2024-11-14T07:09:30-06:00 2023-12-31 135565207 KPMG LLP 345 PARK AVENUE NEW YORK NY 101540102 990 2023-01-01 131740126 ST JOHNS RIVERSIDE HOSPITAL ANDRUS PARKCARE & DOBBS FERRY STJO 9149644340 967 NORTH BROADWAY YONKERS NY 107013497 DENNIS KEANE VP FOR FINANCE & CFO 9149644340 2024-11-13 1 0 EVAN W SEEKAMP P01907071 2127589700 2024-11-12 2023 2024-10-15 13:58:12Z RON CORTI 967 NORTH BROADWAY YONKERS NY 10701 314286986 0 X WWW.RIVERSIDEHEALTH.ORG X 1870 NY THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE TO EVERY PATIENT. 22 17 2622 25 0 0 51250033 33898633 273521873 274210360 74380 251109 6551603 5773391 331397889 314133493 0 0 0 0 204034719 227812104 0 0 37620 126778164 138245010 330812883 366057114 585006 -51923621 164422010 171160338 207112059 262552846 -42690049 -91392508 X THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL ANDNURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICALMANNER TO EVERY PATIENT. SEE SCHEDULE O. 0 0 313641568 224023986 IN 2023, ST. JOHN'S TREATED 8,616 INPATIENTS, THROUGH 43,901 PATIENT DAYS WITH A LARGE PROPORTION (71%) BEING MEDICARE AND MEDICAID PATIENTS. THE HOSPITAL'S INPATIENT AND OUTPATIENT SPECIALTY SERVICES INCLUDE BARIATRIC SURGERY, BEHAVIORAL HEALTH SERVICES, BREAST CARE, CANCER CARE, CARDIOLOGY SERVICES, DIAGNOSTIC IMAGING, EMERGENCY SERVICES, HOLISTIC CARE SERVICES, HOPE CENTER, HYPERBARIC OXYGEN TREATMENT, MATERNITY, ORTHOPEDIC SURGERY CENTER, PHYSICAL THERAPY, RESPIRATORY THERAPY SERVICES, SLEEP SERVICES SURGICAL SERVICES AND WOUND HEALING. 17061418 45376085 IN 2023, ST. JOHN'S PROVIDED 43,400 DAYS OF INPATIENT DRUG AND ALCOHOL SUBSTANCE ABUSE SERVICES TO 7,696 PATIENTS. OUTPATIENT FOLLOW-UP TREATMENTS AND SUPPORT SERVICES PROVIDED FOR 48,182 CLIENT VISITS. THE INPATIENT REHABILITATION PROGRAM IS BASED UPON THE 12 STEP PHILOSOPHY AND PROVIDES A COMPREHENSIVE ARRAY OF SERVICES TO MEN AND WOMEN IN SEPARATE, GENDER-SPECIFIC UNITS. PATIENTS WITH CO-OCCURRING PSYCHIATRIC DISORDERS AND THOSE WITH A HISTORY OF RELAPSE ARE WELCOMED. OUTPATIENT TREATMENT PROGRAMS INCLUDE A DAY REHABILITATION PROGRAM AND A CLINIC PROGRAM. 2827749 1416814 ST. JOHN'S OPERATES THE COCHRAN SCHOOL OF NURSING, AN ASSOCIATE DEGREE PROGRAM WHOSE PURPOSE IS TO TRAIN NURSES. IN 2023, 224 STUDENTS WERE ENROLLED AT THE SCHOOL. FOUNDED IN 1894 AT ST. JOHN'S RIVERSIDE HOSPITAL, THE COCHRAN SCHOOL OF NURSING IS THE OLDEST HOSPITAL-BASED SCHOOL OF NURSING IN THE METROPOLITAN REGION. THE SCHOOL OFFERS A REGISTERED NURSE (RN) CURRICULUM LEADING TO A DEQREE OF ASSOCIATE IN APPLIED SCIENCE. 1628902 3393475 1628902 3393475 335159637 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 182 0 1 2622 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 22 17 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DENNIS KEANE 9149644340 967 NORTH BROADWAY YONKERS NY 107013497 AMMIR RABADI MD CHIEF OF STAFF 1.00 0.00 X 0 0 0 DANIEL MINERVA BOARD MEMBER (BEG 3/2023) 1.00 0.00 X 0 0 0 LAWRENCE H ECKER BOARD MEMBER 1.00 0.00 X 0 0 0 IYAD ANNABI MD ASSISTANT SECRETARY 1.00 0.00 X X 57558 0 30023 MICHAEL SCHREIBER MD BOARD MEMBER 1.00 0.00 X 0 0 0 WM LEE KINNALLY JR CHAIRMAN 1.00 0.00 X X 0 0 0 JAMES R LETSEN FIRST VICE CHAIRMAN 1.00 0.00 X X 0 0 0 PAMELA BARNES SECOND VICE CHAIRMAN/TREASURER 1.00 0.00 X X 0 0 0 LENORE A MINERVA SECRETARY (END 3/2023) 1.00 0.00 X X 0 0 0 JONATHAN BAUMAN MD BOARD MEMBER 1.00 0.00 X 0 0 0 JIM BOSTIC BOARD MEMBER 1.00 0.00 X 0 0 0 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2448386 25 9379699 0.39000 0.31000 0.30000 0 0 1185006 1185006 139318563 121854557 17464006 7420370 6501296 919074 165326054 149685202 15640852 2773707 2773707 37982645 DUE FROM THIRD PARTY PAYORS 5991442 OTHER NON-CURRENT ASSETS 6705449 OTHER RECEIVABLES 3995479 PROFESSIONAL INSURANCE - RCVBL 6897984 OPERATING LEASE ROU ASSETS 9757754 33348108 DUE TO AFFILIATE-CAPTIVE INSURANCE 3978865 DUE TO THIRD PARTY PAYORS 3436133 ACCRUED POSTRETIREMENT BENEFIT 56305004 OTHER LT LIAB-DEF ASBESTOS 34188553 DPT PAYMENT RECOUPMENT 81604072 OPERATING LEASE LIABILITY 9757754 189270381 X PART X, LINE 2: ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION, EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTIONS 501(A) AND 501(C)(3) OF THE CODE. IT IS ALSO GENERALLY EXEMPT FROM STATE AND LOCAL INCOME TAXES. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2023 AND 2022. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THE ENDOWMENT FUND OF THE HOSPITAL HAS BEEN ESTABLISHED TO PROVIDE FUNDING FOR PROGRAMS SUPPORTED BY ITS ENDOWMENT. GOLF 213396 166675 46721 46721 15819 GALA 347388 282643 64745 64745 8995 17213 560784 449318 111466 111466 8995 33032 153493 -42027 1 1 X 1 X 1 X 1 1 1 0 1 1 821000 92275 728725 0.00200 107224376 53094622 54129754 0.14790 0 0 108045376 53186897 54858479 0.14990 1625998 0 1625998 0.00440 11106355 9626317 1480038 0.00400 12732353 9626317 3106036 0.00840 120777729 62813214 57964515 0.15830 1 14178531 4557663 53390032 59993140 -6603108 X 1 1 3 1 SJR HOSPITAL ANDRUS PAVILION 967 NORTH BROADWAY YONKERS NY 10701 WWW.RIVERSIDEHEALTH.ORG X X X X A 2 SJR PARK CARE PAVILION 2 PARK AVENUE YONKERS NY 10703 WWW.RIVERSIDEHEALTH.ORG X X X A 3 SJR DOBBS FERRY PAVILION 128 ASHFORD AVE DOBBS FERRY NY 10522 WWW.RIVERSIDEHEALTH.ORG X X X X A ALL FACILITIES 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE SECTION C X 1 22 1 SEE SECTION C 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SJR HOSPITAL ANDRUS PAVILION, - FACILITY 2: SJR PARK CARE PAVILION, - FACILITY 3: SJR DOBBS FERRY PAVILION GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 5: ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) ACTIVELY WORKS WITH THE FOLLOWING PARTNERS TO ASSESS THE COMMUNITIES' HEALTH CARE NEEDS: COMMITTEE FOR ACHIEVING REGIONAL EQUITY (CARE'S), LOCAL COMMUNITY-BASED ORGANIZATIONS, BUSINESSES, CITY PLANNING COUNCILS, SCHOOLS, THE WESTCHESTER COUNTY HEALTH DEPARTMENT, AND OTHER HEALTH CARE ORGANIZATIONS. WE ALSO PARTNER WITH SISTER TO SISTER INTERNATIONAL, RESTORE FORWARD, THE AMERICAN CANCER SOCIETY, DIABETES AND HEART ASSOCIATIONS, FEMA, AND OTHERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY THAT WE SERVE. AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, SJRH ANALYZED HEALTH DATA TRENDS THAT DIRECTLY FIT INTO THE NYS PREVENTION PLAN PRIORITY AREAS OR HEALTHY PEOPLE 2030. WE USED DATA FROM SECONDARY RESOURCES SUCH AS THE NEW YORK STATE HEALTH PREVENTION DASHBOARD AND THE AMERICAN COMMUNITY SURVEY (ACS). SJRH ORGANIZED THE FOLLOWING DATA BY OVERALL HEALTH OUTCOMES AND THEN BY HEALTH CONDITIONS PRIORITIZED ON THE PREVENTION AGENDA SUCH AS PREVENT CHRONIC DISEASES, PROMOTE A HEALTHY AND SAFE ENVIRONMENT, PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN, PREVENT COMMUNICABLE DISEASES, AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. THESE FINDINGS BRING BOTH OPPORTUNITIES AND CHALLENGES FOR HEALTH CARE PROVIDERS, GOVERNMENT AGENCIES AND POLICY MAKERS IN YONKERS AND THROUGHOUT WESTCHESTER COUNTY. PART V, SECTION B, LINES 6A AND 6BTHE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AND IS A JOINT REPORT OF ITS THREE HOSPITAL SITES: THE ANDRUS, PARK CARE AND DOBBS FERRY PAVILIONS. THE FACILITIES SERVE A DIVERSE POPULATION IN WESTCHESTER COUNTY AND SHARE AN AUTHORIZED BODY THAT ADOPTED THIS ASSESSMENT IN DECEMBER 2022. THE SJRH CHNA WAS DEVELOPED DURING 2022 IN COLLABORATION WITH THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) SURVEY COLLABORATION. OUR PARTNER SESSIONS GAVE THE OPPORTUNITY FOR AREA HOSPITALS TO DISCUSS NYS PREVENTION AGENDA PRIORITIES, FEEDBACK FROM THEIR PUBLIC NEEDS ASSESSMENTS, SERVICES PROVIDED, GAPS IN SERVICE AND BEST PRACTICES. WHILE ALL HOSPITALS IN WESTCHESTER COUNTY SHARE THE SAME PRIORITIES, EACH HOSPITAL SELECTED PRIORITIES THAT ALIGNED WITH THEIR MISSION, WERE ATTAINABLE, AND CREATED A PROGRAM THAT BEST SUITED ITS INSTITUTION AND PATIENT SERVICE AREA. THE PUBLIC INPUT PROCESS ALSO ENCOMPASSED