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ST LUKES CORNWALL HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ST LUKES CORNWALL HOSPITAL (EIN 14-1340054)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-06
IRS object ID
202033119349300758
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-06T09:32:35-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141340054EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% THOMAS J GIBNEY CPAInCareOfNm
Business Name ControlSTLUBusinessNameControlTxt
Phone8455682881PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP125504851ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS J GIBNEY CPAPersonNm
Person TitleSVP, CFOPersonTitleTxt
Phone8455682881PhoneNum
Signature2020-10-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE M SOKOLOWSKIPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.206.163.59IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308520203115000041FederalOriginalSubmissionId
Federal Original Submission Id2020-11-06FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id24558E047A149CE0743DDA4F89040DC2FD5B7974AtSubmissionCreationDeviceId
At Submission Filing Device Id770194AAF055F9EA87E64CA02E08FE540289067FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MONTEFIORE ST LUKE'S CORNWALL HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOAN CUSACK-MCGUIRKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP125504851ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$247,378,114GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.montefioreslc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionMONTEFIORE ST. LUKE'S CORNWALL HOSPITAL IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE TO IMPROVE THE LIVES AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1473TotalEmployeeCnt
Total Volunteers109TotalVolunteersCnt
Total Gross UBI$103,379TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$76,518NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,837,204PYContributionsGrantsAmt
CY Contributions Grants$22,347,409CYContributionsGrantsAmt
PY Program Service Revenue$204,285,388PYProgramServiceRevenueAmt
CY Program Service Revenue$220,711,619CYProgramServiceRevenueAmt
PY Investment Income$1,094,096PYInvestmentIncomeAmt
CY Investment Income$457,594CYInvestmentIncomeAmt
PY Other Revenue$3,340,715PYOtherRevenueAmt
CY Other Revenue$3,003,241CYOtherRevenueAmt
PY Total Revenue$228,557,403PYTotalRevenueAmt
CY Total Revenue$246,519,863CYTotalRevenueAmt
PY Grants And Similar Paid$2,081,359PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,116,994CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$105,902,090PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$111,876,866CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$109,718,878PYOtherExpensesAmt
CY Other Expenses$115,789,520CYOtherExpensesAmt
PY Total Expenses$217,702,327PYTotalExpensesAmt
CY Total Expenses$229,783,380CYTotalExpensesAmt
PY Revenues Less Expenses$10,855,076PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,736,483CYRevenuesLessExpensesAmt
Total Assets BOY$146,443,514TotalAssetsBOYAmt
Total Assets EOY$168,517,480TotalAssetsEOYAmt
Total Liabilities BOY$121,068,727TotalLiabilitiesBOYAmt
Total Liabilities EOY$126,040,383TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,374,787NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,477,097NetAssetsOrFundBalancesEOYAmt
MissionMONTEFIORE ST. LUKE'S CORNWALL HOSPITAL, A MEMBER OF THE MONTEFIORE HEALTH SYSTEM, IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE TO IMPROVE THE LIVES AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE. OUR VISION IS TO CONTINUE AS A LEADER IN EXCEPTIONAL HEALTH CARE DELIVERY BY COLLABORATING WITH OUR PATIENTS, PROVIDERS, EMPLOYEES AND REGIONAL PARTNERS TO IMPROVE THE HEALTH OF OUR COMMUNITY FOR LIFE. WE WILL EXCEL AS A HIGHLY EFFICIENT ORGANIZATION DRIVEN BY QUALITY AND SERVICE EXCELLENCE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$188,287,578ExpenseAmt
Grant$2,116,994GrantAmt
Revenue$221,078,497RevenueAmt
DescMontefiore St. Luke's Cornwall Hospital ("MSLC") is a not-for-profit hospital dedicated to serving the healthcare needs of those in the Hudson Valley. Montefiore St. Luke Cornwall Hospital recently became a member of the Montefiore Health System, an integrated healthcare delivery system providing quality comprehensive healthcare services. This collaboration allows us to share clinical best practices, care management expertise and information technology platforms to enhance our patient care. With dedicated staff, modern facilities and state-of-the-art treatment, we are committed to meeting the needs of the community and continuing to aspire to excellence. St Luke's Cornwall Hospital with main campuses in Newburgh and Cornwall, and off-site facilities throughout the community, is a 345 bed acute care hospital dedicated to providing for the health care needs of the community. St Luke's Cornwall Hospital is the regional center for neonatology, thanks to its Elaine Kaplan Neonatal Intensive Care Unit. The Hospital also offers other pediatric subspecialties, as well as a robust list of both inpatient and outpatient services including a cardiac catheterization lab, Intensive Care Unit, Birthing Center, Metabolic and Bariatric Surgery, Thoracic Surgery and much more. The Hospital offers centers of excellence in cancer service, cardiovascular care, angioplasty, cardiac rehabilitation, orthopedics, sport medicine, and metabolic and bariatric surgery. Additional ambulatory patient services offered at St Luke's include, but are not limited to; Imaging Services, Laboratory Services, Physical Therapy, Pain Management, Outpatient Nutrition Counseling, Sleep Center, Stroke Care, Wound Healing & Hyperbaric Medicine, Psychological Services, Epilepsy Monitoring and Home Care. The St Luke's Cornwall campus is a thriving outpatient focused Center. This vital and growing community resource offers necessary healthcare access points to area residents for a variety of services that includes the Littman Center for Cancer Care, The Kreisberg Family Center for Pain Management, the Eastern Orange Ambulatory Surgery Center, and various ambulatory services including radiation oncology, wound Care and Physical Therapy, among others. St Luke's hospital operates an active emergency department and verified level III Trauma Center at its Newburgh campus delivering high quality emergency and trauma care close to home. The center is opened 24 hours, 365 days of the year and is one of the newest and busiest emergency departments between New York City and Albany. With a recent $11 million renovation and expansion, our emergency department was designed with patient comfort and convenience in mind. General trauma and specialty treatments bays for cardiac, asthma, Women's Health and Pediatrics enable our highly skilled ER team to provide comprehensive, quality care in a Patient-centered environment. To accommodate the demand for growing outpatient services, several satellite facilities were opened, including the Dialysis Center, Rehabilitation Center at New Windsor, and the Outpatient Care Center located on Route 9W in the Town of Newburgh. During the past two year, the newly rebranded Montefiore St. Luke's Cornwall Hospital has undergone significant transformation. This transformation has occurred on both campuses, including the expansion of our services as a result of our partnership with Montefiore Health System. In March 2018, St Luke's unveiled a $1.7 million chronic care center - Rehabilitation at Montefiore St. Luke's Cornwall Hospital - in Partnership with Burke Rehabilitation Hospital in White Plains, New York. This state-of-the-art facility offers physical and occupational therapy, cardiac and pulmonary rehabilitation and eventually cognitive medicine including dementia services and a memory clinic. The hospital recently broke grounds on a $8 million remodeling of the hospital's Newburgh Emergency Department. A new $24 million kidney center in Cornwall was recently opened in partnership with Fresenius Kidney Care to