MONTEFIORE NYACK HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MONTEFIORE NYACK HOSPITAL (EIN 13-1740119)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-13
IRS object ID: 202503179349310680
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-13T17:03:19+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MANHATTAN WEST	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100018604	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	131740119	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Montefiore Nyack Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MONT	BusinessNameControlTxt
Phone	8453486522	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVENUE	AddressLine1Txt
City	NYACK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	109601912	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK P MERCURIO	PersonNm
Person Title	VP & CFO	PersonTitleTxt
Phone	8453482107	PhoneNum
Signature	2025-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Laura Mayo	PreparerPersonNm
PTIN	P01962945	PTIN
Phone	2127733000	PhoneNum
Preparation	2025-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK E GELLER MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVENUE	AddressLine1Txt
City	NYACK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	109601912	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$378,053,355	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	MONTEFIORENYACK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1895	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF ROCKLAND COUNTY AND SURROUNDING AREAS.	ActivityOrMissionDesc
Voting Members Governing Body	28	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	2117	TotalEmployeeCnt
Total Volunteers	128	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$3,814,968	PYContributionsGrantsAmt
CY Contributions Grants	$16,935,571	CYContributionsGrantsAmt
PY Program Service Revenue	$342,517,353	PYProgramServiceRevenueAmt
CY Program Service Revenue	$357,053,900	CYProgramServiceRevenueAmt
PY Investment Income	$671,288	PYInvestmentIncomeAmt
CY Investment Income	$1,003,412	CYInvestmentIncomeAmt
PY Other Revenue	$1,951,124	PYOtherRevenueAmt
CY Other Revenue	$2,970,722	CYOtherRevenueAmt
PY Total Revenue	$348,954,733	PYTotalRevenueAmt
CY Total Revenue	$377,963,605	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$177,568,777	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$204,708,140	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$175,257,093	PYOtherExpensesAmt
CY Other Expenses	$200,674,784	CYOtherExpensesAmt
PY Total Expenses	$352,825,870	PYTotalExpensesAmt
CY Total Expenses	$405,382,924	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,871,137	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$27,419,319	CYRevenuesLessExpensesAmt
Total Assets BOY	$293,045,651	TotalAssetsBOYAmt
Total Assets EOY	$309,620,701	TotalAssetsEOYAmt
Total Liabilities BOY	$197,691,127	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$245,466,362	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$95,354,524	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$64,154,339	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES TO THE RESIDENTS OF ROCKLAND COUNTY AND SURROUNDING AREAS. WE ARE CARING PEOPLE OPERATING AN EXTRAORDINARY COMMUNITY HOSPITAL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$376,883,526	ExpenseAmt
Revenue	$357,053,900	RevenueAmt
Desc	MONTEFIORE NYACK HOSPITAL IS A 391-BED COMMUNITY ACUTE CARE MEDICAL AND SURGICAL HOSPITAL FOUNDED IN 1895. WHAT STARTED AS A TWO-STORY HOUSE WITH NINE BEDS, AN OPERATING ROOM, NURSE'S PARLOR, RECEPTION AREA, AND DINING ROOM HAS TODAY BECOME A PREMIER ACADEMIC COMMUNITY HOSPITAL. AS PART OF THE MONTEFIORE HEALTH SYSTEM, MONTEFIORE NYACK HOSPITAL BRINGS THE INNOVATIONS AND EXPERTISE OF A RENOWNED ACADEMIC MEDICAL CENTER TO ROCKLAND COUNTY. RECENT INVESTMENTS, INCLUDING AN EXPANSION OF OUR EMERGENCY DEPARTMENT, A NEW STATE-OF-THE ART CARDIAC CATHETERIZATION LAB, A BREAST CENTER OFFERING WORLD-CLASS ACADEMIC MEDICAL CARE BY THE AREA'S LEADING BOARD-CERTIFIED SPECIALISTS, A COMPREHENSIVE ORTHOPEDIC AND SPINE CENTER, A JOINT REPLACEMENT CENTER AND THE MADLYN BORELLI MULTIPLE SCLEROSIS CENTER, UNDERSCORE OUR COMMITMENT TO THE COMMUNITIES WE SERVE IN PROVIDING TOP-TIER MEDICAL CARE CLOSE TO HOME. THE HOSPITAL PROVIDES EXTENSIVE INPATIENT AND OUTPATIENT SERVICES, INCLUDING ADDICTION SERVICES, BEHAVIORAL HEALTH, BREAST AND WOMEN'S HEALTH, CANCER, CARDIAC CARE, CLINICAL GENETICS, CLINICAL TRIALS, DIABETES EDUCATION, EMERGENCY MEDICINE, FOOD AND DRUG ALLERGY DESENSITIZATION, HEMATOLOGY AND ONCOLOGY, HOME CARE SERVICES, IMAGING, INFUSION, JOINT REPLACEMENT, LUNG CANCER SCREENING, MATERNITY, MULTIPLE SCLEROSIS CARE, NUTRITION COUNSELING, ORTHOPEDIC AND SPINE, PAIN MANAGEMENT, PEDIATRICS, PHARMACY, PULMONARY REHABILITATION, RADIATION ONCOLOGY, RESPIRATORY SERVICES, ROBOTIC SURGERY, SLEEP MEDICINE, STROKE, TRAUMA AND WOUND CARE. THE HOSPITAL HAS RECEIVED NUMEROUS AWARDS AND ACCREDITATIONS FOR MEETING OR EXCEEDING RIGOROUS STANDARDS SET FORTH BY VARIOUS PRIVATE, STATE, AND FEDERAL AGENCIES. AMONG THE HONORS ARE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HIP AND KNEE JOINT REPLACEMENT AND STROKE PROGRAM; AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION; AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER OUTSTANDING ACHIEVEMENT AWARD; AND AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS WITH HONOR ROLL ELITE QUALITY ACHIEVEMENT AWARD, AMONG OTHERS. WE'VE BEEN RECOGNIZED FOR THE EXCEPTIONAL CARE WE PROVIDE IN AREAS SUCH AS CANCER SURGERY, JOINT REPLACEMENT, CARDIAC CARE, TREATMENT OF STROKE, BREAST IMAGING, SLEEP MEDICINE, DIABETES EDUCATION AND TREATMENT OF SUBSTANCE USE DISORDERS. MONTEFIORE NYACK HOSPITAL IS ALSO AN AMERICAN COLLEGE OF SURGEONS LEVEL III TRAUMA CENTER, NY STATE DESIGNATED STROKE CENTER, A NEW YORK STATE LEVEL II SPECIAL CARE NURSERY, AND A WOUND CARE CENTER OF DISTINCTION. MONTEFIORE NYACK HOSPITAL OFFERS MANY EVENTS, CLASSES, AND SUPPORT GROUPS TO ENRICH THE LIVES OF THE COMMUNITY. SOME SUPPORT GROUPS AND CLASSES OFFERED ARE: CAREGIVERS SUPPORT GROUPS, DIABETES SUPPORT GROUPS AND EDUCATION PROGRAMS; FALL PREVENTION PROGRAM; LIFE WITH CANCER SUPPORT GROUP; MAMAS MARAVILLOSAS, A SPANISH LANGUAGE SUPPORT GROUP; MATERNITY AND CHILDBIRTH EDUCATION PROGRAMS; AND NEW MOMS CIRCLE SUPPORT GROUP.	Desc
Total Program Service Expenses	$376,883,526	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	51	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2117	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	28	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK MERCURIO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8453482107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVENUE	AddressLine1Txt
City	NYACK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	109601912	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MARK GELLER MD
PRESIDENT & CEO	48.0	2.0	Yes (X)	Yes (X)	$1,235,570	$0	$46,141
MARK JACOBS
CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD KOHLHAUSEN
TRUSTEE (PASSED AWAY 1/2024)	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT VAN CURA
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT VAN PELT
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
THOM KLEINER
SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
AZFAR CHAK MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DEBBIAN BLAKE APRN FNP
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DENNIS TROY
TRUSTEE (RESIGNED 6/28/2024)	1.0	0.0	Yes (X)		$0	$0	$0
EMILY FEINER
TRUSTEE (EFFECTIVE 4/26/2024)	1.0	0.0	Yes (X)		$0	$0	$0
GREG MERRIWEATHER
TRUSTEE (EFFECTIVE 4/26/2024)	1.0	0.0	Yes (X)		$0	$0	$0
GUILLERMO ROSA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
HOWARD FELDFOGEL DO
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JEFFREY LUBATKIN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOEL A PERLMAN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOHN MECCHELLA
TRUSTEE (RESIGNED 6/28/2024)	1.0	0.0	Yes (X)		$0	$0	$0
KEVIN FRANCIS
TRUSTEE (EFFECTIVE 4/26/2024)	1.0	0.0	Yes (X)		$0	$0	$0
MARISA BARBIERI
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MERNA BINNS
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL MAHON
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MITCHELL D COHN MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PAUL ADLER ESQ
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PHYLLIS B FRANK
