MONTEFIORE NYACK HOSPITAL FOUNDATION INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MONTEFIORE NYACK HOSPITAL FOUNDATION INC (EIN 13-3245804)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-12
- IRS object ID
- 202423179349303482
- Schema version
- 2023v5.1
- 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 D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-12T11:25:20+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MANHATTAN WEST | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100018604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133245804 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montefiore Nyack Hospital Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONT | BusinessNameControlTxt |
| Phone | 8453482107 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 NORTH MIDLAND AVENUE | AddressLine1Txt |
| City | NYACK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 109601912 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK GELLER MD | PersonNm |
| Person Title | MD | PersonTitleTxt |
| Phone | 8453482107 | PhoneNum |
| Signature | 2024-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicole Sokolowski | PreparerPersonNm |
| PTIN | P01683199 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK GELLER MD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 NORTH MIDLAND AVENUE | AddressLine1Txt |
| City | NYACK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 109601912 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,062,804 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO BUILD ENDURING COMMUNITY RELATIONSHIPS THAT PROMOTE AND FINANCIALLY SUPPORT MONTERFIORE NYACK'S COMPREHENSIVE STATE-OF-THE-ART MEDICAL CARE AND EXCEPTIONAL PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $679,718 | PYContributionsGrantsAmt |
| CY Contributions Grants | $974,849 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$33,288 | PYOtherRevenueAmt |
| CY Other Revenue | -$12,353 | CYOtherRevenueAmt |
| PY Total Revenue | $646,435 | PYTotalRevenueAmt |
| CY Total Revenue | $962,496 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $706,519 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $304,993 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $442,997 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $555,146 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $89,156 | PYOtherExpensesAmt |
| CY Other Expenses | $154,668 | CYOtherExpensesAmt |
| PY Total Expenses | $1,100,668 | PYTotalExpensesAmt |
| CY Total Expenses | $597,665 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$454,233 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $364,831 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,557,041 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,379,470 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $155,842 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $421,017 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,401,199 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,958,453 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ESTABLISHED IN 1985, MONTEFIORE NYACK HOSPITAL FOUNDATION'S MISSION IS TO BUILD ENDURING COMMUNITY RELATIONSHIPS THAT PROMOTE AND FINANCIALLY SUPPORT MONTEFIORE NYACK'S COMPREHENSIVE STATE-OF-THE-ART MEDICAL CARE, EXCEPTIONAL PROGRAMS, AND OUTSTANDING PATIENT EXPERIENCES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | MONTEFIORE NYACK FOUNDATION IS THE FUNDRAISING ARM OF THE HOSPITAL. ESTABLISHED IN 1985, THE FOUNDATION IS DEDICATED TO BUILDING MEANINGFUL RELATIONSHIPS BETWEEN THE HOSPITAL AND THE COMMUNITY, WHILE ALSO SEEKING PHILANTHROPIC DOLLARS TO HELP MONTEFIORE NYACK HOSPITAL ACHIEVE AND MAINTAIN THE HIGHEST LEVEL OF CARE FOR THE PATIENTS AND COMMUNITY MEMBERS WHO COUNT ON US AS THEIR COMMUNITY HOSPITAL. BECAUSE OF COMMUNITY SUPPORT, WE WERE ABLE TO PROVIDE STATE-OF-THE-ART MEDICAL CARE, EXCEPTIONAL PROGRAMS AND OUTSTANDING PATIENT EXPERIENCES. OUR COMMUNITY SUPPORT ENSURES THAT OUR HEALTHCARE TEAM STAYS ON THE LEADING EDGE OF TREATMENT AND TECHNOLOGY, PROVIDING THE BEST OF CARE, CLOSE TO HOME. | Desc |
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 3 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD RATIGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8453486522 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 NORTH MIDLAND AVENUE | AddressLine1Txt |
| City | NYACK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 109601912 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| CYNTHIA BRANCA | |||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| FRANK BORELLI JR | |||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARK GELLER MD | |||||||
