NEW YORK GRACIE SQUARE HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NEW YORK GRACIE SQUARE HOSPITAL INC (EIN 13-3746997)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-07
IRS object ID
201333119349301943
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-07T15:55:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133746997EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The New York Gracie Square Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID WIECKS CFOInCareOfName
Name ControlNEWYNameControl
Phone2124345457Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 East 76 StreetAddressLine1
Address Line2SuiteAddressLine2
CityNew YorkCity
StateNYState
ZIP Code10021ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID WIECKSName
TitleCFOTitle
Date Signed2013-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFRANK BRUNONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1420 EAST 76 STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42089117GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nygsh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTo 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees318TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year53445ContributionsGrantsPriorYear
Contributions Grants Current Year56750ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44752889ProgramServiceRevenuePriorYear
Program Service Revenue CY41808032ProgramServiceRevenueCY
Investment Income Prior Year16794InvestmentIncomePriorYear
Investment Income Current Year37270InvestmentIncomeCurrentYear
Other Revenue Prior Year173719OtherRevenuePriorYear
Other Revenue Current Year187065OtherRevenueCurrentYear
Total Revenue Prior Year44996847TotalRevenuePriorYear
Total Revenue Current Year42089117TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24560854SalariesEtcPriorYear
Salaries Etc Current Year25553999SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12840TotalFundrsngExpCurrentYear
Other Expense Prior Year16601121OtherExpensePriorYear
Other Expenses Current Year12531855OtherExpensesCurrentYear
Total Expenses Prior Year41161975TotalExpensesPriorYear
Total Expenses Current Year38085854TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3834872RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4003263RevenuesLessExpensesCY
Total Assets BOY24261278TotalAssetsBOY
Total Assets EOY27264777TotalAssetsEOY
Total Liabilities BOY17992582TotalLiabilitiesBOY
Total Liabilities EOY16982918TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6268696NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10281859NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense33410486Expense
Revenue41995097Revenue
DescriptionTHE NEW YORK GRACIE SQUARE HOSPITAL INC. IS A 157 BED NOT FOR PROFIT PSYCHIATRIC HOSPITAL LICENSED BY THE NEW YORK STATE OFFICE OF MENTAL HEALTH. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND IS A MEMBER OF THE NEW YORK PRESBYTERIAN HEALTHCARE SYSTEM. THE HOSPITAL WAS FORMED IN 1958 AND HAS BEEN SERVING OUR COMMUNITY SINCE THAT TIME. OUR MISSION IS 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 AND TO PROVIDE CULTURALLY SENSITIVE AND LIGUSTICALLY APPROPRIATE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO THE NEW YORK CITY ASIAN POPULATION. THE ASIAN PROGRAM THE ASIAN PROGRAM AT GRACIE SQUARE HOSPITAL IS DESIGNED TO MEET THE SPECIFIC NEED OF THE ASIAN PSYCHIATRIC PATIENT IN AN INPATIENT SETTING. THE PROGRAM PROVIDES CULTURALLY SENSITIVE AND LINGUISTICALLY APPROPRIATE SERVICES TO A DIVERSE ASIAN POPULATION, INCLUDING CHINESE, KOREAN, AND JAPANESE COMMUNITIES. RECOGNIZING THAT CULTURAL FACTORS INFLUENCE THE WAY AN INDIVIDUAL VIEWS THE CAUSE AND TREATMENT OF MENTAL ILLNESS, THE PROGRAM PERMITS PATIENTS AND THEIR FAMILIES TO WORK WITHIN THEIR OWN CULTURAL FRAMEWORK TO MAXIMIZE SUCCESSFUL TREATMENT OUTCOMES AND PREVENT RELAPSES. BY PROVIDING STAFF WHO CAN COMMUNICATE IN A PATIENT'S OWN LANGUAGE, THE PROGRAM TRULY MAKES PATIENTS AND THEIR FAMILY ACTIVE MEMBERS OF THE TREATMENT TEAM. THE ASIAN PROGRAM IS DIRECTED BY BILINGUAL/BICULTURAL PSYCHIATRISTS. WITH THE HELP OF A CULTURALLY BILINGUAL SUPPORT STAFF WHO SPEAK DIFFERENT CHINESE ETHNIC DIALECTS (E.G. MANDARIN, CANTONESE, FUKINESE, AND TAIWANESE ETC.) KOREAN, JAPANESE AND OTHER ASIAN LANGUAGES PATIENTS AND THEIR FAMILIES CAN FULLY UNDERSTAND TREATMENT OPTIONS AND COMPLIANCE STRATEGIES. WHEN PATIENTS ARE READY FOR DISCHARGE, BILINGUAL SOCIAL WORKERS FAMILIAR WITH ALL AVAILABLE MENTAL HEALTH RESOURCES WITHIN THE ASIAN COMMUNITIES WORK WITH PATIENTS AND THEIR FAMILIES TO ORGANIZE REALISTIC, EFFECTIVE AND CULTURALLY APPROPRIATE AFTERCARE PLANS. THE EXPERT MEDICAL, PSYCHIATRIC CLINICAL AND NURSING STAFFS OF THE ASIAN PROGRAM AT GRACIE SQUARE HOSPITAL CONDUCT A THOROUGH EVALUATION OF EACH PATIENT'S PHYSICAL AND PSYCHOLOGICAL CONDITION IMMEDIATELY UPON ADMISSION INTO THE PROGRAM. PAST TREATMENT EXPERIENCES ARE INVESTIGATED AND FAMILY MEMBERS ARE INTERVIEWED. A COMPREHENSIVE INDIVIDUALIZED, MULTI-DISCIPLINARY TREATMENT PLAN IS FORMULATED, BASED ON THE MOST ADVANCED KNOWLEDGE AND TECHNIQUES, BUT SENSITIVE TO THE PATIENTS CULTURAL BELIEFS AND EXPECTATIONS. INTERVENTIONS