2017-11-15T16:51:23-06:00 2016-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2016-01-01 111631796 NEWYORK-PRESBYTERIANBROOKLYN METHODIST % ELLIOTT GAMBERG NEWY 2122975962 506 Sixth Street Brooklyn NY 112153609 MICHAEL FAGAN CFO 2123052494 2017-11-09 108.206.163.59 35057220173195000055 2017-11-15 P 92031017241FCD87BD85E58F5EB4042D789C9E3D 582F47EFACDD6166E52205D1FBFEA2601660FA18 2016 2017-02-10 21:41:12Z MICHAEL FAGAN 506 Sixth Street Brooklyn NY 112153609 893531408 false X www.nym.org X 1881 NY TO PROVIDE EXCELLENT HEALTH CARE SERVICES IN A COMPASSIONATE AND HUMANE MANNER TO THE PEOPLE WHO LIVE AND WORK IN BROOKLYN AND ITS SURROUNDING AREAS. 10 9 5807 1245 2686990 1148993 12906217 25924042 738781524 795663493 20079006 33646169 61012867 37392925 832779614 892626629 0 121000 0 0 407431025 443058011 0 0 393267 322732135 324503971 730163160 767682982 102616454 124943647 981198971 1174357544 468464998 515551245 512733973 658806299 TO PROVIDE EXCELLENT HEALTHCARE SERVICES WITHOUT REGARD TO AGE, SEX, RACE, CREED, NATIONAL ORIGIN OR DISABILITY; TO SERVE AS AN EDUCATIONAL AND RESEARCH CENTER FOR PHYSICIANS, NURSES AND HEALTHCARE PROFESSIONALS; TO PROVIDE HEALTH EDUCATION TO COMMUNITY RESIDENTS. false false 653768574 121000 794067624 The mission of NewYork-Presbyetrian/Brooklyn Methodist Hospital, a member of the New York-Presbyterian Healthcare System, is to provide excellent health care services in a compassionate and humane manner to the people who live and work in Brooklyn and its surrounding areas. The Hospital is a non-sectarian, voluntary institution with 651 beds, which includes an acute care general facility and an extensive array of ambulatory and outpatient sites and services. During 2016, 211,091 patient days of care were provided; 42,285 patients were discharged with an average length of stay of 5.3 days, excluding new borns. There were a total of 117,754 outpatient visits to our outpatient sites, and 104,881 visits to our Emergency Room. In serving its community, the Hospital works to achieve these primary objectives: The services are accessible to patients and physicians without regard to age, sex, race, creed, national origin or disability. The commitment to community service is evidenced by our uncompensated services provided to the poor in the broader community. Our services provided to the poor include persons who can not afford health care because of inadequate financial resources and/or who are uninsured or under-insured. These persons are eligible for charity care and financial aid under the Hospital's financial aid policy. For the year ended December 31, 2016, uncompensated care amounted to approximately $36.6 million. Provide patients with an environment that assures the continuous enhancement of patient safety; Assess periodically the healthcare needs of the community and to respond to these needs with healthcare services, including health education for patients and community residents. Our needs assessment is derived through an assortment of reports from professional agencies as well as outreach to and involvement in major community organizations, including the State and City Department of Health, the Human Services Committee of Community Board Six, the Park Slope Civic Council, the Brooklyn Chamber of Commerce, the Park Slope Chamber of Commerce, the Park Slope Volunteer Ambulance Corps, the American Red Cross/Brooklyn Chapter, the South Brooklyn Lion's Club, the Brooklyn Community Heart Health Council, Gilda's Club NYC, Leeza's Place, the Park Slope Geriatric Day Center, the YMCA of Greater New York, Prospect Park Branch, the Greater Southern Brooklyn Healthcare Coalition, the American Heart/Stroke Association, the Lupus Foundation and the New York City Department of Education. The Hospital has formed a Community Council, made up of community residents who are near-neighbors and/or represent various community organizations. The group meets quarterly to discuss neighborhood recommendations and concerns with regard to health care in general, and the Hospital in particular. Community residents are informed of the availability of the community service plan via web site notice, or obtain a copy of the community report by calling the Hospital's administrative office at (718)780-3301 or the public relations office at (718)780-5367. Serve as an educational and research center for the training and continuing education of physicians, nurses and healthcare professionals committed to the Brooklyn community. Provide an active ecumenical program of pastoral care and to conduct a clinical pastoral education program. Offer an environment that is responsive to new and changing technologies and management principles that will stimulate creative solutions for our patients, physicians, and employees. Work with members of the New York-Presbyterian Healthcare System and other healthcare institutions, physicians and community groups in jointly pursuing the delivery of quality healthcare services, medical education and clinical research. NewYork-Prebyterian/Brooklyn Methodist Hospital has an historic relationship with the United Methodist Church. 