BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP (EIN 45-2964467)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-10-30
IRS object ID: 201703039349301310
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-10-30T10:19:24-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5 TIMES SQUARE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10036	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	452964467	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED	BusinessNameLine1Txt
Business Name Line2	GROUP	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% MAUREEN BURKE	InCareOfNm
Business Name Control	BONS	BusinessNameControlTxt
Phone	8453685000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 Lafayette Avenue	AddressLine1Txt
City	Suffern	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY LEAHY	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8453685305	PhoneNum
Signature	2017-10-25	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Laura Kielczewski	PreparerPersonNm
PTIN	P00740769	PTIN
Phone	2127733000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520173035000004	FederalOriginalSubmissionId
Federal Original Submission Id	2017-10-30	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	050F75853A9F423F493495C03CDD05FDA32C01D0	AtSubmissionCreationDeviceId
At Submission Filing Device Id	050F75853A9F423F493495C03CDD05FDA32C01D0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARY LEAHY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 Lafayette Avenue	AddressLine1Txt
City	Suffern	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$526,197,063	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5747	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bschs.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	To operate several ACUTE CARE HOSPITALS, LONG-TERM CARE FACILITIES AND OTHER HEALTHCARE SERVICES FOR THE RESIDENTS OF THE COMMUNITIES SERVED.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3838	TotalEmployeeCnt
Total Volunteers	300	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,497,461	PYContributionsGrantsAmt
CY Contributions Grants	$597,107	CYContributionsGrantsAmt
PY Program Service Revenue	$482,355,796	PYProgramServiceRevenueAmt
CY Program Service Revenue	$505,644,876	CYProgramServiceRevenueAmt
PY Investment Income	$204,603	PYInvestmentIncomeAmt
CY Investment Income	$888,751	CYInvestmentIncomeAmt
PY Other Revenue	$13,066,458	PYOtherRevenueAmt
CY Other Revenue	$18,359,769	CYOtherRevenueAmt
PY Total Revenue	$497,124,318	PYTotalRevenueAmt
CY Total Revenue	$525,490,503	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,244	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$17,959	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$275,917,838	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$287,848,968	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$229,858,410	PYOtherExpensesAmt
CY Other Expenses	$232,401,825	CYOtherExpensesAmt
PY Total Expenses	$505,786,492	PYTotalExpensesAmt
CY Total Expenses	$520,268,752	CYTotalExpensesAmt
PY Revenues Less Expenses	-$8,662,174	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,221,751	CYRevenuesLessExpensesAmt
Total Assets BOY	$226,182,504	TotalAssetsBOYAmt
Total Assets EOY	$219,576,491	TotalAssetsEOYAmt
Total Liabilities BOY	$205,507,276	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$227,990,500	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$20,675,228	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$8,414,009	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION IS TO MAKE VISIBLE GOD'S LOVE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR, VULNERABLE AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$458,090,497	ExpenseAmt
Grant	$17,959	GrantAmt
Revenue	$521,543,296	RevenueAmt
Desc	Bon Secours Charity Health System Affiliated Group is composed of three acute care hospitals, primary and specialty medical care practices and two long-term care and residential facilities: Good Samaritan Hospital of Suffern, NY; Bon Secours Community Hospital; St. Anthony Community Hospital; Bon Secours Charity Health System Medical Group, PC; St. Francis Center at the Knolls (dba Mount Alverno Center); and Villas Francis at the Knolls (dba Schervier Pavilion). Good Samaritan Hospital (GSH) operates a 286-bed hospital located in Suffern, New York that provides emergency, medical, surgical, obstetrical/gynecological and acute care services to Rockland and Orange Counties, New York and northern Bergen County, New Jersey. GSH has a Level II Trauma Center, a designated stroke center and acute myocardial infarction (AMI) program, and a regional cardiovascular program, providing open hearT surgery, a cardiac catheterization laboratory, emergency angioplasty, electrophysiology studies and a pacemaker clinic. GSH has received many awards and in 2014 was named one of the nation's 50 Top Cardiovascular Hospitals by Truven Health Analytics. GSH offers a comprehensive women's breast center, wound and hyperbaric center, sleep study center and maternal/child services, including a Level II neonatal intensive care unit supported by pediatric subspecialists from Westchester Medical Center (WMC). GSH's surgical weight loss institute provides pre-operative, surgical care and outpatient post-operative bariatric support. GSH provides kidney dialysis, psychiatric and substance abuse services and a range of social support services, education and population health services. The campus also includes a medical office building housing a state-of-the-art ambulatory surgery center, and primary care and specialty physicians. GSH's Certified Home Care Agency provides home health services to the residents of Rockland and Orange Counties, New York. This program is for patients who have acute needs and require home care for a relatively short period of time and will be discharged when they are stabilized or returned to a pre-illness level of functioning. Additional services include wound and ostomy assessments, physical therapy, occupational therapy, speech pathology, medical social work, nutrition and home health aides. The home health agency is certified for expansion into Manhattan and Westchester County, New York. Bon Secours Community Hospital (BSCH) operates a 122-bed acute care hospital located in Port Jervis, New York that provides community-based care to residents in the Port Jervis, New York and surrounding areas (Orange and Sullivan Counties in New York, Sussex County in New Jersey and Pike County in Pennsylvania). BSCH provides emergency care, laboratory and imaging services, medical and surgical services, and intensive care unit, inpatient dialysis, cardiopulmonary care, infusion therapy and outpatient wound care and diabetes programs. BSCH also offers inpatient psychiatric services and a chemical dependency program. A medical office building with primary care and diagnostic services is located across the street from BSCH. BSCH also offers a wide range of health education and population health support services for the community. St. Joseph's Place is a 46-bed nursing care center located on the first floor of BSCH that provides 24-hour nursing care, long- and short-term rehabilitation, tracheotomy care, head trauma care, respiratory care and psychological services. St. Anthony's Community Hospital (SACH) operates a 60-bed hospital that is located in Warwick, New York serving the residents of Orange County, New York, and Sussex and Passaic Counties, New Jersey. SACH provides emergency care, medical and surgical services, laboratory and imaging services, obstetrical, and gynecological and orthopedics. The SACH ambulatory services center provides various convenient services, including admitting, pre-admission screening, endoscopy, minor surgery and same-day surgery. An infusion center provides long-term intravenous antibiotics, blood transfusions, iron therapy, chemotherapy and long-term catheter insertion and maintenance. SACH education and outreach services include a diabetes education program and population health improvement programs. Bon Secours Charity Health System Medical Group, PC (MedPC) provides medical services to Suffern, New York and surrounding communities. Their services include primary care and various specialty professional services. The organization seeks to locate its physician practice sites in areas that most effectively meet the needs of the community. Villa Francis at the Knolls, Inc. d/b/a Schervier Pavilion (Schervier) is a 122-bed, skilled nursing facility located in Warwick, New York. Schervier provides therapeutic and social activities designed to enhance the physical and mental capabilities to help residents maintain and optimize their level of daily independence. Schervier is part of the 27-acre Warwick campus that includes Mount Alverno Center and SACH. Located in Schervier is a full-service adult day care program known as Day-At-A-Time. It provides health care, recreational and therapeutic activities from two to five days per week for the cognitively impaired and physically frail. The program provides an alternative to nursing home placement and home health care. St. Francis Center at the Knolls, Inc. d/b/a Mount Averno Center (Mount Alverno) is an adult home located on the SACH campus with an assisted living program serving 85 residents by providing individualized care plans designed to help residents reach and maintain a maximum level of independence.	Desc
Total Program Service Expenses	$458,090,497	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	297	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3838	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MAUREEN BURKE	PersonNm
Phone	8453685305	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 LAFAYETTE AVENUE	AddressLine1Txt
City	Suffern	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10901	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Mary Leahy MD
CEO	4.0	36.0	Yes (X)	Yes (X)	$0	$777,821	$51,211
John Wallenhorst PhD
Board Member	1.0	39.0	Yes (X)	Yes (X)	$0	$454,099	$35,488
Mark Tulis
Chair (THRU 11/30/16)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Mark Nantz
Chair (BEG 12/1/16)	1.0	39.0	Yes (X)	Yes (X)	$0	$938,016	$130,212
Zubeen Shroff
Board Member	1.0	3.5	Yes (X)		$0	$0	$0
Michael Israel
Vice Chair	1.0	39.0	Yes (X)	Yes (X)	$0	$2,510,955	$145,090
John Heimerdinger
Secretary	1.0	9.0	Yes (X)	Yes (X)	$0	$0	$0
Anthony Mahler
Board Member	1.0	39.0	Yes (X)		$0	$522,033	$97,206
Susan Gevertz
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Renee Garrick MD
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Gary Brudnicki
Board Member	1.0	39.0	Yes (X)		$0	$1,521,977	$129,697
Richard Wishnie
BOARD MEMBER	1.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
Julie Switzer
Board Member	1.0	39.0	Yes (X)		$0	$766,318	$105,213
Sr Ellen Dauwer
Board Member (Thru 12/1/16)	1.0	1.0	Yes (X)		$0	$0	$0
Marsha Casey
Board Member (BEG 9/6/16)	1.0	39.0	Yes (X)		$0	$973,748	$102,971
Stephen Dormer
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Tamer El-Rayess
Treasurer	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Sandra Grannum
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Martin Evers MD
President - MedPC	40.0	0.0		Yes (X)	$331,710	$0	$43,157
Peter Kenniff
CFO	39.0	1.0		Yes (X)	$326,554	$0	$32,627
Leon Harris MD
Physician	40.0	0.0			$736,936	$0	$21,666	Yes (X)
Cary Hirsch MD
PHYSICIAN	40.0	0.0			$0	$1,058,391	$20,295	Yes (X)
Thomas Facelle MD
DIRECTOR OF SURGERY	40.0	0.0			$0	$794,278	$21,666	Yes (X)
Seth Hurwitz MD
CARDIOLOGIST	40.0	0.0			$0	$710,448	$44,463	Yes (X)
Mill Etienne MD
NEUROLOGIST	40.0	0.0			$0	$666,403	$36,299	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,395,200	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,694,487	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,017,261	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	412	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CTR	CHICAGO	IL	60693	ENGINEERING	$6,973,048
