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MONTEFIORE NYACK HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MONTEFIORE NYACK HOSPITAL (EIN 13-1740119)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201403219349307930
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-17T14:40:14-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Charles A Barragato & Co LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1950 Third Avenue - 20th FLAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131740119EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nyack HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% RONALD RATIGANInCareOfNm
Business Name ControlNYACBusinessNameControlTxt
Phone8453486522PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 North Midland AvenueAddressLine1
Address Line2SuiteAddressLine2
CityNyackCity
StateNYState
ZIP Code10960ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD RATIGANPersonNm
Person TitleDIRECTOR OF FINANCEPersonTitleTxt
Phone2123714446PhoneNum
Signature2014-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngelo Pirozzi CPAPreparerPersonNm
PTINP00446022PTIN
Phone2123714446PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN VOLANTO VP COOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 North Midland AvenueAddressLine1
CityNyackCity
StateNYState
ZIP Code10960ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$222,431,540GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNYACKHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1895FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MISSION OF NYACK HOSPITAL IS TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1936TotalEmployeeCnt
Total Volunteers224TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$597,716PYContributionsGrantsAmt
CY Contributions Grants$6,982,671CYContributionsGrantsAmt
PY Program Service Revenue$199,080,508PYProgramServiceRevenueAmt
CY Program Service Revenue$208,577,272CYProgramServiceRevenueAmt
PY Investment Income$28,873PYInvestmentIncomeAmt
CY Investment Income$110,369CYInvestmentIncomeAmt
PY Other Revenue$8,299,063PYOtherRevenueAmt
CY Other Revenue$6,761,228CYOtherRevenueAmt
PY Total Revenue$208,006,160PYTotalRevenueAmt
CY Total Revenue$222,431,540CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$126,390,992PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$129,002,476CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$77,162,472PYOtherExpensesAmt
CY Other Expenses$90,226,240CYOtherExpensesAmt
PY Total Expenses$203,553,464PYTotalExpensesAmt
CY Total Expenses$219,228,716CYTotalExpensesAmt
PY Revenues Less Expenses$4,452,696PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,202,824CYRevenuesLessExpensesAmt
Total Assets BOY$75,738,732TotalAssetsBOYAmt
Total Assets EOY$76,763,439TotalAssetsEOYAmt
Total Liabilities BOY$77,314,617TotalLiabilitiesBOYAmt
Total Liabilities EOY$69,803,597TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,575,885NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,959,842NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF NYACK HOSPITAL IS TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY, BEHAVIORAL HEALTH AND ACUTE CARE SERVICES FOR THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$197,305,844ExpenseAmt
Revenue$210,633,272RevenueAmt
DescNYACK HOSPITAL IS COMMITTED TO MEETING THE HEALTH CARE NEEDS OF THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK AND OTHER SURROUNDING AREAS. NYACK HOSPITAL IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE ROCKLAND COMMUNITY. DURING 2013, NYACK HOSPITAL PROVIDED HIGH QUALITY HEALTHCARE SERVICES FOR 14,522 ADMISSIONS, ACCOUNTING FOR 63,969 DAYS OF PATIENT CARE. NYACK HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. CONTINUED ON SCHEDULE O.Desc
Total Program Service Expenses$197,305,844TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document119IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1936EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRONALD RATIGANPersonNm
Phone8453486522PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 NORTH MIDLAND AVENUEAddressLine1
CityNYACKCity
StateNYState
ZIP Code10960ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD KOHLHAUSEN
CHAIR1.0Yes (X)Yes (X)$0
LISA HAYES
VICE CHAIR1.0Yes (X)Yes (X)1.0
JOHN MECCHELLA
VICE CHAIR1.0Yes (X)Yes (X)
DAVID H FREED
PRESIDENT & CEO40.0Yes (X)Yes (X)$28,3941.0$638,630
KEVIN CONWAY
SECRETARY1.0Yes (X)Yes (X)
MARY K SHINICK
ASSISTANT SECRETARY40.0Yes (X)Yes (X)$37,848$265,935
MARISA S BARBIERI
BOARD MEMBER1.0Yes (X)
HOWARD J FELDFOGEL DO
BOARD MEMBER1.0Yes (X)$103,250
ALAN FELDSTEIN
BOARD MEMBER1.0Yes (X)
RICHARD GEMMING
BOARD MEMBER1.0Yes (X)$37,91659.0$0$455,987
JAMES GERSTLEY
BOARD MEMBER1.0Yes (X)
RICHARD A GOLDMAN
BOARD MEMBER1.0Yes (X)
KEVIN HOBBS
BOARD MEMBER1.0Yes (X)
MARK JACOBS
BOARD MEMBER1.0Yes (X)1.0
MARC J LEVINE MD
HONORARY BOARD MEMBERYes (X)
MICHAEL L MCNEE
BOARD MEMBER1.0Yes (X)
WAYNE M OSTEN
BOARD MEMBER1.0Yes (X)$39,03259.0$0$1,282,443
ENRIQUE PABON
BOARD MEMBER1.0Yes (X)
WILLIAM SHUM
BOARD MEMBER1.0Yes (X)
Cathy Shea
Board Member1.0Yes (X)
ROBERT VAN CURA
BOARD MEMBER1.0Yes (X)
GERALD WALSH
BOARD MEMBER1.0Yes (X)
MICHAEL RADER MD
VP & MEDICAL DIRECTOR40.0Yes (X)$38,359$421,192
JOHN S BURKE
VP & CFO40.0Yes (X)$40,6331.0$395,081
JOHN VOLANTO
VP & CHIEF INFORMATION OFFICER40.0Yes (X)$28,366$290,971
DENISE ZBAR
VP - Physician Practice Mgmt40.0Yes (X)$45,118$220,987
CELESTE BETHON
CHIEF NURSING OFFICER40.0Yes (X)$21,128$168,192
RONALD RATIGAN
DIRECTOR OF FINANCE40.0$43,101$183,527Yes (X)
ALFREDO WALDRON
ADMIN OF PATIENT FINANCIAL SVC40.0$32,467$177,079Yes (X)
ALICE VALLEN CRONIN
CH SYS & REENGINEERING OFFICER40.0$41,969$168,252Yes (X)
PATRICIA JOSEPH MD
DIRECTOR OF WOMEN'S HEALTH40.0$46,835$300,528Yes (X)
BRIAN BOATMAN MD
CHF MED INFORMATICS OFFICER40.0$29,835$249,752Yes (X)
JOSEPH VITTORIO MD
MEDICAL DIRECTOR RECOVERY CTR40.0$13,762$198,076Yes (X)
DAVID SEITZ MD
DIRECTOR - RECOVERY CENTER40.0$35,893$184,744Yes (X)
JOSEPH PINTO
DIRECTOR OF PHARMACY40.0$35,588$164,554Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,130,750TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,738,430TotReportableCompRltdOrgAmt
Total Other Compensation$596,244TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K226IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
INPATIENT MEDICAL ASSOCIATES OF NY
3 CENTURY DRIVEPARSIPPANYNJ07054HOSPITALIST MD SVCS$3,014,376
HUDSON VALLEY OBSTETRICAL
258 HIGH AVENUENYACKNY10960OBSTETRIC MD SERVICE$1,732,160
White Plains Hospital
41 East Post RoadWHITE PLAINSNY10601NEONATAL MD SERVICES$522,424
EPSTEIN BECKER GREEN
PO BOX 30036NEW YORKNY10087ATTORNEY FEES$468,531
ERNST YOUNG
PO BOX 640382PITTSBURGHPA15264AUDIT SERVICES$424,074
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$6,945,672GovernmentGrantsAmt
All Other Contributions$36,999AllOtherContributionsAmt
