2019-11-13T06:29:20-06:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 131740130 WHITE PLAINS HOSPITAL MEDICAL CENTER % FRED BERARDINONE WHIT 9146812645 41 EAST POST RD AND DAVIS AVE WHITE PLAINS NY 106014607 JOSEPH GUARRACINO SVP - CFO 9146810600 2019-11-07 true NICOLE M SOKOLOWSKI P01683199 2127733000 173.56.229.42 35057220193175000002 2019-11-13 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 047C777BBD395ADD529156C75D94AFF56594489C 2018 2020-04-17 16:48:07Z SUSAN FOX 41 EAST POST RD AND DAVIS AVE WHITE PLAINS NY 106014607 718545366 false X WWW.WPHOSPITAL.ORG X 1893 NY TO offer high quality, acute health care and preventive medical care to all people who live in, work in, or visit Westchester County and its surrounding areas. 44 37 3914 748 4516782 595451 7257760 8674901 605577847 676729559 5473965 3427045 2607878 27731129 620917450 716562634 0 193755 0 0 337115862 376005045 0 0 1767136 243216473 271106363 580332335 647305163 40585115 69257471 682825503 738787810 282577658 274178437 400247845 464609373 WHITE PLAINS IS A VOLUNTARY, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION WITH THE PRIMARY MISSION OF OFFERING HIGH QUALITY, ACUTE HEALTH CARE AND PREVENTIVE MEDICAL CARE TO ALL PEOPLE WHO LIVE IN, WORK IN, OR VISIT WESTCHESTER COUNTY AND ITS SURROUNDING AREAS. THESE EXCEPTIONAL SERVICES WILL BE DELIVERED IN A CARING AND COMPASSIONATE MANNER, FOCUSING ON MEETING THE NEEDS OF THE COMMUNITY. WHITE PLAINS HOSPITAL'S MISSION EXTENDS BEYOND INPATIENT AND OUTPATIENT CARE TO INCLUDE ASSESSING AND IMPROVING THE HEALTH STATUS OF THE LOCAL COMMUNITY, THE PROFESSIONAL COMMUNITY AND THE BUSINESS SECTOR. THE HOSPITAL WILL STRIVE TO ENHANCE ITS CAPABILITIES AND TO DELIVER HEALTH CARE SERVICES, WITHIN THE SCOPE OF ITS RESOURCES, IN A COST-EFFECTIVE MANNER. WHITE PLAINS HOSPITAL BELIEVES SUCCESS IS ASSURED BY THE DEDICATION OF THE PEOPLE WHO MAKE UP THE SUPPORTING CONSTITUENCIES: EMPLOYEES, PHYSICIANS, LICENSED HEALTH CARE PROFESSIONALS, VOLUNTEERS, INDIVIDUAL SUPPORTERS, BUSINESSES AND CIVIC ORGANIZATIONS false false 566635029 193755 676729559 WHITE PLAINS HOSPITAL CENTER (THE "HOSPITAL") IS A 292 BED ACUTE CARE NOT-FOR PROFIT HOSPITAL SERVING THE HEALTH CARE NEEDS OF PEOPLE WHO LIVE IN, WORK IN OR VISIT WESTCHESTER COUNTY, NEW YORK AND ITS SURROUNDING AREAS. ALL CARE AND SERVICES ARE PROVIDED WITHOUT REGARD TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, SEXUAL ORIENTATION OR ABILITY TO PAY. THE HOSPITAL HAS A TRADITION OF EXCELLENCE THAT HAS EARNED IT AN OUTSTANDING REPUTATION FOR HIGH-QUALITY, PATIENT CARE with direct community INVOLVEMENT. THROUGHOUT ITS 126 YEARS HISTORY, THE HOSPITAL CONTINUES TO RAISE THE BAR FOR MODERN SOPHISTICATED HEALTH CARE, DELIVERING SERVICE IN A WARM COMMUNITY HOSPITAL SETTING AND REDEFINING WHAT IT MEANS TO BE A COMMUNITY HOSPITAL PROVIDING INNOVATIVE, CUTTING EDGE THERAPIES AND SUPERB PHYSICIANS AND CLINICIANS CARE. OUR NEARLY 1,100 MEDICAL STAFF MEMBERS PRIDE THEMSELVES ON PROVIDING COMPASSIONATE CARE EVERY DAY TO THE PATIENT THEY SERVE. OUR PARTNERSHIP WITH MONTEFIORE HAS HELPED TO ACCELERATE OUR GROWTH AND ABILITY TO PROVIDE OUR COMMUNITY WITH ADVANCED CARE, CLOSE TO HOME. WITH ACCESS TO EXPANDED RESEARCH STUDIES AND CLINICAL TRIALS FOR OUR ONCOLOGY PATIENTS, A GROWING NUMBER OF CONTINUING MEDICAL EDUCATION OPPORTUNITIES FOR OUR PHYSICIANS AND OTHER PROVIDERS, AND SEAMLESS COLLABORATIVE WORK AMONG CLINICIANS, THE PARTNERSHIP HAS NOT ONLY MADE US STRONGER TOGETHER, BUT HAS INSPIRED US TO RAISE THE BAR FOR PATIENT CARE EVEN HIGHER. THE HOSPITAL PROVIDES ACUTE INPATIENT CARE, EMERGENCY, AS WELL AS A COMPREHENSIVE ARRAY OF OUTPATIENT SERVICES. KEY CLINICAL SERVICES INCLUDE MATERNITY, A LEVEL III INTENSIVE NEONATAL CARE UNIT, CARDIAC CATHETERIZATION LABORATORIES PERFORMING LIFESAVING EMERGENCY AND ELECTIVE ANGIOPLASTY, AS WELL AS CARDIAC ABLATION AND OTHER INNOVATIVE ELECTROPHYSIOLOGY PROCEDURES, ONCOLOGY, ORTHOPEDICS, STROKE CARE, AND SPECIALIZED SURGICAL SERVICES INCLUDING ROBOTIC, VASCULAR AND BARIATRIC, A SEIZURE DIAGNOSTIC CENTER AND A WOUND CARE CENTER. THE HOSPITAL'S EMERGENCY ROOM IS THE BUSIEST IN WESTCHESTER COUNTY TREATING MORE THAN 60,000 PATIENTS ANNUALLY. THE HOSPITAL'S EMERGENCY DEPARTMENT OFFERS ACCESS TO THE LATEST TECHNOLOGY AND UTILIZES A TEAM-BASED APPROACH TO EFFECTIVELY AND EFFICIENTLY PROVIDE EMERGENCY CARE FOR BOTH PEDIATRIC AND ADULT PATIENTS. THE EMERGENCY ROOM IS A VITAL SERVICE TO THOSE LIVING, WORKING AND VISITING WESTCHESTER COUNTY AND PROVIDES NEEDED EMERGENT CRITICAL CARE 24 HOURS A DAY, 365 DAYS OF THE YEAR. DESPITE THE PRIMARY CARE AND OUTREACH PROGRAMS AVAILABLE THROUGH THE HOSPITAL AND OTHERS SERVING THE COMMUNITY, FOR MANY UNINSURED AND UNDERINSURED, THE HOSPITAL'S EMERGENCY ROOM IS THEIR PRIMARY SOURCE OF ACCESSING HEALTHCARE SERVICES. WHITE PLAINS HOSPITAL WAS ONCE AGAIN RECOGNIZED BY VARIOUS AWARDS AND ACCREDITATIONS, INCLUDING: - REPEATED RECOGNITION OF THE HOSPITAL'S CANCER PROGRAM BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER FOR OUTSTANDING ACHIEVEMENT IN CANCER CARE; - ACCREDITED FOR THE THIRD TIME AS A NATIONAL BREAST CENTER BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, FOR QUALITY CARE AND OUTCOMES FOR BREAST PATIENTS; - TWELVE TIME WINNER OF THE CONSUMER'S CHOICE AWARD FROM THE NATIONAL RESEARCH CORPORATION; - NAMED AMONG THE TOP 15% IN THE NATION FOR OUTSTANDING PATIENT EXPERIENCE BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS; - RECEIVED THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES BEACON AWARD FOR EXCELLENCE THAT RECOGNIZES AND ACCLAIMS ACUTE AND CRITICAL CARE NURSING UNITS THAT ACHIEVE THE HIGHEST QUALITY OUTCOMES; - RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR THE NINTH CONSECUTIVE YEAR, IN RECOGNITION OF ITS COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR STROKE PATIENTS; - GRANTED A THREE-YEAR TERM OF ACCREDITATION IN ECHOCARDIOGRAPHY IN THE AREA OF ADULT TRANS-THORACIC, ADULT TRANS-ESOPHAGEAL, AND ADULT STRESS BY THE INTER-SOCIETAL ACCREDITATION COMMISSION (IAC); AND - ONE OF 8% OF HOSPITALS NATIONALLY TO BE GRANTED A THREE-YEAR TERM OF ACCREDITATION AS A DIAGNOSTIC IMAGING CENTER OF EXCELLENCE (DICOE) AND BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY. RECENTLY, WHITE PLAINS HOSPITAL WAS RE-DESIGNATED AS A MAGNET ORGANIZATION, A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. MAGNET RECOGNITION IS DETERMINED BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM, WHICH ENSURES THAT RIGOROUS STANDARDS FOR NURSING EXCELLENCE ARE MET. WITH THIS CREDENTIAL, THE HOSPIAL JOINS A SELECT GROUP OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES. MAGNET DESIGNATION IS WIDELY CONSIDERED TO BE THE GOLD STANDARD OF EXCELLENCE IN NURSING CARE. THE HOSPITAL ALSO PROMOTES THE WELLNESS OF THE COMMUNITY THROUGH CONDUCTING A VARIETY OF COMMUNITY FOCUSED EDUCATION AND PREVENTION MEASURES SUCH AS LECTURES, SCREENINGS AND OUTREACH INCLUDING CO-SPONSOR AND LEAD PARTICIPANT OF THE ANNUAL NEIGHBORHOOD HEALTH FAIR WHICH EMPHASIZES REACHING OUT TO THE UNINSURED AND UNDERINSURED POPULATION. AT THESE EVENTS, WE PROVIDE MANY SCREENINGS AND INFORMATION TO OUR ATTENDEES. EXPERTS ARE ON HAND TO PASS OUT INFORMATION AND ANSWER QUESTIONS ON VARIOUS HEALTH TOPICS SUCH AS ASTHMA AND STROKE. IN 2018, WE LAUNCHED THE HEALTHY COMMUNITY INITIATIVE, A COLLABORATIVE EFFORT WITH THE CITY OF WHITE PLAINS, THE MINISTERS FELLOWSHIP COUNCIL, THE WHITE PLAINS HOUSING AUTHORITY AND THE WHITE PLAINS SCHOOL DISTRICT. THE MISSION OF THE TASKFORCE IS TO POSITIVELY IMPACT THE OVERALL HEALTH OF OUR COMMUNITY IN A HOLISTIC WAY, WORKING WITH THE MUNICIPAL, COMMUNITY AND PRIVATE PARTNERS TO CREATE PROGRAMS THAT FOCUS ON PREVENTION AND OVERALL WELLBEING. EXCEPTIONAL CARE WITHOUT COMPROMISE - THAT IS OUR COMMITMENT TO THE COMMUNITY. 