TY 2015 Form 990

(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)
(1) J MICHAEL DIVNEY...................................................................... IMMEDIATE PAST CHAIR	3.0 ................. 1.0	X
(2) Paul M Weissman...................................................................... BOARD MEMBER	1.0 ................. 1.0	X
(3) Donald Stone...................................................................... Vice Chairman (Thru 4/15)	3.0 ................. 1.0	X
(4) Jennifer Gruenberg...................................................................... Vice Chairman	3.0 ................. 1.0	X
(5) Frank A Bruni...................................................................... Vice Chairman	3.0 ................. 1.0	X
(6) Stuart T Nevins MD...................................................................... Treasurer	3.0 ................. 1.0	X
(7) Ann Edwards...................................................................... Vice Chairman	3.0 ................. 1.0	X
(8) Robert Feder...................................................................... Board Member	1.0 ................. 1.0	X
(9) H Guy Leibler...................................................................... Chairman Emeritus (Thru 4/15)	1.0 ................. 1.0	X
(10) Henry Pollak II...................................................................... Chairman Emeritus (Thru 4/15)	1.0 ................. 1.0	X
(11) NORMAN ALPERT...................................................................... Board Member	1.0 ................. 1.0	X
(12) Carl Austin...................................................................... Board Member	1.0 ................. 1.0	X
(13) Steven Baruch...................................................................... Vice Chairman	3.0 ................. 1.0	X
(14) Howard Berk...................................................................... Board Member	1.0 ................. 1.0	X
(15) Rachael Chalchinsky...................................................................... Board Member (Thru 4/15)	1.0 ................. 1.0	X
(16) NANCY Clarvit...................................................................... Board Member	1.0 ................. 1.0	X
(17) Peter M Fishbein...................................................................... Secretary	3.0 ................. 1.0	X

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ALeida M Frederico........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(19) John Jureller........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(20) CAROL LOWENTHAL........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(21) WILLIAM NULL........................................................................ Vice Chairman	3.0 .......................1.0	X				0	0	0
(22) Brenda Oestreich........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(23) MICHAEL J PALUMBO MD........................................................................ Executive VP/Medical	38.0 .......................1.0	X	X			758,338	0	68,971
(24) Jon B Schandler........................................................................ CEO (Thru 4/15)	38.0 .......................1.0	X	X			1,646,941	0	46,526
(25) Lucy Schmolka........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(26) MEGAN H Shapiro........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(27) Steven M Silver........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(28) Laurence R Smith........................................................................ Chairman	3.0 .......................1.0	X				0	0	0
(29) Robert Stone........................................................................ Vice Chairman	3.0 .......................1.0	X				0	0	0
(30) Susan Z Yubas........................................................................ Vice Chairwoman	3.0 .......................1.0	X				0	0	0
(31) Susan Fox........................................................................ President	38.0 .......................1.0	X	X			1,413,319	0	82,194
(32) Nettie Webb EdD........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(33) Robert D Small MD........................................................................ Board Member (Thru 4/15)	1.0 .......................1.0	X				0	0	0
(34) Jonathan Spitalny........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(35) Robert Tucker........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(36) Suzanne Waxenberg........................................................................ Board Member	1.0 .......................1.0	X				0	0	0
(37) DENNIS GILBERT........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................1.0	X				0	0	0
(38) ANDREW HERZ........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................1.0	X				0	0	0
(39) BEN MARANO........................................................................ BOARD MEMBERS (START 7/15)	1.0 .......................1.0	X				0	0	0
(40) STEPHANIE MILLER........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................1.0	X				0	0	0
(41) PHILIP OZUAH........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................49.0	X				0	2,285,645	697,133
(42) CHRISTOPHER PANCZNER........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................49.0	X				0	1,110,866	232,140
(43) PAUL PECHMAN........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................1.0	X				0	0	0
(44) LYNN RICHMOND........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................49.0	X				0	1,256,752	282,642
(45) FENTON SOLIZ........................................................................ BOARD MEMBER (START 7/15)	1.0 .......................1.0	X				0	0	0
(46) Edward F Leonard........................................................................ Executive VP (THRU 12/15)	38.0 .......................1.0		X			497,188	0	85,861
(47) David Ho........................................................................ VP/CFO (THRU 12/15)	38.0 .......................1.0		X			525,439	0	80,940
(48) JEFF TIESI........................................................................ Executive Vice President	38.0 .......................0.0		X			461,006	0	41,892
(49) FRANCES BORDONI........................................................................ Vice President Business Dvlpmt	38.0 .......................0.0			X		437,802	0	52,025
(50) NABIL KHOURY-YACOUB........................................................................ Physician	40.0 .......................0.0				X	949,811	0	61,967
(51) SARA SADAN........................................................................ Physician	40.0 .......................0.0				X	939,370	0	62,557
(52) JARED BRANDOFF........................................................................ Physician	40.0 .......................0.0				X	931,508	0	59,115
(53) JACQUELIN MONACO-BAVARO........................................................................ PHYSICIAN	40.0 .......................0.0				X	842,785	0	34,594
(54) SETH GENDLER........................................................................ PHYSICIAN	40.0 .......................0.0				X	742,412	0	61,858

(A) Name and business address	(B) Description of services	(C) Compensation
Gilbane Building Company, 2 Rector Street 24th Floor New York,NY10006	Construction	41,935,789
AP Construction, 707 Summer Street Stamford,CT06901	Construction	18,949,933
GTL Construction, 1230 Mamaroneck Ave White Plains,NY10605	Construction	6,049,030
Stellaris Health Network, 135 Bedford Road ARMONK,NY10504	IT SERVICES	5,949,028
Diversified Investment Advisors, PO Box 13029 NEWARK,NJ07188	PENSION SERVICES	5,627,671
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 281

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.)..

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

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

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.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) 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.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization WHITE PLAINS HOSPITAL MEDICAL CENTER

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization WHITE PLAINS HOSPITAL MEDICAL CENTER		Employer identification number 13-1740130

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization WHITE PLAINS HOSPITAL MEDICAL CENTER			Employer identification number 13-1740130
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

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

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

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

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

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

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

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

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

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

Yes

31,429

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

31,429

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

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

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

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

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

Part IV

Supplemental Information

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
LOBBYING ACTIVITIES	LOBBYING ACTIVITIES RELATED TO THE HOSPITAL'S MEMBERSHIP IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, THE AMERICAN HOSPITAL ASSOCIATION, AND NORTHERN METROPOLITAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED AS EXPENSES INCURRED IN CONNECTION WITH LOBBYING ACTIVITIES IS $31,429 AND REPRESENTS THE PORTION OF MEMBERSHIP DUES IDENTIFIED BY SUCH ORGANIZATIONS FOR SPECIFIC LOBBYING PURPOSE. ALL PAYMENTS WERE MADE IN 2015.

Return Reference

Explanation

LOBBYING ACTIVITIES

LOBBYING ACTIVITIES RELATED TO THE HOSPITAL'S MEMBERSHIP IN THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, THE AMERICAN HOSPITAL ASSOCIATION, AND NORTHERN METROPOLITAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED AS EXPENSES INCURRED IN CONNECTION WITH LOBBYING ACTIVITIES IS $31,429 AND REPRESENTS THE PORTION OF MEMBERSHIP DUES IDENTIFIED BY SUCH ORGANIZATIONS FOR SPECIFIC LOBBYING PURPOSE. ALL PAYMENTS WERE MADE IN 2015.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

2015

Open to Public Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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 ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2015

Page 2

Part III

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

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

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

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	8,285,660	10,079,256	7,277,035	13,206,926	11,478,110
b	Contributions ...	7,221,839	2,180,704	3,206,705	3,610,587	6,784,365
c	Net investment earnings, gains, and losses	84,582	163,142	2,323,090	274,315	112,534
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	874,743	4,137,442	2,727,574	9,814,793	5,168,083
f	Administrative expenses ....
g	End of year balance ......	14,717,338	8,285,660	10,079,256	7,277,035	13,206,926

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

22.040 %

Temporarily restricted endowment SchDMd Bullet

77.960 %

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

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

Yes

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

3a(i)

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

3a(ii)

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

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' on 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 ...	28,132,038		28,132,038
b	Buildings	198,892,821	8,398,715	190,494,106
c	Leasehold improvements	2,835,394	191,379	2,644,015
d	Equipment ...	76,030,748	11,197,816	64,832,932
e	Other ...	19,535,800		19,535,800
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				305,638,891

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
OTHER NON-CURRENT LIABILITIES	40,520,472
ACCRUED PENSION	31,044,799
EST SELF INSURANCE FUND LIABILITY	20,059,701
DUE TO THIRD PARTIES	15,315,130
OTHER CURRENT LIABILITIES	5,026,272
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	111,966,374
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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, Part V, Line 4

The Hospital follows the requirements of the Uniform Management of Institutional Funds Act ("UMIFA") as they are related to its endownment contributions. The Hospital has adopted investment and spending policies for endowment assets that attempts to provide a predictable stream of funding to programs supported by its endowment. Under this policy, as approved by the board of trustees, the endowment assets are invested in a manner to provide that sufficient assets are available as a source of liquidity for the intended use of the funds, achieve the optimal return possible with the specific parameters, and prudently invest assets in a high-quality diversified manner to adhere to established guidelines.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

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

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) 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 and the Caribbean	Program Services	INSURANCE	2,379,903
















3a	Sub-total .....			2,379,903
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			2,379,903

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

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

Form 990-EZ filers are not required to complete this part.

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

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

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	Newport Creative Comm LLC 21 Railroad Avenue Duxbury, MA02332	FUNDRAISING Consultant		No	0	38,222	38,222
	Faircom New York INC 12 West 27th Street 13th Floor New York, NY10001	Mailings		No		83,336	83,336
	Community Counseling Svcs 527 Madison Ave 5th Floor New York, NY10022	Cnsultation Supervision		No		40,000	40,000
	JP Sports Entertainment L 3896 Burns Road Suite 102 Palm Beach Gardens, FL33410	Event Fundraising		No		56,016	56,016






Total . . . . . . . . . . . . . . . . . . . .					0	217,574	217,574

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Fall Axlry Gala (event type)	(b) Event #2 Ahmad Rashad Go (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	453,386	482,530	155,535	1,091,451
2	Less: Contributions . . . .	338,961	425,700	84,431	849,092
3	Gross income (line 1 minus line 2) . . . . . .	114,425	56,830	71,104	242,359

4	Cash prizes . . . . .
5	Noncash prizes . . . .		3,861	5,741	9,602
6	Rent/facility costs . . . .		54,480	38,335	92,815
7	Food and beverages . . .	69,268	39,142	17,699	126,109
8	Entertainment . . . .	12,500	10,300	0	22,800
9	Other direct expenses . . .	64,604	114,283	22,386	201,273
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				452,599
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-210,240

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	64,604	114,283	22,386	201,273

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

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

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

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

Name

Address

15a

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

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

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

Did the organization use Federal Poverty Guidelines (FPG) 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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	5,230,915	571,777	4,659,138	1.080 %
b	Medicaid (from Worksheet 3, column a) . . . . .	20,681,998	9,057,574	11,624,424	2.700 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	25,912,913	9,629,351	16,283,562	3.780 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	3,134,671	945,875	2,188,796	0.510 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	3,134,671	945,875	2,188,796	0.510 %
k	Total. Add lines 7d and 7j .	29,047,584	10,575,226	18,472,358	4.290 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

19,783,167

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. ......

