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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Susan Green-Lorenzen RN...................................................................... Trustee	1.0 ................. 59.0	X				0	2,557,455	44,593
(2) STEPHEN ROSENTHAL...................................................................... Vice Chair	1.0 ................. 59.0	X	X			0	1,102,212	46,143
(3) Jeffrey Menkes...................................................................... Trustee	1.0 ................. 59.0	X				0	1,054,418	17,000
(4) JOAN CUSACK-MCGUIRK...................................................................... Chief Executive Officer	50.0 ................. 5.0		X			725,373	0	26,493
(5) GINA DEL SAVIO MD...................................................................... CHIEF MEDICAL OFFICER	31.0 ................. 24.0			X		535,683	0	30,236
(6) THOMAS J GIBNEY...................................................................... SVP, CFO/Treasurer	50.0 ................. 5.0		X			492,698	0	54,926
(7) Daniel J Maughan...................................................................... SVP, Chief Operating Officer	55.0 ................. 0.0		X			357,434	0	20,822
(8) DANIEL M BENGYAK...................................................................... VP, HUMAN RESOUCES	55.0 ................. 0.0			X		316,739	0	43,925
(9) MARGARET ALLERS RN...................................................................... VP, CHIEF NURSING OFFICER	55.0 ................. 0.0			X		285,772	0	44,877
(10) Mary V Kelley...................................................................... VP, Quality Management	55.0 ................. 0.0				X	271,686	0	37,396
(11) JOSEPH T SURACE...................................................................... VP, OPERATIONS	55.0 ................. 0.0			X		228,363	0	48,790
(12) Glynis Cowart...................................................................... Chief Information Officer	55.0 ................. 0.0				X	235,412	0	8,743
(13) Jill Barton...................................................................... VP, Revenue Cycle	55.0 ................. 0.0				X	216,801	0	24,520
(14) Ajay Sharma...................................................................... Pharmacist	40.0 ................. 0.0				X	218,914	0	13,465
(15) Katherine Dabrowski...................................................................... VP, Marketing, Community & PR	55.0 ................. 0.0				X	199,585	0	19,194
(16) DAVID POTACK...................................................................... Chair	1.0 ................. 0.0	X	X			0	0	0
(17) CHRIS CATANIA...................................................................... TRUSTEE (Term Ended 12/31/20)	1.0 ................. 0.0	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
Holt Construction Corporation, 50 East Washington Avenue PEARL RIVER,NY10965	Construction	4,692,275
Restorix Health, PO Box 71849 CHICAGO,IL60694	Medical Services	3,162,995
Allied Universal Security Services, PO Box 828854 PHILADELPHIA,PA19182	Security services	3,063,482
United Westlabs Inc, 801 N Parkcenter Drive SANTA ANA,CA92705	Outside lab services	2,709,138
Perreca Electric Co Inc, 520 Broadway NEWBURGH,NY12550	contracting services	1,829,660
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 36

- 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.
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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or 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 LUKE'S CORNWALL HOSPITAL

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 LUKE'S CORNWALL HOSPITAL		Employer identification number 14-1340054

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 LUKE'S CORNWALL HOSPITAL			Employer identification number 14-1340054
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ 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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I-A

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

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

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

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

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

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

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

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

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

Yes

37,598

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

37,598

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
SCHEDULE C, PART II-B, QUESTION 1I	Other lobbying activities includes a percentage of membership dues paid to the American HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL Association, Healthcare ASSOCIATION OF NEW YORK STATE, NORTHERN METROPOLITAN HOSPITAL Association AND 1199/SEIU that were used by these organizations for lobbying efforts.

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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 ....	1,561,616	1,541,744	1,545,785	1,880,349	1,053,464
b	Contributions ...	487,597	661,065	695,392	1,252,181	1,834,650
c	Net investment earnings, gains, and losses	369	545	538	3,167	0
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	459,026	306,356	359,173	951,966	492,615
f	Administrative expenses ....	315,839	335,382	340,798	637,946	515,150
g	End of year balance ......	1,274,717	1,561,616	1,541,744	1,545,785	1,880,349

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

53.000 %

Term endowment SchDMd Bullet

47.000 %

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)

Yes

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

Yes

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 .....	1,684,001		1,684,001
b	Buildings ....	71,386,350	14,995,274	56,391,076
c	Leasehold improvements
d	Equipment ....	42,727,948	24,064,056	18,663,892
e	Other .....	7,530,297	1,667,596	5,862,701
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				82,601,670

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)EST INSURANCE CLAIMS RECEIV				15,266,000
(2)DUE FROM THIRD PARTY PAYORS				16,574
(3)RIGHT OF USE OPER LEASE ASSETS				2,694,126
(4)DUE FROM AFFILIATES				2,515,283
(5)OTHER ASSETS				424,908
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				20,916,891

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	76,879,984
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
SCHEDULE D, PART IV, Line 2b	St. Luke's Cornwall Hospital holds security deposits from tenants in escrow pursuant to the individual lease agreements between the tenants and the organization. These deposits are returned to the tenants once they vacate their rental unit less any amounts, if any, due from the tenants for damages or unpaid rent.
Schedule D, Part V, Line 3a(ii)	The term endowment and part of the Permanent endowment represents the organization's interest in St. Luke's Cornwall Health System Foundation, Inc., a supporting organization of St. Luke's Cornwall Hospital.
Schedule D, Part V, Line 4	The intended uses of the organization's endowment funds are to financially support healthcare initiatives of the St. Luke's Cornwall Health System.

Schedule D (Form 990) 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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

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) . . .	4,915,490	1,304,608	3,610,882	1.540 %
b	Medicaid (from Worksheet 3, column a) . . . . .	54,897,432	32,022,081	22,875,351	9.770 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	59,812,922	33,326,689	26,486,233	11.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	922,890	0	922,890	0.390 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	23,998,689	14,148,356	9,850,333	4.210 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	24,921,579	14,148,356	10,773,223	4.600 %
k	Total. Add lines 7d and 7j .	84,734,501	47,475,045	37,259,456	15.910 %

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

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

2,136,651

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. ......