566635029 true true false true false false false false false true true false false true true false false true false false false false false false true false true true true false true true false false false false false false false false false true true false false false true true true true false false true 525 0 true 3914 true true true false false false false true true false false false false true false X 44 37 true false false false true true true true true false false true true true true true true true true false NY X FRED BERARDINONE 9146812645 41 EAST POST RD DAVIS AVE White Plains NY 106014607 J MICHAEL DIVNEY IMMEDIATE PAST CHAIR 3.0 2.0 X 0 0 0 Paul M Weissman BOARD MEMBER 1.0 2.0 X 0 0 0 Jennifer Gruenberg Vice Chairman 3.0 0.0 X 0 0 0 Ann Edwards Vice Chairman 3.0 0.0 X 0 0 0 NORMAN ALPERT Board Member 1.0 0.0 X 0 0 0 Carl Austin Board Member 1.0 0.0 X 0 0 0 Steven Baruch Vice Chairman 3.0 0.0 X 0 0 0 Howard Berk Board Member 1.0 0.0 X 0 0 0 NANCY Clarvit Board Member 1.0 0.0 X 0 0 0 Peter M Fishbein Secretary 3.0 0.0 X 0 0 0 ALeida M Frederico Board Member 1.0 0.0 X 0 0 0 John Jureller Board Member 1.0 0.0 X 0 0 0 CAROL LOWENTHAL Board Member 1.0 0.0 X 0 0 0 WILLIAM NULL Vice Chairman 3.0 0.0 X 0 0 0 MICHAEL J PALUMBO MD Board Member/EVP-Chief Med Off 48.0 2.0 X X 1002720 0 146288 Lucy Schmolka Board Member 1.0 0.0 X 0 0 0 MEGAN H Shapiro Board Member 1.0 0.0 X 0 0 0 Steven M Silver Board Member 1.0 0.0 X 0 0 0 Laurence R Smith Chairman 3.0 2.0 X 0 0 0 Robert Stone Vice Chairman 3.0 0.0 X 0 0 0 Susan Z Yubas Vice Chairwoman 3.0 1.0 X 0 0 0 Susan Fox President & CEO 49.0 1.0 X X 2000358 0 285874 Nettie Webb EdD Board Member 1.0 0.0 X 0 0 0 Jonathan Spitalny Board Member 1.0 2.0 X 0 0 0 Robert Tucker Board Member 1.0 1.0 X 0 0 0 DENNIS GILBERT BOARD MEMBER 1.0 0.0 X 0 0 0 ANDREW HERZ BOARD MEMBER 1.0 0.0 X 0 0 0 BENJAMIN MARANO MD BOARD MEMBER (Resigned 1/2018) 1.0 0.0 X 0 0 0 STEPHANIE MILLER BOARD MEMBER 1.0 0.0 X 0 0 0 PHILIP O OZUAH MDPHD BOARD MEMBER 1.0 59.0 X 0 13316550 45068 CHRISTOPHER S PANCZNER BOARD MEMBER 1.0 59.0 X 0 1284291 627752 PAUL PECHMAN MD BOARD MEMBER 1.0 40.0 X 0 390966 1767 LYNN RICHMOND BOARD MEMBER 1.0 59.0 X 0 1700958 335589 FENTON SOLIZ BOARD MEMBER 1.0 0.0 X 0 0 0 Victoria Bruni Board Member 1.0 0.0 X 0 0 0 Wendy Berk Board Member 1.0 1.0 X 0 0 0 Peter Post Board Member 1.0 1.0 X 0 0 0 Kathleen Winterroll Board Member 1.0 1.0 X 0 0 0 Joshua Caspi Board Member 1.0 0.0 X 0 0 0 Keith Kennerly Board Member 1.0 0.0 X 0 0 0 Peter Lehrer Board Member 1.0 0.0 X 0 0 0 Richard Mast Board Member 1.0 0.0 X 0 0 0 John Sganga Board Member 1.0 0.0 X 0 0 0 Scott Eichel Board Member (elected 4/23/18) 1.0 0.0 X 0 0 0 Richard Weinstein MD Board Member (elected 1/1/18) 50.0 0.0 X 1345991 0 45532 JEFFREY A TIESI SVP - COO 50.0 0.0 X 796646 0 122078 Joseph Guarracino SVP - CFO 49.0 1.0 X 948154 0 138679 FRANCES P BORDONI SVP - Business Development 50.0 0.0 X 698412 0 48622 Leigh Anne McMahon SVP-Patient Care Services 50.0 0.0 X 780238 0 119065 Stuart M Zweibel MD Physician-West Dermatology 40.0 0.0 X 1666840 0 47342 Andrew M Casden MD Physician-Orthopaedic 40.0 0.0 X 1864799 0 48782 Michael A Gott MD Physician 40.0 0.0 X 1220006 0 34617 Michael Elia MD Physician 40.0 0.0 X 1149389 0 22609 Nabil Khoury-Yacoub MD Physician-OB/GYN 40.0 0.0 X 1089982 0 51192 14563535 16692765 2120856 774 false true false Gilbane Building Company 2 Rector Street 24th Floor NEW YORK NY 10006 Construction 10114922 Perkins Eastman Architects PC 115 Fifth Avenue NEW YORK NY 100031004 Architectural Design 5180932 POSEN CONSTRUCTION SERVICES LLC 222 MAMARONECK AVENUE WHITE PLAINS NY 10605 CONSTRUCTION 3671885 WP RADIOLOGY ASSOCIATES PC DAVIS AVE EAST POST ROAD WHITE PLAINS NY 10601 PROFESSIONAL SERV. 3275320 EMPIRE GENERAL CONTRACTING CORP 115 MAIN STREET TUCKAHOE NY 10707 CONTRACTING SERVICES 2878634 124 X 2098975 25000 9000 6541926 162566 8674901 PATIENT SERVICE REVENUE 622110 673643342 669576381 4066961 0 OTHER HEALTHCARE RELATED SERVICES 621999 3086217 2636396 449821 0 676729559 2792523 0 0 2792523 0 0 748295 774299 -26004 0 -26004 0 0 -26004 638781 2000 0 6259 638781 -4259 634522 0 0 634522 191836 2098975 1107666 -915830 0 -915830 0 0 0 172856 94508 78348 0 0 78348 DISTRIBUTION FROM DEMUTUALIZATION 524298 25087043 0 0 25087043 PARKING INCOME 812930 1172173 0 0 1172173 CAFETERIA AND VENDING INCOME 722514 1166455 0 0 1166455 1168944 0 0 1168944 28594615 716562634 672212777 4516782 31158174 193755 193755 0 0 0 7087134 0 7087134 0 0 306693434 277788115 28017783 887536 10549792 9366786 1151009 31997 29935407 27351334 2498753 85320 21739278 19299498 2378118 61662 1199133 1199133 0 0 2979576 11220 2968356 0 576615 0 576615 0 0 0 0 21180523 15405687 5578956 195880 2284572 181829 2102743 0 28921949 26010970 2673362 237617 9239700 745238 8494462 0 0 13705766 13532048 124053 49665 225330 200696 23280 1354 0 704696 637205 66122 1369 384418 359051 25367 0 0 36066716 32795464 3101738 169514 14392325 13816559 575766 0 MEDICAL SUPPLIES 117426826 117426826 0 0 BILLING AND COLLECTION 11256299 0 11256299 0 PHYSICIAN OWED PRACTICE LOSS 2000000 2000000 0 0 LAUNDRY SERVICES 1772612 1772612 0 0 6789307 6541003 203082 45222 647305163 566635029 78902998 1767136 2000 2000 45084302 83804102 5165839 4557286 72292801 76825572 0 0 0 0 37539 37539 8154227 10978266 2435764 2677977 502286631 114171618 365629452 388115013 94325971 89198486 0 0 2879368 3446645 38030961 38030961 48787279 41113963 682825503 738787810 99555484 124675517 0 0 38505 0 27816595 13170352 0 0 0 0 29309368 24133528 0 7226832 125857706 104972208 282577658 274178437 X 379254128 447843113 17685332 13437625 3308385 3328635 400247845 464609373 682825503 738787810 X 69257471 -3706922 -1189021 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 50167 50167 false Schedule C, Part II-B, line i The other activities includes indirect lobbying for the organization's pro-rata share of Healthcare Education Project (HEP) lobbying expenses and a percentage of membership dues paid to the Greater New York Hospital Association, The American Hospital Association and Healthcare Association of New York State that were used by these organization for lobbying efforts. 