2018-11-14T22:42:10-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 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 2018-11-14 true CHRISTOPHER B BOGGS P00032493 2127733000 164.57.159.253 35057220183185000055 2018-11-14 P 90234B08C25C953ED569B6EEB09F8CD14F22B373 D7645E384763AEB8339B885771554B833BC3ADBE 2017 2019-02-21 02:37:17Z SUSAN FOX 41 EAST POST RD AND DAVIS AVE WHITE PLAINS NY 106014607 622122944 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. 43 38 3670 690 5408517 174008 12139655 7257760 519284797 605577847 3177254 5473965 4322507 2607878 538924213 620917450 0 0 0 0 294510545 337115862 33570 0 1615764 212552876 243216473 507096991 580332335 31827222 40585115 574592273 682825503 234408135 282577658 340184138 400247845 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 512198522 0 605577847 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 THE HOSPITAL ITS OUTSTANDING REPUTATION FOR HIGH-QUALITY, PATIENT CARE WITH DIRECT COMMUNITY INVOLVEMENT. THROUGHOUT ITS 120 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 more than 900 physicians on the medical staff pride themselves on providing advanced, compassionate care every day to the patient they serve. The last two years behind us were monumental in many ways. We unveiled five state-of-the-art operating suites with cutting-edge technology, as well as beautiful private rooms in our new patient tower, opened a new Center for Cancer Care where growing ranks of specialized physicians and surgeons collaborate to provide the highest quality, personalized care for patients and strengthened our partnerships with leading area providers. Our relationship with Montefiore has helped to accelerate our growth and ability to provide a higher level of care, close to home, for our community. With a new breadth of innovative 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 even higher. THE HOSPITAL PROVIDES ACUTE INPATIENT care, EMERGENCY, AS WELL AS A COMPREHENSIVE ARRAY OF OUTPATIENT SERVICES. KEY CLINICAL SERVICES INCLUDE ADVANCED MATERNITY AND INTENSIVE NEONATAL CARE, CARDIAC CATHETERIZATION, ONCOLOGY, ORTHOPEDICS, STROKE CARE, AND SPECIALIZED SURGICAL SERVICES INCLUDING ROBOTIC, VASCULAR AND BARIATRIC, a COMPREHENSIVE DIABETES EDUCATION AND TREATMENT PROGRAM, A LEVEL III NEONATAL UNIT, AN ANXIETY AND PHOBIA CLINIC, A SEIZURE DIAGNOSTIC CENTER AND A COMPREHENSIVE WOUND CARE CENTER. THE HOSPITAL IS THE ONLY COMMUNITY HOSPITAL IN NEW YORK STATE LICENSED TO PERFORM EMERGENCY AND ELECTIVE ANGIOPLASTY. 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 IS EQUIPPED TO TREAT PATIENTS WITH SERIOUS MEDICAL CONDITIONS AND INJURIES AND HAS A "FAST TRACK" AREA TO SERVE THOSE PATIENTS WHOSE NEEDS ARE LESS URGENT. 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. More than a brand promise, exceptional quality is our guiding star and the center of all we do. Exceptional is a culture created that ensures each and every employee understands their role in providing an outstanding level of care and patient experience. This commitment was once again recognized by various awards and accreditations that White Plains recently received among others: - 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 second time as a National Breast Center by the National Accreditation Program for Breast Centers, for quality care and outcomes for breast patients; - Recognition by US News & World Report as Best regional hospital 2016/2017. The hospital also ranked high in abdominal aortic aneurism, heart failure, colon cancer surgery, lung cancer, COPD, orthopedics, neurology and neurosurgery; - twelve time winner of the Consumer's choice award from the National Research Corporation; - NAMED AMONG THE TOP 10% 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; - Accreditation for excellent in weight loss by the Metabolic and Bariatric Surgery Accreditation; - 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 - named the eighth most beautiful hospital in the United States by Soliant Health. 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 HOSPITAL 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. Exceptional care without compromise - That is our commitment to the community. 