2024-11-07T12:32:00-06:00 2023-12-31 BDO USA 200 PARK AVENUE 38TH FLOOR NEW YORK NY 10166 990 2023-01-01 111665825 Episcopal Health Services Inc % EPISCOPAL HEALTH SERVICES EPIS 7188698525 377 Oak Street Suite 300 Garden City NY 11530 STEVEN GUIDO CFO 5163494643 2024-10-29 true true Kristin Ruffini P00741491 2128858000 2023 2024-10-15 13:58:12Z STEVEN GUIDO 377 OAK STREET SUITE 300 Garden City NY 11530 390120343 false X WWW.EHS.ORG X 1852 NY TO PROVIDE EXCEPTIONAL HEALTHCARE AND EDUCATIONAL PROGRAMS IN AN ACADEMIC SETTING ACROSS THE CONTINUUM OF CARE AND DELIVER HIGH QUALITY, VALUE BASED SERVICES (SEE SCHEDULE O) 10 8 2154 85 21628 0 6108330 9328267 217372684 240750197 449224 3096455 130678770 136717603 354609008 389892522 274002 540605 0 0 208313677 234825467 0 0 0 122969197 147583132 331556876 382949204 23052132 6943318 253200146 347603162 200890990 286674667 52309156 60928495 X ST. JOHNS EPISCOPAL HOSPITAL IN PARTNERSHIP WITH OUR COMMUNITY PROVIDES EXCEPTIONAL HEALTHCARE AND EDUCATION PROGRAMS IN AN ACADEMIC SETTING ACROSS THE CONTINUUM OF CARE. 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true false X 10 8 false false false false false false false true false false false true true true true true true true true false NY X EPISCOPAL HEALTH SERVICES 7188698525 377 OAK STREET SUITE 300 GARDEN CITY NY 11530 X GERARD M WALSH CHIEF EXECUTIVE OFFICER 37.5 0.0 X X 1401782 0 127524 CHRISTOPHER J PARKER EVP,COO&ACTING CNO(thru 7/23) 37.5 0.0 X 930719 0 92006 STEVEN J GUIDO CHIEF FINANCIAL OFFICER 36.5 1.0 X 724388 0 152027 DONALD MORRISH CHIEF MEDICAL OFFICER 36.0 5.0 X 675385 0 108327 SHELDON GENACK PHYSICIAN 40.0 0.0 X 661480 0 82324 GEORGE MANIS PHYSICIAN 40.0 0.0 X 521468 0 82924 TESSY PETER PHYSICIAN 40.0 0.0 X 486973 0 78875 PIOTR SLOWIK PHYSICIAN 40.0 0.0 X 437439 0 109477 JERRY WATMAN PHYSICIAN 40.0 0.0 X 459720 0 53724 HERMELINA ZABALA THRU 823 SVP, PATIENT CARE SVCS & CNO 37.5 0.0 X 419040 0 66510 JAMES HENRY THRU 723 CHIEF OF ORTHOPEDICS 30.0 0.0 X 401951 0 44481 SHELDON MARKOWITZ CHAIR OF SURGERY 40.0 0.0 X 349586 0 93796 SHARIKA A GORDON VP, HUMAN RESOURCES & CHRO 37.5 0.0 X 357032 0 84377 KAREN PAIGE SVP, CQO AND CNO (AS OF 08/23) 37.5 0.0 X 327822 0 68478 RENEE J MOTES PRESIDENT, ICARE FOUNDATION 37.5 0.0 X 284006 0 80203 JOHN ROCCO VP, OPERATIONS 37.5 0.0 X 265212 0 93708 BERTRAND BATISTA SECRETARY, ICARE FOUNDATION 37.5 0.0 X 249018 0 94940 ROSEMARY BONILLA VP, MEDICAL GROUP (THRU 11/23) 22.5 15.0 X 258154 0 85725 ANDREW CHAN AS OF 0123 CHIEF INFORMATION OFFICER & VP 37.5 0.0 X 250332 0 68039 TERRI COYLE FAMULARO VP, PSYCHIATRY (THRU 10/23) 37.5 0.0 X 247537 0 37300 MIKE P LUYCKX VICE PRESIDENT, CLINICAL SVCS 37.5 0.0 X 235878 0 44292 NANCY CATHERINE LEGHART EXECUTIVE DIR ICARE FOUNDATION 37.5 0.0 X 180793 0 61528 LAWRENCE C PROVENZANO PRESIDENT & CHAIR 10.0 1.0 X X 155928 0 0 DIANE R MCCARTHY TREASURER, ICARE FOUNDATION 1.0 0.0 X 15423 0 1750 PATRICK GUY SECRETARY 1.0 0.0 X X 0 0 0 DANIEL A KASLE TREASURER 1.0 0.0 X X 0 0 0 DR IFFATH HOSKINS BOARD MEMBER 1.0 0.0 X 0 0 0 REV SARAH J KOOPERKAMP BOARD MEMBER 1.0 0.0 X 0 0 0 ASHVINI PERSUAD BOARD MEMBER 1.0 0.0 X 0 0 0 REV DR ALLEN ROBINSON BOARD MEMBER 1.0 0.0 X 0 0 0 MAUREEN WALSH BOARD MEMBER 1.0 0.0 X 0 0 0 REV DR NORMAN WHITMIRE JR BOARD MEMBER 1.0 0.0 X 0 0 0 10297066 0 1812335 596 false true false NURSES 247 PO Box 823473 PHILADELPHIA PA 19182 TEMPORARY SUPPORT 16606227 SIGNATURE CONSTRUCTION GROUP INC 160 7TH STREET BROOKLYN NY 11215 CONSTRUCTION 8792585 SD BUILDERS CONSTRUCTION LLC 38 EAST 29TH STREET 9TH FLOOR NEW YORK NY 10016 CONSTRUCTION 5950818 ISLAND EMERGENCY MEDICAL SERVICES PO BOX 645948 CINCINNATI OH 45264 PHYSICIAN SERVICES 4236584 STEEEP ADVANTAGE SERVICES INC PO BOX 270568 HOUSTON TX 77277 TEMPORARY SUPPORT 3959999 112 208485 7727427 1392355 9328267 NET PATIENT SERVICE REV 621300 238873610 238873610 CAPITATION REVENUE 621300 1721037 1721037 PHYSICIAN BILLING REVENUE 621110 155550 155550 240750197 3058361 0 3058361 0 0 18709 18709 0 18709 18709 198015 12000 171921 26094 12000 38094 38094 70900 