Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
41 EAST POST ROAD DAVIS AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
WHITE PLAINS, NY10601
D Employer identification number

13-1740130
E Telephone number

G Gross receipts $ 300,561,121
F Name and address of principal officer:
JON B SCHANDLER
41 EAST POST ROAD DAVIS AVENUE
WHITE PLAINS,NY10601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.WPHOSPITAL.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1893
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 40
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 36
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,280
6 Total number of volunteers (estimate if necessary) .... 6 557
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 13,105,189
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 1,711,267
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,081,099 7,427,275
9 Program service revenue (Part VIII, line 2g) ......... 261,085,738 279,871,357
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,069,439 6,590,215
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,077,250 3,793,184
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 271,313,526 297,682,031
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 147,276,102 159,286,665
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,542,338    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 121,587,426 126,285,545
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 268,863,528 285,572,210
19 Revenue less expenses. Subtract line 18 from line 12...... 2,449,998 12,109,821
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 200,716,495 203,618,189
21 Total liabilities (Part X, line 26)............ 122,764,981 123,976,077
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 77,951,514 79,642,112
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 142,186,724 including grants of $   ) (Revenue $ 158,058,185 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $ 32,098,058 including grants of $   ) (Revenue $ 32,899,876 )
SEE SCHEDULE O
4c (Code:   ) (Expenses $ 79,533,760 including grants of $   ) (Revenue $ 75,808,107 )
SEE SCHEDULE O
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 253,818,542
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
300
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,280
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
40
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
36
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JOHN SCIURBA
DAVIS AVE EAST POST ROAD
WHITE PLAINS,NY10601
(914) 681-1024
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) J MICHAEL DIVNEY
CHAIRMAN
 15.00 X           0 0 0
(2) PAUL M WEISSMAN
CHAIRMAN EMERITUS
 1.00 X           0 0 0
(3) DONALD STONE
SECRETARY
 3.00 X           0 0 0
(4) CHARLES L WEINBERG
VICE CHAIRMAN
 3.00 X           0 0 0
(5) JENNIFER GRUENBERG
VICE CHAIRWOMAN
 3.00 X           0 0 0
(6) FRANK A BRUNI
VICE CHAIRMAN
 3.00 X           0 0 0
(7) STUART T NEVINS MD
TREASURER
 3.00 X           0 0 0
(8) ANN EDWARDS
VICE CHAIRWOMAN
 3.00 X           0 0 0
(9) EDWARD F LEONARD
ASST. TREASURER
 38.00 X   X       474,344 0 46,192
(10) ROBERT FEDER
CHAIRMAN EMERITUS
 1.00 X           0 0 0
(11) ARTHUR J HEDGE JR
CHAIRMAN EMERITUS
 1.00 X           0 0 0
(12) H GUY LEIBLER
CHAIRMAN EMERITUS
 1.00 X           0 0 0
(13) HENRY POLLAK II
CHAIRMAN EMERITUS
 1.00 X           0 0 0
(14) NORMAN ALPERT
BOARD MEMBER
 1.00 X           0 0 0
(15) CARL AUSTIN
BOARD MEMBER
 1.00 X           0 0 0
(16) STEVEN BARUCH
BOARD MEMBER
 1.00 X           0 0 0
(17) GREG A BERGER
BOARD MEMBER
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) HOWARD BERK
BOARD MEMBER
 1.00 X           0 0 0
(19) ROGER CAPPUCCI
BOARD MEMBER
 1.00 X           0 0 0
(20) NANCY CLARVIT
BOARD MEMBER
 1.00 X           0 0 0
(21) PETER M FISHBEIN
BOARD MEMBER
 1.00 X           0 0 0
(22) ALEIDA M FREDERICO
BOARD MEMBER
 1.00 X           0 0 0
(23) CHARLES N GLASSMAN MD
BOARD MEMBER
 1.00 X           0 0 0
(24) PETER A HOCHFELDER
BOARD MEMBER
 1.00 X           0 0 0
(25) CAROL LOWENTHAL
BOARD MEMBER
 1.00 X           0 0 0
(26) WILLIAM NULL
BOARD MEMBER
 1.00 X           0 0 0
(27) MICHAEL J PALUMBO MD
EXECUTIVE VP/MEDICAL DIRECTOR
 40.00 X   X       350,969 0 22,657
(28) ROBERT REIFFEL MD
BOARD MEMBER
 1.00 X           0 0 0
(29) JON B SCHANDLER
PRESIDENT & CEO
 38.00 X   X       1,559,576 0 45,472
(30) LUCY SCHMOLKA
BOARD MEMBER
 1.00 X           0 0 0
(31) MICHELE SCHOENFELD
BOARD MEMBER
 1.00 X           0 0 0
(32) MEGAN H SHAPIRO
BOARD MEMBER
 1.00 X           0 0 0
(33) LAURENCE R SMITH
BOARD MEMBER
 1.00 X           0 0 0
(34) JONATHAN SPITALNY
BOARD MEMBER
 1.00 X           0 0 0
(35) ROBERT STONE
BOARD MEMBER
 1.00 X           0 0 0
(36) GEORGE VANCLEAVE
BOARD MEMBER
 1.00 X           0 0 0
(37) SUSAN Z YUBAS
BOARD MEMBER
 1.00 X           0 0 0
(38) JILL HASKEL
BOARD MEMBER
 1.00 X           0 0 0
(39) BARBARA LAPP
BOARD MEMBER
 1.00 X           0 0 0
(40) NETTIE WEBB EDD
BOARD MEMBER
 1.00 X           0 0 0
(41) SUSAN FOX
SENIOR VICE PRESIDENT
 38.00     X       149,045 0 0
(42) JOHN B SCIURBA
VICE PRESIDENT/CFO
 38.00     X       250,876 0 38,444
(43) MARY K SPENGLER
VICE PRESIDENT
 38.00     X       219,987 0 28,018
(44) MICHAEL LA CALAMITA
VICE PRESIDENT
 38.00     X       195,772 0 27,182
(45) LEIGH ANN MCMAHON
VICE PRESIDENT
 38.00     X       219,719 0 18,688
(46) JUAN SANCHEZ
VICE PRESIDENT HUMAN RESOURCES
 38.00     X       196,606 0 39,680
(47) OSSIE DAHL
VICE PRESIDENT
 38.00     X       180,836 0 36,262
(48) DAWN FRENCH
VICE PRESIDENT
 38.00     X       87,604 0 18,054
(49) RICHARD PETRICCIONE
VICE PRESIDENT
 38.00     X       106,843 0 0
(50) JESUS JAILE MD
PHYSICIAN
 40.00         X   845,811 0 38,724
(51) TIMOTHY HAYDOCK MD
PHYSICIAN
 40.00         X   407,032 0 38,928
(52) KEVIN L FLETCHER MD
PHYSICIAN
 40.00         X   500,927 0 35,995
(53) ZAID ALRAWI MD
PHYSICIAN
 40.00         X   504,999 0 19,254
(54) RAJESH GUPTA MD
PHYSICIAN
 40.00         X   309,490 0 38,974
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 6,560,436 0 492,524
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet321
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
WHITE PLAINS RADIATION THERAPY
2-4 LONGVIEW AVENUE
WHITE PLAINS,NY10601 		PHYSICIAN FEES 4,800,000
SODEXHO OPERATIONS LLC
135 SANTILLI HIGHWAY
EVERETT,MA02149 		DIETARY 3,241,072
WHITING TURNER CONTRACTING CO
PO BOX 17596
BALTIMORE,MD251971596 		CONSTRUCTION SERVICES 3,231,210
WHITE PLAINS RADIOLOGY
122 MAPLE AVENUE
WHITE PLAINS,NY10601 		PHYSICIAN FEES 2,561,507
ANGELICA TEXTILE SERVICE INC
PO BOX 823283
PHILADELPHIA,PA191823283 		LAUNDRY SERVICES 1,139,590
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet48
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 299,139
d Related organizations...1d  
e Government grants (contributions)1e 42,000
f All other contributions, gifts, grants, and
similar amounts not included above1f 		7,086,136
g Noncash contributions included in lines 1a-1f:$ 65,091
h Total. Add lines 1a-1f.......MediumBullet 7,427,275
Program Service Revenue Business Code
2a PATIENT SERVICE REVENU 900,099 266,766,168 266,766,168    
b DIAGNOSTIC LAB 621,500 13,081,048   13,081,048  
c LACTATION REVENUE 900,099 24,141   24,141  
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 279,871,357
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,418,982     1,418,982
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 641,592  
b Less: rental expenses    
c Rental income or (loss) 641,592  
d Net rental income or (loss).......MediumBullet 641,592     641,592
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 2,701,338 5,111,922
b Less: cost or other basis and sales expenses 2,573,442 68,585
c Gain or (loss) 127,896 5,043,337
d Net gain or (loss)..........MediumBullet 5,171,233     5,171,233
8a Gross income from fundraising events (not including
$ 299,139
of contributions reported on line 1c). See Part IV, line 18 ...
a 69,100
b Less: direct expenses ...b 237,063
c Net income or (loss) from fundraising events..MediumBullet -167,963   -167,963
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a PARKING INCOME 812,930 943,807 943,807    
b AUXILIARY REVENUE 900,099 787,369 787,369    
c PURCHASE DISCOUNTS 900,099 503,720 503,720    
d All other revenue .... 1,084,659 250,022   834,637
e Total. Add lines 11a–11d ......MediumBullet 3,319,555
12 Total revenue. See Instructions....MediumBullet 297,682,031 269,251,086 13,105,189 7,898,481
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 3,992,177 219,719 3,772,458  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 124,760,525 116,788,749 7,971,776  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 5,060,669 4,599,058 461,611  
9 Other employee benefits ....... 15,811,275 14,369,043 1,442,232  
10 Payroll taxes ........... 9,662,019 8,780,694 881,325  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 311,609   311,609  
c Accounting ........... 390,004   390,004  
d Lobbying ........... 38,237 38,237    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 20,278,788 18,127,480 1,708,481 442,827
12 Advertising and promotion .... 748,875   748,875  
13 Office expenses ....... 44,680,486 42,635,519 1,944,669 100,298
14 Information technology ...... 2,187,372   2,187,372  
15 Royalties ..        
16 Occupancy ........... 6,974,600 6,256,193 687,006 31,401
17 Travel ............ 170,094 106,896 63,198  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 111,408 84,168 27,039 201
20 Interest ........... 1,656,143 1,503,766 143,889 8,488
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 15,869,050 14,408,981 1,378,734 81,335
23 Insurance .............. 7,176,688 6,624,134 552,554  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BAD DEBT EXPENSE 10,183,000 10,183,000    
b EQUIP. RENTAL, REPAIRS 8,622,879 7,018,396 1,597,962 6,521
c COLLECTION & BILLING 1,409,587 501,492 908,095  
d LAUNDRY SERVICES 1,369,941 1,369,520 421  
e AUXILIARY EXPENSES 741,138     741,138
f All other expenses 3,365,646 203,497 3,032,020 130,129
25 Total functional expenses. Add lines 1 through 24f 285,572,210 253,818,542 30,211,330 1,542,338
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 1,158,545 1 1,706,888
2 Savings and temporary cash investments ....... 6,102,485 2 11,327,520
3 Pledges and grants receivable, net ......... 3,173,944 3 3,312,306
4 Accounts receivable, net ......... 29,807,030 4 31,201,724
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 4,291,298 8 4,236,099
9 Prepaid expenses and deferred charges ............ 1,773,575 9 1,951,039
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 321,704,701
b Less: accumulated depreciation. ..... 10b 204,404,469 124,721,960 10c 117,300,232
11 Investments—publicly traded securities .......... 25,743,603 11 27,415,546
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 .. 124,341 13 124,039
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 3,819,714 15 5,042,796
16 Total assets. Add lines 1 through 15 (must equal line 34)... 200,716,495 16 203,618,189
Liabilities 17 Accounts payable and accrued expenses . 36,188,678 17 33,696,812
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 24,929,457 20 23,499,824
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 15,990,480 23 12,166,279
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 45,656,366 25 54,613,162
26 Total liabilities. Add lines 17 through 25..... 122,764,981 26 123,976,077
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 69,154,987 27 68,164,002
28 Temporarily restricted net assets ..... 6,731,733 28 9,413,316
29 Permanently restricted net assets ..... 2,064,794 29 2,064,794
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 77,951,514 33 79,642,112
34 Total liabilities and net assets/fund balances ..... 200,716,495 34 203,618,189
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
297,682,031
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
285,572,210
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
12,109,821
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
77,951,514
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-10,419,223
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
79,642,112
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
  		Employer identification number

