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

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
New York Downtown Hospital
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
170 William Street
Suite
Room/suite
City or town, state or country, and ZIP + 4
New York, NY10038
D Employer identification number

13-3049852
E Telephone number

G Gross receipts $ 220,751,733
F Name and address of principal officer:
mark larmore
525 east 68th st box 156
new york,NY10065
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1979
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THE PEOPLE IN THE LOWER MANHATTAN AREA AND THE SPECIFIC NEEDS OF THE COMMUNITY WITH AN EMPHASIS ON OUTREACH AND AMBULATORY SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 31
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 22
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 1,614
6 Total number of volunteers (estimate if necessary) ............. 6 294
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 726,121
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 14,564,479 16,195,109
9 Program service revenue (Part VIII, line 2g) ......... 183,173,990 157,809,277
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,051,101 24,537,934
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 16,909,981 21,147,834
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 215,699,551 219,690,154
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 107,981,172 109,486,471
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet464,279    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 104,958,982 90,845,925
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 212,940,154 200,332,396
19 Revenue less expenses. Subtract line 18 from line 12....... 2,759,397 19,357,758
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 190,982,548 226,367,103
21 Total liabilities (Part X, line 26)............. 143,860,455 170,580,717
22 Net assets or fund balances. Subtract line 21 from line 20..... 47,122,093 55,786,386
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: NEW YORK DOWNTOWN HOSPITAL IS A COMMUNITY TEACHING HOSPITAL COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THE PEOPLE WHO LIVE IN, WORK IN, OR VISIT LOWER MANHATTAN. AS A COMMUNITY HOSPITAL, DOWNTOWN HOSPITAL OFFERS HEALTHCARE TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY WITH AN EMPHASIS ON OUTREACH AND AMBULATORY SERVICES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 114,719,207 including grants of $   ) (Revenue $ 98,096,053 )
HOSPITAL SERVICES FOR PATIENTS WHO ARE ADMITTED INTO THE HOSPITAL. THE SERVICES THAT WE PROVIDE ARE FOR MEDICINE, SURGERY, ORTHOPEDICS, OB/GYN AND NURSERY DELIVERIES. INPATIENT SERVICE STATISTICS: TOTAL DISCHARGES 11,535; TOTAL PATIENT DAYS 45,607; AVERAGE LENGTH OF STAY 4.0 DAYS.
4b (Code:   ) (Expenses $ 41,316,086 including grants of $   ) (Revenue $ 35,329,263 )
HOSPITAL SERVICES FOR PATIENTS THAT COME THROUGH THE EMERGENCY ROOM, FOR PATIENTS THAT HAVE AMBULATORY SURGERY (SAME DAY SURGERY),PATIENTS THAT ARE SEEN IN THE CLINIC, RENAL DIALYSIS AND REFERRED AMBULATORY SERVICES. OUTPATIENT SERVICE STATISTICS: TOTAL VISITS-CLINIC 22,032; RENAL 761; AMBULATORY SURGERY 6,239; REFERRED AMB 25,187; EMERGENCY ROOM 40,578.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $ 24,383,961 )
HEALTHFIRST IS A MEDICAID MANAGED CARE INSURANCE PLAN IN WHICH NEW YORK DOWNTOWN HOSPITAL IS A PARTICIPANT. THE DISTRIBUTION REPRESENTS EXCESS MEDICAL REVENUE.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $ 17,573,927 )
4e Total program service expensesMediumBullet156,035,293
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..Click to see attachment
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
56
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,614
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
31
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
22
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJERRY CASTORIA170 WILLIAMS STREETnew yorkNY10038 (212) 312-5650
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(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) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Christopher L Mann Esq........................................................................
Chairman of the board/trustee
 1.0
.......................3.0 		X   X            
(2) Frances G Laserson........................................................................
Vice Chairmain/Trustee
 1.0
.......................1.0 		X   X            
(3) Ralph M Mastrangelo........................................................................
Vice Chairman/Trustee
 1.0
.......................2.0 		X   X            
(4) Ronald H Menaker........................................................................
Vice Chairman/Trustee
 1.0
.......................2.0 		X   X            
(5) Robert D Hunter........................................................................
Vice Chairman/Trustee
 1.0
.......................2.0 		X   X            
(6) Nelson Schaenen JR........................................................................
Vice Chairman/Trustee
 1.0
.......................3.0 		X   X            
(7) Kathryn George Tyree........................................................................
Treasurer/Trustee
 1.0
.......................2.0 		X   X            
(8) Troland Fritz S Link ESQ........................................................................
Secretary/Trustee
 1.0
.......................2.0 		X   X            
(9) Giovanna Cipriani........................................................................
Trustee
 1.0
.......................0.0 		X                
(10) John G Daniello........................................................................
Trustee
 1.0
.......................0.0 		X                
(11) Sun - Hoo Foo MD........................................................................
Trustee/Director thru 5/2012
 8.0
.......................1.0 		X           38,200    
(12) Stephen J Friedman JD........................................................................
Trustee
 1.0
.......................0.0 		X                
(13) Lai Wah Fung........................................................................
Trustee
 1.0
.......................1.0 		X                
(14) Peter Gross........................................................................
Trustee
 1.0
.......................0.0 		X                
(15) Pauline G Hecht MD........................................................................
Truste/Assoc Chair thru 5/2012
 32.0
.......................0.0 		X           186,633 0 6,954
(16) Mordechai Hoschander DMD........................................................................
Trustee thru 5/2012
 1.0
.......................0.0 		X                
(17) Peter James Johnson JR ESQ........................................................................
Trustee
 1.0
.......................0.0 		X                
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(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) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Richard T Kennedy........................................................................
Trustee
 1.0
.......................1.0 		X                
(19) Ronald M Krinick MD........................................................................
Trustee
 1.0
.......................0.0 		X                
(20) Sandra K Lee RN........................................................................
Trustee thru 5/2012
 1.0
.......................0.0 		X                
(21) George CK Liu PHD MD FACP........................................................................
Trustee
 1.0
.......................0.0 		X                
(22) Bruce D Logan MD........................................................................
Trustee/Attending Physician
 1.0
.......................0.0 		X           43,800   6,476
(23) Edward C Malmstrom........................................................................
Trustee thru 5/2012
 1.0
.......................0.0 		X                
(24) Julie Menin........................................................................
Trustee
 1.0
.......................0.0 		X                
(25) Jeffrey Menkes........................................................................
President/CEO/Trustee
 46.75
.......................3.25 		X   X       975,120 0 11,309
(26) Neil Moskowitz........................................................................
Trustee
 1.0
.......................0.0 		X                
(27) Patricia Bakwin Selch........................................................................
Trustee 5/2012
 1.0
.......................0.0 		X                
(28) Philip Seskin........................................................................
Trustee
 1.0
.......................0.0 		X                
(29) Steve Squeri........................................................................
Trustee
 1.0
.......................0.0 		X                
(30) Douglas A Skolnick........................................................................
Trustee
 1.0
.......................0.0 		X                
(31) Ronald J Strauss........................................................................
Trustee
 1.0
.......................0.0 		X                
(32) John A Ward III........................................................................
Trustee
 1.0
.......................0.0 		X                
(33) Stanley Zinberg MD........................................................................
Trustee
