2015-11-14T19:27:29-06:00 2014-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2014-01-01 112925535 THE SILVERCREST CENTER FOR NURSING AND REHABILITATION SILV 7184804065 144-45 87TH AVENUE JAMAICA NY 114353109 ELIAS NEMNOM VICE PRESIDENT/CFO 7184804097 2015-11-12 1 AARON SHAPIRO P01333816 2128674000 2014 2016-04-25 22:37:26Z ELIAS NEMNOM 144-45 87TH AVENUE JAMAICA NY 114353109 51590392 0 X WWW.SILVERCREST.ORG X 1990 NY SKILLED NURSING FACILITY 10 5 567 130 0 0 193200 296522 51276583 50401383 47813 20609 546934 827160 52064530 51545674 0 0 0 0 35488489 35026145 0 0 0 18191001 17881578 53679490 52907723 -1614960 -1362049 34700420 33414113 26875070 26845162 7825350 6568951 SEE SCHEDULE O. 0 0 46938459 50475133 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. 46938459 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 0 0 0 0 0 1 1 1 0 0 1 44 0 567 1 0 0 0 0 0 1 1 0 0 0 0 X 10 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ELIAS NEMNOM VICE PRESIDENTCFO 7184804065 144-45 87TH AVENUE JAMAICA NY 114353109 X GARY J ZUAR CHAIRMAN-BOARD 8.00 52.00 X X 0 1187335 55806 STEPHEN S MILLS FACHE VICE CHAIR/PRES./CEO 10.00 50.00 X X 0 890713 49250 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 350635 43012 KATHLEEN M BURKE ESQ TRUSTEE 1.00 59.00 X 0 364119 51608 MICHAEL FOSINA TRUSTEE 1.00 59.00 X 0 610908 58040 LARRY S OSKOWSKY TRUSTEE 1.00 X 0 0 0 MICHAEL TRETOLA FACHE SR. VP/ADMINISTRATOR 50.00 10.00 X 267031 53407 45718 WILLIAM P WISSEMANN ESQ SR VP/GEN COUNS/SECRETARY 2.00 58.00 X 0 374711 38472 KEVIN J WARD CPA TREASURER 3.00 57.00 X 0 528754 49669 MITCHELL J DEFRIN CPA VP/CFO 58.00 2.00 X 261188 9007 27271 DANIEL RUSSO MD VP/CHIEF MEDICAL OFFICER 60.00 X 292385 0 23555 KYLE JACOBI ESQ ASSISTANT SECRETARY 2.00 58.00 X 0 244269 28236 AUNG ZE YA MD PHYSICIAN 60.00 X 186787 0 29047 KAREN DIKEMAN AVP REHABILITATION 60.00 X 140472 0 31712 NATASHA ELIE-LOUISSAINT LNHA VP/ASSOCIATE ADMINISTRATOR 55.00 5.00 X 155147 14104 49556 LORETTA MCMANUS VP OF NURSING 60.00 X 205957 0 36798 JULIA DAVID MD PHYSICIAN 60.00 X 150981 0 22557 1659948 4627962 640307 28 0 1 0 COMPASS GROUP - MORRISON MANAGEMENT SPEC PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 2343332 OCEANSIDE INSTITUTION 2525 LONG BEACH ROAD OCEANSIDE NY 11572 LAUNDRY & LINEN 428906 DEFENDER SECURITY SERVICES INC 97-29 64TH ROAD REGO PARK NY 11374 SECURITY 193859 APEX THERAPEUTICS 1010 NORTHERN BLVD GREAT NECK NY 10021 THERAPEUTIC AGENCY 181420 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 ACCOUNTING 150637 10 24300 272222 296522 MEDICARE/MEDICAID 623000 36913640 36913640 PRIVATE/HMO/HOSPICE AND OTHER 623000 13487743 13487743 50401383 20609 20609 80400 6650 73750 73750 73750 120525 24300 38068 82457 82457 CAFETERIA 900099 230550 230550 MANAGEMENT FEES 900099 221000 221000 PORTION OF HEALTH BENEFITS 900099 20169 20169 199234 199234 670953 51545674 50475133 0 774019 X 908619 317889 590730 23570610 22253301 1317309 1870029 1699854 170175 6660775 6061305 599470 2016112 1834662 181450 616361 616361 119233 119233 165417 165417 4586 4586 10769 10769 6406904 5946603 460301 18395 18395 3925188 3726095 199093 262386 262386 1468971 647640 821331 22985 11820 11165 59324 