2014-11-12T11:10:18-06:00 2013-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-01-01 131740127 ST JOSEPH'S HOSPITAL YONKERS STJO 9143787000 127 SOUTH BROADWAY YONKERS NY 107014006 MICHAEL J SPICER PRESIDENT AND CEO 9143787000 2014-11-11 1 JULIUS GREEN CPA P00350393 2159720701 2013 2015-11-30 17:44:51Z MICHAEL J SPICER 127 SOUTH BROADWAY YONKERS NY 107014006 206430514 0 X WWW.SAINTJOSEPHS.ORG X 1888 NY TO PROVIDE AFFORDABLE MEDICAL CARE TO ITS PATIENTS. 25 22 2230 168 0 0 25415764 24933904 164173347 168180447 213497 109209 8868179 10956154 198670787 204179714 0 0 0 0 130037686 134749193 0 0 172227 68183227 73942523 198220913 208691716 449874 -4512002 101073784 99582609 95783578 99426123 5290206 156486 X TO MAKE AVAILABLE OPTIMAL PATIENT CARE WITH CONTINUITY OF SERVICE FOR THE SICK, AND DISABLED AND ALL OTHER WITHOUT REGARD TO RACE, COLOR OR CREED BY MEANS OF PREVENTION, DIAGNOSIS, TREATMENT, REHABILITATION AND/OR HOME CARE FOR HOSPITALIZED AND AMBULATORY PATIENTS AND/OR OTHER HEALTH RELATED FACILITIES. 0 0 37853387 42633204 ANCILLARY SERVICES - THERE WERE 601,878 PROCEDURES INCLUDING RADIOLOGY, LAB, CARDIOLOGY, THERAPY, ETC. IN 2013. 32474538 36575158 PSYCHIATRIC INPATIENT & LONG TERM PSYCH - THERE WERE 151 BEDS AVAILABLE FOR THE TREATMENT OF MENTAL PATIENTS, ALCOHOLICS, AND DRUG ADDICTS AND PATIENTS WITH RELATED DISEASES. THIS UNIT HAD 53,426 PATIENT DAYS FOR 2013. APPROXIMATELY 233 MEDICAL PERSONNEL ARE ASSIGNED TO THIS UNIT.THE BREAKDOWN FOR INPATIENT & LONG TERM PSYCH IS AS FOLLOWS: INPATIENT HAD 48,258 PATIENT DAYS AND APPROXIMATELY 229 MEDICAL PERSONNEL. LONG TERM PSYCH HAD 5,168 PATIENT DAYS AND APPROXIMATELY 4 MEDICAL PERSONNEL. 22309225 25126253 MMTP CLINIC. THERE WERE 580,685 VISITS FOR 2013 AND APPROXIMATELY 146 FTE'S. 64597324 72894517 GENERAL SERVICE FACILITIES FOR MEDICAL/SURGICAL PATIENTS (EXPENSES: $19,891,143)THE HOSPITAL HAS 149 BEDS AVAILABLE TO THE PUBLIC FOR MEDICAL AND SURGICAL SERVICES IN 2013. THE HOSPITAL HAD 36,216 PATIENT DAYS FOR GENERAL SERVICE. THE HOSPITAL HAS APPROXIMATELY 119 MEDICAL PERSONNEL ASSIGNED TO THIS SERVICE.EMERGENCY SERVICE- (EXPENSES: $14,978,724) THE HOSPITAL HAD 37,988 EMERGENCY VISITS DURING THE YEAR OF WHICH 5,398 ADMITTED INTO THE HOSPITAL. THERE ARE APPROXIMATELY 49 NURSES, AIDES AND PHYSICIANS ASSIGNED.PSYCHIATRIC CLINICS- (EXPENSES: $9,494,208) THERE WERE 69,194 VISITS FOR 2013 AND 55 FTES.OUTPATIENT SERVICES (EXPENSES: $8,298,767) THERE WERE 166,464 VISITS FOR 2013 AND 37 FTES.INTENSIVE CARE UNIT AND CORONARY CARE UNIT- (EXPENSES: $3,294,777) THERE WERE 6 BEDS AVAILABLE. 617 PATIENT DAYS OCCURRED IN 2013 FOR THE COMBINATION OF ICU AND CCU SERVICES. APPROXIMATELY 18 FTES ARE ASSIGNED TO THIS AREA.COMMUNITY SUPPORT SERVICES (EXPENSES: $2,822,993) THERE WERE 6,643 VISITS FOR 2013.RENAL DIALYSIS- (EXPENSES: $2,710,809) THERE WERE 4,153 INPATIENT AND OUTPATIENT TREATMENTS FOR 2013. APPROXIMATELY 12 MEDICAL AND TECHNICAL PERSONNEL ARE ASSIGNED TO THIS UNIT FOR TREATMENT OF KIDNEY DISORDERS.PSYCHIATRIC DAY TREATMENT- (EXPENSES: $1,954,614) THERE WERE 66,908 VISITS IN 2013 AND 17 FTES.PEDIATRIC UNIT- (EXPENSES: $1,151,193) THERE WERE 4 BEDS AVAILABLE, 66 PATIENT DAYS AND APPROXIMATELY 7 FTES IN 2013. 