2018-11-14T22:42:11-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 141340054 ST LUKE'S CORNWALL HOSPITAL % THOMAS J GIBNEY CPA STLU 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 THOMAS J GIBNEY CPA SVP, CFO 8455682881 2018-11-09 true Christopher B Boggs P00032493 2127733000 164.57.159.253 26308520183185000148 2018-11-14 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 D7645E384763AEB8339B885771554B833BC3ADBE 2017 2019-02-21 02:37:17Z JOAN CUSACK-MCGUIRK 70 DUBOIS STREET NEWBURGH NY 125504851 213571271 false X WWW.STLUKESCORNWALLHOSPITAL.ORG X 2002 NY 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. 14 12 1427 98 38467 34095 10961100 18973105 179975685 190716076 102555 333818 2434742 2907452 193474082 212930451 3467328 2023380 0 0 99667723 102341907 0 0 0 97286624 99374029 200421675 203739316 -6947593 9191135 121541713 138384294 116535419 121891691 5006294 16492603 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 166516387 2023380 191549915 St. Luke's Cornwall Hospital ("SLCH") is a not-for-profit hospital organization dedicated to serving the healthcare needs of those in the Hudson Valley. St Luke Cornwall Hospital recently became a member of the Montefiore Health System, creating an integrated healthcare delivery system, providing quality comprehensive healthcare services. 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. St Luke's Cornwall Hospital with main campuses in Newburgh and Cornwall, and off-site facilities throughout the community, is a 345 bed acute care hospital dedicated to providing for the health care needs of the community. St Luke's Cornwall Hospital is the regional center for neonatology, thanks to its Elaine Kaplan Neonatal Intensive Care Unit. The Hospital also 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. Additional ambulatory patient services offered at SLCH include, but are not limited to; Imaging Services, Laboratory Services, Physical Therapy, Pain Management, Outpatient Nutrition Counseling, Sleep Center, Stroke Care, Wound Healing & Hyperbaric Medicine, Psychological Services, Epilepsy Monitoring and Home Care. The St Luke'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 that includes the Littman Center for Cancer Care, The Kreisberg Family Center for Pain Management, the Eastern Orange Ambulatory Surgery Center, various ambulatory services including radiation oncology, wound Care and Physical Therapy, among others. 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. To accommodate the demand for growing outpatient services, several satellite facilities were opened, including the Dialysis Center, Rehabilitation Center at New Windsor, and the Outpatient Care Center located on Route 9W in the Town of Newburgh. Exceptional care is the center of all we do. This commitment was recognized by many outside organizations that included, among others: - Designation as a New York Stroke Center; - Top Performer Recognition from The Joint Commission on key quality measures for excellence in management of Heart Attack, Heart Failure, Stroke and Surgical Care; - Achieved the Healthgrades Patient Safety Excellence Award, a designation that honors hospital performance in the prevention of serious, potentially preventable complications during hospital stays; - Received its fifth straight "Get With the Guidelines Gold Plus Achievement Award" from the American Stroke Association for its overall quality of care for stroke patients; - Included on the list of Health Cares Most Wired hospitals, ranking among the nations best in using information technology to improve patient care; - Designated 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 three 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 2019 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 more than 100 education 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. 