Total Contributions$6,982,671TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621300$216,888,415$216,888,415
PROVISION FOR BAD DEBT621300-$8,311,143-$8,311,143
FieldValueIRS element (for citing)
Total Program Service Revenue$208,577,272TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,458TotalRevenueColumnAmt
Exclusion$97,458ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$588,467RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$588,467RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$588,467TotalRevenueColumnAmt
Exclusion$588,467ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$12,911OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$12,911OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,911TotalRevenueColumnAmt
Exclusion$12,911ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EHR MEANINGFUL USE INCOME900099$2,056,000$2,056,000
INSURANCE REFUNDS900099$1,539,167$1,539,167
FOUNDATION INCOME900099$383,575$383,575

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,194,019TotalRevenueColumnAmt
Exclusion$2,194,019ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,172,761OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$222,431,540TotalRevenueColumnAmt
Related Or Exempt Func Income$210,633,272RelatedOrExemptFuncIncomeAmt
Exclusion$4,815,597ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,390,479TotalAmt
Management And General$3,390,479ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$92,098,097TotalAmt
Program Services$85,525,150ProgramServicesAmt
Management And General$6,572,947ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,452,636TotalAmt
Program Services$5,917,694ProgramServicesAmt
Management And General$534,942ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,674,831TotalAmt
Program Services$17,918,671ProgramServicesAmt
Management And General$1,756,160ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,386,433TotalAmt
Program Services$6,647,790ProgramServicesAmt
Management And General$738,643ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,642,117TotalAmt
Program Services$5,977,905ProgramServicesAmt
Management And General$664,212ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,878,498TotalAmt
Program Services$1,690,648ProgramServicesAmt
Management And General$187,850ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$375,714TotalAmt
Program Services$338,143ProgramServicesAmt
Management And General$37,571ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$18,681TotalAmt
Program Services$16,813ProgramServicesAmt
Management And General$1,868ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,113,086TotalAmt
Program Services$8,294,701ProgramServicesAmt
Management And General$818,385ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$275,988TotalAmt
Program Services$248,389ProgramServicesAmt
Management And General$27,599ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,235,882TotalAmt
Program Services$8,312,294ProgramServicesAmt
Management And General$923,588ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,088,081TotalAmt
Program Services$2,779,273ProgramServicesAmt
Management And General$308,808ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,423,978TotalAmt
Program Services$2,181,580ProgramServicesAmt
Management And General$242,398ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$193,408TotalAmt
Program Services$174,067ProgramServicesAmt
Management And General$19,341ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$310,106TotalAmt
Program Services$279,095ProgramServicesAmt
Management And General$31,011ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$471,556TotalAmt
Program Services$424,400ProgramServicesAmt
Management And General$47,156ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$334,666TotalAmt
Program Services$301,199ProgramServicesAmt
Management And General$33,467ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,265,623TotalAmt
Program Services$6,539,061ProgramServicesAmt
Management And General$726,562ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,163,405TotalAmt
Program Services$1,047,064ProgramServicesAmt
Management And General$116,341ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$16,373,884$14,736,496$1,637,388
PHARMACEUTICAL$18,361,341$16,525,207$1,836,134
OTHER PURCHASED SERVICES$5,485,467$4,936,920$548,547
LOSS FROM HPMC$4,155,474$3,739,927$415,547

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,059,285TotalAmt
Program Services$2,753,357ProgramServicesAmt
Management And General$305,928ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$219,228,716TotalAmt
Program Services$197,305,844ProgramServicesAmt
Management And General$21,922,872ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,006,675BOYAmt
EOY$1,707,538EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,616,244EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,991,762BOYAmt
EOY$23,592,950EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,492,246BOYAmt
EOY$3,001,400EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$403,230BOYAmt
EOY$583,433EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$170,797,368LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$129,293,692LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,492,113BOYAmt
EOY$41,503,676EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,352,706BOYAmt
EOY$3,758,198EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$75,738,732BOYAmt
EOY$76,763,439EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,832,753BOYAmt
EOY$35,624,363EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,879,776BOYAmt
EOY$2,251,864EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,265,436BOYAmt
EOY$7,239,192EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,336,652BOYAmt
EOY$24,688,178EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,314,617BOYAmt
EOY$69,803,597EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,795,384BOYAmt
EOY$6,740,343EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$219,499BOYAmt
EOY$219,499EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,575,885BOYAmt
EOY$6,959,842EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$75,738,732BOYAmt
EOY$76,763,439EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,202,824ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$5,332,903OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$18,681OtherActivitiesAmt
Total Lobbying Expenditures$18,681TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1I - OTHER ACTIVITIES DESCRIPTIONFormAndLineReferenceDesc
ExplanationNYACK HOSPITAL PAID DUES TO THE LOCAL 1199 - HEALTHCARE EDUCATION PROJECT (HEP), THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) AND THE HOME CARE ASOCIATION OF NYS (HCA). IN ACCORDANCE WITH SECTION 6033 (E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY HEP, HANYS, NORMET AND HCA, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2013 HEP, HANYS and HCA ANNUAL DUES WAS $457, $15,866 AND $2,358 RESPECTIVELY.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,499BeginningYearBalanceAmt