208485 55900 15000 15000 0 0 0 0 0 0 VAP AP/VAP 900099 118306005 118306005 HEATHFIRST RISK POOL 900099 5233571 5233571 INSURANCE PROCEEDS 900099 4810865 4810865 8333453 2680816 21628 5631009 136683894 389892522 366970589 21628 13572038 X 0 540605 540605 0 0 9134994 9134994 0 168134242 155050484 13083758 12300655 11294341 1006314 31464682 27826612 3638070 13790894 11943962 1846932 0 591631 591631 220674 220674 0 0 18157 18157 67622777 58519783 9102994 0 318446 318446 5013045 4080835 932210 6480406 5635173 845233 0 8884438 5926986 2957452 0 0 505785 464238 41547 152798 152798 0 7930179 6868138 1062041 7984403 6787599 1196804 MEDICAL SUPPLIES 16099299 16099299 0 0 PHARMACUETICALS 9156420 9156420 0 0 FOOD EXPENSES 1705969 1705969 0 0 ADMINISTRATIVE EXPENSES 1452857 0 1452857 0 13445848 9725164 3720684 382949204 331778406 51170798 0 12339975 14224732 1945135 21921 57881 117764 17075991 16224629 0 0 0 0 17116250 17116250 4162660 3799752 2854701 3991109 312649797 182165752 100859177 130484045 0 0 40388141 48488248 0 0 0 0 56400235 113134712 253200146 347603162 60085387 67439074 0 0 60000 138500 0 0 0 0 0 0 50529301 72138526 0 0 90216302 146958567 200890990 286674667 X 47298349 58068088 5010807 2860407 52309156 60928495 253200146 347603162 X 6943318 1544690 131331 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 188400 188400 false false SCHEDULE C, PART II-B, Line 1(i): EPISCOPAL HEALTH SERVICES INC.(EHS) PAYS DUES TO HEALTHCARE EDUCATION PROJECTS (HEP). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY HEP, A PORTION OF THESE DUES PAYMENTS ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITY COSTS ATTRIBUTABLE IN 2023 TO HEP DUES PAYMENT WAS $89,400. EPISCOPAL HEALTH SERVICES INC.(EHS) paid MANATT $99,000 for LOBBYING ACTIVITIES during 2023. 996341 34093 34093 996341 996341 34662 34662 996341 996341 29112 29112 996341 996341 25923 25923 996341 996341 29021 29021 996341 1.00000 0.00000 0.00000 false false 817842 817842 66204501 52109622 14094879 27273161 4189192 23083969 146161470 122629862 23531608 72192823 3237076 68955747 130484045 INV IN & HLD BY CAPTIVE INS CO 26937343 F INV IN HEALTH FIRST INC. 21550905 F 48488248 ASSETS WHOSE USE IS LIMITED 43102985 DUE FROM THIRD PARTY PAYERS 33615760 OTHER RECEIVABLES 13245946 RIGHT TO USE LEASED ASSETS 12263405 DUE FROM RELATED ORGANIZATIONS 7879889 INSURANCE RECOVERABLE 2619943 OTHER ASSETS 406784 113134712 0 DUE TO THIRD PARTY PAYORS 83484509 PROFESSIONAL LIABILITIES 34593000 OPERATING LEASE LIABILITY 12759981 WORKER'S COMP 7469856 DEFERRED VALUE BASED PAYMENTS 6945206 ACCRUED PENSION LIABILITY 1166729 OTHER LIABILITIES 539286 146958567 X SCHEDULE D, PART V, LINE 4: INCOME FROM ENDOWMENT FUNDS ARE TO BE USED TO FURTHER SUPPORT THE MISSION OF THE ORGANIZATION. SCHEDULE D, PART X, LINE 2: The Corporation recognizes the effect of income tax positions only when the tax positions are more likely than not to be sustained. Management has determined that the Corporation had no uncertain tax positions that would require financial statement recognition or disclosure. The Corporation is no longer subject to examinations by the applicable taxing jurisdictions for periods prior to 2020. Central America and the Caribbean 0 0 Investments CAPTIVE INSURANCE CO. 26937343 0 0 0 0 26937343 26937343 true false true false false false SCHEDULE F, PART I, LINE 3, COLUMN F: THE HOSPITAL IS A PARTIAL OWNER OF CAPTIVE FOREIGN INSURANCE COMPANIES. THE HOSPITAL'S INVESTMENTS IN THE FOREIGN INSURANCE COMPANIES ARE REPORTED AT FAIR MARKET VALUE OR COST. GOLF OUTING 279385 208485 70900 0 0 54650 0 0 1250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279385 208485 70900 0 0 54650 0 0 1250 55900 15000 true true X true X true X true true false true true 5595889 1191250 4404639 0.01150 236045827 208270836 27774991 0.07260 241641716 209462086 32179630 0.08410 787829 787829 0.00210 38710483 24664033 14046450 0.03670 77925067 33582210 44444940 0.11620 117423379 58246243 59279219 0.15500 359065095 267708329 91458849 0.23910 256696 0.00070 46157 0.00010 14936 