2023-11-14T18:45:42-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 131740127 ST JOSEPH'S HOSPITAL YONKERS STJO 9143787000 127 SOUTH BROADWAY YONKERS NY 107014006 FRANK HAGAN SENIOR VP OF FINANCE/CFO 9143787000 2023-11-14 1 FRANK HAGAN XXX-XX-XXXX 0 KERRI N BOGDA CPA P00760402 7177404863 2023-11-14 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL J SPICER 127 SOUTH BROADWAY YONKERS NY 107014006 275268951 0 X WWW.SAINTJOSEPHS.ORG X 1888 NY TO PROVIDE AFFORDABLE MEDICAL CARE TO ITS PATIENTS. 20 19 2310 134 0 0 57947975 44340291 198796878 223772389 111028 1966054 3284872 4529570 260140753 274608304 0 0 0 0 167782331 174376748 0 0 0 91949357 94783663 259731688 269160411 409065 5447893 112812838 219838334 159338260 261395156 -46525422 -41556822 X TO MAKE AVAILABLE OPTIMAL PATIENT CARE WITH CONTINUITY OF SERVICE FOR THE SICK AND DISABLED AND ALL OTHERS 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 54824739 0 52558895 ANCILLARY SERVICES - THERE WERE 444,269 PROCEDURES INCLUDING RADIOLOGY, LAB, CARDIOLOGY, THERAPY, ETC. IN 2022. 58056725 0 55657307 PSYCHIATRIC INPATIENT & LONG TERM PSYCH - THERE WERE 152 BEDS AVAILABLE FOR THE TREATMENT OF 49,172 PATIENT DAYS FOR 2022. APPROXIMATELY 224 MEDICAL PERSONNEL ARE ASSIGNED TO THIS UNIT.THE BREAKDOWN FOR INPATIENT & LONG TERM PSYCH IS AS FOLLOWS: INPATIENT HAD 44,264 PATIENT DAYS AND APPROXIMATELY 209 MEDICAL PERSONNEL. LONG TERM PSYCH HAD 4,908 PATIENT DAYS AND APPROXIMATELY 14 MEDICAL PERSONNEL. 107236079 0 98881142 GENERAL SERVICE FACILITIES FOR MEDICAL/SURGICAL PATIENTS (EXPENSES: $41,868,521, REVENUE: $34,873,996):THE HOSPITAL HAD 122 BEDS AVAILABLE TO THE PUBLIC FOR MEDICAL AND SURGICAL SERVICES IN 2022. THE HOSPITAL HAD 19,037 PATIENT DAYS FOR GENERAL SERVICE AND APPROXIMATELY 80 MEDICAL PERSONNEL ASSIGNED TO THIS SERVICE.EMERGENCY SERVICE (EXPENSES: $11,083,132, REVENUE: $10,625,079): THE HOSPITAL HAD 23,914 EMERGENCY VISITS DURING THE YEAR OF WHICH 2,751 RESULTED IN ADMITTANCE INTO THE HOSPITAL. THERE WERE APPROXIMATELY 35 NURSES, AIDES AND PHYSICIANS ASSIGNED.OUTPATIENT PSYCHIATRIC CLINICS (EXPENSES: $13,883,738, REVENUE: $13,309,939): THERE WERE 155,093 VISITS FOR 2022 AND 44 FTES.OUTPATIENT SERVICES (EXPENSES: $23,329,624, REVENUE: $22,365,437): THERE WERE 118,140 VISITS FOR 2022 AND 67 FTES.INTENSIVE CARE UNIT AND CORONARY CARE UNIT (EXPENSES: $12,574,161, REVENUE: $12,054,485): THERE WERE 6 BEDS AVAILABLE. 978 PATIENT DAYS OCCURRED IN 2022 FOR THE COMBINATION OF ICU AND CCU SERVICES. APPROXIMATELY 21 FTES WERE ASSIGNED TO THIS AREA.SUPPORTED CASE MANAGEMENT (EXPENSES: $1,923,513, REVENUE: $1,844,016): THERE WERE 13,003 VISITS FOR 2022.PARTIAL HOSPITALIZATION (EXPENSES: $2,573,390, REVENUE: $2,467,035): THERE WERE 8,765 VISITS IN 2022 AND 14 FTES.PEDIATRIC UNIT (EXPENSES: $0, REVENUE: $0): THERE WERE 2 BEDS AVAILABLE, 0 PATIENT DAY AND APPROXIMATELY 0 FTES IN 2022THE HOSPITAL ALSO PROVIDED SERVICES TO RELATED ORGANIZATIONS WHICH YIELDED TOTAL REVENUE OF $341,155. 17393916 0 16675045 METHADONE MAINTENANCE TREATMENT PROGRAM CLINIC (EXPENSES: $17,393,916, REVENUE: $16,675,045): THERE WERE 449,717 VISITS FOR 2022 AND APPROXIMATELY 108 FULL TIME EMPLOYEES. 