64597324 72894517 157234474 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 313 0 1 2230 1 0 0 0 0 0 0 0 0 0 0 X 25 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JAMES CURCURUTO CFO 9143787000 127 SOUTH BROADWAY YONKERS NY 107014006 ANDREW J BALINT DIRECTOR 1.00 2.00 X 0 0 0 SISTER MARGARET A BRICK SECRETARY 1.00 2.00 X X 0 0 0 ERNESTINE CHRISTMAS DIRECTOR 1.00 2.00 X 0 0 0 JOAN P CUNNINGHAM DIRECTOR 1.00 2.00 X 0 0 0 BARRY M DAVIS DIRECTOR 1.00 2.00 X 0 0 0 SISTER JANE IANNUCELLI DIRECTOR 1.00 2.00 X 0 0 0 SISTER MIRIAM KEVIN PHILLIPS DIRECTOR 1.00 2.00 X 0 0 0 RICHARD J KILSHEIMER DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL MCHUGH DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL M MINERVA DIRECTOR 1.00 2.00 X 0 0 0 CARL E PETRILLO VICE CHAIRMAN 1.00 2.00 X X 0 0 0 SISTER ROSEMARY PETRUCELLI DIRECTOR 1.00 2.00 X 0 0 0 SHAWYN PATTERSON HOWARD DIRECTOR 1.00 2.00 X 0 0 0 WILLIAM T REGAN DIRECTOR 1.00 2.00 X 0 0 0 LEONARD N SPANO DIRECTOR 1.00 2.00 X 0 0 0 KEVIN M O'CALLAGHAN DIRECTOR 1.00 1.00 X 0 0 0 REV SAMI TOTAH DIRECTOR 2.00 1.00 X 0 0 0 ALFRED WEISSMAN DIRECTOR 1.00 2.00 X 0 0 0 JEFFRY FOLTZ DIRECTOR 28.50 7.00 X 231315 0 0 DR MARGARET O GRIFFIN DIRECTOR 1.00 2.00 X 0 0 0 JOHN J FLYNN III TREASURER 1.00 2.00 X X 0 0 0 JAMES J LANDY CHAIRMAN 1.00 2.00 X X 0 0 0 MICHAEL J SPICER PRESIDENT & CEO 30.00 5.00 X X 718412 0 194943 BARRY B PERLMAN MD DIRECTOR OF PSYCHIATRY 39.00 1.00 X 319425 0 0 JAMES J VENERUSO ESQ DIRECTOR 1.00 2.00 X 0 0 0 JAMES CURCURUTO SENIOR VP OF FINANCE 28.00 7.00 X 379503 0 12013 BERNADETTE KINGHAM-BEZ PSYCHIATRY ADMINISTRATION 35.00 X 381524 0 0 KIM PAGAN VICE PRESIDENT OF FINANCE 35.00 X 270271 0 0 DEAN HARLAM CHIEF MEDICAL OFFICER 35.00 X 300326 0 0 STEVEN SHAINMARK CHIEF OF AMBULATORY SERVICES 35.00 X 229572 0 0 ADAM LAU PSYCHIATRY ADMINISTRATION 35.00 X 225898 0 0 TESSIE EVANGELISTA SENIOR STAFF RN 37.50 X 210078 0 0 3266324 0 206956 195 0 1 0 MED EXCEL ERNER PHY 484 TEMPLE HILL RD NEW WINDSOR NY 12553 MEDICAL SERVICES 1216410 RAMAPO ANESTHESEOLOGISTS 100 ROUTE 59 SUITE 105 SUFFERN NY 10901 ANESTHESIA SERVICES 1150000 YONKERS ATTENDING PHYSICIANS 484 TEMPLE HILL RD NEW WINDSOR NY 12553 MEDICAL SERVICES 1149746 NIXON PEABODY 1100 CLINTON SQUARE ROCHESTER NY 14604 LEGAL SERVICES 735710 EMPIRE GENERAL CONTRACT 74 MAIN STREET TUCHAHOE NY 10707 CONTRACTING SERVICES 442375 43 350000 21904975 2678929 24933904 INPATIENT 900099 109100673 109100673 CLINIC & PSYCHIATRY 621400 44427915 44427915 AMBULATORY SURGERY 621990 7043177 7043177 EMERGENCY ROOM 900099 6793747 6793747 RENAL 621500 814935 814935 168180447 249687 249687 1987932 286405 1701527 1701527 1701527 1823917 1964395 -140478 -140478 -140478 SERVICES SOLD TO N/H 900099 6993009 6993009 SCHOOL OF RADIOLOGY 611600 256561 256561 PARKING INC(EE,PAT,VIS) 900099 205942 205942 1799115 1799115 9254627 204179714 177229132 0 2016678 2237135 2237135 96356315 78252807 17945514 157994 7508737 5238191 2270546 21555688 16630213 4925475 7091318 5470952 1620366 1291471 13383 1278088 155000 155000 15734141 8978678 6747678 7785 282376 282251 125 3124222 1377457 1740442 6323 2596761 2596761 8419555 4905256 3514299 174027 125884 48143 387343 322776 64567 2421366 2421366 6995543 5087159 1908384 3357205 3155091 202114 MEDICAL SUPPLIES 6992328 6992328 PHARMACEUTICALS 5860875 5860875 PROVISION FOR DOUBTFUL 5420645 5420645 NH PURCHASED SERVICES 3874731 3874731 6854934 5528048 1326886 208691716 157234474 51285015 172227 6134773 4158699 16046032 19158364 996889 964252 690335 1727080 173858842 116279487 54877497 57579355 3944449 3944449 18383809 12050410 101073784 99582609 27390571 34293132 10460000 8000000 29643611 25295980 28289396 31837011 95783578 99426123 X 3543302 -1839007 1596904 1845493 