93664 0.00020 411453 0.00100 true 3339078 531912 52655744 61472020 -8816276 X true true 1 1 St John's Episcopal Hospital 327 Beach 19th Street Far Rockaway NY 11691 www.ehs.org 7001024H X X X X St Johns Episcopal Hospital 1 false false true X X X X X X X X 20 true false false true X www.EHS.org X true 20 true www.EHS.org false true X 100 400. X X X X true true X X X true X see Part V Section C X see Part V Section C X see Part V Section C X X X X X X true X false X X true X false false SCHEDULE H, PART V SECTION B, LINE 5: ON JANUARY 31, 2022, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) DECLARATION FOR A PUBLIC HEALTH EMERGENCY WAS STILL IN EFFECT FOR THE UNITED STATES TO AID THE NATION'S HEALTHCARE COMMUNITY IN RESPONDING TO THE CORONAVIRUS. ST. JOHN'S STAYED PREPARED AND CONTINUED TO MOBILIZE INTERNAL EFFORTS TO SUPPORT THE FIGHT AGAINST THE PANDEMIC. INTERACTIONS WITH EXTERNAL COMMUNITY PARTNERSHIPS AND EVENTS STARTED BACK BUT WAS SCALED TO ACCOMMODATE SOCIAL GATHERING MANDATES. IN 2023, THE MANDATE WAS STILL IN EFFECT AND EHS CONTINUED TO SLOWLY MOVE INTO NORMALCY WHILE STILL ABIDING BY THE MANDATE. ACTIVITIES WERE VIRTUAL AND IN PERSON HEALTH EDUCATION, COVID 19 VACCINATIONS, FLU SHOTS AND SCREENINGS WITH THE MOBILE HEALTH UNIT. ST. JOHN'S COLLABORATED WITH THE FOLLOWING ORGANIZATIONS AROUND VARIOUS HEALTH RELATED INITIATIVES TO ENSURE NOT ONLY PREVENTATIVE CARE WAS TAKEN PLACE BUT ALSO SUPPORTING THE AREAS WHERE PATIENTS NEEDED HELP ACCESSING CONNECTIONS TO SOCIAL DETERMINANTS. - JOSEPH P. ADDABBO FAMILY HEALTH CENTER - NAACP OF ROCKAWAY - COMMUNITY BOARD 14 - ROCKAWAY DEVELOPMENT AND REVITALIZATION CORP. - COALITION FOR CONCERNED MEDICAL PROFESSIONALS - FAR ROCKAWAY SKILLED NURSING FACILITIES COLLABORATIVE - QUEENS DEFENDER - QUEENS CHAMBER OF COMMERCE - BELLE HARBOR CIVIC ASSOCIATION - EDGEMERE CIVIC ASSOCIATION - BAYSWATER CIVIC ASSOCIATION - ACHIEZER - QUEENS HIGH SCHOOL FOR INFORMATION RESEARCH AND TECHNOLOGY - CHALLENGE PREP CHARTER SCHOOL - JCCRP - THE CAMPAIGN AGAINST HUNGER - DEERFIELD CIVIC ASSOCIATION - THE YMCA OF ROCKAWAY - REDFERN COMMUNITY CENTER - CONGRESSMAN GREGORY MEEKS JR. - NYS SENATOR JAMES SANDERS JR - NYS ASSEMBLYMAN KHALEEL ANDERSON - NYS ASSEMBLYWOMAN STACEY PHEFFER AMATO - NYC COUNCILWOMAN SELVENA BROOKS POWERS - NYC QUEENS BOROUGH PRESIDENT DONOVAN RICHARDS - FRIENDS OF THE 59TH STREET PLAYGROUND - 101ST PRECINCT COMMUNITY AFFAIRS - 100TH PRECINCT COMMUNITY AFFAIRS - HATZALAH DUE TO THE COVID 19 PANDEMIC COMMUNITY ADVISORY MEETINGS WERE HELD VIRTUALLY. THE MEETINGS WERE HELD ON: WEDNESDAY, JANUARY 11, 2023 WEDNESDAY, APRIL 19, 2023 WEDNESDAY, AUGUST 2, 2023 WEDNESDAY, OCTOBER 18, 2023 DISCUSSION AT THESE MEETINGS INCLUDED COVID 19, HEALTH EDUCATION, HOSPITAL UPDATES AND VACCINATION COORDINATION AND NEW SERVICE LINE PRESENTATION. SCHEDULE H, PART V SECTION B, LINE 11: THE HOSPITAL RECOGNIZES THERE IS A NEED TO ADDRESS ALL IDENTIFIED HEALTH CONCERNS. DUE TO LIMITATIONS IN STAFFING AND RESOURCES, THE HOSPITAL FOCUSED ITS EFFORTS ON THOSE PRIORITIES THAT APPEARED TO BE OF THE MOST NEED AND HAD THE STAFFING AND RESOURCES TO COMMIT TO A THREE-YEAR PLAN OF IMPLEMENTATION. THE NEEDS, MOST THOSE OF SOCIAL SUPPORT WERE IDENTIFIED AND LATER THE HEALTH SYSTEM PARTNERED WITH COMMUNITY RESIDENCE TO MEET THESE NEEDS. SCHEDULE H, PART V, SECTION B, LINE 16A, LINE 16B AND LINE 16C: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING WEBSITE: https://ehs.org/patient-visitors/paying-for-care/ SCHEDULE H, PART V SECTION B, LINE 22D: DURING 2023, THE HOSPITAL DETERMINED THAT THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS WAS A FLAT FEE PLUS THE FOLLOWING, BASED ON THE FEDERAL POVERTY LEVEL THE INDIVIDUAL QUALIFIED FOR: -PERCENTAGE OF THE APR-DRG RATE (MEDICAID INPATIENT RATE) -PERCENTAGE OF THE APG RATE (MEDICAID OUTPATIENT RATE OR AMBULATORY FEE SCHEDULE RATE) -PERCENTAGE OF THE ANCILLARY CHARGES PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY: ST. JOHN'S EPISCOPAL HOSPITAL COSTING METHODOLOGY WAS BASED UPON THE 2023 