2020-11-06T09:32:35-06:00 2019-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2019-01-01 141340054 ST LUKE'S CORNWALL HOSPITAL % THOMAS J GIBNEY CPA STLU 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 THOMAS J GIBNEY CPA SVP, CFO 8455682881 2020-10-28 true NICOLE M SOKOLOWSKI P01683199 2127733000 108.206.163.59 26308520203115000041 2020-11-06 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 770194AAF055F9EA87E64CA02E08FE540289067F 2019 2021-01-29 14:40:06Z MONTEFIORE ST LUKE'S CORNWALL HOSP JOAN CUSACK-MCGUIRK 70 DUBOIS STREET NEWBURGH NY 125504851 247378114 false X WWW.montefioreslc.org X 2002 NY MONTEFIORE 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. 14 11 1473 109 103379 76518 19837204 22347409 204285388 220711619 1094096 457594 3340715 3003241 228557403 246519863 2081359 2116994 0 0 105902090 111876866 0 0 0 109718878 115789520 217702327 229783380 10855076 16736483 146443514 168517480 121068727 126040383 25374787 42477097 MONTEFIORE 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. false false 188287578 2116994 221078497 Montefiore 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. 188287578 true true false true false false false false true true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 224 0 true 1473 true true true false false false false false false false false false false false X 14 11 false false false false true true true true true false false true true true true true true true true true false NY X THOMAS J GIBNEY CPA 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 Susan Green-Lorenzen Trustee 1.0 59.0 X 0 2209892 44220 STEPHEN ROSENTHAL Vice Chair (effective 1/1/19) 1.0 59.0 X X 0 1037312 46270 Jeffrey Menkes Trustee 1.0 59.0 X 0 1034428 17000 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 31.0 24.0 X 650609 0 33952 JOAN CUSACK-MCGUIRK President & CEO 50.0 5.0 X 630222 0 24322 THOMAS J GIBNEY SVP, CFO/Treasurer 50.0 5.0 X 473273 0 45442 DANIEL M BENGYAK VP, HUMAN RESOUCES 55.0 0.0 X 279608 0 48724 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 55.0 0.0 X 272537 0 42688 Daniel Maughan VP, Transformation 55.0 0.0 X 292339 0 12768 Mary V Kelley VP, Quality Management 55.0 0.0 X 259870 0 32047 JOSEPH T SURACE VP, OPERATIONS 55.0 0.0 X 226801 0 47209 Diane Wilkinson RN 40.0 0.0 X 210016 0 26722 Jill Barton VP, Revenue Cycle 55.0 0.0 X 210627 0 23689 Ajay Sharma Pharmacist 40.0 0.0 X 194239 0 13104 GEOFFREY BRACKETT Trustee (term ended 12/31/19) 1.0 0.0 X 0 0 0 DAVID POTACK Chair (effective 1/1/19) 1.0 0.0 X X 0 0 0 CHRIS CATANIA TRUSTEE 1.0 0.0 X 0 0 0 NICK CITERA TRUSTEE (term ended 12/31/19) 1.0 0.0 X 0 0 0 GLEN L HELLER TRUSTEE (term-ended 12/31/19) 1.0 0.0 X 0 0 0 JOHN V PELELLA TRUSTEE 1.0 0.0 X 0 0 0 KEVIN WHITE Secretary/TRUSTEE 1.0 0.0 X X 0 0 0 Roberto Padillo Trustee 1.0 0.0 X 0 0 0 Mary Ellen Rogulski Trustee 1.0 0.0 X 0 0 0 AUSTIN F DUBOIS TRUSTEE 1.0 0.0 X 0 0 0 JASON ADSIT TRUSTEE 1.0 0.0 X 0 0 0 Michael Bonura Trustee (effective 1/1/19) 1.0 0.0 X 0 0 0 Meghan Taylor Trustee (effective 1/1/19) 1.0 0.0 X 0 0 0 Lourdes Zapata Trustee (effective 10/30/19) 1.0 0.0 X 0 0 0 3700141 4281632 458157 237 false true false UNITED WESTLABS INC 801 NORTH PARKCENTER DRIVE SANTA ANA CA 92705 OUTSIDE LAB SERVICES 2675471 Perreca Electric Co Inc 520 Broadway NEWBURGH NY 12550 Contracting Services 2621268 Restorix Health PO Box 71849 CHICAGO IL 60694 Medical services 2503941 Holt Construction Corporation 50 East Washington Avenue PEARL RIVER NY 10965 Construction 2432855 Allied Universal Security Services PO Box 828854 PHILADELPHIA PA 19182 Security services 1930212 40 302856 22011553 33000 22347409 PATIENT SERVICE REVENUE 622110 219062814 219062814 0 0 OTHER HEALTHCARE REALTED SERVICES 621999 1648805 1648805 0 0 220711619 320009 0 0 320009 0 0 1097198 776620 320578 0 320578 0 0 320578 137585 0 137585 137585 0 0 137585 0 0 0 0 0 0 122380 81631 40749 0 0 40749 CAFETERIA REVENUE 722514 757602 0 0 757602 PURCHASE DISCOUNTS 900099 734959 0 2470 732489 PARKING REVENUE 812930 548043 0 0 548043 601310 265969 100909 234432 2641914 246519863 220977588 103379 3091487 2116994 2116994 0 0 0 2775387 999786 1775601 0 0 77230719 67231390 9999329 0 7535010 6459236 1075774 0 18259191 15649740 2609451 0 6076559 5183379 893180 0 0 434655 0 434655 0 331408 0 331408 0 0 0 0 34515378 25943837 8571541 0 444650 2345 442305 0 8993722 5819692 3174030 0 2392538 65036 2327502 0 0 4816941 4779595 37346 0 79153 29665 49488 0 0 84533 67997 16536 0 2203846 