2014-11-14T07:47:36-06:00 2013-12-31 990 2013-01-01 111631781 FLUSHING HOSPITAL MEDICAL CENTER FLUS 7186705000 4500 PARSONS BLVD FLUSHING NY 11355 MOUNIR F DOSS EXECUTIVE VP & CFO 7186705000 2014-11-13 1 P00851654 2122970400 2013 2016-02-25 16:41:14Z MOUNIR F DOSS 4500 PARSONS BLVD FLUSHING NY 11355 240316125 0 X FLUSHINGHOSPITAL.ORG X 1884 NY ACUTE CARE HOSPITAL 10 10 2078 238 0 0 3749929 1380209 232760152 231292052 782535 418870 5221594 7195442 242514210 240286573 0 0 0 0 156128592 155520255 0 0 109329 95270787 105285393 251399379 260805648 -8885169 -20519075 130375339 119661413 172168471 182341629 -41793132 -62680216 ACUTE CARE HOSPITAL 0 0 201117008 238213007 HOSPITAL SERVICES - OUTPATIENT CLINIC - EMERGENCY SERVICESCERTIFIED BEDS +325 201117008 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 395 0 1 2078 1 0 0 0 0 0 1 1 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X CAROLE KING 7186705000 4500 PARSONS BLVD FLUSHING NY 11355 X A J JIN TRUSTEE 2.00 X 0 0 0 AHAMED MOIDEEN TRUSTEE 2.00 X 0 0 0 CHRIS Y HWANG TRUSTEE 2.00 X 0 0 0 DARREN MEYERS TRUSTEE 2.00 X 0 0 0 DAVID P PAGAN TRUSTEE 2.00 X 0 0 0 MAX KUPFERBERG TRUSTEE 2.00 X 0 0 0 MICHAEL RUSSO CHAIRPERSON 2.00 X X 0 0 0 PATRICK SUN TRUSTEE 2.00 X 0 0 0 ROBERT REICHENBACH SECRETARY 2.00 X X 0 0 0 SANG KI HAN TRUSTEE 2.00 X 0 0 0 BRUCE J FLANZ PRESIDENT & CEO 10.00 55.00 X 0 1372384 25807 MOUNIR F DOSS EXEC VP & COO 10.00 55.00 X 0 974118 25807 ROBERT LEVINE EXEC VP & COO 40.00 X 337319 0 24145 CHIEN-JUNG CHU ASST DIRECTOR 40.00 X 314069 0 20602 NAGESWARA MANDAVA MD CHAIRPERSON 40.00 X 432997 0 20618 ORLANDO SANTANDREU MD DIRECTOR 40.00 X 319611 0 20603 ROBERT CRUPI CHAIRPERSON 40.00 X 311139 0 20602 SUSANNA RAPAPORT CHAIRPERSON 40.00 X 281939 0 20598 1997074 2346502 178782 173 0 1 0 WOUND CARE CENTER PO BOX 637114 CINCINNATI OH 45263 PROFESSIONAL SERVICES 257286 PRICEWATERHOUSECOOPERS LLP PO BOX 7247-8001 PHILADELPHIA PA 10819 PROFESSIONAL SERVICES 243250 THE CODERS NETWORK 261 W 231 ST BRONX NY 10463 PROFESSIONAL SERVICES 227720 VIRTUAL RADIOLOGIC PROF PO BOX 673398 DETROIT MI 48267 PROFESSIONAL SERVICES 182842 BM VASCULAR SURGERY 170 STIRRUP LANE SYOSSET NY 11791 PHYSICIAN SERVICES 171875 6 87779 1013749 278681 1380209 PATIENT REVENUE 621400 229939462 229939462 TEACHING INCOME 611600 1352590 1352590 231292052 372047 372047 303232 0 303232 303232 303232 25511 21312 0 0 25511 21312 46823 21312 25511 47630 87779 29552 18078 18078 EHR REVENUE 621400 2903718 2903718 EXPENSE REIMBURSEMENT 900099 1233658 1233658 INSURANCE RECOVERY 900099 1217177 1217177 1519579 1519579 6874132 240286573 238187496 0 718868 361464 325710 35754 114257056 110519055 3738001 8753821 8455794 298027 23366776 22571245 795531 8781138 8482181 298957 5499996 2660239 2839757 466349 225587 240762 347553 168122 179431 10236 10236 11518439 5571240 5947199 31942 15450 16492 615274 297596 317678 4259315 2060146 2199169 5671807 2743340 2928467 31500 15236 16264 2275219 1106674 1168545 10174936 4921414 5253522 5583071 2700420 2882651 MEDICAL & SURGICAL SUPP 21870752 10464618 11406134 BAD