ST LUKES CORNWALL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ST LUKES CORNWALL HOSPITAL (EIN 14-1340054)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-15
IRS object ID: 201603209349303710
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-15T09:23:54-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	465 South St Ste 200	AddressLine1Txt
City	Morristown	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	079606497	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	141340054	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S CORNWALL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% THOMAS J GIBNEY CPA	InCareOfNm
Business Name Control	STLU	BusinessNameControlTxt
Phone	8455614400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	70 DUBOIS STREET	AddressLine1Txt
City	NEWBURGH	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12550	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS J GIBNEY CPA	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Scott J Mariani	PreparerPersonNm
PTIN	P00642486	PTIN
Phone	9738989494	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOAN CUSACK-MCGUIRK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	70 DUBOIS STREET	AddressLine1Txt
City	NEWBURGH	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12550	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$172,154,012	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STLUKESCORNWALLHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2002	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1361	TotalEmployeeCnt
Total Volunteers	75	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$226,265	PYContributionsGrantsAmt
CY Contributions Grants	$352,485	CYContributionsGrantsAmt
PY Program Service Revenue	$165,555,645	PYProgramServiceRevenueAmt
CY Program Service Revenue	$168,071,766	CYProgramServiceRevenueAmt
PY Investment Income	$138,022	PYInvestmentIncomeAmt
CY Investment Income	$1,400,567	CYInvestmentIncomeAmt
PY Other Revenue	$1,094,266	PYOtherRevenueAmt
CY Other Revenue	$1,351,740	CYOtherRevenueAmt
PY Total Revenue	$167,014,198	PYTotalRevenueAmt
CY Total Revenue	$171,176,558	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,075,623	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,877,395	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$89,022,555	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$96,397,954	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$83,068,179	PYOtherExpensesAmt
CY Other Expenses	$86,320,320	CYOtherExpensesAmt
PY Total Expenses	$174,166,357	PYTotalExpensesAmt
CY Total Expenses	$184,595,669	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,152,159	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$13,419,111	CYRevenuesLessExpensesAmt
Total Assets BOY	$155,483,808	TotalAssetsBOYAmt
Total Assets EOY	$149,301,086	TotalAssetsEOYAmt
Total Liabilities BOY	$120,762,412	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$123,223,652	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$34,721,396	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$26,077,434	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$96,178,788	ExpenseAmt
Grant	$1,877,395	GrantAmt
Revenue	$97,189,547	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT CARE SERVICES AT ITS NEWBURGH, NEW YORK CAMPUS TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015 THERE WERE 10,378 DISCHARGES AND 47,122 PATIENT DAYS. THE INPATIENT CARE INCLUDES ACUTE INPATIENT SERVICES, INTENSIVE CARE UNITS, OB/GYN SERVICES, NEONATAL INTENSIVE CARE UNIT AND NURSERY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$50,366,825	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$50,896,138	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THESE OUTPATIENT SERVICES ARE PROVIDED AT BOTH THE NEWBURGH AND CORNWALL CAMPUSES, AS WELL AS OTHER SATELLITE FACILITIES WHICH INCLUDE THE rehabilitation CENTER AT NEW WINDSOR AND THE MEDICAL OFFICE BUILDING IN CORNWALL, NEW YORK. DURING 2015 THERE WERE A TOTAL OF 101,927 VISITS, OF WHICH 50,869 WERE LABORATORY VISITS, 18,672 WERE PHYSICAL REHABILITATION VISITS AND 5,756 WERE RADIOLOGY VISITS. SOME OF THE OTHER OUTPATIENT SERVICES INCLUDE AMBULATORY SURGERY, ENDOSCOPY, PAIN MANAGEMENT, INFUSION THERAPY, WOUND CARE AND CARDIAC SERVICES. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$19,778,229	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$19,986,081	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERViCES AT THE NEWBURGH AND CORNWALL CAMPUSES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2015 THERE WERE 47,730 EMERGENCY DEPARTMENT CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$166,323,842	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	156	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1361	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	THOMAS J GIBNEY CPA	PersonNm
Phone	8455682881	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	70 DUBOIS STREET	AddressLine1Txt
City	NEWBURGH	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12550	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHELLE F RIDER
CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GEOFFREY BRACKETT
VICE CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID POTACK
SECRETARY - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY CAMPAGIORNI
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
CHRIS CATANIA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
NICK CITERA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
VIVIEN A COLLENS
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
GLEN L HELLER ESQ
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ELLEN M KELLY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
THOMAS P KENNEDY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PETER X NEUMAN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PATRICK O ORTLAND
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOHN V PELELLA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KEVIN WHITE
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ROBERT S ROSS
PRESIDENT/CEO (1/1/15-6/6/15)	55.0	0.0		Yes (X)	$391,618	$0	$25,340
JOAN CUSACK-MCGUIRK
INTERIM PRES/CEO (EFF 6/7/15)	55.0	0.0		Yes (X)	$361,717	$0	$39,959
THOMAS J GIBNEY
SVP, CHIEF FINANCIAL OFFICER	55.0	0.0		Yes (X)	$358,223	$0	$39,869
DANIEL M BENGYAK
VP, HUMAN RESOUCES(EFF 5/3/15)	55.0	0.0			$188,868	$0	$44,095	Yes (X)
MARGARET DEYO-ALLERSRNBSNMSN
VP, PAT CARE/CNO(EFF 12/18/15)	55.0	0.0			$183,267	$0	$40,165	Yes (X)
CHRISTINE E JELALIAN MD
CHIEF MEDICAL OFFICER	55.0	0.0			$293,336	$175,000	$55,073		Yes (X)
GINA DEL SALVIO MD
ASSOCIATE CMO (EFF 1/19/15)	55.0	0.0			$284,497	$0	$0		Yes (X)
CLETIS B EARLE
VP, CIO (TERMED 5/5/15)	55.0	0.0			$255,366	$0	$34,569		Yes (X)
JOSEPH T SURACE
VP, OPERATIONS	55.0	0.0			$207,976	$0	$43,602		Yes (X)
DIANE WILKINSON
REGISTERED NURSE	55.0	0.0			$204,337	$0	$28,328		Yes (X)
GLENN COUROUNIS
FORMER HIGHEST COMPENSATED EMP	0.0	0.0			$251,947	$0	$14,496			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,981,152	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$175,000	TotReportableCompRltdOrgAmt
Total Other Compensation	$365,496	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	155	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNITED WESTLABS INC
801 N PARKCENTER DRIVE SUITE 202	SANTA ANA	CA	92705	LABORATORY	$1,891,706
RESTORIX HEALTH INC
155 WHITE PLAINS ROAD SUITE 222	TARRYTOWN	NY	10591	MEDICAL	$953,472
NAVIN HAFFTY ASSOCIATES LLC
1900 WEST PARK DRIVE SUITE 180	WESTBOROUGH	MA	01581	CONSULTING	$745,432
FRESENIUS MANAGEMENT SERVICES INC
16343 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	MANAGEMENT	$588,100
PERSANTE SLEEP CARE
130 GAITHER DRIVE SUITE 124	MOUNT LAUREL	NJ	08054	MEDICAL	$531,270

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$284,492	RelatedOrganizationsAmt
All Other Contributions	$67,993	AllOtherContributionsAmt
Total Contributions	$352,485	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	541900	$164,049,373	$164,049,373
OTHER HEALTHCARE REALTED SERVICES	541900	$4,022,393	$4,022,393

Field	Value	IRS element (for citing)
Total Program Service Revenue	$168,071,766	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,241,372	TotalRevenueColumnAmt
Exclusion	$1,241,372	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$880,043	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$554,589	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$325,454	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$325,454	TotalRevenueColumnAmt
Exclusion	$325,454	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$476,335	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$317,140	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$317,140	SecuritiesAmt
Other	$476,335	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$159,195	TotalRevenueColumnAmt
Exclusion	$159,195	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$139,562	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$105,725	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,837	TotalRevenueColumnAmt
Exclusion	$33,837	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722514	$648,034	$648,034
PARKING REVENUE	812930	$344,415	$344,415

Field	Value	IRS element (for citing)
Other Revenue Total	$992,449	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$171,176,558	TotalRevenueColumnAmt
Related Or Exempt Func Income	$168,071,766	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,752,307	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,877,395	TotalAmt
Program Services	$1,877,395	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,673,120	TotalAmt
Program Services	$1,505,808	ProgramServicesAmt
Management And General	$167,312	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$66,522,946	TotalAmt
Program Services	$59,870,651	ProgramServicesAmt
Management And General	$6,652,295	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,858,557	TotalAmt
Program Services	$7,072,701	ProgramServicesAmt
Management And General	$785,856	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,035,321	TotalAmt
Program Services	$13,531,789	ProgramServicesAmt
Management And General	$1,503,532	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,308,010	TotalAmt
Program Services	$4,777,209	ProgramServicesAmt
Management And General	$530,801	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$137,833	TotalAmt
Program Services	$124,050	ProgramServicesAmt
Management And General	$13,783	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$649,891	TotalAmt
Program Services	$584,902	ProgramServicesAmt
Management And General	$64,989	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$330,577	TotalAmt
Program Services	$297,519	ProgramServicesAmt
Management And General	$33,058	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$125,287	TotalAmt
Program Services	$112,758	ProgramServicesAmt
Management And General	$12,529	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,328,525	TotalAmt
Program Services	$21,895,673	ProgramServicesAmt
Management And General	$2,432,852	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$585,564	TotalAmt
Program Services	$527,008	ProgramServicesAmt
Management And General	$58,556	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,860,788	TotalAmt
Program Services	$2,574,709	ProgramServicesAmt
Management And General	$286,079	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$74,024	TotalAmt
Program Services	$66,622	ProgramServicesAmt
Management And General	$7,402	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,216,252	TotalAmt
Program Services	$2,894,626	ProgramServicesAmt
Management And General	$321,626	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$34,381	TotalAmt
Program Services	$30,943	ProgramServicesAmt
Management And General	$3,438	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90,536	TotalAmt
Program Services	$81,482	ProgramServicesAmt
Management And General	$9,054	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,887,464	TotalAmt
Program Services	$2,598,718	ProgramServicesAmt
Management And General	$288,746	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,216,577	TotalAmt
Program Services	$8,294,919	ProgramServicesAmt
Management And General	$921,658	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,993,533	TotalAmt
Program Services	$3,594,180	ProgramServicesAmt
Management And General	$399,353	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$33,834,008	$30,450,607	$3,383,401	$0
REPAIRS & MAINTENANCE	$1,713,948	$1,542,553	$171,395
PATIENT TRANSPORTATION	$508,486	$457,637	$50,849
DUES & SUBSCRIPTIONS	$370,822	$333,740	$37,082

