WYCKOFF HEIGHTS MEDICAL CENTER: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WYCKOFF HEIGHTS MEDICAL CENTER (EIN 11-1631837)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-13
- IRS object ID
- 201823179349306462
- Schema version
- 2017v2.3
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-13T15:09:27-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100175001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111631837 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyckoff Heights Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % VALI GACHE | InCareOfNm |
| Business Name Control | WYCK | BusinessNameControlTxt |
| Phone | 7189636702 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 Stockholm Street | AddressLine1Txt |
| City | Brooklyn | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11237 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VALI GACHE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7189636702 | PhoneNum |
| Signature | 2018-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Angelo Pirozzi | PreparerPersonNm |
| PTIN | P00446022 | PTIN |
| Phone | 2128858000 | PhoneNum |
| Preparation | 2018-11-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.146.152.90 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 26308920183175000057 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-13 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 1210560841ADC29080D5D665393427DBF2BE5B27 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F1BB04593BE31C4F231B246D7D2FCDAC29228980 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAMON RODRIGUEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 Stockholm Street | AddressLine1Txt |
| City | Brooklyn | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $354,804,482 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WYCKOFFHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1889 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF WYCKOFF HEIGHTS MEDICAL CENTER IS TO PROVIDE EXCELLENCE IN CARE THROUGH PREVENTION, EDUCATION, AND TREATMENT IN A SAFE ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 2111 | TotalEmployeeCnt |
| Total Volunteers | 260 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $47,916,321 | PYContributionsGrantsAmt |
| CY Contributions Grants | $86,814,161 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $231,893,038 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $230,386,618 | CYProgramServiceRevenueAmt |
| PY Investment Income | $70,786 | PYInvestmentIncomeAmt |
| CY Investment Income | $99,959 | CYInvestmentIncomeAmt |
| PY Other Revenue | $34,038,789 | PYOtherRevenueAmt |
| CY Other Revenue | $37,503,744 | CYOtherRevenueAmt |
| PY Total Revenue | $313,918,934 | PYTotalRevenueAmt |
| CY Total Revenue | $354,804,482 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $182,149,617 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $186,472,387 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $150,654,090 | PYOtherExpensesAmt |
| CY Other Expenses | $153,708,821 | CYOtherExpensesAmt |
| PY Total Expenses | $332,803,707 | PYTotalExpensesAmt |
| CY Total Expenses | $340,181,208 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$18,884,773 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,623,274 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $171,778,552 | TotalAssetsBOYAmt |
| Total Assets EOY | $176,774,703 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $281,509,734 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $271,882,450 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$109,731,182 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$95,107,747 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF WYCKOFF HEIGHTS MEDICAL CENTER IS TO PROVIDE EXCELLENCE IN CARE THROUGH PREVENTION, EDUCATION, AND TREATMENT IN A SAFE ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $245,895,803 | ExpenseAmt |
| Revenue | $262,853,188 | RevenueAmt |
| Desc | WYCKOFF HEIGHTS MEDICAL CENTER PROVIDES INPATIENT MEDICAL, SURGICAL, OBSTETRIC, PEDIATRIC CARE AND OFFERS EMERGENCY, AMBULATORY SURGERY AND OUTPATIENT CLINICAL SERVICES. WYCKOFF HAS BEEN PROVIDING MEDICAL CARE TO THE COMMUNITY SINCE 1889. WYCKOFF DISCHARGED 14,368 PATIENTS IN 2017. THE HOSPITAL DELIVERS 1,322 BABIES OF WHICH 206 WERE FROM NEONATAL INTENSIVE CARE UNIT. WYCKOFF SEES 276,247 OUTPATIENT VISITS WHICH INCLUDES PEDIATRIC/ADULT EMERGENCY DEPARTMENT AND AMBULATORY SURGERY. THE HOSPITAL OFFERS SERVICES TO THOUSANDS AT ITS NETWORK OF COMMUNITY AMBULATORY CARE CENTERS AND PRESENTS EXTENSIVE COMMUNITY HEALTH EDUCATION AND SCREENING PROGRAMS. FOR FURTHER INFORMATION, PLEASE VISIT THE WEBSITE AT WWW.WYCKOFFHOSPITAL.ORG. | Desc |
| Total Program Service Expenses | $245,895,803 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | Yes (true) | 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 |
| 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 | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| 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 | 206 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2111 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| 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 |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VALI GACHE | PersonNm |
| Phone | 7189636702 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 STOCKHOLM STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|
| GARY GOFFNER | |||||||||
| Chairman | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Vincent Arcuri | |||||||||
| Vice Co-Chairman | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Herman Hochberg | |||||||||
| Vice Co-Chairman | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Fred T Haller Esq | |||||||||
| Secretary | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RAMON RODRIGUEZ | |||||||||
| PRESIDENT/CEO | 32.0 | 3.0 | Yes (X) | Yes (X) | $1,065,861 | $0 | $13,090 | ||
| Vito J D'Alessandro thru 8117 | |||||||||
| Trustee/Dir. Quality Assurance | 22.0 | 3.0 | Yes (X) | $76,501 | $0 | $165 | |||
| Adam Figueroa | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Andrew Boisselle | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Agnieszka Poslednik Esq | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Mounzer Tchelebi MD | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Albert Wiltshire | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| FRANK VUTRANO | |||||||||
| EVP/CFO, thru 9/7/17 | 32.0 | 3.0 | Yes (X) | $519,358 | $0 | $4,535 | |||
| TRACY GREEN | |||||||||
| CFO, as of 10/23/17 | 32.0 | 3.0 | Yes (X) | $50,526 | $0 | $0 | |||
| GUSTAVO DEL TORO | |||||||||
| EVP/CMO | 32.0 | 3.0 | $570,878 | $0 | $4,178 | Yes (X) | |||
| Andrew Toga | |||||||||
| EVP of Amb Svcs thru 6/16/17 | 32.0 | 3.0 | $338,115 | $0 | $1,538 | Yes (X) | |||
