BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP (EIN 45-2964467)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-11
IRS object ID: 202143159349300104
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-11T00:02:14-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	452964467	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED	BusinessNameLine1Txt
Business Name Line2	GROUP	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% MAUREEN BURKE	InCareOfNm
Business Name Control	BONS	BusinessNameControlTxt
Phone	8453685000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 Lafayette Avenue	AddressLine1Txt
City	Suffern	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY LEAHY MD	PersonNm
Person Title	CEO - BSCHS	PersonTitleTxt
Phone	8453685305	PhoneNum
Signature	2021-11-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Justin Lowe	PreparerPersonNm
PTIN	P01866796	PTIN
Phone	2023276000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

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	MARY LEAHY MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 Lafayette Avenue	AddressLine1Txt
City	Suffern	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$598,303,558	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5747	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bschs.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO OPERATE SEVERAL ACUTE CARE HOSPITALS, LONG-TERM CARE FACILITIES AND OTHER HEALTHCARE SERVICES FOR THE RESIDENTS OF THE COMMUNITIES SERVED.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4153	TotalEmployeeCnt
Total Volunteers	172	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,537,904	PYContributionsGrantsAmt
CY Contributions Grants	$100,568,312	CYContributionsGrantsAmt
PY Program Service Revenue	$563,879,753	PYProgramServiceRevenueAmt
CY Program Service Revenue	$485,723,128	CYProgramServiceRevenueAmt
PY Investment Income	$1,074,227	PYInvestmentIncomeAmt
CY Investment Income	$465,126	CYInvestmentIncomeAmt
PY Other Revenue	$10,731,180	PYOtherRevenueAmt
CY Other Revenue	$10,979,832	CYOtherRevenueAmt
PY Total Revenue	$580,223,064	PYTotalRevenueAmt
CY Total Revenue	$597,736,398	CYTotalRevenueAmt
PY Grants And Similar Paid	$52,613	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,732	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$325,744,446	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$331,990,244	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$272,459,902	PYOtherExpensesAmt
CY Other Expenses	$272,705,823	CYOtherExpensesAmt
PY Total Expenses	$598,256,961	PYTotalExpensesAmt
CY Total Expenses	$604,709,799	CYTotalExpensesAmt
PY Revenues Less Expenses	-$18,033,897	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,973,401	CYRevenuesLessExpensesAmt
Total Assets BOY	$214,623,748	TotalAssetsBOYAmt
Total Assets EOY	$200,653,211	TotalAssetsEOYAmt
Total Liabilities BOY	$224,750,489	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$306,175,816	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$10,126,741	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$105,522,605	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION IS TO MAKE VISIBLE GOD'S LOVE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR, VULNERABLE AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$522,611,097	ExpenseAmt
Grant	$13,732	GrantAmt
Revenue	$496,458,927	RevenueAmt
Desc	BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP IS COMPOSED OF THREE ACUTE CARE HOSPITALS, A PRIMARY AND SPECIALTY MEDICAL CARE PRACTICE AND TWO LONG-TERM CARE AND RESIDENTIAL FACILITIES: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY; BON SECOURS COMMUNITY HOSPITAL; ST. ANTHONY COMMUNITY HOSPITAL; BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, PC; ST. FRANCIS CENTER AT THE KNOLLS (DBA MOUNT ALVERNO CENTER); AND VILLAS FRANCIS AT THE KNOLLS (DBA SCHERVIER PAVILION). GOOD SAMARITAN HOSPITAL (GSH) OPERATES A 286-BED HOSPITAL LOCATED IN SUFFERN, NEW YORK THAT PROVIDES EMERGENCY, MEDICAL, SURGICAL, OBSTETRICAL/GYNECOLOGICAL AND ACUTE CARE SERVICES TO ROCKLAND AND ORANGE COUNTIES, NEW YORK AND NORTHERN BERGEN COUNTY, NEW JERSEY. GSH HAS A DESIGNATED STROKE CENTER AND ACUTE MYOCARDIAL INFARCTION (AMI) PROGRAM, AND A REGIONAL CARDIOVASCULAR PROGRAM, PROVIDING OPEN HEART SURGERY, A CARDIAC CATHETERIZATION LABORATORY, EMERGENCY ANGIOPLASTY, ELECTROPHYSIOLOGY STUDIES AND A PACEMAKER CLINIC. GSH IS THE ONLY FACILITY IN THE REGION WITH AN ANGIOGRAPHY SUITE TO TREAT VASCULAR DISEASE WITH NEW 3D DIAGNOSTIC EQUIPMENT WHICH PROVIDES IMAGE GUIDED THERAPY TO EVALUTE ARTERIES AND VEINS TO IDENTIFY BLOCKAGES MORE PRECISELY. GSH HAS BEEN NAMED ONE OF HEALTH GRADES AMERICA'S 100 BEST HOSPITAL'S FOR CORONARY INTERVENTION FOR 3 YEARS IN A ROW (2018-2020). ALONG WITH THE CORONARY INTERVENTION EXCELLENCE AWARD FROM HEALTHGRADES, GSH HAS RECEIVED MANY AWARDS AND IN 2014 WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS. GSH OFFERS A COMPREHENSIVE WOMEN'S BREAST CENTER, WOUND AND HYPERBARIC CENTER, SLEEP STUDY CENTER AND MATERNAL/CHILD SERVICES, INCLUDING A LEVEL II NEONATAL INTENSIVE CARE UNIT SUPPORTED BY PEDIATRIC SUBSPECIALISTS FROM WESTCHESTER MEDICAL CENTER (WMC). THE WOMEN'S BREAST CENTER AT GSH IS THE ONLY FACILITY IN THE AREA THAT OFFERS A HIGH RISK SCREENING PROGRAM TO IDENTIFY WOMEN WHO MEET CRITERIA FOR HIGH RISK, DURING THEIR ROUTINE SCREENINGS. GSH'S SURGICAL WEIGHT LOSS INSTITUTE PROVIDES PRE-OPERATIVE, SURGICAL CARE AND OUTPATIENT POST-OPERATIVE BARIATRIC SUPPORT. GSH ALSO PROVIDES KIDNEY DIALYSIS, PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES AND A RANGE OF SOCIAL SUPPORT SERVICES, EDUCATION AND POPULATION HEALTH SERVICES. THE OB EMERGENCY DEPARTMENT IN COLLABORATION WITH THE OB HOSPITALIST PROGRAM PROVIDES EMERGENCY OBSTETRICAL SERVICES IN THE OB EMERGENCY DEPARTMENT. THE OB-GYN DEPARTMENT RECEIVED THE HEALTHGRADES FIVE STAR AWARD FOR VAGINAL DELIVERY FOR THE 6 CONSECUTIVE YEARS (2015-2020) BY HEALTHGRADES, AS WELL AS THE OBSTETRICS AND GYNECOLOGY EXCELLENCE AWARD FOR 2 CONSECUTIVE YEARS (2019-2020). THE CAMPUS ALSO INCLUDES A MEDICAL OFFICE BUILDING HOUSING A STATE-OF-THE-ART AMBULATORY SURGERY CENTER, WHICH INCLUDES PRIMARY CARE AND SPECIALTY PHYSICIANS. GSH'S CERTIFIED HOME CARE AGENCY PROVIDES HOME HEALTH SERVICES TO THE RESIDENTS OF ROCKLAND AND ORANGE COUNTIES, NEW YORK. THIS PROGRAM IS FOR PATIENTS WHO HAVE ACUTE NEEDS AND REQUIRE HOME CARE FOR A RELATIVELY SHORT PERIOD OF TIME AND WILL BE DISCHARGED WHEN THEY ARE STABILIZED OR RETURNED TO A PRE-ILLNESS LEVEL OF FUNCTIONING. ADDITIONAL SERVICES INCLUDE WOUND AND OSTOMY ASSESSMENTS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL SOCIAL WORK, NUTRITION AND HOME HEALTH AIDES. THE HOME HEALTH AGENCY IS CERTIFIED FOR EXPANSION INTO MANHATTAN AND WESTCHESTER COUNTY, NEW YORK. BON SECOURS COMMUNITY HOSPITAL (BSCH) OPERATES A 122-BED ACUTE CARE HOSPITAL LOCATED IN PORT JERVIS, NEW YORK THAT PROVIDES COMMUNITY-BASED CARE TO RESIDENTS IN THE PORT JERVIS, NEW YORK AND SURROUNDING AREAS (ORANGE AND SULLIVAN COUNTIES IN NEW YORK, SUSSEX COUNTY IN NEW JERSEY AND PIKE COUNTY IN PENNSYLVANIA). BSCH PROVIDES EMERGENCY CARE, LABORATORY AND IMAGING SERVICES, MEDICAL AND SURGICAL SERVICES, INTENSIVE CARE UNIT, INPATIENT DIALYSIS, CARDIOPULMONARY CARE, INFUSION THERAPY OUTPATIENT WOUND CARE, AND A DIABETES PROGRAMS. BSCH ALSO OFFERS INPATIENT PSYCHIATRIC SERVICES AND A CHEMICAL DEPENDENCY PROGRAM. A MEDICAL OFFICE BUILDING WITH PRIMARY CARE AND DIAGNOSTIC SERVICES IS LOCATED ACROSS THE STREET FROM BSCH. BSCH ALSO OFFERS A WIDE RANGE OF HEALTH EDUCATION AND POPULATION HEALTH SUPPORT SERVICES FOR THE COMMUNITY. ST. JOSEPH'S PLACE IS A 46-BED NURSING CARE CENTER LOCATED ON THE FIRST FLOOR OF BSCH THAT PROVIDES 24-HOUR NURSING CARE, LONG- AND SHORT-TERM REHABILITATION, TRACHEOTOMY CARE, HEAD TRAUMA CARE, RESPIRATORY CARE AND PSYCHOLOGICAL SERVICES. ST. ANTHONY COMMUNITY HOSPITAL (SACH) OPERATES A 60-BED HOSPITAL THAT IS LOCATED IN WARWICK, NEW YORK SERVING THE RESIDENTS OF ORANGE COUNTY, NEW YORK, AND SUSSEX AND PASSAIC COUNTIES, NEW JERSEY. SACH PROVIDES EMERGENCY CARE, MEDICAL AND SURGICAL SERVICES, LABORATORY AND IMAGING SERVICES, OBSTETRICAL, GYNECOLOGICAL AND ORTHOPEDICS. THE SACH AMBULATORY SERVICES CENTER PROVIDES VARIOUS CONVENIENT SERVICES, INCLUDING ADMITTING, PRE-ADMISSION SCREENING, ENDOSCOPY, MINOR SURGERY AND SAME-DAY SURGERY. AN INFUSION CENTER PROVIDES LONG-TERM INTRAVENOUS ANTIBIOTICS, BLOOD TRANSFUSIONS, IRON THERAPY, CHEMOTHERAPY AND LONG-TERM CATHETER INSERTION AND MAINTENANCE. SACH EDUCATION AND OUTREACH SERVICES INCLUDE A DIABETES EDUCATION PROGRAM AND POPULATION HEALTH IMPROVEMENT PROGRAMS. BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, PC (MEDPC) PROVIDES MEDICAL SERVICES TO SUFFERN, NEW YORK AND SURROUNDING COMMUNITIES. THEIR SERVICES INCLUDE PRIMARY CARE AND VARIOUS SPECIALTY PROFESSIONAL SERVICES. THE ORGANIZATION SEEKS TO LOCATE ITS PHYSICIAN PRACTICE SITES IN AREAS THAT MOST EFFECTIVELY MEET THE NEEDS OF THE COMMUNITY. VILLA FRANCIS AT THE KNOLLS, INC. D/B/A SCHERVIER PAVILION (SCHERVIER) IS A 122-BED, SKILLED NURSING FACILITY LOCATED IN WARWICK, NEW YORK. SCHERVIER PROVIDES THERAPEUTIC AND SOCIAL ACTIVITIES DESIGNED TO ENHANCE THE PHYSICAL AND MENTAL CAPABILITIES TO HELP RESIDENTS MAINTAIN AND OPTIMIZE THEIR LEVEL OF DAILY INDEPENDENCE. SCHERVIER IS PART OF THE 27-ACRE WARWICK CAMPUS THAT INCLUDES MOUNT ALVERNO CENTER AND SACH. LOCATED IN SCHERVIER IS A FULL-SERVICE ADULT DAY CARE PROGRAM KNOWN AS DAY-AT-A-TIME. IT PROVIDES HEALTH CARE, RECREATIONAL AND THERAPEUTIC ACTIVITIES FROM TWO TO FIVE DAYS PER WEEK FOR THE COGNITIVELY IMPAIRED AND PHYSICALLY FRAIL. THE PROGRAM PROVIDES AN ALTERNATIVE TO NURSING HOME PLACEMENT AND HOME HEALTH CARE. ST. FRANCIS CENTER AT THE KNOLLS, INC. D/B/A MOUNT AVERNO CENTER (MOUNT ALVERNO) IS AN ADULT HOME LOCATED ON THE SACH CAMPUS WITH AN ASSISTED LIVING PROGRAM SERVING 85 RESIDENTS BY PROVIDING INDIVIDUALIZED CARE PLANS DESIGNED TO HELP RESIDENTS REACH AND MAINTAIN A MAXIMUM LEVEL OF INDEPENDENCE.	Desc
Total Program Service Expenses	$522,611,097	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	329	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4153	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MAUREEN BURKE	PersonNm
Phone	8453685305	PhoneNum

