2019-11-13T17:51:02-06:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 111631796 NEWYORK-PRESBYTERIANBROOKLYN METHODIST % MICHAEL FAGAN NEWY 2122975962 506 Sixth Street Brooklyn NY 112153609 MICHAEL FAGAN CFO 2123052494 2019-11-13 NICOLE M SOKOLOWSKI P01683199 2127733000 108.206.163.59 26308520193175000065 2019-11-13 P 1CB9C4665EA6D98C4B5065B465CEB0E7DA2A143A 770194AAF055F9EA87E64CA02E08FE540289067F 2018 2020-03-31 21:24:44Z MICHAEL FAGAN 506 Sixth Street Brooklyn NY 112153609 937154075 false X www.nym.org X 1881 NY 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. 11 9 5411 995 4107716 3826404 14173638 10197925 853338464 875379860 22769928 31749281 28919448 18914651 919201478 936241717 71850 103650 0 0 480635862 484731584 0 0 366674 330848413 337532610 811556125 822367844 107645353 113873873 1683537079 1738819600 842142169 837976918 841394910 900842682 X 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. false false 726746600 103650 873356284 The mission of NewYork-Presbyterian/Brooklyn 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 2018, 199,238 patient days of care were provided; 39,204 patients were discharged with an average length of stay of 5.4 days, excluding newborns. There were a total of 95,002 outpatient visits to our outpatient sites, and 106,234 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 cannot 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, 2018, uncompensated care amounted to approximately $42.6 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 public questionnaires, and 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, NYC Department of Health and Mental Hygiene, Heights and Hills Services for Brooklyns Older Adults, Good Neighbors of Park Slope, our local faith based organizations, Community Board 6, and Brooklyn Public Library. The Hospital meets quarterly with its community partners discuss free health programs and support services. Community residents are informed of the availability of the community service plan via our web site, or can obtain a copy of the community report by calling the Hospital's administrative office at (718)780-3301 or the Community Affairs 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. NewYork-Presbyterian/Brooklyn Methodist Hospital has a historic relationship with the United Methodist Church. 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. 726746600 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 true true false true true false false false false false false false false true false false false false false false true true true false false true X 573 0 true 5411 true true true true CA EI false false false true true false false false false false false X 11 9 false false false false true true true true true false false true true true true true true false true true true NY X MICHAEL FAGAN 2122975403 466 LEXINGTON AVENUE NEW YORK NY 10017 X James Perkins Chairman 3.0 0.0 X 0 0 0 Sharon Greenberger Vice Chairman 1.0 0.0 X 0 0 0 John E Carrington Director 1.0 0.0 X 0 0 0 Robert Rodgers Jr Director 1.0 0.0 X 0 0 0 Lawrence McGaughey Director 1.0 0.0 X 0 0 0 Kevin J Mckay Director 1.0 0.0 X 0 0 0 Charles K O'Neill Director 1.0 0.0 X 0 0 0 Anthony Schlesinger Director 1.0 0.0 X 0 0 0 Lark-Marie Anton Menchini Director 1.0 0.0 X 0 0 0 Brian Regan Director 1.0 59.0 X 0 422450 68593 Richard Liebowitz Director/President Thru 09/18 29.0 31.0 X X 0 1014458 40874 Robert Guimento Director/President Eff. 09/18 19.0 41.0 X X 0 901765 54589 Kathleen Burke Secretary 1.0 59.0 X 0 411262 61282 Alan Lee Chief Operating Officer 60.0 0.0 X 251620 0 44544 Laura Gaffney Interim COO Thru 06/18 60.0 0.0 X 410369 0 0 Michael Fagan SVP Finance/CFO 60.0 0.0 X 536388 0 127115 Rebecca Flood SVP Nursing 60.0 0.0 X 443931 0 42450 Steven Silber Vice President Medical Affairs 60.0 0.0 X 632502 0 94777 Jennifer Donovan VP Ambulatory 60.0 0.0 X 159071 0 49570 Richard Ortiz VP Revenue Cycle 60.0 0.0 X 454326 0 103846 Traci S D'Auguste VP clinical Services 60.0 0.0 X 351330 0 57032 Eileen Kang VP Ancillary Services 60.0 0.0 X 317843 0 62743 Donald Pogue Director Human Resources 60.0 0.0 X 235368 0 17191 Helen Kotchoubey Chief of Staff Thru 09/18 60.0 0.0 X 484140 0 12659 Lisa A Mainieri VP Support Services 60.0 0.0 X 258914 0 30901 Ernesto Perez-Mir VP Nursing Adm 60.0 0.0 X 238018 0 33463 Terrence J Sacchi Chief Cardiology Dept of Med. 60.0 0.0 X 1930248 0 45896 Hani Ashamalla Chairman Radiation Oncology 60.0 0.0 X 1241728 0 47162 Constantine Gorelick Dir. Roboric Surgery OB/GYN 60.0 0.0 X 1133953 0 33089 Marcus D D'ayala Chief Vascular Surgery 60.0 0.0 X 1094010 0 55395 Natan Haratz Medical Dir. Dept of OBS/GYN 60.0 0.0 X 1089536 0 33972 Mark Mundy Former Officer 0.0 0.0 X 984781 0 23051 Lauren Yedvab Former Officer 0.0 0.0 X 532577 0 0 Colleen McManus Former Key Employee 0.0 0.0 X 183077 0 0 Lyn Hill Former Key Employee 0.0 0.0 X 269247 0 8363 Dennis Buchanan Former Key Employee 0.0 0.0 X 286500 0 12180 13519477 2749935 1160737 1468 true true false CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 MEDICAL SYSTEM MAINT 19211366 lend lease US construction 200 park ave 9th floor NEW YORK NY 10166 construction 84082604 METRO SPORTSMED 263 7TH AVENUE SUITE 2A BROOKLYN NY 11215 PHYSICAL THERAPY 12727388 SPECIALTYCARE MISS SERVICES LLC PO BOX 11407 BIRMINGGHAM AL 35246 STAFFING & MGMT 4650910 fresenius medical care 362 4th Avenue BROOKLYN NY 11215 Kidney care/dialysis 4692299 133 1057280 7439035 619513 1082097 10197925 PATIENT CARE 622110 861887971 861887971 LABORATORY SERVICES 621511 7077773 5054197 2023576 340B DRUGS 622110 3411281 3411281 RENTAL INCOME FROM AFFILIATES 531110 3002835 3002835 875379860 27290765 2084140 25206625 0 0 5682866 104388 5578478 0 5578478 5578478 4909405 40222 491112 4418293 40222 4458516 4458516 248975 1057280 316858 -67883 -67883 0 0 0 0 0 0 REBATES 900099 1600106 1600106 MEDICAL PROFESSIONAL REIMBURSEMENT 900099 3321097 3321097 CAFETERIA INCOME 722514 1301678 1301678 7181175 7181175 13404056 936241717 873356284 4107716 48579792 103650 103650 0 0 0 6216090 6216090 0 357848292 319169651 38510539 168102 29874938 26645855 3215049 14034 60553281 54008277 6516559 28445 30238983 26970551 3254227 14205 1361809 1361809 1757085 1757085 642120 642120 232460 232460 0 409146 409146 72701713 64877777 7823936 48948 43680 5268 40444359 35966845 4352499 125015 1689596 1498494 181829 9273 0 22175567 20854413 1321154 935045 928504 6541 0 218378 217319 1059 189386 178103 11283 0 25600178 24074996 1525182 11830845 11761622 69223 MEDICAL SUPPLIES 140280000 140280000 PERMIT, LICENSE AND TAXES 332495 312686 19809 MEMBERSHIP/DUES/ACCREDITATION 15858523 15858523 UBI TAXES 824957 824957 822367844 726746600 95254570 366674 11450 12032 120207951 91059570 540917 540917 57756725 79096119 0 0 0 0 709545 709545 16631904 16438367 6024510 11629006 632866374 254724165 273876134 378142209 733132163 632386074 48830728 50767987 0 0 0 0 425815052 478037774 1683537079 1738819600 153513147 158266799 0 0 0 0 27808917 26387080 0 0 0 0 0 0 0 0 660820105 653323039 842142169 837976918 X 815856955 877216423 18950718 17038992 6587237 6587267 841394910 900842682 1683537079 1738819600 X 113873873 -36082766 -18343335 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 232460 232460 false false PART II-B, LINE 1I: NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST (NYP/BMH) HOSPITAL PAYS DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS)and 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 2018 GNYHA, HANYS and AHA ANNUAL DUES WAS $108,395, $23,262 and $38,243, RESPECTIVELY. 1199/SEIU: IN CONNECTION WITH COLLECTIVE BARGAINING AGREEMENT BETWEEN NYP/BMH AND 1199/SEIU, CERTAIN EMPLOYER CONTRIBUTION AMOUNTS THAT WOULD BE OTHERWISE PAYABLE TO THE PENSION FUND ARE INSTEAD ALLOCATED TO THE lABOR MANAGEMENT INITIATIVE (LMI). THE LMI ALLOCATES A PORTION OF ITS FUNDS FOR LOBBING PURPOSES IN CONNECTION WITH NEW YORK STATE AND FEDERAL POLICY ISSUES. THE NEW YORK METHODIST HOSPITAL'S PRO-RATED SHARE OF HEP LOBBYING EXPENSES FOR 2018 IS $62,560. 21982936 -851252 1535560 19596124 20141744 3554295 1713103 21982936 20421944 1246295 1526495 20141744 22385584 101836 2065476 20421944 22279757 13089 664675 571937 22385584 0.33620 0.66380 false false 6556373 6556373 270279919 179008220 91271699 237022967 8953916 228069051 119007115 66762029 52245086 0 0 378142209 OTHER ASSETS 8347171 DEPOSITS ON EQUIPMENT 3354411 DUE FROM RELATED PROF. CORPS. 243306511 INVESTS. HELD BY CAPTIVE INS. 214448447 PARTNERSHIP JV INVESTMENT 783044 PROF LIABILITY INS. RECOVERIES 7798190 478037774 0 PROF. INSURANCE LIABILITY 210102091 THIRD PARTY PAYABLE 115718534 DUE TO RELATED ORGANIZATIONS 1375558 DUE TO NEWYORK-PRESBYTERIAN HOSPITAL 324122582 CAPITAL LEASES PAYABLE 2004274 653323039 Schedule D, Part V, Line 4: THE NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL FOLLOWS "NYPMIFA" New York Prudent Management of Institutional Funds Act AS IT RELATES TO ITS PERMANENTLY RESTRICTED ENDOWMENT CONTRIBUTIONS. PERMANENTLY RESTRICTED ENDOWMENT NET ASSETS HAVE BEEN RESTRICTED BY THE DONOR TO BE MAINTAINED IN PERPETUITY. The remaining portion of the donor-restricted endowment fund that is not classified in permanently restricted net assets is classified as temporarily restricted net assets until the amounts are appropriated for expenditure in accordance with a standard of prudence prescribed by NYPMIFA, as applicable. Central America and the Caribbean Investments CAPTIVE INSURANCE CO. 216073481 Europe (Including Iceland and Greenland) Investments ENDOWMENT 1148520 217222001 217222001 true false true false false false PART I - ADDITIONAL SUPPLEMENTAL INFORMATION: PART I, LINE 3 (1), 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. PART I, LINE 3 (2), COLUMN F (ACCOUNTING METHOD) - THE HOSPITAL INVESTS ITS ENDOWMENT FUND IN FOREIGN BANK AND FINANCIAL INSTITUTES. THE HOSPITAL'S INVESTMENTS IN THE FOREIGN ACCOUNTS ARE REPORTED AT FAIR MARKET VALUE. Golf Outing 483790 419515 64275 7332 70688 542 2133 Gala 754540 581640 172900 1545 69782 104737 24550 24118 1 67925 56125 11800 2788 1475 2495 450 4223 1306255 1057280 248975 11665 141945 107774 25000 30474 316858 -67883 true true X true X true X true true true false true true 9027 11009746 481092 10528654 0.01280 121557 204834602 152403503 52431099 0.06380 130584 215844348 152884595 62959753 0.07660 380 20599 864171 864171 0.00110 92018989 28612399 63406590 0.07710 61192 37831435 20591568 17239867 0.02100 380 81791 130714595 49203967 81510628 0.09920 380 212375 346558943 202088562 144470381 0.17580 true 5296425 255385 160110625 142926983 17183642 X true true 1 1 NYPBROOKLYN METHODIST 506 SIXTH STREET BROOKLYN NY 11215 WWW.NYP.ORG/BROOKLYN 7001021H X X X X NYPBROOKLYN METHODIST 1 false false true X X X X X X X X X 16 true false false true X SEE SUPPLEMENTAL INFORMATION X true 16 true SEE SUPPLEMENTAL INFORMATION false true X 100 400. X X X X true true X X X true X See SUPPLEMENTAL INFOrmation X See SUPPLEMENTAL INFOrmation X see SUPPLEMENTAL information X X X X X X true X false X X X X true X false false PART V LINE 5 NewYork-Presbyterian/Brooklyn Methodist Hospital (NYP/BMH) conducted a community needs assessment. Community input that was solicited and taken into account was sought from the public in a number of ways. Several meetings with key informants from local organizations were held, during which there was discussion of the communitys needs. A list of the organizations with whom we worked follows: Senior Umbrella Network of Brooklyn (SUN-B) St. Georges Episcopal Church in Crown Heights, Brooklyn Investors Bank Foundation Heights and Hills Senior Services New York Citys Department of Health and Mental Diabetes Prevention Program Liaison, Primary Care Information Project Environmental Gerontologist, Parsons School of Design United Federation of Teachers Good Neighbors of Park Slope (GNPS) Everyone with Diabetes Counts New York/IPRO/ Improvement Healthcare for the Common Good NYC DOHMH Center for Health Equity, Office of the First Deputy Commissioner Minister of New Creation Community Health Empowerment, Inc. (NCCHE) Brooklyn Public Library (BPL) Brooklyn Childrens Museum A Community Health Needs Survey was created and made available on Survey Monkey called for submission and survey completion to appear on the homepage of NYP/BMHs public website, www.nyp/brooklyn.org, and via social media platforms like Facebook and Twitter. The survey also appeared in the spring/summer 2016 issue of our community health magazine Thrive (circulation 250,000 Brooklyn residents); readers were encouraged to fill it out and mail it back or respond online. Hard copies of the survey were distributed at health fairs and community lectures. Respondents included people of all ages, races and education levels. Over 50 percent of respondents represented minority groups and those who are medically underserved. Line 7a & 10a The CHNA/CSP report is available at: http://www.nyp.org/documents/brooklyn/community-service-plan/2016-communit y-health-needs-assessment.pdf PART V LINE 11 OUR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED THAT SOME OF BROOKLYNITES' MAJOR HEALTH NEEDS ARE IN THE AREAS OF DIABETES, OBESITY, AND PREVENTING FALLS AND INJURIES. THEREFORE, NYP/BMH AIMED TO INCREASE ALREADY EXISTING PROGRAMMING IN THESE AREAS BY PARTNERING WITH LOCAL COALITIONS, CHURCHES, SCHOOLS AND COMMUNITY-BASED ORGANIZATIONS, AS WELL AS BY CREATING NEW PROGRAMMING. AS PART OF OUR STATE-MANDATED COMMUNITY SERVICE PLAN, WE CHOSE TO FOCUS ON PREVENTING CHRONIC DISEASE, WITH A SPECIAL FOCUS ON DIABETES; PREVENTING CHRONIC DISEASE WITH A FOCUS ON CHILDHOOD OBESITY; AND PROMOTING A HEALTHY AND SAFE ENVIRONMENT BY REDUCING FALL RISK AMONGST OUR MOST VULNERABLE POPULATIONS. WE REGULARLY ADDRESS COMMUNITY CONCERNS REGARDING CHRONIC DISEASES BY PROVIDING FREE SCREENINGS AND HEALTH LECTURES BOTH ON AND OFF THE HOSPITALS MAIN CAMPUS. WE ARE ADDRESSING DIABETES PREVENTION AND TREATMENT IN A NUMBER OF WAYS. WE OFFER A FREE MONTHLY DIABETES SUPPORT GROUP THAT IS OPEN TO THE COMMUNITY. IN ADDITION, IN CONJUNCTION WITH IPRO, NYP/BMH NOW HOSTS SIX-SESSION DIABETES MANAGEMENT EDUCATION SEMINARS, OFFERED SEVERAL TIMES A YEAR. CLINICALLY, NYP/BMH ALSO OFFERS A COMPREHENSIVE WEIGHT MANAGEMENT PROGRAM. In 2018, we shifted priorities from Childhood obesity/promoting healthy women infants and children to Increasing access to high-quality chronic disease preventive care and management in clinical and community settings. We had set out to provide exercise classes as an intervention with our original priority area, but space in a high-need neighborhood became hard to secure, so we shifted to a focus area where we could achieve measurable outcomes while still addressing chronic diseases in vulnerable communities. AS A RESULT OF THE FINDINGS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, NYP/BMH HAS ALSO DEVELOPED A FALL PREVENTION PROGRAM, WHICH SEEKS TO GIVE OLDER ADULTS THE CONFIDENCE AND TOOLS THEY NEED TO HELP THEM AGE SAFELY. THE PROGRAM INCLUDES SEMINARS ON HOME SAFETY, HEALTHY LIVING, AND AVOIDING FALLS, GIVEN BY EXPERTS IN TRAUMA AND INJURY PREVENTION, ENVIRONMENTAL GERONTOLOGY, AND PUBLIC HEALTH. THESE SEMINARS ARE OFFERED AT NYP/BMH, AS WELL AS AT VARIOUS SITES THROUGHOUT BROOKLYN. IN ADDITION, TWO STAFF MEMBERS HAVE BEEN TRAINED IN STEPPING ON AND TWO HAVE BEEN TRAINED IN MATTER OF BALANCE. THESE ARE BOTH EVIDENCE-BASED PROGRAMS THAT PROMOTE BALANCE AND BEHAVIORAL CHANGE AMONG SENIORS WHO HAVE AN INCREASED FEAR OF, OR RISK OF FALLING. IN 2017, THE HOSPITAL EXPERIENCED SOME DIFFICULTIES WITH OUR COLLABORATING PARTNER, IN THAT WE WERE NOT ABLE TO USE THEIR DATA TRACKING SOFTWARE AND THEREFORE COULD NOT IMPLEMENT ANY CLASSES IN 2017. THE HOSPITAL HAS NOW DECIDED TO COLLECT THE DATA MANUALLY. One Stepping On class was hosted in the fall of 2018, for which 8 seniors were trained by physical therapists and other health professionals in fall prevention. All participants had better mobility and increased self-confidence. While the course curriculum was well-received, the format was not conducive to being repeated by staff members whose roles are not dedicated to this type of work. We will revisit other evidence-based interventions for fall prevention in 2019, such as Tai Chi for Arthritis or Matter of Balance. NYP/BMH ALSO PROVIDES ALL PARTICIPANTS IN ANY FALL PREVENTION ACTIVITIES WITH A FALL PREVENTION KIT, EQUIPPED WITH A VARIETY OF EFFECTIVE ITEMS (EG., NIGHTLIGHT, GLOWTAPE, NON-SKID SOCKS, ETC.) TO HELP SENIORS SAFEGUARD THEMSELVES WITHIN THEIR HOMES. IN 2017, THE HOSPITAL ADDED PROMOTING HEALTHY WOMEN, INFANTS AND CHILDREN WITH A FOCUS ON MATERNAL AND INFANT HEALTH, AS AN ADDITIONAL PRIORITY TO THEIR EXISTING INTERVENTIONS. NYP/BMH IS ON THE JOURNEY TO BECOMING A BABY-FRIENDLY USA HOSPITAL IN COLLABORATION WITH OTHER BROOKLYN HOSPITALS AND THE DOHMH, WHICH PROMOTES BEST PRACTICES IN INFANT-FEEDING AND CARE. OUR GOAL IS TO INCREASE EXCLUSIVE BREASTFEEDING RATES AT DISCHARGE. THE HOSPITAL IS ALSO SEEKING TO ADDRESS DISPARITIES BY OFFERING ADDITIONAL SUPPORT GROUP CLASSES IN UNDERSERVED NEIGHBORHOODS WHERE BREASTFEEDING RATES ARE STATISTICALLY LOWER. SEVERAL MAJOR STUDIES HAVE INDICATED THAT, ALONG WITH OTHER BENEFITS OF BREASTFEEDING, BABIES WHO ARE BREASTFED FACE A LOWER RISK OF CHILDHOOD OBESITY. In 2018, we have kept a strong following at our weekly Breastfeeding Support Group. We continue to participate in community events centered on breastfeeding and womens health. We have also recruited some former patients as volunteer breastfeeding champions who help with the community education piece at outreach events. We hope to continue to provide education to expectant parents and expand our reach to neighborhoods where we have a large number of newborn discharges. We are also currently looking at ways to operationalize offering an additional support group in a high-need neighborhood. IN ADDITION TO THE SPECIFIC NEED AREAS IDENTIFIED IN THE CHNA, WE CONTINUE TO PROVIDE A GENERAL COMMUNITY OUTREACH PROGRAM WHICH HOSTS ROUGHLY 350 ANNUAL EVENTS, FEATURING HEALTH LECTURES AND SUPPORT GROUPS TARGETING VARIOUS HEALTH CONCERNS, INCLUDING CANCER, HEPATITIS C, STROKE, AND PULMONARY HYPERTENSION. Line 16A, B, C http://www.nyp.org/brooklyn/paying-for-care 3 NYPBMH CARDIO-VASCULAR SERVICES 8721 FIFTH AVENUE BROOKLYN NY 11209 CARDIOLOGY PULMONARY MEDICINE NYPBMH INFUSION SERVICES 343 4TH AVENUE BROOKLYN NY 11215 CHEMO CLINIC NYPBMH REHAB CTRWOMEN&CHILDREN CLINIC 263 7TH AVENUE 2ND 3RD FL BROOKLYN NY 11215 PHYSICAL & OCCUPATIONAL THERAPY CLINIC PEDIATRIC Part I, Line 3c: N/A Part I, Line 6A: N/A Part I, Line 7: The following is a detail of the sources used for determining the amounts reported on schedule H: Line 7a - adjusted ratio of patient care cost to charges Line 7b - Cost accounting system Line 7e - Actual expenses Line 7f - Institutional cost report- worksheet B, part 1 Line 7g - Cost accounting system Part I, Line 7, Column F: Bad debt expense(price concessions) is offset against revenue and not included in expense. Part I, Line 7g: Included in subsidized services is Clinic and Psych. Part III, Line 2: For patients who were determined by the Hospital to have the ability to pay but did not, the uncollectable amounts are bad debt expense (Price Concessions). Part III, Line 3: The amount included represents patients who qualify for charity care/financial assistance and have a bad debt write-off. Bad debt expense (price concessions) associated with patients that received charity care/financial assistance is represented in this $255,385 figure. These patients went through our charity care/financial assistance process and were determined to have financial need. As a result, we provided them with a discount based on our sliding scale charity care policy. If they were unable to pay the reduced balances, they were written off as bad debt (price concessions) and included as a community benefit. Part III, Line 4: Please refer to audited financial statements page 19. Part III, Line 8 THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. TOTAL INPATIENT AND OUTPATIENT COSTS. THESE DO NOT INCLUDE certain medicare program revenue and costs and thus do not reflect all of the organizations revenues and costs with the participation in Medicare programs. The revenue and costs excludes professional health education, subsidized health services, and medicare managed care activity. If all these revenue and costs were included the medicare surplus of $17,183,642 would be a medicare Loss of ($32,710,852) Medicare net surplus per Schedule H 17,183,642 Medicare GME net cost (16,484,027) Medicare net costs of subsidized services (7,921,059) Medicare managed care net costs (25,489,408) Total net costs associated with the Medicare Program (32,710,852) Net is defined as revenue net of costs Part III, Line 9b: POLICY AND PURPOSE: The purpose of the Collection Policy (Policy) is to promote patient access to quality health care while minimizing bad debt at NYP/BMH. This Policy places requirements upon Hospital and those agencies and attorneys undertaking debt collection activities that are consistent with the core mission, values, and principles of Hospital including, but not limited to, Hospitals Charity Care Policy. This policy applies to hospital and any agency, lawyer, or law firm assisting hospital in the collection of an outstanding patient account debt. PROCEDURE: A. General guidelines 1. Hospital, collection agencies (Agency), and lawyers and law firms (Outside Counsel) will comply with all applicable federal and state laws and accrediting agency requirements governing the collection of debts including, but not limited to, the Fair Debt Collection Practices Act (FDCPA), the Fair Credit Billing Act, the Consumer Credit Protection Acts, Public Health Law Section 2807-k-9-a, Internal Revenue Service Code 501(r), Article 52 of the New York Civil Practice Law and Rules, and the Health Insurance Portability and Accountability Act (HIPAA). Hospital, Agency and Outside Counsel will also comply with Hospitals Charity Care Policy. To the extent that there are any inconsistencies between Hospitals Collection Policy and Charity Care Policy, the Charity Care Policy shall supersede and control. 2. Hospital shall enter legally binding written agreements with any parties (including Agency or Outside Counsel) to which it refers an individuals debt related to care that are reasonably designed to prevent Extraordinary Collection Actions (ECAs) from being taken to obtain payment for the care, until reasonable efforts have been made to determine whether the individual is eligible for Charity Care. Part VI, Line 2: Needs Assessment: Based on results from the Community Health Survey, discussions with key informants in the community, and review of New York States Prevention Area Priorities, NYP/BMH has selected the following prevention priorities: 1) Prevent Chronic Disease; focus on diabetes 2) Prevent Chronic Disease; focus on childhood obesity/ (overlaps with) Promote Healthy Women, Infants and Children; focus on maternal and infant health. 3)Promote a Healthy and Safe Environment; reducing fall risk among most vulnerable populations. The Brooklyn community helped to select the interventions via key informant meetings and a Community Health Survey, which appeared on NewYork-Presbyterian/Brooklyn Methodist Hospitals website homepage, www.nym.org. The survey also appeared on NYP/BMHs social media channels and in the spring/summer 2016 edition of NYP/BMHs community health magazine, Thrive, which is mailed to 250,000 households in Brooklyn. In addition to the input sought from the community, the programs and strategies developed by NYP/BMH as part of its Community Service Plan will be targeted to at-risk populations as identified in the Hospitals Community Health Needs Assessment. The interventions and strategies were determined by reviewing results from NYP/BMHs Community Health Survey, along with the input derived from key informant meetings. State, county and zip code level statistical data were also reviewed. Finally, recommendations from the New York State Prevention Agenda Dashboard 2013-2017 were taken into consideration. The goal of the intervention for the Prevent Chronic Disease; focus on diabetes is to increase access to high-quality chronic disease preventive care and management in clinical and community settings by offering diabetes self-management education (DSME) classes for community residents in both English and Spanish, and educating Hospital staff members to become trainers and lead additional DSMEs. NYP/BMH anticipates that those who attend classes will gain confidence and better control in the management of their diabetes. Once our own staff is trained to lead these Stanford-modeled classes, the Hospital will have the capability to offer additional classes and impact even more members of the community who are living with diabetes. The first intervention for the Prevent Chronic Disease; focus on childhood obesity priority, which also falls under the prevention area of Promoting Healthy Women Infants and Children, is to adopt policies and practices designed to implement standards that will support breastfeeding, quality nutrition, increased physical activity and reduced screen time in early child care settings and to increase staff training, community support and reinforcement of these regulations and policies. The Hospital has joined New York Citys Breastfeeding Hospital Collaborative (NYC BHC) Cohort 3. As is the case for hospitals in the current NYCBHC, Cohort 3 will include in-person learning sessions, monthly action period webinars, semi-monthly coaching calls (participation as needed), mock assessments and site visits, access to a repository of free tools and resources to support pursuit of a Baby friendly designation, and more. A second intervention for the Prevent Chronic Disease, focus on childhood obesity priority is to create a program to help incorporate dance/exercise classes and nutrition education into the lives of pre-teens and their parents. Classes will be offered at the Brooklyn Childrens Museum in Crown Heights. NYP/BMH will use strategies derived from New York State Obesity Prevention Center for Excellence. The goal of the intervention for Promote a Healthy and Safe Environment; reducing fall risk among most vulnerable populations priority is to improve the design and maintenance of home environments to promote health and reduce related illness, by creating a Fall Prevention Program and disseminating Fall Prevention Kits, with tools to help seniors safeguard their homes. NYP/BMH will reference the CDCs Guide for EBPs to Prevent Falls. A second intervention is intended to reduce factors that increase the risk of falls, particularly among the elderly and young children by promoting community-based programs for fall prevention. NYP/BMH will reference the CDCs Guide for EBPs to Prevent Falls. The process measures used to track and evaluate the impact of the Prevent Chronic Disease; focus on diabetes priority include information retention quizzes, tracking attendance and attendee goal setting and monitoring achievements during and after each six-week Diabetes Self-Management Education session. The process measures used to track and evaluate the Prevent Chronic Disease; focus on childhood obesity priority include pre and post class surveys, weight and waist measurements recorded throughout the duration of classes, and attendance tracking. Results will be monitored during and after each dance/education series. The process measures used to track and evaluate the Promote a Healthy and Safe Environment; reducing fall risk among most vulnerable populations priority include polling senior citizens on regarding home safety measures in place and giving them kits to safeguard their homes. They will also be offered the opportunity to share stories on how theyve implemented the safety information that has been provided. To attempt a reduction in the number of admissions due to falls, the Hospital will administer surveys administered to treat and release patients who come to the Emergency Room for falls. 2018 Year-2 Update Summary Since the 2016 Community Health Needs Assessment, NewYork-Presbyterian Brooklyn Methodist Hospital (NYP/BMH) has undertaken several key initiatives to improve the health needs of the communities we serve. In 2018, we shifted one of our priorities from Prevent Chronic Disease: focus on childhood obesity/promoting healthy women infants and children to Prevent Chronic Disease: focus on increasing access to high-quality chronic disease preventive care and management in clinical and community settings. We had set out to provide exercise classes as an intervention with our original priority area, but space in a high-need neighborhood became hard to secure, so we shifted to an area where we could achieve measurable outcomes while still addressing chronic diseases in vulnerable communities. Part VI, Line 3: Patient Education of eligibility for assistance Written materials, including the application, full Policy, and plain language summary (Summary), shall be available to patients in NYP/BMH's primary languages, upon request and without charge, from Admitting and Emergency Departments at NYP/BMH during the intake and registration process, at discharge and/or by mail. Additionally, those materials shall be available on NYP/BMH's website (www.nyp.org/brooklyn). Also, notification to patients regarding this Policy shall be made through conspicuous posting of language appropriate information in Emergency Rooms and Admitting Departments of NYP/BMH, and inclusion of information on bills and statements sent to patients explaining that financial aid may be available to qualified patients and how to obtain further information. Part VI, Line 4: Community Information: This assessment and plan covers Kings County, New York, also known as the borough of Brooklyn. Although NYP/BMH is located in Park Slope and is an important healthcare, community service and economic anchor in the Park Slope neighborhood, it serves the entire borough of Brooklyn (Kings County). Brooklyn is the largest of the five boroughs that make up New York City. Indeed, if it were a separate city, Brooklyn would be the fourth largest in the United States. In 2014, Brooklyn had a total population of over 2.6 million people from a wide variety of ethnic and socioeconomic backgrounds. Of the total number of people in Brooklyn in 2014, 926,640 were white, 826,500 were black, 332,160 were Asian, Native American and Pacific Islanders and 526,110 were Latino. (Those reporting as Latino or Hispanic are of Spanish origin but may be of any race.) While the white and black populations have remained relatively stable, increasing only slightly as the Brooklyn population increased, the Latino population has increased by 13 percent (consistent with Brooklyns overall population increase) and the Asian, Native American and Pacific Island population has increased by 184 percent, far exceeding the overall Brooklyn increase. The demography of Brooklyn has changed radically since 1990, which is reflected in the ethnic breakdown of Hospital discharges over the past 25 years. At the turn of the 21st century, we were in a period of the largest influx of immigration to New York City since the early 1900s. According to the 2010 US census data, 37 percent of Brooklyns residents were born outside of the United States and 46 percent of the boroughs residents speak a language other than English in the home. What has made this wave of immigration to New York City especially unique is that the patterns of immigration are extremely diverse; of the various countries represented by Brooklyn residents, except for China (13 percent), no single one accounts for more than 10 percent of all first generation immigrants. New Yorks largest Afro-Caribbean community can be found in the Central Brooklyn neighborhoods of Crown Heights and Flatbush. Southwest Brooklyn (Bensonhurst and Bay Ridge), where Pakistani, Bangladeshi and Southeast Asian immigrants have merged with Russian and Chinese populations, houses the most diverse immigrant community. The number of Brooklyn men and women is fairly equal, at 47 percent and 53 percent respectively. Nearly 30 percent of Brookynites have earned a bachelors degree or higher and 78 percent hold a high school diploma. Twenty-two percent of the Brooklyn population lives below the poverty line. It is well known that the population, in general, is aging and, in Brooklyn, the highest increases in the population are in the baby boomer groups (23 percent among those between the ages of 35 and 54; 61 percent among those between the ages of 55 and 59 and 21 percent among those between the ages of 60 and 74). During the years since 1990, NYP/BMH which has seen an increase in its census of over 100 percent, (from 20,696 to 41,582 patients annually), has also increased its service to patients in every one of Brooklyns communities. In some cases, the increase within neighborhoods is truly remarkable; for example, while the increase in the population of patients from NYP/BMHs surrounding areas of Brooklyn Heights, Downtown Brooklyn and Park Slope, is noticeable, it shows a 431 percent increase in patients from the Bedford Stuyvesant and Crown Heights communities, a 363 percent increase from Flatbush/East Flatbush, a 210 percent increase in patients from Canarsie/Flatlands and an 88 percent increase in patients from Sheepshead Bay/Coney Island. In addition, very large increases are evident (although the total numbers are smaller) in the Greenpoint/Williamsburg and East New York neighborhoods. Part VI, Line 5: Promotion of Community Health: NewYork-Presbyterian/Brooklyn Methodist Hospital will maintain engagement with local partners to track progress and make mid-course corrections. This will be done in the following ways: Prevent Chronic Disease; focus on diabetes. At the end of each six-week diabetes self-management education (DSME) session data will be reviewed and assessed by IPRO and NYP/BMH. This will provide the opportunity to make mid-course corrections before a new DSME session is offered. For each new DSME session, NYP/BMH will utilize NYC DOHMHs Patient Referral Portal to list the classes. With this format, partners will be engaged at each new six 6-week session. 2017 update to Prevent Chronic Disease; focus on diabetes IPRO Everyone with Diabetes Counts-NY provided certified group facilitators. At the end of 2017 46 people completed (one of two) Diabetes Self-Management Education (DSME) class sessions and the majority reported more confidence in managing their diabetes. The organization has encountered a few challenges; the Spanish class did not get enough participants we have not yet been able to train our staff. 2018 update to Prevent Chronic Disease; focus on diabetes In terms of our progress to date with our focus on diabetes, we have successfully hosted two evidence-based Diabetes Self-Management Education (DSME) workshops, with our partners at IPROs Everyone with Diabetes Counts initiative. To date, 46 people have completed the (DSME) class sessions and the majority reported more confidence in managing their diabetes. We encountered some challenges in offering a Spanish-language class; we didnt have enough interest, so we were unable to host the Spanish class. In November of 2018, two hospital staff members received Master-Level training in Chronic Disease Self-Management (CDSM) and Diabetes SelfManagement Education (DSME). These employees will be training approximately 20 NYP hospital staff members in January 2019, as well as offering classes to community members. With the newly trained staff, we anticipate that we will be able to offer DSME classes to many of the vast and diverse populations that NYPs hospitals serve. Prevent Chronic Disease; focus on childhood obesity/Promote Healthy Women Infants & Children; focus on maternal and infant health. Dance & Nutrition Education Classes: For each session of dance classes, data will be reviewed and assessed by NYP/BMH. The data will be shared with the Brooklyn Childrens Museum (BCM), Investors Bank and DanceWave. NYM will also poll BCM and Dancewave to learn whether there are areas for improvement. This will apply to the next session of classes, and the cycle will continue throughout the course of the three-year CSP. 2017 update to Prevent Chronic Disease: focus on childhood obesity/promoting healthy women infants and children. Due to struggles finding partners and locations for classes, we have refocused our attention on a new priority area. Instead of focusing on Childhood Obesity, we will shift to address Hypertension in Adults through a new opportunity to implement the NYP HealthSmarts program at Bed Stuy churches. 2018 Update Prevent Chronic Disease: focus on childhood obesity/promoting healthy women infants and children Considering the many challenges we encountered with this intervention, we changed our focus to increasing access to high-quality chronic disease preventive care and management in clinical and community settings. Prevent Chronic Disease: focus on increasing access to high-quality chronic disease preventive care and management in clinical and community settings. Through a connection made with NYP Columbias evidence-based HeartSmarts program, we were able to recruit two of our partner churches for the training. Members from St. Georges Episcopal Church in Crown Heights and Pleasant Grove Tabernacle, in Bedford Stuyvesant were trained to offer HeartSmarts faith-based curriculum to teach their congregation members how to reduce hypertension and adopt healthier habits. Both churches hosted classes in Q4 of 2018, and both sustained steady class attendance. Pleasant Grove had 35 graduates and St. Georges is on track to graduate 25 participants in Q1 of 2019. Prevent Chronic Disease; focus on childhood obesity/Promote Healthy Women Infants & Children; focus on maternal and infant health. Focus on increased exclusive breastfeeding rates. Baby Friendly Status: The New York City Breastfeeding Hospital Collaborative has its own set of regulations and guidelines for progress tracking and reporting, to which NYP/BMH will adhere. 2017 Update to Prevent Chronic Disease; focus on childhood obesity/Promote Healthy Women Infants & Children; focus on maternal and infant health. Focus on increased exclusive breastfeeding rates. We have entered Dissemination Stage (Stage 3 of 4) of Baby-Friendly USA Journey. Almost 100 MCH staff members completed 15-hour (nursing) or 3-hour (MD) breastfeeding educational training. NYP/BMH has increased EBF rates by over 13% since 2013. We have a new opportunity for our program with Brooklyns Children Museum who has agreed to host an NYP/BMH-run Breastfeeding Support Group in Crown Heights. 2018 Update Promote Healthy Women, Infants and Children: focus on increasing exclusive breastfeeding rates. NYP/BMH has increased exclusive breastfeeding rates, however our rates hover between 37-40%. Our goal is to get our exclusive breastfeeding rates above 39.7% upon discharge. WIC representatives are ready to come educate in clinics and hospital, but our major referring WIC office is a Brooklyn Hospital affiliate, which poses an issue with credentialing in our hospital. Promote a Healthy and Safe Environment; reducing fall risk among most vulnerable populations: Fall Surveys in ER: The surveys will be conducted for every treat and release ER patient over 65 years of age. Survey data will be reviewed and shared with the environmental gerontologist and Emergency Medicine Department on a quarterly basis. Analysis of survey results will help to present if any mid-course corrections should be made. The Fall Prevention Program: Progress will be reviewed and shared with partners on a bi-annual basis, at which time it will be decided whether mid-course corrections should be made. 2017 update to promote a Healthy and Safe Environment; reducing fall risk among the most vulnerable populations. The program has progressed and at the end of 2017: 376 Survey of Adult Falls Evaluation (SAFE) were collected, 100 senior home safety kits were sent out and 4 NYP/BMH staff members trained in EBP for reducing falls. We had some challenges with data collection due to QTAC SUNY Albany (program created for data collection) was unable to process any intake forms in 2017. NYS DOH has offered to collect data in 2018. 2018 Updates Promote a Healthy and Safe Environment; reducing fall risk among the most vulnerable populations. We have been successful in conducting the SAFE (Survey of Adult Falls Evaluation) questionnaire in the Emergency Department. To date, we have collected 967 survey responses and have given out 200 Senior Home Safety kits. One Stepping On class was hosted in the fall of 2018, for which 8 seniors were trained by physical therapists and other health professionals in fall prevention. All participants had better mobility and increased self-confidence. While the course curriculum was well-received, the format was not conducive to being repeated by staff members whose roles are not dedicated to this type of work. We will revisit other evidence-based interventions for fall prevention in 2019, such as Tai Chi for Arthritis. Part VI, Line 6: Affiliated Healthcare System NewYork-Presbyterian/Brooklyn Methodist Hospital is a NewYork-Presbyterian Regional Hospital. NewYork-Presbyterian Hospital assists its regional hospitals identify available resources and coordinate efforts to promote community health in the community the regional hospital services. Part VI, Line 7: New York true Prospect Park Alliance Inc 95 Prospect Park West Brooklyn NY 11215 112843763 501(C)(3) 25000 N/A Support CAMBA Inc 1720 Church Ave Brooklyn NY 11226 112480339 501(C)(3) 13500 N/A Support Chinese American Medical Society 265 Canal St Ste 615 New York NY 10013 133418133 501(C)(3) 10000 N/A Support Atlantic Avenue LDC 494 Atlantic Ave Brooklyn NY 11217 112786225 501(C)(3) 6000 N/A Support PS 107 PTA 1301 8th Avenue Brooklyn NY 11215 202333293 501(C)(3) 5500 N/A Support Brooklyn Chamber of Commerce 335 Adams St Ste 2700 Brooklyn NY 11201 110577070 501(C)(6) 10000 N/A Support 5 1 Schedule I Part I Line 2 PRIOR TO AWARDING ASSISTANCE TO ORGANIZATIONS, AN ASSESSMENT IS MADE ON THE USE OF THE FUNDS. FINAL DETERMINATION IS BASED ON WHETHER FUNDS WILL BE USED TO FURTHER OUR MISSION. true true false false false false false true false Brian Regan Director 0 264929 0 118138 0 39383 0 27833 0 40760 0 491043 0 0 Richard Liebowitz Director/President Thru 09/18 0 532459 0 425000 0 56999 0 25575 0 15299 0 1055332 0 0 Robert Guimento Director/President Eff. 09/18 0 568891 0 268701 0 64173 0 25876 0 28713 0 956354 0 0 Kathleen Burke Secretary 0 302824 0 88438 0 20000 0 38280 0 23002 0 472544 0 0 Alan Lee Chief Operating Officer 207877 0 43000 0 743 0 16856 0 27688 0 296164 0 0 0 Laura Gaffney Interim COO Thru 06/18 410369 0 0 0 0 0 0 0 0 0 410369 0 0 0 Michael Fagan SVP Finance/CFO 436656 0 96523 0 3209 0 90443 0 36672 0 663503 0 0 0 Rebecca Flood SVP Nursing 4205 0 66254 0 373472 0 7600 0 34850 0 486381 0 0 0 Steven Silber Vice President Medical Affairs 495946 0 99871 0 36685 0 61456 0 33321 0 727279 0 0 0 Jennifer Donovan VP Ambulatory 131660 0 12794 0 14617 0 45709 0 3861 0 208641 0 0 0 Richard Ortiz VP Revenue Cycle 298392 0 21078 0 134856 0 70511 0 33335 0 558172 0 0 0 Traci S D'Auguste VP clinical Services 290972 0 47250 0 13108 0 22570 0 34462 0 408362 0 0 0 Eileen Kang VP Ancillary Services 250749 0 48984 0 18110 0 22558 0 40185 0 380586 0 0 0 Donald Pogue Director Human Resources 187632 0 45333 0 2403 0 15502 0 1689 0 252559 0 0 0 Helen Kotchoubey Chief of Staff Thru 09/18 207027 0 105125 0 171988 0 0 0 12659 0 496799 0 0 0 Lisa A Mainieri VP Support Services 243351 0 15000 0 563 0 19743 0 11158 0 289815 0 0 0 Ernesto Perez-Mir VP Nursing Adm 227488 0 10128 0 402 0 18788 0 14675 0 271481 0 0 0 Terrence J Sacchi Chief Cardiology Dept of Med. 427269 0 1476153 0 26826 0 22366 0 23530 0 1976144 0 0 0 Hani Ashamalla Chairman Radiation Oncology 581382 0 656734 0 3612 0 23144 0 24018 0 1288890 0 0 0 Constantine Gorelick Dir. Roboric Surgery OB/GYN 189385 0 934554 0 10014 0 13848 0 19241 0 1167042 0 0 0 Marcus D D'ayala Chief Vascular Surgery 592078 0 500000 0 1932 0 22454 0 32941 0 1149405 0 0 0 Natan Haratz Medical Dir. Dept of OBS/GYN 188343 0 889870 0 11323 0 14610 0 19362 0 1123508 0 0 0 Mark Mundy Former Officer 0 0 0 0 984781 0 0 0 23051 0 1007832 0 0 0 Lauren Yedvab Former Officer 0 0 0 0 532577 0 0 0 0 0 532577 0 0 0 Colleen McManus Former Key Employee 0 0 0 0 183077 0 0 0 0 0 183077 0 0 0 Lyn Hill Former Key Employee 0 0 0 0 269247 0 0 0 8363 0 277610 0 0 0 Dennis Buchanan Former Key Employee 0 0 0 0 286500 0 0 0 12180 0 298680 0 0 0 Additional Information: Part I, Line 3: Compensation decisions for the President was determined by a related organization following that organization's compensation policy. Part I, Line 4A - Severance Pay: Mark Mundy received 983,971 in severance pay. Lauren Yedvab received 532,577 in severance pay. Colleen McManus received 183,077 in severance pay. Lyn Hill received 270,692 in severance pay. Dennis Buchanan received 286,500 in severance pay. Rebecca Flood received 370,008 in severance pay effective 12/31/2018. Richard Ortiz received 30,038 in severance pay effective 12/31/2018. Helen Kotchoubey received 131,539 in severance pay effective 08/11/2018. Part I, Line 4B: Supplemental nonqualified retirement Plan: NewYork-Presbyterian/Brooklyn Methodist supplements their 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 three 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. If the participant performs continuous, uninterrupted substantial service for the hospital through each applicable vesting date, the balance then credited to the participants account and in which the participant shall become vested on such vesting date shall be paid to the participant in a single sum within sixty (60) days following the vesting date. Part I, Line 4B: Participated in Supplemental nonqualified retirement Plan: Michael Fagan 48,208 Steven Silber 35,364 Richard Ortiz 43,069 Part I, Line 4B: Supplemental Nonqualified retirement plan as reported on W2: Steven Silber 31,456 Richard Ortiz 37,226 PART I, LINE 7 - NON-FIXED PAYMENTS: SEE SCHEDULE O, Line 15 for non fixed payments A BUILD NYC RESOURCE CORP 2014 BONDS 454040561 12008eem4 2014-10-15 33565776 REVENUE BONDS SERIES 2014 REFUNDIN false false false A 5280000 0 33565776 0 0 0 644004 0 0 0 32921772 0 2014 true false true true A false true true true true true 0.00100 0.00100 false false false true A false true false false false false 0 false 0 false true A true Todd MUNDY FAMILY MEMBER OF MARK MUNDY, FORMER OFFICER 325824 COMPENSATION false JULIANNE MELENDEZ FAMILY MEMBER OF STEVEN SILBER, KEY EMPLOYEE 76417 COMPENSATION false FORM 990, PART VI, SECTION A, LINE 6: NYP community programs, inc., a new york not for profit corporation, is the sole member of the Newyork-presbyterian/brooklyn methodist hospital. FORM 990, PART VI, SECTION A, LINE 7A & 7B: THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF Directors, PURSUANT TO THE bylaws. IN ADDITION TO THOSE RIGHTS POWERS AND AUTHORITY VESTED IN THE MEMBER, IN ITS CAPACITY AS THE SOLE MEMBER OF THE CORPORATION, BY THE BYLAWS OF THE CORPORATION AND BY NON PROFIT CORPORATE LAW (NPCL) AND OTHER APPLICABLE LAW, THE MEMBER IN ITS CAPACITY AS THE ESTABLISHED CO-OPERATOR OF THE CORPORATION LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW, SHALL HAVE THE FOLLOWING RIGHTS, POWERS AND AUTHORITY RELATIVE TO THE CORPORATION. SUCH POWERS INCLUDE ADAPTION/APPROVAL OF; OPERATING BUDGET, OPERATING POLICIES, INDEBTEDNESS, CONTRACTS, ETC. FORM 990, PART VI, SECTION B, LINE 11A & B: 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 or his/her designee of the NYPH Audit and Corporate Compliance Committee of the Board. THE CHAIRMAN or his/her designee CONDUCTS A DETAILED REVIEW. A copy of the 990 is sent to the Committee for review and approval at the audit and corporate compliance committee meeting preceding the filing. The Audit and Corporate Compliance Committee recommends to the Executive Committee and/or the Full Board of Trustees for their approval. A copy of the Form 990 was made available to the governing body preceding the filing. NewYork-Presbyterian/Brooklyn Methodist Hospital files the 990 upon final approval. FORM 990, PART VI, SECTION B, LINE 12C: NewYork-Presbyterian/Brooklyn Methodist adheres to a conflict of interest (coi) policy that was approved by the audit and corporate compliance committee of the board of trustees. The policy states in part: "Each Board Member, Officer or Key Person of a New York-Presbyterian Organization shall complete a conflict of interest questionnaire prior to becoming a Board Member, Officer or Key Person of the New York-Presbyterian Organization and annually thereafter." The policy also states that "each Board Member, Officer, or Key Person shall promptly advise the Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire." The Chief Executive Officer of the New York and Presbyterian Hospital, or his or her designee, shall review all completed questionnaires and all subsequent advice of changes and shall take such action as is deemed appropriate to eliminate potentials for conflicts of interest, including such steps as reassignment of responsibilities or establishment of protective arrangements. All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the Audit and Corporate Compliance Committee, together, in each case, with response or recommendation of management. The Audit and Corporate Compliance Committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not, shall require such further action as it deems appropriate. FORM 990, PART VI, SECTION B, LINE 15: Compensation decisions for the President and officer not paid by the organization was determined by a related organization following that organization's compensation policy. The organizations President and officer have no influence over the compensation process performed by the related organization. Compensation decisions for the Key employees and officers compensated by the organization was reviewed and approved by the Board of Directors of NYP Community Programs, Inc.(board). The board members are independent of the hospital and its management team and there are no conflicts of interest. The board is responsible for overseeing executive compensation policies and practices, and for setting and approving compensation for the hospitals senior management. The board members have engaged an independent third-party expert to provide objective advice and relevant industry and marketplace benchmarks for compensation. The board assesses total compensation for senior management. All senior management compensation is approved by the board without input or voting participation by persons whose compensation is being approved or by any other individual with a conflict of interest. FORM 990, PART VI, SECTION C, LINE 19: External requests for our governing documents, conflict of interest policy, and financial statements are reviewed for validity. These requests are then granted if deemed appropriate. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY: $(12,685,378). EQUITY IN INCOME ON ALTERNATIVE INVESTMENT: $(1,787,489). INVESTMENT RETURN OF CAPTIVE INSURANCE COMPANIES: $(3,870,468). TOTAL = $(18,343,335). NEW YORK-PRESBYTERIAN FOUNDATION INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG. 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TYPE I BKLYN METHOD true PARK SLOPE HEMATOLOGY & ONCOLOGY PC 506 SIXTH STREET BROOKLYN NY 11215 421591811 healthcare NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE MEDICAL HEALTH PROVIDER PC 506 SIXTH STREET BROOKLYN NY 11215 113564621 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE MEDICAL SERVICE PC 506 SIXTH STREET BROOKLYN NY 11215 112843882 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE MEDICINE PC 506 SIXTH STREET BROOKLYN NY 11215 113362663 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE OBSTETRICS & GYNECOLOGY PC 506 SIXTH STREET BROOKLYN NY 11215 113124294 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE PATHOLOGY SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 112843879 PATHOLOGY NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE PEDIATRIC MEDICINE PC 506 SIXTH STREET BROOKLYN NY 11215 113303499 PEDIATRICS NY 501(C)(3) 12 TYPE I BKLYN METHOD true PARK SLOPE PHYSICIAN SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 113231685 HEALTH CARE NY 501(C)(3) 12 TYPE I BKLYN METHOD true SILVERCREST SENIOR HOUSING DEVELOPMENT 144-45 87TH AVENUE BRIARWOOD NY 11435 262894911 HOUSING NY 501(C)(3) 10 SILVERCREST true NETWORK INSURANCE COMPANY LTD PO BOX HM 1760 HAMILTON BERMUDA BD HM HX REINSURANCE BD NYP SYSTEMS INC FOREIGN C CORP false false false true false true false false false false true false false true false true true true true false MSO OF KINGS COUNTY LLC P 6354412 COST BROOKLYN RADIOLOGY SERVICES PC m 2876945 COST PARK SLOPE EMERGENCY PHYSICIANS PC m 3621324 COST NETWORK RECOVERY SERVICES INC M 1083128 COST BROOKLYN DENTAL SERVICES PC O 248875 COST BROOKLYN DENTAL SERVICES PC Q 92353 COST BROOKLYN DENTAL SERVICES PC C 89678 COST PARK SLOPE EMERGENCY SERVICES PC Q 2975135 COST PARK SLOPE EMERGENCY SERVICES PC O 17146897 COST PARK SLOPE HEMATOLOGY & ONCOLOGY PC C 130190 COST PARK SLOPE HEMATOLOGY & ONCOLOGY PC Q 3159110 COST KINGS PHYSICIAN SERVICES PC Q 22940098 COST ROGOSIN institute j 347114 COST PARK SLOPE MEDICAL SERVICES PC C 1316133 COST PARK SLOPE MEDICAL SERVICES PC O 10488846 COST PARK SLOPE MEDICAL SERVICES PC Q 2867821 COST PARK SLOPE OBSTETRIC & GYNECOLOGY PC C 1248495 COST PARK SLOPE OBSTETRIC & GYNECOLOGY PC O 10075154 COST PARK SLOPE OBSTETRIC & GYNECOLOGY PC Q 4406643 COST PARK SLOPE MEDICINE PC O 12788451 COST PARK SLOPE MEDICINE PC Q 8726185 COST PARK SLOPE MEDICINE PC C 1498040 COST PARK SLOPE PATHOLOGY SERVICES PC Q 329929 COST PARK SLOPE PATHOLOGY SERVICES PC O 1774347 COST PARK SLOPE PEDIATRIC MEDICINE PC C 393935 COST PARK SLOPE PEDIATRIC MEDICINE PC O 2476843 COST PARK SLOPE PEDIATRIC MEDICINE PC Q 1725300 COST PARK SLOPE PHYSICIAN SERVICES PC C 126557 COST PARK SLOPE PHYSICIAN SERVICES PC O 2699371 COST PARK SLOPE PHYSICIAN SERVICES PC Q 5826176 COST BROOKLYN RADIOLOGY SERVICES PC O 5968994 COST BROOKLYN RADIOLOGY SERVICES PC Q 1338435 COST PARK SLOPE HEMATOLOGY & ONCOLOGY PC O 2778132 cost new york presbyterian healthcare system Inc m 615540 cost KINGS PHYSICIAN SERVICES PC C 2636007 COST KINGS PHYSICIAN SERVICES PC O 29838456 COST NEW YORK PRESBYTERIAN HOSPITAL E 41533661 COST NEW YORK PRESBYTERIAN HOSPITAL R 13766700 COST PARK SLOPE MEDICINE PC J 599005 COST PARK SLOPE OBSTETRICS & GYNECOLOGY PC J 345840 COST PARK SLOPE MEDICAL SERVICES PC J 337150 COST PARK SLOPE HEMATOLOGY & ONCOLOGY PC J 465795 COST PARK SLOPE PEDIACTRIC MEDICINE PC J 282590 COST PARK SLOPE PHYSICIAN SERVICES PC J 843095 COST BROOKLYN DENTAL SERVICES PC J 109560 COST