| KEVIN SMYLEY | |||||||||
| VP/LEGAL SERVICES | 32.0 | 3.0 | $347,103 | $0 | $5,602 | Yes (X) | |||
| MARGARET CORNELIUS | |||||||||
| VP OF HR | 32.0 | 3.0 | $272,571 | $0 | $3,050 | Yes (X) | |||
| JEBASHINI JERURASA | |||||||||
| VP/CIO | 32.0 | 3.0 | $228,000 | $0 | $7,222 | Yes (X) | |||
| CATHERINE GALLOGLY-SIMON | |||||||||
| CNO | 32.0 | 3.0 | $309,036 | $0 | $11,709 | Yes (X) | |||
| PATRICK SULLIVAN | |||||||||
| VP of Facility & Support | 32.0 | 3.0 | $280,115 | $0 | $0 | Yes (X) | |||
| Stephen Carryl MD | |||||||||
| Chairman of Surgery | 32.0 | 3.0 | $889,165 | $0 | $8,662 | Yes (X) | |||
| Thomas Larkin MD | |||||||||
| Chief Division Ortho | 32.0 | 3.0 | $466,541 | $0 | $1,620 | Yes (X) | |||
| Bernard Chukwuneke MD | |||||||||
| House Officer | 0.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| SANJIVAN PATEL MD | |||||||||
| Acting Chairman | 32.0 | 3.0 | $482,056 | $0 | $6,817 | Yes (X) | |||
| Elvita G Dominiques DO | |||||||||
| Director | 32.0 | 3.0 | $414,910 | $0 | $6,817 | Yes (X) | |||
| WILLIAM THELMO MD | |||||||||
| CHAIRMAN | 32.0 | 3.0 | $396,825 | $0 | $8,247 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,707,561 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $83,252 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 338 | 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 |
|---|---|---|---|---|---|
| EATON VAN WINKLE LLP | |||||
| 3 PARK AVENUE 16TH FL | NEW YORK | NY | 10016 | LEGAL SERVICES | $2,401,607 |
| NORTH AMERICAN PARTNERS INC | |||||
| PO BOX 108 | GLEN HEAD | NY | 115450108 | ANESTHESIOLOGISTS | $5,074,711 |
| COHNREZNICK LLP | |||||
| 333 THORNALL STREET | EDISON | NJ | 08837 | FINANCIAL CONSULTING | $2,038,565 |
| NORTHWELL HEALTH INC | |||||
| 972 BRUSH HOLLOW RD 5TH FLOOR | WESTBURY | NY | 11590 | PHYSICIAN SERVICES | $1,795,978 |
| THE MAX GROUP LLC | |||||
| 7 PONDERFIELD RD | BRONXVILLE | NY | 10708 | Reimburse Svc/acctg | $3,144,428 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 45 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $86,723,426 | GovernmentGrantsAmt |
| All Other Contributions | $90,735 | AllOtherContributionsAmt |
| Total Contributions | $86,814,161 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $248,798,569 | $248,798,569 |
| PROVISION FOR BAD DEBTS | 621300 | -$18,411,951 | -$18,411,951 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $230,386,618 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,959 | TotalRevenueColumnAmt |
| Exclusion | $99,959 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $194,215 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $194,215 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $194,215 | TotalRevenueColumnAmt |
| Exclusion | $194,215 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN BILLINGS | 900099 | $25,565,424 | $25,565,424 |
| PHARMACY - PATIENT | 900099 | $4,253,221 | $4,253,221 |
| STUDENT TRAINING | 900099 | $2,036,450 | $2,036,450 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,454,434 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,868,203 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $586,231 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $37,309,529 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $354,804,482 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $267,109,916 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $880,405 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,109,155 | TotalAmt |
| Management And General | $4,109,155 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,197,410 | TotalAmt |
| Program Services | $92,458,751 | ProgramServicesAmt |
| Management And General | $39,738,659 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,701,850 | TotalAmt |
| Program Services | $6,086,066 | ProgramServicesAmt |
| Management And General | $2,615,784 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,984,058 | TotalAmt |
| Program Services | $19,572,025 | ProgramServicesAmt |
| Management And General | $8,412,033 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,479,914 | TotalAmt |
| Program Services | $9,427,840 | ProgramServicesAmt |
| Management And General | $4,052,074 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,072,993 | TotalAmt |
| Program Services | $2,848,648 | ProgramServicesAmt |
| Management And General | $1,224,345 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,973 | TotalAmt |
| Program Services | $253,164 | ProgramServicesAmt |
| Management And General | $108,809 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,149,519 | TotalAmt |
| Program Services | $44,866,116 | ProgramServicesAmt |
| Management And General | $19,283,403 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,561 | TotalAmt |
| Program Services | $48,651 | ProgramServicesAmt |
| Management And General | $20,910 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,963,555 | TotalAmt |
| Program Services | $7,667,901 | ProgramServicesAmt |
| Management And General | $3,295,654 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,699,129 | TotalAmt |
| Program Services | $4,685,365 | ProgramServicesAmt |
| Management And General | $2,013,764 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,431 | TotalAmt |
| Program Services | $286,356 | ProgramServicesAmt |
| Management And General | $123,075 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,167 | TotalAmt |
| Program Services | $85,443 | ProgramServicesAmt |
| Management And General | $36,724 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,756,435 | TotalAmt |
| Program Services | $1,228,449 | ProgramServicesAmt |
| Management And General | $527,986 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,472,783 | TotalAmt |
| Program Services | $5,925,857 | ProgramServicesAmt |
| Management And General | $2,546,926 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,334,080 | TotalAmt |
| Program Services | $5,129,449 | ProgramServicesAmt |
| Management And General | $2,204,631 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $36,085,416 | $36,085,416 | |
| REPAIRS AND MAINTENANCE | $8,126,518 | $5,683,679 | $2,442,839 |
| MISCELLANEOUS EXPENSE | $4,919,682 | $3,440,821 | $1,478,861 |
| EDUCATION | $165,579 | $115,806 | $49,773 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,181,208 | TotalAmt |
| Program Services | $245,895,803 | ProgramServicesAmt |
| Management And General | $94,285,405 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$794,834 | BOYAmt |
| EOY | -$1,910,372 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,009,793 | BOYAmt |
| EOY | $13,027,599 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,736 | BOYAmt |
| EOY | $1,946,473 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,784,173 | BOYAmt |
| EOY | $22,707,052 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| 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 | $4,981,933 | BOYAmt |
