TY 2018 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) REV LAURENCE C PROVENZANO...................................................................... PRESIDENT & CHAIRMAN	10.0 ................. 1.0	X	X		120,000	21,600
(2) MARGARET O CARPENTER...................................................................... SECOND VP	1.0 ................. 0.0	X	X		0	0
(3) PATRICK GUY...................................................................... SECRETARY	1.0 ................. 0.0	X	X		0	0
(4) GERARD WALSH...................................................................... CHIEF EXECUTIVE OFFICER	34.5 ................. 3.0	X	X		688,518	106,909
(5) DANIEL A KASLE...................................................................... Board Member	1.0 ................. 0.0	X			0	0
(6) REV DR NORMAN WHITMIRE JR...................................................................... BOARD MEMBER	1.0 ................. 0.0	X			0	0
(7) REV T DIANE BRITT...................................................................... BOARD MEMBER	1.0 ................. 0.0	X			0	0
(8) DR ALBERT STROGAN...................................................................... Board Member	40.0 ................. 0.0	X			479,876	0
(9) REV SARAH KOOPERKAMP...................................................................... BOARD MEMBER	1.0 ................. 0.0	X			0	0
(10) CHRISTOPHER PARKER...................................................................... CHIEF OPERATING OFFICER	37.5 ................. 0.0		X		489,494	109,781
(11) STEVEN GUIDO...................................................................... CHIEF FINANCIAL OFFICER	34.5 ................. 3.0		X		471,957	118,758
(12) JAMES HENRY...................................................................... CHIEF OF ORTHOPEDICS	30.0 ................. 0.0			X	357,385	31,865
(13) RAYMOND PASTORE...................................................................... CHIEF MEDICAL OFFICER,THRU8/18	32.0 ................. 8.0			X	389,156	7,000
(14) SHELDON MARKOWITZ...................................................................... CHAIR - DEPT OF MEDICINE	35.0 ................. 0.0			X	255,657	73,132
(15) NATALIE SCHWARTZ...................................................................... VP, REGULATORY AFFAIRS	40.0 ................. 0.0			X	287,354	67,656
(16) GWENDOLYN SEYMORE-PINCKNEY...................................................................... CHIEF NURSING OFFICER	37.5 ................. 0.0			X	243,433	78,866
(17) SHARIKA GORDON...................................................................... VP, HUMAN RESOURCES	37.5 ................. 0.0			X	196,147	38,026

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOHN ROCCO........................................................................ VP, OPERATIONS	37.5 .......................0.0	X		226,329	66,675
(19) DELBURT JOINER........................................................................ CHIEF QUALITY OFFICER	37.5 .......................0.0	X		252,421	31,547
(20) ANNCY THOMAS as of 918........................................................................ CHIEF MEDICAL INFO OFFICER	37.5 .......................0.0	X		220,328	49,865
(21) DONALD MORRISH MDas of 818........................................................................ Chief Medical Officer	40.0 .......................0.0	X		488,335	74,158
(22) WILLIAM FEDORICH LLM........................................................................ Chief Corporate General Counci	36.5 .......................0.0	X		305,194	28,825
(23) THOMAS LUBESKI........................................................................ medical director	40.0 .......................0.0	X		310,473	71,027
(24) EILEEN VAN REUSEN thru 1118........................................................................ vp, medical group	37.5 .......................0.0	X		192,424	43,213
(25) ANDREW CHAN as of 118........................................................................ Chief Information Officer	37.5 .......................0.0	X		162,475	37,215
(26) ROSE BONILLA as of 918........................................................................ VP, Medical Group	37.5 .......................0.0	X		168,196	69,412
(27) JAVIER ANDRADE MD thru 718........................................................................ PHYSICIAN	40.0 .......................0.0		X	466,929	43,516
(28) NEYSA VALENTIN MD........................................................................ PHYSICIAN	37.5 .......................0.0		X	540,847	48,589
(29) JACKIE BATTISTA MD........................................................................ PHYSICIAN	40.0 .......................0.0		X	477,008	24,498
(30) SHELDON GENACK........................................................................ physician	40.0 .......................0.0		X	384,980	81,388
(31) PIOTR SLOWIK........................................................................ Physician	20.0 .......................0.0		X	364,875	70,340

(A) Name and business address	(B) Description of services	(C) Compensation
NORTHWELL HEALTH LABORATORIES, PO BOX 417855 BOSTON,MA02241	LABORATORY SERVICES	2,500,000
QUEENS COUNTY MEDICAL SERVICES, 5665 NEW NORTHSIDE DR STE 320 ATLANTA,GA30328	ANESTHESIA SERVICES	2,052,000
ST FRANCIS HOSPITAL, 992 North Village Ave ROCKVILLE CENTRE,NY11570	physician fees	1,555,000
THE SHANNON GROUP, 120 Seventh Street GARDEN CITY,NY11530	General Contractor	3,917,783
IN COMPASS HEALTH INC, 318 MAXWELL ROAD SUITE 500 ALPHRETTA,GA30009	PHYSICIAN FEES	2,227,343
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 73

- 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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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Episcopal Health Services Inc

Employer identification number

11-1665825

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2018

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

Episcopal Health Services Inc

Employer identification number

11-1665825

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization Episcopal Health Services Inc

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization Episcopal Health Services Inc		Employer identification number 11-1665825

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization Episcopal Health Services Inc			Employer identification number 11-1665825
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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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

Episcopal Health Services Inc

Employer identification number

11-1665825

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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)? ........

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? .......................

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

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

Yes

47,780

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

47,780

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 SUPPLEMENTAL INFO	Episcopal Health Services Inc. pays dues to The Greater New York Hospital Association (GNYHA) and Healthcare Education Projects (HEP). In accordance with section 6033(e) of the internal revenue code, and as reported by GNYHA and HEP, a portion of these dues payments are attributable to lobbying activities. The lobbying activity costs attributable in 2018 to GNYHA and HEP dues payments were $3,003 and $44,777, respectively.

Return Reference

Explanation

SCHEDULE C SUPPLEMENTAL INFO

Episcopal Health Services Inc. pays dues to The Greater New York Hospital Association (GNYHA) and Healthcare Education Projects (HEP). In accordance with section 6033(e) of the internal revenue code, and as reported by GNYHA and HEP, a portion of these dues payments are attributable to lobbying activities. The lobbying activity costs attributable in 2018 to GNYHA and HEP dues payments were $3,003 and $44,777, respectively.

