2013-01-30T10:59:30-06:00 2011-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 117531683 990 2011-01-01 131740130 WHITE PLAINS HOSPITAL MEDICAL CENTER WHIT 9146811024 41 EAST POST ROAD DAVIS AVENUE WHITE PLAINS NY 10601 JON B SCHANDLER 9146811024 2013-01-30 1 P00743140 5169187000 2011 2016-02-25 16:41:14Z JON B SCHANDLER 41 EAST POST ROAD DAVIS AVENUE WHITE PLAINS NY 10601 325198781 0 X WWW.WPHOSPITAL.ORG X 1893 NY SEE SCHEDULE O 40 35 2400 565 12055354 798956 7427275 8895663 279871357 309608773 6590215 746973 3793184 4107097 297682031 323358506 0 0 0 0 159286665 175806415 0 101000 2262767 126285545 138659175 285572210 314566590 12109821 8791916 203618189 219784011 123976077 156361643 79642112 63422368 X SEE SCHEDULE O 0 0 152724852 171244055 SEE SCHEDULE O 37764203 39470868 SEE SCHEDULE O 88394540 86838496 SEE SCHEDULE O 278883595 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 1 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 0 0 0 1 340 0 1 2400 1 1 1 0 0 0 0 1 1 0 0 0 0 X 40 35 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JOHN SCIURBA 9146811024 DAVIS AVE EAST POST ROAD WHITE PLAINS NY 10601 J MICHAEL DIVNEY 15.00 X 0 0 0 PAUL M WEISSMAN 1.00 X 0 0 0 DONALD STONE 3.00 X 0 0 0 CHARLES L WEINBERG 3.00 X 0 0 0 JENNIFER GRUENBERG 3.00 X 0 0 0 FRANK A BRUNI 3.00 X 0 0 0 STUART T NEVINS MD 3.00 X 0 0 0 ANN EDWARDS 3.00 X 0 0 0 ROBERT FEDER 1.00 X 0 0 0 ARTHUR J HEDGE JR 1.00 X 0 0 0 H GUY LEIBLER 1.00 X 0 0 0 HENRY POLLAK II 1.00 X 0 0 0 NORMAN ALPERT 1.00 X 0 0 0 CARL AUSTIN 1.00 X 0 0 0 STEVEN BARUCH 1.00 X 0 0 0 GREG A BERGER 1.00 X 0 0 0 HOWARD BERK 1.00 X 0 0 0 ROGER CAPPUCCI 1.00 X 40000 0 0 NANCY CLARVIT 1.00 X 0 0 0 PETER M FISHBEIN 3.00 X 0 0 0 ALEIDA M FREDERICO 1.00 X 0 0 0 CHARLES N GLASSMAN MD 1.00 X 0 0 0 PETER A HOCHFELDER 1.00 X 0 0 0 CAROL LOWENTHAL 1.00 X 0 0 0 WILLIAM NULL 3.00 X 0 0 0 ROBERT REIFFEL MD 1.00 X 0 0 0 LUCY SCHMOLKA 1.00 X 0 0 0 MICHELE SCHOENFELD 1.00 X 0 0 0 MEGAN H SHAPIRO 1.00 X 0 0 0 LAURENCE R SMITH 1.00 X 0 0 0 JONATHAN SPITALNY 1.00 X 0 0 0 ROBERT STONE 3.00 X 0 0 0 GEORGE VANCLEAVE 1.00 X 0 0 0 SUSAN Z YUBAS 1.00 X 0 0 0 JILL HASKEL 1.00 X 0 0 0 BARBARA LAPP 1.00 X 0 0 0 NETTIE WEBB EDD 1.00 X 0 0 0 AMY BERMINGHAM 1.00 X 0 0 0 ANNETTE CAPPUCCI 1.00 X 0 0 0 MARIE LOPEZ 1.00 X 0 0 0 ALFRED ROSTON MD 1.00 X 20000 0 0 EDWARD F LEONARD 38.00 X X 500536 0 40256 MICHAEL J PALUMBO MD 40.00 X X 449978 0 23767 JON B SCHANDLER 38.00 X X 1754534 0 46406 SUSAN FOX 38.00 X 464014 0 10792 JOHN B SCIURBA 38.00 X 270684 0 40305 MICHAEL LA CALAMITA 38.00 X 195968 0 27613 LEIGH ANN MCMAHON 38.00 X 255104 0 20558 JUAN SANCHEZ 38.00 X 219104 0 42375 OSSIE DAHL 38.00 X 220318 0 39557 RICHARD PETRICCIONE 38.00 X 221715 0 10485 MICHAEL BOOKCHIN 38.00 X 176398 0 29705 JESUS JAILE MD 40.00 X 793813 0 42139 TIMOTHY HAYDOCK MD 40.00 X 424880 145562 40343 ZAID ALRAWI MD 40.00 X 474946 0 26473 RAJESH GUPTA MD 40.00 X 327034 138102 38204 KEVIN L FLETCHER MD 40.00 X 475343 0 37391 7284369 283664 516369 372 0 1 0 WHITE PLAINS RADIATION THERAPY 2-4 LONGVIEW AVENUE WHITE PLAINS NY 10601 PHYSICIAN FEES 4800000 SODEXHO OPERATIONS LLC 135 SANTILLI HIGHWAY EVERETT MA 02149 DIETARY SERVICES 3054614 WHITE PLAINS RADIOLOGY 122 MAPLE AVENUE WHITE PLAINS NY 10601 PHYSICIAN FEES 2107261 MEDICAL SOLUTIONS 9101 WESTERN AVENUE SUITE 101 OMAHA NE 68114 NURSING SERVICES 1957798 UNITEX TEXTILE RENTAL 161 S MACQUESTON PKWY MT VERNON NY 105501724 LAUNDRY SERVICES 1547641 49 244784 45000 8605879 204629 8895663 PATIENT SERVICE REVENU 900099 297553419 297553419 DIAGNOSTIC LAB 621500 12030649 12030649 LACTATION REVENUE 900099 24705 24705 309608773 725036 725036 660437 0 660437 660437 660437 1618789 6850 1593986 9716 24803 -2866 21937 21937 116200 244784 236573 -120373 -120373 PARKING INCOME 812930 935487 935487 AUXILIARY REVENUE 900099 829791 829791 PURCHASE DISCOUNTS 900099 631890 631890 1169865 311875 857990 3567033 323358506 300262462 12055354 2145027 4728353 255104 4473249 137102442 128184556 8917886 6661602 6032638 628964 16934137 15335279 1598858 10379881 9399851 980030 348982 348982 375971 971 375000 38283 38283 101000 101000 23076340 19721059 2706989 648292 956609 2412 954197 50414590 48036591 