TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) PATRICK ORTLAND........................................................................ CHAIRMAN - TRUSTEE	1.0 .......................0.0	X	X	0	0
(2) MICHELLE F RIDER........................................................................ VICE CHAIR - TRUSTEE	1.0 .......................0.0	X	X	0	0
(3) GEOFFREY BRACKETT........................................................................ SECRETARY - TRUSTEE	1.0 .......................0.0	X	X	0	0
(4) ANTHONY CAMPAGIORNI........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(5) CHRIS CATANIA........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(6) NICK CITERA........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(7) VIVIEN A COLLENS........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(8) GLEN L HELLER........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(9) DOUGLAS HOVEY........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(10) ELLEN M KELLY........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(11) THOMAS P KENNEDY........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(12) DAVID D MCDERMOTT........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(13) PETER X NEUMAN........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(14) JOHN V PELELLA........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(15) DAVID POTACK........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(16) KEVIN WHITE........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0
(17) ROBERT S ROSS........................................................................ PRESIDENT/CEO	55.0 .......................0.0		X	473,650	94,328

(A) Name and business address	(B) Description of services	(C) Compensation
UNITED WESTLABS INC, 801 N PARKCENTER DRIVE SUITE 202 SANTA ANA,CA92705	LABORATORY	1,869,527
RESTORIX HEALTH INC, PO BOX 512 LAUREL,NY11948	MEDICAL	1,505,018
FRESENIUS MANAGEMENT SERVICES INC, 16343 COLLECTIONS CENTER DRIVE CHICAGO,IL60693	MANAGEMENT	633,377
ST LUKE'S CORNWALL JOINT VENTURE, 109 WANAQUE AVENUE POMPTON LAKES,NJ07442	MEDICAL	607,835
MOBILE LIFE SUPPORT SERVICES INC, PO BOX 471 NEWBURGH,NY12551	MEDICAL	604,920
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 34

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,075,623	2,075,623
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,476,223	1,328,601	147,622	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	64,862,871	58,376,584	6,486,287
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,482,868	4,934,581	548,287
9	Other employee benefits .......	11,968,320	10,771,488	1,196,832
10	Payroll taxes ...........	5,232,273	4,709,046	523,227
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,084,796	976,316	108,480
c	Accounting ...........	314,106	282,695	31,411
d	Lobbying ...........	164,817	148,335	16,482
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	21,930,713	19,737,641	2,193,072
12	Advertising and promotion ....	280,182	252,164	28,018
13	Office expenses .......	2,431,402	2,188,262	243,140
14	Information technology ......	63,944	57,550	6,394
15	Royalties ..	0
16	Occupancy ...........	3,171,909	2,854,718	317,191
17	Travel ............	37,019	33,317	3,702
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	96,826	87,143	9,683
20	Interest ...........	3,047,979	2,743,181	304,798
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	9,625,441	8,662,897	962,544
23	Insurance ..............	2,540,504	2,286,454	254,050
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	34,962,383	31,466,145	3,496,238
b	REPAIRS AND MAINTENANCE	1,668,200	1,501,380	166,820
c	PATIENT TRANSPORTATION	497,070	447,363	49,707
d	DUES & SUBSCRIPTIONS	326,470	293,823	32,647
e	All other expenses	824,418	741,976	82,442
25	Total functional expenses. Add lines 1 through 24e	174,166,357	156,957,283	17,209,074	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	7,662	1	7,662
2	Savings and temporary cash investments .........	5,650,200	2	4,067,405
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	19,671,015	4	18,920,335
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	4,216,014	8	4,074,659
9	Prepaid expenses and deferred charges ..........	1,399,865	9	2,221,574
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	249,171,973
b	Less: accumulated depreciation .....	10b	160,098,053	95,723,432	10c	89,073,920
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	24,763,762	13	22,364,030
14	Intangible assets ...............	5,670,966	14	4,423,071
15	Other assets. See Part IV, line 11 ...........	9,794,327	15	10,331,152
16	Total assets. Add lines 1 through 15 (must equal line 34)......	166,897,243	16	155,483,808
	17	Accounts payable and accrued expenses .........	29,299,770	17	26,394,628
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	18,320,000	20	17,325,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	40,629,218	23	38,850,000
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	22,321,089	25	38,192,784
26	Total liabilities. Add lines 17 through 25.........	110,570,077	26	120,762,412
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	55,002,363	27	33,548,887
28	Temporarily restricted net assets ...........	649,559	28	496,864
29	Permanently restricted net assets ...........	675,244	29	675,645
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	56,327,166	33	34,721,396
34	Total liabilities and net assets/fund balances ........	166,897,243	34	155,483,808

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization ST LUKE'S CORNWALL HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization ST LUKE'S CORNWALL HOSPITAL

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

158,087

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

6,730

Total. Add lines 1c through 1i ...............................

164,817

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, QUESTIONS 1B, 1G & 1I	ST. LUKE'S CORNWALL HOSPITAL ("SLCH") ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2014, SLCH PAID AN INDEPENDENT FIRM $74,375 FOR LOBBYING CONSULTING SERVICES. THE ORGANIZATION HAD ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN EMPLOYED PERSONNEL TO REPRESENT TIME SPENT LOBBYING AND ADDRESSING FEDERAL AND STATE HEALTHCARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $6,730 DURING 2014. IN ADDITION, THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK STATE, NORTHERN METROPOLITAN HOSPITAL ASSOCIATION, 1199/SUI AND GNYHA HEALTHCARE EDUCATION PROJECT, ALL OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THESE ORGANIZATIONS ARE ALLOCATED TOWARDS THESE LOBBYING EFFORTS. THIS ALLOCATION AMOUNTED TO $83,712 DURING 2014.

Return Reference

Explanation

SCHEDULE C, PART II-B, QUESTIONS 1B, 1G & 1I

ST. LUKE'S CORNWALL HOSPITAL ("SLCH") ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2014, SLCH PAID AN INDEPENDENT FIRM $74,375 FOR LOBBYING CONSULTING SERVICES. THE ORGANIZATION HAD ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN EMPLOYED PERSONNEL TO REPRESENT TIME SPENT LOBBYING AND ADDRESSING FEDERAL AND STATE HEALTHCARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $6,730 DURING 2014. IN ADDITION, THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK STATE, NORTHERN METROPOLITAN HOSPITAL ASSOCIATION, 1199/SUI AND GNYHA HEALTHCARE EDUCATION PROJECT, ALL OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THESE ORGANIZATIONS ARE ALLOCATED TOWARDS THESE LOBBYING EFFORTS. THIS ALLOCATION AMOUNTED TO $83,712 DURING 2014.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	1,324,803	1,930,763	2,382,220	3,067,186	4,023,968
b	Contributions ........	1,079,840	1,427,644	1,487,353	1,420,836	352,430
c	Net investment earnings, gains, and losses	697	-253,513	1,174	-809	-1,309,212
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	1,155,380	1,653,839	1,824,280	1,990,505
f	Administrative expenses ....	77,451	126,252	115,704	114,488
g	End of year balance ......	1,172,509	1,324,803	1,930,763	2,382,220	3,067,186

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

57.620 %

Temporarily restricted endowment SchDMd Bullet

42.380 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	406,622		406,622
b	Buildings ................	138,144,204	65,057,315	73,086,889
c	Leasehold improvements ............
d	Equipment ................	109,775,225	95,040,738	14,734,487
e	Other .................	845,922	0	845,922
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				89,073,920

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) TAX-EXEMPT ORGANIZATION	986,661	F
(2) INSURANCE, CO., LTD.	500,000	F
(3) OTHER INVESTMENTS	1,355,562	F
(4) LIMITED USE	5,511,732	F
(5) LIMINTED USE	1,628,028	F
(6) LIMITED USE	622,944	F
(7) LIMITED USE	7,091,077	F
(8) SECURITIES; LIMITED USE	1,867,733	F
(9) LIMITED USE	1,095,642	F
(10) LIMITED USE	226,513	F
(11) CORPORATE BONDS; LIMITED USE	1,478,138	F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	22,364,030

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) SETTLEMENTS				659,837
(2) OTHER RECEIVABLES				1,115,986
(3) OTHER ASSETS				8,555,329






Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				10,331,152

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
OTHER CURRENT LIABILITIES		1,044,997
ACCRUED RETIREMENT BENEFTS		17,291,469
ESTIMATED THIRD-PARTY SETTLEMENTS		1,216,948
INTEREST RATE SWAP AGREEMENTS		3,857,976
OTHER LONG-TERM LIABILITIES		14,781,394




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		38,192,784
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART V, QUESTION 4	ENDOWMENT FUNDS ARE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION CHARITABLE TAX-EXEMPT PURPOSES.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Investments		500,000
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	150,000















3a	Sub-total .....	2	2			650,000
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	2			650,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

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

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	6,887,121	2,922,641	3,964,480	2.280 %
b	Medicaid (from Worksheet 3, column a) ....	35,903,490	22,716,833	13,186,657	7.570 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	42,790,611	25,639,474	17,151,137	9.850 %
Other Benefits		37,636		37,636	0.020 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	37,636		37,636	0.020 %
f	Health professions education (from Worksheet 5) ..
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	37,636		37,636	0.020 %
k	Total. Add lines 7d and 7j .	42,828,247	25,639,474	17,188,773	9.870 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

5,316,583

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

73,568,456

Enter Medicare allowable costs of care relating to payments on line 5.....