2191369 12477 0 0 6879700 5648680 1231020 0 6107658 5878010 229648 0 MEDICAL SUPPLIES 39259097 39259097 0 0 INTERCOMPANY SHARED SERVICES 6933435 0 6933435 0 NYS CASH ASSESSMENT 885195 0 885195 0 PATIENT TRANSPORTATION 433386 433386 0 0 994225 528344 465881 229783380 188287578 41495802 0 5569 5569 10138290 16140813 0 0 26069544 25196882 0 0 0 0 227464 223731 4923599 5800421 746667 1542955 108716841 32505796 67374691 76211045 10930957 13025969 4003558 4281235 4055570 4358498 0 0 17967605 21730362 146443514 168517480 37243931 37716119 0 0 0 0 22585001 20630001 43006 43006 0 0 21309999 19839999 0 0 39886790 47811258 121068727 126040383 X 23833043 40915481 1541744 1561616 25374787 42477097 146443514 168517480 X 16736483 1730822 -1364995 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 55393 55393 false SCHEDULE C, PART II-B, QUESTION 1I Other 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. false true 1541744 661065 545 306356 335382 1561616 1545785 695392 538 359173 340798 1541744 1880349 1252181 3167 951966 637946 1545785 1053464 1834650 0 492615 515150 1880349 1172509 866542 -890 571016 413681 1053464 0.00000 0.43270 0.56730 false true true 1684001 1684001 61581803 10993736 50588067 38453617 20108182 18345435 6997420 1403878 5593542 76211045 EST INSURANCE CLAIMS RECEIV 16343000 DUE FROM THIRD PARTY PAYORS 833789 RIGHT OF USE OPER LEASE ASSETS 4118030 OTHER ASSETS 435543 21730362 0 EST INSURANCE CLAIMS LIABILITIES 16343000 DEFINED PENSION BENEFITS LIAB. 15458847 DUE TO AFFILIATES 2574371 INTEREST RATE SWAP AGREEMENTS 1642666 MALPRACTICE INSURANCE LIABILITIES 6544000 DUE TO THIRD PARTY PAYORS 306945 PENSION CONTRIBUTIONS PAYABLE 439325 RIGHT OF USE OPER LEASE LIABILITIES 4118030 OTHER LIABILITIES 384074 47811258 SCHEDULE D, PART IV, Line 2b St 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 4 The intended uses of the organization's endowment funds are to financially support healthcare initiatives of the St Luke's Cornwall Health System. true true X true X true X true true true false true true 5784456 1730735 4053721 0.01760 50869844 32573605 18296239 0.07960 56654300 34304340 22349960 0.09720 1167212 0 1167212 0.00510 20647057 14571253 6075804 0.02640 21814269 14571253 7243016 0.03150 78468569 48875593 29592976 0.12870 false 656279 107124 61629739 76011812 -14382073 X true true EOASC Ambulatory Surgery Center 0.36637 0.0 0.60007 LSL Newburgh LLC Dialysis Service 0.15 0.0 0.3 1 1 ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 WWW.montefioreslc.org 3522000H X X X ST LUKE'S CORNWALL HOSPITAL 1 false false true X X X X X X X X X 19 true false false true X See Part V - Section C X true 19 true See Part V - Section C false true X 200. 300. X X true true X X X true X See Part V - Section C X See Part V - Section C X See Part V - Section C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, Section B, Line 5 The 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 7a The 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 10a The 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 11 The 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 13H The 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 16A The 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 16B The 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 16C The Plain Language summary of the FAP is available on the Hospital's website: https://www.montefioreslc.org//3357-SLCH-PLAIN-LANGUAGE-SUMMARY-FAP.PDF 3 Montefiore St Luke's Cornwall 19 Laurel Avenue Cornwall NY 12518 Hospital outpatient department St Luke's Cornwall Hospital Fishkill Ctr 17 Old Main Street Fishkill NY 12524 rehabilitation services SLCH Sleep Center 400 Westage Business Center Drive Fishkill NY 12524 Specialty Care 1. Part I, Line 7 The 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 2 The 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 8 The 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 9B For 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 Assessment The 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 Assistance All 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 Information ST. 