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,361,824	TotalAmt
Program Services	$1,225,643	ProgramServicesAmt
Management And General	$136,181	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$184,595,669	TotalAmt
Program Services	$166,323,842	ProgramServicesAmt
Management And General	$18,271,827	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,662	BOYAmt
EOY	$7,662	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,067,405	BOYAmt
EOY	$5,614,173	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,920,335	BOYAmt
EOY	$21,520,868	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,074,659	BOYAmt
EOY	$4,011,961	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,221,574	BOYAmt
EOY	$3,520,687	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$252,392,461	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$167,789,956	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$89,073,920	BOYAmt
EOY	$84,602,505	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$22,364,030	BOYAmt
EOY	$16,067,512	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,409,602	BOYAmt
EOY	$1,190,207	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,344,621	BOYAmt
EOY	$12,765,511	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$155,483,808	BOYAmt
EOY	$149,301,086	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,394,628	BOYAmt
EOY	$33,555,868	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,325,000	BOYAmt
EOY	$16,270,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$38,850,000	BOYAmt
EOY	$37,005,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,192,784	BOYAmt
EOY	$36,392,784	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$120,762,412	BOYAmt
EOY	$123,223,652	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,548,887	BOYAmt
EOY	$25,023,970	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$496,864	BOYAmt
EOY	$377,811	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$675,645	BOYAmt
EOY	$675,653	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$34,721,396	BOYAmt
EOY	$26,077,434	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$155,483,808	BOYAmt
EOY	$149,301,086	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$13,419,111	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$50,938	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,826,087	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$114,450	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,837	OtherActivitiesAmt
Total Lobbying Expenditures	$125,287	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, QUESTIONS 1B, 1G & 1I	FormAndLineReferenceDesc
Explanation	ST. LUKE'S CORNWALL HOSPITAL ("SLCH") ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2015, SLCH PAID AN INDEPENDENT FIRM $74,400 FOR LOBBYING CONSULTING SERVICES. THE ORGANIZATION ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN EMPLOYED PERSONNEL TO REPRESENT TIME SPENT LOBBYING AND ADDRESSING FEDERAL AND STATE HEALTHCARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $10,837 DURING 2015. IN ADDITION, THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK STATE, NORTHERN METROPOLITAN HOSPITAL ASSOCIATION AND 1199/SEIU, ALL OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THESE ORGANIZATIONS ARE ALLOCATED TOWARDS THESE LOBBYING EFFORTS. THIS ALLOCATION AMOUNTED TO $40,050 DURING 2015.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,172,509	BeginningYearBalanceAmt
Contributions	$866,542	ContributionsAmt
Investment Earnings Or Losses	-$890	InvestmentEarningsOrLossesAmt
Other Expenditures	$571,016	OtherExpendituresAmt
Administrative Expenses	$413,681	AdministrativeExpensesAmt
End Year Balance	$1,053,464	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,324,803	BeginningYearBalanceAmt
Contributions	$1,079,840	ContributionsAmt
Investment Earnings Or Losses	$697	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,155,380	OtherExpendituresAmt
Administrative Expenses	$77,451	AdministrativeExpensesAmt
End Year Balance	$1,172,509	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,930,763	BeginningYearBalanceAmt
Contributions	$1,427,644	ContributionsAmt
Investment Earnings Or Losses	-$253,513	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,653,839	OtherExpendituresAmt
Administrative Expenses	$126,252	AdministrativeExpensesAmt
End Year Balance	$1,324,803	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,382,220	BeginningYearBalanceAmt
Contributions	$1,487,353	ContributionsAmt
Investment Earnings Or Losses	$1,174	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,824,280	OtherExpendituresAmt
Administrative Expenses	$115,704	AdministrativeExpensesAmt
End Year Balance	$1,930,763	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,067,186	BeginningYearBalanceAmt
Contributions	$1,420,836	ContributionsAmt
Investment Earnings Or Losses	-$809	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,990,505	OtherExpendituresAmt
Administrative Expenses	$114,488	AdministrativeExpensesAmt
End Year Balance	$2,382,220	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.64140	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.35860	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$406,622	OtherCostOrOtherBasisAmt
Book Value	$406,622	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,138,264	OtherCostOrOtherBasisAmt
Depreciation	$66,553,769	DepreciationAmt
Book Value	$69,584,495	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,566,127	OtherCostOrOtherBasisAmt
Depreciation	$99,219,958	DepreciationAmt
Book Value	$14,346,169	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,281,448	OtherCostOrOtherBasisAmt
Depreciation	$2,016,229	DepreciationAmt
Book Value	$265,219	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$84,602,505	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
TAX-EXEMPT ORGANIZATION	$868,506	F
INSURANCE, CO., LTD.	$500,000	F
OTHER INVESTMENTS	$1,393,887	F
LIMITED USE	$5,395,527	F
LIMINTED USE	$761,511	F
LIMITED USE	$766,761	F
LIMITED USE	$3,588,037	F
SECURITIES; LIMITED USE	$1,131,975	F
LIMITED USE	$187,172	F
LIMITED USE	$227,211	F
CORPORATE BONDS; LIMITED USE	$1,246,925	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$16,067,512	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$97,183
DUE FROM JOINT VENTURES	$160,625
OTHER RECEIVABLES	$988,137
OTHER ASSETS	$11,519,566

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,765,511	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OTHER CURRENT LIABILITIES	$1,043,163
ACCRUED RETIREMENT BENEFITS	$15,463,031
ESTIMATED THIRD-PARTY SETTLEMENTS	$907,573
INTEREST RATE SWAP AGREEMENTS	$3,579,806
OTHER LONG-TERM LIABILITIES	$15,399,211

Field	Value	IRS element (for citing)
Total Liability	$36,392,784	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, QUESTION 4	FormAndLineReferenceDesc
Explanation	ENDOWMENT FUNDS ARE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION CHARITABLE TAX-EXEMPT PURPOSES. ST. LUKE'S CORNWALL HOSPITAL has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S TREATMENT WITH RESPECT TO TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS: TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE TO SUPPORT PROGRAM ACTIVITIES AS STIPULATED BY DONORS. ST. LUKE'S CORNWALL HOSPITAL ("HOSPITAL") FOLLOWS THE REQUIREMENTS OF THE NEW YORK PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("NYPMIFA") AS THEY RELATE TO ITS PERMANENTLY RESTRICTED CONTRIBUTIONS AND NET ASSETS, EFFECTIVE UPON NEW YORK STATE'S ENACTMENT OF THE LEGISLATION IN SEPTEMBER 2010. THE HOSPITAL HAS INTERPRETED NYPMIFA AS REQUIRING THE PRESERVATION OF THE FAIR VALUE OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUND, ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. THE HOSPITAL CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS THE ORIGINAL VALUE OF THE GIFTS DONATED TO THE PERMANENT ENDOWMENT AND THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT. ACCUMULATED EARNINGS OF THE PERMANENT ENDOWMENT ARE USED IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSSETS UNTIL THE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE IN ACCORDANCE WITH A STANDARD OF PRUDENCE PRESCRIBED BY NYPMIFA. THE INTEREST IN THE FOUNDATION INCLUDED IN TEMPORARILY RESTRICTED NET ASSETS IS PRIMARILY RESTRICTED FOR CAPITAL EXPENDITURES.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$500,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$500,000	SubtotalSpentAmt
Total Spent	$500,000	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART IV, LINE 3	FormAndLineReferenceDesc
Explanation	ST. LUKE'S CORNWALL HOSPITAL HOLDS A 100% PREFERRED STOCK OWNERSHIP INTEREST IN SLCH INSURANCE CO., LTD., A FOREIGN CORPORATION. ADDITIONALLY, ST. LUKE'S CORNWALL HEALTH SYSTEM, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, OWNS 100% OF THE COMMON STOCK OF SLCH INSURANCE CO., LTD. HUDSON VISTA CORPORATION, THE TAX-EXEMPT PARENT COMPANY OF ST. LUKE'S CORNWALL HOSPITAL AND ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. FILES A FORM 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FORIEGN CORPORATIONS, ON BEHALF OF ST. LUKE'S CORNWALL HOSPITAL AND ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. REPRESENTING THEIR OWNERSHIP INTEREST IN SLCH INSURANCE CO., LTD.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,970,980	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,721,196	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,249,784	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,395,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,086,654	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,308,452	NetCommunityBenefitExpnsAmt
Total Expense	0.08290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,366,086	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,807,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,558,236	NetCommunityBenefitExpnsAmt
Total Expense	0.08970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,438	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,438	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,421,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,807,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,613,674	NetCommunityBenefitExpnsAmt
Total Expense	0.09000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,379,652	BadDebtExpenseAmt
Bad Debt Expense Attributable	$23,718	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$75,794,743	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$87,772,171	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,977,428	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (12 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
AIRPORT IMAGING LLC
IMAGING/RADIOLOGY SERVICES	0.4	0.6
AIRPORT SUPPORT