85,513,694

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-11,945,238

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1AIRPORT IMAGING LLC	IMAGING/RADIOLOGY SERVICES	40.000 %	60.000 %
2EASTERN ORANGE
3AMBULATORY SURGERY
4CENTER LLC	OUTPATIENT AMBULATORY SVCS	37.690 %	62.310 %
5LIBERTY NEWBURGH
6HOLDINGS LLC	DIALYSIS SERVICE	15.000 %	30.000 %
7ST LUKE'S CORNWALL
8JV LLC	RADIATION ONCOLOGY SVCS	40.000 %	60.000 %
9EOA SURGERY CENTER
10REALTY	REALTY HOLDING CORP.	40.000 %	55.000 %
11FISHKILL PARTNERS
12LLC	DIAYLSIS SERVICES	10.000 %	90.000 %
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH,NY12550 WWW.STLUKESCORNWALLHOSPITAL.ORG 3522000H	X	X	X	1

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST LUKE'S CORNWALL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.STLUKESCORNWALLHOSPITAL.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	ST LUKE'S CORNWALL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

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Part VFacility Information (continued)

	ST LUKE'S CORNWALL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

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Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCH H, PART V, QUESTIONS 2,3J,6A,6B,7D,13B,15E,18D,19D,20E,21C,21D,23&24	NOT APPLICABLE.
SCHEDULE H, PART V, QUESTION 5	THROUGHOUT THE PREPARATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), ST. LUKE'S CORNWALL HOSPITAL CONSULTED WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH AND UTILIZED A DEMOGRAPHIC AND ECONOMIC PROFILE BY SIEMENS TO ASSESS THE NEEDS OF THE COMMUNITY. IN ADDITION, AT EVERY COMMUNITY EDUCATION SEMINAR, SURVEYS WERE CONDUCTED TO ASSESS FROM THE COMMUNITY ITS HEALTH ISSUES AND INTEREST. ST. LUKE'S CORNWALL HOSPITAL REACHED OUT TO VARIOUS RELIGIOUS ORGANIZATIONS, SCHOOLS, AND NON-SECULAR ORGANIZATIONS WITHIN THE COMMUNITY THEY SERVE. THE DEPARTMENT OF HEALTH WAS ALSO CONSULTED AND THEY PROVIDED A LIST OF HEALTH NEEDS THEY HAVE ASSESSED IN THE AREA.
SCHEDULE H, PART V, QUESTION 11	ACCORDING TO THE ORANGE COUNTY DEPARTMENT OF HEALTH, IN THE LAST 6 MONTHS, RESIDENTS HAVE SEEN A HEALTHCARE PROVIDER FOR THE FOLLOWING CHRONIC DISEASES: - DIABETES - HIGH BLOOD PRESSURE - HIGH CHOLESTEROL - CANCER OR CANCER SCREENINGS - HEART DISEASE BASED ON THAT INFORMATION, SAINT LUKE'S CORNWALL HOSPITAL ("SLCH") HAS IDENTIFIED SEVERAL HEALTH CHALLENGES THAT FACE THE COMMUNITY OF WHICH OUR HEALTHCARE SERVICES EXTEND TO. THE MAIN CHALLENGES ARE IDENTIFIED AS THE FOLLOWING: - HEART DISEASE - CANCER - STROKE - HEALTHY WOMEN & CHILDREN PLEASE REFER TO THE ORGANIZATION'S COMMUNITY SERVICES PLAN, 2014 IMPLEMENTATION PLAN, ATTACHED TO THIS FEDERAL FORM 990 FOR ADDITIONAL INFORMATION ON HOW THE ABOVE AREA'S OF FOCUS ARE BEING ADDRESSED BY SLCH.
SCHEDULE H, PART V, QUESTION 13H	THE HOSPITAL USES FAMILY SIZE TO DETERMINE AMOUNTS CHARGED TO PATIENTS. ADDITIONALLY, CERTAIN PATIENTS CAN AUTO-QUALIFY FOR A FULL CHARITY CARE DISCOUNT IF THE HOSPITAL'S CREDIT ASSESSMENT TOOL OR ONE OF ITS COLLECTION AGENCIES DETERMINES THAT THE GUARANTOR HAS A "LOW LIKELIHOOD" OF PAYMENT.
SCHEDULE H, PART V, QUESTION 16I	REGISTRATION PERSONNEL REFER UNINSURED AND LOW INCOME PATIENTS TO FINANCIAL ASSISTANCE PERSONNEL TO DISCUSS OUR POLICY. THERE IS ALSO SIGNAGE WITHIN THE EMERGENCY ROOM THAT NOTES THE CREDIT AND COLLECTION CONTACTS TO PROVIDE ASSISTANCE FOR ELIGIBLE PATIENTS. THE HOSPITAL WEBSITE LISTS THAT WE WILL WORK WITH INDIVIDUALS WHO CANNOT PAY. IT PROVIDES A TELEPHONE NUMBER WITH OUR DEPARTMENT.
SCHEDULE H, PART V, QUESTION 22D	THE MAXIMUM AMOUNT THAT WILL BE CHARGED TO FAP-ELIGIBLE PATIENTS IS THE HOSPITAL'S DISCOUNTED SELF-PAY RATE. THESE RATES ARE BASED ON AVERAGE RATES FROM OUR APPROVED INSURANCE PROVIDER BY SERVICE.

Schedule H (Form 990) 2014

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	ST LUKE'S CORNWALL HOSPITAL FISKILL CTR 992 MAIN STREET ROUTE 52 FISHKILL,NY12524	REHABILITATION SERVICES
2	THE REHAB CENTER AT NEW WINDSOR 575 HUDSON VALLEY AVENUE NEW WINDSOR,NY12553	REHABILIATION SERVICES
3	ST LUKE'S CENTER FOR REHABILIATION 279 MAIN STREET NEW PALTZ,NY12561	REHABILITATION SERVICES
4	ST LUKE'S HOSPITAL OUTPATIENT CARE CTR 417 ROUTE 9W NEWBURGH,NY12550	LABORATORY SERVICES
5
6
7
8
9
10

