAME VACCINATION OF OUR STAFF AND PRIORITY POPOULATION COMMUNITY MEMBERS. VACCINE DISTRIBUTION BEGAN ON DECEMBER 15, 2020. BY DECEMBER 30, 2020, VACCINE DISTRIBUTION HAD ACCOMPLISHED THE FOLLOWING AT EACH OF OUR THREE SITES: ANDRUS PAVILION 754 STAFF MEMBERS RECEIVED A FIRST DOSE AND 275 MEMBERS OF PRIOIRITY POPULATIONS RECEIVED FIRST DOSES; PARK CARE PAVILION 85 STAFF MEMBERS AND 5 COMMUNITY MEMBERS RECEIVED A FIRST DOSE; DOBBS FERRY PAVIION 70 STAFF MEMBERS AND 79 PRIORITY COMMUNITY MEMBERS RECEIVED FIRST DOSES. (NOTE: DURING THIS PERIOD FIRST DOSES FOR COMMUNITY MEMBERS WERE LIMITED TO THOSE OVER 65 YEARS OF AGE.) TOTAL VACCINE DOSES IN 2020 WERE 909 STAFF MEMBERS AND 359 PRIORITY COMMUNITY MEMBERS, TOTALLING 1,268 TOTAL DOSES OF VACCINE ADMINISTERED. IN ADDITION, THE HOSPITAL'S TESTING FOR COVID-19 WAS A MAJOR EMPHASIS THROUGHTOUT THE TWO SURGES IN 2020 AND CONTINUING INTO 2021. IN 2020, THE HOSPTIAL ADMINISTERED A TOTAL OF 26,870 COVID TESTS. (THESE WERE ADMINISTERED AS FOLLOWS: INPATIENT: 10,037, EMERGENCY ROOM: 4,181, AND OUTPATIENT: 12,652).ONGOING HEALTH NEEDS ASSESSMENTS AND EFFORTS TO ADDRESS THOSE ARE NOTED BELOW: ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) LOCATED IN THE HUDSON VALLEY REGION WITHIN WESTCHESTER COUNTY, SERVES THE CITY OF YONKERS AND THE RIVERTOWN AREAS AND ACTIVELY WORKS WITH THE FOLLOWING PARTNERS TO ASSESS THE COMMUNITIES' HEALTH CARE NEEDS: LOCAL COMMUNITY-BASED ORGANIZATIONS, BUSINESSES, CITY PLANNING COUNCILS, SCHOOLS, THE WESTCHESTER COUNTY HEALTH DEPARTMENT, OTHER HEALTH CARE ORGANIZATIONS AND THE HOSPITALS' COMMUNITY ADVISORY COMMITTEE. WE ALSO PARTNER WITH THE AMERICAN CANCER SOCIETY, DIABETES AND HEART ASSOCIATIONS, FEMA, MARCH OF DIMES, CABRINI IMMIGRANT SERVICES AND OTHERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY THAT WE SERVE. THIS IS ACCOMPLISHED THROUGH SHARED DATA FOR PLANNING PURPOSES, AWARENESS OF SERVICES OFFERED BY OUR PARTNERS, COLLABORATIVE PROGRAM PLANNING, IMPLEMENTATION AND EVALUATION, AND COORDINATED HEALTH OUTREACH AND PROMOTION. THESE EFFORTS HAVE RESULTED IN ST. JOHN'S PROVIDING ON-GOING EDUCATION AND GUIDANCE TO THE YONKERS PTA COORDINATING COUNCIL AND THE LOCAL YMCA'S HEALTH INITIATIVE RELATIVE TO HEALTH CARE ISSUES. THE COMMUNITY SERVICE PLAN AGENDA WAS ESTABLISHED BASED ON A COMPREHENSIVE HEALTH NEEDS ASSESSMENT AND ITS FINDINGS. SEVERAL SURVEYS AND COMMUNITY FOCUS GROUPS WERE ALSO CONDUCTED TO GATHER DATA. THE RESPONSES OF THE PARTICIPANTS AS TO WHAT HEALTH CARE EDUCATION IS NEEDED WAS ONE OF THE KEY COMMUNITY INPUTS TO SETTING THE FRAMEWORK FOR PLANNING EDUCATIONAL PROGRAMS FOR THE COMMUNITY.SJRH IS A LEADER IN COMMUNITY COLLABORATION AND HAS A LONG HISTORY OFDEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BESTSERVE THE CHANGING NEEDS OF ITS COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: ST. JOHN'S COMMUNITY ADVISORY TEAM, HEALTHY YONKERS INITIATIVE PARTNERSHIP, DISEASE MANAGEMENT PROGRAMS, COMPREHENSIVE LAY AND CLINICAL PATIENT NAVIGATION PROGRAMS, COMMUNITYHEALTH OUTREACH WORKERS AND A SPEAKER'S BUREAU. THE INTEGRATION OF THESE INNOVATIVE APPROACHES SUPPORTS SJRH WELL IN ITS PROVISION OF SERVICES TO ITS COMMUNITY. SJRH PROMOTES WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSES NEEDS RANGING FAR BEYOND MEDICAL CARE. WE EXTEND THIS RESPONSIBILITY TO THE CARE OF OUR EMPLOYEES AND MEDICAL STAFF, MANY OF WHOM LIVE IN THE SURROUNDING COMMUNITY. SJRH SERVES A DIVERSE COMMUNITY AND HAS BEEN A FORERUNNER OF PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES. ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT AND ENROLLMENT PROGRAM THROUGH OUR FINANCIAL ASSISTANCE UNIT, SUPPORTS ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, SJRH HAS VIEWED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS AN INTEGRAL PART OF ITS HOSPITAL MISSION, REACHING OUT TO SERVE THE UNDERSERVED.SERVICES TO THE COMMUNITY ARE AN EXPLICIT AND ESSENTIAL COMPONENT OF SJRH'S MISSION AND ONE OF ITS MOST VALUED TRADITIONS. WE REACH BEYOND THE WALLS OF OUR CAMPUSES TO IDENTIFY AND MEET THE NEEDS OF THE COMMUNITY, NOT JUST MEDICALLY, BUT SOCIALLY, ECONOMICALLY AND ENVIRONMENTALLY. SJRH PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIONS, WORKING WITH OTHER PROVIDERS IN WESTCHESTER COUNTY, INCLUDING THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, COMMUNITY-BASED ORGANIZATIONS AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE OVERALL HEALTH OF THE PEOPLE OF WESTCHESTER COUNTY. |
