PHELPS MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PHELPS MEMORIAL HOSPITAL ASSOCIATION (EIN 13-1725076)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-11
- IRS object ID
- 201533159349302418
- Schema version
- 2014v5.0
- 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 F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-11T12:43:37-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 AVENUE OF THE AMERICAS | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131725076 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PHEL | BusinessNameControlTxt |
| Phone | 9143663000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1Txt |
| City | SLEEPY HOLLOW | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105911020 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL BLUM | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9143663000 | PhoneNum |
| Signature | 2015-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS LANNING | PreparerPersonNm |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL BLUM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1Txt |
| City | SLEEPY HOLLOW | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105911020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $237,231,659 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | PHELPSHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TAX EXEMPT HOSPITAL PROVIDING A FULL RANGE OF COMPREHENSIVE CARE IN A SAFE MODERN ENVIRONMENT TO IMPROVE THE HEALTH OF OUR SURROUNDING COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 1925 | TotalEmployeeCnt |
| Total Volunteers | 361 | TotalVolunteersCnt |
| Total Gross UBI | $1,059,721 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$196,755 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,197,640 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,129,829 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $211,576,170 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $210,649,554 | CYProgramServiceRevenueAmt |
| PY Investment Income | $775,564 | PYInvestmentIncomeAmt |
| CY Investment Income | $874,067 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,393,348 | PYOtherRevenueAmt |
| CY Other Revenue | $8,121,278 | CYOtherRevenueAmt |
| PY Total Revenue | $227,942,722 | PYTotalRevenueAmt |
| CY Total Revenue | $224,774,728 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $84,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $60,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $136,532,299 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $138,707,354 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $192,671 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $69,625 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,220,613 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $79,826,355 | PYOtherExpensesAmt |
| CY Other Expenses | $73,893,457 | CYOtherExpensesAmt |
| PY Total Expenses | $216,635,325 | PYTotalExpensesAmt |
| CY Total Expenses | $212,730,436 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,307,397 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,044,292 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $215,505,989 | TotalAssetsBOYAmt |
| Total Assets EOY | $230,054,724 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $84,378,666 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $96,642,403 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $131,127,323 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $133,412,321 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IMPROVE THE HEALTH OF OUR SURROUNDING COMMUNITY, BY PROVIDING COMPREHENSIVE CARE IN A SAFE MODERN ENVIROMENT WHERE ADVANCED MEDICAL TECHNIQUES ARE COUPLED WITH A STRONG TRADITION OF COURTESY AND CARING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $91,798,180 | ExpenseAmt |
| Grant | $60,000 | GrantAmt |
| Revenue | $87,925,948 | RevenueAmt |
| Desc | PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDES ACUTE AND REHABILITATION INPATIENT HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF AN ABILITY TO PAY. THE HOSPITAL HAD 6,497 ACUTE CARE ADMISSIONS AND 294 REHABILITATION ADMISSIONS. PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDED $3,066,477 IN CHARITY CARE FOR ACUTE AND REHABILIATION INPATIENT HEALTH CARE SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $76,746,732 | ExpenseAmt |
| Revenue | $107,586,225 | RevenueAmt |
| Desc | PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDES OUTPATIENT HEALTH CARE SERVICES TO MEMBERS OT THE COMMUNTIY REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PROVIDED $6,771,588 IN CHARITY CARE FOR OUTPATIENT HEALTH SERVICES. PHELPS MEMORIAL HOSPITAL ASSOCIATION'S LARGER OUPATIENT PROGRAMS INCLUDE THE FOLLOWING SERVICES: EMERGENCY SERVICES -26,117 VISITSRADIOLOGY SERVICES - 42,680 PROCEDURESWOUND AND DIABETIC CARE - 6,373 VISITS PHYSICAL THERAPY, AQUA THERAPY AND OCCUPATIONAL THERAPY - 74,245 PROCEDURES HYPERBARIC TREATMENTS - 6,704 PROCEDURESHOSPICE HOME CARE - 15,546 VISITS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $26,394,294 | ExpenseAmt |
| Revenue | $20,333,561 | RevenueAmt |
| Desc | PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDES INPATIENT AND OUTPATIENT BEHAVORIAL HEALTH SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PROVIDED $1,383,759 IN CHARITY CARE FOR BEHAVORIAL HEALTH SERVICES. PHELPS MEMORIAL HOSPITAL ASSOCIATION HAD 1,271 BEHAVORIAL HEALTH ADMISSIONS AND 50,626 OUTPATIENT BEHAVORIAL HEALTH VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $194,939,206 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 154 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1925 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VINCENT DESANTIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9143663000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1Txt |
| City | SLEEPY HOLLOW | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10591 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ANDREW C MERRYMAN | ||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AUBREY HAWES | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BARD BUNAES | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETTY ALBERTSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTY JOYCE MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID COULAM | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE POTTER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANKLIN H ZIMMERMAN MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $679,348 | $0 | $43,999 | ||
| FRED MASCIA | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GAY BERGER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GLENN D KAUFMAN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HSIN CHENG CHAO MD | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES GOLDSMITH | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN BARNES | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH F SAFIAN | ||||||||
| PRESIDENT | 37.50 | 3.00 | Yes (X) | Yes (X) | $1,450,161 | $0 | $44,599 | |
| KENNETH MILLER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LOUIS J POULIN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LOUIS WACHTEL | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK FREDERICH | ||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA SROLE | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD PERESS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD SINNI | ||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RUSSEL WATSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SALEEM MIR MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $23,000 | $0 | $0 | ||
| SANDA CARNICIU MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $25,562 | $0 | $0 | ||
| SEAN F X DUGAN | ||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANIEL BLUM | ||||||||
| SR VP | 37.50 | 1.00 | Yes (X) | $519,623 | $0 | $56,108 | ||
| JUSSI MAIJALA | ||||||||
| VP HR & MEDICAL GROUP | 37.50 | Yes (X) | $219,154 | $0 | $16,357 | |||
| KERRY PISANO | ||||||||
| VP FOR SUPPORT SERVICES | 37.50 | Yes (X) | $510,103 | $0 | $28,449 | |||
| LAWRENCE FALTZ | ||||||||
| SR VP FOR MED AFFAIRS | 37.50 | Yes (X) | $678,412 | $0 | $41,049 | |||
| LEONARD FOGEL | ||||||||
| VP MANAGED CARE & BUS. | 37.50 | Yes (X) | $830,320 | $0 | $45,353 | |||
| MARY MCDERMOTT | ||||||||
| VP FOR NURSING | 37.50 | Yes (X) | $418,057 | $0 | $46,882 | |||
| RICHARD BECKER | ||||||||
| VP PHELPS MEDICAL ASSOCIATES | 37.50 | 20.00 | Yes (X) | $344,657 | $0 | $17,721 | ||
| ROBERT LANE | ||||||||
| VP STRATEGY & DEVELOPMENT | 37.50 | Yes (X) | $430,319 | $0 | $50,311 | |||
| VINCENT DESANTIS | ||||||||
| VP FINANCE AND CFO | 37.50 | 3.00 | Yes (X) | $887,552 | $0 | $56,473 | ||
| WILLIAM REIFER | ||||||||
| VP FOR QUALITY MANAGEMENT | 37.50 | Yes (X) | $264,487 | $0 | $48,923 | |||
| ARTHUR FASS | ||||||||
