2020-11-12T11:34:21-06:00 2019-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2019-01-01 133746997 The New York Gracie Square Hospital Inc % SANDY KWONG NEWY 2124345300 420 East 76 Street New York NY 10021 MICHAEL BRESLIN treasurer 2129884400 2020-11-09 NICOLE SOKOLOWSKI P01683199 2127733000 108.206.163.59 35057220203175000016 2020-11-12 P 047C777BBD395ADD529156C75D94AFF56594489C 770194AAF055F9EA87E64CA02E08FE540289067F 2019 2021-01-29 14:40:06Z DAVID WYMAN 420 East 76 Street New York NY 10021 66329046 false X www.nygsh.org X 1958 NY our mission is to provide the highest- quality, state-of-the-art mental health and chemical dependency treatment in a warm, healing environment. 8 5 523 0 0 0 175198 8313471 52773528 57779684 106289 152178 107538 83713 53162553 66329046 0 36711 0 0 42694723 46673124 90000 90000 90000 13519510 14605170 56304233 61405005 -3141680 4924041 42253340 45903516 41824677 41216097 428663 4687419 X OUR MISSION IS TO PROVIDE THE HIGHEST-QUALITY, STATE-OF-THE-ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM, HEALING ENVIRONMENT. OUR CARING, COMPASSIONATE TEAM PREPARES OUR PATIENTS TO RETURN TO THEIR FAMILIES AND COMMUNITIES AND ENGAGE IN PRODUCTIVE AND FULFILLING LIVES. WE SERVE THE DIVERSE RESIDENTS OF THE GREATER NEW YORK METROPOLITAN AREA THROUGH TREATMENT, EDUCATION AND HEALTH PROMOTION. false false 50336881 36711 57803847 AS DESCRIBED IN THE NEEDS ASSESSMENT ABOVE DURING 2015 THE HOSPITAL EMBARKED UPON A REVITALIZATION PROGRAM TO IMPROVE THE QUALITY OF PATIENT CARE AND THE WAY WE PROVIDE IT; WITH THE GOAL OF PROVIDING THE HIGHEST QUALITY, STATE OF THE ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM AND HEALING ENVIRONMENT. THIS PROGRAM INCLUDED IMPROVING STAFFING RATIOS, QUALITY AND SAFETY MONITORING, PLANT RENOVATIONS, ITS INFRASTRUCTURE AND THE IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORD.THE FOLLOWING DESCRIBES SOME THE CHANGES TO OUR MISSION, CULTURE AND VALUES, PROGRAMS AND HEALTHCARE TEAM THAT BEGAN IN 2015 AND HAVE CONTINUED SINCE THAT TIME.GRACIE SQUARE HOSPITAL HAS PROVIDED ADVANCED, PATIENT-CENTERED INPATIENT BEHAVIORAL HEALTH SERVICES SINCE 1959. WE ARE COMMITTED TO PROVIDING PATIENTS WITH COMPASSIONATE AND COMPREHENSIVE CARE IN A WARM AND WELCOMING ENVIRONMENT IN ORDER TO FACILITATE THEIR RECOVERY AND RETURN TO THEIR FAMILIES AND COMMUNITIES.GRACIE SQUARE HOSPITAL, A PSYCHIATRIC INPATIENT FACILITY LOCATED ON A QUIET SIDE STREET ON THE UPPER EAST SIDE OF MANHATTAN, IS NOW EXPERIENCING A PERIOD OF EXTRAORDINARY TRANSFORMATION AND REVITALIZATION. THROUGH OUR AFFILIATION WITH NEWYORK-PRESBYTERIAN, ONE OF THE NATION'S PREMIER ACADEMIC HEALTHCARE DELIVERY SYSTEMS, GRACIE SQUARE HOSPITAL IS UNDERGOING RENOVATIONS, GROWING ITS STAFF, AND ENHANCING SERVICES AND PROGRAMS. UNDER NEW LEADERSHIP, THE HOSPITAL IS FOCUSED ON PROVIDING THE HIGHEST QUALITY OF CARE, EVIDENCE-BASED TREATMENTS, EDUCATION, AND TRAINING.GRACIE SQUARE HOSPITAL'S HIGHLY SPECIALIZED CLINICAL SERVICES ARE COMPRISED OF SPECIAL UNITS DEDICATED TO: * CRISIS STABILIZATION PROGRAM* AFFECTIVE DISORDERS PROGRAM * PSYCHOTIC DISORDERS PROGRAM* DUAL FOCUS PROGRAM * OLDER ADULT PROGRAM* YOUNG ADULT PROGRAM * ASIAN PSYCHIATRY PROGRAM.GRACIE SQUARE HOSPITAL OFFERS A MULTIDISCIPLINARY APPROACH TO CARE FOR PATIENTS WITH PSYCHIATRIC DISORDERS WHO CAN BENEFIT FROM INPATIENT HOSPITALIZATION. OUR DIAGNOSTIC AND TREATMENT PROGRAMS ARE PROVIDED BY SKILLED BEHAVIORAL HEALTHCARE AND MANAGEMENT TEAMS FOR A WIDE RANGE OF PSYCHIATRIC ILLNESSES AND DISORDERS. OUR DEDICATED TEAMS INCLUDE LICENSED AND CERTIFIED STAFF MEMBERS WHO CREATE A NURTURING, THERAPEUTIC ENVIRONMENT WHERE PATIENTS ARE ENCOURAGED TO ASK QUESTIONS AND GAIN A BETTER UNDERSTANDING ABOUT THEIR ILLNESSES AND TREATMENT. OUR GOAL IS TO HELP PATIENTS RETURN TO THEIR COMMUNITIES TO LIVE HEALTHY, PRODUCTIVE LIVES.OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY, STATE-OF THE ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM, HEALING ENVIRONMENT. OUR CARING, COMPASSIONATE TEAM PREPARES OUR PATIENTS TO RETURN TO THEIR FAMILIES AND COMMUNITIES AND ENGAGE IN PRODUCTIVE AND FULFILLING LIVES. WE SERVE THE DIVERSE RESIDENTS OF THE GREATER NEW YORK METROPOLITAN AREA THROUGH TREATMENT, EDUCATION AND HEALTH PROMOTION.OUR CULTURE AND VALUES AT GRACIE SQUARE HOSPITAL, ALL MEMBERS OF OUR TEAM ARE GUIDED BY THESE CORE VALUES: * RESPECT TREATING EVERY PERSON IN OUR CARE WITH DIGNITY AND RESPECT * COMPASSION AND EMPATHY LISTENING, UNDERSTANDING, AND RESPONDING TO OUR PATIENTS' NEEDS AND CONCERNS AND DEDICATING OURSELVES TO ALLEVIATING THEIR DISTRESS * QUALITY AND EXCELLENCE CONTINUOUSLY ADVANCING THE QUALITY OF OUR CARE TO ACHIEVE THE HIGHEST STANDARD OF EXCELLENCE * INTEGRITY MAINTAINING THE HIGHEST ETHICAL AND MORAL STANDARDS THROUGHOUT EVERY FACET OF OUR ORGANIZATION * TEAMWORK WORKING COLLABORATIVELY WITHIN OUR INTERDISCIPLINARY