208,823

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

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

91,454,047

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

111,278,500

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

-19,824,453

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

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)
1	White Plains Hospital Center 41 East Post Road Davis Avenue WHITE PLAINS,NY10601 www.wphospital.org #5902001H	X	X	X

Schedule H (Form 990) 2015

Page 4

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)

	White Plains Hospital Center
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):

Yes

Community Health Needs Assessment

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

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

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

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

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

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.wphospital.org

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): www.wphospital.org

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	White Plains Hospital Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 250.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.wphospital.org

The FAP application form was widely available on a website (list url):

www.wphospital.org

A plain language summary of the FAP was widely available on a website (list url):
www.wphospital.org

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	White Plains Hospital Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

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
WHITE PLAINS HOSPITAL CENTER	PART V, SECTION B, LINE 5: IN ORDER TO ENGAGE OUR "COMMUNITYIMPLEMENT AN OBTAINABLE AND THOUGHTFUL ACTION PLAN, WE NEEDED TO FIRST SEE WHAT AND HOW WE DEFINED OUR COMMUNITY. WHILE WE TRADITIONALLY THINK OF A COMMUNITY AS THE PEOPLE IN A GIVEN GEOGRAPHICAL LOCATION, THE WORD CAN ACTUALLY REFER TO ANY GROUP SHARING A COMMON THREAD. THIS MAY REFER TO SMALLER GEOGRAPHIC AREAS; A NEIGHBORHOOD OR STREET, A RURAL AREA OR TO A NUMBER OF OTHER POSSIBLE COMMUNITIES WITHIN A LARGER GEOGRAPHICALLY DEFINED SPACE. THESE GROUPS ARE OFTEN DEFINED BY RACE OR ETHNICITY, PROFESSIONAL OR ECONOMIC BREAKDOWNS, RELIGION, CULTURE, OR SHARED AREAS OF INTEREST. MUCH OF OUR BEST AND MOST INTERESTING INFORMATION HAS TRADITIONALLY COME FROM COMMUNITY MEMBERS WITH NO PARTICULAR CREDENTIALS EXCEPT THAT THEY'RE PART OF OUR GREATER WHITE PLAINS HOSPITAL COMMUNITY. IT IS ESPECIALLY IMPORTANT TO GET THE PERSPECTIVE OF THOSE WHO OFTEN DON'T HAVE A VOICE IN COMMUNITY DECISIONS AND POLITICS -- LOWER-INCOME PEOPLE, IMMIGRANTS, AND OTHERS WHO ARE OFTEN KEPT OUT OF THESE DISCUSSIONS. IN ADDITION TO THESE OFTEN OVERLOOKED COMMUNITY MEMBERS WE ALSO WANT TO HEAR FROM THOSE INDIVIDUALS IN KEY POSITIONS, OR THOSE WHO ARE TRUSTED BY A LARGE PART OF THE COMMUNITY OR BY A PARTICULAR POPULATION. THEY INCLUDE: ELECTED OFFICIALS, COMMUNITY-BASED ORGANIZATIONS & VOLUNTEERS, EMPLOYERS & BUSINESSES, CLERGY & FAITH ORGANIZATIONS, LOCAL HEALTH DEPARTMENTS, HEALTH-CARE PARTNERS, COMMUNITY ACTIVISTS, SCHOOL SUPERINTENDENTS, PRINCIPALS AND TEACHERS. AFTER THOUGHTFULLY DEFINING OUR "COMMUNITY" WE MOVED FORWARD AND GATHERED DATA AND INITIATED A CONVERSATION IN WHICH WE COLLECTED INFORMATION TO PROCESS AND MEASURE THE NEEDS OF OUR WPH COMMUNITY. WE LOOKED AT VARIOUS EFFORTS WE HAD IMPLEMENTED IN THE PAST AND BROUGHT ABOUT A NEW COMPONENT AS WELL, TARGETED ON THE NEW GENERATION OF GATHERING INFORMATION AND INPUT. TO START WE CONTINUED OUR PERSONAL MEETINGS WITH OUR COLLABORATIVE PARTNERS. STARTING IN THE NEW YEAR WE ARRANGED FOR AND PERSONALLY MET WITH OUR COLLABORATIVE PARTNERS. ARMED WITH 3 QUESTIONS: 1.WHAT CAN WE DO TO ASSIST YOU & THE COMMUNITY YOU SERVE ACHIEVE YOUR WELLNESS GOALS? 2.ARE THERE ANY UNMET HEALTH-RELATED NEEDS? 3.EXPLAINING THE DEPARTMENT OF HEALTH'S PREVENTION AGENDA ITEMS: DO YOU HAVE POPULATIONS IN YOUR ORGANIZATION/COMMUNITY THAT WOULD BENEFIT FROM ANY OR ALL OF THESE ITEMS? 2.ARE THERE ANY UNMET HEALTH-RELATED NEEDS? 3.EXPLAINING THE DEPARTMENT OF HEALTH'S PREVENTION AGENDA ITEMS: DO YOU HAVE POPULATIONS IN YOUR ORGANIZATION/COMMUNITY THAT WOULD BENEFIT FROM ANY OR ALL OF THESE ITEMS?
WHITE PLAINS HOSPITAL CENTER	PART V, SECTION B, LINE 6A: TO ADDRESS AND WORK TO IMPROVE OUR AGENDA GOALS WE CREATED AN ADVISORY BOARD, IN PARTNERSHIP WITH ALL OF OUR WESTCHESTER HOSPITALS. THIS BOARD, WHICH BEGAN MEETING IN 2013, WAS PUT INTO PLACE TO HELP ANALYZE OUR RESPECTIVE DATA, DETERMINE THE EFFECTIVENESS OF EACH PROGRAM, TO PLAN OUR COLLABORATIVE EVENTS AND COMPARE BEST PRACTICES ACROSS THE COMMUNITIES WE SERVE. MEETING REGULARLY, THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH (DOH) AND WESTCHESTER HOSPITALS WORKED TOGETHER AND DECIDED, AS A GROUP, TO CREATE HEALTH SUMMITS TO HELP IN OUR FACT FINDING / DATA COLLECTION; BRINGING TOGETHER WESTCHESTER COUNTY HOSPITALS, THE DOH AND OUR COMMUNITY PARTNERS/STAKEHOLDERS. THE GOAL OF THE SUMMIT WAS TO HAVE AN OPEN DIALOGUE AND DISCUSS OUR PREVENTION AGENDA ITEMS AND HOW WE CAN WORK TOGETHER TO IMPROVE DISPARITIES, CREATE ACTIONABLE PROGRAMS, PREVENTION SERVICES AND OVERALL INVESTING IN OUR COMMUNITIES FOCUSING ON OUR COMMUNITY'S HEALTH.
WHITE PLAINS HOSPITAL CENTER	PART V, SECTION B, LINE 11: WHEN ANALYZING WHITE PLAINS HOSPITAL'S CHNA DATA WE IDENTIFIED OUR COMMUNITY'S TOP 2 HEALTH NEEDS AND ONCE THE TOP 2 NEEDS WERE CHOSEN WE BEGAN OUR IMPLEMENTATION PROCESS AND STRATEGY. THE THIRD HEALTH NEED AS IDENTIFIED BY OUR COMMUNITY WAS MENTAL HEALTH. AS OUR HOSPITAL DOES NOT HAVE A ROBUST MENTAL HEALTH PROGRAM WE CHOSE TO SPEND OUR LIMITED RESOURCES ON THE TOP 2 NEEDS THIS CYCLE. AS WE MOVE INTO 2016 WE WILL CONTINUE TO REEVALUATE OUR PRIORITIES AND SEE WHERE WE HAVE MADE PROGRESS AND WHERE WE NEED TO FOCUS IN THE FUTURE. MENTAL HEALTH REMAINS A KEY FOCUS AS WE TRY FIND WAYS TO WORK WITH OUR VAST COMMUNITY PARTNERS TO BRIDGE ANY BARRIERS TO ACCESS AND CARE.

Schedule H (Form 990) 2015

Page 8

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?6
Name and address		Type of Facility (describe)
1	Armonk Clinic 1 North Greenwich Avenue Armonk,NY10504	PRIMARY CARE
2	WPHC-WOMEN'S IMAGING CENTER 90 South Ridge Street Rye Brook,NY10573	OTHER MEDICAL SPECIALTIES
3	White Plains HC OT & PT Clinic 111 South Ridge Street Rye Brook,NY10573	PRIMARY CARE THERAPY - OCCUPATIONAL O/P THERAPY - PHYSICAL O/P
4	Physical Therapy & Occupational Therapy 222 Westchester Avenue White Plains,NY10604	THERAPY - OCCUPATIONAL O/P THERAPY - PHYSICAL O/P
5	WPH Imaging at New Rochelle 1296 North Avenue New Rochelle,NY10804	OTHER MEDICAL SPECIALTIES
6	WPH Medical and Wellness 99 Business Park Drive Armonk,NY10504	PRIMARY CARE
7
8
9
10

