Lenox Hill Hospital Redevelopment - Project Overview
Northern Westchester Hospital
Phelps Memorial Hospital Center Zucker Hillside Hospital Cohen Children’s Medical Center of New York North Shore University Hospital Glen Cove Hospital
Peconic Bay Medical Center Huntington Hospital
Syosset Hospital Lenox Hill Hospital Lenox Health Greenwich Village
MEETH Long Island Jewish Forest Hills
Feinstein Institute
Plainview Hospital Southside Hospital South Oaks Hospital Nassau University Medical Center
Maimonides Medical Center Staten Island University Hospital,North Staten Island University Hospital,South
Hofstra Northwell School of Medicine Long Island Jewish Valley Stream Long Island Jewish Medical Center
Northwell Health 2
21 Hospital System with Multiple NYC Facilities:
Economic Impact:
• Cohen Children’s Medical Center of New York
• 61,000 employees (Approximately 21,000 residents in the 5 boroughs)
• Long Island Jewish Forest Hills • Lenox Health Greenwich Village • Lenox Hill Hospital, Manhattan • Long Island Jewish Medical Center
• $9.5 billion annual operating budget in 2014
Community Impact
• $878.1 million in community benefit contributions in 2014 (12.1 % of operating expenses)
• Maimonides Medical Center • Manhattan Eye, Ear and Throat Hospital • Staten Island University Hospital, North • Staten Island University Hospital, South • Zucker Hillside Hospital
Northwell Health 3
Lenox Hill Hospital Manhattan Eye, Ear & Throat Hospital
Long Island Jewish Medical Center
Lenox Health Greenwich Village
Cohen Children’s Medical Center of New York Long Island Jewish Forest Hills
Zucker Hillside Hospital
Maimonides Medical Center
Staten Island University Hospital, North
Staten Island University Hospital, South
Northwell Health in New York City - Today 4
Long Island Jewish Medical Center Cohen Children’s Medical Center of New York Long Island Jewish Forest Hills
Zucker Hillside Hospital
Staten Island University Hospital, North
Staten Island University Hospital, South
Northwell Health in New York City - Prior to 2010 5
Manhattan 1,640
Bronx 834
8%
Brooklyn 2,447
Brooklyn 11,076
4% 51%
12%
Queens 10,800
25% Staten Island 5,275
Northwell Employees > 61,000 Employees Living in the 5 Boroughs = 20,996 (2014)
Manhattan 14,592
Bronx 3,804
3% 8%
10% 53%
Queens 74,780
26% Staten Island 36,665
Northwell Discharges (not including Maimonides) = 251,621 Discharges Living in the 5 Boroughs = 140,917 (2014)
Northwell Health in New York City 6
New York Presbyterian
14%
17%
New York Health & Hospital Corporation
4%
18%
18%
14% 12% 5%
2%
3% 3%
Others
Bronx-Lebanon Hospital Center Medisys
Northwell Health
8%
Maimonides Medical Center
Mount Sinai Health System Montefiore
NYU Langone Medical Center
SBH Health System
(2014)
Northwell Health in New York City 7
2014: $878.1 Million in Programs and Services (12.1% of Operating Expenses) • $408 Million Unpaid Costs Of Medicaid • $85 Million Uncompensated Care 2013: $750.4 Million in Programs and Services (11.5% of Operating Expenses) • $324 Million Unpaid Costs Of Medicaid • $90 Million Uncompensated Care
Northwell Health Community Benefits 8
• Acquisition of Lenox Hill Hospital in 2010 • Lenox Hill Greenwich Village 2011-2015 • Partnership with Maimonides in 2015 • $720 million in capital investments in 5 boroughs since 2010 • $500+ million projected over next five years in addition to Lenox Hill Hospital proposal
Cohen’s Children
Zucker Hillside Staten Island University, South
Staten Island University, North
Manhattan Eye, Ear, and Throat
Lenox Health Greenwich Village
Lenox Hill
Long Island Jewish
Long Island Jewish Forest Hills Maimonides
Northwell Health in New York City 5 Borough Strategy 9
Lenox Hill Hospital
Number of Beds - 450 Size - Approximately 780,000 GSF
E 77th St
E 76th St
Park Ave
Lex. Ave
10
2010
2006 NYC Resident Discharges
2014
1,202,666
-12%
-11% 950,074
Lenox Hill Discharges 32,743
-12%
Source: SPARCSver2015.08.06; NYC defined as the 5 boroughs
+1%
29,218
Lenox Hill merges with Northwell
Stabilization 11
Lenox Hill - Challenges 12
1966
WOLLMAN
LACHMAN
Av e
nu e
1963
Le
xin
gto
nA ve
nu
e
Pa
rk
BLACK HALL
1972
1894/1917
URIS
ACHELIS
1913 WEST
1800s
1931
MAIN, EAST
BROWNSTONES
1937
EINHORN
Adhoc Campus
E 77th St
NU E
E 76th St
AV E
NU E
VE
1959
Park Ave
Lex. Ave
13
Infrastructure Needs
E 77th St
E 76th St
Park Ave
Lex. Ave
14
Operational Challenges
E 77th St
Existing Street Conditions
E 76th St
Park Ave
33
Lex. Ave
15
Spacial requirements for key program elements: • Single bedded rooms • Minimum room sizes (clinical spaces and ORs) • Access to natural light • Intensive care / critical care ratios
1750
1860
1880
1950
1980
2000
2015
Regulatory Challenges 16
+
Northwell Lenox Hill Hospital GSF: 780,000 sq ft
Mount Sinai Beth Israel Hospital GSF: 824,145 sq ft
+
Bellevue Hospital GSF:2,124,441 sq ft
+ +
Mount Sinai West Hospital GSF: 1,104,505 sq ft
+
+
+
+
+
Mount Sinai Hospital GSF: 4,398,600 sq ft
+
Memorial Sloan -Kettering Cancer Center GSF:1,864,155 sq ft
NYU Langone Medical Center GSF:3,101,022 sq ft
NewYork-Presbyterian/ Weill Cornell Medical Center GSF:above 3,993,234 sq ft
Industry Response 17
2012
1996
1992
+
Northwell Lenox Hill Hospital NEW GSF: 0 sq ft
2013
Mount Sinai Beth Israel Hospital NEW GSF: 306,000 sq ft
1992 + +
Mount Sinai West Hospital NEW GSF: 1,104,505 sq ft
2019
2005 2018
2013
+
+
+
+
+
Mount Sinai Hospital NEW GSF: 1,747,000 sq ft
2004 2017 2014 2016
+
Bellevue Hospital NEW GSF:210,000 sq ft
+
Memorial Sloan -Kettering Cancer Center NEW GSF:925,701 sq ft
2016
NYU Langone Medical Center NEW GSF:1,288,000 sq ft
NewYork-Presbyterian/ Weill Cornell Medical Center NEW GSF:570,000 sq ft
Industry Response 18
3
+
Northwell Lenox Hill Hospital
Mount Sinai Beth IsraelHospital Phillips Ambulatory Care Center (1996) 306,000 sq ft
1
Bellevue Hospital
Ambulatory Care Facility (2005) 210,000 sq ft
Mount Sinai West Hospital New Hospital(1992) 1,104,505 sq ft
2
Memorial Sloan-Kettering Cancer Center 1.David H. Koch Center for Cancer Care (2018) 750,000 sq ft 2.Josie Robertson Surgery Center (2013) 175,701 sq ft
1
NYU Langone Medical Center 1.Kimmel Pavilion (2017) 800,000 sq ft As-of-Right 2.Tisch Hospital (2014-2019+) $1 Billion Planned Renovation
1
+
2
Mount Sinai Hospital 1.Guggenheim Pavilion (1992) 900,000 sq ft BSA 2.Leon and Norma Hess Center for Science and Medicine(2012) 422,000 sq ft 3.1214 Fifth Avenue Luxury Apartments and the Mount Sinai Diabetes Center (2013) 425,000 sq ft
2
1
2
NewYork-Presbyterian
1.Vivian & Seymour Milstein Family Heart Center (2009) 140,000 sq ft 2.Weill Greenberg Center (2004) 570,000 sq ft
Industry Response 19
‘State-of-the-art’ - 500 bed hospital Primary service lines provided: a. Cardiothoracic Surgery b. Emergency Medicine c. Maternal and Fetal Medicine d. Neurology / Neurosurgery e. Orthopaedics Residential building Improving streetscape
Project Proposal 20
Zoning Map - Lenox Hill Hospital Site 21
Historic District 22
210’ 180’
150’
120’ 75’
MADISON AVENUE
PARK AVE.
LEXINGTON AVE.
3RD AVENUE
23
Uses 24
Park Avenue
Lexington Avenue 25
Urban Experience
E 77th St
E 76th St
Park Ave
Lex. Ave
26
27
Existing Street Conditions
28 32
29
337’
150’
120’ 305’
428’
440’
341’
30
31
32
Zoning Map Amendment:
To increase base density - district to be determined
Zoning Text Amendments:
a. Text allowing for bonus floor area up to 15.0 Far for a project including significant community facility component (by special permit or otherwise) b. Modifications to the special park improvement district to allow for increases in far and height for projects containing a hospital/significant community facility component (by special permit or otherwise) c. Text amendments as necessary to allow for departures from otherwise applicable height and setback, and other bulk controls as required, including within the special park improvement district. d. Creation of special permit allowing for the above - or modification of existing large scale special permit - to allow for modifications described in (a) through (c)
Special Permits:
a. Special permit (including any new text) to allow for the height and setback and other bulk control waivers that will be required b. Possible parking special permit
Zoning Proposal 33
Preconstruction services a. LendLease engaged b. Structural and infrastructure phasing c. Geotechnical surveys Design services: a. RFQ responses received February 26. b. RFP issued. Proposals due April 29. c. Design team selection expected Summer 2016. Environmental analysis a. AKRF engaged b. Background investigations underway Outreach Target certification 2nd quarter 2017
Next Steps 34