2020-11-12T16:54:53-06:00 2019-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2019-01-01 131740120 HUDSON VALLEY HOSPITAL CENTER % SHARON MANDEL HUDS 9147343277 1980 CROMPOND ROAD CORTLANDT MANOR NY 10567 STACEY PETROWER PRESIDENT 9147343277 2020-11-05 NICOLE M SOKOLOWSKI P01683199 2127733000 108.206.163.59 26308520203175000147 2020-11-12 P 1CB9C4665EA6D98C4B5065B465CEB0E7DA2A143A 770194AAF055F9EA87E64CA02E08FE540289067F 2019 2021-01-29 14:40:06Z newyork-presbhudson valley hospital STACEY PETROWER 1980 CROMPOND ROAD CORTLANDT MANOR NY 10567 239643452 false X www.nyp.org/hudsonvalley X 1911 NY TO SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY AND TO PROVIDE QUALITY CARE IN A COMPASSIONATE, PROFESSIONAL MANNER, WITHOUT REGARD TO RACE, RELIGION, NATURAL ORIGIN OR DISEASE. 7 4 1332 218 0 507403 143100 217252760 224847252 1027811 1621027 3063976 3443731 221851950 230055110 54130 24128 0 0 113501696 125343727 0 0 0 113640393 111450808 227196219 236818663 -5344269 -6763553 258857817 311316024 116912167 172248706 141945650 139067318 X FOUNDED IN 1889 BY THE HELPING HAND ASSOCIATION, HUDSON VALLEY HOSPITAL CENTER DBA NEWYORK-PRESBYTERIAN HUDSON VALLEY HOSPITAL, LOCATED IN CORTLANDT MANOR, NEW YORK, SERVES RESIDENTS OF THE HUDSON VALLEY AND WESTCHESTER COUNTY. THE HOSPITAL SERVES THE HEALTH CARE NEEDS OF THE COMMUNITY AND TO PROVIDE QUALITY, COMPREHENSIVE MEDICAL CARE IN A COMPASSIONATE, PROFESSIONAL AND RESPECTFUL MANNER, WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN OR DISEASE. false false 183092835 24125 224914883 Hudson Valley Hospital center DBA NewYork-Presbyterian/Hudson Valley Hospital, part of the Newyork-Presbyterian regional hospital network, has a long history of providing high quality care to residents of Westchester, Putnam and Lower dutchess Counties. As a fully accredited general, not for profit 128-bed hospital, we offer a wide range of inpatient and ambulatory services, with hundreds of practitioners on staff in more than 60 specialties. The hospital is home to the regions only 24-hour no wait emergency department. The hospitals comprehensive Cancer Center combines chemotherapy, radiation therapy, and support services under one roof. NewYork-Presbyterian Hudson Valley Hospital has received national recognition for excellence in nursing from the American Nurses Credentialing Centers (ANCC) Magnet Recognition Program three consecutive times. The hospital had 8,517 discharges 163,287 other outpatient visits and provided 33,304 outpatient emergency room visits plus 7,565 ambulatory surgery procedures. 183092835 true false false true false false false false false true true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 139 0 true 1332 true false false false false false false false false false false false false X 7 4 false false false false true true true true true false false true true true true true true false true false NY X SHARON MANDEL 2122975525 466 LEXINGTON AVENUE NEW YORK NY 10017 X Maxine Frank Director Eff. 2/2019 1.0 59.0 X 0 2405480 241518 Gary Zuar Former Officer 0.0 0.0 X 0 1358810 150423 Stacey Petrower Ex-Officio/President 57.5 2.5 X X 0 841865 51425 William Higgins PRESIDENT - MEDICAL GROUP 0.0 60.0 X 531882 795 36575 Brian Regan Director 1.0 59.0 X 0 432121 71527 Kathleen Burke Secretary Thru 9/2019 1.0 59.0 X 0 438615 63317 Bobby Janda VP Medical Affairs & CMO 59.5 0.5 X 404104 0 46702 S Angela Gonzalez-Per VP Operations 60.0 0.0 X 344278 0 50072 Alice Corbett CNO & VP Pat. Serv THRU 7/2019 60.0 0.0 X 360666 0 23104 Sharon Mandel CFO HVH & Corp Dir NYP 59.5 0.5 X 0 294026 88162 Sedrick O'Connor VP Human Resources 60.0 0.0 X 287993 0 47311 Mary Kincart Former Key Employee 0.0 0.0 X 12959 281599 34923 Ophelia Byers VP, CNO. EFF. 9/2019 22.0 38.0 X 81896 146449 62693 Karen D Erickson Director of Pharmacy 40.0 0.0 X 216607 0 55800 Margi S Quail Director Finance 40.0 0.0 X 211805 0 40805 Salvacion D Delacruz Registered Nurse 40.0 0.0 X 194129 0 40581 Sabrina Nitkowski-Keev Director Med/Surg & Case Mgmt 40.0 0.0 X 200687 0 11961 Mary Braunsdorf Secretary Eff. 9/2019 1.0 34.0 X 0 160174 23892 Michael Delfino Chairman 1.0 2.0 X 0 0 0 John Dare Director 1.0 0.0 X 0 0 0 Edward MacDonald Jr Director 1.0 0.0 X 0 0 0 Catherine E Pisani Director 1.0 0.0 X 0 0 0 2847006 6359934 1140791 276 true true false cerner corporation 2800 rockcreek parkway KANSAS CITY MO 64117 it support services 1059857 AMH Healthcare Inc 8840 Cypress Water Blvd Suite 300 DALLAS TX 75019 staffing 1866083 pavarini north east construction i 30 oak street STAMFORD CT 