4A (Expenses $ 544023575 including grants of $ 22524) (Revenue $ 587859012)
BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP IS COMPOSED OF THREE ACUTE CARE HOSPITALS, A PRIMARY AND SPECIALTY MEDICAL CARE PRACTICE AND TWO LONG-TERM CARE AND RESIDENTIAL FACILITIES: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY; BON SECOURS COMMUNITY HOSPITAL; ST. ANTHONY COMMUNITY HOSPITAL; BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, PC; ST. FRANCIS CENTER AT THE KNOLLS (DBA MOUNT ALVERNO CENTER); AND VILLAS FRANCIS AT THE KNOLLS (DBA SCHERVIER PAVILION). GOOD SAMARITAN HOSPITAL (GSH) OPERATES A 286-BED HOSPITAL LOCATED IN SUFFERN, NEW YORK THAT PROVIDES EMERGENCY, MEDICAL, SURGICAL, OBSTETRICAL/GYNECOLOGICAL AND ACUTE CARE SERVICES TO ROCKLAND AND ORANGE COUNTIES, NEW YORK AND NORTHERN BERGEN COUNTY, NEW JERSEY. GSH HAS A DESIGNATED STROKE CENTER AND ACUTE MYOCARDIAL INFARCTION (AMI) PROGRAM, AND A REGIONAL CARDIOVASCULAR PROGRAM, PROVIDING OPEN HEART SURGERY, A CARDIAC CATHETERIZATION LABORATORY, EMERGENCY ANGIOPLASTY, ELECTROPHYSIOLOGY STUDIES AND A PACEMAKER CLINIC. GSH IS THE ONLY FACILITY IN THE REGION WITH AN ANGIOGRAPHY SUITE TO TREAT VASCULAR DISEASE WITH NEW 3D DIAGNOSTIC EQUIPMENT WHICH PROVIDES IMAGE GUIDED THERAPY TO EVALUTE ARTERIES AND VEINS TO IDENTIFY BLOCKAGES MORE PRECISELY. GSH HAS BEEN NAMED ONE OF HEALTH GRADES AMERICA'S 100 BEST HOSPITAL'S FOR CORONARY INTERVENTION FOR 4 YEARS IN A ROW (2018-2021). ALONG WITH THE CORONARY INTERVENTION EXCELLENCE AWARD FROM HEALTHGRADES, GSH HAS RECEIVED MANY AWARDS AND IN 2014 WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS. GSH OFFERS A COMPREHENSIVE WOMEN'S BREAST CENTER, WOUND AND HYPERBARIC CENTER, SLEEP STUDY CENTER AND MATERNAL/CHILD SERVICES, INCLUDING A LEVEL II NEONATAL INTENSIVE CARE UNIT SUPPORTED BY PEDIATRIC SUBSPECIALISTS FROM WESTCHESTER MEDICAL CENTER (WMC). THE WOMEN'S BREAST CENTER AT GSH IS THE ONLY FACILITY IN THE AREA THAT OFFERS A HIGH RISK SCREENING PROGRAM TO IDENTIFY WOMEN WHO MEET CRITERIA FOR HIGH RISK, DURING THEIR ROUTINE SCREENINGS. GSH'S SURGICAL WEIGHT LOSS INSTITUTE PROVIDES PRE-OPERATIVE, SURGICAL CARE AND OUTPATIENT POST-OPERATIVE BARIATRIC SUPPORT. GSH ALSO PROVIDES KIDNEY DIALYSIS, PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES AND A RANGE OF SOCIAL SUPPORT SERVICES, EDUCATION AND POPULATION HEALTH SERVICES. THE OB EMERGENCY DEPARTMENT IN COLLABORATION WITH THE OB HOSPITALIST PROGRAM PROVIDES EMERGENCY OBSTETRICAL SERVICES IN THE OB EMERGENCY DEPARTMENT. THE OB-GYN DEPARTMENT RECEIVED THE HEALTHGRADES FIVE STAR AWARD FOR VAGINAL DELIVERY FOR THE 6 CONSECUTIVE YEARS (2015-2020) BY HEALTHGRADES, AS WELL AS THE OBSTETRICS AND GYNECOLOGY EXCELLENCE AWARD FOR 2 CONSECUTIVE YEARS (2019-2020). THE CAMPUS ALSO INCLUDES A MEDICAL OFFICE BUILDING HOUSING A STATE-OF-THE-ART AMBULATORY SURGERY CENTER, WHICH INCLUDES PRIMARY CARE AND SPECIALTY PHYSICIANS. GSH'S CERTIFIED HOME CARE AGENCY PROVIDES HOME HEALTH SERVICES TO THE RESIDENTS OF ROCKLAND AND ORANGE COUNTIES, NEW YORK. THIS PROGRAM IS FOR PATIENTS WHO HAVE ACUTE NEEDS AND REQUIRE HOME CARE FOR A RELATIVELY SHORT PERIOD OF TIME AND WILL BE DISCHARGED WHEN THEY ARE STABILIZED OR RETURNED TO A PRE-ILLNESS LEVEL OF FUNCTIONING. ADDITIONAL SERVICES INCLUDE WOUND AND OSTOMY ASSESSMENTS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL SOCIAL WORK, NUTRITION AND HOME HEALTH AIDES. THE HOME HEALTH AGENCY IS CERTIFIED FOR EXPANSION INTO MANHATTAN AND WESTCHESTER COUNTY, NEW YORK. BON SECOURS COMMUNITY HOSPITAL (BSCH) OPERATES A 122-BED ACUTE CARE HOSPITAL LOCATED IN PORT JERVIS, NEW YORK THAT PROVIDES COMMUNITY-BASED CARE TO RESIDENTS IN THE PORT JERVIS, NEW YORK AND SURROUNDING AREAS (ORANGE AND SULLIVAN COUNTIES IN NEW YORK, SUSSEX COUNTY IN NEW JERSEY AND PIKE COUNTY IN PENNSYLVANIA). BSCH PROVIDES EMERGENCY CARE, LABORATORY AND IMAGING SERVICES, MEDICAL AND SURGICAL SERVICES, INTENSIVE CARE UNIT, INPATIENT DIALYSIS, CARDIOPULMONARY CARE, INFUSION THERAPY OUTPATIENT WOUND CARE, AND A DIABETES PROGRAMS. BSCH ALSO OFFERS INPATIENT PSYCHIATRIC SERVICES AND A CHEMICAL DEPENDENCY PROGRAM. A MEDICAL OFFICE BUILDING WITH PRIMARY CARE AND DIAGNOSTIC SERVICES IS LOCATED ACROSS THE STREET FROM BSCH. BSCH ALSO OFFERS A WIDE RANGE OF HEALTH EDUCATION AND POPULATION HEALTH SUPPORT SERVICES FOR THE COMMUNITY. ST. JOSEPH'S PLACE IS A 46-BED NURSING CARE CENTER LOCATED ON THE FIRST FLOOR OF BSCH THAT PROVIDES 24-HOUR NURSING CARE, LONG- AND SHORT-TERM REHABILITATION, TRACHEOTOMY CARE, HEAD TRAUMA CARE, RESPIRATORY CARE AND PSYCHOLOGICAL SERVICES. ST. ANTHONY COMMUNITY HOSPITAL (SACH) OPERATES A 60-BED HOSPITAL THAT IS LOCATED IN WARWICK, NEW YORK SERVING THE RESIDENTS OF ORANGE COUNTY, NEW YORK, AND SUSSEX AND PASSAIC COUNTIES, NEW JERSEY. SACH PROVIDES EMERGENCY CARE, MEDICAL AND SURGICAL SERVICES, LABORATORY AND IMAGING SERVICES, OBSTETRICAL, GYNECOLOGICAL AND ORTHOPEDICS. THE SACH AMBULATORY SERVICES CENTER PROVIDES VARIOUS CONVENIENT SERVICES, INCLUDING ADMITTING, PRE-ADMISSION SCREENING, ENDOSCOPY, MINOR SURGERY AND SAME-DAY SURGERY. AN INFUSION CENTER PROVIDES LONG-TERM INTRAVENOUS ANTIBIOTICS, BLOOD TRANSFUSIONS, IRON THERAPY, CHEMOTHERAPY AND LONG-TERM CATHETER INSERTION AND MAINTENANCE. SACH EDUCATION AND OUTREACH SERVICES INCLUDE A DIABETES EDUCATION PROGRAM AND POPULATION HEALTH IMPROVEMENT PROGRAMS. BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, PC (MEDPC) PROVIDES MEDICAL SERVICES TO SUFFERN, NEW YORK AND SURROUNDING COMMUNITIES. THEIR SERVICES INCLUDE PRIMARY CARE AND VARIOUS SPECIALTY PROFESSIONAL SERVICES. THE ORGANIZATION SEEKS TO LOCATE ITS PHYSICIAN PRACTICE SITES IN AREAS THAT MOST EFFECTIVELY MEET THE NEEDS OF THE COMMUNITY. VILLA FRANCIS AT THE KNOLLS, INC. D/B/A SCHERVIER PAVILION (SCHERVIER) IS A 122-BED, SKILLED NURSING FACILITY LOCATED IN WARWICK, NEW YORK. SCHERVIER PROVIDES THERAPEUTIC AND SOCIAL ACTIVITIES DESIGNED TO ENHANCE THE PHYSICAL AND MENTAL CAPABILITIES TO HELP RESIDENTS MAINTAIN AND OPTIMIZE THEIR LEVEL OF DAILY INDEPENDENCE. SCHERVIER IS PART OF THE 27-ACRE WARWICK CAMPUS THAT INCLUDES MOUNT ALVERNO CENTER AND SACH. LOCATED IN SCHERVIER IS A FULL-SERVICE ADULT DAY CARE PROGRAM KNOWN AS DAY-AT-A-TIME. IT PROVIDES HEALTH CARE, RECREATIONAL AND THERAPEUTIC ACTIVITIES FROM TWO TO FIVE DAYS PER WEEK FOR THE COGNITIVELY IMPAIRED AND PHYSICALLY FRAIL. THE PROGRAM PROVIDES AN ALTERNATIVE TO NURSING HOME PLACEMENT AND HOME HEALTH CARE. ST. FRANCIS CENTER AT THE KNOLLS, INC. D/B/A MOUNT AVERNO CENTER (MOUNT ALVERNO) IS AN ADULT HOME LOCATED ON THE SACH CAMPUS WITH AN ASSISTED LIVING PROGRAM SERVING 85 RESIDENTS BY PROVIDING INDIVIDUALIZED CARE PLANS DESIGNED TO HELP RESIDENTS REACH AND MAINTAIN A MAXIMUM LEVEL OF INDEPENDENCE.

