BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP (EIN 45-2964467)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202443199349314764
Schema version: 2023v5.1
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	2024-11-14T15:45:36+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

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	ONE MANHATTAN WEST	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100018604	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	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 GROUP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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 MD	PersonNm
Person Title	CEO - BSCHS	PersonTitleTxt
Phone	8453685000	PhoneNum
Signature	2024-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Yucen Zhong	PreparerPersonNm
PTIN	P01593150	PTIN
Phone	2127733000	PhoneNum
Preparation	2024-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY LEAHY MD	BusinessNameLine1Txt

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	$637,082,263	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
Formation	2010	FormationYr
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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4029	TotalEmployeeCnt
Total Volunteers	63	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,377,832	PYContributionsGrantsAmt
CY Contributions Grants	$15,773,274	CYContributionsGrantsAmt
PY Program Service Revenue	$584,661,001	PYProgramServiceRevenueAmt
CY Program Service Revenue	$605,552,888	CYProgramServiceRevenueAmt
PY Investment Income	$370,073	PYInvestmentIncomeAmt
CY Investment Income	$586,177	CYInvestmentIncomeAmt
PY Other Revenue	$16,483,135	PYOtherRevenueAmt
CY Other Revenue	$14,495,354	CYOtherRevenueAmt
PY Total Revenue	$615,892,041	PYTotalRevenueAmt
CY Total Revenue	$636,407,693	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,734	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,066	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$336,609,728	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$363,043,091	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$307,878,461	PYOtherExpensesAmt
CY Other Expenses	$335,592,767	CYOtherExpensesAmt
PY Total Expenses	$644,501,923	PYTotalExpensesAmt
CY Total Expenses	$698,641,924	CYTotalExpensesAmt
PY Revenues Less Expenses	-$28,609,882	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$62,234,231	CYRevenuesLessExpensesAmt
Total Assets BOY	$283,126,035	TotalAssetsBOYAmt
Total Assets EOY	$282,247,828	TotalAssetsEOYAmt
Total Liabilities BOY	$294,526,161	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$278,274,449	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$11,400,126	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,973,379	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	Yes (true)	SignificantChangeInd
Expense	$614,459,407	ExpenseAmt
Grant	$6,066	GrantAmt
Revenue	$619,690,139	RevenueAmt
Desc	BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP IS COMPOSED OF THREE ACUTE CARE HOSPITALS, A PRIMARY AND SPECIALTY MEDICAL CARE PRACTICE 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 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 IS THE ONLY FACILITY IN THE REGION WITH AN ANGIOGRAPHY SUITE TO TREAT VASCULAR DISEASE WITH NEW 3D DIAGNOSTIC EQUIPMENT WHICH PROVIDES IMAGE GUIDED THERAPY TO EVALUTE ARTERIES AND VEINS TO IDENTIFY BLOCKAGES MORE PRECISELY. GSH HAS BEEN NAMED ONE OF HEALTH GRADES AMERICA'S 100 BEST HOSPITAL'S FOR CORONARY INTERVENTION FOR 4 YEARS IN A ROW (2018-2021). ALONG WITH THE CORONARY INTERVENTION EXCELLENCE AWARD FROM HEALTHGRADES, 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). THE WOMEN'S BREAST CENTER AT GSH IS THE ONLY FACILITY IN THE AREA THAT OFFERS A HIGH RISK SCREENING PROGRAM TO IDENTIFY WOMEN WHO MEET CRITERIA FOR HIGH RISK, DURING THEIR ROUTINE SCREENINGS. GSH'S SURGICAL WEIGHT LOSS INSTITUTE PROVIDES PRE-OPERATIVE, SURGICAL CARE AND OUTPATIENT POST-OPERATIVE BARIATRIC SUPPORT. GSH ALSO PROVIDES KIDNEY DIALYSIS, PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES AND A RANGE OF SOCIAL SUPPORT SERVICES, EDUCATION AND POPULATION HEALTH SERVICES. THE OB EMERGENCY DEPARTMENT IN COLLABORATION WITH THE OB HOSPITALIST PROGRAM PROVIDES EMERGENCY OBSTETRICAL SERVICES IN THE OB EMERGENCY DEPARTMENT. THE OB-GYN DEPARTMENT RECEIVED THE HEALTHGRADES FIVE STAR AWARD FOR VAGINAL DELIVERY FOR THE 6 CONSECUTIVE YEARS (2015-2020) BY HEALTHGRADES, AS WELL AS THE OBSTETRICS AND GYNECOLOGY EXCELLENCE AWARD FOR 2 CONSECUTIVE YEARS (2019-2020). THE CAMPUS ALSO INCLUDES A MEDICAL OFFICE BUILDING HOUSING A STATE-OF-THE-ART AMBULATORY SURGERY CENTER, WHICH INCLUDES 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, INTENSIVE CARE UNIT, INPATIENT DIALYSIS, CARDIOPULMONARY CARE, INFUSION THERAPY OUTPATIENT WOUND CARE, AND A 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 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, 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	$614,459,407	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
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 With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
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	301	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4029	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
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	false	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAUREEN BURKE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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
JOHN HEIMERDINGER
SECRETARY	1.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
MARY LEAHY MD
PRESIDENT & CEO	36.0	4.0	Yes (X)	Yes (X)	$0	$1,291,203	$97,207
MICHAEL ISRAEL
VICE CHAIR	1.0	39.0	Yes (X)	Yes (X)	$0	$3,394,564	$63,028
RICHARD WISHNIE
CHAIR	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
SR ANNE LUTZ
BSMH REP	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
SR MAUREEN SULLIVAN
BSMH REP	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
TAMER EL-RAYESS MD
1ST VICE CHAIR & TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
GARY BRUDNICKI
BOARD MEMBER (THRU 10/2023)	1.0	39.0	Yes (X)		$0	$2,366,825	$42,822
JOSHUA RATNER
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$1,178,257	$80,777
JULIE SWITZER
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$1,059,210	$34,187
LAISHY WILLIAMS CARLSON
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
MICHAEL ROSENBLUT
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
RENEE GARRICK MD
BOARD MEMBER	1.0	39.0	Yes (X)		$0	$1,216,702	$80,777
SANDRA GRANNUM
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
STEVEN KENT
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
SUSAN GEVERTZ
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
ANTONIO PERUGINO
CFO (EFFECTIVE 4/2023)	1.0	39.0		Yes (X)	$272,481	$0	$19,637
AMALA P CHIRUMAMILLA
PHYSICIAN	40.0	0.0			$756,806	$0	$69,169	Yes (X)
CARY HIRSCH MD
PHYSICIAN	40.0	0.0			$709,082	$0	$13,875	Yes (X)
GUNJAN SHUKLA
PHYSICIAN	40.0	0.0			$770,296	$0	$77,864	Yes (X)
LEE P ROOT
PHYSICIAN	40.0	0.0			$714,525	$0	$68,826	Yes (X)
SETH HURWITZ
PHYSICIAN	40.0	0.0			$710,790	$0	$77,865	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,933,980	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,506,761	TotReportableCompRltdOrgAmt
Total Other Compensation	$726,033	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	932	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CTR	CHICAGO	IL	60693	ENGINEERING	$7,581,568
AYA HEALTHCARE INC
PO BOX 674907	DALLAS	TX	75267	TEMPORARY SUPPORT	$7,121,605
IHEALTH PARTNERS LLC
812 SCONNELL TOWN RD	WEST CHESTER	PA	19382	CONSULTANTS	$6,998,906
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICES	$6,371,274
ACCESS REHABILITATION SERVICES
16 MAYBROOK RD	CAMPBELL HALL	NY	10916	REHAB SERVICES	$6,272,174	STE H

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	125	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,144,602	RelatedOrganizationsAmt
Government Grants	$13,717,413	GovernmentGrantsAmt
All Other Contributions	$911,259	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$15,773,274	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	$604,959,357	$604,959,357	$0	$0
