2011-11-15T12:44:02-06:00 2010-12-31 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-01-01 131740127 ST JOSEPH'S HOSPITAL YONKERS STJO 9143787000 127 SOUTH BROADWAY YONKERS NY 107014006 MICHAEL J SPICER 9143787000 2011-11-14 1 JULIUS GREEN CPA 2159720701 2010 2016-03-07 17:11:31Z MICHAEL J SPICER 127 SOUTH BROADWAY YONKERS NY 107014006 142473694 0 X WWW.SAINTJOSEPHS.ORG X 1888 NY TO PROVIDE AFFORDABLE MEDICAL CARE TO ITS PATIENTS. 23 22 2092 276 0 0 3967583 6303427 100534703 116808308 -276758 264492 7498495 8041974 111724023 131418201 0 0 0 0 63766193 74980541 0 0 0 48689115 53453474 112455308 128434015 -731285 2984186 57428633 93906052 56411586 89256744 1017047 4649308 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 PREVENTIONS, DIAGNOSIS, TREATMENT, REHABILITATION AND/OR HOME CARE FOR HOSPITALIZED AND AMBULATORY PATIENTS AND/OR OTHER HEALTH RELATED FACILITIES. 1 0 37258289 45417378 ANCILLARY SERVICES - THERE WERE 651,955 PROCEDURES INCLUDING RADIOLOGY, LAB, CARDIOLOGY, THERAPY, ETC. IN 2010 18071753 22029235 GENERAL SERVICES FACILITIES FOR MEDICAL/SURGICAL PATIENTS: THE HOSPITAL HAS 181 BEDS AVAILABLE TO THE PUBLIC FOR MEDICAL AND SURGICAL SERVICES. DURING 2010, THE HOSPITAL HAD 34,261 PATIENT DAYS FOR GENERAL SERVICE. THE HOSPITAL HAS APPPROXIMATELY 137 MEDICAL PERSONNEL ASSIGNED TO THIS SERVICE. 10840096 13213938 EMERGENCY SERVICE: THE HOSPITAL HAD 40,030 EMERGENCY VISITS DURING THE YEAR. THERE WERE 7,073 PATIENTS TREATED, OF WHICH 6,713 PATIENTS WERE ADMITTED INTO THE HOSPITAL THROUGH THE EMERGENCY ROOM. THERE ARE APPROXIMATELY 46 NURSES, AIDES, AND PHYSICIANS ASSIGNED TO THE EMERGENCY ROOM DEPARTMENT. 35521717 43300518 PSYCHIATRIC INPATIENT - (EXPENSES: 8,613,473) THERE WERE 167 BEDS AVAILABLE FOR THE TREATMENT OF MENTAL PATIENTS, ALCOHOLICS, DRUG ADDICTS, AND PATIENTS WITH RELATED DISEASES. THIS UNIT HAD 16,405 PATIENT DAYS IN 2010. THERE ARE APPROXIMATELY 198 MEDICAL PERSONNEL ASSIGNED TO THIS UNIT.OUTPATIENT SERVICES - (EXPENSES: 6,153,526) THERE WERE 88,972 VISITS FOR 2010 AND 30 FTE'S.MMTP CLINIC - (EXPENSES: 5,130,719) THERE WERE 159,045 VISITS FOR 2010 AND APPROXIMATELY 165 FTE'S.PSYCHIATRIC CLINICS - (EXPENSES: 3,567,259) THERE WERE 17,758 VISITS FOR 2010 AND 53 FTE'S.LONG TERM PSYCH - (EXPENSES: 3,251,004) THERE WERE 14 BEDS AVAILABLE FOR PATIENTS EXCEEDING 120 DAY PSYCH STAY. 4,763 PATIENT DAYS OCCURRED FOR 2010. APPROXIMATELY 4 MEDICAL PERSONNEL ARE ASSIGNED TO THIS UNIT.INTENSIVE CARE UNIT AND CORONARY CARE UNIT - (EXPENSES: 3,096,734) THERE WERE 12 BEDS AVAILABLE. 1,954 PATIENT DAYS OCCURRED FOR 2010 FOR THE COMBINATION OF ICU AND CCU SERVICES. APPROXIMATELY 17 FTE'S ARE ASSIGNED TO THIS AREA.RENAL DIALYSIS - (EXPENSES: 2,535,384) THERE WERE 4,951 INPATIENT AND OUTPATIENT TREATMENTS FOR 2010. APPROXIMATELY 12 MEDICAL AND TECHNICAL PERSONNEL ARE ASSIGNED TO THIS UNIT FOR TREATMENT OF KIDNEY DISORDERS.COMMUNITY SUPPORT SERVICES - (EXPENSES: 1,402,374) THERE WERE 5,027 VISITS FOR 2010.PSYCHIATRIC DAY TREATMENT - (EXPENSES: 965,224) THERE WERE 8,726 VISITS IN 2010 AND 20 FTE'S.PEDIATRIC UNIT - (EXPENSES: 806,020) THERE WERE 7 BEDS AVAILABLE, 