20993717 5546490 84444 9858391 16766260 22522444 4528090 143685 6200502 20993717 14717338 9463811 164682 1823387 22522444 8285660 7221839 84582 874743 14717338 10079256 2180704 163142 4137442 8285660 0.00000 0.19850 0.80150 false false 36525263 36525263 250272949 14498916 235774033 7726077 1572441 6153636 109889888 36683628 73206260 97872454 61416633 36455821 388115013 EST INSURANCE CLAIM RECOVERIES 31415000 DUE FROM RELATED PARTIES 9211217 SECURITY AND OTHER DEPOSITS 487746 41113963 0 PENSION LIABILITIES 28459452 EST MALPRACTICE CLAIMS LIABILITIES 46400000 DUE TO THIRD PARTIES PAYORS 10141202 DEFERRED COMPENSATION LIABILITIES 7146239 WORKER'S COMPENSATION LIABILITIES 9270278 SELF-INSURED MEDICAL CLAIMS LIAB. 1887000 OTHER LIABILITIES 1668037 104972208 Schedule D, Part V, Line 4 The Hospital follows the requirements of the Uniform Management of Institutional Funds Act ("UMIFA") as they are related to its endownment contributions. The Hospital has adopted investment and spending policies for endowment assets that attempts to provide a predictable stream of funding to programs supported by its endowment. Under this policy, as approved by the board of trustees, the endowment assets are invested in a manner to provide that sufficient assets are available as a source of liquidity for the intended use of the funds, achieve the optimal return possible with the specific parameters, and prudently invest assets in a high-quality diversified manner to adhere to established guidelines. Sharpe Group Planned Giving false Steiner Sports Event Fundraising false JP Sports Entertainment LLC event fundraising false fall gala 1602575 1469575 133000 3000 186657 11690 408937 Golf outing 533185 493145 40040 228051 13838 900 190264 3 155051 136255 18796 7210 4976 9158 1050 41935 2290811 2098975 191836 7210 236027 209653 13640 641136 1107666 -915830 true true X true X true X 500. true true false true true 8887578 1373754 7513824 0.01160 71153684 30441897 40711787 0.06290 80041262 31815651 48225611 0.07450 231457 0 231457 0.00040 36650 20000 16650 0.00000 10352 0 10352 0.00000 278459 20000 258459 0.00040 80319721 31835651 48484070 0.07490 false 12677704 1384848 133921715 162657286 -28735571 X true true 1 1 White Plains Hospital MEDICAL Center 41 East Post Road Davis Avenue WHITE PLAINS NY 10601 www.wphospital.org 5902001H X X X White Plains Hospital Center 1 false false true X X X X X X X X X 16 true false false true X See Part V - Section C X true 16 true See Part V - Section C false true X 100 500. X true true X X X true X See Part V - Section C X See Part V - Section C X See Part V - Section C X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 TO ASSESS THE NEEDS OF THE COMMUNITY, WHITE PLAINS HOSPITAL WORKED IN PARTNERSHIP WITH OUR COMMUNITY, ASSESSING OUR PRESENT INITIATIVES, STRATEGIC PLANS AND PREVENTION AGENDA PRIORITIES. COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH AN ONGOING DIALOGUE WITH PATIENTS, COMMUNITY MEMBERS, ELECTED OFFICIALS, ORGANIZATIONS, AREA BUSINESS LEADERS AND OUR LOCAL DEPARTMENT OF HEALTH WHO BROUGHT TOGETHER A VARIETY OF HEALTH CARE FACILITIES TO COLLABORATE ON THE PRIORITY AGENDA ITEMS. In late spring and early summer of 2016, White Plains Hospital completed a Community Health Assessment in partnership with the Westchester County Department of Health and other Westchester County Health Care providers which INCLUDED WEB AND PAPER BASED SURVEYS WHICH WERE DISTRIBUTED TO COMMUNITY AND LOCAL COMMUNITY BASED ORGANIZATIONS. THROUGH THE COMBINED EFFORTS OF THE MENTIONED ORGANIZATION, 1,318 surveys were COMPLETED. RESPONDENTS WERE ASKED TO IDENTIFY THE THREE MOST important COMMUNITY HEALTH ISSUES, PERSONAL HEALTH ISSUES, and approaches to improve health. CONCERNS ABOUT CANCER FELL INTO THE TOP FIVE CONCERNS as a community health priority and was determined to be one of the areas of focus for the 2016-2018 prevention agenda priorities. Before and during the completion of the most recent CHNA, WPH engaged with community organizations, groups, and individuals to best understand the broad interests and needs of our community. These include the following but are not limited to: - Westchester County Department of Health - Mayor Thomas Roach, White Plains, NY and the Office of The Mayor - Bhavana Pahwa - MA, LCSW-R, PhD, Deputy Director, Youth Bureau, City of White Plains - El Centro Hispano, Inc. - White Plains YMCA - Thomas H. Slater Community Center Meeting with those mentioned above, WPH was better able to understand the broad and varying needs and interests within our community. These collaborative partners are continually asked the following questions: 1. What can we do to assist you & the communities you serve to achieve your wellness goals? 2. Are there any unmet health-related needs? 3. Explaining the current Department of Health prevention agenda items: Do you have populations in your organization/community that would benefit from any or all of these items? Additionally, these individuals and organizations are involved in many committees chaired by WPH (i.e. Neighborhood Health Fair Committee; ExSTEPtional Committee, etc.), so they present ongoing support and new perspectives on the progress of our initiatives and any new health issues that arise in our catchment areas. Schedule H, Part V, Section B, Line 6a The Westchester County Department of Health (WCDOH) has brought together a variety of health care facilities to collaborate on the priority agenda items as well as the Community Health Needs Assessment (CHNA). The CHNA was a joint effort by the WCDOH and numerous hospitals in Westchester County and the surrounding areas. Since 2013, this Health Planning Team has worked collaboratively to analyze respective data, determine the effectiveness of existing programs, and compare best practices across the communities we serve. The following Hospitals were actively involved in 2017: Blythedale Childrens Hospital; Montefiore Medical Center: Burke Rehabilitation Hospital, Montefiore Mount Vernon Hospital, Montefiore New Rochelle Hospital, White Plains Hospital; NewYork-Presbyterian: NewYork-Presbyterian Hudson Valley Hospital, NewYork-Presbyterian Lawrence Hospital; Northwell Health: Northern Westchester Hospital, Phelps Memorial Hospital Center; Saint Josephs Medical Center; St. Johns Riverside Hospital; Westchester Medical Center. The team met on the following dates in 2017: April 7 and December 8. This CHNA (conducted in 2016 for 2017 initiatives) included web and paper based surveys, which were distributed to the community and local community based organizations. Through the combined efforts of the mentioned organizations, 1,318 surveys were completed, 1,125 specifically among Westchester residents. Respondents were asked to identify the three most important community health issues, personal health issues, and approaches to improve health (from a fixed list provided to them). There was an additional provider survey that was distributed to medical doctors in the area to gain insight to health concerns they believe are most prevalent within their communities. Opening a dialogue and discussing our prevention agenda items helps to improve disparities, create actionable programs, and provide prevention screening and services to further invest in our community's health. Schedule H, Part V, Section B, Line 7a The direct website where the White Plains Hospital Medical Center CHNA report can be accessed: http://www.wphospital.org/WPHRedesign/media/Emerge_WPHRedesign/Documents/C SP-2016-2018.pdf Schedule H, Part V, Section B, Line 10A The hospital Facility's most recently adopted implementation strategy is posted on the direct website: http://www.wphospital.org/WPHRedesign/media/Emerge_WPHRedesign/Documents/C SP-2016-2018.pdf Schedule H, Part V, Section B, Line 11 When analyzing the CHNA data, three prevention agenda items were identified for our Community Service Plan (CSP) and remained unchanged through 2018: 1. Quality Chronic Care and Management: Promote use of evidence-based care to manage chronic diseases a. Implementation of evidence-based Medicine Guidelines for Asthma Management 2. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among disparate populations. a. Increase the percentage of adults (50-75 years) who receive colorectal cancer screenings based on the most recent guidelines (blood stool test in the past year or a sigmoidoscopy in the past 5 years and a blood stool test in the past 3 years or a colonoscopy in the past 10 years) 3. Promote Healthy Women, Infants and Children: Increase the proportion of babies who are breastfed in New York State In reference to number two listed above, White Plains Hospital has chosen to focus specifically on colorectal cancer prevention in this years report, which aligns with a bigger American Cancer Society (ACS)initiative to screen 80% of the eligible population for colon cancer by 2018. The selected priorities are fully compatible with White Plains Hospitals community health initiatives. They are supported by existing programs and staff, as well as the addition of new and modified programs. Activities in support of the priorities are carried out with the input and support of our community partners. In order to carry out the priority agenda items, White Plains Hospital focuses on several constituencies, including staff (more than 2,300 employees), patients, and the local community. In all, more than 10,000 individuals participate in Hospital-related health events each year. Please see below for specific initiatives concerning WPHs CSP prevention agenda items: 1. Quality Chronic Care and Management: Promote use of evidence-based care to manage chronic diseases a. Implementation of evidence-based Medicine Guidelines for Asthma Management The Hospital will implement evidence-based care and treatment recommendations for better patient outcomes, including controlled asthma through enhanced collaboration between the patient and their provider, as well as the community. 7.4 million adults ages 18 and older currently have asthma, according to the Centers for Disease Control and Prevention (CDC). In Westchester County, visits to the Emergency Department for asthma-related causes have increased from 60.9 per 1,000 visits in 2008 to 63.3 per 1,000 in 2014. Also according to the CDC, asthma prevalence was higher among children, females, the poor, persons of multiple races, and Hispanics. One of the objectives of this initiative is to work to ensure each paient has better access to a Primary Care Provider (PCP). By doing so, the expectation is that Emergency Department visits will decrease and therefore there will be fewer hospitalizations for preventable, asthma related issues. White Plains Hospital has implemented a series of ongoing education pieces for providers and health care professionals on the use of recommended evidence-based guidelines by the National Heart, Lung, and Blood Institute. In addition, the use of an Asthma Action plan is now part of the Hospitals Electronic Medical Record (EMR). An Asthma Action plan is set and updated by the clinical team for every asthmatic patient in the Hospitals Family Health Center (FHC). The Family Health Center treats a predominantly minority population; 60% of the patients are on Medicaid, 30% are undocumented and 75% are native Spanish speakers, many with limited English proficiency. The majority of these patients are over the age of 18 (approximately 70%) and most reside in White Plains and surrounding areas (zip codes 10601, 10603, 10605, and 10607). Asthma action plans for every patient were implemented at the Family Health Center, with data collection and monitoring of all asthmatic patients through the electronic medical record (EMR) ongoing. Patient and family education through the FHC and community education through the Hospital"s many outreach events are ongoing. In addition, the Friends of White Plains Hospital sponsored the purchase of asthma spacers, which are distributed at no cost to pediatric patients who are unable to purchase their own. In addition to our own medical staff, all health care providers in the Montefiore Lower Hudson Valley Coalition are aware of this effort. WPH has engaged local community organizations including El Centro Hispano,Inc., an organization located in White Plains whose mission focuses on assisting and supporting the Spanish-speaking community; the Thomas H. Slater Center, an outreach and community services center in White Plains; and the White Plains Youth Bureau, which provides a variety of educational and other support services to more than 2,000 youth in the City of White Plains each day. All three of these organizations have a large number of participants with a majority of their membership in Hispanic, Black, and/or low income demographics. These organizations encourage many of their constituents to utilize White Plains Hospitals Family Health Center. In addition, the Hospital has engaged with the Iglesia De Refugio Esperanza (Refuge of Hope Church) for a community health fair which provides health education materials on asthma management, blood pressure control, stroke awareness, breast and colorectal screening and smoking cessation to more than 400 members of the largely Hispanic and underserved community in New Rochelle, NY. In 2018, registrants received information on asthma management and how to understand their personalized asthma action plan. Sari Maenza, FNP, Nurse Manager of the Family Health Center and head of the Asthma DSRIP Initiative, and Guy Singer, Respiratory Therapy Clinical Educator were present to speak with all attendees identified as asthmatic or a relative of someone affected. In addition to educational literature, peak flow meters were utilized as well as MDI spacers to instruct their proper use. Interpreters were present at the fair to assist those whose native language was not English. The NYS Prevention Agenda Dashboard and the Statewide Planning and Research Cooperative System (SPARCS) both show high incidences of asthma ED visits for New Rochelle zip codes. The highest rate of prevalence is in 10801, specific to the community of the Refuge of Hope Church. 2. Increase screening rates for cardiovascular diseases; diabetes; and breast, cervical and colorectal cancers, especially among disparate populations. a. Increase the percentage of adults (50-75 years) who receive colorectal cancer screenings based on the most recent guidelines (blood stool test in the past year or a sigmoidoscopy in the past 5 years and a blood stool test in the past 3 years or a colonoscopy in the past 10 years) Colon Cancer is one of the most preventable forms of cancer, according to the American Cancer Society. The percentage of adults ages 50-75 in Westchester County who received a colorectal cancer screening has decreased from 70.6% in 2009 to 69.3% in 2014. Because early detection of colorectal cancer leads to a greater than 90% survival rate according to the American Cancer Society, White Plains Hospital has assumed the mission of ensuring that 80% of those over the age of 50 receive the recommended screenings based on the guidelines for colorectal cancer using one of the following three methods: fecal immunochemical test (FIT), fecal occult blood test (FOBT), or colonoscopy by the year 2018. This program is aligned with the 80% by 2018 initiative, a national movement spearheaded by the American Cancer Society and the Colon Cancer Challenge Foundation. The Hospitals 80% by 2018 Task Force meets monthly to strategize around physician engagement and expand access to screening. Education targeted the following five populations (there is overlap between each group) at community health events and screenings: Newly insured; financially challenged; insured, procrastinators/rationalizers; African Americans; Hispanics. 