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 private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
400 EAST MAIN STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MOUNT KISCO, NY10549
D Employer identification number

13-1740118
E Telephone number

G Gross receipts $ 257,712,149
F Name and address of principal officer:
JOEL SELIGMAN
400 EAST MAIN STREET
MOUNT KISCO,NY10549
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NWHC.NET
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1916
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 20
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 1,762
6 Total number of volunteers (estimate if necessary) ............. 6 250
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,137,930
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 700,340
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,357,123 10,070,804
9 Program service revenue (Part VIII, line 2g) ......... 238,530,421 245,485,066
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 119,847 -2,657
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,660,576 2,156,085
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 242,667,967 257,709,298
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) 127,284,262 127,750,453
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 107,905,854 108,488,563
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 235,190,116 236,239,016
19 Revenue less expenses. Subtract line 18 from line 12....... 7,477,851 21,470,282
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 221,752,789 308,786,308
21 Total liabilities (Part X, line 26)............. 120,649,503 190,260,181
22 Net assets or fund balances. Subtract line 21 from line 20..... 101,103,286 118,526,127
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 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the 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 $ 114,404,132 including grants of $   ) (Revenue $ 114,379,847 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $ 80,488,492 including grants of $   ) (Revenue $ 122,289,667 )
SEE SCHEDULE O
4c (Code:   ) (Expenses $ 8,806,232 including grants of $   ) (Revenue $ 5,180,941 )
SEE SCHEDULE O
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet203,698,856
Form 990 (2014)
Form 990 (2014)
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
Yes
 
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......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
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 attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government 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 or other assistance to or for domestic individuals 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 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
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), 501(c)(4), and 501(c)(29) 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
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? 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..
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.............
30
 
No
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
 
No
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
Yes
 
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 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
95
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
1,762
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” to line 3b, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
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
0
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2014)
Form 990 (2014)
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 or note to any line 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
21
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
20
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
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
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
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
Yes
 
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
Yes
 
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletWILLIAM J BERNSTEIN

400 EAST MAIN STREET
MOUNT KISCO,NY105493417 (914) 666-1310
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JOEL SELIGMAN........................................................................
PRESIDENT & CEO
 37.50
.......................4.00 		X   X       2,011,962 0 31,327
(2) BECKI FLEISCHER........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(3) ELISA BURNS........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(4) WILLIAM SARNOFF........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(5) JAMES DIAMOND........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(6) WILLIAM DIECK MD........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(7) MARSHALL PERIS........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(8) BRUCE YABLON........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(9) CAROLA OTERO BRACCO........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(10) DAUN PARIS........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(11) LISA ENDLICH........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(12) ROBERTO ROSATI........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(13) MICHAEL SCHWARTZ........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(14) MICHAEL KAUFMAN........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(15) DOUGLAS KRAUS........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(16) NANCY KARCH........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(17) ROBERT SPOLZINO........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
Form 990 (2014)
Form 990 (2014)
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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JERRY WEINBERG........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(19) DAVID MILLER........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(20) DOMINICK CHIARIERI........................................................................
TRUSTEE THROUGH MAY 2014
 2.00
.......................   		X           0 0 0
(21) CARYN SCHECHTMAN........................................................................
CHAIR
 2.00
.......................2.00 		X           0 0 0
(22) HARRIETT VALLAR BROWN........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(23) MARLA KOROLY........................................................................
SR. VP MEDICAL AFFAIRS
 37.50
.......................2.00 		    X       635,697 0 39,196
(24) LAURAINE SZEKELY........................................................................
SR.VP - NURSING
 37.50
.......................   		    X       399,330 0 23,940
(25) JOHN J PARTENZA........................................................................
TREASURER & SR. VP - CFO
 37.50
.......................2.00 		    X       461,364 0 34,288
(26) SUSAN ETKIN........................................................................
VP -STRATEGIC & ORG.PLAN
 37.50
.......................   		    X       249,788 0 29,102
(27) MICHAEL J CARUSO........................................................................
VP - FACILITIES ADMIN.
 37.50
.......................   		    X       276,605 0 40,657
(28) PATRICE KOENEKE ESQ........................................................................
CHIEF LEGAL OFFICER
 37.50
.......................   		    X       286,633 0 40,550
(29) KERRY FLYNN BARRETT........................................................................
VP HUMAN RESOURCES
 37.50
.......................   		    X       259,408 0 42,676
(30) MARIA HALE........................................................................
VP-PATIENT ADVOCACY & SVCS
 37.50
.......................   		    X       274,439 0 39,881
(31) MARK VINCENT........................................................................
VP-PUBLIC AFFAIRS & MARKETS
 37.50
.......................   		    X       257,594 0 38,328
(32) KATE O'KEEFE........................................................................
VP, QUALITY MANAGEMENT
 37.50
.......................   		    X       206,577 0 20,006
(33) MICHAEL ROSENBERG MD........................................................................
VP, PHYSICIAN SURGICAL SERVICES
 18.80
.......................18.80 		    X       256,108 435,754 41,286
(34) HARLAN WEINBERG MD........................................................................
DIRECTOR-CARDIO PULMONAR
 37.50
.......................   		      X     644,335 0 40,991
(35) ARTHUR TURKEN MD........................................................................
DIRECTOR - WOUND CARE
 37.50
.......................   		      X     171,528 0 15,933
(36) PHILIP BONANNO MD........................................................................
DIRECTOR
 37.50
.......................   		      X     347,072 0 22,362
(37) CORINA SUCIU MD........................................................................
ASSOC.MEDICAL DIRECTOR
 37.50
.......................   		      X     249,863 0 30,294
(38) FRANCENE GALLOUSIS MD........................................................................
PERINATOLOGIST
 37.50
.......................   		      X     345,784 0 42,461
(39) IRINA ZHABINSKAYA MD........................................................................
DIRECTOR - PEDIATRICS
 37.50
.......................   		      X     261,744 0 35,843
(40) JOHN STAFFORD MD........................................................................
DIRECTOR - NEONATOLOGY
 37.50
.......................   		      X     253,497 0 46,546
(41) PRAVEEN RADRARAJU MD........................................................................
ADULT HOSPITALIST
 37.50
.......................   		        X   597,642 0 37,844
(42) ADAM HIRSCH MD........................................................................
ADULT HOSPITALIST
 37.50
.......................   		        X   297,263 0 48,066
(43) BERNARD PAUL WHITE MD........................................................................
SURGICAL HOSPITALIST
 37.50
.......................   		        X   310,273 0 12,317
(44) ELIZABETH MIRABELLO MD........................................................................
DIRECTOR
 37.50
.......................   		        X   284,708 0 25,209
(45) LAKSHMI TUPILI MD........................................................................
DIRECTOR
 37.50
.......................   		        X   235,035 0 44,056
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,574,249 435,754 823,159
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet216
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. 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
STELLARIS HEALTH NETWORK