13-1740130
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
  		Employer identification number

13-1740130
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
  		Employer identification number

13-1740130
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
38,237
j
Total. lines 1c through 1i ...................................
38,237
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: LOBBYING ACTIVITIES RELATE TO THE HOSPITAL'S MEMBERSHIP IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, THE AMERICAN HOSPITAL ASSOCIATION, GREATER NEW YORK HOSPITAL ASSOCIATION AND NORTHERN METROPOLITAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED AS EXPENSES INCURRED IN CONNECTION WITH LOBBYING ACTIVITIES IS $38,237 AND REPRESENTS THE PORTION OF MEMBERSHIP DUES IDENTIFIED BY SUCH ORGANIZATIONS FOR SPECIFIC LOBBYING PURPOSES. ALL PAYMENTS WERE MADE IN 2010.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 8,796,527 16,535,407 27,838,228
b Contributions ........ 4,204,662 1,786,071 3,186,568
c Investment earnings or losses ... 505,407 786,302 -971,049
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		-2,028,486 -10,311,253 -13,518,340
f Administrative expenses ....      
g End of year balance ...... 11,478,110 8,796,527 16,535,407
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet18.000 %
c
Term endowment: SchDMd Bullet82.000 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   3,437,391 3,437,391
b Buildings ................   134,817,613 63,660,748 71,156,865
c Leasehold improvements ............   894,592 578,207 316,385
d Equipment ................   170,373,068 137,084,050 33,289,018
e Other .................   12,182,037 3,081,464 9,100,573
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 117,300,232
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
DUE TO THIRD PARTIES 7,151,249
ACCRUED PENSION 37,974,083
EST SELF INS FUND LIABILITY 900,000
OTHER NON-CURRENT LIABILITIES 4,071,013
OTHER CURRENT LIABILITIES 4,516,817




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 54,613,162
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE IS TEMPORARILY LIMITED BY THE DONOR. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY. TEMPORARILY RESTRICTED NET ASSETS, WHICH ARE AVAILABLE AT DECEMBER 31, 2010 AND 2009, ARE AS FOLLOWS: 2010 2009 HEALTH AND PROGRAM SERVICES $1,805,213 $1,461,672 HEALTH EDUCATION 1,559,052 1,842,145 BUILDING AND EQUIPMENT 6,049,051 3,427,916 TOTAL $9,413,316 $6,731,733 PERMANENTLY RESTRICTED NET ASSETS CONSIST OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS RESTRICTED BY THE DONOR FOR SPECIFIC OPERATION PURPOSES. THE BOARD OF DIRECTORS HAS DETERMINED THAT DONOR-RESTRICTED ENDOWMENT FUNDS WILL BE GOVERNED BY SPECIFIC POLICIES WITH THE OBJECTIVE THAT THE ORIGINAL GIFT SHALL BE PROTECTED IN PERPETUITY AS THE ENDOWED CORPUS AND DISTRIBUTIONS WILL NOT BE MADE IF IT WERE TO BRING THE VALUE BELOW THAT THRESHOLD. POLICIES HAVE BEEN DEVELOPED THAT EXPLAIN THE CALCULATION USED TO DETERMINE FUNDS AVAILABLE FOR EXPENDITURE, AND THE PROCESS FOR EXPENDITURE OF FUNDS IN ACCORDANCE WITH DONOR RESTRICTIONS.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
CENTRAL AMERICA & THE CARIBBEAN     INVESTMENT   2,535,207
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....   0 2,535,207
b Total from continuation sheets to Part I ...   0 0
c Totals (add lines 3a and 3b)   0 2,535,207
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

