TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) IYAD ANNABI MD...................................................................... ASSISTANT SECRETARY	1.00 ................. 0.00	X	X	98,617	41,430
(2) MICHAEL SCHREIBER MD...................................................................... FORMER CHIEF OF STAFF	1.00 ................. 0.25	X		12,408	14,801
(3) WM LEE KINNALLY JR...................................................................... CHAIRMAN	1.00 ................. 0.00	X	X	0	0
(4) JAMES R LETSEN...................................................................... FIRST VICE CHAIRMAN	1.00 ................. 0.00	X	X	0	0
(5) PAMELA BARNES...................................................................... SECOND VICE CHAIRMAN	1.00 ................. 0.00	X	X	0	0
(6) LENORE A MINERVA...................................................................... SECRETARY	1.00 ................. 0.00	X	X	0	0
(7) ROBERT C MURRAY...................................................................... TREASURER	1.00 ................. 0.00	X	X	0	0
(8) DOMINICK P ARTUSO MD...................................................................... CHAIR DOBBS FERRY MED EXEC COM	1.00 ................. 0.00	X		0	0
(9) JONATHAN BAUMAN MD...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(10) JIM BOSTIC...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(11) MELVINA M CARTER...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(12) STEVE CENTRILLO...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(13) ROBERT DEMATTEO MD...................................................................... CHIEF OF STAFF	1.00 ................. 0.25	X		0	0
(14) JOSEPH A DI SALVO ESQ...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(15) KEVIN T FAY...................................................................... BOARD MEMBER	1.00 ................. 0.25	X		0	0
(16) GREGORY M FISK...................................................................... BOARD MEMBER	1.00 ................. 0.25	X		0	0
(17) MARK HERRMANN...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0

(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
(18) ANN KACHMAR........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0
(19) RICHARD F KOMOSINSKI........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0
(20) THOMAS T LEE MD........................................................................ BOARD MEMBER	1.00 .......................0.25	X					0	0
(21) GERALD T MALONE........................................................................ BOARD MEMBER	1.00 .......................0.25	X					0	0
(22) JEANNE MARTINELLI........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0
(23) CECILE D SINGER........................................................................ BOARD MEMBER	1.00 .......................0.25	X					0	0
(24) REV DR VICTORIA R SIROTA........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0
(25) RONALD CORTI........................................................................ PRESIDENT/CEO	37.50 .......................0.35		X				833,493	134,778
(26) DENNIS KEANE........................................................................ VP FINANCE/CFO	37.50 .......................0.35		X				530,236	59,058
(27) PAUL ANTONECCHIA MD........................................................................ PHYSICIAN - VICE PRESIDENT	37.50 .......................0.35			X			481,129	48,049
(28) GLADYS ATTANASIO........................................................................ ASSISTANT VP REVENUE CYCLE	37.50 .......................0.00			X			251,513	44,650
(29) SUSAN FRANZINO........................................................................ AVP ANCILLARY SERVICES	37.50 .......................0.00			X			197,777	49,818
(30) LAURA FANNING........................................................................ AVP SURGICAL SERVICES	37.50 .......................0.00			X			187,064	24,531
(31) TARA CURTIN........................................................................ CHIEF NURSING OFFICER	37.50 .......................0.00			X			392,099	46,867
(32) SANDRA K SCOTT........................................................................ SOCIAL WORKER	37.50 .......................0.00			X			255,136	55,630
(33) NIRAV PATEL DO........................................................................ PHYSICIAN	37.50 .......................0.00				X		488,950	54,349
(34) CHRISTOPHER DIGIORNO MD........................................................................ PHYSICIAN	1.00 .......................0.00				X		349,127	31,173
(35) MICHAEL DIGIORNO MD........................................................................ PHYSICIAN - NEPHROLOGY	1.00 .......................0.00				X		382,890	44,947
(36) ANDREW FADER........................................................................ PHYSICIAN	1.00 .......................0.00				X		277,842	49,852
(37) ROLANDO CHUMACEIRO........................................................................ PHYSICIAN	1.00 .......................0.00				X		239,004	116,954
(38) DONNA MCGREGOR........................................................................ FORMER VP COO	37.50 .......................0.25					X	283,474	0

(A) Name and business address	(B) Description of services	(C) Compensation
SYMPHONY MEDICAL PC 27 S WASHINGTON AVENUE DOBBS FERRY,NY10522	INTENSIVISTS & HOSPITALISTS	8,480,620
DOBBS FERRY EMERGENCY ROOM MEDICINE 35 WASHINGTON AVENUE DOBBS FERRY,NY10514	ER SERVICES	5,312,320
MEDICAL SOLUTIONS LLC 1010 NORTH 102 ST SUITE 300 OMAHA,NE68114	COVID AGENCY STAFFING	2,757,524
MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX,NY10467	LAUNDRY AND MEDICAL	1,555,880
HEALTHCARE RADIOLOGY & DIAGNOSTIC SYSTEM 409 LINDA AVE HAWTHORNE,NY10532	RADIOLOGY SERVICES	1,320,000
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 37

- 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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

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) 2020

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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

2020

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization ST JOHNS RIVERSIDE HOSPITAL ANDRUS PARKCARE & DOBBS FERRY

Part I Contributors	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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization ST JOHNS RIVERSIDE HOSPITAL ANDRUS PARKCARE & DOBBS FERRY		Employer identification number 13-1740126

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization ST JOHNS RIVERSIDE HOSPITAL ANDRUS PARKCARE & DOBBS FERRY			Employer identification number 13-1740126
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) (2020)

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

2020

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

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

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) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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|No

(b)

Amount

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

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

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

Yes

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

Yes

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

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

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

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

Yes

78,000

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

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

Yes

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

78,000

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
SCHEDULE C PART IV	PART II-B LOBBYING EXPENSES CONTACT WITH MEMBERS OF THE NYS LEGISLATURE ON GRANT FUNDING AND INCREASE THE HOSPITAL'S PRESENCE AND PROFILE WITH LOCAL GOVERNMENT LEADERS AND STATE LEGISLATORS.

Schedule C (Form 990 or 990EZ) 2020

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 instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

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 FASB 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 FASB 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 FASB 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) 2020

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 ....	9,379,699	11,454,079	26,449,502	28,524,162	27,436,832
b	Contributions ...
c	Net investment earnings, gains, and losses	133,282	374,031	523,434	3,089,272	1,387,516
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	2,957,509	2,448,386	15,504,583	5,097,200	231,125
f	Administrative expenses ....		25	14,274	66,732	69,061
g	End of year balance ......	6,555,472	9,379,699	11,454,079	26,449,502	28,524,162

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

Board designated or quasi-endowment SchDMd Bullet

31.000 %

Permanent endowment SchDMd Bullet

33.000 %

Term endowment SchDMd Bullet

36.000 %

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 .....	1,185,006		1,185,006
b	Buildings ....	131,682,863	109,669,550	22,013,313
c	Leasehold improvements	7,420,370	5,726,632	1,693,738
d	Equipment ....	155,384,404	140,010,575	15,373,829
e	Other .....	1,390,131		1,390,131
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				41,656,017

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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)DUE FROM THIRD PARTY PAYORS				5,169,937
(2)OTHER NON-CURRENT ASSETS				4,574,084
(3)OTHER RECEIVABLES				5,226,393
(4)PROFESSIONAL INSURANCE - RCVBL				5,081,313
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				20,051,727

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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	167,264,909
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) 2020

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 X, LINE 2:

ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION, GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTIONS 501(A) AND 501(C)(3) OF THE CODE. IT IS ALSO GENERALLY EXEMPT FROM STATE AND LOCAL INCOME TAXES. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2020 AND 2019.

SCHEDULE D, PART V, LINE 4

INTENDED USE OF ENDOWMENT FUNDS THE ENDOWMENT FUND OF THE HOSPITAL HAS BEEN ESTABLISHED TO PROVIDE FUNDING FOR PROGRAMS SUPPORTED BY ITS ENDOWMENT OR TO PROVIDE EMERGENCY FUNDS FOR USAGE TO BE APPROVED BY THE FINANCE COMMITTEE ON AN EMERGENCY BASIS.

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization
ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2020

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF OUTING (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	133,815	133,815
2	Less: Contributions . . . .	106,317	106,317
3	Gross income (line 1 minus line 2) . . . . . .	27,498	27,498

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	27,498	27,498
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	1,500	1,500
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		28,998
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-1,500

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2020

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2020

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

2020

Open to Public Inspection

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

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? . . . . . .

Yes

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) . . .	535,000	39,848	495,152	0.170 %
b	Medicaid (from Worksheet 3, column a) . . . . .	89,636,657	72,139,661	17,496,996	5.940 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	90,171,657	72,179,509	17,992,148	6.110 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,279,052		1,279,052	0.430 %
f	Health professions education (from Worksheet 5) . . .	9,217,784	8,064,482	1,153,302	0.390 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	10,496,836	8,064,482	2,432,354	0.820 %
k	Total. Add lines 7d and 7j .	100,668,493	80,243,991	20,424,502	6.930 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

Page

Part II

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

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

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

13,593,904

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. ......

3,711,089

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).....

55,530,563

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

56,684,084

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

-1,153,521

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) 2020

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?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	SJR HOSPITAL ANDRUS PAVILION 967 NORTH BROADWAY YONKERS,NY10701 WWW.RIVERSIDEHEALTH.ORG	X	X	X	X	A
2	SJR PARK CARE PAVILION 2 PARK AVENUE YONKERS,NY10703 WWW.RIVERSIDEHEALTH.ORG	X	X	X		A
3	SJR DOBBS FERRY PAVILION 128 ASHFORD AVE DOBBS FERRY,NY10522 WWW.RIVERSIDEHEALTH.ORG	X	X	X	X	A

Schedule H (Form 990) 2020

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)

	ALL FACILITIES
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 19

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..................................

Yes

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. ............................

Yes

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): SEE SECTION C

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 19

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

Yes

If "Yes" (list url): SEE SECTION C

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ALL FACILITIES
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 100.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

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 SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE 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) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	ALL FACILITIES
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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

Page 7

Part VFacility Information (continued)