DEBT 19173136 9273664 9899472 PURCHASED SERVICES 2146950 954082 1192868 COLLECTION AGENCY 1285641 621839 663802 14323277 6953120 7260828 109329 260805648 201117008 59579311 109329 2187372 1384885 609524 628310 32192106 26735235 3326659 3463416 1667137 1777209 199463307 149188470 52471353 50274837 37921188 35397521 130375339 119661413 40995129 42825581 694000 11958666 11185476 119214676 127636572 172168471 182341629 X -41793132 -62680216 -41793132 -62680216 130375339 119661413 -20519075 -376854 8845 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 0 0 0 0 1 10236 0 0 10236 0 PART II-B, LINE 1: FLUSHING HOSPITAL MEDICAL CENTER IS A MEMBER OF AN ASSOCIATION OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE GENERAL PUBLIC. HEALTHCARE ASSOCIATION OF NEW YORK STATE $10,236 5375000 5375000 76488312 57250472 19237840 1363459 1251363 112096 105407331 85491824 19915507 10829205 5194811 5634394 50274837 DEFERRED FINANCING 41000 DUE FROM THIRD PARTY 3178000 ESCROW RESERVE 213667 OTHER ASSETS 3728768 BOARD DESIGNATION FUNDS 6727865 OTHER RECEIVABLES CAPITALIZATION CONTRACTS 4077314 INSURANCE RECEIVABLE 2861301 INSURANCE RECEIVABLE LT 12441242 DEPRECIATION RESERVE FUND 2128364 35397521 MEDICAL MALPRACTICE 32274245 DUE TO RELATED ORGANIZATIONS 88434402 DUE TO THIRD PARTY 6927925 127636572 X 262790389 -376854 -16785336 -17162190 279952579 -39666006 -39666006 240286573 283407285 41774773 41774773 241632512 19173136 19173136 260805648 PART X, LINE 2: THE MEDICAL CENTER QUALIFIES AS A TAX-EXEMPT NONPROFIT CORPORATION UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. PART XI, LINE 2D - OTHER ADJUSTMENTS: SECOND CENTURY CORPORATION REVENUES 2,387,800. BAD DEBT -19,173,136. PART XI, LINE 4B - OTHER ADJUSTMENTS: CAPITATION EXPENSE MOVED TO REVENUE -39,666,006. PART XII, LINE 2D - OTHER ADJUSTMENTS: SECOND CENTURY SERVICES CORP EXPENSES 2,108,767. CAPITATION EXPENSE MOVED TO REVENUE 39,666,006. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 19,173,136. CELEBRATION 2013 135409 87779 47630 28000 792 760 135409 87779 47630 28000 792 760 29552 18078 1 1 1 X 1 X 1 0 1 1 9658690 6355258 3303432 0.01370 93300983 71278269 22022714 0.09110 102959673 77633527 25326146 0.10480 14 47947 121554 49954 71600 0.00030 33100068 12585678 20514390 0.08490 22375587 16478424 5897163 0.02440 14 47947 55597209 29114056 26483153 0.10960 14 47947 158556882 106747583 51809299 0.21440 1 19173136 18261675 50353832 41828338 8525494 X 1 1 1 1 FLUSHING HOSPITAL MEDICAL CENTER 4500 PARSONS BLVD FLUSHING NY 11355 X X X FLUSHING HOSPITAL MEDICAL CENTER 1 1 X X X X X X X X X 13 1 0 1 X WWW.FLUSHINGHOSPITAL.COM X X X X 1 0 1 1 100.