2020-10-29T22:31:07-05:00 2019-12-31 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW WASHINGTON DC 20005 990 2019-01-01 452964467 BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP % MAUREEN BURKE BONS 8453685000 255 Lafayette Avenue Suffern NY 10901 MARY LEAHY MD CEO - BSCHS 8453685305 2020-10-29 true Justin Lowe P01866796 2023276000 173.68.23.158 26308520203035000011 2020-10-29 P 8C0075DE128CBD006CA99682002307B42C2396E3 047C777BBD395ADD529156C75D94AFF56594489C 2019 2021-01-29 14:40:06Z MARY LEAHY MD 255 Lafayette Avenue Suffern NY 10901 580773165 true true 5747 X www.bschs.org X NY TO OPERATE SEVERAL ACUTE CARE HOSPITALS, LONG-TERM CARE FACILITIES AND OTHER HEALTHCARE SERVICES FOR THE RESIDENTS OF THE COMMUNITIES SERVED. 16 8 3978 305 0 0 1770316 4537904 561673680 563879753 993900 1074227 14470259 10731180 578908155 580223064 11979 52613 0 0 315109192 325744446 0 0 0 260306428 272459902 575427599 598256961 3480556 -18033897 201981458 214623748 208803296 224750489 -6821838 -10126741 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. false false 514873581 52613 573827170 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 LEVEL II TRAUMA CENTER, A DESIGNATED STROKE CENTER AND ACUTE MYOCARDIAL INFARCTION (AMI) PROGRAM, AND A REGIONAL CARDIOVASCULAR PROGRAM, PROVIDING OPEN HEART SURGERY, A CARDIAC CATHETERIZATION LABORATORY, EMERGENCY ANGIOPLASTY, ELECTROPHYSIOLOGY STUDIES AND A PACEMAKER CLINIC. GSH 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 IS THE ONLY HOSPITAL IN ORANGE AND ROCKLAND COUNTIES, AS WELL AS NORTHERN NEW JERSEY, TO RECEIVE THE 2018 AND 2019 FIVE STAR RATING FOR CORONARY INTERVENTION, 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 4TH CONSECUTIVE YEAR BY HEALTHGRADES, AS WELL AS THE 2018 OBSTETRICS AND GYNECOLOGY EXCELLENCE AWARD. 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'S COMMUNITY HOSPITAL (SACH) OPERATES A 60-BED HOSPITAL THAT IS LOCATED IN WARWICK, NEW YORK SERVING THE RESIDENTS OF ORANGE COUNTY, NEW YORK, AND SUSSEX AND PASSAIC COUNTIES, NEW JERSEY. SACH PROVIDES EMERGENCY CARE, MEDICAL AND SURGICAL SERVICES, LABORATORY AND IMAGING SERVICES, OBSTETRICAL, 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. 514873581 true true false true false false false false true false true false false false true false false true false false false false false false false false true true false true true false false false false false false false false false false false false false true false false false true 293 0 true 3978 true false false false false false false false false false false false false X 16 8 false false false false true true true true true false false true true true true true true true true false NY X MAUREEN BURKE 8453685305 255 LAFAYETTE AVENUE Suffern NY 10901 X MICHAEL ISRAEL VICE CHAIR 1.0 39.0 X X 0 2577270 120185 GARY BRUDNICKI BOARD MEMBER 1.0 39.0 X 0 1732598 110668 MARK FERSKO BOARD MEMBER 1.0 39.0 X 0 1060766 78076 CARY HIRSCH MD PHYSICIAN 40.0 0.0 X 1058386 0 21213 MARY LEAHY MD PRESIDENT & CEO 36.0 4.0 X X 0 984865 88287 JULIE SWITZER BOARD MEMBER 1.0 39.0 X 0 940495 89200 RENEE GARRICK MD BOARD MEMBER 1.0 39.0 X 0 889969 76243 ARVIND AGARWAL PHYSICIAN 40.0 0.0 X 779426 0 41593 PERMINDER S GREWAL PHYSICIAN 40.0 0.0 X 723665 0 52614 THOMAS FACELLE PHYSICIAN 40.0 0.0 X 676921 0 22228 BANGALORE SRIDHARA PHYSICIAN 40.0 0.0 X 669794 0 22773 PETER KENNIFF CFO 39.0 1.0 X 464250 0 42089 MARTIN EVERS MD PRESIDENT - MEDPC (thru 10/19) 40.0 0.0 X 291747 0 46923 JOHN WALLENHORST PHD BOARD MEMBER - SPONSOR REP 1.0 1.0 X X 0 0 0 MARK NANTZ CHAIR (thru 2/2019) 1.0 1.0 X X 0 0 0 JOHN HEIMERDINGER SECRETARY 1.0 7.0 X X 0 0 0 SUSAN GEVERTZ BOARD MEMBER 1.0 2.0 X 0 0 0 RICHARD WISHNIE ACTING CHAIR (EFFECT. 3/2019) 1.0 5.0 X X 0 0 0 STEPHEN DORMER BOARD MEMBER 1.0 1.0 X 0 0 0 TAMER EL-RAYESS BOARD MEMBER & TREASURER 1.0 1.0 X X 0 0 0 SANDRA GRANNUM BOARD MEMBER 1.0 1.0 X 0 0 0 SRELISE GITTRICH BOARD MEMBER-SPONSOR REP 1.0 1.0 X X 0 0 0 STEVEN KENT BOARD MEMBER 1.0 1.0 X 0 0 0 LAISHY WILLIAMS CARLSO BOARD MEMBER (EFFECT. 1/2019) 1.0 1.0 X 0 0 0 4664189 8185963 812092 454 false true false CROTHALL HEALTHCARE INC 13028 COLLECTIONS CTR CHICAGO IL 60693 ENGINEERING 7152082 MORRISON MGT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 6180885 ACCESS REHABILITATION SERVICES 16 MAYBROOK RD STE H CAMPBELL HALL NY 10916 REHAB THERAPY 5728949 HOLT CONSTRUCTION CORP 50 E WASHINGTON AVE PEARL RIVER NY 10965 CONSTRUCTION 5807649 SKANSKA USA BUILDING INC 14776 COLLECTIONS CENTER DR CHICAGO IL 60693 CONSTRUCTION 4270640 94 1102592 3435312 0 4537904 NET PATIENT SERVICE REVENUE 623000 562997714 562997714 CAPITATION REVENUE 623000 882039 882039 563879753 1013401 1013401 0 0 826211 550101 276110 0 276110 276110 60826 0 60826 60826 60826 0 0 0 0 0 0 0 0 0 REBATES & GPO DISCOUNTS 900099 1716425 1716425 PERFORMANCE BASED REVENUE 900099 5168892 5168892 SERVICE AGREEMENTS 900099 2085684 2085684 1484069 976416 507653 10455070 580223064 573827170 1857990 0 52613 52613 0 0 845009 84501 760508 0 242265545 224561669 17703876 8445163 6618082 1827081 56765041 53975138 2789903 17423688 16172044 1251644 0 400968 33420 367548 458463 458463 65982 65982 0 0 25648836 25552105 96731 925282 48665 876617 8154926 4052756 4102170 2017566 1304480 713086 0 15509794 10273639 5236155 911131 755941 155190 0 102145 66359 35786 7522876 7522876 0 24650481 24466138 184343 11753517 9187394 2566123 MEDICAL SUPPLIES 73037624 73037624 PURCHASED SERVICES 45329200 29878058 15451142 OUTSOURCED SERVICES 44947652 18512221 26435431 OTHER EXPENSES 11023459 8717858 2305601 598256961 514873581 83383380 0 785306 676493 281238 281238 0 0 62706272 70795298 0 0 0 0 0 0 9934971 10678849 3524060 3395968 410056753 287412076 121663451 122644677 30086 30086 0 0 0 0 0 0 3056074 6121139 201981458 214623748 59667150 71274579 0 0 1004534 907222 0 0 185439 171808 0 0 124152435 124869876 0 0 23793738 27527004 208803296 224750489 X -7658067 -10962970 836229 836229 -6821838 -10126741 201981458 214623748 X -18033897 14728994 X false true X true false X 0 0 0 0 0 0 2430784 1923266 1781088 1650443 1740145 9525726 0 0 0 2430784 1923266 1781088 1650443 1740145 9525726 0 0 0 9525726 0 0 0 0 224288 122030 99086 102789 111496 659689 2655072 2045296 1880174 1753232 1851641 10185415 0.93523 0.94059 0.00000 0.00000 X false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule A, Part I One subordinate (ST. FRANCIS CENTER OF THE KNOLLS D/B/A MOUNT ALVERO ASSISTED LIVING CENTER) included in this return has public charity status as an organization described in section 509(a)(2). Schedule A, Part III is completed to report this entity's activities. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 65982 65982 false Part II-B, Line 1, Lobbying Activities 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. false true X 5031959 5031959 148616201 102284566 46331635 2287641 1971708 315933 223278242 175007560 48270682 30842710 8148242 22694468 122644677 0 DUE TO THIRD PARTIES 17074793 LONG TERM LIABILITY 3007256 CAPITAL LEASE LT LIABILITY 3586510 ARCHDIOCESE LT PENSION LIABILITY 2456996 DUE TO AFFILIATES 1401449 27527004 Part IV, Line 2B CERTAIN FACILITIES HOLD, SAFEGUARD, MANAGE AND ACCOUNT FOR THE PERSONAL FUNDS OF RESIDENTS WHO HAVE AUTHORIZED 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 TIME FRAME. GENERALLY, ALL CUSTODIAL FUNDS IN EXCESS OF $50 ARE HELD IN INTEREST BEARING ACCOUNTS SEPARATE FROM THAT OF THE FACILITIES. true true X true X 250. true X 500. true true true false true true 5003551 143762 4859789 0.00810 99811371 68067652 31743719 0.05310 104814922 68211414 36603508 0.06120 107340 5833134 5833134 0.00980 2931 5210506 5210506 0.00870 12822227 12822227 0.02140 110271 23865867 23865867 0.03990 110271 128680789 68211414 60469375 0.10110 6428 233742 233742 0.00040 370 443042 443042 0.00070 851 1029599 1029599 0.00170 101 72204 72204 0.00010 7750 1778587 1778587 0.00290 true 43140361 134874443 171019357 -36144914 X true true 3 1 ST ANTHONY COMMUNITY HOSPITAL 15 MAPLE AVENUE WARWICK NY 10990 STANTHONYCOMMUNITYHOSP.ORG 3529000H/XXX-XX-XXXX X X X A 2 BON SECOURS COMMUNITY HOSPITAL 160 EAST MAIN STREET PORT JERVIS NY 12771 BONSECOURSCOMMUNITYHOSP.ORG 3535001H/XXX-XX-XXXX X X X A 3 GOOD SAMARITAN HOSPITAL OF SUFFERNNY 255 LAFAYETTE AVE SUFFERN NY 10901 GOODSAMHOSP.ORG 4329000H/XXX-XX-XXXX X X X A Facility Reporting Group - A 123 false false true X X X X X X X X X 19 true true false true X See Part V X X true 19 true See Part V false true X 250. 500. X X X true true X X X X true X See Part V X See Part V X See Part V X X X X X X X true X false X X X X true X false false Part V, section B FACILITY REPORTING GROUP A CONSISTS OF: FACILITY 1: ST. ANTHONY COMMUNITY HOSPITAL (SACH) FACILITY 2: BON SECOURS COMMUNITY HOSPITAL (BSCH) FACILITY 3: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY (GSH) Part V, Line 5 Bon Secours Charity Health System (BSCHS) was part of a large collaborative comprised of 17 hospitals and 7 local health departments from the lower Hudson Valley area in New York that directed a comprehensive 7-County Community Health Assessment. The BSCHS Community Engagement Director participated in this collaborative. BSCHS paid $25,000 for its share of the cost of the assessment. The 7-County collaborative hired the research team at Siena College who began the assessment process in November 2017 which continued through 2019. They conducted a random sample community health survey which resulted in the Mid-Hudson Region Community Health Assessment 2019-2021 (CHNA). The survey was designed to collect information around several priorities identified by the New York State Department of Health's Prevention Agenda 2019-2024 and to inform future health improvement efforts within the 7-County area. Survey data collection, analysis, and charting were provided by the team from Siena College Research Institute (SCRI). SCRI administered a random digit dial survey by phone which took place between April and September of 2018, utilizing both landline and mobile phone numbers to reach respondents. Results were then weighted by gender, age, race, and region according to the U.S. Census 2010. THE REGIONAL COMMMUNITY HEALTH ASSESSMENT SURVEY COLLECTED RESPONSES FROM 5,372 RESIDENTS OF THE MID-HUDSON REGION. THIS SURVEY WAS CONDUCTED BY RANDOM DIGIT DIAL IN ORDER TO GAUGE THE PERCEPTION OF RESIDENTS SURROUNDING HEALTH AND RESOURCES IN THEIR COMMUNITIES. TO FURTHER SUPPLEMENT THE DATA COLLECTED, MEMBERS OF THE REGIONAL COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE HELD 12 FOCUS GROUPS WITH SERVICE PROVIDERS TO UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND UNDERREPRESENTED POPULATIONS, AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. Prior to holding the focus groups, a Stakeholder Interview Form was sent to providers to supply additional insight on local factors influencing community health. This survey covered several topics, including the populations served; issues affecting health in the communities; health barriers; and interventions used to address social determinants of health. Throughout the seven counties, 285 surveys were completed by service providers. The responses varied throughout each county, and the differences were addressed in the focus groups. The data from the CHNA, Stakeholder Interview forms, and focus groups, along with Behavioral Risk Factor Surveillance System (BRFSS) data, was presented to audiences in both Rockland and Orange counties. The Rockland County Community Health Forum was held in June of 2019 and 60 local health/human services providers and Community Based Organizations (CBOs) assisted in the selection of Rockland County's community health focus areas. The Orange County Community Health Priority Selection Summit was also held in June of 2019 where more than 100 participants assisted with the selection of Orange County's community health focus areas. Part V, Line 6a The following hospitals within Bon Secours Charity Health System conducted a joint Community Health Needs Assessment (CHNA): Good Samaritan Hospital of Suffern, NY (GSH); St. Anthony Community Hospital (SACH); Bon Secours Community Hospital (BSCH). Part V, Line 7 THE CHNA'S ARE WIDELY AVAILABLE TO THE PUBLIC. THE CHNA'S ARE EASILY ACCESSIBLE ON THE BSCHS WEBSITE: https://www.bschs.org/community-health-needs-assessment1 PART V, LINE 7D THE CHNA FOR EACH HOSPITAL WAS DISTRIBUTED AT VARIOUS COMMUNITY EVENTS. COPIES WERE PROVIDED TO VARIOUS COMMUNITY MEMBERS AND GROUPS. ADDITIONALLY, THE CHNA'S AND THE NEW YORK STATE COMMUNITY SERVICE PLANS ARE POSTED ON THE BSCHS WEBSITE. PART V, LINE 10 THE BSCHS IMPLEMENTATION STRATEGY PLAN WAS ADOPTED IN 2019 AND IS POSTED ON THE WEBSITE: https://www.bschs.org/community-health-needs-assessment1 Part V, Line 11 THE BON SECOURS CHARITY HEALTH SYSTEM'S INDIVIDUAL HOSPITAL 2019 - 2021 