2023-11-13T14:43:30-06:00 2022-12-31 ERNST & YOUNG US LLP One Manhattan West NEW YORK NY 10001 990 2022-01-01 141340054 ST LUKE'S CORNWALL HOSPITAL % THOMAS J GIBNEY CPA STLU 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 THOMAS J GIBNEY SVP, CFO 8455682881 2023-11-09 true THOMAS J GIBNEY 999009999 NICOLE M SOKOLOWSKI P01683199 2127733000 2 2022 2023-04-26 12:10:37Z MONTEFIORE ST LUKE'S CORNWALL HOSP Daniel J Maughan 70 DUBOIS STREET NEWBURGH NY 125504851 251314850 false X WWW.montefioreslc.org X 2002 NY MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE TO IMPROVE THE LIVES AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE. 11 8 1545 80 281645 223104 35305565 8201923 224182155 238858619 783919 498127 2444888 3193733 262716527 250752402 2895469 3136343 0 0 117659371 116252173 0 0 0 123471598 130516244 244026438 249904760 18690089 847642 225516003 195267465 129585538 99410177 95930465 95857288 MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL, A MEMBER OF THE MONTEFIORE HEALTH SYSTEM, IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE TO IMPROVE THE LIVES AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE. OUR VISION IS TO CONTINUE AS A LEADER IN EXCEPTIONAL HEALTH CARE DELIVERY BY COLLABORATING WITH OUR PATIENTS, PROVIDERS, EMPLOYEES AND REGIONAL PARTNERS TO IMPROVE THE HEALTH OF OUR COMMUNITY FOR LIFE. WE WILL EXCEL AS A HIGHLY EFFICIENT ORGANIZATION DRIVEN BY QUALITY AND SERVICE EXCELLENCE. false false 210060538 3136343 239829827 Montefiore St. Luke's Cornwall Hospital ("MSLC") is a not-for-profit hospital dedicated to serving the healthcare needs of those in the Hudson Valley. Montefiore St. Luke Cornwall Hospital recently became a member of the Montefiore Health System, an integrated healthcare delivery system providing quality comprehensive healthcare services. This collaboration allows us to share clinical best practices, care management expertise and information technology platforms to enhance our patient care. With dedicated staff, modern facilities and state-of-the-art treatment, we are committed to meeting the needs of the community and continuing to aspire to excellence. Montefiore St. Luke's Cornwall Hospital with main campuses in Newburgh and Cornwall, and off-site facilities throughout the community, is a 242 bed acute care hospital dedicated to providing for the health care needs of the community. Montefiore St. Luke's Cornwall Hospital is the regional center for neonatology, thanks to its Elaine Kaplan Neonatal Intensive Care Unit. The Hospital offers other pediatric subspecialties, as well as a robust list of both inpatient and outpatient services including a cardiac catheterization lab, Intensive Care Unit, Birthing Center, Metabolic and Bariatric Surgery, Thoracic Surgery and much more. The Hospital offers centers of excellence in cancer service, cardiovascular care, angioplasty, cardiac rehabilitation, orthopedics, sport medicine, and metabolic and bariatric surgery. The Hospital's Cornwall campus is a thriving outpatient focused Center. This vital and growing community resource offers necessary healthcare access points to area residents for a variety of services including the Littman Center for Cancer Care which includes radiation oncology and infusion services. The Cornwall campus also provides cardiac and pulmonary rehabilitation, a center for sleep medicine, physical therapy, pain management, palliative care, a balance center and a speech and swallowing center. Montefiore St. Luke's hospital operates an active emergency department and verified level III Trauma Center at its Newburgh campus delivering high quality emergency and trauma care close to home. The center is opened 24 hours, 365 days of the year and is one of the newest and busiest emergency departments between New York City and Albany. With a recent $11 million renovation and expansion, our emergency department was designed with patient comfort and convenience in mind. General trauma and specialty treatments bays for cardiac, asthma, Women's Health and Pediatrics enable our highly skilled ER team to provide comprehensive, quality care in a Patient-centered environment. During the past few years, the newly rebranded Montefiore St. Luke's Cornwall Hospital has undergone significant transformation. This transformation has occurred on both campuses, including the expansion of our services as a result of our partnership with Montefiore Health System. In March 2018, St Luke's unveiled a $1.7 million chronic care center - Rehabilitation at Montefiore St. Luke's Cornwall Hospital - in Partnership with Burke Rehabilitation Hospital in White Plains, New York. This state-of-the-art facility offers physical and occupational therapy, cardiac and pulmonary rehabilitation and eventually cognitive medicine including dementia services and a memory clinic. The hospital recently broke grounds on a $8 million remodeling of the hospital's Newburgh Emergency Department. A new $24 million kidney center in Cornwall was recently opened in partnership with Fresenius Kidney Care to better serve the Cornwall's area growing dialysis community. Exceptional care is the center of all we do. This commitment is recognized by many outside organizations and includes: - Our designation as a New York Stroke Center; - Our top Performer Recognition from The Joint Commission on key quality measures for excellence in management of Heart Attack, Heart Failure, Stroke and Surgical Care; - Achievement