MORRISON MGT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	$5,863,786
ARAMARK CTS INC
12483 COLLECTIONS CTR	CHICAGO	IL	60693	ENGINEERING	$5,359,621
ACCESS REHABILITATION SERVICES
16 MAYBROOK RD STE H	CAMPBELL HALL	NY	10916	REHAB THERAPY	$5,096,490
MARQUIS HOME CARE LLC
230 N MAIN ST	SPRING VALLEY	NY	10977	CONTRACT NURSING	$2,866,049

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	102	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$91,924	RelatedOrganizationsAmt
Government Grants	$399,165	GovernmentGrantsAmt
All Other Contributions	$106,018	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$597,107	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	623000	$504,895,526	$504,895,526	$0	$0
Capitation Revenue	623000	$749,350	$749,350	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$505,644,876	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,992	TotalRevenueColumnAmt
Exclusion	$89,992	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,048,836	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$705,319	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$343,517	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$343,517	TotalRevenueColumnAmt
Exclusion	$343,517	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$800,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,241	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$798,759	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$798,759	TotalRevenueColumnAmt
Exclusion	$798,759	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NYS SUPPORT REVENUE	900099	$13,898,698	$13,898,698	$0	$0
MEANINGFUL USE REVENUE	900099	$1,590,352	$0	$0	$1,590,352
INCENTIVES, REBATES,& REFUNDS	900099	$797,537	$797,537	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,729,665	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,202,185	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$527,480	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,016,252	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$525,490,503	TotalRevenueColumnAmt
Related Or Exempt Func Income	$521,543,296	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,350,100	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$17,959	TotalAmt
Program Services	$17,959	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,112,580	TotalAmt
Program Services	$311,258	ProgramServicesAmt
Management And General	$2,801,322	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$214,535,132	TotalAmt
Program Services	$200,591,508	ProgramServicesAmt
Management And General	$13,943,624	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,608,540	TotalAmt
Program Services	$5,578,110	ProgramServicesAmt
Management And General	$1,030,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$46,268,144	TotalAmt
Program Services	$43,766,122	ProgramServicesAmt
Management And General	$2,502,022	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,324,572	TotalAmt
Program Services	$16,178,048	ProgramServicesAmt
Management And General	$1,146,524	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,555,664	TotalAmt
Program Services	$27,596	ProgramServicesAmt
Management And General	$1,528,068	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$520,224	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$520,224	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$86,573	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$86,573	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,871,780	TotalAmt
Program Services	$22,721,820	ProgramServicesAmt
Management And General	$149,960	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$536,640	TotalAmt
Program Services	$93,961	ProgramServicesAmt
Management And General	$442,679	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,789,808	TotalAmt
Program Services	$3,371,063	ProgramServicesAmt
Management And General	$3,418,745	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,144,123	TotalAmt
Program Services	$533,656	ProgramServicesAmt
Management And General	$610,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,335,656	TotalAmt
Program Services	$9,923,331	ProgramServicesAmt
Management And General	$2,412,325	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,174,280	TotalAmt
Program Services	$972,909	ProgramServicesAmt
Management And General	$201,371	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$63,183	TotalAmt
Program Services	$36,709	ProgramServicesAmt
Management And General	$26,474	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,668,737	TotalAmt
Program Services	$7,668,737	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,315,239	TotalAmt
Program Services	$23,120,169	ProgramServicesAmt
Management And General	$195,070	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,172,889	TotalAmt
Program Services	$7,060,348	ProgramServicesAmt
Management And General	$2,112,541	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$64,512,267	$64,512,267	$0	$0
PURCHASED SERVICES	$42,975,802	$39,292,276	$3,683,526	$0
BSHSI/WMC MGT DUES	$31,539,812	$7,881,583	$23,658,229	$0
OTHER EXPENSES	$6,139,148	$4,431,067	$1,708,081	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$520,268,752	TotalAmt
Program Services	$458,090,497	ProgramServicesAmt
Management And General	$62,178,255	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$700,275	BOYAmt
EOY	$394,764	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$350,643	BOYAmt
EOY	$323,495	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,380,498	BOYAmt
EOY	$1,056,887	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$63,808,052	BOYAmt
EOY	$67,017,898	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,277,412	BOYAmt
EOY	$8,848,463	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,048,514	BOYAmt
EOY	$2,336,452	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$343,877,129	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$212,903,797	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$137,488,099	BOYAmt
EOY	$130,973,332	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$281,227	BOYAmt
EOY	$281,133	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$445,658	BOYAmt
EOY	$208,854	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,402,126	BOYAmt
EOY	$8,135,213	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$226,182,504	BOYAmt
EOY	$219,576,491	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,294,781	BOYAmt
EOY	$74,310,196	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,331,046	BOYAmt
EOY	$1,781,642	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$108,960	BOYAmt
EOY	$114,961	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$126,916,106	BOYAmt
EOY	$123,160,150	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,856,383	BOYAmt
EOY	$28,623,551	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$205,507,276	BOYAmt
EOY	$227,990,500	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,867,357	BOYAmt
EOY	-$9,250,238	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$807,871	BOYAmt
EOY	$836,229	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$20,675,228	BOYAmt
EOY	-$8,414,009	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$226,182,504	BOYAmt
EOY	$219,576,491	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,221,751	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$34,310,988	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,983,376	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,641,280	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,800,331	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,430,784	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,923,266	CurrentTaxYearAmt
Total	$12,779,037	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,983,376	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,641,280	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,800,331	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,430,784	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,923,266	CurrentTaxYearAmt
Total	$12,779,037	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$12,779,037	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$123,965	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$107,429	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$120,377	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$224,288	CurrentTaxYearMinus1YearAmt
Current Tax Year	$122,030	CurrentTaxYearAmt
Total	$698,089	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,107,341	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,748,709	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,920,708	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,655,072	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,045,296	CurrentTaxYearAmt
Total	$13,477,126	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.94820	PublicSupportCY509Pct
Public Support PY509	0.00000	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Investment Income PY	0.00000	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	false	TimelyProvidedDocumentsInd
Officers Close Relationship	false	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

Field	Value	IRS element (for citing)
CY Paid Accomplish Exempt Prps	$0	CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity	$0	CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid	$0	CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid	$0	ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside	$0	QualifiedSetAsideAmt
CY Other Distributions	$0	CYOtherDistributionsAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org	$0	CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
CY Distribution Yr	0.0	CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

Field	Value	IRS element (for citing)
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
Underdistributions	$0	UnderdistributionsAmt
Excess Distribution Cyov Yr3	$0	ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2	$0	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$0	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$0	TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY	$0	CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY	$0	CyovAppliedUnderdistrCPYAmt
Excess Distribution Cyov	$0	ExcessDistributionCyovAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY	$0	CYDistribAppUnderdistriPYAmt
CY Distri App Distributable	$0	CYDistriAppDistributableAmt
Excess Distribution	$0	ExcessDistributionAmt
Remaining Underdistri PY	$0	RemainingUnderdistriPYAmt
Remaining Underdistri CY	$0	RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr	$0	ExcessDistriCyovToNextYrAmt
Excess From Year4	$0	ExcessFromYear4Amt
Excess From Year3	$0	ExcessFromYear3Amt
Excess From Year2	$0	ExcessFromYear2Amt
Excess From Year1	$0	ExcessFromYear1Amt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part I	FormAndLineReferenceDesc
Explanation	One subordinate (ST. FRANCIS CENTER OF THE KNOLLS D/B/A MOUNT ALVERO ASSISTED LIVING CENTER) included in this return has public charity status as an organization described in section 509(a)(2). Schedule A, Part III is completed to report this entity's activities.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$86,573	OtherActivitiesAmt
Total Lobbying Expenditures	$86,573	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1, Lobbying Activities	FormAndLineReferenceDesc
Explanation	The filing organization maintains memberships to various professional healthcare associations. Portions of the membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,818,063	OtherCostOrOtherBasisAmt
Book Value	$4,818,063	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,387,199	OtherCostOrOtherBasisAmt
Depreciation	$81,783,781	DepreciationAmt
Book Value	$60,603,418	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,899,308	OtherCostOrOtherBasisAmt
