2014-11-12T16:23:34-06:00 2013-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2013-01-01 111633486 Winthrop University Hospital Association % PALMIRA M CATALIOTTI WINT 5166632311 259 First Street Suite Mineola NY 11501 PALMIRA M CATALIOTTI SR. VICE PRESIDENT/CFO 2014-11-12 2013 2015-11-30 17:44:51Z PALMIRA M CATALIOTTI 259 FIRST STREET MINEOLA NY 11501 997701480 false X www.winthrop.org X 1896 NY PROMOTION OF HEALTH 42 35 7862 907 2596534 -485854 5567059 8132096 836952516 901205740 9208554 8277683 21805225 24701904 873533354 942317423 0 0 0 0 467668676 509958192 360000 360000 851360 386940457 412468760 854969133 922786952 18564221 19530471 799846769 866348177 711417428 612836226 88429341 253511951 PROMOTION OF HEALTH false false 782519177 905155319 THE HOSPITAL CARRIED OUT ITS EXEMPT FUNCTION BY PROVIDING ACUTE CARE TO PATIENTS IN ADDITION TO VARIOUS SERVICES PROVIDED TO THE COMMUNITY (SEE SCHEDULE O FOR INFORMATION ON COMMUNITY SERVICES). 782519177 true true false true false false false false false true true false false true true true false true false false false false false false true false true true false false true true false false false false false false false false true false true false false false false true true true true false true 455 0 true 7862 true true true false false false false true true false false false false X 42 35 false false false false true true true true true false true true true true true true true true true true true true NY X PALMIRA M CATALIOTTI 5166632311 259 FIRST STREET Mineola NY 11501 JOHN F ALOIA MD DIRECTOR/PHYSICIAN/CHIEF 60.0 X 886965 0 50910 PETER C BREITSTONE DIRECTOR 1.0 X JAMES F CAMPBELL DIRECTOR 3.0 X MAUREEN E CLANCY DIRECTOR 2.0 X JOAN COX DIRECTOR-VICE CHAIR 4.0 X KEVIN CURRAN DIRECTOR 6.0 X JAMES J DALY DIRECTOR-SECRETARY 4.0 X MARK S DAVIS DIRECTOR 3.0 X SORAYA GAGE DIRECTOR 3.0 X MARY ELLEN GILGAN DIRECTOR 1.0 X PAUL HARNICK MD PHYSICIAN/DIRECTOR 60.0 X 764499 23141 THEODORA HOOTON DIRECTOR 3.0 X KENNETH KAUSHANSKY DIRECTOR 4.0 X HARRY KASSEL DIRECTOR 1.0 X ERIC KRASNOFF March 2013 DIRECTOR 3.0 X JOHN T LANE DIRECTOR 3.0 X PATRICK K LONG DIRECTOR 4.0 X JOSEPH L MANCINO DIRECTOR 3.0 X JAMES F MCCANN DIRECTOR 2.0 X RONALD H MCGLYNN DIRECTOR 3.0 X JOHN D MILLER DIRECTOR 3.0 X YVONNE M MOWATT DIRECTOR 2.0 X SHELIA JONES HESLIN DIRECTOR 1.0 X CHRISTOPHER J CAVALLARO DIRECTOR 3.0 X NANCY NAMMACK March 2013 DIRECTOR 2.0 X RICHARD A NEWHOUSE JR DIRECTOR 4.0 X GEORGE PAPPAS DIRECTOR-Vice Chair 3.0 X SHEPARD T POOLE DIRECTOR-Vice Chair 2.0 X HENRY R PUPKE DIRECTOR 0.5 X VERONICA RENKEN DIRECTOR 16.0 X MICHELLE L CLARK DIRECTOR 3.0 X NICHOLAS J ROSATO JR DIRECTOR 3.0 X CHARLES L RUOFF DIRECTOR 4.0 X STEPHEN RUSHMORE DIRECTOR 5.0 X THOMAS E SULLIVAN DIRECTOR 1.5 X CHARLES M STRAIN CHAIRMAN 5.0 X HARRIETTE P THAYER DIRECTOR 3.0 X EDWARD TRAVAGLIANTI DIRECTOR 3.0 X JOHN H TREIBER DIRECTOR 5.0 X MARY BETH TULLY DIRECTOR 4.0 X JOHN F COLLINS PRESIDENT/CEO 60.0 X X 1291143 535088 JOHN CATALANO DIRECTOR 3.0 X JAMES GIORGIO SR DIRECTOR 2.0 X KIRK KORDELESKI DIRECTOR 3.0 X GARRY SCHWALL CHIEF OPERATING OFFICER 60.0 X 582067 43108 PALMIRA M CATALIOTTI SR. VICE PRESIDENT/CFO 60.0 X 603313 93416 STACEY PFEFFER SR. VP-HR & ORG DVELOPMENT 60.0 X 389785 20486 MAUREEN GAFFNEY SR. VP-PATIENT CARE SERVICES 60.0 X 420790 96318 SCOTT L SCHUBACH MD CHAIRMAN, TCV SURGERY 60.0 X 1244858 46830 JONATHON HAAS MD PHYSICIAN 60.0 X 1184701 22769 JOHN GAFFNEY MD SURGEON 60.0 X 923614 27251 JOHN A GONCALVES MD SURGEON 60.0 X 898171 33921 COLIN BRATHWAITE MD CHAIRMAN, SURGERY 60.0 X 954008 46010 10143914 0 1039248 1306 false true false DELOITTE TOUCHE LP 2 JERICHO PLAZA 3 JERICHO NY 11753 PROF TAX SERVICES 1920980 FUREY KERLEY WALSH MATERA 2174 JACKSON AVENUE SEAFORD NY 11783 LEGAL SERVICES 684553 GARFUNKLE WILD PC 111 GREAT NECK ROAD GREAT NECK NY 11021 LEGAL SERVICES 860573 MARTIN CLEARWATER BELL LP 220 EAST 42ND STREET NEW YORK NY 10017 LEGAL SERVICES 623969 ALLIANCE HEALTHCARE CONSULTING 663 CARLETON TRAIL BEL AIR MD 21014 CONSULTING SERVICES 657921 36 1917662 6214434 399212 8132096 PATIENT SERVICE REVENUE 621990 899102640 899102640 PHARMACEUTICAL RESEARCH 900099 1529762 1529762 RESEARCH 900099 573338 573338 901205740 3687069 3687069 0 0 1556558 2262664 -706106 0 -706106 -706106 56916597 52411675 -85692 4504922 85692 4590614 4590614 492415 1917662 795410 -302995 -302995 0 0 HURRICANE SANDY PROCEEDS 900099 4099641 4099641 PURCH VOLUME DISCOUNTS 900099 3051218 3051218 OUTSIDE LAB & DIALYSIS REVENUE 621500 2596534 2596534 15963612 3949579 12014033 25711005 942317423 903052219 2596534 28536574 0 0 0 0 5801027 4824476 976551 0 391248149 325208523 65826791 212835 41280263 34331153 6949110 36579045 30421337 6157708 35049708 29149448 5900260 0 2336145 2336145 351116 351116 88804 88804 360000 360000 0 22730354 18148994 4581360 6194793 96143 6085417 13233 70788046 64822007 5966039 8447662 8295009 152653 0 23901903 13434812 10467091 1847408 1693660 153022 726 0 0 3402467 2935691 466776 0 33265652 27665719 5599933 13279819 13279819 MEDICAL SUPPLIES 114949705 114171890 777815 BAD DEBT 21918875 21918874 SUBSIDY OF PRIVATE PRACT LOSS 46190721 46190721 MAINTENANCE CONTRACTS 16213883 12969563 3244320 26561408 12961338 13335504 264566 922786952 782519177 139416415 851360 26551397 58197024 64797227 40771972 4803610 4807616 103110060 110495571 0 0 0 0 0 0 13192635 16132768 7639420 7379001 799397433 458312253 307981175 341085180 187837238 199126057 0 0 0 0 0 0 83934007 88352988 799846769 866348177 260053014 281213832 0 0 0 0 140582005 136583332 0 0 0 0 0 0 15663333 0 295119076 195039062 711417428 612836226 X 67938040 227959138 13376771 18180833 7114530 7371980 88429341 253511951 799846769 866348177 X 19530471 19945179 125606960 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 88804 88804 false schedule C, Part II-B, Line 11 THE HOSPITAL IS A MEMBER OF THE FOLLOWING ORGANIZATIONS: GREATER NY HOSPITAL ASSOC, AMERICAN HOSPITAL ASSOC, NASSAU SUFFOLK COUNCIL, HANYS, LIHN AND NY PRESBYTERIAN. THE HOSPITAL PAYS DUES TO THESE ORGANIZATIONS, A PORTION OF WHICH RELATES TO LOBBYING. 