2018-11-14T22:06:20-06:00 2017-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2017-01-01 111839362 NEWYORK-PRESBYTERIANQUEENS % CHRISTOPHER CAULFIELD NEWY 7186701476 56-45 Main Street Flushing NY 11355 KEVIN WARD CFO 2122974210 2018-11-07 christopher b boggs P00032493 3176817000 108.206.163.59 35057220183185000053 2018-11-14 P C5FFC8C6A02DB986DCCCA640B606786136692CFD 770194AAF055F9EA87E64CA02E08FE540289067F 2017 2019-02-21 02:37:17Z KEVIN WARD 56-45 Main Street Flushing NY 11355 887581286 false X www.nyhq.org X 1957 NY TO BE THE PREMIER HEALTHCARE INSTITUTION SERVING OUR GREATER COMMUNITY BY PROVIDING EXCELLENCE IN CLINICAL CARE AND PATIENT SAFETY, EDUCATION, CLINICAL RESEARCH, AND SERVICE. 11 9 4641 850 4185005 -1425668 5811756 7459115 708238835 754036114 3196076 4160046 30624642 41924248 747871309 807579523 51209243 60547985 0 0 429646543 423566693 111000 82000 548256 268101091 303759179 749067877 787955857 -1196568 19623666 591410621 601332549 511423939 516092667 79986682 85239882 X TO BE THE PREMIER HEALTHCARE INSTITUTION SERVING OUR GREATER COMMUNITY BY PROVIDING EXCELLENCE IN CLINICAL CARE AND PATIENT SAFETY, EDUCATION, CLINICAL RESEARCH, AND SERVICE. false false 657122651 60547985 749851109 NewYork-Presbyterian/Queens (NYP/Q), located in the Borough of Queens in New York City, is a 535 bed licensed, not-for-profit medical center. NYH/Q has received a determination letter from the Internal Revenue Service that it is exempt from federal income taxes as an organization described in Section 501(c)(3) of the Internal Revenue Code. The Hospital is a voluntary, not-for-profit acute care community teaching hospital located in the Flushing section of Queens, New York. Presently, the hospital provides medical and surgical services and has a certified bed capacity of 535. It was incorporated in 1974 as Booth Memorial Medical Center and changed its name to The New York Hospital Medical Center of Queens in 1992 in conjunction with its affiliation with The Society of the New York Hospital (now, The New York and Presbyterian Hospital). On July 1, 2015 NYP Community Programs, Inc. became the active parent of NewYork-Presbyterian/Queens and its subsidiaries. Services and Programs: The Hospital offers diagnostic and therapeutic services on an inpatient and outpatient basis in approximately 64 medical specialties and sub-specialties. NYP/Q has advanced capabilities in areas such as cardiac, general, and minimally invasive surgery. It receives tertiary inpatient referrals in infectious disease, nephrology/dialysis, radiation oncology, interventional radiology, and gastroenterology. It operates a Level III Neonatal Intensive Care Unit and a Level I Trauma Center (both designed to handle the most severe cases). The Hospital Center provides the following programs as Centers of Excellence: The Neuroscience Institute, Cancer Center, Breast Center, Eye Center, Pediatric Asthma Center, and Obesity Surgery. NYP/Q has been designated by the New York State Department of Health ("DOH") as an AIDS Designated Center. The Ambulatory Care division provides adult and pediatric primary/preventive care at 20 sites throughout Queens County. Cardiac Services: Cardiac Services: The Hospital offers a variety of cardiac services including diagnostic and interventional cardiology, cardiac surgery, congestive heart failure and rehabilitation centers and cardiac research, education and prevention programs. The Cardiac Catheterization Laboratory at NYP/Q is one of only two interventional cardiology programs in Queens County, New York. The three catheterization laboratories at NYP/Q performed a combined 1,292 procedures in 2017. Now, physicians in the Electrophysiology Laboratory can implant new MRI-safe pacemakers for our patients and do atrial fibrillation ablation procedures. NYP/Q, in collaboration with The New York and Presbyterian Hospital ("NYPH"), operates a cardiac surgery program at the NYP/Q campus. The Cardiac Health Center directs the Hospitals education and prevention programs. Lectures and special events are regularly presented to the general public at the site and at community centers and health fairs throughout Queens County. The Cardiac Health Center provides primary and secondary cardiac rehabilitation programs, including nutrition services, monitored fitness exercise, and psycho-social counseling. Surgical Services: In 2017, NYP/Q performed 15,246 inpatient and ambulatory surgical cases These operations ranged from minimally invasive surgical procedures such as laparoscopic cholecystectomy, robotic procedures and arthroscopic orthopedics to major open procedures such as aortic aneurysm repair and ablative and reconstructive surgery. NYP/Q's Department of Surgery has encouraged use of inpatient and outpatient minimally invasive surgery, which reduces hospital stays and recovery times. Primary care and community outreach: NYP/Q places particular emphasis on community health programs and outreach initiatives. The Hospital team reaches out to Queenss residents to support health education and awareness - offering free health fairs, health lectures, screening, support groups and blood drives. A current calendar of events can be found at nyhq.org on the website home page. This commitment is expressed in its continued strategic expansion of community-based sites to enhance access throughout the Hospitals service area, and includes: The Trude Weishaupt Memorial Satellite Dialysis Center is a CMS Five Star facility (the "Dialysis Center") The Dialysis Center provides hemodialysis, chronic ambulatory peritoneal dialysis, and patient and family education. NYP/Q's renal hypertension division also provides outpatient ambulatory consultative services including the diagnosis and prevention of kidney stones, hypertension treatment and evaluation, and the management of kidney diseases. The