Schedule H (Form 990) 2015

Page 9

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:	WHITE PLAINS HOSPITAL MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS.
PART I, LINE 6A	WHITE PLAINS HOSPITAL CENTER IS REQUIRED TO PREPARE AN ANNUAL COMMUNITY SERVICE PLAN (CSP) A.K.A., THE COMMUNITY BENEFIT REPORT FOR THE NYS DEPARTMENT OF HEALTH. WHITE PLAINS HOSPITAL CENTER'S COMMUNITY SERVICE PLAN IS DISTRIBUTED TO MANY INTERNAL AND EXTERNAL AUDIENCES. INTERNAL AUDIENCES ARE COMPRISED OF THE HOSPITAL'S BOARD OF DIRECTORS, EMPLOYEES, VOLUNTEERS, AUXILIARY, AND MEDICAL STAFF. EXTERNAL AUDIENCES INCLUDE COMMUNITY AGENCIES, ELECTED AND OTHER PUBLIC OFFICIALS, EVERYONE WHO PARTICIPATED IN THE INTERVIEW PROCESS, GOVERNMENT AGENCIES (STATE AND COUNTY DEPARTMENT OF HEALTH, REGIONAL HSA), HOSPITAL ASSOCIATION OF NEW YORK STATE, AND RELIGIOUS LEADERS. THE CSP IS DISTRIBUTED IN THE COMMUNITY AT EVENTS SUCH AS HEALTH SCREENINGS, HEALTH FAIRS, SEMINARS, WELLNESS PROGRAMS AND IN PUBLIC AREAS THROUGHOUT THE HOSPITAL. THE CSP IS ALSO AVAILABLE AS A PDF ON THE HOSPITAL'S WEB SITE (WWW.WPHOSPITAL.ORG). ANNOUNCEMENTS OF THE BROCHURE'S AVAILABILITY APPEARS IN SEVERAL HOSPITAL NEWSLETTERS INCLUDING THOSE FOR THE GENERAL COMMUNITY AND FOR THE HOSPITAL'S EMPLOYEES, VOLUNTEERS AND AUXILIARY MEMBERS.
PART I, LINE 7	CHARITY CARE CALCULATION AND UNREIMBURSED MEDICAID USED THE COST TO CHARGE RATIO DETERMINED ON THE CHARITY CARE CALCULATION WORKSHEET. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATION EXPENSES WERE CALCULATED USING ACTUAL EXPENSES.
PART II, COMMUNITY BUILDING ACTIVITIES:	WE OFFER THE FOLLOWING PROGRAM AIMED AT PROVIDING SERVICES TO THE MOST AT-RISK MEMBERS OF THE COMMUNITY: FAMILY HEALTH CENTER - THE FAMILY HEALTH CENTER AT WHITE PLAINS HOSPITAL PROVIDES BOTH ADULT AND PEDIATRIC PRIMARY AND SPECIALTY CARE SERVICES. THESE INCLUDE INTERNAL MEDICINE, PEDIATRICS, SEIZURE/EPILEPSY, MUSCULAR DYSTROPHY, AND PODIATRY. MEDICARE, MEDICAID, AFFINITY, AND HUDSON HEALTH PLAN ARE ACCEPTED. FOR THOSE WITHOUT INSURANCE, A SLIDING-SCALE PAYMENT SYSTEM IS AVAILABLE. IN 2015, THE HOSPITAL HELD 52 OUTREACH EVENTS (PLEASE SEE ATTACHED LISTING) REACHING THOUSANDS. THESE ADDRESSED OTHER HEALTH PRIORITIES IDENTIFIED IN OUR CHNA INCLUDING BREAST CANCER, HEART DISEASE IN WOMEN AND STROKE. OUR ACTION PLAN TO ADDRESS THESE HEALTH CONCERNS, INCLUDING HEALTH EDUCATION TALKS LED BY OUR PHYSICIANS AND EVENTS WITH COMMUNITY PARTNERS. CLINICIANS FROM THE HOSPITAL CONNECTED WITH THE COMMUNITY GROUPS SUCH AS SHILOH BAPTIST CHURCH IN NEW ROCHELLE ON HEART DISEASE AND PROVIDED BLOOD PRESSURE SCREENINGS. SIMILARLY, ONCOLOGY PHYSICIANS HELD MANY LECTURES AND EDUCATION FORUMS TO ADDRESS CANCER AWARENESS AND PREVENTION. THE HOSPITAL ORGANIZED MORE THAN THIRTY FIVE EVENTS FOCUSED ON CANCER AT OUTSIDE ORGANIZATIONS INCLUDING CHURCHES, SENIOR CENTERS AND PUBLIC LIBRARIES. HEALTH CARE PROFESSIONALS ALSO CONNECTED WITH LOCAL BUSINESSES TO HELP KEEP THEIR EMPLOYEES HEALTHY. OVER THE YEAR, WE PARTICIPATED IN HEALTH FAIRS AND LECTURES THROUGHOUT WESTCHESTER COUNTY. ONE OF THE LARGEST EVENTS IS THE ANNUAL, DAY-LONG NEIGHBORHOOD HEALTH FAIR. THIS EVENT IS TYPICALLY ATTENDED BY MORE THAN 300 PEOPLE, AND INCLUDES SCREENINGS FOR DIABETES, HIGH BLOOD PRESSURE, VASCULAR, BREAST AND PROSTATE CANCERS, AND HIV TESTING. LAB TESTING IS AVAILABLE FOR SICKLE CELL DISEASE AND HIGH CHOLESTEROL. EXPERTS ARE ON HAND TO PASS OUT INFORMATION AND ANSWER QUESTIONS ON VARIOUS HEALTH TOPICS. THE NEIGHBORHOOD HEALTH FAIR INVOLVES COLLABORATION FROM THE HOSPITAL AND SEVERAL COMMUNITY GROUPS, INCLUDING EL CENTRO HISPANO INC., CAVALRY BAPTIST CHURCH, THE FRENCH SPEAKING BAPTIST CHURCH OF WHITE PLAINS (HAITIAN CHURCH), AND THE THOMAS H. SLATER CENTER AND THE WHITE PLAINS HOUSING AUTHORITY. 2015 HIGHLIGHTS INCLUDED: - 1ST ANNUAL COMMUNITY HEALTH AND WELLNESS FAIR IN PARTNERSHIP WITH REFUGE OF HOPE CHURCH IN NEW ROCHELLE. FREE HEALTH SCREENINGS INCLUDED; BREAST CANCER SCREENINGS, BLOOD PRESSURE, DIABETES RISK ASSESSMENTS, SKIN CANCER SPOT CHECKS AND INFORMATION ON OTHER CANCERS, SCREENINGS AND PREVENTION. THE TED E BEAR HOSPITAL "ON THE ROAD" WAS ALSO ON HAND TO HELP CHILDREN UNDERSTAND THE IMPORTANCE OF WELL CHECKUPS AND DOCTOR VISITS. OVER 200 COMMUNITY MEMBERS WERE IN ATTENDANCE. -THE 38TH ANNUAL NEIGHBORHOOD HEALTH FAIR IN PARTNERSHIP WITH CALVARY BAPTIST CHURCH, THE CITY OF WHITE PLAINS, THE WESTCHESTER DOH, AND EL CENTRO HISPANO WAS HELD WITH FREE HEALTH SCREENINGS WHICH INCLUDED: BREAST, PROSTATE, BLOOD PRESSURE, DIABETES, SLEEP APNEA, DENTAL, DIABETES AND VARIOUS OTHER LAB/BLOOD WORK TESTS. HEALTHY NUTRITION HABITS, INSURANCE INFORMATION, WELLNESS AND PREVENTION AND LEAD PAINT AWARENESS WERE ALSO ON HAND TO THE HUNDREDS OF INDIVIDUALS IN ATTENDANCE AT THE FAIR. - THE MAY WELLNESS MONTH- PARTNERSHIP WITH CITY OF WHITE PLAINS, THE WHITE PLAINS SCHOOL DISTRICT, ATHLETA, GILDAS CLUB AND THE WESTCHESTER TO PROMOTE HEALTHY LIFESTYLES. HIGHLIGHTS OF THE MONTH INCLUDE: MOMS NIGHT OUT AT THE WESTCHESTER PROMOTING EARLY BREAST CANCER SCREENINGS AND PREVENTION TO OVER 200 WOMEN. ITS ONLY SKIN DEEP LECTURE WITH DR. LESA KELLY AT ATHLETA, DISCUSSING HEALTHY SKIN AND SKIN CANCER PREVENTION TO OVER 50 PEOPLE. AND OUR 5TH ANNUAL COOKING WITH DAD EVENT TEACHING KIDS AND THEIR DADS THE IMPORTANCE OF HEALTHY NUTRITION IN A FUN AND EDUCATIONAL WAY TO OVER 50 CHILDREN AND FATHERS. - 5TH ANNUAL GO RED FOR WOMEN'S HEART HEALTH FAIR, OVER 150 COMMUNITY MEMBERS /PARTNERS PARTICIPATED. - 4TH ANNUAL BREAST CANCER AWARENESS EVENT AT BLOOMINGDALE'S, FOCUSING ON EARLY SCREENINGS AND PREVENTION FROM BREAST CANCER WITH DRS GREENSTEIN, STEVENS, & SIMS, WHICH HAD OVER 75 PEOPLE IN ATTENDANCE. - FREE YOGA AND ZUMBA CLASSES - THE HOSPITAL PROVIDES FREE CLASSES FOR EMPLOYEES, CANCER SURVIVORS, WEIGHT LOSS SURGERY PATIENTS AND VOLUNTEERS, AS WELL AS OUR WALKING WEDNESDAY CREW, E-BLAST HEALTH TIPS AND HANDOUTS AND VARIOUS LUNCH AND LEARNS ON NUTRITION AND PHYSICAL ACTIVITY, BOTH INSIDE AND OUTSIDE THE HOSPITAL WALLS. - MALL WALKERS PROGRAM- THIS FREE, SUPERVISED WALKING PROGRAM MEETS THREE TIMES PER WEEK AT THE LOCAL MALL AND INCLUDES INFORMATIVE PRESENTATIONS PLUS FREE BLOOD PRESSURE SCREENINGS AND EVENTS. APPROXIMATELY 50 WALKERS PARTICIPATE IN THE PROGRAM EACH WEEK. - WHITE PLAINS WELLNESS WEEK- WHITE PLAINS HOSPITAL, FOR THE 2ND YEAR WAS THE GRAND SPONSOR OF THE CITY OF WHITE PLAINS WELLNESS WEEK IN PARTNERSHIP WITH THE WHITE PLAINS CARES COALITION AND THE CITY OF WHITE PLAINS. - BLOOD PRESSURE SCREENINGS CONTINUE TO BE HELD THROUGHOUT THE COMMUNITY AND INCLUDE EDUCATIONAL PAMPHLETS IN ENGLISH AND SPANISH ON SODIUM REDUCTION. IN 2015, WHITE PLAINS HOSPITAL PROVIDED OVER 3,000 BLOOD PRESSURE SCREENINGS TO INDIVIDUALS IN THE COMMUNITY AT NEARLY 100 EVENTS. ADDITIONALLY, THE FRIENDS OF WHITE PLAINS HOSPITAL (FORMERLY KNOWN AS THE AUXILIARY) SPONSORS MONTHLY BLOOD PRESSURE SCREENINGS IN THE HOSPITAL LOBBY/ELEVATOR ALCOVE FOR THE COMMUNITY. - EDUCATIONAL ARTICLES ON THE IMPORTANCE OF HEART HEALTH AND NUTRITION HAVE BEEN PUBLISHED IN THE HOSPITAL'S E-NEWSLETTER, INTRANET AND THROUGH A "THIS WEEK IN WELLNESS"" EMPLOYEE E-BLAST, AS WELL AS A MONTHLY CLINICAL NUTRITION NEWSLETTER AND DAILY HEALTH TIP DISTRIBUTED BY OUR FOOD SERVICE STAFF. - SUPPORT GROUPS - WHITE PLAINS HOSPITAL HOSTS A MONTHLY STROKE SUPPORT GROUP, DIABETES WELLNESS WORKSHOP, SURVIVORSHIP WORKSHOPS AND THE HEART CLUB TO HELP BRING AWARENESS TO THE COMMUNITY ON THE EFFECTS OF HEART HEALTH, CANCER SURVIVORSHIP AND DIET TO HELP LOWER BLOOD PRESSURE AND REDUCE THE RISKS FOR HEART ATTACK AND STROKE. - CAREGIVER SUPPORT PROGRAM & CENTER: WPH PROVIDES SUPPORT SERVICES AND RESOURCES TO THOSE CARING FOR LOVED ONES AT WPH WHO FACE CHALLENGES OF ACUTE OR CATASTROPHIC ILLNESS. OTHER SUPPORT GROUPS INCLUDE THOSE FOR: ALZHEIMER, BEREAVEMENT, CAREGIVER, EPILEPSY, HUNTINGTON'S DISEASE, OSTOMY, OVEREATERS ANONYMOUS, PARENTING, PERINATAL BEREAVEMENT, PHOBIA, STROKE, HEAD AND NECK CANCER AND BREAST CANCER SURVIVORS. - PARENTING COURSES: EXPECTANT PARENT COURSES ARE OPEN TO THE PUBLIC: BREASTFEEDING SUPPORT GROUP: ONGOING GROUP FOR PRENATAL AND POSTNATAL WOMEN LED BY NURSES/CERTIFIED LACTATION EDUCATORS. CHILDBIRTH CLASSES: LAMAZE TAUGHT BY INDEPENDENT & CERTIFIED INSTRUCTORS; PARENTING AND INFANT CARE CLASSES, SIBLING PREPARATION COURSES, PRENATAL EXERCISE CLASSES, INCLUDING PRENATAL YOGA, MOMMY AND ME YOGA, DADDY BASIC TRAINING AND EXPECTANT PARENT TOURS ARE AVAILABLE. - TED E BEAR HOSPITAL "ON THE ROAD" AT KOL AMI PRESCHOOL - CHILDREN WERE INVITED TO BRING THEIR TEDDY BEARS OR OTHER STUFFED ANIMALS AND DOLLS TO BE "TREATED" FOR A VARIETY OF "BOO-BOOS" BY REPRESENTATIVES FROM WPH'S MEDICAL STAFF. - IN ADDITION, WE OFFER THE FOLLOWING SERVICES TO THE COMMUNITY ON A REGULAR BASIS: - FLU SHOTS - "ASK THE NURSE": NURSE ON SITE MONTHLY/QUARTERLY TO ANSWER ANY AND ALL QUESTIONS - BMI SCREENINGS: BARIATRIC INFORMATION - BREAST HEALTH: BREAST CANCER AWARENESS - DIABETES RISK ASSESSMENTS: DIABETES GENERAL INFORMATION & NUTRITION - LUNG CANCER SCREENING INFORMATION - SLEEP APNEA: SLEEP HEALTH AND INFORMATION - STROKE RISK ASSESSMENTS: STROKE AWARENESS AND INFORMATION - WELLNESS 101: ADULTS, KIDS, SENIORS: INTERACTIVE WELLNESS ACTIVITIES, NUTRITION ETC. - NUTRITION TABLE: SUGAR, SALT, FAT INTAKE, GENERAL NUTRITION INFORMATION - PHYSICIAN REFERRAL SERVICE: FREE 24-HOUR MULTI-LINGUAL SERVICE PROVIDING CALLERS WITH NAMES OF PRIMARY CARE PRACTITIONERS OR SPECIALISTS.
PART III, LINE 2:	THE AMOUNT REPORTED IS THE BAD DEBT EXPENSE AS NOTED PER CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3:	PATIENTS THAT ARE DEEMED ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE ARE CHARGED FOR SERVICES ON A SLIDING SCALE SCHEDULE BASED ON INCOME LEVEL. PATIENTS THAT HAVE QUALIFIED FOR FINANCIAL ASSISTANCE RECEIVE A BILLING STATEMENT WITH THE NET AMOUNT PAYABLE CLEARLY INDICATED. FOR PATIENTS ELIGIBLE UNDER THE FAP, THE HOSPITAL ONLY RECORDS AS BAD DEBT EXPENSE THE NET AMOUNT BILLED AS PER THE SLIDING SCALE SCHEDULE THAT IS DEEMED UNCOLLECTIBLE.
PART III, LINE 4:	2015 WHITE PLAINS HOSPITAL CENTER & SUBSIDIARIES AUDITED FINANCIAL STATEMENT NOTE REGARDING BAD DEBT AND CHARITY CARE: TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 79% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2015. THE HOSPITAL DID NOT EXPERIENCE SIGNIFICANT CHANGES IN WRITE-OFF TRENDS AND DID NOT CHANGE ITS CHARITY CARE POLICY IN 2015. THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 79% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2015. THE HOSPITAL DID NOT EXPERIENCE SIGNIFICANT CHANGES IN WRITE-OFF TRENDS AND DID NOT CHANGE ITS CHARITY CARE POLICY IN 2015.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COST OF CARE REPORTED ON PART III SECTION B LINE 6 REFLECTS THE ACCUMULATED AGGREGATE COSTS OF TREATING MEDICARE PATIENTS UTILIZING THE CMS-2552 MEDICARE SETTLEMENT WORKSHEETS.
