2014-11-14T14:17:04-06:00 2013-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2013-01-01 264076297 LAWRENCE MEDICAL ASSOCIATES PC C/O LAWRENCE HOSPITAL CENTER LAWR 9147871000 55 PALMER AVENUE BRONXVILLE NY 10708 GERALD A RIDGE MD DIRECTOR, PRESIDENT 9147871000 2014-11-13 1 CHRISTINE KAWECKI P00743140 5169187000 2014-11-13 2013 2015-11-30 17:44:51Z GERALD A RIDGE MD 55 PALMER AVENUE BRONXVILLE NY 10708 19688643 0 X WWW.LAWRENCEHEALTH.ORG X 2009 NY SEE SCHEDULE O 2 0 141 0 0 0 0 0 6952898 10608744 0 0 7813771 9079899 14766669 19688643 0 0 0 0 10122376 15514750 0 0 0 4248712 5752131 14371088 21266881 395581 -1578238 4226671 4705847 1673533 3730947 2553138 974900 X SEE SCHEDULE O 0 0 18839062 19688643 ALL OF LAWRENCE MEDICAL ASSOCIATES' ("LMA") PROFESSIONAL MEDICALSERVICES ARE PROVIDED IN ACCORDANCE WITH THE MEDICAL SERVICESAGREEMENT WITH LAWRENCE HOSPITAL CENTER ("HOSPITAL"). HOSPITAL ISRESPONSIBLE FOR MANAGING LMA'S OPERATIONS, WHICH ARE PERFORMED BYHOSPITAL EMPLOYEES. 18839062 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 48 0 1 141 1 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 0 NY X SUSAN SCHOEPP 9147871000 55 PALMER AVENUE BRONXVILLE NY 10708 GERALD A RIDGE MD DIRECTOR, PRESIDENT 40.00 X X 176877 112757 30408 WERNER J ROEDER MD DIRECTOR, TREAS., SECY. 1.00 X X 0 569211 23997 PROVENZANO ANTHONY DIRECTOR OF ONCOLOGY 40.00 X 755910 0 27051 SAPONARA EDUARDO DIRECTOR OF MEDICINE 40.00 X 597519 0 20063 RIZZOPETER MEDICAL DIRECTOR 40.00 X 526914 0 25806 UNIS WILLIAM ATTENDING PHYSICIAN 40.00 X 475266 0 16681 ASIF AHMED ATTENDING PHYSICIAN 40.00 X 452092 0 31098 2984578 681968 175104 34 0 1 0 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 REVENUE CYCLE MANAGEMENT 670535 HASAN ASIF MD 4 BIRCH ROAD LARCHMONT NY 10538 PSYCHIATRIC SERVICES 279481 SPECIALITY BILLING SERVICES 35EGRSY SPRN ROADSTE 205 YONKERS NY 10710 REVENUE CYCLE MANAGEMENT 102203 3 NET PATIENT SVC. REV. 900099 10608744 10608744 10608744 FORGIVENESS OF DEBT 900099 8944875 8944875 OTHER OPERATING REV. 900099 135024 135024 9079899 19688643 19688643 0 0 3653686 3653686 9961835 8413219 1548616 705575 625324 80251 542412 480719 61693 651242 577170 74072 959793 959793 7289 7289 370098 370098 1966798 1674605 292193 1113607 948166 165441 59499 50660 8839 207075 176311 30764 1062972 905054 157918 TUITION 5000 4257 743 21266881 18839062 2427819 0 320323 21781 1698246 2026538 149404 377161 2757262 476895 2058698 2280367 4226671 4705847 1673533 3730947 1673533 3730947 X 2553138 974900 2553138 974900 4226671 4705847 -1578238 0 X 0 1 X 1 0 X X X 0 0 0 LAWRENCE HOSPITAL 131740110 501(C)(3) 1 21266881 1 21266881 859397 126139 733258 1897865 350756 1547109 2280367 X X X 0 0 0 0 0 0 0 1 0 GERALD A RIDGE MD DIRECTOR, PRESIDENT 118146 108321 57500 3750 1231 686 10837 0 19311 260 207025 113017 0 0 WERNER J ROEDER MD DIRECTOR, TREAS., SECY. 0 377978 0 126998 0 64235 0 5993 0 18004 0 593208 0 0 PROVENZANO ANTHONY DIRECTOR OF ONCOLOGY 741926 0 10000 0 3984 0 8927 0 18124 0 782961 0 0 0 SAPONARA EDUARDO DIRECTOR OF MEDICINE 590117 0 0 0 7402 0 5994 0 14069 0 617582 0 0 0 RIZZOPETER MEDICAL DIRECTOR 515621 0 10000 0 1293 0 0 0 25806 0 552720 0 0 0 UNIS WILLIAM ATTENDING PHYSICIAN 444546 0 20000 0 10720 0 0 0 16681 0 491947 0 0 0 ASIF AHMED ATTENDING PHYSICIAN 441269 0 10000 0 823 0 5412 0 25686 0 483190 0 0 0 SCHEDULE J, PART I, LINE 7 COMPENSATION DECISIONS FOR SENIOR