Depreciation	$672,839	DepreciationAmt
Book Value	$1,226,469	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$182,212,198	OtherCostOrOtherBasisAmt
Depreciation	$123,639,144	DepreciationAmt
Book Value	$58,573,054	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,560,361	OtherCostOrOtherBasisAmt
Depreciation	$6,808,033	DepreciationAmt
Book Value	$5,752,328	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$130,973,332	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTIES	$9,953,076
FIN 47 LT ASBESTOS LIAB	$2,829,446
CAPITAL LEASE LT LIABILITY	$4,540,587
ARCHDIOCESE LT PENSION LIABILITY	$9,409,696
DUE TO AFFILIATES	$1,556,927
OTHER MISC. LIABILITIES	$333,819

Field	Value	IRS element (for citing)
Total Liability	$28,623,551	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IV, Line 2B	FormAndLineReferenceDesc
Explanation	CERTAIN FACILITIES HOLD, SAFEGUARD, MANAGE AND ACCOUNT FOR THE PERSONAL FUNDS OF RESIDENTS WHO HAVE AUTHORIZED THE FACILITY IN WRITING TO MANAGE PERSONAL FUNDS. FUND REQUESTS LESS THAN $50 ARE AVAILABLE FOR IMMEDIATE DISTRIBUTION TO RESIDENTS AND WRITTEN REQUESTS FOR $50 OR MORE ARE HONORED, BY CHECK, WITHIN A REASONABLE TIME FRAME. GENERALLY, ALL CUSTODIAL FUNDS IN EXCESS OF $50 ARE HELD IN INTEREST BEARING ACCOUNTS SEPARATE FROM THAT OF THE ORGANIZATION.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$962,180	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$905,373	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,356,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,799,961	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,556,774	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,318,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,856,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,462,147	NetCommunityBenefitExpnsAmt
Total Expense	0.04120	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$445,697	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$445,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,435,124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,435,124	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,323,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,323,561	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,959	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,959	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,222,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,222,341	NetCommunityBenefitExpnsAmt
Total Expense	0.02350	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,541,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,856,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,684,488	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$290,998	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$290,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$351,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$351,189	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$642,187	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$642,187	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$46,712,760	BadDebtExpenseAmt
Reimbursed By Medicare	$144,005,230	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$163,865,084	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,859,854	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
GOOD SAMARITAN HOSPITAL OF SUFFERNNY
1	255 LAFAYETTE AVENUE	SUFFERN	NY	10901	goodsamhosp.org	4329000H	Yes (X)	Yes (X)	Yes (X)	A
St Anthony Community Hospital
2	15 Maple Avenue	Warwick	NY	10990	stanthonycommunityhosp.org	3529000H	Yes (X)	Yes (X)	Yes (X)	A
Bon Secours Community Hospital
3	160 East Main Street	Port Jervis	NY	12771	bonsecourscommunityhosp.org	3535001H	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	123	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	500.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	false	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, section B	Facility Reporting Group A consists of: - Facility 1: Good Samaritan Hospital of Suffern, NY - Facility 2: St. Anthony Community Hospital - Facility 3: Bon Secours Community Hospital
Part V, Line 5	Staff from Bon Secours Charity Health System (BSCHS) represents the health system on numerous community boards and agencies throughout the year. Several of the boards and agencies include Catholic Charities Community Services of Rockland County, Rockland County Dept. of Health, Public Health Priorities Steering Committee, Orange County Chamber of Commerce Healthcare Committee, Orange County Citizen's Foundation Healthcare Committee, Tri-State Chamber of Commerce, Rockland Business Association and Rockland Economic Development Corporation. By actively participating and collaborating with these agencies, BSCHS is able to obtain input and insight on the health needs and concerns of the communites served. Additionally, BSCHS employees work together with several community liaisons who work closely with area employers and specific geographical and religious groups to identify personal health related needs.
Part V, Line 6a	The following hospitals within Bon Secours Charity Health System conducted a joint Community Health Needs Assessment (CHNA): Good Samaritan Hospital of Suffern, NY; St. Anthony Community Hospital; Bon Secours Community Hospital.
Part V, Line 7	The CHNA is widely available to the public. The CHNA is easily accessible on the BSCHS Website: http://bschs.org/about-us-community-health-needs-assessment.html Part V, Line 7d The CHNA for each hospital was distributed at various community events. copies were provided to various community members and groups. Additionally, the CHNAs and the New York State Community Service Plans are posted on the BSCHS websites. Part V, Line 10 The BSCHS implementation strategy plan is posted on the website: http://www.charity.bonsecours.com/bschs/community-health-needs-assessment1 .aspx
Part V, Line 11	Based on data from the community health needs assessment and the NYS Prevention Agenda priorities, the most significant health needs of the service area are as follows: - Chronic Disease prevention; - Healthy and Safe environments; - Healthy Women, Infants and Children; - Mental Health and Substance Abuse; and - Communicable Diseases. BSCHS is ADDRESSING THE CHRONIC DISEASE PREVENTION NEEDS LISTED ABOVE BY FOCUSING ON OBESITY AND DIABETES. BSCHS supports the following organizations, community resources, and programs to address the remaining identified health needs as follows: Healthy and Safe Environments encompasses air and water quality issues, access to healthy foods, assault-related hospitalizations, and hospitalizations/ED visits related to falls. BSCHS has partnered with the Rockland and Orange County Departments of Health and supports their efforts to address these areas. In addition to BSCHS Maternal and Infant hospital-based services, the Lower Hudson Valley Perinatal Network (LHVPN) has expertise and resources available to address these health needs. BSCHS supports LHVPN's mission to enhance maternal, child and family health services in Dutchess, Putnam, Orange, Rockland & Westchester counties. The outpatient program at The Monsignor Patrick J. Frawley Psychiatric Unit at Good Samaritan Hospital is designed to treat emotional and psychiatric disorders in adolescents, adults and geriatric patients. In addition, our patients have access to a number of comprehensive services in the Alcohol Outpatient Clinic and our Chemical Dependency Program. In addition to providing direct care for individuals, the Mental Health Outpatient Clinic offers mental health consultation and outreach services to community organizations. The Rockland County Department of Mental Health oversees delivery of high quality, comprehensive, patient-centered and recovery oriented mental health services, developmental disability services and chemical dependency services. Bon Secours Community Hospital provides psychiatric, psychological, medical and neurological care in a supportive environment. The New Directions Program utilizes a multidisciplinary treatment team consisting of psychiatrists, nurses, case managers, social workers, and Credentialed Alcohol and Substance Abuse Counselors (CASAC). The Adult Inpatient Program at Bon Secours Community Hospital is designed to provide a patient-centered and comprehensive treatment program for adults ages 18 and older who are struggling with an acute phase of mental illness. The Orange County Department of Mental Health ensures that quality Mental Health, Developmental Disabilities and Chemical Dependency services are accessible to all the people of Orange County, that such services are delivered in a cost effective, timely and culturally sensitive manner under the jurisdiction of the Mental Hygiene Law of New York State and provided within the rules, regulations, policies and procedures of the licensing authority of appropriate State Offices. Additional mental health and substance abuse resources are available at Orange Regional Medical Center. In addition to the communicable diseases that BSCHS addresses through immunization clinics and patient vaccination, BSCHS also supports Refuah Health Center, Hudson River Healthcare, Middletown Community Health Center, the Rockland and Orange county health departments and the NYS Dept. of Health in their efforts to combat communicable diseases. Part V, Lines 13d & 13e The Financial Aid Policy is applied to Insured and Underinsured patients. it is applied for uninsured patients on balances that are the patient's responsibility. Hospital reimbursement is still limited to the AMOUNTS Generally Billed (AGB) including any previous insurance payments.
Part V, Line 13h	Patients above the 500% Federal Poverty Guidelines are eligible for the lower of the 60% discount on total charges or the Medicare FFS rate, after they have paid the required out of pocket expense of 20% of family income. Part V, Line 15e BSCHS provides upfront financial assistance outreach services to all patients who do not have insurance. The service provider explains the options for federal and state financial assistance and provides assistance in filling out all required applications, including an application for Charity Care. The service provider reaches out to all patients who do not have insurance, either by meeting with patients who are still at the Hospital OR reaching out to those discharged with a phone call/mail. contact information is also provided on the FAP summary and on our Charity Care application for patient convenience.
Part V, Lines 16a and 16b	The financial assistance policy, application and plain language summary can be found at the following websites: http://bschs.bonsecours.com/bsch/billing-insurance-and-financial-assistanc e.aspx http://bschs.bonsecours.com/gsh/billing-insurance-and-financial-assistance .aspx http://bschs.bonsecours.com/sach/billing-insurance-and-financial-assistanc e.aspx
Part V, Line 16J	In addition to the methods reported on lines 16a through 16i, brochures are available at the time of registration, and onsite counselors and hospital paid eligibility vendor staff are available to assist patients. All billing statements also include information regarding the FAP and the eligibility vendor contacts all uninsured patients to determine the patient's eligibility for all Federal and State financial assistance programs including Charity Care. BSCHS has actively taken measures to publicize the FAP policy within the communities served. In addition to the methods noted in Line 16, BSCHS makes brochures available at the time of registration and has available onsite counselors and onsite vendor staff to assist patients with determining their eligibility for federal and state financial assistance programs, including Charity Care. Additionally, all billing statements include FAP information.