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RICHARD GOLDMAN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RICK BORELLI
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
SEAN WALSH
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
STEVEN SILVERSTEIN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
SUSAN GREEN-LORENZEN RN
TRUSTEE (RESIGNED 6/28/2024)	1.0	59.0	Yes (X)		$0	$3,093,931	$24,250
TANYA DRAKE RN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
VINCENT ABBATECOLA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM M TRUST JR
TRUSTEE (CHAIR-EMERITUS)	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM SHUM
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOHN S BURKE
VP, CHIEF FINANCIAL OFFICER/TREASURER	48.0	2.0		Yes (X)	$783,525	$0	$65,231
MICHAEL NOVAK
VP, CHIEF OPERATING OFFICER/ASSISTANT SECRETARY	49.0	1.0		Yes (X)	$675,394	$0	$14,902
ANTHONY MATEJICKA DO
VP, CHIEF MEDICAL OFFICER	50.0	0.0			$828,258	$0	$64,991	Yes (X)
M KATHLEEN LUNNEY
VP, CHIEF NURSING OFFICER	50.0	0.0			$475,731	$0	$10,997	Yes (X)
DAVID B SOUTHREN
PHYSICIAN ADVISOR	40.0	0.0			$457,554	$0	$66,217		Yes (X)
JAMES P KELLEHER MD
MEDICAL DIR BEHAVIORAL HLTH	40.0	0.0			$395,914	$0	$64,442		Yes (X)
MARY E JONES
SENIOR DIRECTOR OF CARE MANAGEMENT/ORTHOPEDIC PATIENT NAVIGATOR	40.0	0.0			$533,098	$0	$54,946		Yes (X)
MICHAEL B JACKSON MD
ASSOC. DIR PSHYCHIATRY SERV.	40.0	0.0			$329,527	$0	$54,811		Yes (X)
VANESSA K BIJLANI
PSYCHIATRIST	40.0	0.0			$330,375	$0	$35,731		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,044,946	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,093,931	TotReportableCompRltdOrgAmt
Total Other Compensation	$502,659	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	521	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS INC
PO BOX 829864	PHILADEPHIA	PA	19182	OUTSIDE LAB TESTING	$9,066,344
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	55485	CONTRACTING SERVICES	$6,389,250
SOUND PHYSICIANS
PO BOX 742936	LOS ANGELES	CA	90074	PHYSICIAN SERVICES	$5,322,210
ACCURAY INC
PO BOX 204793	DALLAS	TX	753204793	CONTRACTING SERVICES	$1,660,001
LRS HEALTHCARE
PO BOX 850781	MINNEAPOLIS	MN	554850781	MEDICAL STAFFING	$1,642,247

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	87	CntrctRcvdGreaterThan100KCnt
Related Organizations	$555,064	RelatedOrganizationsAmt
Government Grants	$16,380,507	GovernmentGrantsAmt
Total Contributions	$16,935,571	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$356,375,812	$356,375,812
OTHER HEALTHCARE RELATED SERVICES	621999	$678,088	$678,088

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$357,053,900	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,003,412	TotalRevenueColumnAmt
Exclusion	$1,003,412	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$118,288	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$89,750	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$28,538	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,538	TotalRevenueColumnAmt
Exclusion	$28,538	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INTERCOMPANY MANAGEMENT FEES	551114	$1,922,879	$1,922,879
CAFETERIA & VENDING MACHINES	722514	$839,237	$839,237
MEDICAL EDUCATION	611430	$110,977		$110,977

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,091	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$69,091	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,942,184	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$377,963,605	TotalRevenueColumnAmt
Related Or Exempt Func Income	$357,164,877	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,863,157	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,093,194	TotalAmt
Program Services	$1,360,618	ProgramServicesAmt
Management And General	$2,732,576	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$145,773,371	TotalAmt
Program Services	$138,770,146	ProgramServicesAmt
Management And General	$7,003,225	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,278,905	TotalAmt
Program Services	$9,866,047	ProgramServicesAmt
Management And General	$412,858	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,962,621	TotalAmt
Program Services	$29,770,503	ProgramServicesAmt
Management And General	$3,192,118	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,600,049	TotalAmt
Program Services	$10,294,220	ProgramServicesAmt
Management And General	$1,305,829	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$11,362,960	TotalAmt
Program Services	$11,362,960	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,245,914	TotalAmt
Program Services	$1,244,826	ProgramServicesAmt
Management And General	$1,088	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$126,125	TotalAmt
Management And General	$126,125	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,724,789	TotalAmt
Program Services	$27,107,374	ProgramServicesAmt
Management And General	$1,617,415	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$293,027	TotalAmt
Program Services	$15,295	ProgramServicesAmt
Management And General	$277,732	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,764,854	TotalAmt
Program Services	$15,023,820	ProgramServicesAmt
Management And General	$741,034	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,666,876	TotalAmt
Program Services	$9,440,317	ProgramServicesAmt
Management And General	$226,559	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,471,485	TotalAmt
Program Services	$5,604,154	ProgramServicesAmt
Management And General	$867,331	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$91,136	TotalAmt
Program Services	$90,565	ProgramServicesAmt
Management And General	$571	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90,195	TotalAmt
Program Services	$74,573	ProgramServicesAmt
Management And General	$15,622	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,369,184	TotalAmt
Program Services	$5,369,184	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,101,574	TotalAmt
Program Services	$14,101,574	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,853,139	TotalAmt
Program Services	$8,250,638	ProgramServicesAmt
Management And General	$3,602,501	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$69,920,362	$68,242,328	$1,678,034
INTERCOMPANY SHARED SERVICES	$19,660,219	$19,263,380	$396,839
BILLING & COLLECTION	$1,993,239		$1,993,239
MISC. TAX PAYMENTS	$839,456	$260,515	$578,941

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,100,250	TotalAmt
Program Services	$1,370,489	ProgramServicesAmt
Management And General	$1,729,761	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$405,382,924	TotalAmt
Program Services	$376,883,526	ProgramServicesAmt
Management And General	$28,499,398	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,050	BOYAmt
EOY	$3,050	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,573,339	BOYAmt
EOY	$2,172,352	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$506,612	BOYAmt
EOY	$506,612	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,003,640	BOYAmt
EOY	$44,185,596	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,761,712	BOYAmt
EOY	$5,498,109	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$423,686	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$214,888,737	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$104,664,149	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$105,934,738	BOYAmt
EOY	$110,224,588	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$339,163	BOYAmt
EOY	$388,656	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,090,958	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,229,000	BOYAmt
EOY	$4,229,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$121,270,711	BOYAmt
EOY	$137,321,780	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$293,045,651	BOYAmt
EOY	$309,620,701	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$81,694,203	BOYAmt
EOY	$87,360,569	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$976,702	BOYAmt
EOY	$980,568	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$27,685,177	BOYAmt
EOY	$27,933,085	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,335,045	BOYAmt
EOY	$129,192,140	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$197,691,127	BOYAmt
EOY	$245,466,362	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$95,135,025	BOYAmt
EOY	$63,934,840	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$219,499	BOYAmt
EOY	$219,499	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$95,354,524	BOYAmt
EOY	$64,154,339	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$293,045,651	BOYAmt
