2019-11-10T15:53:14-06:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 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 2019-11-07 true NICOLE M SOKOLOWSKI P01683199 2127733000 173.56.229.42 26308520193145000008 2019-11-10 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 047C777BBD395ADD529156C75D94AFF56594489C 2018 2020-01-14 16:20:31Z MONTEFIORE ST LUKE'S CORNWALL JOAN CUSACK-MCGUIRK 70 DUBOIS STREET NEWBURGH NY 125504851 229469050 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 1487 102 977848 806633 18973105 19837204 190716076 204285388 333818 1094096 2907452 3340715 212930451 228557403 2023380 2081359 0 0 102341907 105902090 0 0 0 99374029 109718878 203739316 217702327 9191135 10855076 138384294 146443514 121891691 121068727 16492603 25374787 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 178304788 2081359 204790293 Montefiore St. Luke's Cornwall Hospital ("SLCH") 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 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. 178304788 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 197 0 true 1487 true true true false false false false false false false false false false false X 14 11 false false true 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 MICHELLE F RIDER TRUSTEE (TERM ENDED 12/31/18) 1.0 0.0 X 0 0 0 GEOFFREY BRACKETT Chairman/Trustee 1.0 0.0 X X 0 0 0 DAVID POTACK Vice Chair/Trustee 1.0 0.0 X X 0 0 0 ANTHONY CAMPAGIORNI TRUSTEE (TERM ENDED 12/31/18) 1.0 0.0 X 0 0 0 CHRIS CATANIA TRUSTEE 1.0 0.0 X 0 0 0 NICK CITERA TRUSTEE 1.0 0.0 X 0 0 0 GLEN L HELLER TRUSTEE 1.0 0.0 X 0 0 0 THOMAS P KENNEDY Treasurer(TERM ENDED 12/31/18) 1.0 0.0 X 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 Jeffrey Menkes Trustee 1.0 59.0 X 0 1191046 17000 Susan Green-Lorenzen RN Trustee 1.0 59.0 X 0 1813543 42968 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 (ELECTED 5/2018) 1.0 0.0 X 0 0 0 STEPHEN ROSENTHAL TRUSTEE (ELECTED 9/2018) 1.0 59.0 X 0 999431 45068 JASON ADSIT TRUSTEE (ELECTED 10/2018) 1.0 0.0 X 0 0 0 JOAN CUSACK-MCGUIRK President & CEO 50.0 5.0 X 564906 0 49239 THOMAS J GIBNEY SVP, CHIEF FINANCIAL OFFICER 50.0 5.0 X 430490 0 49546 DANIEL M BENGYAK VP, HUMAN RESOUCES 55.0 0.0 X 253413 0 52760 JOSEPH T SURACE VP, OPERATIONS 55.0 0.0 X 221027 0 49897 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 55.0 0.0 X 246884 0 49885 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 31.0 24.0 X 424078 0 41291 Mary V Kelley VP, Quality Management 55.0 0.0 X 232461 0 42522 Daniel Maughan VP, Transformation 55.0 0.0 X 250654 0 11421 John Baldwin AVP-Expense Cycle/Compliance 55.0 0.0 X 188341 0 48596 Jill Barton VP, Revenue Cycle 55.0 0.0 X 200902 0 27303 3013156 4004020 527496 201 false true false ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 19182 SECURITY SERVICES 2436030 UNITED WESTLABS INC 801 NORTH PARKCENTER DRIVE SANTA ANA CA 92705 OUTSIDE LAB SERVICES 2042639 Restorix Health PO Box 71849 CHICAGO IL 60694 Medical services 1962900 PatientMatters LLC 518 South Magnolia Avenue ORLANDO FL 32801 Billing/Mgmt Serv 1294645 Persante Sleep Care 200 East Park Drive MOUNT LAUREL NJ 08054 Sleep Mgmt Serv. 1204310 40 354423 19387416 95365 19837204 PATIENT SERVICE REVENUE 622110 202638385 202638385 0 0 OTHER HEALTHCARE REALTED SERVICES 621999 1647003 1647003 0 0 204285388 304571 0 0 304571 0 0 885805 794345 91460 0 91460 0 0 91460 789525 0 789525 789525 0 0 789525 0 0 0 0 0 0 128712 117302 11410 0 0 11410 PARTNERSHIP INCOME 523999 1480746 504905 975841 0 CAFETERIA REVENUE 722514 724108 0 0 724108 PARKING REVENUE 812930 488742 0 0 488742 544249 2007 542242 3237845 228557403 204790293 977848 2952058 2081359 2081359 0 0 0 1968047 296769 1671278 0 0 74991513 65123722 9867791 0 6269971 5304620 965351 0 16854528 14483131 2371397 0 5818031 4948742 869289 0 0 439181 0 439181 0 337540 2540 335000 0 0 0 0 0 0 0 33660335 24769160 8891175 0 416050 0 416050 0 10017461 6659075 3358386 0 1996732 91288 1905444 0 0 4658381 4632157 26224 0 41372 12135 29237 0 0 66885 60622 6263 0 2408109 2352124 55985 0 0 5618501 4597847 1020654 0 5384063 5138813 245250 0 MEDICAL SUPPLIES 36992013 36992013 0 0 