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2023 MEDICARE (FORM 2552) COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7. PART III, LINE 2 - BAD DEBT EXPENSE: BAD DEBT EXPENSE INCLUDES ACTUAL WRITE OFFS OF DISCOUNTED GROSS CHARGES WHERE IT IS DETERMINED THAT AN UNINSURED PATIENT CAN PAY AND DOES NOT PAY. PART III, LINE 3 - BAD DEBT EXPENSE: ST. JOHN'S HOSPITAL UTILIZES THE ESTIMATED PERCENTAGE OF PATIENTS LIVING AT OR BELOW THE FEDERAL POVERTY LEVEL 20.4% AND THE SELF PAY PERCENTAGE 78.0878% TO ARRIVE AT THE AMOUNT OF BAD DEBT THAT IS POTENTIALLY ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 5 - MEDICARE REVENUE: INCLUDED IN THE CALCULATION OF THE MEDICARE REVENUE OF $52,655,744 IS $3,895,776 OF DISPROPORTIONATE SHARE (DSH) PAYMENTS AND 13,115,270 OF INDIRECT MEDICAL EDUCATION (IME) PAYMENTS WHICH TOTAL $17,011,046 RESULTING IN TRUE PATIENT SERVICE REVENUE OF $35,644,698. PART III, LINE 5 & 6 - MEDICARE REVENUE: PURSUANT TO THE INSTRUCTIONS INCLUDED IN MEDICARE REVENUE RECEIVED ON PART III SECTION B LINE 5 IS REIMBURSEMENT FOR INDIRECT MEDICAL EDUCATION (IME) OF $13.1 MILLION. THERE ARE $0 COST INCLUDED IN PART III LINE 6 MEDICARE ALLOWABLE COST RELATED TO IME. PART III, LINE 7 - MEDICARE SURPLUS/SHORTFALL: THE MEDICARE SHORTFALL SHOWN OF $8,816,275 INCLUDES THE ADDITIONAL ITEMS OF MEDICARE REVENUE DETAILED IN THE EXPLANATION FOR LINE 5 ABOVE WITHOUT INCLUSION OF ADDITIONAL COSTS RELATED TO THEM. HAD THESE AMOUNTS NOT BEEN RECEIVED THE OPERATING MEDICARE SHORTFALL WOULD HAVE BEEN $25,827,322. LOSSES ON TREATING MEDICARE BENEFICIARIES SHOULD BE INCLUDED AS A COMMUNITY BENEFIT IN THEIR ENTIRETY. ST. JOHN'S EPISCOPAL HOSPITAL INCURRED THIS OPERATING MEDICARE LOSS OF $25.8 MILLION TO DELIVER CARE TO MEDICARE PATIENTS. THIS REPRESENTS THE AMOUNT BY WHICH COSTS TO DELIVER CARE TO MEDICARE RECIPIENTS EXCEEDS THE LEVEL OF PAYMENT. ST. JOHN'S EPISCOPAL HOSPITAL BEARS THE BURDEN OF NOT ONLY PROVIDING THE BEST AND MOST ADVANCED MEDICAL CARE POSSIBLE TO THE COMMUNITY, BUT ALSO DOING SO WITH NO RECOURSE TO OBTAIN PAYMENT FOR THE COST OF PROVIDING CARE IN EXCESS OF THE MEDICARE PAYMENT. AS MEDICARE REVENUE DECLINES AND THE COST TO PROVIDE CUTTING EDGE CARE TO THE COMMUNITY INCREASES, THE HOSPITAL WILL CARRY THE BURDEN AS A PARTICIPATING PROVIDER AND A CHARITABLE ORGANIZATION. LIKE ALL PATIENTS THOSE ON MEDICARE, THE MAJORITY OF WHOM ARE ELDERLY OR DISABLED, ARE NOT TURNED AWAY, SO ST. JOHN'S EPISCOPAL HOSPITAL WILL CONTINUE TO BEAR THE LOSS IN PROVIDING THE BEST CARE POSSIBLE TO THE LOCAL COMMUNITY. PART III, LINE 8 - COSTING METHODOLOGY: THE MEDICARE REVENUE AND ALLOWABLE COSTS SHOWN IN PART III SECTION B LINES 5 AND 6, RESPECTIVELY, WERE DERIVED FROM THE AS-FILED 2023 CMS-2552 (MEDICARE COST REPORT). MEDICARE REVENUE IS BASED ON THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT REPORT AND MEDICARE COSTS WERE DEVELOPED UTILIZING A RATIO OF MEDICARE ALLOWABLE COSTS TO CHARGES METHODOLOGY. PART III, LINE 9B: COLLECTION PRACTICES TO BE FOLLOWED RELATIVE TO PATIENTS THAT QUALIFY FOR THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES OF ST. JOHN'S EPISCOPAL HOSPITAL (WHICH ARE FURTHER SUMMARIZED IN SCHEDULE H PART VI LINE 3) ENSURE THAT EVERY EFFORT IS MADE TO IDENTIFY PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE AND/OR CHARITY CARE. INCLUDED BELOW IS A SUMMARY OF THE BILLING AND COLLECTION PROCEDURES FOLLOWED BY ST. JOHN'S EPISCOPAL HOSPITAL: - THE FORCED SALE OF OR FORECLOSURE ON THE PATIENT'S PRIMARY RESIDENCE IS PROHIBITED - SENDING AN ACCOUNT TO COLLECTION IF THE PATIENT HAS SUBMITTED A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE, INCLUDING ANY REQUIRED DOCUMENTATION, WHILE THE APPLICATION IS PENDING IS PROHIBITED - PROVIDE WRITTEN NOTIFICATION TO A PATIENT AT LEAST 30 DAYS BEFORE AN ACCOUNT IS SENT TO COLLECTION (WRITTEN NOTICE CAN BE INCLUDED ON A BILL) - REQUIRE THE COLLECTION AGENCY TO HAVE THE HOSPITAL'S WRITTEN CONSENT PRIOR TO STARTING A LEGAL ACTION FOR COLLECTION - REQUIRE ALL HOSPITAL STAFF THAT INTERACTS WITH PATIENTS OR HAVE RESPONSIBILITY