CAPITATION REVENUE	623000	$593,531	$593,531	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$605,552,888	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$586,177	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$586,177	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$884,836	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$674,570	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$210,266	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$210,266	TotalRevenueColumnAmt
Exclusion	$210,266	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SERVICE AGREEMENTS	900099	$4,447,300	$4,447,300	$0	$0
PERFORMANCE BASED REVENUE	900099	$4,355,755	$4,355,755	$0	$0
REBATES & GPO DISCOUNTS	900099	$4,348,691	$4,348,691

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,133,342	TotalRevenueColumnAmt
Related Or Exempt Func Income	$985,505	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$147,837	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,285,088	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$636,407,693	TotalRevenueColumnAmt
Related Or Exempt Func Income	$619,690,139	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$944,280	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	$6,066	TotalAmt
Program Services	$6,066	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	$292,118	TotalAmt
Program Services	$29,212	ProgramServicesAmt
Management And General	$262,906	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	$271,848,151	TotalAmt
Program Services	$249,627,526	ProgramServicesAmt
Management And General	$22,220,625	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,231,799	TotalAmt
Program Services	$6,844,205	ProgramServicesAmt
Management And General	$387,594	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$61,048,963	TotalAmt
Program Services	$58,922,075	ProgramServicesAmt
Management And General	$2,126,888	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,622,060	TotalAmt
Program Services	$20,585,956	ProgramServicesAmt
Management And General	$2,036,104	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	$631,685	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$631,685	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$610,453	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$610,453	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$48,351	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$48,351	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,175,997	TotalAmt
Program Services	$27,102,653	ProgramServicesAmt
Management And General	$1,073,344	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,051,702	TotalAmt
Program Services	$118,015	ProgramServicesAmt
Management And General	$933,687	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,429,203	TotalAmt
Program Services	$7,580,147	ProgramServicesAmt
Management And General	$4,849,056	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,016,069	TotalAmt
Program Services	$12,647,106	ProgramServicesAmt
Management And General	$1,368,963	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,148,055	TotalAmt
Program Services	$12,453,655	ProgramServicesAmt
Management And General	$6,694,400	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$743,372	TotalAmt
Program Services	$699,013	ProgramServicesAmt
Management And General	$44,359	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$190,043	TotalAmt
Program Services	$179,630	ProgramServicesAmt
Management And General	$10,413	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,210,687	TotalAmt
Program Services	$5,024,410	ProgramServicesAmt
Management And General	$8,186,277	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,764,916	TotalAmt
Program Services	$32,762,630	ProgramServicesAmt
Management And General	$2,286	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,952,867	TotalAmt
Program Services	$14,811,180	ProgramServicesAmt
Management And General	$141,687	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$86,651,869	$86,651,869	$0	$0
PURCHASED SERVICES	$86,960,909	$63,270,831	$23,690,078	$0
OUTSOURCED SERVICES	$12,421,917	$8,291,434	$4,130,483	$0
DIETARY SUPPLIES	$4,220,691	$619,020	$3,601,671	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,363,981	TotalAmt
Program Services	$6,232,774	ProgramServicesAmt
Management And General	$1,131,207	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$698,641,924	TotalAmt
Program Services	$614,459,407	ProgramServicesAmt
Management And General	$84,182,517	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$730,822	BOYAmt
EOY	$130,588	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$34,574	BOYAmt
EOY	$34,574	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$54,946,121	BOYAmt
EOY	$85,452,181	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,516,938	BOYAmt
EOY	$12,215,123	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,543,323	BOYAmt
EOY	$5,616,423	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$557,224,529	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$382,933,023	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$203,439,864	BOYAmt
EOY	$174,291,506	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$30,086	BOYAmt
EOY	$30,086	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,884,307	BOYAmt
EOY	$4,477,347	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$283,126,035	BOYAmt
EOY	$282,247,828	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$96,288,226	BOYAmt
EOY	$124,004,306	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$250,567	BOYAmt
EOY	$322,407	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$93,096	BOYAmt
EOY	$112,551	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	$124,628,524	BOYAmt
EOY	$125,401,124	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,265,748	BOYAmt
EOY	$28,434,061	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$294,526,161	BOYAmt
EOY	$278,274,449	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$12,236,355	BOYAmt
EOY	$3,137,150	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$11,400,126	BOYAmt
EOY	$3,973,379	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$283,126,035	BOYAmt
EOY	$282,247,828	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$62,234,231	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$77,607,736	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	$1,740,145	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,455,869	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,145,190	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,003,325	CurrentTaxYearMinus1YearAmt
Current Tax Year	$334,058	CurrentTaxYearAmt
Total	$5,678,587	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	$1,740,145	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,455,869	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,145,190	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,003,325	CurrentTaxYearMinus1YearAmt
Current Tax Year	$334,058	CurrentTaxYearAmt
Total	$5,678,587	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$824,516	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,118,307	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$920,152	CurrentTaxYearMinus1YearAmt
Current Tax Year	$257,618	CurrentTaxYearAmt
Total	$3,120,593	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$824,516	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,118,307	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$920,152	CurrentTaxYearMinus1YearAmt
Current Tax Year	$257,618	CurrentTaxYearAmt
Total	$3,120,593	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$2,557,994	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)
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

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	$111,496	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$95,589	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$92,237	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$109,788	CurrentTaxYearMinus1YearAmt
Current Tax Year	$94,178	CurrentTaxYearAmt
Total	$503,288	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,851,641	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,551,458	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,237,427	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,113,113	CurrentTaxYearMinus1YearAmt
Current Tax Year	$428,236	CurrentTaxYearAmt
Total	$6,181,875	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.4138	PublicSupportCY509Pct
Public Support PY509	0.5504	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I	ONE SUBORDINATE (ST. FRANCIS CENTER AT THE KNOLLS D/B/A MOUNT ALVERNO 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. MOUNT ALVERNO CEASED PROVIDING PATIENT CARE ON JUNE 29, 2023.