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X X 1 0 1 X 0 0 FLUSHING HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 3: PUBLIC PARTICIPATIONPARTICIPANTS IN THE DEVELOPMENT OF THE COMMUNITY SERVICE PLAN INCLUDED STAFF FROM PUBLIC AFFAIRS, ADMINISTRATION, AS WELL AS MEDICAL STAFF, THE HOSPITAL'S BOARD OF TRUSTEES, THE HOSPITAL'S COMMUNITY ADVISORY BOARD (CAB), AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH).THE DEPARTMENT OF PUBLIC AFFAIRS CONDUCTED A SURVEY DURING THE MONTH OF SEPTEMBER 2013 TO HELP IDENTIFY WHICH HEALTH RELATED ISSUES WERE MOST IMPORTANT TO THE COMMUNITY. EACH OF THE COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE SURVEY PROCESS WERE PROVIDED WITH A LIST OF COMMON HEALTH ISSUES AND ASKED TO INDICATE WHICH ISSUES THEY FELT WERE THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY. THE SURVEYS REVEALED THAT COMMUNITY MEMBERS HAD MANY CONCERNS INCLUDING CHILDHOOD OBESITY, HYPERTENSION, NUTRITION, DIABETES, ASTHMA, SEXUALLY TRANSMITTED DISEASES, AS WELL AS TOBACCO USE AND BREASTFEEDING. FLUSHING HOSPITAL IS PARTNERING ON SEVERAL PREVENTION PROJECTS WITH COMMUNITY BASED ORGANIZATIONS AND WITH NYC DOHMH AS PART OF ITS TAKE CARE NEW YORK (TCNY) PROGRAM TO ADDRESS THESE PROBLEMS.PRIOR TO DISTRIBUTING THESE SURVEYS, A BRIEF INTRODUCTION AND EXPLANATION OF THE SURVEY WAS GIVEN TO THOSE IN ATTENDANCE, EITHER BY THE LEADERSHIP OF THE HOST ORGANIZATION OR BY A MEMBER OF THE PUBLIC AFFAIRS STAFF. THE RESPONDENTS WERE TOLD THAT THE SURVEYS WERE ANONYMOUS AND WOULD BE USED BY THE STAFF OF THE HOSPITAL TO BETTER UNDERSTAND WHAT THE COMMUNITY BELIEVES ARE IMPORTANT PROBLEMS TO BE ADDRESSED.THE ORGANIZATIONS SURVEYED WERE:COMMUNITY BOARD 6 - 24 RESPONSESASSOCIATED CHAPTER OF ASIAN PHYSICIANS - 30 RESPONSESCOMMUNITY BOARD 3 - 39 RESPONSESCOMMUNITY BOARD 7 -34 RESPONSESDISTRICT SERVICE COUNCIL - COMMUNITY BOARD 7 - 15 RESPONSESTWO INITIATIVES THAT THE HOSPITAL HAS CHOSEN TO ADDRESS AS PART OF THE COMMUNITY SERVICE PLAN AND THE NUMBER OF PEOPLE WHO INDICATED THAT THESE INITIATIVES ARE IMPORTANT:SMOKING CESSATION-71EDUCATING AND ENCOURAGING MOTHERS TO BREAST FEED-11SEVERAL DISCUSSIONS HAVE BEEN HELD WITH THE HOSPITAL'S CAB, HIGHLIGHTING THE SERVICE AREA'S HEALTH PROBLEMS, INCLUDING THE TWO PROBLEMS THAT WERE BEING CONSIDERED AS PREVENTION AGENDA PRIORITIES FOR THE HOSPITAL'S 2013 COMMUNITY SERVICE PLAN.AT THE MARCH 12, 2013 CAB MEETING MRS. MARIA SMILIOS, RN, ASSISTANT DIRECTOR OF NURSING FOR PERINATAL, PEDIATRICS AND NICU, DISCUSSED THE BENEFITS OF INCREASING EXCLUSIVE BREASTFEEDING, AND THE HOSPITAL'S PARTICIPATION IN LATCH ON NYC, A PROGRAM INITIATED BY NYC DOHMH AND ENDORSED BY NYS DOH, GYNHA, HHC, AAP, AAFP AND SAHM WHICH SUPPORTS NEW MOTHERS TO BREAST FEED THEIR NEWBORNS AND CONTINUE AFTER THEIR DISCHARGE FROM THE HOSPITAL. CURRENTLY THERE ARE 27 HOSPITALS WITHIN THE NYC AREA THAT ARE PARTICIPATING, INCLUDING JAMAICA AND FLUSHING HOSPITALS UNDER THE MEDISYS HEALTH NETWORK.IN 2009, THE HOSPITAL HAD, WITH THE HELP OF ITS CAB, SELECTED DECREASING TOBACCO USE AS ONE OF ITS PREVENTION AGENDA PRIORITIES FOR THE COMMUNITY SERVICE PLAN. SINCE THAT TIME THE HOSPITAL HAS WORKED CLOSELY WITH QUEENS QUITS TO INCREASE REFERRALS TO THEIR PROGRAM. AT THE APRIL 12, 2011 CAB MEETING REPRESENTATIVES FROM QUEENS QUITS REVIEWED HOW THE PROGRAM WORKS, A SYNOPSIS OF RELEVANT STATISTICS, AND THEIR OUTREACH EFFORTS IN PARTNERSHIP WITH LOCAL HOSPITALS AND HEALTH CENTERS. QUEENS QUITS LITERATURE WAS PROVIDED FOR DISTRIBUTION