2013-11-14T11:12:54-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46024 990 2012-01-01 133049852 New York Downtown Hospital % JERRY CASTORIA NEWY 2122974356 170 William Street Suite New York NY 10038 MARK LARMORE 2013-11-12 3176817000 2012 2016-02-25 16:41:14Z mark larmore 525 east 68th st box 156 new york NY 10065 220751733 false X N/A X 1979 NY COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THE PEOPLE IN THE LOWER MANHATTAN AREA AND THE SPECIFIC NEEDS OF THE COMMUNITY WITH AN EMPHASIS ON OUTREACH AND AMBULATORY SERVICES. 31 22 1614 294 726121 14564479 16195109 183173990 157809277 1051101 24537934 16909981 21147834 215699551 219690154 0 0 0 0 107981172 109486471 0 0 464279 104958982 90845925 212940154 200332396 2759397 19357758 190982548 226367103 143860455 170580717 47122093 55786386 X NEW YORK DOWNTOWN HOSPITAL IS A COMMUNITY TEACHING HOSPITAL COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THE PEOPLE WHO LIVE IN, WORK IN, OR VISIT LOWER MANHATTAN. AS A COMMUNITY HOSPITAL, DOWNTOWN HOSPITAL OFFERS HEALTHCARE TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY WITH AN EMPHASIS ON OUTREACH AND AMBULATORY SERVICES. false false 114719207 98096053 HOSPITAL SERVICES FOR PATIENTS WHO ARE ADMITTED INTO THE HOSPITAL. THE SERVICES THAT WE PROVIDE ARE FOR MEDICINE, SURGERY, ORTHOPEDICS, OB/GYN AND NURSERY DELIVERIES. INPATIENT SERVICE STATISTICS: TOTAL DISCHARGES 11,535; TOTAL PATIENT DAYS 45,607; AVERAGE LENGTH OF STAY 4.0 DAYS. 41316086 35329263 HOSPITAL SERVICES FOR PATIENTS THAT COME THROUGH THE EMERGENCY ROOM, FOR PATIENTS THAT HAVE AMBULATORY SURGERY (SAME DAY SURGERY),PATIENTS THAT ARE SEEN IN THE CLINIC, RENAL DIALYSIS AND REFERRED AMBULATORY SERVICES. OUTPATIENT SERVICE STATISTICS: TOTAL VISITS-CLINIC 22,032; RENAL 761; AMBULATORY SURGERY 6,239; REFERRED AMB 25,187; EMERGENCY ROOM 40,578. 24383961 HEALTHFIRST IS A MEDICAID MANAGED CARE INSURANCE PLAN IN WHICH NEW YORK DOWNTOWN HOSPITAL IS A PARTICIPANT. THE DISTRIBUTION REPRESENTS EXCESS MEDICAL REVENUE. 17573927 156035293 true true false true false false false false false true true false false false true false false true false false false false false false true false true true false false true true false false false false false false false false false false false true false false true true true true false false true 56 0 true 1614 true true true false false false false true true false false false false X 31 22 false false true false true true false true true false false true true true true true true true true false NY X JERRY CASTORIA 2123125650 170 WILLIAMS STREET new york NY 10038 X Christopher L Mann Esq 1.0 3.0 X X Frances G Laserson 1.0 1.0 X X Ralph M Mastrangelo 1.0 2.0 X X Ronald H Menaker 1.0 2.0 X X Robert D Hunter 1.0 2.0 X X Nelson Schaenen JR 1.0 3.0 X X Kathryn George Tyree 1.0 2.0 X X Troland Fritz S Link ESQ 1.0 2.0 X X Giovanna Cipriani 1.0 0.0 X John G Daniello 1.0 0.0 X Sun - Hoo Foo MD 8.0 1.0 X 38200 Stephen J Friedman JD 1.0 0.0 X Lai Wah Fung 1.0 1.0 X Peter Gross 1.0 0.0 X Pauline G Hecht MD 32.0 0.0 X 186633 0 6954 Mordechai Hoschander DMD 1.0 0.0 X Peter James Johnson JR ESQ 1.0 0.0 X Richard T Kennedy 1.0 1.0 X Ronald M Krinick MD 1.0 0.0 X Sandra K Lee RN 1.0 0.0 X George CK Liu PHD MD FACP 1.0 0.0 X Bruce D Logan MD 1.0 0.0 X 43800 6476 Edward C Malmstrom 1.0 0.0 X Julie Menin 1.0 0.0 X Jeffrey Menkes 46.75 3.25 X X 975120 0 11309 Neil Moskowitz 1.0 0.0 X Patricia Bakwin Selch 1.0 0.0 X Philip Seskin 1.0 0.0 X Steve Squeri 1.0 0.0 X Douglas A Skolnick 1.0 0.0 X Ronald J Strauss 1.0 0.0 X John A Ward III 1.0 0.0 X Stanley Zinberg MD 1.0 0.0 X Kenneth C SZE MD 1.0 0.0 X Laura Forese MD 1.0 59.0 X 0 1372068 126683 Wayne M Osten 1.0 59.0 X 0 1043712 39692 Gary J Zuar 1.0 59.0 X 0 993195 95305 Gerald Ginsberg MD 1.0 0.0 X 186750 0 14586 Frank Vutrano 48.75 1.25 X 118149 0 9239 Anthony Alfano 50.0 0.0 X 407253 0 17945 Steven Friedman MD 49.5 0.5 X 400045 0 12292 Jerry Castoria 48.75 1.25 X 120455 Anthony Smith MD 49.5 0.5 X 527465 0 13206 Eli Bryk md 50.0 0.0 X 476535 0 17455 eric-sin-kam-poon md 48.75 1.25 X 147717 0 8728 William Huang MD 40.0 0.0 X 610618 0 10587 Michael Defeo MD 40.0 0.0 X 609046 0 13413 Geoffrey Webber 40.0 0.0 X 591448 0 18484 Atul Sharma MD 40.0 0.0 X 604117 0 7625 Alexander Slotwiner MD 40.0 0.0 X 579051 0 7391 Warren Licht MD 0.0 0.0 X 396848 0 4923 7019250 3408975 442293 194 true true false Dell Marketing LP 2300 West Plano Parkway PLANO TX 75025 Billing/IT Support 6219343 Allscripts Healthcare LLC 8529 Six Forks Road RALEIGH NC 27615 IT Support Services 4359068 Weill Medical College 1300 York Avenue NEW YORK NY 10021 Medical/Billing Svcs 3977117 FCIC Construction 900 Kilmer Lane VALLEY STREAM NY 11581 Construction Service 1386402 Command Security 512 Herndon Parkway Suite A HERNDON VA 20170 Security Services 959182 31 1758823 7703391 4438622 2294273 12510 16195109 NET PATIENT REVENUE 624100 133425316 133425316 HEALTHFIRST DISTRIBUTIONS 900099 24383961 24383961 157809277 493614 493614 0 0 920477 364458 556019 0 556019 556019 81482 24000000 37162 44320 24000000 24044320 24044320 276800 1758823 659959 -383159 -383159 0 0 FACULTY PRACTICE REVENUE 621110 13825548 13825548 EMERGENCY SERVICES 621990 3254765 3254765 VENDOR/INSURANCE REFUNDS 900099 483303 483303 3411358 493614 726121 2191623 20974974 219690154 175383204 726121 27385720 0 0 0 0 3771312 2232298 1539014 0 82603145 70419590 12016346 167209 4162444 3567303 588865 6276 12454015 9950163 2475876 27976 6495555 5456266 974333 64956 0 980009 980009 805100 805100 60000 60000 0 127688 234 127093 361 19182835 10912955 8268585 1295 433881 174598 223237 36046 9474412 4471457 4999077 3878 6221264 6221264 0 5128423 4123191 1005232 52786 27603 25165 18 0 279992 270472 9520 2039877 2024277 15600 0 15626427 13126199 2343964 156264 6846554 6270460 576094 MEDICAL EXPENSES 22696506 22696506 HOSPITAL ASSOCIATION DUES 299138 18591 280547 BOND FEES 94696 94696 ALL OTHER EXPENSES 496337 293130 203207 200332396 156035293 43832824 464279 0 0 22327821 27931678 99957 126500 34336048 42405868 0 0 0 0 0 0 2180473 2293867 3611660 2978319 277419722 156364716 99823909 121055006 27639809 28349259 0 0 962721 1226456 0 0 150 150 190982548 226367103 43516739 52725585 1332369 1386488 0 0 34863613 34508445 0 0 0 0 6636721 7659830 0 0 57511013 74300369 143860455 170580717 X 31602238 39592653 8809402 9483280 6710453 6710453 47122093 55786386 190982548 226367103 X 19357758 704267 -120811 -11276921 X false true X true true true X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 60000 false false false 60000 false Schedule C, Part II-B, Line 1F NEW YORK DOWNTOWN HOSPITAL PAID $60,000 TO GEORGE ARTZ COMMUNICATION, INC. TO LOBBY FOR GOVERNMENT FUNDING CAPITAL. 15519855 2076146 1125959 2493467 34760 16193733 15237847 5157346 589577 5431416 33499 15519855 15018921 8519973 783156 9055039 29164 15237847 15185359 2152811 857782 3139895 37136 15018921 17391620 2554046 -1337632 3383178 39497 15185359 0.59000 0.41000 0.00000 false false 14019052 14019052 143066024 71148126 71917898 115562704 85216590 30346114 4771942 4771942 121055006 0 DUE TO RELATED ORG, NET 10253451 PROFESSIONAL LIABILITIES 27092508 DUE TO THIRD PARTIES 36907750 DUE TO ECLIPSYS 37660 ADP LEASE 9000 74300369 SCHEDULE D, PART V, LINE 4 TEMPORARILY RESTRICTED NET ASSETS IN THE TOTAL AMOUNT OF $9,483,280 ARE RESTRICTED FOR EYE CARE PROGRAM, COMMUNITY SERVICE PROGRAM, EXPANSION, RENOVATION PROJECTS AND OTHER DEPARTMENT SUPPORT, MEDICAL RESEARCH AND TRAINING AND EDUCATION PROGRAMS. PERMANENTLY RESTRICTED NET ASSETS OF APPROXIMATELY $6,710,453 HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY, THE INCOME FORM WHICH IS RESTRICTED AS TO USE. ball 784919 659869 125050 280217 25245 148286 gala 1250705 1098955 151750 155098 11300 39813 0 2035624 1758824 276800 435315 36545 188099 659959 -383159 true true X true X true X true true false true true 1730163 297882 1432281 0.00710 37057457 36379271 678186 0.00340 38787620 36677153 2110467 0.01050 4959348 4959348 0.02480 17506334 7694921 9811413 0.04900 20330479 14246672 6083807 0.03040 42796161 21941593 20854568 0.10420 81583781 58618746 22965035 0.11470 true 5686213 2691833 30230906 20907765 9323141 X true true 1 1 new york downtown hospital

170 william street new york NY 10038

X X X X outpatient Clinic ambulatory surgery chronic dialysis New York Downtown Hospital 1 true true 100 true 300. true X X X X X X X true true X true false X true X false false SUPPLEMENTAL INFORMATION PART I, LINE 3C N/A PART I, LINE 6A N/A PART I, LINE 7G INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE EMERGENCY ROOM SERVICES, CLINICS, AND AMBULANCE PART I, LINE 7, COLUMN F BAD DEBT 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: 7A - ADJUSTED RATIO OF PATIENT CARE COSTS TO CHARGES 7B - ADJUSTED RATIO OF PATIENT CARE COSTS TO CHARGES 7E - ACTUAL EXPENSES 7F - INSTITUTIONAL COST REPORT 7G - INSTITUTIONAL COST REPORT PART III, LINE 2 FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. ESTIMATED COST IS BASED ON THE TOTAL BAD DEBT AT THE RATIO OF PATIENT CARE COST TO CHARGES. PART III, LINE 3 Amounts represent unpaid self pay balances at the net realizable amounts that are not anticipated to be collected. PART III, LINE 4 AUDITED FINANCIAL STATEMENTS PAGE 15 PART III, LINE 8 The required method of reporting in schedule h obfuscates the full losses associated with delivery of services to medicare beneficiaries. As reported in part III, section b, line 7, medicare is calculated to result in a $9.3 million surplus; this results because medicare losses of $1.8 million are instead reflected in Part I, lines 7f and 7g where losses identified with professional education and subsidized health services are calculated per the methodology mandated for completion of schedule h. furthermore, medicare managed care losses of $2.2 million are excluded altogether from all schedule H disclosures. Medicare Surplus Per Schedule H $9,323,141 Medicare Gme Net Costs 261,055 Medicare net costs of Subsidized Health services ($2,060,412) Medicare Managed Care Net Costs ($2,248,538) Total Net Associated with Medicare Program $5,275,246 "net" is defined as revenue net of costs PART III, LINE 9B NEW YORK DOWNTOWN HOSPITAL WILL NOT FORWARD ANY CLAIMS TO A COLLECTION AGENCY IF THE PATIENT COMPLETED THE FINANCIAL AID APPLICATION AND IS WAITING FOR A DETERMINATION. NYDH PROHIBITS THE FORCED SALE OR FORECLOSURE OF A PRIMARY RESIDENCE BUT PLACEMENT OF LIEN IS ALLOWED. NYDH WILL NOTIFY THE PATIENT OR RESPONSIBLE PARTY AT LEAST 30 DAYS BEFORE THE ACCOUNT IS BEING FORWARDED TO A COLLECTION AGENCY. NYDH WILL PROVIDE WRITTEN CONSENT TO A COLLECTION AGENCY BEFORE IT BEGINS LEGAL ACTION ON THE PATIENT, OR RESPONSIBLE PARTY. NYDH REQUIRES ALL ITS COLLECTION AGENCIES TO FOLLOW THE HOSPITAL'S FINANCIAL AID POLICIES AND PROCEDURES, INCLUDING HOW TO APPLY FOR FINANCIAL AID. NYDH WILL NOT COLLECT ANY MONIES FROM PATIENTS ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICES. Part V, Section B, Question 14g The measures by which the Hospital publicizes the policy to the community served by the Hospital include: Distribution of a Summary of the policy (which describes income levels used to determine eligibility, the primary service area of the Hospital, and the means of applying for assistance) to patients, posting of signs alerting patients to the availability of financial assistance , inclusion of a notice on patient bills that charity care/financial assistance is available to eligible patients, and the distribution of applications for charity care/financial aid to interested patients. NEEDS ASSESSMENT NEW YORK DOWNTOWN HOSPITAL MEETS QUARTERLY WITH ITS COMMUNITY ADVISORY BOARD (CAB) TO ENCOURAGE CONSTRUCTIVE DIALOGUE WITH OTHER COMMUNITY ORGANIZATIONS. THE CAB IS COMPOSED OF HOSPITAL EXECUTIVES, REPRESENTATIVES FROM STATE AND LOCAL GOVERNMENT, HEALTH DEPARTMENT REPRESENTATIVES, COMMUNITY ORGANIZATIONS, AND LOCAL BUSINESSES. THROUGH THESE MEETINGS, THE HEALTH CARE NEEDS OF THE COMMUNITY ARE REGULARLY ASSESSED, AND FEEDBACK ON THE HOSPITAL'S PERFORMANCE IS OBTAINED AND SUBSEQUENTLY INTEGRATED INTO ITS STRATEGIC PLAN. THE HOSPITAL ALSO ENGAGES IN REGULAR AND EXTENSIVE CONVERSATIONS WITH THE ALLIANCE FOR DOWNTOWN NEW YORK, MANHATTAN COMMUNITY BOARDS ONE AND THREE, AND RESIDENT ADVISORY COUNCILS FROM LOCAL NATURALLY OCCURRING RETIREMENT COMMUNITIES (NORC) AND NEIGHBORHOOD SENIOR HOUSING DEVELOPMENTS. THE HOSPITAL ALSO MAINTAINS EXTENSIVE COLLABORATION AND ON-GOING DIALOGUE WITH LOCAL NURSING HOMES AND HOME CARE SERVICES TO ASSESS COMMUNITY HEALTHCARE NEEDS. THE HOSPITAL ANALYZES HEALTH CARE DATA FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) AND THE DEPARTMENT FOR THE AGING; DEMOGRAPHIC DATA FROM LOCAL, STATE AND FEDERAL AGENCIES; HOSPITAL-GENERATED STATISTICAL REPORTS; REPORTS GENERATED BY INTERNAL COMMITTEES, TASK FORCES AND THE HOSPITAL'S ANNUAL PLANNING PROCESS; AND POLICY REPORTS FROM THE NEW YORK CITY HEALTH CARE ADVISORY PANEL. IN COLLABORATION WITH THE VISITING NURSE SERVICE (VNSNY), THE CHARLES B. WANG COMMUNITY HEALTH CENTER, BETANCES HEALTH CENTER, THE CHINESE AMERICAN PLANNING COUNCIL, GRAND STREET SETTLEMENT, HAMILTON MADISON HOUSE, THE BROOKLYN CHINESE-AMERICAN ASSOCIATION, THE CHINESE CONSOLIDATED BENEVOLENT ASSOCIATION AND THE AMERICAN CANCER SOCIETY, THE HOSPITAL HAS IDENTIFIED THE PROVISION OF COMPREHENSIVE CANCER CARE AS A NEIGHBORHOOD HEALTH PRIORITY. THE HOSPITAL ALSO PARTICIPATES IN THE COLON HEALTH TASK FORCE. OTHER PARTICIPANTS INCLUDE: VNSNY; THE DOHMH; THE UNITED HOSPITAL FUND (UHF); MANNING PHARMACY AND SURGICAL, INC.; THE AMERICAN CANCER SOCIETY - ASIAN UNIT; AND THE CHARLES B. WANG COMMUNITY HEALTH CENTER. DATA GATHERED BY THE DOHMH AND THE UHF PROMPTED THE HOSPITAL TO ESTABLISH A PATIENT NAVIGATOR PROGRAM WITH THE ULTIMATE GOAL OF INCREASING THE CHINESE COMMUNITY COLONOSCOPY SCREENING RATE. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IN COMPLIANCE WITH SECTION 2807-K(9-A) OF THE NEW YORK STATE PUBLIC HEALTH LAW, THE HOSPITAL EXTENDS DISCOUNT POLICIES AND INSTALLMENT PAYMENT PLANS TO NEW YORK STATE RESIDENTS WHO HAVE HEALTH INSURANCE, BUT MAY BE UNABLE TO FULLY PAY CO-PAY AND DEDUCTIBLE AMOUNTS. THE HOSPITAL ALSO MAKES DISCOUNTS AVAILABLE TO PATIENTS WITH INCOMES ABOVE 300% OF THE FEDERAL POVERTY LEVEL. THE LEVEL OF DISCOUNT FROM THE HOSPITAL'S REGULAR CHARGES DEPENDS ON A PATIENT'S INCOME - THE MORE A PATIENT'S INCOME FALLS BELOW 300% OF THE FEDERAL POVERTY LEVEL THE HIGHER THE DISCOUNT THE HOSPITAL PROVIDES. PATIENTS WITH INCOMES AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL CAN BE CHARGED NO MORE THAN THE FOLLOWING: INPATIENT HOSPITAL SERVICES: $150; AMBULATORY SURGERY: $150 PER PROCEDURE; MRI TESTING: $150 PER SESSION; ADULT EMERGENCY ROOM AND OUTPATIENT CLINIC VISITS: $15 PER VISIT; PRENATAL AND CHILDREN'S EMERGENCY ROOM AND CLINIC VISITS: NO CHARGE. THIS LAW COVERS ALL THE MEDICAL SERVICES OFFERED BY THE HOSPITAL, INCLUDING: INPATIENT SERVICES; EMERGENCY ROOM VISITS; AND OTHER OUTPATIENT VISITS, SUCH AS TO CLINICS OPERATED BY THE HOSPITAL. THE HOSPITAL HAS STAFF ON-SITE (BOTH IN THE CREDIT OFFICE AND THE OUTPATIENT DEPARTMENT) TO HELP ELIGIBLE PATIENTS ENROLL INTO STRAIGHT MEDICAID, PCAP OR FAMILY HEALTH PLUS/CHILD HEALTH PLUS. THE CHARITY CARE PROGRAM OFFERS CHARITY CARE TO ELIGIBLE PATIENTS. THIS INCLUDES ACCESS TO EMERGENCY SERVICES FOR RESIDENTS OF NEW YORK STATE, AS WELL AS TO EMERGENCY AND NON-EMERGENCY SERVICES FOR RESIDENTS OF NEW YORK CITY. THIS SERVICE IS PROVIDED THROUGH THE HOSPITAL'S MEDICAID - CHARITY CARE OFFICE. THE HOSPITAL'S PROVISION OF THESE SERVICES IS PUBLICIZED THROUGH THE HOSPITAL'S INTERNET (WWW.DOWNTOWNHOSPITAL.ORG) SITE. VARIOUS EDUCATIONAL EFFORTS CONDUCTED BY THE HOSPITAL, PARTICULARLY WITHIN THE LARGE IMMIGRANT COMMUNITIES CONTAINED WITHIN OUR CATCHMENT AREA, ARE INCREASING AWARENESS OF BILLING PROCESSES AND THE AVAILABILITY OF CHARITY CARE AND GOVERNMENT ASSISTANCE PROGRAMS FOR THOSE UNABLE TO PAY FOR SERVICES. THE HOSPITAL ALSO MAKES BROCHURES AND FLYERS AVAILABLE, WHICH REVIEW THESE SERVICES. COMMUNITY INFORMATION DOWNTOWN HOSPITAL IS THE PRIMARY HOSPITAL SERVING THE LOWER MANHATTAN COMMUNITIES OF THE FINANCIAL DISTRICT; CHINATOWN; BATTERY PARK CITY; LITTLE ITALY; TRIBECA; CITY HALL; POLICE PLAZA; THE FEDERAL, STATE AND CITY COURTHOUSE COMPLEX; AND THE RAPIDLY EXPANDING RESIDENTIAL COMMUNITY OF LOWER MANHATTAN. NEW YORK DOWNTOWN HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE AREA SOUTH OF 14TH STREET. THIS AREA, AS WELL AS THOSE IMMEDIATELY ADJACENT, DELIVERS A HIGH NUMBER OF PATIENTS TO THE HOSPITAL. THE HOSPITAL ALSO CONTINUES TO SERVE A SIGNIFICANT NUMBER OF PATIENTS FROM BROOKLYN AND QUEENS. THE SOUTH STREET SEAPORT, THE WORLD TRADE CENTER SITE AND THE STATUE OF LIBERTY ATTRACT 5 MILLION TOURISTS ANNUALLY TO THE HOSPITAL'S SERVICE AREA, SWELLING THE DOWNTOWN POPULATION BY AN AVERAGE OF ALMOST 14,000 PEOPLE A DAY. IN ADDITION, AN INCREASING NUMBER OF PATIENTS FROM SOHO, GREENWICH VILLAGE AND THE LOWER WEST SIDE ARE RELYING ON THE HOSPITAL FOR EMERGENCY, OBSTETRICAL AND SURGICAL SERVICES FOLLOWING THE CLOSING OF ST. VINCENT'S HOSPITAL. PROMOTION OF COMMUNITY HEALTH NEARLY ALL OF THE FOLLOWING COMMUNITY OUTREACH PROGRAMS ARE PROVIDED FREE OF CHARGE AS PART OF THE HOSPITAL'S COMMITMENT TO THE PU X X X X X X true true false false false false false true false Pauline G Hecht MD 182678 0 0 0 3955 0 3718 0 3236 0 193587 0 0 0 Jeffrey Menkes 618249 0 350000 0 6871 0 11287 0 22 0 986429 0 0 0 Warren Licht MD 0 45850 0 350998 0 2315 0 2608 0 401771 0 0 0 Anthony Alfano 313855 0 90000 0 3398 0 12500 0 5445 0 425198 0 0 0 Steven Friedman MD 337246 0 42765 0 20034 0 5000 0 7292 0 412337 0 0 0 Anthony Smith MD 351409 0 174000 0 2056 0 5000 0 8206 0 540671 0 0 0 Laura Forese MD 0 693120 0 524000 0 154948 0 112708 0 13975 0 1498751 0 12567 Wayne M Osten 0 502803 0 306028 0 234881 0 16559 0 23133 0 1083404 0 105521 Gary J Zuar 0 497178 0 307037 0 188980 0 64958 0 30347 0 1088500 0 50671 Gerald Ginsberg MD 19329 0 165778 0 1643 0 3915 0 10671 0 201336 0 0 0 Eli Bryk md 374084 0 100000 0 2451 0 5000 0 12455 0 493990 0 0 0 eric-sin-kam-poon md 146272 0 0 0 1445 0 0 0 8728 0 156445 0 0 0 William Huang MD 144577 0 465831 0 210 0 5164 0 5423 0 621205 0 0 0 Michael Defeo MD 111816 0 495370 0 1860 0 5229 0 8184 0 622459 0 0 0 Geoffrey Webber 310544 0 279905 0 999 0 7778 0 10706 0 609932 0 0 0 Atul Sharma MD 338247 0 264905 0 965 0 7603 0 22 0 611742 0 0 0 Alexander Slotwiner MD 313269 0 264905 0 877 0 7391 0 0 0 586442 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION Schedule J and Part Vii Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of New York Downtown Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2012 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT TO WARREN LICHT, MD FOR THE AMOUNT OF $ 350,000. DR. LICHT IS A FORMER SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER FOR NEW YORK DOWNTOWN HOSPITAL AND THE SEVERANCE PROVISION WAS PER CONTRACTUAL AGREEMENT. Part I, Line 4b: Participated in Supplemental Nonqualified Retirement plan: Gary Zuar : 49,958 Laura Forese : 87,708 Wayne Osten : 1,559 Part I, Line 4b: Supplemental Nonqualified Retirement Plan as reported on the W-2: Gary Zuar : 129,832 Laura Forese : 87,501 Wayne Osten : 172,581 SCHEDULE J, PART I, LINE 7 THE CEO MAKES A RECOMMENDATION ON THE DISCRETIONARY BONUS LEVELS FOR THE HOSPITAL'S SENIOR MANAGEMENT STAFF, ON AN ANNUAL BASIS, WHICH IS THEN REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. THE CEO'S DISCRETIONARY BONUS IS CONTRACTUAL. THE BONUS IS RECOMMENDED BY THE CHAIRMAN OF THE BOARD BASED ON THE CEO MEETING AGREED UPON GOALS AND OBJECTIVES FOR THE CALENDAR YEAR. THE FINAL DECISION IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. ALL OTHER BONUSES ARE CONTRACTUAL. HUMAN RESOURCES, ALONG WITH THE CORPORATE COMPLIANCE DEPARTMENT, ENSURE THAT ALL CONTRACTUAL MONETARY PROVISIONS ARE IN ACCORDANCE WITH FAIR MARKET VALUE. DISCRETIONARY BONUSES ARE DEPENDENT UPON THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND THE OVERALL ACCOMPLISHMENTS OF THE INDIVIDUALS RELATED TO ESTABLISHED GOALS AND OBJECTIVES. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL BONUSES TO BE PAID OUT. A dormitory authority of the state of new york 146000293 6499057p5 2011-03-30 35174385 refund and defease the series 1998 false false false A 0 0 35174385 5823960 0 0 703488 0 0 0 34470897 0 2012 true false true true A 0.00000 0.00000 0.00000 A false true false false false false 0 false 0 false true A true X 7 5700 Selling price 0 false false false Schedule J and Part VII Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of New York Downtown Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2012 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. Other Program Service Revenue FORM 990, PART III, LINE 4D TOTAL FACULTY PRACTICE REVENUE $13,825,548 - PROVIDE EMERGENT AND OFFICE MEDICAL SERVICES TO APPROXIMATELY 50,000 PATIENTS PER YEAR IN LOWER MANHATTAN. PROMOTE THE AVAILABILITY OF HIGH QUALITY PROFESSIONAL MEDICAL SERVICES FOR THE PATIENTS OF NEW YORK DOWNTOWN HOSPITAL, A TEACHING HOSPITAL. PROVIDE MEDICAL CARE TO ALL SICK AND INJURED WHO MAY COME TO THE FACILITY FOR DIAGNOSIS, TREATMENT AND CARE WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR THE ABILITY TO PAY FOR SERVICES AND PARTICULARLY TO PROVIDE SUCH MEDICAL CARE TO ALL PERSONS; ALSO EMERGENCY SERVICES $3,254,765 & ALL OTHER REVENUE $493,614. Significant Changes to The Governing Documents Part VI, Section A, Line 4 NYDH's Bylaws were amended and restated to provide that, effective September 6, 2012, NYDH is a membership corporation consisting of five members who are appointed by NewYork-Presbyterian Healthcare System, Inc. Members Part VI, Section A, Line 6 & 7a The New York Downtown Hospital (the "Organization") is a membership corporation, whose members are appointed by New York-Presbyterian Healthcare System, Inc. ("System Inc"). System, Inc. is a tax-exempt organization whose members are appointed by New York- Presbyterian Foundation, Inc., which is also a tax-exempt organization. The members of the Organization elect the Organization's board of trustees. DESCRIPTION OF THE PROCESS TO REVIEW FORM 990 FORM 990, PART VI, LINE 11 THE REVIEW PROCESS FOR THIS ENTITY HAS CHANGED DUE TO THE MERGER OF NEW YORK DOWNTOWN HOSPITAL AND NEW YORK PRESBYTERIAN HOSPITAL ON JULY 1, 2013. THE BOARD AS SHOWN ON PART VII RESIGNED ON THAT DATE AND IS NO LONGER AVAILABLE TO REVIEW THE 990. THE RETURN WILL BE REVIEWED BY NEW YORK PRESBYTERIAN HOSPITAL'S SENIOR MANAGEMENT, AUDIT COMMITTEE CHAIRMAN, AND GOVERNING BODY. FINANCE COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990 ACCESSING VARIOUS RESOURCES INCLUDING LEGAL, HUMAN RESOURCES, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. SENIOR FINANCE EXECUTIVES COMPLETE A REVIEW OF THE RETURN IN CONJUNCTION WITH ERNST & YOUNG U.S. LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE CHAIRMAN OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD of the new york presbyterian hospital. 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 NEW YORK PRESBYTERIAN HOSPITAL'S GOVERNING BODY AT THE BOARD OF TRUSTEE MEETING PRECEDING THE FILING. THE new york downtown hospital FILES THE 990 UPON FINAL APPROVAL. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C ON AN ANNUAL BASIS, ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AND THE RESPONSES ARE REVIEWED AND ANALYZED IN THE CONTEXT OF A CONFLICT OF INTEREST POLICY THAT IS CONSISTENT WITH IRS GUIDANCE BY NEW YORK DOWNTOWN HOSPITAL'S CHIEF COMPLIANCE OFFICER. IF A CONFLICT OR POTENTIAL CONFLICT IS IDENTIFIED, FURTHER FACTUAL INQUIRY IS MADE, INCLUDING AN INTERVIEW. ALL OF THE INFORMATION COLLECTED IS THEN PRESENTED TO THE EXECUTIVE COMPLIANCE COMMITTEE AND/OR THE AUDIT AND COMPLIANCE COMMITTEE REGARDING THE ACTION REQUIRED TO BE TAKEN. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED EMPLOYEE WILL BE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON OR INFLUENCING THE VOTE ON ANY MATTERS MADE RELATIVE TO THE IDENTIFIED CONFLICT. Compensation Discription FORM 990, PART VI, LINES 15A & 15B NEW YORK DOWNTOWN HOSPITAL USED THE FOLLOWING SOURCES TO EVALUATE APPROPRIATE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT/EXECUTIVE EMPLOYEES: CONTACTING OTHER HUMAN RESOURCE DEPARTMENTS FROM OTHER HOSPITALS COMPARING COMPENSATION AND BENEFITS FOR COMPARABLE POSITIONS, PUBLISHED DATA SOURCES SUCH AS American healthcare human resource association's SURVEY AND THE GUIDESTAR NONPROFIT COMPENSATION REPORT, AND CONTRACTING AN OUTSIDE CONSULTING FIRM SUCH AS LAWRENCE ASSOCIATES AND CAMMACK LARHETTE CONSULTING TO COMPLETE THE MARKET SURVEY. THE MARKET DATA IS REVIEWED ALONG WITH THE EXISTING INTERNAL COMPENSATION TO SIMILAR SITUATED EMPLOYEES TO DETERMINE THE EXECUTIVE COMPENSATION FOR A PARTICULAR POSITION. THE PEOPLE TO GET EXECUTIVE COMPENSATION REVIEWS ARE SVPS, CEO AND ALL EMPLOYED PHYSICIANS. THE REVIEW HAPPENS ON INITIAL EMPLOYMENT AND THEN UPON RENEWAL OF ANY EMPLOYMENT AGREEMENT. AVAIL OF GOV DOCS,CONFLICT OF INTEREST POLICY,&FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AND ALL VENDORS UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN ACCRUED PENSION & POSTRETIREMENT BENEFITS TO BE RECOGNIZED IN FUTURE PERIODS: $(411,257) FORGIVENESS OF DEBT: $(10,865,664) TOTAL: $(11,276,921) Convenient Hospital Parking LLC 170 Williams Street New York NY 10038 461464728 parking NY 0 11100000 NY downtown Medical Horizons LLC 170 Willams Street New York NY 10038 461647421 medical space NY 0 12900000 ny downtown Beekman Staff Residence 170 William Street New York NY 10038 132773085 Support NYDH NY 501 (C) (3) 11 Type I NY Downtown true NYDH Management Services Corp Inc 170 William Street New York NY 10038 133672912 Support NYDH NY 501 (C) (3) 11 Type I NY Downtown true New York Downtown Medical Associates Inc 170 William Street New York NY 10038 133672980 Support NYDH NY 501 (C) (3) 11 Type I NY Downtown true New York Downtown Hospital CCP 170 William Street New York NY 10038 113614596 Fund Support NY 501 (c) (3) 11 Type I NY Downtown true The Elizabeth Blackwell Foundation Inc 170 William Street New York NY 10038 133344692 Hlth Info Svs NY 501 (C) (3) 7 NY Downtown true NY Presbyterian Healthcare Systems INC 525 East 68th St Box 156 New York NY 10065 133792361 Sponsor NY 501 (C) (3) 11 Type III NYP FND true The New York and Presbyterian Hospital 525 East 68th St Box 156 New York NY 10065 133957095 Healthcare NY 501 (C) (3) 3 NYP FND true New York Hospital Medical CTR of Queens 56-45 Main Street Flushing NY 11355 111839362 Healthcare NY 501 (C) (3) 3 NYP SYS INC true The New York Methodist Hospital 506 Sixth St Brooklyn NY 11215 111631796 Healthcare NY 501 (C) (3) 3 NYP SYS INC true The New York Gracie Square Hospital INC 420 East 76th St New York NY 10021 133746997 Psychiatric NY 501 (C) (3) 3 NYP SYS INC true The Brooklyn Hospital Center 121 Dekalb Avenue Brooklyn NY 11201 111630755 Healthcare NY 501 (C) (3) 3 NYP SYS INC true New York Community Hospital of Brooklyn 525 East 68th Street Box 156 New York NY 10065 111986351 Healthcare NY 501 (C) (3) 3 NYP SYS INC true The Rogosin Institute Inc 505 E 70th St New York NY 10021 133184198 Healthcare NY 501 (C) (3) 4 NYP SYS INC true New York Westchester Square Medical CTR 2475 St Raymond Avenue Bronx NY 10461 311730177 Healthcare NY 501 (C) (3) 3 NYP SYS INC true Hospital For Special Surgery 535 East 70th St New York NY 10021 131624135 Healthcare NY 501 (C) (3) 3 NYP FDN true The Silvercrest CTR for Nursing & Rehab 144-45 87th Avenue Jamaica NY 11453 112925535 Nursing Facil NY 501 (C) (3) 9 NYP SYS Inc true Preferred Health Network Inc 525 East 68th Street Box 156 New York NY 10065 112964432 Inactive NY 501 (C) (3) 11 TYPE I NYP SYS INC true NY Presbyterian Community Health Plan 525 East 68th Street Box 156 New York NY 10065 133849659 Inactive NY 501 (C) (4) N/A NYP SYS INC true The Nyack Hospital 160 N Midland Avenue Nyack NY 10960 131740119 Healthcare NY 501 (C) (3) 3 NYP SYS INC true NY Presbyterian Foundation Inc 525 East 68th St Box 156 New York NY 10065 134153668 Support 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