52,231

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

Section B. Medicare

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

52,064,357

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

66,739,790

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

-14,675,433

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 %
1EOASC	Ambulatory Surgery Center	35 %	0 %	65 %
2LSL Newburgh LLC	Dialysis Service	15 %	0 %	30 %
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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH,NY12550 WWW.montefioreslc.org 3522000H	X	X	X

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)

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

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

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

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

Yes

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

Hospital facility’s website (list url): See Part V - 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 Part V - 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)

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

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

See Part V - Section C

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

See Part V - Section C

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

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

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

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

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 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
SCHEDULE H, PART V, Section B, Line 5	The process for preparing the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community. The Montefiore St. Luke's Cornwall Community Health Needs Assessment was compiled using specific data provided from Mid-Hudson Region Community Health Assessment 2019-2021, and used as Montefiore St. Luke's Cornwall Hospital primary data collection source. The Mid-Hudson Region Community Health Assessment 2019-2021 was compiled and written by HealtheConnections and was inclusive of data pertaining to the seven counties within the Mid-Hudson Region. This assessment originated from a Collaborative that was formed in 2017 from the seven local Health Departments across the Mid-Hudson Region, with a goal of creating the first ever regional community health survey. The seven local Health Departments included Orange County Department of Health, Putnam County Department of Health, Rockland County Department of Health, Dutchess County Department of Behavioral & Community Health, Sullivan County Public Health Services, Ulster County Department of Health and Mental Health and Westchester Department of Health. There were 17 local hospitals who contributed funds for the Collaborative to contract with the Siena College Research Institute, to conduct a randomized digital dial community health survey between April and September 2018 to supplement the Regional Community Health Assessment. To further assess the broad interests of the community, following the Regional assessment, several focus groups were created to gain insight of the underrepresented populations in the community, including those who are seniors, low income, veterans, LGBTQ members, those experiencing homelessness, and residents with a mental health diagnosis. Twelve focus groups, with members of the providers who serve these populations were created collaboratively with Human Service providers throughout the region. Prior to the focus group, a survey was sent to providers in each county in an effort to supply additional background regarding local factors that influence community Health. Along with the primary data collected through the survey and focus groups, secondary data was compiled to further supplement the data collected and show health indicators for the Region. To capture an up-to-date high-level view of the health status of Orange County residents, there was an evaluation of temporal trends, differences between Orange County and other Mid-Hudson Region Counties, New York State excluding New York City and New York City for more than 20 measures, including: obesity, preterm births, teen pregnancy rates, poverty, access to primary care, insurance status, smoking, flu immunizations, cancer screening, HIV incidence, lung, colorectal, prostrate and breast cancer incidence rates, and hospitalization for asthma, diabetes, heart attacks and falls. Montefiore St. Luke's Cornwall Hospital participated in the Orange County Health Summit on June 4, 2019 that included more than 100 community partners, including hospitals, health care providers, community members, community health care providers, and those involved in academia. This summit was an active working session to review the data from the focus groups, along with the Sienna College Survey Data and untimely decide on the Priority areas for the 2019-2021 Community Health Improvement and Community service plan. Comments received on the most recently conducted Community Health Needs Assessment address areas of concern that Montefiore's St. Luke's Cornwall Hospital had when creating the document, specifically that Montefiore St. Luke's Cornwall's primary service area, inclusive of the City of Newburgh was not well reflective in this data. The final Mid-Hudson Regional Community Health Assessment 2019-2021, notes that while the results gives an extensive background of the health needs of the Mid-Hudson region, the final results are misleading and mask several of the disparities that exist in the Urban areas of Orange County. At first glance, Orange County appears to be an affluent suburban community that enjoys a median household income above the New York averages, a smaller percentage of individuals living below the poverty line, a smaller unemployment rate and boasts higher percentage of high school graduates as compared to New York State. However, aggregate county data are misleading and masks the disparities within the county. The urban areas of Orange County are characterized by severe socioeconomically and health inequities, with one-third of the population living below the poverty line and residing in the three major cities of Newburgh, Middletown and Port Jervis.
Schedule H, Part V, Section B, Line 7a	The direct website address where the St Luke's Cornwall Hospital's CHNA report can be accessed: https://www.MONTEFIORESLC.ORG/DOCUMENTS/mslc-2019-CHNA-W-Appendices-FINAL. pdf
Schedule H, Part V, Section B, Line 10a	The hospital's most recently adopted implementation strategy is posted on the direct website: https://www.MONTEFIORESLC.ORG/DOCUMENTS/mslc-2019-CHNA-W-Appendices-FINAL. pdf
Schedule H, Part V, Section B, Line 11	The two priority areas that Montefiore St. Luke's has identified as a result of the Community Health Needs Assessment and the discussion at the Health Summit are the same that was selected by Orange County as the two Prevention Agenda Priorities at the Summit: Prevent chronic Disease and Prevent Communicable Disease. According to the Mid-Hudson Regional community Health Assessment 2019-2021, in Orange County, Heart Disease and cancer are the leading causes of death and leading cause of premature death by a large margin. Obesity is a leading contributor to these top causes of death, as well as diabetes, stroke, and hypertension, all of which can lead to premature death. According to the 2016 BRFSS data, nearly 70% of Orange County adults are either overweight or obese. Data from 2016-2018 show that 36.8% of school aged children and adolescents are overweight or obese. Over the past ten years, the rate of obesity has continually grown, as well as subsequent morbidity of cardiovascular disease, prediabetes, and hypertension. STIs are also on the rise in Orange County. There has been a 75% increase in the average number of newly diagnosed HIV cases in Orange County. Chlamydia rates among both males and females from 2014-2016 are higher in Orange County than rates in the Mid-Hudson Region, and have steadily increased or remained the same from 2011-2013 to 2014-2016. Additionally, Orange County had its first fetal demise in 2019 from congenital syphilis in over 25 years. The significant needs to be addressed by Montefiore St. Luke's Cornwall, focusing on Orange County and specifically the hospital's primary service area inclusive of the City of Newburgh are as follows: - Prevent Chronic Disease - Montefiore St. Luke's Cornwall will focus on preventive care and management with an effort to promote evidence-based care to prevent and manage chronic diseases including Cardiovascular Disease, COPD, Diabetes and Prediabetes as well as asthma. The Montefiore St. Luke Cornwall team already has many systems in place to address these areas. Additionally, we will work to increase food security in Orange County by improving screening methods to identify patients with food insecurity, and further enhance the resources available within the hospital and amongst our community partners to connect the populations that we serve with a more available healthier food sources. Another focus area will be increasing cancer-screening rates. - Prevent Communicable Diseases - Montefiore St. Luke's Cornwall will be working with community partners to reduce the annual rate of growth for sexually transmitted infections. There has been a significant increase in STIs in Orange County and the hospital has seen this increase firsthand in both the presentations to the emergency department as well as the Labor and deliver unit. The New York State Prevention Agenda Health Improvement plan for 2019 established five prevention agenda priority areas from which the Orange County Department of Health has selected two of the five areas as a result of its collaboration with Montefiore St. Luke's Cornwall and several other community partners. The three areas that were not selected, as a focus area by the hospital were Promoting healthy women, infants and children, Prompting a healthy and safe environment and promoting well-being and preventing mental substance use disorders. Even though Promoting Healthy women, infants and Children was not a selected priority area of Montefiore St. Luke's for the 2019-2021 community service plan, there are many systems that are already in place for this area. In 2018, an OB Patient Navigator was added to the Hospital's Birthing Center staff. In addition, prenatal education and breastfeeding classes are offered and the course size has seen recent increases. In 2019, a patient navigator was hired to connect patients who struggle with substance abuse or opioid addition with the appropriate community resources. The second area not selected was promoting a healthy and safe environment by focusing on access to supermarket or grocery stores and lead screenings. Montefiore St. Luke's is indirectly addressing the first focus area in our realm of working to increase food security in the community that we serve. By our work with the community to enhance the availability of healthy food options, we may be ultimately addressing this disparity. Lead screening, the second focus area, is not a focal point at Montefiore St. Luke's Cornwall since this area is currently being addressed by the performance of lead screenings by the community-based pediatricians in the hospital's primary service area. The third and last area not selected was promoting well-being and preventing mental substance use disorders. While this area was not addressed in the hospital's three-year community service plan, this area remains a top focus throughout the hospital and Orange County as a whole. Since the community already has a large variety of resources invested in addressing the opioid epidemic, it was felt that our collective efforts would be better geared in other directions. Additionally, in 2019, the hospital launched the first Medication Assisted Treatment Program, within the walls of the hospital, engaging patients when they first arrive and working to get them connected to the proper community resources.
Schedule H, Part V, Section B, Line 13H	The hospital uses a credit assessment tool to help determine if certain patients can auto-qualify for a charity care discount based on presumption eligibility.
Schedule H, Part V, Section B, Line 16A	The organization's FAP is available on the Hospital's website: https://www.montefioreslc.org/documents/LD-1415-FINANCIAL-ASSISTANCE.501R- COMPLIANT).pdf
Schedule H, Part V, Section B, Line 16B	The organization's FAP application is available on the Hospital's website: https://www.montefioreslc.org/DOCUMENTS/2288-FINANCIAL-ASSISTANCE-APPLICAT ION.PDF
Schedule H, Part V, Section B, Line 16C	The Plain Language summary of the FAP is available on the Hospital's website: https://www.montefioreslc.org//3357-SLCH-PLAIN-LANGUAGE-SUMMARY-FAP.PDF

