TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) SORRELL MATHES CHAIRMAN	1.0	X	X	0
(2) PETER CROWLEY VICE CHAIRMAN	1.0	X	X	0
(3) LAWRENCE S HUNTINGTON VICE CHAIRMAN	1.0	X	X	0
(4) MORTON P HYMAN VICE CHAIRMAN	1.0	X	X	0
(5) JAMES L KEMPNER VICE CHAIRMAN	1.0	X	X	0
(6) PETER FRELINGHUYSEN VICE CHAIRMAN	1.0	X	X	0
(7) EDWARD J NOWAK SECRETARY	1.0	X	X	0
(8) DOTTIE PAYSON ASST SECRETARY	1.0	X	X	0
(9) STEPHEN A HOCHMAN TREASURER	1.0	X	X	0
(10) SUSAN CALLISTER BEER TRUSTEE	1.0	X		0
(11) JOSEPH COHEN TRUSTEE	1.0	X		0
(12) JOHN M GILLEN TRUSTEE	1.0	X		0
(13) JEROME R GOLDSTEIN TRUSTEE	1.0	X		0
(14) SHELDON S GORDON TRUSTEE	1.0	X
(15) STEVEN HOCHBERG TRUSTEE	1.0	X
(16) PLINY JEWEL IV TRUSTEE	1.0	X
(17) BARRY KONIG TRUSTEE	1.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
LOR MEDICAL PC 2748 OCEAN AVENUE BROOKLYN,NY11229	PROFESSIONAL SVCS	1,098,669
GENNADY UKRAINSKY MD PC 601 W 57TH STREET NEW YORK,NY10019	PROFESSIONAL SVCS	850,232
FACIAL PLASTIC SURGERY-OTOLARYNGOLO 2560 OCEAN AVENUE BROOKLYN,NY11229	PROFESSIONAL SVCS	739,700
HEAD NECK SURGERY LLC 310 EAST 14TH STREET NEW YORK,NY10003	PROFESSIONAL SVCS	712,496
MEDEDICUS 10 PEACEABLE STREET REDDING,CT06896	PROFESSIONAL SVCS	601,540
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 26

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 United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	2,947,446	1,292,856	1,654,590
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	52,852,319	47,105,810	5,601,247	145,262
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,945,152	3,508,908	424,353	11,891
9	Other employee benefits .......	8,869,937	7,757,737	1,086,379	25,821
10	Payroll taxes ...........	4,311,848	3,766,816	532,513	12,519
11	Fees for services (non-employees):
a	Management ......	670,983		670,983
b	Legal .........	1,628,140		1,628,140
c	Accounting ...........	236,884		236,884
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	67,775			67,775
f	Investment management fees ......	0
g	Other ..........	3,375,372	1,647,705	1,727,667
12	Advertising and promotion ....	336,290		258,190	78,100
13	Office expenses .......	31,469,694	28,789,516	2,632,946	47,232
14	Information technology ......	556,317	485,997	68,705	1,615
15	Royalties ..	0
16	Occupancy ...........	4,078,651	3,520,920	524,318	33,413
17	Travel ............	163,714	143,650	19,769	295
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	74,910	63,886	11,024
20	Interest ...........	0
21	Payments to affiliates .......	3,822,283	2,801,283	1,021,000
22	Depreciation, depletion, and amortization .....	6,537,108	5,255,835	1,280,619	654
23	Insurance ..............	2,607,545	2,399,171	208,374
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	FUNDS RELEASED FROM RESTRICTIO	2,807,901	2,314,293	493,608
b	BAD DEBT	4,299,720	4,299,720
c
d
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	135,659,989	115,154,103	20,081,309	424,577
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	23,048,688	1	29,025,834
2	Savings and temporary cash investments .......	0	2	0
3	Pledges and grants receivable, net .........	1,368,543	3	1,114,171
4	Accounts receivable, net .........	11,707,610	4	13,444,904
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
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 ..........	0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	1,757,197	8	1,706,195
9	Prepaid expenses and deferred charges ............	948,499	9	443,722
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	160,738,978
b	Less: accumulated depreciation. .....	10b	108,886,639	41,613,406	10c	51,852,339
11	Investments—publicly traded securities ..........	10,201,322	11	10,281,117
12	Investments—other securities. See Part IV, line 11 ......	0	12	0
13	Investments—program-related. See Part IV, line 11 ..	694,000	13	694,000
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	10,892,466	15	36,074,670
16	Total assets. Add lines 1 through 15 (must equal line 34)...	102,231,731	16	144,636,952
	17	Accounts payable and accrued expenses .	42,757,071	17	55,858,825
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	13,551,453	25	38,390,239
26	Total liabilities. Add lines 17 through 25.....	56,308,524	26	94,249,064
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	29,361,044	27	30,922,809
28	Temporarily restricted net assets .....	10,316,411	28	12,196,990
29	Permanently restricted net assets .....	6,245,752	29	7,268,089
	Organizations that do not follow SFAS 117, check here 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 .....	45,923,207	33	50,387,888
34	Total liabilities and net assets/fund balances .....	102,231,731	34	144,636,952

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

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.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2

Name of organization NEW YORK EYE AND EAR INFIRMARY
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization NEW YORK EYE AND EAR INFIRMARY
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose 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

(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

(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

(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) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

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, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2011

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 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

17,102

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

30,079

Total. Add lines 1c through 1i ...............................

47,181

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
OTHER ACTIVITIES DESCRIPTION	PART II-B, LINE 1I	THE NEW YORK EYE AND EAR INFIRMARY PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE AMERICAN ASSOCIATION OF EYE AND EAR CENTERS OF EXCELLENCE (AAEEE) AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY AHA, GNYHA, AAEEE AND HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2011 AHA, GNYHA, AAEEE AND HANYS ANNUAL DUES WAS $8,470, $9,058, $5,463 AND $7,088, RESPECTIVELY. ADDITIONALLY, THE ORGANIZATION HAS A CONTRACT WITH A LOBBYIST WHO WAS ENGAGED TO LOBBY LEGISLATORS ON BEHALF OF THE ORGANIZATION REGARDING POLICIES WHICH IMPACT THE ORGANIZATION'S EXEMPT PURPOSE AND WHICH PERTAIN TO PUBLIC HEALTH CARE. DURING 2011 NEW YORK EYE AND EAR INFIRMARY PAID $17,102 IN CONNECTION WITH THESE SERVICES.

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

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 .......

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? ....................................

