| Covid-19 Disclosure |
During the first wave of COVID-19 to strike New York City (March - May 2020), approximately 54,000 New York City residents were hospitalized with the disease according to the US Department of Health and Human Services/Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, November 20,2020 Vol 69, No.46. During that same period, NYPH and the Regional Hospitals (collectively, "NYP") admitted 11,571 COVID-19 patients. Government leaders struggled to limit the spread of the disease as New York City, with its dense population and popular mass transit system, quickly devolved into one of the early epicenters of the pandemic. From NYPH's disease modeling, it became apparent that elective procedures would need to be postponed; patient capacity and particularly intensive care beds across NYPH and the Regional Hospitals (collectively "NYP") would need to be rapidly and significantly expanded; telemedicine would be a vital tool as government stay at home orders and fear of the pandemic minimized patient travel for outpatient care; and healthcare workers, with their front-line exposure to infection and the physical and mental stress of providing compassionate care to patients, needed much greater quantities of personal protective equipment ("PPE"). The need to provide PPE for healthcare workers was deemed by NYP particularly critical since demand for workers was high throughout the region, NYP needed to arrange for staffing for the increased bed capacity and surge of patients, and the healthcare workers, who witnessed the devastating strength of the disease on a daily basis, had to have confidence that appropriate use of PPE would not make them transmitters of the disease to others, including their families. NYP was also concerned about the impact of higher death rates on the morale of staff who pride themselves on healing. NYPH undertook extensive preparations for the potentially devastating impact of COVID-19. It activated its Hospital Incident Command team led by NYPH's Chief Operating Officer, with full engagement of the organization's senior administrative, operational, and clinical leadership as well as Columbia Doctors and Weill Cornell Medicine (the Medical Schools). NYPH worked closely with federal, state, and local government officials as they responded to the pandemic with a series of executive orders, programs, and regulatory waivers designed to slow the spread of the virus and create the needed healthcare capacity. Multiple large-scale planning efforts were launched by NYPH to address inpatient capacity, staffing needs, equipment shortages, disease management and patient and community education, leveraging the combined size and creativity of NYPH, the Regional Hospitals and the Medical Schools. Resources were effectively redeployed to areas of need as COVID-19 cases displaced large volumes of a typical NYPH caseload. Multifaceted Response to the Pandemic NYP's effective response to a pandemic addressed the many challenges including capacity, staffing, supply chain and financial support. Capacity: NYPH increased inpatient ICU capacity by 246% and constructed the 250-bed Ryan Larkin Field Hospital. In addition, all non-emergent and elective procedures were canceled which allowed for additional acute care capacity for those impacted by COVID-19. Staffing: NYP improvised a highly effective pyramidal staffing structure: more experienced intensive care and emergency providers oversaw medical specialists, and other caregivers who were redeployed after the halt in elective surgeries and treatments. These caregivers assisted in emergency departments and intensive care settings. At the same time, NYP worked closely with the Medical Schools. Both Medical Schools redeployed doctors, nurses and advanced practice practitioners to help with inpatient care, telehealth, and discharge checks on patients and families, among other things. In addition, NYPH and the Regional Hospitals supported the move of approximately 15,000 non-patient facing staff to remote work, consistent with the spirit of the stay-at-home orders and prudent pandemic medical practices to minimize gatherings that could potentially promote the spread of the virus. Between March 2020 and May 2021, over 1,250 staff of NYPH and the Regional Hospitals were either redeployed or volunteered their time to help support the front-line as well as staff the NYP vaccination sites. Throughout the crisis, senior leadership communicated daily to the workforce of NYPH and the Regional Hospitals up-to-date information via multiple channels regarding the disease, the progression of the pandemic, and the importance of safety in the caregiver community given the physical and psychological stress of the pandemic on front-line workers. In addition, NYPH and the Regional Hospitals increased the support provided to staff and were able to avoid formal reductions in force throughout the crisis. Supply Chain: PPE was an immediate concern. Like businesses in general, hospitals have