| EOY | $5,250,211 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,908,388 | BOYAmt |
| EOY | $1,070,152 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $326,470,111 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $257,440,170 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,451,090 | BOYAmt |
| EOY | $69,029,941 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,109,273 | BOYAmt |
| EOY | $65,653,647 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,778,552 | BOYAmt |
| EOY | $176,774,703 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,973,567 | BOYAmt |
| EOY | $61,773,866 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,146,567 | BOYAmt |
| EOY | $566,633 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,182,951 | BOYAmt |
| EOY | $60,995,135 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $24,947,890 | BOYAmt |
| EOY | $19,064,321 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,258,759 | BOYAmt |
| EOY | $129,482,495 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,509,734 | BOYAmt |
| EOY | $271,882,450 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$109,731,182 | BOYAmt |
| EOY | -$95,107,747 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$109,731,182 | BOYAmt |
| EOY | -$95,107,747 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,778,552 | BOYAmt |
| EOY | $176,774,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,623,274 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $257 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$96 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| 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 | $230,363 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $230,363 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1I - OTHER ACTIVITIES DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | WYCKOFF HEIGHTS MEDICAL CENTER PAYS DUES TO GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), LOCAL 1199 - HEALTH EDUCATION PROJECT (LOCAL 1199), AND HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA/LOCAL 1199 AND HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2017 GNYHA/LOCAL 1199 and HANYS ANNUAL DUES WERE $12,361, $27,183, RESPECTIVELY. During 2017, Wyckoff Heights Medical Center also paid BROWN & WEINRAUB AND TONIO BURGOS & ASSOCIATES $120,820 and $70,000, respectively, for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,075,373 | OtherCostOrOtherBasisAmt |
| Book Value | $6,075,373 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,868,132 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,572,576 | DepreciationAmt |
| Book Value | $28,295,556 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,336,211 | OtherCostOrOtherBasisAmt |
| Depreciation | $417,622 | DepreciationAmt |
| Book Value | $918,589 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $194,889,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $174,098,233 | DepreciationAmt |
| Book Value | $20,791,312 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,300,850 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,351,739 | DepreciationAmt |
| Book Value | $12,949,111 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,029,941 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE | $8,930,799 |
| DEFERRED FINANCING FEES | $312,872 |
| DUE FROM RELATED PARTIES | $9,350,176 |
| DUE FROM THIRD PARTY PAYORS | $6,377,000 |
| OTHER RECEIVABLES | $7,148,697 |
| INSURANCE CLAIMS RECEIVABLE | $33,400,000 |
| SELF INSURED MALPRACTICE FUND | $134,103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $65,653,647 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED INTEREST PAYABLE | $816,980 |
| DUE TO RELATED ORGANIZATIONS | $4,889,291 |
| DUE TO THIRD PARTY PAYORS | $46,749,673 |
| EST. PROFESSIONAL LIABILITY | $33,400,000 |
| CARITAS SETTLEMENT | $263,656 |
| OTHER LIABILITIES FOR INSURANC | $40,744,505 |
| OTHER LIABILITIES | $2,618,390 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $129,482,495 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X - FASB ASC 740 FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | UNDER GAAP AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE MEDICAL CENTER DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED tax benefits. the medical center is subject to routine audits by a taxing authority. AS OF DECEMBER 31, 2017, THE MEDICAL CENTER WAS NOT SUBJECT TO ANY EXAMINATION BY A TAXING AUTHORITY. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,198,328 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,198,328 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $166,939,408 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $118,578,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,361,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14220 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $170,137,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $118,578,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,559,498 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15160 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,000,264 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,000,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03230 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,052,441 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,375,411 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,677,029 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,052,705 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,375,411 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,677,293 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13420 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $230,190,441 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $132,953,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $97,236,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.28580 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,595,066 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,609,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $985,964 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,550 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,598,616 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,609,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $989,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,411,951 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $44,725,359 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,844,967 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $28,880,392 | 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 | Wyckoff Heights Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 Stockholm Street | AddressLine1Txt |