EOY	$309,620,701	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$27,419,319	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$109,894	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,890,760	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$0	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$0	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0	PublicSupportCY170Pct
Public Support PY170	0.0	PublicSupportPY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$0	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0	PublicSupportCY509Pct
Public Support PY509	0.0	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct
Private Foundation509	Yes (X)	PrivateFoundation509Ind

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$96,758	OtherActivitiesAmt
Total Lobbying Expenditures	$96,758	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE HOSPITAL'S OTHER ACTIVITIES INCLUDE INDIRECT LOBBYING COST FOR A PERCENTAGE OF THE MEMBERSHIP DUES PAID TO THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) AND THE HOMECARE ASSOCIATION OF NYS (HCA) USED FOR LOBBYING EFFORTS BY THESE ORGANIZATIONS AND THE ORGANIZATION'S PRO-RATA SHARE OF HEALTHCARE EDUCATION PROJECT (HEP) LOBBYING EXPENSES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$219,499	BeginningYearBalanceAmt
End Year Balance	$219,499	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$288,469	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$68,970	InvestmentEarningsOrLossesAmt
End Year Balance	$219,499	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$219,499	BeginningYearBalanceAmt
Investment Earnings Or Losses	$68,970	InvestmentEarningsOrLossesAmt
End Year Balance	$288,469	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$219,499	BeginningYearBalanceAmt
End Year Balance	$219,499	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$219,499	BeginningYearBalanceAmt
End Year Balance	$219,499	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.1665	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.8335	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,150,000	OtherCostOrOtherBasisAmt
Book Value	$5,150,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$135,210,661	OtherCostOrOtherBasisAmt
Depreciation	$57,120,249	DepreciationAmt
Book Value	$78,090,412	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,527,497	OtherCostOrOtherBasisAmt
Depreciation	$47,543,900	DepreciationAmt
Book Value	$26,983,597	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$579	OtherCostOrOtherBasisAmt
Book Value	$579	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$110,224,588	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE OPER LEASE ASSETS	$2,321,181
WORK COMP INS CLAIMS RECEIV.	$4,674,063
DEPOSITS	$14,275
MALPRACTICE INS CLAIMS RECEIV.	$25,100,000
DUE FROM SUBSIDIARY	$105,212,261

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$137,321,780	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
Federal Income Taxes
MALPRACTICE INSURANCE PAYABLES	$11,438,623
PENSION & POST-RETIREMENT BENEFITS	$3,068,597
DUE TO THIRD PARTY PAYORS	$2,964,050
DUE TO AFFILIATES	$26,715,485
EST MALPRACTICE INS CLAIMS LIAB.	$25,100,000
ASSET RETIREMENT OBLIGATIONS	$995,789
WORK COMP INS CLAIMS LIABILITIES	$4,722,458
RIGHT OF USE OPER LEASE LIABILITIES	$2,321,181
INTERCOMPANY LOANS PAYABLE	$51,865,957

Field	Value	IRS element (for citing)
Total Liability	$129,192,140	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	THE INTENDED USE OF THE HOSPITAL'S ENDOWMENT IS TO PROVIDE FUNDS TO BE USED AT THE DISCRETION OF THE MEDICAL COUNCIL FOR SMALL INSTRUMENTS AND OR EQUIPMENT FOR HOSPITAL USE THAT THE COUNCIL DEEMS DESIRABLE AND NECESSARY.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,193,465	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,235,461	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,958,004	NetCommunityBenefitExpnsAmt
Total Expense	0.03196	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,174,767	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,990,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,183,876	NetCommunityBenefitExpnsAmt
Total Expense	0.09173	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,677,822	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,942,439	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$735,383	NetCommunityBenefitExpnsAmt
Total Expense	0.00181	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$118,046,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,168,791	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,877,263	NetCommunityBenefitExpnsAmt
Total Expense	0.12550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,356,195	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,356,195	NetCommunityBenefitExpnsAmt
Total Expense	0.00335	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,820	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$182,820	NetCommunityBenefitExpnsAmt
Total Expense	0.00045	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,706,952	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,157,397	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,549,555	NetCommunityBenefitExpnsAmt
Total Expense	0.03589	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,625	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,625	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$51,248,592	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,157,397	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,091,195	NetCommunityBenefitExpnsAmt
Total Expense	0.03969	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$169,294,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,326,188	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,968,458	NetCommunityBenefitExpnsAmt
Total Expense	0.16520	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,370,285	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,224,350	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$85,676,273	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$101,310,523	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,634,250	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTEFIORE NYACK HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVE	AddressLine1Txt
City	NYACK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10960	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.MONTEFIORENYACK.ORG/	WebsiteAddressTxt
State License	4324000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MONTEFIORE NYACK HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.MONTEFIORENYACK.ORG/COMMUNITY-ASSESSMENT-%26-SERVICE-PLAN	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.MONTEFIORENYACK.ORG/COMMUNITY-ASSESSMENT-%26-SERVICE-PLAN	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MONTEFIORE NYACK HOSPITAL. THE PROCESS FOR PREPARING THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT WAS AN INTER-ORGANIZATIONAL AND COMMUNITY COLLABORATIVE PROCESS, INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT WAS REFLECTIVE OF THE NEEDS OF THE COMMUNITY. THE MONTEFIORE NYACK HOSPITAL COMMUNITY THE HEALTH NEEDS ASSESSMENT WAS COMPILED USING SPECIFIC DATA PROVIDED FROM MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT 2022-2024 AND USED AS MONTEFIORE NYACK HOSPITAL PRIMARY DATA COLLECTION SOURCE. THE MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT WAS A COLLABORATIVE EFFORT WITH THE ROCKLAND COUNTY DEPARTMENT OF HEALTH IN PARTNERSHIP WITH THE SIX OTHER MID-HUDSON REGION LOCAL HEALTH DEPARTMENT AND MULTIPLE HEALTH SYSTEMS AND HOSPITALS ACROSS THE NEW YORK STATE INITIATED WITH THE GOAL OF DEVELOPING AN ASSESSMENT THAT WAS REFLECTIVE OF THE NEEDS OF THE COMMUNITY INCLUDING BOTH CLINICAL AND SOCIAL DETERMINANTS OF HEALTH. ON BEHALF OF THE MID-HUDSON REGION COMMUNITY HEALTH ASSESSMENT COLLABORATIVE, THE ROCKLAND COUNTY DEPARTMENT OF HEALTH WORKED ON A PUBLIC OPINION SURVEY CREATED AND ADMINISTERED BY SIENNA RESEARCH INSTITUTE IN THE SUMMER OF 2022. SURVEY PARTICIPANTS WERE CONTACTED VIA LANDLINE TELEPHONE, CELL PHONE, AN ONLINE PANEL, AND OTHER ONLINE RECRUITMENT AT VARIOUS IN-PERSON EVENTS AND OTHER COMMUNITY PARTNERSHIP TO ENHANCE REPRESENTATION AND MEET BUDGET CONSTRAINTS. THE DESIGN OF THE LANDLINE SAMPLE WAS CONDUCTED TO ENSURE THE SELECTION OF BOTH LISTED AND UNLISTED TELEPHONE NUMBERS, USING RANDOM DIGIT DIALING. THE CELL PHONE SAMPLE WAS DRAWN FROM A SAMPLE OF DEDICATED WIRELESS TELEPHONE EXCHANGES WITHIN EACH OF THE MID-HUDSON COUNTIES. RESPONDENTS WERE SCREENED FOR RESIDENCE IN NEW YORK STATE AND SPECIFIED COUNTIES. DATA FROM