| PHYSICIAN | 37.50 | $627,169 | $0 | $41,499 | Yes (X) | |||
| DINA KATZ | ||||||||
| PHYSICIAN | 37.50 | $601,658 | $0 | $54,446 | Yes (X) | |||
| EMIL NIGRO | ||||||||
| PHYSICIAN | 37.50 | $726,681 | $0 | $43,936 | Yes (X) | |||
| GASPAR PARRINO | ||||||||
| PHYSICIAN | 37.50 | $703,488 | $0 | $43,187 | Yes (X) | |||
| STEPHEN HEIER | ||||||||
| PHYSICIAN | 37.50 | $883,369 | $0 | $52,567 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,823,120 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $731,859 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 293 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BBL CONSTRUCTION SERVICES LLC | |||||
| 302 WASHINGTON AVENUE | ALBANY | NY | 12203 | CONSTRUCTION | $9,897,790 |
| PROSKAUER ROSE LLP | |||||
| ELEVEN TIMES SQUARE | NEW YORK | NY | 10036 | LEGAL SERVICES | $846,541 |
| CHILDRENS AND WOMEN'S PHYSICANS OF WESTC | |||||
| NY MED MUNGER PAV 123 | VALHALLAH | NY | 10595 | PHYSICIAN SERVICES | $646,623 |
| HELLS KITCHEN ADVERTISING | |||||
| 10 WEST 37TH ST 8TH FL | NEW YORK | NY | 10018 | ADVERTISING CONSULTING | $616,782 |
| GARFUNKEL WILD PC | |||||
| 111 GREAT NECK ROAD | GREAT NECK | NY | 11021 | LEGAL SERVICES | $409,860 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $391,352 | FundraisingAmt |
| Related Organizations | $494,862 | RelatedOrganizationsAmt |
| Government Grants | $617,575 | GovernmentGrantsAmt |
| All Other Contributions | $3,626,040 | AllOtherContributionsAmt |
| Noncash Contributions | $524,075 | NoncashContributionsAmt |
| Total Contributions | $5,129,829 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT SERVICES | 623000 | $107,586,225 | $107,586,225 |
| INPAT SERV ACUTE & RHB | 623000 | $82,729,767 | $82,729,767 |
| BEHAVIORAL HEALTH SERV | 623000 | $20,333,562 | $20,333,562 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $210,649,554 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $872,986 | TotalRevenueColumnAmt |
| Exclusion | $872,986 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,167,352 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,406,317 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $761,035 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $761,035 | TotalRevenueColumnAmt |
| Exclusion | $761,035 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,813,156 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,812,075 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,081 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,081 | TotalRevenueColumnAmt |
| Exclusion | $1,081 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $131,425 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $391,352 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $238,539 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$107,114 | TotalRevenueColumnAmt |
| Exclusion | -$107,114 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PHARMACY | 900099 | $2,903,903 | $2,020,814 | $883,089 | |
| EHR MEANINGFUL USE | 900099 | $1,076,211 | $1,076,211 | ||
| CAFETERIA | 900099 | $697,672 | $697,672 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,789,571 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,099,155 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $176,632 | UnrelatedBusinessRevenueAmt |
| Exclusion | $513,784 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,467,357 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $224,774,728 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $215,845,734 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,059,721 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,739,444 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,000 | TotalAmt |
| Program Services | $60,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,785,670 | TotalAmt |
| Program Services | $6,528,757 | ProgramServicesAmt |
| Management And General | $776,282 | ManagementAndGeneralAmt |
| Fundraising | $480,631 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,562,396 | TotalAmt |
| Program Services | $92,938,355 | ProgramServicesAmt |
| Management And General | $11,166,495 | ManagementAndGeneralAmt |
| Fundraising | $457,546 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,288,587 | TotalAmt |
| Program Services | $4,706,581 | ProgramServicesAmt |
| Management And General | $559,621 | ManagementAndGeneralAmt |
| Fundraising | $22,385 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,363,674 | TotalAmt |
| Program Services | $11,890,401 | ProgramServicesAmt |
| Management And General | $1,413,792 | ManagementAndGeneralAmt |
| Fundraising | $59,481 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,707,027 | TotalAmt |
| Program Services | $6,849,376 | ProgramServicesAmt |
| Management And General | $814,404 | ManagementAndGeneralAmt |
| Fundraising | $43,247 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,399,325 | TotalAmt |
| Program Services | $1,329,359 | ProgramServicesAmt |
| Management And General | $69,966 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,385 | TotalAmt |
| Program Services | $224,566 | ProgramServicesAmt |
| Management And General | $11,819 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,647 | TotalAmt |
| Program Services | $42,647 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,625 | TotalAmt |
| Fundraising | $69,625 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,172,262 | TotalAmt |
| Program Services | $10,583,728 | ProgramServicesAmt |
| Management And General | $521,130 | ManagementAndGeneralAmt |
| Fundraising | $67,404 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,575 | TotalAmt |
| Program Services | $804,575 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,529,186 | TotalAmt |
| Program Services | $2,265,527 | ProgramServicesAmt |
| Management And General | $243,365 | ManagementAndGeneralAmt |
| Fundraising | $20,294 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,642,270 | TotalAmt |
| Program Services | $4,410,245 | ProgramServicesAmt |
| Management And General | $232,025 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,172,746 | TotalAmt |
| Program Services | $3,893,793 | ProgramServicesAmt |
| Management And General | $278,953 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,345 | TotalAmt |
| Program Services | $240,338 | ProgramServicesAmt |
| Management And General | $85,007 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,630 | TotalAmt |
| Program Services | $3,315 | ProgramServicesAmt |
| Management And General | $3,315 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,740 | TotalAmt |
| Program Services | $728,740 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,849,134 | TotalAmt |
| Program Services | $11,849,134 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,253,219 | TotalAmt |
| Program Services | $5,253,219 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $12,047,888 | $12,037,581 | $10,307 |
| PHARMACEUTICALS | $9,714,182 | $9,714,182 | |
| EQUIP RENTAL & MAINTENA | $4,500,311 | $4,282,518 | $217,793 |
| FOOD | $1,563,710 | $1,460,773 | $102,937 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,904,902 | TotalAmt |
| Program Services | $2,841,496 | ProgramServicesAmt |
| Management And General | $63,406 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,730,436 | TotalAmt |
| Program Services | $194,939,206 | ProgramServicesAmt |
| Management And General | $16,570,617 | ManagementAndGeneralAmt |
| Fundraising | $1,220,613 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,720,927 | BOYAmt |
| EOY | $3,635,268 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,918,204 | BOYAmt |
| EOY | $33,674,907 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,425,329 | BOYAmt |
| EOY | $4,573,236 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,595,920 | BOYAmt |
| EOY | $25,146,491 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,231,810 | BOYAmt |
| EOY | $2,467,917 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $980,704 | BOYAmt |
| EOY | $1,248,983 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $283,420,083 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $172,025,939 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,570,346 | BOYAmt |
| EOY | $111,394,144 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,789,712 | BOYAmt |
| EOY | $14,307,302 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,200,803 | BOYAmt |
| EOY | $8,543,903 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,072,234 | BOYAmt |
| EOY | $25,062,573 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,505,989 | BOYAmt |
| EOY | $230,054,724 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,158,396 | BOYAmt |
| EOY | $31,883,552 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,975,000 | BOYAmt |
| EOY | $34,500,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,494 | BOYAmt |
| EOY | $137,751 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,879,776 | BOYAmt |