060955313 construction 2850200 Cura Hospitality 2970 corporate Ct 5 OREFIELD PA 18069 food service 1714780 Batska Consulting Group LLC 54 west 40th st NEW YORK NY 10018 Consultant 701148 49 93541 49559 143100 NET PATIENT SERVICE REVENUE 622110 223651459 223651459 MALPRACTICE INSURANCE REFUND 990009 1195793 1195793 224847252 985912 985912 0 0 1216956 1216956 0 1216956 1216956 10223457 9588342 635115 635115 635115 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 500852 500852 PARAMEDIC REIMBURSEMENT 900099 943325 943325 REBATES 900099 443467 443467 339131 67631 271500 2226775 230055110 224914883 4997127 20500 20500 3628 3628 0 0 3006713 3006713 0 93307779 70643246 22664533 4361047 3301745 1059302 18234067 13804998 4429069 6434121 4871268 1562853 0 508968 508968 396023 396023 31154 31154 0 3852 3852 17485491 10310136 7175355 891334 674828 216506 6528308 4942577 1585731 6198178 4692636 1505542 0 5410439 4546570 863869 9953 9953 0 134823 134823 2160514 1635723 524791 0 10210274 8580029 1630245 1337392 1241985 95407 MEDICAL SUPPLIES 38511262 38511262 DUES/MEMBERSHIPS/AWARD 374454 283499 90955 OTHER EXPENSES 20921796 14773371 6148425 LICENSE/PERMITS 336593 254834 81759 236818663 183092835 53725828 0 14368380 17697837 17350624 2400377 0 0 26514047 30668339 0 0 0 0 1715778 1620241 3609647 4371616 3310884 4716990 176743562 39391810 127810480 137351752 28180716 32676212 26864 633476 0 0 0 0 35970397 79179184 258857817 311316024 33137080 34036336 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83775087 138212370 116912167 172248706 X 138513617 135530093 3432033 3537225 141945650 139067318 258857817 311316024 X -6763553 696756 3188465 X false true X true false X false false false false false false false false true 31154 31154 false false Part II-b, Line 1: membership dues paid to independent third party associations used to educate policymakers and state and federal legislators on the complexities and constraints hospitals face in delivering care. 1674619 4000 4000 1674619 1674619 4000 4000 1674619 1674619 4000 4000 1674619 1674619 4000 4000 1674619 1674619 4000 4000 1674619 1.00000 false false 6363000 6363000 118670553 18591752 100078801 0 43595784 20800058 22795726 8114225 8114225 137351752 OTHER RECEIVABLES 398618 INSURANCE CLAIMS RECEIVABLE 12576651 DUE FROM RELATED ORGANIZATIONS 19429705 SECURITY DEPOSITS 14383 GOODWILL 6388714 OPERATING LEASE ASSET 29864774 INVESTMENT IN HERS, LLC 10506339 79179184 0 INSURANCE CLAIMS LIABILITY 17238847 THIRD PARTY PAYORS 8516957 DUE TO NY PRESBYTERIAN HOSPITAL 79547371 DUE TO FUND INC. 141000 OTHER LIABILITIES 527660 CAPITAL LEASE PAYABLE 2353787 OPERATING LEASE LIBILITY 29886748 138212370 Part V, Line 4: THE ENDOWMENT FUNDs appropriation for expenditure is USED FOR THE FUNDING OF HEALTH CARE SERVICES AND CAPITAL ACQUISITIONS RELATING TO HUDSON VALLEY HOSPITAL CENTER'S MISSION STATEMENT. true true X true X true X true true true false true true 2741 1446937 220429 1226508 0.00520 18929 30522549 17933930 12588619 0.05340 21670 31969486 18154359 13815127 0.05860 406 24905 1044669 1044669 0.00450 406 24905 1044669 1044669 0.00450 406 46575 33014155 18154359 14859796 0.06310 true 4494761 522509 53458779 77131825 -23673046 X true true 1 1 Hudson Valley Hospital Center 1980 crompond road cortlandt manor NY 10567 www.nyp.org/hudsonvalley 5901000H X X X hudson valley hospital center 1 false false true X X X X X X X X X 19 true false false true X SEE SUPPLEMENTAL INFORMATION X true 19 true see supplemental information false true X 100 400. X X X X true true X X X X true X see supplemental information X see supplemental information X see supplemental information X X X X X X X true X false X X X X true X false false Part v, Line 5 The NewYork-Presbyterian Hudson Valley Hospital (NYP-HVH), is a regional hospital of NewYork-Presbyterian. NYP-HVH completed a Community Health Needs Assessment (CHNA) to identify the needs of our community and develop a Community Service Plan (CSP) and detailed implementation plan. NYP-HVH is deeply committed to the communities residing in Westchester County, Putnam County, and the surrounding areas. NYP-HVH delivers a range of innovative programs and services intended to educate and provide resources to prevent illness, maintain health, and improve the overall well-being of the community. Utilizing a network approach, NYP-HVH collaborated with NewYork-Presbyterian, Westchester County Health Planning Coalition (WCHPC), the Westchester County Department of Health (WCDOH), Citizens Committee for Children of New York (CCC), Columbia