ALL FOUR SOURCES WERE COMBINED AND WEIGHTED AS ONE TO PROVIDE A REPRESENTATIVE SAMPLE OF MID-HUDSON REGION RESIDENTS. TO FURTHER ASSESS THE BROAD INTERESTS OF THE COMMUNITY, COMMUNITY-BASED ORGANIZATIONS AND COLLABORATIVE GROUPS INPUT WAS CRITICAL IN CONDUCTING THIS ASSESSMENT. THEIR FEEDBACK ON THE FACTORS MOST INFLUENCING HEALTH AND THE LEADING BARRIERS TO CARE AT THE NEIGHBORHOOD LEVEL ALLOWED FOR A UNIQUE HEALTH PERSPECTIVE. THE SURVEY OF THESE GROUPS PROVIDED A MEANS TO GATHER INFORMATION ON SUB-POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED IN RANDOM DIGIT DIAL SURVEYS. THESE PUBLIC AND COMMUNITY ORGANIZATIONS WERE INVITED AND ASKED TO PARTICIPATE IN A SELECTION PROCESS TO DETERMINE THE PRIORITY AREAS TO FOCUS INTERVENTION WITHIN ROCKLAND THROUGH 2024. MONTEFIORE NYACK HOSPITAL IS AN ACTIVE MEMBER OF DIFFERENT COMMUNITY GROUPS AND STEERING COMMITTEES. THESE COMMITTEES INCLUDE ROCKLAND COUNTY HEALTH CARE PRIORITIES (HCP), ROCKLAND COUNTY IMMUNIZATION COALITION, EMS OF ROCKLAND, ROCKLAND COUNTY EMERGENCY RESPONSE TEAM, LOCAL CHAPTER OF THE AMERICAN CANCER SOCIETY, AND THE SUSAN G. KOMEN FUND AMONG OTHERS. IN ORDER TO AFFECT CHANGE IN THE COUNTY, A COALITION OF ORGANIZATIONS HAS MOBILIZED TO DEVELOP AND EMPLOY A WIDE ARRAY OF INTERVENTIONS. PLANS ARE IN PLACE TO PRIMARILY UTILIZE FACILITIES AND STAFF AT BON SECOURS GOOD SAMARITAN HOSPITAL, MONTEFIORE NYACK HOSPITAL, AND ROCKLAND COUNTY DEPARTMENT OF HEALTH TO SUPPORT THE COMMUNITY HEALTH IMPROVEMENT STRATEGIES. ADDITIONALLY, THE PATIENT AND COMMUNITY EDUCATION DEPARTMENT AT THE HOSPITAL IDENTIFIES CONCERNS FROM THE PUBLIC BASED ON FEEDBACK THAT IT RECEIVES FROM LECTURES, PUBLIC CONTACT VIA THE HOSPITAL WEBSITE AND PHONE CONVERSATIONS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - MONTEFIORE NYACK HOSPITAL. BASED ON THE FINDING OF THE PROVIDER SURVEY AND THROUGH FOLLOW-UP MEETINGS WITH THE KEY LOCAL MEDICAL FACILITIES, IT WAS DETERMINED THAT ROCKLAND PARTNERS WOULD FOCUS ON AND TRACK PROGRESS TOWARDS REDUCING CONCERNS AROUND THE TWO PRIORITY AREAS OF 1) PREVENTING CHRONIC DISEASES AND THE PROMOTING WELL-BEING AND 2) PREVENTING COMMUNICABLE DISEASES. MONTEFIORE NYACK HOSPITAL HAS PARTNERED WITH ROCKLAND COUNTY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, COMMUNITY-BASED ORGANIZATIONS AND MEMBERS OF THE COMMUNITY IN ITS PLANS TO DEVELOP INITIATIVES AIMED AT IMPROVING THE HEALTH OF THE PEOPLE OF ROCKLAND BASED ON THESE NEEDS. THE GREATEST INFLUENCE ON OVERALL MORBIDITY AND MORTALITY AMONG ROCKLAND RESIDENTS CONTINUES TO BE CHRONIC ILLNESSES, AS HAS BEEN THE CASE FOR SEVERAL YEARS. A WIDE VARIETY OF FACTORS PLAY A ROLE IN THE OCCURRENCE OF THESE CONDITIONS, AND IT IS AN EXPRESSED GOAL AMONG THE COUNTY HEALTH PARTNERS TO ADDRESS THE CORE ISSUE DRIVING THE CURRENT TREND. THE RATE OF CHILDHOOD AND ADOLESCENT OBESITY CONTINUES TO WORSEN IN ROCKLAND OVER THE LAST FEW YEARS. THIS WAS NOTED IN THE LAST COMMUNITY HEALTH ASSESSMENT AND REMAINS A PROBLEM TO FOCUS ON IN THE CURRENT ASSESSMENT. ADDITIONALLY, THERE IS A CLEAR DISPARITY ALONG RACIAL AND ETHNIC LINES FOR BROAD CATEGORIES OF CHRONIC CONDITIONS, SUCH AS DIABETES, STROKE, AND ASTHMA, WHEN IT COMES TO THE RATIO OF PREVENTABLE HOSPITALIZATIONS AND PREMATURE DEATHS BETWEEN NON-HISPANIC WHITE RESIDENTS AND THOSE THAT ARE EITHER NON-HISPANIC BLACK OR HISPANIC. PREVENTION PROGRAMS TO REDUCE THE IMPACT OF HEART DISEASE, DIABETES, CANCER, AND STROKE WILL CONTINUE AND BE ENHANCED DURING THIS HEALTH IMPROVEMENT CYCLE TO DECREASE THE CONTINUOUS DETRIMENTAL INFLUENCES OF THESE CONDITIONS. THE INTERVENTIONS ARE BEING DEVELOPED TO REACH THESE SPECIAL POPULATIONS WITH CULTURALLY TAILORED PROGRAMS, SUCH AS INNOVATIVE SCHOOL-BASED WELLNESS ENHANCEMENT, MULTI-LINGUAL DISEASE PREVENTION, AND SELF-MANAGEMENT CLASSES. NYS IS CURRENTLY FIFTH IN THE TOP 10 STATES WITH THE HIGHEST RATE OF NEW HIV DIAGNOSES IN ADOLESCENTS. FROM 2017-2019, WESTCHESTER COUNTY FOLLOWED BY ROCKLAND AND ORANGE COUNTY HAD THE HIGHEST AGE-ADJUSTED RATE OF NEWLY DIAGNOSED HIV INFECTIONS. ROCKLAND COUNTY HAD ALSO EXPERIENCED A RISE IN STIS, NAMELY SYPHILIS, GONORRHEA, AND CHLAMYDIA. VARIOUS INTERVENTIONS ARE BEING DEVELOPED BY THE HOSPITAL AND ITS COMMUNITY PARTNERS TO INCREASE THE NUMBER OF PERSONS LIVING WITH HIV WHO RECEIVE CARE AND TO REDUCE THE ANNUAL RATE OF GROWTH FOR STIS. MONTEFIORE NYACK HOSPITAL OPENED THE JACOB'S FAMILY PRIDE WELLNESS CENTER IN NOVEMBER 2021, A SAFE SPACE FOR INDIVIDUALS FROM THE LGBTQ+ COMMUNITY TO DO HIV AND STI TESTING AND RECEIVE TREATMENT BY EXPERIENCED PROFESSIONALS AND SPECIALISTS THAT UNDERSTAND THE NEEDS OF THIS HIGH-RISK COMMUNITY. OTHER INTERVENTIONS INCLUDE EDUCATION, MAKING CONDOMS WIDELY AVAILABLE IN PUBLIC SPACES SUCH AS SCHOOLS, COMMUNITY COLLEGES, LIBRARIES, BARS, AND OTHER FREQUENTED BY ADULTS AND COMMUNITIES AT RISK, AND AT COMMUNITY EVENTS. THE NEW YORK STATE PREVENTION AGENDA HEALTH IMPROVEMENT PLAN FOR 2019-2024 ESTABLISHED FIVE PREVENTION AGENDA PRIORITY AREAS FROM WHICH THE ROCKLAND COUNTY DEPARTMENT OF HEALTH HAS SELECTED TWO OF THE FIVE AREAS AS A RESULT OF ITS COLLABORATION WITH MONTEFIORE NYACK HOSPITAL AND SEVERAL OTHER COMMUNITY PARTNERS. MONTEFIORE NYACK HOSPITAL, IN PARTNERSHIP WITH THE ROCKLAND COUNTY DEPARTMENT OF HEALTH AND OUR COMMUNITY PARTNERS WILL WORK COLLABORATIVELY TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. WHILE THE PROGRAMS SELECTED FOR THE COMMUNITY HEALTH NEED ASSESSMENT-IMPLEMENTATION STRATEGY REPORT DO NOT ADDRESS ALL IDENTIFIED HEALTH CONCERNS, THERE ARE EXISTING AND PLANNED PROGRAMS ACROSS THE MONTEFIORE HEALTH SYSTEM TO ADDRESS THESE OTHER COMMUNITY-IDENTIFIED PRIORITIES. WITHOUT OUR VARIOUS COMMUNITY PARTNERSHIPS, MONTEFIORE NYACK HOSPITAL WOULD NOT BE ABLE TO ADDRESS ALL THE NEEDS OF THE COMMUNITY. ALTHOUGH THE HOSPITAL COUNTS WITH AN ARRAY OF PROGRAM AND RESOURCES, THE RESOURCES OF OUR COMMUNITY PARTNERS ARE ESSENTIAL FOR THE SUCCESSFUL INTERVENTION IN MEETING THE NEEDS OF THE COMMUNITY AND CREATING COMMUNITY-BASED SERVICES TO PREVENT DISEASE, ENHANCE WELL-BEING AND ENACT SOCIAL CHANGES THAT GO BEYOND THE TRADITIONAL HEALTH CARE SYSTEM.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - MONTEFIORE NYACK HOSPITAL. FAMILY SIZE IS FACTORED INTO THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - MONTEFIORE NYACK HOSPITAL. MONTEFIORE NYACK HOSPITAL HAS INTERNAL RESOURCES AVAILABLE FOR ASSISTANCE WITH THE FAP APPLICATION PROCESS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST ANY INDIVIDUAL REQUIRING HELP IN COMPLETING THE FINANCIAL AID APPLICATION. THE PHONE NUMBER FOR FINANCIAL COUNSELING IS GIVEN IN THE FAP AND AT THE BOTTOM OF ALL HOSPITAL BILLS.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NYACK HOSPITAL PERINATAL CENTER
258 HIGH AVENUE	NYACK	NY	10960	SPECIALTY CARE EXTENSION CLINIC
NYACK CERTIFIED HOME HEALTH AGENCY
17 SQUADRON BLVD	NEW CITY	NY	10956	CERTIFIED HOME HEALTH CARE AGENCY
NYACK HOSPITAL ALCOHOL AND DRUG REHAB CL
THE HUB 312 ROUTE 59	CENTRAL NYACK	NY	10960	SUBSTANCE USE DISORDER CLINIC
NYACK RHEUMATOLOGY CLINIC
2 CROSFIELD AVENUE	NYACK	NY	10994	SPECIALTY CARE EXTENSION CLINIC
NYACK AMBULATORY SURGERY CENTER
3 CENTEROCK ROAD	WEST NYACK	NY	10994	OUTPATIENT AMBULATORY SURGERY CENTER
NYACK IMAGING CENTER
3 CENTEROCK ROAD	WEST NYACK	NY	10994	OUTPATIENT IMAGING CENTER
NYACK DEPARTMENT OF HEMATOLOGY ONCOLOGY
255 FIFTH AVENUE	NYACK	NY	10994	OUTPATIENT SPECIALTY CARE
NYACK BREAST IMAGING
111 NORTH HIGHLAND AVENUE	NYACK	NY	10994	OUTPATIENT IMAGING CENTER
NYACK DEPARTMENT OF RADIATION ONCOLOGY
111 NORTH HIGHLAND AVENUE	NYACK	NY	10994	OUTPATIENT RADIATION ONCOLOGY
NYACK PET CT IMAGING
111 NORTH HIGHLAND AVENUE	NYACK	NY	10994	OUTPATIENT IMAGING CENTER
NYACK DEPARTMENT OF UROLOGY
16-24 NORTH HIGHLAND AVENUE	NYACK	NY	10994	OUTPATIENT SPECIALTY CARE
MULTIPLE SCLEROSIS CENTER
160 NORTH MIDLAND	NYACK	NY	10994	OUTPATIENT SPECIALTY CARE

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 22	THE HOSPITAL DETERMINES THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE BASED ON THE TYPE OF SERVICE RENDERED. THE MEDICAID DRG RATE IS USED FOR ADMISSIONS WHILE THE MEDICARE APC RATE IS USED FOR AMBULATORY SERVICES.
Schedule H, Part I, Line 7	THE COST-TO CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM THE RATIO OF PATIENT CARE COST-TO-CHARGE. IN CALCULATING THE PATIENT CARE COST FOR THE RATIO, THE ORGANIZATION REDUCED ITS OPERATING EXPENSES FOR ITS NON-PATIENT CARE COSTS AND COST OF ITS COMMUNITY BENEFITS AND BUILDING ACTIVITIES NOT RELYING ON THE RCC FACTOR FOR COSTING PURPOSES.