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?3
Name and address		Type of Facility (describe)
1	Montefiore St Luke's Cornwall 19 Laurel Avenue Cornwall,NY12518	Hospital outpatient department
2	St Luke's Cornwall Hospital Fishkill Ctr 17 Old Main Street Fishkill,NY12524	rehabilitation services
3	SLCH Sleep Center 400 Westage Business Center Drive Fishkill,NY12524	Specialty Care
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
1. Part I, Line 7	The cost-to-charge ratio methodology was utilized to calculate the amount included in the table. The calculation of this ratio was derived from ratio of patient care cost-to-charge. In calculating the patient care cost for the ratio, the organization reduced its operating expenses for its non-patient care costs and cost of its community benefits and building activities not relying on the RCC factor for costing purposes. In 2020, the organization received distributions from the Cares Acts Provider Relief Fund and pending FEMA Relief Assistance for direct reimbursement of COVID-19 expenses. The organization further adjusted its patient care cost to exclude these expenses in calculating its cost to charge ratio. 1. Part I, Line 7g The hospital has reported two 501(c)(3) physician's clinics, that includes its emergency physicians, as part of its subsidized health services. These two clinics are part of the integrated health care services provided by St Luke's Cornwall Hospital, a safety net and vital access provider, serving a medically underserved population. These medical clinics provide much needed health care services to the Hospital large Medicare and Medicaid populations that are operated by the hospital at a substantial loss to the organization. For 2020, the cost included in Part I, Line 7G for theses medical services were $3,149,160.
1. PART III, Section A, LINE 2	The cost of bad debt expense is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A, Line 3 The estimated amount of the organization's bad debt expense (at cost) attributed to under the organization's charity care policy was based on the results of predictive analysis. Bad debt should be included as a community benefit because the organization provides much needed health care services indiscriminately to the community-at-large without regard to whether or not the patient has insurance or if the bill will ever be paid. Part III, Section A, Line 4 As reported in St Luke's Cornwall Hospital and Subsidiaries audited financial statements, bad debt expense is described as follows: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the year ended December 31, 2020, changes in the Hospital's estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as provision for bad debts. The provision for bad debt for the year ended December 31, 2020 and 2019, was not significant".
1. PART III, Section B, LINE 8	The amount reported on Line 6 was derived using the Medicare allowable costs as reported on the Hospital's New York State Institutional Cost Report. The Medicare Shortfall should be considered a community benefit since these SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A whole AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE tax-exempt PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY healthcare SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER without REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability TO PAY. Medicare, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF care. The Medicare reimbursement has not kept pace with the rising Medicare costs thus shifting the burden for the difference to the organization for services rendered mainly to a frail, elder population that has great health needs.
1. Part III, Section C, Line 9B	For patients who are known to qualify for Financial assistance, all collection activity is halted and the patient is referred for financial aid. If an account is in collection and the patient requests financial aid or if the agency determines that the patient is eligible for financial assistance, the account is referred back to the hospital where the patient is provided assistance with completing an application for assistance.
2. Needs Assessment	The organization assesses community needs by working jointly with a broad spectrum of community partners. St. Luke leads the Population Health Coalition, a group that includes more than 30 local organization focused on improving the health of the population served. The group is comprised of disease specific advocacy, local health care providers, including primary and specialty care practices, rehabilitation centers, emergency medical services, and federally qualified Health Centers, as well as organizations that focus on housing, the aging population, employment, mental health and special needs. The Population Health Coalition strives to identify gaps in care, consolidate resources and information and collaborate on projects that serve the community. St. Luke's also uses Primary and secondary data collections to assess the health needs of the community. Patient survey data obtained and compiled by the Orange County Department of Health are used as a secondary data source to supplement input obtained directly at COMMUNITY AND TOWN council MEETINGS, MEDICAL EDUCATION SEMINARS, PHYSICIAN PRESENTATIONS AND various HEALTH SCREENING EVENTS.
3. Patient Education of Eligibility for Assistance	All intake, registration and collection agency staff is trained on the Hospital's Financial Aid Policy and how to provide patients with assistance. When it is determined that a patient is having difficulty paying their bill, a referral is made to the Hospital's Financial Aid Office and a Financial counselor will help the patient apply for financial aid. The hospital makes its financial aid policy known to the public by providing written information at patient service areas, information posted on the internet and information sent out on patient's bills.
4. Community Information	ST. LUKE'S CORNWALL HOSPITAL ("SLCH") is a 242-bed acute care not-for-profit community hospital with campuses in Newburgh and Cornwall New York, as well as several off-site facilities, that provide care to more than 250,000 patients per year and serves a population of approximately 400,000 people. As a safety net and Vital access Provider, the hospital serves a population that has been designated as a medically underserved area (MUA), specifically in the City of Newburgh. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF NEWBURGH, the most densely populated portion of Montefiore St. Luke's primary SERVICE area, with more than 7,473.3 PEOPLE PER SQUARE MILE. THE hospital's MARKET IS DEFINED BY 12 neighboring ZIP CODES mainly IN ORANGE county and INCLUDING ULSTER AND DUTCHESS COUNTIES. According to estimates from the United States Census Bureau, Orange county's: - Population grew by 2.4% (between 2010 and 2018) - Median household income (in 2017 dollars) 2013-2017 was $75,146 - Percentage of persons 65 and older was 13.6% and - 10.9% of the population lives in poverty. The latest Community Health Assessment Survey shows an increase from 2013 in the reported prevalence of certain chronic diseases, including diabetes, high blood pressure, reported overweight or obesity and heart disease. The survey also indicated the other most commonly reported chronic diseases as hyperlipidemia, depression or anxiety and chronic pain. Access to healthcare providers is another social determinant identified in the Mid-Hudson Region, and is specifically a challenge in the City of Newburgh due to limited access to transportation as well as the cost of care. The Mid-Hudson Region Community Health Assessment 2019-2021 notes that 11.1% of Orange County residents did not receive medical care due to cost in 2016. While Orange County may not be among the highest, the numbers are far higher in the City of Newburgh as compared to the county as a whole.
5. Promotion of Community Health	St. Luke's Cornwall hospital promotes community health by working with a board spectrum of community Partners in order to address various community health issues. St. Luke's leads the Population Health Coalition, a group that includes more than 30 local organization focusing on improving the health of the population served. The Population Coalition strives to identify gaps in care, consolidates resources and information and collaborates on projects that serve the community. The Coalition has succeeded in compiling an interactive directory of local community resources that can be utilized to better connect the population to appropriate services that best fit their needs. St Luke's Cornwall Hospital has its own community education programs that reaches a wide variety of audience on a number of community health issues. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens and public events. Future plans will build upon this existing model by identifying other audiences in need of educational programming, as well as utilizing digital outreach through the internet and social media.
6. Affiliated Health Care Systems	St Luke's Cornwall Hospital is an affiliate of Montefiore Health System. Montefiore Health System, Inc. is a leader in community Health and has a long history of developing innovative approaches to care and creating programs to best serve the changing needs of its community. These include, but are not limited to the following: community service plan, community service strategy, accountable care organization, patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches support the Health System well in its provision of service to the community.
7. State Filing of Community Benefits Report	St Luke's Cornwall Hospital files a COMMUNITY BENEFIT REPORT WITH the State of NEW YORK.

