Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
BCheck if applicable:
CName of organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
% FRED BERARDINONE
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
41 EAST POST RD AND DAVIS AVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WHITE PLAINS, NY106014607
D Employer identification number

13-1740130
E Telephone number

G Gross receipts $ 760,946,621
F Name and address of principal officer:
SUSAN FOX
41 EAST POST RD DAVIS AVE
WHITE PLAINS,NY10601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.WPHOSPITAL.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1893
M State of legal domicile: NY
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO offer high quality, acute health care and preventive medical care to all people who live in, work in, or visit Westchester County and its surrounding areas.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 40
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 35
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 4,365
6 Total number of volunteers (estimate if necessary) ............. 6 797
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,418,253
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b -295,195
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 8,674,901 14,531,583
9 Program service revenue (Part VIII, line 2g) ......... 676,729,559 736,260,825
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,427,045 4,007,496
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 27,731,129 4,444,935
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 716,562,634 759,244,839
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 193,755 299,905
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) 376,005,045 398,854,036
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,050,259    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 271,106,363 292,270,845
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 647,305,163 691,424,786
19 Revenue less expenses. Subtract line 18 from line 12....... 69,257,471 67,820,053
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 738,787,810 952,708,482
21 Total liabilities (Part X, line 26)............. 274,178,437 415,861,995
22 Net assets or fund balances. Subtract line 21 from line 20..... 464,609,373 536,846,487
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
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Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: WHITE PLAINS IS A VOLUNTARY, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION WITH THE PRIMARY MISSION OF OFFERING HIGH QUALITY, ACUTE HEALTH CARE AND PREVENTIVE MEDICAL CARE TO ALL PEOPLE WHO LIVE IN, WORK IN, OR VISIT WESTCHESTER COUNTY AND ITS SURROUNDING AREAS. THESE EXCEPTIONAL SERVICES WILL BE DELIVERED IN A CARING AND COMPASSIONATE MANNER, FOCUSING ON MEETING THE NEEDS OF THE COMMUNITY. WHITE PLAINS HOSPITAL'S MISSION EXTENDS BEYOND INPATIENT AND OUTPATIENT CARE TO INCLUDE ASSESSING AND IMPROVING THE HEALTH STATUS OF THE LOCAL COMMUNITY, THE PROFESSIONAL COMMUNITY AND THE BUSINESS SECTOR. THE HOSPITAL WILL STRIVE TO ENHANCE ITS CAPABILITIES AND TO DELIVER HEALTH CARE SERVICES, WITHIN THE SCOPE OF ITS RESOURCES, IN A COST-EFFECTIVE MANNER. WHITE PLAINS HOSPITAL BELIEVES SUCCESS IS ASSURED BY THE DEDICATION OF THE PEOPLE WHO MAKE UP THE SUPPORTING CONSTITUENCIES: EMPLOYEES, PHYSICIANS, LICENSED HEALTH CARE PROFESSIONALS, VOLUNTEERS, INDIVIDUAL SUPPORTERS, BUSINESSES AND CIVIC ORGANIZATIONS
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 606,109,248 including grants of $ 299,905 ) (Revenue $ 736,260,825 )
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 IT AN OUTSTANDING REPUTATION FOR HIGH-QUALITY, PATIENT CARE WITH DIRECT COMMUNITY INVOLVEMENT. THROUGHOUT ITS 127 YEARS HISTORY, THE HOSPITAL CONTINUES TO RAISE THE BAR FOR MODERN SOPHISTICATED HEALTH CARE, DELIVERING SERVICE IN A WARM COMMUNITY HOSPITAL SETTING AND REDEFINING WHAT IT MEANS TO BE A COMMUNITY HOSPITAL PROVIDING INNOVATIVE, CUTTING EDGE THERAPIES AND SUPERB PHYSICIANS AND CLINICIANS CARE. OUR NEARLY 1,100 MEDICAL STAFF MEMBERS PRIDE THEMSELVES ON PROVIDING COMPASSIONATE CARE EVERY DAY TO THE PATIENT THEY SERVE. OUR PARTNERSHIP WITH MONTEFIORE HAS HELPED TO ACCELERATE OUR GROWTH AND ABILITY TO PROVIDE OUR COMMUNITY WITH ADVANCED CARE, CLOSE TO HOME. WITH ACCESS TO EXPANDED RESEARCH STUDIES AND CLINICAL TRIALS FOR OUR ONCOLOGY PATIENTS, A GROWING NUMBER OF CONTINUING MEDICAL EDUCATION OPPORTUNITIES FOR OUR PHYSICIANS AND OTHER PROVIDERS, AND SEAMLESS COLLABORATIVE WORK AMONG CLINICIANS, THE PARTNERSHIP HAS NOT ONLY MADE US STRONGER TOGETHER, BUT HAS INSPIRED US TO RAISE THE BAR FOR PATIENT CARE EVEN HIGHER. THE HOSPITAL PROVIDES ACUTE INPATIENT CARE, EMERGENCY, AS WELL AS A COMPREHENSIVE ARRAY OF OUTPATIENT SERVICES. KEY CLINICAL SERVICES INCLUDE MATERNITY, A LEVEL III INTENSIVE NEONATAL CARE UNIT, CARDIAC CATHETERIZATION LABORATORIES PERFORMING LIFESAVING EMERGENCY AND ELECTIVE ANGIOPLASTY, AS WELL AS CARDIAC ABLATION AND OTHER INNOVATIVE ELECTROPHYSIOLOGY PROCEDURES, ONCOLOGY, ORTHOPEDICS, STROKE CARE, AND SPECIALIZED SURGICAL SERVICES INCLUDING ROBOTIC, VASCULAR AND BARIATRIC, A SEIZURE DIAGNOSTIC CENTER AND A WOUND CARE CENTER. THE HOSPITAL'S EMERGENCY ROOM IS THE BUSIEST IN WESTCHESTER COUNTY TREATING MORE THAN 65,000 PATIENTS ANNUALLY. THE HOSPITAL'S EMERGENCY DEPARTMENT OFFERS ACCESS TO THE LATEST TECHNOLOGY AND UTILIZES A TEAM-BASED APPROACH TO EFFECTIVELY AND EFFICIENTLY PROVIDE EMERGENCY CARE FOR BOTH PEDIATRIC AND ADULT PATIENTS. 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 OF THE YEAR. 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 ACCESSING HEALTHCARE SERVICES. WHITE PLAINS HOSPITAL WAS ONCE AGAIN RECOGNIZED BY VARIOUS AWARDS AND ACCREDITATIONS, INCLUDING: - REPEATED RECOGNITION OF THE HOSPITAL'S CANCER PROGRAM BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER FOR OUTSTANDING ACHIEVEMENT IN CANCER CARE; - NAMED AMONG THE TOP 15% IN THE NATION FOR OUTSTANDING PATIENT EXPERIENCE BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS; - RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR THE FOURTEENTH CONSECUTIVE YEAR, IN RECOGNITION OF ITS COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR STROKE PATIENTS; - ONE OF 8% OF HOSPITALS NATIONALLY TO BE GRANTED A THREE-YEAR TERM OF ACCREDITATION AS A DIAGNOSTIC IMAGING CENTER OF EXCELLENCE (DICOE) AND BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY. -OFFICIALLY RECOGNIZED AS A GREAT PLACE TO WORK FOR 2019-2020. -THE ONLY HOSPITAL IN WESTCHESTER TO BE RECOGNIZED BY U.S. NEWS & WORLD REPORT AS A BEST REGIONAL HOSPITAL. -RECEIVED THE JOINT COMMISSIONS GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS. -NAMED A 2019 PRESS GANEY GUARDIAN OF EXCELLENCE AWARD WINNER FOR PATIENT EXPERIENCE IN NEONATAL INTENSIVE CARE. -THE ONLY HOSPITAL IN WESTCHESTER COUNTY TO EARN AN A SAFETY GRADE IN BOTH THE SPRING AND FALL FROM THE LEAPFROG GROUP. -RECOGNIZED FOR OUR COMMITMENT TO THE QUALITY CARE OF OLDER ADULTS BY NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS), EARNING EXEMPLAR STATUS. WHITE PLAINS HOSPITAL WAS RE-DESIGNATED AS A MAGNET ORGANIZATION, 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 HOSPIAL 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. 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. AT THESE EVENTS, WE PROVIDE MANY SCREENINGS AND INFORMATION TO OUR ATTENDEES. EXPERTS ARE ON HAND TO PASS OUT INFORMATION AND ANSWER QUESTIONS ON VARIOUS HEALTH TOPICS SUCH AS ASTHMA AND STROKE. ADDITIONALLY, WE ARE A FOUNDING MEMBER OF THE HEALTHY COMMUNITY INITIATIVE, A COLLABORATIVE EFFORT WITH THE CITY OF WHITE PLAINS, THE MINISTERS FELLOWSHIP COUNCIL, THE WHITE PLAINS HOUSING AUTHORITY AND THE WHITE PLAINS SCHOOL DISTRICT. THE MISSION OF THE TASKFORCE IS TO POSITIVELY IMPACT THE OVERALL HEALTH OF OUR COMMUNITY IN A HOLISTIC WAY, WORKING WITH THE MUNICIPAL, COMMUNITY AND PRIVATE PARTNERS TO CREATE PROGRAMS THAT FOCUS ON PREVENTION AND OVERALL WELLBEING. EXCEPTIONAL CARE WITHOUT COMPROMISE - THAT IS OUR COMMITMENT TO THE COMMUNITY.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet606,109,248
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
405
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4,365
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
40
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
35
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletFRED BERARDINONE41 EAST POST RD DAVIS AVE   White Plains,NY106014607 (914) 681-2645
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) PHILIP O OZUAH MD......................................................................
BOARD MEMBER
1.0
.................
59.0
X           0 7,058,335 43,570
(2) LYNN RICHMOND......................................................................
BOARD MEMBER (ended 11/14/19)
1.0
.................
59.0
X           0 3,618,743 40,261
(3) Susan Fox......................................................................
President & CEO
49.0
.................
1.0
X   X       2,504,070 0 325,036
(4) Stuart M Zweibel MD......................................................................
Physician-West Dermatology
40.0
.................
0.0
        X   2,257,828 0 37,073
(5) Andrew M Casden MD......................................................................
Physician-Orthopaedic
40.0
.................
0.0
        X   1,864,876 0 52,351
(6) MICHAEL J PALUMBO MD......................................................................
Board Member/EVP-Chief Med Off
48.0
.................
2.0
X   X       1,168,432 0 155,688
(7) CHRISTOPHER S PANCZNE......................................................................
BOARD MEMBER
1.0
.................
59.0
X           0 1,270,367 26,913
(8) Athena G Kaporis MD......................................................................
Physician
40.0
.................
0.0
        X   1,241,735 0 51,361
(9) Richard Weinstein MD......................................................................
Board Member
50.0
.................
0.0
X           1,241,686 0 49,251
(10) Joseph Guarracino......................................................................
SVP - CFO
49.0
.................
1.0
    X       1,108,946 0 151,095
(11) Nabil Khoury-Yacoub M......................................................................
Physician-OB/GYN
40.0
.................
0.0
        X   1,090,464 0 54,334
(12) Michael A Gott MD......................................................................
Physician
40.0
.................
0.0
        X   1,051,573 0 41,315
(13) JEFFREY A TIESI......................................................................
SVP - COO
50.0
.................
0.0
    X       936,001 0 133,257
(14) Leigh Anne McMahon......................................................................
SVP-Patient Care Services
50.0
.................
0.0
      X     928,455 0 124,074
(15) FRANCES P BORDONI......................................................................
SVP - Business Development
50.0
.................
0.0
      X     799,855 0 106,208
(16) PAUL PECHMAN MD......................................................................
BD Member (Term end 12/31/19)
1.0
.................
40.0
X           0 332,591 0
(17) J MICHAEL DIVNEY......................................................................
IMMEDIATE PAST CHAIR
3.0
.................
1.0
X           0 0 0