Field	Value	IRS element (for citing)
Facility	46	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
THE AMBULATORY SURGERY CENTER
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	AMBULATORY SURGERY CENTER
GOSHEN MEDICAL ASSOCIATES
70 HATFIELD LANE SUITE 101	GOSHEN	NY	10924	INTERNAL MEDICINE
GOOD SAMARITAN HOME CARE
15 MATTHEW STREET SUITE 302	GOSHEN	NY	10924	HOME CARE
ROCKLAND PULMONARY & MEDICAL ASSOC
2 CROSSFIELD AVENUE	WEST NYACK	NY	10994	PULMONOLOGY
METROPOLITAN CARDIOLOGY CONSULTANTS SUFF
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
RAMAPO VALLEY SURGICAL ASSOCIATES
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	outpatient ambulatory sugery
REGIONAL KIDNEY CENTER
33-1 ROUTE 17M	HARRIMAN	NY	10926	OUTPATIENT DIALYSIS CENTER
BON SECOURS NEUROLOGY
100 ROUTE 59	SUFFERN	NY	10901	NEUROLOGY
HUDSON VALLEY MEDICAL ASSOCIATES
26 FIREMANS MEMORIAL DRIVE	POMONA	NY	10970	INTERNAL MEDICINE
CENTER FOR PHYSICAL REHABILITATION
70 HATFIELD LANE	GOSHEN	NY	10924	OUTPATIENT PHYSICAL THERAPY
CENTER FOR PHYSICAL REHABILITATION
153 SOUTH ROUTE 94	WARWICK	NY	10990	OUTPATIENT REHAB
METROPOLITAN CARDIOLOGY CONSULTANTS-GOSH
30 HATFIELD LANE	GOSHEN	NY	10924	CARDIOLOGY
GOOD SAMARITAN HOME CARE
1 CROSSFIELD AVENUE SUITE 202	WEST NYACK	NY	10994	HOME CARE
MOB PORT JERVIS PRIMARY
161 EAST MAIN STREET	PORT JERVIS	NY	12771	Primary Care
GOOD SAMARITAN HOME CARE
200 WHITES PLAINS ROAD	TARRYTOWN	NY	10591	HOME CARE
WOMEN'S IMAGING CENTER
55 RONALD REAGAN BOULEVARD	WARWICK	NY	10990	OUTPATIENT WOMEN'S IMAGING CENTER
ROCKLAND PULMONARY MEDICAL ASSOCIATES SU
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	PULMONARY
ST ANTHONY SLEEP DISORDER INSTITUTE
74 NORTH MAIN STREET	FLORIDA	NY	10921	SLEEP LAB
ROCKLAND HEART & VASCULAR ASSOCIATES
972 ROUTE 45 SUITE 103	POMONA	NY	10970	CARDIOLOGY
MAHWAH MEDICAL
10 FRANKLIN TURNPIKE	MAHWAH	NJ	07430	INTERNAL MEDICINE
GOSHEN PRIMARY CARE PHYSICIANS
1 HATFIELD LANE	GOSHEN	NY	10924	PRIMARY CARE
MONSIGNOR PATRICK J FRAWLEY MENTAL HLTH
3 CAMPBELL AVENUE	SUFFERN	NY	10901	MENTAL HEALTH
MEHTA PULMONARY
55 OLD NYACK TURNPIKE	NANUET	NY	10954	PULMONOLOGY
ROCKLAND HEART & VASCHUDSON VALLEY MED
2 EXECUTIVE BOULEVARD SUITE 406	SUFFERN	NY	10901	CARDIOLOGY
ROCKLAND HEART VASCULAR ASSOCIATES INNER
257 LAFAYETTE AVENUE	Suffern	NY	10901	cardiology
PORT JERVIS GASTROENTEROLOGY
39 EAST MAIN STREET	PORT JERVIS	NY	12771	GASTROENTEROLOGY
BON SECOURS MEDICAL GROUP
104 BENNETT AVENUE	MILFORD	PA	18337	internal medicine
Gopal Shah MD
33 Delaware Street	Port Jervis	NY	12771	Primary Care
BON SECOURS MEDICAL GROUP
2 EXECUTIVE BOULEVARD	SUFFERN	NY	10901	PRIMARY CARE
ALAM PCP
906 PENNSYLVANIA AVENUE	MATAMORAS	NY	18336	PRIMARY CARE
George Cox MD
257 Lafayette Avenue	Suffern	NY	10901	Primary Care
ROCKLAND HEART & VASCULAR ASSOCIATES
79 ROUTE 59 SUITE 5	Suffern	NY	10901	PULMONOLOGY
LUTWAK CARDIOLOGY
505 ROUTE 208	MONROE	NY	10950	cardiology
BON SECOURS MEDICAL GROUP
5 SKINNER STREET	PORT JERVIS	NY	12771	CARDIOLOGY
NORTH ROCKLAND MEDICAL ASSOCIATES
71 SOUTH ROUTE 9W	WEST HAVERSTRAW	NY	10993	primary care
YACOV TENDLER MD
257 Lafayette Avenue	Suffern	NY	10901	PRIMARY CARE
BON SECOURS MEDICAL GROUP
500 NEW HEMPSTEAD ROAD	NEW CITY	NY	10956	internal medicine
MONROE PRIMARY CARE
745 RTE 17M	MONROE	NY	10950	Primary Care
BON SECOURS MEDICAL GROUP
601 BROAD STREET	MILFORD	PA	18337	internal medicine
LAFAYETTE MEDICAL-GASPARE POLIZZI
599 STATE RTE 32	HIGHLAND MILLS	NY	10930	primary care
RALPH BOWMAN MD
170 EAST MAIN STREET	PORT JERVIS	NY	12771	primary care
LUTWAK CARDIOLOGY
4 S AIRMONT ROAD	SUFFERN	NY	10901	cardiology
WARWICK PALLIATIVE CARE
22 VAN DUZER PLACE	WARWICK	NY	10990	palliative care
ROCKLAND PULMONARY ASSOC-STONY POINT
27 LIBERTY SQUARE MALL	STONY POINT	NY	10980	PULMONARY
BON SECOURS MEDICAL GROUP GE
15 MAPLE AVENUE	WARWICK	NY	10990	GASTROENTEROLOGY
GOOD SAMARITAN HOME CARE
2975 INDEPENDENCE AVENUE	BRONX	NY	10463	HOME CARE

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7A	CHARITY CARE AT COST IS COMPUTED BY APPLYING THE COST-TO-CHARGE RATIO TO THE AGGREGATE CHARITY ADJUSTMENTS. PART I, LINE 7B UNREIMBURSED MEDICAID IS COMPUTED BY DETERMINING THE COST OF MEDICAID SERVICES LESS PAYMENTS RECEIVED FOR THESE SERVICES. TO DETERMINE THE COST OF MEDICAID SERVICES PROVIDED, A COST-TO-CHARGE RATIO IS APPLIED TO TRADITIONAL AND MANAGED MEDICAID GROSS CHARGES. PAYMENTS INCLUDE PAYMENTS FOR INDIVIDUAL CLAIMS, PAYMENTS FROM THE MEDICAID PROGRAM PAID OUTSIDE THE CLAIM PROCESS (SUCH AS MEDICAL EDUCATION PAYMENTS) AND EXPECTED OR ACTUAL COST REPORT SETTLEMENTS. PART I, LINE 7C UNREIMBURSED COSTS FROM OTHER MEANS-TESTED GOVERNMENT PROGRAMS ARE COMPUTED BY APPLYING A COST-TO-CHARGE RATIO TO THE TOTAL CHARGES TO PATIENTS COVERED UNDER THESE PROGRAMS. THE CHARGES ARE IDENTIFIED BY THE FINANCIAL CLASS ASSIGNED TO THE PATIENT. PART I, LINE 7 A-C COMPUTATIONS THE COST-TO-CHARGE RATIO IS DERIVED USING THE SUGGESTED COMPUTATION IN WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OPERATING EXPENSES AND GROSS PATIENT CHARGES ARE TAKEN FROM THE GENERAL LEDGER, EXPENSES FOR NONPATIENT CARE ACTIVITIES RECORDED IN OPERATING EXPENSES ARE APPROXIMATED AS DIRECTLY EQUALING OTHER OPERATING REVENUE. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ARE ACCUMULATED THROUGHOUT THE YEAR AND REPORTED AT ACTUAL COST IN A SOFTWARE PROGRAM THAT SPECIFICALLY ADDRESSES THIS PURPOSE. PART I, LINE 7F HEALTH PROFESSIONS EDUCATION COST IS DETERMINED AS THE DIRECT AND INDIRECT COST OF QUALIFYING EDUCATION ACTIVITIES AS TRADITIONALLY REPORTED IN COLUMNS 21-24 ON WORKSHEET B OF THE MEDICARE COST REPORT AS A MEDICAL EDUCATION PROGRAM OR OTHER ALLIED HEALTH PROGRAM. PART I, LINE 7 THE FOLLOWING CHARITY CARE PECENTAGES HAVE BEEN DERIVED BY ONLY INCLUDING HOSPITAL EXPENSES: Percent of total expense Line 7a: .21 Line 7b: 4.67 Line 7d: 4.88 Line 7e: .10 Line 7f: .78 Line 7g: 1.89 Line 7j: 2.78 Line 7k: 7.66 Part II, Community Building Activities BSCHS was actively engaged in community building activities which promoted the health of the communities throughout its service area. BSCHS has a dedicated community outreach department which evaluates, plans, and implements community health and education programs, based on community need as well as requests for programs on specific topics. In 2016, over 20 support groups met monthly in the BSCHS facilities and an additional 5 groups, sponsored by BSCHS, met at off-site locations. The community outreach department worked with the BSCHS Healthcare Speakers' Bureau which connected our BSCHS medical professionals directly with the community on broad topics such as cardiac health, orthopedics, women's health, obesity, stroke, diabetes, wound care, safety, asthma, senior services, etc. BSCHS's outreach events were held at various locations, including libraries and work-sites. At these presentations, BSCHS provided educational booklets in English and Spanish. In addition to this, the outreach department also held service line specific programs such as breast and cervical cancer screenings, hearing testing, sleep disturbances seminars, as well as other programs benefitting the community. In 2016, BSCHS employees worked over 3,000 hours to provide community health improvement programs. In Port Jervis, Orange County, BSHCS transformed the delivery of healthcare through its Building Healthy Communities Initiatives and expects to continue through 2017. BON SECOURS COMMUNITY HOSPITAL ("BSCH") applied for a Certificate of Need with the NYSDOH to undertake a physical plant modernization and renovation project that will provide significant and needed improvements in order to implement BSCH's innovative DSRIP-related project to increase the breadth of the outpatient delivery system in western Orange County through the creation of a Medical Village. BSCH was awarded $24.5 million in CAPITAL RESTRUCTURING