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - OTHER INCOME, COLUMN A - 111496.0, COLUMN B - 95589.0, COLUMN C - 92237.0, COLUMN D - 109788.0, COLUMN E - 94178.0, COLUMN F - 503288.0;

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)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$48,351	OtherActivitiesAmt
Total Lobbying Expenditures	$48,351	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION MAINTAINS MEMBERSHIPS IN VARIOUS HEALTHCARE PROFESSIONAL ASSOCIATIONS. PORTIONS OF THE MEMBERSHIP DUES ARE USED FOR LOBBYING ACTIVITIES. THE LOBBYING PORTION OF SUCH DUES, AS PROVIDED BY THE MEMBERSHIP ORGANIZATION, IS INCLUDED ON PART IX, LINE 11D.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,031,959	OtherCostOrOtherBasisAmt
Book Value	$5,031,959	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$162,340,485	OtherCostOrOtherBasisAmt
Depreciation	$148,561,667	DepreciationAmt
Book Value	$13,778,818	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,287,641	OtherCostOrOtherBasisAmt
Depreciation	$1,218,268	DepreciationAmt
Book Value	$69,373	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$351,508,184	OtherCostOrOtherBasisAmt
Depreciation	$221,786,643	DepreciationAmt
Book Value	$129,721,541	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,056,260	OtherCostOrOtherBasisAmt
Depreciation	$11,366,445	DepreciationAmt
Book Value	$25,689,815	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$174,291,506	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTIES	$7,586,247
LONG TERM LIABILITY	$3,033,781
CAPITAL LEASE LT LIABILITY	$4,052,669
DUE TO AFFILIATES	$12,724,268
DEFERRED EMPLOYEE SOCIAL SECUR	$0
PENSION LIABILITIES	$968,721
OTHER MISCELLANEOUS LIABILITIES	$68,375
IMPLEMENTATION LIABILITIES	$0

Field	Value	IRS element (for citing)
Total Liability	$28,434,061	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part IV, Line 2b Explanation of escrow agreement	FormAndLineReferenceDesc
Explanation	CERTAIN FACILITIES HOLD, SAFEGUARD, MANAGE AND ACCOUNT FOR THE PERSONAL FUNDS OF RESIDENTS WHO HAVE AUTHORIZIZED THE FACILITIES, 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 TIMEFRAME. GENERALLY, ALL CUSTODIAL FUNDS IN EXCESS OF $50 ARE HELD IN INTEREST BEARING ACCOUNTS SEPARATE FROM THAT OF THE FACILITIES.	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	$3,068,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,833	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,030,566	NetCommunityBenefitExpnsAmt
Total Expense	0.0043	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,909,462	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,563,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,346,313	NetCommunityBenefitExpnsAmt
Total Expense	0.0606	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$141,977,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,600,982	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,376,879	NetCommunityBenefitExpnsAmt
Total Expense	0.0650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	97511	PersonsServedCnt
Total Community Benefit Expns	$2,356,795	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,356,795	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	1477	PersonsServedCnt
Total Community Benefit Expns	$329,322	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$329,322	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,264,267	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,264,267	NetCommunityBenefitExpnsAmt
Total Expense	0.0047	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	98988	PersonsServedCnt
Total Community Benefit Expns	$5,950,484	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,950,484	NetCommunityBenefitExpnsAmt
Total Expense	0.0085	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	98988	PersonsServedCnt
Total Community Benefit Expns	$147,928,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,600,982	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,327,363	NetCommunityBenefitExpnsAmt
Total Expense	0.0735	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	657	PersonsServedCnt
Total Community Benefit Expns	$191,111	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$191,111	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	105	PersonsServedCnt
Total Community Benefit Expns	$29,240	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,240	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	60	PersonsServedCnt
Total Community Benefit Expns	$339,502	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$339,502	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$18,197	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,197	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	842	PersonsServedCnt
Total Community Benefit Expns	$578,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$578,050	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,754,332	BadDebtExpenseAmt
Reimbursed By Medicare	$135,608,273	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$187,859,240	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$52,250,967	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 AVE	SUFFERN	NY	10901	GOODSAMHOSP.ORG	4329000H/XXX-XX-XXXX	Yes (X)	Yes (X)	Yes (X)	A
ST ANTHONY COMMUNITY HOSPITAL
2	15 MAPLE AVENUE	WARWICK	NY	10990	STANTHONYCOMMUNITYHOSP.ORG	3529000H/XXX-XX-XXXX	Yes (X)	Yes (X)	Yes (X)	A
BON SECOURS COMMUNITY HOSPITAL
3	160 EAST MAIN STREET	PORT JERVIS	NY	12771	BONSECOURSCOMMUNITYHOSP.ORG	3535001H/XXX-XX-XXXX	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	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	3	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	22	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	HTTPS://WWW.GOODSAMHOSP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT2; HTTPS://WWW.BONSECOURSCOMMUNITYHOSP.	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	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.goodsamhosp.org/Uploads/Public/Documents/Good%20Samaritan/Healthy%20Communities%20ACO/Ro	StrategyWebsiteURLTxt
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	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
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	HTTP://BSCHS.BONSECOURS.COM/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://BSCHS.BONSECOURS.COM/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://BSCHS.BONSECOURS.COM/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX	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 No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. In 2022, the Bon Secours Charity Health System hospitals partnered with the Rockland County (NY) and Orange County (NY) Health Departments, other county hospitals, health and human service agencies, and the community at large from within the greater Rockland and Orange County area to assess the health needs of the communities and to develop a comprehensive Community Health Needs Assessment (CHNA) and Community Health Improvement Plan. The research and analysis that went into choosing the health priorities was extensive and the areas of focus were chosen with the goal of improving the health and wellbeing of all residents within the service area. From March - May 2022, hospitals and the seven Local Health Departments of the Mid-Hudson (NY) Region: Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester, partnered with the Siena College Research Institute (SCRI) to conduct a public opinion survey of 5,699 Hudson Valley NY residents. Residents aged 18 and older were interviewed from within the above mentioned counties to ensure representative county-wide samples. SCRI contacted respondents via landline telephone, cell phone, an online panel, online surveys at various in-person events, and other community partnerships to enhance representation from across the region. To further supplement the data collected, several community focus group sessions were held. In the summer of 2022, county hospitals, along with the Rockland and Orange County Epidemiologists, and health department staffs, discussed areas of identified need, health disparities and areas of community assets and strength. Through community asset surveys, local residents provided their feedback on community strengths, where to focus resources to improve quality of life, and top health issues in their communities. A majority of the community felt that increasing access to basic healthcare was an important goal and the health issues that residents identified as the most concerning were preventable and chronic diseases, drug use (prescription and illegal), mental health (depression, anxiety, stress), and aging problems. Other discussions with community members highlighted a growing concern about access to affordable and nutritious food and housing. This combination of data gathering and prioritization offered valuable insight into the needs of specific communities and populations as well as the barriers they face to achieving optimal health. As guidance for the hospital CHNAs, all data gathered through this collaborative process served as the required research and public input to identify public health needs and develop action plans necessary to address the specific needs of the communities the hospital serves.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITALS WITHIN BON SECOURS CHARITY HEALTH SYSTEM CONDUCTED A JOINT COMMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): GOOD SAMARITAN HOSPITAL OF SUFFERN, NY (GSH); ST. ANTHONY COMMUNITY HOSPITAL (SACH); BON SECOURS COMMUNITY HOSPITAL (BSCH).