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

	ALL FACILITIES
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) 2020

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, 20a, 20b, 20c, 20d, 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
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SJR HOSPITAL ANDRUS PAVILION, - FACILITY 2: SJR PARK CARE PAVILION, - FACILITY 3: SJR DOBBS FERRY PAVILION
GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 5:	COMMUNITY HEALTH NEEDS ASSESSMENTTHE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) COMMUNITY HEALTH NEEDSASSESSMENT (CHNA) WAS CONDUCTED AND IS A JOINT REPORT OF ITS THREEHOSPITAL SITES: THE ANDRUS, PARK CARE AND DOBBS FERRY PAVILIONS. THEFACILITIES SERVE A DIVERSE POPULATION IN WESTCHESTER COUNTY AND SHARE ANAUTHORIZED BODY THAT ADOPTED THIS ASSESSMENT IN DECEMBER 2019.THE ST. JOHN'S CHNA WAS DEVELOPED DURING 2019 IN COLLABORATION WITH THEWESTCHESTER COUNTY DEPARTMENT OF HEALTH'S 'HEALTH AND HOSPITAL PLANNINGTEAM AND THE MONTEFIORE OFFICE OF COMMUNITY AND POPULATION HEALTH(INCLUDING MONTEFIORE'S HUDSON VALLEY COLLABORATIVE PERFORMING PROVIDERSYSTEM (PPS) HOSPITAL GROUP).THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH (WCDOH),HTTP://HEALTH.WESTCHESTERGOV.COM/, AND THE MONTEFIORE HUDSON VALLEYCOLLABORATIVE PPS,HTTP://WWW.MONTEFIORE.ORG/HUDSON-VALLEY-COLLABORATIVE,COMMUNITY HEALTH NEEDS ASSESSMENTS, WHICH MEET BOTH IRS AND NYS NEEDSASSESSMENT AND SERVICE PLAN REQUIREMENTS, CONTAIN MORE DETAILEDINFORMATION AND DATA ON THE HEALTH STATUS OF THE POPULATION ANDDISTRIBUTION OF HEALTH ISSUES BASED ON ANALYSIS OF DEMOGRAPHIC FACTORSAND IDENTIFICATION OF THE MAIN HEALTH CHALLENGES FACING THE COMMUNITY; ASWELL AS A DISCUSSION OF THE CONTRIBUTING CAUSES OF THESE CHALLENGES,INCLUDING BROAD DETERMINANTS OF HEALTH.OUR PARTNER SESSIONS GAVE THE OPPORTUNITY FOR AREA HOSPITALS TO DISCUSSNYS PREVENTION AGENDA PRIORITIES, FEEDBACK FROM THEIR PUBLIC NEEDSASSESSMENTS, SERVICES PROVIDED, GAPS IN SERVICE AND BEST PRACTICES. WHILEALL HOSPITALS IN WESTCHESTER COUNTY SHARE THE SAME PRIORITIES, EACHHOSPITAL SELECTED PRIORITIES THAT ALIGNED WITH THEIR MISSION, WEREATTAINABLE, AND CREATED A PROGRAM THAT BEST SUITED ITS INSTITUTION ANDPATIENT SERVICE AREA. THE PUBLIC INPUT PROCESS ALSO ENCOMPASSEDCOLLABORATION WITH THE FOLLOWING PARTNERS: CITY OF YONKERS/SJRH'S HEALTHYYONKERS INITIATIVE AND THE SJRH COMMUNITY ADVISORY COMMITTEE.A MULTIDISCIPLINARY GROUP WAS INVOLVED IN ASSESSING COMMUNITY HEALTHNEEDS IN WESTCHESTER COUNTY WITH PUBLIC PARTICIPATION SOLICITED VIA ASURVEY SPONSORED BY THE WCDOH AND COMMUNITY PARTNERS. THE COLLABORATIVEPROCESS WAS BENEFICIAL IN RESEARCHING CURRENT HEALTH DATA, CONDUCTINGHEALTH NEEDS ASSESSMENTS WITHIN OUR COMMUNITIES, SHARING OF BEST PRACTICEINTERVENTIONS AND LEVERAGING OF RESOURCES.TO DETERMINE THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY, WE SURVEYEDMEMBERS OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITYPOPULATIONS IN THE SJRH SERVICE AREA, WHO REPRESENT THE HEALTH INTERESTSOF OUR PATIENTS AND THEIR FAMILIES. THE COLLABORATIVE SURVEY WASCOMPLETED BY MORE THAN 3,500 RESPONDENTS BETWEEN JANUARY AND MAY 2019.THE SURVEY COMPRISED THE PRIMARY DATA COLLECTION WITH QUERIES TAILORED TO ALIGN WITH THE PREVENTION AGENDA; THE PROCESS INCLUDED COMMUNITY BASEDFOCUS GROUPS, GRASS ROOTS DISTRIBUTION, COLLECTION ANDINTRA-ORGANIZATIONAL REVIEW OF RESIDENT NEEDS, SERVICE UTILIZATION ANDOUTCOMES. 32% OF RESPONDENTS IDENTIFIED AS HISPANIC AND43.7% IDENTIFIED AS NON-HISPANIC WHITE AND 16.2% AS NON-HISPANIC BLACK.RESPONDENTS RESIDED THROUGHOUT THE COUNTY, WITH 13% LIVING IN A WHITEPLAINS ZIP CODE (10601, 10603, 10604, 10605, 10606, 10607, 10608) ANDAPPROXIMATELY 34.6% LIVING IN THE ST. JOHN'S RIVERSIDE SERVICE AREA. ST.JOHN'S LEADERSHIP ALSO CONSIDERED ITS OWN RESOURCES, STRENGTHS, ANDABILITIES IN THE SELECTION OF SJRH'S PRIORITY COMMUNITY NEEDS.TO HELP SUPPORT AND COORDINATE THIS COLLABORATION, THE WCDOH INVITED ALLWESTCHESTER HOSPITALS TO ATTEND A KICK-OFF MEETING IN EARLY 2019. TOSUPPORT IN THE SELECTION OF PRIORITIES THE WCDOH'S HEALTH AND HOSPITALPLANNING TEAM HELD COLLABORATIVE MEETINGS THROUGHOUT 2019. IN ADDITION,MEMBERS OF THAT GROUP JOINED WITH THE WORK OF MONTEFIORE'S OFFICE OFCOMMUNITY AND POPULATION HEALTH FOR MONTHLY MEETINGS THROUGHOUT THESPRING, SUMMER, AND FALL 2019.THE COLLECTION OF PRIMARY DATA FROM A SAMPLE OF THE WESTCHESTER COUNTYRESIDENTS WAS AN IMPORTANT ELEMENT OF THE DEVELOPMENT OF THE COMMUNITYHEALTH NEEDS ASSESSMENT. SJRH ENGAGED WITH THE WCDOH'S ON-LINE COMMUNITYRESIDENT AND PROVIDER HEALTH SURVEYS TO FACILITATE THE IMPLEMENTATION OFTHE DATA COLLECTION PROCESS. WE IDENTIFIED THE FOLLOWING PARTNERS TO HELPIMPLEMENT INTERVENTIONS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT: HUDSON RIVER HEALTHCARE FQHC, HUDSON COMMUNITY HEALTHALLIANCE'S LOCAL IMPACT INITIATIVE, PRIMARY PRACTICE OFFICES, CANCERCOALITION OF WESTCHESTER, HEALTHY YONKERS INITIATIVE, SJRH BEHAVIORALHEALTH SERVICES, SJRH COMMUNITY ADVISORY TEAM, WESTCHESTER COUNTYDEPARTMENT OF HEALTH AND THE MONTEFIORE HUDSON VALLEY COLLABORATIVE.OUR PLANNING TEAM ALSO CONDUCTED A SURVEY OF SELECTED STAKEHOLDERSREPRESENTING HEALTH CARE AND SERVICE-PROVIDING AGENCIES WITHIN THECOUNTY. THE PURPOSE OF THE STUDY WAS TO PROVIDE FEEDBACK FROM COMMUNITYSERVICE PROVIDERS IN ORDER TO: 1) GUIDE STRATEGIC PLANNING, 2) HIGHLIGHTTOPICS FOR INCREASED PUBLIC AWARENESS, 3) IDENTIFY AREAS FOR TRAINING,AND 4) INFORM THE STATEWIDE PREVENTION AGENDA. THE SURVEY WAS DEVELOPEDTHROUGH A COLLABORATIVE EFFORT BY AN EIGHTEEN-MEMBER SURVEY COMMITTEEREPRESENTING COUNTY PUBLIC HEALTH DEPARTMENT AND LOCAL HOSPITALS DURINGTHE SPRING-SUMMER OF 2017. A TOTAL OF 3,500 COMMUNITY SURVEYS WERECOLLECTED, THIS IS 2,182 MORE SURVEYS THAN THE ONE CONDUCTED FOR THEPREVIOUS COMMUNITY SERVICE PLANNING PROCESS AND THE COMMUNITY HEALTHNEEDS ASSESSMENT PROCESS.TO ENSURE A BROAD ASSESSMENT OF OUR COMMUNITY HEALTH NEEDS, WE ENGAGED AVARIETY OF PARTICIPANTS INCLUDING, BUT NOT LIMITED TO, THECOMMUNITY-AT-LARGE THROUGH LOCAL RESIDENTS PARTICIPATING IN SJRHSPEAKER'S BUREAU'S HEALTH EDUCATION PROGRAMS. WE SHARED HEALTH DATA ANDSOUGHT FEEDBACK THROUGH THE FOLLOWING SJRH GROUPS: COMMUNITY ADVISORYCOMMITTEE, PASTORAL CARE COMMITTEE, PHYSICIAN ALIGNMENT COMMITTEE,RADIOLOGY ADVISORY COMMITTEE, WELLNESS COMMITTEE, BOARD OF TRUSTEES AND OUR EMPLOYEES.WE PLAN TO PROVIDE ONGOING OPPORTUNITIES FOR HOSPITALS AND OTHERSTAKEHOLDERS, I.E. COMMUNITY-BASED ORGANIZATIONS, TO STRATEGIZE ON HOW TOADDRESS HEALTH PRIORITIES. WE WILL ALSO WORK WITH PARTNERS TO PROVIDEMORE REFINED DATA TO TRACK AND EVALUATE PROGRESS IN ACHIEVING GOALSRELATED TO SELECTED PRIORITIES. SJRH WILL CONTINUE TO COMMUNICATE WITHOTHER COMMUNITY-BASED ORGANIZATIONS REGARDING ADVOCACY, PARTICIPATION INLOCAL COMMUNITY EVENTS, AND EXCHANGE OF REFERRAL INFORMATION. ENGAGINGLOCAL COMMUNITY MEMBERS IN OUR EFFORTS ENABLES US TO INVOLVE OUR HEALTHCARE INSTITUTION AND THE COMMUNITY IN THE ACTIVITIES OF NATIONAL HEALTHADVOCACY ORGANIZATIONS, INCLUDING WALKS, FAIRS, AND OTHERAWARENESS-RAISING ACTIVITIES FOR HEALTH ISSUES THAT IMPACT THECOMMUNITY.IN EARLY 2020, BEFORE THE FIRST COVID SURGE IN WESTCHESTER COUNTY, THE HOSPITAL HELD ITS FIRST MEETING OF THE CALENDAR YEAR TO REVIEW THE ONGOING SELECTED ACTIVITIES. IN LATE 2020, NY STATE DEPARTMENT OF HEALTH NOTED THAT HOSPITALS MIGHT CHANGE THEIR PRIORITIES TO ONES RELATED TO COVID OR MIGHT KEEP THE ITEMS IDENTIFIED IN THE 2019 ASSESSMENT. WHILE SJRH CONTINUES TO BE ACTIVE AND INSTRUMENTAL IN FIGHTING COVID IN THE COMMUNITY IT SERVES, THE HOSPITAL CHOSE TO CONTINUE WITH THE TWO PRIORITY AREAS CHOSEN IN LATE 2019.
GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 7D:	CHNA PUBLICATIONTHE ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) COMMUNITY HEALTH NEEDSASSESSMENT (CHNA) PROCESS WAS CONDUCTED DURING THE 2019 PERIOD ANDAPPROVED BY ITS BOARD OF TRUSTEES ON DECEMBER 9, 2019. THE FINALAPPROVED CHNA REPORT WAS ALSO UPLOADED TO THE SJRH PUBLIC WEBSITEWWW.RIVERSIDEHEALTH.ORG BY DECEMBER 30, 2019, SHARED WITH COMMUNITYPARTNERS AND A PAPER COPY WAS MADE AVAILABLE FOR PUBLIC INSPECTION UPONREQUEST AND WITHOUT CHARGE AT THE HOSPITAL FACILITY. A PRESS RELEASE WAS SENT TO ALL LOCAL MEDIA FOR PUBLICATION, THAT THE REPORT IS AVAILABLE FORTHE PUBLIC TO REVIEW. ALL HOSPITAL ADMINISTRATIVE OFFICES ARE GIVEN ACOPY OF THE REPORT TO PRODUCE UPON REQUEST. THE COMMUNITY RECEIVEDCOMMUNICATION THROUGH OUR PRINT NEWSLETTER, "RIVERSIDE". SJRH EMPLOYEES,PHYSICIANS AND COMMUNITY PARTNERS RECEIVED NOTIFICATION THROUGH THEIREMAIL NEWSLETTERS WITH A LINK TO CONNECT THEM TO OUR WEBSITE.NOTIFICATION WAS ALSO POSTED ON THE SJRH FACEBOOK PAGE, ON YOUTUBE,TWITTER, AND INSTAGRAM. EMPLOYEES CAN ALSO ACCESS THE REPORT THROUGH THEHOSPITAL INTRANET AND COPIES CAN BE OBTAINED BY CALLING THE HOSPITAL'SPUBLIC RELATIONS OFFICE. DIRECT URL TO CHNA AND THE COMMUNITY SERVICEPLAN IS:HTTPS://WWW.RIVERSIDEHEALTH.ORG/PORTALS/0/CHNA_ISR%2012_2019.PDFBECAUSE OF THE COVID SURGE IN 2020, SJRH WAS NOT REQUIRED TO SUBMIT A REPORT TO NEW YORK STATE ON THE CHNA ACTIVITIES IN 2020. INSTEAD, SJRH WAS REQUIRED TO SUBMIT THE CONTINUING OR NEW PRIORITIES FOR 2021.
GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 11:	ADDRESSING COMMUNITY NEEDSTHE AFFORDABLE CARE ACT REQUIRES NOT-FOR-PROFIT HOSPITALS TO ASSESS ANDADDRESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE THROUGH THEDEVELOPMENT OF A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)AND IMPLEMENTATION STRATEGY (I/S). ACCORDINGLY, ST. JOHN'S RIVERSIDEHOSPITAL (SJRH) HAS TAKEN INTO ACCOUNT THE BROAD INTERESTS OF ITSCOMMUNITY MEMBERS, ANALYZED HEALTH DATA AND SUBSEQUENTLY ADOPTED A PLANTO PRIORITIZE AND MEET THE HEALTH NEEDS IDENTIFIED. THE SJRH CHNAPROVIDES A REPORT OF THE PROCESS AND RESULTS OF A COMPREHENSIVEASSESSMENT OF THE NEEDS OF ITS COMMUNITY SERVED. THE SJRH I/S ADDRESSESTHE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AND DELINEATES THE METRICS TO BE USED TO EVALUATE THE IMPACT OF THESEINITIATIVES. THE SJRH CHNA WAS DEVELOPED BASED UPON BOTH FEDERAL AND NEWYORK STATE (NYS) GUIDELINES. THE NYS GUIDELINES WERE DESIGNED TO MEET THEFEDERAL HEALTHY PEOPLE 2020 GOALS AND ENCOMPASS THE NYS DEPARTMENT OFHEALTH PREVENTION AGENDA 2019-2024.SJRH HAS CONSIDERED THE CHNA AND PREVENTION AGENDA DOCUMENTS ALONG WITHTHE DIALOGUE OF ITS COMMUNITY PARTNERS IN THE ESTABLISHMENT OF ITSTHREE-YEAR ACTION PLAN THAT INCLUDES TWO PREVENTION AGENDA PRIORITIES;BOTH OF WHICH ADDRESS A HEALTH DISPARITY IN THE COMMUNITY AND INVOLVESONGOING COLLABORATION AND ENGAGEMENT WITH PARTNERS TO ACHIEVE HEALTHIMPROVEMENT. THE SJRH CHNA IS AN OUTCOME OF THE COLLABORATIVE HEALTHNEEDS ASSESSMENT CONDUCTED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH(WCDOH) HEALTH AND HOSPITAL PLANNING TEAM AND THE MONTEFIORE OFFICE OFCOMMUNITY AND POPULATION HEALTH (IN CONJUNCTION WITH MONTEFIORE'S HUDSONVALLEY COLLABORATIVE PPS). SJRH WAS AN ACTIVE PARTICIPANT IN ALL OF THESEEFFORTS. PARTNER SESSIONS GAVE THE OPPORTUNITY FOR AREA HOSPITALS TODISCUSS PREVENTION AGENDA PRIORITIES, FEEDBACK FROM THEIR PUBLIC NEEDSASSESSMENTS, SERVICES PROVIDED, GAPS IN SERVICE AND BEST PRACTICES. AREVIEW OF THE RESULTS FROM THE PRIMARY AND SECONDARY DATA COLLECTIONPROCESS HIGHLIGHTED TWO MAJOR CATEGORIES OF HEALTH NEEDS THAT WEREIMPORTANT ACROSS THE POPULATIONS SURVEYED, REFLECTED IN THE DATA ASCRITICAL, AND IN ALIGNMENT WITH THE NYS PREVENTION AGENDA.MULTIPLE DATA SOURCES WERE USED TO SUPPORT THE ASSESSMENT OF HEALTH NEED PRIORITY ITEMS THAT WERE IDENTIFIED, SELECTED, AND REVIEWED WITHCOMMUNITY PARTNERS. A LISTING AND BRIEF SUMMARY OF THE DATA SOURCES USEDTO COMPLETE THE SECONDARY DATA ANALYSIS AND IDENTIFY THE ISSUES OFCONCERN BEYOND EXPERIENCE AND DIRECT OBSERVATION ARE INCLUDED IN THISREPORT. NUMEROUS CONVERSATIONS AND MEETINGS WERE CONVENED INTERNALLY ANDWITH EXTERNAL PARTNERS, AND A THOROUGH REVIEW OF THE DATA WAS CONDUCTED,ALL OF WHICH HAVE FRAMED THE DEVELOPMENT OF THE CHNA AND I/S. THEPRIORITY AREAS SELECTED AND EACH OF THE PLANNED INTERVENTIONS FOCUS ONSPECIFIC PRIORITY POPULATIONS AND ADDRESS THE ETHNIC AND CULTURALDISPARITY DEFINED IN THE INDICATORS FOR THE POPULATION SERVED BY SJRH.THE PROCESS TO IDENTIFY THE NEEDS OF THE COMMUNITY INVOLVED THECOLLECTION OF BOTH PRIMARY AND SECONDARY DATA.- PRIMARY DATA - SURVEYS, TOWN HALLS, FOCUS GROUPS- SECONDARY DATA - HEALTH SYSTEM, PUBLIC HEALTH, DEMOGRAPHIC DATASOURCES.THE SURVEY IDENTIFIED THE TOP COMMUNITY HEALTH PRIORITY IN SJRH'S SERVICEAS MENTAL HEALTH AND THE SECOND PRIORITY AS CHRONIC DISEASE SCREENING ANDCARE.THROUGH THIS PROCESS AND BASED ON THIS COMMUNITY INPUT, SJRH HAS SELECTEDTHE FOLLOWING PREVENTION AGENDA PRIORITIES:- PREVENT CHRONIC DISEASES (TOBACCO USE CESSATION AMONG LOW SOCIOECONOMICPOPULATIONS), AND- PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE (TREATMENT OFINDIVIDUALS WITH SUBSTANCE ABUSE AND CO-OCCURRING DEPRESSIVE DISORDERSAMONG LOW-SOCIOECONOMIC POPULATIONS).THE PRIORITIES SELECTED ALSO CREATE BETTER ALIGNMENT WITH THE INITIATIVESOF THE NEW YORK STATE DEPARTMENT OF HEALTH'S DELIVERY SYSTEM REFORMINCENTIVE PAYMENT (DSRIP) PROGRAM. DSRIP HAS A VERY STRONG FOCUS ON BOTHTHE PREVENTION AND MANAGEMENT OF CHRONIC DISEASES AND BEHAVIORAL HEALTHISSUES, INCLUDING MENTAL HEALTH.THE 2019 CHNA CONTINUES TO ADDRESS THEMES ALSO IDENTIFIED IN OUR 2016CHNA.2020 PRIORITY AREA 1 (CONTINUED FROM 2019): PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.FOCUS AREA: MENTAL AND SUBSTANCE USE DISORDERS PREVENTIONGOAL 1.2: PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATH.THIS PRIORITY AREA CONTINUED IN 2020. BECAUSE OF THE COVID SURGES, NO REPORTING ON THIS PROIRITY AREA WAS REQUIRED BY NY STATE IN 2020. WORK DID CONTINUE ON THIS PRIORITY AREA THROUGHOUT THE YEAR, AS POSSIBLE. AS THE NUMBER OF PEOPLE SEEING SUBSTANCE USE TREATMENT CONTINUES TO INCREASE IN 2021 (NOT YET MEETING 2019 LEVELS) THIS CONTINUES AS A PRIORITY AREA IN 2021. 2020 PRIORITY AREA 2 (CONTINUED FROM 2019): PREVENT CHRONIC DISEASESFOCUS AREA: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENTGOAL 4.1: INCREASE CANCER SCREENING RATES FOR BREAST CANCER.THIS PRIORITY AREA CONTINUED IN 2020. BECAUSE OF THE COVID SURGES, NO REPORTING ON THIS PROIRITY AREA WAS REQUIRED BY NY STATE IN 2020. WORK DID CONTINUE ON THIS PRIORITY AREA THROUGHOUT THE YEAR, AS POSSIBLE. HOWEVER, BECAUSE OF COVID THE NUMBER OF WOMEN SEEKING AND RECEIVING BREAST CANCER SCREENINGS DECREASED. THIS CONTINUES AS A PRIORITY AREA IN 2021 WITH EFFORTS TO INCREASE THE NUMBER OF WOMEN SEEKING SCREENING SERVICES.ADDITIONAL PRIORITY AREA FOR 2020 - COVID-19: IN 2020, WESTCHESTER COUNTY WAS ONE OF THTE FIRST COUNTIES IN THE NATION TO BE DECLARED A COVID HOT SPOT. THE HOSITAL EXPERIENCED TWO MAJOR SURGES OF COVID INFECTION DURING THAT YEAR. THE FIRST BEGAN IN MARCH 2020 AND ABATED IN JUNE 2020. THE SECOND BEGAN IN NOVEMBER 2020 AND CONTINUED INTO 2021. THE HOSPITAL PROVIDED ONGOING SUPPORT TO THE COMMUNITY DURING BOTH SURGES. DURING THE 2020 SURGES, SJRH HAD A TOTAL OF 897 ADMISSIONS FOR COVID-19 AND 131 DEATHS. THE HIGHEST SINGLE MONTH OF ADMISSIONS WAS IN APRIL 2020 WITH 482 COVID-RELATED AMISSIONS AND 131 DEATHS. PARTICULARLY HARD HIT IN OUR AREA WERE COMMUNITIES OF COLOR. AS A RESULT, IN LATE 2020 PLANS BEGAN FOR A HOSPITAL-WIDE HEALTH EQUITY PROJECT TO BEGIN TO ADDRESS THESE HEALTH DISPARITIES.
GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 13B:	FINANCIAL ASSISTANCE POLICYAS PART OF THE HOSPITAL'S HEALTH SOLUTIONS FINANCIAL ASSISTANCE POLICY,UNINSURED INDIVIDUALS WITH DOCUMENTED INCOME AND FAMILY SIZE LEVELS THATFALL AT OR BELOW 100% FEDERAL POVERTY LEVEL (FPL) WILL BE ENTITLED TO PAYTHE AMOUNTS SPECIFIED UNDER THE STATE'S NOMINAL PAYMENT GUIDELINES (ASSHOWN BELOW):I. INPATIENT SERVICES - $150/DISCHARGEII. AMBULATORY SURGERY - $150/PROCEDUREIII. ALL ANCILLARY SERVICES - $150/PROCEDUREIV. ADULT ER/CLINIC SERVICES - $15/VISITV. PRENATAL AND PEDIATRIC ER/CLINIC SERVICES - NO CHARGEIN THE EVENT THE TOTAL CHARGES FOR THE SERVICES RENDERED WERE LESS THANEITHER THE NOMINAL PAYMENT GUIDELINES AMOUNT, OR THE PERCENTAGE DISCOUNTOF THE AGB (AMOUNT GENERALLY BILLED) RATE, THEN THE PATIENT WILL ONLY BELIABLE FOR THE LOWER AMOUNT. WHEN APPLYING A PERCENTAGE OF THE AGB RATETO ESTABLISH THE DISCOUNT, IT WILL BE FOR THE SPECIFIC SERVICE(S)RENDERED.UNDER THE HOSPITAL'S HEALTH SOLUTIONS FINANCIAL ASSISTANCE POLICY,UNINSURED INDIVIDUALS WHOSE DOCUMENTED INCOME AND FAMILY SIZE FALLBETWEEN 101%-150% OF THE FPL GUIDELINES WILL BE ENTITLED TO DISCOUNTEDFEES BASED ON A SLIDING SCALE FOR COVERED SERVICES BASED WITH THE LOWESTINCOMES PAYING THE LOWEST AMOUNT, AND THEN INCREASING IN EQUAL INCREMENTSUP TO A MAXIMUM OF 20% OF THE RATE FOR THE SERVICE RENDERED.UNINSURED INDIVIDUALS WHOSE DOCUMENTED INCOME AND FAMILY SIZE FALL BETWEEN 151%-250% OF THE FPL GUIDELINES WILL BE ENTITLED TO DISCOUNTED FEES BASED ON A SLIDING SCALE FOR COVERED SERVICES FROM 30%-75% OF THE RATE FOR THE SERVICE RENDERED CAPPED AT THE HIGHER RATE.UNINSURED INDIVIDUALS WHOSE DOCUMENTED INCOME AND FAMILY SIZE FALL BETWEEN 251%-300% OF THE FPL GUIDELINES WILL BE CHARGED NO MORE THAN THE RATES FOR THE SERVICES RENDERED.INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HEALTH SOLUTION PROGRAM MAY RECEIVE ADDITIONAL FEE DISCOUNTS DUE TO EXTRAORDINARY CIRCUMSTANCES, WHICH WILL BE REVIEWED AND APPROVED BY THE DIRECTOR OF PATIENT ACCOUNTS.
GROUP A-FACILITY 1 -- ALL FACILITIES PART V, SECTION B, LINE 13H:	AMOUNTS CHARGED TO PATIENTSTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROVIDES ASSISTANCE TOINDIVIDUALS IN THE FOLLOWING GEOGRAPHIC AREAS:1. FOR EMERGENCY CARE SERVICES: ALL NEW YORK STATE RESIDENTS.2. FOR MEDICALLY NECESSARY NON-EMERGENT INPATIENT, AMBULATORY SURGERY,AND OUTPATIENT SERVICES (INCLUDING CLINICS), THE HOSPITAL'S PRIMARYSERVICE AREA (PSA) INCLUDES ALL PATIENTS RESIDING IN THE FOLLOWINGCOUNTIES: WESTCHESTER, ORANGE, PUTNAM, ROCKLAND, BRONX, MANHATTAN (NEWYORK), BROOKLYN (KINGS) AND QUEENS.PART V, LINE 16ATHE FINANCIAL ASSISTANCE POLICY (FAP) CAN BE FOUND AT THE FOLLOWING WEBSITE:HTTPS://RIVERSIDEHEALTH.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/PART V, LINE 16BTHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT THE FOLLOWINGWEBSITE:HTTPS://RIVERSIDEHEALTH.ORG/WP-CONTENT/UPLOADS/HS-APPLICATION-REVISED-MARCH-2017.PDFPART V, LINE 16CA PLAIN LANGUAGE SUMMARY OF THE SJRH FAP CAN BE FOUND AT THE FOLLOWING WEBSITE:HTTPS://RIVERSIDEHEALTH.ORG/WP-CONTENT/UPLOADS/HEALTH-SOLUTION-SUMMARY-2021-ENGLISH.PDFPART V, LINE 16IPUBLICATION OF FINANCIAL ASSISTANCE POLICYSEE SUPPLEMENTAL INFORMATION, PART VI, LINE 3 FOR MORE INFORMATION.