PART III, LINE 9B:	THE HOSPITAL HAS A GENERAL COLLECTION POLICY. ALL SERVICES PROVIDED TO PATIENTS OF WHITE PLAINS HOSPITAL CENTER ARE BILLED TO THEIR RESPECTIVE INSURANCE COMPANY. UPON RECEIPT OF PAYMENT ANY BALANCES REPRESENTING COPAYMENTS, DEDUCTIBLES OR CO-INSURANCE AMOUNTS ARE BILLED TO THE PATIENT AND THE ACCOUNT BALANCE IS TRANSFERRED TO "SELF PAY". PATIENTS THAT HAVE NO INSURANCE ARE REGISTERED AS "SELF-PAY" IN THE HIS. ALL PATIENTS INCLUDING THOSE WITH BALANCES AFTER INSURANCE RECEIVE 3 LASER STATEMENTS FROM THE HOSPITAL EVERY 28 DAYS. UPON COMPLETION OF THE LASER STATEMENT SEQUENCE, A SERIES OF LETTERS AND PHONE CALLS ARE MADE THROUGH 2 OUTSIDE BILLING VENDORS. THE ACCOUNT REMAINS WITH THE OUTSIDE BILLING VENDORS FOR A MINIMUM OF 120 DAYS AT WHICH TIME IT IS RETURNED TO THE HOSPITAL FOR REFERRAL TO AN OUTSIDE COLLECTION AGENCY TO PURSUE AT THE HOSPITAL'S DISCRETION. PATIENTS THAT HAVE THE COLLECTION PROCEDURES FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE ARE OUTLINED IN THE CHARITY CARE/FINANCIAL AID POLICY.
PART VI, LINE 2 - NEEDS ASSESSMENT	WHITE PLAINS HOSPITAL, IN COLLABORATION WITH OUR COMMUNITY PARTNERS, HAS DEVELOPED A SERIES OF HEALTH INITIATIVES DESIGNED TO PROMOTE HEALTH AND WELLNESS IN OUR COMMUNITIES. TO BETTER COORDINATE OUR GOALS, WHITE PLAINS HOSPITAL WORKED WITH OTHER LOCAL, STATE AND FEDERAL HEALTH AGENCIES TO CHOOSE HEALTH PRIORITIES THAT SUITED OUR COMMUNITY, BUT COMPLEMENTED OTHERS OFFERED COUNTYWIDE. TO THIS END, WE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013, WHICH SURVEYED COMMUNITY-BASED ORGANIZATIONS, FAITH-BASED ORGANIZATIONS AND OTHERS TO DETERMINE WHICH HEALTH NEEDS WERE GREATEST IN THEIR COMMUNITIES. THESE COVERED COMMUNITIES IN OUR PRIMARY AND SECONDARY SERVICE AREAS, WHICH INCLUDED ARDSLEY, BRONXVILLE, EASTCHESTER, ELMSFORD, GREENBURGH, HARRISON, HARTSDALE, HASTINGS-ON-HUDSON, HAWTHORNE, IRVINGTON, LARCHMONT, MAMARONECK, PORT CHESTER/RYE BROOK, PURCHASE, RYE, SCARSDALE, TARRYTOWN, TUCKAHOE, WHITE PLAINS AND YONKERS. WE SURVEYED LOWER-INCOME PEOPLE, IMMIGRANTS, AND OTHER UNDERREPRESENTED POPULATIONS AS WELL AS ELECTED OFFICIALS, COMMUNITY-BASED ORGANIZATIONS AND VOLUNTEERS, EMPLOYERS AND BUSINESSES, CLERGY AND FAITH-BASED ORGANIZATIONS, LOCAL HEALTH DEPARTMENTS, HEALTH-CARE PARTNERS, COMMUNITY ACTIVISTS, SCHOOL SUPERINTENDENTS, PRINCIPALS AND TEACHERS. OF THE 400 SURVEYS RETURNED TO US NUTRITION AND HEART DISEASE RANKED AS TOP HEALTH CONCERNS, MAKING UP OVER 45% OF THE RESPONSES (IN A 15 CHOICE FIELD). CARDIOLOGY WAS LISTED AS THE NUMBER 1 HEALTH CONCERN, CHOSEN BY 79.6 PERCENT OF RESPONDENTS. BASED ON THE RESULTS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT AND WITH DIRECTION FROM THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE REQUIREMENTS OF THE AFFORDABLE HEALTH CARE ACT, WHITE PLAINS HOSPITAL SELECTED TWO HEALTH PRIORITIES AS PART OF ITS PREVENTION AGENDA. THOSE HEALTH PRIORITIES WERE: 1. PREVENTING CHRONIC DISEASE BY REDUCING THE NUMBERS OF BLACKS AND HISPANICS DYING PREMATURELY DUE TO HEART DISEASE. 2. PROMOTING HEALTHY WOMEN AND CHILDREN BY WORKING TO INCREASE THE NUMBER OF BREASTFEEDING WOMEN. DATA OBTAINED FROM THE NYS DEPARTMENT OF HEALTH CLEARLY SUPPORTED THIS SHOWING WESTCHESTER AS RANKING 27 OUT OF 37. WHEN WE LOOK AT THE RATIO OF HISPANICS TO WHITE NON-HISPANICS DYING PREMATURELY WE RANK 26 OUT OF 29 COUNTIES MEASURED AND 3.16, WITH THE NYS OBJECTIVE BEING 1.86. TO HELP ADDRESS THESE DISPARITIES, WHITE PLAINS HOSPITAL HAS WORKED TO ENGAGE AND EDUCATE THE COMMUNITY ON A VARIETY OF PREVENTION MEASURES IN KEEPING WITH THE HOSPITAL'S MISSION OF STRESSING PREVENTION OVER TREATMENT. OUR OBJECTIVE WAS TO INCREASE OUR SCREENINGS TO OUR BLACK AND HISPANIC POPULATIONS BY 10 PERCENT. TO TACKLE THE FIRST PRIORITY, WHITE PLAINS HOSPITAL WENT INTO THE COMMUNITIES MOST AFFECTED, PARTNERING WITH FOOD PANTRIES, AFRICAN-AMERICAN CHURCHES AND COMMUNITY CENTERS, AS WELL AS, HISPANIC COMMUNITY CENTERS ON HEART HEALTHY EDUCATION PROGRAMS AND PROVIDED BLOOD PRESSURE SCREENINGS AND STROKE ASSESSMENTS. NUTRITIONAL EDUCATION ALSO PLAYED A ROLE, WITH STRESS ON SALT REDUCTION AND PORTION CONTROL. IN 2015, WHITE PLAINS HOSPITAL HELD ITS ANNUAL HEART TO HEART FAIR IN FEBRUARY WHICH OFFERS FREE BLOOD PRESSURE SCREENINGS, VALUABLE HEART HEALTHY EDUCATION AND FREE CONSULTATIONS FROM NURSES, PHARMACISTS AND NUTRITIONISTS TO OVER 200 INDIVIDUALS. WPH ALSO CONTINUES TO HOST ITS ANNUAL NEIGHBORHOOD HEALTH FAIR, HELD EVERY APRIL AT THE THOMAS SLATER COMMUNITY CENTER, SERVING HUNDREDS OF INDIVIDUALS WITH FREE SCREENINGS SUCH AS: ASTHMA, BLOOD PRESSURE, BREAST, CHOLESTEROL, DENTAL, DIABETES, ENT, VISION, HIV, MAMMOGRAPHY, PODIATRY, PROSTATE AND SICKLE CELL. THERE IS ALSO A VAST ARRAY OF FREE HEALTH INFORMATION, EXHIBITS, AND INTERACTIVE NUTRITION WORKSHOPS FOR FAMILIES. TO REDUCE HEART DISEASE AMONG ALL POPULATIONS, WHITE PLAINS HOSPITAL CONTINUES TO FOCUS ON COMBATING OBESITY THROUGH WELLNESS AND NUTRITION EDUCATION. IN ADDITION TO NUTRITION, WE HAVE FOCUSED ON PROVIDING OPPORTUNITIES TO INCREASE PHYSICAL ACTIVITY WITH INNOVATIVE PROGRAMS IN PARTNERSHIP WITH SIMON MALLS, THE YWCA, BURKE REHABILITATION CENTER, NEW YORK SPORTS CLUB, CRUNCH GYM, THE HARRISON PUBLIC LIBRARY, THOMAS H. SLATER CENTER, EL CENTRO HISPANO, WESTCHESTER COUNTY MENTAL HEALTH DEPARTMENT, THE CITY OF WHITE PLAINS, WHITE PLAINS PARKS AND RECREATION DEPARTMENT AND THE YOUTH BUREAU. PREVENTING CHRONIC DISEASE STARTS AT AN EARLY AGE AND THAT IS WHY OUR EFFORTS TO INCREASE THE NUMBERS OF BREAST FEEDING MOTHERS (AS SET OUT IN THE SECOND PREVENTION AGENDA ITEM) IS SO IMPORTANT. BREAST MILK IS PROVEN TO BOOST IMMUNITY AND AID IN THE PREVENTION OF EAR INFECTIONS AND OTHER CHILDHOOD DISEASES AS WELL AS HELP PREVENT OBESITY AND CHRONIC DISEASES IN LATER LIFE. TO THIS END, THE HOSPITAL IS IN YEAR THREE OF A THREE YEAR SCHEDULE TOWARD BECOMING A BABY FRIENDLY HOSPITAL. THE ACTION PLAN ON THE PATH TO BECOMING A BABY FRIENDLY HOSPITAL INVOLVES A SEA CHANGE IN THE WAY THE HOSPITAL'S LABOR AND DELIVERY STAFF INTERACTS WITH NEW MOTHERS, AS WELL AS, A HOST OF POLICY CHANGES, INCLUDING ENDING THE PRACTICE OF GIVING OUT FREE FORMULA. OTHER CHANGES INCLUDE NET LEARNING EDUCATION FOR ALL PROFESSIONAL RN STAFF ON BEST PRACTICES FOR INCREASING BREAST FEEDING RATES; PROMOTING EARLY SKIN TO SKIN CONTACT BETWEEN MOTHER AND INFANT; AND PRACTICES THAT PROMOTE MINIMAL SEPARATION OF MOTHER AND INFANT DURING THEIR HOSPITAL STAY. ONLY 43% OF NYS INFANTS WERE EXCLUSIVELY BREASTFED WHILE IN THE HOSPITAL, BASED ON 2010 NYSDOH DATA. WHITE PLAINS HOSPITAL'S CHNA GOAL WAS TO INCREASE OUR AVERAGE ON HOUSE BREASTFEEDING TO OVER 65 PERCENT BY 2014, A GOAL MET IN 2014. IN ADDITION TO ITS PREVENTION AGENDA PRIORITIES, WHITE PLAINS HOSPITAL CONTINUES TO SET AN EXAMPLE OF A TRUE COMMUNITY HOSPITAL BY BEING DEEPLY COMMITTED TO LEADING THE WAY IN HEALTH EDUCATION AND PROVIDING SUPPORT FOR ORGANIZATIONS WHO SEEK OUR HELP. ORGANIZATIONS WHO SEEK OUR HELP.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	HEALTH EDUCATION RESOURCES INCLUDE: - "HEALTH MATTERS," WPH'S HEALTH MAGAZINE /INFORMATIONAL NEWSLETTER FOCUSING ON MEDICAL TREATMENTS & ADVANCEMENTS IN MEDICINE, FREE WELLNESS AND ROUNDTABLE LECTURES, HEALTHFUL TIPS AND ANY PERTINENT MEDICAL NEWS - IT IS PUBLISHED THREE TIMES A YEAR AND DISTRIBUTED TO APPROXIMATELY 120,000 HOUSEHOLDS IN WESTCHESTER COUNTY. - OUR E-NEWSLETTER GOES TO THE PUBLIC (THOSE WHO HAVE SIGNED UP TO RECEIVE HOSPITAL INFORMATION VIA EMAIL) MONTHLY, THE E-NEWSLETTER GIVES INFORMATION ON HEALTH EDUCATION, ADVANCEMENTS, PROGRAMS, LECTURES AND PROVIDES VARIOUS HEALTH ARTICLES/INTERVIEWS. - OUR HOSPITAL WEB-SITE WWW.WPHOSPITAL.ORG CONTAINS HEALTH INFORMATION VIA PRESS RELEASES, CALENDAR OF EVENTS, PHYSICIAN DIRECTORY AND GENERAL HEALTH INFORMATION. - OUR HOSPITAL ANNUAL REPORT, CANCER ANNUAL REPORT, NURSING ANNUAL REPORT AND COMMUNITY SERVICE PLAN ARE AVAILABLE ON OUR WEBSITE AND SENT TO OUR COMMUNITY PARTNERS EVERY YEAR. - OUR HOSPITAL ANNUAL REPORT, CANCER ANNUAL REPORT, NURSING ANNUAL REPORT AND COMMUNITY SERVICE PLAN ARE AVAILABLE ON OUR WEBSITE AND SENT TO OUR COMMUNITY PARTNERS EVERY YEAR.
PART VI, LINE 4 - COMMUNITY INFORMATION	WHITE PLAINS HOSPITAL DRAWS PATIENTS FROM THROUGHOUT WESTCHESTER COUNTY AND THE SURROUNDING AREAS, WITH THE MAJORITY COMING FROM NEARBY COMMUNITIES IN THE CENTRAL AND SOUTHERN PORTIONS OF THE COUNTY. THE HOSPITAL DEFINES THE FOLLOWING COMMUNITIES, AS DESIGNATED BY ZIP CODE, AS ITS PRIMARY AND SECONDARY CATCHMENT AREAS: 10502 ARDSLEY 10603 WHITE PLAINS 10503 ARDSLEY ON HUDSON 10604 WHITE PLAINS 10523 ELMSFORD 10605 WHITE PLAINS 10528 HARRISON 10606 WHITE PLAINS 10530 HARTSDALE 10607 WHITE PLAINS 10532 HAWTHORNE 10701 YONKERS 10533 IRVINGTON 10703 YONKERS 10538 LARCHMONT 10707 YONKERS 10543 MAMARONECK 10708 YONKERS 10573 PORT CHESTER/RYE BROOK 10709 YONKERS 10577 PURCHASE 10710 YONKERS 10580 RYE 10706 HASTINGS ON HUDSON 10581 AVON 10707 TUCKAHOE 10583 SCARSDALE 10708 BRONXVILLE 10591 TARRYTOWN 10709 EASTCHESTER 10594 THORNWOOD 10801 NEW ROCHELLE 10595 VALHALLA 10802 NEW ROCHELLE 10601 WHITE PLAINS 10803 NEW ROCHELLE 10602 WHITE PLAINS (PO BOXES) 10804 NEW ROCHELLE 10805 NEW ROCHELLE WHITE PLAINS HOSPITAL CONTINUES TO BE THE PRIMARY HOSPITAL FOR WHITE PLAINS, SCARSDALE, HARTSDALE, HARRISON AND SECTIONS OF THE TOWN OF GREENBURGH.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	IN 2014, STELLARIS WAS REMOVED AS THE ACTIVE PARENT AND CO-OPERATOR OF WPHMC. SUBSEQUENTLY, WPHMC ENTERED INTO AN AGREEMENT WITH MONTEFIORE HEALTH SYSTEM WHEREAS MONTEFIORE WOULD BECOME THE SOLE MEMBER OF WHITE PLAINS HOSPITAL MEDICAL CENTER AS OF JANUARY 1, 2015.
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:	NY
OTHER EXPLANATORY INFORMATION	IDENTIFYING OUR PREVENTION AGENDA PRIORITIES IN OUR 2013-2015, 3-YEAR COMPREHENSIVE PLAN AFFORDED WHITE PLAINS HOSPITAL THE ABILITY TO REASSESS THE EFFORTS IN PLACE TO REACH OUT AND COMMUNICATE EFFECTIVELY WITH OUR HOSPITAL COMMUNITY. TO DATE THERE HAS BEEN NO CHANGE OR UNEXPLAINED IMPACT ON OUR ORIGINAL COLLABORATIVE PLANS. THROUGH OUR DIRECT AND ONGOING DIALOGUE WITH COMMUNITY PARTNERS WE DEVELOPED AND IDENTIFIED NEEDS FOR SEVERAL NEW AND EXPANDED SERVICES.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