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Paul M Weissman........................................................................
BOARD MEMBER
1.0
.......................1.0
X           0 0 0
(19) Jennifer Gruenberg........................................................................
Vice Chairman
3.0
.......................0.0
X           0 0 0
(20) Ann Edwards........................................................................
Vice Chairman
3.0
.......................0.0
X           0 0 0
(21) NORMAN ALPERT........................................................................
Board Member (term ended 4/19)
1.0
.......................0.0
X           0 0 0
(22) Carl Austin........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(23) Steven Baruch........................................................................
Vice Chairman
3.0
.......................0.0
X           0 0 0
(24) Howard Berk........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(25) NANCY Clarvit........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(26) Peter M Fishbein........................................................................
Secretary
3.0
.......................0.0
X           0 0 0
(27) ALeida M Frederico........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(28) John Jureller........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(29) CAROL LOWENTHAL........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(30) WILLIAM NULL........................................................................
Vice Chairman
3.0
.......................0.0
X           0 0 0
(31) Lucy Schmolka........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(32) MEGAN H Shapiro........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(33) Steven M Silver........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(34) Laurence R Smith........................................................................
Chairman
3.0
.......................2.0
X           0 0 0
(35) Robert Stone........................................................................
Vice Chairman
3.0
.......................0.0
X           0 0 0
(36) Susan Z Yubas........................................................................
Vice Chairwoman
3.0
.......................1.0
X           0 0 0
(37) Nettie Webb EdD........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(38) Jonathan Spitalny........................................................................
Board Member
1.0
.......................1.0
X           0 0 0
(39) Robert Tucker........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(40) DENNIS GILBERT........................................................................
BOARD MEMBER(resigned 6/18/19)
1.0
.......................0.0
X           0 0 0
(41) ANDREW HERZ........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(42) STEPHANIE MILLER........................................................................
BD MEMBER (Term ended 6/30/19)
1.0
.......................0.0
X           0 0 0
(43) FENTON SOLIZ........................................................................
BOARD MEMBER
1.0
.......................0.0
X           0 0 0
(44) Victoria Bruni........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(45) Wendy Berk........................................................................
Board Member
1.0
.......................1.0
X           0 0 0
(46) Peter Post........................................................................
Board Member
1.0
.......................1.0
X           0 0 0
(47) Kathleen Winterroll........................................................................
Board Member
1.0
.......................1.0
X           0 0 0
(48) Joshua Caspi........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(49) Keith Kennerly........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(50) Peter Lehrer........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(51) Richard Mast........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(52) John Sganga........................................................................
Board Member
1.0
.......................0.0
X           0 0 0
(53) Scott Eichel........................................................................
Board Member
1.0
.......................1.0
X           0 0 0
(54) Andrew Suzman........................................................................
Board Member (Effect 3/29/19)
1.0
.......................0.0
X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 16,193,921 12,280,036 1,391,787
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,092
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Turner Construction Company,
375 Hudson Street
NEW YORK,NY10014
Construction 39,081,188
A P Construction,
7070 Summer Street
STAMFORD,CT06901
construction 8,748,795
Perkins Eastman Architects PC,
115 Fifth Avenue
NEW YORK,NY100031004
Architectural design 6,662,111
GTL Construction,
1241 Mamaroneck Avenue
WHITE PLAINS,NY10605
Construction 4,876,481
EMPIRE GENERAL CONTRACTING CORP,
115 MAIN STREET
TUCKAHOE,NY10707
CONTRACTING SERVICES 4,410,622
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet133
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 186,683
b Membership dues..1b  
c Fundraising events..1c 1,963,238
d Related organizations1d  
e Government grants (contributions)1e 7,538,499
f All other contributions, gifts, grants, and similar amounts not included above1f 4,843,163
g Noncash contributions included in lines 1a - 1f:$ 1g 243,732
h Total. Add lines 1a-1f.......MediumBullet 14,531,583
 Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 622110 732,218,826 728,273,157 3,945,669 0
b OTHER HEALTHCARE RELATED SERVICES 621999 4,041,999 3,569,415 472,584 0
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 736,260,825
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 3,612,379 0 0 3,612,379
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   766,387 6a
b Less: rental expenses   774,299 6b
c Rental income or (loss) 0 -7,912 6c
d Net rental income or (loss).......MediumBullet -7,912 0 0 -7,912
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   395,117 7a
b Less: cost or other basis and sales expenses   0 7b
c Gain or (loss)   395,117 7c
d Net gain or (loss).........MediumBullet 395,117 0 0 395,117
8a Gross income from fundraising events (not including $ 1,963,238of contributions reported on line 1c). See Part IV, line 18 ....
8a 314,119
b Less: direct expenses ... 8b 835,209
c Net income or (loss) from fundraising events..MediumBullet -521,090 0 -521,090
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 3,300
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 3,300 0 0 3,300
10a Gross sales of inventory, less
returns and allowances ..
10a 190,142
b Less: cost of goods sold .. 10b 92,274
c Net income or (loss) from sales of inventory..MediumBullet 97,868 0 0 97,868
Business Code Miscellaneous Revenue
11a DISCOUNTS & REBATES 900099 1,964,483 0 0 1,964,483
b CAFETERIA AND VENDING INCOME 722514 1,366,270 0 0 1,366,270
c PARKING INCOME 812930 1,213,466 0 0 1,213,466
d All other revenue .... 328,550 0 0 328,550
e Total. Add lines 11a–11d ...... MediumBullet 4,872,769
12 Total revenue. See instructions.....MediumBullet 759,244,839 731,842,572 4,418,253 8,452,431
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 299,905 299,905
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 7,973,106 0 7,973,106 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      
7 Other salaries and wages........ 324,286,126 292,009,168 31,133,271 1,143,687
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 12,735,947 11,154,126 1,534,859 46,962
9 Other employee benefits ....... 29,850,339 27,278,282 2,468,494 103,563
10 Payroll taxes ........... 24,008,518 21,164,491 2,761,134 82,893
11 Fees for services (non-employees):        
a Management ...... 1,240,558 1,240,558 0 0
b Legal ......... 1,909,024 177,284 1,731,740 0
c Accounting ........... 665,571 0 665,571 0
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 24,745,365 17,223,967 7,364,176 157,222
12 Advertising and promotion .... 2,864,898 223,525 2,641,373 0
13 Office expenses ....... 28,529,856 23,392,915 4,842,031 294,910
14 Information technology ...... 11,478,534 7,917,599 3,560,935 0
15 Royalties .. 0      
16 Occupancy ........... 11,994,345 11,477,017 517,328 0
17 Travel ............ 400,858 317,464 82,737 657
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 778,557 701,826 75,686 1,045
20 Interest ........... 174,343 121,442 52,901 0
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 39,917,979 36,301,410 3,428,954 187,615
23 Insurance ... 13,338,512 13,310,086 28,426 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 127,871,092 127,871,092 0 0
b BILLING AND COLLECTION 11,752,245 0 11,752,245 0
c PHYSICIAN OWED PRACTICE LOSS 3,077,265 3,077,265 0 0
d LAUNDRY SERVICES 1,868,737 1,868,737 0 0
e All other expenses 9,663,106 8,981,089 650,312 31,705
25 Total functional expenses. Add lines 1 through 24e 691,424,786 606,109,248 83,265,279 2,050,259
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 2,000 1 2,050
2 Savings and temporary cash investments ......... 83,804,102 2 118,510,634
3 Pledges and grants receivable, net ...... 4,557,286 3 3,220,571
4 Accounts receivable, net ............. 76,825,572 4 84,942,300
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 37,539 7 48,998
8 Inventories for sale or use ............ 10,978,266 8 13,307,352
9 Prepaid expenses and deferred charges ...... 2,677,977 9 2,541,717
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 616,483,928
b Less: accumulated depreciation 10b 153,547,448 388,115,013 10c 462,936,480
11 Investments—publicly traded securities . 89,198,486 11 103,164,360
12 Investments—other securities. See Part IV, line 11 ..... 0 12 125,000
13 Investments—program-related. See Part IV, line 11 .. 3,446,645 13 3,491,245
14 Intangible assets ............... 38,030,961 14 37,780,961
15 Other assets. See Part IV, line 11 ........... 41,113,963 15 122,636,814
16 Total assets. Add lines 1 through 15 (must equal line 33)... 738,787,810 16 952,708,482
Liabilities 17 Accounts payable and accrued expenses ..... 124,675,517 17 135,495,945
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 13,170,352 20 9,571,213
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 24,133,528 23 17,992,991
24 Unsecured notes and loans payable to unrelated third parties .. 7,226,832 24 21,800,000
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 104,972,208 25 231,001,846
26 Total liabilities. Add lines 17 through 25.. 274,178,437 26 415,861,995
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 447,843,113 27 519,290,612
28 Net assets with donor restrictions ........... 16,766,260 28 17,555,875
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 464,609,373 32 536,846,487
33 Total liabilities and net assets/fund balances ........ 738,787,810 33 952,708,482
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
759,244,839
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
691,424,786
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
67,820,053
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
464,609,373
5
Net unrealized gains (losses) on investments ...............
5
8,652,403
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-4,235,342
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
536,846,487
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