Yes No

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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

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 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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
1a	Beginning of year balance ....	3,823,071	3,592,690	3,210,337	2,917,502
b	Contributions ........	1,010,615	195,000	353,965	270,000
c	Net investment earnings, gains, and losses ...	22,240	76,964	64,035	73,690
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	10,518	41,583	35,647	50,855
f	Administrative expenses ....
g	End of year balance ......	4,845,408	3,823,071	3,592,690	3,210,337

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		1,874,917		1,874,917
b	Buildings ................	293,275	36,381,653	26,070,591	10,604,337
c	Leasehold improvements ............		22,573,486	13,392,207	9,181,279
d	Equipment ................		88,363,399	69,423,842	18,939,558
e	Other .................		11,252,248	0	11,252,248
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					51,852,339

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther 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) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DEPOSITS				111,120
(2) DUE FROM HOUSING COMPANY				861,642
(3) ENDOWMENT FUND				4,845,408
(4) EST AMOUNTS DUE FROM 3RD PARTY				151,111
(5) OTHER ACCOUNTS RECEIVABLE				2,137,182
(6) PERMANENT FUND INVESTMENT				2,062,207
(7) REINSURANCE RECEIVABLES				25,906,000


Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				36,074,670

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
ASBESTOS REMOVAL LIABILITY (FI		2,377,925
DUE TO THIRD PARTIES		10,095,000
OTHER CURRENT LIABILITIES		11,314
INSURED LIABILITIES		25,906,000





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		38,390,239
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) 2011

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 through 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 must 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 must 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
INTENDED USES OF ENDOWMENT FUND	PART V, LINE 4	HARLEM EYE AND EAR FUND, AMOUNT OF $52,248: ESTABLISHED AS A RESTRICTED FUND IN 1970 WITH FUNDS RECEIVED FROM THE LIQUIDATION OF THE HARLEM EYE AND EAR INSTITUTE. CONVERTED TO AN ENDOWMENT FUND IN DECEMBER 2003 FOR EYE AND EAR RESEARCH. Y.B. CHOO MD PROFESSORSHIP FUND, AMOUNT OF $178,371: ESTABLISHED AS A RESTRICTED FUND IN 1989. CONVERTED TO AN ENDOWMENT FUND IN DECEMBER 2003 FOR THE PURPOSE OF DR. Y. B. CHOOS PROFESSORSHIP. P. CHODOSH MD PROFESSORSHIP FUND, AMOUNT OF $463,883: ESTABLISHED FIRST AS A RESTRICTED FUND. CONVERTED TO AN ENDOWMENT FUND IN DECEMBER 2003 FOR THE PURPOSE OF SUPPORTING DR. PAUL CHODOSH PROFESSORSHIP. OPHTHALMOLOGY ENDOWMENT FUND, AMOUNT OF $23,234: ESTABLISHED AS A RESTRICTED FUND IN 1980. CONVERTED TO AN ENDOWMENT FUND IN DECEMBER 2003 FOR THE PURPOSE OF SUPPORTING OPHTHALMOLOGY. HPB FOUNDATION ENDOWMENT FUND, AMOUNT OF $1,114,923: ESTABLISHED IN DECEMBER 2006 TO SUPPORT OPHTHALMOLOGY. CONTRIBUTION RECEIVED FORM THE HPD FOUNDATION. EINHORN ENDOWMENT, AMOUNT OF $2,000,000: ESTABLISHED IN DECEMBER 2006 TO SUPPORT DISTINGUISHED OPHTHALMOLOGY PHYSICIAN, DR. RITCH. INTEREST GENERATED BY THE FUND IS PAID TO DR. RITCH WHILE THE CORPS REMAINS AT $2,000,000. JC Chamber Glaucoma Research fund, amount of $1,007,749 established in 2011. Purpose of Fund is to enhance Glaucoma research & education through support of Glaucoma fellowships research scientists or specific research programs. JB Walsh Ophthalmology Research and Education Fund, amount of $5,000.00 established in 2011. Purpose of fund is to create income in support of ophthalmology research and education projects in honor of Dr. Joseph B. Walsh.

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

Open to Public Inspection

Name of the organization
NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

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) 2011

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 (event type)	(b) Event #2 (event type)	(c) Other Events (total number)	(d) Total Events (Add col. (a) through col. (c))
	1	Gross receipts . . .
	2	Less: Charitable contributions . . .
	3	Gross income (line 1 minus line 2) . . .
	4	Cash prizes . . .
	5	Non-cash prizes . .
	6	Rent/facility costs . .
	7	Food and beverages . .
	8	Entertainment . . .
	9	Other direct expenses .
	10	Direct expense summary. Add lines 4 through 9 in column (d) ...........
	11	Net income summary. Combine lines 3 and 10 in column (d)............

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Schedule G (Form 990 or 990-EZ) 2011

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2011

Open to Public Inspection

Name of the organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	3,307,625	4,194,518	-886,893
b Medicaid (from Worksheet 3, column a) .....	35,957,386	32,210,349	3,747,037	2.920 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	39,265,011	36,404,867	2,860,144	2.920 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	420,620	27,505	393,115	0.310 %
f Health professions education (from Worksheet 5) ..	7,164,192	1,858,014	5,306,178	4.130 %
g Subsidized health services (from Worksheet 6) ..	137,497		137,497	0.110 %
h Research (from Worksheet 7)	5,384,456	4,546,948	837,508	0.650 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	43,676	12,000	31,676	0.020 %
jTotal Other Benefits ...	13,150,441	6,444,467	6,705,974	5.220 %
kTotal. Add lines 7d and 7j. ..	52,415,452	42,849,334	9,566,118	8.140 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	40,846	40,846	0.030 %
4	Environmental improvements	348,122	348,122	0.270 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	388,968	388,968	0.300 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

4,299,720

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

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

Enter total revenue received from Medicare (including DSH and IME).....

25,853,233

Enter Medicare allowable costs of care relating to payments on line 5.....

17,762,537

Subtract line 6 from line 5. This is the surplus or (shortfall)........

8,090,696

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(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) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK,NY10003	X	X	SPECIALTY EYE AND EAR HOSPITAL

Schedule H (Form 990) 2011

Page

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)

NEW YORK EYE AND EAR INFIRMARY

Name of Hospital Facility:

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 2011)
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 the community health 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 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	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a 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 Needs Assessment
	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 and 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	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	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	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

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	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	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)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	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		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	NEW YORK EYE AND EAR OUTPATIENT CENTER 230 SECOND AVE NEW YORK,NY10003	OUTPATIENT CLINIC
2	NEW YORK EYE AND EAR EXTENSION CLINIC 380 2ND AVE NEW YORK,NY10010	OUTPATIENT CLINIC
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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
EXPLANATION OF ELIGIBILITY FOR FREE CARE	SCHEDULE H, PART I, LINE 3	NYEEI utilizes Federal Poverty Guidelines (FPGs) to determine eligibility for providing free care (100%) and 300% for providing discounted care to low income individuals who present here (see Part V 11{b}). We do NOT use an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care for any of our annual 250,000 outpatient encounters. Asset levels are documented and submitted as a requirement for NYS Medicaid applications.
DESCRIPTION OF ANNUAL COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, LINE 6A & B	NYEE prepares an annual community benefit (aka Community Service Prevention Plan) report. The latest version was submitted to NYS DOH on 9-15-12. THE COMMUNITY BENEFIT REPORT IS: a. sent to the NYS DOH b. posted on our website c. available on-site for patients and community members d. approximately 61 pages long (an executive summary is available to patients)
EXPLANATION OF COSTING METHODOLOGY	PART I, LINE 7	NYEEI costing methodology was based upon the 2011 NYS Institutional Cost Report and the 2011 Medicare (Form 2252) Cost Report. These reports are filed with the NYS Department of Health and the applicable CMS intermediary, respectively. The cost-to-charge ratio, derived from Worksheet 2 and the ratio of patient care cost-to-charges, were used for the various sub-line items of line # 7. We utilized the worksheets from the instructions to calculate the total amount.
EXPLANATION OF ZERO PERCENT CHARITY CARE	PART I, LINE 7A	The GME pool distribution formula until 2010 was based on the number of Full Time Equivalent (FTE) residents' ratio to the statewide GME FTE residents' ratio whereas the Indigent care pool continues to be based on the needs of each individual hospital. That year, NYS mandated that the larger pool distributions would be on the individual hospital's bad debt/charity care percentage and combined the two previous pools (GME and bad debt and charity care) to create a larger indigency care pool. Since that time, this pool has been allocated to individual hospitals using their indidvidual indigency care formula. Given that NYEE's pool distribution percentage is higher than our GME percentage, we received a higher dollar amount from the combined indigency pool in 2011 than in any prior year as indigency revenue exceeded expenses. Please know that we provided (at cost) a total Inpatient & Outpatient Uncompensated Care of $2,954,654 in 2011. Background: In 2009, NYS converted the prior Statewide Professional Education (aka Graduate Medical Education-GME) Pool in order to provide additional Indigent Care Pool funding to hospitals with high needs. As the NYS pool is designated as reimbursement for both Charity Care and Bad Debt, NYEE has allocated this additional distribution proportionately, between Charity Care and Bad Debt, based on its ratio of Costs to Charges, for both inpatients and outpatients.
EXPLANATION OF BAD DEBT EXPENSE	PART I, LINE 7, COLUMN F	WE FOLLOWED THE INSTRUCTIONS DIVIDING THE RESULT FROM COLUMN (E) BY THE EXPENSE FROM PART IX, LINE 25 OF COLUMN (A) REGARDING HEALTH PROFESSIONAL EDUCATION (RESIDENT TRAINING). BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS IS $4.3 MILLION.
EXPLANATION OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS	SCHEDULE H, PART I LINE 7	Part 1 line 7(e) Community Health Improvement Benefits (CHIS); Patient support groups for head and neck cancer survivors as well as for macular degeneration, uveitis, glaucoma, vestibular rehabilitation; More than 80 health fairs and CHIS related activities are detailed in the attachments. Part 1 line 7 (f) Health Professions Education; GME (interns, residents and fellows); continuing medical education and 15 community health education lectures. Part I line 7 (g) Subsidized Health Services: We provided pharmaceuticals to needy patients and to others at discounted prices. Part 1 line 7 (h) Research totals for subsidized clinical trials open to the community. Institutional Review Board (IRB) protocols approved for the protection of human subjects. See Worksheet 7 Part 1 line 7 (i) In-kind contributions; Including a clothing drive, donating to the local food pantry, a book give away, procuring holiday food vouchers, free hospitality suite, training for donated hearing aids, etc. Part I line 7 column (f) - We followed the instructions, dividing the result from column (e) by the expense from Part IX line 25 of column (A) regarding health professional education (resident training)
DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTED HEALTH OF COMMUNITY	PART II	LINE 3, COMMUNITY SUPPORT - SHELTERED WORKSHOPS, YOUTH TRAINING, CHARITY WALKS, ETC. LINE 4, ENVIRONMENTAL IMPROVEMENTS & EMERGENCY PREPAREDNESS - COMMUNITY SHARPS PROGRAM, SMOKING ABATEMENT PROGRAM, FLU VACCINATION, DISASTER PREPAREDNESS (MEDICATIONS AND SUPPLIES), NOTIFICATION PROGRAM, EQUIPMENT, RADIATION DETECTORS, TARGET HARDENING (TERROR RESISTANCE).
BAD DEBT EXPENSE	PART III, LINE 4	NET PATIENT SERVICE REVENUE, ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS: The Infirmary has agreements with third-party payors that provide for payments to the Infirmary at amounts different from its established rates (i.e., gross charges). Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Billings related to services rendered are recorded as net patient service revenue in the period in which the service is performed, net of contractual and other allowances which represent differences between gross charges and the estimated receipts under such programs. Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. Patient accounts receivable are also reduced for allowances for uncollectible accounts. The process for estimating the ultimate collection of receivables involves significant assumptions and judgments. Account balances are written off against the allowance when management determines it is probable the receivable will not be recovered. Historical collection and payer reimbursement experience is an integral part of the estimation process related to reserves for uncollectible accounts. In addition, the Infirmary assesses the current state of its billing functions in order to identify any known collection or reimbursement issues in order to assess the impact, if any, on reserve estimates, which involves judgment. The Infirmary believes that the collectability of its receivables is directly linked to the quality of its billing processes, most notably those related to obtaining the correct information in order to bill effectively for the services provided. Revisions in reserve for uncollectible accounts estimates are recorded as an adjustment to bad debt expense. A summary of the payment arrangements with major third-party payors is as follows: - Medicare. Inpatient acute care services and outpatient services rendered to Medicare program beneficiaries are paid at prospectively determined rates. These rates vary according to a patient classification system that is based on clinical, diagnostic, and other factors. Effective October 1, 2007, the Centers for Medicare and Medicaid Services (CMS) revised the Medicare patient classification systems. The new Medicare severity adjusted diagnosis related groups (MS-DRGs) reflect changes in technology and current methods of care delivery. CMS has expanded the number of DRGs from 538 to 745 and requires identification of conditions that are present upon admission. Certain inpatient non-acute services and defined medical education costs related to Medicare beneficiaries are paid based on a cost reimbursement methodology. The Infirmary is reimbursed for cost reimbursable items at a tentative rate with final settlement determined after submission of annual cost reports by the Infirmary and audits thereof by the Medicare fiscal intermediary. - Non-Medicare Payments: The New York Health Care Reform Act of 1996, as updated, governs payments to hospitals in New York State. Under this system, hospitals and all non-Medicare payors, except Medicaid, workers' compensation and no-fault insurance programs, negotiate the hospitals' payment rates. If negotiated rates are not established, payors are billed at hospitals established charges. Medicaid, workers' compensation and no-fault payers pay hospital rates promulgated by the New York State Department of Health on a prospective basis. Adjustments to current and prior years' rates for these payors will continue to be made in the future. Effective December 1, 2009, the New York State Department of Health (DOH) updated the data utilized to calculate the NYS DRG service intensity weights (SIWs) in order to utilize more current data in DOH promulgated rates: There are also various other proposals at the Federal and State level that could, among other things, reduce payment rates. The ultimate outcome of these proposals, regulatory changes, and other market conditions cannot presently be determined. Revenue from the Medicare and Medicaid programs accounted for approximately 28% and 26%, respectively, of the Infirmary's net patient service revenue for the year ended December 31, 2011, and 29% and 25%, respectively, of the Infirmary's net patient service revenue for the year ended December 31, 2010. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. During 2011 and 2010, the net amounts recorded related to prior years increased the performance indicator approximately $4,453 and $1,222, respectively. The Infirmary's Medicare cost reports have been audited and finalized by the Medicare fiscal intermediary through December 31, 2006. The Infirmary grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payer arrangements.
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT	PART III, LINE 8	ON LINE 7 THERE IS NO SHORTFALL. ON LINE 6, WE APPLIED THE COST-TO-CHARGE RATIO FROM WORKSHEET C TO THE MEDICARE PROGRAM CHARGES FROM THE COST REPORT.
PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS	PART III, LINE 9B	Collection policies: The billing and follow-up processes begin with the review and correction of pre-bill edit reports and conclude with the resolution of accounts through regular follow-up activities or the transfer of accounts to an outside collections agency. Unbilled and Pre-bill Edits: All accounts pass through both the Meditech Claim Scrubber and the ePREMIS billing systems to inspect the content of the claim prior to being submitted to the payors. Accounts that do not meet the requirements for a bill to be released are routed to the pre-bill edit reports. These accounts are corrected in an attempt to reduce the likelihood of administrative and basic coding related denials and issues are identified and resolved prior to submitting the final bill to the individual payors. Accounts from the pre-bill edit reports remain in an unbilled error status until corrected and are worked by billing and follow-up staff until resolution. No trending is done to allow management to identify key issues and/or errors. Control Objective: To reduce the potential for claims to be submitted to payors with errors that result in denials or delaying claim adjudication. Control Activity: Meditech Claim Check pre-bill edit reports and ePREMIS pre-bill edit reports are run identifying those accounts with billing related issues. Accounts remain in pre-bill status until errors are resolved. Pre-bill edit reports are printed and sorted by payor and/or error. Account issues are worked by the patient account representatives or by other appropriate hospital departments as needed. Once a claim is deemed ready for release to the payor it is transmitted electronically for electronically enabled payors or via paper bills for secondary payors or non-electronically enabled payors. All relevant account information is transmitted at this time. Once the account is received by the insurance company it is run through the payor's internal bill review process. Any items, coding or other documentation on the claim, resulting in a rejection will not be paid. Billing and follow-up staff review rejected accounts as part of their normal follow-up activities by working their respective aged trial balance report. Control Objective: To ensure all payor identified claim issues are addressed and claims are resubmitted in a timely manner. Control Activity: All claims are run through edits prior to adjudication by the individual payors. Follow-up staff review payor edits based on their respective follow-up account populations daily. Timely follow-up is performed by staff to resolve all accounts held by payor edits allowing appropriate claim submission. Contractual Adjustments & Charge Write-offs: Adjustments are built into the pro-ration formula at time of bill drop. These formulas are supplied by Budget & Reimbursement to the IS Department and is based upon managed care contracts. Any additional write offs occur at the time of posting if necessary. Control Objective: To ensure that all payments are applied correctly and that the payor amounts are per the contracts. Monthly review of Open Balances: The following report - "Open balance with payment" is run monthly by the AR staff to review accounts that have had payments to ensure that they are receiving the correct contract amount and that the payment was applied to the correct account. All insurance contracts are maintained on-line for easy access. If they note that the third party payor is not paying as to the contract amounts, then details are provided to Budget & Reimbursement department to investigate whether the contract has changed. If it is determined that the third party is violating the contract, then they will first send a letter and file to the payor for follow-up. If this is not resolved, then NYEEI is now reporting these payors to the State. In addition, a weekly report is run for partial payments (open balances) as well as Denial Payment reports. These are followed-up by the respective billers. Vendor Outsourcing: New York Eye & Ear uses an outside vendor for follow-up activity on aged accounts. The billing and follow-up managers prepare a file of all accounts meeting these criteria and accounts are then distributed to an outside vendor for follow-up and resolution via FTP. At the time of the referral each account is assigned a vendor collector code enabling the tracking of payment on each account. The billing supervisors create payment reports to ensure that payments are not inappropriately credited to the vendor. Control Objective: To identify accounts to be transferred to outside vendors for follow-up and account resolution. Control Activity: The billing and follow-up managers prepare an account download file for transfer to the outside vendor. The download file includes: Ambulatory Surgery accounts greater than 120 days, Inpatient accounts greater than 120 days, Outpatient accounts greater than 30 days and Referred Ambulatory accounts greater than 30 days. Quality Review: Formal