Dialysis Center provided 39,825 treatments in 2017. Medical and dental staff: As of December 31, 2017, there were approximately 1,468 physician and dentist members of the medical and dental staff of the hospital holding appointments in two categories: attending staff and emeritus staff. The medical and dental staff is organized into eleven clinical departments: anesthesiology, cardiothoracic surgery, emergency medicine, medicine, obstetrics and gynecology, orthopedics and rehabilitation, pathology, pediatrics, radiation therapy, radiology and surgery. The clinical departments include approximately 15 major services, subdivided further into 64 medical specialties and sub-specialties. The Hospital serves as tertiary care medical center that provides Graduate Medical Education for residency programs in Medicine, Surgery, Emergency medicine and Dental Medicine. Medical Center also offers fellowship training in Cardiology, GI, Pulmonary and Critical Care, Palliative Care and Nephrology. In addition, the Hospital participates in training residents in obstetrics/gynecology, orthopedics, pediatrics, through rotating residencies affiliated with various facilities including NYPH (Cornell Medical Center), and The Hospital for Special Surgery. For The Year Ending December 31, 2017, NYP/Q reported the following statistics: Patient Discharges 34,570 Deliveries 3,993 Average Length of Stay 4.99 Private Ambulatory Laboratory 107,659 Private Ambulatory Radiology 32,598 Surgical Procedures 15,246 Cardiac Catheterizations 1,292 Ambulatory Surgery/Endoscopy 15,000 Emergency Encounters (Incl. Admits) 123,170 Ambulatory Care Visits 147,186 Full-Time Employees 4,210 The Hospital provides quality medical care regardless of race, creed, sex, sexual orientation, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operations and stability of the hospital, it is recognized that not all individuals possess the ability to pay for essential medical services and, furthermore, the hospital's mission is to serve the community with respect to health care and health care education. Therefore, in keeping with the hospital's commitment to serve members of the community, The Hospital provides the following: charity care to the indigent;care to persons covered by governmental programs at below cost; and health care activities and programs to support the community. These activities include wellness programs, community education programs, health screenings, and a broad variety of community support services. 657122651 true true false true false false false false false true true true false true true false false true false false false false false true true false true true true false true false false false false false true false false false false false false false true true true false false true 547 0 true 4641 true true true false false false false true true false false false false X 11 9 true false false false true true true true true false false true true true true true true false true true true NY X CHRISTOPHER CAULFIELD 2122974210 466 LEXINGTON AVENUE 16TH FLOOR NEW YORK NY 10017 X Arthur D Dawson CHAIRMAN 10.0 1.0 X 0 0 0 William WH Chiang TRUSTEE 1.0 0.5 X 0 0 0 Joseph Ficalora TRUSTEE 1.0 0.5 X 0 0 0 Bruce Bendell TRUSTEE 1.0 0.5 X 0 0 0 Kanak Golia TRUSTEE 1.0 0.5 X 0 0 0 Pavlos L Mavrides TRUSTEE 1.0 0.5 X 0 0 0 Michael B Meyer TRUSTEE 1.0 0.5 X 0 0 0 Gerard D Robilotti TRUSTEE 1.0 0.5 X 0 0 0 Claire Shulman TRUSTEE 1.0 0.5 X 0 0 0 Brian Regan DIRECTOR 1.0 59.0 X 0 385206 60988 Jaclyn Mucaria DIRECTOR/PRESIDENT 30.0 30.0 X X 0 1310662 87225 Robert Blenderman CHIEF OPERATING OFFICER 60.0 0.0 X 325504 0 33991 Kevin Ward CHIEF FINANCIAL OFFICER 56.0 4.0 X 625627 0 58687 William Wissemann SVP, Gen'l Counsel, Secretary 57.0 3.0 X 459024 0 45282 Stephen Rimar CHIEF MEDICAL OFF. Thru 1/17 0.0 60.0 X 748679 0 44787 Amir Jaffer Chief Medical Off. Eff. 1/17 60.0 0.0 X 557604 0 34847 Alan M Levin VP, CHIEF NURSING OFFICER 60.0 0.0 X 0 472009 21651 Lorraine Orlando VP, HUMAN RESOURCES 60.0 0.0 X 366738 0 35989 Maureen Buglino VP, AMB CARE SERVICES 60.0 0.0 X 365212 0 42869 Vito Cassata VP, GENERAL SERV. SAFETY OFF. 60.0 0.0 X 367723 0 44741 Caroline Keane VP, CARE COORD., SOCIAL WORK 60.0 0.0 X 276348 0 32582 Mary Godfrey VP PATIENT PROC. CNTR CAP MGMT 60.0 0.0 X 386574 0 49122 Mark Greaker VP, CIO 60.0 0.0 X 256766 0 52950 Andrew Castiglione VP, ANC.&PROF. SERV. Thru 4/17 60.0 0.0 X 250739 0 26512 Thomas Evans VP, PHYSICAL BUS. DEVELOPMENT 0.0 60.0 X 433946 0 47906 Jeffrey Rosen CHAIRMAN - ORTHOPEDIC SURG 58.5 1.5 X 1017032 0 61470 York-Sung Yu PHYSICIAN 60.0 0.0 X 522237 0 45399 William Rodgers CHAIRMAN OF LABORATORY SRVCS 60.0 0.0 X 474807 0 25552 Michael F Csompo PHYSICIAN 60.0 0.0 X 434425 0 34136 Stephen Mills FORMER OFFICER 0.0 0.0 X 2050100 0 22183 John Sciortino FORMER OFFICER 0.0 0.0 X 261881 0 17473 Michaelle Williams FORMER KEY EMPLOYEE 0.0 0.0 X 309547 0 14123 Adam Weinstein FORMER KEY EMPLOYEE 0.0 0.0 X 104808 0 13306 10595321 2167877 953771 1018 true true false QUEENS PHYSICIAN ASSOCIATES PC 56-45 MAIN STREET FLUSHING NY 11355 HOSPITAL SERVICES 5384714 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731246 PROFESSIONAL SERVICE 2479907 BARR BARR INC 460 WEST 34TH STREET - 16th Fl NEW YORK NY 10001 CONSTRUCTION SVCS. 2897397 PM MAINTENANCE 80 VERDI STREET FARMINGDALE NY 11735 CONSTRUCTION SVCS. 2737821 FDR SERVICES CORP 44 NEWMANS COURT HEMPSTEAD NY 11550 LAUNDRY SERVICES 2412566 69 758525 3339457 2727154 633979 7459115 CARE OF PATIENTS 622100 752157486 747972481 4185005 PHARMACY 621500 1878628 1878628 754036114 4375146 4375146 0 0 8185254 8185254 0 8185254 8185254 76304682 3215926 76878197 2857510 -573515 358416 -215100 -215100 305450 758525 266056 39394 39394 0 0 0 0 0 0 MALPRACTICE REIMB. NY QNS MED & SURG 900099 9801000 9801000 MANAGEMENT FEE NY QNS MED & SURGERY 561000 4479000 4479000 MSR AT BAYSIDE 900099 6212901 6212901 13206699 13206699 33699600 807579523 749851109 4185005 46084294 60547985 60547985 0 0 0 7144700 7144700 0 308466948 245071250 63110018 285680 16533277 13135381 3382584 15312 67799190 53865195 13871204 62791 23622578 18767698 4833002 21878 0 949615 949615 779480 779480 150851 150851 82000 82000 1157466 1157466 75266055 59848697 15398869 18489 1564553 1244457 320096 42048392 33440078 8602785 5529 7272506 7272506 0 27856423 26348660 1452067 55696 210574 209693 881 0 584538 464946 119592 267068 253147 13921 0 26299413 24928508 1370905 29394595 29253062 141533 MEDICAL & PHARMACY SUPPLIES 89879704 89879704 TAXES AND LICENSES FEES 77946 73883 4063 787955857 657122651 130284950 548256 5641 2200 12470991 20299124 0 0 92146723 104796645 0 0 0 0 0 0 9153232 10021450 6492242 7430225 691341995 416311829 277269550 275030166 130049335 107989800 38558218 38038444 0 150000 0 0 25264689 37574495 591410621 601332549 148398063 149700608 0 0 3075251 6598508 31596578 28986375 0 0 0 0 268895 0 0 0 328085152 330807176 511423939 516092667 X 68150713 73266197 2730951 2868667 9105018 9105018 79986682 85239882 591410621 601332549 X 19623666 2614169 -16984635 X false true X true true true X false false false false false false false false true 150851 150851 false PART II-B, LINE 1(I): NYP/QUEENS DOES NOT ENGAGE IN ANY DIRECT LOBBYING ACTIVITIES; HOWEVER, IT DOES BEAR INDIRECT COSTS THAT HAVE LOBBYING IMPLICATIONS. THE $150,851 REPORTED ON PART II-B, LINE 1(I) REPRESENTS THAT PORTION OF ITS MEMBERSHIP DUES THAT THE HOSPITAL PAYS TO HEATHCARE ASSOCIATION OF NEW YORK (HANYS), GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) AND 1199 HEALTHCARE EDUCATION PROJECT (HEP) THAT RELATES TO LOBBYING EXPENSES. THIS AMOUNT HAS BEEN DETERMINED IN ACCORDANCE WITH THE MEDICARE PROVIDER REIMBURSEMENT MANUAL, PART I, SECTION 2139. 22018416 2663325 908260 23773481 21862827 1140416 984827 22018416 22522932 -660105 21862827 21722191 800741 22522932 19172192 250000 2299999 21722191 0.60480 0.38300 0.01220 false true true 528519 528519 449085308 232279002 216806306 2056402 2032568 23834 183273793 147402506 35871287 56397973 34597753 21800220 275030166 INVESTMENT IN NYP FUND, INC. 25769569 F INV. IN MSR AT BAYSIDE, LLC 12268875 F 38038444 OTHER RECEIVABLES 572207 DUE FROM QUEENS MED/SURG PC 65321 INSURANCE RCVRY & RELATED DEP. 36936967 37574495 0 EST. PROF LIAB. CLAIMS PAYABLE 110481563 DUE TO RELATED PARTIES 134790890 CAPITAL LEASES PAYABLE 2875936 THIRD PARTY PAYABLE 82658787 330807176 Part V, Line 4 NEWYORK-PRESBYTERIAN/QUEENS INVESTMENTS REPRESENT AN ALLOCATION OF FUND, INC.'S POOLED INVESTMENTS. NYP/Q ADOPTED THE INVESTMENT POLICY AND SPENDING POLICIES FOR ENDOWMENT ASSETS UsED BY FUND, INC. THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING RELATED TO THE ENDOWMENT FUNDS. ENDOWMENT NET ASSETS ARE HELD FOR THE PURPOSE OF THE LANG RESEARCH CENTER. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY A DONOR TO BE HELD IN PERPETUITY. NYP/Q HAS DESIGNATED CERTAIN GENERAL CONTRIBUTIONS TO FUNCTION AS AN ENDOWMENT. THESE BOARD-DESIGNATED FUNDS WERE RELATED TO A CHALLENGE PROGRAM ESTABLISHED BY THE DONOR. X X X X X X true THE JFM Group LLC 629 FIFTH AVENUE SUITE 106 pelham NY 10803 Fundraising false 745800 82000 663800 745800 82000 663800 NY Annual Gala 745800 536250 209550 36101 80521 5250 71167 Golf 318175 222275 95900 3081 67620 297 2019 0 1063975 758525 305450 3081 103721 80818 5250 73186 266056 39394 true true true X true X true true false true true 12928520 2638377 10290143 0.01310 209562645 170072316 39490329 0.05010 222491165 172710693 49780472 0.06320 2932480 1704257 1228223 0.00160 47959796 21535638 26424158 0.03350 50308880 47620309 2688571 0.00340 1644088 236294 1407794 0.00180 102845244 71096498 31748746 0.04030 325336409 243807191 81529218 0.10350 true 22787146 308516 152255915 143388361 8867554 X true true 1 1 NEWYORK-PRESBYTERIANQUEENS 56-45 MAIN STREET FLUSHING NY 11355 WWW.NYHQ.ORG 70030101H X X X X X NewYork-PresbyterianQueens 1 false false true 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 NYP/Queens is committed to improving the health of the community it serves. NYP/Queens has multiple formal committees, such as the Community Advisory Council. The NYP Queens Community Advisory Council (CAC) provides the opportunity for community leaders and residents to directly engage Hospital senior leadership. The focus of the Council is to enhance communication and collaboration between the Hospital and diverse sectors of the community. The CAC is comprised of 20 community leaders and residents who meet with senior Hospital leadership five times a year to discuss new programs/services, and address relevant health care issues impacting patients and the community. In addition to the community needs addressed in the community service plan, NYP/Queens has several ongoing community programs that help foster community engagement and address gaps in care that are highly needed. PART V, LINE 7a & 10A https://www.nyp.org/documents/queens/about-us/NYPQ-CSP-2016_submitted.pdf Part V, Line 11 The NYP/Queens 2016-2018 Community Service Plan is informed by data collected from the NYP/Queens Delivery System Reform Incentive Programs (DSRIP) Community Health Needs Assessment (CHNA), the NYC Department of Health and Mental Hygienes (NYCDOHMH) Community Health Profiles, and the NYCDOHMHs Epiquery Database. An analysis of this data along with feedback from a wide range of community stakeholders, resulted in the selection of the following two priority areas: Priority #1: Increase access to high-quality chronic disease preventative care and management in both clinical and community settings, with a focus on Increasing screening rates for hypertension and heart disease Priority #2: Prevent HIV and STDs, with a focus on increasing screening rates for Hepatitis C. Chronic Disease: High blood pressure (hypertension) directly increases the risk of coronary heart disease and stroke. In Queens County, heart disease is a leading cause of death. A CHNA focus group discussed the physical health issues of the community and found that living in New York, chronic diseases are caused by a multitude of environmental stresses. The prevalence of chronic disease in the community within NYP/Queens service area is higher than NYS (see Section 4). This was a significant source of concern cited by both the key informant interview and the focus group regarding health conditions that affect people in the communities where they live and work. The groups highlighted, among other risk factors: hypertension and heart disease, and HIV were of critical concern in their community. NYP/Queens is committed to addressing the concern of hypertension and heart disease by aligning with the NYP/Queens DSRIP Performance Provider Site (PPS) Cardiovascular Disease Project, which provides hypertension screenings as prescribed by the U.S. Preventative Service Task Force (USPSTF). The USPSTF recommendations are preventive, evidence-based guidelines about clinical services such as screenings, counseling services, and preventive medications. Additionally, the NYP/Queens Community Health Initiatives group has committed to provide resources for hypertension screening at several community health events throughout the year. NYP/Queens is also developing a relationship with the Queens Public Library to host permanent hypertension screening booths. NYP/Queens will monitor the success of these initiatives by tracking the number of screening events, the number of patients screened, and the number of patients connected to care. In order to mitigate socioeconomic and linguistic barriers as well as limitations to access of care, NYP/Queens will host free screenings in venues that are in easily accessible to the community. HIV and STDs: HIV is a growing concern for the community. It is often a comorbidity associated with Hepatitis C (HCV). Early detection and proper follow-up care can dramatically reduce the mortality of patients with HCV and HIV. Without the availability of screening programs and linkages to care, patients with HCV and HIV commonly go untreated until they end up in the NYP/Queens emergency room with end-stage liver disease. In 2017, we have made great strides in HCV screenings at emergency department. The success was in part due to a grant funded patient navigator who provided follow up and connecting to care services to HCV positive patients. However, the funding ended in Oct. 2017. Without a designated patient navigator, we will not able to continue the large volume HCV screening in the ED In 2018, we will modify our focus to increase HCV screening at NYP Queens two primary care clinics as well as in west Queens and LGBT communities. The revised work plans are: increase HCV screening at primary care clinics: HCV screening is one of the quality measurements listed in our EMR system. All primary physicians and GI specialists will be encouraged to satisfy this measurement that is the patient who born between 1945-1965 has one time hepatitis C virus screening. Starting Apr. 2018, all new adult patients, born between 1946-1964, will be offered hepC tests at both primary clinics. If patient agrees, primary physician will order hepC tests as part of new visit. All information will be recorded on EMR. Clinic staff will call patients with active hepC infection (HCV RNA positive) for follow up visits. All information will be recorded in EMR and data will be collected monthly to monitor the hepC offering and screening rates among providers and eligible new patients, at each site, and to resolve issues which might hinder the progress. increase HCV screening in west Queens neighborhood and LGBT community: LGBT community and west Queens residents (such as Jackson Heights and Elmhurst) are most at-risk for HIV/AIDS and Hepatitis C infection, but have less access to the health care system and can easily be lost due to lack of follow-up care. Co-occurrence of HIV/AIDS and Hepatitis increases the risk of death from liver and non-liver related diseases. NYPQ community Health Initiatives (CHI) will partner with community organizations to offer free hepatitis C screening at community events. All tests will be reviewed by NYP Queens liver specialists, and results will be mailed to screening participants. CHI event coordinator will contact HCV positive patients and assist them to schedule follow up appointment at our clinics. The coordinator will also make follow up call to make sure patients adhere to their treatment plans. PART V, LINE 16a, b, c: https://www.nyp.org/queens/patients-and-visitors/paying-for-your-care/pay- my-bill 13 TRUDE WEISHAUPT MEM SATELLITE DIALYSIS 59-28 174 STREET FRESH MEADOWS NY 11365 DIALYSIS CENTER JACKSON HEIGHTS FAMILY HEALTH CENTER 73-15 NORTHERN BLVD JACKSON HEIGHTS NY 11372 OBSTETRICS & PRIMARY CARE NYHQ EYE CENTER 60-10 MAIN STREET FLUSHING NY 11355 OPTHAMOLOGY, OPTOMETRY NYQHP MED CARE CLINIC 182-19/182-15 HORACE HARDING EXPRES FRESH MEADOWS NY 11365 GI PODIATRY OBSTETRICAL CLINIC AT NYHMCQ 163-03 HORACE HARDING EXPRESSWAY FRESH MEADOWS NY 11365 OBSTETRICS & GYNO NYPQ CNTR FOR ORTHOPEDIC & REHAB 163-03 HORACE HARDING EXPRESSWAY FRESH MEADOWS NY 11365 ORTHOPEDIC CARE CENTER FOR DEVELOPMENTAL DISABILITIES 59-16 174TH STREET FLUSHING NY 11355 PRIMARY CARE, PSYCHIATRY THE CARDIAC HEALTH CENTER 174-03 HORACE HARDING EXPRESSWAY FRESH MEADOWS NY 11365 CARDIAC REHAB, RISK REDUCTION NYH MED CNTR OF QUEENS PEDIACRIC ASTHMA 10-25 41ST AVENUE LONG ISLAND CITY NY 11101 PEDIACTRIC ASTHMA CARE NYHQ CNTR FOR WOUND HEALING SILVERCREST 144-45 87TH AVENUE JAMAICA NY 11435 WOUND CARE NYHQ SPECIAL CARE CENTER 138-49 HORACE HARDING EXPRESSWAY FLUSHING NY 11356 HIV PRIMARY CARE HOLLIS WOMEN'S CENTER 189-02 HILLSIDE AVENUE HOLLIS NY 11423 OBSTETRICS & GYNO NY HOSP MED CNTR OF QUEENS DENTAL CLINIC 174-11 HORACE HARDING EXPRESSWAY FRESH MEADOWS NY 11365 DENTAL SERVICES Part I, Line 3C: N/A Part I, Line 6a: N/A Part I, Line 7G: Included in Subsidized Health Service is Clinic, Nicu and Emergency Room. 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 costs to charges Line 7b - Adjusted Ratio of Patient care costs to charges Line 7E - Actual expenses Line 7F - Institutional cost report - worksheet B, part 1 Line 7g - Adjusted Ratio of Patient care costs to charges Line 7H - Actual Expenses PART III, LINEs 2 & 3: For patients who were determined by the Hospital to have the ability to pay but did not, the uncollectable amounts are bad debt expense. THE HOSPITAL UTILIZED A/R LIQUIDATION REPORTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 2 AND 3. PART III, LINE 4: See Audited Financial Statements page 18. Part III, LINES 5, 6, & 7: 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 $8,867,554 WOULD BE A MEDICARE SHORTFALL OF ($13,495,331. MEDICARE NET SURPLUS PER SCHEDULE H 8,867,232 MEDICARE GME NET COST (8,643,232) MEDICARE NET COST OF SUBSIDIZED HEALTH SERVICES (5,418,491) MEDICARE MANAGED CARE NET COSTS (8,301,161) TOTAL NET COSTS ASSOCIATED WITH THE MEDICARE PROGRAM (13,495,331) "Net is defined as revenue net of costs" 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 LESS GME AND IME AMOUNTS WERE THE BASIS FOR THE ALLOWABLE 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 NewYork-Presbyterian/queens (Hospital). 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: NYP/Queens identified two Prevention Agenda Priorities as well as disparities in both priority areas. The plan of action will be working towards addressing these disparities in both prevention priorities. The selection was based on the data, input, and feedback from both internal and external stakeholders. The quantitative research indicates that a number of chronic diseases are prevalent in the NYP/Queens service area. In addition, the data points to health disparities including the increasing hepatitis rates in the Asian community. In consideration of the aforementioned quantitative and qualitative data, NYP/Queens has chosen the following two NYS Prevention Agenda Priority areas: 1. Prevent Chronic Diseases 2. Prevent HIV, STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Priority #1 - Chronic Disease: High blood pressure (hypertension) directly increases the risk of coronary heart disease and stroke. In Queens County, heart disease is a leading cause of death. A CHNA focus group discussed the physical health issues of the community and found that living in New York, chronic diseases are caused by a multitude of environmental stresses. The prevalence of chronic disease in the community within NYP/Queens service area is higher than NY State (NYS). This was a significant source of concern cited by both the key informant interview and the focus group regarding health conditions that affect people in the communities where they live and work. The groups highlighted, among other risk factors: hypertension and heart disease, and HIV were of critical concern in their community. NYP/Queens is committed to addressing the concern of hypertension and heart disease by aligning with the NYP/Queens DSRIP Performance Provider Site (PPS) Cardiovascular Disease Project, which provides hypertension screenings as prescribed by the U.S. Preventative Service Task Force (USPSTF). The USPSTF recommendations are preventive, evidence-based guidelines about clinical services such as screenings, counseling services, and preventive medications. Additionally, the NYP/Queens Community Health Initiatives Group has committed to provide resources for hypertension screening at several community health events throughout the year. NYP/Queens is also developing a relationship with the Queens Public Library to host permanent hypertension screening booths. NYP/Queens will monitor the success of these initiatives by tracking the number of screening events, the number of patients screened, and the number of patients connected to care. In order to mitigate socioeconomic and linguistic barriers as well as limitations to access of care, NYP/Queens will host free screenings in venues that are in easily accessible to the community. 2017, updated information for Priority #1 - Prevent Chronic Diseases In the community: Every year, NYP/Queens Community Health Infinitives (CHI) hosts or participates in more than 150 community events to provide health education and screening to all community members in Queens. Most of the events were held in ethnic and culturally diverse communities. In 2017, medical residents and attending physicians of the primary care clinics were invited to participate in six community events where they provided hypertension education, blood pressure screenings and BMI measurements to 502 Queens residents. All the screening participants received on- site education about hypertension and appropriate recommendations for follow-up care. At Primary Care Clinics: 5,653 adult patients who were seen at the NYP Queens primary care clinics (Fresh Meadows and Jackson Heights) received blood pressure screening at their visits and patients' systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded and analyzed. The treatment protocol for hypertension management was implemented at two primary care clinics and adopted by all NYP/Queens Performing Provider Systems (PPS) members. The protocol includes screening, medication, self-management goals, and follow-up recommendations. Clinics contact patients to ensure they are under appropriate medical care and complying with their blood pressure management regimen. Priority #2 - HIV and STDs: HIV is a growing concern for the community. It is often a comorbity associated with Hepatitis C (HCV). Early detection and proper follow-up care can dramatically reduce the mortality of patients with HCV and HIV. Without the availability of screening programs and linkages to care, patient s with HCV and HIV commonly go untreated until they end up in the NYP/Queens emergency room with end-stage liver disease. NYP/Queens started a new initiative: HIV, HBV and HCV Testing Model in an Urban Hospital Setting, which screens individuals for Hepatitis B virus (HBV), HCV and HIV so people living with any of these diseases can become aware of their status and linked to care. The program offers testing for HBV, HCV and HIV to all eligible individuals, 21 years or older, at NYP/Queens Emergency Department and the outpatient Ambulatory Care Center. Patients who test positive will be linked to a primary care physician or the appropriate medical specialists for follow-up care. It is anticipated that patients screened for HIV, HBC, and HCV in the Emergency Department and Ambulatory Care Center will reflect the ethnic and sub-ethnic communities served by NYP/Queens. For instance, chronic HBV has steadily increased among foreign-born populations in Queens, particularly immigrants from China. The NYP/Queens Triple Viral Taskforce will track the number of patients screened for HCV, HBV, and HIV and the number of patients connected to care, e.g. NYP/Queens and local primary care physicians and local clinics. The information will be shared with the NYCDOHMH Hepatitis C Coalition members, who will utilize NYP/Queens data for best practices and dissemination to other sites across NYC. Instance, chronic HBV has steadily increased among foreign-born populations in Queens, particularly immigrants from China. The NYP/Queens Triple Viral Taskforce will track the number of patients screened for HCV, HBV, and HIV and the number of patients connected to care, e.g. NYP/Queens and local primary care physicians and local clinics. The information will be shared with the NYCDOHMH Hepatitis C Coalition members, who will utilize NYP/Queens data for best practices and dissemination to other sites across NYC. 2017, updated information for Priority #2 - Prevent HIV, STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections. In April 2016, a NYP/Queens viral testing task force designed and implemented routinized workflow for all eligible patients presenting to the emergency department (ED) and two primary care centers to receive Hepatitis C virus (HCV) test. HCV lab orders have been auto-populated into the hospitals electronic medical record (EMR) as a hard stop. This prompt requires the health provider to offer HCV test to the patients at the ED. This has been found to dramatically increase the rate of screening at the ED. Following the testing, the patient navigator conducted follow-up calls to patients with positive results, and assisted them with scheduling an appointment with NYP/Queens specialists. The navigator also provides and connects patients with resources in the community. By the end of October 2017, nine patients with active HCV infection were connected to care at NYP/Queens, community clinics, or community-based primary care physicians. Part VI, Line 3: Written materials, including the application, full Policy, and plain language summary (Summary), shall be available to patients in the Hospital's primary languages, upon request and without charge, from Admitting and Emergency Departments at the Hospital during the intake and registration process, at discharge and/or by mail. Additionally, those materials shall be available on the Hospital's website (www.NYHQ.org). Also, notification to patients regarding this Policy shall be made through conspicuous posting of languageappropriate information in Emergency Rooms and Admitting Departments of the Hospital, 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: The service area is derived using hospital patient origin; specifically zip codes that represent ~75% of outpatient clinic patients in the most recent year. Queens County is the largest of the five boroughs of New York City, with a population of approximately 2.31M people. It is often referred to as the most ethnically diverse urban area in the world. The NYP/Queens service area comprises 33 of 52 Queens County zip codes. The service area currently has 1.59M people. Assuming the expansion of NYP/Queens service area is consistent with the 0.5% growth rate of Queens County, the number of residents living in the service area will increase to 1.66M by 2020. Race and Ethnicity: Queens County and the NYP/Queens service area cover the two most diverse geographies in NYC. racial or ethnic minority groups account for up to 30% of Queens County and service area population. Having a significant population base of all major races and ethnicities impacts the provision of health services in the following ways: cultural issues, language and health literacy, disease prevalence, and disease manifestation. Language: The languages spoken at home by NYP/Queens patients mirrors the racial and ethnic diversity represented throughout the NYP/Queens service area. 38% of the service area population primarily speaks English, compared with 43.4% in the rest of Queens County, 51.4% of New York City, and 70.0% of New York State. The NYP/Queens catchment area has a much higher rate of Asian, Indo-European and Spanish speakers than does the city or state. Employment and Income: There are 80k unemployed persons in the area, for a rate of 9.6%. This rate is higher than NYS, but lower than NYC average. Queens County median income of approximately $62k is higher than the NYS median of $56k, and approximately equal to the New York City median of $63k. The NYP/Queens service area; however, has a much lower median