2014-11-17T14:40:14-06:00 2013-12-31 Charles A Barragato & Co LLP 950 Third Avenue - 20th FL New York NY 10022 990 2013-01-01 133245804 Nyack Hospital Foundation % RONALD RATIGAN NYAC 8453486520 160 North Midland Avenue Suite Nyack NY 10960 RONALD RATIGAN DIRECTOR OF FINANCE 2123714446 2014-11-15 true Angelo Pirozzi CPA P00446022 2123714446 2013 2015-11-30 17:44:51Z JOHN VOLANTO VP COO 160 NORTH MIDLAND AVENUE NYACK NY 10960 1232947 false X NYACKHOSPITAL.ORG X 1984 NY TO RAISE FUNDS FOR NYACK HOSPITAL. THE FOUNDATION ASSISTS THE HOSPITAL IN PURCHASING STATE OF THE ART EQUIPMENT, DEVELOPING PROGRAMS AND SERVICES AND FACILITY IMPROVEMENT. 17 14 0 47 0 1449626 1006474 0 0 32566 41898 130661 106022 1612853 1154394 0 0 0 0 122344 174751 0 0 254770 507851 463594 630195 638345 982658 516049 6542273 7040046 62335 13521 6479938 7026525 TO RAISE FUNDS FOR NYACK HOSPITAL, A RELATED ORGANIZATION EXEMPT UNDER IRC SECTION 501(C)(3). THE FOUNDATION ASSISTS THE HOSPITAL IN PURCHASING STATE-OF-THE-ART EQUIPMENT, DEVELOPING PROGRAMS AND SERVICES, AND AIDING IN FACILITY IMPROVEMENT INITIATIVES. false false 383575 TO RAISE FUNDS FOR NYACK HOSPITAL, A RELATED ORGANIZATION EXEMPT UNDER IRC SECTION 501(C)(3). THE FOUNDATION ASSISTS THE HOSPITAL IN PURCHASING STATE-OF-THE-ART EQUIPMENT, DEVELOPING PROGRAMS AND SERVICES, AND AIDING IN FACILITY IMPROVEMENT INITIATIVES. DURING 2013 THE FOUNDATION DISTRIBUTED $383,575 TO NYACK HOSPITAL. 383575 true true false false false false false false false true false false false true true false false true false false false false false false true false false false false true false false false false false false false false false false false false false true false false false true 10 1 true 0 false false false false false true true false false false false X 17 14 false false false false true true false true true false false true true true true true true false false false NY X RONALD RATIGAN 8453486522 160 NORTH MIDLAND AVENUE NYACK NY 10960 MARK JACOBS CHAIRMAN 1.0 1.0 X X 0 MITCHELL D COHN MD VICE CHAIR 1.0 X X JOHN S BURKE TREASURER 1.0 40.0 X X 395081 40633 EDWARD S FISHER DDS SECRETARY 1.0 X X DAVID H FREED DHA PRESIDENT & CEO NYACK HOSPITAL 1.0 40.0 X X 638630 28394 VINCENT ABBATECOLA TRUSTEE 1.0 X FRANK BORELLI JR TRUSTEE 1.0 X MARK GELLER MD TRUSTEE 1.0 X LISA HAYES TRUSTEE 1.0 1.0 X DANIEL M JUECHTER TRUSTEE 1.0 X PETER E LANG TRUSTEE 1.0 X MICHAEL E RADER MD TRUSTEE 1.0 40.0 X 421192 38359 ROGER RAICHELSON MD TRUSTEE 1.0 X SACHIN J SHAH MD TRUSTEE 1.0 X BRIGITTE SIMON TRUSTEE 1.0 X DANIEL SPITZER MD TRUSTEE 1.0 X WILLIAM M TRUST JR TRUSTEE 1.0 X Jill Garland Exec Director - Through 2/13 1.0 40.0 X X 28421 2679 0 1483324 110065 0 false true false 0 28155 978319 1006474 0 36439 36439 0 0 0 0 0 12684 7225 5459 5459 5459 177350 28155 71328 106022 106022 0 0 0 1154394 147920 0 0 0 0 0 0 0 132685 132685 0 42066 42066 0 0 0 0 0 0 0 0 0 11674 11674 7969 7969 0 402 402 1145 1145 593 593 487 487 0 383575 383575 0 0 OTHER PURCHASED SERVICES 8298 8298 PRINTING & PUBLICATION 27816 27816 RECOGNITION EXPENSE 13915 13915 DUES & SUBSCRIPTIONS 6518 6518 1202 1202 638345 383575 0 254770 2467233 3695640 155597 204870 3262536 2598224 0 0 0 0 0 0 0 0 0 0 0 0 0 212494 0 0 0 0 0 0 0 444413 541312 6542273 7040046 6474 3111 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55861 10410 62335 13521 X 1601017 1838108 4678921 4988417 200000 200000 6479938 7026525 6542273 7040046 516049 30538 X false true X true false X 563211 441799 4118650 1449626 1006474 7579760 0 0 563211 441799 4118650 1449626 1006474 7579760 4334554 3245206 52925 10063 1704 32277 36439 133408 0 157290 230983 179043 242715 177350 987381 8700549 0.37299 0.38634 