Schedule C (Form 990 or 990EZ) 2018

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," on 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Episcopal Health Services Inc

Employer identification number

11-1665825

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	996,341	996,341	996,341	1,408,181	1,408,181
b	Contributions ...
c	Net investment earnings, gains, and losses	26,000	24,464	21,443	34,265	26,583
d	Grants or scholarships ...				446,105
e	Other expenditures for facilities and programs ...	26,000	24,464	21,443		26,583
f	Administrative expenses ....
g	End of year balance ......	996,341	996,341	996,341	996,341	1,408,181

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

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	929,366		929,366
b	Buildings ....	60,852,504	41,153,610	19,698,894
c	Leasehold improvements	83,827	74,750	9,077
d	Equipment ....	118,354,618	103,780,445	14,574,173
e	Other .....	14,536,467	2,728,978	11,807,489
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				47,018,999

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) ASSETS WHOSE USE IS LIMITED				10,134,121
(2) DUE FROM THIRD-PARTY PAYORS				3,403,701
(3) HEALTHFIRST INVESTMENT				11,977,208
(4) INV IN & HLD BY CAPTIVE INS CO				26,139,483
(5) INSURANCE RECOVERABLE				3,963,833
(6) DUE FROM RELATED ORGANIZATIONS				1,877,660
(7) OTHER ASSETS				412,961
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				57,908,967

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO THIRD PARTY PAYORS	25,327,529
OTHER LIABILITIES	8,712,410
PROFESSIONAL & SELF INSURED LIABILITY	31,214,562
ACCRUED PENSION LIABILITY	1,318,093
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	66,572,594
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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
PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND	Income from endowment funds are to be used to further support the mission of the Organization.
Part x, Line 2 - FIN 48	EHS recognizes the effect of income tax positions only when the tax positions are more likely than not to be sustained. Management has determined that EHS had no uncertain tax positions that would require financial statement recognition or disclosure. EHS is no longer subject to examinations by the applicable taxing jurisdictions for periods prior to 2015.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
Episcopal Health Services Inc

Employer identification number

11-1665825

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	0	0	Investments	CAPTIVE INSURANCE CO.	26,139,483
















3a	Sub-total .....	0	0			26,139,483
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0			26,139,483

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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)	(c) Region	(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)

2	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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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 I, LINE 3, COLUMN F	THE HOSPITAL IS A PARTIAL OWNER OF CAPTIVE FOREIGN INSURANCE COMPANIES. THE HOSPITAL'S INVESTMENTS IN THE FOREIGN INSURANCE COMPANIES ARE REPORTED AT FAIR MARKET VALUE OR COST.

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Episcopal Health Services Inc

Employer identification number

11-1665825

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"? . . . . . . . . . . . . .

Yes

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) . . .	5,520,360	2,416,405	3,103,955	1.240 %
b	Medicaid (from Worksheet 3, column a) . . . . .	138,942,204	94,561,385	44,380,819	17.790 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	144,462,564	96,977,790	47,484,774	19.030 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,131,257		1,131,257	0.450 %
f	Health professions education (from Worksheet 5) . . .	35,136,135	22,318,913	12,817,222	5.140 %
g	Subsidized health services (from Worksheet 6) . . . .	44,911,906	26,406,270	18,753,785	7.520 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	81,179,298	48,725,183	32,702,264	13.110 %
k	Total. Add lines 7d and 7j .	225,641,862	145,702,973	80,187,038	32.140 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	88,639	88,639	0.040 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	54,922	54,922	0.020 %
7	Community health improvement advocacy
8	Workforce development	209,790	209,790	0.080 %
9	Other	15,744	15,744	0.010 %
10	Total	369,095	369,095	0.150 %

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? ..........................

Yes

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

3,361,195

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. ......

455,232

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).....

52,260,290

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

52,010,524

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

249,766

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?1Name, 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)
1	St John's Episcopal Hospital 327 Beach 19th Street Far Rockaway,NY11691	X	X	X	X

Schedule H (Form 990) 2018

Page 4

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 Johns Episcopal 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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

6 a

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.EHS.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 16

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

Yes

If "Yes" (list url): www.EHS.org

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

10b

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

12b

If "Yes" on 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	St Johns Episcopal Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 100% and FPG family income limit for eligibility for discounted care of 400.%

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)

Was widely publicized 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):

see Part V Section C

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

see Part V Section C

A plain language summary of the FAP was widely available on a website (list url):
see Part V Section C

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	St Johns Episcopal Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	St Johns Episcopal Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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
Schedule H, Part V SEC B, Line 5	PUBLIC PARTICIPATION TO ADVANCE THE GOALS OF THE NEW YORK STATE PREVENTION AGENDA 2013-2017 AND HEALTHY PEOPLE 2020 IN ITS SERVICE AREA, ST. JOHN'S EPISCOPAL HOSPITAL REACHED OUT AND PARTNERED WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS AND OTHER STAKEHOLDERS TO CONTINUE TO DEVELOP PLANS TO ADDRESS THESE NEEDS. THE PARTICIPATING ORGANIZATIONS INCLUDED: -ST. JOHN'S EPISCOPAL HOSPITAL COMMUNITY ADVISORY COMMITTEE -JOSEPH P. ADDABBO FAMILY HEALTH CENTER -YMC OF ARVERN -NAACP OF ROCKAWAY -ROCKAWAY UNITED -COMMUNITY BOARD 14 -DEERFIELD AREA CIVIC ASSOCIATION -ROCKAWAY DEVELOPMENT AND REVITALIZATION CORP. -VISITING NURSE SERVICE OF NEW YORK -COALITION FOR CONCERNED MEDICAL PROFESSIONALS -QUEENS PUBLIC LIBRARY -LUCILLE ROSE DAY CARE -ROCKAWAY BEACH CIVIC ASSOCIATION -INWOOD CIVIC ASSOCIATION -BELLE HARBOR CIVIC ASSOCIATION -ACHIEZER -BLACK NURSES ROCK -QUEENS HIGH SCHOOL FOR INFOMRATION RESEARCH AND TECHNOLOGY -FAR ROCKAWAY ARVERNE NON PROFIT COALITION -NYC DEPARTMENT OF YOUTH DEVELOPMENT -PS 104Q -ROCKAWAY WALKS -JCCRP -ROCKAWAY YOUTH TASK FORCE -FIRST PRESBYTERIAN CHURCH -REDFERN COMMUNITY CENTER -NYS SENATOR JOSEPH ADDABBO JR -NYS SENATOR JAMES SANDERS JR -NYS ASSEMBLYWOMAN MICHELE TITUS -NYS ASSEMBLYWOMAN STACEY PHEFFER AMATO -NYC COUNCILMAN DONOVAN RICHARDS JR -NYC QUEENS BOROUGH PRESIDENT MELINDA KATZ -FRIENDS OF THE 59TH STREET PLAYGROUND -101ST PRECINCT COMMUNITY AFFAIRS -100TH PRECINCT COMMUNITY AFFAIRS -HATZALAH COMMUNITY MEETINGS: SAMPLING PUBLIC OPINION FIVE INITIAL COMMUNITY MEETINGS WERE HELD TO GATHER INPUT FROM THE PUBLIC ON THE HEALTH CONCERNS OF THE COMMUNITY. THE MEETINGS WERE HELD ON: -JANUARY 10, 2018 AT 7PM AT ST. JOHNS EPISCOPAL HOSPITAL 29 ATTENDEES -MARCH 7, 2018 AT 7PM AT ST. JOHN'S EPISCOPAL HISPITAL - 26 ATTENDEES -APRIL 25, 2018 AT 7PM AT ST. JOHNS EPISCOPAL HOSPITAL 18 ATTENDEES -JULY 11, 2018 AT 7PM AT ST. JOHNS EPISCOPAL HOSPITAL 16 ATTENDEES -OCTOBER 17, 2018 AT 7PM AT ST. JOHNS EPISCOPAL HOSPITAL 12 ATTENDEES THE MEETINGS WERE PUBLICIZED THROUGH A COMMUNITY EMAIL LISTSERV AND SOCIAL MEDIA. DISCUSSION AT THESE MEETINGS ALSO INCLUDED: THE NEED FOR ADDITIONAL MENTAL HEALTH SERVICES WITH MORE OF A PERSONAL TOUCH; THE HOSPITAL'S EMERGENCY ROOM; COORDINATION OF SERVICES; EDUCATION AND THE NEED FOR MORE EDUCATION ON DIABETES; CANCER TREATMENT SERVICES ON THE ROCKAWAYS; NEED FOR NUTRITION EDUCATION; NEED FOR TRAUMA SERVICES ON THE ROCKAWAYS.
Schedule H, Part V SEC B, Line 11	THE HOSPITAL RECOGNIZES THERE IS A NEED TO ADDRESS ALL IDENTIFIED HEALTH CONCERNS. DUE TO LIMITATIONS IN STAFFING AND RESOURCES, THE HOSPITAL FOCUSED ITS EFFORTS ON THOSE PRIORITIES THAT APPEARED TO BE OF THE MOST NEED AND HAD THE STAFFING AND RESOURCES TO COMMIT TO A THREE-YEAR PLAN OF IMPLEMENTATION. THE COMMUNITY HEALTH PRIORITIES THAT THE HOSPTAL IDENTIFIED IN ITS HEALTH NEEDS ASSESSMENT BUT DOES NOT INTEND TO MEET ARE: CANCER; HIV AND AIDS; MATERNAL CHILD HEALTH.
SCHEDULE H, PART V SEC B, LINE 16A, LINE 16B AND LINE 16C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING WEBSITE: https://ehs.org/patients-visitors/financial-assistance
Schedule H, Part V SEC B, Line 22D	DURING 2018, THE HOSPITAL DETERMINED THAT THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS WAS A FLAT FEE PLUS THE FOLLOWING, BASED ON THE FEDERAL POVERTY LEVEL THE INDIVIDUAL QUALIFIED FOR: -PERCENTAGE OF THE APR-DRG RATE (MEDICAID INPATIENT RATE) -PERCENTAGE OF THE APG RATE (MEDICAID OUTPATIENT RATE OR AMBULATORY FEE SCHEDULE RATE) -PERCENTAGE OF THE ANCILLARY CHARGES