Schedule H (Form 990) 2020

Page 9

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) 2020

Page 10

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 3A AND PART V, LINE 13	FREE CAREAS OUTLINED IN THE NEW YORK STATE HOSPITAL FINANCIAL ASSISTANCE LAW,UNINSURED INDIVIDUALS WITH DOCUMENTED INCOME AND FAMILY SIZE LEVELS THAT FALL AT OR BELOW 100% FPL WILL BE ENTITLED TO PAY THE AMOUNTS SPECIFIED UNDER THE STATE'S NOMINAL PAYMENT GUIDELINES (AS SHOWN BELOW AND INCLUDED IN THE HOSPITAL'S FINANCIAL AND CHARITY CARE PROGRAM POLICY):I. INPATIENT SERVICES - $150/DISCHARGEII. AMBULATORY SURGERY - $150/PROCEDUREIII. ALL ANCILLARY SERVICES - $150/PROCEDUREIV. ADULT ER/CLINIC SERVICES - $15/VISITV. PRENATAL AND PEDIATRIC ER/CLINIC SERVICES - NO CHARGEPART I, LINE 6ATHE HOSPITAL SUBMITTED A COMMUNITY SERVICE PLAN (CSP) TO NEW YORK STATE IN 2020 AND PREPARED A COMMUNITY HEALTH NEEDS ASSESMENT (CHNA) REPORT IN 2019. BOTH OF THESE ARE MADE AVAILABLE TO THE PUBLIC THROUGH POSTING ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. BEGINNING IN MARCH 2020 THE HOSPITAL'S EFFORTS FOCUSED ON MEDICAL SUPPORT OF THE FIGHT AGAINST COVID-19 IN THE COMMUNITY. THE MAJORITY OF THE HOSPITAL'S EFFORTS IN 2020 FOCUSED ON THIS FIGHT AGAINST COVID AND SUPPORT OF THE COMMUNITY WE SERVED. THE HOSPITAL'S MISSION STATEMENT HAS NOT CHANGED FOR THE 2019 CSP OR FOR 2020. THE HOSPITAL CONTINUES TO ADDRESS PLANNING ISSUES INCLUDING QUALITY, CULTURE AND COMMUNICATION, ACCESS TO CARE, MARKET SHARE, FINANCIAL, AND PHYSICIAN ALIGNMENT. PLEASE NOTE THAT THE HOSPITAL'S PRIMARY SERVICE AREA USED IN THE 2019 COMMUNITY SERVICE PLANNING REMAINS THE SAME AS THAT REPORTED IN THE PREVIOUS CSP. PART I, LINE 7THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM THE MEDICARE COST REPORT.PART III, LINES 2 & 4THE HOSPITAL REGULARLY REVIEWS ITS PAST COLLECTION HISTORY AND PAYMENTTRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE RESERVES. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH UNINSURED PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT IMPLICIT PRICE CONCESSION FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE RESERVE ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED.THE 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAIN A PATIENT ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 10 AND A CHARITY CARE AND UNCOMPENSATED CARE FOOTNOTE ON PAGE 13.PART III, LINE 3THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT REGARDLESS OF ABILITY TO PAY. THE AMOUNT OF $3,711,089 REPRESENTS THE HOSPITAL'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND IS COMPRISED OF THE DOLLAR VALUE OF THE DISCOUNTS MADE AVAILABLE TO PATIENTS UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY AS WELL AS THE UNCOMPENSATED CARE PROVIDED TO THE MEMBERS OF OUR COMMUNITY THAT WE SERVE WHO ARE IN NEED OF EMERGENCY AND MEDICALLY NECESSARY CARE AND DO NOT HAVE THE ABILITY TO PAY.PART III, LINE 8TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6, MEDICARE CHARGES WERE MULTIPLIED BY THE COST TO CHARGE RATIO, AS DERIVED FROM THE MEDICARE COST REPORT.
PART III, LINE 9B	1. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HEALTH SOLUTION PROGRAM WILL HAVE THEIR OPEN ACCOUNTS ADJUSTED TO THE AMOUNT DUE BASED ON THE LEVEL OF ASSISTANCE THEY RECEIVE, SO THAT BILLS AND STATEMENTS WILL REFLECT THE DISCOUNTED AMOUNT DUE. PATIENTS WILL THEN BE EXPECTED TO PAY THE ADJUSTED AMOUNT DUE.2. PATIENTS WHO ARE UNABLE TO PAY THE ADJUSTED AMOUNT DUE WILL BE OFFERED PAYMENT PLANS.3. PAYMENT PLANS WILL NOT REQUIRE A PATIENT TO PAY MORE THAN 10% OF THEIR MONTHLY GROSS INCOME TOWARDS MONTHLY INSTALLMENT PAYMENTS. IF THE HOSPITAL ELECTS TO CONSIDER OTHER NON-EXCLUDED ASSETS IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY, THEN MONTHLY PAYMENTS MAY EXCEED 10%.4. THE HOSPITAL WILL NOT COLLECT FROM A PATIENT WHO IS DETERMINED TO BE ELIGIBLE FOR MEDICAID, OR WHO IS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED.5. IF A PATIENT OR RESPONSIBLE PARTY DEFAULTS ON ITS PAYMENT OBLIGATIONS, OR FAILS TO MEET THE TERMS OF ANY FINANCIAL AGREEMENT, THE ACCOUNT IN QUESTION WILL BE CONSIDERED DELINQUENT, AND MAY BE REFERRED TO A COLLECTION AGENCY BASED ON THE HOSPITAL'S COLLECTION POLICY.6. THE HOSPITAL WILL NOT SEND AN ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL AID, INCLUDING REQUIRED SUPPORTING DOCUMENTATION, WHILE THE HOSPITAL DETERMINES THE PATIENT'S ELIGIBILITY FOR SUCH AID, OR DURING THE PROCESS WHERE THE PATIENT HAS APPEALED AN ELIGIBILITY DETERMINATION.7. THE HOSPITAL WILL REVIEW ALL ACCOUNTS DETERMINED TO BE REFERRED TOOUTSIDE COLLECTION TO ENSURE THAT ITS FINANCIAL POLICY AND PROCEDURESWERE FOLLOWED.8. THE HOSPITAL WILL PROVIDE WRITTEN NOTIFICATION AND A NOTICE ON THE PATIENT'S BILL LESS THAN 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO OUTSIDE COLLECTION.9. THE HOSPITAL WILL SEND EACH OF ITS COLLECTION AGENCIES A COPY OF ITS FINANCIAL ASSISTANCE POLICY AND PROCEDURES, AND WILL INSTRUCT THE AGENCY TO FOLLOW THESE PROCEDURES WHEN INSTRUCTING THE PATIENT HOW TO APPLY FOR SUCH AID.10. COLLECTION AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT PRIOR TO COMMENCING A LEGAL ACTION ON A PATIENT'S ACCOUNT.11. LEGAL ACTION MAY INCLUDE GARNISHMENT OF WAGES WHERE THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS TO MEET HIS/HER FINANCIAL OBLIGATION UNDER THIS POLICY.12. THE HOSPITAL WILL NOT PERMIT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE IN ORDER TO COLLECT AN OUTSTANDING MEDICAL BILL.2. NEEDS ASSESSMENTWHILE UNPLANNED, THE COVID-19 PANDEMIC QUICKLY BECAME THE HOSPITAL'S NUIMBER ONE PRIORITY IN 2020. COVID-19 WAS THE MAJOR FOCUS FOR THE HOSPITAL AND ITS COMMUNITY DURING THE YEAR. THE HOSPITAL HAD 897 COVID-RELATED INPATIENT ADMISSIONS IN 2020 AND 181 DEATHS FROM THE DISEASE. ONCE THE VACCINE BECAME AVAILABLE, A MAJOR FOCUS FOR THE HOSPITAL BECAME VACCINATION OF OUR STAFF AND PRIORITY POPOULATION COMMUNITY MEMBERS. VACCINE DISTRIBUTION BEGAN ON DECEMBER 15, 2020. BY DECEMBER 30, 2020, VACCINE DISTRIBUTION HAD ACCOMPLISHED THE FOLLOWING AT EACH OF OUR THREE SITES: ANDRUS PAVILION 754 STAFF MEMBERS RECEIVED A FIRST DOSE AND 275 MEMBERS OF PRIOIRITY POPULATIONS RECEIVED FIRST DOSES; PARK CARE PAVILION 85 STAFF MEMBERS AND 5 COMMUNITY MEMBERS RECEIVED A FIRST DOSE; DOBBS FERRY PAVIION 70 STAFF MEMBERS AND 79 PRIORITY COMMUNITY MEMBERS RECEIVED FIRST DOSES. (NOTE: DURING THIS PERIOD FIRST DOSES FOR COMMUNITY MEMBERS WERE LIMITED TO THOSE OVER 65 YEARS OF AGE.) TOTAL VACCINE DOSES IN 2020 WERE 909 STAFF MEMBERS AND 359 PRIORITY COMMUNITY MEMBERS, TOTALLING 1,268 TOTAL DOSES OF VACCINE ADMINISTERED. IN ADDITION, THE HOSPITAL'S TESTING FOR COVID-19 WAS A MAJOR EMPHASIS THROUGHTOUT THE TWO SURGES IN 2020 AND CONTINUING INTO 2021. IN 2020, THE HOSPTIAL ADMINISTERED A TOTAL OF 26,870 COVID TESTS. (THESE WERE ADMINISTERED AS FOLLOWS: INPATIENT: 10,037, EMERGENCY ROOM: 4,181, AND OUTPATIENT: 12,652).ONGOING HEALTH NEEDS ASSESSMENTS AND EFFORTS TO ADDRESS THOSE ARE NOTED BELOW: ST. JOHN'S RIVERSIDE HOSPITAL (SJRH) LOCATED IN THE HUDSON VALLEY REGION WITHIN WESTCHESTER COUNTY, SERVES THE CITY OF YONKERS AND THE RIVERTOWN AREAS AND ACTIVELY WORKS WITH THE FOLLOWING PARTNERS TO ASSESS THE COMMUNITIES' HEALTH CARE NEEDS: LOCAL COMMUNITY-BASED ORGANIZATIONS, BUSINESSES, CITY PLANNING COUNCILS, SCHOOLS, THE WESTCHESTER COUNTY HEALTH DEPARTMENT, OTHER HEALTH CARE ORGANIZATIONS AND THE HOSPITALS' COMMUNITY ADVISORY COMMITTEE. WE ALSO PARTNER WITH THE AMERICAN CANCER SOCIETY, DIABETES AND HEART ASSOCIATIONS, FEMA, MARCH OF DIMES, CABRINI IMMIGRANT SERVICES AND OTHERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY THAT WE SERVE. THIS IS ACCOMPLISHED THROUGH SHARED DATA FOR PLANNING PURPOSES, AWARENESS OF SERVICES OFFERED BY OUR PARTNERS, COLLABORATIVE PROGRAM PLANNING, IMPLEMENTATION AND EVALUATION, AND COORDINATED HEALTH OUTREACH AND PROMOTION. THESE EFFORTS HAVE RESULTED IN ST. JOHN'S PROVIDING ON-GOING EDUCATION AND GUIDANCE TO THE YONKERS PTA COORDINATING COUNCIL AND THE LOCAL YMCA'S HEALTH INITIATIVE RELATIVE TO HEALTH CARE ISSUES. THE COMMUNITY SERVICE PLAN AGENDA WAS ESTABLISHED BASED ON A COMPREHENSIVE HEALTH NEEDS ASSESSMENT AND ITS FINDINGS. SEVERAL SURVEYS AND COMMUNITY FOCUS GROUPS WERE ALSO CONDUCTED TO GATHER DATA. THE RESPONSES OF THE PARTICIPANTS AS TO WHAT HEALTH CARE EDUCATION IS NEEDED WAS ONE OF THE KEY COMMUNITY INPUTS TO SETTING THE FRAMEWORK FOR PLANNING EDUCATIONAL PROGRAMS FOR THE COMMUNITY.SJRH IS A LEADER IN COMMUNITY COLLABORATION AND HAS A LONG HISTORY OFDEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BESTSERVE THE CHANGING NEEDS OF ITS COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: ST. JOHN'S COMMUNITY ADVISORY TEAM, HEALTHY YONKERS INITIATIVE PARTNERSHIP, DISEASE MANAGEMENT PROGRAMS, COMPREHENSIVE LAY AND CLINICAL PATIENT NAVIGATION PROGRAMS, COMMUNITYHEALTH OUTREACH WORKERS AND A SPEAKER'S BUREAU. THE INTEGRATION OF THESE INNOVATIVE APPROACHES SUPPORTS SJRH WELL IN ITS PROVISION OF SERVICES TO ITS COMMUNITY. SJRH PROMOTES WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSES NEEDS RANGING FAR BEYOND MEDICAL CARE. WE EXTEND THIS RESPONSIBILITY TO THE CARE OF OUR EMPLOYEES AND MEDICAL STAFF, MANY OF WHOM LIVE IN THE SURROUNDING COMMUNITY. SJRH SERVES A DIVERSE COMMUNITY AND HAS BEEN A FORERUNNER OF PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES. ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT AND ENROLLMENT PROGRAM THROUGH OUR FINANCIAL ASSISTANCE UNIT, SUPPORTS ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, SJRH HAS VIEWED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS AN INTEGRAL PART OF ITS HOSPITAL MISSION, REACHING OUT TO SERVE THE UNDERSERVED.SERVICES TO THE COMMUNITY ARE AN EXPLICIT AND ESSENTIAL COMPONENT OF SJRH'S MISSION AND ONE OF ITS MOST VALUED TRADITIONS. WE REACH BEYOND THE WALLS OF OUR CAMPUSES TO IDENTIFY AND MEET THE NEEDS OF THE COMMUNITY, NOT JUST MEDICALLY, BUT SOCIALLY, ECONOMICALLY AND ENVIRONMENTALLY. SJRH PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIONS, WORKING WITH OTHER PROVIDERS IN WESTCHESTER COUNTY, INCLUDING THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, COMMUNITY-BASED ORGANIZATIONS AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE OVERALL HEALTH OF THE PEOPLE OF WESTCHESTER COUNTY.
3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	THE ST. JOHN'S FINANCIAL ASSISTANCE UNIT EDUCATES PATIENTS AND THE PUBLIC ABOUT THEIR RIGHTS, RESPONSIBILITIES AND OPTIONS TO ATTAIN SOME COVERAGE OF COSTS FOR THEIR HEALTH CARE. ST. JOHN'S RIVERSIDE HOSPITAL EDUCATES OUR PATIENTS ABOUT OUR CHARITY CARE PROGRAM CALLED HEALTH SOLUTION* IN THE FOLLOWING MANNER:A. THE HOSPITAL WEB SITE HAS THE COMPLETE HEALTH SOLUTION SUMMARY. THESUMMARY DESCRIBES THE RESIDENTIAL AREAS WE COVER, THE TYPE OF SERVICES THAT ARE NOT COVERED, WHERE TO APPLY, THE PHONE NUMBER TO OBTAIN INFORMATION, THE FEDERAL POVERTY GUIDELINES INCOME LEVEL AND HOW TO APPEAL THE APPLICATION DECISION.B. THERE ARE POSTED NOTICES IN ALL REGISTRATION AND CASHIER AREAS WITHIN THE HOSPITAL.C. THE HEALTH SOLUTION SUMMARY IS INCLUDED IN THE REGISTRATION PACKET THAT IS GIVEN TO ALL PATIENTS.D. THE FINANCIAL ASSISTANT UNIT STAFF WHEN VISITING PATIENT ROOMS WILL DISCUSS THE HEALTH SOLUTION PROGRAM.* HEALTH SOLUTION, OFFERED SINCE 2000, IS AN OPTION FOR PATIENTS WITH AFINANCIAL NEED. PATIENTS WHO APPLY ARE ASSESSED TO DETERMINE ELIGIBILITY TO PAY DOWN HEALTHCARE BILLS WITHIN THEIR BUDGET. HEALTH SOLUTION IS A CHARITY CARE PROGRAM WHERE PAYMENTS BY PATIENTS CAN BE MADE OVER TIME. ELIGIBILITY FOR MEDICAID IS DETERMINED FIRST. WHEN ELIGIBLE, HEALTH SOLUTION PAYMENTS CAN ALSO BE USED TO PAY INSURANCE DEDUCTIBLES.
