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ST JOHNS RIVERSIDE HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ST JOHNS RIVERSIDE HOSPITAL (EIN 13-1740126)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201823179349304297
Schema version
2017v2.3
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)
Return2018-11-13T13:07:27-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AvenueAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP101540102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131740126EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOHNS RIVERSIDE HOSPITALBusinessNameLine1Txt
Business Name Line2ANDRUS PARKCARE & DOBBS FERRYBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% DENNIS KEANEInCareOfNm
Business Name ControlSTJOBusinessNameControlTxt
Phone9149644340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1967 NORTH BROADWAYAddressLine1Txt
CityYONKERSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP107013497ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS KEANEPersonNm
Person TitleVP FOR FINANCE & CFOPersonTitleTxt
Phone9149644340PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole FitzmauricePreparerPersonNm
PTINP01491005PTIN
Phone2127589700PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13407320183175000032FederalOriginalSubmissionId
Federal Original Submission Id2018-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB09A8F7452AAEB109EF01FBCB66ABFE0CB6B8889AtSubmissionCreationDeviceId
At Submission Filing Device Id0E8A73D45E13FB2D9FCF2954BFB38730BFBD513CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRON CORTIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1967 NORTH BROADWAYAddressLine1Txt
CityYONKERSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$260,225,412GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIVERSIDEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1870FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT.ActivityOrMissionDesc
Voting Members Governing Body28VotingMembersGoverningBodyCnt
Voting Members Independent25VotingMembersIndependentCnt
Total Employee2137TotalEmployeeCnt
Total Volunteers214TotalVolunteersCnt
Total Gross UBI$1,768TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$232NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,455,074PYContributionsGrantsAmt
CY Contributions Grants$7,069,212CYContributionsGrantsAmt
PY Program Service Revenue$232,408,422PYProgramServiceRevenueAmt
CY Program Service Revenue$232,377,546CYProgramServiceRevenueAmt
PY Investment Income$442,328PYInvestmentIncomeAmt
CY Investment Income$1,263,987CYInvestmentIncomeAmt
PY Other Revenue$4,538,876PYOtherRevenueAmt
CY Other Revenue$3,461,132CYOtherRevenueAmt
PY Total Revenue$243,844,700PYTotalRevenueAmt
CY Total Revenue$244,171,877CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$160,877,649PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$164,110,828CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$128,596CYTotalFundraisingExpenseAmt
PY Other Expenses$90,379,680PYOtherExpensesAmt
CY Other Expenses$97,034,429CYOtherExpensesAmt
PY Total Expenses$251,257,329PYTotalExpensesAmt
CY Total Expenses$261,145,257CYTotalExpensesAmt
PY Revenues Less Expenses-$7,412,629PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,973,380CYRevenuesLessExpensesAmt
Total Assets BOY$141,254,419TotalAssetsBOYAmt
Total Assets EOY$126,563,737TotalAssetsEOYAmt
Total Liabilities BOY$169,423,225TotalLiabilitiesBOYAmt
Total Liabilities EOY$174,831,965TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$28,168,806NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$48,268,228NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$225,926,455ExpenseAmt
Revenue$192,595,714RevenueAmt
DescIN 2017, ST. JOHN'S TREATED 10,108 INPATIENTS, THROUGH 48,199 PATIENT DAYS, WITH A LARGE PROPORTION (71%) BEING MEDICARE AND MEDICAID PATIENTS. THE HOSPITAL'S INPATIENT AND OUTPATIENT SPECIALTY SERVICES INCLUDE BARIATRIC SURGERY, BEHAVIORAL HEALTH SERVICES, BREAST CARE, CANCER CARE, CARDIOLOGY SERVICES, DIAGNOSTIC IMAGING, EMERGENCY SERVICES, HOLISTIC CARE SERVICES, HOPE CENTER, HYPERBARIC OXYGEN TREATMENT, MATERNITY, ORTHOPEDIC SURGERY CENTER, PHYSICAL THERAPY, RESPIRATORY THERAPY SERVICES, SLEEP SERVICES, SURGICAL SERVICES AND WOUND HEALING.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,995,220ExpenseAmt
Revenue$37,208,502RevenueAmt
DescIN 2017, ST. JOHN'S PROVIDED 44,120 DAYS OF INPATIENT DRUG AND ALCOHOL SUBSTANCE ABUSE SERVICES TO 7,247 PATIENTS. OUTPATIENT FOLLOW-UP TREATMENT AND SUPPORT SERVICES PROVIDED FOR 72,439 CLIENT VISITS. THE INPATIENT REHABILITATION PROGRAM IS BASED UPON THE 12 STEP PHILOSOPHY AND PROVIDES A COMPREHENSIVE ARRAY OF SERVICES TO MEN AND WOMEN IN SEPARATE, GENDER-SPECIFIC UNITS. PATIENTS WITH CO-OCCURRING PSYCHIATRIC DISORDERS AND THOSE WITH A HISTORY OF RELAPSE ARE WELCOMED. OUTPATIENT TREATMENT PROGRAMS INCLUDE A DAY REHABILITATION PROGRAM AND A CLINIC PROGRAM. FOR MORE INFORMATION, SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,156,838ExpenseAmt
Revenue$1,394,275RevenueAmt
DescST. JOHN'S OPERATES THE COCHRAN SCHOOL OF NURSING, AN ASSOCIATE DEGREE PROGRAM WHOSE PURPOSE IS TO TRAIN NURSES. IN 2017, 145 STUDENTS WERE ENROLLED AT THE SCHOOL. FOUNDED IN 1894 AT ST. JOHN'S RIVERSIDE HOSPITAL, THE COCHRAN SCHOOL OF NURSING IS THE OLDEST HOSPITAL-BASED SCHOOL OF NURSING IN THE METROPOLITAN REGION. THE SCHOOL OFFERS A REGISTERED NURSE (RN) CURRICULUM LEADING TO A DEGREE OF ASSOCIATE IN APPLIED SCIENCE. FOR MORE INFORMATION, SEE SCHEDULE O.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (7 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$1,493,027$2,388,943TOTAL OTHER PROGRAM EXPENSES
ST. JOHN'S RIVERSIDE HOSPITAL OPERATES A
METHADONE MAINTENANCE PROGRAM SEVEN DAYS A
WEEK, 365 DAYS A YEAR TO ENABLE CLIENTS
SUFFERING NARCOTIC ADDICTION TO CONTINUE
PRODUCTIVE LIVES. IN 2017, THE CLINIC HAD
100,121 VISITS.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,493,027TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$2,388,943TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$241,571,540TotalProgramServiceExpensesAmt
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 CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
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 FootnoteYes (true)IncludeFIN48FootnoteInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
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 Document179IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2137EmployeeCnt
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 ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members28GoverningBodyVotingMembersCnt
Independent Voting Member25IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS KEANEPersonNm
Phone9149644340PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1967 NORTH BROADWAYAddressLine1Txt
CityYONKERSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP107013497ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD F KOMOSINSKI
CHAIRMAN1.00.25Yes (X)Yes (X)$0$0$0
WM LEE KINNALLY JR
First Vice Chairman1.00.0Yes (X)Yes (X)$0$0$0
JAMES R LETSEN
Second Vice Chairman1.00.0Yes (X)Yes (X)$0$0$0
LENORE A MINERVA
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
IYAD ANNABI MD
ASSISTANT SECRETARY1.00.0Yes (X)Yes (X)$98,997$0$23,114
ROBERT C MURRAY
TREASURER1.00.25Yes (X)Yes (X)$0$0$0
THOMAS T LEE MD
BOARD MEMBER1.00.25Yes (X)$0$0$0
GERALD T MALONE
BOARD MEMBER1.00.26Yes (X)$0$0$0
DOMINICK P ARTUSO MD
CHAIR DOBBS FERRY MED EXEC COM1.00.0Yes (X)$0$0$0
ABDUL AZEEZ MD THRU 317
FORMER CHIEF OF STAFF1.00.0Yes (X)$0$0$0
PAMELA BARNES
BOARD MEMBER1.00.0Yes (X)$0$0$0
JONATHAN BAUMAN
BOARD MEMBER1.00.0Yes (X)$0$0$0
JIM BOSTIC
BOARD MEMBER1.00.0Yes (X)$0$0$0
MELVINA M CARTER
BOARD MEMBER1.00.0Yes (X)$0$0$0
JIM CASTRO-BLANCO ESQ
BOARD MEMBER1.00.0Yes (X)$0$0$0
STEVE CENTRILLO
BOARD MEMBER1.00.0Yes (X)$0$0$0
Robert DeMatteo
CHIEF OF STAFF1.00.0Yes (X)$0$0$0
JOSEPH A DISALVO ESQ
BOARD MEMBER1.00.0Yes (X)$0$0$0
ANNA T DOLAN MD
BOARD MEMBER1.00.25Yes (X)$0$0$0
HON LAWRENCE H ECKER
BOARD MEMBER1.00.0Yes (X)$0$0$0
KEVIN T FAY
BOARD MEMBER1.00.0Yes (X)$0$0$0
GREGORY M FISK
BOARD MEMBER1.00.25Yes (X)$0$0$0
MARK HERRMANN
BOARD MEMBER1.00.0Yes (X)$0$0$0
ANN KACHMAR
BOARD MEMBER1.00.0Yes (X)$0$0$0
JEANNE MARTINELLI
BOARD MEMBER1.00.0Yes (X)$0$0$0
MICHAEL SCHREIBER MD
Former CHIEF OF STAFF1.00.25Yes (X)$165,227$0$25,560
CECILE D SINGER
BOARD MEMBER1.00.25Yes (X)$0$0$0
Dr Victoria R Sirota
Board Member (START 3/17)1.00.0Yes (X)$0$0$0
Jay M Stein
Board Member (START 3/17)1.00.0Yes (X)$0$0$0
RONALD CORTI
PRESIDENT/CEO1.00.1Yes (X)$792,712$0$130,724
DENNIS KEANE
VP FINANCE/CFO1.00.1Yes (X)$480,707$0$45,301
DONNA MCGREGOR
EXEC VP/COO37.50.0Yes (X)$517,168$0$36,326
PAUL ANTONECCHIA MD
VP MEDICAL AFFAIRS/CMO37.50.1Yes (X)$438,431$0$38,781
GLADYS ATTANASIO
ASSISTANT VP REVENUE CYCLE37.50.0$214,567$0$34,128Yes (X)
FRAN DAVIS
VP NURSING (END 07/17)37.50.0$181,441$0$23,124Yes (X)
BRIAN KALEY
VP BEHAVIORAL HEALTH SERVICES37.50.0$284,373$0$17,109Yes (X)
LAURA FANNING
Asst.VP OF SURGICAL SERVICES37.50.0$171,659$0$16,730Yes (X)
TARA CURTIN
VP NURSING37.50.0$226,780$0$36,957Yes (X)
Susan Franzino
Asst. VP of Ancillary Services37.50.0$158,283$0$37,146Yes (X)
PRASERT ITHARAT MD
PHYSICIAN37.50.0$329,420$0$47,426Yes (X)
ANDRE OUTON MD
PHYSICIAN - INTERNAL MEDICINE37.50.0$270,359$0$37,828Yes (X)
EDNER PIERRE-LOUIS MD
PHYSICIAN - INTERNAL MEDICINE37.50.0$270,954$0$47,194Yes (X)
MICHAEL DIGIORNO MD
PHYSICIAN - NEPHROLOGY37.50.0$339,532$0$37,456Yes (X)
NIRAV PATEL
PHYSICIAN37.50.0$477,436$0$37,880Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,418,046TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$672,784TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K326IndivRcvdGreaterThan100KCnt
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
DOBBS FERRY EMERGENCY MEDICINE
33 RANDOM FARMS DRIVECHAPPAQUANY10514ER SERVICES$4,020,310
SYMPHONY MEDICAL PC
27 S WASHINGTON AVENUEDOBBS FERRYNY10522INTENSIVISTS$3,469,630
PULMONARY DISEASE GROUP OF WESTCHES
970 N BROADWAYYONKERSNY10701PULMONARY DIS SVCS$727,083
KERRY O' DWYER
17 Indian TrailHARRISONNY10528CONTRACTOR$576,271
FASTAFF LLC
5700 South Quebec Street Suite 300GREENWOOD VILLAGECO80111STAFFING SERVICES$560,209
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Fundraising$315,892FundraisingAmt
Government Grants$6,014,457GovernmentGrantsAmt
All Other Contributions$738,863AllOtherContributionsAmt
Total Contributions$7,069,212TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE623000$218,530,177$218,530,177
UNCOMPENSATED CARE SUBSIDIZED623000$8,058,595$8,058,595
STUDENT TUITION ADMISSIONS900099$1,372,531$1,372,531
PHYSICIAN BILLING900099$4,416,243$4,416,243
FieldValueIRS element (for citing)
Total Program Service Revenue$232,377,546TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$466,773TotalRevenueColumnAmt