1893 SOCIRTY DINNER
(event type) 		(b) Event #2

GOLF CLASSIC
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 163,949 204,290   368,239
2 Less: Charitable
contributions . . . 		148,349 150,790   299,139
3 Gross income (line 1
minus line 2) . . . 		15,600 53,500   69,100
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 77,960 159,103   237,063
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 237,063
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -167,963
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
 
No
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    1,384,407 453,284 931,123 0.340 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    22,756,418 12,917,996 9,838,422 3.570 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     3,999,624 3,178,898 820,726 0.300 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    28,140,449 16,550,178 11,590,271 4.210 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    676,069 57,732 618,337 0.220 %
f Health professions education
(from Worksheet 5) .. 		           
g Subsidized health services
(from Worksheet 6) .. 		    17,776,884 14,716,154 3,060,730 1.110 %
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		           
jTotal Other Benefits ...     18,452,953 14,773,886 3,679,067 1.330 %
kTotal. Add lines 7d and 7j. ..     46,593,402 31,324,064 15,269,338 5.540 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
4,276,860
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
1,625,068
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
73,446,022
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
89,949,275
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-16,503,253
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?5
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 WHITE PLAINS HOSPITAL CENTER
41 EAST POST ROAD DAVIS AVENUE
WHITE PLAINS,NY10601 		X X         X    
2 DICKSTEIN CANCER TREATMENT CENTER
2-4 LONGVIEW AVENUE
WHITE PLAINS,NY10601 		                TREATMENT CENTER AND PHYSICIAN OFFICES
3 RYE BROOK IMAGING CENTER
90 SOUTH RIDGE STREET
RYE BROOK,NY10573 		                IMAGING CENTER
4 OUTPATIENT PHYSICAL REHAB & MS CLINIC
111 SOUTH RIDGE STREET
RYE BROOK,NY10573 		                PHYSICAL THERAPY TREATMENTS MEDICAL OFFICES
5 HOME CARE OFFICES
90 SOUTH RIDGE STREET
RYE BROOK,NY10573 		                ADMINISTRATIVE OFFICES
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
  PART I, LINE 3C: WHITE PLAINS HOSPITAL MEDICAL CENTER USES THE FEDERAL POVERTYGUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TOLOW-INCOME PATIENTS.
  PART I, LINE 6A: WHITE PLAINS HOSPITAL CENTER IS REQUIRED TO PREPARE AN ANNUALCOMMUNITY SERVICE PLAN (CSP) A.K.A., THE COMMUNITY BENEFIT REPORT FORTHE NYS DEPARTMENT OF HEALTH. WHITE PLAINS HOSPITAL CENTER'SCOMMUNITY SERVICE PLAN IS DISTRIBUTED TO MANY INTERNAL AND EXTERNALAUDIENCES. INTERNAL AUDIENCES ARE COMPRISED OF THE HOSPITAL'S BOARDOF DIRECTORS, EMPLOYEES, VOLUNTEERS, AUXILIARY, AND MEDICAL STAFF. EXTERNAL AUDIENCES INCLUDE COMMUNITY AGENCIES, ELECTED AND OTHER PUBLIC OFFICIALS, EVERYONE WHO PARTICIPATED IN THE INTERVIEW PROCESS, GOVERNMENT AGENCIES (STATE AND COUNTY DEPARTMENT OF HEALTH, REGIONAL HSA), HOSPITAL ASSOCIATION OF NEW YORK STATE, AND RELIGIOUS LEADERS. THE HOSPITAL WILL PREPARE A BILINGUAL SUMMARY BROCHURE OF THIS REPORT, TO BE WIDELY DISTRIBUTED IN THE COMMUNITY AT EVENTS SUCH AS HEALTH SCREENINGS, HEALTH FAIRS, SEMINARS, WELLNESS PROGRAMS AND IN PUBLIC AREAS THROUGHOUT THE HOSPITAL. THE BROCHURE WILL BE COMPLETED AND PRINTED IN EARLY 2010 AND WILL ALSO BE AVAILABLE AS A PDF ON THE HOSPITAL'S WEB SITE (WWW.WPHOSPITAL.ORG). ANNOUNCEMENTS OF THEBROCHURE'S AVAILABILITY WILL APPEAR IN SEVERAL HOSPITAL NEWSLETTERS INCLUDING THOSE FOR THE GENERAL COMMUNITY AND FOR THE HOSPITAL'S EMPLOYEES, VOLUNTEERS AND AUXILIARY MEMBERS.
  PART I, LINE 7, COLUMN F: WHITE PLAINS HOSPITAL MEDICAL CENTER HAS INCLUDED BAD DEBT EXPENSE IN THE AMOUNT OF $10,183,000 ON THE FORM 990, PART IX, LINE 25. THIS AMOUNT IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7(F) AS PER THE INSTRUCTIONS.
  PART I, LINE 7: CHARITY CARE CALCULATION AND UNREIMBURSED MEDICAL USED THE COST TO CHARGE RATIO DETERMINED ON THE CHARITY CARE CALCULATION WORKSHEET. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATION EXPENSES WERE CALCULATED USING ACTUAL EXPENSES.
    PART II: COMMUNITY BUILDING ACTIVITIES IN KEEPING WITH THE COMMISSIONER OF HEALTH'S MISSION, WHITE PLAINS HOSPITAL, WORKING IN CONJUNCTION WITH OUR COMMUNITY PARTNERS, AND THE HOSPITAL'S COMMUNITY SERVICE PLAN COMMITTEE, HAS BEEN ACTIVELY REVIEWING OUR PRESENT INITIATIVES, STRATEGIC PLANS AND PREVENTION AGENDA PRIORITIES. OUR COMMUNITY SERVICE PLAN COMMITTEE'S MISSION IS TO ASSESS OUR COMMUNITY'S HEALTH NEEDS ON AN ANNUAL BASIS AND RECOMMENDS PROGRAMS AND/OR SERVICES TO MEET THOSE NEEDS. OUR PLAN FOR ACTION AND BARRIERS, IF ANY EXIST, HAVE BEEN IDENTIFIED THROUGH OUR COMMITTEE AS WE CONTINUE OUR ONGOING DIALOGUE WITH PATIENTS, ORGANIZATIONS, AREA BUSINESS LEADERS, ELECTED OFFICIALS, NOT FOR PROFITS AND OUR WESTCHESTER COUNTY DEPARTMENT OF HEALTH. THE HOSPITAL'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENT THROUGHOUT OUR PLANNING PROCESSES. THE NEEDS IDENTIFIED IN THIS PLANNING PROCESS ARE INCORPORATED ANNUALLY WITH THE STRATEGIES AND GOALS SET BY THE HOSPITAL, AND ARE INCORPORATED INTO THE COMMUNITY SERVICE PLAN. BASED ON CONVERSATIONS WITH OUR COLLABORATIVE PARTNERS, REQUESTS ON PARTICULAR TOPICS FOR PRESENTATIONS SUCH AS NUTRITION AND UNDERAGE DRINKING FROM ADDITIONAL GROUPS, AND STATISTICAL DATA PREVIOUSLY REPORTED IN OUR 2009 3-YEAR COMPREHENSIVE COMMUNITY SERVICE PLAN, NEEDS HAVE BEEN IDENTIFIED AND WHITE PLAINS HOSPITAL RESPONDED BY CONCENTRATING ON THE SELECTED PREVENTION AGENDA PRIORITIES. MEMBERS OF THE STELLARIS HEALTH NETWORK - WHITE PLAINS HOSPITAL (WPH), LAWRENCE HOSPITAL CENTER, NORTHERN WESTCHESTER HOSPITAL AND PHELPS MEMORIAL HOSPITAL CENTER, ALONG WITH THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, AND THE OPEN DOOR FAMILY MEDICAL CENTERS OF WESTCHESTER CREATED A PREVENTION AGENDA ADVISORY BOARD COMPRISED OF NURSING, HUMAN RESOURCE AND MARKETING/COMMUNITY OUTREACH STAFF MEMBERS WHO OVERSEE THE DELIVERY OF EDUCATION AND OUTREACH PROGRAMS FOR STAFF. THE COMMITTEE IS FOCUSED ON ADDRESSING THE NEW YORK STATE HEALTHIEST STATE INITIATIVE AND PREVENTION AGENDA PRIORITIES. THE PREVENTION AGENDA ADVISORY BOARD MET FOUR TIMES THIS YEAR (2011) TO ANALYZE OUR RESPECTIVE DATA TO DETERMINE THE EFFECTIVENESS OF EACH OF OUR PROGRAMS, TO PLAN OUR COLLABORATIVE "WELLNESS WEDNESDAY" NUTRITION EVENT AND COMPARE BEST PRACTICES ACROSS THE COMMUNITIES WE SERVE. WHITE PLAINS HOSPITAL