166516387 true true false true false false false false true true true false false true true false false true false false true 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 191 0 true 1427 true true true false false false false false false false false false X 14 12 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 MICHELLE F RIDER TRUSTEE 1.0 0.0 X 0 0 0 GEOFFREY BRACKETT Chairman/Trustee 1.0 0.0 X X 0 0 0 DAVID POTACK Vice Chair/Trustee 1.0 0.0 X X 0 0 0 ANTHONY CAMPAGIORNI TRUSTEE 1.0 0.0 X 0 0 0 CHRIS CATANIA TRUSTEE 1.0 0.0 X 0 0 0 NICK CITERA TRUSTEE 1.0 0.0 X 0 0 0 GLEN L HELLER ESQ TRUSTEE 1.0 0.0 X 0 0 0 ELLEN M KELLY TRUSTEE (Resigned 12/31/2017) 1.0 0.0 X 0 0 0 THOMAS P KENNEDY Treasurer/TRUSTEE 1.0 0.0 X X 0 0 0 JOHN V PELELLA TRUSTEE 1.0 1.0 X 0 0 0 KEVIN WHITE Secretary/TRUSTEE 1.0 0.0 X X 0 0 0 John Finger Trustee (Resigned June 2017) 1.0 59.0 X 0 470484 25323 Jeffrey Menkes Trustee 1.0 59.0 X 0 1099916 17000 Susan Green-Lorenzen RN Trustee 1.0 59.0 X 0 3344342 41544 Roberto Padillo Trustee (Elected 1/1/2017) 1.0 0.0 X 0 0 0 Mary Ellen Rogulski Trustee (Elected 1/1/2017) 1.0 0.0 X 0 0 0 JOAN CUSACK-MCGUIRK President & CEO 50.0 5.0 X 532624 0 41153 THOMAS J GIBNEY SVP, CHIEF FINANCIAL OFFICER 50.0 5.0 X 401692 0 49008 DANIEL M BENGYAK VP, HUMAN RESOUCES 55.0 0.0 X 240032 0 37193 JOSEPH T SURACE VP, OPERATIONS 55.0 0.0 X 218907 0 45454 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 55.0 0.0 X 224667 0 42553 CHRISTINE E JELALIAN MD CHIEF MEDICAL OFFICER 31.0 24.0 X 305289 283790 48666 GINA DEL SAVIO MD ASSOC CHIEF MEDICAL OFFICER 31.0 24.0 X 351142 0 14525 Mary V Kelley VP, Quality Management 55.0 0.0 X 215589 0 35328 Kyung Han MD Physician 55.0 0.0 X 368088 0 7515 Daniel Maughan VP, Transformation 55.0 0.0 X 225347 0 10488 3083377 5198532 415750 193 false true false United Westlabs Inc 801 North Parkcenter Drive SANTA ANA CA 92705 outside lab services 2359551 Allied Universal Security Services PO Box 828854 PHILADELPHIA PA 191828854 Security services 1793504 Restorix Health PO Box 71849 CHICAGO IL 606941849 Medical services 1616665 PatientMatters LLC 518 South Magnolia Avenue ORLANDO FL 32801 Billing/Mgmt Serv 1124228 Persante Sleep Care 200 East Park Drive MOUNT LAUREL NJ 08054 Sleep Mgmt Serv. 799587 34 947466 18025639 0 18973105 PATIENT SERVICE REVENUE 622110 186911908 186911908 0 0 OTHER HEALTHCARE REALTED SERVICES 621999 3804168 3804168 0 0 190716076 236849 0 0 236849 0 0 833195 538671 294524 0 294524 0 0 294524 96969 0 96969 96969 0 0 96969 0 0 0 0 0 0 130668 102149 28519 0 0 28519 EQUITY EARNINGS ON PROGRAM INVESTMENTS 523999 870268 833839 36429 0 CAFETERIA REVENUE 722514 706936 0 0 706936 PARKING REVENUE 812930 474512 0 0 474512 532693 2038 530655 2584409 212930451 191549915 38467 2368964 2023380 2023380 0 0 0 1833283 267220 1566063 0 0 72998492 62665972 10332520 0 6705458 5714775 990683 0 15176850 12862040 2314810 0 5627824 4728898 898926 0 0 387605 0 387605 0 448284 0 448284 0 3355 3355 0 0 0 0 29520972 20517030 9003942 0 484774 280 484494 0 9632667 6680936 2951731 0 1674358 29766 1644592 0 0 4592548 4523364 69184 0 74813 35368 39445 0 0 75113 68916 6197 0 2462337 2461887 450 0 0 5009904 4109123 900781 0 4026662 3886672 139990 0 MEDICAL SUPPLIES 34623174 34623174 0 INTERCOMPANY SHARED SERVICES 3976139 0 3976139 0 NYS CASH ASSESSMENT 736418 0 736418 0 IMPAIRMENT OF ASSETS 516723 516723 0 0 1128183 797508 330675 203739316 166516387 37222929 0 359226 5569 7105049 12309707 0 0 21596835 25585997 0 0 0 0 0 234797 4184935 4041246 420408 1054159 80583810 20289981 57358246 60293829 8589681 11501613 0 3892557 6354624 3819359 2694385 0 12878324 15645461 121541713 138384294 30281115 35391250 0 0 0 0 15155000 24445000 0 48319 0 0 35115000 22695000 0 0 35984304 39312122 116535419 121891691 X 3125945 14946818 1204696 870132 675653 675653 5006294 16492603 121541713 138384294 X 9191135 1116172 1179002 X false true X true true true X false true false false false false true 3355 false true 75346 78701 false SCHEDULE C, PART II-B, QUESTIONS 1B, 1G & 1I ST. LUKE'S CORNWALL HOSPITAL direct lobbying