2011-11-14T07:21:33-08:00 2010-12-31 CHARLES A BARRAGATO & CO CPAS 950 Third Avenue New York NY 100222705 990 2010-01-01 111631796 THE NEW YORK METHODIST HOSPITAL NEWY 2122975962 506 SIXTH STREET BROOKLYN NY 11215 Edward A Zaidberg 2011-11-14 Angelo Pirozzi CPA 2123714446 2010 2016-03-07 17:11:31Z MARK J MUNDY 506 SIXTH STREET BROOKLYN NY 11215 570086831 false false X www.nym.org X 1881 NY To provide excellent healthcare services without regard to age, sex, race, creed, national origin or disability; To serve as an educational and research center for physicians, nurses and healthcare professionals; To provide health education to community residents. 22 17 4288 852 1666057 -120795 4673348 5610499 481093114 521017894 9113119 9007833 21637281 30965156 516516862 566601382 0 0 267969735 286912244 0 0 243875088 247753795 511844823 534666039 4672039 31935343 470044582 521839196 344530213 350682121 125514369 171157075 To provide excellent healthcare services without regard to age, sex, race, creed, national origin or disability; To serve as an educational and research center for physicians, nurses and healthcare professionals; To provide health education to community residents. For more information, please visit www.nym.org. false false 434718654 543476784 The mission of New York Methodist Hospital, a member of the New York-Presbyterian Healthcare System, is to provide excellent health care services in a compassionate and humane manner to the people who live and work in Brooklyn and its surrounding areas. The Hospital is a non-sectarian, voluntary institution with 651 beds, which includes an acute care general facility and an extensive array of ambulatory and outpatient sites and services. During 2010, 194,132 patient days of care were provided; 32,883 patients were discharged with an average length of stay of 5.6 days, excluding new borns. There were a total of 94,090 outpatient visits to our outpatient sites, and 87,661 visits to our Emergency Room.In serving its community, the Hospital works to achieve these primary objectives:The services are accessible to patients and physicians without regard to age, sex, race, creed, national origin or disability.The commitment to community service is evidenced by our uncompensated services provided to the poor in the broader community. Our services provided to the poor include persons who can not afford health care because of inadequate financial resources and/or who are uninsured or under-insured. These persons are eligible for charity care and financial aid under the Hospital's financial aid policy. For the year ended December 31, 2010, uncompensated care amounted to approximately $31.1 million.Provide patients with an environment that assures the continuous enhancement of patient safety;Assess periodically the healthcare needs of the community and to respond to these needs with healthcare services, including health education for patients and community residents.Our needs assessment is derived through an assortment of reports from professional agencies as well as outreach to and involvement in major community organizations, including the State and City Department of Health, the Human Services Committee of Community Board Six, the Park Slope Civic Council, the Brooklyn Chamber of Commerce, the Park Slope Chamber of Commerce, the Park Slope Volunteer Ambulance Corps, the American Red Cross/Brooklyn Chapter, the South Brooklyn Lion's Club, the Brooklyn Community Heart Health Council, Gilda's Club NYC, Leeza's Place, the Park Slope Geriatric Day Center, the YMCA of Greater New York, Prospect Park Branch, the Greater Southern Brooklyn Healthcare Coalition, the American Heart/Stroke Association, the Lupus Foundation and the New York City Department of Education.The Hospital has formed a Community Council, made up of community residents who are near-neighbors and/or represent various community organizations. The group meets quarterly to discuss neighborhood recommendations and concerns with regard to health care in general, and the Hospital in particular. Community residents are informed of the availability of the community service plan via web site notice, or obtain a copy of the community report by calling the Hospital's administrative office at (718)780-3301 or the public relations office at (718)780-5367.Serve as an educational and research center for the training and continuing education of physicians, nurses and healthcare professionals committed to the Brooklyn community.Provide an active ecumenical program of pastoral care and to conduct a clinical pastoral education program.Offer an environment that is responsive to new and changing technologies and management principles that will stimulate creative solutions for our patients, physicians, and employees.Work with members of the New York-Presbyterian Healthcare System and other healthcare institutions, physicians and community groups in jointly pursuing the delivery of quality healthcare services, medical education and clinical research.New York Methodist Hospital has an historic relationship with the United Methodist Church. 434718654 true true false true false false false false false true true false false true true false false true false false true false false false true false true false false false true true false false false false false false false false false false false false false false true true true true false false true 430 0 true 4288 true true true true CJ false false false false false true true false 0 false false false false false false false false false false false X 22 17 false false false false true true false true true false false false false true true true true true true true true true NY X JOSEPH A BIUNNO 2122975962 506 SIXTH STREET BROOKLYN NY 112153609 WAYNE OSTEN 1.00 X 0 868860 204328 SUHAIL RAOOF 37.50 X 389105 112161 12378 STEVEN CORWIN MD 1.00 X 0 3392098 54782 STANLEY SHERBELL MD 37.50 X 551234 0 101318 ROBERT SEMINARA MD 37.50 X 182094 0 19130 ROBERT O SIMPSON 1.00 X 0 0 0 ROBERT H RODGERS JR 1.00 X 0 0 0 RICHARD S PARKER 1.00 X 0 0 0 REBECCA FLOOD 37.50 X 317595 0 40762 PRAMOD NARULA 37.50 X 379671 65969 41673 PETER V MASTROROCCO OD 1.00 X 0 0 0 MATTHEW J VETRI 1.00 X 0 0 0 MARTIN ZONENSHAYN 37.50 X 378237 475695 28209 MARK J MUNDY 37.50 X 999919 0 172160 LESLIE JACOBSON PHD 1.00 X 0 0 0 LAWRENCE MCGAUGHEY 1.00 X 0 0 0 LAUREN YEDVAB 37.50 X 446501 0 40357 KATHLEEN BURKE 1.00 X 0 343159 43901 KATHERINE ECONOMOS 0.00 X 376870 203537 32007 JOHN E CARRINGTON 3.00 X 0 0 0 JOAN DEPRIZIO 1.00 X 0 0 0 JEREMIAH PARK 1.00 X 0 0 0 JAMES W PERKINS 1.00 X 0 0 0 J KEVIN MCKAY 1.00 X 0 0 0 HARVEY DOSIK 37.50 X 428072 328990 35255 GARY ZUAR 1.00 X 0 981375 126101 FRED HUGUE 1.00 X 0 0 0 ERROL HANKIN 37.50 X 405017 0 85111 EDWARD A ZAIDBERG 37.50 X 547403 0 92842 CHARLES K O'NEILL 1.00 X 0 0 0 BARBARA CAPOZZI 1.00 X 0 0 0 ANTHONY SCHLESINGER 1.00 X 0 0 0 ANTHONY SALEH MD 1.00 X 0 0 0 5401718 6771844 1130314 456 false true false WEILL CORNELL MEDICAL COLLEGE 525 EAST 68TH STREET NEW YORK NY 10002 CARDIOTHORACIC SURG 3263163 METRO SPORTMED 263 SEVENTH AVENUE SUITE 2A BROOKLYN NY 11215 PHYSICIAL THERAPY 3862372 MEDICAL STAFFING NETWORK PO BOX 840416 DALLAS TX 752540416 NURSING STAFFING 2705518 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 MEDICAL SYSTEM MAINT 4181852 BROOKLYN RADIOLOGY SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 TEACHING & ADM FEES 3461000 65 521293 8700 1473014 3607492 5610499 RENT- RESIDENT HOUSING 531110 683438 683438 RENT- OFFSITE CLINICS 531120 4452724 4452724 PATIENT CARE 621990 515881732 515881732 521017894 2584704 18895 2565809 203689 203689 0 1383222 757001 626221 626221 626221 8659678 2440238 6219440 6219440 6219440 165100 521293 288210 -123110 -123110 0 0 MED RESIDENT TAX REFUNDS 621990 4293720 4293720 INCOME FROM AFFILIATED PC 621990 8159852 8159852 FACULTY PRACTICE RECEIPTS 621990 12537494 12537494 5470979 1761544 1647162 2062273 30462045 566601382 543476784 1666057 15848042 0 0 0 0 4001443 201225 3800218 0 218807964 193567562 25240402 14622453 12726386 1896067 33388922 27515246 5873676 16091462 14160571 1930891 12413517 12413517 518972 518972 518449 518449 0 0 106061 106061 44370150 28010427 16359723 312236 312236 90848521 81058268 9790253 4193429 3483752 709677 0 13710696 11932855 1777841 585547 509620 75927 0 225592 196340 29252 2812531 2305705 506826 7230076 7230076 22461556 14991185 7470371 34863071 34038889 824182 Provision for Bad Debts 8601450 8601450 Printing and Publications 1067607 886930 180677 Postage and Shipping 640666 532243 108423 Membership/Dues 619751 619751 Education/Licence/Taxes 1653917 1653917 0 534666039 434718654 99947385 0 11060 11060 38845198 48127488 0 47920804 53696104 0 0 209000 0 7775510 8537057 3613276 2432496 552034210 374825523 188773973 177208687 73508483 79831335 15386186 16398804 0 0 94001092 135596165 470044582 521839196 87774198 85143489 8140 120478 46077272 45982473 7976085 7347807 202694518 212087874 344530213 350682121 X 116811311 146245288 2115821 18324550 6587237 6587237 125514369 171157075 470044582 521839196 X 31935343 13707363 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 155940 155940 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description The New York Methodist Hospital pays dues to the Greater New York Hospital Association (GNYHA), the Healthcare Association of New York State (HANYS), and the American Hospital Association (AHA). In accordance with code section 6033(E) of the Internal Revenue code, and as reported by GNYHA, HANYS and AHA, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2010 GNYHA, HANYS and AHA annual dues was $18,468, $26,722 and $14,231 respectively. In connection with collective bargaining negotiations between NY Methodist Hospital and 1199/CEIU, certain employer contribution amounts that go to the Labor Management Initiative (formerly called the Planning and Placement Fund) and the Job Security Fund are allocated to Healthcare Education Project(HEP)for its programs, services, and activities. A portion of such funds that HEP receives is used for lobbying purposes in connection with New York State and Federal policy issues. The NY Methodist Hospital's pro-rated share of HEP lobbying expenses for 2010 is $96,519. 19628180 1000000 2795570 713899 22709851 17079474 3156157 607451 19628180 25584196 -7550351 954371 17079474 1.00000 false false false 449500 2816373 3265873 6665270 117342895 65260507 58747658 231042681 151114644 79928037 174460579 145541818 28918761 3750 19253162 12908554 6348358 177208687 Guaranteed investment contract 3761193 C Cash & Cash Equivalents 3785156 F INVESTMENT HELD BY CAPTIVE INSURANCE CO 75505308 DUE FROM PARK SLOPE PCS 47844420 DEPOSITS ON EQUIPMENT 191010 DEFERRED FINANCING COSTS 650090 ACCRUED INTEREST & OTHER RECEIVABLES 9826542 135596165 RESERVE FOR OPEN RATE YEAR SETTLEMENTS 63926577 PROFESSIONAL INSURANCE LIABILITIES 139595357 Due to related organizations 1389178 DEFERRED COMPENSATION HELD FOR OTHERS 6330269 ASSET RETIREMENT OBLIGATION 846493 212087874 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Change in Minimum Pension Liability $8422534 INTER-CO FUND TRANSFER $800000 BPIF K-1 TEMPORARY DIFFERENCE $281732 RECONCILED AMOUNT FOR LAB OUTREACH $993202 RECONCILED AMOUNT FOR PARTNERSHIP INVESTMENTS $ -212968 CCC SELF INSURANCE TRUST, NET LOSS $ -38606 CCC GCP TRUST NET LOSS $ -35108 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The New York Methodist Hospital follows the requirement of the Uniform Management of Institutional Funds Act of 1972 ("UMIFA") as they relate to its permanently restricted endowment contributions. Permanently restricted endowment net assets have been restricted by the donor to be maintained in perpetuity. Central Amer/Caribbean 0 0 Investments Captive Insur. Co. 75505308 75505308 75505308 X true false true true false false Additional Supplemental Information Part I, line 3, column F (accounting method) - The hospital is a partial owner of captive foreign insurance companies. The hospital's investments in the foreign insurance companies are reported at fair market value. false DINNER & DANCE 448188 351988 96200 9233 43416 95731 14707 46058 GOLF & TENNIS TOURNAMENT 238205 169305 68900 5600 20932 7861 1140 39520 4012 686393 521293 165100 5600 30165 51277 96871 54227 50070 288210 -123110 true true true X 400.000000000 true X true true true false true true 4846631 4737325 109306 0.00020 107684399 83831962 23852437 0.04460 112531030 88569287 23961743 0.04480 52441170 37190370 15250800 0.02850 52441170 37190370 15250800 0.02850 164972200 125759657 39212543 0.07330 7925 7925 58702 58702 0.00010 66627 66627 0.00010 true 6833822 154843886 115100811 39743075 X true true ML ASSOCIATES LLC EQUIPMENT LEASING 0.50000 1 0 NEW YORK METHODIST HOSPITAL

506 SIXTH STREET BROOKLYN NY 11215

X X X X NEW YORK METHODIST HOSPITAL 1 false false false false false false false false false true false false Part VI - Additional Information Part III, Line 8 - Describe the costing methodology or source used to determine the amount reported on line 6.The amounts on Section B, lines 5 & 6 are directly obtained from The New York Methodist Hospital's Institutional Cost Report, which was filed with "Centers for Medicare & Medicaid Services." Part V - Explanation of Number of Facility Type ONE CHEMOTHERAPY INFUSION CENTER,ONE WOUND CARE & HYPERBARIC CHAMBER CENTER,SIX FAMILY HEALTH CENTERS,SEVEN OUTPATIENT PHYSICIAN CLINIC LOCATIONS. Part VI - Needs Assessment Pursuant to New York State Public Health Law Section 2803-L, The New York Methodist Hospital ("NYMH") is required to file a comprehensive community service plan ("CSP") with The New York State Department of Health ("DOH") every 3 years. A copy of NYMH's CSP can be found on the hospital's website at www.nym.org under the "Community Outreach" tab. The comprehensive data and information contained in this CSP will exhaustively address Part VI of this Schedule H, and its contents are incorporated herein by reference. Specifically, the NYMH CSP will address the Part VI (2) Needs Assessment; Part VI (3) Patient education of eligibility for assistance; Part VI (4) Community information; Part VI (5) Community building activities and Part VI (6) to (8), as applicable. The text of New York State Public Health Law Section 2803-L is as follows:Community service plans. (1) The governing body of a voluntary non-profit general hospital must issue an organizational mission statement identifying at a minimum the populations and communities served by the hospital and the hospital's commitment to meeting the health care needs of the community. (2) The governing body must at least every three years: (i) review and amend as necessary the hospital mission statement; (ii) solicit the views of the communities served by the hospital on such issues as the hospital's performance and service priorities; (iii) demonstrate the hospital's operational and financial commitment to meeting community health care needs, to provide charity care services and to improve access to health care services by the underserved; and (iv) prepare and make available to the public a statement showing on a combined basis a summary of the financial resources of the hospital and related corporations and the allocation of available resources to hospital purposes including the provision of free or reduced charge services. (3) The governing body must at least annually prepare and make available to the public an implementation report regarding the hospital's performance in meeting the health care needs of the community, providing charity care services, and improving access to health care services by the underserved. (4) The governing body shall file with the commissioner its mission statement, its annual implementation report, and at least every three years a report detailing amendments to the statement and reflecting changes in the hospital's operational and financial commitment to meeting the health care needs of the community, providing charity care services, and improving access to health care services by the underserved.The above-referenced CSP requirement was enhanced by the DOH's Prevention Agenda initiative. This initiative is a process that asks hospitals such as NYMH to work with local health departments and community partners to assess community health needs, jointly develop plans to address two or three of the identified needs and include this collaborative work in the NYMH's CSP update submitted to DOH. Information on the New York State DOH Prevention Agenda can be found at www.health.state.ny.us/prevention/prevention_agenda. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The New York Methodist Hospital employs a sophisticated process to pre-determine if a patient is a charity care case. This process, called presumptive eligibility, utilizes sophisticated technology, including credit scoring, to immediately determine whether a person qualifies as a charity care case, thereby eliminating such person from entering the patient billing / bad debt / collection practice cycle. Part III, Line 4 - Bad Debt Expense A/F/S Footnote - Organization and Significant Accounting Policies - Receivables for Patient Care:Patient accounts receivable for which the Hospital receives payment under cost reimbursement or prospective payment formulae or negotiated rates, which cover the majority of patient services, are stated at the estimated net amount receivable from such payors, which are generally less than the established billing rates of the Hospital. The amount of the allowance for uncollectibles is based on management's assessment of historical and expected collections, business economic conditions, trends in health care coverage, and other collection indicators. Additions to the allowance for uncollectibles result from the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance for uncollectibles.A/F/S Footnote - Net Patient Service Revenue - Uncompensated Care and Community Benefit Costs:For patients who were determined by the Hospital to have the ability to pay but did not, the uncollected amounts are bad debt expense. Bad debt expense at cost is $6,833,821. Bad debt expense per the audited financial statement is $18,201,539, comprised of $8,601,450 from The New York Methodist Hospital and $9,600,089 from the tax-exempt professional corporations affiliated with it. As captive tax-exempt professional corporations, The New York Methodist Hospital funds these bad debt expenses. Please reference Schedule R, Part II, for a listing of these exempt professional corporations. Part I, Line 7 - Explanation of Costing Methodology The New York Methodist Hospital's costing methodology was based upon the 2010 New York State Institutional Cost Report and the 2010 Medicare (Form 2552) Cost Report. These cost reports are filed with the New York State Department of Health and the applicable CMS intermediary, respectively. The cost-to-charge ratio derived from The New York State Institutional Cost Report was used for the various sub-line items of line #7. X true true X X X X X false false false false false false false false false false WAYNE OSTEN 503089 303335 62436 182513 21815 1073188 SUHAIL RAOOF 388835 112161 270 11803 575 401483 112161 STEVEN CORWIN MD 1096573 1112187 1183338 19600 35182 3446880 265311 STANLEY SHERBELL MD 496205 55029 17377 83941 652552 ROBERT SEMINARA MD 178386 3708 15267 3863 201224 REBECCA FLOOD 295391 22204 16786 23976 358357 PRAMOD NARULA 356897 65969 22774 21695 19978 421344 65969 MARTIN ZONENSHAYN 378075 475695 162 10859 17350 406446 475695 MARK J MUNDY 941428 58491 43386 128774 1172079 LAUREN YEDVAB 408130 38371 20054 20303 486858 KATHLEEN BURKE 284516 53384 5259 24500 19401 387060 KATHERINE ECONOMOS 376600 203537 270 14621 17386 408877 203537 HARVEY DOSIK 424364 328990 3708 21948 13307 463327 328990 GARY ZUAR 497535 333310 150530 96497 29604 1107476 34341 ERROL HANKIN 354653 50364 36642 48469 490128 EDWARD A ZAIDBERG 501019 46384 54251 38591 640245 Sch J, Part III, Additional Information Part III, Additional Information 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 and Presbyterian Hospital and other related organizations in the aggregate. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. In 2010, one of the vice presidents of The New York Methodist Hospital received an apartment as a housing allowance. The taxable value of $11,460 was reported on his Form W-2.Part III - ADDITIONAL INFORMATIONCertain officers and key employees of the New York and Presbyterian Hospital that are identified in Part VII as officers or trustees of The New York Methodist Hospital are responsible for executing the mission and management of The New York and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2010 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 retirement plan (SERP) is subject to a multi-year vesting requirement 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 employee 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. In 2010, the plan was redesigned in anticipation of changes in deferred compensation rules in the not-for-profit environment and to make the value of the benefit easier to understand for participants. The redesigned plan maintains the target level of SERP benefits and modifies the vesting schedules to commence after five years of participation in the SERP, in prorated amounts through age 65. Consequently, for 2010, for certain individuals, there was a one time as well as an ongoing increase in the amount reflected in the SERP compensation due to the change in the vesting and amortization periods. As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. Dormitory Authority of the state of new york 146000293 64983TND1 2004-04-21 47012462 Construct Infill building, new ER, purchaseMedical Equipment false false false 47012462 3761193 13135704 940249 29175316 1095268 2006 false true true true false false false false true true false false false false false false SCHEDULE H PART V, SECTIONS A & B PURSUANT TO IRS ANNOUNCEMENT 2011-37 DATED JUNE 9, 2011, SCHEDULE H PART V SECTION B WAS MADE OPTIONAL FOR 2010. ACCORDINGLY NEW YORK METHODIST HOSPITAL HAS ELECTED NOT TO COMPLETE THIS SECTION. HOWEVER, DUE TO LACERTE SOFTWARE DESIGN LIMITATIONS THE PROGRAM ERRONEOUSLY COMPLETED SECTION B AND COULD NOT BE OVERRIDDEN. ACCORDINGLY SECTION B SHOULD BE DISREGARDED AS NEW YORK METHODIST HOSPITAL HAS ELECTED NOT TO COMPLETE THIS SECTION. Form 990, Part VII (continued) 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 and Presbyterian Hospital and other related organizations in the aggregate. Form 990, Part VII Certain officers and key employees of the New York and Presbyterian Hospital that are identified in Part VII as officers or trustees of The New York Methodist Hospital are responsible for executing the mission and management of The New York and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2010 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 retirement plan (SERP) is subject to a multi-year vesting requirement 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 employee 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. In 2010, the plan was redesigned in anticipation of changes in deferred compensation rules in the not-for-profit environment and to make the value of the benefit easier to understand for participants. The redesigned plan maintains the target level of SERP benefits and modifies the vesting schedules to commence after five years of participation in the SERP, in prorated amounts through age 65. Consequently, for 2010, for certain individuals, there was a one time as well as an ongoing increase in the amount reflected in the SERP compensation due to the change in the vesting and amortization periods. As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. Form 990, Part V, Line 4a Canada, Ireland, and Cayman Islands Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Other key executives' (vice presidents) compensation is subject to the same process as the CEO. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts New York Methodist Hospital monitors conflict of interest through an annual questionnaire to all members of the Board of Directors, Executives and all Key employees. The questionnaires are reviewed annually by the Chief Financial Officer, the Compliance Officer and the Chairman of the Audit and Compliance Committee of the Board of Directors.If there is an actual or perceived conflict of interest, the matter is resolved by either the Board of Directors or the Human Resources Division, depending on the level of the conflict as determined by the directives of the board committee.Restrictions are imposed on persons with a conflict including prohibiting them from participating in the governing body's deliberation and decisions in the transactions. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Prior to being filed, the Form 990 was reviewed by an independent accountant, the CFO, and the Audit Committee of the Board of Trustees. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The New York Methodist 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. 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