| City | Brooklyn | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WYCKOFFHOSPITAL.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyckoff Heights Medical Center | 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 | 16 | 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 | www.wyckoffhospital.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.wyckoffhospital.org | 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 | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.wyckoffhospital.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.wyckoffhospital.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.wyckoffhospital.org | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Section B, Line 5 | The Community Health Needs Assessment included a community member survey and meetings with community stakeholders to obtain input, prioritize needs, and develop strategies for the Community Service Plan. These stakeholders included local community-based organizations, and members of the local community board. |
| Section B, LINE 11 | Two priority needs were identified in Wyckoff's Community Health Needs Assessment: 1) Improving health for women and mothers, birth outcomes and child health. 2) Preventing other sexual transmitted diseases. These needs are being addressed via Wyckoff's action plan (implementation strategy). Wyckoff is working to reduce premature births,increase the number of breastfed babies, and reduce obesity in children through its Women, Infants, and Children (WIC) program and it's Maternal and Infant Child Health Collaborative. Wyckoff is working to prevent HIV and STDs through its Positive Health Management Program. There were no needs identified in the Community Health Assessment that are not being addressed by Wyckoff's Implementation strategy. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 | WYCKOFF HEIGHTS MEDICAL CENTER'S COSTING METHODOLOGY WAS BASED UPON THE 2017 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2017 MEDICARE (FORM 2552) COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM THE NEW YORK STATE INSTITUTIONAL COST REPORT WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7. |
| Part II, Line 3 | Behavioral Health Program Activities: Wyckoff's behavioral health programs help address the critical lack of mental health services in the community. Despite nearly one in five individuals experiencing a mental health condition, both Brooklyn and Queens have a deficit of behavioral health providers - particularly those who take public insurance - thus creating a significant unmet need for care. To improve access to integrated, evidence based behavioral health services, in 2016 Wyckoff launched behavioral health services across four primary care clinics: Positive Health, Adult Medicine, Women's Health, and Pediatrics. Most patients engage in the Collaborative Care Program; this initiative provides routine depression and anxiety screening of all patients, as well as access to onsite integrated behavioral health services. Patients with positive screening scores are referred to a Care Manager, a behavioral health clinician who collaborates closely with the patient's primary care provider to improve symptoms of depression and anxiety through a patient-driven mix of evidence based interventions and psychopharmacology. Having behavioral health providers in primary care reduces the stigma of seeking mental health services, and is shown to improve health outcomes in connection with a wide range of chronic diseases. Concurrent with the provision of integrated behavioral health services, Wyckoff offers a robust training program to Internal Medicine, Pediatrics, and Ob-Gyn Residents on a wide variety of behavioral health topics including medication management, suicide assessments, screening for behavioral health, safety planning, and harm reduction strategies for working with patients with substance use issues. This ongoing training ensures Wyckoff is creating a knowledgeable workforce of primary care providers, while also supporting Residents in meeting all of the physical and mental health needs of their patients and thus improving the health of the community. HIV, Hepatitis, and STD prevention and care activities: Wyckoff offers the most robust and comprehensive HIV/Hepatitis/and sexual health services program in the local geographic area. Many of these services are funded by city, state, and federal grants and allow Wyckoff to serve the community in a comprehensive way with both prevention and medical treatment services integrated alongside supportive services like behavioral health, counseling, and case management. Prevention services include social media and social venue outreach, integrated HIV/HCV/STI Testing, STI Treatment/Vaccination, biomedical prevention (Pre- and Post- Exposure Prophylaxis), mental health and substance use counseling, patient navigation including benefits navigation, and evidence-based interventions. Wyckoff has been providing routine HIV and Hepatitis testing services hospital-wide since 2013, and additionally targeted HIV testing and community outreach services with a focus on key populations such as young men who have sex with men (MSM) and women of color. Once clients screen positive for HIV or Hepatitis C, a designated outreach team follows up with each client to provide support and follow up medical care coordination. To support engagement and retention in medical care, Wyckoff houses both Ryan White Part B Medical Case Management and Ryan White Part A Care Coordination services as well as the new innovative program Undetectables funded through a NYC DOHMH grant. The HIV, Hepatitis, and sexual health grants are integral to providing access in the Brooklyn and Queens communities served by Wyckoff to the latest testing and treatment technologies and providing education and health promotion among community members. Through early diagnosis, complete treatment access, and education Wyckoff actively supports the reduction in new infections, early access to treatment management, and improved health outcomes for people living with HIV and/or Hepatitis. Maternal and Infant Health Activities: The Maternal and Infant Health Program at Wyckoff is designed to reach and engage women of childbearing age and provide education and support services that address specific health inequities within the local populations we serve. These include education and support services for teen-age mothers and Hispanic, African American, and Foreign-Born women and their families. The program uses community assessment, consensus building, and the development of education, outreach and marketing strategies to reach women throughout all stages of life course and their children. The program has also implemented approaches that have a strong evidence base in support of their ability to reduce disparities in outcomes, including Baby Basics, a