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: 1. INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCERS 2. PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS IN PARTNERSHIP WITH THE ORANGE COUNTY HEALTH DEPARTMENT, ORANGE COUNTY HOSPITALS, AND 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: 1. PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS BY YOUTH AND YOUNG ADULTS 2. PROMOTE TOBACCO USE CESSATION 3. INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCERS 4. REDUCE THE ANNUAL RATE OF GROWTH FOR SEXUALLY TRANSMITTED INFECTIONS 5. INCREASE FOOD SECURITY ALL THREE HOSPITALS WITHIN THE BON SECOURS CHARITY HEALTH SYSTEM HAVE CHOSEN TO INCREASE CANCER SCREENING RATES AS ONE OF OUR COMMUNITY HEALTH GOALS. TO ACHIEVE THIS, EMPLOYEE TEAMS HAVE CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. CONDUCT COMMUNITY EDUCATION SESSIONS ON THE NEED FOR CANCER SCREENINGS AT LOCAL LIBRARIES, SENIOR CENTERS, AND COMMUNITY EVENTS 2. DEVELOP A CONSISTENT MESSAGE ACROSS ALL ENTITIES TO INCREASE CANCER SCREENINGS, ESPECIALLY DURING AWARENESS MONTHS FOR BREAST, CERVICAL AND COLORECTAL CANCERS 3. EVALUATE HOW PATIENTS HAVE FOUND CANCER SCREENINGS THROUGH SURVEYS (I.E. NEWSPAPER, MAILINGS, FLYERS, WORD OF MOUTH, SOCIAL MEDIA OR OTHER) TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS, GOOD SAMARITAN HOSPITAL HAS CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. DEVELOP INTERNAL POLICIES/PROCEDURES FOR INITIATION OF BUPRENORPHINE ADMINISTRATION IN EMERGENCY DEPARTMENT (ED) 2. DEVELOP CONTRACTS WITH PEER SERVICES FOR WARM HAND OFF FOR CONTINUED CARE 3. DEVELOP INTERNAL POLICIES/PROCEDURES FOR DISTRIBUTION OF NALOXONE KITS IN ED BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL HAVE BOTH CHOSEN TO REDUCE THE ANNUAL RATE OF GROWTH FOR SEXUALLY TRANSMITTED INFECTIONS (STI) AS ONE OF OUR COMMUNITY HEALTH GOALS. TO ACHIEVE THIS, BOTH HOSPITALS WILL IMPLEMENT THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. PARTNER WITH LOCAL HEALTH DEPARTMENT TO EDUCATE EMERGENCY DEPARTMENT PHYSICIANS AND OTHER CLINICAL STAFF ON THE IMPORTANCE OF SCREENING AND TESTING FOR STI 2. INCREASE CLINICALLY APPROPRIATE STI SCREENING, TESTING, AND TREATMENT FOR PATIENTS IN EMERGENCY DEPARTMENT TO PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS BY YOUTH AND YOUNG ADULTS, AND TO PROMOTE TOBACCO USE CESSATION, BON SECOURS COMMUNITY HOSPITAL HAS CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. CREATE A MEDIA CAMPAIGN INCLUDING POSTERS AND ADVERTISEMENTS ABOUT THE DANGERS OF TOBACCO USE AND VAPING 2. PROVIDE COMMUNITY PRESENTATIONS ON THE EFFECTS OF SMOKING AND VAPING TO HIGH SCHOOL AGE STUDENTS 3. EDUCATE THE COMMUNITY ABOUT MEDICAID BENEFITS TO ASSIST WITH SMOKING CESSATION 4. HOST FREEDOM FROM SMOKING CLASSES ST. ANTHONY COMMUNITY HOSPITAL WILL WORK TOWARDS INCREASING FOOD SECURITY BY IMPLEMENTING THESE EVIDENCE-BASED INTERVENTIONS: 1. DEVELOP STANDARDIZED DEFINITION AND SCREENING QUESTIONS TO IDENTIFY FOOD INSECURITY FOR ALL INPATIENTS 2. CREATE INTERNAL PROCESS FOR ACTIVE CONNECTION OF FOOD TO INSECURE PATIENTS TO GOVERNMENT-ASSISTED FOOD SOURCES, I.E. WIC AND SNAP GOOD SAMARITAN HOSPITAL, BON SECOURS COMMUNITY HOSPITAL, AND ST. ANTHONY COMMUNITY HOSPITAL HAVE CHOSEN SPECIFIC PREVENTION AGENDA GOALS BASED ON OUR INTERNAL RESOURCES, EXPERTISE, AND THE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY MEMBERS. WITH RESPECT TO THE PREVENTION AGENDA GOALS THAT OUR HOSPITALS HAVE NOT SPECIFICALLY CHOSEN TO ADDRESS, WE WILL SUPPORT THE EFFORTS OF COMMUNITY ORGANIZATIONS THAT ARE UNIQUELY QUALIFIED TO MEET VARIOUS AND SPECIFIC HEALTH GOALS. GOOD SAMARITAN HOSPITAL IS LOCATED IN ROCKLAND COUNTY, NY AND BOTH BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL ARE LOCATED IN ORANGE COUNTY, NY. BOTH COUNTIES HAVE EXTENSIVE NETWORKS OF HEALTH AND HUMAN SERVICE AGENCIES AND COMMUNITY BASED ORGANIZATIONS. WITHIN ROCKLAND AND ORANGE COUNTIES, THERE ARE EIGHT HOSPITALS, HUNDREDS OF MEDICAL PROVIDERS, SEVERAL TWO-YEAR AND FOUR-YEAR COLLEGES, A MEDICAL SCHOOL, AND SEVERAL LARGE FEDERALLY QUALIFIED HEALTH CENTERS. THE FOLLOWING AGENCIES AND COALITIONS ARE UNIQUELY POSITIONED TO SERVE AS COMMUNITY RESOURCES TO MEET BOTH SPECIFIC AND DIVERSE COMMUNITY NEEDS: ACCESS SUPPORTS FOR LIVING, ACTION TOWARD INDEPENDENCE, ALCOHOLISM & DRUG ABUSE COUNCIL, THE ARC OF ORANGE COUNTY AND ROCKLAND COUNTY, BIKUR CHOLIM, CATHOLIC CHARITIES, CENTER FOR SAFETY AND CHANGE, COMMUNITY COLLABORATIVES IN WESTERN RAMAPO, SPRING VALLEY, HAVERSTRAW AND NYACK, CORNERSTONE FAMILY HEALTHCARE, DISPUTE RESOLUTION CENTER, EPILEPSY SOCIETY OF SOUTHERN NEW YORK, EZRAS CHOILIM HEALTH CENTER, FARMWORKERS COMMUNITY CORP., HACSO COMMUNITY CENTER, HIGHLAND REHABILITATION AND NURSING CENTER, HUDSON RIVER HEALTHCARE, HUDSON VALLEY PERINATAL NETWORK, IMMIGRATION COALITION OF ROCKLAND, INDEPENDENT LIVING, INC., INSPIRE, JAWONIO, JEWISH FAMILY SERVICES, KONBIT NEG LAKAY, LEGAL SERVICES OF THE HUDSON VALLEY, MATERNAL-INFANT SERVICES NETWORK, MENTAL HEALTH ASSOCIATION OF ORANGE AND ROCKLAND, NAMI ORANGE AND ROCKLAND, ORANGE COUNTY AND ROCKLAND COUNTY DEPARTMENTS OF HEALTH AND MENTAL HEALTH, PEOPLE TO PEOPLE, POWR AGAINST TOBACCO, RECAP, INC., REFUAH HEALTH CENTER, REHABILITATION SUPPORT SERVICES, INC., RESTORATIVE MANAGEMENT CORP., ROCKLAND PRIDE CENTER, SAFE HARBORS OF THE HUDSON, INC., SAFE HOMES OF ORANGE COUNTY, UNITED WAY OF ROCKLAND, UNITED WAY OF THE DUTCHESS-ORANGE REGION, AND VCS, INC. Part V, Line 13h Patients above the 500% Federal Poverty Guidelines are eligible for the lower of the 60% discount on total charges or the Medicare FFS rate, after they have paid the required out of pocket expense of 20% of family income. Part V, Line 15e BSCHS provides financial assistance outreach services to all patients who do not have insurance. The service provider explains the options for federal and state financial assistance and provides assistance in filling out all required applications, including an application for Charity Care. The service provider reaches out to all patients who do not have insurance, either by meeting with patients who are still at the Hospital OR reaching out to those discharged. contact information is also provided on the FINANCIAL ASSISTANCE POLICY summary and on our Charity Care application for patient convenience. Part V, Lines 16a, 16b AND 16C The financial assistance policy (FAP), FAP application and plain language summary can be found at the following