Part V, section B
FACILITY REPORTING GROUP A CONSISTS OF: FACILITY 1: ST. ANTHONY COMMUNITY HOSPITAL (SACH) FACILITY 2: BON SECOURS COMMUNITY HOSPITAL (BSCH) FACILITY 3: GOOD SAMARITAN HOSPITAL OF SUFFERN, NY (GSH)

Part V, Line 5
Bon Secours Charity Health System (BSCHS) was part of a large collaborative comprised of 17 hospitals and 7 local health departments from the lower Hudson Valley area in New York that directed a comprehensive 7-County Community Health Assessment. The BSCHS Community Engagement Director participated in this collaborative. BSCHS paid $25,000 for its share of the cost of the assessment. The 7-County collaborative hired the research team at Siena College who began the assessment process in November 2017 which continued through 2019. They conducted a random sample community health survey which resulted in the Mid-Hudson Region Community Health Assessment 2019-2021 (CHNA). The survey was designed to collect information around several priorities identified by the New York State Department of Health's Prevention Agenda 2019-2024 and to inform future health improvement efforts within the 7-County area. Survey data collection, analysis, and charting were provided by the team from Siena College Research Institute (SCRI). SCRI administered a random digit dial survey by phone which took place between April and September of 2018, utilizing both landline and mobile phone numbers to reach respondents. Results were then weighted by gender, age, race, and region according to the U.S. Census 2010. THE REGIONAL COMMUNITY HEALTH ASSESSMENT SURVEY COLLECTED RESPONSES FROM 5,372 RESIDENTS OF THE MID-HUDSON REGION. THIS SURVEY WAS CONDUCTED BY RANDOM DIGIT DIAL IN ORDER TO GAUGE THE PERCEPTION OF RESIDENTS SURROUNDING HEALTH AND RESOURCES IN THEIR COMMUNITIES. TO FURTHER SUPPLEMENT THE DATA COLLECTED, MEMBERS OF THE REGIONAL COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE HELD 12 FOCUS GROUPS WITH SERVICE PROVIDERS TO UNDERSTAND THE NEEDS OF SPECIFIC COMMUNITIES AND UNDERREPRESENTED POPULATIONS, AND THE BARRIERS THEY FACE TO ACHIEVING OPTIMAL HEALTH. Prior to holding the focus groups, a Stakeholder Interview Form was sent to providers to supply additional insight on local factors influencing community health. This survey covered several topics, including the populations served; issues affecting health in the communities; health barriers; and interventions used to address social determinants of health. Throughout the seven counties, 285 surveys were completed by service providers. The responses varied throughout each county, and the differences were addressed in the focus groups. The data from the CHNA, Stakeholder Interview forms, and focus groups, along with Behavioral Risk Factor Surveillance System (BRFSS) data, was presented to audiences in both Rockland and Orange counties. The Rockland County Community Health Forum was held in June of 2019 and 60 local health/human services providers and Community Based Organizations (CBOs) assisted in the selection of Rockland County's community health focus areas. The Orange County Community Health Priority Selection Summit was also held in June of 2019 where more than 100 participants assisted with the selection of Orange County's community health focus areas. IN 2021, THE WORK OUTLINED IN THE IMPLEMENTATION PLANS FOR THE 2019 - 2021 CHNAS FOR GOOD SAMARITAN HOSPITAL, ST. ANTHONY COMMUNITY HOSPITAL, AND BON SECOURS COMMUNITY HOSPITAL CONTINUED TO MOVE FORWARD. STAFF AT ALL 3 HOSPITALS CONTINUED THE CANCER SCREENING PROGRAMS. IN ADDITION, GOOD SAMARITAN HOSPITAL MOVED FORWARD WITH THE SUBSTANCE ABUSE PREVENTION AND TREATMENT, ST. ANTHONY COMMUNITY HOOSPITAL WORKED ON FOOD INSECURITY SCREENING AND REFERRALS, BON SECOURS COMMUNITY HOSPITAL CONTINUED TOBACCO CESSATION EDUCATION, AND BOTH ST. ANTHONY COMMUNITY AND BON SECOURS COMMUNITY HOSPITALS CONTINUED SCREENINGS FOR SEXUALLY TRANSMITTED INFECTIONS.

Part V, Line 6a
The following hospitals within Bon Secours Charity Health System conducted a joint Community Health Needs Assessment (CHNA): Good Samaritan Hospital of Suffern, NY (GSH); St. Anthony Community Hospital (SACH); Bon Secours Community Hospital (BSCH).

Part V, Line 7
THE CHNA'S ARE WIDELY AVAILABLE TO THE PUBLIC. THE CHNA'S ARE EASILY ACCESSIBLE ON THE BSCHS WEBSITE: https://www.bonsecours.com/about-us/community-commitment/community-health- needs-assessment PART V, LINE 7D THE CHNA FOR EACH HOSPITAL WAS DISTRIBUTED AT VARIOUS COMMUNITY EVENTS. COPIES WERE PROVIDED TO VARIOUS COMMUNITY MEMBERS AND GROUPS. ADDITIONALLY, THE CHNA'S AND THE NEW YORK STATE COMMUNITY SERVICE PLANS ARE POSTED ON THE BSCHS WEBSITE. PART V, LINE 10 THE BSCHS IMPLEMENTATION STRATEGY PLAN WAS ADOPTED IN 2019 AND IS POSTED ON THE WEBSITE: https://www.bonsecours.com/about-us/community-commitment/community-health- needs-assessment

