2017-11-15T18:33:49-06:00 2016-12-31 ERNST & YOUNG US LLP 100 NORTH TRYON STREET SUITE 3800 CHARLOTTE NC 28202 990 2016-01-01 131740110 NewYork-PresbyterianLawrence Hospital % SUSAN SCHOEPP NEWY 9147871000 55 PALMER AVENUE BRONXVILLE NY 10708 MICHAEL FOSINA PRESIDENT 9147871000 2017-11-09 108.206.163.59 35057220173195000058 2017-11-15 P 287223A4C8F86D002B8C3C5B368B0AF297E25AC4 582F47EFACDD6166E52205D1FBFEA2601660FA18 2016 2021-01-29 14:40:06Z NewYork-Presbyterian Lawrence Hosp MICHAEL FOSINA 55 PALMER AVENUE BRONXVILLE NY 10708 234193136 false X www.nyp.org/lawrence X 1909 NY NewYork-Presbyterian/Lawrence Hospital is a 291 bed acute care hospital located in Bronxville, New York That provides inpatient and outpatient healthcare services. 18 5 1539 180 560730 815737 959955 212815111 230165183 8243979 514552 2360436 2519942 224235263 234159632 0 60500 0 0 120230959 137595236 0 0 489883 99446197 106283464 219677156 243939200 4558107 -9779568 295952857 306137124 212580014 234043087 83372843 72094037 X NewYork-Presbyterian/Lawrence Hospital(NYP/LAWRENCE) IS A 291-BED ACUTE CARE HOSPITAL LOCATED IN BRONXVILLE, NEW YORK. ESTABLISHED OVER A CENTURY AGO IN 1909, NYP/LAWRENCE HAS A LONG AND IMPORTANT HISTORY PROVIDING SUPERIOR HEALTHCARE TO THE RESIDENTS OF SOUTHERN WESTCHESTER COUNTY AND ITS SURROUNDING COMMUNITIES. CARE IS PROVIDED WITHOUT REGARD TO A PATIENT'S RACE, AGE, SEXUAL ORIENTATION, NATIONAL ORIGIN OR ABILITY TO PAY. THE HOSPITAL PROVIDES ACUTE INPATIENT CARE, MATERNAL SERVICES, EMERGENCY AND EXPANSIVE OUTPATIENT SERVICES INCLUDING THE LATEST IN DIAGNOSTIC TESTING AND LABORATORY SERVICE, AMBULATORY SURGERY OPTIONS, WOMEN'S IMAGING CENTER AND OUTPATIENT REHABILITATIVE CARE AT TWO OFFSITE FACILITIES LOCATED IN EASTCHESTER AND SCARSDALE. false false 190019178 60500 229630241 NewYork-Presbyterian/Lawrence Hospital provides medical, surgical, pediatric, maternity and obstetric, newborn and level II nursery services. In 2016 NewYork-Presbyterian/Lawrence Hospital opened a Cancer Center and new surgical suites offering comprehensive care including the most advanced radiation therapy, an infusion unit, state-of-the-art operating suites, and rooftop wellness garden. Patients have access to the latest clinical trials and services provided in collaboration with cancer specialists from the National Cancer Institute-designated Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center. NewYork-Presbyterian/Lawrence Hospital in collaboration with the New York and Presbyterian Hospital and Columbia physicians opened a cardiac catheterization lab in May 2015 which performed 386 inpatient cardiac catheterization procedures in 2016. In 2016, the hospital had approximately 11,600 inpatient admissions and performed approximately 1,500 inpatient surgical procedures. There were approximately 51,800 patient days in 2016 and the average length of a patient's stay was 4.5 days. The hospital provides prenatal testing and advanced medical expertise for at-risk mothers and babies. The maternity program at NewYork-Presbyterian/Lawrence Hospital delivered 1,394 babies in 2016. In 2016, uninsured and underinsured patients accounted for approximately 3.8% and 2.6% of the hospital's total discharges and patient days, respectively. Such inpatients generated approximately $4.0 million in charges for services provided of which a significant amount will go uncollected. The hospital's emergency department treated a total of approximately 45,400 patients from which approximately 7,650 were admitted to the hospital. Board-certified emergency medicine physicians work in the emergency department and provide emergent care 24 hours a day, 7 days a week. The hospital's emergency department is the principal source of healthcare services for many uninsured and underinsured individuals in the surrounding communities. In 2016, approximately 7.0% of patients treated and released in the emergency department were either uninsured or charity care patients and incurred approximately $7.8 million in charges of which a significant amount will go uncollected. In addition, approximately 26% of the total patients treated and released were covered under medicaid or medicaid hmo insurance which is considered medically indigent. Total emergency department charges related to services rendered to these patients totaled approximately $28.1 million. In the outpatient setting, the hospital offers the latest in diagnostic testing and laboratory services, ambulatory surgery options, and rehabilitation and sports medicine services. Our women's imaging center provides state-of-the-art diagnostic services in a comfortable, private setting and out-patient physical therapy, lymphedema therapy, speech, and occupational therapy services are provided at facilities in Eastchester and Scarsdale. As evidence of its forward thinking program, NewYork-Presbyterian/Lawrence Hospital has one of the only multi-disciplinary cardiac and pulmonary rehabilitation programs in southern Westchester County. The department provides a structured and supportive environment in which men and women who have experienced cardiac and pulmonary illnesses can recover their strength and achieve a sense of wellbeing. NewYork-Presbyterian/Lawrence Hospital laboratory is a state-of-the art, full service, computerized laboratory accredited by the College of American Pathologists (CAP). Under rigorous quality standards, we have been providing diagnostic laboratory services for more than 90 years, making us the area's most experienced and trusted provider. Through our extensive outreach program, we meet community needs by providing laboratory services to nursing homes, physician offices, colleges and home health agencies. 