Schedule H (Form 990) 2014

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	ST. LUKE'S CORNWALL HOSPITAL USES FEDERAL POVERTY GUIDELINES ("FPG") IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. PATIENTS WITH A DEMONSTRATED FAMILY INCOME AT OR BELOW 200% OF THE FPG ARE ELIGIBLE FOR 100% DISCOUNT ON ANY QUALIFYING BALANCES. PATIENTS WITH A DEMONSTRATED FAMILY INCOME BETWEEN 201% AND 300% OF THE FPG ARE ELIGIBLE FOR A 50% DISCOUNT ON QUALIFYING BALANCES. ADDITIONALLY, ST. LUKE'S CORNWALL HOSPITAL IS FULLY COMPLIANT WITH THE 2014 NEW YORK STATE CHARITY CARE GUIDELINES (DEPARTMENT OF HEALTH). THIS CRITERIA IS USED IN DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 4	ST. LUKE'S CORNWALL HOSPITAL IS CURRENTLY IN THE PROCESS OF REVISING ITS FINANCIAL ASSISTANCE POLICY TO INCLUDE PROVISIONS FOR THE MEDICALLY INDIGENT.
SCHEDULE H, PART I, LINE 6A	NOT APPLICABLE.
SCHEDULE H, PART I, LINE 7	WORKSHEET 2 WAS USED TO CALCULATE THE COST TO CHARGE RATIO. ADDITIONALLY, ST. LUKE'S CORNWALL HOSPITAL UTILIZES THE SAME METHODOLOGY REQUIRED BY THE NEW YORK STATE INSTITUTIONAL COST REPORT. THIS METHODOLOGY REQUIRES THE HOSPITAL TO USE A COST TO CHARGE RATIO TO CALCULATE THE UNCOLLECTED AMOUNTS ATTRIBUTABLE TO SERVICES PROVIDED TO UNINSURED PATIENTS FOUND TO BE ELIGIBLE FOR FINANCIAL AID.
SCHEDULE H, PART II	ST. LUKE'S CORNWALL HOSPITAL HOSTS MANY ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITY. VARIOUS OUTREACH PROGRAMS ARE HELD THROUGHOUT THE YEAR IN THE COMMUNITY. SOME EXAMPLES OF THESE ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO, STROKE AWARENESS/DIABETES/CARDIAC AWARENESS SEMINARS, BLOOD PRESSURE SCREENINGS, HEALTHY EATING. IN ADDITION, SEMINARS ARE GIVEN RELATING TO AVAILABLE HOME CARE OPTIONS, CANCER RELATED DISEASES, ASTHMA, ETC. THE HOSPITAL IS CONTINUALLY ATTEMPTING TO EDUCATE, SCREEN AND PROVIDE THE COMMUNITY WITH A FORUM TO BECOME COMFORTABLE WITH THE VARIOUS HEALTH ISSUES IN THEIR LIFE. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
SCHEDULE H, PART III, LINES 2, 3 & 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE AUDITED FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITE OFF AT CHARGES. ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES PREPARES AND ISSUES AN AUDITED FINANCIAL STATEMENT. PLEASE REFER TO THE BELOW FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF ST. LUKE'S CORNWALL HOSPITAL. PATIENTS ACCOUNTS RECEIVABLE ---------------------------- Patient accounts receivable from third-party payors for which the Hospital receives payment under various reimbursement formulae or negotiated rates are stated at the estimated net amounts receivable from such payors, which are generally less than the Hospital's established billing rates. Additions to the allowance for doubtful accounts result from the provision for bad debts. Accounts written off as uncollectible and recoveries on such accounts are recorded in the allowance for doubtful accounts. The amount of the allowance for doubtful accounts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. UNCOMPENSATED CARE ------------------ As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital has defined charity care for accounting and disclosure purposes as the difference between its customary charges and the sliding scale rates given to patients in need of financial assistance. Patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's self-pay rates. Balances that remain uncollected from these patients for a predetermined amount of time are categorized as bad debts. As the collection of amounts determined to qualify as charity care is not pursued, such services are not reported as patient revenue. The estimated cost of charity care includes the direct and indirect cost of providing such services and is estimated utilizing the Hospital's ratio of cost to gross charges, which is then multiplied by the gross uncompensated charges associated with providing care to charity patients. The estimated cost of charity care and other uncompensated care provided approximated $4.9 million and $6.4 million for the years ended December 31, 2014 and 2013, respectively. The State of New York Department of Health Hospital Indigent Care Pool ("the Pool") was established to help hospitals subsidize the cost of uncompensated care and is funded, in part, by a 1% assessment on hospital net inpatient service revenue. During the years ended December 31, 2014 and 2013, the Hospital recorded approximately $2.6 million and $3.4 million, respectively, in Pool receipts and paid approximately $1.0 million in each year for the 1% assessment.
SCHEDULE H, PART III, LINE 8	ST. LUKE'S CORNWALL HOSPITAL OBTAINED THE MEDICARE GROSS REVENUE FROM ITS INTERNAL COST ACCOUNTING SYSTEM. THE MEDICARE GROSS REVENUE IS MULTIPLIED BY THE RATIO OF COST TO CHARGES ("RCC"). THE RCC IS CALCULATED BY DIVIDING THE AUDITED EXPENSES BY TOTAL GROSS REVENUE. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CON
SCHEDULE H, PART III, LINE 9B	ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF ST. LUKE'S CORNWALL HOSPITAL AND ALL ITS AFFILIATES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY WHICH IS ADMINISTERED BY THE PATIENT FINANCIAL SERVICES DEPARTMENT. THEIR DEPARTMENTAL POLICY DETAILS HOW THE PROGRAM IS EXECUTED. THIS PROGRAM APPLIES TO ALL MEDICALLY NECESSARY PROCEDURES. THE OPPORTUNITY TO RECEIVE INFORMATION AND APPLY FOR FINANCIAL ASSISTANCE WILL BE MADE AVAILABLE TO ALL PATIENTS. FINANCIAL ASSISTANCE IS MADE AVAILABLE TO ALL ELIGIBLE PATIENTS WHO QUALIFY, REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. A FINANCIAL ASSISTANCE PACKAGE (APPLICATION AND INSTRUCTIONS) ARE AVAILABLE TO ALL SELF-PAY PATIENTS AT THE TIME OF REGISTRATION OR FINANCIAL COUNSELING. ALL INTAKE, REGISTRATION AND PATIENT ACCOUNT STAFF ARE TRAINED ON THE ST. LUKE'S CORNWALL HOSPITAL FINANCIAL ASSISTANCE POLICIES. ST. LUKE'S CORNWALL HOSPITAL IS THE FIRST LOCAL HOSPITAL TO DISCOUNT ITS RATES FOR SELF-PAY PATIENTS, JUST AS ALL HOSPITALS DO FOR INSURANCE COMPANIES. THERE ARE TWO OPTIONS FOR THE UNINSURED OR SELF-PAY PATIENTS. CHARITY CARE IS AVAILABLE TO THOSE PATIENTS WHO DO NOT QUALIFY FOR MEDICAID AND WHOSE ANNUAL INCOME IS BELOW 300% OF FPG. FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, A DISCOUNTED SELF-PAY RATE HAD BEEN ESTABLISHED.
SCHEDULE H, PART VI, QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, QUESTION B, QUESTIONS 1-12 AND SECTION C, THE ORGANIZATION TOOK THE FOLLOWING STEPS IN 2013 TO ENSURE THAT THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS MANAGED IN A LOGICAL AND EFFECTIVE MANNER. IN AN EFFORT TO ASSESS THE HEALTHCARE NEEDS OF ITS COMMUNITIES THE ORGANIZATION CONSULTED WITH THE FOLLOWING ORGANIZATIONS; ORANGE COUNTY DEPARTMENT OF HEALTH, ORANGE COUNTY REGIONAL MEDICAL CENTER AND THE BON SECOURS CHARITY HEALTH SYSTEM. THROUGHOUT THE PREPARATION OF THE CHNA, ST. LUKE'S CORNWALL HOSPITAL WORKED AND CONSULTED WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH AND UTILIZED A DEMOGRAPHIC AND ECONOMIC PROFILE BY SIEMENS TO ASSESS THE NEEDS OF THE COMMUNITY. ADDITIONALLY, THE ORGANIZATION CONSULTED WITH THE DEPARTMENT OF HEALTH. THE DEPARTMENT OF HEALTH PROVIDED THE ORGANIZATION WITH A LIST OF HEALTH NEEDS THEY HAVE ASSESSED IN THE AREA. IN ADDITION, AT EVERY COMMUNITY EDUCATION SEMINAR, SURVEYS WERE CONDUCTED TO ASSESS FROM THE COMMUNITY ITS HEALTH ISSUES AND INTEREST. ST. LUKE'S CORNWALL HOSPITAL REACHED OUT TO VARIOUS RELIGIOUS ORGANIZATIONS, SCHOOLS, AND NON-SECULAR ORGANIZATIONS WITHIN THE COMMUNITY THEY SERVE. THE ORGANIZATION WORKED TOGETHER TO SEEK INPUT DURING COMMUNITY AND TOWN COUNCIL MEETINGS, MEDICAL EDUCATION SEMINARS, PHYSICIAN PRESENTATIONS AND VARIOUS HEALTH SCREENING EVENTS.
SCHEDULE H, PART VI, QUESTION 3	ST. LUKE'S CORNWALL HOSPITAL'S FINANCIAL ASSISTANCE POLICIES ADDRESS BOTH CHARITY CARE AND ASSISTANCE FOR THE UNINSURED PATIENTS (I.E. FREE AND DISCOUNTED CARE). SIGNS PROMOTING THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM, AND THE CONTACT INFORMATION ARE POSTED IN ALL PATIENT REGISTRATION AND FINANCIAL COUNSELING AREAS OF THE HOSPITAL. IN ADDITION THE ORGANIZATION PROVIDES CONTACT INFORMATION ON ALL BILLS SENT TO PATIENTS AND ON THE HOSPITAL'S WEBSITE. THE APPLICATION IS AVAILABLE AT THE TIME OF THE REGISTRATION, FINANCIAL COUNSELING OR UPON REQUEST AT ANY POINT WITHIN 90 DAYS OF THEIR STAY. A PATIENT REQUESTING FINANCIAL ASSISTANCE SUBMITS THE APPLICATION WHICH IS REVIEWED BASED ON THE PATIENTS INCOME UP TO 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). PATIENTS WITH INCOME ABOVE THE 200% BUT LESS THAN 300% OF FPG ARE ELIGIBLE FOR A 50% DISCOUNT ON CARE. PATIENTS CAN QUALIFY FOR A FULL CHARITY CARE DISCOUNT BASED ON THE HOSPITAL'S CREDIT ASSESSMENT TOOL OR WITH THE ASSISTANCE OF AN OUTSIDE COLLECTION AGENCY WHICH DETERMINES THE LIKELIHOOD OF PAYMENT. PATIENTS WHO HAVE NO HEALTH INSURANCE ARE BILLED AT THE LESSER OF CHARGES OR THE "UNINSURED RATE". THE HOSPITAL PUBLISHES IN IT POLICY THE SELF-PAY RATES FOR THE VARIOUS TYPES OF SERVICES OFFERED.
SCHEDULE H, PART VI, QUESTION 4	ST. LUKE'S CORNWALL HOSPITAL ("SLCH") HAS TWO HOSPITAL CAMPUSES IN CORNWALL, NY AND NEWBURGH, NY AS WELL AS VARIOUS OFFSITE FACILITIES THROUGHOUT THE COMMUNITY. SLCH IS A 345-BED ACUTE CARE HOSPITAL DEDICATED TO PROVIDING FOR THE HEALTHCARE NEEDS OF THE COMMUNITY. THE SLCH GEOGRAPHIC COVERAGE AREA SERVES A POPULATION OF APPROXIMATELY 400,000 PEOPLE. SLCH SERVED A POPULATION THAT HAS BEEN DESIGNATED AS MEDICALLY UNDERSERVED. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF NEWBURGH WHICH CONTAINS OVER 1,500 PEOPLE PER SQUARE MILE. THE SLCH MARKET IS DEFINED BY 36 NEIGHBORING ZIP CODES MAILING IN ORANGE, ULSTER AND DUTCHESS COUNTIES. THE OVERALL POPULATION IS GROWING MODERATELY AND IS EXPECTED TO GROW BETWEEN 2% AND 3% THROUGH 2016. ADDITIONALLY, THE TWO FASTEST GROWING ZIP CODES ARE WITHIN 5 TO 12 MILES FROM THE HOSPITAL. NEARLY 57.5% OF THE OVERALL POPULATION IS 50 YEARS OF AGE OR OLDER AND THE AVERAGE HOUSEHOLD INCOME TOTALS $77,421.
SCHEDULE H, PART VI, QUESTION 5	THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY department FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES COMMUNITY HEALTH.
SCHEDULE H, PART VI, QUESTION 6	ST. LUKE'S CORNWALL HOSPITAL ("SLCH") IS AN AFFILIATE OF ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ALL AFFILIATES ARE DEDICATED TO PROVIDING EXCELLENT HEALTHCARE SERVICES TO THEIR COMMUNITIES. SLCH'S SOLE CORPORATE MEMBER AND TAX-EXEMPT PARENT OF THE SYSTEM IS HUDSON VISTA CORPORATION ("HVC"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW YORK PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER HVC OR ANOTHER HVC AFFILIATE CONTROLLED OR OWNED BY HVC. OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES: HUDSON VISTA CORPORATION ("HVC") -------------------------------- HVC IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A NON-PRIVATE FOUNDATION UNDER IRC 509(A)(3). HVC WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION IN THE STATE OF NEW YORK. HVC OPERATES AS THE DIRECT PARENT COMPANY OF SLCH AND ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. ("SLCHS"). HVC WAS FORMED TO PROVIDE COORDINATION OF GOVERNANCE, POLICY MAKING, AND STRATEGIC PLANNING AND SUPPORT SERVICES TO ITS AFFILIATED ENTITIES. HVC ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. ST. LUKE'S CORNWALL HOSPITAL ("SLCH") ------------------------------------- SLCH IS A 345-BED NON-PROFIT ACUTE CARE MEDICAL CENTER WITH TWO LOCATIONS LOCATED IN NEWBURGH AND CORNWALL, NEW YORK. SLCH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SLCH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NONDISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SLCH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 AS OUTLINED EARLIER. ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. ("SLCHS") ------------------------------------------------- SLCHS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(3). SLCHS WAS ESTABLISHED PRIMARILY TO SUPPORT AND ASSIST ALL ITS AFFILIATES BY REVIEWING AND MONITORING THEIR MISSION, OBJECTIVES, ACTIVITIES AND RESOURCES, AND ADVISING THEM WITH RESPECT TO THE SAME. ST. LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION, INC. ("FOUNDATION") ----------------------------------------------------------------- THE FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(1). THE FOUNDATION WAS ESTABLISHED PRIMARILY TO SOLICIT CONTRIBUTIONS TO SUPPORT THE EFFORTS OF SLCH AND SLCHS. THE FOUNDATION IS STRUCTURED AS A SEPARATE NOT-FOR-PROFIT ORGANIZATION WITH ITS OWN BOARD OF DIRECTORS AND WITH SLCHS AS ITS SOLE MEMBER. AMOS F. AND SARAH L. HOLDEN HOME FOR AGED WOMEN ----------------------------------------------- AMOS F. AND SARAH L. HOLDEN HOME FOR AGED WOMEN WAS INCORPORATED AS A NOT-FOR-PROFIT ADULT CARE FACILITY, WHICH PROVIDES CARE AND SOCIAL RECREATION FOR THOSE WHO ARE 65 AND OLDER AND WHO ARE UNABLE TO LIVE ALONE. SLCHS BECAME THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION ON JANUARY 23, 2009. IN ADDITION, AMOS F. AND SARAH L. HOLDEN HOME FOR AGED WOMEN OWNS A HOME HEALTHCARE LICENSE WHICH IS MANAGED BY PREMIER HOME HEALTH CARE SERVICES. THIS ORGANIZATION IS A PRIVATE FOUNDATION WHICH FILES A FORM 990-PF, RETURN OF PRIVATE FOUNDATION, ANNUALLY. GOLDSMITH & MARY B. JOHNES HOME FOR AGED COUPLES ------------------------------------------------ GOLDSMITH & MARY B. JOHNES HOME FOR AGED COUPLES WAS INCORPORATED AS A NOT-FOR-PROFIT ADULT CARE FACILITY WHICH PROVIDES CARE AND SOCIAL RECREATION FOR THE ELDERLY. SLCHS BECAME THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION ON APRIL 9, 2010. THIS ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(2). SLCH CORPORATION ---------------- SLCH CORPORATION IS AN INACTIVE FOR-PROFIT CORPORATION WHOSE SOLE SHAREHOLDER IS SLCHS. THE ORGANIZATION FORMERLY PROVIDED FITNESS AND CARDIAC REHABILITATION SERVICES TO INDIVIDUALS. SLCH INSURANCE CO, LTD. ("SLCH INSURANCE") ------------------------------------------ SLCH INSURANCE IS AN OFF-SHORE CAPTIVE INSURANCE COMPANY ESTABLISHED TO AUGMENT EXCESS PROFESSIONAL LIABILITY COVERAGE OF SLCH. SLCH INSURANCE WAS INCORPORATED ON JANUARY 4, 1994 AND GRANTED AN INSURANCE LICENSE ON JANUARY 20, 1994. SLCH INSURANCE HAS AUTHORIZED 120,000 SHARES OF COMMON STOCK AT $1 PAR VALUE AND 1,000,000 SHARES OF NON-VOTING, NONCONVERTIBLE PREFERRED STOCK AT $1 PAR VALUE. AS OF DECEMBER 31, 2014 AND 2013, 100% OF THE COMMON STOCK WAS OWNED BY SLCHS AND 100% OF THE PREFERRED STOCK WAS OWNED BY SLCH. SLCHS IS THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION. HUDSON VISTA PHYSICIAN SERVICES, PC ("HVPS") -------------------------------------------- HVPS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(3). HCPS IS A SUBSIDIARY OF SLCH AND WAS FORMED PURSUANT TO AN AGREEMENT ENTERED BETWEEN SLCH AND HVPS TO PROVIDE EMERGENCY PHYSICIAN SERVICES AND OTHER LICENSED HEALTHCARE PROFESSIONAL SERVICES TO SLCH PATIENTS. HUDSON VISTA MEDICAL, PC ("HVM") -------------------------------- HVM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3) AND AS A SUPPORTING ORGANIZATION UNDER IRC 509(A)(3). HVM IS A SUBSIDIARY OF SLCH AND WAS FORMED PURSUANT TO AN AGREEMENT ENTERED BETWEEN SLCH AND HVM TO PROVIDE MULTI-SPECIALTY MEDICAL SERVICES TO THE PUBLIC.
SCHEDULE H, PART VI, QUESTION 7	THE COMMUNITY BENEFIT REPORT IS FILED WITH NEW YORK STATE.