US Address USAddress

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL ISRAEL
VICE CHAIR	1.0	39.0	Yes (X)	Yes (X)	$0	$2,830,472	$126,770
GARY BRUDNICKI
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$1,944,738	$115,276
MARK FERSKO
BOARD MEMBER (thru 11/20)	1.0	1.0	Yes (X)		$0	$1,108,610	$77,188
MARY LEAHY MD
PRESIDENT & CEO	36.0	4.0	Yes (X)	Yes (X)	$0	$1,054,505	$84,948
CARY HIRSCH MD
PHYSICIAN	40.0	0.0			$1,074,370	$0	$25,453	Yes (X)
JULIE SWITZER
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$960,705	$92,165
RENEE GARRICK MD
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$973,426	$66,389
ARVIND AGARWAL
PHYSICIAN	40.0	0.0			$799,785	$0	$39,943	Yes (X)
PERMINDER S GREWAL
PHYSICIAN	40.0	0.0			$755,367	$0	$48,386	Yes (X)
SUNANDAN PANDYA
PHYSICIAN	40.0	0.0			$700,771	$0	$58,092	Yes (X)
BANGALORE SRIDHARA
PHYSICIAN	40.0	0.0			$712,446	$0	$23,653	Yes (X)
JOSHUA RATNER
BOARD MEMBER (EFFECT. 11/20)	1.0	39.0	Yes (X)		$0	$659,785	$73,735
PETER KENNIFF
CFO	39.0	1.0		Yes (X)	$462,455	$0	$52,660
JOHN HEIMERDINGER
SECRETARY	1.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN GEVERTZ
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
RICHARD WISHNIE
CHAIR	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
TAMER EL-RAYESS
1st Vice Chair & TREASURER	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
SANDRA GRANNUM
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
STEVEN KENT
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
LAISHY WILLIAMS CARLSON
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
SR ANNE MARIE MACK
BOARD MEMBER (EFFECT. 3/20)	1.0	1.0	Yes (X)		$0	$0	$0
SR MAUREEN SULLIVAN
BOARD MEMBER (EFFECT. 9/20)	1.0	39.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,505,194	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,532,241	TotReportableCompRltdOrgAmt
Total Other Compensation	$884,658	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	709	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CTR	CHICAGO	IL	60693	ENGINEERING	$8,066,475
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	$6,349,382
ACCESS REHABILITATION SERVICES
16 MAYBROOK RD STE H	CAMPBELL HALL	NY	10916	REHAB THERAPY	$4,635,638
SKANSKA USA BUILDING INC
14776 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONSTRUCTION	$9,930,451
AVAAP USA LLC
510 THORNALL ST STE 250	EDISON	NJ	08837	IT SERVICES	$3,773,896

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	95	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,478,544	RelatedOrganizationsAmt
Government Grants	$98,377,407	GovernmentGrantsAmt
All Other Contributions	$712,361	AllOtherContributionsAmt
Total Contributions	$100,568,312	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	623000	$484,798,282	$484,798,282
CAPITATION REVENUE	623000	$924,846	$924,846

Field	Value	IRS element (for citing)
Total Program Service Revenue	$485,723,128	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$452,698	TotalRevenueColumnAmt
Exclusion	$452,698	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$811,193	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$567,160	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$244,033	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$244,033	TotalRevenueColumnAmt
Exclusion	$244,033	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$12,428	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$12,428	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,428	TotalRevenueColumnAmt
Exclusion	$12,428	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REBATES & GPO DISCOUNTS	900099	$4,130,109	$4,130,109
NYS DELIVERY SYSTEM REFORM INCENTIVE PYMTS	900099	$3,370,027	$3,370,027
SERVICE AGREEMENTS	900099	$1,877,450	$1,877,450

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,358,213	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,358,213	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,735,799	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$597,736,398	TotalRevenueColumnAmt
Related Or Exempt Func Income	$496,458,927	RelatedOrExemptFuncIncomeAmt
Exclusion	$709,159	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$13,732	TotalAmt
Program Services	$13,732	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$515,116	TotalAmt
Program Services	$51,512	ProgramServicesAmt
Management And General	$463,604	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$248,407,949	TotalAmt
Program Services	$228,757,961	ProgramServicesAmt
Management And General	$19,649,988	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,741,076	TotalAmt
Program Services	$6,861,729	ProgramServicesAmt
Management And General	$1,879,347	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$54,826,554	TotalAmt
Program Services	$52,276,178	ProgramServicesAmt
Management And General	$2,550,376	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,499,549	TotalAmt
Program Services	$17,776,688	ProgramServicesAmt
Management And General	$1,722,861	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$520,969	TotalAmt
Program Services	$20,316	ProgramServicesAmt
Management And General	$500,653	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$491,351	TotalAmt
Management And General	$491,351	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$56,949	TotalAmt
Management And General	$56,949	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,064,799	TotalAmt
Program Services	$28,031,653	ProgramServicesAmt
Management And General	$33,146	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$582,090	TotalAmt
Program Services	$42,504	ProgramServicesAmt
Management And General	$539,586	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,099,499	TotalAmt
Program Services	$6,907,074	ProgramServicesAmt
Management And General	$2,192,425	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,437,694	TotalAmt
Program Services	$1,593,396	ProgramServicesAmt
Management And General	$1,844,298	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,014,795	TotalAmt
Program Services	$10,593,268	ProgramServicesAmt
Management And General	$5,421,527	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$652,599	TotalAmt
Program Services	$572,302	ProgramServicesAmt
Management And General	$80,297	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$161,502	TotalAmt
Program Services	$46,169	ProgramServicesAmt
Management And General	$115,333	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,966,109	TotalAmt
Program Services	$7,966,109	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,017,476	TotalAmt
Program Services	$24,824,909	ProgramServicesAmt
Management And General	$192,567	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,105,376	TotalAmt
Program Services	$10,974,018	ProgramServicesAmt
Management And General	$1,131,358	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$70,885,973	$70,885,973
PURCHASED SERVICES	$42,776,523	$26,389,607	$16,386,916
OUTSOURCED SERVICES	$45,142,336	$19,320,045	$25,822,291
OTHER EXPENSES	$9,729,783	$8,705,954	$1,023,829

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$604,709,799	TotalAmt
Program Services	$522,611,097	ProgramServicesAmt
Management And General	$82,098,702	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$676,493	BOYAmt
EOY	$601,596	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$281,238	BOYAmt
EOY	$34,574	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$70,795,298	BOYAmt
EOY	$48,940,419	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,678,849	BOYAmt
EOY	$12,011,929	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,395,968	BOYAmt
EOY	$2,792,994	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$444,663,081	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$312,429,552	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$122,644,677	BOYAmt
EOY	$132,233,529	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,121,139	BOYAmt
EOY	$4,008,084	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$214,623,748	BOYAmt
EOY	$200,653,211	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$71,274,579	BOYAmt
EOY	$81,556,807	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$907,222	BOYAmt
EOY	$610,001	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$171,808	BOYAmt
EOY	$156,443	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$124,869,876	BOYAmt
EOY	$125,361,593	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,527,004	BOYAmt
EOY	$98,490,972	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$224,750,489	BOYAmt
EOY	$306,175,816	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	-$10,962,970	BOYAmt
EOY	-$106,358,834	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$10,126,741	BOYAmt
EOY	-$105,522,605	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$214,623,748	BOYAmt
EOY	$200,653,211	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,973,401	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$88,422,463	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,923,266	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,781,088	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,650,443	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,740,145	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,455,869	CurrentTaxYearAmt
Total	$8,550,811	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

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

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,923,266	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,781,088	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,650,443	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,740,145	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,455,869	CurrentTaxYearAmt
Total	$8,550,811	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year	$840,031	CurrentTaxYearAmt
Total	$840,031	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year	$840,031	CurrentTaxYearAmt
Total	$840,031	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$7,710,780	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

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

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

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

Net Income From Other UBI NetIncomeFromOtherUBIGrp

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

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$122,030	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$99,086	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$102,789	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$111,496	CurrentTaxYearMinus1YearAmt
Current Tax Year	$95,589	CurrentTaxYearAmt
Total	$530,990	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,045,296	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,880,174	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,753,232	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,851,641	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,551,458	CurrentTaxYearAmt
Total	$9,081,801	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.84904	PublicSupportCY509Pct
Public Support PY509	0.93523	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Investment Income PY	0.00000	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	false	TimelyProvidedDocumentsInd
Officers Close Relationship	false	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

Field	Value	IRS element (for citing)
CY Paid Accomplish Exempt Prps	$0	CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity	$0	CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid	$0	CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid	$0	ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside	$0	QualifiedSetAsideAmt
CY Other Distributions	$0	CYOtherDistributionsAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org	$0	CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
CY Distribution Yr	0	CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

Field	Value	IRS element (for citing)
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
Underdistributions	$0	UnderdistributionsAmt
Excess Distribution Cyov Yr5	$0	ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4	$0	ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3	$0	ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2	$0	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$0	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$0	TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY	$0	CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY	$0	CyovAppliedUnderdistrCPYAmt
Carryover PY Not Applied	$0	CarryoverPYNotAppliedAmt
Excess Distribution Cyov	$0	ExcessDistributionCyovAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY	$0	CYDistribAppUnderdistriPYAmt
Excess Distribution	$0	ExcessDistributionAmt
Remaining Underdistri PY	$0	RemainingUnderdistriPYAmt
Remaining Underdistri CY	$0	RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr	$0	ExcessDistriCyovToNextYrAmt
Excess From Year5	$0	ExcessFromYear5Amt
Excess From Year4	$0	ExcessFromYear4Amt
Excess From Year3	$0	ExcessFromYear3Amt
Excess From Year2	$0	ExcessFromYear2Amt
Excess From Year1	$0	ExcessFromYear1Amt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part I	FormAndLineReferenceDesc
Explanation	One subordinate (ST. FRANCIS CENTER AT THE KNOLLS D/B/A MOUNT ALVERNO ASSISTED LIVING CENTER) included in this return has public charity status as an organization described in section 509(a)(2). Schedule A, Part III is completed to report this entity's activities.	ExplanationTxt

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$56,949	OtherActivitiesAmt
Total Lobbying Expenditures	$56,949	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1, Lobbying Activities	FormAndLineReferenceDesc
Explanation	The filing organization maintains memberships IN various HEALTHCARE professional associations. Portions of the membership dues are used for lobbying activities. The lobbying portion of such dues, AS PROVIDED BY THE MEMBERSHIP ORGANIZATION, is included on PART IX, line 11D.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,969,381	OtherCostOrOtherBasisAmt
Depreciation	$109,567,082	DepreciationAmt
Book Value	$67,402,299	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,287,641	OtherCostOrOtherBasisAmt
Depreciation	$2,039,509	DepreciationAmt
Book Value	$248,132	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$233,283,090	OtherCostOrOtherBasisAmt
Depreciation	$192,228,787	DepreciationAmt
Book Value	$41,054,303	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,091,010	OtherCostOrOtherBasisAmt
Depreciation	$8,594,174	DepreciationAmt
Book Value	$18,496,836	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$132,233,529	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTIES	$20,772,360
LONG TERM LIABILITY	$2,923,632
CAPITAL LEASE LT LIABILITY	$1,712,077
DUE TO AFFILIATES	$1,223,123
MEDICARE ADVANCE (CARES ACT)	$61,900,061
DEFERRED EMPLOYEE SOCIAL SECURITY	$9,806,022
PENSION LIABILITIES	$153,697