190019178 true true false true false false false false false true true false false true true false false true false false false false false false true false true true true false true false false false false false false true false false false false false false true true true false false true 257 0 true 1539 true true true false false false false true true false false false false X 18 5 true false true false true true true true true false false true true true true true true true true false NY X SUSAN SCHOEPP 9147871000 55 PALMER AVENUE Bronxville NY 10708 LAURA L FORESE MD GOVERNOR 1.0 59.0 X 0 2744627 224599 ANDRIA CASTELLANOS GOVERNOR 1.0 59.0 X 0 1289114 127002 EMME DELAND GOVERNOR 1.0 59.0 X 0 1352841 35017 PHYLLIS R LANTOS GOVERNOR/treasurer 1.0 59.0 X X 0 2640133 57166 RICHARD S LIEBOWITZ MD GOVERNOR 1.0 59.0 X 0 1055365 40876 WILHELMINA M MANZANO GOVERNOR 1.0 59.0 X 0 1499172 120775 HENRY TING MD GOVERNOR 1.0 59.0 X 0 1242722 55385 GARY J ZUAR GOVERNOR 1.0 59.0 X 0 1484878 54415 LISA SMITH BARR GOVERNOR 1.0 0.5 X 0 0 0 MARY TAYLOR BEHRENS GOVERNOR 1.0 0.5 X 0 0 0 RICHARD DRESDALE CHAIRMAN 1.0 6.75 X 0 0 0 DENNIS E GLAZER GOVERNOR 1.0 6.75 X 0 0 0 THOMAS WELLING GOVERNOR 1.0 1.5 X 0 0 0 Michael Fosina Governor/President 40.0 20.0 X X 0 786509 62715 William Farrell Governor 1.0 59.0 X 0 990981 64125 Brian Regan Governor 1.0 59.0 X 0 352114 56594 Karen Westervelt Governor 1.0 59.0 X 0 908485 37840 Michael Nochomovitz Governor 1.0 59.0 X 0 1376256 29460 Kathleen Burke Secretary 1.0 59.0 X 0 371567 56976 RACHEL NEGRON - ROSARIO VP HUMAN RESOURCES 60.0 0.0 X 220575 0 29638 TRACY CONTE VP DEV & Marketing 60.0 0.0 X 194081 0 26017 TIMOTHY HUGHES SVP BUSINESS DEVELOPMENT 60.0 0.0 X 315683 0 32544 JAMES KEOGH VP support services 60.0 0.0 X 236301 0 37840 SUSAN SCHOEPP VP FINANCE 60.0 0.0 X 274911 0 13864 Laurie Walsh VP Patient Care Services 60.0 0.0 X 285702 0 15744 Tracy Lewis-Taylor VP operations 60.0 0.0 X 260722 0 26544 CARLOS FLORES DIRECTOR ER 40.0 0.0 X 478180 0 21020 Brian Fahnrich PHYSICIAN 40.0 0.0 X 389742 0 13396 Joseph Polarski PHYSICIAN 40.0 0.0 X 392848 0 31689 Michael Lahn PHYSICIAN 40.0 0.0 X 403252 0 30928 Ingrid Mudge ASSOCIATE DIRECTOR EMERGENCY 40.0 0.0 X 399394 0 28448 EDWARD M DINAN former officer 0.0 0.0 X 1598851 0 17361 JAMES Y LEE former officer 0.0 0.0 X 352514 0 7707 ROSEANN O'HARE former key employee 0.0 0.0 X 202578 0 12078 6005334 18094764 1367763 291 true true false Lillibridge Healthcare Services 5308 West Plano Parkway PLANO TX 75093 CONSTRUCTION 11020238 Sodexo Inc Affiliates POBOX 81049 WOBURN MA 018131049 FACILITIES MGMT 3608110 AMN Healthcare INC 2735 Collection Center Dr CHICAGO IL 60693 Nurse Agency 3603545 Mayo Collaborative PO Box 9146 MINNEAPOLIS MN 554809146 Lab Testing 986919 Winston Medical Staffing 122 East 42nd St SUITE 320 NEW YORK NY 10168 Nurse Agency 672492 46 103425 582020 274510 2027 959955 PATIENT SERVICE 622110 229604453 229604453 LABORATORY REVENUE 621500 560730 560730 230165183 513193 513193 0 0 276766 276766 0 276766 276766 1359 1359 1359 1359 62395 103425 33504 28891 28691 0 0 0 0 0 0 PARKING 812930 627502 627502 REBATES 900099 614623 614623 CAFETERIA REVENUE 722320 607041 607041 365119 25788 339331 2214285 234159632 229630241 560730 3008506 60500 60500 0 0 0 2508718 2431684 77034 0 104577611 77335569 27088958 153084 8323966 6155607 2156174 12185 14906116 11023134 3861162 21820 7278825 5382721 1885449 10655 0 236256 236256 341684 341684 27058 27058 0 0 12719995 9410000 3294887 15108 601508 483014 118494 13977229 10275175 3620551 81503 4652777 4652777 0 3650694 3278808 371886 218281 218281 0 0 794976 713994 80982 0 8764164 7871382 892782 6361439 6291485 69954 MEDICAL/PHARMACY SUPPLIES 25750759 25750759 SUPPORT OF LAWRENCE MED ASSOC 21559668 21559668 EQUIP RENTAL & MAINTENANCE 4773511 3537018 1236493 OTHER 1853465 1373358 480107 243939200 190019178 53430139 489883 10557395 10184975 38332475 38396799 0 0 26755134 34084204 0 0 0 0 0 0 2956560 3039544 1589079 1305972 155676491 18516285 121421289 137160206 61830094 47085937 0 0 0 0 0 0 32510831 34879487 295952857 306137124 129057773 142247672 0 0 0 0 10040000 0 0 0 0 0 22004508 20173173 0 0 51477733 71622242 212580014 234043087 X 64726513 55140861 14135600 12442446 4510730 