FOR BILLING AND COLLECTION TO BE TRAINED IN THE HOSPITAL'S POLICIES - HAVE A WAY OF MEASURING THE HOSPITAL'S COMPLIANCE WITH ITS POLICIES - REQUIRE ANY COLLECTION AGENCY UNDER CONTRACT WITH THE HOSPITAL TO FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PROVIDE INFORMATION TO PATIENTS ON HOW TO APPLY, WHERE APPROPRIATE - PROHIBIT COLLECTION ACTIVITY IF THE PATIENT IS DETERMINED ELIGIBLE FOR MEDICAID FOR THE SERVICES THAT WERE RENDERED AND THE HOSPITAL IS ABLE TO COLLECT MEDICAID PAYMENT. PART VI, LINE 2 - NEEDS ASSESSMENT: ST. JOHN'S EPISCOPAL HOSPITAL (THE "HOSPITAL"ST. JOHN'S") IS A 257 LICENSED BED ACUTE CARE HOSPITAL LOCATED IN FAR ROCKAWAY, NEW YORK. ST. JOHN'S MEDICAL, P.C. (FORMERLY ST. JOHN'S EMERGENCY SERVICES PC); ST. JOHN'S MEDICAL SERVICES PC, FORM THE PATIENT CARE SERVICES OF EPISCOPAL HEALTH SERVICES, INC., FALL UNDER THE AUSPICES OF THE EPISCOPAL DIOCESE OF LONG ISLAND. THIS DISCUSSION RELATES TO THE HOSPITAL ONLY AS REQUIRED IN FORM 990 SCHEDULE H. AS THE RESULT OF SEVERAL MEETINGS WITH COMMUNITY GROUPS, A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE HOSPITAL COMMUNITY WAS DEVELOPED. THE REPORT FULFILLS THE REQUIREMENTS OF THE NEW FEDERAL STATUTE ESTABLISHED WITHIN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) THE CHNA PROCESS UNDERTAKEN BY THE HOSPITAL UTILIZED EXTENSIVE INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN ADDITION, THIS DOCUMENT SATISFIES THE REQUIREMENTS SET FORTH BY THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH) RELATIVE TO THE PREPARATION OF A COMMUNITY SERVICE PLAN (CSP). THE OVERLAPPING NATURE OF THESE REQUIREMENTS ENABLED THE HOSPITAL TO COMPLETE ONE COMPREHENSIVE DOCUMENT. NEW YORK'S RELEVANT STATUTE, SECTION 2803-1 OF THE PUBLIC HEALTH LAW, REQUIRES VOLUNTARY NON-PROFIT HOSPITALS TO SUBMIT A COMPREHENSIVE CSP TO THE STATE DEPARTMENT OF HEALTH (DOH) THAT INCLUDES A SOLICITATION OF THE VIEWS OF THE COMMUNITIES SERVED BY THE HOSPITAL ON SERVICE PRIORITIES; DEMONSTRATES THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEET COMMUNITY HEALTH NEEDS; PROVISION OF CHARITY CARE; AND IMPROVING ACCESS BY THE UNDERSERVED, AMONG OTHER ELEMENTS. IN SUBMITTING THEIR CSP, HOSPITALS ARE REQUIRED TO TAKE STEPS THAT INCLUDE: - REAFFIRMING ORGANIZATIONAL MISSION STATEMENTS; - DEFINING THE SERVICE AREA USED FOR COMMUNITY AND LOCAL HEALTH PLANNING AND DESCRIBING THE METHODS USED TO DETERMINE SUCH SERVICE AREA; - IDENTIFYING ALL PARTICIPANTS INVOLVED IN ASSESSING COMMUNITY HEALTH NEEDS AND DESCRIBING AND SUMMARIZING THE HOSPITAL'S PUBLIC INPUT SESSIONS; - DISCUSSING THE IDENTIFIED PUBLIC HEALTH PRIORITIES, INCLUDING THE CRITERIA USED TO SELECT PRIORITIES AND THE STATUS OF PRIORITIES; - ESTABLISHING AN EVOLVING PLAN OF ACTION; AND - DISSEMINATING A WRITTEN SUMMARY OF THE CSP TO THE PUBLIC THROUGH VARIOUS CHANNELS. THE STATUTORY CSP REQUIREMENTS WERE RECENTLY ENHANCED BY DOH'S PREVENTION AGENDA INITIATIVE, A PROCESS THAT ASKS HOSPITALS TO WORK WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO ASSESS COMMUNITY HEALTH NEEDS, JOINTLY DEVELOP PLANS TO ADDRESS TWO OR THREE OF THE IDENTIFIED NEEDS, AND INCLUDE THIS COLLABORATIVE WORK IN THE HOSPITAL'S CSP UPDATE SUBMITTED TO DOH. ST. JOHN'S HAS INCORPORATED THE PREVENTION AGENDA INTO ITS COMMUNITY SERVICE PLAN. TO ADVANCE THE GOALS OF THE NEW YORK STATE PREVENTION AGENDA 2020-2023 IN ITS SERVICE AREA, ST. JOHN'S REACHED OUT AND PARTNERED WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS AND OTHER STAKEHOLDERS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DEVELOP PLANS TO ADDRESS THESE NEEDS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ST. JOHN'S HOSPITAL IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR ALL PATIENTS, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITY. ACCORDINGLY, ST. JOHN'S HOSPITAL HAS IMPLEMENTED A CHARITY CARE AND FINANCIAL ASSISTANCE PROCESS TO HELP FACILITATE THE PROVISION OF MUCH NEEDED CARE. THIS PROCESS INCLUDES: - PROVIDING PATIENT CARE REGARDLESS OF THE ABILITY TO PAY FOR SERVICES; - ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE; - FINANCIAL COUNSELORS WILL CONFIDENTIALLY REVIEW THE SITUATION TO SEE IF PATIENTS QUALIFY FOR SOME FORM OF GOVERNMENT OR OTHER FINANCIAL ASSISTANCE; - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH THE BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES RESIDENTS IN THE COMMUNITY NEED; AND - OFFER INSTALLMENT PLANS TO ALLOW PATIENTS TO PAY OVERTIME WITHOUT THE IMPOSITION OF INTEREST CHARGES. PART VI, LINE 4 - COMMUNITY INFORMATION: THE ROCKAWAY PENINSULA IS A NARROW STRIP OF LAND BORDERED BY THE ATLANTIC OCEAN AND JAMAICA BAY AND IS A PART OF QUEENS COUNTY, NEW YORK CITY AND ALSO BORDERS NASSAU COUNTY ON LONG ISLAND. SUPERSTORM SANDY HAD A DEVASTATING IMPACT ON THE ROCKAWAY PENINSULA. MUCH OF THE COMMUNITY WAS WITHOUT GAS AND ELECTRIC FOR WEEKS FOLLOWING THE STORM. HOMES AND BUSINESSES WERE IN RUIN, SOME CLAIMED BY THE SEA, OTHERS BY FIRE, ENTIRE BLOCKS IN BELLE HARBOR AND ROCKAWAY PARK WERE ENGULFED IN FLAMES, A CONSIDERABLE PORTION OF BREEZY POINT LITERALLY BURNED TO THE GROUND. DEBRIS AND SAND WERE EVERYWHERE, INCLUDING THE INSIDE OF HOMES. CARS THAT HAD BEEN FLOODED WERE SCATTERED THROUGHOUT THE STREETS OF THE COMMUNITY. THE REBUILDING HAS BEEN EXTREMELY SLOW BUT AFTER MANY YEARS THE PROCESS IS BEGINNING TO MOVE AND THE COMMUNITY DEMOGRAPHICS IS CHANGING. TRANSPORTATION BETWEEN THE PENINSULA AND THE MAINLAND IS A LONG TIME COMMITMENT FOR RESIDENTS AS THE PENINSULA IS CONNECTED TO NEW YORK CITY BY TWO TOLL BRIDGES, THE MARINE PARK BRIDGE AND THE CROSS BAY BRIDGE, AND BY THE "A" SUBWAY LINE OF THE NEW YORK CITY METROPOLITAN TRANSIT AUTHORITY. ST. JOHN'S HAS SERVED THE COMMUNITY FOR MORE THAN 100 YEARS. AS A NOT-FOR-PROFIT FAITH-BASED INSTITUTION THAT IS DEEPLY AWARE OF THE COMMUNITY'S GEOGRAPHIC ISOLATION AND VULNERABILITIES, IT IS DEEPLY COMMITTED TO CONTINUING TO SERVE THE COMMUNITY WELL INTO THE FUTURE. IT IS ALSO COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY AND CONTINUING TO OFFER AND INCREASE A WIDE RANGE OF SERVICES, AS WELL AS COMMUNITY OUTREACH AND HEALTH EDUCATION. WHILE "COMMUNITY CAN BE DEFINED IN MANY WAYS, THE HOSPITAL DEFINED ITS SERVICE AREA AS THE 5 ZIP CODES FROM WHICH APPROXIMATELY 70% DISCHARGES CAME. BY THIS DETERMINATION, THE HOSPITAL'S SERVICE AREA IS DEFINED AS; INWOOD; FAR ROCKAWAY; ARVERNE; ROCKAWAY BEACH, BELLE HARBOR. THE ROCKAWAY COMMUNITY GREW BY 8% BETWEEN 2010 TO 2020. THE ROCKAWAYS HAD A POPULATION TOTALING OVER 124,185. WITH OVER 30% OF THE SERVICE AREA'S POPULATION UNDER THE AGE OF 18, AND ALMOST 20% OVER THE AGE OF 65. MORE THAN 25% LIVE UNDER THE FEDERAL POVERTY LEVEL, WHILE THE OVERALL QUEENS COUNTY RATE IS JUST BELOW 13%. THE PERCENTAGE OF THE SERVICE AREA POPULATION WHO ARE DEEMED TO BE MINORITIES IS 65.4%. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH: ST. JOHN'S GRANTS PORTFOLIO HAS GROWN EXPONENTIALLY OVER THE PAST FOUR CONSECUTIVE YEARS TO FOCUS ON PROJECTS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE ROCKAWAY COMMUNITY. COVID-19 PLACED A SPOTLIGHT ON HEALTHCARE DISPARITIES AND WE HAVE SINCE WITNESSED AN INCREASE IN GRANTS OFFERED BY THE FEDERAL GOVERNMENT AS WELL AS NEW YORK CITY AND NEW YORK STATE TO ADDRESS THE INEQUALITIES EXISTING IN UNDERSERVED COMMUNITIES. GRANT OPPORTUNITIES HAVE BEEN AMPLIFIED IN THE AREAS OF POPULATION HEALTH, MATERNAL HEALTH AND BEHAVIORAL HEALTH. SOME RFPS HAVE BEEN TRANSMITTED THROUGH FEDERAL BLOCK GRANTS, WHILE OTHERS HAVE BEEN MADE AVAILABLE THROUGH THE HEALTHCARE RESOURCES SERVICES ADMINISTRATION (HRSA) OR THE OFFICE OF MENTAL HEALTH. THESE GRANT FUNDED PROGRAMS ARE A VALUABLE APPROACH TO IMPROVING COMMUNITY HEALTH AND ENHANCING RELATIONSHIPS WITH GOVERNMENT AGENCIES, COMMUNITY-BASED ORGANIZATIONS, ELECTED OFFICIALS AND POTENTIAL PRIVATE FUNDERS. CAPITAL FUNDING IS ALSO EXPANDING THROUGH THE NYC COUNCIL, THE NYS DEPARTMENT OF HEALTH AND CONGRESSIONALLY DIRECTED SPENDING GRANTS FROM THE FEDERAL GOVERNMENT. THESE CAPITAL GRANTS ARE FOCUSED ON IMPROVING EXISTING HEALTHCARE INFRASTRUCTURE AND SUPPORTING OUTPATIENT HEALTHCARE SITES