2012-11-09T08:45:24-08:00 2011-12-31 Charles A Barragato 950 Third Avenue- 20th Floor New York NY 10022 990 2011-01-01 111631796 THE NEW YORK METHODIST HOSPITAL NEWY 2122975962 506 SIXTH STREET BROOKLYN NY 11215 Edward A Zaidberg 2012-11-09 true Angelo Pirozzi CPA 2123714446 2011 2016-02-24 21:20:13Z MARK J MUNDY 506 SIXTH STREET BROOKLYN NY 11215 594784648 false false X www.nym.org X 1881 NY To provide excellent healthcare services without regard to age, sex, race, creed, national origin or disability; To serve as an educational and research center for physicians, nurses and healthcare professionals; To provide health education to community residents. 19 16 4198 1180 3960080 1126030 5610499 12722541 521017894 538866190 9007833 3590115 30965156 31393598 566601382 586572444 0 0 286912244 300839567 0 0 247753795 251135168 534666039 551974735 31935343 34597709 521839196 577120186 350682121 397358454 171157075 179761732 To provide excellent healthcare services without regard to age, sex, race, creed, national origin or disability; To serve as an educational and research center for physicians, nurses and healthcare professionals; To provide health education to community residents. For more information, please visit www.nym.org. false false 445498772 563380516 The mission of New York Methodist Hospital, a member of the New York-Presbyterian Healthcare System, is to provide excellent health care services in a compassionate and humane manner to the people who live and work in Brooklyn and its surrounding areas. The Hospital is a non-sectarian, voluntary institution with 651 beds, which includes an acute care general facility and an extensive array of ambulatory and outpatient sites and services. During 2011, 198,414 patient days of care were provided; 34,067 patients were discharged with an average length of stay of 5.5 days, excluding new borns. There were a total of 98,310 outpatient visits to our outpatient sites, and 100,604 visits to our Emergency Room.In serving its community, the Hospital works to achieve these primary objectives:The services are accessible to patients and physicians without regard to age, sex, race, creed, national origin or disability.The commitment to community service is evidenced by our uncompensated services provided to the poor in the broader community. Our services provided to the poor include persons who can not afford health care because of inadequate financial resources and/or who are uninsured or under-insured. These persons are eligible for charity care and financial aid under the Hospital's financial aid policy. For the year ended December 31, 2011, uncompensated care amounted to approximately $25.4 million.Provide patients with an environment that assures the continuous enhancement of patient safety;Assess periodically the healthcare needs of the community and to respond to these needs with healthcare services, including health education for patients and community residents.Our needs assessment is derived through an assortment of reports from professional agencies as well as outreach to and involvement in major community organizations, including the State and City Department of Health, the Human Services Committee of Community Board Six, the Park Slope Civic Council, the Brooklyn Chamber of Commerce, the Park Slope Chamber of Commerce, the Park Slope Volunteer Ambulance Corps, the American Red Cross/Brooklyn Chapter, the South Brooklyn Lion's Club, the Brooklyn Community Heart Health Council, Gilda's Club NYC, Leeza's Place, the Park Slope Geriatric Day Center, the YMCA of Greater New York, Prospect Park Branch, the Greater Southern Brooklyn Healthcare Coalition, the American Heart/Stroke Association, the Lupus Foundation and the New York City Department of Education.The Hospital has formed a Community Council, made up of community residents who are near-neighbors and/or represent various community organizations. The group meets quarterly to discuss neighborhood recommendations and concerns with regard to health care in general, and the Hospital in particular. Community residents are informed of the availability of the community service plan via web site notice, or obtain a copy of the community report by calling the Hospital's administrative office at (718)780-3301 or the public relations office at (718)780-5367.Serve as an educational and research center for the training and continuing education of physicians, nurses and healthcare professionals committed to the Brooklyn community.Provide an active ecumenical program of pastoral care and to conduct a clinical pastoral education program.Offer an environment that is responsive to new and changing technologies and management principles that will stimulate creative solutions for our patients, physicians, and employees.Work with members of the New York-Presbyterian Healthcare System and other healthcare institutions, physicians and community groups in jointly pursuing the delivery of quality healthcare services, medical education and clinical research.New York Methodist Hospital has an historic relationship with the United Methodist Church. 445498772 true true false true false false false false false true true false false true true false false true false false true false false false true false true true false false true true false false false false false false false false false false false false false false false true true true false false true 431 0 true 4198 true true true true CJ false false false false false true true false 0 false false false false false false false false false false false X 19 16 false false false false true true false true true false false false false true true true true true true true true true NY X ELLIOTT M GAMBERG 2122975962 506 SIXTH STREET BROOKLYN NY 112153609 X GARY ZUAR 1.00 X 0 1007391 134181 MATTHEW J VETRI 1.00 X 0 0 0 ROBERT O SIMPSON 1.00 X 0 0 0 ANTHONY SCHLESINGER 1.00 X 0 0 0 ANTHONY SALEH MD 1.00 X 0 0 0 ROBERT H RODGERS JR 1.00 X 0 0 0 JAMES W PERKINS 1.00 X 0 0 0 JEREMIAH PARK 1.00 X 0 0 0 WAYNE OSTEN 1.00 X 0 887900 215706 CHARLES K O'NEILL 1.00 X 0 0 0 J KEVIN MCKAY 1.00 X 0 0 0 LAWRENCE MCGAUGHEY 1.00 X 0 0 0 LESLIE JACOBSON PHD 1.00 X 0 0 0 FRED HUGUE 1.00 X 0 0 0 JOAN DEPRIZIO 1.00 X 0 0 0 EMIL BACCASH MD 1.00 X 0 0 0 BARBARA CAPOZZI 1.00 X 0 0 0 KATHLEEN BURKE 1.00 X 0 344549 45021 JOHN E CARRINGTON 3.00 X 0 0 0 REBECCA FLOOD 37.50 X 347441 0 80041 ERROL HANKIN 37.50 X 420220 0 89217 LAUREN YEDVAB 37.50 X 480425 0 87309 EDWARD A ZAIDBERG 37.50 X 587721 0 158781 STANLEY SHERBELL MD 37.50 X 551632 0 97529 MARK J MUNDY 37.50 X 1002497 0 325144 MARCUS D D'AYALA 22.99 X 462044 291670 31729 HARVEY DOSIK 21.75 X 440210 318827 33742 SORIN J BRENER 19.65 X 426912 387795 33171 SUHAIL RAOOF 27.62 X 400479 143341 14042 PRAMOD NARULA 32.40 X 390322 61432 44983 ROBERT SEMINARA MD 36.00 X 90530 4708 4952 STEVEN CORWIN MD 0.00 X 0 2886641 189795 5600433 6334254 1585343 485 true true false WEILL CORNELL MEDICAL COLLEGE 525 EAST 68TH STREET NEW YORK NY 10006 CARDIOTHORACIC SURGE 3303851 PARK SLOPE EMERGENCY PHISICIAN SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 TEACHING & ADM FEES 3480000 METRO SPORTMED 263 7TH AVENUE SUITE 2A BROOKLYN NY 11215 PHYSICIAL THERAPY 5666694 CERNER CORPORATION 8200 ROCKCREEK PARKWAY KANSAS CITY MO 64117 MEDICAL SYSTEM MAINT 4879726 BROOKLYN RADIOLOGY SERVICES PC 506 SIXTH STREET BROOKLYN NY 11215 TEACHING & ADM FEES 3405000 119 691596 7500 7590152 4433293 12722541 RENT - RESIDENT HOUSING 531120 641458 641458 RENT - OFFSITE CLINICS 531120 5433310 5433310 PROVISION FOR BAD DEBT 621990 -13247994 -13247994 PATIENT CARE 621990 546039416 546039416 538866190 2761788 -235620 2997408 198833 198833 0 1517166 770681 746485 746485 746485 7794068 27200 7084665 107109 709403 -79909 629494 629494 209125 691596 249749 -40624 -40624 0 0 LABORATORY SERVICE FEES 621990 4195700 4195700 INCOME FROM AFFILIATED PC 621990 7579740 7579740 FACULTY PRACTICE RECEIPTS 621990 14881261 14881261 4031036 2053325 1977711 30687737 586572444 563380516 3960080 6509307 0 0 0 0 4227958 4227958 95482 95482 229166532 202981474 26185058 14172064 12326744 1845320 37128476 31117084 6011392 16049055 14045898 2003157 11908315 11908315 823303 823303 512230 512230 0 0 96873 96873 48066598 28336091 19730507 463627 463627 9730749 1356975 8373774 5492020 4583937 908083 0 14616450 12713267 1903183 769996 669736 100260 0 259505 225715 33790 2701280 2193363 507917 7430941 7430941 23049961 15389855 7660106 31865477 31087886 777591 Printing and Publications 2042305 1704618 337687 Postage and Shipping 262974 219492 43482 Membership/Dues 585412 585412 Medical Supplies 88699729 86451155 2248574 Education/Licence/Taxes 1757423 1757423 0 551974735 445498772 106475963 0 11060 11880 48127488 70769707 0 53696104 70038272 0 0 0 8537057 7671847 2432496 2287927 563971960 396734692 177208687 167237268 79831335 79683151 16398804 16369865 0 0 135596165 163050269 521839196 577120186 85143489 101557728 120478 8140 45982473 44301027 7347807 5087593 212087874 246403966 350682121 397358454 X 146245288 157083676 18324550 16090819 6587237 6587237 171157075 179761732 521839196 577120186 X 34597709 -25993052 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 141197 141197 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description The New York Methodist Hospital pays dues to the Greater New York Hospital Association (GNYHA), the Healthcare Association of New York State (HANYS), and the American Hospital Association (AHA). In accordance with code section 6033(E) of the Internal Revenue code, and as reported by GNYHA, HANYS and AHA, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2011 GNYHA, HANYS and AHA annual dues was $11,628, $25,756 and $14,480 respectively. In connection with collective bargaining negotiations between NY Methodist Hospital and 1199/CEIU, certain employer contribution amounts that go to the Labor Management Initiative (formerly called the Planning and Placement Fund) and the Job Security Fund are allocated to Healthcare Education Project(HEP)for its programs, services, and activities. A portion of such funds that HEP receives is used for lobbying purposes in connection with New York State and Federal policy issues. The NY Methodist Hospital's pro-rated share of HEP lobbying expenses for 2011 is $89,333. 22709851 -327249 2060555 20322047 19628180 1000000 2795570 713899 22709851 17079474 3156157 607451 19628180 1.00000 false false false 449500 2816373 3265873 6665270 117342895 69142729 54865436 233669749 161925851 71743898 180639907 152544922 28094985 3750 22384516 13121190 9267076 167237268 Guaranteed investment contract 3761193 C Cash & Cash Equivalents 8670160 F INVESTMENT HELD BY CAPTIVE INSURANCE CO 93039702 DUE FROM PARK SLOPE PCS 53302686 DEPOSITS ON EQUIPMENT 641505 DEFERRED FINANCING COSTS 591797 ACCRUED INTEREST & OTHER RECEIVABLES 14092411 163050269 RESERVE FOR OPEN RATE YEAR SETTLEMENTS 72304184 PROFESSIONAL INSURANCE LIABILITIES 166389425 Due to related organizations 762771 DEFERRED COMPENSATION HELD FOR OTHERS 6050303 ASSET RETIREMENT OBLIGATION 897283 246403966 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances INTER-CO FUND TRANSFER $1000000 BPIF K-1 TEMPORARY DIFFERENCE $158329 RECONCILED AMOUNT FOR LAB OUTREACH $83171 Change in minimum pension liability $ -26251034 BPIF K-1 TEMPORARY DIFFERENCE $ -227985 CCC SELF INSURANCE TRUST, NET $ -36176 CCC GCP TRUST NET INCOME $ -111132 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The New York Methodist Hospital follows the requirement of the Uniform Management of Institutional Funds Act of 1972 ("UMIFA") as they relate to its permanently restricted endowment contributions. Permanently restricted endowment net assets have been restricted by the donor to be maintained in perpetuity. Central Amer/Caribbean 0 0 Investments Captive Insur. Co. 93039702 93039702 93039702 X true false true true false false Additional Supplemental Information Part I, line 3, column F (accounting method) - The hospital is a partial owner of captive foreign insurance companies. 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MENTAL HEALTH CLINIC Part VI - Additional Information Part III, Line 8 - Describe the costing methodology or source used to determine the amount reported on line 6.The amounts on Section B, lines 5 & 6 are directly obtained from The New York Methodist Hospital's Institutional Cost Report, which was filed with "Centers for Medicare & Medicaid Services." Part VI - Needs Assessment Pursuant to New York State Public Health Law Section 2803-L, The New York Methodist Hospital ("NYMH") is required to file a comprehensive community service plan ("CSP") with The New York State Department of Health ("DOH") every 3 years. A copy of NYMH's CSP can be found on the hospital's website at www.nym.org under the "Community Outreach" tab. The comprehensive data and information contained in this CSP will exhaustively address Part VI of this Schedule H, and its contents are incorporated herein by reference. Specifically, the NYMH CSP will address the Part VI (2) Needs Assessment; Part VI (3) Patient education of eligibility for assistance; Part VI (4) Community information; Part VI (5) Community building activities and Part VI (6) to (8), as applicable. The text of New York State Public Health Law Section 2803-L is as follows:Community service plans. (1) The governing body of a voluntary non-profit general hospital must issue an organizational mission statement identifying at a minimum the populations and communities served by the hospital and the hospital's commitment to meeting the health care needs of the community. (2) The governing body must at least every three years: (i) review and amend as necessary the hospital mission statement; (ii) solicit the views of the communities served by the hospital on such issues as the hospital's performance and service priorities; (iii) demonstrate the hospital's operational and financial commitment to meeting community health care needs, to provide charity care services and to improve access to health care services by the underserved; and (iv) prepare and make available to the public a statement showing on a combined basis a summary of the financial resources of the hospital and related corporations and the allocation of available resources to hospital purposes including the provision of free or reduced charge services. (3) The governing body must at least annually prepare and make available to the public an implementation report regarding the hospital's performance in meeting the health care needs of the community, providing charity care services, and improving access to health care services by the underserved. (4) The governing body shall file with the commissioner its mission statement, its annual implementation report, and at least every three years a report detailing amendments to the statement and reflecting changes in the hospital's operational and financial commitment to meeting the health care needs of the community, providing charity care services, and improving access to health care services by the underserved.The above-referenced CSP requirement was enhanced by the DOH's Prevention Agenda initiative. This initiative is a process that asks hospitals such as NYMH to work with local health departments and community partners to assess community health needs, jointly develop plans to address two or three of the identified needs and include this collaborative work in the NYMH's CSP update submitted to DOH. Information on the New York State DOH Prevention Agenda can be found at www.health.state.ny.us/prevention/prevention_agenda. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The New York Methodist Hospital employs a sophisticated process to pre-determine if a patient is a charity care case. This process, called presumptive eligibility, utilizes sophisticated technology, including credit scoring, to immediately determine whether a person qualifies as a charity care case, thereby eliminating such person from entering the patient billing / bad debt / collection practice cycle. Part III, Line 4 - Bad Debt Expense A/F/S Footnote - Organization and Significant Accounting Policies - Receivables for Patient Care:Patient accounts receivable for which the Hospital receives payment under cost reimbursement or prospective payment formulae or negotiated rates, which cover the majority of 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.A/F/S Footnote - Net Patient Service Revenue - Uncompensated Care and Community Benefit Costs:For patients who were determined by the Hospital to have the ability to pay but did not, the uncollected amounts are bad debt expense. Bad debt expense per the audited financial statement is $18,835,800, comprised of $13,247,994 from The New York Methodist Hospital and $5,587,806 from the tax-exempt professional corporations affiliated with it. As captive tax-exempt professional corporations, The New York Methodist Hospital funds these bad debt expenses. Please reference Schedule R, Part II, for a listing of these exempt professional corporations. Part I, Line 7 - Explanation of Costing Methodology The New York Methodist Hospital's costing methodology was based upon the 2011 New York State Institutional Cost Report and the 2011 Medicare (Form 2552) Cost Report. These cost reports are filed with the New York State Department of Health and the applicable CMS intermediary, respectively. The cost-to-charge ratio derived from The New York State Institutional Cost Report was used for the various sub-line items of line #7. X true true X X X X X false false false false false false false false false false WAYNE OSTEN 502861 322439 62600 190543 25163 1103606 SUHAIL RAOOF 400065 143341 414 13312 730 414521 143341 STEVEN CORWIN MD 1147421 1108534 630686 152653 37142 3076436 95060 STANLEY SHERBELL MD 517070 34562 11601 85928 649161 SORIN J BRENER 426912 387795 11490 21681 460083 387795 ROBERT SEMINARA MD 88746 4708 1784 3448 1504 95482 4708 REBECCA FLOOD 341737 5704 54831 25210 427482 PRAMOD NARULA 389548 61432 774 23070 21913 435305 61432 MARK J MUNDY 981496 21001 196843 128301 1327641 MARCUS D D'AYALA 461753 291670 291 12875 18854 493773 291670 LAUREN YEDVAB 475026 5399 48698 38611 567734 KATHLEEN BURKE 284455 54174 5920 24500 20521 389570 HARVEY DOSIK 436502 318827 3708 18978 14764 473952 318827 GARY ZUAR 496343 354000 157048 99883 34298 1141572 37252 ERROL HANKIN 408028 12192 40346 48871 509437 EDWARD A ZAIDBERG 579161 8560 119596 39185 746502 Sch J, Part III, Additional Information Part III, Additional Information 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 and Presbyterian Hospital and other related organizations in the aggregate. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. In 2011, one of the vice presidents of The New York Methodist Hospital received an apartment as a housing allowance. The taxable value of $11,460 was reported on his Form W-2.Part III - ADDITIONAL INFORMATIONCertain 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 Methodist Hospital are responsible for executing the mission and management of The New York and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2011 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 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 employee 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. In 2010, the plan was redesigned in anticipation of changes in deferred compensation rules in the not-for-profit environment and to make the value of the benefit easier to understand for participants. The redesigned plan maintains the target level of SERP benefits and modifies the vesting schedules to commence after five years of participation in the SERP, in prorated amounts through age 65. Consequently, for certain individuals, there is an increase in the amount reflected in the SERP compensation due to the change in the vesting and amortization periods. As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. Dormitory Authority of the state of new york 146000293 64983TND1 2004-04-21 47012462 Construct Infill building, new ER, purchaseMedical Equipment false false false 47012462 3761193 13135704 940249 29175316 1097531 2006 false true true true false false false false true true false false false false false false X Form 990, Part VIII, Line 2d For patients who were determined by the Hospital to have the ability to pay but did not, the uncollected amounts are bad debt expense. Distinguishing between bad debt and charity care is difficult in part because services are often rendered prior to full evaluation of a patients ability to pay. For the years ended December 31, 2011 and 2010, the provision for bad debts was approximately $13.5 million and $8.6 million, respectively. Form 990, Part VII 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 Methodist Hospital are responsible for executing the mission and management of The New York and Presbyterian Hospital (NYP) and its affiliated entities.Compensation for 2011 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. In 2010, the plan was redesigned in anticipation of changes in deferred compensation rules in the not-for-profit environment and to make the value of the benefit easier to understand for participants. The redesigned plan maintains the target level of SERP benefits and modifies the vesting schedules to commence after five years of participation in the SERP, in prorated amounts through age 65. Consequently, for certain individuals, there is an increase in the amount reflected in the SERP compensation due to the change in the vesting and amortization periods. As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP.As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in Part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. Form 990, Part V, Line 4a Canada, Ireland, and Cayman Islands Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Other key executives' (vice presidents) compensation is subject to the same process as the CEO. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts New York Methodist Hospital monitors conflict of interest through an annual questionnaire to all members of the Board of Directors, Executives and all Key employees. The questionnaires are reviewed annually by the Chief Financial Officer, the Compliance Officer and the Chairman of the Audit and Compliance Committee of the Board of Directors.If there is an actual or perceived conflict of interest, the matter is resolved by either the Board of Directors or the Human Resources Division, depending on the level of the conflict as determined by the directives of the board committee.Restrictions are imposed on persons with a conflict including prohibiting them from participating in the governing body's deliberation and decisions in the transactions. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Prior to being filed, the Form 990 was reviewed by an independent accountant, the CFO, and the Audit Committee of the Board of Trustees. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The New York Methodist Hospital(the "Organization")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. 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