4510730 83372843 72094037 295952857 306137124 X -9779568 -12779 -1486459 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 27058 27058 false PART II-B, LINE 1, LOBBYING ACTIVITIES: NewYork-Presbyterian/Lawrence Hospital does not engage in any direct lobbying activities; however, it does bear indirect costs that have lobbying implications. The $27,058 reported on Part II-B, line 1(i) represents that portion of its membership dues that the hospital pays to the Greater New York Hospital Association (GNYHA), Healthcare Association of New York State (HANYS), American Hospital Association (AHA) and The Northern Metropolitan Hospital Association (NORMET) that relates to lobbying expenses. These amounts have been determined in accordance with the medicare provider reimbursement manual, Part I, Section 2139. 18646330 429680 29764 2152598 16953176 23185137 733483 -361534 4910756 18646330 21216374 2570811 338947 940995 23185137 17451568 3158914 769335 163443 21216374 17371986 124192 458708 503318 17451568 0.26610 0.73390 false false 14410000 14410000 104901845 7505263 97396582 128690 32052 96638 34296989 10978970 23318019 1938967 0 1938967 137160206 ESTIMATED INSURANCE RECOVERIES 18498050 INSURANCE DEPOSIT 4972320 DUE FR LAWRENCE COMM HLTH CTR 9127065 DUE FR LAWRENCE MED ASSOCIATES 1373556 DUE FR LAWRENCE CARE, INC. 9650 OTHER ASSETS 898846 34879487 0 ESTIMATED INSURANCE RECOVERIES 18498050 DUE TO THIRD PARTY PAYORS 6221532 EST. PROF LIAB. CLAIMS PAYABLE 22717951 OTHER LIABILITIES 5807665 CAPITAL LEASE OBLIGATIONS 6322871 DUE TO NEWYORK-PRESBYTERIAN HOSP. 12054173 71622242 Schedule D Part V, Line 4: Specifications as regard to withdrawals from the endowment fund. Any withdrawals from the fund are used for ongoing operations or other donor specified purposes. Restricted principal amounts remain intact in perpetuity. Temporarily Restricted Net Assets at December 31, 2016 are as follows: Major Additions $7,373,245 Patient Care Services 2,586,118 Development 1,079,680 Miscellaneous 1,403,403 Total $12,442,446 Net assets were released from donor restrictions as certain cost were incurred that satisfied the defined restrictions imposed by the donor for the year ended december 31, 2016. Net assets released from restrictions for property, plant and equipment: $2,000,000 Golf Tournament 165820 103425 62395 0 0 29575 0 0 3929 0 165820 103425 62395 0 0 29575 0 0 3929 33504 28891 true true X true X true X true true true false true true 986634 150372 836262 0.00340 33175060 13041403 20133657 0.08250 34161694 13191775 20969919 0.08590 770006 587413 182593 0.00070 770006 587413 182593 0.00070 34931700 13779188 21152512 0.08660 false 11327000 2831750 45930119 62176773 -16246654 X true true 1 1 newyork-presbyterianlawrence hosp 55 palmer avenue bronxville NY 10708 www.lawrencehealth.org 5922000H X X X newyork-presbyterianlawrence hosp 1 false false true X X X X X X X X X 16 true false false true X see supplemental information X X true 16 true see supplemental information false true X 200. 300. X X X true true X X X true X See Supplemental Information X See Supplemental Information X See Supplemental Information X X X X X X true X false X X true X false false Additional Information Part V, Line 5: In 2016, NewYork-Presbyterian Lawrence Hospital worked as a member of the Westchester County Health and Hospital Planning Team (WCHHPT) under the guidance of the Westchester County Department of Health to plan and execute a county-wide Community Health Needs Assessment survey, and to collaborate on the identification of priority areas and planned health interventions for 2016-2018. Members of the WCHHPT included the Department of Health and representatives from 12 hospitals and healthcare providers who met seven times throughout the year. As a result of this collaboration, survey results, and internal planning based on our hospitals strengths, resources and local community needs, NewYork-Presbyterian Lawrence Hospital developed its 2016-2018 Community Service Plan. In our efforts to meet the Agendas requirements, the Westchester County Health & Hospital Planning Team (WCHHPT), including NewYork-Presbyterian Lawrence Hospital, conducted a Community Health Needs Assessment Survey to sample residents and providers in the County and each hospitals or agencies service areas to determine which Prevention Agenda initiative(s) it plans to address during this three year period. Surveys yielded 1,318 responses and 733 were from within the subset of NewYork-Presbyterian Lawrence Hospitals primary and secondary service areas. Significant socioeconomic gaps exist among the communities served by NewYork-Presbyterian Lawrence Hospital. Over a series of meetings in 2016, the Westchester County Health & Hospitals Planning Team crafted and disseminated throughout Westchester County community assessment and provider surveys. In addition to surveying the community at large, the team sought to identify a wide and varying range of providers of health