MONTEFIORE NYACK HOSPITAL FOUNDATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MONTEFIORE NYACK HOSPITAL FOUNDATION INC (EIN 13-3245804)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-06
IRS object ID
202003119349300810
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-06T09:32:35-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133245804EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTEFIORE NYACK HOSPITAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RONALD RATIGANInCareOfNm
Business Name ControlMONTBusinessNameControlTxt
Phone8453482107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 NORTH MIDLAND AVENUEAddressLine1Txt
CityNYACKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP109601912ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN S BURKEPersonNm
Person TitleTreasurer/CFOPersonTitleTxt
Phone8453482107PhoneNum
Signature2020-10-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE M SOKOLOWSKIPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.206.163.59IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308520203115000038FederalOriginalSubmissionId
Federal Original Submission Id2020-11-06FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id24558E047A149CE0743DDA4F89040DC2FD5B7974AtSubmissionCreationDeviceId
At Submission Filing Device Id770194AAF055F9EA87E64CA02E08FE540289067FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK GELLER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 NORTH MIDLAND AVENUEAddressLine1Txt
CityNYACKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP109601912ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$853,646GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.montefiorenyack.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTo financially support healthcare initiatives of Montefiore Nyack Hospital whose services benefit the residents of Rockland County.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers73TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$873,867PYContributionsGrantsAmt
CY Contributions Grants$744,678CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$26,031PYInvestmentIncomeAmt
CY Investment Income$1,945CYInvestmentIncomeAmt
PY Other Revenue$4,394PYOtherRevenueAmt
CY Other Revenue$28,648CYOtherRevenueAmt
PY Total Revenue$904,292PYTotalRevenueAmt
CY Total Revenue$775,271CYTotalRevenueAmt
PY Grants And Similar Paid$189,361PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,402,178CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$264,588PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$275,562CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$308,244CYTotalFundraisingExpenseAmt
PY Other Expenses$53,203PYOtherExpensesAmt
CY Other Expenses$44,188CYOtherExpensesAmt
PY Total Expenses$507,152PYTotalExpensesAmt
CY Total Expenses$3,721,928CYTotalExpensesAmt
PY Revenues Less Expenses$397,140PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,946,657CYRevenuesLessExpensesAmt
Total Assets BOY$5,470,922TotalAssetsBOYAmt
Total Assets EOY$2,596,274TotalAssetsEOYAmt
Total Liabilities BOY$145,633TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,591TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,325,289NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,509,683NetAssetsOrFundBalancesEOYAmt
MissionTO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF MONTEFIORE NYACK HOSPITAL WHOSE SERVICES BENEFIT THE RESIDENTS OF ROCKLAND COUNTY. THE FOUNDATION RAISES FUNDS FOR MONTEFIORE NYACK HOSPITAL AND ASSISTS THE HOSPITAL IN PURCHASING STATE-OF-THE-ART EQUIPMENT, DEVELOPING PROGRAMS AND SERVICES, AND AIDING IN FACILITY IMPROVEMENT INITIATIVES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,402,178ExpenseAmt
Grant$3,402,178GrantAmt
Revenue$0RevenueAmt
DescTO RAISE FUNDS FOR MONTEFIORE NYACK HOSPITAL, A RELATED ORGANIZATION EXEMPT UNDER IRC SECTION 501(C)(3). THE FOUNDATION ASSISTS THE HOSPITAL IN THE PURCHASE OF STATE-OF-THE-ART EQUIPMENT, PROGRAMS AND SERVICES DEVELOPEMENT, AND FACILITY IMPROVEMENT INITIATIVES SUPPORT. DURING 2019, THE FOUNDATION DISTRIBUTED $3,402,178 IN SUPPORT OF MONTEFIORE NYACK HOSPITAL.Desc
Total Program Service Expenses$3,402,178TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRONALD RATIGANPersonNm
Phone8453486522PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 NORTH MIDLAND AVENUEAddressLine1Txt
CityNYACKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP109601912ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARK GELLER MD
PRESIDENT & CEO1.049.0Yes (X)Yes (X)$0$868,966$58,679
JOHN S BURKE
TREASURER/CFO1.049.0Yes (X)$0$541,428$45,891
Johnnie M Cucco-Mallo
Exec Director/Chief Dev Off50.00.0Yes (X)$155,898$0$31,653
MARK JACOBS
CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
EDWARD S FISHER DD
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
FRANK BORELLI JR
Vice Chair1.00.0Yes (X)Yes (X)$0$0$0
DANIEL M JUECHTER
TRUSTEE1.00.0Yes (X)$0$0$0
ROGER RAICHELSON MD
TRUSTEE1.01.0Yes (X)$0$0$0
BRIGITTE SIMON
TRUSTEE1.00.0Yes (X)$0$0$0
Paul Adler Esq
trustee1.01.0Yes (X)$0$0$0
Cynthia Branca
Trustee1.00.0Yes (X)$0$0$0
Tiombe Tallie Carter
Trustee1.00.0Yes (X)$0$0$0
Christopher Conover
Trustee1.00.0Yes (X)$0$0$0
Vanessa Reggiardo
Trustee1.00.0Yes (X)$0$0$0
Suzanne Copeland
Trustee1.00.0Yes (X)$0$0$0
Scott Kearns
Trustee1.00.0Yes (X)$0$0$0
Brian Foley