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. THE CHNA FOR EACH HOSPITAL WAS DISTRIBUTED AT VARIOUS COMMUNITY EVENTS. COPIES WERE PROVIDED TO VARIOUS COMMUNITY MEMBERS AND GROUPS. ADDITIONALLY, THE CHNA'S AND THE NEW YORK STATE COMMUNITY SERVICE PLANS ARE POSTED ON THE BSCHS WEBSITE.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. The Bon Secours Charity Health System's individual hospital 2022 - 2024 CHNA Implementation Plans were developed by using evidence based interventions, as recommended by the NYS prevention agenda 2019 - 2024. The overarching strategy of the NYS prevention agenda is to implement public health approaches that improve the health and well-being of entire populations and achieve health equity. This strategy includes an emphasis on social determinants of health, defined by healthy people 2020, as the conditions in the environment in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. The prevention agenda also forms the important framework through which community health needs are prioritized. The Prevention Agenda's five priority areas serve as the blueprint for state and local action to improve the health of New Yorkers. As per the NYSDOH requirements, each hospital must choose a minimum of two health goals to address from among the following five priority areas: . prevent chronic diseases . promote a healthy and safe environment . promote healthy women, infants and children . promote well-being and prevent mental and substance use disorders . prevent communicable diseases In partnership with the Rockland County health department, Rockland county hospitals, health and human service agencies, Good Samaritan Hospital has chosen the following prevention agenda goals to work towards over the next three years: * Increase Cancer Screening Rates for breast, cervical, and colorectal cancers * Improve Vaccination Rates In partnership with the Orange County health department, Orange county hospitals, health and human service agencies, Bon Secours Community Hospital and St. Anthony Community Hospital have chosen the following prevention agenda goals to work towards over the next three years: * Increase access to healthy and affordable foods and beverages * Increase food security * Increase Cancer Screening Rates for breast, cervical, and colorectal cancers * Prevent opioid and other substance misuse and deaths All three hospitals within the Bon Secours Charity Health System have chosen to work towards increasing Cancer Screening Rates as one of the community health improvement goals. To achieve this, the following evidence based interventions have been chosen: * Remove structural barriers to cancer screening by increasing primary care provider connections * Remove economic barriers to cancer screening by ensuring access to health insurance Good Samaritan Hospital will also work on Improving Vaccination Rates with the following action: * Implement and promote the use of Standing orders for vaccinations during inpatient hospitalizations. The NYS Prevention Agenda outlines that this strategy is specific for Influenza vaccines for ages 6 months and older and Pneumonia vaccines for ages 65 and older Bon Secours Community Hospital and St. Anthony Community Hospital have jointly chosen to also work towards increasing access to healthy and affordable foods and beverages and increasing food security with the following actions: * Screen for food insecurity, facilitate and actively support referrals Bon Secours Community Hospital and St. Anthony Community Hospital will also jointly implement the following actions to prevent opioid and other substance misuse and deaths: * Increase the availability of Medication Assisted Therapy, including Buprenorphine * Promote and support the expansion of the Peer RX application for peer referrals at the ED * Establish additional permanent safe disposal sites for prescription drugs and distribution of Naloxone boxes
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. 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 EXEPNSES OF 20% OF FAMILY INCOME.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. BSCHS PROVIDES 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 PRVOIDES ASSISTANCE IN FILLING OUT THE 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. CONTACT INFORMATION IS ALSO PROVIDED ON THE FINANCIAL ASSISTANCE POLICY SUMMARY AND ON OUR CHARITY CARE APPLICATION FOR THE PATIENT CONVENIENCE.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. 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.

Field	Value	IRS element (for citing)
Facility	58	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (49 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
CENTER FOR PHYSICAL REHABILITATION
153 SOUTH ROUTE 94	WARWICK	NY	10990	OUTPATIENT REHAB
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
2 CROSFIELD AVENUE	WEST NYACK	NY	10994	PULMONOLOGY
METROPOLITAN CARDIOLOGY CONSULTANTS SUFFERN
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
BON SECOURS NEUROLOGY
100 ROUTE 59	SUFFERN	NY	10901	NEUROLOGY
CARDIOLOGY CONSULTANTS-STONY POINT
12 LIBERTY SQUARE MALL	STONY POINT	NY	10980	CARDIOLOGY
BON SECOURS UROLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	UROLOGY
HUDSON VALLEY MEDICAL ASSOCIATES
26 FIREMANS MEMORIAL DRIVE	PAMONA	NY	10924	INTERNAL MEDICINE
GOOD SAMARITAN HOME CARE
90 CRYSTAL RUN ROAD	WALLKILL	NY	10941	HOME CARE
METROPOLITAN CARDIOLOGY CONSULTANTS GOSHEN
30 HATFIELD LANE	GOSHEN	NY	10924	CARDIOLOGY
APS TALLMAN OBGYN
134 ROUTE 59	SUFFERN	NY	10901	OB/GYN
GOOD SAMARITAN HOME CARE
1 CROSFIELD AVENUE SUITE 202	WEST NYACK	NY	10994	HOME CARE
APS RAMAPO OBGYN
974 ROUTE 45	POMONA	NY	10970	OB/GYN
EP PHYSICIANS
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	PULMONOLOGY
MONSIGNOR PATRICK J FRAWLEY MENTAL HEALTH
3 CAMPBELL AVENUE	SUFFERN	NY	10901	MENTAL HEALTH
RAMAPO VALLEY SURGICAL ASSOCIATES
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	OUTPATIENT AMBULATORY SURGERY
RAMAPO VALLEY SURGICAL ASSOCIATES
10 LIBERTY SQUARE MALL	STONY POINT	NY	10980	OUTPATIENT AMBULATORY SURGERY
ROCKLAND HEART & VASCULAR ASSOCIATES
972 ROUTE 45 SUITE 103	PAMONA	NY	10970	CARDIOLOGY
ST ANTHONY SLEEP DISORDER INSTITUTE
74 NORTH MAIN STREET	FLORIDA	NY	10921	SLEEP LAB
NANUET MEDICAL
36 COLLEGE AVE	NANUET	NY	10954	INTERNAL MEDICINE
ORTHOPEDICS
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	ORTHOPEDICS