59324 1466279 1275660 190619 679203 590906 88297 NURSING HOME ASSESSMENT 2496221 2496221 159356 17179 142177 52907723 46938459 5969264 0 29552 53312 2978244 5524333 8229483 9374999 115890 85359 324018 349055 52795714 37894702 15433839 14901012 4965272 355399 146430 131538 2477692 2639106 34700420 33414113 7164763 9036815 311117 359328 15820839 14518794 3578351 2930225 26875070 26845162 X 7674461 6515643 150889 53308 7825350 6568951 34700420 33414113 X -1362049 19141 86509 X X 0 1 X 1 0 X 92754 123878 139193 193200 296522 845547 50227278 50868986 51888654 51276583 50401383 254662884 50320032 50992864 52027847 51469783 50697905 255508431 0 0 0 255508431 187300 185112 96686 127813 101009 697920 187300 185112 96686 127813 101009 697920 662941 844258 880957 486317 670953 3545426 51170273 52022234 53005490 52083913 51469867 259751777 0.98370 0.98180 0.00270 0.00330 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES CAFETERIA PORTION OF HEALTH BENEFITS MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4586 4586 0 PART II-B, LINE 1: CCLC DUES, LEADING AGE DUES AND NY PRESBYTERIAN DUES. 0 1 X 1713566 1713566 29461508 22701254 6760254 20881964 14604153 6277811 738676 589295 149381 14901012 RESIDENT TRUST FUNDS 359328 DUE FROM THIRD PARTIES 932961 DUE FROM RELATED ORGANIZATIONS 1346817 2639106 DUE TO THIRD PARTIES 1500526 SWAP LIABILITY 1429699 2930225 X 51657974 19141 93159 112300 51545674 0 51545674 52914373 6650 6650 52907723 0 52907723 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: SILVERCREST HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2011 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SWAP AGREEMENT 86,509. RENTAL EXPENSES 6,650. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 6,650. ANNUAL GOLF CLASSIC 144825 24300 120525 6284 26840 4944 144825 24300 120525 6284 26840 4944 38068 82457 X X X X X 0 0 0 0 0 0 0 1 0 GARY J ZUAR CHAIRMAN-BOARD 0 564288 0 328647 0 294400 0 30414 0 25392 0 1243141 0 82890 STEPHEN S MILLS FACHE VICE CHAIR/PRES./CEO 0 873938 0 0 0 16775 0 20800 0 28450 0 939963 0 0 KIMLEE ROLDAN SANCHEZ TRUSTEE 0 259492 0 72924 0 18219 0 25507 0 17505 0 393647 0 0 KATHLEEN M BURKE ESQ TRUSTEE 0 292529 0 66000 0 5590 0 31369 0 20239 0 415727 0 0 MICHAEL FOSINA TRUSTEE 0 406771 0 167517 0 36620 0 32306 0 25734 0 668948 0 0 MICHAEL TRETOLA FACHE SR. VP/ADMINISTRATOR 262748 52550 0 0 4283 857 17333 3467 20765 4153 305129 61027 0 0 WILLIAM P WISSEMANN ESQ SR VP/GEN COUNS/SECRETARY 0 367187 0 0 0 7524 0 20800 0 17672 0 413183 0 0 KEVIN J WARD CPA TREASURER 0 507829 0 0 0 20925 0 20800 0 28869 0 578423 0 0 MITCHELL J DEFRIN CPA VP/CFO 255714 8818 0 0 5474 189 9860 340 16502 569 287550 9916 0 0 DANIEL RUSSO MD VP/CHIEF MEDICAL OFFICER 288200 0 0 0 4185 0 20800 0 2755 0 315940 0 0 0 KYLE JACOBI ESQ ASSISTANT SECRETARY 0 243561 0 0 0 708 0 18800 0 9436 0 272505 0 0 AUNG ZE YA MD PHYSICIAN 186787 0 0 0 0 0 8518 0 20529 0 215834 0 0 0 KAREN DIKEMAN AVP REHABILITATION 139259 0 0 0 1213 0 11351 0 20361 0 172184 0 0 0 NATASHA ELIE-LOUISSAINT LNHA VP/ASSOCIATE ADMINISTRATOR 154875 14079 0 0 272 25 13090 1190 32336 2940 200573 18234 0 0 LORETTA MCMANUS VP OF NURSING 205957 0 0 0 0 0 16646 0 20152 0 242755 0 0 0 