20491301 5699800 1792540 2430828 25552813 17229798 4032769 1083175 1854441 20491301 13662084 5546820 721227 2700333 17229798 17779490 1674658 778179 6570243 13662084 15805170 6116898 974991 5117569 17779490 0.28850 0.71150 false false 2725742 2725742 337649204 159450539 178198665 43905950 8834300 35071650 348855473 286385491 62469982 66261064 3641923 62619141 341085180 INSURANCE RECOVERIES REC. 51515000 INVESTMENT IN HEALTHTRAX 328854 INVESTMENT IN RRG 2463150 INVESTMENT IN NETWORK PRACTICE 938038 INVEST. IN WINTHROP CLINICAL 3072567 OTHER RECEIVABLES 29894459 INVESTMENT IN PHO -22846 INVESTMENT IN GNYHA 163766 88352988 0 ACCRUED PENSION 64232429 CAPITAL LEASES 13988680 3RD PARTY LIABILITY LONG TERM 39334291 TELP PAYABLE 11221995 INSURANCE GROSS UP 51515000 DUE TO WUHSC 14746667 195039062 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THE PERMANENT ENDOWMENTS ARE ENDOWMENT FUNDS MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, WITH THE STIPULATION THAT THE PRINCIPAL BALANCE MUST BE INVESTED AND KEPT INTACT IN PERPETUITY, WHILE ONLY THE INCOME GENERATED CAN BE USED BY THE ORGANIZATION. THE TERM ENDOWMENTS ARE ENDOWMENT FUNDS THAT ARE MAINTAINED TO PROVIDE A SOURCE OF INCOME FOR EITHER A SPECIFIED PERIOD OF TIME OR UNTIL A SPECIFIC EVENT OCCURS. SCHEDULE D, PART X, LINE 2 Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. true GHIORSI SORRENTI INC CAMPAIGN MGMT SVCS false 4276503 360000 3916503 4276503 360000 3916503 ANNUAL GALA 879929 701179 178750 295504 GOLF OUTING 591637 476937 114700 4506 1900 143489 14 937814 738849 198965 610 31348 318053 2409380 1916965 492415 5116 33248 757046 795410 -302995 true true X true X true X 500. true true false true true 12210177 6662426 5547752 0.00620 96408879 78857094 17551785 0.01950 108619056 85519520 23099537 0.02570 25 8916 1036380 183104 853276 0.00090 2 100 77623021 17919462 59703559 0.06630 57705891 51341193 6364698 0.00710 2336555 1324836 1011718 0.00110 2 117 4222 4222 29 9133 138706069 70768595 67937473 0.07540 29 9133 247325125 156288115 91037010 0.10110 3 16525 22903 22903 1 3 5730 5730 4 16528 28633 28633 true 21918874 182246373 205008533 -22762160 X true true 1 1 WINTHROP-UNIVERSITY HOSPITAL 259 FIRST STREET MINEOLA NY 11501 WWW.WINTHROP.ORG 2908000H X X X X X X WINTHROP-UNIVERSITY HOSPITAL 1 true X X X X X X X X X 13 true true true X WWW.WINTHROP.ORG X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X true false X X X X true X false false LINE 1J SPECIFIC CONDITIONS AND GROUPS WERE NOT ADDRESSED INDIVIDUALLY. HOWEVER, OUR ASSESSMENT DID IDENTIFY SEVERAL CONDITIONS THAT REQUIRED A HIGHER RATE OF HOSPITALIZATION AMONG SELECT COMMUNITIES EXPERIENCING HEALTH DISPARATIES. THESE COMMUNITIES HAVE A HIGHER RATE OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS. CHARTS ILLUSTRATING THE DIFFERENCES IN HEALTH ARE IN THE ASSESSMENT. LINE 3 INFORMATION WAS COLLECTED THROUGH THE USE OF A UNIFORM SURVEY THAT WAS DISTRIBUTED WIDELY THROUGH COMMUNITIES IN NASSAU COUNTY TO HELP ASCERTAIN THE HEALTH PERCEPTIONS AND KEY CONCERNS OF RESIDENTS, AS WELL AS IDENTIFY SERVICE NEEDS AND BARRIERS TO CARE. IT REACHED A BROAD SPECTRUM OF COMMUNITY RESIDENTS FROM MANY DIFFERENT ZIP CODES. RESPONSES WERE ANALYZED ACCORDING TO TWO SEPARATE POPULATIONS: NASSAU COUNTY IN ITS ENTIRETY AND COMMUNITIES WITH HEALTH DISPARATIES. KEY INFORMANT INTERVIEWS WERE ALSO CONDUCTED WITH NASSAU COUNTY'S HEALTH AND HUMAN SERVICES PROVIDERS. EMPHASIS WAS PLACED ON GROUPS THAT ADDRESSED ONE OR MORE OF THE FOLLOWING POPULATIONS: MINORITIES/MEDICALLY UNDERSERVED, SENIORS, WOMEN'S/CHILDREN'S SERVICES, SPECIAL POPULATIONS AND INDIVIDUALS WITH DISEASE-SPECIFIC CONDITIONS. THESE ORGANIZATIONS AND THEIR REPRESENTATIVES INCLUDED: 1. AMERICAN CANCER SOCIETY, SYOSSET, NY - DIRECTOR OF PATIENT AND FAMILY SERVICES 2. AMERICAN DIABETES ASSOCIATION, MELVILLE, NY - DIRECTOR, LONG ISLAND OPERATIONS 3. AMERICAN HEART ASSOCIATION, PLAINVIEW, NY - REGIONAL VICE PRESIDENT, FIELD OPERATIONS 4. CATHOLIC CHARITIES, HICKSVILLE, NY - DIRECTOR OF DEVELOPMENT AND COMMUNICATIONS; DEVELOPER, INFORMATION AND REFERRAL 5. CIRCULO DE LA HISPANIDAD, LONG BEACH, NY - EXECUTIVE DIRECTOR; CHIEF DIRECTOR OF SERVICES AND OPERATIONS 6. FEGS HEALTH & HUMAN SERVICES (FEDERATION OF EMPLOYMENT & GUIDANCE SERVICE SYSTEM), HEMPSTEAD, NY - SENIOR DIRECTOR; DIRECTOR OF HIV SERVICES; VICE PRESIDENT, LONG ISLAND OPERATIONS 7. HEALTH AND WELFARE COUNCIL OF LONG ISLAND, HEMPSTEAD, NY - PRESIDENT AND CEO 8. ISLAND HARVEST, MINEOLA, NY - SNAP OUTREACH COORDINATOR 9. JEWISH ASSOCIATION SERVING THE AGING (JASA), LONG BEACH, NY - DIRECTOR, LONG BEACH SERVICES 10. LI GLBT (GAY, LESBIAN, BISEXUAL, TRANSGENDER), GARDEN CITY, NY - CHIEF OPERATING OFFICER AND