MONTEFIORE NYACK HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MONTEFIORE NYACK HOSPITAL (EIN 13-1740119)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201143199349306269
Schema version: 2010v3.2
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	2011-11-15T12:32:19-08:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHARLES A BARRAGATO & CO CPAS	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	950 Third Avenue	AddressLine1
City	New York	City
State	NY	State
ZIP Code	100222705	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	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)
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 S Burke	Name
Title	Vice president & CFO	Title
Date Signed	2011-11-15	DateSigned

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	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	198793499	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
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	23	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	1877	TotalNbrEmployees
Total Nbr Volunteers	110	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	315106	ContributionsGrantsPriorYear
Contributions Grants Current Year	289836	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	184566191	ProgramServiceRevenuePriorYear
Program Service Revenue CY	193022479	ProgramServiceRevenueCY
Investment Income Prior Year	56998	InvestmentIncomePriorYear
Investment Income Current Year	51008	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3495163	OtherRevenuePriorYear
Other Revenue Current Year	5430176	OtherRevenueCurrentYear
Total Revenue Prior Year	188433458	TotalRevenuePriorYear
Total Revenue Current Year	198793499	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	107636746	SalariesEtcPriorYear
Salaries Etc Current Year	115489951	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	75151631	OtherExpensePriorYear
Other Expenses Current Year	80108864	OtherExpensesCurrentYear
Total Expenses Prior Year	182788377	TotalExpensesPriorYear
Total Expenses Current Year	195598815	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5645081	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3194684	RevenuesLessExpensesCY
Total Assets BOY	63868192	TotalAssetsBOY
Total Assets EOY	68536615	TotalAssetsEOY
Total Liabilities BOY	69466037	TotalLiabilitiesBOY
Total Liabilities EOY	71373650	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-5597845	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-2837035	NetAssetsOrFundBalancesEOY
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	173051423	Expense
Revenue	195862983	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 2010, Nyack Hospital provided high quality healthcare services for 16,029 admissions, accounting for 69,505 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, 2010, Nyack Hospital provided $15,283,00o in indigent and charity write-offs under its Charity Care Policy. Nyack Hospital also provides 24 hour emergency department services. For 2010, Nyack Hospital had 54,292 emergency department visits.	Description