review of account activity within the billing and follow-up department is not conducted on an account by account basis. Trial balances are assigned to patient accounts staff for account by account review, particularly inpatient and ASU. Outsourcing only occurs if payors have not resolved the payment issues within the given time frame. Quality reviews are conducted through the regular review of payment and adjustment summary reports. Reports include partial payment and denial payment report. Control Objective: To review account activity on a weekly basis to ensure that staff fulfills written expectations for account resolution. Control Activity: Regular quality reviews are conducted to ensure accuracy and timeliness of account follow-up and resolution. Policies and Procedures: Policies and procedures exist and are available to staff. Control Objective: Policies and Procedures are documented in writing. Control Activity: Policies and procedures exist and are available to individual staff. Part III line 9(b) re Charity Care: Per NYEEI's Policies & Procedures, all patients are treated the same-regardless of financial class, patient status, type of service, etc. We do NOT collect up-front from for all patients who are presumed to be eligible for Charity Care. Immediate assistance and counseling is provided to patients who cannot afford to pay.
Description of measures to publicize charity care policy	Schedule H, Part V, LINE 13	13 (b) The entire 8 page charity care policy is not attached to every invoice. A summary is included on each bill along with a telephone number of the bilingual financial assistance counselors who can answer additional questions. 13 (e) The policy is provided, in writing, to all appropriate patients on admission to the hospital; Due to the high percentage of NYEEI elective paying (insurance and cash) inpatient and surgical admissions, the charity care policy, while available, is only given in writing to emergency and indigent patients upon registration.
DESCRIPTION OF CHARGES FOR MEDICAL CARE (METHODOLOGY)	SCHEDULE H, SECTION V, LINE 19	1. All clinic visits charges are uniform-- $178 (facility rate) which includes a $40 charge for the Physician plus the HCRA (the Health Care Reform Act--a NYS mandated tax on services) surcharge. 2. All medically necessary ambulatory surgery cases equal the Medicare facility reimbursement rate (case specific) plus a 15% markup plus the HCRA tax. On occasion the markup is removed for indigent patients.
NEEDS ASSESSMENT	PART VI	As noted, the full length Community Service Prevention Plan (and an 8 page summary), including the most recent Needs Assessment, can be found on the hospital's website. The Infirmary examined distinct constituencies examining both their short-term and long-term specialty care health needs. The hospital worked with seven community groups and local governmental authorities, including Manhattan Community Board #3 in developing the needs assessment. 2010 US Census data were utilized in addition to NYC DOH Community Health Profiles to assess the health care need of the local community we serve.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	As detailed in Section V: Information is made available to approximately 250,000 outpatients and 1,000 inpatients each year. Public programs such as Child Health Plus, Medicaid EPIC (the drug prescription program) as well as our own fee discounts. As noted, this material is disseminated in information available in documents: A. sent to the NYS DOH B. posted on our website C. on-site for patients and community members, and D. in an eight page charity care policy and a one page summary-available in four languages-Spanish, Russian, Chinese and English-the only languages spoken by more than 1% of our patients. Three full-time Medicaid enrollment counselors are also available on premises. There are three full-time employees in the admitting department in addition to an assistant manager whose sole responsibility is to assist patients upon arrival and make known to them their potential eligibility for financial assistance.
COMMUNITY INFORMATION	PART VI	This specialty care institution sees patients from the entire metropolitan area but the clinics focus on Manhattan's most needy living on the Lower East Side of Manhattan (60% Medicaid, no pay, self-pay). The local neighborhoods are multi-ethnic, multi-cultural and multi-lingual.
COMMUNITY BUILDING ACTIVITIES	PART VI	NYEEI is involved in a wide array of over 30 annual activities to promote the health of the local community. These range from specialty missions, to Glaucoma Education Week, World Voice Screening Day, head and neck cancer and macular degeneration support groups, assisted in producing a 'Going Blind' documentary, wellness fairs, an audiology Day, free strabismus and cataract surgery for orphans, asthma awareness screenings and counseling, an Eye Smart Campaign, among many others. We continue to further our exempt purpose by our extensive community affairs program including community benefit activities and community building programs detailed elsewhere in this Schedule H. We have one of the strongest volunteer programs of any hospital in NYC (more than 300 per annum) helping to train and place them in the job world-some at the NYEEI. There are five separate programs dealing with sheltered workshops and developmentally and physically challenged young persons in our community. The Infirmary is renowned for its volunteer and outreach programs. We worked with over 20 different not-for-profit groups in this regard in 2011. Our teaching programs are legendary. We involved many staff AND community members in our emergency preparedness operations (preparations, drills, and use of supplies) in 2011. We work closely with the NY Blood Center on blood and plasma donations every year. The NYEEI Ear Institute's community programs are particularly outstanding. In 2011 122 separate clinical trials were approved by the Institutional Review Board-established to fully inform and protect the rights of patients. Our pharmacy department received national recognition for the Drug Safety "Look alike Sound-alike" (LASA) campaign started here in 2010.
EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSE	PART VI	ANOTHER MAJOR COMMUNITY BUILDING ACTIVITY IS OUR ONGOING EMERGENCY PREPAREDNESS PROGRAM. IN 2011, EMPLOYEES SPENT APPROXIMATELY 890 HRS A. STAFF REGULARLY PARTICIPATES IN A VARIETY ON COMMUNITY BENEFIT ACTIVITIES PER THE ATTACHED SCHEDULES. IN 2011, THESE INCLUDED; BLOOD DRIVES, SHELTERED WORKSHOP TRAINING FOR DEVELOPMENTALLY DISABLED YOUTH, HOLIDAY CLOTHING DRIVE, VOLUNTEER MISSIONS ART THERAPY FOR PEDIATRIC GLAUCOMA PATIENTS, ASSEMBLYMAN KAVANAGH HEALTH FAIR, GLAUCOMA SUPPORT & EDUCATION GROUP, ALLERGY AWARENESS AT HEALTH FAIR, HEAD & NECK CANCER SUPPORT GROUP, MACULAR DEGENERATION SUPPORT GROUP, MEDICAL RESERVE CORPS, NY ONCOLOGY CLINIC CHILDREN'S DAY, PATIENT SAFETY AWARENESS WEEK, RECRUITMENT FOR UVEITIS SUPPORT GROUP, SUPERVISE MINORITY ENRICHMENT PROGRAM, VOLUNTEERS IN LOCAL HOMELESS SHELTERS, HARD OF HEARING DAY AT METS/CITIFIELD, WORKING WOMEN'S HEALTH & WELLNESS FAIR, WORLD VOICE DAY SCREENING EYE SMART CAMPAIGN; DIABETES EDUCATION LOOK ALIKE/SOUND ALIKE DRUG SAFETY INITIATIVE MISSION FOR FREE CATARACT SURGERY, VASCULAR BIRTHMARKS EDUCATIONAL PROGRAM, VASCULAR EYE DISEASE FOR OPTOMETRISTS GREAT AMERICAN SMOKEOUT, HOME VISITS TO ELDERLY & HOMEBOUND, FREE STRABISMUS & CATARACT SURGERY TO ORPHANS, STREAMING OPHTHALMOLOGY GRAND ROUNDS TO ALL INTERESTED, HEALTH PROFESSIONALS ADDRESSING HEALTH DISPARITIES; HEARING LOSS EDUCATION. B. THE NYEE MEDICAL STAFF IS OPEN TO ALL PHYSICIANS WHO MEET THE STANDARDS OF THE CREDENTIALING PROCESS. C. ALL "SURPLUS FUNDS" ARE REINVESTED IN THE INSTITUTION. D. LEADERSHIP ROLE IN THE COMMUNITY: PARTICIPATE IN UNION SQUARE PARTNERSHIP AND AREA-WIDE TASK FORCES WITH OUT COMMUNITY STAKEHOLDERS. E. OTOLARYNGOLOGY- AND OPHTHALMOLOGY-SPECIFIC INFORMATION IS REGULARLY PROVIDED TO THE COMMUNITY. THE GREATEST NEED IDENTIFIED BY THE MANY CONSTITUENCIES OF THE NEW YORK EYE AND EAR INFIRMARY IS FOR EXPERT, SPECIALIZED INFORMATION TO PROTECT THEIR VISION AND HEARING. IN RESPONSE TO THE NEEDS ASSESSMENT PROCESS, NUMEROUS COMMUNITY OUTREACH PROGRAMS AND SCREENINGS WERE CONDUCTED IN 2011. F. MORE THAN 131 CLINICAL TRIALS ARE UNDERWAY ANNUALLY AT THE NEW YORK EYE AND EAR INFIRMARY, AND A VITAL COMPONENT IS THE OUTREACH TO INFORM AND RECRUIT PEOPLE IN THE COMMUNITY WHO MAY BENEFIT FROM PARTICIPATION IN STATE-OF-THE-ART CLINICAL TRIALS ON THE DIAGNOSIS AND TREATMENT OF OCULAR AND OTOLARYNGOLOGICAL DISEASE, BLINDNESS, DEAFNESS OR HEAD AND NECK CANCERS (SEE EARLIER COMMUNITY BENEFIT RESEARCH SCHEDULE). G. EMERGENCY PREPAREDNESS AND ENVIORNMENTAL UPGRADES - $348,122 expended in 2011 for Community Benefit--environmental and community emergency preparedness was comprised of: 1. Community Sharps Program. Drop off for used needles from community residents in a secure location (attended); Collected needles to secure sharps containers. 