care services to ensure that as many areas of health care as possible could be included in the surveys. Surveys were distributed to community members, community agencies and providers both electronically via a Survey Monkey on-line form, and in hard copy paper format. Completed paper surveys were manually entered into the data sets prior to analysis. NewYork-Presbyterian/Lawrence completed a stand alone Community needs assessment report. Part V, Line 7a & Line 10: http://www.nyp.org/lawrence/about-us/community-service-plan Part V, Line 7d: A link to survey was sent to Westchester residents via the Gannett journal news digital subscriber list. The journal news is the county's only regional daily newspaper. The link and hard copies were also distributed through our community partners, for example grace community church of Mount Vernon which collected approximately 80 surveys from their congregants and health ministry members. Part V, Line 11 For 2016-2018, NewYork-Presbyterian Lawrence Hospital will address the following Priority and Focus Areas and Goals as prescribed by the NYS Prevention Agenda. Priority Area: Prevent Chronic Disease Focus Area 1: Reduce Obesity in Children and Adults To expand the role of health service providers in nutritional education and obesity prevention through Community Nutrition Education, Supporting Healthy Eating and Promoting Physical Activity through partnerships and outreach. Focus Area 2: Increase Access to High Quality Chronic Disease Preventive Care and Management in Both Clinical and Community Settings. To increase screening rates for cardiovascular diseases and breast, lung, skin and colorectal cancers, especially among disparate populations by screenings facilitated by Clinical Navigators in collaboration with Physicians, community initiatives including disease focused education campaigns, seminars and outreach events. To address a health care disparity through planned interventions, NewYork-Presbyterian Lawrence Hospital will focus on underserved communities with a focus on African American and Hispanic communities, particularly in its interventions planned for increasing screening for breast cancer. We will continue our diet and nutrition outreach and focus on the prevention and treatment of cancer and heart disease. With the addition of the NewYork-Presbyterian Cardiac Catheterization Laboratory, an expert interventional cardiology team and a dedicated Heart Disease Prevention Committee which meets to plan interventions and outreach, NewYork-Presbyterian Lawrence Hospital clinical team leaders will perform screenings and interventions to educate and reduce the incidence of heart disease and offer treatment to those in need. The Breast Disease Management Team will lead the hospitals intervention to increase the number of women who are screened for breast cancer, with a focus on underserved women who have not traditionally had access to mammography for financial or cultural reasons. Participants in internal and community screening programs will be identified and tracked as part of a new New York State grant funded mammography screening program to begin in 2017. In addition to breast screening, interventions for the area of focus on cancer will also involve nurse navigators working in the community to provide increased education, outreach and screenings for colorectal cancer. Part V, Line 16a, b & C: www.nyp.org/lawrence/pay-my-bill Part V, Line 16J: Summary of the policy is posted on the hospital's website as well as in the emergency room, admitting offices, breast imaging center and offsite physical therapy offices. Notice of financial assistance is included on the patient's billing statement. Part VI Additional Information PART I, LINE 3C: N/A PART I, LINE 6A: N/A Part I, Line 7, Column F: Bad Debt Expense is offset against revenue and not included in expenses. Part I, Line 7 - The Following is a detail of the sources used for determining the amounts reported on schedule H: Line 7A - Adjusted Ratio of Patient Care Costs to Charges. Line 7B - Adjusted Ratio of Patient Care Costs to Charges. Line 7E - Actual Expenses Part III, Line 2 - Bad Debt Expense: Based on historical bad debt write-off percentages adjusted for actual write-offs and recoveries. Part III, Line 3 - Bad Debt attributable to Charity Care: Based on an estimate that is consistent with prior years. PART III, LINE 4 - Bad Debt Expense Description 2016 NewYork-Presbyterian Lawrence Hospital audited financial statement note regarding bad debt expense is found on pages 15 & 16. PART III, LINE 5, 6 & 7 These do not include certain Medicare program revenue and costs and thus do not reflect all of the organizations revenues and costs with the participation in Medicare programs. The revenue and costs excludes Medicare managed care activity. if all these revenue and costs were included the Medicare loss of $16,246,654 would result in a greater medicare shortfall of $25,210,033. medicare net surplus