MONTEFIORE NYACK HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MONTEFIORE NYACK HOSPITAL (EIN 13-1740119)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2013-02-01
IRS object ID: 201300329349301355
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-01T15:32:24-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Disaster Relief	HUR SANDY FEMA 4085-DR	DisasterRelief

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Charles A Barragato & Co LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	950 Third Avenue - 20th FL	AddressLine1
City	New York	City
State	NY	State
ZIP Code	10022	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	131740119	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NYACK HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% RONALD RATIGAN	InCareOfName
Name Control	NYAC	NameControl
Phone	8453486522	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVENUE	AddressLine1
City	NYACK	City
State	NY	State
ZIP Code	10960	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN BURKE	Name
Title	CFO	Title
Date Signed	2013-02-01	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Angelo Pirozzi CPA	Name
Phone	2123714446	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAVID H FREED	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVENUE	AddressLine1
City	NYACK	City
State	NY	State
ZIP Code	10960	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	212549364	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	NYACKHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1895	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF NYACK HOSPITAL IS TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	1851	TotalNbrEmployees
Total Nbr Volunteers	241	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	289836	ContributionsGrantsPriorYear
Contributions Grants Current Year	664736	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	193022479	ProgramServiceRevenuePriorYear
Program Service Revenue CY	204613074	ProgramServiceRevenueCY
Investment Income Prior Year	51008	InvestmentIncomePriorYear
Investment Income Current Year	35848	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5430176	OtherRevenuePriorYear
Other Revenue Current Year	7235706	OtherRevenueCurrentYear
Total Revenue Prior Year	198793499	TotalRevenuePriorYear
Total Revenue Current Year	212549364	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	115489951	SalariesEtcPriorYear
Salaries Etc Current Year	122995121	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	80108864	OtherExpensePriorYear
Other Expenses Current Year	84309554	OtherExpensesCurrentYear
Total Expenses Prior Year	195598815	TotalExpensesPriorYear
Total Expenses Current Year	207304675	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3194684	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5244689	RevenuesLessExpensesCY
Total Assets BOY	68536615	TotalAssetsBOY
Total Assets EOY	77868968	TotalAssetsEOY
Total Liabilities BOY	71373650	TotalLiabilitiesBOY
Total Liabilities EOY	81163021	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-2837035	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-3294053	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF NYACK HOSPITAL IS TO PROVIDE COMPETENT, INNOVATIVE AND ACCESSIBLE EMERGENCY AND ACUTE CARE SERVICES FOR THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	185281194	Expense
Revenue	206759431	Revenue
Description	NYACK HOSPITAL IS COMMITTED TO MEETING THE HEALTH CARE NEEDS OF THE RESIDENTS OF ROCKLAND COUNTY, NEW YORK AND OTHER SURROUNDING AREAS. NYACK HOSPITAL IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE ROCKLAND COMMUNITY. DURING 2011, NYACK HOSPITAL PROVIDED HIGH QUALITY HEALTHCARE SERVICES FOR 16,491 ADMISSIONS, ACCOUNTING FOR 72,126 DAYS OF PATIENT CARE. NYACK HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. FOR THE YEAR ENDED DECEMBER 31, 2011, NYACK HOSPITAL PROVIDED $17,478,191 IN INDIGENT AND CHARITY WRITE-OFFS UNDER ITS CHARITY CARE POLICY. NYACK HOSPITAL ALSO PROVIDES 24 HOUR EMERGENCY DEPARTMENT SERVICES. FOR 2011, NYACK HOSPITAL HAD 57,622 EMERGENCY DEPARTMENT VISITS.	Description
Total Program Service Expense	185281194	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	120	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1851	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RONALD RATIGAN	NamePerson
Telephone Number	8453486522	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVENUE	AddressLine1
City	NYACK	City
State	NY	State
ZIP Code	10960	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Reportable Comp From OrganizationReportableCompFromOrganization	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM M TRUST JR
CHAIRMAN	1.0	X	X
RICHARD KOHLHAUSEN
VICE CHAIR	1.0	X	X
KEVIN CONWAY
SECRETARY	1.0	X	X
CATHY SHEA
VICE CHAIR	1.0	X	X
MARISA S BARBIERI
BOARD MEMBER	1.0	X
DONALD BARNES
BOARD MEMBER	1.0	X
LAURENCE J BERGER
BOARD MEMBER	1.0	X		396712	42068
MITCHELL D COHN MD
BOARD MEMBER	1.0	X
ALAN FELDSTEIN
BOARD MEMBER	1.0	X
BILL GUERCI
BOARD MEMBER	1.0	X
LISA HAYES
BOARD MEMBER	1.0	X
MARK JACOBS
BOARD MEMBER	1.0	X
RITA L KOKKORIS
BOARD MEMBER	1.0	X
ELIOT J LAZAR MD
BOARD MEMBER	1.0	X		831953	157418
MARC J LEVINE MD
BOARD MEMBER	1.0	X
JOHN MECCHELLA
BOARD MEMBER	1.0	X
STEPHEN M MENITOVE MD
BOARD MEMBER	1.0	X
WAYNE M OSTEN
BOARD MEMBER	1.0	X		887900	215706
ENRIQUE PABON
BOARD MEMBER	1.0	X
WILLIAM SHUM
BOARD MEMBER	1.0	X
COREY M TURNER
BOARD MEMBER	1.0	X
DAVID H FREED
PRESIDENT & CEO	40.0	X	X		24812	687565
MICHAEL RADER MD
VP & MEDICAL DIRECTOR	40.0		X		32796	451685
JOHN S BURKE
VP & CFO	40.0		X		36335	410815
JOHN VOLANTO
VP & CHIEF INFORMATION OFFICER	40.0		X		25253	311292
MARY K SHINICK
VP HUMAN RESOURCES	40.0		X		31732	275228
MARYANN ANDERSON
CHIEF NURSING OFFICER	40.0				20179	283702	X
JOSEPH VITTORIO MD
MEDICAL DIRECTOR RECOVER CNTR	40.0				13758	197932		X
RONALD RATIGAN
DIRECTOR OF FINANCE	40.0				36169	178389		X
ALICE VALLEN CRONIN
CH SYS & REENGINEERING OFFICER	40.0				34952	177691		X
DAVID SEITZ MD
MEDICAL DIRECTOR RECOVERY CENT	40.0				26114	185511		X
PATRICIA JOSEPH MD
DIRECTOR OF WOMEN'S HEALTH	40.0				40644	299612		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3459422	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2116565	TotalReportableCompFrmRltdOrgs
Total Other Compensation	737936	TotalOtherCompensation
Number Individuals GT100 K	163	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LAB CORP
20 JOHNSON DRIVE	RARITAN	NJ	08869	LAB MGMT SERVICES	3188564
HUDSON VALLEY OBSTETRICAL
258 HIGH AVENUE	NYACK	NY	10960	OBSTETRIC MD SERVICE	1690131
HOSPITALIST EMO OF NY
651 W MT PLEASANT AVE	LIVINGSTON	NJ	07039	MD SERVICE	1625593
DICTAPHONENUANCE
PO BOX 7247-6924	PHILADELPHIA	PA	19170	TRANSCRIPTION SVCS	506393
SCHIAVETTI CORGAN SOSCIA DIEDWAR
709 WESTCHESTER AVENUE	WHITE PLAINS	NY	10604	ATTORNEY SERVICES	460024

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Government Grants	629532	GovernmentGrants
All Other Contributions	35204	AllOtherContributions
Total Contributions	664736	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE REVENUE	Description
Business Code	621300	BusinessCode
Total Revenue Column	204613074	TotalRevenueColumn
Related Or Exempt Function Income	204613074	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	204613074	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16740	TotalRevenueColumn
Exclusion	$16,740	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	778112	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	778112	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	778112	TotalRevenueColumn
Exclusion	$778,112	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	19108	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	19108	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	19108	TotalRevenueColumn
Exclusion	$19,108	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
CLINIC REVENUE	900099	1415080	1415080
EHR MEANINGFUL USE INCOME	900099	1357272		$1,357,272
INSURANCE PROCEEDS	900099	1020405		$1,020,405

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2664837	TotalRevenueColumn
Related Or Exempt Function Income	731277	RelatedOrExemptFunctionIncome
Exclusion	$1,933,560	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6457594	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	212549364	TotalRevenueColumn
Related Or Exempt Function Income	206759431	RelatedOrExemptFunctionIncome
Exclusion	$5,125,197	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2591394	Total
Management And General	2591394	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	93057362	Total
Program Services	83751626	ProgramServices
Management And General	9305736	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9021701	Total
Program Services	8119531	ProgramServices
Management And General	902170	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10974808	Total
Program Services	9877327	ProgramServices
Management And General	1097481	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7349856	Total