SERVICES LLC
IMAGING/RADIOLOGY SERVICES	0.4	0.6
EASTERN ORANGE

AMBULATORY SURGERY

CENTER LLC
OUTPATIENT AMBULATORY SVCS.	0.3769	0.6231
LSL NEWBURGH LLC
DIALYSIS SERVICE	0.15	0.3
EASTERN ORANGE

AMBULATORY SURGERY

CENTER REALTY LLC
REALTY HOLDING CORP.	0.4	0.55
FISHKILL PARTNERS

LLC
DIALYSIS SERVICE	0.1	0.9

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ST LUKE'S CORNWALL HOSPITAL
1	70 DUBOIS STREET	NEWBURGH	NY	12550	WWW.STLUKESCORNWALLHOSPITAL.ORG	3522000H	Yes (X)	Yes (X)	Yes (X)	1
ST LUKE'S CORNWALL HOSPITAL
2	19 LAUREL AVENUE	CORNWALL	NY	12518	WWW.STLUKESCORNWALLHOSPITAL.ORG	3522000H			Yes (X)	1

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S CORNWALL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.STLUKESCORNWALLHOSPITAL.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.STLUKESCORNWALLHOSPITAL.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.STLUKESCORNWALLHOSPITAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.STLUKESCORNWALLHOSPITAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCH H, PART V, QUESTIONS 2,3J,7D,13B,15E,18D,19D,20E,21C,21D,23&24	NOT APPLICABLE.
SCHEDULE H, PART V, QUESTION 5	Throughout the preparation of the Community Health Needs Assessment ("CHNA"), WHICH St. Luke's Cornwall Hospital ("SLCH") IDENTIFIES AS ITS COMPREHENSIVE COMMUNITY SERVICE PLAN, the organization consulted with the orange county department of health and utilized a demographic and economic profile by Siemens to assess the needs of the community. In addition, at every community education seminar, surveys were conducted to assess from the community its health issues and interest. SLCH reached out to various religious organizations, schools, and non-secular organizations within the community they serve. The department of health was also consulted and they provided a list of health needs they have assessed in the area. SLCH also used the following methods to seek community input IN ORDER TO TAKE INTO ACCOUNT INPUT FROM A BROAD CROSS SECTION OF THE COMMUNITY: - Community/town forums and meetings; - Medical education seminars; - Physician presentations; and - Health screening events.
SCHEDULE H, PART V, QUESTIONS 6A & 6B	SLCH partnered with the following organizations to complete ITS CHNA: - Orange County Regional Medical Center; - Bon Secours Charity Health System; and - Orange County Department of Health.
SCHEDULE H, PART V, QUESTION 11	The CHNA conducted in 2013 identified SEVERAL needs WITHIN St. Luke's Cornwall Hospital'S ("SLCH") primary service area. According to the Orange County Department of Health residents have seen a health care provider for the following health issues: - Diabetes - 76% of population; - High Blood Pressure - 77% of population; - High Cholesterol - 62% of population; - Cancer or Cancer Screenings - 61% of population; and - Heart Disease - 74% of population. Based on this information, SLCH has identified several health challenges that face the community of which our healthcare services extend to. Included with these challenges are associated risk factors which have been identified by the Department of Health. The main challenges are: - Heart disease; - Cancer; and - Stroke. Within these health challenges, there are other obstacles that are leading causes of these challenges including diabetes and obesity. These obstacles greatly contribute to SLCHs main health challenges. SLCH decided to focus on Preventing Chronic Diseases. The action plan included increasing access to high-quality chronic disease preventive care and management in clinical and community settings. SLCH planS to address these needs by: 1) Increasing screening rates for cardiovascular disease, diabetes and breast and cervical cancers, ultimately to decrease the percentage of adults with cardiovascular disease, diabetes and breast and cervical cancers; 2) Promote use of evidence-based care to manage chronic diseases, ultimately to reduce hospital stay in adults with short-term chronic disease complications; and 3) Promote culturally relevant chronic disease self-management education, ultimately to reduce amount of adults within SLCHs primary service area who have chronic diseases or are aware of preventative measures for chronic diseases. In 2015 SLCH released AN UPDATED IMPLEMENTATION STRATEGY WHICH IT IDENTIFIES AS ITS 2015 Community Service Plan Update. The 2015 IMPLEMENTATION STRATEGY outlines SLCH'S progress to date on the prevention areas outlined in the 2013 CHNA. Please refer to the organization's 2015 IMPLEMENTATION STRATEGY on the following website for additional information on how SLCH is addressing the needs identified in the CHNA: www.stlukescornwallhospital.org/community/community-reports
SCHEDULE H, PART V, QUESTION 13H	THE HOSPITAL USES A CREDIT ASSESSMENT TOOL TO HELP DETERMINE IF CERTAIN PATIENTS CAN AUTO-QUALIFY FOR A FULL CHARITY CARE DISCOUNT DUE TO THE GUARANTOR "LOW LIKELIHOOD" OF PAYMENT.
SCHEDULE H, PART V, QUESTION 16I	REGISTRATION PERSONNEL REFER UNINSURED AND LOW INCOME PATIENTS TO FINANCIAL ASSISTANCE PERSONNEL TO DISCUSS OUR POLICY. THERE IS ALSO SIGNAGE WITHIN THE EMERGENCY ROOM THAT NOTES THE CREDIT AND COLLECTION CONTACTS TO PROVIDE ASSISTANCE FOR ELIGIBLE PATIENTS. THE HOSPITAL WEBSITE LISTS THAT WE WILL WORK WITH INDIVIDUALS WHO CANNOT PAY. IT PROVIDES A TELEPHONE NUMBER WITH OUR DEPARTMENT.
SCHEDULE H, PART V, QUESTION 22D	THE MAXIMUM AMOUNT THAT WILL BE CHARGED TO FAP-ELIGIBLE PATIENTS IS THE HOSPITAL'S DISCOUNTED SELF-PAY RATE. THESE RATES ARE BASED ON AVERAGE RATES FROM OUR APPROVED INSURANCE PROVIDER BY SERVICE.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	ST. LUKE'S CORNWALL HOSPITAL USES FEDERAL POVERTY GUIDELINES ("FPG") IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. PATIENTS WITH A DEMONSTRATED FAMILY INCOME AT OR BELOW 200% OF THE FPG ARE ELIGIBLE FOR 100% DISCOUNT ON ANY QUALIFYING BALANCES. PATIENTS WITH A DEMONSTRATED FAMILY INCOME BETWEEN 201% AND 300% OF THE FPG ARE ELIGIBLE FOR A 50% DISCOUNT ON QUALIFYING BALANCES. ADDITIONALLY, ST. LUKE'S CORNWALL HOSPITAL IS FULLY COMPLIANT WITH THE 2015 NEW YORK STATE CHARITY CARE GUIDELINES (DEPARTMENT OF HEALTH). THIS CRITERIA IS USED IN DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 6A	THE ORGANIZATION'S COMMUNITY SERVICE PLAN IS WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: www.stlukescornwallhospital.org
SCHEDULE H, PART I, LINE 7	WORKSHEET 2 WAS USED TO CALCULATE THE COST TO CHARGE RATIO. ADDITIONALLY, ST. LUKE'S CORNWALL HOSPITAL UTILIZES THE SAME METHODOLOGY REQUIRED BY THE NEW YORK STATE INSTITUTIONAL COST REPORT. THIS METHODOLOGY REQUIRES THE HOSPITAL TO USE A COST TO CHARGE RATIO TO CALCULATE THE UNCOLLECTED AMOUNTS ATTRIBUTABLE TO SERVICES PROVIDED TO UNINSURED PATIENTS FOUND TO BE ELIGIBLE FOR FINANCIAL AID.
SCHEDULE H, PART II	ST. LUKE'S CORNWALL HOSPITAL HOSTS MANY ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITY. VARIOUS OUTREACH PROGRAMS ARE HELD THROUGHOUT THE YEAR IN THE COMMUNITY. SOME EXAMPLES OF THESE ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO, STROKE AWARENESS/DIABETES/CARDIAC AWARENESS SEMINARS, BLOOD PRESSURE SCREENINGS, HEALTHY EATING. IN ADDITION, SEMINARS ARE GIVEN RELATING TO AVAILABLE HOME CARE OPTIONS, CANCER RELATED DISEASES, ASTHMA, ETC. THE HOSPITAL IS CONTINUALLY ATTEMPTING TO EDUCATE, SCREEN AND PROVIDE THE COMMUNITY WITH A FORUM TO BECOME COMFORTABLE WITH THE VARIOUS HEALTH ISSUES IN THEIR LIFE. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
SCHEDULE H, PART III, LINES 2, 3 & 4	Bad debt expense was calculated using the providers' bad debt expense from the audited financial statements, net of accounts write off at charges. St. Luke's Cornwall Hospital and subsidiaries prepares and issues an audited financial statement. Please refer to the below footnotes to the audited financial statements of St. Luke's Cornwall Hospital. Patient Accounts Receivable Patient accounts receivable from third-party payors for which the Hospital receives payment under various reimbursement formulae or negotiated rates are stated at the estimated net amounts receivable from such payors, which are generally less than the Hospitals established billing rates. Additions to the allowance for doubtful accounts result from the provision for bad debts. Accounts written off as uncollectible and recoveries on such accounts are recorded in the allowance for doubtful accounts. The amount of the allowance for doubtful accounts is based upon managements assessment of historical and expected net collections, business and economic conditions, and other collection indicators. Uncompensated Care As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital has defined charity care for accounting and disclosure purposes as the difference between its customary charges and the sliding scale rates given to patients in need of financial assistance. Patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospitals self-pay rates. Balances that remain uncollected from these patients for a predetermined amount of time are categorized as bad debts. As the collection of amounts determined to qualify as charity care is not pursued, such services are not reported as patient revenue. The estimated cost of charity care and other uncompensated care includes the direct and indirect cost of providing such services and is estimated utilizing the Hospitals ratio of cost to gross charges, which is then multiplied by the gross uncompensated charges associated with providing care to charity patients. The estimated cost of charity care and other uncompensated care provided approximated $4.6 million and $4.9 million for the years ended December 31, 2015 and 2014, respectively. The State of New York Department of Health Hospital Indigent Care Pool (the Pool) was established to help hospitals subsidize the cost of uncompensated care and is funded, in part, by a 1% assessment on hospital net inpatient service revenue. During each of the years ended December 31, 2015 and 2014, the Hospital recorded approximately $3.8 million in Pool receipts and paid approximately $1.0 million for the 1% assessment.
SCHEDULE H, PART III, 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. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT 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. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - 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. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - 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 THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CON
SCHEDULE H, PART III, LINE 9B	ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF ST. LUKE'S CORNWALL HOSPITAL AND ALL ITS AFFILIATES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY WHICH IS ADMINISTERED BY THE PATIENT FINANCIAL SERVICES DEPARTMENT. THEIR DEPARTMENTAL POLICY DETAILS HOW THE PROGRAM IS EXECUTED. THIS PROGRAM APPLIES TO ALL MEDICALLY NECESSARY PROCEDURES. THE OPPORTUNITY TO RECEIVE INFORMATION AND APPLY FOR FINANCIAL ASSISTANCE WILL BE MADE AVAILABLE TO ALL PATIENTS. FINANCIAL ASSISTANCE IS MADE AVAILABLE TO ALL ELIGIBLE PATIENTS WHO QUALIFY, REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. A FINANCIAL ASSISTANCE PACKAGE (APPLICATION AND INSTRUCTIONS) IS AVAILABLE TO ALL SELF-PAY PATIENTS AT THE TIME OF REGISTRATION OR FINANCIAL COUNSELING. ALL INTAKE, REGISTRATION AND PATIENT ACCOUNT STAFF ARE TRAINED ON THE ST. LUKE'S CORNWALL HOSPITAL FINANCIAL ASSISTANCE POLICIES. ST. LUKE'S CORNWALL HOSPITAL IS THE FIRST LOCAL HOSPITAL TO DISCOUNT ITS RATES FOR SELF-PAY PATIENTS, JUST AS ALL HOSPITALS DO FOR INSURANCE COMPANIES. THERE ARE TWO OPTIONS FOR THE UNINSURED OR SELF-PAY PATIENTS. CHARITY CARE IS AVAILABLE TO THOSE PATIENTS WHO DO NOT QUALIFY FOR MEDICAID AND WHOSE ANNUAL INCOME IS BELOW 300% OF FPG. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, A DISCOUNTED SELF-PAY RATE HAD BEEN ESTABLISHED.