| PRESIDENT & CEO | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $1,131,320 | $68,593 |
| MARK JACOBS | |||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ALEX ZERVOULIAS | |||||||
| TRUSTEE (JOINED IN APRIL 2023) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| BRIAN FOLEY | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| BRIGITTE SIMON | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| CATHY SHEA | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| CHARLES MAIKISH | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER CONOVER | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| DANIEL M JUECHTER | |||||||
| TRUSTEE (RESIGNED IN MARCH 2023) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| DOUGLAS KATZ | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| GEORGE HODGES ESQ | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| JAMIL F RIZQALLA DO | |||||||
| TRUSTEE (JOINED IN APRIL 2023) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| JILL PITTORE | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| KATHERINE TORPEY | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| KEVIN R FRANCIS CPA | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| LISA BROOKS-GREAUX EDD | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL LEHNER | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| NATHANIEL SAMUELS | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| PAUL ADLER ESQ | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| STEPHEN KASAMIS | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| STEPHEN PASSANANTE | |||||||
| TRUSTEE (JOINED IN JULY 2023) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| VANESSA REGGIARDO | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| VINCENT D ABBATECOLA | |||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| JOHN S BURKE | |||||||
| TREASURER/CFO | 1.0 | 49.0 | Yes (X) | $0 | $717,844 | $68,404 | |
| TRACIE D MCLEE | |||||||
| EXEC DIRECTOR | 50.0 | 0.0 | Yes (X) | $170,183 | $0 | $33,609 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $170,183 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,849,164 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $170,606 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $432,406 | FundraisingAmt |
| All Other Contributions | $542,443 | AllOtherContributionsAmt |
| Noncash Contributions | $59,767 | NoncashContributionsAmt |
| Total Contributions | $974,849 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $66,155 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $432,406 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $93,768 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,613 | TotalRevenueColumnAmt |
| Exclusion | -$27,613 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $21,800 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $6,540 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,260 | TotalRevenueColumnAmt |
| Exclusion | $15,260 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $962,496 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$12,353 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,421 | TotalAmt |
| Fundraising | $228,421 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,824 | TotalAmt |
| Fundraising | $193,824 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,752 | TotalAmt |
| Fundraising | $20,752 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,060 | TotalAmt |
| Management And General | $7,060 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,402 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $11,402 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,517 | TotalAmt |
| Fundraising | $51,517 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,914 | TotalAmt |
| Fundraising | $48,914 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316 | TotalAmt |
| Fundraising | $316 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BANK FEES | Desc |
| Total | $35,459 | TotalAmt |
| Management And General | $35,459 | ManagementAndGeneralAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,665 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $42,519 | ManagementAndGeneralAmt |
| Fundraising | $555,146 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $817,579 | BOYAmt |
| EOY | $1,443,944 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,719 | BOYAmt |
| EOY | $88,719 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $200 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,031,512 | BOYAmt |