653768574 true true false true false false false false false true true false false true true false false true false false true false false false true false true true true false true true false false false false false false false false true false false false false false false true true true false false true 1019 0 true 5807 true true true true CJ CA EI false false false true true false false false false X 10 9 true false true false true true true true true false false true true true true true true true true true true NY X ELLIOTT GAMBERG 2122975962 506 SIXTH STREET BROOKLYN NY 11215 John E Carrington CHAIRMAN 3.0 0.0 X 0 0 0 James Perkins VICE CHAIRMAN 1.0 0.0 X 0 0 0 Robert H Rodgers Jr TREASURER 1.0 0.0 X X 0 0 0 Matthew Vetri SECRETARY/Trustee thru 12/16 1.0 0.0 X X 0 0 0 Barbara Capozzi trustee thru 12/6/16 1.0 0.0 X 0 0 0 Brian Regan Trustee 1.0 59.0 X 0 352114 56594 Sharon Greenberger Trustee 1.0 0.0 X 0 0 0 Thomas Bickerton Trustee thru 12/6/16 1.0 0.0 X 0 0 0 Kathleen Burke Trustee thru 12/6/16/Secretary 1.0 59.0 X X 0 371567 56976 Fred Hugue Trustee 1.0 0.0 X 0 0 0 Leslie Jacobson PHD Trustee thru 12/6/16 1.0 0.0 X 0 0 0 Lawrence McGaughey Trustee 1.0 0.0 X 0 0 0 J Kevin McKay Trustee 1.0 0.0 X 0 0 0 Charles K O'Neill Trustee 1.0 0.0 X 0 0 0 Jane Allen Middleton Trustee thru 8/2016 1.0 0.0 X 0 0 0 Helen Sayegh Trustee through 12/6/16 1.0 0.0 X 0 0 0 Anthony Saleh MD Trustee thru 12/6/2016 1.0 0.0 X 0 0 0 Anthony Schlesinger Trustee 1.0 0.0 X 0 0 0 Robert O Simpson Trustee thru 12/6/16 1.0 0.0 X 0 0 0 Gary Zuar Trustee thru 12/6/16 1.0 59.0 X 0 1484878 54415 Laura L Forese MD Trustee thru 12/6/16 1.0 0.0 X 0 2744627 224599 Phyllis R Lantos Trustee thru 12/6/16 1.0 59.0 X 0 2658133 57166 Karen Westervelt Trustee Thru 12/6/16 1.0 59.0 X 0 908485 37840 Gerard Lombardo MD Trustee thru 12/6/16 1.0 0.0 X 0 0 0 Linda Malinskas ASSISTANT SECRETARY 60.0 0.0 X 106887 0 37167 Mark J Mundy President & CEO 60.0 0.0 X 5789727 0 413511 Lauren E Yedvab Senior Vice President 60.0 0.0 X 691964 0 146879 Rebecca Flood RN Senior VP for Nursing 60.0 0.0 X 499515 0 103407 Steven Silber DO V.P. for Medical Affairs 60.0 0.0 X 567760 0 81600 Stephanie Restifo VP of Legal Affairs 60.0 0.0 X 225315 0 30373 Colleen McManus VP Administrative Services 60.0 0.0 X 359016 0 94407 Lyn Hill VP Communication & Ext Affairs 60.0 0.0 X 360960 0 63352 Michael P Fagan Senior VP for Finance 60.0 0.0 X 523683 0 103332 Jennifer Donovon VP Ambulatory 60.0 0.0 X 239278 0 76794 Richard Ortiz VP Revenue Cycle 60.0 0.0 X 403380 0 90108 Carol Vargas VP Contracts & Projects 60.0 0.0 X 230005 0 69533 Dennis Buchanan VP Human Resources 60.0 0.0 X 532642 0 116916 Terrence J Sacchi Chief Cardiology 6.98 30.52 X 2067075 0 39431 Ralph Borriello Chief General Surgery 20.89 16.61 X 1052550 0 36863 John F Heitner Attending Physician 6.65 30.85 X 943396 0 41829 Marcus D D'ayala Chief Vascular Surgery 19.5 18.0 X 1053036 0 47906 Martin Zoneshayn Physician 16.08 21.42 X 950794 0 49596 Stanley Sherbell MD Executive VP for Med'l Affairs 0.0 0.0 X 602485 0 41871 17199468 8519804 2172465 1105 true true false CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 MEDICAL SYSTEM MAINT 15618591 LEND LEASE US CONSTRUCTION 200 PARK AVENUE NEW YORK NY 10166 CIP PROJECT CONTRACT 16224758 METRO SPORTSMED 263 7TH AVENUE SUITE 2A BROOKLYN NY 11215 PHYSICAL THERAPY 9057490 SPECIALTYCARE MISS SERVICES LLC PO BOX 11407 BIRMINGGHAM AL 35246 STAFFING & MGMT 4216553 PERKINS EASTMAN ARCHITECTS 115 FIFTH AVENUE 3RD FLOOR NEW YORK NY 10003 CIP project contract 6409393 186 1078824 9461241 2862944 12521033 25924042 PATIENT CARE 621990 788303735 788303735 LABORATORY SERVICES 621500 7359758 5763889 1595869 795663493 18010241 1091121 16919120 0 0 8006252 8006252 0 8006252 8006252 16166708 530780 15635928 15635928 15635928 239975 1078824 373999 -134024 -134024 0 0 0 0 0 0 REBATES 621990 2464144 2464144 MEDICAL PROFESSIONAL REIMBURSEMENT 621500 8000807 8000807 340B DRUGS 621990 7109277 7109277 11946469 11946469 29520697 892626629 794067624 2686990 69947973 121000 121000 0 0 0 11957512 11957512 0 326215142 289941717 36067393 206032 25505444 22669299 2819955 16190 54064115 48053244 5977599 33272 25315798 22501263 2799052 15483 9325884 9325884 2544180 2544180 643782 643782 70492 70492 0 329062 329062 55232483 49121944 6110539 768522 768522 27886528 24720806 3075153 90569 15206831 15187001 19830 0 30486344 28326854 2159490 1142131 1134985 7146 0 454088 449343 4745 491463 456650 34813 9144871 9144871 25962813 24123747 1839066 12976679 12853646 123033 MEDICAL SUPPLIES 129003889 129003889 LICENSE AND TAXES 2017418 1874515 142903 MEMBERSHIP/DUES 816511 816511 767682982 653768574 113521141 393267 10500 10500 122015583 152102325 542341 156075 46600802 48472532 0 0 0 0 724316 709545 11808748 14826723 3137146 4259927 411408398 199332836 178234547 212075562 282657136 341905534 39645341 44350751 0 0 0 0 295822511 355488070 981198971 1174357544 120558283 139885983 0 0 0 0 28740000 27375000 0 0 0 0 7324567 7460685 0 0 311842148 340829577 468464998 515551245 X 489619869 635201706 16526867 17017356 6587237 6587237 512733973 658806299 981198971 1174357544 X 124943647 14909055 6219624 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 70492 70492 false false PART II-B, LINE 1I: NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST (NYP/BMH) HOSPITAL PAYS DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA, HANYS AND AHA, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2016 GNYHA, HANYS AND AHA ANNUAL DUES WAS $25,513, $28,031 and $14,332 RESPECTIVELY. 1199/SEIU: IN CONNECTION WITH COLLECTIVE BARGAINING AGREEMENT BETWEEN NYP/BMH AND 1199/SEIU, CERTAIN EMPLOYER CONTRIBUTION AMOUNTS THAT WOULD BE OTHERWISE PAYABLE TO THE PENSION FUND ARE INSTEAD ALLOCATED TO THE lABOR MANAGEMENT INITIATIVE (LMI). THE LMI ALLOCATES A PORTION OF ITS FUNDS FOR LOBBING PURPOSES IN CONNECTION WITH NEW YORK STATE AND FEDERAL POLICY ISSUES. THE NEW YORK METHODIST HOSPITAL'S PRO-RATED SHARE OF HEP LOBBYING EXPENSES FOR 2016 IS $2,616. 