TEAM, PARTNERING WITH THE INDIVIDUALS UNDER OUR CARE, AND INVOLVING THEIR FAMILIES AND SUPPORT SYSTEMS PROGRAMS.ACUTE CRISIS STABILIZATION SERVICE: THE CRISIS STABILIZATION PROGRAM AT GRACIE SQUARE HOSPITAL PROVIDES SHORT TERM HOSPITALIZATION FOR ADULTS WITH ACUTE PRESENTATIONS OR EXACERBATIONS OF PSYCHIATRIC SYNDROMES. THE SERVICE OFFERS DIAGNOSTIC ASSESSMENT AND TREATMENT FOR THE FULL RANGE OF MENTAL HEALTH CONDITIONS INCLUDING MOOD AND ANXIETY DISORDERS, POST-TRAUMATIC STRESS DISORDERS AND OTHERS. INDIVIDUALS REQUIRING A SAFE AND SUPPORTIVE ENVIRONMENT FOR ASSESSMENT AND SYMPTOM RELIEF ARE UNDER THE CARE OF A MULTIDISCIPLINARY TEAM. PROMPT AND THOROUGH PSYCHIATRIC AND MEDICAL EVALUATIONS HELP TO FOCUS THE GOALS OF TREATMENT.STAFF MEMBERS COLLABORATE TO PROVIDE COMPREHENSIVE CARE IN AN ACUTE TREATMENT SETTING FOR RAPID SYMPTOM RELIEF. INDIVIDUAL THERAPY IS AVAILABLE TO HELP PATIENTS IDENTIFY LIFE STRESSORS. OUR GROUP AND THERAPEUTIC ACTIVITY PROGRAM IS SUITABLE FOR A DIVERSE PATIENT POPULATION. SUCCESSFUL RETURN TO THE FAMILY AND COMMUNITY, AS WELL AS PRIOR WORK, EDUCATIONAL AND LEISURE ACTIVITIES, IS THE GOAL OF THE PROGRAM. THEREFORE, DISCHARGE PLANNING BEGINS SOON AFTER A PATIENT IS ADMITTED TO TAILOR APPROPRIATE AFTERCARE AND TO HELP PATIENTS ACCESS THE MOST APPROPRIATE SERVICES TO CONTINUE TREATMENT AS NEEDED.MOOD DISORDERS PROGRAM: GRACIE SQUARE HOSPITAL OFFERS A SPECIALIZED UNIT FOCUSING ON THE TREATMENT OF ADULTS WITH AFFECTIVE DISORDERS. INDIVIDUALS SUFFERING FROM DEPRESSION AND BIPOLAR DISORDERS AND OTHER CONDITIONS MANIFESTING MOOD SYMPTOMS RECEIVE STATE OF THE ART PSYCHOPHARMACOLOGY AND PSYCHOTHERAPY AFTER A THOROUGH DIAGNOSTIC ASSESSMENT. MULTIDISCIPLINARY TREATMENT PLANNING INCLUDES THE TREATMENT PROVIDERS AND PATIENT FOR FORMULATION OF AN INDIVIDUALIZED PLAN FOR CARE DURING THE ADMISSION. INDIVIDUAL THERAPY, MILIEU TREATMENT, DIVERSE GROUPS AND THERAPEUTIC ACTIVITIES COMPRISE ACTIVE TREATMENT, OFTEN IN ADDITION TO MEDICATION MANAGEMENT.COMBINATIONS OF MEDICATIONS AND SHORT TERM THERAPIES ARE OFTEN THE MOST EFFECTIVE APPROACHES FOR THESE CONDITIONS. PATIENTS WITH TREATMENT RESISTANT SYMPTOMS OR REQUIRING COMPLEX MEDICATION REGIMENS ARE OFTEN BEST MONITORED ON AN INPATIENT SETTING. IN ADDITION AN INPATIENT UNIT WITH A FOCUS ON MOOD DISORDERS CAN ADDRESS SAFETY ISSUES AND MEDICAL MONITORING. DURING THE STAY EXPERIENCED SOCIAL WORKERS DISCUSS APPROPRIATE OUTPATIENT FOLLOW UP AND ACCESS TO COMMUNITY RESOURCES TO PROMOTE RECOVERY. GROUP AND INDIVIDUAL THERAPIES ON THE AFFECTIVE DISORDERS UNIT DRAW UPON PRINCIPLES FROM COGNITIVE BEHAVIORAL AND DIALECTIC BEHAVIORAL TECHNIQUES. OUR MULTIDISCIPLINARY APPROACH IN A HEALING, THERAPEUTIC MILIEU WITH AN ARRAY OF RESOURCES AIMS TO PROMOTE WELLNESS WHILE PROVIDING SKILLS FOR RELAPSE PREVENTION AND RETURN TO OPTIMAL FUNCTIONING.PSYCHOTIC DISORDERS TREATMENT PROGRAM: THE PSYCHOTIC DISORDERS UNIT PROVIDES CARE FOR INDIVIDUALS WITH ACUTE EXACERBATIONS OF SCHIZOPHRENIA AND SCHIZOAFFECTIVE DISORDERS AS WELL AS THOSE WITH BIPOLAR DISORDER WITH PSYCHOTIC FEATURES. A MULTIDISCIPLINARY TREATMENT TEAM SKILLED IN TREATMENT OF THESE CONDITIONS PROVIDES A SETTING TO MANAGE ACUTE SYMPTOMS AS WELL AS DISCUSSION OF STRESSORS LEADING TO EXACERBATIONS. GROUP THERAPIES TARGET SYMPTOM IDENTIFICATION TO HELP PATIENTS LEARN WARNING SIGNS AS WELL AS COPING STRATEGIES TO MANAGE PERSISTENT SYMPTOMS OUTSIDE OF THE HOSPITAL AFTER STABILIZATION. EDUCATION ABOUT PSYCHOTIC DISORDERS PROMOTES BETTER ACCEPTANCE OF THE ILLNESSES AND ENCOURAGES TREATMENT ADHERENCE TO HELP PREVENT FUTURE RELAPSES AND MAXIMIZE FUNCTIONAL RECOVERY.THE TREATMENT MILIEU PROVIDES SUPPORT AND PROMOTES SOCIALIZATION WHILE ACUTE SYMPTOMS ARE ADDRESSED BY EXPERT PSYCHOPHARMACOLOGISTS AND PSYCHOTHERAPISTS. THE PATIENT'S MEDICATION HISTORY IS REVIEWED TO PROVIDE A TREATMENT REGIMEN DESIGNED TO HAVE THE LOWEST SIDE EFFECT PROFILE AND LOWEST POSSIBLE RISK OF FUTURE MEDICAL COMPLICATIONS WHILE TREATING SYMPTOMS EFFICIENTLY. THE INDIVIDUAL'S PHYSICAL HEALTH STATUS IS ASSESSED AND MONITORED DURING THE INPATIENT STABILIZATION. EXPERT CLINICIANS SKILLED IN THE TREATMENT OF PSYCHOTIC DISORDERS PROVIDE INDIVIDUAL AND FAMILY THERAPY ALONG WITH EDUCATION TO PROMOTE THE BEST OUTCOMES. THE UNIT SOCIAL WORKERS DISCUSS COMMUNITY RESOURCES FOR ONGOING STABILIZATION AND COMMUNITY INTEGRATION.DUAL FOCUS UNIT: THE DUAL FOCUS UNIT PROVIDES INPATIENT TREATMENT FOR INDIVIDUALS WITH SIGNIFICANT EMOTIONAL OR PSYCHIATRIC PROBLEMS IN ADDITION TO BEING CHEMICALLY DEPENDENT. GRACIE SQUARE HOSPITAL PROVIDES COMPREHENSIVE TREATMENT ON A SPECIALIZED UNIT WHICH UTILIZES A FLEXIBLE BLEND OF PSYCHIATRIC AND SUBSTANCE ABUSE MODELS IN A SUPPORTIVE THERAPEUTIC MILIEU. OUR STAFF CONSISTS OF HIGHLY TRAINED, DEDICATED AND EXPERIENCED PSYCHIATRISTS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS, ACTIVITIES THERAPISTS