University Irving Medical Center (CUIMC), Greater New York Hospital Association (GNYHA), local Community Based Organizations (CBOs), the New York Academy of Medicine (NYAM), and Weill Cornell Medical College (WCMC) to adopt a community focused process of collecting and analyzing measurable data (quantitative) and views voiced by the community (qualitative) from a variety of sources. The collaborative process ensured significant input from the key stakeholders and local community through questionnaires and focus groups conducted in several languages. This allowed the system to develop a focused implementation plan to meet the needs of those we serve. As a result of this collaboration, survey results, and internal planning based on our hospitals strengths, resources and local community needs, NewYork-Presbyterian Hudson Valley Hospital developed its 2019-2021 Community Service Plan. List of CBOs in Westchester include: 1 Caring for the Hungry and Homeless of Peekskill (CHHOP) 2 Hudson Valley Gateway Chamber of Commerce 3 HRHCare Community Health 4 The Field Library in Peekskill 5 Yorktown Chamber of Commerce 6 Yorktown Seniors Advisory Committee In our efforts to meet the Agendas requirements, the Westchester County Health & Hospital Planning Team (WCHHPT), including NewYork-Presbyterian Hudson Valley Hospital, conducted a Community Health Needs Assessment Survey to sample residents and providers in the County and each hospitals or agencies service areas to determine which Prevention Agenda initiative(s) it plans to address during this three-year period. Surveys yielded 1,318 responses and 326 were from within the subset of NewYork-Presbyterian Hudson Valley Hospitals primary and secondary service areas. Significant socioeconomic gaps exist among the communities served by NewYork-Presbyterian Hudson Valley Hospital. NYP-HVH compiled measurable data and input from the community from numerous sources in order to analyze the health and challenges of our community. The analysis utilized county and ZIP code data for metrics and included data related to demographics, socioeconomic status, insurance status, social determinants of health, health status, health service utilization, and the New York State Prevention Agenda. Community input sources included focus groups and community questionnaires and allowed involvement from a diverse group with respect to culture, race, language, age, gender identity, and sexual orientation. Data resources utilized include the Behavioral Risk Factor Surveillance System (BRFSS) New York State, CARES Engagement Network, Claritas, New York State Community Health Indicator Reports (CHIRs), Robert Wood Johnson County Health Rankings, State Cancer Profiles, and the United Hospital Fund. The collected data was ranked to provide detailed insight into the communities with high disparities and was then prioritized to determine the highest health priorities for the identified communities. The prioritized process utilized both quantitative health metrics and the qualitative community input data; the results of the prioritization process provided detailed insight into the health needs and challenges of the community and allowed NYP HVH to determine which focus areas and goals, as outlined in the New York State Prevention Agenda, to focus on to address the identified needs. NYP-HVH used additional data collected and prepared by the Westchester County Health Department, specifically for the Westchester County community, to assess community health needs, to identify health disparities, to utilize in prioritizing the implementation strategies and to support health intervention planning. Part V, Line 7a: https://www.nyp.org/pdf/community-service/NYP-Hudson-Valley-CHNA-2019-2021 .pdf Part V, Line 10a: https://www.nyp.org/pdf/community-service/NYP-Hudson-Valley-CHNA-2019-2021 .pdf Part V, Line 11 NYP-HVH is committed to the successful implementation of each initiative and will utilize quality process improvement efforts to report on process and outcome measures in order to adapt each program to meet the annual expectations outlined as well as meet the needs of our community. Community of Focus Based on the completed data process, NYP-HVH, in partnership with local community-based organizations, will target the City of Peekskill for the Community Service Plan. The community has been identified as having high disparities, both health and social determinants of health, through the CHNA process. Additionally, Peekskill has been identified as an opportunity zone by the Tax Cuts