150000 150000 5290206 156486 101073784 99582609 -4512002 -621718 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150000 150000 150000 150000 150000 150000 150000 150000 1.00000 0 0 12733245 12733245 90114704 62891934 27222770 2931260 1791091 1140169 66685945 51596462 15089483 1393688 1393688 57579355 OTHER RECEIVABLES 2627088 MORTAGE PAYMENT ESCROW 1575000 CAPITAL CAMPAIGN FUND 1368 BOARD DESIGNATED FUND 1921150 MEDICAL MALPRACTICE FUND 2177095 OTHER LIMITED USE ASSETS 798426 DEBT SERVICE RESERVE FUND 2806775 LETTER OF CREDIT/WORKERS COMPENSATION INSURANCE 48495 DUE FROM AFFILIATES 95013 12050410 CAPITALIZED LEASE OBLIGATION 1113361 DUE TO THIRD PARTY PAYORS - NET 19073465 EST LIABILITY SELF-INSURANCE 11156185 ACCRUED ASSET RETIREMENT OBLIGATION 494000 31837011 X 203844401 -621718 -621718 204466119 -286405 -286405 204179714 208978121 286405 286405 208691716 0 208691716 PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONOR-IMPOSED STIPULATIONS THAT THEY BE MAINTAINED IN PERPETUITY. IN THE ABSENCE OF DONOR SPECIFICATION THAT INCOME OR GAINS ON DONATED FUNDS ARE RESTRICTED, SUCH INCOME IS REPORTED AS INCOME OF UNRESTRICTED ASSETS. PART X, LINE 2: PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT AS TO WHETHER THE UNCERTAINTY WILL BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR 2010, 2011 AND 2012 REMAIN SUBJECT TO EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -286,405. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 286,405. 1 1 X 1 X 1 X 1 1 1 0 1 1 7735950 7059921 676029 0.00330 99642033 81089012 18553021 0.09110 107377983 88148933 19229050 0.09440 5725172 2649572 3075600 0.01510 6536344 123555 6412789 0.03150 12261516 2773127 9488389 0.04660 119639499 90922060 28717439 0.14100 1 4091584 1394506 37355825 27824907 9530918 X 1 1 2 1 ST JOSEPH'S HOSPITAL OF YONKERS NY 127 SOUTH BROADWAY YONKERS NY 10701 X X X A 2 ST VINCENT'S HOSPITAL WESTCHESTER 275 NORTH STREET HARRISON NY 10528 X X X A FACILITY REPORTING GROUP - A 1 X X X X X X X X X 13 1 1 1 X WWW.SAINTJOSEPHS.ORG X X X X X X X 0 0 1 1 150.000000000000 1 300.000000000000 1 X X X X X 1 1 X X X X X 0 0 X X X X 1 X X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ST. JOSEPH'S HOSPITAL OF YONKERS, NY, - FACILITY 2: ST. VINCENT'S HOSPITAL WESTCHESTER FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 3: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY CONDUCTING THE FOLLOWING OUTREACH EFFORTS: FOCUS GROUPS, ACTIVE PARTICIPATION IN EXISTING COMMUNITY HEALTH INITIATIVE MEETINGS AND DISTRIBUTION OF HEALTH NEEDS SURVEYS AT LOCAL HEALTH FAIRS. INDIVIDUALS CONSULTED FOR COLLABORATION TO DEVELOP THE HEALTH NEEDS ASSESSMENT AND TO IDENTIFY CONCERNS INCLUDED BUT WAS NOT LIMITED TO LOCAL ELECTED OFFICIALS, RESIDENTS (INFORMAL COMMUNITY LEADERS IN THEIR NEIGHBORHOODS), FAITH BASED REPRPESENTATIVES, SCHOOL OFFICIALS, COMMUNITY BASED ORGANIZATIONS, SOCIAL SERVICES AGENCIES, AND THE YONKERS OFFICE FOR THE AGING. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 4: ONE CHNA WAS PERFORMED FOR THE TWO HOSPITAL FACILITIES, ST. JOSEPH'S HOSPITAL OF YONKERS, NY AND ST. VINCENT'S HOSPITAL WESTCHESTER UNDER THE ENTITY ST. JOSEPH'S HOSPITAL OF YONKERS, NY FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7: THE CHNA IDENTIFIED CANCER CARE, ADOLESCENT CARE AND DOMESTIC VIOLENCE AS PRIORITY AREAS TO BE ADDRESSED. THE HOSPITAL IS NOT A CANCER CENTER AND DOES NOT PROVIDE ADOLESCENT CARE AND, THEREFORE, IS UNABLE TO ADDRESS THESE