better serve the Cornwall's area growing dialysis community. Exceptional care is the center of all we do. This commitment is recognized by many outside organizations that includes, among others: - the Designation as a New York Stroke Center; - Top Performer Recognition from The Joint Commission on key quality measures for excellence in management of Heart Attack, Heart Failure, Stroke and Surgical Care; - Achievement of the Healthgrades Patient Safety Excellence Award, a designation that honors hospital performance in the prevention of serious, potentially preventable complications during hospital stays; - Recipient of its 10th straight "Get With the Guidelines Gold Plus Achievement Award" from the American Stroke Association for its overall quality of care for stroke patients; - Included on the list of Health Cares Most Wired hospitals, ranking among the nations best in using information technology to improve patient care; - Designated as an Institute of Quality for Cardiac Medical Intervention by Aetna for its excellent in care, commitment to continuous improvement and exceptional value to our patients; - Awarded the Healthgrade five star recipient recognition in natural childbirth for three consecutive years; - Designated as a Blue Distinction center for knee and Hip replacement and for Maternity Care by empire Blue Cross Blue Shield; - Accredited as a comprehensive Center under the Metabolic and Bariatric Surgery accreditation; - Verified as a Level III trauma center through 2019 by the verification Review Committee. St Luke's outreach initiatives are based on our dedication and commitment to the community to provide excellent health care. We have our own community education program that reaches a wide variety of audiences on a number of relevant health care topics. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens, and public events. In the last year, we have provided more than 100 education and screening events to the community as part of our mission to improve the lives and well-being of the people in the communities that we serve.Desc
Total Program Service Expenses$188,287,578TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document224IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1473EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS J GIBNEY CPAPersonNm
Phone8455682881PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP125504851ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Susan Green-Lorenzen
Trustee1.059.0Yes (X)$0$2,209,892$44,220
STEPHEN ROSENTHAL
Vice Chair (effective 1/1/19)1.059.0Yes (X)$0$1,037,312$46,270Yes (X)
Jeffrey Menkes
Trustee1.059.0Yes (X)$0$1,034,428$17,000
GINA DEL SAVIO MD
CHIEF MEDICAL OFFICER31.024.0$650,609$0$33,952Yes (X)
JOAN CUSACK-MCGUIRK
President & CEO50.05.0$630,222$0$24,322Yes (X)
THOMAS J GIBNEY
SVP, CFO/Treasurer50.05.0$473,273$0$45,442Yes (X)
DANIEL M BENGYAK
VP, HUMAN RESOUCES55.00.0$279,608$0$48,724Yes (X)
MARGARET ALLERS RN
VP, CHIEF NURSING OFFICER55.00.0$272,537$0$42,688Yes (X)
Daniel Maughan
VP, Transformation55.00.0$292,339$0$12,768Yes (X)
Mary V Kelley
VP, Quality Management55.00.0$259,870$0$32,047Yes (X)
JOSEPH T SURACE
VP, OPERATIONS55.00.0$226,801$0$47,209Yes (X)
Diane Wilkinson
RN40.00.0$210,016$0$26,722Yes (X)
Jill Barton
VP, Revenue Cycle55.00.0$210,627$0$23,689Yes (X)
Ajay Sharma
Pharmacist40.00.0$194,239$0$13,104Yes (X)
GEOFFREY BRACKETT
Trustee (term ended 12/31/19)1.00.0Yes (X)$0$0$0
DAVID POTACK
Chair (effective 1/1/19)1.00.0Yes (X)$0$0$0Yes (X)
CHRIS CATANIA
TRUSTEE1.00.0Yes (X)$0$0$0
NICK CITERA
TRUSTEE (term ended 12/31/19)1.00.0Yes (X)$0$0$0
GLEN L HELLER
TRUSTEE (term-ended 12/31/19)1.00.0Yes (X)$0$0$0
JOHN V PELELLA
TRUSTEE1.00.0Yes (X)$0$0$0
KEVIN WHITE
Secretary/TRUSTEE1.00.0Yes (X)$0$0$0Yes (X)
Roberto Padillo
Trustee1.00.0Yes (X)$0$0$0
Mary Ellen Rogulski
Trustee1.00.0Yes (X)$0$0$0
AUSTIN F DUBOIS
TRUSTEE1.00.0Yes (X)$0$0$0
JASON ADSIT
TRUSTEE1.00.0Yes (X)$0$0$0
Michael Bonura
Trustee (effective 1/1/19)1.00.0Yes (X)$0$0$0
Meghan Taylor
Trustee (effective 1/1/19)1.00.0Yes (X)$0$0$0
Lourdes Zapata
Trustee (effective 10/30/19)1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,700,141TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,281,632TotReportableCompRltdOrgAmt
Total Other Compensation$458,157TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K237IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNITED WESTLABS INC
801 NORTH PARKCENTER DRIVESANTA ANACA92705OUTSIDE LAB SERVICES$2,675,471
Perreca Electric Co Inc
520 BroadwayNEWBURGHNY12550Contracting Services$2,621,268
Restorix Health
PO Box 71849CHICAGOIL60694Medical services$2,503,941
Holt Construction Corporation
50 East Washington AvenuePEARL RIVERNY10965Construction$2,432,855
Allied Universal Security Services
PO Box 828854PHILADELPHIAPA19182Security services$1,930,212
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Related Organizations$302,856RelatedOrganizationsAmt
Government Grants$22,011,553GovernmentGrantsAmt
All Other Contributions$33,000AllOtherContributionsAmt
Total Contributions$22,347,409TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE622110$219,062,814$219,062,814$0$0
OTHER HEALTHCARE REALTED SERVICES621999$1,648,805$1,648,805$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$220,711,619TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$320,009TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$320,009ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,097,198RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$776,620RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$320,578RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$320,578TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$320,578ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$137,585SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$137,585SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$137,585TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$137,585ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$122,380GrossSalesOfInventoryAmt
Cost Of Goods Sold$81,631CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,749TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$40,749ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA REVENUE722514$757,602$0$0$757,602
PURCHASE DISCOUNTS900099$734,959$0$2,470$732,489
PARKING REVENUE812930$548,043$0$0$548,043

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$601,310TotalRevenueColumnAmt
Related Or Exempt Func Income$265,969RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$100,909UnrelatedBusinessRevenueAmt
Exclusion$234,432ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,641,914OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$246,519,863TotalRevenueColumnAmt
Related Or Exempt Func Income$220,977,588RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$103,379UnrelatedBusinessRevenueAmt
Exclusion$3,091,487ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,116,994TotalAmt
Program Services$2,116,994ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,775,387TotalAmt
Program Services$999,786ProgramServicesAmt
Management And General$1,775,601ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,230,719TotalAmt
Program Services$67,231,390ProgramServicesAmt
Management And General$9,999,329ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,535,010TotalAmt
Program Services$6,459,236ProgramServicesAmt
Management And General$1,075,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,259,191TotalAmt
Program Services$15,649,740ProgramServicesAmt
Management And General$2,609,451ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,076,559TotalAmt
Program Services$5,183,379ProgramServicesAmt
Management And General$893,180ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$434,655TotalAmt
Program Services$0ProgramServicesAmt
Management And General$434,655ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$331,408TotalAmt
Program Services$0ProgramServicesAmt
Management And General$331,408ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,515,378TotalAmt
Program Services$25,943,837ProgramServicesAmt