Total Program Service Expense	173051423	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	false	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	129	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1877	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	23	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
Policies Reference Chapters	false	PoliciesReferenceChapters
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
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
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 N 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 (42 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM SHUM
Trustee	1.00	X	0	0	0
William M Trust Jr
Chairman	1.00	X	0	0	0	X
Wayne M Osten
Trustee	1.00	X	0	868860	204328
STEPHEN MENITOVE MD
Trustee	1.00	X	0	0	0
Ronald Ratigan
Dir. of Finance	40.00		171543	0	32687		X
Rita L Kokkoris
Trustee	1.00	X	0	0	0
Richard Kohlhausen
Vice Chair	1.00	X	0	0	0	X
PATRICIA JOSEPH MD
Dir Womens Hlth	20.00		299611	0	27457			X
NOREEN BRENNAN RN
DIRECTOR OF NUR	40.00		152392	0	24947		X
N Tsirkas
Clinical Dir.	40.00		159436	0	27096		X
Mitchell D Cohn MD
Trustee	1.00	X	0	0	0
Michael Rader MD
Medical Directo	40.00		424747	0	31010	X
Mathai Mathai
Radiology Technolo	0.00		137567	0	25849			X
MARY ANNE CLAY RN
NURSE MANAGER	40.00		149387	0	31233			X
Mark Jacobs
Trustee	1.00	X	0	0	0
Marisa S Barbieri
Trustee	1.00	X	0	0	0
Marc J Levine MD
Trustee	1.00	X	0	0	0
M Shinick
ASST SECRETARY	40.00	X	271076	0	28287	X
M Anderson RN
Ch Nursing Offi	40.00		275031	0	21727	X
LISA HAYES
Trustee	1.00	X	0	0	0
LAURENCE J BERGER
Trustee	1.00	X	0	396408	41032
Kevin Conway
Secretary	1.00	X	0	0	0	X
JOSEPH PINTO
DIRECTOR OF PHA	40.00		152332	0	25504		X
Josefa Valdez RN
REGISTERED NURSE	54.42		149868	0	21274			X
John Volanto
VP & CIO	40.00		314439	0	28694	X
John S Burke
V Pres & CFO	40.00		385697	0	29696	X
John Mecchella
Trustee	1.00	X	0	0	0
J Vittorio
Med Director	40.00		198539	0	23279		X
Fern Schwartz
Vice President	40.00		154283	0	8776		X
ENRIQUE PABON
Trustee	1.00	X	0	0	0
Eliot J Lazar MD
Trustee	1.00	X	0	819132	148744
Donald Barnes
Trustee	1.00	X	0	0	0
David H Freed
President & CEO	40.00	X	648351	0	25004	X
Corey M Turner
Trustee	1.00	X	0	0	0
CELESTE BETHON RN
ASSOCIATE CNO	40.00		165544	0	11583		X
Cathy Shea
Vice Chair	1.00	X	0	0	0	X
C Pignatello RN
ADM Home Care	40.00		172209	0	25183		X
Bill Guerci
Trustee	1.00	X	0	0	0
Arlene Heitzmann RN
NURSE MANAGER	40.00		153318	0	31537			X
Alan Feldstein
Trustee	1.00	X	0	0	0
A Waldron
Adm Patient Fin	40.00		182192	0	25456		X
A Cronin RN
Ch Sys Officer	40.00		172126	0	26967		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4889688	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2084400	TotalReportableCompFrmRltdOrgs
Total Other Compensation	927350	TotalOtherCompensation
Number Individuals GT100 K	160	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
Sleeptech
PO BOX 5833	Hicksville	NY	11802	Sleep Lab Svcs	383400
Lab Corp
20 Johnson Drive	Raritan	NJ	08869	Lab Mgmt & Services	3018443
Hudson Valley Obstetrical
258 High Avenue	Nyack	NY	10960	Obstetric MD Service	1698136
Hospitalist EMO of NY
651 W Mt Pleasant Ave	Livingston	NJ	07039	Pediatric MD Service	1075000
DictaphoneNuance
PO Box 7247-6924	Philadelphia	PA	19170	Transcription Svcs	546437