program to integrate evidence-based materials and health literacy strategies into prenatal care. Asthma: Our community has some of the highest asthma rates in New York City and residents experience much higher asthma-related emergency department and hospital discharge rates than elsewhere. To address asthma we have expanded our home-based asthma services through the Breath Easy Asthma Team (BEAT) which provides culturally sensitive, bilingual (English/Spanish) asthma education, trigger identification and referrals. In 2016, Wyckoff achieved Joint Commission Certification for Pediatric Asthma Care. We have continued to improve our clinical asthma outcomes by providing culturally competent, patient-centered care, evidence-based care to patients and their families who suffer from asthma. Through supporting families and clinicians in effective asthma management, we have seen decreased emergency room visits related to asthma and an increase in outpatient asthma management. In September of 2018, we accepted responsibility for a new initiative to provide technical assistance to Day Care Centers in Queens. We will be providing the day care staff and parents education to identify and manage asthma and prepare families to manage childhood asthma when their child enters school. Supplemental Nutrition Program for Women, Infant and Children (WIC): Wyckoffs WIC program has provided a longstanding and critical mechanism to reduce obesity, improve food security, promote positive birth outcomes, increase breastfeeding rates, and reduce health disparities and the risk for chronic disease among local women, infants and children. WIC offers participant-centered and culturally-responsive nutrition assessment and education; breastfeeding promotion and support, including Breastfeeding Peer Counseling and breast pumps; referrals to health and social services; and a variety of nutritious foods. Violence Intervention and Treatment Program: WHMCs Violence Intervention and Treatment Program (VITP) is the only hospital-based rape crisis program (RCP) certified by the New York State Department of Health (NYSDOH) in the borough of Brooklyn. Since 2004, VITP has been an experienced provider of sexual assault, rape, childhood sexual abuse, stalking, dating violence, and domestic/intimate partner violence services, including on-call rape crisis advocates to support all patients who present to the emergency department following a sexual assault, crisis and ongoing counseling, personal advocacy, criminal justice advocacy, accompaniments, compensation assistance, information and referrals, as well as prevention and education services within the hospital and larger community. All services are free, confidential and available in English and Spanish, regardless of immigration or insurance status. Wyckoff is also home to the Enough is Enough program, a state-funded initiative to help institutions of higher learning prevent sexual assault and sexual harassment on campuses through collaboration and training of both faculty and students. Through collaborations with more than 10 colleges and universities and their Title IX Programs, Wyckoffs Enough is Enough offers evidence-based information on prevention interventions, including bystander intervention training, as well as counseling and supportive services to students, faculty, and staff of these organizations who experience sexual harassment, sexual assault or intimate partner violence. |
| Part III, Line 2 | THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE (3)(f) on page 11 and footnote (3)(r) ON PAGE 13 OF THE ATTACHED AFS. |
| Part III, Line 4 | THE TEXT OF THE FOOTNOTES THAT DESCRIBE BAD DEBT EXPENSE CAN BE FOUND ON PAGES 11 AND 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| Part III, Line 8 | THE AMOUNT REPORTED ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B. |
| Part III, Line 9B | WYCKOFF HEIGHTS MEDICAL CENTER'S ("WHMC") COLLECTION POLICY FOLLOWS THE GUIDELINES ESTABLISHED BY NEW YORK STATE LAW. WHMC'S COLLECTION POLICY, IN CONJUNCTION WITH THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, ENSURES THAT EVERY EFFORT IS MADE TO IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE. WHMC HAS A WRITTEN DEBT COLLECTION POLICY - ALL SELF-PAY BALANCES ARE OUTSOURCED TO A DESIGNATED SELF-PAY AGENCY FOR COLLECTION. TRUE SELF-PAYS WILL BE FORWARDED ON DAY ONE FROM FINAL BILL. SELF-PAY AFTER INSURANCE PAYMENT OR FINAL INSURANCE DENIAL WILL BE TRANSFERRED TO THE OUTSOURCE COMPANY AS SOON AS THE ACCOUNT IS IDENTIFIED AS HAVING A SELF-PAY BALANCE. ACCOUNTS WILL BE WORKED BY THE OUTSOURCE (EARLY OUT) COMPANY FOR ONE HUNDRED TWENTY (120) DAYS. THE EARLY OUT AGENCY WILL ALSO IDENTIFY ACCOUNTS THAT QUALIFY FOR CHARITY CARE BASED ON NEW YORK GUIDELINES. IF UNPAID AT THE END OF THE CYCLE THE ACCOUNT WILL BE TRANSFERRED TO A DESIGNATED BAD DEBT COLLECTION AGENCY. THE BAD DEBT AGENCIES WILL WORK THE ACCOUNTS FOR SIX (6) MONTHS. IF THE AGENCY FAILS IN THEIR COLLECTION EFFORT, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL AS UNCOLLECTIBLE WITH THE EXCEPTION OF ACCOUNTS WITH ACTIVE PAYMENT ARRANGEMENTS. ITEMIZED BILLS WILL BE AVAILABLE TO PATIENTS UPON REQUEST. PROCEDURE: 1. ALL PATIENTS WITH A SELF-PAY BALANCE (TRUE SELF-PAY OR SELF-PAY BALANCE AFTER INSURANCE) WILL BE TRANSFERRED TO A DESIGNATED SELF-PAY AGENCY FOR PROCESSING. THE AGENCY WILL: A. IDENTIFY AND RETURN ACCOUNTS THAT QUALIFY FOR CHARITY CARE PER NEW YORK GUIDELINES. B. PROCESS A LETTER SERIES (THREE LETTERS) WITHIN ONE HUNDRED TWENTY (120) DAYS. IN ADDITION TO WRITTEN STATEMENTS, PATIENTS WILL RECEIVE A MINIMUM OF THREE (3) PHONE CALLS IN AN ATTEMPT TO COLLECT UPON THEIR OPEN ACCOUNT. C. IDENTIFY ACCOUNTS WITH RETURN MAIL/NO CURRENT PHONE NUMBER THAT CAN NOT BE LOCATED AND RETURN THE ACCOUNT TO BE PLACED IN BAD DEBT. D. AFTER THE ONE HUNDRED TWENTY (120) DAY PERIOD AND THERE HAS BEEN NO PAYMENT RECEIVED, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL TO BE REVIEWED FOR BAD DEBT PLACEMENT. NOTE: ACCOUNTS WITH PAYMENT ARRANGEMENTS WILL REMAIN AT THE AGENCY UNTIL THEY ARE PAID-IN-FULL. AGENCY WILL CLOSE AND RETURN ACCOUNTS THAT HAVE BROKEN PAYMENT ARRANGEMENTS. 2. A BAD DEBT PRE-LIST WILL BE REVIEWED WEEKLY AND ACCOUNTS PLACED WITH A DESIGNATED BAD DEBT AGENCY FOR A PERIOD OF SIX (6) MONTHS WILL BE CHANGED TO BDCLOSED - BAD DEBT CLOSED ACCOUNT IDENTIFIES THE ACCOUNT AS HAVING ALL COLLECTION EFFORTS EXHAUSTED. THE EXCEPTIONS FOR RETURNING ACCOUNTS AT SIX MONTHS ARE ACCOUNTS WITH ACTIVE PAYMENT ARRANGEMENTS. 3. ACCOUNTS RETURNED FROM THE BAD DEBT AGENCIES WILL BE REVIEWED: A. MEDICARE COPAY/DEDUCTIBLE AMOUNTS WILL BE DOCUMENTED. B. ACCOUNTS CLAIMED AS UNCOLLECTIBLE WILL BE CODED AS 'BAD DEBT RETURNS'(BDCLOSED), WHICH IDENTIFIES THE ACCOUNTS AS HAVING ALL COLLECTION EFFORTS EXHAUSTED. 4. MONTHLY-THE PATIENT ACCOUNTS MANAGER WHO OVERSEES OUTSOURCING WILL: A. RECONCILE THE INVENTORY B. CONDUCT AN AUDIT ON COMPLIANCE TO THIS POLICY AND REPORT THOSE RESULTS TO THE ASSOCIATE VICE-PRESIDENT |