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

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

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

Any related organization?

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

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

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

For persons listed on 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 ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Edward F LeonardExecutive VP (THRU 12/15)	(i) (ii)	254,786 ------------- 0	84,300 ------------- 0	158,102 ------------- 0	63,200 ------------- 0	22,661 ------------- 0	583,049 ------------- 0	0 ------------- 0
2David HoVP/CFO (THRU 12/15)	(i) (ii)	417,839 ------------- 0	100,400 ------------- 0	7,200 ------------- 0	52,600 ------------- 0	28,340 ------------- 0	606,379 ------------- 0	0 ------------- 0
3MICHAEL J PALUMBO MDExecutive VP/Medical	(i) (ii)	576,138 ------------- 0	175,000 ------------- 0	7,200 ------------- 0	56,400 ------------- 0	12,571 ------------- 0	827,309 ------------- 0	7,200 ------------- 0
4Jon B SchandlerCEO (Thru 4/15)	(i) (ii)	357,551 ------------- 0	975,000 ------------- 0	314,390 ------------- 0	41,850 ------------- 0	4,676 ------------- 0	1,693,467 ------------- 0	0 ------------- 0
5Susan FoxPresident	(i) (ii)	826,988 ------------- 0	583,250 ------------- 0	3,081 ------------- 0	55,250 ------------- 0	26,944 ------------- 0	1,495,513 ------------- 0	0 ------------- 0
6NABIL KHOURY-YACOUBPhysician	(i) (ii)	919,811 ------------- 0	30,000 ------------- 0	0 ------------- 0	32,200 ------------- 0	29,767 ------------- 0	1,011,778 ------------- 0	0 ------------- 0
7SARA SADANPhysician	(i) (ii)	907,099 ------------- 0	32,271 ------------- 0	0 ------------- 0	34,600 ------------- 0	27,957 ------------- 0	1,001,927 ------------- 0	0 ------------- 0
8JARED BRANDOFFPhysician	(i) (ii)	785,068 ------------- 0	146,440 ------------- 0	0 ------------- 0	28,185 ------------- 0	30,930 ------------- 0	990,623 ------------- 0	0 ------------- 0
9JEFF TIESIExecutive Vice President	(i) (ii)	404,406 ------------- 0	50,000 ------------- 0	6,600 ------------- 0	27,850 ------------- 0	14,042 ------------- 0	502,898 ------------- 0	0 ------------- 0
10FRANCES BORDONIVice President Business Dvlpmt	(i) (ii)	372,802 ------------- 0	65,000 ------------- 0	0 ------------- 0	28,600 ------------- 0	23,425 ------------- 0	489,827 ------------- 0	0 ------------- 0
11JACQUELIN MONACO-BAVAROPHYSICIAN	(i) (ii)	812,785 ------------- 0	30,000 ------------- 0	0 ------------- 0	16,810 ------------- 0	17,784 ------------- 0	877,379 ------------- 0	0 ------------- 0
12PHILIP OZUAHBOARD MEMBER (START 7/15)	(i) (ii)	0 ------------- 1,539,345	0 ------------- 619,200	0 ------------- 127,100	0 ------------- 663,122	0 ------------- 34,011	0 ------------- 2,982,778	0 ------------- 0
13CHRISTOPHER PANCZNERBOARD MEMBER (START 7/15)	(i) (ii)	0 ------------- 697,112	0 ------------- 392,200	0 ------------- 21,554	0 ------------- 232,140	0 ------------- 0	0 ------------- 1,343,006	0 ------------- 0
14LYNN RICHMONDBOARD MEMBER (START 7/15)	(i) (ii)	0 ------------- 782,898	0 ------------- 446,300	0 ------------- 27,554	0 ------------- 249,178	0 ------------- 33,464	0 ------------- 1,539,394	0 ------------- 0
15SETH GENDLERPHYSICIAN	(i) (ii)	515,536 ------------- 0	226,876 ------------- 0	0 ------------- 0	33,600 ------------- 0	28,258 ------------- 0	804,270 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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 1A	Tax return preparation fees incurred by one officer were paid by the organization. The amounts were included as taxable income.
PART I, LINE 4B & PART II - COLUMNS (B)(I), (II) AND (III)	IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THE COMPENSATION COMMITTEE OF THE MONTEFIORE HEALTH SYSTM, INC. BOARD OF TRUSTEES EXPRESSLY REVIEWED AND APPROVED THESE RETIREMENT BENEFIT ARRANGEMENTS FOR SENIOR EXECUTIVES IN A MANNER THAT QUALIFIED UNDER THE INTERMEDIATE SANCTIONS RULES OF THE FEDERAL TAX LAW, AND IN RECOGNITION OF (A) THE EXECUTIVES' YEARS OF SERVICE TO THE ORGANIZATION AND (B) THE SIGNIFICANT CONTRIBUTIONS TO ENHANCING THE ABILITY OF THE ORGANIZATION TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT WITH FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD BE VIEWED AS APPLYING TO YEARS OF SERVICE FOR THE ORGANIZATION. PHILIP O. OZUAH, M.D., PH.D. - ACCRUED AND UNPAID SERVICE COSTS OF $646,122 BASED ON OVER 25 YEARS OF SERVICE AT MONTEFIORE. CHRISTOPHER PANCZNER - ACCRUED AND UNPAID SERVICE COSTS OF $215,140. LYNN RICHMOND - ACCRUED AND UNPAID SERVICE COSTS OF $232,178.
PART I, LINE 7	BONUS COMPENSATION WAS PAID BY WHITE PLAINS HOSPITAL CENTER TO CERTAIN OFFICERS AND SENIOR STAFF IN 2015. SUCH COMPENSATION WAS AWARDED TO THOSE INDIVIDUALS BASED ON THE INDIVIDUAL'S RESPECTIVE JOB PERFORMANCE AND ACCOMPLISHMENTS ACHIEVED AS DETERMINED BY EITHER THE MANAGEMENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IN THE CASE OF THE OFFICERS OR BY EXECUTIVE LEADERSHIP IN THE CASE OF SENIOR STAFF.
PART II	THE TRUSTEES LISTED IN PART II LINES 12(II), 13(II), AND 14(II) ARE NOT EMPLOYEES OF THIS FILING ORGANIZATION, WHITE PLAINS HOSPITAL MEDICAL CENTER. THESE INDIVIDUALS ARE EMPLOYED AND THEIR COMPENSATION IS PAID BY MONTEFIORE HEALTH SYSTEM, INC. EIN 20-1615393.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number
13-1740130