Trustee (Elected 01/2019)1.00.0Yes (X)$0$0$0
Douglas Katz
Trustee (Elected 01/2019)1.00.0Yes (X)$0$0$0
Michael Lehner
Trustee (Elected 01/2019)1.01.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$155,898TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,410,394TotReportableCompRltdOrgAmt
Total Other Compensation$136,223TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonnonePersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$320,119FundraisingAmt
Related Organizations$15,000RelatedOrganizationsAmt
All Other Contributions$409,559AllOtherContributionsAmt
Noncash Contributions$5,319NoncashContributionsAmt
Total Contributions$744,678TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,945TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,945ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$80,271FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$320,119ContriRptFundraisingEventAmt
Fundraising Direct Expenses$75,575FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,696TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,696ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$9,959GamingGrossIncomeAmt
Gaming Direct Expenses$2,800GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,159TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,159ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCHANGE IN CASH SURRENDER VALUE OF INS.Desc
Business524298BusinessCd
Total Revenue Column$16,793TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,793ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,793OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$775,271TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$30,593ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,402,178TotalAmt
Program Services$3,402,178ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$187,551TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$187,551FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,033TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$54,033FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$33,978TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$33,978FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,506TotalAmt
Program Services$0ProgramServicesAmt
Management And General$11,506ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,310TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$13,310FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,638TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$4,638FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$6FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$165TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$165FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES & SUBSCRIPTIONS$9,397$0$0$9,397
DONOR RECOGNITION$2,218$0$0$2,218
OTHER MISCELLANEOUS$2,948$0$0$2,948

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,721,928TotalAmt
Program Services$3,402,178ProgramServicesAmt
Management And General$11,506ManagementAndGeneralAmt
Fundraising$308,244FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$821,697BOYAmt
EOY$247,027EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$551,745BOYAmt
EOY$627,490EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$59,310BOYAmt
EOY$60,021EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,989,725BOYAmt
EOY$940,877EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$29,029EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,048,445BOYAmt
EOY$691,830EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,470,922BOYAmt
EOY$2,596,274EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$426BOYAmt
EOY$10,250EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$145,207BOYAmt
EOY$76,341EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$145,633BOYAmt
EOY$86,591EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,867,570BOYAmt
EOY$2,020,898EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,457,719BOYAmt
EOY$488,785EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,325,289BOYAmt
EOY$2,509,683EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,470,922BOYAmt
EOY$2,596,274EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,946,657ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$131,051NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$563,970CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$475,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$761,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$873,867CurrentTaxYearMinus1YearAmt
Current Tax Year$744,678CurrentTaxYearAmt
Total$3,419,472TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$563,970CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$475,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$761,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$873,867CurrentTaxYearMinus1YearAmt
Current Tax Year$744,678CurrentTaxYearAmt
Total$3,419,472TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$668,040SubstantialContributorsTotAmt
Public Support Total170$2,751,432PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$44,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$26,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,031CurrentTaxYearMinus1YearAmt
Current Tax Year$1,945CurrentTaxYearAmt
Total$99,644TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$17,095CurrentTaxYearMinus1YearAmt
Current Tax Year$16,793CurrentTaxYearAmt