17393916 0 16675045 237511459 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 1 587 0 2310 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X FRANK HAGAN SVP FINANCECFO 9143787000 127 SOUTH BROADWAY YONKERS NY 107014006 MICHAEL J SPICER PRESIDENT & CEO 30.00 5.00 X X 1299843 0 226075 JAMES J LANDY CHAIRMAN 1.00 1.00 X X 0 0 0 CARL E PETRILLO VICE CHAIRMAN 1.00 1.00 X X 0 0 0 MICHAEL M MINERVA SECRETARY 1.00 1.00 X X 0 0 0 BARRY M DAVIS TREASURER 1.00 1.00 X X 0 0 0 SANDEEP GULATI PRESIDENT OF MEDICAL STAFF 1.00 1.00 X X 0 0 0 JAMES L NEUENDORF MD DIRECTOR 1.00 1.00 X 0 0 0 AMANI MARJIEH DIRECTOR 1.00 1.00 X 0 0 0 SISTER SHEILA BROSNAN DIRECTOR 1.00 1.00 X 0 0 0 MOIRA J KIERNAN DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM J SCHNEIDER DIRECTOR 1.00 1.00 X 0 0 0 KEVIN M O'CALLAGHAN DIRECTOR 1.00 1.00 X 0 0 0 NEIL PRESSMAN DIRECTOR 1.00 1.00 X 0 0 0 SISTER MEG SWEENEY DIRECTOR 1.00 1.00 X 0 0 0 JAMES J VENERUSO ESQ DIRECTOR 1.00 1.00 X 0 0 0 ALAN WEISMAN DIRECTOR 1.00 1.00 X 0 0 0 JOHN F CALVELLI DIRECTOR 1.00 1.00 X 0 0 0 SISTER DONNA DODGE DIRECTOR 1.00 1.00 X 0 0 0 JOHN J SPANO DIRECTOR 1.00 1.00 X 0 0 0 SISTER MARGARET EGAN DIRECTOR 1.00 1.00 X 0 0 0 MARGARET CUSUMANO RN VP PATIENT CARE SVCS & CNO(UNTIL 3/22) 27.00 8.00 X X 42399 0 5299 FRANK HAGAN SENIOR VP OF FINANCE/CFO 28.00 7.00 X 453707 0 31793 MARK POHAR VP PATIENT CARE SVCS & CNO 27.00 8.00 X 223760 0 29144 BERNADETTE KINGHAM-BEZ SENIOR VP OF PSYCHIATRY 35.00 0.00 X 411795 0 43793 FRANCES CASOLA SENIOR VP OF OPERATIONS 35.00 0.00 X 316557 0 43793 FADI SAYEGH FAMILY PRACTICE PHYSICIAN 35.00 0.00 X 441064 0 28249 JAMES DEMEO MEDICAL DIRECTOR 30.00 0.00 X 350987 0 31793 JELENA VESELINOVIC MD PSYCHIATRY PHYSICIAN 35.00 0.00 X 310060 0 31793 DEAN HARLAM CHIEF MEDICAL OFFICER 35.00 0.00 X 300054 0 31793 KIM PAGAN VICE PRESIDENT OF FINANCE 35.00 0.00 X 283488 0 12228 4433714 0 515753 291 0 1 0 RAMAPO ANESTHESIOLOGISTS 100 ROUTE 59 SUITE 105 SUFFERN NY 10901 ANESTHESIA SERVICES 1950000 PARK HILL EMERGENCY PHY SVC 66 WEST GILBERT STREET RED BANK NJ 07701 MEDICAL SERVICES 1930636 NEWBURGH PHYSICIAN SERVICE 66 WEST GILBERT STREET RED BANK NY 07701 MEDICAL SERVICES 1538257 THERADYNAMICS REHAB 225 CROSSWAYS PARK DRIVE WOODBURY NY 11797 REHABILITATION SERVICES 1182176 YONKERS PHYSICIAN SERVICE PC 66 WEST GILBERT STREET RED BANK NJ 07701 MEDICAL SERVICES 600000 70 44187446 152845 44340291 INPATIENT 900099 132619388 132619388 CLINIC & PSYCHIATRY 621400 70609706 70609706 EMERGENCY ROOM 900099 10625079 10625079 AMBULATORY SURGERY 621990 9918216 9918216 223772389 170473 170473 1361833 556228 805605 805605 805605 1900000 104419 1795581 1795581 1795581 INTER-CO MANAGMENT FEE 900099 490563 490563 NURSING HOME SERVICES 900099 341155 341155 PARKING INCOME 900099 185343 185343 2706904 2706904 3723965 274608304 224113544 0 6154469 X 3127958 2754482 373476 124734632 112046682 12687950 7414132 6683208 730924 29731227 26714951 3016276 9368799 8412240 956559 853600 853600 180806 180806 28608874 25869737 2739137 170336 143271 27065 1488989 1217128 271861 5140899 4324047 816852 20153955 16863256 3290699 374282 314811 59471 40310 33905 6405 1140353 1057068 83285 5443222 5045678 397544 3314387 2787755 526632 MEDICAL SUPPLIES 13092907 13092907 BAD DEBT EXPENSE 4648344 4648344 REPAIRS AND MAINTENANCE 2318034 1949715 368319 OCCUPATIONAL THERAPY 1100089 1100089 6714276 2452185 4262091 269160411 237511459 31648952 