2018-11-13T13:07:27-06:00 2017-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2017-01-01 131740126 ST JOHNS RIVERSIDE HOSPITAL ANDRUS PARKCARE & DOBBS FERRY % DENNIS KEANE STJO 9149644340 967 NORTH BROADWAY YONKERS NY 107013497 DENNIS KEANE VP FOR FINANCE & CFO 9149644340 2018-11-13 true Nicole Fitzmaurice P01491005 2127589700 2018-11-12 167.68.102.5 13407320183175000032 2018-11-13 P B09A8F7452AAEB109EF01FBCB66ABFE0CB6B8889 0E8A73D45E13FB2D9FCF2954BFB38730BFBD513C 2017 2019-02-21 02:37:17Z RON CORTI 967 NORTH BROADWAY YONKERS NY 10701 260225412 false X WWW.RIVERSIDEHEALTH.ORG X 1870 NY THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT. 28 25 2137 214 1768 -232 6455074 7069212 232408422 232377546 442328 1263987 4538876 3461132 243844700 244171877 0 0 0 0 160877649 164110828 0 0 128596 90379680 97034429 251257329 261145257 -7412629 -16973380 141254419 126563737 169423225 174831965 -28168806 -48268228 X THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT. false false 225926455 192595714 IN 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. 11995220 37208502 IN 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. 2156838 1394275 ST. 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. 1493027 2388943 TOTAL 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. 1493027 2388943 241571540 true true false true false false false false false true true false false true true true false true false false false false false false true false true true false false true false false false false false false true true false false false false false true true true false false true 179 0 true 2137 true true true false false false false true true false false false false X 28 25 true false false false true true true true true false false true true true true true true true true false NY X DENNIS KEANE 9149644340 967 NORTH BROADWAY YONKERS NY 107013497 RICHARD F KOMOSINSKI CHAIRMAN 1.0 0.25 X X 0 0 0 WM LEE KINNALLY JR First Vice Chairman 1.0 0.0 X X 0 0 0 JAMES R LETSEN Second Vice Chairman 1.0 0.0 X X 0 0 0 LENORE A MINERVA SECRETARY 1.0 0.0 X X 0 0 0 IYAD ANNABI MD ASSISTANT SECRETARY 1.0 0.0 X X 98997 0 23114 ROBERT C MURRAY TREASURER 1.0 0.25 X X 0 0 0 THOMAS T LEE MD BOARD MEMBER 1.0 0.25 X 0 0 0 GERALD T MALONE BOARD MEMBER 1.0 0.26 X 0 0 0 DOMINICK P ARTUSO MD CHAIR DOBBS FERRY MED EXEC COM 1.0 0.0 X 0 0 0 ABDUL AZEEZ MD THRU 317 FORMER CHIEF OF STAFF 1.0 0.0 X 0 0 0 PAMELA BARNES BOARD MEMBER 1.0 0.0 X 0 0 0 JONATHAN BAUMAN BOARD MEMBER 1.0 0.0 X 0 0 0 JIM BOSTIC BOARD MEMBER 1.0 0.0 X 0 0 0 MELVINA M CARTER BOARD MEMBER 1.0 0.0 X 0 0 0 JIM CASTRO-BLANCO ESQ BOARD MEMBER 1.0 0.0 X 0 0 0 STEVE CENTRILLO BOARD MEMBER 1.0 0.0 X 0 0 0 Robert DeMatteo CHIEF OF STAFF 1.0 0.0 X 0 0 0 JOSEPH A DISALVO ESQ BOARD MEMBER 1.0 0.0 X 0 0 0 ANNA T DOLAN MD BOARD MEMBER 1.0 0.25 X 0 0 0 HON LAWRENCE H ECKER BOARD MEMBER 1.0 0.0 X 0 0 0 KEVIN T FAY BOARD MEMBER 1.0 0.0 X 0 0 0 GREGORY M FISK BOARD MEMBER 1.0 0.25 X 0 0 0 MARK HERRMANN BOARD MEMBER 1.0 0.0 X 0 0 0 ANN KACHMAR BOARD MEMBER 1.0 0.0 X 0 0 0 JEANNE MARTINELLI BOARD MEMBER 1.0 0.0 X 0 0 0 MICHAEL SCHREIBER MD Former CHIEF