| EOY | $1,227,376 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $614,231 | BOYAmt |
| EOY | $614,231 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,557,041 | BOYAmt |
| EOY | $3,379,470 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,550 | BOYAmt |
| EOY | -$11,327 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,292 | BOYAmt |
| EOY | $432,344 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,842 | BOYAmt |
| EOY | $421,017 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,205 | BOYAmt |
| EOY | $665,681 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,830,994 | BOYAmt |
| EOY | $2,292,772 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,401,199 | BOYAmt |
| EOY | $2,958,453 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,557,041 | BOYAmt |
| EOY | $3,379,470 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $364,831 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $192,423 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $744,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $857,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,519,138 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $679,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $974,849 | CurrentTaxYearAmt |
| Total | $4,776,324 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $744,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $857,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,519,138 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $679,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $974,849 | CurrentTaxYearAmt |
| Total | $4,776,324 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $522,276 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,254,048 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $5 | CurrentTaxYearMinus1YearAmt |
| Total | $1,950 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,793 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $16,793 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,795,067 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,014,847 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.8872 | PublicSupportCY170Pct |
| Public Support PY170 | 0.8764 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - , COLUMN A - 16793.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 16793.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $200,000 | BeginningYearBalanceAmt |
| End Year Balance | $200,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $200,000 | BeginningYearBalanceAmt |
| End Year Balance | $200,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $200,000 | BeginningYearBalanceAmt |
| End Year Balance | $200,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $200,000 | BeginningYearBalanceAmt |
| End Year Balance | $200,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $200,000 | BeginningYearBalanceAmt |
| End Year Balance | $200,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CSV OF INSURANCE POLICIES | Desc |
| Book Value | $614,231 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $614,231 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO MONTEFIORE NYACK HOSPITAL | Desc |
| Amt | $432,344 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $432,344 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 Intended uses of endowment funds | FormAndLineReferenceDesc |
| Explanation | THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT IS TO PROVIDE FUNDS TO BE USED FOR INDIGENT CARE BREAST HEALTH. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF EVENT | Event1Nm |
| Gross Receipts Event1 | $367,875 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $307,200 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $60,675 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $49,502 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $17,289 | OtherDirectExpensesEvent1Amt |
| Event2 | RIDES AND STRIDES | Event2Nm |
| Gross Receipts Event2 | $130,686 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $125,206 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $5,480 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $1,000 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $2,020 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $23,957 | OtherDirectExpensesEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $498,561 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $432,406 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $66,155 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $49,502 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,000 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,020 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $41,246 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $93,768 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$27,613 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $21,800 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $6,540 | CashPrizesOtherGamingAmt |