Management And General$8,571,541ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$444,650TotalAmt
Program Services$2,345ProgramServicesAmt
Management And General$442,305ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,993,722TotalAmt
Program Services$5,819,692ProgramServicesAmt
Management And General$3,174,030ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,392,538TotalAmt
Program Services$65,036ProgramServicesAmt
Management And General$2,327,502ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,816,941TotalAmt
Program Services$4,779,595ProgramServicesAmt
Management And General$37,346ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$79,153TotalAmt
Program Services$29,665ProgramServicesAmt
Management And General$49,488ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$84,533TotalAmt
Program Services$67,997ProgramServicesAmt
Management And General$16,536ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,203,846TotalAmt
Program Services$2,191,369ProgramServicesAmt
Management And General$12,477ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,879,700TotalAmt
Program Services$5,648,680ProgramServicesAmt
Management And General$1,231,020ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,107,658TotalAmt
Program Services$5,878,010ProgramServicesAmt
Management And General$229,648ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$39,259,097$39,259,097$0$0
INTERCOMPANY SHARED SERVICES$6,933,435$0$6,933,435$0
NYS CASH ASSESSMENT$885,195$0$885,195$0
PATIENT TRANSPORTATION$433,386$433,386$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$994,225TotalAmt
Program Services$528,344ProgramServicesAmt
Management And General$465,881ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$229,783,380TotalAmt
Program Services$188,287,578ProgramServicesAmt
Management And General$41,495,802ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,569BOYAmt
EOY$5,569EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,138,290BOYAmt
EOY$16,140,813EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$26,069,544BOYAmt
EOY$25,196,882EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$227,464BOYAmt
EOY$223,731EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,923,599BOYAmt
EOY$5,800,421EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$746,667BOYAmt
EOY$1,542,955EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$108,716,841LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,505,796LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,374,691BOYAmt
EOY$76,211,045EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,930,957BOYAmt
EOY$13,025,969EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,003,558BOYAmt
EOY$4,281,235EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,055,570BOYAmt
EOY$4,358,498EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,967,605BOYAmt
EOY$21,730,362EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$146,443,514BOYAmt
EOY$168,517,480EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,243,931BOYAmt
EOY$37,716,119EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,585,001BOYAmt
EOY$20,630,001EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$43,006BOYAmt
EOY$43,006EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$21,309,999BOYAmt
EOY$19,839,999EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,886,790BOYAmt
EOY$47,811,258EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,068,727BOYAmt
EOY$126,040,383EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,833,043BOYAmt
EOY$40,915,481EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,541,744BOYAmt
EOY$1,561,616EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,374,787BOYAmt
EOY$42,477,097EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$146,443,514BOYAmt
EOY$168,517,480EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,736,483ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,730,822NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,364,995OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$55,393OtherActivitiesAmt
Total Lobbying Expenditures$55,393TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, QUESTION 1IFormAndLineReferenceDesc
ExplanationOther lobbying activities includes a percentage of membership dues paid to The AMERICAN HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL ASSOCIATION, HeALTHCARE ASSOCIATION OF NEW YORK STATE, NORTHERN METROPOLITAN HOSPITAL Association AND 1199/SEIU that were used for lobbying efforts by these organizations.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,541,744BeginningYearBalanceAmt
Contributions$661,065ContributionsAmt
Investment Earnings Or Losses$545InvestmentEarningsOrLossesAmt
Other Expenditures$306,356OtherExpendituresAmt
Administrative Expenses$335,382AdministrativeExpensesAmt
End Year Balance$1,561,616EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,545,785BeginningYearBalanceAmt
Contributions$695,392ContributionsAmt
Investment Earnings Or Losses$538InvestmentEarningsOrLossesAmt
Other Expenditures$359,173OtherExpendituresAmt
Administrative Expenses$340,798AdministrativeExpensesAmt
End Year Balance$1,541,744EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,880,349BeginningYearBalanceAmt
Contributions$1,252,181ContributionsAmt
Investment Earnings Or Losses$3,167InvestmentEarningsOrLossesAmt
Other Expenditures$951,966OtherExpendituresAmt
Administrative Expenses$637,946AdministrativeExpensesAmt
End Year Balance$1,545,785EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,053,464BeginningYearBalanceAmt
Contributions$1,834,650ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Other Expenditures$492,615OtherExpendituresAmt
Administrative Expenses$515,150AdministrativeExpensesAmt
End Year Balance$1,880,349EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,172,509BeginningYearBalanceAmt
Contributions$866,542ContributionsAmt
Investment Earnings Or Losses-$890InvestmentEarningsOrLossesAmt
Other Expenditures$571,016OtherExpendituresAmt
Administrative Expenses$413,681AdministrativeExpensesAmt
End Year Balance$1,053,464EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.43270PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.56730TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,684,001OtherCostOrOtherBasisAmt
Book Value$1,684,001BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,581,803OtherCostOrOtherBasisAmt
Depreciation$10,993,736DepreciationAmt
Book Value$50,588,067BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,453,617OtherCostOrOtherBasisAmt
Depreciation$20,108,182DepreciationAmt
Book Value$18,345,435BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,997,420OtherCostOrOtherBasisAmt
Depreciation$1,403,878DepreciationAmt
Book Value$5,593,542BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,211,045TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
EST INSURANCE CLAIMS RECEIV$16,343,000
DUE FROM THIRD PARTY PAYORS$833,789
RIGHT OF USE OPER LEASE ASSETS$4,118,030
OTHER ASSETS$435,543
FieldValueIRS element (for citing)
Total Book Value Other Assets$21,730,362TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
EST INSURANCE CLAIMS LIABILITIES$16,343,000
DEFINED PENSION BENEFITS LIAB.$15,458,847
DUE TO AFFILIATES$2,574,371
INTEREST RATE SWAP AGREEMENTS$1,642,666
MALPRACTICE INSURANCE LIABILITIES$6,544,000
DUE TO THIRD PARTY PAYORS$306,945
PENSION CONTRIBUTIONS PAYABLE$439,325
RIGHT OF USE OPER LEASE LIABILITIES$4,118,030
OTHER LIABILITIES$384,074
FieldValueIRS element (for citing)
Total Liability$47,811,258TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART IV, Line 2bSt Luke's Cornwall Hospital holds security deposits from tenants in escrow pursuant to the individual lease agreements between the tenants and the organization. These deposits are returned to the tenants once they vacate their rental unit less any amounts, if any, due from the tenants for damages or unpaid rent.
Schedule D, Part V, Line 3a(ii)Part of the Permanently restricted endowment funds represents the organization's interest in St Lukes's Cornwall Health System Foundation, Inc., a supporting organization of St Luke's Cornwall Hospital.
