Form990
Click to see attachment
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
ST JOSEPH'S HOSPITAL YONKERS
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
127 SOUTH BROADWAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
YONKERS, NY107014006
D Employer identification number

13-1740127
E Telephone number

G Gross receipts $ 260,691,884
F Name and address of principal officer:
MICHAEL J SPICER
127 SOUTH BROADWAY
YONKERS,NY107014006
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SAINTJOSEPHS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1888
M State of legal domicile: NY
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE AFFORDABLE MEDICAL CARE TO ITS PATIENTS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 23
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 21
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 2,274
6 Total number of volunteers (estimate if necessary) ............. 6 80
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 67,386,590 57,947,975
9 Program service revenue (Part VIII, line 2g) ......... 190,582,776 198,796,878
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 175,173 111,028
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,599,389 3,284,872
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 261,743,928 260,140,753
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 168,533,822 167,782,331
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 91,536,136 91,949,357
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 260,069,958 259,731,688
19 Revenue less expenses. Subtract line 18 from line 12....... 1,673,970 409,065
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 128,713,985 112,812,838
21 Total liabilities (Part X, line 26)............. 175,648,402 159,338,260
22 Net assets or fund balances. Subtract line 21 from line 20..... -46,934,417 -46,525,422
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO MAKE AVAILABLE OPTIMAL PATIENT CARE WITH CONTINUITY OF SERVICE FOR THE SICK AND DISABLED AND ALL OTHERS WITHOUT REGARD TO RACE, COLOR OR CREED BY MEANS OF PREVENTION, DIAGNOSIS, TREATMENT, REHABILITATION AND/OR HOME CARE FOR HOSPITALIZED AND AMBULATORY PATIENTS AND/OR OTHER HEALTH RELATED FACILITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 52,032,282 including grants of $ 0 ) (Revenue $ 45,543,531 )
ANCILLARY SERVICES - THERE WERE 439,214 PROCEDURES INCLUDING RADIOLOGY, LAB, CARDIOLOGY, THERAPY, ETC. IN 2021.
4b (Code:   ) (Expenses $ 56,814,534 including grants of $ 0 ) (Revenue $ 49,729,406 )
PSYCHIATRIC INPATIENT & LONG TERM PSYCH - THERE WERE 149 BEDS AVAILABLE FOR THE TREATMENT OF 48,539 PATIENT DAYS FOR 2021. APPROXIMATELY 225 MEDICAL PERSONNEL ARE ASSIGNED TO THIS UNIT.THE BREAKDOWN FOR INPATIENT & LONG TERM PSYCH IS AS FOLLOWS: INPATIENT HAD 43,680 PATIENT DAYS AND APPROXIMATELY 234 MEDICAL PERSONNEL. LONG TERM PSYCH HAD 4,859 PATIENT DAYS AND APPROXIMATELY 5 MEDICAL PERSONNEL.
4c (Code:   ) (Expenses $ 96,957,621 including grants of $ 0 ) (Revenue $ 86,015,430 )
GENERAL SERVICE FACILITIES FOR MEDICAL/SURGICAL PATIENTS (EXPENSES: $43,668,127, REVENUE: $38,704,840):THE HOSPITAL HAD 122 BEDS AVAILABLE TO THE PUBLIC FOR MEDICAL AND SURGICAL SERVICES IN 2021. THE HOSPITAL HAD 19,294 PATIENT DAYS FOR GENERAL SERVICE AND APPROXIMATELY 73 MEDICAL PERSONNEL ASSIGNED TO THIS SERVICE.EMERGENCY SERVICE (EXPENSES: $3,713,939, REVENUE: $3,250,788): THE HOSPITAL HAD 23,870 EMERGENCY VISITS DURING THE YEAR OF WHICH 2,902 RESULTED IN ADMITTANCE INTO THE HOSPITAL. THERE WERE APPROXIMATELY 44 NURSES, AIDES AND PHYSICIANS ASSIGNED.OUTPATIENT PSYCHIATRIC CLINICS (EXPENSES: $15,550,077, REVENUE: $13,610,885): THERE WERE 158,383 VISITS FOR 2021 AND 44 FTES.OUTPATIENT SERVICES (EXPENSES: $16,398,028, REVENUE: $14,353,091): THERE WERE 113,929 VISITS FOR 2021 AND 53 FTES.INTENSIVE CARE UNIT AND CORONARY CARE UNIT (EXPENSES: $12,236,005, REVENUE: $10,710,099): THERE WERE 6 BEDS AVAILABLE. 1,202 PATIENT DAYS OCCURRED IN 2021 FOR THE COMBINATION OF ICU AND CCU SERVICES. APPROXIMATELY 22 FTES WERE ASSIGNED TO THIS AREA.SUPPORTED CASE MANAGEMENT (EXPENSES: $2,327,067, REVENUE: $2,036,867): THERE WERE 14,128 VISITS FOR 2021.PARTIAL HOSPITALIZATION (EXPENSES: $3,064,378, REVENUE: $2,682,231): THERE WERE 10,199 VISITS IN 2021 AND 18 FTES.PEDIATRIC UNIT (EXPENSES: $0, REVENUE: $0): THERE WERE 2 BEDS AVAILABLE, 0 PATIENT DAY AND APPROXIMATELY 0 FTES IN 2021.THE HOSPITAL ALSO PROVIDED SERVICES TO RELATED ORGANIZATIONS WHICH YIELDED TOTAL REVENUE OF $666,629.
(Code:   ) (Expenses $ 20,764,618 including grants of $ 0 ) (Revenue $ 18,175,140 )
METHADONE MAINTENANCE TREATMENT PROGRAM CLINIC - THERE WERE 442,432 VISITS FOR 2021 AND APPROXIMATELY 117 FULL TIME EMPLOYEES.
4d Other program services (Describe in Schedule O.)
(Expenses $ 20,764,618 including grants of $ 0 ) (Revenue $ 18,175,140 )
4e Total program service expensesMediumBullet226,569,055
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or 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? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
567
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,274
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
23
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
21
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletFRANK HAGAN SVP FINANCECFO127 SOUTH BROADWAY   YONKERS,NY107014006 (914) 378-7000
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MICHAEL J SPICER......................................................................
PRESIDENT & CEO
30.00
.................
5.00
X   X       1,135,213 0 226,075
(2) MOLHAM M SOLOMON MD......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(3) MARGARET CUSUMANO RN......................................................................
VP PATIENT CARE SVCS & CNO
27.00
.................
8.00
X   X       237,581 0 31,793
(4) JAMES J LANDY......................................................................
CHAIRMAN
1.00
.................
1.00
X   X       0 0 0
(5) CARL E PETRILLO......................................................................
VICE CHAIRMAN
1.00
.................
1.00
X   X       0 0 0
(6) JOHN J FLYNN III......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(7) MICHAEL M MINERVA......................................................................
SECRETARY
1.00
.................
1.00
X   X       0 0 0
(8) AMANI MARJEH......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(9) SISTER SHEILA BROSNAN......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(10) BARRY M DAVIS......................................................................
TREASURER
1.00
.................
1.00
X   X       0 0 0
(11) MOIRA J KIERNAN......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(12) WILLIAM J SCHNEIDER......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(13) KEVIN M O'CALLAGHAN......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(14) SISTER MIRIAM KEVIN PHILLIPS......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(15) NEIL PRESSMAN......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(16) WILLIAM T REGAN......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(17) SISTER MEG SWEENEY......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JAMES J VENERUSO ESQ........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(19) ALAN WEISMAN........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(20) JOHN F CALVELLI........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(21) SISTER DONNA DODGE........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(22) JOHN J SPANO........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(23) SISTER MARGARET EGAN........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(24) FRANK HAGAN........................................................................
SENIOR VP OF FINANCE/CFO
28.00
.......................7.00
    X       456,479 0 31,793
(25) BERNADETTE KINGHAM-BEZ........................................................................
SENIOR VP OF PSYCHIATRY
35.00
.......................  
      X     400,961 0 43,793
(26) FRANCES CASOLA........................................................................
SENIOR VP OF OPERATIONS
35.00
.......................  
      X     308,115 0 12,000
(27) JAMES DEMEO........................................................................
MEDICAL DIRECTOR
30.00
.......................  
        X   456,459 0 31,793
(28) DEAN HARLAM........................................................................
CHIEF MEDICAL OFFICER
35.00
.......................  
        X   325,047 0 31,793
(29) KIM PAGAN........................................................................
VICE PRESIDENT OF FINANCE
35.00
.......................  
        X   284,278 0 12,228
(30) JELENA VESELINOVIC MD........................................................................
PSYCHIATRY PHYSICIAN
35.00
.......................  
        X   306,313 0 31,793
(31) FADI SAYEGH........................................................................
FAMILY PRACTICE PHYSICIAN
35.00
.......................  
        X   396,521 0 28,248
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 4,306,967 0 481,309
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet247
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
PARK HILL EMERGENCY PHY SVC