per schedule h (16,246,654) medicare managed care net costs (8,963,379) total net costs associated with the medicare program (25,210,033) "net is defined as revenue net of costs" PART III, LINE 8: NewYork-Presbyterian Lawrence Hospital costing methodology used to determine the amounts on part iii, line 6 is the cms-2552 Medicare cost report. PART III, LINE 9B - Collection Practices: The financial assistance policy includes collection practices that note an account will not be eligible for collection if the patient's financial application has been received and is awaiting determination. In a situation of high cost care, the account will be reviewed to determine if reasonable efforts were undertaken to ensure that financial assistance was offered or appropriate before referral to a collection agency. In addition, for eligible persons, neither the hospital nor its subsidiaries will force the sale or foreclosure of a patient's primary residence to pay an outstanding medical bill. A collection agency must receive written consent from a finance department director before it can begin legal action. Any collection agency representing the hospital or its subsidiaries must follow the financial aid policies and procedures, including the application procedure. Collections are prohibited against any patient who was eligible for Medicaid at the time the services were rendered with the exception of co-pay, surplus or spend down amounts. Additionally, if a patient should receive a bill from the hospital or any of its subsidiaries after filing an application for financial assistance, the bill may be disregarded until a decision regarding eligibility is reached. Part VI, Line 2- Needs Assessment: The Westchester County Health and Hospital Planning Team (WCHHPT) reviewed survey results from the Westchester County survey of 218 providers and 1097 residents along with results specific to the NewYork-Presbyterian Lawrence Hospital service areas to determine which Prevention Agenda initiative and focus area to pursue. In the community survey results, the top five community health conditions or concerns residents identified were: Obesity/Overweight; Care for the Elderly; Drug Abuse; Mental Health/Depression; Cancer. Questions about what health concerns respondents have about their own health yielded the highest response around (1) nutrition and eating habits and (2) obesity and being overweight, followed by (3) having a healthy environment, (4) womens health, and (5) dental care. Community members identified the top three health information sources they access as being (1) their doctor or healthcare professional, (2) the internet, and (3) family and friends. Providers of healthcare services surveyed identified the following health conditions and concerns they see when treating their clients/patients: Mental Health/Depression; Drug Abuse; Overweight/Obesity; Access to Specialty Care; Heart Disease/Stroke and Care for the Elderly (tied). The survey results were discussed among members of the WCHHPT and reviewed in comparison to data in the Westchester County Department of Health Community Health Assessment Update dated January, 2016. County data indicates that in 2012, heart disease, stroke and other circulator diseases accounted for 39% of all deaths, and cancer accounted for 24% of all deaths. Heart disease is the number one cause of death in Westchester County, followed by cancer. Based on review of health data, survey findings, community feedback, the Prevention Agenda Action Plan provided by New York State Department of Health, and collaboration with other providers, the Westchester County Health & Hospitals Planning Team, including NewYork-Presbyterian Lawrence Hospital, decided to address the Prevention Agenda Priority Group Choice A (GCA): Preventing Chronic Diseases. Hospital representatives came to consensus that choosing two areas of focus under the umbrella of Preventing Chronic Disease was supported by the data collected, and was the best choice and avenue to implement successful programs aligned with the strengths, service lines and priorities of their organizations. Survey results were further reviewed with members of the leadership team of NewYork-Presbyterian Lawrence Hospital and weighed against existing resources, assets and strengths to determine our priorities and two areas of local focus. Data was also discussed at a monthly meeting of the NewYork-Presbyterian Lawrence Hospital Heart Disease Prevention Committee. This committee comprises physicians, clinicians from the hospitals interventional cardiology, emergency medicine and nursing departments, nutrition, and marketing and administrative team members. NewYork-Presbyterian Lawrence Hospital determined that it can best address the Prevention Agenda Item Reducing Chronic Disease and the issue of premature cardiac related deaths by devoting present and future resources to Hands-Only CPR education and interventions that address blood