SPECIFIC NEEDS DUE TO BUDGETARY CONSTRAINTS. ALTHOUGH THE HOSPITAL DOES PROVIDE MEDICAL AND PSYCHIATRIC CARE TO PATIENTS WHO HAVE EXPERIENCED DOMESTIC VIOLENCE, THE HOSPITAL DOES NOT HAVE THE RESOURCES TO ADDRESS THE CAUSE OF THIS SPECIFIC NEED. HOWEVER, ANY PATIENT PRESENTING TO THE HOSPITAL WHO REQUIRES CANCER THEARPY, ADOLESCENT CARE OR COUNSLEING FOR DOMESTIC ABUSE IS REFERRED TO THE APPROPRIATE HEALTHCARE PROVIDER OR SOCIAL SERVICE AGENCY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 12I: THE HOSPITAL LIMITS CHARGES BILLED TO PATIENTS TO THE APPLICABLE MEDICARE PAYMENT RATE FOR INPATIENT SERVICES AND THE MEDICAID PAYMENT RATE FOR EMERGENCY SERVICES. FOR AMBULATORY SURGERY SERVICES, CHARGES BILLED TO PATIENTS ARE LIMITED TO PAYMENTS MADE BY THE INSURANCE PLAN WITH THE LARGEST VOLUME FOR THE SERVICE. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20D: THE HOSPITAL LIMITS CHARGES TO FAP-ELIGIBLE INDIVIDUALS TO THE APPLICABLE MEDICAID PAYMENT RATE FOR EMERGENCY SERVICES AND OTHER MEDICALLY NECESSARY SERVICES. 2 IMMACULATA HALL 90-10 150TH STREET JAMAICA NY 11435 RESIDENTIAL - SUPPORTED HOUSING BISHOP SULLIVAN - ST MARY'S RESIDENCE 1534 PROSPECT PLACE BROOKLYN NY 11213 RESIDENTIAL - SUPPORTED HOUSING PART I, LINE 7: GLOBAL COST TO CHARGE RATIO WAS UTILIZED TO COMPUTE COST OF CHARITY CARE PROVIDED. ALLOWABLE COST DIVIDED BY TOTAL CHARGES. PART I, LINE 7G: THE FAMILY HEALTH CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES AND ITS TOTAL COST IS $4,743,944. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $5,420,645. PART III, LINE 4: A SUMMARY OF THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. THE HOSPITALS HAVE IMPLEMENTED A MONTHLY STANDARDIZED APPROACH TO ESTIMATE AND REVIEW THE COLLECTIBILITY OF RECEIVABLES BASED ON THE PAYER CLASSIFICATION AND THE PERIOD THE RECEIVABLES HAVE BEEN OUTSTANDING. PAST DUE BALANCES OVER 90 DAYS FROM THE DATE OF BILLING AND OVER A SPECIFIED AMOUNT ARE CONSIDERED DELINQUENT AND ARE REVIEWED INDIVIDUALLY FOR COLLECTABILITY. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT FEELS IT IS PROBABLE THE RECEIVABLES WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYER REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO RESERVES FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE HOSPITALS ASSESS THE CURRENT STATE OF ITS BILLING FUNCTIONS IN ORDER TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES IN ORDER TO ASSESS THE IMPACT, IF ANY, ON RESERVE ESTIMATES, WHICH INVOLVES JUDGMENT. THE HOSPITALS BELIEVE THAT THE COLLECTABILITY OF ITS RECEIVABLES IS DIRECTLY LINKED TO THE QUALITY OF ITS BILLING PROCESSES, MOST NOTABLY THOSE RELATED TO OBTAINING THE CORRECT INFORMATION IN ORDER TO BILL EFFECTIVELY FOR THE SERVICES PROVIDED. REVISIONS IN RESERVE FOR DOUBTFUL ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO PROVISION FOR BAD DEBTS. A SUMMARY OF THE PAYMENT ARRANGEMENTS WITH MAJOR THIRD-PARTY PAYERS FOLLOWS: 1) MEDICARE PAYMENTS. INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. EFFECTIVE OCTOBER 1, 2007, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) REVISED THE MEDICARE PATIENT CLASSIFICATION SYSTEM. THE NEW MEDICARE SEVERITY ADJUSTED DIAGNOSIS RELATED GROUPS (MS-DRGS) REFLECT CHANGES IN TECHNOLOGY AND CURRENT METHODS OF CARE DELIVERY. CMS HAS EXPANDED THE NUMBER OF DRGS FROM 538 TO 989 AND REQUIRES IDENTIFICATION OF CONDITIONS THAT ARE PRESENT UPON ADMISSION. 