| 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | THE ST. JOHN'S FINANCIAL ASSISTANCE UNIT EDUCATES PATIENTS AND THE PUBLIC ABOUT THEIR RIGHTS, RESPONSIBILITIES AND OPTIONS TO ATTAIN SOME COVERAGE OF COSTS FOR THEIR HEALTH CARE. ST. JOHN'S RIVERSIDE HOSPITAL EDUCATES OUR PATIENTS ABOUT OUR CHARITY CARE PROGRAM CALLED HEALTH SOLUTION* IN THE FOLLOWING MANNER:A. THE HOSPITAL WEB SITE HAS THE COMPLETE HEALTH SOLUTION SUMMARY. THESUMMARY DESCRIBES THE RESIDENTIAL AREAS WE COVER, THE TYPE OF SERVICES THAT ARE NOT COVERED, WHERE TO APPLY, THE PHONE NUMBER TO OBTAIN INFORMATION, THE FEDERAL POVERTY GUIDELINES INCOME LEVEL AND HOW TO APPEAL THE APPLICATION DECISION.B. THERE ARE POSTED NOTICES IN ALL REGISTRATION AND CASHIER AREAS WITHIN THE HOSPITAL.C. THE HEALTH SOLUTION SUMMARY IS INCLUDED IN THE REGISTRATION PACKET THAT IS GIVEN TO ALL PATIENTS.D. THE FINANCIAL ASSISTANT UNIT STAFF WHEN VISITING PATIENT ROOMS WILL DISCUSS THE HEALTH SOLUTION PROGRAM.* HEALTH SOLUTION, OFFERED SINCE 2000, IS AN OPTION FOR PATIENTS WITH AFINANCIAL NEED. PATIENTS WHO APPLY ARE ASSESSED TO DETERMINE ELIGIBILITY TO PAY DOWN HEALTHCARE BILLS WITHIN THEIR BUDGET. HEALTH SOLUTION IS A CHARITY CARE PROGRAM WHERE PAYMENTS BY PATIENTS CAN BE MADE OVER TIME. ELIGIBILITY FOR MEDICAID IS DETERMINED FIRST. WHEN ELIGIBLE, HEALTH SOLUTION PAYMENTS CAN ALSO BE USED TO PAY INSURANCE DEDUCTIBLES. |
| 4. COMMUNITY INFORMATION | ST. JOHN'S RIVERSIDE HOSPITAL (SJRH), A NOT-FOR-PROFIT, NEW YORK STATEDEPARTMENT OF HEALTH (NYSDOH) LICENSED 378-BED ACUTE CARE COMMUNITYHEALTH SYSTEM, OPERATES THREE (3) CAMPUSES: ANDRUS PAVILION (225 BEDS),PARK CARE PAVILION (141 BEDS), AND DOBBS FERRY PAVILION (12 BEDS). THEANDRUS PAVILION, PROVIDES EMERGENCY SERVICES, GENERAL ACUTE AND CANCERCARE, WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES; ISDESIGNATED BY THE NYSDOH AS A STROKE CENTER AND LEVEL II PERINATALCENTER, AND IS THE ONLY PROVIDER OF MATERNITY SERVICES IN THE CITY OFYONKERS.THE PARK CARE PAVILION PROVIDES INPATIENT AND OUTPATIENT SUBSTANCE ABUSE SERVICES AND IS DESIGNATED BY NYSDOH AS AN AIDS CENTER. THE DOBBS FERRY PAVILION, PROVIDES INPATIENT AND PRIMARY MEDICAL CARE, AMBULATORY SURGERY AND EMERGENCY SERVICES, AND IS THE HUB FOR CENTERS OF EXCELLENCE IN BREAST AND ORTHOPEDIC CARE. AT ST. JOHN'S, OVER 600 MEDICAL AND ALLIED HEALTH PROFESSIONALS PROVIDE A WIDE RANGE OF AMBULATORY AND INPATIENT SERVICES; AND OVER 250,000 INDIVIDUALS ARE SERVED ANNUALLY WITHIN OUR NETWORK. SJRH, GOVERNED BY A VOLUNTARY TWENTY-SIX MEMBER BOARD OF TRUSTEES, IS A SAFETY-NET HOSPITAL SERVING THE URBAN, ETHNICALLY DIVERSE AND ECONOMICALLY DISADVANTAGED COMMUNITY OF SOUTHWEST YONKERS, NEW YORK. AS A DESIGNATED NYS 'ESSENTIAL COMMUNITY PROVIDER', WE SERVE PREDOMINANTLY LOW-INCOME MEDICALLY UNDERSERVED INDIVIDUALS.THE ST. JOHN'S RIVERSIDE HOSPITAL PRIMARY SERVICE AREA INCLUDES THE CITY OF YONKERS, VILLAGE OF DOBBS FERRY AND THE SURROUNDING TOWNS AND VILLAGES OF HASTINGS-ON-HUDSON, ARDSLEY, IRVINGTON, TARRYTOWN, ELMSFORD, TUCKAHOE, BRONXVILLE, AND SCARSDALE WITHIN WESTCHESTER COUNTY, NEW YORK. WITHIN THE CITY OF YONKERS AND DOBBS FERRY, THE SJRH FACILITIES ARE THE LARGEST HEALTH SERVICE PROVIDERS AND IT IS WITHIN THIS GEOGRAPHIC AREA THAT THESE SJRH FACILITIES HAVE THEIR COMMUNITY-BASED PRIMARY CARE AND SPECIALTYAMBULATORY SERVICES.OUR ANDRUS AND PARK CARE PAVILIONS ARE LOCATED IN AND PRIMARILY SERVE THE CITY OF YONKERS. THE DOBBS FERRY PAVILION SERVES THE RIVERTOWN COMMUNITIES OF DOBBS FERRY, HASTINGS-ON-HUDSON, ARDSLEY AND IRVINGTON. THE RESIDENT POPULATION OF THE CITY OF YONKERS COMPRISES ONE-THIRD OF THE HOSPITAL'S SERVICE AREA AND DEPENDING ON ZIP CODE ACCOUNTS FOR BETWEEN 30 TO SO PERCENT OF ITS ADMISSIONS.THE