CARDIOLOGY CONSULTANTS-WEST NYACK
1 CROSFIELD AVENUE STE 407	WEST NYACK	NY	10994	CARDIOLOGY
GOSHEN PRIMARY CARE PHYSICIANS
1 HATFIELD LANE	GOSHEN	NY	10924	PRIMARY CARE
MOB PORT JERVIS PRIMARY
161 EAST MAIN STREET	PORT JERVIS	NY	12771	PRIMARY CARE
MONROE INTERNAL MEDICINE
505 ROUTE 208	MONROE	NY	10950	INTERNAL MEDICINE
ROCKLAND HEART & VASCULAR ASSOCIATES
2 EXECUTIVE BOULEVARD SUITE 406	SUFFERN	NY	10901	CARDIOLOGY
MEHTA PULMONARY
55 OLD NYACK TURNPIKE	NANUET	NY	10954	PULMONOLOGY
BON SECOURS MEDICAL GROUP
5 SKINNER STREET	PORT JERVIS	NY	12771	CARDIOLOGY
BON SECOURS MEDICAL GROUP
2 EXECUTIVE BOULEVARD STE 406	SUFFERN	NY	10901	PRIMARY CARE
ROCKLAND HEART & VASCULAR ASSOCIATES
79 ROUTE 59 SUITE 5	SUFFERN	NY	10901	CARDIOLOGY
PAIN MANAGEMENT
257 LAFAYETTE AVENUE	SUFFEREN	NY	10901	PAIN MANAGEMENT
BON SECOURS MEDICAL GROUP
60 DUTCH HILL RD	ORANGEBURG	NY	10962	INTERNAL MEDICINE/SPECIALTY
FIRST CARE PHYSICIAN ASSOCIATES
505 ROUTE 208	MONROE	NY	10950	PRIMARY CARE
GOPAL SHAH MD
33 DELAWARE STREET	PORT JERVIS	NY	12771	PRIMARY CARE
PRIMARY MEDICAL CARE ROCKLAND
124 EAST RAMAPO ROAD SUITE 4	GARNERVILLE	NY	10923	PRIMARY CARE
WARWICK FAMILY PRACTICE
214 WEST STREET	WARWICK	NY	10990	INTERNAL MEDICINE
ALAM PCP
906 PENNSYLVANIA AVENUE	MATAMORAS	PA	18336	PRIMARY CARE
LAFAYETTE MEDICAL-GASPARE POLIZZI
599 STATE ROUTE 32	HIGHLAND MILLS	NY	10930	PRIMARY CARE
BYADGI PRIMARY CARE
601 BROAD STREET	MILFORD	PA	18337	PRIMARY CARE
ROCKLAND PULMONARY & MEDICAL ASSOCIATES
27 LIBERTY SQUARE MALL	STONY POINT	NY	10980	PULMONOLOGY
NEPHROLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	NEPHROLOGY
BON SECOURS COMMUNITY SLEEP DISORDER INS
30 CANAL ST STE 2	PORT JERVIS	NY	12771	SLEEP LAB
HEART FAILURE
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	CARDIOLOGY
RAINFORD CARDIOLOGY
257 LAFAYETTE AVENUE	SUFFERN	NY	10990	CARDIOLOGY
GEORGE COX MD
257 LAFAYETTE AVENUE	SUFFERN	NY	10901	PRIMARY CARE
LUTWAK CARDIOLOGY
505 ROUTE 208	MONROE	NY	10950	CARDIOLOGY
LUTWAK CARDIOLOGY
4 SOUTH AIRMONT ROAD	SUFFERN	NY	10901	CARDIOLOGY

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B FACILITY REPORTING GROUP A CONSISTS OF:	FACILITY 1: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY (GSH) FACILITY 2: ST. ANTHONY COMMUNITY HOSPITAL (SACH) FACILITY 3: BON SECOURS CCOMMUNITY HOSPITAL (BSCH)
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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 MEDICAID 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 COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS 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 EVENTS AND OPERATIONS ARE SCHEDULED THROUGHOUT THE YEAR AND REPORTED AT ACTUAL COST IN A SOFTWARE PROGRAM THAT SPECIFICALLY ADDRESSES THIS PURPOSETHE BSCHS COMMUNITY ENGAGEMENT TEAM WORKS IN CONJUCTION WITH THE CARE MANGEMENT TEAM TO PROVIDE VACCINATION CLINICS TO EMPLOYER GROUPS SUCH AS THE TOWN OF RAMAPO, CHESTNUT RIDGE TRANSPORTATION, AND KDC-ONE. IN ADDITION, THE BSCHS COMMUNITY ENGAGEMENT TEAM PARTICIPATED IN AN EMPLOYEE HEALTH DAY AT THE TOWN OF RAMAPO. PART I, LINE 7F HEALTH PROFESSIONS EDUCATION 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: 0.53% LINE 7B: 7.44& LINE 7D: 7.98% LINE 7E: 0.41% LINE 7F: 0.06% LINE 7G: 0.57% LINE 7I: 0.00% LINE 7J: 1.05% LINE 7K: 9.02%
Schedule H, Part II Community Building Activities	THE BSCHS COMMUNITY ENGAGEMENT TEAM WORKS WITH THE LOCAL HEALTH DEPARTMENTS, SEVERAL AREA EMPLOYERS AND SPECIFIC GEOGRAPHICAL AND RELIGIOUS GROUPS TO IDENTIFY PERSONAL HEALTH RELATED NEEDS. BY ACTIVELY PARTICIPATING AND COLLABORATING WITH THESE AGENCIES, ORGANIZATIONS, AND THE COMMUNITY, BSCHS IS ABLE TO OBTAIN INPUT AND INSIGHT ON THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITIES SERVED. BASED ON THESE NEEDS: IN 2023, BSCHS CLINICAL STAFF AND PHYSICIANS PROVIDED FREE VIRTUAL AND IN PERSON EDUCATION ON HEALTH-RELATED TOPICS TO CLOSE TO 500 EMPLOYEES AT THE FOLLOWING WORKSITES: ORANGE AND ROCKLAND UTILITIES, TOWN OF RAMAPO, JCC OF ROCKLAND, WARWICK SCHOOL DISTRICT, THE VILLAGE OF SUFFERN. BSCHS MEDICAL AND PROFESSIONAL STAFF ALSO PARTICIPATE IN WEEKLY LOCAL RADIO STATION INTERVIEWS THROUGH WHICH OVER 60,000 LISTENERS WERE ABLE TO LEARN ABOUT A LARGE SPECTRUM OF MEDICAL CONDITIONS. ALSO IN 2023, A MAJOR FOCUS WAS ON FOOD INSECURITY AND HOSPITAL ALEADERSHIP AND SFTAFF FACILITATED AND PARTICIPATED IN SEVERAL FOOD DRIVES AND PRODUCE DISTRIBUTION EVENTS. ADDITIONALLY, THE FOLLOWING ACTIVITIES AND PROGRAMS THAT BENEFIT THE COMMUNITY CONTINUED IN 2023: GSH CONTINUES TO COLLABORATE WITH THE ROCKLAND PRIDE CENTER, A LOCAL PROVIDER OF SERVICES TO THE LGBT COMMUNITY TO IDENTIFY BARRIERS IN ACCESSING HEALTHCARE AND TO UNDERSTAND SPECIFIC HEALTH NEEDS; BSCH STAFF PROVIDED EDUCATION TO THE CENTER FOR DEVELOPMENTAL DISABILITIES STAFF ON INFECTION CONTROL AND PARTICIPATED, EVERY MONTH, IN THE PROJECT DISCOVERY COMMUNITY OUTREACH PROGRAM TO PROVIDE HOUSEHOLD NECESSITIES, FOOD AND CLOTHING TO THOSE IN NEED IN THE COMMUNITY. SACH STAFF BEGAN TO SCREEN INPATIENTS FOR FOOD INSECURITY AND MADE "WARM HAND-OFF" REFERRALS TO LOCAL FOOD SOURCES AND DSS AGENCIES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE INCLUDES: 1) ACTUAL WRITE OFFS OF DISCOUNTED GROSS CHARGES WHERE IT IS DETERMINED THAT 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PLEASE SEE FOOTNOTE 2 "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE" ON PAGE 19 IN THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ("AFS"), ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN THE SECOND PARAGRAPH OF THE FOOTNOTE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 EXISTS 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. BSCHS'S 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 CONDUCTS 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 MAKES THE BEST EFFORT TO WORK WITH THE PATIENT TO DETERMINE AN EQUITABLE PAYMENT SCHEDULE/INSTALLMENT PLAN FOR ANY OUT-OF-POCKET EXPENSES, CONSIDERING THE PATIENT'S FINANCIAL AND MEDICAL CIRCUMSTANCES. THE MONTHLY PAYMENTS ON ANY INSTALLMENT PLAN WILL NOT EXCEED 10% OF THE PATIENT'S GROSS MONTHLY INCOME AND THERE WILL BE NO INTEREST CHARGES ON AN APPROVED PAYMENT PLAN. G. BSCHS, INCLUDING ANY LAW FIRM OR COLLECTION AGENCY WITH WHICH IT CONTRACTS, WILL NOT FORCE THE SALE OR FORECLOSE OF A PATIENT'S 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.