| Part VI, Line 2 | PURSUANT TO NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L, WYCKOFF HEIGHTS MEDICAL CENTER ("WHMC") IS REQUIRED TO FILE A COMPREHENSIVE COMMUNITY SERVICE PLAN ("CSP") WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ("DOH") EVERY 3 YEARS. THE TEXT OF NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L IS AS FOLLOWS: COMMUNITY SERVICE PLANS. (1) THE GOVERNING BODY OF A VOLUNTARY NON-PROFIT GENERAL HOSPITAL MUST ISSUE AN ORGANIZATIONAL MISSION STATEMENT IDENTIFYING AT A MINIMUM THE POPULATIONS AND COMMUNITIES SERVED BY THE HOSPITAL AND THE HOSPITAL'S COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. (2) THE GOVERNING BODY MUST AT LEAST EVERY THREE YEARS: (I) REVIEW AND AMEND AS NECESSARY THE HOSPITAL MISSION STATEMENT; (II) SOLICIT THE VIEWS OF THE COMMUNITIES SERVED BY THE HOSPITAL ON SUCH ISSUES AS THE HOSPITAL'S PERFORMANCE AND SERVICE PRIORITIES;(III) DEMONSTRATE THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING COMMUNITY HEALTH CARE NEEDS, TO PROVIDE CHARITY CARE SERVICES AND TO IMPROVE ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED; AND (IV) PREPARE AND MAKE AVAILABLE TO THE PUBLIC A STATEMENT SHOWING ON A COMBINED BASIS A SUMMARY OF THE FINANCIAL RESOURCES OF THE HOSPITAL AND RELATED CORPORATIONS AND THE ALLOCATION OF AVAILABLE RESOURCES TO HOSPITAL PURPOSES INCLUDING THE PROVISION OF FREE OR REDUCED CHARGE SERVICES. (3) THE GOVERNING BODY MUST AT LEAST ANNUALLY PREPARE AND MAKE AVAILABLE TO THE PUBLIC AN IMPLEMENTATION REPORT REGARDING THE HOSPITAL'S PERFORMANCE IN MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. (4) THE GOVERNING BODY SHALL FILE WITH THE COMMISSIONER ITS MISSION STATEMENT, ITS ANNUAL IMPLEMENTATION REPORT, AND AT LEAST EVERY THREE YEARS A REPORT DETAILING AMENDMENTS TO THE STATEMENT AND REFLECTING CHANGES IN THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. THE ABOVE-REFERENCED CSP REQUIREMENT WAS ENHANCED BY THE DOH'S PREVENTION AGENDA INITIATIVE. THIS INITIATIVE IS A PROCESS THAT ASKS HOSPITALS SUCH AS WHMC TO WORK WITH LOCAL HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO ASSESS COMMUNITY HEALTH NEEDS, JOINTLY DEVELOP PLANS TO ADDRESS TWO OR THREE OF THE IDENTIFIED NEEDS AND INCLUDE THIS COLLABORATIVE WORK IN THE WHMC'S CSP UPDATE SUBMITTED TO DOH. INFORMATION ON THE NEW YORK STATE DOH PREVENTION AGENDA CAN BE FOUND AT WWW.HEALTH.STATE.NY.US/PREVENTION/PREVENTION_AGENDA. WHMC LIES IN CULTURALLY DIVERSE QUEENS AND KINGS COUNTY OF NEW YORK CITY. WHMC DETERMINES ITS COMMUNITY HEALTH NEEDS BY PARTICIPATING WITH COMMUNITY GROUPS AND LOCAL HEALTH DEPARTMENT ACTIVITIES. THE HOSPITAL ANALYZES INTERNAL PATIENT SURVEY, UTILIZATION DATA AND BULLETINS AND REPORTS FROM NYS DEPARTMENT OF HEALTH, NYS VITAL STATISTICS, GNYHA AND HANYS TO UNDERSTAND THE DEMOGRAPHICS AND UNMET NEEDS WITHIN THE COMMUNITY. WHMC WORKS CLOSELY WITH THE LOCAL HEALTH DEPARTMENT AND COMMUNITY GROUPS. THE HOSPITAL IS ABLE TO CONSTANTLY MEET THE EMERGING HEALTH CARE NEEDS FROM THE COMMUNITY. THE HOSPITAL IDENTIFIES THE FOLLOWING NEEDS WITHIN THE COMMUNITY: THE NEED TO ACCESS ADVANCED QUALITY HEALTH CARE; THE NEED TO RECEIVE QUALITY CARE FOR THE UNDERSERVED BY OPEN ENROLLMENT OF MEDICAID AND MEDICAID MANAGED CARE PROGRAMS;THE NEED TO OBTAIN HEALTH EDUCATION, DISEASE PREVENTION AND DISEASE MANAGEMENT TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. IN SUMMARY, THE HOSPITAL FOCUS PRIMARILY ON POSITIVELY IMPACTING THE HEALTH OF OUR COMMUNITY WITH PROGRAMS THAT ARE CULTURALLY AND LINGUISTICALLY TAILORED TO MEET THE UNMET NEEDS OF WOMEN, INFANTS, SENIORS AND MINORITIES IN OUR COMMUNITY. |
| Part VI, Line 3 | WYCKOFF HEIGHTS MEDICAL CENTER IS COMMITTED TO PROVIDE ACCESS TO THE HIGHEST LEVEL OF CARE WITH COMPASSION, DIGNITY AND RESPECT. WE ARE ALSO COMMITTED TO CARE ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. WE NOT ONLY PROVIDE VARIOUS ASSISTANCES TO PATIENTS WHO CAN'T PAY FOR PART OR ALL OF THE CARE THEY RECEIVE BUT ALSO HELP PATIENTS WITH BROADER FISCAL RESPONSIBILITIES TO BALANCE THE NEEDED FINANCIAL ASSISTANCE. WYCKOFF HEIGHTS MEDICAL CENTER CURRENTLY HAS THE FOLLOWING PRINCIPALS WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: *PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS *MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS *OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED RESOURCES *IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER *IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PAYMENT OBLIGATIONS. WYCKOFF HEIGHTS MEDICAL CENTER PROVIDES FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL POLICIES ON FINANCIAL SUPPORT AND FEDERAL, STATE AND LOCAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES IS AVAILABLE TO PATIENTS THROUGH HOSPITAL'S WEBSITE, HOSPITAL POSTERS AND FLYERS. INFORMATION IS ALSO AVAILABLE IN SPANISH WHICH IS THE MAIN LANGUAGE SPOKEN IN THE COMMUNITY AND POSTED IN THE WAITING AREAS FOR THE EMERGENCY ROOM, THE WOMEN'S HEALTH, THE SECOND FLOOR MAIN CLINIC AREA AND THE OFFSITE CLINICS. FINANCIAL COUNSELORS MAKE EVERY EFFORT TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. THE HOSPITAL HAS ONSITE MEDICAID ELIGIBILITY REPRESENTATIVES AND THEY MAKE BEDSIDE VISITS TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO THE PATIENT'S DISCHARGE. WYCKOFF HEIGHTS MEDICAL CENTER HAS DEVELOPED A WRITTEN POLICY FOR THE BILLING,COLLECTION ON CHARITY CARE AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS IN NEED IN A PROFESSIONAL, CONSISTENT MANNER. WYCKOFF EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING PATIENT REGISTRARS, FINANCIAL INVESTIGATORS, CUSTOMER SERVICE REPRESENTATIVES, AND BILLING AND COLLECTION REPRESENTATIVES) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES. |
| Part VI, Line 4 | WYCKOFF HEIGHTS MEDICAL CENTER IS A 324-BED ACUTE CARE ACADEMIC MEDICAL CENTER COMMITTED TO THE COMPLEX MISSION OF PATIENT CARE, TEACHING AND COMMUNITY SERVICE. THE HOSPITAL HAS ENSURED CONTINUED BROOKLYN AND QUEENS COUNTY COMMUNITY PARTICIPATION AND OUTREACH ACTIVITIES THROUGH LINKAGES WITH COMMUNITY BASED ORGANIZATIONS, LOCAL PHYSICIAN PRACTICES, D&T CENTERS, HOME CARE AGENCIES AND NURSING HOMES. WYCKOFF HEIGHTS MEDICAL CENTER'S PRIMARY AND SECONDARY SERVICE AREAS INCLUDE FIVE PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS); BUSHWICK, WILLIAMSBURG, BEDFORD-STUYVESANT, EAST NEW YORK AND LONG ISLAND CITY. THE HOSPITAL IS LOCATED IN BROOKLYN NEAR THE BROOKLYN/QUEENS BORDER, AND SERVES THE BUSHWICK, BEDFORD-STUYVESANT, EAST NEW YORK AND GREENPOINT COMMUNITIES OF BROOKLYN, AS WELL AS THE RIDGEWOOD, GLENDALE, MASPETH AND MIDDLE VILLAGE COMMUNITIES OF QUEENS. THE HOSPITAL SERVICE AREAS HAVE A TOTAL POPULATION OF 430,000. 177,000 RESIDENTS OR 41% OF THE POPULATION IS LATINO AND 47,400 RESIDENTS OR 11% OF THE POPULATION IS AFRICAN AMERICAN. THE HOSPITAL IS LOCATED IN THE 11237 ZIP CODE WHICH HAS A POPULATION THAT IS 75% LATINO. THE SERVICE AREAS ALSO INCLUDE RECENT IMMIGRANT POPULATIONS FROM LATIN AMERICA, THE CARIBBEAN, EASTERN/SOUTHERN EUROPE AND ASIA. MORE THAN 100,000 RESIDENTS ARE UNDER 18 YEARS OF AGE. IN THE BUSHWICK COMMUNITY 33% ARE 18 OR YOUNGER. MORE THAN 50% OF THE RESIDENTS HAVE INCOMES BELOW THE POVERTY LINE. |