AND SUBSTANCE USE COUNSELORS AS WELL AS MEDICAL, NEUROLOGICAL AND PSYCHOLOGY CONSULTANTS.CERTAIN CHEMICALLY DEPENDENT INDIVIDUALS DO NOT RESPOND READILY TO STANDARD SUBSTANCE ABUSE TREATMENT. MANY OF THESE PATIENTS ARE IN FACT SUFFERING FROM TWO CONCURRENT ILLNESSES. OFTEN THESE DUALLY DIAGNOSED PATIENTS ARE TREATED EITHER IN MENTAL HEALTH OR ADDICTION SYSTEMS OR SHUTTLED BACK AND FORTH BETWEEN THEM. FREQUENTLY THIS FRAGMENTED APPROACH RESULTS IN TREATMENT FAILURE. THE DUAL FOCUS PROGRAM HAS BEEN SPECIFICALLY DESIGNED TO PROVIDE A UNIQUE INTEGRATED TREATMENT PROGRAM TAILORED TO THE NEEDS OF THIS SPECIAL POPULATION, ADDRESSING BOTH PSYCHIATRIC AND A 50336881 true true false true false false false false false false true false false false true false true false false false false false false true false false true true false true true false false false false false false false false true false false false false true true true false false true 59 0 true 523 true false false false false false false false false false false false false X 8 5 false false false false true true false true true false false true true true true true true true true false NY X SANDY KWONG 2124345300 420 EAST 76 STREET new york NY 10021 X Phyllis R Lantos Former Officer 0.0 0.0 X 0 1520361 244645 Michael Breslin Treasurer 1.0 59.0 X 0 1664397 69793 Gary J Zuar Ass't Treasurer 2.0 58.0 X 0 1358810 150423 Karen Westervelt Board Member 2.0 58.0 X 0 1374148 54004 David Wyman President 60.0 0.0 X 608318 0 51622 Nazim B Malatyali Board Member 2.0 58.0 X 0 570970 55830 Brian Regan Board Member 2.0 58.0 X 0 432121 71527 Kathleen M Burke Ass't Secretary 1.0 59.0 X 0 438615 63317 Donna T Anthony Chief Medical Officer 60.0 0.0 X 384020 0 36258 Michael Radosta Chief Nursing & Qual. Officer 60.0 0.0 X 348009 0 63211 Natasha Bowman Chief HR Officer 60.0 0.0 X 259118 0 55682 David Wiecks Chief Financial Officer 60.0 0.0 X 259720 0 38311 Margaret Mancuso Chief Administrative Officer 60.0 0.0 X 260681 0 29259 Satyanarayana Abkari Psychiatrist 40.0 0.0 X 270463 0 19045 Vassilios Latoussakis Psychiatrist 40.0 0.0 X 253077 0 20195 Douglas Saphier Psychiatrist 40.0 0.0 X 247613 0 25525 Smita Agarkar Psychiatrist 40.0 0.0 X 241375 0 23065 Mahgoub Nahla Psychiatrist 40.0 0.0 X 242908 0 17117 Bernadette O'Campo Secretary 2.0 58.0 X 0 188209 46457 Melissa Welch Ass't Secretary 1.0 59.0 X 0 166153 30089 Philip J Wilner Chairman 2.0 0.0 X 0 0 0 Vincent De Roulet Board Member 2.0 0.0 X 0 0 0 Adam Owett Sr Board Member 2.0 0.0 X 0 0 0 Joseph Peyronnin Board Member 2.0 0.0 X 0 0 0 John Zirinsky Board Member 2.0 0.0 X 0 0 0 3375302 7713784 1165375 92 true true false G-NET CONSTRUCTION 360 Targee Street STATEN ISLAND NY 10304 CONSTRUCTION SERVICE 1705834 ARAMARK 600 E Luzerne St PHILADELPHIA PA 19124 FOOD SERVICES 1287086 CERNER HEALTH SERVICES INC 51 VALLEY STREAM PKWY MALVERN PA 19355 HEALTHCARE SERVICES 1281123 Interstate Mechanical Services 51 Railroad Ave CLOSTER NJ 07624 CONSULTING SERVICES 1169774 CAPSTONE BUSINESS FUNDING LLC 810 7th Ave 27th Fl NEW YORK NY 10019 CONSULTING SERVICES 585374 26 7229515 1083956 716217 8313471 PATIENT REVENUE 621110 57779684 57779684 57779684 152178 152178 0 0 59550 0 59550 0 59550 59550 0 0 0 0 0 0 0 0 0 0 OTHER MISCELLANEOUS 900099 24163 24163 24163 66329046 57803847 211728 0 36711 36711 0 0 2394210 2394210 0 32673858 28122787 4551071 2000023 1721444 278579 6969548 5998775 970773 2635485 2268394 367091 0 499581 499581 285392 285392 0 90000 90000 0 4821160 4100548 720612 317036 272877 44159 2434840 2095696 339144 990995 852962 138033 0 1051490 1000758 50732 66049 5136 60913 0 58960 50748 8212 236717 225296 11421 0 2333664 2221070 112594 311936 189463 122473 MEDICAL & PHARMACY SUPPLIES 1031258 1031258 DUES & MEMBERSHIP 111660 96107 15553 PERMIT, LICENSE, AND FEES 54432 46851 7581 61405005 50336881 10978124 90000 0 56804 7641607 5561790 0 474116 9947025 10514172 0 0 0 0 0 0 51352 52991 3314578 1903779 37212923 10001848 20428784 27211075 0 0 0 0 0 0 0 0 869994 128789 42253340 45903516 9710784 9016351 0 0 0 0 0 0 0 0 0 0 14601359 13857903 0 0 17512534 18341843 41824677 41216097 X -710597 4213303 1139260 474116 428663 4687419 42253340 45903516 X 4924041 -665285 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 5055 5055 Schedule C, Part II-B, line 1I 1199 - Certain employer contribution amounts that are paid are allocated for lobbying purposes in connection with New York State and Federal policy issues. Gracie Square Hospitals pro-rated share of HEP-1199 Lobbying expenses for 2019 is 5,055. 