Part V, Line 11
THE BON SECOURS CHARITY HEALTH SYSTEM'S INDIVIDUAL HOSPITAL 2019 - 2021 CHNA IMPLEMENTATION PLANS WERE DEVELOPED BY USING EVIDENCE BASED INTERVENTIONS, AS RECOMMENDED BY THE NYS PREVENTION AGENDA 2019 - 2024. THE OVERARCHING STRATEGY OF THE NYS PREVENTION AGENDA IS TO IMPLEMENT PUBLIC HEALTH APPROACHES THAT IMPROVE THE HEALTH AND WELL-BEING OF ENTIRE POPULATIONS AND ACHIEVE HEALTH EQUITY. THIS STRATEGY INCLUDES AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTH, DEFINED BY HEALTHY PEOPLE 2020, AS THE CONDITIONS IN THE ENVIRONMENT IN WHICH PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS. THE PREVENTION AGENDA ALSO FORMS THE IMPORTANT FRAMEWORK THROUGH WHICH COMMUNITY HEALTH NEEDS ARE PRIORITIZED. THE PREVENTION AGENDA'S FIVE PRIORITY AREAS SERVE AS THE BLUEPRINT FOR STATE AND LOCAL ACTION TO IMPROVE THE HEALTH OF NEW YORKERS. AS PER THE NYSDOH REQUIREMENTS, EACH HOSPITAL MUST CHOOSE A MINIMUM OF TWO HEALTH GOALS TO ADDRESS FROM AMONG THE FOLLOWING FIVE PRIORITY AREAS: . PREVENT CHRONIC DISEASES . PROMOTE A HEALTHY AND SAFE ENVIRONMENT . PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN . PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS . PREVENT COMMUNICABLE DISEASES IN PARTNERSHIP WITH THE ROCKLAND COUNTY HEALTH DEPARTMENT, ROCKLAND COUNTY HOSPITALS, HEALTH AND HUMAN SERVICE AGENCIES, GOOD SAMARITAN HOSPITAL HAS CHOSEN THE FOLLOWING PREVENTION AGENDA GOALS TO WORK TOWARDS OVER THE NEXT THREE YEARS: 1. INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCERS 2. PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS IN PARTNERSHIP WITH THE ORANGE COUNTY HEALTH DEPARTMENT, ORANGE COUNTY HOSPITALS, AND HEALTH AND HUMAN SERVICE AGENCIES, BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL HAVE CHOSEN THE FOLLOWING PREVENTION AGENDA GOALS TO WORK TOWARDS OVER THE NEXT THREE YEARS: 1. PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS BY YOUTH AND YOUNG ADULTS 2. PROMOTE TOBACCO USE CESSATION 3. INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCERS 4. REDUCE THE ANNUAL RATE OF GROWTH FOR SEXUALLY TRANSMITTED INFECTIONS 5. INCREASE FOOD SECURITY ALL THREE HOSPITALS WITHIN THE BON SECOURS CHARITY HEALTH SYSTEM HAVE CHOSEN TO INCREASE CANCER SCREENING RATES AS ONE OF OUR COMMUNITY HEALTH GOALS. TO ACHIEVE THIS, EMPLOYEE TEAMS HAVE CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. CONDUCT COMMUNITY EDUCATION SESSIONS ON THE NEED FOR CANCER SCREENINGS AT LOCAL LIBRARIES, SENIOR CENTERS, AND COMMUNITY EVENTS 2. DEVELOP A CONSISTENT MESSAGE ACROSS ALL ENTITIES TO INCREASE CANCER SCREENINGS, ESPECIALLY DURING AWARENESS MONTHS FOR BREAST, CERVICAL AND COLORECTAL CANCERS 3. EVALUATE HOW PATIENTS HAVE FOUND CANCER SCREENINGS THROUGH SURVEYS (I.E. NEWSPAPER, MAILINGS, FLYERS, WORD OF MOUTH, SOCIAL MEDIA OR OTHER) TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS, GOOD SAMARITAN HOSPITAL HAS CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. DEVELOP INTERNAL POLICIES/PROCEDURES FOR INITIATION OF BUPRENORPHINE ADMINISTRATION IN EMERGENCY DEPARTMENT (ED) 2. DEVELOP CONTRACTS WITH PEER SERVICES FOR WARM HAND OFF FOR CONTINUED CARE 3. DEVELOP INTERNAL POLICIES/PROCEDURES FOR DISTRIBUTION OF NALOXONE KITS IN ED BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL HAVE BOTH CHOSEN TO REDUCE THE ANNUAL RATE OF GROWTH FOR SEXUALLY TRANSMITTED INFECTIONS (STI) AS ONE COMMUNITY HEALTH GOAL. TO ACHIEVE THIS, BOTH HOSPITALS WILL IMPLEMENT THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. PARTNER WITH LOCAL HEALTH DEPARTMENT TO EDUCATE EMERGENCY DEPARTMENT PHYSICIANS AND OTHER CLINICAL STAFF ON THE IMPORTANCE OF SCREENING AND TESTING FOR STI 2. INCREASE CLINICALLY APPROPRIATE STI SCREENING, TESTING, AND TREATMENT FOR PATIENTS IN EMERGENCY DEPARTMENT TO PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS BY YOUTH AND YOUNG ADULTS, AND TO PROMOTE TOBACCO USE CESSATION, BON SECOURS COMMUNITY HOSPITAL HAS CHOSEN THE FOLLOWING EVIDENCE-BASED INTERVENTIONS: 1. CREATE A MEDIA CAMPAIGN INCLUDING POSTERS AND ADVERTISEMENTS ABOUT THE DANGERS OF TOBACCO USE AND VAPING 2. PROVIDE COMMUNITY PRESENTATIONS ON THE EFFECTS OF SMOKING AND VAPING TO HIGH SCHOOL AGE STUDENTS 3. EDUCATE THE COMMUNITY ABOUT MEDICAID BENEFITS TO ASSIST WITH SMOKING CESSATION 4. HOST FREEDOM FROM SMOKING CLASSES ST. ANTHONY COMMUNITY HOSPITAL WILL WORK TOWARDS INCREASING FOOD SECURITY BY IMPLEMENTING THESE EVIDENCE-BASED INTERVENTIONS: 1. DEVELOP STANDARDIZED DEFINITION AND SCREENING QUESTIONS TO IDENTIFY FOOD INSECURITY FOR ALL INPATIENTS 2. CREATE INTERNAL PROCESS FOR ACTIVE CONNECTION OF FOOD TO INSECURE PATIENTS TO GOVERNMENT-ASSISTED FOOD SOURCES, I.E. WIC AND SNAP GOOD SAMARITAN HOSPITAL, BON SECOURS COMMUNITY HOSPITAL, AND ST. ANTHONY COMMUNITY HOSPITAL HAVE CHOSEN SPECIFIC PREVENTION AGENDA GOALS BASED ON OUR INTERNAL RESOURCES, EXPERTISE, AND THE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY MEMBERS. WITH RESPECT TO THE PREVENTION AGENDA GOALS THAT OUR HOSPITALS HAVE NOT SPECIFICALLY CHOSEN TO ADDRESS, WE WILL SUPPORT THE EFFORTS OF COMMUNITY ORGANIZATIONS THAT ARE UNIQUELY QUALIFIED TO MEET VARIOUS AND SPECIFIC HEALTH GOALS. GOOD SAMARITAN HOSPITAL IS LOCATED IN ROCKLAND COUNTY, NY AND BOTH BON SECOURS COMMUNITY HOSPITAL AND ST. ANTHONY COMMUNITY HOSPITAL ARE LOCATED IN ORANGE COUNTY, NY. BOTH COUNTIES HAVE EXTENSIVE NETWORKS OF HEALTH AND HUMAN SERVICE AGENCIES AND COMMUNITY BASED ORGANIZATIONS. WITHIN ROCKLAND AND ORANGE COUNTIES, THERE ARE EIGHT HOSPITALS, HUNDREDS OF MEDICAL PROVIDERS, SEVERAL TWO-YEAR AND FOUR-YEAR COLLEGES, A MEDICAL SCHOOL, AND SEVERAL LARGE FEDERALLY QUALIFIED HEALTH CENTERS. THE FOLLOWING AGENCIES AND COALITIONS ARE UNIQUELY POSITIONED TO SERVE AS COMMUNITY RESOURCES TO MEET BOTH SPECIFIC AND DIVERSE COMMUNITY NEEDS: ACCESS SUPPORTS FOR LIVING, ACTION TOWARD INDEPENDENCE, ALCOHOLISM & DRUG ABUSE COUNCIL, THE ARC OF ORANGE COUNTY AND ROCKLAND COUNTY, BIKUR CHOLIM, CATHOLIC CHARITIES, CENTER FOR SAFETY AND CHANGE, COMMUNITY COLLABORATIVES IN WESTERN RAMAPO, SPRING VALLEY, HAVERSTRAW AND NYACK, CORNERSTONE FAMILY HEALTHCARE, DISPUTE RESOLUTION CENTER, EPILEPSY SOCIETY OF SOUTHERN NEW YORK, EZRAS CHOILIM HEALTH CENTER, FARMWORKERS COMMUNITY CORP., HACSO COMMUNITY CENTER, HIGHLAND REHABILITATION AND NURSING CENTER, HUDSON RIVER HEALTHCARE, HUDSON VALLEY PERINATAL NETWORK, IMMIGRATION COALITION OF ROCKLAND, INDEPENDENT LIVING, INC., INSPIRE, JAWONIO, JEWISH FAMILY SERVICES, KONBIT NEG LAKAY, LEGAL SERVICES OF THE HUDSON VALLEY, MATERNAL-INFANT SERVICES NETWORK, MENTAL HEALTH ASSOCIATION OF ORANGE AND ROCKLAND, NAMI ORANGE AND ROCKLAND, ORANGE COUNTY AND ROCKLAND COUNTY DEPARTMENTS OF HEALTH AND MENTAL HEALTH, PEOPLE TO PEOPLE, POW'R AGAINST TOBACCO, RECAP, INC., REFUAH HEALTH CENTER, REHABILITATION SUPPORT SERVICES, INC., RESTORATIVE MANAGEMENT CORP., ROCKLAND PRIDE CENTER, SAFE HARBORS OF THE HUDSON, INC., SAFE HOMES OF ORANGE COUNTY, UNITED WAY OF ROCKLAND, UNITED WAY OF THE DUTCHESS-ORANGE REGION, AND VCS, INC.

Part V, Line 13h
Patients above the 500% Federal Poverty Guidelines are eligible for the lower of the 60% discount on total charges or the Medicare FFS rate, after they have paid the required out of pocket expense of 20% of family income. Part V, Line 15e BSCHS provides financial assistance outreach services to all patients who do not have insurance. The service provider explains the options for federal and state financial assistance and provides assistance in filling out all required applications, including an application for Charity Care. The service provider reaches out to all patients who do not have insurance, either by meeting with patients who are still at the Hospital OR reaching out to those discharged. contact information is also provided on the FINANCIAL ASSISTANCE POLICY summary and on our Charity Care application for patient convenience.