of the Healthgrades Patient Safety Excellence Award, a designation that honors hospital performance in the prevention of serious, potentially preventable complications during hospital stays; - A recipient for multiple straight years of the "Get With the Guidelines Gold Plus Achievement Award" from the American Stroke Association for overall quality of care for stroke patients; - Inclusion on the list of Health Care's Most Wired hospitals, ranking among the nation's best in using information technology to improve patient care; - Designation as an Institute of Quality for Cardiac Medical Intervention by Aetna for its excellent in care, commitment to continuous improvement and exceptional value to our patients; - Awarded the Healthgrade five star recipient recognition in natural childbirth for consecutive years; - Designated as a Blue Distinction center for knee and Hip replacement and for Maternity Care by empire Blue Cross Blue Shield; - Accredited as a comprehensive Center under the Metabolic and Bariatric Surgery accreditation; - Verified as a Level III trauma center through 2022 by the verification Review Committee. St. Luke's outreach initiatives are based on our dedication and commitment to the community to provide excellent health care. We have our own community education program that reaches a wide variety of audiences on a number of relevant health care topics. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens, and public events. In the last year, we have provided many educational and screening events to the community as part of our mission to improve the lives and well-being of the people in the communities that we serve. 210060538 true true false true false false false false true true true true false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 203 0 true 1545 true true true false false false false false false false false false false false X 11 8 false false false false true true true true true false false true true true true true true true true true false NY X THOMAS J GIBNEY CPA 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 Susan Green-Lorenzen RN Trustee 1.0 59.0 X 0 2528339 47025 STEPHEN ROSENTHAL Trustee 1.0 59.0 X 0 1339240 49525 Evan Resnick Trustee 1.0 59.0 X 0 1100550 47264 Daniel J Maughan President & CEO 50.0 5.0 X 677381 0 15798 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 31.0 24.0 X 660008 0 28856 THOMAS J GIBNEY SVP, CFO/Treasurer 50.0 5.0 X 534255 0 52545 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 55.0 0.0 X 314004 0 33939 JOAN CUSACK-MCGUIRK former officer 1.0 0.0 X 341271 0 0 Mary V Kelley VP, Quality Management 55.0 0.0 X 306068 0 33907 JOSEPH T SURACE VP, OPERATIONS 55.0 0.0 X 259762 0 48850 Laurie Conan VP, Human Resources 55.0 0.0 X 258897 0 47653 Ajay Sharma Pharmacist 54.0 0.0 X 286991 0 14004 Marlene Joan Ripa VP, Network, Strategy & Bus 55.0 0.0 X 247624 0 37307 Andrew Felder SVP, Chief Admin Officer 55.0 0.0 X 272058 0 8660 Glynis Cowart VP, Chief Information Officer 55.0 0.0 X 257186 0 2262 DAVID POTACK Trustee (Resigned 11/30/22) 1.0 0.0 X 0 0 0 Roberto Padillo Trustee (Terminated 1/5/22) 1.0 0.0 X 0 0 0 Mary Ellen Rogulski vice chair (Effective 1/26/22) 1.0 0.0 X X 0 0 0 AUSTIN F DUBOIS Chair (effective 1/26/22) 1.0 0.0 X X 0 0 0 JASON ADSIT TRUSTEE 1.0 0.0 X 0 0 0 Michael Bonura Trustee 1.0 0.0 X 0 0 0 Meghan Taylor Trustee 1.0 0.0 X 0 0 0 Lourdes Zapata Trustee 1.0 0.0 X 0 0 0 William Conyea Trustee 1.0 0.0 X 0 0 0 Charles Walwyn III Secretary 1.0 0.0 X X 0 0 0 4415505 4968129 467595 118 true true false Restorix Health Inc 3445 N Causeway Blvd METAIRIE LA 70002 Medical services 2915442 Fastaff LLC PO Box 911452 DENVER CO 802911452 Temporary Nurses 2824040 United Westlabs Inc 801 N Parkcenter Drive SANTA ANA CA 92705 Outside lab services 2685285 Holt Construction Corporation 50 East Washington Avenue PEARL RIVER NY 10965 construction 2629640 Allied Universal Security Services PO Box 828854 PHILADELPHIA PA 19182 Security Services 2173323 37 520445 7623700 57778 0 8201923 PATIENT SERVICE REVENUE 622110 238500316 238500316 0 0 OTHER HEALTHCARE REALTED SERVICES 621999 358303 358303 0 0 238858619 661268 0 0 661268 0 0 1055587 480936 574651 0 574651 0 0 574651 -163141 0 -163141 -163141 0 0 -163141 0 0 0 0 0 0 61268 81512 -20244 0 0 -20244 PARTNERSHIP INCOME/DISTRIBUTIONS 523999 1039547 464675 281645 293227 CAFETERIA REVENUE 722514 568022 0 0 568022 PARKING INCOME 812930 399331 0 0 399331 632426 224888 407538 2639326 250752402 239548182 281645 2720652 3136343 3136343 0 0 0 2906118 1036808 1869310 0 0 84160275 72437802 11722473 0 6254090 5233019 1021071 0 16348687 13902343 2446344 0 6583003 5553120 1029883 0 0 561858 22885 538973 0 280352 0 280352 0 0 0 0 44673821 36883624 7790197 0 406658 5004 401654 0 9429311 6836393 2592918 0 3579692 1719764 1859928 0 0 5380455 5336527 43928 0 18376 5577 12799 0 0 60335 54189 6146 0 1479709 1329430 150279 0 0 9540249 8027607 1512642 0 5203925 4705989 497936 MEDICAL SUPPLIES 43227360 43227360 0 0 INTERCOMPANY SHARED SERVICES 4329595 366104 3963491 0 NYS CASH ASSESSMENT 973146 0 973146 0 BILLING & COLLECTION 581253 0 581253 0 790149 240650 549499 249904760 210060538 39844222 0 5769 5769 11243387 10198989 0 0 25097237 25882985 0 0 0 0 218370 0 5586494 5437883 1589411 1145515 152438801 59003391 86090933 93435410 63056950 25244264 9293672 9917674 4712346 6978214 0 0 18621434 17020762 225516003 195267465 42799885 36900488 0 0 402190 402190 14015088 10659609 52417 52417 0 0 