20421944 1246295 1526495 20141744 22385584 101836 2065476 20421944 22279757 13089 664675 571937 22385584 20725011 3627299 2072553 22279757 20322047 2631271 2228307 20725011 0.33000 0.67000 false false 0 6556373 6556373 0 260972038 154138258 106833780 54057732 1905640 52152092 89822255 43288938 46533317 0 0 0 212075562 ACCRUED INTEREST & OTHER REC. 2518119 INS. RCVY A/R WORKER COMP. 592973 DEPOSITS ON EQUIPMENT 3222108 DUE FROM RELATED PROF. CORPS. 127689107 INVESTMENT HELD BY CAPTIVE INS 219759799 PARTNERSHIP JOINT VENTURE INV. 1198574 OTHER ASSETS 507390 355488070 0 PROFESSIONAL INSURANCE LIABILITIES 206893193 THIRD PARTY PAYABLE 130529244 DUE TO RELATED ORGANIZATIONS 1822057 OTHER LIABILITIES 992110 INSURANCE CLAIMS LIAB.-WORKER COMP. 592973 340829577 Schedule D, Part V, Line 4: THE NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF 1972 ("UMIFA") AS THEY RELATED TO ITS PERMANENTLY RESTRICTED ENDOWMENT CONTRIBUTIONS. PERMANENTLY RESTRICTED ENDOWMENT NET ASSETS HAVE BEEN RESTRICTED BY THE DONOR TO BE MAINTAINED IN PERPETUITY. false Central America and the Caribbean Investments CAPTIVE INSURANCE CO. 210618187 Europe (Including Iceland and Greenland) Investments Pension Fund 17445465 Central America and the Caribbean Investments Endowment/Pension Fund 13222900 North America Investments Pension Fund 58773 241345325 241345325 true false true false false false PART I - ADDITIONAL SUPPLEMENTAL INFORMATION PART I, LINE 3 (1), COLUMN F (ACCOUNTING METHOD) - THE HOSPITAL IS A PARTIAL OWNER OF CAPTIVE FOREIGN INSURANCE COMPANIES. THE HOSPITAL'S INVESTMENTS IN THE FOREIGN INSURANCE COMPANIES ARE REPORTED AT FAIR MARKET VALUE. PART I, LINE 3 (2),(3) and (4), COLUMN F (ACCOUNTING METHOD) - THE HOSPITAL INVESTS ITS PENSION FUND AND ENDOWMENT FUND IN FOREIGN BANK AND FINANCIAL INSTITUTES. THE HOSPITAL'S INVESTMENTS IN THE FOREIGN ACCOUNTS ARE REPORTED AT FAIR MARKET VALUE. GOLF OUTING 532004 462504 69500 30319 68673 4952 3611 8965 Dinner & DANCE 733145 569645 163500 1220 46536 141308 24150 27844 1 53650 46675 6975 4269 5580 1496 450 4626 1318799 1078824 239975 35808 120789 147756 28211 41435 373999 -134024 true true true X true X true true true false true true 10633241 3231096 7402145 0.00960 167063754 134274437 32789317 0.04270 177696995 137505533 40191462 0.05230 1066656 1066656 0.00140 88914717 27816430 61098287 0.07960 89981373 27816430 62164943 0.08100 267678368 165321963 102356405 0.13330 true 17706442 1027249 169669585 144539049 25130536 X true true 1 1 NYPBROOKLYN METHODIST 506 SIXTH STREET BROOKLYN NY 11215 WWW.NYP.ORG/BROOKLYN 7001021H X X X X NYPBROOKLYN METHODIST 1 false false true X X X X X X X X X 16 true false false true X PLEASE REFER TO SUPPLEMENTAL INFORMATION X true 16 true PLEASE REFER TO SUPPLEMENTAL INFORMATION false true X 100 400. X X X X true true X X X true X PLEASE REFER TO SUPPLEMENTAL INFO X PLEASE REFER TO SUPPLEMENTAL INFO X PLEASE REFER TO SUPPLEMENTAL X X X X X X true X false X X X X true X false false PART V LINE 5 NewYork-Presbyterian/Brooklyn Methodist Hospital (NYP/BMH) conducted a community needs assessment. Community input that was solicited and taken into account was sought from the public in a number of ways. Several meetings with key informants from local organizations were held, during which there was discussion of the communitys needs. A list of the organizations with whom we worked follows: Senior Umbrella Network of Brooklyn (SUN-B) St. Georges Episcopal Church in Crown Heights, Brooklyn Investors Bank Foundation Heights and Hills Senior Services New York Citys Department of Health and Mental o Diabetes Prevention Program Liaison, o Primary Care Information Project Environmental Gerontologist, Parsons School of Design United Federation of Teachers Good Neighbors of Park Slope (GNPS) Everyone with Diabetes Counts New York/IPRO/ Improvement Healthcare for the Common Good NYC DOHMH o Center for Health Equity, Office of the First Deputy Commissioner Minister of New Creation Community Health Empowerment, Inc. (NCCHE) Brooklyn Public Library (BPL) Brooklyn Childrens Museum A Community Health Needs Survey was created and made available on Survey Monkey called for submission and survey completion to appear on the homepage of NYP/BMHs public website, www.nyp/brooklyn.org, and via social media platforms like Facebook and Twitter. The survey also appeared in the spring/summer 2016 issue of our community health magazine Thrive (circulation 250,000 Brooklyn residents); readers were encouraged to fill it out and mail it back or respond online. Hard copies of the survey were distributed at health fairs and community lectures. Respondents included people of all ages, races and education levels. Over 50 percent of respondents represented minority groups and those who are medically underserved. Line 7a The CHNA report is available at: http://www.nyp.org/documents/brooklyn/community-service-plan/2016-communit y-health-needs-assessment.pdf Line 10a The CHNA strategy is available at: http:http://www.nyp.org/brooklyn/about-us/community-service-plan PART V LINE 11 Our Community Health Needs Assessment revealed that some of Brooklynites major health needs are in the areas of diabetes, obesity and preventing falls/injuries. Therefore, NYP/BMH aimed to increase already existing programming in these areas by partnering with local coalitions, churches, schools and community based organizations, as well as by creating a new programming. As part of our State-mandated Community Service