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Dormitory Authority of the State of New York	14-6000693	64983TTS2	06-23-2004	32,330,000	See Schedule K, Part VI		X		X		X
B	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	000000000	12-20-2013	1,996,769	EQUIPMENT PURCHASE		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	15,520,000		718,372
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	32,340,437		1,996,769
4 Gross proceeds in reserve funds .............	1,786,000		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	604,543		0
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	785,123		1,996,769
11 Other spent proceeds .............	29,164,771		0
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2004		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

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
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
c Are there any research agreements that may result in private business use of bond-financed property? .............		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 ....	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		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
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......				X
b Exception to rebate? ........				X
c No rebate due? .........			X
If "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
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........	0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

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
b Name of provider ..........	BAYERISCHE		0
c Term of GIC .........	1140 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........	X
6 Were any gross proceeds invested beyond an available temporary period?	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part 1 A(F)	Proceeds of borrowing used to current refund NYSMCFFA FHA-Insured mortgage project revenue bonds, 1994 Series B issued 10/20/1994, as well as a small amount of capital expenditures.
PART IV, LINE 6	Certain amounts comprising a "minor portion" (and therefore not subject to yield restrictions) were held beyond an available temporary period.
PART VI, LINE 2C	For tax exempt leasing equipment issues, the financing does not generate any investment income, therefore no calculation was performed and no rebate is due.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CONTRIBUTOR 5	Substantial Contributor	41,935,789	SEE PART V		No
(2) CONTRIBUTOR 90	Substantial Contributor	6,049,030	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	(D) DESCRIPTION OF TRANSACTION: BUSINESS TRANSACTION

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	17	88,052	COST/SELLING PRICE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PART I, COLUMN (B)	THE AMOUNT IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTIONS RECEIVED.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