expenditures included $3,355 of paid staff compensation included in line 1G that was spent on calls, meetings, letters, memos and other communications with elected and other governmental officials in an attempt to influence certain health care outcomes. Other lobbying activities were for indirect cost associated with 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 was used for lobbying efforts by these organizations. false true X 1880349 1252181 3167 951966 637946 1545785 1053464 1834650 0 492615 515150 1880349 1172509 866542 -890 571016 413681 1053464 1324803 1079840 697 1155380 77451 1172509 1930763 1427644 -253513 1653839 126252 1324803 0.00000 0.43710 0.56290 false true true 1684001 1684001 49587480 4975967 44611513 25918487 14437570 11480917 3393842 876444 2517398 60293829 EST INSURANCE CLAIMS RECEIV 13401180 DUE FROM THIRD PARTY PAYORS 1932186 OTHER ASSETS 312095 15645461 0 EST INSURANCE CLAIMS LIABILITIES 13401180 PENSION LIABILITIES 16139350 DUE TO AFFILIATES 2110055 INTEREST RATE SWAP AGREEMENTS 2167018 MALPRACTICE INSURANCE LIABILITIES 4088630 DUE TO THIRD PARTY PAYORS 1112753 OTHER LIABILITIES 293136 39312122 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) Part of the Permanently restricted endowment funds represents the organization's interest in St Lukes's Cornwall Health System Foundation, Inc., 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 Health System. Central America and the Caribbean Investments 133730 133730 133730 false false true false false false Schedule F, Part IV, Line 3 St Luke's Cornwall Health System, owns 100% of the common stock of SLCH Insurance Co., LTD., a foreign corporation. The other 100% of the preferred stock is owned by St Luke's Cornwall Hospital, a supported organization of St Luke's Health System. The form 5471, information return of U.S. persons with respect to certain foreign corporations, is being e-filed by St Luke's Cornwall Health System, 70 Dubois Street, Newburgh, NY 12550, EIN 22-3026261, on behalf of St. Luke's Cornwall Hospital. true true X true X true X true true true false true true 5444075 2167297 3276778 0.01610 46353053 33209525 13143528 0.06450 51797128 35376822 16420306 0.08060 2991583 0 2991583 0.01470 17623949 12993879 4630070 0.02270 20615532 12993879 7621653 0.03740 72412660 48370701 24041959 0.11800 false 2225231 363222 60172050 67709601 -7537551 X true true EOASC Ambulatory Surgery Center 0.3546 0.0 0.59686 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.STLUKESCORNWALLHOSPITAL.ORG 3522000H X X X ST LUKE'S CORNWALL HOSPITAL 1 false false true X X X X X X X X X 16 true false false true X See Part V - Section C X true 16 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 2016-2018 Community Health Needs Assessment was a inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community. The assessment was conducted using survey data from the 2016 community Health Assessment from the Orange County Department of Health in collaboration with input from community partners. SLHC leads the Population Health Coalition, a group formed in 2014 that includes more than 30 local organizations focusing 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. 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: http://www.stlukescornwallhospital.org/community/community-reports/SiteAss ets/Pages/default/2016-18%20SLCH%20Community%20Service%20Plan.pdf Schedule H, Part V, Section B, Line 10a The hospital's most recently adopted implementation strategy is posted on the direct website: http://www.stlukescornwallhospital.org/community/community-reports/SiteAss ets/Pages/default/2016-18%20SLCH%20Community%20Service%20Plan.pdf Schedule H, Part V, Section B, Line 11 A review of the results from the data collection in the Hospital's most recent conducted CHNA illustrated that SLCH should continue to retain the two priority areas selected in 2013 (1) Preventing Chronic Diseases and (2) Promoting Healthy Women, Infants and Children. Across these