Schedule H (Form 990) 2018

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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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

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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
PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY	ST. JOHN'S EPISCOPAL HOSPITAL COSTING METHODOLOGY WAS BASED UPON THE 2018 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2018 MEDICARE (FORM 2552) COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7.
PART III, LINE 2 - BAD DEBT EXPENSE	THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS SHOWN IN THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE IS EXCERPTED BELOW: ACCOUNTS RECEIVABLE ARE ALSO REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 3 - BAD DEBT EXPENSE	ST. JOHN'S HOSPITAL UTILIZES THE ESTIMATED PERCENTAGE OF PATIENTS LIVING AT OR BELOW THE FEDERAL POVERTY LEVEL 20.4% AND THE SELF PAY PERCENTAGE 66.3948% TO ARRIVE AT THE AMOUNT OF BAD DEBT THAT IS POTENTIALLY ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 5 - MEDICARE REVENUE	INCLUDED IN THE CALCULATION OF THE MEDICARE REVENUE OF $52,260,290 IS $6,567,215 OF DISPROPORTIONATE SHARE (DSH) PAYMENTS AND $10,297,906 OF INDIRECT MEDICAL EDUCATION (IME) PAYMENTS WHICH TOTAL $16,865,121 RESULTING IN TRUE PATIENT SERVICE REVENUE OF $35,395,169.
PART III, LINE 5 & 6 - MEDICARE REVENUE	PURSUANT TO THE INSTRUCTIONS INCLUDED IN MEDICARE REVENUE RECEIVED ON PART III SECTION B LINE 5 IS REIMBURSEMENT FOR INDIRECT MEDICAL EDUCATION (IME) OF $10.3 MILLION. THERE ARE $0 COST INCLUDED IN PART III LINE 6 MEDICARE ALLOWABLE COST RELATED TO IME.
PART III, LINE 7 - MEDICARE SURPLUS/SHORTFALL	THE MEDICARE SURPLUS SHOWN OF $249,766 INCLUDES THE ADDITIONAL ITEMS OF MEDICARE REVENUE DETAILED IN THE EXPLANATION FOR LINE 5 ABOVE WITHOUT INCLUSION OF ADDITIONAL COSTS RELATED TO THEM. HAD THESE AMOUNTS NOT BEEN RECEIVED THE OPERATING MEDICARE SHORTFALL WOULD HAVE BEEN $16,615,355. LOSSES ON TREATING MEDICARE BENEFICIARIES SHOULD BE INCLUDED AS A COMMUNITY BENEFIT IN THEIR ENTIRETY. ST. JOHN'S EPISCOPAL HOSPITAL INCURRED THIS OPERATING MEDICARE LOSS OF $16.6 MILLION TO DELIVER CARE TO MEDICARE PATIENTS. THIS REPRESENTS THE AMOUNT BY WHICH COSTS TO DELIVER CARE TO MEDICARE RECIPIENTS EXCEEDS THE LEVEL OF PAYMENT. ST. JOHN'S EPISCOPAL HOSPITAL BEARS THE BURDEN OF NOT ONLY PROVIDING THE BEST AND MOST ADVANCED MEDICAL CARE POSSIBLE TO THE COMMUNITY, BUT ALSO DOING SO WITH NO RECOURSE TO OBTAIN PAYMENT FOR THE COST OF PROVIDING CARE IN EXCESS OF THE MEDICARE PAYMENT. AS MEDICARE REVENUE DECLINES AND THE COST TO PROVIDE CUTTING EDGE CARE TO THE COMMUNITY INCREASES, THE HOSPITAL WILL CARRY THE BURDEN AS A PARTICIPATING PROVIDER AND A CHARITABLE ORGANIZATION. LIKE ALL PATIENTS THOSE ON MEDICARE, THE MAJORITY OF WHOM ARE ELDERLY OR DISABLED, ARE NOT TURNED AWAY, SO ST. JOHN'S EPISCOPAL HOSPITAL WILL CONTINUE TO BEAR THE LOSS IN PROVIDING THE BEST CARE POSSIBLE TO THE LOCAL COMMUNITY.
PART III, LINE 8 - COSTING METHODOLOGY	THE MEDICARE REVENUE AND ALLOWABLE COSTS SHOWN IN PART III SECTION B LINES 5 AND 6, RESPECTIVELY, WERE DERIVED FROM THE AS-FILED 2017 CMS-2552 (MEDICARE COST REPORT). MEDICARE REVENUE IS BASED ON THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT REPORT AND MEDICARE COSTS WERE DEVELOPED UTILIZING A RATIO OF MEDICARE ALLOWABLE COSTS TO CHARGES METHODOLOGY.
PART III, LINE 9B - COLLECTION PRACTICES TO BE FOLLOWED RELATIVE TO	PATIENTS THAT QUALIFY FOR THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES OF ST. JOHN'S EPISCOPAL HOSPITAL (WHICH ARE FURTHER SUMMARIZED IN SCHEDULE H PART VI LINE 3) ENSURE THAT EVERY EFFORT IS MADE TO IDENTIFY PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE AND/OR CHARITY CARE. INCLUDED BELOW IS A SUMMARY OF THE BILLING AND COLLECTION PROCEDURES FOLLOWED BY ST. JOHN'S EPISCOPAL HOSPITAL: - THE FORCED SALE OF OR FORECLOSURE ON THE PATIENT'S PRIMARY RESIDENCE IS PROHIBITED. - SENDING AN ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE, INCLUDING ANY REQUIRED DOCUMENTATION, WHILE THE APPLICATION IS PENDING IS PROHIBITED. - PROVIDE WRITTEN NOTIFICATION TO A PATIENT AT LEAST 30 DAYS BEFORE AN ACCOUNT IS SENT TO COLLECTION (WRITTEN NOTICE CAN BE INCLUDED ON A BILL). - REQUIRE THE COLLECTION AGENCY TO HAVE THE HOSPITAL'S WRITTEN CONSENT PRIOR TO STARTING A LEGAL ACTION FOR COLLECTION. - REQUIRE ALL HOSPITAL STAFF THAT INTERACTS WITH PATIENTS OR HAVE RESPONSIBILITY FOR BILLING AND COLLECTION TO BE TRAINED IN THE HOSPITAL'S POLICIES. - HAVE A WAY OF MEASURING THE HOSPITAL'S COMPLIANCE WITH ITS POLICIES. - REQUIRE ANY COLLECTION AGENCY UNDER CONTRACT WITH THE HOSPITAL TO FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PROVIDE INFORMATION TO PATIENTS ON HOW TO APPLY, WHERE APPROPRIATE. - PROHIBIT COLLECTION ACTIVITY IF THE PATIENT IS DETERMINED ELIGIBLE FOR MEDICAID FOR THE SERVICES THAT WERE RENDERED AND THE HOSPITAL IS ABLE TO COLLECT MEDICAID PAYMENT.