COMMUNITIES SERVED BY OUR HEALTH SYSTEM ARE WIDESPREAD AND DIVERSE.ST. JOHN'S PROVIDES CONVENIENT ACCESS TO HIGH QUALITY ACUTE, PRIMARY AND SPECIALTY CARE TO INDIVIDUALS AND FAMILIES LIVING IN A PRIMARY SERVICE AREA OF FOURTEEN (14) ZIP CODES SURROUNDING ITS LOCATION. THE ZIP CODES THAT WE MOST COMMONLY PROVIDE SERVICES FOR ARE: 10701, 10703, 10704, 10705, 10706, 10707, 10708, 10710, 10502, 10522, 10523, 10533, 10583, AND 10591. FIVE ZIP CODE AREAS IN SOUTHWEST YONKERS (10701, 10703, 10704, 10705, AND 10710) HAVE BEEN FEDERALLY DEFINED AS MEDICALLY UNDERSERVED AREAS. AS SUCH, IT IS A KEY EMERGENCY MEDICAL SERVICE (EMS) PARTICIPANT OPERATING IN ITS TWO HOSPITALS WITH 48,599 EMERGENCY VISITS IN 2019.YONKERS IS THE LARGEST CITY IN WESTCHESTER AND THE 4TH LARGEST CITY IN NEW YORK STATE, WITH A 2019 POPULATION ESTIMATE OF 200,370 AS PER THE U.S. CENSUS BUREAU. IT IS AN AGING INDUSTRIAL CITY WITH NEEDS OFTEN OVERLOOKED IN A COUNTY DOMINATED BY AFFLUENT SUBURBS. YONKERS BORDERS THE BRONX AND SHARES MANY OF NEW YORK CITY'S URBAN PROBLEMS; AND ACCOMPANYING ITS DIVERSITY, ARE SIGNIFICANT INEQUITIES IN HEALTH STATUS. ONE IN FIVE FAMILIES' LIVES IN POVERTY AND OVER ONE THIRD OF THESE FAMILIES ARE HEADED BY FEMALES.ST. JOHN'S ECONOMICALLY, CULTURALLY AND ETHNICALLY DIVERSE SERVICE AREAENCOMPASSES NEIGHBORHOODS WITH LARGE NUMBERS OF HISPANIC ANDAFRICAN-AMERICAN RESIDENTS, INCLUDING HAITIAN AND DOMINICAN IMMIGRANTS.YONKERS HAS THE HIGHEST PROPORTION OF HISPANIC RESIDENTS IN WESTCHESTERCOUNTY, MANY OF WHOM ARE RECENT IMMIGRANTS WITH LIMITED FLUENCY INENGLISH. PUERTO RICANS AND MEXICANS ARE THE TWO LARGEST HISPANICCOMMUNITIES. ENGLISH AND SPANISH ARE THE DOMINANT LANGUAGES, ALTHOUGHTHERE ARE A SIGNIFICANT NUMBER OF RESIDENTS WHO SPEAK ITALIAN, PORTUGUESE AND ARABIC.THE PROFILE OF THIS AREA INCLUDES HIGH UNEMPLOYMENT, LARGE NUMBERS OFHIGH SCHOOL DROPOUTS, OVERCROWDED HOUSING, AND FAMILIES AND CHILDREN INPOVERTY. YONKERS IS FEDERALLY DESIGNATED AS A HIGH INTENSITY DRUGTRAFFICKING AREA. THERE IS A HIGH RATE OF TEEN PREGNANCY, LACK OFPRENATAL CARE, VACCINE PREVENTABLE DISEASE, TUBERCULOSIS, AND HIV/AIDS.THE CITY HAS THE HIGHEST CONCENTRATION OF HIV/AIDS IN THE COUNTY AND ONE OF THE HIGHEST IN NY STATE. OUR SUBSTANCE ABUSE TREATMENT AND TRAINING CENTER IS ONE OF NEW YORK'S LARGEST PROVIDERS OF SUBSTANCE ABUSE SERVICES.THE DOBBS FERRY FACILITY IS THE ONLY HOSPITAL LOCATED IN THE VILLAGE OFDOBBS FERRY, APPROXIMATELY 7 MILES FROM ITS SJRH SISTER FACILITIES INYONKERS. THE TOTAL POPULATION OF THIS SERVICE AREA IS APPROXIMATELY124,000. A POPULATION THAT IS LARGELY WHITE AND AFFLUENT DEFINES THISAREA.WESTCHESTER COUNTY IS A LARGE COUNTY LOCATED JUST TO THE NORTH OF NEWYORK CITY IN THE HUDSON VALLEY; WESTCHESTER COVERS AN AREA OF 450 SQUARE MILES (1,200 SQUARE KM) AND CONSISTS OF 48 MUNICIPALITIES. THE COUNTY INCLUDES URBAN, SUBURBAN AND RURAL GEOGRAPHIES. IN 2019, THE ESTIMATED POPULATION OF WESTCHESTER COUNTY WAS 967,506, SLIGHTLY DOWN FROM THE POPULATION IN 2015. THE COUNTY SEAT OF WESTCHESTER IS THE CITY OF WHITE PLAINS (58,111) AND OTHER MAJOR CITIES INCLUDE YONKERS (199,663), NEW ROCHELLE (78,742) AND MOUNT VERNON (65,593). IN 2018, THE MEDIAN HOUSEHOLD INCOME FOR WESTCHESTER WAS $94,811, 2ND HIGHEST IN NEW YORK STATE, AFTER NEW YORK COUNTY. WESTCHESTER COUNTY IS THE 3RD HEALTHIEST COUNTY IN NEW YORK STATE, ACCORDING TO THE COUNTY HEALTH RANKINGS, PRODUCED BY THE ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN.DESPITE ITS OVERALL HIGH RANKING. THERE IS CONSIDERABLE ROOM TO BOTHIMPROVE POPULATION HEALTH AND REDUCE HEALTH DISPARITIES IN WESTCHESTERCOUNTY. SEVERAL OF ITS INDIVIDUAL MUNICIPALITIES CONTINUE TO MAINTAINSIGNIFICANT HEALTH GAPS, WITH PORTIONS OF LOWER WESTCHESTER SPECIFICALLY, MOUNT VERNON, YONKERS, NEW ROCHELLE AND WHITE PLAINS SERVING "HOT SPOTS" FOR ASTHMA, HIV, AND ILLICIT DRUG USE IN THE COUNTY. THESE AREAS ALSO DEMONSTRATE EXCESS MORTALITY RATES FROM HEART DISEASE, STROKE, AND DIABETES COMPARED TO COUNTY AND NEW YORK AVERAGES. MORTALITY RATES:ACCORDING TO THE NEW YORK STATE DEPARTMENT OF HEALTH'S (NYSDOH} VITALSTATISTICS