11969851 8345166 0 0 60346107 43050307 129585538 99410177 X 93718977 91764437 2211488 4092851 95930465 95857288 225516003 195267465 X 847642 -2532234 1611415 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 45641 45641 false SCHEDULE C, PART II-B, QUESTION 1I Other lobbying activities includes a percentage of membership dues paid to the American HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL association, Healthcare ASSOCIATION OF NEW YORK STATE, NORTHERN METROPOLITAN HOSPITAL Association AND 1199/SEIU that were used by these organizations for lobbying efforts. false true X 2211488 2956183 72 880663 194229 4092851 1274717 1286876 83 10000 340188 2211488 1561616 487597 369 459026 315839 1274717 1541744 661065 545 306356 335382 1561616 1545785 695392 538 359173 340798 1541744 0.00000 0.16510 0.83490 false true true 1684001 1684001 83926459 24394534 59531925 53455662 32815942 20639720 13372679 1792915 11579764 93435410 DEBT SERVICE FUNDS 8620634 F BOARD DESIGNATED FUNDS 1099054 F DONOR RESTRICTED FUNDS 186180 F OTHER FUNDS 11806 F 9917674 EST INSURANCE CLAIMS RECEIV 14753000 RIGHT OF USE OPER LEASE ASSETS 1563071 DUE FROM AFFILIATES 402190 OTHER ASSETS 302501 17020762 0 EST INSURANCE CLAIMS LIABILITIES 14753000 DEFINED PENSION BENEFITS LIAB. 6916348 DUE TO AFFILIATES 10562459 INTEREST RATE SWAP AGREEMENTS 6479 MALPRACTICE INSURANCE LIABILITIES 5691000 DUE TO THIRD PARTY PAYORS 1362051 PENSION CONTRIBUTIONS PAYABLE 161097 RIGHT OF USE OPER LEASE LIABILITIES 1721531 EST. SETTLEMENT FROM PENDING LITIGATION 1000000 OTHER 876342 43050307 SCHEDULE D, PART IV, Line 2b St. Luke's Cornwall Hospital holds security deposits from tenants in escrow pursuant to the individual lease agreements between the tenants and the organization. These deposits are returned to the tenants once they vacate their rental unit less any amounts, if any, due from the tenants for damages or unpaid rent. Schedule D, Part V, Line 3a(ii) The term endowment and part of the Permanent endowment represents the organization's interest in St. Luke's Cornwall Hospital Foundation, a supporting organization of St. Luke's Cornwall Hospital. Schedule D, Part V, Line 4 The intended uses of the organization's endowment funds are to financially support healthcare initiatives of the St. Luke's Cornwall Hospital. true true X true X true X true true true false true true 5956035 1132795 4823240 0.01930 56095586 33114509 22981077 0.09200 6930052 5913782 1016270 0.00410 68981673 40161086 28820587 0.11540 478760 0 478760 0.00190 1795184 834289 960895 0.00380 31650052 24479079 7170973 0.02870 33923996 25313368 8610628 0.03440 102905669 65474454 37431215 0.14980 false 750229 18340 55410837 60779197 -5368360 X true true EOASC Ambulatory Surgery Center 0.37593 0.0 0.62407 LSL Newburgh LLC Dialysis Service 0.15 0.0 0.3 1 1 ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 WWW.montefioreslc.org 3522000H X X X ST LUKE'S CORNWALL HOSPITAL 1 false false true X X X X X X X X X 22 true false false true X See Part V - Section C X true 22 true See Part V - Section C false true X 200. 300. X X true true X X X true X See Part V - Section C X See Part V - Section C X See Part V - Section C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, Section B, Line 5 The process for preparing the 2022-2024 Community Health Needs Assessment was an inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community. The Montefiore St. Luke's Cornwall Hospital Community Health Needs Assessment was compiled using data obtained from 2022-2024 Mid-Hudson Region Community Health Assessment and the 2022-2024 Orange County Community Health Assessment and used as Montefiore St. Luke's Cornwall Hospital primary data collection sources. The Mid-Hudson Region Community Health Assessment was a collaborative effort with the Orange County Department of Health in partnership with the six other Mid-Hudson region local health Department and multiple health systems and hospitals across New York State initiated with the goal of developing an assessment that was reflective of the needs of the community including both clinical and social determinants of health. On behalf of the Mid-Hudson Region Community Health Assessment Collaborative, the Orange County Department of Health worked on a public opinion survey created and administered by Sienna Research Institute in the Summer of 2022. Surveys participants were contacted via landline telephone, cell phone, an online panel, and other online recruitment at various in-person events and other community partnership to enhance representation and meet budget constraints. The design of the landline sample was conducted to ensure the selection of both listed and unlisted telephone numbers, using random digit dialing. The cell phone sample was drawn from a sample of dedicated wireless telephone exchanges within each of the Mid-Hudson counties. Respondents were screened for residence in New York State and specified counties. Data from all four sources were combined and weighted as one to provide a representative sample of Mid-Hudson region residents. To further assess the broad interests of the community, subsequent focus groups were conducted with community partners in May and June 2022, to gain insight of the underrepresented populations in the community, including those who are seniors, low income, veterans, LGBTQ members, those experiencing homelessness, and residents with a mental health diagnosis. Special focus was placed