2017-11-14T13:42:21-06:00 2016-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2016-01-01 112925535 THE SILVERCREST CENTER FOR NURSING AND REHABILITATION SILV 7184804065 144-45 87TH AVENUE JAMAICA NY 114353109 ELIAS M NEMNOM VICE PRESIDENT/CFO 7184804065 2017-11-14 1 GARRETT M HIGGINS P00543209 9143818900 2017-11-14 65.51.112.58 2017-11-14 14:31:19 ES P 39A6500A14EBDEC7A476CCE4E0A7F613C193113C DBE3753688BC1776818C679406F8E276569BC57D 2016 2018-03-14 21:41:22Z ELIAS M NEMNOM 144-45 87TH AVENUE JAMAICA NY 114353109 55957942 0 X WWW.SILVERCREST.ORG X 1990 NY SKILLED NURSING FACILITY 9 4 546 9 0 0 2138660 188322 53290471 55070191 24938 29259 714557 625264 56168626 55913036 0 0 0 0 34348675 34904828 0 0 0 19734193 21864926 54082868 56769754 2085758 -856718 33402717 33172646 24491723 24787818 8910994 8384828 X SEE SCHEDULE OSILVERCREST CENTER FOR NURSING AND REHABILITATION LOCATED IN QUEENS,NEW YORK HAS CHOSE OUR MISSION TO PROVIDE A CONTINUUM OF CARE THROUGHDIVERSE PROGRAMS THAT PROVIDE QUALITY HEALTH CARE AND PROMOTEINDEPENDENCE AND DIGNITY FOR ALL, IN AN ENVIRONMENT WHERE LEADERSHIP ISBY EXAMPLE, KNOWLEDGE IS SHARED, CREATIVITY IS SOUGHT AFTER ANDCONTINUED EDUCATION IS PROMOTED. SIMPLY PUT, "GIVING QUALITY TO LIFE". 0 0 50679666 55070191 SILVERCREST CENTER FOR NURSING AND REHABILITATION IS A SKILLED NURSING FACILITY FOR 320 RESIDENTS THAT PROVIDES VENTILATOR-RESPIRATORY CARE, SHORT-TERM REHABILITATION, AND LONG-TERM CARE FOR ALZHEIMER AND GERIATRIC PATIENTS. IN 2016, WE HAD 970 ADMISSIONS AND DISCHARGED 974 RESIDENTS BACK TO THEIR HOMES. WE RENDERED A TOTAL OF 106,747 DAYS OF RESIDENT CARE. 50679666 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 51 0 546 1 0 0 0 0 0 1 1 0 0 0 0 X 9 4 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X ELIAS M NEMNOM VICE PRESIDENTCFO 7184804065 144-45 87TH AVENUE JAMAICA NY 114353109 GARY J ZUAR CHAIRMAN 1.00 59.00 X X 0 1484878 54415 STEPHEN S MILLS FACHE VICE CHAIRMAN 10.00 50.00 X X 0 1013999 71938 ALEXANDER DIPAOLO CPA TRUSTEE/CHAIRMAN OF AUDIT 4.00 X 0 0 0 REGINA PERGUGGI EDD TRUSTEE 1.00 X 0 0 0 ANNE ALEXIS COTE TAYLOR TRUSTEE 3.00 6.00 X 0 0 0 FRANK CORIGLIANO TRUSTEE 1.00 X 0 0 0 KIMLEE ROLDAN-SANCHEZ TRUSTEE 1.00 59.00 X 0 424722 47367 KATHLEEN M BURKE ESQ TRUSTEE 1.00 59.00 X 0 371567 56976 MICHAEL J FOSINA TRUSTEE 1.00 59.00 X 0 786509 62715 MICHAEL TRETOLA FACHE SR. VP/ADMINISTRATOR 50.00 10.00 X 341524 0 69613 WILLIAM P WISSEMANN ESQ SR. BP/GEN COUNS/SECRETARY 2.00 58.00 X 0 405022 43331 KEVIN J WARD CPA TREASURER 3.00 57.00 X 0 586257 54549 DANIEL M RUSSO MD VP/CHIEF MEDICAL OFFICER 60.00 X 302686 0 24118 KYLE JACOBI ESQ ASSISTANT SECRETARY (THRU 09/2016) 2.00 58.00 X 0 216537 23336 ELIAS M NEMNOM VP/CFO 59.00 1.00 X 308314 0 53468 LORETTA MCMANUS VP OF NURSING 60.00 X 211899 0 45716 NATASHA ELIE-LOUISSAINT LNHA VP/ASSOCIATE ADMINISTRATOR 55.00 5.00 X 173036 0 26470 KAREN DIKEMAN AVP REHABILIATION 60.00 X 144205 0 40146 DENISE LAWSON DR. OF PERFORMANCE IMPROVEMENT 60.00 X 140958 0 40680 GRETCHEN GARTLEY-LOZANO AVP CONTROLLER 51.00 9.00 X 133925 0 39425 1756547 5289491 754263 41 0 1 0 MORRISON MANAGEMENT SPECIALISTS DEPT CF PO 102289 ATLANTA GA 30368 DIETARY SERVICES 3091806 AFFINITY REHABILITATION LLP 10600 YORK ROAD SUITE 105 COCEYSVILLE MD 21030 THERAPY 1652310 APEX THERAPEUTICS 101 NORTHERN BLVD SUITE 208 GREAT NECK NY 11021 THERAPY 380604 LTC CONSULTING SERVICES LLC 7 RANDOPLH ROAD HOWELL NJ 07731 BILLING SERVICES 261704 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 ACCOUNTING 191277 6 134066 54256 47110 188322 MEDICAID 623000 37935444 37935444 MEDICARE 623000 9271366 9271366 PRIVATE, PATIENT, AND OTHER 623000 6911549 6911549 UNIVERSAL SETTLEMENT 623000 871832 871832 RENTAL FROM AFFILIATE 623000 80000 80000 55070191 29259 29259 24900 134066 44906 -20006 -20006 CAFETERIA INCOME 900099 297438 297438 MANAGEMENT FEES 900099 221000 221000 REBATES 900099 68200 68200 58632 58632 645270 55913036 55070191 0 654523 X 1077077 355435 721642 23707988 22594797 1113191 1729900 1648410 81490 5548378 5187571 360807 2841485 2639683 201802 204014 204014 40839 40839 90800 90800 5233 5233 6714 6714 8111120 6978234 1132886 28934 28934 1308115 1030758 277357 326792 384 326408 1375043 1239965 135078 34889 16223 18666 475913 87722 388191 1388374 1244800 143574 725463 725463 NYS CASH RECEIPTS ASSES 2709313 2709313 MEDICATIONS AND MEDICAL 2627576 2627576 BAD DEBT EXPENSE 2040315 2040315 REPAIRS AND MAINTENANCE 232789 231906 883 132690 46574 86116 56769754 50679666 6090088 0 136420 25376 5907287 4091341 8859161 11858489 64889 63256 142613 423667 53464562 40591671 13368684 12872891 4923663 3837626 33402717 33172646 9295922 10463994 320187 319783 12874906 11338979 2000708 2665062 24491723 24787818 X 8847052 8314173 63942 70655 8910994 8384828 33402717 33172646 X -856718 330552 X X 0 1 X 1 0 X 139193 193200 296522 2138660 188322 2955897 51888654 51276583 50401383 53290471 55070191 261927282 52027847 51469783 50697905 55429131 55258513 264883179 0 0 0 264883179 96686 127813 101009 106515 29259 461282 96686 127813 101009 106515 29259 461282 880957 486317 670953 654117 645270 3337614 53005490 52083913 51469867 56189763 55933042 268682075 0.98590 0.98430 0.00170 0.00230 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA - 2012 AMOUNT: $ 201,058. 2013 AMOUNT: $ 209,621. 2014 AMOUNT: $ 230,550. 2015 AMOUNT: $ 241,821. 2016 AMOUNT: $ 297,438. MANAGEMENT FEES - 2012 AMOUNT: $ 421,001. 2013 AMOUNT: $ 221,000. 2014 AMOUNT: $ 221,000. 2015 AMOUNT: $ 221,000. 2016 AMOUNT: $ 221,000. OTHER REVENUE - 2013 AMOUNT: $ 28,091. 2014 AMOUNT: $ 20,169. 2015 AMOUNT: $ 25,132. 2016 AMOUNT: $ 7,833. VENDING AND MISC - 2012 AMOUNT: $ 61,083. 2013 AMOUNT: $ 27,605. 2014 AMOUNT: $ 199,234. 2015 AMOUNT: $ 15,930. 2016 AMOUNT: $ 2,257. REBATES - 2012 AMOUNT: $ 197,815. 2015 AMOUNT: $ 91,403. 2016 AMOUNT: $ 68,200. REFUNDS - 2015 AMOUNT: $ 37,523. 2016 AMOUNT: $ 8,198. MEDICAL RECORDS - 2015 AMOUNT: $ 21,308. 2016 AMOUNT: $ 40,344. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5233 5233 0 PART II-B, LINE 1: CONTRIBUTIONS PAID TO NURSING HOME ASSOCIATIONS, 1199 SEIU DUES, AND NY PRESBYTERIAN DUES. 0 1 X 1713566 1713566 27401025 23511176 3889849 22573738 16418940 6154798 1776233 661555 1114678 12872891 DUE FROM THIRD PARTIES 1280441 DUE FROM RELATED ORGANIZATIONS 1285402 RESIDENT TRUST FUNDS 319783 OTHER LONG TERM ASSETS 952000 3837626 SWAP LIABILITY 842862 DUE TO THIRD PARTIES 870200 OTHER LONG TERM LIABILITIES 952000 2665062 X 56880196 1063160 1063160 55817036 96000 96000 55913036 57822368 1148614 1148614 56673754 96000 96000 56769754 PART IV, LINE 2B: FUNDS FOR THE PERSONAL USE OF RESIDENTS AND FUNDS RECEIVED AS SECURITY DEPOSITS FOR SERVICES ARE HELD IN TRUST FOR THEM BY SILVERCREST. THESE FUNDS ARE SEGREGATED IN A SEPARATE INTEREST-BEARING ACCOUNT FOR THE RESIDENTS' BENEFIT AND ARE NOT AVAILABLE FOR OTHER USES. PART X, LINE 2: THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CORPORATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CORPORATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR THE PERIODS PRIOR TO DECEMBER 31, 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP REPORTED ON PART XI, LINE 9 330,552. REVENUE ATTRIBUTABLE TO CONSOLIDATED SUBSIDIARY 732,608. PART XI, LINE 4B - OTHER ADJUSTMENTS: ELIMINATION DUE TO CONSOLIDATION 96,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTABLE TO CONSOLIDATED SUBSIDIARY 1,148,614. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATION DUE TO CONSOLIDATION 96,000. ANNUAL GOLF CLASSIC 158966 134066 24900 5465 35711 3730 158966 134066 24900 5465 35711 3730 44906 -20006 X X X X 0 1 0 0 0 0 0 1 0 GARY J ZUAR CHAIRMAN 0 604634 0 366608 0 513636 0 23533 0 30882 0 1539293 0 123335 STEPHEN S MILLS FACHE VICE CHAIRMAN 0 781948 0 120014 0 112037 0 21200 0 50738 0 1085937 0 0 KIMLEE ROLDAN-SANCHEZ TRUSTEE 0 301817 0 85735 0 37170 0 29329 0 18038 0 472089 0 0 KATHLEEN M BURKE ESQ TRUSTEE 0 290519 0 69723 0 11325 0 34449 0 22527 0 428543 0 0 MICHAEL J FOSINA TRUSTEE 0 475785 0 249250 0 61474 0 35462 0 27253 0 849224 0 0 MICHAEL TRETOLA FACHE SR. VP/ADMINISTRATOR 301612 0 30610 0 9302 0 21136 0 48477 0 411137 0 0 0 WILLIAM P WISSEMANN ESQ SR. BP/GEN COUNS/SECRETARY 0 353294 0 34940 0 16788 0 21200 0 22131 0 448353 0 0 KEVIN J WARD CPA TREASURER 0 466053 0 72375 0 47829 0 21200 0 33349 0 640806 0 0 DANIEL M RUSSO MD VP/CHIEF MEDICAL OFFICER 299672 0 0 0 3014 0 23974 0 144 0 326804 0 0 0 KYLE JACOBI ESQ ASSISTANT SECRETARY (THRU 09/2016) 0 189775 0 23969 0 2793 0 14381 0 8955 0 239873 0 0 ELIAS M NEMNOM VP/CFO 299400 0 0 0 8914 0 23952 0 29516 0 361782 0 0 0 LORETTA MCMANUS VP OF NURSING 211899 0 0 0 0 0 16952 0 28764 0 257615 0 0 0 NATASHA ELIE-LOUISSAINT LNHA VP/ASSOCIATE ADMINISTRATOR 172623 0 0 0 413 0 13810 0 12660 0 199506 0 0 0 KAREN DIKEMAN AVP REHABILIATION 142594 0 0 0 1611 0 11408 0 28738 0 184351 0 0 0 DENISE LAWSON DR. OF PERFORMANCE IMPROVEMENT 140166 0 0 0 792 0 11213 0 29467 0 181638 0 0 0 GRETCHEN GARTLEY-LOZANO AVP CONTROLLER 133584 0 0 0 341 0 10687 0 28738 0 173350 0 0 0 PART I, LINE 4B MR. STEPHEN S. MILLS PARTICIPATES IN A 457(F) PLAN. NO CONTRIBUTION WAS MADE IN 2016. GARY ZUAR RECEIVE $413,951 ON HIS 2016 W-2, WHICH IS REPORTED IN PART II, COLUMN (B), (III) OTHER REPORTABLE COMPENSATION. MR. STEPHEN MILLS, KEVIN WARD AND WILLIAM WISSEMAN RECEIVED PAYMENTS FROM A TAX DEFERRED ANNUITY IN THE AMOUNTS OF $42,808, $17,397, $7,590, WHICH ARE REPORTED IN PART II, COLUMN (B), (III) OTHER REPORTABLE COMPENSATION PART I, LINE 7 MICHAEL TRETOLA RECEIVED A BONUS OF 30,610 IN HIS W-2 FROM NYPQ, A RELATED ORGANIZATION. AS A LEASED EMPLOYEE, THE AMOUNT IS SHOWN AS BEING PAID BY THE FILING ORGANIZATION. THE AMOUNT WAS BASED ON PERFORMANCE AND APPROVED BY THE BOARD. SCHEDULE J, PART I: CERTAIN OFFICERS AND KEY EMPLOYEES OF THE NEW YORK PRESBYTERIAN HOSPITAL THAT ARE IDENTIFIED IN PART VII AS OFFICERS OR TRUSTEES OF THE SILVERCREST CENTER FOR NURSING AND REHABILIATION ARE RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE NEW YORK PRESBYTERIAN HOSPITAL (NYP) AND ITS AFFILIATED ENTITIES. COMPENSATION FOR 2016 OF THESE UPPER LEVEL EXECUTIVES INCLUDES THE PAYOUT OF AN ANNUAL INCENTIVE PLAN AND A LONG-TERM INCENTIVE PLAN. THIS PERFORMANCE-ORIENTED PROGRAM CONDITIONS PAYMENTS UPON THE ACHIEVEMENT OF MULTIPLE INDIVIDUAL AND GROUP PERFORMANCE MEASURES. MEASURES TO MONITOR PERFORMANCE INCLUDE: OPERATIONAL AND FINANCIAL STRENGTH, PATIENT QUALITY AND SAFETY, PATIENT SATISFACTION, ADVANCEMENT OF PATIENT CARE, AND PEOPLE DEVELOPMENT AND PARTNERSHIP. INCENTIVE AWARDS MAY ONLY BE GRANTED IF THE ORGANIZATION ACHIEVES A FINANCIAL SURPLUS. EVEN IF ALL RELEVANT PERFORMANCE MEASUREMENTS ARE ACHIEVED, THE NYP BOARD OF TRUSTEES RETAINS FULL DISCRETION TO MAKE OR NOT MAKE ANY INCENTIVE AWARDS, OR TO REDUCE THE AMOUNT OF ANY INCENTIVE AWARD. THIS INITIATIVE IS CRITICAL TO ASSURING THAT NYP HAS THE REQUISITE LEADERSHIP TO CREATE AND MANAGE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE, TO DRIVE SUPERIOR PERFORMANCE THROUGHOUT THE ORGANIZATION AND TO ACHIEVE TOP TIER MEDICAL CENTER STATUS. AS A SEPARATE MATTER, DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, UPPER LEVEL EXECUTIVES ARE LIMITED IN THE AMOUNT OF BENEFITS RECEIVED UNDER A TAX-QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, NYP SUPPLEMENTS THESE EXECUTIVES' PENSION BENEFITS THROUGH A SUPPLEMENTAL ("NONQUALIFIED") RETIREMENT PLAN. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IS SUBJECT TO A MULTI-YEAR VESTING REQUIREMENT (COMMENCING AFTER FIVE YEARS OF PARTICIPATION IN THE SERP, IN PRORATED AMOUNTS THROUGH AGE 65) WHICH PLACES AN EXECUTIVE'S SUPPLEMENTAL RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED, HOWEVER, PROVISIONS OF THE INTERNAL REVENUE CODE REQUIRE THAT THE VESTED EXECUTIVE INCLUDE IN CURRENT INCOME THE VALUE OF HIS OR HER VESTED SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE LEGAL REQUIREMENT TO RECOGNIZE THE VESTED VALUE OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME, THE SUPPLEMENTAL RETIREMENT BENEFIT WILL NOT BE DISTRIBUTED TO THE EXECUTIVE UNTIL THE EXECUTIVE ACTUALLY RETIRES FROM NYP (ALTHOUGH, AS PERMITTED BY THE INTERNAL REVENUE CODE, THE SUPPLEMENTAL RETIREMENT PLAN WILL EFFECT A DISTRIBUTION OF AN AMOUNT NECESSARY TO SATISFY THE EXECUTIVE'S TAX LIABILITY RESULTING FROM THE INCOME RECOGNITION UPON VESTING). AS NOTED, THIS SUPPLEMENTAL RETIREMENT BENEFIT WILL NOT BE DISTRIBUTED TO THE EXECUTIVE UNTIL THE EXECUTIVE ACTUALLY RETIRES FROM NYP. THERE ARE CONSTANTLY CHANGING LEGAL, TAX, ACCOUNTING, AND PUBLIC DISCLOSURE RULES FOR A SERP (SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN) IN NOT-FOR-PROFIT ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONTINUOUSLY MONITORS THESE CHANGES AND INCORPORATES ANY CHANGES INTO THE OVERALL SERP PLAN DESIGN. AS IN PAST YEARS, THE EXECUTIVE COMPENSATION COMMITTEE OF NYP REQUIRES A THIRD PARTY COMPLETE A REVIEW OF THE ORGANIZATION'S COMPENSATION PROGRAM TO ENSURE ITS EFFECTIVENESS IN TERMS OF GOVERNMENT REGULATIONS, MARKET CONDITIONS AND THE NEED TO CONTINUALLY ELEVATE ORGANIZATIONAL PERFORMANCE. THE REPORT ALSO SERVES TO MEET THE REGULATORY OBLIGATIONS TO ENSURE THAT ALL ELEMENTS OF THE EXECUTIVE COMPENSATION PROGRAMS ARE REASONABLE. THE INDIVIDUALS LISTED IN PART VII THAT ARE COMPENSATED BY NEW YORK PRESBYTERIAN HOSPITAL DEVOTE AN AVERAGE OF SIXTY HOURS PER WEEK TO PERFORM THEIR RESPONSIBILITIES FOR THE NEW YORK PRESBYTERIAN HOSPITAL AND OTHER RELATED ORGANIZATIONS IN THE AGGREGATE. X 1 25320 AVG. HIGH/LOW VALUE X VENTILLATORS 1 21790 COST 0 0 0 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS IS REPORTED ON COLUMN (B). FORM 990, PART VI, SECTION A, LINE 3 THE NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS / NEW YORK-PRESBYTERIAN QUEENS("NYPQ"), A RELATED TAX-EXEMPT ORGANIZATION, PERFORMS MANAGEMENT DUTIES AND DIRECT SUPERVISION, TO THE SILVERCREST CENTER FOR NURSING AND REHABILITATION. THE FEE PAID TO THE NYPQ FOR SERVICES WAS $204,014 DURING THE YEAR ENDED DECEMBER 31, 2016. PLEASE REFER TO PART VII AND SCHEDULE J FOR INDIVIDUALS COMPENSATED BY NYPQ. FORM 990, PART VI, SECTION A, LINE 6 SILVERCREST CENTER FOR NURSING AND REHABILITATION (SILVERCREST) IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. (SYSTEM INC.). SYSTEM INC. IS A TAX-EXEMPT ORGANIZATION WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN FOUNDATION, INC., WHICH IS ALSO A TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SILVERCREST IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN HEALTH CARE SYSTEM, INC., WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN FOUNDATION, INC. THE MEMBERS ELECT THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B (A) THE MEMBERS SHALL HAVE THE SOLE AUTHORITY TO ESTABLISH FROM TIME TO TIME THE NUMBER OF TRUSTEES TO BE ELECTED AT LARGE, TO ELECT TRUSTEES TO BE ELECTED AT LARGE AND TO REMOVE TRUSTEES, INCLUDING TRUSTEES SERVING BY REASON OF THEIR OFFICE, WITH OR WITHOUT CAUSE. (B) THE APPROVAL OF THE MEMBERS SHALL BE REQUIRED FOR (1) THE ELECTION OR THE REMOVAL BY THE BOARD OF THE CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER AND CHIEF INFORMATION OFFICER, IF ANY, OR ANY OTHER CORPORATE OFFICER WHOSE POWERS AND DUTIES INCLUDE THOSE WHICH USUALLY PERTAIN TO SUCH OFFICES, (2) THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION OR BY-LAWS OF THE CORPORATION, (3) THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SILVERCREST, (4) THE MERGER OR CONSOLIDATION OF SILVERCREST WITH ANOTHER ENTITY OR (5) THE DISSOLUTION OF SILVERCREST. EXCEPT AS MAY BE LIMITED BY APPLICABLE LAW GOVERNING HEALTH CARE INSTITUTIONS, THE MEMBERS SHALL HAVE SUCH OTHER POWERS AND AUTHORITY AS ARE AFFORDED TO THE MEMBERS UNDER THE SILVERCREST'S CERTIFICATE OF INCORPORATION OR GENERALLY TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF NEW YORK. FORM 990, PART VI, SECTION B, LINE 11B THE SILVERCREST CENTER FOR NURSING AND REHABILIATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. A DRAFT OF THE FORM 990 WILL BE PRESENTED AND APPROVED TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD AT A MEETING HELD DURING THE MONTH OF NOVEMBER. THE 990 IS THEN MADE AVAILABLE TO ALL MEMBERS ELECTRONICALLY OR BY PAPER TO THE BOARD FOR ITS REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER, AND ANY OFFICER OR KEY PERSON PRESENTING A PROPOSED