PART VI, LINE 2 - NEEDS ASSESSMENT	ST. JOHN'S EPISCOPAL HOSPITAL (THE "HOSPITAL"ST. JOHN'S") IS A 257 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN FAR ROCKAWAY, NEW YORK. ST. JOHN'S MEDICAL, P.C. (FORMERLY ST. JOHN'S EMERGENCY SERVICES PC); ST. JOHN'S MEDICAL SERVICES PC, FORM THE PATIENT CARE SERVICES OF EPISCOPAL HEALTH SERVICES, INC., FALL UNDER THE AUSPICES OF THE EPISCOPAL DIOCESE OF LONG ISLAND. THIS DISCUSSION RELATES TO THE HOSPITAL ONLY AS REQUIRED IN FORM 990 SCHEDULE H. AS THE RESULT OF SEVERAL MEETINGS WITH COMMUNITY GROUPS, A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE HOSPITAL COMMUNITY WAS DEVELOPED. THE REPORT FULFILLS THE REQUIREMENTS OF THE NEW FEDERAL STATUTE ESTABLISHED WITHIN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) THE CHNA PROCESS UNDERTAKEN BY THE HOSPITAL UTILIZED EXTENSIVE INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN ADDITION, THIS DOCUMENT SATISFIES THE REQUIREMENTS SET FORTH BY THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH) RELATIVE TO THE PREPARATION OF A COMMUNITY SERVICE PLAN (CSP). THE OVERLAPPING NATURE OF THESE REQUIREMENTS ENABLED THE HOSPITAL TO COMPLETE ONE COMPREHENSIVE DOCUMENT. NEW YORK'S RELEVANT STATUTE, SECTION 2803-1 OF THE PUBLIC HEALTH LAW, REQUIRES VOLUNTARY NON-PROFIT HOSPITALS TO SUBMIT A COMPREHENSIVE CSP TO THE STATE DEPARTMENT OF HEALTH (DOH) THAT INCLUDES A SOLICITATION OF THE VIEWS OF THE COMMUNITIES SERVED BY THE HOSPITAL ON SERVICE PRIORITIES; DEMONSTRATES THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEET COMMUNITY HEALTH NEEDS; PROVISION OF CHARITY CARE; AND IMPROVING ACCESS BY THE UNDERSERVED, AMONG OTHER ELEMENTS. IN SUBMITTING THEIR CSPS, HOSPITALS ARE REQUIRED TO TAKE STEPS THAT INCLUDE: - REAFFIRMING ORGANIZATIONAL MISSION STATEMENTS; - DEFINING THE SERVICE AREA USED FOR COMMUNITY AND LOCAL HEALTH PLANNING AND DESCRIBING THE METHODS USED TO DETERMINE SUCH SERVICE AREA; - IDENTIFYING ALL PARTICIPANTS INVOLVED IN ASSESSING COMMUNITY HEALTH NEEDS AND DESCRIBING AND SUMMARIZING THE HOSPITAL'S PUBLIC INPUT SESSIONS; - DISCUSSING THE IDENTIFIED PUBLIC HEALTH PRIORITIES, INCLUDING THE CRITERIA USED TO SELECT PRIORITIES AND THE STATUS OF PRIORITIES; - ESTABLISHING AN EVOLVING PLAN OF ACTION; AND - DISSEMINATING A WRITTEN SUMMARY OF THE CSP TO THE PUBLIC THROUGH VARIOUS CHANNELS. THE STATUTORY CSP REQUIREMENTS WERE RECENTLY ENHANCED BY DOH'S PREVENTION AGENDA INITIATIVE, A PROCESS THAT ASKS HOSPITALS TO WORK WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO ASSESS COMMUNITY HEALTH NEEDS, JOINTLY DEVELOP PLANS TO ADDRESS TWO OR THREE OF THE IDENTIFIED NEEDS, AND INCLUDE THIS COLLABORATIVE WORK IN THE HOSPITAL'S CSP UPDATE SUBMITTED TO DOH. ST. JOHN'S HAS INCORPORATED THE PREVENTION AGENDA INTO ITS COMMUNITY SERVICE PLAN. TO ADVANCE THE GOALS OF THE NEW YORK STATE PREVENTION AGENDA 2016-2018 IN ITS SERVICE AREA, ST. JOHN'S REACHED OUT AND PARTNERED WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS AND OTHER STAKEHOLDERS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DEVELOP PLANS TO ADDRESS THESE NEEDS. IN NOVEMBEROF 2015 A LETTER FROM THE NEW YORK STATE DEPARTMENT OF HEALTH COMMISSIONER HOWARD ZUCKER, WAS SENT TO ALL HOSPITALS REGARDING THE PREVENTION AGENDA GOALS? IN THE LETTER THE COMMISSIONER STATED THAT DUE TO MANY HOSPITALS COMPLETING A NEEDS ASSESSMENT AS PART OF THE DSRIP APPLICATION PROCESS, THE DEPARTMENT OF HEALTH IS NOT ASKING FOR A NEW COMPREHENSIVE HEALTH ASSESSMENT FOR 2016. IN LIGHT OF THIS COMMUNICATION, ST. JOHN'S CONTINUES TO BE BUILD UPON THE AGENDA GOALS CURRENTLY SET.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	ST. JOHN'S HOSPITAL IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR ALL PATIENTS, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITY. ACCORDINGLY, ST. JOHN'S HOSPITAL HAS IMPLEMENTED A CHARITY CARE AND FINANCIAL ASSISTANCE PROCESS TO HELP FACILITATE THE PROVISION OF MUCH NEEDED CARE. THIS PROCESS INCLUDES: - PROVIDING PATIENT CARE REGARDLESS OF THE ABILITY TO PAY FOR SERVICES; - ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE; - FINANCIAL COUNSELORS WILL CONFIDENTIALLY REVIEW THE SITUATION TO SEE IF PATIENTS QUALIFY FOR SOME FORM OF GOVERNMENT OR OTHER FINANCIAL ASSISTANCE; - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH THE BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES RESIDENTS IN THE COMMUNITY NEED; AND - OFFER INSTALLMENT PLANS TO ALLOW PATIENTS TO PAY OVER TIME WITHOUT THE IMPOSITION OF INTEREST CHARGES.
PART VI, LINE 4 - COMMUNITY INFORMATION	THE ROCKAWAY PENINSULA IS A NARROW STRIP OF LAND BORDERED BY THE ATLANTIC OCEAN AND JAMAICA BAY AND IS A PART OF QUEENS COUNTY, NEW YORK CITY AND ALSO BORDERS NASSAU COUNTY ON LONG ISLAND. SUPERSTORM SANDY HAD A DEVASTATING IMPACT ON THE ROCKAWAY PENINSULA. MUCH OF THE COMMUNITY WAS WITHOUT GAS AND ELECTRIC FOR WEEKS FOLLOWING THE STORM. HOMES AND BUSINESSES WERE IN RUIN, SOME CLAIMED BY THE SEA, OTHERS BY FIRE, ENTIRE BLOCKS IN BELLE HARBOR AND ROCKAWAY PARK WERE ENGULFED IN FLAMES, A CONSIDERABLE PORTION OF BREEZY POINT LITERALLY BURNED TO THE GROUND. DEBRIS AND SAND WERE EVERYWHERE, INCLUDING THE INSIDE OF HOMES. CARS THAT HAD BEEN FLOODED WERE SCATTERED THROUGHOUT THE STREETS OF THE COMMUNITY. THE REBUILDING HAS BEEN EXTREMELY SLOW, AND IS AN ONGOING PROCESS, WITH MANY DISPLACED RESIDENTS HAVING STILL NOT RETURNED TO THEIR HOMES. MANY NURSING HOMES AND ADULT HOMES - SOURCES OF ADMISSIONS TO THE HOSPITAL, AS WELL AS OTHER LOCAL BUSINESSES NEVER REOPENED. TRANSPORTATION BETWEEN THE PENINSULA AND THE MAINLAND IS A LONG TIME COMMITMENT FOR RESIDENTS AS THE PENINSULA IS