and Jobs Act to incentivize private investment into economically distressed communities. The analyzed and prioritized data allowed for the identification of a community of focus as well as priority areas to impact the health of the most vulnerable populations. NYP HVH will target efforts in Peekskill related to the prevention of (1) chronic disease, (2) promotion of healthy women, infants, and children, and (3) promotion of well-being to prevent mental health and substance abuse. To align with the constantly changing dynamics of the community, NYP-HVH has revised the focus and initiatives as compared to the 2013 2016 community service plan which included the prevention of chronic disease through the Healthy Heart program and reduction in obesity through improved breastfeeding rates at discharge. Community of Focus Based on the data process of analytics and prioritization, NYP-HVH will target efforts in Peekskill, Westchester County, to allow our teams to concentrate efforts and directly impact a high need community within the three-years of the service plan. Priority Areas of Focus The 2016-2018 Community Service Plan focused on addressing obesity in children and adults through breastfeeding at discharge. NYP-HVH increased the breastfeeding rate at discharge to 94% through education and support within 1 hour of birth. Our plan also addressed heart disease. Through our Healthy Heart program, participants experienced positive improvements in blood pressure and weight loss. NYP-HVH remains committed to serving the community by providing health care services and activities that benefit our community members. The hospital is continuing breastfeeding promotion and the Healthy Heart program, along with numerous other outreach activities, which are listed in the appendix. To respond to New York States call to identify two priorities and address disparities, we are additionally committing to the following two new initiatives which will be monitored and evaluated over the next 3 years. The initiatives below respond to the following Prevention Agenda Priorities: a) Prevent Chronic Disease Focus Area 1: Reduce Obesity & the Risk of Chronic Disease b) Goal 1.2 Reduce maternal mortality and morbidity. 2019-2021 Community Service Plan Initiatives Include: Focus Area 1: Reduce Obesity & the Risk of Chronic Disease Goal 1.1 - Increase access to healthy and affordable foods and beverages Objective Utilize a culturally sensitive process to empower organizations to focus on nutrition and physical activity, Promote wellness through community-based partnerships, and address food insecurities. INTERVENTION EXPLAINED: Choosing healthy & active lifestyles for kids (CHALK) is New York-Presbyterian's obesity prevention program. CHALK aims to address obesity using a socio ecological model as its theoretical framework. The program will drive system and environmental changes that produce long lasting improvements around wellness in the targeted community of Peekskill. Focus Area 2: Maternal & Womens Health Goal 1.2 Reduce Maternal Mortality And Morbidity. Objective: This program aims to reduce racial, ethnic, and geographic disparities in maternal and child health outcomes, and promote health equity for maternal and child health populations. INTERVENTION EXPLAINED: Our overarching goal is to develop a two-generation approach for improving maternal-child health in primary care and community settings by providing integrated mental health services to low-income and uninsured pregnant women and the newborn child, and establishing co-management strategies with partner community agencies. We will implement an enhanced healthy steps model using telehealth to meet mothers in their home environment and integrate community health workers to ensure that families can successfully navigate the medical and social service system. Healthy steps is an evidence-based national primary care model that aims to improve the health and well-being of mothers and their newborns. In the area surrounding the targeted community of Peekskill, we will participate in an existing community agency consortium whose focus is on maternal-child health in order to implement prevention strategies at a population level. level. Part V, Line 15E Hudson Valley Hospital has two financial Counselors who work with patients to provide information regarding Medicaid, Charity Care and to assist those patients who need help to apply. Part V Line 16a, b and c: www.nyp.org/hudsonvalley/charitycare Part V, Line 16J The Hospital follows two basic approaches to