Schedule H, Part V, Section B, Line 16a FAP website	A - GOOD SAMARITAN HOSPITAL OF SUFFERN,NY: Line 16a URL: HTTP://BSCHS.BONSECOURS.COM/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - GOOD SAMARITAN HOSPITAL OF SUFFERN,NY: Line 16b URL: HTTP://BSCHS.BONSECOURS.COM/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - GOOD SAMARITAN HOSPITAL OF SUFFERN,NY: Line 16c URL: HTTP://BSCHS.BONSECOURS.COM/BSCH/BILLING-INSURANCE-AND-FINANCIAL-ASSISTANCE.ASPX;
Schedule H, Part VI, Line 2 Needs assessment	IN 2022, THE BON SECOURS CHARITY HEALTH SYSTEM HOSPITALS PARTNERED WITH THE ROCKLAND COUNTY (NY) AND ORANGE COUNTY (NY) HEALTH DEPARTMENTS, OTHER COUNTY HOSPITALS, HEALTH AND HUMAN SERVICE AGENCIES, AND THE COMMUNITY AT LARGE FROM WITHIN THE GREATER ROCKLAND AND ORANGE COUNTY AREA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES AND TO DEVELOP A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN. THE RESEARCH AND ANALYSIS THAT WENT INTO CHOOSING THE HEALTH PRIORITIES WAS EXTENSIVE AND THE AREAS OF FOCUS WERE CHOSEN WITH THE GOAL OF IMPROVING THE HEALTH AND WELLBEING OF ALL RESIDENTS WITHIN THE SERVICE AREA. FROM MARCH - MAY 2022, HOSPITALS AND THE SEVEN LOCAL HEALTH DEPARTMENTS OF THE MID-HUDSON (NY) REGION: DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER, AND WESTCHESTER, PARTNERED WITH THE SIENA COLLEGE RESEARCH INSTITUTE (SCRI) TO CONDUCT A PUBLIC OPINION SURVEY OF 5,699 HUDSON VALLEY NY RESIDENTS. RESIDENTS AGED 18 AND OLDER WERE INTERVIEWED FROM WITHIN THE ABOVE MENTIONED COUNTIES TO ENSURE REPRESENTATIVE COUNTY-WIDE SAMPLES. SCRI CONTACTED RESPONDENTS VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, ONLINE SURVEYS AT VARIOUS IN-PERSON EVENTS, AND OTHER COMMUNITY PARTNERSHIPS TO ENHANCE REPRESENTATION FROM ACROSS THE REGION. TO FURTHER SUPPLEMENT THE DATA COLLECTED, SEVERAL COMMUNITY FOCUS GROUP SESSIONS WERE HELD. IN THE SUMMER OF 2022, COUNTY HOSPITALS, ALONG WITH THE ROCKLAND AND ORANGE COUNTY EPIDEMIOLOGISTS, AND HEALTH DEPARTMENT STAFFS, DISCUSSED AREAS OF IDENTIFIED NEED, HEALTH DISPARITIES AND AREAS OF COMMUNITY ASSETS AND STRENGTH. THROUGH COMMUNITY ASSET SURVEYS, LOCAL RESIDENTS PROVIDED THEIR FEEDBACK ON COMMUNITY STRENGTHS, WHERE TO FOCUS RESOURCES TO IMPROVE QUALITY OF LIFE, AND TOP HEALTH ISSUES IN THEIR COMMUNITIES. A MAJORITY OF THE COMMUNITY FELT THAT INCREASING ACCESS TO BASIC HEALTHCARE WAFS AN IMPORTANTTGOAL AND THE HEALTH ISSUES THAT RESIDENTS IDENTIFIED AS THE MOST CONCERNING WERE PREVENTABLE AND CHRONIC DISEASES, DRUG USE (PRESCRIPTION AND ILLEGAL), MENTAL HEALTH (DEPRESSION, ANXIETY, STRESS), AND AGING PROBLEMS. OTHER DISCUSSIONS WITH COMMUNITY MEMBERS HIGHLIGHTED A GROWING CONCERN ABOUT ACCESS TO AFFORDABLE AND NUTRITIOUS FOOD AND HOUSING. THIS COMBINATION OF DATA GATHERING AND PRIORITIZATION OFFERED VALUABLE INSIGHT INTO THE NEEDS OF SPECIFIC COMMUNITIES AND POPULATIONS AS WELL AS THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. AS GUIDANCE FOR THE HOSPITAL CHNAS, ALL DATA GATHERED THROUGH THIS COLLABORATIVE PROCESS SERVED AS THE REQUIRED RESEARCH AND PUBLIC INPUT TO IDENTIFY PUBLIC HEALTH NEEDS AND DEVELOP ACTION PLANS NECESSARY TO ADDRESS THE SPECIFIC NEEDS OF THE COMMUNITIES THE HOSPITAL SERVES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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 THE 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 AMOUNTS GENERALLY BILLED ("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 FPG 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 FPG 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. 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'S FINANCIAL OBLIGATION IS DETERMINED. 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'S FINANCIAL OBLIGATION IS DETERMINED.
Schedule H, Part VI, Line 4 Community information	BSCHS FACILITIES OPERATE AND SERVE POPULATIONS OF LOWER NEW YORK, PRINCIPALLY ROCKLAND AND ORANGE COUNTIES. ROCKLAND COUNTY IS LOCATED APPROXIMATELY 30 MILES NORTH OF MANHATTAN ON THE WEST SIDE OF THE HUDSON RIVER. HOME TO EIGHT PUBLIC SCHOOL DISTRICTS AND EIGHT COLLEGES AND UNIVERSITIES, THE 199-SQUARE MILE AREA INCLUDES FIVE TOWNS AND NINETEEN VILLAGES. THIS COUNTY OF 120,000 ACRES IS DESIGNATED A PRESERVE AMERICA COMMUNITY, CONTAINING MORE THAN 35,000 ACRES OF PRESERVED OPEN SPACE AND PARKLAND. ACCORDING TO DATAUSA, IN 2022, ROCKLAND COUNTY, NY HAD A POPULATION OF 337,326 PEOPLE WITH A MEDIAN AGE OF 35.3 AND A MEDIAN HOUSEHOLD INCOME OF $106,173. THE 5 LARGEST ETHNIC GROUPS IN ROCKLAND COUNTY, NY ARE WHITE (NON-HISPANIC) (61.9%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (10.9%), OTHER (HISPANIC) (7.98%), ASIAN(NON-HISPANIC) (6.03%), AND WHITE (HISPANIC) (5.1%). ORANGE COUNTY IS LOCATED IN THE SOUTHEASTERN AREA OF NEW YORK, APPROXIMATELY 40 MILES NORTH OF NEW YORK CITY, AND IS BORDERED ON THE EAST BY THE HUDSON RIVER AND ON THE WEST BY THE DELAWARE RIVER. ORANGE COUNTY IS 839 SQUARE MILES AND IS A MIX OF URBAN, SUBURBAN, FARMLAND AND RURAL AREAS. ORANGE COUNTY HAS THREE CITIES, TWENTY TOWNS, AND NINETEEN VILLAGES. THE COUNTY HAS NINETEEN PUBLIC SCHOOL DISTRICTS AND THREE COLLEGES AND UNIVERSITIES. ACCORDING TO DATAUSA, IN 2022, ORANGE COUNTY, NY HAD A POPULATION OF 401,237 PEOPLE WITH A MEDIAN AGE OF 36.8 AND A MEDIAN HOUSEHOLD INCOME OF $91,806. THE 5 LARGEST ETHNIC GROUPS IN ORANGE COUNTY, NY ARE WHITE (NON-HISPANIC) (60.5%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (10.5%), OTHER (HISPANIC) (8.22%), WHITE (HISPANIC) (6.7%), AND TWO+ (HISPANIC) (5.81%).