Program Services	6614870	ProgramServices
Management And General	734986	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	6411174	Total
Program Services	5770057	ProgramServices
Management And General	641117	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1346339	Total
Program Services	1211705	ProgramServices
Management And General	134634	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	342919	Total
Program Services	308627	ProgramServices
Management And General	34292	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	50368	Total
Program Services	45331	ProgramServices
Management And General	5037	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	6774543	Total
Program Services	6097089	ProgramServices
Management And General	677454	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	403446	Total
Program Services	363101	ProgramServices
Management And General	40345	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11550179	Total
Program Services	10395161	ProgramServices
Management And General	1155018	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1532989	Total
Program Services	1379690	ProgramServices
Management And General	153299	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2423424	Total
Program Services	2181082	ProgramServices
Management And General	242342	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	231331	Total
Program Services	208198	ProgramServices
Management And General	23133	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	316359	Total
Program Services	284722	ProgramServices
Management And General	31637	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1217066	Total
Program Services	1095359	ProgramServices
Management And General	121707	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	332416	Total
Program Services	299174	ProgramServices
Management And General	33242	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5633052	Total
Program Services	5069747	ProgramServices
Management And General	563305	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1028266	Total
Program Services	925439	ProgramServices
Management And General	102827	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	16956566	15260909	1695657
BAD DEBT	10392401	10392401
PHARMACEUTICAL	8520857	7668771	852086
OTHER PURCHASED SERVICES	4799153	4319238	479915

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4046706	Total
Program Services	3642039	ProgramServices
Management And General	404667	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	207304675	Total
Program Services	185281194	ProgramServices
Management And General	22023481	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3540896	BOY
EOY	931258	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	20495976	BOY
EOY	25592889	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3483193	BOY
EOY	2971207	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	410470	BOY
EOY	766053	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	155713634	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	115709314	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	36850448	BOY
EOY	40004320	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3755632	BOY
EOY	7603241	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	68536615	BOY
EOY	77868968	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	32008292	BOY
EOY	37866358	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	412157	BOY
EOY	332015	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	14205529	BOY
EOY	14354062	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	24747672	BOY
EOY	28610586	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	71373650	BOY
EOY	81163021	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-3056534	BOY
EOY	-3513552	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	219499	BOY
EOY	219499	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-2837035	BOY
EOY	-3294053	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	68536615	BOY
EOY	77868968	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5244689	ReconcilationRevenueExpenses
Reconcilation Other Changes	-5701707	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$50,368	OtherActivitiesAmount
Total Lobbying Expenditures IIB	50368	TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II-B, LINE 1I - OTHER ACTIVITIES DESCRIPTION	Identifier
Explanation	NYACK HOSPITAL PAID DUES TO THE LOCAL 1199 - HEALTHCARE EDUCATION PROJECT (HEP) THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), AND THE HOME CARE ASOCIATION OF NYS (HCA). IN ACCORDANCE WITH SECTION 6033 (E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY HEP, HANYS, AND HCA, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2011 HEP, HANYS, AND HCA ANNUAL DUES WAS $29,864, $16,613, AND $3,891 RESPECTIVELY.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	219499	BeginningOfYearBalance
End Of Year Balance	219499	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	219499	BeginningOfYearBalance
End Of Year Balance	219499	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	219499	BeginningOfYearBalance
End Of Year Balance	219499	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	219499	BeginningOfYearBalance
End Of Year Balance	219499	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	651548	OtherCostOrOtherBasis
Book Value	651548	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	49159693	OtherCostOrOtherBasis
Depreciation	25518969	Depreciation
Book Value	23640724	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	96207895	OtherCostOrOtherBasis
Depreciation	87847537	Depreciation
Book Value	8360358	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9694498	OtherCostOrOtherBasis
Depreciation	2342808	Depreciation
Book Value	7351690	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	40004320	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
ASSETS LIMITED AS TO USE	263783
DEFERRED FINANCING COSTS	45652
DUE FROM RELATED PARTIES	1759735
OTHER RECEIVABLE	5534071

Field	Value	IRS element (for citing)
Total Book Value Other Assets	7603241	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ACCRUED POST RETIREMENT BENEFITS	$564,100
MALPRACTICE LIABILITY	$8,509,279
OTHER LIABILITIES	$5,089,991
PENSION LIABILITY	$12,254,286
THIRD PARTY LIABILITIES	$2,192,930

Field	Value	IRS element (for citing)
Total Of Amounts	28610586	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND	Identifier
Explanation	THE INTENDED USE OF THE HOSPITAL'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO BE USED FOR UNINSURED WOMEN.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4301930	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1844663	DirectOffsettingRevenue
Net Community Benefit Expense	2457267	NetCommunityBenefitExpense
Percent Of Total Expense	0.01210	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	37570506	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29772838	DirectOffsettingRevenue
Net Community Benefit Expense	7797668	NetCommunityBenefitExpense
Percent Of Total Expense	0.03850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41872436	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31617501	DirectOffsettingRevenue
Net Community Benefit Expense	10254935	NetCommunityBenefitExpense
Percent Of Total Expense	0.05060	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	250464	TotalCommunityBenefitExpense
Direct Offsetting Revenue	140146	DirectOffsettingRevenue
Net Community Benefit Expense	110318	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21690186	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16561629	DirectOffsettingRevenue
Net Community Benefit Expense	5128557	NetCommunityBenefitExpense
Percent Of Total Expense	0.02530	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21940650	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16701775	DirectOffsettingRevenue
Net Community Benefit Expense	5238875	NetCommunityBenefitExpense
Percent Of Total Expense	0.02580	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	63813086	TotalCommunityBenefitExpense
Direct Offsetting Revenue	48319276	DirectOffsettingRevenue
Net Community Benefit Expense	15493810	NetCommunityBenefitExpense
Percent Of Total Expense	0.07640	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$10,392,401	BadDebtExpenseAmount
Amount Reimbursed By Medicare	62704700	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	66200592	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3495892	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NYACK HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	160 NORTH MIDLAND AVENUE	AddressLine1
City	NYACK	City
State	NY	State
ZIP Code	10960	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NYACK HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION OF COSTING METHODOLOGY	PART I, LINE 7	NYACK HOSPITAL'S COSTING METHODOLOGY WAS BASED UPON THE 2011 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2011 MEDICARE (FORM 2552) COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7.