 1.0
.......................0.0 		X                
(34) Kenneth C SZE MD........................................................................
Life Trustee, thru 7/2012
 1.0
.......................0.0 		X                
(35) Laura Forese MD........................................................................
Trustee
 1.0
.......................59.0 		X           0 1,372,068 126,683
(36) Wayne M Osten........................................................................
Trustee
 1.0
.......................59.0 		X           0 1,043,712 39,692
(37) Gary J Zuar........................................................................
Trustee
 1.0
.......................59.0 		X           0 993,195 95,305
(38) Gerald Ginsberg MD........................................................................
Trustee
 1.0
.......................0.0 		X           186,750 0 14,586
(39) Frank Vutrano........................................................................
SVP/CFO
 48.75
.......................1.25 		    X       118,149 0 9,239
(40) Anthony Alfano........................................................................
SVP/COO
 50.0
.......................0.0 		    X       407,253 0 17,945
(41) Steven Friedman MD........................................................................
Interim CMO/Chair dept of Surg
 49.5
........................5 		    X       400,045 0 12,292
(42) Jerry Castoria........................................................................
Interim CFO
 48.75
.......................1.25 		    X       120,455    
(43) Anthony Smith MD........................................................................
Chairman, Dept of Medicine
 49.5
........................5 		      X     527,465 0 13,206
(44) Eli Bryk md........................................................................
Chairman, Dept of Orthopedics
 50.0
.......................0.0 		      X     476,535 0 17,455
(45) eric-sin-kam-poon md........................................................................
chairman, dept of pediatrics
 48.75
.......................1.25 		      X     147,717 0 8,728
(46) William Huang MD........................................................................
Attending Physican
 40.0
.......................0.0 		        X   610,618 0 10,587
(47) Michael Defeo MD........................................................................
Attending Physican
 40.0
.......................0.0 		        X   609,046 0 13,413
(48) Geoffrey Webber........................................................................
Attending Physican
 40.0
.......................0.0 		        X   591,448 0 18,484
(49) Atul Sharma MD........................................................................
Attending Physican
 40.0
.......................0.0 		        X   604,117 0 7,625
(50) Alexander Slotwiner MD........................................................................
Attending Physican
 40.0
.......................0.0 		        X   579,051 0 7,391
(51) Warren Licht MD........................................................................
former SVP/CMO
 0.0
.......................0.0 		          X 396,848 0 4,923
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,019,250 3,408,975 442,293
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet194
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Dell Marketing LP, 2300 West Plano ParkwayPLANOTX75025 Billing/IT Support 6,219,343
Allscripts Healthcare LLC, 8529 Six Forks RoadRALEIGHNC27615 IT Support Services 4,359,068
Weill Medical College, 1300 York AvenueNEW YORKNY10021 Medical/Billing Svcs 3,977,117
FCIC Construction, 900 Kilmer LaneVALLEY STREAMNY11581 Construction Service 1,386,402
Command Security, 512 Herndon Parkway Suite AHERNDONVA20170 Security Services 959,182
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet31
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 1,758,823
d Related organizations...1d 7,703,391
e Government grants (contributions)1e 4,438,622
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,294,273
g Noncash contributions included in lines
1a-1f:$ 		12,510
h Total. Add lines 1a-1f.......MediumBullet 16,195,109
Program Service Revenue Business Code
2a NET PATIENT REVENUE 624100 133,425,316 133,425,316    
b HEALTHFIRST DISTRIBUTIONS 900099 24,383,961 24,383,961    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 157,809,277
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 493,614     493,614
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 920,477  
b Less: rental expenses 364,458  
c Rental income or (loss) 556,019 0
d Net rental income or (loss).......MediumBullet 556,019     556,019
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 81,482 24,000,000
b Less: cost or other basis and sales expenses 37,162  
c Gain or (loss) 44,320 24,000,000
d Net gain or (loss)..........MediumBullet 24,044,320     24,044,320
8a Gross income from fundraising events (not including
$ 1,758,823
of contributions reported on line 1c). See Part IV, line 18 ..
a 276,800
b Less: direct expenses ...b 659,959
c Net income or (loss) from fundraising events..MediumBullet -383,159   -383,159
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a FACULTY PRACTICE REVENUE 621110 13,825,548 13,825,548    
b EMERGENCY SERVICES 621990 3,254,765 3,254,765    
c VENDOR/INSURANCE REFUNDS 900099 483,303     483,303
d All other revenue .... 3,411,358 493,614 726,121 2,191,623
e Total. Add lines 11a–11d ...... MediumBullet 20,974,974
12 Total revenue. See Instructions......MediumBullet 219,690,154 175,383,204 726,121 27,385,720
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
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 .... 3,771,312 2,232,298 1,539,014  
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 82,603,145 70,419,590 12,016,346 167,209
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 4,162,444 3,567,303 588,865 6,276
9 Other employee benefits ....... 12,454,015 9,950,163 2,475,876 27,976
10 Payroll taxes ........... 6,495,555 5,456,266 974,333 64,956
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 980,009   980,009  
c Accounting ........... 805,100   805,100  
d Lobbying ........... 60,000   60,000  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 127,688 234 127,093 361
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 19,182,835 10,912,955 8,268,585 1,295
12 Advertising and promotion .... 433,881 174,598 223,237 36,046
13 Office expenses ....... 9,474,412 4,471,457 4,999,077 3,878
14 Information technology ...... 6,221,264   6,221,264  
15 Royalties .. 0      
16 Occupancy ........... 5,128,423 4,123,191 1,005,232  
17 Travel ............ 52,786 27,603 25,165 18
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 279,992 270,472 9,520  
20 Interest ........... 2,039,877 2,024,277 15,600  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 15,626,427 13,126,199 2,343,964 156,264
23 Insurance .............. 6,846,554 6,270,460 576,094  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL EXPENSES 22,696,506 22,696,506    
b HOSPITAL ASSOCIATION DUES 299,138 18,591 280,547  
c BOND FEES 94,696   94,696  
d ALL OTHER EXPENSES 496,337 293,130 203,207  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 200,332,396 156,035,293 43,832,824 464,279
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 0 1 0
2 Savings and temporary cash investments ......... 22,327,821 2 27,931,678
3 Pledges and grants receivable, net ........... 99,957 3 126,500
4 Accounts receivable, net ............. 34,336,048 4 42,405,868
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 2,180,473 8 2,293,867
9 Prepaid expenses and deferred charges .......... 3,611,660 9 2,978,319
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 277,419,722
b Less: accumulated depreciation ..... 10b 156,364,716 99,823,909 10c 121,055,006
11 Investments—publicly traded securities .......... 27,639,809 11 28,349,259
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 962,721 13 1,226,456
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 150 15 150
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 190,982,548 16 226,367,103
Liabilities 17 Accounts payable and accrued expenses ......... 43,516,739 17 52,725,585
18 Grants payable ................. 1,332,369 18 1,386,488
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 34,863,613 20 34,508,445
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other 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 .. 6,636,721 23 7,659,830
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.................... 57,511,013 25 74,300,369
26 Total liabilities. Add lines 17 through 25......... 143,860,455 26 170,580,717
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 31,602,238 27 39,592,653
28 Temporarily restricted net assets ........... 8,809,402 28 9,483,280
29 Permanently restricted net assets ........... 6,710,453 29 6,710,453
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 47,122,093 33 55,786,386
34 Total liabilities and net assets/fund balances ........ 190,982,548 34 226,367,103
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
219,690,154
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
200,332,396
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
19,357,758
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
47,122,093
5
Net unrealized gains (losses) on investments ...............
5
704,267
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
-120,811
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-11,276,921
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
55,786,386
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