Schedule H (Form 990) 2020

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
ST LUKE'S CORNWALL HOSPITAL

Employer identification number
14-1340054

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH,NY12550	27-2020746	501(C)(3)	2,080,424	OPERATIONAL SUPPORT
(2) HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH,NY12550	45-2526738	501(C)(3)	1,068,736	OPERATIONAL SUPPORT
(3) American Heart Association Inc 7272 Greenville Ave Dallas,TX75231	13-5613797	501(c)(3)	5,750	Sponsorship
(4) Cornerstone Family Healthcare 2570 Route 9W Cornwall,NY12518	06-1036715	501(c)(3)	8,475	Sponsorship
(5) ORANGE COUNTY CHAMBER OF COMMERCE 40 MATTHEW STREET GOSHEN,NY10924	06-1495939	501(C)(6)	17,275	SPONSORSHIP

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

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

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2

Most of the hospital's assistance was made to two 501(C)(3) supported organizations of the hospital who were formed to provide physician and other licensed health care to the community. The operations of these entities are managed through the hospital and are included as part of the Hospital's consolidated activities. The organizations also makes a limited number of sponsorships to various organizations as part of its many local community health program endeavors. Contributions and sponsorships are made to deserving non-profit organizations to support the Health System's mission of advancing the Helath and welfare of the communities that we serve.

Schedule I (Form 990) 2020

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed 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? .............

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

Yes

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)
1JOAN CUSACK-MCGUIRK Chief Executive Officer	(i) (ii)	601,143 ------------- 0	103,656 ------------- 0	20,574 ------------- 0	11,000 ------------- 0	15,493 ------------- 0	751,866 ------------- 0	0 ------------- 0
2THOMAS J GIBNEY SVP, CFO/Treasurer	(i) (ii)	438,337 ------------- 0	47,126 ------------- 0	7,235 ------------- 0	13,035 ------------- 0	41,891 ------------- 0	547,624 ------------- 0	0 ------------- 0
3DANIEL M BENGYAK VP, HUMAN RESOUCES	(i) (ii)	273,821 ------------- 0	35,786 ------------- 0	7,132 ------------- 0	7,432 ------------- 0	36,493 ------------- 0	360,664 ------------- 0	0 ------------- 0
4GINA DEL SAVIO MD CHIEF MEDICAL OFFICER	(i) (ii)	353,688 ------------- 0	30,000 ------------- 0	151,995 ------------- 0	4,206 ------------- 0	26,030 ------------- 0	565,919 ------------- 0	0 ------------- 0
5JOSEPH T SURACE VP, OPERATIONS	(i) (ii)	217,584 ------------- 0	10,000 ------------- 0	779 ------------- 0	10,060 ------------- 0	38,730 ------------- 0	277,153 ------------- 0	0 ------------- 0
6MARGARET ALLERS RN VP, CHIEF NURSING OFFICER	(i) (ii)	256,211 ------------- 0	20,410 ------------- 0	9,151 ------------- 0	8,447 ------------- 0	36,430 ------------- 0	330,649 ------------- 0	0 ------------- 0
7Jeffrey Menkes Trustee	(i) (ii)	0 ------------- 528,681	0 ------------- 500,000	0 ------------- 25,737	0 ------------- 17,000	0 ------------- 0	0 ------------- 1,071,418	0 ------------- 0
8Susan Green-Lorenzen RN Trustee	(i) (ii)	0 ------------- 1,134,309	0 ------------- 514,700	0 ------------- 908,446	0 ------------- 17,000	0 ------------- 27,593	0 ------------- 2,602,048	0 ------------- 0
9Mary V Kelley VP, Quality Management	(i) (ii)	236,706 ------------- 0	29,979 ------------- 0	5,001 ------------- 0	7,539 ------------- 0	29,857 ------------- 0	309,082 ------------- 0	0 ------------- 0
10Daniel J Maughan SVP, Chief Operating Officer	(i) (ii)	311,853 ------------- 0	37,783 ------------- 0	7,798 ------------- 0	12,702 ------------- 0	8,120 ------------- 0	378,256 ------------- 0	0 ------------- 0
11STEPHEN ROSENTHAL Vice Chair	(i) (ii)	0 ------------- 977,237	0 ------------- 100,000	0 ------------- 24,975	0 ------------- 17,000	0 ------------- 29,143	0 ------------- 1,148,355	0 ------------- 0
12Jill Barton VP, Revenue Cycle	(i) (ii)	197,511 ------------- 0	16,776 ------------- 0	2,514 ------------- 0	9,083 ------------- 0	15,437 ------------- 0	241,321 ------------- 0	0 ------------- 0
13Ajay Sharma Pharmacist	(i) (ii)	140,536 ------------- 0	2,500 ------------- 0	75,878 ------------- 0	0 ------------- 0	13,465 ------------- 0	232,379 ------------- 0	0 ------------- 0
14Glynis Cowart Chief Information Officer	(i) (ii)	214,689 ------------- 0	18,000 ------------- 0	2,723 ------------- 0	8,050 ------------- 0	693 ------------- 0	244,155 ------------- 0	0 ------------- 0
15Katherine Dabrowski VP, Marketing, Community & PR	(i) (ii)	175,759 ------------- 0	16,859 ------------- 0	6,967 ------------- 0	6,656 ------------- 0	12,538 ------------- 0	218,779 ------------- 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