SCHEDULE H, PART VI, QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS OUTLINED IN SCHEDULE H, QUESTION B, QUESTIONS 1-12 AND SECTION C, THE ORGANIZATION TOOK THE FOLLOWING STEPS IN 2013 TO ENSURE THAT THE CHNA WAS MANAGED IN A LOGICAL AND EFFECTIVE MANNER. IN AN EFFORT TO ASSESS THE HEALTHCARE NEEDS OF ITS COMMUNITIES THE ORGANIZATION CONSULTED WITH THE FOLLOWING ORGANIZATIONS; ORANGE COUNTY DEPARTMENT OF HEALTH, ORANGE COUNTY REGIONAL MEDICAL CENTER AND THE BON SECOURS CHARITY HEALTH SYSTEM. THROUGHOUT THE PREPARATION OF THE CHNA, ST. LUKE'S CORNWALL HOSPITAL WORKED AND CONSULTED WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH AND UTILIZED A DEMOGRAPHIC AND ECONOMIC PROFILE BY SIEMENS TO ASSESS THE NEEDS OF THE COMMUNITY. ADDITIONALLY, THE ORGANIZATION CONSULTED WITH THE DEPARTMENT OF HEALTH. THE DEPARTMENT OF HEALTH PROVIDED THE ORGANIZATION WITH A LIST OF HEALTH NEEDS THEY HAVE ASSESSED IN THE AREA. IN ADDITION, AT EVERY COMMUNITY EDUCATION SEMINAR, SURVEYS WERE CONDUCTED TO ASSESS FROM THE COMMUNITY ITS HEALTH ISSUES AND INTEREST. ST. LUKE'S CORNWALL HOSPITAL REACHED OUT TO VARIOUS RELIGIOUS ORGANIZATIONS, SCHOOLS, AND NON-SECULAR ORGANIZATIONS WITHIN THE COMMUNITY THEY SERVE. THE ORGANIZATION WORKED TOGETHER TO SEEK INPUT DURING COMMUNITY AND TOWN COUNCIL MEETINGS, MEDICAL EDUCATION SEMINARS, PHYSICIAN PRESENTATIONS AND VARIOUS HEALTH SCREENING EVENTS.
SCHEDULE H, PART VI, QUESTION 3	ST. LUKE'S CORNWALL HOSPITAL'S FINANCIAL ASSISTANCE POLICIES ADDRESS BOTH CHARITY CARE AND ASSISTANCE FOR THE UNINSURED PATIENTS (I.E. FREE AND DISCOUNTED CARE). SIGNS PROMOTING THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM, AND THE CONTACT INFORMATION ARE POSTED IN ALL PATIENT REGISTRATION AND FINANCIAL COUNSELING AREAS OF THE HOSPITAL. IN ADDITION THE ORGANIZATION PROVIDES CONTACT INFORMATION ON ALL BILLS SENT TO PATIENTS AND ON THE HOSPITAL'S WEBSITE. THE APPLICATION IS AVAILABLE AT THE TIME OF THE REGISTRATION, FINANCIAL COUNSELING OR UPON REQUEST AT ANY POINT WITHIN 90 DAYS OF THEIR STAY. A PATIENT REQUESTING FINANCIAL ASSISTANCE SUBMITS THE APPLICATION WHICH IS REVIEWED BASED ON THE PATIENTS INCOME UP TO 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). PATIENTS WITH INCOME ABOVE THE 200% BUT LESS THAN 300% OF FPG ARE ELIGIBLE FOR A 50% DISCOUNT ON CARE. PATIENTS CAN QUALIFY FOR A FULL CHARITY CARE DISCOUNT BASED ON THE HOSPITAL'S CREDIT ASSESSMENT TOOL OR WITH THE ASSISTANCE OF AN OUTSIDE COLLECTION AGENCY WHICH DETERMINES THE LIKELIHOOD OF PAYMENT. PATIENTS WHO HAVE NO HEALTH INSURANCE ARE BILLED AT THE LESSER OF CHARGES OR THE "UNINSURED RATE". THE HOSPITAL PUBLISHES IN IT POLICY THE SELF-PAY RATES FOR THE VARIOUS TYPES OF SERVICES OFFERED.
SCHEDULE H, PART VI, QUESTION 4	ST. LUKE'S CORNWALL HOSPITAL ("SLCH") HAS TWO HOSPITAL CAMPUSES IN CORNWALL, NY AND NEWBURGH, NY AS WELL AS VARIOUS OFFSITE FACILITIES THROUGHOUT THE COMMUNITY. SLCH IS A 345-BED 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. SLCH SERVED A POPULATION THAT HAS BEEN DESIGNATED AS MEDICALLY UNDERSERVED. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF NEWBURGH WHICH CONTAINS OVER 1,500 PEOPLE PER SQUARE MILE. THE SLCH MARKET IS DEFINED BY 36 NEIGHBORING ZIP CODES MAILING IN ORANGE, ULSTER AND DUTCHESS COUNTIES. THE FOLLOWING PRIMARY SERVICE AREA DEMOGRAPHIC SNAP SHOT STATISTICS ARE INCLUDED IN THE ORGANZATION'S 2015 COMMUNITY SERVICE PLAN UPDATE WHICH IS WIDELY PUBLICIZED ON THE ORGANIZATION'S WEBSITE. - The overall population is growing moderately between 2% to 3% through 2016; - The two fastest growing zip codes in the county are within 5 to 12 miles of the Hospital; - Nearly 57.5% of the overall population is 50 years of age and older; - $77,421 is the average household income; - In 2011, the estimated unemployment rate was slightly lower than New Yorks average at 7.9%; - In 2008, provisional data indicated that 19.7% of Orange County adults reported disabilities and 5.9% reported health problems that required the use of special equipment such as a cane, wheelchair, special bed or telephone; - SLCH along with Community Health Centers have been working to access eligibility for Medicaid Managed Care, Child Health Plus and Family Health Plus; - During the period of 1990-2000, approximately 9,000 immigrants established residency in Orange County, with over one-third of that number settling in the city of Newburgh, NY. The Census estimates that Orange County has experienced a 28% increase in foreign-born population from 2000-2005 compared to 16.3% nationwide; - The Orange County Department of Health has determined that housing units within the county increased 11% from 1990 - 2000 to 122,754. The DOH found that the majority of housing units in the county are owner occupied - 67%; - Overall, the perception of health is very high and 72% of respondents claim to have good or very good health; - Nearly 50% of the population feels that they are at normal weight. - Though the population feels as though they are at normal weight, 32% of SLCHs service area is obese and 28% is overweight; - While the lack of access to primary care is due to financial resources or employment, 86.9% of survey respondents claim to have medical insurance; and - 81% of the population claims to be aware of no or low cost health insurance programs available to children. insurance programs available to children.
SCHEDULE H, PART VI, QUESTION 5	THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY department FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES COMMUNITY HEALTH.
SCHEDULE H, PART VI, QUESTION 6	ST. LUKE'S CORNWALL HOSPITAL ("SLCH") IS AN AFFILIATE OF ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ALL AFFILIATES ARE DEDICATED TO PROVIDING EXCELLENT HEALTHCARE SERVICES TO THEIR COMMUNITIES. SLCH'S SOLE CORPORATE MEMBER AND TAX-EXEMPT PARENT OF THE SYSTEM IS HUDSON VISTA CORPORATION ("HVC"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW YORK PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER HVC OR ANOTHER HVC AFFILIATE CONTROLLED OR OWNED BY HVC. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES: HUDSON VISTA CORPORATION ("HVC") -------------------------------- HVC IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A NON-PRIVATE FOUNDATION UNDER IRC 509(A)(3). HVC WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION IN THE STATE OF NEW YORK. HVC OPERATES AS THE DIRECT PARENT COMPANY OF SLCH AND ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. ("SLCHS"). HVC WAS FORMED TO PROVIDE COORDINATION OF GOVERNANCE, POLICY MAKING, AND STRATEGIC PLANNING AND SUPPORT SERVICES TO ITS AFFILIATED ENTITIES. HVC ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ST. LUKE'S CORNWALL HOSPITAL ("SLCH") ------------------------------------- SLCH IS A 345-BED NON-PROFIT ACUTE CARE MEDICAL CENTER WITH TWO LOCATIONS LOCATED IN NEWBURGH AND CORNWALL, NEW YORK. AT ITS NEWBURGH CAMPUS, THE ORGANIZATION PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY MEDICAL SERVICES. IN ADDITION, THE ORGANIZATION PROVIDES OUTPATIENT AND EMERGENCY SERVICES AT ITS CORNWALL CAMPUS. SLCH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SLCH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SLCH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 AS OUTLINED EARLIER. ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. ("SLCHS") ------------------------------------------------- SLCHS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(3). SLCHS WAS ESTABLISHED PRIMARILY TO SUPPORT AND ASSIST ALL ITS AFFILIATES BY REVIEWING AND MONITORING THEIR MISSION, OBJECTIVES, ACTIVITIES AND RESOURCES, AND ADVISING THEM WITH RESPECT TO THE SAME. ST. LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION, INC. ("FOUNDATION") ----------------------------------------------------------------- THE FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(1). THE FOUNDATION WAS ESTABLISHED PRIMARILY TO SOLICIT CONTRIBUTIONS TO SUPPORT THE EFFORTS OF SLCH AND SLCHS. THE FOUNDATION IS STRUCTURED AS A SEPARATE NOT-FOR-PROFIT ORGANIZATION WITH ITS OWN BOARD OF DIRECTORS AND WITH SLCHS AS ITS SOLE MEMBER. AMOS F. AND SARAH L. HOLDEN HOME FOR AGED WOMEN ----------------------------------------------- AMOS F. AND SARAH L. HOLDEN HOME FOR AGED WOMEN WAS INCORPORATED AS A NOT-FOR-PROFIT ADULT CARE FACILITY, WHICH PROVIDES CARE AND SOCIAL RECREATION FOR THOSE WHO ARE 65 AND OLDER AND WHO ARE UNABLE TO LIVE ALONE. SLCHS BECAME THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION ON JANUARY 23, 2009. IN ADDITION, AMOS F. AND SARAH L. HOLDEN HOME FOR AGED WOMEN OWNS A HOME HEALTHCARE LICENSE WHICH IS MANAGED BY PREMIER HOME HEALTH CARE SERVICES. THIS ORGANIZATION IS A PRIVATE FOUNDATION WHICH FILES A FORM 990-PF, RETURN OF PRIVATE FOUNDATION, ANNUALLY. GOLDSMITH & MARY B. JOHNES HOME FOR AGED COUPLES ------------------------------------------------ GOLDSMITH & MARY B. JOHNES HOME FOR AGED COUPLES WAS INCORPORATED AS A NOT-FOR-PROFIT ADULT CARE FACILITY WHICH PROVIDED CARE AND SOCIAL RECREATION FOR THE ELDERLY. SLCHS BECAME THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION ON APRIL 9, 2010. THIS ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(2). IN OCTOBER 2015, JOHNES HOME DISCONTINUED OPERATIONS AND ITS PROPERTY AND BUILDING ARE CURRENTLY FOR SALE. ST. LUKE'S CORNWALL JV, LLC --------------------------- ST. LUKE'S CORNWALL JV, LLC ("THE CANCER CENTER") was established in March 2007 as a limited liability company, providing radiation oncology services. The Cancer Center commenced operations in October 2009. Through August 31, 2015, SLCH participated in a joint venture agreement with a physician practice group, whereby the Hospital had a 40% interest in the Cancer Center. On September 1, 2015, the remaining 60% ownership of the Cancer Center was transferred to SLCH. THE CANCER CENTER IS TREATED AND INCLUDED AS A DISREGARDED ENTITY ON THIS ORGANIZATION'S FEDERAL FORM 990. SLCH CORPORATION ---------------- SLCH CORPORATION IS AN INACTIVE FOR-PROFIT CORPORATION WHOSE SOLE SHAREHOLDER IS SLCHS. THE ORGANIZATION FORMERLY PROVIDED FITNESS AND CARDIAC REHABILITATION SERVICES TO INDIVIDUALS. SLCH INSURANCE CO, LTD. ("SLCH INSURANCE") ------------------------------------------ SLCH INSURANCE IS AN OFF-SHORE CAPTIVE INSURANCE COMPANY ESTABLISHED TO AUGMENT EXCESS PROFESSIONAL LIABILITY COVERAGE OF SLCH. SLCH INSURANCE WAS INCORPORATED ON JANUARY 4, 1994 AND GRANTED AN INSURANCE LICENSE ON JANUARY 20, 1994. SLCH INSURANCE HAS AUTHORIZED 120,000 SHARES OF COMMON STOCK AT $1 PAR VALUE AND 1,000,000 SHARES OF NON-VOTING, NONCONVERTIBLE PREFERRED STOCK AT $1 PAR VALUE. AS OF DECEMBER 31, 2015 AND 2014, 100% OF THE COMMON STOCK WAS OWNED BY SLCHS AND 100% OF THE PREFERRED STOCK WAS OWNED BY SLCH. SLCHS IS THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION. HUDSON VISTA PHYSICIAN SERVICES, PC ("HVPS") -------------------------------------------- HVPS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(3). HCPS IS A SUBSIDIARY OF SLCH AND WAS FORMED PURSUANT TO AN AGREEMENT ENTERED BETWEEN SLCH AND HVPS TO PROVIDE EMERGENCY PHYSICIAN SERVICES AND OTHER LICENSED HEALTHCARE PROFESSIONAL SERVICES TO SLCH PATIENTS. HUDSON VISTA MEDICAL, PC ("HVM") -------------------------------- HVM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(3). HVM IS A SUBSIDIARY OF SLCH AND WAS FORMED PURSUANT TO AN AGREEMENT ENTERED BETWEEN SLCH AND HVM TO PROVIDE MULTI-SPECIALTY MEDICAL SERVICES TO THE PUBLIC.