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

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 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.
9c
 
 
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
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (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?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019
(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2020. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number
13-1740130
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


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

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

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

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
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) 2019

Schedule C (Form 990 or 990-EZ) 2019
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2016 (b) 2017 (c) 2018 (d) 2019 (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) 2019


Schedule C (Form 990 or 990-EZ) 2019
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|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
51,944
j
Total. Add lines 1c through 1i ....................................................................................................
51,944
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, line 1i The other activities includes indirect lobbying for the organization's pro-rata share of Healthcare Education Project (HEP) lobbying expenses and a percentage of membership dues paid to the Greater New York Hospital Association, The American Hospital Association, Northern Metro Hospital Association and Healthcare Association of New York State that were used by these organization for lobbying efforts.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," 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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB 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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" 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 .... 16,766,260 20,993,717 22,522,444 14,717,338 8,285,660
b Contributions ... 3,962,538 5,546,490 4,528,090 9,463,811 7,221,839
c Net investment earnings, gains, and losses 102,623 84,444 143,685 164,682 84,582
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
3,275,546 9,858,391 6,200,502 1,823,387 874,743
f Administrative expenses ....          
g End of year balance ...... 17,555,875 16,766,260 20,993,717 22,522,444 14,717,338
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet19.000 %
c
Term endowment SchDMd Bullet81.000 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" 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 .....   39,477,596 39,477,596
b Buildings ....   293,521,998 37,320,258 256,201,740
c Leasehold improvements   8,226,077 1,822,637 6,403,440
d Equipment ....   128,431,630 50,949,992 77,481,638
e Other .....   146,826,627 63,454,561 83,372,066
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 462,936,480
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)EST INSURANCE CLAIM RECOVERIES 46,281,000
(2)DUE FROM RELATED PARTIES 31,690,755
(3)SECURITY AND OTHER DEPOSITS 402,656
(4)RIGHT OF USE OPER LEASE ASSETS 44,262,403
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 122,636,814
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
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 231,001,846
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) 2019

Schedule D (Form 990) 2019
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) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" 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 arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 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
Sharpe Group Planned Giving   No      
Steiner Sports Event Fundraising   No      
JP Sports Entertainment LLC event fundraising   No      
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
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) 2019
Schedule G (Form 990 or 990-EZ) 2019
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.









VerticalRevenue
(a) Event #1

Fall Gala
(event type)
(b) Event #2

Golf Outing
(event type)
(c) Other events

3
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

1,266,291

806,331

204,735

2,277,357

2

Less: Contributions . . . .

1,156,760

624,731

181,747

1,963,238
3 Gross income (line 1 minus
line 2) . . . . . .

109,531

181,600

22,988

314,119



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . . 15,557 225,972 3,145 244,674
7 Food and beverages . . . 87,737 839 6,650 95,226
8 Entertainment . . . . 15,600 900 925 17,425
9 Other direct expenses . . . 86,792 337,404 53,688 477,884
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 835,209
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -521,090
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.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

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

 