135 BEDFORD ROAD
ARMONK,NY10504 		IT SERVICES 7,257,973
YONKERS RADIATION MEDICAL PRACTICE

2234 COLONIAL BLVD
FT MYERS,FL33907 		RADIATION THERAPY 2,532,971
EMERGENCY MEDICAL ASSOCIATES

3 CENTURY DRIVE
PARSIPPANY,NJ07054 		EMERGENCY ROOM SERVICES 1,435,244
WHITE PLAINS RADIOLOGY ASSOCIATES

40 EAST POST ROAD
WHITE PLAINS,NY10601 		RADIOLOGY SERVICES 1,360,002
GK FINANCIAL LLC

4 EMBARCADERO CENTER - SUITE 3700
SAN FRANSISCO,CA94111 		ONCOLOGY(GAMMA KNIFE)SERVICES 943,500
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet181
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 9,665,560
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		405,244
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 10,070,804
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENU 900099 184,948,309 184,948,309    
b MEDICARE/MEDICAID PAYM 900099 53,561,085 53,561,085    
c LABORATORY REVENUE 621500 4,137,930   4,137,930  
d EDUCATION INCENTIVE PR 900099 1,348,285 1,348,285    
e RELATED PARTY RENT 532000 1,106,214 1,106,214    
f All other program service revenue . 383,243 383,243    
g Total. Add lines 2a–2f........MediumBullet 245,485,066
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 194     194
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses 2,851  
c Gain or (loss) -2,851  
d Net gain or (loss)..........MediumBullet -2,851     -2,851
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a CAFETERIA 900099 644,101     644,101
b PARKING REVENUE 900099 465,771     465,771
c STELLARIS REIMBURSEMEN 900099 432,240 432,240    
d All other revenue .... 613,973 71,079   542,894
e Total. Add lines 11a–11d ...... MediumBullet 2,156,085
12 Total revenue. See Instructions......MediumBullet 257,709,298 241,850,455 4,137,930 1,650,109
Form 990 (2014)
Form 990 (2014)
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 or note to any line 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 domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ....    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 7,981,017 2,509,999 5,471,018  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 87,109,615 78,398,654 8,710,961  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 7,944,363 7,149,927 794,436  
9 Other employee benefits ....... 18,097,200 16,287,480 1,809,720  
10 Payroll taxes ........... 6,618,258 5,956,432 661,826  
11 Fees for services (non-employees):        
a Management ...... 8,999,306 1,136,024 7,863,282  
b Legal ......... 1,260,968 829,642 431,326  
c Accounting ........... 499,742   499,742  
d Lobbying ........... 54,182   54,182  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 1,079,165 753,388 325,777  
12 Advertising and promotion .... 1,731,203 1,453,522 277,681  
13 Office expenses ....... 39,806,203 39,673,445 132,758  
14 Information technology ...... 7,257,973 6,532,176 725,797  
15 Royalties ..        
16 Occupancy ........... 3,325,486 3,325,486    
17 Travel ............ 19,335 13,447 5,888  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 112,147 84,205 27,942  
20 Interest ........... 1,016,014 1,016,014    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 13,728,754 13,728,754    
23 Insurance .............. 4,046,158 4,046,158    
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 VARIOUS PHYSICIAN FEES 3,497,073 3,428,323 68,750 0
b REPAIRS & MAINTENANCE 2,989,013 2,390,559 598,454 0
c OUTSIDE MEDICAL SERVICE 2,536,271 2,536,271 0 0
d BANK CHARGES 551,618 551,618    
e All other expenses 15,977,952 11,897,332 4,080,620  
25 Total functional expenses. Add lines 1 through 24e 236,239,016 203,698,856 32,540,160 0
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 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 14,446,621 1 40,400,145
2 Savings and temporary cash investments ......... 442,023 2 453,861
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 29,239,378 4 29,408,042
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
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
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 5,216,140 8 5,686,596
9 Prepaid expenses and deferred charges .......... 1,619,757 9 1,119,372
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 364,404,343
b Less: accumulated depreciation ..... 10b 210,951,974 147,779,732 10c 153,452,369
11 Investments—publicly traded securities .......... 2,372,675 11 2,367,201
12 Investments—other securities. See Part IV, line 11 ..... 7,195,373 12 54,715,309
13 Investments—program-related. See Part IV, line 11 ..... 2,399,507 13 7,916,200
14 Intangible assets ............... 2,187,414 14 2,104,913
15 Other assets. See Part IV, line 11 ........... 8,854,169 15 11,162,300
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 221,752,789 16 308,786,308
Liabilities 17 Accounts payable and accrued expenses ......... 39,941,897 17 48,447,778
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 35,977,149 20 67,319,481
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
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..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 1,963,000 23 2,042,000
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 42,767,457 25 72,450,922
26 Total liabilities. Add lines 17 through 25......... 120,649,503 26 190,260,181
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 .............. 99,825,267 27 112,504,844
28 Temporarily restricted net assets ........... 368,394 28 5,111,658
29 Permanently restricted net assets ........... 909,625 29 909,625
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 ........... 101,103,286 33 118,526,127
34 Total liabilities and net assets/fund balances ........ 221,752,789 34 308,786,308
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
257,709,298
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
236,239,016
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
21,470,282
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
101,103,286
5
Net unrealized gains (losses) on investments ...............
5
-174,161
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-3,873,280
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
118,526,127
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
 
No
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
 
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
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 section 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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2014 		(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2015. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
  		Employer identification number

13-1740118
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


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
  		Employer identification number

13-1740118
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
  		Employer identification number

13-1740118
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
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) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2011 (b) 2012 (c) 2013 (d) 2014 (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) 2014


Schedule C (Form 990 or 990-EZ) 2014
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)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
54,182
j
Total. Add lines 1c through 1i ...............................
54,182
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
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART I-A, LINE 1: THE HOSPITAL DOES NOT ENGAGE IN ANY DIRECT OR INDIRECT POLITICAL CAMPAIGN ACTIVITY.
PART II-B, LINE 1: THE HOSPITAL BEARS INDIRECT COSTS THAT HAVE LOBBYING IMPLICATIONS. THE $54,182 REPORTED ON PART II-B LINE 1I REPRESENTS THAT PORTION OF ITS MEMBERSHIP DUES THAT THE HOSPITAL PAYS TO THE HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) AND THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) THAT RELATES TO LOBBYING EXPENSES. THIS AMOUNT HAS BEEN DETERMINED IN ACCORDANCE WITH THE MEDICARE PROVIDER REIMBURSEMENT MANUAL, PART I, SECTION 2139.
Schedule C (Form 990 or 990EZ) 2014

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
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 value of contributions to (during year)    
3 Aggregate value of 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)
Revenue 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
Revenue 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) 2014

Schedule D (Form 990) 2014
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, for escrow or custodial account liability?
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 .... 1,278,019 1,164,550 1,215,701 1,985,134 2,543,013
b Contributions ........ 9,941,648 788,659 1,018,287 1,310,368 16,654,152
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		5,198,384 675,190 1,069,438 2,079,801 17,212,031
f Administrative expenses ....          
g End of year balance ...... 6,021,283 1,278,019 1,164,550 1,215,701 1,985,134
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet15.110 %
c
Temporarily restricted endowment SchDMd Bullet84.890 %
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,827,333 1,827,333
b Buildings ................   179,953,590 72,695,479 107,258,111
c Leasehold improvements ............   513,609 196,883 316,726
d Equipment ................   39,403,747 30,779,600 8,624,147
e Other .................   142,706,064 107,280,012 35,426,052
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 153,452,369
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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    
(3)Other
(A) BOARD DESIGNATED FUNDS 		25,000,000 F

(B) CONSTRUCTION FUND 		26,362,682 F

(C) OTHER ASSETS WHOSE USE IS LIMITED 		3,352,627 F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 54,715,309
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
EST.LIAB.FOR SELF INSURANCE 14,957,000
ACCRUED PENSION LIABILITY 51,688,523
OTHER LIABILITIES 3,805,399
DUE TO THIRD-PARTY PAYERS 2,000,000





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 72,450,922
2. Liability for uncertain tax positions. 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) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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
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.
Return Reference Explanation
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria
used to award the grants or assistance? ...........................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS   7,374,019
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 7,374,019
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 7,374,019
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (a)(c) Region (b)(d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2014
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
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 criteria used 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
Yes
 
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
 
No
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) .. 		    5,234,109   5,234,109 2.220 %
b Medicaid (from Worksheet 3,
column a) .... 		    17,492,333 10,709,430 6,782,903 2.870 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    22,726,442 10,709,430 12,017,012 5.090 %
Other Benefits
            
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    162,716   162,716 0.070 %
g Subsidized health services
(from Worksheet 6) .. 		    7,125,304 3,336,931 3,788,373 1.600 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		           
j Total. Other Benefits ..     7,288,020 3,336,931 3,951,089 1.670 %
k Total. Add lines 7d and 7j .     30,014,462 14,046,361 15,968,101 6.760 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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           0 %
2 Economic development           0 %
3 Community support           0 %
4 Environmental improvements           0 %
5 Leadership development and training for community members           0 %
6 Coalition building           0 %
7 Community health improvement advocacy           0 %
8 Workforce development           0 %
9 Other           0 %
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
4,480,000
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
333,877
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
43,593,954
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
73,594,829
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-30,000,875
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 %
11 MT KISCO PET LLC
  		PERFORM PET SCAN IMAGERY 50.000 %   50.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 NORTHERN WESTCHESTER HOSPITAL
400 EAST MAIN STREET
MOUNT KISCO,NY10549
WWW.NWHC.NET
STATE LICENSE # 59200004 		X X         X      
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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)
NORTHERN WESTCHESTER HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.NWHC.NET/ABOUT-US
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