CONNECTED TO NEW YORK CITY BY TWO TOLL BRIDGES, THE MARINE PARK BRIDGE AND THE CROSS BAY BRIDGE, AND BY THE "A" SUBWAY LINE OF THE NEW YORK CITY METROPOLITAN TRANSIT AUTHORITY. ST. JOHN'S HAS SERVED THE COMMUNITY FOR MORE THAN 100 YEARS. AS A NOT-FOR-PROFIT FAITH-BASED INSTITUTION THAT IS DEEPLY AWARE OF THE COMMUNITY'S GEOGRAPHIC ISOLATION AND VULNERABILITIES, IT IS DEEPLY COMMITTED TO CONTINUING TO SERVE THE COMMUNITY WELL INTO THE FUTURE. IT IS ALSO COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY AND CONTINUINGTO OFFER AND INCREASE A WIDE RANGE OF SERVICES, AS WELL AS COMMUNITY OUTREACH AND HEALTH EDUCATION. WHILE COMMUNITY CAN BE DEFINED IN MANY WAYS, THE HOSPITAL DEFINED ITS SERVICE AREA AS THE 5 ZIP CODES FROM WHICH APPROXIMATELY 70% DISCHARGES CAME. BY THIS DETERMINATION, THE HOSPITALS SERVICE AREA IS DEFINED AS; INWOOD; FAR ROCKAWAY; ARVERNE; ROCKAWAY BEACH, BELLE HARBOR. IN 2016 THE ROCKAWAYS HAD A POPULATION TOTALING OVER 127,000 WITH ALMOST 30% OF THE SERVICE AREA'S POPULATION UNDER THE AGE OF 18, AND ALMOST 13% OVER THE AGE OF 65. MORE THAN 20% LIVE UNDER THE FEDERAL POVERTY LEVEL, WHILE THE OVERALL QUEENS COUNTY RATE IS JUST BELOW 14%. THE PERCENTAGE OF THE SERVICE AREA POPULATION WHO ARE DEEMED TO BE MINORITIES IS 65.4%, WITH AFRICAN AMERICANS COMPRISING 35% OF THE POPULATION. A LARGE POPULATION OF HISPANICS RESIDE IN INWOOD, WHICH IS THE MOST NORTHEAST BOUNDARY OF THE SERVICE AREA.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	IN 2017, ST. JOHNS HELD ITS FIRST COMMUNITY AND BACK TO SCHOOL WELLNESS FAIR IN WHICH OVER 2000 PEOPLE WERE IN ATTENDANCE. THIS EVENT HAD OVER 50 COMMUNITY VENDORS DISSEMINATING HEALTH AND WELLNESS INFORMATION AND 1000 BACK PACKS WERE GIVEN OUT TO THE CHIDLREN IN ATTENDANCE. IN ADDITION, PARTICIPATION IS GIVEN TO OTHER COMMUNITY HEALTH FAIRS AND EVENTS ACROSS THE PENINSULA IN WHICH ST. JOHN'S MEDICAL STAFF AND RESIDENTS PROVIDE FREE BLOOD PRESSURE SCREENINGS, EDUCATION ON PRIMARY CARE AND OTHER HEALTH AREAS BROCHURES WERE HANDED OUT ON A VARIETY OF TOPICS, INCLUDING DIABETES CARE, HYPERTENSION AND HEART HEALTH, OBESITY, PREGNANCY,CHRONIC DECEASE MANAGEMENT BREASTFEEDING AND SMOKING PREVENTION. ST. JOHN'S CLINICAL NUTRITION STAFF PROVIDED NUTRITIONAL INFORMATION ON VARIOUS TOPICS INCLUDING: MY PLATE, HOW TO EAT HEALTHY, REDUCING SODIUM IN THE DIET, LOW CHOLESTEROL TIPS AND HOW TO MAKE MEALS HEALTHIER. MENTAL HEALTH AND SUBSTANCE ABUSE SCREENINGS: ST. JOHN'S COMMUNITY MENTAL HEALTH CENTER SCREENED 350 PATIENTS AND 87 SCREENED POSITIVE FOR SUBSTANCE ABUSE. EIGHTY THREE OF THOSE PATIENTS WERE TREATED AT THE CMHC AND 5 WERE REFERRED TO A SPECIALIZED SUBSTANCE ABUSE TREATMENT PROGRAM. THE WELLNESS AND RECOVERY CENTER SCREENED 147 PATIENTS AND 66 SCREENED POSITIVE FOR SUBSTANCE USE. TREATMENT WAS PROVIDED TO 64 OF THOSE PATIENTS AND 2 WERE REFERRED TO A SPECIALIZED SUBSTANCE ABUSE TREATMENT PROGRAM. SURFSIDE MANOR CLINIC SCREENED 33 PATIENTS FOR SUBSTANCE ABUSE AND 3 SCREENED POSITIVE. THEY WERE ALL TREATED BY THAT CLINIC- NONE WERE REFERRED OUT. FRC SCREENED 247 INDIVIDUALS FOR SUBSTANCE USE AND 7 SCREENED POSITIVE- BECAUSE THIS PROGRAM IS NOT CLINICAL, ALL INDIVIDUALS WERE REFERRED TO OUTSIDE PROVIDER. HOMEBASED CRISIS INTERVENTION/ BLENDED CASE MANAGEMENT SCREENED 57 INDIVIDUALS AND 1 SCREENED POSITIVE AND WAS REFERRED TO AN OUTSIDE PROVIDER. IN ADDIITON, THE OFFICE OF THE MISSION PARTICIPATED IN THE FOLLOWING 2018 CHARITABLE PROGRAMS: HOSPITAL VOLUNTEER & INTERN St. John's Episcopal Hospital (SJEH) welcomes people who want to give of their time and talents. Volunteers and interns are important members of our team, like staff, their efforts promote the health of the community. The hospital utilizes volunteers and interns in nearly every department and on many committees. Volunteers are valued because they provide an opportunity for the hospital to give back to the community and they are messengers with firsthand knowledge of hospital services. Most are students and middle aged adult residents of Far Rockaway considering health care professions. A smaller number come from the Five Towns or are senior citizens. Through its work with volunteers and interns, the hospital fosters careers in health care and health related professions while improving employment and economic opportunities in Far Rockaway. The time and money spent with volunteers is, therefore, an investment in the local community and in the hospitals future work force. For these reasons, St. John's Episcopal Hospital considers volunteer service essential to its mission. People who pursue volunteer or intern opportunities at this hospital are looking for meaningful ways to share their talents. The majority are high school, college and trade school students. The next largest group are adults pursuing a career change. The smallest number of volunteers are retirees looking to keep active. There are three classifications for volunteers: adult volunteers; interns; and youth volunteers. All are asked to serve a minimum of 100 hours a year and serve in departments throughout the hospital supporting the work of staff. Interns are students enrolled in undergraduate, graduate and professional schools contracted with the hospital to offer hands on learning in nursing, health information management, pharmacy, imaging, administration, social