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

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
New York Downtown Hospital
  		Employer identification number

13-3049852
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


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
New York Downtown Hospital
  		Employer identification number

13-3049852
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
New York Downtown Hospital
  		Employer identification number

13-3049852
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


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

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable 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) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
60,000
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
60,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) 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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C, Part II-B, Line 1F   NEW YORK DOWNTOWN HOSPITAL PAID $60,000 TO GEORGE ARTZ COMMUNICATION, INC. TO LOBBY FOR GOVERNMENT FUNDING CAPITAL.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a 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.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (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 XIII, the text of the footnote to its financial statements that describes these items.
b
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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 15,519,855 15,237,847 15,018,921 15,185,359 17,391,620
b Contributions ........ 2,076,146 5,157,346 8,519,973 2,152,811 2,554,046
c Net investment earnings, gains, and losses 1,125,959 589,577 783,156 857,782 -1,337,632
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		2,493,467 5,431,416 9,055,039 3,139,895 3,383,178
f Administrative expenses .... 34,760 33,499 29,164 37,136 39,497
g End of year balance ...... 16,193,733 15,519,855 15,237,847 15,018,921 15,185,359
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet59.000 %
b
Permanent endowment SchDMd Bullet41.000 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII 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 .................   14,019,052 14,019,052
b Buildings ................   143,066,024 71,148,126 71,917,898
c Leasehold improvements ............        
d Equipment ................   115,562,704 85,216,590 30,346,114
e Other .................   4,771,942   4,771,942
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 121,055,006
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








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








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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
DUE TO RELATED ORG, NET 10,253,451
PROFESSIONAL LIABILITIES 27,092,508
DUE TO THIRD PARTIES 36,907,750
DUE TO ECLIPSYS 37,660
ADP LEASE 9,000




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 74,300,369
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 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 XII 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 XIII.) ............ 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 XIII.) ............ 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 XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SCHEDULE D, PART V, LINE 4   TEMPORARILY RESTRICTED NET ASSETS IN THE TOTAL AMOUNT OF $9,483,280 ARE RESTRICTED FOR EYE CARE PROGRAM, COMMUNITY SERVICE PROGRAM, EXPANSION, RENOVATION PROJECTS AND OTHER DEPARTMENT SUPPORT, MEDICAL RESEARCH AND TRAINING AND EDUCATION PROGRAMS. PERMANENTLY RESTRICTED NET ASSETS OF APPROXIMATELY $6,710,453 HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY, THE INCOME FORM WHICH IS RESTRICTED AS TO USE.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