3. Promote Healthy Women, Infants and Children: Increase the proportion of babies who are breastfed in New York State The third prevention agenda item chosen continues efforts from the 2013 Community Service Plan. White Plains Hospital and the Hospitals Maternal Child Health Team understand the importance of supporting breastfeeding for the health of infants and their mothers. Hospitals are in a unique position to support breastfeeding immediately, from the first moments following birth. Breastfeeding, especially exclusive breastfeeding, is shown to reduce the risk of asthma, obesity, respiratory issues and other chronic conditions in children. For mothers, breastfeeding has been shown to reduce the risk of breast cancer, ovarian cancer, type 2 diabetes, heart disease and a multitude of other conditions. Promoting the health of the mother leads to better outcomes for a hea Schedule H, Part V, Section B, Lines 16a-16c The hospital's FAP is posted on the website: https://www.wphospital.org/WPHRedesign/media/Emerge_WPHRedesign/Documents/ WPHC-Financial-Assistance-Policy.pdf The FAP application form is widely available on the website: https://www.wphospital.org/WPHRedesign/media/Emerge_WPHRedesign/Documents/ Financial-assistance-application.pdf A plain language summary of the FAP is available on the website: https://www.wphospital.org/WPHRedesign/media/Emerge_WPHRedesign/Documents/ WPHC-Plain-Language-Financial-Assistance-Summary.pdf 6 Armonk Clinic 1 North Greenwich Avenue Armonk NY 10504 PRIMARY CARE WPHC-WOMEN'S IMAGING CENTER 90 South Ridge Street Rye Brook NY 10573 OTHER MEDICAL SPECIALTIES White Plains HC OT & PT Clinic 111 South Ridge Street Rye Brook NY 10573 PRIMARY CARE THERAPY - OCCUPATIONAL O/P THERAPY - PHYSICAL O/P Physical Therapy & Occupational Therapy 222 Westchester Avenue White Plains NY 10604 THERAPY - OCCUPATIONAL O/P THERAPY - PHYSICAL O/P WPH Imaging at New Rochelle 1296 North Avenue New Rochelle NY 10804 OTHER MEDICAL SPECIALTIES WPH Medical and Wellness 99 Business Park Drive Armonk NY 10504 PRIMARY CARE 1. Part I, line 7 The cost-to-charge ratio methodology was utilized to calculate the amount included in the table. The calculation of this ratio was derived from ratio of patient care cost-to-charge. 1. Part III, Section A, Line 2 THE cost of bad debt expense is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A, Line 3 The estimated amount of the organization's bad debt expense (at cost) attributed to patients under the organization's charity care policy was based on the results of predictive analysis. Bad debt should be included as a community benefit because the organization provides much needed health care service indiscriminately to the community-at-large without regard to whether or not the patient has insurance or if the bill will ever be paid. 1. Part III, Section A, Line 4 As reported in WHITE PLAINS HOSPITAL CENTER & SUBSIDIARIES AUDITED Financial STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the year ended December 31, 2018, changes in the Hospitals estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the year ended December 31, 2018 was not significant." 1. Part III, Section B, LINE 8 THE MEDICARE ALLOWABLE COST OF CARE REPORTED ON PART III SECTION B LINE 6 REFLECTS THE ACCUMULATED AGGREGATE COSTS OF TREATING MEDICARE PATIENTS UTILIZING THE CMS-2552 MEDICARE SETTLEMENT WORKSHEETS. Any medicare shortfall from Part III, line 7 should be included as a community benefit, since the organization is renderning much needed health services to a mostly frail elderly populations that for the most part are poor and living on a fixed income. 1. Part III, Section C, Line 9B For patients who are known to qualify for financial assistance, all collection activity is halted and the patient is referred for Financial Aid. If an account is in collection and the patient requests financial aid or if the agency determines that the patient is eligible for financial assistance, the account is referred back to the hospital where the patient is provided assistance with completing an application for assistance. 2. Needs Assessment WHITE PLAINS HOSPITAL MEDICAL CENTER ASSESSES COMMUNITY NEEDS BY WORKING in PARTNERSHIP WITH OUR COMMUNITY, ASSESSING OUR PRESENT INITIATIVES, strategic PLANS AND PREVENTION AGENDA PRIORITIES. COMMUNITY HEALTH NEEDS are IDENTIFIED THROUGH AN ONGOING DIALOGUE WITH PATIENTS, COMMUNITY members, ELECTED OFFICIALS, ORGANIZATIONS, AREA BUSINESS LEADERS AND OUR local department of health. In addition to the efforts made in collecting information for the CHNA, White Plains Hospital also connects with people who have no particular credentials except that they're part of our greater WPH community; this method has played a vital role in better serving our community and has proven to be of great value. It is especially important to get the prespective of those who often don't have a voice in community decisions and politics lower income individuals, immigrants, and others who are often kept out of these discussions. This population is continually reached through free outreach programs, including both educational and physical screening events. Evaluation forms are provided at the events in order to understand the constant shift in the needs of our community. In 2018, the Hospital offered numerous programs aimed at providing services to the most at-risk members of the community. These outreach events and programs reached thousands of individuals, addressing health priorities such as cancer, heart disease, stroke, sleep issues, and nutrition. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE All intake, registration, and collection agency staff is trained on the Medical Center's financial aid policy and how to provide patients with assistance. When it is determined that a patient is having difficulty paying their bill, a referral is made to the Hospital's Financial aid office and a financial counselor will help the patient apply for financial aid. 4. COMMUNITY INFORMATION WHITE PLAINS HOSPITAL primary service area is central and lower Westchester County. Westchester County is a large county located just North of New York City in the Hudson Valley. Westchester covers an area of 450 square miles and consists of 48 municipalities. The county includes urban, suburban and rural geographies. The estimated population of Westchester County is made up of more than 980,244 residents. The county seat of Westchester is the City of White Plains. Other major cites include Yonkers, New Rochelle and Mount Vernon. The median household income for Westchester was $90,578, the fourth highest in New york state, after Nassau, Putnam and Suffolk counties. Westchester county is the fifth healthiest county in New York State, according to the County Health Ranking, produced by the Robert Wood Foundation and the University of Wisconsin. Despite its overall high ranking, there is considerable room to both improve population health and reduce health disparities especially in minority populations. 