535 PATIENT DAYS OCCURRED IN 2010 AND 6 FTE'S. 35521717 43300518 101691855 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 217 0 1 2092 1 0 0 0 0 0 0 0 0 0 0 X 23 22 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X ST JOSEPH'S HOSPITAL YONKERS 9143787000 127 SOUTH BROADWAY YONKERS NY 107014006 ANDREW J BALINT 1.00 X 0 0 0 SISTER MARGARET A BRICK 1.00 X 0 0 0 ERNESTINE CHRISTMAS 1.00 X 0 0 0 JOAN P CUNNINGHAM 1.00 X 0 0 0 ROBERT P FLATH 1.00 X 0 0 0 SISTER JANE IANNUCELLI 1.00 X 0 0 0 SISTER MARGARET MARY KELLY 1.00 X 0 0 0 RICHARD J KILSHEIMER 1.00 X 0 0 0 SISTER DOROTHY METZ 1.00 X 0 0 0 MICHAEL MINERVA 1.00 X 0 0 0 CARL E PETRILLO 1.00 X 0 0 0 SISTER ROSEMARY PETRUCELLI 1.00 X 0 0 0 STEVEN PONTONE 1.00 X 0 0 0 WILLIAM REGAN 1.00 X 0 0 0 LEONARD N SPANO 1.00 X 0 0 0 MARTIN F STEIN MD 1.00 X 0 0 0 REVEREND SAMI TOTAH 1.00 X 0 0 0 ALFRED WEISSMAN 1.00 X 0 0 0 PETER A SMITH 1.00 X X 0 0 0 DR MARGARET O GRIFFIN PHD 1.00 X X 0 0 0 JOHN J FLYNN III 1.00 X X 0 0 0 JAMES J LANDY 1.00 X X 0 0 0 MICHAEL J SPICER 35.00 X X 650474 0 194943 JAMES CURCURUTO 35.00 X 291769 0 12013 KENNETH PEARSON 35.00 X 245065 0 0 NICHOLAS DEROBERTIS MD 35.00 X 252885 0 0 BARRY PERLMAN MD 35.00 X 250816 0 0 MELVYN BLEIBERG MD 35.00 X 249313 0 0 CHERYL FRYDMAN MD 35.00 X 232016 0 0 RICHARD GRIEF MD 35.00 X 213394 0 0 2385732 0 206956 110 0 1 0 MEDEXCEL USA INC 484 TEMPLE HILL RD NEW WINDSOR NY 12553 MEDICAL SERVICES 1345813 NIXON PEABODY 437 MADISON AVE NEW YORK NY 10022 LEGAL SERVICES 602537 ST JOESEPH'S MEDICAL IMAGING 127 SOUTH BROADWAY YONKERS NY 10701 RADIOLOGY SERVICES 585742 ANESTHESIOLOGISTS ASSOC 127 SOUTH BROADWAY YONKERS NY 10701 ANESTHESIA SERVICES 357000 WESTCHESTER WOMEN'S CARE 984 NORTH BROADWAY YONKERS NY 10701 MEDICAL SERVICES 337000 17 5589829 713598 6303427 INPATIENT 900099 85832972 85832972 CLINIC & PSYCHIATRY 621400 14923621 14923621 EMERGENCY ROOM 900099 7978335 7978335 AMBULATORY SURGERY 621990 6879598 6879598 RENAL 621500 1193782 1193782 116808308 230089 230089 993598 993598 993598 336002 657596 11089896 11055493 34403 34403 34403 3471 3471 3471 SERVICES SOLD TO N/H 900099 6200282 6200282 PARKING LOT INCOME 900099 228146 228146 SCHOOL OF RADIOLOGY 611600 201460 201460 415017 415017 7044905 131418201 123961069 0 1153705 1394263 1394263 56899413 47074766 9824647 2970090 2481235 488855 9535431 8063257 1472174 4181344 3220908 960436 1371924 28700 1343224 140175 140175 3700792 2707082 993710 183102 183102 11901964 9879055 2022909 1297480 1297480 4353486 3165795 1187691 151140 121985 29155 54427 50519 3908 1317128 1317128 4472628 2968148 1504480 2206368 2018863 187505 PROVISION FOR DOUBTFUL 8587460 8587460 CONTRACTED SERVICES 5063252 3107740 1955512 PURCHASED SERVICES FROM 3923461 3923461 PHARMACEUTICALS 3563914 3563914 OTHER PURCHASED SERVICE 1164773 728967 435806 128434015 101691855 26742160 0 3652764 3950567 9641519 16831925 615762 830196 582658 577112 149621520 98692646 28681110 50928874 3944449 14254820 16842929 57428633 93906052 18844767 22959471 17035000 14975000 24654724 20531819 26667549 56411586 89256744 X 633412 3908669 233635 590639 150000 150000 