2069094 308905 2460150 2460150 6966063 6268012 668402 29649 169887 80755 88901 231 171358 117177 52933 1248 1491574 1354338 129591 7645 16003922 14531444 1390452 82026 8658726 8078477 580249 BAD DEBT EXPENSE 10525000 10525000 EQUIP. RENTAL, REPAIRS 9384549 8027441 1346196 10912 COLLECTION & BILLING 1910977 550556 1360421 LAUNDRY SERVICES 1671138 1671138 4035056 672513 2289684 1072859 314566590 278883595 33420228 2262767 1706888 810436 11327520 18337850 3312306 6288733 31201724 33555630 4236099 4624150 1951039 2283220 331857465 219553317 117300232 112304148 27415546 27239963 124039 56963 5042796 14282918 203618189 219784011 33696812 40809548 23499824 21996302 12166279 10410232 54613162 83145561 123976077 156361643 X 68164002 50215442 9413316 11142132 2064794 2064794 79642112 63422368 203618189 219784011 X 8791916 -25011660 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 38283 38283 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: LOBBYING ACTIVITIES RELATED TO THE HOSPITALS MEMBERSHIP IN THE HEALTH CARE ASSOCIATION OF NEW YORK STATE, THE AMERICAN HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL ASSOCIATION AND NORTHERN METROPOLITAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED AS EXPENSES INCURRED IN CONNECTION WITH LOBBYING ACTIVITIES IS $38,283 AND REPRESENTS THE PORTION OF MEMBERSHIP DUES IDENTIFIED BY SUCH ORGANIZATIONS FOR SPECIFIC LOBBYING PURPOSE. ALL PAYMENTS WERE MADE IN 2011. 11478110 6784365 112534 5168083 13206926 8796527 4204662 505407 2028486 11478110 16535407 1786071 786302 10311253 8796527 27838228 3186568 -971049 13518340 16535407 0.16000 0.84000 0 0 3437391 3437391 139478492 69719389 69759103 891581 640300 251281 175772845 146010373 29762472 12277156 3183255 9093901 112304148 ACCRUED INTEREST 34057 OTHER RECEIVABLES 1483680 DEFERRED FINANCING COSTS 454562 DEFERRED COMPENSATION 2146619 INSURANCE RECOVERIES 10164000 14282918 DUE TO THIRD PARTIES 9850429 ACCRUED PENSION 53114698 EST SELD INS FUND LIABILITY 10554890 OTHER NON-CURRENT LIABILITIES 4340540 OTHER CURRENT LIABILITIES 5285004 83145561 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE IS TEMPORARILY LIMITED BY THE DONOR. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY. TEMPORARILY RESTRICTED NET ASSETS, WHICH ARE AVAILABLE AT DECEMBER 31, 2011 AND 2010, ARE AS FOLLOWS: 2011 2010 HEALTH AND PROGRAM SERVICES $2,020,946 1,805,213 HEALTH EDUCATION $1,147,067 1,559,052 BUILDING AND EQUIPMENT $7,974,119 6,049,051 TOTAL $11,142,132 $9,413,316 PERMANENTLY RESTRICTED NET ASSETS CONSIST OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS RESTRICTED BY THE DONOR FOR SPECIFIC OPERATION PURPOSES. THE BOARD OF DIRECTORS HAS DETERMINED THAT DONOR-RESTRICTED ENDOWMENT FUNDS WILL BE GOVERNED BY SPECIFIC POLICIES WITH THE OBJECTIVE THAT THE ORIGINAL GIFT SHALL BE PROTECTED IN PERPETUITY AS THE ENDOWED CORPUS AND DISTRIBUTIONS WILL NOT BE MADE IF IT WERE TO BRING THE VALUE BELOW THAT THRESHOLD. POLICIES HAVE BEEN DEVELOPED THAT EXPLAIN THE CALCULATION USED TO DETERMINE FUNDS AVAILABLE FOR EXPENDITURE, AND THE PROCESS FOR EXPENDITURE OF FUNDS IN ACCORDANCE WITH DONOR RESTRICTIONS. CENTRAL AMERICA & THE CARIBBEAN INVESTMENT 2730558 0 0 0 0 0 0 2730558 0 2730558 1 0 0 0 0 0 X X X X 1 COMMUNITY COUNSELING SERVICE CO LLC 461 FIFTH AVE 3RD FL NEW YORK NY 10017 EXECUTIVE CONSULTATION & SUPERVISION CAP. CAMPAIGN 0 5713094 59000 5654094 EURO AMERICAN 12 WEST 27TH ST 13TH FL NEW YORK NY 10001 CONSULTS ON DIRECT MAIL PROGRAM 0 0 42000 0 5713094 101000 5654094 NY 1893 SOCIETY DINNER 156949 107549 49400 54900 GOLF CLASSIC 204035 137235 66800 181673 360984 244784 116200 236573 236573 -120373 PART I, COLUMN (V) IN 2011, EURO AMERICAN BILLED $246,303 FOR EXPENSES INCLUDING PRINTING, POSTAGE, DESIGN AND PRODUCTION, AND MAILING. THESE EXPENSES ARE BILLED SEPARATELY. 1 1 1 X 1 X 1 0 1 1 2528055 384312 2143743 0.00710 27837301 17770764 10066537 0.03310 4387659 2850118 1537541 0.00510 34753015 21005194 13747821 0.04530 772653 36630 736023 0.00240 24300787 14748567 9552220 0.03140 25073440 14785197 10288243 0.03380 59826455 35790391 24036064 0.07910 1 10525000 2330235 77691915 102160944 -24469029 X 1 1 1 1 WHITE PLAINS HOSPITAL CENTER

