2012-03-23T14:22:42-05:00 2010-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 111633486 Winthrop University Hospital Association WINT 5166632311 259 First Street Mineola NY 11501 Palmira M Cataliotti 2012-03-22 3176817000 2010 2016-02-24 21:20:13Z X PALMIRA M CATALIOTTI 259 FIRST STREET MINEOLA NY 11501 816329960 false X www.winthrop.org X 1896 NY PROMOTION OF HEALTH 41 38 7028 779 2196171 4294882 2303038 696727455 732101149 -16978376 3023214 8684866 20064842 692728827 757492243 0 0 0 0 383891060 406514331 0 0 153070 302065611 330917786 685956671 737432117 6772156 20060126 579981591 627373307 452810043 485771029 127171548 141602278 PROMOTION OF HEALTH false false 627235071 733432707 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). 627235071 true true false true false false false false true true false false false true true false true false false false false false false true false true false 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 323 0 true 7028 true true true false false false false true true false false false false X 41 38 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 Charles M Strain 5.0 X 0 0 0 Charles Ruoff 4.0 X 0 0 0 Daniel L Murphy 3.0 X 0 0 0 Edward Travaglianti 2.0 X 0 0 0 Eric Krasnoff 3.0 X 0 0 0 George Pappas 3.0 X 0 0 0 Harriette Peper Thayer 3.0 X 0 0 0 Harry Kassel 1.0 X 0 0 0 Henry R Pupke 3.0 X 0 0 0 James F Campbell 3.0 X 0 0 0 James F McCann 3.0 X 0 0 0 James J Daly 3.0 X 0 0 0 James P Riley 1.0 X 0 0 0 Jeanne Pidot 3.0 X 0 0 0 Joan Cox 3.0 X 0 0 0 John D Miller 3.0 X 0 0 0 John F Aloia 60.0 X X 674827 0 65153 John F Collins 60.0 X X 1046460 0 403566 John H Treiber 5.0 X 0 0 0 John T Lane 10.0 X 0 0 0 Joseph L Mancino 3.0 X 0 0 0 Kevin Curran 4.0 X 0 0 0 Mary Ellen Gilgan 3.0 X 0 0 0 Maureen E Clancy 2.0 X 0 0 0 Nancy Nammack 3.0 X 0 0 0 Patrick K Long 3.0 X 0 0 0 Paul Harnick 60.0 X 202866 0 4894 Peter C Breitstone 1.0 X 0 0 0 Richard A Newhouse Jr 3.0 X 0 0 0 Ronald H McGlynn 3.0 X 0 0 0 Shepard T Poole 3.0 X 0 0 0 Soraya Gage 1.0 X 0 0 0 Steven Rushmore 3.0 X 0 0 0 Theodora Hooton 3.0 X 0 0 0 Veronica Renken 3.0 X 0 0 0 Yvonne M Mowatt 3.0 X 0 0 0 Mark S Davis 3.0 X 0 0 0 Kenneth Kaushansky 1.0 X 0 0 0 Nicholas J Rosato 3.0 X 0 0 0 SALVATORE FERRO 3.0 X 0 0 0 WILLIAM J PORTER JR 3.0 X 0 0 0 RICHARD N FINE MD - JUNE 2010 1.0 X 0 0 0 Palmira M Cataliotti 60.0 X 489405 0 33394 Garry Schwall 60.0 X 474925 0 44927 George Rainer 60.0 X 362084 0 109857 Maureen Gaffney 60.0 X 273450 0 22154 John A Goncalves 60.0 X 844597 0 31255 Kevin Marzo 60.0 X 824207 0 39104 Ronald Lewis MD 60.0 X 753451 0 9531 Scott L Schubach MD 60.0 X 1046637 0 44547 Jonathon Haas MD 60.0 X 1147822 0 19323 Daniel P Walsh 0.0 X 841465 0 18498 8982196 0 846203 719 true true false Furey Kerley Walsh Matera Cinquem 2174 Jackson Avenue SEAFORD NY 11783 Legal Services 463334 Farrell Fritz PC 1320 Rexcorp Plaza UNIONDALE NY 11556 Legal Services 510177 Bower Monte and Greene PC 261 Madison Ave NEW YORK NY 10016 Legal Services 868434 Garfunkle Wild Travis 111 Great Neck Road GREAT NECK NY 11021 Legal Services 787540 HEIDELL PITTONI MURPHY BACH 99 PARK AVENUE NEW YORK NY 10016 Legal Services 494391 18 1720679 582359 165139 2303038 PATIENT SERVICE REVENUE 621990 730895166 730895166 PHARMACEUTICAL RESEARCH 900099 960473 960473 RESEARCH 900099 245510 245510 732101149 2648119 2648119 38 38 0 1004641 1802383 -797742 -797742 -797742 56712014 -41560 56295397 416617 -41560 375057 375057 498286 1720679 739937 -241651 -241651 0 0 MATERNAL CHILD CLASSES 900099 86525 86525 PURCH VOLUME DISCOUNTS 900099 3246883 3246883 OUTSIDE LAB & DIALYSIS REVENUE 621500 2196171 2196171 15574656 2451016 13123640 21104235 757492243 733432707 2196171 19560327 0 0 0 0 4334407 3655223 679184 0 325367132 274272462 50963082 131588 19864637 16751929 3112708 29906960 25220661 4686299 27041195 22803950 4237245 0 1744003 1744003 342000 342000 78126 78126 0 0 16759008 12816930 3942078 2757243 73950 2676267 7026 152210738 146297485 5913253 5001559 4959514 42045 0 21028967 12488144 8540823 1383126 1228226 154610 290 0 0 4618739 4525432 93307 0 33299499 28081603 5217896 13225305 13225305 BAD DEBT 19952271 19952271 SUBSIDY OF PC & NETWORKS LOSS 22434325 22434325 CONTRACTED SERVICES 5920831 1794988 4118146 7697 MAINTENANCE CONTRACTS 11722353 5166241 6556112 SPF GROSS UP 1834229 1834229 16605464 9652203 6946792 6469 737432117 627235071 110043976 153070 26936280 7923146 82479977 65888804 2691235 2212289 80561163 85742096 11453513 10958973 6743617 7066659 655814563 370304410 253856064 285510153 94377444 131508145 20882298 30563042 579981591 627373307 211747677 238934748 83230811 81124930 20000000 19583333 137831555 146128018 452810043 485771029 X 109392058 127940194 11042409 6774985 6737081 6887099 127171548 141602278 579981591 627373307 X 20060126 -5629396 X true true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 78126 78126 false Pt 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. 17779490 1674658 778179 6570243 13662084 15805170 6116898 974991 5117569 17779490 20032542 6864650 -2723737 8368285 15805170 0.50410 0.49590 false false 1074001 1074001 296901742 124365013 172536729 30839069 5260604 25578465 296199445 237671592 58527853 30800306 3007201 27793105 285510153 0 ACCRUED PENSION 96280406 CAPITAL LEASES 13752749 LONG TERM PORTION OF AMTS DUE 23269761 TELP PAYABLE 12825102 146128018 PT 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. Part X LINE 2 Management annually reviews its tax positions and has determined that there is no material uncertain tax positions that require recognition in the consolidated financial statements. Annual Gala 821635 644385 177250 253918 Golf Outing 553995 439145 114850 4396 1850 146635 13 841619 635433 206186 535 51699 279513 2217249 1718963 498286 4931 53549 680066 738546 -240260 true true true X true X 500. true true true false true true 10332489 4307957 6024532 0.00840 61129409 46487734 14641675 0.02040 71461898 50795691 20666207 0.02880 18 2031 708861 106128 602733 0.00080 3 230 16879303 14098016 2781287 0.00390 74165216 70278424 3886792 0.00540 1643256 1643256 0.00230 1 1500 38050 38050 0.00010 22 3761 93434686 84482568 8952118 0.01250 22 3761 164896584 135278259 29618325 0.04130 1 14560 20952 20952 1 14560 20952 20952 true 5981418 549384 129452838 151453492 -22000654 X true true 1 1 WINTHROP-UNIVERSITY HOSPITAL

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X X X X X WINTHROP-UNIVERSITY HOSPITAL 1 11 WINTHROP-UNIVERSITY HOSP DIALYSIS CTR

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RENAL DIALYSIS CTR GLENGARIFF HEALTH CARE CENTER

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RENAL DIALYSIS CTR WINTHROP DIALYSIS CENTER AT SUNHARBOR

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IMAGING SERVICES WINTHROP CARDIAC REHAB CLINICPAT CLINIC

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PRIMARY CARE CLINIC WOMENS'S WELLNESS OBGYN

1 FULTON AVE HEMPSTEAD NY 11550

OB/GYN SERVICES Part I, Line 3c Winthrop-University Hospital uses FPG to determine eligibility for free and discounted care Part I, Line 6a Please see Form 990, Part III, Line 4a, Schedule O. Part 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 The bad debt expense is $19,952,271 Part II Winthrop-University Hospital provides Community Support through the Meals on Wheels Program. Part III, Line 4 Bad Debts are expensed at the charge level and have been adjusted to a cost level using the RCC calculated as per instructions in IRS Form 990 Part I. 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. Part V, Section B: 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. 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. process. 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 6.8% of the State of New York's total population. Nassau is comprised of, 69% of white persons (not Hispanic), 12.4% persons of Hispanic or Latino origin, 11.3% Black persons, and 6.8% Asian persons. 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 screening and 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. 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. State filing of community benefit report: New York. X X X X X X true true false false false false false true false Daniel P Walsh 0 0 0 0 841465 0 0 0 18498 0 859963 0 0 0 George Rainer 240391 0 95000 0 26693 0 89218 0 20639 0 471941 0 0 0 John A Goncalves 812054 0 0 0 32543 0 12088 0 19167 0 875852 0 0 0 John F Aloia 650809 0 0 0 24018 0 42998 0 22155 0 739980 0 0 0 John F Collins 671883 0 350000 0 24577 0 381411 0 22155 0 1450026 0 0 0 Kevin Marzo 798487 0 0 0 25720 0 19937 0 19167 0 863311 0 0 0 Palmira M Cataliotti 341011 0 125000 0 23394 0 12264 0 21130 0 522799 0 0 0 Paul Harnick 186791 0 0 0 16075 0 0 0 4894 0 207760 0 0 0 Ronald Lewis MD 738194 0 0 0 15257 0 1653 0 7878 0 762982 0 0 0 Scott L Schubach MD 1004881 0 0 0 41756 0 25380 0 19167 0 1091184 0 0 0 Garry Schwall 341522 0 96000 0 37403 0 23766 0 21161 0 519852 0 0 0 Maureen Gaffney 245337 0 10000 0 18113 0 19519 0 2635 0 295604 0 0 0 Jonathon Haas MD 1130948 0 0 0 16874 0 0 0 19323 0 1167145 0 0 0 PT I LINE 4A DANIEL P. WALSH, FORMER CEO RECEIVED COMPENSATION RELATIVE TO A SEVERENCE AGREEMENT FOR THE PERIOD BEGINNING JULY 1, 2009 AND ENDING JUNE 30, 2011. PT I LINE 4B THE ORGANIZATION ALSO MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR OTHER SENIOR AND LONG-TERM EXECUTIVES OF THE ORGANIZATION, INCLUDING MR. RAINER AND MR. COLLINS. THIS PLAN SEEKS TO PROVIDE A REPLACEMENT INCOME AT RETIREMENT EQUAL TO 60% OF THE EMPLOYEE'S BASE SALARY, WHEN CONSIDERING ALL ORGANIZATION-SPONSORED RETIREMENT INCOME SOURCES, AFTER 20 YEARS OF SERVICE. THE BENEFITS UNDER THIS PLAN ARE FORFEITABLE IN THE EVENT OF VOLUNTARY TERMINATION BEFORE RETIREMENT AGE. THE ORGANIZATION'S OUTSIDE COMPENSATION CONSULTANT HAS OPINED THAT THIS PLAN IS WITHIN MARKET NORMS. Pt I Line 7 INCENTIVE COMPENSATION FOR ALL VICE PRESIDENTS AND THE CEO WAS PAID IN 2010 AT THE DISCRETION OF THE BOARD OF DIRECTORS AND IS BASED ON A NUMBER OF FACTORS, AMONG THEM BEING ACHIEVEMENTS OF BOTH CORPORATE AND INDIVIDUAL GOALS. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000923 64983EUJ5 2003-05-01 43150281 SEE SCHEDULE O FOR DISCLOSURES false false true 0 0 44383701 3106737 2414783 0 1554239 0 0 39391115 0 0 2010 false false true true false false false false true 0.00000 0.03500 0.03500 true false false false false false false SEE SCHEDULE O FOR DISCLOSURES KATHERINE M WALLACE-HARNICK SEE PART V 37094 EMPLOYMENT false TRACY B LONG SEE PART V 16656 EMPLOYMENT false HEATHER RUOFF SEE PART V 43949 EMPLOYMENT false SCHEDULE L, PART IV, COLUMN B BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES NAME OF INTERESTED PERSON: KATHERINE M. WALLACE-HARNICK IS A FAMILY MEMBER OF PAUL HARNICK. NAME OF INTERESTED PERSON: TRACY B. LONG IS A FAMILY MEMBER OF PATRICK K. LONG. NAME OF INTERESTED PERSON: HEATHER RUOFF IS A FAMILY MEMBER OF CHARLES RUOFF. X 8 165139 fair market value false true false PT 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. PT 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. PT VI-A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL The governing body can approve and monitor the corporations operating and capital expenditure plan on an annual basis provided, however, that 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. PT VI-B, LINE 11B FORM 990 REVIEWED BEFORE FILING The Form 990 is reviewed by an appropriate committee of the board, a voting member (Secretary) of the organization's governing body, an officer (CFO) of the corporation, outside legal council 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. PT 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. PT 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, each of whom 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. PT VI-C, 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. Schedule K, Part I A PURPOSE: IN 2003, THE WINTHROP SOUTH NASSAU UNIVERSITY HEALTH SYSTEM OBLIGATED GROUP, SERIES 2003 REVENUE BONDS WERE ISSUED THROUGH THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK (DASNY) TO RAISE FUNDS FOR CAPITAL ADDITIONS AND IMPROVEMENTS. THE OBLIGATED GROUP CONSIST OF SOUTH NASSAU COMMUNITIES HOSPITAL AND THE HOSPITAL. SCH K, PT II, LINE 3 THE PROCEEDS OF ISSUE CONSIST OF THE ISSUE PRICE OF $43,150,281 AND TOTAL INVESTMENT INCOME AMOUNTING TO $1,233,420. SCH K, PT II, LINE 7 THE $1,554,239 OF ISSUANCE COSTS CONSIST OF AN UNDERWRITER'S DISCOUNT OF $432,694; HOSPITAL COUNSEL FEES OF $160,000; NY STATE DEPT OF HEALTH CON FEES OF $366,987; NY STATE BOND INSURANCE FEE OF $304,851; BOND COUNSEL FEES OF $125,000; RATING AGENCY FEES OF $52,750; DASNY FINANCING FEE OF $50,000; TITLE INSURANCE OF $83,000; AND OTHER FEES INCLUDING ACCOUNTING, PRINTING AND TRUSTEE FEES. PART XI LINE 5 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES UNREALIZED GAINS ON INVESTMENTS $ 12,948,130 EQUITY TRANSFER TO WINTHROP UNI. SYSTEM CORP (3,000,000) TERM FUNDS UNREALIZED GAIN ON INVESTMENTS 670,502 CHANGE IN PENSION LIABILITY (12,283,640) NET ASSETS RELEASED FROM RESTRICTION (3,964,388) ----------- TOTAL $ (5,629,396) =========== Pt III, Line 4a 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. Our charge, shaped by a commitment to the integrity, comfort and health of the individual, is to improve the health and well-being of the residents of Nassau County and contiguous county areasalways with a commitment to "Your Health Means Everything." Partnerships for Injury/Illness Prevention Throughout 2010 and 2011, Winthrop-University Hospital was very involved in strengthening and expanding community partnerships to assist in the planning, development and execution of the Tobacco Cessation and Falls Prevention Programs, respectively. To develop our Community Service Plan, the Hospital collaborated with the following agencies and institutions: 1. The Nassau County Department of Health 2. Nassau County Hospitals (e.g., Long Beach Memorial Hospital, Mercy Medical Center, New Island Hospital, North Shore-Long Island Jewish Health System, Saint Francis Hospital and South Nassau Communities Hospital) 3. The Winthrop-University Hospital Cultural Competency Community Advisory Council (CCCAC), which includes the following: -Afro-American Health Education and Development (AHEAD) Foundation -American Health Education Center (AHEC) Summer Program -Casa Mary Johanna and St. Brigid's Church -Circulo de la Hispanidad, Inc -Cornell University Cooperative Extension Nassau County -The Economic Opportunity Commission -Girl Scouts of Nassau County -Hempstead Hispanic Civic Association -Hispanic Brotherhood of Rockville Centre -Hispanic Counseling Center -Island Harvest -Long Island Minority AIDS Coalition (LIMAC) -Long Beach Racial and Ethnic Approaches to Community Health (REACH) -Make-A-Wish -Nassau BOCES TeenAge Parenting Program (TAP) -Nassau County Coordinating Agency for Spanish Americans (CASA) -Nassau County Department of Social Services -Nassau County Perinatal Services Network -Noticias 4. Other Community-Based Organizations Action Long Island Long Island Geriatric Educational Consortium (LIGEC) Tobacco Cessation The Winthrop-University Hospital Tobacco Cessation Program's goal is to reduce the consumption of tobacco by Nassau County residents. The following ongoing activities support achieving this goal: 1. Collaborating with community-based organizations and employers, who aggressively market and enroll participants into the program 2. Aggressively promoting the program at all relevant Hospital-sponsored educational and screening programs 3. Targeting hospitalized patients for Tobacco Cessation Program enrollment education follow-up upon discharge 4. Implementing periodic follow-up and outreach interventions with Program participants 5. Tracking and evaluating program outcomes in order to ascertain Program effectiveness Tobacco Cessation Efforts In an effort to launch the expanded adult Tobacco Cessation Program in a meaningful fashion, Winthrop hired a registered nurse to serve as a health educator devoted to the prevention agenda items. During the past year, the Hospital developed an aggressive approach to promoting the Tobacco Cessation Program through collaborative efforts with its community partners. It also developed a focused effort to encourage cessation on behalf of its employees. Fall Prevention The Winthrop-University Hospital Falls Prevention Program's goal is to reduce the incidence of falls resulting in injury in Nassau County's senior population. The following ongoing activities support achieving this goal: 1. Raising community awareness of the serious impact of falls 2. Conducting screenings for, and risk assessments of, falls 3. Educating primary and secondary target populations along with other interested persons regarding fall prevention (The primary target is seniors. The secondary target is caregivers and healthcare professionals.) 4. Implementing periodic follow-up and outreach interventions with Program participants 5. Tracking and evaluating Program outcomes in order to ascertain their effectiveness Falls Prevention Efforts Winthrop has been successful in developing and promoting the program, enrolling participants and monitoring outcomes of its Falls Prevention Program for the elderly. Two of the Program attendees contacted by phone reported sustaining a fall that resulted in injury or treatment. A detailed discussion of impact and outcomes is available in "Program Evaluation" (See Section V). Pt III, Line 4a (Part 2) community service plan Public Education Outlets & Programs 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 programs follows: Winthrop Wellness Pavilion Since 2008, the Winthrop Wellness Pavilion continues to offer written material, free lectures, health screenings and physical fitness programs to members of the community. Topics presented are based on the health condition and health information needs of the community. Community Education Lecture Series In a long standing tradition, Winthrop-University Hospital continues to offer "free" Community Wellness Programs on campus as well at the Mineola Community Center. These programs address topics of interest to the community as well as any updates on current health issues. Heart Health Education The Heart & Vascular Institute at Winthrop is one of the region's most comprehensive resources for cardiac medicine and surgery. The Institute conducts a variety of community-based research projects ranging from our internal community and employee wellness to health disparities in the underserved community-at-large as well as free community-based heart health programs, including the following: 1. Annual Women's Heart-Health Symposium-Division of Cardiology addresses cardiovascular disease risk in women 2. Inspiring Women-Dance for Your Heart-A family event targeting Women and heart health presented in a fun atmosphere 3. Heart-Healthy Cooking Demonstrations-Heart-healthy cooking demonstrations for House Staff, Community, Young Explorers 4. AHA-Employee Walking Program-coordinate indoor & outdoor employee walking paths with serial lunch & learns addressing heart-health 5. WomenHeart-Lecture series addressing cardiovascular disease risk, treatments and lifestyle modifications 6. BETTERU- a new community program, begun in June, 2011, was developed in conjunction with the AHA and Healthtrax to initiate lifestyle changes to promote improved cardiovascular health. A 12 week, fitness intensive with additional education on nutrition, motivation, and overall well-being Diabetes Education Center The oldest program of its kind on Long Island, the Center provides those living with diabetes on a daily basis the up-to-date knowledge, skills and tools people with diabetes need to manage this chronic condition successfully and avoid the many associated complications. The Diabetes Education Center offers individual consultation and a comprehensive diabetes self-management program recognized by the American Diabetes Association. Special nutrition programs including cooking and meal planning classes, as well as a "Dining Out with Diabetes" program, are also offered. Additional services are available for pregnant women with gestational diabetes based on the latest information regarding diabetes management. Other Ongoing Community Programs Support Groups Throughout the year, Winthrop-University Hospital coordinates many free support groups that meet periodically, are open to the public and cover a wide range of healthcare topics. Support groups focus on a variety of specific conditions/issues including: bariatric surgery, breast feeding, cancer, cardiac arrest, caregiver, diabetes, dialysis, geriatric, pain management, perinatal bereavement, pulmonary problems, smoking cessation, stroke and trigeminal neuralgia. Winthrop also hosts support groups conducted by Alcoholics Anonymous, American Liver Foundation, Grey Sheet Anonymous, Long Island Celiac Sprue Association and Overeaters Anonymous. 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. Blood Drives Each year, Winthrop hosts multiple blood drives to support the Long Island Blood Services. In 2010, employees and community members donated 1,247 pints of blood. 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. In 2010, the Community Training Center provided, free of charge CPR programs at the Hospital Employee Health Fair, Hance Family Foundation, Acompora Foundation and the Prader Willi Parent Support Group. Improving Access to Healthcare Services & Caring for the Medically Underserved 1. Winthrop partners with community-based organizations, such as the Economic Opportunity Commission, Hispanic Brotherhood of Rockville Center, Circulo de la Hispanidad, Girl Scouts of Nassau County, Hempstead Hispanic Civic Association, Hispanic Counseling Center, Health and Welfare Council of Nassau County, Inc., LI Minority AIDS Coalition, Long Beach Reach, Nassau B.O.C.E.S., Nassau County Coordinating Agency for Spanish Americans (C.A.S.A.) and the Cultural Competency Community Advisory Council, Brooklyn-Queens Long Island/Area Health Education Center. 2. When community residents call the 1-866-WINTHROP number directly, they are assisted by a patient navigator, and directly linked to clinical departments as well as given information about community physicians and services as needed. Consultations are available for a wide range of concerns, including prenatal health, diabetes, heart care and obesity. 3. Programs are developed at various local community centers based on needs discussed by the Cultural Competency Community Advisory Council and by evaluation of the current trends. These are led by the Hospital's senior leadership and may include representatives from various community organizations. Pt III, Line 4a (part 3) 4. Responding to community organizations requests, the Winthrop Mobile Wellness Van dispatches a team of healthcare professionals to provide educational information and screenings at various locations throughout the community. 5. Winthrop continues to demonstrate its commitment to improving access to care in medically underserved communities through the Winthrop Women's Wellness Ob/Gyn Center in Hempstead. The Center, which opened in April 2010, is designed to provide dedicated, comprehensive prenatal services to all women in need. Care is provided by a dedicated team of Winthrop health care providers who are bilingual in English and Spanish, and the Cyracom phone system is used for translation of any other languages. A wide variety of obstetrical and gynecological services are available, as well as on site risk assessment, psychosocial counseling, post partum depression, 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. We participate with NYS Medicaid and many Medicaid Managed Care HMO plans. The Center is Nassau County's pilot program for The Baby Basics Program and participates with the Department of Health in an IRBT study to evaluate the outcome of this program. 6. The Center continues to meet the needs of the community. During the last six months of 2010, over 400 "new" patients were seen, and there were an additional 1,500 follow-up visits. Over the first six-months of 2011, more than 500 "new" patients were seen with over 2,500 follow-visits. The Center averages 700 visits per month with approximately 50 new OB patients a month. Financial services were provided to over 240 patients in 2011. 7. Year round, the Department of Pediatrics collaborates with community-based childcare centers in underserved areas to ensure that all children receive medical care. For example, Winthrop pediatricians from the Hempstead pediatric primary care office visit local childcare centers and meet with the administration and staff. Together, they discuss current healthcare issues and how best to improve outcomes. 8. The Department of Pediatrics provides ambulatory services at various Long Island locations: Mineola, Hempstead, Commack and Bethpage. The Hempstead Pediatric Practice has grown 20% annually due to its accessibility and fine reputation among the community's residents. The Hempstead Practice draws patients (most are 5 years old and younger) primarily from Hempstead, with the remainder from areas that have been designated as medically underserved (e.g., Uniondale and Roosevelt). Staffed by two pediatricians, the Practice also serves as a teaching setting for the Hospital's Pediatric Residency Program. 9. The Hempstead High Health Center (HHHC) is a school-based Health Center, which has been providing services for enrolled students since 1997. The program has significantly increased its staff to accommodate growth in enrollment. In 2009-2010, there were over 5,000 visits to the Center by approximately 1,600 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. The affected population is able to be compliant with Latent Tuberculosis Treatment Regimen. These individuals might otherwise be lost to follow-up due to lack of insurance and the inability to access the medical health system. Since implementing the program in 2004, the incidence has decreased due to changes in the public healthcare system which has provided students access to healthcare. However, the clinic still serves as a fail-safe for students who test positive. Arrangements are made for those students 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. The program was established by the HHHC in 2003 to ensure compliance with medical regimens and provide students with asthma treatment. 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 accessibility to free medications to those students without health coverage. Financial Assistance Program Winthrop-University Hospital's policy is to inform every patient of available "financial assistance," defined as free or reduced-cost healthcare services provided to qualifying indigent patients. At Winthrop, this covers both emergent and non-emergent services. While the Hospital's primary catchment areas include Nassau, Suffolk and Queens Counties, financial assistance is available beyond that region to all New York State residents. The Hospital monitored the needs of the community and increased the eligibility for financial assistance beyond the New York State requirement of 300% of the federal poverty level to 500% of the poverty level. A catastrophic provision has also been instituted, with a limit on payment to the equivalent to three months' worth of income for qualified non-insured patients. A specific initiative involves under-insured and uninsured patients receiving CyberKnife treatments, limiting their out-of-pocket expenses to the lesser of 22% of uncovered charges, 3 months of household income, or $5,000. To ensure prompt notification of its Financial Assistance Program on all patient statements, notification is provided at registration areas throughout the Hospital in English and Spanish and on billing statements. A bilingual hotline with trained staff assists patients in completing financial assistance applications. The Hospital's website has been updated to include a summary of the Winthrop Charity Care and financial assistance programs. All collection agencies have been instructed to return accounts to the Hospital, should patients request consideration for financial aid. There are no plans to curtail Winthrop's current Community Benefits program. Winthrop firmly believes that this program is part of the Hospital's Mission to provide excellent healthcare and education programs to community residents. Heading Item B. Amended Return Subsequent review the 2010 Schedule H data indicated a need for the organization to amend the form 990 to more accurately reflect calculations that are in accordance with the form instructions. Schedule H, Part I, Column (c), Lines 7a, 7b, 7d, 7g, 7j, 7k; Column (d), Lines 7b, 7d, 7k; Columnd (e), Lines 7a, 7b, 7d, 7g, 7j, 7k and Columnn (f), 7b, 7d, 7g, 7j and 7k were impacted by the change. 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