0 79519 120616 6638452 10146555 15476682 41574164 3021631 3128873 1920994 2211535 174380799 120929702 45749996 53451097 29177250 52989236 3155559 24715277 7592755 31500981 112812838 219838334 46523072 57616865 3802560 5643181 30149222 20045051 11935453 66927953 178090059 159338260 261395156 X -52513766 -49097072 5988344 7540250 -46525422 -41556822 112812838 219838334 X 5447893 -479293 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 550000 550000 550000 550000 550000 550000 550000 550000 150000 400000 550000 0.00000 1.00000 0.00000 0 0 12429616 12429616 81279247 62034492 19244755 3894748 943355 2951393 66202875 54603711 11599164 10574313 3348144 7226169 53451097 OTHER RECEIVABLES 6886882 DUE FROM AFFILIATES 197756 DUE FROM THIRD PARTY PAYORS 24416343 31500981 CAPITALIZED LEASE OBLIGATION 25002452 DUE TO THIRD PARTY PAYORS - NET 93348767 EST. PROFESS. LIAB. SELF-INSURANCE 21751094 ACC'D ASSET RETIREMENT OBLIGATION 1323871 PENSION WITHDRAWAL LIABILITY 12237500 ADVANCES FROM NYS, DIRECTED PAYMENT TEMPLATE 24426375 178090059 X 270036895 -5127637 -5127637 275164532 -556228 -556228 274608304 265068295 556228 556228 264512067 4648344 4648344 269160411 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: 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -4,648,344. CUMULATIVE EFFECT OF ADOPTION OF CHANGE IN ACCOUNTING -479,293. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -556,228. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 556,228. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 4,648,344. 1 1 X 1 X 1 X 1 1 1 0 1 1 8192887 54287234 0 0.00000 125351366 155873724 0 0.00000 133544253 210160958 0 0.00000 1722929 1373955 348974 0.00130 15317248 2357288 12959960 0.04900 27023901 5394987 21628914 0.08180 44064078 9126230 34937848 0.13210 177608331 219287188 34937848 0.13210 1 2229584 428682 26603086 23445456 3157630 X 1 1 2 1 ST JOSEPH'S HOSPITAL YONKERS NY 127 SOUTH BROADWAY YONKERS NY 10701 5907002H X X X A 2 ST VINCENT'S HOSPITAL WESTCHESTER 275 NORTH STREET HARRISON NY 10528 5907002H X X X 24 HR PSYCHIATRIC REFERRAL AND EVALUATION PROGRAM A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 0 1 X WWW.SAINTJOSEPHS.ORG/ABOUT-US X 1 22 1 WWW.SAINTJOSEPHS.ORG/ABOUT-US 0 1 X 150.000000000000 300.000000000000 X X 1 1 X X X 1 X WWW.SAINTJOSEPHS.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATION X WWW.SAINTJOSEPHS.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATION X WWW.SAINTJOSEPHS.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATION X X X X X X 0 0 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 YONKERS, NY, - FACILITY 2: ST. VINCENT'S HOSPITAL WESTCHESTER FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM THE PERSONS WHO REPRESENT THE COMMUNITY BY CONDUCTING THE FOLLOWING OUTREACH REPORTS: FOCUS GROUPS, ACTIVE PARTICIPATION IN EXISTING COMMUNITY HEALTH INITIATIVE MEETINGS AND DISTRIBUTION OF HEALTH NEEDS SURVEYS AT LOCAL HEALTH FAIRS. INDIVIDUALS WHO WERE CONSULTED FOR COLLABORATIONS 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 REPRESENTATIVES, SCHOOL OFFICALS, COMMUNITY BASED ORGANIZATIONS, SOCIAL SERVICE AGENCIES AND THE YONKERS OFFICE OF THE AGING.TO ENGAGE THE BROADER COMMUNITY, SURVEY TOOLS WERE COLLABORATIVELY DEVELOPED BY HOSPITAL AND HEALTH DEPARTMENT PARTNERS, AND