publicizing the availability of Financial Aid. First, it makes the Financial Aid Policy itself, a plain language summary, and the Financial Aid application available at various Hospital patient access points, posts signs conspicuously in public areas of the Hospital, includes information on billing statements, posts information (including how to obtain the policy, summary and application) on the website, and responds to inquiries from patients and members of the community on financial aid. Secondly, the Hospital provides updates and information (including the policy, the summary and/or the application) on a regular basis to leaders of local community base organizations, elected officials, the City Health Department and Westchester County Department of Health. 4 HUDSON VALLEY HOSPITAL CTR INFUSION CTR 1978 CROMPOND ROAD CORTLANDT MANOR NY 10567 INFUSION CENTER NYPHUDSON VALLEY DIAGNOSTIC RADIOLOGY 35 SOUTH RIVERSIDE AVENUE CROTONONHUDSON NY 10520 RADIOLOGY NYPHUDSON VALLEY HOSPITAL COLD SPRING 1756 ROUTE 9D1ST FLOOR COLD SPRING NY 10516 RADIOLOGY/PHYSICAL THERAPY NYPHUDSON VALLEY HOSPITAL PHYS THERAPY 420 SOUTH RIVERSIDE AVENUE CROTONONHUDSON NY 10520 PHYSICAL THERAPY ADDITIONAL INFORMATION Part I, Line 3: N/A Part I, Line 6a: N/A PART I, LINE 7, COLUMN (F) Bad debt price concessions are offset against revenue and not included in expenses. PART I, LINE 7 the following is a detail of the sources used for determining the amounts reported on schedule H: Line 7A - Adjusted Ratio of Patient Care Costs to Charges Line 7B - Cost accounting system Line 7E - Actual Expenses PART III, LINE 2 - BAD DEBT price concession EXPLANATION: For patients who were determined by the Hospital to have the ability to pay but did not, the uncollectable amounts are bad debt price concessions. PART III, LINE 3: The amount at cost included represents patients who qualify for charity care/financial assistance and have a bad debt write-off. Bad debt expense (price concessions) associated with patients that received charity care/financial assistance is represented in this $522,509 figure. These patients went through our charity care/financial assistance process and were determined to have financial need. As a result, we provided them with a discount based on our sliding scale charity care policy. If they were unable to pay the reduced balances, they were written off as bad debt and included as a community benefit. PART III, LINE 4 - FOOTNOTE TO FINANCIAL STATEMENTS: Audited Financial Statements page 21. PART III, LINE 8: THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. TOTAL INPATIENT AND OUTPATIENT COSTS. THESE DO NOT INCLUDE CERTAIN MEDICARE PROGRAM REVENUE AND COSTS AND THUS DO NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS WITH THE PARTICIPATION IN MEDICARE PROGRAMS. THE REVENUE AND COSTS EXCLUDES MEDICARE MANAGED CARE ACTIVITY. IF ALL THESE REVENUE AND COSTS WERE iNCLUDED THE MEDICARE SHORTFALL OF ($23,673,056) WOULD RESULT IN A GREATER MEDICARE shortfall OF ($34,170,533). MEDICARE NET SURPLUS PER SCHEDULE H (23,673,056) MEDICARE MANAGED CARE NET COSTS (10,497,487) TOTAL NET COSTS ASSOCIATED WITH THE MEDICARE PROGRAM (34,170,533) "Net is defined as revenue net of costs" PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION: POLICY AND PURPOSE: The purpose of the Collection Policy (Policy) is to promote patient access to quality health care while minimizing bad debt at New York -Presbyterian Hudson Valley Hospital (Hospital). This Policy places requirements upon Hospital and those agencies and attorneys undertaking debt collection activities that are consistent with the core mission, values, and principles of Hospital including, but not limited to, Hospitals Charity Care Policy (hereafter Charity Care Policy). This Policy applies to Hospital and any Agency, lawyer, or law firm assisting Hospital in the collection of an outstanding patient account debt. PROCEDURE: General guidelines 1. Hospital, collection agencies (Agency), and lawyers and law firms (Outside Counsel) will comply with all applicable federal and state laws and accrediting agency requirements governing the collection of debts including, but not limited to, the Fair Debt Collection Practices Act (FDCPA), the Fair Credit Billing Act, the Consumer Credit Protection Acts, Public Health Law Section 2807-k-9-a, Internal Revenue Service Code 501(r), Article 52 of the New York Civil Practice Law and Rules, and the Health Insurance Portability and Accountability Act (HIPAA). Hospital, Agency and Outside Counsel will also comply with Hospitals Charity Care Policy. To the extent that there are any inconsistencies between Hospitals Collection Policy and Charity Care Policy, the Charity Care Policy shall supersede and control. 