SCHEDULE H, PART VI, QUESTION 7	THE COMMUNITY BENEFIT REPORT IS FILED WITH NEW YORK STATE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
HUDSON VISTA PHYSICIAN SERVICES PC
70 DUBOIS STREET	NEWBURGH	NY	12550	272020746	501(C)(3)	$910,581	PROGRAM SUPPORT
HUDSON VISTA MEDICAL PC
70 DUBOIS STREET	NEWBURGH	NY	12550	452526738	501(C)(3)	$966,814	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT S ROSS
PRESIDENT/CEO (1/1/15-6/6/15)	$213,409	$0	$114,000	$0	$64,209	$0	$11,925	$0	$13,415	$0	$416,958	$0	$0	$0
JOAN CUSACK-MCGUIRK
INTERIM PRES/CEO (EFF 6/7/15)	$318,985	$0	$36,000	$0	$6,732	$0	$17,225	$0	$22,734	$0	$401,676	$0	$0	$0
THOMAS J GIBNEY
SVP, CHIEF FINANCIAL OFFICER	$310,901	$0	$45,000	$0	$2,322	$0	$5,300	$0	$34,569	$0	$398,092	$0	$0	$0
DANIEL M BENGYAK
VP, HUMAN RESOUCES(EFF 5/3/15)	$176,438	$0	$12,000	$0	$430	$0	$11,862	$0	$32,233	$0	$232,963	$0	$0	$0
MARGARET DEYO-ALLERSRNBSNMSN
VP, PAT CARE/CNO(EFF 12/18/15)	$170,129	$0	$12,000	$0	$1,138	$0	$11,238	$0	$28,927	$0	$223,432	$0	$0	$0
CHRISTINE E JELALIAN MD
CHIEF MEDICAL OFFICER	$246,336	$175,000	$30,000	$0	$17,000	$0	$17,225	$0	$37,848	$0	$348,409	$175,000	$0	$0
GINA DEL SALVIO MD
ASSOCIATE CMO (EFF 1/19/15)	$282,692	$0	$0	$0	$1,805	$0	$0	$0	$0	$0	$284,497	$0	$0	$0
CLETIS B EARLE
VP, CIO (TERMED 5/5/15)	$187,989	$0	$25,000	$0	$42,377	$0	$0	$0	$34,569	$0	$289,935	$0	$0	$0
JOSEPH T SURACE
VP, OPERATIONS	$181,359	$0	$26,000	$0	$617	$0	$12,175	$0	$31,427	$0	$251,578	$0	$0	$0
DIANE WILKINSON
REGISTERED NURSE	$204,063	$0	$0	$0	$274	$0	$0	$0	$28,328	$0	$232,665	$0	$0	$0
GLENN COUROUNIS
FORMER HIGHEST COMPENSATED EMP	$0	$0	$0	$0	$251,947	$0	$0	$0	$14,496	$0	$266,443	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4A	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2015. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CLETIS B. EARLE, $41,758 AND GLENN COUROUNIS, $251,947.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II, RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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. In January 2002, St. Luke's Hospital and The Cornwall Hospital merged together to create a tax-exempt integrated healthcare delivery system, providing quality comprehensive healthcare services. With dedicated staff, modern facilities and state-of-the-art treatment, SLCH is committed to meeting the needs of the community and continuing to aspire to excellence. Each year, the organization cares for more than 270,000 patients from around the Hudson Valley. With 1,500 employees, the hospital is one of the largest employers in Orange County. The Newburgh campus was founded in 1874 by women of St. George's Church. The Cornwall campus was established in 1931. SLCH was the first hospital in the region to earn New York State Stroke Center designation, and has one of the newest Emergency Departments in the regionSLCH has one of the busiest emergency departments between New York City and Albany. With a recent $11 million renovation and expansion of the Kaplan Family Center for Emergency Medicine at the Newburgh campus, and the Littman Center for Emergency Medicine at the Cornwall campus, SLCH's emergency services are designed for patient comfort and convenience. General trauma bays and specialty treatment bays for cardiac, asthma, women's health and pediatrics enable SLCH's highly skilled ER team to provide comprehensive, quality care in a patient-centered environment. Newburgh Campus --------------- The 242-bed Newburgh campus was founded in 1874 and is located on Dubois Street in Newburgh, New York. It is a regional center for neonatology, thanks to its Elaine Kaplan Neonatal Intensive Care Unit. The Newburgh campus also offers pediatric subspecialties in part through its affiliation with Westchester Medical Center, as well as a robust list of both inpatient and outpatient services include a cardiac catheterization lab, Intensive Care Unit, Birthing Center, Metabolic and Bariatric Surgery, Thoracic Surgery and much more. Cornwall Campus --------------- The Cornwall campus was founded in 1931 on Laurel Avenue. Today, the 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. These include The Littman Center for Emergency Medicine, Radiation Oncology Services, Littman Cancer Center, Wound Care, Kreisberg Pain Management, Eastern Orange Ambulatory Surgery Center, Physical Therapy and more. Background ========== SLCH is a general medical and surgical hospital. SLCH is recognized by the Internal Revenue Service ("IRS") as an IRS 501(C)(3) tax-exempt organization. Pursuant to its charitable purposes, SLCH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, SLCH operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. SLCH provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. SLCH operates two active emergency departments for all persons which are open 24 hours a day, 7 days a week, 365 days per year; 3. SLCH maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of SLCH rests with its Board of Trustees; which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of SLCH, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of SLCH is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Mission Statement ================= St. Luke's Cornwall Hospital, a member of the Montefiore Health System, is dedicated to providing exceptional health care to improve the lives and well-being of the people in the communities we serve. Vision ====== Our vision is to 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 Principles & Values =================== We commit to holding ourselves, each other and our organization to the following core values: - Patient Centered; - Compassion; - Quality; - Safety; AND - Collaboration. History ======= St. Luke's Home and Hospital opened on May 4, 1875 in a house known as Mr. Baldwin's cottage, located at the corner of Dubois and Third Streets in Newburgh, New York. The facility had a three-bed capacity, one of 149 such institutions throughout the Nation at that time. By 1894 the majority of patients were surgical. A new wing and a well-equipped operating room had been built and therefore surgery was no longer performed on a plain wooden table. Since there were no elevators in the three-story hospital, patients were carried up and down stairs via canvas sheets. After several relocations, SLCH found a permanent home with the purchase of the Sigler school property on Dubois Street in 1909. The old school was completely renovated and doubled in size to provide patient rooms and operating theaters. The number of beds was now 84. By the mid-1920s, it was evident that more space was needed. A building fund began in 1925 that would increase the number of beds to 200. Mrs. Kenneth Miller Cameron made a donation of $800,000, as a memorial to her father, Frederick Senff, who had served 22 years on the Board of Managers. This was the largest donation ever recorded at that time. In October 1930, the new Senff building opened, which more than doubled the size of the hospital, enabling it to handle the patient loads that would soon be placed on it. In the 1940s, patient numbers rose to more than 5,000 per year. The Polio epidemic hit Orange County in the summer of 1949 and, being the largest hospital in the county, SLCH became the center for Polio care. Construction of an eight-story addition, which contained a new emergency department and patient rooms, began in the 1960s. Further expansion, however, was not far off. In the 1970s, a 10-story structure was built to house all the patient rooms. These additions formed the shape of the multi-story structure that is SLCH today. In order to continue its commitment to excellence, SLCH opened the Elaine Kaplan Neonatal Intensive Care Unit in 1997. In 1999, the critical care units of the hospital were totally renovated. The mother/baby project was completed in 2000, which included the renovations of the existing labor and post-partum units and the addition of Labor, Delivery and Post-Partum rooms. The hospital's current certified 242-bed capacity includes 182 medical/surgical beds, 18 critical care beds, 23 obstetric beds, and 19 pediatric beds. A completely renovated and expanded emergency department, the Kaplan Family Center for Emergency Medicine, opened at the Newburgh campus in 2004 and on Valentine's Day 2005, a state-of-the-art cardiac catheterization lab opened. To accommodate 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. The hospital also is affiliated with Hudson Valley Imaging, a state-of-the-art, all-digital imaging center near Stewart Airport. The Cornwall Hospital had its first patient admitted to the original 65-bed facility on April 4, 1931. Since that time, the Cornwall campus has continued to evolve and shift its level of care based on community need. To this day, SLCH shares Dr. Stillman's vision that healthcare be available to all citizens.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Centers of Excellence ===================== Cancer Services --------------- Radiation Oncology is important in the treatment of cancer, and Cornwall Radiation Oncology Services ("CROS"), an affiliate of SLCH, is committed to providing the highest-quality care to residents of Orange County and surrounding communities. Patients and families are central to the collaborative approach CROS uses in assessing and developing a treatment plan best-suited to each individual cancer case. Our physicians are all board-certified in radiation oncology and have extensive training and experience with the newest technology CROS focuses on patient- and family-centered care. The patient and family play a key role in our collaborative approach to assess needs and develop a treatment plan that is individually specific. The Littman Cancer Center at SLCH was created for cancer patients by those who've been touched by this disease. The Center's development involved thought and input from our community of cancer patients and survivors, healthcare providers, hospital employees and faith-based community members. We asked what worked well, where roadblocks were encountered and how we can best serve the needs of our patients. The Littman Cancer Center puts patients and their families at the core, with a clinical team that delivers compassionate care from diagnosis through recovery and survivorship. A patient battling cancer deserves coordinated, multidisciplinary care - the Littman Cancer Center ensures continuity of care throughout the journey, with the most-advanced modalities and diagnostics, all housed in a healing environment - designed to meet the physical and emotional needs of cancer patients and their families. The Cardiovascular Institute at SLCH ------------------------------------ The Cardiovascular Institute at SLCH is dedicated to providing the most advanced, integrated cardiac care in the region - from lifesaving angioplasty to a full range of diagnostic catheterizations and interventions. Anticipating and responding to the lifelong cardiac needs of the residents of the mid-Hudson Valley is the primary goal of the Cardiovascular Institute. As a premier provider of cardiac care, SLCH is recognized for delivering superior medical care, embracing clinical innovations and providing exceptional health education. Angioplasty ----------- SLCH was among the first in the region to offer emergency and elective angioplasty. Angioplasty is a minimally invasive procedure that uses a catheter and small balloon to open an artery to restore blood flow to the heart. Approximately one in five patients who come in for diagnostic treatment requires angioplasty. SLCH