MONTEFIORE NYACK HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MONTEFIORE NYACK HOSPITAL (EIN 13-1740119)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201313189349304366
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T13:47:11-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Charles A Barragato & Co LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 Third Avenue - 20th FL | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10022 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740119 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nyack Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RONALD RATIGAN | InCareOfName |
| Name Control | NYAC | NameControl |
| Phone | 8453486522 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 North Midland Avenue | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Nyack | City |
| State | NY | State |
| ZIP Code | 10960 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD RATIGAN | Name |
| Title | DIRECTOR OF FINANCE | Title |
| Phone | 2123714446 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2123714446 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID H FREED | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 NORTH MIDLAND AVENUE | AddressLine1 |
| City | NYACK | City |
| State | NY | State |
| ZIP Code | 10960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 208006160 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | NYACKHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1895 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF NYACK HOSPITAL IS TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1886 | TotalNbrEmployees |
| Total Nbr Volunteers | 218 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 664736 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 597716 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 204613074 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 199080508 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 35848 | InvestmentIncomePriorYear |
| Investment Income Current Year | 28873 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7235706 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8299063 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 212549364 | TotalRevenuePriorYear |
| Total Revenue Current Year | 208006160 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 122995121 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 126390992 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 84309554 | OtherExpensePriorYear |
| Other Expenses Current Year | 77162472 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 207304675 | TotalExpensesPriorYear |
| Total Expenses Current Year | 203553464 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5244689 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4452696 | RevenuesLessExpensesCY |
| Total Assets BOY | 77868968 | TotalAssetsBOY |
| Total Assets EOY | 75738732 | TotalAssetsEOY |
| Total Liabilities BOY | 81163021 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 77314617 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -3294053 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1575885 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF NYACK HOSPITAL IS TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 183198117 | Expense |
| Revenue | 201152228 | Revenue |
| Description | NYACK 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 2012, NYACK HOSPITAL PROVIDED HIGH QUALITY HEALTHCARE SERVICES FOR 16,183 ADMISSIONS, ACCOUNTING FOR 70,788 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. FOR THE YEAR ENDED DECEMBER 31, 2012, NYACK HOSPITAL PROVIDED $17,046,293 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 59,994 EMERGENCY DEPARTMENT VISITS. | Description |
| Total Program Service Expense | 183198117 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 120 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1886 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RONALD RATIGAN | NamePerson |
| Telephone Number | 8453486522 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 NORTH MIDLAND AVENUE | AddressLine1 |
| City | NYACK | City |
| State | NY | State |
| ZIP Code | 10960 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (37 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD KOHLHAUSEN | |||||||||
| CHAIR | 1.0 | X | X | ||||||
| LISA HAYES | |||||||||
| VICE CHAIR | 1.0 | X | X | 1.0 | |||||
| JOHN MECCHELLA | |||||||||
| VICE CHAIR | 1.0 | X | X | ||||||
| DAVID H FREED | |||||||||
| PRESIDENT & CEO | 40.0 | X | X | 1.0 | 701107 | 25898 | |||
| KEVIN CONWAY | |||||||||
| SECRETARY | 1.0 | X | X | ||||||
| MARY K SHINICK | |||||||||
| ASSISTANT SECRETARY | 40.0 | X | X | 287611 | 32987 | ||||
| MARISA S BARBIERI | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| LAURENCE J BERGER | |||||||||