INTERCOMPANY SHARED SERVICES 5301516 0 5301516 0 NYS CASH ASSESSMENT 792454 0 792454 0 PATIENT TRANSPORTATION 471880 471880 0 0 1116405 286791 829614 217702327 178304788 39397539 0 5569 5569 12309707 10138290 0 0 25585997 26069544 0 0 0 0 234797 227464 4041246 4923599 1054159 746667 93000787 25626096 60293829 67374691 11501613 10930957 3892557 4003558 3819359 4055570 0 0 15645461 17967605 138384294 146443514 35391250 37243931 0 0 0 0 24445000 22585001 48319 43006 0 0 22695000 21309999 0 0 39312122 39886790 121891691 121068727 X 14946818 23833043 870132 866091 675653 675653 16492603 25374787 138384294 146443514 X 10855076 -1614436 -358456 X false true X true true true X false false false false false false false false true 62627 62627 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 X 1545785 695392 538 359173 340798 1541744 1880349 1252181 3167 951966 637946 1545785 1053464 1834650 0 492615 515150 1880349 1172509 866542 -890 571016 413681 1053464 1324803 1079840 697 1155380 77451 1172509 0.00000 0.43820 0.56180 false true true 1684001 1684001 55393194 7733129 47660065 30662332 16752806 13909526 5261260 1140161 4121099 67374691 EST INSURANCE CLAIMS RECEIV 16918000 DUE FROM THIRD PARTY PAYORS 614589 OTHER ASSETS 435016 17967605 0 EST INSURANCE CLAIMS LIABILITIES 16918000 PENSION LIABILITIES 15418059 DUE TO AFFILIATES 341458 INTEREST RATE SWAP AGREEMENTS 1539194 MALPRACTICE INSURANCE LIABILITIES 4972000 DUE TO THIRD PARTY PAYORS 314005 OTHER LIABILITIES 384074 39886790 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 4952268 1857230 3095038 0.01420 52302702 35762342 16540360 0.07590 57254970 37619572 19635398 0.09010 585317 0 585317 0.00270 18318340 14321795 3996545 0.01830 18903657 14321795 4581862 0.02100 76158627 51941367 24217260 0.11110 false 2806877 458163 59049375 72219563 -13170188 X true true EOASC Ambulatory Surgery Center 0.36637 0.0 0.6001 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 16 true false false true X See Part V - Section C X true 16 true See Part V - Section C false true 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 2016-2018 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 assessment was conducted using survey data from the 2016 community Health Assessment from the Orange County Department of Health in collaboration with input from community partners. SLHC leads the Population Health Coalition, a group formed in 2014 that includes more than 30 local organizations focusing 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. 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/2016-18-SLCH-Community-Service-Pla n.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/2016-18-SLCH-Community-Service-Pla n.pdf Schedule H, Part V, Section B, Line 11 A review of the results from the data collection in the Hospital's most recent conducted CHNA illustrated that SLCH should continue to retain the two priority areas selected in 2013 (1) Preventing Chronic Diseases and (2) Promoting Healthy Women, Infants and Children. Across these two focus areas, various goals, with specific interventions, performance measures and time frames were delineated; - Increase screening rates for cardiovascular disease, diabetes, and cancer; - Increase access to high quality chronic disease preventive care and management in clinical and community settings; - Increase rates for infants exclusively breastfed in the hospital. In order to address these prevention agenda items, St Luke's Cornwall Hospital is continuing its work with a broad spectrum of community partners including the Population Health Coalition, that St Luke's leads in order to identify gaps in care, consolidate resources and information and collaborate on projects that serve the community. In addition to working with the Population Health Coalition, St Luke's Cornwall Hospital has it own community education program that reaches a wide variety of audiences on a number of topics related to its two prevention agenda items. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens and public events. During the year, SLCH provided over 100 educational and screening events to the community. 