Unrelated Business Revenue$1,768UnrelatedBusinessRevenueAmt
Exclusion$465,005ExclusionAmt

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$1,119,140RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,119,140RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,119,140TotalRevenueColumnAmt
Exclusion$1,119,140ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,673,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,875,786SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$797,214SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$797,214TotalRevenueColumnAmt
Exclusion$797,214ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$152,976FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$315,892ContriRptFundraisingEventAmt
Fundraising Direct Expenses$157,190FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,214TotalRevenueColumnAmt
Exclusion-$4,214ExclusionAmt
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$58,390GrossSalesOfInventoryAmt
Cost Of Goods Sold$20,559CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,831TotalRevenueColumnAmt
Exclusion$37,831ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA900099$328,561$328,561
EMPLOYEE PARKING900099$243,804$243,804
ALL OTHER REVENUE900099$1,736,010$1,736,010
FieldValueIRS element (for citing)
Other Revenue Total$2,308,375OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$244,171,877TotalRevenueColumnAmt
Related Or Exempt Func Income$232,377,546RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,768UnrelatedBusinessRevenueAmt
Exclusion$4,723,351ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$6,520,360TotalAmt
Program Services$6,520,360ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$223,838TotalAmt
Program Services$223,838ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$110,114,302TotalAmt
Program Services$102,685,792ProgramServicesAmt
Management And General$7,428,510ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,585,483TotalAmt
Program Services$14,581,929ProgramServicesAmt
Management And General$1,003,554ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,141,661TotalAmt
Program Services$21,624,327ProgramServicesAmt
Management And General$1,517,334ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,525,184TotalAmt
Program Services$7,980,015ProgramServicesAmt
Management And General$545,169ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,376,037TotalAmt
Program Services$2,309,935ProgramServicesAmt
Management And General$1,066,102ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$629,093TotalAmt
Management And General$629,093ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$431,667TotalAmt
Management And General$431,667ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$78,000TotalAmt
Management And General$78,000ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$66,732TotalAmt
Management And General$66,732ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,604,467TotalAmt
Program Services$25,698,575ProgramServicesAmt
Management And General$1,905,892ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$924,681TotalAmt
Management And General$888,832ManagementAndGeneralAmt
Fundraising$35,849FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$37,609,888TotalAmt
Program Services$36,256,845ProgramServicesAmt
Management And General$1,353,043ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,941,269TotalAmt
Program Services$970,635ProgramServicesAmt
Management And General$970,634ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,395,246TotalAmt
Program Services$5,195,245ProgramServicesAmt
Management And General$200,001ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,730TotalAmt
Program Services$23,268ProgramServicesAmt
Management And General$2,462ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$314,049TotalAmt
Program Services$158,504ProgramServicesAmt
Management And General$155,545ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,108,953TotalAmt
Program Services$2,108,953ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,849,151TotalAmt
Program Services$10,849,151ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,280,693TotalAmt
Program Services$3,280,693ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES, BOOKS, SUBSCRIPTIONS$373,624$283,585$90,039
COLLECTION FEES$673,520$388,887$284,633
AUXILIARY EXPENSES$92,747$92,747
ALL OTHER EXPENSES$1,258,882$431,003$827,879

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$261,145,257TotalAmt
Program Services$241,571,540ProgramServicesAmt
Management And General$19,445,121ManagementAndGeneralAmt
Fundraising$128,596FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,928,338BOYAmt
EOY$1,204,995EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,872,631BOYAmt
EOY$342,755EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,700BOYAmt
EOY$8,825EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,221,957BOYAmt
EOY$24,068,586EOYAmt

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$1,285,944BOYAmt
EOY$1,169,233EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,151,166BOYAmt
EOY$3,377,996EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,939,016BOYAmt
EOY$1,742,910EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$276,791,233LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$230,825,197LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,465,087BOYAmt
EOY$45,966,036EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$27,161,306BOYAmt
EOY$25,398,741EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,362,856BOYAmt
EOY$1,050,761EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,337,475BOYAmt
EOY$1,953,594EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,512,943BOYAmt
EOY$20,279,305EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$141,254,419BOYAmt
EOY$126,563,737EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,142,670BOYAmt
EOY$37,393,579EOYAmt

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$18,955,670BOYAmt
EOY$18,230,149EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

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$5,968,082BOYAmt
EOY$6,776,655EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,356,803BOYAmt
EOY$112,431,582EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$169,423,225BOYAmt
EOY$174,831,965EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$32,757,371BOYAmt
EOY-$52,766,501EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,458,928BOYAmt
EOY$2,368,636EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,129,637BOYAmt
EOY$2,129,637EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$28,168,806BOYAmt
EOY-$48,268,228EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$141,254,419BOYAmt
EOY$126,563,737EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$16,973,380ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,838,660NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,964,702OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

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 ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsYes (true)MediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$78,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Total Lobbying Expenditures$78,000TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-BFormAndLineReferenceDesc
ExplanationLOBBYING EXPENSES CONTACT WITH MEMBERS OF THE NYS LEGISLATURE ON SALE OF NURSING HOME AND GRANT FUNDING AND INCREASE THE HOSPITAL'S PRESENCE AND PROFILE WITH LOCAL GOVERNMENT LEADERS AND STATE LEGISLATORS. ALSO, A SMALL PORTION OF PENSION FUND CONTRIBUTIONS ARE ALLOCABLE TO HEALTHCARE EDUCATION PROJECT LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,524,162BeginningYearBalanceAmt
Investment Earnings Or Losses$3,089,272InvestmentEarningsOrLossesAmt
Other Expenditures$5,097,200OtherExpendituresAmt
Administrative Expenses$66,732AdministrativeExpensesAmt
End Year Balance$26,449,502EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,436,832BeginningYearBalanceAmt
Investment Earnings Or Losses$1,387,516InvestmentEarningsOrLossesAmt
Other Expenditures$231,125OtherExpendituresAmt
Administrative Expenses$69,061AdministrativeExpensesAmt
End Year Balance$28,524,162EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$29,107,717BeginningYearBalanceAmt
Investment Earnings Or Losses$151,048InvestmentEarningsOrLossesAmt
Other Expenditures$1,692,047OtherExpendituresAmt
Administrative Expenses$129,886AdministrativeExpensesAmt
End Year Balance$27,436,832EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$37,262,626BeginningYearBalanceAmt
Investment Earnings Or Losses$1,537,571InvestmentEarningsOrLossesAmt
Other Expenditures$9,654,046OtherExpendituresAmt
Administrative Expenses$38,434AdministrativeExpensesAmt
End Year Balance$29,107,717EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$31,741,170BeginningYearBalanceAmt
Contributions$2,500,000ContributionsAmt
Investment Earnings Or Losses$3,059,821InvestmentEarningsOrLossesAmt
Administrative Expenses$38,365AdministrativeExpensesAmt
End Year Balance$37,262,626EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.83201BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.08050PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08749TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,185,006OtherCostOrOtherBasisAmt
Book Value$1,185,006BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$118,959,473OtherCostOrOtherBasisAmt
Depreciation$97,461,362DepreciationAmt
Book Value$21,498,111BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$7,465,075OtherCostOrOtherBasisAmt
Depreciation$4,838,284DepreciationAmt
Book Value$2,626,791BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$147,568,074OtherCostOrOtherBasisAmt
Depreciation$128,525,551DepreciationAmt
Book Value$19,042,523BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,613,605OtherCostOrOtherBasisAmt
Book Value$1,613,605BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$45,966,036TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM THIRD PARTY PAYORS$7,912,700
OTHER NON-CURRENT ASSETS$4,050,269
OTHER RECEIVABLES$2,971,603
PROFESSIONAL INSURANCE - RCVBL$5,344,733
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,279,305TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATE-CAPTIVE INSUR$544,762
DUE TO THIRD PARTY PAYORS$396,092
ACCRUED POSTRETIREMENT BENEFIT$90,952,686
OTHER LT LIAB-DEF ASBESTOS$15,036,448
MALPRACTICE LIABILITY$5,501,594
FieldValueIRS element (for citing)
Total Liability$112,431,582TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INTENDED USE OF ENDOWMENT FUNDSFORM 990, SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUND OF THE HOSPITAL HAS BEEN ESTABLISHED TO PROVIDE FUNDING FOR PROGRAMS SUPPORTED BY ITS ENDOWMENT OR TO PROVIDE EMERGENCY FUNDS FOR USAGE TO BE APPROVED BY THE FINANCE COMMITTEE ON AN EMERGENCY BASIS.