two focus areas, various goals, with specific interventions, performance measures and time frames were delineated; - Increase screening rates for cardiovascular disease, diabetes, and cancer; - Increase access to high quality chronic disease preventive care and management in clinical and community settings; - Increase rates for infants exclusively breastfed in the hospital. In order to address these prevention agenda items, St Luke's Cornwall Hospital is continuing its work with a broad spectrum of community partners including the Population Health Coalition, that St Luke's leads in order to identify gaps in care, consolidate resources and information and collaborate on projects that serve the community. In addition to working with the Population Health Coalition, St Luke's Cornwall Hospital has it own community education program that reaches a wide variety of audiences on a number of topics related to its two prevention agenda items. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens and public events. During the year, SLCH provided over 100 educational and screening events to the community. 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. The Population Health Coalition has also succeeded in compiling an interactive directory of local community resources that can be utilized to better connect the population to appropriate services to best fit their needs. Another focus has been to decrease exacerbation of chronic diseases and prevent unnecessary hospitalization through work that has been completed in our care transitions Program. With this program, high risk patients (COPD, CHF and Diabetes) are managed by members of our team. The Coleman Model of Care is used with each Patient, ensuring that they receive the proper follow up care when discharged from the hospital. Our team works closely to continue to manage the patient's needs, ultimately preventing their return to the hospital for their chronic illness. We are also working through collaboration with community partners on projects that are designed to engage patients in order to help them manage chronic diseases in more appropriate setting and reduce hospital utilization for issues better dealt with through community-based resources. To assist in the promotion of healthy women, infants and children, SLCH has worked to increase support for breastfeeding. Along with our efforts to increase breastfeeding rates, SLCH has taken an active role in the prevention of Neonatal Abstinence Syndrome, a consequence of the abrupt discontinuation of chronic fetal exposure to substance abuse or use by a mother during pregnancy. 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: http://www.stlukescornwallhospital.org/patients-and-visitors/patient/Pages /Billing-and-Insurance-Information.aspx Schedule H, Part V, Section B, Line 16b The organization's FAP application is available on the hospital's website: http://www.stlukescornwallhospital.org/patients-and-visitors/patient/Pages /Billing-and-Insurance-Information.aspx Schedule H, Part V, Section B, Line 16c The plain language summary of the FAP is available on the hospital's website: http://www.stlukescornwallhospital.org/patients-and-visitors/patient/Pages /Billing-and-Insurance-Information.aspx 4 ST LUKE'S CORNWALL HOSPITAL FISKILL CTR 992 MAIN STREET ROUTE 52 FISHKILL NY 12524 REHABILITATION SERVICES THE REHAB CENTER AT NEW WINDSOR 575 HUDSON VALLEY AVENUE NEW WINDSOR NY 12553 REHABILIATION SERVICES ST LUKE'S CENTER FOR REHABILIATION 279 MAIN STREET NEW PALTZ NY 12561 REHABILITATION SERVICES ST LUKE'S HOSPITAL OUTPATIENT CARE CTR 417 ROUTE 9W NEWBURGH NY 12550 LABORATORY SERVICES 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. 