| BOARD MEMBER-JAN-NOVEMBER | 1.0 | X | 59.0 | 39767 | 401717 | ||||
| HOWARD J FELDFOGEL DO | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| ALAN FELDSTEIN | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| RICHARD GEMMING | |||||||||
| BOARD MEMBER - BEGINNING DEC | 1.0 | X | 59.0 | 35223 | 404760 | ||||
| JAMES GERSTLEY | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| RICHARD A GOLDMAN | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| KEVIN HOBBS | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| MARK JACOBS | |||||||||
| BOARD MEMBER | 1.0 | X | 1.0 | ||||||
| ELIOT J LAZAR MD | |||||||||
| BOARD MEMBER | 1.0 | X | 59.0 | 168523 | 929053 | ||||
| MARC J LEVINE MD | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| MICHAEL L MCNEE | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| WAYNE M OSTEN | |||||||||
| BOARD MEMBER | 1.0 | X | 59.0 | 39692 | 1043712 | ||||
| ENRIQUE PABON | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| WILLIAM SHUM | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| COREY M TURNER | |||||||||
| BOARD MEMBER | 1.0 | X | |||||||
| KENDALL A QUALLS | |||||||||
| BOARD MEMBERS | 1.0 | X | |||||||
| JOHN S BURKE | |||||||||
| VP & CFO | 40.0 | X | 1.0 | 426166 | 34097 | ||||
| MICHAEL RADER MD | |||||||||
| VP & MEDICAL DIRECTOR | 40.0 | 460865 | 33650 | X | |||||
| JOHN VOLANTO | |||||||||
| VP & CHIEF INFORMATION OFFICER | 40.0 | 316429 | 25815 | X | |||||
| DENISE ZBAR | |||||||||
| VP - Physician Practice Mgmt | 40.0 | 241520 | 38097 | X | |||||
| MARYANN ANDERSON | |||||||||
| VP OF NURSING | 40.0 | 227590 | 5918 | X | |||||
| RONALD RATIGAN | |||||||||
| DIRECTOR OF FINANCE | 40.0 | 184352 | 36796 | X | |||||
| CELESTE BETHON | |||||||||
| CHIEF NURSING OFFICER | 40.0 | 183466 | 20799 | X | |||||
| ALFREDO WALDRON | |||||||||
| ADMIN OF PATIENT FINANCIAL SVC | 40.0 | 177970 | 28249 | X | |||||
| ALICE VALLEN CRONIN | |||||||||
| CH SYS & REENGINEERING OFFICER | 40.0 | 169294 | 35619 | X | |||||
| PATRICIA JOSEPH MD | |||||||||
| DIRECTOR OF WOMEN'S HEALTH | 40.0 | 299611 | 39046 | X | |||||
| BRIAN BOATMAN MD | |||||||||
| CHF MED INFORMATICS OFFICER | 40.0 | 249532 | 19560 | X | |||||
| JILL GARLAND | |||||||||
| VP OF DEVELOPMENT | 40.0 | 1.0 | 201963 | 30092 | X | ||||
| JOSEPH VITTORIO MD | |||||||||
| MEDICAL DIRECTOR RECOVERY CTR | 40.0 | 197920 | 13987 | X | |||||
| DAVID SEITZ MD | |||||||||
| DIRECTOR - RECOVERY CENTER | 40.0 | 184607 | 29460 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4510003 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2779242 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 733275 | TotalOtherCompensation |
| Number Individuals GT100 K | 243 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HOSPITALIST EMO | |||||
| 3 CENTURY DRIVE | PARSIPPANY | NJ | 07054 | HOSPITALIST MD SVCS | 2228089 |
| HUDSON VALLEY OBSTETRICAL | |||||
| 258 HIGH AVENUE | NYACK | NY | 10960 | OBSTETRIC MD SERVICE | 1690131 |
| ERNST YOUNG | |||||
| PO BOX 640382 | PITTSBURGH | PA | 15264 | AUDIT SERVICES | 398150 |
| EPSTEIN BECKER GREEN | |||||
| PO BOX 30036 | NEW YORK | NY | 10087 | ATTORNEY FEES | 386694 |
| SCHIAVETTI CORGAN SOSCIA DIEDWAR | |||||
| 709 WESTCHESTER AVENUE | WHITE PLAINS | NY | 10604 | ATTORNEY FEES | 332215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Government Grants | 496850 | GovernmentGrants |
| All Other Contributions | 100866 | AllOtherContributions |
| Total Contributions | 597716 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | 207093443 | 207093443 |
| PROVISION FOR BAD DEBT | 621300 | -8012935 | -8012935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 199080508 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16370 | TotalRevenueColumn |
| Exclusion | $16,370 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 782074 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 782074 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 782074 | TotalRevenueColumn |
| Exclusion | $782,074 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 12503 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 12503 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12503 | TotalRevenueColumn |
| Exclusion | $12,503 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| EHR MEANINGFUL USE INCOME | 900099 | 3566696 | $3,566,696 | |
| CLINIC REVENUE | 900099 | 1359636 | 1359636 | |
| CAFETERIA | 900099 | 699995 | $699,995 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1890662 | TotalRevenueColumn |
| Related Or Exempt Function Income | 712084 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,178,578 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7516989 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 208006160 | TotalRevenueColumn |