Total$33,888TotalAmt
FieldValueIRS element (for citing)
Total Support$3,553,004TotalSupportAmt
Gross Receipts Rltd Activities$239,139GrossReceiptsRltdActivitiesAmt
Public Support CY1700.77440PublicSupportCY170Pct
Public Support PY1700.76389PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$200,000BeginningYearBalanceAmt
End Year Balance$200,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$200,000BeginningYearBalanceAmt
End Year Balance$200,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$200,000BeginningYearBalanceAmt
End Year Balance$200,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$200,000BeginningYearBalanceAmt
End Year Balance$200,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$200,000BeginningYearBalanceAmt
End Year Balance$200,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CSV OF INSURANCE POLICIES$562,499
DUE FROM MONTEFIORE NYACK HOSP$129,331
FieldValueIRS element (for citing)
Total Book Value Other Assets$691,830TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO MONTEFIORE NYACK HOSPITALDesc
Amt$76,341Amt
FieldValueIRS element (for citing)
Total Liability$76,341TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4FormAndLineReferenceDesc
ExplanationINTENDED USE OF ENDOWMENT FUND: 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

FieldValueIRS element (for citing)
Event1Golf OutingEvent1Nm
Gross Receipts Event1$337,827GrossReceiptsEvent1Amt
Charitable Contri Event1$280,049CharitableContriEvent1Amt
Gross Revenue Event1$57,778GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$273NonCashPrizesEvent1Amt
Rent Facility Costs Event1$55,796RentFacilityCostsEvent1Amt
Food And Beverage Event1$150FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$12,260OtherDirectExpensesEvent1Amt
Event25K/10K raceEvent2Nm
Gross Receipts Event2$62,563GrossReceiptsEvent2Amt
Charitable Contri Event2$40,070CharitableContriEvent2Amt
Gross Revenue Event2$22,493GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$588NonCashPrizesEvent2Amt
Rent Facility Costs Event2$0RentFacilityCostsEvent2Amt
Food And Beverage Event2$0FoodAndBeverageEvent2Amt
Entertainment Event2$225EntertainmentEvent2Amt
Other Direct Expenses Event2$6,283OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Other Events$0GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$0CharitableContriOtherEventsAmt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$0RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$0OthDirectExpnssOtherEventsAmt
Gross Receipts Total$400,390GrossReceiptsTotalAmt
Charitable Contributions Tot$320,119CharitableContributionsTotAmt
Gross Revenue Total Events$80,271GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$861NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$55,796RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$150FoodAndBeverageTotalEventsAmt
Entertainment Total Events$225EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,543OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$75,575DirectExpenseSummaryEventsAmt
Net Income Summary$4,696NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTEFIORE NYACK HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 NORTH MIDLAND AVENUEAddressLine1Txt
CityNYACKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10960ZIPCd
FieldValueIRS element (for citing)
Recipient EIN131740119RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$3,402,178CashGrantAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART II, LINE 1FormAndLineReferenceDesc
ExplanationThe Foundation distributes funds to Montefiore Nyack Hospital for operational support. These grants are monitored by the organization's finance personnel and are based on the Foundation's operational activities.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN S BURKE
TREASURER/CFO$0$537,816$0$0$0$3,612$0$0$0$45,891$0$587,319$0$0
MARK GELLER MD
PRESIDENT & CEO$0$863,422$0$0$0$5,544$0$12,600$0$46,079$0$927,645$0$0
Johnnie M Cucco-Malloy
Exec Director/Chief Dev Off$153,082$0$0$0$2,816$0$0$0$31,653$0$187,551$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, Part I, Line 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S Board of Directors includes the President and CEO of Montefiore Nyack Hospital, the top management official of the corporation, whose compensation is determined by the Hospital.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, Part VI, Line 6The elected Trustees of Montefiore Nyack Hospital are the members of the Corporation.
FORM 990, PART VI, LINES 7AThe 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 11BThe Form 990 was prepared by the 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 12CTHE FOUNDATION HAS ADOPTED THE CONFLICT OF INTEREST POLICY MAINTAINED BY MONTEFIORE NYACK HOSPITAL, THE PARENT ORGANIZATION. ALL MONITORING AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY IS PERFORMED BY THE HOSPITAL ON BEHALF OF THE Foundation. The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by means of an annual conflict of interest disclosure form that is distributed by the Hospital to all officers, trustees and key employees of the Foundation to complete. 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 Hospittal 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 19The conflict of interest policy and governing documents are made available upon request.