Schedule J, Part I, Line 4b

A Trustee employed by Montefiore Health System, Inc. participated in a supplemental nonqualified retirement plan provided by a related organization. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF reasonableness" THE COMPENSATION COMMITTEE OF THE MONTEFIORE BOARD OF Trustees EXPRESSLY REVIEWED AND APPROVED THESE RETIREMENT BENEFIT arrangements FOR its SENIOR EXECUTIVES IN A MANNER THAT QUALIFIED UNDER the intermediate SANCTIONS RULES OF THE FEDERAL TAX LAW, AND IN recognition of (A) THE EXECUTIVES' YEARS OF SERVICE TO THE ORGANIZATION and (B) THE SIGNIFICANT CONTRIBUTIONS TO ENHANCING THE ABILITY OF THE organization TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT with FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD BE VIEWED AS applying TO YEARS OF SERVICE FOR THE ORGANIZATION. Pooled supplemental executive retirement plan distribution based on multiple years of service: Susan Green-Lorenzen, RN - $884,992.

Schedule J, Part I, Line 7

Part of the annual incentive awards in column (B)(II) paid by the organization to reportable individuals listed on Form 990, Part VII, Section A, Line 1A was based on the compensation board or management discretion.

Schedule J (Form 990) 2020

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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 LUKE'S CORNWALL HOSPITAL

Employer identification number
14-1340054

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Orange County Industrial Development Agency	14-1603415	6B4595DTS	06-22-2006	15,965,000	Facility Improvements		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,970,000
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	15,965,000
4 Gross proceeds in reserve funds .............	0
5 Capitalized interest from proceeds .............	0
6 Proceeds in refunding escrows ...............	0
7 Issuance costs from proceeds ...............	319,300
8 Credit enhancement from proceeds .............	109,772
9 Working capital expenditures from proceeds .............	0
10 Capital expenditures from proceeds .............	13,894,518
11 Other spent proceeds .............	1,641,410
12 Other unspent proceeds .............	0
13 Year of substantial completion .............	2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X
b Name of provider ..........	Key Bank
c Term of hedge .........	20 %
d Was the hedge superintegrated? ......	X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........	0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, LINE C, BOND A	The rebate computation was performed 12/22/16.

Schedule K (Form 990) 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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Return Reference	Explanation
Form 990, Part VI, Section A, Line 6	Montefiore Health System, Inc. is the sole member of Montefiore St. Luke's Cornwall Hospital.
Form 990, Part VI, Section A, Line 7A	Montefiore Health System, Inc., the sole member of Montefiore St. Luke's Cornwall Hospital, has the authority to appoint and remove the members of the organization's Board. Form 990, Part VI, Section A, Line 7B Montefiore Health System, Inc., the sole member of Montefiore St. Luke's Cornwall Hospital, has the power to authorize and approve amendments to the Certificate of Incorporation and bylaws of the Corporation, the appointment, termination and terms of employment of the corporate officers, authorization and approval of all budgets and plans including the operating and capital budget and strategic plans, approval of any material changes to the Hospital's clinical services, the authorization and approval of managed care contracts, indebtedness, mergers, consolidations or dissolutions of the corporation and certain administrative procedures, among others.
Form 990, PART VI, SECTION B, Line 11	The Form 990 was prepared by the Montefiore's tax Department working closely with St Luke's Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by the Vice-President-Finance and the Montefiore ST. LUKE'S CORNWALL HOSPITAL senior leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the St Luke's Finance Committee of the Board of trustees for review and approval. Once approved by the Finance Committee of the Board of Trustees, the Form 990 was provided to all members of St Luke's governing body prior to filing.
Form 990, PART VI, SECTION B, Line 12C	THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. All officers, trustees and key employees of St Luke's Cornwall Hospital are required to complete an annual conflict of interest QUESTIONNAIRE, in their capacity as an employee of the Hospital or as a Board Member of the hospital. Completed QUESTIONNAIRES ARE RETURNED and reviewed by the SECRETARY of THE BOARD OF TRUSTEES and concerns presented by the responses are disclosed to THE SYSTEM'S COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S PRESIDENT/CEO AND THE ORGANIZATION'S FINANCE COMMITTEE for discussion and alleviation of the conflict. Documentation of the existence and resolution of the conflict, including any meeting minutes, IS maintained by the Secretary of the Board.
Form 990, PART VI, SECTION B, Line 15	The organization is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The St. Luke's Board of Trustees has charged the Finance Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) to serve as the executive compensation Committee, responsible with making all decisions related to compensation for select senior management of the Corporation. All decisions made by the Executive Compensation Committee are appropriately and timely documented in meeting minutes. The Executive Compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with St. Luke's executive compensation philosophy. The Committee's decisions are made in the best interest of St. Luke's, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Chair of the Committee provides the Board with a report of the committee's activities and progressions.
Form 990, PART VI, SECTION C, Line 16B	ALL JOINT VENTURES HAVE HOSPITAL REPRESENTATION ON THE RESPECTIVE BOARDS to ENSURE THAT THE HOSPITAL'S PARTICIPATION IN THESE JOINT VENTURE'S are in furtherance of the organization's CHARITABLE PURPOSE AND MISSION.
Form 990, PART VI, SECTION C, Line 19	THE Conflict of Interest policy and governing documents are made available upon request.
Form 990, PART XI, Line 9	The decrease in other net assets of $2,991,309 was due to the following: - Increase in defined pension & other postretirement plans liabilities to be recognized in future periods ($2,651,055) - Change in fair value of derivative instrument ($53,354) - Change in Beneficial interest in an affiliate Foundation entity ($286,900)
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:21496258
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:12231670
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:171036
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITING SERVICES TOTAL FEES:110829
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:998293
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:320530
FORM 990 PART IX LINE 11G	DESCRIPTION:ANSWERING SERVICES TOTAL FEES:1765

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 LUKE'S CORNWALL HOSPITAL

Employer identification number

14-1340054

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ST LUKE'S CORNWALL JV LLC 70 DUBOIS STREET NEWBURGH,NY12550 26-3443304	HEALTH SVCS.	NY	2,856,428	1,047,559	SLCH