Schedule H, Part I, Line 7g	THE HOSPITAL HAS REPORTED A PHYSICIAN CLINIC AS PART OF ITS SUBSIDIZED HEALTH SERVICES. THE CLINIC IS PART OF THE INTEGRATED HEALTH CARE SERVICES PROVIDED BY MONTEFIORE NYACK HOSPITAL TO THE COMMUNITY AND OPERATED BY THE HOSPITAL AT A SUBSTANTIAL LOSS TO THE ORGANIZATION. THIS CLINIC PROVIDES MUCH NEEDED HEALTH CARE SERVICES TO THE HOSPITAL'S LARGE MEDICARE AND MEDICAID POPULATIONS HELPING TO ALLEVIATE A GAP IN SERVICES DUE TO PHYSICIANS WHO ARE UNWILLING TO ACCEPT THESE PAYORS.
Schedule H, Part III, Line 2	THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSE TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSE TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTED TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON THE RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICE INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT HAS INSURANCE OR IF THE BILL WILL EVER BE PAID.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	AS REPORTED IN MONTEFIORE HEALTH SYSTEM, INC. AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS, BAD DEBT IS DESCRIBED AS FOLLOWS: "SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEAR ENDED DECEMBER 31, 2024 AND 2023, CHANGES IN THE HOSPITAL'S ESTIMATES OF EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED DECEMBER 31, 2024 AND 2023, WAS NOT SIGNIFICANT".
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE AMOUNT REPORTED ON LINE 6 WAS DERIVED USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT, SINCE THE ORGANIZATION IS RENDERING MUCH NEEDED HEALTH SERVICES TO A POPULATION, FOR THE MOST PART, THAT IS POOR WITH LIMITED MEANS. OVER TIME, THE MEDICARE REIMBURSEMENT HAS NOT KEPT PACE WITH RISING MEDICARE COSTS THUS SHIFTING THE BURDEN FOR THE DIFFERENCE TO THE ORGANIZATION FOR SERVICES RENDERED MAINLY TO A FRAIL, ELDERLY POPULATION THAT HAS GREAT HEALTH NEEDS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS HALTED AND THE PATIENT IS REFERRED FOR FINANCIAL AID. IF AN ACCOUNT IS IN COLLECTION AND THE PATIENT REQUESTS FINANCIAL AID OR IF THE AGENCY DETERMINES THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS REFERRED BACK TO THE HOSPITAL WHERE THE PATIENT IS PROVIDED ASSISTANCE WITH COMPLETING AN APPLICATION FOR ASSISTANCE. HOSPITAL CLINIC PATIENTS ARE EVALUATED FOR FINANCIAL ASSISTANCE UPON INITIAL REGISTRATION. APPLICATIONS FOR HOSPITAL CLINIC PATIENTS ARE COMPLETED AND DETERMINATIONS MADE AS PART OF THE REGISTRATION PROCESS UNLESS ADDITIONAL INFORMATION IS NEEDED. THE ORGANIZATION ALSO USES PREDICTIVE ANALYSIS TO ASSIST IN CHARITY CARE DETERMINATION IN THE ABSENCE OF COMPLETED FINANCIAL AID APPLICATION. FINANCIAL SCREENING/PRESUMPTION CHARITY USED FINANCIAL INFORMATION THAT IS CONTAINED IN A PATIENT'S CREDIT REPORT AND OTHER PATIENT SPECIFIC ATTRIBUTES TO ESTIMATE A PATIENT INCOME LEVEL AND WHERE THEY ARE IN RELATION TO THE FEDERAL POVERTY LEVEL TO QUALIFY UNDER THE HOSPITAL'S CHARITY CARE POLICY. IF A PATIENT IS A MEDICAID RECIPIENT RECEIVING MEDICALLY NECESSARY NON-COVERED SERVICES OR INPATIENT SERVICES FOR NON-COVERED CHARGES FOR DAYS EXCEEDING A LENGTH-OF STAY LIMIT, THE PATIENT'S MEDICAID ENROLLMENT WILL BE PROOF OF FINANCIAL NEED AND THE PATIENT WILL BE PRESUMPTIVELY ELIGIBLE FOR CHARITY CARE/FINANCIAL AID.
Schedule H, Part V, Section B, Line 16a FAP website	- MONTEFIORE NYACK HOSPITAL: Line 16a URL: HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MONTEFIORE NYACK HOSPITAL: Line 16b URL: HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MONTEFIORE NYACK HOSPITAL: Line 16c URL: HTTPS://WWW.MONTEFIORENYACK.ORG/MANAGE-MY-CARE/BILLING/FINANCIAL-AID-POLICY;
Schedule H, Part VI, Line 2 Needs assessment	MONTEFIORE NYACK HOSPITAL ASSESSES COMMUNITY NEEDS BY WORKING CLOSELY WITH THE LOCAL HEALTH DEPARTMENTS AS WELL AS ITS COMMUNITY PARTNERS. MONTEFIORE NYACK HOSPITAL IS AN ACTIVE MEMBER OF THE ROCKLAND COUNTY HEALTHCARE PRIORITIES COMMITTEE, WHICH REPRESENTS 22 COMMUNITY ORGANIZATIONS THROUGHOUT THE COUNTY. THE GROUP MEETS MONTHLY TO SET HEALTH CARE PRIORITIES FOR THE ROCKLAND COUNTY. MONTEFIORE NYACK HOSPITAL ALSO PARTICIPATED IN THE MID-HUDSON REGIONAL COMMUNITY HEALTH ASSESSMENT 2022-2024 WITH SEVEN LOCAL HEALTH DEPARTMENTS ACROSS THE MID-HUDSON VALLEY IN ASSESSING THE HEALTH CARE NEEDS OF THE MID-HUDSON COMMUNITIES FROM PRIMARY AND SECONDARY DATA COLLECTIONS. IN ADDITION, SEVERAL FOCUS GROUPS WERE CREATED TO FURTHER ASSESS THE BROAD INTEREST THE COMMUNITY AND GAIN THE INSIGHTS OF THE UNDER REPRESENTATIVE POPULATION IN THE COMMUNITY INCLUDING THOSE WHO ARE SENIORS, LOW INCOME, VETERANS, LGBTQ MEMBERS, THOSE EXPERIENCING HOMELESSNESS AND RESIDENTS WITH A MENTAL HEALTH CAPACITY. ADDITIONALLY, THE PATIENT AND COMMUNITY EDUCATION DEPARTMENT AT THE HOSPITAL IDENTIFIES CONCERNS FROM THE PUBLIC BASED ON FEEDBACK IT RECEIVES FROM LECTURES, PUBLIC CONTACT VIA THE HOSPITAL WEBSITE AND PHONE CONVERSATIONS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ALL INTAKE, REGISTRATION AND COLLECTION STAFF ARE TRAINED ON THE HOSPITAL'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. AN IN-SERVICE IS PROVIDED TO ALL AREAS WITH INSTRUCTIONS ON WHERE TO SEND PATIENTS THAT NEED ASSISTANCE. FOR APPROPRIATE PERSONNEL, SUCH TRAINING EMPHASIZES, AMONG OTHER THINGS, THE IMPORTANCE OF DETERMINING THE ELIGIBILITY OF PATIENTS FOR CHARITY CARE/FINANCIAL AID AT THE INTAKE, BILLING AND COLLECTION PROCESS, THE CONDITIONS UNDER WHICH PATIENT FINANCIAL INFORMATION WILL BE SOUGHT FROM THIRD PARTIES, AND THE NEED TO TREAT PATIENT INFORMATION IN CONFIDENTIAL AND PROFESSIONAL MANNER. THE HOSPITAL MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING INFORMATION REGARDING THE HOSPITAL CHARITY POLICY AT PATIENTS SERVICE AREAS, INFORMATION POSTED ON THE INTERNET AND INFORMATION SENT OUT ON PATIENT'S BILLS. THE INFORMATION IS AVAILABLE IN SEVERAL LANGUAGES AND IS DISTRIBUTED TO THE ROCKLAND COUNTY PUBLIC HEALTH PRIORITIES COMMITTEE AND HEALTH-RELATED EVENTS IN THE COMMUNITY.