66 WEST GILBERT STREET
RED BANK,NJ07701
MEDICAL SERVICES 3,085,611
RAMAPO ANESTHESIOLOGISTS

100 ROUTE 59 SUITE 105
SUFFERN,NY10901
ANESTHESIA SERVICES 1,449,999
THERADYNAMICS REHAB

225 CROSSWAYS PARK DRIVE
WOODBURY,NY11797
REHABILITATION SERVICES 1,169,579
YONKERS PHYSICIAN SERVICE PC

66 WEST GILBERT STREET
RED BANK,NJ07701
MEDICAL SERVICES 600,000
THROGS NECK MULTI CARE

3058 E TREMONT AVE
BRONX,NY10461
MEDICAL SERVICES 443,000
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet53
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 56,842,774
f All other contributions, gifts, grants, and similar amounts not included above1f 1,105,201
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 57,947,975
 Program Service RevenueAmt Business Code
2a INPATIENT 900099 121,850,539 121,850,539    
b CLINIC & PSYCHIATRY 621400 65,162,618 65,162,618    
c AMBULATORY SURGERY 621990 8,532,933 8,532,933    
d EMERGENCY ROOM 900099 3,250,788 3,250,788    
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 198,796,878
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 111,028     111,028
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   750,297 6a
b Less: rental expenses   551,131 6b
c Rental income or (loss)   199,166 6c
d Net rental income or (loss).......MediumBullet 199,166     199,166
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a NURSING HOME SERVICES 900099 666,629 666,629    
b INTER-CO MANAGMENT FEE 900099 372,009     372,009
c PARKING INCOME 900099 172,602     172,602
d All other revenue .... 1,874,466     1,874,466
e Total. Add lines 11a–11d ...... MediumBullet 3,085,706
12 Total revenue. See instructions.....MediumBullet 260,140,753 199,463,507 0 2,729,271
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 2,883,802 2,507,787 376,015  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 117,689,967 104,756,854 12,933,113  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 7,401,435 6,613,340 788,095  
9 Other employee benefits ....... 30,729,136 27,355,550 3,373,586  
10 Payroll taxes ........... 9,077,991 8,076,469 1,001,522  
11 Fees for services (non-employees):        
a Management ...... 2,125   2,125  
b Legal ......... 908,736   908,736  
c Accounting ........... 122,635   122,635  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 28,162,564 25,169,575 2,992,989  
12 Advertising and promotion .... 83,769 68,885 14,884  
13 Office expenses ....... 1,487,830 1,223,475 264,355  
14 Information technology ...... 4,854,407 3,991,885 862,522  
15 Royalties ..        
16 Occupancy ........... 18,060,782 14,753,850 3,306,932  
17 Travel ............ 338,688 278,511 60,177  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 10,663 8,768 1,895  
20 Interest ........... 1,912,523 1,773,941 138,582  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 4,994,444 4,632,545 361,899  
23 Insurance ... 4,610,522 3,791,333 819,189  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 12,040,572 12,040,572    
b BAD DEBT EXPENSE 5,945,563 5,945,563    
c REPAIRS AND MAINTENANCE 2,277,013 1,872,437 404,576  
d OCCUPATIONAL THERAPY 858,467 858,467    
e All other expenses 5,278,054 849,248 4,428,806  
25 Total functional expenses. Add lines 1 through 24e 259,731,688 226,569,055 33,162,633 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 74,927 1 79,519
2 Savings and temporary cash investments ......... 929,428 2 6,638,452
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 17,350,918 4 15,476,682
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 2,700,521 8 3,021,631
9 Prepaid expenses and deferred charges ...... 1,427,492 9 1,920,994
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 169,261,747
b Less: accumulated depreciation 10b 123,511,751 43,645,397 10c 45,749,996
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 3,550,004 14 3,155,559
15 Other assets. See Part IV, line 11 ........... 59,035,298 15 36,770,005
16 Total assets. Add lines 1 through 15 (must equal line 33)... 128,713,985 16 112,812,838
Liabilities 17 Accounts payable and accrued expenses ..... 47,299,298 17 46,523,072
18 Grants payable ...   18  
19 Deferred revenue ......... 17,917,438 19 3,802,560
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 33,450,644 23 30,149,222
24 Unsecured notes and loans payable to unrelated third parties .. 17,000,000 24 11,935,453
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 59,981,022 25 66,927,953
26 Total liabilities. Add lines 17 through 25.. 175,648,402 26 159,338,260
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... -53,200,211 27 -52,513,766
28 Net assets with donor restrictions ........... 6,265,794 28 5,988,344
Organizations that do not follow FASB ASC 958, check here MediumBullet 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 ........... -46,934,417 32 -46,525,422
33 Total liabilities and net assets/fund balances ........ 128,713,985 33 112,812,838
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
260,140,753
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
259,731,688
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
409,065
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
-46,934,417
5
Net unrealized gains (losses) on investments ...............
5
-70
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
-46,525,422
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
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.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on 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.
9c
 
 
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
 
 
b
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) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on 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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
Did the activities described on 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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 2021 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-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... 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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number
13-1740127
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2021)
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 .... 550,000 550,000 550,000 150,000 150,000
b Contributions ...       400,000  
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ...... 550,000 550,000 550,000 550,000 150,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet100.000 %
c
Term endowment SchDMd Bullet0 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   12,429,616 12,429,616
b Buildings ....   84,699,051 64,612,630 20,086,421
c Leasehold improvements   3,909,685 3,458,739 450,946
d Equipment ....   65,789,799 54,330,582 11,459,217
e Other .....   2,433,596 1,109,800 1,323,796
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 45,749,996
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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)OTHER RECEIVABLES 6,517,118
(2)BOARD DESIGNATED FUND 26,555,665
(3)MEDICAL MALPRACTICE FUND 2,068,880
(4)OTHER LIMITED USE ASSETS 552,705
(5)DUE FROM AFFILIATES 203,881
(6)DUE FROM THIRD PARTY PAYORS 871,756
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 36,770,005
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 66,927,953
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) 2021

