2023-11-13T10:32:51-06:00 2022-12-31 Nanavaty Davenport Studley White 123 South Main St Suite 140 NEWTOWN CT 06470 990 2022-01-01 204209205 NYC Medics % KATHERINE BEQUARY NYCM 8886001648 Wework Building 1460 Broadway New York NY 10036 Michael Butler Treasurer 8886001648 2023-11-10 true Michael Butler 999009999 Azian A Kearney CPA P02426278 2034268500 2023-11-10 2 2022 2023-04-26 12:10:37Z Steve Muth Wework Building 1460 Broadway New York NY 10036 1267969 false X www.nycmedics.org X 2006 NY See Schedule O 6 6 1 298 0 1732830 1267969 0 0 0 0 0 0 1732830 1267969 0 0 0 0 136673 99710 0 0 11144 1521975 857692 1658648 957402 74182 310567 432315 444989 529969 232076 -97654 212913 THE CORPORATION IS FORMED FOR THE CHARITABLE PURPOSE OF ALLEVIATING SUFFERING CAUSED BY NATURAL DISASTERS AND OTHER HUMANITARIAN CRISES IN FOREIGN COUNTRIES. false false 893273 See Schedule O 893273 true true false false false false false false false false false false false false false true true false false true true false false false false false false false false false false false false false false false false false false false false false false false false false false true 12 0 1 true false true YM false false false false false false false false false false X 6 6 false false false false false false false true false false false true true true true true true true false false NY X X KATHERINE BEQUARY 8886001648 WEWORK BUILDING 1460 BROADWAY New York NY 10036 Katherine Bequary Executive Director 40.0 0.0 X 84100 0 8790 Steve Muth President 4.0 0.0 X X 0 0 0 Michael Butler Treasurer 4.0 0.0 X X 0 0 0 Marc Hirschfield Secretary 4.0 0.0 X X 0 0 0 Dan Blum Director 2.0 0.0 X 0 0 0 Al Kim Director 2.0 0.0 X 0 0 0 Penny Nefaris Director 2.0 0.0 X 0 0 0 84100 0 8790 0 false false false 0 1267969 1267969 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1267969 0 0 0 0 84100 58870 16820 8410 0 0 0 8790 6153 1758 879 6820 4774 1364 682 0 0 16000 16000 0 0 0 3661 3661 11078 11078 1354 945 409 215 215 0 29772 28632 1140 35072 28486 5585 1001 0 0 0 0 0 45948 44695 1253 CONTRACT SERVICES 264784 261379 3405 DEPLOYMENT SUPPLIES AND SERVIC 282975 282975 MEDICAL SUPPLIES 157404 157404 TRAINING 3594 3594 5835 412 5251 172 957402 893273 52985 11144 412983 443772 0 0 0 0 9065 0 0 0 0 0 0 0 0 0 10267 1217 0 0 0 0 0 0 0 0 0 0 0 0 432315 444989 312257 232076 0 0 212712 0 0 0 0 0 0 0 0 0 5000 0 0 0 529969 232076 X -97654 212913 0 0 -97654 212913 432315 444989 310567 X false true X false false X 45748 113686 894499 1732830 1267969 4054732 0 0 45748 113686 894499 1732830 1267969 4054732 0 4054732 0 0 0 4054732 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 X 1267969 1267969 1267969 957402 957402 957402 Schedule D, Part X, Line 2 NYC Medics is exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as an organization described under Section 501(c)(3). Management is not aware of any course of action or series of events that have occurred that might adversely affect the organization's exempt status. Accounting principles generally accepted in the United States of America (GAAP) require management to evaluate tax positions taken by the organization and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Organization is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Management believes that it is no longer subject to income tax examinations for years prior to 2019. Middle East and North Africa 1 24 Program Services Prehospital & Emergenc 957402 1 24 1 24 957402 957402 false false false false false false Part I, Line 3 The organization used the accrual method to account for expenditures. Part I, Line 3 From June 2020 through April 2022, NYCMedics provided relief efforts in Yemen as an implementing partner to the World Health Organization to develop and implement a sustainable prehospital health system in Aden. This included developing the entire prehospital dispatch, clinical and operational framework, training the workforce, defining and managing the patient referral pathways from prehospital point of access to patient handover at the emergency departments, and troubleshooting transfer and referral issues in real time. NYCMedics developed and applied prehospital care minimum training requirements, standard operating procedures, human resources policies and procedures, supply chain, procurement and management policies and procedures, clinical protocols and communication algorithms. We ensured continuous 24/7 prehospital services by providing essential support that included fuel, preventative maintenance and repair of ambulances, and stocking ambulances with essential medical equipment and supplies. Additionally, we corrected significant infrastructure shortfalls at the Emergency Ambulance Service (EAS) and Emergency Operations Center (EOC) facility including ensuring 24/7 electricity and phone communications. NYCMedics also addressed critical communications infrastructure disparities throughout Aden that negatively affected the prehospital and emergency care network. NYCMedics continues to provide remote support to the Ministry of Public Health and Population to finalize key activities, including the installation of an ambulance radio communication system and improving communications infrastructure in Aden. FORM 990, PART I, LINE 1 NYC MEDICS RAPIDLY DEPLOYS TO REMOTE AND DIFFICULT TO REACH AREAS IN DISASTER ZONES AND COMPLEX HUMANITARIAN EMERGENCIES PROVIDING THE HIGHEST LEVEL OF MEDICAL CARE WITH DIGNITIY, INTEGRITY, AND COMPASSION TO PEOPLE WHO WOULD OTHERWISE NOT HAVE ACCESS TO AID AND RELIEF EFFORTS. Form 990, Part III, Line 4a - Program Service NYCMedics is committed to the humanitarian imperative - the right to receive and to give assistance wherever it is needed. We are a global relief organization that works in unison with the larger humanitarian response to disasters and complex emergencies throughout the world to save lives and lessen human suffering. We put our mission into action with three core international programs: mobile medical disaster relief, health systems development, and global aid targeted initiatives. NYCMedics is uniquely positioned to rapidly deploy emergency medical teams that provide the highest level of care to people who would otherwise not have access to relief efforts. We build sustainable emergency medical systems and disaster preparedness infrastructure in low- and middle-income countries on a local, regional, and national scale. We also partner with local nonprofit organizations by providing expert technical assistance and the necessary resources that support ongoing humanitarian relief efforts to aid vulnerable populations isolated by geographical or economic barriers. YEMEN From June 2020 through April 2022, NYCMedics directed relief efforts in the South of Yemen as an implementing partner to the World Health Organization (WHO) in effort to develop the capacity of the prehospital care system. NYCMedics mission in Yemen primarily focused on the metropolitan area of Aden and sought to lower the morbidity and mortality rate in the population for acute illnesses and injuries addressable by prehospital care. This project encompassed the concepts of prehospital care and trauma care coordination and included, but was not limited to, implementing, monitoring, managing and coordinating 24/7 ambulance services, human resources management and workforce development, implementing and managing dispatch call center operations, establishing and maintaining patient referral pathways and coordinating and troubleshooting prehospital and inter-facility transfers in real time. The overall project objectives were to scale up prehospital care capacity in Aden and minimize mortality and morbidity suffered by medical emergency and trauma patients. The project incorporated three overarching elements: the implementation of an integrated referral system in Aden that included the development and harmonization of nine patient referral pathways, improved coordination and capacity of ambulances operated by national staff and health facilities in Aden and, the implementation of skilled medical assistance during ambulance transfers and medical emergency response. Aden governorate has a complex health system composed of hundreds of health facilities, both public and private, with varying degrees of capability. Prior to this project there was