OF STAFF 1.0 0.25 X 165227 0 25560 CECILE D SINGER BOARD MEMBER 1.0 0.25 X 0 0 0 Dr Victoria R Sirota Board Member (START 3/17) 1.0 0.0 X 0 0 0 Jay M Stein Board Member (START 3/17) 1.0 0.0 X 0 0 0 RONALD CORTI PRESIDENT/CEO 1.0 0.1 X 792712 0 130724 DENNIS KEANE VP FINANCE/CFO 1.0 0.1 X 480707 0 45301 DONNA MCGREGOR EXEC VP/COO 37.5 0.0 X 517168 0 36326 PAUL ANTONECCHIA MD VP MEDICAL AFFAIRS/CMO 37.5 0.1 X 438431 0 38781 GLADYS ATTANASIO ASSISTANT VP REVENUE CYCLE 37.5 0.0 X 214567 0 34128 FRAN DAVIS VP NURSING (END 07/17) 37.5 0.0 X 181441 0 23124 BRIAN KALEY VP BEHAVIORAL HEALTH SERVICES 37.5 0.0 X 284373 0 17109 LAURA FANNING Asst.VP OF SURGICAL SERVICES 37.5 0.0 X 171659 0 16730 TARA CURTIN VP NURSING 37.5 0.0 X 226780 0 36957 Susan Franzino Asst. VP of Ancillary Services 37.5 0.0 X 158283 0 37146 PRASERT ITHARAT MD PHYSICIAN 37.5 0.0 X 329420 0 47426 ANDRE OUTON MD PHYSICIAN - INTERNAL MEDICINE 37.5 0.0 X 270359 0 37828 EDNER PIERRE-LOUIS MD PHYSICIAN - INTERNAL MEDICINE 37.5 0.0 X 270954 0 47194 MICHAEL DIGIORNO MD PHYSICIAN - NEPHROLOGY 37.5 0.0 X 339532 0 37456 NIRAV PATEL PHYSICIAN 37.5 0.0 X 477436 0 37880 5418046 0 672784 326 false true false DOBBS FERRY EMERGENCY MEDICINE 33 RANDOM FARMS DRIVE CHAPPAQUA NY 10514 ER SERVICES 4020310 SYMPHONY MEDICAL PC 27 S WASHINGTON AVENUE DOBBS FERRY NY 10522 INTENSIVISTS 3469630 PULMONARY DISEASE GROUP OF WESTCHES 970 N BROADWAY YONKERS NY 10701 PULMONARY DIS SVCS 727083 KERRY O' DWYER 17 Indian Trail HARRISON NY 10528 CONTRACTOR 576271 FASTAFF LLC 5700 South Quebec Street Suite 300 GREENWOOD VILLAGE CO 80111 STAFFING SERVICES 560209 30 315892 6014457 738863 7069212 NET PATIENT SERVICE REVENUE 623000 218530177 218530177 UNCOMPENSATED CARE SUBSIDIZED 623000 8058595 8058595 STUDENT TUITION ADMISSIONS 900099 1372531 1372531 PHYSICIAN BILLING 900099 4416243 4416243 232377546 466773 1768 465005 0 0 1119140 1119140 0 1119140 1119140 16673000 15875786 797214 797214 797214 152976 315892 157190 -4214 -4214 0 0 0 58390 20559 37831 37831 CAFETERIA 900099 328561 328561 EMPLOYEE PARKING 900099 243804 243804 ALL OTHER REVENUE 900099 1736010 1736010 2308375 244171877 232377546 1768 4723351 0 0 0 0 6520360 6520360 223838 223838 110114302 102685792 7428510 15585483 14581929 1003554 23141661 21624327 1517334 8525184 7980015 545169 3376037 2309935 1066102 629093 629093 431667 431667 78000 78000 0 66732 66732 27604467 25698575 1905892 924681 888832 35849 37609888 36256845 1353043 1941269 970635 970634 0 5395246 5195245 200001 25730 23268 2462 0 314049 158504 155545 2108953 2108953 0 10849151 10849151 3280693 3280693 DUES, BOOKS, SUBSCRIPTIONS 373624 283585 90039 COLLECTION FEES 673520 388887 284633 AUXILIARY EXPENSES 92747 92747 ALL OTHER EXPENSES 1258882 431003 827879 261145257 241571540 19445121 128596 5928338 1204995 2872631 342755 15700 8825 24221957 24068586 0 0 0 0 1285944 1169233 3151166 3377996 1939016 1742910 276791233 230825197 48465087 45966036 27161306 25398741 1362856 1050761 0 0 2337475 1953594 22512943 20279305 141254419 126563737 33142670 37393579 0 0 0 0 18955670 18230149 0 0 0 0 5968082 6776655 0 0 111356803 112431582 169423225 174831965 X -32757371 -52766501 2458928 2368636 2129637 2129637 -28168806 -48268228 141254419 126563737 X -16973380 1838660 -4964702 X false true X true true true X false true true false false false true 78000 false true 78000 PART II-B LOBBYING 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. 