Field	Value	IRS element (for citing)
Total Liability	$98,490,972	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,237,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,286	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,184,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,566,314	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,312,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,253,604	NetCommunityBenefitExpnsAmt
Total Expense	0.08310	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,803,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,365,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,437,925	NetCommunityBenefitExpnsAmt
Total Expense	0.08840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	89309	PersonsServedCnt
Total Community Benefit Expns	$4,860,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,860,177	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	595	PersonsServedCnt
Total Community Benefit Expns	$877,588	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$877,588	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,231,032	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,231,032	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	89904	PersonsServedCnt
Total Community Benefit Expns	$11,968,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,968,797	NetCommunityBenefitExpnsAmt
Total Expense	0.01980	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	89904	PersonsServedCnt
Total Community Benefit Expns	$127,772,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,365,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,406,722	NetCommunityBenefitExpnsAmt
Total Expense	0.10820	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	1654	PersonsServedCnt
Total Community Benefit Expns	$34,052	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,052	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	225	PersonsServedCnt
Total Community Benefit Expns	$130,231	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,231	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	27	PersonsServedCnt
Total Community Benefit Expns	$131,186	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$131,186	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	70	PersonsServedCnt
Total Community Benefit Expns	$197,798	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$197,798	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	1976	PersonsServedCnt
Total Community Benefit Expns	$493,267	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$493,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$34,561,679	BadDebtExpenseAmt
Reimbursed By Medicare	$119,407,244	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$166,885,201	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$47,477,957	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	123	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, section B	FACILITY REPORTING GROUP A CONSISTS OF: FACILITY 1: ST. ANTHONY COMMUNITY HOSPITAL (SACH) FACILITY 2: BON SECOURS COMMUNITY HOSPITAL (BSCH) FACILITY 3: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY (GSH)
Part V, Line 5	Bon Secours Charity Health System (BSCHS) was part of a large collaborative comprised of 17 hospitals and 7 local health departments from the lower Hudson Valley area in New York that directed a comprehensive 7-County Community Health Assessment. The BSCHS Community Engagement Director participated in this collaborative. BSCHS paid $25,000 for its share of the cost of the assessment. The 7-County collaborative hired the research team at Siena College who began the assessment process in November 2017 which continued through 2019. They conducted a random sample community health survey which resulted in the Mid-Hudson Region Community Health Assessment 2019-2021 (CHNA). The survey was designed to collect information around several priorities identified by the New York State Department of Health's Prevention Agenda 2019-2024 and to inform future health improvement efforts within the 7-County area. Survey data collection, analysis, and charting were provided by the team from Siena College Research Institute (SCRI). SCRI administered a random digit dial survey by phone which took place between April and September of 2018, utilizing both landline and mobile phone numbers to reach respondents. Results were then weighted by gender, age, race, and region according to the U.S. Census 2010. THE REGIONAL COMMUNITY HEALTH ASSESSMENT SURVEY COLLECTED RESPONSES FROM 5,372 RESIDENTS OF THE MID-HUDSON REGION. THIS SURVEY WAS CONDUCTED BY RANDOM DIGIT DIAL IN ORDER TO GAUGE THE PERCEPTION OF RESIDENTS SURROUNDING HEALTH AND RESOURCES IN THEIR COMMUNITIES. TO FURTHER SUPPLEMENT THE DATA COLLECTED, MEMBERS OF THE REGIONAL COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE HELD 12 FOCUS GROUPS WITH SERVICE PROVIDERS TO UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND UNDERREPRESENTED POPULATIONS, AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. Prior to holding the focus groups, a Stakeholder Interview Form was sent to providers to supply additional insight on local factors influencing community health. This survey covered several topics, including the populations served; issues affecting health in the communities; health barriers; and interventions used to address social determinants of health. Throughout the seven counties, 285 surveys were completed by service providers. The responses varied throughout each county, and the differences were addressed in the focus groups. The data from the CHNA, Stakeholder Interview forms, and focus groups, along with Behavioral Risk Factor Surveillance System (BRFSS) data, was presented to audiences in both Rockland and Orange counties. The Rockland County Community Health Forum was held in June of 2019 and 60 local health/human services providers and Community Based Organizations (CBOs) assisted in the selection of Rockland County's community health focus areas. The Orange County Community Health Priority Selection Summit was also held in June of 2019 where more than 100 participants assisted with the selection of Orange County's community health focus areas. IN 2020, THE WORK OUTLINED IN THE IMPLEMENTATION PLANS FOR THE 2019 - 2021 CHNAS FOR GOOD SAMARITAN HOSPITAL, ST. ANTHONY COMMUNITY HOSPITAL, AND BON SECOURS COMMUNITY HOSPITAL CONTINUED TO MOVE FORWARD. STAFF AT ALL 3 HOSPITALS CONTINUED THE CANCER SCREENING PROGRAMS, FOOD INSECURITY SCREENING AND REFERRALS, TOBACCO CESSATION EDUCATION, AND SEXUALLY TRANSMITTED INFECTION EDUCATION AND SCREENINGS. THE COVID-RELATED SHUT DOWN IMPACTED ONE OF OUR COMMUNITY PARTNERS FOR THE SUBSTANCE ABUSE REFERRAL PROGRAM BUT PROGRESS IS BEING MADE WITH A NEW COMMUNITY AGENCY PARTNER.
Part V, Line 6a	The following hospitals within Bon Secours Charity Health System conducted a joint Community Health Needs Assessment (CHNA): Good Samaritan Hospital of Suffern, NY (GSH); St. Anthony Community Hospital (SACH); Bon Secours Community Hospital (BSCH).
Part V, Line 7	THE CHNA'S ARE WIDELY AVAILABLE TO THE PUBLIC. THE CHNA'S ARE EASILY ACCESSIBLE ON THE BSCHS WEBSITE: https://www.bschs.org/community-health-needs-assessment1 PART V, LINE 7D THE CHNA FOR EACH HOSPITAL WAS DISTRIBUTED AT VARIOUS COMMUNITY EVENTS. COPIES WERE PROVIDED TO VARIOUS COMMUNITY MEMBERS AND GROUPS. ADDITIONALLY, THE CHNA'S AND THE NEW YORK STATE COMMUNITY SERVICE PLANS ARE POSTED ON THE BSCHS WEBSITE. PART V, LINE 10 THE BSCHS IMPLEMENTATION STRATEGY PLAN WAS ADOPTED IN 2019 AND IS POSTED ON THE WEBSITE: https://www.bschs.org/community-health-needs-assessment1
Part V, Line 11	THE BON SECOURS CHARITY HEALTH SYSTEM'S INDIVIDUAL HOSPITAL 2019 - 2021 CHNA IMPLEMENTATION PLANS WERE DEVELOPED BY USING EVIDENCE BASED INTERVENTIONS, AS RECOMMENDED BY THE NYS PREVENTION AGENDA 2019 - 2024. THE OVERARCHING STRATEGY OF THE NYS PREVENTION AGENDA IS TO IMPLEMENT PUBLIC HEALTH APPROACHES THAT IMPROVE THE HEALTH AND WELL-BEING OF ENTIRE POPULATIONS AND ACHIEVE HEALTH EQUITY. THIS STRATEGY INCLUDES AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTH, DEFINED BY HEALTHY PEOPLE 2020, AS THE CONDITIONS IN THE ENVIRONMENT IN WHICH PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS. THE PREVENTION AGENDA ALSO FORMS THE IMPORTANT FRAMEWORK THROUGH WHICH COMMUNITY HEALTH NEEDS ARE PRIORITIZED. THE PREVENTION AGENDA'S FIVE PRIORITY AREAS SERVE AS THE BLUEPRINT FOR STATE AND LOCAL ACTION TO IMPROVE THE HEALTH OF NEW YORKERS. AS PER THE NYSDOH REQUIREMENTS, EACH HOSPITAL MUST CHOOSE A MINIMUM OF TWO HEALTH GOALS TO ADDRESS FROM AMONG THE FOLLOWING FIVE PRIORITY AREAS: . PREVENT CHRONIC DISEASES . PROMOTE A HEALTHY AND SAFE ENVIRONMENT . PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN . PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS . PREVENT COMMUNICABLE DISEASES IN PARTNERSHIP WITH THE ROCKLAND COUNTY HEALTH DEPARTMENT, ROCKLAND COUNTY HOSPITALS, HEALTH AND HUMAN SERVICE AGENCIES, GOOD SAMARITAN HOSPITAL HAS CHOSEN THE FOLLOWING PREVENTION AGENDA GOALS TO WORK TOWARDS OVER THE NEXT THREE YEARS: 1. INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCERS 2. PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS IN PARTNERSHIP WITH THE ORANGE COUNTY HEALTH DEPARTMENT, ORANGE COUNTY HOSPITALS, AND HEALTH AND HUMAN SERVICE AGENCIES, BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL HAVE CHOSEN THE FOLLOWING PREVENTION AGENDA GOALS TO WORK TOWARDS OVER THE NEXT THREE YEARS: 1. PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS BY YOUTH AND YOUNG ADULTS 2. PROMOTE TOBACCO USE CESSATION 3. INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCERS 4. REDUCE THE ANNUAL RATE OF GROWTH FOR SEXUALLY TRANSMITTED INFECTIONS 5. INCREASE FOOD SECURITY ALL THREE HOSPITALS WITHIN THE BON SECOURS CHARITY HEALTH SYSTEM HAVE CHOSEN TO INCREASE CANCER SCREENING RATES AS ONE OF OUR COMMUNITY HEALTH GOALS. TO ACHIEVE THIS, EMPLOYEE TEAMS HAVE CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. CONDUCT COMMUNITY EDUCATION SESSIONS ON THE NEED FOR CANCER SCREENINGS AT LOCAL LIBRARIES, SENIOR CENTERS, AND COMMUNITY EVENTS 2. DEVELOP A CONSISTENT MESSAGE ACROSS ALL ENTITIES TO INCREASE CANCER SCREENINGS, ESPECIALLY DURING AWARENESS MONTHS FOR BREAST, CERVICAL AND COLORECTAL CANCERS 3. EVALUATE HOW PATIENTS HAVE FOUND CANCER SCREENINGS THROUGH SURVEYS (I.E. NEWSPAPER, MAILINGS, FLYERS, WORD OF MOUTH, SOCIAL MEDIA OR OTHER) TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS, GOOD SAMARITAN HOSPITAL HAS CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. DEVELOP INTERNAL POLICIES/PROCEDURES FOR INITIATION OF BUPRENORPHINE ADMINISTRATION IN EMERGENCY DEPARTMENT (ED) 2. DEVELOP CONTRACTS WITH PEER SERVICES FOR WARM HAND OFF FOR CONTINUED CARE 3. DEVELOP INTERNAL POLICIES/PROCEDURES FOR DISTRIBUTION OF NALOXONE KITS IN ED BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL HAVE BOTH CHOSEN TO REDUCE THE ANNUAL RATE OF GROWTH FOR SEXUALLY TRANSMITTED INFECTIONS (STI) AS ONE OF OUR COMMUNITY HEALTH GOALS. TO ACHIEVE THIS, BOTH HOSPITALS WILL IMPLEMENT THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. PARTNER WITH LOCAL HEALTH DEPARTMENT TO EDUCATE EMERGENCY DEPARTMENT PHYSICIANS AND OTHER CLINICAL STAFF ON THE IMPORTANCE OF SCREENING AND TESTING FOR STI 2. INCREASE CLINICALLY APPROPRIATE STI SCREENING, TESTING, AND TREATMENT FOR PATIENTS IN EMERGENCY DEPARTMENT TO PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS BY YOUTH AND YOUNG ADULTS, AND TO PROMOTE TOBACCO USE CESSATION, BON SECOURS COMMUNITY HOSPITAL HAS CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. CREATE A MEDIA CAMPAIGN INCLUDING POSTERS AND ADVERTISEMENTS ABOUT THE DANGERS OF TOBACCO USE AND VAPING 2. PROVIDE COMMUNITY PRESENTATIONS ON THE EFFECTS OF SMOKING AND VAPING TO HIGH SCHOOL AGE STUDENTS 3. EDUCATE THE COMMUNITY ABOUT MEDICAID BENEFITS TO ASSIST WITH SMOKING CESSATION 4. HOST FREEDOM FROM SMOKING CLASSES ST. ANTHONY COMMUNITY HOSPITAL WILL WORK TOWARDS INCREASING FOOD SECURITY BY IMPLEMENTING THESE EVIDENCE-BASED INTERVENTIONS: 1. DEVELOP STANDARDIZED DEFINITION AND SCREENING QUESTIONS TO IDENTIFY FOOD INSECURITY FOR ALL INPATIENTS 2. CREATE INTERNAL PROCESS FOR ACTIVE CONNECTION OF FOOD TO INSECURE PATIENTS TO GOVERNMENT-ASSISTED FOOD SOURCES, I.E. WIC AND SNAP GOOD SAMARITAN HOSPITAL, BON SECOURS COMMUNITY HOSPITAL, AND ST. ANTHONY COMMUNITY HOSPITAL HAVE CHOSEN SPECIFIC PREVENTION AGENDA GOALS BASED ON OUR INTERNAL RESOURCES, EXPERTISE, AND THE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY MEMBERS. WITH RESPECT TO THE PREVENTION AGENDA GOALS THAT OUR HOSPITALS HAVE NOT SPECIFICALLY CHOSEN TO ADDRESS, WE WILL SUPPORT THE EFFORTS OF COMMUNITY ORGANIZATIONS THAT ARE UNIQUELY QUALIFIED TO MEET VARIOUS AND SPECIFIC HEALTH GOALS. GOOD SAMARITAN HOSPITAL IS LOCATED IN ROCKLAND COUNTY, NY AND BOTH BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL ARE LOCATED IN ORANGE COUNTY, NY. BOTH COUNTIES HAVE EXTENSIVE NETWORKS OF HEALTH AND HUMAN SERVICE AGENCIES AND COMMUNITY BASED ORGANIZATIONS. WITHIN ROCKLAND AND ORANGE COUNTIES, THERE ARE EIGHT HOSPITALS, HUNDREDS OF MEDICAL PROVIDERS, SEVERAL TWO-YEAR AND FOUR-YEAR COLLEGES, A MEDICAL SCHOOL, AND SEVERAL LARGE FEDERALLY QUALIFIED HEALTH CENTERS. THE FOLLOWING AGENCIES AND COALITIONS ARE UNIQUELY POSITIONED TO SERVE AS COMMUNITY RESOURCES TO MEET BOTH SPECIFIC AND DIVERSE COMMUNITY NEEDS: ACCESS SUPPORTS FOR LIVING, ACTION TOWARD INDEPENDENCE, ALCOHOLISM & DRUG ABUSE COUNCIL, THE ARC OF ORANGE COUNTY AND ROCKLAND COUNTY, BIKUR CHOLIM, CATHOLIC CHARITIES, CENTER FOR SAFETY AND CHANGE, COMMUNITY COLLABORATIVES IN WESTERN RAMAPO, SPRING VALLEY, HAVERSTRAW AND NYACK, CORNERSTONE FAMILY HEALTHCARE, DISPUTE RESOLUTION CENTER, EPILEPSY SOCIETY OF SOUTHERN NEW YORK, EZRAS CHOILIM HEALTH CENTER, FARMWORKERS COMMUNITY CORP., HACSO COMMUNITY CENTER, HIGHLAND REHABILITATION AND NURSING CENTER, HUDSON RIVER HEALTHCARE, HUDSON VALLEY PERINATAL NETWORK, IMMIGRATION COALITION OF ROCKLAND, INDEPENDENT LIVING, INC., INSPIRE, JAWONIO, JEWISH FAMILY SERVICES, KONBIT NEG LAKAY, LEGAL SERVICES OF THE HUDSON VALLEY, MATERNAL-INFANT SERVICES NETWORK, MENTAL HEALTH ASSOCIATION OF ORANGE AND ROCKLAND, NAMI ORANGE AND ROCKLAND, ORANGE COUNTY AND ROCKLAND COUNTY DEPARTMENTS OF HEALTH AND MENTAL HEALTH, PEOPLE TO PEOPLE, POW'R AGAINST TOBACCO, RECAP, INC., REFUAH HEALTH CENTER, REHABILITATION SUPPORT SERVICES, INC., RESTORATIVE MANAGEMENT CORP., ROCKLAND PRIDE CENTER, SAFE HARBORS OF THE HUDSON, INC., SAFE HOMES OF ORANGE COUNTY, UNITED WAY OF ROCKLAND, UNITED WAY OF THE DUTCHESS-ORANGE REGION, AND VCS, INC.
Part V, Line 13h	Patients above the 500% Federal Poverty Guidelines are eligible for the lower of the 60% discount on total charges or the Medicare FFS rate, after they have paid the required out of pocket expense of 20% of family income. Part V, Line 15e BSCHS provides financial assistance outreach services to all patients who do not have insurance. The service provider explains the options for federal and state financial assistance and provides assistance in filling out all required applications, including an application for Charity Care. The service provider reaches out to all patients who do not have insurance, either by meeting with patients who are still at the Hospital OR reaching out to those discharged. contact information is also provided on the FINANCIAL ASSISTANCE POLICY summary and on our Charity Care application for patient convenience.
Part V, Lines 16a, 16b AND 16C	The financial assistance policy (FAP), FAP application and plain language summary can be found at the following websites: http://bschs.bonsecours.com/bsch/billing-insurance-and-financial-assistanc e.aspx http://bschs.bonsecours.com/gsh/billing-insurance-and-financial-assistance .aspx http://bschs.bonsecours.com/sach/billing-insurance-and-financial-assistanc e.aspx
Part V, Line 16J	In addition to the methods reported on lines 16a through 16i, brochures are available at the time of registration, and onsite counselors and hospital paid eligibility vendor staff are available to assist patients. All billing statements also include information regarding the FAP and the eligibility vendor contacts all uninsured patients to determine the patient's eligibility for all Federal and State financial assistance programs including Charity Care.