Schedule H (Form 990) 2014

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
ST LUKE'S CORNWALL HOSPITAL

Employer identification number
14-1340054

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH,NY12550	27-2020746	501(C)(3)	335,562	PROGRAM SUPPORT
(2) HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH,NY12550	45-2526738	501(C)(3)	1,740,061	PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I, LINE 2	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.

Schedule I (Form 990) 2014

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ROBERT S ROSSPRESIDENT/CEO	(i) (ii)	453,427 ............................... 0	0 ............................... 0	20,223 ............................... 0	71,200 ............................... 0	23,128 ............................... 0	567,978 ............................... 0	0 ............................... 0
2ALLAN ATZROTTCEO (TERMED 1/1/14)	(i) (ii)	29,125 ............................... 0	100,000 ............................... 0	139,253 ............................... 0	917 ............................... 0	584 ............................... 0	269,879 ............................... 0	0 ............................... 0
3THOMAS J GIBNEY CPASVP/CHIEF FINANCIAL OFFICER	(i) (ii)	304,775 ............................... 0	1,500 ............................... 0	2,370 ............................... 0	1,615 ............................... 0	31,405 ............................... 0	341,665 ............................... 0	0 ............................... 0
4JOAN CUSACK-MCGUIRKSVP/CHIEF NURSING OFFICER	(i) (ii)	251,541 ............................... 0	0 ............................... 0	3,632 ............................... 0	16,400 ............................... 0	21,433 ............................... 0	293,006 ............................... 0	0 ............................... 0
5GLENN COUROUNISTERM 111514VP, PEOPLE & PATIENT EXP.	(i) (ii)	223,781 ............................... 0	4,400 ............................... 0	41,374 ............................... 0	10,968 ............................... 0	35,721 ............................... 0	316,244 ............................... 0	0 ............................... 0
6CHRISTINE E JELALIAN MDCHIEF MEDICAL OFFICER	(i) (ii)	221,605 ............................... 199,038	0 ............................... 0	17,182 ............................... 0	16,900 ............................... 0	35,321 ............................... 0	291,008 ............................... 199,038	0 ............................... 0
7MAUREEN DORAN-MINEOVP, STRATEGY & NTWK DEV.	(i) (ii)	230,117 ............................... 0	0 ............................... 0	3,197 ............................... 0	14,789 ............................... 0	9,494 ............................... 0	257,597 ............................... 0	0 ............................... 0
8CLETIS B EARLEVP, CHIEF INFORMATION OFFICER	(i) (ii)	225,885 ............................... 0	2,700 ............................... 0	779 ............................... 0	4,673 ............................... 0	32,535 ............................... 0	266,572 ............................... 0	0 ............................... 0
9MICHAEL E DOYLEMEDICAL DIRECTOR - CARE MGMT	(i) (ii)	244,732 ............................... 0	2,439 ............................... 0	654 ............................... 0	16,009 ............................... 0	2,132 ............................... 0	265,966 ............................... 0	0 ............................... 0
10SUE SYWETZ SULLIVANFORMER KEY EMPLOYEE	(i) (ii)	8,480 ............................... 0	0 ............................... 0	162,551 ............................... 0	608 ............................... 0	0 ............................... 0	171,639 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 4A	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2014. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUALS' 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GLENN COUROUNIS, $29,423 AND SUE SYWETZ SULLIVAN, $150,831.
SCHEDULE J, PART I; QUESTION 4B	THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, HE MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT S. ROSS, $66,000.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II, RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule J (Form 990) 2014