End Year Balance$219,499EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,499BeginningYearBalanceAmt
End Year Balance$219,499EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,499BeginningYearBalanceAmt
End Year Balance$219,499EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,499BeginningYearBalanceAmt
End Year Balance$219,499EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,499BeginningYearBalanceAmt
End Year Balance$219,499EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$651,548OtherCostOrOtherBasisAmt
Book Value$651,548BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,298,164OtherCostOrOtherBasisAmt
Depreciation$25,518,970DepreciationAmt
Book Value$23,779,194BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$153,145OtherCostOrOtherBasisAmt
Book Value$153,145BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$109,805,975OtherCostOrOtherBasisAmt
Depreciation$101,431,914DepreciationAmt
Book Value$8,374,061BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,888,536OtherCostOrOtherBasisAmt
Depreciation$2,342,808DepreciationAmt
Book Value$8,545,728BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,503,676TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED POST RETIREMENT BENEFI$595,900
MALPRACTICE LIABILITY$8,654,000
OTHER LIABILITIES$4,366,067
PENSION LIABILITY$6,358,729
THIRD PARTY LIABILITIES$4,713,482
FieldValueIRS element (for citing)
Total Liability$24,688,178TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4 - INTENDED USES OF ENDOWMENT FUNDFormAndLineReferenceDesc
ExplanationTHE INTENDED USE OF THE HOSPITAL'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO BE USED FOR UNINSURED WOMEN.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,564,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,269,210DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,295,537NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,364,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,396,936DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,967,089NetCommunityBenefitExpnsAmt
Total Expense0.06830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,928,772TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,666,146DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,262,626NetCommunityBenefitExpnsAmt
Total Expense0.07880TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$84,000NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,800TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,800NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,770,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,033,638DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,736,854NetCommunityBenefitExpnsAmt
Total Expense0.03070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,869,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,033,638DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,835,654NetCommunityBenefitExpnsAmt
Total Expense0.03120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,798,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,699,784DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,098,280NetCommunityBenefitExpnsAmt
Total Expense0.11000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$500NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,000NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,500NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,311,143BadDebtExpenseAmt
Reimbursed By Medicare$69,159,485ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$67,038,472CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,121,013MedicareSurplusOrShortfallAmt
Costing Methodology UsedCostingMethodologyUsedGrp
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nyack HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 North Midland AveAddressLine1
CityNyackCity
StateNYState
ZIP Code10960ZIPCode
FieldValueIRS element (for citing)
Website Addresshttp://www.nyackhospital.org/WebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Nyack HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 3 Input from persons who represent the communityFormAndLineReferenceDesc
ExplanationNyack Hospital works closely with the local Health Department in identifying the Prevention Agenda Priorities. Nyack Hospital is an active memember of the Rockland County Health Care Priorities Steering Committee which represnets twenty-two local community based organizations. Nyack Hospital and other members of this group conducted surveys and focus groups to obtain feedback from community members to identify unmet healthcare needs. Nyack Hospital collaborated with Rockland County Health Deparment's epidemiologist, who is responsible for developing the overall Rockland County Department of Health ("RCDOH") Community Health Needs Assessment to further define current status of hospital activiites addressing all five prevention agenda items and identifying further opportunities to improve the health of our community. Part V, Line 4 Other hospitals: Good Samaritan Hospital and Summit Park HospitalExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7NYACK HOSPITAL'S COSTING METHODOLOGY WAS BASED UPON THE 2013 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2013 MEDICARE (FORM 2552) COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7.
PART III, LINES 2 and 4THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE 2 ON PAGE 10 OF THE ATTACHED AFS.
PART III, LINE 8THE AMOUNT REPORTED ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B.
PART III, LINE 9BPURPOSE: TO RELIEVE THE ACCOUNTS RECEIVABLE OF ACCOUNTS DEEMED UNCOLLECTIBLE BY INTERNAL OR EXTERNAL PRE-COLLECTION PROCESSES. POLICY: TO REFER APPROPRIATE ACCOUNTS TO COLLECTION AGENCIES AND/OR THIRD PARTY BILLING AGENCIES AND TO INSURE AGENCY PRODUCTIVITIES IN ACCORDANCE WITH HOSPITAL POLICY. PROCEDURES: SECTION 1 -SMALL BALANCE WRITE OFF TO RELIEVE THE ACCOUNTS RECEIVABLE OF BALANCES WHICH ARE UNPROFITABLE TO PURSUE ON A MONTHLY BASIS. A. SMALL BALANCES IS DEFINED AS AN AMOUNT OF $24.99 AND LESS THAT IS CONSIDERED PATIENT LIABILITY. B. SMALL BALANCES MUST EXIST FOR 30 DAYS BEFORE THEY QUALIFY FOR WRITE-OFF. C. PATIENT MUST HAVE RECEIVED AT LEAST ONE STATEMENT. D. SMALL BALANCE INCLUDES CREDIT BALANCES OF $24.99 OR LESS (THIS AMOUNT WILL BE WRITTEN OFF SYSTEMATICALLY UNLESS PATIENT REQUESTS A REFUND). E. AT MONTH END SMALL BALANCE WRITE-OFF REPORT WILL BE PRODUCED FROM THE PARAGON SYSTEM FOR ALL ACCOUNTS SELECTED. F. A SEPARATE REPORT IS TO BE GENERATED FROM THE SYSTEM USING THE TRIAL BALANCE TO IDENTIFY ACCOUNTS NOT SELECTED SYSTEMATICALLY BY THE SYSTEM. SECTION 2 - BAD DEBT WRITE OFF PROCESS A. PATIENTS MUST RECEIVE A PRESCRIBED NUMBER OF STATEMENTS BEFORE BEING REFERRED TO COLLECTION (MINIMUM 3 STATEMENTS IN 120 DAYS UNLESS RETURNED