Part V, Lines 16a, 16b AND 16C
The financial assistance policy (FAP), FAP application and plain language summary can be found at the following websites: http://bschs.bonsecours.com/bsch/billing-insurance-and-financial-assistanc e.aspx http://bschs.bonsecours.com/gsh/billing-insurance-and-financial-assistance .aspx http://bschs.bonsecours.com/sach/billing-insurance-and-financial-assistanc e.aspx

Part V, Line 16J
In addition to the methods reported on lines 16a through 16i, brochures are available at the time of registration, and onsite counselors and hospital paid eligibility vendor staff are available to assist patients. All billing statements also include information regarding the FAP and the eligibility vendor contacts all uninsured patients to determine the patient's eligibility for all Federal and State financial assistance programs including Charity Care.

PART I, LINE 7A
"CHARITY CARE AT COST IS COMPUTED BY APPLYING THE COST-TO-CHARGE RATIO TO THE AGGREGATE CHARITY ADJUSTMENTS. PART I, LINE 7B UNREIMBURSED MEDICAID IS COMPUTED BY DETERMINING THE COST OF MEDICAID SERVICES LESS PAYMENTS RECEIVED FOR THESE SERVICES. TO DETERMINE THE COST OF MEDICAID SERVICES PROVIDED, A COST-TO-CHARGE RATIO IS APPLIED TO TRADITIONAL AND MANAGED MEDICAID GROSS CHARGES. PAYMENTS INCLUDE PAYMENTS FOR INDIVIDUAL CLAIMS, PAYMENTS FROM THE MEDICAID PROGRAM PAID OUTSIDE THE CLAIM PROCESS (SUCH AS MEDICAL EDUCATION PAYMENTS) AND EXPECTED OR ACTUAL COST REPORT SETTLEMENTS. PART I, LINE 7C UNREIMBURSED COSTS FROM OTHER MEANS-TESTED GOVERNMENT PROGRAMS ARE COMPUTED BY APPLYING A COST-TO-CHARGE RATIO TO THE TOTAL CHARGES TO PATIENTS COVERED UNDER THESE PROGRAMS. THE CHARGES ARE IDENTIFIED BY THE FINANCIAL CLASS ASSIGNED TO THE PATIENT. PART I, LINE 7 A-C COMPUTATIONS THE COST-TO-CHARGE RATIO IS DERIVED USING THE SUGGESTED COMPUTATION IN WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OPERATING EXPENSES AND GROSS PATIENT CHARGES ARE TAKEN FROM THE GENERAL LEDGER, EXPENSES FOR NONPATIENT CARE ACTIVITIES RECORDED IN OPERATING EXPENSES ARE APPROXIMATED AS DIRECTLY EQUALING OTHER OPERATING REVENUE. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ARE ACCUMULATED THROUGHOUT THE YEAR AND REPORTED AT ACTUAL COST IN A SOFTWARE PROGRAM THAT SPECIFICALLY ADDRESSES THIS PURPOSE. AS A RESULT OF THE COVID-19 PANDEMIC, BSCHS INITIATED THE FOLLOWING PROGRAMS: PHYSICIAN LIAISON SERVICE AS CASES BEGAN IN THE REGION, BSCHS MADE GRADUAL CHANGES TO VISITATION POLICIES, ULTIMATELY RESULTING IN NO VISITORS ON SITE, EXCEPT PEDIATRICS AND END-OF-LIFE CIRCUMSTANCES. BSCHS LAUNCHED A PHYSICIAN LIAISON SERVICE WHERE COMMUNICATION WITH FAMILY MEMBERS WAS ACCOMPLISHED THROUGH THE FAMILY FIRST CELL PHONE APPLICATION. THIS APPLICATION ALLOWED FOR ONE WAY TEXTING OF PATIENT STATUS UPDATES TO SELECTED FAMILY MEMBERS. THIS PROVIDED GREAT COMFORT TO OUR PATIENT'S FAMILIES AND DECREASED CALLS TO OUR NURSES AND DOCTORS, THUS ALLOWING THEM TO CONTINUE TO PROVIDE CARE TO OUR PATIENTS IN NEED. COVID TESTING SITES SHORTLY AFTER THE PANDEMIC BEGAN, BSCHS SET UP COVID TESTING SITES AT EACH OF THE HOSPITAL LOCATIONS AS WELL AS VARIOUS LOCATIONS THROUGHOUT ROCKLAND AND ORANGE COUNTIES. THESE DRIVE THRU AND WALK UP TESTING SITES WERE PROVIDED TO THE COMMUNITIES AT NO COST TO THE PATIENT. COVID VACCINE PROGRAM AS PART OF THE WMCHEALTH, BON SECOURS CHARITY HEALTH SYSTEM HAS PLAYED AN INTEGRAL ROLE IN THE DISTRIBUTION AND ADMINISTRATION OF COVID-19 VACCINES IN THE HUDSON VALLEY. NEW YORK STATE SELECTED WMCHEALTH TO WORK WITH HUNDREDS OF HOSPITALS, HEALTHCARE ORGANIZATIONS, COMMUNITY ASSOCIATIONS AND OTHERS TO ENSURE THE EQUITABLE AND EFFICIENT DISTRIBUTION OF COVID-19 VACCINES TO WESTCHESTER, ROCKLAND, ORANGE, PUTNAM, DUTCHESS, ULSTER AND SULLIVAN COUNTIES. TO DATE, WITH WMCHEALTH'S OVERSIGHT MORE THAN 2.5 MILLION DOSES WERE DISTRIBUTED THROUGHOUT THE REGION. WMCHEALTH WAS ALSO INSTRUMENTAL IN THE SUCCESSFUL OPERATION OF STATE-RUN MASS VACCINATION CENTERS IN THE COUNTIES OF WESTCHESTER, ROCKLAND, ORANGE AND ULSTER. WMCHEALTH WORKFORCE MEMBERS HELPED CONSTRUCT THE SITES, MANAGE PUBLIC FLOW AND ADMINISTER OVER 530,000 VACCINE DOSES ACROSS THE FOUR VACCINATION CENTERS. WHEN COVID-19 VACCINE OPERATIONS AT THE WESTCHESTER COUNTY CENTER END NOVEMBER 18, WMCHEALTH WILL HAVE BEEN THE CLINICAL PARTNER IN THE ADMINISTRATION OF MORE THAN 347,000 COVID-19 VACCINE DOSES AT THE WESTCHESTER COUNTY CENTER. MEAL TRAIN PROGRAM TO PREPARE FOR COVID-19 SURGES REGIONALLY, NYS ISSUED NY PAUSE, WHICH MANDATED RESTAURANTS TO OPERATE FOR DELIVERY AND TAKEOUT ONLY. WITH ON-SITE DINING UNAVAILABLE AND LOCAL BUSINESSES CLOSED WITH WORK-FROM-HOME OPERATIONS, THE RESTAURANT INDUSTRY WAS FACING SIGNIFICANT ECONOMIC CHALLENGES. TO SUPPORT OUR LOCAL COMMUNITY BUSINESSES, BSCSH PARTICIPATED IN THE MEAL TRAIN PROGRAM. ENGAGEMENT IN THIS PROGRAM PROVIDED THE COMMUNITY AN OPPORTUNITY TO SUPPORT FRONT LINE STAFF AS WELL AS LOCAL RESTAURANTS. THE PROGRAM PROVIDED APPROXIMATELY 23,000 MEALS AND GENERATED AN ESTIMATED $320,000 INTO THE LOCAL ECONOMY. PART I, LINE 7F HEALTH PROFESSIONS EDUCATION COST IS DETERMINED AS THE DIRECT AND INDIRECT COST OF QUALIFYING EDUCATION ACTIVITIES AS TRADITIONALLY REPORTED IN COLUMNS 21-24 ON WORKSHEET B OF THE MEDICARE COST REPORT AS A MEDICAL EDUCATION PROGRAM OR OTHER ALLIED HEALTH PROGRAM. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES DURING 2020, BSCHS RECEIVED FUNDING OF APPROXIMATELY $90.5 MILLION THROUGH THE PROVIDER RELIEF FUND ESTABLISHED BY THE CARES ACT AND ADMINISTERED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE AMOUNTS RECEIVED WERE INCLUDED IN NONOPERATING ACTIVITIES IN THE STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET POSITION. PART I, LINE 7 THE FOLLOWING CHARITY CARE PERCENTAGES HAVE BEEN DERIVED BY ONLY INCLUDING HOSPITAL EXPENSES: Percent of total expense Line 7a: 0.33 Line 7b: 11.29 Line 7d: 11.62 Line 7e: 0.95 Line 7f: 0.18 LINE 7G: 1.30 Line 7j: 2.41 Line 7k: 14.03 Part II, Community Building Activities BSCHS WAS ACTIVELY ENGAGED IN COMMUNITY BUILDING ACTIVITIES WHICH PROMOTED THE HEALTH OF THE COMMUNITIES THROUGHOUT ITS SERVICE AREA. BSCHS HAS A DEDICATED COMMUNITY ENGAGEMENT DEPARTMENT WHICH EVALUATES, PLANS, AND IMPLEMENTS COMMUNITY HEALTH AND EDUCATION PROGRAMS, BASED ON COMMUNITY NEED AS WELL AS REQUESTS FOR PROGRAMS ON SPECIFIC TOPICS. IN EARLY 2021, THE FOLLOWING SUPPORT GROUPS MET VIA ZOOM: DIABETES, WOUND CARE, TRAUMATIC BRAIN INJURY, MENDED HEARTS (CARDIAC SURGERY), AND AMPUTEE. IN ADDITION, PARENTING, NEWBORN CARE AND BREASTFEEDING CLASSES MET VIRTUALLY WITH STAFF AT GOOD SAMARITAN HOSPITAL LEADING THOSE CLASSES. IN PORT JERVIS, THE PHYSICAL THERAPY DEPARTMENT'S ""GET FIT PORT JERVIS"" WALKING CLUB WAS REINSTATED AND COMMUNITY MEMBERS WERE ABLE TO WALK AS A GROUP OUTDOORS DURING THE MILD WEATHER MONTHS. THE HEALTHCARE SPEAKERS BUREAU CONTINUED TO OFFER VIRTUAL HEALTH EDUCATION TO THE COMMUNITY AND CONTINUES TO EDUCATE THE COMMUNITY ON BROAD TOPICS SUCH AS CANCER, CARDIAC HEALTH, ORTHOPEDICS, WOMEN'S HEALTH, OBSESITY, STROKE, DIABETES, WOUND CARE, TRAUMA PREVENTION, MEN'S HEALTH, NUTRITION AND FALL PREVENTION. IN PORT JERVIS, LOCATED IN ORANGE COUNTY, NY, BSCH IS CONTINUING TO TRANSFORM THE DELIVERY OF HEALTHCARE THROUGH ITS BUILDING HEALTHY COMMUNITIES INITIATIVES AND ITS TRANSFORMATIVE MEDICAL VILLAGE PROJECT. THROUGHOUT 2020, BSCH HAS WORKED TO ADVANCE THIS PHYSICAL PLANT MODERNIZATION AND RENOVATION PROJECT BY BEGINNING CONSTRUCTION OF A NEW LABORATORY, BARIATRIC UNIT, AND PHASE 1 OF A 10,000 SQUARE FOOT EMERGENCY DEPARTMENT. THIS INITIATIVE WILL PROVIDE SIGNIFICANT AND MUCH NEEDED IMPROVEMENTS NECESSARY TO IMPLEMENT BSCH'S INNOVATIVE DSRIP-RELATED EFFORTS TO INCREASE THE BREADTH OF THE OUTPATIENT DELIVERY SYSTEM IN WESTERN ORANGE COUNTY THROUGH THE CREATION OF A MEDICAL VILLAGE. BUILDING UPON BSCH'S IN-PATIENT REDUCTION AND RECONFIGURATION EXPERIENCE THROUGH THE HEAL-NY PROGRAM AND LEVERAGING VALUE-BASED PURCHASING EFFORTS, THE MEDICAL VILLAGE WILL IMPROVE THE QUALITY, SAFETY, EFFECTIVENESS AND EFFICIENCY OF CARE DELIVERY TO THE MORE THAN 80,000 MEDICAID BENEFICIARIES IN ORANGE COUNTY AND ENSURE THAT BSCH IS ON A SUSTAINABLE PATH. BSCH WAS AWARDED $24.5 MILLION IN CAPITAL RESTRUCTURING FINANCING PROGRAM (""CRFP"") GRANT FUNDS TO UNDERTAKE THIS MAJOR PROJECT, WHICH INCLUDED SEVERAL OF THE DSRIP PROJECT AREAS SUCH AS CARE TRANSITIONS INTERVENTION TO REDUCE 30 DAY READMISSIONS FOR CHRONIC HEALTH CONDITIONS, INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH, COMMUNITY CRISIS STABILIZATION SERVICES, IMPLEMENTATION OF EVIDENCE-BASED STRATEGIES IN THE COMMUNITY TO ADDRESS CHRONIC DISEASE, SUCH AS DIABETES AND ASTHMA. IMPLEMENTATION OF THESE PROJECTS IS ACHIEVED THROUGH INCREASED ACCESS TO PRIMARY CARE, OUTPATIENT SERVICES, AND AN EXPANSION OF COMMUNITY SERVICES. THE TOTAL ANTICIPATED PROJECT COST FOR THIS PROJECT IS $41.5 MILLION WHICH WILL BE FUNDED IN PART BY CAPITAL RESTRUCTURING FINANCE PROGRAM (CRFP) GRANT FUNDS ($24.5 MILLION). PLANNING AND COLLABORATION FOR BSCH'S MEDICAL VILLAGE HAS BEEN ONGOING WITH STAKEHOLDERS AND COMMUNITY ORGANIZATIONS. THE PARTICIPATORY DEVELOPMENT PROCESS RESULTED IN A PLAN THAT INCLUDED A STRATEGY TO REDUCE 25 STAFFED BEDS AND DECERTIFY 36 LICENSED BEDS THAT PRESERVES CRITICAL SAFETY-NET CAPACITY AND CREATES NEW SPACE FOR A RANGE OF AMBULATORY CARE AND SOCIAL SERVICES. KEY PARTNERS INCLUDE: WESTCHESTER MEDICAL CENTER, BON SECOURS MEDICAL GROUP, CATHOLIC CHARITIES, EASTER SEALS, THE MATERNAL-INFANT SERVICES NETWORK, SHOPRITE SUPER MARKET, NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, ORANGE COUNTY DEPARTMENT OF HEALTH, ORANGE COUNTY DEPARTMENT OF MENTAL HEALTH, PORT JERVIS COMMUNITY GARDEN, EMPOWERING PORT JERVIS, PORT JERVIS LIBRARY, THE SALVATION ARMY, SUNY COMMUNITY COLLEGES, AND 1199SEIU WORKFORCE. WHEN COMPLETE, THE BON SECOURS COMMUNITY HOSPITAL MEDI"