| Volunteer Labor Other Gaming | false | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $21,800 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $6,540 | CashPrizesTotalGamingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NY | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | false | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.0 | GamingOwnFacilityPct |
| Gaming Other Facility | 1.0 | GamingOtherFacilityPct |
| Individual With Books | TRACIE D MCLEE | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 NORTH MIDLAND AVENUE | AddressLine1Txt |
| City | NYACK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
Gaming Manager Business Name GamingManagerBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRACIE D MCLEE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Compensation | $1,747 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | MANAGING THE GOLF FUNDRAISER RAFFLE | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | false | CharitableDistributionRqrInd |
| Distributed | $0 | DistributedAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK GELLER MD | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,120,652 | $0 | $0 | $0 | $10,668 | $0 | $12,600 | $0 | $55,993 | $0 | $1,199,913 | $0 | $0 |
| JOHN S BURKE | ||||||||||||||
| TREASURER/CFO | $0 | $712,320 | $0 | $0 | $0 | $5,524 | $0 | $12,600 | $0 | $55,804 | $0 | $786,248 | $0 | $0 |
| TRACIE D MCLEE | ||||||||||||||
| EXEC DIRECTOR | $169,812 | $0 | $0 | $0 | $371 | $0 | $0 | $0 | $33,609 | $0 | $203,792 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S EXECUTIVE DIRECTOR COMPENSATION IS DETERMINED BY MONTEFIORE NYACK HOSPITAL AND NOT THE ORGANIZATION. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $59,767 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Securities - Publicly traded - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ELECTED TRUSTEES OF MONTEFIORE NYACK HOSPITAL ARE THE MEMBERS OF THE CORPORATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE ELECTED TRUSTEES OF MONTEFIORE NYACK HOSPITAL, THE MEMBERS OF THE CORPORATION, HAS THE POWER TO ELECT THE DIRECTORS OF THE FOUNDATION'S BOARD AND REMOVE ANY DIRECTOR, WITH OR WITHOUT CAUSE, BY A MAJORITY VOTE OF THE MEMBERS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 WAS PREPARED BY MONTEFIORE'S TAX DEPARTMENT WORKING CLOSELY WITH NYACK'S FINANCE TEAM AND ASSISTED BY VARIOUS DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM. THE FORM 990 WAS REVIEWED AND APPROVED BY MONTEFIORE'S VICE PRESIDENT-FINANCE AND THE NYACK'S HOSPITAL SENIOR LEADERSHIP INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF NYACK FOUNDATION BOARD OF TRUSTEES PRIOR TO FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | SHOULD A POSSIBLE CONFLICT OF INTEREST ARISE IN THEIR RESPONSIBILITIES, THE EMPLOYEE OR BOARD MEMBER IS REQUIRED TO NOTIFY THEIR SUPERVISOR OR THE DIRECTOR OF COMPLIANCE, IF AN EMPLOYEE, OR THE CHAIR OF THE BOARD, IF A BOARD MEMBER, AND ABSTAIN FROM ANY PARTICIPATION IN THE MATTER UNTIL THE HOSPITAL CAN DETERMINE WHETHER AN ACTUAL CONFLICT EXISTS AND HOW THAT CONFLICT SHALL BE RESOLVED. ALL IDENTIFIED CONFLICTS OF INTERESTS ARE PRESENTED TO THE HOSPITAL'S BOARD OF TRUSTEE'S AUDIT AND COMPLIANCE COMMITTEE FOR THEIR REVIEW AND DECISION WHEN AN ACTUAL CONFLICT IS DETERMINED. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| LINES 8, 9, & 10 CONCERNING EMPLOYEE BENEFITS ALLOCATION | MONTEFIORE NYACK HOSPITAL IS THE COMMON PAYMASTER FOR THE ORGANIZATION. ALL PAYROLL TAXES AND EMPLOYEES BENEFITS ARE PAID BY MONTEFIORE NYACK HOSPITAL AND ALLOCATED BACK TO THE ORGANIZATION BASED ON A COMPOSITE RATE OF SALARIES FOR ALL BENEFIT COSTS. THE ORGANIZATION'S ASSESSMENT FOR EMPLOYEE BENEFITS IS REFLECTED ON LINE 9, OTHER EMPLOYEES BENEFITS, OF PART IX THAT INCLUDES COST FOR BOTH PENSION AND PAYROLL TAXES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MONTEFIORE NYACK HOSPITAL | |||||||||||
| 160 NORTH MIDLAND AVENU | NYACK | NY | 10960 | 131740119 | HOSPITAL | IA | 501(c)(3) | 3 | MHS | Yes (true) | |
| MONTEFIORE HEALTH SYSTEM INC | |||||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 201615393 | SUPPORT SERV | NY | 501(c)(3) | Type II | MMAHS | Yes (true) | |