Schedule H, Part VI, Line 4 Community information	MONTEFIORE NYACK HOSPITAL'S PRIMARY SERVICE AREA IS ROCKLAND COUNTY. ROCKLAND IS THE SMALLEST COUNTY BY LAND AREA AND THIRD MOST DENSE IN NYS, OUTSIDE OF THE FIVE BOROUGHS OF NYC. IT IS HOME TO AN INCREASINGLY DIVERSE POPULATION, WITH THE THIRD LARGEST PROPORTION OF HISPANIC RESIDENTS, AND THE HIGHEST PERCENTAGE OF NON-ENGLISH SPEAKERS AND JEWISH RESIDENTS IN THE MID-HUDSON REGION. THE ROCKLAND COUNTY IS LOCATED APPROXIMATELY 30 MILES NORTH OF MANHATTAN, AND ON THE WEST SIDE OF THE HUDSON RIVER AND BORDERED BY ORANGE COUNTY TO THE NORTH AND NEW JERSEY TO THE SOUTHWEST. IT IS COMPRISED OF 120,000 ACRES WITH MORE THAN 35,000 ACRES OF PRESERVED OPEN SPACE AND PARKLANDS. THE UNITED STATES CENSUS BUREAU ESTIMATED ROCKLAND COUNTY'S 2020 POPULATION AT 338,329, REPRESENTING AN 8.5% INCREASE IN POPULATION FROM 2010. THE COUNTY'S LARGEST ETHNIC GROUPS ARE WHITE NON-HISPANIC (62.7%), BLACK OR AFRICAN AMERICANS (13.1%) AND HISPANIC (18.4%). THE ROCKLAND COUNTY HAS A HIGHER PROPORTION OF INDIVIDUALS LIVING IN POVERTY (12.5%) THAN ITS FIVE PEER COUNTIES. THE GENERAL ISOLATION AND LACK OF AVAILABLE SERVICES DURING THE COVID-19 PANDEMIC, ALLOWED FOR UNFORTUNATE ADVANCEMENTS IN CERTAIN ILLNESSES AND CONDITIONS OF CONCERN. MOST NOTABLE THERE HAS BEEN A STEADY RISE IN STIS AND A DECREASE IN PREVENTIVE CARE VISITS, IMPACTING ALREADY TROUBLED VACCINATION RATES, CANCER SCREENING RATE, AND CHRONIC ILLNESS PREVENTION AND MAINTENANCE VISITS. IN 2021 ROCKLAND COUNTY WAS NOTED AS HAVING THE WORST BASIC CHILDHOOD IMMUNIZATION RATES IN NYS. DESPITE THIS TURNAROUND, ROCKLAND COUNTY STILL RANKED #1 FOR HEALTH OUTCOMES IN NEW YORK STATE COUNTY HEALTH RANKINGS IN 2021. THIS CATEGORY IS BASED ON AN EQUAL WEIGHTING OF LENGTH AND QUALITY OF LIFE. ROCKLAND COUNTY RANKED #9 FOR HEALTH FACTORS, BASED ON WEIGHTED SCORES FOR HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS AND THE PHYSICAL ENVIRONMENT. DESPITE ITS OVERALL HIGH RANKING, THERE IS CONSIDERABLE ROOM TO IMPROVE POPULATION HEALTH IN ROCKLAND COUNTY, WHILE ALSO REDUCING HEALTH DISPARITIES THROUGHOUT THE MULTIPLE MUNICIPALITIES WHICH ARE HOTSPOTS FOR BOTH HIGH-NEED POPULATIONS AND POORER HEALTH OUTCOMES. SPECIALIZED ATTENTION IS NEEDED IN SEVERAL HEALTH FOCUS AREAS TO ADVANCE GENERAL WELLNESS AND IMPROVE OVERALL HEALTH CONDITIONS THROUGHOUT THE COUNTY.
Schedule H, Part VI, Line 5 Promotion of community health	MONTEFIORE NYACK HOSPITAL PROMOTES COMMUNITY HEALTH IN A VARIOUS OF WAYS. THE HOSPITAL'S COMMUNITY HEALTH AND EDUCATION DEPARTMENT RESPONDS TO REQUESTS FROM THE COMMUNITY FOR LECTURES AND BLOOD PRESSURE SCREENINGS. RECENTLY VARIOUS HEALTH FAIRS/LECTURES WERE CONDUCTED FOR THE FOLLOWING ORGANIZATIONS LOCATED THROUGHOUT THE SERVICE AREA: HEART DAY BY MONTEFIORE HOSPITAL, TEDDY BEAR HOSPITAL AT RCC, DIABETES SYMPOSIUM, RP CONNOR FIT DAY, REDEEMING LORD CHRISTIAN CENTER, NICE PAK SAFETY, VISIONS, SENATOR CARLUCCI'S SENIOR AWARENESS EVENT, MONTEBELLO HEALTH FAIR AND ST THOMAS AQUINAS COLLEGE. THE BREAST CENTER AT MONTEFIORE NYACK HOSPITAL CONTINUES TO OFFER COMPREHENSIVE SERVICES TO WOMEN OF ROCKLAND COUNTY. THE BREAST CENTER PROMOTES SELF-BREAST AND BONE-HEALTH AWARENESS FOR BOTH WOMEN AND MEN AND PROVIDES SCREENINGS FOR BREAST AND CERVICAL CANCER FOR UNINSURED AND UNDERINSURED WOMEN AND MEN. IN ADDITION, THE BREAST CENTER PROVIDES PUBLIC EDUCATION THROUGH LECTURES, HEALTH FAIRS, AND OTHER VENUES THROUGHOUT THE COUNTY. STROKE IS ONE OF THE LEADING CAUSES OF DEATH AND LONG-TERM DISABILITY IN THE UNITED STATES. THE NYACK HOSPITAL STROKE COMMITTEE, WHICH MEETS MONTHLY IS DEDICATED TO RAISING AWARENESS OF THE NEED TO SEEK MEDICAL ATTENTION F.A.S.T. WHEN SIGNS AND SYMPTOMS ARE NOTED. OUR EDUCATIONAL TEAM DELIVERS LECTURES TO VARIOUS COMMUNITY MEMBERS ON STROKE AWARENESS AND PREVENTION AND CONDUCTS BLOOD PRESSURE SCREENING AT VARIOUS SITES. SCREENING INCLUDES COUNSELING ON REDUCED RISKS OF STROKES THROUGH LIFESTYLE CHANGES INCLUDING ACCESS TO HEALTHCARE, BLOOD PRESSURE MANAGEMENT, NUTRITION, AND PHYSICAL ACTIVITY AND RECOGNITION OF STROKE SIGNS AND SYMPTOMS. THE BEHAVIORAL HEALTH CENTERS AT MONTEFIORE NYACK HOSPITAL PROVIDES COMMUNITY OUTREACH PROGRAMS THAT INCLUDES EDUCATING GENERAL PRACTITIONERS IN DISCUSSING THE AVAILABILITY OF MENTAL HEALTH SERVICES TO THEIR PATIENTS, RAISING AWARENESS OF MENTAL HEALTH ISSUES IN THE COMMUNITY AND TAKING STEPS TO REDUCE THE STIGMA, SHAME AND BARRIERS IN SEEKING HELP. MONTEFIORE NYACK HOSPITAL PROVIDES SCREENING TOOLS AND RESOURCES FOR DEPRESSION AWARENESS AND SUICIDE ASSESSMENT. PROMOTING MENTAL HEALTH AWARENESS AND INFORMATION ON SEEKING HELP IS ALSO PROVIDED AT HEALTH FAIRS AND SCHOOLS THROUGHOUT OUR COMMUNITY. A FOCUS IS ON DISSEMINATING INFORMATION ON THE B4STAGE4 PROGRAM, AN ANONYMOUS, FREE, AND CONFIDENTIAL SCREENING TO START A CONVERSATION WITH A PRIMARY CARE PROVIDER OR A TRUSTED FRIEND AND BEGIN TO PLAN A COURSE OF ACTION FOR ADDRESSING MENTAL HEALTH. OTHER COMMUNITY HEALTH PROGRAMS INCLUDES THE AADE DIABETES SELF-MANAGEMENT TRAINING PROGRAM, THE DIABETES SELF-MANAGEMENT TRAINING PROGRAM FOR THE BLIND, THE LOSE TO WIN PROGRAM TO COMBAT OBESITY, AMONG OTHERS.