4. COMMUNITY INFORMATION	ST. JOHN'S RIVERSIDE HOSPITAL (SJRH), A NOT-FOR-PROFIT, NEW YORK STATEDEPARTMENT OF HEALTH (NYSDOH) LICENSED 378-BED ACUTE CARE COMMUNITYHEALTH SYSTEM, OPERATES THREE (3) CAMPUSES: ANDRUS PAVILION (225 BEDS),PARK CARE PAVILION (141 BEDS), AND DOBBS FERRY PAVILION (12 BEDS). THEANDRUS PAVILION, PROVIDES EMERGENCY SERVICES, GENERAL ACUTE AND CANCERCARE, WITH A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES; ISDESIGNATED BY THE NYSDOH AS A STROKE CENTER AND LEVEL II PERINATALCENTER, AND IS THE ONLY PROVIDER OF MATERNITY SERVICES IN THE CITY OFYONKERS.THE PARK CARE PAVILION PROVIDES INPATIENT AND OUTPATIENT SUBSTANCE ABUSE SERVICES AND IS DESIGNATED BY NYSDOH AS AN AIDS CENTER. THE DOBBS FERRY PAVILION, PROVIDES INPATIENT AND PRIMARY MEDICAL CARE, AMBULATORY SURGERY AND EMERGENCY SERVICES, AND IS THE HUB FOR CENTERS OF EXCELLENCE IN BREAST AND ORTHOPEDIC CARE. AT ST. JOHN'S, OVER 600 MEDICAL AND ALLIED HEALTH PROFESSIONALS PROVIDE A WIDE RANGE OF AMBULATORY AND INPATIENT SERVICES; AND OVER 250,000 INDIVIDUALS ARE SERVED ANNUALLY WITHIN OUR NETWORK. SJRH, GOVERNED BY A VOLUNTARY TWENTY-SIX MEMBER BOARD OF TRUSTEES, IS A SAFETY-NET HOSPITAL SERVING THE URBAN, ETHNICALLY DIVERSE AND ECONOMICALLY DISADVANTAGED COMMUNITY OF SOUTHWEST YONKERS, NEW YORK. AS A DESIGNATED NYS 'ESSENTIAL COMMUNITY PROVIDER', WE SERVE PREDOMINANTLY LOW-INCOME MEDICALLY UNDERSERVED INDIVIDUALS.THE ST. JOHN'S RIVERSIDE HOSPITAL PRIMARY SERVICE AREA INCLUDES THE CITY OF YONKERS, VILLAGE OF DOBBS FERRY AND THE SURROUNDING TOWNS AND VILLAGES OF HASTINGS-ON-HUDSON, ARDSLEY, IRVINGTON, TARRYTOWN, ELMSFORD, TUCKAHOE, BRONXVILLE, AND SCARSDALE WITHIN WESTCHESTER COUNTY, NEW YORK. WITHIN THE CITY OF YONKERS AND DOBBS FERRY, THE SJRH FACILITIES ARE THE LARGEST HEALTH SERVICE PROVIDERS AND IT IS WITHIN THIS GEOGRAPHIC AREA THAT THESE SJRH FACILITIES HAVE THEIR COMMUNITY-BASED PRIMARY CARE AND SPECIALTYAMBULATORY SERVICES.OUR ANDRUS AND PARK CARE PAVILIONS ARE LOCATED IN AND PRIMARILY SERVE THE CITY OF YONKERS. THE DOBBS FERRY PAVILION SERVES THE RIVERTOWN COMMUNITIES OF DOBBS FERRY, HASTINGS-ON-HUDSON, ARDSLEY AND IRVINGTON. THE RESIDENT POPULATION OF THE CITY OF YONKERS COMPRISES ONE-THIRD OF THE HOSPITAL'S SERVICE AREA AND DEPENDING ON ZIP CODE ACCOUNTS FOR BETWEEN 30 TO SO PERCENT OF ITS ADMISSIONS.THE COMMUNITIES SERVED BY OUR HEALTH SYSTEM ARE WIDESPREAD AND DIVERSE.ST. JOHN'S PROVIDES CONVENIENT ACCESS TO HIGH QUALITY ACUTE, PRIMARY AND SPECIALTY CARE TO INDIVIDUALS AND FAMILIES LIVING IN A PRIMARY SERVICE AREA OF FOURTEEN (14) ZIP CODES SURROUNDING ITS LOCATION. THE ZIP CODES THAT WE MOST COMMONLY PROVIDE SERVICES FOR ARE: 10701, 10703, 10704, 10705, 10706, 10707, 10708, 10710, 10502, 10522, 10523, 10533, 10583, AND 10591. FIVE ZIP CODE AREAS IN SOUTHWEST YONKERS (10701, 10703, 10704, 10705, AND 10710) HAVE BEEN FEDERALLY DEFINED AS MEDICALLY UNDERSERVED AREAS. AS SUCH, IT IS A KEY EMERGENCY MEDICAL SERVICE (EMS) PARTICIPANT OPERATING IN ITS TWO HOSPITALS WITH 48,599 EMERGENCY VISITS IN 2019.YONKERS IS THE LARGEST CITY IN WESTCHESTER AND THE 4TH LARGEST CITY IN NEW YORK STATE, WITH A 2019 POPULATION ESTIMATE OF 200,370 AS PER THE U.S. CENSUS BUREAU. IT IS AN AGING INDUSTRIAL CITY WITH NEEDS OFTEN OVERLOOKED IN A COUNTY DOMINATED BY AFFLUENT SUBURBS. YONKERS BORDERS THE BRONX AND SHARES MANY OF NEW YORK CITY'S URBAN PROBLEMS; AND ACCOMPANYING ITS DIVERSITY, ARE SIGNIFICANT INEQUITIES IN HEALTH STATUS. ONE IN FIVE FAMILIES' LIVES IN POVERTY AND OVER ONE THIRD OF THESE FAMILIES ARE HEADED BY FEMALES.ST. JOHN'S ECONOMICALLY, CULTURALLY AND ETHNICALLY DIVERSE SERVICE AREAENCOMPASSES NEIGHBORHOODS WITH LARGE NUMBERS OF HISPANIC ANDAFRICAN-AMERICAN RESIDENTS, INCLUDING HAITIAN AND DOMINICAN IMMIGRANTS.YONKERS HAS THE HIGHEST PROPORTION OF HISPANIC RESIDENTS IN WESTCHESTERCOUNTY, MANY OF WHOM ARE RECENT IMMIGRANTS WITH LIMITED FLUENCY INENGLISH. PUERTO RICANS AND MEXICANS ARE THE TWO LARGEST HISPANICCOMMUNITIES. ENGLISH AND SPANISH ARE THE DOMINANT LANGUAGES, ALTHOUGHTHERE ARE A SIGNIFICANT NUMBER OF RESIDENTS WHO SPEAK ITALIAN, PORTUGUESE AND ARABIC.THE PROFILE OF THIS AREA INCLUDES HIGH UNEMPLOYMENT, LARGE NUMBERS OFHIGH SCHOOL DROPOUTS, OVERCROWDED HOUSING, AND FAMILIES AND CHILDREN INPOVERTY. YONKERS IS FEDERALLY DESIGNATED AS A HIGH INTENSITY DRUGTRAFFICKING AREA. THERE IS A HIGH RATE OF TEEN PREGNANCY, LACK OFPRENATAL CARE, VACCINE PREVENTABLE DISEASE, TUBERCULOSIS, AND HIV/AIDS.THE CITY HAS THE HIGHEST CONCENTRATION OF HIV/AIDS IN THE COUNTY AND ONE OF THE HIGHEST IN NY STATE. OUR SUBSTANCE ABUSE TREATMENT AND TRAINING CENTER IS ONE OF NEW YORK'S LARGEST PROVIDERS OF SUBSTANCE ABUSE SERVICES.THE DOBBS FERRY FACILITY IS THE ONLY HOSPITAL LOCATED IN THE VILLAGE OFDOBBS FERRY, APPROXIMATELY 7 MILES FROM ITS SJRH SISTER FACILITIES INYONKERS. THE TOTAL POPULATION OF THIS SERVICE AREA IS APPROXIMATELY124,000. A POPULATION THAT IS LARGELY WHITE AND AFFLUENT DEFINES THISAREA.WESTCHESTER COUNTY IS A LARGE COUNTY LOCATED JUST TO THE NORTH OF NEWYORK CITY IN THE HUDSON VALLEY; WESTCHESTER COVERS AN AREA OF 450 SQUARE MILES (1,200 SQUARE KM) AND CONSISTS OF 48 MUNICIPALITIES. THE COUNTY INCLUDES URBAN, SUBURBAN AND RURAL GEOGRAPHIES. IN 2019, THE ESTIMATED POPULATION OF WESTCHESTER COUNTY WAS 967,506, SLIGHTLY DOWN FROM THE POPULATION IN 2015. THE COUNTY SEAT OF WESTCHESTER IS THE CITY OF WHITE PLAINS (58,111) AND OTHER MAJOR CITIES INCLUDE YONKERS (199,663), NEW ROCHELLE (78,742) AND MOUNT VERNON (65,593). IN 2018, THE MEDIAN HOUSEHOLD INCOME FOR WESTCHESTER WAS $94,811, 2ND HIGHEST IN NEW YORK STATE, AFTER NEW YORK COUNTY. WESTCHESTER COUNTY IS THE 3RD HEALTHIEST COUNTY IN NEW YORK STATE, ACCORDING TO THE COUNTY HEALTH RANKINGS, PRODUCED BY THE ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN.DESPITE ITS OVERALL HIGH RANKING. THERE IS CONSIDERABLE ROOM TO BOTHIMPROVE POPULATION HEALTH AND REDUCE HEALTH DISPARITIES IN WESTCHESTERCOUNTY. SEVERAL OF ITS INDIVIDUAL MUNICIPALITIES CONTINUE TO MAINTAINSIGNIFICANT HEALTH GAPS, WITH PORTIONS OF LOWER WESTCHESTER SPECIFICALLY, MOUNT VERNON, YONKERS, NEW ROCHELLE AND WHITE PLAINS SERVING "HOT SPOTS" FOR ASTHMA, HIV, AND ILLICIT DRUG USE IN THE COUNTY. THESE AREAS ALSO DEMONSTRATE EXCESS MORTALITY RATES FROM HEART DISEASE, STROKE, AND DIABETES COMPARED TO COUNTY AND NEW YORK AVERAGES. MORTALITY RATES:ACCORDING TO THE NEW YORK STATE DEPARTMENT OF HEALTH'S (NYSDOH} VITALSTATISTICS OF NEW YORK STATE REPORT IN 2014-2016, WESTCHESTER COUNTY HAS AN AGE-ADJUSTED MORTALITY RATE OF 530.9 PER 100,000; LOWER THAN THE NY STATE AGE-ADJUSTED MORTALITY RATE OF 638.2. THIS IS AN IMPROVEMENT FROM THE COUNTY FROM THE 2011 DATA. ACCORDING TO THE COMMUNITY HEALTH RANKINGS IN 2014, WESTCHESTER COUNTY RANKED AS NUMBER 3 OUT OF 62 NY COUNTIES TO HAVE THE LOWEST MORTALITY RATE IN NEW YORK STATE. THE LEADING CAUSE OF DEATH AMONG WESTCHESTER COUNTY RESIDENTS IS CORONARY HEART DISEASE (148.9 PER 100,000). FOLLOWING ARE THE REMAINING FOUR LEADING CAUSES OF DEATH: CANCER, UNINTENTIONAL INJURY, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASE. (NOTE THAT HEART DISEASE AND CANCER HAVE REMAINED THE NUMBERS 1 AND 2 CAUSES OF DEATH SINCE 2008.)DURING 2020, COVID-19 WAS A MAJOR HEALTH CONCERN. WESTCHESTER COUNTY HAD 136,000 CASES OF COVID-19 AND 2,303 DEATHS. SJRH HAD 897 COVID-RELATED INPATIENT ADMISSIONS IN 2020 AND 181 DEATHS FROM THE DISEASE. THE AGE ADJUSTED DEATH RATE IN WESTCHESTER COUNTY FOR COVID 19 IN 2020 WAS 141.0/100,000 FOR BLACK RESIDENTS, 134.3 CASES FOR HISPANIC RESIDENTS, AND 61.7 FOR WHITE RESIDENTS. THIS LEADS TO A TOTAL AGE ADJUSTED DEATH RATE OF 84.6/100,000 RESIDENTS DURING THE YEAR. THESE EXTREME DISPARITIES LED TO ST JOHN'S RIVERSIDE DEVELOPING A BOARD COMMUNITY COALITION TO ADDRESS HEALTH DISPARITIES ACROSS THE SPECTRUM OF ILLNESSES FOR OUR RESIDENTS. PLANS BEGIN IN 2020 FOR THIS EFFORT AND THE WORK CONTINUES INTO 2021.
5. PROMOTION OF COMMUNITY HEALTH	ST. JOHN'S CONTINUES TO ADDRESS THE HEALTH CARE NEEDS OF OUR POPULATIONTHROUGH A VARIETY OF SOURCES. OUR COMMUNITY ADVISORY COMMITTEE IS A KEYFORUM FOR ACCESS TO INFORMATION ON COMMUNITY HEALTH CARE NEEDS ANDRESIDENT SATISFACTION WITH THE HEALTH CARE THAT THEY RECEIVE. ADVISORYMEMBERS ALSO PROVIDE ACCESS TO LOCAL COMMUNITY BASED ORGANIZATIONS ANDBUSINESSES FOR HEALTH PROMOTION. THE HEALTH YONKERS INITIATIVE (HYI) IS A COLLABORATION OF OVER THIRTY COMMUNITY/HEALTH/FAITH-BASED ORGANIZATIONS, BUSINESSES, SCHOOLS AND RESIDENTS, LED BY ST. JOHN'S AND THE CITY OF YONKERS. IT IS AN INTEGRAL COMPONENT OF OUR OUTREACH EFFORTS. THE HYI PARTNERS MEET QUARTERLY, PLAN HEALTH OUTREACH ACTIVITIES, SHARE INFORMATION AND PROVIDE ACCESS TO RESIDENTS AND PLANNED ORGANIZATION COMMUNITY EVENTS. A SPEAKER'S FORUM PROVIDES PHYSICIANS TO EDUCATE ON KEY HEALTH TOPICS IN THE COMMUNITY. FUNDS AVAILABLE THROUGH GRANTS ALSO PROVIDE THE ABILITY TO PROVIDE A HOST OF PREVENTION AND WELLNESS ACTIVITIES. SOME OF OUR KEY ACTIVITIES HAVE ENHANCED HEALTH CARE ACCESS, PROVIDED PATIENT NAVIGATION AND A HOST OF SUPPORT SERVICES FOR OUR PATENTS. OUR COMMUNITY, OUTPATIENT, INPATIENT AND CLINICAL PATIENT NAVIGATION SERVICES PROVIDE COMMUNITY HEALTH EDUCATION, COORDINATE SCREENINGS, DEMYSTIFY TREATMENT OPTIONS, UN-COMPLICATE THE PROCESS FROM DIAGNOSIS TO TREATMENT, FACILITATE SCREENING AND DIAGNOSTIC TEST AND HEALTH AND PSYCHOSOCIAL SUPPORT SERVICES. BARRIERS TO CARE AND ACCESS TO TECHNOLOGICAL ADVANCEMENTS IN TREATING DISEASE ARE CONTINUALLY ADDRESSED FOR THE UNDERINSURED/UNDERSERVED POPULATION. OUR BREAST HEALTH PROGRAM IS DESIGNED TO REDUCE THE RATE OF LATE DIAGNOSIS AMONG MINORITY POPULATIONS, PARTICULARLY AFRICAN AMERICAN, WHO ARE MORE LIKELY TO BE DIAGNOSED AT LATER STAGES. WE COORDINATE CLINICAL BREAST EXAMS THAT LEAD TO MAMMOGRAMS, DIAGNOSTIC SERVICES, DIAGNOSIS AND TREATMENT. FOLLOW-UP SERVICES AND CLINICAL PATIENT NAVIGATION PROVIDED FREE OF CHARGE TO PATIENTS IS AN EXTENSION OF THE HOSPITAL STAY FOR DISCHARGED PATIENTS WHO ARE FREQUENTLY AT RISK FOR READMISSION. TYPICALLY, THESE ARE CHRONICALLY ILL PATIENTS THAT ARE READMITTED BECAUSE OF THEIR UNIQUE FRAILTIES AND LACK OF SUPPORT FOR FOLLOW UP CARE REGIMENT. THEY HAVE LONGER PATIENT STAYS AND SIGNIFICANT AFTERCARE NEEDS. AS A RESULT, PATIENTS WELCOME THE ADDITIONAL CARE AND SUPPORT PROVIDED. GRANT FUNDS ACQUIRED DURING 2020 WERE UTILIZED TO SUPPORT PREVENTION AND HEALTH PROMOTION PROGRAMS AND SUPPORT SERVICES FOR THE COMMUNITY ALSO INCLUDING HIV PREVENTION PROGRAMS (INCLUDING PREP), HEPATITIS C TREATMENT PROGRAMS, EARLY INTERVENTION RELATING TO CANCER SCREENING AND TREATMENT, SUBSTANCE USE TREATMENT PROGRAMS (INCLUDING MEDICATION ASSISTER TREATMENT). IN ADDITION, THE HOSITAL RECEIVED FEDERAL COMMUNICATION COMMISSION FUNDING TO IMPLEMENT TELEHEALTH SERVICES THROUGHOUT THE HOSPITAL SYSTEM IN ORDER TO BETTER DEAL WITH STOPPING THE TRANSMNISSION OF COVID-19 IN OUR COMMUNITY. THE HOSPITAL CONTRIBUTED TO THE COMMUNITY EFFORTS TO FIGHT COVID-19 DURING 2020 BY BEING A MAJOR TESTING HUB, PROVIDING BOTH INPATIENT AND OUTPATIENT TREATMENT, AND PROVIDING VACCINES WHEN THOSE WERE MADE AVAILABLE BEGINNING DECEMBER 15, 2020. THE HOSPITAL WAS ALSO A MAJOR SOURCE OF COVID TESTING IN 2020 FOR COMMUNITY RESIDENTS, WITH A TOTAL OF 26,870 COVID TESTS BEING PERFORMED AND A TOTAL OF 1,268 FIRST DOSES OF VACCINE BEING DELIVERED IN THE LAST 15 DAYS OF 2020. 6. AFFILIATED HEALTH CARE SYSTEMST. JOHN'S CONTINUES ITS CLINICAL AFFILIATION TO MONTEFIORE MEDICAL CENTER IN THE BRONX, NEW YORK TO STRENGTHEN ITS MISSION TO PROVIDE A COMPREHENSIVE PROGRAM OF CLINICAL ACCESS AND HEALTH EDUCATION FOR THE ST. JOHN'S COMMUNITY. THE GEOGRAPHICAL PROXIMITY TO MONTEFIORE, SIMILAR DEMOGRAPHICS AND COLLABORATION WITH THEIR TERTIARY CARE PROFESSIONALS, IS AN ASSET TO HEALTH PROMOTION ACTIVITIES AND QUALITY CARE FOR OUR GROWING COMMUNITIES. THE OFFICIAL AFFILIATION OCCURRED IN NOVEMBER OF 2014 AND BOTH ORGANIZATIONS FORMALLY ANNOUNCED THROUGH PRESS RELEASE IN MAY 2015.IN ADDITION, A MEMORANDUM OF UNDERSTANDING HAS BEEN SIGNED TO CREATE A FRAMEWORK FOR AN INTEGRATION BETWEEN SAINT JOHN'S RIVERSIDE HOSPITAL (SJRH) AND SAINT JOSEPH'S MEDICAL CENTER (SJMC) TO BENEFIT BOTH ORGANIZATIONS AND THE COLLECTIVE COMMUNITIES THEY SERVE. THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH) IS DIRECTING SJR AND SJMC LEADERSHIP TO WORK COLLABORATIVELY TO DEVELOP A FINANCIALLY SUSTAINABLE BUSINESS MODEL FOR THE COMBINED ORGANIZATION. INITIAL REPORTS HAVE BEEN DEVELOPED AND WE ARE ACTIVELY ENGAGED WITH THE NYS DOH TO FORMULATE A MUTUALLY BENEFICIAL STRATEGY THAT WILL LEAD TO AN IMPROVED HEALTH CARE DELIVERY SYSTEM FOR THOSE COMMUNITIES WE SERVE AND GREATER FINANCIAL VIABILITY FOR BOTH ORGANIZATIONS.