COLLABORATION WITH THE FOLLOWING PARTNERS: WESTCHESTER COUNTY DEPARTMENT OF HEALTH. GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 7D: CHNA PUBLICATIONTHE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS CONDUCTED DURING THE 2022 PERIOD AND APPROVED BY ITS BOARD OF TRUSTEES ON DECEMBER 12TH, 2022. THE FINAL APPROVED COMMUNITY SERVICE PLAN (CSP) AND COMMUNITY HEALTH NEEDS ASSESSMENT/ IMPLEMENTATION PLAN (CHNA/IP) WAS UPLOADED TO THE SJRH PUBLIC WEBSITE RIVERSIDEHEALTH.ORG. THE CHNA WAS ALSO SHARED WITH COMMUNITY PARTNERS AND A PAPER COPY IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE AT THE HOSPITAL FACILITY. ALL HOSPITAL ADMINISTRATIVE OFFICERS ARE GIVEN A COPY OF THE REPORT TO PRODUCE UPON REQUEST. THE COMMUNITY RECEIVED COMMUNICATION THROUGH PRINT NEWSLETTER, "RIVERSIDE". SJRH EMPLOYEES, PHYSICIANS, AND COMMUNITY PARTNERS RECEIVED NOTIFICATION THROUGH THEIR EMAIL NEWSLETTERS WITH A LINK TO CONNECT THEM TO OUR WEBSITE LANDING PAGE. ADDITIONALLY, EMPLOYEES CAN ACCESS THE REPORT THROUGH THE HOSPITAL INTRANET AND COPIES CAN BE OBTAINED BY CALLING THE HOSPITAL'S PUBLIC RELATIONS OFFICE. GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 11: ADDRESSING COMMUNITY NEEDSTHE AFFORDABLE CARE ACT REQUIRES NOT-FOR-PROFIT HOSPITALS TO ASSESS AND ADDRESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THE DEVELOPMENT OF A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY (I/S). ACCORDINGLY, ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) HAS TAKEN INTO ACCOUNT THE BROAD INTERESTS OF ITS COMMUNITY MEMBERS, ANALYZED HEALTH DATA AND SUBSEQUENTLY ADOPTED A PLAN TO PRIORITIZE AND MEET THE HEALTH NEEDS IDENTIFIED. THE SJRH CHNA PROVIDES A REPORT OF THE PROCESS AND RESULTS OF A COMPREHENSIVE ASSESSMENT OF THE NEEDS OF ITS COMMUNITY SERVED. THE SJRH I/S ADDRESSES THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AND DELINEATES THE METRICS TO BE USED TO EVALUATE THE IMPACT OF THESE INITIATIVES. THE SJRH CHNA WAS DEVELOPED BASED UPON BOTH FEDERAL AND NEW YORK STATE (NYS) GUIDELINES. THE NYS GUIDELINES WERE DESIGNED TO MEET THE FEDERAL HEALTHY PEOPLE 2030 GOALS AND ENCOMPASS THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA 2019-2024.SJRH HAS CONSIDERED THE CHNA AND PREVENTION AGENDA DOCUMENTS ALONG WITH THE DIALOGUE OF ITS COMMUNITY PARTNERS IN THE ESTABLISHMENT OF ITS THREE-YEAR ACTION PLAN THAT INCLUDES TWO PREVENTION AGENDA PRIORITIES; BOTH OF WHICH ADDRESS A HEALTH DISPARITY IN THE COMMUNITY AND INVOLVES ONGOING COLLABORATION AND ENGAGEMENT WITH PARTNERS TO ACHIEVE HEALTH IMPROVEMENT. SJRH WAS AN ACTIVE PARTICIPANT IN ALL THESE EFFORTS. PARTNER SESSIONS GAVE THE OPPORTUNITY FOR AREA HOSPITALS TO DISCUSS PREVENTION AGENDA PRIORITIES, FEEDBACK FROM THEIR PUBLIC NEEDS ASSESSMENTS, SERVICES PROVIDED, GAPS IN SERVICE AND BEST PRACTICES. A REVIEW OF THE RESULTS FROM THE PRIMARY AND SECONDARY DATA COLLECTION PROCESS HIGHLIGHTED TWO MAJOR CATEGORIES OF HEALTH NEEDS THAT WERE IMPORTANT ACROSS THE POPULATIONS SURVEYED, REFLECTED IN THE DATA AS CRITICAL, AND IN ALIGNMENT WITH THE NYS PREVENTION AGENDA AND HEALTHY PEOPLE 2030. MULTIPLE DATA SOURCES WERE USED TO SUPPORT THE ASSESSMENT OF HEALTH NEED PRIORITY ITEMS THAT WERE IDENTIFIED, SELECTED, AND REVIEWED WITH COMMUNITY PARTNERS. A LISTING AND SUMMARY OF THE DATA SOURCES USED TO COMPLETE THE SECONDARY DATA ANALYSIS AND IDENTIFY THE ISSUES OF CONCERN BEYOND EXPERIENCE AND DIRECT OBSERVATION ARE INCLUDED IN THE REPORT. NUMEROUS CONVERSATIONS AND MEETINGS WERE CONVENED INTERNALLY AND WITH EXTERNAL PARTNERS, AND A THOROUGH REVIEW OF THE DATA WAS CONDUCTED, ALL OF WHICH HAVE FRAMED THE DEVELOPMENT OF THE CHNA AND I/S. THE PRIORITY AREAS SELECTED AND EACH OF THE PLANNED INTERVENTIONS FOCUS ON SPECIFIC PRIORITY POPULATIONS AND ADDRESS THE ETHNIC AND CULTURAL DISPARITY DEFINED IN THE INDICATORS FOR THE POPULATION SERVED BY SJRH. THE PROCESS TO IDENTIFY THE NEEDS OF THE COMMUNITY INVOLVED THE COLLECTION OF BOTH PRIMARY AND SECONDARY DATA.- PRIMARY DATA - SURVEYS, FOCUS GROUPS- SECONDARY DATA - HEALTH SYSTEM, PUBLIC HEALTH, DEMOGRAPHIC DATA SOURCESFOR THIS CYCLE, THE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) PROCESS WAS GUIDED BY NEW DATA COLLECTED FROM THE GNYHA CHNA SURVEY COLLABORATIVE RESULTS FROM RESIDENTS AND WAS SUPPORTED BY THE NYS PREVENTION AGENDA, AND THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH (WCDOH). THE SURVEY RESULTS AND DATA WERE ANALYZED AND REVIEWED BY SJRH'S COMMITTEE FOR ACHIEVING REGIONAL EQUITY (CARE'S). CARE'S WAS FORMED IN MARCH 2021 AND AIMS TO ACHIEVE HEALTHCARE EQUITY IN OUR COMMUNITY BY IDENTIFYING HEALTHCARE DISPARITIES AND PROMOTING EFFECTIVE STRATEGIES TO OPTIMIZE HEALTHCARE DELIVERY. THE COMMITTEE IS MADE UP OF HOSPITAL STAFF, BOARD MEMBERS, AND COMMUNITY LEADERS. SJRH AND THE CARE'S COMMITTEE ESTABLISHED FOCUS GROUPS, BREAKOUT SESSIONS, AND CARE'S HEALTH NEEDS RANKINGS TO COMPARE TO THE CHNA SURVEY RESULTS. A REVIEW OF RESULTS FROM THE PRIMARY AND SECONDARY DATA COLLECTION PROCESS ILLUMINATED TWO MAJOR CATEGORIES OF HEALTH NEEDS. THESE CATEGORIES WERE IMPORTANT ACROSS THE POPULATIONS SURVEYED, REFLECTED IN THE DATA AS A PRIORITY, AND WERE IN ALIGNMENT WITH THE NEW YORK STATE PREVENTION AGENDA AND WESTCHESTER COUNTY PRIORITIES.ST. JOHN'S RIVERSIDE HOSPITAL SELECTED THE FOLLOWING NYS PREVENTION AGENDA PRIORITY ITEMS:- CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT - PROMOTE HEALTHY WOMEN, INFANTS AND CHILDRENWITHIN THESE PRIORITY AREAS, A COMMITMENT HAS BEEN MADE TO FOCUS ON THE FOLLOWING TWO AREAS:1. CANCER COLORECTAL SCREENINGS- GOAL- INCREASE # OF SCREENINGS FOR INDIVIDUALS AGES 45-492. CROSS CUTTING HEALTHY WOMEN MATERNAL HEALTH- GOAL- DECREASE THE CESAREAN SECTION RATES FOR FIRST TIME BIRTHING PEOPLE- GOAL- DECREASE THE CESAREAN SECTION RATES FOR BLACK HISPANIC AND NON-HISPANIC BIRTHING PEOPLE.WHILE SELECTING THESE PRIORITIES, SJRH CONSIDERED THE SCOPE AND SEVERITY OF THE ISSUE, THE RESOURCES AVAILABLE TO IMPACT THE ISSUE, THE READINESS OF THE COUNTY TO TAKE ON THE ISSUE, AND IF THERE WERE INEQUITIES AND DISPARITIES WITHIN THE COMMUNITY HEALTH NEED. THESE PRIORITIES ARE SUPPORTED BY SJRH'S CURRENT STAFFING, EXISTING PROGRAMS, THE COMMUNITY, AS WELL AS THE ADDITION OF NEW AND MODIFIED PROGRAMS. THESE PRIORITIES WERE SELECTED WITH INPUT FROM THE COMMITTEE FOR ACHIEVING REGIONAL EQUITY (CARE'S) TO ASSURE THAT THEY REFLECTED THE NEEDS OF OUR TARGET COMMUNITY. SJRH IS COMMITTED TO IMPLEMENTING ACTIVITIES AND INTERVENTIONS IN SUPPORT OF THE SELECTED PRIORITIES AND WILL CONTINUE TO CARRY THESE OUT WITH THE INPUT AND SUPPORT OF OUR COMMUNITY PARTNERS. THIS SUPPORT INCLUDES INVOLVEMENT OF COMMUNITY PARTNERS, SUCH AS SISTER-TO-SISTER INTERNATIONAL, AND COMMITMENT OF GRANT AND HOSPITAL RESOURCES TO IMPACT THESE HIGH PRIORITY AREAS. SJRH WILL MEET AT LEAST QUARTERLY TO DISCUSS THESE PRIORITY AREAS AND WILL REPORT PROGRESS ANNUALLY BEGINNING IN 2023.THESE FOCUS AREAS ALIGN WITH THE NEW YORK STATE COMMUNITY HEALTH IMPROVEMENT PLAN: IMPLEMENTATION AND MEASURESCHRONIC DISEASE (COLORECTAL CANCER) INTERVENTIONS INCLUDE NEW YORK STATE'S HEALTH PREVENTION AGENDA:PRIORITY AREA: PREVENT CHRONIC DISEASES ACTION PLANFOCUS AREA 4. CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT. GOAL 4.1: INCREASE CANCER SCREENING RATES. - INCREASING THE # OF GASTROENTEROLOGIST DOCTORS IN THE SJRH SYSTEM- ADDING AN ADDITIONAL NONHOSPITAL BASED SITE FOR COLONOSCOPY SCREENINGS TO INCREASE CAPACITY AND COMMUNITY ACCESS.