| Related Or Exempt Function Income | 201152228 | RelatedOrExemptFunctionIncome |
| Exclusion | $6,256,216 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3694295 | Total |
| Management And General | 3694295 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93830457 | Total |
| Program Services | 87486144 | ProgramServices |
| Management And General | 6344313 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6316337 | Total |
| Program Services | 5794631 | ProgramServices |
| Management And General | 521706 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15089175 | Total |
| Program Services | 13756463 | ProgramServices |
| Management And General | 1332712 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7460728 | Total |
| Program Services | 6714655 | ProgramServices |
| Management And General | 746073 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6294842 | Total |
| Program Services | 5665358 | ProgramServices |
| Management And General | 629484 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1444552 | Total |
| Program Services | 1300097 | ProgramServices |
| Management And General | 144455 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 383150 | Total |
| Program Services | 344835 | ProgramServices |
| Management And General | 38315 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66099 | Total |
| Program Services | 59489 | ProgramServices |
| Management And General | 6610 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7149211 | Total |
| Program Services | 6434290 | ProgramServices |
| Management And General | 714921 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 372996 | Total |
| Program Services | 335696 | ProgramServices |
| Management And General | 37300 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12900420 | Total |
| Program Services | 11610378 | ProgramServices |
| Management And General | 1290042 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2799858 | Total |
| Program Services | 2519872 | ProgramServices |
| Management And General | 279986 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2607466 | Total |
| Program Services | 2346719 | ProgramServices |
| Management And General | 260747 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288976 | Total |
| Program Services | 260078 | ProgramServices |
| Management And General | 28898 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 454328 | Total |
| Program Services | 408895 | ProgramServices |
| Management And General | 45433 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 933785 | Total |
| Program Services | 840407 | ProgramServices |
| Management And General | 93378 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249822 | Total |
| Program Services | 224840 | ProgramServices |
| Management And General | 24982 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6609167 | Total |
| Program Services | 5948250 | ProgramServices |
| Management And General | 660917 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1093690 | Total |
| Program Services | 984321 | ProgramServices |
| Management And General | 109369 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 16634400 | 14970960 | 1663440 |
| PHARMACEUTICAL | 9835572 | 8852015 | 983557 |
| OTHER PURCHASED SERVICES | 4390152 | 3951137 | 439015 |
| OTHER EXPENSES | 2653986 | 2388587 | 265399 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203553464 | Total |
| Program Services | 183198117 | ProgramServices |
| Management And General | 20355347 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 931258 | BOY |
| EOY | 2006675 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25592889 | BOY |
| EOY | 24991762 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2971207 | BOY |
| EOY | 2492246 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 766053 | BOY |
| EOY | 403230 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 160729617 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 122237504 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40004320 | BOY |
| EOY | 38492113 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7603241 | BOY |
| EOY | 7352706 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77868968 | BOY |
| EOY | 75738732 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37866358 | BOY |
| EOY | 35832753 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 332015 | BOY |
| EOY | 1879776 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14354062 | BOY |
| EOY | 9265436 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28610586 | BOY |
| EOY | 30336652 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81163021 | BOY |
| EOY | 77314617 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3513552 | BOY |
| EOY | -1795384 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219499 | BOY |