Schedule H, Part VI, Line 6 Affiliated health care system	MONTEFIORE NYACK HOSPITAL IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM. THE HEALTH SYSTEM IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG-STANDING HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND CREATING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. THESE INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: COMMUNITY SERVICE PLAN, COMMUNITY SERVICE STRATEGY, ACCOUNTABLE CARE ORGANIZATION, PATIENT-CENTERED MEDICAL HOME, DISEASE MANAGEMENT PROGRAMS AND COMMUNITY OUTREACH. THE INTEGRATION OF THESE INNOVATIVE APPROACHES SUPPORTS THE HEALTH SYSTEM WELL IN ITS PROVISION OF SERVICE TO THE COMMUNITY.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK GELLER MD
PRESIDENT & CEO	$1,224,902	$0	$0	$0	$10,668	$0	$12,600	$0	$33,541	$0	$1,281,711	$0	$0	$0
SUSAN GREEN-LORENZEN RN
TRUSTEE (RESIGNED 6/28/2024)	$0	$944,520	$0	$460,884	$0	$1,688,527	$0	$8,500	$0	$15,750	$0	$3,118,181	$0	$0
JOHN S BURKE
VP, CHIEF FINANCIAL OFFICER/TREASURER	$777,981	$0	$0	$0	$5,544	$0	$12,600	$0	$52,631	$0	$848,756	$0	$0	$0
MICHAEL NOVAK
VP, CHIEF OPERATING OFFICER/ASSISTANT SECRETARY	$667,450	$0	$0	$0	$7,944	$0	$12,600	$0	$2,302	$0	$690,296	$0	$0	$0
ANTHONY MATEJICKA DO
VP, CHIEF MEDICAL OFFICER	$817,615	$0	$0	$0	$10,643	$0	$12,600	$0	$52,391	$0	$893,249	$0	$0	$0
M KATHLEEN LUNNEY
VP, CHIEF NURSING OFFICER	$457,584	$0	$0	$0	$18,147	$0	$10,877	$0	$120	$0	$486,728	$0	$0	$0
MARY E JONES
SENIOR DIRECTOR OF CARE MANAGEMENT/ORTHOPEDIC PATIENT NAVIGATOR	$250,409	$0	$281,795	$0	$894	$0	$0	$0	$54,946	$0	$588,044	$0	$0	$0
JAMES P KELLEHER MD
MEDICAL DIR BEHAVIORAL HLTH	$392,453	$0	$0	$0	$3,461	$0	$9,544	$0	$54,898	$0	$460,356	$0	$0	$0
VANESSA K BIJLANI
PSYCHIATRIST	$329,943	$0	$0	$0	$432	$0	$0	$0	$35,731	$0	$366,106	$0	$0	$0
DAVID B SOUTHREN
PHYSICIAN ADVISOR	$448,029	$0	$0	$0	$9,525	$0	$10,800	$0	$55,417	$0	$523,771	$0	$0	$0
MICHAEL B JACKSON MD
ASSOC. DIR PSHYCHIATRY SERV.	$328,813	$0	$0	$0	$714	$0	$0	$0	$54,811	$0	$384,338	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4a Severance or change-of-control payment

SUSAN GREEN-LORENZEN, FORMER SENIOR VICE PRESIDENT-OPERATIONS, RECEIVED SEVERANCE IN THE AMOUNT OF $567,242 AND IS REFLECTED IN THE TOTAL REPORTED FOR COLUMN (B) (III) OTHER COMPENSATION.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

POOLED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DISTRIBUTION BASED ON MULTIPLE YEARS OF SERVICE TO A RELATED ORGANIZATION PAID TO A BOARD MEMBER BY THE RELATED ORGANIZATION AND REFLECTED IN PART II, COLUMN (B)(III) OF SCHEDULE J FOR THEIR REPORTABLE COMPENSATION: SUSAN GREEN-LORENZEN, R.N. - $1,119,761. IN A MANNER DESIGNED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES EXPRESSLY REVIEWED AND APPROVED ALL COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING THESE RETIREMENT BENEFIT ARRANGEMENTS FOR SENIOR EXECUTIVES, IN A MANNER THAT QUALIFIED UNDER THE INTERMEDIATE SANCTIONS RULES OF THE FEDERAL TAX LAW, AND IN RECOGNITION OF (A) THE EXECUTIVES' YEARS OF SERVICE TO THE ORGANIZATION AND (B) THE SIGNIFICANT CONTRIBUTIONS TO ENHANCING THE ABILITY OF THE ORGANIZATION TO ACHIEVE ITS CHARITABLE MISSION IN A MANNER CONSISTENT WITH FINANCIAL SOLVENCY. ACCORDINGLY, THIS BENEFIT SHOULD BE VIEWED AS APPLYING TO YEARS OF SERVICE FOR THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholders	MONTEFIORE HEALTH SYSTEM, INC., ACTING THROUGH ITS BOARD OF TRUSTEES, IS THE SINGLE CORPORATE MEMBER OF MONTEFIORE NYACK HOSPITAL.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF MONTEFIORE NYACK HOSPITAL, HAS THE AUTHORITY TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE ELECTED MEMBERS OF THE BOARD OF TRUSTEES AND HONORARY TRUSTEES OF THE CORPORATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER MONTEFIORE NYACK HOSPITAL, HAS THE POWER TO APPROVE THE APPOINTMENT AND REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION AS WELL AS CERTAIN RESOLUTIONS OF THE NYACK HOSPITAL BOARD OF DIRECTORS. THESE RESOLUTIONS INCLUDE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF THE OPERATING AND CAPITAL BUDGETS AND ANY STRATEGIC PLANS OF THE CORPORATION, MANAGED CARE CONTRACTING, AND CERTAIN ADMINISTRATIVE PROCEDURES, AMONG OTHERS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY THE MONTEFIORE'S TAX DEPARTMENT WORKING CLOSELY WITH NYACK'S FINANCE TEAM AND ASSISTED BY VARIOUS DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM. THE FORM 990 WAS REVIEWED AND APPROVED BY MONTEFIORE'S VICE PRESIDENT-FINANCE AND THE NYACK'S HOSPITAL SENIOR LEADERSHIP INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE MONTEFIORE NYACK HOSPITAL'S AUDIT/COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE AUDIT/COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE NYACK HOSPITAL'S GOVERNING BODY PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM THAT ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES OF THE MONTEFIORE NYACK HOSPITAL ARE REQUIRED TO COMPLETE. SHOULD A POSSIBLE CONFLICT OF INTEREST ARISE IN THEIR RESPONSIBILITIES TO THE HOSPITAL, THE EMPLOYEE OR BOARD MEMBER IS REQUIRED TO NOTIFY THEIR SUPERVISOR OR THE DIRECTOR OF COMPLIANCE, IF AN EMPLOYEE, OR THE CHAIR OF THE BOARD, IF A BOARD MEMBER, AND ABSTAIN FROM ANY PARTICIPATION IN THE MATTER UNTIL THE HOSPITAL CAN DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS AND HOW THAT CONFLICT SHALL BE RESOLVED. ALL IDENTIFIED CONFLICTS ARE PRESENTED TO THE BOARD OF TRUSTEE'S AUDIT AND COMPLIANCE COMMITTEE FOR THEIR REVIEW AND DECISION WHEN AN ACTUAL CONFLICT IS DETERMINED.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	MONTEFIORE NYACK HOSPITAL IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND CORPORATE GOVERNANCE. THE BOARD OF TRUSTEES HAS CHARGED THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD (WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARDS TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR THE CORPORATION'S EXECUTIVES. ALL DECISIONS MADE BY THE COMPENSATION COMMITTEE ARE APPROPRIATELY AND TIMELY DOCUMENTED IN MEETING MINUTES. THE COMPENSATION COMMITTEE'S REVIEW PROCESS FOLLOWS THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IT WITH THIS PROCESS. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING DATA FOR COMPARABLE ORGANIZATIONS, AN ASSESSMENT OF MANAGEMENT PERFORMANCE (INCLUDING THE SERVICES PROVIDED TO THE COMMUNITY), AND OTHER BUSINESS JUDGEMENT FACTORS, CONSISTENT WITH NYACK'S EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTEREST OF NYACK, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SCOPE, MISSION AND COMPLEXITY. ON AN ANNUAL BASIS, THE COMMITTEE PROVIDES THE FULL BOARD OF TRUSTEES WITH A DESCRIPTION OF THE COMMITTEE'S REVIEW AND APPROVAL PROCESS AND ITS DECISIONS.
Form 990, Part VI, Line 19 Required documents available to the public	THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	ALL OTHER - Total Revenue: 69091, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 69091;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	DEFINED PENSION AND OTHER POSTRETIREMENT PLAN LIABILITIES - 894142; TRANSFER TO AFFILIATES FOR IT SYSTEM, BUSINESS TRANSFORMATION AND CONSTRUCTION COSTS - -4784902; Total - -3890760;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MMC CORPORATION
111 EAST 210TH STREET	BRONX	NY	10467	133430322	REAL ESTATE	NY	501(c)(3)	Type I	MMC	Yes (true)
MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREET	BRONX	NY	10467	131740114	ACAD MED CTR	NY	501(c)(3)	3	MHS	Yes (true)
MMC RESIDENTIAL CORP I INC
3411 WAYNE AVENUE	BRONX	NY	10467	911943271	STAFF HOUSING	NY	501(c)(2)		MMC	Yes (true)
MONTEFIORE HOSPITAL HOUSING SECT IIINC