PREVENTION AGENDA PRIORITIES:CHRONIC DISEASE: CORONARY HEART DISEASE -REDUCE SODIUM INTAKEHEALTH IMPROVEMENT GOALS INCLUDE EDUCATING THE COMMUNITY ABOUT SODIUM REDUCTION IN THE DIET AND MAKING THE PUBLIC AWARE OF WAYS TO MAINTAIN A HEALTHY BLOOD PRESSURE AND AVOID HEART DISEASE. PHYSICAL ACTIVITY & NUTRITION-INCREASE PHYSICAL ACTIVITYOUR PRIORITY AGENDA GOAL TO INCREASE PHYSICAL ACTIVITY INCLUDES ACTUAL EXERCISE EVENTS FOR THE COMMUNITY AND PHYSICAL FITNESS EDUCATION. MENTAL HEALTH & SUBSTANCE ABUSE-DECREASE ALCOHOL CONSUMPTION IN TEEN POPULATIONWHITE PLAINS HOSPITAL'S THIRD PRIORITY AGENDA GOAL IS TO EDUCATE THE COMMUNITY ABOUT UNDERAGE DRINKING, ITS CAUSES AND EFFECTS AND THE WAYS WE, AS A COMMUNITY, CAN COMBAT THIS PROBLEM.PREVENTION AGENDA PRIORITY: CHRONIC DISEASE SODIUM INTAKE REDUCTIONWHITE PLAINS HOSPITAL HAS IMPLEMENTED SEVERAL STEPS TO HELP INDIVIDUALS REDUCE SODIUM IN THEIR DIETS THROUGH THE COLLABORATION WITH SODEXO FOODS, AMERICAN HEART ASSOCIATION, MERCY COLLEGE, BERKELEY COLLEGE, TEMPLE ISRAEL CENTER, THOMAS H. SLATER CENTER, BETH EL SYNAGOGUE, PORT CHESTER OPEN DOOR, WHITE PLAINS YOUTH BUREAU, JH COHN, AT HOME ON THE SOUND, WHITE PLAINS SCHOOL DISTRICT, ARMONK LIONS CLUB, THE OLD GUARD OF WHITE PLAINS, OUR LADY OF SORROWS AND THE YWCA OF WHITE PLAINS AND CENTRAL WESTCHESTER:CAFETERIA FOODS CONTINUE TO BE LABELED WITH NUTRITIONAL CONTENT (INCLUDING SODIUM CONTENT) ALLOWING CONSUMERS TO MAKE AN EDUCATED CHOICE ABOUT THEIR MEAL SELECTIONS. IN ADDITION, LOW-SODIUM AND LOW-FAT ENTREES ARE MARKED WITH A WELLNESS SYMBOL ON THE MENU DISPLAY IN THE HOSPITAL CAFETERIA. THE HOSPITAL CAFETERIA OFFERS A VARIETY OF FRESHLY PREPARED FOOD SELECTIONS AND ALL ENTREES, SIDE DISHES, SOUPS AND GRILL AND DELI SPECIALS ARE ALL MADE ACCORDING TO SODEXO'S WELLNESS CRITERIA. TOTAL NUMBER OF LOW-SODIUM, "HEALTHIER FOOD" CHOICE SALES IN THE CAFETERIA HAVE REMAINED CONSTANT OR INCREASED SINCE WE HAVE IMPLEMENTED THE PLACEMENT OF THIS CRITERIA (2009 THROUGH 2011). CURRENT SODIUM CRITERIA FOR WELLNESS:ENTREE / SOUP / VEGGIES / STARCHES / DESSERTS < OR = 800MGAPPROX. 85% OF THE FOOD SERVED IN THE CAFETERIA MEETS THESE CRITERIA SINCE WE ARE FOLLOWING MOSTLY WELLNESS RECIPES. ALLOWANCES FOR SOUP / ENTREE RECIPE FLUCTUATIONS. FOR THE SALAD BAR, APPROXIMATELY 75% CAN BE CONSIDERED LOW SODIUM.SNACK FOODS IN VENDING AND CAFETERIA < 360MG. 75% OF OUR VENDING SNACK FOODS MEET THESE CRITERIA.90% OF OUR CAFETERIA SNACK FOODS MEET IT.-HOSPITAL VENDING MACHINES NOW HAVE LOW-SODIUM (5% OR LESS OF THE DAILY VALUE OF SODIUM) SNACK CHOICES MARKED. RESULTS OF THIS NEW PROGRAM HAVE BEEN MEASURED BY VENDING MACHINE SALES OF LOW-SODIUM SNACKS. SALES OF THESE LOW-SODIUM SNACKS HAVE NOT CHANGED SINCE INCEPTION OF THIS INITIATIVE (2009 THROUGH 2011). -BLOOD PRESSURE SCREENINGS CONTINUE TO BE HELD THROUGHOUT THE COMMUNITY AND INCLUDED EDUCATIONAL PAMPHLETS ON SODIUM REDUCTION IN ENGLISH AND SPANISH HANDED OUT TO THE SCREENING RECIPIENTS. BETWEEN SEPTEMBER 2009 AND SEPTEMBER 2011, WHITE PLAINS HOSPITAL PROVIDED OVER 1,700 BLOOD PRESSURE SCREENINGS TO INDIVIDUALS IN THE COMMUNITY AT OVER 40 EVENTS. ADDITIONALLY, THE AUXILIARY OF WHITE PLAINS HOSPITAL SPONSORS MONTHLY BLOOD PRESSURE SCREENINGS IN THE HOSPITAL LOBBY FOR THE COMMUNITY.-NUTRITIONAL PRESENTATIONS WERE HELD AT SEVERAL SITES IN THE COMMUNITY INCLUDING: RESTAURANT 42 IN WHITE PLAINS, ATRIA RYE BROOK, PORT CHESTER SENIOR CENTER, WHITE PLAINS HOSPITAL FOR THE WHITE PLAINS YOUTH BUREAU, AT HOME ON THE SOUND, WHITE PLAINS SCHOOL DISTRICT, ARMONK LIONS CLUB, THE OLD GUARD OF WHITE PLAINS, OUR LADY OF SORROWS, WHITE PLAINS SENIOR CENTER, RYE BROOK SENIOR CENTER AND THE NEW ROCHELLE SENIOR CENTER. OVER 400 PEOPLE WERE PRESENT AT THE VARIOUS EVENTS. EDUCATIONAL ARTICLES ON THE IMPORTANCE OF SODIUM REDUCTION HAVE BEEN PUBLISHED IN THE HOSPITALS E-NEWSLETTER, INTRANET AND THROUGH A NEW "THIS WEEK IN WELLNESS" EMPLOYEE E-BLAST. AS WELL AS A CLINICAL NUTRITION NEWSLETTER DISTRIBUTED BY OUR FOOD SERVICES STAFF.ALONG WITH THE ABOVE PROGRAMS, WHITE PLAINS HOSPITAL HOSTS A MONTHLY STROKE SUPPORT GROUP AS WELL AS THE HEART CLUB TO HELP BRING AWARENESS TO THE COMMUNITY ON THE EFFECTS OF SODIUM REDUCTION IN THE DIET TO HELP LOWER BLOOD PRESSURE AND REDUCE THE RISKS FOR HEART ATTACK AND STROKE. PREVENTION AGENDA PRIORITY: PHYSICAL ACTIVITY & NUTRITION-INCREASE PHYSICAL ACTIVITY WHITE PLAINS HOSPITAL HAS TAKEN STEPS TO COMBAT OBESITY THROUGH PROGRAMS TO HELP INCREASE PHYSICAL ACTIVITY. WPH HAS COLLABORATED WITH THE FOLLOWING PARTNERS ON THIS MISSION: SIMON MALLS, THE YWCA OF WHITE PLAINS AND CENTRAL WESTCHESTER, BURKE REHABILITATION CENTER, NEW YORK SPORTS CLUB, SODEXO FOODS, AND APOGEE PILATES & WELLNESS. BELOW ARE THE PROGRAMS WE HAVE INITIATED AND THEIR RESULTS: -BIGGEST LOSER TYPE OF COMPETITION-IN MARCH OF 2011, MORE THAN 90 HOSPITAL EMPLOYEES COMMITTED TO THE CHALLENGE OF GETTING HEALTHY BY LOSING WEIGHT. THE BIGGEST LOSER COMPETITION WAS ONE OF WHITE PLAINS HOSPITAL'S EMPLOYEE WELLNESS INITIATIVE PROGRAMS WHICH HAS BLOSSOMED AND SPREAD TO THE COMMUNITY THROUGH BOOSTED MORALE, IMPROVED HEALTH AND FITNESS AND INCREASED PRODUCTIVITY IN THE WORKPLACE. A TOTAL OF 1,000 POUNDS WAS LOST IN 3 MONTHS (MARCH-MAY, 2011). IN ADDITION TO THIS INITIATIVE THE HOSPITAL NOW PROVIDES WEEKLY FREE YOGA CLASSES FOR EMPLOYEES AND VOLUNTEERS, WALKING WEDNESDAYS, E-BLAST HEALTH TIPS AND HANDOUTS AND VARIOUS LUNCH AND LEARNS ON NUTRITION AND PHYSICAL ACTIVITY. -MALLWALKERS PROGRAM-THIS FREE, SUPERVISED WALKING PROGRAM MEETS THREE TIMES PER WEEK AT THE LOCAL MALL AND INCLUDES INFORMATIVE PRESENTATIONS PLUS FREE BLOOD PRESSURE SCREENINGS AND EVENTS. THERE WERE OVER 6,800 PEOPLE WHO WALKED FROM SEPTEMBER 2009-SEPTEMBER 2011. -WELLNESS THROUGH PREVENTION MONTH (WTPM)-MAY 2011 DEDICATED TO EDUCATIONAL SEMINARS RELATING TO CHRONIC DISEASE PREVENTION THROUGH EXERCISE, HEALTH SCREENINGS, AND OTHER ACTIVITIES SUPPORTING WELLNESS THROUGH PREVENTION. IN 2011, OVER 700 PEOPLE ATTENDED WTPM EVENTS AT THE FOLLOWING LOCATIONS: BURKE REHABILITATION HOSPITAL, NEIMAN MARCUS, GEORGE WASHINGTON SCHOOL, MAMARONECK AVENUE SCHOOL, PANERA BREAD, THE WESTCHESTER MALL, THE RIDGEWAY SCHOOL AND RESTAURANT 42.PREVENTION AGENDA PRIORITY: MENTAL HEALTH & SUBSTANCE ABUSE REDUCING UNDER AGE DRINKING WPH IS DEDICATED TO HELPING PREVENT OR REDUCE ALCOHOL USE AMONG ADOLESCENTS. THE FOLLOWING PROGRAMS HAVE BEEN CARRIED OUT TO EDUCATE FAMILIES ON THE EFFECTS OF UNDERAGE DRINKING AND WAYS TO HELP ELI