learned to seek increased efficiency, employing Just in Time supply chain and staffing models. Pre-pandemic, NYPH and the Regional Hospitals consumed approximately 4,000 surgical masks per day. That figure increased to 110,000 by mid-March 2020. Matching the commitment of their colleagues on the front lines, supply chain managers worked to provide PPE supplies for the benefit of front-line workers and patients. At the same time, NYP recognized the need to pivot to a Just in Case model to improve preparation for future waves and outbreaks. Once the PPE supply shortage subsided, NYP successfully acquired and stockpiled surgical and N95 masks, scrubs, protective eyewear and other equipment needed to keep its patients and staff safe during prolonged periods of peak use. NYP also worked to solve shortages of reagents and other materials needed to test as many people as possible for SARS-COV-2 or its antibodies. NYP implemented a testing regimen for emergency departments, medical-surgical and recovery floors of hospitals, and worked closely with federal and state officials to help with testing among the general population. Financial Support: In August 2020, NYPH issued $750.0 million of taxable bonds, the proceeds of the sale of which may be used for NYPH corporate purposes. In addition, in order to enhance the liquidity position represented by its operating cash accounts and its investment portfolios, NYPH increased existing lines of credit and obtained new lines of credit to increase its line of credit borrowing capacity from $350.0 million to $800.0 million in 2020 and further increased borrowing capacity to $950.0 million in the three months ended March 31, 2021. Commitment to its Workforce NYP's organizational culture is based on a credo of respect that emphasizes the importance of every role. In furtherance of that belief, NYP made available to its staff a suite of physical and mental health and well-being services. These included: commuter services; housing services; family services including support care time, employee food bank, remote work and childcare services; and mental health services. In addition, NYPH and the Regional Hospitals provided to employees at work on the front lines, two bonuses, recharge rooms, and free daily meals onsite. This comprehensive package of pandemic assistance cost approximately $269.3 million as of March 31, 2021. It reflects the priority NYP places on supporting the dedication, commitment and heroism of front-line caregivers and encouraging an engaged workforce to further the missions of NYPH and the Regional Hospitals. Caring for the Community NYPH and the Regional Hospitals recognized that their community health support programs were a vital component of their COVID-19 response. In 2020, NYPH and the Regional Hospitals funded a broad variety of community support services including wellness programs, community education programs, health screenings, health professionals' education, school-based programs, subsidized health services, prenatal services, crime victims services, eating disorder services, mental health services, disease management services, prevention services and immunizations. NYP established a COVID-19 hotline that fielded thousands of calls from the community. When COVID increased the number of New Yorkers experiencing food insecurity, NYPH expanded its food distribution program, Food Farmacy, teaming up with several organizations to bring healthy food to communities in upper and lower Manhattan, Queens, Brooklyn, and Westchester. Between March 2020 and February 2021, the program went from serving 190 households to more than 6,000 households, distributing more than 1 million pounds of healthy food. Additionally, NYPH invested $5.0 million in Queens, Brooklyn, and Lower Manhattan, to help provide access to emergency food and other pandemic support. |
| COVID DISCLOSURE CONTINUED: |
NYPH also created the Northern Manhattan Recovery Fund (the "NMRF") and committed $10.0 million to help the Northern Manhattan community, where three of its campuses are based, recover from the pandemic's economic impact, consistent with IRS Guidelines for Disaster Relief. In the Spring of 2020, the NMRF collaborated with the Hispanic Federation, a nonprofit organization which seeks to empower and advance the Hispanic community, to disseminate over $5.0 million in emergency funding to small businesses in Northern Manhattan. The NMRF has provided additional disaster relief directly and through other collaborations, in the amount of approximately $1.0 million. The NMRF is prioritizing strategies with the goal of providing assistance as quickly as possible to those pandemic affected businesses and industries most in need, while also building a sustainable infrastructure. Vaccine Access and Overcoming Vaccine Hesitancy NYPH leased The Armory at 168th Street in Washington Heights and transformed this approximately 65,000 square foot space into one of New York City's largest public COVID-19 vaccination sites, providing