pressure, cholesterol, cardiovascular health, diet, healthy Body Mass Index, and education. This plan of action fits well with survey results which showed that the highest concern among community respondents are around obesity and nutrition. With cancer as the number two cause of death in Westchester County and the fifth highest area of concern cited in our community survey results, addressing this second area of focus fits well with our organizational strengths and assets. In November 2016, NewYork-Presbyterian Lawrence Hospital opened a new, state-of-the-art comprehensive Cancer Center to bring prevention measures, screening, diagnosis, treatment, and return to wellness through survivorship programs all together in one location. To support the Cancer Center, the Hospital recruited and built an experienced and highly regarded team of physicians, surgeons, specialists and clinical providers, and established disease management teams, expanded treatment options and ancillary offerings. The expanded resources and team enhances the hospitals ability to provide education and services out in the community. PART VI, LINE 3 - Patient Education of Eligibility: Written materials, including the application, full Policy, and plain language summary (Summary), shall be available to patients in the Hospitals primary languages, upon request and without charge, from Admitting and Emergency Departments at the Hospital during the intake and registration process, at discharge and/or by mail. Additionally, those materials shall be available on the Hospitals website. Also, notification to patients regarding this Policy shall be made through conspicuous posting of language-appropriate information in Emergency Rooms and Admitting Departments of the Hospital, 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. The policy is also posted at out offsite physical therapy and Cardiac rehabilitation locations. PART VI, LINE 4 Community Information: NewYork-Presbyterian Lawrence Hospitals primary and secondary service areas are located in Southern Westchester County, New York. Most of the hospitals patients live in the following communities: Bronxville, Eastchester, Mount Vernon, Pelham, New Rochelle, Scarsdale, Tuckahoe and Yonkers. These communities are densely populated suburban and small city neighborhoods which vary widely in demographics. The service areas were determined about five years ago during a planning process initiated in advance of seeking a new partnership with a major healthcare system. Working with a consultant (Chartis Group), the top zip code areas for inpatient and outpatient services were identified. The servi true HealthCare Leaders of NY 28-24 Steinway St 206 Astoria NY 11103 200866992 501 C 6 10000 N/A Sponsorship Arthritis Foundation 122 E 42nd Street New York NY 10168 800489313 501 C 3 10000 N/A SUPPORT Business Council of Westchester 800 Weschester Ave Rye Brook NY 10573 131701636 501 C 6 10000 N/A Sponsorship TJ Martell Foundation 260 Madison Ave 8th Fl New York NY 10016 510180178 501 C 3 8000 N/A SUPPORT Westchester County Association 1133 Westchester Ave White Plains NY 10604 131737011 501 C 4 7500 N/A Sponsorship 2 3 PART I, LINE 2: PRIOR TO AWARDING ASSISTANCE TO ORGANIZATIONS, AN ASSESSMENT IS MADE ON THE ULTIMATE USE OF THE FUNDS. FINAL DETERMINATION IS BASED ON WHETHER THE FUNDS WILL BE UTILIZED TO FURTHER OUR MISSION. X X X X true true false false false false false true false EDWARD M DINAN former officer 250203 0 850000 0 498648 0 1661 0 15700 0 1616212 0 0 0 RACHEL NEGRON - ROSARIO VP HUMAN RESOURCES 200402 0 20000 0 173 0 3693 0 25945 0 250213 0 0 0 JAMES Y LEE former officer 0 0 352514 0 7707 360221 0 TRACY CONTE VP DEV & Marketing 176233 0 17611 0 237 0 3191 0 22826 0 220098 0 0 0 TIMOTHY HUGHES SVP BUSINESS DEVELOPMENT 255110 0 60000 0 573 0 7618 0 24926 0 348227 0 0 0 JAMES KEOGH VP support services 214326 0 21111 0 864 0 13014 0 24826 0 274141 0 0 0 ROSEANN O'HARE former key employee 0 0 0 0 202578 0 0 0 12078 0 214656 0 0 0 SUSAN SCHOEPP VP FINANCE 245140 0 24000 0 5771 0 6672 0 7192 0 288775 0 0 0 LAURA L FORESE MD GOVERNOR 0 1154292 0 1090781 0 499554 0 213906 0 10693 0 2969226 0 31530 ANDRIA CASTELLANOS GOVERNOR 0 665882 0 406924 0 216308 0 87824 0 39178 0 1416116 0 26065 EMME DELAND GOVERNOR 0 538766 0 352216 0 461859 0 26521 0 8496 0 1387858 0 45625 PHYLLIS R LANTOS GOVERNOR/treasurer 0 968564 0 922949 0 748620 0 26633 0 30533 0 2697299 0 338195 RICHARD S LIEBOWITZ MD GOVERNOR 0 625548 0 328675 0 101142 0 21923 0 18953 0 1096241 0 0 WILHELMINA M MANZANO GOVERNOR 0 695574 0 438834 0 364764 0 97596 0 23179 0 1619947 0 63089 HENRY TING MD GOVERNOR 0 650797 0 487600 0 104325 0 13515 0 41870 0 1298107 0 0 GARY J ZUAR GOVERNOR 0 604634 0 366608 0 513636 0 23533 0 30882 0 1539293 0 123335 CARLOS FLORES DIRECTOR ER 450722 0 23750 0 3708 0 5745 0 15275 0 499200 0 0 0 Brian Fahnrich PHYSICIAN 370259 0 18125 0 1358 0 5670 0 7726 0 403138 0 0 0 Joseph Polarski PHYSICIAN 369242 0 23125 0 481 0 4975 