MADE AVAILABLE IN PAPER AND ONLINE FORMAT IN FIVE DIFFERENT LANGUAGES (ENGLISH, SPANISH, ARABIC, FRENCH CREOLE, AND CHINESE). PAPER SURVEYS WERE DISTRIBUTED IN SERVICE AGENCY AND HOSPITAL WAITING AREAS WITH ONSITE ASSISTANCE PROVIDED BY WESTCHESTER COUNTY DEPARTMENT OF HEALTH (WCDOH) STAFF AT SELECT LOCATIONS. ONLINE SURVEYS WERE DISTRIBUTED VIA LISTSERVS PROVIDED BY THE WCDOH, HOSPITALS, AND COMMUNITY ORGANIZATIONS. A TOTAL OF 5,699 COMMUNITY SURVEYS AND 84 PROVIDER SURVEYS WERE COMPLETED.SAINT JOSEPH'S HOSPITAL, YONKERS CONTINUES TO COLLABORATE IN ADDRESSING COMMUNITY NEEDS THROUGH THE HEALTHY YONKERS INITIATIVE (HYI) ESTABLISHED IN 1998 BY THE CITY OF YONKERS AND ST. JOHN'S HOSPITAL. THE HEALTHY YONKERS INITIATIVE IS A PARTNERSHIP OF OVER FIFTY COMMUNITY-BASED ORGANIZATIONS, LOCAL HEALTH AND CITY DEPARTMENTS, SCHOOLS, BUSINESSES, FAITH-BASED INSTITUTIONS AND INDIVIDUALS IN THE CITY OF YONKERS. THESE COMMUNITY PARTNERS ARE INVOLVED IN THE ASSESSMENT OF COMMUNITY HEALTH NEEDS IN OUR PRIMARY SERVICE AREA, THE CITY OF YONKERS, AND ITS SURROUNDING COMMUNITIES. ST. JOSEPH'S HOSPITAL YONKERS HAS ACTIVELY PARTICIPATED AND SUPPORTED HYI SINCE ITS INCEPTION. THE COMMUNITY PARTNERS CONTINUE TO MEET QUARTERLY, ROTATING VENUES AMONG THE MEMBERS. DURING OUR SESSIONS WE SHARE HEALTH INFORMATION FROM THE NEW YORK STATE AND WESTCHESTER COUNTY DEPARTMENT OF HEALTH AND DISSEMINATE MARKET SHARE DATA. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: ONE CHNA WAS PERFORMED FOR THE TWO HOSPITAL FACILITIES, ST. JOSEPH'S HOSPITAL YONKERS, NY AND ST. VINCENT'S HOSPITAL WESTCHESTER UNDER THE ENTITY ST. JOSEPH'S HOSPITAL YONKERS, NY.FURTHER, SAINT JOSEPH'S HOSPITAL YONKERS PARTNERED WITH THE WESTCHESTER COUNTY HEALTH DEPARTMENT AS PART OF THE MONTEFIORE HUDSON VALLEY COLLABORATIVE (MHVC), A GROUP OF REGIONAL HOSPITALS AND COMMUNITY BASED ORGANIZATIONS, TO GATHER RESEARCH IN SUPPORT OF THE 2022 CHNA. THE FOLLOWING IS A LIST OF THE PARTNERS: BURKE REHABILITATION HOSPITAL, HUDSON VALLEY HOSPITAL, LAWRENCE HOSPITAL, MONTEFIORE MOUNT VERNON HOSPITAL, MONTEFIORE NEW ROCHELLE HOSPITAL, MONTEFIORE HEALTH SYSTEM, NORTHERN WESTCHESTER HOSPITAL, SAINT JOHN'S RIVERSIDE HOSPITAL, SAINT JOSEPH'S HOSPITAL YONKERS, WESTCHESTER COUNTY DEPARTMENT OF HEALTH, AND WHITE PLAINS HOSPITAL. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: BASED ON CHNA FINDINGS AND TAKING INTO ACCOUNT THE HEALTH SYSTEM'S EXPERTISE AND RESOURCES, SJMC WILL FOCUS EFFORTS ON THE FOLLOWING NEW YORK STATE PREVENTION AGENDA PRIORITIES AS PART OF ITS 2022-2024 CSP:PREVENT CHRONIC DISEASES, FOCUS AREA: PREVENTIVE CARE AND MANAGEMENT OF CANCER; PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS, FOCUS AREA: PREVENT MENTAL AND SUBSTANCE USE DISORDERSSTRATEGIES TO ADDRESS THE PREVENTION AGENDA PRIORITIES WILL TARGET DISPARITIES RELATED TO COLORECTAL CANCER AND MENTAL HEALTH. THESE DISPARITIES ARE LARGELY ROOTED IN SOCIOECONOMIC DIFFERENCES AND INEQUITIES AND HAVE HISTORICALLY DISPROPORTIONATELY AFFECTED RESIDENTS OF SJMC'S PRIMARY SERVICE AREA, COMPRISING ZIP CODES 10701 AND 10705 IN YONKERS.AS OF 2020, COLORECTAL CANCER WAS THE SECOND LEADING CAUSE OF CANCER-RELATED DEATH IN THE UNITED STATES AND WESTCHESTER COUNTY. WITH LOWER SCREENING RATES IN THE COMMUNITIES SJMC SERVES, INTERVENTIONS WILL BE DESIGNED TO CREATE AND INCREASE AWARENESS OF SCREENING GUIDELINES FOR EARLY IDENTIFICATION. SJMC WILL DEVELOP TARGETED MEDIA PATIENT CAMPAIGNS (VIDEO, SOCIAL MEDIA, AND PRINTED MATERIALS) IN ENGLISH AND SPANISH.MENTAL HEALTH-RELATED DATA REFLECT SIMILAR DISPARITIES IN SJMC'S SERVICE AREA. IN RESPONSE TO COMMUNITY MENTAL HEALTH CONCERNS, THE SJMC/SVHW CRISIS PREVENTION & RESPONSE TEAM (CPRT) WAS ORGANIZED IN 2014 IN COLLABORATION WITH THE WESTCHESTER COUNTY DEPARTMENT OF COMMUNITY MENTAL HEALTH TO PROVIDE A MOBILE, PERSON-CENTERED COMMUNITY RESOURCE LINKING WESTCHESTER RESIDENTS TO EXISTING SUPPORTS. THE CPRT PROVIDES MENTAL HEALTH EVALUATION AND CRISIS INTERVENTION, SUPPORTIVE COUNSELING, INFORMATION, AND REFERRALS FOR ONGOING TREATMENT. SJMC/SVHD SERVES AS THE CRISIS TEAM'S MAIN HOME OFFICE AND SEEKS TO PREVENT OR ADDRESS BEHAVIORAL HEALTH CRISES OUTSIDE OF AN ER. IN 2020, THE CPRT WAS ASKED BY THE WESTCHESTER COUNTY DEPARTMENT OF COMMUNITY MENTAL HEALTH TO RESPOND TO CALLS FROM WESTCHESTER RESIDENTS TO THE NATIONAL SUICIDE PREVENTION LIFELINE (NSPL). IN PART, THESE INITIATIVES ARE COLLECTIVELY AIMED AT ADDRESSING THE POST-COVID INCREASE IN MENTAL HEALTH AND SUBSTANCE USE ISSUES.IN DETERMINING PRIORITY AREAS, SOME HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA WILL NOT BE DIRECTLY ADDRESSED IN SJMC'S CSP, HOWEVER THESE NEEDS WILL CONTINUE TO BE MET THROUGH CLINICAL CARE AND COMMUNITY SERVICES. 21 1 - IMMACULATA HALL 90-10 150TH STREET JAMAICA NY 11435 RESIDENTIAL - SUPPORTED HOUSING 2 - BISHOP SULLIVAN - ST MARY'S RESIDENCE 1534 PROSPECT PLACE BROOKLYN NY 11213 RESIDENTIAL - SUPPORTED HOUSING 3 - FAMILY HEALTH CENTER & SPECIALTY CLINIC 81 SOUTH BROADWAY YONKERS NY 10701 OUTPATIENT CLINIC 4 - FAMILY MEDICINE HEALTH CENTER 415 SOUTH BROADWAY YONKERS NY 10701 OUTPATIENT CLINIC 5 - MAXWELL INSTITUTE OF ST VINCENTS 92 YONKERS AVENUE TUCKAHOE NY 10707 OUTPATIENT CLINIC 7 - METHADONE CLINIC II 639 CLASSON AVENUE BROOKLYN NY 11238 OUTPATIENT CLINIC 8 - METHADONE CLINIC III 211-221 POWELL STREET BROOKLYN NY 11212 OUTPATIENT CLINIC 9 - METH TREAT & ADDICT OUTPATIENT CLINIC 317 SOUTH BROADWAY YONKERS NY 10705 OUTPATIENT CLINIC 10 - SJMC-SVWD METHADONE UNITS I & II 175-20 HILLSIDE AVENUE JAMAICA NY 11432 OUTPATIENT CLINIC 11 - ST MARTIN DE PORRES CLINIC 480 ALABAMA AVENUE BROOKLYN NY 11207 OUTPATIENT CLINIC 12 - ST JOSEPH'S MEDICAL CARDIO CENTER 530 YONKERS AVENUE YONKERS NY 10701 OUTPATIENT CLINIC & DIAGNOSTIC IMAGING CENTER 13 - SJMC IMAGING CENTER 3050 CORLEAR AVENUE BRONX NY 10463 OUTPATIENT CLINIC & DIAGNOSTIC IMAGING CENTER 14 - WHITE PLAINS SATELLITE 199 MAIN STREET WHITE PLAINS NY 10601 OUTPATIENT CLINIC 15 - AUSTIN HOUSE 20 AUSTIN PLACE STATEN ISLAND NY 10301 RESIDENTIAL - SUPPORTED HOUSING 16 - CHAIT HOUSE - SR JANE MANOR 101 TOMPKINS AVENUE STATEN ISLAND NY 10304 RESIDENTIAL - SUPPORTED HOUSING 17 - CHAIT RESIDENCE - SR JANE MANOR 101 TOMPKINS AVENUE 4TH FLOOR STATEN ISLAND NY 10304 RESIDENTIAL - SUPPORTED HOUSING 18 - SR ANNE MARY REGAN RESIDENCE 18 SPRING STREET PORT CHESTER NY 10573 RESIDENTIAL - SUPPORTED HOUSING 19 - SR JANE MANOR CRSRO 101 TOMPKINS AVENUE 1ST FLOOR STATEN ISLAND NY 10304 RESIDENTIAL - SUPPORTED HOUSING 20 - SR LOUISE DEMARILLAC MANOR 19 HYGEIA PLACE STATEN ISLAND NY 10304 RESIDENTIAL - SUPPORTED HOUSING 21 - SR MARY ASSISIUM RESIDENCE 382 WESTERVELT AVENUE STATEN ISLAND NY 10301 RESIDENTIAL - SUPPORTED HOUSING 22 - TOMPKINS RESIDENCE 1150 CASTLETON AVENUE STATEN ISLAND NY 10310 RESIDENTIAL - SUPPORTED HOUSING PART I, LINE 7: THE GLOBAL COST TO CHARGE RATIO WAS UTILIZED TO COMPUTE COST OF CHARITY CARE PROVIDED. ALLOWABLE COST WAS DIVIDED BY TOTAL CHARGES. PART I, LINE 7G: THE FAMILY HEALTH CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES AND ITS TOTAL COST IS $4,520,425 FOR 2022. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE WHICH IS INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A), BUT WHICH IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $4,648,344. PART III, LINE 2: THE RATIO OF PATIENT COST TO CHARGE APPLIED TO THE BAD DEBT EXPENSES WAS UTILIZED. PART III, LINE 3: 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 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 SOCIO-ECONOMIC STATUS. PART III, LINE 4: A SUMMARY OF THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGEMENTS. THE HOSPITALS HAVE IMPLEMENTED A MONTHLY STANDARDIZED APPROACH TO ESTIMATE AND REVIEW THE COLLECTABILITY 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 HOSPITAL ASSESSES THE CURRENT STATE OF ITS BILLING FUNCTIONS TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES 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 THE 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, WHEN 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, NEGOTIATE HOSPITALS' PAYMENT RATES. IF NEGOTIATED RATES ARE NOT ESTABLISHED, PAYERS ARE BILLED AT THE HOSPITAL'S ESTABLISHED CHARGES. MEDICAID, WORKERS' 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 (SIW) 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 LEVELS THAT COULD, AMONG OTHER THINGS, REDUCE PAYMENT RATES. THE ULTIMATE OUTCOME OF THESE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY FOR ADJUSTMENTS ON AMOUNTS DUE TO OR DUE FROM MEDICARE AND NON-MEDICARE PAYERS FOR 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, 2020.ON FEBRUARY 19, 2004, THE SECRETARY OF HEALTH AND HUMAN SERVICES CONFIRMED THAT HOSPITALS CAN PROVIDE DISCOUNTS FOR UNINSURED PATIENTS WHICH ALLOW THE HOSPITALS TO IMPLEMENT A DISCOUNT POLICY IN ACCORDANCE WITH STATE LAW. THE HOSPITAL'S GOAL WAS TO CREATE A FINANCIAL AID PROGRAM 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 PROVIDE 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 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 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 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, 2022 AND 2021, NET PATIENT REVENUE FOR INDIVIDUAL PAYERS CONSISTED OF THE FOLLOWING: MEDICARE 2022-21%, 2021-27%, MEDICAID/MEDICAID HMO 2022-69%, 2021-63%, SELF PAY 2022-0%, 2021-0%, OTHER 2022-10%, 2021-10%. 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 SCHEDULES OF THE 2022 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 SERVICES 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: 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 ARE AVAILABLE TO QUALIFYING INDIVIDUALS THAT 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: ST. JOSEPH'S HOSPITAL SERVES A PREDOMINATELY 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 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 MEDICAL NEEDS. SJMC SERVES ALL OF YONKERS, BUT DEFINES ITS PRIMARY SERVICE AREA AS ZIP CODES 10701 AND 10705. THE ESTIMATED POPULATION OF THE PRIMARY ZIP CODES IS 105,785, REPRESENTING APPROXIMATELY 50% OF THE TOTAL YONKERS POPULATION. THE PRIMARY SERVICE AREA POPULATION IS MORE CULTURALLY AND ETHNICALLY DIVERSE THAN THE CITY OF YONKERS AND EXPERIENCES GREATER SOCIOECONOMIC DISPARITY. THE AREA IS AN URBAN MIX OF HIGH-RISE APARTMENTS, OLDER WOOD FRAME HOMES, AND A DOWNTOWN BUSINESS AREA THAT CONTAINS COMMUNITY-BASED NOT-FOR-PROFIT ORGANIZATIONS. ZIP CODES 10701 AND 10705 ARE SOME OF THE MOST POPULATION DENSE AREAS IN NEW YORK STATE WITH A POPULATION DENSITY OF 23,372 PER SQUARE MILE. THE POPULATION DENSITY FOR ALL OF YONKERS IS 10,903 RESIDENTS PER SQUARE MILE. OUR SECONDARY SERVICE AREA INCLUDES ZIP CODES 10703, 10704, 10710, 10474, 10463, 10470, 10466 AND 10467.WESTCHESTER COUNTY, LOCATED JUST NORTH OF NEW YORK CITY IN THE HUDSON VALLEY, SPANS 450 SQUARE MILES AND 48 MUNICIPALITIES DESIGNATED AS URBAN, SUBURBAN, AND RURAL GEOGRAPHIES. THE 2020 ESTIMATED COUNTY POPULATION OF 969,044 IS UP 2.1% BETWEEN 2010 AND 2020. THE COUNTY SEAT IS THE CITY OF WHITE PLAINS. OTHER MAJOR CITIES INCLUDE YONKERS, NEW ROCHELLE, AND MOUNT VERNON. THE 2020 MEDIAN HOUSEHOLD INCOME FOR WESTCHESTER COUNTY ($99,489) IS THE FOURTH HIGHEST IN NEW YORK STATE AFTER NASSAU, PUTNAM AND SUFFOLK COUNTIES.YONKERS IS 18.4 SQUARE MILES WITH AN ESTIMATED POPULATION OF 211,569. THE POPULATION INCREASED 8% BETWEEN 2010 AND 2020. APPROXIMATELY 25% OF RESIDENTS ARE UNDER 18 YEARS AND 16% ARE SENIORS. THE YONKERS COMMUNITY IS ONE OF THE MOST CULTURALLY AND ETHNICALLY DIVERSE IN WESTCHESTER COUNTY AND NEW YORK STATE. DURING THE LAST TWO DECADES, A DEMOGRAPHIC SHIFT HAS TAKEN PLACE IN THE CITY WITH A LARGE INFLUX OF IMMIGRANTS. APPROXIMATELY 31% OF THE YONKERS POPULATION IS FOREIGN-BORN; 56% OF FOREIGN BORN RESIDENTS WERE BORN IN A LATIN AMERICAN COUNTRY. IMMIGRANTS FROM ALL OVER THE WORLD BRING A GREAT VITALITY TO OUR COMMUNITY, BUT THEY CHALLENGE THE HOSPITAL AND OTHER COMMUNITY SERVICE PROVIDERS TO UNDERSTAND AND MEET THEIR UNIQUE AND COMPLEX HEALTH 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 2022, THE FAMILY HEALTH CENTER, A PRIMARY CARE CLINIC, HAD 21,100 VISITS OF WHICH 58% WERE APPLICABLE TO MEDICAID/MEDICAID HMO OR 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, A SUBSIDIARY OF SJMC, INC., IS A 327 BED HEALTH CARE PROVIDER THAT PROVIDES MEDICAL, PSYCHIATRIC, EMERGENCY AND OUTPATIENT CLINIC SERVICES TO PATIENTS LOCATED THROUGHOUT WESTCHESTER COUNTY AND THE NEW YORK CITY REGION. 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 X 1 1 X X X X 0 1 0 0 0 0 0 0 0 MICHAEL J SPICER PRESIDENT & CEO 1224979 0 0 0 74864 0 194282 0 31793 0 1525918 0 0 0 FRANK HAGAN SENIOR VP OF FINANCE/CFO 453191 0 0 0 516 0 0 0 31793 0 485500 0 0 0 FADI SAYEGH FAMILY PRACTICE PHYSICIAN 440956 0 0 0 108 0 0 0 28249 0 469313 0 0 0 BERNADETTE KINGHAM-BEZ SENIOR VP OF PSYCHIATRY 410250 0 0 0 1545 0 12000 0 31793 0 455588 0 0 0 JAMES DEMEO MEDICAL DIRECTOR 350471 0 0 0 516 0 0 0 31793 0 382780 0 0 0 FRANCES CASOLA SENIOR VP OF OPERATIONS 315765 0 0 0 792 0 12000 0 31793 0 360350 0 0 0 JELENA VESELINOVIC MD PSYCHIATRY PHYSICIAN 309268 0 0 0 792 0 0 0 31793 0 341853 0 0 