BY CAB MEMBERS TO THE COMMUNITY GROUPS THEY REPRESENT.THROUGH THESE DISCUSSIONS CAB MEMBERS GAINED A BETTER UNDERSTANDING OF THE IMPORTANCE OF DECREASING TOBACCO USE AND INCREASING EXCLUSIVE BREASTFEEDING, AND EXPRESSED SUPPORT FOR THE HOSPITAL'S PLANS TO ADDRESS THESE HIGH PRIORITY PREVENTION INITIATIVES. FLUSHING HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 20D: FHMC WOULD CHARGE 80% OF THE CURRENT MEDICAID RATE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 19,173,136. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESFLUSHING HOSPITAL PROGRAMS SUPPORT THE CITY OF NEW YORK'S TAKE CARE NEW YORK (TCNY) PROGRAM IN THE FOLLOWING WAYS:1. HAVE A REGULAR DOCTOR OR OTHER HEALTH CARE PROVIDER: FLUSHING'S AMBULATORY CARE SERVICES ARE DESIGNED TO PROMOTE CONTINUITY OF CARE BY ALLOWING PATIENTS TO CHOOSE A PHYSICIAN WHO WILL BE DESIGNATED AS THEIR PRIMARY CARE PROVIDER. THE DESIGNATED PROVIDER IS RESPONSIBLE FOR ENSURING THAT HIS/HER PATIENTS ARE GIVEN AGE APPROPRIATE SCREENING, IMMUNIZATION AND EDUCATION.2. BE TOBACCO-FREE: SMOKING CESSATION IS ONE OF THE HOSPITAL'S PREVENTION PRIORITIES AND WAS DISCUSSED IN THE PREVIOUS SECTION.3. KNOW YOUR HIV STATUS: THE HOSPITAL PROVIDES HIV COUNSELING AND TESTING WITH STAFF THAT ROUTINELY PERFORMS THIS FUNCTION IN BOTH THE EMERGENCY DEPARTMENT AND CLINICS. IF REQUIRED, PATIENTS ARE REFERRED FOR SERVICES TO JAMAICA HOSPITAL'S INFECTIOUS DISEASE CLINIC OR TO OTHER COMMUNITY PROGRAMS.4. GET HELP FOR DEPRESSION: FLUSHING HOSPITAL'S MEDICAL PROVIDERS INCORPORATE DEPRESSION SCREENING DURING ROUTINE MEDICAL EXAMINATIONS AND ONGOING CARE. CHILDREN AND ADULTS NEEDING FURTHER SERVICES ARE REFERRED TO FLUSHING?S FULL SERVICE PSYCHIATRY DEPARTMENT OR OTHER COMMUNITY PROGRAMS.5. LIVE FREE OF DEPENDENCE ON ALCOHOL AND DRUGS: DURING ROUTINE MEDICAL EXAMINATIONS PATIENTS HAVE THE OPPORTUNITY TO RECEIVE SCREENING FOR ALCOHOL AND DRUG USE. AS NECESSARY, PATIENTS WILL BE GIVEN PREVENTIVE COUNSELING AND TREATMENT OPTIONS, INCLUDING FLUSHING HOSPITAL'S IN-PATIENT AND OUT-PATIENT TREATMENT PROGRAMS FOR CHEMICAL DEPENDENCY.6. GET CHECKED FOR CANCER: FLUSHING HOSPITAL IS A MEMBER OF THE STATE'S HEALTHY LIVING PARTNERSHIP PROGRAM, WHICH PROVIDES COVERAGE FOR CERVICAL, BREAST, AND COLON CANCER SCREENINGS TO UNINSURED AND UNDERINSURED PATIENTS WHO MEET THE ELIGIBILITY AND SCREENING CRITERIA. THE HOSPITAL RECEIVES GRANT FUNDING FOR BREAST HEALTH CARE FROM THE AVON FOUNDATION AND KOMEN FOUNDATION TO HELP SUPPORT CASE MANAGEMENT, OUTREACH AND BREAST CARE SERVICES TARGETED TO THE ASIAN AND SOUTH ASIAN POPULATIONS. FLUSHING HOSPITAL WAS PRIVILEGED TO BE PART OF THE "COLONOSCOPY SCREENING NAVIGATOR PROGRAM," WHICH RECEIVED ONE YEAR SEED FUNDING BY THE NYCDOH. THE PROGRAM HAS BEEN SHOWN TO BE EFFECTIVE AND THE HOSPITAL HAS MADE A COMMITMENT TO CONTINUE THE PROGRAM WITHOUT GRANT FUNDING.7. THE HOSPITAL PARTICIPATES IN THE NYC'S VACCINE FOR CHILDREN PROGRAM (VFC) PROVIDING IMMUNIZATIONS TO CHILDREN UP TO 19 YEARS OF AGE AGAINST CHILDHOOD DISEASES AND INFLUENZA TO ELIGIBLE CHILDREN INCLUDING THOSE