0 26714 0 424537 0 0 0 Michael Lahn PHYSICIAN 374845 0 27500 0 907 0 5474 0 25454 0 434180 0 0 0 Ingrid Mudge ASSOCIATE DIRECTOR EMERGENCY 370653 0 28125 0 616 0 5169 0 23279 0 427842 0 0 0 Michael Fosina Governor/President 0 475785 0 249250 0 61474 0 35462 0 27253 0 849224 0 0 William Farrell Governor 0 516851 0 400347 0 73783 0 34242 0 29883 0 1055106 0 0 Brian Regan Governor 0 245564 0 71617 0 34933 0 23166 0 33428 0 408708 0 0 Karen Westervelt Governor 0 588845 0 221501 0 98139 0 13383 0 24457 0 946325 0 0 Michael Nochomovitz Governor 0 679204 0 575001 0 122051 0 13250 0 16210 0 1405716 0 0 Laurie Walsh VP Patient Care Services 252881 0 25000 0 7821 0 5995 0 9749 0 301446 0 0 0 Tracy Lewis-Taylor VP operations 234481 0 21500 0 4741 0 4459 0 22085 0 287266 0 0 0 Kathleen Burke Secretary 0 290519 0 69723 0 11325 0 34449 0 22527 0 428543 0 0 Part VII & Schedule J: 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/Lawrence Hospital 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 to complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by the 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. Part 1, Line 4a: Received Severance Payments: Edward Dinan amount 498,648 effective 4/28/2016 James Lee amount 352,514 Rose Ann O'Hare amount 202,578 PART I, LINE 4B: ED DINAN, FORMER PRESIDENT AND CEO OF LAWRENCE HOSPITAL CENTER DBA NYP/Lawrence, PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. No contribution in 2016. Part I, Line 4b: Participated in supplemental Nonqualified Retirement Plan: Laura Forese 179,457 Andria Castellanos 53,561 Wilhelmina Manzano 70,224 Part I, Line 4b: Supplemental Nonqualified Retirement Plan as reported on the W-2: Laura Forese 302,316 Andria Castellanos 117,104 Emme Deland 376,216 Phyllis Lantos 566,305 Wilhelmina Manzano 242,776 Gary Zuar 413,951 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/LAWRENCE HOSPITAL. 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. kate HUGHES Family member of Timothy Hughes, Key Employee 102915 COMPENSATION false christina mcgovern Family member of Timothy Hughes, Key Employee 57638 COMPENSATION false Part VI, Section A, Line 2: Emme Deland, Brian Regan and Gary Zuar have a business relationship. PART VI, SECTION A, LINE 4: The Organization documents were amended to change the sole member from NYP Community Services, Inc. to NYP Community Programs, Inc. and to change the name of the organization to NewYork-Presbyterian/Lawrence Hospital formely known as the Lawrence Hospital Center. Part VI, Section A, Line 6: NYP Community Programs, Inc., a New York not-for-profit corporation, is the sole member of the NewYork-Presbyterian/Lawrence Hospital. Part VI, Section A, Line 7A: NYP Community Programs, Inc. (The member) elects BOARD OF DIRECTORS, PURSUANT TO THE BYLAWS. Part VI, Section A, Line 7B: 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. 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 US 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/Lawrence Hospital FILES THE 990 UPON FINAL APPROVAL. Part VI, Section B, Line 12C: NewYork-Presbyterian/Lawrence Hospital adheres to a conflict of interest (coi) policy that was approved by the audit and corporate compliance committee of the board of trustees. The policy states in part: "Each Board Member, Officer or Key Person of a New York-Presbyterian Organization shall complete a conflict of interest questionnaire prior to becoming a Board Member, Officer or Key Person of the New York-Presbyterian Organization and annually thereafter." The policy also states that "each Board Member, Officer, or Key Person shall promptly advise the Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire." The Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, shall review all completed questionnaires and all subsequent advice of changes and shall take such action as is deemed appropriate to eliminate potentials for conflicts of interest, including such steps as reassignment of responsibilities or establishment of protective arrangements. All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the Audit and Corporate Compliance Committee, together, in each case, with response or recommendation of management. The Audit and Corporate Compliance Committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not, shall require such further action as it deems appropriate. Part VI, Section B, Line 15: THE MEMBER OF NEWYORK-PRESBYTERIAN/LAWRENCE HOSPITAL IS RESPONSIBLE FOR OVERSEEING EXECUTIVE COMPENSATION POLICIES AND PRACTICES, AND FOR SETTING AND APPROVING SPECIFIC COMPENSATION FOR THE PRESIDENT 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 PRESIDENT 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. Part VI, Section C, Line 19: External requests for our governing documents, conflict of interest policy, and financial statements are reviewed for validity. These requests are then granted if deemed appropriate. Part XI, Line 9: Changes in Net Assets: PENSION-RELATED