28524162 3089272 5097200 66732 26449502 27436832 1387516 231125 69061 28524162 29107717 151048 1692047 129886 27436832 37262626 1537571 9654046 38434 29107717 31741170 2500000 3059821 38365 37262626 0.83201 0.08050 0.08749 false false 0 1185006 1185006 0 118959473 97461362 21498111 0 7465075 4838284 2626791 0 147568074 128525551 19042523 1613605 1613605 45966036 DUE FROM THIRD PARTY PAYORS 7912700 OTHER NON-CURRENT ASSETS 4050269 OTHER RECEIVABLES 2971603 PROFESSIONAL INSURANCE - RCVBL 5344733 20279305 0 DUE TO AFFILIATE-CAPTIVE INSUR 544762 DUE TO THIRD PARTY PAYORS 396092 ACCRUED POSTRETIREMENT BENEFIT 90952686 OTHER LT LIAB-DEF ASBESTOS 15036448 MALPRACTICE LIABILITY 5501594 112431582 X INTENDED USE OF ENDOWMENT FUNDS FORM 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 TAXES FORM 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. CHANGING OUR WORLD PLANNING false GOLF OUTING 215058 139567 75491 8005 68900 5735 GOLF OUTING 253810 176325 77485 1601 64556 8393 0 468868 315892 152976 9606 133456 14128 157190 -4214 true true X true X true X true true true false true true 1044000 96419 947581 0.00360 78927664 73706454 5221210 0.02000 79971664 73802873 6168791 0.02360 869637 869637 0.00330 6268696 5636800 631896 0.00240 7138333 5636800 1501533 0.00570 87109997 79439673 7670324 0.02930 true 16750605 5458581 60744377 60276303 468074 X true true 3 1 SJR HOSPITAL ANDRUS PAVILION 967 NORTH BROADWAY YONKERS NY 10701 WWW.RIVERSIDEHEALTH.ORG X X X X A 2 SJR PARK CARE PAVILION 2 PARK AVENUE YONKERS NY 10703 WWW.RIVERSIDEHEALTH.ORG X X X A 3 SJR DOBBS FERRY PAVILION 128 ASHFORD AVE DOBBS FERRY NY 10522 WWW.RIVERSIDEHEALTH.ORG X X X X A A 13 false false true X X X X X X X X X 16 true true true true X SEE SECTION C X true 16 true SEE SECTION C false true X 300. 101. X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X true X false false ALL PART V DESCRIPTIONS RELATE TO EACH HOSPITAL FACILITY PART 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 & 13H AMOUNTS 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. PART I, LINE 3A AND PART V, LINE 13 FREE 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 9B 1. 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 ASSESSMENT ST. 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 ASSISTANCE THE 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 INFORMATION ST. 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 HEALTH ST. 