work, occupational and physical therapy, dietary and other services. The hospital receives no compensation or expense reimbursement for staff time, space, equipment or supplies utilized by volunteers and interns. The hospital is not reimbursed for the meals (breakfast and lunch) served to volunteers or the free parking made available to volunteers. In 2018 112 people served a total of 13,530 hours (the equivalent of 7 full time employees). For over 10 years, the hospital has offered a Summer Youth Program. The hospital partners with agencies in the region that are funded by public and private sources to employ youth during the summer. In 2018 a new community partner was added: the Brooklyn Queens Long Island Area Health Education Center. This agency joined our long standing community partners: Kulanu; the Academy of Medical Technology; Ladder for Leaders; and the Rockaway Development and Revitalization Corporation. These agencies send volunteers throughout the year and, during the summer, pay youth enrolled in their agencies to serve at the hospital. These agencies sent 35 youth in the summer of 2018. The agencies that place youth in the summer were funded to administer this service, the hospital was not. To ensure the success of these youth the hospital provided training in customer service and job readiness, huddle sessions twice a week and mentors in addition to the training and supervision from the departments they served. We do so because most of the youth are growing up in households in the care of adults with limited education and professional experience and are likely to be the first members of their family to attend. HOSPITAL AUXILIARY The Hospital Auxiliary, a group of 75 people met 10 times (for general membership and working group meetings) in 2018. This group identifies, plans and implements initiatives for patients and patient households whose social locations undermine their ability to comply with care plans established by SJEH providers. Hospital patients are regularly frustrated and humiliated by institutions that oversee their housing, food vouchers and cash benefits. These fraught relationships makes it hard for patients to trust the institutions and individuals who provide their health care. Auxiliary initiatives are designed to address patients material needs and engender trust in the hospital as a means to improve patient compliance and health. The Auxiliary made it possible for the hospital is to - give 130 patient households in need Christmas/Chanukah gifts valued around $117,000 - distribute baby bags to mothers who deliver here worth a total of $18,000 - handout backpacks and books to pediatric behavioral and physical medicine patients valued around $18,000 and - distribute nearly $25,000 of toys and clothing during annual holiday parties. The items distributed to SJEH patients and patient households are either purchased by auxilians or come from donors solicited by auxilians. General membership meetings run about 2 hours and include a meal, updates from hospital administration, reports from auxiliary work groups and discussions about new initiatives. Work group meetings run about 3 hours and take place off-site at the Mercer School of Theology in Garden City, organizations in Far Rockaway or congregations in the Episcopal Diocese of Long Island. The Logistics Work Group meets at the hospital to inventory and store or pack and distribute donations. Auxiliary members are residents of the communities served by the hospital (Far Rockaway, the Five Towns and Long Beach), active and retired hospital employees and communicants of the Episcopal Diocese of Long Island. They are young and old, male and female from a side variety of racial ethnic groups. Following is a list of the initiatives managed by the Auxiliary in 2018: Baby Bags; Children's Books; Back-to-School Supplies; Adopt-a-Family; Behavioral Health In-patient Unit Holiday Party; and Children's Holiday Party. AUXILIARY BABY BAGS INITIATIVE Each mother who delivers a baby at the hospital receives a baby bag. The bags are filled with handmade baby items (hats, booties, sweaters or blankets), toiletries, diapers, wipes, linens and clothing. The Hospital Auxiliary members solicit donation of new items for the bags. The Office for the VP of Mission Integration sends letters, fliers and visits donors and the organizations they are affiliated with to solicit donations and thank donors. The SJEH staff picks-up donations that cannot be delivered. The hospital volunteers and auxilians sort the donations and pack the baby bags. The Postpartum Nursing Unit purchases the bags. Patients receive their bags from nursing staff on the day of discharge. SCHOOL BACK-PACKS The Pediatric Office, the Family Resource Center and Community Mental Health Program distributed 300 back-packs filled with school supplies to their clients in 2018. The Hospital Auxiliary members and the congregations they are affiliated with donated composition notebooks, three ring binders, pens, pencils, crayons, markers, rulers, protractors, post-it notes, tape, glue, memory sticks and more. Auxilians gave filled backp
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION	NOT APPLICABLE
PART VI, LINE 7 -STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	NEW YORK.