23751388 7459522 16291866 5298061 2542326 2755735 8163474 8163474 27211075 0 DUE TO RELATED ORGANIZATIONS 13258575 ACCRUED PROFESSIONAL LIABILITY 907000 DUE TO THIRD PARTY PROVIDERS 4176268 18341843 58954484 58954484 7374562 7374562 66329046 61405005 61405005 61405005 Part XI, Line 4B Net asset transfer from The New York and Presbyterian Hospital: $7,229,515 Capital contributions: $145,047 X true Community Counseling Services Co Fundraising Counsel false 90000 90000 NY Part I, Line 2b Community Counselling Services Co, LLC (CCS) has a twelve month agreement(jan 1 - Dec 31, 2019) for a fee of 90,000. true true X false false true true false true true 1112052 1112052 0.01810 35490914 31357586 5133328 0.08360 36602966 31357586 6245380 0.10170 36711 36711 0.00060 36711 36711 0.00060 36639677 31357586 6282091 0.10230 true 354659 22889 5921600 7148059 -1226459 X true true 1 1 THE NEW YORK GRACIE SQUARE HOSPITAL 420 EAST 76TH STREET NEW YORK NY 10021 www.nygsh.org 8713070 X PSYCHIATRIC hospital THE NEW YORK GRACIE SQUARE HOSPITAL false false true X X X X X X X X X 19 true false false true X SCHEDULE H, PART V, SECTION C X true 19 true SCHEDULE H, PART V, SECTION C false true X X X X X true true X X X X true X SCHEDULE H, PART V, SECTION C X SCHEDULE H, PART V, SECTION C X SCHEDULE H, PART V, SECT C X X X X X true X false X X X false X X X false false PART V, LINE 5: AS PART OF OUR COMMUNITY BENEFIT STRATEGY, GRACIE SQUARE HOSPITAL CONTINUOUSLY STRIVES TO MAINTAIN AND IMPROVE THE QUALITY OF OUR SERVICES PROVIDED TO OUR PATIENTS THROUGH QUALITY IMPROVEMENT STUDIES AND PATIENT SATISFACTION SURVEYS. WE VIEW THESE TOOLS AS A WAY OF TRULY HEARING OUR PATIENTS' VOICES AND THEIR OPINIONS ABOUT OUR SERVICES. GRACIE SQUARE HOSPITAL HAS CONTRIBUTED TO A VARIETY OF KEY STAKEHOLDERS, NETWORKS AND COALITIONS IN THE CITY, INCLUDING THE NY COALITION FOR QUALITY ASSISTED LIVING (WE ARE A GOLD MEMBER), THE CHINESE AMERICAN FUND, THE BROOKLYN CHINESE AMERICAN FUND, AND CHINATOWN HEALTH. OUR CONNECTIONS WITH THESE GROUPS HELP TO ENSURE THAT OUR INPATIENT BEHAVIORAL HEALTH SERVICES ARE TAILORED TO MEET THE NEEDS OF THESE SPECIALIZED COMMUNITIES, MOST NOTABLY THOSE IN OUR ASIAN AND GERIATRIC PSYCHIATRY PROGRAMS. FURTHER, BY COLLABORATING WITH AND CONTRIBUTING TO THESE GROUPS YEAR AFTER YEAR THE COMMUNITY'S AWARENESS OF GRACIE SQUARE HOSPITAL AND OUR SERVICES HAS INCREASED, HELPING TO FACILITATE THE TRANSITION INTO OUR CARE DURING A CRISIS REQUIRING ACUTE PSYCHIATRIC CARE AND TO REGAIN A SENSE OF EMPOWERMENT AND TO REGAIN A SENSE OF EMPOWERMENT AND COMPETENCY THAT IS OFTEN COMPROMISED BY THE INDIVIDUAL'S STRUGGLE WITH HIS/HER BEHAVIORAL HEALTH ISSUES. DATA GATHERED AS PART OF THE MOST RECENT CHNA WAS FROM SURVEYS AND MORE IN DEPTH STUDIES CONDUCTED OVER THE COURSE OF 2019. THIS INFORMATION IS USED TO IDENTIFY ANY AREAS OF UNMET NEED OR WAYS TO IMPROVE OUR SERVICES. WE OFTEN ALSO DISCOVER OPPORTUNITIES THAT WE CAN IMPROVE THE CULTURAL COMPETENCE OF OUR SERVICES THROUGH THESE METHODS. FURTHER, BY ENSURING THAT EACH OF OUR CONSUMERS HAS THE CHANCE TO SHARE THEIR THOUGHTS AND FEELINGS ABOUT THEIR EXPERIENCE WITH US, WE HELP THEM TO REGAIN A SENSE OF EMPOWERMENT AND COMPETENCY THAT IS OFTEN COMPROMISED BY THE INDIVIDUAL'S STRUGGLE WITH HIS/HER BEHAVIORAL HEALTH ISSUES. PART V, LINES 7A & 10A https://www.nygsh.org/doc/gsh-community-health-needs_2019-2021.pdf PART V, LINE 11: THE HOSPITAL IS LICENSED BY THE NEW YORK STATE OFFICE OF MENTAL HEALTH AS AN ARTICLE 31 FREE STANDING PSYCHIATRIC HOSPITAL AND AS SUCH IS LIMITED IN REGARDS TO PROVIDING ADDITIONAL MEDICAL SERVICES. OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED THE HOSPITAL WAS MEETING THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY. FOR NEARLY SIX DECADES, GRACIE SQUARE HOSPITAL HAS BEEN A MAINSTAY OF THE UPPER EAST SIDE, PROVIDING THE HIGHEST QUALITY AND MOST COMPASSIONATE CARE TO ADULTS 18 YEARS AND OLDER WITH BEHAVIORAL HEALTH NEEDS WHO CAN BENEFIT FROM INPATIENT HOSPITALIZATION. THE HOSPITAL OFFERS INDIVIDUALS A WARM AND WELCOMING ENVIRONMENT IN WHICH TO RECEIVE STATE-OF-THE-ART TREATMENT TO FACILITATE A HEALTHY RECOVERY. UNDER NEW LEADERSHIP, THE HOSPITAL IS FOCUSED ON PROVIDING HIGH-QUALITY, EVIDENCE-BASED TREATMENT AND ENHANCING THE PATIENT EXPERIENCE. "GRACIE SQUARE HOSPITAL IS UNDERGOING A PERIOD OF EXTRAORDINARY TRANSFORMATION AND REVITALIZATION," SAYS DAVID A. WYMAN, PRESIDENT AND CEO, GRACIE SQUARE HOSPITAL. "WE HAVE UNDERTAKEN RENOVATIONS OF OUR PATIENT CARE FACILITIES. WE ARE GROWING OUR STAFF AND EXPANDING SERVICES AND PROGRAMS, INCLUDING EDUCATIONAL EVENTS FOR THE COMMUNITY. MOST IMPORTANTLY, OUR PATIENTS ARE BENEFITING FROM THE LATEST THERAPIES, WHICH ARE IN LINE WITH OUR COMMITMENT TO MAINTAINING THE HIGHEST STANDARDS OF PSYCHIATRIC TREATMENT. OUR GOAL IS TO HELP PATIENTS RETURN TO THEIR COMMUNITIES TO LIVE HEALTHY, PRODUCTIVE LIVES." THROUGH GRACIE SQUARE HOSPITAL'S AFFILIATION WITH NEWYORK- PRESBYTERIAN, ONE OF THE NATION'S PREMIER ACADEMIC HEALTHCARE DELIVERY SYSTEMS, WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, PATIENT-CENTERED MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT SERVICES TO INDIVIDUALS LIVING IN THE GREATER