JULIA DAVID MD PHYSICIAN 150861 0 0 0 120 0 6788 0 15769 0 173538 0 0 0 PART I, LINE 7 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 REHABILITATION ARE RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE NEW YORK PRESBYTERIAN HOSPITAL (NYP) AND ITS AFFILIATED ENTITIES. COMPENSATION FOR 2014 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. FORM 990, PART VI, SECTION A, LINE 6 SILVERCREST CENTER FOR NURSING AND REHABILITATION (THE "ORGANIZATION") 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. THE MEMBERS OF THE ORGANIZATION ELECT THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A SILVERCREST CENTER FOR NURSING AND REHABILITATION (THE "ORGANIZATION") IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC, WHOSE MEMBERS ARE SELECTED BY NEW YORK-PRESBYTERIAN FOUNDATION, INC. THE ORGANIZATION'S 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 APPERTAIN 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 THE CORPORATION, (4) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY OR (5) THE DISSOLUTION OF THE CORPORATION. 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 CORPORATION'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 11 A DRAFT OF THE FORM 990 WAS PRESENTED TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD AT A MEETING HELD DURING THE MONTH NOVEMBER OF 2015. EACH MEMBER REVIEWED IT AND WHEN SATISFIED, APPROVED IT, THE FORM 990 WAS APPROVED BY AUDIT MEMBERS AND RECORDED IN THE BOARD MINUTES. 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 THE SILVERCREST ORGANIZATION AS WOULD OTHERWISE BE OBTAINABLE BY THE SILVERCREST ORGANIZATION. 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 THE SILVERCREST ORGANIZATION 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 EXECUTIVE COMPENSATION AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE. THE COMMITTEE CONDUCTS A SALARY SEARCH OF OTHER SIMILAR ORGANIZATIONS. THE LAST SEARCH WAS PERFORMED IN 2014. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE FOR THE PUBLIC UPON REQUEST. PART VII, SECTION A FOR PURPOSES OF REPORTING SALARY ALLOCATIONS ON PART VII SCH A BETWEEN THE ORGANIZATION (COL D) AND RELATED ORGANIZATIONS (COL E) THE FOLLOWING FORMULA WAS USED: THE RATIO OF HOURS DEDICATED TO THE ORGANIZATION TO TOTAL HOURS WORKED BY THE INDIVIDUAL ACROSS ALL ORGANIZATIONS APPLIED TO TOTAL COMPENSATION PAID BY ALL ORGANIZATIONS. THIS METHOD IS APPLIED CONSISTENTLY FOR ALL INDIVIDUALS WHO DEDICATED MORE THAN ONE HOUR WEEKLY TO THE ORGANIZATION REGARDLESS OF WHAT ORGANIZATION THEY RECEIVED DIRECT W2 COMPENSATION FROM. FORM 990, PART VII, SECTION A, SERP 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 REHABILITATION ARE RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE NEW YORK PRESBYTERIAN HOSPITAL (NYP) AND ITS AFFILIATED ENTITIES. COMPENSATION FOR 2014 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. FORM 990, PART IX, LINE 11G PATIENT SERVICE FEES: PROGRAM SERVICE EXPENSES 2,180,300. MANAGEMENT AND GENERAL EXPENSES 94,939. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,275,239. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 45,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,754. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 63,068. MANAGEMENT AND GENERAL EXPENSES 16,424. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,492. FOOD SERVICE FEE: PROGRAM SERVICE EXPENSES 3,413,174. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,413,174. BUILDING SERVICE FEE: PROGRAM SERVICE EXPENSES 230,097. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 230,097. SECURITY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 193,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193,140. MISCELLANEOUS CONTRACT SERVICE FEE: PROGRAM SERVICE EXPENSES 14,210. MANAGEMENT AND GENERAL EXPENSES 11,940. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,150. BILLING SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 74,366. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,366. EMPLOYMENT SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 69,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,492. FORM 990, PART XI, LINE 9: GAIN ON SWAP AGREEMENT 86,509. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART III, LINE 1 SILVERCREST CENTER FOR NURSING AND REHABILITATION LOCATED IN QUEENS, NEW YORK HAS CHOSE OUR MISSION TO PROVIDE A CONTINUUM OF CARE THROUGH DIVERSE PROGRAMS THAT PROVIDE QUALITY HEALTH CARE AND PROMOTE INDEPENDENCE AND DIGNITY FOR ALL, IN AN ENVIRONMENT WHERE LEADERSHIP IS BY EXAMPLE, KNOWLEDGE IS SHARED, CREATIVITY IS SOUGHT AFTER AND CONTINUED EDUCATION IS PROMOTED. SIMPLY PUT, "GIVING QUALITY TO LIFE". SILVERCREST HAS HARNESSED THE RESOURCE AND CREATED THE SPIRIT AND ENVIRONMENT THAT IS NEEDED TO EXCEL IN LONG-TERM CARE, SUB-ACUTE REHABILITATION AND VENTILATOR PATIENTS. IT IS, IN FACT, THE SYNERGY THAT HAS DEVELOPED BETWEEN OUR THREE PATIENT CARE SYSTEMS THAT ALLOWS US TO DELIVER A LEVEL OF QUALITY FOR EACH THAT WOULD BE HARD TO ACHIEVE FOR INDIVIDUAL SERVICES EXISTING ON THEIR OWN. JUST AS OUR LONG TERM CARE RESIDENTS BENEFIT FROM THE PRESENCE OF A VIBRANT, ON-SITE SUB-ACUTE REHABILITATION PROGRAM, AND FROM THE SOPHISTICATED MEDICAL RESOURCES NEEDED TO RUN OUR AWARD-WINNING VENTILATOR AND RESPIRATORY CARE UNIT, SO THE LIVES OF OUR VENTILATOR PATIENTS ARE ENRICHED BY THE RECREATIONAL AND PASTORAL RESOURCES OF OUR LONG TERM CARE PROGRAM. PLEASE VISIT THE WEBSITE FOR A VIRTUAL TOUR AT WWW.SILVERCREST.ORG. NETWORK RECOVERY SERVICES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 113160901 COLLECTION NY 501 C (3) 11 TYPE III NYP SYSTEM INC 0 NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS 56-45 MAIN STREET FLUSHING NY 11355 111839362 HEALTHCARE NY 501 C (3) 3 NYP SYSTEM INC 0 CRT SURGICAL ASSOCIATES PC 56-45 MAIN STREET FLUSHING NY 11355 112226870 HEALTHCARE NY 501 C (3) 11 TYPE I NYHQ 0 NEW YORK HOSPITAL QUEENS FOUNDATION INC 56-45 MAIN STREET FLUSHING NY 11355 112848858 EDU/RESEARCH NY 501 C (3) 4 NYHQ 0 NY PRESBYTERIAN HEALTHCARE SYSTEM INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133792361 SPONSOR NY 501 C (3) 11 TYPE III NYP FDN 0 NEW YORK PRESBYTERIAN FUND INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133160356 FUNDRAISING NY 501 C (3) 7 NYP FDN 0 NEW YORK PRESBYTERIAN FOUNDATION INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG NY 501 C (3) 11 TYPE I N/A 