1017047 4649308 57428633 93906052 X 2984186 648075 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150000 150000 1.00000 0 0 12733245 12733245 81103924 51339012 29764912 1803283 1595862 207421 53666773 45757772 7909001 314295 314295 50928874 OTHER RECEIVABLES 2432761 MORTAGE PAYMENT ESCROW 1350000 CAPITAL CAMPAIGN FUND 1304 BOARD DESIGNATED FUND 7456670 MEDICAL MALPRACTICE FUND 2052704 OTHER LIMITED USE ASSETS 236045 DEBT SERVICE RESERVE FUND 3265248 LETTER OF CREDIT/WORKERS COMPENSATION INSURANCE 48197 16842929 CAPITALIZED LEASE OBLIGATION 1940016 DUE TO THIRD PARTY PAYORS - NET 15207061 EST LIABILITY SELF-INSURANCE 9001758 ACCRUED ASSET RETIREMENT OBLIGATION 215250 DUE TO AFFILIATES 303464 26667549 131418201 128434015 2984186 648075 648075 3632261 132066276 648075 648075 131418201 0 131418201 128434015 0 128434015 0 128434015 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. 1 1 X 1 X 1 X 1 1 0 1 1 40096318 30051794 10044524 0.07820 40096318 30051794 10044524 0.07820 6157528 2453665 3703863 0.02880 4227619 1902778 2324841 0.01810 10385147 4356443 6028704 0.04690 50481465 34408237 16073228 0.12510 1 5766693 1415008 32096685 22304093 9792592 X 1 1 2 1 ST JOSEPH'S HOSPITAL OF YONKERS NY

127 SOUTH BROADWAY YONKERS NY 10701

X X X 2 ST VINCENT'S HOSPITAL WESTCHESTER

275 NORTH STREET HARRISON NY 10528

X X X OPTIONAL - NOT COMPLETED 1 0 0 0 0 0 0 0 0 0 0 0 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 3C: ST. JOSEPH'S HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES. PART I, LINE 7: THE RATIO OF PATIENT COST TO CHARGES FROM WORKSHEET 2 WAS UTILIZED THROUGHOUT THE REPORT. PART III, LINE 4: THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. THE HOSPITAL HAS IMPLEMENTED A MONTHLY STANDARIZED 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 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 HOSPITAL ASSESSES 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 HOSPITAL BELIEVES 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 DRG'S FROM 538 TO 745 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, NEGOTIATE 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 HOSPITAL HAS 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 HOSPITAL'S MEDICARE COST REPORTS HAVE BEEN AUDITED AND FINALIZED BY THE MEDICARE FISCAL INTERMEDIARY THROUGH DECEMBER 31, 2006. ON FEBRUARY 19, 2004, THE SECRETARY OF HEALTH AND HUMAN SERVICES CONFIRMED THAT HOSPITALS CAN PROVIDE DISCOUNTS FOR UNINSURED PATIENTS, WHICH ALLOWED THE HOSPITAL TO IMPLEMENT A DISCOUNT POLICY IN ACCORDANCE WITH STATE LAW. THE HOSPITAL'S GOAL WAS TO CREATE A FINANCIAL AID PROGRAM THAT IS CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITAL, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO HIS OR HER CARE. THE HOSPITAL HAS 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 HOSPITAL HAS 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 2010 AND 2009 NET PATIENT SERVICE REVENUE INCREASED BY APPROXIMATELY $1,000,000 AND $3,000,000, 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, 2010 AND 2009, NET INPATIENT REVENUE FOR INDIVIDUAL PAYORS CONSISTED OF THE