Schedule H (Form 990) 2020

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
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

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

Yes

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

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

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

For persons listed 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) 2020

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)
1RONALD CORTI PRESIDENT/CEO	(i) (ii)	759,325 ------------- 0	0 ------------- 0	74,168 ------------- 0	100,705 ------------- 0	34,073 ------------- 0	968,271 ------------- 0	74,168 ------------- 0
2DENNIS KEANE VP FINANCE/CFO	(i) (ii)	521,836 ------------- 0	0 ------------- 0	8,400 ------------- 0	18,599 ------------- 0	40,459 ------------- 0	589,294 ------------- 0	0 ------------- 0
3NIRAV PATEL DO PHYSICIAN	(i) (ii)	488,950 ------------- 0	0 ------------- 0	0 ------------- 0	15,000 ------------- 0	39,349 ------------- 0	543,299 ------------- 0	0 ------------- 0
4PAUL ANTONECCHIA MD PHYSICIAN - VICE PRESIDENT	(i) (ii)	475,129 ------------- 0	0 ------------- 0	6,000 ------------- 0	14,468 ------------- 0	33,581 ------------- 0	529,178 ------------- 0	0 ------------- 0
5TARA CURTIN CHIEF NURSING OFFICER	(i) (ii)	392,099 ------------- 0	0 ------------- 0	0 ------------- 0	6,649 ------------- 0	40,218 ------------- 0	438,966 ------------- 0	0 ------------- 0
6MICHAEL DIGIORNO MD PHYSICIAN - NEPHROLOGY	(i) (ii)	382,890 ------------- 0	0 ------------- 0	0 ------------- 0	11,775 ------------- 0	33,172 ------------- 0	427,837 ------------- 0	0 ------------- 0
7CHRISTOPHER DIGIORNO MD PHYSICIAN	(i) (ii)	349,127 ------------- 0	0 ------------- 0	0 ------------- 0	13,131 ------------- 0	18,042 ------------- 0	380,300 ------------- 0	0 ------------- 0
8ROLANDO CHUMACEIRO PHYSICIAN	(i) (ii)	239,004 ------------- 0	0 ------------- 0	0 ------------- 0	7,450 ------------- 0	109,504 ------------- 0	355,958 ------------- 0	0 ------------- 0
9ANDREW FADER PHYSICIAN	(i) (ii)	277,842 ------------- 0	0 ------------- 0	0 ------------- 0	16,800 ------------- 0	33,052 ------------- 0	327,694 ------------- 0	0 ------------- 0
10SANDRA K SCOTT SOCIAL WORKER	(i) (ii)	255,136 ------------- 0	0 ------------- 0	0 ------------- 0	21,502 ------------- 0	34,128 ------------- 0	310,766 ------------- 0	0 ------------- 0
11GLADYS ATTANASIO ASSISTANT VP REVENUE CYCLE	(i) (ii)	251,513 ------------- 0	0 ------------- 0	0 ------------- 0	11,434 ------------- 0	33,216 ------------- 0	296,163 ------------- 0	0 ------------- 0
12DONNA MCGREGOR FORMER VP COO	(i) (ii)	283,474 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	283,474 ------------- 0	0 ------------- 0
13SUSAN FRANZINO AVP ANCILLARY SERVICES	(i) (ii)	197,777 ------------- 0	0 ------------- 0	0 ------------- 0	16,982 ------------- 0	32,836 ------------- 0	247,595 ------------- 0	0 ------------- 0
14LAURA FANNING AVP SURGICAL SERVICES	(i) (ii)	187,064 ------------- 0	0 ------------- 0	0 ------------- 0	15,804 ------------- 0	8,727 ------------- 0	211,595 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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 AND PART II, COLUMNS (B)(III)	SEVERANCE PAYMENTS AMOUNTS INCLUDED IN COLUMN (B)(III) FOR DONNA MCGREGOR INCLUDE SEVERANCE PAYMENTS OF $283,474.
PART I, LINE 4B AND PART II, COLUMNS (B)(III),(C) & (F)	NONQUALIFIED DEFERRED COMPENSATION PLAN AMOUNTS INCLUDED IN COLUMNS (B)(III) AND (F) FOR RON CORTI INCLUDE A TAXABLE DISTRIBUTION OF $74,168 FROM A 457(F) DEFERRED COMPENSATION ARRANGEMENT, AND AMOUNTS REPORTED IN COLUMN (C) INCLUDE A $74,168 DEFERRAL UNDER THE ARRANGEMENT.

