2011-11-15T13:56:36-08:00 2010-12-31 CHARLES A BARRAGATO & CO CPAS 950 Third Avenue New York NY 100222705 990 2010-01-01 133245804 NYACK Hospital Foundation NYAC 8453486520 160 North Midland Avenue Nyack NY 10960 John Burke 2011-11-15 Angelo Pirozzi CPA 2123714446 2010 2016-03-07 17:11:31Z David H Freed 160 North Midland Avenue NYACK NY 10960 682845 false false X NYACKHOSPITAL.ORG X 1984 NY 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. 23 18 0 10 0 563211 441799 0 52925 10063 35580 86652 651716 538514 0 0 89695 71340 0 117737 1121644 1201170 1211339 1272510 -559623 -733996 2996447 2111299 275788 101103 2720659 2010196 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 1154773 99722 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 2010 the Foundation distributed $1,120,368 to Nyack Hospital. 1154773 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 false false false true false false false false true 0 0 false 0 false false false false false false false false false true true false 0 false false false false false false false false false false false X 23 18 false false false false false false false true true false false false true true true true true true false false false false NY X Ronald Ratigan 8453486522 160 North Midland Avenue Nyack NY 10960 X William Shum 1.00 X 0 0 0 William M Trust Jr 1.00 X X 0 0 0 Wayne M Osten 1.00 X 0 868860 204328 Stephen M Menitove MD 1.00 X 0 0 0 Rita L Kokkoris 1.00 X 0 0 0 Richard Kohlhausen 1.00 X X 0 0 0 Mitchell D Cohn MD 1.00 X 0 0 0 Mary K Shinick 1.00 X X 0 271076 28287 Mark Jacobs 1.00 X 0 0 0 Marisa S Barbieri 1.00 X 0 0 0 Marc J Levine MD 1.00 X 0 0 0 Lisa Hayes 1.00 X 0 0 0 Laurence J Berger 1.00 X 0 396408 41032 Kevin Conway 1.00 X X 0 0 0 John Mecchella 1.00 X 0 0 0 John Burke 1.00 X 0 385697 29696 Enrique Pabon 1.00 X 0 0 0 Eliot J Lazar MD 1.00 X 0 819132 148744 Donald Barnes 1.00 X 0 0 0 David H Freed 1.00 X X 0 648351 25004 Corey M Turner 1.00 X 0 0 0 Cathy Shea 1.00 X X 0 0 0 Bill Guerci 1.00 X 0 0 0 Alan Feldstein 1.00 X 0 0 0 3389524 477091 0 false true false 0 13070 428729 441799 0 10063 10063 0 0 0 0 230983 13070 144331 86652 0 0 0 538514 86652 10063 0 0 0 0 0 0 56829 56829 0 14511 14511 0 0 0 0 0 0 0 0 0 8808 8808 0 0 0 0 0 866 866 0 0 0 0 Recognition Expense 4307 4307 Printing and Publications 22128 22128 Other Purchased Services 6963 6963 Miscellaneous Expense 34405 34405 Distribution to affiliates 1120368 1120368 3325 3325 1272510 1154773 0 117737 1400312 1281549 662361 70127 384543 198536 0 0 0 0 0 0 0 139080 150936 0 0 0 410151 410151 2996447 2111299 6237 10562 269551 90541 275788 101103 X 1852171 1712468 668488 97728 200000 200000 2720659 2010196 2996447 2111299 X -733996 23533 X false true true X false false X 1291092 1602883 897173 511336 428729 4731213 0 0 1291092 1602883 897173 511336 428729 4731213 414922 4316291 75546 77933 82558 52925 10063 299025 0 557963 630481 238140 209165 281200 1916949 6947187 0.62130 0.71010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200000 200000 200000 200000 200000 200000 1.00000 false false false CSV of Insurance Policies 410151 410151 Due to affiliate 90541 90541 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The intended use of the foundation's endowment is to provide funds to be used for indigent care breast health. false Golf Outing 143498 1820 141678 50325 14901 Harvest Moon 76125 76125 33136 21150 3200 11366 2 24430 11250 13180 10253 244053 13070 230983 83461 21150 3200 36520 144331 86652 false false false false false false false false false false Wayne M Osten 503089 303335 62436 182513 21815 1073188 Mary K Shinick 169904 59458 41714 12685 15602 299363 Laurence J Berger 300375 61675 34358 17150 23882 437440 John Burke 269209 76259 40229 7350 22346 415393 Eliot J Lazar MD 522185 260105 36842 112175 36569 967876 David H Freed 444784 122516 81051 14700 10304 673355 Sch J, Part III, Additional Information Part III, Additional Information 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 2010 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.Continued on schedule O. Schedule J, Part III additional information, continued 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 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 employee 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 2010, for certain individuals, there was a one time as well as an ongoing 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 and Presbyterian Hospital and other related organizations in the aggregate. 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. 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 2010 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 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 employee 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 2010, for certain individuals, there was a one time as well as an ongoing 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 and Presbyterian Hospital and other related organizations in the aggregate. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts 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 11 Form 990, Part VI, Line 11: Form 990 Review Process The 990 was reviewed and approved by the hospital's CEO, CFO and director of finance before filing. 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