FINANCING PROGRAM ("CRFP") grant funds to undertake this major project, which included several of the DSRIP projects, including care transitions intervention to reduce 30 day readmissions for chronic health conditions, integration of primary care and behavioral health, community crisis stabilization services, implementation of evidence-based strategies in the community to address chronic disease, such as diabetes and asthma. Implementation of these projects IS achieved through increased access to primary care, outpatient services, pharmacy and an expansion of community services. The Total ANTICIPATED Project Cost for this project is $41.5 MILLION which will be funded in part by CAPITAL RESTRUCTURING FINANCE PROGRAM (CRFP) grant funds ($24.5 MILLION). Planning and collaboration for BSCH's medical village began in 2014 and has been ongoing with more than 86 meetings with constituents, stakeholders, and community organizations. Key partners include Westchester Medical Center, Cornerstone Family Healthcare, Bon Secours Medical Group, Catholic Charities, Easter Seals, the Maternal-Infant Services Network, ShopRite Super Market, New York State Office of Alcoholism and Substance Abuse Services, Orange County Department of Health, Orange County Department of Mental Health, Port Jervis Community Garden, Empowering Port Jervis, Port Jervis Library, the Salvation Army, SUNY Community Colleges, and 1199SEIU Workforce. The participatory, collaborative development process RESULTED IN a plan that included a strategy to reduce 25 staffed beds and decertify 36 licensed beds that preserves critical safety-net capacity and creates new space for a range of ambulatory care and social services including: (1) expanded access to primary care, dental, and pharmacy services, (2) a new observation unit and EMERGENCY ROOM diversion program, (3) enhanced care coordination by supporting practices THAT MEET THE NCQA PCMH Level 3 accreditation, (4) co-located behavioral health providers and community based organizations to deliver vital disease management, prevention, nutrition, and wellness services, and (5) connecting BSCHS to HealthLinkNY, which offers electronic access to patients' community-wide health records and serves as the region's access point to the Statewide Health Information Network of New York (SHIN-NY), supporting collaboration between healthcare providers across the state. Building upon BSCH's in-patient reduction and reconfiguration experience through the HEAL-NY program and leveraging value-based purchasing efforts, the medical village will improve the quality, safety, effectiveness and efficiency of care delivery to the more than 80,000 Medicaid beneficiaries in Orange County and ensure that BSCH is on a sustainable path.sustainable path.
PART III, LINE 2	BAD DEBT EXPENSE INCLUDES: 1) ACTUAL WRITE OFFS OF DISCOUNTED GROSS CHARGES WHERE IT IS DETERMINED AN UNINSURED PATIENT CAN PAY AND DOES NOT PAY; AND 2) THE ESTIMATED WRITE OFFS FOR UNINSURED PATIENT ACCOUNTS WITH OUTSTANDING BALANCES AFTER DISCOUNT. ESTIMATES ARE BASED ON HISTORICAL COLLECTION RATES. PART III, LINE 3 THE ORGANIZATION DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE ORGANIZATION TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THE ORGANIZATION MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4 PLEASE SEE FOOTNOTE "(2D) ACCOUNTS RECEIVABLE, NET" ON PAGES 16-17 IN THE ATTACHED BSCHS CONSOLIDATED AUDITED FINANCIAL STATEMENTS ("AFS"), ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN THE SECOND PARAGRAPH OF THE FOOTNOTE.
Part III, Line 8	THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT. THE ORGANIZATION IS ASSUMING A GOVERNMENT BURDEN BY PROVIDING CARE in excess of the revenue. the MEDICARE ALLOWABLE COSTS REFLECTED IN PART III ARE REFLECTED IN the FACILITY'S MEDICARE COST REPORT. THE COST REPORT SEGREGATES THE TOTAL FACILITY ACTUAL EXPENSES INTO COSTS FOR SUPPORT DEPARTMENTS, CLINICAL DEPARTMENTS (ROUTINE AND ANCILLARY) AND NONREIMBURSEABLE DEPARTMENTS. THE COST REPORT USES APPROPRIATE STATISTICAL BASES TO "STEP DOWN" SUPPORT COSTS TO ALLOWABLE CLINICAL AND NONREIMBURSEABLE DEPARTMENTS. THE CHARGES FOR CLINICAL DEPARTMENTS ARE MATCHED TO THE TOTAL COST FOR THESE DEPARTMENTS FOR A COST-TO-CHARGE RATIO.
Part III, Line 9B	THE ORGANIZATION HAS A WRITTEN POLICY THAT DESCRIBES COLLECTION PRACTICES APPLYING TO PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR FULL ASSISTANCE, NO COLLECTION EFFORTS ARE PURSUED ON THAT PATIENT'S ACCOUNT(S). IF PARTIAL ASSISTANCE IS PROVIDED, THE PATIENT IS RESPONSIBLE FOR THE ADJUSTED ACCOUNT BALANCE AND COLLECTION EFFORTS WILL FOLLOW THE ESTABLISHED PRACTICES FOR ALL PATIENTS WHERE A SELF-PAY BALANCE EXISTS. COLLECTION EFFORTS ARE NOT PURSUED ON ANY PENDING FINANCIAL ASSISTANCE PROGRAM ACCOUNT. SPECIFIC CRITERIA EXIST FOR HOW MUCH FINANCIAL ASSISTANCE, PARTIAL OR TOTAL, WILL BE PROVIDED TO THE PATIENT BASED ON THE ASSESSED NEED. CRITERIA IS BASED ON FEDERAL POVERTY GUIDELINES AND IS REVIEWED AND UPDATED ANNUALLY. ONCE A PATIENT HAS BEEN DEEMED ELIGIBLE FOR THE PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP), THE PATIENT IS NOTIFIED BY LETTER WITHIN 60 DAYS AFTER RECEIPT OF THE APPLICATION AND SUPPORTING DOCUMENTATION. THE PATIENT RETAINS ELIGIBILITY FOR A PERIOD OF TWELVE MONTHS FROM THE DATE OF THE APPLICATION. NOTICE OF THIS ELIGIBILITY IS PROVIDED TO HOSPITAL ADMISSIONS, BILLING AND COLLECTION STAFF BY THE ASSIGNMENT OF A SPECIFIC FINANCIAL CLASS WITH ACCOMPANYING ELIGIBILITY DATES. AT THE END OF THE TWELVE MONTH PERIOD, THE PATIENT IS RESPONSIBLE FOR REAPPLYING FOR FAP ELIGIBILITY. BSCHSs collection policy contains provisions on collection practices which all facilities follow for patients known to qualiFy for financial assistance. The Charity Care Policy specifically provides the following collection practices: a. Any firm contracted with the hospital for collection purposes shall also provide information to BSCHS patients on how to apply for financial assistance, in accordance with all provisions of this policy. b. Accounts will not be sent to an external collection agency without the patient or his / her designee having an opportunity and adequate time to develop an alternative payment arrangement. Accounts will not be referred for collection while an application for financial assistance is pending. c. All patients will receive a minimum of thirty (30) days written notice on data mailers / billing statements that their account is subject to referral to a collection agency. d. BSCHS will not commence collection activity on any account for which financial assistance has been approved. The application for charity care will include a statement that the patient will not be responsible for any bills until such time that a decision on the application has been made. e. All legal firms and collection agencies with whom BSCHS may contract for collection services will conduct all collection activities in accordance with THE ORGANIZATION'S policIES and procedures. Further, such firms shall not commence any legal proceedings on an account without the prior written consent of BSCHS. f. BSCHS will make best efforts to work with the patient to determine an equitable payment schedule / installment plan for any out-of-pocket expenses, considering the patients financial and medical circumstances. The monthly payments on any installment plan will not exceed 10% of the patients gross monthly income and there will be no interest charges on an approved installment plan. g. BSCHS, nor any law fIrm or collection agency with which it contracts, will not force the sale or foreclose of a patients primary residence to collect an outstanding bill. h. BSCHS will not pursue collections against any patient who was eligible for Medicaid at the time services were rendered.