- CONDUCTING TARGETED GROUP EDUCATION PRESENTATIONS IN THE COMMUNITY. IDENTIFY ENTITY THAT WE CAN PARTNER WITH TO TARGET THE HISPANIC POPULATION AND INCREASE SCREENING RATES FOR THIS GROUP AT SJRH. - PRODUCING MEDIA CONTENT SUCH AS VIDEOS TO BUILD PUBLIC AWARENESS AND SPUR DEMAND FOR THIS SERVICE WITHIN THE TARGET POPULATION. SJRH'S CURRENT DATA SHOWS THAT THE SYSTEM CURRENTLY HAS LOW SCREENING RATES FOR THOSE BETWEEN THE AGES OF 45 AND 49 YEARS OF AGE. AS PART OF THESE INTERVENTIONS, SJRH WILL WORK WITH COMMUNITY PARTNERS TO ADDRESS THE LOW COLON SCREENING RATES OF INDIVIDUALS IN THE TARGET AGE GROUP. SJRH WILL MEASURE THE NUMBER OF COLORECTAL SCREENINGS FOR THIS AGE GROUP AND AIM TO INCREASE COMMUNITY SCREENINGS BY THE END OF 2023. ADDITIONALLY, PROCESS MEASURES WILL BE RECORDED FOR MANY ACTIVITIES INCLUDING OBTAINING EVENT AND PARTICIPANT COUNTS.MATERNAL HEALTH INTERVENTIONS INCLUDE NEW YORK STATE'S HEALTH PREVENTION AGENDA: PRIORITY AREA: PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN ACTION PLANFOCUS AREA 4. CROSS CUTTING HEALTHY WOMEN, INFANTS, & CHILDREN. GOAL 4.1: REDUCE RACIAL, ETHNIC, ECONOMIC, AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES, AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH POPULATIONS.- INCREASING THE AMOUNT AND INTEGRATION OF COMMUNITY SUPPORT SERVICES AVAILABLE TO WOMEN OF COLOR, PARTICULARLY BLACK BIRTHING PEOPLE, WITHIN THE SJRH MATERNITY UNIT. THIS WILL INCLUDE DOULAS, MIDWIVES, AND COMMUNITY-BASED PREGNANCY SUPPORT. - PROVIDING TARGETED IMPLICIT BIAS TRAINING TO INCREASE CLIENT SATISFACTION AMONG BLACK BIRTHING PEOPLE. THE TRAINING WILL TARGET 100 HOSPITAL STAFF (LABORISTS, OB/GYNS, ANESTHESIOLOGISTS, NURSES, AND OTHER STAFF) AND 60 MEDICAL STUDENTS. - INCREASING PRENATAL, PREGNANCY, AND POSTNATAL EDUCATIONAL SERVICES TO THE SOUTHERN WESTCHESTER COMMUNITY THROUGH AN ON-SITE OBSTETRICS, GYNECOLOGY, AND PRENATAL SERVICES LOCATED IN SJRH.WITH THE GUIDANCE OF SJRH'S COMMITTEE FOR ADDRESSING REGIONAL EQUITY IN HEALTHCARE (CARES), AND OUR PARTNERSHIP WITH SISTER TO SISTER INTERNATIONAL, WE ARE MAKING EVERY EFFORT TO ADDRESS THE SIGNIFICANT DISPARITIES IN MATERNAL HEALTH OUTCOMES SUCH AS OUR PERCENTAGE OF CESAREAN SECTIONS AMONG THE ENTIRE COHORT OF OUR BIRTHING PEOPLE WITH A FOCUS ON OUR BLACK BIRTHING PEOPLE. ADDITIONALLY, WE WILL MEASURE # OF TRAININGS AND EDUCATIONAL SERVICES PROVIDED.(NARRATIVE FOR PART V, SECTION B, LINE 11: ADDRESSING COMMUNITY NEEDS CONTINUED AT END OF PART V NARRATIVES.) PART V, SECTION B, LINE 11: ADDRESSING COMMUNITY NEEDS (CONTINUED) WITH THE HELP OF OUR COMMUNITY PARTNERS, PROGRAMS, AND COLLABORATIONS SJRH BELIEVES THE SELECTION OF THESE HEALTH PRIORITY AREAS WILL POSITIVELY IMPACT CHRONIC DISEASE: COLORECTAL CANCER AND WOMEN'S AND MATERNAL HEALTH. SJRH IS COMMITTED TO MEETING QUARTERLY WITH CARE'S AND WILL CONTINUE TO MONITOR THE NYS PREVENTION AGENDA AND COLLABORATE WITH LOCAL PUBLIC HEALTH PARTNERS TO ADDRESS THE CURRENT HEALTH STATUS AND NEEDS OF COUNTY RESIDENTS. SJRH STRIVES TO DEVELOP INTERVENTIONS, PROGRAMS, AND INITIATIVES TO CONTINUOUSLY IMPROVE HEALTH OUTCOMES AND PROVIDE HEALTH EQUITY TO ALL. SJRH WILL WORK COLLABORATIVELY TO MAKE SURE IMPLEMENTATION PLAN ACTIVITIES ARE TRACKED, TIMELINES ARE MET, AND SPECIFIC MEASURABLE OBJECTIVES ARE ACHIEVED.THE CARE'S TEAM STRONGLY CONSIDERED PRIORITIZING MENTAL HEALTH/DEPRESSION AND SUBSTANCE ABUSE DISORDER. THESE HEALTH CONDITIONS AND ALL THE OTHERS INCLUDED IN THE CHNA SURVEY ARE ALL VERY IMPORTANT. ALTHOUGH SJRH DID NOT PRIORITIZE THESE HEALTH CONDITIONS FOR THE CHNA, WE WILL BE DISCUSSING THESE CONDITIONS THROUGHOUT THE 2024 CALENDAR YEAR WITH OUR CARE'S COMMITTEE AND WORK ON DEVELOPING WAYS TO POSITIVELY IMPACT OUR COMMUNITY. IN 2024, SJRH REJOINED THE GREATER NEW YORK HOSPITAL ASSOCIATION SURVEY COLLABORATIVE TO BEGIN DEVELOPING THE COMMUNITY ASSESSMENT SURVEY. THE RESULTS OF THIS SURVEY WILL PLAY A LARGE PART IN THE EVALUATION OF WHAT HEALTH INITIATIVES WE WILL FOCUS FROM 2025-2027.MENTAL HEALTH/DEPRESSION & SUBSTANCE ABUSE DISORDER - MENTAL HEALTH/DEPRESSION AND SUBSTANCE ABUSE DISORDER ARE HEALTH CONDITIONS THAT WE HAVE INCLUDED IN OUR PREVIOUS CHNA/CSP'S. SJRH CONTINUES TO UTILIZE THE FOLLOWING RESOURCES TO ADDRESS THESE HEALTH CONDITIONS:- BEHAVIORAL HEALTH SERVICES (BHS) AND BHS PERFORMANCE IMPROVEMENT COMMITTEE- BHS INPATIENT DETOXIFICATION AND REHABILITATION SERVICES - BHS OPIOID TREATMENT PROGRAM- BHS OUTPATIENT SERVICES AT NEW FOCUS CENTER (YONKERS), GREENBURGH ATS (GREENBURGH/WHITE PLAINS), AND ARCHWAY (MT. VERNON)- MATS TREATMENT SERVICES- SJRH'S PERFORMANCE IMPROVEMENT COMMITTEE- SYMPHONY MEDICAL GROUPADDITIONAL INITIATIVES UNDER CONSIDERATION INCLUDE INCREASING OUTREACH TO SCHOOLS THROUGH OPEN HOUSES, OFFERING SPANISH SPEAKING AND ADOLESCENT GROUPS. FURTHERMORE, SJRH IS CONSIDERING PARTNERING WITH YONKERS POLICE, YWCA, AND YMCA. OUR BEHAVIORAL HEALTH SERVICES HAVE INCORPORATED IMPAIRED PROFESSIONALS EAP AND EXPANDED PSYCHIATRIC SERVICES.DURING 2023, SJRH WAS AWARDED A GRANT FROM THE WESTCHESTER COUNTY DEPARTMENT OF COMMUNITY MENTAL HEALTH (DCMH) TO DEVELOP A LOW THRESHOLD BUPRENORPHINE PROGRAM IN THE SJRH EMERGENCY DEPARTMENT. THIS WAS IN DIRECT RESPONSE TO THE IMPACT OF THE OPIOID EPIDEMIC IN WESTCHESTER COUNTY. THE PROGRAM WAS DEVELOPED IN CONJUNCTION WITH WESTCHESTER COUNTY DCMH AS WELL AS NY MATTERS; THIS PROGRAM PROVIDES IMMEDIATE ACCESS TO SUBOXONE, A LIFE-SAVING MEDICATION THAT TREATS THE ROOTS OF ADDICTION AND REDUCES OPIOID OVERDOSES BY 76%. (NOTE THAT WITHOUT MEDICATIONS, TREATMENT FOR OPIOID ADDICTION FAILS ALMOST 90% OF THE TIME.) IN ADDITION, IN PARTNERSHIP WITH NY STATE OFFICE OF ADDICTION SERVICES AND SUPPORTS, THE HOSPITAL OBTAINED FUNDS TO OPEN AN INTEGRATED OUTPATIENT SITE OFFERING OUTPATIENT HARM REDUCTION SERVICES AS WELL AS ACCESS TO OPIOID TREATMENT SERVICES WITH METHADONE MAINTENANCE. THESE PROGRAMS DIRECTLY ADDRESS THE NEED FOR EASY AND COMPREHENSIVE ACCESS TO MEDICATION-BASED TREATMENT FOR OPIOID USE DISORDERS. THE PROGRAMS ALSO REFLECT THE HOSPITAL'S DIRECT COMMITMENT TO ADDRESSING HEALTH-RELATED ISSUES IMPACTING THE YONKERS AND SOUTHERN WESTCHESTER COMMUNITIES. PART I, LINE 6A THE HOSPITAL SUBMITTED A COMMUNITY SERVICE PLAN (CSP) TO NEW YORK STATE AND PREPARED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT IN 2022. BOTH OF THESE ARE MADE AVAILABLE TO THE PUBLIC THROUGH POSTING ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. THE HOSPITAL'S MISSION STATEMENT HAS NOT CHANGED FOR THE 2022 CSP. THE HOSPITAL CONTINUES TO ADDRESS PLANNING ISSUES INCLUDING QUALITY, CULTURE AND COMMUNICATION, ACCESS TO CARE, MARKET SHARE, FINANCIAL, AND PHYSICIAN ALIGNMENT. PART III, LINES 2 & 4 THE HOSPITAL REGULARLY REVIEWS ITS PAST COLLECTION HISTORY AND PAYMENTTRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE RESERVES. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH UNINSURED PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT IMPLICIT PRICE CONCESSION FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE RESERVE ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED.THE 2024 CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAIN A PATIENT ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 10 AND A CHARITY CARE AND UNCOMPENSATED CARE FOOTNOTE ON PAGE 12. PART III, LINE 3 THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT REGARDLESS OF ABILITY TO PAY. THE AMOUNT OF $4,557,663 REPRESENTS THE HOSPITAL'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND IS COMPRISED OF THE DOLLAR VALUE OF THE DISCOUNTS MADE AVAILABLE TO PATIENTS UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY AS WELL AS THE UNCOMPENSATED CARE PROVIDED TO THE MEMBERS OF OUR COMMUNITY THAT WE SERVE WHO ARE IN NEED OF EMERGENCY AND MEDICALLY NECESSARY CARE AND DO NOT HAVE THE ABILITY TO PAY. PART III, LINE 8 TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6, MEDICARE CHARGES WERE MULTIPLIED BY THE COST TO CHARGE RATIO, AS DERIVED FROM THE MEDICARE COST REPORT.THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT, FOR FOLLOWING REASONS - (1) BY COVERING MEDICARE SHORTFALL OUR HOSPITAL CAN PROVIDE PREVENTIVE CARE AND EARLY TREATMENT FOR CHRONIC CONDITIONS, WHICH CAN REDUCE OVERALL HEALTHCARE COSTS AND IMPROVE HEALTH OUTCOMES IN THE LONG RUN AND (2) ENSURES THAT OUR COMMUNITIES ELDERLY AND DISABLED PATIENTS HAS ACCESS TO NECESSARY MEDICAL SERVICES WHICH THEY MIGHT BE UNABLE TO AFFORD. PART III, LINE 9B 1. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HEALTH SOLUTION PROGRAM WILL HAVE THEIR OPEN ACCOUNTS ADJUSTED TO THE AMOUNT DUE BASED ON THE LEVEL OF ASSISTANCE THEY RECEIVE, SO THAT BILLS AND STATEMENTS WILL REFLECT THE DISCOUNTED AMOUNT DUE. PATIENTS WILL THEN BE EXPECTED TO PAY THE ADJUSTED AMOUNT DUE.2. PATIENTS WHO ARE UNABLE TO PAY THE ADJUSTED AMOUNT DUE WILL BE OFFERED PAYMENT PLANS.3. PAYMENT PLANS WILL NOT REQUIRE A PATIENT TO PAY MORE THAN 10% OF THEIR MONTHLY GROSS INCOME TOWARDS MONTHLY INSTALLMENT PAYMENTS. IF THE HOSPITAL ELECTS TO CONSIDER OTHER NON-EXCLUDED ASSETS IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY, THEN MONTHLY PAYMENTS MAY EXCEED 10%.4. THE HOSPITAL WILL NOT COLLECT FROM A PATIENT WHO IS DETERMINED TO BE ELIGIBLE FOR MEDICAID, OR WHO IS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED.5. IF A PATIENT OR RESPONSIBLE PARTY DEFAULTS ON ITS PAYMENT OBLIGATIONS, OR FAILS TO MEET THE TERMS OF ANY FINANCIAL AGREEMENT, THE ACCOUNT IN QUESTION WILL BE CONSIDERED DELINQUENT, AND MAY BE REFERRED TO A COLLECTION AGENCY BASED ON THE HOSPITAL'S COLLECTION POLICY.6. THE HOSPITAL WILL NOT SEND AN ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL AID, INCLUDING REQUIRED SUPPORTING DOCUMENTATION, WHILE THE HOSPITAL DETERMINES THE PATIENT'S ELIGIBILITY FOR SUCH AID, OR DURING THE PROCESS WHERE THE PATIENT HAS APPEALED AN ELIGIBILITY DETERMINATION.7. THE HOSPITAL WILL REVIEW ALL ACCOUNTS DETERMINED TO BE REFERRED TOOUTSIDE COLLECTION TO ENSURE THAT ITS FINANCIAL POLICY AND PROCEDURESWERE FOLLOWED.8. THE HOSPITAL WILL PROVIDE WRITTEN NOTIFICATION AND A NOTICE ON THE PATIENT'S BILL LESS THAN 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO OUTSIDE COLLECTION.9. THE HOSPITAL WILL SEND EACH OF ITS COLLECTION AGENCIES A COPY OF ITS FINANCIAL ASSISTANCE POLICY AND PROCEDURES, AND WILL INSTRUCT THE AGENCY TO FOLLOW THESE PROCEDURES WHEN INSTRUCTING THE PATIENT HOW TO APPLY FOR SUCH AID.10. COLLECTION AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT PRIOR TO COMMENCING A LEGAL ACTION ON A PATIENT'S ACCOUNT.11. LEGAL ACTION MAY INCLUDE GARNISHMENT OF WAGES WHERE THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS/HER FINANCIAL OBLIGATION UNDER THIS POLICY.12. THE HOSPITAL WILL NOT PERMIT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE IN ORDER TO COLLECT AN OUTSTANDING MEDICAL BILL.13. THE HOSPITAL WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE IT MAKES A REASONABLE EFFORT TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COLLECTION ACTIVITY WILL PROCEED BASED ON THE HOSPITAL'S BILLING AND COLLECTION POLICY. 2. NEEDS ASSESSMENT IN EARLY 2022, GNYHA OFFERED MEMBER HOSPITALS AND HEALTH SYSTEMS THE OPPORTUNITY TO PARTICIPATE IN THE GNYHA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY COLLABORATIVE. THE COLLABORATIVE SUPPORTED PARTICIPATING MEMBERS' PRIMARY DATA COLLECTION EFFORTS TO MEET THE REQUIREMENTS OF THE FEDERAL CHNA AND THE NEW YORK STATE COMMUNITY SERVICE PLAN (CSP) BY GATHERING INFORMATION ON COMMUNITY HEALTH NEEDS AND ENGAGING WITH COMMUNITY MEMBERS. WHILE NOT A REQUIRED ELEMENT OF A CHNA, SURVEYS CAN BE A PART OF A HOSPITAL'S CHNA AND CSP ALONG WITH OTHER COMMUNITY ENGAGEMENT EFFORTS AND SECONDARY DATA SUCH AS SURVEILLANCE DATA FROM PUBLIC HEALTH DEPARTMENTS. THE COLLABORATIVE COMPLEMENTED LONGSTANDING GNYHA EFFORTS TO SUPPORT MEMBERS THROUGHOUT THEIR CHNA AND CSP DEVELOPMENT AND IMPLEMENTATION PROCESS. A DIVERSE GROUP OF GNYHA MEMBER HOSPITALS PARTICIPATED IN THE 2022 COLLABORATIVE, INCLUDING COMMUNITY AND SAFETY NET HOSPITALS, SMALL HEALTH SYSTEMS, AND LARGE ACADEMIC MEDICAL CENTERS. GNYHA DEVELOPED A HEALTH NEEDS ASSESSMENT SURVEY WITH MEMBER INPUT, MADE THE SURVEY AVAILABLE IN 11 LANGUAGES ON PAPER AND ONLINE, COLLECTED THE DATA AND ANALYZED THE RESULTS, AND CREATED CUSTOM REPORTS FOR EACH PARTICIPATING HOSPITAL. GNYHA MEMBERS PROVIDED INPUT IN MULTIPLE STAGES THROUGH A COLLABORATIVE AND ITERATIVE PROCESS. GNYHA DEVELOPED THE SURVEY USING BEST PRACTICE APPROACHES IN SURVEY DESIGN AND NEEDS ASSESSMENT. THE SURVEY USED VALIDATED QUESTIONS FROM EXISTING SURVEYS SUCH AS THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (CDC BRFSS) AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S COMMUNITY HEALTH SURVEY (NYC CHS). COMMUNITY MEMBERS COULD COMPLETE THE SURVEY ONLINE IN A FORMAT COMPATIBLE WITH MOBILE DEVICES. THE MEMBERS ALSO RECEIVED COPIES OF THE SURVEY IN 11 LANGUAGES, WHICH PARTICIPANTS COULD PRINT AND USE FOR DATA COLLECTION. BEFORE THE COLLABORATIVE BEGAN, PARTICIPATING HOSPITALS GAVE GNYHA A LIST OF THE COUNTIES OR ZIP CODES WHERE THE HOSPITAL WOULD FIELD THE SURVEY. GNYHA ATTRIBUTED RESPONDENTS WHO LIVED IN A HOSPITAL'S SURVEY SERVICE AREA TO THAT HOSPITAL. SJRH RECRUITED MEMBERS OF THEIR COMMUNITY TO PARTICIPATE IN THE SURVEY FROM MARCH THROUGH JUNE 2022. SJRH RECEIVED A REPORT WITH DATA FROM RESPONDENTS WHO LIVE IN SJRH'S SERVICE AREA. COMMUNITY MEMBERS QUALIFIED FOR THE SURVEY IF THEY WERE AGE 18 AND ABOVE. DURING THE SURVEY FIELDING PERIOD, GNYHA HELD MEMBER FORUMS IN WHICH THE MEMBERS SHARED BEST PRACTICES AND CHALLENGES IN RECRUITING COMMUNITY MEMBERS FOR THE SURVEY. FOLLOWING THE SURVEY'S CLOSE, GNYHA PROVIDED SJRH AND OTHER COLLABORATIVE MEMBERS WITH A REPORT THAT SUMMARIZED THE SURVEY RESPONSES AND RESPONDENT DEMOGRAPHICS, AND A SPREADSHEET WITH THE PROCESSED RESPONDENT-LEVEL DATA FOR THEIR SERVICE AREA, ALLOWING FOR SJRH TO CONDUCT ADDITIONAL ANALYSES AND COMPARE THE SURVEY RESULTS TO PRIMARY DATA DIRECTLY FROM SJRH'S ELECTRONIC MEDICAL RECORD THAT EXAMINED THE TOP 30 INPATIENT AND EMERGENCY ROOM DIAGNOSIS FROM JANUARY TO OCTOBER 2022.FOR WESTCHESTER COUNTY, FEEDBACK WAS COMPILED FROM OVER 3,300 RESPONDENTS. MAJORITY OF RESPONDENTS WERE FEMALE (73%), WHITE NON-HISPANIC (70%). THE AGE RANGE OF RESPONDENTS VARIED WITH THE MAJORITY WITHIN AGE GROUPS 45-64Y (35%) AND 65+ (49%). 14% OF RESPONDENTS IDENTIFIED AS HISPANIC AND 9% AS NON-HISPANIC BLACK. THREE-QUARTERS OF THE RESPONDENTS OBTAINED A COLLEGE DEGREE AND 51% HAD A HOUSEHOLD INCOME OF $100,000 OR MORE. 42% OF RESPONDENTS WERE RETIRED. ENGLISH WAS THE PRIMARY LANGUAGE OF 92% OF RESPONDENTS AND 98% REPORTED HAVING INSURANCE. COMMUNITY CONCERNS WERE IDENTIFIED TO SUPPORT SJRH'S CHNA/CSP EFFORTS FOR INCLUSION IN THIS IMPLEMENTATION PLAN REPORT. THE CHNA/CHIP ASSESSMENT INCLUDES: A DESCRIPTION OF WESTCHESTER COUNTY INCLUDING SJRH'S SERVICE AREAS, ANALYSES OF HEALTH OUTCOMES IN WESTCHESTER COUNTY AND SJRH'S SERVICE AREAS, IDENTIFICATION OF THE MAIN HEALTH CHALLENGES FACING THIS COMMUNITY INCLUDING DISPARITIES, AND A SUMMARY OF RESOURCES THAT CAN BE DEPLOYED TO ADDRESS THE ISSUES IDENTIFIED. IN ADDITION TO THE COMMUNITY SURVEY RESULTS, SJRH UTILIZED INTERNAL ADMISSION DATA AND ADDITIONAL SECONDARY DATA SOURCES THAT SUPPORT THE SELECTION OF THE PRIORITY ITEMS THAT WERE IDENTIFIED AND REVIEWED BY SJRH. THESE SOURCES INCLUDE BUT ARE NOT LIMITED TO: THE NEW YORK STATE PREVENTION AGENDA, CITY OF YONKERS HEALTH EQUITY REPORT, THE AMERICAN COMMUNITY SURVEY. BOTH PRIMARY AND SECONDARY RESOURCES ARE THE FOUNDATION THAT FRAMED THE DEVELOPMENT OF THE REPORT. THE 2022 CHNA IS A COLLABORATIVE PROCESS REFLECTIVE OF THE BROAD INTERESTS OF THE COMMUNITY. SJRH IS WORKING WITH NUMEROUS COMMUNITY PARTNERS AND GOVERNMENT AGENCIES TO AID IN THE EXECUTIONS OF THE INITIATIVES LAID OUT IN THIS PLAN. SJRH PARTNERED WITH WESTCHESTER COUNTY DEPARTMENT OF HEALTH ON THE ST. JOHN'S RIVERSIDE HOSPITAL 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE GNYHA SURVEY COLLABORATIVE WHICH INCLUDED A GROUP OF REGIONAL HOSPITALS, AND COMMUNITY-BASED ORGANIZATIONS TO GATHER RESEARCH IN SUPPORT OF THE 2022 CHNA. FROM BOTH THE SURVEY COLLABORATIVE AND THE COMMITTEE FOR ACHIEVING REGIONAL EQUITY (CARE'S), SJRH SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING UNDERSERVED AND MINORITY