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Return Reference	Explanation
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	St. Luke's Cornwall Hospital ("SLCH") is a not-for-profit hospital organization dedicated to serving the healthcare needs of those in the Hudson Valley. In January 2002, St. Luke's Hospital and The Cornwall Hospital merged together to create a tax-exempt integrated healthcare delivery system, providing quality comprehensive healthcare services. With dedicated staff, modern facilities and state-of-the-art treatment, SLCH is committed to meeting the needs of the community and continuing to aspire to excellence. Each year, the organization cares for more than 270,000 patients from around the Hudson Valley. With 1,500 employees, the hospital is one of the largest employers in Orange County. The Newburgh campus was founded in 1874 by women of St. George's Church. The Cornwall campus was established in 1931. SLCH has one of the busiest emergency departments between New York City and Albany. With a recent $11 million renovation and expansion of the Kaplan Family Center for Emergency Medicine at the Newburgh campus, and the Littman Center for Emergency Medicine at the Cornwall campus, SLCH's emergency services are designed for patient comfort and convenience. General trauma bays and specialty treatment bays for cardiac, asthma, women's health and pediatrics enable SLCH's highly skilled ER team to provide comprehensive, quality care in a patient-centered environment. Newburgh Campus --------------- The 242-bed Newburgh campus was founded in 1874 and is located on Dubois Street in Newburgh, New York. It is a regional center for neonatology, thanks to its Elaine Kaplan Neonatal Intensive Care Unit. The Newburgh campus also offers pediatric subspecialties in part through its affiliation with Westchester Medical Center, as well as a robust list of both inpatient and outpatient services include a cardiac catheterization lab, Intensive Care Unit, Birthing Center, Metabolic and Bariatric Surgery, Thoracic Surgery and much more. Cornwall Campus --------------- The Cornwall campus was founded in 1931 on Laurel Avenue. Today, the Cornwall campus is a thriving outpatient-focused center. This vital and growing community resource offers necessary healthcare access points to area residents for a variety of services. These include The Littman Center for Emergency Medicine, Radiation Oncology Services, Littman Cancer Center, Wound Care, Kreisberg Pain Management, Eastern Orange Ambulatory Surgery Center, Physical Therapy and more. Background ========== SLCH is a general medical and surgical hospital. SLCH is recognized by the Internal Revenue Service ("IRS") as an IRS 501(C)(3) tax-exempt organization. Pursuant to its charitable purposes, SLCH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, SLCH operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. SLCH provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. SLCH operates two active emergency departments for all persons which are open 24 hours a day, 7 days a week, 365 days per year; 3. SLCH maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of SLCH rests with its Board of Trustees; which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of SLCH, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of SLCH is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Mission Statement ================= SLCH is dedicated to providing excellent healthcare services to our community. Vision ====== Our vision is to be a leader in clinical and service excellence, working in partnership with our medical staff, employees, and area healthcare providers to improve the health of our community. Principles & Values =================== - Commit to excellence, - Measure to ensure quality, - Build a culture on service excellence and performance, - Focus on physician, community, and employee satisfaction, - Build individual and organizational accountability, - Communicate at all levels, - Create and develop leaders through training and clear expectations and - Recognize and reward success and performance. History ======= St. Luke's Home and Hospital opened on May 4, 1875 in a house known as Mr. Baldwin's cottage, located at the corner of Dubois and Third Streets in Newburgh, New York. The facility had a three-bed capacity, one of 149 such institutions throughout the Nation at that time. By 1894 the majority of patients were surgical. A new wing and a well-equipped operating room had been built and therefore surgery was no longer performed on a plain wooden table. Since there were no elevators in the three-story hospital, patients were carried up and down stairs via canvas sheets. After several relocations, SLCH found a permanent home with the purchase of the Sigler school property on Dubois Street in 1909. The old school was completely renovated and doubled in size to provide patient rooms and operating theaters. The number of beds was now 84. By the mid-1920s, it was evident that more space was needed. A building fund began in 1925 that would increase the number of beds to 200. Mrs. Kenneth Miller Cameron made a donation of $800,000, as a memorial to her father, Frederick Senff, who had served 22 years on the Board of Managers. This was the largest donation ever recorded at that time. In October 1930, the new Senff building opened, which more than doubled the size of the hospital, enabling it to handle the patient loads that would soon be placed on it. In the 1940s, patient numbers rose to more than 5,000 per year. The Polio epidemic hit Orange County in the summer of 1949 and, being the largest hospital in the county, SLCH became the center for Polio care. Construction of an eight-story addition, which contained a new emergency department and patient rooms, began in the 1960s. Further expansion, however, was not far off. In the 1970s, a 10-story structure was built to house all the patient rooms. These additions formed the shape of the multi-story structure that is SLCH today. In order to continue its commitment to excellence, SLCH opened the Elaine Kaplan Neonatal Intensive Care Unit in 1997. In 1999, the critical care units of the hospital were totally renovated. The mother/baby project was completed in 2000, which included the renovations of the existing labor and post-partum units and the addition of Labor, Delivery and Post-Partum rooms. The hospital's current certified 242-bed capacity includes 182 medical/surgical beds, 18 critical care beds, 23 obstetric beds, and 19 pediatric beds. A completely renovated and expanded emergency department, the Kaplan Family Center for Emergency Medicine, opened at the Newburgh campus in 2004 and on Valentine's Day 2005, a state-of-the-art cardiac catheterization lab opened. To accommodate growing outpatient services, several satellite facilities were opened, including the Dialysis Center, Rehabilitation Center at New Windsor, and the Outpatient Care Center located on Route 9W in the Town of Newburgh. The hospital also is affiliated with Hudson Valley Imaging, a state-of-the-art, all-digital imaging center near Stewart Airport. The Cornwall Hospital had its first patient admitted to the original 65-bed facility on April 4, 1931. Since that time, the Cornwall campus has continued to evolve and shift its level of care based on community need. To this day, SLCH shares Dr. Stillman's vision that healthcare be available to all citizens.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Centers of Excellence ===================== Cancer Services --------------- Radiation Ooncology is important in the treatment of cancer, and Cornwall Radiation Oncology Services ("CROS"), an affiliate of SLCH, is committed to providing the highest-quality care to residents of Orange County and surrounding communities. Patients and families are central to the collaborative approach CROS uses in assessing and developing a treatment plan best-suited to each individual cancer case. Our physicians are all board-certified in radiation oncology and have extensive training and experience with the newest technology CROS focuses on patient- and family-centered care. The patient and family play a key role in our collaborative approach to assess needs and develop a treatment plan that is individually specific. The Littman Cancer Center at SLCH was created for cancer patients by those who've been touched by this disease. The Center's development involved thought and input from our community of cancer patients and survivors, healthcare providers, hospital employees and faith-based community members. We asked what worked well, where roadblocks were encountered and how we can best serve the needs of our patients. The Littman Cancer Center puts patients and their families at the core, with a clinical team that delivers compassionate care from diagnosis through recovery and survivorship. A patient battling cancer deserves coordinated, multidisciplinary care - the Littman Cancer Center ensures continuity of care throughout the journey, with the most-advanced modalities and diagnostics, all housed in a healing environment - designed to meet the physical and emotional needs of cancer patients and their families. The Cardiovascular Institute at SLCH ------------------------------------ The Cardiovascular Institute at SLCH is dedicated to providing the most advanced, integrated cardiac care in the region - from lifesaving angioplasty to a full range of diagnostic catheterizations and interventions. Anticipating and responding to the lifelong cardiac needs of the residents of the mid-Hudson Valley is the primary goal of the Cardiovascular Institute. As a premier provider of cardiac care, SLCH is recognized for delivering superior medical care, embracing clinical innovations and providing exceptional health education. Angioplasty ----------- SLCH was among the first in the region to offer emergency and elective angioplasty. Angioplasty is a minimally invasive procedure that uses a catheter and small balloon to open an artery to restore blood flow to the heart. Approximately one in five patients who come in for diagnostic treatment requires angioplasty. SLCH also offers peripheral angioplasty. This procedure is used to treat blockages in arteries in the lower abdomen, kidneys, arms, legs or feet. It is performed using a catheter and a balloon to expand a narrowed artery. Stents are often used to help keep an artery opened. The Cardiovascular Institute performs post-cardiac-arrest cardiac hypothermia, a cutting-edge cooling procedure that preserves brain function in cardiac-arrest patients. Therapeutic hypothermia is recognized by the American Heart Association as the gold standard in cardiac-arrest care and reduces the possibility of permanent brain damage and tissue injury following a period of insufficient blood flow. Cardiac Rehabilitation ---------------------- According to the American Heart Association, cardiac rehabilitation programs can "extend overall survival" and "improve quality of life" for those with coronary disease. SLCH Center for Cardiac Rehabilitation has earned the Distinction of Excellence from the American Association of Cardiovascular and Pulmonary Rehabilitation, ensuring patients that they are receiving the best care in the region. The Cardiac Rehab services at SLCH are designed to help you recover faster and return to a full and productive life. Emergency Department -------------------- SLCH operates one of the most active emergency departments in the region and has a reputation for delivering big-city care, close to home. SLCH's newly-renovated emergency departments conveniently located at two campuses, Newburgh and Cornwall, see a total of more than 60,000 patients a year. With new and expanded facilities at the Littman Center for Emergency Medicine in Cornwall and the Kaplan Family Center for Emergency Medicine in Newburgh, SLCH provides unparalleled emergency care that is second to none. SLCH emergency departments offer bedside registration and triage, so you are seen quickly. Our nurses and physicians use work stations on wheels providing care givers with immediate access to your x-rays, lab work and all other vital documentation. The emergency departments provide multi-disciplinary coordinated care between the physicians, nurse practitioners', nurses, physician assistants and technologists ensuring you are always receiving the highest quality of care. Case management services are provided at the Newburgh campus from 8 a.m.- midnight to help address the needs of our community. We also contract with Mobile Mental Health to provide services close to home so our patients don't need to travel. The emergency department teams will always take the time to provide you with an explanation of the care you are receiving. For those requiring ambulatory service, SLCH offers advanced ambulatory diagnostics by providing EKG transfer technology to emergency responders. This allows EMT personnel to communicate vital information to the ER prior to your arrival. The emergency medicine team is led by Scot Hill, MD, Medical Director and Chairman of the Department of Emergency Medicine. Dr. Hill, who is board certified in emergency medicine, brings over 15 years of emergency room expertise to the region, having spent 15 years in the emergency department at The Mount Sinai Hospital in Manhattan. Orthopedics ----------- The Orthopedics Department at SLCH Newburgh campus offers enhanced, top-notch care in a comfortable and beautiful hotel-like environment. Our dedicated team of surgeons, nurses and rehabilitation specialists are trained to provide progressive care that gets patients back on their feet in a supportive and friendly environment. The multidisciplinary, "best practices" model of care includes pre-surgery classes where patients meet the physical therapists, nurses and other caregivers on the team. After surgery, group physical therapy classes and meals just for joint replacement patients create a sense of camaraderie and support. Loved ones are encouraged to participate as coaches, working with the patient each step of the way. The SLCH Center for Joint Replacement on the Newburgh campus offers enhanced, top-notch care in a comfortable and beautiful hotel-like environment. All of the rooms in the Total Joint Center are private and feature upscale amenities including flat-screen TVs, in-suite sinks and mountain or river views. As the region's most comprehensive Center for Joint Replacement, SLCH is quickly becoming the center of choice for those requiring hip or knee replacement. The medical staff of SLCH includes highly trained orthopedic surgeons who can collectively treat every joint in the body. Areas of focus include: - Total Hip Replacement; - Total Knee Replacement; - Total Shoulder Replacement; - Foot and ankle injuries; - Hand injuries; and - Spine injuries. The SLCH Orthopedics Community is dedicated to providing for the comprehensive orthopedic needs of the Hudson Valley. In conjunction with primary care and orthopedic physicians, the SLCH Orthopedics Community uses a team approach to diagnose, treat and alleviate joint pain. Restoring quality of life for residents of the Hudson Valley region is the goal. Conditions such as arthritis can lead to more severe orthopedic problems and require joint replacement. SLCH and your physician are committed to providing you with the highest quality care in a cost effective manner. SLCH and your physician have entered into an agreement that provides your physician a financial incentive to use vendors who have high quality; FDA approved implantable devices and surgical fixation devices.