UTILIZED MAY INCLUDE PSYCHOPHARMACOLOGY, CRISIS INTERVENTION, AND STABILIZATION OF ACUTE MEDICAL CONDITIONS. IN ORDER TO PROVIDE FOR A SMOOTH TRANSITION TO THE NEXT PHASE OF TREATMENT, DISCHARGE PLANNING IS BEGUN AT THE TIME OF ADMISSION. THROUGH OUR DIRECT AND AFFILIATED INVOLVEMENT WITH PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT CLINICS, EXTENDED CARE FACILITIES, AND INDIVIDUAL PROVIDERS, WE ARE ABLE TO EFFECT THE MOST APPROPRIATE AND TIMELY REFERRALS, AS WELL AS PROVIDE COMPREHENSIVE INFORMATION ABOUT SERVICES PROVIDED; *PSYCHIATRIC TREATMENT BY BILINGUAL PSYCHIATRISTS INCLUDING COMPLETE DIAGNOSTIC EVALUATION; *COMPREHENSIVE MEDICAL AND NEUROLOGICAL EXAMINATION; *LABORATORY, RADIOGRAPHIC AND OTHER APPROPRIATE MEDICAL TESTS INCLUDING EKG, EEG, CT SCANS ETC. AS INDICATED; *INDIVIDUAL TREATMENT PLAN; *MULTIDISCIPLINARY TREATMENT PSYCHIATRIC SYMPTOMS, INCLUDING DETOXIFICATION, FROM ADDICTIVE SUBSTANCES; *COORDINATION OF CONCURRENT MEDICAL AND PSYCHIATRIC TREATMENT; *NUTRITIONAL EVALUATION AND DIETARY EDUCATION; *ALL SPECIAL DIETS; *GROUP AND INDIVIDUAL ACTIVITIES GEARED TOWARD MEDICATION COMPLIANCE AND RELAPSE PREVENTION; *COMPREHENSIVE DISCHARGE PLANNING, BY BILINGUAL STAFF, INCLUDING REFERRAL TO CULTURALLY AND LINGUISTICALLY APPROPRIATE OUTPATIENT PROVIDERS; *24 HOUR/SEVEN DAY A WEEK ON SITE COVERAGE BY AN INTERNIST AND A PSYCHIATRIST. PATIENTS ARE ACCEPTED FROM A VARIETY OF SOURCES, INCLUDING REFERRALS DIRECTLY FROM MANAGED CARE PROVIDERS, HEALTH MAINTENANCE ORGANIZATIONS, MEDICAL HOSPITALS, THE COMMUNITY AND PRIVATE DOCTORS. THE GERIATRIC PSYCHIATRIC PROGRAM THE GERIATRIC PSYCHIATRY PROGRAM AT GRACIE SQUARE HOSPITAL IS DESIGNED TO TREAT INDIVIDUALS AGE 65 AND OLDER WHO HAVE A PRIMARY PSYCHIATRIC DISORDER WHICH REQUIRES ACUTE INPATIENT TREATMENT. THE EXPERT MEDICAL, PSYCHIATRIC, CLINICAL AND NURSING STAFF AT GRACIE SQUARE HOSPITAL WILL THOROUGHLY EVALUATE EACH PATIENT'S PHYSICAL AND PSYCHOLOGICAL CONDITION. BASED ON OUR FINDINGS WE WILL WORK TO PROVIDE OUR PATIENTS WITH AN INDIVIDUALIZED AFTERCARE PLAN DESIGNED TO MAINTAIN THE IMPROVEMENTS ACHIEVED HERE. AMONG THE MANY AREAS INCLUDED IN OUR AFTERCARE PLAN ARE PSYCHIATRIC AND NON-PSYCHIATRIC MEDICATION MANAGEMENT, RECOMMENDATIONS FOR PSYCHOTHERAPEUTIC, INTERVENTION, INFORMATION ABOUT AVAILABLE COMMUNITY RESOURCES, AND CONCRETE HELP WITH SECURING PUBLIC BENEFITS AND EXTENDED CARE FACILITY PLACEMENT. SERVICES PROVIDED: *COMPLETE PSYCHIATRIC DIAGNOSTIC EVALUATION; *COMPREHENSIVE MEDICAL AND NEUROLOGICAL EXAMINATION; *LABORATORY, RADIOGRAPHIC AND OTHER APPROPRIATE MEDICAL TESTS INCLUDING EKG, EEG, ETC.; *INDIVIDUALIZED TREATMENT PLAN; *MULTIDISCIPLINARY TREATMENT OF PSYCHIATRIC SYMPTOMS; *COORDINATION OF CONCURRENT MEDICAL AND PSYCHIATRIC TREATMENTS INCLUDING MEDICATION MANAGEMENT REGIMENS; *NUTRITIONAL EVALUATION AND DIETARY EDUCATION; *KOSHER AND ALL SPECIAL DIETS; *GROUP AND INDIVIDUAL ACTIVITIES WHICH MAXIMIZE INDEPENDENT FUNCTIONING AND HELP TO REGAIN LOST SKILLS; *COMPREHENSIVE DISCHARGE PLANNING, INCLUDING PLACEMENT AND COMMUNITY RESOURCE DEVELOPMENT; *24 HOUR. SEVEN DAY A WEEK ON SITE COVERAGE BY AN INTERNIST AND A PSYCHIATRIST. PATIENTS ARE ACCEPTED FROM A VARIETY OF SOURCES, INCLUDING EXTENDED CARE FACILITIES, MEDICAL HOSPITALS, THE COMMUNITY AND PRIVATE DOCTORS. PRIVATE CREDENTIALED PSYCHIATRISTS MAY ADMIT AND TREAT THEIR OWN PATIENTS. THE DUAL FOCUS PROGRAM THE DUAL FOCUS PROGRAM IS AN INPATIENT TREATMENT PROGRAM FOR THOSE WHO HAVE SIGNIFICANT EMOTIONAL OR PSYCHIATRIC PROBLEMS IN ADDITION TO BEING CHEMICALLY DEPENDANT. WE PROVIDE A SINGLE SETTING COMPREHENSIVE TREATMENT EXPERIENCE, UTILIZING A FLEXIBLE BLEND OF THE PSYCHIATRICAND SUBSTANCE ABUSE MODELS IN A WARM AA-ORIENTED THERAPEUTIC MILIEU. OUR STAFF CONSISTS OF HIGHLY TRAINED, DEDICATED AND EXPERIENCED PSYCHIATRISTS, NURSES, SOCIAL WORKERS ACTIVITIES THERAPISTS AND CHEMICAL DEPENDENCY COUNSELORS, AS WELL AS MEDICAL, NEUROLOGICAL AND PSYCHOLOGICAL CONSULTANTS. IT HAS LONG BEEN RECOGNIZED THAT CERTAIN CHEMICALLY DEPENDANT PATIENTS DO NOT RESPOND TO STANDARD SUBSTANCE ABUSE TREATMENT. WE NOW KNOW THAT MANY OF THESE SO-CALLED TREATMENT-RESISTANT PATIENTS ARE, IN FACT, SUFFERING FROM TWO CONCURRENT ILLNESSES. OFTEN THESE DUALLY DIAGNOSED PATIENTS WERE TREATED EITHER FOR MENTAL HEALTH OR ADDICTIONS SYSTEMS, OR WERE SHUTTLED BACK AND FORTH BETWEEN THEM. FREQUENTLY, THIS FRAGMENTED APPROACH RESULTED IN TREATMENT FAILURE. THE DUAL FOCUS PROGRAM AT GRACIE SQUARE HOSPITAL PROVIDES SHORT TERM HOSPITALIZATION TO THE ACUTELY ILL PSYCHIATRIC PATIENT. OPERATING UNDER THE BELIEF THAT NO PATIENT SHOULD SPEND MORE TIME IN A HOSPITAL THAN IS ABSOLUTELY NECESSARY, THE PROGRAM IS CHARACTERIZED BY RAPID IN-DEPTH EVALUATIONS AND IMMEDIATE INITIATION OF TREATMENT. THE PROGRAM SWIFTLY AND EFFECTIVELY STABILIZES ACUTE SYMPTOMS, THEREBY MAKING IT POSSIBLE FOR PATIENTS TO LEAVE THE HOSPITAL AS QUICKLY AS POSSIBLE. PATIENTS CAN THEN CONTINUE TREATMENT IN A LESS RESTRICTIVE SETTING. OUR PROGRAM VIEWS HOSPITALIZATION AS A BRIEF COMPONENT IN THE CONTINUUM OF HEALTH CARE SERVICES AND PROVIDES COST EFFECTIVE ANDCREATIVE SOLUTIONS TO TREAT EPISODES OF SEVERE MENTAL ILLNESS. THE EXPERT