DIRECTOR OF DEVELOPMENT FOR LONG ISLAND 11. LONG ISLAND COUNCIL OF CHURCHES, HEMPSTEAD, NY - DIRECTOR; NASSAU COUNTY COORDINATOR 12. MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, GLEN COVE, NY - DIRECTOR OF SPECIAL PROJECTS 13. PERINATAL SERVICES NETWORK, UNIONDALE, NY - COORDINATOR 14. PLANNED PARENTHOOD, HEMPSTEAD, MASSAPEQUA, AND GLEN COVE NY - SENIOR VICE PRESIDENT FOR HEALTH SERVICES, PLANNED PARENTHOOD OF NASSAU COUNTY 15. PROJECT INDEPENDENCE, ROSLYN HEIGHTS, NY - DEPUTY COMMISSIONER; SENIOR CITIZEN PROGRAM DEVELOPMENT SPECIALIST 16. SUSTAINABLE LONG ISLAND, FARMINGDALE, NY - EXECUTIVE DIRECTOR 17. UNITED WAY, DEER PARK, NY - SENIOR VICE PRESIDENT LINE 4 YES. WINTHROP CONDUCTED THE CHNA IN COLLABORATION WITH CATHOLIC HEALTH SERVICES, LONG BEACH MEMORIAL HOSPITAL, NORTH SHORE - LIJ HEALTH SYSTEM, AND SOUTH NASSAU COMMUNITIES HOSPITAL. LINE 5D IN ADDITION TO LISTING THE CHNA ON THE HOSPITAL'S WEBSITE AND MAKING A HARD COPY AVAILABLE UPON REQUEST, WINTHROP ALSO INCLUDED AN ARTICLE ABOUT THE CHNA REPORT IN ITS "CORNERSTONE" PUBLICATION THAT WAS MAILED OUT TO MORE THAN 100,000 COMMUNITY RESIDENTS. LINE 6A WINTHROP TOOK ADVANTAGE OF THE ONE-TIME EXTENSION TO DEVELOP THE IMPLEMENTATION STRATEGY. THE STRATEGY WAS COMPLETED BY MARCH 2014. LINE 7 AS STATED IN THE CHNA, MENTAL HEALTH & SUBSTANCE ABUSE WERE IDENTIFIED AS A SIGNIFICANT HEALTH PROBLEM BY OUR COMMUNITY. WE HAVE A REFERRAL SYSTEM IN PLACE AND WILL ADDRESS THE ISSUE THROUGH PUBLIC EDUCATION EFFORTS. LINE 14G SIGNAGE NOTIFYING THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INFORMATION ON HOW TO OBTAIN THIS INFORMATION APPEARS AT EVERY PATIENT INTAKE LOCATION. ADDITIONALLY, THE FINANCIAL ASSISTANCE POLICY AND FORMS ARE AVAILABLE AT EVERY INTAKE LOCATION. LINE 20D WINTHROP FOLLOWS NEW YORK STATE GUIDELINES TO DETERMINE AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS BY REVIEWING ITS MEDICARE, MEDICAID, AND ITS COMMERCIAL INSURANCE PAYOR RATES THEN APPLYING THE LOWEST RATES TO ITS SERVICE CATEGORIES. THE NEW YORK STATE GUIDELINES ARE SIMILAR TO INTERNAL REVENUE CODE SECTION 501(R). 11 WINTHROP-UNIVERSITY HOSP DIALYSIS CTR 200 OLD COUNTRY ROAD MINEOLA NY 11501 RENAL DIALYSIS CTR GLENGARIFF HEALTH CARE CENTER DOSORIS LANE GLEN COVE NY 11542 RENAL DIALYSIS CTR WINTHROP DIALYSIS CENTER AT SUNHARBOR 255 WARNER AVENUE ROSLYN HEIGHTS NY 11577 RENAL DIALYSIS CTR WINTHROP UNIV HOSP DIALYSIS CTR - BETHPA 530 HICKSVILLE ROAD BETHPAGE NY 11714 RENAL DIALYSIS CTR WINTHROP OUTPATIENT RADIATION THERAPY 264 OLD COUNTRY ROAD MINEOLA NY 11501 RADIATION THERAPY WINTHROP UNIVERSITY HOSPITAL PET CLINIC 222 STATION PLAZA NORTH MINEOLA NY 11501 IMAGING SERVICES WINTHROP CARDIAC REHAB CLINICPAT CLINIC 120 MINEOLA BOULEVARD MINEOLA NY 11501 CARDIAC REHAB WINTHROP-UNIVERSITY HOSPITAL AMB SURGERY 777 ZECKENDORF BOULEVARD GARDEN CITY NY 11530 AMBULATORY SURGERY SLEEP DISORDERS CTR AT WINTHROP-UNIVERSI 1300 FRANKLIN AVENUE SUITE UL-5 GARDEN CITY NY 11530 SLEEP DISORDERS CTR HEMPSTEAD HIGH SCHOOL 201 PRESIDENT STREET HEMPSTEAD NY 11550 PRIMARY CARE CLINIC WOMEN'S WELLNESS OBGYN 1 FULTON AVENUE HEMPSTEAD NY 11550 OB/GYN SERVICES PART I, LINE 3C Winthrop-University Hospital use FPG to determine eligibility for free and discounted care. PART I, LINE 7 The Hospital utilized a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, of Form 990. LINE I, LINE 7G Renal Dialysis, High School Clinic, Wound care program, E.R., Home Health Program, Long-Term Home Care Program, NICU Diabetes Education PART I, LINE 7, COLUMN (F) A total of $21,918,874 was removed from the total expenses used in calculating the percentages of community benefit. PART II Winthrop-University Hospital provides Community Support through the Adopt-A-Family and the Meals on Wheels programs. Advocacy for Community Health Improvement/Safety is provided through the Brooklyn-Queens-Long Island Area Health Education Center's Summer Internship Program which grants healthcare shadowing opportunities for high school and college students from minority communities. PART III, LINE 2 The total bad debt expense shown on this line represents actual amounts written off during the year related to balances due on patients' accounts for which payment was expected and pursued by the Hospital and/or its collection agencies but never received. PART III, LINE 3 The Hospital utilizes a process to identify amounts that are in a "bad debt" status but could qualify for financial assistance under the Hospital's financial assistance policy. These accounts are removed from bad debt and reviewed. If the criteria for financial assistance are met then they are reclassified from bad debt. These amounts are included in Part I of Schedule H. PART III, LINE 4 Per page 11 of the Audited Financial Statements, the Hospital presents the provision for bad debt expense, net totaling $21,918,874 and $24,718,390 for the years ended December 31, 2013 and 2012, respectively, as a reduction of net patient service revenue in the consolidated statement of activities. For the Form 990 bad debt expense has been reclassified from revenues to expenses. PART III, LINE 8 Medicare cost and charge information was extracted from the Medicare cost report and an RCC methodology was applied. The short fall represents unreimbursed costs incurred in providing services to Medicare recipients and therefore should be treated as a community benefit. PART III, LINE 9B Patients identified as being eligible for consideration of charity care are referred by the debt collector to the Credit and Collection Department of the Hospital for review; Debt collection activities are suspended. 