also offers peripheral angioplasty. This procedure is used to treat blockages in arteries in the lower abdomen, kidneys, arms, legs or feet. It is performed using a catheter and a balloon to expand a narrowed artery. Stents are often used to help keep an artery opened. The Cardiovascular Institute performs post-cardiac-arrest cardiac hypothermia, a cutting-edge cooling procedure that preserves brain function in cardiac-arrest patients. Therapeutic hypothermia is recognized by the American Heart Association as the gold standard in cardiac-arrest care and reduces the possibility of permanent brain damage and tissue injury following a period of insufficient blood flow. Cardiac Rehabilitation ---------------------- According to the American Heart Association, cardiac rehabilitation programs can "extend overall survival"improve quality of life" for those with coronary disease. SLCH Center for Cardiac Rehabilitation has earned the Distinction of Excellence from the American Association of Cardiovascular and Pulmonary Rehabilitation, ensuring patients that they are receiving the best care in the region. The Cardiac Rehab services at SLCH are designed to help you recover faster and return to a full and productive life. Emergency Department -------------------- SLCH operates one of the most active emergency departments in the region and has a reputation for delivering big-city care, close to home. SLCH's newly-renovated emergency departments conveniently located at two campuses, Newburgh and Cornwall, see a total of more than 60,000 patients a year. With new and expanded facilities at the Littman Center for Emergency Medicine in Cornwall and the Kaplan Family Center for Emergency Medicine in Newburgh, SLCH provides unparalleled emergency care that is second to none. SLCH emergency departments offer bedside registration and triage, so you are seen quickly. Our nurses and physicians use work stations on wheels providing care givers with immediate access to your x-rays, lab work and all other vital documentation. The emergency departments provide multi-disciplinary coordinated care between the physicians, nurse practitioners', nurses, physician assistants and technologists ensuring you are always receiving the highest quality of care. Case management services are provided at the Newburgh campus from 8 a.m.- midnight to help address the needs of our community. We also contract with Mobile Mental Health to provide services close to home so our patients don't need to travel. The emergency department teams will always take the time to provide you with an explanation of the care you are receiving. For those requiring ambulatory service, SLCH offers advanced ambulatory diagnostics by providing EKG transfer technology to emergency responders. This allows EMT personnel to communicate vital information to the ER prior to your arrival. The emergency medicine team is led by Scot Hill, MD, Medical Director and Chairman of the Department of Emergency Medicine. Dr. Hill, who is board certified in emergency medicine, brings over 15 years of emergency room expertise to the region, having spent 15 years in the emergency department at The Mount Sinai Hospital in Manhattan. Orthopedics ----------- The Orthopedics Department at SLCH Newburgh campus offers enhanced, top-notch care in a comfortable and beautiful hotel-like environment. Our dedicated team of surgeons, nurses and rehabilitation specialists are trained to provide progressive care that gets patients back on their feet in a supportive and friendly environment. The multidisciplinary, "best practices" model of care includes pre-surgery classes where patients meet the physical therapists, nurses and other caregivers on the team. After surgery, group physical therapy classes and meals just for joint replacement patients create a sense of camaraderie and support. Loved ones are encouraged to participate as coaches, working with the patient each step of the way. The SLCH Center for Joint Replacement on the Newburgh campus offers enhanced, top-notch care in a comfortable and beautiful hotel-like environment. All of the rooms in the Total Joint Center are private and feature upscale amenities including flat-screen TVs, in-suite sinks and mountain or river views. As the region's most comprehensive Center for Joint Replacement, SLCH is quickly becoming the center of choice for those requiring hip or knee replacement. The medical staff of SLCH includes highly trained orthopedic surgeons who can collectively treat every joint in the body. Areas of focus include: - Total Hip Replacement; - Total Knee Replacement; - Total Shoulder Replacement; - Foot and ankle injuries; - Hand injuries; and - Spine injuries. The SLCH Orthopedics Community is dedicated to providing for the comprehensive orthopedic needs of the Hudson Valley. In conjunction with primary care and orthopedic physicians, the SLCH Orthopedics Community uses a team approach to diagnose, treat and alleviate joint pain. Restoring quality of life for residents of the Hudson Valley region is the goal. Conditions such as arthritis can lead to more severe orthopedic problems and require joint replacement. SLCH and your physician are committed to providing you with the highest quality care in a cost effective manner. SLCH and your physician have entered into an agreement that provides your physician a financial incentive to use vendors who have high quality; FDA approved implantable devices and surgical fixation devices.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Sports Medicine --------------- Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise. Many commons sports injuries can be treated non-surgically through physical therapy or minimally invasive outpatient procedures. Some common sports injuries include: contusion, sprains or tears of the anterior cruciate ligament (ACL), ankle, elbow and shoulder sprains and knee dislocation. Birthing Center --------------- Bringing a child into this world can be one of the most fulfilling and exciting times in your life - and at SLCH we want to make sure that you have a warm, safe, caring environment for the birth of your baby. Our beautiful, state-of-the-art Birthing Center is designed to meet the physical and emotional needs of mothers, mothers-to-be and their birthing partners as they embark on this exciting journey. Our recently renovated, state-of-the-art SLCH Birthing Center features a new operating room suite, as well as newly renovated labor and delivery rooms with private bathroom and shower, and private and semi-private recovery rooms. Luxurious birthing suites for labor, delivery, recovery and post-partum (LDRP) - also are available, allowing new moms to continue their stay in the same room. The Elaine Kaplan Neonatal Intensive Care Unit ---------------------------------------------- Parents delivering babies at SLCH have the added comfort of knowing that our Elaine Kaplan Neonatal Intensive Care Unit is just steps away from our Birthing Center. The only facility of its kind in Orange, Ulster and Sullivan Counties, the Level II NICU offers acute and chronic care for premature infants and ill full-term babies born throughout the region. We offer a transport service for critically ill babies at other hospitals without neonatal expertise. Using a family-centered approach, the NICU provides medical care to critically ill babies and offers special therapeutic services, community referrals, family education and discharge planning. Close collaboration between nurses, physicians, support staff, and parents facilitates the infants' well-being both at the hospital, and after discharge. Parents are important to their infant's recovery, and are welcomed in the NICU around the clock. Grandparents, and siblings accompanied by a parent, may also visit. Pediatrics ---------- The SLCH Pediatrics Unit follows a child- and teen-friendly approach to healthcare and healing. When a child is hospitalized, the whole family is affected. The new unit includes amenities (including flat-screen TVs and pull-out chair beds for visitors) for the comfort and well-being of our young patients and their parents. Our pediatric unit includes hotel-like amenities, including flat screen TVs and pull out chair beds for visitors. The Institute for Metabolic and Bariatric Surgery ------------------------------------------------- Bariatric Surgery is a life changing event that requires a team approach for long term success. The team at The Institute for Metabolic and Bariatric Surgery works with each individual patient to ensure that the proper pre and post procedure support is provided. The Center for Metabolic and Bariatric Surgery offers Lap-Band, Sleeve Gastrectomy and Gastric Bypass. Each surgery has a unique profile of effectiveness, safety and risks. Our team of expert surgeons will help you choose the right operation for you. Our surgeons are very experienced in laparoscopy, and therefore, all of our surgeries are performed laparoscopically. Outpatient Services ------------------- Additional outpatient services at SLCH include, but are not limited to, the following: - 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. Quality Recognitions ==================== SLCH Earns 'Top Performer' Recognition from The Joint Commission ---------------------------------------------------------------- In November 2014, The Joint Commission recognized SLCH as a 2013 Top Performer on Key Quality Measures. SLCH has been recognized for its excellence in management of Heart Attack, Heart Failure, Stroke and Surgical Care. This distinction is provided to hospitals that have achieved 95% compliance or more for all reported accountability measures to the Joint Commission, demonstrating evidenced based care in these patient populations. SLCH is one of only 1,224 hospitals in the United States to achieve the distinction as a 2013 Top Performer. Healthgrades Patient Safety Excellence Award -------------------------------------------- SLCH has achieved the Healthgrades 2015 Patient Safety Excellence Award, a designation that honors hospital performance in the prevention of thirteen serious, potentially preventable complications during hospital stays. The distinction makes SLCH the only hospital in New York State to receive this award for five consecutive years. This achievement also names SLCH as the only hospital in the state to be ranked among the top 5% in the nation for patient safety three years in a row, as evaluated by Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. American Stroke Association Recognition --------------------------------------- SLCH recently received its fifth straight "Get With the Guidelines Gold Plus Achievement Award" from the American Stroke Association (The ASA is a division of the American Heart Association). The goal of the program is to improve the overall quality of care for stroke patients by improving acute stroke treatment and preventing future strokes and other cardiovascular events. Hospitals that receive the "Get With The Guidelines Gold Plus Achievement Award' have reached an aggressive goal of treating stroke patients with 85% or higher compliance to core standard levels of care as outlined by the American Stroke Association for 12 consecutive months. In addition, SLCH received the recognition, demonstrating 75% compliance to 7 out of 10 stroke quality measures during the 12-month period. SLCH was also named to the Target: Stroke Honor Roll for achieving Time to Intravenous Thrombolytic Therapy less than or equal to 60 minutes in 50 percent or more of applicable acute ischemic stroke patients to improve quality of patient care and outcomes. 