8

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

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. 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 provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2019
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    9,530,725 1,746,826 7,783,899 1.130 %
b Medicaid (from Worksheet 3, column a) . . . . .     79,159,672 36,889,658 42,270,014 6.110 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     88,690,397 38,636,484 50,053,913 7.240 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     104,613 0 104,613 0.020 %
f Health professions education (from Worksheet 5) . . .     170,790 0 170,790 0.020 %
g Subsidized health services (from Worksheet 6) . . . .     83,985,755 74,205,880 9,779,875 1.410 %
h Research (from Worksheet 7) .     255,499 102,879 152,620 0.020 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     84,516,657 74,308,759 10,207,898 1.470 %
k Total. Add lines 7d and 7j .     173,207,054 112,945,243 60,261,811 8.710 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
5,611,084
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
1,852,138
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
123,239,512
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
138,990,128
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-15,750,616
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 White Plains Hospital MEDICAL Center
41 East Post Road Davis Avenue
WHITE PLAINS,NY10601
www.wphospital.org
5902001H
X X         X      
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
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.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V - Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part V - Section C
b
See Part V - Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
White Plains Hospital Center
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
White Plains Hospital Center
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
Schedule H, Part V, Section B, Line 5 The process for preparing the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process initiated with the goal of developing an assessment that was reflective of the needs of the community including the clinical and social determinants of health. Community health needs were identified through an ongoing dialogue with patients, community members, elected officials, community-based organizations, area business leaders and the local Department of Health who brought together a variety of health care facilities to collaborate on the priority agenda items. The collection of data from a sample of the Westchester County residents was an important element of the community health needs assessment. An online survey was collaboratively developed and made available across Westchester County, distributed by the Westchester County Department of Health, the Westchester County Executives Office and the local Delivery System Reform Incentive Payment Program (DSRIP) over the winter and spring of 2019. Participants were asked to identify three health priorities for the community, the potential strategies, that in their opinion, would have the greatest impact on improving population health, and to rank their own personal health priorities. During this process, Westchester County compiled feedback from over 3,500 respondents, which was used to identify concerns by municipality. Secondary data was compiled to further supplement the data collected and show health indicators for the region. The socio-demographically similar counties, and sub county differences, when available, for more than twenty measures were evaluated. The priority areas were then selected and each of the planned interventions focused on specific priority populations to address ethnic and cultural disparities defined in the indicators for the population served by White Plains. Across Westchester, in addition to the local Department of Health consortium, there is now a MHVC DSRIP aligned Collaborative with membership from White Plains Hospital, Montefiore Mount Vernon, Montefiore New Rochelle, St. Josephs Medical Center (including St. Vincents Hospital Westchester), St. Johns Riverside Hospital, and Burke Rehabilitation Hospital working to ensure that the CSP and DSRIP goals retain their alignment. As the CHNA process was conducted simultaneously with the New York State Community Service Plan (CSP) review, there is strong alignment between the areas of focus in this report and the areas presented in the CSP. White Plains Hospital will continue to work with its partners on existing program initiatives to advance the health of the community that it serves. Throughout the completion of the most recent community health survey, White Plains Hospital engaged with the Healthy Community Initiative Task Force, in addition to other community organizations, groups, and individuals to best understand the broad interests and needs of our community. The Healthy Community Initiatives mission is to positively impact the overall health of our community in a holistic way, working with municipal, community and private partners to create programs that focus on prevention and overall wellbeing. Task Force organizations included the White Plains Housing Authority, Feeding Westchester, local YWCA, Ministers Fellowship Council, Thomas H. Slater Center, White Plains Youth Bureau, The Office of the Mayor, City of White Plains, Calvary Baptist Church and El Centro Hispano, Inc. From various meetings, White Plains Hospital was better able to understand the varying needs and interests within our community. These collaborative partners are continually asked the following questions: - What can we do to assist you & the communities you serve to achieve your wellness goals? - Are there any unmet health-related needs? - Does your organizations health care priories align with the NYS prevention agenda items? Additionally, many community-based organizations are involved in committees chaired by White Plains Hospital, such as the Neighborhood Health Fair Committee. These committees present ongoing support and new perspectives on the progress of our initiatives and any new health issues that arise in our catchment areas.
Schedule H, Part V, Section B, Line 7a The direct website where the White Plains Hospital Medical Center CHNA report can be accessed: http://www.wphospital.org/WPHRedesign/media/Emerge_WPHRedesign/Documents/2 019-Community-Health-Needs-Assessment-and-Implementation-Report.pdf
Schedule H, Part V, Section B, Line 10A The hospital Facility's most recently adopted implementation strategy is posted on the direct website: http://www.wphospital.org/WPHRedesign/media/Emerge_WPHRedesign/Documents/2 019-Community-Health-Needs-Assessment-and-Implementation-Report.pdf
Schedule H, Part V, Section B, Line 11 Despite each of the different methods and approaches to primary data collection in gathering community input, there was a consistent focus on mental health, food and nutrition, and child and adolescent health. These findings led to the selection of the Hospitals prevention agenda priority areas: (1) promote well-being and prevent mental and substance use disorders, and (2) promote healthy women, infants and children. These categories selected were both identified to be important across the population surveyed, reflected in the data as critical, and were in alignment with the New York State Prevention Agenda and are supported by existing programs and staff, the community, as well as the addition of new and modified programs. Activities in support of these priorities are being carried out with the input and support of our community partners. Under the first priority agenda item chosen (promote well-being and prevent mental and substance use disorders), White Plains Hospital selected the focus area of mental and substance use disorder prevention with the goal of preventing opioid and other substance misuse and deaths. In support of the Westchester County Department of Health, White Plains Hospital is committed to impacting the opioid epidemic present in our community and the nation by our plans to conduct naloxone administration training sessions as well as providing awareness and education in provider and community settings. Naloxone is an opioid antagonist that can quickly and safely reverse the potentially fatal effects of an opioid overdose. Evidence-based strategies have shown that targeted distribution programs help to train and equip individuals who are most likely to encounter or witness an overdose. Effective approaches include equipping first responders, educating the community as well as community distribution programs. Despite the high prevalence of mental health and substance use problems, many community members go without treatment, partly due to the lack of a proper diagnosis. The Hospital plans to implement CAGE_AID to screen patients, an evidence-based screening tool that has been shown to be effective in diagnosing at-risk individuals. The second priority area (promoting healthy women, infants and children) focuses on prenatal and infant health with the goal of increasing breastfeeding. White Plains Hospital and the Hospitals maternal child team understand the importance of supporting breastfeeding for the health of infants and their mothers. Hospitals are in a unique position to support breastfeeding immediately, from the first moments following birth. Breastfeeding, especially exclusive breastfeeding, is shown to reduce the risk of asthma, obesity, respiratory issues and other chronic conditions in children. For mothers, breastfeeding has been shown to reduce the risk of breast cancer, ovarian cancer, type 2 diabetes, heart disease and a multitude of other conditions. Promoting the health of the mother leads to better outcomes for a healthy newborn. The hospital is addressing this initiative by its plans to promote and implement maternity care practices consistent with the Baby Friendly Hospital initiative Ten Steps to Successful Breastfeeding. The Baby Friendly Hospital Initiative is a global program to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding. Consistent with Baby Friendly guidelines, the hospital continues to encourage exclusive breastfeeding practices with the objective of increasing the percentage of infants who are exclusively breastfed in the hospital by 10%. The hospital plans also include support to at-risk mothers for preterm delivery by engagement and referral into clinical and community-based programs that address the social determinants of health. In addition to the Hospitals programs, Montefiore Health System, of which White Plains is a part of, has an extensive array of programs and services that address a wide range of the community needs. Although the Hospital, along with the Health System provides an array of programs and resources, the resources of our community partners are essential for the successful intervention in meeting the needs of the community and creating community-based services to prevent disease, enhance well-being and enact social changes that go beyond the traditional health care system. White Plains Hospital values its community partners and their consistent support and input regarding community health programming. In addition to the multiple resources that have been developed at White Plains Hospital and Montefiore independently and through partnership with other organizations, there is still an extensive need for community-based programs and resources that can augment these programs and services. Knowing how to access these resources is a particular challenge for the healthcare sector. Multiple, free and low-cost online tools have been developed that are now available for community members to access (i.e. hitesite.org). Available resources include those that also address the social determinants of Health. The Westchester County government website also provides a variety of lists and links to available community resources.
Schedule H, Part V, Section B, Lines 16a-16c The hospital's FAP, plain language summary and FAP application can be found on the website: https://www.wphospital.org/patients-and-visitors/patients/financial-and-in surance-information.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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) 2019
Schedule H (Form 990) 2019
Page 10
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
1. Part I, line 7 The cost-to-charge ratio methodology was utilized to calculate the amount included in the table. The calculation of this ratio was derived from the ratio of patient care cost-to-charge.
1. Part III, Section A, Line 2 THE cost of bad debt expense is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense.
1. Part III, Section A, Line 3 The estimated amount of the organization's bad debt expense (at cost) attributed to patients under the organization's charity care policy was based on the results of predictive analysis. Bad debt should be included as a community benefit because the organization provides much needed health care service indiscriminately to the community-at-large without regard to whether or not the patient has insurance or if the bill will ever be paid.
1. Part III, Section A, Line 4 As reported in WHITE PLAINS HOSPITAL CENTER & SUBSIDIARIES AUDITED financial STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2019 and 2018, changes in the Hospitals estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2019 and 2018 was not significant."
1. Part III, Section B, LINE 8 THE MEDICARE ALLOWABLE COST OF CARE REPORTED ON PART III SECTION B LINE 6 reflects THE ACCUMULATED allowable COSTS OF TREATING MEDICARE PATIENTS as reported in the organization's Medicare Cost report reduced for the Subsidized Health Service Medicare costs already reported in Part I, Line 7g of Schedule H. The Medicare Cost report uses the methodology of apportioning Routine costs to Medicare using days and ancillary costs to Medicare using departmental ratios of costs to charges. Any Medicare shortfall from Part III, line 7 should be included as a community benefit, since the organization is rendering much needed health services mainly to a frail elderly population living on a fixed income with great health needs.