income than Queens County, at $58k. The percentage of NYP/Queens service area households with a low income (less than $35k per household) is 44.1%. This rate is higher than the Queens County and NYS rates of 41.5% and 32.9%, respectively. Conversely, the percentage of households with high income is lower in the service area than in the County or State. Poverty: Poverty is an issue of concern for this population particularly the disparity in poverty rates across the service area. Some portions of the service area see as much as one fourth of the population living in poverty. There is great geographic disparity in the percent of families living in poverty. Queens County has a lower percentage of families in poverty (14.4%) than Bronx, Kings and New York Counties, but higher than Richmond. Within the service area alone, the percentage of families living in poverty ranges from 4.6% in Whitestone to 23.8% in one zip code within Jamaica. Medicaid Beneficiaries: There are approximately 916,000 Medicaid beneficiaries in Queens County, and approximately 692,000 Medicaid beneficiaries in the NYP/Queens service area. These numbers translate to 41% of the population in Queens County and 43% in the service area.The percent of population enrolled in Medicaid ranges from 18% in Whitestone to 69% in Flushing (which is, notably, NYP/Queens zip code). The service area appears to have two areas of high Medicaid concentration, separated by an area of low Medicaid population. Corona, Elmhurst and one of the two Flushing zip codes each have more than 50k Medicaid beneficiaries. The Jamaica zip codes have a high percentage of individuals receiving Managed Care Medicaid or Medicaid HMO. Uninsured: Estimates of the uninsured rate ranges from 9.9% in Richmond County to 24.2% in NYS, with Queens County at 19.2%. While lower than the State, Queens County has the highest uninsured rate of any NYC County, at 19.2% or 431k persons. Assuming NYP/Queens service area uninsured rate is similar to Queens County rate, the service area has approximately 306k uninsured. In aggregate, there are 1.9M persons in the service area who are either Medicaid beneficiaries or uninsured. The uninsured rate for Queens County is estimated at 19.2% with a total of 430,385 individuals compared to a NYS estimate of 24.2%, totaling 4.6M individuals. Part VI: Line 5 Promotion of Community Health: NYP/Queens is committed to improving the health of the community it serves. Each of the community health improvement focus areas will have a task force which will address the operational concerns required to successfully implement the strategies noted. These workgroups will be charged with tracking and monitoring the interventions committed. Their data submissions will be used to provide annual updates. Additionally, NYP/Queens has multiple formal committees, such as the Community Advisory Council. The NYP Queens Community Advisory Council (CAC) provides the opportunity for community leaders and residents to directly engage Hospital senior leadership. The focus of the Council is to enhance communication and collaboration between the Hospital and diverse sectors of the community. The CAC is comprised of 20 community leaders and residents who meet with senior Hospital leadership five times a year to discuss new programs/services, and address relevant health care issues impacting patients and the community. In addition to the community needs addressed in this years community service plan, NYP/Queens has several ongoing community programs that help foster community engagement and address gaps in care that are highly needed. Many of these activities and groups directly support components of the NYS Prevention Agenda, Take Care New York, and the US Healthy People 2020 goals. Part VI Line 6: Affiliate health care system: NYP/Queens is part of the New York-Presbyterian Regional Hospital Network. New York-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 The community benefit report is filed in New York State. true NY QUEENS MED & SURGERY PC 56-45 MAIN STREET FLUSHING NY 11355 274719998 501 C 3 60287985 N/A Support Queens Botanical Garden 43-50 Main Street Flushing NY 11355 111635083 501 C 3 36500 N/A sponsorship The Silvercrest Center 144-45 87th Avenue Briarwod NY 11435 112925535 501 C 3 20000 N/A support The World Journal LLC 14107 20th AvenueFl 2 WhitestoneN Whitestone NY 11357 112807016 15000 N/A HEALTH PROMOTION Chinese American Medical Society CAMS & CAPIPA 265 Canal Street Suite 515 NY NY New York NY 10013 133418133 501 C 3 15000 N/A SUPPORT Flushing YMCA of Greater New York 138-46 Northern Blvd Flushing NY 11354 131624228 501 C 3 10000 N/A SUPPORT Queens Hatzolo Aid Inc 83-26 Brevoort St Kew Gardens NY 11415 133275668 501 C 3 10000 N/A SUPPORT Medical Society of the County of Queens Inc 111225 Queens BLVD FOREST HILLSNY Forest Hills NY 11375 111548018 501 C 3 10000 N/A SPONSORSHIP St John's University 8000 Utopia Pkwy Jamaica NY 11439 111630830 501 C 3 10000 N/A Queens Night Market LLC 47001 11TH Street Corona NY 11368 472905588 7500 N/A Flushing Willets Point Corona LDC 136-65 Roosevelt Avenue Flushing NY 11354 208862980 501 C 3 7000 N/A Queens Pride 76110 37th Avenue Flushing NY 11372 113146598 501 C 3 7000 N/A Hong Kong Dragon Boat Festival in NY 14 107 20th Avenue Whitestone NY 11357 133716785 501 C 3 7000 N/A Queens Chamber of Commerce 7520 Astoria Blvd Boulevard East ELmhurst NY 11370 110559220 501 c 6 6800 N/A 13 1 Part I, Line 2 Prior to awarding assistance to organizations, an assessment is made on the ultimate use of the funds. Final determination is based on whether the funds will be utilized to further our mission. true true false false false false false true false Brian Regan DIRECTOR 0 254597 0 94682 0 35927 0 24443 0 36545 0 446194 0 0 Jaclyn Mucaria DIRECTOR/PRESIDENT 0 673316 0 365451 0 271895 