Schedule D (Form 990) 2021
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 ....... 1 254,746,251
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a -70
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -5,945,563
e Add lines 2a through 2d ..................... 2e -5,945,633
3 Subtract line 2e from line 1.................. 3 260,691,884
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 -551,131
c Add lines 4a and 4b.................... 4c -551,131
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 260,140,753
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 ........... 1 254,337,256
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 551,131
e Add lines 2a through 2d.................... 2e 551,131
3 Subtract line 2e from line 1................... 3 253,786,125
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 5,945,563
c Add lines 4a and 4b..................... 4c 5,945,563
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 259,731,688
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONOR-IMPOSED STIPULATIONS THAT THEY BE MAINTAINED IN PERPETUITY. IN THE ABSENCE OF DONOR SPECIFICATION THAT INCOME OR GAINS ON DONATED FUNDS ARE RESTRICTED, SUCH INCOME IS REPORTED AS INCOME OF UNRESTRICTED ASSETS.
PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT AS TO WHETHER THE UNCERTAINTY WILL BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD.
PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -5,945,563.
PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -551,131.
PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 551,131.
PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 5,945,563.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . .
    8,773,645 56,003,145 0 0 %
b Medicaid (from Worksheet 3, column a) . . . . .     118,523,957 135,872,461 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     127,297,602 191,875,606 0 0 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,652,895 2,263,907 388,988 0.150 %
f Health professions education (from Worksheet 5) . . .     15,266,393 2,461,419 12,804,974 5.050 %
g Subsidized health services (from Worksheet 6) . . . .     23,586,471 2,449,492 21,136,979 8.330 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     41,505,759 7,174,818 34,330,941 13.530 %
k Total. Add lines 7d and 7j .     168,803,361 199,050,424 34,330,941 13.530 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
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
3,094,984
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
595,073
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
28,348,821
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
25,019,719
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
3,329,102
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?2Name, 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)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST JOSEPH'S HOSPITAL YONKERS NY
127 SOUTH BROADWAY
YONKERS,NY10701
5907002H
X X         X     A
2 ST VINCENT'S HOSPITAL WESTCHESTER
275 NORTH STREET
HARRISON,NY10528
5907002H
X X           X 24 HR PSYCHIATRIC REFERRAL AND EVALUATION PROGRAM A
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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)
FACILITY REPORTING GROUP - A
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.SAINTJOSEPHS.ORG/ABOUT-US
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SAINTJOSEPHS.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATION
b
WWW.SAINTJOSEPHS.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATION
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17   No
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ST. JOSEPH'S HOSPITAL YONKERS, NY, - FACILITY 2: ST. VINCENT'S HOSPITAL WESTCHESTER
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: SAINT JOSEPH'S MEDICAL CENTER (SJMC), FOUNDED BY THE SISTERS OF CHARITY OF NEW YORK, HAS SERVED THE CITY OF YONKERS SINCE 1888. EACH YEAR, MORE THAN 55,000 INDIVIDUALS ARE TOUCHED BY SAINT JOSEPH'S AND/OR ITS ST. VINCENT'S WESTCHESTER DIVISION IN HARRISON. SJMC STRIVES FOR EXCELLENCE IN HEALTHCARE IN AN ATMOSPHERE OF SUPPORT AND SHARED MINISTRY. WE BELIEVE IN RESPECT AND COMPASSION FOR OURSELVES AND OTHERS, EXCELLENCE IN SERVICE, THE DIGNITY OF HUMAN LIFE, AND COMMITMENT TO THE COMMUNITY. SAINT JOSEPH'S EXPANDED IN WESTCHESTER COUNTY AND NEW YORK CITY THROUGH ITS 2010 ACQUISITION OF THE BEHAVIORAL HEALTH SERVICES OF ST. VINCENT'S HOSPITAL WESTCHESTER, BECOMING ONE OF THE LARGEST BEHAVIORAL HEALTH PROVIDERS IN NEW YORK STATE. THE OPENING OF NEW PRIMARY CARE, CARDIOVASCULAR, AND ADVANCED WOUND CARE AND HYPERBARIC MEDICINE CENTERS IN YONKERS AND AN IMAGING CENTER IN RIVERDALE DEMONSTRATE SAINT JOSEPH'S CONTINUING COMMITMENT TO THE COMMUNITY.TO GUIDE OUR COMMUNITY BENEFIT AND HEALTH IMPROVEMENT EFFORTS, AND IN ACCORDANCE WITH THE REQUIREMENTS SET FORTH BY THE NEW YORK STATE PREVENTION AGENDA, IN COLLABORATION WITH THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH AND THE NOT FOR PROFIT HOSPITALS IN WESTCHESTER COUNTY, SJMC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 AND DEVELOPED A SUPPORTING COMMUNITY SERVICE PLAN (CSP) THAT WOULD SPAN A THREE YEAR PERIOD COVERING 2019-2021.THE CHNA INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES ACROSS WESTCHESTER COUNTY AND THE CITY OF YONKERS. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM RESIDENTS AND KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS.SPECIFIC CHNA STUDY METHODS INCLUDED: - AN ANALYSIS OF SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH, DEMOGRAPHIC, AND SOCIAL MEASURES. A COMPREHENSIVE LIST OF DATA REFERENCES IS INCLUDED IN APPENDIX A. 2019 CSP REPORT DECEMBER 2019 3 - A COMMUNITY HEALTH SURVEY WITH 2,727 WESTCHESTER COUNTY RESIDENTS, 452 FROM SJMC'S PRIMARY SERVICE AREA, TO ASSESS PERCEPTIONS OF PRIORITY HEALTH ISSUES, HEALTH RISK FACTORS, AND BARRIERS TO ACCESSING CARE. - A COMMUNITY HEALTH SUMMIT WITH WESTCHESTER COUNTY HEALTH AND HUMAN SERVICE PROVIDERS TO SOLICIT INPUT ON COMMUNITY HEALTH AND SOCIAL NEEDS AND TACTICS TO ADVANCE THE NEW YORK STATE 2019-2021 PREVENTION AGENDA. THE CHNA WAS A COMMUNITY COLLABORATIVE PROCESS, INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT IS REFLECTIVE OF THE NEEDS OF THE COMMUNITY, INCLUDING CLINICAL AND SOCIAL DETERMINANTS OF HEALTH. SJMC PARTNERED WITH THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH AS WELL AS THE MONTEFIORE HUDSON VALLEY COLLABORATIVE (MHVC), A GROUP OF REGIONAL HOSPITALS AND COMMUNITY BASED ORGANIZATIONS, TO GATHER RESEARCH IN SUPPORT OF THE CHNA. TO WORK TOWARD HEALTH EQUITY, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TO ADDRESS THE MOST PRESSING HEALTH NEEDS WITHIN OUR COMMUNITY. TAKING INTO ACCOUNT SJMC'S EXPERTISE AND RESOURCES, IN ALIGNMENT WITH THE NEW YORK STATE PREVENTION AGENDA AND CONTINUING WITH THE INITIATIVES ORIGINALLY DEVELOPED IN THE MHVC DELIVERY SYSTEM REFORM INCENTIVE (DSRIP) PROGRAM, SJMC WILL FOCUS HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING PRIORITY AREAS FOR THE 2019-2021 CYCLE: - PREVENT CHRONIC DISEASES WITH A FOCUS ON ASTHMA GOAL #1: PROMOTE THE USE OF EVIDENCE-BASED CARE TO MANAGE ASTHMA. GOAL #2: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH ASTHMA. - PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS GOAL #1: PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS. SJMC FOCUSED ON CHRONIC DISEASE PREVENTION EFFORTS ON ASTHMA. SJMC HAS MADE SIGNIFICANT INVESTMENT AND STRIDES TO IMPROVE ASTHMA HEALTH IN PARTNERSHIP WITH ITS FAMILY HEALTH CENTER AND SAINT JOSEPH'S SCHOOL BASED HEALTH PROGRAMS, AMONG OTHERS. SJMC HAS ALSO FOCUSED ON EXPANSION OF SUBSTANCE USE DISORDER TREATMENT SERVICES IN RESPONSE TO GROWING COMMUNITY NEED. SJMC'S ASTHMA INITIATIVES ALIGN WITH AND BUILD UPON THE INITIATIVE IMPLEMENTED IN THE MHVC DSRIP PROGRAM FOR EVIDENCE-BASED CLINICAL- AND SELF-MANAGEMENT STRATEGIES. ALTHOUGH THE MHVC DSRIP INITIATIVE IS NO LONGER IN EFFECT, AS PART OF THE CSP, WE WILL CONTINUE TO PROMOTE MEDICAL ASTHMA MANAGEMENT IN ACCORDANCE WITH NATIONAL GUIDELINES, IMPROVE ACCESS AND ADHERENCE TO MEDICATIONS AND DEVICES, AND EXPAND ACCESS TO SELF-MANAGEMENT INTERVENTIONS. WE TARGETED HIGH-RISK PATIENTS IN OUR FAMILY HEALTH CENTER, A DESIGNATED LEVEL 3 PATIENT CENTERED MEDICAL HOME. THE COLLECTIVE OBJECTIVES AND PROCESS MEASURES FOR THESE PROGRAMS ARE DECREASED ASTHMA-RELATED ED VISITS AND HOSPITALIZATIONS, AND A HIGHER PERCENTAGE OF PATIENTS WHO HAVE A DISEASE MANAGEMENT PLAN AND RECEIVE DISEASE SELF-MANAGEMENT INSTRUCTION AND SUPPORT. SAINT JOSEPH'S SCHOOL BASED HEALTH PROGRAMS ARE PRIMARY CARE SCHOOL-BASED CLINICS OPERATING IN FOUR YONKERS PUBLIC SCHOOLS. SINCE 1989, WE HAVE PROVIDED FREE, ACCESSIBLE, HIGH QUALITY HEALTH SERVICES TO HIGH-RISK CHILDREN AND HAS BECOME AN INTEGRAL COMPONENT OF THE YONKERS HEALTHCARE DELIVERY SYSTEM. THESE PROGRAMS PROVIDE A FULL ARRAY OF PRIMARY HEALTH SERVICES, INCLUDING, BUT NOT LIMITED TO, ROUTINE CARE OF CHILDREN WITH ASTHMA. AS PART OF THE CSP, SAINT JOSEPH'S IMPLEMENTED KICKIN' ASTHMA AND OPEN AIRWAYS FOR SCHOOLS AT CLINIC SITES. THESE PROGRAMS, DEVELOPED BY THE AMERICAN LUNG ASSOCIATION, ARE AMONG THE MOST WIDELY RECOGNIZED ASTHMA MANAGEMENT TOOLS FOR CHILDREN IN THE NATION, AND PROVEN-EFFECTIVE FOR DECREASING ASTHMA EMERGENCIES AND RAISING ASTHMA AWARENESS AMONG FAMILIES AND SCHOOL PERSONNEL. THE NURSE PRACTITIONERS WHO STAFF THE CLINICS AND ADMINISTER EDUCATIONAL PROGRAMS THAT ADHERE TO THE NATIONAL ASTHMA EDUCATION AND PREVENTION PROGRAM EXPERT PANEL REPORT 3 GUIDELINES FOR THE DIAGNOSIS AND MANAGEMENT OF ASTHMA. THREE OF THE NURSE PRACTITIONERS, AS WELL AS SJMC'S MEDICAL DIRECTOR FOR AMBULATORY PROGRAMS, ARE CERTIFIED ASTHMA EDUCATORS. SJMC OFFERS THE METHADONE MAINTENANCE TREATMENT PROGRAM, PROVIDING DETOXIFICATION AND METHADONE MAINTENANCE FOR PATIENTS WITH OPIATE USE DISORDER. INDIVIDUAL AND GROUP COUNSELING, ANNUAL PHYSICAL EXAMINATIONS, TESTING AND LAB WORK, AND PRIMARY CARE SERVICES ARE INCLUDED IN THE PROGRAM. SJMC WILL CONTINUE EFFORTS TO INCREASE ACCESS AND LINKAGES TO THE METHADONE PROGRAM, AS WELL AS AVAILABILITY OF OTHER MEDICATION-ASSISTED TREATMENT OPTIONS AND NALOXONE ADMINISTRATION TRAINING. THE MAXWELL INSTITUTE, A DIVISION OF SJMC IS A SUBSTANCE ABUSE TREATMENT CENTER, LOCATED IN TUCKAHOE, NEW YORK. THE OUTREACH DIRECTOR OF THE CLINIC HAS DEDICATED A LARGE PORTION OF HER TIME TRAINING POLICE DEPARTMENTS THROUGHOUT WESTCHESTER COUNTY ON NALOXONE ADMINISTRATION TRAINING FREE OF CHARGE. THE TRAINING COMES COMPLETE WITH KITS. SHE HAS ALSO CONDUCTED THE TRAINING IN HIGH SCHOOLS, COLLEGE CAMPUSES AND TO THE YONKERS HOUSING AUTHORITY. IN ADDITION, WE HAVE A LARGE PRESENCE AT MULTIPLE HEALTH FAIRS THROUGHOUT THE YEAR, PROVIDING NARCAN TRAINING TO COMMUNITIES AT LARGE WHERE DRUG OVERDOSE IS PREVALENT.IN ADDITION, SHE PROVIDES A FREE PRESENTATION CALLED "HIDDEN IN PLAIN SIGHT" THAT SETS UP A REPLICA OF A TEENAGER'S BEDROOM AND TEACHES PARENTS HOW AND WHERE TO LOOK FOR SUBSTANCES THAT ARE COMMONLY HIDDEN BEFORE THEIR OWN EYES TO HELP PREVENT SUBSTANCE USE AMONGST THIS VULNERABLE POPULATION. THESE PRESENTATIONS WERE DONE AT LOCAL LIBRARIES AND HIGH SCHOOLS THROUGHOUT THE COUNTY. AS PART OF ITS ON-GOING EFFORTS, SJMC WILL WORK WITH THE NEW YORK STATE OFFICE OF ADDICTION SERVICES AND SUPPORT TO ENHANCE SJMC'S PROGRAMS. SJMC IS DEDICATED TO PROVIDING TRAUMA-INFORMED CARE FOR PATIENTS WITH SUBSTANCE USE DISORDER, RECOGNIZING HIGH CO-MORBIDITY WITH BOTH TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES. AS PART OF THE CSP, SJMC TRAINED MEDICAL STAFF IN TRAUMA-INFORMED CARE PRACTICES; TARGETING INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROVIDERS IN THE FIRST YEAR OF IMPLEMENTATION. SJMC PROVIDES SIMILAR TRAINING IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, INCLUDING PUBLIC SCHOOL STAFF, COMMUNITY RESIDENCES/MENTAL HEALTH HOUSING, AND THE HEALTHY YONKERS INITIATIVE. IN ADDITION TO THE WORK COVERED BY THE SCOPE OF THE CSP, SJMC HAS ALSO FOCUSED ON A STROKE INITIATIVE AND PRESENTED EDUCATIONAL MATERIAL TO RESIDENTS OF OUR FRAIL ELDERLY LOW INCOME HOUSING COMPLEX. SJMC ALSO PRESENTED STROKE EDUCATIONAL INFORMATION AT 4 HEALTH FAIRS IN 2021 AS WELL AS PUSHING OUT HEALTHCARE EDUCATIONAL MATERIALS THROUGH OUR SOCIAL MEDIA CHANNELS TO THE COMMUNITY AT LARGE.