MAIL FOR BAD ADDRESS OR PATIENT IS DECEASED). B. ACCOUNT BALANCE MUST RESIDE IN PATIENT BUCKET TO QUALIFY FOR BAD DEBT WRITE-OFF. C. A POTENTIAL BAD DEBT WRITE OFF REPORT IS PRODUCED ON A MONTHLY BASIS FOR ACCOUNTS THAT MAY BE MANUALLY TRANSFERRED TO THE BAD DEBT FILE. THIS LIST IS REVIEWED ACCOUNT BY ACCOUNT TO DELETE INAPPROPRIATE REFERRALS PRIOR TO WRITE OFF. D. PRE APPROVAL OF HIGH BALANCE WRITE-OFFS: GREATER THAN $5000.00 APPROVED BY SUPERVISOR, GREATER THAN $10,000.00 APPROVED BY MANAGER AND GREATER THAN $25,000.00 APPROVED BY ADMINISTRATOR. E. ACCOUNTS ARE REDUCED TO A SELF PAY RATE AND ARE REFERRED TO AGENCIES AT THIS RATE UNLESS OTHERWISE NOTED BASED ON DISCUSSIONS WITH THE PATIENT OR DESIGNATED REPRESENTATIVE. F. AT MONTH END, A CUMULATIVE BAD DEBT REPORT CONTAINING ALL WRITE-OFFS IN THAT CALENDAR MONTH WILL BE CREATED ALONG WITH AGENCY REFERRAL FILE. G. THE CUMULATIVE WRITE OFF TOTAL FOR ANY CALENDAR MONTH MUST BE APPROVED BY THE MANAGER IN CONJUNCTION WITH THE ADMINISTRATORS OF PATIENT FINANCIAL SERVICES AND FINANCE. SECTION 3 -COLLECTION AGENCY A. REFERRALS 1. ACCOUNTS ARE REFERRED SYSTEMATICALLY AND BY ALPHA BREAKDOWN WITHIN PATIENT TYPE TO AGENCIES ON AN EQUITABLE DISTRIBUTION. THE AGENCIES RECEIVE A FILE AND ALSO A COMPUTER GENERATED LIST OF ACCOUNTS. 2. ACCOUNTS REFERRED TO AGENCIES MAY BE AT THE SELF-PAY RATES ESTABLISHED IN THE CHARITY CARE POLICY. 3. SECONDARY REFERRALS MAY BE ASSIGNED TO SELECTED AGENCIES AFTER PRIMARY AGENCY CLOSEOUT. 4. AGENCIES MUST ADHERE TO HOSPITAL FINANCIAL ASSISTANCE (CHARITY CARE) POLICIES. 5. AGENCIES WILL PERFORM ASSET TEST ON ALL ACCOUNTS EXCEEDING $1,500. B. REPORTING 1. AGENCIES SEND ACKNOWLEDGEMENT REPORTS, WHICH ARE RECONCILED AGAINST THE REFERRALS (NUMBER OF ACCOUNTS, DOLLAR AMOUNT). 2. AGENCIES SUBMIT STATUS REPORTS ON A MONTHLY BASIS, WHICH ARE RECONCILED TO DETAILED REPORT TO INSURE THE ACCURACY OF THE BAD DEBT FILE. 3. A REMITTANCE REPORT ACCOMPANIES THE CHECK THE AGENCY SENDS WHICH REPORTS ALL PAYMENTS COLLECTED. THIS IS RECONCILED TO THE PAYMENTS POSTED TO THE PARAGON SYSTEM IN THE BAD DEBT FILE. 4. CLOSE OUT REPORT IS A LIST OF ALL THE ACCOUNTS THAT THE AGENCIES DEEM UNCOLLECTIBLE. WE ASSIGN SECONDS FROM THE CLOSE OUT REPORT OR WE CLOSE OUT THE ACCOUNTS. 5. IF AN ACCOUNT IS REFERRED BY A COLLECTION AGENCY FOR LEGAL ACTION, IT MUST BE APPROVED BY THE MANAGER OR ADMINISTRATOR OF THE PATIENT FINANCIAL SERVICES DEPARTMENT. 6. A RECONCILIATION REPORT MAY BE REQUESTED TO CORRELATE OUR A/R AGAINST AGENCY A/R. 7. A PLACEMENT ANALYSIS REPORT IS REQUIRED ON A MONTHLY BASIS FROM EACH AGENCY DETAILING ITS COLLECTION PERFORMANCE YEAR TO DATE BY REFERRAL DATE AND PRODUCT LINE (I.E.: INPATIENT, OUTPATIENT, INPATIENT SECONDS, ETC.), FOR THE CURRENT CALENDAR YEAR AND THE PRIOR YEARS CALENDAR REFERRALS. SECTION 4 -DEPARTMENTAL WORKFLOWS A. ACCOUNTS ARE REFERRED TO BAD DEBT SYSTEMATICALLY (ALPHA BREAKDOWN WITHIN PATIENT TYPE). B. THE REPRESENTATIVE DESIGNATED AS THE LIAISON WITH THE COLLECTION AGENCIES, AND REVIEWS APPROPRIATELY ADDRESSED OR REFERRED TO AGENCY CORRESPONDENCE PERTAINING TO BAD DEBT. C. AGENCY LIAISON SCREENS PATIENT INQUIRIES RELATING TO BAD DEBT ACCOUNTS AND REFERS TO APPROPRIATE AGENCY. SECTION 5 -LIAISON INTERDISCIPLINARY WORKFLOWS A. INTERACTS WITH AGENCIES TO OBTAIN ACCOUNT STATUS. B. INTERACTS WITH OTHER PATIENT FINANCIAL SERVICE SECTIONS TO INSURE THE ACCURACY OF THE BAD DEBT FILE. C. REVIEWS AND RECONCILES ALL AGENCY REPORTS INCLUDING REMITTANCE REPORT; SUPPORTS AND DIRECTS ACTIVITY OF AGENCY LIAISON. SECTION 6 -END OF MONTH REPORTS A. CUMULATIVE BAD DEBT WRITE OFF FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY AGENCY. B. CUMULATIVE BAD DEBT WRITE OFF FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY FINANCIAL CLASS. C. COLLECTION AGENCY STATISTIC REPORT FOR THE FILE. D. TAPE GENERATED BY INFORMATION TECHNOLOGY GIVEN TO AGENCIES.
PART V, LINE 20WE USE MEDICAID RATES FOR INPATIENT MEDICARE RATES FOR OUTPATIENT.
PART VIPURSUANT TO NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L, NYACK HOSPITAL ("NYACK") IS REQUIRED TO FILE A COMPREHENSIVE COMMUNITY SERVICE PLAN ("CSP") WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ("DOH") EVERY 3 YEARS. A COPY OF NYACK'S CSP CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT WWW.NYACKHOSPITAL.ORG UNDER THE "ABOUT US" TAB. THE COMPREHENSIVE DATA AND INFORMATION CONTAINED IN THIS CSP WILL EXHAUSTIVELY ADDRESS PART VI OF THIS SCHEDULE H, AND ITS CONTENTS ARE INCORPORATED HEREIN BY REFERENCE. SPECIFICALLY, THE NYACK CSP WILL ADDRESS THE PART VI (2) NEEDS ASSESSMENT; PART VI (3) PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE; PART VI (4) COMMUNITY INFORMATION; PART VI (5) COMMUNITY BUILDING ACTIVITIES AND PART VI (6) TO (7), AS APPLICABLE. THE TEXT OF NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L IS AS FOLLOWS: COMMUNITY SERVICE PLANS. (1) THE GOVERNING BODY OF A VOLUNTARY NON-PROFIT GENERAL HOSPITAL MUST ISSUE AN ORGANIZATIONAL MISSION STATEMENT IDENTIFYING AT A MINIMUM THE POPULATIONS AND COMMUNITIES SERVED BY THE HOSPITAL AND THE HOSPITAL'S COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. (2) THE GOVERNING BODY MUST AT LEAST EVERY THREE YEARS: (I) REVIEW AND AMEND AS NECESSARY THE HOSPITAL MISSION STATEMENT; (II) SOLICIT THE VIEWS OF THE COMMUNITIES SERVED BY THE HOSPITAL ON SUCH ISSUES AS THE HOSPITAL'S PERFORMANCE AND SERVICE PRIORITIES; (III) DEMONSTRATE THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING COMMUNITY HEALTH CARE NEEDS, TO PROVIDE CHARITY CARE SERVICES AND TO IMPROVE ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED; AND (IV) PREPARE AND MAKE AVAILABLE TO THE PUBLIC A STATEMENT SHOWING ON A COMBINED BASIS A SUMMARY OF THE FINANCIAL RESOURCES OF THE HOSPITAL AND RELATED CORPORATIONS AND THE ALLOCATION OF AVAILABLE RESOURCES TO HOSPITAL PURPOSES INCLUDING THE PROVISION OF FREE OR REDUCED CHARGE SERVICES. (3) THE GOVERNING BODY MUST AT LEAST ANNUALLY PREPARE AND MAKE AVAILABLE TO THE PUBLIC AN IMPLEMENTATION REPORT REGARDING THE HOSPITAL'S PERFORMANCE IN MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. (4) THE GOVERNING BODY SHALL FILE WITH THE COMMISSIONER ITS MISSION STATEMENT, ITS ANNUAL IMPLEMENTATION REPORT, AND AT LEAST EVERY THREE YEARS A REPORT DETAILING AMENDMENTS TO THE STATEMENT AND REFLECTING CHANGES IN THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. THE ABOVE-REFERENCED CSP REQUIREMENT WAS ENHANCED BY THE DOH'S PREVENTION AGENDA INITIATIVE. THIS INITIATIVE IS A PROCESS THAT ASKS HOSPITALS SUCH AS NYACK TO WORK WITH LOCAL HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO ASSESS COMMUNITY HEALTH NEEDS, JOINTLY DEVELOP PLANS TO ADDRESS TWO OR THREE OF THE IDENTIFIED NEEDS AND INCLUDE THIS COLLABORATIVE WORK IN NYACK'S CSP UPDATE SUBMITTED TO DOH. INFORMATION ON THE NEW YORK STATE DOH PREVENTION AGENDA CAN BE FOUND AT WWW.HEALTH.STATE.NY.US/PREVENTION/PREVENTION_AGENDA.
PART VIALL PATIENTS RECEIVE A FINANCIAL AID SUMMARY THAT EXPLAINS NYACK HOSPITAL'S FINANCIAL AIDE PROGRAM. ALTHOUGH OBLIGATED TO OFFER ASSISTANCE TO PATIENTS WITH INCOMES LESS THEN 300% OF THE FEDERAL POVERTY LEVEL (FPL), NYACK HOSPITAL CONSIDERS ALL PATIENTS WHO RECEIVE EMERGENCY OR MEDICALLY NECESSARY NON-EMERGENCY CARE WITH INCOMES LESS THAN 400% OF THE FEDERAL POVERTY LEVEL. NYACK HOSPITAL WILL CONSIDER PATIENTS FOR FIANANCIAL AID WHO RESIDE OUTSIDE OF ITS SERVICE AREA ON AN EXCEPTION BASIS.
PART VINYACK HOSPITAL DEFINES ITS TOTAL SERVICE AREA FOR THE PURPOSES OF COMMUNITY/LOCAL HEALTH PLANNING AS ALL OF ROCKLAND, WESTCHESTER, ORANGE AND PUTNAM COUNTIES. NINE ROCKLAND, COMMUNITIES COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA. SEE COMMUNITY SERVICE PLAN FOR DELINEATION OF PRIMARY AND SECONDARY SERVICE AREAS.
PART VINYACK HOSPITAL WAS A MAJOR PARTICIPANT IN THE COMMUNITY HEALTH ASSESSMENT (CHA) PROCESS CONDUCTED BY ROCKLAND COUNTY. THE ADMINISTRATOR OF HOME CARE AND COMMUNITY SERVICES AND THE COORDINATOR OF PATIENT/COMMUNITY EDUCATION ARE STANDING MEMBERS OF THE ROCKLAND COUNTY PUBLIC HEALTH PRIORITIES (PHP) STEERING COMMITTEE. THE PURPOSE OF THIS COMMITTEE IS TO DETERMINE THE EXTENT TO WHICH EXISTING PRIORITIES ARE BEING MET, TO ASSESS THE NEED FOR NEW/REVISED PRIORITIES, AND TO COLLABORATE WITH OTHER HEALTH PROVIDERS/ORGANIZATIONS IN ORDER TO IMPLEMENT PROGRAMS AND SERVICES THAT WILL MEET THE IDENTIFIED NEEDS. THE COMMITTEE SERVES AS A GUIDE TO THE DEVELOPMENT OF THE CHA. THE PHP COMMITTEE IS COMPOSED OF REPRESENTATIVES FROM: -COUNTY DEPARTMENTS OF HEALTH, SOCIAL SERVICES, MENTAL HEALTH, AS WELL AS THE OFFICES FOR AGING, COMMUNITY RELATIONS, AND PEOPLE WITH DISABILITIES. -COMMUNITY BASED AGENCY REPRESENTATIVES FROM THE AMERICAN CANCER SOCIETY, IMMIGRATION COALITION, VOLUNTEER COUNSELING SERVICES, AMERICAN HEART ASSOCIATION AND A NUMBER OF OTHER NON-PROFITS. -LOCAL HOSPITALS (NYACK, GOOD SAMARITAN) -4 FEDERALLY QUALIFIED HEALTH CENTERS -2 LOCAL COLLEGES (DOMINICAN AND ROCKLAND COUNTY COMMUNITY) THE FULL COMMITTEE MEETS MONTHLY AND SUB-COMMITTEE MEETINGS ARE HELD AS NEEDED. AN OUTCOME OF THIS COMMITTEE WAS A 2008 COUNTY NEEDS ASSESSMENT, WHICH SERVED AS A STARTING POINT FOR THE COUNTY'S 2010-2013 COMMUNITY HEALTH ASSESSMENT. IN ADDITION TO HAVING REPRESENTATIVES ACTIVELY PARTICIPATE ON THE PHP COMMITTEE, NYACK HOSPITAL COLLABORATED WITH THE COUNTY HEALTH DEPARTMENT TO IMPLEMENT 3 PROVIDER AND CONSUMER FOCUS GROUPS AS PART OF THE CHA PROCESS. DETAILS ARE PROVIDED IN THE COMMUNITY SERVICE PLAN.
PART VINEW YORK.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
DAVID H FREED
PRESIDENT & CEO$530,352$19,469$88,809$15,300$0$13,094$0$667,024$0$0$0
MARY K SHINICK
ASSISTANT SECRETARY$217,202$8,533$40,200$15,300$0$22,548$0$303,783$0$0$0
RICHARD GEMMING
BOARD MEMBER$0$0$0$0$17,474$0$20,442$0$493,903$356,121$80,766$19,100
WAYNE M OSTEN
BOARD MEMBER$0$0$0$0$17,699$0$21,333$0$1,321,475$0$205,555$526,570$342,419$413,454
MICHAEL RADER MD
VP & MEDICAL DIRECTOR$338,716$14,629$67,847$15,300$0$23,059$0$459,551$0$0$0
JOHN S BURKE
VP & CFO$340,874$12,676$41,531$7,650$0$32,983$0$435,714$0$0$0
JOHN VOLANTO
VP & CHIEF INFORMATION OFFICER$230,901$10,656$49,414$15,300$0$13,066$0$319,337$0$0$0
DENISE ZBAR
VP - Physician Practice Mgmt$190,442$9,000$21,545$12,868$0$32,250$0$266,105$0$0$0
RONALD RATIGAN
DIRECTOR OF FINANCE$148,035$0$35,492$11,070$0$32,031$0$226,628$0$0$0
CELESTE BETHON
CHIEF NURSING OFFICER$140,328$7,616$20,248$9,040$0$12,088$0$189,320$0$0$0
ALFREDO WALDRON
ADMIN OF PATIENT FINANCIAL SVC$148,400$0$28,679$10,628$0$21,839$0$209,546$0$0$0
ALICE VALLEN CRONIN
CH SYS & REENGINEERING OFFICER$148,061$0$20,191$10,124$0$31,845$0$210,221$0$0$0
PATRICIA JOSEPH MD
DIRECTOR OF WOMEN'S HEALTH$254,970$0$45,558$15,300$0$31,535$0$347,363$0$0$0
BRIAN BOATMAN MD
CHF MED INFORMATICS OFFICER$195,566$0$54,186$7,500$0$22,335$0$279,587$0$0$0
JOSEPH VITTORIO MD
MEDICAL DIRECTOR RECOVERY CTR$187,759$0$10,317$11,862$0$1,900$0$211,838$0$0$0
DAVID SEITZ MD
DIRECTOR - RECOVERY CENTER$164,364$0$20,380$5,562$0$30,331$0$220,637$0$0$0
JOSEPH PINTO
DIRECTOR OF PHARMACY$135,660$0$28,894$4,965$0$30,623$0$200,142$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III - ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationCertain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of Nyack Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2013 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonHOLT CONSTRUCTIONPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionTRUSTEE SPOUSE IS PRESIDERelationshipDescriptionTxt
Transaction$703,404TransactionAmt
TransactionConstruction ProjectTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 6NYACK HOSPITAL (THE "ORGANIZATION") IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC.("SYSTEM INC."). SYSTEM INC. IS A TAX-EXEMPT ORGANIZATION WHOSE MEMBERS ARE APPOINTED BY NEW YORK PRESBYTERIAN FOUNDATION,INC., WHICH IS ALSO A TAX-EXEMPT ORGANIZATION. THE MEMBERS OF THE ORGANIZATION ELECT THE ORGANIZATION'S BOARD OF TRUSTEES.