Schedule J (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) RIVERSIDE HEALTHCARE SYS BERMUDA	SEE PART V	1,770,400	INSURANCE PREMIUMS		No
(2) EMPRESS AMBULANCE	SEE PART V	386,822	AMBULANCE SERVICE		No
(3) NANCY ANNABI	SEE PART V	133,856	COMPENSATION		No
(4) MONTEFIORE MEDICAL CENTER	SUBSTANTIAL CONTRIBUTOR	1,555,880	HEALTH SYSTEM		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV

BUSINESS TRANSACTIONS(1) IN 2020, SJRH PAID INSURANCE PREMIUMS TO A RELATED, TAXABLE ENTITYRIVERSIDE HEALTH CARE SYSTEMS BERMUDA. RHCS BERMUDA IS A 35% CONTROLLEDENTITY OF RIVERSIDE HEALTH CARE SYSTEM, INC., WHICH IS THE SOLE MEMBEROF AND A SUPPORTING ORGANIZATION OF ST. JOHN'S RIVERSIDE HOSPITAL. SJRHAND RCHS BERMUDA SHARE ONE BOARD MEMBER, KEVIN T. FAY.(2) IN 2020, EMPRESS AMBULANCE SERVICE PROVIDED SERVICES TO SJRH. EMPRESS AMBULANCE SERVICE IS OWNED BY THE SONS OF LENORE MINERVA, SJRH BOARD MEMBER.(3) NANCY ANNABI IS AN EMPLOYEE OF SJRH AND IS THE WIFE OF SJRH BOARDMEMBER, DR. IYAD ANNABI.

Schedule L (Form 990 or 990-EZ) 2020

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

2020

Open to Public
Inspection

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

Return Reference	Explanation
FORM 990, PART I, LINE 6	THE VOLUNTEER PROGRAM AT ST. JOHN'S RIVERSIDE HOSPITAL IS CURRENTLY COMPRISED OF 77 ACTIVE VOLUNTEERS, WHICH DECREASED DUE TO COVID, INTERNS AND STUDENTS. VOLUNTEER RECORDS AND HOURS ARE TRACKED THROUGH A COMPUTER PROGRAM LOCATED IN THE VOLUNTEER OFFICE AT ST. JOHN'S ANDRUS PAVILION. OFFSITE VOLUNTEERS COMPLETE TIME SHEETS AT THEIR RESPECTIVE FACILITY/DEPARTMENT AND SUBMIT THOSE REPORTS TO THIS OFFICE ON A MONTHLY BASIS FOR INCLUSION IN THE VOLUNTEER WORKS COMPUTER PROGRAM. ADDITIONALLY, 24 NON-COMPENSATED INDIVIDUALS SERVED ON THE BOARD DURING 2020.
FORM 990, PART III, LINE 1	ST. JOHN'S RIVERSIDE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL AND ETHICAL MANNER TO EVERY PATIENT. BY OFFERING EXCELLENCE IN MEDICAL CARE, NURSING, STATE-OF-THE-ART TECHNOLOGIES, CONTINUING EDUCATION AND PREVENTIVE SERVICES, WE ARE COMMITTED TO IMPROVING THE CARE WE PROVIDE WITHIN EACH OF OUR INSTITUTIONS AND THE QUALITY OF LIFE IN OUR COMMUNITY. WE ARE OPEN TO NEW IDEAS, DIRECTIONS AND INITIATIVES THAT MOST EFFECTIVELY RESPOND TO COMMUNITY HEALTH CARE NEEDS.
FORM 990, PART III, LINE 4B	THE DAY PROGRAM INCLUDES INTENSIVE, MEDICALLY SUPERVISED SERVICES FOR UP TO FIVE DAYS PER WEEK, FOUR HOURS PER DAY WITH INDIVIDUAL AND GROUP THERAPY PSYCHIATRIC ASSESSMENT, 12 STEP PROGRAMMING, VOCATIONAL AND EDUCATIONAL SERVICES, AND RECREATION THERAPY. THE CLINIC PROGRAM HAS SERVICES AVAILABLE FOR UP TO FOUR TIMES PER WEEK, OFFERING FLEXIBLE DAY AND EVENING HOURS FOR THOSE WHO WORK, GO TO SCHOOL OR NEED A STEP-DOWN LEVEL OF CARE. TARGETED SERVICES FOR ADOLESCENTS AND FOR FAMILY MEMBERS IMPACTED BY ALCOHOLISM AND DRUG DEPENDENCE ARE ALSO AVAILABLE.
FORM 990, PART III, LINE 4C	TO DATE, THERE ARE OVER 114 STUDENTS ENROLLED IN THE PROFESSIONAL NURSING PROGRAM. IN 1999 THERE WERE NO MORE THAN 50 STUDENTS ENROLLED AND NOW THE SCHOOL PROUDLY COUNTS MORE THAN 2,500 GRADUATES WHO HAVE SERVED PATIENTS AND HEALTH CARE THROUGHOUT THE UNITED STATES AND AROUND THE WORLD. DUE TO OUR GROWTH, THE SCHOOL HAS GROWN ITS WEBSITE WHICH ENABLES APPLICANTS TO QUICKLY COMPLETE ONLINE FORMS, ONLINE APPLICATIONS, AND SURVEYS. THE COCHRAN SCHOOL OF NURSING IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING. ST. JOHN'S RIVERSIDE EMERGENCY MEDICINE RESIDENCY IS AN ACGME ACCREDITED 3-YEAR RESIDENCY PROGRAM LOCATED IN YONKERS, NY. IT IS A RELATIVELY NEW PROGRAM, WITH OUR INAUGURAL CLASS OF RESIDENTS BEGINNING IN JULY 1, 2017 AND GRADUATING JUNE 2020. THE EMERGENCY MEDICINE RESIDENCY SUPPORTS A TOTAL OF 30 RESIDENTS, 10 RESIDENTS IN EACH POSTGRADUATE TRAINING YEAR. ST. JOHN'S INTERNAL MEDICINE RESIDENCY IS AN ACGME ACCREDITED 3-YEAR RESIDENCY PROGRAM LOCATED IN YONKERS, NY. IT IS A RELATIVELY NEW PROGRAM, WITH ITS INAUGURAL CLASS OF RESIDENTS BEGINNING ON JULY 1, 2016, AND HAVING GRADUATED TWO CLASSES TO DATE (2019, 2020). THE INTERNAL MEDICINE RESIDENCY HAS PRELIMINARY (ON-YEAR) AND CATEGORICAL (3-YEAR) TRACKS. THERE ARE 6 RESIDENTS/YEAR IN THE PRELIMINARY TRACK AND 8 RESIDENTS/YEAR IN THE CATEGORICAL TRACK, ACCOUNTING FOR A TOTAL OF 30 RESIDENTS IN OUR INTERNAL MEDICINE PROGRAM. BOTH RESIDENCY PROGRAMS MAKE USE OF OUR ANDRUS, DOBBS FERRY AND PARK CARE PAVILIONS FOR THEIR TRAINING. OUR PROGRAMS ARE ATTRACTIVE TOWARDS RECRUITING ATTENDING PHYSICIANS WHO WISH TO BE IN AN ACADEMIC/TEACHING ENVIRONMENT. MANY OF OUR GRADUATES CHOOSE TO JOIN OUR MEDICAL STAFF, ALTHOUGH THEY AVAIL THEMSELVES OF A WIDE VARIETY OF CAREER OPPORTUNITIES.
FORM 990, PART III, LINE 4D	ST. JOHN'S RIVERSIDE HOSPITAL OPERATES A METHADONE MAINTENANCE PROGRAM SEVEN DAYS A WEEK, 365 DAYS A YEAR TO ENABLE CLIENTS SUFFERING NARCOTIC ADDICTION TO CONTINUE PRODUCTIVE LIVES. IN 2019, THE CLINIC HAD 110,015 VISITS.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS/STOCK HOLDERS ST. JOHN'S RIVERSIDE HOSPITAL HAS A SOLE MEMBER - RIVERSIDE HEALTHCARE SYSTEM, INC., A SECTION 501(C)(3) ENTITY.
FORM 990, PART VI, SECTION A, LINE 7A	THE FOLLOWING POWERS ARE RESERVED TO RIVERSIDE HEALTH CARE SYSTEM (RHCS): 1. APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF ST. JOHN'S UPON CONSULTATION WITH THE BOARD OF TRUSTEES; 2. REVIEW AND APPROVAL OF THE CAPITAL AND OPERATING BUDGETS OF ST. JOHN'S PROVIDED THAT RHCS MAY ONLY APPROVE OR REJECT A CAPITAL OR OPERATING BUDGET IN ITS ENTIRETY; 3. APPROVAL OF ANY SALE OF ACQUISITION BY ST. JOHN'S OF ASSETS VALUED IN EXCESS OF ONE MILLION DOLLARS ($1,000,000), PROVIDED THAT RHCS APPROVAL SHALL NOT BE REQUIRED FOR SALES OR ACQUISITIONS OF MEDICAL EQUIPMENT (INCLUDING, WITHOUT LIMITATION, MAGNETIC RESONANCE IMAGING AND COMPUTERIZED TOMOGRAPHY EQUIPMENT, OPERATING ROOM EQUIPMENT, AND EQUIPMENT FOR ENDOSCOPY AND DELIVERY SUITES); AND 4. APPROVAL OF ANY AMENDMENTS TO THE CONSTITUTION, THE BYLAWS OR THE CERTIFICATE OF INCORPORATION OF ST. JOHN'S WHICH WOULD MODIFY, LIMIT OR IN ANY WAY RESTRICT THE RIGHT AND POWERS OF RHCS AS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	SEE 7A EXPLANATION ABOVE.
FORM 990, PART VI, SECTION B, LINE 11B	BOARD OF TRUSTEES' REVIEW OF FORM 990 THE FORM 990 IS DRAFTED BY THE FINANCE DEPARTMENT OF ST. JOHN'S RIVERSIDE HOSPITAL AND REVIEWED BY THE DIRECTOR OF FINANCE AND CHIEF FINANCIAL OFFICER OF THE HOSPITAL. THE DRAFT FORM 990, AND WORKPAPER SUPPORT, IS PROVIDED TO THE HOSPITAL'S TAX PREPARER TO PREPARE A FINAL VERSION OF THE FORM 990. THE FINAL VERSION OF THE FORM 990 IS THEN REVIEWED BY THE HOSPITAL'S FINANCE COMMITTEE MEMBERS OF THE GOVERNING BOARD OF TRUSTEES AND THEN A COPY IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ALL MEMBERS OF THE BOARD OF TRUSTEES AND ALL PERSONNEL OF THE ORGANIZATION WHO ARE IN A POSITION TO INFLUENCE ANY PURCHASING DECISION OR BUSINESS TRANSACTION MUST COMPLETE A CONFLICT OF INTEREST STATEMENT. THIS INCLUDES ADMINISTRATIVE STAFF, DEPARTMENT HEADS AND MEMBERS OF THE MEDICAL BOARD. THE STATEMENTS ARE DISTRIBUTED BY THE COMPLIANCE OFFICER ANNUALLY IN NOVEMBER WITH THE EXPECTATION THAT THEY BE RETURNED TO THE COMPLIANCE OFFICER IN JANUARY OF THE FOLLOWING YEAR. WHEN RETURNED, THESE STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER. ALL INFORMATION IS KEPT CONFIDENTIAL AND STATEMENTS ARE MAINTAINED IN THE COMPLIANCE OFFICE. THE COMPLIANCE OFFICER WILL CONSULT WITH OUTSIDE COUNSEL AS NECESSARY CONCERNING ANY POTENTIAL PROBLEMS OR POSSIBLE CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER WILL REPORT ANY CONFLICTS OF INTEREST OR POSSIBLE CONFLICTS OF INTEREST TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE AND TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES. IN CASES WHERE A CONFLICT OF INTEREST EXISTS, BOARD MEMBERS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION CONTRACTS WITH AN INDEPENDENT THIRD PARTY TO BRING THE COMPENSATION LEVELS TO A COMPETITIVE LEVEL IN THE MARKET AREA. A REQUEST FOR PROPOSAL FOR AN EXECUTIVE COMPENSATION SURVEY IS INITIATED BY HUMAN RESOURCES TO FIND A VENDOR WHO COULD PROVIDE A COMPREHENSIVE REVIEW AND COMPARISON OF THE SALARY AND BENEFITS RIVERSIDE HEALTH CARE SYSTEMS INC. SHOULD BE PROVIDING ITS EXECUTIVES WHILE MEETING ALL LEGAL AND ANTI-TRUST REQUIREMENTS. THIS SURVEY IS TO IDENTIFY THE BASE COMPENSATION, INCENTIVE COMPENSATION AND NON-CASH COMPENSATION FOR LIKE POSITIONS IN THE COMPETING WESTCHESTER COUNTY, NEW YORK AREA. THE AREAS THAT WOULD BE EVALUATED INCLUDE: CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, NURSING HOME ADMINISTRATOR, VICE PRESIDENT NURSING, VICE PRESIDENT COCHRAN SCHOOL OF NURSING, VICE PRESIDENT BEHAVIORAL HEALTH, VICE PRESIDENT STRATEGIC CORPORATE DEVELOPMENT, VICE PRESIDENT PERFORMANCE IMPROVEMENT & RISK MANAGEMENT, AND VICE PRESIDENT HUMAN RESOURCES. THE REQUEST FOR PROPOSAL GETS SENT TO EIGHT COMPANIES WITH A KNOWN TRACK RECORD IN COMPENSATION CONSULTING. EACH OF THE VENDORS RESPONDS WITH THE DETAILED ANALYSIS THAT THEY WILL PROVIDE AND THE COST ASSOCIATED WITH THE PROCESS. BASED ON THE TIMEFRAME AND THE COST, A VENDOR IS CHOSEN TO PERFORM THE EXECUTIVE COMPENSATION SURVEY. A PROPOSAL IS PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES PERSONNEL AND COMPENSATION COMMITTEE FOR APPROVAL. THE PERSONNEL AND COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS FINDINGS IN ITS MINUTES. INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES MAKE THE DECISION ON APPROVING THE SALARY CHANGES. AN EXECUTIVE COMPENSATION REVIEW TOOK PLACE IN 2018 AND AN EMPLOYEE COMPENSATION REVIEW WAS COMPLETED IN 2019. THERE WERE NO MEETINGS SCHEDULED IN 2020.
FORM 990, PART VI, SECTION C, LINE 19	PUBLIC DISCLOSURE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER EXPENSES: PROGRAM SERVICE EXPENSES 38,543,624. MANAGEMENT AND GENERAL EXPENSES 1,914,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,458,336.
FORM 990, PART IV, LINE 20B	AT THE TIME OF FILING, THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS HAD NOT YET BEEN ISSUED. THE HOSPITAL HAS ATTACHED THE MOST RECENT DRAFT AUDITED FINANCIAL STATEMENTS TO THE FORM 990. NO SUBSTANTIAL CHANGES ARE EXPECTED THAT WOULD AFFECT THE FILED FORM 990.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS GIFT SHOP CARRYOVER 101,590 TRANSFER FROM MALOTZ 80,000 FAS 158 PENSION ADJUSTMENT (15,572,601) --------------- (15,391,011)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