3450 WAYNE AVENUE	BRONX	NY	10467	237160641	STAFF HOUSING	NY	501(c)(2)		MMC	Yes (true)
MOSHOLU PRESERVATION CORPORATION
3400 RESERVOIR OVAL EAST	BRONX	NY	10467	133109387	COMMUNITY SER	NY	501(c)(3)	Type I	MMC	Yes (true)
MONTEFIORE HEALTH SYSTEM INC
555 SOUTH BROADWAY BLDG A FL 1	TARRYTOWN	NY	10591	201615393	PARENT	NY	501(c)(3)	Type II	ME	Yes (true)
MONTEFIORE MOUNT VERNON HOSPITAL
12 NORTH SEVENTH AVENUE	MOUNT VERNON	NY	10550	462916938	HOSPITAL	NY	501(c)(3)	3	MHS	Yes (true)
SCHAFFER EXTENDED CARE CENTER
16 GUION PLACE	NEW ROCHELLE	NY	10801	462929888	NURSING HOME	NY	501(c)(3)	3	MHS	Yes (true)
MONTEFIORE EINSTEIN INC
555 SOUTH BROADWAY BLDG A FL 1	TARRYTOWN	NY	10591	471582973	SYSTEM PARENT	NY	501(c)(3)	Type III-FI		Yes (true)
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROAD DAVIS AVE	WHITE PLAINS	NY	10601	131740130	HOSPITAL	NY	501(c)(3)	3	MHS	Yes (true)
MONTEFIORE FOUNDATION INC
111 EAST 210TH STREE	BRONX	NY	10467	471600439	INACTIVE	NY	501(c)(3)	7	ME	Yes (true)
MONTEFIORE NEW ROCHELLE HOSPITAL
16 GUION PLACE	NEW ROCHELLE	NY	10801	462931956	HOSPITAL	NY	501(c)(3)	3	MHS	Yes (true)
AECOM STUDENT HOUSING CO INC
1300 MORRIS PARK AVENUE	BRONX	NY	10461	237075620	STUDENT HOU	NY	501(c)(2)		AECOM	Yes (true)
MONTEFIORE CERC OPERATIONS INC
111 EAST 210TH STREET	BRONX	NY	10467	474853506	REHAB CENTER	NY	501(c)(3)	3	MMC	Yes (true)
WHITE PLAINS HOSPITAL CTR FDN INC
41 EAST POST RD DAVIS AVE	WHITE PLAINS	NY	10601	133281507	FUNDRAISING	NY	501(c)(3)	Type I	WPHMC	Yes (true)
MONTEFIORE NYACK HOSPITAL FOUNDATION
160 NORTH MIDLAND AVENUE	NYACK	NY	10960	133245804	FUNDRAISING	NY	501(c)(3)	7	NYACK HOSP	Yes (true)
THE WINIFRED MASTERSON BURKE REHAB HOSP
785 MAMARONECK AVENUE	WHITE PLAINS	NY	10605	131739937	REHAB HOSP	NY	501(c)(3)	3	MHS	Yes (true)
ST LUKE'S CORNWALL HOSPITAL
70 DUBOIS STREET	NEWBURGH	NY	12550	141340054	HOSPITAL	NY	501(c)(3)	3	MHS	Yes (true)
HUDSON VISTA MEDICAL PC
70 DUBOIS STREET	NEWBURGH	NY	12550	452526738	HEALTHCARE	NY	501(c)(3)	Type I	SLCH	Yes (true)
HUDSON VISTA PHYSICIAN SERVICES PC
70 DUBOIS STREET	NEWBURGH	NY	12550	272020746	HEALTHCARE	NY	501(c)(3)	Type I	SLCH	Yes (true)
ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREET	NEWBURGH	NY	12550	223026261	HOLDING COMP	NY	501(c)(3)	Type I	MHS	Yes (true)
ST LUKE'S CORNWALL HEALTH SYSTEM FDN
70 DUBOIS STREET	NEWBURGH	NY	12550	223026263	FUNDRAISING	NY	501(c)(3)	7	SLCHS	Yes (true)
MONTEFIORE MED ACAD HLTH SYS SELF INS TR
555 SOUTH BROADWAY	TARRYTOWN	NY	10591	824019223	INS TRUST	NY	501(c)(3)	Type I	ME	Yes (true)
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUE	BRONX	NY	10461	830621846	MED COLLEGE	NY	501(c)(2)		ME	Yes (true)
MONTEFIORE EINSTEIN ADVANCED CARE
555 SOUTH BROADWAY	TARRYTOWN	NY	10591	863090734	HEALTHCARE	NY	501(c)(3)	3	MHS	Yes (true)
MONTEFIORE ACTION FUND INC
111 EAST 210TH STREET	BRONX	NY	10467	872215301	SOCIAL WELFAR	NY	501(c)(4)		MHS	Yes (true)
MNH GARAGECO INC
160 NORTH MIDLAND AVENUE	NYACK	NY	109601912	880573052	PARKING	NY	501(c)(3)	Type I	NYACK HOSP	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
UNIVERSITY BEHAVIORAL ASSOCIATES INC
111 EAST 210TH STREET	BRONX	NY	10467	133877781	MGMT SERVICES	NY	NA	C Corporation	Yes (true)
THE MONTEFIORE IPA INC
111 EAST 210TH STREET	BRONX	NY	10467	134114915	INTEG PROVR ASSOC	NY	NA	C Corporation	Yes (true)
MMC GI HOLDINGS EAST INC
111 EAST 210TH STREET	BRONX	NY	10467	721610013	HOLDING COMPANY	NY	NA	C Corporation	Yes (true)
MMC GI HOLDINGS WEST INC
111 EAST 210TH STREET	BRONX	NY	10467	721610015	HOLDING COMPANY	NY	NA	C Corporation	Yes (true)
MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC
111 EAST 210TH STREET	BRONX	NY	10467	133952750	INTEG PROVR ASSOC	NY	NA	C Corporation	Yes (true)
BRONX ACCOUNTABLE CARE NETWORK IPA INC
111 EAST 210TH STREET	BRONX	NY	10467	300689571	INTEG PROVR ASSOC	NY	NA	C Corporation	Yes (true)
MONTEFIORE CONSOLIDATED VENTURES INC
111 EAST 210TH STREET	BRONX	NY	10467	611728539	HOLDING COMPANY	NY	NA	C Corporation	Yes (true)
MONTEFIORE INSURANCE COMPANY INC
111 EAST 210TH STREET	BRONX	NY	10467	320436594	INACTIVE	NY	NA	C Corporation	Yes (true)
HUDSON VALLEY IPA INC
111 EAST 210TH STREET	BRONX	NY	10467	383978087	INTEG PROVR ASSOC	NY	NA	C Corporation	Yes (true)
MONTEFIORE INNOVATIONS INC
111 EAST 210TH STREET	BRONX	NY	10467	475106910	HOLDING COMPANY	NY	NA	C Corporation	Yes (true)
HIGHLAND MEDICAL PC
160 NORTH MIDLAND	NYACK	NY	10960	134034481	HEALTHCARE SERV.	NY	NA	C Corporation	Yes (true)
WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC
41 EAST POST ROAD	WHITE PLAINS	NY	10601	453164626	HEALTHCARE SERV	NY	NA	C Corporation	Yes (true)
CANCER AND BLOOD MEDICAL SERV OF NY PC
41 POST ROAD	WHITE PLAINS	NY	10601	462021804	HEALTHCARE SERV.	NY	NA	C Corporation	Yes (true)
DAVIS AVENUE CORP
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	133331643	PROPERTY HOLDING	NY	NA	C Corporation	Yes (true)
WHITE PLAINS MANAGEMENT CO INc
41 EAST POST ROAD	WHITE PLAINS	NY	10601	133331641	PROPERTY HOLDING	NY	NA	C Corporation	Yes (true)
WPHC BUILDING CORP
41 EAST POST ROAD	WHITE PLAINS	NY	10601	133676932	PROPERTY HOLDING	NY	NA	C Corporation	Yes (true)
WHITE PLAINS MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	815369152	HEALTHCARE SERV	NY	NA	C Corporation	Yes (true)
WHITE PLAINS PHYSICIAN SERVICES PC
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	815309615	HEALTHCARE SERV.	NY	NA	C Corporation	Yes (true)
CHARITABLE REMAINDER TRUST (4)
					CHAR REMR TRUST	NY	NA	Trust	Yes (true)
CRHT ACQUISITION INC
555 SOUTH BROADWAY BLDG A FL 1	TARRYTOWN	NY	10591	815220651	HOLDING COMPANY	NY	NA	C Corporation	Yes (true)
QUANTUM BIOTHERAPEUTICS LLC
111 EAST 210TH STREET	BRONX	NY	10467	611793667	INACTIVE	NY	NA		Yes (true)
WHITE PLAINS PHYSICIAN MEDICAL SERV PC
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	830519787	INACTIVE	NY	NA	C Corporation	Yes (true)
EAST POST ROAD MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	830535258	HEALTHCARE SERV.	NY	NA	C Corporation	Yes (true)
EAST POST ROAD PHYSICIAN SERV PC
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	830563325	INACTIVE	NY	NA	C Corporation	Yes (true)
DAVIS AVENUE MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	830579310	INACTIVE	NY	NA	C Corporation	Yes (true)
WPH HOLDINGS INC
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	833893119	HOLDING COMPANY	NY	NA	C Corporation	Yes (true)
INNOVATOR ACQUISITION CORP
111 EAST 210TH STREET	BRONX	NY	104672401	833394059	HOLDING COMPANY	NY	NA	C Corporation	Yes (true)
PY DEVELOPMENT CORP
41 EAST POST ROAD DAVIS AVE	WHITE PLAINS	NY	106014607	863880241	REIT	NY	NA	C Corporation	Yes (true)
SPECIALTY SURGEONS OF CONNECTICUT PC
555 SOUTH BROADWAY	TARRYTOWN	NY	10591	871352135	HEALTHCARE SERV.	CT	NA	C Corporation	Yes (true)
CMO THE CARE MANAGEMENT COMPANY LLC
111 EAST 210TH STREET	BRONX	NY	10467	133991307	CARE MANAGMENT	NY	NA	C Corporation	Yes (true)
Hudson River Medical Practice PLLC
497 Greenwich St	New York	NY	10013	922939271	HEALTHCARE SERV.	NY	NA	C Corporation	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HIGHLAND MEDICAL PC
A	$584,511	COST
MONTEFIORE HEALTH SYSTEM INC
E	$23,301,079	COST
HIGHLAND MEDICAL PC
L	$243,124	COST
MONTEFIORE MEDICAL CENTER
L	$1,678,983	COST
THE MONTEFIORE IPA INC
L	$100,056	COST
MONTEFIORE HEALTH SYSTEM INC
M	$15,253,953	COST
MONTEFIORE MEDICAL CENTER
M	$3,496,067	COST
MONTEFIORE EINSTEIN ADVANCED CARE
M	$1,363,000	COST
HIGHLAND MEDICAL PC
M	$3,521,581	COST
WHITE PLAINS HOSPITAL MEDICAL CENTER
M	$575,953	COST
MONTEFIORE NYACK HOSPITAL FOUNDATION INC
P	$256,536	COST
MONTEFIORE NYACK HOSPITAL FOUNDATION INC
Q	$406,777	COST
MONTEFIORE HEALTH SYSTEM INC
R	$6,339,053	COST
MONTEFIORE EINSTEIN INC
R	$66,431	COST
MONTEFIORE MEDICAL CENTER
R	$869,999	COST
MNH GARAGCO INC
S	$207,840	COST