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. The Population Health Coalition has also succeeded in compiling an interactive directory of local community resources that can be utilized to better connect the population to appropriate services to best fit their needs. Another focus has been to decrease exacerbation of chronic diseases and prevent unnecessary hospitalization through work that has been completed in our care transitions Program. With this program, high risk patients (COPD, CHF and Diabetes) are managed by members of our team. The Coleman Model of Care is used with each Patient, ensuring that they receive the proper follow up care when discharged from the hospital. Our team works closely to continue to manage the patient's needs, ultimately preventing their return to the hospital for their chronic illness. We are also working through collaboration with community partners on projects that are designed to engage patients in order to help them manage chronic diseases in more appropriate setting and reduce hospital utilization for issues better dealt with through community-based resources. To assist in the promotion of healthy women, infants and children, SLCH has worked to increase support for breastfeeding. Along with our efforts to increase breastfeeding rates, SLCH has taken an active role in the prevention of Neonatal Abstinence Syndrome, a consequence of the abrupt discontinuation of chronic fetal exposure to substance abuse or use by a mother during pregnancy. The requirement to identify any healthcare needs that was not addressed will be included in the 2018-2020 CHNA submission that is currently being finalized. 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/patients/billing-insurance-information/. Schedule H, Part V, Section B, Line 16B The organization's FAP application is available on the Hospital's website: https://www.montefioreslc.org/patients/billing-insurance-information/. 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/patients/billing-insurance-information/ 4 ST LUKE'S CORNWALL HOSPITAL FISKILL CTR 992 MAIN STREET ROUTE 52 FISHKILL NY 12524 REHABILITATION SERVICES THE REHAB CENTER AT NEW WINDSOR 575 HUDSON VALLEY AVENUE NEW WINDSOR NY 12553 REHABILIATION SERVICES ST LUKE'S CENTER FOR REHABILIATION 279 MAIN STREET NEW PALTZ NY 12561 REHABILITATION SERVICES ST LUKE'S HOSPITAL OUTPATIENT CARE CTR 417 ROUTE 9W NEWBURGH NY 12550 LABORATORY SERVICES 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 provider, serving a medically underserved area. These clinics provides much needed health care services to the Hospital large Medicare and Medicaid populations that is operated by the hospital at a substantial loss to the organization. For 2018, the cost included in Part I, Line 7G for theses clinics were $2,081,359. 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 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, 2018, 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, 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 AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD promulgated BY THE IRS. Providing CARE FOR THE ELDERLY AND SERVING Medicare PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. Medicare, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. MANY Medicare beneficiaries, LIKE THEIR MEDICAID COUNTERPARTS, ARE poor. 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. SLHC 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 organization 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 comprised of TWO HOSPITAL CAMPUSES IN CORNWALL, NY AND NEWBURGH, NY AS WELL AS VARIOUS OFFSITE FACILITIES THROUGHOUT THE COMMUNITY. SLCH IS An ACUTE CARE HOSPITAL DEDICATED TO PROVIDING FOR THE HEALTHCARE NEEDS OF THE COMMUNITY. THE SLCH GEOGRAPHIC COVERAGE AREA SERVES A POPULATION OF APPROXIMATELY 400,000 PEOPLE. As a SAFETY net provider, SLCH SERVEs A POPULATION THAT HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED area. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF NEWBURGH, the most densely populated portion of SLCH's primary SERVICE area, with more than 1,500 PEOPLE PER SQUARE MILE. THE SLCH MARKET IS DEFINED BY 36 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. 