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

2020

Open to Public Inspection

Name of the organization

ST JOHNS RIVERSIDE HOSPITAL
ANDRUS PARKCARE & DOBBS FERRY

Employer identification number

13-1740126

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)RIVERSIDE HEALTH CARE SYSTEMS INC (RHCS) 967 NORTH BROADWAY YONKERS,NY10701 13-3237215	MANAGEMENT	NY	501(C)(3)	12A II	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	Yes	No
(1) RIVERSIDE MANAGEMENT SERVICES ORG (RMSO) 967 NORTH BROADWAY YONKERS,NY10701 13-3846601	MANAGEMENT	NY	RMI	C					No
(2) RIVER MANAGEMENT CO INC 967 N BROADWAY ANDRUS PAVIL YONKERS,NY10701 13-3474004	MANAGEMENT	NY	RHCS	C					No
(3) RHCS BERMUDA LTD 967 NORTH BROADWAY NEW YORK,NY10701 13-3237215	INSURANCE	BD	RHCS	C					No
(4) SJR MEDICAL PC 967 NORTH BROADWAY YONKERS,NY10701 13-4185781	MED. SERVICE	NY	SJRH	C	4,633		100.000 %	Yes
(5) FDN FOR COMM HOSPITAL AT DOBBS FERRY 128 ASHFORD AVE DOBBS FERRY,NY10522 13-3971735	FUNDRAISING	NY	SJRH	C	1	3,239	100.000 %	Yes

Schedule R (Form 990) 2020

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

Yes

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

Yes

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 ............................

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

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

Yes

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

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) SJR MEDICAL PC	O	2,257,660	FMV

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE TO EVERY PATIENT.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	24
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	20
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	2,299
6	Total number of volunteers (estimate if necessary) .............	6	77
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	11,215
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	26,583,008	100,762,903
9	Program service revenue (Part VIII, line 2g) .........	243,502,948	220,200,543
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	341,721	154,855
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,560,366	3,925,809
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	273,988,043	325,044,110
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)	175,382,344	185,583,596
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 4,679
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	111,361,377	108,969,925
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	286,743,721	294,553,521
19	Revenue less expenses. Subtract line 18 from line 12.......	-12,755,678	30,490,589
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	111,521,659	154,418,772
21	Total liabilities (Part X, line 26).............	195,457,538	223,265,431
22	Net assets or fund balances. Subtract line 21 from line 20.....	-83,935,879	-68,846,659

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 252,291,063 including grants of $ ) (Revenue $ 187,428,347 )
	IN 2020, ST. JOHN'S TREATED 11,132 INPATIENTS, THROUGH 50,955PATIENT DAYS, WITH A LARGE PROPORTION BEING MEDICARE ANDMEDICAID PATIENTS. THE HOSPITAL'S INPATIENT AND OUTPATIENTSPECIALTY SERVICES INCLUDE BARIATRIC SURGERY, BEHAVIORAL HEALTHSERVICES, BREAST CARE, CANCER CARE, CARDIOLOGY SERVICES,DIAGNOSTIC IMAGING, EMERGENCY SERVICES, HOLISTIC CARE SERVICES,HOPE CENTER, HYPERBARIC OXYGEN TREATMENT, MATERNITY, ORTHOPEDICSURGERY CENTER, PHYSICAL THERAPY, RESPIRATORY THERAPY SERVICES,SLEEP SERVICES, SURGICAL SERVICES AND WOUND HEALING.

4b	(Code: ) (Expenses $ 13,370,504 including grants of $ ) (Revenue $ 29,922,757 )
	IN 2020, ST. JOHN'S PROVIDED 34,197 DAYS OF INPATIENT DRUG ANDALCOHOL SUBSTANCE ABUSE SERVICES TO 5,982 PATIENTS. OUTPATIENTFOLLOW-UP TREATMENT AND SUPPORT SERVICES PROVIDED FOR 56,188CLIENT VISITS. THE INPATIENT REHABILITATION PROGRAM IS BASED UPONTHE 12 STEP PHILOSOPHY AND PROVIDES A COMPREHENSIVE ARRAY OFSERVICES TO MEN AND WOMEN IN SEPARATE, GENDER-SPECIFIC UNITS.PATIENTS WITH CO-OCCURRING PSYCHIATRIC DISORDERS AND THOSE WITH AHISTORY OF RELAPSE ARE WELCOMED. OUTPATIENT TREATMENT PROGRAMSINCLUDE A DAY REHABILITATION PROGRAM AND A CLINIC PROGRAM. FORMORE INFORMATION, SEE SCHEDULE O.

4c	(Code: ) (Expenses $ 2,120,838 including grants of $ ) (Revenue $ 1,076,458 )
	ST. JOHN'S OPERATES THE COCHRAN SCHOOL OF NURSING, AN ASSOCIATEDEGREE PROGRAM WHOSE PURPOSE IS TO TRAIN NURSES. IN 2020, 114STUDENTS WERE ENROLLED AT THE SCHOOL. FOUNDED IN 1894 AT ST.JOHN'S RIVERSIDE HOSPITAL, THE COCHRAN SCHOOL OF NURSING IS THEOLDEST HOSPITAL-BASED SCHOOL OF NURSING IN THE METROPOLITANREGION. THE SCHOOL OFFERS A REGISTERED NURSE (RN) CURRICULUMLEADING TO A DEGREE OF ASSOCIATE IN APPLIED SCIENCE. FOR MOREINFORMATION, SEE SCHEDULE O.

	(Code: ) (Expenses $ 1,489,574 including grants of $ ) (Revenue $ 1,772,981 )
	ST. JOHN'S RIVERSIDE HOSPITAL OPERATES A METHADONE MAINTENANCE PROGRAM SEVEN DAYS A WEEK, 365 DAYS A YEAR TO ENABLE CLIENTS SUFFERING NARCOTIC ADDICTION TO CONTINUE PRODUCTIVE LIVES. IN 2020, THE CLINIC HAD 78,525 VISITS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,489,574 including grants of $ ) (Revenue $ 1,772,981 )
4e	Total program service expenses269,271,979

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,260,759	0	816,887

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	106,317
d	Related organizations		1d
e	Government grants (contributions)		1e	100,510,313

f	All other contributions, gifts, grants, and similar amounts not included above		1f	146,273

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		100,762,903

		Business Code
2a	NET PATIENT SERVICE REVENUE	623000	209,462,247	209,462,247
b	UNCOMPENSATED CARE SUBSIDIZED	623000	6,934,532	6,934,532
c	PHYSICIAN BILLING	900099	2,725,727	2,725,727
d	STUDENT TUITION ADMISSION	900099	1,078,037	1,078,037
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		220,200,543

3 Investment income (including dividends, interest, and othersimilar amounts) ......			154,855		11,215	143,640
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,449,770	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		1,449,770	6c
d	Net rental income or (loss).......			1,449,770			1,449,770
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ 106,317of contributions reported on line 1c). See Part IV, line 18 ....
			8a	27,498
b	Less: direct expenses ...		8b	28,998
c	Net income or (loss) from fundraising events..			-1,500			-1,500
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS REVENUE		900099	2,173,061			2,173,061
b	CAFETERIA		900099	304,478			304,478
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,477,539
12	Total revenue. See instructions.....			325,044,110	220,200,543	11,215	4,069,449

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,759,084	3,759,084
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	417,330	417,330
7	Other salaries and wages........	128,232,237	115,915,423	12,316,814
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,014,234	14,538,651	1,475,583
9	Other employee benefits .......	27,319,892	24,725,290	2,594,602
10	Payroll taxes ...........	9,840,819	8,921,808	919,011
11	Fees for services (non-employees):
a	Management ......	3,344,306	2,621,316	722,990
b	Legal .........	669,539	55,035	614,504
c	Accounting ...........	450,409		450,409
d	Lobbying ...........	78,000		78,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	40,458,336	38,543,624	1,914,712
12	Advertising and promotion ....	128,030		123,351	4,679
13	Office expenses .......	39,900,588	38,419,529	1,481,059
14	Information technology ......	2,148,572	1,074,286	1,074,286
15	Royalties ..
16	Occupancy ...........	6,365,603	6,191,293	174,310
17	Travel ............	6,934	6,878	56
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	185,499	123,753	61,746
20	Interest ...........	1,053,015	1,053,015
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	8,578,757	8,578,757
23	Insurance ...	1,081,714	1,081,714
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	ALL OTHER EXPENSES	3,119,695	2,367,356	752,339
b	COLLECTION FEES	1,046,858	609,553	437,305
c	DUES, BOOKS & SUBSCRIPT	354,070	268,284	85,786
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	294,553,521	269,271,979	25,276,863	4,679
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 ........			5,735,133	1	2,841,846
2	Savings and temporary cash investments .........			396,341	2	52,256,139
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			24,164,445	4	21,628,096
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			1,100,501	7	1,069,716
8	Inventories for sale or use ............			3,729,953	8	3,995,471
9	Prepaid expenses and deferred charges ......			1,422,911	9	2,155,164
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	297,062,774
b	Less: accumulated depreciation	10b	255,406,757	40,626,549	10c	41,656,017
11	Investments—publicly traded securities .			9,379,699	11	6,555,472
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			2,110,114	14	2,209,124
15	Other assets. See Part IV, line 11 ...........			22,856,013	15	20,051,727
16	Total assets. Add lines 1 through 15 (must equal line 33)...			111,521,659	16	154,418,772

17	Accounts payable and accrued expenses .....	53,318,660	17	55,518,607
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	16,609,938	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	5,228,148	23	481,915
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	120,300,792	25	167,264,909
26	Total liabilities. Add lines 17 through 25..	195,457,538	26	223,265,431

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-88,362,611	27	-73,374,981
28	Net assets with donor restrictions ...........	4,426,732	28	4,528,322
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	-83,935,879	32	-68,846,659
33	Total liabilities and net assets/fund balances ........	111,521,659	33	154,418,772