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 Health St 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 Systems St 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 Report St Luke's Cornwall Hospital files a COMMUNITY BENEFIT REPORT WITH the State of NEW YORK. true HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH NY 12550 272020746 501(C)(3) 848963 OPERATIONAL SUPPORT HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 501(C)(3) 1123165 OPERATIONAL SUPPORT American Heart Association Inc 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 17625 Sponsorship MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 104672401 131740114 501(C)(3) 7500 SPONSORSHIP ORANGE COUNTY CHAMBER OF COMMERCE 40 MATTHEW STREET GOSHEN NY 10924 061495939 501(C)(6) 11107 SPONSORSHIP Mount Saint Mary College 330 Powell Ave Newburgh NY 12550 141510994 501(c)(3) 7875 Sponsorship JDRF International 26 Broadway New York NY 10004 231907729 501(c)(3) 7000 Sponsorship The Newburgh Ministry Inc 9 Johnston St Newburgh NY 12551 141706558 501(c)(3) 6500 Sponsorship Orange County Citizens Foundation 23-26 White Oak Drive Sugar Loaf NY 10981 132751473 501(c)(3) 5600 Sponsorship Cancer Resource Center of the Hudson Valley 100 Ward Street Montgomery NY 12549 453619585 501(c)(3) 5500 Sponsorship Newburgh Armory Unity Center Inc 321 S William Street Newburgh NY 12550 274649035 501(c)(3) 5500 Sponsorship Hospice of Orange & Sullivan Counties 800 Stoney Brook Ct Newburgh NY 12550 141703185 501(c)(3) 5250 Sponsorship 11 1 SCHEDULE I, PART I, LINE 2 Most 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. X X X X X false true false false false false false true false JOAN CUSACK-MCGUIRK President & CEO 557830 0 61700 0 10692 0 10563 0 13759 0 654544 0 0 0 THOMAS J GIBNEY SVP, CFO/Treasurer 427149 0 38600 0 7524 0 13114 0 32328 0 518715 0 0 0 DANIEL M BENGYAK VP, HUMAN RESOUCES 253370 0 20150 0 6088 0 14112 0 34612 0 328332 0 0 0 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 344911 0 22300 0 283398 0 12375 0 21577 0 684561 0 0 0 JOSEPH T SURACE VP, OPERATIONS 211141 0 14850 0 810 0 9797 0 37412 0 274010 0 0 0 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 249836 0 14850 0 7851 0 8076 0 34612 0 315225 0 0 0 Jeffrey Menkes Trustee 0 509100 0 500000 0 25328 0 17000 0 0 0 1051428 0 0 Susan Green-Lorenzen RN Trustee 0 1091431 0 397700 0 720761 0 17000 0 27220 0 2254112 0 0 Mary V Kelley VP, Quality Management 230909 0 22850 0 6111 0 7174 0 24873 0 291917 0 0 0 Daniel Maughan VP, Transformation 261134 0 23500 0 7705 0 12075 0 693 0 305107 0 0 0 STEPHEN ROSENTHAL Vice Chair (effective 1/1/19) 0 913262 0 100000 0 24050 0 17000 0 29270 0 1083582 0 0 Jill Barton VP, Revenue Cycle 192379 0 15550 0 2698 0 8835 0 14854 0 234316 0 0 0 Diane Wilkinson RN 111446 0 0 0 98570 0 0 0 26722 0 236738 0 0 0 Ajay Sharma Pharmacist 142585 0 0 0 51654 0 0 0 13104 0 207343 0 0 0 Schedule J, Part I, Line 4b A 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 7 Part 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. A Orange County Industrial Development Agency 141603415 6B4595DT5 2006-06-22 15965000 Facility Improvements false false false A 5360000 0 15965000 0 0 0 319300 109772 0 13894518 1641410 0 2006 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true A false false false true true true Key Bank 20. true false false 0 false true A true SCHEDULE K, PART IV, LINE C, BOND A The rebate computation was performed 12/22/16. Form 990, Part VI, Section A, Line 6 Montefiore Health System, Inc. is the sole member of Montefiore St. Luke's Cornwall Hospital. Form 990, Part VI, Section A, Line 7A Montefiore 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 11 The 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 12C THE 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 15 The 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 16B ALL 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 19 THE Conflict of Interest policy and governing documents are made available upon request. Form 990, PART XI, Line 9 The 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 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:9371933 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:22297433 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:1468869 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:123111 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING TOTAL FEES:151249 FORM 990 PART IX LINE 11G DESCRIPTION:CANCER CENTER PHYSICIAN SERV. TOTAL FEES:780833 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:319468 FORM 990 PART IX LINE 11G DESCRIPTION:ANSWERING SERVICE TOTAL FEES:2482 ST LUKE'S CORNWALL JV LLC 70 DUBOIS STREET NEWBURGH NY 12550 263443304 HEALTH SVCS. 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