0 DEAN HARLAM CHIEF MEDICAL OFFICER 298509 0 0 0 1545 0 0 0 31793 0 331847 0 0 0 KIM PAGAN VICE PRESIDENT OF FINANCE 282972 0 0 0 516 0 0 0 12228 0 295716 0 0 0 MARK POHAR VP PATIENT CARE SVCS & CNO 223022 0 0 0 738 0 0 0 29144 0 252904 0 0 0 PART I, LINE 1A APARTMENT RENT IS INCLUDED IN TAXABLE COMPENSATION FOR THE PRESIDENT & CEO, MICHAEL J. SPICER. PART I, LINE 4B THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING 2022, BUT DID NOT RECEIVE A DISTRIBUTION: MICHAEL J. SPICER, PRESIDENT & CEO CONTRIBUTIONS MADE TO THE PLAN DURING 2022 TOTALED $194,282. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SINGLE MEMBER, SJMC, INC., WHICH IS A TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A 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 11B A DRAFT OF FORM 990 IS COMPLETED BY THE ACCOUNTING STAFF AND PROVIDED TO THE SENIOR 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 FILING. FORM 990, PART VI, SECTION B, LINE 12C 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. THE CONFLICT OF INTEREST POLICY DOES MENTION FAMILY AND BUSINESS RELATIONSHIPS AS A SOURCE FOR POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE AMOUNT OF COMPENSATION PAID TO THE HOSPITAL'S CEO, OFFICERS AND KEY EMPLOYEES IS REVIEWED PERIODICALLY BY THE BOARD'S GOVERNANCE 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 GOVERNANCE COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES AND DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G BILLING & COLLECTIONS EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 930,284. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 930,284. CONSULTING: PROGRAM SERVICE EXPENSES 1,107,750. MANAGEMENT AND GENERAL EXPENSES 209,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,317,014. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,761,992. MANAGEMENT AND GENERAL EXPENSES 332,856. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,094,848. NETWORK & DATA PROCESSING: PROGRAM SERVICE EXPENSES 62,545. MANAGEMENT AND GENERAL EXPENSES 11,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,360. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,339,640. MANAGEMENT AND GENERAL EXPENSES 1,197,616. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,537,256. OUTSIDE LAB SERVICES: PROGRAM SERVICE EXPENSES 888,832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 888,832. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 296,747. MANAGEMENT AND GENERAL EXPENSES 56,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 352,805. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,468,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,468,750. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 11,936,895. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,936,895. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 6,586. MANAGEMENT AND GENERAL EXPENSES 1,244. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,830. FORM 990, PART XI, LINE 9: CUMULATIVE EFFECT OF ADOPTION OF CHANGE IN ACCOUNTING -479,293. 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 10 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 ST JOSEPHS MEDICAL PRACTICE PC 127 SOUTH BROADWAY YONKERS NY 10701 300710052 MEDICAL PRACTICE NY N/A C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1