2. Hospital shall enter legally binding written agreements with any parties (including Agency or Outside Counsel) to which it refers an individuals debt related to care that are reasonably designed to prevent Extraordinary Collection Actions (ECAs) from being taken to obtain payment for the care, until reasonable efforts have been made to determine whether the individual is eligible for Charity Care. PART VI, LINE 2 - NEEDS ASSESSMENT: The NewYork-Presbyterian Hudson Valley Hospital (NYP-HVH), is a regional hospital of NewYork-Presbyterian. NYP-HVH completed a Community Health Needs Assessment (CHNA) to identify the needs of our community and develop a Community Service Plan (CSP) and detailed implementation plan. NYP-HVH is deeply committed to the communities residing in Westchester County, Putnam County, and the surrounding areas. NYP HVH delivers a range of innovative programs and services intended to educate and provide resources to prevent illness, maintain health, and improve the overall well-being of the community. This summary outlines the data driven processes and priorities, partnership and collaborations, and community improvement initiatives for 2019-2021. Our priorities are aligned with the 2019-2024 New York State Prevention Agenda (NYS PA) to promote health equity with a focus on physical, mental, and social determinants of health. Utilizing a network approach, NYP-HVH collaborated with NewYork-Presbyterian, Westchester County Health Planning Coalition (WCHPC), the Westchester County Department of Health (WCDOH), Citizens Committee for Children of New York (CCC), Columbia University Irving Medical Center (CUIMC), Greater New York Hospital Association (GNYHA), local Community Based Organizations (CBOs), the New York Academy of Medicine (NYAM), and Weill Cornell Medical College (WCMC) to adopt a community focused process of collecting and analyzing measurable data (quantitative) and views voiced by the community (qualitative) from a variety of sources. The collaborative process ensured significant input from the key stakeholders and local community through questionnaires and focus groups conducted in several languages. This allowed the system to develop a focused implementation plan to meet the needs of those we serve. NYP-HVH compiled measurable data and input from the community from numerous sources in order to analyze the health and challenges of our community. The analysis utilized county and ZIP code data for metrics and included data related to demographics, socioeconomic status, insurance status, social determinants of health, health status, health service utilization, and the New York State Prevention Agenda. Community input sources included focus groups and community questionnaires and allowed involvement from a diverse group with respect to culture, race, language, age, gender identity, and sexual orientation. Data resources utilized include the Behavioral Risk Factor Surveillance System (BRFSS) New York State, CARES Engagement Network, Claritas, New York State Community Health Indicator Reports (CHIRs), Robert Wood Johnson County Health Rankings, State Cancer Profiles, and the United Hospital Fund. The collected data was ranked to provide detailed insight into the communities with high disparities and was then prioritized to determine the highest health priorities for the identified communities. The prioritized process utilized both quantitative health metrics and the qualitative community input data; the results of the prioritization process provided detailed insight into the health needs and challenges of the community and allowed NYP HVH to determine which focus areas and goals, as outlined in the New York State Prevention Agenda, to focus on to address the identified needs. NYP-HVH is committed to the successful implementation of each initiative and will utilize quality process improvement efforts to report on process and outcome measures in order to adapt each program to meet the annual expectations outlined as well as meet the needs of our community. Based on the completed data process, NYP-HVH, in partnership with local community-based organizations, will target the City of Peekskill for the Community Service Plan. The community has been identified as having high disparities, both health and social determinants of health, through the CHNA process. Additionally, Peekskill