NEW YORK CITY METROPOLITAN AREA. ONE OF THE NATION'S PREMIER ACADEMIC HEALTHCARE DELIVERY SYSTEMS, WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, PATIENT-CENTERED MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT SERVICES TO INDIVIDUALS LIVING IN THE GREATER NEW YORK CITY METROPOLITAN AREA. PART V, LINE 13: THE HOSPITAL PROVIDES FREE AND DISCOUNTED CARE TO UNINSURED AND UNDER INSURED INDIVIDUALS. FREE AND DISCOUNTED CARE IS APPROVED BASED UPON INDIVIDUALS FINANCIAL RESOURCES. PART V, LINES 15 AND 16: FINANCIAL ASSISTANCE MAY BE APPLIED FOR BY CONTACTING THE ADMITTING OFFICE. APPLICANTS MAY BE REQUIRED TO COMPLETE A MEDICAID APPLICATION AND TO PROVIDE DOCUMENTATION REQUIRED BY MEDICAID TO PROCESS THE APPLICATION. THE HOSPITAL WILL ASSIST WITH SUBMITTING MEDICAID APPLICATIONS AND WITH MEDICARE ENROLMENT OR PROVIDE INFORMATION FOR INDIVIDUALS TO DO SO ON THEIR OWN. Financial Aid Policy Available on Website: https://www.nygsh.org/admissions-and-insurance.html PLEASE REFER TO THE DISCLOSURES IN PART VI REGARDING GRACIE SQUARE HOSPITALS EFFORTS TO REVITALIZE THE WAY IT INFORMS PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. PART V, LINE 21D: THE HOSPITAL DOES NOT PROVIDE EMERGENCY MEDICAL CARE. PART I, LINE 3C: GRACIE SQUARE HOSPITAL PROVIDES FREE OR DISCOUNTED CARE (FINANCIAL ASSISTANCE) TO THE MEDICALLY INDIGENT AND THOSE WHO LACK THE ABILITY TO PAY FOR SOME OR ALL OR THEIR MEDICAL EXPENSES. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE PATIENTS FINANCIAL RESOURCES. Part I, Line 6A: N/A 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 costs to charges Line 7b adjusted cost of patient cost to charges Line 7e actual expenses PART III, LINE 2: THE COSTS TO PROVIDE CARE WHICH HAS BECOME UNCOLLECTIBLE OR BAD DEBT, HAS BEEN CALCULATED UTILIZING A COST TO CHARGE RATIO. PAYMENTS, DISCOUNTS AND FINANCIAL ASSISTANCE EXCLUDE FROM AMOUNTS CONSIDERED TO BE BAD DEBT. 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 price concessions associated with patients that received charity care/financial assistance is represented in this $22,889 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 price concessions and included as a community benefit. PART III, LINE 4: AUDITED FINANCIAL STATEMENTS see PAGE 13. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE DETERMINED PURSUANT TO THE LAWS AND REGULATIONS APPLICABLE TO ALLOWABLE COSTS AND MEDICARE'S STEP DOWN METHODOLOGY. PART III, LINE 9B: Policy: The purpose of the Collection Policy (Policy) is to promote patient access to quality health care while minimizing bad debt at Gracie Square 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, Charity Care Policy. Procedures: 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. needs assessment: Gracie Square is deeply committed to the community members residing in NYC and the surrounding areas by delivering a range of high quality inpatient psychiatric services. The community health needs assessment (CHNA) process is undertaken every three years to determine the high disparity communities and health needs that can be most positively impacted by focused interventions and initiatives. The CHNA aligns with the New York State 2019-2024 Prevention Agenda (NYS PA) priorities to improve health equity for all New Yorkers through partnerships with community organizations to address social determinants of health (SDoH) and interventions to reduce inequalities in health indicators. Through the NYS PA alignment with the CHNA process, NYS has improved its overall national ranking from 28th to 10th healthiest state since 2008. Our commitment as an inpatient psychiatric facility within New York State is to align our efforts with that of the state and to strategically invest in opportunities to improve the health of the patients within our community. Gracie Square Hospital (Gracie Square) completed a Community Health Needs Assessment (CHNA) to identify the needs of the community and develop a Community Service Plan (CSP) and detailed implementation plan to address the areas of highest need. The community, spanning 168 New York City Neighborhood Tabulation Areas (NTAs) in Kings, Queens, Bronx, and New York Counties represent a broad diversity of demographics, socioeconomics and health service utilization need, and requires a custom approach to community service planning to ensure alignment with the needs of such a diverse population. There were also five ZIP codes originating in the southern portion of Westchester County that were part of the defined community. Due to the lack of publicly available data at the ZIP code level for Westchester, this CHNA focused solely upon the New York City community. The leaders of Gracie Square are dedicated to our community with a mission to be the premier healthcare institution serving our greater community by providing excellence in inpatient