Field	Value	IRS element (for citing)
Facility	57	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (57 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
THE AMBULATORY SURGERY CENTER
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	AMBULATORY SURGERY CENTER
GOSHEN MEDICAL ASSOCIATES
70 HATFIELD LANE SUITE 101	GOSHEN	NY	10924	INTERNAL MEDICINE
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
2 CROSFIELD AVENUE	WEST NYACK	NY	10994	PULMONOLOGY
GOOD SAMARITAN HOME CARE
90 CRYSTAL RUN ROAD	WALLKILL	NY	10941	HOME CARE
GOOD SAMARITAN HOME CARE
1 CROSFIELD AVENUE SUITE 202	WEST NYACK	NY	10994	HOME CARE
CENTER FOR PHYSICAL REHABILITATION
70 HATFIELD LANE	GOSHEN	NY	10924	OUTPATIENT PHYSICAL THERAPY
CARDIOLOGY CONSULTANTS-STONY POINT
12 LIBERTY SQUARE MALL	STONY POINT	NY	10980	CARDIOLOGY
METROPOLITAN CARDIOLOGY CONSULTANTS SUFF
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
BON SECOURS NEUROLOGY
100 ROUTE 59	SUFFERN	NY	10901	NEUROLOGY
RAMAPO VALLEY SURGICAL ASSOCIATES
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	OUTPATIENT AMBULATORY SURGERY
RAMAPO VALLEY SURGICAL ASSOCIATES
10 LIBERTY SQUARE MALL	STONY POINT	NY	10980	OUTPATIENT AMBULATORY SURGERY
WOMEN'S IMAGING CENTER
26 FIREMANS MEMORIAL DRIVE	PAMONA	NY	10970	INTERNAL MEDICINE
HUDSON VALLEY MEDICAL ASSOCIATES
26 FIREMANS MEMORIAL DRIVE	PAMONA	NY	10924	INTERNAL MEDICINE IMAGING CENTER
CENTER FOR PHYSICAL REHABILITATION
153 SOUTH ROUTE 94	WARWICK	NY	10990	OUTPATIENT REHAB
BON SECOURS UROLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	UROLOGY
METROPOLITAN CARDIOLOGY CONSULTANTS GOSH
30 HATFIELD LANE	GOSHEN	NY	10924	CARDIOLOGY
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	PULMONOLOGY
Nanuet Medical
36 College Ave	Nanuet	NY	10954	INTERNAL MEDICINE
MONSIGNOR PATRICK J FRAWLEY MENTAL HEALT
3 CAMPBELL AVENUE	SUFFERN	NY	10901	MENTAL HEALTH
MOB PORT JERVIS PRIMARY
161 EAST MAIN STREET	PORT JERVIS	NY	12771	PRIMARY CARE
ROCKLAND HEART & VASCULAR ASSOCIATES
972 ROUTE 45 SUITE 103	PAMONA	NY	10970	CARDIOLOGY
CARDIOLOGY CONSULTANTS-WEST NYACK
505 ROUTE 208	MONROE	NY	10950	INTERNAL MEDICINE
PORT JERVIS GASTROENTEROLOGY
39 EAST MAIN STREET	PORT JERVIS	NY	12771	GASTROENTEROLOGY
BON SECOURS MEDICAL GROUP
15 MAPLE AVENUE	WARWICK	NM	10990	INTERNAL MEDICINE
MONROE INTERNAL MEDICINE
505 ROUTE 208	MONROE	NY	10950	INTERNAL MEDICINE
ST ANTHONY SLEEP DISORDER INSTITUTE
74 NORTH MAIN STREET	FLORIDA	NY	10921	SLEEP LAB
Bon Secours Medical Group
60 Dutch Hill Rd	Orangeburg	NY	10962	INTERNAL MEDICINE/SPECIALTY
MAHWAH MEDICAL
10 FRANKLIN TURNPIKE	MAHWAH	NJ	07430	INTERNAL MEDICINE
ROCKLAND HEART & VASCULAR ASSOCIATES
2 EXECUTIVE BOULEVARD SUITE 406	SUFFERN	NY	10901	CARDIOLOGY
GOSHEN PRIMARY CARE PHYSICIANS
1 HATFIELD LANE	GOSHEN	NY	10924	PRIMARY CARE
MEHTA PULMONARY
55 OLD NYACK TURNPIKE	NANUET	NY	10954	PULMONOLOGY
FIRST CARE PHYSICIAN ASSOCIATES
505 ROUTE 208	MONROE	NY	10950	PRIMARY CARE
GOPAL SHAH MD
33 DELAWARE STREET	PORT JERVIS	NY	12771	PRIMARY CARE
ALAM PCP
906 PENNSYLVANIA AVENUE	MATAMORAS	PA	18336	PRIMARY CARE
BON SECOURS MEDICAL GROUP
2 EXECUTIVE BOULEVARD SUITE 406	SUFFERN	NY	10901	PRIMARY CARE
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
27 LIBERTY SQUARE MALL	STONY POINT	NY	10980	PULMONOLOGY
PRIMARY MEDICAL CARE ROCKLAND
124 EAST RAMAPO ROAD SUITE 4	GARNERVILLE	NY	10923	PRIMARY CARE
Warwick Family Practice
214 West Street	Warwick	NY	10990	INTERNAL MEDICINE
LAFAYETTE MEDICAL-GASPARE POLIZZI
599 STATE ROUTE 32	HIGHLAND MILLS	NY	10930	PRIMARY CARE
LUTWAK CARDIOLOGY
505 ROUTE 208	MONROE	NY	10950	CARDIOLOGY
LUTWAK CARDIOLOGY
4 SOUTH AIRMONT ROAD	SUFFERN	NY	10901	CARDIOLOGY
ROCKLAND HEART & VASCULAR ASSOCIATES
79 ROUTE 59 SUITE 5	SUFFERN	NY	10901	CARDIOLOGY
PORT JERVIS INTERNAL
32 CANAL ST	PORT JERVIS	NY	12771	INTERNAL MEDICINE
GEORGE COX MD
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	PRIMARY CARE
BYADGI PRIMARY CARE
601 BROAD STREET	MILFORD	PW	18337	PRIMARY CARE
YACOV TENDLER MD
257 LAFAYETTE AVENUE	PORT JERVIS	NY	12771	CARDIOLOGY
BON SECOURS MEDICAL GROUP
5 SKINNER STREET	PORT JERVIS	NY	12771	CARDIOLOGY
BON SECOURS MEDICAL GROUP
500 NEW HEMPSTEAD ROAD	NEW CITY	NY	10956	INTERNAL MEDICINE
NEPHROLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	NEPHROLOGY
BON SECOURS COMMUNITY SLEEP DISORDER INS
30 CANAL ST STE 2	PORT JERVIS	NY	12771	SLEEP LAB
CARDIOLOGY CONSULTANTS-RAMSEY
27 SOUTH FRANKLIN TURNPIKE	RAMSEY	NJ	07446	CARDIOLOGY
RAINFORD CARDIOLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10990	CARDIOLOGY
NEPHROLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10990	NEPHROLOGY
NORTH ROCKLAND MEDICAL ASSOCIATES
71 SOUTH ROUTE 9W	WEST HAVERSTRAW	NY	10993	PRIMARY CARE
MONROE PRIMARY CARE
745 ROUTE 17M	MONROE	NY	10950	PRIMARY CARE
BON SECOURS MEDICAL GROUP
104 BENNETT AVENUE	MILFORD	PA	18337	INTERNAL MEDICINE
GOOD SAMARITAN HOME CARE
120 WHITE PLAINS ROAD 4TH FL	TARRYTOWN	NY	10591	HOME CARE