| EOY | 219499 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3294053 | BOY |
| EOY | -1575885 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77868968 | BOY |
| EOY | 75738732 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4452696 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2734528 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $66,099 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 66099 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II-B, LINE 1I - OTHER ACTIVITIES DESCRIPTION | Identifier |
| Explanation | NYACK HOSPITAL PAID DUES TO THE LOCAL 1199 - HEALTHCARE EDUCATION PROJECT (HEP), THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), THE NORTHERN METROPOLITAN HEALTHCARE ASSOCIATION (NORMET) 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 2012 HEP, HANYS, NORMET and HCA ANNUAL DUES WAS $32,531, $19,261, $11,480 AND $2,827 RESPECTIVELY. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 219499 | BeginningOfYearBalance |
| End Of Year Balance | 219499 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 219499 | BeginningOfYearBalance |
| End Of Year Balance | 219499 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 219499 | BeginningOfYearBalance |
| End Of Year Balance | 219499 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 219499 | BeginningOfYearBalance |
| End Of Year Balance | 219499 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 219499 | BeginningOfYearBalance |
| End Of Year Balance | 219499 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 651548 | OtherCostOrOtherBasis |
| Book Value | 651548 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 49243264 | OtherCostOrOtherBasis |
| Depreciation | 25518969 | Depreciation |
| Book Value | 23724295 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 38628 | OtherCostOrOtherBasis |
| Book Value | 38628 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 106316161 | OtherCostOrOtherBasis |
| Depreciation | 94375727 | Depreciation |
| Book Value | 11940434 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4480016 | OtherCostOrOtherBasis |
| Depreciation | 2342808 | Depreciation |
| Book Value | 2137208 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 38492113 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS LIMITED AS TO USE | 263856 |
| DUE FROM RELATED PARTIES | 1376913 |
| OTHER RECEIVABLE | 5711937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7352706 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED POST RETIREMENT BENEFI | $655,900 |
| MALPRACTICE LIABILITY | $8,580,000 |
| OTHER LIABILITIES | $5,596,679 |
| PENSION LIABILITY | $12,238,318 |
| THIRD PARTY LIABILITIES | $3,265,755 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 30336652 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND | Identifier |
| Explanation | THE INTENDED USE OF THE HOSPITAL'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO BE USED FOR UNINSURED WOMEN. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3928587 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2167038 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1761549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41121557 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32834102 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8287455 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45050144 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35001140 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10049004 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04940 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 250464 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 136623 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 113841 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25513279 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21238990 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4274289 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25763743 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21375613 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4388130 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 70813887 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 56376753 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14437134 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07100 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 93724 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 93724 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 93724 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 93724 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $8,012,935 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 68625489 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 68297532 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 327957 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nyack Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 North Midland Ave | AddressLine1 |