psychiatric care. A prioritization process was created to analyze the quantitative and qualitative data inputs collected through the CHNA process. The process had several layers in which the data was input and prioritized to arrive at the final priority indicators. The data identification and prioritization process for Gracie Square resulted in numerous indicators. At a high level, these indicators can generally be grouped into: 1 Mental Health & Substance Abuse 2 HIV 3 Chronic Disease & Obesity 4 Womens Health / Maternal Health The top priorities allowed the Gracie Square leadership to develop focused efforts to ensure it can contribute to a direct impact of improvement for the community. The CSP focus will allow Gracie Square to invest in new opportunities. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Written materials, including the application, full Policy, and plain language summary (Summary), shall be available to patients In the Hospital's primary languages, upon request and without charge, from the Admitting Department at the Hospital during the intake and registration process, at discharge and/or bymail. Additionally, those materials shall be available on the Hospital's website (www.nygsh.org) and by calling (212) 434-5315. Also, notification to patients regarding this Policy shall be made through conspicuous posting of language- appropriate information in the Admitting Department of the Hospital, and inclusion of information on bills and statements sent to patients explaining that financial aidmay be available to qualified patients and how to obtain further information. COMMUNITY INFORMATION: The community definition for Gracie Square Hospital was derived using 80% of ZIP codes from which Gracie Squares patients originate and adding ZIP codes not among the original patient origin to create continuity in geographical boundaries, resulting in a total of 148 community ZIP codes mainly within NYC. 7.8+M PEOPLE - The defined community covers a geography of approximately 7.8+M people 2.6% GROWTH POPULATION Forecasted to grow faster, 2.6%, than the state average,1.5%, between 2019-2024. 14.0% 65+ POPULATION Is slightly younger with only 14.0% of the population aged 65+ compared to 16.3%. $99,251 HOUSEHOLD INCOME The average household income, $99,251, is lower than the average of New York State, $101,507. 18.0% UNEMPLOYMENT RATE The unemployment rate, 18.0%, is higher than the New York State benchmark, and there are 2% fewer white-collar workers than the state average. HIGHER MINORITY POPULATION Higher non-White population, 70.2%, than the state 45.6%, driven by Hispanics, 31.6%, and African Americans, 21.1%. To ensure that we are implementing initiatives that will impact the communities with the highest disparities with this community service plan, Gracie Square undertook additional analysis of community health need and risk of high resource utilization at the Neighborhood Tabulation Area (NTA) geography based upon a composite of 29 different indicators. Indicators were carefully selected, across five domains: demographics, income, insurance, access to care and New York State Department of Health Prevention Agenda Priorities. The objective was to identify the specific NYC NTAs where there is a higher health need and/or a higher expectation of required resources. The defined communitys 148 ZIP codes were cross walked to 168 New York City NTAs (mostly in Kings, Queens, Bronx, and New York Counties) and categorized into four quartiles. Additional analysis was undertaken for the 84 NTAs of higher disparity that fell into quartiles 3 and 4. Gracie Square Hospital Focused High Disparity Community: 4.1+M PEOPLE The defined community covers a geography of approximately 4.1+M people. 15.9% UNINSURED Higher percentage of uninsured population at 15.9% compared to NYC average of 13.5%. 27.7% LIVING IN POVERTY There are more living in poverty, all ages 27.7%, than the NYC average, 20.6%. 43.3% MEDICAID ENROLLMENT numerous neighborhoods also have a higher than average Medicaid enrollment, overall 43.3%, NYC 37.0%. 32.1% RECEIVING SNAP BENEFITS an estimated 32.1% receive SNAP benefits, in comparison to the NYC average of 7.9%. 