MANAGEMENT WILL BE REVIEWED AND APPROVED BY NON-CONFLICTED MEMBERS AND COMPENSATION WILL BE MEASURED AGAINST APPROPRIATE RECOGNIZED SURVEYS FOR COMPENSATION OF CORRESPONDING RANK, POSITION AND/OR SPECIALITY IN THE SAME OR A COMPARABLE GEOGRAPHIC AREA AS THAT OF LAWRENCE HOSPITAL CENTER. THERE SHALL BE SUFFICIENT AND ADEQUATE DOCUMENTATION TO SUPPORT THE REASONABLENESS AND APPROPRIATENESS OF ALL COMPENSATION DECISIONS. ALL DELIBERATIONS REGARDING COMPENSATION OF BOARD MEMBERS AND SENIOR MANAGEMENT SHALL BE DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE. SENIOR MANAGEMENT INCLUDES THE PRESIDENT, CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENTS AND VICE PRESIDENTS, ASSISTANT VICE PRESIDENTS, AND OTHER OFFICERS. ADDITIONAL DISCLOSURE THE PC BASES THE COMPENSATION OF THE MEDICAL STAFF ON FAIR MARKET VALUE. THE COMPENSATION IS BASED ON SPECIALTY SPECIFIC CONVERSION FACTORS THAT ARE DEVELOPED UTILIZING A VARIETY OF SOURCES INCLUDING UTILIZATION AND COMPENSATION DATA FROM VARIOUS INDUSTRY AND TRADE GROUP SOURCES AND SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION ("MGMA"), CEJKA SEARCH/AMERICAN COLLEGE OF PHYSICIAN EXECUTIVE ("ACPE"), AND THE AMERICAN MEDICAL GROUP ASSOCIATION ("AMGA"), IN ADDITION TO THE HISTORICAL INCOME AND UTILIZATION DATA OF EXISTING PRACTICES. WHEN AVAILABLE, DATA SUPPLIED FOR THE NY METRO AREA AND OR THE EASTERN REGION PROVIDE THE MOST WEIGHT IN DETERMINING COMPENSATION LEVELS. THE PC ALSO UTILIZES THE SERVICES OF ITS CONSULTANT, HEALTHCARE STRATEGY GROUP, IN DETERMINING AND RENDERING FAIR MARKET VALUE OPINIONS. FORM 990, PART 1, LINE 1 LAWRENCE MEDICAL ASSOCIATES ("LMA") MISSION IS TO FURTHER LAWRENCE HOSPITAL CENTER'S CHARITABLE PURPOSE OF PROMOTING HEALTH IN THE COMMUNITY. FORM 990, PART III, LINE 1 LAWRENCE MEDICAL ASSOCIATES ("LMA") MISSION IS TO FURTHER LAWRENCE HOSPITAL CENTER'S CHARITABLE PURPOSE OF PROMOTING HEALTH IN THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 6 DR. RIDGE AND DR. ROEDER ARE THE SHAREHOLDERS OF LAWRENCE MEDICAL ASSOCIATES, P.C. THE P.C. IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE SOLE PURPOSE OF SUPPORTING AND FURTHERING THE CHARITABLE PUPORSES OF LAWRENCE HOSPITAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A NO ACTION MAY BE TAKEN BY A SHAREHOLDER, OFFICER, OR DIRECTOR, WITHOUT THE WRITTEN CONSENT OF LAWRENCE HOSPITAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B SEE EXPLANATION LINE 7A FORM 990, PART VI, SECTION A, LINE 8A THE CORPORATION IS A CAPTIVE PC DEVELOPED TO SUPPORT THE NON-PROFIT MISSION OF THE HOSPITAL. THE TWO DIRECTORS ARE EMPLOYEES OF THE HOSPITAL, AS SUCH THEY ARE "CONTROLLED" BY THE HOSPITAL'S CEO AND THE BOARD OF GOVERNORS. THE PRESIDENT OF LAWRENCE MEDICAL ASSOCIATES OR HIS DESIGNEE ATTENDS ALL LAWRENCE HOSPITAL BOARD MEETINGS AND PROVIDES A STATUS REPORT TO THE BOARD. THE MANAGEMENT TEAM OF THE PC MEETS REGULARLY AND AS OFTEN AS NEEDED WITH THE HOSPITALS CEO. THE PRESIDENT OF LMA ALSO IS A MEMBER OF THE HOSPITAL'S FINANCE & AUDIT COMMITTEE, AS WELL AS, ATTEND THE HOSPITAL'S DEPARTMENT HEAD MEETINGS. FORM 990, PART VI, SECTION A, LINE 8B SEE LINE 8A EXPLANATION. FORM 990, PART VI, SECTION B, LINE 11 LAWRENCE MEDICAL ASSOCIATES' FORM 990 WAS REVIEWED IN DETAIL BY THE ORGANIZATION'S DIRECTOR OF FINANCE IN CONJUNCTION WITH ITS TAX PREPARERS, DELOITTE TAX, LLP PRIOR TO SUBMISSION TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF NYP COMMUNITY SERVICES, INC. NYP COMMUNITY SERVICES, INC. IS THE ACTIVE PARENT OF THE LAWRENCE HOSPITAL CENTER (LAWRENCE MEDICAL ASSOCIATES IS A SUBSIDIARY OF THE LAWRENCE HOSPITAL CENTER) EFFECTIVE JULY 1, 2014. THE 990 IS SENT TO THIS COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE THEN RECOMMENDS TO THE EXECUTIVE COMMITTEE AND/OR THE FULL BOARD OF TRUSTEES FOR THEIR APPROVAL. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO THE LAWRENCE MEDICAL ASSOCIATES' GOVERNING BODY PRIOR TO FILING. THE 990 IS FILED UPON FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF LAWRENCE MEDICAL ASSOCIATES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF LMA OR AS A BOARD MEMBER TO LMA. THE EXECUTIVE COMMITTEE OF THE BOARD OF GOVERNORS REVIEW THE QUESTIONNAIRES FOR CONFLICTS OF INTEREST AND DECIDE IF THERE ARE ANY SUBSTANTIVE CONFLICTS. IN GENERAL, IF A CONFLICT IS IDENTIFIED, STEPS WILL BE TAKEN TO ENSURE THERE IS NO ACTUAL OR PERCEIVED UNDUE INFLUENCE. SUCH STEPS COULD INCLUDE PROHIBITING THE CONFLICTED PERSON FROM PARTICIPATING IN ANY DECISION REGARDING THE SUBJECT MATTER OR REQUIRING AN AUDIT OF UTILIZATION PATTERNS. IF THE CONFLICTED PERSON IS A BOARD MEMBER OR A KEY EMPLOYEE, ADDITIONAL STEPS MAY BE TAKEN, SUCH AS BEING EXCUSED FROM THE SPECIFIC NEGOTIATION OR FROM PARTICIPATION IN THE COMMITTEE MEETING. THE GOAL IS TO ENSURE TRANSPARENCY IN THE TRANSACTION, THAT THE TRANSACTION IS FAIR AND REASONABLE TO LMA, AND THAT THERE IS NO ADVERSE IMPACT ON PATIENT CARE OR SAFETY. A REVIEW OF THE PROCESS AND ANY FINDINGS ARE REPORTED TO THE BOARD OF GOVERNORS WITH THE CONFLICTED PARTY RECUSED FROM DISCUSSING THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 LAWRENCE MEDICAL ASSOCIATES UNDERTAKES A THOROUGH AND COMPREHENSIVE PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIAL AND ALL OTHER OFFICERS/KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF GOVERNORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE BOARD OF GOVERNORS ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO ADVISE ON THE APPROPRIATE COMPENSATION LEVELS FOR THE AFOREMENTIONED INDIVIDUALS. THAT COMPENSATION CONSULTANT WILL USE COMPARABILITY OR BENCH-MARKING DATA (BASED ON INDUSTRY SURVEYS) THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. ONCE THE COMPENSATION CONSULTANT HAS MADE ITS RECOMMENDATIONS, THE COMPENSATION COMMITTEE MUST APPROVE THE COMPENSATION, WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION IS THEN DOCUMENTED IN COMMITTEE MINUTES. THOSE MINUTES WILL CONTAIN THE TERMS OF THE PROPOSED COMPENSATION, THE DECISIONS OF THOSE INDIVIDUALS WHO VOTED ON THE COMPENSATION, AND THE COMPARABILITY DATA THAT WAS RELIED UPON. FORM 990, PART VI, SECTION C, LINE 19 LAWRENCE MEDICAL ASSOCIATES MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION. FORM 990, PART VI, SECTION B, LINE 13 & 14 LAWRENCE MEDICAL ASSOCIATES OPERATES UNDER THE WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES OF ITS PARENT ORGANIZATION, LAWRENCE HOSPITAL. LAWRENCE HOSPITAL CENTER 55 PALMER AVENUE BRONXVILLE NY 10708 131740110 HEALTHCARE NY 501(C)(3) 3 N/A 0 LAWRENCE CARE INC 55 PALMER AVENUE BRONXVILLE NY 10708 133415158 HEALTHCARE NY 501(C)(3) 11 N/A 0 LAWRENCE COMMUNITY HEALTH SERVICES 69 MAIN STREET TUCKAHOE NY 10707 131740022 HEALTHCARE NY 501(C)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1