2015

Open to Public
Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Return Reference	Explanation
FORM 990, PART III, LINE 1	WHITE PLAINS HOSPITAL CENTER (THE "HOSPITAL") IS A 292 BED ACUTE CARE NOT-FOR PROFIT HOSPITAL SERVING THE HEALTH CARE NEEDS OF PEOPLE WHO LIVE IN, WORK IN OR VISIT WESTCHESTER COUNTY, NEW YORK AND ITS SURROUNDING AREAS. ALL CARE AND SERVICES ARE PROVIDED WITHOUT REGARD TO RACE, COLOR, CREED NATIONAL ORIGIN, AGE, SEXUAL ORIENTATION OR ABILITY TO PAY. THE HOSPITAL HAS A TRADITION OF EXCELLENCE THAT HAS EARNED THE HOSPITAL ITS OUTSTANDING REPUTATION FOR HIGH-QUALITY, PATIENT CARE WITH DIRECT COMMUNITY INVOLVEMENT. THROUGHOUT ITS 120 YEAR HISTORY, THE HOSPITAL CONTINUES TO RAISE THE BAR FOR MODERN SOPHISTICATED HEALTH CARE, DELIVERING SERVICE IN A WARM COMMUNITY HOSPITAL SETTING. THE HOSPITAL CONTINUES TO REDEFINE WHAT IT MEANS TO BE A COMMUNITY HOSPITAL PROVIDING INNOVATIVE, CUTTING EDGE THERAPIES AND SUPERB PHYSICIANS AND CLINICIANS TO DELIVER CARE. THE HOSPITAL PROVIDES ACUTE CARE INPATIENT, EMERGENCY AS WELL AS A COMPREHENSIVE ARRAY OF OUTPATIENT SERVICES. KEY CLINICAL SERVICES INCLUDE ADVANCED MATERNITY AND INTENSIVE NEONATAL CARE, CARDIAC CATHETERIZATION, ONCOLOGY, ORTHOPEDICS, STROKE CARE, AND SPECIALIZED SURGICAL SERVICES INCLUDING ROBOTIC, VASCULAR AND BARIATRIC. THE APPROXIMATELY 889 PHYSICIANS ON THE MEDICAL STAFF PRIDE THEMSELVES ON PROVIDING ADVANCED, COMPASSIONATE CARE EVERY DAY TO THE PATIENTS THEY SERVE. THE HOSPITAL'S CANCER PROGRAM HAS BEEN REPEATEDLY RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER FOR OUTSTANDING ACHIEVEMENT IN CANCER CARE, AND THE HOSPITAL'S BREAST PROGRAM HAS BEEN RECOGNIZED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS FOR QUALITY CARE AND OUTCOMES FOR BREAST PATIENTS. THE HOSPITAL ALSO OFFERS MANY OTHER ADVANCED AND SPECIALIZED SERVICES INCLUDING ROBOTIC, ORTHOPEDIC, ENDOCRINE, VASCULAR, SPINE AND BARIATRIC SURGERIES; A COMPREHENSIVE DIABETES EDUCATION AND TREATMENT PROGRAM, A LEVEL III NEONATAL UNIT, AN ANXIETY AND PHOBIA CLINIC, A SEIZURE DIAGNOSTIC CENTER AND A COMPREHENSIVE WOUND CARE CENTER. THE HOSPITAL IS THE ONLY COMMUNITY HOSPITAL IN NEW YORK STATE LICENSED TO PERFORM EMERGENCY AND ELECTIVE ANGIOPLASTY AND ITS EMERGENCY DEPARTMENT IS THE BUSIEST IN WESTCHESTER COUNTY. DURING 2015 THE HOSPITAL MAINTAINED ITS MAGNET DESIGNATION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK, AND SUPERIORITY IN PATIENT CARE. MAGNET RECOGNITION IS DETERMINED BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM, WHICH ENSURES THAT RIGOROUS STANDARDS FOR NURSING EXCELLENCE ARE MET. WITH THIS CREDENTIAL, THE HOSPITAL JOINS A SELECT GROUP OF HEALTHCARE ORGANIZATIONS IN THE UNITED STATES. MAGNET DESIGNATION IS WIDELY CONSIDERED TO BE THE GOLD STANDARD OF EXCELLENCE IN NURSING CARE. MAGNET RECOGNITION HAS BEEN SHOWN TO PROVIDE SPECIFIC BENEFITS TO HOSPITALS AND THEIR COMMUNITIES, SUCH AS: - HIGHER PATIENT SATISFACTION WITH NURSE COMMUNICATION, AVAILABILITY OF HELP, AND RECEIPT OF DISCHARGE INFORMATION - LOWER RISK OF 30-DAY MORTALITY AND LOWER FAILURE TO RESCUE - HIGHER JOB SATISFACTION AMONG NURSES - LOWER NURSE REPORTS OF INTENTIONS TO LEAVE POSITION THE HOSPITAL IS A TWELVE TIME WINNER OF THE CONSUMER'S CHOICE AWARD FROM THE NATIONAL RESEARCH CORPORATION. WHITE PLAINS HOSPITAL WAS NAMED AMONG THE TOP 5% IN THE NATION FOR OUTSTANDING PATIENT EXPERIENCE IN 2015. THIS RECOGNITION WAS BESTOWED ON THE HOSPITAL BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS. IN 2015, WHITE PLAINS HOSPITAL'S INTENSIVE CARE UNIT RECEIVED THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES BEACON AWARD FOR EXCELLENCE. THIS AWARD RECOGNIZES AND ACCLAIMS ACUTE AND CRITICAL CARE NURSING UNITS THAT ACHIEVE THE HIGHEST QUALITY OUTCOMES. FOR THE EIGHTH CONSECUTIVE YEAR, WHITE PLAINS HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD, IN RECOGNITION OF ITS COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO NATIONALLY ACCEPTED GUIDELINES. WHITE PLAINS HOSPITAL WAS GRANTED A THREE-YEAR TERM OF ACCREDITATION IN ECHOCARDIOGRAPHY IN THE AREA OF ADULT TRANS-THORACIC, ADULT TRANS-ESOPHAGEAL, AND ADULT STRESS BY THE INTER-SOCIETAL ACCREDITATION COMMISSION (IAC).
FORM 990, PART III, LINE 4A	INPATIENT SERVICES THE HOSPITAL PROVIDES MEDICAL, SURGICAL PEDIATRIC, MATERNITY AND OBSTETRIC AND LEVEL III NEONATAL SERVICES. IN 2015, THE HOSPITAL HAD APPROXIMATELY 17,000 INPATIENT ADMISSIONS AND PERFORMED APPROXIMATELY 4,800 INPATIENT SURGICAL PROCEDURES (INCLUDING ENDOSCOPIES). THERE WERE APPROXIMATELY 74,000 TOTAL PATIENT DAYS IN 2015 AND THE AVERAGE LENGTH OF A PATIENT'S STAY WAS 4.40 DAYS. THE HOSPITAL'S MATERNITY AND OBSTETRIC SERVICE IS ONE OF THE BUSIEST IN WESTCHESTER COUNTY AND OFFERS A BROAD SPECTRUM OF PREGNANCY, PERINATAL, CHILDBIRTH AND NEWBORN CARE SERVICES. THERE WERE APPROXIMATELY 1,900 BIRTHS IN 2015. IN 2015, UNDERINSURED AND UNINSURED PATIENTS ACCOUNTED FOR APPROXIMATELY 6.8% AND 6.2% OF THE HOSPITAL'S TOTAL DISCHARGES AND PATIENT DAYS RESPECTIVELY. SUCH PATIENTS GENERATED IN EXCESS OF $43.0 MILLION IN CHARGES FOR SERVICES RENDERED OF WHICH A SIGNIFICANT AMOUNT WILL GO UNCOLLECTED. IN ADDITION, PATIENTS COVERED UNDER MEDICAID (FEE-FOR-SERVICE) OR MEDICAID HMO INSURANCE WHICH IS CONSIDERED MEDICALLY INDIGENT REPRESENTED APPROXIMATELY 5.7% AND 5.4% OF THE HOSPITAL'S TOTAL DISCHARGES AND PATIENT DAYS RESPECTIVELY.
FORM 990, PART III, LINE 4B	OUTPATIENT SERVICES THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES INCLUDING AMBULATORY SURGERY, RADIATION ONCOLOGY AND INFUSION THERAPY, PHYSICAL THERAPY, RADIOLOGY AND IMAGING, LABORATORY SERVICES, FAMILY HEALTH CLINIC, AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS WITH APPROXIMATELY 388,000 PATIENT ENCOUNTERS. THE VALUE OF OUTPATIENT SERVICES RENDERED TO PATIENTS UNINSURED AS MEASURED BY GROSS CHARGES WAS IN EXCESS OF $22.0 MILLION IN 2015. SIMILARLY, OUTPATIENT SERVICES WITH AGGREGATE CHARGES OF APPROXIMATELY $88.9 MILLION WERE PROVIDED TO PATIENTS ENROLLED IN MEDICAID OR MEDICAID HMO COVERAGE, WHICH IS DEEMED TO BE MEDICALLY INDIGENT. PATIENTS COVERED BY MEDICAID OR MEDICAID HMO COVERAGE ACCOUNTED FOR APPROXIMATELY 13.4% OF OUTPATIENT ENCOUNTERS AND WHEN COMBINED WITH UNINSURED PATIENTS, REPRESENT APPROXIMATELY 16.7% OF THE OUTPATIENTS SERVED. THE HOSPITAL ALSO PROMOTES THE WELLNESS OF THE COMMUNITY THROUGH CONDUCTING A VARIETY OF COMMUNITY FOCUSED EDUCATION AND PREVENTION MEASURES SUCH AS LECTURES, SCREENINGS AND OUTREACH INCLUDING CO-SPONSOR AND LEAD PARTICIPANT OF THE ANNUAL NEIGHBORHOOD HEALTH FAIR WHICH EMPHASIZES REACHING OUT TO THE UNINSURED AND UNDERINSURED POPULATION AS WELL AS "WELLNESS MONTH" WHICH INVOLVED A SERIES OF EVENTS AND ACTIVITIES DESIGNED TO BRING PREVENTATIVE HEALTH INFORMATION AND EDUCATION TO THE COMMUNITY.
FORM 990, PART III, LINE 4C	EMERGENCY SERVICES THE HOSPITAL'S EMERGENCY ROOM IS THE BUSIEST IN WESTCHESTER COUNTY TREATING A TOTAL OF APPROXIMATELY 57,000 PATIENTS FROM WHICH APPROXIMATELY 11,000 WERE ADMITTED TO THE HOSPITAL. THE HOSPITAL'S EMERGENCY DEPARTMENT OFFERS ACCESS TO THE LATEST TECHNOLOGY AND IS EQUIPPED TO TREAT PATIENTS WITH SERIOUS MEDICAL CONDITIONS AND INJURIES AND HAS A "FAST TRACK" AREA TO SERVE THOSE PATIENTS WHOSE NEEDS ARE LESS URGENT. THE EMERGENCY ROOM IS A VITAL SERVICE TO THOSE LIVING, WORKING AND VISITING WESTCHESTER COUNTY AND PROVIDES NEEDED EMERGENT CRITICAL CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE HOSPITAL HAS BEEN DESIGNATED A REGIONAL STROKE CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH, A DISTINCTION THAT DEMONSTRATES THE HOSPITAL'S ABILITY TO DIAGNOSE AND TREAT STROKES USING A HIGHLY SPECIALIZED MEDICAL STROKE TEAM. THE HOSPITAL WAS THE FIRST HOSPITAL IN WESTCHESTER COUNTY TO RECEIVE THIS PRESTIGIOUS DESIGNATION. DESPITE THE PRIMARY CARE AND OUTREACH PROGRAMS AVAILABLE THROUGH THE HOSPITAL AND OTHERS SERVING THE COMMUNITY, FOR MANY UNINSURED AND UNDERINSURED, THE HOSPITAL'S EMERGENCY ROOM IS THEIR PRIMARY SOURCE OF AND PRINCIPAL MEANS OF ACCESSING HEALTHCARE SERVICES. IN 2015, APPROXIMATELY 6.7% OF THE PATIENTS TREATED IN THE EMERGENCY ROOM WERE UNINSURED OR CHARITY CARE PATIENTS. THE PATIENTS INCURRED CHARGES TOTALING APPROXIMATELY $7.1 MILLION. IN ADDITION, APPROXIMATELY 32.5% OF THE PATIENTS TREATED WERE COVERED UNDER MEDICAID (FEE-FOR-SERVICE) OR MEDICAID HMO INSURANCE WHICH IS CONSIDERED MEDICALLY INDIGENT. TOTAL EMERGENCY ROOM CHARGES RELATED TO SERVICES RENDERED TO THESE PATIENTS TOTALED APPROXIMATELY $33.8 MILLION. THE HOSPITAL IS COMMITTED TO CONTINUING TO PROVIDE THE HIGHEST QUALITY PATIENT CARE AS WELL AS SEEKING AND DEVELOPING CONTINUAL IMPROVEMENT TO PATHWAYS AND SYSTEMS WHICH WILL FACILITATE QUICKER ACCESS TO EMERGENCY MEDICINE SERVICES AS WELL AS MORE EFFICIENT PATIENT FLOW THROUGHOUT THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBERS ROBERT FEDER AND WILLIAM NULL HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	MONTEFIORE HEALTH SYSTEM IS THE SOLE MEMBER OF WHITE PLAINS HOSPITAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	Montefiore Health System has the sole right to approve the appointment of the members of the White Plains Board who have been nominated and approved by the White Plains Board. MHS can appointment three White Plains Board members specifically appointed as MHS' representatives, each of whom shall be a MHS board member, officer or member of MHS senior executive management, except as otherwise agreed by the Parties. MHS shall have the right to designate one of the MHS representatives on the White Plains Board, to serve on the White Plains Board's executive committee, finance committee and such other committees as MHS may request from time to time. MHS may reject a proposed nominee to the White Plains Board for Good Cause.
FORM 990, PART VI, SECTION A, LINE 7B	PURSUANT TO THE WHITE PLAINS HOSPITAL MEDICAL CENTER'S AND MONTEFIORE MEDICAL CENTERSS ORGANIZING DOCUMENTS (BYLAWS), CERTAIN DECISIONS OF THE GOVERNING BOARD WERE REQUIRED TO BE APPROVED BY THE MONTEFIORE HEALTH SYSTEMS BOARD OF DIRECTORS. SUCH DECISIONS INCLUDED MANAGED CARE CONTRACTING, EXPANSION/SUBTRACTION OF THE MEDICAL CENTER'S OPERATIONS, CERTAIN ADMINISTRATIVE PROCEDURES, ETC.
FORM 990, PART VI, SECTION B, LINE 11	THE WHITE PLAINS HOSPITAL MEDICAL CENTER FORM 990 WAS REVIEWED IN DETAIL BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER IN CONJUNCTION WITH ITS TAX PREPARERS, ERNST & YOUNG LLP. A COPY OF THE FINAL FORM 990 WAS CIRCULATED TO THE FULL BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED. PRIOR TO FILING, THE FORM 990 WAS PRESENTED TO THE FINANCE AND EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ON NOVEMBER 7, 2016, WITH AN OVERVIEW OF THE FORM 990 AND ITS IMPACT ON WHITE PLAINS HOSPITAL MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF WHITE PLAINS HOSPITAL MEDICAL CENTER ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF THE HOSPITAL OR AS A BOARD MEMBER OF THE MEDICAL CENTER. COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE LEGAL COMMITTEE OF THE BOARD OF DIRECTORS AND CONCERNS PRESENTED BY THE RESPONSES TO THE CONFLICT OF INTEREST POLICY ARE DISCLOSED TO THE BOARD, WITH THE INTERESTED PARTY RECUSED FROM DISCUSSING THE MATTER. THE RESPONSES TO THE CONFLICT OF INTEREST POLICY ARE DISCLOSED TO THE BOARD, WITH THE INTERESTED PARTY RECUSED FROM DISCUSSING THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THE WHITE PLAINS HOSPITAL MEDICAL CENTER UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS AND ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE MANAGEMENT COMPENSATION COMMITTE OF THE BOARD OF DIRECTORS USES COMPARABLE PUBLICLY AVAILABLE BENCHMARKING DATA THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE MANAGEMENT COMPENSATION COMMITTEE ESTABLISHES COMPENSATION LEVELS WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY AN OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION BY THE COMMITTEE IS THEN DOCUMENTED IN MEMORANDUM. THE MEMORANDUM CONTAINS THE TERMS OF THE PROPOSED COMPENSATION AS SET FORTH BY THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE PUBLIC REQUEST AND AT MANAGEMENT'S DISCRETION.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS	Contributed Capital 104,804,655 Pension Related Adjustments 4,946,299 TOTAL 109,750,954

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WHITE PLAINS HOSPITAL MEDICAL CENTER

Employer identification number

13-1740130

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MMC Corporation 111 East 210th street BRONX,NY10467 13-3430322	real estate	NY	501(C)(3)	11 Type 1	MMC	Yes
(2)MMC Residential Corp No 1 Inc 3411 Wayne Avenue BRONX,NY10467 91-1943271	staff housing	NY	501(C)(2)		MMC	Yes
(3)Montefiore Hosp Housing Section II Inc 3450 wayne avenue BRONX,NY10467 23-7160641	staff housing	NY	501(C)(2)		MMC	Yes
(4)Mosholu Preservation Corporation 3400 reservoir oval East BRONX,NY10467 13-3109387	Community Ser	NY	501(C)(3)	11 type 2	MMC	Yes
(5)Gunhill MRI PC 200 East Gunhill Road BRONX,NY10467 13-3734486	diag services	NY	501(C)(3)	11 type 1	MMC	Yes
(6)Montefiore Health System Inc 555 South Broadway Tarrytown,NY10591 20-1615393	parent	NY	501(C)(3)	11 type 3	MMAHS		No
(7)Montefiore North Ambulatory Care Center 4134 Bronx Blvd BRONX,NY10466 01-0796859	amb services	NY	501(C)(3)	3	MHS	Yes
(8)Montefiore New Rochelle Hospital 16 Guion Place New Rochelle,NY10801 46-2931956	Hospital	NY	501(C)(3)	3	MHS	Yes
(9)Montefiore Mount Vernon Hospital 12 North Seventh Avenue Mount Vernon,NY10550 46-2916938	Hospital	NY	501(C)(3)	3	MHS	Yes
(10)Schaffer Extended Care Center 16 Guion Place New Rochelle,NY10801 46-2929888	Nursing Home	NY	501(C)(3)	9	MHS	Yes
(11)MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX,NY10467 47-1600439	FOUNDATION	NY	501(C)(3)	11 TYPE I	MHS	Yes
(12)Albert Einstein College of Medicine Inc 1300 Morris Park Avenue BRONX,NY10461 47-2209056	Med School	NY	501(C)(3)	2	MMAHS		No
(13)MONTEFIORE MEDICINE ACAD HLTH SYS INC 555 SOUTH BROADWAY TARRYTOWN,NY10591 47-1582973	Sys Parent	NY	501(C)(3)	11 Type 3	NA		No
(14)THE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK,NY10960 13-1740119	HOSPITAL	NY	501(C)(3)	3	MHS	Yes
(15)MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX,NY10467 13-1740114	ACAD MED CTR	NY	501(C)(3)	3	MHS	Yes
(16)Einstein Staff Housing Co Inc 1300 Morris Park Avenue BRONX,NY10461 23-7075620	Staff Housing	NY	501(C)(2)	NONE	MMAHS		No
(17)Montefiore CERC Operations Inc 111 East 210th Street BRONX,NY10467 47-4853506	Rehab Center	NY	Pending	NONE	MMC	Yes
(18)White Plains Hospital Foundation 41 East Post Road Davis Ave White Plains,NY10601 13-3281507	FUNDRAISING	NY	501(C)(3)	11 TYPE I	WPH		No
(19)Nyack Hospital Foundation 160 North Midland Avenue NYACK,NY10960 13-3245804	FUNDRAISING	NY	501(C)(3)	11 TYPE I	Nyack Hosp		No
(20)Healthstar Network Inc 135 Bedford Road Armonk,NY10504 13-3911773	FMR PARENT	NY	501(C)(3)	11 Type 3	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