vaccines from January 2021 until May 2021. NYP managed and staffed the Armory operation, as well as other pop-up vaccination venues in New York City and Westchester County. NYPH collaborated with over 100 community and faith-based organizations to help New Yorkers schedule vaccination appointments at these sites and provided education on vaccine safety to thousands of members of the public. NYPH also collaborated with the Northern Manhattan Improvement Corporation ("NMIC"), a community-based organization in Washington Heights, to create a bilingual scheduling hotline where members of local communities could schedule appointments. As of May 1, 2021, that hotline made vaccination appointments for over 11,000 New Yorkers, many of whom had language or limited internet access issues. NYP's efforts have led to the vaccination of more than 100,000 patients and members of the public. NYPH has also deployed its financial and staffing resources to bolster city and regional efforts to help New Yorkers overcome vaccine hesitancy. Part VI, Section A, Line 2: Jerry I. Speyer and Rob J. Speyer have a family/Business relationship. Jeffrey W. Greenberg and Maurice R. Greenberg have a family relationship. Stephen ross and bruce anthony beal have a business relationship. Jerry I. Speyer, Rob J. Speyer, and Leonard A. Wilf have a business relationship. Steven R. Swartz and Frank A. Bennack Jr. have a business relationship. John Weinberg, Pamela Carlton, and Roger C. Altman have a business relationship. Jeffrey Harris and Sarah Nash have a business relationship. Rochelle Lazarus and Stephen Schwarzman have a business relationship. lee Ainslie III and Philippe Laffont have a business relationship. Bruce Anthony Beal and Ogden Phipps II have a business relationship. Glen Hutchins, Ogden Phipps II, and Philippe Laffont have a business relationship. Jerry I. Speyer, Rob J. Speyer, and Russell Carson have a business relationship. Gregory Mondre, Bruce Anthony Beal, and Stephen Ross have a business relationship. Part VI, Section A, Line 6: The New York and Presbyterian Hospital has Members of the corporation. See also: Schedule O Disclosure for Part VI, Section A, Line 7B. See also: Schedule O Disclosure for Part VI, Section A, Line 7B. |
| Part VI, Section A, Line 7B: |
The Members are the same as the Trustees. There are four classes of Members and the classes and members thereof are the same as those for the Hospital. Four of the Members/Trustees serve ex-officio and thus are not members of a class. The Members have the rights and duties provided under the New York Not-for-Profit Corporation Law. Article II of the By-Laws "Members" provides as follows: Members: The Members of the Hospital shall consist of those persons who are Trustees of the Hospital. Election of any person as a Trustee shall automatically constitute the election of such person as a Member of the Hospital. Upon the termination of office as a Trustee of any person for any reason, such person shall thereupon cease to be a Member of the Hospital. Authority: Members shall have the voting and other rights expressly granted to members of a domestic corporation under the Not-for-Profit Corporation Law of the State of New York. Annual Meeting: An Annual Meeting of the Members for the election of Trustees and the transaction of other business shall be held in December of each year on such day as may be determined by the Chairman, the Chief Executive Officer or the Board of Trustees. Special Meetings: Special meetings of the Members may be called by the Chairman, the Chief Executive Officer or the Board of Trustees. Special Meetings shall also be called by the Secretary upon demand of not less than 10% of the members. Notice of a special meeting shall also state the purpose or purposes for which the meeting is called. Notice: Notice of each meeting of the Members shall be given to each Member, personally, by first class mail, or electronically, not less than 10 nor more than 50 days before the date of the meeting. Notices shall be deemed to have been given by mail when deposited in the United States mail. Notices shall be sent or delivered to each Member at the address designated by that Member for that purpose, or, if none has been so designated, at the Member's last known residence or business address. Waiver of Notice: Notice of a meeting of Members need not be given to any member who submits a signed waiver of notice, in person or by proxy, whether before or after the meeting, or who attends the meeting, in person or by proxy, without protesting prior to the conclusion of the meeting the lack of notice of the meeting. Quorum: At all meetings of the Members, 10% of the total number of Members shall constitute a quorum for the transaction of business. Voting: At any meeting of the Members, each Member shall be entitled to one vote, cast either in person or by written proxy. Unless a greater proportion is required by law or these By-Laws, Trustees shall be elected by a plurality of the votes cast