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Sports Medicine --------------- Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise. Many commons sports injuries can be treated non-surgically through physical therapy or minimally invasive outpatient procedures. Some common sports injuries include: contusion, sprains or tears of the anterior cruciate ligament (ACL), ankle, elbow and shoulder sprains and knee dislocation. Birthing Center --------------- Bringing a child into this world can be one of the most fulfilling and exciting times in your life - and at SLCH we want to make sure that you have a warm, safe, caring environment for the birth of your baby. Our beautiful, state-of-the-art Birthing Center is designed to meet the physical and emotional needs of mothers, mothers-to-be and their birthing partners as they embark on this exciting journey. Our recently renovated, state-of-the-art SLCH Birthing Center features a new operating room suite, as well as newly renovated labor and delivery rooms with private bathroom and shower, and private and semi-private recovery rooms. Luxurious birthing suites for labor, delivery, recovery and post-partum (LDRP) - also are available, allowing new moms to continue their stay in the same room. The Elaine Kaplan Neonatal Intensive Care Unit ---------------------------------------------- Parents delivering babies at SLCH have the added comfort of knowing that our Elaine Kaplan Neonatal Intensive Care Unit is just steps away from our Birthing Center. The only facility of its kind in Orange, Ulster and Sullivan Counties, the Level II NICU offers acute and chronic care for premature infants and ill full-term babies born throughout the region. We offer a transport service for critically ill babies at other hospitals without neonatal expertise. Using a family-centered approach, the NICU provides medical care to critically ill babies and offers special therapeutic services, community referrals, family education and discharge planning. Close collaboration between nurses, physicians, support staff, and parents facilitates the infants' well-being both at the hospital, and after discharge. Parents are important to their infant's recovery, and are welcomed in the NICU around the clock. Grandparents, and siblings accompanied by a parent, may also visit. Pediatrics ---------- The SLCH Pediatrics Unit follows a child- and teen-friendly approach to healthcare and healing. When a child is hospitalized, the whole family is affected. The new unit includes amenities (including flat-screen TVs and pull-out chair beds for visitors) for the comfort and well-being of our young patients and their parents. Our pediatric unit includes hotel-like amenities, including flat screen TVs and pull out chair beds for visitors. The Institute for Metabolic and Bariatric Surgery ------------------------------------------------- Bariatric Surgery is a life changing event that requires a team approach for long term success. The team at The Institute for Metabolic and Bariatric Surgery works with each individual patient to ensure that the proper pre and post procedure support is provided. The Center for Metabolic and Bariatric Surgery offers Lap-Band, Sleeve Gastrectomy and Gastric Bypass. Each surgery has a unique profile of effectiveness, safety and risks. Our team of expert surgeons will help you choose the right operation for you. Our surgeons are very experienced in laparoscopy, and therefore, all of our surgeries are performed laparoscopically. Outpatient Services ------------------- Additional outpatient services at SLCH include, but are not limited to, the following: - Imaging Services; - Laboratory Services; - Physical Therapy; - Pain Management; - Outpatient Nutrition Counseling; - Sleep Center; - Stroke Care; - Wound Healing & Hyperbaric Medicine; - Psychological Services; - Epilepsy Monitoring; AND - Home Care. Quality Recognitions ==================== SLCH Earns 'Top Performer' Recognition from The Joint Commission ---------------------------------------------------------------- In November 2014, The Joint Commission recognized SLCH as a 2013 Top Performer on Key Quality Measures. SLCH has been recognized for its excellence in management of Heart Attack, Heart Failure, Stroke and Surgical Care. This distinction is provided to hospitals that have achieved 95% compliance or more for all reported accountability measures to the Joint Commission, demonstrating evidenced based care in these patient populations. SLCH is one of only 1,224 hospitals in the United States to achieve the distinction as a 2013 Top Performer. Healthgrades Patient Safety Excellence Award -------------------------------------------- SLCH has achieved the Healthgrades 2015 Patient Safety Excellence Award, a designation that honors hospital performance in the prevention of thirteen serious, potentially preventable complications during hospital stays. The distinction makes SLCH the only hospital in New York State to receive this award for five consecutive years. This achievement also names SLCH as the only hospital in the state to be ranked among the top 5% in the nation for patient safety three years in a row, as evaluated by Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. American Stroke Association Recognition --------------------------------------- SLCH recently received its fifth straight "Get With the Guidelines Gold Plus Achievement Award" from the American Stroke Association (The ASA is a division of the American Heart Association). The goal of the program is to improve the overall quality of care for stroke patients by improving acute stroke treatment and preventing future strokes and other cardiovascular events. Hospitals that receive the "Get With The Guidelines Gold Plus Achievement Award' have reached an aggressive goal of treating stroke patients with 85% or higher compliance to core standard levels of care as outlined by the American Stroke Association for 12 consecutive months. In addition, SLCH received the recognition, demonstrating 75% compliance to 7 out of 10 stroke quality measures during the 12-month period. SLCH was also named to the Target: Stroke Honor Roll for achieving Time to Intravenous Thrombolytic Therapy less than or equal to 60 minutes in 50 percent or more of applicable acute ischemic stroke patients to improve quality of patient care and outcomes. Aetna Institute of Quality ("IOQ") for Cardiac Care ---------------------------------------------------- SLCH has been designated as an Institute of Quality for Cardiac Medical Intervention by Aetna. SLCH was chosen as an Aetna Designated IOQ facility because it demonstrates excellence in care, a commitment to continuous improvement and represent an exceptional value to our patients. Undersea and Hyperbaric Medical Society --------------------------------------- The St. Luke's Cornwall Center for Wound Healing and Hyperbaric Medicine has been named an accredited facility by the Undersea and Hyperbaric Medical Society ("UHMS"). UHMS investigates twenty two separate and detailed topics in the operations hyperbaric medicine center. SLCH's facility has met the standard for Administration, Facility, Governance, Patient Care, Quality and Safety. Since 2001, UHMS has a clinical hyperbaric medicine facility accreditation program. Clinical hyperbaric facilities can demonstrate their commitment to patient care and facility safety by voluntarily participating in this program. When invited to perform an accreditation survey, UHMS will send a team of experts to the facility to examine staffing and training, equipment installation, operation, and maintenance, facility and patient safety, and standards of care.
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Accreditations ============== NAPBC Accredited Breast Program ------------------------------- The Littman Cancer Center and Cornwall Radiation Oncology Services ("CROS") have achieved the Full Three Year Accreditation from the National Accreditation Program for Breast Centers ("NAPBC"). According to the NAPBC, each center applying for NAPBC accreditation understands the benefits of a multidisciplinary approach to diagnosing and treating breast disease and has undergone a rigorous application process and on-site survey to assure the NAPBC standards are being met. These centers voluntarily enter into an agreement to maintain their high level of clinical care with re-certification required every three years. NAPBC accredited programs provide the following components of care, each of which contribute to quality patient care: - Mammogram and Sonogram; - CAP accredited Pathology; - Surgery and reconstruction options; - Medical Oncology Consultation/Treatment; - Radiation Oncology Consultation/Treatment; - Genetic Evaluation and Management; - Interdisciplinary education and survivorship; - Clinical trial referrals; and - Education, Support, and Rehabilitation, Patient Navigation and Outreach. The Joint Commission -------------------- SLCH is committed to providing quality care, and has earned a Gold Seal from The Joint Commission. This includes both hospital campuses, as well as our outpatient satellite services. The Commission sets the standards by which healthcare quality is measured in the U.S Commission on Cancer Accreditation by the American College of Surgeons ---------------------------------------------------------------------- The oncology program at SLCH was reaccredited with commendation in June 2012 by the American College of Surgeons' Commission on Cancer, "ensuring patients quality care close to home," according to the Commission. Fewer than one in four hospitals that treat cancer receive this coveted approval, which is granted only to those facilities that have voluntarily committed to providing "the highest level of quality cancer care" and that undergo a rigorous evaluation process and review of their performance. The reaccreditation applies to both the Cornwall and Newburgh campuses. According to the Commission, receiving care at an approved cancer program ensures patients will have access to "comprehensive care, including state-of-the-art services and equipment; a multi-specialty team approach to coordinate the best treatment options; information about cancer clinical trials and new treatment options; access to cancer-related information, education, and support; a cancer registry that offers lifelong patient follow-up; ongoing monitoring and improvement of care; and most importantly, quality care close to home." American Diabetes Association ----------------------------- The diabetes self-management program at SLCH has been awarded recognition by the American Diabetes Association. Education recognition is presented to healthcare sites that meet national standards for Diabetes Self-Management Education. College of American Pathology ("CAP") ------------------------------------- The College of American Pathology's Laboratory Accreditation is widely recognized as setting the "gold standard" for laboratory services. The laboratories at both the Cornwall and Newburgh campuses are accredited by CAP, with recertification required every two years. American Academy of Sleep Medicine ("AASM") ------------------------------------------- The St. Luke's Cornwall Center for Sleep Medicine (Cornwall Campus) has earned accreditation from AASM. AASM is the leader in setting standards and promoting excellence in sleep medicine healthcare, education and research. AASM sets the clinical standards for sleep medicine. They advocate for the recognition, diagnosis and treatment of sleep disorders as well as educate professionals dedicated to providing optimal sleep healthcare. AASM acknowledges facilities across the nation that provides only the highest quality of care. The St. Luke's Cornwall Center for Sleep Medicine is a facility that not only provides quality diagnostic services but also effective treatment methods for its patients. American College of Radiology ("ACR") ------------------------------------- SLCH has earned accreditation from ACR. With more than 32,000 members, ACR is a professional society whose primary purpose is to improve services to patients, advance the science of radiology, and encourage continuing education for radiologists, radiation oncologists, medical physicists and persons practicing in the allied professional fields. Areas of accreditation include: CT scan at the Cornwall and Newburgh campus, as well as ultrasound, nuclear medicine and mammography at the Newburgh campus. American Association of Cardiovascular and Pulmonary Rehabilitation ("AACVPR") ------------------------------------------------------------------------- AACVPR has awarded SLCH's Cardiac Rehabilitation Program recertification with the distinction of excellence. Certification recognizes those programs reviewed by a national board and found to uphold rigorous standards of care designed to limit the physiological and psychological effects of cardiac illness; reduce the risk for sudden death or relapse; control cardiac symptoms; stabilize and/or improve health; and enhance the patient's quality of life.
CORE FORM, PART VI, SECTION A; QUESTION 6 & 7	HUDSON VISTA CORPORATION ("HVC") IS THE SOLE MEMBER OF THIS ORGANIZATION. HVC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED BY THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY; ITS BOARD OF TRUSTEES, PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ST. LUKE'S CORNWALL HOSPITAL ("SLCH") FINANCE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, CONTROLLER AND FINANCE PERSONNEL ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE AT ITS OCTOBER MEETING AND THEREAFTER PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. BODY PRIOR TO THE FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS/SENIOR MANAGEMENT PERSONNEL, CERTAIN MEDICAL STAFF MEMBERS AND ANYONE RESPONSIBLE FOR MAKING FINANCIAL DECISIONS ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S DIRECTOR, COMPLIANCE AND MANAGED CARE FOR REVIEW. THEREAFTER, A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS IS PREPARED. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE ORGANIZATION'S BOARD OF TRUSTEES FOR ITS REVIEW AND DISCUSSION WITH RESPECT TO ANY POTENTIAL MITIGATING BEHAVIOR.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ANNUALLY THE MANAGER OF COMPENSATION IN HUMAN RESOURCES EVALUATES THE COMPENSATION OF ALL EXECUTIVE LEVEL POSITIONS. THE MANAGER REVIEWS EACH POSITION AND USES PUBLISHED EXTERNAL SALARY SURVEYS TO DETERMINE FAIR AND EQUITABLE SALARIES. POSITIONS ARE EVALUATED AGAINST HOSPITALS WITH SIMILIAR BED SIZES, FULL-TIME EQUIVALENTS AND REVENUE SIZE IN THE NORTHEAST AND GREATER NEW YORK REGION. ADDITIONALLY, THE SYSTEM HIRES AN INDEPENDENT OUTSIDE FIRM TO REVIEW ALL SALARY PACKAGES FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND OTHER SENIOR MANAGEMENT. THE INDEPENDENT OUTSIDE CONSULTANTS EVALUATE THE SALARIES AGAINST COMPARABLE MARKET DATA FOR COMPARABLE POSITIONS WITHIN THE REGION AND NATIONALLY. RESULTS OF THE ANALYSIS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER ARE SHARED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL EACH YEAR. CERTAIN OFFICERS OR KEY EMPLOYEES ARE EVALUATED INTERNALLY. COMPENSATION PACKAGES ARE DERIVED USING EXTERNAL COMPARABLE DATA WITHIN THE REGION AND NATIONALLY. ONCE THE COMPENSATION PACKAGE HAS BEEN DETERMINED IT IS REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CERTAIN SENIOR VICE PRESIDENTS FOR APPROVAL.
CORE FORM, PART VI, SECTION C; QUESTION 16B	ALL JOINT VENTURES HAVE HOSPITAL REPRESENTATION ON THE RESPECTIVE BOARDS AND ALL FINANCIAL AND OPERATING RESULTS ARE REVIEWED AT THE SYSTEM LEVEL BOARD MEETINGS. THIS HELPS TO ENSURE THAT THE HOSPITAL'S PARTICIPATION IN THESE JOINT VENTURE'S FURTHERS ITS CHARITABLE PURPOSES AND MISSION.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. ADDITIONALLY, THE ORGANIZATION PROVIDES CERTAIN GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION or a related organization. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION or a related organization AND NOT FOR SERVICES RENDERED AS OFFICERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART X	CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE 2013 AMOUNTS PREVIOUSLY REPORTED IN ORDER TO CONFORM WITH THE CURRENT YEAR GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND AUDITED FINANCIAL STATEMENT PRESENTATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - REVISION TO ESTIMATED PROFESSIONAL LIABILITIES - ($268,472); - CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS - ($648,070); - CHANGE IN PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS - ($13,250,833); - NET CHANGE IN BENEFICIAL INTEREST IN ST. LUKE'S HEALTH SYSTEM FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $1,079,840; AND - TEMPORARILY AND PERMANENTLY RESTRICTED EXPENDITURES - ($1,232,831).
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS HUDSON VISTA CORPORATION. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE FINANCE COMMITTEE OF ST. LUKE'S CORNWALL HOSPITAL HAS BEEN DELEGATED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3682635
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:469194
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:2055890
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:14191507
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1531487