5. Promotion of Community Health White Plains Hospital (WPH) has a longstanding commitment to the community and is at the forefront of medicine. WPHs continuum of care extend beyond its inpatient and outpatient programs, impacting people in its surrounding communities. WPH takes pride in connected with the community it serves. Throughout the year, the Hospital hosts and/or collaborates with various community organizations to educate and inform the public on best health practices, provide health screenings, information on diseases prevention, and provides resources and support groups to both patients and the community. While these programs are open to patients and the general public, there is a strong emphasis on outreach to our at-risk members of the community. Ensuring healthy equity across Westchester is key to WPHs mission. In 2018, the Hospital participated in over 100 events; highlights of community outreach efforts are as follows: Healthy Community Initiative (HCI) - In late 2017, the Hospital coordinated a Steering Committee focused on advancing the health of underserved community members. In collaboration with the City of White Plains, The Ministers Fellowship Council, and the White Plains School District, a task force was developed to bring free programming and resources to enhance the health of the community. This steering committee formed a collaborative task force, named the Healthy Community Initiative. - Throughout 2018, the Task Force launched numerous programs address varied health topics that are prevalent in our primary and secondary service areas: o 12 Weeks to Wellness: 12 week program focused on nutrition and physical activity o Fresh Market food distribution in partnership with Feeding Westchester o Resilience Documentary Screening & Conversation, exploring the treatment and prevention of toxic stress in children o Change the Conversation: A Panel Discussion of Opioids in Our Community, supporting the Westchester County Department of Healths mission to combat the opioid crisis occurring not only in our neighborhoods, but nationwide. o Free flu vaccinations provided at El Centro Hispano, Inc. (49 adults immunized) Community Health Fairs - The 41st annual Neighborhood Health Fair in partnership with Calvary Baptist Church, The Thomas H. Slater Center and El Centro Hispano, Inc. was held with free health screenings including: breast exams, prostate exams, blood pressure, podiatry, diabetes risk assessments, sleep apnea, dental exams, and lab/blood work for cholesterol and sickle cell anemia. A variety of health information was also distributed to over 220 health fair attendees. - The 4th annual Community Health and Wellness Fair in partnership with the Refuge of Hope Church in New Rochelle with over 400 attendees. Services included breast exams and information on other cancers, blood pressure screening, diabetes risk assessments and nutrition information, and vision exams. The Ted E Bear Hospital, run by WPH Emergency Department volunteers was onsite to help children understand the importance of well checkups and doctor visits. Health Screenings - Blood pressure screenings continue to be held throughout the community and educational pamphlets are provided in both English and Spanish. In 2018, WPH provided over 1,000 blood pressure screenings to individuals in the community. Additionally, the Friends of WPH sponsor monthly blood pressure screenings in the hospital lobby/elevator alcove for community members. - Cancer Screenings are continuously held throughout the year, aligning with health awareness months. In April, the Hospital hosts the Head & Neck Cancer Screening, May focuses on sun awareness and provides free skin checks to the community. In November, a lung cancer screening is held in conjunction with the Great American Smoke Out to provide valuable information on smoking cessation and lung cancer prevention. Speaking Engagements: - Physician education lectures at corporate companies, community based organizations, faith-based organizations, and more, creating awareness on disease prevention and encourage health education. - Well Aware Lecture Series: An invitation-only conversation and dinner series offering access to local healthcare experts at the frontline of medical care in your community. Its an opportunity to learn and ask questions so that participants can take charge of their health. Some featured topics include stress reduction and allergy & asthma management. Support Groups & Education Classes - Support Groups: WPH provides support services and resources to patients, caregivers and community members. Support groups include those for: Alzheimers, bereavement, epilepsy, Huntingtons disease, ostomy, bariatric surgery, overeaters anonymous, parenting, perinatal bereavement, phobia, stroke, head and neck cancer, breast cancer, and caregiver programs. 6. Affiliated Health Care Systems White Plains Hospital Medical Center is an affiliate of Montefiore Health System, Inc. The Health System is a leader in community health and has a long history of developing innovative approaches to care and creating programs to best serve the changing needs of its community. These include, but are not limited to the following: Community service plan, community service strategy, accountable care organization, patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports the health system well in its provision of service to the community. 7. State Filing of Community Benefit Report White Plains Hospital (WPH) is required to prepare a 3-year Community Service Plan (CSP) and submit its findings and action plans to the New York State Department of Health (NYSDOH); WPH submits an update to the CSP annually. White Plains Hospitals CSP is distributed to many internal and external audiences. Internal audiences are comprised of the Hospital's Board of Directors, employees, volunteers, WPH Friends (formerly the Auxiliary of WPH), and our medical staff, which is currently over 1,000 clinicians. External audiences include community based organizations, elected officials and government agencies, Healthcare Association of New York State (HANYS), and religious leaders. The CSP is distributed in the community at various events such as health screenings, health fairs, wellness seminars, and in public areas throughout the Hospital. It is also required to be posted online, and can be found in a PDF version on the Hospitals web site: wphospital.org. An announcement of the CSPs availability appears in several hospital newsletters, including those for the general community and for the hospital's employees and volunteers. The largest printing of this notification is in our wellness magazine, Health Matters, which is distributed to every household in Westchester County (329,000 households). true American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 30000 Sponsorship