87.7% MINORITY POPULATION Higher non-White population, 87.7% as compared to NYC average of 67.3%. Acknowledging that there was variation across the NTAs and counties among specific measurable indicators for demographics, socioeconomics, Social Determinants of Health (SDoH), health status and utilization that each require a custom approach to community service planning, there were specific communities that frequently showed more need than the others. With such a large community, covering all five boroughs of New York City, there are many neighborhoods that fell into the high disparity (3rd and 4th quartiles) communities based on the analysis and prioritization or the quantitative and qualitative data collected for the CHNA. The Gracie Square community is diverse in its geography with the NYC NTAs having a younger, more minority, and economically challenged population. The SDoH concerns are concentrated upon language, safety, food insecurity, high cost of housing, and public transportation. Behavioral risk factors such as smoking, drinking, and consuming fruits and vegetables vary among the NTAs but are problematic for those in high-disparity neighborhoods. PROMOTION OF COMMUNITY HEALTH: The data outlined allowed us to identify a community of focus as well as priority areas to impact the healthcare of the most vulnerable populations. Promote Well-Being & Prevent Mental & Substance Use Disorders Strategy: Implementation of the Mental Health First Aid Program for the college student population. Background summary: Mental health first aid (MHFA) is an international training program proven to be an effective intervention for mental health education, prevention and addressing stigma. Peer-reviewed studies show that individuals trained in the program achieve the following outcomes: 1 Grow their knowledge of signs, symptoms, and risk factors of mental illnesses and addictions. 2 Can identify multiple types of professional and self-help resources for individuals with a mental illness or addiction. 3 Increase their confidence in and likelihood to help an individual in distress. 4 Show increase mental wellness themselves. Mental health first aid USA is listed in the substance abuse and mental health services administrations national registry of evidence-based programs and practices Prioritized Need: Prevent Mental and Substance Use Disorders Strategy: Implementation of geropsychiatric telepsychiatry services Background summary: Based on the expertise that Gracie Square Hospital (GSH) can bring to the behavioral health priority area, we will partner with NewYork-Presbyterian Hospital (NYPH) to invest and concentrate efforts to directly impact the NYPH targete DISCLOSURES IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21: THE HOSPITAL HAS BEEN COMPLIANT WITH THE 501(R) STATUTE AND IS MAKING GOOD FAITH EFFORTS TO COMPLY WITH THE SECTION 501(R) REGULATIONS, BUT IT IDENTIFIED SOME TEMPORARY GAPS IN COMPLIANCE WITH THE REGULATIONS AS PART OF ITS REVITALIZATION PROGRAM AND received SPECIFIC ADVICE ON HOW TO ADDRESS THEM FROM ITS TAX ADVISORS. SPECIFICALLY, DURING THE REVITALIZATION THE HOSPITAL OPERATED WITH AN INTERIM FINANCIAL ASSISTANCE POLICY THAT PROVIDED CARE FOR PATIENTS UNABLE TO PAY. As of filing this return, THIS INFORMATION is now AVAILABLE ON THE WEBSITE. THE HOSPITAL HAS DEVELOPED A FULL FINANCIAL ASSISTANCE POLICY, WHICH HAS BEEN APPROVED BY ITS BOARD OF TRUSTEES. THE HOSPITAL HAS DRAFTED A PLAIN LANGUAGE SUMMARY AND RELATED DOCUMENTS (E.G. THE APPLICATION FOR FINANCIAL ASSISTANCE) REFLECTING THIS POLICY. THE HOSPITAL has posted THIS INFORMATION TO ITS WEBSITE, made IT AVAILABLE UPON REQUEST AND BY MAIL, AND TRANSLATEd IT INTO THE REQUIRED LANGUAGES. THE HOSPITAL ALSO OFFERs INFORMATION REGARDING FINANCIAL ASSISTANCE TO ALL PATIENTS. THE HOSPITAL DISPLAYS IN THE ADMISSIONS AREA STATING THAT FINANCIAL ASSISTANCE IS AVAILABLE AND PROVIDes CONTACT INFORMATION. THE HOSPITAL MITIGATED ANY IMPACT OF THESE GAPS BY INFORMING PATIENTS AT THE TIME OF ADMISSION THAT FINANCIAL ASSISTANCE WAS AVAILABLE AND HAS MAINTAINED ON-CALL TRANSLATORS AND TRANSLATION SERVICES IN ORDER TO ENSURE PATIENTS WITH LIMITED ENGLISH PROFICIENCY HAVE ACCESS TO THE INFORMATION. THE HOSPITAL ESTIMATES THAT THERE HAVE BEEN NO, OR VERY FEW, INDIVIDUALS IMPACTED. true Direct Cash Assistance 2126 36711 FMV CLOTH/TRANS. X X X X X false true false false false false false true false Karen Westervelt Board Member 0 709859 0 533326 0 130963 0 16534 0 37470 0 1428152 0 0 Nazim B Malatyali Board Member 0 391433 0 124006 0 55531 0 15207 0 40623 0 626800 0 0 Brian Regan Board Member 0 290508 0 103261 0 38352 0 30034 0 41493 0 503648 0 0 David Wyman President 416281 0 171872 0 20165 0 16800 0 34822 0 659940 0 0 0 Michael Breslin Treasurer 0 905506 0 609582 0 149309 0 19081 0 50712 0 1734190 0 0 Gary J Zuar Ass't Treasurer 0 692924 0 431125 0 234761 0 111590 0 38833 0 1509233 0 2844 Bernadette O'Campo Secretary 0 185915 0 1400 0 894 0 33251 0 13206 0 234666 0 0 Kathleen M Burke Ass't Secretary 0 318373 0 98760 0 21482 0 40311 0 23006 0 501932 0 0 Melissa Welch Ass't Secretary 0 159110 0 2000 0 5043 0 14961 0 15128 0 196242 0 0 Donna T Anthony Chief Medical Officer 299347 0 81225 0 3448 0 19600 0 16658 0 420278 0 0 0 Natasha Bowman Chief HR Officer 257426 0 0 0 1692 0 13271 0 42411 0 314800 0 0 0 Margaret Mancuso Chief Administrative Officer 205018 0 53021 0 2642 0 13138 0 16121 0 289940 0 0 0 Michael Radosta Chief Nursing & Qual. Officer 282067 0 63049 0 2893 0 19600 0 43611 0 411220 0 0 0 David Wiecks Chief Financial Officer 184930 0 54045 0 20745 0 21095 0 17216 0 298031 0 0 0 Satyanarayana Abkari Psychiatrist 270463 0 0 0 0 0 18932 0 113 0 289508 0 0 0 Vassilios Latoussakis Psychiatrist 253077 0 0 0 0 0 17870 0 2325 0 273272 0 0 0 Douglas Saphier Psychiatrist 244890 0 0 0 2723 0 20224 0 5301 0 273138 0 0 0 Smita Agarkar Psychiatrist 240105 0 0 0 1270 0 17292 0 5773 0 264440 0 0 0 Mahgoub Nahla Psychiatrist 242908 0 0 0 0 0 17004 0 113 0 260025 0 0 0 Phyllis R Lantos Former Officer 0 967025 0 316667 0 236669 0 204604 0 40041 0 1765006 0 19269 PART I, LINE 4B PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: GARY ZUAR: $81,226 PHYLLIS R. LANTOS: $173,396 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REPORTED ON THE W-2: GARY ZUAR: $123,050 PHYLLIS R. LANTOS: $121,019 PART I, LINE 7 ALL BONUSES ARE GRANTED AT THE DISCRETION OF AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES; THEY ARE BASED ON THE ACHIEVEMENT OF PREDETERMINED GOALS AND OBJECTIVES. FORM 990, PART VII, SECTION A CERTAIN EMPLOYEES OF THE New York PRESBYTERIAN HOSPITAL THAT ARE IDENTIFIED IN PART VII AS OFFICERS OR TRUSTEES OF THE NEW YORK GRACIE SQUARE HOSPITAL INC. ARE RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE New York 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 TO 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 PERFORM THEIR RESPONSIBILITIES FOR THE NEW YORK PRESBYTERIAN HOSPITAL AND OTHER RELATED ORGANIZATIONS IN THE AGGREGATE. THE INDIVIDUALS LISTED IN PART VII THAT ARE COMPENSATED BY THE NEW YORK GRACIE SQUARE HOSPITAL, UNLESS OTHERWISE INDICATED, DEVOTE AN AVERAGE OF SIXTY HOURS PER WEEK TO PERFORM THEIR RESPONSIBILITIES FOR THE NEW YORK GRACIE SQUARE HOSPITAL. X 4 716217 FMV false false true Part I, Line 32b We have a capital management department at the custodian that receives donated stock on our behalf. They sell the stock and send proceeds to New York Gracie Square Hospital. Part I, Column B The number of contributions is determined by the number of separate contributions made. ORGANIZATION'S MEMBERS FORM 990, PART VI, LINES 6 & 7A THE NEW YORK GRACIE SQUARE HOSPITAL (GSH), INC. IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. ("SYSTEM INC."). SYSTEM INC. IS A TAX-EXEMPT ORGANIZATION WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN FOUNDATION, INC., WHICH IS ALSO A TAX-EXEMPT ORGANIZATION. THE MEMBERS OF THE ORGANIZATION ELECT THE ORGANIZATION'S BOARD OF TRUSTEES. REVIEW PROCESS FOR THE FORM 990 FORM 990, PART VI, LINE 11B THE HOSPITAL'S FINANCE DEPARTMENT PREPARES AND COMPILES SUPPORTING WORK PAPERS AND RELATED DOCUMENTS REQUIRED TO PREPARE THE FORM 990 AND RELATED SCHEDULES (THE "RETURN"). THE DATA IS FORWARDED TO ERNST & YOUNG U.S. LLP (EY). EY PERFORMS REVIEW PROCEDURES DESIGNED TO EVALUATE THE CORRECTNESS AND MECHANICAL ACCURACY OF THE RETURN. UPON COMPLETION OF THEIR REVIEW PROCEDURES, EY PREPARES A DRAFT WHICH IS REVIEWED BY CFO. A COPY OF THE RETURN IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES, PRIOR TO ITS FILING WITH THE IRS. MONITOR AND ENFORCE COMPLIANCE WITH POLICIES CONFLICT OF INTEREST FORM 990, PART VI, LINE 12C THE 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 OF KEY PERSON OF GSH SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PRIOR TO BECOMING A BOARD MEMBER, OFFICER OR KEY PERSON OF GSH AND ANNUALLY THEREAFTER. THE POLICY ALSO STATES THAT EACH BOARD MEMBER, OFFICER, OR KEY PERSON SHALL PROMPTLY ADVISE THE CHIEF EXECUTIVE OFFICER OF GSH, 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 GSH, 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 CONFLICT OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE ARRANGEMENTS. ALL DISCLOSURES OF INTERESTS IN COMPLETED QUESTIONNAIRES OR SUBSEQUENCE ADVICE, UNLESS CLEARLY IRRELEVANT OR IMMATERIAL, SHALL BE COMPILED AND REPORTED BY MANAGEMENT TO THE AUDIT AND CORPORATE COMPLIANCE COMMITT OF THE BOARD OF GSH, 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 FUTHER ACTION AS IT DEEMS APPROPRIATE. COMPENSATION APPROVAL PROCESS FORM 990, PART VI, LINES 15A & 15B THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE") OVERSEES MATTERS CONCERNING COMPENSATION AND BENEFITS FOR OFFICERS AND OTHER EXECUTIVES. THE MEMBERS OF THE COMMITTEE INCLUDE INDEPENDENT TRUSTEES. PART OF THE COMMITTEES DELIBERATION AND DECISION PROCESS INCLUDES REVIEW OF COMPARABLE AND CONTEMPORANEOUS DATA. ACCESS TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, LINE 19 INSPECTION OF THE HOSPITAL'S FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE ARRANGED UPON REQUEST. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 Restrcited contribution and net assets released from restriction, net: (665,285) NEW YORK-PRESBYTERIAN FOUNDATION INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG. 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