websites: http://bschs.bonsecours.com/bsch/billing-insurance-and-financial-assistanc e.aspx http://bschs.bonsecours.com/gsh/billing-insurance-and-financial-assistance .aspx http://bschs.bonsecours.com/sach/billing-insurance-and-financial-assistanc e.aspx Part V, Line 16J In addition to the methods reported on lines 16a through 16i, brochures are available at the time of registration, and onsite counselors and hospital paid eligibility vendor staff are available to assist patients. All billing statements also include information regarding the FAP and the eligibility vendor contacts all uninsured patients to determine the patient's eligibility for all Federal and State financial assistance programs including Charity Care. 53 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 ROCKLAND PULMONARY & MEDICAL ASSOCIATES 2 CROSFIELD AVENUE WEST NYACK NY 10994 PULMONOLOGY GOOD SAMARITAN HOME CARE 90 CRYSTAL RUN ROAD WALLKILL NY 10941 HOME CARE CARDIOLOGY CONSULTANTS-STONY POINT 12 LIBERTY SQUARE MALL STONY POINT NY 10980 CARDIOLOGY GOOD SAMARITAN HOME CARE 1 CROSFIELD AVENUE SUITE 202 WEST NYACK NY 10994 HOME CARE METROPOLITAN CARDIOLOGY CONSULTANTS SUFF 257 LAFAYETTE AVENUE SUFFERN NY 10901 CARDIOLOGY BON SECOURS NEUROLOGY 100 ROUTE 59 SUFFERN NY 10901 NEUROLOGY 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 BON SECOURS UROLOGY 257 LAFAYETTE AVENUE SUFFERN NY 10901 UROLOGY BON SECOURS UROLOGY 26 FIREMANS MEMORIAL DRIVE PAMONA NY 10970 INTERNAL MEDICINE CENTER FOR PHYSICAL REHABILITATION 70 HATFIELD LANE GOSHEN NY 10924 OUTPATIENT PHYSICAL THERAPY CENTER FOR PHYSICAL REHABILITATION 153 SOUTH ROUTE 94 WARWICK NY 10990 OUTPATIENT REHAB METROPOLITAN CARDIOLOGY CONSULTANTS GOSH 30 HATFIELD LANE GOSHEN NY 10924 CARDIOLOGY WOMEN'S IMAGING CENTER 55 RONALD REAGAN BOULEVARD WARWICK NY 10990 OUTPATIENT WOMEN'S IMAGING CENTER ROCKLAND PULMONARY & MEDICAL ASSOCIATES 257 LAFAYETTE AVENUE SUFFERN NY 10901 PULMONOLOGY 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 MONSIGNOR PATRICK J FRAWLEY MENTAL HEALT 3 CAMPBELL AVENUE SUFFERN NY 10901 MENTAL HEALTH 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 CARDIOLOGY CONSULTANTS-WEST NYACK 1 CROSFIELD AVENUE STE 407 WEST NYACK NY 10994 CARDIOLOGY MAHWAH MEDICAL 10 FRANKLIN TURNPIKE MAHWAH NJ 07430 INTERNAL MEDICINE Nanuet Medical 36 College Ave Nanuet NY 10954 INTERNAL MEDICINE GOSHEN PRIMARY CARE PHYSICIANS 1 HATFIELD LANE GOSHEN NY 10924 PRIMARY CARE PORT JERVIS GASTROENTEROLOGY 39 EAST MAIN STREET PORT JERVIS NY 12771 GASTROENTEROLOGY BON SECOURS MEDICAL GROUP 15 MAPLE AVENUE WARWICK NY 10990 GASTROENTEROLOGY MEHTA PULMONARY 55 OLD NYACK TURNPIKE NANUET NY 10954 PULMONOLOGY ROCKLAND HEART & VASCULAR ASSOCIATES 2 EXECUTIVE BOULEVARD SUITE 406 SUFFERN NY 10901 CARDIOLOGY LUTWAK CARDIOLOGY 505 ROUTE 208 MONROE NY 10950 CARDIOLOGY LUTWAK CARDIOLOGY 4 SOUTH AIRMONT ROAD SUFFERN NY 10901 CARDIOLOGY 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 ALAM PCP 906 PENNSYLVANIA AVENUE MATAMORAS PA 18336 PRIMARY CARE BON SECOURS MEDICAL GROUP 2 EXECUTIVE BOULEVARD SUITE 406 SUFFERN NY 10901 PRIMARY CARE ROCKLAND HEART & VASCULAR ASSOCIATES 79 ROUTE 59 SUITE 5 SUFFERN NY 10901 CARDIOLOGY BON SECOURS MEDICAL GROUP 104 BENNETT AVENUE MILFORD PA 18337 INTERNAL MEDICINE 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 PORT JERVIS INTERNAL 32 CANAL ST PORT JERVIS NY 12771 INTERNAL MEDICINE GEORGE COX MD 257 LAFAYETTE AVENUE SUFFERN NY 10901 PRIMARY CARE NORTH ROCKLAND MEDICAL ASSOCIATES 71 SOUTH ROUTE 9W WEST HAVERSTRAW NY 10993 PRIMARY CARE BON SECOURS MEDICAL GROUP 500 NEW HEMPSTEAD ROAD NEW CITY NY 10956 INTERNAL MEDICINE YACOV TENDLER MD 257 LAFAYETTE AVENUE SUFFERN NY 10901 PRIMARY CARE BON SECOURS MEDICAL GROUP 5 SKINNER STREET PORT JERVIS NY 12771 CARDIOLOGY Warwick Family Practice 214 West Street Warwick NY 10990 INTERNAL MEDICINE BON SECOURS COMMUNITY SLEEP DISORDER INS 30 CANAL ST STE 2 PORT JERVIS NY 12771 SLEEP LAB ROCKLAND PULMONARY & MEDICAL ASSOCIATES 27 LIBERTY SQUARE MALL STONY POINT NY 10980 PULMONOLOGY GOOD SAMARITAN HOME CARE 120 WHITE PLAINS ROAD 4TH FL TARRYTOWN NY 10591 HOME CARE MONROE PRIMARY CARE 745 ROUTE 17M MONROE NY 10950 PRIMARY CARE CARDIOLOGY CONSULTANTS-RAMSEY 27 SOUTH FRANKLIN TURNPIKE RAMSEY NJ 07446 CARDIOLOGY Bon Secours Medical Group 60 Dutch Hill Rd Orangeburg NY 10962 INTERNAL MEDICINE/SPECIALTY PART I, LINE 7A CHARITY CARE AT COST IS COMPUTED BY APPLYING THE COST-TO-CHARGE RATIO TO THE AGGREGATE CHARITY ADJUSTMENTS. PART I, LINE 7B UNREIMBURSED MEDICAID IS COMPUTED BY DETERMINING THE COST OF MEDICAID SERVICES LESS PAYMENTS RECEIVED FOR THESE SERVICES. TO DETERMINE THE COST OF MEDICAID SERVICES PROVIDED, A COST-TO-CHARGE RATIO IS APPLIED TO TRADITIONAL AND MANAGED MEDICAID GROSS CHARGES. PAYMENTS INCLUDE PAYMENTS FOR INDIVIDUAL CLAIMS, PAYMENTS FROM THE MEDICAID PROGRAM PAID OUTSIDE THE CLAIM PROCESS (SUCH AS MEDICAL EDUCATION PAYMENTS) AND EXPECTED OR ACTUAL COST REPORT SETTLEMENTS. PART I, LINE 7C UNREIMBURSED COSTS FROM OTHER MEANS-TESTED GOVERNMENT PROGRAMS ARE COMPUTED BY APPLYING A COST-TO-CHARGE RATIO TO THE TOTAL CHARGES TO PATIENTS COVERED UNDER THESE PROGRAMS. THE CHARGES ARE IDENTIFIED BY THE FINANCIAL CLASS ASSIGNED TO THE PATIENT. PART I, LINE 7 A-C COMPUTATIONS THE COST-TO-CHARGE RATIO IS DERIVED USING THE SUGGESTED COMPUTATION IN WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OPERATING EXPENSES AND GROSS PATIENT CHARGES ARE TAKEN FROM THE GENERAL LEDGER, EXPENSES FOR NONPATIENT CARE ACTIVITIES RECORDED IN OPERATING EXPENSES ARE APPROXIMATED AS DIRECTLY EQUALING OTHER OPERATING REVENUE. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ARE ACCUMULATED THROUGHOUT THE YEAR AND REPORTED AT ACTUAL COST IN A SOFTWARE PROGRAM THAT SPECIFICALLY ADDRESSES THIS PURPOSE. PART I, LINE 7F HEALTH PROFESSIONS EDUCATION COST IS DETERMINED AS THE DIRECT AND INDIRECT COST OF QUALIFYING EDUCATION ACTIVITIES AS TRADITIONALLY REPORTED IN COLUMNS 21-24 ON WORKSHEET B OF THE MEDICARE COST REPORT AS A MEDICAL EDUCATION PROGRAM OR OTHER ALLIED HEALTH PROGRAM. PART I, LINE 7 THE FOLLOWING CHARITY CARE PECENTAGES HAVE BEEN DERIVED BY ONLY INCLUDING HOSPITAL EXPENSES: Percent of total expense Line 7a: 1.02 Line 7b: 6.65 Line 7d: 7.66 Line 7e: 1.22 Line 7f: 1.09 LINE 7G: 2.68 Line 7j: 5.00 Line 7k: 12.66 Part II, Community Building Activities BSCHS WAS ACTIVELY ENGAGED IN COMMUNITY BUILDING ACTIVITIES WHICH PROMOTED THE HEALTH OF THE COMMUNITIES THROUGHOUT ITS SERVICE AREA. BSCHS HAS A DEDICATED COMMUNITY 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 2019, OVER 20 SUPPORT GROUPS MET MONTHLY IN THE BSCHS FACILITIES AND AN ADDITIONAL GROUP, SPONSORED BY BSCHS, MET AT AN OFF-SITE LOCATION. THE COMMUNITY ENGAGEMENT DEPARTMENT MANAGED THE BSCHS HEALTHCARE SPEAKERS' BUREAU WHICH CONNECTED OUR BSCHS MEDICAL PROFESSIONALS DIRECTLY WITH THE COMMUNITY ON BROAD TOPICS SUCH AS CARDIAC HEALTH, ORTHOPEDICS, WOMEN'S HEALTH, OBESITY, STROKE, DIABETES, WOUND CARE, SAFETY, ASTHMA, SENIOR SERVICES, MEN'S HEALTH, NUTRITION, MEDICATION MANAGEMENT, ETC. BSCHS'S OUTREACH EVENTS WERE HELD AT VARIOUS LOCATIONS, INCLUDING LIBRARIES AND WORK-SITES. AT THESE PRESENTATIONS, BSCHS PROVIDED EDUCATIONAL BOOKLETS IN ENGLISH AND SPANISH. IN ADDITION TO THIS, THE OUTREACH DEPARTMENT HELPED COORDINATE SERVICE LINE SPECIFIC PROGRAMS SUCH AS BREAST AND CERVICAL CANCER SCREENINGS, PROSTATE CANCER SCREENINGS, COLORECTAL CANCER SCREENINGS, HEARING TESTING, SLEEP DISTURBANCES SEMINARS, AS WELL AS OTHER PROGRAMS BENEFITING THE COMMUNITY. IN 2019, BSCHS EMPLOYEES WORKED OVER 2,750 HOURS TO PROVIDE COMMUNITY HEALTH IMPROVEMENT PROGRAMS. IN PORT JERVIS, LOCATED IN ORANGE COUNTY, NY, BSCH IS CONTINUING TO TRANSFORM THE DELIVERY OF HEALTHCARE THROUGH ITS BUILDING HEALTHY COMMUNITIES INITIATIVES AND ITS TRANSFORMATIVE MEDICAL VILLAGE PROJECT. THROUGHOUT 2019, BSCH HAS WORKED TO ADVANCE THIS PHYSICAL PLANT MODERNIZATION AND RENOVATION PROJECT BY BEGINNING CONSTRUCTION OF A NEW LABORATORY, BARIATRIC UNIT, AND PHASE 1 OF A 10,000 SQUARE FOOT EMERGENCY DEPARTMENT. THIS INITIATIVE WILL PROVIDE SIGNIFICANT AND MUCH NEEDED IMPROVEMENTS NECCESARY TO IMPLEMENT BSCH'S INNOVATIVE DSRIP-RELATED EFFORTS TO INCREASE THE BREADTH OF THE OUTPATIENT DELIVERY SYSTEM IN WESTERN ORANGE COUNTY THROUGH THE CREATION OF A MEDICAL VILLAGE. BUILDING UPON BSCH'S IN-PATIENT REDUCTION AND RECONFIGURATION EXPERIENCE THROUGH THE HEAL-NY PROGRAM AND LEVERAGING VALUE-BASED PURCHASING EFFORTS, THE MEDICAL VILLAGE WILL IMPROVE THE QUALITY, SAFETY, EFFECTIVENESS AND EFFICIENCY OF CARE DELIVERY TO THE MORE THAN 80,000 MEDICAID BENEFICIARIES IN ORANGE COUNTY AND ENSURE THAT BSCH IS ON A SUSTAINABLE PATH. BSCH WAS AWARDED $24.5 MILLION IN CAPITAL RESTRUCTURING FINANCING PROGRAM ("CRFP") GRANT FUNDS TO UNDERTAKE THIS MAJOR PROJECT, WHICH INCLUDED SEVERAL OF THE DSRIP PROJECT AREAS SUCH AS CARE TRANSITIONS INTERVENTION TO REDUCE 30 DAY READMISSIONS FOR CHRONIC HEALTH CONDITIONS, INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH, COMMUNITY CRISIS STABILIZATION SERVICES, IMPLEMENTATION OF EVIDENCE-BASED STRATEGIES IN THE COMMUNITY TO ADDRESS CHRONIC DISEASE, SUCH AS DIABETES AND ASTHMA. IMPLEMENTATION OF THESE PROJECTS IS ACHIEVED THROUGH INCREASED ACCESS TO PRIMARY CARE, OUTPATIENT SERVICES, AND AN EXPANSION OF COMMUNITY SERVICES. THE TOTAL ANTICIPATED PROJECT COST FOR THIS PROJECT IS $41.5 MILLION WHICH WILL BE FUNDED IN PART BY CAPITAL RESTRUCTURING FINANCE PROGRAM (CRFP) GRANT FUNDS ($24.5 MILLION). PLANNING AND COLLABORATION FOR BSCH'S MEDICAL VILLAGE HAS BEEN ONGOING WITH STAKEHOLDERS AND COMMUNITY ORGANIZATIONS. THE PARTICIPATORY DEVELOPMENT PROCESS RESULTED IN A PLAN THAT INCLUDED A STRATEGY TO REDUCE 25 STAFFED BEDS AND DECERTIFY 36 LICENSED BEDS THAT PRESERVES CRITICAL SAFETY-NET CAPACITY AND CREATES NEW SPACE FOR A RANGE OF AMBULATORY CARE AND SOCIAL SERVICES. KEY PARTNERS INCLUDE: WESTCHESTER MEDICAL CENTER, BON SECOURS MEDICAL GROUP, CATHOLIC CHARITIES, EASTER SEALS, THE MATERNAL-INFANT SERVICES NETWORK, SHOPRITE SUPER MARKET, NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, ORANGE COUNTY DEPARTMENT OF HEALTH, ORANGE COUNTY DEPARTMENT OF MENTAL HEALTH, PORT JERVIS COMMUNITY GARDEN, EMPOWERING PORT JERVIS, PORT JERVIS LIBRARY, THE SALVATION ARMY, SUNY COMMUNITY COLLEGES, AND 1199SEIU WORKFORCE. WHEN COMPLETE, THE BON SECOURS COMMUNITY HOSPITAL MEDICAL VILLAGE PROJECT WILL ADD EXPANDED ACCESS TO PRIMARY CARE, A NEW OBSERVATION UNIT AND EMERGENCY ROOM DIVERSION PROGRAM, RADIOLOGY DEPARTMENT, WELLNESS AREA WITH HEALTH AND NUTRITIONAL PROGRAMMING, ENHANCED CARE COORDINATION BY SUPPORTING PRACTICES THAT MEET THE NCQA PCMH LEVEL 3 ACCREDITATION, CO-LOCATED BEHAVIORAL HEALTH PROVIDERS AND COMMUNITY BASED ORGANIZATIONS TO DELIVER VITAL DISEASE MANAGEMENT AND PREVENTION. IN ADDITION, CONNECTING BSCH TO HEALTHLINKNY, WHICH OFFERS ELECTRONIC ACCESS TO PATIENTS' COMMUNITY-WIDE HEALTH RECORDS, WILL SERVE AS THE REGION'S ACCESS POINT TO THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY), SUPPORTING COLLABORATION BETWEEN HEALTHCARE PROVIDERS ACROSS THE STATE. AS OF DECEMBER 31, 2019, CONSTRUCTION WAS UNDERWAY FOR THREE NEW CLINICAL AREAS: A NEW MEDICAL/SURGICAL UNIT WITH ALL PRIVATE ROOMS; A NEW LABORATORY AND PHASE 1 OF THE NEW EMERGENCY DEPARTMENT. PART III, LINE 2 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. PART III, LINE 3 THE ORGANIZATION DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE ORGANIZATION TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THE ORGANIZATION MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4 PLEASE SEE FOOTNOTE 2 "PATIENT ACCOUNTS RECEIVABLE, NET" ON PAGE 19 IN THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ("AFS"), ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN THE SECOND PARAGRAPH OF THE FOOTNOTE. Part III, Line 8 THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT. THE ORGANIZATION IS ASSUMING A GOVERNMENT BURDEN BY PROVIDING CARE in excess of the revenue. the MEDICARE ALLOWABLE COSTS REFLECTED IN PART III ARE REFLECTED IN the FACILITY'S MEDICARE COST REPORT. THE COST REPORT SEGREGATES THE TOTAL FACILITY ACTUAL EXPENSES INTO COSTS FOR SUPPORT DEPARTMENTS, CLINICAL DEPARTMENTS (ROUTINE AND ANCILLARY) AND NONREIMBURSEABLE DEPARTMENTS. THE COST REPORT USES APPROPRIATE STATISTICAL BASES TO "STEP DOWN" SUPPORT COSTS TO ALLOWABLE CLINICAL AND NONREIMBURSEABLE DEPARTMENTS. THE CHARGES FOR CLINICAL DEPARTMENTS ARE MATCHED TO THE TOTAL COST FOR THESE DEPARTMENTS FOR A COST-TO-CHARGE RATIO. Part III, Line 9B THE ORGANIZATION HAS A WRITTEN POLICY THAT DESCRIBES COLLECTION PRACTICES APPLYING TO PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR FULL ASSISTANCE, NO COLLECTION EFFORTS ARE PURSUED ON THAT PATIENT'S ACCOUNT(S). IF PARTIAL ASSISTANCE IS PROVIDED, THE PATIENT IS RESPONSIBLE FOR THE ADJUSTED ACCOUNT BALANCE AND COLLECTION EFFORTS WILL FOLLOW THE