2) NON-MEDICARE PAYMENTS. THE NEW YORK HEALTH CARE REFORM ACT OF 1996, AS UPDATED, GOVERNS PAYMENTS TO HOSPITALS IN NEW YORK STATE UNDER THIS SYSTEM, HOSPITALS AND ALL NON-MEDICARE PAYERS (EXCEPT MEDICAID, WORKERS' COMPENSATION AND NO-FAULT INSURANCE PROGRAMS) BY NEGOTIATING THE HOSPITAL'S PAYMENT RATES. IF NEGOTIATED RATES ARE NOT ESTABLISHED, PAYERS ARE BILLED AT HOSPITALS ESTABLISHED CHARGES. MEDICAID, WORKER'S COMPENSATION AND NO-FAULT PAYERS PAY HOSPITAL RATES PROMULGATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH ("DOH") ON A PROSPECTIVE BASIS. ADJUSTMENTS TO CURRENT AND PRIOR YEARS' RATES FOR THESE PAYERS WILL CONTINUE TO BE MADE IN THE FUTURE. EFFECTIVE JANUARY 1, 2008 THE DOH UPDATED THE DATA UTILIZED TO CALCULATE THE NYS DRG SERVICE INTENSITY WEIGHTS ("SIWS") IN ORDER TO UTILIZE MORE CURRENT DATA IN DOH PROMULGATED RATES. SIMILAR TYPE OUTPATIENT REFORMS WERE IMPLEMENTED EFFECTIVE DECEMBER 1, 2008. THERE ARE ALSO VARIOUS OTHER PROPOSALS AT THE FEDERAL AND STATE LEVEL THAT COULD, AMONG OTHER THINGS, REDUCE PAYMENT RATES. THE ULTIMATE OUTCOME OF THESE PROPOSALS, REGULATORY CHANGES AND OTHER MARKET CONDITIONS CANNOT PRESENTLY BE DETERMINED. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. THE HOSPITALS HAVE ESTABLISHED ESTIMATES, BASED ON INFORMATION PRESENTLY AVAILABLE, OF AMOUNT DUE TO OR FROM MEDICARE AND NON-MEDICARE PAYERS FOR ADJUSTMENTS TO CURRENT AND PRIOR YEARS' PAYMENT RATES, BASED ON INDUSTRY-WIDE AND HOSPITAL-SPECIFIC DATA. THE HOSPITALS' MEDICARE COST REPORTS HAVE BEEN AUDITED AND FINALIZED BY THE MEDICARE FISCAL INTERMEDIARY THROUGH DECEMBER 31, 2009. ON FEBRUARY 19, 2004, THE SECRETARY OF HEALTH AND HUMAN SERVICES CONFIRMED THAT HOSPITALS CAN PROVIDE DISCOUNTS FOR UNINSURED PATIENTS, WHICH ALLOWED THE HOSPITALS TO IMPLEMENT A DISCOUNT POLICY IN ACCORDANCE WITH STATE LAW. THE HOSPITALS' GOAL WAS TO CREATE A FINANCIAL AID PROGRAM THAT IS CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITALS, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO HIS OR HER CARE. THE HOSPITALS HAVE A DISCOUNT POLICY AND PROVIDES DISCOUNTS TO UNINSURED PATIENTS. UNDER THIS POLICY, THE DISCOUNT OFFERED TO UNINSURED PATIENTS IS REFLECTED AS A REDUCTION TO THE NET PATIENT SERVICE REVENUE AT THE TIME THE UNINSURED BILLINGS ARE RECORDED. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHER SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. FEDERAL AND STATE REGULATIONS PROVIDE FOR CERTAIN RETROSPECTIVE ADJUSTMENTS TO CURRENT AND PRIOR YEARS' PAYMENT RATES BASED ON INDUSTRY-WIDE AND HOSPITAL-SPECIFIC DATA. THE HOSPITALS HAVE ESTIMATED THE POTENTIAL IMPACT OF SUCH RETROSPECTIVE ADJUSTMENTS BASED ON INFORMATION PRESENTLY AVAILABLE AND ADJUSTMENTS ARE RENDERED AND ARE ADJUSTED IN FUTURE PERIODS AS ADDITIONAL INFORMATION BECOMES AVAILABLE OR FINAL SETTLEMENTS ARE DETERMINED. AS A RESULT OF SUCH PRIOR YEAR ADJUSTMENT THE 2013 AND 2012 NET PATIENT SERVICE REVENUE INCREASED BY APPROXIMATELY $3,800,000 AND $2,300,000, RESPECTIVELY. AS DISCUSSED ABOVE, THE CURRENT MEDICAID AND MEDICARE PROGRAMS ARE BASED UPON COMPLEX LAWS AND REGULATIONS. NONCOMPLIANCE WITH SUCH LAWS AND REGULATIONS COULD RESULT IN FINES, PENALTIES, AND EXCLUSION FROM SUCH PROGRAMS. THE HOSPITAL IS NOT AWARE OF ANY ALLEGATIONS OF NONCOMPLIANCE THAT COULD HAVE A MATERIAL ADVERSE EFFECT ON THE FINANCIAL STATEMENTS AND BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, NET INPATIENT REVENUE FOR INDIVIDUAL PAYORS CONSISTED OF THE FOLLOWING: MEDICARE 2013-37% 2012-37%, MEDICAID 2013- 35%, 