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/form990 for instructions and the latest informtion.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
NYU WINTHROP HOSPITAL
 
Employer identification number

11-1633486
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
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) . . . 		    14,992,241 5,895,371 9,096,870 0.670 %
b Medicaid (from Worksheet 3, column a) . . . . .     174,790,322 128,507,997 46,282,325 3.420 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     189,782,563 134,403,368 55,379,195 4.090 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,874,628 305,343 1,569,285 0.120 %
f Health professions education (from Worksheet 5) . . .     86,310,216 22,801,369 63,508,847 4.700 %
g Subsidized health services (from Worksheet 6) . . . .     84,656,628 70,021,108 14,635,520 1.080 %
h Research (from Worksheet 7) .     2,028,601 1,395,994 632,607 0.050 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     19,637   19,637  
j Total. Other Benefits . .     174,889,710 94,523,814 80,365,896 5.950 %
k Total. Add lines 7d and 7j .     364,672,273 228,927,182 135,745,091 10.040 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
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     14,818   14,818  
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     14,818   14,818  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
22,417,969
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
 
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
259,546,790
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
309,717,936
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-50,171,146
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) 2017
Schedule H (Form 990) 2017
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 NYU Winthrop Hospital
259 FIRST STREET
MINEOLA,NY11501
WWW.NYUWINTHROP.ORG
2908000H 		X X X X   X X      
Schedule H (Form 990) 2017
Page 4
Schedule H (Form 990) 2017
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)
NYU WINTHROP HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2 Yes  
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 16
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 Yes  
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 Yes  
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 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHED H, PART V, SECT 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) 2017
Page 5
Schedule H (Form 990) 2017
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NYU WINTHROP HOSPITAL
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 SCHED H, PART V, SECT C
b
SEE SCHED H, PART V, SECT C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 6
Part VFacility Information (continued)

Billing and Collections
NYU WINTHROP HOSPITAL
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) 2017
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Schedule H (Form 990) 2017
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NYU WINTHROP HOSPITAL
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) 2017
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Schedule H (Form 990) 2017
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, 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
PART V, SECTION C SCHEDULE H, PART V, SECTION B, LINE 2 On April 1, 2017 Withrop-University Hospital (WUH) completed an affiliation agreement with NYU Langone Health System (NYUHS) and NYU Langone Hospitals, whereby the NYUHS became the sole corporate member of Withrop-University Hospital. As a result of the acquisition, WUH changed its name to NYU Winthrop Hospital (NYU Winthrop) NYUHS is also the sole corporate member of NYU Langone Hospitals. The affiliation has two phases: in the first phase of the agreement NYU Winthrop Hospital (www.nyuwinthrop) remains a separate entity, responsible for its own liabilites and obligations. In the second phase of the affiliation, which is scheduled to occur no later than April 1, 2022, NYU Winthrop will merge with and into NYU Langone Hospitals. SCHEDULE H, PART V, SECTION B, LINE 5 The broad interests of the community were reflected quantitatively by the distribution and promotion of a regional survey called the Long Island Health Assessment Survey, which