Part VI, Line 2	The BSCHS facilities have current CHNAs for calendar years 2016 through 2018. The CHNAs were developed from data collected as part of WESTCHESTER MEDICAL CENTER's planning for the DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM projects. The DSRIP program is a Statewide initiative to improve healthcare services throughout the State which includes projects to reduce avoidable hospital admissions in collaboration with community based providers and organizations. GSH and BSCH are both involved in various projects to improve population health, a few of which include management of diabetes and asthma, reducing 30 day re-admissions, cancer screening, and co-locating behavioral health and primary care services. The Westchester Medical Center PPS ("WMC PPS") led a comprehensive, collaborative CNA recognizing the integral role that a CNA plays in supporting the delivery of patient-centered, population-based health care. This eight county CNA was undertaken in collaboration with Westchester Medical Center, The Montefiore Hudson Valley Collaborative, Refuah Health Center, and Health Alliance of the Hudson Valley. The CNA leadership of the PPS in the Hudson Valley Region partnered to undertake an extensive regional assessment of community needs. The leadership recognized the integral role that a community needs assessment plays in supporting the delivery of patient-centered, population-based health care and was guided by the CENTER FOR DISEASE CONTROL AND PREVENTION's (CDC) Community Health Assessment and Group Evaluation CHANGE toolkit. The needs and opinions of community stakeholders across sectors were gathered in a systematic way that included compilations of data into workbooks, chart books, and map books; surveys; focus groups, key informant interviews; and a public comment period. Rigorous analysis of extant health, socio-demographics, and built environment data enhanced our ability to identify DSRIP projects that focused interventions on individuals and communities most in need. The CNA utilized the power of geospatial data analysis to assist in project selection and planning. The needs assessment was designed within a geographic information science (GISc) framework. GISc and spatial analyses were used to identify particular population-based health issues. For example, access to care at clinics or hospitals, socio-economic data and patterns of disease burden by population and region were assessed utilizing this framework. Detailed-level SPARCS (Statewide Planning and Research Cooperative System) data provided by academic colleagues at Iona College, along with Medicaid claims data accessed through the Health.NY.Gov dashboard, combined with Census information, were mapped to identify community needs by prevalence indicators for major diagnostic categories. SPARCS data was used to identify patients EMERGENCY ROOM visits, hospitalizations and readmissions and analyze trends over the past three years to identify negative quality indicators. PPS partners in our region and county health department teams worked together to coordinate local surveys about capabilities (e.g., health IT, Community Resources, Healthcare Resources, consumer survey, focus groups) to supplement what was available on secondary websites. Conforming to the goal of improving population health, "hot and cold spots" (statistical clusters of zip codes with values higher or lower than would be expected) were isolated. This approach was expanded to include variables from a range of other sources (e.g., American Community Survey, Vital Statistics, DSRIP dashboards) related to outcomes and sociodemographic determinants (e.g., poverty, English-speaking ability, race/ethnicity, employment, physical activity). Select narrative and community profiles were developed for hot spot zip codes so that community "stories" could more easily be shared with stakeholders. To ensure broad representation across all community sectors, collaboration and input from local teams was established by each county DEPARTMENT OF HEALTH. All data analyses and chart, map and workbooks were shared as they were developed with providers and stakeholders across the region through public meetings with county health commissioners and project team meetings conducted by the PPS in the region. As part of the CNA, the PPS conducted a survey of Hudson Valley consumers to gather information and feedback about demographics and community health needs. The survey was drafted at a sixth grade reading level and reviewed and approved by health literacy experts and was made available online and in paper form in the five languages prevalent in the Hudson Valley: English, Spanish, Portuguese, French Creole, and Yiddish. The survey received almost 5,000 responses from respondents living in 303 ZIP codes across the eight counties and respondent demographics were representative of the overall region. In addition to the CHNA, BSCHS continually assesses the health care needs of the community throughout the year. After every Community Outreach event, the System Director of Community Outreach meets with various people who were involved in the event as well as participants and assesses and evaluates all aspects of the event. The assessment includes questions such as: did this event serve the needs of the community; which members of the community did we serve and who did we miss; how can we improve this event; do we need to invest more resources; and should this event be continued or expanded? Part VI, Line 3 Patient financial assistance policy is communicated to patients upon scheduling, registration, THROUGH visible postings of the policy in common areas throughout the hospital, brochures at registration and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance if needed, once any patient financial obligation is determined. BSCHS is committed to ensuring access to health care services for all. As a health care provider, BSCHS treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. BSCHS addresses the needs of the uninsured by providing free or reduced fees FOR hospital services and Is ACTIVELY ENGAGED IN community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. BSCHS proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the BSCHS Patient Financial Assistance Program ("FAP") and assists potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 250% of the Federal Poverty Guidelines ("FPG"). INCOMES UP TO 500% ARE ALSO DISCOUNTED AT THE LOWER PERCENTAGES as indicated in the chart included in the FAP or the AGB. BSCHS offers 100% charity care to its patients with income up to 250% of the FPG. Patients with income between 251% - 350% of the FPL are offered the lower of a 50% reduction of total charges or the APG (the Medicare FFS rate). Patients with income between 351% - 500% of the FPL are offered the lower of a 30% reduction of total charges or the APG (the Medicare FFS rate). BSCHS is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, BSCHS employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including through the financial ASSISTANCE process. discharge, including through the financial ASSISTANCE process.
Part VI, Line 4	BSCHS facilities operate and serve populations of lower New York State, principally Rockland and Orange counties. Rockland County is located approximately 30 miles north of Manhattan on the West side of the Hudson River. The County is a popular residence for people who commute to work in nearby Westchester and Bergen Counties, as well as Manhattan. The County comprises approximately 115,000 acres and contains more than 35,000 acres of preserved open space and park land. Rockland continues to experience steady population growth in its five towns and 19 villages. The most recent Census Department estimates indicate that Rockland County grew 8.7% from 2000 to 2010, and now includes 311,687 residents. In Rockland County, there was substantial growth in all age cohorts 65 and older, a consistent trend nationally. Gender among the age groups is roughly equal from the early age cohorts through the 40s, but after age 65, women continue to outnumber men. Population projections - Preliminary population projections through 2035 show that Rockland Countys older population may double in size in the next three decades, while those ages 30 to 44 may shrink in size. While projections are based on historical data and do not always predict accurate trends, the dramatic possible increase in the elderly population is a trend that should be of importance to County service providers and planners. Orange County is located in the Hudson River Valley, bordering New Jersey. The County comprises approximately 816 square miles. Orange County continues to experience steady population growth, with the 2010 Census indicating that Orange County grew 9.2% from 2000 to 2010, and now includes 372,813 residents. Based on 2010 U.S. Census population estimates, the median age in Orange County has increased by more than 2 years since 2007, to 36.6 years. the largest cohort of residents is age 45-49. The number of residents ages 65-69 is forecasted to more than double from 2000-2020 primarily due to the entry of 'baby boomers' into these age ranges. Twenty-one percent of Rockland Countys population was estimated to be foreign-born in 2010. Among the 63,058 Rockland county residents estimated to be foreign born in 2007, the largest group was born in Latin America and the Caribbean (48%). One quarter of foreign-born residents (25%) originated from Asia. Approximately another quarter (23%) came from Europe and 3% from Africa. Countywide, 32.9% of persons over age 5 speak a language other than English at home.According to the U.S. Census, 11.1% of residents in Orange County were foreign born, with 22.3% of persons over the age of five speaking a language other than English at home. Rockland Countys rate of poverty for children under 18 increased to 16.9% in 2009 when compared to (15%) in 2000. Poverty rates in Orange County vary greatly based on municipality. Poverty rates exceeding 25% for families with related children under 18 are found in Orange Countys three cities (Middletown, Newburgh, and Port Jervis), as well as in the town of Monroe, largely due to the impact of the village of Kiryas Joel, where the poverty rate is more than 4 times the county average.