2012-38%, SELF PAY 2013-2%, 2012-1%, COMMERCIAL, MANAGED CARE AND OTHER 2013-26%, 2012-24%.LINE 2 COSTING METHODOLOGY - THE RATIO OF PATIENT COST TO CHARGE APPLIED TO THE BAD DEBT EXPENSES WAS UTILIZED. THE HOSPITALS ARE LOCATED IN AN IMPOVERISHED AREA IN SOUTHWEST YONKERS, NEW YORK WHICH CONTAINS A LARGE NUMBER OF UNINSURED AND MEDICAID ELIGIBLE PATIENTS. MANY OF THESE PATIENTS ARE INDIGENT AND/OR ILLEGAL IMMIGRANTS WHO ARE UNWILLING TO COOPERATE WITH THE HOSPITALS IN APPLYING FOR GOVERNMENT INSURANCE. AS A RESULT, UNCOLLECTIBLE AMOUNTS ARE RECORDED AS BAD DEBT EVEN THOUGH THESE PATIENTS TYPICALLY DO NOT HAVE THE ABILITY TO PAY DUE TO THEIR SOCIOECONOMIC STATUS. PART III, LINE 8: THE COSTING METHODOLOGY USED FOR ALLOWABLE COSTS IN PART III LINE 6 IS BASED ON THE MEDICARE COSTS INCLUDED IN THE WORKSHEET D SCHEDULES OF THE 2013 MEDICARE COST REPORT. THERE WAS A SURPLUS. PART III, LINE 9B: THE COLLECTION POLICY FOR CHARITY CARE PATIENTS IS THE SAME COLLECTION POLICY THAT IS APPLIED TO THE LARGEST NUMBER OF ITS PATIENTS. PART VI, LINE 2: FROM AN ONGOING NEEDS ASSESSMENT BASIS, ST. JOSEPH'S IS A PARTICIPANT IN THE HEALTHY YONKERS INITIATIVE WHICH IS A COALITION OF VARIOUS HEALTH CARE PROVIDERS AND SOCIAL SERVICE AGENCIES. THE HEALTHY YONKERS INITIATIVE CONDUCTS PERIODIC FOCUS GROUPS TARGETING BOTH PATIENTS AND THEIR FAMILY MEMBERS TO IDENTIFY UNMET HEALTH CARE NEEDS WITHIN THE COMMUNITY. A RESULT OF A RECENT FOCUS GROUP WAS TO DEVELOP AN INITIATIVE TO EXPAND AND ENHANCE HEALTH CARE SERVICES FOR INDIVIDUALS DIAGNOSED WITH ASTHMA AND/OR NUTRITIONAL DISORDERS.OUTSIDE OF THE ABOVE MENTIONED NEEDS ASSESSMENT, SAINT JOSEPH'S MEDICAL CENTER (SJMC) PERFOMED THE SAINT JOSEPHS MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT (SJCHNA) WITH KEY STAKEHOLDERS IN THE COMMUNITY USING A THREE PHASE PROCESS. PHASE I CONSISTED OF THE FOLLOWING:-IDENTIFIED AND CONTACTED THE KEY COMMUNITY STAKEHOLDERS AND KEY INFORMANTS TO PARTICIPATE IN THE PROCESS-DEVELOPED THE KEY INFORMANT PRE-ASSESSMENT SURVEY-HOSTED COMMUNITY MEETINGS WITH KEY STAKEHOLDERS AND CONTACTED THOSE WHO COULD NOT ATTEND FOR ADDITIONAL FEEDBACK-PARTICIPATED IN WESTCHESTER COUNTY HEALTH DEPARTMENT MEETINGSAFTER PHASE I WAS COMPLETED, PHASE II PROVIDED MORE IN-DEPTH INFORMATION REGARDING THE LEADING HEALTH ISSUES AND PRIORITIES IN THE AREA, AS WELL AS THE OPPORTUNITY TO IDENTIFY THE POTENTIAL PARTNERS FOR FUTURE COLLABORATION TO ADDRESS THE HEALTH ISSUES IDENTIFIED IN THE COMMUNITY. THE ACTIVITIES OF PHASE II INCLUDED THE FOLLOWING:-CONDUCTED IN-DEPTH INTERVIEWS WITH THE COMMUNITY KEY INFORMANTS-CONDUCTED ONE-TO-ONE SURVEYING AT THE LIBRARY IN SEPTEMBER AND OCTOBER 2013 AND AT THE WESTCHESTER DIABETES ASSOCIATION WALK IN SEPTEMBERR 2013.-PARTICIPATED IN COMMUNITY FORUMS ON AUGUST 14, SEPTEMBER 19, NOVEMBER 14, AND DECEMBER 12, 2013 TO INFORM THE COMMUNITY ORGANIZATIONS ABOUT THE SJCHNA-DEVELOPED AND DISSEMINATED THE SJCHNA RESIDENT SURVEY TOOL PHASE III OF THE HEALTH NEEDS ASSESSMENT WAS TO PRIORITIZE THE INDENTIFIED COMMUNITY HEALTH NEEDS. THE SJCHNA RESULTS WERE REVIEWED BY SJMC WITH ITS KEY INFORMANTS AND COMMUNITY PARTNERS AT A STAKEHOLDER SUMMIT. SJMC REVIEWED THE FEEDBACK FROM THE STAKEHOLDERS SUMMIT ALONG WITH ITS CURRENT SERVICES AND PROGRAMS, RESOURCES AND AREAS OF EXPERTISE, AND OTHER EXISTING COMMUNITY ASSETS TO DETERMINE WHAT PRIORITY NEEDS IT WOULD ADDRESS AND THOSE FOR WHICH IT WOULD PLAY A SUPPPORT ROLE IN ADDRESSING. THE PRIORITY NEED IDENTIFIED WAS CHRONIC DISEASE MANAGEMENT FOR DIABETES AND HYPERTENSION. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - ST. JOSEPH'S HOSPITAL MAKES AVAILABLE WRITTEN COMMUNICATIONS IN BOTH ENGLISH AND SPANISH EXPLAINING THE HOSPITAL'S POLICY OF PROVIDING CHARITY CARE AND FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS. NOTICES ARE POSTED THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH STATING THAT CHARITY CARE AND FINANCIAL ASSISTANCE IS AVAILABLE TO QUALIFYING INDIVIDUALS WHICH INCLUDE A TELEPHONE NUMBER FOR PATIENTS TO CONTACT A FINANCIAL COUNSELOR TO DISCUSS ELIGIBILITY. IN ADDITION, HOSPITAL REPRESENTATIVES INTERVIEW PATIENTS WITHOUT INSURANCE TO DETERMINE IF THEY MAY QUALIFY FOR MEDICAID OR OTHER GOVERNMENTAL INSURANCE PROGRAMS AND WILL ASSIST THEM IN COMPLETING REQUIRED APPLICATIONS. PART VI, LINE 4: COMMUNITY INFORMATION - ST. JOSEPH'S HOSPITAL SERVES A PREDOMINANTLY LOW INCOME, MEDICALLY UNDERSERVED POPULATION WITHIN ITS SERVICE AREA. ST. JOSEPH'S SERVICE AREA POPULATION WHICH INCLUDES SOUTHWEST YONKERS AND THE NORTH BRONX IS A MINORITY ONE WITH ALMOST 1/3 OF THE POPULATION BEING AFRICAN AMERICAN AND ANOTHER 1/3 BEING HISPANIC. MANY OF THE PATIENTS DO NOT HAVE A PRIVATE PHYSICIAN AND USE THE HOSPITAL'S EMERGENCY ROOM AND CLINIC FOR THEIR PRIMARY CARE MEDICAL CARE NEEDS. PART VI, LINE 5: ST. JOSEPH'S HOSPITAL HAS A FAMILY PRACTICE TEACHING PROGRAM WHICH INCLUDES APPROXIMATELY 30 RESIDENTS. THE RESIDENTS SPEND THE MAJORITY OF THEIR TIME PROVIDING MEDICAL CARE UNDER THE SUPERVISION OF FACULTY TO CLINIC PATIENTS MOST OF WHOM EITHER HAVE NO INSURANCE OR ARE MEDICAID PATIENTS. DURING 2013, THE FAMILY HEALTH CENTER, A PRIMARY CARE CLINIC, HAD OVER 31,415 VISITS OF WHICH 86% WERE APPLICABLE TO MEDICAID/MEDICAID HMO AND UNINSURED PATIENTS. PART VI, LINE 6: ST. JOSEPH'S HOSPITAL IS PART OF AN AFFILIATED HEALTH SYSTEM WHICH INCLUDES THE FOLLOWING: SJMC, INC. IS THE PARENT CORPORATION WHICH WAS ESTABLISHED TO COORDINATE, PLAN AND DEVELOP CHARITABLE, EDUCATIONAL AND SCIENTIFIC ACTIVITIES, PROGRAMS AND PROJECTS FOR THE ADVANCEMENT OF QUALITY HEALTH CARE BY AND THROUGH ITS AFFILIATED ENTITIES AND TO PROMOTE AND ADVANCE RELATIONSHIPS AMONG HEALTH CARE INSTITUTIONS AND THE COMMUNITIES THEY SERVE. ST. JOSEPH'S HOSPITAL, YONKERS IS A SUBSIDIARY OF SJMC, INC. IS A 327 BED HEALTH CARE PROVIDER WHICH PROVIDES MEDICAL, PSYCHIATRIC, EMERGENCY AND OUTPATIENT CLINIC SERVICES TO PATIENTS LOCATED THROUGHOUT WESTCHESTER COUNTY AND THE NEW YORK CITY REGION. ST. JOSEPH'S HOSPITAL NURSING HOME OF YONKERS, NEW YORK, INC. IS AN AFFILIATED ENTITY PROVIDING SKILLED NURSING CARE, LONG TERM HOME HEALTH AND ADULT DAY CARE TO PATIENTS. ST. JOSEPH'S HEALTH FUND IS A FUNDRAISING SUBSIDIARY OF SJMC, INC., ITS SOLE BENEFICIARY AND SOLICITS CONTRIBUTIONS FROM THE COMMUNITY FOR USE IN PROMOTING AND/OR EXPANDING HEALTH PROGRAMS AND SERVICES FOR WHICH THERE IS A COMMUNITY NEED. PART VI, LINE 7, REPORTS FILED WITH STATES NY PART VI, IMPLEMENTATION PLAN ST. JOSEPH'S HOSPITAL, YONKERS ADOPTED AN IMPLEMENTATION PLAN FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE IMPLEMENTATION PLAN CAN BE FOUND AT WWW.SAINTJOSEPHS.ORG UNDER THE "COMMUNITY/EVENTS" TAB AND IS TITLED "COMMUNITY SERVICE PLAN". X X X X X 0 1 0 0 0 0 0 0 0 JEFFRY FOLTZ DIRECTOR 230523 0 0 0 792 0 0 0 0 0 231315 0 0 0 MICHAEL J SPICER PRESIDENT & CEO 703774 0 0 0 14638 0 194943 0 0 0 913355 0 0 0 BARRY B PERLMAN MD DIRECTOR OF PSYCHIATRY 317901 0 0 0 1524 0 0 0 0 0 319425 0 0 