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: ONE CHNA WAS PERFORMED FOR THE TWO HOSPITAL FACILITIES, ST. JOSEPH'S HOSPITAL YONKERS, NY AND ST. VINCENT'S HOSPITAL WESTCHESTER UNDER THE ENTITY ST. JOSEPH'S HOSPITAL YONKERS, NY.FURTHER, SAINT JOSEPH'S HOSPITAL YONKERS PARTNERED WITH THE WESTCHESTER COUNTY HEALTH DEPARTMENT AS PART OF THE MONTEFIORE HUDSON VALLEY COLLABORATIVE (MHVC), A GROUP OF REGIONAL HOSPITALS AND COMMUNITY BASED ORGANIZATIONS, TO GATHER RESEARCH IN SUPPORT OF THE 2019 CHNA. THE FOLLOWING IS A LIST OF THE PARTNERS: BURKE REHABILITATION HOSPITAL, HUDSON VALLEY HOSPITAL, LAWRENCE HOSPITAL, MONTEFIORE MOUNT VERNON HOSPITAL, MONTEFIORE NEW ROCHELLE HOSPITAL, MONTEFIORE HEALTH SYSTEM, NORTHERN WESTCHESTER HOSPITAL, SAINT JOHN'S RIVERSIDE HOSPITAL, SAINT JOSEPH'S HOSPITAL YONKERS, WESTCHESTER COUNTY DEPARTMENT OF HEALTH, AND WHITE PLAINS HOSPITAL.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED CANCER CARE, ADOLESCENT CARE AND DOMESTIC VIOLENCE AS PRIORITY AREAS TO BE ADDRESSED. THE HOSPITAL IS NOT A CANCER CENTER, AND DOES NOT PROVIDE ADOLESCENT CARE AND THEREFORE IS UNABLE TO ADDRESS THESE SPECIFIC NEEDS DUE TO BUDGETARY CONSTRAINTS. ALTHOUGH THE HOSPITAL DOES PROVIDE MEDICAL AND PSYCHIATRIC CARE TO PATIENTS WHO HAVE EXPERIENCED DOMESTIC VIOLENCE, THE HOSPITAL DOES NOT HAVE THE RESOURCES TO ADDRESS THE CAUSE OF THIS SPECIFIC NEED. HOWEVER, ANY PATIENT PRESENTING TO THE HOSPITAL WHO REQUIRES CANCER THERAPY, ADOLESCENT CARE OR COUNSELING FOR DOMESTIC ABUSE IS REFERRED TO THE APPROPRIATE HEALTHCARE PROVIDER OR SOCIAL SERVICE AGENCY.
PART V, SECTION B, LINE 5 CONT'D: AS A RESULT OF COVID, SJMC REALIZED ITS COMMUNITY WAS SUFFERING FROM FOOD INSECURITY. THEREFORE, WE PARTNERED WITH FEEDING WESTCHESTER AND HOLD MONTHLY MOBILE FOOD DISTRIBUTIONS IN OUR PARKING LOT WHERE WE DISTRIBUTE OVER 7,000 POUNDS OF FOOD A MONTH TO THOSE IN NEED. IN 2021, WE SERVED CLOSE TO 3,000 INDIVIDUALS AND FAMILIES WHO PRESENTED WITH FOOD INSECURITY. WE ALSO USE THIS AS AN OPPORTUNITY TO PASS OUT EDUCATIONAL HEALTHCARE INFORMATION AND RESOURCES WHILE INDIVIDUALS WAIT ON THE FOOD LINE.AFTER SURVEYING OUR OWN PATIENTS IN THE FAMILY HEALTH CENTER, WE LEARNED THAT MOST OF THE PATIENTS ARE FOOD INSECURE. AGAIN, WE PARTNERED WITH FEEDING WESTCHESTER AND BUILT AN ON-SITE FOOD PANTRY IN THE FAMILY HEALTH CENTER TO PROVIDE PATIENTS WITH FOOD IN REAL TIME WHEN THEY COME FOR A VISIT AND PRESENT WITH FOOD INSECURITY ON THEIR SCREENING. WE SERVED OVER 1,000 INDIVIDUALS AND FAMILIES IN 2021.WE ARE ALSO NEARING THE FINAL STAGES OF THE CREATION OF AN AFFORDABLE AND SUPPORTIVE HOUSING DEVELOPMENT, AN 80 UNIT APARTMENT BUILDING WE HAVE BEEN IN THE PROCESS OF BUILDING SINCE 2014. THE BUILDING WILL BE STATE OF THE ART AND HAVE ON SITE COMMON SPACES SUCH AS A GYM, A COMMUNITY ROOM, A LIBRARY AND A BOARD ROOM OPEN TO COMMUNITY ORGANIZATIONS TO UTILIZE. ALSO, ON SITE WILL BE 24/7 SUPPORT SERVICES FOR THOSE WHO ARE IN NEED OF BEHAVIORAL HEALTH SUPPORTS AND SOCIAL SERVICES. THE BUILDING IS SCHEDULED TO OPEN IN 2022.LASTLY, WE SERVED AS A COVID VACCINATION CENTER FOR MUCH OF 2021 FOR MEMBERS OF THE COMMUNITY TO COME AND RECEIVE THEIR COVID VACCINATIONS FREE OF CHARGE. WE ALSO DID A LOT OF BOTH IN-PERSON AND VIRTUAL EDUCATION AROUND THE IMPORTANCE OF GETTING THE VACCINE IN BOTH ENGLISH AND SPANISH TO COMMUNITY ORGANIZATIONS, SCHOOLS, YONKERS HOUSING AUTHORITY AND THE COMMUNITY AT LARGE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?22
Name and address Type of Facility (describe)
1 1 - IMMACULATA HALL
90-10 150TH STREET
JAMAICA,NY11435
RESIDENTIAL - SUPPORTED HOUSING
2 2 - BISHOP SULLIVAN - ST MARY'S RESIDENCE
1534 PROSPECT PLACE
BROOKLYN,NY11213
RESIDENTIAL - SUPPORTED HOUSING
3 3 - FAMILY HEALTH CENTER & SPECIALTY CLINIC
81 SOUTH BROADWAY
YONKERS,NY10701
OUTPATIENT CLINIC
4 4 - FAMILY MEDICINE HEALTH CENTER
415 SOUTH BROADWAY
YONKERS,NY10701
OUTPATIENT CLINIC
5 5 - MAXWELL INSTITUTE OF ST VINCENTS
92 YONKERS AVENUE
TUCKAHOE,NY10707
OUTPATIENT CLINIC
6 6 - METHADONE CLINIC I
1480 PROSPECT PLACE
BROOKLYN,NY11213
OUTPATIENT CLINIC
7 7 - METHADONE CLINIC II
639 CLASSON AVENUE
BROOKLYN,NY11238
OUTPATIENT CLINIC
8 8 - METHADONE CLINIC III
211-221 POWELL STREET
BROOKLYN,NY11212
OUTPATIENT CLINIC
9 9 - METH TREAT & ADDICT OUTPATIENT CLINIC
317 SOUTH BROADWAY
YONKERS,NY10705
OUTPATIENT CLINIC
10 10 - SJMC-SVWD METHADONE UNITS I & II
175-20 HILLSIDE AVENUE
JAMAICA,NY11432
OUTPATIENT CLINIC
11 11 - ST MARTIN DE PORRES CLINIC
480 ALABAMA AVENUE
BROOKLYN,NY11207
OUTPATIENT CLINIC
12 12 - ST JOSEPH'S MEDICAL CARDIO CENTER
530 YONKERS AVENUE
YONKERS,NY10701
OUTPATIENT CLINIC & DIAGNOSTIC IMAGING CENTER
13 13 - SJMC IMAGING CENTER
3050 CORLEAR AVENUE
BRONX,NY10463
OUTPATIENT CLINIC & DIAGNOSTIC IMAGING CENTER
14 14 - WHITE PLAINS SATELLITE
199 MAIN STREET
WHITE PLAINS,NY10601
OUTPATIENT CLINIC
15 15 - AUSTIN HOUSE
20 AUSTIN PLACE
STATEN ISLAND,NY10301
RESIDENTIAL - SUPPORTED HOUSING
16 16 - CHAIT HOUSE - SR JANE MANOR
101 TOMPKINS AVENUE
STATEN ISLAND,NY10304
RESIDENTIAL - SUPPORTED HOUSING
17 17 - CHAIT RESIDENCE - SR JANE MANOR
101 TOMPKINS AVENUE 4TH FLOOR
STATEN ISLAND,NY10304
RESIDENTIAL - SUPPORTED HOUSING
18 18 - SR ANNE MARY REGAN RESIDENCE
18 SPRING STREET
PORT CHESTER,NY10573
RESIDENTIAL - SUPPORTED HOUSING
19 19 - SR JANE MANOR CRSRO
101 TOMPKINS AVENUE 1ST FLOOR
STATEN ISLAND,NY10304
RESIDENTIAL - SUPPORTED HOUSING
20 20 - SR LOUISE DEMARILLAC MANOR
19 HYGEIA PLACE
STATEN ISLAND,NY10304
RESIDENTIAL - SUPPORTED HOUSING
21 21 - SR MARY ASSISIUM RESIDENCE
382 WESTERVELT AVENUE
STATEN ISLAND,NY10301
RESIDENTIAL - SUPPORTED HOUSING
22 22 - TOMPKINS RESIDENCE
1150 CASTLETON AVENUE
STATEN ISLAND,NY10310
RESIDENTIAL - SUPPORTED HOUSING
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 7: GLOBAL COST TO CHARGE RATIO WAS UTILIZED TO COMPUTE COST OF CHARITY CARE PROVIDED. ALLOWABLE COST DIVIDED BY TOTAL CHARGES.
PART I, LINE 7G: THE FAMILY HEALTH CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES AND ITS TOTAL COST IS $2,558,694 FOR 2021.
PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $5,945,563.
PART III, LINE 2: THE RATIO OF PATIENT COST TO CHARGE APPLIED TO THE BAD DEBT EXPENSES WAS UTILIZED.
PART III, LINE 3: THE RATIO OF PATIENT COST TO CHARGE APPLIED TO THE BAD DEBT EXPENSES WAS UTILIZED. THE HOSPITALS ARE LOCATED IN AN IMPOVERISHED AREA IN SOUTHWEST YONKERS, NEW YORK WHICH CONTAINS A LARGE NUMBER OF UNINSURED AND MEDICAID ELIGIBLE PATIENTS. MANY OF THESE PATIENTS ARE INDIGENT AND/OR ILLEGAL IMMIGRANTS WHO ARE UNWILLING TO COOPERATE WITH THE HOSPITAL IN APPLYING FOR GOVERNMENT INSURANCE. AS A RESULT, UNCOLLECTIBLE AMOUNTS ARE RECORDED AS BAD DEBT EVEN THOUGH THESE PATIENTS TYPICALLY DO NOT HAVE THE ABILITY TO PAY DUE TO THEIR SOCIO-ECONOMIC STATUS.
PART III, LINE 4: A SUMMARY OF THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGEMENTS. THE HOSPITALS HAVE IMPLEMENTED A MONTHLY STANDARDIZED APPROACH TO ESTIMATE AND REVIEW THE COLLECTABILITY OF RECEIVABLES BASED ON THE PAYER CLASSIFICATION AND THE PERIOD THE RECEIVABLES HAVE BEEN OUTSTANDING. PAST DUE BALANCES OVER 90 DAYS FROM THE DATE OF BILLING AND OVER A SPECIFIED AMOUNT ARE CONSIDERED DELINQUENT AND ARE REVIEWED INDIVIDUALLY FOR COLLECTABILITY. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT FEELS IT IS PROBABLE THE RECEIVABLES WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYER REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO RESERVES FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE HOSPITAL ASSESSES THE CURRENT STATE OF ITS BILLING FUNCTIONS TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES LINKED TO THE QUALITY OF ITS BILLING PROCESSES, MOST NOTABLY THOSE RELATED TO OBTAINING THE CORRECT INFORMATION IN ORDER TO BILL EFFECTIVELY FOR THE SERVICES PROVIDED. REVISIONS IN RESERVE FOR DOUBTFUL ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO THE PROVISION FOR BAD DEBTS. A SUMMARY OF THE PAYMENT ARRANGEMENTS WITH MAJOR THIRD-PARTY PAYERS FOLLOWS: 1) MEDICARE PAYMENTS. INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS EFFECTIVE OCTOBER 1, 2007, WHEN THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) REVISED THE MEDICARE PATIENT CLASSIFICATION SYSTEM. THE NEW MEDICARE SEVERITY ADJUSTED DIAGNOSIS RELATED GROUPS (MS-DRGS) REFLECT CHANGES IN TECHNOLOGY AND CURRENT METHODS OF CARE DELIVERY. CMS HAS EXPANDED THE NUMBER OF DRGS FROM 538 TO 989 AND REQUIRES IDENTIFICATION OF CONDITIONS THAT ARE PRESENT UPON ADMISSION.2) NON-MEDICARE PAYMENTS -THE NEW YORK HEALTH CARE REFORM ACT OF 1996, AS UPDATED, GOVERNS PAYMENTS TO HOSPITALS IN NEW YORK STATE. UNDER THIS SYSTEM, HOSPITALS AND ALL NON-MEDICARE PAYERS, EXCEPT MEDICAID, WORKERS' COMPENSATION AND NO-FAULT INSURANCE PROGRAMS, NEGOTIATE HOSPITALS' PAYMENT RATES. IF NEGOTIATED RATES ARE NOT ESTABLISHED, PAYERS ARE BILLED AT THE HOSPITAL'S ESTABLISHED CHARGES. MEDICAID, WORKERS' COMPENSATION AND NO-FAULT PAYERS PAY HOSPITAL RATES PROMULGATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH) ON A PROSPECTIVE BASIS. ADJUSTMENTS TO CURRENT AND PRIOR YEARS' RATES FOR THESE PAYERS WILL CONTINUE TO BE MADE IN THE FUTURE. EFFECTIVE JANUARY 1, 2008, THE DOH UPDATED THE DATA UTILIZED TO CALCULATE THE NYS DRG SERVICE INTENSITY WEIGHTS (SIW) TO UTILIZE MORE CURRENT DATA IN DOH PROMULGATED RATES. SIMILAR TYPE OUTPATIENT REFORMS WERE IMPLEMENTED EFFECTIVE DECEMBER 1, 2008. THERE ARE ALSO VARIOUS OTHER PROPOSALS AT THE FEDERAL AND STATE LEVELS THAT COULD, AMONG OTHER THINGS, REDUCE PAYMENT RATES. THE ULTIMATE OUTCOME OF THESE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY FOR ADJUSTMENTS ON AMOUNTS DUE TO OR DUE FROM MEDICARE AND NON-MEDICARE PAYERS FOR CURRENT AND PRIOR YEARS' PAYMENT RATES BASED ON INDUSTRY-WIDE AND HOSPITAL-SPECIFIC DATA. THE HOSPITAL'S MEDICARE COST REPORTS HAVE BEEN AUDITED AND FINALIZED BY THE MEDICARE FISCAL INTERMEDIARY THROUGH DECEMBER 31, 2011.ON FEBRUARY 19, 2004, THE SECRETARY OF HEALTH AND HUMAN SERVICES CONFIRMED THAT HOSPITALS CAN PROVIDE DISCOUNTS FOR UNINSURED PATIENTS WHICH ALLOW THE HOSPITALS TO IMPLEMENT A DISCOUNT POLICY IN ACCORDANCE WITH STATE LAW. THE HOSPITAL'S GOAL WAS TO CREATE A FINANCIAL AID PROGRAM CONSISTENT WITH THE MISSION, VALUES AND CAPACITY OF THE HOSPITALS, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO HIS OR HER CARE. THE HOSPITALS HAVE A DISCOUNT POLICY AND PROVIDES DISCOUNTS TO UNINSURED PATIENTS. UNDER THIS POLICY, THE DISCOUNT OFFERED TO UNINSURED PATIENTS IS REFLECTED AS A REDUCTION TO THE NET PATIENT SERVICE REVENUE AT THE TIME THE UNINSURED BILLINGS ARE RECORDED.NET PATIENT REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHER SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. FEDERAL AND STATE REGULATIONS PROVIDE FOR CERTAIN RETROSPECTIVE ADJUSTMENTS TO CURRENT AND PRIOR YEARS' PAYMENT RATES BASED ON INDUSTRY-WIDE AND HOSPITAL-SPECIFIC DATA. THE HOSPITALS HAVE ESTIMATED POTENTIAL IMPACT OF SUCH RETROSPECTIVE ADJUSTMENTS BASED ON INFORMATION PRESENTLY AVAILABLE AND ADJUSTMENTS ARE RENDERED AND ARE ADJUSTED IN FUTURE PERIODS AS ADDITIONAL INFORMATION BECOMES AVAILABLE OR FINAL SETTLEMENTS ARE DETERMINED. AS DISCUSSED ABOVE, THE CURRENT MEDICAID AND MEDICARE PROGRAMS ARE BASED UPON COMPLEX LAWS AND REGULATION.NONCOMPLIANCE WITH SUCH LAWS AND REGULATIONS COULD RESULT IN FINES, PENALTIES AND EXCLUSION FROM SUCH PROGRAMS. THE HOSPITAL IS NOT AWARE OF ANY ALLEGATIONS OF NONCOMPLIANCE THAT COULD HAVE A MATERIAL ADVERSE EFFECT ON THE FINANCIAL STATEMENTS AND BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, NET PATIENT REVENUE FOR INDIVIDUAL PAYERS CONSISTED OF THE FOLLOWING: MEDICARE 2021-27%, 2020-27%, MEDICAID/MEDICAID HMO 2021-63%, 2020-63%, SELF PAY 2021-0%, 2020-0%, OTHER 2021-10%, 2020-10%.