MEDICAL, PSYCHIATRIC CLINICAL AND NURSING STAFF AT GRACIE SQUARE HOSPITAL CONDUCTS A THOROUGH EVALUATION OF EACH PATIENT'S PHYSICAL AND PSYCHOLOGICAL CONDITION IMMEDIATELY UPON ADMISSION TO THE PROGRAM. PAST TREATMENT EXPERIENCES ARE INVESTIGATED AND FAMILY MEMBERS ARE INTERVIEWED. A COMPREHENSIVE, INDIVIDUALIZED MULTIDISCIPLINARY TREATMENT PLAN IS FORMULATED, TARGETING THE MOST ACUTELY DEBILITATING BEHAVIORS AND SYMPTOMS. UTILIZING THE MOST ADVANCED KNOWLEDGE AND TECHNIQUES, THE TEAM INITIATES FOCUSED GOAL ORIENTED INTERVENTIONS WHICH MAY INCLUDE PSYCHOPHARMACOLOGY, CRISIS INTERVENTION, AND STABILIZATION OF ACUTE MEDICAL CONDITIONS. IN ORDER TO PREPARE FOR A SMOOTH TRANSITION TO THE NEXT PHASE OF TREATMENT, DISCHARGE PLANNING IS BEGUN AT THE TIME OF ADMISSION. THROUGH OUR AFFILIATED INVOLVEMENT WITH PARTIAL HOSPITALIZATION PROGRAMS,INTENSIVE OUTPATIENT CLINICS AND INDIVIDUAL PROVIDERS, WE ARE ABLE TO EFFECT THE MOST APPROPRIATE AND TIMELY REFERRALS, AS WELL AS PROVIDE COMPREHENSIVE INFORMATION ABOUT AVAILABLE COMMUNITY RESOURCES. SERVICES PROVIDED: *CODescription
Total Program Service Expense33410486TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees318NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID WIECKS CFONamePerson
Telephone Number2124345457TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 EAST 76 STREETAddressLine1
Citynew yorkCity
StateNYState
ZIP Code10021ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Mr Frank Bruno
President & CEO50.00.0XX485308036583
Mr Edward Ward Franklin
Board Member2.00.0X000
Mr Laurence Berger
Board Member1.059.0X040171739767
Mrs Vincent De Roulet
Board Member1.00.0X000
Mr Mark Larmore
asst treasurer2.058.0XX01523460146921
Mr Adam Owett Sr
Board Member1.00.0X000
Mrs Cynthia Zirinsky
chairperson of the board2.00.0XX000
Mr phillip j wilner
board member1.00.0X000
MR JOSEPH PEYRONNIN
BOARD MEMBER1.00.0X000
MR COSMO LACOSTA
BOARD MEMBER1.020.0X018274730762
Mr David Wiecks
Chief Financial Officer50.00.0X180700027195
Kathleen M Burke ESQ
Secretary1.059.0X034615343259
Ms Phyllis R Lantos
Treasurer1.059.0X0218339149169
Ms Hilde Lutz
director of nursing50.00.0185958028172X
Dr Roger Wolfsohn MD
Medical director41.00.0300665055164X
MR CHIANG KUO
ASST ADMINISTRATOR50.00.0150757022936X
MR SHAUN ANDERSON
VP OF OPERATIONS50.00.0191510021394X
DR M KURJAKOVIC
PSYCHIATRIST88.00.0394096032168X
YAN CHUN MUI
REGISTERED NURSE56.00.0191173023132X
MICHAEL DEVERY
ADMINISTRATIVE NURSE61.00.0183376042566X
LYNN BELLAMY
REGISTERED NURSE55.00.0182486023132X
GEMMA BALQUIN
REGISTERED NURSE60.00.0183263023132X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2629292TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4637468TotalReportableCompFrmRltdOrgs
Total Other Compensation645452TotalOtherCompensation
Number Individuals GT100 K56NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Garfunkel Wild and Travis PC
175 Great Neck RoadGREAT NECKNY11021Legal Services487388
IGOR KIRZHNER MD
2512 EAST 64TH STREETBROOKLYNNY11234medical services221335
VINCE POPESCO MD
88-34 74TH AVENUEGLENDALENY11385medical services432435
Ernst Young US LLP
5 Times Square 16th FloorNEW YORKNY10036Accounting Services221956
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions56750AllOtherContributions
Total Contributions56750TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE6621102859866328598663
MEDICAID66211045043294504329
HMO/COMMERCIAL66211086904648690464
SELF PAY6621101457614576
FieldValueIRS element (for citing)
Total Program Service Revenue41808032TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37270TotalRevenueColumn
Exclusion$37,270ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OFFICE RENTAL622210160025160025
OTHER MISCELLANEOUS6222102016420164
ABSTRACTS AND SUBPONAS62221068766876
FieldValueIRS element (for citing)
Total Other Revenue187065TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42089117TotalRevenueColumn
Related Or Exempt Function Income41995097RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,270ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1692334Total
Program Services960064ProgramServices
Management And General732270ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18108573Total
Program Services16602992ProgramServices
Management And General1505581ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1042234Total
Program Services985306ProgramServices
Management And General56928ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3277401Total
Program Services3027996ProgramServices
Management And General249405ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1433457Total
Program Services1324414ProgramServices
Management And General109043ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total671470Total
Program Services658628ProgramServices
Management And General12842ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total822221Total
Management And General822221ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total200292Total
Management And General200292ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4291057Total
Program Services3874430ProgramServices
Management And General416627ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total46990Total