| Part VI, Line 5 | THE MISSION OF WYCKOFF HEIGHTS MEDICAL CENTER IS TO PROVIDE EXCELLENCE IN CARE THROUGH PREVENTION, EDUCATION AND TREATMENT IN A SAFE ENVIRONMENT. WYCKOFF PROVIDES COMPREHENSIVE PRIMARY AND SECONDARY LEVEL INPATIENT AND OUTPATIENT MEDICAL, SURGICAL, OBSTETRIC/GYNECOLOGIC AND PEDIATRIC CARE SERVICES. WYCKOFF PROVIDES TERTIARY HEALTHCARE SERVICES, INCLUDING RENAL DIALYSIS, MEDICAL ONCOLOGY SERVICES, NEUROSURGERY, GENETICS, NUCLEAR MEDICINE AND RADIATION ONCOLOGY. AMBULATORY PODIATRIC AND DENTAL SERVICES ARE ALSO AVAILABLE. IN OUR COMMITMENT TO PATIENT-CENTERED CARE, WYCKOFF POLICY EMPHASIZES AMBULATORY ALTERNATIVES TO INPATIENT CARE WHEN FEASIBLE TO PROMOTE RESPONSIBILITY AND PATIENT INDEPENDENCE. EXPANDED COMMUNITY OUTREACH PROGRAMS AND AMBULATORY CENTERS FACILITATE PATIENT ACCESS, WHILE PROMOTING OUR MANY ALLOPATHIC AND OSTEOPATHIC EDUCATIONAL AND TEACHING PROGRAMS. WYCKOFF HEIGHTS MEDICAL CENTER HAS CREATED THE FOLLOWING OBJECTIVES TO HELP US MEET OUR MISSION AND VISION: *PROVIDES THE HIGHEST LEVEL OF CARE FOR ALL PATIENTS, RECOGNIZING THE WORTH AND DIGNITY OF EACH INDIVIDUAL *IMPROVES THE HEALTH STATUS OF THE COMMUNITY BY ACTIVELY PARTICIPATING IN AN ORGANIZED, INNOVATIVE, INTEGRATED HEALTH CARE SYSTEM, USING A FOCUS ON MANAGED CARE *PROMOTES AND SUPPORTS ALL EFFORTS TO PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENT, EMPLOYEES AND VISITORS *WORKS IN PARTNERSHIP WITH PHYSICIANS AND ALL HEALTH CARE PROVIDERS AND EMPLOYEES TO ENCOURAGE PROFESSIONAL GROWTH AND DEVELOPMENT, IN ORDER TO BETTER SERVE THE COMMUNITY AND TO UNDERSTAND AND MEET THE NEEDS OF OUR CULTURALLY DIVERSE POPULATION *IS COMMITTED TO THE ONGOING EMPLOYABILITY OF OUR EMPLOYEES THROUGH THEIR GROWTH AND DEVELOPMENT, DESPITE THE INABILITY TO GUARANTEE INDIVIDUAL JOBS IN A CHANGING HEALTH CARE ENVIRONMENT, BY WORKING TOGETHER RESPONSIBLY AND RESPECTING EACH ROLE HERE. *FOSTERS A SCHOLARLY ATMOSPHERE, SUPPORTING EDUCATIONAL PROGRAMS AND ENDOWMENTS THAT ENHANCE THE COMPETENCY OF ALL INDIVIDUALS WITHIN THE SYSTEM, TO PROMOTE DELIVERY OF HEALTH CARE THAT IS SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT AND EQUITABLE *IS CREATING HEALTH INFORMATION SYSTEMS AND NETWORKS DEDICATED TO MONITORING, STREAMLINING AND IMPROVING THE QUALITY OF CLINICAL AND SERVICE FUNCTIONS, WHILE MAINTAINING PATIENT CONFIDENTIALITY AND YET RESPONDING TO THE HEALTH CARE MARKET GROWTH, OPTIMAL FINANCIAL DEVELOPMENT AND WISE USE OF FINANCIAL ASSETS *PROVIDES MODERN, PROGRESSIVE HEALTH CARE TECHNOLOGIES THAT IMPROVE THE QUALITY OF CARE *PROVIDES OUTREACH TO MEMBERS OF THE COMMUNITY WITH SPECIAL NEEDS, INCLUDING INFANTS, YOUNG CHILDREN AND ADOLESCENTS, PERSONS WITH DISABILITIES, CHRONIC CONDITIONS AND LIFE-THREATENING DISORDERS SUCH AS HIV/AIDS AND SENIOR CITIZENS *PROMOTES AND SUPPORTS PREVENTIVE MEDICINE PROGRAMS THAT REDUCE OCCURRENCE OF DISEASE THROUGH EDUCATION AND PROACTIVE MEASURES *MEASURES SUCCESS BY HOW WELL WE MEET OR EXCEED THE EXPECTATIONS OF OUR COMMUNITY AND PATIENTS *STRIVES TO CREATE A CULTURE OF SERVICE EXCELLENCE IN EVERY ASPECT OF PATIENT CARE. BY PROVIDING OUTSTANDING SERVICE CONSISTENTLY, WE SEEK TO ESTABLISH LIFELONG RELATIONSHIP WITH PATIENTS, EMPHASIZING THAT CARE FOR THE PATIENT ALWAYS COME FIRST. WYCKOFF HEIGHTS MEDICAL CENTER'S MISSION AND COMMITMENT TO QUALITY SERVICE ENABLES THE HOSPITAL TO BECOME THE PREMIER HEALTH CARE PROVIDER FOR THE CULTURALLY DIVERSE COMMUNITY WE SERVE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| 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 |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAMON RODRIGUEZ | ||||||||||||||
| PRESIDENT/CEO | $864,216 | $0 | $200,000 | $0 | $1,645 | $0 | $0 | $0 | $13,090 | $0 | $1,078,951 | $0 | $0 | $0 |
| FRANK VUTRANO | ||||||||||||||
| EVP/CFO, thru 9/7/17 | $330,259 | $0 | $50,000 | $0 | $139,099 | $0 | $0 | $0 | $4,535 | $0 | $523,893 | $0 | $0 | $0 |
| GUSTAVO DEL TORO | ||||||||||||||
| EVP/CMO | $569,668 | $0 | $0 | $0 | $1,210 | $0 | $0 | $0 | $4,178 | $0 | $575,056 | $0 | $0 | $0 |
| Andrew Toga | ||||||||||||||
| EVP of Amb Svcs thru 6/16/17 | $234,106 | $0 | $0 | $0 | $104,009 | $0 | $0 | $0 | $1,538 | $0 | $339,653 | $0 | $0 | $0 |
| KEVIN SMYLEY | ||||||||||||||
| VP/LEGAL SERVICES | $344,398 | $0 | $0 | $0 | $2,705 | $0 | $0 | $0 | $5,602 | $0 | $352,705 | $0 | $0 | $0 |
| MARGARET CORNELIUS | ||||||||||||||
| VP OF HR | $271,950 | $0 | $0 | $0 | $621 | $0 | $0 | $0 | $3,050 | $0 | $275,621 | $0 | $0 | $0 |
| Stephen Carryl MD | ||||||||||||||
| Chairman of Surgery | $744,661 | $0 | $0 | $0 | $144,504 | $0 | $0 | $0 | $8,662 | $0 | $897,827 | $0 | $0 | $0 |
| Thomas Larkin MD | ||||||||||||||
| Chief Division Ortho | $394,534 | $0 | $0 | $0 | $72,007 | $0 | $0 | $0 | $1,620 | $0 | $468,161 | $0 | $0 | $0 |
| SANJIVAN PATEL MD | ||||||||||||||
| Acting Chairman | $287,273 | $0 | $0 | $0 | $194,783 | $0 | $0 | $0 | $6,817 | $0 | $488,873 | $0 | $0 | $0 |
| Elvita G Dominiques DO | ||||||||||||||
| Director | $318,183 | $0 | $0 | $0 | $96,727 | $0 | $0 | $0 | $6,817 | $0 | $421,727 | $0 | $0 | $0 |
| JEBASHINI JERURASA | ||||||||||||||
| VP/CIO | $227,778 | $0 | $0 | $0 | $222 | $0 | $0 | $0 | $7,222 | $0 | $235,222 | $0 | $0 | $0 |
| CATHERINE GALLOGLY-SIMON | ||||||||||||||
| CNO | $308,291 | $0 | $0 | $0 | $745 | $0 | $0 | $0 | $11,709 | $0 | $320,745 | $0 | $0 | $0 |
| PATRICK SULLIVAN | ||||||||||||||
| VP of Facility & Support | $275,000 | $0 | $0 | $0 | $5,115 | $0 | $0 | $0 | $0 | $0 | $280,115 | $0 | $0 | $0 |
| WILLIAM THELMO MD | ||||||||||||||
| CHAIRMAN | $291,753 | $0 | $0 | $0 | $105,072 | $0 | $0 | $0 | $8,247 | $0 | $405,072 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 4a: | FormAndLineReferenceDesc |
| Explanation | Andrew Toga, EVP of AMB SVCS thru 6/16/17, received a severance payment of $100,000, which is reflected on Part II, Column b(iii). Frank Vutrano, EVP/CFO thru 9/7/17, received a severance payment of $135,205, which is reflected on Part II, Column b(iii). | ExplanationTxt |
Schedule L IRS990ScheduleL
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $0 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GARY GOFFNER | |||
| chairman | $172,130 | Rent expense | false |
| MOUNZER TCHELEBI | |||