  PART III, LINE 4 2009 WHITE PLAINS HOSPITAL CENTER & SUBSIDIARIES AUDITED FINANCIAL STATEMENT NOTE REGARDING BAD DEBT AND CHARITY CARE:THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS THE HOSPITAL'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE HOSPITAL'S EXISTING ACCOUNTS RECEIVABLE. THE HOSPITAL HAS ESTIMATED THE ALLOWANCE BASED ON HISTORICAL COLLECTION RATES. THE HOSPITAL REVIEWS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS PERIODICALLY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OFCOLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE.
  PART III, LINE 8: THE MEDICARE ALLOWABLE COST OF CARE REPORTED ON PART III SECTION B LINE 6 REFLECT THE ACCUMULATED AGGREGATE COSTS OF TREATING MEDICARE PATIENTS UTILIZING THE CMS-2552 MEDICARE SETTLEMENT WORKSHEETS.
  PART V: 2 TREATMENT CENTERS, 1 IMAGING CENTER.
    IDENTIFYING OUR PREVENTION AGENDA PRIORITIES IN 2009 AFFORDED WHITE PLAINS HOSPITAL THE ABILITY TO REASSESS THE EFFORTS IN PLACE TO REACH OUT AND COMMUNICATE EFFECTIVELY WITH OUR HOSPITAL COMMUNITY. TO DATE THERE HAS BEEN NO CHANGE OR UNEXPLAINED IMPACT ON OUR ORIGINAL COLLABORATIVE PLANS. THROUGH OUR DIRECT AND ONGOING DIALOGUE WITH COMMUNITY PARTNERS WE DEVELOPED AND IDENTIFIED NEEDS FOR SEVERAL NEW AND EXPANDED SERVICES.
    PART VI, LINE 2: NEEDS ASSESSMENT:ASSESSING OUR COMMUNITY'S HEALTH NEEDS HAS BEEN, AND CONTINUES TO BE PARAMOUNT FOR THE HOSPITAL. OUR NEEDS HAVE BEEN IDENTIFIED THROUGH AN ONGOING DIALOGUE WITH PATIENTS, ELECTED OFFICIALS, AREA BUSINESS & CIVIC LEADERS AND OUR LOCAL DEPARTMENT OF HEALTH. INTERNAL SURVEYS SUCH AS EMPLOYEE AND PHYSICIAN SATISFACTION SURVEYS HAVE BEEN, AND WILL CONTINUE TO BE CONDUCTED ON A REGULAR BASIS. FOCUS GROUPS AND IMAGE TRACKING STUDIES HAVE ALSO PLAYED AN INTEGRAL PART OF OUR MARKETING RESEARCH STUDIES. THESE PROGRAMS PARTNERED WITH OUR PROGRAM/LECTURE SURVEYS AND OUR NEW MOVER PACKETS (WHICH INCLUDE A FIRST AID KIT, INFORMATION ON HOSPITAL SERVICES AND THE OPPORTUNITY FOR NEW RESIDENTS TO LET US KNOW WHAT WE CAN DO TO FURTHER SATISFY THEIR HEALTH AND WELLNESS NEEDS) HAVE GIVEN US DATA TO CREATE, ADJUST AND PROGRESS WITH OUR PRIORITIES.
    PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:WHITE PLAINS HOSPITAL CENTER MAKES FINANCIAL AID AVAILABLE TO PATIENTS, BASED ON DEMONSTRATED ECONOMIC NEED. THIS AID INCLUDES BOTH CHARITY CARE AND SLIDING FEE SCALES (DISCOUNTS) AS SPECIFIED BY NEW YORK STATE'S CHARITY CARE LAW, WHICH TOOK EFFECT IN 2007.THE HOSPITAL HAS EXPERIENCED SEVERAL CHALLENGES IN ADMINISTERING ITS FINANCIAL AID PROGRAM. THE HOSPITAL HAS SEEN AN INCREASE IN APPLICATIONS FOR FINANCIAL AID SINCE THE PRIMARY SERVICE AREA WAS EXPANDED IN 2007, ESPECIALLY FROM INDIVIDUALS OUTSIDE WESTCHESTER COUNTY. A CHALLENGE HAS ARISEN IN HELPING SOME OF THESE PATIENTS FROM AREAS OUTSIDE WESTCHESTER APPLY FOR MEDICAID. AS A RESULT, A PORTION OF THE MEDICAID ASSISTANCE APPLICATION PROCESS HAS BEEN OUTSOURCED TO ENTITIES THAT RECEIVE A PORTION OF WHAT THE HOSPITAL COLLECTS FROM MEDICAID.THE ECONOMIC DOWNTURN HAS POSED ADDITIONAL CHALLENGES IN PROVIDING CARE FOR THE INCREASING NUMBER OF PEOPLE WHO ARE UNEMPLOYED AND MAY HAVE REDUCED INSURANCE BENEFITS IN THE FORM OF HIGHER DEDUCTIBLES AND CO-PAYMENTS. THE NUMBER OF SUCH UNDERINSURED INDIVIDUALS CONTINUES TO GROW.THE VOLUME OF FINANCIAL AID CASES ALSO ADDS ADDITIONAL BURDEN FOR THE STAFF THAT MANUALLY PROCESS AND TRACK THE APPLICATIONS. THE HOSPITAL DOES NOT HAVE THE SOFTWARE TO ENABLE APPLICATIONS TO BE TRACKED BY COMPUTER.DESPITE THE CHALLENGES CREATED BY THE ECONOMY, THE FINANCIAL AID PROGRAM SUCCEEDS IN CONSISTENTLY IMPLEMENTING ITS PROGRAM. ALL STAFF IN THE PATIENT ACCOUNTS DEPARTMENT ARE CROSS-TRAINED IN ASSISTING PATIENTS WITH THE FINANCIAL AID APPLICATION, AND MANY OF THE CUSTOMER SERVICE EMPLOYEES ARE BILINGUAL. PATIENTS ARE CONSISTENTLY REMINDED OF THE AVAILABILITY OF FINANCIAL AID AND HOW TO ACCESS IT, INCLUDING A REMINDER PRINTED AT THE BOTTOM OF ALL BILLING STATEMENTS. THERE IS ALSO A COMPREHENSIVE INSTRUCTION PACKET.WHITE PLAINS HOSPITAL CENTER PROVIDED MORE THAN $2 MILLION IN CHARITY CARE IN 2010, APPROXIMATELY $2 MILLION IN 2009 AND $2.5 MILLION DURING 2008. BAD DEBT AND UNCOMPENSATED CARE TOTALED APPROX $10.2 MILLION IN 2010, MORE THAN $9.6 MILLION IN 2009 AND $9.3 MILLION IN 2008 CONTINUING THAT UPWARD TREND.
    PART VI, LINE 4: COMMUNITY INFORMATIONWHITE PLAINS HOSPITAL CENTER DRAWS PATIENTS FROM THROUGHOUT WESTCHESTER COUNTY AND THE SURROUNDING AREAS, WITH THE MAJORITY COMING FROM NEARBY COMMUNITIES IN THE CENTRAL AND SOUTHERN PORTIONS OF THE COUNTY. THE HOSPITAL DEFINES THE FOLLOWING COMMUNITIES, AS DESIGNATED BY ZIP CODE, AS IT'S PRIMARY AND SECONDARY CATCHMENT AREAS: 10502 ARDSLEY10603 WHITE PLAINS10503 ARDSLEY ON HUDSON10604 WHITE PLAINS10523 ELMSFORD10605 WHITE PLAINS10528 HARRISON10606 WHITE PLAINS 10530 HARTSDALE10607 WHITE PLAINS10532 HAWTHORNE10701 YONKERS10533 IRVINGTON10703 YONKERS10538 LARCHMONT10707 YONKERS10543 MAMARONECK10708 YONKERS10573 PORT CHESTER/RYE BROOK10709 YONKERS10577 PURCHASE10710 YONKERS 10580 RYE10706 HASTINGS ON HUDSON10581 AVON10707 TUCKAHOE10583 SCARSDALE10708 BRONXVILLE10591 TARRYTOWN10709 EASTCHESTER10594 THORNWOOD10801 NEW ROCHELLE10595 VALHALLA10802 NEW ROCHELLE10601 WHITE PLAINS10803 NEW ROCHELLE10602 WHITE PLAINS (PO BOXES)10804 NEW ROCHELLE10805 NEW ROCHELLE WHITE PLAINS HOSPITAL CENTER CONTINUES TO BE THE PRIMARY HOSPITAL FOR WHITE PLAINS, SCARSDALE, HARTSDALE, HARRISON AND SECTIONS OF THE TOWN OF GREENBURGH.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) EDWARD F LEONARD (i)
(ii)		 329,594
0 		136,823
0 		7,927
0 		19,600
0 		26,592
0 		520,536
0 		0
0
(2) MICHAEL J PALUMBO MD (i)
(ii)		 316,679
0 		30,000
0 		4,290
0 		12,250
0 		10,407
0 		373,626
0 		0
0
(3) JON B SCHANDLER (i)
(ii)		 970,033
0 		575,000
0 		14,543
0 		22,050
0 		23,422
0 		1,605,048
0 		0
0
(4) JOHN B SCIURBA (i)
(ii)		 230,186
0 		20,000
0 		690
0 		14,069
0 		24,375
0 		289,320
0 		0
0
(5) MARY K SPENGLER (i)
(ii)		 202,812
0 		15,000
0 		2,175
0 		18,411
0 		9,607
0 		248,005
0 		0
0
(6) MICHAEL LA CALAMITA (i)
(ii)		 193,653
0 		0
0 		2,119
0 		17,586
0 		9,596
0 		222,954
0 		0
0
(7) LEIGH ANN MCMAHON (i)
(ii)		 198,847
0 		20,000
0 		872
0 		15,964
0 		2,724
0 		238,407
0 		0
0
(8) JUAN SANCHEZ (i)
(ii)		 176,205
0 		20,000
0 		401
0 		12,735
0 		26,945
0 		236,286
0 		0
0
(9) OSSIE DAHL (i)
(ii)		 179,159
0 		0
0 		1,677
0 		16,576
0 		19,686
0 		217,098
0 		0
0
(10) JESUS JAILE MD (i)
(ii)		 195,361
0 		650,000
0 		450
0 		12,046
0 		26,678
0 		884,535
0 		0
0
(11) TIMOTHY HAYDOCK MD (i)
(ii)		 405,052
0 		0
0 		1,980
0 		12,250
0 		26,678
0 		445,960
0 		0
0
(12) KEVIN L FLETCHER MD (i)
(ii)		 175,320
0 		325,000
0 		607
0 		9,052
0 		26,943
0 		536,922
0 		0
0
(13) ZAID ALRAWI MD (i)
(ii)		 178,888
0 		325,000
0 		1,111
0 		9,052
0 		10,202
0 		524,253
0 		0
0
(14) RAJESH GUPTA MD (i)
(ii)		 308,800
0 		0
0 		690
0 		12,250
0 		26,724
0 		348,464
0 		0
0


Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 7 BONUS COMPENSATION WAS PAID BY WHITE PLAINS HOSPITAL CENTER TO CERTAIN OFFICERS AND SENIOR STAFF IN 2010. SUCH COMPENSATION WAS AWARDED TO THOSE INDIVIDUALS BASED ON THE INDIVIDUAL'S RESPECTIVE JOB PERFORMANCE AND ACCOMPLISHMENTS ACHIEVED AS DETERMINED BY EITHER THE MANAGEMENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IN THE CASE OF THE OFFICERS OR BY EXECUTIVE LEADERSHIP IN THE CASE OF SENIOR STAFF.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number
13-1740130
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000693 64983TTS2 06-23-2004 32,330,000 SEE SCHEDULE K, PART V   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 7,675,000      
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 32,340,437      
4 Gross proceeds in reserve funds . . 8,460,574      
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 604,543      
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 714,761      
11 Other spent proceeds . . 29,164,771      
12 Other unspent proceeds. . . 70,362      
13 Year of substantial completion . . . 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue?   X            
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X            
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X              
b Are there any research agreements that may result in private business use of bond-financed property? . .   X            
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 %      
6 Total of lines 4 and 5 . . .. . . . . . 0 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue?   X            
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? . X              
b Name of provider . BAYERISCHE
LANDESBANK 		 
  		 