| EOY | $30,121,100 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,378,666 | BOYAmt |
| EOY | $96,642,403 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,728,352 | BOYAmt |
| EOY | $122,329,619 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,469,691 | BOYAmt |
| EOY | $8,848,422 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,929,280 | BOYAmt |
| EOY | $2,234,280 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,127,323 | BOYAmt |
| EOY | $133,412,321 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,505,989 | BOYAmt |
| EOY | $230,054,724 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,044,292 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $695,443 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,454,737 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $42,647 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $42,647 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PHELPS MEMORIAL HOSPITAL ASSOCIATION COMPENSATED ITS LOBBYIST FOR BUDGET, REGULATORY AND LEGISLATIVE ISSUES PERTAINING TO HEALTHCARE AND HOSPITALS. NY STATE EXECUTIVE AND LEGISLATIVE BRANCHES WERE LOBBIED. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,370,456 | BeginningYearBalanceAmt |
| Contributions | $305,000 | ContributionsAmt |
| Investment Earnings Or Losses | $372,633 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $31,395 | AdministrativeExpensesAmt |
| End Year Balance | $5,016,694 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,779,868 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $615,837 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $30,214 | OtherExpendituresAmt |
| Administrative Expenses | $35 | AdministrativeExpensesAmt |
| End Year Balance | $4,370,456 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,456,786 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $361,210 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $38,093 | OtherExpendituresAmt |
| Administrative Expenses | $35 | AdministrativeExpensesAmt |
| End Year Balance | $3,779,868 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,360,893 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $109,904 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,011 | OtherExpendituresAmt |
| End Year Balance | $3,456,786 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,969,273 | BeginningYearBalanceAmt |
| Contributions | $7,746 | ContributionsAmt |
| Investment Earnings Or Losses | $386,175 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,301 | OtherExpendituresAmt |
| End Year Balance | $3,360,893 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.35000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.65000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $579,734 | OtherCostOrOtherBasisAmt |
| Book Value | $579,734 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,903,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,388,199 | DepreciationAmt |
| Book Value | $75,514,879 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,197,747 | OtherCostOrOtherBasisAmt |
| Depreciation | $403,760 | DepreciationAmt |
| Book Value | $793,987 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,084,237 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,995,096 | DepreciationAmt |
| Book Value | $23,089,141 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,655,287 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,238,884 | DepreciationAmt |
| Book Value | $11,416,403 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $111,394,144 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INSURANCE RECOVERIES | $23,204,970 |
| DEFERRED FINANCING COSTS | $965,391 |
| OTHER ASSETS | $298,212 |
| 3RD PARTY RETRO PAYMENTS | $594,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,062,573 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY LIABILITY | $753,518 |
| DEFERRED COMPENSATION PLANS | $4,380,612 |
| MALPRACTICE CONTINGENCY | $23,638,970 |
| OTHER LONG TERM PAYABLES | $1,348,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,121,100 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $235,470,783 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $695,443 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $9,000,163 | OtherRevenueAmt |
| Revenue Not Reported | $9,695,606 | RevenueNotReportedAmt |
| Revenue Subtotal | $225,775,177 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$1,000,449 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,000,449 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $224,774,728 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $229,298,957 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $18,246,220 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $18,246,220 | ExpensesNotReportedAmt |
| Expenses Subtotal | $211,052,737 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,677,699 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,677,699 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $212,730,436 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ALL INTEREST EARNED ON THE ENDOWMENT SUPPORT THE GENERAL OPERATION OF THE HOSPITAL. BOARD DESIGNATED FUNDS SUPPORT THE HOSPICE PROGRAM. |
| PART X, LINE 2: | THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME" AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES, WHICH NEED TO BE RECORDED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | ELIMINATIONS -2,434,000. BAD DEBT -1,279,453. AFFILIATE ORGANIZATIONS REVENUES 12,713,616. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -1,406,317. AUXILIARY REVENUE 287,706. MEDICAL STAFF REVENUE 118,162. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 1,406,317. AFFILIATE ORGANIZATIONS EXPENSES 18,923,903. ELIMINATIONS -2,084,000. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 273,925. MEDICAL STAFF EXPENSES 124,321. BAD DEBT 1,279,453. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | PROGRAM SERVICE EXPENSES | TypeOfActivitiesConductedTxt |
| Specific Services Provided | FUNDING MEDICAL MALPRACTICE PREMIUMS. | SpecificServicesProvidedTxt |
| Region Total Expenditures | $1,579,306 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $1,579,306 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $1,579,306 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAHAM-PELTON CONSULTING INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 39 BEECHWOOD ROAD | AddressLine1Txt |
| City | SUMMIT | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING RESEARCH | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $2,580,500 | GrossReceiptsAmt |
| Retained By Contractor | $69,966 | RetainedByContractorAmt |
| Net To Organization | $2,510,534 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $2,580,500 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $69,966 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $2,510,534 | TotalNetToOrganizationAmt |
| Licensed States | NY | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHAMPAGNE BALL | Event1Nm |
| Gross Receipts Event1 | $394,502 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $323,277 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $71,225 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $89,057 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $14,524 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $49,187 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF CLASSIC | Event2Nm |
| Gross Receipts Event2 | $103,880 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $53,880 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $50,000 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $58,192 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $14,689 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $24,395 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $14,195 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $10,200 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $9,578 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,312 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $522,777 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $391,352 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $131,425 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $156,827 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $14,524 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $67,188 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $238,539 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$107,114 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,685,110 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,685,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,888,390 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,000,970 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,887,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,573,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,000,970 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,572,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,727,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,727,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,321,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $844,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,477,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,048,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $844,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,204,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,621,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,844,970 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,776,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,279,000 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $54,407,000 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $79,771,000 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,364,000 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 PHELPS PROFESSIONAL | ||