41 EAST POST ROAD DAVIS AVENUE WHITE PLAINS NY 10601

X X X WHITE PLAINS HOSPITAL CENTER 1 1 1 200.000000000000 1 350.000000000000 1 X X X X 1 1 X X X X X X 1 0 1 X 0 0 7 DICKSTEIN CANCER TREATMENT CENTER

2-4 LONGVIEW AVENUE WHITE PLAINS NY 10601

TREATMENT CENTER AND PHYSICIAN OFFICES RYE BROOK IMAGING CENTER

90 SOUTH RIDGE STREET RYE BROOK NY 10573

IMAGING CENTER OUTPATIENT PHYSICAL REHAB & MS CLINIC

111 SOUTH RIDGE STREET RYE BROOK NY 10573

PHYSICAL THERAPY TREATMENTS MEDICAL OFFICES PHYSICIAN PRACTICE OFFICE - SURGICAL SPE

170 MAPLE AVENUE 502 WHITE PLAINS NY 10601

PHYSICIAN OFFICE PHYSICIAN PRACTICE OFFICE - OBSTETRICS &

15 NORTH BROADWAY 1ST FLOOR WHITE PLAINS NY 10601

PHYSICIAN OFFICE PHYSICIAN PRACTICE OFFICE - OBSTETRICS &

141 S CENTRAL AVENUE 101 HARTSDALE NY 10530

PHYSICIAN OFFICE PHYSICIAN PRACTICE OFFICE - ORTHOPEDIC

222 WESTCHESTER AVENUE 101 WHITE PLAINS NY 10604

PHYSICIAN OFFICE PART I, LINE 3C: WHITE PLAINS HOSPITAL MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS. PART I, LINE 6A: WHITE PLAINS HOSPITAL CENTER IS REQUIRED TO PREPARE AN ANNUAL COMMUNITY SERVICE PLAN (CSP) A.K.A., THE COMMUNITY BENEFIT REPORT FOR THE NYS DEPARTMENT OF HEALTH. WHITE PLAINS HOSPITAL CENTER'S COMMUNITY SERVICE PLAN IS DISTRIBUTED TO MANY INTERNAL AND EXTERNAL AUDIENCES. INTERNAL AUDIENCES ARE COMPRISED OF THE HOSPITAL'S BOARD OF DIRECTORS, EMPLOYEES, VOLUNTEERS, AUXILIARY, AND MEDICAL STAFF. EXTERNAL AUDIENCES INCLUDE COMMUNITY AGENCIES, ELECTED AND OTHER PUBLIC OFFICIALS, EVERYONE WHO PARTICIPATED IN THE INTERVIEW PROCESS, GOVERNMENT AGENCIES (STATE AND COUNTY DEPARTMENT OF HEALTH, REGIONAL HSA), HOSPITAL ASSOCIATION OF NEW YORK STATE, AND RELIGIOUS LEADERS. THE HOSPITAL WILL PREPARE A BILINGUAL SUMMARY BROCHURE OF THIS REPORT, TO BE WIDELY DISTRIBUTED IN THE COMMUNITY AT EVENTS SUCH AS HEALTH SCREENINGS, HEALTH FAIRS, SEMINARS, WELLNESS PROGRAMS AND IN PUBLIC AREAS THROUGHOUT THE HOSPITAL. THE BROCHURE WILL BE COMPLETED AND PRINTED IN EARLY 2010 AND WILL ALSO BE AVAILABLE AS A PDF ON THE HOSPITAL'S WEB SITE (WWW.WPHOSPITAL.ORG). ANNOUNCEMENTS OF THE BROCHURE'S AVAILABILITY WILL APPEAR IN SEVERAL HOSPITAL NEWSLETTERS INCLUDING THOSE FOR THE GENERAL COMMUNITY AND FOR THE HOSPITAL'S EMPLOYEES, VOLUNTEERS AND AUXILIARY MEMBERS. PART I, L7 COL(F): WHITE PLAINS HOSPITAL MEDICAL CENTER HAS INCLUDED BAD DEBT EXPENSE IN THE AMOUNT OF $10,525,000 ON THE FORM 990, PART IX, LINE 25. THIS AMOUNT IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7(F) AS PER THE INSTRUCTIONS. PART I, LINE 7: CHARITY CARE CALCULATION AND UNREIMBURSED MEDICAL USED THE COST TO CHARGE RATIO DETERMINED ON THE CHARITY CARE CALCULATION WORKSHEET. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATION EXPENSES WERE CALCULATED USING ACTUAL EXPENSES. PART II: COMMUNITY BUILDING ACTIVITIESIN KEEPING WITH THE COMMISSIONER OF HEALTH'S MISSION, WHITE PLAINS HOSPITAL, WORKING IN CONJUNCTION WITH OUR COMMUNITY PARTNERS, AND THE HOSPITAL'S COMMUNITY SERVICE PLAN COMMITTEE, HAS BEEN ACTIVELY REVIEWING OUR PRESENT INITIATIVES, STRATEGIC PLANS AND PREVENTION AGENDA PRIORITIES. OUR COMMUNITY SERVICE PLAN COMMITTEE'S MISSION IS TO ASSESS OUR COMMUNITY'S HEALTH NEEDS ON AN ANNUAL BASIS AND RECOMMENDS PROGRAMS AND/OR SERVICES TO MEET THOSE NEEDS. OUR PLAN FOR ACTION HAS BEEN IDENTIFIED THROUGH OUR COMMITTEE AS WE CONTINUE OUR ONGOING DIALOGUE WITH PATIENTS, ORGANIZATIONS, AREA BUSINESS LEADERS, ELECTED OFFICIALS, NOT FOR PROFITS AND OUR WESTCHESTER COUNTY DEPARTMENT OF HEALTH. THE HOSPITAL'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENT THROUGHOUT OUR PLANNING PROCESSES. THE NEEDS IDENTIFIED IN THIS PLANNING PROCESS ARE INCORPORATED ANNUALLY WITH THE STRATEGIES AND GOALS SET BY THE HOSPITAL, AND ARE INCORPORATED INTO THE COMMUNITY SERVICE PLAN. FOR EXAMPLE, THE HOSPITAL WANTED TO OUTREACH MORE TO THE BUSINESS COMMUNITY. WE SENT INVITATIONS (SPEAKER'S BUREAU FLYERS AND A LETTER) TO ALL MEMBERS OF THE WESTCHESTER COUNTY ASSOCIATION AND RECEIVED POSITIVE FEEDBACK FROM SEVERAL LOCAL BUSINESSES, INCLUDING FUJI, JH KOHN, BABY COTTONS, DANNON, WHOLE FOODS, ABOVE NET AND IBM. ALL ARE NOW FULL-FLEDGED PARTNERS WITH THE HOSPITAL, TAKING ON WELLNESS INITIATIVES, HEALTH FAIRS, LUNCH AND LEARN SERIES AMONG OTHER COMMUNITY BENEFIT EVENTS. BASED ON OUR CONVERSATIONS WITH OUR COLLABORATIVE PARTNERS, REQUESTS ON PARTICULAR TOPICS FOR PRESENTATIONS SUCH AS NUTRITION AND UNDERAGE DRINKING FROM ADDITIONAL GROUPS, AND STATISTICAL DATA PREVIOUSLY REPORTED IN OUR 2010, 3-YEAR COMPREHENSIVE COMMUNITY SERVICE PLAN, NEEDS HAVE BEEN IDENTIFIED AND WHITE PLAINS HOSPITAL RESPONDED BY CONCENTRATING ON THE SELECTED PREVENTION AGENDA PRIORITIES. WHITE PLAINS HOSPITAL PREVENTION AGENDA PRIORITIES:CHRONIC DISEASE: CORONARY HEART DISEASE: REDUCE SODIUM INTAKEHEALTH IMPROVEMENT GOALS INCLUDE EDUCATING THE COMMUNITY ABOUT SODIUM REDUCTION IN THE DIET AND MAKING THE PUBLIC AWARE OF WAYS TO MAINTAIN A HEALTHY BLOOD PRESSURE AND AVOID HEART DISEASE. PHYSICAL ACTIVITY & NUTRITION: INCREASE PHYSICAL ACTIVITYOUR PRIORITY AGENDA GOAL TO INCREASE PHYSICAL ACTIVITY INCLUDES ACTUAL EXERCISE EVENTS FOR THE COMMUNITY AND PHYSICAL FITNESS EDUCATION. MENTAL HEALTH & SUBSTANCE ABUSE - DECREASE ALCOHOL CONSUMPTION IN TEEN POPULATION:- WHITE PLAINS HOSPITAL'S THIRD PRIORITY AGENDA GOAL IS TO EDUCATE THE COMMUNITY ABOUT UNDERAGE DRINKING, ITS CAUSES AND EFFECTS AND THE WAYS WE, AS A COMMUNITY, CAN COMBAT THIS PROBLEM.WHITE PLAINS HOSPITAL HAS IMPLEMENTED SEVERAL MEASURABLE PROGRAMS TO OUR ACTION PLAN. WORKING WITH OUR COLLABORATIVE PARTNERS TO OUR HOSPITAL PHYSICIANS, NURSES, STAFF AND VOLUNTEERS HAS GIVEN OUR PREVENTION AGENDA PRIORITIES GREAT SUCCESS STORIES. WE HAVE IDENTIFIED SEVERAL STEPS TO HELP INDIVIDUALS REDUCE SODIUM IN THEIR DIETS THROUGH THE COLLABORATION WITH SODEXO FOODS, AMERICAN HEART ASSOCIATION, MERCY COLLEGE, BERKELEY COLLEGE, TEMPLE ISRAEL CENTER, THOMAS H. SLATER CENTER, BETH EL SYNAGOGUE, PORT CHESTER OPEN DOOR, WHITE PLAINS YOUTH BUREAU, JH COHN, AT HOME ON THE SOUND, WHITE PLAINS SCHOOL DISTRICT, ARMONK LIONS CLUB, THE OLD GUARD OF WHITE PLAINS, OUR LADY OF SORROWS AND THE YWCA OF WHITE PLAINS AND CENTRAL WESTCHESTER: - CAFETERIA FOODS CONTINUE TO BE LABELED WITH NUTRITIONAL CONTENT (INCLUDING SODIUM CONTENT) ALLOWING CONSUMERS TO MAKE AN EDUCATED CHOICE ABOUT THEIR MEAL SELECTIONS. IN ADDITION, LOW-SODIUM AND LOW-FAT ENTREES ARE MARKED WITH A WELLNESS SYMBOL ON THE MENU DISPLAY IN THE HOSPITAL CAFETERIA. THE HOSPITAL CAFETERIA OFFERS A VARIETY OF FRESHLY PREPARED FOOD SELECTIONS AND ALL ENTREES, SIDE DISHES, SOUPS AND GRILL AND DELI SPECIALS ARE ALL MADE ACCORDING TO SODEXO'S WELLNESS CRITERIA. - TOTAL NUMBER OF LOW-SODIUM, "HEALTHIER FOOD" CHOICE SALES IN THE CAFETERIA HAVE REMAINED CONSTANT OR INCREASED SINCE WE HAVE IMPLEMENTED THE PLACEMENT OF THIS CRITERIA (2009 THROUGH 2012). CURRENT SODIUM CRITERIA FOR WELLNESS:- ENTREE / SOUP / VEGGIES / STARCHES / DESSERTS < OR = 800MG - APPROX. 85% OF THE FOOD SERVED IN THE CAFETERIA MEETS THESE CRITERIA SINCE WE ARE FOLLOWING MOSTLY WELLNESS RECIPES. ALLOWANCES FOR SOUP / ENTREE RECIPE FLUCTUATIONS. - FOR THE SALAD BAR, APPROXIMATELY 75% CAN BE CONSIDERED LOW SODIUM.- SNACK FOODS IN VENDING AND CAFETERIA < 360MG. - 75% OF OUR VENDING SNACK FOODS MEET THESE CRITERIA. - 90% OF OUR CAFETERIA SNACK FOODS MEET IT. - HOSPITAL VENDING MACHINES NOW HAVE LOW-SODIUM (5% OR LESS OF THE DAILY VALUE OF SODIUM) SNACK CHOICES MARKED. RESULTS OF THIS NEW PROGRAM HAVE BEEN MEASURED BY VENDING MACHINE SALES OF LOW-SODIUM SNACKS. SALES OF THESE LOW-SODIUM SNACKS HAVE NOT CHANGED SINCE INCEPTION OF THIS INITIATIVE (2009 THROUGH 2012)- BLOOD PRESSURE SCREENINGS CONTINUE TO BE HELD THROUGHOUT THE COMMUNITY AND INCLUDED EDUCATIONAL PAMPHLETS ON SODIUM REDUCTION IN ENGLISH AND SPANISH HANDED OUT TO THE SCREENING RECIPIENTS. BETWEEN SEPTEMBER 2009 AND SEPTEMBER 2012, WHITE PLAINS HOSPITAL PROVIDED OVER 2,500 BLOOD PRESSURE SCREENINGS TO INDIVIDUALS IN THE COMMUNITY AT OVER 60 EVENTS. ADDITIONALLY, THE AUXILIARY OF WHITE PLAINS HOSPITAL SPONSORS MONTHLY BLOOD PRESSURE SCREENINGS IN THE HOSPITAL LOBBY FOR THE COMMUNITY.- NUTRITIONAL PRESENTATIONS WERE HELD AT SEVERAL SITES IN THE COMMUNITY INCLUDING: SHOPRITE WHITE PLAINS, MAMARONECK AVE & GEORGE WASHINGTON ELEMENTARY SCHOOLS IN WHITE PLAINS, BETHEL BAPTIST CHURCH, THE SLATER CENTER, OPEN DOOR HEALTH CARE, THE WHITE PLAINS YWCA, HARRISON PUBLIC LIBRARY, RESTAURANT 42 WHITE PLAINS, ATRIA RYE BROOK, PORT CHESTER SENIOR CENTER, WHITE PLAINS HOSPITAL FOR THE WHITE PLAINS YOUTH BUREAU, AT HOME ON THE SOUND IN RYE, MBIA OF ARMONK, PANERA BREAD, ARMONK LIONS CLUB, THE OLD GUARD OF WHITE PLAINS, OUR LADY OF SORROWS, WHITE PLAINS SENIOR CENTER, RYE BROOK SENIOR CENTER AND THE NEW ROCHELLE SENIOR CENTER. OVER 500 PEOPLE ATTENDED THE VARIOUS EVENTS. - EDUCATIONAL ARTICLES ON THE IMPORTANCE OF SODIUM REDUCTION HAVE BEEN PUBLISHED IN THE HOSPITALS E-NEWSLETTER, INTRANET AND THROUGH A NEW "THIS WEEK IN WELLNESS" EMPLOYEE E-BLAST, AS WELL AS A MONTHLY CLINICAL NUTRITION NEWSLETTER AND DAILY HEALTH TIP DISTRIBUTED BY OUR FOOD SERVICES STAFF.ALONG WITH THE ABOVE PROGRAMS, WHITE PLAINS HOSPITAL HOSTS A MONTHLY STROKE SUPPORT GROUP, AND THE HEART CLUB TO HELP BRING AWARENESS TO THE COMMUNITY ON THE EFFECTS OF SODIUM REDUCTION IN THE DIET TO HELP LOWER BLOOD PRESSURE AND REDUCE THE RISKS FOR HEART ATTACK AND STROKE. WITH REGARD TO OUR PHYSICAL ACTIVITY AND NUTRITION PREVENTION AGENDA PRIORITY WHITE PLAINS HOSPITAL HAS TAKEN STEPS TO COMBAT OBESITY THROUGH PROGRAMS TO HELP INCREASE PHYSICAL ACTIVITY. WPH HAS COLLABORATED WITH THE FOLLOWING PARTNERS ON THIS MISSION: SIMON MALLS, THE YWCA OF WHITE PLAINS AND CENTRAL WESTCHESTER, BURKE REHABILITATION CENTER, NEW YORK SPORTS CLUB, SODEXO FOODS, AND APOGEE PILATES & WELLNESS. BELOW ARE THE PROGRAMS WE HAVE INITIATED AND THEIR RESULTS: - BIGGEST LOSER TYPE OF COMPETITION - IN MARCH OF 2011, MORE THAN 90 HOSPITAL EMPLOYEES COMMITTED TO THE CHALLENGE OF GETTING HEALTHY BY LOSING WEIGHT. THE BIGGEST LOSER COMPETITION WAS ONE OF WHITE PLAINS HOSPITAL'S EMPLOYEE WELLNESS INITIATIVE PROGRAMS WHICH HAS BLOSSOMED AND SPREAD TO THE COMMUNITY THROUGH BOOSTED MORALE, IMPROVED HEALTH AND FITNESS AND INCREASED PRODUCTIVITY IN THE WORKPLACE. A TOTAL OF 1,000 POUNDS WAS LOST IN 3 MONTHS (MARCH-MAY, 2011). - IN ADDITION TO THIS INITIATIVE THE HOSPITAL PROVIDES WEEKLY FREE YOGA CLASSES FOR EMPLOYEES AND VOLUNTEERS, A "WALKING WEDNESDAY" WALK CLUB, E-BLAST HEALTH TIPS AND HANDOUTS AND VARIOUS LUNCH AND LEARNS ON NUTRITION AND PHYSICAL ACTIVITY. THIS YEAR WPH HAS ALSO PARTNERED WITH THE WESTCHESTER COUNTY DEPARTMENT OF MENTAL HEALTH ON THEIR FIRST ANNUAL GET ON YOUR MAT FOR MENTAL HEALTH MEGA YOGA EVENT. NOT ONLY DID THIS EVENT PROVIDE INFORMATION AND AWARENESS TO MENTAL HEALTH ISSUES, THIS EVENT, DRAWING OVER 500 PEOPLE FROM AROUND WESTCHESTER COUNTY, STRESSED THE IMPORTANCE OF DAILY EXERCISE THROUGH YOGA OR ANY FORM OF PHYSICAL ACTIVITY FOR OUR OVERALL HEALTH AND WELLNESS. - MALLWALKERS PROGRAM:- THIS FREE, SUPERVISED WALKING PROGRAM MEETS THREE TIMES PER WEEK AT THE LOCAL MALL AND INCLUDES INFORMATIVE PRESENTATIONS PLUS FREE BLOOD PRESSURE SCREENINGS AND EVENTS. THERE WERE OVER 6,800 PEOPLE WHO WALKED FROM SEPTEMBER 2009-SEPTEMBER 2011. - WELLNESS THROUGH PREVENTION MONTH (WTPM): MAY 2011 DEDICATED TO EDUCATIONAL SEMINARS RELATING TO CHRONIC DISEASE PREVENTION THROUGH EXERCISE, HEALTH SCREENINGS, AND OTHER ACTIVITIES SUPPORTING WELLNESS THROUGH PREVENTION. IN 2011, OVER 700 PEOPLE ATTENDED WTPM EVENTS. PART III, LINE 4 2009 WHITE PLAINS HOSPITAL CENTER & SUBSIDIARIES AUDITED FINANCIAL STATEMENT NOTE REGARDING BAD DEBT AND CHARITY CARE:THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS THE HOSPITAL'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE HOSPITAL'S EXISTING ACCOUNTS RECEIVABLE. THE HOSPITAL HAS ESTIMATED THE ALLOWANCE BASED ON HISTORICAL COLLECTION RATES. THE HOSPITAL REVIEWS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS PERIODICALLY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OFCOLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. PART III, LINE 8: THE MEDICARE ALLOWABLE COST OF CARE REPORTED ON PART III SECTION B LINE 6 REFLECT THE ACCUMULATED AGGREGATE COSTS OF TREATING MEDICARE PATIENTS UTILIZING THE CMS-2552 MEDICARE SETTLEMENT WORKSHEETS. PART III, LINE 9B THE HOSPITAL HAS A GENERAL COLLECTION POLICY.ALL SERVICES PROVIDED TO PATIENTS OF WHITE PLAINS HOSPITAL CENTER ARE BILLED TO THEIR RESPECTIVE INSURANCE COMPANY. UPON RECEIPT OF PAYMENT ANY BALANCES REPRESENTING COPAYMENTS, DEDUCTIBLES OR CO-INSURANCE AMOUNTS ARE BILLED TO THE PATIENT AND THE ACCOUNT BALANCE IS TRANSFERRED TO "SELF PAY".PATIENTS THAT HAVE NO INSURANCE ARE REGISTERED AS "SELF-PAY" IN THE HIS. ALL PATIENTS INCLUDING THOSE WITH BALANCES AFTER INSURANCE RECEIVE 3 LASER STATEMENTS FROM THE HOSPITAL EVERY 28 DAYS. UPON COMPLETION OF THE LASER STATEMENT SEQUENCE, A SERIES OF LETTERS AND PHONE CALLS ARE MADE THROUGH 2 OUTSIDE BILLING VENDORS. THE ACCOUNT REMAINS WITH THE OUTSIDE BILLING VENDORS FOR A MINIMUM OF 120 DAYS AT WHICH TIME IT IS RETURNED TO THE HOSPITAL FOR REFERRAL TO AN OUTSIDE COLLECTION AGENCY TO PURSUE AT THE HOSPITAL'S DISCRETION.PATIENTS THAT HAVE THE COLLECTION PROCEDURES FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE ARE OUTLINED IN THE CHARITY CARE/FINANCIAL AIDE POLICY. WHITE PLAINS HOSPITAL CENTER PART V, SECTION B, LINE 13G: REGISTRATION PERSONNEL REFER UNINSURED/LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. PART VI, LINE 2: NEEDS ASSESSMENT:ASSESSING OUR COMMUNITY'S HEALTH NEEDS CONTINUES TO BE PARAMOUNT FOR THE HOSPITAL. EACH YEAR OUR CSP COMMITTEE GOES INTO THE COMMUNITY TO INTERVIEW COMMUNITY LEADERS ACROSS OUR SERVICE AREA.INTERNAL SURVEYS SUCH AS EMPLOYEE AND PHYSICIAN SATISFACTION SURVEYS HAVE BEEN, AND CONTINUE TO BE CONDUCTED ON A REGULAR BASIS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:WHITE PLAINS HOSPITAL CENTER MAKES FINANCIAL AID AVAILABLE TO PATIENTS, BASED ON DEMONSTRATED ECONOMIC NEED. THIS AID INCLUDES BOTH CHARITY CARE AND SLIDING FEE SCALES (DISCOUNTS) AS SPECIFIED BY NEW YORK STATE'S CHARITY CARE LAW, WHICH TOOK EFFECT IN 2007.THE HOSPITAL HAS EXPERIENCED SEVERAL CHALLENGES IN ADMINISTERING ITS FINANCIAL AID PROGRAM. THE HOSPITAL HAS SEEN AN INCREASE IN APPLICATIONS FOR FINANCIAL AID SINCE THE PRIMARY SERVICE AREA WAS EXPANDED IN 2007, ESPECIALLY FROM INDIVIDUALS OUTSIDE WESTCHESTER COUNTY. A CHALLENGE HAS ARISEN IN HELPING SOME OF THESE PATIENTS FROM AREAS OUTSIDE WESTCHESTER APPLY FOR MEDICAID. AS A RESULT, A PORTION OF THE MEDICAID ASSISTANCE APPLICATION PROCESS HAS BEEN OUTSOURCED TO ENTITIES THAT RECEIVE A PORTION OF WHAT THE HOSPITAL COLLECTS FROM MEDICAID.THE ECONOMIC DOWNTURN HAS POSED ADDITIONAL CHALLENGES IN PROVIDING CARE FOR THE INCREASING NUMBER OF PEOPLE WHO ARE UNEMPLOYED AND MAY HAVE REDUCED INSURANCE BENEFITS IN THE FORM OF HIGHER DEDUCTIBLES AND CO-PAYMENTS. THE NUMBER OF SUCH UNDERINSURED INDIVIDUALS CONTINUES TO GROW.THE VOLUME OF FINANCIAL AID CASES ALSO ADDS ADDITIONAL BURDEN FOR THE STAFF THAT MANUALLY PROCESS AND TRACK THE APPLICATIONS. THE HOSPITAL DOES NOT HAVE THE SOFTWARE TO ENABLE APPLICATIONS TO BE TRACKED BY COMPUTER.DESPITE THE CHALLENGES CREATED BY THE ECONOMY, THE FINANCIAL AID PROGRAM SUCCEEDS IN CONSISTENTLY IMPLEMENTING ITS PROGRAM. ALL STAFF IN THE PATIENT ACCOUNTS DEPARTMENT ARE CROSS-TRAINED IN ASSISTING PATIENTS WITH THE FINANCIAL AID APPLICATION, AND MANY OF THE CUSTOMER SERVICE EMPLOYEES ARE BILINGUAL. PATIENTS ARE CONSISTENTLY REMINDED OF THE AVAILABILITY OF FINANCIAL AID AND HOW TO ACCESS IT, INCLUDING A REMINDER PRINTED AT THE BOTTOM OF ALL BILLING STATEMENTS. THERE IS ALSO A COMPREHENSIVE INSTRUCTION PACKET.GROSS CHARGES RELATED TO CHARITY CARE WERE APPROXIMATELY $4,528,000 IN 2011. THE ASSOCIATED ESTIMATED COST INCURRED BY THE HOSPITAL TO PROVIDE THESE RELATED SERVICES TO PATIENTS WHO WERE UNABLE TO PAY WAS APPROXIMATELY $1,869,000. THE BAD DEBT EXPENSE IN 2011 WAS $10,525,000. PART VI, LINE 4: COMMUNITY INFORMATIONWHITE PLAINS HOSPITAL DRAWS PATIENTS FROM THROUGHOUT WESTCHESTER COUNTY AND THE SURROUNDING AREAS, WITH THE MAJORITY COMING FROM NEARBY COMMUNITIES IN THE CENTRAL AND SOUTHERN PORTIONS OF THE COUNTY. THE HOSPITAL DEFINES THE FOLLOWING COMMUNITIES, AS DESIGNATED BY ZIP CODE, AS IT'S PRIMARY AND SECONDARY CATCHMENT AREAS: 10502 ARDSLEY 10603 WHITE PLAINS10503 ARDSLEY ON HUDSON 10604 WHITE PLAINS10523 ELMSFORD10605 WHITE PLAINS10528 HARRISON10606 WHITE PLAINS10530 HARTSDALE10607 WHITE PLAINS10532 HAWTHORNE10701 YONKERS10533 IRVINGTON10703 YONKERS10538 LARCHMONT10707 YONKERS10543 MAMARONECK10708 YONKERS10573 PORT CHESTER/RYE BROOK10709 YONKERS 10577 PURCHASE10710 YONKERS10580 RYE10706 HASTINGS ON HUDSON10581 AVON10707 TUCKAHOE10583 SCARSDALE10708 BRONXVILLE10591 TARRYTOWN10709 EASTCHESTER10594 THORNWOOD10801 NEW ROCHELLE10595 VALHALLA10802 NEW ROCHELLE10601 WHITE PLAINS10803 NEW ROCHELLE10602 WHITE PLAINS (PO BOXES)10804 NEW ROCHELLE10805 NEW ROCHELLE WHITE PLAINS HOSPITAL CONTINUES TO BE THE PRIMARY HOSPITAL FOR WHITE PLAINS, SCARSDALE, HARTSDALE, HARRISON AND SECTIONS OF THE TOWN OF GREENBURGH. OTHER EXPLANATORY INFORMATION IDENTIFYING OUR PREVENTION AGENDA PRIORITIES IN OUR 2010-2012, 3-YEAR COMPREHENSIVE PLAN AFFORDED WHITE PLAINS HOSPITAL THE ABILITY TO REASSESS THE EFFORTS IN PLACE TO REACH OUT AND COMMUNICATE EFFECTIVELY WITH OUR HOSPITAL COMMUNITY. TO DATE THERE HAS BEEN NO CHANGE OR UNEXPLAINED IMPACT ON OUR ORIGINAL COLLABORATIVE PLANS. THROUGH OUR DIRECT AND ONGOING DIALOGUE WITH COMMUNITY PARTNERS WE DEVELOPED AND IDENTIFIED NEEDS FOR SEVERAL NEW AND EXPANDED SERVICES. X 1 1 X X X 1 0 0 0 0 0 0 1 0 EDWARD F LEONARD 363850 0 129382 0 7304 0 19600 0 20656 0 540792 0 0 0 MICHAEL J PALUMBO MD 345518 0 96000 0 8460 0 12250 0 11517 0 473745 0 0 0 JON B SCHANDLER 966117 0 775000 0 13417 0 22050 0 24356 0 1800940 0 0 0 SUSAN FOX 348846 0 112000 0 3168 0 9800 0 992 0 474806 0 0 0 JOHN B SCIURBA 244994 0 25000 0 690 0 14700 0 25605 0 310989 0 0 0 MICHAEL LA CALAMITA 193810 0 0 0 2158 0 17607 0 10006 0 223581 0 0 0 LEIGH ANN MCMAHON 223337 0 30000 0 1767 0 17921 0 2637 0 275662 0 0 0 JUAN SANCHEZ 193659 0 25000 0 445 0 13973 0 28402 0 261479 0 0 0 OSSIE DAHL 199050 0 20000 0 1268 0 18381 0 21176 0 259875 0 0 0 RICHARD PETRICCIONE 218726 0 0 0 2989 0 8777 0 1708 0 232200 0 0 0 MICHAEL BOOKCHIN 176186 0 0 0 212 0 7269 0 22436 0 206103 0 0 0 JESUS JAILE MD 193123 0 600000 0 690 0 12046 0 30093 0 835952 0 0 0 TIMOTHY HAYDOCK MD 422900 145562 0 0 1980 0 12250 0 28093 0 465223 145562 0 0 ZAID ALRAWI MD 173811 0 300000 0 1135 0 10862 0 15611 0 501419 0 0 0 RAJESH GUPTA MD 326344 138102 0 0 690 0 12250 0 25954 0 365238 138102 0 0 KEVIN L FLETCHER MD 174736 0 300000 0 607 0 9035 0 28356 0 512734 0 0 0 PART I, LINE 1A THE HOSPITAL PAYS FOR TAX PREPARATION SERVICES FOR JON B. SCHANDLER. THE VALUE OF THESE SERVICES IS INCLUDED IN OTHER REPORTABLE COMPENSATION. PART I, LINE 4A AS OF APRIL 25, 2011 MR. LACALAMITA WAS ON A SEVERANCE PAYMENT PLAN. PART I, LINE 7 BONUS COMPENSATION WAS PAID BY WHITE PLAINS HOSPITAL CENTER TO CERTAIN OFFICERS AND SENIOR STAFF IN 2011. SUCH COMPENSATION WAS AWARDED TO THOSE INDIVIDUALS BASED ON THE INDIVIDUAL'S RESPECTIVE JOB PERFORMANCE AND ACCOMPLISHMENTS ACHIEVED AS DETERMINED BY EITHER THE MANAGEMENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IN THE CASE OF THE OFFICERS OR BY EXECUTIVE LEADERSHIP IN THE CASE OF SENIOR STAFF. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000693 64983TTS2 2004-06-23 32330000 SEE SCHEDULE K, PART VI 0 0 0 9105000 32340437 8405582 604543 714761 29164771 70402 2004 1 0 1 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 0 1 BAYERISCHE LANDESBANK 11.400000000000 1 1 1 PART I A(F) PROCEEDS OF BORROWING USED TO CURRENT REFUND NYSMCFFA FHA-INSURED MORTGAGE PROJECT REVENUE 1994 SERIES B BONDS ISSUED 10/20/1994. PART II, LINE 3 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN E) AND TOTAL PROCEEDS ARE DUE TO INVESTMENT EARNINGS. PART II, LINE 4 THE AMOUNT SHOWN CONSISTS OF A DEBT SERVICE RESERVE FUND OF $1,786,000, A YIELD RESTRICTED MORTGAGE RESERVE FUND OF $5,362,573 AND A DEBT SERVICE FUND OF $1,257,009. PART IV, LINE 5 CERTAIN AMOUNTS COMPRISING A "MINOR PORTION" (AND THEREFORE NOT SUBJECT TO YIELD RESTRICTIONS) WERE HELD BEYOND AN AVAILABLE TEMPORARY PERIOD. PART V SINCE 12/31/2011 THE ORGANIZATION HAS UNDERTAKEN TO ESTABLISH SUCH WRITTEN PROCEDURES, WHICH ARE EXPECTED TO BE IN PLACE BY JULY 1, 2013. ALEIDA M FREDERICO BOARD OF DIRECTOR 448576 LEASE PAYMENTS - EQUIPMENTS 0 NORMAN ALPERT BOARD OF DIRECTOR 101181 SURVEY SERVICES 0 X 5 204629 COST OR SELLING PRICE 0 0 0 ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE I WHITE PLAINS HOSPITAL CENTER IS A VOLUNTARY, NOT-FOR-PROFIT HEALTHCARE ORG, WHOSE MISSION IS TO OFFER ACUTE HEALTH CARE AND PREVENTIVE MEDICAL CARE TO ALL PEOPLE WHO LIVE IN, WORK IN OR VISIT WESTCHESTER. ORGANIZATION MISSION STATEMENT FORM 990, PART III, LINE I WHITE PLAINS HOSPITAL CENTER IS A VOLUNTARY, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION WITH THE PRIMARY MISSION OF OFFERING HIGH QUALITY ACUTE HEALTH CARE AND PREVENTIVE MEDICAL CARE TO ALL PEOPLE WHO LIVE IN, WORK IN OR VISIT WESTCHESTER COUNTY AND ITS SURROUNDING AREAS, THIS CARE AND SERVICE WILL BE DELIVERED IN A CARING AND COMPASSIONATE MANNER, FOCUSING ON MEETING THE NEEDS OF THE COMMUNITY, WHITE PLAINS HOSPITAL CENTER'S SERVICES EXTEND BEYOND INPATIENT AND OUTPATIENT CARE TO INCLUDE ASSESSING AND IMPROVING THE HEALTH CARE STATUS OF THE LOCAL COMMUNITY, THE PROFESSIONAL COMMUNITY AND THE BUSINESS SECTOR, THE HOSPITAL WILL STRIVE TO ENHANCE ITS CAPABILITIES AND TO DELIVER HEALTH CARE SERVICES, WITHIN THE SCOPE OF ITS RESOURCES, IN A COST EFFECTIVE MANNER, WHITE PLAINS HOSPITAL CENTER BELIEVES SUCCESS IS ASSURED BY THE DEDICATION OF THE PEOPLE WHO MAKE UP THE SUPPORTING CONSTITUENCIES: - EMPLOYEES - PHYSICIANS - LICENSED HEALTH CARE PROFESSIONALS - VOLUNTEERS - INDIVIDUAL SUPPORTERS - BUSINESS AND CIVIC ORGANIZATIONS ALL CARE AND SERVICES WILL BE PROVIDED WITHOUT REGARD TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, SEXUAL ORIENTATION OR ABILITY TO PAY. DURING 2011 THE HOSPITAL APPLIED FOR AND IN 2012 WAS AWARDED MAGNET DESIGNATION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK, AND SUPERIORITY IN PATIENT CARE. MAGNET RECOGNITION IS DETERMINED BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM, WHICH ENSURES THAT RIGOROUS STANDARDS FOR NURSING EXCELLENCE ARE MET. WITH THIS CREDENTIAL, THE HOSPITAL JOINS A SELECT GROUP OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES. TO ACHIEVE MAGNET RECOGNITION, HEALTHCARE ORGANIZATIONS MUST PASS A RIGOROUS AND LENGTHY REVIEW PROCESS DEMANDING WIDESPREAD PARTICIPATION FROM LEADERSHIP AND STAFF AND INCLUDING EXTENSIVE WRITTEN DOCUMENTATION TO DEMONSTRATE QUALITATIVE AND QUANTITATIVE EVIDENCE RELATED TO PATIENT CARE AND OUTCOMES. ORGANIZATIONS MUST ALSO COMPLETE A SEVERAL DAY COMPREHENSIVE ON-SITE VISIT BY MAGNET SURVEYORS, WHICH FOR WHITE PLAINS HOSPITAL OCCURRED IN JANUARY, 2012. MAGNET RECOGNITION HAS BEEN SHOWN TO PROVIDE SPECIFIC BENEFITS TO HOSPITALS AND THEIR COMMUNITIES, SUCH AS - HIGHER PATIENT SATISFACTION WITH NURSE COMMUNICATION, AVAILABILITY OF HELP, AND RECEIPT OF DISCHARGE INFORMATION - LOWER RISK OF 30-DAY MORTALITY AND LOWER FAILURE TO RESCUE - HIGHER JOB SATISFACTION AMONG NURSES - LOWER NURSE REPORTS OF INTENTIONS TO LEAVE POSITION INPATIENT SERVICES FORM 990, PART III, LINE 4A THE HOSPITAL PROVIDES MEDICAL, SURGICAL PEDIATRIC, MATERNITY AND OBSTETRIC AND LEVEL III NEONATAL SERVICES. IN 2011, THE HOSPITAL HAD APPROXIMATELY 17,500 INPATIENT ADMISSIONS AND PERFORMED APPROXIMATELY 4,370 INPATIENT SURGICAL PROCEDURES (INCLUDING ENDOSCOPIES). THERE WERE APPROXIMATELY 85,900 TOTAL PATIENT DAYS IN 2011 AND THE AVERAGE LENGTH OF A PATIENT'S STAY WAS 4.91 DAYS. THE HOSPITAL'S MATERNITY AND OBSTETRIC SERVICE IS ONE OF THE BUSIEST IN WESTCHESTER COUNTY AND OFFERS A BROAD SPECTRUM OF PREGNANCY, PERINATAL, CHILDBIRTH AND NEWBORN CARE SERVICES. THERE WERE APPROXIMATELY 1,950 BIRTHS IN 2011. IN 2011, UNDERINSURED AND UNINSURED PATIENTS ACCOUNTED FOR APPROXIMATELY 2.3% AND 1.6% OF THE HOSPITAL'S TOTAL DISCHARGES AND PATIENT DAYS RESPECTIVELY. SUCH PATIENTS GENERATED IN EXCESS OF $6.1 MILLION IN CHARGES FOR SERVICES RENDERED OF WHICH A SIGNIFICANT AMOUNT WILL GO UNCOLLECTED. IN ADDITION, PATIENTS COVERED UNDER MEDICAID (FEE-FOR-SERVICE) OR MEDICAID HMO INSURANCE WHICH IS CONSIDERED MEDICALLY INDIGENT REPRESENTED APPROXIMATELY 12.1% AND 11.9% OF THE HOSPITAL'S TOTAL DISCHARGES AND PATIENT DAYS RESPECTIVELY. EMERGENCY SERVICES FORM 990, PART III, LINE 4B THE HOSPITAL'S EMERGENCY ROOM IS THE BUSIEST IN WESTCHESTER COUNTY TREATING A TOTAL OF APPROXIMATELY 53,400 PATIENTS FROM WHICH APPROXIMATELY 11,500 WERE ADMITTED TO THE HOSPITAL. THE HOSPITAL'S EMERGENCY DEPARTMENT OFFERS ACCESS TO THE LATEST TECHNOLOGY AND IS EQUIPPED TO TREAT PATIENTS WITH SERIOUS MEDICAL CONDITIONS AND INJURIES AND HAS A "FAST TRACK" AREA TO SERVE THOSE PATIENTS WHOSE NEEDS ARE LESS URGENT. THE EMERGENCY ROOM IS A VITAL SERVICE TO THOSE LIVING, WORKING AND VISITING WESTCHESTER COUNTY AND PROVIDES NEEDED EMERGENT CRITICAL CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE HOSPITAL HAS BEEN DESIGNATED A REGIONAL STROKE CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH, A DISTINCTION THAT DEMONSTRATES THE HOSPITAL'S ABILITY TO DIAGNOSE AND TREAT STROKES USING A HIGHLY SPECIALIZED MEDICAL STROKE TEAM. THE HOSPITAL WAS THE FIRST HOSPITAL IN WESTCHESTER COUNTY TO RECEIVE THIS PRESTIGIOUS DESIGNATION. DESPITE THE PRIMARY CARE AND OUTREACH PROGRAMS AVAILABLE THROUGH THE HOSPITAL AND OTHERS SERVING THE COMMUNITY, FOR MANY UNINSURED AND UNDERINSURED, THE HOSPITAL'S EMERGENCY ROOM IS THEIR PRIMARY SOURCE OF AND PRINCIPAL MEANS OF ACCESSING HEALTHCARE SERVICES. IN 2011, APPROXIMATELY 10% OF THE PATIENTS TREATED IN THE EMERGENCY ROOM WERE UNINSURED OR CHARITY CARE PATIENTS. THE PATIENTS INCURRED CHARGES TOTALING APPROXIMATELY $9 MILLION. IN ADDITION, APPROXIMATELY 21% OF THE PATIENTS TREATED WERE COVERED UNDER MEDICAID (FEE-FOR-SERVICE) OR MEDICAID HMO INSURANCE WHICH IS CONSIDERED MEDICALLY INDIGENT. TOTAL EMERGENCY ROOM CHARGES RELATED TO SERVICES RENDERED TO THESE PATIENTS TOTALED APPROXIMATELY $15.2 MILLION. THE HOSPITAL IS COMMITTED TO CONTINUING TO PROVIDE THE HIGHEST QUALITY PATIENT CARE AS WELL AS SEEKING AND DEVELOPING CONTINUAL IMPROVEMENT TO PATHWAYS AND SYSTEMS WHICH WILL FACILITATE QUICKER ACCESS TO EMERGENCY MEDICINE SERVICES AS WELL AS MORE EFFICIENT PATIENT FLOW THROUGHOUT THE HOSPITAL. OUTPATIENT SERVICES FORM 990, PART III, LINE 4C THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES INCLUDING AMBULATORY SURGERY, RADIATION ONCOLOGY AND INFUSION THERAPY, PHYSICAL THERAPY, RADIOLOGY AND IMAGING, LABORATORY SERVICES, FAMILY HEALTH CLINIC, AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS WITH APPROXIMATELY 325,000 PATIENT ENCOUNTERS. THE VALUE OF OUTPATIENT SERVICES RENDERED TO PATIENTS UNINSURED AS MEASURED BY GROSS CHARGES WAS IN EXCESS OF $7.6 MILLION IN 2011. SIMILARLY, OUTPATIENT SERVICES WITH AGGREGATE CHARGES OF APPROXIMATELY $25.7 MILLION WERE PROVIDED TO PATIENTS ENROLLED IN MEDICAID OR MEDICAID HMO COVERAGE, WHICH IS DEEMED TO BE MEDICALLY INDIGENT. PATIENTS COVERED BY MEDICAID OR MEDICAID HMO COVERAGE ACCOUNTED FOR APPROXIMATELY 10% OF OUTPATIENT ENCOUNTERS AND WHEN COMBINED WITH UNINSURED PATIENTS, REPRESENT APPROXIMATELY 14% OF THE OUTPATIENTS SERVED. THE HOSPITAL ALSO PROMOTES THE WELLNESS OF THE COMMUNITY THROUGH CONDUCTING A VARIETY OF COMMUNITY FOCUSED EDUCATION AND PREVENTION MEASURES SUCH AS LECTURES, SCREENINGS AND OUTREACH INCLUDING CO-SPONSOR AND LEAD PARTICIPANT OF THE ANNUAL NEIGHBORHOOD HEALTH FAIR WHICH EMPHASIZES REACHING OUT TO THE UNINSURED AND UNDERINSURED POPULATION AS WELL AS "WELLNESS MONTH" WHICH INVOLVED A SERIES OF EVENTS AND ACTIVITIES DESIGNED TO BRING PREVENTATIVE HEALTH INFORMATION AND EDUCATION TO THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS ROBERT FEDER AND WILLIAM NULL HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 STELLARIS IS THE SOLE MEMBER OF WHITE PLAINS HOSPITAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A WHITE PLAINS HOSPITAL MEDICAL CENTER IS AN AFFILIATE AND DIRECT SUBSIDIARY OF HEALTHSTAR NETWORK INC., D/B/A STELLARIS HEALTH NETWORK. EVERY MEMBER OF THE WHITE PLAINS HOSPITAL MEDICAL CENTER'S BOARD OF DIRECTORS (GOVERNING BODY) SERVES AT THE RECOMMENDATION OF THE HEALTHSTAR NETWORK, INC. BOARD OF DIRECTORS. PURSUANT TO BOTH THE MEDICAL CENTER'S AND HEALTHSTAR'S BYLAWS, ALL APPOINTMENTS TO THE MEDICAL CENTER'S BOARD ARE FIRST RECOMMENDED BY THE MEDICAL CENTER TO THE HEALTHSTAR NOMINATING COMMITTEE. THE NOMINATING COMMITTEE REVIEWS THE NOMINATION AND THEN RECOMMENDS THE APPOINTMENT TO THE OVERALL HEALTHSTAR BOARD FOR APPROVAL. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE WHITE PLAINS HOSPITAL MEDICAL CENTER'S AND HEALTHSTAR NETWORK, INC., D/B/A STELLARIS HEALTH NETWORK'S ORGANIZING DOCUMENTS (BYLAWS), CERTAIN DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY THE HEALTHSTAR NETWORK BOARD OF DIRECTORS. SUCH DECISIONS INCLUDE MANAGED CARE CONTRACTING, EXPANSION/SUBTRACTION OF THE MEDICAL CENTER'S OPERATIONS, CERTAIN ADMINISTRATIVE PROCEDURES, ETC. FORM 990, PART VI, SECTION B, LINE 11 THE WHITE PLAINS HOSPITAL MEDICAL CENTER FORM 990 WAS REVIEWED IN DETAIL BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER IN CONJUNCTION WITH ITS TAX PREPARERS, DELOITTE TAX LLP. A COPY OF THE FINAL FORM 990 WAS CIRCULATED TO THE FULL BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED. PRIOR TO FILING, THE FORM 990 WAS PRESENTED TO THE FINANCE AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ON NOVEMBER 08, 2012, WITH AN OVERVIEW OF THE FORM 990 AND ITS IMPACT ON WHITE PLAINS HOSPITAL MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF WHITE PLAINS HOSPITAL MEDICAL CENTER ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF THE HOSPITAL OR AS A BOARD MEMBER OF THE MEDICAL CENTER. COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE LEGAL COMMITTEE OF THE BOARD OF DIRECTORS AND CONCERNS PRESENTED BY THE RESPONSES TO THE CONFLICT OF INTEREST POLICY ARE DISCLOSED TO THE BOARD, WITH THE INTERESTED PARTY RECUSED FROM DISCUSSING THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE WHITE PLAINS HOSPITAL MEDICAL CENTER UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS AND ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE MANAGEMENT COMPENSATION COMMITTE OF THE BOARD OF DIRECTORS USES COMPARABLE PUBLICLY AVAILABLE BENCHMARKING DATA THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE MANAGEMENT COMPENSATION COMMITTEE ESTABLISHES COMPENSATION LEVELS WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY AN OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION BY THE COMMITTEE IS THEN DOCUMENTED IN MEMORANDUM. THE MEMORANDUM CONTAINS THE TERMS OF THE PROPOSED COMPENSATION AS SET FORTH BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE PUBLIC REQUEST AND AT MANAGEMENT'S DISCRETION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -404,162. PENSION RELATED ADJUSTMENT -24,607,496. ROUNDING -2. TOTAL TO FORM 990, PART XI, LINE 5: -25,011,660. POST DEVELOPMENT CORPORATION DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 222605281 REAL ESTATE NY 248409 698513 WHITE PLAINS HOSPITAL WHITE PLAINS HOSPITAL CENTER FOUNDATION 41 EAST POST ROAD AND DAVIS AV WHITE PLAINS NY 10601 133281507 FUNDRAISING NY 501(C)(3) LINE 11, TYPE I: 509 WHITE PLAINS HOSPITAL 0 HEALTHSTAR NETWORK- DBA STELLARIS HEALTH ONE NORTH GREENWICH ROAD ARMONK NY 10504 133911773 SUPPORT SVCS NY 501(C)(3) LINE 11, TYPE I: 509 N/A 0 8 LONGVIEW DEVELOPMENT CORPORATION DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 263321278 HOUSING NY C 372832 2989083 1.00000 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES PC 41 EAST POST ROAD WHITE PLAINS NY 10601 453164626 PROFESSIONAL SERVICES NY C 1555 11077 1.00000 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0