NORTHERN WESTCHESTER HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

NORTHERN WESTCHESTER HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19 Yes  
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
NORTHERN WESTCHESTER HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN THE JOINTCOLLABORATION WITH OTHER COUNTY HEALTH DEPARTMENTS AND LOCAL HOSPITALS TODEVELOP THE COMMUNITY HEALTH ASSESSMENT AND HEALTH IMPROVEMENT PLANSREQUIRED FOR SUBMISSION. THESE HOSPITALS AND LOCALHEALTH DEPARTMENTS WERE ASKED TO WORK TOGETHER WITH LOCAL COMMUNITYPARTNERS ON ASSESSING COMMUNITY NEEDS, IDENTIFYING AT LEAST TWO LOCALPRIORITIES, ONE OF WHICH SHOULD ADDRESS A HEALTH DISPARITY, AND DEVELOPINGA PLAN TO ADDRESS THE IDENTIFIED PRIORITIES.
NORTHERN WESTCHESTER HOSPITAL PART V, SECTION B, LINE 7D: IN ADDITION, A LINK TO THE CSP WILL BE INCLUDED IN UPCOMING ISSUES OF NW HEALTH ELECTRONIC NEWSLETTERS.
NORTHERN WESTCHESTER HOSPITAL PART V, SECTION B, LINE 11: NORTHERN WESTCHESTER HAS NOT ADDRESSED ALL HEALTH NEEDS IDENTIFIED IN THE NYS PREVENTION AGENDA. AS PART OF ITS ONGOING COMMITMENT TO ADDRESS HEALTH PRIORITIES, THE TEAM IS PLANNING TO CONTINUE MEETING TO REVIEW PROGRESS IN IMPLEMENTING THE IMPROVEMENT PLANS DEVELOPED BY EACH AGENCY, TO WORK TOGETHER, WHEN APPLICABLE, ON PLANNED ACTIVITIES, TO DISCUSS BARRIERS TO IMPLEMENTATION AND CONSIDER NEW STRATEGIES THAT COULD BE ADOPTED. THE TEAM IS ALSO PLANNING TO REGULARLY CONVENE THE ATTENDEES FROM THE HEALTH SUMMIT TO PROVIDE INPUT AND SUPPORT ON PROJECT IMPLEMENTATION.
PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
NORTHERN WESTCHESTER HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: WWW.NWHC.NET
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. 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) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
PART I, LINE 3C NWH USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS.
PART I, LINE 6A NWH'S ANNUAL COMMUNITY SERVICE PLAN IS POSTED TO THE HOSPITAL'S WEBSITE AND AVAILABLE IN PRINTED VERSION AT THE HOSPITAL AND DISTRIBUTED WITHIN THE COMMUNITY ART VARIOUS EVENTS SPONSORED BY NWH. THE 2014-2014 PLANS ARE AVAILABLE AT WWW.NWHC.NET.
PART III, LINE 2: BAD DEBT EXPNESE IS AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS
PART III, LINE 4: BAD DEBT EXPNESE IS DESCRIBED IN THE 2014 NORTHERN WESTCHESTER HOSPITAL ASSOCIATION'S AUDITED FINANCIAL STATEMENTS WITHIN NOTE 1.
PART III LINE 8 NWH IS GOVERNED BY A BOARD OF TRUSTEES COMPRISED OF INDEPENDENT PERSONS REPRESENTING THE COMMUNITY THE HOSPITAL SERVES. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24/7 TO ALL PEOPLE REGARDLESS OF ONE'S ABILITY TO PAY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS WITHIN THE HOSPITAL'S SERVICE AREA. FINALLY, THE HOSPITAL PARTICIPATES IN THE MEDICARE, MEDICAID AND ALL OTHER APPLICABLE GOVERNMENT-SPONSORED HEALTH PROGRAMS. TO PROVIDE READILY ACCESSIBLE, STATE-OF-THE-ART AND HIGHEST QUALITY CARE POSSIBLE TO ALL PATIENTS, THE BOARD OF TRUSTEES HAS EMBRACED THE NEED TO SUBSIDIZE THE COST OF CARE PROVIDED TO INDIVIDUALS COVERED BY GOVERNMENT-SPONSORED HEALTH PROGRAMS. THEREFORE, SIMILAR TO THE UNREIMBURSED COST OF CARE PROVIDED TO MEDICAID COVERED PATIENTS, THE SHORTFALL ATTRIBUTABLE TO MEDICARE COVERED PATIENTS IS A MEASURE OF THE BENEFIT THE HOSPITAL PROVIDES TO ITS COMMUNITY.
PART VI, LINE 2: ASSESSING THE NEEDS OF THE COMMUNITYNWH SERVES THE COMMUNITY ALONGSIDE MANY DEDICATED COMMUNITY ORGANIZATIONS. THESE ORGANIZATIONS, GROUPS AND CIVIC LEADERS ALONG WITH THE NWH BOARD OF TRUSTEES, EMPLOYED STAFF, VOLUNTEERS AND AFFILIATED PHYSICIANS ARE INVOLVED IN ASSESSING COMMUNITY HEALTH NEEDS AND CONTRIBUTING THEIR IDEAS AND INPUT TOWARDS THE DEVELOPMENT OF NWH'S COMMUNITY SERVICE PRIORITIES. AMONG THE MANY LOCAL ORGANIZATIONS THAT COLLABORATE WITH NWH ARE: NEIGHBOR'S LINK; OPEN DOOR FAMILY MEDICAL CENTERS (FEDERALLY QUALIFIED HEALTH CENTER); BOYS & GIRLS CLUB OF NORTHERN WESTCHESTER; LOCAL SCHOOL DISTRICTS; NWH PRESIDENT'S COUNCIL (WHICH CONTAINS REPRESENTATIVES FROM MANY LOCAL BUSINESSES); NWH JUNIOR PRESIDENT'S COUNCIL; LOCAL CHAMBERS OF COMMERCE, ROTARIES AND CIVIC ORGANIZATIONS; LOCAL AND COUNTY POLICE DEPARTMENTS; AND ELECTED OFFICIALS.NWH ALSO WORKED CLOSELY WITH WESTCHESTER COUNTY HEALTH PLANNING COMMITTEE (WCHPC OR "COMMITTEE")). LEAD BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, THIS IS A COLLABORATIVE GROUP COMPRISED OF WESTCHESTER COUNTY HOSPITALS AND HEALTHCARE PROVIDERS FORMED THE WESTCHESTER COUNTY HEALTH PLANNING COMMITTEE ("COMMITTEE") IN ORDER TO ADVANCE NEW YORK STATE'S PREVENTION AGENDA. THIS COMMITTEE MET MONTHLY AND HELD A HEALTH PLANNING SUMMIT INVITING APPROPRIATE AGENCIES FROM THROUGHOUT THE COUNTY. DURING 2014, NWH, IN CONJUNCTION WITH ITS PARTICIPATION ON THE WCHPC, ALSO RESPONDED TO THE NYS INITIATIVE WHEREBY WESTCHESTER COUNTY HOSPITALS AND THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH WERE REQUIRED TO IDENTIFY TWO NEW YORK STATE PREVENTION AGENDA PRIORITIES TO ADDRESS TOGETHER. ONE OF THOSE ITEMS IS REQUIRED TO ADDRESS A HEALTHCARE DISPARITY. THE PUBLIC HEALTH PRIORITIES WERE EVALUATED USING SEVERAL CRITERIA:- DATA - THE HEALTH OF WESTCHESTER COUNTY'S POPULATION WAS EVALUATED RELATIVE TO NEW YORK STATE'S PREVENTION AGENDA INDICATORS AND GOALS TO DETERMINE WHERE IMPROVEMENT WAS NEEDED.- IMPACT - FOCUSING ON OBESITY IN THE PREVENTION OF CHRONIC DISEASE WILL ALLOW US TO IMPACT VARIOUS HEALTH PROBLEMS: CARDIOVASCULAR DISEASE, STROKE, AND DIABETES TO NAME A FEW. OBESITY, HEART DISEASE AND STROKE WERE IDENTIFIED AS TOP CONCERNS FOR OUR COMMUNITY. BREASTFEEDING HAS BEEN SHOWN TO REDUCE CHILDHOOD OBESITY AND PROVIDE NUMEROUS HEALTH BENEFITS FOR MOTHER AND CHILD.- READINESS - NORTHERN WESTCHESTER HOSPITAL HAS EXISTING EFFORTS AND PARTNERSHIPS IN PLACE TO SUPPORT THE CHOSEN PRIORITIES. BOTH SELECTED PRIORITIES WILL INCORPORATE MANY OF NWH'S EXISTING PUBLIC HEALTH INITIATIVES. THESE INITIATIVES WILL BE SUPPORTED BY EXISTING, NEW AND MODIFIED PROGRAMS. ALL WILL BE SUPPLEMENTED BY INPUT AND SUPPORT FROM COMMUNITY PARTNERS TO VARYING DEGREES.NWH ALSO COORDINATED ITS ASSESSMENT EFFORTS WITH ITS COMMUNITY. WORKING WITH LOCAL MEDIA, NORTHERN WESTCHESTER HOSPITAL CONDUCTED A COMMUNITY HEALTH SURVEY OF COMMUNITY MEMBERS WITHIN THE HOSPITAL'S SERVICE AREA. IN ADDITION, THE STRATEGIC PLANNING COMMITTEE, BOARD OF TRUSTEES AND SENIOR MANAGEMENT CONDUCTED AN ANNUAL STRATEGIC PLANNING RETREAT TO EVALUATE THE HOSPITAL'S STRATEGIC PLAN, MISSION AND PROGRAM DEVELOPMENT BASED ON THE CURRENT HEALTHCARE ENVIRONMENT AND NEEDS OF THE COMMUNITIES SERVED BY THE HOSPITAL.
PART VI, LINE 3: ELIGIBILITY FOR ASSISTANCENORTHERN WESTCHESTER HOSPITAL BELIEVES THAT A CRITICAL COMPONENT TO PROVIDING ACCESS TO ALL SEGMENTS OF ITS COMMUNITY IS A ROBUST FINANCIAL ASSISTANCE PROGRAM. ADOPTED BY THE BOARD OF TRUSTEES, THIS PROGRAM INCLUDES AN ACTIVE COMMUNICATION PLAN, GUIDELINES THAT EXCEED MANDATES, AND READILY AVAILABLE MULTILINGUAL FINANCIAL COUNSELORS. TO COMPLEMENT THIS PROGRAM, NWH PROVIDES A MULTILINGUAL PATIENT NAVIGATOR PROGRAM THAT ASSISTS PATIENTS RECEIVING FINANCIAL ASSISTANCE AT NWH, AS WELL AS HELPING THESE SAME PATIENTS IN SECURING SERVICES PROVIDED OUTSIDE THE HOSPITAL. ENHANCEMENTS TO THIS PROGRAM FOCUSED ON EDUCATING OUR FRONT-LINE REGISTRATION STAFF ON THE IMPORTANCE OF INFORMING UNINSURED PATIENTS ABOUT THIS PROGRAM. IN ADDITION, THE HOSPITAL'S SELF-PAY BILLING PROCESS INCLUDES DISCUSSIONS WITH PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE.