Schedule H, Part VI, Line 5 Promotion of community health	BSCHS was actively engaged in community building activities which promoted the health of the communities throughout its service area. BSCHS has a dedicated community engagement 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 2023, the following support groups met either virtually or in person: diabetes, wound and ostomy care, traumatic brain injury, amputee, mended hearts (cardiac support group), breast cancer and perinatal bereavement. In addition, parenting, newborn care and breastfeeding classes met virtually with staff at Good Samaritan hospital leading those classes. In Port Jervis, the physical therapy department's "get fit Port Jervis" walking club continued to host group walks that were led by a physical therapist. Community members were able to walk as a group outdoors during the mild weather . In 2023, the healthcare speaker's bureau continued to offer virtual and in person health education to the community and continues to educate the community on broad topics such as cancer prevention and the importance of screenings, cardiac health, orthopedics, women's health, obesity, stroke, diabetes, wound care, trauma prevention, men's health, nutrition and fall prevention. In 2023 the community engagement department partnered with various service lines from Good Samaritan Hospital, Saint Anthony Community Hospital and Bon secours Community Hospital such as breast cancer, oncology, cardiology, trauma, behavioral health, rehabilitation services, and nursing to participate in various community events bringing resources and information to the public.
Schedule H, Part VI, Line 6 Affiliated health care system	BSCHS IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION THAT IS THE SOLE MEMBER OF LEGAL ENTITIES THAT OPERATE HOSPITALS, NURSING HOMES, AND OTHER HEALTHCARE-RELATED FACILITIES IN THE STATE OF NEW YORK. BON SECOURS MERCY, INC., FORMERLY BON SECOURS HEALTH SYSTEM, INC. ("BSMI", FORMERLY "BSHSI") A 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. BSMI IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, AND THE SOLE MEMBER OF WHICH IS BON SECOURS, INC. ("BSI"). BSMI 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 MERCY, INC. (BSMI), 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.
Schedule H, Part VI, Line 7 State filing of 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	TRANSPORTATION FOR INDIGENT PATIENTS	GrantTypeTxt
Recipient	75	RecipientCnt
Cash Grant	$6,066	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part III, Column (b) Estimated Number Of Recipients	FormAndLineReferenceDesc
Explanation	TRANSPORTATION FOR INDIGENT PATIENTS : AVERAGE NUMBER OF PARTICIPANTS DETERMINED BASED ON TOTAL COST DIVIDED BY AVERAGE COST PER TRIP	ExplanationTxt

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 (12 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
MICHAEL ISRAEL
VICE CHAIR	$0	$1,999,564	$0	$1,365,000	$0	$30,000	$0	$0	$0	$63,028	$0	$3,457,592	$0	$0
MARY LEAHY MD
PRESIDENT & CEO	$0	$974,321	$0	$316,882	$0	$0	$0	$46,200	$0	$51,007	$0	$1,388,410	$0	$0
GARY BRUDNICKI
BOARD MEMBER (THRU 10/2023)	$0	$1,403,075	$0	$933,750	$0	$30,000	$0	$0	$0	$42,822	$0	$2,409,647	$0	$0
RENEE GARRICK MD
BOARD MEMBER	$0	$897,252	$0	$299,950	$0	$19,500	$0	$46,200	$0	$34,577	$0	$1,297,479	$0	$0
JOSHUA RATNER
BOARD MEMBER	$0	$858,807	$0	$299,950	$0	$19,500	$0	$46,200	$0	$34,577	$0	$1,259,034	$0	$0
JULIE SWITZER
BOARD MEMBER	$0	$798,636	$0	$230,574	$0	$30,000	$0	$0	$0	$34,187	$0	$1,093,397	$0	$0
ANTONIO PERUGINO
CFO (EFFECTIVE 4/2023)	$251,532	$0	$20,000	$0	$949	$0	$12,553	$0	$7,084	$0	$292,118	$0	$0	$0
AMALA P CHIRUMAMILLA
PHYSICIAN	$344,667	$0	$0	$0	$412,139	$0	$38,392	$0	$30,777	$0	$825,975	$0	$0	$0
CARY HIRSCH MD
PHYSICIAN	$698,255	$0	$0	$0	$10,827	$0	$11,223	$0	$2,652	$0	$722,957	$0	$0	$0
SETH HURWITZ
PHYSICIAN	$393,205	$0	$0	$0	$317,585	$0	$47,032	$0	$30,832	$0	$788,654	$0	$0	$0
LEE P ROOT
PHYSICIAN	$544,594	$0	$53,493	$0	$116,438	$0	$37,993	$0	$30,832	$0	$783,351	$0	$0	$0
GUNJAN SHUKLA
PHYSICIAN	$718,364	$0	$0	$0	$51,932	$0	$47,032	$0	$30,832	$0	$848,160	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J PART I LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION AS DESCRIBED BELOW: THE BOARD OF DIRECTORS, PERSONNEL AND COMPENSATION COMMITTEE SETS THE LEVEL OF TOTAL COMPENSATION (BASE SALARY AND INCENTIVE COMPENSATION) AND THE BENEFITS PROVIDED TO THE ORGANIZATION'S SENIOR EXECUTIVES. IN ORDER TO SET BASE SALARY AND INCENTIVE COMPENSATION LEVELS, THE COMMITTEE WORKS WITH A NATIONAL INDEPENDENT COMPENSATION CONSULTING FIRM. THE CONSULTING FIRM ASSISTS THE COMMITTEE WITH ITS DECISION-MAKING PROCESSES TO ENSURE THAT (I) EXECUTIVE COMPENSATION LEVELS ARE REASONABLE AND APPROPRIATE RELATIVE TO THOSE OF OTHER SIMILAR ORGANIZATIONS, AS WELL AS (II) SUCH LEVELS MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS." STANDARD COMPENSATION LEVELS ARE DETERMINED BASED ON COMPETITIVE MARKET DATA FOR COMPARABLE POSITIONS IN SIMILAR SIZE AND TYPE OF ORGANIZATIONS AND EACH EXECUTIVE'S SCOPE OF RESPONSIBILITIES. IN ADDITION, INCENTIVE COMPENSATION ARRANGEMENTS ARE BASED ON EACH EXECUTIVE'S ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS SET FORTH AT THE BEGINNING OF EACH CALENDAR YEAR, THE ACHIEVEMENT OF WHICH IS MEASURED AT THE END OF EACH CALENDAR YEAR BY THE CEO OR THE BOARD OF DIRECTORS DEPENDING ON THE EXECUTIVE.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

THE FILING ORGANIZATION PARTICIPATES IN A BON SECOURS CHARITY HEALTH SYSTEM, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT ALLOWS FOR DEPOSITS INTO ADDITIONAL RETIREMENT PLANS AND IS AVAILABLE ONLY TO OFFICERS AND CERTAIN OTHER EMPLOYEES. THE 457(F) PLAN IS A NON-QUALIFIED PLAN AND IS SUBJECT TO A MINIMUM THREE-YEAR SERVICE REQUIREMENT BEFORE VESTING ON DEPOSITS MADE INTO THIS PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 2 SIGNIFICANT PROGRAM SERVICE CHANGES:	BSCHS RECEIVED GRANT FUNDS FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY ("FEMA") RELATED TO ADDITIONAL UNREIMBURSED COVID-19 EXPENSES INCURRED BY BSCHS DURING THE PANDEMIC. FOR THE YEAR ENDED DECEMBER 31, 2023, BSCHS RECEIVED APPROXIMATELY $3.5 MILLION FROM FEMA WHICH IS INCLUDED IN NONOPERATING ACTIVITIES IN THE STATEMENT OF REVENUES, EXPENSES AND CHANGES IN NET POSITION.