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Government Grants	213154	GovernmentGrants
All Other Contributions	76682	AllOtherContributions
Total Contributions	289836	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Service Revenue	Description
Business Code	621300	BusinessCode
Total Revenue Column	193022479	TotalRevenueColumn
Related Or Exempt Function Income	193022479	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	193022479	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	25738	TotalRevenueColumn
Exclusion	$25,738	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	1039142	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1039142	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1039142	TotalRevenueColumn
Exclusion	$1,039,142	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	25270	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	25270	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	25270	TotalRevenueColumn
Exclusion	$25,270	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
Foundation Income	900099	1120368	1120368
Clinic Revenue	900099	1611974	1611974
Cafeteria	900099	732504		$732,504

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	926188	TotalRevenueColumn
Related Or Exempt Function Income	108162	RelatedOrExemptFunctionIncome
Exclusion	$818,026	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4391034	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	198793499	TotalRevenueColumn
Related Or Exempt Function Income	195862983	RelatedOrExemptFunctionIncome
Exclusion	$2,640,680	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	4395833	Total
Management And General	4395833	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	85330241	Total
Program Services	76797217	ProgramServices
Management And General	8533024	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5127181	Total
Program Services	4614463	ProgramServices
Management And General	512718	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13857542	Total
Program Services	12471788	ProgramServices
Management And General	1385754	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6779154	Total
Program Services	6101239	ProgramServices
Management And General	677915	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	6004408	Total
Program Services	5403967	ProgramServices
Management And General	600441	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1263712	Total
Program Services	1137341	ProgramServices
Management And General	126371	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	352763	Total
Program Services	317487	ProgramServices
Management And General	35276	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	66099	Total
Program Services	59489	ProgramServices
Management And General	6610	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	10253987	Total
Program Services	9228588	ProgramServices
Management And General	1025399	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	500972	Total
Program Services	450875	ProgramServices
Management And General	50097	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	23596747	Total
Program Services	21237072	ProgramServices
Management And General	2359675	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1527487	Total
Program Services	1374738	ProgramServices
Management And General	152749	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2974145	Total
Program Services	2676731	ProgramServices
Management And General	297414	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	302450	Total
Program Services	272205	ProgramServices
Management And General	30245	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	228729	Total
Program Services	205856	ProgramServices
Management And General	22873	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1451248	Total
Program Services	1306123	ProgramServices
Management And General	145125	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	313589	Total
Program Services	282230	ProgramServices
Management And General	31359	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5626950	Total
Program Services	5064255	ProgramServices
Management And General	562695	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1112870	Total
Program Services	1001583	ProgramServices
Management And General	111287	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Pharmaceutical	8526199	7673579	852620
Malpractice Expenses	2163452	1947107	216345
Maintenance & Repairs	4155673	3740106	415567
Bad Debt	9687384	9687384

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	195598815	Total
Program Services	173051423	ProgramServices
Management And General	22547392	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6386277	BOY
EOY	3540896	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	19040241	BOY
EOY	20495976	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2632604	BOY
EOY	3483193	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	278328	BOY
EOY	410470	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	147050620	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	110200172	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	32901380	BOY
EOY	36850448	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2629362	BOY
EOY	3755632	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	63868192	BOY
EOY	68536615	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	28545236	BOY
EOY	32008292	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	361492	BOY
EOY	412157	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	15573212	BOY
EOY	14205529	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	24986097	BOY
EOY	24747672	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	69466037	BOY
EOY	71373650	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-5817344	BOY
EOY	-3056534	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	-5597845	BOY
EOY	-2837035	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	63868192	BOY
EOY	68536615	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3194684	ReconcilationRevenueExpenses
Reconcilation Other Changes	-433874	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
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

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)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
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	$66,100	OtherActivitiesAmount
Total Lobbying Expenditures IIB	66100	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	Nyack Hospital paid dues to The Local 1199 - Healthcare Education Project (HEP) The Healthcare Association of New York State (HANYS), The Home Care Asociation of NYS (HCA) and Normet. In accordance with section 6033 (e) of the Internal Revenue Code, and as reported by HEP,HANYS, HCA and Normet, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2010 HEP, HANYS, HCA and Normet annual dues was $32,532, $19,261, $2,827 and $11,480 respectively.	Explanation

Schedule D IRS990ScheduleD

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

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
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

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	48582758	OtherCostOrOtherBasis
Depreciation	25518969	Depreciation
Book Value	23063789	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	88859432	OtherCostOrOtherBasis
Depreciation	82338395	Depreciation
Book Value	6521037	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8956882	OtherCostOrOtherBasis
Depreciation	2342808	Depreciation
Book Value	6614074	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	36850448	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Other Receivable	2279070
Due from Related Parties	1021535
Deferred Financing Costs	191375
Assets limited as to use	263652

Field	Value	IRS element (for citing)
Total Book Value Other Assets	3755632	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Third Party Liabilities	$4,316,481
Pension Liability	$7,657,579
Other Liabilities	$4,015,912
Malpractice Liability	$8,061,000
Accrued Post Retirement Benefits/AC	$696,700