2016 Health Cares Most Wired ----------------------------- For the third straight year, SLCH has been included on the list of Health Cares Most Wired hospitals, ranking among the nations best in using information technology to improve patient care. The survey, recently released by the American Hospital Associations (AHA) Health Forum, is a leading industry barometer measuring information technology use and adoption among hospitals nationwide. Conducted between Jan. 15 and March 15, 2016, the survey of 680 participants representing an estimated 2,146 hospitals, more than 34 percent of all hospitals in the U.S., examines how organizations are leveraging IT to improve performance for value-based health care in the areas of infrastructure, business and administrative management, quality and safety, and clinical integration. This years survey focused on the use of telehealth to fill gaps in care, provide 24-hour, 7-day-per-week care, and increase access to medical specialists. In redefining the way that they provide care in their communities, Most Wired hospitals are using technology to build patient engagement with the individuals lifestyle in mind, which includes electronic access to their care team. Aetna Institute of Quality ("IOQ") for Cardiac Care ---------------------------------------------------- SLCH has been designated as an Institute of Quality for Cardiac Medical Intervention by Aetna. SLCH was chosen as an Aetna Designated IOQ facility because it demonstrates excellence in care, a commitment to continuous improvement and represent an exceptional value to our patients.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Undersea and Hyperbaric Medical Society --------------------------------------- The St. Luke's Cornwall Center for Wound Healing and Hyperbaric Medicine has been named an accredited facility by the Undersea and Hyperbaric Medical Society ("UHMS"). UHMS investigates twenty two separate and detailed topics in the operations hyperbaric medicine center. SLCH's facility has met the standard for Administration, Facility, Governance, Patient Care, Quality and Safety. Since 2001, UHMS has a clinical hyperbaric medicine facility accreditation program. Clinical hyperbaric facilities can demonstrate their commitment to patient care and facility safety by voluntarily participating in this program. When invited to perform an accreditation survey, UHMS will send a team of experts to the facility to examine staffing and training, equipment installation, operation, and maintenance, facility and patient safety, and standards of care. Accreditations ============== The Joint Commission -------------------- SLCH is committed to providing quality care, and has earned a Gold Seal from The Joint Commission. This includes both hospital campuses, as well as our outpatient satellite services. The Commission sets the standards by which healthcare quality is measured in the U.S Commission on Cancer Accreditation by the American College of Surgeons ---------------------------------------------------------------- The oncology program at SLCH was reaccredited with commendation in June 2012 by the American College of Surgeons' Commission on Cancer, "ensuring patients quality care close to home," according to the Commission. Fewer than one in four hospitals that treat cancer receive this coveted approval, which is granted only to those facilities that have voluntarily committed to providing "the highest level of quality cancer carethat undergo a rigorous evaluation process and review of their performance. The reaccreditation applies to both the Cornwall and Newburgh campuses. According to the Commission, receiving care at an approved cancer program ensures patients will have access to "comprehensive care, including state-of-the-art services and equipment; a multi-specialty team approach to coordinate the best treatment options; information about cancer clinical trials and new treatment options; access to cancer-related information, education, and support; a cancer registry that offers lifelong patient follow-up; ongoing monitoring and improvement of care; and most importantly, quality care close to home." American Diabetes Association ----------------------------- The diabetes self-management program at SLCH has been awarded recognition by the American Diabetes Association. Education recognition is presented to healthcare sites that meet national standards for Diabetes Self-Management Education. College of American Pathology ("CAP") ------------------------------------- The College of American Pathology's Laboratory Accreditation is widely recognized as setting the "gold standard" for laboratory services. The laboratories at both the Cornwall and Newburgh campuses are accredited by CAP, with recertification required every two years. American Academy of Sleep Medicine ("AASM") ------------------------------------------- The St. Luke's Cornwall Center for Sleep Medicine (Cornwall Campus) has earned accreditation from AASM. AASM is the leader in setting standards and promoting excellence in sleep medicine healthcare, education and research. AASM sets the clinical standards for sleep medicine. They advocate for the recognition, diagnosis and treatment of sleep disorders as well as educate professionals dedicated to providing optimal sleep healthcare. AASM acknowledges facilities across the nation that provides only the highest quality of care. The St. Luke's Cornwall Center for Sleep Medicine is a facility that not only provides quality diagnostic services but also effective treatment methods for its patients. American College of Radiology ("ACR") ------------------------------------- SLCH has earned accreditation from ACR. With more than 32,000 members, ACR is a professional society whose primary purpose is to improve services to patients, advance the science of radiology, and encourage continuing education for radiologists, radiation oncologists, medical physicists and persons practicing in the allied professional fields. Areas of accreditation include: CT scan at the Cornwall and Newburgh campus, as well as ultrasound, nuclear medicine and mammography at the Newburgh campus. American Association of Cardiovascular and Pulmonary Rehabilitation ("AACVPR") ---------------------------------------------------------------- AACVPR has awarded SLCH's Cardiac Rehabilitation Program recertification with the distinction of excellence. Certification recognizes those programs reviewed by a national board and found to uphold rigorous standards of care designed to limit the physiological and psychological effects of cardiac illness; reduce the risk for sudden death or relapse; control cardiac symptoms; stabilize and/or improve health; and enhance the patient's quality of life.
CORE FORM, PART VI, SECTION A; QUESTION 6 & 7	HUDSON VISTA CORPORATION ("HVC") IS THE SOLE MEMBER OF THIS ORGANIZATION. HVC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED BY THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ST. LUKE'S CORNWALL HOSPITAL ("SLCH") FINANCE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, CONTROLLER AND FINANCE PERSONNEL ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE AT ITS OCTOBER MEETING AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS/SENIOR MANAGEMENT PERSONNEL, CERTAIN MEDICAL STAFF MEMBERS AND ANYONE RESPONSIBLE FOR MAKING FINANCIAL DECISIONS ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SECRETARY OF THE BOARD OF TRUSTEES. THE BOARD SECRETARY THEREAFTER PROVIDES THE CONFLICT DISCLOSURES TO THE SYSTEM'S COMPLIANCE OFFICER. A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS IS PREPARED. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S PRESIDENT/CEO AND THE ORGANIZATION'S FINANCE COMMITTEE. POTENTIAL CONFLICTS OF INTEREST ARE DISCUSSED AND ANY NECESSARY MITIGATING BEHAVIOR IS TAKEN. Documentation of the existence and resolution of the conflict, including any meeting minutes, IS maintained by the Secretary of the Board.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ANNUALLY THE VICE PRESIDENT OF HUMAN RESOURCES EVALUATES THE COMPENSATION OF ALL EXECUTIVE LEVEL POSITIONS. THE VICE PRESIDENT OF HUMAN RESOURCES REVIEWS EACH POSITION AND USES PUBLISHED EXTERNAL SALARY SURVEYS TO DETERMINE FAIR AND EQUITABLE SALARIES. POSITIONS ARE EVALUATED AGAINST HOSPITALS WITH SIMILIAR BED SIZES, FULL-TIME EQUIVALENTS AND REVENUE SIZE IN THE NORTHEAST AND GREATER NEW YORK REGION. ADDITIONALLY, THE SYSTEM HIRED AN INDEPENDENT OUTSIDE FIRM TO REVIEW ALL SALARY PACKAGES FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND OTHER SENIOR MANAGEMENT. THE INDEPENDENT OUTSIDE CONSULTANTS EVALUATE THE SALARIES AGAINST COMPARABLE MARKET DATA FOR COMPARABLE POSITIONS WITHIN THE REGION AND NATIONALLY. RESULTS OF THE ANALYSIS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER ARE SHARED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. CERTAIN OFFICERS OR KEY EMPLOYEES ARE EVALUATED INTERNALLY. COMPENSATION PACKAGES ARE DERIVED USING EXTERNAL COMPARABLE DATA WITHIN THE REGION AND NATIONALLY. ONCE THE COMPENSATION PACKAGE HAS BEEN DETERMINED IT IS REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CERTAIN SENIOR VICE PRESIDENTS FOR APPROVAL.
CORE FORM, PART VI, SECTION C; QUESTION 16B	ALL JOINT VENTURES HAVE HOSPITAL REPRESENTATION ON THE RESPECTIVE BOARDS AND ALL FINANCIAL AND OPERATING RESULTS ARE REVIEWED AT THE ST. LUKE'S CORNWALL HOSPITAL BOARD MEETINGS. THIS HELPS TO ENSURE THAT THE HOSPITAL'S PARTICIPATION IN THESE JOINT VENTURE'S FURTHERS ITS CHARITABLE PURPOSES AND MISSION.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. ADDITIONALLY, THE ORGANIZATION PROVIDES CERTAIN GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY AND AUDITED CONSOLIDATED FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION or a related organization. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION or a related organization AND NOT FOR SERVICES RENDERED AS OFFICERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII AND SCHEDULE J	EFFECTIVE JUNE 7, 2015 JOAN CUSACK-MCGUIRK BECAME THE INTERIM PRESIDENT/CEO OF ST. LUKE'S CORNWALL HOSPITAL. BETWEEN JANUARY 1, 2015 AND JUNE 6, 2015 SHE WAS EMPLOYED AS THE VICE PRESIDENT OF PATIENT CARE/CHIEF NURSING OFFICER.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND KEY EMPLOYEES LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART X	CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION ON THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THESE RECLASSIFICATIONS HAD NO IMPACT ON THE ORGANIZATION'S NET ASSETS PREVIOUSLY REPORTED.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - REVISION TO ESTIMATED PROFESSIONAL LIABILITIES - $72,903; - CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS - $278,170; - INHERENT CONTRIBUTION RECEIVED IN THE ACQUISITION OF ST. LUKE'S CORNWALL JV, LLC - $585,142; - CHANGE IN PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS - $4,008,027; - NET CHANGE IN BENEFICIAL INTEREST IN ST. LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $866,542; AND - TEMPORARILY AND PERMANENTLY RESTRICTED EXPENDITURES - ($984,697).
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS HUDSON VISTA CORPORATION. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE FINANCE COMMITTEE OF ST. LUKE'S CORNWALL HOSPITAL HAS BEEN DELEGATED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:6168821
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:260943
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:2086003
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:14223191
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1589567