BAD DEBT EXPENSE	PART III, LINE 4	A/F/S FOOTNOTE - ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES - PATIENT ACCOUNTS RECEIVABLE/ALLOWANCE FOR DOUBTFUL ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS IS $10,392,401.
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT	PART III, LINE 8	THE AMOUNT REPORTED ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B.
PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS	PART III, LINE 9B	PURPOSE: TO RELIEVE THE ACCOUNTS RECEIVABLE OF ACCOUNTS DEEMED UNCOLLECTIBLE BY INTERNAL OR EXTERNAL PRE-COLLECTION PROCESSES. POLICY: TO REFER APPROPRIATE ACCOUNTS TO COLLECTION AGENCIES AND/OR THIRD PARTY BILLING AGENCIES AND TO INSURE AGENCY PRODUCTIVITIES IN ACCORDANCE WITH HOSPITAL POLICY. PROCEDURES: SECTION 1 -SMALL BALANCE WRITE OFF TO RELIEVE THE ACCOUNTS RECEIVABLE OF BALANCES WHICH ARE UNPROFITABLE TO PURSUE ON A MONTHLY BASIS. A. SMALL BALANCES IS DEFINED AS AN AMOUNT OF $24.99 AND LESS THAT IS CONSIDERED PATIENT LIABILITY. B. SMALL BALANCES MUST EXIST FOR 30 DAYS BEFORE THEY QUALIFY FOR WRITE-OFF. C. PATIENT MUST HAVE RECEIVED AT LEAST ONE STATEMENT. D. SMALL BALANCE INCLUDES CREDIT BALANCES OF $24.99 OR LESS (THIS AMOUNT WILL BE WRITTEN OFF SYSTEMATICALLY UNLESS PATIENT REQUESTS A REFUND). E. AT MONTH END SMALL BALANCE WRITE-OFF REPORT WILL BE PRODUCED FROM THE PARAGON SYSTEM FOR ALL ACCOUNTS SELECTED. F. A SEPARATE REPORT IS TO BE GENERATED FROM THE SYSTEM USING THE TRIAL BALANCE TO IDENTIFY ACCOUNTS NOT SELECTED SYSTEMATICALLY BY THE SYSTEM. SECTION 2 - BAD DEBT WRITE OFF PROCESS A. PATIENTS MUST RECEIVE A PRESCRIBED NUMBER OF STATEMENTS BEFORE BEING REFERRED TO COLLECTION (MINIMUM 3 STATEMENTS IN 120 DAYS UNLESS RETURNED MAIL FOR BAD ADDRESS OR PATIENT IS DECEASED). B. ACCOUNT BALANCE MUST RESIDE IN PATIENT BUCKET TO QUALIFY FOR BAD DEBT WRITE-OFF. C. A POTENTIAL BAD DEBT WRITE OFF REPORT IS PRODUCED ON A MONTHLY BASIS FOR ACCOUNTS THAT MAY BE MANUALLY TRANSFERRED TO THE BAD DEBT FILE. THIS LIST IS REVIEWED ACCOUNT BY ACCOUNT TO DELETE INAPPROPRIATE REFERRALS PRIOR TO WRITE OFF. D. PRE APPROVAL OF HIGH BALANCE WRITE-OFFS: GREATER THAN $5000.00 APPROVED BY SUPERVISOR, GREATER THAN $10,000.00 APPROVED BY MANAGER AND GREATER THAN $25,000.00 APPROVED BY ADMINISTRATOR. E. ACCOUNTS ARE REDUCED TO A SELF PAY RATE AND ARE REFERRED TO AGENCIES AT THIS RATE UNLESS OTHERWISE NOTED BASED ON DISCUSSIONS WITH THE PATIENT OR DESIGNATED REPRESENTATIVE. F. AT MONTH END, A CUMULATIVE BAD DEBT REPORT CONTAINING ALL WRITE-OFFS IN THAT CALENDAR MONTH WILL BE CREATED ALONG WITH AGENCY REFERRAL FILE. G. THE CUMULATIVE WRITE OFF TOTAL FOR ANY CALENDAR MONTH MUST BE APPROVED BY THE MANAGER IN CONJUNCTION WITH THE ADMINISTRATORS OF PATIENT FINANCIAL SERVICES AND FINANCE. SECTION 3 -COLLECTION AGENCY A. REFERRALS 1. ACCOUNTS ARE REFERRED SYSTEMATICALLY AND BY ALPHA BREAKDOWN WITHIN PATIENT TYPE TO AGENCIES ON AN EQUITABLE DISTRIBUTION. THE AGENCIES RECEIVE A FILE AND ALSO A COMPUTER GENERATED LIST OF ACCOUNTS. 2. ACCOUNTS REFERRED TO AGENCIES MAY BE AT THE SELF-PAY RATES ESTABLISHED IN THE CHARITY CARE POLICY. 3. SECONDARY REFERRALS MAY BE ASSIGNED TO SELECTED AGENCIES AFTER PRIMARY AGENCY CLOSEOUT. 4. AGENCIES MUST ADHERE TO HOSPITAL FINANCIAL ASSISTANCE (CHARITY CARE) POLICIES. 5. AGENCIES WILL PERFORM ASSET TEST ON ALL ACCOUNTS EXCEEDING $1,500. B. REPORTING 1. AGENCIES SEND ACKNOWLEDGEMENT REPORTS, WHICH ARE RECONCILED AGAINST THE REFERRALS (NUMBER OF ACCOUNTS, DOLLAR AMOUNT). 2. AGENCIES SUBMIT STATUS REPORTS ON A MONTHLY BASIS, WHICH ARE RECONCILED TO AN HBOC DETAIL REPORT TO INSURE THE ACCURACY OF THE BAD DEBT FILE. 3. A REMITTANCE REPORT ACCOMPANIES THE CHECK THE AGENCY SENDS WHICH REPORTS ALL PAYMENTS COLLECTED. THIS IS RECONCILED TO THE PAYMENTS POSTED TO THE PARAGON SYSTEM IN THE BAD DEBT FILE. 4. CLOSE OUT REPORT IS A LIST OF ALL THE ACCOUNTS THAT THE AGENCIES DEEM UNCOLLECTIBLE. WE ASSIGN SECONDS FROM THE CLOSE OUT REPORT OR WE CLOSE OUT THE ACCOUNTS. 5. IF AN ACCOUNT IS REFERRED BY A COLLECTION AGENCY FOR LEGAL ACTION, IT MUST BE APPROVED BY THE MANAGER OR ADMINISTRATOR OF THE PATIENT FINANCIAL SERVICES DEPARTMENT. 