| CONSTRUCT, DEVELOP, OWN, | 0.73000 | 0.27000 |
| 2 BUILDING CO LP | ||
| OPERATE AND MAINTAIN A | ||
| 3 | ||
| MEDICAL OFFICE BUILDING | ||
| 4 | ||
| ON THE CAMPUS OF PHELPS | ||
| 5 | ||
| MEMORIAL HOSPITAL ASSOCIATION. | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1Txt |
| City | SLEEPY HOLLOW | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10591 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PHELPSHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 5932000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PHELPSHOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.PHELPSHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PHELPS MEMORIAL HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 5: PHELPS MEMORIAL HOSPITAL CENTER ASSESSES COMMUNITY HEALTH NEEDS BY ANALYZING DATA COLLECTED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, THE WESTCHESTER COUNTY DEPARTMENT OF COMMUNITY MENTAL HEALTH, AND THE NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES. RECOGNIZING THE VALUE OF FEEDBACK ABOUT HEALTH CARE NEEDS FROM PEOPLE WHO LIVE AND WORK IN OUR COMMUNITY, PHELPS SURVEYS PRE-HOSPITAL AND POST-HOSPITAL CARE PROVIDERS INCLUDING PHYSICIANS, AMBULANCE CORPS, CLINICS, NURSING HOMES AND HOME HEALTH AGENCIES. THROUGH ONGOING DIALOGUE WITH THEM AND WITH SCHOOLS, CHURCHES, COMMUNITY COALITIONS AND KEY COMMUNITY LEADERS, WE HAVE BEEN ABLE TO RECOGNIZE GAPS IN COMMUNITY HEALTH SERVICES AND EDUCATION. MOST IMPORTANTLY, THE RESPONSE OF INDIVIDUALS TO SURVEYS AND FOCUS GROUPS THIS YEAR HAS BROUGHT TO LIGHT THE NEED FOR NEW SERVICES OR IMPROVED ACCESS TO EXISTING SERVICES AND HOW WE COMMUNICATE THOSE SERVICES. BASED ON OUR ASSESSMENT, WE DEFINED THE FOLLOWING PRIORITIES:- COMMUNITY PREPAREDNESS- MENTAL HEALTH/SUBSTANCE ABUSE- SENIOR HEALTH- HEALTH SCREENINGS, HEALTH EDUCATION AND PROGRAMS- PREVENT CHRONIC DISEASE*- PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN* *INCLUDES NEW YORK STATE 2013 HEALTHIEST STATE INITIATIVES |
| PHELPS MEMORIAL HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY USED ITS MEDICAID RATE FOR HOSPITAL INPATIENT ADMISSIONS WHICH IS ITS LOWEST HOSPITAL INPATIENT RATE. THE HOSPITAL INCURRED A LOSS OF $17,887,420 AS A RESULT OF PROVIDING CARE TO MEDICAID PATIENTS. THE HOSPITAL FACILITY USED THE AVERAGE NEGOTIATED COMMERCIAL INSURANCE RATES FOR OUTPATIENT SERVICES PROVIDED TO OUTPATIENT PROCEDURES. IN ADDITION THE HOSPITAL FACILITY USES A SLIDING SCALE FOR CERTAIN CLINIC AND RECURRING OUTPATIENT SERVICES. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| PHELPS MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16A WEBSITE: | WWW.PHELPSHOSPITAL.ORG |
| PHELPS MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16B WEBSITE: | WWW.PHELPSHOSPITAL.ORG |
| PHELPS MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16C WEBSITE: | WWW.PHELPSHOSPITAL.ORG |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| PHELPS - ATS | ||||
| 22 ROCKLEDGE AVE | OSSINING | NY | 10562 | INTENSIVE OUTPATIENT AND SUBSTANCE ABUSE CLINIC |
| PHELPS- CDT | ||||
| 315 SOUTH HIGHLAND AVE | BRIARCLIFF MANOR | NY | 10510 | SEVERLY AND PERSISTENT MENTALLY ILL OUTPATIENT CLINIC (SPMI) |
| PHELPS - SCMICM | ||||
| 315 SOUTH HIGHLAND AVE | BRIARCLIFF MANOR | NY | 10510 | OUTPATIENT CLINIC FOR THE SPMI POPULATION LIVING IN THE COMMUNITY |
| PHELPS COUNSELING | ||||
| 755 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | MENTAL HEALTH OUTPATIENT CLINIC |
| OSSINING COUNSELING | ||||
| 22 ROCKLEDGE AVE | OSSINING | NY | 10562 | MENTAL HEALTH OUTPATIENT CLINIC |
| PHELPS - THRESHOLD | ||||
| 155 WHITEPLAINS ROAD - SUITE 210 | TARRYTOWN | NY | 10591 | SUBSTANCE ABUSE OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | PHELPS MEMORIAL HOSPITAL HAS INCLUDED BAD DEBT EXPENSE IN THE AMOUNT OF $1,279,000 ON THE FORM 990, PART IX, LINE 25. THIS AMOUNT IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7 COLUMN F AS PER THE INSTRUCTIONS. |
| PART III, LINE 4: | PART III, LINE 2: PATIENTS' ACCOUNTS RECEIVABLEPATIENTS' ACCOUNTS RECEIVABLE ARE RECORDED AT THE CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS PMHC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN PMHC'S EXISTING ACCOUNTS RECEIVABLE. PMHC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. PMHC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST-DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. PART III, LINE 4: SEE NOTE 1(G) PAGE 4 OF THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF INDEPENDENT PERSONS REPRESENTING THE COMMUNITY THE HOSPITAL SERVES. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24/7 TO ALL PEOPLE REGARDLESS OF ONE'S ABILITY TO PAY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. FINALLY, THE HOSPITAL PARTICIPANTS IN THE MEDICARE, MEDICAID AND ALL OTHER APPLICABLE GOVERNMENT-SPONSORED HEALTH PROGRAMS.TO PROVIDE READILY ACCESSIBLE, STATE-OF-THE-ART AND HIGHEST QUALITY CARE POSSIBLE TO ALL PATIENTS, THE BOARD OF DIRECTORS HAS EMBRACED THE NEED TO SUBSIDIZE THE COST OF CARE PROVIDED TO INDIVIDUALS COVERED BY GOVERNMENT-SPONSORED HEALTH PROGRAMS, SINCE IN MANY CASES THE REIMBURSEMENT DOES NOT COVER THE COST OF SERVICES. THEREFORE, SIMILAR TO THE UNREIMBURSED COST OF CARE PROVIDED TO MEDICAID COVERED PATIENTS, THE SHORTFALL ATTRIBUTABLE TO MEDICARE COVERED PATIENTS IS A MEASURE OF THE BENEFIT THE HOSPITAL PROVIDES TO ITS COMMUNITY. |
| PART III, LINE 9B: | THE HOSPITAL HAS ESTABLISHED A FINANCIAL COUNSELING GROUP THAT ASSISTS PATIENTS IN COMPLETING FORMS AND PROVIDING FINANCIAL DATA IN SUPPORT OF CHARITY CARE REQUESTS. THE GROUP FOLLOWS THE POLICIES AND PROCEDURES ESTABLISHED BY THE HOSPITAL IN PROVIDING THIS COMMUNITY BENEFIT. |
| PART VI, LINE 2: | NEEDS ASSESSMENT:PHELPS MEMORIAL HOSPITAL CENTER (PHMC) IS A 238-BED ACUTE CARE COMMUNITY HOSPITAL, LOCATED IN CENTRAL WESTCHESTER COUNTY. SINCE ITS BEGINNING IN 1956, PHELPS MEMORIAL HAS STRIVED TO PROVIDE ITS COMMUNITY WITH THE FINEST QUALITY HEALTHCARE. THE EXTENT OF SERVICES MADE AVAILABLE TO THOSE WE SERVE RANGES FROM EMERGENCY SERVICES TO ACUTE CARE INPATIENT SERVICES, AS WELL AS A HOST OF OUTPATIENT SERVICES DESIGNED TO ADDRESS THE NEEDS OF THOSE WHO MAKE UP THE PHELPS SERVICE AREA.OUR STRUCTURE:PHELPS MEMORIAL HOSPITAL CENTER IS ONE OF THE FOUR MEMBERS OF THE STELLARIS HEALTH NETWORK. PHELPS WORKS COLLABORATIVELY WITH OPEN DOOR FAMILY HEALTH CENTERS TO PROVIDE PRENATAL CARE AND HAS AN AGREEMENT WITH WESTCHESTER MEDICAL CENTER TO PROVIDE CARE FOR HIGH-RISK MOTHERS AND NEONATES. CANCER CARE IS PROVIDED BY MEMORIAL SLOAN-KETTERING CANCER CENTER ON PHELPS' CAMPUS. THROUGH OUR CLINIC AFFILIATION WITH THE MOUNT SINAI MEDICAL CENTER, EXPERT SENIOR HEALTH SERVICES ARE ACCESSIBLE IN THE LOCAL COMMUNITY. THE HOSPITAL MAINTAINS AN EXTENSIVE NETWORK OF OUTPATIENT MENTAL HEALTH SERVICES, OUTPATIENT MEDICAL DIAGNOSTIC AND TREATMENT FACILITIES, AS WELL AS A HOME-BASED HOSPICE PROGRAM. OVERSIGHT IS PROVIDED BY A 22-MEMBER BOARD OF DIRECTORS, ALL OF WHOM VOLUNTEER THEIR TIME AND EXPERTISE.OUR MISSION:THE MISSION OF PHELPS IS TO:- IMPROVE THE HEALTH OF THE COMMUNITY- OFFER PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES- EDUCATE THE COMMUNITY TO ACHIEVE OPTIMAL QUALITY OF LIFE- PROVIDE COMPREHENSIVE CARE IN A SAFE, MODERN ENVIRONMENTOUR ASSESSMENT:PHELPS MEMORIAL HOSPITAL CENTER ASSESSES COMMUNITY HEALTH NEEDS BY ANALYZING DATA COLLECTED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, THE WESTCHESTER COUNTY DEPARTMENT OF COMMUNITY MENTAL HEALTH, AND THE NEW YORK OFFICE OF ALCOHOLISM AND SUSBTANCE ABUSE SERVICES.RECOGNIZING THAT PEOPLE WHO LIVE AND WORK IN OUR COMMUNITY PROVIDE VALUABLE INFORMATION, PHELPS SOLICITS FEEDBACK FROM PRE-HOSPITAL AND POST-HOSPITAL CARE PROVIDERS, INCLUDING PHYSICIANS, AMBULANCE CORPS, CLINICS, NURSING HOMES AND HOME HEALTH AGENCIES. THROUGH ONGOING DIALOGUE WITH