1. PART III, Section A, LINES 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 patients under the organization's charity care policy was based on 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: "Account Receivable are also reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts." 1. PART III, Section B, LINE 8 ST. LUKE'S CORNWALL HOSPITAL OBTAINED THE MEDICARE GROSS REVENUE FROM ITS INTERNAL COST ACCOUNTING SYSTEM. THE MEDICARE GROSS REVENUE IS MULTIPLIED BY THE RATIO OF COST TO CHARGES ("RCC"). THE RCC IS CALCULATED BY DIVIDING THE AUDITED EXPENSES BY TOTAL GROSS REVENUE. 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 AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. Providing CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THeSE MEDICARE BENEFICIARIES ARE ALSO MEDICAID eligible. 1. Part III, Section C, Line 9B For patients who are known to qualify for Financial assistance, all collection activity is 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. 2. Needs Assessment The organization assesses community needs by working jointly with a broad spectrum of community partners. SLHC 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 organization 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. SLCH 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. 4. Community Information ST. LUKE'S CORNWALL HOSPITAL ("SLCH") is comprised of TWO HOSPITAL CAMPUSES IN CORNWALL, NY AND NEWBURGH, NY AS WELL AS VARIOUS OFFSITE FACILITIES THROUGHOUT THE COMMUNITY. SLCH IS An ACUTE CARE HOSPITAL DEDICATED TO PROVIDING FOR THE HEALTHCARE NEEDS OF THE COMMUNITY. THE SLCH GEOGRAPHIC COVERAGE AREA SERVES A POPULATION OF APPROXIMATELY 400,000 PEOPLE. As a safety net provider, SLCH SERVEs A POPULATION THAT HAS BEEN DESIGNATED AS a MEDICALLY UNDERSERVED area. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF NEWBURGH, the most densely populated portion of SLCH's primary service area, with more than 1,500 PEOPLE PER SQUARE MILE. THE SLCH MARKET IS DEFINED BY 36 NEIGHBORING ZIP CODES mainly IN ORANGE county and including ULSTER AND DUTCHESS COUNTIES. According to estimates from the United States Census Bureau, Orange county's: - Population grew by 1.3% (between 2010 and 2015) - Median household income between 2011 and 2015 was $70,848 - Percentage of persons 65 and older was 12.9%, an increase of nearly two percentage since 2010 - 12.1% of the population lives in poverty. The latest survey shows an increase from 2013 in the reported prevalence of certain chronic diseases, including diabetes, high blood pressure, reported overweight or obesity and heart disease. The survey also indicated the other most commonly reported chronic diseases as hyperlipidemia, depression or anxiety and chronic pain. 5. Promotion of Community Health St Luke's Cornwall hospital promotes community health by working with a broad spectrum of community Partners in order to address various community health issues. SLCH 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 identity 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. St Luke's Cornwall Hospital has its own community education programs that reaches 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 St Luke's Cornwall Hospital is an affiliate of Montefiore Health System, Inc. 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 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) 835244 PROGRAM SUPPORT HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 501(C)(3) 1104196 PROGRAM SUPPORT Access Supports for Living Foundation Inc 15 Fortune Road West Middletown NY 10941 205404423 501(c)(3) 8300 Sponsorship American Cancer Society Inc 250 Williams Street NW Atlanta GA 30303 131788491 501(c)(3) 10000 Sponsorship American Heart Association Inc 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 5750 Sponsorship Cornerstone Family Healthcare 2570 Route 9W Cornwall NY 12518 061036715 501(c)(3) 6250 Sponsorship 6 0 SCHEDULE I, PART I, LINE 2 Most of the hospital's assistance was made to two 501(C)(3) supported organizations of the hospital that was 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 false true false false false false false true false JOAN CUSACK-MCGUIRK President & CEO 450688 0 71442 0 10494 0 15425 0 