0 51617 0 35608 0 1397887 0 51486 Robert Blenderman CHIEF OPERATING OFFICER 273923 0 50000 0 1581 0 0 0 33991 0 359495 0 0 0 Kevin Ward CHIEF FINANCIAL OFFICER 463320 0 103738 0 58569 0 21600 0 37087 0 684314 0 0 0 William Wissemann SVP, Gen'l Counsel, Secretary 357562 0 81518 0 19944 0 21600 0 23682 0 504306 0 0 0 Stephen Rimar CHIEF MEDICAL OFF. Thru 1/17 609288 0 131867 0 7524 0 21600 0 23187 0 793466 0 0 0 Amir Jaffer Chief Medical Off. Eff. 1/17 454235 0 100000 0 3369 0 0 0 34847 0 592451 0 0 0 Alan M Levin VP, CHIEF NURSING OFFICER 0 313200 0 116123 0 42686 0 19876 0 1775 0 493660 0 0 Lorraine Orlando VP, HUMAN RESOURCES 288308 0 65857 0 12573 0 21600 0 14389 0 402727 0 0 0 Maureen Buglino VP, AMB CARE SERVICES 291671 0 63074 0 10467 0 21600 0 21269 0 408081 0 0 0 Vito Cassata VP, GENERAL SERV. SAFETY OFF. 293958 0 63855 0 9910 0 21600 0 23141 0 412464 0 0 0 Thomas Evans VP, PHYSICAL BUS. DEVELOPMENT 352077 0 75293 0 6576 0 21600 0 26306 0 481852 0 0 0 Caroline Keane VP, CARE COORD., SOCIAL WORK 241971 0 25000 0 9377 0 21600 0 10982 0 308930 0 0 0 Mary Godfrey VP PATIENT PROC. CNTR CAP MGMT 304831 0 69519 0 12224 0 21600 0 27522 0 435696 0 0 0 Mark Greaker VP, CIO 228770 0 25079 0 2917 0 18540 0 34410 0 309716 0 0 0 Andrew Castiglione VP, ANC.&PROF. SERV. Thru 4/17 58813 0 54794 0 137132 0 5400 0 21112 0 277251 0 0 0 Jeffrey Rosen CHAIRMAN - ORTHOPEDIC SURG 872790 0 125000 0 19242 0 21600 0 39870 0 1078502 0 0 0 York-Sung Yu PHYSICIAN 520995 0 0 0 1242 0 21600 0 23799 0 567636 0 0 0 William Rodgers CHAIRMAN OF LABORATORY SRVCS 394544 0 78070 0 2193 0 10800 0 14752 0 500359 0 0 0 Michael F Csompo PHYSICIAN 433830 0 0 0 595 0 15202 0 18934 0 468561 0 0 0 Stephen Mills FORMER OFFICER 295729 0 940000 0 814371 0 0 0 22183 0 2072283 0 0 0 John Sciortino FORMER OFFICER 0 0 0 0 261881 0 0 0 17473 0 279354 0 0 0 Michaelle Williams FORMER KEY EMPLOYEE 0 0 0 0 309547 0 0 0 14123 0 323670 0 0 0 Adam Weinstein FORMER KEY EMPLOYEE 0 0 0 0 104808 0 0 0 13306 0 118114 0 0 0 PART VII & SCHEDULE J, SUPPLEMENTAL INFORMATION: Certain officers and key employees of the New York and Presbyterian Hospital that are identified in part VII as officers or trustees of the NewYork-Presbyterian/Queens are responsible for executing the mission and management of the New York and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2017 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York and Presbyterian Hospital and other related organizations in the aggregate. Schedule J, Line 3: Compensation decisions for the President was determined by a related organization following that organization's compensation policy. PART I LINE 4A: SEVERANCE PAYMENTS ANDREW CASTIGLIONE RECEIVED SEVERANCE PAY AMOUNT 131,785 EFFECTIVE 4/2017. STEPHEN MILLS RECEIVED SEVERANCE PAY AMOUNT 784,713 EFFECTIVE 1/2017. JOHN SCIORTINO RECEIVED SEVERANCE PAY AMOUNT 259,150 MICHAELLE WILLIAMS RECEIVED SEVERANCE PAY AMOUNT 304,021 ADAM WEINSTEIN RECEIVED SEVERANCE PAY AMOUNT 103,468 PART I LINE 4B: Participated in Supplemental Nonqualified Retirement Plan: Jaclyn Mucaria 23,596 Supplemental Nonqualified Retirement Plan as reported on the W-2: Jaclyn Mucaria 185,632 PART I,LINE 7 - NON-FIXED PAYMENTS PROVIDED: See Schedule o Line 15 - for non-fixed payments. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 202979 HEALTH CARE SUPPLY SERVICES false PART VI, SECTION A, LINE 2: Jaclyn Mucaria and Arthur Dawson have a business relationship. PART VI, SECTION A, LINE 6: NYP COMMUNITY PROGRAMS, INC. A NEW YORK NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF NEWYORK-PRESBYTERIAN/QUEENS. PART VI, SECTION A, LINE 7A: NYP COMMUNITY PROGRAMS, INC. (THE MEMBER) ELECTS THE GOVERNING BOARD OF THE NEWYORK-PRESBYTERIAN/QUEENS, PURSUANT TO THE bylaws. PART VI, SECTION A, LINE 7B: IN ADDITION TO SUCH OTHER RIGHTS, POWERS AND AUTHORITY as are vested in the member in its capacity as the sole member of the corporation by law or as may be set forth in the certificate of the incorporation of the corporation or bylaws. Such powers include adaption approval of; operating budget, operating policies, indebtedness, contracts etc. PART VI, SECTION B, LINE 11B: Finance coordinated and completed all of the information required for form 990 accessing various resources including legal, human resources, development, and other departments as needed. Senior finance executives complete a review of the return in conjunction with Ernst & Young U.S. LLP, paid preparer, prior to submission to the chairman of the Audit and Corporate Compliance Subcommittee of the NYPH System Strategy Committee. The chairman of the Audit and Corporate Compliance Subcommittee of the NYPH System Strategy Committee conducts a detailed review. Upon completion of the audit chairman's review and approval, the 990 is made available to the governing body preceding the filing. NewYork-Presbyterian/Queens FILES THE 990 UPON FINAL APPROVAL. PART VI, SECTION B, LINE 12C: NewYork-Presbyterian/Queens 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-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. PART VI, SECTION B, LINE 15: Compensation decisions for the President and Key Employee not paid by the organization was determined by a related organization following that organization's compensation policy. The Organization's president has no influence over the compensation process performed by the related organzation. 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. 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 pension and postretirement benefit liabilities (18,646,088) CHANGE IN FAIR VALUE OF ALTERNATIVE INVESTMENTS AND COMMON COLLECTED/COMMINGLED TRUST 1,661,453 TOTAL OTHER CHANGES in net assets (16,984,635) NEW YORK-PRESBYTERIAN FOUNDATION INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG. 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