Lenox Hill Hospital Redevelopment

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