2024-11-11T11:32:25+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 1 MANHATTAN AVE WEST NEW YORK NY 10001 990 2023-01-01 133746997 THE NEW YORK GRACIE SQUARE HOSPITAL INC NEWY 2124345300 420 EAST 76 STREET NEW YORK NY 10021 PHILIP J WILNER MD PRESIDENT AND CEO 2024-11-11 false NICOLE M SOKOLOWSKI P01683199 2127733000 2024-11-11 2023 2024-10-15 13:58:12Z PHILIP J WILNER MD 420 EAST 76 STREET NEW YORK NY 10021 79965398 false X WWW.NYGSH.ORG X 1958 NY OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY, STATE-OF-THE ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM, HEALING ENVIRONMENT. 10 5 549 8 0 0 4924663 1222142 72919481 78042104 169948 595023 100511 90879 78114603 79950148 111820 136800 0 51540701 57351006 37500 0 0 17467328 18311016 69157349 75798822 8957254 4151326 71273685 73744339 48031897 43944299 23241788 29800040 OUR MISSION IS TO PROVIDE THE HIGHEST-QUALITY, STATE-OF-THE-ART MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT IN A WARM, HEALING ENVIRONMENT. OUR CARING, COMPASSIONATE TEAM PREPARES OUR PATIENTS TO RETURN TO THEIR FAMILIES AND COMMUNITIES AND ENGAGE IN PRODUCTIVE AND FULFILLING LIVES. WE SERVE THE DIVERSE RESIDENTS OF THE GREATER NEW YORK METROPOLITAN AREA THROUGH TREATMENT, EDUCATION AND HEALTH PROMOTION. false false 64169451 136800 78042104 For more than six decades, Gracie Square Hospital has provided comprehensive and personalized behavioral healthcare to thousands of individuals in New York City and beyond. Mental health is an essential part of everyone's well-being, and the team at Gracie Square Hospital recognizes that dealing with mental health challenges can be complex and, at times, intimidating. Through our affiliation with NewYork-Presbyterian and Weill Cornell Medicine, we are dedicated to improving the lives of our patients and their loved ones through innovative approaches to diagnosis, treatment, and recovery. Furthermore, Gracie Square Hospital is constantly working toward eliminating the stigma of mental illness. Building on our legacy of world-class patient and family-centered care, we have achieved National Recognition for Excellence from the American Nurses Credentialing Center (ANCC) Magnet Recognition Program, and Planetree Gold certification for Patient Centered Care. In addition, we are proud to be designated as an LGBTQ+ Healthcare Equality Leader by the 2022 Healthcare Equality Index (HEI) of the Human Rights Campaign. During each patient's hospital stay, our expert social workers plan for the transition to outpatient care and facilitate connections with community resources to promote recovery. Gracie Square Hospital's multifaceted interdisciplinary and targeted approach incorporates medications; individual, milieu, and group therapy; and/or therapeutic activities into treatment plans. We work together to promote wellness while providing patients with skills to reduce the risk of relapse and enhance function and independence. Specialized patient care programs include: Young Adult & College Student Programfor young adults ages 18-25 with emerging psychiatric disorders. Symptoms of major psychiatric disorders, including affective and psychotic disorders, often begin in the late teens or early 20s. The sooner treatment begins, the better outcomes will be. Orthodox Jewish Programprovides specialized, culturally sensitive, and individualized inpatient psychiatric care for members of the Orthodox Jewish community aged 18 and older. Our interdisciplinary clinical team is dedicated to addressing the unique needs of Orthodox Jewish individuals, collaborating closely with community leaders for religious guidance and cultural understanding. We prioritize creating a safe and supportive environment for religious practices, including providing opportunities for prayer (davening) and facilitating traditional observances such as supporting men to put on tefillin and providing modest and appropriate head-coverings for women. Additionally, all meals served are Glatt kosher, ensuring adherence to dietary laws. Our program offers a range of Orthodox-specific therapeutic activities and groups, including special programming for Shabbos and holidays to facilitate meaningful observance and community connection. We are committed to promoting holistic wellness while honoring our patients' religious and cultural traditions. Older Adult Program(Geriatric Service) for people age 65 and older with psychiatric disorders that require inpatient treatment. Team members have training in the care of older adults. Psychiatrists and internists on this unit are also knowledgeable about co-existing medical conditions that may cause psychiatric symptoms. They manage patients' psychiatric and non-psychiatric medications and pay careful attention to drug interactions. Psychotic Disorders Programfor individuals with acute symptoms of schizophrenia and schizoaffective disorders, as well as those with bipolar disorder with psychotic features. Dual Focus Programfor people with significant emotional or psychiatric problems plus abuse challenges. Many of these patients suffer from two co-existing illnesses. They may be treated either in mental health or addiction systems, or shuttled