512198522 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 false false true true false false false false false false false false false true true false false false true true true true false false true 420 0 true 3670 true true true false false false false true true false false false false X 43 38 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 Frank A Bruni Vice Chair (Resigned 4/17) 3.0 0.0 X 0 0 0 Ann Edwards Vice Chairman 3.0 0.0 X 0 0 0 Robert Feder Board Member (Deceased 1/17) 1.0 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 900501 0 171466 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 1.0 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 1693599 0 442745 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 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 2578552 1226969 CHRISTOPHER S PANCZNER BOARD MEMBER 1.0 59.0 X 0 1211511 599277 PAUL PECHMAN BOARD MEMBER 1.0 0.0 X 0 0 0 LYNN RICHMOND BOARD MEMBER 1.0 59.0 X 0 1451131 588672 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 (elected 10/17) 1.0 0.0 X 0 0 0 Keith Kennerly Board Member (Elected 4/17) 1.0 0.0 X 0 0 0 Peter Lehrer Board Member (Elected 10/17) 1.0 0.0 X 0 0 0 Richard Mast Board Member (Elected 4/17) 1.0 0.0 X 0 0 0 John Sganga Board Member (Elected 4/17) 1.0 0.0 X 0 0 0 JEFFREY A TIESI SVP - COO 50.0 0.0 X 697608 0 129275 Joseph Guarracino SVP - CFO 49.0 1.0 X 813081 0 159937 FRANCES P BORDONI SVP - Business Development 50.0 0.0 X 581463 0 41226 Leigh Anne McMahon SVP-Patient Care Services 50.0 0.0 X 641244 0 129334 Richard Weinstein MD Physician-Westchester Sports 40.0 0.0 X 1552539 0 39235 Stuart M Zweibel MD Physician-West Dermatology 40.0 0.0 X 1304228 0 37333 Nabil Khoury-Yacoub MD Physician-OB/GYN Partners 40.0 0.0 X 1047776 0 44845 Sara Sadan MD PHYSICIAN-Oncology/Hemotology 40.0 0.0 X 1011198 0 32972 Athena G Kaporis MD PHYSICIAN-West Dermatology 40.0 0.0 X 982563 0 39545 11225800 5241194 3682831 906 false true false Gilbane Building Company 2 Rector Street 24th Floor NEW YORK NY 10006 Construction 19205890 Stellaris Health Network 135 Bedford Road ARMONK NY 10504 IT SERVICES 4486718 Posen Construction Services LLC 222 Mamaroneck Avenue WHITE PLAINS NY 10605 Construction 2900598 PST Services PO Box 742526 ATLANTIC GA 303742526 Billing services 2286888 Perkins Eastman Architects PC 115 Fifth Avenue NEW YORK NY 100031004 Architectural Design 1898883 100 1465454 35000 37000 5720306 151710 7257760 PATIENT SERVICE REVENUE 622110 602427961 597421661 5006300 0 OTHER HEALTHCARE RELATED SERVICES 621999 3149886 2747669 402217 0 605577847 2173860 0 0 2173860 0 0 484557 349419 135138 0 135138 0 0 135138 3106642 212500 0 19037 3106642 193463 3300105 0 0 3300105 265854 1465454 744662 -478808 0 -478808 0 0 0 177596 92376 85220 0 0 85220 PARKING INCOME 812930 1085634 0 0 1085634 CAFETERIA AND VENDING INCOME 722514 960915 0 0 960915 PURCHASE DISCOUNTS 900099 793051 0 0 793051 26728 0 0 26728 2866328 620917450 600169330 5408517 8081843 0 0 0 0 6401479 0 6401479 0 0 279598989 254692082 24074306 832601 8350702 7539232 784232 27238 23431176 21830195 1532209 68772 19333516 17281978 1995042 56496 1472801 1472801 0 0 1657585 17809 1639776 0 638545 0 638545 0 0 0 0 23979510 15982547 7901212 95751 2211750 97944 2113806 0 25853099 23128691 2349962 374446 6835611 3972415 2863196 0 0 13749331 13432759 302425 14147 180122 126207 50508 3407 0 713818 613987 93505 6326 1415927 1384934 30993 0 0 32446497 28543183 3818953 84361 14690104 14169480 520624 0 MEDICAL SUPPLIES 97146372 97146372 0 0 BILLING AND COLLECTION 9093221 0 9093221 0 LAUNDRY SERVICE 1831590 1831590 0 0 DUES & SUBSCRIPTION 1634252 1409829 224423 0 7666338 7524487 89632 52219 580332335 512198522 66518049 1615764 0 2000 58533282 45084302 8051504 5165839 60625027 72292801 0 0 0 0 0 37539 7721530 8154227 4790237 2435764 445351639 79722187 343546898 365629452 30618404 94325971 0 0 0 2879368 24242769 38030961 36462622 48787279 574592273 682825503 79311789 99555484 0 0 0 38505 15306938 27816595 0 0 0 0 24876145 29309368 0 0 114913263 125857706 234408135 282577658 X 317661694 379254128 19228809 17685332 3293635 3308385 340184138 400247845 574592273 682825503 X 40585115 -1599792 21078384 X false true X true true true X false false false false false false false false true 44084 44084 false Schedule C, Part II-B, line i The hospital's lobbying expenditures are 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 are used for lobbying efforts by these organizations. 