Program Services46990ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1072777Total
Program Services1041500ProgramServices
Management And General31277ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total347181Total
Program Services48891ProgramServices
Management And General298290ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1096736Total
Program Services1044093ProgramServices
Management And General52643ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5633Total
Program Services313ProgramServices
Management And General5320ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total678066Total
Program Services678066ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total45480Total
Management And General45480ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total938727Total
Program Services893668ProgramServices
Management And General45059ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total747084Total
Program Services742653ProgramServices
Management And General4431ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL EXPENSES996448996448
ALL OTHER EXPENSES5716934840347481912840

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38085854Total
Program Services33410486ProgramServices
Management And General4662528ManagementAndGeneral
Fundraising12840Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9891729BOY
EOY7217034EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4735824BOY
EOY5559968EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY59350BOY
EOY59667EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY309840BOY
EOY273498EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17181444LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9559286LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7592869BOY
EOY7622158EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY5261702EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1671666BOY
EOY1270750EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24261278BOY
EOY27264777EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3987727BOY
EOY3908623EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12375000BOY
EOY11625000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1629855BOY
EOY1449295EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17992582BOY
EOY16982918EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6268696BOY
EOY10281859EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6268696BOY
EOY10281859EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24261278BOY
EOY27264777EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4003263ReconcilationRevenueExpenses
Reconciliation Unrealized Invest9900ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10577147OtherCostOrOtherBasis
Depreciation5060568Depreciation
Book Value5516579BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6591931OtherCostOrOtherBasis
Depreciation4498718Depreciation
Book Value2093213BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12366OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value12366BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7622158TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
SELF INSURED PROF LIABILITIES$945,000
DUE TO THIRD PARTIES$446,362
DUE TO RELATED ORGANIZATIONS$57,933
FieldValueIRS element (for citing)
Total Of Amounts1449295TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt42099017TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments9900NetUnrealizedGainsInvestments
Revenue Not Rptd F9909900RevenueNotRptdF990
Revenue Subtotal42089117RevenueSubtotal
Total Revenue Per Form99042089117TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38085854TotExpensesEtcAuditedFinclStmt
Expenses Subtotal38085854ExpensesSubtotal
Total Expenses Per Form99038085854TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CarefalseFPGReferenceFreeCare
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2032170TotalCommunityBenefitExpense
Net Community Benefit Expense2032170NetCommunityBenefitExpense
Percent Of Total Expense0.05340PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4815010TotalCommunityBenefitExpense
Direct Offsetting Revenue4521322DirectOffsettingRevenue
Net Community Benefit Expense293688NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense4292892TotalCommunityBenefitExpense
Direct Offsetting Revenue3756804DirectOffsettingRevenue
Net Community Benefit Expense536088NetCommunityBenefitExpense
Percent Of Total Expense0.01410PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11140072TotalCommunityBenefitExpense
Direct Offsetting Revenue8278126DirectOffsettingRevenue
Net Community Benefit Expense2861946NetCommunityBenefitExpense
Percent Of Total Expense0.07520PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11140072TotalCommunityBenefitExpense
Direct Offsetting Revenue8278126DirectOffsettingRevenue
Net Community Benefit Expense2861946NetCommunityBenefitExpense
Percent Of Total Expense0.07520PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense65208TotalCommunityBuildingExpense
Net Community Building Expense65208NetCommunityBuildingExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense22013TotalCommunityBuildingExpense
Net Community Building Expense22013NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense87221TotalCommunityBuildingExpense
Net Community Building Expense87221NetCommunityBuildingExpense
Percent Of Total Expense0.00230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,425,235BadDebtExpenseAmount
Amount Reimbursed By Medicare28246162AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19568992CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall8677170MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE NEW YORK GRACIE SQUARE HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1420 EAST 76TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10021ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherPSYCHIATRIC HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE NEW YORK GRACIE SQUARE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreefalseUsesFPGFree
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicyfalseNondiscrimEmergencyCarePolicy
Other ReasonXOtherReason
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSchedule H, Supplemental InformationIdentifier
Return ReferencePART I, LINE 3C:ReturnReference
ExplanationGracie Square Hospital provides free or discounted care (charity care) to the medically indigent; those who lack the ability to pay for some or all or their medical expenses. Eligibility for charity care is based upon the patient's 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 4 The costs to provide care which has become uncollectible or bad debt has been calculated utilizing a cost to charge ratio. Payments, discounts and charity care are excluded from amounts considered to be bad debt. Receivables for Patient Care: Patient accounts receivable for which the Hospital receives payment under cost-based or prospective payment reimbursement formulae 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. For the years ended December 31, 2012 and 2011, bad debt expense of approximately $3.0 million and $2.9 million, respectively. PART III, LINE 8 Medicare allowable costs are determined pursuant to the laws and regulations applicable to allowable costs and Medicare's cost step down methodology. PART III, LINE 9B Patients who are known to qualify for charity care are not subject to collection practices. Part V, Line 10 and 11 The Hospital provides free and discounted care to uninsured and under insured individuals. Free and discounted care is approved based upon an individual's financial resources. Part V, Line 12h Amounts charged 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 13 Financial assistance may be applied for by contacting the admitting office. Part V, Line 16 and 17 Prior to making efforts to determine if an individual may be covered by the Hospital's 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 collection agency however such agencies are also prohibited from engaging in such extraordinary collection efforts without the approval of the Hospital. During 2012 the Hospital did not initiate any such extraordinary collection efforts. Part V, Line 19d The Hospital does not provide emergency medical care. Part V, Line 20d The maximum amount charged to individuals under the financial assistance policy was set at a rate below the average rate paid by non-means tested commercial payors. PART VI Needs Assessment Gracie Square Hospital continually monitors the health care needs of the community and the services which it can provide. During 2012 the Hospital had 98.7% occupancy rate evidencing a strong need for the Hospital's services within the community. 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's commitment to our community and Hospital's exempt purpose is demonstrated by our goals and objectives. Successful attainment of our 2012 goals and objectives included maintenance and improvement of patient safety and the quality of services rendered to our patients, continued regulatory certification, an increased level of community service and continued capital infrastructure improvements. 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 mental health screenings, conducted educational presentations and provided free meeting space to several community based groups. Screening for Mental Health (SMH) is dedicated to promoting the improvement of mental health by providing the public with education, screening and treatment resources. SMH pioneered the concept of large-scale mental health screening and educational programs in 1991, with its flagship program, National Depression Screening Day (NDSD). SMH programs, provided both in-person and online, educate, raise awareness, and screen individuals for depression, bipolar disorder, generalized anxiety disorder, posttraumatic stress disorder, eating disorders, alcohol use disorders, and suicide. The Hospital participated in this community-based mental health screening event that was offered across the country as part of Mental Illness Awareness week. The goals of NDSD are to call attention to the prevalence of mental health disorders, as well as the availability of effective treatments for mental health disorders, and to connect those in need to the mental health care system. The program featured the following: an anonymous mental health self-assessment, a variety of education resources, a confidential interview with a mental health professional to discuss the results of the screening, a list of local referral resources. National Nutrition Month is a nutrition education and information campaign created by the American Dietetic Association. The campaign focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits. The Hospital sponsored the event locally on each of the five days it was held. Scheduled community service events included: Nutritional Lectures, Nutritional Counseling, Health Food Sample Distribution and Body Fat Exams. The events were publicized in local community newspapers. The National Eating Disorders Association (NEDA) is a non-profit organization dedicated to supporting individuals and families affected by eating disorders. They campaign for prevention, improved access to quality treatment, and increased research funding to better understand and treat eating disorders. Awareness Week is a collective effort of primary volunteers, including eating disorder professionals, health care providers, students, educators, social workers, and individuals committed to raising awareness of the dangers surrounding eating disorders and the need for early intervention and treatment. The Hospital sponsored the event locally. Our physicians and dieticians provided education and screenings. The majority of members of the Gracie Square Hospital's Board of Trustees reside in the community which the Hospital serves and are neither employees nor contractors of the Hospital, nor are members of their families. Requests for medical staff privileges are open to all qualified physicians within the community. During 2012 the Hospital was able to reduce its long term debt by $750,000 and invested $976,000 in capital improvement in order to increase patient safety and satisfaction, improve the Hospital's infrastructure and reduce energy consumption. To further our efforts to increase patient safety and satisfaction the Hospital expended $976,000 to provided private duty nurses to patients in need. 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Mr Frank Bruno
President & CEO377264080000028044025000011583052189100
Mr David Wiecks
Chief Financial Officer157250060000174500128330143620207895000
Mr Laurence Berger
Board Member0250014065181086522018611021156044148400
Mr Mark Larmore
asst treasurer075183505753310196294011310403381701670381177410
Kathleen M Burke ESQ
Secretary028404705668605420025000018259038941200
Ms Phyllis R Lantos
Treasurer083645007820000564941017500031669022325602021890
Ms Hilde Lutz
director of nursing1774860600002472018507096650214130000
Dr Roger Wolfsohn MD
Medical director2488750280000237900200000351640355829000
MR CHIANG KUO
ASST ADMINISTRATOR1500670006900115840113520173693000
MR COSMO LACOSTA
BOARD MEMBER016072000022027012000018762021350900
MR SHAUN ANDERSON
VP OF OPERATIONS191240000270095900118040212904000
DR M KURJAKOVIC
PSYCHIATRIST3928060001290000321680426264000
YAN CHUN MUI
REGISTERED NURSE17397300017200082160149160214305000
MICHAEL DEVERY
ADMINISTRATIVE NURSE1830340003420111170314490225942000
LYNN BELLAMY
REGISTERED NURSE15978600022700082160149160205618000
GEMMA BALQUIN
REGISTERED NURSE183063000200082160149160206395000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePART I, LINE 4A:ReturnReference
ExplanationLAURENCE BERGER IS ON SEVERANCE PAY FROM 9/28/2012 THRU 3/28/2014. PART I LINE 4B: PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MARK LARMORE : 88,104 PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REPORTED ON THE W-2: PHYLLIS LANTOS : 465,191 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 and 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 and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2012 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 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Family RelationshipsForm 990, Part VI, Line 2BOARD MEMBERS MRS. CYNTHIA ZIRINSKY AND MR. JOSEPH PEYRONNIN HAVE A FAMILY RELATIONSHIP.
Organization's MembersForm 990, Part VI, Lines 6 & 7aThe 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 990Form 990, PArt VI, Line 11bTHE 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 INTERESTForm 990, Part VI, Line 12cQUESTIONNAIRES ARE OBTAINED FROM OFFICERS, TRUSTEES AND KEY EMPLOYEES UPON APPOINTMENT OR HIRE AND ON AN ANNUAL BASIS THEREAFTER. THE QUESTIONNAIRES ARE ALSO REQUIRED TO BE UPDATED BY THESE INDIVIDUALS AT ANY TIME THAT THERE IS A CHANGE IN THEIR CIRCUMSTANCES THAT WOULD ALTER THEIR PRIOR DISCLOSURES. THE QUESTIONNAIRES ARE REVIEWED BY THE HOSPITAL'S CORPORATE COMPLIANCE OFFICER ("CCO"). ANY POTENTIAL CONFLICTS OF INTEREST ARE REPORTED TO THE HOSPITAL'S CHIEF EXECUTIVE OFFICER ("CEO"). IF A POTENTIAL CONFLICT IS NOT RESOLVED THE HOSPITAL WOULD REFER THE MATTER TO LEGAL COUNSEL AND REPORT IT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMMITTEE"). THE CEO OR CCO REPORTS ON THE STATUS OF THE HOSPITALS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY TO THE COMMITTEE ON AN ANNUAL BASIS.
COMPENSATION APPROVAL PROCESSForm 990, Part VI, Lines 15a & 15bTHE 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 DOCUMENTSForm 990, Part VI, Line 19INSPECTION 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 ORGANIZATIONSForm 990, Part VII, Section ACertain officers and key employees of the New York and 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 2012 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 pro-rated 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 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. Fees for Services - Other Part IX, Line 11g Per diem Nursing Service 977,575 Laboratory Service 788,322 Physician Fees EKG 204,299 Hospitalist Services 200,000 Physicians Fees 652,030 Pharmacy Services 653,493 Consulting Fees - Accounting 173,657 Consulting Fees - Admin 88,968 All other Prof Fees 552,713 Total $4,291,057

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (53 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
New-York Presbyterian Foundation Inc
525 East 68th STreet Box 156new yorkNY10065134153668support orgNY501 (c)(3)11 type 1nafalse
The New York and Presbyterian Hospital
525 East 68th STreet Box 156New YorkNY10065133957095healthcareNY501 (c)(3)3NYP FDNtrue
New York Presby Healthcare System Inc
525 East 68th STreet Box 156New YorkNY10065133792361sponsorNY501 (c)(3)11 type IIINYP FNDtrue
Royal Charter Properties Inc
525 East 68th STreet Box 156New YorkNY10065133158502real estateNY501 (c)(3)11 type iiNYP FDNtrue
Royal Charter Properties East Inc
525 E 68th St Box 156New YorkNY10065133158496real estateNY501 (c)(3)11 type iiNYP FDNtrue
Royal Charter Properties WestchesterInc
525 E 68th St Box 156New YorkNY10065133160354real estateNY501 (c)(3)11 type iiNYP FDNtrue
Presbyterian Health Resources Inc
525 E 68th St Box 156New YorkNY10065133145970INACTIVENY501 (c)(3)11 type INYP FDNtrue
Hospital for Special Surgery
535 E 70th StreetNew YorkNY10021131624135healthcareNY501 (c)(3)3NYP FDNtrue
New York Hospital Medical Ctr of Queens
56-45 Main StreetflushingNY11355111839362healthcareNY501 (c)(3)3NYP SYS INCtrue
The New York Methodist Hospital
506 sixth StreetBROOKLYNNY11215111631796healthcareNY501 (c)(3)3NYP SYS INCtrue
The Brooklyn Hospital Center
121 Dekalb AveBrooklynNY11201111630755healthcareNY501 (c)(3)3NYP SYS INCtrue
The NY community Hospital of Brooklyn
525 E 68th St Box 156New YorkNY10065111986351healthcareNY501 (c)(3)3NYP SYS INCtrue
New York Westchester Square Medical Ctr
2475 St Raymond AveBronxNY10461311730177healthcareNY501 (c)(3)3NYP SYS INCtrue
The Rogosin Institute
505 E 70th StreetNew YorkNY10021133184198dialysis/medNY501 (c)(3)4NYP SYS INCtrue
Nyack Hospital
160 North Midland AvenueNyackNY10960131740119healthcareNY501 (c)(3)3NYP SYS INCtrue
The Silvercrest Ctr for Nursing & REhab
144-45 87th AVenueJamaicaNY11435112925535nursing facilNY501 (c)(3)3NYP SYS INCtrue
Network Recovery Services Inc
525 East 68th STreet Box 156New YorkNY10065113160901collectionNY501 (c)(3)11 type iiiNYP SYS INCtrue
NY - Presbyterian Community Health Plan
525 East 68th STreet Box 156New YorkNY10065133849659inactiveNY501 (c)(4)n/aNYP SYS INCtrue
Preferred Health Network Inc
525 East 68th STreet Box 156New YorkNY10065112964432inactiveNY501 (c)(3)11 type iNYP SYS INCtrue
New York Presbyterian Fund Inc
525 East 68th STreet Box 156New YorkNY10065133160356fundraisingNY501 (c)(3)7NYP FDNtrue
CRT Surgical Associates PC
56-45 Main StreetFlushingNY11355112226870healthcareNY501 (c)(3)11 type inyhqtrue
BMA Medical Foundation Inc
56-45 Main StreetFlushingNY11355112848858edu/researchNY501 (c)(3)4nyhqtrue
Brooklyn Dental Services PC
506 Sixth StreetBrooklynNY11215432015903dentalNY501 (c)(3)11 type imethodisttrue
Brooklyn Foot & Ankle PC
506 Sixth StreetBrooklynNY11215113341502healthcareNY501 (c)(3)11 type imethodisttrue
Brooklyn Radiology Services
506 Sixth StreetBrooklynNY11215113423162radiologyNY501 (c)(3)11methodisttrue
Park Slope Emergency Physician Svc PC
506 Sixth StreetBrooklynNY11215061160280healthcareNY501 (c)(3)11 type Imethodisttrue
Park Slope Hematology & Oncology PC
506 Sixth StreetBrooklynNY11215113564621hemo/oncologyNY501 (c)(3)11methodisttrue
Park Slope Medical Health Provider PC
506 Sixth StreetBrooklynNY11215421591811inactiveNY501 (c)(3)11methodisttrue
Park Slope Medical Services PC
506 Sixth StreetBrooklynNY11215112843882healthcareNY501 (c)(3)11 type Imethodisttrue
Park Slope Medicine PC
506 Sixth StreetBrooklynNY11215113362663healthcareNY501 (c)(3)11 type Imethodisttrue
Park Slope Obstetrics & Gynecology PC
506 Sixth StreetBrooklynNY11215113124294healthcareNY501 (c)(3)11 type Imethodisttrue
Park Slope Pathology Services PC
506 Sixth StreetBrooklynNY11215112843879healthcareNY501 (c)(3)11 type imethodisttrue
Park Slope Pediatric Medicine PC
506 Sixth StreetBrooklynNY11215113303499healthcareNY501 (c)(3)11 type Imethodisttrue
Park Slope Physician Services PC
506 Sixth StreetBrooklynNY11215113231685healthcareNY501 (c)(3)11 type Imethodisttrue
South Brooklyn Health Center Inc
120 Richards StBrooklynNY11231112339341healthcareNY501 (c)(3)7methodisttrue
Ashland Place Houses Inc
121 Dekalb AveBrooklynNY11201112390927real estateNY501 (c)(3)TBHCtrue
Caledonian Health Center
121 Dekalb AveBrooklynNY11201542117028clinicsNY501 (c)(3)9TBHCtrue
Ashland Place Holding Corp
121 Dekalb AveBrooklynNY11201113304353title holdingNY501 (c)(2)n/atbhctrue
Brooklyn Hospital Self Insurance Trust
121 Dekalb AveBrooklynNY11201112501235self ins trusNY501 (c)(3)11 type itbhctrue
Brooklyn Hospital Foundation Inc
121 Dekalb AveBrooklynNY11201112936410supportNY501 (c)(3)11 type itbhctrue
Park Ventures Housing Corp
121 Dekalb AveBrooklynNY11201113321990Real EstateNY501 (c)(3)11 type Itbhctrue
TBHC PediatricsPC
121 Dekalb AveBrooklynNY11201270174684PediatricsNY501 (c)(3)11 type Itbhctrue
TBHC MEDICAL TESTING SERVICES PC
121 Dekalb AveBrooklynNY11201270174413Med. TestingNY501 (c)(3)11 type Itbhctrue
TBHC Physician Services PC
121 Dekalb AveBrooklynNY11201270174589Medical SvcsNY501 (c)(3)11 type ITBHCtrue
Silvercrest SR Housing Development Fund
144-45 87th AveBriarwoodNJ11435262894911HousingNJ501 (c)(3)9Silvercresttrue
Nyack Hospital Foundation
160 North Midland AveNyackNY10960133245804SupportNY501 (c)(3)7Nyack Hosptrue
New York Downtown Hospital
170 William StreetNew YorkNY10038133049852HealthcareNY501 (c)(3)3NYP SYS INCtrue
Beekman Staff Residence
170 William StreetNew YorkNY10038132773085Support NYDHNY501 (c)(3)11 type INYDHtrue
NYDH Management Services Corp Inc
170 William StreetNew YorkNY10038133672912inactiveNY501 (c)(3)11 Tyope INYDHtrue
NEW YORK DOWNTOWN MEDICAL ASSOCIATES INC
170 William StreetNew YorkNY10038133672980inactiveNY501 (c)(3)11 Type INYDHtrue
New York Downtown Hospital CCPH
170 William StreetNew YorkNY10038113614596Fund SupportNY501 (c)(3)11 Type INYDHtrue
The Elizabeth Blackwell Foundation Inc
170 William StreetNew YorkNY10038133344692HLTH Info SysNY501 (c)(3)7NYDHtrue
New York Queens Charter Ventures Inc
56-45 Main StreetFlushingNY11355454795032Real EstateNY501 (c)(3)11 Type INY Queenstrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NYP Plan Mgmt LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1525 East 68th StreetAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10021ZIPCode
FieldValueIRS element (for citing)
EIN134197527EIN
Primary ActivityIn-activePrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NYPHBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
NYP Services Inc
525 E 68th St Box 156New YorkNY10065061830524inactiveNYNYP FDNc corptrue
New York Presbyterian Global Inc
525 E 68th St Box 156New YorkNY10065800336716inactiveNYNYP FDNc corptrue
Network Insurance Company LTD
reinsuranceNYP SYS INCc corptruePO Box HM 1760HamiltonBDHM HXBD
NYH-SHP IPA Inc
525 East 68th Street box 156New YorkNY10065133919980inactiveNYNYP SYS INCc corptrue
Harkness Hall Club Inc
525 East 68th St Box 156New YorkNY10065133170488liquor licenseNYNYPHc corptrue
Columbia Presbyterian Health System Inc
525 East 68th St Box 156New YorkNY10065133053885real estateNYFund Incc corptrue
NY Presbyterian Global Services Inc
525 East 68th St Box 156New YorkNY10065133845935inactiveNYFund Incc corptrue
Brooklyn Hospital ECG Medical Services
121 Dekalb AveBrooklynNY11201112833052medical servicesNYtbhcc corptrue
Brooklyn Hospital Nuclear Medicine PC
121 Dekalb AveBrooklynNY11201112833589medical servicesNYtbhcc corptrue
TBHC Medical Services PC
121 Dekalb AveBrooklynNY11201112833590medical servicesNYTBHCc corptrue
Brooklyn Hospital Radiology PC
121 Dekalb AveBrooklynNY11201112833588medical servicesNYtbhcc corptrue
TBHC Emergency Medicine PC
121 Dekalb AveBrooklynNY11201112833587medical servicesNYtbhcc corptrue
TBHC Anesthesiology Services PC
121 Dekalb AveBrooklynNY11201112833049medical servicesNYtbhcc corptrue
TBHC Radiation Oncology PC
121 Dekalb AveBrooklynNY11201270174805medical servicesNYtbhcc corptrue
NH Management Inc
160 North Midland AveNyackNY10960134026486medical servicesNYNyack Hospitalc corptrue
Highland Medical PC
160 North Midland AveNyackNY10960134034481medical servicesNYnyack hospitalc corptrue
Main Street Medical PC
56-45 Main StreetFlushingNY11358061205476medical servicesNYNYHQc corptrue
NYHQ OBgyn pc
56-45 main streetflushingNY11358113395424medical servicesNYNYHQc corptrue
BMA pc
56-45 main streetflushingNY11358112747259medical servicesNYnyhqc corptrue
MSO of Kings County LLC
506 Sixth StBrooklynNY11215272387333Employ/StaffingNYMethodist HospC Corptrue
New York Queens Medicine and Surgery PC
56-45 Main StFlushingNY11358274719998Medical ServicesNYNY Hosp QueensC Corptrue
Brooklyn Hospital Women's HMC PC
121 Dekalb AveBrooklynNY11201275459970Medical ServicesNYTBHCC Corptrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THE NEW YORK AND PRESBYTERIAN HOSPITAL
O2735366FMV
ROYAL CHARTER PROPERTIES INC (GUARANTEE ONLY)
E11625000FMV

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