PART III, LINE 2
"BAD DEBT EXPENSE INCLUDES: 1) ACTUAL WRITE OFFS OF DISCOUNTED GROSS CHARGES WHERE IT IS DETERMINED THAT AN UNINSURED PATIENT CAN PAY AND DOES NOT PAY; AND 2) THE ESTIMATED WRITE OFFS FOR UNINSURED PATIENT ACCOUNTS WITH OUTSTANDING BALANCES AFTER DISCOUNT. ESTIMATES ARE BASED ON HISTORICAL COLLECTION RATES. PART III, LINE 3 THE ORGANIZATION DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THE ORGANIZATION TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THE ORGANIZATION MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4 PLEASE SEE FOOTNOTE 2 ""PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE"" ON PAGE 19 IN THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS (""AFS""), ALLOWANCE FOR DOUBTFUL ACCOUNTS IS DISCUSSED IN THE SECOND PARAGRAPH OF THE FOOTNOTE."

Part III, Line 8
"THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT. THE ORGANIZATION IS ASSUMING A GOVERNMENT BURDEN BY PROVIDING CARE in excess of the revenue. The MEDICARE ALLOWABLE COSTS REFLECTED IN PART III ARE REFLECTED IN the FACILITY'S MEDICARE COST REPORT. THE COST REPORT SEGREGATES THE TOTAL FACILITY ACTUAL EXPENSES INTO COSTS FOR SUPPORT DEPARTMENTS, CLINICAL DEPARTMENTS (ROUTINE AND ANCILLARY) AND NONREIMBURSEABLE DEPARTMENTS. THE COST REPORT USES APPROPRIATE STATISTICAL BASES TO ""STEP DOWN"" SUPPORT COSTS TO ALLOWABLE CLINICAL AND NONREIMBURSEABLE DEPARTMENTS. THE CHARGES FOR CLINICAL DEPARTMENTS ARE MATCHED TO THE TOTAL COST FOR THESE DEPARTMENTS FOR A COST-TO-CHARGE RATIO."