2. NEEDS ASSESSMENT Community needs are based on assessments conducted by Federal, State, and County agencies as well as studies performed by the Hospital and community organizations. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Notification is provided on the Hospital's website, through signage posted at all access points, through notification on hospital bills, and through counseling during the intake process. 4. COMMUNITY INFORMATION Winthrop University Hospital serves primarily Nassau County, which is located on Long Island in New York. Nassau County is home to 1.3 million people and makes up 6.9% of the State of New York's total population. Nassau is comprised of, 63.3% of white persons (not Hispanic), 15.7 % persons of Hispanic or Latino origin, 12.4% Black persons, and 8.7% Asian persons. 5. PROMOTION OF COMMUNITY HEALTH The Board of Directors of Winthrop-University Hospital is comprised of community members who are not compensated for their duties. Winthrop extends medical staff privileges to all qualified physicians in its service area. The hospital provides an array of educational seminars and preventive health services to the community including a smoking cessation program, diabetes education, an annual health fair, free blood pressure screenings, fall prevention programs, cancer care programs, asthma screenings, genetic counseling, health updates for seniors, Meals on Wheels, and other programs. Surpluses are reinvested into Winthrop's operations, research, medical education and capital improvement initiatives to enhance its abilities to provide quality health care to its service areas. 6. AFFILIATED HEALTH CARE SYSTEM The Winthrop South Nassau University Health System is the sole member of Winthrop-University Hospital and South Nassau Communities Hospital. Both hospitals provide services to their respective communities and collaborate to ensure that their communities are provided a full array of inpatient and outpatient services of the highest quality. X X X X X X false true false false false false false true false JOHN F ALOIA MD DIRECTOR/PHYSICIAN/CHIEF 863965 0 0 0 23000 0 30131 0 20779 0 937875 0 0 0 PAUL HARNICK MD PHYSICIAN/DIRECTOR 669627 52788 42084 23141 787640 JOHN F COLLINS PRESIDENT/CEO 789416 444523 57204 511167 23921 1826231 GARRY SCHWALL CHIEF OPERATING OFFICER 390692 139190 52185 22274 20834 625175 PALMIRA M CATALIOTTI SR. VICE PRESIDENT/CFO 425313 153451 24549 69711 23705 696729 STACEY PFEFFER SR. VP-HR & ORG DVELOPMENT 246991 100940 41854 20486 410271 MAUREEN GAFFNEY SR. VP-PATIENT CARE SERVICES 303451 98664 18675 94491 1827 517108 SCOTT L SCHUBACH MD CHAIRMAN, TCV SURGERY 1203482 41376 23811 23019 1291688 JONATHON HAAS MD PHYSICIAN 1166616 18085 22769 1207470 JOHN GAFFNEY MD SURGEON 883428 40186 4998 22253 950865 JOHN A GONCALVES MD SURGEON 860895 37276 11272 22649 932092 COLIN BRATHWAITE MD CHAIRMAN, SURGERY 914476 39532 22618 23392 1000018 SCHEDULE J, PART I, LINE 4B THE ORGANIZATION ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE SENIOR AND LONG-TERM EXECUTIVES OF THE ORGANIZATION, INCLUDING MR. COLLINS. THIS PLAN SEEKS TO PROVIDE A REPLACEMENT INCOME AT RETIREMENT EQUAL TO 60% OF THE EMPLOYEE'S BASE SALRY, WHEN CONSIDERING ALL ORGANIZATION-SPONSORED RETIREMENT INCOME SOURCES, AFTER 20 YEARS SERVICE. THE BENEFITS UNDER THIS PLAN ARE FORTEITABLE IN THE EVENT OF VOLUNTARY TERMINATION BEFORE RETIREMENT AGE. THE ORGANIZATION'S OUTSIDE COMPENSATION CONSULTANT HAS OPINED THAT THIS PLAN IS WITHIN MARKET NORMS. PLEASE NOTE THAT, WINTHROP WAS REQUIRED TO RECOGNIZE ADDITIONAL EXPENSE IN RESPECT OF PARTICIPANTS' BENEFITS UNDER THE SERP FOR 2013. THE PRIMARY FACTOR IN THIS ADDITIONAL EXPENSE IS HISTORICALLY LOW INTEREST RATES USED BY WINTHROP TO RECOGNIZE LIABILITIES ACCRUED UNDER THE SERP ON ITS FINANCIAL STATEMENTS. WINTHROP ADOPTED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP II") FOR 2 EXECUTIVES WHO WERE NOT ELIGIBLE UNDER THE SERP DESCRIBED IN THE PREVIOUS PARAGRAPH BUT WHO WERE NEGATIVELY IMPACTED BY LIMITS UNDER WINTHROP'S STANDARD RETIREMENT PLANS (LIMITS NOT APPLICABLE TO EMPLOYEES GENERALLY). THE PRIMARY PURPOSES OF SERP II ARE TO PROVIDE A SUPPLEMENT TO THE STANDARD RETIREMENT PLAN AND TO ENCOURAGE RETENTION. SERP II COVERS MS. CATALIOTTI AND MS. GAFFNEY AND THE 2013 CONTRIBUTION AMOUNTS FOR THEM WERE $58,274 AND $73,954, RESPECTIVELY. SERP II IS FORFEITABLE BY THESE EXECUTIVES IF THEY TERMINATE EMPLOYMENT BEFORE DECEMBER 31, 2021 (AND ADDITIONAL SERVICE REQUIREMENTS MAY APPLY). schedule j, Part I, Line 7 THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE ORGANIZATION AND THE EXECUTIVE, IF AND TO THE EXTENT SATISFIED, OF PRE-ESTABLISED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. THE INCENTIVE COMPENSATION PROGRAM AWARDS ARE MADE BY THE COMPENSATION COMMITTEE IN ITS DISCRETION. schedule j, PART II PAUL HARNICK, M.D. AND JOHN F. ALOIA, M.D. ARE EMPLOYED PHYSICIANS OF THE ORGANIZATION AND ALSO SERVE AS UNCOMPENSATED MEMBERS OF THE BOARD OF DIRECTORS. A NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORPORATIO 274291221 63166LBE0 2012-10-23 140658451 SEE SCHEDULE K PART VI false false false A 0 0 141838135 0 