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7A	CHARITY CARE AT COST IS COMPUTED BY APPLYING THE COST-TO-CHARGE RATIO TO THE AGGREGATE CHARITY ADJUSTMENTS. PART I, LINE 7B UNREIMBURSED MEDICAID IS COMPUTED BY DETERMINING THE COST OF MEDICAID SERVICES LESS PAYMENTS RECEIVED FOR THESE SERVICES. TO DETERMINE THE COST OF MEDICAID SERVICES PROVIDED, A COST-TO-CHARGE RATIO IS APPLIED TO TRADITIONAL AND MANAGED MEDICAID GROSS CHARGES. PAYMENTS INCLUDE PAYMENTS FOR INDIVIDUAL CLAIMS, PAYMENTS FROM THE MEDICAID PROGRAM PAID OUTSIDE THE CLAIM PROCESS (SUCH AS MEDICAL EDUCATION PAYMENTS) AND EXPECTED OR ACTUAL COST REPORT SETTLEMENTS. PART I, LINE 7C UNREIMBURSED COSTS FROM OTHER MEANS-TESTED GOVERNMENT PROGRAMS ARE COMPUTED BY APPLYING A COST-TO-CHARGE RATIO TO THE TOTAL CHARGES TO PATIENTS COVERED UNDER THESE PROGRAMS. THE CHARGES ARE IDENTIFIED BY THE FINANCIAL CLASS ASSIGNED TO THE PATIENT. PART I, LINE 7 A-C COMPUTATIONS THE COST-TO-CHARGE RATIO IS DERIVED USING THE SUGGESTED COMPUTATION IN WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OPERATING EXPENSES AND GROSS PATIENT CHARGES ARE TAKEN FROM THE GENERAL LEDGER, EXPENSES FOR NONPATIENT CARE ACTIVITIES RECORDED IN OPERATING EXPENSES ARE APPROXIMATED AS DIRECTLY EQUALING OTHER OPERATING REVENUE. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ARE ACCUMULATED THROUGHOUT THE YEAR AND REPORTED AT ACTUAL COST IN A SOFTWARE PROGRAM THAT SPECIFICALLY ADDRESSES THIS PURPOSE. AS A RESULT OF THE COVID-19 PANDEMIC, BSCHS INITIATED THE FOLLOWING PROGRAMS: PHYSICIAN LIAISON SERVICE AS CASES BEGAN IN THE REGION, BSCHS MADE GRADUAL CHANGES TO VISITATION POLICIES, ULTIMATELY RESULTING IN NO VISITORS ON SITE, EXCEPT PEDIATRICS AND END-OF-LIFE CIRCUMSTANCES. BSCHS LAUNCHED A PHYSICIAN LIAISON SERVICE WHERE COMMUNICATION WITH FAMILY MEMBERS WAS ACCOMPLISHED THROUGH THE FAMILY FIRST CELL PHONE APPLICATION. THIS APPLICATION ALLOWED FOR ONE WAY TEXTING OF PATIENT STATUS UPDATES TO SELECTED FAMILY MEMBERS. THIS PROVIDED GREAT COMFORT TO OUR PATIENT'S FAMILIES AND DECREASED CALLS TO OUR NURSES AND DOCTORS, THUS ALLOWING THEM TO CONTINUE TO PROVIDE CARE TO OUR PATIENTS IN NEED. COVID TESTING SITES SHORTLY AFTER THE PANDEMIC BEGAN, BSCHS SET UP COVID TESTING SITES AT EACH OF THE HOSPITAL LOCATIONS AS WELL AS VARIOUS LOCATIONS THROUGHOUT ROCKLAND AND ORANGE COUNTIES. THESE DRIVE THRU AND WALK UP TESTING SITES WERE PROVIDED TO THE COMMUNITIES AT NO COST TO THE PATIENT. MEAL TRAIN PROGRAM TO PREPARE FOR COVID-19 SURGES REGIONALLY, NYS ISSUED NY PAUSE, WHICH MANDATED RESTAURANTS TO OPERATE FOR DELIVERY AND TAKEOUT ONLY. WITH ON-SITE DINING UNAVAILABLE AND LOCAL BUSINESSES CLOSED WITH WORK-FROM-HOME OPERATIONS, THE RESTAURANT INDUSTRY WAS FACING SIGNIFICANT ECONOMIC CHALLENGES. TO SUPPORT OUR LOCAL COMMUNITY BUSINESSES, BSCSH PARTICIPATED IN THE MEAL TRAIN PROGRAM. ENGAGEMENT IN THIS PROGRAM PROVIDED THE COMMUNITY AN OPPORTUNITY TO SUPPORT FRONT LINE STAFF AS WELL AS LOCAL RESTAURANTS. THE PROGRAM PROVIDED APPROXIMATELY 23,000 MEALS AND GENERATED AN ESTIMATED $320,000 INTO THE LOCAL ECONOMY. PART I, LINE 7F HEALTH PROFESSIONS EDUCATION COST IS DETERMINED AS THE DIRECT AND INDIRECT COST OF QUALIFYING EDUCATION ACTIVITIES AS TRADITIONALLY REPORTED IN COLUMNS 21-24 ON WORKSHEET B OF THE MEDICARE COST REPORT AS A MEDICAL EDUCATION PROGRAM OR OTHER ALLIED HEALTH PROGRAM. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES DURING 2020, BSCHS RECEIVED FUNDING OF APPROXIMATELY $90.5 MILLION THROUGH THE PROVIDER RELIEF FUND ESTABLISHED BY THE CARES ACT AND ADMINISTERED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE AMOUNTS RECEIVED WERE INCLUDED IN NONOPERATING ACTIVITIES IN THE STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET POSITION. PART I, LINE 7 THE FOLLOWING CHARITY CARE PERCENTAGES HAVE BEEN DERIVED BY ONLY INCLUDING HOSPITAL EXPENSES: Percent of total expense Line 7a: 0.66 Line 7b: 10.36 Line 7d: 11.02 Line 7e: 1.00 Line 7f: 0.18 LINE 7G: 1.28 Line 7j: 2.47 Line 7k: 13.49 Part II, Community Building Activities BSCHS WAS ACTIVELY ENGAGED IN COMMUNITY BUILDING ACTIVITIES WHICH PROMOTED THE HEALTH OF THE COMMUNITIES THROUGHOUT ITS SERVICE AREA. BSCHS HAS A DEDICATED COMMUNITY ENGAGEMENT DEPARTMENT WHICH EVALUATES, PLANS, AND IMPLEMENTS COMMUNITY HEALTH AND EDUCATION PROGRAMS, BASED ON COMMUNITY NEED AS WELL AS REQUESTS FOR PROGRAMS ON SPECIFIC TOPICS. IN EARLY 2020, SEVERAL SUPPORT GROUPS MET MONTHLY IN THE BSCHS FACILITIES AND AN ADDITIONAL GROUP, SPONSORED BY BSCHS, MET AT AN OFF-SITE LOCATION. HOWEVER, AS THE PANDEMIC CAUSED US TO SHUT DOWN IN PERSON MEETINGS, SEVERAL OF OUR SUPPORT GROUPS TRANSITIONED TO MEETING VIRTUALLY THROUGH THE USE OF ZOOM OR WEBEX. AS THE ABILITY TO SEND SPEAKERS INTO THE COMMUNITY CAME TO A HALT, THE BSCHS HEALTHCARE SPEAKERS' BUREAU WAS ABLE TO OFFER VIRTUAL HEALTH EDUCATION TO THE COMMUNITY. SINCE THEN, VIRTUAL HEALTH PROGRAMS HAVE BECOME VERY POPULAR AND HAVE ALLOWED OUR HEALTH EXPERTS TO REACH LARGER AUDIENCES. WE CONTINUE TO EDUCATE THE COMMUNITY ON BROAD TOPICS SUCH AS CARDIAC HEALTH, ORTHOPEDICS, WOMEN'S HEALTH, OBESITY, STROKE, DIABETES, WOUND CARE, TRAUMA PREVENTION, ASTHMA, SENIOR SERVICES, MEN'S HEALTH, NUTRITION, MEDICATION MANAGEMENT, ETC. IN PORT JERVIS, LOCATED IN ORANGE COUNTY, NY, BSCH IS CONTINUING TO TRANSFORM THE DELIVERY OF HEALTHCARE THROUGH ITS BUILDING HEALTHY COMMUNITIES INITIATIVES AND ITS TRANSFORMATIVE MEDICAL VILLAGE PROJECT. THROUGHOUT 2020, BSCH HAS WORKED TO ADVANCE THIS PHYSICAL PLANT MODERNIZATION AND RENOVATION PROJECT BY BEGINNING CONSTRUCTION OF A NEW LABORATORY, BARIATRIC UNIT, AND PHASE 1 OF A 10,000 SQUARE FOOT EMERGENCY DEPARTMENT. THIS INITIATIVE WILL PROVIDE SIGNIFICANT AND MUCH NEEDED IMPROVEMENTS NECESSARY TO IMPLEMENT BSCH'S INNOVATIVE DSRIP-RELATED EFFORTS TO INCREASE THE BREADTH OF THE OUTPATIENT DELIVERY SYSTEM IN WESTERN ORANGE COUNTY THROUGH THE CREATION OF A MEDICAL VILLAGE. BUILDING UPON BSCH'S IN-PATIENT REDUCTION AND RECONFIGURATION EXPERIENCE THROUGH THE HEAL-NY PROGRAM AND LEVERAGING VALUE-BASED PURCHASING EFFORTS, THE MEDICAL VILLAGE WILL IMPROVE THE QUALITY, SAFETY, EFFECTIVENESS AND EFFICIENCY OF CARE DELIVERY TO THE MORE THAN 80,000 MEDICAID BENEFICIARIES IN ORANGE COUNTY AND ENSURE THAT BSCH IS ON A SUSTAINABLE PATH. BSCH WAS AWARDED $24.5 MILLION IN CAPITAL RESTRUCTURING FINANCING PROGRAM ("CRFP") GRANT FUNDS TO UNDERTAKE THIS MAJOR PROJECT, WHICH INCLUDED SEVERAL OF THE DSRIP PROJECT AREAS SUCH AS CARE TRANSITIONS INTERVENTION TO REDUCE 30 DAY READMISSIONS FOR CHRONIC HEALTH CONDITIONS, INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH, COMMUNITY CRISIS STABILIZATION SERVICES, IMPLEMENTATION OF EVIDENCE-BASED STRATEGIES IN THE COMMUNITY TO ADDRESS CHRONIC DISEASE, SUCH AS DIABETES AND ASTHMA. IMPLEMENTATION OF THESE PROJECTS IS ACHIEVED THROUGH INCREASED ACCESS TO PRIMARY CARE, OUTPATIENT SERVICES, AND AN EXPANSION OF COMMUNITY SERVICES. THE TOTAL ANTICIPATED PROJECT COST FOR THIS PROJECT IS $41.5 MILLION WHICH WILL BE FUNDED IN PART BY CAPITAL RESTRUCTURING FINANCE PROGRAM (CRFP) GRANT FUNDS ($24.5 MILLION). PLANNING AND COLLABORATION FOR BSCH'S MEDICAL VILLAGE HAS BEEN ONGOING WITH STAKEHOLDERS AND COMMUNITY ORGANIZATIONS. THE PARTICIPATORY DEVELOPMENT PROCESS RESULTED IN A PLAN THAT INCLUDED A STRATEGY TO REDUCE 25 STAFFED BEDS AND DECERTIFY 36 LICENSED BEDS THAT PRESERVES CRITICAL SAFETY-NET CAPACITY AND CREATES NEW SPACE FOR A RANGE OF AMBULATORY CARE AND SOCIAL SERVICES. KEY PARTNERS INCLUDE: WESTCHESTER MEDICAL CENTER, BON SECOURS MEDICAL GROUP, CATHOLIC CHARITIES, EASTER SEALS, THE MATERNAL-INFANT SERVICES NETWORK, SHOPRITE SUPER MARKET, NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, ORANGE COUNTY DEPARTMENT OF HEALTH, ORANGE COUNTY DEPARTMENT OF MENTAL HEALTH, PORT JERVIS COMMUNITY GARDEN, EMPOWERING PORT JERVIS, PORT JERVIS LIBRARY, THE SALVATION ARMY, SUNY COMMUNITY COLLEGES, AND 1199SEIU WORKFORCE. WHEN COMPLETE, THE BON SECOURS COMMUNITY HOSPITAL MEDICAL VILLAGE PROJECT WILL ADD EXPANDED ACCESS TO PRIMARY CARE, A NEW OBSERVATION UNIT AND EMERGENCY ROOM DIVERSION PROGRAM, RADIOLOGY DEPARTMENT, WELLNESS AREA WITH HEALTH AND NUTRITIONAL PROGRAMMING, ENHANCED CARE COORDINATION BY SUPPORTING PRACTICES THAT MEET THE NCQA PCMH LEVEL 3 ACCREDITATION, CO-LOCATED BEHAVIORAL HEALTH PROVIDERS AND COMMUNITY BASED ORGANIZATIONS TO DELIVER VITAL DISEASE MANAGEMENT AND PREVENTION. IN ADDITION, CONNECTING BSCH TO HEALTHLINKNY, WHICH OFFERS ELECTRONIC ACCESS TO PATIENTS' COMMUNITY-WIDE HEALTH RECORDS, WILL SERVE AS THE REGION'S ACCESS POINT TO THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY), SUPPORTING COLLABORATION BETWEEN HEALTHCARE PROVIDERS ACROSS THE STATE. AS OF DECEMBER 31, 2020, CONSTRUCTION WAS COMPLETED FOR THREE NEW CLINICAL AREAS: A NEW MEDICAL/SURGICAL UNIT WITH ALL PRIVATE ROOMS; A NEW LABORATORY AND PHASE 1 OF THE NEW EMERGENCY DEPARTMENT. CONSTRUCTIONS IS EXPECTED TO BE COMPLETED FOR PHASE II LABORATORY; EMERGENCY DEPARTMENT/FAST TRACK; IMAGING; EMERGENCY DEPARTMENT ENTRANCE AND MAIN L
PART III, LINE 2	BAD DEBT EXPENSE INCLUDES: 1) ACTUAL WRITE OFFS OF DISCOUNTED GROSS CHARGES WHERE IT IS DETERMINED THAT AN UNINSURED PATIENT CAN PAY AND DOES NOT PAY; AND 2) THE ESTIMATED WRITE OFFS FOR UNINSURED PATIENT ACCOUNTS WITH OUTSTANDING BALANCES AFTER DISCOUNT. ESTIMATES ARE BASED ON HISTORICAL COLLECTION RATES. PART III, LINE 3 THE ORGANIZATION DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE ORGANIZATION TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THE ORGANIZATION MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4 PLEASE SEE FOOTNOTE 2 "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE" ON PAGE 19 IN THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ("AFS"), ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN THE SECOND PARAGRAPH OF THE FOOTNOTE.
Part III, Line 8	THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT. THE ORGANIZATION IS ASSUMING A GOVERNMENT BURDEN BY PROVIDING CARE in excess of the revenue. the MEDICARE ALLOWABLE COSTS REFLECTED IN PART III ARE REFLECTED IN the FACILITY'S MEDICARE COST REPORT. THE COST REPORT SEGREGATES THE TOTAL FACILITY ACTUAL EXPENSES INTO COSTS FOR SUPPORT DEPARTMENTS, CLINICAL DEPARTMENTS (ROUTINE AND ANCILLARY) AND NONREIMBURSEABLE DEPARTMENTS. THE COST REPORT USES APPROPRIATE STATISTICAL BASES TO "STEP DOWN" SUPPORT COSTS TO ALLOWABLE CLINICAL AND NONREIMBURSEABLE DEPARTMENTS. THE CHARGES FOR CLINICAL DEPARTMENTS ARE MATCHED TO THE TOTAL COST FOR THESE DEPARTMENTS FOR A COST-TO-CHARGE RATIO.
Part III, Line 9B	THE ORGANIZATION HAS A WRITTEN POLICY THAT DESCRIBES COLLECTION PRACTICES APPLYING TO PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR FULL ASSISTANCE, NO COLLECTION EFFORTS ARE PURSUED ON THAT PATIENT'S ACCOUNT(S). IF PARTIAL ASSISTANCE IS PROVIDED, THE PATIENT IS RESPONSIBLE FOR THE ADJUSTED ACCOUNT BALANCE AND COLLECTION EFFORTS WILL FOLLOW THE ESTABLISHED PRACTICES FOR ALL PATIENTS WHERE A SELF-PAY BALANCE EXISTS. COLLECTION EFFORTS ARE NOT PURSUED ON ANY PENDING FINANCIAL ASSISTANCE PROGRAM ACCOUNT. SPECIFIC CRITERIA EXISTS FOR HOW MUCH FINANCIAL ASSISTANCE, PARTIAL OR TOTAL, WILL BE PROVIDED TO THE PATIENT BASED ON THE ASSESSED NEED. CRITERIA IS BASED ON FEDERAL POVERTY GUIDELINES AND IS REVIEWED AND UPDATED ANNUALLY. ONCE A PATIENT HAS BEEN DEEMED ELIGIBLE FOR THE PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP), THE PATIENT IS NOTIFIED BY LETTER WITHIN 60 DAYS AFTER RECEIPT OF THE APPLICATION AND SUPPORTING DOCUMENTATION. THE PATIENT RETAINS ELIGIBILITY FOR A PERIOD OF TWELVE MONTHS FROM THE DATE OF THE APPLICATION. NOTICE OF THIS ELIGIBILITY IS PROVIDED TO HOSPITAL ADMISSIONS, BILLING AND COLLECTION STAFF BY THE ASSIGNMENT OF A SPECIFIC FINANCIAL CLASS WITH ACCOMPANYING ELIGIBILITY DATES. AT THE END OF THE TWELVE MONTH PERIOD, THE PATIENT IS RESPONSIBLE FOR REAPPLYING FOR FAP ELIGIBILITY. BSCHS's collection policy contains provisions on collection practices which all facilities follow for patients known to qualify for financial assistance. The Charity Care Policy specifically provides the following collection practices: a. Any firm contracted with the hospital for collection purposes shall also provide information to BSCHS patients on how to apply for financial assistance, in accordance with all provisions of this policy. b. Accounts will not be sent to an external collection agency without the patient or his/her designee having an opportunity and adequate time to develop an alternative payment arrangement. Accounts will not be referred for collection while an application for financial assistance is pending. c. All patients will receive a minimum of thirty (30) days written notice on data mailers/billing statements that their account is subject to referral to a collection agency. d. BSCHS will not commence collection activity on any account for which financial assistance has been approved. The application for charity care will include a statement that the patient will not be responsible for any bills until such time that a decision on the application has been made. e. All legal firms and collection agencies with whom BSCHS may contract for collection services conductS all collection activities in accordance with THE ORGANIZATION'S policies and procedures. Further, such firms shall not commence any legal proceedings on an account without the prior written consent of BSCHS. f. BSCHS makeS THE best effort to work with the patient to determine an equitable payment schedule/installment plan for any out-of-pocket expenses, considering the patient's financial and medical circumstances. The monthly payments on any installment plan will not exceed 10% of the patient's gross monthly income and there will be no interest charges on an approved PAYMENT plan. g. BSCHS, including any law firm or collection agency with which it contracts, will not force the sale or foreclose of a patient's primary residence to collect an outstanding bill. h. BSCHS will not pursue collections against any patient who was eligible for Medicaid at the time services were rendered.