  		 
 
c Term of GIC . . 11.400000000000      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . X              
5 Were any gross proceeds invested beyond an available temporary period? . X              
6 Did the bond issue qualify for an exception to rebate? . . . X              
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
PART I A(F)   PROCEEDS OF BORROWING USED TO CURRENT REFUND NYSMCFFA FHA-INSURED MORTGAGE PROJECT REVENUE 1994 SERIES B BONDS ISSED 10/20/1994.
PART II, LINE 3   DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS ARE DUE TO INVESTMENT EARNINGS.
PART II, LINE 4   THE AMOUNT SHOWN CONSISTS OF A DEBT SERVICE RESERVE FUND OF $1,786,000, A YIELD RESTRICTED MORTAGE RESERVE FUND OF $5,412,264, AND A DEBT SERVICE FUND OF $1,262,310.
PART IV, LINE 5   CERTAIN AMOUNTS COMPRISING A "MINOR PORTION" (AND THEREFORE NOT SUBJECT TO YIELD RESTRICTION) WERE HELD BEYOND AN AVAILABLE TEMPORARY PERIOD.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ALEIDA M FREDERICO BOARD OF DIRECTOR - MEMBER 364,314 LEASE PAYMENTS - EQUIPMENTS   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 3 65,091 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Identifier Return Reference Explanation
ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE I WHITE PLAINS HOSPITAL CENTER IS A VOLUNTARY, NOT-FOR-PROFIT HEALTHCARE ORG. WHOSE MISSION IS TO OFFER ACUTE HEALTH CARE AND PREVENTIVE MEDICAL CARE TO ALL PEOPLE WHO LIVE IN, WORK IN OR VISIT WESTCHESTER.
ORGANIZATION MISSION STATEMENT FORM 990, PART III, LINE 1 WHITE PLAINS HOSPITAL CENTER IS A VOLUNTARY, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION WITH THE PRIMARY MISSION OF OFFERING HIGH QUALITY ACUTE HEALTH CARE AND PREVENTIVE MEDICAL CARE TO ALL PEOPLE WHO LIVE IN, WORK IN OR VISIT WESTCHESTER COUNTY AND ITS SURROUNDING AREAS. THIS CARE AND SERVICE WILL BE DELIVERED IN A CARING AND COMPASSIONATE MANNER, FOCUSING ON MEETING THE NEEDS OF THE COMMUNITY. WHITE PLAINS HOSPITAL CENTER'S SERVICES EXTEND BEYOND INPATIENT AND OUTPATIENT CARE TO INCLUDE ASSESSING AND IMPROVING THE HEALTH CARE STATUS OF THE LOCAL COMMUNITY, THE PROFESSIONAL COMMUNITY AND THE BUSINESS SECTOR. THE HOSPITAL WILL STRIVE TO ENHANCE ITS CAPABILITIES AND TO DELIVER HEALTH CARE SERVICES, WITHIN THE SCOPE OF ITS RESOURCES, IN A COST EFFECTIVE MANNER. WHITE PLAINS HOSPITAL CENTER BELIEVES SUCCESS IS ASSURED BY THE DEDICATION OF THE PEOPLE WHO MAKE UP THE SUPPORTING CONSTITUENCIES: - EMPLOYEES - PHYSICIANS - LICENSED HEALTH CARE PROFESSIONALS - VOLUNTEERS - INDIVIDUAL SUPPORTERS - BUSINESS AND CIVIC ORGANIZATIONS ALL CARE AND SERVICES WILL BE PROVIDED WITHOUT REGARD TO RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, SEXUAL ORIENTATION OR ABILITY TO PAY.
  FORM 990, PART III, LINE 4A INPATIENT SERVICES THE HOSPITAL PROVIDES MEDICAL, SURGICAL PEDIATRIC, MATERNITY AND OBSTETRIC AND LEVEL III NEONATAL SERVICES. IN 2010, THE HOSPITAL HAD APPROXIMATELY 16,800 INPATIENT ADMISSIONS AND PERFORMED APPROXIMATELY 4,350 INPATIENT SURGICAL PROCEDURES (INCLUDING ENDOSCOPIES). THERE WERE APPROXIMATELY 86,000 TOTAL PATIENT DAYS IN 2010 AND THE AVERAGE LENGTH OF A PATIENT'S STAY WAS 5.12 DAYS. THE HOSPITAL'S MATERNITY AND OBSTETRIC SERVICE IS ONE OF THE BUSIEST IN WESTCHESTER COUNTY AND OFFERS A BROAD SPECTRUM OF PREGNANCY, PERINATAL, CHILDBIRTH AND NEWBORN CARE SERVICES. THERE WERE APPROXIMATELY 2,000 BIRTHS IN 2010. IN 2010, UNDERINSURED AND UNINSURED PATIENTS ACCOUNTED FOR APPROXIMATELY 2.5% AND 1.87% OF THE HOSPITAL'S TOTAL DISCHARGES AND PATIENT DAYS RESPECTIVELY. SUCH PATIENTS GENERATED IN EXCESS OF $5.8 MILLION IN CHARGES FOR SERVICES RENDERED OF WHICH A SIGNIFICANT AMOUNT WILL GO UNCOLLECTED.
  FORM 990, PART III, LINE 4B EMERGENCY SERVICES THE HOSPITAL'S EMERGENCY ROOM IS THE BUSIEST IN WESTCHESTER COUNTY TREATING A TOTAL OF APPROXIMATELY 50,400 PATIENTS FROM WHICH APPROXIMATELY 10,800 WERE ADMITTED TO THE HOSPITAL. THE HOSPITAL'S EMERGENCY DEPARTMENT OFFERS ACCESS TO THE LATEST TECHNOLOGY AND IS EQUIPPED TO TREAT PATIENTS WITH SERIOUS MEDICAL CONDITIONS AND INJURIES AND HAS A "FAST TRACK" AREA TO SERVE THOSE PATIENTS WHOSE NEEDS ARE LESS URGENT. THE EMERGENCY ROOM IS A VITAL SERVICE TO THOSE LIVING, WORKING AND VISITING WESTCHESTER COUNTY AND PROVIDES NEEDED EMERGENT CRITICAL CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE HOSPITAL HAS BEEN DESIGNATED A REGIONAL STROKE CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH, A DISTINCTION THAT DEMONSTRATES THE HOSPITAL'S ABILITY TO DIAGNOSE AND TREAT STROKES USING A HIGHLY SPECIALIZED MEDICAL STROKE TEAM. THE HOSPITAL WAS THE FIRST HOSPITAL IN WESTCHESTER COUNTY TO RECEIVE THIS PRESTIGIOUS DESIGNATION. DESPITE THE PRIMARY CARE AND OUTREACH PROGRAMS AVAILABLE THROUGH THE HOSPITAL AND OTHERS SERVING THE COMMUNITY, FOR MANY UNINSURED AND UNDERINSURED, THE HOSPITAL'S EMERGENCY ROOM IS THEIR PRIMARY SOURCE OF AND PRINCIPAL MEANS OF ACCESSING HEALTHCARE SERVICES. IN 2010, APPROXIMATELY 13% OF THE PATIENTS TREATED IN THE EMERGENCY ROOM WERE UNINSURED OR CHARITY CARE PATIENTS. THE PATIENTS INCURRED CHARGES TOTALING APPROXIMATELY $7.9 MILLION. IN ADDITION, APPROXIMATELY 19% OF THE PATIENTS TREATED WERE COVERED UNDER MEDICAID (FEE-FOR-SERVICE) OR MEDICAID HMO INSURANCE WHICH IS CONSIDERED MEDICALLY INDIGENT. TOTAL EMERGENCY ROOM CHARGES RELATED TO SERVICES RENDERED TO THESE PATIENTS TOTALED APPROXIMATELY $11.1 MILLION. THE HOSPITAL IS COMMITTED TO CONTINUING TO PROVIDE THE HIGHEST QUALITY PATIENT CARE AS WELL AS SEEKING AND DEVELOPING CONTINUAL IMPROVEMENT TO PATHWAYS AND SYSTEMS WHICH WILL FACILITATE QUICKER ACCESS TO EMERGENCY MEDICINE SERVICES AS WELL AS MORE EFFICIENT PATIENT FLOW THROUGHOUT THE HOSPITAL.