0 0 2330048 0 0 39627811 70635940 29244336 false true false true A false false false false 0 0.01600 0.01600 false false false false A false true false false false false 0 false 0 false false A true SCHEDULE K, PART I-A PURPOSE: In 2012, Winthrop University Hospital Association, Series 2012 revenue bonds were issued through the Nassau County Local Economic Assistance Corporation to 1) Refund Winthrop's prior bonds from 2001 and 2003, which were issued to raise funds for capital additions and improvements and 2) To finance a portion of the cost of a new medical research facility. SCHEDULE K, PART II - LINE 3 THE PROCEEDS OF THE ISSUE CONSIST OF THE ISSUE PRICE OF $140,658,451 AND TOTAL INVESTMENT INCOME AMOUNTING TO $1,179,684. SCHEDULE K, PART II - LINE 7 THE $2,330,048 OF ISSUANCE COSTS CONSIST OF AN UNDERWRITER'S DISCOUNT OF $1,117,131; HOSPITAL COUNSEL FEES OF $170,000; BOND COUNSEL FEES OF $135,000; RATING AGENCY FEES OF $140,000; NASSAU COUNTY LEAC FINANCING FEE OF $171,787; TITLE INSURANCE OF $326,044; AND OTHER FEES INCLUDING ACCOUNTING, PRINTING AND TRUSTEE FEES. KATHERINE M WALLACE-HARNICK see part V 55908 EMPLOYMENT false DENISE E LONG See part v 78565 EMPLOYMENT false HEATHER RUOFF see part v 46715 EMPLOYMENT false LINDA J MARTINEZ see part v 50329 EMPLOYMENT false ALICIA C STRAIN SEE PART V 34682 EMPLOYMENT false JENNIFER L SULLIVAN SEE PART V 57077 EMPLOYMENT false CLIFFORD F COLLINS SEE PART V 74814 EMPLOYMENT false MARIA C LOPES SEE PART V 14060 EMPLOYMENT false BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES NAME OF INTERESTED PERSON: KATHERINE M. WALLACE-HARNICK IS A FAMILY MEMBER OF PAUL HARNICK. NAME OF INTERESTED PERSON: DENISE LONG IS A FAMILY MEMBER OF PATRICK K. LONG. NAME OF INTERESTED PERSON: HEATHER RUOFF IS A FAMILY MEMBER OF CHARLES RUOFF. NAME OF INTERESTED PERSON: LINDA J. MARTINEZ IS A FAMILY MEMBER OF JOHN F. ALOIA. NAME OF INTERESTED PERSON: ALICIA C. STRAIN IS A FAMILY MEMBER OF CHARLES STRAIN. NAME OF INTERESTED PERSON: JENNIFER L. SULLIVAN IS A FAMILY MEMBER OF THOMAS E. SULLIVAN. NAME OF INTERESTED PERSON: CLIFFORD F. COLLINS IS A FAMILY MEMBER OF JOHN COLLINS. NAME OF INTERESTED PERSON: MARIA C. LOPES IS A FAMILY MEMBER OF PALMIRA CATALIOTTI. X 9 399212 fair market value false true false FORM 990, PART VI-A, LINE 6 ORGANIZATION MEMBERS The organization is organized as a not-for-profit corporation with a member which is known as Winthrop South Nassau University Health System, Inc. FORM 990, PART VI-A, LINE 7A ELECTION OF GOVERNING BODY Winthrop South Nassau University Health System, Inc. is the sole member of the corporation. This member can approve the election of the Board of Directors of the corporation in accordance with the bylaws. FORM 990, PART VI-A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL The governing body can approve and monitor the corporation's operating and capital expenditure plan on an annual basis provided, however, the operating and capital expenditure plan is reviewed and approved by the member to ensure that such budgets conform to the mission and philosophy of the corporation. FORM 990, PART VI-B, LINE 11A FORM 990 REVIEWED BEFORE FILING The Form 990 is reviewed by a voting member of the organization's governing body, an officer (CFO) of the corporation, outside legal counsel and tax consultant before it is filed with the IRS. The review is conducted independently by each person mentioned above. Questions, changes or recommendations are reported in writing or verbally. A copy of the Form 990 is provided to the organization's governing body before it is filed, together with an overview of relevant procedures (e.g. compensation governance and due diligence, etc.) FORM 990, PART VI-B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY All Board Members and Key Employees are expected to read and understand the Conflict of Interest Policy which is mailed annually with the disclosure statement and posted on Winthrop University Hospital's Intranet site. Key Members include Senior Management and all Department Heads, Chairman of Departments, and other employees (including physicians) who are in a position to influence any substantive business decision between the Hospital and or a Vendor. In addition, all other Hospital Personnel are trained and educated as to their obligations to report any potential Conflict of Interest. Training and Education is conducted for all employees upon hire and annually thereafter. Annually the Conflict of Interest Policy and Disclosure Statement are sent to all Key Members of Winthrop University Hospital. Key Members are reminded of their continuing obligation to update the annual Disclosure Statement whenever new information arises. If the Compliance Officer believes a potential or actual conflict of interest exists, the Compliance Officer will seek outside counsel's advice and prepares a report stating the relevant facts with an explanation as to why an actual or potential conflict of interest exists. The actual or potential conflict will be reported to the Compliance Committee for review. Once a final decision is made on how to proceed, the Personnel will be instructed as to the appropriate corrective action. FORM 990, PART VI-B, LINES 15A & 15B COMPENSATION REVIEW/APPROVAL The Organization's Board adopted a Compensation Policy (the "Policy")for Covered Individuals. Pursuant to the Policy, a