PART III, LINE 8: THE COSTING METHODOLOGY USED FOR ALLOWABLE COSTS IN PART III LINE 6 IS BASED ON THE MEDICARE COSTS INCLUDED IN THE WORKSHEET D SCHEDULES OF THE 2021 MEDICARE COST REPORT. THERE WAS A SURPLUS.
PART III, LINE 9B: THE COLLECTION POLICY FOR CHARITY CARE PATIENTS IS THE SAME COLLECTION POLICY THAT IS APPLIED TO THE LARGEST NUMBER OF ITS PATIENTS.
PART VI, LINE 2: FROM AN ONGOING NEEDS ASSESSMENT BASIS, ST. JOSEPH'S IS A PARTICIPANT IN THE HEALTHY YONKERS INITIATIVE WHICH IS A COALITION OF VARIOUS HEALTH CARE PROVIDERS AND SOCIAL SERVICES AGENCIES. THE HEALTHY YONKERS INITIATIVE CONDUCTS PERIODIC FOCUS GROUPS TARGETING BOTH PATIENTS AND THEIR FAMILY MEMBERS TO IDENTIFY UNMET HEALTH CARE NEEDS WITHIN THE COMMUNITY. A RESULT OF A RECENT FOCUS GROUP WAS TO DEVELOP AN INITIATIVE TO EXPAND AND ENHANCE HEALTH CARE SERVICES FOR INDIVIDUALS DIAGNOSED WITH ASTHMA AND/OR NUTRITIONAL DISORDERS.
PART VI, LINE 3: ST. JOSEPH'S HOSPITAL MAKES AVAILABLE WRITTEN COMMUNICATIONS IN BOTH ENGLISH AND SPANISH EXPLAINING THE HOSPITAL'S POLICY OF PROVIDING CHARITY CARE AND FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS. NOTICES ARE POSTED THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH STATING THAT CHARITY CARE AND FINANCIAL ASSISTANCE ARE AVAILABLE TO QUALIFYING INDIVIDUALS THAT INCLUDE A TELEPHONE NUMBER FOR PATIENTS TO CONTACT A FINANCIAL COUNSELOR TO DISCUSS ELIGIBILITY. IN ADDITION, HOSPITAL REPRESENTATIVES INTERVIEW PATIENTS WITHOUT INSURANCE TO DETERMINE IF THEY MAY QUALIFY FOR MEDICAID OR OTHER GOVERNMENTAL INSURANCE PROGRAMS AND WILL ASSIST THEM IN COMPLETING REQUIRED APPLICATIONS.
PART VI, LINE 4: ST. JOSEPH'S HOSPITAL SERVES A PREDOMINATELY LOW INCOME, MEDICALLY UNDERSERVED POPULATION WITHIN ITS SERVICE AREA. ST. JOSEPH'S SERVICE AREA POPULATION, WHICH INCLUDES SOUTHWEST YONKERS AND THE NORTH BRONX, IS A MINORITY ONE WITH ALMOST 1/3 OF THE POPULATION AFRICAN-AMERICAN AND ANOTHER 1/3 BEING HISPANIC. MANY OF THE PATIENTS DO NOT HAVE A PRIVATE PHYSICIAN AND USE THE HOSPITAL'S EMERGENCY ROOM AND CLINIC FOR THEIR PRIMARY MEDICAL NEEDS. SJMC SERVES ALL OF YONKERS, BUT DEFINES ITS PRIMARY SERVICE AREA AS ZIP CODES 10701 AND 10705. THE ESTIMATED POPULATION OF THE PRIMARY ZIP CODES IS 100,500, REPRESENTING APPROXIMATELY 50% OF THE TOTAL YONKERS POPULATION. THE PRIMARY SERVICE AREA POPULATION IS MORE CULTURALLY AND ETHNICALLY DIVERSE THAN THE CITY OF YONKERS AND EXPERIENCES GREATER SOCIOECONOMIC DISPARITY. THE AREA IS AN URBAN MIX OF HIGH-RISE APARTMENTS, OLDER WOOD FRAME HOMES, AND A DOWNTOWN BUSINESS AREA THAT CONTAINS COMMUNITY-BASED NOT-FOR-PROFIT ORGANIZATIONS. ZIP CODES 10701 AND 10705 ARE SOME OF THE MOST POPULATION DENSE AREAS IN NEW YORK STATE WITH A POPULATION DENSITY OF 23,372 PER SQUARE MILE. THE POPULATION DENSITY FOR ALL OF YONKERS IS 10,903 RESIDENTS PER SQUARE MILE. OUR SECONDARY SERVICE AREA INCLUDES ZIP CODES 10703, 10704, 10710, 10474, 10463, 10470, 10466 AND 10467.WESTCHESTER COUNTY, LOCATED JUST NORTH OF NEW YORK CITY IN THE HUDSON VALLEY, SPANS 450 SQUARE MILES AND 48 MUNICIPALITIES DESIGNATED AS URBAN, SUBURBAN, AND RURAL GEOGRAPHIES. THE 2017 ESTIMATED COUNTY POPULATION OF 949,113 IS UP 3.0% BETWEEN 2000 AND 2010. THE COUNTY SEAT IS THE CITY OF WHITE PLAINS. OTHER MAJOR CITIES INCLUDE YONKERS, NEW ROCHELLE, AND MOUNT VERNON. THE 2017 MEDIAN HOUSEHOLD INCOME FOR WESTCHESTER COUNTY ($89,968) IS THE FOURTH HIGHEST IN NEW YORK STATE AFTER NASSAU, PUTNAM AND SUFFOLK COUNTIES.YONKERS IS 18.4 SQUARE MILES WITH AN ESTIMATED POPULATION OF 200,999. THE POPULATION INCREASED 3% BETWEEN 2010 AND 2017. APPROXIMATELY 18% OF RESIDENTS ARE UNDER 15 YEARS AND 16% ARE SENIORS. THE YONKERS COMMUNITY IS ONE OF THE MOST CULTURALLY AND ETHNICALLY DIVERSE IN WESTCHESTER COUNTY AND NEW YORK STATE. DURING THE LAST TWO DECADES, A DEMOGRAPHIC SHIFT HAS TAKEN PLACE IN THE CITY WITH A LARGE INFLUX OF IMMIGRANTS. APPROXIMATELY 31% OF THE YONKERS POPULATION IS FOREIGN-BORN; 56% OF FOREIGN BORN RESIDENTS WERE BORN IN A LATIN AMERICAN COUNTRY. IMMIGRANTS FROM ALL OVER THE WORLD BRING A GREAT VITALITY TO OUR COMMUNITY, BUT THEY CHALLENGE THE HOSPITAL AND OTHER COMMUNITY SERVICE PROVIDERS TO UNDERSTAND AND MEET THEIR UNIQUE AND COMPLEX HEALTH NEEDS.
PART VI, LINE 5: ST. JOSEPH'S HOSPITAL HAS A FAMILY PRACTICE TEACHING PROGRAM WHICH INCLUDES APPROXIMATELY 30 RESIDENTS. THE RESIDENTS SPEND THE MAJORITY OF THEIR TIME PROVIDING MEDICAL CARE UNDER THE SUPERVISION OF FACULTY TO CLINIC PATIENTS, MOST OF WHOM EITHER HAVE NO INSURANCE OR ARE MEDICAID PATIENTS. DURING 2021, THE FAMILY HEALTH CENTER, A PRIMARY CARE CLINIC, HAD 20,512 VISITS OF WHICH 62% WERE APPLICABLE TO MEDICAID/MEDICAID HMO OR UNINSURED PATIENTS.
PART VI, LINE 6: ST. JOSEPH'S HOSPITAL IS PART OF AN AFFILIATED HEALTH SYSTEM WHICH INCLUDES THE FOLLOWING: SJMC, INC. IS THE PARENT CORPORATION WHICH WAS ESTABLISHED TO COORDINATE, PLAN AND DEVELOP CHARITABLE, EDUCATIONAL AND SCIENTIFIC ACTIVITIES, PROGRAMS AND PROJECTS FOR THE ADVANCEMENT OF QUALITY HEALTH CARE BY AND THROUGH ITS AFFILIATED ENTITIES AND TO PROMOTE AND ADVANCE RELATIONSHIPS AMONG HEALTH CARE INSTITUTIONS AND THE COMMUNITIES THEY SERVE. ST. JOSEPH'S HOSPITAL YONKERS, A SUBSIDIARY OF SJMC, INC., IS A 327 BED HEALTH CARE PROVIDER THAT PROVIDES MEDICAL, PSYCHIATRIC, EMERGENCY AND OUTPATIENT CLINIC SERVICES TO PATIENTS LOCATED THROUGHOUT WESTCHESTER COUNTY AND THE NEW YORK CITY REGION. ST. JOSEPH'S HEALTH FUND IS A FUNDRAISING SUBSIDIARY OF SJMC, INC., ITS SOLE BENEFICIARY, AND SOLICITS CONTRIBUTIONS FROM THE COMMUNITY FOR USE IN PROMOTING AND/OR EXPANDING HEALTH PROGRAMS AND SERVICES FOR WHICH THERE IS A COMMUNITY NEED.
PART VI, LINE 7, REPORTS FILED WITH STATES NY
Schedule H (Form 990) 2021
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 .....
1b
Yes
 