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 SYSTEM AFTER 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 REPORT ST. JOHN'S RIVERSIDE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW YORK ONLY. X X X X true true false false false false false false false MICHAEL SCHREIBER MD Former CHIEF OF STAFF 165227 0 0 0 0 0 25560 0 0 0 190787 0 0 0 RONALD CORTI PRESIDENT/CEO 720704 0 0 0 72008 0 108106 0 22618 0 923436 0 72008 0 DENNIS KEANE VP FINANCE/CFO 472307 0 0 0 8400 0 22705 0 22596 0 526008 0 0 0 DONNA MCGREGOR EXEC VP/COO 509368 0 0 0 7800 0 13535 0 22791 0 553494 0 0 0 PAUL ANTONECCHIA MD VP MEDICAL AFFAIRS/CMO 432431 0 0 0 6000 0 16200 0 22581 0 477212 0 0 0 GLADYS ATTANASIO ASSISTANT VP REVENUE CYCLE 214567 0 0 0 0 0 12120 0 22008 0 248695 0 0 0 FRAN DAVIS VP NURSING (END 07/17) 181441 0 0 0 0 0 9232 0 13892 0 204565 0 0 0 BRIAN KALEY VP BEHAVIORAL HEALTH SERVICES 275973 0 0 0 8400 0 15637 0 1472 0 301482 0 0 0 LAURA FANNING Asst.VP OF SURGICAL SERVICES 171659 0 0 0 0 0 16464 0 266 0 188389 0 0 0 PRASERT ITHARAT MD PHYSICIAN 329420 0 0 0 0 0 28059 0 21240 0 378719 0 0 0 ANDRE OUTON MD PHYSICIAN - INTERNAL MEDICINE 270359 0 0 0 0 0 16200 0 21628 0 308187 0 0 0 EDNER PIERRE-LOUIS MD PHYSICIAN - INTERNAL MEDICINE 270954 0 0 0 0 0 25954 0 21240 0 318148 0 0 0 MICHAEL DIGIORNO MD PHYSICIAN - NEPHROLOGY 339532 0 0 0 0 0 15851 0 21605 0 376988 0 0 0 NIRAV PATEL PHYSICIAN 477436 0 0 0 0 0 16200 0 21680 0 515316 0 0 0 TARA CURTIN VP NURSING 226780 0 0 0 0 0 14423 0 22534 0 263737 0 0 0 Susan Franzino Asst. VP of Ancillary Services 158283 0 0 0 0 0 15424 0 21722 0 195429 0 0 0 NONQUALIFIED DEFERRED COMPENSATION PLAN PART 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. RIVERSIDE HEALTH CARE SYS BERMUDA SEE PART V 2152302 INSURANCE PREMIUMS false EMPRESS AMBULANCE SERVICE SEE PART V 307429 AMBULANCE SERVICE false NANCY ANNABI SEE PART V 93107 COMPENSATION false BUSINESS TRANSACTIONS SCHEDULE 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. VOLUNTEERS FORM 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 ACCOMPLISHMENTS FORM 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 RELATIONSHIP FORM 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 HOLDERS FORM 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 MEMBERS FORM 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 990 FORM 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 POLICY FORM 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 REVIEW FORM 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 DISCLOSURE FORM 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 ASSETS FFORM 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) RIVERSIDE HEALTH CARE SYSTEMSINC (RHCS) 967 NORTH BROADWAY YONKERS NY 10701 133237215 MANAGEMENT NY 501(C)(3) 11A II NA false RIVERSIDE MANAGEMENT SERVICES ORG (RMSO) 967 NORTH BROADWAY YONKERS NY 10701 133846601 MANAGEMENT NY RMI C CORP false RIVER MANAGEMENT CO INC 967 N BROADWAY ANDRUS PAVIL YONKERS NY 10701 133474004 MANAGEMENT NY RHCS C CORP false RHCS BERMUDA LTD 967 NORTH BROADWAY YONKERS NY 10701 133237215 INSURANCE BD RHCS C CORP true SJR MEDICAL PC 967 NORTH BROADWAY YONKERS NY 10701 134185781 MED. SERVICE NY SJRH C CORP 129610 157 1.00000 true FDN FOR COMM HOSPITAL AT DOBBS FERRY 128 ASHFORD AVE DOBBS FERRY NY 10522 133971735 FUNDRAISING NY SJRH C CORP 3724 1.00000 true false false false true false false false false false false true true false true false false true false SJR MEDICAL PC l 129610 FMV SJR MEDICAL PC o 3737984 FMV