was available online and in paper format. Distribution and promotion occurred throughout a wide range of social service locations including hospital websites and educational programs, social media outlets, doctors' offices, health departments, libraries, schools, insurance enrollment sites, community-based organizations, and more. The interests of the community are also reflected qualitatively, through a facilitated summit of community-based organizations (CBOs) that occurred on February 2, 2016. Representatives from CBOs shared valuable information about the health issues faced by their clients, barriers to care and other issues recognized as the social determinants of health -- citing poverty, housing, job losses, and food insecurities as problematic. Participants included: Adelphi University Garden City, NY 1. Program Director and Associate Professor, Health Studies 2. Assistant Professor Adelphi University Garden City, NY 1. Director 2. Bilingual Outreach Coordinator American Red Cross New York, NY 1. Disaster Health Services Regional Advisor Angela's House Hauppauge, NY 1. Supervisor of Case Management Coordinating Agency for Spanish Americans (CASA) Hempstead, NY 1. Administrative Aide Catholic Health Services of Long Island Farmingdale, NY 1. Account Manager Coloki, Inc. Merrick, NY 1. Executive Director Community Care HHS Hicksville, NY 1. Account Executive 2. Public Relations Representative Cornell Cooperative Extension Jericho, NY 1. Regional Program Director 2. Nutrition Educator (2) Docs for Tots Melville, NY 1. Project Director EAS Network Hempstead, NY 1. Division Director The Epilepsy Foundation of Long Island East Meadow, NY 1. Community Education Coordinator Family and Children's Association Mineola, NY 1. VP & COO 2. AVP, Senior Programs 3. AVP, Preventive Services Family First Home Companions Bohemia, NY 1. Director of Marketing Fidelis Care Westbury, NY 1. Community Relations Specialist Girls Incorporated of Long Island Deer Park, NY 1. Operations Manager Hispanic Counseling Center Hempstead, NY 1. Therapist LI Cares Hauppauge, NY 1. Nutrition Resourse Manager 2. Chief Network Officer Life Trusts Cendarhurst, NY 1. Trust Outreach Long Island Crisis Center Bellmore, NY 1. Supervising Social Worker Memory & Music Mineola, NY 1. Northeast Regional Director Mental Health Association of Nassau County Hempstead, NY 1. Community Health Educator 2. Director of Education and Training MOMMAS House Wantagh, NY 1. Executive Director National Aging in Place Council Long Island, NY 1. CEO, The Crisis Planner Nassau University Medical Center East Meadow, NY 1. Community Outreach Coordinator (2) Nassau University Medical Center Pediatric Specialty Clinic East Meadow, NY 1. MD, PGY-3 New York City Poison Control Center New York, NY 1. Health Educator Department of Services for the Aging Town of North Hempstead, NY 1. Deputy Commissioner Northwell Health Long Island Jewish Medical Center New Hyde Park, NY 1. Health Educator Northwell Health Glen Cove Hospital Glen Cove, NY 1. Outreach Coordinator Options for Community Living, Inc Smithtown, NY 1. Executive Director Planned Parenthood of Nassau County Hempstead, NY 1. Sexuality Educator 2. Family Planning Benefits Coordinator PULSE of Long Island Wantagh, NY 1. President Right at Home Long Island Hicksville, NY 1. Owner Society of St. Vincent de Paul Bethpage, NY 1. Program Support Associate The American Cancer Society Hauppauge, NY 1. Health Systems Manager, Primary Care United Way of Long Island Deer Park, NY 1. Vice President, Community Impact Utopia Homecare Kings Park, NY 1. Certified Senior Advisor, Age in Place Specialist Input was also obtained from the following public health experts: Nassau County Dept. of Health 1. Director, Quality Improvement, Epidemiology & Research 2. Epidemiologist SCHEDULE H, PART V, SECTION B, LINE 6A The hospital's CHNA was conducted with the following hospital facilities: Catholic Health Services of Long Island: Mercy Medical Center 1000 N Village Ave., Rockville Centre, NY 11571 St. Francis Hospital 100 Port Washington Blvd., Roslyn, NY 11576 St. Joseph Hospital 4295 Hempstead Turnpike, Bethpage, NY 1 1714 Northwell Health System: Glen Cove Hospital 101 St. Andrews Lane, Glen Cove, NY 11542 Long Island Jewish Valley Stream 900 Franklin Ave., Valley Stream, NY 11580 North Shore University Hospital 300 Community Drive, Manhasset, NY 11030 Plainview Hospital 888 Old Country Road, Plainview, NY 11803 South Oaks Hospital 400 Sunrise Highway, Amityville, NY 11701 Syosset Hospital 221 Jericho Turnpike, Syosset, NY 11791 Nassau University Medical Center 2201 Hempstead Turnpike, East Meadow, NY 11554 South Nassau Communities Hospital 1 Healthy Way, Oceanside, NY 11572 NYU Winthrop Hospital 259 First Street, Mineola, NY 11501 SCHEDULE H, PART V, SECTION B, LINE 6B Organizations other than hospitals included: * Adelphi University * Data Gen Healthcare Analytics * Long Island Populations Health Improvement Program (organized by the Nassau-Suffolk Hospital Council) * Nassau Country Department of Health * St. Joseph's College * Stony Brook School of Medicine, Dept. of Family, Population & Preventative Medicine * Suffolk County Department of Health * Tri-Care Systems DBA LIAAC SCHEDULE H, PART V, SECTION B, LINE 7A,7B, 7D and 10A In addition to listing the CHNA on the hospital's website http://www.winthrop.org/financial-assistance-policy and making a hard copy available upon request, NYU Winthrop also included an article about the CHNA report in its Cornerstone publication that was mailed out to more than 100,000 community residents. SCHEDULE H, PART V, SECTION B, LINE 11 NYU Winthrop ranked priorities based on the burden, scope and urgency of the health need across the service area, health disparities in select communities, resources, and the importance the community placed on addressing the needs. As stated in the 2016 CHNA, among the most identified pressing needs of the community that will be targeted include: 1. Prevention and management of chronic disease 2. Reduce obesity in children and adults 3. Cancer Prevention & Screening 4. Healthy & Safe Environment (Fall Prevention) These will be addressed through educational programs (e.g. Stanford Program for Chronic Disease Prevention, 5-2-1-0 Obesity Prevention Program and Tai Chi for Arthritis and Fall Prevention), screenings, and various community outreach activities. Plan revisions, resource limitations and re-prioritization of goals may impact individual programs. Two additional identified needs include 1) Mental Health and Substance Abuse and 2) women & children's Health. Due to limited resources, Winthrop will not address these two initiatives formally, however, please see the following: Mental Health - Winthrop has expanded its psychiatric division and maintains a strong referral system. We are in the stages of investigating Mental Health stress management initiatives that will be introduced to the community at Hospital-based educational programs. Women & Children's Health - Issues such as pediatric asthma and low birth weight babies in underserved communities will continue to be addressed, but not formally. SCHEDULE H, PART V, SECTION B, LINE 13B NYU Winthrop extends discounts for financial assistance to patients based upon FPG levels for family size and household income up to 800% of the FPG. NYU Winthrop also reserves the right to review and approve financial assistance to patients on a case-by-case basis. SCHEDULE H, PART V, SECTION B, LINE 16A, B and C Please refer to the following URL: http://www.winthrop.org/financial-assistance-policy
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2017
Page 9
Schedule H (Form 990) 2017
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?14
Name and address Type of Facility (describe)
1 NYU WINTHROP HOSPITAL SPECIALTY CTR
200 OLD COUNTRY ROAD
MINEOLA,NY11501 		RENAL DIALYSIS CTR. DENTAL CLINIC INFUSION CTR.
2 NYU WINTHROP DIALYSIS CTR AT SUNHARBOR
255 WARNER AVENUE
ROSLYN HEIGHTS,NY11577 		RENAL DIALYSIS CTR.
3 NYU WINTHROP DIALYSIS CTR - BETHPAGE
530 HICKSVILLE ROAD
BETHPAGE,NY11714 		RENAL DIALYSIS CTR.
4 WINTHROP OUTPATIENT RADIATION THERAPY
264 OLD COUNTRY ROAD
MINEOLA,NY11501 		RADIATION THERAPY
5 NYU WINTHROP HOSPITAL DIAGNOSTIC CTR
222 STATION PLAZA NORTH
MINEOLA,NY11501 		IMAGING SERVICES
6 NYU WINTHROP CARDIAC REHABILITATION
212 JERICHO TURNPIKE
MINEOLA,NY11501 		CARDIAC REHAB
7 NYU WINTHROP HOSPITAL AMB SURGERY CTR
777 ZECKENDORF BOULEVARD
GARDEN CITY,NY11530 		AMBULATORY SURGERY
8 NYU WINTHROP SLEEP DISORDERS CTR
1300 FRANKLIN AVENUE STE UL-5
GARDEN CITY,NY11530 		SLEEP DISORDERS CTR.
9 NYU WINTHROP HOSPITAL PEDIATRIC CTR
175 FULTON AVENUE
HEMPSTEAD,NY11550 		PRIMARY CARE CLINIC
10 WOMENS'S WELLNESS OBGYN
1 FULTON AVENUE
HEMPSTEAD,NY11550 		OB/GYN SERVICES
11 NYU WINTHROP NYC CYBERKNIFE
150 AMSTERDAM AVENUE
NEW YORK,NY10023 		CYBERKNIFE
12 HEMPSTEAD HIGH SCHOOL
201 PRESIDENT STREET
HEMPSTEAD,NY11550 		PRIMARY CARE
13 NYU WINTHROP CERT HOME HEALTH AGENCY
290 OLD COUNTRY ROAD
MINEOLA,NY11501 		HOME HEALTH CARE
14 NYU WINTHROP HOSP INSTITUTES FOR CARE
120 MINEOLA BLVD
MINEOLA,NY11501 		WOUND CARE, IMAGING SERVICES, CANCER TREATMENT & CHEMOTHERAPHY
Schedule H (Form 990) 2017
Page 10
Schedule H (Form 990) 2017
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
SCHEDULE H, Part I, Line 3C NYU Winthrop Hospital uses FPG to determine eligibility for free and discounted care. Part I, Line 7 The Hospital utilized a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, of Form 990. Part I, Line 7g There are no subsidized health service costs attributable to physician clinics in the amount reported. Part I, Line 7, Column (f) A total of $22,949,742 was removed from the total expenses used in calculating the percentages of community benefit. Part II Through coalitions such as the Community Cultural Advisory Committe, NYU Winthrop Hospital joins with community based organizations and social agencies to collaborate and exchange information to help the underserved population in the community. Part III, Line 2 The total bad debt expense shown on this line represents actual amounts written off during the year related to balances due on patients accounts for which payment was expected and pursued by the Hospital and/or it collection agencies but never received. Part III, Line 3 The Hospital utilizes a process to identify amounts that are in a bad debt status but could qualify for financial assistance under the Hospitals financial assistance policy. These accounts are removed from bad debt and reviewed. If the criteria for financial assistance are met then they are reclassified from bad debt. These amounts are included in Part I of Schedule H. Part III, Line 4 Per page 13 of the Audited Financial Statements, the Hospital presents the provision for bad debt expense, net totaling $22,949,742 for the year ended August 31, 2017 as a reduction of net patient service revenue in the consolidated statement of activities. For the Form 990 bad debt expense has been reclassified from revenues to expenses. Part III, Line 8 Medicare cost and charge information was extracted from the Medicare cost report and an RCC methodology was applied. The shortfall represents Unreimbursed costs incurred in providing services to Medicare recipients and therefore should be treated as a community benefit. Part III, Line 9b Patients identified as being eligible for consideration of financial assistance are referred by the debt collector to the Credit and Collection Department of the Hospital for review; Debt collection activities are suspended. 2) Needs Assessment Community needs are based on assessments conducted by Federal, State, and County agencies as well as studies performed by the Hospital and community organizations. 3) Patient Education of Eligibility for Assistance Notification is provided on the Hospitals website, through signage posted at all access points, through notification on hospital bills, and through counseling during the intake and discharge processes. 4) Community Information NYU Winthrop Hospital serves primarily Nassau County, which is located on Long Island in New York. Nassau County is home to 1.3 million people and makes up 6.9% of the State of New Yorks total population. Nassau is comprised of, 60.8% of White persons (not Hispanic), 16.8% persons of Hispanic or Latino origin, 12.8% Black persons, and 9.7% Asian persons based on census data. 5) Promotion of Community Health The Board of Directors of NYU Winthrop Hospital is comprised of community members who are not compensated for their duties. Winthrop extends medical staff privileges to all qualified physicians in its service area. The hospital provides an array of educational seminars and preventive health services to the community including a smoking cessation program, diabetes education, health fairs, free blood pressure screenings, fall prevention programs, cancer care programs, prostate screenings, genetic counseling, health updates for seniors, Meals on Wheels, and other programs. Surpluses are reinvested into Winthrops operations, research, medical education and capital improvement initiatives to enhance its abilities to provide quality health care to its service areas. 6) Affiliated health care system The NYU Langone Health System (NYUHS) is the sole corporate member of NYU Winthrop Hospital. NYUHS is also the sole corporate member of the NYU Langone Hospitals. Both Hospitals provide services to their respective communities and collaborate to ensure that their communitites are provided a full array of inpatient and outpatient services of the highest quality.
Schedule H (Form 990) 2017
Additional Data


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