2. Clean Air/Smoking Abatement Program. Compliance with a new law mandating that smokers must be at least 15 ft. away from any hospital door. Created signage for this new program to protect the staff and the public. 3. Disaster Preparedness. a. "Disaster meds" including antibiotics are stockpiled in addition to nutrition bars and water so staff can keep the hospital open for the public during emergencies; Provided education & training for staff in evolving techniques of all areas of radiation, chemical and biologic terrorism. Are active participants in the "Send Word Now" emergency notifications service. b. Purchased communication devices, including radios, chargers and batteries, radiation detection devices, and other community security & disaster preparedness equipment (kits, masks, human remains pouches, evacuation sleds, solutions) etc. c. Conducted critical asset survey, related safety surveys and participated in emergency preparedness seminars and training, Manhattan Healthcare Emergency Management Coalition safety drills to protect the public and patients. d. Target Hardening (making it more difficult to attack the hospital) and Public Safety Program. Security perimeter cameras, panic buttons, and terror-resistant doors to harden the perimeter were installed. THE NYC Police regularly use footage from NYEE cameras on the street to investigate all manner of personal and property crimes. 4. Pandemic control - Increased participation in flu vaccination program. 670 doses were administered to staff, community members and volunteers. 5. Hand Hygiene Program. Installation of dispensers of antibacterial agents in all public areas, specifically for use by visitors and general public (i.e., Providing antibacterial soap in all restrooms; Purell in all common areas). 6. Target Hardening (making it more difficult to attack)/Public Safety Program. Security perimeter cameras, panic buttons, etc. Police regularly use footage from NYEE cameras on the street to investigate all manner of personal and property crimes. New terror resistant doors at all entrances (harden the perimeter). 7. Storm surveys--including re Hurricane Irene and other public safety surveys. 8. National patient and community safety protection plan presented in DC--appeared in the press; Look alike-sounds alike.
AFFILATED HEALTH CARE SYSTEM ROLES AND PROMOTION	PART VI	The New York Eye and Ear Infirmary is part of Continuum Health Partners, Inc.,(CHP) a nonprofit hospital system currently comprised of four historically distinguished New York City hospitals- Beth Israel, Roosevelt, St. Luke's and the NYEEI. The combined system delivers inpatient care through nearly 3,100 certified beds located in seven major facilities in Manhattan and Brooklyn, while providing outpatient care in office practice settings and ambulatory centers in four counties. This collaboration makes available an extraordinary array of resources. Together, the members of CHP are superbly equipped to identify and respond to the multiple health-related needs of diverse populations in patient- and physician-friendly environments. Continuum's goal is to enhance each member institution's ability to fulfill its mission. NYEE's mission is to provide highest quality diagnosis and treatment of diseases and disorders of the eyes, ears, nose, throat, head & neck and breast reconstruction. The vast majority of the care here is provided on an outpatient basis. While each hospital remains a separate legal entity, with its own assets, liabilities, licenses, books and records, the Infirmary works with its partners collaboratively to improve services to the community. A few examples follow: a. The Infirmary and Beth Israel have developed a Vestibular Rehabilitation Service which is now located at the Infirmary's Ear Institute. b. Infirmary physicians refer radiation therapy cases to Beth Israel. This has resulted in an excellent service and a superior joint tumor board. c. The Infirmary and Beth Israel jointly recruited a superb neuro-radiologist from NYU. The Infirmary refers all MRI, special radiation cases and invasive radiology studies to Beth Israel. d. Through our Chief of Oculoplasty, the Infirmary manages the ophthalmology resident program at St. Luke's-Roosevelt. We also have joint grand rounds including interactive streaming video conferencing and provide ENT residents to Beth Israel and other opportunities for observation of complicated, unusual and interesting cases. e. An NYEE Attending now coordinates ophthalmology at BIMC with the Infirmary providing coverage for their ED and inpatient consults, educational collaboration and outpatient referrals. f. A merger of the two institutions' cochlear programs at the Infirmary's new Ear Institute. g. The Infirmary sends all of our breast pathology, specimens, and biopsies to Beth Israel. Our director of breast surgery at NYEE now also participates in tumor board, grand rounds and related matters with the Beth Israel Cancer Center. h. The Chief Medical Officer (CMO) and Director of Quality participate in CHP-wide committees on the coordination and standardization of quality measures in all CHP hospitals. The CMO and the Director of Quality also participate in the CHP Executive Committee for Quality. i. NYEE-CHP collaboration on "Live Well New York" promoting health and wellness in all of NYC. j. Retinal specialist in Ophthalmology Faculty Practice at NYEE discussed diabetes-related vision loss. k. NYEE clinical audiologist presented at Phillips Ambulatory Care Center (CHP),Union Square, "Why Hearing Loss Happens." l. Multi-disciplinary collaboration at new Facial Nerve Disorders Center. m. CHP-wide service lines for both EYE and ENT are managed administratively by NYEE and the institution acts as the exclusive provider for eye care within the system. NYEE eye residents cover the BI consult service, emergency room and provide on-call services. In turn, consults from BIMC are utilized for infectious disease, urology, pulmonology coverage and neurology cases. In 2011 NYEE established a relationship with the BI Outpatient Psychiatric Dept. All these initiatives to integrate administrative, clinical, educational and research resources throughout CHP help facilitate collaborative, community benefit activities. In 2011 these included: Attendings from Beth Israel & St. Luke's Roosevelt joining together on an eye mission, Joint patient safety activities, Support for the NYEE Look-alike, Sound-alike (LASA) drug safety initiative, Audiology Day, cochlear implant courses for parents and professionals, Local health fair on 15th St. at the NYC Health Studies HS., Community emergency preparedness activities, coordinating the response of all CHP partners during disaster alerts and city-wide emergencies from terrorist activities to subway may involve large numbers of casualty incidents. We coordinate the manpower needs during these emergencies (e.g., 9/11), by making available beds, physicians and other medical personnel, a BI Blood Drive at the Infirmary. Because we are not a general acute care hospital and focus on EYE and ENT activities, the vast majority of our activities promoting the health of the communities we serve are independent of CHP. We participate jointly with Beth Israel Hospital, a CHP member, in the more global community activities such as the Union Square Partnership and the Lower East Side Health Care Coalition (both institutions have representatives on the Boards of both).
STATES WHERE COMMUNITY BENEFIT REPORT FILED	PART VI	NY