ESTABLISHED PRACTICES FOR ALL PATIENTS WHERE A SELF-PAY BALANCE EXISTS. COLLECTION EFFORTS ARE NOT PURSUED ON ANY PENDING FINANCIAL ASSISTANCE PROGRAM ACCOUNT. SPECIFIC CRITERIA 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. Part VI, Line 2 In addition to the CHNA, BSCHS continually assesses the health care needs of the community throughout the year. After every Community Outreach event, the System Director of Community ENGAGEMENT meets with various people who were involved in the event as well as participants and assesses and evaluates all aspects of the event. The assessment includes questions such as: did this event serve the needs of the community; which members of the community did we serve and who did we miss; how can we improve this event; do we need to invest more resources; and should this event be continued or expanded? BSCHS STAFF ALSO ACTIVELY PARTICIPATED IN THE FOLLOWING ACTIVITIES AND PROGRAMS BENEFITING THE COMMUNITY: GSH MET 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; PROVIDED EDUCATION TO THE CENTER FOR DEVELOPMENTAL DISABILITIES STAFF ON INFECTION CONTROL AND MEDICATION ADMINISTRATION; PARTICIPATED, EVERY MONTH, IN THE PROJECT DISCOVERY COMMUNITY OUTREACH PROGRAM TO PROVIDE HOUSEHOLD NECESSITIES, FOOD AND CLOTHING TO THOSE IN NEED IN THE COMMUNITY; PROVIDED PANELISTS FOR THE MAHWAH REGIONAL CHAMBER OF COMMERCE HEALTH PANEL PRESENTATION AND PROVIDED EVENT FACILITATION; PROVIDED FREE FLU SHOTS TO COMMUNITY GROUPS AND EMPLOYERS; PROVIDED STOP THE BLEED TRAINING AT THE SUFFEREN COMMUNITY CENTER; AND SUPPORTED THE "NATIONAL NIGHT OUT" EVENTS IN BOTH PORT JERVIS AND POMONA. 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. ADDITIONALLY, BSCHS EMPLOYEES WORK TOGETHER WITH COMMUNITY LIAISONS WHO WORK CLOSELY WITH AREA EMPLOYERS AND SPECIFIC GEOGRAPHICAL AND RELIGIOUS GROUPS TO IDENTIFY PERSONAL HEALTH RELATED NEEDS. BASED ON THESE NEEDS, BSCHS CLINICAL STAFF AND PHYSICIANS PROVIDED 130 HOURS OF EDUCATION ON PREVENTIVE HEALTH INTERVENTIONS TO A TOTAL OF ABOUT 2,880 EMPLOYEES AT THE FOLLOWING WORKSITES: AVON, CLARKSTOWN CENTRAL SCHOOL DISTRICT, DOMINICAN COLLEGE, EAST RAMAPO SCHOOL DISTRICT, EASTWICK COLLEGE, JAWONIO, JCC OF ROCKLAND, NORTH ROCKLAND SCHOOL DISTRICT, ORANGE-ULSTER BOCES, PFIZER INC., PEARL RIVER SCHOOL DISTRICT, RAMAPO COLLEGE, ROCKLAND BOCES, ROCKLAND COMMUNITY COLLEGE, SALVATION ARMY, ST. DOMINIC HOME, ST. THOMAS AQUINAS COLLEGE, SOUTH ORANGETOWN SCHOOL DISTRICT, TD BANK, TOWN OF HAVERSTRAW, TOWN OF ORANGETOWN, TOWN OF RAMAPO, UNEEDA ENTERPRIZES, INC., FARLEY ELEMENTARY SCHOOL, M&T BANK, AND THE VILLAGE OF SUFFERN. PREVENTIVE HEALTH TOPICS WERE PRESENTED AT EACH WORK SITE: BACK HEALTH AND ERGONOMICS, BENEFITS OF WALKING, BETTER HEARING, BREAST HEALTH, CARDIAC HEALTH & STROKE AWARENESS, CONCUSSION MANAGEMENT, EMERGENCY CARE, FALL PREVENTION, MANAGING STRESS, MANAGING MEDICATIONS, NUTRITION (FOOD LABELING, HEALTHY DINING OUT), SLEEP HEALTHY, VITAMINS/SUPPLEMENTS, AND WOMEN'S HEART HEALTH. Part VI, Line 3 Patient financial assistance policy is communicated to patients upon scheduling, registration, THROUGH visible postings of the policy in common areas throughout the hospital, brochures at registration and on 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 FPL are offered the lower of a 50% reduction of total charges or the APG (the Medicare FFS rate). Patients with income between 351% - 500% of the FPL are offered the lower of a 30% reduction of total charges or the APG (the Medicare FFS rate). BSCHS IS DEDICATED TO MEETING THE NEEDS OF NON-ENGLISH SPEAKING PATIENTS BY HAVING ON-SITE SPANISH TRANSLATORS, AND OTHER LANGUAGE TRANSLATION SERVICES. IN ADDITION, BSCHS EMPLOYS A TELEPHONE LANGUAGE SERVICE WHICH ASSISTS IN MEETING ANY LANGUAGE NEEDS THAT ARISE. THE TRANSLATION SERVICES ARE OFFERED TO NON-ENGLISH SPEAKING PATIENTS FROM ADMISSION TO DISCHARGE, INCLUDING THROUGH THE FINANCIAL ASSISTANCE PROCESS. 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 PATIENTS FINANCIAL OBLIGATIONS DETERMINED. Part VI, Line 4 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. ROCKLAND COUNTY WHICH INCLUDES APPROXIMATELY 120,000 ACRES IS DESIGNATED A PRESERVE AMERICA COMMUNITY, CONTAINING MORE THAN 35,000 ACRES OF PRESERVED OPEN SPACE AND PARKLAND. ACCORDING TO 2017 U.S. CENSUS BUREAU STATISTICS, ROCKLAND COUNTY HAD A POPULATION OF 325,027 WITH 49% MALE AND 51% FEMALE. 63.2% ARE NON-HISPANIC WHITE, 11.5% ARE NON-HISPANIC BLACK, 6.0% NON-HISPANIC ASIAN AND 17.3% HISPANIC. ADDITIONALLY, ROCKLAND COUNTY HAS THE LARGEST JEWISH POPULATION PER CAPITA OF ANY U.S. COUNTY WITH 31.4% OF THE RESIDENTS BEING JEWISH. 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 U. S. CENSUS BUREAU STATISTICS, ORANGE COUNTY HAD APPROXIMATELY 378,174 RESIDENTS IN 2017. 50.1% OF ORANGE COUNTY'S RESIDENTS ARE MALE AND 49.9% ARE FEMALE. 65.4% ARE NON-HISPANIC WHITE, 9.7% ARE NON-HISPANIC BLACK, 2.6% NON-HISPANIC ASIAN, AND 19.7% HISPANIC. 24.0% OF THE POPULATION RESIDES IN RURAL AREAS WHICH IS TWICE THE AVERAGE OF NEW YORK STATE. Part VI, Line 5 BSCHS FACILITIES PROMOTED THE HEALTH OF THE COMMUNITY TO FURTHER ITS EXEMPT PURPOSE THROUGH VARIOUS PROGRAMS AND INITIATIVES THROUGHOUT THE YEAR. BSCHS'S COMMUNITY ENGAGEMENT DEPARTMENT PROVIDED EDUCATIONAL PRESENTATIONS AT VARIOUS COMMUNITY LOCATIONS ON BROAD TOPICS SUCH AS CARDIAC HEALTH, ORTHOPEDICS, WOMEN'S HEALTH, OBESITY, STROKE, DIABETES, WOUND CARE, SAFETY, ASTHMA, SENIOR SERVICES, ETC. THE COMMUNITY ENGAGEMENT DEPARTMENT ALSO HELD SERVICE LINE SPECIFIC PROGRAMS SUCH AS BREAST AND CERVICAL CANCER SCREENINGS, PROSTATE CANCER AND COLORECTAL CANCER SCREENINGS, HEARING TESTING, SLEEP DISTURBANCE SEMINARS, AS WELL AS OTHER PROGRAMS BENEFITING THE COMMUNITY. BSCHS EXPECTS TO CONTINUE PROVIDING THESE PROGRAMS AND SERVICES THROUGH 2020. BSCHS CONTINUED ITS COMMITMENT TO BEING ACCESSIBLE AND PROVIDING FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IN ITS SERVICE AREA. AS EVIDENCED BY BSCHS'S ACTIVE PARTICIPATION IN THE VARIOUS DSRIP PROJECTS, BSCHS PROVIDED IMPROVED ACCESS TO HEALTH CARE SERVICES, ESPECIALLY TO THE UNDERSERVED POPULATION, AS WELL AS PROVIDED VARIOUS OPPORTUNITIES TO ENROLL IN GOVERNMENTAL AND/OR COMMUNITY HEALTH PLANS. IN PORT JERVIS, THROUGH A MISSION GRANT, BSCHS PROVIDED TRANSPORTATION SERVICES TO UNINSURED AND MEDICAID PATIENTS TO COORDINATE CARE. ALL THREE BSCHS HOSPITALS PARTNERED WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO INCREASE PUBLIC AWARENESS OF THE AVAILABLE SERVICES THAT WERE EITHER FREE OF CHARGE OR BASED ON A SLIDING SCALE PAYMENT. IN FURTHERANCE OF THIS COMMITMENT, ALL BSCHS FACILITIES PROVIDED SPACE EACH MONTH, FREE OF CHARGE, TO INSURANCE SPECIALISTS TO MEET WITH PATIENTS TO REGISTER FOR HEALTH INSURANCE BENEFITS. IN RESPONSE TO THE GROWING COMMUNITY NEEDS OF ITS SERVICE AREA, BSCHS CONTINUED TO RECRUIT AND HIRE MORE EMPLOYED PHYSICIANS, WHO ACCEPT MEDICAID AND PARTICIPATE IN PROGRAMS TO PROVIDE CHARITY CARE, IN ALIGNMENT WITH THE BSCHS MISSION. BSCHS ALSO CONTINUED TO ADDRESS THE COMMUNITY NEED FOR CHRONIC DISEASE PREVENTION AT ALL OF ITS FACILITIES. THE FOLLOWING PROGRAMS AND INITIATIVES WERE PROVIDED, WHICH ARE EXPECTED TO CONTINUE: THE LOWER HUDSON VALLEY MENDED HEARTS CHAPTER #368, WHICH MET EIGHT TIMES LAST YEAR AT A LOCAL COMMUNITY CENTER, WAS SUPPORTED BY BSCHS'S COMMUNITY ENGAGEMENT DEPARTMENT BUDGET. BSCHS TRAINED THE MENDED HEARTS VOLUNTEERS TO VISIT CARDIAC PATIENTS AND THEIR FAMILY MEMBERS IN THE HOSPITAL TO OFFER HOPE AND SUPPORT. THE VOLUNTEERS, WHO ARE FORMER HEART SURGERY PATIENTS, ALSO VISITED PATIENTS POST-SURGERY TO PROVIDE SUPPORT. IN 2019, VOLUNTEERS MADE 223 VISITS TO CARDIAC PATIENTS AT GSH. BSCHS PROVIDED THE COMMUNITY IN ITS SERVICE AREA WITH AMPLE CANCER TREATMENT AND SUPPORT OPTIONS. BSCHS ALSO ENGAGED THE COMMUNITY TO INCREASE AWARENESS OF RISK FACTORS AND PREVENTION. BSCHS HOSTED NUMEROUS CANCER AWARENESS, EARLY DETECTION, PREVENTION, AND SUPPORT PROGRAMS THAT REACHED OVER 4,000 PEOPLE. THE PROGRAMS FOCUSED ON DIFFERENT CANCER RELATED ILLNESSES AND PROVIDED THE COMMUNITY WITH ACCESS TO MEET ONCOLOGY SPECIALISTS ON A ONE-TO-ONE BASE. THE CANCER PROGRAM AT GSH WAS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS AND THE RADIATION ONCOLOGY PROGRAM AT GSH WAS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY. THE CENTER OF BREAST HEALTH AT GSH WAS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. BSCHS LEADERSHIP AND CANCER PROGRAM STAFF WORKED DILIGENTLY TO MAINTAIN THESE ACCREDITATIONS TO ENSURE THAT THE COMMUNITY IS RECEIVING THE BEST CARE AVAILABLE. THESE ACCREDITATIONS ARE EXPECTED TO CONTINUE THROUGH 2020. ADDITIONALLY, PARTNERSHIPS WITH THE NYSDOH, THE AMERICAN CANCER SOCIETY, AND THE CANCER SERVICES PROGRAM OF NYS HELPED DEVELOP NEW COMMUNITY SCREENING PROGRAMS AND IMPROVED PATIENT SUPPORT OFFERINGS, WHICH ARE EXPECTED TO CONTINUE. GSH PARTNERED WITH THE CANCER SERVICES PROGRAM OF ROCKLAND COUNTY TO PROVIDE ONGOING BREAST AND CERVICAL CANCER SCREENINGS FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. THROUGH THIS PARTNERSHIP, 10 FREE SCREENINGS WERE HELD IN 2019 AND 205 PEOPLE RECEIVED EARLY DETECTION SERVICES. IN FURTHERANCE OF ITS EXEMPT PURPOSE, GSH WORKED WITH CANCER SERVICES PROGRAM TO PROVIDE ALL NECESSARY FOLLOW UP TREATMENT, INCLUDING SURGERY, CHEMOTHERAPY, AND RADIATION FOR PATIENTS WHO HAD A POSITIVE FINDING FROM ANY OF THE FREE SCREENINGS. BSCHS EMPLOYED A BOARD CERTIFIED BREAST SURGEON AND A BOARD CERTIFIED COLORECTAL SURGEON AS WELL AS TWO PATIENT NAVIGATORS TO ASSIST BREAST CANCER PATIENTS TO COORDINATE THEIR CARE AND ACCESS AVAILABLE SERVICES. IN 2019, GSH PARTNERED WITH A LOCAL PROFESSIONAL BASEBALL TEAM TO PROVIDE FREE PROSTATE CANCER EDUCATION AND SCREENINGS. THROUGH THIS PARTNERSHIP, THE BON SECOURS UROLOGY GROUP PROVIDED 104 FREE PSA BLOOD TESTS AT 4 BASEBALL GAMES. BSCHS ALSO WORKED TOWARDS PROMOTING HEALTH IN THE COMMUNITY BY PREVENTING OBESITY WHICH INCREASES A PERSON'S LIKELIHOOD OF DEVELOPING MANY CHRONIC DISEASES. BSCHS OFFERED SEVERAL SERVICES TO OFFSET THE DAMAGE THAT OBESITY CAN CREATE. IN ALIGNMENT WITH THE NYS PREVENTION AGENDA, BOTH GSH AND SACH PROVIDED BOARD CERTIFIED LACTATION CONSULTANT SERVICES TO NEW MOTHERS, AS RESEARCH HAS SHOWN THAT BREASTFEEDING CAN POSITIVELY AFFECT A PERSON'S FUTURE LIKELIHOOD OF NOT DEVELOPING OBESITY. IN PORT JERVIS, BSCH CONTINUED THE "GET FIT, PORT JERVIS" PROGRAM, IN PARTNERSHIP WITH ACCESS PT, WHICH OFFERED THE COMMUNITY ACCESS TO FREE GROUP WALKS AND YOGA CLASSES. IN 2019, 425 PEOPLE PARTICIPATED IN THE GROUP WALKS AND 777 PEOPLE PARTICIPATED IN FREE YOGA CLASSES. BSCH PROVIDED THE FOLLOWING HOSPITAL BASED PROGRAMS TO ADDRESS CHRONIC DISEASE PREVENTION AND PROMOTE WELLNESS; BSCH BMI AND BLOOD PRESSURE MONITORING PROGRAM; DIABETES SUPPORT GROUP FOR CHILDREN AND FAMILIES AND DIABETES PREVENTION CLASSES; SHARING AND CARING FAMILY SUPPORT GROUP FOR THOSE CARING FOR LOVED ONES LIVING WITH MENTAL ILLNESS; AND HEALTHY EATING PROGRAMS FOR CHILDREN AND SENIORS IN PARTNERSHIP WITH MORRISON HEALTH CARE. BSCHS PROVIDED DIABETES PREVENTION, EDUCATION, AND SUPPORT SERVICES AT ALL ITS FACILITIES. THESE FREE CLASSES WERE LED BY CERTIFIED DIABETES EDUCATORS WHO WERE ALSO REGISTERED NURSES AND REGISTERED DIETICIANS. GSH AND BSCH ALSO PROVIDED BARIATRIC SURGERY PROGRAMS AS BARIATRIC SURGERY CAN OFTEN REVERSE A DIABETES DIAGNOSIS. BSCHS'S POPULATION HEALTH DEPARTMENT STAFF FURTHERED THE ORGANIZATION'S EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY IN BOTH ROCKLAND AND ORANGE COUNTY. STAFF HAVE BEEN INVOLVED IN MANAGING PREVENTIVE AND CHRONIC DISEASES USING THE PRINCIPLES OF THE PATIENT CENTERED MEDICAL HOME, SUCH AS PREVENTIVE OUTREACH FOR PATIENTS WITH DIABETES, OUTREACH TO MANAGE MEDICATION ADHERENCE FOR BEHAVIORAL HEALTH PATIENTS, AND PATIENT EDUCATION. POPULATION HEALTH CARE MANAGERS CONDUCTED OUTREACH TO DIABETES PATIENTS TO ENROLL THEM IN A MENTOR/MENTEE PROGRAM, ASSISTED DIABETIC PATIENTS TO TRACK THEIR HEALTH BY PROVIDING GLUCOMETERS AND SCALES TO PATIENTS IN NEED, CONDUCTED A COLORECTAL AWARENESS CAMPAIGN, PROVIDED A FREE INITIAL CONSULT TO PATIENTS WHO SCREENED POSITIVE FOR BEHAVIORAL HEALTH SCREENING, PROVIDED FLU SHOTS IN THE COMMUNITY IN ROCKLAND COUNTY, AND HELD PATIENT ADVISORY COMMITTEE MEETINGS IN ROCKLAND AND ORANGE COUNTY TO EDUCATE PATIENTS ON SERVICES AND PREVENTION. BSCHS EXPECTS TO CONTINUE THESE SERVICES AND PROGRAMS DESCRIBED ABOVE THROUGH 2020. Part VI, Line 6 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 MARYLAND NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, IS A MEMBER OF BSCHS WITH A FORTY PERCENT (40%) ECONOMIC INTEREST IN BSCHS. SISTERS OF CHARITY OF SAINT ELIZABETH ("SOCSE"), A NEW JERSEY NOT-FOR-PROFIT CORPORATION, IS A MEMBER OF BSCHS WITHOUT ANY ECONOMIC INTEREST. BSCHS, A CATHOLIC HEALTH SYSTEM, IS CANONICALLY CO-SPONSORED BY BON SECOURS MINISTRIES ("BSM"), AN AFFILIATE OF BSHSI AND SOCSE. 