ball
(event type) 		(b) Event #2

gala
(event type) 		(c) Other events

0
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 784,919 1,250,705   2,035,624
2 Less: Contributions . . 659,869 1,098,955   1,758,824
3 Gross income (line 1
minus line 2) . . . 		125,050 151,750   276,800
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . 280,217 155,098   435,315
8 Entertainment . . . 25,245 11,300   36,545
9 Other direct expenses . 148,286 39,813   188,099
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 659,959
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow -383,159
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining 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, as a factor in determining eligibility for free or discounted care.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
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? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    1,730,163 297,882 1,432,281 0.710 %
b Medicaid (from Worksheet 3,
column a) .... 		    37,057,457 36,379,271 678,186 0.340 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    38,787,620 36,677,153 2,110,467 1.050 %
Other Benefits
     4,959,348   4,959,348 2.480 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    17,506,334 7,694,921 9,811,413 4.900 %
g Subsidized health services
(from Worksheet 6) .. 		    20,330,479 14,246,672 6,083,807 3.040 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		           
j Total. Other Benefits ..     42,796,161 21,941,593 20,854,568 10.420 %
k Total. Add lines 7d and 7j .     81,583,781 58,618,746 22,965,035 11.470 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
5,686,213
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
2,691,833
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
30,230,906
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
20,907,765
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
9,323,141
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 new york downtown hospital
170 william street
new york,NY10038 		X X   X     X   outpatient Clinic ambulatory surgery chronic dialysis  
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
New York Downtown Hospital
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 CHNA 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 CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following 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
b
c
d
e
17 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
SUPPLEMENTAL INFORMATION   PART I, LINE 3C N/A PART I, LINE 6A N/A PART I, LINE 7G INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE EMERGENCY ROOM SERVICES, CLINICS, AND AMBULANCE PART I, LINE 7, COLUMN F BAD DEBT IS OFFSET AGAINST REVENUE AND NOT INCLUDED IN EXPENSES. PART I, LINE 7 THE FOLLOWING IS A DETAIL OF THE SOURCES USED FOR DETERMINING THE AMOUNTS REPORTED ON SCHEDULE H: 7A - ADJUSTED RATIO OF PATIENT CARE COSTS TO CHARGES 7B - ADJUSTED RATIO OF PATIENT CARE COSTS TO CHARGES 7E - ACTUAL EXPENSES 7F - INSTITUTIONAL COST REPORT 7G - INSTITUTIONAL COST REPORT PART III, LINE 2 FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE. ESTIMATED COST IS BASED ON THE TOTAL BAD DEBT AT THE RATIO OF PATIENT CARE COST TO CHARGES. PART III, LINE 3 Amounts represent unpaid self pay balances at the net realizable amounts that are not anticipated to be collected. PART III, LINE 4 AUDITED FINANCIAL STATEMENTS PAGE 15 PART III, LINE 8 The required method of reporting in schedule h obfuscates the full losses associated with delivery of services to medicare beneficiaries. As reported in part III, section b, line 7, medicare is calculated to result in a $9.3 million surplus; this results because medicare losses of $1.8 million are instead reflected in Part I, lines 7f and 7g where losses identified with professional education and subsidized health services are calculated per the methodology mandated for completion of schedule h. furthermore, medicare managed care losses of $2.2 million are excluded altogether from all schedule H disclosures. Medicare Surplus Per Schedule H $9,323,141 Medicare Gme Net Costs 261,055 Medicare net costs of Subsidized Health services ($2,060,412) Medicare Managed Care Net Costs ($2,248,538) Total Net Associated with Medicare Program $5,275,246 "net" is defined as revenue net of costs PART III, LINE 9B NEW YORK DOWNTOWN HOSPITAL WILL NOT FORWARD ANY CLAIMS TO A COLLECTION AGENCY IF THE PATIENT COMPLETED THE FINANCIAL AID APPLICATION AND IS WAITING FOR A DETERMINATION. NYDH PROHIBITS THE FORCED SALE OR FORECLOSURE OF A PRIMARY RESIDENCE BUT PLACEMENT OF LIEN IS ALLOWED. NYDH WILL NOTIFY THE PATIENT OR RESPONSIBLE PARTY AT LEAST 30 DAYS BEFORE THE ACCOUNT IS BEING FORWARDED TO A COLLECTION AGENCY. NYDH WILL PROVIDE WRITTEN CONSENT TO A COLLECTION AGENCY BEFORE IT BEGINS LEGAL ACTION ON THE PATIENT, OR RESPONSIBLE PARTY. NYDH REQUIRES ALL ITS COLLECTION AGENCIES TO FOLLOW THE HOSPITAL'S FINANCIAL AID POLICIES AND PROCEDURES, INCLUDING HOW TO APPLY FOR FINANCIAL AID. NYDH WILL NOT COLLECT ANY MONIES FROM PATIENTS ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICES. Part V, Section B, Question 14g The measures by which the Hospital publicizes the policy to the community served by the Hospital include: Distribution of a Summary of the policy (which describes income levels used to determine eligibility, the primary service area of the Hospital, and the means of applying for assistance) to patients, posting of signs alerting patients to the availability of financial assistance , inclusion of a notice on patient bills that charity care/financial assistance is available to eligible patients, and the distribution of applications for charity care/financial aid to interested patients. NEEDS ASSESSMENT NEW YORK DOWNTOWN HOSPITAL MEETS QUARTERLY WITH ITS COMMUNITY ADVISORY BOARD (CAB) TO ENCOURAGE CONSTRUCTIVE DIALOGUE WITH OTHER COMMUNITY ORGANIZATIONS. THE CAB IS COMPOSED OF HOSPITAL EXECUTIVES, REPRESENTATIVES FROM STATE AND LOCAL GOVERNMENT, HEALTH DEPARTMENT REPRESENTATIVES, COMMUNITY ORGANIZATIONS, AND LOCAL BUSINESSES. THROUGH THESE MEETINGS, THE HEALTH CARE NEEDS OF THE COMMUNITY ARE REGULARLY ASSESSED, AND FEEDBACK ON THE HOSPITAL'S PERFORMANCE IS OBTAINED AND SUBSEQUENTLY INTEGRATED INTO ITS STRATEGIC PLAN. THE HOSPITAL ALSO ENGAGES IN REGULAR AND EXTENSIVE CONVERSATIONS WITH THE ALLIANCE FOR DOWNTOWN NEW YORK, MANHATTAN COMMUNITY BOARDS ONE AND THREE, AND RESIDENT ADVISORY COUNCILS FROM LOCAL NATURALLY OCCURRING RETIREMENT COMMUNITIES (NORC) AND NEIGHBORHOOD SENIOR HOUSING DEVELOPMENTS. THE HOSPITAL ALSO MAINTAINS EXTENSIVE COLLABORATION AND ON-GOING DIALOGUE WITH LOCAL NURSING HOMES AND HOME CARE SERVICES TO ASSESS COMMUNITY HEALTHCARE NEEDS. THE HOSPITAL ANALYZES HEALTH CARE DATA FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) AND THE DEPARTMENT FOR THE AGING; DEMOGRAPHIC DATA FROM LOCAL, STATE AND FEDERAL AGENCIES; HOSPITAL-GENERATED STATISTICAL REPORTS; REPORTS GENERATED BY INTERNAL COMMITTEES, TASK FORCES AND THE HOSPITAL'S ANNUAL PLANNING PROCESS; AND POLICY REPORTS FROM THE NEW YORK CITY HEALTH CARE ADVISORY PANEL. IN COLLABORATION WITH THE VISITING NURSE SERVICE (VNSNY), THE CHARLES B. WANG COMMUNITY HEALTH CENTER, BETANCES HEALTH CENTER, THE CHINESE AMERICAN PLANNING COUNCIL, GRAND STREET SETTLEMENT, HAMILTON MADISON HOUSE, THE BROOKLYN CHINESE-AMERICAN ASSOCIATION, THE CHINESE CONSOLIDATED BENEVOLENT ASSOCIATION AND THE AMERICAN CANCER SOCIETY, THE HOSPITAL HAS IDENTIFIED THE PROVISION OF COMPREHENSIVE CANCER CARE AS A NEIGHBORHOOD HEALTH PRIORITY. THE HOSPITAL ALSO PARTICIPATES IN THE COLON HEALTH TASK FORCE. OTHER PARTICIPANTS INCLUDE: VNSNY; THE DOHMH; THE UNITED HOSPITAL FUND (UHF); MANNING PHARMACY AND SURGICAL, INC.; THE AMERICAN CANCER SOCIETY - ASIAN UNIT; AND THE CHARLES B. WANG COMMUNITY HEALTH CENTER. DATA GATHERED BY THE DOHMH AND THE UHF PROMPTED THE HOSPITAL TO ESTABLISH A PATIENT NAVIGATOR PROGRAM WITH THE ULTIMATE GOAL OF INCREASING THE CHINESE COMMUNITY COLONOSCOPY SCREENING RATE. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IN COMPLIANCE WITH SECTION 2807-K(9-A) OF THE NEW YORK STATE PUBLIC HEALTH LAW, THE HOSPITAL EXTENDS DISCOUNT POLICIES AND INSTALLMENT PAYMENT PLANS TO NEW YORK STATE RESIDENTS WHO HAVE HEALTH INSURANCE, BUT MAY BE UNABLE TO FULLY PAY CO-PAY AND DEDUCTIBLE AMOUNTS. THE HOSPITAL ALSO MAKES DISCOUNTS AVAILABLE TO PATIENTS WITH INCOMES ABOVE 300% OF THE FEDERAL POVERTY LEVEL. THE LEVEL OF DISCOUNT FROM THE HOSPITAL'S REGULAR CHARGES DEPENDS ON A PATIENT'S INCOME - THE MORE A PATIENT'S INCOME FALLS BELOW 300% OF THE FEDERAL POVERTY LEVEL THE HIGHER THE DISCOUNT THE HOSPITAL PROVIDES. PATIENTS WITH INCOMES AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL CAN BE CHARGED NO MORE THAN THE FOLLOWING: INPATIENT HOSPITAL SERVICES: $150; AMBULATORY SURGERY: $150 PER PROCEDURE; MRI TESTING: $150 PER SESSION; ADULT EMERGENCY ROOM AND OUTPATIENT CLINIC VISITS: $15 PER VISIT; PRENATAL AND CHILDREN'S EMERGENCY ROOM AND CLINIC VISITS: NO CHARGE. THIS LAW COVERS ALL THE MEDICAL SERVICES OFFERED BY THE HOSPITAL, INCLUDING: INPATIENT SERVICES; EMERGENCY ROOM VISITS; AND OTHER OUTPATIENT VISITS, SUCH AS TO CLINICS OPERATED BY THE HOSPITAL. THE HOSPITAL HAS STAFF ON-SITE (BOTH IN THE CREDIT OFFICE AND THE OUTPATIENT DEPARTMENT) TO HELP ELIGIBLE PATIENTS ENROLL INTO STRAIGHT MEDICAID, PCAP OR FAMILY HEALTH PLUS/CHILD HEALTH PLUS. THE CHARITY CARE PROGRAM OFFERS CHARITY CARE TO ELIGIBLE PATIENTS. THIS INCLUDES ACCESS TO EMERGENCY SERVICES FOR RESIDENTS OF NEW YORK STATE, AS WELL AS TO EMERGENCY AND NON-EMERGENCY SERVICES FOR RESIDENTS OF NEW YORK CITY. THIS SERVICE IS PROVIDED THROUGH THE HOSPITAL'S MEDICAID - CHARITY CARE OFFICE. THE HOSPITAL'S PROVISION OF THESE SERVICES IS PUBLICIZED THROUGH THE HOSPITAL'S INTERNET (WWW.DOWNTOWNHOSPITAL.ORG) SITE. VARIOUS EDUCATIONAL EFFORTS CONDUCTED BY THE HOSPITAL, PARTICULARLY WITHIN THE LARGE IMMIGRANT COMMUNITIES CONTAINED WITHIN OUR CATCHMENT AREA, ARE INCREASING AWARENESS OF BILLING PROCESSES AND THE AVAILABILITY OF CHARITY CARE AND GOVERNMENT ASSISTANCE PROGRAMS FOR THOSE UNABLE TO PAY FOR SERVICES. THE HOSPITAL ALSO MAKES BROCHURES AND FLYERS AVAILABLE, WHICH REVIEW THESE SERVICES. COMMUNITY INFORMATION DOWNTOWN HOSPITAL IS THE PRIMARY HOSPITAL SERVING THE LOWER MANHATTAN COMMUNITIES OF THE FINANCIAL DISTRICT; CHINATOWN; BATTERY PARK CITY; LITTLE ITALY; TRIBECA; CITY HALL; POLICE PLAZA; THE FEDERAL, STATE AND CITY COURTHOUSE COMPLEX; AND THE RAPIDLY EXPANDING RESIDENTIAL COMMUNITY OF LOWER MANHATTAN. NEW YORK DOWNTOWN HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE AREA SOUTH OF 14TH STREET. THIS AREA, AS WELL AS THOSE IMMEDIATELY ADJACENT, DELIVERS A HIGH NUMBER OF PATIENTS TO THE HOSPITAL. THE HOSPITAL ALSO CONTINUES TO SERVE A SIGNIFICANT NUMBER OF PATIENTS FROM BROOKLYN AND QUEENS. THE SOUTH STREET SEAPORT, THE WORLD TRADE CENTER SITE AND THE STATUE OF LIBERTY ATTRACT 5 MILLION TOURISTS ANNUALLY TO THE HOSPITAL'S SERVICE AREA, SWELLING THE DOWNTOWN POPULATION BY AN AVERAGE OF ALMOST 14,000 PEOPLE A DAY. IN ADDITION, AN INCREASING NUMBER OF PATIENTS FROM SOHO, GREENWICH VILLAGE AND THE LOWER WEST SIDE ARE RELYING ON THE HOSPITAL FOR EMERGENCY, OBSTETRICAL AND SURGICAL SERVICES FOLLOWING THE CLOSING OF ST. VINCENT'S HOSPITAL. PROMOTION OF COMMUNITY HEALTH NEARLY ALL OF THE FOLLOWING COMMUNITY OUTREACH PROGRAMS ARE PROVIDED FREE OF CHARGE AS PART OF THE HOSPITAL'S COMMITMENT TO THE PU
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used 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.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
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 (E) amounts for that individual.
(A) Name and Title (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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Pauline G Hecht MDTruste/Assoc Chair thru 5/2012 (i)
(ii)		 182,678
0 		0
0 		3,955
0 		3,718
0 		3,236
0 		193,587
0 		0
0
(2)Jeffrey MenkesPresident/CEO/Trustee (i)
(ii)		 618,249
0 		350,000
0 		6,871
0 		11,287
0 		22
0 		986,429
0 		0
0
(3)Warren Licht MDformer SVP/CMO (i)
(ii)		  
0 		45,850
0 		350,998
0 		2,315
0 		2,608
0 		401,771
0 		0
0
(4)Anthony AlfanoSVP/COO (i)
(ii)		 313,855
0 		90,000
0 		3,398
0 		12,500
0 		5,445
0 		425,198
0 		0
0
(5)Steven Friedman MDInterim CMO/Chair dept of Surg (i)
(ii)		 337,246
0 		42,765
0 		20,034
0 		5,000
0 		7,292
0 		412,337
0 		0
0
(6)Anthony Smith MDChairman, Dept of Medicine (i)
(ii)		 351,409
0 		174,000
0 		2,056
0 		5,000
0 		8,206
0 		540,671
0 		0
0
(7)Laura Forese MDTrustee (i)
(ii)		 0
693,120 		0
524,000 		0
154,948 		0
112,708 		0
13,975 		0
1,498,751 		0
12,567
(8)Wayne M OstenTrustee (i)
(ii)		 0
502,803 		0
306,028 		0
234,881 		0
16,559 		0
23,133 		0
1,083,404 		0
105,521
(9)Gary J ZuarTrustee (i)
(ii)		 0
497,178 		0
307,037 		0
188,980 		0
64,958 		0
30,347 		0
1,088,500 		0
50,671
(10)Gerald Ginsberg MDTrustee (i)
(ii)		 19,329
0 		165,778
0 		1,643
0 		3,915
0 		10,671
0 		201,336
0 		0
0
(11)Eli Bryk mdChairman, Dept of Orthopedics (i)
(ii)		 374,084
0 		100,000
0 		2,451
0 		5,000
0 		12,455
0 		493,990
0 		0
0
(12)eric-sin-kam-poon mdchairman, dept of pediatrics (i)
(ii)		 146,272
0 		0
0 		1,445
0 		0
0 		8,728
0 		156,445
0 		0
0
(13)William Huang MDAttending Physican (i)
(ii)		 144,577
0 		465,831
0 		210
0 		5,164
0 		5,423
0 		621,205
0 		0
0
(14)Michael Defeo MDAttending Physican (i)
(ii)		 111,816
0 		495,370
0 		1,860
0 		5,229
0 		8,184
0 		622,459
0 		0
0
(15)Geoffrey WebberAttending Physican (i)
(ii)		 310,544
0 		279,905
0 		999
0 		7,778
0 		10,706
0 		609,932
0 		0
0
(16)Atul Sharma MDAttending Physican (i)
(ii)		 338,247
0 		264,905
0 		965
0 		7,603
0 		22
0 		611,742
0 		0
0
(17)Alexander Slotwiner MDAttending Physican (i)
(ii)		 313,269
0 		264,905
0 		877
0 		7,391
0 		0
0 		586,442
0 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL COMPENSATION INFORMATION   Schedule J and Part Vii Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of New York Downtown Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2012 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT TO WARREN LICHT, MD FOR THE AMOUNT OF $ 350,000. DR. LICHT IS A FORMER SENIOR VICE PRESIDENT/CHIEF MEDICAL OFFICER FOR NEW YORK DOWNTOWN HOSPITAL AND THE SEVERANCE PROVISION WAS PER CONTRACTUAL AGREEMENT. Part I, Line 4b: Participated in Supplemental Nonqualified Retirement plan: Gary Zuar : 49,958 Laura Forese : 87,708 Wayne Osten : 1,559 Part I, Line 4b: Supplemental Nonqualified Retirement Plan as reported on the W-2: Gary Zuar : 129,832 Laura Forese : 87,501 Wayne Osten : 172,581 SCHEDULE J, PART I, LINE 7 THE CEO MAKES A RECOMMENDATION ON THE DISCRETIONARY BONUS LEVELS FOR THE HOSPITAL'S SENIOR MANAGEMENT STAFF, ON AN ANNUAL BASIS, WHICH IS THEN REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. THE CEO'S DISCRETIONARY BONUS IS CONTRACTUAL. THE BONUS IS RECOMMENDED BY THE CHAIRMAN OF THE BOARD BASED ON THE CEO MEETING AGREED UPON GOALS AND OBJECTIVES FOR THE CALENDAR YEAR. THE FINAL DECISION IS THEN APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. ALL OTHER BONUSES ARE CONTRACTUAL. HUMAN RESOURCES, ALONG WITH THE CORPORATE COMPLIANCE DEPARTMENT, ENSURE THAT ALL CONTRACTUAL MONETARY PROVISIONS ARE IN ACCORDANCE WITH FAIR MARKET VALUE. DISCRETIONARY BONUSES ARE DEPENDENT UPON THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND THE OVERALL ACCOMPLISHMENTS OF THE INDIVIDUALS RELATED TO ESTABLISHED GOALS AND OBJECTIVES. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL BONUSES TO BE PAID OUT.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number
13-3049852
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A dormitory authority of the state of new york
  		14-6000293 6499057p5 03-30-2011 35,174,385 refund and defease the series 1998   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 35,174,385      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 5,823,960      
5 Capitalized interest from proceeds . . . . . . . . . . . 0      
6 Proceeds in refunding escrows . . . . . . . . . . . . 0      
7 Issuance costs from proceeds . . . . . . . . . . . . 703,488      
8 Credit enhancement from proceeds . . . . . . . . . . . 0      
9 Working capital expenditures from proceeds . . . . . . . . . 0      
10 Capital expenditures from proceeds . . . . . . . . . . . 0      
11 Other spent proceeds . . . . . . . . . . . . . . 34,470,897      
12 Other unspent proceeds . . . . . . . . . . . . . . 0      
13 Year of substantial completion . . . . . . . . . . . . 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X              
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X            
16 Has the final allocation of proceeds been made? . . . . . . . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .                
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .                
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .                
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .                
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.00000%   %   %   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000%   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0.00000%   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .                
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .                
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X            
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X              
b Exception to rebate? . . . . . . . .   X            
c No rebate due? . . . . . . . . . .
  X            
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X            
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider . . . . . . . . . 0
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X            
b Name of provider . . . . . . . . . 0
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X            
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X              
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X              
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 7 5,700 Selling price
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) (2012)
Additional Data