FOCUSED ON INTEGRATING CARE INTO THE BROADER COMMUNITY. THE HOSPITAL HAS RECENTLY ESTABLISHED STRONG FUNDING RELATIONSHIPS WITH SEVERAL PRIVATE FOUNDATIONS IN SUPPORT OF TELE-BEHAVIORAL HEALTH, POPULATION HEALTH THROUGH OUR MOBILE HEALTH UNIT, AS WELL AS THE IDENTIFICATION OF SOCIAL DETERMINANTS OF HEALTH FOR OUR PEDIATRIC PATIENTS. AS OUR COMMUNITY CONTINUES TO RECOVER FROM THE GLOBAL COVID-19 PANDEMIC, EHS WILL PURSUE GRANTS THAT STRENGTHEN AND SUPPORT SUSTAINABLE LONG-TERM GROWTH SUCH AS WORKFORCE DEVELOPMENT, INFORMATION TECHNOLOGY SYSTEM IMPROVEMENTS, FACILITY IMPROVEMENTS AND PROGRAMS THAT SEEK TO FURTHER ELIMINATE EXISTING HEALTHCARE INEQUITIES. IN ADDITION TO THE ABOVE, ST. JOHN'S PLAYS AN IMPORTANT ROLE IN THE LOCAL COMMUNITY AS THE ONLY HOSPITAL ON THE PENINSULA AND IS ALSO THE LARGEST NON-GOVERNMENTAL EMPLOYER IN THE LOCAL COMMUNITY. IN ADDITION TO PROVIDING HIGH QUALITY MEDICAL SERVICES, ST. JOHN'S IS ALSO AN ACTIVE MEMBER OF MANY COMMUNITY AND CIVIC ORGANIZATIONS, PARTICIPATING IN VARIOUS HEALTH FAIRS, SCREENINGS, AND EDUCATIONAL SESSIONS AND EVENTS TO LOCAL RESIDENTS AT NO COST. MANY OF THE VARIOUS PROGRAMS AND INITIATIVES THAT ST. JOHN'S HOSPITAL HAS IDENTIFIED TO DEMONSTRATE OUR COMMITMENT TO FURTHER ITS EXEMPT PURPOSE AND PROMOTE THE HEALTH CARE OF THE LOCAL COMMUNITY HAVE BEEN HIGHLIGHTED PREVIOUSLY IN THIS FORM. RECENTLY IN 2016, TO ENGAGE OUR COMMUNITY BETTER WE REDESIGNED HOW WE RECEIVED FEEDBACK FROM THE COMMUNITY AND CREATED A COMMUNITY PARTNERSHIP ASSOCIATION UNDER THE COMMUNITY PARTNERSHIP ASSOCIATION. WE HAVE ADDED A COMMUNITY ADVISORY COMMITTEE, FAITHBASED ADVISORY COMMITTEE AND A PATIENT AND FAMILY ADVISORY COUNCIL. THESE COMMITTEES MEET WITH HOSPITAL LEADERSHIP QUARTERLY TO DISCUSS AT A HIGH LEVEL THE HEALTH NEEDS OF THE ROCKAWAY COMMUNITY. IN ADDITION, ST.JOHN'S EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR THE VARIOUS SERVICES PROVIDED BY THE HOSPITAL. THE HOSPITAL'S MEDICAL STAFF IS A LARGE DIVERSE GROUP OF HIGHLY TRAINED PROFESSIONALS NUMBERING APPROXIMATELY 460 MEMBERS. OUR OVERALL RESPONSIVENESS TO THE NEEDS OF OUR COMMUNITY IS EVIDENCED BY OUR WILLINGNESS TO PARTICIPATE IN A RANGE OF COALITIONS, PANELS, ADVISORY GROUPS, COMMISSIONS AND BOARDS. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM: AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION NOT APPLICABLE. PART VI, LINE 7 - STATES WHERE COMMUNITY BENEFIT REPORT IS FILED: NEW YORK. true Patient Transportation 2365 540605 SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES TRANSPORTATION SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. THE PATIENT'S INSURANCE STATUS IS DETERMINED UPON ADMISSION. WHEN A PATIENT REQUIRES TRANSPORTATION UPON DISCHARGE AND THEY DO NOT HAVE INSURANCE TO COVER THE COST OF THE TRANSPORTATION, THE TRANSPORTATION COMPANY IS INSTRUCTED TO DIRECTLY INVOICE THE ORGANIZATION FOR THESE COSTS. X X X true false false false false false false false false GERARD M WALSH CHIEF EXECUTIVE OFFICER 1186500 0 200000 0 15282 0 86700 0 40824 0 1529306 0 0 0 CHRISTOPHER J PARKER EVP,COO&ACTING CNO(thru 7/23) 472661 0 187500 0 270558 0 50022 0 41984 0 1022725 0 0 0 STEVEN J GUIDO CHIEF FINANCIAL OFFICER 562523 0 152475 0 9390 0 86700 0 65327 0 876415 0 0 0 DONALD MORRISH CHIEF MEDICAL OFFICER 533769 0 139294 0 2322 0 43000 0 65327 0 783712 0 0 0 JAMES HENRY THRU 723 CHIEF OF ORTHOPEDICS 272104 0 0 0 129847 0 43500 0 981 0 446432 0 0 0 SHELDON MARKOWITZ CHAIR OF SURGERY 344435 0 2679 0 2472 0 34000 0 59796 0 443382 0 0 0 HERMELINA ZABALA THRU 823 SVP, PATIENT CARE SVCS & CNO 274610 0 54075 0 90355 0 44769 0 21741 0 485550 0 0 0 JOHN ROCCO VP, OPERATIONS 263232 0 0 0 1980 0 44511 0 49197 0 358920 0 0 0 ANDREW CHAN AS OF 0123 CHIEF INFORMATION OFFICER & VP 249642 0 0 0 690 0 45807 0 22232 0 318371 0 0 0 SHARIKA A GORDON VP, HUMAN RESOURCES & CHRO 305784 0 50558 0 690 0 19050 0 65327 0 441409 0 0 0 ROSEMARY BONILLA VP, MEDICAL GROUP (THRU 11/23) 234691 0 0 0 23463 0 44976 0 40749 0 343879 0 0 0 RENEE J MOTES PRESIDENT, ICARE FOUNDATION 260456 0 23250 0 300 