has been identified as an opportunity zone by the Tax Cuts and Jobs Act to incentivize private investment into economically distressed communities. The analyzed and prioritized data allowed for the identification of a community of focus as well as priority areas to impact the health of the most vulnerable populations. NYP-HVH will target efforts in Peekskill related to the prevention of (1) chronic disease, (2) promotion of healthy women, infants, and children, and (3) promotion of well-being to prevent mental health and substance abuse. To align with the constantly changing dynamics of the community, NYP-HVH has revised the focus and initiatives as compared to the 2013 2016 community service plan which included the prevention of chronic disease through the Healthy Heart program and reduction in obesity through improved breastfeeding rates at discharge. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Written materials, including the application, full Policy, and plain language summ true support connection inc 40 triangle center suite 100 yorktown heights NY 10598 133900612 501(c)(3) 7000 healthcare ST CHRISTOPHER'S INN 21 FRANCISCAN WAY GARRISON NY 10524 133668321 501(C)(3) 8500 Healthcare 2 Part I, line 2: prior to awarding assistance to organizations, an assessment is made on the use of the funds. Final determination is based on whether funds will be used to further our mission. true true false false false false false true false Brian Regan Director 0 290508 0 103261 0 38352 0 30034 0 41493 0 503648 0 0 Maxine Frank Director Eff. 2/2019 0 973517 0 1100120 0 331843 0 208407 0 33111 0 2646998 0 12652 Stacey Petrower Ex-Officio/President 0 507304 0 264458 0 70103 0 30279 0 21146 0 893290 0 0 Kathleen Burke Secretary Thru 9/2019 0 318373 0 98760 0 21482 0 40311 0 23006 0 501932 0 0 Mary Braunsdorf Secretary Eff. 9/2019 0 149926 0 1700 0 8548 0 8177 0 15715 0 184066 0 0 Bobby Janda VP Medical Affairs & CMO 336432 0 58550 0 9122 0 11000 0 35702 0 450806 0 0 0 Alice Corbett CNO & VP Pat. Serv THRU 7/2019 189269 0 49523 0 121874 0 11000 0 12104 0 383770 0 0 0 Ophelia Byers VP, CNO. EFF. 9/2019 71690 128594 5000 6825 5206 11030 0 9675 11490 41528 93386 197652 0 0 S Angela Gonzalez-Perez VP Operations 273966 0 60727 0 9585 0 11000 0 39072 0 394350 0 0 0 Sedrick O'Connor VP Human Resources 228224 0 50348 0 9421 0 11000 0 36311 0 335304 0 0 0 Sharon Mandel CFO HVH & Corp Dir NYP 0 285768 0 4000 0 4258 0 39965 0 48197 0 382188 0 0 William Higgins PRESIDENT - MEDICAL GROUP 409644 0 88530 795 33708 0 11000 0 25575 0 568457 795 0 0 Karen D Erickson Director of Pharmacy 213797 0 2500 0 310 0 13345 0 42455 0 272407 0 0 0 Margi S Quail Director Finance 200376 0 9960 0 1469 0 13799 0 27006 0 252610 0 0 0 Sabrina Nitkowski-Keever Director Med/Surg & Case Mgmt 192189 0 8198 0 300 0 11554 0 407 0 212648 0 0 0 Salvacion D Delacruz Registered Nurse 190018 0 3569 0 542 0 16556 0 24025 0 234710 0 0 0 Gary Zuar Former Officer 0 692924 0 431125 0 234761 0 111590 0 38833 0 1509233 0 2844 Mary Kincart Former Key Employee 12910 222519 0 46373 49 12707 10990 11298 536 12099 24485 304996 0 0 Part VII and Schedule J: Certain individuals of the New York and Presbyterian Hospital identified in part VII as a Director & Former Officer of the Hudson Valley Hospital DBA NYP/Hudson Valley Hospital are responsible for executing the mission and management of the New York and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2019 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. Schedule J, Line 3: Compensation decisions for the President was determined by a related organization following that organization's compensation policy. Part I, Line 4A: Received a severance payment: Alice Corbett: $112,904 Part I, Line 4b: Participated in a Supplemental Nonqualified retirement plan: Maxine Frank: 174,142 Gary Zuar : 81,226 Supplemental Nonqualified retirement plan as reported on W2: Maxine Frank: 157,577 Gary Zuar : 123,050 PART I, LINE 7 - NON-FIXED PAYMENTS: See Schedule o Line 15 - for non-fixed payments. Part VI, Section A, Line 6: NYP Community Programs, Inc, a New York not-for-profit corporation, is the sole member of the hudson valley hospital center dba NewYork-Presbyterian/Hudson Valley Hospital (CORPORATION). Part VI, Section A, Line 7A & 7B: THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS PURSUANT TO THE CORPORATIONS BYLAWS. THE MEMBER HAS OTHER RIGHTS, POWERS AND AUTHORITY VESTED IN IT BY THE BYLAWS OF THE CORPORATION, BY NON PROFIT CORPORATE LAW (NPCL) AND OTHER APPLICABLE LAW, AND