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Episcopal Health Services Inc

Employer identification number

11-1665825

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 on 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 on 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? .........

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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) 2018

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 on 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 on 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)
1GERARD WALSH CHIEF EXECUTIVE OFFICER	(i) (ii)	534,064 ------------- 0	150,000 ------------- 0	4,454 ------------- 0	76,000 ------------- 0	30,909 ------------- 0	795,427 ------------- 0	0 ------------- 0
2DR ALBERT STROGAN Board Member	(i) (ii)	479,876 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	479,876 ------------- 0	0 ------------- 0
3CHRISTOPHER PARKER CHIEF OPERATING OFFICER	(i) (ii)	404,803 ------------- 0	82,750 ------------- 0	1,941 ------------- 0	76,000 ------------- 0	33,781 ------------- 0	599,275 ------------- 0	0 ------------- 0
4STEVEN GUIDO CHIEF FINANCIAL OFFICER	(i) (ii)	390,272 ------------- 0	80,628 ------------- 0	1,057 ------------- 0	70,000 ------------- 0	48,758 ------------- 0	590,715 ------------- 0	0 ------------- 0
5JAMES HENRY CHIEF OF ORTHOPEDICS	(i) (ii)	357,224 ------------- 0	0 ------------- 0	161 ------------- 0	31,000 ------------- 0	865 ------------- 0	389,250 ------------- 0	0 ------------- 0
6RAYMOND PASTORE CHIEF MEDICAL OFFICER,THRU8/18	(i) (ii)	387,396 ------------- 0	1,360 ------------- 0	400 ------------- 0	7,000 ------------- 0	0 ------------- 0	396,156 ------------- 0	0 ------------- 0
7SHELDON MARKOWITZ CHAIR - DEPT OF MEDICINE	(i) (ii)	251,980 -------------	0 -------------	3,677 -------------	27,500 -------------	45,632 -------------	328,789 -------------	0 -------------
8NATALIE SCHWARTZ VP, REGULATORY AFFAIRS	(i) (ii)	284,974 ------------- 0	0 ------------- 0	2,380 ------------- 0	30,998 ------------- 0	36,658 ------------- 0	355,010 ------------- 0	0 ------------- 0
9GWENDOLYN SEYMORE-PINCKNEY CHIEF NURSING OFFICER	(i) (ii)	241,938 ------------- 0	0 ------------- 0	1,495 ------------- 0	31,500 ------------- 0	47,366 ------------- 0	322,299 ------------- 0	0 ------------- 0
10SHARIKA GORDON VP, HUMAN RESOURCES	(i) (ii)	195,463 ------------- 0	0 ------------- 0	684 ------------- 0	12,250 ------------- 0	25,776 ------------- 0	234,173 ------------- 0	0 ------------- 0
11JOHN ROCCO VP, OPERATIONS	(i) (ii)	224,947 ------------- 0	0 ------------- 0	1,382 ------------- 0	27,835 ------------- 0	38,840 ------------- 0	293,004 ------------- 0	0 ------------- 0
12DELBURT JOINER CHIEF QUALITY OFFICER	(i) (ii)	248,886 ------------- 0	0 ------------- 0	3,535 ------------- 0	30,998 ------------- 0	549 ------------- 0	283,968 ------------- 0	0 ------------- 0
13ANNCY THOMAS as of 918 CHIEF MEDICAL INFO OFFICER	(i) (ii)	173,066 ------------- 0	0 ------------- 0	47,262 ------------- 0	22,000 ------------- 0	27,865 ------------- 0	270,193 ------------- 0	0 ------------- 0
14JAVIER ANDRADE MD thru 718 PHYSICIAN	(i) (ii)	376,468 ------------- 0	0 ------------- 0	90,461 ------------- 0	25,000 ------------- 0	18,516 ------------- 0	510,445 ------------- 0	0 ------------- 0
15DONALD MORRISH MDas of 818 Chief Medical Officer	(i) (ii)	459,192 ------------- 0	22,168 ------------- 0	6,975 ------------- 0	26,500 ------------- 0	47,658 ------------- 0	562,493 ------------- 0	0 ------------- 0
16NEYSA VALENTIN MD PHYSICIAN	(i) (ii)	539,260 ------------- 0	0 ------------- 0	1,587 ------------- 0	20,000 ------------- 0	28,589 ------------- 0	589,436 ------------- 0	0 ------------- 0
17JACKIE BATTISTA MD PHYSICIAN	(i) (ii)	476,200 ------------- 0	0 ------------- 0	808 ------------- 0	24,498 ------------- 0	0 ------------- 0	501,506 ------------- 0	0 ------------- 0
18WILLIAM FEDORICH LLM Chief Corporate General Counci	(i) (ii)	303,410 ------------- 0	0 ------------- 0	1,784 ------------- 0	9,600 ------------- 0	19,225 ------------- 0	334,019 ------------- 0	0 ------------- 0
19THOMAS LUBESKI medical director	(i) (ii)	308,654 ------------- 0	0 ------------- 0	1,819 ------------- 0	24,992 ------------- 0	46,035 ------------- 0	381,500 ------------- 0	0 ------------- 0
20EILEEN VAN REUSEN thru 1118 vp, medical group	(i) (ii)	173,430 -------------	0 -------------	18,994 -------------	31,500 -------------	11,713 -------------	235,637 -------------	0 -------------
21SHELDON GENACK physician	(i) (ii)	383,174 ------------- 0	0 ------------- 0	1,806 ------------- 0	31,130 ------------- 0	50,258 ------------- 0	466,368 ------------- 0	0 ------------- 0
22ANDREW CHAN as of 118 Chief Information Officer	(i) (ii)	161,838 ------------- 0	0 ------------- 0	637 ------------- 0	23,258 ------------- 0	13,957 ------------- 0	199,690 ------------- 0	0 ------------- 0
23PIOTR SLOWIK Physician	(i) (ii)	364,039 ------------- 0	0 ------------- 0	836 ------------- 0	31,500 ------------- 0	38,840 ------------- 0	435,215 ------------- 0	0 ------------- 0
24ROSE BONILLA as of 918 VP, Medical Group	(i) (ii)	167,382 ------------- 0	0 ------------- 0	814 ------------- 0	25,177 ------------- 0	44,235 ------------- 0	237,608 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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
Part I, line 4a	Javier Andrade, physician, left the organization in July 2018. He received a severance payment of $90,000 from the organization, which is included in his 2018 W-2. Part II Dr. Strogan was paid as an administrator at the Hospital and not as a member of the board. Dr. Strogen devotes 2.5 hours per week on average to the board and 37.5 hours per week as a physician at the hospital.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Episcopal Health Services Inc

Employer identification number

11-1665825

Return Reference	Explanation
FORM 990, PART I, LINE 7B AND PART V, LINE 3A:	FORM 990-T WAS FILED EXCLUSIVELY TO REPORT QUALIFIED TRANSPORTATION AND PARKING FRINGE BENEFITS UNDER SECTION 512(A)(7) FOR THE PERIOD BEGINNING JANUARY 1, 2018 THRU DECEMBER 31, 2018. FORM 990, PART VI, LINE 8B THERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, LINE 11B	THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS COMPLETED BY THE ACCOUNTING AND FINANCE STAFF OF THE ORGANIZATION AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN REVIEWED BY OUTSIDE TAX ADVISORS AND ANY NECESSARY ADJUSTMENTS ARE MADE, AFTER WHICH TIME IT IS CONSIDERED AN initial DRAFT. THE DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE EPISCOPAL HEALTH SERVICES AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES(THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED REVIEW FUNCTION BY THE BOARD. ONCE THE Committee'S REVIEW IS COMPLETE THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD.
FORM 990, PART VI, LINE 12C	The Corporate Compliance and Privacy Office distributes, gathers and reviews all annual conflict of interest questionnaires. Where positive responses are indicated additional information is gathered to determine if a conflict actually exists. If a conflict exists, appropriate action is taken to eliminate the conflict, including such steps as notifying the board, reassignment of responsibilities or establishment of protective agreements. If a matter involves a board member or officer, appropriate action, including recusal and additional disclosures, will be determined by the board.
FORM 990, PART VI, LINE 15A	THE COMPENSATION REVIEW & APPROVAL PROCESS INCLUDES A COMPARISON OF COMPENSATION RATES PAID for Executive level positions that are compared to COMPARABLE POSITIONS IN THE Northeast and Greater New York Region. The Human Resources Department reviews each position and uses published external salary surveys to recommend fair and equitable salaries. Positions are evaluated against Hospitals with similar Bed Size, Full-time equivalents and revenue size. COMPENSATION WAS REVIEWED AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES.
FORM 990, PART VI, LINE 15B	THE COMPENSATION OF KEY EMPLOYEES IS DETERMINED AND/OR APPROVED AFTER COMPARISON TO CURRENT COMPENSATION RATES PAID FOR COMPARABLE POSITIONS IN THE ORGANIZATION'S REGION. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES.
FORM 990, PART VI, LINE 19	UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
FORM 990, PART VII, SECTION A	DR. ALBERT STROGEN IS COMPENSATED FOR SERVICES RENDERED AS A PHYSICIAN OF THE HOSPITAL AND NOT AS A MEMBER OF THE BOARD. DR. STROGEN DEVOTES 2.5 HOURS PER WEEK ON AVERAGE TO THE BOARD AND 37.5 HOURS PER WEEK AS A PHYSICIAN AT THE HOSPITAL.
FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS	change in pension liability ....................290,822

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Episcopal Health Services Inc

Employer identification number

11-1665825

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)BISHOP HENRY B HUCLES NURSING HOME 377 OAK STREET SUITE 300 garden city,NY11530 11-3277961	Nursing/Rehab	NY	501(C)(3)	LINE 10	EHS inc	Yes
(2)St John's Medical PC 377 OAK STREET SUITE 300 garden city,NY11530 26-2884115	ER SERVICES	NY	501(C)(3)	LINE 12A	EHS inc	Yes
(3)ST JOHN'S MEDICAL SERVICE PC 377 OAK STREET SUITE 300 garden city,NY11530 54-2164621	MEDICAL SVCS	NY	501(C)(3)	LINE 12A	EHS inc	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	(h) Percentage ownership	(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) church charity corporation and sub 377 OAK STREET SUITE 300 garden city,NY11530 11-2797706	charity	NY	na	c corp	0	0	0 %		No

Schedule R (Form 990) 2018

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) ............................