22522444 4528090 143685 6200502 20993717 14717338 9463811 164682 1823387 22522444 8285660 7221839 84582 874743 14717338 10079256 2180704 163142 4137442 8285660 7277035 3206705 2323090 2727574 10079256 0.00000 0.15760 0.84240 false false 35503219 35503219 269778342 41566092 228212250 9726379 1187459 8538920 104715397 36968636 67746761 25628302 25628302 365629452 EST INSURANCE CLAIM RECOVERIES 32072000 DUE FROM RELATED PARTIES 15666002 ESCROW ACCOUNTS 601650 SECURITY AND OTHER DEPOSITS 447627 48787279 0 PENSION LIABILITIES 30292855 MALPRACTICE INSURANCE LIABILITIES 43708000 DUE TO THIRD PARTIES PAYORS 13863595 CONSTRUCTION LIABILITIES 2498480 DEFERRED COMPENSATION LIABILITIES 6369815 WORKER'S COMPENSATION LIABILITIES 7454946 DUE TO RELATED PARTIES 17807777 OTHER LIABILITIES 3862238 125857706 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 948353 808914 139439 4099 3980 82875 9075 86343 Golf Outing 754390 634549 119841 180721 237282 5229 900 121752 2 28565 21991 6574 536 3260 5900 0 2710 1731308 1465454 265854 185356 244522 94004 9975 210805 744662 -478808 true true X true X true X 500. true true false true true 4417797 465901 3951896 0.00680 64882539 32568193 32314346 0.05570 69300336 33034094 36266242 0.06250 6851552 0 6851552 0.01180 6851552 0 6851552 0.01180 76151888 33034094 43117794 0.07430 false 6423074 368422 114246403 140129636 -25883233 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 2017: 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 patient 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 in 2017, 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 Hospitals 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) in 2015, 2016, and 2017 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 2017, 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 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: "TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS". 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 perspective 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 2017, the Hospital offered over 145 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 976,000 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 $85,688, 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 has a longstanding commitment to the community and is at the forefront of medicine. White Plains' continuum of care extends beyond its inpatient and outpatient programs and impacts people in its surrounding communities. White Plains hospital takes pride in connecting 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 and provide important screenings, disease prevention resources and support groups. Professional education seminars, family centered activities and fundraising events are also held frequently. Most recently, the Hospital offered multiple 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. Highlights are as follows: - The 3rd annual Community Health and Wellness Fair in partnership with the Refuge of Hope Church in New Rochelle with over 400 attendees. Services included breast cancer screening 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. - The 40th 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 210 health fair attendees. - The 7th annual Go Red for Women heart health fair, over 100 community members and partners participated. - For the first time, the Hospital hosted a free asthma screening in conjunction with the Boys and Girls Club of Northern Westchester. Nearly 20 children from an at risk population were screened. - The 5th annual Pancreatic Symposium educated over 50 attendees on pancreatic cancer. A multi-disciplinary panel of experts provided updates on the latest in advancements, treatment and early detection. - Mall Walkers Program: A free, supervised walking program that meets three times per week at the local Galleria mall, and includes informative presentations plus free blood pressure screenings. Approximately 50 walkers participate in the program each week. - White Plains Wellness Week: For the 4th year in a row, WPH was the grand sponsor of the City Of White Plains Wellness Week in partnership with the White Plains Cares Coalition/Coalition for Living Wellness. - Free yoga and zumba classes: The Hospital provides free classes for employees, volunteers, cancer survivors and caregivers, and weight loss surgery patients. - 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. Topics covered in 2017 included: colorectal health and heart health. Over 40 attendees in total. - Blood pressure screenings continue to be held throughout the community and educational pamphlets are provided in both English and Spanish. In 2017, WPH provided over 500 blood pressure screenings and education to individuals in the community. Additionally, the Friends of WPH sponsor monthly blood pressure screenings in the hospital lobby/elevator alcove for community members. - Support Groups: WPH provides support services and resources to those caring for loved ones who face challenges of acute or catastrophic illness (Caregiver). Other support groups include those for: Alzheimers, bereavement, epilepsy, Huntingtons disease, ostomy, bariatric surgery, overeaters anonymous, parenting, perinatal bereavement, phobia, stroke, head and neck cancer and breast cancer survivors. - Parenting Courses: Expectant parent courses are open to the public and offer the following: Breastfeeding Support Group, an ongoing group for prenatal and postnatal women led by nurses/certified lactation educators; Childbirth Classes: Lamaze taught by independent & certified instructors; Parenting and Infant Care Classes; Sibling Preparation Courses; Prenatal Exercise Classes, including prenatal yoga, mommy and me yoga; Expectant Parent Tours of our Maternity floors are also available. - The 3rd annual Ted E Bear Hospital at Kol Ami Preschool: Children were invited to bring their teddy bears or other stuffed animals and dolls to be "treated" for a variety of "boo-boos" by representatives from WPHs clinical staff. This also allows children to become familiar with medical providers and put them at ease if they need to visit the doctor or Emergency Room. - Physician Referral Navigator: free service providing callers with names of primary care practitioners or specialists based on their needs for location, gender, and insurance status (etc.). In addition, we offer the following services to the community organizations and local businesses: - Flu shots and other immunizations - Physician Education Lectures at local business and religious organizations, libraries, etc. led by WPH clinicians; common topics requested are: heart heath, ergonomics and orthopedics, cancer screening and prevention (lung/breast), robotics, sleep health, geriatrics, holistic care, nephrology, neurology, bariatric, stroke, diabetes/nutrition and more. 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 program 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). X X X X false true false false false false false true false MICHAEL J PALUMBO MD Board Member/EVP-Chief Med Off 667011 0 225000 0 8490 0 159200 0 12266 0 1071967 0 0 0 Susan Fox President & CEO 981163 0 707500 0 4936 0 413500 0 29245 0 2136344 0 0 0 Richard Weinstein MD Physician-Westchester Sports 1251588 0 300500 0 451 0 10800 0 28435 0 1591774 0 0 0 Stuart M Zweibel MD Physician-West Dermatology 1022162 0 280161 0 1905 0 10800 0 26533 0 1341561 0 0 0 Nabil Khoury-Yacoub MD Physician-OB/GYN Partners 1045986 0 500 0 1290 0 13500 0 31345 0 1092621 0 0 0 JEFFREY A TIESI SVP - COO 548353 0 140865 0 8390 0 120800 0 8475 0 826883 0 0 0 FRANCES P BORDONI SVP - Business Development 448813 0 125000 0 7650 0 13500 0 27726 0 622689 0 0 0 Sara Sadan MD PHYSICIAN-Oncology/Hemotology 960582 0 48636 0 1980 0 13500 0 19472 0 1044170 0 0 0 PHILIP O OZUAH MDPHD BOARD MEMBER 0 1594386 0 855885 0 128281 0 1200675 0 26294 0 3805521 0 0 CHRISTOPHER S PANCZNER BOARD MEMBER 0 720193 0 469785 0 21533 0 599277 0 0 0 1810788 0 0 LYNN RICHMOND BOARD MEMBER 0 917213 0 500385 0 33533 0 565475 0 23197 0 2039803 0 0 Athena G Kaporis MD PHYSICIAN-West Dermatology 795944 0 186394 0 225 0 10800 0 28745 0 1022108 0 0 0 Joseph Guarracino SVP - CFO 654691 0 150000 0 8390 0 142800 0 17137 0 973018 0 0 0 Leigh Anne McMahon SVP-Patient Care Services 492230 0 135000 0 14014 0 120600 0 8734 0 770578 0 0 0 Schedule J, Part I, Line 4B Officers and certain Key Employees of the organization participated in a supplemental retirement plan initiated by the organization in 2017. Supplemental executive retirement plan accrued and unpaid service costs provided by the organization: Susan Fox - $400,000 Michael J. Palumbo, MD - $143,000 Joseph Guarracino - $132,000 Jeffrey A. Tiesi - $110,000 Leigh Anne McMahon - $99,000 Trustees employed by Montefiore Medicine Academic Health System, Inc. participated in 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. Supplemental Executive retirement plan accrued and unpaid service costs provided by a related organization: PHILIP O. OZUAH, M.D., PH.D. - $1,183,675 CHRISTOPHER PANCZNER - $582,277 LYNN RICHMOND - $548,475. Schedule J, Part I, Line 7 BONUS COMPENSATION WAS PAID BY WHITE PLAINS HOSPITAL CENTER TO CERTAIN OFFICERS, key employees and highest compensated employees reported in Part VII, Section A. SUCH COMPENSATION WAS AWARDED TO THOSE INDIVIDUALS BASED ON THE INDIVIDUAL'S RESPECTIVE JOB PERFORMANCE AND ACCOMPLISHMENTS ACHIEVED AS DETERMINED BY EITHER THE MANAGEMENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OR BY EXECUTIVE LEADERSHIP for SENIOR STAFF or as outlined in employment contractual agreements. A