Compensation Committee of independent directors was established to review the compensation of all employees specified as having a substantial influence over the organization and who receive remuneration from the Organization, including, among others, the Organization's President and Chief Executive Officer, the Organization's Chief Operating Officer, and the Organization's Chief Financial Officer. The Compensation Committee is advised by outside counsel and an independent compensation consultant. The outside counsel and consultant opine to the Compensation Committee that the level of compensation paid and the process by which compensation is established meet applicable IRS reasonableness and "safe harbor" standards. The outside compensation consultant provides data of compensation provided at similar organizations to ensure that the Organization does not compensate in excess of market norms. FORM 990, PART VI-B, LINE 19 PUBLIC STATEMENTS Governing documents are provided to the public upon management's discretion. Conflict of Interest policy is provided upon request and approval of management. Financial Statements are provided to the public upon request. PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN PENSION LIABILITY $ 124,330,224 TERM FUNDS UNREALIZED GAIN ON INVESTMENTS $ 1,276,736 ----------- TOTAL $ 125,606,960 =========== MISSION STATEMENT It is the mission of Winthrop-University Hospital (referred to as "Winthrop" or "the Hospital") to provide high-quality, safe, culturally competent, and comprehensive healthcare services in a teaching and research environment, which improve the health and well-being of the residents of Nassau County and contiguous county areas based on a profound commitment to an enduring guiding principle - "Your Health Means Everything." The Hospital's Community Service Plan is guided by and reflects its mission statement - to improve the health and well-being of the residents it serves. COMMUNITY PARTNERSHIPS Community partnerships were expanded and strengthened during 2013 due to our current CSP initiatives and the collaborative Community Needs Assessment that was completed as required by the Affordable Care Act. Partners include: - Nassau County Department of Health - Nassau County Hospitals (Catholic Health Services, Long Beach Memorial Hospital, North-Shore LIJ Health System and South Nassau Communities Hospital) - Academic Institutions - Adelphi University, Hofstra University and Stony Brook University - Project Independence - Aging in Place Initiative in Town of North Hempstead - Winthrop's Cultural Competency Community Advisory Council: 1. Brooklyn-Queens Long Island-Area Health Education Center 2. Casa Mary Johanna and St. Brigid's Church 3. Circulo de la Hispanidad, Inc. 4. Cornell University Cooperative Extension Nassau County 5. The Economic Opportunity Commission 6. Hempstead Hispanic Civic Association 7. Hispanic Brotherhood of Rockville Centre 8. Hispanic Counseling Center 9. Long Island Minority AIDS Coalition (LIMAC) 10. Nassau County Department of Health 11. Perinatal Service Network, DOH 12. Noticia (Hispanic Newspaper) - Other Community-Based Organizations 1. Community Libraries - e.g., Elmont and Westbury, among others 2. Westbury "Yes We Can" Community Center 3. Old Bethpage Restoration Village In addition to the partnerships indicated above, Winthrop is actively involved with the Long Island Health Collaborative, a group consisting of hospital, community-based organizations and local businesses that is moving forward with a three-pronged approach to the Prevention Agenda mandate. It encompasses programming, policy, and public outreach. SERVING COMMUNITIES WITH HEALTH DISPARITIES IMPROVING ACCESS TO CARE Winthrop's Women's Wellness OB/GYN Center in Hempstead offers a wide variety of obstetrical and gynecological services, as well as on-site risk assessment, psychosocial counseling, postpartum depression screening and referrals, domestic and sexual abuse screening, nutritional and gestational diabetes education, assessment of living conditions and cultural diversity. The site features a Medicaid Enrollment Specialist for uninsured patients; Charity Care Application and self-pay rates are available as well. They participate with NYS Medicaid and many Medicaid Managed Care HMO plans. The Center participates with the Baby Basics Program, which helps put everyone "on the same page"-from physician and staff, to patient and families-and strengthens the delivery of prenatal care, education and support to vulnerable populations. During 2012, 917 "new" OB and GYN patients were seen; there were an additional 5,284 follow-up visits from established patients. From January through October, 2013, there were 719 new patients, with an additional 5,975 follow-up visits. The Center averages 700 visits per month with approximately 45 new OB patients a month. Financial services were provided to over 600 patients during this time period. The Hempstead Pediatric Practice draws patients primarily from the Hempstead community but also serves children, from newborn to age 21, from the surrounding neighborhoods (Elmont, Freeport, Uniondale and Roosevelt). In addition, Winthrop's Pediatric Specialty Center in Mineola sends a Pediatric Pulmonologist and an Adolescent Pediatrician to the Hempstead location on a regular basis to allow for easier access to these services. In 2012 alone, a total of 12,873 patients were treated at the facility. From January through October, 2013, 11,537 patients were treated. Year round, Hempstead Practice collaborates with community-based organizations at Health Fairs and community events so that the parents of Hempstead and the surrounding communities know that we are available and ready to be of service to them and their children. The physicians and staff also meet with members of the Hagedorn Children's Center, the Hispanic Counseling Center and the Economic Opportunity Commission to work in partnership to better serve the community. By partnering with the Hispanic Counseling Center, the Pediatric practice is able to provide counseling services to at-risk patients. Children are able to begin sessions at the Pediatric Office, an environment that is familiar to them, and have services at the practice. If continuing sessions are needed, they are transitioned to the Hispanic Counseling Center when they are comfortable attending sessions at that site. The Hempstead High School Health Center (HHHC) is a school-based Health Center, which has been providing services for enrolled students since 1997. In 2012-2013, there were over 5,000 visits to the Center by approximately 1,400 enrolled students. Comprehensive preventive, episodic and confidential healthcare was provided. Winthrop has also implemented specific programs needed by the school's population, including: - Youth support groups in English and Spanish that address common adolescent issues such as acculturation, adolescent adjustment, alternative lifestyles, teen pregnancy and prevention, parenting teens, and violence prevention, including gang violence. - A "Positive PPD Chest Clinic" that provides students with screening, free chest x-ray and access to preventive medications. Arrangements are made for students who test positive to have the proper treatment, whether it is through a private healthcare provider or the clinic if insurance currently is not in place. - An Asthma Management Program that monitors and tracks students with asthma. This effort is particularly significant in Hempstead, where asthma rates are nearly double those of adjacent neighborhoods. Collaboration with primary care physicians in the community facilitates treatment that meets current medical standards, trains high school nurses and staff about asthma, and offers access to free medications to those students without health coverage. ADDITIONAL RESOURCES AT WINTHROP Winthrop recognizes that a healthy lifestyle prevents or delays the onset of disease. A deep commitment to a healthy lifestyle through health maintenance and wellness is fundamental to the Hospital's Mission. A description of non-prevention agenda initiatives follows: Blood Drives To support the community, each year, Winthrop hosts multiple blood drives to support the Long Island Blood Services. In 2013 employees and community members donated 1,291 pints of blood. Community Education A longstanding tradition, Winthrop continues to offer free Community Wellness Programs on campus as well at the Mineola Community Center. Open to all, these programs address topics of interest to the community as well as any updates on current health issues and are presented by Winthrop physicians and specialists. During more than 35 free lectures, the Hospital addressed diabetes, heart disease, stress, anxiety and depression; stroke awareness, memory changes and more. Community Training Center The Hospital is an American Heart Association Training Center. The Center provides training in Basic Life Support, PALS and ACLS to community members and to healthcare professionals requiring certifications. Please call (516) 663-4455 for information. Center for Family Dental Medicine New in 2013, our full service, state-of-the-art dental facility serves the community's patients and allows dentists to complete their residency in a hospital environment. Developed to target communities with health disparities, the Center offers specialized diagnostic and oral care from preventive measures which range from routine care and cleanings to more complex oral and maxillofacial surgery. From August through November, 2013, the Center provided 161 free screenings to participants at various health fairs. Center for Advanced Care of Chronic Conditions Winthrop offers a free service to the community to help individuals with a number of chronic conditions navigate the healthcare system. A nurse "navigator" customizes a plan of care, coordinates treatment and follow-up care, and promotes awareness of Winthrop's various preventive and health screening programs. Health Fairs Winthrop participates in community-based health fairs and events. At the fairs, Hospital staff provides blood pressure and asthma screenings, as well as information about a variety of issues, including stroke prevention, diabetes, tobacco cessation, heart health and nutrition. Some of the community-based health fairs Winthrop participated in during 2013 included Senator Hannon's Senior Health Fair, Senator Fuschillo's Golden Gathering, the Nassau County Health Fair, The Williston Park and Mineola Street Fairs and more. Health Screenings During 2013, Winthrop provided a free stroke risk assessment. Sixty-one individuals were screened; out of those, 28 received a free Doppler screening. Winthrop partnered with "LI Cruzin'" car show for a prostate cancer screening during 2013 that was open to all of Long Island. The Hospital provided free PSA screenings to 309 participants. Support Groups Throughout the year, Winthrop coordinates many free support groups that meet periodically, are open to the public and cover a wide range of healthcare topics. During 2013, Winthrop hosted nearly 200 free support group sessions that are open to the public. Speaker's Bureau The Hospital provides free speakers at the request of local organizations. Topics are chosen based upon the specific interests of the groups and cover wellness issues such as nutrition, heart health, lung conditions, and stroke prevention. During 2013, Winthrop delivered talks at the Family & Children's Association, AARP, Mineola Leisure Club, and more. Winthrop Welcome Center The Welcome Center at the Winthrop Wellness Pavilion in Garden City offers written educational material, free lectures and wellness programs. Topics presented are based on the health condition and health information needs of the community. The Center demonstrates Winthrop's commitment to improving the health status of the community. Also, Community residents calling the 1-866-WINTHROP number for information are directly linked to clinical departments as well as given referrals to community physicians and services as needed. Winthrop Winnebago Winthrop's Winnebago is used to bring health education information and screenings at various locations throughout the community. PREVENTION AGENDA INITIATIVES 2012-2013 TOBACCO CESSATION Summary of Efforts to Reduce Tobacco Consumption The Hospital's efforts to reduce adult tobacco consumption in Nassau County included the following: - Strengthening education and recruitment efforts to increase enrollment of adult inpatients in "Freedom from Smoking" upon discharge - Raising awareness of Winthrop's Tobacco Cessation Program in all relevant Hospital-sponsored educational and screening programs - Collaborating with community-based organizations and employers to aggressively solicit and enroll program participants - Implementing outreach interventions to follow-up with program participants - Tracking and evaluating outcomes for program effectiveness Successes A total of 50 people attended eight (8) 4-week tobacco cessation sessions from September 2012 to August 2013. Seventy-Two percent (72%) of all participants attended three or more sessions. Thirteen percent (13%) repeated the entire program more than once. Addressing Barriers Other that the common personal barriers mentioned, such as "habit," Winthrop successfully circumvented other common barriers to smoking cessation among adults, such as the availability of classes. A trained Health Educator offers the Workshops "FREE" in the early evening every month at Winthrop. The Workshops are also offered in the community and workplace settings, thus eliminating the barriers of transportation and time. FALLS PREVENTION Summary of Efforts to reduce falls The Hospital's efforts to reduce the rate of falls resulting in injury to seniors in Nassau County included the following: - Raising community awareness of the serious impact of falls - Conducting screenings and risk assessments for falls - Educating seniors, caregivers and other interested people (target population) about identifying and modifying risk factors and methods of preventing falls - Tracking and evaluating outcomes for program effectiveness - Going into community-based organizations to offer programs Successes In Year Four, the following was accomplished: - Additional classes were added to the Falls Prevention program. This included balance/strength exercises at a higher level as the senior progresses, balance assessment and reassessment, demonstration of how to get up from a fall (Be Prepared) and Walking for Strength and Balance. - Creation of an inpatient geriatric discharge report, notifying these individuals about upcoming Falls Prevention programs - Establishment of a tracking mechanism by creating a database of program attendees and a post-workshop outcomes evaluation tool - Collaborating with the "Project Independence" (aging in place) initiative to offer the four-weeks series at the "Yes We Can" community center in Westbury, a community experiencing health disparities Overall Participation Winthrop's Fall Prevention Program has been, by almost any measure, an outstanding success, with significant growth each year. Participation was as follows: year one, 360; year two, 485; year three, 1100. Due to promotional materials and outreach efforts to the community from September 2012 to August 2013, year four of the Prevention Agenda, 127 fall prevention and exercise programs were offered at the Winthrop Welcome Center and out in the community, with more than 1900 participants. Programs included "What are the Risks for a Fall," "Risks and Tips to Prevent Falls," "Exercise & Balance," "Walking for Balance and Strength," "Be Prepared" and "Balance Assessment & Reassessment". Addressing Barriers As the popularity of the programs increased, with the space constraint at the Winthrop Welcome Center we have had to turn away prospective participants for our programs. For this reason Winthrop, added more classes and hired an additional registered nurse to meet the need, and to travel to more communities throughout the year. 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