0 21900 0 58303 0 364209 0 0 0 BERTRAND BATISTA SECRETARY, ICARE FOUNDATION 248328 0 0 0 690 0 31000 0 63940 0 343958 0 0 0 TERRI COYLE FAMULARO VP, PSYCHIATRY (THRU 10/23) 225332 0 0 0 22205 0 36750 0 550 0 284837 0 0 0 MIKE P LUYCKX VICE PRESIDENT, CLINICAL SVCS 233898 0 0 0 1980 0 41998 0 2294 0 280170 0 0 0 NANCY CATHERINE LEGHART EXECUTIVE DIR ICARE FOUNDATION 176983 0 0 0 3810 0 38228 0 23300 0 242321 0 0 0 LAWRENCE C PROVENZANO PRESIDENT & CHAIR 150000 0 5928 0 0 0 0 0 0 0 155928 0 0 0 SHELDON GENACK PHYSICIAN 659500 0 0 0 1980 0 39500 0 42824 0 743804 0 0 0 GEORGE MANIS PHYSICIAN 506051 0 14727 0 690 0 42100 0 40824 0 604392 0 0 0 TESSY PETER PHYSICIAN 455193 0 29800 0 1980 0 36744 0 42131 0 565848 0 0 0 JERRY WATMAN PHYSICIAN 335236 0 120903 0 3581 0 13500 0 40224 0 513444 0 0 0 PIOTR SLOWIK PHYSICIAN 226527 0 209880 0 1032 0 43500 0 65977 0 546916 0 0 0 KAREN PAIGE SVP, CQO AND CNO (AS OF 08/23) 298257 0 28875 0 690 0 25504 0 42974 0 396300 0 0 0 SCHEDULE J, PART I, LINE 4A: The following individuals received severance payments during the year which were included in Sch J, Part II, Column (B)(iii): Christopher Parker: $264,423. Hermelina Zabala : $89,015. Rosemary Bonilla : $21,622. FORM 990, PART VI, SECTION A, LINE 8B: THERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS COMPLETED BY THE ACCOUNTING AND FINANCE STAFF OF THE ORGANIZATION AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN REVIEWED BY OUTSIDE TAX ADVISORS AND ANY NECESSARY ADJUSTMENTS ARE MADE, AFTER WHICH TIME IT IS CONSIDERED AN INITIAL DRAFT. THE DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE EPISCOPAL HEALTH SERVICES AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES (THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED REVIEW FUNCTION BY THE BOARD. ONCE THE COMMITTEE'S REVIEW IS COMPLETE THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C: THE CORPORATE COMPLIANCE AND PRIVACY OFFICE DISTRIBUTES, GATHERS AND REVIEWS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES. WHERE POSITIVE RESPONSES ARE INDICATED ADDITIONAL INFORMATION IS GATHERED TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, APPROPRIATE ACTION IS TAKEN TO ELIMINATE THE CONFLICT, INCLUDING SUCH STEPS AS NOTIFYING THE BOARD, REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE AGREEMENTS. IF A MATTER INVOLVES A BOARD MEMBER OR OFFICER, APPROPRIATE ACTION, INCLUDING RECUSAL AND ADDITIONAL DISCLOSURES, WILL BE DETERMINED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A: THE COMPENSATION REVIEW & APPROVAL PROCESS FOR THE CHIEF EXECUTIVE OFFICER INCLUDES A COMPARISON OF COMPENSATION RATES PAID THAT ARE COMPARED TO COMPARABLE POSITIONS IN THE NORTHEAST AND GREATER NEW YORK REGION. THE COMPENSATION COMMITTEE REVIEWS PUBLISHED EXTERNAL SALARY SURVEYS TO RECOMMEND COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER. COMPENSATION IS EVALUATED AGAINST HOSPITALS WITH SIMILAR BED SIZE, FULL-TIME EQUIVALENTS AND REVENUE SIZE. COMPENSATION IS REVIEWED AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15B: THE COMPENSATION OF KEY EMPLOYEES IS DETERMINED AND/OR APPROVED AFTER COMPARISON TO CURRENT COMPENSATION RATES PAID FOR COMPARABLE POSITIONS IN THE ORGANIZATION'S REGION. COMMITTEE DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN COMMITTEE MINUTES. FORM 990, PART VI, SECTION B, LINE 19: UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY ....................$131,331. FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY HELP TOTAL FEES:33466320 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:18259419 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:9670887 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:3405130 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:2821021 ST JOHN'S MEDICAL SERVICE PC 377 OAK STREET SUITE 300 garden city NY 11530 542164621 MEDICAL SVCS NY 501(C)(3) LINE 12A EHS inc true ST JOHN'S EPISCOPAL HOLDINGS CORP 377 Oak Street Suite 300 Garden City NY 11530 853898584 HOLDING CO. 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