Part III, Line 9B
THE ORGANIZATION HAS A WRITTEN POLICY THAT DESCRIBES COLLECTION PRACTICES APPLYING TO PATIENTS THAT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR FULL ASSISTANCE, NO COLLECTION EFFORTS ARE PURSUED ON THAT PATIENT'S ACCOUNT(S). IF PARTIAL ASSISTANCE IS PROVIDED, THE PATIENT IS RESPONSIBLE FOR THE ADJUSTED ACCOUNT BALANCE AND COLLECTION EFFORTS WILL FOLLOW THE ESTABLISHED PRACTICES FOR ALL PATIENTS WHERE A SELF-PAY BALANCE EXISTS. COLLECTION EFFORTS ARE NOT PURSUED ON ANY PENDING FINANCIAL ASSISTANCE PROGRAM ACCOUNT. SPECIFIC CRITERIA EXISTS FOR HOW MUCH FINANCIAL ASSISTANCE, PARTIAL OR TOTAL, WILL BE PROVIDED TO THE PATIENT BASED ON THE ASSESSED NEED. CRITERIA IS BASED ON FEDERAL POVERTY GUIDELINES AND IS REVIEWED AND UPDATED ANNUALLY. ONCE A PATIENT HAS BEEN DEEMED ELIGIBLE FOR THE PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP), THE PATIENT IS NOTIFIED BY LETTER WITHIN 60 DAYS AFTER RECEIPT OF THE APPLICATION AND SUPPORTING DOCUMENTATION. THE PATIENT RETAINS ELIGIBILITY FOR A PERIOD OF TWELVE MONTHS FROM THE DATE OF THE APPLICATION. NOTICE OF THIS ELIGIBILITY IS PROVIDED TO HOSPITAL ADMISSIONS, BILLING AND COLLECTION STAFF BY THE ASSIGNMENT OF A SPECIFIC FINANCIAL CLASS WITH ACCOMPANYING ELIGIBILITY DATES. AT THE END OF THE TWELVE MONTH PERIOD, THE PATIENT IS RESPONSIBLE FOR REAPPLYING FOR FAP ELIGIBILITY. BSCHS's collection policy contains provisions on collection practices which all facilities follow for patients known to qualify for financial assistance. The Charity Care Policy specifically provides the following collection practices: a. Any firm contracted with the hospital for collection purposes shall also provide information to BSCHS patients on how to apply for financial assistance, in accordance with all provisions of this policy. b. Accounts will not be sent to an external collection agency without the patient or his/her designee having an opportunity and adequate time to develop an alternative payment arrangement. Accounts will not be referred for collection while an application for financial assistance is pending. c. All patients will receive a minimum of thirty (30) days written notice on data mailers/billing statements that their account is subject to referral to a collection agency. d. BSCHS will not commence collection activity on any account for which financial assistance has been approved. The application for charity care will include a statement that the patient will not be responsible for any bills until such time that a decision on the application has been made. e. All legal firms and collection agencies with whom BSCHS may contract for collection services conductS all collection activities in accordance with THE ORGANIZATION'S policies and procedures. Further, such firms shall not commence any legal proceedings on an account without the prior written consent of BSCHS. f. BSCHS makeS THE best effort to work with the patient to determine an equitable payment schedule/installment plan for any out-of-pocket expenses, considering the patient's financial and medical circumstances. The monthly payments on any installment plan will not exceed 10% of the patient's gross monthly income and there will be no interest charges on an approved PAYMENT plan. g. BSCHS, including any law firm or collection agency with which it contracts, will not force the sale or foreclose of a patient's primary residence to collect an outstanding bill. h. BSCHS will not pursue collections against any patient who was eligible for Medicaid at the time services were rendered.

Part VI, Line 7
List of States Receiving Community Benefit Report: NY

Part VI, Line 2
"IN ADDITION TO THE CHNA, BSCHS ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGHOUT THE YEAR BY SPEAKING WITH LOCAL AND STATE LEVEL HEALTH DEPARTMENTS, COMMUNITY MEMBERS, AGENCY REPRESENTATIVES AND COMMUNITY SERVICE PROVIDERS. THE BSCHS COMMUNITY ENGAGEMENT TEAM WORKS WITH SEVERAL AREA EMPLOYERS AND SPECIFIC GEOGRAPHICAL AND RELIGIOUS GROUPS TO IDENTIFY PERSONAL HEALTH RELATED NEEDS. BY ACTIVELY PARTICIPATING AND COLLABORATING WITH THESE AGENCIES, ORGANIZATIONS, AND THE COMMUNITY, BSCHS IS ABLE TO OBTAIN INPUT AND INSIGHT ON THE HEALTH NEEDS AND CONCERNS OF THE COMMUNITIES SERVED. BASED ON THESE NEEDS, IN 2021, BSCHS CLINICAL STAFF AND PHYSICIANS PROVIDED FREE VIRTUAL EDUCATION ON PREVENTIVE HEALTH INTERVENTIONS TO CLOSE TO 500 EMPLOYEES AT THE FOLLOWING WORKSITES: ORANGE AND ROCKLAND UTILITIES, CHERRY LANE ELEMENTARY SCHOOL, EAST RAMAPO SCHOOL DISTRICT, SUFFERN CENTRAL SCHOOL DISTRICT, TOWN OF RAMAPO, SOUTH ORANGETOWN SCHOOL DISTRICT, JCC OF ROCKLAND, NORTH ROCKLAND SCHOOL DISTRICT, FARLEY ELEMENTARY SCHOOL, ROCKLAND BOCES, SOUTH ORANGETOWN SCHOOL DISTRICT, AND THE VILLAGE OF SUFFERN DPW. NEW IN 2021, BSCHS MEDICAL AND PROFESSIONAL STAFF BEGAN DOING LOCAL RADIO STATION INTERVIEWS THROUGH WHICH OVER 60,000 LISTENERS WERE ABLE TO LEARN ABOUT A LARGE SPECTRUM OF MEDICAL CONDITIONS. THESE RADIO SHOW PLATFORMS WERE INSTRUMENTAL IN HELPING THE BSCHS MEDICAL AND NURSING STAFF EDUCATE THE COMMUNITY ABOUT COVID. LISTENERS LEARNED VALUABLE WAYS TO PREVENT THE SPREAD OF COVID AS WELL AS THE CURRENT REATMENTS AND WHERE AND WHEN TO GET VACCINATED. ALL BSCHS FACILITIES, AND MEDICAL AND ANCILLARY STAFF, PARTICIPATED WITH THE NYSDOH IN THEIR EFFORTS TO ADMINISTER FREE COVID VACCINES THROUGHOUT 2021. IN ADDITION TO PROVIDING STAFF TO ADMINISTER THE COVID VACCINES, THE COMMUNITY ENGAGEMENT DIRECTOR PROVIDED 395 FREE SEASONAL FLU SHOTS TO THE COMMUNITY GROUPS AND LOCAL EMPLOYERS. ALSO IN 2021, A MAJOR FOCUS WAS ON FOOD INSECURITY AND HOSPITAL LEADERSHIP AND STAFF FACILITATED AND PARTICIPATED IN SEVERAL FOOD DRIVES AND PRODUCE DISTRIBUTION EVENTS. ADDITIONALLY, THE FOLLOWING ACTIVITIES AND PROGRAMS THAT BENEFIT THE COMMUNITY CONTINUED IN 2021: GSH CONTINUES TO COLLABORATE WITH THE ROCKLAND PRIDE CENTER, A LOCAL PROVIDER OF SERVICES TO THE LGBT COMMUNITY TO IDENTIFY BARRIERS IN ACCESSING HEALTHCARE AND TO UNDERSTAND SPECIFIC HEALTH NEEDS; BSCH STAFF PROVIDED EDUCATION TO THE CENTER FOR DEVELOPMENTAL DISABILITIES STAFF ON INFECTION CONTROL AND PARTICIPATED, EVERY MONTH, IN THE PROJECT DISCOVERY COMMUNITY OUTREACH PROGRAM TO PROVIDE HOUSEHOLD NECESSITIES, FOOD AND CLOTHING TO THOSE IN NEED IN THE COMMUNITY. SACH STAFF BEGAN TO SCREEN INPATIENTS FOR FOOD INSECURITY AND MADE ""WARM HAND-OFF"" REFERRALS TO LOCAL FOOD SOURCES AND DSS AGENCIES. ADDITIONALLY, THROUGH A PARTNERSHIP WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH, THE SACH DIETICIAN WAS ABLE TO DISTRIBUTE FOOD ASSISTANCE BAGS AND FARMERS MARKET VOUCHERS TO PATIENTS WHO SELF IDENTIFIED AS FOOD INSECURE PRIOR TO HOSPITAL DISCHARGE. ALL BSCHS DIETARY DEPARTMENTS LED A SOCK DRIVE AND WAS ABLE TO DONATE A FEW HUNDRED PAIRS OF SOCKS TO THE ROCKLAND COUNTY WARMING STATION AND THE ORANGE FAMILY SHELTER. Part VI, Line 3 Patient financial assistance policy is communicated to patients upon scheduling, registration, THROUGH visible postings of the policy in common areas throughout the hospital, brochures at registration and on the Bon Secours website. In addition, patient statements request that patients apply for financial assistance if needed, once any patient financial obligation is determined. BSCHS is committed to ensuring access to health care services for all. As a health care provider, BSCHS treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. BSCHS addresses the needs of the uninsured by providing free or reduced fees FOR hospital services and Is ACTIVELY ENGAGED IN community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. BSCHS proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the BSCHS Patient Financial Assistance Program (""FAP"") and assists potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 250% of the Federal Poverty Guidelines (""FPG""). INCOMES UP TO 500% ARE ALSO DISCOUNTED AT THE LOWER PERCENTAGES as indicated in the chart included in the FAP or the AMOUNTS GENERALLY BILLED (""AGB""). BSCHS offers 100% charity care to its patients with income up to 250% of the FPG. Patients with income between 251% - 350% of the FPG are offered the lower of a 50% reduction of total charges or the APG (the Medicare FFS rate). Patients with income between 351% - 500% of the FPG are offered the lower of a 30% reduction of total charges or the APG (the Medicare FFS rate). BSCHS IS DEDICATED TO MEETING THE NEEDS OF NON-ENGLISH SPEAKING PATIENTS BY HAVING ON-SITE SPANISH TRANSLATORS, AND OTHER LANGUAGE TRANSLATION SERVICES. IN ADDITION, BSCHS EMPLOYS A TELEPHONE LANGUAGE SERVICE WHICH ASSISTS IN MEETING ANY LANGUAGE NEEDS THAT ARISE. THE TRANSLATION SERVICES ARE OFFERED TO NON-ENGLISH SPEAKING PATIENTS FROM ADMISSION TO DISCHARGE, INCLUDING THROUGH THE FINANCIAL ASSISTANCE PROCESS. FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON SCHEDULING, REGISTRATION, THROUGH VISIBLE POSTINGS OF THE POLICY IN COMMON AREAS THROUGHOUT THE HOSPITAL, BROCHURES AT REGISTRATION AND ON BON SECOURS WEBSITE. IN ADDITION, PATIENT STATEMENTS REQUEST THAT PATIENTS APPLY FOR FINANCIAL ASSISTANCE IF NEEDED, ONCE ANY PATIENT'S FINANCIAL OBLIGATION IS DETERMINED. POLICY IN COMMON AREAS THROUGHOUT THE HOSPITAL, BROCHURES AT REGISTRATION AND ON BON SECOURS WEBSITE. IN ADDITION, PATIENT STATEMENTS REQUEST THAT PATIENTS APPLY FOR FINANCIAL ASSISTANCE IF NEEDED, ONCE ANY PATIENT'S FINANCIAL OBLIGATION IS DETERMINED."