Plan, we chose to focus on Preventing Chronic Disease; Focus on Diabetes, Preventing Chronic Disease; Focus on Childhood Obesity, and Promoting a Healthy and Safe Environment; Reducing Fall Risk among Most Vulnerable Populations. We regularly address community concerns regarding chronic diseases by providing free screenings and health lectures both on and off of the Hospital's main campus. We are addressing diabetes prevention and treatment in a number of ways. We offer a free monthly diabetes support group that is open to the community. In addition, in conjunction with IPRO, NYP/BMH now hosts six-session diabetes management education seminars, available in English and Spanish, offered several times a year. Clinically, NYP/BMH also offers a Comprehensive Weight Management program. With regard to childhood obesity, we are working to identify partners who will provide instruction and space for us to run weekly exercise and dance programs for children and their parents in underserved communities. An earlier program, Dance Your Heart Healthy, enjoyed success, but was terminated when we lost the spaces that had been available. We are hopeful that this program will be reinstated in 2017 or early in 2018. NYP/BMH also runs a free weekly breastfeeding support group which encourages and teaches new mothers to provide wholesome nutrition to their infants in the form of breast milk and this group is being expanded beyond NYP/BMH's community to reach women in medically underserved areas. Several major studies have indicated that, along with other benefits of breastfeeding, babies who are breastfed face a lower risk of childhood obesity. As a result of the findings in the Community Health Needs Assessment, NYP/BMH has also developed a Fall Prevention Program, which seeks to give older adults the confidence and tools they need to help them age safely. The program includes seminars on home safety, healthy living, and avoiding falls, given by experts in trauma and injury prevention, environmental gerontology, and public health. These seminars are offered at NYP/BMH, as well as at various sites throughout Brooklyn. In addition, two staff members have been trained in Stepping On and two have been trained in Matter of Balance. These are both evidence-based programs that promote balance and behavioral change among seniors who have an increased fear of or risk of falling. Attendees at the fall prevention seminars are given the opportunity to attend Stepping On or Matter of Balance classes, at no cost. NYP/BMH also provides all participants in any fall prevention activities with a fall prevention kit, equipped with a variety of effective items (eg., nightlight, glow tape, non-skid socks, etc.) to help seniors safeguard themselves within their homes. In addition to the specific need areas identified in the CHNA, we continue to provide a general community outreach program which hosts roughly 400 annual events, featuring health lectures and support groups targeting various health concerns, including cancer, Hepatitis C, stroke, and pulmonary hypertension. Part V, Line 16a, b & C http://www.nyp.org/brooklyn/paying-for-care/charity-care-and-financial-aid 4 AMBULATORY INFUSION CENTER 343 4TH AVE BROOKLYN NY 11215 CHEMO CLINIC METRO SPORTS MED 263 7TH AVE BROOKLYN NY 11215 PHYSICAL & OCCUPATIONAL THERAPY CLINIC Pediatric NYM EXTENSION CLINIC ONE PROPSPECT PARK WAY BROOKLYN NY 11215 WOUND CARE FOOT AND ANKLE NYMH CARDIO-VASCULAR EXTENSION CLINIC 8721 FIFTH AVENUE BROOKLYN NY 11209 CARDIOLOGY PULMONARY MEDICINE Part I, Line 3c - N/A Part I, Line 6A - N/A Part I, Line 7 The following is a detail of the sources used for determining the amounts reported on schedule H: Line 7a - adjusted ratio of patient care cost to charges Line 7b - adjusted ratio of patient care cost to charges Line 7e - Actual expenses Line 7f - Institutional cost report Part I, Line 7, Column F Bad debt expense is offset against revenue and not included in expenses. Part III, Line 2 For patients who were determined by the Hospital to have the ability to pay but did not, the uncollectable amounts are bad debt expense. Part III, Line 3 The amount included represents patients who qualify for charity care/financial assistance and also have a bad debt writeoff. Bad debt expense associated with patients that received charity care/financial assistance is represented in this $17,706,442 figure. These patients went through our charity care/financial assistance process and were determined to have financial need. As a result we provided them with a discount based on our sliding scale charity care policy. If they were unable to pay the reduced balances they were written off as bad debt and included as a community benefit. Assistance is represented in this $1,027,249 figure. These patients went through our charity care/financial assistance process and were determined to have financial need. As a result we provided them with a discount based on our sliding scale charity care policy. If they were unable to pay the reduced balances they were written off as bad debt and included as a community benefit. Part III, Line 4 Please refer to audited financial statements page 22. Part III, Line 5,6 & 7 Do not include certain medicare program revenue and costs and thus do not reflect all of the organizations revenues and costs with the participation in Medicare programs. The revenue and costs excludes professional health education, subsidized health services, and medicare managed care activity. If all these revenue and costs were included