Schedule D, Part V, Line 4The intended uses of the organization's endowment funds are to financially support healthcare initiatives of the St Luke's Cornwall Health System.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,784,456TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,730,735DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,053,721NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,869,844TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,573,605DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,296,239NetCommunityBenefitExpnsAmt
Total Expense0.07960TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,654,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,304,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,349,960NetCommunityBenefitExpnsAmt
Total Expense0.09720TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,167,212TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,167,212NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,647,057TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,571,253DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,075,804NetCommunityBenefitExpnsAmt
Total Expense0.02640TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,814,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,571,253DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,243,016NetCommunityBenefitExpnsAmt
Total Expense0.03150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,468,569TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,875,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,592,976NetCommunityBenefitExpnsAmt
Total Expense0.12870TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$656,279BadDebtExpenseAmt
Bad Debt Expense Attributable$107,124BadDebtExpenseAttributableAmt
Reimbursed By Medicare$61,629,739ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$76,011,812CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,382,073MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
EOASC
Ambulatory Surgery Center0.366370.00.60007
LSL Newburgh LLC
Dialysis Service0.150.00.3
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12550ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.montefioreslc.orgWebsiteAddressTxt
State License3522000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V - Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V - Section CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V - Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V - Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V - Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, Section B, Line 5The process for preparing the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community. The Montefiore St. Lukes Cornwall Community Health Needs Assessment was compiled using specific data provided from Mid-Hudson Region Community Health Assessment 2019-2021, and used as Montefiore St. Lukes Cornwall Hospital primary data collection source. The Mid-Hudson Region Community Health Assessment 2019-2021 was compiled and written by HealtheConnections and was inclusive of data pertaining to the seven counties within the Mid-Hudson Region. This assessment originated from a Collaborative that was formed in 2017 from the seven local Health Departments across the Mid-Hudson Region, with a goal of creating the first ever regional community health survey. The seven local Health Departments included Orange County Department of Health, Putnam County Department of Health, Rockland County Department of Health, Dutchess County Department of Behavioral & Community Health, Sullivan County Public Health Services, Ulster County Department of Health and Mental Health and Westchester Department of Health. There were 17 local hospitals who contributed funds for the Collaborative to contract with the Siena College Research Institute, to conduct a randomized digital dial community health survey between April and September 2018 to supplement the Regional Community Health Assessment. To further assess the broad interests of the community, following the Regional assessment, several focus groups were created to gain insight of the underrepresented populations in the community, including those who are seniors, low income, veterans, LGBTQ members, those experiencing homelessness, and residents with a mental health diagnosis. Twelve focus groups, with members of the providers who serve these populations were created collaboratively with Human Service providers throughout the region. Prior to the focus group, a survey was sent to providers in each county in an effort to supply additional background regarding local factors that influence community Health. Along with the primary data collected through the survey and focus groups, secondary data was compiled to further supplement the data collected and show health indicators for the Region. To capture an up-to-date high-level view of the health status of Orange County residents, there was an evaluation of temporal trends, differences between Orange County and other Mid-Hudson Region Counties, New York State excluding New York City and New York City for more than 20 measures, including: obesity, preterm births, teen pregnancy rates, poverty, access to primary care, insurance status, smoking, flu immunizations, cancer screening, HIV incidence, lung, colorectal, prostrate and breast cancer incidence rates, and hospitalization for asthma, diabetes, heart attacks and falls. Montefiore St. Lukes Cornwall Hospital participated in the Orange County Health Summit on June 4, 2019 that included more than 100 community partners, including hospitals, health care providers, community members, community health care providers, and those involved in academia. This summit was an active working session to review the data from the focus groups, along with the Sienna College Survey Data and untimely decide on the Priority areas for the 2019-2021 Community Health Improvement and Community service plan. Comments received on the most recently conducted Community Health Needs Assessment address areas of concern that Montefiores St. Lukes Cornwall Hospital had when creating the document, specifically that Montefiore St. Lukes Cornwalls primary service area, inclusive of the City of Newburgh was not well reflective in this data. The final Mid-Hudson Regional Community Health Assessment 2019-2021, notes that while the results gives an extensive background of the health needs of the Mid-Hudson region, the final results are misleading and mask several of the disparities that exist in the Urban areas of Orange County. At first glance, Orange County appears to be an affluent suburban community that enjoys a median household income above the New York averages, a smaller percentage of individuals living below the poverty line, a smaller unemployment rate and boasts higher percentage of high school graduates as compared to New York State. However, aggregate county data are misleading and masks the disparities within the county. The urban areas of Orange County are characterized by severe socioeconomically and health inequities, with one-third of the population living below the poverty line and residing in the three major cities of Newburgh, Middletown and Port Jervis.
Schedule H, Part V, Section B, Line 7aThe direct website address where the St Luke's Cornwall Hospital's CHNA report can be accessed: https://www.MONTEFIORESLC.ORG/DOCUMENTS/mslc-2019-CHNA-W-Appendices-FINAL. pdf
Schedule H, Part V, Section B, Line 10aThe hospital's most recently adopted implementation strategy is posted on the direct website: https://www.MONTEFIORESLC.ORG/DOCUMENTS/mslc-2019-CHNA-W-Appendices-FINAL. pdf
Schedule H, Part V, Section B, Line 11The two priority areas that Montefiore St. Lukes has identified as a result of the Community Health Needs Assessment and the discussion at the Health Summit are the same that was selected by Orange County as the two Prevention Agenda Priorities at the Summit: Prevent chronic Disease and Prevent Communicable Disease. According to the Mid-Hudson Regional community Health Assessment 2019-2021, in Orange County, Heart Disease and cancer are the leading causes of death and leading cause of premature death by a large margin. Obesity is a leading contributor to these top causes of death, as well as diabetes, stroke, and hypertension, all of which can lead to premature death. According to the 2016 BRFSS data, nearly 70% of Orange County adults are either overweight or obese. Data from 2016-2018 show that 36.8% of school aged children and adolescents are overweight or obese. Over the past ten years, the rate of obesity have continually grown, as well as subsequent morbidity of cardiovascular disease, prediabetes, and hypertension. STIs are also on the rise in Orange County. There has been a 75% increase in the average number of newly diagnosed HIV cases in Orange County. Chlamydia rates among both males and females from 2014-2016 are higher in Orange County than rates in the Mid-Hudson Region, and have steadily increased or remained the same from 2011-2013 to 2014-2016. Additionally, Orange County had its first fetal demise in 2019 from congenital syphilis in over 25 years. The significant needs to be addressed by Montefiore St. Lukes Cornwall, focusing on Orange County and specifically the hospitals primary service area inclusive of the City of Newburgh are as follows: - Prevent Chronic Disease - Montefiore St. Lukes Cornwall will focus on preventive care and management with an effort to promote evidence-based care to prevent and manage chronic diseases including Cardiovascular Disease, COPD, Diabetes and Prediabetes as well as asthma. The Montefiore St. Luke Cornwall team already has many systems in place to address these areas. Additionally, we will work to increase food security in Orange County by improving screening methods to identify patients with food insecurity, and further enhance the resources available within the hospital and amongst our community partners to connect the populations that we serve with a more available healthier food sources. Another focus area will be increasing cancer-screening rates. - Prevent Communicable Diseases Montefiore St. Lukes Cornwall will be working with community partners to reduce the annual rate of growth for sexually transmitted infections. There has been a significant increase in STIs in Orange County and the hospital has seen this increase first hand in both the presentations to the emergency department as well as the Labor and deliver unit. The New York State Prevention Agenda Health Improvement plan for 2019 established five prevention agenda priority areas from which the Orange County Department of Health has selected two of the five areas as a result of its collaboration with Montefiore St. Lukes Cornwall and several other community partners. The three areas that was not selected, as a focus area by the hospital was Promoting healthy women, infants and children, Prompting a healthy and safe environment and promoting well-being and preventing mental substance use disorders. Even though, Promoting Healthy women, infants and Children was not a selected priority area of Montefiore St. Lukes for the 2019-2021 community service plan, there are many systems that are already in place for this area. In 2018, an OB Patient Navigator was added to the Hospitals Birthing Center staff. In addition, prenatal education and breastfeeding classes are offered and the course size has seen recent increases. In 2019, a patient navigator was hired to connect patients who struggle with substance abuse or opioid addition with the appropriate community resources. The second area not selected was promoting a healthy and safe environment by focusing on access to supermarket or grocery stores and lead screenings. Montefiore St. Lukes is indirectly addressing the first focus area in our realm of working to increase food security in the community that we serve. By our work with the community to enhance the availability of healthy food options, we may be ultimately addressing this disparity. Lead screening, the second focus area, is not a focal point at Montefiore St. Lukes Cornwall since this area is currently being addressed by the performance of lead screenings by the community-based pediatricians in the hospitals primary service area. The third and last area not selected was promoting well-being and preventing mental substance use disorders. While this area was not addressed in the hospitals three-year community service plan, this area remains a top focus throughout the hospital and Orange County as a whole. Since the community already has a large variety of resources invested in addressing the opioid epidemic, it was felt that our collective efforts would be better geared in other directions. Additionally, in 2019, the hospital launched the first Medication Assisted Treatment Program, within the walls of the hospital, engaging patients when they first arrive and working to get them connected to the proper community resources.