| City | Nyack | City |
| State | NY | State |
| ZIP Code | 10960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.nyackhospital.org/ | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nyack Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION OF COSTING METHODOLOGY | PART I, LINE 7 | NYACK HOSPITAL'S COSTING METHODOLOGY WAS BASED UPON THE 2012 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2012 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. |
| BAD DEBT EXPENSE | PART III, LINES 2 and 4 | THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE 2 ON PAGE 10 OF THE ATTACHED AFS. |
| EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT | PART III, LINE 8 | THE AMOUNT REPORTED ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B. |
| PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS | PART III, LINE 9B | PURPOSE: 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. |
| INDIVIDUALS ELIGIBILITY FOR FINANCIAL ASSISTANCE | PART V, LINE 20 | WE USE MEDICAID RATES FOR INPATIENT MEDICARE RATES FOR OUTPATIENT. |
| NEEDS ASSESSMENT | PART VI | PURSUANT 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. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | ALL 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. |
| COMMUNITY INFORMATION | PART VI | NYACK HOSPITAL DEFINES ITS TOTAL SERVICE AREA FOR THE PURPOSES OF COMMUNITY/LOCAL HEALTH PLANNING AS ALL OF ROCKLAND COUNTY. NINE ROCKLAND COUNTY COMMUNITIES COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA. SEE COMMUNITY SERVICE PLAN FOR DELINEATION OF PRIMARY AND SECONDARY SERVICE AREAS. |
| COMMUNITY BUILDING ACTIVITIES | PART VI | NYACK 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. |
| STATES WHERE COMMUNITY BENEFIT REPORT FILED | PART VI | NEW YORK. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID H FREED | ||||||||||||||
| PRESIDENT & CEO | 489899 | 94277 | 116931 | 14850 | 11048 | 727005 | ||||||||
| MARY K SHINICK | ||||||||||||||
| ASSISTANT SECRETARY | 206068 | 39022 | 42521 | 14784 | 18203 | 320598 | 0 | |||||||
| LAURENCE J BERGER | ||||||||||||||
| BOARD MEMBER-JAN-NOVEMBER | 250014 | 65181 | 86522 | 18611 | 21156 | 441484 | 0 | |||||||
| RICHARD GEMMING | ||||||||||||||
| BOARD MEMBER - BEGINNING DEC | 385134 | 0 | 19626 | 15000 | 20223 | 439983 | ||||||||
| ELIOT J LAZAR MD | ||||||||||||||
| BOARD MEMBER | 544998 | 342276 | 41779 | 129787 | 38736 | 1097576 | 0 | |||||||
| WAYNE M OSTEN | ||||||||||||||
| BOARD MEMBER | 502803 | 306028 | 234881 | 16559 | 23133 | 1083404 | 105521 | |||||||
| MICHAEL RADER MD | ||||||||||||||
| VP & MEDICAL DIRECTOR | 340714 | 62777 | 57374 | 14850 | 18800 | 494515 | 0 | |||||||
| JOHN S BURKE | ||||||||||||||
| VP & CFO | 316887 | 54436 | 54843 | 7500 | 26597 | 460263 | 0 | |||||||
| JOHN VOLANTO | ||||||||||||||
| VP & CHIEF INFORMATION OFFICER | 227770 | 42665 | 45994 | 14850 | 10965 | 342244 | 0 | |||||||
| DENISE ZBAR | ||||||||||||||
| VP - Physician Practice Mgmt | 174562 | 36781 | 30177 | 12349 | 25748 | 279617 | 0 | |||||||
| MARYANN ANDERSON | ||||||||||||||
| VP OF NURSING | 126605 | 39007 | 61978 | 0 | 5918 | 233508 | 0 | |||||||
| RONALD RATIGAN | ||||||||||||||
| DIRECTOR OF FINANCE | 153806 | 0 | 30546 | 11127 | 25669 | 221148 | 0 | |||||||
| CELESTE BETHON | ||||||||||||||
| CHIEF NURSING OFFICER | 151598 | 1000 | 30868 | 10950 | 9849 | 204265 | 0 | |||||||
| ALFREDO WALDRON | ||||||||||||||
| ADMIN OF PATIENT FINANCIAL SVC | 155298 | 0 | 22672 | 10683 | 17566 | 206219 | 0 | |||||||
| ALICE VALLEN CRONIN | ||||||||||||||
| CH SYS & REENGINEERING OFFICER | 146114 | 0 | 23180 | 10198 | 25421 | 204913 | 0 | |||||||
| PATRICIA JOSEPH MD | ||||||||||||||
| DIRECTOR OF WOMEN'S HEALTH | 257278 | 0 | 42333 | 14850 | 24196 | 338657 | 0 | |||||||
| BRIAN BOATMAN MD | ||||||||||||||
| CHF MED INFORMATICS OFFICER | 230184 | 0 | 19348 | 1442 | 18118 | 269092 | 0 | |||||||
| JILL GARLAND | ||||||||||||||
| VP OF DEVELOPMENT | 145064 | 32833 | 24066 | 4331 | 25761 | 232055 | 0 | |||||||
| JOSEPH VITTORIO MD | ||||||||||||||
| MEDICAL DIRECTOR RECOVERY CTR | 182436 | 0 | 15484 | 11862 | 2125 | 211907 | 0 | |||||||
| DAVID SEITZ MD | ||||||||||||||
| DIRECTOR - RECOVERY CENTER | 177913 | 0 | 6694 | 5563 | 23897 | 214067 | 0 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART III - ADDITIONAL INFORMATION | Identifier |
| Explanation | Certain 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 2012 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS | FORM 990, PART VI, LINE 6 | NYACK 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. |
| HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY | FORM 990, PART VI, LINE 7A | AS SOLE CORP MEMBER, NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. DESIGNATED THE INITIAL MEMBERS, THEREAFTER, MEMBERS SHALL BE APPOINTED IN ACCORDANCE WITH THE NYACK BYLAWS. |
| DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, LINE 7B | NEW 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 REVIEW PROCESS | FORM 990, PART VI, LINE 11B | THE ACCOUNTING MANAGER, DIRECTOR OF FINANCE, AND THE ENTIRE FINANCE TEAM ARE HEAVILY 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. |
| EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS | FORM 990, PART VI, LINE 12C | IN 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. |
| COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC DIRECTOR OR TOP MGMT | FORM 990, PART VI, LINE 15A | THE 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. |
| COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES | FORM 990, PART VI, LINE 15B | THE 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. |
| OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE | FORM 990, PART VI, LINE 19 | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. |
| FORM 990, PART VII | Certain 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 2012 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 BALANCES | FORM 990, PART XI, LINE 9 | Change in Minimum Pension Liability $ -2,734,528. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (53 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| NEW YORK METHODIST HOSPITAL | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 111631796 | HEALTHCARE | NY | 501(c)(3) | 3 | NYP HS INC | true |
| PARK SLOPE MEDICAL SERVICE PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 112843882 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| BROOKLYN FOOT & ANKLE PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 113441502 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| PARK SLOPE PHYSICIAN SERVICES PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 113231685 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| PARK SLOPE PEDIATRIC MEDICINE PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 113303499 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| PARK SLOPE PATHOLOGY SERVICES PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 112843879 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| PARK SLOPE MEDICINE PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 113362663 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| PARK SLOPE HEMOTOLOGY & ONCOLOGY PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 113564621 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| PARK SLOPE MEDICAL HEALTH PROVIDER PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 421591811 | INACTIVE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| SOUTH BROOKLYN HEALTH CENTER INC | ||||||||||
| 120 RICHARDS STREET | BROOKLYN | NY | 11231 | 112339341 | HEALTHCARE | NY | 501(c)(3) | 7 | NY METHODIST | true |
| BROOKLYN DENTAL SERVICES PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 432015903 | DENTAL | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| PARK SLOPE OBSTETRICS & GYNECOLOGY PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 113124294 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| BROOKLYN RADIOLOGY SERVICES PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 113423162 | RADIOLOGY | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| NYP HEALTHCARE SYSTEM INC | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10065 | 133792361 | SPONSOR | NY | 501(c)(3) | 11 TYPE III | NYP FOUNDATI | true |
| THE NY AND PRESBYTERIAN HOSPITAL | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10065 | 133957095 | HEALTHCARE | NY | 501(c)(3) | 3 | NYP FOUNDATI | true |
| NY-PRESBYTERIAN FOUNDATION INC | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10065 | 134153668 | SUPPORT | NY | 501(c)(3) | 11 TYPE I | NA | false |
| ROYAL CHARTER PROPERTIES INC | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10065 | 133158502 | REAL ESTATE | NY | 501(c)(3) | 11 TYPE II | NYP FOUNDATI | true |
| ROYAL CHARTER PROPERTIES EAST INC | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10065 | 133158496 | REAL ESTATE | NY | 501(C)(3) | 11 TYPE II | NYP FOUNDATI | true |
| ROYAL CHARTER PROPERTIES WEST INC | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10065 | 133160354 | REAL ESTATE | NY | 501(c)(3) | 11 TYPE II | NYP FOUNDATI | true |
| PRESBYTERIAN HEALTH RESOURCES INC | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10035 | 133145970 | INACTIVE | NY | 501(c)(3) | 11 TYPE I | NYP FOUNDATI | true |
| HOSPITAL FOR SPECIAL SURGERY | ||||||||||
| 535 EAST 70TH ST | NEW YORK | NY | 10021 | 131624135 | HEALTHCARE | NY | 501(c)(3) | 3 | NYP FOUNDATI | true |
| NY-PRESBYTERIAN FUND INC | ||||||||||