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. Part VI, Line 7 List of States Receiving Community Benefit Report: NY false TRANSPORTATION FOR INDIGENT PATIENTS 700 52613 false true false false false false false false false MARY LEAHY MD PRESIDENT & CEO 0 739797 0 245068 0 0 0 39950 0 48337 0 1073152 0 0 MARTIN EVERS MD PRESIDENT - MEDPC (thru 10/19) 123559 0 167480 0 708 0 21213 0 25710 0 338670 0 0 0 MICHAEL ISRAEL VICE CHAIR 0 2243270 0 309000 0 25000 0 44240 0 75945 0 2697455 0 0 RENEE GARRICK MD BOARD MEMBER 0 674369 0 215600 0 0 0 36200 0 40043 0 966212 0 0 GARY BRUDNICKI BOARD MEMBER 0 1194901 0 512697 0 25000 0 44240 0 66428 0 1843266 0 0 JULIE SWITZER BOARD MEMBER 0 687180 0 228315 0 25000 0 44240 0 44960 0 1029695 0 0 PETER KENNIFF CFO 335464 0 67747 0 61039 0 21213 0 20876 0 506339 0 0 0 CARY HIRSCH MD PHYSICIAN 1000004 0 0 0 58382 0 21213 0 0 0 1079599 0 0 0 MARK FERSKO BOARD MEMBER 0 779450 0 256316 0 25000 0 22400 0 55676 0 1138842 0 0 PERMINDER S GREWAL PHYSICIAN 539726 0 179187 0 4752 0 21213 0 31401 0 776279 0 0 0 THOMAS FACELLE PHYSICIAN 601191 0 60000 0 15730 0 21213 0 1015 0 699149 0 0 0 BANGALORE SRIDHARA PHYSICIAN 548434 0 118780 0 2580 0 21213 0 1560 0 692567 0 0 0 ARVIND AGARWAL PHYSICIAN 668758 0 100000 0 10668 0 21213 0 20380 0 821019 0 0 0 PART I, LINE 3 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 SIZED 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. PART I, LINE 4B THE FILING ORGANIZATION PARTICIPATES IN A BON SECOURS MERCY HEALTH, INC (FORMERLY BON SECOURS 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. Form 990, Part VI, Line 6 Members or stockholders: THE MEMBERS OF BSCHS ARE AS FOLLOWS: WMC - ROCKLAND, INC. - 60% BON SECOURS MERCY HEALTH, INC. (FORMERLY BON SECOURS HEALTH SYSTEM, INC) TOGETHER WITH SISTERS OF CHARITY (SOC) - 40%. ON SEPTEMBER 1, 2018, BON SECOURS HEALTH SYSTEM, INC (BSHSI) AND MERCY HEALTH COMBINED TO BECOME BON SECOURS MERCY HEALTH, INC (BSMH). 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 Power to elect or appoint members: The governing bodY of the members within the Group, with the exception of MedPC, are appointed by its members, WMC-Rockland, BSMH (FORMERLY BSHSI) and SOC and are subject to the approval of its members. Form 990, Part VI, Line 7b Decisions reserved to members or stockholders: Certain authorities of the members of the Group, with the exception of Bon Secours Charity Health System Medical Group, PC, are jointly reserved to WMC-Rockland, BSMH (FORMERLY BSHSI) and SOC, certain authorities are reserved to BSMH (FORMERLY BSHSI) and WMC-Rockland, and certain authorities are reserved solely to BSMH (FORMERLY BSHSI). Form 990, Part VI, Line 11b Process used to review the Form 990: 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 MONITORING AND ENFORCEMENT OF COMPLIANCE WITH 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 WMCHealth Conflicts of Interest Committee for discussion. Potential actions to be taken in response to a conflict can be one or more of the following: 1) disclosure of the conflict, 2) individual recusal from decisions for transactions where that individual may have a conflict, 3) request in writing THAT the individual alleviates the conflict, or 4) removal of the individual from employment. FORM 990, PART VI, LINE 15 process for determining compensation: The organization has a comprehensive process for the oversight and management of remuneration for the CEO and 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 PROCESS FOR MAKING 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 B: A PORTION OF THE AMOUNT PAID TO HOLT CONSTRUCTION CORP AND SKANSKA USA BUILDING INC MAY INCLUDE EXPENSE REIMBURSEMENTS. THIS AMOUNT IS NOT EASILY DISTINGUISHABLE. Form 990, Part XI, Line 9 Other changes in net assets: Transfers to Affiliates $14,728,99 WMC HEALTH NETWORK - ROCKLAND INC 100 WOODS ROAD VALHALLA NY 10595 320467873 SUPPORTING NY 501(C)(3) 12A NA false WMC HEALTH NETWORK - ULSTER INC 100 WOODS ROAD VALHALLA NY 10595 320477183 SUPPORTING NY 501(C)(3) 12A WCHCC false WESTCHESTER COUNTY HEALTH CARE CORP 100 WOODS ROAD VALHALLA NY 10595 133964321 HEALTHCARE NY 115 N/A NA false WMC NEW YORK INC 100 WOODS ROAD VALHALLA NY 10595 134107894 FUNDRAISING NY 501(C)(3) 12A WCHCC false NORTH ROAD LHCSA INC 241 NORTH ROAD POUGHKEEPSIE NY 12601 465293268 HOMECARE SVCS NY 501(C)(3) 10 WCHCC false MID-HUDSON VALLEY EARLY EDUCATION CENTER 100 WOODS RD TAYLOR PAVILION 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) 12A WCHCC false HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS 396 BROADWAY KINGSTON NY 12401 141349558 EXEMPT HOSP NY 501(C)(3) 3 HA INC false HEALTHALLIANCE HOSP MARY'S AVE CAMPUS 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 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 223143565 NURSING HOME NY 501(C)(3) 10 MMH false MARGARETVILLE HEALTH FOUNDATION 42084 STATE HIGHWAY 28 MARGARETVILLE NY 12455 261998454 SUPPORT FDN NY 501(C)(3) 12A MMH false FASC FOUNDATION 741 GRANT AVENUE LAKE KATRINE NY 12449 264201295 SUPPORT FDN NY 501(C)(3) 7 HAH BWAY 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) 12C, III-FI WCHCC false HealthAlliance Foundation Inc 741 GRANT AVENUE LAKE KATRINE NY 12449 222511450 FUNDRAISING NY 501(C)(3) 7 HA INC false HUDSON RIVER WEST INSURANCE (BARBADOS) 38 PINE ROAD BELLEVILLE ST MICHAEL BB CAP INSURANCE BB BSCHS C CORP false KINGSTON INSURANCE (BARBADOS) LIMITED 38 PINE ROAD BELLEVILLE ST MICHAEL BB CAP INSURANCE BB HEALTHALLIANCE C CORP false NORTHEAST PROVIDER SOLUTIONS INC 100 WOODS ROAD VALHALLA NY 10595 133991673 MSO & HEARING AID NY NA C CORP false WMC ADVANCED PHYSICIAN SERVICES PC 19 BRADHURST AVENUE HAWTHORNE NY 10595 264709927 PHYSICIAN OFFICES NY NA C CORP false WESTCHESTER MEDICAL REGIONAL PHYS SVCS 241 NORTH ROAD POUGHKEEPSIE NY 10532 465522536 PHYSICIAN OFFICES NY NA C CORP false WCHCC (BERMUDA) LIMITED VICTORIA HALL 11 VICTORIA STREET HAMILTON BD CAP INSURANCE BD NA C CORP false KINGSTON REGIONAL HEALTH CARE ENTERPRISE 396 BROADWAY KINGSTON NY 12401 161514994 INVESTMENT NY HAH BWAY C CORP false MID HUDSON PHYSICIANS PC 396 BROADWAY KINGSTON NY 12401 203564769 MEDICAL SVCS NY NA C CORP false BSCHS MEDICAL GROUP PC 10 FRANKLIN TURNPIKE MAHWAH NJ 07430 821632215 PHYSICIAN OFFICES NJ BSCHS C CORP false false false true false false false false false false false false false false false true true true true true