WITHOUT HEALTH COVERAGE SEEN IN OUR AMBULATORY CARE NETWORK. INFLUENZA VACCINE IS OFFERED TO ADULTS DURING RECOMMENDED VACCINATION MONTH.8. HAVE A SAFE AND HEALTH HOME: ANTICIPATORY GUIDANCE ON SAFETY IN THE HOME IS PROVIDED BY THE HOSPITAL'S PEDIATRIC, FAMILY MEDICINE AND REHABILITATION PROFESSIONALS. AT HEALTH FAIRS IN THE COMMUNITY, FIRE, HOME AND AUTOMOTIVE SAFETY INFORMATION IS ROUTINELY MADE AVAILABLE TO ATTENDEES.9. HAVE A HEALTHY BABY: THE HOSPITAL FOLLOWS PRENATAL CARE GUIDELINES ADOPTED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THESE PROGRAMS ASSIST PREGNANT WOMEN AND THEIR FAMILIES TO OBTAIN NECESSARY MEDICAL CARE AND SUPPORTIVE SERVICES, WITH THE GOAL OF IMPROVING BIRTH OUTCOMES AND REDUCING CHILD ABUSE.10. BREAST FEEDING: THE HOSPITAL IS SUPPORTING BREASTFEEDING MOTHERS BY PARTICIPATING IN "LATCH ON NYC," A NEW CITY-WIDE INITIATIVE. FLUSHING HOSPITAL IS WELL ON ITS WAY TO BEING DESIGNATED AS A "BABY FRIENDLY" HOSPITAL, A GLOBAL INITIATIVE THAT PROMOTES, PROTECTS, AND SUPPORTS BREASTFEEDING THROUGH TEN STEPS TO SUCCESSFUL BREASTFEEDING. WE HAVE REGISTERED WITH BABY FRIENDLY USA TO BEGIN THE PROCESS IN THE "4-D PATHWAY TO BABY-FRIENDLY DESIGNATION." WE HAVE COMPLETED THE DISSEMINATION PHASE AND HAVE STARTED THE SECOND PHASE, THE DESIGNATION PHASE. MANY STAFF MEMBERS HAVE TAKEN THE CERTIFIED LACTATION COUNSELOR (CLC) COURSE PROVIDED BY THE NYCDOH. WE OFFER AND ENCOURAGE OUR PATIENTS TO ATTEND FREE BREASTFEEDING SUPPORT GROUPS HELD ON A WEEKLY BASIS. FREE LACTATION COUNSELING IS OFFERED TO ALL PATIENTS AFTER DISCHARGE.WE ARE WORKING CLOSELY WITH THE NYCDOH BY EDUCATING AND ENCOURAGING THE IMMUNIZATION OF ALL HEALTHCARE PERSONNEL THAT ARE IN CONTACT WITH WOMEN OF CHILDBEARING AGE, NEWBORNS AND CHILDREN WITH TDAP TO PREVENT THE TRANSMISSION OF PERTUSSIS. ALL PREGNANT AND POSTPARTUM WOMEN ARE OFFERED THE VACCINE AS A STANDING ORDER AND IN NOVEMBER 2013, 85% OF OUR POSTPARTUM PATIENTS RECEIVED THE VACCINE. ADDITIONALLY, ALL FAMILY MEMBERS ARE INSTRUCTED ON THE IMPORTANCE OF RECEIVING THE VACCINE. PART III, LINE 4: FINANCIAL STATEMENTS BAD DEBT & CHARITY CARE FOOTNOTE:FLUSHING HOSPITAL PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A MATTER OF POLICY, FLUSHING HOSPITAL PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED AS CHARITY CARE. FLUSHING HOSPITAL PROVIDES CHARITY CARE IN THE AMOUNT OF THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. SINCE PAYMENT OF THIS DIFFERENCE IS NOT SOUGHT, CHARITY CARE ALLOWANCES ARE NOT REPORTED AS REVENUE. REMAINING UNCOLLECTED BALANCES AFTER CHARITABLE ALLOWANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COST TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. TOTAL FORGONE CHARGES FOR CHARITY CARE TOTALED $19,581,981 AND $19,209,121 FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, RESPECTIVELY. THIS EQUATED TO AN APPROXIMATE COST OF $7,676,136 AND $7,683,648 FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, RESPECTIVELY.COSTING METHODOLOGY FOR CALCULATING LINE 2 & 3:BAD DEBT EXPENSE IS ESTIMATED BASED ON AGING OF THE ACCOUNTS