on agencies and partners that work with these individuals in hopes of understanding the obstacles and barriers that this population faces when accessing services. An online survey was also created so that partners that could not attend the focus group could also provide input. Montefiore St. Luke's Cornwall Hospital also participated in the Orange County Community Health Summit on June 28, 2022, which included 100 community partners, specifically hospitals and health care providers, community-based organizations, and members of academia. These groups came together to review the most current Community Health Assessment data, identify, and discuss the forces that impact the health of the community, provide input on which two prevention agenda priorities for the 2022-2024 plan should be chosen, and to participate in breakout groups to discuss current efforts, assets, and barriers in each of the five priority areas. Schedule H, Part V, Section B, Line 7a The direct website address where the St Luke's Cornwall Hospital's CHNA report can be accessed: https://www.montefioreslc.org/community/community-service-plan/ Schedule H, Part V, Section B, Line 10a The hospital's most recently adopted implementation strategy is posted on the direct website: https://www.montefioreslc.org/community/community-service-plan/ Schedule H, Part V, Section B, Line 11 The two priority areas that Montefiore St. Luke's Cornwall Hospital has identified as a result of the Community Health Needs Assessment and the discussion at the Orange County Health Summit were the same that was selected by Orange County as the two Prevention Agenda Priorities at the Summit: 1) Prevent chronic Disease and 2) Promote Well-being and prevent mental health and substance use. As noted in the Orange County Department of Health 2022 Community Health Assessment, heart disease and cancer are the leading causes of death and of premature death by a large margin. Premature death for those less than 65 years and less than 75 years in Orange County were worse than the NYS rates based on the latest data available. These margins are larger for those among racial and ethnic lines, as well as in areas that are socioeconomically disadvantaged. Obesity is among the leading contributor to these top causes of death, as well as cancer, diabetes, stroke, and hypertension, all of which can lead to premature death. Orange County's age-adjusted all cancer mortality is higher than both NYS and the Mid-Hudson region based on the latest available data. Over the past ten years, the rates of obesity have continually grown, as well as the subsequent morbidity of CVD, prediabetes, and hypertension. The COVID-19 pandemic exacerbated many of the underlying factors that have a profound impact on health as poverty, food insecurity, education, housing, and access to care, including health insurance. Although strides were made prior to the pandemic in addressing substance abuse in Orange County, these external stressors contribute to poor mental health and substance use have risen in the past two years. Overdose deaths in the county have increased steadily over time and age-adjusted rates are still higher in Orange County compared to New York State excluding New York City. To address these significant needs focusing on Orange County and specifically the hospital's primary service area inclusive of the City of Newburgh an implementation strategy was developed for the chosen areas of focus: - Prevent Chronic Disease - Montefiore St. Luke's Cornwall will focus on Healthy eating and food security to reduce obesity and the risk of chronic diseases. The hospital will screen for food insecurity, facilitate, and actively support referrals, connect, and enroll families and individuals in eligible nutrition and community programs and increase availability of affordable healthy foods especially in communities with limited access through sustaining Orange County Department of Health funded farm markets. These programs will target communities with minority majority populations. The second focus area selected in preventing chronic disease is preventative care and management. The goal for this focus area is to increase cancer screening rates for breast, cervical and colorectal cancers. The hospital will work with it communities' partners to remove structural and economic barriers to cancer screening. - Promote well-being and prevent Mental Health and Substance use - Montefiore St. Luke's Cornwall will be working with community partners with a goal of preventing opioid and other substance misuse and deaths. The objective is to reduce the age-adjusted overdose death involving any opioid by 7%. Strategies include increasing the availability and access and linkages to medications for opioid use disorder, promote and support the expansion of the Peer RX application for peer referrals at the emergency department and establishing additional permanent safe disposal sites for prescription drugs and distribution of Naloxone. The New York State Prevention Agenda Health Improvement plan for 2019-2024 established five prevention agenda priority areas from which the Orange County Department of Health has selected two of the five areas as a result of its collaboration with Montefiore St. Luke's Cornwall and several other community partners. Montefiore St. Luke Cornwall, in partnership with the Orange County Department of Health and our community partners will work collaboratively to address