FORM 990, PART IX, LINES 8, 9, & 10CONCERNING EMPLOYEE BENEFITS ALLOCATION: MONTEFIORE NYACK HOSPITAL IS THE COMMON PAYMASTER FOR NYACK HOSPITAL FOUNDATION. 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 (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MONTEFIORE NYACK HOSPITAL
160 NORTH MIDLAND AVENUENYACKNY10960131740119HOSPITALNY501(C)(3)3MHSYes (true)
MONTEFIORE HEALTH SYSTEM INC
555 SOUTH BROADWAYTARRYTOWNNY10591201615393SUPPORT SERVNY501(C)(3)12B TYPE IIMMAHSYes (true)
MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREETBRONXNY10467131740114ACD MED CTRNY501(c)(3)3MHSYes (true)
MMC CORPORATION
111 EAST 210TH STREETBRONXNY10467133430322REAL ESTATENY501(C)(3)12A TYPE IMMCYes (true)
MMC RESIDENTIAL CORP I INC
3411 WAYNE AVENUEBRONXNY10467911943271STAFF HOUSINGNY501(C)(2)MMCYes (true)
MONTEFIORE HOSP HOUSING SECTION II Inc
3450 Wayne AvenueBronxNY10467237160641Staff HousingNY501(c)(2)MMCYes (true)
MOSHOLU PRESERVATION CORPORATION
3400 RESEVOIR OVAL EASTBRONXNY10467133109387COMMUNITY SERNY501(C)(3)12A TYPE IMMCYes (true)
GUN HILL MRI PC
200 EAST GUNHILL ROADBRONXNY10467133734486DIAG SERVICESNY501(C)(3)12A TYPE IMMCYes (true)
MONTEFIORE NEW ROCHELLE HOSPITAL
16 GUION PLACENEW ROCHELLENY10801462931956HOSPITALNY501(C)(3)3MHSYes (true)
MONTEFIORE MOUNT VERNON HOSPITAL
12 NORTH SEVENTH AVENUEMOUNT VERNONNY10550462916938HOSPITALNY501(C)(3)3MHSYes (true)
SCHAFFER EXTENDED CARE CENTER
16 GUION PLACENEW ROCHELLENY10801462929888NURSING HOMENY501(C)(3)3MHSYes (true)
MONTEFIORE FOUNDATION INC
111 EAST 210TH STREETBRONXNY10467471600439INACTIVENY501(C)(3)7MMAHSYes (true)
ALBERT EINSTEIN COLLEGE OF MEDICINE INC
1300 MORRIS PARK AVENUEBRONXNY10461472209056MED COLLEGENY501(C)(3)2MMAHSYes (true)
MONTEFIORE MEDICINE ACAD HLTH SYST INC
555 SOUTH BROADWAYTARRYTOWNNY10591471582973SYSTEM PARENTNY501(C)(3)12B TYPE IInaYes (true)
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROADWHITE PLAINSNY10601131740130HOSPITALNY501(C)(3)3MHSYes (true)
AECOM STUDENT HOUSING CO INC
1300 MORRIS PARK AVENUEBRONXNY10461237075620STUDENT HousNY501(C)(2)AECOMYes (true)
MONTEFIORE CERC OPERATIONS INC
111 EAST 210TH STREETBRONXNY10467474853506REHAB CENTERNY501(C)(3)3MMCYes (true)
WHITE PLAINS HOSPITAL CTR FOUNDATIONINC
41 EAST POST ROAD DAVIS AVEWHITE PLAINSNY10601133281507FUNDRAISINGNY501(C)(3)12A TYPE IWPHMCYes (true)
THE WINFFRED MASTERSON BURKE REHAB HOSP
785 MAMARONECK AVENUEWHITE PLAINSNY10605131739937REHAB HOSPNY501(C)(3)3MHSYes (true)
ST LUKE'S CORNWALL HOSPITAL
70 DUBOIS STREETNEWBURGHNY12550141340054HOSPITALNY501(C)(3)3MHSYes (true)
HUDSON VISTA MEDICAL PC
70 DUBOIS STREETNEWBURGHNY12550452526738HEALTHCARENY501(C)(3)12a TYPE ISLCHYes (true)
HUDSON VISTA PHYSICIAN SERVICES PC
70 DUBOIS STREETNEWBURGHNY12550272020746HEALTHCARENY501(C)(3)12A TYPE ISLCHYes (true)
ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREETNEWBURGHNY12550223026261HOLDING COMPNY501(C)(3)12A TYPE IMHSYes (true)
ST LUKE'S CORNWALL HEALTH SYS FOUNDATION
70 DUBOIS STREETNEWBURGHNY12550223026263FUNDRAISINGNY501(C)(3)7SLCHSYes (true)
AMOS AND SARAH HOLDEN HOME
70 DUBOIS STREETNEWBURGHNY12550141365995ASST LIVINGNY501(C)(3)PFSLCHSYes (true)
MONTEFIORE MED ACAD HLTH SYS SELF INS TR
555 SOUTH BROADWAYTARRYTOWNNY10591824019223INS TRUSTNY501(C)(3)12A TYPE 1MMAHSYes (true)