the medicare surplus of $25,130,536 would be a medicare surplus of $25,573,462 Medicare net surplus per Schedule H 25,130,536 Medicare GME net cost (11,984,917) Medicare managed care net costs 12,427,843 Total net costs associated with the Medicare Program 25,573,462 Net is defined as revenue net of costs Part III, Line 8 The NewYork-Presbyterian/Brooklyn Methodist hospital's costing methodology was based upon the 2016 New York State Institutional cost report and the 2016 Medicare (form 2552) cost report. These cost reports are filed with the New York State Department of Health and the Applicable CMS intermediary, respectively. Part III, Line 9b POLICY AND PURPOSE: The purpose of the Collection Policy (Policy) is to promote patient access to quality health care while minimizing bad debt at NYP/BMH. This Policy places requirements upon Hospital and those agencies and attorneys undertaking debt collection activities that are consistent with the core mission, values, and principles of Hospital including, but not limited to, Hospitals Charity Care Policy. This policy applies to hospital and any agency, lawyer, or law firm assisting hospital in the collection of an outstanding patient account debt. PROCEDURE: A. General guidelines 1. Hospital, collection agencies (Agency), and lawyers and law firms (Outside Counsel) will comply with all applicable federal and state laws and accrediting agency requirements governing the collection of debts including, but not limited to, the Fair Debt Collection Practices Act (FDCPA), the Fair Credit Billing Act, the Consumer Credit Protection Acts, Public Health Law Section 2807-k-9-a, Internal Revenue Service Code 501(r), Article 52 of the New York Civil Practice Law and Rules, and the Health Insurance Portability and Accountability Act (HIPAA). Hospital, Agency and Outside Counsel will also comply with Hospitals Charity Care Policy. To the extent that there are any inconsistencies between Hospitals Collection Policy and Charity Care Policy, the Charity Care Policy shall supersede and control. 2. Hospital shall enter legally binding written agreements with any parties (including Agency or Outside Counsel) to which it refers an individuals debt related to care that are reasonably designed to prevent Extraordinary Collection Actions (ECAs) from being taken to obtain payment for the care, until reasonable efforts have been made to determine whether the individual is eligible for Charity Care. Part VI, Line 2 Needs Assessment: Based on results from the Community Health Survey, discussions with key informants in the community, and review of New York States Prevention Area Priorities, NYP/BMH has selected the following prevention priorities: 1) Prevent Chronic Disease; focus on diabetes 2) Prevent Chronic Disease; focus on childhood obesity/ (overlaps with) Promote Healthy Women, Infants and Children; focus on maternal and infant health. 3) Promote a Healthy and Safe Environment; reducing fall risk among most vulnerable populations. The Brooklyn community helped to select the interventions via key informant meetings and a Community Health Survey which appeared on NewYork-Presbyterian/Brooklyn Methodist Hospitals website homepage, www.nym.org. The survey also appeared on NYP/BMHs social media channels and in the spring/summer 2016 edition of NYP/BMHs community health magazine, Thrive, which is mailed to 250,000 households in Brooklyn. In addition to the input sought from the community, the programs and strategies developed by NYP/BMH as part of its Community Service Plan will be targeted to at-risk populations as identified in the Hospital Community Health Needs Assessment. The interventions and strategies were determined by reviewing results from NYP/BMHs Community Health Survey, along with the input derived from key informant meetings. State, county and zip code level statistical data were also reviewed. Finally, recommendations from the New York State Prevention Agenda Dashboard 2013-2017 were taken into consideration. The goal of the intervention for the Prevent Chronic Disease; focus on diabetes is to increase access to high-quality chronic disease preventive care and management in clinical and community settings by offering diabetes self-management education (DSME) classes for community residents in both English and Spanish, and educating Hospital staff members to become trainers and lead additional DSMEs. NYP/BMH anticipates that those who attend classes will gain confidence and better control in the management of their diabetes. Once our own staff is trained to lead these Stanford-modeled classes, the Hospital will have the capability to offer additional classes and impact even more members of the community who are living with diabetes. The first intervention for the Prevent Chronic Disease; focus on childhood obesity priority, which also falls under the prevention area of Promoting Healthy Women Infants and Children, is to adopt policies and practices designed to implement standards that will support breastfeeding, quality nutrition, increased physical activity and reduced screen time in early child care settings and to increase staff training, community support and reinforcement of these regulations and policies. The Hospital has joined New York Citys Breastfeeding Hospital Collaborative (NYC BHC) Cohort 3. As is the case for hospitals in the current NYCBHC, Cohort 3 will include in-person learning sessions, monthly action period webinars, semi-monthly coaching calls (participation as needed), mock assessments and site