the identified community health needs. While the programs selected for the Community Health Need Assessment-Implementation Strategy Report does not address all identified health concerns, there are existing and planned programs across Montefiore Health System to address these other community-identified priorities. Schedule H, Part V, Section B, Line 13H The hospital uses a credit assessment tool to help determine if certain patients can auto-qualify for a charity care discount based on presumption eligibility. Schedule H, Part V, Section B, Line 16A The organization's FAP is available on the Hospital's website: https://www.montefioreslc.org/patients/billing-insurance-information/ Schedule H, Part V, Section B, Line 16B The organization's FAP application is available on the Hospital's website: https://www.montefioreslc.org/patients/billing-insurance-information/ Schedule H, Part V, Section B, Line 16C The Plain Language summary of the FAP is available on the Hospital's website: https://www.montefioreslc.org/patients/billing-insurance-information/ 3 Montefiore St Luke's Cornwall 19 Laurel Avenue Cornwall NY 12518 Hospital outpatient department St Luke's Cornwall Hospital Fishkill Ctr 17 Old Main Street Fishkill NY 12524 rehabilitation services SLCH Sleep Center 400 Westage Business Center Drive Fishkill NY 12524 Specialty Care 1. Part I, Line 7 The cost-to-charge ratio methodology was utilized to calculate the amount included in the table. The calculation of this ratio was derived from ratio of patient care cost-to-charge. In calculating the patient care cost for the ratio, the organization reduced its operating expenses for its non-patient care costs and cost of its community benefits and building activities not relying on the RCC factor for costing purposes. 1. Part I, Line 7g The hospital has reported two 501(c)(3) physician's clinics, that includes its emergency physicians, as part of its subsidized health services. These two clinics are part of the integrated health care services provided by St. Luke's Cornwall Hospital, a safety net and vital access provider, serving a medically underserved population. These medical clinics provide much needed health care services to the Hospital large Medicare and Medicaid populations that are operated by the hospital at a substantial loss to the organization. For 2022, the cost included in Part I, Line 7G for theses medical services were $3,043,202. 1. PART III, Section A, LINE 2 The cost of bad debt expense is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A, Line 3 The estimated amount of the organization's bad debt expense (at cost) attributed to under the organization's charity care policy was based on the results of predictive analysis. Bad debt should be included as a community benefit because the organization provides much needed health care services indiscriminately to the community-at-large without regard to whether or not the patient has insurance or if the bill will ever be paid. Part III, Section A, Line 4 As reported in St Luke's Cornwall Hospital and Subsidiaries audited financial statements, bad debt expense is described as follows: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the year ended December 31, 2022, changes in the Hospital's estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as provision for bad debts. The provision for bad debt for the year ended December 31, 2022 and 2021, was not significant". 1. PART III, Section B, LINE 8 The amount reported on Line 6 was derived using the Medicare allowable costs as reported on the Hospital's New York State Institutional Cost Report. The Medicare Shortfall should be considered a community benefit since these services AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A whole AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE tax-exempt purposes AND MISSION IN PROVIDING MEDICALLY NECESSARY healthcare SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER without REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability TO PAY. Medicare, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF care. The Medicare reimbursement has not kept pace with the rising Medicare costs thus shifting the burden for the difference to the organization for services rendered mainly to a frail, elder population that has great health needs. 1. Part III, Section C, Line 9B For patients who are known to qualify for Financial assistance, all collection activities are halted and the patient is referred for financial aid. If an account is in collection and the patient requests financial aid or if the agency determines that the patient is eligible for financial assistance, the account is referred back to the hospital where the patient is provided assistance with completing an application for assistance. Determination of eligibility for financial aid is made as early in the care planning and scheduling process as possible. A counselor will assist any patient who require assistance with completing the applications. Emergency services are never delayed pending financial determinations. Patients can apply for financial aid prior to services or after receipt of a bill. Certain patients can auto qualify for a full or partial charity care discount based on presumption eligibility. 