PART VI, LINE 4: COMMUNITY INFORMATIONFOUNDED IN 1916, NORTHERN WESTCHESTER HOSPITAL (NWH) IS A NOT-FOR-PROFIT, 233-BED, ALL PRIVATE ROOM FACILITY IN MOUNT KISCO, NEW YORK SERVING RESIDENTS OF NORTHERN WESTCHESTER, PUTNAM AND SOUTHERN DUTCHESS COUNTIES IN NEW YORK AND PORTIONS OF FAIRFIELD COUNTY, CT. THE HOSPITAL OFFERS STATE-OF-THE-ART CARE IN A WARM AND NURTURING ENVIRONMENT FOR ALL AREA RESIDENTS REGARDLESS OF THEIR HEALTH INSURANCE STATUS OR ABILITY TO PAY FOR MEDICAL CARE.NORTHERN WESTCHESTER HOSPITAL'S 'COMMUNITY' IS DEFINED AS THE TEN TOWNS/VILLAGES IN THE IMMEDIATE RADIUS SURROUNDING THE HOSPITAL. THE HOSPITAL'S BROADER 'REGION' INCLUDES THOSE ADDITIONAL TOWNS/VILLAGES LOCATED TO THE NORTH INTO PUTNAM COUNTY AND TO THE EAST TOWARDS THE HUDSON RIVER BORDER OF WESTCHESTER COUNTY. THE 'COMMUNITY' AND 'REGION' ARE DEFINED BY TOWN LINES. FOR PURPOSES OF DEFINING ITS COMMUNITY AND DEVELOPING ITS COMMUNITY SERVICE PLAN, DEMOGRAPHIC AND PATIENT DATA WERE CAPTURED AT THE ZIP CODE LEVEL. THIS DATA REVEALED THAT THE POPULATION WITHIN THE HOSPITAL'S SERVICE AREA HAS INCREASED SINCE THE 2000 U.S. CENSUS.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHDURING 2014, NWH, IN CONJUNCTION WITH ITS PARTICIPATION ON THE WCHPC, ALSO RESPONDED TO THE NYS INITIATIVE WHEREBY WESTCHESTER COUNTY HOSPITALS AND THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH WERE REQUIRED TO IDENTIFY TWO NEW YORK STATE PREVENTION AGENDA PRIORITIES TO ADDRESS TOGETHER. ONE OF THOSE ITEMS IS REQUIRED TO ADDRESS A HEALTHCARE DISPARITY. THE PUBLIC HEALTH PRIORITIES WERE EVALUATED USING SEVERAL CRITERIA:- DATA THE HEALTH OF WESTCHESTER COUNTY'S POPULATION WAS EVALUATED RELATIVE TO NEW YORK STATE'S PREVENTION AGENDA INDICATORS AND GOALS TO DETERMINE WHERE IMPROVEMENT WAS NEEDED.- IMPACT FOCUSING ON OBESITY IN THE PREVENTION OF CHRONIC DISEASE WILL ALLOW US TO IMPACT VARIOUS HEALTH PROBLEMS: CARDIOVASCULAR DISEASE, STROKE, AND DIABETES TO NAME A FEW. OBESITY, HEART DISEASE AND STROKE WERE IDENTIFIED AS TOP CONCERNS FOR OUR COMMUNITY. BREASTFEEDING HAS BEEN SHOWN TO REDUCE CHILDHOOD OBESITY AND PROVIDE NUMEROUS HEALTH BENEFITS FOR MOTHER AND CHILD.- READINESS NORTHERN WESTCHESTER HOSPITAL HAS EXISTING EFFORTS AND PARTNERSHIPS IN PLACE TO SUPPORT THE CHOSEN PRIORITIES. BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED BY THE WCHPC, PROMOTING HEALTHY, WOMEN, INFANTS AND CHILDREN AND PREVENTING CHRONIC DISEASE WERE SELECTED AS NYS PREVENTION AGENDA PRIORITIES. BOTH SELECTED PRIORITIES WILL INCORPORATE MANY OF NWH'S EXISTING PUBLIC HEALTH INITIATIVES. THESE INITIATIVES WILL BE SUPPORTED BY EXISTING, NEW AND MODIFIED PROGRAMS. ALL WILL BE SUPPLEMENTED BY INPUT AND SUPPORT FROM COMMUNITY PARTNERS TO VARYING DEGREES.WITHIN ITS THREE-YEAR PLAN OF ACTION AND WITH REGARD TO THE PROMOTING HEALTHY, WOMEN, INFANTS AND CHILDREN AGENDA ITEM, NWH HAS THE FOLLOWING PROGRAMS IN PLACE:- THE FOCUS OF NWH'S SUPPORT OF THIS INITIATIVE THROUGH ITS "BREASTFEEDING" AND "ACCOMODATION OF BREASTFEEDING STAFF" IS TO INCREASE THE PROPORTION OF NYS BABIES WHO ARE BREASTFED. STRATEGICALLY, NWH STRIVES TO CREATE AN ENVIRONMENT AROUND WOMEN FOR INITIATION AND SUSTAINING BREASTFEEDING FOR AT LEAST SIX MONTHS AND TO CREATE A SYSTEMATIC APPROACH LOOKING AT PRENATAL CARE PROVIDERS, HOSPITAL POLICIES, SUPPORT GROUPS TO CHANGE COMMUNITY ENVIRONMENTWITHIN ITS THREE-YEAR PLAN OF ACTION AND WITH REGARD TO THE PREVENTING CHRONIC DISEASES AGENDA ITEM, NWH HAS THE FOLLOWING PROGRAMS IN PLACE:- THE FOCUS OF NWH'S SUPPORT OF THIS INITIATIVE THROUGH ITS "FOOD IS CARE", "COMMUNITY HEALTH OUTREACH PROGRAM", "PEDIATRIC MEDICALLY SUPERVISED EXERCISE/WELLNESS PROGRAM", "MEDICALLY SUPERVISED EXERCISE/WELLNESS PROGRAM FOR ADULTS", AND "WORKFORCE WELLNESS" IS TO ADDRESS DISPARITIES IN COMMUNITY HEALTH AND REDUCE OBESITY IN CHILDREN AND ADULTS. STRATEGICALLY, NWH SEEKS TO ENGAGE BOTH YOUTH AND ADULTS IN THE COMMUNITY TO CREATE AWARENESS, EDUCATIONAL OPPORTUNITIES, SCREENING OCCASIONS, AND CLINICAL PROGRAMS THAT ADDRESS THE OBESITY EPIDEMIC FROM BOTH A PREVENTION AND MANAGEMENT STANDPOINT. NWH ALSO SEEKS TO CREATE A SYSTEMATIC APPROACH LOOKING AT PROVIDERS, HOSPITAL POLICIES, AND SUPPORT GROUPS TO CHANGE COMMUNITY ENVIRONMENT.- THE FOCUS OF NWH'S SUPPORT OF THIS INITIATIVE THROUGH ITS "LIVE TO BE TOBACCO FREE SMOKING CESSATION PROGRAM", AND "SMOKE FREE CAMPUS" IS TO ADDRESS A DISPARITY IN COMMUNITY HEALTH AND REDUCE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE. STRATEGICALLY, NWH SEEKS TO ENGAGE ADULTS, STAFF AND COMMUNITY MEMBERS TO CREATE AWARENESS, EDUCATIONAL OPPORTUNITIES, AND CLINICAL PROGRAMS THAT ADDRESS SMOKING CESSATION. NWH ALSO SEEKS TO CREATE A SYSTEMATIC APPROACH THROUGH HOSPITAL POLICIES, EDUCATION AND SUPPORT GROUPS TO CHANGE COMMUNITY ENVIRONMENT.DETAILED INFORMATION REGARDING THE COMMUNITY BENEFIT PROGRAMS WHICH SUPPORT THE SELECTED AGENDA INITIATIVES MENTIONED IN THIS SECTION CAN BE FOUND AT WWW.NWHC.NET.IN ADDITION TO THE NUMEROUS PROGRAMS IT PROVIDES IN SUPPORT OF THE SELECTED NYS PREVENTION AGENDA ITEMS, AS A NOT-FOR-PROFIT HOSPITAL, NORTHERN WESTCHESTER HOSPITAL PROVIDES MANY COMMUNITY BENEFITS INCLUDING CHARITY CARE AND OUTREACH TO THE COMMUNITY'S MOST AT-RISK PATIENTS. THESE PROGRAMS INCLUDE: 1. CARE COORDINATION THROUGH THE NWH PATIENT NAVIGATOR HELPS FACILITATE ACCESS TO HEALTHCARE AND RESOURCES PRIMARILY FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED. THE PATIENT NAVIGATOR ALSO ASSISTS NON-ENGLISH SPEAKING OR LIMITED ENGLISH SPEAKING PATIENTS WITH LANGUAGE TRANSLATION SERVICES TO ENSURE THEIR UNDERSTANDING OF COMPLEX HEALTHCARE ISSUES. THE PATIENT NAVIGATOR IS A SPECIALLY TRAINED, CULTURALLY SENSITIVE, BILINGUAL HEALTHCARE WORKER WHO PROVIDES SUPPORT AND GUIDANCE TO PATIENTS AND THEIR FAMILY MEMBERS. THE PATIENT NAVIGATOR HELPS FACILITATE ACCESS TO A VARIETY OF HEALTHCARE PROFESSIONALS AND SERVICES AT NWH AND WITHIN THE COMMUNITY, INCLUDING OUR TWO (2) MEDICAL GROUP PARTNERS: MOUNT KISCO MEDICAL GROUP AND WESTCHESTER HEALTH ASSOCIATES.2. THE BREAST HEALTH INITIATIVE WHICH PROVIDES A CONTINUUM OF FREE BREAST HEALTH SERVICES (INCLUDING MAMMOGRAPHY AND BREAST SCREENINGS.) TO UNINSURED AND UNDERINSURED WOMEN.3. THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP) WHICH PROVIDES COMPREHENSIVE CARE TO UNDER-INSURED AND UNINSURED PREGNANT WOMEN IN WESTCHESTER AND PUTNAM COUNTIES. 4. THE GI CLINIC- WHICH PROVIDES ACCESS TO BOARD CERTIFIED GASTROENTEROLOGISTS FOR LOW-INCOME UNINSURED PATIENTS. 5. THE INPATIENT BEHAVIORAL HEALTH UNIT CONTINUES TO BE OFFERED AS ONE OF OUR ACUTE CARE SERVICES IN ORDER TO SATISFY UNMET NEEDS WITHIN OUR COMMUNITY.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMIN 2014, STELLARIS WAS REMOVED AS THE ACTIVE PARENT AND CO-OPERATOR OF NWH. SUBSEQUENTLY, NHW ENTERED INTO AN AGREEMENT WITH NORTH SHORE-LONG ISLAND JEWISH HEALTH CARE, INC. (NSLIJ) TO JOIN IN A COMMON HEALTH SYSTEM. NSLIJ WOULD BECOME THE SOLE MEMBER.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTNWH HAS FILED A COMMUNITY SERVICE PLAN WITH NEW YORK STATE. THIS COMPREHENSIVE PLAN OUTLINES THE HOSPITAL'S IDENTIFIED COMMUNITY NEEDS AND ITS IMPLEMENTATION STRATEGY RELATED TO THOSE NEEDS.
Schedule H (Form 990) 2014
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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
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
directors, trustees, officers, including 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
 