| MONTEFIORE MEDICAL CENTER | |||||||||||
| 111 EAST 210TH STREET | BRONX | IN | 10467 | 131740114 | ACD MED CTR | NY | 501(c)(3) | 3 | MHS | Yes (true) | |
| MMC CORPORATION | |||||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133430322 | REAL ESTATE | NY | 501(c)(3) | Type I | MMC | Yes (true) | |
| MMC RESIDENTIAL CORP I INC | |||||||||||
| 3411 WAYNE AVENUE | BRONX | NY | 10467 | 911943271 | STAFF HOUSI | ME | 501(c)(2) | MMC | Yes (true) | ||
| MONTEFIORE HOSP HOUSING SECTION II INC | |||||||||||
| 3450 WAYNE AVENUE | BRONXBRONX | NY | 10467 | 237160641 | STAFF HOUSING | NY | 501(c)(2) | MMC | Yes (true) | ||
| MOSHOLU PRESERVATION CORPORATION | |||||||||||
| 3400 RESEVOIR OVAL EAST | BRONX | NY | 10467 | 133109387 | COMMUNITY SER | NY | 501(c)(3) | Type I | MMC | Yes (true) | |
| MONTEFIORE NEW ROCHELLE HOSPITAL | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | IN | 10801 | 462931956 | HOSPITAL | NY | 501(c)(3) | 3 | MHS | Yes (true) | |
| MONTEFIORE MOUNT VERNON HOSPITAL | |||||||||||
| 12 NORTH SEVENTH AVENUE | MOUNT VERNON | NY | 10550 | 462916938 | HOSPITAL | NY | 501(c)(3) | 3 | MHS | Yes (true) | |
| SCHAFFER EXTENDED CARE CENTER | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 462929888 | NURSING HOME | NY | 501(c)(3) | 3 | MHS | Yes (true) | |
| MONTEFIORE FOUNDATION INC | |||||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 471600439 | INACTIVE | NY | 501(c)(3) | 7 | INACTIVE | Yes (true) | |
| MONTEFIORE MEDICINE ACAD HLTH SYST INC | |||||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 471582973 | SYSTEM PAREN | NY | 501(c)(3) | Type III-FI | Yes (true) | N/A | |
| WHITE PLAINS HOSPITAL MEDICAL CENTER | |||||||||||
| 41 EAST POST ROAD DAVIS AVE | WHITE PLAINS | NY | 10601 | 131740130 | HOSPITAL | NY | 501(c)(3) | MHS | |||
| MONTEFIORE CERC OPERATIONS INC | |||||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 474853506 | REHAB CENTER | NY | 501(c)(3) | MMC | Yes (true) | ||
| WHITE PLAINS HOSPITAL CTR FOUNDATIONINC 13-328150 | |||||||||||
| 41 EAST POST ROAD DAVIS AVE | WHITE PLAINS | NY | 10601 | 133281507 | FUNDRAISING | NY | 501(c)(3) | Type I | WPHMC | Yes (true) | |
| THE WINFFRED MASTERSON BURKE REHAB HOSP | |||||||||||
| 785 MAMARONECK AVENUE | WHITE PLAINS | NY | 10605 | 131739937 | REHAB HOSP | IN | 501(c)(3) | 3 | MHS | Yes (true) | |
| ST LUKE'S CORNWALL HOSPITAL | |||||||||||
| 70 DUBOIS STREET | NEWBURGH | NY | 12550 | 141340054 | HOSPITAL | NY | 501(c)(3) | 3 | MHS | Yes (true) | |
| HUDSON VISTA MEDICAL PC | |||||||||||
| 70 DUBOIS STREET | NEWBURGH | NY | 12550 | 452526738 | HEALTHCARE | NY | 501(c)(3) | Type I | SLCH | Yes (true) | |
| HUDSON VISTA PHYSICIAN SERVICES PC | |||||||||||
| 70 DUBOIS STREET | NEWBURGH | NY | 12550 | 272020746 | HEALTHCARE | NY | 501(c)(3) | Type I | SLCH | Yes (true) | |
| ST LUKE'S CORNWALL HEALTH SYSTEM INC | |||||||||||
| 70 DUBOIS STREET | NEWBURGH | NY | 12550 | 223026261 | HOLDING COMP | KS | 501(c)(3) | Type I | MHS | Yes (true) | |
| ST LUKE'S CORNWALL HEALTH SYS FOUNDATION | |||||||||||
| 70 DUBOIS STREET | NEWBURGH | NY | 12550 | 223026263 | FUNDRAISING | NY | 501(c)(3) | 7 | SLCHS | Yes (true) | |
| MONTEFIORE MED ACAD HLTH SYS SELF INS TR | |||||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 824019223 | INS TRUST | NY | 501(c)(3) | Type I | MMAHS | Yes (true) | |
| ALBERT EINSTEIN COLLEGE OF MEDICINE | |||||||||||
| 1300 MORRIS PARK AVENUE | BRONX | NY | 10461 | 830621846 | MED COLLEGE | NY | 501(c)(3) | 2 | MMAHS | Yes (true) | |
| MONTEFIORE COMMUNITY SERVICES INC | |||||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 863368007 | FED HLTH CTR | NY | 501(c)(3) | 3 | MMC | Yes (true) | |
| AECOM STUDENT HOUSING CO INC | |||||||||||
| 1300 MORRIS PARK AVENUE | BRONX | NY | 10461 | 237075620 | STUDENT HOUS | NY | 501(c)(2) | AECOM | Yes (true) | ||
| MONTEFIORE EINSTEIN ADVANCED CARE | |||||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 863090734 | HEALTHCARE | NY | 501(c)(3) | 3 | MHS | Yes (true) | |
| MONTEFIORE ACTION FUND INC | |||||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 872215301 | INACTIVE | NY | 501(c)(4) | MHS | Yes (true) | ||
| MNH GARAGECO INC | |||||||||||
| 160 NORTH MIDLAND AVE | NYACK | NY | 109601912 | 880573052 | PARKING | NY | 501(c)(3) | NYACK HOSP | Yes (true) | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY BEHAVIORAL ASSOCIATES INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133877781 | MGMT SERVICES | NY | NA | C Corporation | Yes (true) |
| THE MONTEFIORE IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 134114915 | INTEG PROVR ASSOC | NY | NA | C Corporation | Yes (true) |