0 JAMES CURCURUTO SENIOR VP OF FINANCE 375000 0 0 0 4503 0 12013 0 0 0 391516 0 0 0 BERNADETTE KINGHAM-BEZ PSYCHIATRY ADMINISTRATION 368000 0 0 0 13524 0 0 0 0 0 381524 0 0 0 KIM PAGAN VICE PRESIDENT OF FINANCE 269995 0 0 0 276 0 0 0 0 0 270271 0 0 0 DEAN HARLAM CHIEF MEDICAL OFFICER 298802 0 0 0 1524 0 0 0 0 0 300326 0 0 0 STEVEN SHAINMARK CHIEF OF AMBULATORY SERVICES 229296 0 0 0 276 0 0 0 0 0 229572 0 0 0 ADAM LAU PSYCHIATRY ADMINISTRATION 225802 0 0 0 96 0 0 0 0 0 225898 0 0 0 TESSIE EVANGELISTA SENIOR STAFF RN 209635 0 0 0 443 0 0 0 0 0 210078 0 0 0 PART I, LINE 4B MICHAEL J SPICER AND JAMES CURCURUTO PARTICPATE IN VARIABLE UNIVERSAL EXECUTIVE BONUS LIFE INSURANCE PLANS, BUT NO PAYMENTS WERE MADE IN 2013. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION. THE ORGANIZATION HAS A SINGLE MEMBER, SJMC, INC., WHICH IS A TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF THE GOVERNING BODY. THE SOLE SINGLE MEMBER, SJMC, INC., ELECTS THE GOVERNING BODY OF THE ORGANIZATION. ALL BOARD MEMBERS HAVE EQUAL VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY THAT REQUIRE APPROVAL BY THE PARENT ORGANIZATION, SJMC, INC. INCLUDE DISPOSITION OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, MERGER OR CONSOLIDATION WITH ANOTHER ENTITY OR SYSTEM, DISSOLUTION OF THE ORGANIZATION, AND CHANGE IN THE CHARACTER OF THE OPERATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 REVIEW PROCESS FOR FORM 990. A DRAFT OF FORM 990 IS COMPLETED BY THE ACCOUNTING STAFF AND PROVIDED TO THE VICE PRESIDENT OF FINANCE FOR REVIEW BY MANAGEMENT. UPON DETERMINATION THAT THE DRAFT IS ACCURATE AND PROPERLY PRESENTS THE STATUS OF THE ORGANIZATION AND AFTER REVIEW BY THE HOSPITAL'S TAX ACCOUNTANTS, A COPY IS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO ISSUANCE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE VP OF RISK MANAGEMENT ORGANIZES THE COMPLETION OF THE CONFLICT OF INTEREST STATEMENTS. ANY DISCLOSURE MADE BY AN OFFICER OR TRUSTEE SHALL BE REVIEWED BY ST. JOSEPH'S HOSPITAL, YONKERS BOARD OF TRUSTEES. POTENTIAL CONFLICTS MUST BE RESOLVED AND ANY ACTIONS TAKEN MUST BE DOCUMENTED IN THE BOARD MINUTES. ANY DISCLOSURE MADE BY AN EMPLOYEE SHALL BE REVIEWED BY THE CORPORATE COMPLIANCE COMMITTEE. POTENTIAL CONFLICTS MUST BE RESOLVED BY THE COMMITTEE AND REPORTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION POLICY THE AMOUNT OF COMPENSATION PAID TO THE HOSPITAL'S CEO, OFFICERS OR KEY EMPLOYEES IS REVIEWED PERIODICALLY BY THE COMPENSATION REVIEW COMMITTEE WHICH IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES. THE AMOUNT OF COMPENSATION IS EVALUATED FOR COMPARABILITY WITH OTHER SIMILAR TYPES OF ORGANIZATIONS USING THE GUIDESTAR COMPENSATION REPORT. FINDINGS OF THE COMPENSATION COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES AND DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. SJMC INC 127 SOUTH BROADWAY YONKERS NY 10701 133497559 PARENT NY 501(C)(3) LINE 7 SRS CHARITY 0 ST JOSEPHS HOSPITAL NURSING HOME YONKERS 127 SOUTH BROADWAY YONKERS NY 10701 132861611 NURSING HOME NY 501(C)(3) LINE 9 SRS CHARITY 0 ST JOSEPHS HEALTH FUND 127 SOUTH BROADWAY YONKERS NY 10701 133833645 FUNDRAISING NY 501(C)(3) LINE 7 SJMC INC 0 SJMC SENIOR HOUSING DEVELOPMENT FUND CO 127 SOUTH BROADWAY YONKERS NY 10701 134103604 SENIOR HOUSING NY 501(C)(3) LINE 7 SJMC INC 0 ST JOSEPHS VENTURE INC 127 SOUTH BROADWAY YONKERS NY 10701 133497550 INACTIVE NY N/A C 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 0 1