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

Open to Public Inspection

Name of the organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

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? ....

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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(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 as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) DONALD MCWILLIAMS KESSLER	(i) (ii)	637,163		93,494	27,150	2,563	760,370
(2) CHARLES FIGLIOZZI	(i) (ii)	411,955			27,150	7,645	446,750
(3) SONJA M TENNARO	(i) (ii)	423,539			27,150	3,363	454,052
(4) ALLAN FINE	(i) (ii)	418,630			27,150	1,690	447,470
(5) JOSEPH ROBERT ROSENTHAL	(i) (ii)	318,685			27,150	7,734	353,569
(6) EDITHA M ESQUIERES	(i) (ii)	209,544			14,668		224,212
(7) MICHAEL PITMAN	(i) (ii)	738,298				9,971	748,269
(8) RONALD GENTILE	(i) (ii)	709,019				6,064	715,083
(9) RONALD HOFFMAN	(i) (ii)	651,404				4,734	656,138
(10) EDWARD SHIN	(i) (ii)	189,843					189,843
(11) JOSEPH BERNSTEIN	(i) (ii)	1,044,359				8,130	1,052,489
(12) GRIGORY MASHKEVICH	(i) (ii)	683,663				8,760	692,423

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

Open to Public
Inspection

Name of the organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

Identifier	Return Reference	Explanation
EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDER	FORM 990, PART VI, LINE 6	THE NEW YORK EYE AND EAR INFIRMARY'S SOLE CORPORATE MEMBER IS CONTINUUM HEALTH PARTNERS INC.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, LINE 11B	THE VP-FINANCE AND CFO UNDERTAKE A DETAILED REVIEW OF THE 990. IN ADDITION, SELECT BOARD MEMBERS UNDERTAKE A REVIEW OF THE ORGANIZATION'S FORM 990 AND THEN REVIEW WITH THE CFO ANY COMMENTARY, OBSERVATIONS, AND RECOMMENDATIONS, AS APPROPRIATE.
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS	FORM 990, PART VI, LINE 12C	COMPLIANCE OFFICER SURVEYS, REVIEWS AND REPORTS TO CEO.
COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC. DIR., OR TOP MGTMENT	FORM 990, PART VI, LINE 15A	THE CORPORATION UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE	FORM 990, PART VI, LINE 19	UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 5	NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS $ 79,705. PENSION RELATED CHANGES OTHER THAN NET COST -10,917,573. TOTAL $ -10,837,868.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PETER FRELINGHUYSEN TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN M. GILLEN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JUDITH C. ZESIGER TITLE:TRUSTEE HOURS:1

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

NEW YORK EYE AND EAR INFIRMARY

Employer identification number

13-5562304

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

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
(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	Yes	No
(1) NEW YORK EYE & EAR INFIRMARY FOUND 310 EAST 14TH STREET NEW YORK,NY10003 13-4012469	PRIV NON OPER	NY	501(c)(3)	PF	NA	Yes
(2) NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK,NY10003 31-1696826	HOUSING & FAC	NY	501(c)(2)	N/A	NA	Yes
(3) CONTINUUM HEALTH PARTNERS INC 555 WEST 57TH STREET 5TH FL NEW YORK,NY10019 13-3939476	SUPP HOSPITAL	NY	501(c)(3)	11A	NA		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

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	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	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

Schedule R (Form 990) 2011

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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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) NEW YORK EYE & EAR INFIRMARY FOUNDATION	C	98,262	COST
(2) NYEEI HOUSING COMPANY INC	D	333,584	COST
(3) NYEEI HOUSING COMPANY INC	J	357,724	COST
(4) NYEEI HOUSING COMPANY INC	K	341,442	COST
(5) NEW YORK EYE & EAR INFIRMARY FOUNDATION	Q	3,000,000	COST
(6)

Schedule R (Form 990) 2011

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)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE NEW YORK EYE & EAR INFIRMARY WAS ESTABILISHED IN 1820 TO MEET THE EYE CARE NEEDS OF NEW YORKERS, ESPECIALLY THE WORKING POOR.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	24
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	24
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	1,120
6	Total number of volunteers (estimate if necessary) ....	6	595
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,286,802	10,780,417
9	Program service revenue (Part VIII, line 2g) .........	110,544,039	128,129,385
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	351,718	338,090
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,049,711	11,714,646
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	129,232,270	150,962,538
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)	69,824,414	72,926,702
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	89,228	67,775
b	Total fundraising expenses (Part IX, column (D), line 25) 424,577
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	54,233,661	62,665,512
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	124,147,303	135,659,989
19	Revenue less expenses. Subtract line 18 from line 12.......	5,084,967	15,302,549
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	102,231,731	144,636,952
21	Total liabilities (Part X, line 26).............	56,308,524	94,249,064
22	Net assets or fund balances. Subtract line 21 from line 20.....	45,923,207	50,387,888