| 525 EAST 68TH ST BOX 156 | NEW YORK | NY | 10065 | 133160356 | FUNDRAISING | NY | 501(c)(3) | 7 | NYP FOUNDATI | true |
| NY HOSPITAL MEDICAL CTR OF QUEENS | ||||||||||
| 56-45 MAIN STREET | FLUSHING | NY | 11355 | 111839362 | HEALTHCARE | NY | 501(c)(3) | 3 | NYP HS INC | true |
| NY COMMUNITY HOSPITAL OF BROOKLYN | ||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 111986351 | HEALTHCARE | NY | 501(c)(3) | 3 | NYP HS INC | true |
| NY WESTCHESTER SQUARE MEDICAL CENTER | ||||||||||
| 2475 ST RAYMOND AVENUE | BRONX | NY | 10461 | 311730177 | HEALTHCARE | NY | 501(c)(3) | 3 | NYP HS INC | true |
| NY GRACIE SQUARE HOSPITAL | ||||||||||
| 420 EAST 76TH ST | NEW YORK | NY | 10021 | 133746997 | PSYCHIATRIC | NY | 501(c)(3) | 3 | NYP HS INC | true |
| THE ROGOSIN INSTITUTE INC | ||||||||||
| 505 E 70TH ST | NEW YORK | NY | 10021 | 133184198 | HEALTHCARE | NY | 501(c)(3) | 4 | NYP HS INC | true |
| NYACK HOSPITAL FOUNDATION | ||||||||||
| 160 N MIDLAND AVE | NYACK | NY | 10960 | 133245804 | SUPPORT | NY | 501(c)(3) | 7 | NYACK HOSPIT | true |
| SILVERCREST CTR FOR NURSING & REHAB | ||||||||||
| 144-45 87TH AVENUE | JAMAICA | NY | 11453 | 112925535 | NURSING FAC | NY | 501(c)(3) | 9 | NYP HS INC | true |
| NETWORK RECOVERY SERVICES INC | ||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 113160901 | COLLECTION | NY | 501(c)(3) | 11 TYPE III | NYP HS INC | true |
| NY PRESBYTERIAN COMMUNITY HEALTH PLAN | ||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 133849659 | INACTIVE | NY | 501(C)(4) | N/A | NYP HS INC | true |
| PREFERRED HEALTH NETWORK INC | ||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 112964432 | INACTIVE | NY | 501(c)(3) | 11 TYPE I | NYP HS INC | true |
| CRT SURGICAL ASSOCIATE PC | ||||||||||
| 56-45 MAIN ST | FLUSHING | NY | 11355 | 112226870 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NYHMC QUEENS | true |
| BMA MEDICAL FOUNDATION INC | ||||||||||
| 56-45 MAIN ST | FLUSHING | NY | 11355 | 112848858 | EDU/RESEARCH | NY | 501(c)(3) | 4 | NYHMC QUEENS | true |
| PARK SLOPE EMERGENCY PHYSICIAN SVC PC | ||||||||||
| 506 SIXTH STREET | BROOKLYN | NY | 11215 | 061160280 | HEALTHCARE | NY | 501(c)(3) | 11 TYPE I | NY METHODIST | true |
| ASHLAND PLACE HOUSES INC | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112390927 | REAL ESTATE | NY | 501(c)(3) | BROOKLYN HC | true | |
| CALEDONIAN HEALTH CENTER | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 542117028 | CLINICS | NY | 501(c)(3) | 9 | BROOKLYN HC | true |
| ASHLAND PLACE HOLDING CORPORATION | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 113304353 | TITLE HOLDING | NY | 501(c)(2) | N/A | BROOKLYN HC | true |
| THE BROOKLYN HOSPITAL SELF INS TRUST | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112501235 | SELF INS TRUS | NY | 501(c)(3) | 11 TYPE I | BROOKLYN HC | true |
| BROOKLYN HOSPITAL FOUNDATION INC | ||||||||||
| 121 DEKALB | BROOKLYN | NY | 11201 | 112936410 | SUPPORT | NY | 501(c)(3) | 11 TYPE I | BROOKLYN HC | true |
| SILVERCREST SENIOR HOUSING DEV FUND | ||||||||||
| 144-45 87TH AVE | BRIARWOOD | NY | 11435 | 262894911 | HOUSING | NY | 501(c)(3) | 9 | SILVERCREST | true |
| THE BROOKLYN HOSPITAL CENTER | ||||||||||
| 121 DEKALB AVENUE | BROOKLYN | NY | 11201 | 111630755 | HEALTHCARE | NY | 501(c)(3) | 3 | NYP HS INC | true |
| NEW YORK DOWNTOWN HOSPITAL | ||||||||||
| 170 WILLIAM ST | NEW YORK | NY | 10038 | 133049852 | HEALTHCARE | NY | 501(C)(3) | 3 | NYP SYS INC | true |
| BEEKMAN STAFF RESIDENCE | ||||||||||
| 170 WILLIAM ST | NEW YORK | NY | 10038 | 132773085 | SUPPORT NYDH | NY | 501(C)(3) | 11 TYPE I | NY DOWNTOWN | true |
| NYDH MANAGEMENT SVCS CORP INC | ||||||||||
| 170 WILLIAM ST | NEW YORK | NY | 10038 | 133672912 | SUPPORT NYDH | NY | 501(C)(3) | 11 TYPE I | NY DOWNTOWN | true |
| NEW YORK DOWNTOWN MEDICAL ASSOCIATES INC | ||||||||||
| 170 WILLIAM ST | NEW YORK | NY | 10038 | 133672980 | SUPPORT NYDH | NY | 501(C)(3) | 11 TYPE I | NY DOWNTOWN | true |
| NEW YORK DOWNTOWN HOSPITAL CCPH | ||||||||||
| 170 WILLIAM ST | NEW YORK | NY | 10038 | 113614596 | FUND SUPPORT | NY | 501(C)(3) | 11 TYPE I | NY DOWNTOWN | true |
| THE ELIZABETH BLACKWELL FOUNDATION INC | ||||||||||
| 170 WILLIAM ST | NEW YORK | NY | 10038 | 133344692 | HLTH INFO SVC | NY | 501(C)(3) | 7 | NY DOWNTOWN | true |
| NEW YORK QUEENS CHARTER VENTURES INC | ||||||||||
| 56-45 MAIN ST | FLUSHING | NY | 11355 | 454795032 | REAL EST HLDG | NY | 501(C)(3) | 11 TYPE I | NY QUEENS | true |
| PARK VENTURES HOUSING CORP | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 113321990 | REAL ESTATE | NY | 501(C)(3) | 11 TYPE I | BK HOSP CNTR | true |
| TBHC PEDIATRICS PC | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 270174684 | PEDIATRICS | NY | 510(C)(3) | 11 TYPE I | TBHC | true |