OF NEW YORK STATE REPORT IN 2014-2016, WESTCHESTER COUNTY HAS AN AGE-ADJUSTED MORTALITY RATE OF 530.9 PER 100,000; LOWER THAN THE NY STATE AGE-ADJUSTED MORTALITY RATE OF 638.2. THIS IS AN IMPROVEMENT FROM THE COUNTY FROM THE 2011 DATA. ACCORDING TO THE COMMUNITY HEALTH RANKINGS IN 2014, WESTCHESTER COUNTY RANKED AS NUMBER 3 OUT OF 62 NY COUNTIES TO HAVE THE LOWEST MORTALITY RATE IN NEW YORK STATE. THE LEADING CAUSE OF DEATH AMONG WESTCHESTER COUNTY RESIDENTS IS CORONARY HEART DISEASE (148.9 PER 100,000). FOLLOWING ARE THE REMAINING FOUR LEADING CAUSES OF DEATH: CANCER, UNINTENTIONAL INJURY, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASE. (NOTE THAT HEART DISEASE AND CANCER HAVE REMAINED THE NUMBERS 1 AND 2 CAUSES OF DEATH SINCE 2008.)DURING 2020, COVID-19 WAS A MAJOR HEALTH CONCERN. WESTCHESTER COUNTY HAD 136,000 CASES OF COVID-19 AND 2,303 DEATHS. SJRH HAD 897 COVID-RELATED INPATIENT ADMISSIONS IN 2020 AND 181 DEATHS FROM THE DISEASE. THE AGE ADJUSTED DEATH RATE IN WESTCHESTER COUNTY FOR COVID 19 IN 2020 WAS 141.0/100,000 FOR BLACK RESIDENTS, 134.3 CASES FOR HISPANIC RESIDENTS, AND 61.7 FOR WHITE RESIDENTS. THIS LEADS TO A TOTAL AGE ADJUSTED DEATH RATE OF 84.6/100,000 RESIDENTS DURING THE YEAR. THESE EXTREME DISPARITIES LED TO ST JOHN'S RIVERSIDE DEVELOPING A BOARD COMMUNITY COALITION TO ADDRESS HEALTH DISPARITIES ACROSS THE SPECTRUM OF ILLNESSES FOR OUR RESIDENTS. PLANS BEGIN IN 2020 FOR THIS EFFORT AND THE WORK CONTINUES INTO 2021. |
| 5. PROMOTION OF COMMUNITY HEALTH | ST. JOHN'S CONTINUES TO ADDRESS THE HEALTH CARE NEEDS OF OUR POPULATIONTHROUGH A VARIETY OF SOURCES. OUR COMMUNITY ADVISORY COMMITTEE IS A KEYFORUM FOR ACCESS TO INFORMATION ON COMMUNITY HEALTH CARE NEEDS ANDRESIDENT SATISFACTION WITH THE HEALTH CARE THAT THEY RECEIVE. ADVISORYMEMBERS ALSO PROVIDE ACCESS TO LOCAL COMMUNITY BASED ORGANIZATIONS ANDBUSINESSES FOR HEALTH PROMOTION. THE HEALTH YONKERS INITIATIVE (HYI) IS A COLLABORATION OF OVER THIRTY COMMUNITY/HEALTH/FAITH-BASED ORGANIZATIONS, BUSINESSES, SCHOOLS AND RESIDENTS, LED BY ST. JOHN'S AND THE CITY OF YONKERS. IT IS AN INTEGRAL COMPONENT OF OUR OUTREACH EFFORTS. THE HYI PARTNERS MEET QUARTERLY, PLAN HEALTH OUTREACH ACTIVITIES, SHARE INFORMATION AND PROVIDE ACCESS TO RESIDENTS AND PLANNED ORGANIZATION COMMUNITY EVENTS. A SPEAKER'S FORUM PROVIDES PHYSICIANS TO EDUCATE ON KEY HEALTH TOPICS IN THE COMMUNITY. FUNDS AVAILABLE THROUGH GRANTS ALSO PROVIDE THE ABILITY TO PROVIDE A HOST OF PREVENTION AND WELLNESS ACTIVITIES. SOME OF OUR KEY ACTIVITIES HAVE ENHANCED HEALTH CARE ACCESS, PROVIDED PATIENT NAVIGATION AND A HOST OF SUPPORT SERVICES FOR OUR PATENTS. OUR COMMUNITY, OUTPATIENT, INPATIENT AND CLINICAL PATIENT NAVIGATION SERVICES PROVIDE COMMUNITY HEALTH EDUCATION, COORDINATE SCREENINGS, DEMYSTIFY TREATMENT OPTIONS, UN-COMPLICATE THE PROCESS FROM DIAGNOSIS TO TREATMENT, FACILITATE SCREENING AND DIAGNOSTIC TEST AND HEALTH AND PSYCHOSOCIAL SUPPORT SERVICES. BARRIERS TO CARE AND ACCESS TO TECHNOLOGICAL ADVANCEMENTS IN TREATING DISEASE ARE CONTINUALLY ADDRESSED FOR THE UNDERINSURED/UNDERSERVED POPULATION. OUR BREAST HEALTH PROGRAM IS DESIGNED TO REDUCE THE RATE OF LATE DIAGNOSIS AMONG MINORITY POPULATIONS, PARTICULARLY AFRICAN AMERICAN, WHO ARE MORE LIKELY TO BE DIAGNOSED AT LATER STAGES. WE COORDINATE CLINICAL BREAST EXAMS THAT LEAD TO MAMMOGRAMS, DIAGNOSTIC SERVICES, DIAGNOSIS AND TREATMENT. FOLLOW-UP SERVICES AND CLINICAL PATIENT NAVIGATION PROVIDED FREE OF CHARGE TO PATIENTS IS AN EXTENSION OF THE HOSPITAL STAY FOR DISCHARGED PATIENTS WHO ARE FREQUENTLY AT RISK FOR READMISSION. TYPICALLY, THESE ARE CHRONICALLY ILL PATIENTS THAT ARE READMITTED BECAUSE OF THEIR UNIQUE FRAILTIES AND LACK OF SUPPORT FOR FOLLOW UP CARE REGIMENT. THEY HAVE LONGER PATIENT STAYS AND SIGNIFICANT AFTERCARE NEEDS. AS A RESULT, PATIENTS WELCOME THE ADDITIONAL CARE AND SUPPORT PROVIDED. GRANT FUNDS ACQUIRED DURING 2020 WERE UTILIZED TO SUPPORT PREVENTION AND HEALTH PROMOTION PROGRAMS AND SUPPORT SERVICES FOR THE COMMUNITY ALSO INCLUDING HIV PREVENTION PROGRAMS (INCLUDING PREP), HEPATITIS C TREATMENT PROGRAMS, EARLY