FORM 990, PART VI, LINE 7AAS SOLE CORP MEMBER, NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. DESIGNATED THE INITIAL MEMBERS, THEREAFTER, MEMBERS SHALL BE APPOINTED IN ACCORDANCE WITH THE NYACK BYLAWS.
FORM 990, PART VI, LINE 7BNEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. ("SYSTEM INC.") IS THE SOLE MEMBER OF NYACK HOSPITAL. SYSTEM INC. HAS THE RESPONSIBILITY TO PROVIDE OVERSIGHT AND TO ASSIST IN THE LONG TERM PLANNING FOR THE BENEFIT OF BOTH NYACK HOSPITAL AND SYSTEM INC. SUCH POWERS AND RESPONSIBILITIES INCLUDE THE PERIODIC REVIEW OF NYACK HOSPITAL'S FINANCIAL POSITION, ITS COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS, AND EVALUATION OF ITS PROGRAMS IN AN EFFORT TO ENSURE THE EXEMPT PURPOSE OF BOTH SYSTEM INC. AND NYACK HOSPITAL ARE BEING FULFILLED. SYSTEM INC. AND NYACK HOSPITAL WILL ALSO COORDINATE EFFORTS TO RECRUIT AND MAINTAIN SELECT KEY MANAGEMENT PERSONNEL AND PHYSICIANS. IN THE EVENT OF A VACANCY, SYSTEM INC. WILL BE PROVIDED THE OPPORTUNITY TO ASSIST IN A SEARCH COMMITTEE TO FILL SUCH VACANCY. ALL DAILY OPERATING AND MANAGEMENT DECISIONS ARE RETAINED BY NYACK HOSPITAL.
FORM 990, PART VI, LINE 11BTHE ACCOUNTING MANAGER, DIRECTOR OF FINANCE, AND THE ENTIRE FINANCE TEAM ARE VERY INVOLVED IN THE PREPARATION AND REVIEW OF THE FORM 990. ONCE THE DIRECTOR OF FINANCE HAS COMPLETED HIS REVIEW, THE CFO REVIEWS THE FORM 990 IN DETAIL, INCLUDING ALL SCHEDULES. THE FORM 990 WAS THEN UPLOADED TO THE NYACK HOSPITAL WEBSITE FOR THE FULL BOARD REVIEW IN THE "BOARD ONLY" SECTION. ONLY BOARD MEMBERS CAN ACCESS WITH A PASSWORD.
FORM 990, PART VI, LINE 12CIN AN EFFORT TO ENSURE THAT ALL TRANSACTIONS OCCURRING BETWEEN THE ORGANIZATION AND A THIRD PARTY DO NOT INURE TO THE BENEFIT OF ANY INDIVIDUAL OR CORPORATION, NYACK HOSPITAL MAINTAINS A CONFLICT OF INTEREST POLICY. UNDER THIS POLICY, OFFICERS, TRUSTEES AND EMPLOYEES MUST DISCLOSE ANY RELATIONSHIPS THAT MAY RESULT IN CONFLICT DUE TO TRANSACTIONS OCCURRING BETWEEN THE ORGANIZATION AND AN INDIVIDUAL. ALL EMPLOYEES AND TRUSTEES HAVE A DUTY TO DISCLOSE ANY FINANCIAL INTEREST WHICH MAY POSE A CONFLICT WITH THEIR HOSPITAL RESPONSIBILITIES. THIS DISCLOSURE IS CONFIRMED BY THE DISTRIBUTION OF A QUESTIONNAIRE ON AN ANNUAL BASIS. IN COMPLETING THE QUESTIONNAIRE, THE EMPLOYEE OR TRUSTEE IS RESPONSIBLE FOR DISCLOSING HIS OR HER RELATIONSHIP TO ANY ENTITY DOING BUSINESS WITH THE ORGANIZATION UNLESS SUCH INTEREST DOES NOT REPRESENT A SIGNIFICANT PORTION OF THE INDIVIDUAL'S NET WORTH. ADDITIONALLY, SHOULD THE EMPLOYEE OR TRUSTEE BECOME AWARE OF SUCH A RELATIONSHIP SUBSEQUENT TO THE ADMINISTRATION OF THE OUESTIONNAIRE, HE OR SHE SHOULD DISCLOSE THE RELATIONSHIP TO THE APPROPRIATE DEPARTMENT HEAD OR COMMITTEE CHAIRPERSON. IN THE EVENT OF A POTENTIAL CONFLICT, THE INDIVIDUAL IS ASKED TO ABSTAIN FROM PARTICIPATING IN ANY DECISIONS RELATED TO THE TRANSACTION IN QUESTION UNTIL THE ORGANIZATION CAN DETERMINE IF A CONFLICT OF INTEREST EXISTS AND MAKES AN APPROPRIATE DECISION TO DETERMINE HOW THE CONFLICT WILL BE RESOLVED.
FORM 990, PART VI, LINE 15ATHE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND SENIOR EXECUTIVES IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. AN INDEPENDENT OUTSIDE CONSULTANT WITH EXPERTISE IN HOSPITAL EXECUTIVE COMPENSATION ASSESSES THE EXECUTIVE COMPENSATION AS COMPARED TO SIMILAR POSITIONS IN THE NEW YORK AREA AND RECOMMENDS A RANGE. THE COMMITTEE SETS THE EXECUTIVE COMPENSATION FOR THE COMING YEAR WITHIN THE FAIR MARKET VALUE RANGE RECOMMENDED BY THE CONSULTANT. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES.
FORM 990, PART VI, LINE 15BTHE COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. AN INDEPENDENT OUTSIDE CONSULTANT WITH EXPERTISE IN HOSPITAL EXECUTIVE COMPENSATION ASSESSES THE COMPENSATION AS COMPARED TO SIMILAR POSITIONS IN THE NEW YORK AREA AND RECOMMENDS A RANGE. THE COMMITTEE SETS THE COMPENSATION FOR THE COMING YEAR WITHIN THE RANGE RECOMMENDED BY THE CONSULTANT. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES.
FORM 990, PART VI, LINE 19UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
FORM 990, PART VIICertain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of Nyack Hospital are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2013 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESChange in pension and postretirement liabilities other than net periodic benefit cost $ 5,332,903.
FORM 990, PART III, LINE 4A - PROGRAM SERVICESCONTINUED FROM 990, PAGE 2: FOR THE YEAR ENDED DECEMBER 31, 2013, NYACK HOSPITAL PROVIDED $18,590,669 IN INDIGENT AND CHARITY WRITE-OFFS UNDER ITS CHARITY CARE POLICY. NYACK HOSPITAL ALSO PROVIDES 24 HOUR EMERGENCY DEPARTMENT SERVICES. FOR 2012, NYACK HOSPITAL HAD 59,163 EMERGENCY DEPARTMENT VISITS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (46 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
NEW YORK METHODIST HOSPITAL
506 SIXTH STREETBROOKLYNNY11215111631796HEALTHCARENY501(c)(3)3NYHB INCYes (true)
NYP HEALTHCARE SYSTEM INC
525 EAST 68TH ST BOX 156NEW YORKNY10065133792361SPONSORNY501(c)(3)11 TYPE IIINYP FOUNDATIYes (true)
THE NY AND PRESBYTERIAN HOSPITAL
525 EAST 68TH ST BOX 156NEW YORKNY10065133957095HEALTHCARENY501(c)(3)3NYP FOUNDATIYes (true)
NY-PRESBYTERIAN FOUNDATION INC
525 EAST 68TH ST BOX 156NEW YORKNY10065134153668SUPPORTNY501(c)(3)11 TYPE INAfalse
ROYAL CHARTER PROPERTIES INC
525 EAST 68TH ST BOX 156NEW YORKNY10065133158502REAL ESTATENY501(c)(3)11 TYPE IINYP FOUNDATIYes (true)
ROYAL CHARTER PROPERTIES EAST INC
525 EAST 68TH ST BOX 156NEW YORKNY10065133158496REAL ESTATENY501(C)(3)11 TYPE IINYP FOUNDATIYes (true)
ROYAL CHARTER PROPERTIES WEST INC
525 EAST 68TH ST BOX 156NEW YORKNY10065133160354REAL ESTATENY501(c)(3)11 TYPE IINYP FOUNDATIYes (true)
PRESBYTERIAN HEALTH RESOURCES INC
525 EAST 68TH ST BOX 156NEW YORKNY10035133145970INACTIVENY501(c)(3)11 TYPE INYP FOUNDATIYes (true)
HOSPITAL FOR SPECIAL SURGERY
535 EAST 70TH STNEW YORKNY10021131624135HEALTHCARENY501(c)(3)3NYP FOUNDATIYes (true)
NY-PRESBYTERIAN FUND INC
525 EAST 68TH ST BOX 156NEW YORKNY10065133160356FUNDRAISINGNY501(c)(3)7NYP FOUNDATIYes (true)
NY HOSPITAL MEDICAL CTR OF QUEENS
56-45 MAIN STREETFLUSHINGNY11355111839362HEALTHCARENY501(c)(3)3NYP HS INCYes (true)
NY COMMUNITY HOSPITAL OF BROOKLYN
525 EAST 68TH STREET BOX 156NEW YORKNY10065111986351HEALTHCARENY501(c)(3)3NYHb INCYes (true)
NY WESTCHESTER SQUARE MEDICAL CENTER
2475 ST RAYMOND AVENUEBRONXNY10461311730177HEALTHCARENY501(c)(3)3NYP HS INCYes (true)
NY GRACIE SQUARE HOSPITAL
420 EAST 76TH STNEW YORKNY10021133746997PSYCHIATRICNY501(c)(3)3NYP HS INCYes (true)
THE ROGOSIN INSTITUTE INC
505 E 70TH STNEW YORKNY10021133184198HEALTHCARENY501(c)(3)4NYP HS INCYes (true)
NYACK HOSPITAL FOUNDATION
160 N MIDLAND AVENYACKNY10960133245804SUPPORTNY501(c)(3)7NYACK HOSPITYes (true)
SILVERCREST CTR FOR NURSING & REHAB
144-45 87TH AVENUEJAMAICANY11453112925535NURSING FACNY501(c)(3)9NYP HS INCYes (true)
NETWORK RECOVERY SERVICES INC
525 EAST 68TH STREET BOX 156NEW YORKNY10065113160901COLLECTIONNY501(c)(3)11 TYPE IIINYP HS INCYes (true)
NY PRESBYTERIAN COMMUNITY HEALTH PLAN
525 EAST 68TH STREET BOX 156NEW YORKNY10065133849659INACTIVENY501(C)(4)N/ANYP HS INCYes (true)
PREFERRED HEALTH NETWORK INC
525 EAST 68TH STREET BOX 156NEW YORKNY10065112964432INACTIVENY501(c)(3)11 TYPE INYP HS INCYes (true)
CRT SURGICAL ASSOCIATE PC
56-45 MAIN STFLUSHINGNY11355112226870HEALTHCARENY501(c)(3)11 TYPE INYHMC QUEENSYes (true)
BMA MEDICAL FOUNDATION INC
56-45 MAIN STFLUSHINGNY11355112848858EDU/RESEARCHNY501(c)(3)4NYHMC QUEENSYes (true)
ASHLAND PLACE HOUSES INC
121 DEKALB AVEBROOKLYNNY11201112390927REAL ESTATENY501(c)(3)BROOKLYN HCYes (true)
CALEDONIAN HEALTH CENTER
121 DEKALB AVEBROOKLYNNY11201542117028CLINICSNY501(c)(3)9BROOKLYN HCYes (true)
ASHLAND PLACE HOLDING CORPORATION
121 DEKALB AVEBROOKLYNNY11201113304353TITLE HOLDINGNY501(c)(2)N/ABROOKLYN HCYes (true)
THE BROOKLYN HOSPITAL SELF INS TRUST
121 DEKALB AVEBROOKLYNNY11201112501235SELF INS TRUSNY501(c)(3)11 TYPE IBROOKLYN HCYes (true)
BROOKLYN HOSPITAL FOUNDATION INC
121 DEKALBBROOKLYNNY11201112936410SUPPORTNY501(c)(3)11 TYPE IBROOKLYN HCYes (true)
SILVERCREST SENIOR HOUSING DEV FUND
144-45 87TH AVEBRIARWOODNY11435262894911HOUSINGNY501(c)(3)9SILVERCRESTYes (true)