Field	Value	IRS element (for citing)
Total Of Amounts	24747672	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	Settlement of prior year charges $899592 Change In Pension Obligation $ -1710443
Part V, Line 4	Part V, Line 4: Intended uses of the endowment fund.	THE INTENDED USE OF THE HOSPITAL'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO BE USED FOR uninsured women.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	400.000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	400.000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
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	3700115	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1413824	DirectOffsettingRevenue
Net Community Benefit Expense	2286291	NetCommunityBenefitExpense
Percent Of Total Expense	0.01170	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36221498	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29776415	DirectOffsettingRevenue
Net Community Benefit Expense	6445083	NetCommunityBenefitExpense
Percent Of Total Expense	0.03300	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39921613	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31190239	DirectOffsettingRevenue
Net Community Benefit Expense	8731374	NetCommunityBenefitExpense
Percent Of Total Expense	0.04470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	250828	TotalCommunityBenefitExpense
Direct Offsetting Revenue	140146	DirectOffsettingRevenue
Net Community Benefit Expense	110682	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18146872	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15986228	DirectOffsettingRevenue
Net Community Benefit Expense	2160644	NetCommunityBenefitExpense
Percent Of Total Expense	0.01100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18397700	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16126374	DirectOffsettingRevenue
Net Community Benefit Expense	2271326	NetCommunityBenefitExpense
Percent Of Total Expense	0.01160	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58319313	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47316613	DirectOffsettingRevenue
Net Community Benefit Expense	11002700	NetCommunityBenefitExpense
Percent Of Total Expense	0.05630	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,345,370	BadDebtExpenseAmount
Amount Attributable To	1413826	AmountAttributableTo
Amount Reimbursed By Medicare	60576744	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	61633924	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1057180	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	0	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
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	false	EligibilityCriteriaExplained
Uses FPG Free	false	UsesFPGFree
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	false	ExplainsBasis
Explains Application Method	false	ExplainsApplicationMethod
Includes Publicity Measures	false	IncludesPublicityMeasures
Actions On Nonpayment	false	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part VI - States Where Community Benefit Report Filed	NY
Part VI - Community Building Activities	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.
Part VI - Community Information	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.
Part VI - Patient Education of Eligibility for Assistance	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.
Part VI - Needs Assessment	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 (8), 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.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	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 OFFTo 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 AS400 system for all accounts selected.F. A separate report is to be generated from the system using the report writer (COGNOS) to identify accounts not selected systematically by the system.Section 2 - BAD DEBT WRITE OFF PROCESSA. 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 tapes. 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 AGENCYA. REFERRALS1. Accounts are referred systematically and by alpha breakdown within patient type to agencies on an equitable distribution. The agencies receive a tape 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. REPORTING1. 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 HBOC 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.Continued on Schedule O.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	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.
Part III, Line 4 - Bad Debt Expense	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.The cost-to-charge ratio derived from Worksheet 2 was applied to the bad debt expense per the audited financial statements to determine the amount reported in Part III, line 2. Bad debt expense at cost is $2,345,370. Bad debt expense per the audited financial statement is $9,687,384.
Part I, Line 7 - Explanation of Costing Methodology	Nyack Hospital's costing methodology was based upon the 2010 New York State Institutional Cost Report and the 2010 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.

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
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (24 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	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg
Wayne M Osten
503089	303335	62436	182513	21815	1073188
Ronald Ratigan
						146663	24880	10300	22387	204230
PATRICIA JOSEPH MD
						265356	34255	4846	22611	327068
NOREEN BRENNAN RN
						131024	21368	2648	22299	177339
N Tsirkas
						140971	18465	4772	22324	186532
Michael Rader MD
						290664	56579	14700	16310	455757	77504
Mathai Mathai
						137567		5589	20260	163416
MARY ANNE CLAY RN
						124060	25327	8950	22283	180620
M Shinick
						169904	41714	12685	15602	299363	59458
M Anderson RN
						179744	39323	13131	8596	296758	55964
LAURENCE J BERGER
300375	61675	34358	17150	23882	437440
JOSEPH PINTO
						130058	22274	3163	22341	177836
Josefa Valdez RN
						149868		5802	15472	171142
John Volanto
						207794	45191	14700	13994	343133	61454
John S Burke
						269209	40229	7350	22346	415393	76259
J Vittorio
						135984	62555	11877	11402	221818
Fern Schwartz
						92209	62074	8776		163059
Eliot J Lazar MD
522185	260105	36842	112175	36569	967876
David H Freed
						444784	81051	14700	10304	673355	122516
CELESTE BETHON RN
						141999	23545	3232	8351	177127
C Pignatello RN
						140072	32137	10240	14943	197392
Arlene Heitzmann RN
						129837	23481	9234	22303	184855
A Waldron
						135716	29039	9890	15566	207648	17437
A Cronin RN
						136836	17853	4661	22306	199093	17437