2. Needs Assessment The organization assesses community needs by working jointly with a broad spectrum of community partners. St. Luke's leads the Population Health Coalition, a group that includes more than 30 local organization focused on improving the health of the population served. The group is comprised of disease specific advocacy, local health care providers, including primary and specialty care practices, rehabilitation centers, emergency medical services, and federally qualified Health Centers, as well as organizations that focus on housing, the aging population, employment, mental health and special needs. The Population Health Coalition strives to identify gaps in care, consolidate resources and information and collaborate on projects that serve the community. St. Luke's also uses Primary and secondary data collections to assess the health needs of the community. Patient survey data obtained and compiled by the Orange County Department of Health are used as a secondary data source to supplement input obtained directly at COMMUNITY AND TOWN council MEETINGS, MEDICAL EDUCATION SEMINARS, PHYSICIAN PRESENTATIONS AND various HEALTH screening EVENTS. 3. Patient Education of Eligibility for Assistance All intake, registration and collection agency staff is trained on the hospital's Financial Aid Policy and how to provide patients with assistance. When it is determined that a patient is having difficulty paying their bill, a referral is made to the Hospital's Financial Aid Office and a Financial counselor will help the patient apply for financial aid. The hospital makes its financial aid policy known to the public by providing written information at patient service areas, information posted on the internet and information sent out on patient's bills. A financial assistance package, with instructions and application, is available to all self-pay patients at the time of registration or financial counseling. 4. Community Information Montefiore St. Luke's Cornwall Hospital is a 242-bed acute care not-for-profit community hospital with campuses in Newburgh and Cornwall New York, as well as several off-site facilities, that provide care to more than 250,000 patients per year and serves a population of approximately 400,000 people. As a safety net and Vital access Provider, the hospital serves a population that has been designated as a medically underserved area (MUA), specifically in the City of Newburgh. Orange County is in the southeastern area of New York State, bounded on the east by the Hudson River and on the west by the Delaware River. It is located approximately 40 miles north of New York City with 43 municipalities. Of Orange County residents, 63.1% are non-Hispanic White, 10.1% are non-Hispanic Black and 21.1% are Hispanic. Orange County is a mix of urban, suburban, farmland, and rural areas. Agriculture is a leading industry in orange county and constitutes more than half of the county's open space. At first glance, Orange County appears to be an affluent suburban community that enjoys a median household income above the NYS average ($80,816 vs. $71,117), a smaller percentage of individuals living below the poverty line (11.4% vs. 13.6%), a lower unemployment rate (3.0% vs. 3.6%), and boasts a higher percentage of high school graduates as compared to NYS (89.9% and 87.3%). However, aggregate county data are misleading and mask the disparities within the county. The urban areas of Orange County are characterized by severe socioeconomic and health inequities, with 13.7% of residents in the three major cities living below the federal poverty line (Newburgh (13.5%), Middletown (13%), and Port Jervis (17.1%)). Heart disease and cancer are the leading causes of death and premature death by a large margin. These margins are larger for those among racial and ethnic lines, as well as in areas that are socioeconomically disadvantaged. Obesity is a leading contributor to these top causes of death, as well as cancer, diabetes, stroke, and hypertension, all of which can lead to premature death. The COVID-19 pandemic exacerbated many of the underlying factors that have a profound impact on health such as poverty, food insecurity, education, housing, and access to care, including health insurance. Other health areas where Orange County is worse than New York State or worsening since the last assessment include: - Premature deaths - STIs including early syphilis, gonorrhea, and chlamydia - Infant mortality among non-Hispanic Black women & Hispanic women - Premature births among non-Hispanic Black women - Adult receiving colorectal cancer screening - Cancer mortality including all cancer, female breast cancer, and colorectal cancer - Childhood immunization rates among children 24-35 months of age - Unemployment rate - Overdose deaths involving any opioid - Gross rent as a percentage of household income 5. Promotion of Community Health Montefiore St. Luke's Cornwall hospital promotes community health by working with a board spectrum of community Partners in order to address various community health issues. St. Luke's leads the Population Health Coalition, a group that includes more than 30 local organization focusing on improving the health of the population served. The Population Coalition strives to identify gaps in care, consolidates resources and information and collaborates on projects that serve the community. The Coalition has succeeded in compiling an interactive directory of local community resources that can be utilized to better connect the population to appropriate services that best fit their needs. Montefiore St. Luke's Cornwall Hospital has its own community education programs that reach a wide variety of audience on a number of community health issues. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens and public events. Future plans will build upon this existing model by identifying other audiences in need of educational programming, as well as utilizing digital outreach through the internet and social media. 6. Affiliated Health Care Systems Montefiore St. Luke's Cornwall Hospital is an affiliate of Montefiore Health System. Montefiore Health System, Inc. is a leader in community Health and has a long history of developing innovative approaches to care and creating programs to best serve the changing needs of its community. These include, but are not limited to the following: community service plan, community service strategy, accountable care organization, patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches support the Health System well in its provision of service to the community. 7. State Filing of Community Benefits Report Montefiore St. Luke's Cornwall Hospital files a COMMUNITY BENEFIT REPORT with the State of NEW YORK. true HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH NY 12550 272020746 501(C)(3) 1277074 OPERATIONAL SUPPORT HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 501(C)(3) 1766128 OPERATIONAL SUPPORT Access Supports for Living Foundation Inc 15 Fortune Road West Middletown NY 10941 205404423 501(c)(3) 6500 Sponsorship American Heart Association Inc 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 11100 Sponsorship Cornerstone Family Healthcare 2570 Route 9W Cornwall NY 12518 061036715 501(c)(3) 5950 Sponsorship MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 104672401 131740114 501(C)(3) 7500 SPONSORSHIP ORANGE COUNTY CHAMBER OF COMMERCE 40 MATTHEW STREET GOSHEN NY 10924 061495939 501(C)(6) 8000 SPONSORSHIP Mount Saint Mary College 330 Powell Ave Newburgh NY 12550 141510994 501(c)(3) 6250 Sponsorship the Winifred Masterson Burke Rehab Hosp 785 Mamaroneck Ave White Plains NY 10605 131739937 501(c)(3) 5450 sponsorship Orange County Partnership 40 Matthews Street Goshen NY 10924 141702012 501(c)(6) 13000 sponsorship 8 2 SCHEDULE I, PART I, LINE 2 Most of the hospital's assistance was made to two 501(C)(3) supported organizations of the hospital formed to provide physician and other licensed health care to the community. The operations of these entities are managed through the hospital and are included as part of the Hospital's consolidated activities. The organizations also makes a limited number of sponsorships to various organizations as part of its many local community health program endeavors. Contributions and sponsorships are made to deserving non-profit organizations to support the Health System's mission of advancing the Health and welfare of the communities that we serve. X X X X X true true false false false false false true false JOAN CUSACK-MCGUIRK former officer 24482 0 78931 0 237858 0 0 0 0 0 341271 0 0 0 THOMAS J GIBNEY SVP, CFO/Treasurer 467231 0 59500 0 7524 0 15578 0 36967 0 586800 0 0 0 GINA DEL SAVIO MD CHIEF MEDICAL OFFICER 377046 0 35000 0 247962 0 6353 0 22503 0 688864 0 0 0 JOSEPH T SURACE VP, OPERATIONS 238520 0 20000 0 1242 0 11009 0 37841 0 308612 0 0 0 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 273823 0 29500 0 10681 0 9142 0 24797 0 347943 0 0 0 Susan Green-Lorenzen RN Trustee 0 1158456 0 475900 0 893983 0 17000 0 30025 0 2575364 0 0 Mary V Kelley VP, Quality Management 265900 0 29500 0 10668 0 7841 0 26066 0 339975 0 0 0 Daniel J Maughan President & CEO 519567 0 150000 0 7814 0 13743 0 2055 0 693179 0 0 0 STEPHEN ROSENTHAL Trustee 0 998499 0 100000 0 240741 0 17000 0 32525 0 1388765 0 0 Ajay Sharma Pharmacist 169011 0 0 0 117980 0 0 0 14004 0 300995 0 0 0 Glynis Cowart VP, Chief Information Officer 229038 0 25000 0 3148 0 1569 0 693 0 259448 0 0 0 Evan Resnick Trustee 0 722031 0 378159 0 360 0 17000 0 30264 0 1147814 0 0 Andrew Felder SVP, Chief Admin Officer 174854 0 12000 0 85204 0 0 0 8660 0 280718 0 0 0 Laurie Conan VP, Human Resources 229030 0 28000 0 1867 0 10549 0 37104 0 306550 0 0 0 Marlene Joan Ripa VP, Network, Strategy & Bus 247084 0 0 0 540 0 1856 0 35451 0 284931 0 0 0 Schedule J, Part I, Line 4a During 2022, Joan Cusack-McGuirk, a former officer, was paid $156,250 in severance from the organization. As part of her severance agreement, she was required to perform transitional services for the organization. Schedule J, Part I, Line 4b Two Trustees employed by Montefiore Health System, Inc. participated in a supplemental nonqualified retirement plan provided by a related organization. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF reasonableness" THE COMPENSATION COMMITTEE OF THE MONTEFIORE BOARD OF Trustees expressly REVIEWED AND APPROVED THESE RETIREMENT BENEFIT arrangements for its senior EXECUTIVES IN A MANNER THAT QUALIFIED UNDER the intermediate SANCTIONS rules OF THE FEDERAL TAX LAW, AND IN recognition of (A) THE EXECUTIVES' YEARS of SERVICE TO THE ORGANIZATION and (B) THE SIGNIFICANT CONTRIBUTIONS TO enhancing THE ABILITY OF THE organization TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT with FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD be VIEWED AS applying TO YEARS OF SERVICE FOR THE Montefiore Health System. Supplemental executive retirement plan distributions were paid to the two trustees and included as part of their Part II, Column B(iii) Other Reportable Compensation: Susan