back and forth between them - an often unsuccessful approach. The Dual Focus Program addresses both psychiatric and addiction components through customized treatment plans. The team includes addiction-trained social workers. Crisis Stabilization Programfor patients with mood and anxiety disorders, post-traumatic stress disorders, and other psychiatric syndromes and who are in distress. Asian Psychiatry Programprovides culturally appropriate services to members of Chinese, Korean, Japanese, and other Asian communities in need of inpatient mental health care. The program is directed by a culturally diverse clinical team and support staff who speak Mandarin, Cantonese, Chinese ethnic dialects, Korean, Japanese, and other Asian languages. Activities incorporate Asian influences and the unit is decorated with Asian art. Patients are served Chinese food and tea, and educational materials and newspapers are available in both English and Asian languages. Affective (Mood) Disorders Programfor patients with mood disorders such as depression and bipolar disorder. Patients at Gracie Square Hospital benefit from a multidisciplinary care team specially trained to meet their personal needs. We call upon specialists from other areas of medicine as needed, ensuring that our patients benefit from the comprehensive range of healthcare services available through the NewYork-Presbyterian network. Our treatment team includes: Certified occupational therapists -Our certified occupational therapists focus on enabling individuals to re-engage in meaningful occupations through a variety of skill sets such as skills development, establishing positive habits and routines, setting therapy goals, using cognitive-behavioral techniques (CBT), and understanding underlying physiological influences. They help our patients develop, recover, improve, and maintain the skills needed for daily living and working. Certified alcoholism and substance abuse counselor -These professionals provide care and support for patients dealing with co-occurring disorders, such as alcohol and/or drug use and a mental health condition. Internist or family nurse practitioner -After conducting thorough physical and neurological examinations, the primary care provider orders any needed diagnostic testing, identifies medical conditions present, and designs medical treatment plans. Nursing aides -Our aides help provide for the comfort and safety of our patients through assistance with activities of daily living and education. They support our patients, family members, and other caregivers. Nutritionist - A nutritionist with experience in behavioral health care evaluates each patient and creates an individualized dietary plan. In addition, patients and their families receive nutritional guidance, education on food and drug interactions, and information about dietary supplements. Registered professional psychiatric nurse - Our nurses work at the top of their professional licensure via the utilization of a professional governance structure. Through collaboration, our nurses ensure optimal patient care delivery while driving highly reliable quality outcomes. Psychiatrist or psychiatric nurse practitioner - The psychiatrist or psychiatric nurse practitioner has expertise in the patient's diagnosis. This professional serves as a patient's team leader and coordinates and implements the patient's comprehensive treatment plan. Psychologist -Licensed clinical psychologists provide individual and group therapy using approaches such as CBT, acceptance and commitment therapy (ACT), dialectical behavioral therapy (DBT) skills training, and short-term psychodynamic therapy. Social workers -Our clinicians conduct psychosocial assessments which incorporate all resources available to inform an individualized treatment plan that will lead to a timely and successful discharge to community resources. Physical therapist - For patients who may need assistive devices for mobility (walkers, wheelchairs, etc.), and for those recovering from a recent injury who are in need of a rehabilitation assessment. 64169451 true true false false false false false false false true false false true true false true false false false false false false false false false true true true true true false false false false false false false false false false false false false true false false false true 39 0 true 549 true false false false false false false false false false false false false X 10 5 true false false false true true true true true false false true true true true true true true true false NY X RICHARD EINWECHTER 2124345300 420 EAST 76 STREET NEW YORK NY 10021 PHILIP J WILNER BOARD MEMBER/PRESIDENT 15.0 45.0 X X 0 0 0 RICHARD EINWECHTER BOARD MEMBER/ ASS'T TREASURER 2.0 58.0 X X 0 790940 79270 ADAM OWETT SR BOARD MEMBER 2.0 0.0 X 0 0 0 BRIAN K REGAN BOARD MEMBER 2.0 58.0 X 0 553886 79670 DAVID WYMAN BOARD MEMBER 2.0 58.0 X 0 883441 49687 JOHN ZIRINSKY BOARD MEMBER 2.0 0.0 X 0 0 0 JOSEPH PEYRONNIN BOARD MEMBER 2.0 0.0 X 0 0 0 KAREN WESTERVELT BOARD MEMBER/ CHAIRMAN 2.0 58.0 X 0 1466445 66392 LORINDA DE ROULET BOARD MEMBER 2.0 0.0 X 0 0 0 NAZIM B MALATYALI BOARD MEMBER 2.0 58.0 X 0 813245 74378 JOHN V CAMPANO SECRETARY 2.0 58.0 X 0 576214 92917 MELISSA E WELCH ASS'T SECRETARY 1.0 34.0 X 0 192422 38594 MICHAEL P BRESLIN TREASURER 1.0 59.0 X 0 2619350 85653 DONNA T ANTHONY CHIEF MEDICAL OFFICER 60.0 0.0 X 488369 0 43963 MICHAEL RADOSTA CHIEF NURSING & QUAL. 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In 2019, Gracie Square Hospital undertook an extensive Community Health Needs Assessment process. This involved identification of high-disparity communities in New York City. AS PART OF OUR COMMUNITY BENEFIT STRATEGY, THE NEW YORK GRACIE SQUARE HOSPITAL CONTINUOUSLY STRIVES TO MAINTAIN AND IMPROVE THE QUALITY OF OUR SERVICES PROVIDED TO OUR PATIENTS THROUGH QUALITY IMPROVEMENT STUDIES AND PATIENT SATISFACTION SURVEYS. WE VIEW THESE TOOLS AS A WAY OF TRULY HEARING OUR PATIENTS' VOICES AND THEIR OPINIONS ABOUT OUR SERVICES. THE NEW YORK GRACIE SQUARE HOSPITAL HAS CONTRIBUTED TO A VARIETY OF KEY STAKEHOLDERS, NETWORKS AND COALITIONS IN THE CITY, INCLUDING THE NY COALITION FOR QUALITY ASSISTED LIVING (WE ARE A GOLD MEMBER), THE CHINESE AMERICAN FUND, THE BROOKLYN CHINESE AMERICAN FUND, AND CHINATOWN HEALTH. OUR CONNECTIONS WITH THESE GROUPS HELP TO ENSURE THAT OUR INPATIENT BEHAVIORAL HEALTH SERVICES ARE TAILORED TO MEET THE NEEDS OF THESE SPECIALIZED COMMUNITIES, MOST NOTABLY THOSE IN OUR ASIAN AND GERIATRIC PSYCHIATRY PROGRAMS. FURTHER, BY COLLABORATING WITH AND CONTRIBUTING TO THESE GROUPS YEAR AFTER YEAR THE COMMUNITY'S AWARENESS OF THE NEW YORK GRACIE SQUARE HOSPITAL AND OUR SERVICES HAS INCREASED, HELPING TO FACILITATE THE TRANSITION INTO OUR CARE DURING A CRISIS REQUIRING ACUTE PSYCHIATRIC CARE AND TO REGAIN A SENSE OF EMPOWERMENT AND COMPETENCY THAT IS OFTEN COMPROMISED BY THE INDIVIDUAL'S STRUGGLE WITH HIS/HER BEHAVIORAL HEALTH ISSUES. THE NEW YORK GRACIE SQUARE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ENGAGED MORE THAN 700 COMMUNITY MEMBERS FROM ACROSS NEW YORK CITY AND WESTCHESTER COUNTY, ASKING THEM-IN SURVEYS, INTERVIEWS, AND FOCUS GROUPS-TO DESCRIBE THE MOST PRESSING HEALTH ISSUES AND NEEDS IN THEIR COMMUNITIES, AS WELL AS THE ASSETS AND RESOURCES THAT SUPPORT HEALTH AND WELL-BEING. THEIR RESPONSES, TOGETHER WITH INFORMATION FROM A BROAD RANGE OF PUBLICLY AVAILABLE DATA SOURCES (for example, the united states census), are described throughout the CHNA. FINDINGS ACROSS SOURCES WERE LARGELY CONSISTENT AND SHOW THAT MANY OF THE HEALTH ISSUES AND PRIORITIES IDENTIFIED IN PREVIOUS CHNAS REMAIN THE SAME: DIABETES, HIGH BLOOD PRESSURE, CHALLENGES RELATED TO DIET AND NUTRITION, POOR MENTAL HEALTH, AND SUBSTANCE USE. HEALTH DISPARITIES, INCLUDING IN HIV RATES AND PREGNANCY-RELATED OUTCOMES, ALSO REMAIN. HOWEVER, THIS CHNA COMES ON THE HEELS OF THE GLOBAL COVID-19 PANDEMIC, WHICH HAS HAD PROFOUND IMPACTS THAT GO BEYOND THE DIRECT IMPLICATIONS OF COVID-19 INFECTION, INCLUDING SUSTAINED SOCIAL AND EMOTIONAL DISRUPTIONS THAT CONTINUE TO AFFECT THE DAILY LIVES OF MANY PEOPLE. THIS REALITY AROSE REPEATEDLY IN THE CHNA PROCESS. The health status of New York City and Westchester County residents varies based on race and ethnicity and the neighborhood in which the individuals reside. Residents of neighborhoods with lower income and higher concentrations of Black and Latino/a residents have poorer health and higher rates of premature mortality, compared to higher-income neighborhoods and neighborhoods comprised of predominantly White residents. The 2022-2024 CHNA process confirmed continuing overall need in these neighborhoods. These neighborhoods are: Lower East Side in Manhattan, Chinatown in Manhattan and Washington Heights in Manhattan. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - The New York Academy of Medicine. Center for Evaluation and Applied Research Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - THE NEW YORK GRACIE SQUARE HOSPITAL(GRACIE SQUARE HOSPITAL). THE HOSPITAL IS LICENSED BY THE NEW YORK STATE OFFICE OF MENTAL HEALTH AS AN ARTICLE 31 FREE STANDING PSYCHIATRIC HOSPITAL AND AS SUCH IS LIMITED IN REGARDS TO PROVIDING ADDITIONAL MEDICAL SERVICES. OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED THE HOSPITAL WAS MEETING THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY. FOR OVER SIX DECADES, GRACIE SQUARE HOSPITAL HAS BEEN A MAINSTAY OF THE UPPER EAST SIDE, PROVIDING THE HIGHEST QUALITY AND MOST COMPASSIONATE CARE TO ADULTS 18 YEARS AND OLDER WITH BEHAVIORAL HEALTH NEEDS WHO CAN BENEFIT FROM INPATIENT HOSPITALIZATION. THE HOSPITAL OFFERS INDIVIDUALS A WARM AND WELCOMING ENVIRONMENT IN WHICH TO RECEIVE STATE-OF-THE-ART TREATMENT TO FACILITATE A HEALTHY RECOVERY. THROUGH THE NEW YOURK GRACIE SQUARE HOSPITAL'S AFFILIATION WITH NEWYORK- PRESBYTERIAN, ONE OF THE NATION'S PREMIER ACADEMIC HEALTHCARE DELIVERY SYSTEMS, WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, PATIENT-CENTERED MENTAL HEALTH AND CHEMICAL DEPENDENCY TREATMENT SERVICES. GRACIE SQUARE HOSPITAL SERVES THE DIVERSE POPULATION OF NEW YORK CITY, LOWER WESTCHESTER COUNTY, AND THE SURROUNDING AREA - NEW YORK CITY, WESTCHESTER COUNTY AND PRIORITY COMMUNITIES: WASHINGTON HEIGHTS(MANHATTAN), LOWER EAST SIDE AND CHINATOWN (MANHATTAN). The community need identified in the CHNA are diabetes, high blood pressure, Diet and nutrition, poor mental health(depression) and substance abuse. Gracie Square Hospital is currently addressing the needs outlined in the CHNA by ensuring that all patients, not only in areas cited above, have the access to the medical care and other services that may be needed to further their longevity and quality of life. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - THE NEW YORK GRACIE SQUARE HOSPITAL, INC.. THE HOSPITAL HAS A FINANCIAL ADVOCACY PROGRAM STAFFED BY REPRESENTATIVES WHO REACH OUT TO PATIENTS TO PROVIDE INFORMATION REGARDING MEDICAID, EXCHANGE PLANS, FINANCIAL AID AND TO ASSIST THOSE PATIENTS WHO NEED HELP TO APPLY TO SUCH PROGRAMS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - THE NEW YORK GRACIE SQUARE HOSPITAL, INC.. THE HOSPITAL FOLLOWS TWO BASIC APPROACHES TO PUBLICIZING THE AVAILABILITY OF FINANCIAL AID. FIRST, IT MAKES THE FINANCIAL AID POLICY ITSELF, A PLAIN LANGUAGE SUMMARY (SUMMARY), AND THE FINANCIAL AID APPLICATION AVAILABLE AT VARIOUS HOSPITAL PATIENT ACCESS POINTS, POSTS SIGNS CONSPICUOUSLY IN PUBLIC AREAS OF THE HOSPITAL, INCLUDES INFORMATION ON BILLING STATEMENTS, POSTS INFORMATION (INCLUDING HOW TO OBTAIN THE POLICY, SUMMARY AND APPLICATION) ON THE WEBSITE, AND RESPONDS TO INQUIRIES FROM PATIENTS AND MEMBERS OF THE COMMUNITY ON FINANCIAL AID. SECONDLY, THE HOSPITAL PROVIDES UPDATES AND INFORMATION (INCLUDING THE POLICY, THE SUMMARY AND/OR THE APPLICATION) ON A REGULAR BASIS TO LEADERS OF COMMUNITY ADVISORY BOARDS, LOCAL COMMUNITY BOARDS, ELECTED OFFICIALS AND THE CITY HEALTH DEPARTMENT. 0 Schedule H, Part I, Line 6a Community benefit report prepared by related organization N/A Schedule H, Part I, Line 7g Subsidized Health Services N/A Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance DESCRIPTION: BAD DEBT PRICE CONCESSIONS ARE OFFSET AGAINST REVENUE AND NOT INCLUDED IN EXPENSES. THE FOLLOWING IS A DETAIL OF THE SOURCES USED FOR DETERMINING THE AMOUNTS REPORTED ON SCHEDULE H: LINE 7A - COST TO CHARGE RATIO Line 7B - COST TO CHARGE RATIO LINE 7E - ACTUAL EXPENSES LINE 7I - ACTUAL EXPENSES Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Description: BAD DEBT - PRICE CONCESSION EXPLANATION: FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTABLE AMOUNTS ARE BAD DEBT PRICE CONCESSIONS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology DESCRIPTION: THE AMOUNT AT COST INCLUDED REPRESENTS PATIENTS WHO QUALIFY FOR CHARITY CARE/FINANCIAL ASSISTANCE AND HAVE A BAD DEBT WRITE-OFF. BAD DEBT PRICE CONCESSIONS ASSOCIATED WITH PATIENTS THAT RECEIVED CHARITY CARE/FINANCIAL ASSISTANCE IS REPRESENTED IN THIS $1,141. THESE PATIENTS WENT THROUGH OUR CHARITY CARE/FINANCIAL ASSISTANCE PROCESS AND WERE DETERMINED TO HAVE FINANCIAL NEED. AS A RESULT, WE PROVIDED THEM WITH A DISCOUNT BASED ON OUR SLIDING SCALE CHARITY CARE POLICY. IF THEY WERE UNABLE TO PAY THE REDUCED BALANCES, THEY WERE WRITTEN OFF AS BAD DEBT PRICE CONCESSIONS AND INCLUDED AS A COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Description: AUDITED FINANCIAL STATEMENTS SEE PAGE 12. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Description: MEDICARE ALLOWABLE COSTS ARE DETERMINED PURSUANT TO THE LAWS AND REGULATIONS APPLICABLE TO ALLOWABLE COSTS AND MEDICARE'S STEP DOWN METHODOLOGY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance DESCRIPTION: THE PURPOSE OF THE COLLECTION POLICY (POLICY) IS TO PROMOTE PATIENT ACCESS TO QUALITY HEALTH CARE WHILE MINIMIZING BAD DEBT AT GRACIE SQUARE HOSPITAL (HOSPITAL). THIS POLICY PLACES REQUIREMENTS UPON HOSPITAL AND THOSE AGENCIES AND ATTORNEYS UNDERTAKING DEBT COLLECTION ACTIVITIES THAT ARE CONSISTENT WITH THE CORE MISSION, VALUES, AND PRINCIPLES OF HOSPITAL INCLUDING, BUT NOT LIMITED TO, Hospital's Financial Aid POLICY. THIS POLICY APPLIES TO HOSPITAL AND ANY AGENCY, LAWYER, OR LAW FIRM ASSISTING HOSPITAL IN THE COLLECTION OF AN OUTSTANDING PATIENT ACCOUNT DEBT. PROCEDURES: GENERAL GUIDELINES 1. HOSPITAL, COLLECTION AGENCIES (AGENCY), AND LAWYERS AND LAW FIRMS (OUTSIDE COUNSEL) WILL COMPLY WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND ACCREDITING AGENCY REQUIREMENTS GOVERNING THE COLLECTION OF DEBTS INCLUDING, BUT NOT LIMITED TO, THE FAIR DEBT COLLECTION PRACTICES ACT (FDCPA), THE FAIR CREDIT BILLING ACT, THE CONSUMER CREDIT PROTECTION ACTS, PUBLIC HEALTH LAW SECTION 2807-K-9-A, INTERNAL REVENUE SERVICE CODE 501(R), ARTICLE 52 OF THE NEW YORK CIVIL PRACTICE LAW AND RULES, AND THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA). HOSPITAL, AGENCY AND OUTSIDE COUNSEL WILL ALSO COMPLY WITH HOSPITAL'S Financial Aid POLICY. TO THE EXTENT THAT THERE ARE ANY INCONSISTENCIES BETWEEN HOSPITAL'S COLLECTION POLICY AND Financial Aid POLICY, THE financial aid POLICY SHALL SUPERSEDE AND CONTROL. 2. HOSPITAL SHALL ENTER LEGALLY BINDING WRITTEN AGREEMENTS WITH ANY PARTIES (INCLUDING AGENCY OR OUTSIDE COUNSEL) TO WHICH IT REFERS AN INDIVIDUAL'S DEBT RELATED TO CARE THAT ARE REASONABLY DESIGNED TO PREVENT EXTRAORDINARY COLLECTION ACTIONS (ECAS) FROM BEING TAKEN TO OBTAIN PAYMENT FOR THE CARE, UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR Financial Aid. Schedule H, Part V, Section B, Line 16a FAP website - THE NEW YORK GRACIE SQUARE HOSPITAL: Line 16a URL: https://www.nygsh.org/admissions-and-insurance.html; Schedule H, Part V, Section B, Line 16b FAP Application website - THE NEW YORK GRACIE SQUARE HOSPITAL: Line 16b URL: https://www.nygsh.org/admissions-and-insurance.html; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THE NEW YORK GRACIE SQUARE HOSPITAL: Line 16c URL: https://www.nygsh.org/admissions-and-insurance.html; Schedule H, Part VI, Line 2 Needs assessment DESCRIPTION: THE GRACIE SQUARE HOSPITAL(GRACIE SQUARE HOSPITAL) IS DEEPLY COMMITTED TO PROVIDING THE HIGHEST-QUALITY CARE TO PATIENTS AND SUPPORTING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES. ESTABLISHED IN 1958, GRACIE SQUARE IS A 140-BED HOSPITAL SITUATED ON THE UPPER EAST SIDE OF MANHATTAN, AFFILIATED WITH THE NEWYORK-PRESBYTERIAN SYSTEM. GRACIE SQUARE HOSPITAL IS THE ONLY FREESTANDING INPATIENT BEHAVIORAL HEALTHCARE INSTITUTION IN MANHATTAN AND HAS DEVELOPED TAILORED PROGRAMS FOR SPECIFIC AGE AND CULTURAL GROUPS. IN ADDITION TO MENTAL HEALTH SERVICES AND TREATMENT, THE HOSPITAL'S CARE TEAM PROVIDES ADDICTION TREATMENT FOR INDIVIDUALS LIVING WITH SUBSTANCE USE DISORDERS. THE 2022-2024 GRACIE SQUARE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED TO GAIN AN UPDATED UNDERSTANDING OF THE NEEDS, ASSETS, AND PRIORITIES OF THE COMMUNITIES THE HOSPITAL SERVES AND TO INFORM A THREE-YEAR COMMUNITY SERVICE PLAN (CSP) CONSISTENT WITH THE REQUIREMENTS OF THE INTERNAL REVENUE SERVICE (IRS) AND GUIDANCE PROVIDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE CHNA IS ALSO CRITICAL TO UNDERSTANDING DISPARITIES IN HEALTH THAT MUST BE ADDRESSED TO ACHIEVE HEALTH JUSTICE. IN 2019, GRACIE SQUARE HOSPITAL UNDERTOOK AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THIS INVOLVED IDENTIFICATION OF HIGH-DISPARITY COMMUNITIES IN NEW YORK CITY. FOR NEW YORK CITY, A NEED SCORE WAS CALCULATED, WHICH WAS A COMPOSITE OF 29 INDICATORS REPRESENTING FIVE KEY DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES. FOR WESTCHESTER COUNTY, A ZIP CODE-LEVEL COMMUNITY NEED INDEX WAS USED. A SEPARATE ANALYSIS OF GRACIE SQUARE HOSPITAL PATIENT DATA IDENTIFIED COMMUNITIES WITH HIGH USE OF HOSPITAL SERVICES. BASED ON FINDINGS FROM THESE TWO ANALYSES (I.E., NEED AND HOSPITAL USE), GRACIE SQUARE HOSPITAL FOCUSED ITS 2019 COMMUNITY SERVICE PLAN ON WASHINGTON HEIGHTS AND THE LOWER EAST SIDE IN MANHATTAN. THE GRACIE SQUARE HOSPITAL GRACIE SQUARE HOSPITAL) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ENGAGED MORE THAN 700 COMMUNITY MEMBERS FROM ACROSS NEW YORK CITY AND WESTCHESTER COUNTY, ASKING THEM-IN SURVEYS, INTERVIEWS, AND FOCUS GROUPS-TO DESCRIBE THE MOST PRESSING HEALTH ISSUES AND NEEDS IN THEIR COMMUNITIES, AS WELL AS THE ASSETS AND RESOURCES THAT SUPPORT HEALTH AND WELL-BEING. THEIR RESPONSES, TOGETHER WITH INFORMATION FROM A BROAD RANGE OF PUBLICLY AVAILABLE DATA SOURCES (FOR EXAMPLE, THE UNITED STATES CENSUS), ARE DESCRIBED THROUGHOUT THIS REPORT. FINDINGS ACROSS SOURCES WERE LARGELY CONSISTENT AND SHOW THAT MANY OF THE HEALTH ISSUES AND PRIORITIES IDENTIFIED IN PREVIOUS CHNAS REMAIN THE SAME: DIABETES, HIGH BLOOD PRESSURE, CHALLENGES RELATED TO DIET AND NUTRITION, POOR MENTAL HEALTH, AND SUBSTANCE USE. HEALTH DISPARITIES, INCLUDING IN HIV RATES AND PREGNANCY-RELATED OUTCOMES, ALSO REMAIN. HOWEVER, THIS CHNA COMES ON THE HEELS OF THE GLOBAL COVID-19 PANDEMIC, WHICH HAS HAD PROFOUND IMPACTS THAT GO BEYOND THE DIRECT IMPLICATIONS OF COVID-19 INFECTION, INCLUDING SUSTAINED SOCIAL AND EMOTIONAL DISRUPTIONS THAT CONTINUE TO AFFECT THE DAILY LIVES OF MANY PEOPLE. THIS REALITY AROSE REPEATEDLY IN THE CHNA PROCESS AND PROVIDES ESSENTIAL CONTEXT FOR THE FINDINGS DESCRIBED HERE. GIVEN THE COMMITMENT TO COMMUNITIES IDENTIFIED IN 2019, AND THE PROGRESS MADE WITH RESPECT TO PROGRAMS INCLUDED IN THE 2019-2022 COMMUNITY SERVICE PLAN, THE PROCESS FOR THE 2022-2024 CHNA FOCUSED ON CONFIRMING CONTINUING OVERALL NEED IN THE ABOVE-REFERENCED NEIGHBORHOODS, CONFIRMING NEED IN SPECIFIC PREVENTION AGENDA PRIORITY AREAS, AND RECOMMENDING APPROACHES TO ADDRESS THOSE NEEDS. THE 2022-2024 CHNA METHODS INCLUDED 680 COMMUNITY-MEMBER SURVEYS IN SIX LANGUAGES, 42 FOCUS GROUPS IN THREE LANGUAGES, 25 KEY STAKEHOLDER INTERVIEWS, AND ANALYSIS OF PUBLICLY AVAILABLE DATA ON 70 HEALTH INDICATORS. ANALYSES FROM THESE MULTIPLE SOURCES REAFFIRMED GRACIE SQUARE HOSPITAL'S COMMITMENT TO WASHINGTON HEIGHTS IN MANHATTAN. THE LOWER EAST SIDE PRIORITY COMMUNITY, WHICH WAS IDENTIFIED IN 2019, HAS BEEN EXPANDED TO INCLUDE CHINATOWN, REFLECTING THE NEEDS OF THAT COMMUNITY, WHICH WERE EXACERBATED BY THE COVID-19 PANDEMIC. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Description: Written materials, including the application, full Policy, and plain language summary (Summary), shall be available to patients In the Hospital's primary languages, upon request and without charge, from the Admitting Department at the Hospital during the intake and registration process, at discharge and/or by mail. Additionally, those materials shall be available on the Hospital's website (www.nygsh.org). Also, notification to patients regarding this Policy shall be made through conspicuous posting of language- appropriate information in the Admitting Department of the Hospital, and inclusion of information on bills and statements sent to patients explaining that financial aid may be available to qualified patients and how to obtain further information. Schedule H, Part VI, Line 4 Community information DESCRIPTION: THE COMMUNITY DEFINITION FOR THE GRACIE SQUARE HOSPITAL (GRACIE SQUARE HOSPITAL) WAS DERIVED USING 80% OF ZIP CODES FROM WHICH GRACIE SQUARE'S PATIENTS ORIGINATE AND ADDING ZIP CODES NOT AMONG THE ORIGINAL PATIENT ORIGIN TO CREATE CONTINUITY IN GEOGRAPHICAL BOUNDARIES, RESULTING IN A TOTAL OF 148 COMMUNITY ZIP CODES MAINLY WITHIN NYC. THE DEFINED COMMUNITY COVERS A GEOGRAPHY OF APPROXIMATELY 7.8+M PEOPLE 2.6% GROWTH POPULATION FORECASTED TO GROW FASTER, 2.6%, THAN THE STATE AVERAGE, 1.5%, BETWEEN 2019-2024. 65+ POPULATION IS SLIGHTLY YOUNGER WITH ONLY 14.0% OF THE POPULATION AGED 65+ COMPARED TO 16.3%. THE AVERAGE HOUSEHOLD INCOME, $99,251, IS LOWER THAN THE AVERAGE OF NEW YORK STATE, $101,507. THE UNEMPLOYMENT RATE, 18.0%, IS HIGHER THAN THE NEW YORK STATE BENCHMARK, AND THERE ARE 2% FEWER WHITE-COLLAR WORKERS THAN THE STATE AVERAGE. HIGHER MINORITY POPULATION HIGHER NON-WHITE POPULATION, 70.2%, THAN THE STATE 45.6%, DRIVEN BY HISPANICS, 31.6%, AND AFRICAN AMERICANS, 21.1%. TO ENSURE THAT WE ARE IMPLEMENTING INITIATIVES THAT WILL IMPACT THE COMMUNITIES WITH THE HIGHEST DISPARITIES WITH THIS COMMUNITY SERVICE PLAN, GRACIE SQUARE UNDERTOOK ADDITIONAL ANALYSIS OF COMMUNITY HEALTH NEED AND RISK OF HIGH RESOURCE UTILIZATION AT THE NEIGHBORHOOD TABULATION AREA (NTA) GEOGRAPHY BASED UPON A COMPOSITE OF 29 DIFFERENT INDICATORS. INDICATORS WERE CAREFULLY SELECTED, ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES. THE OBJECTIVE WAS TO IDENTIFY THE SPECIFIC NYC NTAS WHERE THERE IS A HIGHER HEALTH NEED AND/OR A HIGHER EXPECTATION OF REQUIRED RESOURCES. THE DEFINED COMMUNITY'S 148 ZIP CODES WERE CROSS WALKED TO 168 NEW YORK CITY NTAS (MOSTLY IN KINGS, QUEENS, BRONX, AND NEW YORK COUNTIES) AND CATEGORIZED INTO FOUR QUARTILES. ADDITIONAL ANALYSIS WAS UNDERTAKEN FOR THE 84 NTAS OF HIGHER DISPARITY THAT FELL INTO QUARTILES 3 AND 4. GRACIE SQUARE HOSPITAL FOCUSED HIGH DISPARITY COMMUNITY: THE DEFINED COMMUNITY COVERS A GEOGRAPHY OF APPROXIMATELY 4.1+M PEOPLE. HIGHER PERCENTAGE OF UNINSURED POPULATION AT 15.9% COMPARED TO NYC AVERAGE OF 13.5%. THERE ARE MORE LIVING IN POVERTY, ALL AGES 27.7%, THAN THE NYC AVERAGE, 20.6%. NUMEROUS NEIGHBORHOODS ALSO HAVE A HIGHER THAN AVERAGE MEDICAID ENROLLMENT, OVERALL 43.3%, NYC 37.0%. ESTIMATED 32.1% RECEIVE SNAP BENEFITS, IN COMPARISON TO THE NYC AVERAGE OF 7.9%. HIGHER NON-WHITE POPULATION, 87.7% AS COMPARED TO NYC AVERAGE OF 67.3%. ACKNOWLEDGING THAT THERE WAS VARIATION ACROSS THE NTAS AND COUNTIES AMONG SPECIFIC MEASURABLE INDICATORS FOR DEMOGRAPHICS, SOCIOECONOMICS, SOCIAL DETERMINANTS OF HEALTH (SDOH), HEALTH STATUS AND UTILIZATION THAT EACH REQUIRE A CUSTOM APPROACH TO COMMUNITY SERVICE PLANNING, THERE WERE SPECIFIC COMMUNITIES THAT FREQUENTLY SHOWED MORE NEED THAN THE OTHERS. WITH SUCH A LARGE COMMUNITY, COVERING ALL FIVE BOROUGHS OF NEW YORK CITY, THERE ARE MANY NEIGHBORHOODS THAT FELL INTO THE HIGH DISPARITY (3RD AND 4TH QUARTILES) COMMUNITIES BASED ON THE ANALYSIS AND PRIORITIZATION OR THE QUANTITATIVE AND QUALITATIVE DATA COLLECTED FOR THE CHNA. THE GRACIE SQUARE COMMUNITY IS DIVERSE IN ITS GEOGRAPHY WITH THE NYC NTAS HAVING A YOUNGER, MORE MINORITY, AND ECONOMICALLY CHALLENGED POPULATION. THE SDOH CONCERNS ARE CONCENTRATED UPON LANGUAGE, SAFETY, FOOD INSECURITY, HIGH COST OF HOUSING, AND PUBLIC TRANSPORTATION. BEHAVIORAL RISK FACTORS SUCH AS SMOKING, DRINKING, AND CONSUMING FRUITS AND VEGETABLES VARY AMONG THE NTAS BUT ARE PROBLEMATIC FOR THOSE IN HIGH-DISPARITY NEIGHBORHOODS. GRACIE SQUARE HOSPITAL DEDICATES SPECIFIC HEALTH PROGRAMMING IN COMMUNITIES WITH SIGNIFICANT HEALTH DISPARITIES. AS PART OF THE 2019-2022 CHNA PROCESS, GRACIE SQUARE HOSPITAL IDENTIFIED THESE PRIORITY COMMUNITIES USING AN IN-DEPTH PROCESS THAT ANALYZED NEEDS ACROSS VARIOUS INDICATORS AS WELL AS HOSPITAL PATIENT DATA. THE 2022-2024 CHNA PROCESS CONFIRMED CONTINUING OVERALL NEED IN THESE NEIGHBORHOODS AND IDENTIFIED ONE ADDITIONAL NEIGHBORHOOD IN NEED OF FOCUS. THESE NEIGHBORHOODS ARE: LOWER EAST SIDE IN MANHATTAN, CHINATOWN IN MANHATTAN (NEW), WASHINGTON HEIGHTS IN MANHATTAN. ALTHOUGH GRACIE SQUARE HOSPITAL HAS A SPECIFIC FOCUS ON THESE COMMUNITIES, THE HOSPITAL IS COMMITTED TO SERVING ALL COMMUNITIES WITHIN ITS REACH. Schedule H, Part VI, Line 5 Promotion of community health DESCRIPTION: THE DATA OUTLINED ALLOWED US TO IDENTIFY A COMMUNITY OF FOCUS AS WELL AS PRIORITY AREAS TO IMPACT THE HEALTHCARE OF THE MOST VULNERABLE POPULATIONS. BACKGROUND SUMMARY: MENTAL HEALTH FIRST AID (MHFA) IS AN INTERNATIONAL TRAINING PROGRAM PROVEN TO BE AN EFFECTIVE INTERVENTION FOR MENTAL HEALTH EDUCATION, PREVENTION AND ADDRESSING STIGMA. PEER-REVIEWED STUDIES SHOW THAT INDIVIDUALS TRAINED IN THE PROGRAM ACHIEVE THE FOLLOWING OUTCOMES: 1 GROW THEIR KNOWLEDGE OF SIGNS, SYMPTOMS, AND RISK FACTORS OF MENTAL ILLNESSES AND ADDICTIONS. 2 CAN IDENTIFY MULTIPLE TYPES OF PROFESSIONAL AND SELF-HELP RESOURCES FOR INDIVIDUALS WITH A MENTAL ILLNESS OR ADDICTION. 3 INCREASE THEIR CONFIDENCE IN AND LIKELIHOOD TO HELP AN INDIVIDUAL IN DISTRESS. 4 SHOW INCREASE MENTAL WELLNESS THEMSELVES. MENTAL HEALTH FIRST AID USA IS LISTED IN THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION'S NATIONAL REGISTRY OF EVIDENCE-BASED PROGRAMS AND PRACTICES . BACKGROUND SUMMARY: BASED ON THE EXPERTISE THAT THE GRACIE SQUARE HOSPITAL (GRACIE SQUARE HOSPITAL) CAN BRING TO THE BEHAVIORAL HEALTH PRIORITY AREA, WE WILL PARTNER WITH NEWYORK-PRESBYTERIAN HOSPITAL (NYPH) TO INVEST AND CONCENTRATE EFFORTS TO DIRECTLY IMPACT THE NYPH TARGETED COMMUNITIES WITH A SPECIAL FOCUS. THE 2022-2024 CHNA METHODS INCLUDED 680 COMMUNITY-MEMBER SURVEYS IN SIX LANGUAGES, 42 FOCUS GROUPS IN THREE LANGUAGES, 25 KEY STAKEHOLDER INTERVIEWS, AND ANALYSIS OF PUBLICLY AVAILABLE DATA ON 70 HEALTH INDICATORS. ANALYSES FROM THESE MULTIPLE SOURCES REAFFIRMED GRACIE SQUARE HOSPITAL'S COMMITMENT TO WASHINGTON HEIGHTS IN MANHATTAN. THE LOWER EAST SIDE PRIORITY COMMUNITY, WHICH WAS IDENTIFIED IN 2019, HAS BEEN EXPANDED TO INCLUDE CHINATOWN, REFLECTING THE NEEDS OF THAT COMMUNITY, WHICH WERE EXACERBATED BY THE COVID-19 PANDEMIC. THE GRACIE SQUARE HOSPITAL(GRACIE SQUARE HOSPITAL) IS COMMITTED TO TRACKING PROGRESS AND OUTCOMES FROM THE CSP PROGRAMS AND INTERVENTIONS, TO IDENTIFY NEED FOR MID-COURSE CORRECTIONS TO ASSESS IMPACT, AND TO PLAN FOR EXPANSION AND REPLICATIONS. A VARIETY OF METHODS ARE USED, INCLUDING PARTICIPANT SURVEYS; SOCIAL NEEDS SCREENING TOOLS; RECORD REVIEWS AT BASELINE AND FOLLOW-UP; DASHBOARDS, WHICH ARE REVIEWED BY PROGRAM MANAGERS; SITE VISITS; PROJECT MEETINGS; AND WRITTEN UPDATE REPORTS, WHICH PROVIDE DETAILED INFORMATION ON ACTIVITIES (E.G., WORKSHOPS HELD, NUMBER OF PARTICIPANTS, AGENCIES REPRESENTED, TOPICS COVERED). UPDATE REPORTS ALSO INDICATE PROGRESS TOWARD TARGETS AND DESCRIBE FACILITATORS AND IMPEDIMENTS FACED DURING THE REPORTING PERIODS. DATA GATHERED ARE REVIEWED AND DISCUSSED DURING PROJECT MEETINGS. ANY NEEDED MID-PROGRAM COURSE CORRECTIONS ARE IDENTIFIED AND DISCUSSED DURING THESE MEETINGS AND THE TEAM IDENTIFIES FOLLOW-UP STEPS, INCLUDING TIMELINES AND RESPONSIBLE PARTIES. Schedule H, Part VI, Line 6 Affiliated health care system Description: THE 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. 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. Schedule H, Part VI, Line 7 State filing of community benefit report NY true LIFEFORCE IN LATER YEARS INC PO BOX 250402 NEW YORK NY 10025 800401075 501(C)(3) 7500 SUPPORT NATIONAL ALLIANCE ON MENTAL ILLNESS OF NEW YORK CITY INC 307 WEST 38TH STREET 8TH FLOOR NEW YORK NY 10018 133077692 501(C)(3) 10000 SUPPORT 2 0 DIRECT NON-CASH ASSISTANCE 3074 94800 COST MEDICATION, TRANSPORTATION, AND CLOTHING Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. PRIOR TO AWARDING ASSISTANCE TO ORGANIZATIONS, AN ASSESSMENT IS MADE ON THE USE OF THE FUNDS. FINAL DETERMINATION IS BASED ON WHETHER FUNDS WILL BE USED TO FURTHER OUR MISSION. X X X X X true false false false false false false true false RICHARD EINWECHTER BOARD MEMBER/ ASS'T TREASURER 0 507652 0 229474 0 53814 0 50644 0 28626 0 870210 0 0 NAZIM B MALATYALI BOARD MEMBER 0 537423 0 198728 0 77094 0 23980 0 50398 0 887623 0 0 BRIAN K REGAN BOARD MEMBER 0 387024 0 115786 0 51076 0 44354 0 35316 0 633556 0 0 KAREN WESTERVELT BOARD MEMBER/ CHAIRMAN 0 747235 0 583656 0 135554 0 24856 0 41536 0 1532837 0 0 DAVID WYMAN BOARD MEMBER 0 585468 0 215225 0 82748 0 21271 0 28416 0 933128 0 0 MICHAEL P BRESLIN TREASURER 0 1457262 0 927434 0 234654 0 25480 0 60173 0 2705003 0 0 JOHN V CAMPANO SECRETARY 0 396126 0 136469 0 43619 0 47582 0 45335 0 669131 0 0 MELISSA E WELCH ASS'T SECRETARY 0 185560 0 6703 0 159 0 21470 0 17124 0 231016 0 0 SMITA AGARKAR SERVICE CHIEF 380983 0 1260 0 923 0 29201 0 14511 0 426878 0 0 0 DONNA T ANTHONY CHIEF MEDICAL OFFICER 256436 0 85000 0 146933 0 33000 0 10963 0 532332 0 0 0 TIMOTHY P MCGARVEY EXECUTIVE DIRECTOR & CNO 0 304624 0 75000 0 668 0 43644 0 3940 0 427876 0 0 MICHAEL RADOSTA CHIEF NURSING & QUAL. OFFICER 0 355698 0 135368 0 44715 0 32032 0 27289 0 595102 0 0 HINA DAR RN 217253 0 0 0 200 0 0 0 6976 0 224429 0 0 0 FRANCINE FAKIH DIRECTOR NURSING 217163 0 5000 0 486 0 11287 0 47066 0 281002 0 0 0 JUN B LEE PER DIEM MD 255900 418379 0 41985 0 1876 17913 12578 0 37388 273813 512206 0 0 MARILOU TOLENTINO RN 214217 0 0 0 200 0 0 0 376 0 214793 0 0 0 NIESHA WESTMORELAND PER DIEM PSYCH 221235 0 0 0 0 0 13274 0 0 0 234509 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment RECEIVED SEVERANCE PAY: DONNA T. ANTHONY: $115,385. Schedule J, Part I, Line 7 Non-fixed payments 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 VI, Line 2 Family/business relationships amongst interested persons MICHAEL BRESLIN AND KAREN WESTERVELT - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE NEW YORK GRACIE SQUARE HOSPITAL (GSH), 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. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The Members shall have the sole authority to establish from time to time the number of Trustees to be elected at large, to elect Trustees to be elected at large and Honorary Trustees, and to elect the Chairman of the Board (the "Chairman"). Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The approval of the Members shall be required for: (1) the removal by the Board of the President the "President"), Chief Financial Officer, Chief Medical Officer and Chief Information Officer, if any, or any other corporate officer whose powers and duties include those which usually appertain to such offices. (2) the amendment of the Certificate of Incorporation or By-Laws of the Corporation, (3) the disposition of all or substantially all of the assets of the Corporation, (4) the merger or consolidation of the Corporation with another entity or (5) the dissolution of the Corporation. Except as may be limited by applicable law governing health care institutions, the Members shall have such other powers and authority as are afforded to the Members under the Corporation's Certificate of Incorporation or generally to members of not-for-profit corporations under the laws of the State of New York. Form 990, Part VI, Line 11b Review of form 990 by governing body MEMBERS OF THE NEWYORK-PRESBYTERIAN HOSPITAL (NYPH) FINANCE DEPARTMENT (FINANCE) COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990, ACCESSING VARIOUS RESOURCES INCLUDING, LEGAL, HUMAN RESOURCES, CORPORATE COMPLIANCE, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. THE COMPLETED FORM 990 IS FORWARDED TO ERNST & YOUNG U.S. LLP (EY) FOR REVIEW. EY PERFORMS REVIEW PROCEDURES DESIGNED TO EVALUATE THE CORRECTNESS AND MECHANICAL ACCURACY OF THE RETURN. UPON COMPLETION OF THEIR REVIEW PROCEDURES, A DRAFT OF THE FORM 990 WILL BE PROVIDED TO SENIOR MANAGEMENT FOR REVIEW. A DRAFT 990 IS THEN PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. THE CORPORATION FILES THE FORM 990 WITH THE IRS UPON FINAL REVIEW BY THE BOARD. Form 990, Part VI, Line 12c Conflict of interest policy THE HOSPITAL ADHERES TO A CONFLICT OF INTEREST (COI) POLICY THAT WAS APPROVED BY THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE POLICY STATES IN PART: "EACH BOARD MEMBER, OFFICER OR KEY PERSON OF A NEW YORK-PRESBYTERIAN ORGANIZATION SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PRIOR TO BECOMING A BOARD MEMBER, OFFICER OR KEY PERSON OF THE NEW YORK-PRESBYTERIAN ORGANIZATION AND ANNUALLY THEREAFTER." THE POLICY ALSO STATES THAT "EACH BOARD MEMBER, OFFICER, OR KEY PERSON SHALL PROMPTLY ADVISE THE CHIEF EXECUTIVE OFFICER OF THE NEWYORK-PRESBYTERIAN ORGANIZATION, OR HIS OR HER DESIGNEE, OF ANY CHANGES TO THE INFORMATION PROVIDED IN THAT INDIVIDUAL'S LAST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE." "THE CHIEF EXECUTIVE OFFICER OF NEW YORK-PRESBYTERIAN HOSPITAL, OR HIS OR HER DESIGNEE, SHALL REVIEW ALL COMPLETED QUESTIONNAIRES AND ALL SUBSEQUENT ADVICE OF CHANGES AND SHALL TAKE SUCH ACTION AS IS DEEMED APPROPRIATE TO ELIMINATE POTENTIALS FOR CONFLICTS OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE ARRANGEMENTS." ALL DISCLOSURES OF INTERESTS IN COMPLETED QUESTIONNAIRES OR SUBSEQUENT ADVICE, UNLESS CLEARLY IRRELEVANT OR IMMATERIAL, SHALL BE COMPILED AND REPORTED BY MANAGEMENT "TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF NEW YORK- PRESBYTERIAN Organization, TOGETHER, IN EACH CASE, WITH RESPONSE OR RECOMMENDATION OF MANAGEMENT." "THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE SHALL DETERMINE WHETHER THE REPORTED RESOLUTION OF ISSUES RAISED BY THE DISCLOSURES IS SATISFACTORY AND, IF NOT, SHALL REQUIRE SUCH FURTHER ACTION AS IT DEEMS APPROPRIATE." Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION DECISIONS FOR THE PRESIDENT WAS DETERMINED BY A AFFILATE ORGANIZATION FOLLOWING THAT ORGANIZATION'S COMPENSATION POLICY. THE ORGANIZATION'S PRESIDENT HAS NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY THE AFFILATE ORGANIZATION. OTHER OFFICERS/KEY EMPLOYEES NOT COMPENSATED BY THE ORGANIZATION ARE EMPLOYED AND COMPENSATED BY A RELATED ORGANIZATION, THE NEW YORK AND PRESBYTERIAN HOSPITAL (THE "HOSPITAL"). THESE INDIVIDUALS PERFORM SERVICES FOR THE CORPORATION, AND IN SOME CASES OTHER RELATED ORGANIZATIONS, BY ARRANGEMENT BETWEEN THE HOSPITAL AND SUCH ORGANIZATION(S). AS SET FORTH IN SCHEDULE R, THE CORPORATION AND THE HOSPITAL ARE RELATED ORGANIZATIONS. THE ORGANIZATION'S OFFICER'S AND KEY EMPLOYEES HAVE NO INFLUENCE OVER THE COMPENSATION PROCESS PERFORMED BY THE RELATED ORGANIZATION. Form 990, Part VI, Line 15b Process to establish compensation of other employees OTHER OFFICERS/KEY EMPLOYEES COMPENSATED BY THE ORGANIZATION ARE DETERMINED BY THE 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 COMMITTEE'S DELIBERATION AND DECISION PROCESS INCLUDES REVIEW OF COMPARABLE AND CONTEMPORANEOUS DATA. Form 990, Part VI, Line 19 Required documents available to the public INSPECTION OF THE HOSPITAL'S FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE ARRANGED UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances RESTRICTED CONTRIBUTION AND NET ASSETS RELEASED FROM RESTRICTION, NET - -76246; NET ASSET TRANSFER FROM THE NEW YORK PRESBYTERIAN HOSPITAL - 2483172; NEW YORK-PRESBYTERIAN FOUNDATION INC 525 E 68TH ST BOX 156 NEW YORK NY 10065 134153668 SUPPORT ORG. 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