1. Part III, Section C, Line 9B The Hospital uses predictive analysis to assist in charity care determinations in the absence of completed financial assistance applications. Such findings will not deem patients ineligible for financial assistance. If a patient completes a financial assistance application with documentation demonstrating that his income is lower than the category determined using predictive analysis, the patient's financial responsibility will be further reduced to the lower amount. Presumptive Charity uses financial information that is contained in a patient's credit report and other patient specific attributes to estimate a patient's income level and where they are in relation to the Federal poverty Level to qualify under the Hospital's charity care policy. Presumptive eligibility may also be based on prior FAP eligibility or enrollment in certain specified means-tested public programs to presumptively determine if an individual is FAP eligible.
2. Needs Assessment WHITE PLAINS HOSPITAL MEDICAL CENTER ASSESSES COMMUNITY NEEDS BY WORKING in PARTNERSHIP WITH OUR COMMUNITY, ASSESSING OUR PRESENT INITIATIVES, strategic PLANS AND PREVENTION AGENDA PRIORITIES. COMMUNITY health NEEDS are IDENTIFIED THROUGH AN ONGOING DIALOGUE WITH PATIENTS, community members, ELECTED OFFICIALS, ORGANIZATIONS, AREA BUSINESS leaders AND OUR local department of health. In addition to the efforts made in collecting information for the CHNA, White Plains Hospital also connects with people who have no particular credentials except that they're part of our greater WPH community; this method has played a vital role in better serving our community and has proven to be of great value. It is especially important to get the prospectivee of those who often don't have a voice in community decisions and politics lower income individuals, immigrants, and others who are often kept out of these discussions. This population is continually reached through free outreach programs, including both educational and physical screening events. Evaluation forms are provided at the events in order to understand the constant shift in the needs of our community. In 2019, the Hospital offered numerous programs aimed at providing services to the most at-risk members of the community. These outreach events and programs reached thousands of individuals, addressing health priorities such as cancer, heart disease, stroke, sleep issues, and nutrition.
3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE All intake, registration, and collection agency staff is trained on the Medical Center's financial aid policy and how to provide patients with assistance. When it is determined that a patient is having difficulty paying their bill, a referral is made to the Hospital's Financial aid office and a financial counselor will help the patient apply for financial aid.
4. COMMUNITY INFORMATION WHITE PLAINS HOSPITAL primary service area is central and lower Westchester County. Westchester County is a large county located just North of New York City in the Hudson Valley. Westchester covers an area of 450 square miles and consists of 48 municipalities that includes urban, suburban and rural geographies. The estimated population of Westchester County is made up of more than 975,321 residents. The median household income for Westchester was $89,968, the fourth highest in New York state, after Nassau, Putnam and Suffolk counties. Westchester county is the third healthiest county in New York State, according to the 2017 & 2018 County Health Ranking, produced by the Robert Wood Foundation and the University of Wisconsin. Despite its overall high ranking, there is considerable room to both improve population health and reduce health disparities especially in minority populations. White Plains is the county seat and the 5th most populous city in Westchester County. According to the 2017 American Community Survey, White Plains has 58,404 residents and has experienced a 10.0% increase in population between 2000 and 2017. The City of White Plains is Ethnically diverse. Its population is 45.1% non-hispanic white, 33.2% Hispanic, 12% non-hispanic black, 7.7% asian/Pacific Islander & 1.8% non-hispanic other. Almost one-third (30.8%) of its residents are foreign-born. White Plains has the 4th largest proportion of the population that lives below the poverty-level (11.9%) in the county compared to 9.4% countywide. 18.6% of White Plains children live below poverty, higher than the countywide percentage of 11.7%. While Westchester County remains the healthiest counties in New York State, several of its individual municipalities continue to have significant health gaps. Portions of lower Westchester, specifically Mount vernon, Yonkers, New Rochelle and White Plains are 'hot spots" for various health outcomes, such as asthma, and preterm births in the County. Additionally certain groups such as some racial/ethnic minorities or those with less education experience poorer health outcomes as compared to the general population as a whole.
5. Promotion of Community Health White Plains Hospital (WPH) has a longstanding commitment to the community and is at the forefront of medicine. WPHs continuum of care extends beyond its inpatient and outpatient programs, impacting people in its surrounding communities. White Plains Hospital takes pride in connecting with the community it serves. Throughout the year, the Hospital hosts and/or collaborates with various community organizations to educate and inform the public on best health practices, provide health screenings, information on disease prevention, and provides resources and support groups to both patients and the community. While these programs are open to patients and the general public, there is a strong emphasis on outreach to our at-risk members of the community. Ensuring health equity across Westchester is a key to White Plains Hospitals mission. In 2019, the Hospital participated in over 100 events; highlights of community outreach efforts are as follows: Healthy Community Initiative (HCI) As a founding member of the Healthy Community Initiative, the Hospital continues to expand programming, resources, and education. In collaboration with the City of White Plains, The Ministers Fellowship Council, and the White Plains School District, the task force aims to enhance the health of the community based on evolving needs. Throughout 2019, the Task Force launched numerous programs addressing varied health topics that are prevalent in our primary and secondary service areas: - The Healthy Weigh: 8 week program focused on nutrition and physical activity; partnered with Thomas H. Slater Center - 12 Weeks to Wellness: 12 week program focused on nutrition and physical activity; partnered with local YWCA - Fresh Market food distribution in partnership with Feeding Westchester. Community Health Fairs - The 42ndt annual Neighborhood Health Fair in partnership with Calvary Baptist Church, The Thomas H. Slater Center and El Centro Hispano, Inc. was held with free health screenings including: breast exams, prostate exams, blood pressure, podiatry, diabetes risk assessments, sleep apnea, dental exams, and lab/blood work for cholesterol and sickle cell anemia. A variety of health information was also distributed to over 225 health fair attendees. New to the Fair in 2019 was the addition of the See, Test, & Treat cancer screening program. See, Test, & Treat is a free cancer-screening and health-education program that brings the power of diagnostic medicine to women in underserved communities. In a single day, uninsured and underinsured women can receive a pelvic exam, a pap test with same day results, a screening mammogram (if eligible), connection to follow-up care, interpretive services, translated educational materials, and a healthy meal. - The 5th annual Community Health and Wellness Fair in partnership with the Refuge of Hope Church in New Rochelle with over 400 attendees. Services included breast exams and information on other cancers, blood pressure screening, diabetes risk assessments and nutrition information, and vision exams. The Ted E Bear Hospital, run by WPH Emergency Department volunteers was onsite to help children understand the importance of well checkups and doctor visits. Health Screenings - Blood pressure screenings continue to be held throughout the community and educational pamphlets are provided in both English and Spanish. In 2019, WPH provided numerous blood pressure screenings to individuals in the community. Additionally, the Friends of WPH sponsor monthly blood pressure screenings in the hospital lobby/elevator alcove for community members. White Plains Hospital also participated in the American Heart Associations Check, Change, Control program. - Cancer Screenings are continuously held throughout the year, aligning with health awareness months. In April, the Hospital hosts the head & Neck Cancer Screening, May focuses on sun awareness and provides free skin checks to the community. Speaking Engagements: - Physician education lectures at corporate companies, community based organizations, faith-based organizations, and more, creating awareness on disease prevention and encourage health education. - Well Aware Lecture Series: An invitation-only conversation and dinner series offering access to local healthcare experts at the frontline of medical care in your community. Its an opportunity to learn and ask questions so that participants can take charge of their health. Some featured topics include stress reduction, vaping, nutrition and breast health. Support Groups & Education Classes - Support Groups: White Plains Hospital provides support services and resources to patients, caregivers and community members. Support groups include those for: Alzheimers, bereavement, epilepsy, Huntingtons disease, ostomy, bariatric surgery, overeaters anonymous, parenting, perinatal bereavement, phobia, stroke, head and neck cancer, breast cancer, and caregiver programs.
6. Affiliated Health Care Systems White Plains Hospital Medical Center is an affiliate of Montefiore Health System, Inc. The Health System is a leader in community health and has a long history of developing innovative approaches to care and creating programs to best serve the changing needs of its community. These include, but are not limited to the following: Community service plan, community service strategy, accountable care organization, patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports the health system well in its provision of service to the community.
7. State Filing of Community Benefit Report White Plains Hospital (WPH) is required to prepare a 3-year Community Service Plan (CSP) and submit its findings and action plans to the New York State Department of Health (NYSDOH); WPH submits an update to the CSP annually. White Plains Hospitals CSP is distributed to many internal and external audiences. Internal audiences are comprised of the Hospital's Board of Directors, employees, volunteers, WPH Friends (formerly the Auxiliary of WPH), and our medical staff, which is currently over 1,000 clinicians. External audiences include community based organizations, elected officials and government agencies, Healthcare Association of New York State (HANYS), and religious leaders. The CSP is distributed in the community at various events such as health screenings, health fairs, wellness seminars, and in public areas throughout the Hospital. It is also required to be posted online, and can be found in a PDF version on the Hospitals web site: wphospital.org. An announcement of the CSPs availability appears in several hospital newsletters, including those for the general community and for the hospital's employees and volunteers. The largest printing of this notification is in our wellness magazine, Health Matters, which is distributed to every household in Westchester County (329,000 households).
Schedule H (Form 990) 2019
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number
13-1740130
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) American Heart Association
7272 Greenville Avenue
Dallas,TX75231
13-5613797 501(c)(3) 28,000       Sponsorship
(2) Leagueside Inc
2401 Walnut Street
Philadelphia,PA19103
47-3667505   21,000       sponsorship
(3) Winifred Masterson Burke Rehab Hospital
785 Mamaroneck Ave
White Plains,NY10605
13-1739937 501(c)(3) 10,000       Sponsorship
(4) Friends of the WP Youth Bureau
11 Amherst Place
White Plains,NY10601
45-3735007 501(c)(3) 8,250       Sponsorship
(5) March of Dimes
1275 Mamaroneck Ave
White Plains,NY10605
13-1846366 501(c)(3) 7,500       Sponsorship
(6) White Plains District Mgmt Assoc
235 Mamaroneck Ave
White Plains,NY10605
13-4019316 501(c)(3) 20,000       Sponsorship
(7) United Hebrew of New Rochelle Certified HH Agency
391 Pelham Road
New Rochelle,NY10805
46-4312396 501(c)(3) 15,000       sponsorship
(8) National Multiple Sclerosis Society
733 3rd Street
New York,NY10017
13-5661935 501(c)(3) 10,875       Sponsorship
(9) Athletes Vs Crohn's & Colitis
51 Crossway
Scarsdale,NY10583
81-5111778 501(c)(3) 10,000       sponsorship
(10) The Business Council of Westchester
800 Westchester Avenue
Rye Brook,NY10573
13-1701636 501(c)(6) 14,000       Sponsorship
(11) Westchester Jewish Community Services
845 North Broadway
White Plains,NY10603
13-1740071 501(c)(3) 10,000       sponsorship
(12) City of White Plains
255 Main Street
White Plains,NY10601
13-6007339 170(c)(1) 8,000       Sponsorship
(13) El Centro Hispano Inc
346 S Lexington Ave
White Plains,NY10606
13-4149424 501(c)(3) 7,500       Sponsorship
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
10
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 White Plains Hospital Medical Center provides support to various organizations as part of its many local community health program endeavors. Sponsorship grants are monitered by the Public Relations Department of the hospital and are awarded to local charitable organizations to support White Plains mission of improving the health of the community that it serves.
Schedule I (Form 990) 2019



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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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1MICHAEL J PALUMBO MD
Board Member/EVP-Chief Med Off
(i)

(ii)
818,741
-------------
0
262,500
-------------
0
87,191
-------------
0
140,250
-------------
0
15,438
-------------
0
1,324,120
-------------
0
78,011
-------------
0
2Susan Fox
President & CEO
(i)

(ii)
1,373,212
-------------
0
920,000
-------------
0
210,858
-------------
0
290,000
-------------
0
35,036
-------------
0
2,829,106
-------------
0
205,927
-------------
0
3Stuart M Zweibel MD
Physician-West Dermatology
(i)

(ii)
1,043,504
-------------
0
1,210,014
-------------
0
4,310
-------------
0
11,200
-------------
0
25,873
-------------
0
2,294,901
-------------
0
0
-------------
0
4JEFFREY A TIESI
SVP - COO
(i)

(ii)
656,115
-------------
0
210,000
-------------
0
69,886
-------------
0
110,200
-------------
0
23,057
-------------
0
1,069,258
-------------
0
61,396
-------------
0
5FRANCES P BORDONI
SVP - Business Development
(i)

(ii)
602,205
-------------
0
190,000
-------------
0
7,650
-------------
0
75,000
-------------
0
31,208
-------------
0
906,063
-------------
0
0
-------------
0
6PHILIP O OZUAH MDPHD
BOARD MEMBER
(i)

(ii)
0
-------------
2,192,717
0
-------------
3,287,300
0
-------------
1,578,318
0
-------------
17,000
0
-------------
26,570
0
-------------
7,101,905
0
-------------
0
7CHRISTOPHER S PANCZNER
BOARD MEMBER
(i)

(ii)
0
-------------
903,133
0
-------------
321,200
0
-------------
46,034
0
-------------
17,000
0
-------------
9,913
0
-------------
1,297,280
0
-------------
0
8PAUL PECHMAN MD
BD Member (Term end 12/31/19)
(i)

(ii)
0
-------------
317,041
0
-------------
0
0
-------------
15,550
0
-------------
0
0
-------------
0
0
-------------
332,591
0
-------------
0
9LYNN RICHMOND
BOARD MEMBER (ended 11/14/19)
(i)

(ii)
0
-------------
1,028,990
0
-------------
529,100
0
-------------
2,060,653
0
-------------
16,346
0
-------------
23,915
0
-------------
3,659,004
0
-------------
1,918,556
10Joseph Guarracino
SVP - CFO
(i)

(ii)
779,095
-------------
0
250,250
-------------
0
79,601
-------------
0
128,950
-------------
0
22,145
-------------
0
1,260,041
-------------
0
71,711
-------------
0
11Leigh Anne McMahon
SVP-Patient Care Services
(i)

(ii)
657,786
-------------
0
210,000
-------------
0
60,669
-------------
0
121,400
-------------
0
2,674
-------------
0
1,052,529
-------------
0
50,967
-------------
0
12Richard Weinstein MD
Board Member
(i)

(ii)
1,240,496
-------------
0
0
-------------
0
1,190
-------------
0
11,200
-------------
0
38,051
-------------
0
1,290,937
-------------
0
0
-------------
0
13Andrew M Casden MD
Physician-Orthopaedic
(i)

(ii)
1,737,396
-------------
0
125,000
-------------
0
2,480
-------------
0
11,200
-------------
0
41,151
-------------
0
1,917,227
-------------
0
0
-------------
0
14Michael A Gott MD
Physician
(i)

(ii)
792,348
-------------
0
258,455
-------------
0
770
-------------
0
11,200
-------------
0
30,115
-------------
0
1,092,888
-------------
0
0
-------------
0
15Nabil Khoury-Yacoub MD
Physician-OB/GYN
(i)

(ii)
1,067,984
-------------
0
20,000
-------------
0
2,480
-------------
0
14,000
-------------
0
40,334
-------------
0
1,144,798
-------------
0
0
-------------
0
16Athena G Kaporis MD
Physician
(i)

(ii)
808,386
-------------
0
432,159
-------------
0
1,190
-------------
0
11,200
-------------
0
40,161
-------------
0
1,293,096
-------------
0
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
Schedule J, Part I, Line 4B The Officers and a Key Employee employed by the organization participated in a supplemental retirement plan initiated by the organization in 2017. Contributions to the supplemental retirement plan funded by the organization during 2019: Susan Fox - $276,000 Michael J. Palumbo, M.D. - $123,750 Joseph Guarracino - $117,750 Jeffrey A. Tiesi - $99,000 Leigh Anne McMahon - $99,000 Frances Bordoni - $61,000 The plan also made it first distributions in 2019 for prior years deferred compensation contributions: Susan Fox - $205,926 Michael J. Palumbo, M.D.- $78,011 Joseph Guarracino - $71,711 Jeffrey A. Tiesi - $61,396 Leigh Anne McMahon - $50,967 Trustees employed by Montefiore Medicine Academic Health System, Inc. participated in a supplemental nonqualified retirement plan provided by the Health System. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THE COMPENSATION COMMITTEE OF THE MONTEFIORE BOARD OF TRUSTEES EXPRESSLY REVIEWED AND APPROVED THESE RETIREMENT BENEFIT ARRANGEMENTS FOR SENIOR EXECUTIVES IN A MANNER THAT QUALIFIED UNDER THE INTEMEDIATE 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 Health System. Pooled supplemental executive retirement distribution based on multiple years of service: Philip Ozuah, M.D., Ph.D - $1,420,693 Lynn Richmond - $2,040,314 (of this amount $1,918,556 was reported on prior 990's as accrued service costs).
Schedule J, Part I, Line 7 Part of the incentive payments paid by the organization to individuals reported in Part VII, Section A. was based on the INDIVIDUAL'S JOB PERFORMANCE AND ACCOMPLISHMENTS AS DETERMINED BY EITHER THE COMPENSATION Board OR management discretion.
Schedule J (Form 990) 2019