Part VI, Line 5	BSCHS facilities promoted the health of the community to further its exempt purpose through various programs and initiatives throughout the year. BSCHSs community outreach department provided educational presentations at various community locations on broad topics such as cardiac health, orthopedics, women's health, obesity, stroke, diabetes, wound care, safety, asthma, senior services, etc. The outreach department also held service line specific programs such as breast and cervical cancer screenings, hearing testing, sleep disturbance seminars, as well as other programs benefiting the community. BSCHS expects to continue providing these programs and services through 2017. BSCHS continued its commitment to being accessible and providing for the health care needs of the communities in its service area. As evidenced by BSCHSs active participation in the various DSRIP projects, BSCHS provided improved access to health care services, especially to the underserved population, as well as provided various opportunities to enroll in governmental and/or community health plans. All three BSCHS hospitals partnered with local federally qualified health centers (FQHC) to increase public awareness of the available services that were either free of charge or based on a sliding scale payment. In furtherance of this commitment, all BSCHS facilities provided space each month, free of charge, to insurance specialists to meet with patients to register for health insurance benefits. In response to the growing community needs of its service area, BSCHS continued to recruit and hire more employed physicians, who accept Medicaid and participate in programs to provide charity care, in alignment with the BSCHS mission. BSCHS also continued to address the community need for chronic disease prevention at all of its facilities. The following programs and initiatives were provided, which are expected to continue: BSCHS hosted/ participated in free cardiac awareness and prevention programs that were attended by over 1,700 people. Some of the programs offered include the following: heart disease prevention, signs and symptoms, blood pressure screenings, obesity and women and heart disease. In addition, BSCHS also participated in the American Heart Walk which was attended by over 800 people. The Lower Hudson Valley Mended Hearts Chapter #368, which met eight times last year at a local community center, was supported by BSCHSs community outreach department budget. BSCHS trained the Mended Hearts volunteers to visit cardiac patients and their family members in the hospital to offer hope and support. The volunteers, who are former heart surgery patients, also visited patients post-surgery to provide support. In 2016, volunteers made 158 visits to cardiac patients at GSH. BSCHS provided the community in its service area with ample cancer treatment and support options. BSCHS also engaged the community to increase awareness of risk factors and prevention. BSCHS hosted numerous cancer awareness, early detection, prevention, and support programs that reached over 1,700 people. The programs focused on different cancer related illnesses and provided the community with access to meet Oncology specialists on a one-to-one base. The cancer program at GSH was accredited by the American College of Surgeons and the radiation oncology program at GSH was accredited by the American College of Radiology. The Center of Breast Health at GSH was accredited by the National Accreditation Program for Breast Centers. BSCHS leadership and cancer program staff worked diligently to maintain these accreditations to ensure that the community is receiving the best care available. These accreditations are expected to continue through 2017. Additionally, partnerships with the American Cancer Society and the Cancer Services Program of NYS helped develop new community screening programs improveD patient support offerings, which are expected to continue. GSH partnered with the Cancer Services Program of Rockland County to provide ongoing breast and cervical cancer screenings for uninsured and underinsured community members. Through this partnership, 8 free screenings were held in 2016 and 116 people received early detection services. In furtherance of its exempt purpose, GSH worked with cancer services program to provide all necessary follow up treatment, including surgery, chemotherapy, and radiation for patients who had a positive finding from any of the free screenings. BSCHS employed a board certified breast surgeon and a board certified colorectal surgeon as well as two patient navigators to assist breast cancer patients to coordinate their care and access available services. BSCHS continued to financially support the American Cancer Society's Making Strides against Breast Cancer walk and, in 2016, the walk was attended by 1,000 people. This sponsorship helped support and provide prevention and early detection educational materials to the communities we serve. BSCHS also worked towards promoting health in the community by preventing obesity which increases a persons likelihood of developing many chronic diseases. BSCHS offered several services to offset the damage that obesity can create. In alignment with the NYS Prevention agenda, both GSH and SACH provided board certified lactation consultant services to new mothers, as research has shown that breastfeeding can positively affect a persons future likelihood of not developing obesity. Additionally, SACH offered a weekly breastfeeding support group which was attended by over 940 participants. BSCH developed the "Get Fit, Port Jervis" program which offered the community access to free group walks and yoga classes. In 2016, 544 people participated in the group walks and 833 people participated in free yoga classes. BSCHS provided diabetes prevention, education and support services at all its facilities. These free classes were led by Certified Diabetes Educators who were also Registered Nurses and Registered Dieticians. GSH and BSCH also provided bariatric surgery programs as bariatric surgery can often reverse a diabetes diagnosis. GSH donated a 3000-square foot facility on the hospital campus that houses the "Spirit of Rockland" Special Victims Center that provides care and support to crime victims with special needs. In 2016, the donated value of the building, including utilities and upkeep, totaled $108,000. GSH is expected to continue this community initiative. GSH was also a member of the Rockland County Public Health Priorities Steering Committee, which is a private-public partnership that was formed in May 1997 and includes more than twenty representatives of educational institutions, health care providers, health-related organizations, community service organizations, governmental agencies, faith-based organizations, consumers, and the business community. The committee was chaired and coordinated by the Rockland County Department of Health. Its mission is the coordination and collaboration of resources to address local unmet public health needs in order to promote health, improve access to health care and prevent disease and disability in Rockland County. GSH collaborated and worked with this committee in furtherance of its exempt purpose and to promote the health of the community it serves and expects to continue its work with this committee. BSCHS expects to continue these services and programs described above through 2017.
Part VI, Line 6	BSCHS is a not-for-profit, non-stock membership corporation that is the sole member of five LEGAL ENTITIES that operate hospitals, nursing homes, and other healthcare-related facilities in the State of New York. Bon Secours Health System, Inc. ("BSHSI") a Maryland not-for-profit, non-stock membership corporation, is a member of BSCHS with a forty percent (40%) economic interest in BSCHS. Sisters of Charity of Saint Elizabeth ("SOCSE"), a New Jersey not-for-profit corporation, IS a member of BSCHS without any economic interest. BSCHS, a Catholic health system, is canonically co-sponsored by Bon Secours Ministries ("BSM"), an affiliate of BSHSI and SOCSE. BSHSI is a not-for-profit, non-stock membership corporation, and the sole member of which is Bon Secours, Inc. ("BSI"). BSHSI is a corporation formed to participate in the charitable healthcare system now sponsored by BSM throughout the United States of America through which the healthcare mission of the Sisters of Bon Secours, USA, the founding participating entity of BSM, is furthered. The Ministry of BSHSI aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to the following: acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), this organization and its related entities are called to continue the healing ministry of Jesus. THEY exist to benefit the people living in the communities we serve. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSHSI Vision. "Inspired by the healing ministry of Jesus Christ and the charism of Bon Secours, Bon Secours Health System will be recognized for its leadership in justice, transforming the communities in which we serve and work into places of health and hope, and being a prophetic voice for systemic US health reform and a more humane world." Westchester County Healthcare Corporation was created in 1997 as a New York public benefit corporation and owns and operates a number of healthcare facilities including Westchester Medical Center located in Valhalla, New York. In December, 2014, WMC and BSHSI ENTERED INTO a transaction (the "Affiliation") under which: WMC, or its subsidiary, became a majority co-member in BSCHS and manages the day to day operations of BSCHS and its subsidiaries and facilities pursuant to a management agreement approved by the New York State Department of Health; BSCHS and its subsidiaries remain a Catholic healthcare ministry subject to the Ethical and Religious Directives for Catholic Healthcare Services. WMC appoints at least sixty percent (60%) of the members of the BSCHS Board of Directors, while BSHSI and SOCSE jointly appoint approximately 40% of the BSCHS Board, and each member of BSCHS holds certain reserve powers. Please see Schedule R for listings of the related organizations and Schedule H for the hospitals included in this return.
Part VI, Line 7	List of States Receiving Community Benefit Report: NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	INDIGENT CAB FARE	GrantTypeTxt
Recipient	232	RecipientCnt
Cash Grant	$17,959	CashGrantAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mary Leahy MD
CEO	$0	$627,821	$0	$150,000	$0	$0	$0	$15,900	$0	$35,311	$0	$829,032	$0	$0
John Wallenhorst PhD
Board Member	$0	$300,576	$0	$72,652	$0	$80,871	$0	$24,843	$0	$10,645	$0	$489,587	$0	$24,034
Martin Evers MD
President - MedPC	$135,275	$0	$195,967	$0	$468	$0	$20,295	$0	$22,862	$0	$374,867	$0	$0	$0
Mark Nantz
Chair (BEG 12/1/16)	$0	$666,960	$0	$155,881	$0	$115,175	$0	$103,665	$0	$26,547	$0	$1,068,228	$0	$67,200
Michael Israel
Vice Chair	$0	$1,428,330	$0	$1,082,625	$0	$0	$0	$76,205	$0	$68,885	$0	$2,656,045	$0	$0
Anthony Mahler
Board Member	$0	$437,393	$0	$84,640	$0	$0	$0	$69,232	$0	$27,974	$0	$619,239	$0	$0
Gary Brudnicki
Board Member	$0	$988,824	$0	$533,153	$0	$0	$0	$76,205	$0	$53,492	$0	$1,651,674	$0	$0
Julie Switzer
Board Member	$0	$617,068	$0	$149,250	$0	$0	$0	$70,205	$0	$35,008	$0	$871,531	$0	$0
Peter Kenniff
CFO	$284,746	$0		$0	$41,808	$0	$6,925	$0	$25,702	$0	$359,181	$0	$0	$0
Leon Harris MD
Physician	$299,006	$0	$434,120	$0	$3,810	$0	$20,295	$0	$1,371	$0	$758,602	$0	$0	$0
Marsha Casey
Board Member (BEG 9/6/16)	$0	$783,748	$0	$190,000	$0	$0	$0	$74,695	$0	$28,276	$0	$1,076,719	$0	$0
Cary Hirsch MD
PHYSICIAN	$0	$1,000,004	$0	$50,000	$0	$8,387	$0	$20,295	$0	$0	$0	$1,078,686	$0	$0
Thomas Facelle MD
DIRECTOR OF SURGERY	$0	$607,012	$0	$184,288	$0	$2,978	$0	$20,295	$0	$1,371	$0	$815,944	$0	$0
Seth Hurwitz MD
CARDIOLOGIST	$0	$342,102	$0	$367,986	$0	$360	$0	$20,295	$0	$24,168	$0	$754,911	$0	$0
Mill Etienne MD
NEUROLOGIST	$0	$234,315	$0	$431,859	$0	$229	$0	$20,067	$0	$16,232	$0	$702,702	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART 1, LINE 3

Westchester County HealthCare corporation, A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINE 4B

CERTAIN BOARD MEMBERS PARTICIPATE IN A BSHSI SPONSORED EXECUTIVE RETIREMENT PROGRAM THAT ALLOWS FOR DEPOSITS INTO ADDITIONAL RETIREMENT PLANS AND IS AVAILABLE ONLY TO OFFICERS AND KEY EMPLOYEES. THE 457F PLAN IS A NON-QUALIFIED PLAN AND IS SUBJECT TO A MINIMUM THREE-YEAR SERVICE REQUIREMENT BEFORE VESTING ON DEPOSITS MADE INTO THIS PLAN. Individuals that received a distribution included: John Wallenhorst, $34,685 and Mark Nantz, $71,441.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6	Members or stockholders: the members of BSCHS are as follows: WMC Rockland, Inc. - 60% BSHSI, together with SOC - 40% Pursuant to New York State Law, as an organization engaged in the profession of medicine, Bon Secours Charity Health System Medical Group, P.C. (MedPC) was the sole shareholder of the organization who is engaged in the practice of medicine and licensed to practice in the State of New York.