RECEIVABLE AND GETS ADJUSTED BASED ON ACTUAL WRITE OFF. ACTUAL ACCOUNT WRITE OFF IS AS FOLLOWS: PATIENTS WHO ARE ENTITLED TO FINANCIAL ASSISTANCE ARE GIVEN DISCOUNT BASED ON OUR CHARITY CARE POLICY (MEDICAID RATE). IF THE PATIENT DOESN'T PAY THE BALANCE OF THEIR ACCOUNT AFTER RECEIVING 3 BILLS THEN THE ACCOUNT BALANCE GETS TRANSFER TO THE COLLECTION AGENCY. IF THE COLLECTION AGENCY CAN'T COLLECT AFTER EXHAUSTING THEIR EFFORTS THEN THE ACCOUNT GETS RETURNED AS UNCOLLECTIBLE AND THE HOSPITAL WRITES OFF THE ACCOUNT AS BAD DEBT. BAD DEBT RELATED TO LINE 3: BAD DEBT EXPENSE IS ALLOCATED TO THE PATIENTS WHO ARE ENTITLED TO FINANCIAL AID BASED ON CHARITY CARE VOLUME PATIENTS. PART III, LINE 8: ALLOWABLE COSTS ARE FROM THE HOSPITAL COST REPORT THAT GETS FILED WITH MEDICARE EVERY YEAR. COST METHODOLOGY THAT IS USED TO CALCULATE MEDICARE ALLOWABLE COST IS RATIO OF COST TO CHARGES BASED ON MEDICARE GUIDELINES. MEDICARE ALLOWABLE COST ON LINE 6 DOESN'T INCLUDE COST OF RESIDENCY PROGRAM AND SUPERVISORY PHYSICIAN COST WHICH IS OVER $41 MILLION. EXCLUSION OF THESE COSTS RESULTED IN A SURPLUS ON LINE 7. PART III, LINE 9B: THE HOSPITAL OFFERS INSTALLMENT PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT.THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 40 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL?S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION. PART VI, LINE 2: NEEDS ASSESSMENTNON-PREVENTION PRIORITIES CONSIDERED IN ASSESSMENT PROCESSMANY OF THE PROGRAMS AND SERVICES AT FLUSHING HOSPITAL ARE CONSISTENT WITH AND SUPPORTIVE OF THE TAKE CARE NEW YORK PROGRAM PROMOTED BY NYCDOH & MENTAL HYGIENE. THE HOSPITAL HAS BEEN FOCUSING ON THE CITY'S TEN HEALTH AREAS FROM TREATMENT AND PREVENTION PERSPECTIVES. THE HOSPITAL HAS BEEN AUGMENTING ITS FOCUS ON PREVENTION, ESPECIALLY IN THE PRIORITY AREAS OF SMOKING CESSATION AND FLU VACCINATION, BOTH OF WHICH ARE TCNY PRIORITIES. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPOLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO IDENTIFY METHODS BY WHICH PATIENTS AND/OR FAMILY MEMBERS ARE NOTIFIED OF THE FLUSHING HOSPITAL FINANCIAL AID POLICY.PROCEDURE: NOTIFICATION TO PATIENTS:FLUSHING HOSPITAL DEVELOPED AND HAS PUBLICLY AVAILABLE A CLEAR AND UNDERSTANDABLE WRITTEN SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND ENSURES THAT EVERY PATIENT IS MADE AWARE OF THE EXISTENCE OF THE POLICIES. THE HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE APPROPRIATE INFORMATION AND THROUGH INFORMATION ON ALL BILLS AND STATEMENTS SENT TO PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATIONHOSPITAL SERVICE AREASINCE 1884, FLUSHING HOSPITAL HAS PROVIDED QUALITY HEALTHCARE TO ITS COMMUNITY. THE HOSPITAL IS LOCATED AT 4500 PARSONS BOULEVARD IN FLUSHING, QUEENS COUNTY, NEW YORK, IN ONE OF THE MOST ETHNICALLY-DIVERSE SECTIONS OF NEW YORK CITY'S MOST CULTURALY-DIVERSE BOROUGH. FLUSHING HOSPITAL SERVES ONE PRIMARY SERVICE AREA ? NORTH QUEENS, AND SEVEN SECONDARY SERVICE AREAS - NORTH EAST QUEENS, NORTH WEST QUEENS, WEST QUEENS, WEST CENTRAL QUEENS, CENTRAL