| trustee | $47,351 | Rent expense | false |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 1: | The organization paid rent to Board Chairman, Gary Goffner, during the year for space for clinical activities that serve the neighborhood. The rent paid is fair market value for the property and the board chairman did not participate in the decision making process. |
| Part IV, Line 2: | The organization paid rent to Board Member, Mounzer Tchelebi, during the year for space for clinical activities that serve the neighborhood. The rent paid is fair market value for the property and Mr. Tchelbi did not participate in the decision making process. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 11B | THE FINANCE DIRECTOR AND CFO UNDERTAKE A DETAILED REVIEW OF THE 990. IN ADDITION, BOARD MEMBERS OF THE FINANCE AND AUDIT COMMITTEES UNDERTAKE A REVIEW OF THE ORGANIZATION'S FORM 990 AND THEN REVIEW WITH THE CFO ANY COMMENTARY, OBSERVATIONS, AND RECOMMENDATIONS, AS APPROPRIATE. |
| FORM 990, PART VI, LINE 12C | BOARD OF TRUSTEES AUDIT AND COMPLIANCE COMMITTEE REVIEWS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES AND MAKES RECOMMENDATIONS, IF NECESSARY, TO THE FULL BOARD. POSITIVE RESPONSES ARE REVIEWED AND ADDITIONAL INFORMATION IS GATHERED TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, APPROPRIATE ACTION IS TAKEN TO ELIMINATE THE CONFLICT, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE AGREEMENTS. IF A MATTER INVOLVES A BOARD MEMBER OR OFFICER, APPROPRIATE ACTION, INCLUDING RECUSAL AND ADDITIONAL DISCLOSURES, WILL BE DETERMINED BY THE BOARD. |
| FORM 990, PART VI, LINES 15A & 15B | EXECUTIVE COMPENSATION IS REVIEWED BY THE BOARD EXECUTIVE COMPENSATION COMMITTEE WHICH CONSISTS OF ONLY INDEPENDENT BOARD MEMBERS. THE COMMITTEE SOLICITS ASSISTANCE OF OUTSIDE LEGAL COUNSEL AND AN EXECUTIVE COMPENSATION CONSULTING FIRM WHO CONDUCTS STUDIES SHOWING COMPENSATION AT COMPARABLE INSTITUTIONS AND ADVISES THE COMMITTEE ACCORDINGLY. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES. |
| FORM 990, PART VI, LINE 19 | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:47905294 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING FEES TOTAL FEES:7342984 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:5367201 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES TOTAL FEES:3448754 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASE SERVICES TOTAL FEES:85286 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| BROOKLYN QUEENS HEALTH CARE | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 311650965 | SUPPORT WHMC | NY | 501(c)(3) | 12A | NA | Yes (true) |
| STOCKHOLM OBSTETRICS & GYNECOLOGICAL SVC | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113318298 | MEDICAL SVCS | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
| WYCKOFF HEIGHTS MEDICAL SERVICES PC | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113519417 | SRGRY/ANESTHE | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
| WYCKOFF HEIGHTS DENTAL SERVICES PC | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113440088 | DENTISTRY | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
| WYCKOFF HEIGHTS MEDICAL CENTER FOUNDATIO | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113626419 | SUPPORT WHMC | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
| WYCKOFF IMAGING SERVICE PC | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 861061721 | MED IMAGING | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
| WYCKOFF MEDICAL SERVICES PC | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113459881 | MEDICAL SVCS | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
| WYCKOFF PROFESSIONAL MEDICAL SERVICES PC | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113437602 | MEDICAL SVCS | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
| WYCKOFF HEIGHTS HOSPITAL SELF INSURANCE | ||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 112513146 | INACTIVE | NY | 501(c)(3) | 12A | WHMC | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PREFERRED HEALTH VENTURES INC | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 112974960 | INACTIVE | NY | SEE PART VII | C CORP | $0 | $497,200 | 1.00000 | Yes (true) |
| PREFERRED HEALTH VENTURES PHARMACY | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 112974935 | INACTIVE | NY | SEE PART VII | C CORP | $0 | $112,874 | 1.00000 | Yes (true) |
| PREFERRED HEALTH VENTURES PLACEMENT INC | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 112973953 | INACTIVE | NY | SEE PART VII | C CORP | $0 | $165,113 | 1.00000 | Yes (true) |
| PREFERRED HEALTH PROPERTIES INC | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 112974963 | INACTIVE | NY | SEE PART VII | C CORP | $0 | $2,900 | 1.00000 | Yes (true) |
| WYCKOFF EMERGENCY MEDICINE SERVICES PC | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113495935 | MEDICAL SVCS | NY | SEE PART VII | C CORP | $11,479,414 | $478,050 | 1.00000 | Yes (true) |
| WYCKOFF PRACTICE MANAGEMENT CORP | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 113463990 | MANAGEMENT | NY | SEE PART VII | C CORP | $540,102 | $39,777 | 1.00000 | Yes (true) |
| STEPHEN CARRYL PC | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 510505134 | MEDICAL SVCS | NY | SEE PART VII | C CORP | $354,773 | $267,378 | 1.00000 | Yes (true) |
| WYCKOFF MEDICAL ASSOCIATES PC | ||||||||||||
| 374 STOCKHOLM STREET | BROOKLYN | NY | 11237 | 812389221 | MEDICAL SERVICE | NY | SEE PART VI | C CORP | $7,000 | $5,903 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| 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 | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| STOCKHOLM OBSTETRICS & GYNECOLOGICAL SVC | ||
| P | $3,392,459 | COST |
| WYCKOFF HEIGHTS MEDICAL SERVICES PC | ||
| P | $3,617,837 | COST |
| WYCKOFF HEIGHTS DENTAL SERVICES PC | ||
| P | $1,118,412 | COST |
| WYCKOFF IMAGING SERVICE PC | ||
| P | $1,264,840 | COST |
| WYCKOFF EMERGENCY MEDICINE SERVICES PC | ||
| P | $5,513,088 | COST |
| WYCKOFF PROFESSIONAL MEDICAL SERVICES | ||
| P | $1,298,125 | COST |
| WYCKOFF PRACTICE MANAGEMENT CORP | ||
| P | $539,947 | COST |
| STEPHEN CARRYL PC | ||
| P | $55,000 | COST |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, column (d) - Direct Controlling Entity | NAME OF RELATED ORGANIZATIONS DIRECT CONTROLLING ENTITY PREFERRED HEALTH VENTURES INC: WYCKOFF HEIGHTS MEDICAL CENTER PREFERRED HEALTH VENTURES PHARMACY: PREFERRED HEALTH VENTURES INC PREFERRED HEALTH VENTURES PLACEMENT: PREFERRED HEALTH VENTURES INC PREFERRED HEALTH VENTURES PROPERTIES: PREFERRED HEALTH VENTURES INC WYCKOFF EMERGENCY MEDICINE SERVICES PC: WYCKOFF HEIGHTS MEDICAL CENTER WYCKOFF PRACTICE MANAGEMENT CORP: WYCKOFF HEIGHTS MEDICAL CENTER STEPHEN CARRYL, P.C.: WYCKOFF HEIGHTS MEDICAL CENTER WYCKOFF MEDICAL ASSOCIATES, P.C.: WYCKOFF HEIGHTS MEDICAL CENTER |
| PART VII - SUPPLEMENTAL INFORMATION | Respective PC's employ physicians and departmental chairs who provide professional services to the Wyckoff Heights Medical Center. |