visits, access to a repository of free tools and resources to support pursuit of a Baby Friendly designation, and more. A second intervention for the Prevent Chronic Disease, focus on childhood obesity priority is to create a program to help incorporate dance/exercise classes and nutrition education into the lives of pre-teens and their parents. Classes will be offered at the Brooklyn Childrens Museum in Crown Heights. NYP/BMH will use strategies derived from New York State Obesity Prevention Center for Excellence. The goal of the first intervention for Promote a Healthy and Safe Environment; reducing fall risk among most vulnerable populations priority is to improve the design and maintenance of home environments to promote health and reduce related illness, by creating a Fall Prevention Program and assembling Fall Prevention Kits, with tools to help seniors safeguard their homes. NYP/BMH will reference the CDCs Guide for EBPs to Prevent Falls. A second intervention is intended to reduce factors that increase the risk of falls, particularly among the elderly and young children by promoting community-based programs for fall prevention. NYP/BMH will reference the CDCs Guide for EBPs to Prevent Falls. The process measures used to track and evaluate the impact of the Prevent Chronic Disease; focus on diabetes priority include information retention quizzes, tracking attendance and attendee goal setting and monitoring achievements during and after each six-week Diabetes Self-Management Education session. The process measures used to track and evaluate the Prevent Chronic Disease; focus on childhood obesity priority include pre and post class surveys, weight and waist measurements recorded throughout the duration of classes, and attendance tracking. Results will be monitored during and after each dance/education series. The process measures used to track and evaluate the Promote a Healthy and Safe Environment; reducing fall risk among most vulnerable populations priority include polling senior citizens on regarding home safety measures in place and giving them kits to safeguard their homes. They will also be offered the opportunity to share stories on how theyve implemented the safety information that has been provided. To attempt a reduction in the number of admissions due to falls, the Hospital will administer surveys administered to treat and release patients who come to the Emergency Room for falls. Part VI, Line 3 Patient Education of eligibility for assistance: New York State Public Health Law (Section 2807-k-9-a) and the Internal Revenue Code (Section 501(r)) require hospitals to provide free or reduced price services for emergency or other medically necessary care to patients who are determined to be unable to pay for their care in whole or in part, based on their financial status. NYP/BMH recognizes its responsibility to provide charity care (hereafter Charity Care) for those who may be uninsured or underinsured, and have received emergency or other medically necessary services at NYP/BMH. Hospital is committed to the comprehensive assessment of individual patient need and to providing Charity Care when warranted, regardless of age, gender, race, national origin, socio-economic or immigrant status, sexual orientation or religious affiliation. Written materials, including the application, full Policy, and plain language summary (Summary), shall be available to patients in NYP/BMH's primary languages, upon request and without charge, from Admitting and Emergency Departments at NYP/BMH during the intake and registration process, at discharge and/or by mail. Additionally, those materials shall be available on NYP/BMH's website (www.nyp.org/brooklyn). Also, notification to patients regarding this Policy shall be made through conspicuous posting of language appropriate information in Emergency Rooms and Admitting Departments of NYP/BMH, and inclusion of information on bills and statements sent to patients explaining that financial aid may be available to qualified patients and how to obtain further information. Part VI, Line 4 Community Information: Although NYP/BMH is located in Park Slope and is an important healthcare, community service and economic anchor in the Park Slope neighborhood, it serves the entire borough of Brooklyn (Kings County). Brooklyn is the largest of the five boroughs that make up New York City. Indeed, if it were a separate city, Brooklyn would be the fourth largest in the United States. In 2014, Brooklyn had a total population of over 2.6 million people from a wide variety of ethnic and socioeconomic backgrounds. Of the total number of people in Brooklyn in 2014, 926,640 were white, 826,500 were black, 332,160 were Asian, Native American and Pacific Islanders and 526,110 were Latino. (Those reporting as Latino or Hispanic are of Spanish origin but may be of any race.) While the white and black populations have remained relatively stable, increasing only slightly as the Brooklyn population increased, the Latino population has increased by 13 percent (consistent with Brooklyns overall population increase) and the Asian, Native American and Pacific Island population has increased by 184 percent, far exceeding the overall Brooklyn increase. The demography of Brooklyn has changed radically since 1990, which is reflected in the ethnic breakdown of Hospital discharges over the past 25 years. At the turn of the 21st century, we were in a period of the largest influx of immigration to New York City since the early 1900s. According to the 