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)ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH,NY12550 22-3026261	Holding Comp	NY	501(C)(3)	12A Type I	MHS	Yes
(2)ST LUKE'S CORNWALL HEALTH SYSTEM FDN 70 DUBOIS STREET NEWBURGH,NY12550 22-3026263	FUNDRAISING	NY	501(C)(3)	7	SLCHS	Yes
(3)AMOS F & SARAH L HOLDEN HOME AGED WOMEN 70 DUBOIS STREET NEWBURGH,NY12550 14-1365995	aSST lIVING	NY	501(C)(3)	PF	SLCHS	Yes
(4)HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH,NY12550 27-2020746	HEALTHCARE	NY	501(C)(3)	12A Type I	SLCH	Yes
(5)HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH,NY12550 45-2526738	HEALTHCARE	NY	501(C)(3)	12A Type I	SLCH	Yes
(6)MONTEFIORE HEALTH SYSTEM INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN,NY10591 20-1615393	PARENT	NY	501(C)(3)	12B TYPE II	MMAHS	Yes
(7)MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX,NY10467 13-1740114	ACD MED CTR	NY	501(C)(3)	3	MHS	Yes
(8)MMC CORPORATION 111 EAST 210TH STREET BRONX,NY10467 13-3430322	REAL ESTATE	NY	501(C)(3)	12A TYPE I	MMC	Yes
(9)MMC RESIDENTIAL CORP I INC 3411 WAYNE AVENUE BRONX,NY10467 91-1943271	STAFF HOUSING	NY	501(C)(2)		MMC	Yes
(10)MONTEFIORE HOSP HOUSING SECTION II INC 3450 WAYNE AVENUE BRONX,NY10467 23-7160641	STAFF HOUSING	NY	501(C)(2)		MMC	Yes
(11)MOSHOLU PRESERVATION CORPORATION 3400 RESEVOIR OVAL EAST BRONX,NY10467 13-3109387	COMMUNITY SER	NY	501(C)(3)	12A TYPE I	MMC	Yes
(12)GUN HILL MRI PC 200 EAST GUN HILL ROAD BRONX,NY10467 13-3734486	DIAG SERVICES	NY	501(C)(3)	12A TYPE I	MMC	Yes
(13)MONTEFIORE NEW ROCHELLE HOSPITAL 16 GUION PLACE NEW ROCHELLE,NY10801 46-2931956	HOSPITAL	NY	501(C)(3)	3	MHS	Yes
(14)MONTEFIORE MOUNT VERNON HOSPITAL 12 NORTH SERVENTH AVENUE MOUNT VERNON,NY10550 46-2916938	HOSPITAL	NY	501(C)(3)	3	MHS	Yes
(15)SCHAFFER EXTENDED CARE CENTER 16 GUION PLACE NEW ROCHELLE,NY10801 46-2929888	NURSING HOME	NY	501(C)(3)	3	MHS	Yes
(16)MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX,NY10467 47-1600439	INACTIVE	NY	501(C)(3)	7	MMAHS	Yes
(17)MONTEFIORE MEDICINE ACADEMIC HEALTH SYST 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN,NY10591 47-1582973	SYSTEM PARENT	NY	501(C)(3)	12B TYPE II	NA	Yes
(18)MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK,NY10960 13-1740119	HOSPITAL	NY	501(C)(3)	3	MHS	Yes
(19)WHITE PLAINS HOSPITAL MEDICAL CENTER 41 EAST POST ROAD WHITE PLAINS,NY10601 13-1740130	HOSPITAL	NY	501(C)(3)	3	MHS	Yes
(20)AECOM STUDENT HOUSING CO INC 1300 MORRIS PARK AVENUE BRONX,NY10461 23-7075620	STUDENT HOUS	NY	501(C)(2)		AECOM	Yes
(21)MONTEFIORE CERC OPERATIONS INC 111 EAST 210TH STREET BRONX,NY10467 47-4853506	REHAB CENTER	NY	501(c)(3)	3	MMC	Yes
(22)WHITE PLAINS HOSPITAL CTR FOUNDATIONINC 41 EAST POST ROAD DAVIS AVE WHITE PLAINS,NY10601 13-3281507	FUNDRAISING	NY	501(C)(3)	12A TYPE I	WPHMC	Yes
(23)MONTEFIORE NYACK HOSPITAL FOUNDATION 160 NORTH MIDLAND AVENUE NYACK,NY10960 13-3245804	FUNDRAISING	NY	501(C)(3)	7	NYACK HOSP	Yes
(24)THE WINIFRED MASTERSON BURKE REHAB HOSP 785 MAMARONECK AVENUE WHITE PLAINS,NY10605 13-1739937	REHAB HOSP	NY	501(C)(3)	3	MHS	Yes
(25)Hudson Vista Corporation 70 Dubois Street Newburgh,NY12550 20-2286782	Healthcare	NY	501(c)(3)	12A Type I	NA		No
(26)MONTEFIORE MED ACAD HLTH SYS SELF INS TR 555 SOUTH BROADWAY TARRYTOWN,NY10591 82-4019223	INS TRUST	NY	501(c)(3)	12A TYPE I	MMAHS	Yes
(27)ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX,NY10461 83-0621846	MED COLLEGE	NY	501(C)(3)	2	MMAHS	Yes
(28)Montefiore Community Services Inc 111 East 210th Street Bronx,NY104672401 86-3368007	Fed Hlth Ctr	NY	501(C)(3)	In process	MMC	Yes

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) UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX,NY10467 13-3877781	MGMT SERVICES	NY	NA	C CORP				Yes
(2) THE MONTEFIORE IPA INC 111 EAST 210TH STREET BRONX,NY10467 13-4114915	INTEG PROVR ASSOC	NY	NA	C CORP				Yes
(3) MMC GI HOLDING EAST INC 111 EAST 210TH STREET BRONX,NY10467 72-1610013	HOLDING COMPANY	NY	NA	C CORP				Yes
(4) MMC GI HOLDING WEST INC 111 EAST 210TH STREET BRONX,NY10467 72-1610015	HOLDING COMPANY	NY	NA	C CORP				Yes
(5) MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC 111 EAST 210TH STREET BRONX,NY10467 13-3952750	INTEG PROVR ASSOC	NY	NA	C CORP				Yes
(6) BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX,NY10467 30-0689571	INTEG PROVR ASSOC	NY	NA	C CORP				Yes
(7) MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX,NY10467 61-1728539	HOLDING COMPANY	NY	NA	C CORP				Yes
(8) MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX,NY10467 32-0436594	INACTIVE	NY	NA	C CORP				Yes
(9) HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX,NY10467 38-3978087	INTEG PROVR ASSOC	NY	NA	C CORP				Yes
(10) MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX,NY10467 47-5106910	HOLDING COMPANY	NY	NA	C CORP				Yes
(11) HIGHLAND MEDICAL PC 160 NORTH MIDLAND AVENUE NYACK,NY10960 13-4034481	HEALTHCARE SERV.	NY	NA	C CORP				Yes
(12) WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC 41 EAST POST ROAD WHITE PLAINS,NY10601 45-3164626	HEALTHCARE SERV.	NY	NA	C CORP				Yes
(13) CANCER AND BLOOD MEDICAL SERV OF NY PC 41 EAST POST ROAD WHITE PLAINS,NY10601 46-2021804	HEALTHCARE SERV.	NY	NA	C CORP				Yes
(14) DAVIS AVENUE CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 13-3331643	Property Holding	NY	NA	C CORP				Yes
(15) WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS,NY10601 13-3331641	Property Holding	NY	NA	C CORP				Yes
(16) WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS,NY10601 13-3676932	Property holding	NY	NA	C CORP				Yes
(17) WHITE PLAINS MEDICAL SERVICES PC DAVIS AVE AT EAST POST ROAD WHITE PLAINS,NY10601 81-5369152	HEALTHCARE SERV.	NY	NA	C CORP				Yes
(18) WHITE PLAINS PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 81-5309615	HEALTHCARE SERV.	NY	NA	C CORP				Yes
(19) CHARITABLE REMAINDER TRUST (4)	CHARIT REMR TRUST	NY	NA	TRUST				Yes
(20) CRHT ACQUISITION INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN,NY10591 81-5220651	HOLDING COMPANY	NY	NA	C CORP				Yes
(21) QUANTUM BIOTHERAPEUTICS LLC 111 EAST 210TH STREET BRONX,NY10467 61-1793667	INACTIVE	NY	NA	C CORP				Yes
(22) WHITE PLAINS PHYSICIAN MEDICAL SERV PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0519787	INACTIVE	NY	NA	C CORP				Yes
(23) EAST POST ROAD MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0535258	HEALTHCARE SERV.	NY	NA	C CORP				Yes
(24) EAST POST ROAD PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0563325	INACTIVE	NY	NA	C CORP				Yes
(25) DAVIS AVENUE MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0579310	INACTIVE	NY	NA	C CORP				Yes
(26) WPH HOLDINGS INC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-3893119	HOLDING COMPANY	NY	NA	C CORP				Yes
(27) INNOVATOR ACQUISITION CORP 111 EAST 210TH STREET BRONX,NY104672401 83-3394059	HOLDING COMPANY	NY	NA	C CORP				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) ............................

Yes

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

Yes

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

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

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

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

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

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HUDSON VISTA MEDICAL PC	B	1,068,736	COST
(2) HUDSON VISTA PHYSICIANS SERVICES PC	B	2,080,424	COST
(3) St Luke's Cornwall Hospital Foundation	C	460,526	COST
(4) MONTEFIORE HEALTH SYSTEM INC	M	4,143,720	COST
(5) St Luke's Cornwall Hospital Foundation	N	78,149	Cost
(6) St Luke's Cornwall Hospital Foundation	Q	395,581	Cost
(7) Montefiore Medical Center	M	6,097,391	Cost
(8) Winifred Masterson Burke Rehab Hospital	M	250,073	Cost
(9) WHITE PLAINS HOSPITAL MEDICAL CENTER	M	150,000	Cost
(10) MONTEFIORE MEDICAL CENTER	S	3,035,114	cost

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: MONTEFIORE ST. LUKE'S CORNWALL HOSPITAL IS DEDICATED TO PROVIDING EXCEPTIONAL HEALTHCARE TO IMPROVE THE LIVES AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	1,441
6	Total number of volunteers (estimate if necessary) .............	6	80
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	239,320
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	188,865

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	22,347,409	52,861,046
9	Program service revenue (Part VIII, line 2g) .........	220,711,619	207,881,937
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	457,594	484,865
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,003,241	3,065,672
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	246,519,863	264,293,520
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,116,994	3,233,523
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)	111,876,866	115,790,971
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	115,789,520	115,119,301
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	229,783,380	234,143,795
19	Revenue less expenses. Subtract line 18 from line 12.......	16,736,483	30,149,725
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	168,517,480	234,501,962
21	Total liabilities (Part X, line 26).............	126,040,383	163,792,627
22	Net assets or fund balances. Subtract line 21 from line 20.....	42,477,097	70,709,335

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 188,870,403 including grants of $ 3,233,523 ) (Revenue $ 208,702,114 )
	Montefiore St. Luke's Cornwall Hospital ("MSLC") is a not-for-profit hospital dedicated to serving the healthcare needs of those in the Hudson Valley. Montefiore St. Luke Cornwall Hospital recently became a member of the Montefiore Health System, an integrated healthcare delivery system providing quality comprehensive healthcare services. This collaboration allows us to share clinical best practices, care management expertise and information technology platforms to enhance our patient care. With dedicated staff, modern facilities and state-of-the-art treatment, we are committed to meeting the needs of the community and continuing to aspire to excellence. Montefiore St. Luke's Cornwall Hospital with main campuses in Newburgh and Cornwall, and off-site facilities throughout the community, is a 345 bed acute care hospital dedicated to providing for the health care needs of the community. Montefiore St. Luke's Cornwall Hospital is the regional center for neonatology, thanks to its Elaine Kaplan Neonatal Intensive Care Unit. The Hospital offers other pediatric subspecialties, as well as a robust list of both inpatient and outpatient services including a cardiac catheterization lab, Intensive Care Unit, Birthing Center, Metabolic and Bariatric Surgery, Thoracic Surgery and much more. The Hospital offers centers of excellence in cancer service, cardiovascular care, angioplasty, cardiac rehabilitation, orthopedics, sport medicine, and metabolic and bariatric surgery. The Hospital's Cornwall campus is a thriving outpatient focused Center. This vital and growing community resource offers necessary healthcare access points to area residents for a variety of services including the Littman Center for Cancer Care which includes radiation oncology and infusion services. The Cornwall campus also provides cardiac and pulmonary rehabilitation, a center for sleep medicine, physical therapy, pain management, palliative care, a balance center and a speech and swallowing center. Montefiore St. Luke's hospital operates an active emergency department and verified level III Trauma Center at its Newburgh campus delivering high quality emergency and trauma care close to home. The center is opened 24 hours, 365 days of the year and is one of the newest and busiest emergency departments between New York City and Albany. With a recent $11 million renovation and expansion, our emergency department was designed with patient comfort and convenience in mind. General trauma and specialty treatments bays for cardiac, asthma, Women's Health and Pediatrics enable our highly skilled ER team to provide comprehensive, quality care in a Patient-centered environment. During the past few years, the newly rebranded Montefiore St. Luke's Cornwall Hospital has undergone significant transformation. This transformation has occurred on both campuses, including the expansion of our services as a result of our partnership with Montefiore Health System. In March 2018, St Luke's unveiled a $1.7 million chronic care center - Rehabilitation at Montefiore St. Luke's Cornwall Hospital - in Partnership with Burke Rehabilitation Hospital in White Plains, New York. This state-of-the-art facility offers physical and occupational therapy, cardiac and pulmonary rehabilitation and eventually cognitive medicine including dementia services and a memory clinic. The hospital recently broke grounds on a $8 million remodeling of the hospital's Newburgh Emergency Department. A new $24 million kidney center in Cornwall was recently opened in partnership with Fresenius Kidney Care to better serve the Cornwall's area growing dialysis community. Exceptional care is the center of all we do. This commitment is recognized by many outside organizations and includes, - Our designation as a New York Stroke Center; - Our top Performer Recognition from The Joint Commission on key quality measures for excellence in management of Heart Attack, Heart Failure, Stroke and Surgical Care; - Achievement of the Healthgrades Patient Safety Excellence Award, a designation that honors hospital performance in the prevention of serious, potentially preventable complications during hospital stays; - A recipient for multiple straight years of the "Get With the Guidelines Gold Plus Achievement Award" from the American Stroke Association for overall quality of care for stroke patients; - Inclusion on the list of Health Care's Most Wired hospitals, ranking among the nation's best in using information technology to improve patient care; - Designated as an Institute of Quality for Cardiac Medical Intervention by Aetna for its excellent in care, commitment to continuous improvement and exceptional value to our patients; - Awarded the Healthgrade five star recipient recognition in natural childbirth for consecutive years; - Designated as a Blue Distinction center for knee and Hip replacement and for Maternity Care by empire Blue Cross Blue Shield; - Accredited as a comprehensive Center under the Metabolic and Bariatric Surgery accreditation; - Verified as a Level III trauma center through 2022 by the verification Review Committee. During 2020, St. Luke's Cornwall Hospital was at the forefront of the fight against the COVID pandemic helping to heal the community in its fight against the coronavirus spreading across the United States and causing immense suffering and volumes of deaths in its wake. At the height of the pandemic, St Luke's daily admissions included over 95 critically ill patients being treated for COVID related illnesses. St Luke's outreach initiatives are based on our dedication and commitment to the community to provide excellent health care. We have our own community education program that reaches a wide variety of audiences on a number of relevant health care topics. Education is provided at a number of local senior groups, workplace wellness programs, local businesses, food pantries, soup kitchens, and public events. In the last year, we have provided many educational and screening events to the community as part of our mission to improve the lives and well-being of the people in the communities that we serve.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses188,870,403

(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)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) JOHN V PELELLA........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(19) KEVIN WHITE........................................................................ Secretary (Term end 12/31/20)	1.0 .......................0.0	X	X	0	0	0
(20) Roberto Padillo........................................................................ Trustee	1.0 .......................0.0	X		0	0	0
(21) Mary Ellen Rogulski........................................................................ Trustee	1.0 .......................0.0	X		0	0	0
(22) AUSTIN F DUBOIS........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(23) JASON ADSIT........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(24) Michael Bonura........................................................................ Trustee	1.0 .......................0.0	X		0	0	0
(25) Meghan Taylor........................................................................ Trustee	1.0 .......................0.0	X		0	0	0
(26) Lourdes Zapata........................................................................ Trustee	1.0 .......................0.0	X		0	0	0
(27) William Conyea........................................................................ Trustee (Elected 1/29/20)	1.0 .......................0.0	X		0	0	0
(28) Charles Walwyn III........................................................................ Trustee (Elected 9/30/20)	1.0 .......................0.0	X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,084,460	4,714,085	481,123

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	460,526
e	Government grants (contributions)		1e	52,363,020

f	All other contributions, gifts, grants, and similar amounts not included above		1f	37,500

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

h Total. Add lines 1a-1f.......		52,861,046

		Business Code
2a	PATIENT SERVICE REVENUE	622110	204,876,285	204,876,285	0	0
b	OTHER HEALTHCARE REALTED SERVICES	621999	3,005,652	3,005,652	0
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		207,881,937

3 Investment income (including dividends, interest, and othersimilar amounts) ......			303,312	0	0	303,312
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		714,311	6a
b	Less: rental expenses		506,663	6b
c	Rental income or (loss)	0	207,648	6c
d	Net rental income or (loss).......			207,648	0	0	207,648
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		181,553	7a
b	Less: cost or other basis and sales expenses		0	7b
c	Gain or (loss)		181,553	7c
d	Net gain or (loss).........			181,553	0	0	181,553
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	54,439
b	Less: cost of goods sold ..		10b	26,272
c	Net income or (loss) from sales of inventory..			28,167	0	0	28,167
Business Code			Miscellaneous Revenue
11a	PURCHASE DISCOUNTS		900099	1,043,385	0	0	1,043,385
b	PARTNERSHIP INCOME		523999	805,804	566,484	239,320	0
c	CAFETERIA REVENUE		722514	509,656	0	0	509,656
d	All other revenue ....			471,012	14,373		456,639
e	Total. Add lines 11a–11d ......			2,829,857
12	Total revenue. See instructions.....			264,293,520	208,462,794	239,320	2,730,360

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,233,523	3,233,523
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	3,212,132	896,570	2,315,562	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	80,191,501	69,221,428	10,970,073	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,371,243	6,148,435	1,222,808	0
9	Other employee benefits .......	18,778,694	15,960,150	2,818,544	0
10	Payroll taxes ...........	6,237,401	5,245,884	991,517	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	784,444	0	784,444	0
c	Accounting ...........	252,694	0	252,694	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	35,330,381	26,983,637	8,346,744	0
12	Advertising and promotion ....	449,809	0	449,809	0
13	Office expenses .......	8,277,979	5,716,899	2,561,080	0
14	Information technology ......	1,898,081	150,923	1,747,158	0
15	Royalties ..	0
16	Occupancy ...........	5,371,155	5,311,096	60,059	0
17	Travel ............	16,011	5,570	10,441	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	15,982	13,022	2,960	0
20	Interest ...........	2,190,739	2,190,092	647	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	8,221,130	6,640,411	1,580,719	0
23	Insurance ...	3,112,940	2,871,459	241,481	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	37,837,673	37,586,899	250,774	0
b	INTERCOMPANY SHARED SERVICES	9,127,652	250,073	8,877,579	0
c	NYS CASH ASSESSMENT	845,823	0	845,823	0
d	BILLING & COLLECTION	376,894	0	376,894	0
e	All other expenses	1,009,914	444,332	565,582
25	Total functional expenses. Add lines 1 through 24e	234,143,795	188,870,403	45,273,392	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			5,569	1	5,769
2	Savings and temporary cash investments .........			16,140,813	2	10,502,226
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			25,196,882	4	20,769,601
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 .......
				0	5	0
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) ...
				0	6	0
7	Notes and loans receivable, net ...........			223,731	7	218,370
8	Inventories for sale or use ............			5,800,421	8	5,434,626
9	Prepaid expenses and deferred charges ......			1,542,955	9	1,541,114
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	123,328,596
b	Less: accumulated depreciation	10b	40,726,926	76,211,045	10c	82,601,670
11	Investments—publicly traded securities .			13,025,969	11	84,600,884
12	Investments—other securities. See Part IV, line 11 .....			4,281,235	12	4,159,251
13	Investments—program-related. See Part IV, line 11 ..			4,358,498	13	3,751,560
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			21,730,362	15	20,916,891
16	Total assets. Add lines 1 through 15 (must equal line 33)...			168,517,480	16	234,501,962

17	Accounts payable and accrued expenses .....	37,716,119	17	39,764,698
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	10,100,000
20	Tax-exempt bond liabilities .........	20,630,001	20	20,020,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D	43,006	21	43,006
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 .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	19,839,999	23	16,984,939
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	47,811,258	25	76,879,984
26	Total liabilities. Add lines 17 through 25..	126,040,383	26	163,792,627

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	40,915,481	27	69,434,618
28	Net assets with donor restrictions ...........	1,561,616	28	1,274,717
	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 ...........	42,477,097	32	70,709,335
33	Total liabilities and net assets/fund balances ........	168,517,480	33	234,501,962