BY VIRTUE OF ITS CAPACITY AS THE ESTABLISHED CO-OPERATOR OF THE CORPORATION LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW. ITS POWERS SO DELINEATED INCLUDE DECISIONS SUCH AS ADOPTING, AMENDING OR REPEALING BYLAWS, ELECTING OFFICERS OF THE CORPORATION, AND MAKING STRATEGIC PLANNING DECISIONS FOR THE CORPORATION. Part VI, Section B, Line 11A & B: MEMBERS OF THE NEWYORK-PRESBYTERIAN HOSPITAL (NYPH) FINANCE DEPARTMENT (FINANCE) COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990, ACCESSING VARIOUS RESOURCES INCLUDING, LEGAL, HUMAN RESOURCES, CORPORATE COMPLIANCE, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. THE FOLLOWING IS THE PROCESS FOR REVIEW: SENIOR FINANCE EXECUTIVES REVIEW THE RETURN IN CONJUNCTION WITH ERNST & YOUNG U.S. LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE NYPH BOARD (NYPH AUDIT COMMITTEE) OR HIS/HER DESIGNEE. PURSUANT TO THE CORPORATIONS BYLAWS, IT IS THE NYPH AUDIT COMMITTEE THAT REVIEWS THE CORPORATIONS FORM 990. THE CHAIR OF THE NYPH AUDIT COMMITTEE OR HIS/HER DESIGNEE CONDUCTS A DETAILED REVIEW AND MEETS WITH FINANCE TO ADDRESS ANY QUESTIONS. A COPY OF THE 990 IS SENT TO THE OTHER COMMITTEE MEMBERS FOR REVIEW, AND A REPORT IS GIVEN ON THE 990 BY MANAGEMENT AT THE COMMITTEES MEETING IMMEDIATELY PRECEDING THE FILING. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS, CORPORATION, PRIOR TO ITS FILING. THE CORPORATION FILES THE 990 UPON FINAL REVIEW. Part VI, Section B, Line 12C: Hudson Valley Hospital center DBA NewYork-Presbyterian/Hudson Valley Hospital adheres to a conflict of interest (coi) policy that was approved by the audit and corporate compliance committee of the board of trustees. The policy states in part: "Each Board Member, Officer or Key Person of a New York-Presbyterian Organization shall complete a conflict of interest questionnaire prior to becoming a Board Member, Officer or Key Person of the New York-Presbyterian Organization and annually thereafter." The policy also states that "each Board Member, Officer, or Key Person shall promptly advise the Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire." The Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, shall review all completed questionnaires and all subsequent advice of changes and shall take such action as is deemed appropriate to eliminate potentials for conflicts of interest, including such steps as reassignment of responsibilities or establishment of protective arrangements. All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the Audit and Corporate Compliance Committee, together, in each case, with response or recommendation of management. The Audit and Corporate Compliance Committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not, shall require such further action as it deems appropriate. Part VI, Section B, Line 15: Compensation decisions for the President and other Officers not paid by the organization was determined by a related organization following that organization's compensation policy. The organizations president & Officers have no influence over the compensation process performed by the related organization Compensation decisions for the key employees was reviewed and approved by the Board of Directors of NYP Community Programs, Inc. (board). The board members are independent of the hospital and its management team and there are no conflicts of interest. The board is responsible for overseeing executive compensation policies and practices, and for setting and approving compensation for the hospitals senior management. The board members have engaged an independent third-party expert to provide objective advice and relevant industry and marketplace benchmarks for compensation. The board assesses total compensation for senior management. All senior management compensation is approved by the board without input or voting participation by persons whose compensation is being approved or by any other individual with a conflict of interest. Part VI, Section C, Line 19: External requests for our governing documents, conflict of interest policy, and financial statements are reviewed for validity. These requests are then granted if deemed appropriate. Part XI, Line 9: Change in Interest of the foundation of NYP/Hudson Valley = 105,192 Transfer of a building to Hudson Valley Hospital = 2,576,934 Change in Investment in Hudson East River Systems, LLC = 506,339 Total Other Changes = 2,188,465 NEW YORK-PRESBYTERIAN FOUNDATION INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG. 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