| MMC GI HOLDINGS EAST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610013 | HOLDING COMPANY | NY | NA | C Corporation | Yes (true) |
| MMC GI HOLDINGS WEST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610015 | HOLDING COMPANY | NY | NA | C Corporation | Yes (true) |
| MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133952750 | INTEG PROVR ASSOC | NY | NA | C Corporation | Yes (true) |
| BRONX ACCOUNTABLE CARE NETWORK IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 300689571 | INTEG PROVR ASSOC | NY | NA | C Corporation | Yes (true) |
| MONTEFIORE CONSOLIDATED VENTURES INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 611728539 | HOLDING COMPANY | NY | NA | C Corporation | Yes (true) |
| MONTEFIORE INSURANCE COMPANY INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 320436594 | INACTIVE | NY | NA | C Corporation | Yes (true) |
| HUDSON VALLEY IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 383978087 | INTEG PROVR ASSOC | NY | NA | C Corporation | Yes (true) |
| MONTEFIORE INNOVATIONS INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 475106910 | HOLDING COMPANY | NY | NA | C Corporation | Yes (true) |
| HIGHLAND MEDICAL PC | |||||||||
| 160 NORTH MIDLAND | NYACK | NY | 10960 | 134034481 | HEALTHCARE SERV. | NY | NA | C Corporation | Yes (true) |
| WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC | |||||||||
| 41 EAST POST ROAD | WHITE PLAINS | NY | 10601 | 453164626 | HEALTHCARE SERV | NY | NA | C Corporation | Yes (true) |
| CANCER AND BLOOD MEDICAL SERV OF NY PC | |||||||||
| 41 POST ROAD | WHITE PLAINS | NY | 10601 | 462021804 | HEALTHCARE SERV. | NY | NA | C Corporation | Yes (true) |
| DAVIS AVENUE CORP | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 133331643 | PROPERTY HOLDING | NY | NA | C Corporation | Yes (true) |
| WHITE PLAINS MANAGEMENT CO INc | |||||||||
| 41 EAST POST ROAD | WHITE PLAINS | NY | 10601 | 133331641 | PROPERTY HOLDING | NY | NA | C Corporation | Yes (true) |
| WPHC BUILDING CORP | |||||||||
| 41 EAST POST ROAD | WHITE PLAINS | NY | 10601 | 133676932 | PROPERTY HOLDING | NY | NA | C Corporation | Yes (true) |
| WHITE PLAINS MEDICAL SERVICES PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 815369152 | HEALTHCARE SERV | NY | NA | C Corporation | Yes (true) |
| WHITE PLAINS PHYSICIAN SERVICES PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 815309615 | HEALTHCARE SERV. | NY | NA | C Corporation | Yes (true) |
| CHARITABLE REMAINDER TRUST (4) | |||||||||
| CHAR REMR TRUST | NY | NA | Trust | Yes (true) | |||||
| CRHT ACQUISITION INC | |||||||||
| 555 SOUTH BROADWAY BLDG A FL 1 | TARRYTOWN | NY | 10591 | 815220651 | HOLDING COMPANY | NY | NA | C Corporation | Yes (true) |
| QUANTUM BIOTHERAPEUTICS LLC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 611793667 | INACTIVE | NY | NA | Yes (true) | |
| WHITE PLAINS PHYSICIAN MEDICAL SERV PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830519787 | INACTIVE | NY | NA | C Corporation | Yes (true) |
| EAST POST ROAD MEDICAL SERVICES PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830535258 | HEALTHCARE SERV. | NY | NA | C Corporation | Yes (true) |
| EAST POST ROAD PHYSICIAN SERV PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830563325 | INACTIVE | NY | NA | C Corporation | Yes (true) |
| DAVIS AVENUE MEDICAL SERVICES PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830579310 | INACTIVE | NY | NA | C Corporation | Yes (true) |
| WPH HOLDINGS INC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 833893119 | HOLDING COMPANY | NY | NA | C Corporation | Yes (true) |
| INNOVATOR ACQUSITION CORP | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 104672401 | 833394059 | HOLDING COMPANY | NY | NA | C Corporation | Yes (true) |
| PY DEVELOPMENT CORP | |||||||||
| 41 EAST POST ROAD DAVIS AVE | WHITE PLAINS | NY | 106014607 | 863880241 | REIT | NY | NA | C Corporation | Yes (true) |
| SPECIALTY SURGEONS OF CONNECTICUT PC | |||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 871352135 | HEALTHCARE SERV. | CT | NA | C Corporation | Yes (true) |
| CMO THE CARE MANAGEMENT COMPANY LLC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133991307 | CARE MANAGMENT | NY | NA | C Corporation | Yes (true) |
| Hudson River Medical Practice PLLC | |||||||||
| 497 Greenwich St | New York | NY | 10013 | 922939271 | HEALTHCARE SERV. | NY | NA | C Corporation | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTEFIORE NYACK HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $347,141 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Comments