INTERVENTION RELATING TO CANCER SCREENING AND TREATMENT, SUBSTANCE USE TREATMENT PROGRAMS (INCLUDING MEDICATION ASSISTER TREATMENT). IN ADDITION, THE HOSITAL RECEIVED FEDERAL COMMUNICATION COMMISSION FUNDING TO IMPLEMENT TELEHEALTH SERVICES THROUGHOUT THE HOSPITAL SYSTEM IN ORDER TO BETTER DEAL WITH STOPPING THE TRANSMNISSION OF COVID-19 IN OUR COMMUNITY. THE HOSPITAL CONTRIBUTED TO THE COMMUNITY EFFORTS TO FIGHT COVID-19 DURING 2020 BY BEING A MAJOR TESTING HUB, PROVIDING BOTH INPATIENT AND OUTPATIENT TREATMENT, AND PROVIDING VACCINES WHEN THOSE WERE MADE AVAILABLE BEGINNING DECEMBER 15, 2020. THE HOSPITAL WAS ALSO A MAJOR SOURCE OF COVID TESTING IN 2020 FOR COMMUNITY RESIDENTS, WITH A TOTAL OF 26,870 COVID TESTS BEING PERFORMED AND A TOTAL OF 1,268 FIRST DOSES OF VACCINE BEING DELIVERED IN THE LAST 15 DAYS OF 2020. 6. AFFILIATED HEALTH CARE SYSTEMST. JOHN'S CONTINUES ITS CLINICAL AFFILIATION TO MONTEFIORE MEDICAL CENTER IN THE BRONX, NEW YORK TO STRENGTHEN ITS MISSION TO PROVIDE A COMPREHENSIVE PROGRAM OF CLINICAL ACCESS AND HEALTH EDUCATION FOR THE ST. JOHN'S COMMUNITY. THE GEOGRAPHICAL PROXIMITY TO MONTEFIORE, SIMILAR DEMOGRAPHICS AND COLLABORATION WITH THEIR TERTIARY CARE PROFESSIONALS, IS AN ASSET TO HEALTH PROMOTION ACTIVITIES AND QUALITY CARE FOR OUR GROWING COMMUNITIES. THE OFFICIAL AFFILIATION OCCURRED IN NOVEMBER OF 2014 AND BOTH ORGANIZATIONS FORMALLY ANNOUNCED THROUGH PRESS RELEASE IN MAY 2015.IN ADDITION, A MEMORANDUM OF UNDERSTANDING HAS BEEN SIGNED TO CREATE A FRAMEWORK FOR AN INTEGRATION BETWEEN SAINT JOHN'S RIVERSIDE HOSPITAL (SJRH) AND SAINT JOSEPH'S MEDICAL CENTER (SJMC) TO BENEFIT BOTH ORGANIZATIONS AND THE COLLECTIVE COMMUNITIES THEY SERVE. THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH) IS DIRECTING SJR AND SJMC LEADERSHIP TO WORK COLLABORATIVELY TO DEVELOP A FINANCIALLY SUSTAINABLE BUSINESS MODEL FOR THE COMBINED ORGANIZATION. INITIAL REPORTS HAVE BEEN DEVELOPED AND WE ARE ACTIVELY ENGAGED WITH THE NYS DOH TO FORMULATE A MUTUALLY BENEFICIAL STRATEGY THAT WILL LEAD TO AN IMPROVED HEALTH CARE DELIVERY SYSTEM FOR THOSE COMMUNITIES WE SERVE AND GREATER FINANCIAL VIABILITY FOR BOTH ORGANIZATIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD CORTI | ||||||||||||||
| PRESIDENT/CEO | $759,325 | $0 | $0 | $0 | $74,168 | $0 | $100,705 | $0 | $34,073 | $0 | $968,271 | $0 | $74,168 | $0 |
| DENNIS KEANE | ||||||||||||||
| VP FINANCE/CFO | $521,836 | $0 | $0 | $0 | $8,400 | $0 | $18,599 | $0 | $40,459 | $0 | $589,294 | $0 | $0 | $0 |
| NIRAV PATEL DO | ||||||||||||||
| PHYSICIAN | $488,950 | $0 | $0 | $0 | $0 | $0 | $15,000 | $0 | $39,349 | $0 | $543,299 | $0 | $0 | $0 |
| PAUL ANTONECCHIA MD | ||||||||||||||
| PHYSICIAN - VICE PRESIDENT | $475,129 | $0 | $0 | $0 | $6,000 | $0 | $14,468 | $0 | $33,581 | $0 | $529,178 | $0 | $0 | $0 |
| TARA CURTIN | ||||||||||||||
| CHIEF NURSING OFFICER | $392,099 | $0 | $0 | $0 | $0 | $0 | $6,649 | $0 | $40,218 | $0 | $438,966 | $0 | $0 | $0 |
| MICHAEL DIGIORNO MD | ||||||||||||||
| PHYSICIAN - NEPHROLOGY | $382,890 | $0 | $0 | $0 | $0 | $0 | $11,775 | $0 | $33,172 | $0 | $427,837 | $0 | $0 | $0 |
| CHRISTOPHER DIGIORNO MD | ||||||||||||||
| PHYSICIAN | $349,127 | $0 | $0 | $0 | $0 | $0 | $13,131 | $0 | $18,042 | $0 | $380,300 | $0 | $0 | $0 |
| ROLANDO CHUMACEIRO | ||||||||||||||
| PHYSICIAN | $239,004 | $0 | $0 | $0 | $0 | $0 | $7,450 | $0 | $109,504 | $0 | $355,958 | $0 | $0 | $0 |
| ANDREW FADER | ||||||||||||||
| PHYSICIAN | $277,842 | $0 | $0 | $0 | $0 | $0 | $16,800 | $0 | $33,052 | $0 | $327,694 | $0 | $0 | $0 |
| SANDRA K SCOTT | ||||||||||||||
| SOCIAL WORKER | $255,136 | $0 | $0 | $0 | $0 | $0 | $21,502 | $0 | $34,128 | $0 | $310,766 | $0 | $0 | $0 |
| GLADYS ATTANASIO | ||||||||||||||
| ASSISTANT VP REVENUE CYCLE | $251,513 | $0 | $0 | $0 | $0 | $0 | $11,434 | $0 | $33,216 | $0 | $296,163 | $0 | $0 | $0 |
| DONNA MCGREGOR | ||||||||||||||
| FORMER VP COO | $283,474 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $283,474 | $0 | $0 | $0 |
| SUSAN FRANZINO | ||||||||||||||
| AVP ANCILLARY SERVICES | $197,777 | $0 | $0 | $0 | $0 | $0 | $16,982 | $0 | $32,836 | $0 | $247,595 | $0 | $0 | $0 |