SCHOOLS AND CHURCHES, COMMUNITY COALITIONS AND KEY COMMUNITY LEADERS, WE HAVE BEEN ABLE TO RECOGNIZE GAPS IN COMMUNITY HEALTH EDUCATION. MOST IMPORTANTLY, THE RESPONSE OF INDIVIDUALS TO SURVEYS AND FOCUS GROUPS HAS BROUGHT TO LIGHT THE NEED FOR NEW SERVICES OR IMPROVED ACCESS.BASED ON OUR ASSESSMENT, WE DEFINED THE FOLLOWING PRIORITIES: CRISIS RESPONSE, BEHAVIORAL HEALTH, WELLNESS PROMOTION AND FAMILY HEALTH. OUR GOALS ARE IN CONCERT WITH THE VISION OF THE NEW YORK STATE HEALTHIEST STATE INITIATIVE; NAMELY,- TO INCREASE QUALITY AND YEARS OF HEALTHY LIFE- TO ELIMINATE HEALTH DISPARITIES, INCREASING ACCESS TO PREVENTION AND EARLY DETECTION |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL IS A LEADER IN THE DEVELOPMENT OF FINANCIAL ASSISTANCE PROGRAMS FOR THE UNINSURED. THE PROGRAM PROVIDES FOR REDUCED FEES FOR THE UNINSURED RESIDENTS OF ITS SERVICE AREA. THE CURRENT FEE SCHEDULE INCLUDES PATIENTS WITH HOUSEHOLD INCOMES UPTO 500% OF THE FPL. WHILE THE FEE SCHEDULE SERVES AS A GUIDE, ALL HARDSHIP CASES ARE EVALUATED ON A CASE-BY-CASE BASIS, TAKING INTO ACCOUNT THE INDIVIDUAL'S FINANCIAL AND PERSONAL CIRCUMSTANCES.ALL MEDICALLY NECESSARY SERVICES ARE COVERED UNDER THE FINANCIAL ASSISTANCE PROGRAM AND THE PUBLIC IS NOTIFIED OF THE AVAILABILITY OF THE PROGRAM THROUGH:"MULTILINGUAL EDUCATIONAL BROCHURES AT KEY POINTS OF PATIENT CONTACT SPECIFICALLY IN THE ADMITTING OFFICE AND EMERGENCY DEPARTMENT"CENTRALIZED PROGRAM ADMINISTRATION ACCESSIBLE VIA PHONE (914-366-3133)"STAFF OUTREACH"PATIENT BILLS - ALL BILLS INCLUDE A NOTICE ABOUT THE FNANCIAL ASSISTANCE PROGRAM.THE HOSPITAL INFORMS AND EDUCATES PATIENTS ON A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS. IT HAS A FULLY STAFFED FINANCIAL ASSISTANCE SERVICES DEPARTMENT STAFFED WITH BI-LINGUAL FINANCIAL COUNSELORS (DEPUTIZED MEDICAID WORKERS) THAT HELP EDUCATE AND PROVIDE ASSISTANCE IN APPLYING FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, CHARITY CARE AND DISCOUNTED CARE.PHELPS IS COMMITTED TO PROVIDING QUALITY CARE TO ALL WHO NEED IT, REGARDLESS OF THE ABILITY TO PAY. PHELPS OFFERS COUNSELING AND OUTREACH SERVICES FOR THOSE WHO HAVE DIFFICULTY PAYING THEIR BILL. HELP IS AVAILABLE IN A VARIETY OF DIFFERENT FORMS FOR THOSE WITHOUT INSURANCE SUCH AS THOSE WITH HIGH CO-PAYMENTS AND/OR DEDUCTIBLES, THOSE WITH TEMPORARY LAPSES IN EMPLOYER-SPONSORED COVERAGE AND THOSE WHO ARE ELIGIBLE BUT NOT ENROLLED IN GOVERNMENT-SPONSORED HEALTH PLANS. SIGNAGE IS POSTED THROUGHOUT THE HOSPITAL REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION AND FREQUENTLY ASKED QUESTIONS CAN ALSO BE FOUND ONLINE ON OUR WEBSITE IN THE PATIENT FINANCIAL SERVICES CENTER AND IN THE PATIENT AND VISITOR INFO SECTION. WE ROUTINELY ESTABLISH PAYMENT PLANS THAT ALLOW PATIENTS TO PAY THEIR BILLS OVER TIME. WE ASSIST NUMEROUS PATIENTS EACH YEAR TO ESTABLISH ELIGIBILITY FOR MEDICAID, MEDICARE, CHILD HEALTH PLUS AND FAMILY HEALTH PLUS. WE OFFER CHARITY CARE FOR ALL SERVICES TO THOSE WHO QUALIFY AND SLIDING SCALE DISCOUNTS TO THOSE WHO EXCEED INCOME GUIDELINES. PHELPS ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED SERVICES THROUGH OUR EXTENSIVE COMMUNITY HEALTH PROGRAMMING. WITH MEDICAL COSTS INCREASING AND MANY FAMILY INCOMES STAGNANT OR DECREASING, THE NEED FOR PRO BONO SERVICES, CHARITY CARE AND SLIDING SCALE DISCOUNTS HAS GROWN IN WESTCHESTER COUNTY. OUR COMMUNITY HEALTH PROGRAMS PROMOTE HEALTHY LIVING, HEALTH EDUCATION AND PRIMARY CARE SERVICES THROUGH A VARIETY OF MEDIA THAT CONTINUES TO DRAW INCREASED PARTICIPATION IN THESE INITIATIVES.OUR COMMUNITY HEALTH PROGRAMS, AVAILABILITY OF FINANCIAL COUNSELING AND CHARITY CARE ARE DISPLAYED AT ALL POINTS OF SERVICE IN THE HOSPITAL AS WELL AS BROADCAST IN OUR COMMUNITY HEALTH PUBLICATION, CARING FOR OUR COMMUNITY, IN OUR MAGAZINE, PHELPS TODAY, ON PHELPS' WEBSITE IN THE PATIENT AND VISITOR INFO TAB, IN PHYSICIAN OFFICES AND IN BROCHURES HAND-DELIVERED TO THOSE REGISTERING FOR SERVICE. WITH THIS INITIATIVE, APPLICATIONS FOR FINANCIAL AID HAVE INCREASED BY 26% OVER THE LAST THREE YEARS, AND PHELPS LEADS THE WAY, APPROVING THE VAST MAJORITY (OVER 89%) OF THE APPLICATIONS RECEIVED. |
| PART VI, LINE 4: | COMMUNITY INFORMATION:THE PHELPS SERVICE AREA BY ZIP CODE INCLUDES THE FOLLOWING:10562 OSSINING 10548 MONTROSE 10591 TARRYTOWN10522 DOBBS FERRY 10510 BRIARCLIFF MANOR 10520 CROTON ON HUDSON10511 BUCHANAN 10566 PEEKSKILL 10706 HASTINGS ON HUDSON10596 VERPLANCK 10570 PLEASANTVILLE 10546 MILLWOOD10533 IRVINGTON 10545 MARYKNOLL 10503 ARDSLEY ON HUDSON10517 CROMPOND 10523 ELMSFORD 10521 CRUGERSFOR COMMUNITY HEALTH PLANNING, PHELPS HAS DEFINED A PRIMARY SERVICE AREA BASED UPON ZIP CODES OF RESIDENCE OF THE HIGHEST VOLUME OF MEDICAL-SURGICAL,PSYCHIATRIC AND OBSTETRICAL/GYNECOLOGICAL HOSPITAL DISCHARGES. THIS PRIMARY SERVICE AREA INCLUDES:10562 OSSINING 17.4% OF DISCHARGES POPULATION 31,79610591 TARRYTOWN 11.9% OF DISCHARGES POPULATION 22,54010520 CROTON 4.9% OF DISCHARGES POPULATION 12,81010510 BRIARCLIFF 3.9% OF DISCHARGES POPULATION 9,988WE HAVE ALSO INCLUDED 10545 MARYKNOLL, BECAUSE 64% OF THE RESIDENTS UTILIZE PHELPS FOR BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. UNIQUE TO PHELPS, IS THE COLLABORATION WITH OPEN DOOR FAMILY MEDICAL CENTER FOR PERINATAL CARE. IN ADDITION TO SERVING THE OSSINING AND TARRYTOWN/SLEEPY HOLLOW COMMUNITY, WE HAVE INCORPORATED THE PORTCHESTER COMMUNITY FORMERLY SERVED BY UNITED HOSPITAL. WE ALSO SUPPORT PLANNED PARENTHOOD, WHICH BRINGS RESIDENTS OF GREENBERG. BEHAVIORAL REHABILITATION PATIENT ORIGIN IS WIDELY DISPERSED ACROSS THE TRI-STATE AREA, WITH NO ZIP CODE CONTRIBUTING MORE THAN 6.2% OF THE ANNUAL 529 DISCHARGES.COMMUNITY HEALTH PLANNINGANALYSIS OF DEMOGRAPHICS-MOST RECENT WESTCHESTER COUNTY DEPARTMENT OF PLANNING 2010 CENSUS DATA.1. WESTCHESTER FACTS:- 1.8% INCREASE IN POPULATION- 14.7% > 65 YEARS OLD- 51.9% FEMALE- 57.4% WHITE- 13.3% BLACK- 5.4% ASIAN- 21.8% LATINO- 41% PERSONS > 25 YEARS OLD HAVE B.S. DEGREE OR HIGHER |
| PART VI, LINE 5: | THE HOSPITALS COMMUNITY OUTREACH STRATEGIES IDENTIFY HEALTH NEEDS THROUGH EDUCATION, COMMUNITY ADVOCACY, PARTNERSHIPS AND PROGRAMS THAT RESULT IN IMPROVED ACCESS TO HEALTHCARE AND HEALTH OUTCOMES. THE STRATEGIES AND PROGRAMS FOR ACHIEVING THIS GOAL INCLUDE:PRIORITY: ACCESS TO HEALTHCAREFAMILY MEDICINE RESIDENCY PROGRAMHEALTHCARE POLICY PLANNERS, PROVIDERS AND THE PUBLIC ARE AWARE THAT THE DEMAND FOR PRIMARY CARE PROVIDERS WILL EXCEED THE SUPPLY AS MORE PERSONS BECOME INSURED UNDER THE PROVISIONS OF THE AFFORDABLE CARE ACT TO BE BETTER PREPARED TO RESPOND TO THIS COMMUNITY NEED, NEW YORK MEDICAL COLLEGE, OPEN DOOR FAMILY MEDICAL CENTERS, AND PHELPS MEMORIAL HOSPITAL CENTER ESTABLISHED A FAMILY MEDICINE RESIDENCY PROGRAM. OUR GOAL IS TO DEVELOP FAMILY PHYSICIAN LEADERS WHO PROVIDE OUTSTANDING CLINICAL CARE AND COMMUNITY SERVICES THROUGH PARTNERSHIP AND INNOVATION. THE RESIDENCY IS A VIBRANT, QUALITY PROGRAM WHERE ALL CONSTITUENCIES WORK TOGETHER EFFECTIVELY TO PROVIDE COMPREHENSIVE, COMPASSIONATE SERVICE AND EDUCATION. OUR FIRST RESIDENTS ARRIVED ON JULY 2, 2012 TO BEGIN THEIR THREE-YEAR RESIDENCY. EACH YEAR THE RESIDENCY WILL HAVE EIGHT NEW RESIDENTS, SO THAT BY THE THIRD YEAR THERE WILL BE 24 RESIDENTS IN THE PROGRAM. THIS TEACHING SERVICE COMPLEMENTS A NEW YORK MEDICAL COLLEGE-SPONSORED DENTAL RESIDENCY THAT ALSO BEGAN IN JULY. FOUR DENTAL RESIDENTS PARTICIPATE IN THIS PROGRAM ANNUALLY. APART FROM THE RESIDENCY, AFFILIATIONS BROUGHT 515 STUDENTS TO OUR HOSPITAL DURING THE YEAR, INCLUDING STUDENTS IN CLINICAL SERVICES, MENTAL HEALTH, SECURITY AND PASTORAL CARE.EARLY DIAGNOSISTHERE IS A CONCERN THAT THERE IS A LACK OF EARLY BREAST CANCER DIAGNOSIS AMONG THE MINORITY POPULATION IN OUR COMMUNITY, AS MANY MAY HAVE LIMITED EDUCATION ON THE VALUE OF MAMMOGRAPHY AND BREAST SELF-EXAM AND MAY NOT HAVE HEALTH INSURANCE. INFORMING PRIMARY CARE PROVIDERS AND COMMUNITY AGENCIES OF OUR WILLINGNESS TO PROVIDE THESE SERVICES RESULTED IN 617 PERSONS AVAILING THEMSELVES OF SCREENING MAMMOGRAPHY AND INSTRUCTION IN BREAST SELF-EXAM. IN ADDITION, ONE OF OUR GENERAL SURGEONS AND A GYNECOLOGIST, BOTH BILINGUAL IN ENGLISH AND SPANISH, PROVIDED NO-COST PHYSICAL EXAMINATIONS AT OUR ANNUAL HEALTH FAIR, DIA DE SALUD, WHICH WE HELD IN MAY 2013 IN TARRYTOWN. EIGHTY-ONE FAMILIES ATTENDED TO RECEIVE SCREENINGS FOR DEPRESSION, VISUAL ACUITY, HEARING, BLOOD PRESSURE, BLOOD SUGAR, BMI AND HIV. EDUCATION ON HEALTH MAINTENANCE AND COM-MUNITY RESOURCES SUPPLEMENTED THESE CLINICAL SERVICES. THE SUCCESS OF POPULATION-ORIENTED HEALTH FAIRS PROMPTED US TO CONDUCT A GERIATRIC HEALTH FAIR. WE ALSO CONTINUED ON-CAMPUS SCREENINGS FOR DIABETES, HYPERTENSION, CANCER, AND SPEECH AND HEARING PROBLEMS, CON-DUCTING A TOTAL OF 457 SCREENINGS.EMERGENCY LIFE SUPPORT TRAININGWE CONTINUE TO FOCUS ON OUR CORE ACTIVITIES, SERVING AS THE HOSPITAL'S COORDINATOR AND PROVIDER OF THE AMERICAN HEART ASSOCIATION'S ADVANCED LIFE SUPPORT (ALS) TRAINING PROGRAMS AND