Form 990, Part III, Line 3 Significant changes in program services	ST. FRANCIS CENTER AT THE KNOLLS, INC. (MT. ALVERNO CENTER) CEASED PROVIDING PATIENT CARE ON JUNE 29, 2023.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE MEMBERS OF BSCHS ARE AS FOLLOWS: WMC - ROCKLAND, INC. - 60% BON SECOURS MERCY HEALTH, INC. TOGETHER WITH SISTERS OF CHARITY (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 AND THE STATE OF NEW JERSEY.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE GOVERNING BODY OF THE MEMBERS WITHIN THE GROUP, WITH THE EXCEPTION OF MEDPC, ARE APPOINTED BY ITS MEMBERS, WMC-ROCKLAND, BSMH AND SOC AND ARE SUBJECT TO THE APPROVAL OF ITS MEMBERS.
Form 990, Part VI, Line 7b Decisions requiring approval by 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, BSMH AND SOC, CERTAIN AUTHORITIES ARE RESERVED TO BSMH AND WMC-ROCKLAND, AND CERTAIN AUTHORITIES ARE RESERVED SOLELY TO BSMH.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	THERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT WITH ASSISTANCE FROM VARIOUS DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY INTERNAL LEADERSHIP AND OUR EXTERNAL TAX ADVISORS. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO THE BOARD OF THE ORGANIZATION FOR APPROVAL PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE 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 WMC HEALTH 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 THAT THE INDIVIDUAL ALLEVIATES THE CONFLICT, OR 4) REMOVAL OF THE INDIVIDUAL FROM EMPLOYMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE ORGANIZATION HAS A COMPREHENSIVE PROCESS FOR THE OVERSIGHT AND MANAGEMENT OF REMUNERATION FOR THE CEO. 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 LOCAL, REGIONAL AND NATIONAL 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 15b Process to establish compensation of other employees	THE ORGANIZATION HAS A COMPREHENSIVE PROCESS FOR THE OVERSIGHT AND MANAGEMENT OF REMUNERATION FOR OTHER SENIOR EXECUTIVES. 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 LOCAL, REGIONAL AND NATIONAL 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 Required documents available to the public	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A	SISTERS MAUREEN SULLIVAN AND ANNE LUTZ DO NOT RECEIVE COMPENSATION AS THEY HAVE TAKEN A VOW OF POVERTY.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER REVENUE - Total Revenue: 1133342, Related or Exempt Function Revenue: 985505, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 147837;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS FROM AFFILIATES - 77607736;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 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)	Type I	NA	false
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROAD	VALHALLA	NY	10595	320477183	SUPPORTING	NY	501(c)(3)	Type I	WCHCC	false
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY			NA	false
WMC NEW YORK INC
100 WOODS ROAD	VALHALLA	NY	10595	134107894	FUNDRAISING	NY	501(c)(3)	Type I	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
100 WOODS ROAD	VALHALLA	NY	10595	465534882	PRESCHOOL	NY	501(c)(3)	7	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)	Type I	WCHCC	false
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAY	KINGSTON	NY	12401	141349558	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
HEALTHALLIANCE HOSPITAL
105 MARYS AVENUE	KINGSTON	NY	12401	141338470	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	150552726	EXEMPT HOSP	NY	501(c)(3)	3	HA INC	false
MARGARETVILLE NURSING HOME INC
42084 STATE ROUTE 28	MARGARETVILLE	NY	12455	223143565	NURSING HOME	NY	501(c)(3)	10	MMH	false
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY	MARGARETVILLE	NY	12455	261998454	SUPPORT FDN	NY	501(c)(3)	Type I	MMH	false
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVE	SUFFERN	NY	10901	133400353	SUPPORT FDN	NY	501(c)(3)	7	BSCHS	false
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVE	SUFFERN	NY	10901	810667395	SUPPORT FDN	NY	501(c)(3)	7	BSCHS	false
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVE	SUFFERN	NY	10901	141972807	SUPPORT FDN	NY	501(c)(3)	7	BSCHS	false
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVE	SUFFERN	NY	10901	912135195	SUPPORTING	NY	501(c)(3)	Type III-FI	WCHCC	false
HEALTHALLIANCE FOUNDATION INC
741 GRANT AVENUE	LAKE KATRINE	NY	12449	222511450	FUNDRAISING	NY	501(c)(3)	7	HA INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	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 LIMITED
23 LIME TREE BAY AVE PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	BSCHS	C Corporation	false
HUDSON RIVER NORTH INSURANCE LIMITED
23 LIME TREE BAY AVE PO BOX 1051	GRAND CAYMAN	CJ	CAP INSURANCE	CJ	HEALTHALLIANCE	C Corporation	false
NORTHEAST PROVIDER SOLUTIONS INC
			MSO & HEARING AID		NA	C Corporation	false	100 WOODS ROAD	VALHALLA	NY	10595	133991673	NY
WMC ADVANCED PHYSICIAN SERVICES PC
			PHYSICIAN OFFICES		NA	C Corporation	false	19 BRADHURST AVENUE	HAWTHORNE	NY	10595	264709927	NY
WCHCC (BERMUDA) LIMITED
			CAP INSURANCE	BD	NA	C Corporation	false
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
			INVESTMENT		HAH BWAY	C Corporation	false	396 BROADWAY	KINGSTON	NY	12401	161514994	NY
MID HUDSON PHYSICIANS PC
			MEDICAL SVCS		NA	C Corporation	false	396 BROADWAY	KINGSTON	NY	12401	203564769	NY
BSCHS MEDICAL GROUP PC
			PHYSICIAN OFFICES		BSCHS	C Corporation	false	10 FRANKLIN TURNPIKE	MAHWAH	NJ	07430	821632215	NJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	false	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