ACCOUNTING FOR UNCERTAINTY IN INCOME TAXESFORM 990, SCHEDULE D, PART X, LINE 2 THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOMEWOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED.

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonCHANGING OUR WORLDPersonNm
ActivityPLANNINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$215,058GrossReceiptsEvent1Amt
Charitable Contri Event1$139,567CharitableContriEvent1Amt
Gross Revenue Event1$75,491GrossRevenueEvent1Amt
Non Cash Prizes Event1$8,005NonCashPrizesEvent1Amt
Rent Facility Costs Event1$68,900RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$5,735OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$253,810GrossReceiptsEvent2Amt
Charitable Contri Event2$176,325CharitableContriEvent2Amt
Gross Revenue Event2$77,485GrossRevenueEvent2Amt
Non Cash Prizes Event2$1,601NonCashPrizesEvent2Amt
Rent Facility Costs Event2$64,556RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$8,393OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$468,868GrossReceiptsTotalAmt
Charitable Contributions Tot$315,892CharitableContributionsTotAmt
Gross Revenue Total Events$152,976GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$9,606NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$133,456RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$14,128OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$157,190DirectExpenseSummaryEventsAmt
Net Income Summary-$4,214NetIncomeSummaryAmt

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
Percent100Yes (X)Percent100Ind
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$1,044,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$96,419DirectOffsettingRevenueAmt
Net Community Benefit Expns$947,581NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,927,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,706,454DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,221,210NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,971,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,802,873DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,168,791NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$869,637TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$869,637NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,268,696TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,636,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$631,896NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,138,333TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,636,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,501,533NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,109,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,439,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,670,324NetCommunityBenefitExpnsAmt
Total Expense0.02930TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$16,750,605BadDebtExpenseAmt
Bad Debt Expense Attributable$5,458,581BadDebtExpenseAttributableAmt
Reimbursed By Medicare$60,744,377ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$60,276,303CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$468,074MedicareSurplusOrShortfallAmt

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
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
SJR HOSPITAL ANDRUS PAVILION
1967 NORTH BROADWAYYONKERSNY10701WWW.RIVERSIDEHEALTH.ORGYes (X)Yes (X)Yes (X)Yes (X)A
SJR PARK CARE PAVILION
22 PARK AVENUEYONKERSNY10703WWW.RIVERSIDEHEALTH.ORGYes (X)Yes (X)Yes (X)A
SJR DOBBS FERRY PAVILION
3128 ASHFORD AVEDOBBS FERRYNY10522WWW.RIVERSIDEHEALTH.ORGYes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility13FacilityNum
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 Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
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Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care101.FPGFamilyIncmLmtDscntCarePct
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Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
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Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ALL PART V DESCRIPTIONS RELATE TO EACH HOSPITAL FACILITYPART V, LINES 5 & 6 The St. John's Riverside Hospital (SJRH) Community Health Needs Assessment {CHNA) was conducted to include its three hospital sites: the Andrus, Park Care and Dobbs Ferry Pavilions, and a joint report was issued. The facilities serve a diverse population in Westchester County and share an authorized body which adopted the assessment in 2017. The St. John's CHNA was developed during 2016 in collaboration with the Westchester County Department of Health's 'Health and Hospital Planning Teamthe Montefiore Hudson Valley Collaborative Performing Provider System (PPS) Hospital Group, and referenced the 'One Region, One CNA' - An Eight County Community Needs Assessment Undertaken in Collaboration With: Westchester Medical Center, Montefiore Medical Center, Refuah Health Center and Health Alliance of the Hudson Valley, December 2016. The Westchester County Department of Health (WCDOH), http://health.westchestergov.com/, and the Montefiore Hudson Valley Collaborative PPS, http://www.montefiore.org/hudson-valley-collaborative, Community Health Needs Assessments, which meet both IRS and NYS needs assessment and service plan requirements, contain more detailed information and data on the health status of the population and distribution of health issues based on analysis of demographic factors and identification of the main health challenges facing the community; as well as a discussion of the contributing causes of these challenges, including broad determinants of health. Our partner sessions gave the opportunity for area hospitals to discuss NYS Prevention Agenda priorities, feedback from their public needs assessments, services provided, gaps in service and best practices. While all hospitals in Westchester County share the same priorities, each hospital selected priorities that aligned with their mission, were attainable, and created a program that best suited its institution and patient service area. The public input process also encompassed collaboration with the following partners: City of Yonkers/SJRH's Healthy Yonkers Initiative and the SJRH community advisory committee. A multidisciplinary group was involved in assessing community health needs in Westchester County with public participation solicited via a survey sponsored by the WCDOH and community partners. The collaborative process was beneficial in researching current health data, conducting health needs assessments within our communities, sharing of best practice interventions and leveraging of resources. To determine the most pressing health needs of our community, we surveyed members of the medically underserved, low-income, and minority population in the SJRH service area, who represent the health interests of our patients and their families. St. John's leadership also considered its own resources, strengths, and abilities in the selection of SJRH's priority community needs. To help support and coordinate this collaboration, the WCDOH invited all Westchester hospitals to attend a kick-off meeting in April 2017. To support in the selection of priorities the WCDOH's Health and Hospital Planning Team held collaborative meetings from April through November 2017. The collection of primary data from a sample of the Westchester County residents was an important element of the development of the Community Health Needs Assessment. SJRH engaged with the WCDOH's on-line Community Resident and Provider Health Surveys to facilitate the implementation of the data collection process. We identified the following partners to help implement interventions identified in our community health needs ASSESSMENT: Hudson River HealthCare FQHC, Hudson Community Health Alliance's Local IMPACT Initiative, primary practice offices, Cancer Coalition of Westchester, Healthy Yonkers Initiative, SJRH Behavioral Health Services, SJRH Community Advisory Team, Westchester County Department of Health and the Montefiore Hudson Valley Collaborative. Our planning team also conducted a survey of selected stakeholders representing health care and service-providing agencies within the county. The purpose of the study was to provide feedback from community service providers in order to: 1) guide strategic planning, 2) highlight topics for increased public awareness, 3) identify areas for training, and 4) inform the statewide Prevention Agenda. The survey was developed through a collaborative effort by an eighteen-member survey committee representing county public health department and local hospitals during the spring-summer of 2017. A total of 1,318 community surveys and 218 provider surveys were conducted May 16 to June 30, 2017. To ensure a broad assessment of our community health needs, we engaged a variety of participants including, but not limited to, the community-at-large through local residents participating in SJRH speaker's bureau's health education programs. We shared health data and sought feedback through the following SJRH groups: community advisory committee, pastoral care committee, physician alignment committee, radiology advisory committee, wellness committee, board of trustees and our employees. SJRH also gathered information from external sources by conducting public forums at the Cross County Shopping Center in Yonkers, New York and other health sessions held at select locations to address the community that represented the diverse population that we serve. We plan to provide ongoing opportunities for hospitals and other stakeholders, i.e. community-based organizations, to strategize on how to address health priorities. We will also work with partners