Green-Lorenzen, RN - $871,397; Stephen Rosenthal - $216,691. Schedule J, Part I, Line 7 Part of the annual incentive awards in column (B)(II) paid by the organization to reportable individuals listed on Form 990, Part VII, Section A, Line 1A was based on the compensation board or management discretion. A Orange County Industrial Development Agency 141603415 6B4595DTS 2006-06-22 15965000 Facility Improvements false false false A 7260000 0 15965000 0 0 0 319300 109772 0 13894518 1641410 0 2006 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true A false false false true true true Key Bank 20. true false false 0 false true A true SCHEDULE K, PART IV, LINE C, BOND A The rebate computation was performed 11/02/2020. Form 990, Part VI, Section A, Line 6 Montefiore Health System, Inc. is the sole member of Montefiore St. Luke's Cornwall Hospital. Form 990, Part VI, Section A, Line 7A Montefiore Health System, Inc., the sole member of Montefiore St. Luke's Cornwall Hospital, has the authority to appoint and remove the members of the organization's Board. Form 990, PART VI, SECTION A, Line 7B Montefiore Health System, Inc., the sole member of Montefiore St. Luke's Cornwall Hospital, has the power to authorize and approve amendments to the Certificate of Incorporation and bylaws of the Corporation, the appointment, termination and terms of employment of the corporate officers, authorization and approval of all budgets and plans including the operating and capital budget and strategic plans, approval of any material changes to the Hospital's clinical services, the authorization and approval of managed care contracts, indebtedness, mergers, consolidations or dissolutions of the corporation and certain administrative procedures, among others. Form 990, PART VI, SECTION B, Line 11 The Form 990 was prepared by the Montefiore's tax Department working closely with St. Luke's Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by the Vice-President-Finance and the Montefiore ST. LUKE'S CORNWALL HOSPITAL senior leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the St Luke's Finance Committee of the Board of trustees for review and approval. Once approved by the Finance Committee of the Board of Trustees, the Form 990 was provided to all members of St. Luke's governing body prior to filing. Form 990, PART VI, SECTION B, Line 12C THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE with its CONFLICT OF INTEREST POLICY. All officers, trustees and key employees of St. Luke's Cornwall Hospital are required to complete an annual conflict of interest QUESTIONNAIRE, in their capacity as an employee of the Hospital or as a Board Member of the hospital. Completed QUESTIONNAIRES ARE reviewed by the SECRETARY of THE BOARD OF TRUSTEES and concerns presented by the responses are disclosed to THE SYSTEM'S COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S PRESIDENT/CEO AND THE ORGANIZATION'S FINANCE COMMITTEE for discussion and alleviation of the conflict. Documentation of the existence and resolution of the conflict, including any meeting minutes, is maintained by the Secretary of the Board. Form 990, PART VI, SECTION B, Line 15 The organization is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The St. Luke's Board of Trustees has charged the Finance Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) to serve as the executive compensation Committee, responsible with making all decisions related to compensation for select senior management of the Corporation. All decisions made by the Executive Compensation Committee are appropriately and timely documented in meeting minutes. The Executive Compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with St. Luke's executive compensation philosophy. The Committee's decisions are made in the best interest of St. Luke's, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Chair of the Committee provides the Board with a report of the committee's activities and progressions. Form 990, PART VI, SECTION C, Line 16B ALL JOINT VENTURES HAVE HOSPITAL REPRESENTATION ON THE RESPECTIVE BOARDS to ENSURE THAT THE HOSPITAL'S PARTICIPATION IN THESE JOINT VENTURE'S are in furtherance of the organization's CHARITABLE PURPOSE AND MISSION. Form 990, PART VI, Section C, Line 19 THE Conflict of Interest policy and governing documents are made available upon request. Form 990, Part XI, Line 9 The increase in other net assets of $1,611,415 was due to a decrease in defined pension & other postretirement plans liabilities to be recognized in future periods ($1,341,486), changes in the beneficial interest in an affiliate Foundation entity ($2,239,081) and fair value of a derivative instrument ($919,193) partially offset by transfers to an affiliate for system IT and business transformation costs ($2,888,345). FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY PERSONNEL TOTAL FEES:5284436 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:8590781 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9454767 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:123081 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITMENT FEES TOTAL FEES:57961 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:855397 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:557133 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:19750265 ST LUKE'S CORNWALL JV LLC 70 DUBOIS STREET NEWBURGH NY 12550 263443304 HEALTH SVCS. 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