TRANSACTION OR OTHER MATTER TO A BOARD, SHALL DISCLOSE PROMPTLY AND IN GOOD FAITH TO THE BOARD SUCH INDIVIDUAL'S INTEREST IN A PROPOSED TRANSACTION OR OTHER MATTER TO BE CONSIDERED BY THE BOARD. THE INDIVIDUAL MAY NOT PARTICIPATE IN THE DELIBERATIONS OF THE BOARD OR USE PERSONAL INFLUENCE IN ITS MATTERS. FOLLOWING ANY SUCH DISCLOSURE, AND AFTER SUCH DUE DILIGENCE AND SUCH DEVELOPMENT AND CONSIDERATION OF OTHER ALTERNATIVES, IF ANY, AS THE BOARD SHALL DEEM APPROPRIATE, THE BOARD MAY, IN ITS DISCRETION, AUTHORIZE OR APPROVE THE PROPOSED TRANSACTION OR OTHER MATTER AS AT LEAST AS FAIR AND REASONABLE TO SILVERCREST AS WOULD OTHERWISE BE OBTAINABLE BY SILVERCREST. SUCH ACTIONS SHALL BE BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH INTERESTED PERSON OR PERSONS AND SUCH PERSON OR PERSONS MAY NOT PARTICIPATE IN DETERMINING THE PRESENCE OF A QUORUM AT THE MEETING. NO EMPLOYEE, MEMBER OF THE MEDICAL STAFF OR ANY OTHER PERSON RECEIVING COMPENSATION DIRECTLY OR INDIRECTLY FROM A SILVERCREST ORGANIZATION SHALL SERVE AS A MEMBER OF A BOARD COMMITTEE RESPONSIBLE FOR AUDIT AND CORPORATE COMPLIANCE OR EXECUTIVE COMPENSATION MATTERS. UPON REASONABLE BELIEF THAT A BOARD MEMBER, OFFICER OR KEY PERSON FAILED TO COMPLY WITH THE POLICIES AND DIRECTIVES SET FORTH IN THIS POLICY STATEMENT, THE BOARD OF SILVERCREST OR AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF SILVERCREST SHALL INFORM THE INDIVIDUAL OF THE BASIS OF THE BELIEF AND PROVIDE AN OPPORTUNITY TO EXPLAIN THE NONCOMPLIANCE. IF AFTER HEARING THE RESPONSE FROM THE INDIVIDUAL AND MAKING FURTHER APPROPRIATE INVESTIGATIONS, THE BOARD OR AUDIT AND CORPORATE COMPLIANCE COMMITTEE DETERMINES THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO COMPLY WITH SUCH POLICIES AND DIRECTIVES, IT SHALL TAKE OR RECOMMEND APPROPRIATE CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS DETERMINES AND REVIEWS COMPENSATION PACKAGES FOR EXECUTIVE STAFF AND KEY EMPLOYEES INCLUDING FRINGE BENEFITS UPON HIRE AND ANNUALLY. THE FOLLOWING POSITIONS ARE CONSIDERED EXECUTIVE AND KEY STAFF: -CEO, CFO, MEDICAL DIRECTOR, AVP REHABILITATION, COO, VP NURSING, AVP CONTROLLER, DIRECTOR OF PERFORMANCE IMPROVEMENT THE LAST REVIEW WAS CONDUCTED IN 2016. A REVIEW OF SIMILAR AGENCIES IN COMPARABLE GEOGRAPHIC SETTINGS IS USED TO ESTABLISH SALARY RANGES. THIS MEETING OF THE COMPENSATION COMMITTEE IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC WITH THE EXCEPTION OF THE 990, WHICH IS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G SECURITY: PROGRAM SERVICE EXPENSES 192,446. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 192,446. CONSULTANTS: PROGRAM SERVICE EXPENSES 262,530. MANAGEMENT AND GENERAL EXPENSES 250,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 512,752. THERAPISTS: PROGRAM SERVICE EXPENSES 1,499,010. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,499,010. RNS AND LPNS: PROGRAM SERVICE EXPENSES 73,051. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,051. CLERICAL AND ADMIN SERVICES: PROGRAM SERVICE EXPENSES 14,221. MANAGEMENT AND GENERAL EXPENSES 384,988. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 399,209. PURCHASED AND CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 771,907. MANAGEMENT AND GENERAL EXPENSES 235,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,007,865. LAB, X-RAY, AND SPECIALTY SERVICES: PROGRAM SERVICE EXPENSES 234,702. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 234,702. PHYSCIANS' FEES: PROGRAM SERVICE EXPENSES 270,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 270,095. FOOD SERVICES: PROGRAM SERVICE EXPENSES 3,659,957. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,659,957. BILLING SERVICES: PROGRAM SERVICE EXPENSES 315. MANAGEMENT AND GENERAL EXPENSES 261,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 262,033. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 330,552. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. NETWORK RECOVERY SERVICES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 113160901 COLLECTION NY 501(C)(3) LINE 12D, III-O NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM INC 0 NEW YORK PRESBYTERIANQUEENS 56-45 MAIN STREET FLUSHING NY 11355 111839362 HEALTHCARE NY 501(C)(3) LINE 3 NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM INC 0 CRT SURGICAL ASSOCIATES PC 56-45 MAIN STREET FLUSHING NY 11355 112226870 HEALTHCARE NY 501(C)(3) LINE 12A, I NEW YORK PRESBYTERIANQUEENS 0 THE FOUNDATION OF NEW YORK PRESBYTERIANQUEENS 56-45 MAIN STREET FLUSHING NY 11355 112848858 EDUCATION/RESEARCH NY 501(C)(3) LINE 4 NEW YORK PRESBYTERIANQUEENS 0 NY PRESBYERIAN HEALTHCARE SYSTEM INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133792361 SPONSOR NY 501(C)(3) LINE 12D, III-O NEW YORK-PRESBYTERIAN FOUNDATION INC 0 NEW YORK QUEENS CHARTER VENTURES INC 56-45 MAIN STREET FLUSHING NY 11355 454795032 REAL ESTATE HOLDINGS NY 501(C)(3) LINE 12B, II NEW YORK PRESBYTERIANQUEENS 0 NEW YORK-PRESBYTERIAN FOUNDATION INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 134153668 SUPPORTING ORGANIZATION NY 501(C)(3) LINE 12A, I N/A 0 THE NEW YORK GRACIE SQUARE HOSPITAL INC 420 EAST 76TH STREET NEW YORK NY 10021 133746997 HEALTHCARE NY 501(C)(3) LINE 3 NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM INC 0 THE NEW YORK METHODIST HOSPITAL 506 SIXTH STREET NEW YORK NY 11215 111631796 HEALTHCARE NY 501(C)(3) LINE 3 NYHB INC 0 THE NY COMMUNITY HOSPITAL OF BROOKLYN 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 111986351 HEALTHCARE NY 501(C)(3) LINE 3 NYHB INC 0 THE ROGOSIN INSTITUTE 505 EAST 70TH STREET NEW YORK NY 10021 133184198 DIALYSIS/MEDICINE NY 501(C)(3) LINE 4 NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM INC 0 PREFERRED HEALTH NETWORK 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 112964432 INACTIVE NY 501(C)(3) LINE 12A, I NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM INC 0 SILVERCREST SENIOR HOUSING DEVELOPMENT FUND CORPORATION 144-45 87TH AVENUE BRIARWOOD NY 11435 262894911 HOUSING NY 501(C)(3) LINE 10 SILVERCREST CENTER FOR NURSING AND REHABILITATION 1 NYHB INC 506 SIXTH STREET NEW YORK NY 11215 462486539 HEALTHCARE NY 501(C)(3) LINE 12A, I NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM INC 0 NEW YORK QUEENS MEDICINE AND SURGERY PC DBA NEW YORK PRESBYTERIAN MEDICAL 56-45 MAIN STREET FLUSHING NY 11355 HEALTHCARE NY 501(C)(3) LINE 12A, I NEW YORK PRESBYTERIANQUEENS 0 THE NEW YORK AND PRESBYTERIAN HOSPITAL 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133957095 HEALTHCARE NY 501(C)(3) LINE 3 NEW YORK-PRESBYTERIAN