THE BROOKLYN HOSPITAL CENTER
121 DEKALB AVENUEBROOKLYNNY11201111630755HEALTHCARENY501(c)(3)3NYP HS INCYes (true)
NEW YORK DOWNTOWN HOSPITAL
170 WILLIAM STNEW YORKNY10038133049852HEALTHCARENY501(C)(3)3NYP SYS INCYes (true)
BEEKMAN STAFF RESIDENCE
525 East 68th StreetNEW YORKNY11065132773085Real Est/HousNY501(C)(3)11 TYPE INY PRESBYTERYes (true)
NYDH MANAGEMENT SVCS CORP INC
170 WILLIAM STNEW YORKNY10038133672912INACTIVENY501(C)(3)11 TYPE INY DOWNTOWNYes (true)
NEW YORK DOWNTOWN MEDICAL ASSOCIATES INC
525 East 68th StreetNEW YORKNY11065133672980InactiveNY501(C)(3)11 TYPE INY PRESBYTERYes (true)
NEW YORK DOWNTOWN HOSPITAL CCPH
525 East 68th StreetNEW YORKNY11065113614596FUND/SUPPORTNY501(C)(3)11 TYPE INY PRESBYTERYes (true)
THE ELIZABETH BLACKWELL FOUNDATION INC
525 East 68th StreetNEW YORKNY11065133344692HLTH INFO SRVNY501(C)(3)11 TYPE INY PRESBYTERYes (true)
NEW YORK QUEENS CHARTER VENTURES INC
56-45 MAIN STFLUSHINGNY11355454795032REAL EST HLDGNY501(C)(3)11 TYPE INY QUEENSYes (true)
PARK VENTURES HOUSING CORP
121 DEKALB AVEBROOKLYNNY11201113321990REAL ESTATENY501(C)(3)11 TYPE ITBHCYes (true)
TBHC PEDIATRICS PC
121 DEKALB AVEBROOKLYNNY11201270174684PEDIATRICSNY510(C)(3)11 TYPE ITBHCYes (true)
TBHC MEDICAL TESTING SERVICES PC
121 DEKALB AVEBROOKLYNNY11201270174413MEDICAL TESTNY510(C)(3)11 TYPE ITBHCYes (true)
TBHC PHYSICIAN SERVICES PC
121 DEKALB AVEBROOKLYNNY11201270174589MEDICAL SVCSNY510(C)(3)11 TYPE ITBHCYes (true)
TBHC MEDICAL SERVICES PC
121 DEKALB AVEBROOKLYNNY11201112833590MEDICAL SERVINY501(C)(3)11 TYPE ItbhcYes (true)
BROOKLYN HOSPITAL RADIOLOGY PC
121 DEKALB AVEBROOKLYNNY11201112833588RADIOLOGYNY501(C)(3)11 TYPE ITBHCYes (true)
TBHC EMERGENCY MEDICINE PC
121 DEKALB AVEBROOKLYNNY11201112833587MEDICAL SERVINY501(C)(3)11 TYPE ITBHCYes (true)
NEW YORK QUEENS MEDICINE AND SURGERY PC
56-45 MAIN STFLUSHINGNY11358274719998HEALTHCARENY501(C)(3)11 TYPE INYHMC QUEENSYes (true)
NYHB INC
506 Sixth StreetBrooklynNY11215462486539HealthcareNY501(C)(3)11 TYPE ISystem IncYes (true)
BKLYN HOSP WOMEN'S HC MED PROVIDERS PC
121 DEKALB AVEBROOKLYNNY11201275459970MEDICAL SERVINY501(c)(3)11 TYPE ITBHCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NEW YORK PRESBYTERIAN PLAN MGMT LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1525 EAST 68TH STAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10065ZIPCode
FieldValueIRS element (for citing)
EIN134197527EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NYP HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
BROOKLYN HOSPITAL ECG MEDICAL SERVICE
121 DEKALB AVEBROOKLYNNY11201112833052MEDICAL SERVINYTBHCC CORP$0$0Yes (true)
BROOKLYN HOSPITAL NUCLEAR MEDICINE PC
121 DEKALB AVEBROOKLYNNY11201112833589MEDICAL SERVINYTBHCC CORP$0$0Yes (true)
TBHC ANESTHESIOLOGY SERVICES PC
121 DEKALB AVEBROOKLYNNY11201112833049MEDICAL SERVINYTBHCC CORP$0$0Yes (true)
TBHC RADIOLOGY ONCOLOGY PC
121 DEKALB AVEBROOKLYNNY11201270174805MEDICAL SERVINYTBHCC CORP$0$0Yes (true)
HIGHLAND MEDICAL PC
160 NORTH MIDLAND AVENUENYACKNY10960134034481MEDICAL SERVINYNYACK HOSPITALC CORP$0$0Yes (true)
NH MANAGEMENT INC
160 NORTH MIDLAND AVENUENYACKNY10960134026486MEDICAL SERVINYNYACK HOSPITALC CORP$0$0Yes (true)
NYH-SHP IPA INC
525 EAST 68TH STREET BOX 156NEW YORKNY10065133919980INACTIVENYNYP SYSTEM INCC CORP$0$0Yes (true)
NETWORK INSURANCE COMPANY LTD
REINSURANCENYP SYSTEM INCFOREIGN C$0$0Yes (true)PO BOX HM 1760HAMILTONHM HX BEMNUDA BDBDBD
NYP SERVICES INC
525 EAST 68TH STREET BOX 156NEW YORKNY10065061830524INACTIVENYNYP FOUNDATIONC CORP$0$0Yes (true)
NEW YORK-PRESBYTERIAN GLOBAL INC
525 EAST 68TH STREET BOX 156NEW YORKNY10065800336716INACTIVENYNYP FOUNDATIONC CORP$0$0Yes (true)
HARKNESS HALL CLUB
525 EAST 68TH STREET BOX 156NEW YORKNY10065133170488LIQUOR LICENSNYNYP HOSPITALC CORP$0$0Yes (true)
Columbia Presbyterian Health SystemInc
525 EAST 68TH STREET BOX 156NEW YORKNY10065133053885REAL ESTATENYNYP FUND INCC CORP$0$0Yes (true)
NYP GLOBAL SERVICES INC
525 EAST 68TH STREET BOX 156NEW YORKNY10065133845935INACTIVENYNYP FUND INCC CORP$0$0Yes (true)
MAIN STREET MEDICAL PC
56-45 MAIN STREETFLUSHINGNY11358061205476MEDICAL SERVINYNYHMC QUEENSC CORP$0$0Yes (true)
NYHQ OBGYN PC
56-45 MAIN STREETFLUSHINGNY11358113395424MEDICAL SERVINYNYHMC QUEENSC CORP$0$0Yes (true)
BMA PC
56-45 MAIN STREETFLUSHINGNY11358112747259MEDICAL SERVINYNYHMC QUEENSC CORP$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NYACK HOSPITAL FOUNDATION
C$383,575COST
HIGHLAND MEDICAL PC
D$2,729,578COST
NYACK HOSPITAL FOUNDATION
M$69,453COST
NYACK HOSPITAL FOUNDATION
O$174,739COST
HIGHLAND MEDICAL PC
N$269,552COST
NYP HEALTHCARE SYSTEM
P$376,628COST