| LAURA FANNING | ||||||||||||||
| AVP SURGICAL SERVICES | $187,064 | $0 | $0 | $0 | $0 | $0 | $15,804 | $0 | $8,727 | $0 | $211,595 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A AND PART II, COLUMNS (B)(III) | SEVERANCE PAYMENTS AMOUNTS INCLUDED IN COLUMN (B)(III) FOR DONNA MCGREGOR INCLUDE SEVERANCE PAYMENTS OF $283,474. |
| PART I, LINE 4B AND PART II, COLUMNS (B)(III),(C) & (F) | NONQUALIFIED DEFERRED COMPENSATION PLAN AMOUNTS INCLUDED IN COLUMNS (B)(III) AND (F) FOR RON CORTI INCLUDE A TAXABLE DISTRIBUTION OF $74,168 FROM A 457(F) DEFERRED COMPENSATION ARRANGEMENT, AND AMOUNTS REPORTED IN COLUMN (C) INCLUDE A $74,168 DEFERRAL UNDER THE ARRANGEMENT. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RIVERSIDE HEALTHCARE SYS BERMUDA | |||
| SEE PART V | $1,770,400 | INSURANCE PREMIUMS | 0 |
| EMPRESS AMBULANCE | |||
| SEE PART V | $386,822 | AMBULANCE SERVICE | 0 |
| NANCY ANNABI | |||
| SEE PART V | $133,856 | COMPENSATION | 0 |
| MONTEFIORE MEDICAL CENTER | |||
| SUBSTANTIAL CONTRIBUTOR | $1,555,880 | HEALTH SYSTEM | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS(1) IN 2020, SJRH PAID INSURANCE PREMIUMS TO A RELATED, TAXABLE ENTITYRIVERSIDE HEALTH CARE SYSTEMS BERMUDA. RHCS BERMUDA IS A 35% CONTROLLEDENTITY OF RIVERSIDE HEALTH CARE SYSTEM, INC., WHICH IS THE SOLE MEMBEROF AND A SUPPORTING ORGANIZATION OF ST. JOHN'S RIVERSIDE HOSPITAL. SJRHAND RCHS BERMUDA SHARE ONE BOARD MEMBER, KEVIN T. FAY.(2) IN 2020, EMPRESS AMBULANCE SERVICE PROVIDED SERVICES TO SJRH. EMPRESS AMBULANCE SERVICE IS OWNED BY THE SONS OF LENORE MINERVA, SJRH BOARD MEMBER.(3) NANCY ANNABI IS AN EMPLOYEE OF SJRH AND IS THE WIFE OF SJRH BOARDMEMBER, DR. IYAD ANNABI. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6 | THE VOLUNTEER PROGRAM AT ST. JOHN'S RIVERSIDE HOSPITAL IS CURRENTLY COMPRISED OF 77 ACTIVE VOLUNTEERS, WHICH DECREASED DUE TO COVID, INTERNS AND STUDENTS. VOLUNTEER RECORDS AND HOURS ARE TRACKED THROUGH A COMPUTER PROGRAM LOCATED IN THE VOLUNTEER OFFICE AT ST. JOHN'S ANDRUS PAVILION. OFFSITE VOLUNTEERS COMPLETE TIME SHEETS AT THEIR RESPECTIVE FACILITY/DEPARTMENT AND SUBMIT THOSE REPORTS TO THIS OFFICE ON A MONTHLY BASIS FOR INCLUSION IN THE VOLUNTEER WORKS COMPUTER PROGRAM. ADDITIONALLY, 24 NON-COMPENSATED INDIVIDUALS SERVED ON THE BOARD DURING 2020. |
| FORM 990, PART III, LINE 1 | ST. JOHN'S RIVERSIDE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT. BY OFFERING EXCELLENCE IN MEDICAL CARE, NURSING, STATE-OF-THE-ART TECHNOLOGIES, CONTINUING EDUCATION AND PREVENTIVE SERVICES, WE ARE COMMITTED TO IMPROVING THE CARE WE PROVIDE WITHIN EACH OF OUR INSTITUTIONS AND THE QUALITY OF LIFE IN OUR COMMUNITY. WE ARE OPEN TO NEW IDEAS, DIRECTIONS AND INITIATIVES THAT MOST EFFECTIVELY RESPOND TO COMMUNITY HEALTH CARE NEEDS. |
| FORM 990, PART III, LINE 4B | THE DAY PROGRAM INCLUDES INTENSIVE, MEDICALLY SUPERVISED SERVICES FOR UP TO FIVE DAYS PER WEEK, FOUR HOURS PER DAY WITH INDIVIDUAL AND GROUP THERAPY PSYCHIATRIC ASSESSMENT, 12 STEP PROGRAMMING, VOCATIONAL AND EDUCATIONAL SERVICES, AND RECREATION THERAPY. THE CLINIC PROGRAM HAS SERVICES AVAILABLE FOR UP TO FOUR TIMES PER WEEK, OFFERING FLEXIBLE DAY AND EVENING HOURS FOR THOSE WHO WORK, GO TO SCHOOL OR NEED A STEP-DOWN LEVEL OF CARE. TARGETED SERVICES FOR ADOLESCENTS AND FOR FAMILY MEMBERS IMPACTED BY ALCOHOLISM AND DRUG DEPENDENCE ARE ALSO AVAILABLE. |
| FORM 990, PART III, LINE 4C | TO DATE, THERE ARE OVER 114 STUDENTS ENROLLED IN THE PROFESSIONAL NURSING PROGRAM. IN 1999 THERE WERE NO MORE THAN 50 STUDENTS ENROLLED AND NOW THE SCHOOL PROUDLY COUNTS MORE THAN 2,500 GRADUATES WHO HAVE SERVED PATIENTS AND HEALTH CARE THROUGHOUT THE UNITED STATES AND AROUND THE WORLD. DUE TO OUR GROWTH, THE SCHOOL HAS GROWN ITS WEBSITE WHICH ENABLES APPLICANTS TO QUICKLY COMPLETE ONLINE FORMS, ONLINE APPLICATIONS, AND SURVEYS. THE COCHRAN SCHOOL OF NURSING IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING. ST. JOHN'S RIVERSIDE EMERGENCY MEDICINE RESIDENCY IS AN ACGME ACCREDITED 3-YEAR RESIDENCY PROGRAM LOCATED IN YONKERS, NY. IT IS A RELATIVELY