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number
13-1740130
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A Dormitory Authority of the State of New York
 
14-6000293 000000000 07-27-2017 18,170,692 Equipment Purchase   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 8,599,479      
2 Amount of bonds legally defeased .............. 0      
3 Total proceeds of issue .................. 18,170,692      
4 Gross proceeds in reserve funds ............. 0      
5 Capitalized interest from proceeds ............. 0      
6 Proceeds in refunding escrows ............... 0      
7 Issuance costs from proceeds ............... 114,410      
8 Credit enhancement from proceeds ............. 0      
9 Working capital expenditures from proceeds ............. 0      
10 Capital expenditures from proceeds ............. 18,056,282      
11 Other spent proceeds ............. 0      
12 Other unspent proceeds ............. 0      
13 Year of substantial completion ............. 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
  X            
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
  X            
16 Has the final allocation of proceeds been made? .......... X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X              
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part
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            
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 %      
6 Total of lines 4 and 5 ............. 0 %      
7 Does the bond issue meet the private security or payment test? ...   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            
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   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              
Part
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            
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 the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X            
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider .......... 0
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X            
b Name of provider .......... 0
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X            
7 Has the organization established written procedures to monitor the requirements of section 148? ... X              
Part
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              
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K (Form 990) 2019

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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 section 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2019
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) CONTRIBUTOR 15 Substantial Contributor 1,579,950 Business transaction   No
(2) Contributor 74 Substantial Contributor 1,072,000 Business transaction   No
(3) Contributor 78 Substantial Contributor 39,081,188 Business transaction   No
(4) Contributor 83 Substantial Contributor 5,631,300 Business transaction   No
(5) Contributor 132 Substantial Contributor 295,393 Business transaction   No
(6) Contributor 86 Substantial Contributor 602,527 Business transaction   No
(7) Contributor 138 Substantial Contributor 251,991 Business transaction   No
(8) Contributor 174 Substantial Contributor 4,876,481 Business transaction   No
(9) Contributor 213 Substantial Contributor 4,410,622 Business transaction   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV (D) The business transactions reported in Part IV were business activities conducted between the organization and the substantial contributor in the ordinary course of business.
Schedule L (Form 990 or 990-EZ) 2019


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SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 12 243,732 Current market value
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't 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) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental 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 (Form 990) (2019)

Additional Data


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

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
WHITE PLAINS HOSPITAL MEDICAL CENTER
 
Employer identification number

13-1740130
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 Board members Howard Berk and Wendy Berk have a family relationship.
FORM 990, PART VI, SECTION A, LINE 6 MONTEFIORE HEALTH SYSTEM, Inc. IS THE SOLE MEMBER OF WHITE PLAINS HOSPITAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A Montefiore Health System, Inc. (MHS), the sole member of White Plains Hospital Medical Center, has the right to approve the appointment of the members of the White Plains Board who have been nominated and approved by the White Plains Board and the power to appoint three White Plains Board members specifically appointed as MHS' representatives.
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 Form 990 was prepared by the Montefiore's tax department working closely with White Plains' Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by Montefiore Vice President-Finance and THE WHITE PLAINS HOSPITAL Senior Leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the White Plains Finance and executive Committee of the Board of Trustees for review and approval. Once approved by the finance committee of the Board of Trustees, the Form 990 was provided to all members of White Plains' governing body prior to filing.
FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF WHITE PLAINS HOSPITAL MEDICAL CENTER ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN EMPLOYEE OF THE HOSPITAL OR AS A BOARD MEMBER OF THE MEDICAL CENTER. COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE LEGAL COMMITTEE OF THE BOARD OF DIRECTORS AND CONCERNS PRESENTED BY THE RESPONSES TO THE CONFLICT OF INTEREST POLICY ARE DISCLOSED TO THE BOARD, WITH THE INTERESTED PARTY RECUSED FROM DISCUSSING THE MATTER.
FORM 990, PART VI, SECTION B, LINEs 15A & 15B THE WHITE PLAINS HOSPITAL MEDICAL CENTER UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT in making all decisions related to compensation FOR officers and key employees. THE MANAGEMENT COMPENSATION COMMITTEE 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 OTHER INDIVIDUALs WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION BY THE COMMITTEE IS DOCUMENTED IN MEMORANDUM that 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 VIII, LINE 8b The organization partnered with the Mariano Rivera Foundation in conducting the Celebrity Golf Outing. Included in the total direct fundraising expenses reported on line 8b of Part VIII is approximately half the net receipts ($206,705) from the event that was received by the Foundation.
FROM 990, PART XI, LINE 9 The other change in net asset decrease of $4,235,342 was due to the following: - increase in defined pension & other postretirement plans liabilities to be recognized in future periods ($5,402,605) - Transfers from affiliate $1,156,417 - Gain on extinguishment of Debt $10,846
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
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

(1) 11 East Post Road LLC
41 East Post Road
White Plains,NY10601
83-2161712
Real estate NY 0 2,952,333 WPHMC
 
(2) East Post Road Ventures I LLC
41 East Post Road
White Plains,NY10601
HOLDING COMP DE 0 125,000 WPHMC
 








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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


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

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)MMC CORPORATION
111 East 210th street

BRONX,NY10467
13-3430322
real estate NY 501(C)(3) 12A TYPE I MMC
 
Yes
 
(2)MMC Residential Corp I 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) 12A TYPE I MMC
 