Part VI, Line 4
BSCHS FACILITIES OPERATE AND SERVE POPULATIONS OF LOWER NEW YORK, PRINCIPALLY ROCKLAND AND ORANGE COUNTIES. ROCKLAND COUNTY IS LOCATED APPROXIMATELY 30 MILES NORTH OF MANHATTAN ON THE WEST SIDE OF THE HUDSON RIVER. HOME TO EIGHT PUBLIC SCHOOL DISTRICTS AND EIGHT COLLEGES AND UNIVERSITIES, THE 199-SQUARE MILE AREA INCLUDES FIVE TOWNS AND NINETEEN VILLAGES. THIS COUNTY OF 120,000 ACRES IS DESIGNATED A PRESERVE AMERICA COMMUNITY, CONTAINING MORE THAN 35,000 ACRES OF PRESERVED OPEN SPACE AND PARKLAND. ACCORDING TO DATAUSA, IN 2019, ROCKLAND COUNTY, NY HAD A POPULATION OF 325,789 PEOPLE WITH A MEDIAN AGE OF 35.9 AND A MEDIAN HOUSEHOLD INCOME OF $100,916. THE 5 LARGEST ETHNIC GROUPS IN ROCKLAND COUNTY, NY ARE WHITE (NON-HISPANIC) (62.5%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (11.3%), OTHER (HISPANIC) (9.54%), WHITE (HISPANIC) (6.82%), AND ASIAN (NON-HISPANIC) (5.91%). ORANGE COUNTY IS LOCATED IN THE SOUTHEASTERN AREA OF NEW YORK, APPROXIMATELY 40 MILES NORTH OF NEW YORK CITY, AND IS BOARDERED ON THE EAST BY THE HUDSON RIVER AND ON THE WEST BY THE DELAWARE RIVER. ORANGE COUNTY IS 839 SQUARE MILES AND IS A MIX OF URBAN, SUBURBAN, FARMLAND AND RURAL AREAS. ORANGE COUNTY HAS THREE CITIES, TWENTY TOWNS, AND NINETEEN VILLAGES. THE COUNTY HAS NINETEEN PUBLIC SCHOOL DISTRICTS AND THREE COLLEGES AND UNIVERSITIES. ACCORDING TO DATAUSA, IN 2019, ORANGE COUNTY, NY HAD A POPULATION OF 384,940 PEOPLE WITH A MEDIAN AGE OF 36.9 AND A MEDIAN HOUSEHOLD INCOME OF $84,458. THE 5 LARGEST ETHNIC GROUPS IN ORANGE COUNTY, NY ARE WHITE (NON-HISPANIC) (62.6%), WHITE (HISPANIC) (12.5%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (10.9%), OTHER (HISPANIC) (6.05%), AND ASIAN (NON-HISPANIC) (2.95%).

Part VI, Line 5
"BSCHS FACILITIES PROMOTED THE HEALTH OF THE COMMUNITY TO FURTHER ITS EXEMPT PURPOSE THROUGH VARIOUS PROGRAMS AND INITIATIVES THROUGHOUT THE YEAR. IN 2021, BSCHS CLINICAL STAFF AND PHYSICIANS PROVIDED FREE VIRTUAL EDUCATION ON PREVENTIVE HEALHT INTEVENTIONS TO CLOSE TO 500 EMPLOYEES AT THE FOLLOWING WORKSITES: ORANGE AND ROCKLAND UTILITIES, CHERRY LANE ELEMENTARY SCHOOL, EAST RAMAPO SCHOOL DISTRICT, SUFFERN CENTRAL SCHOOL DISTRICT, TOWN OF RAMAPO, SOUTH ORANGETOWN SCHOOL DISTRICT, JCC OF ROCKLAND COUNTY, NORTH ROCKLAND SCHOOLL DISTRICT, AND THE VILLAGE OF SUFFERN DPW. NEW IN 2021, BSCHS MEDICAL AND PROFESSIONAL STAFF BEGAN DOING LOCAL RADIO STATION INTERVIEWS THROUGH WHICH OVER 60,000 LISTENERS WERE ABLE TO LEARN ABOUT A LARGE SPECTRUM OF MEDICAL CONDITIONS. THESE RADIO SHOW PLATFORMS WERE INSTRUMENTAL IN HELPING THE BSCHS MEDICAL AND NURSING STAFF EDUCATE THE COMMUNITY ABOUT COVID. LISTENERS LEARNED VALUABLE WAYS TO PREVENT THE SPREAD OF COVID AS WELL AS THE CURRENT TREATMENTS AND WHERE AND WHEN TO GET VACCINATED. ALL BSCHS FACILITIES, AND MEDICAL AND ANCILLARY STAFF, PARTICIPATED WITH THE NYSDOH IN THEIR EFFORTS TO ADMINISTER FREE COVID VACCINES THROUGHOUT 2021. IN ADDITION TO PRVOIDING STAFF TO ADMINISTER COVID VACCINES, THE COMMUNITY ENGAGEMENT DIRECTOR PROVIDED 395 FREE SEASONAL FLU SHOTS TO COMUNITY GROUPS AND LOCAL EMPLOYERS. ALSO IN 2021, A MAJOR FOCUS WAS ON FOOD INSECURITY AND HOSPITAL LEADERSHIP AND STAFF FACILITATED AND PARTICIPATED IN SEVERAL FOOD DRIVES AND PRODUCE DISTRIBUTION EVENTS. ADDITIONALLY, GSH CONTINUES TO COLLABORATE WITH THE ROCKLAND PRIDE CENTER, A LOCAL PROVIDER OF SERVICES TO THE LGBT COMMUNITY TO IDENTIFY BARRIERS IN ACCESSING HEALTHCARE AND TO UNDERSTAND SPECIFIC HEALTH NEEDS; BSCH STAFF PROVIDED EDUCATION TO THE CENTER FOR DEVELOPMENTAL DISABILITIS STAFF ON INFECTION CONTROL AND PARTICIPATED, EVERY MONTH, IN THE PROJECT DISCOVERY COMMUNITY OUTREACH PROGRAM TO PROVIDE HOUSEHOLD NECESSITIES, FOOD AND CLOTHING TO THOSE IN NEED IN THE COMMUNITY. SACH STAFF BEGAN TO SCREEN INPATIENTS FOR FOOD INSECURITY AND MADE ""WARM HANDS-OFF"" REFERRALS TO LOCAL FOOD SOURCES AND DSS AGENCIES. ADDITIONALLY, THROUGH A PARTNERSHIP WITH THE ORANGE COUNTY DEPARTMENT OF HEALTH, THE SACH DIETICIAN WAS ABLE TO DISTRIBUTE FOOD ASSISTANCE BAGS AND FARMERS MARKET VOUCHERS TO PATIENTS WHO SELF IDENTIFIED AS FOOD INSECURE PRIOR TO HOSPITAL DISCHARGE. ALL BSCHS DIETARY DEPARTMENTS LED A SOCK DRIVE AND WAS ABLE TO DONATE A FEW HUNDRED PAIRS OF SOCKS TO THE ROCKLAND COUNT WARMING STATION AND THE ORANGE FAMILY SHELTER. BSCHS CONTINUED ITS COMMITMENT TO BEING ACCESSIBLE AND PROVIDING FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IN ITS SERVICE AREA. AS EVIDENCED BY BSCHS' ACTIVE PARTICIPATION IN THE VARIOUS DSRIP PROJECTS, BSCHS PROVIDED IMPROVED ACCESS TO HEALTH CARE SERVICES, ESPECIALLY TO THE UNDERSERVED POPULATION, AS WELL AS PROVIDED VARIOUS OPPORTUNITIES TO ENROLL IN GOVERNMENTAL AND/OR COMMUNITY HEALTH PLANS. IN PORT JERVIS, THROUGH A MISSION GRANT, BSCHS PROVIDED TRANSPORTATION SERVICES TO UNINSURED AND MEDICAID PATIENTS TO COORDINATE CARE. ALL THREE BSCHS HOSPITALS PARTNERED WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO INCREASE PUBLIC AWARENESS OF THE AVAILABLE SERVICES THAT WERE EITHER FREE OF CHARGE OR BASED ON A SLIDING SCALE PAYMENT. IN FURTHERANCE OF THIS COMMITMENT, ALL BSCHS FACILITIES PROVIDED SPACE EACH MONTH, FREE OF CHARGE, TO INSURANCE SPECIALISTS TO MEET WITH PATIENTS TO REGISTER FOR HEALTH INSURANCE BENEFITS. IN PORT JERVIS, BSCHS MADE A DONATION TO THE LOCAL WARMING STATION THAT ENABLED THEM TO PURCHASE A NEW, LARGE CAPACITY WASHER AND DRYER SO THAT CLIENTS CAN HAVE CLEAN, DRY CLOTHING. IN RESPONSE TO THE GROWING COMMUNITY NEEDS OF ITS SERVICE AREA, BSCHS CONTINUED TO RECRUIT AND HIRE MORE EMPLOYED PHYSICIANS, WHO ACCEPT MEDICAID AND PARTICIPATE IN PROGRAMS TO PROVIDE CHARITY CARE, IN ALIGNMENT WITH THE BSCHS MISSION. BSCHS'S POPULATION HEALTH DEPARTMENT STAFF FURTHERED THE ORGANIZATION'S EXEMPT PURPOSES BY PROMOTING THE HEALTH OF THE COMMUNITY IN BOTH ROCKLAND AND ORANGE COUNTY. STAFF HAVE BEEN INVOLVED IN MANAGING PREVENTIVE AND CHRONIC DISEASES USING THE PRINCIPLES OF THE PATIENT CENTERED MEDICAL HOME, SUCH AS PREVENTIVE OUTREACH FOR PATIENTS WITH DIABETES, OUTREACH TO MANAGE MEDICATION ADHERENCE FOR BEHAVIORAL HEALTH PATIENTS, AND PATIENT EDUCATION. POPULATION HEALTH CARE MANAGERS CONDUCTED OUTREACH TO DIABETES PATIENTS TO ENROLL THEM IN A MENTOR/MENTEE PROGRAM, ASSISTED DIABETIC PATIENTS TO TRACK THEIR HEALTH BY PROVIDING GLUCOMETERS AND SCALES TO PATIENTS IN NEED, CONDUCTED A COLORECTAL AWARENESS CAMPAIGN, PROVIDED A FREE INITIAL CONSULT TO PATIENTS WHO SCREENED POSITIVE FOR BEHAVIORAL HEALTH SCREENING, PROVIDED FLU SHOTS IN THE COMMUNITY IN ROCKLAND COUNTY, AND HELD PATIENT ADVISORY COMMITTEE MEETINGS IN ROCKLAND AND ORANGE COUNTY TO EDUCATE PATIENTS ON SERVICES AND PREVENTION. BSCHS EXPECTS TO CONTINUE THESE SERVICES AND PROGRAMS DESCRIBED ABOVE."