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S CORNWALL JV LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	70 DUBOIS STREET	AddressLine1Txt
City	NEWBURGH	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12550	ZIPCd

Field	Value	IRS element (for citing)
EIN	263443304	EIN
Primary Activities	HEALTH SVCS.	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$667,711	TotalIncomeAmt
End Of Year Assets	$719,977	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HUDSON VISTA CORPORATION
70 DUBOIS STREET	NEWBURGH	NY	12550	202286782	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	NA	false
ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREET	NEWBURGH	NY	12550	223026261	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	HVC	false
ST LUKE'S CORNWALL HEALTH SYSTEM FDN
70 DUBOIS STREET	NEWBURGH	NY	12550	223026263	FUNDRAISING	NY	501(C)(3)	509(A)(1)	SLCHS	false
AMOS F & SARAH L HOLDEN HOME AGED WOMEN
73 GRAND STREET	NEWBURGH	NY	12550	141365995	HEALTH SVCS.	NY	501(C)(3)	PF	SLCHS	false
GOLDSMITH D & MARY B JOHNES HOME
11-15 BALMVILLE ROAD	NEWBURGH	NY	12550	141364666	HEALTH SVCS.	NY	501(C)(3)	509(A)(2)	SLCHS	false
HUDSON VISTA PHYSICIANS SERVICES PC
70 DUBOIS STREET	NEWBURGH	NY	12550	272020746	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	SLCH	Yes (true)
HUDSON VISTA MEDICAL PC
70 DUBOIS STREET	NEWBURGH	NY	12550	452526738	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	SLCH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SLCH CORPORATION
70 DUBOIS STREET	NEWBURGH	NY	12550	141765661	INACTIVE	NY	NA	C CORP	false
SLCH INSURANCE CO LTD
					FINANCIAL VEHICLE		NA	C CORP	false	3 GORMAN ROAD 3RD FLOOR	HAMILTON	BD	HM 08	BD

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HUDSON VISTA MEDICAL PC
B	$966,814	COST
HUDSON VISTA MEDICAL PHYSICIANS SERVICES PC
B	$910,581	COST
HUDSON VISTA MEDICAL PC
J	$435,330	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ST. LUKE'S CORNWALL HOSPITAL ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	ExplanationTxt