NEW PROGRAM, WITH OUR INAUGURAL CLASS OF RESIDENTS BEGINNING IN JULY 1, 2017 AND GRADUATING JUNE 2020. THE EMERGENCY MEDICINE RESIDENCY SUPPORTS A TOTAL OF 30 RESIDENTS, 10 RESIDENTS IN EACH POSTGRADUATE TRAINING YEAR. ST. JOHN'S INTERNAL MEDICINE RESIDENCY IS AN ACGME ACCREDITED 3-YEAR RESIDENCY PROGRAM LOCATED IN YONKERS, NY. IT IS A RELATIVELY NEW PROGRAM, WITH ITS INAUGURAL CLASS OF RESIDENTS BEGINNING ON JULY 1, 2016, AND HAVING GRADUATED TWO CLASSES TO DATE (2019, 2020). THE INTERNAL MEDICINE RESIDENCY HAS PRELIMINARY (ON-YEAR) AND CATEGORICAL (3-YEAR) TRACKS. THERE ARE 6 RESIDENTS/YEAR IN THE PRELIMINARY TRACK AND 8 RESIDENTS/YEAR IN THE CATEGORICAL TRACK, ACCOUNTING FOR A TOTAL OF 30 RESIDENTS IN OUR INTERNAL MEDICINE PROGRAM. BOTH RESIDENCY PROGRAMS MAKE USE OF OUR ANDRUS, DOBBS FERRY AND PARK CARE PAVILIONS FOR THEIR TRAINING. OUR PROGRAMS ARE ATTRACTIVE TOWARDS RECRUITING ATTENDING PHYSICIANS WHO WISH TO BE IN AN ACADEMIC/TEACHING ENVIRONMENT. MANY OF OUR GRADUATES CHOOSE TO JOIN OUR MEDICAL STAFF, ALTHOUGH THEY AVAIL THEMSELVES OF A WIDE VARIETY OF CAREER OPPORTUNITIES. |
| FORM 990, PART III, LINE 4D | ST. JOHN'S RIVERSIDE HOSPITAL OPERATES A METHADONE MAINTENANCE PROGRAM SEVEN DAYS A WEEK, 365 DAYS A YEAR TO ENABLE CLIENTS SUFFERING NARCOTIC ADDICTION TO CONTINUE PRODUCTIVE LIVES. IN 2019, THE CLINIC HAD 110,015 VISITS. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS/STOCK HOLDERS ST. JOHN'S RIVERSIDE HOSPITAL HAS A SOLE MEMBER - RIVERSIDE HEALTHCARE SYSTEM, INC., A SECTION 501(C)(3) ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE FOLLOWING POWERS ARE RESERVED TO RIVERSIDE HEALTH CARE SYSTEM (RHCS): 1. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF ST. JOHN'S UPON CONSULTATION WITH THE BOARD OF TRUSTEES; 2. REVIEW AND APPROVAL OF THE CAPITAL AND OPERATING BUDGETS OF ST. JOHN'S PROVIDED THAT RHCS MAY ONLY APPROVE OR REJECT A CAPITAL OR OPERATING BUDGET IN ITS ENTIRETY; 3. APPROVAL OF ANY SALE OF ACQUISITION BY ST. JOHN'S OF ASSETS VALUED IN EXCESS OF ONE MILLION DOLLARS ($1,000,000), PROVIDED THAT RHCS APPROVAL SHALL NOT BE REQUIRED FOR SALES OR ACQUISITIONS OF MEDICAL EQUIPMENT (INCLUDING, WITHOUT LIMITATION, MAGNETIC RESONANCE IMAGING AND COMPUTERIZED TOMOGRAPHY EQUIPMENT, OPERATING ROOM EQUIPMENT, AND EQUIPMENT FOR ENDOSCOPY AND DELIVERY SUITES); AND 4. APPROVAL OF ANY AMENDMENTS TO THE CONSTITUTION, THE BYLAWS OR THE CERTIFICATE OF INCORPORATION OF ST. JOHN'S WHICH WOULD MODIFY, LIMIT OR IN ANY WAY RESTRICT THE RIGHT AND POWERS OF RHCS AS THE SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE 7A EXPLANATION ABOVE. |
| FORM 990, PART VI, SECTION B, LINE 11B | BOARD OF TRUSTEES' REVIEW OF FORM 990 THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ST. JOHN'S RIVERSIDE HOSPITAL AND REVIEWED BY THE DIRECTOR OF FINANCE AND CHIEF FINANCIAL OFFICER OF THE HOSPITAL. THE DRAFT FORM 990, AND WORKPAPER SUPPORT, IS PROVIDED TO THE HOSPITAL'S TAX PREPARER TO PREPARE A FINAL VERSION OF THE FORM 990. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE HOSPITAL'S FINANCE COMMITTEE MEMBERS OF THE GOVERNING BOARD OF TRUSTEES AND THEN A COPY IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF TRUSTEES AND ALL PERSONNEL OF THE ORGANIZATION WHO ARE IN A POSITION TO INFLUENCE ANY PURCHASING DECISION OR BUSINESS TRANSACTION MUST COMPLETE A CONFLICT OF INTEREST STATEMENT. THIS INCLUDES ADMINISTRATIVE STAFF, DEPARTMENT HEADS AND MEMBERS OF THE MEDICAL BOARD. THE STATEMENTS ARE DISTRIBUTED BY THE COMPLIANCE OFFICER ANNUALLY IN NOVEMBER WITH THE EXPECTATION THAT THEY BE RETURNED TO THE COMPLIANCE OFFICER IN JANUARY OF THE FOLLOWING YEAR. WHEN RETURNED, THESE STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER. ALL INFORMATION IS KEPT CONFIDENTIAL AND STATEMENTS ARE MAINTAINED IN THE COMPLIANCE OFFICE. THE COMPLIANCE OFFICER WILL CONSULT WITH OUTSIDE COUNSEL AS NECESSARY CONCERNING ANY POTENTIAL PROBLEMS OR POSSIBLE CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER WILL REPORT ANY CONFLICTS OF INTEREST OR POSSIBLE CONFLICTS OF INTEREST TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE AND TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. IN CASES WHERE A CONFLICT OF INTEREST EXISTS, BOARD MEMBERS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION CONTRACTS WITH AN INDEPENDENT THIRD PARTY TO BRING THE COMPENSATION LEVELS TO A COMPETITIVE LEVEL IN THE MARKET AREA. A REQUEST FOR PROPOSAL FOR AN EXECUTIVE COMPENSATION SURVEY IS INITIATED BY HUMAN RESOURCES TO FIND A VENDOR WHO COULD PROVIDE A COMPREHENSIVE REVIEW AND COMPARISON OF THE SALARY AND BENEFITS RIVERSIDE HEALTH CARE SYSTEMS INC. SHOULD BE PROVIDING ITS EXECUTIVES WHILE MEETING ALL LEGAL AND ANTI-TRUST REQUIREMENTS. THIS SURVEY IS TO IDENTIFY THE BASE COMPENSATION, INCENTIVE COMPENSATION AND NON-CASH COMPENSATION FOR LIKE POSITIONS IN THE COMPETING WESTCHESTER COUNTY, NEW YORK AREA. THE AREAS THAT WOULD BE EVALUATED INCLUDE: CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, NURSING HOME ADMINISTRATOR, VICE PRESIDENT NURSING, VICE PRESIDENT COCHRAN SCHOOL OF NURSING, VICE PRESIDENT BEHAVIORAL HEALTH, VICE PRESIDENT STRATEGIC CORPORATE DEVELOPMENT, VICE PRESIDENT PERFORMANCE IMPROVEMENT & RISK MANAGEMENT, AND VICE PRESIDENT HUMAN RESOURCES. THE REQUEST FOR PROPOSAL GETS SENT TO EIGHT COMPANIES WITH A KNOWN TRACK RECORD IN COMPENSATION CONSULTING. EACH OF THE VENDORS RESPONDS WITH THE DETAILED ANALYSIS THAT THEY WILL PROVIDE AND THE COST ASSOCIATED WITH THE PROCESS. BASED ON THE TIMEFRAME AND THE COST, A VENDOR IS CHOSEN TO PERFORM THE EXECUTIVE COMPENSATION SURVEY. A PROPOSAL IS PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES PERSONNEL AND COMPENSATION COMMITTEE FOR APPROVAL. THE PERSONNEL AND COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS FINDINGS IN ITS MINUTES. INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES MAKE THE DECISION ON APPROVING THE SALARY CHANGES. AN EXECUTIVE COMPENSATION REVIEW TOOK PLACE IN 2018 AND AN EMPLOYEE COMPENSATION REVIEW WAS COMPLETED IN 2019. THERE WERE NO MEETINGS SCHEDULED IN 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DISCLOSURE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER EXPENSES: PROGRAM SERVICE EXPENSES 38,543,624. MANAGEMENT AND GENERAL EXPENSES 1,914,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,458,336. |
| FORM 990, PART IV, LINE 20B | AT THE TIME OF FILING, THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS HAD NOT YET BEEN ISSUED. THE HOSPITAL HAS ATTACHED THE MOST RECENT DRAFT AUDITED FINANCIAL STATEMENTS TO THE FORM 990. NO SUBSTANTIAL CHANGES ARE EXPECTED THAT WOULD AFFECT THE FILED FORM 990. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS GIFT SHOP CARRYOVER 101,590 TRANSFER FROM MALOTZ 80,000 FAS 158 PENSION ADJUSTMENT (15,572,601) --------------- (15,391,011) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERSIDE HEALTH CARE SYSTEMS INC (RHCS) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 967 NORTH BROADWAY | AddressLine1Txt |
| City | YONKERS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133237215 | EIN |
| Primary Activities | MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12A II | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVERSIDE MANAGEMENT SERVICES ORG (RMSO) | |||||||||||||
| 967 NORTH BROADWAY | YONKERS | NY | 10701 | 133846601 | MANAGEMENT | NY | RMI | C | 0 | ||||
| RIVER MANAGEMENT CO INC | |||||||||||||
| 967 N BROADWAY ANDRUS PAVIL | YONKERS | NY | 10701 | 133474004 | MANAGEMENT | NY | RHCS | C | 0 | ||||
| RHCS BERMUDA LTD | |||||||||||||
| 967 NORTH BROADWAY | NEW YORK | NY | 10701 | 133237215 | INSURANCE | RHCS | C | 0 | BD | ||||
| SJR MEDICAL PC | |||||||||||||
| 967 NORTH BROADWAY | YONKERS | NY | 10701 | 134185781 | MED. SERVICE | NY | SJRH | C | Yes (1) | $4,633 | 1.00000 | ||
| FDN FOR COMM HOSPITAL AT DOBBS FERRY | |||||||||||||
| 128 ASHFORD AVE | DOBBS FERRY | NY | 10522 | 133971735 | FUNDRAISING | NY | SJRH | C | Yes (1) | $1 | 1.00000 | $3,239 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJR MEDICAL PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionTypeTxt |
| Involved | $2,257,660 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |