2016-11-15T11:50:57-06:00 2015-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2015-01-01 133746997 The New York Gracie Square Hospital Inc % DAVID WIECKS CFO NEWY 2129884400 420 East 76 Street New York NY 10021 DAVID WIECKS CFO 2016-11-15 CHRISTOPHER B BOGGS P00032493 3176817000 2015 2017-02-10 21:41:12Z DAVID WYMAN 420 EAST 76 STREET NEW YORK NY 10021 19150284 false X www.nygsh.org X 1958 NY SEE ATTACHMENT 1 10 5 325 0 0 59930 4188 39248922 15516814 111483 22426 286747 222360 39707082 15765788 0 0 0 0 25352166 21699162 0 0 0 12397592 9226626 37749758 30925788 1957324 -15160000 29389693 16816914 13828126 15566027 15561567 1250887 X TO PROVIDE HIGH QUALITY MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A CARING AND COMPASSIONATE MANNER TO PATIENTS RESIDING IN THE GREATER NEW YORK CITY METROPOLITAN AREA. TO EDUCATE THE COMMUNITY THAT WE SERVE ABOUT THE DIAGNOSIS, TREATMENT AND PREVENTION OF MENTAL ILLNESS AND CHEMICAL DEPENDENCY. TO PROVIDE CULTURALLY SENSITIVE AND LINGUISTICALLY APPROPRIATE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO THE NEW YORK CITY ASIAN POPULATION. false false 26315236 0 15535977 AS DESCRIBED IN THE NEEDS ASSESSMENT ABOVE DURING 2015 THE HOSPITAL EMBARKED UPON A REVITALIZATION PROGRAM TO IMPROVE THE QUALITY OF PATIENT CARE AND THE WAY WE PROVIDE IT; WITH THE GOAL OF PROVIDING THE HIGHEST QUALITY, STATE OF THE ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM AND HEALING ENVIRONMENT. THIS PROGRAM INCLUDED IMPROVING STAFFING RATIONS, QUALITY AND SAFETY MONITORING, PLANT RENOVATIONS, ITS INFRASTRUCTURE AND THE IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORD. THE FOLLOWING DESCRIBES SOME THE CHANGES TO OUR MISSION, CULTURE AND VALUES, PROGRAMS AND HEALTHCARE TEAM THAT BEGAN IN 2015 AND WILL CONTINUE TO BE IMPLEMENTED OVER THE COMING YEARS. GRACIE SQUARE HOSPITAL HAS PROVIDED ADVANCED, PATIENT-CENTERED INPATIENT BEHAVIORAL HEALTH SERVICES SINCE 1959. WE ARE COMMITTED TO PROVIDING PATIENTS WITH COMPASSIONATE AND COMPREHENSIVE CARE IN A WARM AND WELCOMING ENVIRONMENT IN ORDER TO FACILITATE THEIR RECOVERY AND RETURN TO THEIR FAMILIES AND COMMUNITIES. GRACIE SQUARE HOSPITAL, A PSYCHIATRIC INPATIENT FACILITY LOCATED ON A QUIET SIDE STREET ON THE UPPER EAST SIDE OF MANHATTAN, IS NOW EXPERIENCING A PERIOD OF EXTRAORDINARY TRANSFORMATION AND REVITALIZATION. THROUGH OUR AFFILIATION WITH NEWYORK-PRESBYTERIAN, ONE OF THE NATIONS PREMIER ACADEMIC HEALTHCARE DELIVERY SYSTEMS, GRACIE SQUARE HOSPITAL IS UNDERGOING RENOVATIONS, GROWING ITS STAFF, AND ENHANCING SERVICES AND PROGRAMS. UNDER NEW LEADERSHIP, THE HOSPITAL IS FOCUSED ON PROVIDING THE HIGHEST QUALITY OF CARE, EVIDENCE-BASED TREATMENTS, EDUCATION, AND TRAINING. GRACIE SQUARE HOSPITALS HIGHLY SPECIALIZED CLINICAL SERVICES ARE COMPRISED OF SPECIAL UNITS DEDICATED TO: - CRISIS STABILIZATION PROGRAM - MOOD DISORDERS PROGRAM - PSYCHOTIC DISORDERS PROGRAM - DUAL FOCUS PROGRAM - OLDER ADULT PROGRAM - EARLY RECOVERY PROGRAM - ASIAN PSYCHIATRY PROGRAM GRACIE SQUARE HOSPITAL OFFERS A MULTIDISCIPLINARY APPROACH TO CARE FOR PATIENTS WITH PSYCHIATRIC DISORDERS WHO CAN BENEFIT FROM INPATIENT HOSPITALIZATION. OUR DIAGNOSTIC AND TREATMENT PROGRAMS ARE PROVIDED BY SKILLED BEHAVIORAL HEALTHCARE AND MANAGEMENT TEAMS FOR A WIDE RANGE OF PSYCHIATRIC ILLNESSES AND DISORDERS. OUR DEDICATED TEAMS INCLUDE LICENSED AND CERTIFIED STAFF MEMBERS WHO CREATE A NURTURING, THERAPEUTIC ENVIRONMENT WHERE PATIENTS ARE ENCOURAGED TO ASK QUESTIONS AND GAIN A BETTER UNDERSTANDING ABOUT THEIR ILLNESSES AND TREATMENT. OUR GOAL IS TO HELP PATIENTS RETURN TO THEIR COMMUNITIES TO LIVE HEALTHY, PRODUCTIVE LIVES. OUR MISSION OUR MISSION IS TO PROVIDE THE HIGHEST-QUALITY, STATE-OF-THE-ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM, HEALING ENVIRONMENT. OUR CARING, COMPASSIONATE TEAM PREPARES OUR PATIENTS TO RETURN TO THEIR FAMILIES AND COMMUNITIES AND ENGAGE IN PRODUCTIVE AND FULFILLING LIVES. WE SERVE THE DIVERSE RESIDENTS OF THE GREATER NEW YORK METROPOLITAN AREA THROUGH TREATMENT, EDUCATION AND HEALTH PROMOTION. OUR CULTURE AND VALUES AT GRACIE SQUARE HOSPITAL, ALL MEMBERS OF OUR TEAM ARE GUIDED BY THESE CORE VALUES: - RESPECT TREATING EVERY PERSON IN OUR CARE WITH DIGNITY AND RESPECT - COMPASSION AND EMPATHY LISTENING, UNDERSTANDING, AND RESPONDING TO OUR PATIENTS NEEDS AND CONCERNS AND DEDICATING OURSELVES TO ALLEVIATING THEIR DISTRESS - QUALITY AND EXCELLENCE CONTINUOUSLY ADVANCING THE QUALITY OF OUR CARE TO ACHIEVE THE HIGHEST STANDARD OF EXCELLENCE - INTEGRITY MAINTAINING THE HIGHEST ETHICAL AND MORAL STANDARDS THROUGHOUT EVERY FACET OF OUR ORGANIZATION - TEAMWORK WORKING COLLABORATIVELY WITHIN OUR INTERDISCIPLINARY TEAM, PARTNERING WITH THE INDIVIDUALS UNDER OUR CARE, AND INVOLVING THEIR FAMILIES AND SUPPORT SYSTEMS PROGRAMS ACUTE CRISIS STABILIZATION SERVICE: THE CRISIS STABILIZATION PROGRAM AT GRACIE SQUARE HOSPITAL PROVIDES SHORT TERM HOSPITALIZATION FOR ADULTS WITH ACUTE PRESENTATIONS OR EXACERBATIONS OF PSYCHIATRIC SYNDROMES. THE SERVICE OFFERS DIAGNOSTIC ASSESSMENT AND TREATMENT FOR THE FULL RANGE OF MENTAL HEALTH CONDITIONS INCLUDING MOOD AND ANXIETY DISORDERS, POST-TRAUMATIC STRESS DISORDERS AND OTHERS. INDIVIDUALS REQUIRING A SAFE AND SUPPORTIVE ENVIRONMENT FOR ASSESSMENT AND SYMPTOM RELIEF ARE UNDER THE CARE OF A MULTIDISCIPLINARY TEAM. PROMPT AND THOROUGH PSYCHIATRIC AND MEDICAL EVALUATIONS HELP TO FOCUS THE GOALS OF TREATMENT. STAFF MEMBERS COLLABORATE TO PROVIDE COMPREHENSIVE CARE IN AN ACUTE TREATMENT SETTING FOR RAPID SYMPTOM RELIEF. INDIVIDUAL THERAPY IS AVAILABLE TO HELP PATIENTS IDENTIFY LIFE STRESSORS. OUR GROUP AND THERAPEUTIC ACTIVITY PROGRAM IS SUITABLE FOR A DIVERSE PATIENT POPULATION. SUCCESSFUL RETURN TO THE FAMILY AND COMMUNITY, AS WELL AS PRIOR WORK, EDUCATIONAL AND LEISURE ACTIVITIES, IS THE GOAL OF THE PROGRAM. THEREFORE, DISCHARGE PLANNING BEGINS SOON AFTER A PATIENT IS ADMITTED TO TAILOR APPROPRIATE AFTERCARE AND TO HELP PATIENTS ACCESS THE MOST APPROPRIATE SERVICES TO CONTINUE TREATMENT AS NEEDED. MOOD DISORDERS PROGRAM: GRACIE SQUARE HOSPITAL OFFERS A SPECIALIZED UNIT FOCUSING ON THE TREATMENT OF ADULTS WITH AFFECTIVE DISORDERS. INDIVIDUALS SUFFERING FROM DEPRESSION AND BIPOLAR DISORDERS AND OTHER CONDITIONS MANIFESTING MOOD SYMPTOMS RECEIVE STATE OF THE ART PSYCHOPHARMACOLOGY AND PSYCHOTHERAPY AFTER A THOROUGH DIAGNOSTIC ASSESSMENT. MULTIDISCIPLINARY TREATMENT PLANNING INCLUDES THE TREATMENT PROVIDERS AND PATIENT FOR FORMULATION OF AN INDIVIDUALIZED PLAN FOR CARE DURING THE ADMISSION. INDIVIDUAL THERAPY, MILIEU TREATMENT, DIVERSE GROUPS AND THERAPEUTIC ACTIVITIES COMPRISE ACTIVE TREATMENT, OFTEN IN ADDITION TO MEDICATION MANAGEMENT. COMBINATIONS OF MEDICATIONS AND SHORT TERM THERAPIES ARE OFTEN THE MOST EFFECTIVE APPROACHES FOR THESE CONDITIONS. PATIENTS WITH TREATMENT RESISTANT SYMPTOMS OR REQUIRING COMPLEX MEDICATION REGIMENS ARE OFTEN BEST MONITORED ON AN INPATIENT SETTING. IN ADDITION AN INPATIENT UNIT WITH A FOCUS ON MOOD DISORDERS CAN ADDRESS SAFETY ISSUES AND MEDICAL MONITORING. DURING THE STAY EXPERIENCED SOCIAL WORKERS DISCUSS APPROPRIATE OUTPATIENT FOLLOW UP AND ACCESS TO COMMUNITY RESOURCES TO PROMOTE RECOVERY. GROUP AND INDIVIDUAL THERAPIES ON THE AFFECTIVE DISORDERS UNIT DRAW UPON PRINCIPLES FROM COGNITIVE BEHAVIORAL AND DIALECTIC BEHAVIORAL TECHNIQUES. OUR MULTIDISCIPLINARY APPROACH IN A HEALING, THERAPEUTIC MILIEU WITH AN ARRAY OF RESOURCES AIMS TO PROMOTE WELLNESS WHILE PROVIDING SKILLS FOR RELAPSE PREVENTION AND RETURN TO OPTIMAL FUNCTIONING. PSYCHOTIC DISORDERS TREATMENT PROGRAM: THE PSYCHOTIC DISORDERS UNIT PROVIDES CARE FOR INDIVIDUALS WITH ACUTE EXACERBATIONS OF SCHIZOPHRENIA AND SCHIZOAFFECTIVE DISORDERS AS WELL AS THOSE WITH BIPOLAR DISORDER WITH PSYCHOTIC FEATURES. A MULTIDISCIPLINARY TREATMENT TEAM SKILLED IN TREATMENT OF THESE CONDITIONS PROVIDES A SETTING TO MANAGE ACUTE SYMPTOMS AS WELL AS DISCUSSION OF STRESSORS LEADING TO EXACERBATIONS. GROUP THERAPIES TARGET SYMPTOM IDENTIFICATION TO HELP PATIENTS LEARN WARNING SIGNS AS WELL AS COPING STRATEGIES TO MANAGE PERSISTENT SYMPTOMS OUTSIDE OF THE HOSPITAL AFTER STABILIZATION. EDUCATION ABOUT PSYCHOTIC DISORDERS PROMOTES BETTER ACCEPTANCE OF THE ILLNESSES AND ENCOURAGES TREATMENT ADHERENCE TO HELP PREVENT FUTURE RELAPSES AND MAXIMIZE FUNCTIONAL RECOVERY. THE TREATMENT MILIEU PROVIDES SUPPORT AND PROMOTES SOCIALIZATION WHILE ACUTE SYMPTOMS ARE ADDRESSED BY EXPERT PSYCHOPHARMACOLOGISTS AND PSYCHOTHERAPISTS. THE PATIENTS MEDICATION HISTORY IS REVIEWED TO PROVIDE A TREATMENT REGIMEN DESIGNED TO HAVE THE LOWEST SIDE EFFECT PROFILE AND LOWEST POSSIBLE RISK OF FUTURE MEDICAL COMPLICATIONS WHILE TREATING SYMPTOMS EFFICIENTLY. THE INDIVIDUALS PHYSICAL HEALTH STATUS IS ASSESSED AND MONITORED DURING THE INPATIENT STABILIZATION. EXPERT CLINICIANS SKILLED IN THE TREATMENT OF PSYCHOTIC DISORDERS PROVIDE INDIVIDUAL AND FAMILY THERAPY ALONG WITH EDUCATION TO PROMOTE THE BEST OUTCOMES. THE UNIT SOCIAL WORKERS DISCUSS COMMUNITY RESOURCES FOR ONGOING STABILIZATION AND COMMUNITY INTEGRATION. DUAL FOCUS UNIT: THE DUAL FOCUS UNIT PROVIDES INPATIENT TREATMENT FOR INDIVIDUALS WITH SIGNIFICANT EMOTIONAL OR PSYCHIATRIC PROBLEMS IN ADDITION TO BEING CHEMICALLY DEPENDENT. GRACIE SQUARE HOSPITAL PROVIDES COMPREHENSIVE TREATMENT ON A SPECIALIZED UNIT WHICH UTILIZES A FLEXIBLE BLEND OF PSYCHIATRIC AND SUBSTANCE ABUSE MODELS IN A SUPPORTIVE THERAPEUTIC MILIEU. OUR STAFF CONSISTS OF HIGHLY TRAINED, DEDICATED AND EXPERIENCED PSYCHIATRISTS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS, ACTIVITIES THERAPISTS AND SUBSTANCE USE COUNSELORS AS WELL AS MEDICAL, NEUROLOGICAL AND PSYCHOLOGY CONSULTANTS. CERTAIN CHEMICALLY DEPENDENT INDIVIDUALS DO NOT RESPOND READILY TO STANDARD SUBSTANCE ABUSE TREATMENT. MANY OF THESE PATIENTS ARE IN FACT SUFFERING FROM TWO CONCURRENT ILLNESSES. OFTEN THESE DUALLY DIAGNOSED PATIENTS ARE TREATED EITHER IN MENTAL HEALTH OR ADDICTION SYSTEMS OR SHUTTLED BACK AND FORTH BETWEEN THEM. FREQUENTLY THIS FRAGMENTED APPROACH RESULTS IN TREATMENT FAILURE. THE DUAL FOCUS PROGRAM HAS BEEN SPECIFICALLY DESIGNED TO PROVIDE A UNIQUE INTEGRATED TREATMENT PROGRAM TAILORED TO THE NEEDS OF THIS SPECIAL 26315236 true false false false false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 14 0 true 325 true false false false false false false false false false false X 10 5 true false false false true true false true true false false true true true false true true true true false NY X DAVID WIECKS CFO 2129884400 420 EAST 76 STREET new york NY 10021 X Mr David Wyman PRESIDENT & CEO 50.0 0.0 X X 320790 0 13875 DR PHILLIP WILNER CHAIRMAN OF THE BOARD 2.0 0.0 X 0 0 0 Mrs Vincent De Roulet Board Member 1.0 0.0 X 0 0 0 Mr Adam Owett Sr Board Member 1.0 0.0 X 0 0 0 MR JOSEPH PEYRONNIN BOARD MEMBER 1.0 0.0 X 0 0 0 DR BRIAN REGAN BOARD MEMBER 2.0 0.0 X 0 348117 57421 MS KIMLEE ROLDAN-SANCHEZ BOARD MEMBER 2.0 59.0 X 0 378599 46142 Ms Karen Westervelt Board Member 2.0 59.0 X 0 482367 30407 Mrs Cynthia Zirinsky board member 2.0 0.0 X 0 0 0 MR MARK LARMORE asst. treasurer thru 1/2015 0.0 0.0 X X 0 2322075 131580 MR GARY ZUAR ASST. 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WE VIEW THESE TOOLS AS A WAY OF TRULY HEARING OUR PATIENTS VOICES AND THEIR OPINIONS ABOUT OUR SERVICES. THE DATA GATHERED FROM SURVEYS AND MORE IN DEPTH STUDIES IS USED TO IDENTIFY ANY AREAS OF UNMET NEED OR WAYS TO IMPROVE OUR SERVICES. WE OFTEN ALSO DISCOVER OPPORTUNITIES THAT WE CAN IMPROVE THE CULTURAL COMPETENCE OF OUR SERVICES THROUGH THESE METHODS. FURTHER, BY ENSURING THAT EACH OF OUR CONSUMERS HAS THE CHANCE TO SHARE THEIR THOUGHTS AND FEELINGS ABOUT THEIR EXPERIENCE WITH US, WE HELP THEM TO (RE)GAIN A SENSE OF EMPOWERMENT AND COMPETENCY THAT IS OFTEN COMPROMISED BY THE INDIVIDUALS STRUGGLE WITH HIS/HER BEHAVIORAL HEALTH ISSUES. PART V, LINE 11 THE HOSPITAL IS LICENSED BY THE NEW YORK STATE OFFICE OF MENTAL HEALTH AS AN ARTICLE 31 FREE STANDING PSYCHIATRIC HOSPITAL AND AS SUCH IS LIMITED IN REGARDS TO PROVIDING ADDITIONAL MEDICAL SERVICES. OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED THE HOSPITAL WAS MEETING THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY. THE HOSPITAL HAS CONTINUED TO PROVIDE THESES NEEDED SERVICES IN 2015 AND HAS COMMITTED TO THOROUGHLY REVIEWING HOW THESE SERVICES ARE DELIVERED IN 2016, TO ENSURE THAT WE PROVIDE THE HIGHEST QUALITY TO OUR PATIENTS AND THE COMMUNITY. PART V, LINE 13 THE HOSPITAL PROVIDES FREE AND DISCOUNTED CARE TO UNINSURED AND UNDER INSURED INDIVIDUALS. FREE AND DISCOUNTED CARE IS APPROVED BASED UPON AN INDIVIDUALS FINANCIAL RESOURCES. PART V, LINE 14 AMOUNTS GENERALLY BILLED TO PATIENTS ARE CALCULATED BASED UPON THE CARE PROVIDED, MEDICARE AND MEDICAID REGULATIONS, AGREEMENTS WITH PRIVATE INSURERS AND INDIVIDUALS. INCOME LEVEL, ASSET LEVEL AND MEDICAL INDIGENCY ARE ALSO CONSIDERED IN CALCULATING DISCOUNTS FOR QUALIFIED INDIVIDUALS. PART V, LINE 15 and 16 FINANCIAL ASSISTANCE MAY BE APPLIED FOR BY CONTACTING THE ADMITTING OFFICE. APPLICANTS MAY BE REQUIRED TO COMPLETE A MEDICAID APPLICATION AND TO PROVIDE DOCUMENTATION REQUIRED BY MEDICAID TO PROCESS THE APPLICATION. THE HOSPITAL WILL ASSIST WITH SUBMITTING MEDICAID APPLICATIONS AND WITH MEDICARE ENROLMENT OR PROVIDE INFORMATION FOR INDIVIDUALS TO DO SO ON THEIR OWN. PART V, LINE 18 AND 19 PRIOR TO MAKING EFFORTS TO DETERMINE IF AN INDIVIDUAL MAY BE COVERED BY THE HOSPITALS FINANCIAL ASSISTANCE POLICY THE HOSPITAL WILL NOT, NOR WILL IT AUTHORIZE A THIRD PARTY TO, COMMENCE EXTRAORDINARY COLLECTION EFFORTS SUCH AS REPORTING TO A CREDIT AGENCY, LAWSUITS OR LIENS ON RESIDENCES. THE HOSPITAL MAY REFER SUCH ACCOUNTS TO A COLLECTIONS AGENCY; HOWEVER SUCH AGENCIES ARE ALSO PROHIBITED FROM ENGAGING IN SUCH EXTRAORDINARY COLLECTION EFFORTS WITHOUT THE APPROVAL OF THE HOSPITAL. DURING 2015 THE HOSPITAL DID NOT INITIATE ANY SUCH EXTRAORDINARY COLLECTION EFFORTS. PART V, LINE 21D THE HOSPITAL DOES NOT PROVIDE EMERGENCY MEDICAL CARE. PART V, LINE 22D THE MAXIMUM AMOUNT CHARGED TO INDIVIDUALS UNDER THE FINANCIAL ASSISTANCE POLICY IS SET AT A RATE BELOW THE AVERAGE RATE PAID BY NON MEANS TESTED COMMERCIAL PAYORS. THIS METHOD APPROXIMATES THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. PART I, LINE 3C GRACIE SQUARE HOSPITAL PROVIDES FREE OR DISCOUNTED CARE (FINANCIAL ASSISTANCE) TO THE MEDICALLY INDIGENT AND THOSE WHO LACK THE ABILITY TO PAY FOR SOME OR ALL OR THEIR MEDICAL EXPENSES. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE PATIENTS FINANCIAL RESOURCES. PART I, LINE 7 INPATIENT COSTS FOR THE AMOUNTS REPORTED WERE CALCULATED ON A COST PER PATIENT DAY BASIS. PART II SEE PROMOTION OF COMMUNITY HEALTH. PART III, LINE 2 THE COSTS TO PROVIDE CARE WHICH HAS BECOME UNCOLLECTIBLE OR BAD DEBT, HAS BEEN CALCULATED UTILIZING A COST TO CHARGE RATIO. PAYMENTS, DISCOUNTS AND FINANCIAL ASSISTANCE EXCLUDED FROM AMOUNTS CONSIDERED TO BE BAD DEBT. PART III, LINE 4 RECEIVABLES FOR PATIENT CARE: PATIENT ACCOUNTS RECEIVABLE FOR WHICH THE HOSPITAL RECEIVES PAYMENT UNDER COST-BASED OR PROSPECTIVE PAYMENT REIMBURSEMENT FORMULA OR NEGOTIATED RATES, WHICH COVER THE MAJORITY OF THE PATIENT SERVICES, ARE STATED AT THE ESTIMATED NET AMOUNT RECEIVABLE FROM SUCH PAYORS, WHICH ARE GENERALLY LESS THAN THE ESTABLISHED BILLING RATES OF THE HOSPITAL. THE AMOUNT OF THE ALLOWANCE FOR UNCOLLECTIBLES IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLES RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLES. PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE DETERMINED PURSUANT TO THE LAWS AND REGULATIONS APPLICABLE TO ALLOWABLE COSTS AND MEDICARE'S STEP DOWN METHODOLOGY. THE HOSPITAL BELIEVES THAT ALL OF THE $2,480,474 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 47% NET PATIENT SERVICE REVENUE. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS AND THAT SHORTFALL SHOULD BE COUNTED AS COMMUNITY BENEFIT. FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL, MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT. PART III, LINE 9B PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PRACTICES. needs assessment AS PART OF OUR COMMUNITY BENEFIT STRATEGY, GRACIE SQUARE HOSPITAL CONTINUOUSLY STRIVES TO MAINTAIN AND IMPROVE THE QUALITY OF SERVICES PROVIDED TO OUR PATIENTS THROUGH QUALITY IMPROVEMENT STUDIES AND PATIENT SATISFACTION SURVEYS. WE VIEW THESE TOOLS AS A WAY OF TRULY HEARING OUR PATIENTS' VOICES AND THEIR OPINIONS ABOUT OUR SERVICES. THE DATA GATHERED FROM SURVEYS AND MORE IN DEPTH STUDIES IS USED TO IDENTIFY ANY AREAS OF UNMET NEED OR WAYS TO IMPROVE OUR SERVICES. DURING 2015 THE HOSPITAL EMBARKED UPON A REVITALIZATION PROGRAM TO IMPROVE THE QUALITY OF PATIENT CARE AND THE WAY WE PROVIDE SUCH CASE; WITH THE GOAL OF PROVIDING THE HIGHEST QUALITY, STATE OF THE ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM AND HEALING ENVIRONMENT. THIS PROGRAM INCLUDED IMPROVING STAFFING RATIONS, QUALITY AND SAFETY MONITORING, PLANT RENOVATIONS, ITS INFRASTRUCTURE AND THE IMPLEMENTATION OF AN ELECTRONIC HEALTH RECORD. SEE ATTACHMENT 2 FOR ADDITIONAL INFORMATION. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE GRACIE SQUARE HOSPITAL EDUCATES PATIENTS ABOUT FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE TO THEM, INCLUDING GOVERNMENT RUN PROGRAMS SUCH AS MEDICARE AND MEDICAID. THE HOSPITAL ALSO ASSISTS PATIENTS IN APPLYING FOR SUCH BENEFITS. COMMUNITY INFORMATION GRACIE SQUARE HOSPITAL PROVIDES CARE PRIMARILY TO PATIENTS RESIDING IN THE GREATER NEW YORK CITY METROPOLITAN AREA. PROMOTION OF COMMUNITY HEALTH GRACIE SQUARE HOSPITAL PROVIDES HOUSING, CLOTHING AND OTHER ASSISTANCE TO HOMELESS PATIENTS UPON DISCHARGE. SUCH ASSISTANCE SIGNIFICANTLY REDUCES THE CHANCES OF RE-HOSPITALIZATION. THE HOSPITAL ALSO PROVIDED FREE MEETING SPACE TO SEVERAL COMMUNITY BASED GROUPS. AFFILIATED HEALTH CARE SYSTEM GRACIE SQUARE HOSPITAL IS A MEMBER OF THE NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM. THE NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM IS A FEDERATION OF TOP-QUALITY HOSPITALS, SPECIALTY INSTITUTES, AND CONTINUING CARE CENTERS THROUGHOUT NEW YORK, NEW JERSEY, AND CONNECTICUT. IT WAS FOUNDED TO BRING ABOUT A POSITIVE CHANGE IN THE WAY HEALTHCARE IS DELIVERED TO THE COMMUNITY. THE NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM IS DEDICATED TO IMPROVING PATIENT CARE, MEDICAL EDUCATION AND RESEARCH THROUGHOUT THIS REGION OF THE UNITED STATES. X X X X X true true false false false false false true false Mr David Wyman PRESIDENT & CEO 290126 0 10000 0 20664 0 0 0 13875 0 334665 0 0 0 DR BRIAN REGAN BOARD MEMBER 0 229669 0 92560 0 25888 0 21939 0 35482 0 405538 0 0 MS KIMLEE ROLDAN-SANCHEZ BOARD MEMBER 0 272404 0 79101 0 27094 0 26927 0 19215 0 424741 0 0 Ms Karen Westervelt Board Member 0 450121 0 0 0 32246 0 3313 0 27094 0 512774 0 0 Ms Kathleen Burke Secretary 0 290106 0 74037 0 5463 0 33124 0 24937 0 427667 0 0 Ms Phyllis R Lantos Treasurer 0 915971 0 849648 0 952969 0 24335 0 34582 0 2777505 0 322567 MR MARK LARMORE asst. treasurer thru 1/2015 0 40031 0 0 0 2282044 0 130760 0 820 0 2453655 0 61201 Mr David Wiecks CFO 167040 0 0 0 22988 0 13566 0 11554 0 215148 0 0 0 MR GARY ZUAR ASST. TREASURER 0 585287 0 376000 0 363263 0 22628 0 27901 0 1375079 0 103374 DR SATYANARAYANA ABKARI PSYCHIATRIST 148138 0 0 0 24000 0 10328 0 0 0 182466 0 0 0 MR SHAUN ANDERSON Admitting Director 183839 0 0 0 600 0 11102 0 11275 0 206816 0 0 0 MS LYNN BELLAMY REGISTERED NURSE 108057 0 0 0 24000 0 9464 0 16198 0 157719 0 0 0 Mr Frank Bruno Former President & CEO 295533 0 0 0 0 0 7950 0 1511 0 304994 0 0 0 DR Mensud KURJAKOVIC PSYCHIATRIST 348920 0 0 0 11980 