Form 990, Part VI, Line 7a	Power to elect or appoint members: The governing bodies of the members within the Group, with the exception of MedPC, are appointed by its members, WMC-Rockland, BSHSI and SOC and are subject to the approval of its members.
Form 990, Part VI, Line 7b	Decisions reserved to members or stockholders: Certain authorities of the members of the Group, with the exception of Bon Secours Charity Health System Medical Group, PC, are jointly reserved to WMC-Rockland, BSHSI and SOC, certain authorities are reserved to BSHSI and WMC-Rockland, and certain authorities are reserved solely to BSHSI.
Form 990, Part VI, Line 11b	Process used to review the Form 990: The Form 990 was prepared by our tax advisors together with our finance department with the assistance from various departments throughout the organization. The Form 990 was reviewed by internal leadership. Upon completion of the various reviews, the Form 990 was presented to the board of the organization for approval prior to filing with the IRS.
Form 990, Part VI, Line 12c	The organization monitors and enforces compliance with the Conflict of Interest policy by means of a survey developed and approved by the WMCHealth Chief Compliance Officer. The survey is sent to all trustees, officers, and key executives for completion. All survey responses are reviewed by the Chief Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or referred to the WMCHealth Conflicts of Interest Committee for discussion. Potential actions to be taken in response to a conflict can be one or more of the following: 1) disclosure of the conflict, 2) individual recusal from decisions for transactions where that individual may have a conflict, 3) request in writing the individual alleviate the conflict, or 4) removal of the individual from employment.
FORM 990, PART VI, LINE 15	The organization has a comprehensive process for the oversight and management of remuneration for the CEO and other senior executives and disqualified parties. Compensation for such key employees is set by reviewing and relying on objective market data to ensure they receive compensation that is in full compliance with the IRS' rebuttable presumption of reasonableness. The organization maintains a compensation philosophy, reviews pay practices against SIMILAR healthcare organizations and approves all remunerative decisions for this group of individuals. Further, the organization ensures that all levels of pay within the organization are reasonable based on performance and validates that incentives payments, if any, are adequately supported. Such decisions are documented in Board and other relevant Committee minutes.
Form 990, Part VI, Line 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XI, Line 9	Other changes in net assets Transfers to Affiliates ($34,310,988)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS ROAD	VALHALLA	NY	10595	320467873	SUPPORTING	NY	501(C)(3)	12A	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(C)(3)	12A	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY	115	N/A	NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(C)(3)	12A	WCHCC	false
NORTH ROAD LHCSA INC
241 NORTH ROAD	POUGHKEEPSIE	NY	12601	465293268	HOMECARE SVCS	NY	501(C)(3)	10	WCHCC	false
MID-HUDSON VALLEY EARLY EDUCATION CENTER
241 NORTH ROAD	POUGHKEEPSIE	NY	12601	465534882	PRESCHOOL	NY	501(C)(3)	10	WCHCC	false
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROAD	VALHALLA	NY	10595	134095845	FUNDRAISING	NY	501(C)(3)	7	WCHCC	false
HEALTHALLIANCE INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	261850453	SUPPORTING	NY	501(C)(3)	12A	WCHCC	Yes (true)
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	Yes (true)
HEALTHALLIANCE HOSP MARY'S AVE CAMPUS
105 MARYS AVENUE	KINGSTON	NY	12401	141338470	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	Yes (true)
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	150552726	EXEMPT HOSP	NY	501(C)(3)	3	HA INC	Yes (true)
HEALTHALLIANCE SENIOR LIVING CORP
396 BROADWAY	KINGSTON	NY	12401	300164277	RTMNT COMM	NY	501(C)(3)	10	HA INC	Yes (true)
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(C)(3)	10	MMH	Yes (true)
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY 28	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(C)(3)	12A	MMH	Yes (true)
FASC FOUNDATION
741 GRANT AVENUE	LAKE KATRINE	NY	12449	264201295	SUPPORT FDN	NY	501(C)(3)	7	HAH BWAY	Yes (true)
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVE	SUFFERN	NY	10901	133400353	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	false
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVE	SUFFERN	NY	10901	810667395	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	Yes (true)
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(C)(3)	7	BSCHSI	Yes (true)
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(C)(3)	12C, III-FI	WCHCC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE (BARBADOS)
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	CAP INSURANCE	BB	BSCHSI	C CORP	Yes (true)
KINGSTON INSURANCE (BARBADOS) LIMITED
38 PINE ROAD	BELLEVILLE ST MICHAEL	BB	CAP INSURANCE	BB	HEALTHALLIANCE	C CORP	Yes (true)
NORTHEAST PROVIDER SOLUTIONS INC
			MSO & HEARING AID		NA	C CORP	Yes (true)	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
			PHYSICIAN OFFICES		NA	C CORP	Yes (true)	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WESTCHESTER MEDICAL REGIONAL PHYS SVCS
			PHYSICIAN OFFICES		NA	C CORP	Yes (true)	241 NORTH ROAD	POUGHKEEPSIE	NY	10532	465522536	NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREET	HAMILTON	BD	CAP INSURANCE	BD	NA	C CORP	Yes (true)
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
			INVESTMENT		HAH BWAY	C CORP	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
			MEDICAL SVCS		HAH BWAY	C CORP	Yes (true)	396 BROADWAY	KINGSTON	NY	12401	203564769	NY

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WMC HEALTH NETWORK - ROCKLAND INC
r	$7,409,870	FMV
BON SECOURS HEALTH SYSTEM INC
r	$22,980,318	FMV
Good Samaritan Foundation for Better Health
c	$125,470	FMV
BON SECOURS COMMUNITY HOSPITAL FDN
c	$126,764	FMW
Bon Secours Charity Health System Inc
r	$31,007,817	FMV
Good Samaritan Hospital of Suffern NY
r	$81,159,198	FMV
Good Samaritan Hospital of Suffern NY
q	$155,295,645	FMV
Good Samaritan Foundation for Better Health
q	$394,415	FMV
St Anthony Community Hospital
r	$69,248,630	FMV
St Anthony Community Hospital
q	$36,609,052	FMV
St Anthony Community Hospital
o	$15,660,764	FMV
Bon Secours Warwick Foundation
q	$66,959	FMV
Bon Secours Community Hospital
r	$75,797,747	FMV
Bon Secours Community Hospital
q	$36,681,588	FMV
Bon secours Community Hospital
o	$24,662,238	FMV
Bon Secours Community Foundation
q	$39,372	FMV
Villa Frances at the Knolls Inc
r	$14,561,172	FMV
Villa Frances at the Knolls Inc
q	$7,522,949	FMV
Villa Frances at the Knolls Inc
o	$5,523,588	FMV
St Francis at the Knolls Inc
q	$2,516,851	FMV
St Francis at the Knolls Inc
r	$2,018,723	FMV
St Francis at the Knolls Inc
o	$1,923,153	FMV
Bon Secours CHARITY HLTH SYSTEM MED GROUP PC
r	$48,913,600	FMV
Bon Secours CHARITY HLTH SYSTEM MED GROUP PC
q	$21,813,360	FMV
Bon Secours CHARITY HLTH SYSTEM MED GROUP PC
o	$34,067,409	FMV
Good Samaritan Foundation for Better Health
r	$79,647	FMV