0 THE NEW YORK AND PRESBYTERIAN HOSPITAL 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133957095 HEALTHCARE NY 501 C (3) 3 NYP FDN 0 ROYAL CHARTER PROPERTIES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133158502 REAL ESTATE NY 501 C (3) 11 TYPE II NYP FDN 0 ROYAL CHARTER PROPERTIES EAST INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133158496 REAL ESTATE NY 501 C (3) 11 TYPE II NYP FDN 0 ROYAL CHARTER PROPERTIES WESTCHESTER INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133160354 REAL ESTATE NY 501 C (3) 11 TYPE II NYP FDN 0 HOSPITAL FOR SPECIAL SURGERY 535 EAST 70TH STREET NEW YORK NY 10021 131624135 HEALTHCARE NY 501 C (3) 3 NYP FDN 0 THE NEW YORK GRACIE SQUARE HOSPITAL INC 420 EAST 76TH STREET NEW YORK NY 10021 133746997 HEALTHCARE NY 501 C (3) 3 NYP SYSTEM INC 0 THE NEW YORK METHODIST HOSPITAL 506 SIXTH STREET NEW YORK NY 11215 111631796 HEALTHCARE NY 501 C (3) 3 NYHB INC 0 THE BROOKLYN HOSPITAL CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 111630755 HEALTHCARE NY 501 C (3) 3 NYP SYSTEM INC 0 THE NY COMMUNITY HOSPITAL OF BROOKLYN 525 EAST 68TH STREET NEW YORK NY 10065 111986351 HEALTHCARE NY 501 C (3) 3 NYHB INC 0 THE ROGOSIN INSTITUTE 505 EAST 70TH STREET NEW YORK NY 10021 133184198 DIALYSIS/MED NY 501 C (3) 4 NYP SYSTEM INC 0 THE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HEALTHCARE NY 501 C (3) 3 NYP SYSTEM INC 0 PREFERRED HEALTH NETWORK 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 112964432 INACTIVE NY 501 C (3) 11 TYPE I NYP SYSTEM INC 0 ASHLAND PLACE HOUSES INC 121 DEKALB AVENUE BROOKLYN NY 11201 112390927 REAL ESTATE NY 501(C)(2) TBHC 0 CALENDONIAN HEALTH CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 542117028 CLINICS NY 501 C (3) 9 TBHC 0 ASHLAND PLACE HOLDING CORP 121 DEKALB AVENUE BROOKLYN NY 11201 113304353 TITLE HOLDING NY 509 A (2) N/A TBHC 0 BROOKLYN HOSPITAL SELF INSURANCE TRUST 121 DEKALB AVENUE BROOKLYN NY 11201 112501235 SELF INS TRUST NY 501 C (3) 11 TYPE I TBHC 0 BROOKLYN HOSPITAL FOUNDATION INC 121 DEKALB AVENUE BROOKLYN NY 11201 112936410 SUPPORT NY 501 C (3) 11 TYPE I TBHC 0 SILVERCREST SR HOUSING DEVELOPMENT FUND 144-45 87TH AVENUE BRIARWOOD NY 11435 262894911 HOUSING NY 501 C (3) 9 SILVERCREST CENTER FOR NURSING AND REHABILITATION 1 NYACK HOSPITAL FOUNDATION INC 160 NORTH MIDLAND AVENUE NYACK NY 10960 133245804 SUPPORT NY 501 C (3) 7 NYACK HOSPITAL 0 BEEKMAN STAFF RESIDENCE 525 EAST 68TH STREET NEW YORK NY 10038 132773085 REAL ESTATE/HOUSING NY 501 C (3) 11 TYPE I NYPH 0 NEW YORK DOWNTOWN MEDICAL ASSOCIATES INC 525 EAST 68TH STREET NEW YORK NY 10038 133672980 INACTIVE NY 501 C (3) 11 TYPE I NYPH 0 NEW YORK DOWNTOWN HOSPITAL CCPH 525 EAST 68TH STREET NEW YORK NY 10038 113614596 FUNDRAISING/SUPPORT NY 501 C (3) 11 TYPE I NYPH 0 THE ELIZABETH BLACKWELL FOUNDATION INC 525 EAST 68TH STREET NEW YORK NY 10038 133344692 HEALTH INFO SERVICE NY 501 C (3) 11 TYPE I NYPH 0 NEW YORK QUEENS CHARTER VENTURES INC 56-45 MAIN STREET FLUSHING NY 11355 454795032 REAL ESTATE HOLDINGS NY 501 C (3) 11 TYPE I NYHQ 0 PARK VENTURES HOUSING CORP 121 DEKALB AVE BROOKLYN NY 11201 113321990 REAL ESTATE NY 501 C (3) 11 TYPE I TBHC 0 TBHC PEDIATRICS PC 121 DEKALB AVE BROOKLYN