Schedule H, Part V, Section B, Line 13HThe hospital uses a credit assessment tool to help determine if certain patients can auto-qualify for a charity care discount based on presumption eligibility.
Schedule H, Part V, Section B, Line 16AThe organization's FAP is available on the Hospital's website: https://www.montefioreslc.org/documents/LD-1415-FINANCIAL-ASSISTANCE.501R- COMPLIANT).pdf
Schedule H, Part V, Section B, Line 16BThe organization's FAP application is available on the Hospital's website: https://www.montefioreslc.org/DOCUMENTS/2288-FINANCIAL-ASSISTANCE-APPLICAT ION.PDF
Schedule H, Part V, Section B, Line 16CThe Plain Language summary of the FAP is available on the Hospital's website: https://www.montefioreslc.org//3357-SLCH-PLAIN-LANGUAGE-SUMMARY-FAP.PDF
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Montefiore St Luke's Cornwall
19 Laurel AvenueCornwallNY12518Hospital outpatient department
St Luke's Cornwall Hospital Fishkill Ctr
17 Old Main StreetFishkillNY12524rehabilitation services
SLCH Sleep Center
400 Westage Business Center DriveFishkillNY12524Specialty Care

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
1. Part I, Line 7The cost-to-charge ratio methodology was utilized to calculate the amount included in the table. The calculation of this ratio was derived from ratio of patient care cost-to-charge. 1. Part I, Line 7g The hospital has reported two 501(c)(3) physician's clinics, that includes its emergency physicians, as part of its subsidized health services. These two clinics are part of the integrated health care services provided by St Luke's Cornwall Hospital, a safety net and vital access provider, serving a medically underserved area. These medical clinics provide much needed health care services to the Hospital large Medicare and Medicaid populations that are operated by the hospital at a substantial loss to the organization. For 2019, the cost included in Part I, Line 7G for theses medical services were $1,972,128.
1. PART III, Section A, LINE 2The cost of bad debt expense is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A, Line 3 The estimated amount of the organization's bad debt expense (at cost) attributed to under the organization's charity care policy was based on the results of predictive analysis. Bad debt should be included as a community benefit because the organization provides much needed health care services indiscriminately to the community-at-large without regard to whether or not the patient has insurance or if the bill will ever be paid. Part III, Section A, Line 4 As reported in St Luke's Cornwall Hospital and Subsidiaries audited financial statements, bad debt expense is described as follows: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the year ended December 31, 2019, changes in the Hospital's estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as provision for bad debts. The provision for bad debt for the year ended December 31, 2019 and 2018, was not significant".
1. PART III, Section B, LINE 8The amount reported on Line 6 was derived using the Medicare allowable costs as reported on the Hospital's New York State Institutional Cost Report. The Medicare Shortfall should be considered a community benefit since these SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A whole AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE tax-exempt PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY healthcare SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER without REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability TO PAY. Medicare, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF care. The Medicare reimbursement has not kept pace with the rising Medicare costs thus shifting the burden for the difference to the organization for services rendered mainly to a frail, elder population that has great health needs.
1. Part III, Section C, Line 9BFor patients who are known to qualify for Financial assistance, all collection activity is halted and the patient is referred for financial aid. If an account is in collection and the patient requests financial aid or if the agency determines that the patient is eligible for financial assistance, the account is referred back to the hospital where the patient is provided assistance with completing an application for assistance.
2. Needs AssessmentThe organization assesses community needs by working jointly with a broad spectrum of community partners. SLCH leads the Population Health Coalition, a group that includes more than 30 local organization focused on improving the health of the population served. The group is comprised of disease specific advocacy, local health care providers, including primary and specialty care practices, rehabilitation centers, emergency medical services, and federally qualified Health Centers, as well as organizations that focus on housing, the aging population, employment, mental health and special needs. The Population Health Coalition strives to identify gaps in care, consolidate resources and information and collaborate on projects that serve the community. SLCH also uses Primary and secondary data collections to assess the health needs of the community. Patient survey data obtained and compiled by the Orange County Department of Health are used as a secondary data source to supplement input obtained directly at COMMUNITY AND TOWN council MEETINGS, MEDICAL EDUCATION SEMINARS, PHYSICIAN PRESENTATIONS AND various HEALTH SCREENING EVENTS.
3. Patient Education of Eligibility for AssistanceAll intake, registration and collection agency staff is trained on the Hospital's Financial Aid Policy and how to provide patients with assistance. When it is determined that a patient is having difficulty paying their bill, a referral is made to the Hospital's Financial Aid Office and a Financial counselor will help the patient apply for financial aid. The hospital makes its financial aid policy known to the public by providing written information at patient service areas, information posted on the internet and information sent out on patient's bills.
4. Community InformationST. LUKE'S CORNWALL HOSPITAL ("SLCH") is a 242-bed acute care not-for-profit community hospital with campuses in Newburgh and Cornwall New York, as well as several off-site facilities, that provide care to more than 250,000 patients per year and serves a population of approximately 400,000 people. As a safety net and Vital access Provider, the hospital serves a population that has been designated as a medically underserved area (MUA), specifically in the City of Newburgh. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF NEWBURGH, the most densely populated portion of MSLC's primary SERVICE area, with more than 7,473.3 PEOPLE PER SQUARE MILE. THE hospital's MARKET IS DEFINED BY 12 neighboring ZIP CODES mainly IN ORANGE county and INCLUDING ULSTER AND DUTCHESS COUNTIES. According to estimates from the United States Census Bureau, Orange county's: - Population grew by 2.4% (between 2010 and 2018) - Median household income (in 2017 dollars) 2013-2017 was $75,146 - Percentage of persons 65 and older was 13.6% and - 10.9% of the population lives in poverty. The latest Community Health Assessment Survey shows an increase from 2013 in the reported prevalence of certain chronic diseases, including diabetes, high blood pressure, reported overweight or obesity and heart disease. The survey also indicated the other most commonly reported chronic diseases as hyperlipidemia, depression or anxiety and chronic pain. Access to healthcare providers is another social determinant identified in the Mid-Hudson Region, and is specifically a challenge in the City of Newburgh due to limited access to transportation as well as the cost of care. The Mid-Hudson Region Community Health Assessment 2019-2021 notes that 11.1% of Orange County residents did not receive medical care due to cost in 2016. While Orange County may not be among the highest, the numbers are far higher in the City of Newburgh as compared to the county as a whole.