Dormitory Authority of the State of New York 146000293 64983TTS2 2004-06-23 32230000 Refund Prior Issue (10/20/1994) false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2017-07-27 18170692 Equipment Purchase false false false A 19170000 0 32357917 5350854 0 0 604543 0 0 714761 29164771 71093 2004 true false true true B 1458836 0 18170692 0 0 0 114410 0 0 11960409 0 6095873 2018 false false false true A 0 B false false false false 0 false false false true A false true false false 0 true bayerische 11.4 true true true B false true false false 0 false 0 false true A true B true Part II, Line 3, Bond A The total Proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4. PART II, LINE 3, Bond A The total proceeds do not agree to the issue price in Part I, column (e) due to investment earnings/market value fluctuations. PART IV, Arbitrage, LINE 2c, Bonds A The five and ten year installment rebate computations were performed in October 2017. There were no positive arbitrage rebate earnings. The next calculation is scheduled for May 31, 2019. CONTRIBUTOR 65 Substantial Contributor 1074210 Business transaction false Contributor 68 Substantial Contributor 19205890 Business transaction false Contributor 144 Substantial Contributor 1898883 Business transaction false Contributor 211 Substantial Contributor 1041820 Business transaction false Contributor 119 Substantial Contributor 156961 Business transaction false Contributor 91 Substantial Contributor 185627 Business transaction false Contributor 47 Substantial Contributor 250000 Business transaction false Contributor 18 Substantial Contributor 190451 Business transaction false Contributor 221 Substantial Contributor 512690 Business transaction false Contributor 45 Substantial Contributor 786298 Business transaction false Contributor 42 Substantial Contributor 429266 Business transaction false Contributor 150 Substantial Contributor 2900598 Business transaction false Contributor 122 Substantial Contributor 2572807 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 12 151710 Current market value 0 false true false FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS ROBERT FEDER AND WILLIAM NULL HAVE A BUSINESS RELATIONSHIP. Board member Victoria Bruni has a family relationship with Frank Bruni, another Board Member who resigned in April 2017. 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 XI, LINE 9 The other change in net asset increase of $21,078,384 was due to the following: - decrease in defined pension & other postretirement plans liabilities to be recognized in future periods - $3,725,076 - Transfers from affiliate - $17,353,308. 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 SUPPORT SERV NY 501(C)(3) 12B TYPE II MMAHS true Montefiore North Ambulatory Care Center 4134 Bronx Blvd BRONX NY 10466 010796859 amb services NY 501(C)(3) 3 MHS 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 THE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HOSPITAL NY 501(C)(3) 3 MHS true MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 10467 131740114 ACAD MED CTR NY 501(C)(3) 3 MHS true AECOM Student Housing Co Inc 1300 Morris Park Avenue BRONX NY 10461 237075620 Student Hous NY 501(C)(2) AECOM true Montefiore CERC Operations Inc 111 East 210th Street BRONX NY 10467 474853506 Rehab Center NY 501(c)(3) 3 MMC true White Plains Hospital Ctr FoundationInc 41 East Post Road Davis Ave White Plains NY 10601 133281507 FUNDRAISING NY 501(C)(3) 12A TYPE I WPHMC true Nyack Hospital Foundation 160 North Midland Avenue NYACK NY 10960 133245804 FUNDRAISING NY 501(C)(3) 7 Nyack Hosp true THE WINIFRED MASTERSON BURKE REHAB HOSP 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 131739937 REHAB HOSP NY 501(C)(3) 3 MHS true ST LUKE's CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 125504851 141340054 HOSPITAL NY 501(C)(3) 3 MHS true HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 125504851 452526738 HEALTHCARE NY 501(C)(3) 12A Type I SLCH true 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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 false true true false false false false false false false false true true false false false true false false MONTEFIORE Health Service Inc M 2391672 COST MONTEFIORE MEDICAL CENTER C 17353308 Cash value The Montefiore IPA Inc L 2893504 COST The Winifred Masterson Burke Rehab Hospital L 807945 cost The Nyack Hospital L 803526 cost Cancer and Blood Medical Services of NY PC Q 1396004 cost The Winifred Masterson Burke Rehab Hospital M 197240 cost White Plains Medical Services B 1000000 cash value