2010 US census data, 37 percent of Brooklyns residents were born outside of the United States and 46 percent of the boroughs residents speak a language other than English in the home. What has made this wave of immigration to New York City especially unique is that the patterns of immigration are extremely diverse; of the various countries represented by Brooklyn re true The Cobble Hill Fundation Inc 380 Henry Street Brooklyn NY 11201 113122301 501(C)3 6000 Support United Hospital Fund 1411 Broadway New York NY 10018 131562656 501(C)3 20000 Support New York City Department of Education 131 Livingston Street Brooklyn NY 11201 136400434 56500 Support The Rogosin Institute 505 E 70th Street New York NY 10021 131562656 501(C)3 13000 Support MJHS Foundation 39 Broadway New York NY 10006 111630753 501(C)3 7000 Support Beth AbrahamCNR Foundation 1250 Water Place Tower Bronx NY 10461 113284763 501(C)3 6000 Support CAMBA 1720 Church Avenue Brooklyn NY 11226 112480339 501(C)3 7500 Support 6 1 Schedule I Part I Line 2 PRIOR TO AWARDING ASSISTANCE TO ORGANIZATIONS, AN ASSESSMENT IS MADE ON THE USE OF THE FUNDS. FINAL DETERMINATION IS BASED ON WHETHER FUNDS WILL BE USED TO FURTHER OUR MISSION. X X X X X true true false false false false false true false Mark J Mundy President & CEO 1187092 0 60913 0 4541722 0 0 0 0 0 5789727 0 0 0 Stanley Sherbell MD Executive VP for Med'l Affairs 263856 0 0 0 338629 0 0 0 0 0 602485 0 0 0 Lauren E Yedvab Senior Vice President 546766 0 30500 0 114698 0 0 0 0 0 691964 0 0 0 Rebecca Flood RN Senior VP for Nursing 383636 0 21750 0 94129 0 0 0 0 0 499515 0 0 0 Brian Regan Trustee 0 245564 0 71617 0 34933 0 0 0 0 0 352114 0 0 Steven Silber DO V.P. for Medical Affairs 503848 0 25000 0 38912 0 0 0 0 0 567760 0 0 0 Kathleen Burke Trustee thru 12/6/16/Secretary 0 290519 0 69723 0 11325 0 0 0 0 0 371567 0 0 Gary Zuar Trustee thru 12/6/16 0 604634 0 366608 0 513636 0 0 0 0 0 1484878 0 123335 Laura L Forese MD Trustee thru 12/6/16 0 1154292 0 1090781 0 499554 0 0 0 0 0 2744627 0 31530 Phyllis R Lantos Trustee thru 12/6/16 0 986564 0 922949 0 748620 0 0 0 0 0 2658133 0 338195 Karen Westervelt Trustee Thru 12/6/16 0 588845 0 221501 0 98139 0 0 0 0 0 908485 0 0 Stephanie Restifo VP of Legal Affairs 225005 0 0 0 310 0 0 0 0 0 225315 0 0 0 Colleen McManus VP Administrative Services 291485 0 15500 0 52031 0 0 0 0 0 359016 0 0 0 Lyn Hill VP Communication & Ext Affairs 302027 0 17000 0 41933 0 0 0 0 0 360960 0 0 0 Michael P Fagan Senior VP for Finance 495071 0 25000 0 3612 0 0 0 0 0 523683 0 0 0 Jennifer Donovon VP Ambulatory 209023 0 10050 0 20205 0 0 0 0 0 239278 0 0 0 Richard Ortiz VP Revenue Cycle 326641 0 17750 0 58989 0 0 0 0 0 403380 0 0 0 Carol Vargas VP Contracts & Projects 219672 0 10000 0 333 0 0 0 0 0 230005 0 0 0 Dennis Buchanan VP Human Resources 339278 0 19500 0 173864 0 0 0 0 0 532642 0 0 0 Terrence J Sacchi Chief Cardiology 400125 0 1643474 0 23476 0 0 0 0 0 2067075 0 0 0 Ralph Borriello Chief General Surgery 833334 0 213672 0 5544 0 0 0 0 0 1052550 0 0 0 John F Heitner Attending Physician 528757 0 396186 0 18453 0 0 0 0 0 943396 0 0 0 Marcus D D'ayala Chief Vascular Surgery 1051104 0 0 0 1932 0 0 0 0 0 1053036 0 0 0 Martin Zoneshayn Physician 931696 0 0 0 19098 0 0 0 0 0 950794 0 0 0 Schedule J & Part VII: Certain officers and key employees of the New York and Presbyterian Hospital that are identified in part VII as officers or trustees of the NewYork-Presbyterian/Brooklyn Methodist are responsible for executing the mission and management of the New York and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2016 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York and Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York and Presbyterian Hospital and other related organizations in the aggregate. Additionally, NewYork-Presbyterian/Brooklyn Methodist supplements their executives pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after three years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. If the participant performs continuous, uninterrupted substantial service for the hospital through each applicable vesting date, the balance then credited to the participants account and in which the participant shall become vested on such vesting date shall be paid to the participant in a single sum within sixty (60) days following the vesting date. During 2016, Mr. Mark Mundy received distributions from his full vested employer funded deferred compensation plan. In connection with his retirement at the end of 2016 the liquidation of his executive option plan resulted in a payment of $4,280,050. There was an additional distribution in the amount of $207,293 from the SERP. Part I, Line 4A: Severance Pay: Stanley Sherbell received severance Pay 304,077. Part I, Line 4B: Participated in Supplemental nonqualified retirement Plan: Laura Forese 179,457 Mark Mundy 243,650 Lauren Yedvab 79,000 Colleen McManus 34,000 Dennis Buchanan 39.000 Rebecca Flood 43,500 Richard Ortiz 35,500 Steven Silber 30,000 Carol Vargas 23,000 Michael Fagan 68,000 Part I, Line 4B: Supplemental Nonqualified retirement plan as reported on W2: Laura Forese 302,316 Phyllis Lantos 566,306 Gary Zuar 413,951 Mark Mundy 4,487,342 Lauren Yedvab 88,232 Rebecca Flood 68,786 Steven Silber 33,368 Colleen McManus 33,500 Lyn Hill 17,000 Richard Ortiz 39,655 Dennis Buchanan 148,849 Part I, Line 7: COMPENSATION DECISIONS FOR SENIOR MANAGEMENT WILL BE REVIEWED AND APPROVED BY NON-CONFLICTED MEMBERS AND COMPENSATION WILL BE MEASURED AGAINST APPROPRIATELY RECOGNIZED SURVEYS