Yes
 
(5)Gunhill MRI PC
200 East Gunhill Road

BRONX,NY10467
13-3734486
diag services NY 501(C)(3) 12A TYPE I MMC
 
Yes
 
(6)Montefiore Health System Inc
555 South Broadway BLDG A FL 1

Tarrytown,NY10591
20-1615393
Parent NY 501(C)(3) 12B TYPE II MMAHS
 
Yes
 
(7)Montefiore New Rochelle Hospital
16 Guion Place

New Rochelle,NY10801
46-2931956
Hospital NY 501(C)(3) 3 MHS
 
Yes
 
(8)Montefiore Mount Vernon Hospital
12 North Seventh Avenue

Mount Vernon,NY10550
46-2916938
Hospital NY 501(C)(3) 3 MHS
 
Yes
 
(9)Schaffer Extended Care Center
16 Guion Place

New Rochelle,NY10801
46-2929888
Nursing Home NY 501(C)(3) 3 MHS
 
Yes
 
(10)MONTEFIORE FOUNDATION INC
111 EAST 210TH STREET

BRONX,NY10467
47-1600439
INACTIVE NY 501(C)(3) 7 MMAHS
 
Yes
 
(11)Albert Einstein College of Medicine Inc
1300 Morris Park Avenue

BRONX,NY10461
47-2209056
Med COLLEGE NY 501(C)(3) 2 MMAHS
 
Yes
 
(12)MONTEFIORE MEDICINE ACADEMIC HEALTH SYST
555 SOUTH BROADWAY BLDG A FL 1

TARRYTOWN,NY10591
47-1582973
System Parent NY 501(C)(3) 12B TYPE II NA
 
Yes
 
(13)MONTEFIORE NYACK HOSPITAL
160 NORTH MIDLAND AVENUE

NYACK,NY10960
13-1740119
HOSPITAL NY 501(C)(3) 3 MHS
 
Yes
 
(14)MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREET

BRONX,NY10467
13-1740114
ACAD MED CTR NY 501(C)(3) 3 MHS
 
Yes
 
(15)AECOM Student Housing Co Inc
1300 Morris Park Avenue

BRONX,NY10461
23-7075620
Student Hous NY 501(C)(2)   AECOM
 
Yes
 
(16)Montefiore CERC Operations Inc
111 East 210th Street

BRONX,NY10467
47-4853506
Rehab Center NY 501(c)(3) 3 MMC
 
Yes
 
(17)White Plains Hospital Ctr FoundationInc
41 East Post Road Davis Ave

White Plains,NY10601
13-3281507
FUNDRAISING NY 501(C)(3) 12A TYPE I WPHMC
 
Yes
 
(18)Montefiore Nyack Hospital Foundation
160 North Midland Avenue

NYACK,NY10960
13-3245804
FUNDRAISING NY 501(C)(3) 7 Nyack Hosp
 
Yes
 
(19)THE WINIFRED MASTERSON BURKE REHAB HOSP
785 MAMARONECK AVENUE

WHITE PLAINS,NY10605
13-1739937
REHAB HOSP NY 501(C)(3) 3 MHS
 
Yes
 
(20)ST LUKE's CORNWALL HOSPITAL
70 DUBOIS STREET

NEWBURGH,NY12550
14-1340054
HOSPITAL NY 501(C)(3) 3 MHS
 
Yes
 
(21)HUDSON VISTA MEDICAL PC
70 DUBOIS STREET

NEWBURGH,NY12550
45-2526738
HEALTHCARE NY 501(C)(3) 12A Type I SLCH
 
Yes
 
(22)HUDSON VISTA PHYSICIAN SERVICES PC
70 DUBOIS STREET

NEWBURGH,NY12550
27-2020746
HEALTHCARE NY 501(C)(3) 12A Type I SLCH
 
Yes
 
(23)ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREET

NEWBURGH,NY12550
22-3026261
HOLDING COMP NY 501(C)(3) 12A Type I MHS
 
Yes
 
(24)ST LUKE'S CORNWALL HEALTH SYSTEM FDN
70 DUBOIS STREET

NEWBURGH,NY12550
22-3026263
FUNDRAISING NY 501(C)(3) 7 SLCHS
 
Yes
 
(25)AMOS AND SARAH HOLDEN HOME
70 DUBOIS STREET

NEWBURGH,NY12550
14-1365995
ASST LIVING NY 501(C)(3) PF SLCHS
 
Yes
 
(26)MONTEFIORE MED ACAD HLTH SYS SELF INS TR
555 SOUTH BROADWAY

TARRYTOWN,NY10591
82-4019223
INS TRUST NY 501(c)(3) 12A TYPE I MMAHS
 
Yes
 
(27)ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUE

BRONX,NY10461
83-0621846
MED COLLEGE NY 501(C)(3) 2 MMAHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No












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

111 East 210th street
bronx,NY10467
13-4114915
Integ Provr Assoc NY NA
 
C CORP       Yes  
(2) MMC GI Holdings East Inc

111 East 210th street
bronx,NY10467
72-1610013
holding company NY NA
 
C CORP       Yes  
(3) MMC GI Holdings West Inc

111 East 210th street
bronx,NY10467
72-1610015
holding company NY NA
 
C CORP       Yes  
(4) BRONX ACCOUNTABLE CARE NETWORK IPA INC

111 EAST 210TH STREET
BRONX,NY10467
30-0689571
Inter Provr Assoc NY NA
 
C CORP       Yes  
(5) MONTEFIORE CONSOLIDATED VENTURES INC

111 EAST 210TH STREET
BRONX,NY10467
61-1728539
holding company NY NA
 
C CORP       Yes  
(6) MONTEFIORE INSURANCE COMPANY INC

111 EAST 210TH STREET
BRONX,NY10467
32-0436594
Inactive NY NA
 
C CORP       Yes  
(7) HUDSON VALLEY IPA INC

111 EAST 210TH STREET
BRONX,NY10467
38-3978087
Integ Provr Assoc NY NA
 
C CORP       Yes  
(8) MONTEFIORE INNOVATIONS INC

111 EAST 210TH STREET
BRONX,NY10467
47-5106910
holding company NY NA
 
C CORP       Yes  
(9) HIGHLAND MEDICAL PC

160 NORTH MIDLAND Avenue
NYACK,NY10960
13-4034481
Healthcare Serv NY NA
 
C CORP       Yes  
(10) 8 LONGVIEW DEVELOPMENT CORP

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
26-3321278
hOUSING NY WPHMC
 
C CORP 0 0 100.000 % Yes  
(11) WHITE PLAINS MEDICAL DIAGNOSTIC SERV PC

41 EAST POST ROAD
WHITE PLAINS,NY10601
45-3164626
Healthcare Serv NY WPHMC
 
C CORP 1,148,157 0 100.000 % Yes  
(12) CANCER AND BLOOD MEDICAL SERV OF NY PC

41 EAST POST ROAD
WHITE PLAINS,NY10601
46-2021804
Healthcare Serv NY WPHMC
 
C CORP 1,831,243 10,221 100.000 % Yes  
(13) DAVIS AVENUE CORP

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
13-3331643
Property holding NY WPHMC
 
C CORP     100.000 % Yes  
(14) WHITE PLAINS MANAGEMENT CO INC

41 EAST POST ROAD
WHITE PLAINS,NY10601
13-3331641
Property Holding NY WPHMC
 
C CORP     100.000 % Yes  
(15) WPHC BUILDING CORP

41 EAST POST ROAD
WHITE PLAINS,NY10601
13-3676932
Property Holding NY WPHMC
 
C CORP     100.000 % Yes  
(16) UNIVERSITY BEHAVIORAL ASSOCIATES INC

111 EAST 210TH STREET
BRONX,NY10467
13-3877781
MGMT SERVICES NY NA
 
C CORP       Yes  
(17) White Plains Medical Services PC

Davis Avenue at East Post Road
White Plains,NY10601
81-5369152
Healthcare Serv NY WPHMC
 
c Corp 44,974,385 5,797,055 100.000 % Yes  
(18) White Plains Physician Services PC

Davis Avenue at East Post Road
White Plains,NY10601
81-5309615
Healthcare Serv NY WPHMC
 
C Corp 7,195,431 1,220,533 100.000 % Yes  
(19) Charitble Remainder Trust (4)

 
 
Charit Remr Trust NY NA
 
Trust       Yes  
(20) MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC

111 EAST 210TH STREET
BRONX,NY10467
13-3952750
INTEG PROVR Assoc NY NA
 
C CORP       Yes  
(21) CRHT ACQUISITION INC

555 SOUTH BROADWAY BLDG A FL 1
TARRYTOWN,NY10591
81-5220651
HOLDING COMPANY NY NA
 
C CORP       Yes  
(22) QUANTUM BIOTHERAPEUTICS LLC

111 EAST 210TH STREET
BRONX,NY10467
61-1793667
INACTIVE NY NA
 
C CORP       Yes  
(23) WHITE PLAINS PHYSICIAN MEDICAL SERV PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-0519787
INACTIVE NY WPHMC
 
C CORP 0 0 100.000 % Yes  
(24) EAST POST ROAD MEDICAL SERVICES PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PALINS,NY10601
83-0535258
Healthcare Serv NY WPHMC
 
C CORP 9,130,122 1,917,411 100.000 % Yes  
(25) EAST POST ROAD PHYSICIAN SERVICES PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-0563325
INACTIVE NY WPHMC
 
C CORP 0 0 100.000 % Yes  
(26) DAVIS AVENUE MEDICAL SERVICES PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-0579310
INACTIVE NY WPHMC
 
C CORP 0 0 100.000 % Yes  
(27) WPH HOLDINGS INC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-3893119
HOLDING COMPANY NY WPHMC
 
C CORP 542,760 6,297,971 100.000 % Yes  
(28) INNOVATOR ACQUISITION CORP

111 EAST 210TH STREET
BRONX,NY104672401
83-3394059
HOLDING COMPANY NY NA
 
C CORP       Yes  
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) MONTEFIORE Health Service Inc

M 8,002,991 COST
(2) MONTEFIORE MEDICAL CENTER

C 1,156,417 Cash value
(3) The Montefiore IPA Inc

L 6,473,189 COST
(4) The Winifred Masterson Burke Rehab Hospital

L 1,142,575 cost
(5) Montefiore Nyack Hospital

L 493,918 cost
(6) Cancer and Blood Medical Services of NY PC

Q 482,390 cost
(7) The Winifred Masterson Burke Rehab Hospital

M 191,730 cost
(8) White Plains Medical Services PC

R 3,077,265 cost
(9) MONTEFIORE MEDICAL CENTER

E 55,243,763 COST
(10) ST LUKE'S CORNWALL HOSPITAL

L 150,000 COST
(11) MONTEFIORE MEDICAL CENTER

M 1,664,476 COST
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019

Additional Data


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