POPULATIONS. THROUGH THIS INPUT WE RECEIVED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AND GAPS IN SERVICES, AND INSIGHTS ABOUT ISSUES THAT CONTRIBUTE TO HEALTH DISPARITIES FOR VARIOUS HEALTH CONDITIONS IN THE COMMUNITY. COMMUNITY SURVEY DATA IS VALUABLE IN INFORMING COMMUNITY STRENGTHS AND GAPS IN SERVICES. RESULTS FROM THE GNYHA CHNA SURVEY COLLABORATIVE FOR WESTCHESTER COUNTY AND SJRH'S SERVICE AREA WERE SUMMARIZED AND REVIEWED AMONGST SJRH'S ADMINISTRATIVE LEADERS, CARE'S, AND OUR PARTNERS.ALTHOUGH CONDITIONS SUCH AS VIOLENCE AND ACCESS TO HEALTHY FOODS WERE RANKED TOP FIVE IN IMPORTANCE RANKS, SJRH DOES NOT BELIEVE THE HOSPITAL IS THE SINGLE BEST ENTITY TO IMPROVE ON THESE NEEDS DUE PARTLY TO THE SCOPE OF SERVICES WE OFFER AND THE RESOURCES AVAILABLE. HOWEVER, THESE ISSUES AND OTHERS NOTED IN THE SURVEY WILL CONTINUE TO BE BROUGHT TO SJRH'S CARE'S COMMITTEE MEETINGS TO SEE IF THERE ARE WAYS SJRH COULD SUPPORT OTHER COMMUNITY ENTITIES IN IMPROVING OUTCOMES OF THESE ISSUES. WE PLAN TO PROVIDE ONGOING OPPORTUNITIES FOR HOSPITALS AND OTHER STAKEHOLDERS, I.E. COMMUNITY-BASED ORGANIZATIONS, TO STRATEGIZE ON HOW TO ADDRESS HEALTH PRIORITIES. WE WILL ALSO WORK WITH PARTNERS TO PROVIDE MORE REFINED DATA TO TRACK AND EVALUATE PROGRESS IN ACHIEVING GOALS RELATED TO SELECTED PRIORITIES. SJRH WILL CONTINUE TO COMMUNICATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS REGARDING ADVOCACY, PARTICIPATION IN LOCAL COMMUNITY EVENTS, AND EXCHANGE OF REFERRAL INFORMATION. ENGAGING LOCAL COMMUNITY MEMBERS IN OUR EFFORTS ENABLES US TO INVOLVE OUR HEALTH CARE INSTITUTION AND THE COMMUNITY IN THE ACTIVITIES OF NATIONAL HEALTH ADVOCACY ORGANIZATIONS, INCLUDING FAIRS, AND OTHER AWARENESS-RAISING ACTIVITIES FOR HEALTH ISSUES THAT IMPACT THE COMMUNITY. ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) ACTIVELY WORKS WITH THE FOLLOWING PARTNERS TO ASSESS THE COMMUNITIES' HEALTH CARE NEEDS: COMMITTEE FOR ACHIEVING REGIONAL EQUITY (CARE'S), LOCAL COMMUNITY-BASED ORGANIZATIONS, BUSINESSES, CITY PLANNING COUNCILS, SCHOOLS, THE WESTCHESTER COUNTY HEALTH DEPARTMENT, AND OTHER HEALTH CARE ORGANIZATIONS SUCH AS NY MATTERS (PROVIDING ACCESS TO MEDICATIONS TO REDUCE OPIOID OVERDOSES) AND THE WESTCHESTER COUNTY DEPARTMENT OF COMMUNITY MENTAL HEALTH. WE ALSO PARTNER WITH SISTER TO SISTER INTERNATIONAL, RESTORE FORWARD/BLACK WOMEN'S BLUEPRINT, BIRTH FROM THE EARTH, THE LOWER HUDSON VALLEY PERINATAL PARTNERSHIP, THE AMERICAN CANCER SOCIETY, DIABETES AND HEART ASSOCIATIONS, FEMA, AND OTHERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY THAT WE SERVE. THIS IS ACCOMPLISHED THROUGH SHARED DATA FOR PLANNING PURPOSES, AWARENESS OF SERVICES OFFERED BY OUR PARTNERS, COLLABORATIVE PROGRAM PLANNING, IMPLEMENTATION, AND EVALUATION, AND COORDINATED HEALTH OUTREACH AND PROMOTION. THE COMMUNITY SERVICE PLAN AGENDA WAS ESTABLISHED BASED ON A COMPREHENSIVE HEALTH NEEDS ASSESSMENT AND ITS FINDINGS. SURVEYS WERE DISTRIBUTED AND COMMUNITY FOCUS GROUPS WERE ALSO CONDUCTED TO GATHER DATA. SJRH IS A LEADER IN COMMUNITY COLLABORATION AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. SJRH PROMOTES WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSES NEEDS RANGING FAR BEYOND MEDICAL CARE. WE EXTEND THIS RESPONSIBILITY TO THE CARE OF OUR EMPLOYEES AND MEDICAL STAFF, MANY OF WHOM LIVE IN THE SURROUNDING COMMUNITY. SJRH SERVES A DIVERSE COMMUNITY AND HAS BEEN A FORERUNNER OF PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES. 2. NEEDS ASSESSMENT (CONTINUED) ONE EXAMPLE OF THESE CRITICAL PARTNERSHIPS IS THE MIXED-METHODS RESEARCH REPORT COMPILED BY SISTER TO SISTER INTERNATIONAL (IN CONJUNCTION WITH RESTORE FORWARD/BLACK WOMEN'S BLUEPRINT), THE LOWER HUDSON VALLEY PERINATAL PARTNERSHIP, AND BIRTH FROM THE EARTH) SURVEYING THE LIVED EXPERIENCE OF MORE THAN 80 BLACK BIRTHING PEOPLE WHO HAD CONSIDERED DELIVERING AT SJRH OR WHO HAD DELIVERED AT SJRH. THIS RESEARCH IS GUIDING EFFORTS TO DECREASE THE C-SECTION RATE IN THE HOSPITAL'S MATERNITY UNIT AS WELL AS ADDRESS IDENTIFIED EXAMPLES OF AREAS WHERE CARE COULD BE MORE RESPONSIVE TO COMMUNITY NEED. COMMUNITY-LED PARTNERSHIPS (SUCH AS THIS ONE) ARE A KEY ELEMENT FOR THE HOSPITAL'S WORK TO INCREASE RESPONSIVENESS TO COMMUNITY NEED. 3. PATIENT EDUCATION OF ELIGIBLITY FOR ASSISTANCESJRH PROVIDES OPPORTUNITIES FOR ASSISTANCE FOR THOSE IN NEED WITHOUT ADEQUATE MEANS/INSURANCE TO SUPPORT THEIR HEALTH CARE. OUR POLICY IS POSTED ON OUR WEBSITE RIVERSIDEHEALTH.ORG. IN THIS LOCATION, THE VIEWER MAY LEARN ABOUT OUR HOSPITAL CHARGES, HOSPITAL EXPENSES, INSURANCES AS WELL AS GAIN INFORMATION ON FINANCIAL ASSISTANCE. SJRH SERVES A DIVERSE COMMUNITY AND HAS BEEN A LEADER IN PROVIDING PROGRAMS THAT IMPROVE PATIENT ACCESS TO CULTURALLY APPROPRIATE SERVICES. OUR PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT AND ENROLLMENT PROGRAM THROUGH OUR FINANCIAL ASSISTANCE UNIT SUPPORT ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, SJRH HAS VIEWED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS AN INTEGRAL PART OF ITS HOSPITAL MISSION, REACHING OUT TO SERVE THE UNDERSERVED. SERVICES TO THE COMMUNITY ARE AN EXPLICIT AND ESSENTIAL COMPONENT OF SJRH'S MISSION AND ONE OF ITS MOST VALUED TRADITIONS. WE REACH BEYOND THE WALLS OF OUR CAMPUSES TO IDENTIFY AND MEET THE NEEDS OF THE COMMUNITY, NOT JUST MEDICALLY, BUT SOCIALLY, ECONOMICALLY, AND ENVIRONMENTALLY. SJRH PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIONS, WORKING WITH OTHER PROVIDERS IN WESTCHESTER COUNTY, INCLUDING THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, COMMUNITY-BASED ORGANIZATIONS AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE OVERALL HEALTH OF THE PEOPLE OF WESTCHESTER COUNTY. 4. COMMUNITY INFORMATION WESTCHESTER COUNTY LIES IN THE HUDSON VALLEY SLIGHTLY NORTH OF NEW YORK CITY AND ENCOMPASSES AN AREA OF 450 SQUARE LAND MILES WHICH INCLUDES URBAN, SUBURBAN, AND RURAL GEOGRAPHIES OVER SIX CITIES, 19 TOWNS, AND 23 VILLAGES. WESTCHESTER COUNTY IS THE 7TH MOST POPULOUS COUNTY IN NEW YORK STATE WITH 997,895 RESIDENTS. THE COUNTY SEAT OF WESTCHESTER IS THE CITY OF WHITE PLAINS (56,404) AND OTHER MAJOR CITIES INCLUDE YONKERS (200,999), NEW ROCHELLE (79,877) AND MOUNT VERNON (68,671). IN 2020, THE MEDIAN HOUSEHOLD INCOME FOR WESTCHESTER WAS $99,489, 4TH HIGHEST IN NEW YORK STATE, AFTER NASSAU, PUTNAM, AND SUFFOLK COUNTIES.THE COMMUNITIES SERVED BY OUR HEALTH SYSTEM ARE WIDESPREAD AND DIVERSE. SJRH PROVIDES CONVENIENT ACCESS TO HIGH-QUALITY ACUTE, PRIMARY, AND SPECIALTY CARE TO INDIVIDUALS AND FAMILIES LIVING IN A PRIMARY SERVICE AREA WHICH INCLUDES BUT IS NOT LIMITED TO 10522, 10502, 10566, 10550, 10701, 10703, 10704, 10705, AND 10706. THE CITY OF YONKERS IS ONE OF THE MOST DIVERSE COMMUNITIES IN WESTCHESTER COUNTY AND THE STATE. YONKERS IS 39.7% HISPANIC, 19.4% BLACK, 47.2% WHITE AND 6.3% ASIAN. ACCORDING TO DATA USA, IN 2020 THE MEDIAN AGE OF ALL PEOPLE IN YONKERS, NY WAS 38.7. NATIVE-BORN CITIZENS HAVE A MEDIAN AGE OF 32, AND ARE GENERALLY YOUNGER THAN FOREIGN-BORN CITIZENS, WITH A MEDIAN AGE OF 48. COMPARED TO PREVIOUS YEARS, PEOPLE IN YONKERS ARE GETTING YOUNGER. IN 2019, THE AVERAGE AGE OF ALL YONKERS RESIDENTS WAS 39 YEARS OLD. YONKERS IS HOME TO A POPULATION OF 200,183 PEOPLE, OF WHICH 88.1% ARE CITIZENS. AS OF 2020, 30.7% OF YONKERS AND 25.4% OF WESTCHESTER RESIDENTS WERE BORN OUTSIDE OF THE COUNTRY. THIS IS WELL ABOVE THE NEW YORK STATE AVERAGE OF 23% FOREIGN BORN RESIDENTS. IN YONKERS, 17.1% OF THE POPULATION HAS NO HIGH SCHOOL DIPLOMA, MEANWHILE ONLY 11.4% DO NOT HAVE A HIGH SCHOOL DIPLOMA IN WESTCHESTER COUNTY. ADDITIONALLY, 52% OF YONKERS RESIDENTS RENT THEIR HOME AND 49.9% OF THEM EXPERIENCE RENTAL COST BURDEN. SIMILARLY, 47.3% OF RESIDENTS OWN A HOME WHILE 37.3% OF HOMEOWNERS ARE BURDENED BY THE COST OF MORTGAGE. THESE POPULATIONS SPEND MORE THAN 30% OF THEIR INCOME ON MORTGAGE OR RENTAL EXPENSES ALONE. THERE IS A DISPARITY WITH PERSONS IN POVERTY IN YONKERS, 12.9% COMPARED TO WESTCHESTER COUNTY 8.4%. THE DISPARITY IS EVEN MORE APPARENT WITH THOSE UNDER 18 IN POVERTY. HOUSING COST BURDEN CAN FORCE PEOPLE TO CHOOSE AMONG PAYING FOR OTHER ESSENTIALS SUCH AS MEDICAL CARE, FOOD, OR UTILITIES. THERE ARE GLARING DISPARITIES PRESENT WHEN POVERTY RATE IS ANALYZED BY RACE AND ETHNICITY. FOR EXAMPLE, 24% OF HISPANICS ARE IN POVERTY IN YONKERS COMPARED TO 15% IN WESTCHESTER COUNTY. BLACK OR AFRICANS, WHITES, AND WHITE NON-HISPANIC ALL HAVE HIGHER POVERTY PERCENTAGES IN YONKERS VERSUS WESTCHESTER COUNTY. ACCORDING TO COUNTY HEALTH RANKINGS, ALMOST 1 OUT OF 4 HOUSEHOLDS IN WESTCHESTER COUNTY EXPERIENCE PROBLEMS WITH OVERCROWDING, HIGH HOUSING COSTS, OR THE LACK OF KITCHEN FACILITIES OR PLUMBING FACILITIES. POOR PHYSICAL ENVIRONMENT CAN AFFECT ONE'S ABILITY TO LIVE LONG HEALTHY LIVES.BROKEN DOWN BY INSURANCE TYPE IN 2020 THE CITIZENS OF YONKERS HAD 44.7 % EMPLOYER HEALTH CARE COVERAGE, 24.1% MEDICAID, 12.1% MEDICARE, 11.6% NON-GROUP, AND .5% MILITARY. ALTHOUGH WESTCHESTER'S OVERALL RANKING IN THE STATE IS IN THE TOP DECILE, THERE REMAINS CONSIDERABLE OPPORTUNITY TO IMPROVE POPULATION HEALTH AND REDUCE HEALTH DISPARITIES IN WESTCHESTER COUNTY AND MORE SPECIFICALLY WITHIN SJRH'S SERVICE AREA WHICH IS PREDOMINANTLY AN UNDERSERVED COMMUNITY.WHILE WESTCHESTER COUNTY RANKS AMONGST THE TOP OF THE HEALTHIEST COUNTIES IN NEW YORK STATE, THE CITIES OF YONKERS, GREENBURGH, AND MOUNT VERNON HAVE BEEN IDENTIFIED AS WESTCHESTER COUNTY'S MEDICALLY UNDERSERVED AREAS (MUA'S). SJRH DIRECTLY SERVES THESE AREAS REGULARLY, ESPECIALLY FOR SUBSTANCE USE DISORDER TREATMENT. THE OASAS-LICENSED SUBSTANCE USE CLINICS IN YONKERS, GREENBURGH, AND MOUNT VERNON PROVIDE SERVICES TO UNDERSERVED POPULATIONS IN THE MUAS. THESE AREAS CONTINUE TO DEMONSTRATE HEALTHCARE GAPS AND DISPARITIES. SJRH'S TEAM IS COMMITTED TO IMPROVING HEALTH OUTCOMES FOR THE MEMBERS IN THE COMMUNITY WE SERVE.ACCORDING TO 2022 COUNTY HEALTH RANKINGS, WESTCHESTER COUNTY IS THE 6TH HEALTHIEST COUNTY IN NEW YORK STATE OUT OF 62 COUNTIES. THAT SAID, THERE ARE SIGNIFICANT DISPARITIES THROUGHOUT THE COUNTY, PARTICULARLY RELATED TO SOCIO-ECONOMIC FACTORS IN THE COUNTY'S LARGEST CITIES. SERVICES TO THE COMMUNITY ARE AN EXPLICIT AND ESSENTIAL COMPONENT OF SJRH'S MISSION AND ONE OF ITS MOST VALUED TRADITIONS. WE REACH BEYOND THE WALLS OF OUR CAMPUSES TO IDENTIFY AND MEET THE COMMUNITY'S NEEDS, NOT JUST MEDICALLY BUT SOCIALLY, ECONOMICALLY, AND ENVIRONMENTALLY. SJRH PARTICIPATES IN VARIOUS ORGANIZED PARTNERSHIPS AND COLLABORATIONS, WORKING WITH OTHER PROVIDERS IN WESTCHESTER COUNTY, INCLUDING THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, COMMUNITY-BASED ORGANIZATIONS, AND COMMUNITY MEMBERS IN PLANNING AND DEVELOPING INITIATIVES TO IMPROVE THE OVERALL HEALTH OF THE PEOPLE OF WESTCHESTER COUNTY. ST. JOHN'S RIVERSIDE HOSPITAL (SJRH), A NOT-FOR-PROFIT, NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) LICENSED 378-BED ACUTE CARE COMMUNITY HEALTH SYSTEM, OPERATES THREE CAMPUSES: ANDRUS PAVILION (225 BEDS), PARKCARE PAVILION (141 BEDS), AND DOBBS FERRY PAVILION (12 BEDS). THE ANDRUS PAVILION PROVIDES EMERGENCY SERVICES, GENERAL ACUTE, AND CANCER CARE, WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES; IT IS DESIGNATED BY THE NYSDOH AS A STROKE CENTER AND LEVEL II PERINATAL CENTER AND IS THE ONLY PROVIDER OF MATERNITY SERVICES IN THE CITY OF YONKERS. THE ANDRUS PAVILION ALSO BOASTS A ROBUST WOUND CARE PROGRAM AND HYPERBARIC THERAPY PROGRAM. OUR PARKCARE PAVILION IS LOCATED A FEW MILES SOUTH OF THE MAIN CAMPUS, ANDRUS PAVILION, AND HAS LONG SERVED A SPECIAL POPULATION, THOSE AFFLICTED WITH THE DISEASE OF ADDICTION. WITH ITS 141 BEDS, PARKCARE IS ONE OF THE LARGEST INPATIENT PROVIDER OF DETOXIFICATION AND REHABILITATION SERVICES IN NEW YORK STATE AND IS CERTIFIED BY THE NEW YORK STATE OFFICE OF ADDICTION SERVICES AND SUPPORTS. PARK CARE BEHAVIORAL HEALTH SERVICES INCLUDE THREE COMMUNITY-BASED SUBSTANCE USE DISORDER CLINICS IN YONKERS, MOUNT VERNON, AND GREENBURGH AND COMBINED PROVIDED 48,182 PATIENT VISITS IN 2023. SJRH ALSO OPERATES A METHADONE CLINIC IN THE PARKCARE BUILDING, PROVIDING CARE FOR APPROXIMATELY 400 CLIENTS. WHILE OUR BEHAVIORAL HEALTH PROGRAMS ACTIVELY SERVE OUR IMMEDIATE COMMUNITY AS THE STATE'S LARGEST INPATIENT PROVIDER AND THE PRIMARY INPATIENT PROVIDER FOR LOCAL COUNTIES, OUR SERVICES OFTEN EXTEND TO THE SURROUNDING COUNTIES AS NEEDED, SPECIFICALLY TO THE SOUTH. THE PARKCARE PAVILION IS ALSO THE HOME OF AN NYSDOH-DESIGNATED AIDS CENTER THAT PROVIDES PREVENTIVE CARE, PRIMARY CARE, AND HEPC TREATMENT. THE DOBBS FERRY PAVILION PROVIDES INPATIENT AND PRIMARY MEDICAL CARE, AMBULATORY SURGERY, AND EMERGENCY SERVICES AND IS THE HUB FOR CENTERS OF EXCELLENCE IN BREAST AND ORTHOPEDIC CARE. AT SJRH, OVER 600 MEDICAL AND ALLIED HEALTH PROFESSIONALS PROVIDE A WIDE RANGE OF AMBULATORY AND INPATIENT SERVICES; MORE THAN 250,000 PERSONS ARE SERVED ANNUALLY WITHIN OUR NETWORK. SJRH, GOVERNED BY A VOLUNTARY BOARD OF TRUSTEES, IS A SAFETY-NET HOSPITAL SERVING THE URBAN AND DIVERSE COMMUNITY OF SOUTHWEST YONKERS, NEW YORK. AS A DESIGNATED NYS ESSENTIAL COMMUNITY PROVIDER, WE SERVE PREDOMINANTLY LOW-INCOME, MEDICALLY UNDERSERVED INDIVIDUALS. 5. PROMOTION OF COMMUNITY HEALTH ST. JOHNS CONTINUES TO ADDRESS THE HEALTH CARE NEEDS OF OUR POPULATION IN A VARIETY OF WAYS. IN MARCH 2021 SJRH STARTED THE COMMITTEE FOR ACHIEVING REGIONAL EQUITY (CARE'S). ITS VISION IS TO ELIMINATE HEALTHCARE DISPARITIES IN THE CITY OF YONKERS AND THE SURROUNDING AREAS AND IMPROVE OVERALL HEALTH OF THE POPULATION. THE MISSION AIMS TO ACHIEVE HEALTHCARE EQUITY IN OUR COMMUNITY BY IDENTIFYING HEALTHCARE DISPARITIES AND PROMOTING EFFECTIVE STRATEGIES TO OPTIMIZE HEALTHCARE DELIVERY AND THE PURPOSE OF THE COMMITTEE IS TO ASSESS COMMUNITY HEALTH NEEDS, IDENTIFY BARRIERS TO HEALTH IN THE COMMUNITY AND FORMULATE PRACTICAL SOLUTIONS. THE COMMITTEE IS A MULTIDISCIPLINARY GROUP MADE UP OF STAFF, MEDICAL STAFF, AND LOCAL ORGANIZATIONS SUCH AS THE NEPPERHAN COMMUNITY CENTER, YMCA, AND FEEDING WESTCHESTER. THE COMMITTEE HAS BEEN A KEY FORUM FOR DISCUSSING ACTION PLANS TO IMPACT HEALTH EQUITY IN OUR AREA. IT ALLOWS FOR A SPACE FOR SJRH TO PAIR OUR RESOURCES WITH LOCAL ORGANIZATIONS AND CREATE A SPACE TO BRAINSTORM AND SHARE IDEAS THAT CAN IMPROVE THE LIVES OF OUR RESIDENTS. THE COMMITTEE HAS LED TO THE CREATION OF A DEI DEPARTMENT, HEALTH DISPARITY IMPACT PLANS, HOSTED BIKE DRIVES FOR ELEMENTARY SCHOOLS, ATTENDED HEALTH FAIRS, STARTED A COMMUNITY GARDEN, AND WORKED ON EDUCATION MATERIAL FOR OUR STAFF AND COMMUNITY. SJRH IS ALSO A LEADING ORGANIZATION PART OF THE LYFE COALITION STEERING COMMITTEE WHICH BRINGS TOGETHER THE CITY OF YONKERS, WESTCHESTER COUNTY DEPT, AND OTHER YONKERS ORGANIZATIONS TOGETHER THROUGH COLLECTIVE IMPACT TO BUILD A CITY WHERE ALL RESIDENTS EXPERIENCE IMPROVED HEALTH OUTCOMES AND HEALTH EQUITY. THE LYFE COALITION MEETS SIX TO EIGHT TIMES ANNUALLY AND IS FOCUSED ON MATERNAL HEALTH, CHRONIC DISEASE, CLIMATE CHANGE, AND OBESITY.FURTHERMORE, OUR KEY ACTIVITIES HAVE ENHANCED HEALTH CARE ACCESS, PROVIDED PATIENT NAVIGATION AND A HOST OF SUPPORT SERVICES FOR OUR PATIENTS. OUR OUTPATIENT, INPATIENT, AND CLINICAL PATIENT NAVIGATION SERVICES PROVIDE COMMUNITY HEALTH EDUCATION, COORDINATE SCREENINGS, DEMYSTIFY TREATMENT OPTIONS, UN-COMPLICATE THE PROCESS FROM DIAGNOSIS TO TREATMENT, FACILITATE SCREENING AND DIAGNOSTIC TEST AND HEALTH AND PSYCHOSOCIAL SUPPORT SERVICES. BARRIERS TO CARE AND ACCESS TO TECHNOLOGICAL ADVANCEMENTS IN TREATING DISEASE ARE CONTINUALLY ADDRESSED FOR THE UNDERINSURED/UNDERSERVED POPULATION. OUR BREAST HEALTH PROGRAM IS DESIGNED TO REDUCE THE RATE OF LATE DIAGNOSIS AMONG MINORITY POPULATIONS, PARTICULARLY THE BLACK POPULATION, WHO ARE MORE LIKELY TO BE DIAGNOSED AT LATER STAGES. WE COORDINATE CLINICAL BREAST EXAMS THAT LEAD TO MAMMOGRAMS, DIAGNOSTIC SERVICES, DIAGNOSIS, AND TREATMENT. FOLLOW-UP SERVICES AND CLINICAL PATIENT NAVIGATION PROVIDED FREE OF CHARGE TO PATIENTS IS AN EXTENSION OF THE HOSPITAL STAY FOR DISCHARGED PATIENTS WHO ARE FREQUENTLY AT RISK FOR READMISSION. TYPICALLY, THESE ARE CHRONICALLY ILL PATIENTS THAT ARE READMITTED BECAUSE OF THEIR UNIQUE FRAILTIES AND LACK OF SUPPORT FOR FOLLOW UP CARE REGIMENT. THEY HAVE LONGER PATIENT STAYS AND SIGNIFICANT AFTERCARE NEEDS. AS A RESULT, PATIENTS WELCOME THE ADDITIONAL CARE AND SUPPORT PROVIDED. IN 2022, SJRH WAS AWARDED WOMEN'S CHOICE AWARDS FOR BEST HOSPITALS COMPREHENSIVE BREAST CENTER AND MAMMOGRAM CENTER. 