0 13249 0 25280 0 399429 0 0 0 Ms Hilde Lutz Director of nursing 141427 0 0 0 72 0 14157 0 1347 0 157003 0 0 0 MR MICHAEL RADOSTA CHIEF NURSING OFFICER 107293 103284 0 12925 3549 73 0 9032 9571 17712 120413 143026 0 0 DR MARK STRACKS PSYCHIATRIST 135062 0 0 0 1892 0 0 0 13302 0 150256 0 0 0 Roger Wolfsohn Medical director 248010 0 0 0 35738 0 21200 0 25176 0 330124 0 0 0 New Supplemental Information PART I, LINE 4A: MARK LARMORE RECEIVED 2,220,000 IN SEVERANCE EFFECTIVE 1/2015 The former President and CEO Frank Bruno received 304,994 in severance during 2015. PART I, LINE 4B: participated in supplemental nonqualified retirement plan: mark larmore: 120,029. part III, line 4b: supplemental nonqualified retirement plan as reported on the w-2: mark larmore: 61,201. phyllis lantos: 829,614. Gary zuar: 293,471. Schedule J, Part I, Line 7 All bonuses are granted at the discretion of and approved by the compensation committee of the Board of Trustees; they are based on the achievement of predetermined goals and objectives. Form 990, Part VII, Section A Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of the NEW YORK GRACIE SQUARE HOSPITAL INC. are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2015 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. The individuals listed in part VII that are compensated by the new york gracie square hospital, unless otherwise indicated, devote an average of fifty hours per week to perform their responsibilities for the new york gracie square hospital. Family Relationships Form 990, Part VI, LIne 2 BOARD MEMBERS MRS. CYNTHIA ZIRINSKY AND MR. JOSEPH PEYRONNIN HAVE A FAMILY RELATIONSHIP. Organization's Members FORM 990, PART VI, LINES 6 & 7A THE NEW YORK GRACIE SQUARE HOSPITAL, INC. IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. ("SYSTEM INC."). SYSTEM INC. IS A TAX-EXEMPT ORGANIZATION WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN FOUNDATION, INC., WHICH IS ALSO A TAX-EXEMPT ORGANIZATION. THE MEMBERS OF THE ORGANIZATION ELECT THE ORGANIZATION'S BOARD OF TRUSTEES. REVIEW PROCESS FOR THE FORM 990 FORM 990, PART VI, LINE 11B THE HOSPITAL'S CONTROLLER PREPARES AND COMPILES SUPPORTING WORK PAPERS AND RELATED DOCUMENTS REQUIRED TO PREPARE THE FORM 990 AND RELATED SCHEDULES (THE "RETURN") THAN PREPARES A DRAFT OF THE RETURN TO BE REVIEWED BY THE HOSPITAL'S CHIEF FINANCIAL OFFICER ("CFO"). UPON SATISFACTORY REVIEW BY THE CFO THE DRAFT RETURN IS FORWARDED TO ERNST & YOUNG U.S. LLP (EY). EY PERFORMS REVIEW PROCEDURES DESIGNED TO EVALUATE THE CORRECTNESS AND MECHANICAL ACCURACY OF THE RETURN. UPON COMPLETION OF THEIR REVIEW PROCEDURES, EY PREPARES A FINAL DRAFT WHICH IS REVIEWED BY THE HOSPITAL'S CFO AND PRESENTED TO THE AUDIT COMMITTEE FOR APPROVAL. UPON SUCH APPROVAL IT IS PRESENTED TO THE BOARD OF TRUSTEES FOR APPROVAL. A COPY OF THE APPROVED RETURN IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES, PRIOR TO ITS FILING WITH THE IRS. MONITOR AND ENFORCE COMPLIANCE WITH POLICIES CONFLICT OF INTEREST FORM 990, PART VI, LINE 12C ALL TRUSTEES, OFFICERS AND KEY EMPLOYEES WILL, AT LEAST ANNUALLY, FILE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT. EVERY TRUSTEE, OFFICER AND KEY EMPLOYEE HAS AN AFFIRMATIVE OBLIGATION TO UPDATE HIS OR HER ANNUAL WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WHENEVER THERE ARE NEW OR CHANGED FACTS OR CIRCUMSTANCES THAT CREATE A DISCLOSABLE CONFLICT OF INTEREST. COPIES OF ALL SUCH STATEMENTS ARE PROVIDED TO THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE. ALL COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND ALL OTHER DISCLOSURES OF DISCLOSABLE CONFLICTS OF INTEREST THAT RAISE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THAT CREATE THE APPEARANCE OF AND ACTUAL OR POTENTIAL CONFLICT OF INTEREST, WILL BE FORWARDED BY THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE TO THE AUDIT AND COMPLIANCE COMMITTEE FOR ITS CONSIDERATION. THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD WILL CONDUCT A FULL REVIEW OF ALL MATTERS THAT RAISE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THAT CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN SO DOING, THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE: THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD WILL MAKE A FINAL AND BINDING DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS OR MAY EXIST, AND WHAT COURSE THE HOSPITAL WILL TAKE IN CONNECTION WITH THE MATTER (SEE SCHEDULE L BELOW). COMPENSATION APPROVAL PROCESS FORM 990, PART VI, LINES 15A & 15B THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE") OVERSEES MATTERS CONCERNING COMPENSATION AND BENEFITS FOR OFFICERS AND OTHER EXECUTIVES. THE MEMBERS OF THE COMMITTEE INCLUDE INDEPENDENT TRUSTEES. PART OF THE COMMITTEES DELIBERATION AND DECISION PROCESS INCLUDES REVIEW OF COMPARABLE AND CONTEMPORANEOUS DATA. ACCESS TO ORGANIZATIONAL DOCUMENTS Form 990, Part VI, Line 19 INSPECTION OF THE HOSPITAL'S FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE ARRANGED UPON REQUEST. AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS THE INDIVIDUALS LISTED IN PART VII THAT ARE COMPENSATED BY THE NEW YORK GRACIE SQUARE HOSPITAL, UNLESS OTHERWISE INDICATED, DEVOTE AN AVERAGE OF FIFTY HOURS PER WEEK TO PERFORM THEIR RESPONSIBILITIES FOR THE NEW YORK GRACIE SQUARE HOSPITAL. CERTAIN OFFICERS AND KEY EMPLOYEES OF THE NEW YORK PRESBYTERIAN HOSPITAL THAT ARE IDENTIFIED IN PART VII AS OFFICERS OR TRUSTEES OF THE NEW YORK GRACIE SQUARE HOSPITAL INC ARE RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE NEW YORK PRESBYTERIAN HOSPITAL (NYP) AND ITS AFFILIATED ENTITIES. COMPENSATION FOR 2015 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 TO 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. EACH OF THE OFFICERS AND KEY EMPLOYEES LISTED DEVOTES AN AVERAGE OF SIXTY HOURS PER WEEK TO PERFORM HIS OR HER RESPONSIBILITIES FOR THE REPORTING ENTITY AND OTHER RELATED ORGANIZATIONS IN THE AGGREGATE. SCHEDULE L, CONFLICT OF INTEREST DUE TO SIGNIFICANT BUSINESS DISRUPTIONS STARTING IN LATE 2014 AND CONTINUING INTO 2015, THE HOSPITAL WAS UNABLE TO CONDUCT A FORMAL CONFLICT OF INTEREST SURVEY FOR TRANSACTIONS WITH INTERESTED PERSONS. A SURVEY WAS SUCCESSFULLY DONE IN DECEMBER OF 2014 AND ONE IS PLANNED FOR 2016. MANAGEMENT IS NOT AWARE OF ANY REPORTABLE TRANSACTIONS FOR 2015. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 DISTRIBUTION FROM NEW YORK AND PRESBYTERIAN HOSPITAL FOR THE PURCHASE OF FIXED ASSETS. 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