PROVIDING INSTRUCTION TO COM-MUNITY EMERGENCY MEDICAL SERVICES (EMS) PROFESSIONALS. WE OFFER EMERGENCY EDUCATION PROGRAMS TO COMMUNITY AND CORPORATE CLIENTS AND COORDINATE THE HOSPITAL'S EMERGENCY PREPAREDNESS EFFORTS. WE FACILITATE AND COORDINATE THE COLLABORATIVE QUALITY ASSURANCE EFFORTS OF THE LOCAL EMS PROVIDER AGENCIES: TARRYTOWN, SLEEPY HOLLOW AND OSSINING VOLUNTEER AMBULANCE CORPS, AS WELL AS THE CROTON-ON-HUDSON AND BRIARCLIFF MANOR FIRE DEPARTMENTS AND THE TRI-COMMUNITY FLY CAR SERVICE.EMERGENCY PREPAREDNESSTHE NEW YORK STATE POWER AUTHORITY AND ENTERGY CORPORATION HAVE DESIGNATED PHELPS AS A RECEIVING HOSPITAL FOR VICTIMS OF RADIOACTIVE CONTAMINATION. EACH YEAR, WE HAVE JOINT NUCLEAR PREPAREDNESS TRAINING SESSIONS AND DRILLS CONDUCTED BY EXPERTS IN THE FIELD. DECONTAMINATION PROCEDURES HAVE BEEN INCORPORATED INTO THE EMERGENCY DEPARTMENT (ED) DISASTER PLAN. WE MAINTAIN A SEPARATE DECONTAMINATION FACILITY IN THE ED AND HAVE COMPETENT STAFF TO RESPOND TO A COMMUNITY DISASTER.WARM LINEBY CALLING 914-366-3111, PATIENTS CAN GET ANSWERS TO QUESTIONS OR CONCERNS FOLLOWING THEIR HOSPITALIZATION AT PHELPS. MANY CALLERS HAVE HAD QUESTIONS CONCERNING THEIR MEDICATIONS OR NEED HELP SCHEDULING FOLLOW-UP APPOINTMENTS. IN 2014 WE ASSISTED 95 CALLERS.PRIORITY: BEHAVIORAL HEALTH MENTAL HEALTH OF OUR COMMUNITY PHELPS MEMORIAL HOSPITAL CENTER'S BEHAVIORAL HEALTH SERVICES HAS FOUR OUTPATIENT MENTAL HEALTH CLINICS CERTIFIED BY NEW YORK STATE. LOCATED IN SLEEPY HOLLOW, TARRYTOWN AND OSSINING, THESE PROGRAMS PROVIDE SERVICES TO CHILDREN, ADOLESCENTS, ADULTS AND FAMILIES OF EVERY SOCIAL AND ECONOMIC LEVEL. THE PROGRAMS ARE STAFFED BY SOCIAL WORKERS AND PSYCHIATRISTS AND/OR PSYCHOLOGISTS. THE SITE IN TARRYTOWN PROVIDES TREATMENT IN SPANISH AND ENGLISH. PHELPS' BEHAVIORAL HEALTH REFERRAL LINE, WHICH IS AVAILABLE TO THE PUBLIC, MAY BE CALLED 24 HOURS A DAY, 7 DAYS PER WEEK. THIS YEAR, THE COUNSELING SERVICE RESPONDED TO NEEDS EXPRESSED WITHIN THE COMMUNITY AND DEVELOPED SEVERAL NEW THERAPY GROUPS. OUR COUNSELING SERVICES PROVIDED 50,787 PATIENT VISITS FOR 2014.FUNCTIONING FOR PRODUCTIVE LIVING AS PART OF OUR CONTINUUM OF CARE, PHELPS MEMORIAL HOSPITAL CENTER'S BEHAVIORAL HEALTH SCIENICES OFFERS A NEW YORK STATE-CERTIFIED COMMUNITY-BASED CONTINUING DAY TREATMENT (COT) PROGRAM IN BRIARCLIFF MANOR. THE COT PROGRAM IS OPEN FIVE DAYS PER WEEK, AND PEOPLE WHO REQUIRE INTENSIVE TREATMENT MAY ATTEND ALL FIVE DAYS. A PSYCHIATRIST IS LOCATED ON-SITE, AND SOCIAL WORKERS, A NURSE, A VOCATIONAL COUNSELOR AND PARAPROFESSIONAL STAFF ARE ALSO AVAILABLE TO WORK WITH THE PATIENTS. THIS PROGRAM ASSISTS PEOPLE IN THEIR RECOVERY FROM MENTAL ILLNESS AND HELPS THEM REMAIN OUT OF A HOSPITAL INPATIENT PSYCHIATRIC SETTING. THE PROGRAM HAD 19,543 PATIENT VISITS IN 2014.INTENSIVE/SUPPORTIVE CASE MANAGEMENT PEOPLE WHO HAVE SERIOUS AND PERSISTENT MENTAL HEALTH ISSUES MAY UTILIZE OUR CASE MANAGEMENT PROGRAM, WHICH OFFERS BOTH SUPPORTIVE AND INTENSIVE CASE MANAGEMENT SCIENCES. COVERING NORTHERN WESTCHESTER COUNTY, THE SERVICES ARE PROVIDED WITHIN THE COMMUNITY. BECAUSE OF THE HIGH DEGREE OF NEED PRESENTED BY THESE PATIENTS, EACH SUPPORTIVE CASE MANAGER WORKS WITH AT LEAST 20 PATIENTS AT ANY GIVEN TIME AND EACH INTENSIVE CASE MANAGER WORKS WITH 12 PATIENTS AT ANY GIVEN TIME, OFFERING IN-DEPTH AND INTENSIVE SCIENCES. CASE MANAGEMENT OFFERS ASSISTANCE IN MANY AREAS OF THE PATIENT'S LIFE 'INCLUDING: MENTAL HEALTH, MEDICAL, HOUSING, FINANCIAL, PSYCHOSOCIAL, EDUCATIONAL AND VOCATIONAL.REDUCED DEPENDENCY ON ALCOHOL & DRUGSRECOGNIZING THE DELETERIOUS EFFECTS OF CHEMICAL DEPENDENCY WITHIN OUR COMMUNITY, WE DEVELOPED SERVICES TO ENGAGE ADULTS, ADOLESCENTS AND THEIR FAMILIES IN EFFECTIVE RECOVERY PROGRAMS. INDIVIDUAL AND GROUP COUNSELING SERVICES ARE OFFERED SIX DAYS PER WEEK, WITH BOTH DAY AND EVENING HOURS AVAILABLE. OUR PROGRAMS ARE GEARED TO WORK EFFECTIVELY WITH CHEMICAL DEPENDENCY ISSUES THROUGH TREATMENT AND EDUCATION. MANY INDIVIDUALS SUCCESSFULLY COMPLETE TREATMENT AND ARE ABLE TO ENGAGE IN PRODUCTIVE ACTIVITIES, INCLUDING EMPLOYMENT. OUR CHEMICAL DEPENDENCE SERVICES PROVIDED 20,908 VISITS IN 2014.PRIORITY: CHRONIC DISEASEREDUCING STROKE MORTALITYTO ADDRESS STROKE MORTALITY, WE CREATED A MULTIDISCIPLINARY TEAM OF CLINICIANS, INCLUDING LOCAL FIRST RESPONDERS, TO DIRECT THE IMPLEMENTATION OF EVIDENCE-BASED PROTOCOLS FOR PROMPT ASSESSMENT AND TREATMENT OF STROKE. THIS TEAM PROVIDES A BROAD RANGE OF INFORMATION AND EDUCATIONAL ACTIVITIES FOR BOTH THE LAY COMMUNITY AND PROFESSIONAL PROVIDERS. WE ARE A DESIGNATED STROKE CENTER AND USE THE AMERICAN HEART ASSOCIATION/ AMERICAN STROKE ASSOCIATION'S "GET WITH THE GUIDELINES" STANDARDS TO EVALUATE THE EFFECTIVENESS OF OUR EFFORTS. WE ARE PLEASED TO REPORT THAT WE RECEIVED THE GOLD PLUS ACHIEVEMENT AWARD, THE HIGHEST LEVEL AHNASA RECOGNITION FOR STROKE CARE EVERY YEAR SINCE 2009.PRIORITY: HEALTHY MOTHERS/HEALTHY BABIESPRENATAL SERVICESWE CONTINUE TO OFFER PRENATAL SERVICES IN COLLABORATION WITH OPEN DOOR FAMILY MEDICAL CENTERS IN OSSINING, TARRYTOWN AND PORT CHESTER AND PROVIDED 727 VISITS FOR THE YEAR. LAMAZE CLASSES WERE OFFERED, WITH 120 COUPLES PARTICIPATING. LACTATION CONSULTANTS SAW ALL MATERNITY PATIENTS TO PROMOTE BREASTFEEDING AND PROVIDED POST-PARTUM FOLLOW-UP. BREASTFEEDING CONSULTATION SERVICES WERE OFFERED IN BOTH ENGLISH AND SPANISH. THE WORLD HEALTH ORGANIZATION HAS DEMONSTRATED THE POSITIVE EFFECT OF SUCCESSFUL BREASTFEEDING ON REDUCING INFANT MORTALITY AND MORBIDITY. ANECDOTALLY, BREASTFEEDING SUPPORTS THE REGIONAL OBJECTIVE TO ELIMINATE BABY BOTTLE TOOTH DECAY. OUR TARGET IS FOR 80% OF MOTHERS WHO DELIVER AT PHELPS TO STILL BE BREASTFEEDING THREE MONTHS POST DELIVERY. WE ACHIEVED 81 % AND RECEIVED SPECIAL RECOGNITION FROM NEW YORK STATE. WITH GRANT FUNDS WE WERE ABLE TO ESTABLISH A LICENSED BREAST MILK BANK TO SUPPLEMENT MOTHERS NEEDING ASSISTANCE. |
| PART VI, LINE 6: | PHELPS MEMORIAL HOSPITAL ASSOCIATION (PMHA) D/B/A PHELPS MEMORIAL HOSPITAL CENTER IS A NON-FOR-PROFIT 235 BED ACUTE FACILITY LOCATED IN SLEEPY HOLLOW, NEW YORK. PMHA PROVIDES A FULL RANGE OF HOSPITAL AND HEALTHCARE SERVICES TO THE SURROUNDING COMMUNITIES. THE BOARD OF DIRECTORS (THE BOARD) OF PMHA APPROVED AND EXECUTED AN AFFILIATION AGREEMENT WITH HEALTHSTAR NETWORK, INC., D/B/A STELLARIS HEALTH NETWORK, INC. (STELLARIS), A NEW YORK STATE NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES. THE AFFILIATION AGREEMENT RESULTED IN ESTABLISHING STELLARIS AS THE SOLE MEMBER OF PMHA, JOINING WHITE PLAINS, NORTHERN WESTCHESTER, AND LAWRENCE HOSPITALS. THE PRIMARY PURPOSE OF STELLARIS IS TO PRESERVE A STRONG COMMUNITY-BASED HEALTHCARE SYSTEM FOR WESTCHESTER AND PUTNAM COUNTIES, EXPAND ACCESS TO AND IMPROVE THE QUALITY OF CARE FOR THE COMMUNITIES SERVED, DEVELOP A COMPREHENSIVE NETWORK OF PROVIDERS, AND ACHIEVE AND CAPITALIZE ON ECONOMIES OF SCALE TO EXECUTE THE DELIVERY OF EFFICIENT HEALTH CARE FOR THE COMMUNITY.STELLARIS HAS A JOINT COMMUNITY HEALTH COMMITTEE WHICH USES HEALTH DEPARTMENT NEEDS ASSESSMENTS AND SUPPORTS THEIR SELECTED PRIORITIES. WE JOINTLY PLAN, IMPLEMENT AND EVALUATE SELECT INTERVENTIONS THAT COMPLEMENT INDIVIDUAL FACILITY PRIMARY SERVICE AREA ACTIVITIES.THE COMMUNITY HEALTH COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH THE OVERALL HEALTH OF THE POPULATION SERVED BY STELLARIS HEALTH THROUGH OVERSIGHT OF COORDINATED LINKS BETWEEN LOCAL HEALTH DEPARTMENT NEEDS ASSESSMENT AND THE LARGER PUBLIC HEALTH ARENA. THE OBJECTIVES OF THE COMMITTEE INCLUDE: (A) REVIEW INFORMATION WHICH ASSESSES THE HEALTH STATUS OF THE COMMUNITY SERVED.(B) PROMOTE ACTIVITIES WHICH HAVE BEEN SHOWN TO POSITIVELY IMPACT HEALTH STATUS INDICATORS OF THE PUBLIC.(C) STUDY AND RECOMMEND COMMUNITY HEALTH INTERVENTIONS TO BE PROVIDED BY THE HEALTH SYSTEM INDEPENDENTLY OR IN COOPERATION WITH COMMUNITY BASED ORGANIZATIONS AND GOVERNMENT.(D) PROPOSE POLICY RECOMMENDATIONS TO GUIDE CURRENT PROGRAMS OR DEVELOP NEW PROGRAMS.(E) IDENTIFY OPPORTUNITIES TO MEET HEALTH CARE NEEDS THROUGH IMPROVED DELIVERY OF HEALTH CARE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
| PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH CONTINUED | WITH PARENTS' CONSENT, ALL BABIES BORN AT PHELPS ARE OFFERED THEIR FIRST HEPATITIS B VACCINE, AND MANY OF OUR PARENTS HAVE TAKEN ADVANTAGE OF THIS PROTECTIVE MEASURE FOR THEIR BABIES. HEARING SCREENINGS ARE PROVIDED FOR ALL BABIES BEFORE DISCHARGE, AND IF THERE IS A PROBLEM, THESE BABIES ARE REFERRED TO OUR SPEECH AND HEARING CENTER.ONE HUNDRED PERCENT OF PARENTS RECEIVED EDUCATION CONCERNING POST-PARTUM DEPRESSION AND SHAKEN-BABY SYNDROME. IN ADDITION, WE MAINTAIN AN "ABC HOTLINE" FOR PARENTS TO HAVE AN IMMEDIATE SOURCE OF INFORMATION ABOUT THEIR NEW BABY.PRIORITY: NUTRITION SUPPORT FOR THE COMMUNITYWESTCHESTER'S WOMEN, INFANTS AND CHILDREN (WIC) AND SCHOOL LUNCH PROGRAMS HAVE ADDRESSED THE NUTRITIONAL NEEDS OF SCHOOL CHILDREN. OUR FINDINGS SHOW THE NEED TO EDUCATE ADULTS ABOUT NUTRITION AND TO PROVIDE MEAL ASSISTANCE TO SENIORS AND THE DISABLED. WE COORDINATED BOTH GROUP AND INDIVIDUAL NUTRITION COUNSELING. OUR FOOD AND NUTRITION SERVICES DEPARTMENT PREPARES MEALS FOR THE LOCAL MEALS-ON-WHEELS PRO-GRAM AND PROVIDED 4,302 MEALS IN 2014. OUR FREE LUNCH PROGRAM FUNDED $31,502 WORTH OF MEALS AND SNACKS FOR LOCAL SENIORS WHO ARE VOLUNTEERS AT THE HOSPITAL. FOR THE CELIAC SPRUE SUPPORT GROUP THAT MEETS AT PHELPS FOUR TIMES PER YEAR, WE PROVIDED DIETARY SERVICE SUPPORT FOR COOKING DEMONSTRATIONS.RESPONDING TO COMMUNITY FEEDBACK COMMUNITY HEALTH EDUCATIONOUR COMMUNITY HEALTH EDUCATION PROGRAM OFFERS BROAD-BASED HEALTH PRO-MOTION. WE ADDRESS TOPICS SOLICITED FROM FOCUS GROUPS IN THE COMMUNITY. WE EXPECTED REDUCED INTEREST IN PERSONAL PRESENTATIONS, GIVEN THE WEALTH OF HEALTH INFORMATION AVAILABLE THROUGH THE INTERNET AND OTHER MEDIA SOURCES. THOUGH WE CONSIDERED SHIFTING OUR RESOURCES TO OTHER INITIATIVES, WE CONTINUED TO OFFER 23 HEALTHY LIFE PROGRAMS IN 2014 AND OUR ANNUAL ATTENDANCE SURPASSES 2,000 PERSONS. PARTICIPANTS TELL US THAT LIVE EXPOSURE TO EXPERTS, WITH AN OPPORTUNITY TO HAVE THEIR QUESTIONS ANSWERED IN REAL TIME, DRIVES THEIR ATTENDANCE. THIRTY-EIGHT PERCENT OF OUR PATIENTS HAVE EDUCATIONAL DEGREES ABOVE A COLLEGE LEVEL. MANY IN THIS GROUP HAVE FAMILIES WHERE BOTH SPOUSES ARE EMPLOYED. WE LEARNED THAT THEY MAY TAKE TIME FOR PHYSICAL FITNESS TRAINING BUT NOT TO TRAVEL TO HEALTH-ORIENTED EDUCATIONAL SESSIONS. FOR THIS REASON WE DEVELOPED PHELPS TODAY, A PRINTED PUBLICATION THAT IS MAILED TO 76,000 HOUSEHOLDS AND IS AVAILABLE ON THE PHELPS WEBSITE. VITAL SIGNS. A SERIES OF VIDEOS PRODUCED BY PHELPS FOCUSES ON DISEASE PREVENTION AND TREATMENT AND IS AVAILABLE ON LOCAL CABLE TV AND ON THE PHELPS WEBSITE (WWW.PHELPSHOSPITAL.ORG). IN MAY 2012, PHELPS MEMORIAL HOSPITAL CENTER JOINED OTHER WESTCHESTER HOSPITALS IN DEVELOPING HEALTHY FOOD POLICIES. THIS COALITION, BE HEALTHY WESTCHESTER-HEALTHY HOSPITALS, WAS FORMED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH TO COINCIDE WITH THE CENTERS FOR DISEASE CONTROL'S CAMPAIGN TO STOP THE GROWTH OF OBESITY. WE STUDIED THE EVIDENCE-BASED HEALTHY NORTH CAROLINA HOSPITAL INITIATIVE AND DESIGNED AND SUSTAINED THE FOLLOWING TACTICS TO PROMOTE HEALTHFUL EATING:- INSTALLED AND CONTINUED TO MAINTAINED A DEVICE NEXT TO THE VENDING MACHINES THAT DISPLAYS DIETARY INFORMATION ABOUT FOOD ITEMS TO HELP PEOPLE MAKE HEALTHIER SELECTIONS- CONTINUED TO REVISE CAFETERIA MENUS TO INCLUDE A HEART HEALTHY CHOICE- CAFETERIA MENUS WERE REGULARLY UPDATED TO LIST CALORIE, FIBER AND SODIUM CONTENT ALONG WITH WEIGHT WATCHERS POINTS FOR A DEFINED PORTION- REGULARLY ENHANCED THE SALAD BAR AND IMPLEMENTED A LOW FAT YOGURT BAR WITH HEALTHY CHOICE TOPPINGS- ENCOURAGED PORTION CONTROL BY CHARGING FOR FOOD BY THE OUNCE- ADDED LOW-FAT, LOW-SUGAR AND LOW-SODIUM OPTIONS FOR MANY FOOD PRODUCTS IN THE CAFETERIA AND GIFT SHOP- PROVIDED SCALES TO WEIGH FOOD SELECTIONS PRIOR TO PURCHASE- FRESH FRUITS AND VEGETABLES AVAILABLE DAILY- NUTRITIONAL EDUCATION POSTERS- WEEKLY FARMERS MARKET (SEASONAL)THE VITALITY INITIATIVEOUR SENIOR HEALTH PROGRAM, FIRST DESCRIBED IN OUR 2010-2011 SUBMISSION, CONTINUES TO OFFER CONSULTATION, MEMORY DISORDER EVALUATION, HEARING SCREENING AND MEAL ASSISTANCE. WE MET WITH PARTICIPANTS AND CONDUCTED FOCUS GROUPS IN COMMUNITY-BASED FACILITIES TO DETERMINE IF THERE WERE OTHER INITIATIVES THAT MIGHT BE HELPFUL. BASED UPON RESPONSES, WE SUPPLEMENTED THE PROGRAM WITH AN OUTREACH INITIATIVE WE NAMED VITALITY TO CAPTURE THOSE WHO DO NOT YET DESCRIBE THEMSELVES AS "SENIOR." OUR TARGET POPULATION IS NOW THOSE 50 AND OLDER. WE DEVELOPED OPPORTUNITIES FOR HEALTH PROMOTION BY CREATING THE BREAKFAST CLUB, A GROUP THAT MEETS THE SECOND THURSDAY OF EACH MONTH. DURING BREAKFAST, WE ENCOURAGE SOCIALIZATION AND SOLICIT SENIORS' CONCERNS AND IDEAS. BREAKFAST IS FOLLOWED BY AN EXERCISE SESSION TO IMPROVE BALANCE AND STRENGTH AND A GUEST SPEAKER ADDRESSES HEALTH TOPICS SELECTED BY THE CLUB. WHILE WE EXPECTED 35 PERSONS PER BREAKFAST CLUB, WE HAVE HAD A TURNOUT OF 75-100 CULTURALLY DIVERSE REGISTRANTS. WITHOUT BASELINE AND SCHEDULED REASSESSMENT OF BALANCE AND STRENGTH OR COGNITIVE ABILITY, WE HAVE NOT DEVELOPED OUTCOME MEASURES. ON THE FIRST WEDNESDAY OF THE MONTH THE BREAKFAST CLUB JOINS OTHER COM-MUNITY RESIDENTS FOR MIND GAMES, WHICH ARE INTENDED TO MAINTAIN MEMORY AND STIMULATE COGNITIVE FUNCTIONING THROUGH RECALL AND PROBLEM SOLVING.IN COLLABORATION WITH THE WESTCHESTER COUNTY DEPARTMENT OF SENIOR PROGRAMS AND SERVICES, WE OFFERED LIVING WELL, A SIX-WEEK WORKSHOP TO HELP THOSE WITH CHRONIC CONDITIONS LEARN SELF-MANAGEMENT. BECAUSE PARTICIPANTS ARE NOT A CONSISTENT CAPTIVE AUDIENCE, WE HAVE NOT BEEN ABLE TO EVALUATE HEALTH OUTCOMES OF THESE PARTICIPANTS. WE ARE PRESENTLY WORKING ON A METHOD TO MEASURE SELF-REPORTED MODIFICATION OF HEALTH BEHAVIORS. TO PROMOTE EXERCISE, COMMUNITY RESIDENTS AND PHELPS EMPLOYEES ARE INVITED TO PARTICIPATE IN A NUMBER OF PHELPS-SPONSORED WALKS AND RUNS (AMERICAN HEART ASSOCIATION ANNUAL HEARTWALK, STRIDES AGAINST BREAST CANCER WALK, RIVERTOWN RUNNERS, SLEEPY HOLLOW HALF MARATHON, SLEEPY HOLLOW SPRINT TRIATHLON). |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | NURSING TUITION ASSISTANCE | GrantTypeTxt |
| Recipient | 8 | RecipientCnt |
| Cash Grant | $60,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE NURSING PROMISE PROGRAM AWARDS FINANCIAL ASSISTANCE IN THE FORM OF A FORGIVABLE LOAN TO COVER LIVING EXPENSES FOR ELIGIBLE EMPLOYEES WHO ARE ACCEPTED AND ENROLLED IN AN ACCREDITED REGISTERED NURSING SCHOOL. CONTINUED ELIGIBILITY IN THE PROGRAM IS SUBJECT TO THE NURSING PROMISE STUDENT SUCCESSFULLY COMPLETING EACH SEMESTER'S NURSING COURSE WORK AND MAINTAINING SATISFACTORY WORK PERFORMANCE AT PHELPS MEMORIAL HOSPITAL. NURSING PROMISE STUDENTS WHO START WORK AT PHELPS MEMORIAL HOSPITAL AS A GRADUATE NURSE OR R.N. WITHIN TWO MONTHS OF GRADUATION ARE ELIGIBLE TO EARN LOAN FORGIVENESS. THE NURSING PROMISE COORDINATOR AND NURSE EDUCATOR SERVE AS MENTORS TO THE NURSING PROMISE STUDENTS AND ARE RESPONSIBLE TO MONITOR EACH STUDENT'S COMPLIANCE WITH THE PROGRAM. MENTORS MEET WITH THE STUDENTS ON A REGULAR BASIS AND DISCUSS THE STUDENTS WORK PERFORMANCE WITH THE STUDENT'S SUPERVISOR. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANKLIN H ZIMMERMAN MD | ||||||||||||||
| DIRECTOR | $646,801 | $0 | $0 | $0 | $32,547 | $0 | $18,460 | $0 | $25,539 | $0 | $723,347 | $0 | $0 | $0 |
| KEITH F SAFIAN | ||||||||||||||
| PRESIDENT | $890,910 | $0 | $280,989 | $0 | $278,262 | $0 | $18,460 | $0 | $26,139 | $0 | $1,494,760 | $0 | $0 | $0 |
| DANIEL BLUM | ||||||||||||||
| SR VP | $386,938 | $0 | $82,204 | $0 | $50,481 | $0 | $16,810 | $0 | $39,298 | $0 | $575,731 | $0 | $0 | $0 |
| JUSSI MAIJALA | ||||||||||||||
| VP HR & MEDICAL GROUP | $209,752 | $0 | $0 | $0 | $9,402 | $0 | $7,061 | $0 | $9,296 | $0 | $235,511 | $0 | $0 | $0 |
| KERRY PISANO | ||||||||||||||
| VP FOR SUPPORT SERVICES | $379,519 | $0 | $79,918 | $0 | $50,666 | $0 | $18,460 | $0 | $9,989 | $0 | $538,552 | $0 | $0 | $0 |
| LAWRENCE FALTZ | ||||||||||||||
| SR VP FOR MED AFFAIRS | $469,301 | $0 | $145,017 | $0 | $64,094 | $0 | $18,460 | $0 | $22,589 | $0 | $719,461 | $0 | $0 | $0 |
| LEONARD FOGEL | ||||||||||||||
| VP MANAGED CARE & BUS. | $637,540 | $0 | $122,412 | $0 | $70,368 | $0 | $18,460 | $0 | $26,893 | $0 | $875,673 | $0 | $0 | $0 |
| MARY MCDERMOTT | ||||||||||||||
| VP FOR NURSING | $366,632 | $0 | $0 | $0 | $51,425 | $0 | $18,460 | $0 | $28,422 | $0 | $464,939 | $0 | $0 | $0 |
| RICHARD BECKER | ||||||||||||||
| VP PHELPS MEDICAL ASSOCIATES | $326,044 | $0 | $0 | $0 | $18,613 | $0 | $13,337 | $0 | $4,384 | $0 | $362,378 | $0 | $0 | $0 |
| ROBERT LANE | ||||||||||||||
| VP STRATEGY & DEVELOPMENT | $319,395 | $0 | $81,227 | $0 | $29,697 | $0 | $10,554 | $0 | $39,757 | $0 | $480,630 | $0 | $0 | $0 |
| VINCENT DESANTIS | ||||||||||||||
| VP FINANCE AND CFO | $654,524 | $0 | $150,787 | $0 | $82,241 | $0 | $18,460 | $0 | $38,013 | $0 | $944,025 | $0 | $0 | $0 |
| WILLIAM REIFER | ||||||||||||||
| VP FOR QUALITY MANAGEMENT | $204,143 | $0 | $33,566 | $0 | $26,778 | $0 | $18,047 | $0 | $30,876 | $0 | $313,410 | $0 | $0 | $0 |
| ARTHUR FASS | ||||||||||||||
| PHYSICIAN | $604,301 | $0 | $7,500 | $0 | $15,368 | $0 | $18,460 | $0 | $23,039 | $0 | $668,668 | $0 | $0 | $0 |
| DINA KATZ | ||||||||||||||
| PHYSICIAN | $587,622 | $0 | $0 | $0 | $14,036 | $0 | $18,460 | $0 | $35,986 | $0 | $656,104 | $0 | $0 | $0 |
| EMIL NIGRO | ||||||||||||||
| PHYSICIAN | $549,604 | $0 | $140,262 | $0 | $36,815 | $0 | $18,460 | $0 | $25,476 | $0 | $770,617 | $0 | $0 | $0 |
| GASPAR PARRINO | ||||||||||||||
| PHYSICIAN | $668,670 | $0 | $0 | $0 | $34,818 | $0 | $18,460 | $0 | $24,727 | $0 | $746,675 | $0 | $0 | $0 |
| STEPHEN HEIER | ||||||||||||||