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

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) The Montefiore IPA Inc 111 East 210th street bronx,NY10467 13-4114915	Managed Care	NY	NA	C CORP					No
(2) MMC GI Holdings East Inc 111 East 210th street bronx,NY10467 72-1610013	holding company	NY	NA	C CORP					No
(3) MMC GI Holdings West Inc 111 East 210th street bronx,NY10467 72-1610015	holding company	NY	NA	C CORP					No
(4) Montefiore Behavioral Care IPA No 1 inc 111 East 210th street bronx,NY10467 13-3952750	Integ prov assos	NY	NA	C CORP					No
(5) BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX,NY10467 30-0689571	Managed care	NY	NA	C CORP					No
(6) MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX,NY10467 61-1728539	holding company	NY	NA	C CORP					No
(7) MMC CONTRACT MANGEMENT ORG NO 1 INC 111 EAST 210TH STREET BRONX,NY10467 13-3859895	CONTRACT MGMT	NY	NA	C CORP					No
(8) MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX,NY10467 32-0436594	Ins Company	NY	NA	C CORP					No
(9) MONTEFIORE COMMUNITY NETWORK LLC 111 EAST 210TH STREET BRONX,NY10467 46-1374475	Comm Network	NY	NA	C CORP					No
(10) HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX,NY10467 38-3978087	MANAGED cARE	NY	NA	C CORP					No
(11) MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX,NY10467 47-5106910	holding company	NY	NA	C CORP					No
(12) HIGHLAND MEDICAL PC 160 NORTH MIDLAND NYACK,NY10960 13-4034481	PHYSICIAN SERV	NY	NA	C CORP					No
(13) 8 LONGVIEW DEVELOPMENT CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 26-3321278	hOUSING	NY	WPH	C CORP	347,941	2,417,445	100.000 %	Yes
(14) WHITE PLAINS MEDICAL DIAGNOSTIC SERV PC 41 EAST POST ROAD WHITE PLAINS,NY10601 45-3164626	PROFESSIONAL SERV	NY	WPH	C CORP	751,965	83,655	100.000 %	Yes
(15) CANCER AND BLOOD MEDICAL SERVICES OF NY 41 EAST POST ROAD WHITE PLAINS,NY10601 46-2021804	PROFESSION SERV	NY	WPH	C CORP	2,266,373	133,308	100.000 %	Yes
(16) NH MANAGEMENT SERVICES INC 160 N MIDLAND AVENUE NYACK,NY10960 13-4026486	MANAGEMENT SERV.	NY	NA	C CORP					No
(17) DAVIS AVENUE CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 13-3331643	HEALTHCARE SERV	NY	WPH	C CORP		393	100.000 %	Yes
(18) POST DEVELOPMENT CORPORATION DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 22-2605281	REAL ESTATE	NY	WPH	C CORP			100.000 %	Yes
(19) WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS,NY10601 13-3331641	MANAGEMENT SERV	NY	WPH	C CORP			100.000 %	Yes
(20) WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS,NY10601 13-3676932	REAL ESTATE	NY	WPH	C CORP			100.000 %	Yes
(21) UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX,NY10467	MGMT SERVICES	NY	NA	C CORP					No

Schedule R (Form 990) 2015

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

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

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

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

Yes

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

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

f Dividends from related organization(s) ............................

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

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

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CANCER AND BLOOD MEDICAL SERVICES OF NY	Q	185,000	COST
(2) MONTEFIORE MEDICAL CENTER	P	3,300,213	COST
(3) MONTEFIORE MEDICAL CENTER	C	104,804,655	COST
(4) HEALTHSTAR NETWORK INC	P	5,327,004	COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

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

Schedule R (Form 990) 2015

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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO OFFER ACUTE HEALTH CARE AND PREVENTIVE MEDICAL CARE TO ALL PEOPLE WHO LIVE IN, WORK IN, OR VISIT WESTCHESTER.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	39
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	34
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	3,049
6	Total number of volunteers (estimate if necessary) .............	6	536
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	13,532,005
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-63,841

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,958,996	9,448,776
9	Program service revenue (Part VIII, line 2g) .........	398,380,324	445,821,497
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,143,576	1,319,291
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	18,077,575	4,742,629
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	425,560,471	461,332,193
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)	230,082,864	259,109,442
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	382,149	217,574
b	Total fundraising expenses (Part IX, column (D), line 25) 1,383,247
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	170,790,644	171,306,288
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	401,255,657	430,633,304
19	Revenue less expenses. Subtract line 18 from line 12.......	24,304,814	30,698,889
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	336,453,709	491,330,445
21	Total liabilities (Part X, line 26).............	242,722,844	214,953,062
22	Net assets or fund balances. Subtract line 21 from line 20.....	93,730,865	276,377,383

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 147,342,429 including grants of $ ) (Revenue $ 179,193,279 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ 188,821,568 including grants of $ ) (Revenue $ 228,496,211 )
	SEE SCHEDULE O

4c	(Code: ) (Expenses $ 31,511,006 including grants of $ ) (Revenue $ 38,132,007 )
	SEE SCHEDULE O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses367,675,003

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	10,145,919	4,653,263	1,950,415

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	849,092
d	Related organizations		1d
e	Government grants (contributions)		1e	42,500

f	All other contributions, gifts, grants, and similar amounts not included above		1f	8,557,184

g	Noncash contributions included in lines 1a-1f:$ 88,052
h Total.Add lines 1a-1f.......		9,448,776

			Business Code
2a	PATIENT SERVICE REVENUE	900099	431,397,807	431,397,807	0	0
b	DIAGNOSTIC LAB	621500	13,532,005	0	13,532,005	0
c	MEANINGFUL USE	900099	891,685	891,685	0	0
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			445,821,497

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			587,009			587,009
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,177,929
b	Less: rental expenses
c	Rental income or (loss)	0	1,177,929
d	Net rental income or (loss)......			1,177,929			1,177,929
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	758,336	2,044,755
b	Less: cost or other basis and sales expenses		2,070,809
c	Gain or (loss)	758,336	-26,054
d	Net gain or (loss).....			732,282			732,282
8a	Gross income from fundraising events (not including $ 849,092of contributions reported on line 1c). See Part IV, line 18 ....
	a		242,359
b	Less: direct expenses ...b		452,599
c	Net income or (loss) from fundraising events..			-210,240			-210,240
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	PURCHASE DISCOUNTS		900099	989,450	0	0	989,450
b	CAFETERIA		900099	985,892	0	0	985,892
c	PARKING INCOME		812930	865,008	0	0	865,008
d	All other revenue ....			934,590	0	0	934,590
e	Total. Add lines 11a–11d ......			3,774,940
12	Total revenue. See Instructions......			461,332,193	432,289,492	13,532,005	6,061,920

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0	0
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	6,198,442	0	6,198,442	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0	0	0	0
7	Other salaries and wages	207,089,496	184,984,516	21,468,615	636,365
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,098,168	5,288,938	791,036	18,194
9	Other employee benefits .......	25,377,760	22,010,118	3,291,925	75,717
10	Payroll taxes ...........	14,345,576	12,441,911	1,860,864	42,801
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	1,010,687	0	1,010,687	0
c	Accounting ...........	828,410	0	828,410	0
d	Lobbying ...........	31,429	0	31,429	0
e	Professional fundraising services. See Part IV, line 17	217,574			217,574
f	Investment management fees ......	0	0	0	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	24,803,601	17,936,647	6,824,202	42,752
12	Advertising and promotion ....	1,845,537	19,282	1,825,381	874
13	Office expenses .......	9,453,476	7,075,202	2,247,082	131,192
14	Information technology ......	4,517,552	108,726	4,408,826	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	10,606,407	9,717,288	855,424	33,695
17	Travel ............	291,244	105,932	184,689	623
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	411,027	263,824	147,179	24
20	Interest ...........	-12,511	-11,376	-1,076	-59
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	21,719,772	19,749,264	1,867,971	102,537
23	Insurance ...	2,264,811	1,768,703	496,108	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	70,891,697	70,659,210	231,928	559
b	EQUIP, RENTAL, REPAIRS	8,055,619	7,325,964	729,655	0
c	Leases	3,276,421	1,686,146	1,589,586	689
d	Collections and Billing	5,106,759	2,160,336	2,946,423	0
e	All other expenses	6,204,350	4,384,372	1,740,268	79,710
25	Total functional expenses. Add lines 1 through 24e	430,633,304	367,675,003	61,575,054	1,383,247
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	0

1	Cash–non-interest-bearing ........			429,501	1	0
2	Savings and temporary cash investments .........			16,605,916	2	14,998,752
3	Pledges and grants receivable, net ......			3,487,719	3	5,145,074
4	Accounts receivable, net .............			45,425,249	4	46,925,693
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			6,716,614	8	6,980,299
9	Prepaid expenses and deferred charges ......			3,525,526	9	3,903,111
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	325,426,801
b	Less: accumulated depreciation	10b	19,787,910	174,720,205	10c	305,638,891
11	Investments—publicly traded securities .			62,991,597	11	62,609,749
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			124,339	13	0
14	Intangible assets ...............			0	14	24,242,769
15	Other assets. See Part IV, line 11 ...........			22,427,043	15	20,886,107
16	Total assets. Add lines 1 through 15 (must equal line 34)...			336,453,709	16	491,330,445

17	Accounts payable and accrued expenses .....	66,551,829	17	67,462,011
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	17,003,198	20	19,254,552
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	48,407,895	23	16,270,125
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	110,759,922	25	111,966,374
26	Total liabilities. Add lines 17 through 25..	242,722,844	26	214,953,062

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	85,445,207	27	261,660,045
28	Temporarily restricted net assets ...........	5,248,075	28	11,473,704
29	Permanently restricted net assets	3,037,583	29	3,243,634
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	93,730,865	33	276,377,383
34	Total liabilities and net assets/fund balances ........	336,453,709	34	491,330,445

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately 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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No