to provide more refined data to track and evaluate progress in achieving goals related to selected priorities. SJRH will continue to communicate with other community-based organizations regarding advocacy, participation in local community events, and exchange of referral information. Engaging local community members in our efforts enables us to involve our health care institution and the community in the activities of national health advocacy organizations, including walks, fairs, and other awareness-raising activities for health issues that impact the community. PART V, LINES 7 AND 10 (CHNA PUBLICATION) THE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS CONDUCTED DURING THE 2016 PERIOD AND APPROVED BY ITS BOARD OF TRUSTEES ON DECEMBER 12, 2017. THE FINAL APPROVED CHNA REPORT WAS UPLOADED TO THE SJRH PUBLIC WEBSITE WWW.RIVERSIDEHEALTH.ORG ON DECEMBER 30, 2017, SHARED WITH COMMUNITY PARTNERS AND A PAPER COPY WAS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE AT THE HOSPITAL FACILITY. A PRESS RELEASE WAS SENT TO ALL LOCAL MEDIA FOR PUBLICATION, THAT THE REPORT IS AVAILABLE FOR THE PUBLIC TO REVIEW. ALL HOSPITAL ADMINISTRATIVE OFFICES ARE GIVEN A COPY OF THE REPORT TO PRODUCE UPON REQUEST. THE COMMUNITY RECEIVED COMMUNICATION THROUGH OUR PRINT NEWSLETTER, "RIVERSIDE". SJRH EMPLOYEES, PHYSICIANS AND COMMUNITY PARTNERS RECEIVED NOTIFICATION THROUGH THEIR EMAIL NEWSLETTERS WITH A LINK TO CONNECT THEM TO OUR WEBSITE. NOTIFICATION WAS ALSO POSTED ON THE SJRH FACEBOOK PAGE. EMPLOYEES CAN ALSO ACCESS THE REPORT THROUGH THE HOSPITAL INTRANET AND COPIES CAN BE OBTAINED BY CALLING THE HOSPITAL'S PUBLIC RELATIONS OFFICE. DIRECT URL TO CHNA: http://riversidehealth.org/Portals/0/2016/St.%20John's%20Riverside%20Hospi tal%202016-2018%20CSP%20-%20Post-ilovepdf-compressed.pdf PART V, LINE 11 (ADDRESSING COMMUNITY NEEDS) THE AFFORDABLE CARE ACT REQUIRES NOT-FOR-PROFIT HOSPITALS TO ASSESS AND ADDRESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THE DEVELOPMENT OF A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY (I/S). ACCORDINGLY, ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) HAS TAKEN INTO ACCOUNT THE BROAD INTERESTS OF ITS COMMUNITY MEMBERS, ANALYZED HEALTH DATA AND SUBSEQUENTLY ADOPTED A PLAN TO PRIORITIZE AND MEET THE HEALTH NEEDS IDENTIFIED. THE SJRH CHNA PROVIDES A REPORT OF THE PROCESS AND RESULTS OF A COMPREHENSIVE ASSESSMENT OF THE NEEDS OF ITS COMMUNITY SERVED. THE SJRH I/S ADDRESSES THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AND DELINEATES THE METRICS TO BE USED TO EVALUATE THE IMPACT OF THESE INITIATIVES. THE SJRH CHNA WAS DEVELOPED BASED UPON BOTH FEDERAL AND NEW YORK STATE (NYS) GUIDELINES. THE NYS GUIDELINES WERE DESIGNED TO MEET THE FEDERAL HEALTHY PEOPLE 2020 GOALS AND ENCOMPASS THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA 2013-2018 (MARCH 2015), AND PREVENTION AGENDA 2013-2018 ACTION PLAN RE-FRESH CHART (DECEMBER 2015). SJRH has considered the CHNA and Prevention Agenda documents along with the dialogue of its Community Partners in the establishment of its three-year action plan that includes two Prevention Agenda priorities; both of which address a health disparity in the community and involves ongoing collaboration and engagement with partners to achieve health improvement. The SJRH CHNA is an outcome
PART V, LINE 13G & 13HAMOUNTS CHARGED TO PATIENTS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROVIDES ASSISTANCE TO INDIVIDUALS IN THE FOLLOWING GEOGRAPHIC AREAS: 1. FOR EMERGENCY CARE SERVICES: ALL NEW YORK STATE RESIDENTS. 2. FOR MEDICALLY NECESSARY NON-EMERGENT INPATIENT, AMBULATORY SURGERY, AND OUTPATIENT SERVICES (INCLUDING CLINICS), THE HOSPITAL'S PRIMARY SERVICE AREA (PSA) INCLUDES ALL PATIENTS RESIDING IN THE FOLLOWING COUNTIES: WESTCHESTER, ORANGE, PUTNAM, ROCKLAND, BRONX, MANHATTAN (NEW YORK), BROOKLYN (KINGS) AND QUEENS. PART V, LINE 16A THE FINANCIAL ASSISTANCE POLICY (FAP) CAN BE FOUND AT THE FOLLOWING WEBSITE: http://riversidehealth.org/PatientsVisitors/PayingForYourCare.aspx PART V, LINE 16B THE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT THE FOLLOWING WEBSITE: http://riversidehealth.org/Portals/0/2016/2016%20Health%20Solutions%20Appl ication%20(Merged).pdf PART V, LINE 16C A PLAIN LANGUAGE SUMMARY OF THE SJRH FAP CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTP://WWW.RIVERSIDEHEALTH.ORG/PATIENTSVISITORS/PATIENTFINANCIALSERVICES.A SPX PART V, LINE 16I PUBLICATION OF FINANCIAL ASSISTANCE POLICY SEE SUPPLEMENTAL INFORMATION, PART VI, LINE 3 FOR MORE INFORMATION.

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3A AND PART V, LINE 13FREE CARE AS OUTLINED IN THE NEW YORK STATE HOSPITAL FINANCIAL ASSISTANCE LAW, UNINSURED INDIVIDUALS WITH DOCUMENTED INCOME AND FAMILY SIZE LEVELS THAT FALL AT OR BELOW 100% FPL WILL BE ENTITLED TO PAY THE AMOUNTS SPECIFIED UNDER THE STATE'S NOMINAL PAYMENT GUIDELINES (AS SHOWN BELOW AND INCLUDED IN THE HOSPITAL'S FINANCIAL AND CHARITY CARE PROGRAM POLICY): I. INPATIENT SERVICES - $150/DISCHARGE II. AMBULATORY SURGERY - $150/PROCEDURE III. ALL ANCILLARY SERVICES - $150/PROCEDURE IV. ADULT ER/CLINIC SERVICES - $15/VISIT V. PRENATAL AND PEDIATRIC ER/CLINIC SERVICES - NO CHARGE PART I, LINE 6A THE HOSPITAL SUBMITTED A COMMUNITY SERVICE PLAN (CSP) TO NEW YORK STATE IN 2016 AND PREPARED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT IN 2016, BOTH OF WHICH ARE MADE AVAILABLE TO THE PUBLIC THROUGH POSTING ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. THE HOSPITAL'S MISSION STATEMENT HAS NOT CHANGED SINCE THE SUBMISSION OF THE 2016 CSP. THE HOSPITAL IS CURRENTLY INVOLVED IN A STRATEGIC PLANNING PROCESS WHICH HAS LED TO A FOCUSED EFFORT ON ADDRESSING QUALITY OF CARE, CUSTOMER SATISFACTION, ACCESS TO CARE, MARKET SHARE AND PHYSICIAN ALIGNMENT. PLEASE NOTE, THE HOSPITAL'S PRIMARY SERVICE AREA UTILIZED IN COMMUNITY SERVICE PLANNING IS THE SAME AS REPORTED IN THE 2017 CSP. PART I, LINE 7 THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM THE MEDICARE COST REPORT. PART III, LINES 2 & 4 THE HOSPITAL REGULARLY REVIEWS ITS PAST COLLECTION HISTORY AND PAYMENT TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES FOR WHICH THIRD-PARTY coverage exists for a portion of the bill,, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCES FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED. The 2017 consolidated audited financial statements contain a patient accounts receivable footnote on Page 9 and a charity care and uncompensated care footnote on Page 10. PART III, LINE 3 The hospital is dedicated to providing comprehensive medical and nursing care in a compassionate, professional, respectful and ethical manner to every patient regardless of ability to pay. The amount of $5,458,581 represents the hospital's bad debt expense attributable to patients eligible under the Hospital Financial Assistance policy and is comprised of the dollar value of the discounts made available to patients under the Hospital Financial Assistance policy as well as the uncompensated care provided to the members of our community that we serve who are in need of emergency and medically necessary care and do not have the ability to pay. PART III, LINE 8 TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6, MEDICARE CHARGES WERE MULTIPLIED BY THE COST TO CHARGE RATIO, AS DERIVED FROM THE MEDICARE COST REPORT.
PART III, LINE 9B1. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HEALTH SOLUTION PROGRAM WILL HAVE THEIR OPEN ACCOUNTS ADJUSTED TO THE AMOUNT DUE BASED ON THE LEVEL OF ASSISTANCE THEY RECEIVE, SO THAT BILLS AND STATEMENTS WILL REFLECT THE DISCOUNTED AMOUNT DUE. PATIENTS WILL THEN BE EXPECTED TO PAY THE ADJUSTED AMOUNT DUE. 2. PATIENTS WHO ARE UNABLE TO PAY THE ADJUSTED AMOUNT DUE WILL BE OFFERED PAYMENT PLANS. 3. PAYMENT PLANS WILL NOT REQUIRE A PATIENT TO PAY MORE THAN 10% OF THEIR MONTHLY GROSS INCOME TOWARDS MONTHLY INSTALLMENT PAYMENTS. IF THE HOSPITAL ELECTS TO CONSIDER OTHER NON-EXCLUDED ASSETS IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY, THEN MONTHLY PAYMENTS MAY EXCEED 10%. 4. THE HOSPITAL WILL NOT COLLECT FROM A PATIENT WHO IS DETERMINED TO BE ELIGIBLE FOR MEDICAID, OR WHO IS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. 5. IF A PATIENT OR RESPONSIBLE PARTY DEFAULTS ON ITS PAYMENT OBLIGATIONS, OR FAILS TO MEET THE TERMS OF ANY FINANCIAL AGREEMENT, THE ACCOUNT IN QUESTION WILL BE CONSIDERED DELINQUENT, AND MAY BE REFERRED TO A COLLECTION AGENCY BASED ON THE HOSPITAL'S COLLECTION POLICY. 6. THE HOSPITAL WILL NOT SEND AN ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL AID, INCLUDING REQUIRED SUPPORTING DOCUMENTATION, WHILE THE HOSPITAL DETERMINES THE PATIENT'S ELIGIBILITY FOR SUCH AID, OR DURING THE PROCESS WHERE THE PATIENT HAS APPEALED AN ELIGIBILITY DETERMINATION. 7. THE HOSPITAL WILL REVIEW ALL ACCOUNTS DETERMINED TO BE REFERRED TO OUTSIDE COLLECTION TO ENSURE THAT ITS FINANCIAL POLICY AND PROCEDURES WERE FOLLOWED. 8. THE HOSPITAL WILL PROVIDE WRITTEN NOTIFICATION AND A NOTICE ON THE PATIENT'S BILL LESS THAN 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO OUTSIDE COLLECTION. 9. THE HOSPITAL WILL SEND EACH OF ITS COLLECTION AGENCIES A COPY OF ITS FINANCIAL ASSISTANCE POLICY AND PROCEDURES, AND WILL INSTRUCT THE AGENCY TO FOLLOW THESE PROCEDURES WHEN INSTRUCTING THE PATIENT HOW TO APPLY FOR SUCH AID. 10. COLLECTION AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT PRIOR TO COMMENCING A LEGAL ACTION ON A PATIENT'S ACCOUNT. 11. LEGAL ACTION MAY INCLUDE GARNISHMENT OF WAGES WHERE THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS/HER FINANCIAL OBLIGATION UNDER THIS POLICY. 12. THE HOSPITAL WILL NOT PERMIT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE IN ORDER TO COLLECT AN OUTSTANDING MEDICAL BILL.
2. NEEDS ASSESSMENTST. JOHN'S RIVERSIDE HOSPITAL (SJRH) LOCATED IN THE HUDSON VALLEY REGION WITHIN WESTCHESTER COUNTY, SERVES THE CITY OF YONKERS AND THE RIVERTOWN AREAS AND ACTIVELY WORKS WITH THE FOLLOWING PARTNERS TO ASSESS THE COMMUNITIES' HEALTH CARE NEEDS: LOCAL COMMUNITY-BASED ORGANIZATIONS, BUSINESSES, CITY PLANNING COUNCILS, SCHOOLS, THE WESTCHESTER COUNTY HEALTH DEPARTMENT, OTHER HEALTH CARE ORGANIZATIONS AND THE HOSPITALS' COMMUNITY ADVISORY COMMITTEE. WE ALSO PARTNER WITH THE AMERICAN CANCER SOCIETY, DIABETES AND HEART ASSOCIATIONS, FEMA, MARCH OF DIMES, CABRINI IMMIGRANT SERVICES AND OTHERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY THAT WE SERVE. THIS IS ACCOMPLISHED THROUGH SHARED DATA FOR PLANNING PURPOSES, AWARENESS OF SERVICES OFFERED BY OUR PARTNERS, COLLABORATIVE PROGRAM PLANNING, IMPLEMENTATION AND EVALUATION, AND COORDINATED HEALTH OUTREACH AND PROMOTION. THESE EFFORTS HAVE RESULTED IN ST. JOHN'S PROVIDING ON-GOING EDUCATION AND GUIDANCE TO THE YONKERS PTA COORDINATING COUNCIL AND THE LOCAL YMCA'S HEALTH INITIATIVE RELATIVE TO HEALTH CARE ISSUES. THE COMMUNITY SERVICE PLAN AGENDA WAS ESTABLISHED BASED ON A COMPREHENSIVE HEALTH NEEDS ASSESSMENT AND ITS FINDINGS. SEVERAL SURVEYS AND COMMUNITY FOCUS GROUPS WERE ALSO CONDUCTED TO GATHER DATA. THE RESPONSES OF THE PARTICIPANTS AS TO WHAT HEALTH CARE EDUCATION IS NEEDED WAS ONE OF THE KEY COMMUNITY INPUTS TO SETTING THE FRAMEWORK FOR PLANNING EDUCATIONAL PROGRAMS FOR THE COMMUNITY. SJRH IS A LEADER IN COMMUNITY COLLABORATION AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: ST. JOHN'S COMMUNITY ADVISORY TEAM, HEALTHY YONKERS INITIATIVE PARTNERSHIP, DISEASE MANAGEMENT PROGRAMS, COMPREHENSIVE LAY AND CLINICAL PATIENT NAVIGATION PROGRAMS, COMMUNITY HEALTH OUTREACH WORKERS AND A SPEAKER'S BUREAU. THE INTEGRATION OF THESE INNOVATIVE APPROACHES SUPPORTS SJRH WELL IN ITS PROVISION OF SERVICES TO ITS COMMUNITY. SJRH PROMOTES WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSES NEEDS RANGING FAR BEYOND MEDICAL CARE. WE EXTEND THIS RESPONSIBILITY TO THE CARE OF OUR EMPLOYEES AND MEDICAL STAFF, MANY OF WHOM LIVE IN THE SURROUNDING COMMUNITY. SJRH SERVES A DIVERSE COMMUNITY AND HAS BEEN A FORERUNNER OF PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES. ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT AND ENROLLMENT PROGRAM THROUGH OUR FINANCIAL ASSISTANCE UNIT, SUPPORTS ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, SJRH HAS VIEWED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS AN INTEGRAL PART OF ITS HOSPITAL MISSION, REACHING OUT TO SERVE THE UNDERSERVED. SERVICES TO THE COMMUNITY ARE AN EXPLICIT AND ESSENTIAL COMPONENT OF SJRH'S MISSION AND ONE OF ITS MOST VALUED TRADITIONS. WE REACH BEYOND THE WALLS OF OUR CAMPUSES TO IDENTIFY AND MEET THE NEEDS OF THE COMMUNITY, NOT JUST MEDICALLY, BUT SOCIALLY, ECONOMICALLY AND ENVIRONMENTALLY. SJRH PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIONS, WORKING WITH OTHER PROVIDERS IN WESTCHESTER COUNTY, INCLUDING THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, COMMUNITY-BASED ORGANIZATIONS AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE OVERALL HEALTH OF THE PEOPLE OF WESTCHESTER COUNTY.
3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ST. JOHN'S FINANCIAL ASSISTANCE UNIT EDUCATES PATIENTS AND THE PUBLIC ABOUT THEIR RIGHTS, RESPONSIBILITIES AND OPTIONS TO ATTAIN SOME COVERAGE OF COSTS FOR THEIR HEALTH CARE. ST. JOHN'S RIVERSIDE HOSPITAL EDUCATES OUR PATIENTS ABOUT OUR CHARITY CARE PROGRAM CALLED HEALTH SOLUTION* IN THE FOLLOWING MANNER: A. THE HOSPITAL WEB SITE HAS THE COMPLETE HEALTH SOLUTION SUMMARY. THE SUMMARY DESCRIBES THE RESIDENTIAL AREAS WE COVER, THE TYPE OF SERVICES THAT ARE NOT COVERED, WHERE TO APPLY, THE PHONE NUMBER TO OBTAIN INFORMATION, THE FEDERAL POVERTY GUIDELINES INCOME LEVEL AND HOW TO APPEAL THE APPLICATION DECISION. B. THERE ARE POSTED NOTICES IN ALL REGISTRATION AND CASHIER AREAS WITHIN THE HOSPITAL. C. THE HEALTH SOLUTION SUMMARY IS INCLUDED IN THE REGISTRATION PACKET THAT IS GIVEN TO ALL PATIENTS. D. THE FINANCIAL ASSISTANT UNIT STAFF WHEN VISITING PATIENT ROOMS WILL DISCUSS THE HEALTH SOLUTION PROGRAM. * HEALTH SOLUTION, OFFERED SINCE 2000, IS AN OPTION FOR PATIENTS WITH A FINANCIAL NEED. PATIENTS WHO APPLY ARE ASSESSED TO DETERMINE ELIGIBILITY TO PAY DOWN HEALTHCARE BILLS WITHIN THEIR BUDGET. HEALTH SOLUTION IS A CHARITY CARE PROGRAM WHERE PAYMENTS BY PATIENTS CAN BE MADE OVER TIME. ELIGIBILITY FOR MEDICAID IS DETERMINED FIRST. WHEN ELIGIBLE, HEALTH SOLUTION PAYMENTS CAN ALSO BE USED TO PAY INSURANCE DEDUCTIBLES.
4. COMMUNITY INFORMATIONST. JOHN'S RIVERSIDE HOSPITAL (SJRH), A NOT-FOR-PROFIT, NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) LICENSED 378-BED ACUTE CARE COMMUNITY HEALTH SYSTEM, OPERATES THREE {3) CAMPUSES: ANDRUS PAVILION {225 BEDS), PARK CARE PAVILION (141 BEDS}, AND DOBBS FERRY PAVILION (12 BEDS). THE ANDRUS PAVILION, PROVIDES EMERGENCY SERVICES, GENERAL ACUTE AND CANCER CARE, WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES; IS DESIGNATED BY THE NYSDOH AS A STROKE CENTER AND LEVEL II PERINATAL CENTER, AND IS THE ONLY PROVIDER OF MATERNITY SERVICES IN THE CITY OF YONKERS. THE PARK CARE PAVILION PROVIDES INPATIENT AND OUTPATIENT SUBSTANCE ABUSE SERVICES AND IS DESIGNATED BY NYSDOH AS AN AIDS CENTER. THE DOBBS FERRY PAVILION, PROVIDES INPATIENT AND PRIMARY MEDICAL CARE, AMBULATORY SURGERY AND EMERGENCY SERVICES, AND IS THE HUB FOR CENTERS OF EXCELLENCE IN BREAST AND ORTHOPEDIC CARE. AT ST. JOHN'S, OVER 600 MEDICAL AND ALLIED HEALTH PROFESSIONALS PROVIDE A WIDE RANGE OF AMBULATORY AND INPATIENT SERVICES; AND OVER 250,000 INDIVIDUALS ARE SERVED ANNUALLY WITHIN OUR NETWORK. SJRH, GOVERNED BY A VOLUNTARY TWENTY-SIX MEMBER BOARD OF TRUSTEES, IS A SAFETY-NET HOSPITAL SERVING THE URBAN, ETHNICALLY DIVERSE AND ECONOMICALLY DISADVANTAGED COMMUNITY OF SOUTHWEST YONKERS, NEW YORK. AS A DESIGNATED NYS 'ESSENTIAL COMMUNITY PROVIDER', WE SERVE PREDOMINANTLY LOW-INCOME MEDICALLY UNDERSERVED INDIVIDUALS. THE ST. JOHN'S RIVERSIDE HOSPITAL PRIMARY SERVICE AREA INCLUDES THE CITY OF YONKERS, VILLAGE OF DOBBS FERRY AND THE SURROUNDING TOWNS AND VILLAGES OF HASTINGS-ON-HUDSON, ARDSLEY, IRVINGTON, TARRYTOWN, ELMSFORD, TUCKAHOE, BRONXVILLE, AND SCARSDALE WITHIN WESTCHESTER COUNTY, NEW YORK. WITHIN THE CITY OF YONKERS AND DOBBS FERRY, THE SJRH FACILITIES ARE THE LARGEST HEALTH SERVICE PROVIDERS AND IT IS WITHIN THIS GEOGRAPHIC AREA THAT THESE SJRH FACILITIES HAVE THEIR COMMUNITY-BASED PRIMARY CARE AND SPECIALTY AMBULATORY SERVICES. OUR ANDRUS AND PARK CARE PAVILIONS ARE LOCATED IN AND PRIMARILY SERVE THE CITY OF YONKERS. THE DOBBS FERRY PAVILION SERVES THE RIVERTOWN COMMUNITIES OF DOBBS FERRY, HASTINGS-ON-HUDSON, ARDSLEY AND IRVINGTON. THE RESIDENT POPULATION OF THE CITY OF YONKERS COMPRISES ONE-THIRD OF THE HOSPITAL'S SERVICE AREA AND DEPENDING ON ZIP CODE ACCOUNTS FOR BETWEEN 30 TO SO PERCENT OF ITS ADMISSIONS. THE COMMUNITIES SERVED BY OUR HEALTH SYSTEM ARE WIDESPREAD AND DIVERSE. ST. JOHN'S PROVIDES CONVENIENT ACCESS TO HIGH QUALITY ACUTE, PRIMARY AND SPECIALTY CARE TO INDIVIDUALS AND FAMILIES LIVING IN A PRIMARY SERVICE AREA OF FOURTEEN (14) ZIP CODES SURROUNDING ITS LOCATION. THE ZIP CODES THAT WE MOST COMMONLY PROVIDE SERVICES FOR ARE: 10701, 10703, 10704, 10705, 10706, 10707, 10708, 10710, 10502, 10522, 10523, 10533, 10583, AND 10591. FIVE ZIP CODE AREAS IN SOUTHWEST YONKERS (10701, 10703, 10704, 10705, AND 10710) HAVE BEEN FEDERALLY DEFINED AS MEDICALLY UNDERSERVED AREAS. AS SUCH, IT IS A KEY EMERGENCY MEDICAL SERVICE (EMS) PARTICIPANT OPERATING IN ITS TWO HOSPITALS WITH 50,272 EMERGENCY VISITS IN 2017. YONKERS IS THE LARGEST CITY IN WESTCHESTER AND THE 4TH LARGEST CITY IN NEW YORK STATE, WITH A 2015 POPULATION ESTIMATE OF 201,116 AS PER THE U.S. CENSUS BUREAU. IT IS AN AGING INDUSTRIAL CITY WITH NEEDS OFTEN OVERLOOKED IN A COUNTY DOMINATED BY AFFLUENT SUBURBS. YONKERS BORDERS THE BRONX AND SHARES MANY OF NEW YORK CITY'S URBAN PROBLEMS; AND ACCOMPANYING ITS DIVERSITY, ARE SIGNIFICANT INEQUITIES IN HEALTH STATUS. ONE IN FIVE FAMILIES' LIVES IN POVERTY AND OVER ONE THIRD OF THESE FAMILIES ARE HEADED BY FEMALES. ST. JOHN'S ECONOMICALLY, CULTURALLY AND ETHNICALLY DIVERSE SERVICE AREA ENCOMPASSES NEIGHBORHOODS WITH LARGE NUMBERS OF HISPANIC AND AFRICAN-AMERICAN RESIDENTS, INCLUDING HAITIAN AND DOMINICAN IMMIGRANTS. YONKERS HAS THE HIGHEST PROPORTION OF HISPANIC RESIDENTS IN WESTCHESTER COUNTY, MANY OF WHOM ARE RECENT IMMIGRANTS WITH LIMITED FLUENCY IN ENGLISH. PUERTO RICANS AND MEXICANS ARE THE TWO LARGEST HISPANIC COMMUNITIES. ENGLISH AND SPANISH ARE THE DOMINANT LANGUAGES, ALTHOUGH THERE ARE A SIGNIFICANT NUMBER OF RESIDENTS WHO SPEAK ITALIAN, PORTUGUESE AND ARABIC. THE PROFILE OF THIS AREA INCLUDES HIGH UNEMPLOYMENT, LARGE NUMBERS OF HIGH SCHOOL DROPOUTS, OVERCROWDED HOUSING, AND FAMILIES AND CHILDREN IN POVERTY. YONKERS IS FEDERALLY DESIGNATED AS A HIGH INTENSITY DRUG TRAFFICKING AREA. THERE IS A HIGH RATE OF TEEN PREGNANCY, LACK OF PRENATAL CARE, VACCINE PREVENTABLE DISEASE, TUBERCULOSIS, AND HIV/AIDS. THE CITY HAS THE HIGHEST CONCENTRATION OF HIV/AIDS IN THE COUNTRY. OUR SUBSTANCE ABUSE TREATMENT AND TRAINING CENTER IS NEW YORK'S LARGEST PROVIDER OF SUBSTANCE ABUSE SERVICES. THE DOBBS FERRY FACILITY IS THE ONLY HOSPITAL LOCATED IN THE VILLAGE OF DOBBS FERRY, APPROXIMATELY 7 MILES FROM ITS SJRH SISTER FACILITIES IN YONKERS. THE TOTAL POPULATION OF THIS SERVICE AREA IS APPROXIMATELY 124,000. A POPULATION THAT IS LARGELY WHITE AND AFFLUENT DEFINES THIS AREA. WESTCHESTER COUNTY IS A LARGE COUNTY LOCATED JUST TO THE NORTH OF NEW YORK CITY IN THE HUDSON VALLEY; WESTCHESTER COVERS AN AREA OF 450 SQUARE MILES (1,200 SQUARE KM) AND CONSISTS OF 48 MUNICIPALITIES. THE COUNTY INCLUDES URBAN, SUBURBAN AND RURAL GEOGRAPHIES. IN 2015, THE ESTIMATED POPULATION OF WESTCHESTER COUNTY WAS 976,396, UP 6.6% FROM 915,916 IN 2005. THE COUNTY SEAT OF WESTCHESTER IS THE CITY OF WHITE PLAINS (56,853) AND OTHER MAJOR CITIES INCLUDE YONKERS (195,976), NEW ROCHELLE (77,062) AND MOUNT VERNON (67,292). IN 2015, THE MEDIAN HOUSEHOLD INCOME FOR WESTCHESTER WAS $86,108, 4TH HIGHEST IN NEW YORK STATE, AFTER NASSAU, PUTNAM AND SUFFOLK COUNTIES. WESTCHESTER COUNTY IS THE 5TH HEALTHIEST COUNTY IN NEW YORK STATE, ACCORDING TO THE COUNTY HEALTH RANKINGS, PRODUCED BY THE ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN. DESPITE ITS OVERALL HIGH RANKING. THERE IS CONSIDERABLE ROOM TO BOTH IMPROVE POPULATION HEALTH AND REDUCE HEALTH DISPARITIES IN WESTCHESTER COUNTY. SEVERAL OF ITS INDIVIDUAL MUNICIPALITIES CONTINUE TO MAINTAIN SIGNIFICANT HEALTH GAPS, WITH PORTIONS OF LOWER WESTCHESTER SPECIFICALLY, MOUNT VERNON, YONKERS, NEW ROCHELLE AND WHITE PLAINS SERVING "HOT SPOTS" FOR ASTHMA, HIV, AND ILLICIT DRUG USE IN THE COUNTY. THESE AREAS ALSO DEMONSTRATE EXCESS MORTALITY RATES FROM HEART DISEASE, STROKE, AND DIABETES COMPARED TO COUNTY AND NEW YORK AVERAGES. MORTALITY RATES: ACCORDING TO THE NEW YORK STATE DEPARTMENT OF HEALTH'S (NYSDOH} VITAL STATISTICS OF NEW YORK STATE REPORT IN 2011, WESTCHESTER COUNTY HAS AN AGE-ADJUSTED MORTALITY RATE OF 713.4 PER 100,000; SIMILAR TO THE STATEWIDE RATE OF 753.1. ACCORDING TO THE COMMUNITY HEALTH RANKINGS IN 2014, WESTCHESTER COUNTY RANKED AS NUMBER 3 OUT OF 62 NY COUNTIES TO HAVE THE LOWEST MORTALITY RATE IN NEW YORK STATE. THE LEADING CAUSE OF DEATH AMONG WESTCHESTER COUNTY RESIDENTS IS DUE TO CORONARY HEART DISEASE (219.7 PER 100,000).
5. PROMOTION OF COMMUNITY HEALTHST. JOHN'S CONTINUES TO ADDRESS THE HEALTH CARE NEEDS OF OUR POPULATION THROUGH A VARIETY OF SOURCES. OUR COMMUNITY ADVISORY COMMITTEE IS A KEY FORUM FOR ACCESS TO INFORMATION ON COMMUNITY HEALTH CARE NEEDS AND RESIDENT SATISFACTION WITH THE HEALTH CARE THAT THEY RECEIVE. ADVISORY MEMBERS ALSO PROVIDE ACCESS TO LOCAL COMMUNITY BASED ORGANIZATIONS AND BUSINESSES FOR HEALTH PROMOTION. THE HEALTH YONKERS INITIATIVE (HYI) IS A COLLABORATION OF OVER THIRTY COMMUNITY/HEALTH/FAITH-BASED ORGANIZATIONS, BUSINESSES, SCHOOLS AND RESIDENTS, LED BY ST. JOHN'S AND THE CITY OF YONKERS. IT IS AN INTEGRAL COMPONENT OF OUR OUTREACH EFFORTS. THE HYI PARTNERS MEET QUARTERLY, PLAN HEALTH OUTREACH ACTIVITIES, SHARE INFORMATION AND PROVIDE ACCESS TO RESIDENTS AND PLANNED ORGANIZATION COMMUNITY EVENTS. A SPEAKER'S FORUM PROVIDES PHYSICIANS TO EDUCATE ON KEY HEALTH TOPICS IN THE COMMUNITY. FUNDS AVAILABLE THROUGH GRANTS ALSO PROVIDE THE ABILITY TO PROVIDE A HOST OF PREVENTION AND WELLNESS ACTIVITIES. SOME OF OUR KEY ACTIVITIES HAVE ENHANCED HEALTH CARE ACCESS, PROVIDED PATIENT NAVIGATION AND A HOST OF SUPPORT SERVICES FOR OUR PATENTS. OUR COMMUNITY, OUTPATIENT, INPATIENT AND CLINICAL PATIENT NAVIGATION SERVICES PROVIDE COMMUNITY HEALTH EDUCATION, COORDINATE SCREENINGS, DEMYSTIFY TREATMENT OPTIONS, UN-COMPLICATE THE PROCESS FROM DIAGNOSIS TO TREATMENT, FACILITATE SCREENING AND DIAGNOSTIC TEST AND HEALTH AND PSYCHOSOCIAL SUPPORT SERVICES. BARRIERS TO CARE AND ACCESS TO TECHNOLOGICAL ADVANCEMENTS IN TREATING DISEASE ARE CONTINUALLY ADDRESSED FOR THE UNDERINSURED/UNDERSERVED POPULATION. OUR BREAST HEALTH PROGRAM IS DESIGNED TO REDUCE THE RATE OF LATE DIAGNOSIS AMONG MINORITY POPULATIONS, PARTICULARLY AFRICAN AMERICAN, WHO ARE MORE LIKELY TO BE DIAGNOSED AT LATER STAGES. WE COORDINATE CLINICAL BREAST EXAMS THAT LEAD TO MAMMOGRAMS, DIAGNOSTIC SERVICES, DIAGNOSIS AND TREATMENT. FOLLOW-UP SERVICES AND CLINICAL PATIENT NAVIGATION PROVIDED FREE OF CHARGE TO PATIENTS, IS AN EXTENSION OF THE HOSPITAL STAY FOR DISCHARGED PATIENTS WHO ARE FREQUENTLY AT RISK FOR READMISSION. TYPICALLY, THESE ARE CHRONICALLY ILL PATIENTS THAT ARE READMITTED BECAUSE OF THEIR UNIQUE FRAILTIES AND LACK OF SUPPORT FOR FOLLOW UP CARE REGIMENT. THEY HAVE LONGER PATIENT STAYS AND SIGNIFICANT AFTERCARE NEEDS. AS A RESULT, PATIENTS WELCOME THE ADDITIONAL CARE AND SUPPORT PROVIDED. GRANT FUNDS ACQUIRED DURING 2017 WERE UTILIZED TO SUPPORT PREVENTION AND HEALTH PROMOTION PROGRAMS AND SUPPORT SERVICES FOR THE COMMUNITY.
6. AFFILIATED HEALTH CARE SYSTEMAFTER SEVERAL YEARS OF AFFILIATION WITH MOUNT SINAI MEDICAL CENTER IN MANHATTAN, NEW YORK, ST. JOHN'S CHANGED AFFILIATION TO MONTEFIORE MEDICAL CENTER IN BRONX, NEW YORK TO STRENGTHEN ITS MISSION TO PROVIDE A COMPREHENSIVE PROGRAM OF CLINICAL ACCESS AND HEALTH EDUCATION FOR THE ST. JOHN'S COMMUNITY. THE GEOGRAPHICAL PROXIMITY TO MONTEFIORE, SIMILAR DEMOGRAPHICS AND COLLABORATION WITH THEIR TERTIARY CARE PROFESSIONALS, IS AN ASSET TO HEALTH PROMOTION ACTIVITIES AND QUALITY CARE FOR OUR GROWING COMMUNITIES. THE OFFICIAL AFFILIATION OCCURRED IN NOVEMBER OF 2014 AND BOTH ORGANIZATIONS FORMALLY ANNOUNCED THROUGH PRESS RELEASE IN MAY 2015.
7. STATE FILING OF COMMUNITY BENEFIT REPORTST. JOHN'S RIVERSIDE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW YORK ONLY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
MICHAEL SCHREIBER MD
Former CHIEF OF STAFF$165,227$0$0$0$0$0$25,560$0$0$0$190,787$0$0$0
RONALD CORTI
PRESIDENT/CEO$720,704$0$0$0$72,008$0$108,106$0$22,618$0$923,436$0$72,008$0
DENNIS KEANE
VP FINANCE/CFO$472,307$0$0$0$8,400$0$22,705$0$22,596$0$526,008$0$0$0
DONNA MCGREGOR
EXEC VP/COO$509,368$0$0$0$7,800$0$13,535$0$22,791$0$553,494$0$0$0
PAUL ANTONECCHIA MD
VP MEDICAL AFFAIRS/CMO$432,431$0$0$0$6,000$0$16,200$0$22,581$0$477,212$0$0$0
GLADYS ATTANASIO
ASSISTANT VP REVENUE CYCLE$214,567$0$0$0$0$0$12,120$0$22,008$0$248,695$0$0$0
FRAN DAVIS
VP NURSING (END 07/17)$181,441$0$0$0$0$0$9,232$0$13,892$0$204,565$0$0$0
BRIAN KALEY
VP BEHAVIORAL HEALTH SERVICES$275,973$0$0$0$8,400$0$15,637$0$1,472$0$301,482$0$0$0
LAURA FANNING
Asst.VP OF SURGICAL SERVICES$171,659$0$0$0$0$0$16,464$0$266$0$188,389$0$0$0
PRASERT ITHARAT MD
PHYSICIAN$329,420$0$0$0$0$0$28,059$0$21,240$0$378,719$0$0$0
ANDRE OUTON MD
PHYSICIAN - INTERNAL MEDICINE$270,359$0$0$0$0$0$16,200$0$21,628$0$308,187$0$0$0
EDNER PIERRE-LOUIS MD
PHYSICIAN - INTERNAL MEDICINE$270,954$0$0$0$0$0$25,954$0$21,240$0$318,148$0$0$0
MICHAEL DIGIORNO MD
PHYSICIAN - NEPHROLOGY$339,532$0$0$0$0$0$15,851$0$21,605$0$376,988$0$0$0
NIRAV PATEL
PHYSICIAN$477,436$0$0$0$0$0$16,200$0$21,680$0$515,316$0$0$0
TARA CURTIN
VP NURSING$226,780$0$0$0$0$0$14,423$0$22,534$0$263,737$0$0$0
Susan Franzino
Asst. VP of Ancillary Services$158,283$0$0$0$0$0$15,424$0$21,722$0$195,429$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceNONQUALIFIED DEFERRED COMPENSATION PLANFormAndLineReferenceDesc
ExplanationPART I, LINE 4B AND PART II, COLUMNS (B)(III),(C) & (F) AMOUNTS INCLUDED IN COLUMNS (B)(III) AND (F) FOR RON CORTI INCLUDE A TAXABLE DISTRIBUTION OF $72,008 FROM A 457(F) DEFERRED COMPENSATION ARRAGEMENT, AND AMOUNTS REPORTED IN COLUMN (C) INCLUDE A $74,168 DEFERRRAL UNDER THE ARRANGEMENT.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RIVERSIDE HEALTH CARE SYS BERMUDA
SEE PART V$2,152,302INSURANCE PREMIUMSfalse
EMPRESS AMBULANCE SERVICE
SEE PART V$307,429AMBULANCE SERVICEfalse
NANCY ANNABI
SEE PART V$93,107COMPENSATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBUSINESS TRANSACTIONSFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV (1) IN 2017, SJRH PAID INSURANCE PREMIUMS TO A RELATED, TAXABLE ENTITY RIVERSIDE HEALTH CARE SYSTEMS BERMUDA. RHCS BERMUDA IS A 35% CONTROLLED ENTITY OF RIVERSIDE HEALTH CARE SYSTEM, INC., WHICH IS THE SOLE MEMBER OF AND A SUPPORTING ORGANIZATION OF ST. JOHN'S RIVERSIDE HOSPITAL. (2) IN 2017, EMPRESS AMBULANCE SERVICE PROVIDED SERVICES TO SJRH. EMPRESS AMBULANCE SERVICE IS OWNED BY THE SONS OF LENORE MINERVA, SJRH BOARD MEMBER. (5) NANCY ANNABI IS AN EMPLOYEE OF SJRH AND IS THE WIFE OF SJRH BOARD MEMBER, DR. IYAD ANNABI.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
VOLUNTEERSFORM 990, PART I, LINE 6 THE VOLUNTEER PROGRAM AT ST. JOHN'S RIVERSIDE HOSPITAL IS CURRENTLY COMPRISED OF 214 ACTIVE VOLUNTEERS, INTERNS AND STUDENTS. VOLUNTEER RECORDS AND HOURS ARE TRACKED THROUGH A COMPUTER PROGRAM LOCATED IN THE VOLUNTEER OFFICE AT ST. JOHN'S ANDRUS PAVILION. OFFSITE VOLUNTEERS COMPLETE TIME SHEETS AT THEIR RESPECTIVE FACILITY/DEPARTMENT AND SUBMIT THOSE REPORTS TO THIS OFFICE ON A MONTHLY BASIS FOR INCLUSION IN THE VOLUNTEER WORKS COMPUTER PROGRAM. MISSION STATEMENT FORM 990, PART III, LINE 1 ST. JOHN'S RIVERSIDE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT. BY OFFERING EXCELLENCE IN MEDICAL CARE, NURSING, STATE-OF-THE-ART TECHNOLOGIES, CONTINUING EDUCATION AND PREVENTIVE SERVICES, WE ARE COMMITTED TO IMPROVING THE CARE WE PROVIDE WITHIN EACH OF OUR INSTITUTIONS AND THE QUALITY OF LIFE IN OUR COMMUNITY. WE ARE OPEN TO NEW IDEAS, DIRECTIONS AND INITIATIVES THAT MOSTEFFECTIVELY RESPOND TO COMMUNITY HEALTH CARE NEEDS.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4B THE DAY PROGRAM INCLUDES INTENSIVE, MEDICALLY SUPERVISED SERVICES FOR UP TO FIVE DAYS PER WEEK, FOUR HOURS PER DAY WITH INDIVIDUAL AND GROUP THERAPY PSYCHIATRIC ASSESSMENT, 12 STEP PROGRAMMING, VOCATIONAL AND EDUCATIONAL SERVICES, AND RECREATION THERAPY. THE CLINIC PROGRAM HAS SERVICES AVAILABLE FOR UP TO FOUR TIMES PER WEEK. FLEXIBLE DAY AND EVENING HOURS FOR THOSE WHO WORK, GO TO SCHOOL OR NEED A STEP-DOWN LEVEL OF CARE. TARGETED SERVICES FOR ADOLESCENTS AND FOR FAMILY MEMBERS IMPACTED BY ALCOHOLISM AND DRUG DEPENDENCE. FORM 990, PART III, LINE 4C TO DATE, THERE ARE OVER 145 STUDENTS ENROLLED IN THE PROFESSIONAL NURSING PROGRAM. IN 1999 THERE WERE NO MORE THAN 50 STUDENTS ENROLLED AND NOW THE SCHOOL PROUDLY COUNTS MORE THAN 2,500 GRADUATES WHO HAVE SERVED PATIENTS AND HEALTH CARE THROUGHOUT THE UNITED STATES AND AROUND THE WORLD. DUE TO OUR GROWTH, THE SCHOOL HAS GROWN ITS WEBSITE WHICH ENABLES APPLICANTS TO QUICKLY COMPLETE ONLINE FORMS, ONLINE APPLICATIONS, AND SURVEYS. THE COCHRAN SCHOOL OF NURSING IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING. FORM 990, PART III, LINE 4D ST. JOHN'S RIVERSIDE HOSPITAL OPERATES A METHADONE MAINTENANCE PROGRAM SEVEN DAYS A WEEK, 365 DAYS A YEAR TO ENABLE CLIENTS SUFFERING NARCOTIC ADDICTION TO CONTINUE PRODUCTIVE LIVES. IN 2017, THE CLINIC HAD 100,121 VISITS.
BUSINESS RELATIONSHIPFORM 990, PART VI, SECTION A, LINE 2 CECILE SINGER, SJRH BOARD MEMBER, GREG HOLCOMBE, SJRH BOARD MEMBER AND RON CORTI, SJRH PRESIDENT/CEO HAVE A BUSINESS RELATIONSHIP.
MEMBERS/STOCK HOLDERSFORM 990, PART VI, SECTION A, LINE 6 ST. JOHN'S RIVERSIDE HOSPITAL HAS A SOLE MEMBER - RIVERSIDE HEALTHCARE SYSTEM, INC., A SECTION 501(C)(3) ENTITY.
ELECTION OF MEMBERSFORM 990, PART VI, SECTION A, LINE 7 A AND B THE FOLLOWING POWERS ARE RESERVED TO RIVERSIDE HEALTH CARE SYSTEM (RHCS): 1. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF ST. JOHN'S UPON CONSULTATION WITH THE BOARD OF TRUSTEES; 2. REVIEW AND APPROVAL OF THE CAPITAL AND OPERATING BUDGETS OF ST. JOHN'S PROVIDED THAT RHCS MAY ONLY APPROVE OR REJECT A CAPITAL OR OPERATING BUDGET IN ITS ENTIRETY; 3. APPROVAL OF ANY SALE OF ACQUISITION BY ST. JOHN'S OF ASSETS VALUED IN EXCESS OF ONE MILLION DOLLARS ($1,000,000), PROVIDED THAT RHCS APPROVAL SHALL NOT BE REQUIRED FOR SALES OR ACQUISITIONS OF MEDICAL EQUIPMENT (INCLUDING, WITHOUT LIMITATION, MAGNETIC RESONANCE IMAGING AND COMPUTERIZED TOMOGRAPHY EQUIPMENT, OPERATING ROOM EQUIPMENT, AND EQUIPMENT FOR ENDOSCOPY AND DELIVERY SUITES); AND 4. APPROVAL OF ANY AMENDMENTS TO THE CONSTITUTION, THE BYLAWS OR THE CERTIFICATE OF INCORPORATION OF ST. JOHN'S WHICH WOULD MODIFY, LIMIT OR IN ANY WAY RESTRICT THE RIGHT AND POWERS OF RHCS AS THE SOLE CORPORATE MEMBER.
BOARD OF TRUSTEES' REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ST. JOHN'S RIVERSIDE HOSPITAL AND REVIEWED BY THE DIRECTOR OF FINANCE AND CHIEF FINANCIAL OFFICER OF THE HOSPITAL. THE DRAFT FORM 990, AND WORKPAPER SUPPORT, IS PROVIDED TO THE HOSPITAL'S TAX PREPARER TO PREPARE A FINAL VERSION OF THE FORM 990. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE HOSPITAL'S FINANCE COMMITTEE MEMBERS OF THE GOVERNING BOARD OF TRUSTEES AND THEN A COPY IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE IRS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF TRUSTEES AND ALL PERSONNEL OF THE ORGANIZATION WHO ARE IN A POSITION TO INFLUENCE ANY PURCHASING DECISION OR BUSINESS TRANSACTION MUST COMPLETE A CONFLICT OF INTEREST STATEMENT. THIS INCLUDES ADMINISTRATIVE STAFF, DEPARTMENT HEADS AND MEMBERS OF THE MEDICAL BOARD. THE STATEMENTS ARE DISTRIBUTED BY THE COMPLIANCE OFFICER ANNUALLY IN NOVEMBER WITH THE EXPECTATION THAT THEY BE RETURNED TO THE COMPLIANCE OFFICER IN JANUARY OF THE FOLLOWING YEAR. WHEN RETURNED, THE STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER. ALL INFORMATION IS KEPT CONFIDENTIAL AND STATEMENTS ARE MAINTAINED IN THE COMPLIANCE OFFICE. THE COMPLIANCE OFFICER WILL CONSULT WITH OUTSIDE COUNSEL AS NECESSARY CONCERNING ANY POTENTIAL PROBLEMS OR POSSIBLE CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER WILL REPORT ANY CONFLICTS OF INTEREST OR POSSIBLE CONFLICTS OF INTEREST TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE AND TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. IN CASES WHERE A CONFLICT OF INTEREST EXISTS, BOARD MEMBERS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15A AND 15B THE ORGANIZATION CONTRACTS WITH AN INDEPENDENT THIRD PARTY TO BRING THE COMPENSATION LEVELS TO A COMPETITIVE LEVEL IN THE MARKET AREA. A REQUEST FOR PROPOSAL FOR AN EXECUTIVE COMPENSATION SURVEY IS INITIATED BY HUMAN RESOURCES TO FIND A VENDOR WHO COULD PROVIDE A COMPREHENSIVE REVIEW AND COMPARISON OF THE SALARY AND BENEFITS RIVERSIDE HEALTH CARE SYSTEMS INC. SHOULD BE PROVIDING ITS EXECUTIVES WHILE MEETING ALL LEGAL AND ANTI-TRUST REQUIREMENTS. THIS SURVEY IS TO IDENTIFY THE BASE COMPENSATION, INCENTIVE COMPENSATION AND NON-CASH COMPENSATION FOR LIKE POSITIONS IN THE COMPETING WESTCHESTER COUNTY, NEW YORK AREA. THE AREAS THAT WOULD BE EVALUATED INCLUDE: CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, NURSING HOME ADMINISTRATOR, VICE PRESIDENT NURSING, VICE PRESIDENT COCHRAN SCHOOL OF NURSING, VICE PRESIDENT BEHAVIORAL HEALTH, VICE PRESIDENT STRATEGIC CORPORATE DEVELOPMENT, VICE PRESIDENT PERFORMANCE IMPROVEMENT & RISK MANAGEMENT, AND VICE PRESIDENT HUMAN RESOURCES. THE REQUEST FOR PROPOSAL GETS SENT TO EIGHT COMPANIES WITH A KNOWN TRACK RECORD IN COMPENSATION CONSULTING. EACH OF THE VENDORS RESPONDS WITH THE DETAILED ANALYSIS THAT THEY WILL PROVIDE AND THE COST ASSOCIATED WITH THE PROCESS. BASED ON THE TIMEFRAME AND THE COST, A VENDOR IS CHOSEN TO PERFORM THE EXECUTIVE COMPENSATION SURVEY. A PROPOSAL IS PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES PERSONNEL AND COMPENSATION COMMITTEE FOR APPROVAL. THE PERSONNEL AND COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS FINDINGS IN ITS MINUTES. INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES MAKE THE DECISION ON APPROVING THE SALARY CHANGES. AN EXECUTIVE COMPENSATION REVIEW TOOK PLACE IN SPRING 2013 AND A REVIEW WAS COMPLETED IN 2017.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETSFFORM 990, PART XI, LINE 9 Grant purchases of PPE 71,190 FAS 158 Pension Adjustment (3,836,313) Reserve for Affiliate transfer MALOTZ (1,199,579) ............. (4,964,702)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RIVERSIDE HEALTH CARE SYSTEMSINC (RHCS)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1967 NORTH BROADWAYAddressLine1Txt
CityYONKERSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10701ZIPCd
FieldValueIRS element (for citing)
EIN133237215EIN
Primary ActivitiesMANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11A IIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
RIVERSIDE MANAGEMENT SERVICES ORG (RMSO)
967 NORTH BROADWAYYONKERSNY10701133846601MANAGEMENTNYRMIC CORPfalse
RIVER MANAGEMENT CO INC
967 N BROADWAY ANDRUS PAVILYONKERSNY10701133474004MANAGEMENTNYRHCSC CORPfalse
RHCS BERMUDA LTD
967 NORTH BROADWAYYONKERSNY10701133237215INSURANCERHCSC CORPYes (true)BD
SJR MEDICAL PC
967 NORTH BROADWAYYONKERSNY10701134185781MED. SERVICENYSJRHC CORPYes (true)$129,610$1571.00000
FDN FOR COMM HOSPITAL AT DOBBS FERRY
128 ASHFORD AVEDOBBS FERRYNY10522133971735FUNDRAISINGNYSJRHC CORPYes (true)$3,7241.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SJR MEDICAL PC
l$129,610FMV
SJR MEDICAL PC
o$3,737,984FMV