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part III, Additional Information	Identifier
Return Reference	Part III, Additional Information	ReturnReference
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 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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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.
SCHEDULE H, PART V, SECTION B	PURSUANT TO IRS ANNOUNCEMENT 2011-37 DATED JUNE 9, 2011, SCHEDULE H PART V SECTION B WAS MADE OPTIONAL FOR 2010. ACCORDINGLY NYACK HOSPITAL HAS ELECTED NOT TO COMPLETE THIS SECTION. HOWEVER, DUE TO LACERTE SOFTWARE DESIGN LIMITATIONS THE PROGRAM ERRONEOUSLY COMPLETED SECTION B AND COULD NOT BE OVERRIDDEN. ACCORDINGLY SECTION B SHOULD BE DISREGARDED AS NYACK HOSPITAL HAS ELECTED NOT TO COMPLETE THIS SECTION.
SCHED H, SECTION III, QUESTION 9 (Cont.)	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 WORKFLOWSA. 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 -QUADRAMED/ LASERVAULTA. Quadramed and/or LaserVault are utilized to optically store bad debt reports and other records used in the reconciliation of the bad debt file.B. Optical storage is used by the Collection Unit to access patient payment information as required. Section 7 -END OF MONTH REPORTSA. 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.
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: 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 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	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.	Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	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 THERELATIONSHIP 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.	Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review Process	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.	Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	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.	Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	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.	Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (43 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
NETWORK RECOVERY SERVICES INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	113160901	COLLECTIONS	NY	501(C)(3)	11 TYPE III	NYP SYS INC	true
SILVERCREST SENIOR HOUSING DEV FUND
144-45 87TH AVE	BRIARWOOD	NY	11435	262894911	HOUSING	NY	501(C)(3)	9	SILVERCREST	true
BROOKLYN HOSPITAL FOUNDATION INC
121 DEKALB AVE	BROOKLYN	NY	11201	112936410	SUPPORT	NY	501(C)(3)	11 TYPE I	BROOKLYN HOSP CTR	true
BROOKLYN HOSPITAL SELF INSURANCE TRUST
121 DEKALB AVE	BROOKLYN	NY	11201	112501235	SELF INS TRUST	NY	501(C)(3)	11 TYPE I	BROOKLYN HOSP CTR	true
ASHLAND PLACE HOLDING CORP
121 DEKALB AVE	BROOKLYN	NY	11201	113304353	TITLE HOLDING	NY	501(C)(2)	N/A	BROOKLYN HOSP CTR	true
CALEDONIAN HEALTH CENTER
121 DEKALB AVE	BROOKLYN	NY	11201	542117028	CLINICS	NY	501(C)(3)	9	BROOKLYN HOSP CTR	true
ASHLAND PLACE HOUSES INC
121 DEKALB AVE	BROOKLYN	NY	11201	112390927	REAL ESTATE	NY	501(C)(3)		BROOKLYN HOSP CTR	true
SOUTH BROOKLYN HEALTH CENTER INC
120 RICHARDS ST	BROOKLYN	NY	11231	112339341	HEALTHCARE	NY	501(C)(3)	7	METHODIST HOSP	true
PARK SLOPE PHYSICIAN SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	113231685	HEALTHCARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE PEDIATRIC MEDICINE PC