25728 0 573777 0 0 0 THOMAS J GIBNEY SVP, CHIEF FINANCIAL OFFICER 356513 0 40277 0 4902 0 8950 0 40058 0 450700 0 0 0 DANIEL M BENGYAK VP, HUMAN RESOUCES 221359 0 18000 0 673 0 2314 0 34879 0 277225 0 0 0 CHRISTINE E JELALIAN MD CHIEF MEDICAL OFFICER 276253 175000 29036 108790 0 0 15500 0 33166 0 353955 283790 0 0 GINA DEL SAVIO MD ASSOC CHIEF MEDICAL OFFICER 317500 0 31251 0 2391 0 14525 0 0 0 365667 0 0 0 JOSEPH T SURACE VP, OPERATIONS 201621 0 16273 0 1013 0 9338 0 36116 0 264361 0 0 0 MARGARET ALLERS RN VP, CHIEF NURSING OFFICER 201421 0 20354 0 2892 0 7737 0 34816 0 267220 0 0 0 John Finger Trustee (Resigned June 2017) 0 469570 0 0 0 914 0 9808 0 15515 0 495807 0 0 Jeffrey Menkes Trustee 0 509100 0 160400 0 430416 0 17000 0 0 0 1116916 0 127561 Susan Green-Lorenzen RN Trustee 812981 0 346285 0 2185076 0 17000 0 24544 0 3385886 0 1462485 Mary V Kelley VP, Quality Management 188534 0 22802 0 4253 0 6825 0 28503 0 250917 0 0 0 Kyung Han MD Physician 311778 0 47658 0 8652 0 7515 0 0 0 375603 0 0 0 Daniel Maughan VP, Transformation 204345 0 20000 0 1002 0 9225 0 1263 0 235835 0 0 0 Schedule J, Part I, Line 4b Trustees employed by Montefiore Health System, Inc. participated in a supplemental nonqualified retirement plan. 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 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 ORGANIZATION. Pooled supplemental executive retirement plan distribution based on multiple years of service: Susan Green-Lorenzen, RN - $2,163,042 Jeffrey Menkes - $406,366. Schedule J, Part I, Line 7 Part of the annual incentive awards in column (B)(II) paid by the organization to an officer listed on Form 990, Part VII, Section A, Line 1A was based on the compensation board discretion. A Orange County Industrial Development Agency 141603415 684595DT5 2006-06-22 15965000 Facility Improvements false false false A 4245000 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 true true true Key Bank 20. true false false 0 false true A true Form 990, Part VI, Section A, Line 6 Montefiore Health System, Inc. is the sole member of St Luke's Cornwall Hospital. Form 990, Part VI, Section A, Line 7A Montefiore Health System, Inc., the sole member of 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 St Luke's Cornwall Hospital, has the power to authorize and approve amendments to the Certificate of Incorporation and bylaws of the Corporation, election or removal of the corporate officers, authorization and approval of all budgets and plans (other than operating and capital budget and strategic plans), the authorization and approval of managed care contracts, expansion/subtraction of the corporation and certain administrative procedures, as well as 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 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 RETURNED and 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 Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. 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 Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. 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 other change in net asset increase of $1,179,002 was due to the following: - Decrease in defined pension & other postretirement plans liabilities to be recognized in future periods $825,421 - Change in fair value of derivative instrument $688,156 - Change in Beneficial interest in an affiliate Foundation entity ($334,564) - Others ($11) TOTAL $1,179,002 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:1630863 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7455342 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:17138896 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:3135557 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITMENT TOTAL FEES:75238 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:85076 ST LUKE'S CORNWALL JV LLC 70 DUBOIS STREET NEWBURGH NY 12550 263443304 HEALTH SVCS. 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