No
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), 501(c)(4), and 501(c)(29) organizations 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) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1JOEL SELIGMANPRESIDENT & CEO (i)
(ii)		 699,926
...............................
0 		1,290,905
...............................
0 		21,131
...............................
0 		10,400
...............................
0 		20,927
...............................
0 		2,043,289
...............................
0 		0
...............................
0
2MARLA KOROLYSR. VP MEDICAL AFFAIRS (i)
(ii)		 487,043
...............................
0 		139,500
...............................
0 		9,154
...............................
0 		10,400
...............................
0 		28,796
...............................
0 		674,893
...............................
0 		0
...............................
0
3LAURAINE SZEKELYSR.VP - NURSING (i)
(ii)		 309,012
...............................
0 		87,585
...............................
0 		2,733
...............................
0 		10,400
...............................
0 		13,540
...............................
0 		423,270
...............................
0 		0
...............................
0
4JOHN J PARTENZATREASURER & SR. VP - CFO (i)
(ii)		 357,635
...............................
0 		95,766
...............................
0 		7,963
...............................
0 		10,400
...............................
0 		23,888
...............................
0 		495,652
...............................
0 		0
...............................
0
5SUSAN ETKINVP -STRATEGIC & ORG.PLAN (i)
(ii)		 211,406
...............................
0 		37,882
...............................
0 		500
...............................
0 		9,353
...............................
0 		19,749
...............................
0 		278,890
...............................
0 		0
...............................
0
6MICHAEL J CARUSOVP - FACILITIES ADMIN. (i)
(ii)		 233,925
...............................
0 		42,180
...............................
0 		500
...............................
0 		9,890
...............................
0 		30,767
...............................
0 		317,262
...............................
0 		0
...............................
0
7PATRICE KOENEKE ESQCHIEF LEGAL OFFICER (i)
(ii)		 242,893
...............................
0 		43,240
...............................
0 		500
...............................
0 		10,199
...............................
0 		30,351
...............................
0 		327,183
...............................
0 		0
...............................
0
8KERRY FLYNN BARRETTVP HUMAN RESOURCES (i)
(ii)		 217,510
...............................
0 		39,723
...............................
0 		2,175
...............................
0 		9,742
...............................
0 		32,934
...............................
0 		302,084
...............................
0 		0
...............................
0
9MARIA HALEVP-PATIENT ADVOCACY & SVCS (i)
(ii)		 229,285
...............................
0 		39,856
...............................
0 		5,298
...............................
0 		10,088
...............................
0 		29,793
...............................
0 		314,320
...............................
0 		0
...............................
0
10MARK VINCENTVP-PUBLIC AFFAIRS & MARKETS (i)
(ii)		 201,561
...............................
0 		51,988
...............................
0 		4,045
...............................
0 		9,477
...............................
0 		28,851
...............................
0 		295,922
...............................
0 		0
...............................
0
11KATE O'KEEFEVP, QUALITY MANAGEMENT (i)
(ii)		 171,927
...............................
0 		34,150
...............................
0 		500
...............................
0 		7,744
...............................
0 		12,262
...............................
0 		226,583
...............................
0 		0
...............................
0
12MICHAEL ROSENBERG MDVP, PHYSICIAN SURGICAL SERVICES (i)
(ii)		 232,038
...............................
435,754 		15,200
...............................
0 		8,870
...............................
0 		9,225
...............................
0 		32,061
...............................
0 		297,394
...............................
435,754 		0
...............................
0
13HARLAN WEINBERG MDDIRECTOR-CARDIO PULMONAR (i)
(ii)		 340,228
...............................
0 		304,107
...............................
0 		0
...............................
0 		10,400
...............................
0 		30,591
...............................
0 		685,326
...............................
0 		0
...............................
0
14ARTHUR TURKEN MDDIRECTOR - WOUND CARE (i)
(ii)		 123,997
...............................
0 		47,377
...............................
0 		154
...............................
0 		3,971
...............................
0 		11,962
...............................
0 		187,461
...............................
0 		0
...............................
0
15PHILIP BONANNO MDDIRECTOR (i)
(ii)		 347,072
...............................
0 		0
...............................
0 		0
...............................
0 		10,400
...............................
0 		11,962
...............................
0 		369,434
...............................
0 		0
...............................
0
16CORINA SUCIU MDASSOC.MEDICAL DIRECTOR (i)
(ii)		 168,389
...............................
0 		77,705
...............................
0 		3,769
...............................
0 		7,296
...............................
0 		22,998
...............................
0 		280,157
...............................
0 		0
...............................
0
17FRANCENE GALLOUSIS MDPERINATOLOGIST (i)
(ii)		 286,570
...............................
0 		59,214
...............................
0 		0
...............................
0 		10,400
...............................
0 		32,061
...............................
0 		388,245
...............................
0 		0
...............................
0
18IRINA ZHABINSKAYA MDDIRECTOR - PEDIATRICS (i)
(ii)		 238,754
...............................
0 		22,990
...............................
0 		0
...............................
0 		10,346
...............................
0 		25,497
...............................
0 		297,587
...............................
0 		0
...............................
0
19JOHN STAFFORD MDDIRECTOR - NEONATOLOGY (i)
(ii)		 246,454
...............................
0 		0
...............................
0 		7,043
...............................
0 		10,311
...............................
0 		36,235
...............................
0 		300,043
...............................
0 		0
...............................
0
20PRAVEEN RADRARAJU MDADULT HOSPITALIST (i)
(ii)		 141,757
...............................
0 		452,500
...............................
0 		3,385
...............................
0 		4,783
...............................
0 		33,061
...............................
0 		635,486
...............................
0 		0
...............................
0
21ADAM HIRSCH MDADULT HOSPITALIST (i)
(ii)		 205,392
...............................
0 		87,333
...............................
0 		4,538
...............................
0 		8,920
...............................
0 		39,146
...............................
0 		345,329
...............................
0 		0
...............................
0
22BERNARD PAUL WHITE MDSURGICAL HOSPITALIST (i)
(ii)		 227,328
...............................
0 		82,945
...............................
0 		0
...............................
0 		9,817
...............................
0 		2,500
...............................
0 		322,590
...............................
0 		0
...............................
0
23ELIZABETH MIRABELLO MDDIRECTOR (i)
(ii)		 229,536
...............................
0 		50,737
...............................
0 		4,435
...............................
0 		9,916
...............................
0 		15,293
...............................
0 		309,917
...............................
0 		0
...............................
0
24LAKSHMI TUPILI MDDIRECTOR (i)
(ii)		 151,677
...............................
0 		79,781
...............................
0 		3,577
...............................
0 		5,995
...............................
0 		38,061
...............................
0 		279,091
...............................
0 		0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
PART I, LINE 4B JOEL SELIGMAN, THE PRESIDENT AND CEO OF NORTHERN WESTCHESTER HOSPITAL ASSOCIATION, PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN 2014. THE 2014 CONTRIBUTION TO A SERP($960,905) IS REFLECTED IN SCHEDULE J, PART II COLUMN (B)(II).
PART I, LINE 7 NWH HAS A STRONG COMMITMENT TO PERFORMANCE-BASED COMPENSATION, INCLUDING BONUS COMPENSATION, TO RECOGNIZE STRONG INDIVIDUAL AND ORGANIZATION PERFORMANCE. THE BONUS PORTION OF COMPENSATION IS NOT GUARANTEED AND IS VARIABLE BASED ON SPECIFIC MEASURES RECOMMENDED BY SENIOR MANAGEMENT AND APPROVED BY THE BOARD OF TRUSTEES. THESE MEASURES INCLUDE OVERALL HOSPITAL GOALS SUCH AS CLINICAL QUALITY, PATIENT SATISFACTION, UNINSURED/UNDERINSURED COMMUNITY MEMBERS' ACCESS TO HOSPITAL SERVICES, AND THE INDIVIDUALS THAT HAVE RECEIVED BONUSES HAVE THOSE AMOUNTS REPORTED IN SCHEDULE J PART II COLUMN (B)(II). OVERALL ORGANIZATIONAL PERFORMANCE. INDIVIDUAL GOALS ARE ALIGNED TO ATTAIN THE OVERALL HOSPITAL GOALS AS A COMPONENT OF TOTAL COMPENSATION, BONUS COMPENSATION FOR THE CEO IS RECOMMENDED ANNUALLY BY THE COMPENSATION COMMITTEE AND ULTIMATELY APPROVED BY THE BOARD OF TRUSTEES. ALL RECOMMENDATIONS AND APPROVALS FOR BONUS COMPENSATION ARE ATTAINED WITHOUT INPUT OR VOTING PARTICIPATION BY PERSONS WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST.
Schedule J (Form 990) 2014