5. Promotion of Community HealthSt Luke's Cornwall hospital promotes community health by working with a board spectrum of community Partners in order to address various community health issues. SLCH leads the Population Health Coalition, a group that includes more than 30 local organization focusing on improving the health of the population served. The Population Coalition strives to identify gaps in care, consolidates resources and information and collaborates on projects that serve the community. The Coalition has succeeded in compiling an interactive directory of local community resources that can be utilized to better connect the population to appropriate services that best fit their needs. St Luke's Cornwall Hospital has its own community education programs that reaches a wide variety of audience on a number of community health issues. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens and public events. Future plans will build upon this existing model by identifying other audiences in need of educational programming, as well as utilizing digital outreach through the internet and social media.
6. Affiliated Health Care SystemsSt Luke's Cornwall Hospital is an affiliate of Montefiore Health System. Montefiore Health System, Inc. is a leader in community Health and has a long history of developing innovative approaches to care and creating programs to best serve the changing needs of its community. these include, but are not limited to the following: community service plan, community service strategy, accountable care organization, patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches support the Health System well in its provision of service to the community.
7. State Filing of Community Benefits ReportSt Luke's Cornwall Hospital files a COMMUNITY BENEFIT REPORT WITH the State of NEW YORK.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
HUDSON VISTA PHYSICIAN SERVICES PC
70 DUBOIS STREETNEWBURGHNY12550272020746501(C)(3)$848,963OPERATIONAL SUPPORT
HUDSON VISTA MEDICAL PC
70 DUBOIS STREETNEWBURGHNY12550452526738501(C)(3)$1,123,165OPERATIONAL SUPPORT
American Heart Association Inc
7272 Greenville AveDallasTX75231135613797501(c)(3)$17,625Sponsorship
MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREETBRONXNY104672401131740114501(C)(3)$7,500SPONSORSHIP
ORANGE COUNTY CHAMBER OF COMMERCE
40 MATTHEW STREETGOSHENNY10924061495939501(C)(6)$11,107SPONSORSHIP
Mount Saint Mary College
330 Powell AveNewburghNY12550141510994501(c)(3)$7,875Sponsorship
JDRF International
26 BroadwayNew YorkNY10004231907729501(c)(3)$7,000Sponsorship
The Newburgh Ministry Inc
9 Johnston StNewburghNY12551141706558501(c)(3)$6,500Sponsorship
Orange County Citizens Foundation
23-26 White Oak DriveSugar LoafNY10981132751473501(c)(3)$5,600Sponsorship
Cancer Resource Center of the Hudson Valley
100 Ward StreetMontgomeryNY12549453619585501(c)(3)$5,500Sponsorship
Newburgh Armory Unity Center Inc
321 S William StreetNewburghNY12550274649035501(c)(3)$5,500Sponsorship
Hospice of Orange & Sullivan Counties
800 Stoney Brook CtNewburghNY12550141703185501(c)(3)$5,250Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationMost of the hospital's assistance was made to two 501(C)(3) supported organizations of the hospital who were formed to provide physician and other licensed health care to the community. The operations of these entities are managed through the hospital and are included as part of the Hospital's consolidated activities. The organizations also makes a limited number of sponsorships to various organizations as part of its many local community health program endeavors. Contributions and sponsorships are made to deserving non-profit organizations to support the Health System's mission of advancing the Helath and welfare of the communities that we serve.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOAN CUSACK-MCGUIRK
President & CEO$557,830$0$61,700$0$10,692$0$10,563$0$13,759$0$654,544$0$0$0
THOMAS J GIBNEY
SVP, CFO/Treasurer$427,149$0$38,600$0$7,524$0$13,114$0$32,328$0$518,715$0$0$0
DANIEL M BENGYAK
VP, HUMAN RESOUCES$253,370$0$20,150$0$6,088$0$14,112$0$34,612$0$328,332$0$0$0
GINA DEL SAVIO MD
CHIEF MEDICAL OFFICER$344,911$0$22,300$0$283,398$0$12,375$0$21,577$0$684,561$0$0$0
JOSEPH T SURACE
VP, OPERATIONS$211,141$0$14,850$0$810$0$9,797$0$37,412$0$274,010$0$0$0
MARGARET ALLERS RN
VP, CHIEF NURSING OFFICER$249,836$0$14,850$0$7,851$0$8,076$0$34,612$0$315,225$0$0$0
Jeffrey Menkes
Trustee$0$509,100$0$500,000$0$25,328$0$17,000$0$0$0$1,051,428$0$0
Susan Green-Lorenzen RN
Trustee$0$1,091,431$0$397,700$0$720,761$0$17,000$0$27,220$0$2,254,112$0$0
Mary V Kelley
VP, Quality Management$230,909$0$22,850$0$6,111$0$7,174$0$24,873$0$291,917$0$0$0
Daniel Maughan
VP, Transformation$261,134$0$23,500$0$7,705$0$12,075$0$693$0$305,107$0$0$0
STEPHEN ROSENTHAL
Vice Chair (effective 1/1/19)$0$913,262$0$100,000$0$24,050$0$17,000$0$29,270$0$1,083,582$0$0
Jill Barton
VP, Revenue Cycle$192,379$0$15,550$0$2,698$0$8,835$0$14,854$0$234,316$0$0$0
Diane Wilkinson
RN$111,446$0$0$0$98,570$0$0$0$26,722$0$236,738$0$0$0
Ajay Sharma
Pharmacist$142,585$0$0$0$51,654$0$0$0$13,104$0$207,343$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4bA Trustee employed by Montefiore Health System, Inc. participated in a supplemental nonqualified retirement plan provided by the related organization. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF reasonableness" THE COMPENSATION COMMITTEE OF THE MONTEFIORE BOARD OF Trustees EXPRESSLY REVIEWED AND APPROVED THESE RETIREMENT BENEFIT arrangements FOR its SENIOR EXECUTIVES IN A MANNER THAT QUALIFIED UNDER the intermediate SANCTIONS RULES OF THE FEDERAL TAX LAW, AND IN recognition of (A) THE EXECUTIVES' YEARS OF SERVICE TO THE ORGANIZATION and (B) THE SIGNIFICANT CONTRIBUTIONS TO ENHANCING THE ABILITY OF THE organization TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT with FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD BE VIEWED AS applying TO YEARS OF SERVICE FOR THE ORGANIZATION. Pooled supplemental executive retirement plan distribution based on multiple years of service: Susan Green-Lorenzen, RN - $698,175.