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) HUDSON VISTA CORPORATION 70 DUBOIS STREET NEWBURGH,NY12550 20-2286782	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	NA		No
(2) ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH,NY12550 22-3026261	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	HVC		No
(3) ST LUKE'S CORNWALL HEALTH SYSTEM FDN 70 DUBOIS STREET NEWBURGH,NY12550 22-3026263	FUNDRAISING	NY	501(C)(3)	509(A)(1)	SLCHS		No
(4) AMOS F & SARAH L HOLDEN HOME AGED WOMEN 73 GRAND STREET NEWBURGH,NY12550 14-1365995	HEALTH SVCS.	NY	501(C)(3)	PF	SLCHS		No
(5) GOLDSMITH D & MARY B JOHNES HOME 11-15 BALMVILLE ROAD NEWBURGH,NY12550 14-1364666	HEALTH SVCS.	NY	501(C)(3)	509(A)(2)	SLCHS		No
(6) HUDSON VISTA PHYSICIANS SERVICES PC 70 DUBOIS STREET NEWBURGH,NY12550 27-2020746	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	SLCH		No
(7) HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH,NY12550 45-2526738	HEALTH SVCS.	NY	501(C)(3)	509(A)(3)	SLCH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) SLCH CORPORATION 70 DUBOIS STREET NEWBURGH,NY12550 14-1765661	INACTIVE	NY	NA	C CORP				No
(2) SLCH INSURANCE CO LTD 3 GORMAN ROAD 3RD FLOOR HAMILTON HM 08 BD	FINANCIAL VEHICLE	BD	NA	C CORP				No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HUDSON VISTA MEDICAL PHYSICIANS SERVICES PC	B	335,562	COST
(2) HUDSON VISTA MEDICAL PC	B	1,740,061	COST
(3) HUDSON VISTA MEDICAL PC	J	406,515	COST