6. AFFILIATED HEALTH CARE SYSTEM ST. JOHN'S CONTINUES ITS AFFILIATION TO MONTEFIORE MEDICAL CENTER IN THE BRONX, NEW YORK TO STRENGTHEN ITS MISSION TO PROVIDE A COMPREHENSIVE PROGRAM OF CLINICAL ACCESS AND HEALTH EDUCATION FOR THE ST. JOHN'S COMMUNITY. THE GEOGRAPHICAL PROXIMITY TO MONTEFIORE, SIMILAR DEMOGRAPHICS AND COLLABORATION WITH THEIR TERTIARY CARE PROFESSIONALS, IS AN ASSET TO HEALTH PROMOTION ACTIVITIES AND QUALITY CARE FOR OUR GROWING COMMUNITIES. THE OFFICIAL AFFILIATION OCCURRED IN NOVEMBER OF 2014 AND BOTH ORGANIZATIONS FORMALLY ANNOUNCED THROUGH PRESS RELEASE IN MAY 2015. 7. STATE FILING OF COMMUNITY BENEFIT REPORT ST. JOHN'S RIVERSIDE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW YORK ONLY. X X X X 0 1 0 0 0 0 0 1 0 RONALD CORTI PRESIDENT/CEO 898501 0 0 0 76393 0 128400 0 28990 0 1132284 0 76393 0 DENNIS KEANE VP FINANCE/CFO 549633 0 78750 0 8400 0 35306 0 29807 0 701896 0 0 0 PAUL ANTONECCHIA MD CHIEF MEDICAL OFFICER 543477 0 0 0 6000 0 12741 0 28775 0 590993 0 0 0 STEPHEN EROSA PHYSICIAN 552075 0 0 0 0 0 5969 0 28689 0 586733 0 0 0 NIRAV PATEL PHYSICIAN 522868 0 0 0 0 0 12392 0 28656 0 563916 0 0 0 MICHEAL DIGIORNO VP MEDICAL OPERATIONS 459058 0 63474 0 0 0 13132 0 28238 0 563902 0 0 0 VENKATESH SAWKAR PHYSICIAN 468443 0 0 0 0 0 6691 0 583 0 475717 0 0 0 OREST KOZICKY PHYSICIAN 414586 0 0 0 0 0 13338 0 303 0 428227 0 0 0 CHRISTOPHER DIGIORNO PHYSICIAN 387441 0 0 0 0 0 13742 0 10952 0 412135 0 0 0 HERTA MULLER CHIEF NURSING OFFICER 363538 0 0 0 0 0 14390 0 28076 0 406004 0 0 0 SANDRA K SCOTT ASSOCIATE VP BHS 297011 0 0 0 0 0 29966 0 28854 0 355831 0 0 0 GLADYS ATTANASIO ASSISTANT VP REVENUE CYCLE 302801 0 0 0 0 0 18980 0 28236 0 350017 0 0 0 NANCY MAGLIOCCA CHIEF OF STAFF 288567 0 0 0 0 0 15295 0 10963 0 314825 0 0 0 JANINE O'DONNELL AVP PHARMACY & MED OPS 250593 0 0 0 0 0 17408 0 28226 0 296227 0 0 0 LAURA FANNING AVP SURGICAL SERVICES 250163 0 0 0 0 0 25517 0 529 0 276209 0 0 0 PART I, LINE 7 DURING THE YEAR AN OFFICER OF SJRH RECEIVED A NON-FIXED BONUS THAT IS REFLECTED IN SCHEDULE J, PART II, COL. (B)(II). DURING THE YEAR A KEY EMPLOYEE OF SJRH RECEIVED A NON-FIXED BONUS THAT IS REFLECTED IN SCHEDULE J, PART II, COL. (B)(II). PART I, LINE 4B AND PART II, COLUMNS (B)(III),(C) & (F) NONQUALIFIED DEFERRED COMPENSATION PLAN AMOUNTS INCLUDED IN COLUMNS (B)(III) AND (F) FOR RON CORTI INCLUDE A TAXABLE DISTRIBUTION OF $76,393 FROM A 457(F) DEFERRED COMPENSATION ARRANGEMENT. FURTHER, AMOUNTS REPORTED IN COLUMN (C) INCLUDE A $76,393 DEFERRAL UNDER THE ARRANGEMENT. RIVERSIDE HEALTHCARE SYS BERMUDA SEE PART V 2017400 INSURANCE PREMIUMS 0 EMPRESS AMBULANCE SEE PART V 521130 AMBULANCE SERVICE 0 NANCY ANNABI SEE PART V 131281 COMPENSATION 0 WILLIAM B KEANE SEE PART V 83321 COMPENSATION 0 GREGORY M FISK JR SEE PART V 83840 COMPENSATION 0 KRISTIN N SCATTARETICO SEE PART V 52517 COMPENSATION 0 DIANA SAYEGH SEE PART V 119878 COMPENSATION 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 300348 PLUMBNG COMPANY 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 505414 CONTRACTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 132067 LEGAL 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 684730 MEDICAL CENTER 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 12844815 ER GROUP 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 267758 CONTRACTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 634970 LEGAL 0 SCHEDULE L, PART IV BUSINESS TRANSACTIONS(1) IN 2023, SJRH PAID INSURANCE PREMIUMS TO A RELATED, TAXABLE ENTITYRIVERSIDE HEALTH CARE SYSTEMS BERMUDA. RHCS BERMUDA IS A 35% CONTROLLEDENTITY OF RIVERSIDE HEALTH CARE SYSTEM, INC., WHICH IS THE SOLE MEMBEROF AND A SUPPORTING ORGANIZATION OF ST. JOHN'S RIVERSIDE HOSPITAL. SJRHAND RCHS BERMUDA SHARE ONE BOARD MEMBER, KEVIN T. FAY.(2) IN 2023, EMPRESS AMBULANCE SERVICE PROVIDED SERVICES TO SJRH. EMPRESS AMBULANCE SERVICE IS OWNED BY THE SONS OF LENORE MINERVA, SJRH BOARD MEMBER. IN 2023, ONE OF LENORE'S SONS, DANIEL MINERVA, JOINED THE BOARD OF SJRH.(3) NANCY ANNABI IS AN EMPLOYEE OF SJRH AND IS THE WIFE OF SJRH BOARD MEMBER, DR. IYAD ANNABI.(4) WILLIAM B. KEANE IS AN EMPLOYEE OF SJRH AND IS THE BROTHER OF SJRH OFFICER, DENNIS KEANE.(5) GREGORY M. FISK, JR. IS AN EMPLOYEE OF SJRH AND IS THE SON OF SJRH BOARD MEMBER, GREGORY M. FISK. (6) KRISTIN N. SCATTARETICO IS AN EMPLOYEE OF SJRH AND IS THE DAUGHTER OF SJRH KEY EMPLOYEE, LAURA FANNING.(7) DIANA SAYEGH IS AN EMPLOYEE OF SJRH AND IS THE SISTER OF SJRH BOARD MEMBER, AMMIR RABADI MD. FORM 990, PART I, LINE 6 THE VOLUNTEER PROGRAM AT ST. JOHN'S RIVERSIDE HOSPITAL IS CURRENTLY COMPRISED OF 7 ACTIVE VOLUNTEERS INTERNS AND STUDENTS. THE PROGRAM WAS CANCELED IN 2021 DUE TO COVID, AND REOPENED IN 2022. VOLUNTEER RECORDS AND HOURS ARE TRACKED THROUGH A COMPUTER PROGRAM LOCATED IN THE VOLUNTEER OFFICE AT ST. JOHN'S ANDRUS PAVILION. OFFSITE VOLUNTEERS COMPLETE TIME SHEETS AT THEIR RESPECTIVE FACILITY/DEPARTMENT AND SUBMIT THOSE REPORTS TO THIS OFFICE ON A MONTHLY BASIS FOR INCLUSION IN THE VOLUNTEER WORKS COMPUTER PROGRAM. ADDITIONALLY, 18 INDEPENDENT BOARD MEMBERS SERVED ON THE BOARD DURING 2023. FORM 990, PART III, LINE 1 ST. JOHN'S RIVERSIDE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT. BY OFFERING EXCELLENCE IN MEDICAL CARE, NURSING, STATE-OF-THE-ART TECHNOLOGIES, CONTINUING EDUCATION AND PREVENTIVE SERVICES, WE ARE COMMITTED TO IMPROVING THE CARE WE PROVIDE WITHIN EACH OF OUR INSTITUTIONS AND THE QUALITY OF LIFE IN OUR COMMUNITY. WE ARE OPEN TO NEW IDEAS, DIRECTIONS AND INITIATIVES THAT MOST EFFECTIVELY RESPOND TO COMMUNITY HEALTH CARE NEEDS. FORM 990, PART III, LINE 4B THE DAY PROGRAM INCLUDES INTENSIVE, MEDICALLY SUPERVISED SERVICES FOR UP TO FIVE DAYS PER WEEK, FOUR HOURS PER DAY WITH INDIVIDUAL AND GROUP THERAPY PSYCHIATRIC ASSESSMENT, 12 STEP PROGRAMMING, VOCATIONAL AND EDUCATIONAL SERVICES, AND RECREATION THERAPY. THE CLINIC PROGRAM HAS SERVICES AVAILABLE FOR UP TO FOUR TIMES PER WEEK, OFFERING FLEXIBLE DAY AND EVENING HOURS FOR THOSE WHO WORK, GO TO SCHOOL OR NEED A STEP-DOWN LEVEL OF CARE. TARGETED SERVICES FOR ADOLESCENTS AND FOR FAMILY MEMBERS IMPACTED BY ALCOHOLISM AND DRUG DEPENDENCE ARE ALSO AVAILABLE. FORM 990, PART III, LINE 4C TO DATE, THERE ARE OVER 224 STUDENTS ENROLLED IN THE PROFESSIONAL NURSING PROGRAM. IN 1999 THERE WERE NO MORE THAN 50 STUDENTS ENROLLED AND NOW THE SCHOOL PROUDLY COUNTS MORE THAN 2,500 GRADUATES WHO HAVE SERVED PATIENTS AND HEALTH CARE THROUGHOUT THE UNITED STATES AND AROUND THE WORLD. DUE TO OUR GROWTH, THE SCHOOL HAS GROWN ITS WEBSITE WHICH ENABLES APPLICANTS TO QUICKLY COMPLETE ONLINE FORMS, ONLINE APPLICATIONS, AND SURVEYS. THE COCHRAN SCHOOL OF NURSING IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING. THE ST. JOHN'S RIVERSIDE HOSPITAL EMERGENCY MEDICINE RESIDENCY IS A 3 YEAR ACGME ACCREDITED PROGRAM LOCATED IN YONKERS, NY. THE INAUGURAL CLASS OF RESIDENTS STARTED ON JULY 1, 2017 AND GRADUATED ON JUNE 30, 2020. THE EMERGENCY MEDICINE PROGRAM SUPPORTS A TOTAL OF 30 RESIDENTS, TYPICALLY 10 IN EACH POSTGRADUATE TRAINING YEAR. IN 2023 THE PROGRAM HAD 30 RESIDENTS (10 PGY-1, 10 PGY-2 AND 10 PGY-3 RESIDENTS). TEN RESIDENTS GRADUATED ON JUNE 30, 2023. THE ST. JOHN'S RIVERSIDE HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM HAS TWO ACGME ACCREDITED TRACKS. THERE IS A PRELIMINARY (ONE YEAR) AND A CATEGORICAL (3 YEAR) TRACK. THE PROGRAM SUPPORTS A TOTAL OF 30 RESIDENTS. THE INAUGURAL CLASS OF RESIDENTS STARTED ON JULY 1, 2016 CONSISTING OF 6 RESIDENTS IN THE PRELIMINARY TRACK AND 8 RESIDENTS IN THE CATEGORICAL TRACK. ON JUNE 30, 2023 THE PROGRAM GRADUATED IT'S SIXTH CLASS OF CATEGORICAL RESIDENTS (2019, 2020, 2021, 2022, 2023). IN 2023 THERE WERE 3 RESIDENTS IN THE PRELIMINARY TRACK AND 27 RESIDENTS IN THE CATEGORICAL TRACK ACCOUNTING FOR A TOTAL OF 30 RESIDENTS IN THE INTERNAL MEDICINE PROGRAM. FORM 990, PART III, LINE 4D ST. JOHN'S RIVERSIDE HOSPITAL OPERATES A METHADONE MAINTENANCE PROGRAM SEVEN DAYS A WEEK, 365 DAYS A YEAR TO ENABLE CLIENTS SUFFERING NARCOTIC ADDICTION TO CONTINUE PRODUCTIVE LIVES. IN 2023, THE CLINIC HAD 99,693 VISITS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS AND FAMILY RELATIONSHIP LENORE MINERVA AND DANIEL MINERVA HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS/STOCK HOLDERS ST. JOHN'S RIVERSIDE HOSPITAL HAS A SOLE MEMBER - RIVERSIDE HEALTH CARE SYSTEM, INC., A SECTION 501(C)(3) ENTITY. FORM 990, PART VI, SECTION A, LINE 7A THE FOLLOWING POWERS ARE RESERVED TO RIVERSIDE HEALTH CARE SYSTEM (RHCS): 1. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF ST. JOHN'S UPON CONSULTATION WITH THE BOARD OF TRUSTEES; 2. REVIEW AND APPROVAL OF THE CAPITAL AND OPERATING BUDGETS OF ST. JOHN'S PROVIDED THAT RHCS MAY ONLY APPROVE OR REJECT A CAPITAL OR OPERATING BUDGET IN ITS ENTIRETY; 3. APPROVAL OF ANY SALE OF ACQUISITION BY ST. JOHN'S OF ASSETS VALUED IN EXCESS OF ONE MILLION DOLLARS ($1,000,000), PROVIDED THAT RHCS APPROVAL SHALL NOT BE REQUIRED FOR SALES OR ACQUISITIONS OF MEDICAL EQUIPMENT (INCLUDING, WITHOUT LIMITATION, MAGNETIC RESONANCE IMAGING AND COMPUTERIZED TOMOGRAPHY EQUIPMENT, OPERATING ROOM EQUIPMENT, AND EQUIPMENT FOR ENDOSCOPY AND DELIVERY SUITES); AND 4. APPROVAL OF ANY AMENDMENTS TO THE CONSTITUTION, THE BYLAWS OR THE CERTIFICATE OF INCORPORATION OF ST. JOHN'S WHICH WOULD MODIFY, LIMIT OR IN ANY WAY RESTRICT THE RIGHT AND POWERS OF RHCS AS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B SEE 7A EXPLANATION ABOVE. FORM 990, PART VI, SECTION B, LINE 11B BOARD OF TRUSTEES' REVIEW OF FORM 990 THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ST. JOHN'S RIVERSIDE HOSPITAL AND REVIEWED BY THE DIRECTOR OF FINANCE AND CHIEF FINANCIAL OFFICER OF THE HOSPITAL. THE DRAFT FORM 990, AND WORKPAPER SUPPORT, IS PROVIDED TO THE HOSPITAL'S TAX PREPARER TO PREPARE A FINAL VERSION OF THE FORM 990. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE HOSPITAL'S FINANCE COMMITTEE MEMBERS OF THE GOVERNING BOARD OF TRUSTEES AND THEN A COPY IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF TRUSTEES AND ALL PERSONNEL OF THE ORGANIZATION WHO ARE IN A POSITION TO INFLUENCE ANY PURCHASING DECISION OR BUSINESS TRANSACTION MUST COMPLETE A CONFLICT OF INTEREST STATEMENT. THIS INCLUDES ADMINISTRATIVE STAFF, DEPARTMENT HEADS AND MEMBERS OF THE MEDICAL BOARD. THE STATEMENTS ARE DISTRIBUTED BY THE COMPLIANCE OFFICER ANNUALLY IN NOVEMBER WITH THE EXPECTATION THAT THEY BE RETURNED TO THE COMPLIANCE OFFICER IN JANUARY OF THE FOLLOWING YEAR. WHEN RETURNED, THESE STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER. ALL INFORMATION IS KEPT CONFIDENTIAL AND STATEMENTS ARE MAINTAINED IN THE COMPLIANCE OFFICE. THE COMPLIANCE OFFICER WILL CONSULT WITH OUTSIDE COUNSEL AS NECESSARY CONCERNING ANY POTENTIAL PROBLEMS OR POSSIBLE CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER WILL REPORT ANY CONFLICTS OF INTEREST OR POSSIBLE CONFLICTS OF INTEREST TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE AND TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. IN CASES WHERE A CONFLICT OF INTEREST EXISTS, BOARD MEMBERS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION CONTRACTS WITH AN INDEPENDENT THIRD PARTY AS WELL AS LOCAL AND NATIONAL HEALTHCARE COMPENSATION SURVEYS TO BRING THE COMPENSATION LEVELS TO A COMPETITIVE LEVEL IN THE MARKET AREA. A REQUEST FOR PROPOSAL FOR AN EXECUTIVE COMPENSATION SURVEY IS INITIATED BY HUMAN RESOURCES TO EITHER UTILIZE THE VALIDATED SURVEY OF THE GREATER NY HOSPITAL ASSOCIATION AS WELL AS SULLIVAN COTTER (A NATIONAL FIRM SPECIALIZING IN HEALTHCARE COMPENSATION AND BENEFITS) OR FIND A VENDOR WHO COULD PROVIDE A COMPREHENSIVE REVIEW AND COMPARISON OF THE SALARY AND BENEFITS RIVERSIDE HEALTH CARE SYSTEMS INC SHOULD BE PROVIDING ITS EXECUTIVES WHILE MEETING ALL LEGAL AND ANTI-TRUST REQUIREMENTS. THIS SURVEY IS TO IDENTIFY THE BASE COMPENSATION, INCENTIVE COMPENSATION AND NON-CASH COMPENSATION FOR LIKE POSITIONS IN THE COMPETING WESTCHESTER COUNTY, NEW YORK AREA. THE AREAS THAT WOULD BE EVALUATED INCLUDE: PRESIDENT AND CHIEF EXECUTIVE OFFICER, VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT NURSING AND CHIEF NURSING OFFICER, ASSOCIATE VICE PRESIDENT BEHAVIORAL HEALTH, AND VICE PRESIDENT OF MEDICAL OPERATIONS. THE REQUEST FOR PROPOSAL GETS SENT TO THREE COMPANIES WITH A KNOWN TRACK RECORD IN HEALTHCARE COMPENSATION CONSULTING. EACH OF THE VENDORS RESPONDS WITH THE DETAILED ANALYSIS THAT THEY WILL PROVIDE AND THE COST ASSOCIATED WITH THE PROCESS. BASED ON THE TIMEFRAME AND THE COST. EITHER A VENDOR IS CHOSEN TO PERFORM THE EXECUTIVE COMPENSATION SURVEY OR THE ORGANIZATION UTILIZES THE PURCHASED HEALTHCARE EXECUTIVE AND MANAGEMENT COMPENSATION SURVEYS TO CONDUCT THE ANALYSIS. FINALLY, A COMPENSATION AND BENEFITS PROPOSAL IS PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES PERSONNEL AND COMPENSATION COMMITTEE FOR APPROVAL. THE PERSONNEL AND COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS FINDINGS IN ITS MINUTES, INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES MAKE THE DECISION ON APPROVING THE SALARY CHANGES. AN EXECUTIVE COMPENSATION REVIEW TOOK PLACE IN 2018 AND AN EMPLOYEE COMPENSATION REVIEW WAS COMPLETED IN 2019, THERE WERE NO MEETINGS SCHEDULED IN 2021 OR 2022. IN 2023, THE ORGANIZATION REVIEWED THE COMPENSATION SURVEYS OF THE GREATER NY HOSPITAL ASSOCIATION AS WELL AS SULLIVAN COTTER TO EVALUATE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 21,195,280. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,195,280. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,369,592. MANAGEMENT AND GENERAL EXPENSES 2,963,656. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,333,248. PURCHASED SERVICES-LAB: PROGRAM SERVICE EXPENSES 1,454,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,454,065. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 8,369,683. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,369,683. MICROFILMING/ARCHIVING: PROGRAM SERVICE EXPENSES 11,107. MANAGEMENT AND GENERAL EXPENSES 204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,311. I/M NURSERY PURCHASED SERV.: PROGRAM SERVICE EXPENSES 444,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 444,368. PURCHASED SERV-AMBULANCE: PROGRAM SERVICE EXPENSES 504,402. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 504,402. TAXI SERVICE: PROGRAM SERVICE EXPENSES 24,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,975. FORM 990, PART XI, LINE 9: INT LOAN RMSO 9,177. GRANT PURCHASES OF PPE 39,000. FAS 158 PENSION ADJUSTMENT 3,014,997. GRANT CAP ACQ. 478,747. REVERSAL OF PRIOR YEAR GRANTS AND OTHER ADJUSTMENTS -326,703. RIVERSIDE HEALTH CARE SYSTEMS INC (RHCS) 967 NORTH BROADWAY YONKERS NY 10701 133237215 MANAGEMENT NY 501(C)(3) 12A II N/A 0 RIVERSIDE MANAGEMENT SERVICES ORG (RMSO) 967 NORTH BROADWAY YONKERS NY 10701 133846601 MANAGEMENT NY RMI C 0 RIVER MANAGEMENT CO INC 967 NORTH BROADWAY YONKERS NY 10701 133474004 MANAGEMENT NY RHCS C 0 RHCS (BERMUDA) LTD 967 NORTH BROADWAY YONKERS NY 10701 133237215 INSURANCE BD RHCS C 0 SJR MEDICAL PC 967 NORTH BROADWAY YONKERS NY 10701 134185781 MED. SERVICE NY SJRH C -60773 1.00000 1 RIVERSIDE HEALTHCARE FOUNDATION 128 ASHFORD AVE DOBBS FERRY NY 10522 133971735 FUNDRAISING NY SJRH C 2720 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 SJR MEDICAL PC O 4148797 FMV