Schedule J, Part I, Line 7Part of the annual incentive awards in column (B)(II) paid by the organization to reportable individuals listed on Form 990, Part VII, Section A, Line 1A was based on the compensation board or management discretion.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Orange County Industrial Development AgencyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN141603415BondIssuerEIN
CUSIP6B4595DT5CUSIPNum
Bond Issued2006-06-22BondIssuedDt
Issue Price$15,965,000IssuePriceAmt
PurposeFacility ImprovementsPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,360,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$15,965,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$319,300IssuanceCostsFromProceedsAmt
Credit Enhancement$109,772CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$13,894,518CapitalExpendituresAmt
Other Spent Proceeds$1,641,410OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2006SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1Key BankBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge20.TermOfHedgePct
Superintegrated HedgeYes (true)SuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE C, BOND AFormAndLineReferenceDesc
ExplanationThe rebate computation was performed 12/22/16.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6Montefiore Health System, Inc. is the sole member of Montefiore St. Luke's Cornwall Hospital.
Form 990, Part VI, Section A, Line 7AMontefiore Health System, Inc., the sole member of Montefiore St. Luke's Cornwall Hospital, has the authority to appoint and remove the members of the organization's Board. Form 990, Part VI, Section A, Line 7B Montefiore Health System, Inc., the sole member of Montefiore St. Luke's Cornwall Hospital, has the power to authorize and approve amendments to the Certificate of Incorporation and bylaws of the Corporation, the appointment, termination and terms of employment of the corporate officers, authorization and approval of all budgets and plans including the operating and capital budget and strategic plans, approval of any material changes to the Hospital's clinical services, the authorization and approval of managed care contracts, indebtedness, mergers, consolidations or dissolutions of the corporation and certain administrative procedures, among others.
Form 990, PART VI, SECTION B, Line 11The Form 990 was prepared by the Montefiore's tax Department working closely with St Luke's Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by the Vice-President-Finance and the Montefiore ST. LUKE'S CORNWALL HOSPITAL senior leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the St Luke's Finance Committee of the Board of trustees for review and approval. Once approved by the Finance Committee of the Board of Trustees, the Form 990 was provided to all members of St Luke's governing body prior to filing.
Form 990, PART VI, SECTION B, Line 12CTHE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. All officers, trustees and key employees of St Luke's Cornwall Hospital are required to complete an annual conflict of interest QUESTIONNAIRE, in their capacity as an employee of the Hospital or as a Board Member of the hospital. Completed QUESTIONNAIRES ARE RETURNED and reviewed by the SECRETARY of THE BOARD OF TRUSTEES and concerns presented by the responses are disclosed to THE SYSTEM'S COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S PRESIDENT/CEO AND THE ORGANIZATION'S FINANCE COMMITTEE for discussion and alleviation of the conflict. Documentation of the existence and resolution of the conflict, including any meeting minutes, IS maintained by the Secretary of the Board.
Form 990, PART VI, SECTION B, Line 15The organization is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The St Luke's Board of Trustees has charged the Finance Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) to serve as the executive compensation Committee, responsible with making all decisions related to compensation for select senior management of the Corporation. All decisions made by the Executive Compensation Committee are appropriately and timely documented in meeting minutes. The Executive Compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with St Luke's executive compensation philosophy. The Committee's decisions are made in the best interest of St Luke's, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Chair of the Committee provides the Board with a report of the committee's activities and progressions.
Form 990, PART VI, SECTION C, Line 16BALL JOINT VENTURES HAVE HOSPITAL REPRESENTATION ON THE RESPECTIVE BOARDS to ENSURE THAT THE HOSPITAL'S PARTICIPATION IN THESE JOINT VENTURE'S are in furtherance of the organization's CHARITABLE PURPOSE AND MISSION.
Form 990, PART VI, SECTION C, Line 19THE Conflict of Interest policy and governing documents are made available upon request.
Form 990, PART XI, Line 9The other change in net asset decrease of $1,364,995 was due to the following: - Increase in defined pension & other postretirement plans liabilities to be recognized in future periods ($1,281,396) - Change in fair value of derivative instrument ($103,472) - Change in Beneficial interest in an affiliate Foundation entity $19,873
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:9371933
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:22297433
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:1468869
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING TOTAL FEES:123111
FORM 990 PART IX LINE 11GDESCRIPTION:RECRUITING TOTAL FEES:151249
FORM 990 PART IX LINE 11GDESCRIPTION:CANCER CENTER PHYSICIAN SERV. TOTAL FEES:780833
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:319468
FORM 990 PART IX LINE 11GDESCRIPTION:ANSWERING SERVICE TOTAL FEES:2482

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL JV LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12550ZIPCd
FieldValueIRS element (for citing)
EIN263443304EIN
Primary ActivitiesHEALTH SVCS.PrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$2,415,617TotalIncomeAmt
End Of Year Assets$1,035,863EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SLCHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREETNEWBURGHNY12550223026261Holding CompNY501(C)(3)12A Type IMHSYes (true)
ST LUKE'S CORNWALL HEALTH SYSTEM FDN
70 DUBOIS STREETNEWBURGHNY12550223026263FUNDRAISINGNY501(C)(3)7SLCHSYes (true)
AMOS F & SARAH L HOLDEN HOME AGED WOMEN
70 DUBOIS STREETNEWBURGHNY12550141365995aSST lIVINGNY501(C)(3)PFSLCHSYes (true)
HUDSON VISTA PHYSICIAN SERVICES PC