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 115,154,103 including grants of $ ) (Revenue $ 137,880,736 )
	THE HIGHEST QUALITY, MOST TECHNOLOGICALLY ADVANCED AND CONSISTENT MULTIDISCRIPLINARY CARE IN A SAFE AND COMFORTABLE ENVIRONMENT PROVIDING AN ONGOING SERIES OF LECTURES, SEMINARS AND HEALTH SCREENINGS DEVELOPMENT OF HIGHLY QUALIFIED, WELL TRAINED PHYSICIAN/SURGEONS THROUGH PROGRAMS OF RESIDENCY TRAINING. New York Eye and Ear Infirmary provided the following services to residents of its local community in 2011: 823 In Patient Discharges 30,721 Ambulatory Surgery Visits 60,173 Referred Abulatory Procedures including 1,459 for the sleep center 133,207 Out Patient clinic Visits IN ADDITION, PLEASE REFERENCE WWW.NYEE.EDU FOR OUR CAPABILITIES REPORT AND COMMUNITY INFORMATION REPORT LOCATED UNDER THE GENERAL INFORMATION SECTION OF THE WEBSITE.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 115,154,103

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) LEIGH LACHMAN MD TRUSTEE	1.0	X				0	0
(19) NAVIN MEHTA MD TRUSTEE	1.0	X				0	0
(20) WILLIAM P MILLER TRUSTEE	1.0	X				0	0
(21) MRS OTTO PREMINGER TRUSTEE	1.0	X				0	0
(22) ROBERT RITCH MD TRUSTEE	1.0	X				0	0
(23) JOHN SEEDOR MD TRUSTEE	1.0	X				0	0
(24) JUDITH C ZESIGER TRUSTEE	1.0	X				0	0
(25) DONALD MCWILLIAMS KESSLER PRESIDENT & CEO	37.5		X			730,657	29,713
(26) CHARLES FIGLIOZZI SR VP OF FINANCE & CFO	37.5		X			411,955	34,795
(27) STEVEN SHAEFER CHAIRMAN OTOLARYNGOLGY	40.0			X		16,593
(28) SONJA M TENNARO SR VP CLINICAL OPERATIONS/CNO	37.5			X		423,539	30,513
(29) ALLAN FINE SR VP STRATEGY & BUSINESS	37.5			X		418,630	28,840
(30) JOSEPH ROBERT ROSENTHAL VP/CMO	37.5			X		318,685	34,884
(31) EDITHA M ESQUIERES DIVISION DIR OERIOPERATIVE SVC	37.5			X		209,544	14,668
(32) JOSEPH WALSH CHAIRMAN, OPHTALMOLOGY	40.0			X		54,587
(33) EDWARD SHIN CHAIRMAN OTOLARYNGOLGY	40.0			X		189,843
(34) MICHAEL PITMAN AST PROF CLIN OTOLARYNGOLOY	40.0				X	738,298	9,971
(35) RONALD GENTILE AST PROF CLIN OTOLARYNGOLOY	40.0				X	709,019	6,064
(36) RONALD HOFFMAN AST PROF CLIN OTOLARYNGOLOY	40.0				X	651,404	4,734
(37) JOSEPH BERNSTEIN AST PROF CLIN OTOLARYNGOLOY	40.0				X	1,044,359	8,130
(38) GRIGORY MASHKEVICH AST PROF CLIN OTOLARYNGOLOY	40.0				X	683,663	8,760

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,600,776	0	211,072

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		188,984

f	All other contributions, gifts, grants, and similar amounts not included above1f		10,591,433
g	Noncash contributions included in lines 1a-1f:$ 20,000
h	Total. Add lines 1a-1f.......			10,780,417
			Business Code
2a	PATIENT SERVICES		621,300	128,129,385	128,129,385
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			128,129,385
3	Investment income (including dividends, interest
	and other similar amounts).....			331,174			331,174
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents	1,251,384
b	Less: rental expenses
c	Rental income or (loss)	1,251,384
d	Net rental income or (loss).......			1,251,384			1,251,384
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	3,035,401
b	Less: cost or other basis and sales expenses	3,028,485
c	Gain or (loss)	6,916
d	Net gain or (loss)..........			6,916			6,916
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
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...			0
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..			0
Miscellaneous Revenue			Business Code
11a	OVERHEAD RECOVERY		900,099	4,333,406	4,333,406
b	OTHER PATIENT SERVICES		900,099	5,419,598	5,417,945		1,653
c	CAFETERIA/FOOD SERVICE		900,099	451,187			451,187
d	All other revenue ....			259,071			259,071
e	Total. Add lines 11a–11d ......			10,463,262
12	Total revenue. See Instructions....			150,962,538	137,880,736		2,301,385


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			23,048,688	1	29,025,834
2	Savings and temporary cash investments .......			0	2	0
3	Pledges and grants receivable, net .........			1,368,543	3	1,114,171
4	Accounts receivable, net .........			11,707,610	4	13,444,904
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
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 ..........			0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			1,757,197	8	1,706,195
9	Prepaid expenses and deferred charges ............			948,499	9	443,722
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	160,738,978
b	Less: accumulated depreciation. .....	10b	108,886,639	41,613,406	10c	51,852,339
11	Investments—publicly traded securities ..........			10,201,322	11	10,281,117
12	Investments—other securities. See Part IV, line 11 ......			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			694,000	13	694,000
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			10,892,466	15	36,074,670
16	Total assets. Add lines 1 through 15 (must equal line 34)...			102,231,731	16	144,636,952
17	Accounts payable and accrued expenses .			42,757,071	17	55,858,825
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			13,551,453	25	38,390,239
26	Total liabilities. Add lines 17 through 25.....			56,308,524	26	94,249,064
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			29,361,044	27	30,922,809
28	Temporarily restricted net assets .....			10,316,411	28	12,196,990
29	Permanently restricted net assets .....			6,245,752	29	7,268,089
	Organizations that do not follow SFAS 117, check here 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 .....			45,923,207	33	50,387,888
34	Total liabilities and net assets/fund balances .....			102,231,731	34	144,636,952