5. Promotion of Community Health St Luke's Cornwall hospital promotes community health by working with a broad 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 identity 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, Inc. 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) 1050187 OPERATIONAL SUPPORT HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 501(C)(3) 917735 OPERATIONAL SUPPORT Access Supports for Living Foundation Inc 15 Fortune Road West Middletown NY 10941 205404423 501(c)(3) 5500 Sponsorship American Cancer Society Inc 250 Williams Street NW Atlanta GA 30303 131788491 501(c)(3) 10000 Sponsorship American Heart Association Inc 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 11000 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) 7718 SPONSORSHIP MID-HUDSON PATTERN FOR PROGRESS 3 WASHINGTON CENTER NEWBURGH NY 12550 141490487 501(C)(3) 7560 SPONSORSHIP HUDSON VALLEY COUNCIL BOY SCOUTS 6 JEANNE DRIVE NEWBURGH NY 12550 141338385 501(C)(3) 6430 SPONSORSHIP 8 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 487476 0 66738 0 10692 0 17875 0 31364 0 614145 0 0 0 THOMAS J GIBNEY SVP, CHIEF FINANCIAL OFFICER 390359 0 39000 0 1131 0 9488 0 40058 0 480036 0 0 0 DANIEL M BENGYAK VP, HUMAN RESOUCES 229061 0 24200 0 152 0 15294 0 37466 0 306173 0 0 0 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 392542 0 31000 0 536 0 17875 0 23416 0 465369 0 0 0 JOSEPH T SURACE VP, OPERATIONS 206140 0 14700 0 187 0 13781 0 36116 0 270924 0 0 0 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 228247 0 18000 0 637 0 15069 0 34816 0 296769 0 0 0 Jeffrey Menkes Trustee 0 509100 0 348257 0 333689 0 17000 0 0 0 1208046 0 0 Susan Green-Lorenzen RN Trustee 0 1051346 0 470100 0 292097 0 17000 0 25968 0 1856511 0 0 Mary V Kelley VP, Quality Management 210356 0 21100 0 1005 0 14119 0 28403 0 274983 0 0 0 Daniel Maughan VP, Transformation 228650 0 21800 0 204 0 10000 0 1421 0 262075 0 0 0 STEPHEN ROSENTHAL TRUSTEE (ELECTED 9/2018) 0 875381 0 100000 0 24050 0 17000 0 28068 0 1044499 0 0 John Baldwin AVP-Expense Cycle/Compliance 173047 0 13700 0 1594 0 11117 0 37479 0 236937 0 0 0 Jill Barton VP, Revenue Cycle 186403 0 13900 0 599 0 12396 0 14907 0 228205 0 0 0 Schedule J, Part I, Line 4b Trustees employed by Montefiore Health System, Inc. participated in a supplemental nonqualified retirement plan. 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 - $270,063 Jeffrey Menkes - $301,743. 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 4790000 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 true false true true true Key bank 20. true false false 0 false true A true Form 990, Part VI, Section A, Line 4 Montefiore St. Luke's Cornwall Hospital Certificate of Incorporation was amended in February 2018 making Montefiore Health System, Inc. the active parent. The Bylaws was also amended at this time to reflect the reserved powers that Montefiore Health System has as an active parent and to make certain other related changes. 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 $358,456 was due to the following: - Increase in defined pension & other postretirement plans liabilities to be recognized in future periods ($982,239) - Change in fair value of derivative instrument $627,824 - Change in Beneficial interest in an affiliate Foundation entity ($4,041) TOTAL ($358,456) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:18903591 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:9547268 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:1394654 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL PERSONNEL TOTAL FEES:1570547 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:123074 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING TOTAL FEES:123717 FORM 990 PART IX LINE 11G DESCRIPTION:COVERING PHYSICIAN SERVICES TOTAL FEES:680000 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTING SERVICES TOTAL FEES:1317484 ST LUKE'S CORNWALL JV LLC 70 DUBOIS STREET NEWBURGH NY 12550 263443304 HEALTH SVCS. 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