Leagueside Inc 2401 Walnut Street Philadelphia PA 19103 473667505 27000 sponsorship Winifred Masterson Burke Rehab Hospital 785 Mamaroneck Ave White Plains NY 10605 131739937 501(c)(3) 10500 Sponsorship UGC Foundation 60 Willow Drive New Rochelle NY 10805 133930505 501(C)(3) 10000 sponsorship Friends of the WP Youth Bureau 11 Amherst Place White Plains NY 10601 453735007 501(c)(3) 7500 Sponsorship March of Dimes 1275 Mamaroneck Ave White Plains NY 10605 131846366 501(c)(3) 7500 Sponsorship 5 1 Schedule I, Part I, Line 2 White Plains Hospital Medical Center provides support to various organizations as part of its many local community health program endeavors. Sponsorship grants are monitered by the Public Relations Department of the hospital and are awarded to local charitable organizations to support White Plains mission of improving the health of the community that it serves. X X X X false true false false false false false true false MICHAEL J PALUMBO MD Board Member/EVP-Chief Med Off 744230 0 250000 0 8490 0 132000 0 14288 0 1149008 0 0 0 Susan Fox President & CEO 1193420 0 800000 0 6938 0 253750 0 32124 0 2286232 0 0 0 Stuart M Zweibel MD Physician-West Dermatology 1039292 0 622188 0 5360 0 11000 0 36342 0 1714182 0 0 0 JEFFREY A TIESI SVP - COO 596256 0 192500 0 7890 0 101000 0 21078 0 918724 0 0 0 FRANCES P BORDONI SVP - Business Development 540762 0 150000 0 7650 0 13750 0 34872 0 747034 0 0 0 PHILIP O OZUAH MDPHD BOARD MEMBER 0 2809306 0 1588300 0 8918944 0 17000 0 28068 0 13361618 0 5573098 CHRISTOPHER S PANCZNER BOARD MEMBER 0 856837 0 405900 0 21554 0 621174 0 6578 0 1912043 0 0 PAUL PECHMAN MD BOARD MEMBER 0 381566 0 0 0 9400 0 767 0 1000 0 392733 0 0 LYNN RICHMOND BOARD MEMBER 0 1049204 0 630200 0 21554 0 308475 0 27114 0 2036547 0 0 Joseph Guarracino SVP - CFO 709264 0 231000 0 7890 0 118250 0 20429 0 1086833 0 0 0 Leigh Anne McMahon SVP-Patient Care Services 597286 0 173250 0 9702 0 112000 0 7065 0 899303 0 0 0 Richard Weinstein MD Board Member (elected 1/1/18) 1241102 0 103572 0 1317 0 11000 0 34532 0 1391523 0 0 0 Andrew M Casden MD Physician-Orthopaedic 1737852 0 125000 0 1947 0 11000 0 37782 0 1913581 0 0 0 Michael A Gott MD Physician 793780 0 425456 0 770 0 11000 0 23617 0 1254623 0 0 0 Michael Elia MD Physician 1146909 0 0 0 2480 0 11000 0 11609 0 1171998 0 0 0 Nabil Khoury-Yacoub MD Physician-OB/GYN 1068192 0 20000 0 1790 0 13750 0 37442 0 1141174 0 0 0 Schedule J, Part I, Line 4B The Officers and a Key Employee employed by the organization participated in a supplemental retirement plan initiated by the organization in 2017. Contributions to the Supplemental executive retirement plan funded by the organization during 2018: Susan Fox - $240,000 Michael J. Palumbo, MD - $115,500 Joseph Guarracino - $107,250 Jeffrey A. Tiesi - $90,000 Leigh Anne McMahon - $90,000 Trustees employed by Montefiore Medicine Academic Health System, Inc. participated a supplemental nonqualified retirement plan provided by the Health System. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THE COMPENSATION COMMITTEE OF THE MONTEFIORE BOARD OF TRUSTEES EXPRESSLY REVIEWED AND APPROVED THESE RETIREMENT BENEFIT ARRANGEMENTS FOR SENIOR EXECUTIVES IN A MANNER THAT QUALIFIED UNDER THE INTERMEDIATE SANCTIONS RULES OF THE FEDERAL TAX LAW, AND IN RECOGNITION OF (A) THE EXECUTIVES' YEARS OF SERVICE TO THE ORGANIZATION AND (B) THE SIGNIFICANT CONTRIBUTIONS TO ENHANCING THE ABILITY OF THE ORGANIZATION TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT WITH FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD BE VIEWED AS APPLYING TO YEARS OF SERVICE FOR THE ORGANIZATION. Pooled supplemental executive retirement distribution based on multiple years of service: Philip Ozuah, M.D., Ph.D - $8,741,113 (of this amount $5,573,098 was reported on prior 990's as accrued service costs) Supplemental Executive retirement plan accrued and unpaid service costs provided by a related organization: CHRISTOPHER PANCZNER - $604,174 LYNN RICHMOND - $291,475. Schedule J, Part I, Line 7 Part of the incentive payments paid by the organization to individuals reported in Part VII, Section A. was based on the INDIVIDUAL'S JOB PERFORMANCE AND ACCOMPLISHMENTS AS DETERMINED BY EITHER THE COMPENSATION Board OR management discretion. A Dormitory Authority of the State of New York 146000293 000000000 2017-07-27 18170692 Equipment Purchase false false false A 5000340 0 18170692 0 0 0 114410 0 0 18056282 0 0 2018 false false true true A false false false false 0 false false false true A false false true false false false 0 false 0 false true A true CONTRIBUTOR 151 Substantial Contributor 785570 Business transaction false Contributor 202 Substantial Contributor 2878634 Business transaction false Contributor 18 Substantial Contributor 1712295 Business transaction false Contributor 187 Substantial Contributor 254770 Business transaction false Contributor 160 Substantial Contributor 367638 Business transaction false Contributor 74 Substantial Contributor 372286 Business transaction false Contributor 126 Substantial Contributor 148933 Business transaction false Contributor 50 Substantial Contributor 5180932 Business transaction false Contributor 196 Substantial Contributor 481908 Business transaction false Contributor 56 Substantial Contributor 1160000 Business transaction false Contributor 111 Substantial Contributor 852232 Business transaction false Contributor 48 Substantial Contributor 206117 Business transaction false Contributor 23 Substantial Contributor 3275320 Business transaction false SCHEDULE L, PART IV (D) The business transactions reported in Part IV were business activities conducted between the organization and the substantial contributor in the ordinary course of business. X 8 162566 Current market value false true false FORM 990, PART VI, SECTION A, LINE 2 Board members Howard Berk and Wendy Berk have a family relationship. FORM 990, PART VI, SECTION A, LINE 6 MONTEFIORE HEALTH SYSTEM, Inc. IS THE SOLE MEMBER OF WHITE PLAINS HOSPITAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A Montefiore Health System, Inc. (MHS), the sole member of White Plains Hospital Medical Center, has the right to approve the appointment of the members of the White Plains Board who have been nominated and approved by the White Plains Board and the power to appoint three White Plains Board members specifically appointed as MHS' representatives. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE WHITE PLAINS HOSPITAL MEDICAL CENTER'S AND MONTEFIORE MEDICAL CENTERSS ORGANIZING DOCUMENTS (BYLAWS), CERTAIN DECISIONS OF THE GOVERNING BOARD WERE REQUIRED TO BE APPROVED BY THE MONTEFIORE HEALTH SYSTEMS BOARD OF DIRECTORS. SUCH DECISIONS INCLUDED MANAGED CARE CONTRACTING, EXPANSION/SUBTRACTION OF THE MEDICAL CENTER'S OPERATIONS, CERTAIN ADMINISTRATIVE PROCEDURES, ETC. FORM 990, PART VI, SECTION B, LINE 11 The Form 990 was prepared by the Montefiore's tax department working closely with White Plains' Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by Montefiore Vice President-Finance and THE WHITE PLAINS HOSPITAL Senior Leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the White Plains Finance and executive Committee of the Board of Trustees for review and approval. Once approved by the finance committee of the Board of Trustees, the Form 990 was provided to all members of White Plains' governing body prior to filing. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF WHITE PLAINS HOSPITAL MEDICAL CENTER ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF THE HOSPITAL OR AS A BOARD MEMBER OF THE MEDICAL CENTER. COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE LEGAL COMMITTEE OF THE BOARD OF DIRECTORS AND CONCERNS PRESENTED BY THE RESPONSES TO THE CONFLICT OF INTEREST POLICY ARE DISCLOSED TO THE BOARD, WITH THE INTERESTED PARTY RECUSED FROM DISCUSSING THE MATTER. FORM 990, PART VI, SECTION B, LINEs 15A & 15B THE WHITE PLAINS HOSPITAL MEDICAL CENTER UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT in making all decisions related to compensation FOR officers and key employees. THE MANAGEMENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS USES COMPARABLE PUBLICLY AVAILABLE BENCHMARKING DATA THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE MANAGEMENT COMPENSATION COMMITTEE ESTABLISHES COMPENSATION LEVELS WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY OTHER INDIVIDUALs WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION BY THE COMMITTEE IS DOCUMENTED IN MEMORANDUM that CONTAINS THE TERMS OF THE PROPOSED COMPENSATION AS SET FORTH BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE PUBLIC REQUEST AND AT MANAGEMENT'S DISCRETION. FORM 990, PART VIII, LINE 11A THE DISTRIBUTION FROM DEMUTULIZATION FOR $25.1 MILLION WAS DUE TO CASH CONSIDERATION THAT WAS PAID OUT TO ELIGIBLE POLICYHOLDERS FROM THE CONVERSION OF MLMIC INSURANCE COMPANY FROM A CUSTOMER OWNED MUTUAL ORGANIZATION TO A JOINT-STOCK COMPANY. FORM 990, PART XI, LINE 9 The other change in net asset decrease of $1,189,021 was due to the following: - increase in defined pension & other postretirement plans liabilities to be recognized in future periods ($6,040,379) - Transfers from affiliate $3,204,705 - Gain on extinguishment of Debt $1,212,723 - Net Assets transfer from dissolution of subsidiary $433,930 11 East Post Road LLC 41 East Post Road White Plains NY 10601 832161712 Real estate NY 0 1029607 WPHMC MMC CORPORATION 111 East 210th street BRONX NY 10467 133430322 real estate NY 501(C)(3) 12A TYPE I MMC true MMC Residential Corp I Inc 3411 Wayne Avenue BRONX NY 10467 911943271 staff housing NY 501(C)(2) MMC true Montefiore Hosp Housing Section II Inc 3450 wayne avenue BRONX NY 10467 237160641 staff housing NY 501(C)(2) MMC true Mosholu Preservation Corporation 3400 reservoir oval East BRONX NY 10467 133109387 Community Ser NY 501(C)(3) 12A TYPE I MMC true Gunhill MRI PC 200 East Gunhill Road BRONX NY 10467 133734486 diag services NY 501(C)(3) 12A TYPE I MMC true Montefiore Health System Inc 555 South Broadway BLDG A FL 1 Tarrytown NY 10591 201615393 Parent NY 501(C)(3) 12B TYPE II MMAHS true Montefiore New Rochelle Hospital 16 Guion Place New Rochelle NY 10801 462931956 Hospital NY 501(C)(3) 3 MHS true Montefiore Mount Vernon Hospital 12 North Seventh Avenue Mount Vernon NY 10550 462916938 Hospital NY 501(C)(3) 3 MHS true Schaffer Extended Care Center 16 Guion Place New Rochelle NY 10801 462929888 Nursing Home NY 501(C)(3) 3 MHS true MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX NY 10467 471600439 INACTIVE NY 501(C)(3) 7 MMAHS true Albert Einstein College of Medicine Inc 1300 Morris Park Avenue BRONX NY 10461 472209056 Med COLLEGE NY 501(C)(3) 2 MMAHS true MONTEFIORE MEDICINE ACADEMIC HEALTH SYST 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NY 10591 471582973 Sys Parent NY 501(C)(3) 12B TYPE II NA true MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HOSPITAL NY 501(C)(3) 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bronx NY 10467 721610013 holding company NY NA C CORP true MMC GI Holdings West Inc 111 East 210th street bronx NY 10467 721610015 holding company NY NA C CORP true BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX NY 10467 300689571 Inter Provr Assoc NY NA C CORP true MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX NY 10467 611728539 holding company NY NA C CORP true MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX NY 10467 320436594 Inactive NY NA C CORP true HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX NY 10467 383978087 Integ Provr Assoc NY NA C CORP true MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX NY 10467 475106910 holding company NY NA C CORP true HIGHLAND MEDICAL PC 160 NORTH MIDLAND Avenue NYACK NY 10960 134034481 Healthcare Serv NY NA C CORP true 8 LONGVIEW DEVELOPMENT CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 263321278 hOUSING NY WPHMC C CORP 0 342 1.00000 true WHITE PLAINS MEDICAL DIAGNOSTIC SERV 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NY WPHMC C CORP 1058147 11328 1.00000 true CANCER AND BLOOD MEDICAL SERVICES OF NY 41 EAST POST ROAD WHITE PLAINS NY 10601 462021804 Healthcare Serv. NY WPHMC C CORP 1951025 10545 1.00000 true DAVIS AVENUE CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 133331643 Inactive NY WPHMC C CORP 0 0 1.00000 true WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS NY 10601 133331641 Inactive NY WPHMC C CORP 0 0 1.00000 true WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS NY 10601 133676932 inactive NY WPHMC C CORP 0 0 1.00000 true UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX NY 10467 133877781 MGMT SERVICES NY NA C CORP true White Plains Medical Services PC Davis Avenue at East Post Road White Plains NY 10601 815369152 Healthcare Serv. NY WPHMC c Corp 39210479 7139767 1.00000 true White Plains Physician Services PC Davis Avenue at East Post Road White Plains NY 10601 815309615 Inactive NY WPHMC C Corp 0 0 1.00000 true Charitble Remainder Trust (5) Charit Remr Trust NY NA Trust true MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC 111 EAST 210TH STREET BRONX NY 10467 133952750 INTEG PROVR ASSOC NY NA C CORP true CRHT ACQUISITION INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NJ 10591 815220651 HOLDING COMPANY NY NA C CORP true QUANTUM BIOTHERAPEUTICS LLC 111 EAST 210TH STREET BRONX NY 10467 611793667 INACTIVE NY NA C CORP true WHITE PLAINS PHYSICIAN MEDICAL SERV PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830519787 INACTIVE NY WPHMC C CORP 0 0 1.00000 true EAST POST ROAD MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PALINS NY 10601 830535258 INACTIVE NY WPHMC C CORP 0 0 1.00000 true EAST POST ROAD PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830563325 INACTIVE NY WPHMC C CORP 0 0 1.00000 true DAVIS AVENUE MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830579310 INACTIVE NY WPHMC C CORP 0 0 1.00000 true WPH HOLDING COMPANY DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 833893119 HOLDING COMPANY NY WPHMC C CORP 46127 6202702 1.00000 true false true true false false false false false false true false true true false false false true true false MONTEFIORE Health Service Inc M 6029631 COST MONTEFIORE MEDICAL CENTER C 3217206 Cash value The Montefiore IPA Inc L 4568693 COST The Winifred Masterson Burke Rehab Hospital L 1071575 cost Montefiore Nyack Hospital L 366667 cost Cancer and Blood Medical Services of NY PC Q 736969 cost The Winifred Masterson Burke Rehab Hospital M 191401 cost White Plains Medical Services PC R 2000000 cash value