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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number
13-1740118
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 CNTYOF WESTCHINDUSTRDEVELOP AGENCY
  		52-1294265 957368FW8 11-04-2004 16,000,000 CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITY,REFUND BONDS ISSUED 4/27/04   X   X   X
B DORMITORY AUTHORITY STATE OF NY
  		14-6000293 649905WE2 12-17-2009 17,000,000 CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITY   X   X   X
C WESTCHESTER COUNTY LOCAL DEVELOPMENT CORP
  		45-5135576   07-23-2014 33,000,000 CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITY   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 5,995,000 2,230,000    
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 16,015,055 17,052,984 33,001,005  
4 Gross proceeds in reserve funds . . . . . . . . . . . . 137,991 105,129    
5 Capitalized interest from proceeds . . . . . . . . . . . 82,115 82,115 385,467  
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 188,109 339,605    
8 Credit enhancement from proceeds . . . . . . . . . . . 93,363 273,866    
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 8,230,614 13,956,740 8,665,013  
11 Other spent proceeds . . . . . . . . . . . . . . 7,502,969      
12 Other unspent proceeds . . . . . . . . . . . . . . 2,400,657 2,400,657 23,950,525  
13 Year of substantial completion . . . . . . . . . . . . 2007 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X   X    
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X    
16 Has the final allocation of proceeds been made? . . . . . . . . X     X   X    
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X     X   X    
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
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? . . . . . . . . . . . . X   X     X    
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?   X   X        
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X    
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 1.970 %      
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        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 1.970 %      
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X    
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?. . . . . . . . . . . . . . . . .   X   X   X    
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? . . . . . . . 		  X   X   X    
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X      
b Exception to rebate? . . . . . . . . X     X   X    
c No rebate due? . . . . . . . .   X X     X    
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . . X   X   X      
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
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   X   X    
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
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 X     X    
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X    
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
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   X   X    
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART II, LINE 3 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.
PART II, LINE 4 THE AMOUNTS SHOWN HERE CONSIST OF DEBT SERVICE FUND DEPOSITS.
PART IV, LINE 2C, COLUMN B ARBITRAGE REPORTING IS HANDLED BY THE ACTUAL ISSUER OF THE BONDS; NORTHERN WESTCHESTER HOSPITAL ASSOCIATION DOES NOT HAVE A COPY OF THE ACTUAL REBATE REPORT.
PART IV, LINE 6, COLUMN B SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED.
Schedule K (Form 990) 2014