| TBHC MEDICAL TESTING SERVICES PC | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 270174413 | MEDICAL TEST | NY | 510(C)(3) | 11 TYPE I | TBHC | true |
| TBHC PHYSICIAN SERVICES PC | ||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 270174589 | MEDICAL SVCS | NY | 510(C)(3) | 11 TYPE I | TBHC | true |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW YORK PRESBYTERIAN PLAN MGMT LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 525 EAST 68TH ST | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134197527 | EIN |
| Primary Activity | INACTIVE | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NYP HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeType |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (22 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BROOKLYN HOSPITAL ECG MEDICAL SERVICE | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112833052 | MEDICAL SERVI | NY | BROOKLYN HSP CT | C CORP | 0 | 0 | true | |||||
| BROOKLYN HOSPITAL NUCLEAR MEDICINE PC | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112833589 | MEDICAL SERVI | NY | BROOKLYN HSP CT | C CORP | 0 | 0 | true | |||||
| TBHC MEDICAL SERVICES PC | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112833590 | MEDICAL SERVI | NY | BROOKLYN HOSPIT | C CORP | 0 | 0 | true | |||||
| BROOKLYN HOSPITAL RADIOLOGY PC | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112833588 | MEDICAL SERVI | NY | BROOKLYN HOSPIT | C CORP | 0 | 0 | true | |||||
| TBHC EMERGENCY MEDICINE PC | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112833587 | MEDICAL SERVI | NY | BROOKLYN HOSPIT | C CORP | 0 | 0 | true | |||||
| TBHC ANESTHESIOLOGY SERVICES PC | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 112833049 | MEDICAL SERVI | NY | BROOKLYN HOSPIT | C CORP | 0 | 0 | true | |||||
| TBHC RADIOLOGY ONCOLOGY PC | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 270174805 | MEDICAL SERVI | NY | BROOKLYN HOSPIT | C CORP | 0 | 0 | true | |||||
| HIGHLAND MEDICAL PC | ||||||||||||||||
| 160 NORTH MIDLAND AVENUE | NYACK | NY | 10960 | 134034481 | MEDICAL SERVI | NY | NYACK HOSPITAL | C CORP | 0 | 0 | true | |||||
| NH MANAGEMENT INC | ||||||||||||||||
| 160 NORTH MIDLAND AVENUE | NYACK | NY | 10960 | 134026486 | MEDICAL SERVI | NY | NYACK HOSPITAL | C CORP | 0 | 0 | true | |||||
| NYH-SHP IPA INC | ||||||||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 133919980 | INACTIVE | NY | NYP SYSTEM INC | C CORP | 0 | 0 | true | |||||
| NETWORK INSURANCE COMPANY LTD | ||||||||||||||||
| REINSURANCE | NYP SYSTEM INC | FOREIGN C | 0 | 0 | true | PO BOX HM 1760 | HAMILTON | HM HX BEMNUDA BD | BD | BD | ||||||
| NYP SERVICES INC | ||||||||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 061830524 | INACTIVE | NY | NYP FOUNDATION | C CORP | 0 | 0 | true | |||||
| NY PRESBYTERIAN GLOBAL INC | ||||||||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 800336716 | INACTIVE | NY | NYP FOUNDATION | C CORP | 0 | 0 | true | |||||
| HARKNESS HALL CLUB | ||||||||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 133170488 | LIQUOR LICENS | NY | NYP HOSPITAL | C CORP | 0 | 0 | true | |||||
| Columbia Presbyterian Health SystemInc | ||||||||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 133053885 | REAL ESTATE | NY | NYP FUND INC | C CORP | 0 | 0 | true | |||||
| NY PRESBYTERIAN GLOBAL SERVICES INC | ||||||||||||||||
| 525 EAST 68TH STREET BOX 156 | NEW YORK | NY | 10065 | 133845935 | INACTIVE | NY | NYP FUND INC | C CORP | 0 | 0 | true | |||||
| MAIN STREET MEDICAL PC | ||||||||||||||||
| 56-45 MAIN STREET | FLUSHING | NY | 11358 | 061205476 | MEDICAL SERVI | NY | NYHMC QUEENS | C CORP | 0 | 0 | true | |||||
| NYHQ OBGYN PC | ||||||||||||||||
| 56-45 MAIN STREET | FLUSHING | NY | 11358 | 113395424 | MEDICAL SERVI | NY | NYHMC QUEENS | C CORP | 0 | 0 | true | |||||
| BMA PC | ||||||||||||||||
| 56-45 MAIN STREET | FLUSHING | NY | 11358 | 112747259 | MEDICAL SERVI | NY | NYHMC QUEENS | C CORP | 0 | 0 | true | |||||
| MSO OF KINGS COUNTY LLC | ||||||||||||||||
| 506 SIXTH ST | BROOKLYN | NY | 11215 | 272387333 | EMPLOY/STAFFING | NY | NY METHODIST | C CORP | 0 | 0 | true | |||||
| NEW YORK QUEENS MEDICINE & SURGERY PC | ||||||||||||||||
| 56-45 MAIN ST | FLUSHING | NY | 11358 | 274719998 | MEDICAL SERVI | NY | NYHMC QUEENS | C CORP | 0 | 0 | true | |||||
| WOMEN'S HEALTHCARE MEDICAL PROVIDERS PC | ||||||||||||||||
| 121 DEKALB AVE | BROOKLYN | NY | 11201 | 275459970 | MEDICAL SERVI | NY | BROOKLYN HOSPIT | C CORP | 0 | 0 | true | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NYACK HOSPITAL FOUNDATION | ||
| c | 417496 | COST |
| HIGHLAND MEDICAL PC | ||
| D | 1978000 | COST |
| NYACK HOSPITAL FOUNDATION | ||
| L | 344000 | COST |
| NYACK HOSPITAL FOUNDATION | ||
| N | 128300 | COST |
| HIGHLAND MEDICAL PC | ||
| N | 193800 | COST |
| NYP HEALTHCARE SYSTEM | ||
| O | 351243 | COST |