Winthrop University Hospital Association

“ORGANIZATION MEMBERS The organization is organized as a not-for-profit corporation with a member which is known as Winthrop South Nassau University Health System, Inc.”

“ELECTION OF GOVERNING BODY Winthrop South Nassau University Health System, Inc. is the sole member of the corporation. This member can approve the election of the Board of Directors of the corporation in accordance with the bylaws.”

“DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL The governing body can approve and monitor the corporation's operating and capital expenditure plan on an annual basis provided, however, the operating and capital expenditure plan is reviewed and approved by the member to ensure that such budgets conform to the mission and philosophy of the corporation.”

“FORM 990 REVIEWED BEFORE FILING The Form 990 is reviewed by a voting member of the organization's governing body, an officer (CFO) of the corporation, outside legal counsel and tax consultant before it is filed with the IRS. The review is conducted independently by each person mentioned above. Questions, changes or recommendations are reported in writing or verbally. A copy of the Form 990 is provided to the organization's governing body before it is filed, together with an overview of relevant procedures (e.g. compensation governance and due diligence, etc.)”

“COMPLIANCE WITH CONFLICT OF INTEREST POLICY All Board Members and Key Employees are expected to read and understand the Conflict of Interest Policy which is mailed annually with the disclosure statement and posted on Winthrop University Hospital's Intranet site. Key Members include Senior Management and all Department Heads, Chairman of Departments, and other employees (including physicians) who are in a position to influence any substantive business decision between the Hospital and or a Vendor. In addition, all other Hospital Personnel are trained and educated as to their obligations to report any potential Conflict of Interest. Training and Education is conducted for all employees upon hire and annually thereafter. Annually the Conflict of Interest Policy and Disclosure Statement are sent to all Key Members of Winthrop University Hospital. Key Members are reminded of their continuing obligation to update the annual Disclosure Statement whenever new information arises. If the Compliance Officer believes a potential or actual conflict of interest exists, the Compliance Officer will seek outside counsel's advice and prepares a report stating the relevant facts with an explanation as to why an actual or potential conflict of interest exists. The actual or potential conflict will be reported to the Compliance Committee for review. Once a final decision is made on how to proceed, the Personnel will be instructed as to the appropriate corrective action.”

“COMPENSATION REVIEW/APPROVAL The Organization's Board adopted a Compensation Policy (the "Policy")for Covered Individuals. Pursuant to the Policy, a Compensation Committee of independent directors was established to review the compensation of all employees specified as having a substantial influence over the organization and who receive remuneration from the Organization, including, among others, the Organization's President and Chief Executive Officer, the Organization's Chief Operating Officer, and the Organization's Chief Financial Officer. The Compensation Committee is advised by outside counsel and an independent compensation consultant. The outside counsel and consultant opine to the Compensation Committee that the level of compensation paid and the process by which compensation is established meet applicable IRS reasonableness and "safe harbor" standards. The outside compensation consultant provides data of compensation provided at similar organizations to ensure that the Organization does not compensate in excess of market norms.”

“PUBLIC STATEMENTS Governing documents are provided to the public upon management's discretion. Conflict of Interest policy is provided upon request and approval of management. Financial Statements are provided to the public upon request. PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN PENSION LIABILITY $ 124,330,224 TERM FUNDS UNREALIZED GAIN ON INVESTMENTS $ 1,276,736 ----------- TOTAL $ 125,606,960 ===========”

“It is the mission of Winthrop-University Hospital (referred to as "Winthrop" or "the Hospital") to provide high-quality, safe, culturally competent, and comprehensive healthcare services in a teaching and research environment, which improve the health and well-being of the residents of Nassau County and contiguous county areas based on a profound commitment to an enduring guiding principle - "Your Health Means Everything." The Hospital's Community Service Plan is guided by and reflects its mission statement - to improve the health and well-being of the residents it serves.”

“Community partnerships were expanded and strengthened during 2013 due to our current CSP initiatives and the collaborative Community Needs Assessment that was completed as required by the Affordable Care Act. Partners include: - Nassau County Department of Health - Nassau County Hospitals (Catholic Health Services, Long Beach Memorial Hospital, North-Shore LIJ Health System and South Nassau Communities Hospital) - Academic Institutions - Adelphi University, Hofstra University and Stony Brook University - Project Independence - Aging in Place Initiative in Town of North Hempstead - Winthrop's Cultural Competency Community Advisory Council: 1. Brooklyn-Queens Long Island-Area Health Education Center 2. Casa Mary Johanna and St. Brigid's Church 3. Circulo de la Hispanidad, Inc. 4. Cornell University Cooperative Extension Nassau County 5. The Economic Opportunity Commission 6. Hempstead Hispanic Civic Association 7. Hispanic Brotherhood of Rockville Centre 8. Hispanic Counseling Center 9. Long Island Minority AIDS Coalition (LIMAC) 10. Nassau County Department of Health 11. Perinatal Service Network, DOH 12. Noticia (Hispanic Newspaper) - Other Community-Based Organizations 1. Community Libraries - e.g., Elmont and Westbury, among others 2. Westbury "Yes We Can" Community Center 3. Old Bethpage Restoration Village In addition to the partnerships indicated above, Winthrop is actively involved with the Long Island Health Collaborative, a group consisting of hospital, community-based organizations and local businesses that is moving forward with a three-pronged approach to the Prevention Agenda mandate. It encompasses programming, policy, and public outreach.”

“Winthrop's Women's Wellness OB/GYN Center in Hempstead offers a wide variety of obstetrical and gynecological services, as well as on-site risk assessment, psychosocial counseling, postpartum depression screening and referrals, domestic and sexual abuse screening, nutritional and gestational diabetes education, assessment of living conditions and cultural diversity. The site features a Medicaid Enrollment Specialist for uninsured patients; Charity Care Application and self-pay rates are available as well. They participate with NYS Medicaid and many Medicaid Managed Care HMO plans. The Center participates with the Baby Basics Program, which helps put everyone "on the same page"-from physician and staff, to patient and families-and strengthens the delivery of prenatal care, education and support to vulnerable populations. During 2012, 917 "new" OB and GYN patients were seen; there were an additional 5,284 follow-up visits from established patients. From January through October, 2013, there were 719 new patients, with an additional 5,975 follow-up visits. The Center averages 700 visits per month with approximately 45 new OB patients a month. Financial services were provided to over 600 patients during this time period. The Hempstead Pediatric Practice draws patients primarily from the Hempstead community but also serves children, from newborn to age 21, from the surrounding neighborhoods (Elmont, Freeport, Uniondale and Roosevelt). In addition, Winthrop's Pediatric Specialty Center in Mineola sends a Pediatric Pulmonologist and an Adolescent Pediatrician to the Hempstead location on a regular basis to allow for easier access to these services. In 2012 alone, a total of 12,873 patients were treated at the facility. From January through October, 2013, 11,537 patients were treated. Year round, Hempstead Practice collaborates with community-based organizations at Health Fairs and community events so that the parents of Hempstead and the surrounding communities know that we are available and ready to be of service to them and their children. The physicians and staff also meet with members of the Hagedorn Children's Center, the Hispanic Counseling Center and the Economic Opportunity Commission to work in partnership to better serve the community. By partnering with the Hispanic Counseling Center, the Pediatric practice is able to provide counseling services to at-risk patients. Children are able to begin sessions at the Pediatric Office, an environment that is familiar to them, and have services at the practice. If continuing sessions are needed, they are transitioned to the Hispanic Counseling Center when they are comfortable attending sessions at that site. The Hempstead High School Health Center (HHHC) is a school-based Health Center, which has been providing services for enrolled students since 1997. In 2012-2013, there were over 5,000 visits to the Center by approximately 1,400 enrolled students. Comprehensive preventive, episodic and confidential healthcare was provided. Winthrop has also implemented specific programs needed by the school's population, including: - Youth support groups in English and Spanish that address common adolescent issues such as acculturation, adolescent adjustment, alternative lifestyles, teen pregnancy and prevention, parenting teens, and violence prevention, including gang violence. - A "Positive PPD Chest Clinic" that provides students with screening, free chest x-ray and access to preventive medications. Arrangements are made for students who test positive to have the proper treatment, whether it is through a private healthcare provider or the clinic if insurance currently is not in place. - An Asthma Management Program that monitors and tracks students with asthma. This effort is particularly significant in Hempstead, where asthma rates are nearly double those of adjacent neighborhoods. Collaboration with primary care physicians in the community facilitates treatment that meets current medical stand”

“Winthrop recognizes that a healthy lifestyle prevents or delays the onset of disease. A deep commitment to a healthy lifestyle through health maintenance and wellness is fundamental to the Hospital's Mission. A description of non-prevention agenda initiatives follows: Blood Drives To support the community, each year, Winthrop hosts multiple blood drives to support the Long Island Blood Services. In 2013 employees and community members donated 1,291 pints of blood. Community Education A longstanding tradition, Winthrop continues to offer free Community Wellness Programs on campus as well at the Mineola Community Center. Open to all, these programs address topics of interest to the community as well as any updates on current health issues and are presented by Winthrop physicians and specialists. During more than 35 free lectures, the Hospital addressed diabetes, heart disease, stress, anxiety and depression; stroke awareness, memory changes and more. Community Training Center The Hospital is an American Heart Association Training Center. The Center provides training in Basic Life Support, PALS and ACLS to community members and to healthcare professionals requiring certifications. Please call (516) 663-4455 for information. Center for Family Dental Medicine New in 2013, our full service, state-of-the-art dental facility serves the community's patients and allows dentists to complete their residency in a hospital environment. Developed to target communities with health disparities, the Center offers specialized diagnostic and oral care from preventive measures which range from routine care and cleanings to more complex oral and maxillofacial surgery. From August through November, 2013, the Center provided 161 free screenings to participants at various health fairs. Center for Advanced Care of Chronic Conditions Winthrop offers a free service to the community to help individuals with a number of chronic conditions navigate the healthcare system. A nurse "navigator" customizes a plan of care, coordinates treatment and follow-up care, and promotes awareness of Winthrop's various preventive and health screening programs. Health Fairs Winthrop participates in community-based health fairs and events. At the fairs, Hospital staff provides blood pressure and asthma screenings, as well as information about a variety of issues, including stroke prevention, diabetes, tobacco cessation, heart health and nutrition. Some of the community-based health fairs Winthrop participated in during 2013 included Senator Hannon's Senior Health Fair, Senator Fuschillo's Golden Gathering, the Nassau County Health Fair, The Williston Park and Mineola Street Fairs and more. Health Screenings During 2013, Winthrop provided a free stroke risk assessment. Sixty-one individuals were screened; out of those, 28 received a free Doppler screening. Winthrop partnered with "LI Cruzin'" car show for a prostate cancer screening during 2013 that was open to all of Long Island. The Hospital provided free PSA screenings to 309 participants. Support Groups Throughout the year, Winthrop coordinates many free support groups that meet periodically, are open to the public and cover a wide range of healthcare topics. During 2013, Winthrop hosted nearly 200 free support group sessions that are open to the public. Speaker's Bureau The Hospital provides free speakers at the request of local organizations. Topics are chosen based upon the specific interests of the groups and cover wellness issues such as nutrition, heart health, lung conditions, and stroke prevention. During 2013, Winthrop delivered talks at the Family & Children's Association, AARP, Mineola Leisure Club, and more. Winthrop Welcome Center The Welcome Center at the Winthrop Wellness Pavilion in Garden City offers written educational material, free lectures and wellness programs. Topics presented are based on the health condition and health information needs of the community. The Center demonstrates Winthrop's commitmen”

“TOBACCO CESSATION Summary of Efforts to Reduce Tobacco Consumption The Hospital's efforts to reduce adult tobacco consumption in Nassau County included the following: - Strengthening education and recruitment efforts to increase enrollment of adult inpatients in "Freedom from Smoking" upon discharge - Raising awareness of Winthrop's Tobacco Cessation Program in all relevant Hospital-sponsored educational and screening programs - Collaborating with community-based organizations and employers to aggressively solicit and enroll program participants - Implementing outreach interventions to follow-up with program participants - Tracking and evaluating outcomes for program effectiveness Successes A total of 50 people attended eight (8) 4-week tobacco cessation sessions from September 2012 to August 2013. Seventy-Two percent (72%) of all participants attended three or more sessions. Thirteen percent (13%) repeated the entire program more than once. Addressing Barriers Other that the common personal barriers mentioned, such as "habit," Winthrop successfully circumvented other common barriers to smoking cessation among adults, such as the availability of classes. A trained Health Educator offers the Workshops "FREE" in the early evening every month at Winthrop. The Workshops are also offered in the community and workplace settings, thus eliminating the barriers of transportation and time. FALLS PREVENTION Summary of Efforts to reduce falls The Hospital's efforts to reduce the rate of falls resulting in injury to seniors in Nassau County included the following: - Raising community awareness of the serious impact of falls - Conducting screenings and risk assessments for falls - Educating seniors, caregivers and other interested people (target population) about identifying and modifying risk factors and methods of preventing falls - Tracking and evaluating outcomes for program effectiveness - Going into community-based organizations to offer programs Successes In Year Four, the following was accomplished: - Additional classes were added to the Falls Prevention program. This included balance/strength exercises at a higher level as the senior progresses, balance assessment and reassessment, demonstration of how to get up from a fall (Be Prepared) and Walking for Strength and Balance. - Creation of an inpatient geriatric discharge report, notifying these individuals about upcoming Falls Prevention programs - Establishment of a tracking mechanism by creating a database of program attendees and a post-workshop outcomes evaluation tool - Collaborating with the "Project Independence" (aging in place) initiative to offer the four-weeks series at the "Yes We Can" community center in Westbury, a community experiencing health disparities Overall Participation Winthrop's Fall Prevention Program has been, by almost any measure, an outstanding success, with significant growth each year. Participation was as follows: year one, 360; year two, 485; year three, 1100. Due to promotional materials and outreach efforts to the community from September 2012 to August 2013, year four of the Prevention Agenda, 127 fall prevention and exercise programs were offered at the Winthrop Welcome Center and out in the community, with more than 1900 participants. Programs included "What are the Risks for a Fall," "Risks and Tips to Prevent Falls," "Exercise & Balance," "Walking for Balance and Strength," "Be Prepared" and "Balance Assessment & Reassessment". Addressing Barriers As the popularity of the programs increased, with the space constraint at the Winthrop Welcome Center we have had to turn away prospective participants for our programs. For this reason Winthrop, added more classes and hired an additional registered nurse to meet the need, and to travel to more communities throughout the year.”