2
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? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1MICHAEL J SPICER
PRESIDENT & CEO
(i)

(ii)
1,019,000
-------------
0
0
-------------
0
116,213
-------------
0
194,282
-------------
0
31,793
-------------
0
1,361,288
-------------
0
0
-------------
0
2FRANK HAGAN
SENIOR VP OF FINANCE/CFO
(i)

(ii)
455,963
-------------
0
0
-------------
0
516
-------------
0
0
-------------
0
31,793
-------------
0
488,272
-------------
0
0
-------------
0
3JAMES DEMEO
MEDICAL DIRECTOR
(i)

(ii)
455,943
-------------
0
0
-------------
0
516
-------------
0
0
-------------
0
31,793
-------------
0
488,252
-------------
0
0
-------------
0
4BERNADETTE KINGHAM-BEZ
SENIOR VP OF PSYCHIATRY
(i)

(ii)
399,416
-------------
0
0
-------------
0
1,545
-------------
0
12,000
-------------
0
31,793
-------------
0
444,754
-------------
0
0
-------------
0
5FADI SAYEGH
FAMILY PRACTICE PHYSICIAN
(i)

(ii)
396,425
-------------
0
0
-------------
0
96
-------------
0
0
-------------
0
28,248
-------------
0
424,769
-------------
0
0
-------------
0
6DEAN HARLAM
CHIEF MEDICAL OFFICER
(i)

(ii)
323,502
-------------
0
0
-------------
0
1,545
-------------
0
0
-------------
0
31,793
-------------
0
356,840
-------------
0
0
-------------
0
7JELENA VESELINOVIC MD
PSYCHIATRY PHYSICIAN
(i)

(ii)
305,521
-------------
0
0
-------------
0
792
-------------
0
0
-------------
0
31,793
-------------
0
338,106
-------------
0
0
-------------
0
8FRANCES CASOLA
SENIOR VP OF OPERATIONS
(i)

(ii)
307,323
-------------
0
0
-------------
0
792
-------------
0
12,000
-------------
0
0
-------------
0
320,115
-------------
0
0
-------------
0
9KIM PAGAN
VICE PRESIDENT OF FINANCE
(i)

(ii)
283,762
-------------
0
0
-------------
0
516
-------------
0
0
-------------
0
12,228
-------------
0
296,506
-------------
0
0
-------------
0
10MARGARET CUSUMANO RN
VP PATIENT CARE SVCS & CNO
(i)

(ii)
236,789
-------------
0
0
-------------
0
792
-------------
0
0
-------------
0
31,793
-------------
0
269,374
-------------
0
0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A APARTMENT RENT IS INCLUDED IN TAXABLE COMPENSATION FOR THE PRESIDENT & CEO, MICHAEL J. SPICER.
PART I, LINE 4B THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING 2021, BUT DID NOT RECEIVE A DISTRIBUTION: MICHAEL J. SPICER, PRESIDENT & CEO CONTRIBUTIONS MADE TO THE PLAN DURING 2021 TOTALED $194,282.
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SINGLE MEMBER, SJMC, INC., WHICH IS A TAX-EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A THE SOLE SINGLE MEMBER, SJMC, INC., ELECTS THE GOVERNING BODY OF THE ORGANIZATION. ALL BOARD MEMBERS HAVE EQUAL VOTING RIGHTS.
FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY THAT REQUIRE APPROVAL BY THE PARENT ORGANIZATION, SJMC, INC., INCLUDE DISPOSITION OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, MERGER OR CONSOLIDATION WITH ANOTHER ENTITY OR SYSTEM, DISSOLUTION OF THE ORGANIZATION, AND CHANGE IN THE CHARACTER OF THE OPERATION OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS COMPLETED BY THE ACCOUNTING STAFF AND PROVIDED TO THE SENIOR VICE PRESIDENT OF FINANCE FOR REVIEW BY MANAGEMENT. UPON DETERMINATION THAT THE DRAFT IS ACCURATE AND PROPERLY PRESENTS THE STATUS OF THE ORGANIZATION AND AFTER REVIEW BY THE HOSPITAL'S TAX ACCOUNTANTS, A COPY IS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO ISSUANCE.
FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE VP OF RISK MANAGEMENT ORGANIZES THE COMPLETION OF THE CONFLICT OF INTEREST STATEMENTS. ANY DISCLOSURE MADE BY AN OFFICER OR TRUSTEE SHALL BE REVIEWED BY ST. JOSEPH'S HOSPITAL, YONKERS BOARD OF TRUSTEES. POTENTIAL CONFLICTS MUST BE RESOLVED AND ANY ACTIONS TAKEN MUST BE DOCUMENTED IN THE BOARD MINUTES. ANY DISCLOSURE MADE BY AN EMPLOYEE SHALL BE REVIEWED BY THE CORPORATE COMPLIANCE COMMITTEE. POTENTIAL CONFLICTS MUST BE RESOLVED BY THE COMMITTEE AND REPORTED TO THE BOARD OF TRUSTEES. THE CONFLICT OF INTEREST POLICY DOES MENTION FAMILY AND BUSINESS RELATIONSHIPS AS A SOURCE FOR POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15 THE AMOUNT OF COMPENSATION PAID TO THE HOSPITAL'S CEO, OFFICERS AND KEY EMPLOYEES IS REVIEWED PERIODICALLY BY THE BOARD'S GOVERNANCE COMMITTEE WHICH IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES. THE AMOUNT OF COMPENSATION IS EVALUATED FOR COMPARABILITY WITH OTHER SIMILAR TYPES OF ORGANIZATIONS USING THE GUIDESTAR COMPENSATION REPORT. FINDINGS OF THE GOVERNANCE COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES AND DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 1,627,451. MANAGEMENT AND GENERAL EXPENSES 351,642. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,979,093. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,484,556. MANAGEMENT AND GENERAL EXPENSES 320,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,805,322. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,195,884. MANAGEMENT AND GENERAL EXPENSES 1,338,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,534,622. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,157,229. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,157,229. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 11,204,664. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,204,664. OUTSIDE LAB SERVICES: PROGRAM SERVICE EXPENSES 1,104,571. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,104,571. BILLING & COLLECTIONS EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 896,448. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 896,448. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 334,245. MANAGEMENT AND GENERAL EXPENSES 72,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 406,465. NETWORK & DATA PROCESSING: PROGRAM SERVICE EXPENSES 60,975. MANAGEMENT AND GENERAL EXPENSES 13,175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,150.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST JOSEPH'S HOSPITAL YONKERS
 
Employer identification number

13-1740127
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SJMC INC
127 SOUTH BROADWAY

YONKERS,NY10701
13-3497559
PARENT NY 501(C)(3) LINE 7 SRS CHARITY
 
 
No
(2)ST JOSEPHS HOSPITAL NURSING HOME YONKERS
127 SOUTH BROADWAY

YONKERS,NY10701
13-2861611
NURSING HOME NY 501(C)(3) LINE 10 SRS CHARITY
 
 
No
(3)ST JOSEPHS HEALTH FUND
127 SOUTH BROADWAY

YONKERS,NY10701
13-3833645
FUNDRAISING NY 501(C)(3) LINE 7 SJMC INC
 
 
No
(4)SJMC SENIOR HOUSING DEVELOPMENT FUND CO
127 SOUTH BROADWAY

YONKERS,NY10701
13-4103604
SENIOR HOUSING NY 501(C)(3) LINE 7 SJMC INC
 
 
No






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ST JOSEPHS VENTURE INC

127 SOUTH BROADWAY
YONKERS,NY10701
13-3497550
INACTIVE NY N/A
C         No
(2) ST JOSEPHS MEDICAL PRACTICE PC

127 SOUTH BROADWAY
YONKERS,NY10701
30-0710052
MEDICAL PRACTICE NY N/A
C         No










Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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