Part VI, Line 2	IN ADDITION TO THE CHNA, BSCHS ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGHOUT THE YEAR BY SPEAKING WITH COMMUNITY AGENCY REPRESENTATIVES AND COMMUNITY SERVICE PROVIDERS. THE BSCHS COMMUNITY ENGAGEMENT STAFF WORK DIRECTLY WITH LOCAL UNITED WAYS TO LEARN ABOUT, AND MEET, COMMUNITY NEEDS. IN 2020, A MAJOR FOCUS WAS ON FOOD INSECURITY AND HOSPITAL LEADERSHIP AND STAFF FACILITATED AND PARTICIPATED IN SEVERAL FOOD DRIVES AND PRODUCE DISTRIBUTION EVENTS. ADDITIONALLY, THE FOLLOWING ACTIVITIES AND PROGRAMS THAT BENEFIT THE COMMUNITY CONTINUED IN 2020: GSH CONTINUES TO COLLABORATE WITH THE ROCKLAND PRIDE CENTER, A LOCAL PROVIDER OF SERVICES TO THE LGBTQ COMMUNITY TO IDENTIFY BARRIERS IN ACCESSING HEALTHCARE AND TO UNDERSTAND SPECIFIC HEALTH NEEDS; BSCH STAFF PROVIDED EDUCATION TO THE CENTER FOR DEVELOPMENTAL DISABILITIES STAFF ON INFECTION CONTROL AND PARTICIPATED, EVERY MONTH, IN THE PROJECT DISCOVERY COMMUNITY OUTREACH PROGRAM TO PROVIDE HOUSEHOLD NECESSITIES, FOOD AND CLOTHING TO THOSE IN NEED IN THE COMMUNITY. SACH STAFF BEGAN TO SCREEN INPATIENTS FOR FOOD INSECURITY AND MADE "WARM HAND-OFF" REFERRALS TO LOCAL FOOD SOURCES AND DSS AGENCIES. GSH AND BSCH EACH PROVIDED A DONATION OF 2,000 PAIRS OF SOCKS TO THE ROCKLAND COUNTY WARMING STATION AND THE ORANGE COUNTY VETERANS ASSOCIATION. THE COMMUNITY ENGAGEMENT DIRECTOR PROVIDED OVER 350 FREE SEASONAL FLU SHOTS TO COMMUNITY GROUPS AND EMPLOYERS. BY ACTIVELY PARTICIPATING AND COLLABORATING WITH THESE AGENCIES, ORGANIZATIONS, AND THE COMMUNITY, BSCHS IS ABLE TO OBTAIN INPUT AND INSIGHT ON THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITIES SERVED. ADDITIONALLY, THE BSCHS COMMUNITY ENGAGEMENT TEAM WORKS WITH SEVERAL AREA EMPLOYERS AND SPECIFIC GEOGRAPHICAL AND RELIGIOUS GROUPS TO IDENTIFY PERSONAL HEALTH RELATED NEEDS. BASED ON THESE NEEDS, IN 2020, BSCHS CLINICAL STAFF AND PHYSICIANS PROVIDED CLOSE TO 100 HOURS OF VIRTUAL EDUCATION ON PREVENTIVE HEALTH INTERVENTIONS TO A TOTAL OF OVER 8O0 EMPLOYEES AT THE FOLLOWING WORKSITES: AVON, CLARKSTOWN CENTRAL SCHOOL DISTRICT, DOMINICAN COLLEGE, EAST RAMAPO SCHOOL DISTRICT, EASTWICK COLLEGE, JCC OF ROCKLAND, NORTH ROCKLAND SCHOOL DISTRICT, ORANGE-ULSTER BOCES, PFIZER, INC., PEARL RIVER SCHOOL DISTRICT, RAMAPO COLLEGE, ROCKLAND BOCES, ROCKLAND COMMUNITY COLLEGE, SALVATION ARMY, ST. DOMINIC HOME, ST. THOMAS AQUINAS COLLEGE, SOUTH ORANGETOWN SCHOOL DISTRICT, TD BANK, TOWN OF HAVERSTRAW, TOWN OF ORANGETOWN, TOWN OF RAMAPO, UNEEDA ENTERPRIZES, INC., FARLEY ELEMENTARY SCHOOL, M & T BANK, AND THE VILLAGE OF SUFFERN. AT LEAST ONE OR TWO OF THE FOLLOWING PREVENTIVE HEALTH TOPICS WAS PRESENTED AT EACH WORK SITE: BACK HEALTH AND ERGONOMICS, BENEFITS OF WALKING, BETTER HEARING, BREAST HEALTH, CARDIAC HEALTH & STROKE AWARENESS, CONCUSSION MANAGEMENT, EMERGENCY CARE, FALL PREVENTION, MANAGING STRESS, MANAGING MEDICATIONS, NUTRITION (FOOD LABELING, HEALTHY DINING OUT), SLEEPING HEALTHY, VITAMINS/SUPPLEMENTS, AND WOMEN'S HEART HEALTH. Part VI, Line 3 Patient financial assistance policy is communicated to patients upon scheduling, registration, THROUGH visible postings of the policy in common areas throughout the hospital, brochures at registration and on the Bon Secours website. In addition, patient statements request that patients apply for financial assistance if needed, once any patient financial obligation is determined. BSCHS is committed to ensuring access to health care services for all. As a health care provider, BSCHS treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. BSCHS addresses the needs of the uninsured by providing free or reduced fees FOR hospital services and Is ACTIVELY ENGAGED IN community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. BSCHS proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the BSCHS Patient Financial Assistance Program ("FAP") and assists potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 250% of the Federal Poverty Guidelines ("FPG"). INCOMES UP TO 500% ARE ALSO DISCOUNTED AT THE LOWER PERCENTAGES as indicated in the chart included in the FAP or the AMOUNTS GENERALLY BILLED ("AGB"). BSCHS offers 100% charity care to its patients with income up to 250% of the FPG. Patients with income between 251% - 350% of the FPG are offered the lower of a 50% reduction of total charges or the APG (the Medicare FFS rate). Patients with income between 351% - 500% of the FPG are offered the lower of a 30% reduction of total charges or the APG (the Medicare FFS rate). BSCHS IS DEDICATED TO MEETING THE NEEDS OF NON-ENGLISH SPEAKING PATIENTS BY HAVING ON-SITE SPANISH TRANSLATORS, AND OTHER LANGUAGE TRANSLATION SERVICES. IN ADDITION, BSCHS EMPLOYS A TELEPHONE LANGUAGE SERVICE WHICH ASSISTS IN MEETING ANY LANGUAGE NEEDS THAT ARISE. THE TRANSLATION SERVICES ARE OFFERED TO NON-ENGLISH SPEAKING PATIENTS FROM ADMISSION TO DISCHARGE, INCLUDING THROUGH THE FINANCIAL ASSISTANCE PROCESS. FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON SCHEDULING, REGISTRATION, THROUGH VISIBLE POSTINGS OF THE POLICY IN COMMON AREAS THROUGHOUT THE HOSPITAL, BROCHURES AT REGISTRATION AND ON BON SECOURS WEBSITE. IN ADDITION, PATIENT STATEMENTS REQUEST THAT PATIENTS APPLY FOR FINANCIAL ASSISTANCE IF NEEDED, ONCE ANY PATIENT'S FINANCIAL OBLIGATION IS DETERMINED.
Part VI, Line 4	BSCHS FACILITIES OPERATE AND SERVE POPULATIONS OF LOWER NEW YORK, PRINCIPALLY ROCKLAND AND ORANGE COUNTIES. ROCKLAND COUNTY IS LOCATED APPROXIMATELY 30 MILES NORTH OF MANHATTAN ON THE WEST SIDE OF THE HUDSON RIVER. HOME TO EIGHT PUBLIC SCHOOL DISTRICTS AND EIGHT COLLEGES AND UNIVERSITIES, THE 199-SQUARE MILE AREA INCLUDES FIVE TOWNS AND NINETEEN VILLAGES. THIS COUNTY OF 120,000 ACRES IS DESIGNATED A PRESERVE AMERICA COMMUNITY, CONTAINING MORE THAN 35,000 ACRES OF PRESERVED OPEN SPACE AND PARKLAND. ACCORDING TO DATAUSA, IN 2019, ROCKLAND COUNTY, NY HAD A POPULATION OF 325,789 PEOPLE WITH A MEDIAN AGE OF 35.9 AND A MEDIAN HOUSEHOLD INCOME OF $100,916. THE 5 LARGEST ETHNIC GROUPS IN ROCKLAND COUNTY, NY ARE WHITE (NON-HISPANIC) (62.5%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (11.3%), OTHER (HISPANIC) (9.54%), WHITE (HISPANIC) (6.82%), AND ASIAN (NON-HISPANIC) (5.91%). ORANGE COUNTY IS LOCATED IN THE SOUTHEASTERN AREA OF NEW YORK, APPROXIMATELY 40 MILES NORTH OF NEW YORK CITY, AND IS BOARDERED ON THE EAST BY THE HUDSON RIVER AND ON THE WEST BY THE DELAWARE RIVER. ORANGE COUNTY IS 839 SQUARE MILES AND IS A MIX OF URBAN, SUBURBAN, FARMLAND AND RURAL AREAS. ORANGE COUNTY HAS THREE CITIES, TWENTY TOWNS, AND NINETEEN VILLAGES. THE COUNTY HAS NINETEEN PUBLIC SCHOOL DISTRICTS AND THREE COLLEGES AND UNIVERSITIES. ACCORDING TO DATAUSA, IN 2019, ORANGE COUNTY, NY HAD A POPULATION OF 384,940 PEOPLE WITH A MEDIAN AGE OF 36.9 AND A MEDIAN HOUSEHOLD INCOME OF $84,458. THE 5 LARGEST ETHNIC GROUPS IN ORANGE COUNTY, NY ARE WHITE (NON-HISPANIC) (62.6%), WHITE (HISPANIC) (12.5%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (10.9%), OTHER (HISPANIC) (6.05%), AND ASIAN (NON-HISPANIC) (2.95%).
Part VI, Line 5	BSCHS FACILITIES PROMOTED THE HEALTH OF THE COMMUNITY TO FURTHER ITS EXEMPT PURPOSE THROUGH VARIOUS PROGRAMS AND INITIATIVES THROUGHOUT THE YEAR. BSCHS' COMMUNITY ENGAGEMENT DEPARTMENT PROVIDED EDUCATIONAL PRESENTATIONS AT VARIOUS COMMUNITY LOCATIONS ON BROAD TOPICS SUCH AS CARDIAC HEALTH, ORTHOPEDICS, WOMEN'S HEALTH, OBESITY, STROKE, DIABETES, WOUND CARE, SAFETY, ASTHMA, SENIOR SERVICES, ETC. THE COMMUNITY ENGAGEMENT DEPARTMENT ALSO HELD SERVICE LINE SPECIFIC PROGRAMS SUCH AS BREAST AND CERVICAL CANCER SCREENINGS, PROSTATE CANCER AND COLORECTAL CANCER SCREENINGS, HEARING TESTING, SLEEP DISTURBANCE SEMINARS, AS WELL AS OTHER PROGRAMS BENEFITING THE COMMUNITY. BSCHS EXPECTS TO CONTINUE PROVIDING THESE PROGRAMS AND SERVICES THROUGH 2021. BSCHS CONTINUED ITS COMMITMENT TO BEING ACCESSIBLE AND PROVIDING FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IN ITS SERVICE AREA. AS EVIDENCED BY BSCHS' ACTIVE PARTICIPATION IN THE VARIOUS DSRIP PROJECTS, BSCHS PROVIDED IMPROVED ACCESS TO HEALTH CARE SERVICES, ESPECIALLY TO THE UNDERSERVED POPULATION, AS WELL AS PROVIDED VARIOUS OPPORTUNITIES TO ENROLL IN GOVERNMENTAL AND/OR COMMUNITY HEALTH PLANS. IN PORT JERVIS, THROUGH A MISSION GRANT, BSCHS PROVIDED TRANSPORTATION SERVICES TO UNINSURED AND MEDICAID PATIENTS TO COORDINATE CARE. ALL THREE BSCHS HOSPITALS PARTNERED WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO INCREASE PUBLIC AWARENESS OF THE AVAILABLE SERVICES THAT WERE EITHER FREE OF CHARGE OR BASED ON A SLIDING SCALE PAYMENT. IN FURTHERANCE OF THIS COMMITMENT, ALL BSCHS FACILITIES PROVIDED SPACE EACH MONTH, FREE OF CHARGE, TO INSURANCE SPECIALISTS TO MEET WITH PATIENTS TO REGISTER FOR HEALTH INSURANCE BENEFITS. IN RESPONSE TO THE GROWING COMMUNITY NEEDS OF ITS SERVICE AREA, BSCHS CONTINUED TO RECRUIT AND HIRE MORE EMPLOYED PHYSICIANS, WHO ACCEPT MEDICAID AND PARTICIPATE IN PROGRAMS TO PROVIDE CHARITY CARE, IN ALIGNMENT WITH THE BSCHS MISSION. BSCHS ALSO CONTINUED TO ADDRESS THE COMMUNITY NEED FOR CHRONIC DISEASE PREVENTION AT ALL OF ITS FACILITIES. THE FOLLOWING PROGRAMS AND INITIATIVES WERE PROVIDED, WHICH ARE EXPECTED TO CONTINUE: IN ADDITION TO THE CHNA, BSCHS ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGHOUT THE YEAR BY SPEAKING WITH COMMUNITY AGENCY REPRESENTATIVES AND COMMUNITY SERVICE PROVIDERS. THE BSCHS COMMUNITY ENGAGEMENT STAFF WORK DIRECTLY WITH LOCAL UNITED WAYS TO LEARN ABOUT, AND MEET, COMMUNITY NEEDS. IN 2020, A MAJOR FOCUS WAS ON FOOD INSECURITY AND HOSPITAL LEADERSHIP AND STAFF FACILITATED AND PARTICIPATED IN SEVERAL FOOD DRIVES AND PRODUCE DISTRIBUTION EVENTS. ADDITIONALLY, THE FOLLOWING ACTIVITIES AND PROGRAMS THAT BENEFIT THE COMMUNITY CONTINUED IN 2020: GSH CONTINUES TO COLLABORATE WITH THE ROCKLAND PRIDE CENTER, A LOCAL PROVIDER OF SERVICES TO THE LGBTQ COMMUNITY TO IDENTIFY BARRIERS IN ACCESSING HEALTHCARE AND TO UNDERSTAND SPECIFIC HEALTH NEEDS; BSCH STAFF PROVIDED EDUCATION TO THE CENTER FOR DEVELOPMENTAL DISABILITIES STAFF ON INFECTION CONTROL AND PARTICIPATED, EVERY MONTH, IN THE PROJECT DISCOVERY COMMUNITY OUTREACH PROGRAM TO PROVIDE HOUSEHOLD NECESSITIES, FOOD AND CLOTHING TO THOSE IN NEED IN THE COMMUNITY. SACH STAFF BEGAN TO SCREEN INPATIENTS FOR FOOD INSECURITY AND MADE "WARM HAND-OFF" REFERRALS TO LOCAL FOOD SOURCES AND DSS AGENCIES. GSH AND BSCH EACH PROVIDED A DONATION OF 2,000 PAIRS OF SOCKS TO THE ROCKLAND COUNTY WARMING STATION AND THE ORANGE COUNTY VETERANS ASSOCIATION. THE COMMUNITY ENGAGEMENT DIRECTOR PROVIDED OVER 350 FREE SEASONAL FLU SHOTS TO COMMUNITY GROUPS AND EMPLOYERS. BY ACTIVELY PARTICIPATING AND COLLABORATING WITH THESE AGENCIES, ORGANIZATIONS, AND THE COMMUNITY, BSCHS IS ABLE TO OBTAIN INPUT AND INSIGHT ON THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITIES SERVED. ADDITIONALLY, THE BSCHS COMMUNITY ENGAGEMENT TEAM WORKS WITH SEVERAL AREA EMPLOYERS AND SPECIFIC GEOGRAPHICAL AND RELIGIOUS GROUPS TO IDENTIFY PERSONAL HEALTH RELATED NEEDS. BASED ON THESE NEEDS, IN 2020, BSCHS CLINICAL STAFF AND PHYSICIANS PROVIDED CLOSE TO 100 HOURS OF VIRTUAL EDUCATION ON PREVENTIVE HEALTH INTERVENTIONS TO A TOTAL OF OVER 8O0 EMPLOYEES AT THE FOLLOWING WORKSITES: AVON, CLARKSTOWN CENTRAL SCHOOL DISTRICT, DOMINICAN COLLEGE, EAST RAMAPO SCHOOL DISTRICT, EASTWICK COLLEGE, JCC OF ROCKLAND, NORTH ROCKLAND SCHOOL DISTRICT, ORANGE-ULSTER BOCES, PFIZER, INC., PEARL RIVER SCHOOL DISTRICT, RAMAPO COLLEGE, ROCKLAND BOCES, ROCKLAND COMMUNITY COLLEGE, SALVATION ARMY, ST. DOMINIC HOME, ST. THOMAS AQUINAS COLLEGE, SOUTH ORANGETOWN SCHOOL DISTRICT, TD BANK, TOWN OF HAVERSTRAW, TOWN OF ORANGETOWN, TOWN OF RAMAPO, UNEEDA ENTERPRIZES, INC., FARLEY ELEMENTARY SCHOOL, M & T BANK, AND THE VILLAGE OF SUFFERN. AT LEAST ONE OR TWO OF THE FOLLOWING PREVENTIVE HEALTH TOPICS WAS PRESENTED AT EACH WORK SITE: BACK HEALTH AND ERGONOMICS, BENEFITS OF WALKING, BETTER HEARING, BREAST HEALTH, CARDIAC HEALTH & STROKE AWARENESS, CONCUSSION MANAGEMENT, EMERGENCY CARE, FALL PREVENTION, MANAGING STRESS, MANAGING MEDICATIONS, NUTRITION (FOOD LABELING, HEALTHY DINING OUT), SLEEPY HEALTHY, VITAMINS/SUPPLEMENTS, AND WOMEN'S HEART HEALTH. BSCHS'S POPULATION HEALTH DEPARTMENT STAFF FURTHERED THE ORGANIZATION'S EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY IN BOTH ROCKLAND AND ORANGE COUNTY. STAFF HAVE BEEN INVOLVED IN MANAGING PREVENTIVE AND CHRONIC DISEASES USING THE PRINCIPLES OF THE PATIENT CENTERED MEDICAL HOME, SUCH AS PREVENTIVE OUTREACH FOR PATIENTS WITH DIABETES, OUTREACH TO MANAGE MEDICATION ADHERENCE FOR BEHAVIORAL HEALTH PATIENTS, AND PATIENT EDUCATION. POPULATION HEALTH CARE MANAGERS CONDUCTED OUTREACH TO DIABETES PATIENTS TO ENROLL THEM IN A MENTOR/MENTEE PROGRAM, ASSISTED DIABETIC PATIENTS TO TRACK THEIR HEALTH BY PROVIDING GLUCOMETERS AND SCALES TO PATIENTS IN NEED, CONDUCTED A COLORECTAL AWARENESS CAMPAIGN, PROVIDED A FREE INITIAL CONSULT TO PATIENTS WHO SCREENED POSITIVE FOR BEHAVIORAL HEALTH SCREENING, PROVIDED FLU SHOTS IN THE COMMUNITY IN ROCKLAND COUNTY, AND HELD PATIENT ADVISORY COMMITTEE MEETINGS IN ROCKLAND AND ORANGE COUNTY TO EDUCATE PATIENTS ON SERVICES AND PREVENTION. BSCHS EXPECTS TO CONTINUE THESE SERVICES AND PROGRAMS DESCRIBED ABOVE THROUGH 2021.
Part VI, Line 6	BSCHS IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION THAT IS THE SOLE MEMBER OF LEGAL ENTITIES THAT OPERATE HOSPITALS, NURSING HOMES, AND OTHER HEALTHCARE-RELATED FACILITIES IN THE STATE OF NEW YORK. BON SECOURS MERCY, INC., FORMERLY BON SECOURS HEALTH SYSTEM, INC. ("BSMI", FORMERLY "BSHSI") A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, IS A MEMBER OF BSCHS WITH A FORTY PERCENT (40%) ECONOMIC INTEREST IN BSCHS. SISTERS OF CHARITY OF SAINT ELIZABETH ("SOCSE"), A NEW JERSEY NOT-FOR-PROFIT CORPORATION, IS A MEMBER OF BSCHS WITHOUT ANY ECONOMIC INTEREST. BSCHS, A CATHOLIC HEALTH SYSTEM, IS CANONICALLY CO-SPONSORED BY BON SECOURS MINISTRIES ("BSM"), AN AFFILIATE OF BSHSI AND SOCSE. BSMI IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, AND THE SOLE MEMBER OF WHICH IS BON SECOURS, INC. ("BSI"). BSMI IS A CORPORATION FORMED TO PARTICIPATE IN THE CHARITABLE HEALTHCARE SYSTEM NOW SPONSORED BY BSM THROUGHOUT THE UNITED STATES OF AMERICA THROUGH WHICH THE HEALTHCARE MISSION OF THE SISTERS OF BON SECOURS, USA, THE FOUNDING PARTICIPATING ENTITY OF BSM, IS FURTHERED. THE MINISTRY OF BSHSI AIDS THOSE IN NEED, PARTICULARLY THOSE WHO ARE SICK AND DYING, BY OFFERING SERVICES THAT INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: ACUTE INPATIENT, OUTPATIENT, PASTORAL, PALLIATIVE, HOME HEALTH, NURSING HOME, REHABILITATIVE, PRIMARY AND SECONDARY CARE AND ASSISTED LIVING WITHOUT REGARD TO RACE, RELIGION, COLOR, GENDER, AGE, MARITAL STATUS, NATIONAL ORIGIN, SEXUAL ORIENTATION, OR DISABILITY. AS A MEMBER OF THE CATHOLIC HEALTH MINISTRY AND A MEMBER OF BON SECOURS MERCY, INC. (BSMI), THIS ORGANIZATION AND ITS RELATED ENTITIES ARE CALLED TO CONTINUE THE HEALING MINISTRY OF JESUS. THEY EXIST TO BENEFIT THE PEOPLE LIVING IN THE COMMUNITIES WE SERVE. THROUGH ALL OF THE SERVICES OFFERED TO THE COMMUNITY, THE MISSION IS "TO BRING COMPASSION TO HEALTH CARE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH." THIS ORGANIZATION AND RELATED ORGANIZATIONS SHARE THE BSHSI VISION. "INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST AND THE CHARISM OF BON SECOURS, BON SECOURS HEALTH SYSTEM WILL BE RECOGNIZED FOR ITS LEADERSHIP IN JUSTICE, TRANSFORMING THE COMMUNITIES IN WHICH WE SERVE AND WORK INTO PLACES OF HEALTH AND HOPE, AND BEING A PROPHETIC VOICE FOR SYSTEMIC US HEALTH REFORM AND A MORE HUMANE WORLD." WESTCHESTER COUNTY HEALTHCARE CORPORATION WAS CREATED IN 1997 AS A NEW YORK PUBLIC BENEFIT CORPORATION AND OWNS AND OPERATES A NUMBER OF HEALTHCARE FACILITIES INCLUDING WESTCHESTER MEDICAL CENTER LOCATED IN VALHALLA, NEW YORK. IN DECEMBER, 2014, WMC AND BSHSI ENTERED INTO A TRANSACTION (THE "AFFILIATION") UNDER WHICH: WMC, OR ITS SUBSIDIARY, BECAME A MAJORITY CO-MEMBER IN BSCHS AND MANAGES THE DAY TO DAY OPERATIONS OF BSCHS AND ITS SUBSIDIARIES AND FACILITIES PURSUANT TO A MANAGEMENT AGREEMENT APPROVED BY THE NEW YORK STATE DEPARTMENT OF HEALTH; BSCHS AND ITS SUBSIDIARIES REMAIN A CATHOLIC HEALTHCARE MINISTRY SUBJECT TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES. WMC APPOINTS AT LEAST SIXTY PERCENT (60%) OF THE MEMBERS OF THE BSCHS BOARD OF DIRECTORS, WHILE BSHSI AND SOCSE JOINTLY APPOINT APPROXIMATELY 40% OF THE BSCHS BOARD, AND EACH MEMBER OF BSCHS HOLDS CERTAIN RESERVE POWERS. PLEASE SEE SCHEDULE R FOR LISTINGS OF THE RELATED ORGANIZATIONS AND SCHEDULE H FOR THE HOSPITALS INCLUDED IN THIS RETURN.
Part VI, Line 7	List of States Receiving Community Benefit Report: NY