6. A RECONCILIATION REPORT MAY BE REQUESTED TO CORRELATE OUR A/R AGAINST AGENCY A/R. 7. A PLACEMENT ANALYSIS REPORT IS REQUIRED ON A MONTHLY BASIS FROM EACH AGENCY DETAILING ITS COLLECTION PERFORMANCE YEAR TO DATE BY REFERRAL DATE AND PRODUCT LINE (I.E.: INPATIENT, OUTPATIENT, INPATIENT SECONDS, ETC.), FOR THE CURRENT CALENDAR YEAR AND THE PRIOR YEARS CALENDAR REFERRALS. SECTION 4 -DEPARTMENTAL WORKFLOWS A. ACCOUNTS ARE REFERRED TO BAD DEBT SYSTEMATICALLY (ALPHA BREAKDOWN WITHIN PATIENT TYPE). B. THE REPRESENTATIVE DESIGNATED AS THE LIAISON WITH THE COLLECTION AGENCIES, AND REVIEWS APPROPRIATELY ADDRESSED OR REFERRED TO AGENCY CORRESPONDENCE PERTAINING TO BAD DEBT. C. AGENCY LIAISON SCREENS PATIENT INQUIRIES RELATING TO BAD DEBT ACCOUNTS AND REFERS TO APPROPRIATE AGENCY. SECTION 5 -LIAISON INTERDISCIPLINARY WORKFLOWS A. INTERACTS WITH AGENCIES TO OBTAIN ACCOUNT STATUS. B. INTERACTS WITH OTHER PATIENT FINANCIAL SERVICE SECTIONS TO INSURE THE ACCURACY OF THE BAD DEBT FILE. C. REVIEWS AND RECONCILES ALL AGENCY REPORTS INCLUDING REMITTANCE REPORT; SUPPORTS AND DIRECTS ACTIVITY OF AGENCY LIAISON. SECTION 6 -END OF MONTH REPORTS A. CUMULATIVE BAD DEBT WRITE OFF FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY AGENCY. B. CUMULATIVE BAD DEBT WRITE OFF FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY FINANCIAL CLASS. C. COLLECTION AGENCY STATISTIC REPORT FOR THE FILE. D. TAPE GENERATED BY INFORMATION TECHNOLOGY GIVEN TO AGENCIES.
INDIVIDUALS ELIGIBILITY FOR FINANCIAL ASSISTANCE	PART V, LINE 19	WE USE MEDICAID RATES FOR INPATIENT AND MANAGED CARE RATES FOR OUTPATIENT.
NEEDS ASSESSMENT	PART VI	PURSUANT TO NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L, NYACK HOSPITAL ("NYACK") IS REQUIRED TO FILE A COMPREHENSIVE COMMUNITY SERVICE PLAN ("CSP") WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ("DOH") EVERY 3 YEARS. A COPY OF NYACK'S CSP CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT WWW.NYACKHOSPITAL.ORG UNDER THE "ABOUT US" TAB. THE COMPREHENSIVE DATA AND INFORMATION CONTAINED IN THIS CSP WILL EXHAUSTIVELY ADDRESS PART VI OF THIS SCHEDULE H, AND ITS CONTENTS ARE INCORPORATED HEREIN BY REFERENCE. SPECIFICALLY, THE NYACK CSP WILL ADDRESS THE PART VI (2) NEEDS ASSESSMENT; PART VI (3) PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE; PART VI (4) COMMUNITY INFORMATION; PART VI (5) COMMUNITY BUILDING ACTIVITIES AND PART VI (6) TO (7), AS APPLICABLE. THE TEXT OF NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L IS AS FOLLOWS: COMMUNITY SERVICE PLANS. (1) THE GOVERNING BODY OF A VOLUNTARY NON-PROFIT GENERAL HOSPITAL MUST ISSUE AN ORGANIZATIONAL MISSION STATEMENT IDENTIFYING AT A MINIMUM THE POPULATIONS AND COMMUNITIES SERVED BY THE HOSPITAL AND THE HOSPITAL'S COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. (2) THE GOVERNING BODY MUST AT LEAST EVERY THREE YEARS: (I) REVIEW AND AMEND AS NECESSARY THE HOSPITAL MISSION STATEMENT; (II) SOLICIT THE VIEWS OF THE COMMUNITIES SERVED BY THE HOSPITAL ON SUCH ISSUES AS THE HOSPITAL'S PERFORMANCE AND SERVICE PRIORITIES; (III) DEMONSTRATE THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING COMMUNITY HEALTH CARE NEEDS, TO PROVIDE CHARITY CARE SERVICES AND TO IMPROVE ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED; AND (IV) PREPARE AND MAKE AVAILABLE TO THE PUBLIC A STATEMENT SHOWING ON A COMBINED BASIS A SUMMARY OF THE FINANCIAL RESOURCES OF THE HOSPITAL AND RELATED CORPORATIONS AND THE ALLOCATION OF AVAILABLE RESOURCES TO HOSPITAL PURPOSES INCLUDING THE PROVISION OF FREE OR REDUCED CHARGE SERVICES. (3) THE GOVERNING BODY MUST AT LEAST ANNUALLY PREPARE AND MAKE AVAILABLE TO THE PUBLIC AN IMPLEMENTATION REPORT REGARDING THE HOSPITAL'S PERFORMANCE IN MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. (4) THE GOVERNING BODY SHALL FILE WITH THE COMMISSIONER ITS MISSION STATEMENT, ITS ANNUAL IMPLEMENTATION REPORT, AND AT LEAST EVERY THREE YEARS A REPORT DETAILING AMENDMENTS TO THE STATEMENT AND REFLECTING CHANGES IN THE HOSPITAL'S OPERATIONAL AND FINANCIAL COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, PROVIDING CHARITY CARE SERVICES, AND IMPROVING ACCESS TO HEALTH CARE SERVICES BY THE UNDERSERVED. THE ABOVE-REFERENCED CSP REQUIREMENT WAS ENHANCED BY THE DOH'S PREVENTION AGENDA INITIATIVE. THIS INITIATIVE IS A PROCESS THAT ASKS HOSPITALS SUCH AS NYACK TO WORK WITH LOCAL HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO ASSESS COMMUNITY HEALTH NEEDS, JOINTLY DEVELOP PLANS TO ADDRESS TWO OR THREE OF THE IDENTIFIED NEEDS AND INCLUDE THIS COLLABORATIVE WORK IN NYACK'S CSP UPDATE SUBMITTED TO DOH. INFORMATION ON THE NEW YORK STATE DOH PREVENTION AGENDA CAN BE FOUND AT WWW.HEALTH.STATE.NY.US/PREVENTION/PREVENTION_AGENDA.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	ALL PATIENTS RECEIVE A FINANCIAL AID SUMMARY THAT EXPLAINS NYACK HOSPITAL'S FINANCIAL AIDE PROGRAM. ALTHOUGH OBLIGATED TO OFFER ASSISTANCE TO PATIENTS WITH INCOMES LESS THEN 300% OF THE FEDERAL POVERTY LEVEL (FPL), NYACK HOSPITAL CONSIDERS ALL PATIENTS WHO RECEIVE EMERGENCY OR MEDICALLY NECESSARY NON-EMERGENCY CARE WITH INCOMES LESS THAN 400% OF THE FEDERAL POVERTY LEVEL. NYACK HOSPITAL WILL CONSIDER PATIENTS FOR FIANANCIAL AID WHO RESIDE OUTSIDE OF ITS SERVICE AREA ON AN EXCEPTION BASIS.