no clear system to identify which hospitals had functioning 24/7 emergency departments or surgical services available to stabilize critically ill patients. Without a referral pathway, movement of patients was typically directed by relatives, resulting in patients being taken from facility to facility without receiving appropriate care. To reduce these delays in care and misdirection of patients, our team developed referral pathways focused on matching patient needs to the nearest capable facility. The Referral Coordination team conducted site assessments and established nine referral pathway protocols to be used by prehospital care providers to determine the most appropriate destination for patients. The goal of these pathways was to ensure that unstable patients receive timely stabilization at the nearest facility capable of delivering appropriate emergency care, while stable patients were referred to hospitals most equipped to handle their specialized needs such as surgical specialties. Prior to implementation of our work, there was wide variability in the quality of care provided by prehospital care providers. Even among trained hospital staff, there was inconsistent medical training often based on an apprenticeship style of training without formal education in clinical protocols. A critical piece to the success of the project was our intensive training program. The initial skill level of prehospital care providers and dispatch operators was assessed as well below minimum standards for clinical care and ambulance service standards. However, with the implementation of NYCMedics intensive training program, ambulance crews, dispatch operators, drivers, and the data entry and management team earned a reputation as a competent and skilled service. This is evident from the pre/post test results from initial training, continuous professional development training, annual skills testing and assessment, simulation training, direct feedback from staff, health facility stakeholders and community members. Documented results and prehospital care data show exceptional improvement within the project period in ambulance service capabilities, with an increase of patient transfers from roughly 10 per month to 490 per month at its peak, realizing a 4800% increase in ambulance service utilization. During this period the ambulance service provided care and transfer to patients prehospitally and during interfacility transfers, of which 38% were categorized as "priority 1" by the provider. This also included response to every day emergencies, and large-scale disasters, and both conflict and non-conflict related mass casualty incidents (MCI). GAZA At the request of the World Health Organization (WHO), NYCMedics developed a blended learning Mass Casualty Management (MCM) training course for emergency medical professionals that included both distance learning and in country didactic and practical skills training. The aim of the project was to strengthen the existing healthcare system and increase the knowledge and skills capabilities of medical personnel working in emergency departments in Gaza. Trainings included the WHO Academy MCM curriculum led by the WHO, supplemented with a course developed and led by NYCMedics that provided in depth focus on clinical management during a mass casualty incident response and relevant clinical skills training. The initial distance learning training was delivered by NYCMedics in 2021, however, due to first COVID, then the escalation of violence in Gaza in May 2021, this project received two no cost extensions effectively extending the timeline through July 2022, allowing NYCMedics to deliver the in-person training in May 2022. These changes inevitably affected the training timeline, and others issues such as changes to the target audience, available number of training days and curriculum content. NYCMedics course, "Clinical Considerations of Mass Casualty Management," consisted of seven lectures, four clinical skills stations and culminated in an MCI tabletop exercise that focused on clinical management of individual simulated patients. The students also designed tabletop exercise for use in training their colleagues in the future. Trainings were jointly delivered with the World Health Organization to two cohorts of students consisting of hospital administrators (25) and emergency medicine doctors and nurses (23). These trainings complemented the six-week distance learning MCM training delivered by NYCMedics in 2021 to 52 emergency room doctors and nurses working in five hospitals throughout Gaza. It also follows NYCMedics prehospital care training delivered to 212 prehospital care providers in 2019-2020. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 WAS PROVIDED TO MANAGEMENT AND THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C IMMEDIATELY UPON ELECTION OR APPOINTMENT TO THE BOARD, ALL DIRECTORS, PRINCIPAL OFFICERS, OR MEMBER OF A COMMITTEE SHALL DISCLOSE ANY RELEVANT INTEREST WHICH MAY POSE CONFLICT OF INTEREST QUESTIONS. THEREAFTER, ANNUAL DISCLOSURE STATEMENTS ARE COMPLETED EACH YEAR. DISCLOSURE SHALL INCLUDE ANY INTEREST, FINANCIAL OR OTHERWISE, IN ANY CORPORATION, ORGANIZATION OR PARTNERSHIP WHICH PROVIDES PROFESSIONAL OR OTHER SERVICES TO THE CORPORATION. DICLOSURE STATEMENTS SHALL BE AVAILABLE TO ANY DIRECTOR OR THE CORPORATION ON REQUEST. WHEN ANY MATTER COMES BEFORE THE BOARD OR ANY COMMITTEE OF THE BOARD IN WHICH A DIRECTOR HAS AN INTEREST, THAT INTEREST SHALL BE IMMEDIATELY DISCLOSED TO THE BOARD OR COMMITTEE. WHETHER A DIRECTOR HAS AN INTEREST IN A MATTER SHALL BE DETERMINED BY WHETHER THAT PERSON WOULD DERIVE AN INDIVIDUAL ECONOMIC BENEFIT, EITHER DIRECTLY OR INDIRECTLY, FROM THE DECISION ON THE MATTER BY THE BOARD OR COMMITTEE. AN "INTEREST" IS NOT INTENDED TO INCLUDE POSITIONS ON LEGISLATIVE MATTERS OF GENERAL IMPACT. NO DIRECTOR SHALL VOTE ON ANY MATTER IN WHICH HE OR SHE HAS AN INTEREST. THE BOARD MAY, BY MAJORITY VOTE, ASK ANY DIRECTOR WHO HAS AN INTEREST IN A MATTER NOT TO PARTICIPATE, OR TO LEAVE THE ROOM IN WHICH THE DISCUSSION IS CARRIED ON; PROVIDED, HOWEVER, THAT THE INTERESTED DIRECTOR MAY PARTICIPATE IN ANY DISCUSSION REGARDING HIS OR HER EXCLUSION. DIRECTORS SHALL NOT ATTEMPT TO INFLUENCE OTHER DIRECTORS REGARDING MATTERS IN WHICH THEY ARE INTERESTED, WITHOUT DISCLOSING THAT INTEREST. FORM 990, PART VI, SECTION B, LINE 15A IN DETERMINING COMPENSATION, THE HUMAN RESOURCE COMMITTEE OF THE BOARD WILL OBTAIN RESEARCH AND INFORMATION TO MAKE A RECOMMENDATION TO THE FULL BOARD FOR THE COMPENSATION (SALARY AND BENEFITS) OF THE EXECUTIVE DIRECTOR (AND OTHER HIGHLY COMPENSATED EMPLOYEES OR CONSULTANTS) BASED ON A REVIEW OF COMPARABILITY DATA. TO APPROVE THE COMPENSATION FOR THE EXECUTIVE DIRECTOR (AND OTHER HIGHLY COMPENSATED EMPLOYEES AND CONSULTANTS) THE BOARD MUST DOCUMENT HOW IT REACHED IT DECISIONS, INCLUDING THE DATA ON WHICH IT RELIED, IN MINUTES OF THE MEETING DURING WHICH THE COMPENSATION WAS APPROVED. DOCUMENTATION WILL INCLUDE: A. A DESCRIPTION OF THE COMPENSATION AND BENEFITS AND THE DATE IT WAS APPROVED; B. THE MEMBERS OF THE BOARD WHO WERE PRESENT DURING THE DISCUSSION ABOUT COMPENSATION AND BENEFITS, AND THE RESULTS OF THE VOTE; C. A DESCRIPTION OF THE COMPARABILITY DATA RELIED UPON AND HOW THE DATA WAS OBTAINED; AND D. ANY ACTIONS TAKEN (SUCH AS ABSTAINING FROM THE DISCUSSION AND VOTE) WITH RESPECT TO CONSIDERATION OF THE COMPENSATION BY ANYONE WHO IS OTHERWISE A MEMBER OF THE BOARD BUT WHO HAD A CONFLICT OF INTEREST WITH RESPECT TO THE DECISION ON THE COMPENSATION AND BENEFITS. IF THE PRESIDENT, EXECUTIVE DIRECTOR OR OTHER EMPLOYEE IS A BOARD MEMBER, HE OR SHE MAY NOT PARTICIPATE IN THE VOTE WITH RESPECT TO HIS OR HER COMPENSATION. REVIEW OF THE COMPENSATION POLICY IS DOCUMENTED IN THE BOARD MINUTES AND WAS LAST UNDERTAKEN IN 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED IN SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON THE ORGANIZATION'S WEBSITE AND GUIDESTAR.ORG, AND ARE ALSO AVAILABLE UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE ALSO POSTED ON THE ORGANIZATION'S WEBSITE, AND ARE AVAILABLE UPON REQUEST. CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE AVAILABLE UPON WRITTEN REQUEST AT WEWORK BUILDING, 1460 BROADWAY, NEW YORK, NEW YORK, 10036 OR BY CALLING THE ORGANIZATION DIRECTLY AT 888-600-1648.