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V

THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ST. LUKE'S CORNWALL HOSPITAL ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ST. LUKE'S CORNWALL HOSPITAL IS DEDICATED TO PROVIDING EXCELLENT HEALTHCARE SERVICES TO OUR COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	1,343
6	Total number of volunteers (estimate if necessary) .............	6	80
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	457,158	226,265
9	Program service revenue (Part VIII, line 2g) .........	161,218,598	165,555,645
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,361,666	138,022
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,702,398	1,094,266
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	173,739,820	167,014,198
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,306,600	2,075,623
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	98,835,717	89,022,555
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	79,552,082	83,068,179
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	181,694,399	174,166,357
19	Revenue less expenses. Subtract line 18 from line 12.......	-7,954,579	-7,152,159
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	166,897,243	155,483,808
21	Total liabilities (Part X, line 26).............	110,570,077	120,762,412
22	Net assets or fund balances. Subtract line 21 from line 20.....	56,327,166	34,721,396

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 86,559,696 including grants of $ 2,075,623 ) (Revenue $ 91,301,570 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT CARE SERVICES AT ITS NEWBURGH, NEW YORK CAMPUS TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2014 THERE WERE 10,372 DISCHARGES AND 48,789 PATIENT DAYS. THE INPATIENT CARE INCLUDES ACUTE INPATIENT SERVICES, INTENSIVE CARE UNITS, OB/GYN SERVICES, NEONATAL INTENSIVE CARE UNIT AND NURSERY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 49,542,314 including grants of $ 0 ) (Revenue $ 52,256,318 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THESE OUTPATIENT SERVICES ARE PROVIDED AT BOTH THE NEWBURGH AND CORNWALL CAMPUSES, AS WELL AS OTHER SATELLITE FACILITIES WHICH INCLUDE THE rehabilitation CENTER AT NEW WINDSOR AND THE MEDICAL OFFICE BUILDING IN CORNWALL, NEW YORK. DURING 2014 THERE WERE A TOTAL OF 104,721 VISITS, OF WHICH 52,937 WERE LABORATORY VISITS, 19,721 WERE PHYSICAL REHABILITATION VISITS, AND 7,618 WERE WOUND CARE AND HBO THERAPY AND 5,912 WERE RADIOLOGY VISITS. SOME OF THE OTHER OUTPATIENT SERVICES INCLUDE AMBULATORY SURGERY, ENDOSCOPY, PAIN MANAGEMENT, INFUSION THERAPY, WOUND CARE AND CARDIAC SERVICES. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4c	(Code: ) (Expenses $ 20,855,273 including grants of $ 0 ) (Revenue $ 21,997,757 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERViCES AT THE NEWBURGH AND CORNWALL CAMPUSES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2014 THERE WERE 48,147 EMERGENCY DEPARTMENT CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses156,957,283

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) ALLAN ATZROTT........................................................................ CEO (TERMED 1/1/14)	55.0 .......................0.0	X				268,378	0	1,501
(19) THOMAS J GIBNEY CPA........................................................................ SVP/CHIEF FINANCIAL OFFICER	55.0 .......................0.0	X				308,645	0	33,020
(20) MARY ELIZABETH DUFFY........................................................................ SVP/CFO (TERMED 1/3/14)	55.0 .......................0.0	X				34,386	0	309
(21) JOAN CUSACK-MCGUIRK........................................................................ SVP/CHIEF NURSING OFFICER	55.0 .......................0.0		X			255,173	0	37,833
(22) GLENN COUROUNISTERM 111514........................................................................ VP, PEOPLE & PATIENT EXP.	55.0 .......................0.0			X		269,555	0	46,689
(23) CHRISTINE E JELALIAN MD........................................................................ CHIEF MEDICAL OFFICER	55.0 .......................0.0			X		238,787	199,038	52,221
(24) MAUREEN DORAN-MINEO........................................................................ VP, STRATEGY & NTWK DEV.	55.0 .......................0.0			X		233,314	0	24,283
(25) CLETIS B EARLE........................................................................ VP, CHIEF INFORMATION OFFICER	55.0 .......................0.0			X		229,364	0	37,208
(26) MICHAEL E DOYLE........................................................................ MEDICAL DIRECTOR - CARE MGMT	55.0 .......................0.0			X		247,825	0	18,141
(27) SUE SYWETZ SULLIVAN........................................................................ FORMER KEY EMPLOYEE	0.0 .......................0.0				X	171,031	0	608

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,730,108	199,038	346,141

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		152,028
e	Government grants (contributions)1e		25,237

f	All other contributions, gifts, grants, and similar amounts not included above1f		49,000

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			226,265
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	161,642,475	161,642,475
b	OTHER HEALTHCARE REALTED SERVICES		541900	3,913,170	3,913,170
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			165,555,645
3	Investment income (including dividends, interest, and other similar amounts).......			-567,838			-567,838
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	792,448
b	Less: rental expenses	775,793
c	Rental income or (loss)	16,655	0
d	Net rental income or (loss).......			16,655			16,655
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	722,765	0
b	Less: cost or other basis and sales expenses		16,905
c	Gain or (loss)	722,765	-16,905
d	Net gain or (loss)..........			705,860			705,860
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		125,650
b	Less: cost of goods sold ..b		82,465
c	Net income or (loss) from sales of inventory..			43,185			43,185
Miscellaneous Revenue			Business Code
11a	CAFETERIA REVENUE		722514	605,865			605,865
b	PARKING REVENUE		812930	428,561			428,561
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,034,426
12	Total revenue. See Instructions......			167,014,198	165,555,645	0	1,232,288


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			7,662	1	7,662
2	Savings and temporary cash investments .........			5,650,200	2	4,067,405
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			19,671,015	4	18,920,335
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			4,216,014	8	4,074,659
9	Prepaid expenses and deferred charges ..........			1,399,865	9	2,221,574
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	249,171,973
b	Less: accumulated depreciation .....	10b	160,098,053	95,723,432	10c	89,073,920
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			24,763,762	13	22,364,030
14	Intangible assets ...............			5,670,966	14	4,423,071
15	Other assets. See Part IV, line 11 ...........			9,794,327	15	10,331,152
16	Total assets. Add lines 1 through 15 (must equal line 34)......			166,897,243	16	155,483,808
17	Accounts payable and accrued expenses .........			29,299,770	17	26,394,628
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			18,320,000	20	17,325,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			40,629,218	23	38,850,000
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			22,321,089	25	38,192,784
26	Total liabilities. Add lines 17 through 25.........			110,570,077	26	120,762,412
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			55,002,363	27	33,548,887
28	Temporarily restricted net assets ...........			649,559	28	496,864
29	Permanently restricted net assets ...........			675,244	29	675,645
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			56,327,166	33	34,721,396
34	Total liabilities and net assets/fund balances ........			166,897,243	34	155,483,808

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No