COMMUNITY INFORMATION	PART VI	NYACK HOSPITAL DEFINES ITS TOTAL SERVICE AREA FOR THE PURPOSES OF COMMUNITY/LOCAL HEALTH PLANNING AS ALL OF ROCKLAND COUNTY. NINE ROCKLAND COUNTY COMMUNITIES COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA. SEE COMMUNITY SERVICE PLAN FOR DELINEATION OF PRIMARY AND SECONDARY SERVICE AREAS.
COMMUNITY BUILDING ACTIVITIES	PART VI	NYACK HOSPITAL WAS A MAJOR PARTICIPANT IN THE COMMUNITY HEALTH ASSESSMENT (CHA) PROCESS CONDUCTED BY ROCKLAND COUNTY. THE ADMINISTRATOR OF HOME CARE AND COMMUNITY SERVICES AND THE COORDINATOR OF PATIENT/COMMUNITY EDUCATION ARE STANDING MEMBERS OF THE ROCKLAND COUNTY PUBLIC HEALTH PRIORITIES (PHP) STEERING COMMITTEE. THE PURPOSE OF THIS COMMITTEE IS TO DETERMINE THE EXTENT TO WHICH EXISTING PRIORITIES ARE BEING MET, TO ASSESS THE NEED FOR NEW/REVISED PRIORITIES, AND TO COLLABORATE WITH OTHER HEALTH PROVIDERS/ORGANIZATIONS IN ORDER TO IMPLEMENT PROGRAMS AND SERVICES THAT WILL MEET THE IDENTIFIED NEEDS. THE COMMITTEE SERVES AS A GUIDE TO THE DEVELOPMENT OF THE CHA. THE PHP COMMITTEE IS COMPOSED OF REPRESENTATIVES FROM: -COUNTY DEPARTMENTS OF HEALTH, SOCIAL SERVICES, MENTAL HEALTH, AS WELL AS THE OFFICES FOR AGING, COMMUNITY RELATIONS, AND PEOPLE WITH DISABILITIES. -COMMUNITY BASED AGENCY REPRESENTATIVES FROM THE AMERICAN CANCER SOCIETY, IMMIGRATION COALITION, VOLUNTEER COUNSELING SERVICES, AMERICAN HEART ASSOCIATION AND A NUMBER OF OTHER NON-PROFITS. -LOCAL HOSPITALS (NYACK, GOOD SAMARITAN) -4 FEDERALLY QUALIFIED HEALTH CENTERS -2 LOCAL COLLEGES (DOMINICAN AND ROCKLAND COUNTY COMMUNITY) THE FULL COMMITTEE MEETS MONTHLY AND SUB-COMMITTEE MEETINGS ARE HELD AS NEEDED. AN OUTCOME OF THIS COMMITTEE WAS A 2008 COUNTY NEEDS ASSESSMENT, WHICH SERVED AS A STARTING POINT FOR THE COUNTY'S 2010-2013 COMMUNITY HEALTH ASSESSMENT. IN ADDITION TO HAVING REPRESENTATIVES ACTIVELY PARTICIPATE ON THE PHP COMMITTEE, NYACK HOSPITAL COLLABORATED WITH THE COUNTY HEALTH DEPARTMENT TO IMPLEMENT 3 PROVIDER AND CONSUMER FOCUS GROUPS AS PART OF THE CHA PROCESS. DETAILS ARE PROVIDED IN THE COMMUNITY SERVICE PLAN.
STATES WHERE COMMUNITY BENEFIT REPORT FILED	PART VI	NEW YORK.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
LAURENCE J BERGER
300047	62292	34373	17150	24918	438780	0
ELIOT J LAZAR MD
527048	267443	37462	114732	42686	989371	0
WAYNE M OSTEN
502861	322439	62600	190543	25163	1103606	0
DAVID H FREED
							476616	102309	108640	14700	10112	712377	0
MICHAEL RADER MD
							333280	66404	52001	14700	18096	484481	0
JOHN S BURKE
							296276	65484	49055	10391	25944	447150	0
JOHN VOLANTO
							221120	48633	41539	14700	10553	336545	0
MARY K SHINICK
							190637	44198	40393	13850	17882	306960	0
MARYANN ANDERSON
							202429	42280	38993	14456	5723	303881	0
JOSEPH VITTORIO MD
							188519	0	9413	11862	1896	211690	0
RONALD RATIGAN
							147786	0	30603	10759	25410	214558	0
ALICE VALLEN CRONIN
							130240	16784	30667	9694	25258	212643	0
DAVID SEITZ MD
							173586	0	11925	1498	24616	211625	0
PATRICIA JOSEPH MD
							265356	0	34256	14700	25944	340256	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	PART III - ADDITIONAL INFORMATION	Identifier
Explanation	CERTAIN OFFICERS AND KEY EMPLOYEES OF THE NEW YORK AND PRESBYTERIAN HOSPITAL THAT ARE IDENTIFIED IN PART VII AS OFFICERS OR TRUSTEES OF NYACK HOSPITAL ARE RESPONSIBLE FOR EXECUTING THE MISSION AND MANAGEMENT OF THE NEW YORK AND PRESBYTERIAN HOSPITAL (NYP) AND ITS AFFILIATED ENTITIES. Compensation for 2011 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. In 2010, the plan was redesigned in anticipation of changes in deferred compensation rules in the not-for-profit environment and to make the value of the benefit easier to understand for participants. The redesigned plan maintains the target level of SERP benefits and modifies the vesting schedules to commence after five years of participation in the SERP, in prorated amounts through age 65. Consequently, for certain individuals, there is an increase in the amount reflected in the SERP compensation due to the change in the vesting and amortization periods. As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in Part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS	FORM 990, PART VI, LINE 6	NYACK HOSPITAL (THE "ORGANIZATION") IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC.("SYSTEM INC."). SYSTEM INC. IS A TAX-EXEMPT ORGANIZATION WHOSE MEMBERS ARE APPOINTED BY NEW YORK PRESBYTERIAN FOUNDATION,INC., WHICH IS ALSO A TAX-EXEMPT ORGANIZATION. THE MEMBERS OF THE ORGANIZATION ELECT THE ORGANIZATION'S BOARD OF TRUSTEES.
HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY	FORM 990, PART VI, LINE 7A	AS SOLE CORP MEMBER, NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. DESIGNATED THE INITIAL MEMBERS, THEREAFTER, MEMBERS SHALL BE APPOINTED IN ACCORDANCE WITH THE NYACK BYLAWS.
DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 7B	NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. ("SYSTEM INC.") IS THE SOLE MEMBER OF NYACK HOSPITAL. SYSTEM INC. HAS THE RESPONSIBILITY TO PROVIDE OVERSIGHT AND TO ASSIST IN THE LONG TERM PLANNING FOR THE BENEFIT OF BOTH NYACK HOSPITAL AND SYSTEM INC.. SUCH POWERS AND RESPONSIBILITIES INCLUDE THE PERIODIC REVIEW OF NYACK HOSPITAL'S FINANCIAL POSITION, ITS COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS, AND EVALUATION OF ITS PROGRAMS IN AN EFFORT TO ENSURE THE EXEMPT PURPOSE OF BOTH SYSTEM INC. AND NYACK HOSPITAL ARE BEING FULFILLED. SYSTEM INC. AND NYACK HOSPITAL WILL ALSO COORDINATE EFFORTS TO RECRUIT AND MAINTAIN SELECT KEY MANAGEMENT PERSONNEL AND PHYSICIANS. IN THE EVENT OF A VACANCY, SYSTEM INC. WILL BE PROVIDED THE OPPORTUNITY TO ASSIST IN A SEARCH COMMITTEE TO FILL SUCH VACANCY. ALL DAILY OPERATING AND MANAGEMENT DECISIONS ARE RETAINED BY NYACK HOSPITAL.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, LINE 11B	THE ACCOUNTING MANAGER, DIRECTOR OF FINANCE, AND THE ENTIRE FINANCE TEAM ARE HEAVILY INVOLVED IN THE PREPARATION AND REVIEW OF THE FORM 990. ONCE THE DIRECTOR OF FINANCE HAS COMPLETED HIS REVIEW, THE CFO REVIEWS THE FORM 990 IN DETAIL, INCLUDING ALL SCHEDULES. THE FORM 990 WAS THEN UPLOADED TO THE NYACK HOSPITAL WEBSITE FOR THE FULL BOARD REVIEW IN THE "BOARD ONLY" SECTION. ONLY BOARD MEMBERS CAN ACCESS WITH A PASSWORD.
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS	FORM 990, PART VI, LINE 12C	IN AN EFFORT TO ENSURE THAT ALL TRANSACTIONS OCCURRING BETWEEN THE ORGANIZATION AND A THIRD PARTY DO NOT INURE TO THE BENEFIT OF ANY INDIVIDUAL OR CORPORATION, NYACK HOSPITAL MAINTAINS A CONFLICT OF INTEREST POLICY. UNDER THIS POLICY, OFFICERS, TRUSTEES AND EMPLOYEES MUST DISCLOSE ANY RELATIONSHIPS THAT MAY RESULT IN CONFLICT DUE TO TRANSACTIONS OCCURRING BETWEEN THE ORGANIZATION AND AN INDIVIDUAL. ALL EMPLOYEES AND TRUSTEES HAVE A DUTY TO DISCLOSE ANY FINANCIAL INTEREST WHICH MAY POSE A CONFLICT WITH THEIR HOSPITAL RESPONSIBILITIES. THIS DISCLOSURE IS CONFIRMED BY THE DISTRIBUTION OF A QUESTIONNAIRE ON AN ANNUAL BASIS. IN COMPLETING THE QUESTIONNAIRE, THE EMPLOYEE OR TRUSTEE IS RESPONSIBLE FOR DISCLOSING HIS OR HER RELATIONSHIP TO ANY ENTITY DOING BUSINESS WITH THE ORGANIZATION UNLESS SUCH INTEREST DOES NOT REPRESENT A SIGNIFICANT PORTION OF THE INDIVIDUAL'S NET WORTH. ADDITIONALLY, SHOULD THE EMPLOYEE OR TRUSTEE BECOME AWARE OF SUCH A RELATIONSHIP SUBSEQUENT TO THE ADMINISTRATION OF THE OUESTIONNAIRE, HE OR SHE SHOULD DISCLOSE THE RELATIONSHIP TO THE APPROPRIATE DEPARTMENT HEAD OR COMMITTEE CHAIRPERSON. IN THE EVENT OF A POTENTIAL CONFLICT, THE INDIVIDUAL IS ASKED TO ABSTAIN FROM PARTICIPATING IN ANY DECISIONS RELATED TO THE TRANSACTION IN QUESTION UNTIL THE ORGANIZATION CAN DETERMINE IF A CONFLICT OF INTEREST EXISTS AND MAKES AN APPROPRIATE DECISION TO DETERMINE HOW THE CONFLICT WILL BE RESOLVED.
COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC DIRECTOR OR TOP MGMT	FORM 990, PART VI, LINE 15A	THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND SENIOR EXECUTIVES IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. AN INDEPENDENT OUTSIDE CONSULTANT WITH EXPERTISE IN HOSPITAL EXECUTIVE COMPENSATION ASSESSES THE EXECUTIVE COMPENSATION AS COMPARED TO SIMILAR POSITIONS IN THE NEW YORK AREA AND RECOMMENDS A RANGE. THE COMMITTEE SETS THE EXECUTIVE COMPENSATION FOR THE COMING YEAR WITHIN THE FAIR MARKET VALUE RANGE RECOMMENDED BY THE CONSULTANT.
COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES	FORM 990, PART VI, LINE 15B	THE COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. AN INDEPENDENT OUTSIDE CONSULTANT WITH EXPERTISE IN HOSPITAL EXECUTIVE COMPENSATION ASSESSES THE COMPENSATION AS COMPARED TO SIMILAR POSITIONS IN THE NEW YORK AREA AND RECOMMENDS A RANGE. THE COMMITTEE SETS THE COMPENSATION FOR THE COMING YEAR WITHIN THE RANGE RECOMMENDED BY THE CONSULTANT.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE	FORM 990, PART VI, LINE 19	UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
FORM 990, PART VII		Certain officers and key employees of the New York and Presbyterian Hospital that are identified in Part VII as officers or Trustees of Nyack Hospital are responsible for executing the mission and management of The New York and Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2011 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. In 2010, the plan was redesigned in anticipation of changes in deferred compensation rules in the not-for-profit environment and to make the value of the benefit easier to understand for participants. The redesigned plan maintains the target level of SERP benefits and modifies the vesting schedules to commence after five years of participation in the SERP, in prorated amounts through age 65. Consequently, for certain individuals, there is an increase in the amount reflected in the SERP compensation due to the change in the vesting and amortization periods. As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. As in past years, the executive Compensation Committee of NYP requires a third party complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in Part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 5	Change in Minimum Pension Liability $ -4,251,007. Other PENSION RELATED CHANGES -1,450,700. TOTAL: $ -5,701,707.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM M. TRUST JR. TITLE:CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LAURENCE J BERGER TITLE:BOARD MEMBER HOURS:60
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MITCHELL D. COHN, MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LISA HAYES TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK JACOBS TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ELIOT J LAZAR, MD TITLE:BOARD MEMBER HOURS:60
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WAYNE M. OSTEN TITLE:BOARD MEMBER HOURS:60
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID H. FREED TITLE:PRESIDENT & CEO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MICHAEL RADER, MD TITLE:VP & MEDICAL DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN S. BURKE TITLE:VP & CFO HOURS:1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (44 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
NEW YORK METHODIST HOSPITAL
506 SIXTH STREET	BROOKLYN	NY	11215	111631796	HEALTHCARE	NY	501(C)(3)	3	NYP HS INC	true
PARK SLOPE MEDICAL SERVICE PC
506 SIXTH STREET	BROOKLYN	NY	11215	112843882	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
BROOKLYN FOOT & ANKLE PC
506 SIXTH STREET	BROOKLYN	NY	11215	113441502	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
PARK SLOPE PHYSICIAN SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	113231685	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
PARK SLOPE PEDIATRIC MEDICINE PC
506 SIXTH STREET	BROOKLYN	NY	11215	113303499	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
PARK SLOPE PATHOLOGY SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	112843879	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
PARK SLOPE MEDICINE PC
506 SIXTH STREET	BROOKLYN	NY	11215	113362663	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
PARK SLOPE HEMOTOLOGY & ONCOLOGY PC
506 SIXTH STREET	BROOKLYN	NY	11215	113564621	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
PARK SLOPE MEDICAL HEALTH PROVIDER PC
506 SIXTH STREET	BROOKLYN	NY	11215	421591811	INACTIVE	NY	501(c)(3)	11 TYPE I	NY METHODIST	true
SOUTH BROOKLYN HEALTH CENTER INC
120 RICHARDS STREET	BROOKLYN	NY	11231	112339341	HEALTHCARE	NY	501(C)(3)	7	NY METHODIST	true
BROOKLYN DENTAL SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	432015903	DENTAL	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
PARK SLOPE OBSTETRICS & GYNECOLOGY PC
506 SIXTH STREET	BROOKLYN	NY	11215	113124294	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
BROOKLYN RADIOLOGY SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	113423162	RADIOLOGY	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
NYP HEALTHCARE SYSTEM INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133792361	SPONSOR	NY	501(C)(3)	11 TYPE III	NYP FOUNDATI	true
THE NY AND PRESBYTERIAN HOSPITAL
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133957095	HEALTHCARE	NY	501(C)(3)	3	NYP FOUNDATI	true
NY-PRESBYTERIAN FOUNDATION INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	134153668	SUPPORT	NY	501(C)(3)	11 TYPE I	NA	false
ROYAL CHARTER PROPERTIES INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133158502	REAL ESTATE	NY	501(C)(3)	11 TYPE II	NYP FOUNDATI	true
ROYAL CHARTER PROPERTIES EAST INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133158496	REAL ESTATE	NY	501(C)(3)	11 TYPE II	NYP FOUNDATI	true
ROYAL CHARTER PROPERTIES WEST INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133160354	REAL ESTATE	NY	501(C)(3)	11 TYPE II	NYP FOUNDATI	true
PRESBYTERIAN HEALTH RESOURCES INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10035	133145970	INACTIVE	NY	501(C)(3)	11 TYPE I	NYP FOUNDATI	true
HOSPITAL FOR SPECIAL SURGERY
535 EAST 70TH ST	NEW YORK	NY	10021	131624135	HEALTHCARE	NY	501(C)(3)	3	NYP FOUNDATI	true
NY-PRESBYTERIAN FUND INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133160356	FUNDRAISING	NY	501(C)(3)	7	NYP FOUNDATI	true
HY HOSPITAL MEDICAL CTR OF QUEENS
56-45 MAIN STREET	FLUSHING	NY	11355	111839362	HEALTHCARE	NY	501(C)(3)	3	NYP HS INC	true
NY COMMUNITY HOSPITAL OF BROOKLYN
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	111986351	HEALTHCARE	NY	501(C)(3)	3	NYP HS INC	true
NY WESTCHESTER SQUARE MEDICAL CENTER
2475 ST RAYMOND AVENUE	BRONX	NY	10461	311730177	HEALTHCARE	NY	501(C)(3)	3	NYP HS INC	true