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

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) .......................

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) ...................

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

Yes

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

Yes

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

Yes

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) BISHOP HENRY B HUCLES NURSING HOME INC	q	96,048	COST
(2) ST JOHN'S MEDICAL PC	o	102,980	COST
(3) ST JOHN'S MEDICAL PC	R	3,860,990	COST
(4) ST JOHN'S MEDICAL PC	S	3,344,344	COST
(5) ST JOHN'S MEDICAL SERVICES	o	106,250	COST
(6) ST JOHN'S MEDICAL SERVICES	R	3,150,953	COST
(7) ST JOHN'S MEDICAL SERVICES	S	3,192,263	COST

Schedule R (Form 990) 2018

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) 2018

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: to provide exceptional healthcare and educational programs in an academic setting across the continuum of care and deliver high quality, value based services (see schedule O)
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,957
6	Total number of volunteers (estimate if necessary) .............	6	118
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	265,347

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,192,671	4,190,674
9	Program service revenue (Part VIII, line 2g) .........	163,447,935	176,455,007
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	977,548	-47,508
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	56,216,294	65,332,369
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	222,834,448	245,930,542
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	156,154,719	168,864,822
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)....	66,159,489	80,536,567
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	222,314,208	249,401,389
19	Revenue less expenses. Subtract line 18 from line 12.......	520,240	-3,470,847
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	122,421,374	144,379,919
21	Total liabilities (Part X, line 26).............	119,350,321	144,526,166
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,071,053	-146,247

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 220,142,219 including grants of $ 0 ) (Revenue $ 239,922,718 )
	ST.JOHN'S EPISCOPAL HOSPITAL PROVIDED THE FOLLOWING SERVICES TO RESIDENTS OF ITS LOCAL COMMUNITY IN 2018: 8,293 DISCHARGES. 44,116 ADULT AND PEDIATRIC MEDICAL AND SURGICAL DAYS OF CARE TO 6,827 PATIENTS. 11,910 DAYS OF BEHAVIORAL HEALTHCARE TO 818 PATIENTS. 648 BABIES WERE DELIVERED. 37,392 PATIENTS WERE TREATED AND RELEASED FROM THE 24 HR EMERGENCY ROOM. 14,711 TO THE CHRONIC DIALYSIS SERVICE. 61,970 VISITS TO THE AMBULATORY AND BEHAVIORAL HEALTH CLINICS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses220,142,219

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,539,791	0	1,393,861

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	3,934,967

f	All other contributions, gifts, grants, and similar amounts not included above		1f	255,707

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		4,190,674

		Business Code
2a	NET PATIENT SERVICE REV	621300	179,816,813	179,816,813
b	PHYSICIAN BILLING REVENUE	621110	-1,477,816	-1,477,816
c	PROVISION FOR BAD DEBTS	621300	-3,361,195	-3,361,195
d	CAPITATION REVENUE	621300	1,477,205	1,477,205
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		176,455,007

3 Investment income (including dividends, interest, and othersimilar amounts) ......			70,324			70,324
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		82,929
b	Less: rental expenses		0
c	Rental income or (loss)	0	82,929
d	Net rental income or (loss)......			82,929			82,929
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0	320,011
b	Less: cost or other basis and sales expenses	148,020	289,823
c	Gain or (loss)	-148,020	30,188
d	Net gain or (loss).....			-117,832			-117,832
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	NYS IAAF FUNDS		900099	44,258,214	44,258,214
b	MALPRACTICE INSURANCE RECOVERIES		900099	8,988,821	8,988,821
c	I&R AND NON I&R ROTATION INCOME		900099	3,262,349	3,262,349
d	All other revenue ....			8,740,056	6,958,327		1,781,729
e	Total. Add lines 11a–11d ......			65,249,440
12	Total revenue. See Instructions......			245,930,542	239,922,718		1,817,150

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
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, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	8,390,434		8,390,434
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	120,169,619	114,129,187	6,040,432
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,201,871	7,788,456	413,415
9	Other employee benefits .......	22,963,148	20,823,438	2,139,710
10	Payroll taxes ...........	9,139,750	8,082,192	1,057,558
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	693,685		693,685
c	Accounting ...........	192,000		192,000
d	Lobbying ...........	47,780		47,780
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)	24,068,731	19,018,241	5,050,490
12	Advertising and promotion ....	214,093		214,093
13	Office expenses .......	4,030,155	3,002,596	1,027,559
14	Information technology ......	5,243,429	4,636,713	606,716
15	Royalties ..	0
16	Occupancy ...........	4,472,784	3,140,057	1,332,727
17	Travel ............	53,731	24,225	29,506
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	161,604	129,519	32,085
20	Interest ...........	1,328,197	1,327,435	762
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	4,561,334	4,033,543	527,791
23	Insurance ...	9,586,603	9,136,332	450,271
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	12,315,226	12,309,484	5,742
b	OTHER MATERIALS & EXPENSES	7,763,166	6,756,752	1,006,414
c	DRUGS	5,804,049	5,804,049
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	249,401,389	220,142,219	29,259,170	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).

1	Cash–non-interest-bearing ........			2,602,711	1	7,218,251
2	Savings and temporary cash investments .........			3,329,921	2	5,733,502
3	Pledges and grants receivable, net ......			10,295	3	3,145
4	Accounts receivable, net .............			12,837,825	4	12,904,211
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 ........			1,886,850	8	2,191,631
9	Prepaid expenses and deferred charges ......			3,647,206	9	11,401,213
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	194,756,782
b	Less: accumulated depreciation	10b	147,737,783	38,807,564	10c	47,018,999
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 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			59,299,002	15	57,908,967
16	Total assets. Add lines 1 through 15 (must equal line 34)...			122,421,374	16	144,379,919

17	Accounts payable and accrued expenses .....	45,990,779	17	49,812,410
18	Grants payable ...	0	18	0
19	Deferred revenue .........	5,338,387	19	5,338,387
20	Tax-exempt bond liabilities .........	0	20	0
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 ..	7,009,118	23	22,802,775
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	61,012,037	25	66,572,594
26	Total liabilities. Add lines 17 through 25..	119,350,321	26	144,526,166

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	803,113	27	-2,521,052
28	Temporarily restricted net assets ...........	1,271,599	28	1,378,464
29	Permanently restricted net assets	996,341	29	996,341
	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 ...........	3,071,053	33	-146,247
34	Total liabilities and net assets/fund balances ........	122,421,374	34	144,379,919

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 separately 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; don't 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No