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
Return Reference Explanation
FORM 990, PART I, LINE I ORGANIZATION'S MISSION NWH'S PRIMARY EXEMPT MISSION IS TO PROVIDE THE HIGHEST QUALITY DIAGNOSTIC AND TREATMENT SERVICES FOR OUR COMMUNITY, WHILE ASSURING ACCESS TO A COORDINATED CONTINUUM OF HEALTHCARE SERVICES.
FORM 990, PART III, LINE 1 ORGANZIATION'S MISSION FOUNDED 98 YEARS AGO, NORTHERN WESTCHESTER HOSPITAL (NWH) IS A NOT-FOR-PROFIT, 233-BED ALL PRIVATE ROOM FACILITY LOCATED IN MOUNT KISCO, NEW YORK AND SERVING RESIDENTS OF NORTHERN WESTCHESTER, PUTNAM AND SOUTHERN DUTCHESS COUNTIES IN NEW YORK AND PORTIONS OF FAIRFIELD COUNTY, CT. THROUGH JANUARY 9, 2014 NWH WAS ALSO ONE OF FOUR MEMBERS OF STELLARIS HEALTH NETWORK, WHICH HELPED ACHIEVE OPERATING EFFICIENCIES THAT ENABLED MEMBER HOSPITALS TO ENHANCE DELIVERY OF HIGH QUALITY HEALTH CARE SERVICES. ON JANUARY 9, 2014 STELLARIS WAS REMOVED AS THE ACTIVE PARENT AND CO-OPERATOR OF NWH. SUBSEQUENTLY, NHW ENTERED INTO AN AGREEMENT WITH NORTH SHORE-LONG ISLAND JEWISH HEALTH CARE, INC. (NSLIJ) TO JOIN IN A COMMON HEALTH SYSTEM. NSLIJ WOULD BECOME THE SOLE MEMBER.
FORM 990, PART III, LINE 4A INPATIENT SERVICES: THE HOSPITAL PROVIDES MEDICAL, SURGICAL, OBSTETRIC, NURSERY, NEONATE INTENSIVE CARE AND PEDIATRIC SERVICES. IN 2014, 9,681 PATIENTS WERE TREATED AND DISCHARGED FROM THE HOSPITAL, INCLUDING 1,626 DELIVERIES. THE HOSPITAL'S SPECIAL CARE NURSERY IS CERTIFIED AS A 10-BED LEVEL III NEONATOLOGY UNIT. THIS NURSERY IS STAFFED FULL-TIME BY NEONATOLOGISTS AS WELL AS A TEAM OF HIGHLY SKILLED NEONATAL NURSES. IN RESPONSE TO THE UNMET NEEDS OF THE UNINSURED IN ITS COMMUNITY, THE HOSPITAL ESTABLISHED, IN CONJUNCTION WITH NEW YORK STATE, A PRENATAL CARE PROGRAM. SERVING APPROXIMATELY 200 MOTHERS-TO-BE ANNUALLY, THIS PROGRAM PROVIDES ALL THE MEDICAL NEEDS OF THE EXPECTANT MOTHER. IN 2014, THE HOSPITAL PROVIDED $2,231,793, IN GROSS CHARGES, OF CHARITY CARE FOR PATIENTS RECEIVING INPATIENT SERVICES, AT A COST OF $941,800.
FORM 990, PART III, LINE 4B OUTPATIENT SERVICES: THE HOSPITAL OFFERS THE LATEST TECHNOLOGIES IN DIAGNOSTIC TESTING, AMBULATORY SURGERY AND REHABILITATION MEDICINE. IN RESPONSE TO ITS COMMUNITY NEEDS, THE HOSPITAL OPENED ITS CANCER TREATMENT AND WELLNESS CENTER IN 2005. ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS AS A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM, THE CENTER IS DESIGNED AROUND A PATIENT-CENTERED MODEL OF CARE. THE MULTIDISCIPLINARY TEAM OF HEALTHCARE PROFESSIONALS THAT WORK IN THE CENTER HAVE TRAINED AND PRACTICED AT LEADING INSTITUTIONS AND BRING YEARS OF CLINICAL EXPERTISE IN THE DIAGNOSIS, TREATMENT AND PREVENTION OF CANCER TO THE HOSPITAL'S COMMUNITY. IN ADDITION, THE HOSPITAL PROVIDES THE COMMUNITY WITH A WIDE RANGE OF HEALTH EDUCATION PROGRAMS AND SCREENING SERVICES AND IS DEDICATED TO BOARDING THE SCOPE OF WELLNESS AND EDUCATION PROGRAMS OFFERED WITHIN ITS COMMUNITY. IN 2014, $8,651,300, IN GROSS CHARGES, OF CHARITY CARE WAS PROVIDED TO PATIENTS RECEIVING OUTPATIENT SERVICES, AT A COST OF $3,650,800.
FORM 990, PART III LINE 4C BEHAVIORAL HEALTH: NORTHERN WESTCHESTER HOSPITAL'S DEPARTMENT OF BEHAVIORAL HEALTH UNIT PROVIDES COMPREHENSIVE PSYCHIATRIC CARE IN A PRIVATE, PATIENT-CENTERED ENVIRONMENT. SERVICES PROVIDED IN THIS 15-BED UNIT INCLUDE: - INPATIENT PSYCHIATRIC HOSPITALIZATION FOR ADULTS AGE 18 AND OVER ON A DEDICATED UNIT OF THE HOSPITAL; - EMERGENCY DEPARTMENT COVERAGE 24-HOURS A DAY PROVIDED BY BOARD CERTIFIED PSYCHIATRISTS; - CONSULTATION ON THE MEDICAL AND SURGICAL UNITS OF THE HOSPITAL PROVIDED BY PSYCHIATRIC AND SOCIAL WORK STAFF. IN 2014, 329 PATIENTS WERE TREATED AND DISCHARGED FROM THIS UNIT. THE HOSPITAL PROVIDED $354,500, IN GROSS CHARGES, OF CHARITY CARE FOR PATIENTS RECEIVING BEHAVIORAL HEALTH INPATIENT SERVICES, AT A COST OF $149,600.
FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES ELISA BURNS AND MARSHALL PERIS HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6 HEALTHSTAR NETWORK INC, D/B/A STELLARIS HEALTH NETWORK ("STELLARIS") WAS THE SOLE MEMBER OF NORTHERN WESTCHESTER HOSPITAL ASSOCIATION THROUGH JANUARY 9, 2014. ON JANUARY 9, 2014 STELLARIS WAS REMOVED AS THE ACTIVE PARENT AND CO-OPERATOR OF NWH. SUBSEQUENTLY, NHW ENTERED INTO AN AGREEMENT WITH NORTH SHORE-LONG ISLAND JEWISH HEALTH CARE, INC. (NSLIJ) TO JOIN IN A COMMON HEALTH SYSTEM. NSLIJ WOULD BECOME THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A NORTHERN WESTCHESTER HOSPITAL ASSOCIATION WAS AN AFFILIATE AND DIRECT SUBSIDIARY OF HEALTHSTAR NETWORK INC., D/B/A STELLARIS HEALTH NETWORK ("STELLARIS") THROUGH JANUARY 9, 2014. EVERY MEMBER OF THE BOARD OF TRUSTEES (GOVERNING BODY) SERVED AT THE RECOMMENDATION OF THE HEALTHSTAR NETWORK, INC. BOARD OF DIRECTORS. PURSUANT TO BOTH THE HOSPITAL'S AND STELLARIS'S BYLAWS, ALL APPOINTMENTS TO THE HOSPITAL'S BOARD WERE FIRST RECOMMENDED BY THE HOSPITAL TO THE HEALTHSTAR NOMINATING COMMITTEE. THE NOMINATING COMMITTEE REVIEWED THE NOMINATION AND THEN RECOMMENDED THE APPOINTMENT TO THE OVERALL STELLARIS BOARD FOR APPROVAL. PURSUANT TO THE RESPECTIVE ORGANIZATIONAL DOCUMENTS OF THE HOSPITAL AND HEALTHSTAR NETWORK, INC., CERTAIN DECISIONS OF THE GOVERNING BOARD WERE REQUIRED TO BE APPROVED BY THE HEALTHSTAR NETWORK BOARD OF DIRECTORS. SUCH DECISIONS INCLUDED MANAGED CARE CONTRACTING, EXPANSION/SUBTRACTION OF THE HOSPITAL ASSOCIATION'S OPERATIONS, CERTAIN ADMINISTRATIVE PROCEDURES, ETC. ON JANUARY 9, 2014 STELLARIS WAS REMOVED AS THE ACTIVE PARENT AND CO-OPERATOR OF NWH. SUBSEQUENTLY, NHW ENTERED INTO AN AGREEMENT WITH NORTH SHORE-LONG ISLAND JEWISH HEALTH CARE, INC. (NSLIJ) TO JOIN IN A COMMON HEALTH SYSTEM. NSLIJ WOULD BECOME THE SOLE MEMBER AND BE GRANTED THE POWERS LISTED ABOVE.
FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE RESPECTIVE ORGANIZATIONAL DOCUMENTS OF THE HOSPITAL AND HEALTHSTAR NETWORK, INC, CERTAIN DECISIONS OF THE GOVERNING BOARD WERE REQUIRED TO BE APPROVED BY THE HEALTHSTAR NETWORK BOARD OF DIRECTORS THROUGH JANUARY 9, 2014. SUCH DECISIONS INCLUDED MANAGED CARE CONTRACTING, EXPANSION/CONTRACTION OF THE HOSPITAL ASSOCIATION'S OPERATIONS, CERTAIN ADMINISTRATIVE PROCEDURES, ETC. ON JANUARY 9, 2014 STELLARIS WAS REMOVED AS THE ACTIVE PARENT AND CO-OPERATOR OF NWH. SUBSEQUENTLY, NHW ENTERED INTO AN AGREEMENT WITH NORTH SHORE-LONG ISLAND JEWISH HEALTH CARE, INC. (NSLIJ) TO JOIN IN A COMMON HEALTH SYSTEM. NSLIJ WOULD BECOME THE SOLE MEMBER AND BE GRANTED THE POWERS NOTED ABOVE.
FORM 990, PART VI, SECTION B, LINE 11 THE ASSOCIATION FORM 990 IS REVIEWED IN DETAIL BY THE ASSOCIATION'S SENIOR VICE PRESIDENT OF FINANCE AND TREASURER, AND BY THE DIRECTOR OF FINANCE OF NORTHERN WESTCHESTER HOSPITAL ASSOCIATION. PRIOR TO ITS FILING, A COPY OF THE FORM WAS REVIEWED WITH THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. IN ADDITION, THE FORM 990 WAS PRESENTED TO THE FULL BOARD AT THE MONTHLY BOARD MEETING ON OCTOBER 22, 2015 AND APPROVED AT THE SAME MEETING FOR FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE OF THE ASSOCIATION IS REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THAT ARISE BY VIRTUE OF THEIR EMPLOYMENT AND POSITION WITH THE NORTHERN WESTCHESTER HOSPITAL ASSOCIATION. THE ASSOCIATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL QUESTIONNAIRE SUBMITTED TO THESE INDIVIDUALS. POTENTIAL CONFLICTS ARE INVESTIGATED IMMEDIATELY.
FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES OF NORTHERN WESTCHESTER HOSPITAL IS RESPONSIBLE FOR OVERSEEING EXECUTIVE COMPENSATION POLICIES AND PRACTICES, AND FOR SETTING AND APPROVING SPECIFIC COMPENSATION FOR THE CEO. THE BOARD OF TRUSTEES HAS DELEGATED COORDINATION OF THIS PROCESS TO THE PENSION AND COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE BOARD AND WHOSE MEMBERSHIP IS MADE UP OF MEMBERS OF THE BOARD OF TRUSTEES AS WELL AS OUTSIDE NON-BOARD MEMBER EXPERTS. THIRD-PARTY EXPERT TO PROVIDE OBJECTIVE ADVICE AND RELEVANT INDUSTRY AND MARKETPLACE BENCHMARKS FOR COMPENSATION. ANNUALLY, THE COMMITTEE ASSESSES TOTAL COMPENSATION FOR THE CEO AND BASED ON THIS REVIEW MAKES RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE COMMITTEE ALSO REVIEWS THE COMPENSATION ANALYSIS AND DECISIONS OF THE CEO RELATIVE TO OTHER MEMBERS OF THE EXECUTIVE TEAM. ALL COMPENSATION IS APPROVED BY THE BOARD WITHOUT INPUT OR VOTING PARTICIPATION BY PERSONS WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19 THE TAXPAYER MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION.
FORM 990, PART XI, LINE 9: PENSION RELATED ADJUSTMENTS -28,873,280. CAPITAL CONTRIBUTION FROM NSLIJ (12/31/14) (SEE PART III LINE 1) 25,000,000.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION
 