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUEBRONXNY10461830621846MED COLLEGENY501(C)(3)2MMAHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HIGHLAND MEDICAL PC
160 NORTH MIDLAND AVENUENYACKNY10960134034481HEALTHCARE SERVNYNAC CORPYes (true)
UNIVERSITY BEHAVIORAL ASSOCIATES INC
111 EAST 210TH STREETBRONXNY10467133877781MGMT SERVICESNYNAC CORPYes (true)
THE MONTEFIORE IPA INC
111 EAST 210TH STREETBRONXNY10467134114915INTEG PROVR ASSOCNYNAC CORPYes (true)
MMC GI HOLDING EAST INC
111 EAST 210TH STREETBRONXNY10467721610013HOLDING COMPANYNYNAC CORPYes (true)
MMC GI HOLDINGS WEST INC
111 EAST 210TH STREETBRONXNY10467721610015HOLDING COMPANYNYNAC CORPYes (true)
MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC
111 EAST 210TH STREETBRONXNY10467133952750INTEG PROVR ASSOCNYNAC CORPYes (true)
BRONX ACCOUNTABLE CARE NETWORK IPA INC
111 EAST 210TH STREETBRONXNY10467300689571INTEG PROVR ASSOCNYNAC CORPYes (true)
MONTEFIORE CONSOLIDATED VENTURES INC
111 EAST 210TH STREETBRONXNY10467611728539HOLDING COMPANYNYNAC CORPYes (true)
MONTEFIORE INSURANCE COMPANY INC
111 EAST 210TH STREETBRONXNY10467320436594INACTIVENYNAC CORPYes (true)
HUDSON VALLEY IPA INC
111 EAST 210TH STREETBRONXNY10467383978087INTEG PROVR ASSOCNYNAC CORPYes (true)
MONTEFIORE INNOVATIONS INC
111 EAST 210TH STREETBRONXNY10467475106910HOLDING COMPANYNYNAC CORPYes (true)
8 LONGVIEW DEVELOPMENT CORP
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601263321278HOUSINGNYNAC CORPYes (true)
WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC
41 EAST POST ROADWHITE PLAINSNY10601453164626HEALTHCARE SERVNYNAC CORPYes (true)
CANCER AND BLOOD MEDICAL SERV OF NY PC
41 EAST POST ROADWHITE PLAINSNY10601462021804HEALTHCARE SERVNYNAC CORPYes (true)
DAVIS AVENUE CORP
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601133331643Property holdingNYNAC CORPYes (true)
WHITE PLAINS MANAGEMENT CO INC
41 EAST POST ROADWHITE PLAINSNY10601133331641Property holdingNYNAC CORPYes (true)
WPHC BUILDINGS CORP
41 EAST POST ROADWHITE PLAINSNY10601133676932Property holdingNYNAC CORPYes (true)
WHITE PLAINS MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601815369152HEALTHCARE SERVNYNAC CORPYes (true)
WHITE PLAINS PHYSICIAN SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601815309615HEALTHCARE SERVNYNAC CORPYes (true)
CHARITABLE REMAINDER TRUST (4)
CHARIT REMR TRUSTNYNATRUSTYes (true)
WHITE PLAINS PHYSICIAN MEDICAL SERV PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830519787INACTIVENYNAC CORPYes (true)
EAST POST ROAD MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830535258HEALTHCARE SERVNYNAC CORPYes (true)
EAST POST ROAD PHYSICIAN SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830563325INACTIVENYNAC CORPYes (true)
DAVIS AVENUE MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830579310INACTIVENYNAC CORPYes (true)
WPH HOLDINGS INC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601833893119HOLDING COMPANYNYNAC CORPYes (true)
CRHT ACQUISITION INC
555 SOUTH BROADWAYTARRYTOWNNY10591815220651HOLDING COMPANYNYNAC CORPYes (true)
QUANTUM BIOTHERAPEUTICS LLC
111 EAST 210TH STREETBRONXNY10467611793667INACTIVENYNAC CORPYes (true)
Innovator Acquisition Corp
111 East 210th StreetBronxNY104672401833394059Holding CompanyNYNAC CorpYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MONTEFIORE NYACK HOSPITAL
B$3,402,178Cash
MONTEFIORE NYACK HOSPITAL
P$275,562COST

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