ADJUSTMENTS $(13,284,459) DISTRIBUTION FROM RELATED ORGANIZATION 11,798,000 TOTAL $(1,486,459) NEW YORK-PRESBYTERIAN FOUNDATION INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG NY 501(C)(3) 12 TYPE I NA false THE NEW YORK AND PRESBYTERIAN HOSPITAL 525 E 68TH ST BOX 156 NEW YORK NY 10065 133957095 HEALTH CARE NY 501(C)(3) 3 NYP FDN true NY PRESBYTERIAN HEALTHCARE SYSTEM INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 133792361 SPONSOR NY 501(C)(3) 12 TYPE III NYP FDN true NYP COMMUNITY PROGRAMS INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 472126668 HEALTH CARE NY 501(C)(3) 12 TYPE I NYP HOSPITAL true NYP COMMUNITY SERVICES INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 463951535 HEALTH CARE NY 501(C)(3) 12 TYPE I NYP HOSPITAL true BEEKMAN STAFF RESIDENCE 525 E 68TH ST BOX 156 NEW YORK NY 10065 132773085 REAL ESTATE NY 501(C)(3) 12 TYPE I NYP HOSPITAL true THE ELIZABETH BLACKWELL FDN INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 113344692 HLTH INFO SVS NY 501(C)(3) 12 TYPE I NYP HOSPITAL true NEW YORK DOWNTOWN HOSPITAL CCPH 525 E 68TH ST BOX 156 NEW YORK NY 10065 113614596 FUND/SUPPORT NY 501(C)(3) 12 TYPE I NYP HOSPITAL true NETWORK RECOVERY SERVICES INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 113160901 COLLECTION NY 501(C)(3) 12 TYPE III NYP SYS INC true HUDSON VALLEY HOSPITAL CENTER 1980 CROMPOND RD CORTLANDT MANOR NY 10567 131740120 HEALTH CARE NY 501(C)(3) 3 NYP COMM PRO true THE FDN OF NYPHUDSON VALLEY HOSPITAL 1980 CROMPOND RD CORTLANDT MANOR NY 10567 133307781 SUPPORT NY 501(C)(3) 12 TYPE I NYPHVH HOS true WESTCHESTER PUTNAM HEALTH MANGEMENT SYST 1980 CROMPOND RD CORTLANDT MANOR NY 10567 133420263 SUPPORT NY 501(C)(3) 12 TYPE I NYP COMM PRO true GI VENTURES INC 1980 CROMPOND RD CORTLANDT MANOR NY 10567 454644781 SUPPORT NY 501(C)(3) 12 TYPE II WPHMS true LAWRENCE MEDICAL ASSOCIATES PC 55 PALMER AVE BRONXVILLE NY 10708 264076297 HEALTH CARE NY 501(C)(3) 12 TYPE I NYPLAWRENCE true THE FDN OF NYPLAWRENCE HOSPITAL 55 PALMER AVENUE BRONXVILLE NY 10708 812010760 FUNDRAISING NY 501(C)(3) 12 TYPE I NYPLAWRENCE true LAWRENCE CARE INC 55 PALMER AVE BRONXVILLE NY 10708 133415158 HEALTH CARE NY 501(C)(3) 12 TYPE I NYPLAWRENCE true LAWRENCE COMMUNITY HEALTH SERVICES INC 69 MAIN STREET TUCKAHOE NY 10707 131740022 HEALTH CARE NY 501(C)(3) 10 LAWRENC CARE true NEWYORK-PRESBYTERIANQUEENS 56-45 MAIN STREET FLUSHING NY 11355 111839362 HEALTH CARE NY 501(C)(3) 3 NYP COMM PRO true NY QUEENS MEDICINE AND SURGERY PC 56-45 MAIN STREET FLUSHING NY 11355 274719998 HEALTH CARE NY 501(C)(3) 12 TYPE I NYPQUEENS true CRT SURGICAL ASSOCIATES PC 56-45 MAIN STREET FLUSHING NY 11355 112226870 HEALTH CARE NY 501(C)(3) 12 TYPE I NYPQUEENS true NEW YORK QUEENS CHARTER VENTURES INC 56-45 MAIN STREET FLUSHING NY 11355 454795032 REAL ESTATE NY 501(C)(3) 12 TYPE I NYPQUEENS true THE FDN OF NYPQUEENS 56-45 MAIN STREET FLUSHING NY 11355 112848858 EDUC&RESEARCH NY 501(C)(3) 12 TYPE I NYPQUEENS true NEWYORK-PRESBYTERIANBKLYN METHODIST 506 SIXTH STREET BROOKLYN NY 11215 111631796 HEALTH CARE NY 501(C)(3) 3 NYP COMM PRO true BROOKLYN DENTAL SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 432015903 DENTAL SERVIC NY 501(C)(3) 12 TYPE I BKLYN METHOD true BROOKLYN FOOT AND ANKLE PC 506 SIXTH STREET BROOKLYN NY 11215 113441502 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true BROOKLYN RADIOLOGY SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 113423162 RADIOLOGY NY 501(C)(3) 12 TYPE I BKLYN METHOD true KINGS PHYSICIAN SERVICES 506 SIXTH STREET BROOKLYN NY 11215 462333282 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE EMERGENCY PHYSICIAN SERV PC 506 SIXTH STREET BROOKLYN NY 11215 061160280 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE HEMATOLOGY & ONCOLOGY PC 506 SIXTH STREET BROOKLYN NY 11215 421591811 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE MEDICAL HEALTH PROVIDER PC 506 SIXTH STREET BROOKLYN NY 11215 113564621 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE MEDICAL SERVICE PC 506 SIXTH STREET BROOKLYN NY 11215 112843882 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE MEDICINE PC 506 SIXTH STREET BROOKLYN NY 11215 113362663 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE OBSTETRICS & GYNECOLOGY PC 506 SIXTH STREET BROOKLYN NY 11215 113124294 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE PATHOLOGY SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 112843879 PATHOLOGY NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE PEDIATRIC MEDICINE PC 506 SIXTH STREET BROOKLYN NY 11215 113303499 PEDIATRICS NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE PHYSICIAN SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 113231685 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true NYP PLAN MGM'T LLC 525 E 68TH ST NY NY 10065 134197527 INACTIVE NY NYP HOSPITAL LC SERVICES CORPORATION 55 PALMER AVENUE BRONXVILLE NY 10708 133448322 MEDICAL EQUIP. 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