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

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

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Identifier Return Reference Explanation
Schedule J and Part VII   Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of New York Downtown Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2012 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. Other Program Service Revenue FORM 990, PART III, LINE 4D TOTAL FACULTY PRACTICE REVENUE $13,825,548 - PROVIDE EMERGENT AND OFFICE MEDICAL SERVICES TO APPROXIMATELY 50,000 PATIENTS PER YEAR IN LOWER MANHATTAN. PROMOTE THE AVAILABILITY OF HIGH QUALITY PROFESSIONAL MEDICAL SERVICES FOR THE PATIENTS OF NEW YORK DOWNTOWN HOSPITAL, A TEACHING HOSPITAL. PROVIDE MEDICAL CARE TO ALL SICK AND INJURED WHO MAY COME TO THE FACILITY FOR DIAGNOSIS, TREATMENT AND CARE WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR THE ABILITY TO PAY FOR SERVICES AND PARTICULARLY TO PROVIDE SUCH MEDICAL CARE TO ALL PERSONS; ALSO EMERGENCY SERVICES $3,254,765 & ALL OTHER REVENUE $493,614. Significant Changes to The Governing Documents Part VI, Section A, Line 4 NYDH's Bylaws were amended and restated to provide that, effective September 6, 2012, NYDH is a membership corporation consisting of five members who are appointed by NewYork-Presbyterian Healthcare System, Inc. Members Part VI, Section A, Line 6 & 7a The New York Downtown Hospital (the "Organization") is a membership corporation, whose members are appointed by New York-Presbyterian Healthcare System, Inc. ("System Inc"). System, Inc. is a tax-exempt organization whose members are appointed by New York- Presbyterian Foundation, Inc., which is also a tax-exempt organization. The members of the Organization elect the Organization's board of trustees. DESCRIPTION OF THE PROCESS TO REVIEW FORM 990 FORM 990, PART VI, LINE 11 THE REVIEW PROCESS FOR THIS ENTITY HAS CHANGED DUE TO THE MERGER OF NEW YORK DOWNTOWN HOSPITAL AND NEW YORK PRESBYTERIAN HOSPITAL ON JULY 1, 2013. THE BOARD AS SHOWN ON PART VII RESIGNED ON THAT DATE AND IS NO LONGER AVAILABLE TO REVIEW THE 990. THE RETURN WILL BE REVIEWED BY NEW YORK PRESBYTERIAN HOSPITAL'S SENIOR MANAGEMENT, AUDIT COMMITTEE CHAIRMAN, AND GOVERNING BODY. FINANCE COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990 ACCESSING VARIOUS RESOURCES INCLUDING LEGAL, HUMAN RESOURCES, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. SENIOR FINANCE EXECUTIVES COMPLETE A REVIEW OF THE RETURN IN CONJUNCTION WITH ERNST & YOUNG U.S. LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE CHAIRMAN OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD of the new york presbyterian hospital. THE CHAIRMAN OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE CONDUCTS A DETAILED REVIEW. UPON COMPLETION OF THE AUDIT CHAIRMAN'S REVIEW AND APPROVAL, THE 990 IS MADE AVAILABLE TO THE NEW YORK PRESBYTERIAN HOSPITAL'S GOVERNING BODY AT THE BOARD OF TRUSTEE MEETING PRECEDING THE FILING. THE new york downtown hospital FILES THE 990 UPON FINAL APPROVAL. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C ON AN ANNUAL BASIS, ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AND THE RESPONSES ARE REVIEWED AND ANALYZED IN THE CONTEXT OF A CONFLICT OF INTEREST POLICY THAT IS CONSISTENT WITH IRS GUIDANCE BY NEW YORK DOWNTOWN HOSPITAL'S CHIEF COMPLIANCE OFFICER. IF A CONFLICT OR POTENTIAL CONFLICT IS IDENTIFIED, FURTHER FACTUAL INQUIRY IS MADE, INCLUDING AN INTERVIEW. ALL OF THE INFORMATION COLLECTED IS THEN PRESENTED TO THE EXECUTIVE COMPLIANCE COMMITTEE AND/OR THE AUDIT AND COMPLIANCE COMMITTEE REGARDING THE ACTION REQUIRED TO BE TAKEN. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED EMPLOYEE WILL BE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON OR INFLUENCING THE VOTE ON ANY MATTERS MADE RELATIVE TO THE IDENTIFIED CONFLICT. Compensation Discription FORM 990, PART VI, LINES 15A & 15B NEW YORK DOWNTOWN HOSPITAL USED THE FOLLOWING SOURCES TO EVALUATE APPROPRIATE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT/EXECUTIVE EMPLOYEES: CONTACTING OTHER HUMAN RESOURCE DEPARTMENTS FROM OTHER HOSPITALS COMPARING COMPENSATION AND BENEFITS FOR COMPARABLE POSITIONS, PUBLISHED DATA SOURCES SUCH AS American healthcare human resource association's SURVEY AND THE GUIDESTAR NONPROFIT COMPENSATION REPORT, AND CONTRACTING AN OUTSIDE CONSULTING FIRM SUCH AS LAWRENCE ASSOCIATES AND CAMMACK LARHETTE CONSULTING TO COMPLETE THE MARKET SURVEY. THE MARKET DATA IS REVIEWED ALONG WITH THE EXISTING INTERNAL COMPENSATION TO SIMILAR SITUATED EMPLOYEES TO DETERMINE THE EXECUTIVE COMPENSATION FOR A PARTICULAR POSITION. THE PEOPLE TO GET EXECUTIVE COMPENSATION REVIEWS ARE SVPS, CEO AND ALL EMPLOYED PHYSICIANS. THE REVIEW HAPPENS ON INITIAL EMPLOYMENT AND THEN UPON RENEWAL OF ANY EMPLOYMENT AGREEMENT. AVAIL OF GOV DOCS,CONFLICT OF INTEREST POLICY,&FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AND ALL VENDORS UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN ACCRUED PENSION & POSTRETIREMENT BENEFITS TO BE RECOGNIZED IN FUTURE PERIODS: $(411,257) FORGIVENESS OF DEBT: $(10,865,664) TOTAL: $(11,276,921)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