NY GRACIE SQUARE HOSPITAL
420 EAST 76TH ST	NEW YORK	NY	10021	133746997	PSYCHIATRIC	NY	501(C)(3)	3	NYP HS INC	true
THE ROGOSIN INSTITUTE INC
505 E 70TH ST	NEW YORK	NY	10021	133184198	HEALTHCARE	NY	501(C)(3)	4	NYP HS INC	true
NYACK HOSPITAL FOUNDATION
160 N MIDLAND AVE	NYACK	NY	10960	133245804	SUPPORT	NY	501(C)(3)	7	NYACK HOSPIT	true
SILVERCREST CTR FOR NURSING & REHAB
144-45 87TH AVENUE	JAMAICA	NY	11453	112925535	NURSING FAC	NY	501(C)(3)	9	NYP HS INC	true
NETWORK RECOVERY SERVICES INC
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	113160901	COLLECTION	NY	501(C)(3)	11 TYPE III	NYP HS INC	true
NY PRESBYTERIAN COMMUNITY HEALTH PLAN
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	133849659	INACTIVE	NY	501(C)(4)	N/A	NYP HS INC	true
PREFERRED HEALTH NETWORK INC
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	112964432	INACTIVE	NY	501(C)(3)	11 TYPE I	NYP HS INC	true
HOSPITAL FOR SPECIAL SURGERY FUND Inc
535 EAST 70TH ST	NEW YORK	NY	10021	136714749	SUPPORT	NY	501(C)(3)	11 TYPE I	HOSP FOR SS	true
CRT SURGICAL ASSOCIATE PC
56-45 MAIN ST	FLUSHING	NY	11355	112226870	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NYHMC QUEENS	true
BMA MEDICAL FOUNDATION INC
56-45 MAIN ST	FLUSHING	NY	11355	112848858	EDU/RESEARCH	NY	501(c)(3)	4	NYHMC QUEENS	true
PARK SLOPE EMERGENCY PHYSICIAN SVC PC
506 SIXTH STREET	BROOKLYN	NY	11215	061160280	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY METHODIST	true
ASHLAND PLACE HOUSES INC
121 DEKALB AVE	BROOKLYN	NY	11201	112390927	REAL ESTATE	NY	501(C)(3)		BROOKLYN HC	true
CALEDONIAN HEALTH CENTER
121 DEKALB AVE	BROOKLYN	NY	11201	542117028	CLINICS	NY	501(C)(3)	9	BROOKLYN HC	true
ASHLAND PLACE HOLDING CORPORATION
121 DEKALB AVE	BROOKLYN	NY	11201	113304353	TITLE HOLDING	NY	501(C)(2)	N/A	BROOKLYN HC	true
THE BROOKLYN HOSPITAL SELF INS TRUST
121 DEKALB AVE	BROOKLYN	NY	11201	112501235	SELF INS TRUS	NY	501(C)(3)	11 TYPE I	BROOKLYN HC	true
BROOKLYN HOSPITAL FOUNDATION INC
121 DEKALB	BROOKLYN	NY	11201	112936410	SUPPORT	NY	501(C)(3)	11 TYPE I	BROOKLYN HC	true
SILVERCREST SENIOR HOUSING DEV FUND
144-45 87TH AVE	BRIARWOOD	NY	11435	262894911	HOUSING	NY	501(C)(3)	9	SILVERCREST	true
THE BROOKLYN HOSPITAL CENTER
121 DEKALB AVENUE	BROOKLYN	NY	11201	111630755	HEALTHCARE	NY	501(C)(3)	3	NYP HS INC	true
NEPHROLOGY FOUNDATION OF BROOKLYN
1845 MCDONALD AVE	BROOKLYN	NY	11223	112508594	DIALYSIS	NY	501(C)(3)	9	ROGOSIN	true

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
NYP SYS SEL HLTH
525 EAST 68TH ST	NEW YORK	NY	10065	134197527	MEDICAID HMO	NY	NYP HOSPITAL	N/A	0	0	false	false
ROGOSIN - AUBURNDALE LLC
39-20 UTOPIA PARKWAY	FLUSHING	NY	11358		CONSULTING	NY	ROGOSIN	N/A	0	0	false	false

Form990 Schedule R Part IV Form990ScheduleRPartIV (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
OAK MANAGEMENT INC
160 NORTH MIDLAND AVE	NYACK	NY	10960	133258122	CLINIC	NY	NYACK HOSP FDN	C CORP	0	0
BROOKLYN HOSPITAL ECG MEDICAL SERVICE
121 DEKALB AVE	BROOKLYN	NY	11201	112833052	MEDICAL SERVICES	NY	BROOKLYN HSP CT	C CORP	0	0
BROOKLYN HOSPITAL NUCLEAR MEDICINE PC
121 DEKALB AVE	BROOKLYN	NY	11201	112833589	MEDICAL SERVICES	NY	BROOKLYN HSP CT	C CORP	0	0
TBHC MEDICAL SERVICES PC
121 DEKALB AVE	BROOKLYN	NY	11201	112833590	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
BROOKLYN HOSPITAL RADIOLOGY PC
121 DEKALB AVE	BROOKLYN	NY	11201	112833588	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
TBHC EMERGENCY MEDICINE PC
121 DEKALB AVE	BROOKLYN	NY	11201	112833587	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
TBHC ANESTHESIOLOGY SERVICES PC
121 DEKALB AVE	BROOKLYN	NY	11201	112833049	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
TBHC PEDIATRICS PC
121 DEKALB AVE	BROOKLYN	NY	11201	270174684	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
TBHC MEDICAL TESTING SERVICES PC
121 DEKALB AVE	BROOKLYN	NY	11201	270174413	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
TBHC PHYSICIAN SERVICES PC
121 DEKALB AVE	BROOKLYN	NY	11201	270174589	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
TBHC RADIOLOGY ONCOLOGY PC
121 DEKALB AVE	BROOKLYN	NY	11201	270174805	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0
HIGHLAND MEDICAL PC
160 NORTH MIDLAND AVENUE	NYACK	NY	10960	134034481	MEDICAL SERVICES	NY	NYACK HOSPITAL	C CORP	0	0
NH MANAGEMENT INC
160 NORTH MIDLAND AVENUE	NYACK	NY	10960	134026486	MEDICAL SERVICES	NY	NYACK HOSPITAL	C CORP	0	0
NYH-SHP IPA INC
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	133919980	INACTIVE	NY	NYP SYSTEM INC	C CORP	0	0
NETWORK INSURANCE COMPANY LTD
					REINSURANCE		NYP SYSTEM INC	FOREIGN C	0	0	PO BOX HM 1760	HAMILTON	HM HX BEMNUDA BD	BD	BD
NYP SERVICES INC
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	061830524	INACTIVE	NY	NYP FOUNDATION	C CORP	0	0
NY PRESBYTERIAN GLOBAL INC
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	800336716	INACTIVE	NY	NYP FOUNDATION	C CORP	0	0
HARKNESS HALL CLUB
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	133170488	LIQUOR LICENSE	NY	NYP HOSPITAL	C CORP	0	0
Columbia Presbyterian Health SystemInc
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	133053885	REAL ESTATE	NY	NYP FUND INC	C CORP	0	0
NY PRESBYTERIAN GLOBAL SERVICES INC
525 EAST 68TH STREET BOX 156	NEW YORK	NY	10065	133845935	INACTIVE	NY	NYP FUND INC	C CORP	0	0
MAIN STREET MEDICAL PC
56-45 MAIN STREET	FLUSHING	NY	11358	061205476	MEDICAL SERVICES	NY	NYHMC QUEENS	C CORP	0	0
NYHQ OBGYN PC
56-45 MAIN STREET	FLUSHING	NY	11358	113395424	MEDICAL SERVICES	NY	NYHMC QUEENS	C CORP	0	0
BMA PC
56-45 MAIN STREET	FLUSHING	NY	11358	112747259	MEDICAL SERVICES	NY	NYHMC QUEENS	C CORP	0	0
MSO OF KINGS COUNTY LLC
506 SIXTH ST	BROOKLYN	NY	11215	272387333	MEDICAL SERVICES	NY	NY METHODIST	C CORP	0	0
NEW YORK QUEENS MEDICINE & SURGERY PC
56-45 MAIN ST	FLUSHING	NY	11358	274719998	MEDICAL SERVICES	NY	NYHMC QUEENS	C CORP	0	0
WOMEN'S HEALTHCARE MEDICAL PROVIDERS PC
121 DEKALB AVE	BROOKLYN	NY	11201	275459970	MEDICAL SERVICES	NY	BROOKLYN HOSPIT	C CORP	0	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
NYACK HOSPITAL FOUNDATION
c	624551	COST
HIGHLAND MEDICAL PC
D	1436630	COST
NYACK HOSPITAL FOUNDATION
L	664364	COST
NYACK HOSPITAL FOUNDATION
N	130908	COST
HIGHLAND MEDICAL PC
N	184560	COST
NYP HEALTHCARE SYSTEM
O	332416	COST