QUEENS, JAMAICA, AND SOUTH WEST QUEENS. THE TOTAL SERVICE AREA HAS A TOTAL OF ALMOST 2 MILLION RESIDENTS, 43% BEING WHITE AND 48% BEING FOREIGN BORN. EACH NEIGHBORHOOD IS SOMEWHAT DIFFERENT IN TERMS OF ITS RACIAL AND ETHNIC MAKE-UP. MUCH OF THE HOSPITAL'S SERVICE AREA SUFFERS FROM POVERTY, WITH 22% MEDICAID ELIGIBLE, AND MANY UNINSURED RESIDENTS, AS WELL AS MANY DOCUMENTED AND UNDOCUMENTED IMMIGRANTS, SOME OF WHOM SPEAK LIMITED OR NO ENGLISH PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHSELECTED SERVICE OFFERINGS 2013293 - BED COMMUNITY TEACHING FACILITY, INCLUDING 18 ADULT PSYCHIATRIC BEDS, 30 CHEMICAL DEPENDENCY BEDS, QUEENS' ONLY INPATIENT GERIATRIC MEDICAL UNIT, HOSPICE UNIT AND TCU.STATE-DESIGNATED LEVEL 3 PRENATAL CENTERSTATE-DESIGNATED STROKE CENTERAN AMBULATORY CARE CENTER WITH 40 GENERAL AND SPECIALTY CLINICS INCLUDING A SMOKING CESSATION PROGRAM, AND WITH A 5-CHAIR DENTAL SUITEASIAN AND SOUTH ASIAN BEHAVIORAL HEALTH CLINICSOPERATES 14 TOURS IN NYC 911 SYSTEM, WITH 5 AMBULANCESFLUSHING HOSPITAL SPONSORS A NUMBER OF RESIDENCY PROGRAMS AND HOSTS RESIDENTS IN OTHER SPECIALTIES WHO ROTATE FROM OTHER PROGRAMS.PATIENTS SERVED 2013OVER 18,120 DISCHARGES, INCLUDING ALMOST 2,913 NEWBORNSOVER 46,400 EMERGENCY DEPARTMENT VISITS, INCLUDING ADMISSIONS TO THE HOSPITALALMOST 99,298 AMBULATORY CARE VISITS, INCLUDING GENERAL MEDICAL AND PEDIATRIC SERVICES, MENTAL HEALTH, CHEMICAL DEPENDENCY, AND DENTAL SERVICESMANY OTHER AMBULATORY CARE SERVICES, INCLUDING RADIOLOGY EXAMS,LABORATORY TESTS AND AMBULATORY SURGERYIN 2013, STAFF FROM FLUSHING HOSPITAL PARTICIPATED IN OVER 14 COMMUNITY EVENTS. MORE THAN 6,400 PEOPLE WERE IN ATTENDANCE AND RECEIVED HEALTH INFORMATION AND OVER 1,073 PEOPLE RECEIVED FREE SCREENINGS. PART VI, LINE 6: AFFILIATED HEALTH CARE: MEDISYS HEALTH SYSTEM PART VI, LINE 7, REPORTS FILED WITH STATES NY 0 1 0 0 0 0 0 0 0 BRUCE J FLANZ PRESIDENT & CEO 0 1247508 0 0 0 124876 0 6250 0 19557 0 1398191 0 0 MOUNIR F DOSS EXEC VP & COO 0 896259 0 0 0 77859 0 6250 0 19557 0 999925 0 0 ROBERT LEVINE EXEC VP & COO 337319 0 0 0 0 0 6250 0 17895 0 361464 0 0 0 CHIEN-JUNG CHU ASST DIRECTOR 314069 0 0 0 0 0 6250 0 14352 0 334671 0 0 0 NAGESWARA MANDAVA MD CHAIRPERSON 432997 0 0 0 0 0 6250 0 14368 0 453615 0 0 0 ORLANDO SANTANDREU MD DIRECTOR 319611 0 0 0 0 0 6250 0 14353 0 340214 0 0 0 ROBERT CRUPI CHAIRPERSON 311139 0 0 0 0 0 6250 0 14352 0 331741 0 0 0 SUSANNA RAPAPORT CHAIRPERSON 281939 0 0 0 0 0 6250 0 14348 0 302537 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS DURING 2013: BRUCE FLANZ - 24,898 FORM 990, PART VI, SECTION A, LINE 6 MEDISYS HEALTH NETWORK IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION, IT IS FINALIZED AND SUBSEQUENTLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1B: FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY?S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10 HOURS PER WEEK FORM 990, PART VII, COLUMN C: MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES OF FORM 990. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST IN THE FORM 990 INSTRUCTIONS TO BE CONSIDERED A ?KEY EMPLOYEE?. THEREFORE, PART VII OF FORM 990 DOES NOT REPORT THE COMPENSATION OF ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE". FORM 990, PART VII, COLUMN C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. NEIGHBORHOOD HEALTH PROVIDERS INC 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 943474115 MANAGED CARE PLAN NY 501(C)(3) 9 JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP 0 ADVANCED CENTER FOR PSYCHOTHERAPY 89-06 135TH STREET JAMAICA NY 11418 111864871 HEALTHCARE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 ALLIED HEALTH FOUNDATION OF QUEENS INC 4500 PARSONS BLVD FLUSHING NY 11355 112813535 INACTIVE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC 8900 VAN WYCK EXPY JAMAICA NY 11418 113483140 INACTIVE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 JAMAICA HOSPITAL NURSING HOME 90-28 VAN WYCK EXPY JAMAICA NY 11418 237216197 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 MEDISYS AMBULANCE SERVICE 8900 VAN WYCK EXPY JAMAICA NY 11418 542124788 HEALTHCARE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 THE JAMAICA HOSPITAL DIAG AND TREAT CTR 8900 VAN WYCK EXPY JAMAICA NY 11418 113340969 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 VWE PROPERTIES CORPORATION 8900 VAN WYCK EXPY JAMAICA NY 11418 113485165 PARKING GARAGE NY 501(C)(3) 11A MEDISYS HEALTH NETWORK 0 JAMAICA HOSPITAL MEDICAL CENTER 8900 VAN WYCK EXPY JAMAICA NY 11418 237216197 HOSPITAL NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 MEDISYS HEALTH NETWORK 8900 VAN WYCK EXPY JAMAICA NY 11418 113316802 ADMIN NY 501(C)(3) 11A N/A 0 NHP HOLDINGS LLC 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 203418837 HOLDING COMPANY NY N/A ROYAL HEALTHCARE OF LONG ISLAND 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 133887900 MANAGEMENT SERVICES ORG. NY N/A FRR RECOVERY SERVICES 80 MARCUS DRIVE MELVILLE NY 11747 113454555 COLLECTION AGENCY NY N/A C 0 HI TECH MEDICAL EQUIPMENT 103-51 101 ST OZONE PARK NY 11416 113313334 DURABLE MEDICAL EQUIPMENT COMPANY NY N/A C 0 JAMAICA RX 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 205292781 RETAIL PHARMACY NY N/A C 0 LCSC HOLDINGS 101-01 AVENUE D BROOKLYN NY 11236 113357198 HOLDING COMPANY NY N/A C 0 MEDISYS HOME CARE SERVICE INC 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 030474027 HOME CARE STAFFING/INACTIVE NY N/A C 0 MEDISYS IPA 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113452476 PHYSICIAN CONTRACTING/INACTIVE NY N/A C 0 MEDISYS SERVICE CORPORATION 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113479920 HOLDING COMPANY NY N/A C 0 MEDISYS VENTURES 111 STEWART AVE HICKSVILLE NY 11801 113431792 HOLDING COMPANY NY N/A C 0 MHN REALTY 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113458286 REAL ESTATE/INACTIVE NY N/A C 0 SECOND CENTURY SERVICE CORPORATION 4500 PARSONS BLVD FLUSHING NY 11355 112843101 RETAIL PHARMACY NY FLUSHING HOSPITAL MEDICAL CENTER C 1413486 709999 1.00000 0 1 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 0 FRR RECOVERY Q 892000 COST FLUSHING RX Q 720000 COST