FOR COMPENSATION OF CORRESPONDING RANK, POSITION AND/OR SPECIALTY IN THE SAME OR A COMPARABLE GEOGRAPHIC AREA AS THAT OF NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST. THERE SHALL BE SUFFICIENT AND ADEQUATE DOCUMENTATION TO SUPPORT THE REASONABLENESS AND APPROPRIATENESS OF ALL COMPENSATION DECISIONS. ALL DELIBERATIONS REGARDING COMPENSATION OF SENIOR MANAGEMENT SHALL BE DOCUMENTED IN THE BOARD MINUTES. SENIOR MANAGEMENT INCLUDES THE PRESIDENT AND OTHER SELECT SENIOR EXECUTIVES. A BUILD NYC RESOURCE CORP 2014 BONDS 454040561 12008EEM4 2014-10-15 33565776 REVENUE BONDS SERIES 2014 REFUNDIN false false false A 2345000 0 33565776 0 0 0 644004 0 0 0 32921772 0 2014 true false true true A false true true true true true 0.00100 0.00100 false false false true A false true false false false false 0 false 0 false true A true Todd MUNDY FAMILY MEMBER OF MARK MUNDY, FORMER OFFICER 293973 COMPENSATION false JULIANNE MELENDEZ FAMILY MEMBER OF STEVEN SILBER, KEY EMPLOYEE 48069 COMPENSATION false ALLISON BUCHANAN FAMILY MEMBER OF DENNIS BUCHANAN, KEY EMPLOYEE 50207 COMPENSATION false FORM 990, PART VI, SECTION A, LINE 2: Gary Zuar and Brian Regan have a business relationship. FORM 990, PART VI, SECTION A, LINE 4: ON DECEMBER 6, 2016, NYP COMMUNITY PROGRAMS, INC. BECAME THE ACTIVE PARENT OF NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST AND ITS SUBSIDIARIES. NYP/BROOKLYN METHODIST ORGANIZATION DOCUMENTS WERE AMENDED TO REFLECT THIS CHANGE. FORM 990, PART VI, SECTION A, LINE 6: On December 6, 2016, NYP community programs, inc., a new york not for profit corporation, became the sole member of the Newyork- presbyterian/brooklyn methodist hospital. FORM 990, PART VI, SECTION A, LINE 7A & 7B: THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS. PURSUANT TO THE BYLAWS. IN ADDITION TO THOSE RIGHTS POWERS AND AUTHORITY VESTED IN THE MEMBER, IN ITS CAPACITY AS THE SOLE MEMBER OF THE CORPORATION, BY THE BYLAWS OF THE CORPORATION AND BY NON PROFIT CORPORATE LAW (NPCL) AND OTHER APPLICABLE LAW, THE MEMBER IN ITS CAPACITY AS THE ESTABLISHED CO-OPERATOR OF THE CORPORATION LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW, SHALL HAVE THE FOLLOWING RIGHTS, POWERS AND AUTHORITY RELATIVE TO THE CORPORATION. SUCH POWERS INCLUDE ADAPTION/APPROVAL OF; OPERATING BUDGET, OPERATING POLICIES, INDEBTEDNESS, CONTRACTS, ETC. THERE ARE NO CLASSES OF MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B: Finance coordinated and completed all of the information required for Form 990 accessing various resources including legal, human resources, development and other departments as needed. senior finance executives complete a review of the return in conjunction with Ernst & Young U.S. LLP, paid preparer, prior to submission to the chairman of the audit and corporate compliance committee. The chairman of the audit and corporate compliance committee conducts a detailed review. Upon completion of the audit chairman's review and approval, the 990 is made available to the governing body preceding the filing. NewYork-Presbyterian/Brooklyn Methodist Hospital files the 990 upon final approval. FORM 990, PART VI, SECTION B, LINE 12C: NewYork-Presbyterian/Brooklyn Methodist adheres to a conflict of interest (coi) policy that was approved by the audit and corporate compliance committee of the board of trustees. The policy states in part: "Each Board Member, Officer or Key Person of a New York-Presbyterian Organization shall complete a conflict of interest questionnaire prior to becoming a Board Member, Officer or Key Person of the New York-Presbyterian Organization and annually thereafter." The policy also states that "each Board Member, Officer, or Key Person shall promptly advise the Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire." The Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, shall review all completed questionnaires and all subsequent advice of changes and shall take such action as is deemed appropriate to eliminate potentials for conflicts of interest, including such steps as reassignment of responsibilities or establishment of protective arrangements. All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the Audit and Corporate Compliance Committee, together, in each case, with response or recommendation of management. The Audit and Corporate Compliance Committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not, shall require such further action as it deems appropriate. FORM 990, PART VI, SECTION B, LINE 15A: THE MEMBER OF NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST IS RESPONSIBLE FOR OVERSEEING EXECUTIVE COMPENSATION POLICIES AND PRACTICES, AND FOR SETTING AND APPROVING SPECIFIC COMPENSATION FOR THE CEO AND OTHER SELECT SENIOR EXECUTIVES. THE MEMBER HAS ENGAGED AN INDEPENDENT THIRD-PARTY EXPERT TO PROVIDE OBJECTIVE ADVICE AND RELEVANT INDUSTRY AND MARKETPLACE BENCHMARKS FOR COMPENSATION. THE BOARD ASSESSES TOTAL COMPENSATION FOR THE CEO AND OTHER SELECT SENIOR EXECUTIVES. ALL COMPENSATION IS APPROVED BY THE BOARD WITHOUT INPUT OR VOTING PARTICIPATION BY PERSONS WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19: External requests for our governing documents, conflict of interest policy, and financial statements are reviewed for validity. These requests are then granted if deemed appropriate. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY $6,219,624 ____________ TOTAL $6,219,624 NEW YORK-PRESBYTERIAN FOUNDATION INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG. 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