FOUNDATION INC 0 HOSPITAL FOR SPECIAL SURGERY 535 EAST 70TH STREET NEW YORK NY 10021 131624135 HEALTHCARE NY 501(C)(3) LINE 3 NEW YORK-PRESBYTERIAN FOUNDATION INC 0 ROYAL CHARTER PROPERTIES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133158502 REAL ESTATE NY 501(C)(3) LINE 12A, I THE NEW YORK AND PRESBYTERIAN HOSPITAL 0 ROYAL CHARTER PROPERTIES EAST INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133158496 REAL ESTATE NY 501(C)(3) LINE 12A, I THE NEW YORK AND PRESBYTERIAN HOSPITAL 0 ROYAL CHARTER PROPERTIES WESTCHESTER INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133160354 REAL ESTATE NY 501(C)(3) LINE 12A, I NEW YORK-PRESBYTERIAN FOUNDATION INC 0 NYP PROGRAMS INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 475351503 HEALTHCARE NY 501(C)(3) LINE 12A, I NEW YORK-PRESBYTERIAN FOUNDATION INC 0 NEW YORK PRESBYTERIAN FUND INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133160356 FUNDRAISING NY 501(C)(3) LINE 7 NEW YORK-PRESBYTERIAN FOUNDATION INC 0 BEEKMAN STAFF RESIDENCE 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 132773085 REAL ESTATE/HOUSING NY 501(C)(3) LINE 12A, I THE NEW YORK AND PRESBYTERIAN HOSPITAL 0 NEW YORK DOWNTOWN HOSPITAL CCPH 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 113614596 FUNDRAISING/SUPPORT NY 501(C)(3) LINE 12A, I THE NEW YORK AND PRESBYTERIAN HOSPITAL 0 THE ELIZABETH BLACKWELL FOUNDATION INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133344692 HEALTH INFO SERVICES NY 501(C)(3) LINE 12A, I THE NEW YORK AND PRESBYTERIAN HOSPITAL 0 NYP COMMUNITY SERVICES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 463951535 HEALTH INFO SERVICES NY 501(C)(3) LINE 12A, I THE NEW YORK AND PRESBYTERIAN HOSPITAL 0 NYP COMMUNITY PROGRAMS INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 472126668 HEALTH INFO SERVICES NY 501(C)(3) LINE 12A, I THE NEW YORK AND PRESBYTERIAN HOSPITAL 0 NEW YORK PRESBYTERIAN PLAN MANAGEMENT LLC 525 EAST 68TH STREET NEW YORK NY 10065 134197527 INACTIVE NY THE NEW YORK AND PRESBYTERIAN HOSPITAL N/A 0 0 BMA PC 56-45 MAIN STREET FLUSHING NY 11355 112747259 MEDICAL SERVICES NY NEW YORK PRESBYTERIANQUEENS C 0 NYHQ OBGYN PC 56-45 MAIN STREET FLUSHING NY 11355 113395424 MEDICAL SERVICES NY NEW YORK PRESBYTERIANQUEENS C 0 MAIN STREET MEDICAL ASSOCIATES PC 56-45 MAIN STREET FLUSHING NY 11355 061205476 MEDICAL SERVICES NY NEW YORK PRESBYTERIANQUEENS C 0 NETWORK INSURANCE COMPANY LTD PO BOX HM 1760HM HX HAMILTON BD REINSURANCE BD NEW YORK PRESBYTERIANQUEENS C 0 NYP SERVICES INC 525 EAST 68TH STREET NEW YORK NY 10065 061830524 INACTIVE NY NEW YORK-PRESBYTERIAN FOUNDATION INC C 0 NEW YORK PRESBYTERIAN GLOBAL INC 525 EAST 68TH STREET NEW YORK NY 10065 800336716 INACTIVE NY NEW YORK-PRESBYTERIAN FOUNDATION INC C 0 COLUMBIA PRESBYTERIAN HEALTH SYSTEM INC 525 EAST 68TH STREET NEW YORK NY 10065 133053885 REAL ESTATE NY NEW YORK-PRESBYTERIAN FUND INC C 0 NYP GLOBAL SERVICES INC 525 EAST 68TH STREET NEW YORK NY 10065 133845935 INACTIVE NY NEW YORK-PRESBYTERIAN FUND INC C 0 HARKNESS HALL CLUB 525 EAST 68TH STREET NEW YORK NY 10065 133170488 LIQUOR LICENSE NY THE NEW YORK AND PRESBYTERIAN HOSPITAL C 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 SILVERCREST SENIOR HOUSING DEVELOPMENT FUND CORPORATION L 96000 COST