70 DUBOIS STREETNEWBURGHNY12550272020746HEALTHCARENY501(C)(3)12A Type ISLCHYes (true)
HUDSON VISTA MEDICAL PC
70 DUBOIS STREETNEWBURGHNY12550452526738HEALTHCARENY501(C)(3)12A Type ISLCHYes (true)
MONTEFIORE HEALTH SYSTEM INC
555 SOUTH BROADWAY BLDG A FL 1TARRYTOWNNY10591201615393PARENTNY501(C)(3)12B TYPE IIMMAHSYes (true)
MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREETBRONXNY10467131740114ACD MED CTRNY501(C)(3)3MHSYes (true)
MMC CORPORATION
111 EAST 210TH STREETBRONXNY10467133430322REAL ESTATENY501(C)(3)12A TYPE IMMCYes (true)
MMC RESIDENTIAL CORP I INC
3411 WAYNE AVENUEBRONXNY10467911943271STAFF HOUSINGNY501(C)(2)MMCYes (true)
MONTEFIORE HOSP HOUSING SECTION II INC
3450 WAYNE AVENUEBRONXNY10467237160641STAFF HOUSINGNY501(C)(2)MMCYes (true)
MOSHOLU PRESERVATION CORPORATION
3400 RESEVOIR OVAL EASTBRONXNY10467133109387COMMUNITY SERNY501(C)(3)12A TYPE IMMCYes (true)
GUN HILL MRI PC
200 EAST GUN HILL ROADBRONXNY10467133734486DIAG SERVICESNY501(C)(3)12A TYPE IMMCYes (true)
MONTEFIORE NEW ROCHELLE HOSPITAL
16 GUION PLACENEW ROCHELLENY10801462931956HOSPITALNY501(C)(3)3MHSYes (true)
MONTEFIORE MOUNT VERNON HOSPITAL
12 NORTH SERVENTH AVENUEMOUNT VERNONNY10550462916938HOSPITALNY501(C)(3)3MHSYes (true)
SCHAFFER EXTENDED CARE CENTER
16 GUION PLACENEW ROCHELLENY10801462929888NURSING HOMENY501(C)(3)3MHSYes (true)
MONTEFIORE FOUNDATION INC
111 EAST 210TH STREETBRONXNY10467471600439INACTIVENY501(C)(3)7MMAHSYes (true)
ALBERT EINSTEIN COLLEGE OF MEDICINE INC
1300 MORRIS PARK AVENUEBRONXNY10461472209056MED COLLEGENY501(C)(3)2MMAHSYes (true)
MONTEFIORE MEDICINE ACADEMIC HEALTH SYST
555 SOUTH BROADWAY BLDG A FL 1TARRYTOWNNY10591471582973SYSTEM PARENTNY501(C)(3)12B TYPE IINAYes (true)
MONTEFIORE NYACK HOSPITAL
160 NORTH MIDLAND AVENUENYACKNY10960131740119HOSPITALNY501(C)(3)3MHSYes (true)
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROADWHITE PLAINSNY10601131740130HOSPITALNY501(C)(3)3MHSYes (true)
AECOM STUDENT HOUSING CO INC
1300 MORRIS PARK AVENUEBRONXNY10461237075620STUDENT HOUSNY501(C)(2)AECOMYes (true)
MONTEFIORE CERC OPERATIONS INC
111 EAST 210TH STREETBRONXNY10467474853506REHAB CENTERNY501(c)(3)3MMCYes (true)
WHITE PLAINS HOSPITAL CTR FOUNDATIONINC
41 EAST POST ROAD DAVIS AVEWHITE PLAINSNY10601133281507FUNDRAISINGNY501(C)(3)12A TYPE IWPHMCYes (true)
MONTEFIORE NYACK HOSPITAL FOUNDATION
160 NORTH MIDLAND AVENUENYACKNY10960133245804FUNDRAISINGNY501(C)(3)7NYACK HOSPYes (true)
THE WINIFRED MASTERSON BURKE REHAB HOSP
785 MAMARONECK AVENUEWHITE PLAINSNY10605131739937REHAB HOSPNY501(C)(3)3MHSYes (true)
Hudson Vista Corporation
70 Dubois StreetNewburghNY12550202286782HealthcareNY501(c)(3)12A Type INAfalse
MONTEFIORE MED ACAD HLTH SYS SELF INS TR
555 SOUTH BROADWAYTARRYTOWNNY10591824019223INS TRUSTNY501(c)(3)12A TYPE IMMAHSYes (true)
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUEBRONXNY10461830621846MED COLLEGENY501(C)(3)2MMAHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
UNIVERSITY BEHAVIORAL ASSOCIATES INC
111 EAST 210TH STREETBRONXNY10467133877781MGMT SERVICESNYNAC CORPYes (true)
THE MONTEFIORE IPA INC
111 EAST 210TH STREETBRONXNY10467134114915INTEG PROVR ASSOCNYNAC CORPYes (true)
MMC GI HOLDING EAST INC
111 EAST 210TH STREETBRONXNY10467721610013HOLDING COMPANYNYNAC CORPYes (true)
MMC GI HOLDING WEST INC
111 EAST 210TH STREETBRONXNY10467721610015HOLDING COMPANYNYNAC CORPYes (true)
MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC
111 EAST 210TH STREETBRONXNY10467133952750INTEG PROVR ASSOCNYNAC CORPYes (true)
BRONX ACCOUNTABLE CARE NETWORK IPA INC
111 EAST 210TH STREETBRONXNY10467300689571INTEG PROVR ASSOCNYNAC CORPYes (true)
MONTEFIORE CONSOLIDATED VENTURES INC
111 EAST 210TH STREETBRONXNY10467611728539HOLDING COMPANYNYNAC CORPYes (true)
MONTEFIORE INSURANCE COMPANY INC
111 EAST 210TH STREETBRONXNY10467320436594INACTIVENYNAC CORPYes (true)
HUDSON VALLEY IPA INC
111 EAST 210TH STREETBRONXNY10467383978087INTEG PROVR ASSOCNYNAC CORPYes (true)
MONTEFIORE INNOVATIONS INC
111 EAST 210TH STREETBRONXNY10467475106910HOLDING COMPANYNYNAC CORPYes (true)
HIGHLAND MEDICAL PC
160 NORTH MIDLAND AVENUENYACKNY10960134034481HEALTHCARE SERVNYNAC CORPYes (true)
8 LONGVIEW DEVELOPMENT CORP
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601263321278HOUSINGNYNAC CORPYes (true)
WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC
41 EAST POST ROADWHITE PLAINSNY10601453164626HEALTHCARE SERVNYNAC CORPYes (true)
CANCER AND BLOOD MEDICAL SERV OF NY PC
41 EAST POST ROADWHITE PLAINSNY10601462021804HEALTHCARE SERVNYNAC CORPYes (true)
DAVIS AVENUE CORP
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601133331643Property HoldingNYNAC CORPYes (true)
WHITE PLAINS MANAGEMENT CO INC
41 EAST POST ROADWHITE PLAINSNY10601133331641Property HoldingNYNAC CORPYes (true)
WPHC BUILDING CORP
41 EAST POST ROADWHITE PLAINSNY10601133676932Property holdingNYNAC CORPYes (true)
WHITE PLAINS MEDICAL SERVICES PC
DAVIS AVE AT EAST POST ROADWHITE PLAINSNY10601815369152HEALTHCARE SERVNYNAC CORPYes (true)
WHITE PLAINS PHYSICIAN SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601815309615HEALTHCARE SERVNYNAC CORPYes (true)
CHARITABLE REMAINDER TRUST (4)
CHARIT REMR TRUSTNYNATRUSTYes (true)
CRHT ACQUISITION INC
555 SOUTH BROADWAY BLDG A FL 1TARRYTOWNNY10591815220651HOLDING COMPANYNYNAC CORPYes (true)
QUANTUM BIOTHERAPEUTICS LLC
111 EAST 210TH STREETBRONXNY10467611793667INACTIVENYNAC CORPYes (true)
WHITE PLAINS PHYSICIAN MEDICAL SERV PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830519787INACTIVENYNAC CORPYes (true)
EAST POST ROAD MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830535258HEALTHCARE SERVNYNAC CORPYes (true)
EAST POST ROAD PHYSICIAN SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830563325INACTIVENYNAC CORPYes (true)
DAVIS AVENUE MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830579310INACTIVENYNAC CORPYes (true)
WPH HOLDINGS INC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601833893119HOLDING COMPANYNYNAC CORPYes (true)
INNOVATOR ACQUISITION CORP
111 EAST 210TH STREETBRONXNY104672401833394059HOLDING COMPANYNYNAC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HUDSON VISTA MEDICAL PC
B$1,123,165COST
HUDSON VISTA PHYSICIANS SERVICES PC
B$843,963COST
St Luke's Cornwall Hospital Foundation
C$302,856COST
MONTEFIORE HEALTH SYSTEM INC
M$1,279,333COST
St Luke's Cornwall Hospital Foundation
N$67,059Cost
St Luke's Cornwall Hospital Foundation
Q$232,005Cost
Montefiore Medical Center
M$6,274,682Cost
Winifred Masterson Burke Rehab Hospital
M$235,706Cost
The Montefiore IPA Inc
L$355,007Cost
MONTEFIORE MEDICAL CENTER
S$1,570,713cost
WHITE PLAINS HOSPITAL MEDICAL CENTER
M$150,000COST