  FORM 990, PART III, LINE 4C OUTPATIENT SERVICES THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES INCLUDING AMBULATORY SURGERY, RADIATION ONCOLOGY AND INFUSION THERAPY, PHYSICAL THERAPY, RADIOLOGY AND IMAGING, LABORATORY SERVICES, FAMILY HEALTH CLINIC, HOME HEALTH CARE AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS WITH APPROXIMATELY 335,000 PATIENT ENCOUNTERS. THE VALUE OF OUTPATIENT SERVICES RENDERED TO PATIENTS UNINSURED AS MEASURED BY GROSS CHARGES WAS IN EXCESS OF $7.3 MILLION IN 2010. SIMILARLY, OUTPATIENT SERVICES WITH AGGREGATE CHARGES IN EXCESS OF $16.8 MILLION WERE PROVIDED TO PATIENTS ENROLLED IN MEDICAID OR MEDICAID HMO COVERAGE, WHICH IS DEEMED TO BE MEDICALLY INDIGENT. PATIENTS COVERED BY MEDICAID OR MEDICAID HMO COVERAGE ACCOUNTED FOR APPROXIMATELY 8% OF OUTPATIENT ENCOUNTERS AND WHEN COMBINED WITH UNINSURED PATIENTS, REPRESENT APPROXIMATELY 12% OF THE OUTPATIENTS SERVED. THE HOSPITAL ALSO PROMOTES THE WELLNESS OF THE COMMUNITY THROUGH CONDUCTING A VARIETY OF COMMUNITY FOCUSED EDUCATION AND PREVENTION MEASURES SUCH AS LECTURES, SCREENINGS AND OUTREACH INCLUDING CO-SPONSOR AND LEAD PARTICIPANT OF THE ANNUAL NEIGHBORHOOD HEALTH FAIR WHICH EMPHASIZES REACHING OUT TO THE UNINSURED AND UNDERINSURED POPULATION AS WELL AS "WELLNESS WEEK" WHICH INVOLVED A SERIES OF EVENTS AND ACTIVITIES DESIGNED TO BRING PREVENTATIVE HEALTH INFORMATION AND EDUCATION TO THE COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2   BOARD MEMBERS ROBERT FEDER AND WILLIAM NULL HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6   STELLARIS IS THE SOLE MEMBER OF WHITE PLAINS HOSPITAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A   WHITE PLAINS HOSPITAL MEDICAL CENTER IS AN AFFILIATE AND DIRECT SUBSIDIARY OF HEALTHSTAR NETWORK INC., D/B/A STELLARIS HEALTH NETWORK. EVERY MEMBER OF THE WHITE PLAINS HOSPITAL MEDICAL CENTER'S BOARD OF DIRECTORS (GOVERNING BODY) SERVES AT THE RECOMMENDATION OF THE HEALTHSTAR NETWORK, INC. BOARD OF DIRECTORS. PURSUANT TO BOTH THE MEDICAL CENTER'S AND HEALTHSTAR'S BYLAWS, ALL APPOINTMENTS TO THE MEDICAL CENTER'S BOARD ARE FIRST RECOMMENDED BY THE MEDICAL CENTER TO THE HEALTHSTAR NOMINATING COMMITTEE. THE NOMINATING COMMITTEE REVIEWS THE NOMINATION AND THEN RECOMMENDS THE APPOINTMENT TO THE OVERALL HEALTHSTAR BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION A, LINE 7B   PURSUANT TO THE WHITE PLAINS HOSPITAL MEDICAL CENTER'S AND HEALTHSTAR NETWORK, INC., D/B/A STELLARIS HEALTH NETWORK'S ORGANIZING DOCUMENTS (BYLAWS), CERTAIN DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY THE HEALTHSTAR NETWORK BOARD OF DIRECTORS. SUCH DECISIONS INCLUDE MANAGED CARE CONTRACTING, EXPANSION/SUBTRACTION OF THE MEDICAL CENTER'S OPERATIONS, CERTAIN ADMINISTRATIVE PROCEDURES, ETC.
FORM 990, PART VI, SECTION B, LINE 11   THE WHITE PLAINS HOSPITAL MEDICAL CENTER FORM 990 WAS REVIEWED IN DETAIL BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER IN CONJUNCTION WITH ITS TAX PREPARERS, DELOITTE TAX LLP. A COPY OF THE FINAL FORM 990 WAS CIRCULATED TO THE FULL BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED. PRIOR TO FILING, THE FORM 990 WAS PRESENTED TO THE FINANCE AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ON NOVEMBER 10, 2011, WITH AN OVERVIEW OF THE FORM 990 AND ITS IMPACT ON WHITE PLAINS HOSPITAL MEDICAL CENTER.
  FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF WHITE PLAINS HOSPITAL MEDICAL CENTER ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF THE HOSPITAL OR AS A BOARD MEMBER OF THE MEDICAL CENTER. COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE LEGAL COMMITTEE OF THE BOARD OF DIRECTORS AND CONCERNS PRESENTED BY THE RESPONSES TO THE CONFLICT OF INTEREST POLICY ARE DISCLOSED TO THE BOARD, WITH THE INTERESTED PARTY RECUSED FROM DISCUSSING THE MATTER.
  FORM 990, PART VI, SECTION B, LINE 15 THE WHITE PLAINS HOSPITAL MEDICAL CENTER UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS AND ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE MANAGEMENT COMPENSATION COMMITTE OF THE BOARD OF DIRECTORS USES COMPARABLE PUBLICLY AVAILABLE BENCHMARKING DATA THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE MANAGEMENT COMPENSATION COMMITTEE ESTABLISHES COMPENSATION LEVELS WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY AN OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION BY THE COMMITTEE IS THEN DOCUMENTED IN MEMORANDUM. THE MEMORANDUM CONTAINS THE TERMS OF THE PROPOSED COMPENSATION AS SET FORTH BY THE COMMITTEE.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE PUBLIC REQUEST AND AT MANAGEMENT'S DISCRETION.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 795,724. PENSION RELATED ADJUSTMENTS -11,214,949. ROUNDING 2. TOTAL TO FORM 990, PART XI, LINE 5: -10,419,223.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) POST DEVELOPMENT CORPORATION
DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
22-2605281 		REAL ESTATE NY 226,074 638,129 WHITE PLAINS HOSPITAL
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) WHITE PLAINS HOSPITAL CENTER FOUNDATION

41 EAST POST ROAD AND DAVIS AV

WHITE PLAINS,NY10601
13-3281507 		FUNDRAISING NY 501(C)(3) LINE 11, TYPE I: 509 WHITE PLAINS HOSPITAL
 
 
No
(2) HEALTHSTAR NETWORK- DBA STELLARIS HEALTH

ONE NORTH GREENWICH ROAD

ARMONK,NY10504
13-3911773 		SUPPORT SVCS NY 501(C)(3) LINE 11, TYPE I: 509 N/A
 
No










For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) 8 LONGVIEW DEVELOPMENT CORPORATION
DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
26-3321278 		HOUSING NY  
C 360,866 3,097,073 100.000 %












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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