NY 11201 270174684 PEDIATRICS NY 501 C (3) 11 TYPE I TBHC 0 TBHC MEDICAL TESTING SERVICES PC 121 DEKALB AVE BROOKLYN NY 11201 270174413 MEDICAL TESTING NY 501 C (3) 11 TYPE I TBHC 0 TBHC PHYSICIAN SERVICES PC 121 DEKALB AVE BROOKLYN NY 11201 270174589 MEDICAL SERVICES NY 501 C (3) 11 TYPE I TBHC 0 NYHB INC 506 SIXTH STREET BROOKLYN NY 11215 462486539 HEALTHCARE NY 501 C (3) 11 TYPE II NYP SYSTEM INC 0 NEW YORK QUEENS MEDICINE AND SURGERY PC 56-45 MAIN STREET FLUSHING NY 11355 274719998 HEALTHCARE NY 501 C (3) 11 TYPE I NYHQ 0 TBHC MEDICAL SERVICES PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833590 MEDICAL SERVICES NY 501 C (3) 11 TYPE I TBHC 0 BROOKLYN HOSPITAL RADIOLOGY PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833588 RADIOLOGY NY 501 C (3) 11 TYPE I TBHC 0 TBHC EMERGENCY MEDICINE PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833587 MEDICAL SERVICES NY 501 C (3) 11 TYPE I TBHC 0 NYP COMMUNITY SERVICES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 463951535 HEALTHCARE NY 501 C (3) 11 TYPE I NYPH 0 NYP COMMUNITY PROGRAMS INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 472126668 HEALTHCARE NY 501 C (3) 11 TYPE I NYPH 0 NEW YORK PRESBYTERIAN PLAN MANAGEMENT LLC 525 EAST 68TH STREET NEW YORK NY 10065 134197527 INACTIVE NY N/A BMA PC 56-45 MAIN STREET FLUSHING NY 11355 112747259 MEDICAL SERVICES NY N/A C 0 NYHQ OBGYN PC 56-45 MAIN STREET FLUSHING NY 11355 113395424 MEDICAL SERVICES NY N/A C 0 MAIN STREET MEDICAL ASSOCIATES PC 56-45 MAIN STREET FLUSHING NY 11355 061205476 MEDICAL SERVICES NY N/A C 0 NYP SERVICES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 061830524 INACTIVE NY N/A C 0 NEW YORK PRESBYTERIAN GLOBAL INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 800336716 INACTIVE NY N/A C 0 NETWORK INSURANCE COMPANY LTD PO BOX HM 1760 HM HX HAMILTON BD REINSURANCE BD N/A C 0 NYH-SHP IPA INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133919980 INACTIVE NY N/A C 0 HARKNESS HALL CLUB 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133170488 LIQUOR LICENSE NY N/A C 0 COLUMBIA PRESBYTERIAN HEALTH SYSTEM INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133053885 REAL ESTATE NY N/A C 0 NYP GLOBAL SERVICES INC 525 EAST 68TH STREET BOX 156 NEW YORK NY 10065 133845935 INACTIVE NY N/A C 0 BROOKLYN HOSPITAL ECG MEDICAL SERVICES 121 DEKALB AVENUE BROOKLYN NY 11201 112833052 MEDICAL SERVICES NY N/A C 0 BROOKLYN HOSPITAL NUCLEAR MEDICINE PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833589 MEDICAL SERVICES NY N/A C 0 TBHC ANESTHESIOLOGY SERVICES PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833049 MEDICAL SERVICES NY N/A C 0 TBHC RADIOLOGY ONCOLOGY PC 121 DEKALB AVENUE BROOKLYN NY 11201 270174805 MEDICAL SERVICES NY N/A C 0 NH MANAGEMENT INC 160 NORTH MIDLAND AVENUE NYACK NY 10960 134026486 MEDICAL SERVICES NY N/A C 0 HIGHLAND MEDICAL PC 160 NORTH MIDLAND AVENUE NYACK NY 10960 134034481 MEDICAL SERVICES NY N/A C 0 BROOKLYN HOSPITAL WOMEN'S HEALTHCARE MEDICAL PROVIDERS PC 121 DEKALB AVENUE BROOKLYN NY 11201 275459970 MEDICAL SERVICES NY N/A 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 L 96000 COST SILVERCREST SENIOR HOUSING DEVELOPMENT FUND O 95628 COST