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TRANSPORTATION FOR INDIGENT PATIENTS	GrantTypeTxt
Recipient	171	RecipientCnt
Cash Grant	$13,732	CashGrantAmt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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
MARY LEAHY MD
PRESIDENT & CEO	$0	$802,085	$0	$252,420	$0	$0	$0	$39,900	$0	$45,048	$0	$1,139,453	$0	$0
MICHAEL ISRAEL
VICE CHAIR	$0	$1,849,662	$0	$954,810	$0	$26,000	$0	$44,745	$0	$82,025	$0	$2,957,242	$0	$0
RENEE GARRICK MD
BOARD MEMBER	$0	$736,266	$0	$237,160	$0	$0	$0	$37,200	$0	$29,189	$0	$1,039,815	$0	$0
GARY BRUDNICKI
BOARD MEMBER	$0	$1,390,660	$0	$528,078	$0	$26,000	$0	$44,745	$0	$70,531	$0	$2,060,014	$0	$0
JULIE SWITZER
BOARD MEMBER	$0	$699,530	$0	$235,175	$0	$26,000	$0	$44,745	$0	$47,420	$0	$1,052,870	$0	$0
PETER KENNIFF
CFO	$385,782	$0	$73,964	$0	$2,709	$0	$21,519	$0	$31,141	$0	$515,115	$0	$0	$0
CARY HIRSCH MD
PHYSICIAN	$998,828	$0	$50,000	$0	$25,542	$0	$21,519	$0	$3,934	$0	$1,099,823	$0	$0	$0
MARK FERSKO
BOARD MEMBER (thru 11/20)	$0	$813,479	$0	$269,131	$0	$26,000	$0	$44,745	$0	$32,443	$0	$1,185,798	$0	$0
PERMINDER S GREWAL
PHYSICIAN	$642,365	$0	$38,750	$0	$74,252	$0	$21,519	$0	$26,867	$0	$803,753	$0	$0	$0
BANGALORE SRIDHARA
PHYSICIAN	$548,361	$0	$65,625	$0	$98,460	$0	$21,246	$0	$2,407	$0	$736,099	$0	$0	$0
ARVIND AGARWAL
PHYSICIAN	$770,208	$0	$0	$0	$29,577	$0	$21,519	$0	$18,424	$0	$839,728	$0	$0	$0
SUNANDAN PANDYA
PHYSICIAN	$539,746	$0	$65,625	$0	$95,400	$0	$21,246	$0	$36,846	$0	$758,863	$0	$0	$0
JOSHUA RATNER
BOARD MEMBER (EFFECT. 11/20)	$0	$527,620	$0	$132,165	$0	$0	$0	$39,900	$0	$33,835	$0	$733,520	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