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

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
New York Downtown Hospital
 
Employer identification number

13-3049852
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) Convenient Hospital Parking LLC
170 Williams Street
New York,NY10038
46-1464728 		parking NY 0 11,100,000 NY downtown
 
(2) Medical Horizons LLC
170 Willams Street
New York,NY10038
46-1647421 		medical space NY 0 12,900,000 ny downtown
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
Yes No
(1) Beekman Staff Residence

170 William Street

New York,NY10038
13-2773085 		Support NYDH NY 501 (C) (3) 11 Type I NY Downtown
 
Yes
 
(2) NYDH Management Services Corp Inc

170 William Street

New York,NY10038
13-3672912 		Support NYDH NY 501 (C) (3) 11 Type I NY Downtown
 
Yes
 
(3) New York Downtown Medical Associates Inc

170 William Street

New York,NY10038
13-3672980 		Support NYDH NY 501 (C) (3) 11 Type I NY Downtown
 
Yes
 
(4) New York Downtown Hospital CCP

170 William Street

New York,NY10038
11-3614596 		Fund Support NY 501 (c) (3) 11 Type I NY Downtown
 
Yes
 
(5) The Elizabeth Blackwell Foundation Inc

170 William Street

New York,NY10038
13-3344692 		Hlth Info Svs NY 501 (C) (3) 7 NY Downtown
 
Yes
 
(6) NY Presbyterian Healthcare Systems INC

525 East 68th St Box 156

New York,NY10065
13-3792361 		Sponsor NY 501 (C) (3) 11 Type III NYP FND
 
Yes
 
(7) The New York and Presbyterian Hospital

525 East 68th St Box 156

New York,NY10065
13-3957095 		Healthcare NY 501 (C) (3) 3 NYP FND
 
Yes
 
(8) New York Hospital Medical CTR of Queens

56-45 Main Street

Flushing,NY11355
11-1839362 		Healthcare NY 501 (C) (3) 3 NYP SYS INC
 
Yes
 
(9) The New York Methodist Hospital

506 Sixth St

Brooklyn,NY11215
11-1631796 		Healthcare NY 501 (C) (3) 3 NYP SYS INC
 
Yes
 
(10) The New York Gracie Square Hospital INC

420 East 76th St

New York,NY10021
13-3746997 		Psychiatric NY 501 (C) (3) 3 NYP SYS INC
 
Yes
 
(11) The Brooklyn Hospital Center

121 Dekalb Avenue

Brooklyn,NY11201
11-1630755 		Healthcare NY 501 (C) (3) 3 NYP SYS INC
 
Yes
 
(12) New York Community Hospital of Brooklyn

525 East 68th Street Box 156

New York,NY10065
11-1986351 		Healthcare NY 501 (C) (3) 3 NYP SYS INC
 
Yes
 
(13) The Rogosin Institute Inc

505 E 70th St

New York,NY10021
13-3184198 		Healthcare NY 501 (C) (3) 4 NYP SYS INC
 
Yes
 
(14) New York Westchester Square Medical CTR

2475 St Raymond Avenue

Bronx,NY10461
31-1730177 		Healthcare NY 501 (C) (3) 3 NYP SYS INC
 
Yes
 
(15) Hospital For Special Surgery

535 East 70th St

New York,NY10021
13-1624135 		Healthcare NY 501 (C) (3) 3 NYP FDN
 
Yes
 
(16) The Silvercrest CTR for Nursing & Rehab

144-45 87th Avenue

Jamaica,NY11453
11-2925535 		Nursing Facil NY 501 (C) (3) 9 NYP SYS Inc
 
Yes
 
(17) Preferred Health Network Inc

525 East 68th Street Box 156

New York,NY10065
11-2964432 		Inactive NY 501 (C) (3) 11 TYPE I NYP SYS INC
 
Yes
 
(18) NY Presbyterian Community Health Plan

525 East 68th Street Box 156

New York,NY10065
13-3849659 		Inactive NY 501 (C) (4) N/A NYP SYS INC
 
Yes
 
(19) The Nyack Hospital

160 N Midland Avenue

Nyack,NY10960
13-1740119 		Healthcare NY 501 (C) (3) 3 NYP SYS INC
 
Yes
 
(20) NY Presbyterian Foundation Inc

525 East 68th St Box 156

New York,NY10065
13-4153668 		Support NY 501 (C) (3) 11 TYPE I NA
 
 
No
(21) NY Presbyterian Fund Inc

525 East 68th St Box 156

New York,NY10065
13-3160356 		Fundraising NY 501 (C) (3) 7 NYP FDN
 
Yes
 
(22) Royal Charter Properties Inc

525 East 68th St Box 156

New York,NY10065
13-3158502 		Real Estate NY 501 (C) (3) 11 Type II NYP FDN
 
Yes
 
(23) Royal Charter Properties East Inc

525 East 68th St Box 156

New York,NY10065
13-3158496 		Real Estate NY 501 (C) (3) 11 Type II NYP FND
 
Yes
 
(24) Royal Chater Properties West Inc

525 East 68th St Box 156

New York,NY10065
13-3160354 		Real Estate NY 501 (C) (3) 11 Type II N/A
Yes
 
(25) Presbyterian Health Resourses Inc

525 East 68th St Box 156

New York,NY10065
13-3145970 		Inactive NY 501 (C) (3) 11 Type I NYP FDN
 
Yes
 
(26) CRT Surgical Associates PC

56-45 Main St

Flushing,NY11355
11-2226870 		Healthcare NY 501 (C) (3) 11 Type 1 NYP Hosp QNS
 
Yes
 
(27) BMA Medical Foundation Inc

56-45 Main St

Flushing,NY11355
11-2848858 		EDU/Reseach NY 501 (C) (3) 4 NY HOSP QNS
 
Yes
 
(28) Brooklyn Dental Services PC

506 Sixth Street

Brooklyn,NY11215
43-2015903 		Dental NY 501 (C) (3) 11 TYPE I Methodis Hos
 
Yes
 
(29) Brooklyn Foot & Ankle PC

506 Sixth Street

Brooklyn,NY11215
11-3341502 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(30) Brooklyn Radiology Services

506 Sixth Street

Brooklyn,NY11215
11-3423162 		Radiology NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(31) Park Slope Emergency Physican Serv PC

506 Sixth Street

Brooklyn,NY11215
06-1160280 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(32) Park Slope Hematology & Oncology

506 Sixth Street

Brooklyn,NY11215
11-3564621 		Hemo/Oncology NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(33) Park Slope Medical Health Provider PC

506 Sixth Street

Brooklyn,NY11215
42-1591811 		Inactive NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(34) Park Slope Medical Sevices PC

506 Sixth Street

Brooklyn,NY11215
11-2843882 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(35) Park Slope Medicine PC

506 Sixth Street

Brooklyn,NY11215
11-3362663 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(36) Park Slope Obstetrics & Gynecology PC

506 Sixth Street

Brooklyn,NY11215
11-3124294 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(37) Park Slope Pathology Services PC

506 Sixth Street

Brooklyn,NY11215
11-2843879 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(38) Park Slope Pediatric Medicine PC

506 Sixth Street

Brooklyn,NY11215
11-3303499 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(39) Park Slope Physican Services PC