| PHYSICIAN | $770,568 | $0 | $89,818 | $0 | $22,983 | $0 | $18,460 | $0 | $34,107 | $0 | $935,936 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | KEITH SAFIAN RECEIVED A SEVERANCE IN 2014 IN THE AMOUNT OF $ 73,381 PAYMENTS MADE BY THE ASSOCIATION TO A SUPPLEMENTARY NON-QUALIFIED AFTER TAX ANNUITY DURING 2014 ARE AS FOLLOWS: KEITH SAFIAN $221,654 DANIEL BLUM $ 22,319 MARY MCDERMOTT $ 25,677 KERRY PISANO $ 21,246 LAWRENCE FALTZ $ 28,518 LEONARD FOGEL $ 30,355 ROBERT LANE $ 22,541 VINCENT DESANTIS $ 36,636 WILLIAM REIFER $ 7,533 JUSSI MAIJALA $ 8,800 RICHARD BECKER $ 14,653 |
| PART I, LINE 7 | THE AMOUNTS ON SCHEDULE J, PART II, COLUMN B(II) REPRESENT BONUS THAT WERE APPROVED BY THE BORED AND INCLUDED ON THE INDIVIDUALS W-2. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| TOWN OF MOUNT PLEASANT INDUSTRIAL DEV AGENCY | |||||||
| A | 136019835 | 2005-06-30 | $27,440,000 | CONST & REN OF HOSP FACILITIES | 0 | 0 | 0 |
| WESTCHESTER COUNTY LOCAL DEVELOPMENT CORPORATION | |||||||
| B | 455135576 | 2013-12-31 | $14,000,000 | CONSTRUCTION AND EQUIPMENT FOR HOSPITAL AMBULATORY SURGERY | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $27,440,000 | $478,960 | $26,961,040 | 2007 | 0 | 0 | Yes (1) | Yes (1) |
| B | $14,000,000 | $257,206 | $13,742,794 | 2014 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE K, PART IV, LINE 2C | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION QUALIFIED UNDER THE 18-MONTH EXCEPTION AND THEREFORE, THERE WAS NO REFUND CALCULATION DONE. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $40,510 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Secur Prtnrshp Trust Intrsts SecurPrtnrshpTrustIntrstsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $480,142 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PHELPS MEMORIAL HOSPITAL ASSOCIATION (PMHA) APPROVED AND EXECUTED AN AFFILIATION AGREEMENT WITH HEALTHSTAR NETWORK, INC D/B/A STELLARIS HEALTH NETWORK, INC (STELLARIS), A NEW YORK STATE NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES. THE AFFILIATION AGREEMENT RESULTED IN ESTABLISHING STELLARIS AS THE SOLE MEMBER OF PMHA. ALL APPOINTMENTS TO THE BOARD OF DIRECTORS OF PMHA ARE SUBJECT TO APPROVAL BY STELLARIS. STELLARIS IS QUALIFIED TO ORIGINATE AND TAKE PART IN THE DISCUSSION OF ANY SUBJECT THAT MAY PROPERLY COME BEFORE IT AND SHALL HAVE SUCH OTHER AND ADDITIONAL RIGHTS AND PRIVILEGES AND BE SUBJECT TO SUCH OTHER DUTIES AND RESTRICTIONS AS ARE SET FORTH IN THE NOT-FOR-PROFIT CORPORATION LAW OF THE STATE OF NEW YORK, THE CERTIFICATE OF INCORPORATION OF THE ASSOCIATION OR ITS BYLAWS. A VOTE OF AT LEAST EIGHTY PERCENT(80%) OF THE ENTIRE BOARD OF DIRECTORS THEN IN OFFICE SHALL BE REQUIRED TO APPROVE CERTAIN ACTIONS. DURING 2013, STELLARIS FILED A CERTIFICATE OF NEED (CON) WITH THE NYS DEPARTMENT OF HEALTH (NYSDOH) TO REMOVE STELLARIS AS THE SOLE MEMBER OF PHEPLS MEMORIAL HOSPITAL ASSOCIATION (PHELPS) AND ELIMINATE THE RIGHTS AND POWERS OF STELLARIS IN ITS CAPACITY AS A SOLE MEMBER AND ENTER INTO A NEW AGREEMENT PURSUANT TO WHICH STELLARIS WOULD PROVIDE, ON AN ARM'S-LENGTH BASIS, CERTAIN SERVICES. ON OCTOBER 3, 2013 THE NYSDOH APPROVED THE CON. ON JANUARY 10, 2014 THE NEW YORK SECRETARY OF STATE ACCEPTED AN AMEMDED CERTIFICATE OF INCORPORATION FOR PHELPS, THEREBY REMOVING STELLARIS AS AN ACTIVE PARENT AND CO-OPERATOR OF PHELPS. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE EXPLANATION FOR LINE 6 |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE EXPLANATION FOR LINE 6 |
| FORM 990, PART VI, SECTION B, LINE 11 | FOR THE YEAR ENDED DECEMBER 31, 2014 THE FORM 990 WAS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM (PAID PREPARERS) BASED ON THE INFORMATION PROVIDED BY THE HOSPITAL'S MANAGEMENT. THEN THE RETURN WAS REVIEWED BY HOSPITAL'S MANAGEMENT. A FINAL COPY OF THE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL GOVERNING BOARD MEMBERS, SENIOR MANAGEMENT AND OTHER PERSONNEL WHO MIGHT FIND THEMSELVES IN A POSITION WHERE THEIR PERSONAL INTERESTS CONFLICT WITH THE INTERESTS OF PHELPS MEMORIAL HOSPITAL ARE REQUIRED TO FILE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE COMPLIANCE OFFICER AND IMMEDIATELY DISCLOSE TO THE COMPLIANCE OFFICER ANY POSSIBLE CONFLICTS OF INTERESTS AS THEY ARISE. IT IS THE RESPONSIBILITY OF THE COMPLIANCE OFFICER TO OBTAIN AND REVIEW CONFLICT OF INTEREST DISCLOSURE STATEMENTS AT LEAST ANNUALLY. THE COMPLIANCE OFFICER AS NECESSARY WILL CONSULT WITH OUTSIDE COUNSEL AND REPORT TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHAIRMAN OF THE BOARD APPOINTS AN EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT, IE, ASTRON SOLUTIONS, TO PROVIDE CURRENT MARKET COMPENSATION DATA FOR EACH SENIOR EXECUTIVE POSITION. THIS IS UPDATED ON AN ANNUAL BASIS. THE COMMITTEE REVIEWS WRITTEN BOARD-APPROVED MANAGEMENT GOALS, WRITTEN DOCUMENTATION OF PROGRESS TOWARDS EACH GOAL, AND AN EXECUTIVE COMPENSATION SCORECARD THAT HAS PRE-DETERMINED WEIGHTS. THE CHAIRMAN OF THE COMMITTEE PRESENTS TO THE FULL BOARD OF DIRECTORS THE RECOMMENDED COMPENSATION FOR EACH SENIOR EXECUTIVE AND THE BOARD REVIEWS THEM. ONCE THE BOARD ENDORSES THE RECOMMENDATIONS, THEY ARE GRANTED TO THE INDIVIDUAL. THE PRESIDENT'S PERFORMANCE AND COMPENSATION IS REVIEWED IN AN EXECUTIVE SESSION OF THE FULL BOARD OF DIRECTORS, FROM WHICH THE PRESIDENT IS EXCUSED. THE FULL BOARD VOTES ON THE PRESIDENT'S COMPENSATION EACH YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE CONSIDERED PUBLIC INFORMATION. THEREFORE, THESE DOCUMENTS ARE ATTAINABLE BY THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUATION OF PLEDGE RECEIVABLE -67,000. TRANSFER OF NET ASSETS FROM PHELPS MEDICAL SERVICES PC -10,387,737. |
| FORM 990, PART XII, LINE 2C: | THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM PRIOR YEAR. |
| FORM 990, PART VII, SECTION A: | FRANKLIN H ZIMMERMAN, M.D., SALEEM MIR, M.D., AND SANDA CARNICIU, M.D. RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO PHELPS MEMORIAL HOSPITAL ASSOCIATION. THEY DID NOT RECEIVE ANY COMPENSATION FOR SERVICES PERFORMED AS AN OFFICER OF THE ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PHELPS CHILD CARE CENTER | |||||||||||
| 3 PHELPS LANE | SLEEPY HOLLOW | NY | 10591 | 133467714 | CHILD CARE | NY | 501(C)(3) | LINE 2 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | 0 | |
| PHELPS COMMUNITY CORPORATION | |||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 133263295 | FOUNDATION | NY | 501(C)(3) | LINE 11A, I | PHELPS CHILD CARE | 0 | |
| HEALTHSTAR NETWORK DBA STELLARIS HEALTH | |||||||||||
| 135 BEDFORD ROAD | ARMONK | NY | 10504 | 133911773 | HEALTHCARE | NY | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| WHITE PLAINS HOSPITAL MEDICAL CENTER | |||||||||||
| 41 EAST POST ROAD DAVIS AVENUE | WHITE PLAINS | NY | 10601 | 131740130 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | HEALTHSTAR NETWORK DBA STELLARIS HEALTH | 0 | |
| NORTHERN WESTCHESTER HOSPITAL | |||||||||||
| 400 EAST MAIN STREET | MOUNT KISCO | NY | 10549 | 131740118 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | HEALTHSTAR NETWORK DBA STELLARIS HEALTH | 0 | |
| LAWRENCE HOSPITAL CENTER | |||||||||||
| 55 PALMER AVENUE | BRONXVILLE | NY | 10708 | 131740110 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | HEALTHSTAR NETWORK DBA STELLARIS HEALTH | 0 | |
| PHELPS MEDICAL SERVICES PC | |||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 274416017 | HEALTHCARE | NY | 501(C)(3) | LINE 11A, I | PHELPS MEMORIAL HOSPITAL ASSOCIATION | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHELPS PROFESSIONAL BUILDING CO LP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 NORTH BROADWAY | AddressLine1Txt |
| City | SLEEPY HOLLOW | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10591 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133645137 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $392,597 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,028,851 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.70170 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PMHC REALTY CORP | ||||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 133645135 | REAL ESTATE | NY | PHELPS MEMORIAL HOSPITAL ASSOCIATION | C | $5,977 | $18,788 | 1.00000 | Yes (1) |
| HEALTH DELIVERY ANALYSIS INC | ||||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 133352327 | INACTIVE | NY | PHELPS MEMORIAL HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | ||
| PHELPS MANAGEMENT SERVICES INC | ||||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 131726635 | INACTIVE | NY | PHELPS MEMORIAL HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | ||
| PHELPS SERVICES INC | ||||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 131742995 | INACTIVE | NY | PHELPS MEMORIAL HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PHELPS PROFESSIONAL BUILDING | ||
| J | $60,100 | FMV |
| PHELPS PROFESSIONAL BUILDING | ||
| K | $1,849,872 | FMV |
| PHELPS PROFESSIONAL BUILDING | ||
| O | $134,760 | FMV |
| PHELPS PROFESSIONAL BUILDING | ||
| S | $402,112 | FMV |