Employer identification number

13-1740118
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on 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










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) NORTHERN WESTCHESTER HOSPITAL FOUNDATION INC
400 EAST MAIN STREET

MOUNT KISCO,NY105493417
13-4067064 		SUPPORT ORGANISATION NY 501(C)(3) LINE 9: 509(A)(2) NWHA
 
Yes
 
(2) NORCORP INC
400 EAST MAIN STREET

MOUNT KISCO,NY105493417
13-3366748 		RESEARCH NY 501(C)(3) LINE 11, TYPE I: 509 NWHA
 
Yes
 
(3) NORTHERN WESTCHESTER REALTY HOLDING CORP
400 EAST MAIN STREET

MOUNT KISCO,NY105493417
91-2134215 		TITLE HOLDING NY 501(C)(2)   NWHA
 
Yes
 
(4) STELLARIS HEALTH NETWORK
135 BEDFORD ROAD

ARMONK,NY10504
13-3911773 		HEALTHCARE NY 501(C)(3) LINE 11, TYPE II: 50 N/A
 
No
(5) WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROAD DAVIS AVENUE

WHITE PLAINS,NY10601
13-1740130 		HOSPITAL NY 501(C)(3) LINE 3: 170(B)(1)(A) N/A
 
No
(6) PHELPS MEMORIAL HOSPITAL ASSOCIATION
701 NORTH BROADWAY

SLEEPY HOLLOW,NY10591
13-1725076 		HOSPITAL NY 501(C)(3) LINE 3: 170(B)(1)(A) N/A
 
No
(7) LAWRENCE HOSPITAL CENTER
55 PALMER AVENUE

BRONXVILLE,NY10708
13-1740110 		HOSPITAL NY 501(C)(3) LINE 3: 170(B)(1)(A) N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) NORTHERN WESTCHESTER ONCOLOGY MANAGEMENT

400 EAST MAIN STREET
MOUNT KISCO,NY105493417
13-3697507 		MEDICAL PRACTICE NY NWHA
  		C     100.000 % Yes  
(2) NWHC HEALTH MANAGEMENT SERVICES INC

400 EAST MAIN STREET
MOUNT KISCO,NY105493417
13-3697510 		HEALTH MANAGEMENT NY NWHA
  		C 335,721 759,786 100.000 % Yes  
(3) NORTHERN WESTCHESTER SURGICAL SERVICES PC

400 EAST MAIN STREET
MOUNT KISCO,NY105493417
27-4550915 		RECONSTRUCTIVE SURGERY NY NWHA
  		C 3,217,908 1,167,461 100.000 % Yes  








Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
Yes
 
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
Yes
 
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
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) NORCORP INC

 N 2,031,168 FMV
(2) NOWESTCHSURGICAL SERVICES

 N 3,860,837 FMV
(3) NORTHERN WESTCHESTER HOSPITAL CENTER FOUNDATION INC

 C 9,665,560 FMV



Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 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) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


Software ID:  
Software Version: