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Philanthropy
Commercial Concerns
Samantha Marshall
05/03/2004


Its clientele reflects its address. Dr. Orli Etingin, director of the center, says at least 80 percent of the facility’s patients are insured. (The ratio varies depending on the medical service provided.) Many have private insurance plans that pay generous reimbursement rates. For these patients, the center offers a one-stop oasis for every procedure a woman might need. The center’s active cardiac care and neurology practices, two fields that are becoming increasingly important as the population ages, contribute to its overall financial health. But its success is due in no small measure to its ability to attract patients who can pay out-of-pocket for some of the best dermatologists and plastic surgeons in the country.

The remaining 10 percent to 20 percent of its clients are poor patients who either have insufficient insurance to cover their procedures, or none at all. Often, these patients are referred from other parts of the extensive hospital system of New York-Presbyterian. In most cases, the hospital absorbs the cost of their care. Cantor says the center eventually plans to do more community outreach. If poorer patients were not being served, she says, “I don’t think I would be satisfied.”

All of the center’s services are already operating in the black, which is notable: The Center for Women’s Health at Weill Cornell’s sister campus, Columbia-Presbyterian/Eastside, did not break even until about six years after it opened. Even Etingin expected the center to take longer to start turning a profit. While the reimbursements and out-of-pocket patient fees have not covered the cost of establishing the facility, none of the center’s services—even those with the largest proportion of uninsured patients—are losing money, Etingin says. But the wholehearted pursuit of medical care for the less fortunate will still have to wait: Bauer projects that it will take 10 to 15 years for the center to generate enough cash to reinvest in outreach and services for poorer patients.

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