506 Sixth Street

Brooklyn,NY11215
11-3231685 		Healthcare NY 501 (C) (3) 11 Type I Methodis Hos
 
Yes
 
(40) South Brooklyn Health Center Inc

120 Richards St

Brooklyn,NY11231
11-2339341 		Healthcare NY 501 (C) (3) 7 Methodis Hos
 
Yes
 
(41) Ashland Place Houses INc

121 Dekalb Ave

Brooklyn,NY11201
11-2390927 		Real Estate NY 501 (C) (3)   BK Hosp CTR
 
Yes
 
(42) Caledonian Health Center

121 Dekalb Ave

Brooklyn,NY11201
54-2117028 		Clinics NY 501 (C) (3) 9 BK Hosp CTR
 
Yes
 
(43) Ashland Place Holding Corp

121 Dekalb Ave

Brooklyn,NY11201
11-3304353 		Title Holding NY 501 (C) (3) N/A BK Hosp CTR
 
Yes
 
(44) Brooklyn Hospital Self Insurance Trust

121 Dekalb Ave

Brooklyn,NY11201
11-2501235 		Self Ins Trus NY 501 (C) (3) 11 Type I BK Hosp CTR
 
Yes
 
(45) Brooklyn Hospital Foundation Inc

121 Dekalb Ave

Brooklyn,NY11201
11-2936410 		Support NY 501 (C) (3) 11 Type I BK Hosp CTR
 
Yes
 
(46) Silvercrest SR Housing Development Fund

144-45 87th Ave

Briarwood,NY11435
26-2894911 		Housing NY 501 (C) (3) 9 Silvercrest
 
Yes
 
(47) Nyack Hospital Foundation Inc

160 North Midland Ave

Nyack,NY10960
13-3245804 		Support NY 501 (C) (3) 7 Nyack Hosp
 
Yes
 
(48) Network Recovery Services Inc

525 East 68th St Box 156

New York,NY10065
11-3160901 		Collection NY 501 (C) (3) 3 NYP SYS Inc
 
Yes
 
(49) Park Ventures Housing Corp

121 Dekalb Avenue

Brooklyn,NY11201
11-3321990 		Real Estate NY 501 (C) (3) 11 Type I BK Hosp CTR
 
Yes
 
(50) TBHC Pediatrics PC

121 Dekalb Avenue

Brooklyn,NY11201
27-0174684 		Pediatrics NY 501 (C) (3) 11 Type I BK Hosp CTR
 
Yes
 
(51) TBHC Medical Testing Services PC

121 Dekalb Avenue

Brooklyn,NY11201
27-0174413 		Med Testing NY 501 (C) (3) 11 Type I BK Hosp CTR
 
Yes
 
(52) TBHC Physican Services PC

121 Dekalb Avenue

Brooklyn,NY11201
27-0174589 		Med Services NY 501 (C) (3) 11 Type I BK Hosp CTR
 
Yes
 
(53) New York Queens Charter Ventures Inc

56-45 Main Street

Flushing,NY11355
45-4795032 		Real Estate NY 501 (C) (3) 11 Type I NY Hosp QNS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) NYP Plan Mgm't LLC

525 East 68th St Box 291
New York,NY10065
13-4197527 		Inactive NY NYP Hospital
  		                 












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) NYH - SHP IPA Inc

525 East 68th Street Box 156
New York,NY10065
13-3919980 		Inactive NY NYP System Inc
  		C Corp       Yes  
(2) Network Insurance Company Ltd

 
 
Reinsurance BD NYP System Inc
  		Foreign C-Corp       Yes  
(3) NYP Services Inc

525 East 68th St Box 156
New York,NY10065
06-1830524 		Inactive NY NYP Foundation
  		C-Corp       Yes  
(4) NY Presbyterian Global Inc

525 East 68th St Box 156
New York,NY10065
80-0336716 		Inactive NY NYP Foundation
  		C-Corp       Yes  
(5) Harkness Hall Club

525 East 68th St Box 156
New York,NY10065
13-3170488 		Liquor License NY NYP Hospital
  		C-Corp       Yes  
(6) Columbia Presbyterian Health System Inc

525 East 68th St Box 156
New York,NY10065
13-3053885 		Real Estate NY NYP Fund Inc
  		C-Corp       Yes  
(7) NY Presbyterian Global Services Inc

525 East 68th St Box 156
New York,NY10065
13-3845935 		Inactive NY NYP Fund Inc
  		C-Corp       Yes  
(8) Brooklyn Hospital ECG Medical Services

121 Dekalb Ave
Brooklyn,NY11201
11-2833052 		Medical Services NY Bklyn Hosp CTR
  		C-Corp       Yes  
(9) Brooklyn Hospital Nuclear Medicine PC

121 Dekalb Ave
Brooklyn,NY11201
11-2833589 		Medical Services NY Bklyn Hosp CTR
  		C-Corp       Yes  
(10) TBHC Medical Services PC

121 Dekalb Ave
Brooklyn,NY11201
11-2833590 		Medical Services NY Bklyn Hosp CTR
  		C-Corp       Yes  
(11) Brooklyn Hospital Radiology PC

121 Dekalb Ave
Brooklyn,NY11201
11-2833588 		Medical Services NY Bklyn Hosp CTR
  		C Corp       Yes  
(12) TBHC Emergency Medicine PC

121 Dekalb Ave
Brooklyn,NY11201
11-2833587 		Medical Services NY Bklyn Hosp CTR
  		C-Corp       Yes  
(13) TBHC Anesthesiology Services PC

121 Dekalb Ave
Brooklyn,NY11201
11-2833049 		Medical Services NY Bklyn Hosp CTR
  		C-Corp       Yes  
(14) TBHC Radiation Oncology PC

121 Dekalb Ave
Brooklyn,NY11201
27-0174805 		Medical Services NY Bklyn Hosp CTR
  		C-Corp       Yes  
(15) Highland Medical PC

160 North Midland Avenue
Nyack,NY10960
13-4034481 		Medical Services NY Nyack Hospital
  		C-Corp       Yes  
(16) NH Management Inc

160 North Midland Ave
Nyack,NY10960
13-4026486 		Medical Services NY Nyack Hospital
  		C-Corp       Yes  
(17) Main Street Medical PC

56-45 Main Street
Flushing,NY11358
06-1205476 		Medical Services NY NY Hospital QNS
  		C-Corp       Yes  
(18) NYHQ OBGYN PC

56-45 Main Street
Flushing,NY11358
11-3395424 		Medical Services NY NY Hospital QNS
  		C-Corp       Yes  
(19) BMA PC

56-45 Main Street
Flushing,NY11358
11-2747259 		Medical Services NY NY Hospital QNS
  		C-Corp       Yes  
(20) Bklyn Hosp Womens H'Care Medical Prov PC

121 Dekalb Ave
Brooklyn,NY11201
27-5459970 		Medical Services NY Bklyn Hospital
  		C-Corp       Yes  
(21) NY QNS Medical & Surgery PC

56-45 Main Street
Flushing,NY11358
27-4719998 		medical services NY NY Hospital QNS
  		C-Corp       Yes  
(22) MSO of Kings County LLC

506 Sixth Street
Brooklyn,NY11215
27-2387333 		Employ/Staffing NY Methodist
  		C-Corp       Yes  
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) newyork-presbyterian healthcare system inc

 m 161,148 cost
(2) the elizabeth blackwell foundation

 c 7,648,391 cost
(3) ny downtown chinese partnership for hlth fdn

 o 263,879 cost
(4) ny downtown chinese partnership for hlth fdn

 q 142,889 cost


Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(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 V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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