FOLLOWING: MEDICARE 2010-51%, 2009-50%, MEDICAID 2010-18%, 2009-19%, SELF PAY 2010-3%, 2009-6%, COMMERCIAL, MANAGED CARE AND OTHER 2010-28%, 2009-25%.LINE 2 COSTING METHODOLOGY - THE RATIO OF PATIENT COST TO CHARGE APPLIED TO THE BAD DEBT EXPENSES WAS UTILIZED. THE HOSPITAL IS 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 HOSPITAL 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 2010 MEDICARE COST REPORT. THERE WAS A SURPLUS. PART III, LINE 9B: THE COLLECTION POLICY FOR CHARITY CARE PATIENTS IS THE SAME COLLECTION POLICY FOR THE LARGEST NUMBER OF ITS PATIENTS. PART VI, LINE 2: NEEDS ASSESSMENT - 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. 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 6: 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 2010, THE FAMILY HEALTH CENTER, A PRIMARY CARE CLINIC, HAD OVER 27,000 VISITS OF WHICH 88% WERE APPLICABLE TO MEDICAID/MEDICAID HMO AND UNINSURED PATIENTS. PART VI, LINE 7: 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. REPORTS FILED WITH STATES PART VI, LINE 7 NY X X X X X 0 0 0 0 0 0 0 0 0 MICHAEL J SPICER 572634 0 72602 0 5238 0 194943 0 0 0 845417 0 0 0 JAMES CURCURUTO 287232 0 0 0 4537 0 12013 0 0 0 303782 0 0 0 KENNETH PEARSON 235324 0 0 0 9741 0 0 0 0 0 245065 0 0 0 NICHOLAS DEROBERTIS MD 252885 0 0 0 0 0 0 0 0 0 252885 0 0 0 BARRY PERLMAN MD 250816 0 0 0 0 0 0 0 0 0 250816 0 0 0 MELVYN BLEIBERG MD 249313 0 0 0 0 0 0 0 0 0 249313 0 0 0 CHERYL FRYDMAN MD 232016 0 0 0 0 0 0 0 0 0 232016 0 0 0 RICHARD GRIEF MD 213394 0 0 0 0 0 0 0 0 0 213394 0 0 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 SIGNIFICANT PROGRAM SERVICES DURING THE YEAR THE HOSPITAL PURCHASED ON NOVEMBER 1, 2010 A 133 BED INPATIENT PYSCHIATRIC FACILITY. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS A SINGLE MEMBER, THE SISTERS OF CHARITY OF ST. VINCENT DE PAUL OF NEW YORK, 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 DECISIONS 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 EXECUTIVE COMMITTEE WHICH IS COMPRISED OF THE CHAIRS OF THE VARIOUS COMMITTEES APPOINTED BY THE TRUSTEES OF ST. JOSEPH'S HOSPITAL. COMMENTS AND CHANGES ARE REPORTED TO THE ORGANIZATION'S BOARD OF TRUSTEES AND, UPON APPROVAL, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS AUTHORIZED TO SIGN THE FORM 990. 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. 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. FINDINGS OF THE COMPENSATION COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES. 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 AT THIS OFFICE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 648,075. 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 7 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 9 SJMC INC 0 ST JOSEPHS VENTURE INC 127 SOUTH BROADWAY YONKERS NY 10701 133497550 INACTIVE NY N/A C 1.00000 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 1 ST JOSEPH'S HOSPITAL NURSING HOME I 336002 FMV LEASE ST JOSEPH'S HOSPITAL NURSING HOME J 69997 FMV LEASE ST JOSEPH'S HOSPITAL NURSING HOME O 3900000 ACTUAL EXPENSE ST JOSEPH'S HOSPITAL NURSING HOME P 6400000 ACTUAL EXPENSE