Part VI, Line 6
"BSCHS IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION THAT IS THE SOLE MEMBER OF LEGAL ENTITIES THAT OPERATE HOSPITALS, NURSING HOMES, AND OTHER HEALTHCARE-RELATED FACILITIES IN THE STATE OF NEW YORK. BON SECOURS MERCY, INC., FORMERLY BON SECOURS HEALTH SYSTEM, INC. (""BSMI"", FORMERLY ""BSHSI"") A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, IS A MEMBER OF BSCHS WITH A FORTY PERCENT (40%) ECONOMIC INTEREST IN BSCHS. SISTERS OF CHARITY OF SAINT ELIZABETH (""SOCSE""), A NEW JERSEY NOT-FOR-PROFIT CORPORATION, IS A MEMBER OF BSCHS WITHOUT ANY ECONOMIC INTEREST. BSCHS, A CATHOLIC HEALTH SYSTEM, IS CANONICALLY CO-SPONSORED BY BON SECOURS MINISTRIES (""BSM""), AN AFFILIATE OF BSHSI AND SOCSE. BSMI IS A NOT-FOR-PROFIT, NON-STOCK MEMBERSHIP CORPORATION, AND THE SOLE MEMBER OF WHICH IS BON SECOURS, INC. (""BSI""). BSMI IS A CORPORATION FORMED TO PARTICIPATE IN THE CHARITABLE HEALTHCARE SYSTEM NOW SPONSORED BY BSM THROUGHOUT THE UNITED STATES OF AMERICA THROUGH WHICH THE HEALTHCARE MISSION OF THE SISTERS OF BON SECOURS, USA, THE FOUNDING PARTICIPATING ENTITY OF BSM, IS FURTHERED. THE MINISTRY OF BSHSI AIDS THOSE IN NEED, PARTICULARLY THOSE WHO ARE SICK AND DYING, BY OFFERING SERVICES THAT INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: ACUTE INPATIENT, OUTPATIENT, PASTORAL, PALLIATIVE, HOME HEALTH, NURSING HOME, REHABILITATIVE, PRIMARY AND SECONDARY CARE AND ASSISTED LIVING WITHOUT REGARD TO RACE, RELIGION, COLOR, GENDER, AGE, MARITAL STATUS, NATIONAL ORIGIN, SEXUAL ORIENTATION, OR DISABILITY. AS A MEMBER OF THE CATHOLIC HEALTH MINISTRY AND A MEMBER OF BON SECOURS MERCY, INC. (BSMI), THIS ORGANIZATION AND ITS RELATED ENTITIES ARE CALLED TO CONTINUE THE HEALING MINISTRY OF JESUS. THEY EXIST TO BENEFIT THE PEOPLE LIVING IN THE COMMUNITIES WE SERVE. THROUGH ALL OF THE SERVICES OFFERED TO THE COMMUNITY, THE MISSION IS ""TO BRING COMPASSION TO HEALTH CARE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH."" THIS ORGANIZATION AND RELATED ORGANIZATIONS SHARE THE BSHSI VISION. ""INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST AND THE CHARISM OF BON SECOURS, BON SECOURS HEALTH SYSTEM WILL BE RECOGNIZED FOR ITS LEADERSHIP IN JUSTICE, TRANSFORMING THE COMMUNITIES IN WHICH WE SERVE AND WORK INTO PLACES OF HEALTH AND HOPE, AND BEING A PROPHETIC VOICE FOR SYSTEMIC US HEALTH REFORM AND A MORE HUMANE WORLD."" WESTCHESTER COUNTY HEALTHCARE CORPORATION WAS CREATED IN 1997 AS A NEW YORK PUBLIC BENEFIT CORPORATION AND OWNS AND OPERATES A NUMBER OF HEALTHCARE FACILITIES INCLUDING WESTCHESTER MEDICAL CENTER LOCATED IN VALHALLA, NEW YORK. IN DECEMBER, 2014, WMC AND BSHSI ENTERED INTO A TRANSACTION (THE ""AFFILIATION"") UNDER WHICH: WMC, OR ITS SUBSIDIARY, BECAME A MAJORITY CO-MEMBER IN BSCHS AND MANAGES THE DAY TO DAY OPERATIONS OF BSCHS AND ITS SUBSIDIARIES AND FACILITIES PURSUANT TO A MANAGEMENT AGREEMENT APPROVED BY THE NEW YORK STATE DEPARTMENT OF HEALTH; BSCHS AND ITS SUBSIDIARIES REMAIN A CATHOLIC HEALTHCARE MINISTRY SUBJECT TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES. WMC APPOINTS AT LEAST SIXTY PERCENT (60%) OF THE MEMBERS OF THE BSCHS BOARD OF DIRECTORS, WHILE BSHSI AND SOCSE JOINTLY APPOINT APPROXIMATELY 40% OF THE BSCHS BOARD, AND EACH MEMBER OF BSCHS HOLDS CERTAIN RESERVE POWERS. PLEASE SEE SCHEDULE R FOR LISTINGS OF THE RELATED ORGANIZATIONS AND SCHEDULE H FOR THE HOSPITALS INCLUDED IN THIS RETURN."