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200000 200000 200000 200000 200000 200000 200000 200000 200000 200000 1.00000 false false CSV OF INSURANCE POLICIES 481727 DUE FROM AFFILIATE 59585 541312 0 DUE TO AFFILIATES 10410 10410 PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT IS TO PROVIDE FUNDS TO BE USED FOR INDIGENT CARE BREAST HEALTH. Golf Classic 174504 25575 148929 61952 5k/10k Race 22611 2384 20227 6261 2 8390 196 8194 3115 205505 28155 177350 71328 71328 106022 false false false false false false false false false JOHN S BURKE TREASURER 340874 12676 41531 0 7650 0 32983 0 435714 0 0 DAVID H FREED DHA PRESIDENT & CEO NYACK HOSPITAL 530352 19469 88809 0 15300 0 13094 0 667024 0 0 MICHAEL E RADER MD TRUSTEE 338716 14629 67847 0 15300 0 23059 0 459551 0 0 Part I, Line 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS RECEIVED THEIR COMPENSATION FROM A RELATED ORGANIZATION, WHICH USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION. FORM 990, PART VI, LINE 6 THE MEMBERS OF THE NYACK HOSPITAL FOUNDATION SHALL BE THE ELECTED TRUSTEES OF NYACK HOSPITAL. FORM 990, PART VI, LINE 7A AS SOLE CORP MEMBER, NYACK HOSPITAL DESIGNATED THE INITIAL BOARD MEMBERS, THEREAFTER, BOARD MEMBERS SHALL BE APPOINTED IN ACCORDANCE WITH THE NYACK HOSPITAL FOUNDATION BYLAWS. FORM 990, PART VI, LINE 11B THE ACCOUNTING MANAGER, DIRECTOR OF FINANCE, AND THE ENTIRE FINANCE TEAM ARE INVOLVED IN THE PREPARATION AND REVIEW OF THE FORM 990. ONCE THE DIRECTOR OF FINANCE HAS COMPLETED HIS REVIEW, THE CFO REVIEWS THE FORM 990 IN DETAIL, INCLUDING ALL SCHEDULES. THE FORM 990 WAS THEN UPLOADED TO THE NYACK HOSPITAL WEBSITE FOR THE FULL BOARD REVIEW IN THE "BOARD ONLY" SECTION. ONLY BOARD MEMBERS CAN ACCESS WITH A PASSWORD. FORM 990, PART VI, LINE 12C THE FOUNDATION HAS ADOPTED THE CONFLICT OF INTEREST POLICY MAINTAINED BY 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. IN AN EFFORT TO ENSURE THAT ALL TRANSACTIONS OCCURING BETWEEN THE ORGANIZATION AND A THIRD PARTY DO NOT INURE TO THE BENEFIT OF ANY INDIVIDUAL OR CORPORATION, NYACK HOSPITAL MAINTAINS A CONFLICT OF INTEREST POLICY. UNDER THIS POLICY, OFFICERS, TRUSTEES AND EMPLOYEES MUST DISCLOSE ANY RELATIONSHIPS THAT MAY RESULT IN CONFLICT DUE TO TRANSACTIONS OCCURING BETWEEN THE ORGANIZATION AND AN INDIVIDUAL. ALL EMPLOYEES AND TRUSTEES HAVE A DUTY TO DISCLOSE ANY FINANCIAL INTEREST WHICH MAY POSE A CONFLICT WITH THEIR HOSPITAL RESPONSIBILITIES. THIS DISCLOSURE IS CONFIRMED BY THE DISTRIBUTION OF A QUESTIONNAIRE ON AN ANNUAL BASIS. IN COMPLETING THE QUESTIONNAIRE, THE EMPLOYEE OR THE TRUSTEE IS RESPONSIBLE FOR DISCLOSING HIS OR HER RELATIONSHIP TO ANY ENTITY DOING BUSINESS WITH THE ORGANIZATION UNLESS SUCH INTEREST DOES NOT REPRESENT A SIGNIFICANT PORTION OF THE INDIVIDUAL'S NET WORTH. ADDITIONALLY, SHOULD THE EMPLOYEE OR TRUSTEE BECOME AWARE OF SUCH A RELATIONSHIP SUBSEQUENT TO THE ADMINISTRATION OF THE QUESTIONNAIRE, HE OR SHE SHOULD DISCLOSE THE RELATIONSHIP TO THE APPROPRIATE DEPARTMENT HEAD OR CHAIRPERSON. IN THE EVENT OF A POTENTIAL CONFLICT, THE INDIVIDUAL IS ASKED TO ABSTAIN FROM PARTICIPATING IN ANY DECISIONS RELATED TO THE TRANSACTION IN QUESTION UNTIL THE ORGANIZATION CAN DETERMINE IF A CONFLICT OF INTEREST EXISTS AND MAKES AN APPROPRIATE DECISION TO DETERMINE HOW THE CONFLICT WILL BE RESOLVED. FORM 990, PART VI, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. Form 990, Part VII, Line 2 NYACK HOSPITAL FOUNDATION DOES NOT DIRECTLY PAY ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE ALLOCATED FROM NYACK HOSPITAL. THE COMPENSATION AND BENEFITS ARE RECORDED ON THE FORM 941 FILED BY NYACK HOSPITAL UNDER THE EMPLOYER IDENTIFICATION NUMBER 13-1740119. 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