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

PART I, LINE 4B

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 2	SIGNIFICANT PROGRAM SERVICE CHANGES: IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A GLOBAL PANDEMIC. BSCHS EXPERIENCED A DECLINE IN INPATIENT AND OUTPATIENT ACTIVITIES AND AN INCREASE IN COST AND UTILIZATION OF MEDICAL SUPPLIES AND PERSONAL PROTECTIVE EQUIPMENT NECESSARY TO ENSURE EMPLOYEE AND PATIENT SAFETY. THE COVID-19 PANDEMIC REQUIRED AN UNPRECEDENTED MOBILIZATION EFFORT ON THE PART OF BSCHS IN ORDER TO APPROPRIATELY CARE FOR COVID-19 PATIENTS WHILE SIMULTANEOUS AND ACROSS VIRTUALLY ALL DEPARTMENTS AND DISCIPLINES WITHIN EACH CAMPUS. THIS ENABLED A SIGNIFICANTLY HIGH LEVEL OF OPERATIONAL AND CLINICAL COORDINATION THAT ALLOWED BSCHS TO ACHIEVE MEANINGFUL ACCESS AND HIGH QUALITY CLINICAL OUTCOMES FOR ITS PATIENTS. BSCHS INITIATIVES INCLUDE: CLINICAL TEAM DEPLOYMENT AT THE ONSET OF THE PANDEMIC, THE MULTIDISCIPLINARY CLINICAL LEADERSHIP TEAM IMPLEMENTED A TEAM-BASED CARE MODEL TO ENSURE THE APPROPRIATE CLINICAL CARE TEAMS WERE DEPLOYED TO COVID AND NON-COVID UNITS, AND THAT TEAM MEMBERS WERE CROSS TRAINED TO PROVIDE OPTIMAL PATIENT CARE. THE IMPLEMENTATION OF THIS MODEL ENSURED THAT PROVIDER STAFFING WAS MAXIMIZED THROUGH STAFF REASSIGNMENT AND NURSE CROSS TRAINING FOR ICU COVERAGE AND OTHER UNITS THROUGHOUT THE HOSPITALS, DEPLOYMENT OF ADDITIONAL PHYSICIAN RESIDENTS, AND RE-ACTIVATING FORMER BEDSIDE CLINICAL STAFF FROM OTHER AREAS OF THE ORGANIZATION. SUCH STEPS HAVE ALLOWED THE HOSPITALS TO SUFFICIENTLY STAFF UP TO ACCOMMODATE THE INFLUX OF COVID-19 PATIENTS WHILE AVOIDING THE NEED TO FURLOUGH ANY STAFF. THE PROVIDER TEAM-BASED MODEL INCLUDED THE REDEPLOYED OF PHYSICIANS AND ADVANCED PROVIDERS INTO INPATIENT CARE AREAS TO COVER CLINICAL SERVICES INCLUDING INPATIENT UNITS, ICUS AND ED (EX. ADULT CARDIOLOGISTS COVERED GENERAL MEDICINE UNIT, ANESTHESIOLOGISTS COVERED GENERAL MEDICINE, CARDIAC SURGEONS COVERED COVID UNIT). IN ADDITION, PROVIDERS WERE SUPPORTED BY A SCRIBING PROCESS TO IMPROVE EFFICIENCY. EACH DAY THERE WAS "COVID CONSULT TEAM" WHICH PROVIDED A DAILY POINT OF CONTACT FROM CLINICAL TEAMS FOR COVID DISCUSSIONS AND PATIENT MANAGEMENT ISSUES. FINALLY, THE CLINICAL TEAMS IDENTIFIED AND DEVELOPED PRONING TEAMS TO POSITION PATIENTS IN SEVERE ACUTE RESPIRATORY DISTRESS SYNDROME AND IMPROVE CLINICAL OUTCOMES. NURSING DEVELOPED SIMILAR TEAM-BASED CARE MODEL THROUGH AN INITIAL ASSESSMENT OF STAFF NEEDS AND CURRENT COMPETENCY FOR CRITICAL CARE SERVICES. NURSING LEADERSHIP, EDUCATION AND QUALITY THEN CROSS TRAINED APPROPRIATE STAFF TO COVER REQUIRED AREAS SUCH AS ICU AND MEDICAL UNITS. CLINICAL STAFF WAS TRAINED AND DEPLOYED FROM AREAS SUCH AS PERIOPERATIVE SERVICES, PEDIATRICS, NURSING LEADERSHIP, EDUCATION AND OUTPATIENT CLINICAL PROGRAM MANAGERS. AS A RESULT OF THE SUCCESS OF THIS MODEL, PLANS ARE CURRENTLY UNDERWAY TO EXPAND THE TEAM-BASED MODEL TO INCLUDE ANCILLARY SERVICES AS TEAMS REDEPLOY FULL TIME BACK TO ALL CARE UNITS. TELEHEALTH BSCHS LEVERAGED ITS HIGHLY TOUTED TELE-HEALTH NETWORK AND INFRASTRUCTURE TO EXPAND AND ENHANCE CARE BETWEEN HOSPITALS WHILE HELPING TO PROTECT STAFF BY LIMITING STAFF EXPOSURE TO PATIENTS. INITIATIVES DEPLOYED THROUGH THE EHEALTH CENTER INCLUDED: - INCREASED DEPLOYMENT OF TELE-HEALTH CART TECHNOLOGY WITHIN HOSPITAL EMERGENCY DEPARTMENTS WITH TRAINING TO ALL STAFF, FOR EXPANDED CARE. - DEVELOPMENT OF AN ESCALATION PROCESS TO MANAGE LIMITED VISITATION. THIS INVOLVED THE USE OF IPAD COMMUNICATION DEVICES MANAGED THROUGH THE EHEALTH CENTER. - EXPANSION OF CERTAIN TELE-HEALTH SERVICES IN HIGHEST DEMAND, INCLUDING ICU, PSYCHIATRICS, EMERGENCY MEDICINE, NEUROSCIENCES, AND E-SITTER PATIENT MONITORING TO PROVIDE CONSULTS THROUGHOUT THE NETWORK SITES. - FACILITATED REGULAR COMMUNICATION WITH FAMILY MEMBERS OF PATIENTS TO REVIEW UPDATES IN CARE. RECONFIGURATION OF EICU WORKFLOWS: - CRITICAL CARE PROVIDERS SET PATIENT TARGETS, EICU TEAM PROVIDED CONSTANT MONITORING OF VENTILATOR METRICS AND ESCALATED FEEDBACK TO PROVIDERS IN UNIT, - 24/7 VENT MANAGEMENT RESULTING IN INCREASED RATE OF VENTILATOR EXTUBATION, - EXPANDED EICU CONSULTS, - INTEGRATION OF THE EICU PROVIDERS WITH CLINICAL TEAM MANAGEMENT, - IMPROVED PATIENT SAFETY, ABILITY TO COHORT PATIENTS, AND TRANSITIONS OF CARE. VALUE CREATED BY THIS SERVICE INCLUDE: - FIRST, THE SERVICE ADDED TO PATIENT SAFETY AND CARE STANDARDIZATION IN TIMES OF HIGH PROVIDER STRAIN (CLINICAL BEST PRACTICES, CORRECT ISOLATION AND COHORTING PRACTICES), - SECOND, THE SERVICE PERFORMED CLINICAL WORKLOAD BALANCING FUNCTIONS FOR THE BEDSIDE TEAMS REDUCING PROVIDER EXPOSURE(S), - THIRD, THE SETUP OF THE SERVICE WITH FREQUENT IMPROVEMENT INTERVALS ALLOWED FOR RAPID ADAPTATION TO CHANGING CONDITIONS, - LASTLY, THE SERVICE ALLOWED FOR EFFECTIVE AND STANDARDIZED COMMUNICATION PATTERNS BETWEEN A NUMBER OF DIFFERENT TEAMS. THROUGHOUT THE PANDEMIC SURGE, BSCHS FLEXED ORGANIZATION OPERATIONS AND STAFFING TO MEET THE DEMAND AND NEEDS OF ITS COMMUNITY AND PATIENTS. THESE SUCCESSFUL OPERATIONAL ADJUSTMENTS ALLOWED BSCHS TO EXPAND CAPACITY, MAINTAIN INTERNAL AND EXTERNAL COMMUNICATION AND QUICKLY DEVELOP PROCESSES TO TEST AND TREAT PATIENTS. INCREASING BSCHSI BED CAPACITY AS CASES BEGAN IN THE REGION, BSCHS MADE GRADUAL CHANGES TO VISITATION POLICIES, ULTIMATELY RESULTING IN NO VISITORS ON SITE, EXCEPT PEDIATRICS AND END-OF-LIFE CIRCUMSTANCES. FOLLOWING THAT, BSCHS BEGAN TO RESCHEDULE ELECTIVE SURGICAL PROCEDURE AND PROVIDED PATIENTS OF THE OUTPATIENT MEDICAL OFFICES THE ABILITY TO SHIFT TO VIRTUAL VISITS. WHILE DOING THIS, BSCHS INCREASED BED CAPACITY. IN ADDITION TO THE INCREASE IN BED CAPACITY, STAFF ADJUSTMENTS INCLUDED THE DEPLOYMENT OF WORK FROM HOME PROCESSES FOR APPROPRIATE NON-CLINICAL, NON-ESSENTIAL STAFF. NON-CLINICAL, NON-ESSENTIAL STAFF WHO COULD NOT WORK FROM HOME WAS REDEPLOYED INTO NEWLY DEFINED ROLES TO SUPPORT COVID-19 OPERATIONS. THESE ROLES INCLUDED ED GREETERS, ENTRYWAY TEMPERATURE SCREENING, AND THE CALL CENTER. TO SUPPORT THE ORGANIZATION'S NEEDS TO MONITOR AND TRACK COVID-19 ACTIVITIES, A NETWORK-WIDE COVID-19 DASHBOARD WAS DEVELOPED AS A CENTRAL REPOSITORY OF ANALYTICAL INFORMATION. THIS DASHBOARD INCLUDED INFORMATION RELATED TO: PATIENT CENSUS AND UTILIZATION, BED AND BED UNIT USAGE, AVAILABLE SURGE CAPACITY, PPE AND MEDICAL EQUIPMENT SUPPLY LEVELS, DIAGNOSTIC AND ANTIBODY TESTING VOLUME. FUNDING FOR COVID-19 ACTIVITIES: BSCHS HAS WORKED WITH LOCAL AND REGIONAL RESOURCES TO COMPLY WITH APPROPRIATE GUIDELINES FOR COVID-19 RELATED RELIEF FUNDS. THIS FUNDING INCLUDED: . CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, GRANTS AND ADVANCES - BSCHS RECEIVED OVER $92.4 MILLION OF FUNDING THROUGH DECEMBER 2020 . FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) FUNDING - BSCHS HAS PREPARED ALL APPROPRIATE SUBMISSIONS TO REQUEST FEMA FUNDING FOR COVID-19 RELATED DISASTER RELIEF FORM 990, PART VI, LINE 6 Members or stockholders: THE MEMBERS OF BSCHS ARE AS FOLLOWS: WMC - ROCKLAND, INC. - 60% BON SECOURS MERCY HEALTH, INC. (FORMERLY BON SECOURS HEALTH SYSTEM, INC) TOGETHER WITH SISTERS OF CHARITY (SOC) - 40%. ON SEPTEMBER 1, 2018, BON SECOURS HEALTH SYSTEM, INC (BSHSI) AND MERCY HEALTH COMBINED TO BECOME BON SECOURS MERCY HEALTH, INC (BSMH). Pursuant to New York State Law, as an organization engaged in the profession of medicine, Bon Secours Charity Health System Medical Group, P.C. (MedPC) was the sole shareholder of the organization who is engaged in the practice of medicine and licensed to practice in the State of New York AND THE STATE OF NEW JERSEY.
Form 990, Part VI, Line 7a	Power to elect or appoint members: The governing bodY of the members within the Group, with the exception of MedPC, are appointed by its members, WMC-Rockland, BSMH (FORMERLY BSHSI) and SOC and are subject to the approval of its members.
Form 990, Part VI, Line 7b	Decisions reserved to members or stockholders: Certain authorities of the members of the Group, with the exception of Bon Secours Charity Health System Medical Group, PC, are jointly reserved to WMC-Rockland, BSMH (FORMERLY BSHSI) and SOC, certain authorities are reserved to BSMH (FORMERLY BSHSI) and WMC-Rockland, and certain authorities are reserved solely to BSMH (FORMERLY BSHSI).
Form 990, Part VI, Line 11b	Process used to review the Form 990: THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT WITH ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY INTERNAL LEADERSHIP AND OUR EXTERNAL TAX ADVISORS. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: The organization monitors and enforces compliance with the Conflict of Interest policy by means of a survey developed and approved by the Chief Compliance Officer. The survey is sent to all trustees, officers, and key executives for completion. All survey responses are reviewed by the Chief Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or referred to the WMC Health Conflicts of Interest Committee for discussion. Potential actions to be taken in response to a conflict can be one or more of the following: 1) disclosure of the conflict, 2) individual recusal from decisions for transactions where that individual may have a conflict, 3) request in writing THAT the individual alleviates the conflict, or 4) removal of the individual from employment.
FORM 990, PART VI, LINE 15	process for determining compensation: The organization has a comprehensive process for the oversight and management of remuneration for the CEO and other senior executives. Compensation for such key employees is set by reviewing and relying on objective market data to ensure they receive compensation that is in full compliance with the IRS' rebuttable presumption of reasonableness. The organization maintains a compensation philosophy, reviews pay practices against LOCAL, REGIONAL AND NATIONAL healthcare organizations and approves all remunerative decisions for this group of individuals. Further, the organization ensures that all levels of pay within the organization are reasonable based on performance and validates that incentives payments, if any, are adequately supported. Such decisions are documented in Board and other relevant Committee minutes.
Form 990, Part VI, Line 19	PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: SISTER MAUREEN SULLIVAN DOES NOT RECEIVE COMPENSATION AS SHE HAS TAKEN A VOW OF POVERTY. FORM 990, PART VII, SECTION B: A PORTION OF THE AMOUNT PAID TO HOLT CONSTRUCTION CORP AND SKANSKA USA BUILDING INC MAY INCLUDE EXPENSE REIMBURSEMENTS. THIS AMOUNT IS NOT EASILY DISTINGUISHABLE.
Form 990, Part XI, Line 9	Other changes in net assets: Transfers to Affiliates $88,422,463

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS ROAD	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(C)(3)	12A	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY	115	N/A	NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(C)(3)	12A	WCHCC	false
NORTH ROAD LHCSA INC
241 NORTH ROAD	POUGHKEEPSIE	NY	12601	465293268	HOMECARE SVCS	NY	501(C)(3)	10	WCHCC	false
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS RD TAYLOR PAVILION	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(C)(3)	7	WCHCC	false
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROAD	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(C)(3)	7	WCHCC	false
HEALTHALLIANCE INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	261850453	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	false
HEALTHALLIANCE HOSP MARY'S AVE CAMPUS
105 MARYS AVENUE	KINGSTON	NY	12401	141338470	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	false
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	150552726	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	false
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(C)(3)	10	MMH	false
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(C)(3)	12A	MMH	false
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVE	SUFFERN	NY	10901	133400353	SUPPORT FDN	NY	501(C)(3)	7	BSCHS	false
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVE	SUFFERN	NY	10901	810667395	SUPPORT FDN	NY	501(C)(3)	7	BSCHS	false
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(C)(3)	7	BSCHS	false
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(C)(3)	12C, III-FI	WCHCC	false
HealthAlliance Foundation Inc
741 GRANT AVENUE	LAKE KATRINE	NY	12449	222511450	FUNDRAISING	NY	501(C)(3)	7	HA INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	CityForeignAddress/CityNm
HUDSON RIVER WEST INSURANCE LIMITED
23 LIME TREE BAY AVE PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CAP INSURANCE	CJ	BSCHS	C CORP	false
HUDSON RIVER NORTH INSURANCE LIMITED
23 LIME TREE BAY AVE PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CAP INSURANCE	CJ	HEALTHALLIANCE	C CORP	false
NORTHEAST PROVIDER SOLUTIONS INC
				MSO & HEARING AID		NA	C CORP	false	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
				PHYSICIAN OFFICES		NA	C CORP	false	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WESTCHESTER MEDICAL REGIONAL PHYS SVCS
				PHYSICIAN OFFICES		NA	C CORP	false	241 NORTH ROAD	POUGHKEEPSIE	NY	10532	465522536	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET		BD		CAP INSURANCE	BD	NA	C CORP	false							HAMILTON
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
				INVESTMENT		HAH BWAY	C CORP	false	396 BROADWAY	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
				MEDICAL SVCS		NA	C CORP	false	396 BROADWAY	KINGSTON	NY	12401	203564769	NY
BSCHS MEDICAL GROUP PC
				PHYSICIAN OFFICES		BSCHS	C CORP	false	10 FRANKLIN TURNPIKE	MAHWAH	NJ	07430	821632215	NJ

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