at a meeting of Members. Whenever any corporate action, other than the election of Trustees, is to be taken by vote of the Members, it shall, unless a greater proportion is required by law, the Certificate of Incorporation or these By-Laws, be authorized by a majority of the votes cast at a meeting of the Members. Action Without a Meeting: Any action required or permitted to be taken by the Members may be taken without a meeting on written consent, setting forth the action so taken, signed by all the Members. Telephone Participation: Any one or more Members may participate in a meeting by means of conference telephone or similar communications equipment allowing all persons participating in the meeting to hear each other at the same time. Participation by such means shall constitute presence in person at a meeting signed by all the Members. |
| Part VI, Section B, Line 11A: |
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 FOLLOWING IS THE PROCESS FOR REVIEW: SENIOR FINANCE EXECUTIVES REVIEW THE RETURN IN CONJUNCTION WITH ERNST & YOUNG U.S. LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE NYPH BOARD (NYPH AUDIT COMMITTEE) OR HIS/HER DESIGNEE. PURSUANT TO THE CORPORATIONS BYLAWS, IT IS THE NYPH AUDIT COMMITTEE THAT REVIEWS THE CORPORATIONS FORM 990. THE CHAIR OF THE NYPH AUDIT COMMITTEE OR HIS/HER DESIGNEE CONDUCTS A DETAILED REVIEW AND MEETS WITH FINANCE TO ADDRESS ANY QUESTIONS. A COPY OF THE 990 IS SENT TO THE OTHER COMMITTEE MEMBERS FOR REVIEW, AND A REPORT IS GIVEN ON THE 990 BY MANAGEMENT AT THE COMMITTEES MEETING IMMEDIATELY PRECEDING THE FILING. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES, CORPORATION, PRIOR TO ITS FILING. THE CORPORATION FILES THE 990 UPON FINAL REVIEW. |
| Part VI, Section B, Line 12C: |
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 NewYork-Presbyterian Organization shall complete a conflict of interest questionnaire prior to becoming a Board Member, Officer or Key Person of the NewYork-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 and Presbyterian Hospital, 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 NewYork-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 NewYork-Presbyterian Hospital, 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. |
| Part VI, Section B, Line 15 A & 15B: |
The Executive Compensation process at The NewYork and Presbyterian Hospital (NYP) is administered by a committee of independent trustees. They follow a Board-approved charter and overall executive compensation philosophy. The charter empowers the NYP Board Compensation Committee to administer the executive compensation program and process on behalf of the full Board of Trustees of NYP. Overall, the philosophy is intended to reward a broad spectrum of high organizational and predetermined, measurable individual performance expectations, as well as to foster the retention of key management talent. NYP's executive compensation philosophy is focused on establishing a performance - oriented philosophy and pay strategy designed to attract, retain and reward top talent. To fulfill their responsibility, the Committee also reviews information from multiple sources of market data. One such market definition is a stable group of large health care systems of similar scale and circumstances. Additional information from not-for-profit systems, for-profits systems and comparably sized publicly-traded health care facilities is also used. They use this additional information to support their decisions regarding on-going administration of the program. The Compensation Committee is comprised of independent members of the Board. They meet three to four times per year and make all critical decisions in executive session. These decisions are documented in minutes which are approved in subsequent meetings. The Committee is empowered to, and does, engage outside counsel and consulting support. The above described Executive Compensation Process is an ongoing process, applied annually on a calendar year basis, to all vice presidents, senior vice presidents, group senior vice presidents, executive vice presidents, as well as the chief executive officer and President. Compensation for 2020 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. |
| Part VI, Section C, Line 19: |
External requests for our governing documents, conflict of interest policy, and financial statements are reviewed for validity. These requests are then granted if deemed appropriate. |
| Part XI, Line 9: |
Change in Temp. net assets: $178,071,539 Change in Perm. Net assets: $7,013,561 Equity in earnings of collective trusts: $388,047,125 Distributions from New York-Presbyterian Fund, Inc. for the purchase of fixed assets: $62,131,704 Disaster Relief Fund receipts from FEMA for the purchase of fixed assets: $25,000,000 Change in pension and postretirement benefit liabilities to be recognized in future periods: $(224,025,632) Other Changes in Net Assets: $(43,235) Total Other Changes: $436,195,062 |
Attach to Form 990 or 990-EZ.