506 SIXTH STREET	BROOKLYN	NY	11215	113303499	HEALTHCARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE PATHOLOGY SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	112843879	HEALTHCARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE OBSTERICS & GYNECOLOGY PC
506 SIXTH STREET	BROOKLYN	NY	11215	113124294	HALTHCARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE MEDICINE PC
506 SIXTH STREET	BROOKLYN	NY	11215	113362663	HEALTHARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE MEDICAL SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	112843882	HEALTHCARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE MEDICAL HEALTH PROVIDER PC
506 SIXTH STREET	BROOKLYN	NY	11215	421591811	INACTIVE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE HEMATOLOGY & ONCOLOGY PC
506 SIXTH STREET	BROOKLYN	NY	11215	113564621	HEMO/ONCOLOGY	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
PARK SLOPE EMERGENCY PHYSICIAN SVC PC
506 SIXTH STREET	BROOKLYN	NY	11215	061160280	HEALTHCARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
BROOKLYN RADIOLOGY SERVICES
506 SIXTH STREET	NEW YORK	NY	11215	113423162	RADIOLOGY	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
BROOKLYN FOOT & ANKLE PC
506 SIXTH STREET	BROOKLYN	NY	11215	113341502	HEALTHCARE	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
BROOKLYN DENTAL SERVICES PC
506 SIXTH STREET	BROOKLYN	NY	11215	432015903	DENTAL	NY	501(C)(3)	11 TYPE I	METHODIST HOSP	true
BMA MEDICAL FOUNDATION INC
56-45 MAIN ST	FLUSHING	NY	11355	112848858	EDU/RESEARCH	NY	501(C)(3)	4	NY HOSP QNS	true
CRT SURGICAL ASSOCIATES PC
56-45 MAIN ST	FLUSHING	NY	11355	112226870	HEALTHCARE	NY	501(C)(3)	11 TYPE I	NY HOSP QNS	true
HOSPITAL FOR SPECIAL SURGERY FUND INC
535 EAST 70TH ST	NEW YORK	NY	10021	136714749	SUPPORT	NY	501(C)(3)	7	HOS SPEC SUR	true
PRESBYTERIAN HEALTH RESOURCES INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133145970	INACTIVE	NY	501(C)(3)	11 TYPE I	NYP FDN	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 FDN	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 FDN	true
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 FDN	true
NY PRESBYTERIAN FUND INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133160356	FUNDRAISING	NY	501(C)(3)	7	NYP FDN	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
NY PRESBYTERIAN COMMUNITY HEALTH PLAN
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133849659	INACTIVE	NY	501(C)(4)	N/A	NYP SYS INC	true
PREFERRED HEALTH NETWORK INC
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	112964432	INACTIVE	NY	501(C)(3)	11 TYPE I	NYP SYS INC	true
THE SILVERCREST CTR FOR NURSING & REHAB
144-45 87TH STREET	JAMAICA	NY	11453	112925535	NURSING FACILITY	NY	501(C)(3)	9	NYP SYS INC	true
HOSPITAL FOR SPECIAL SURGERY
535 EAST 70TH ST	NEW YORK	NY	10021	131624135	HEALTHCARE	NY	501(C)(3)	3	NYP FDN	true
NEW YORK WESTCHESTER SQUARE MEDICAL CTR
2475 ST RAYMOND AVENUE	BRONX	NY	10461	311730177	HEALTHCARE	NY	501(C)(3)	3	NYP SYS INC	true
THE ROGOSIN INSTITUTE INC
505 E 70TH ST	NEW YORK	NY	10021	133184198	HEALTHCARE	NY	501(C)(3)	4	NYP SYS INC	true
NEW YORK COMMUNITY HOSPITAL OF BROOKLYN
525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	111986351	HEALTHCARE	NY	501(C)(3)	3	NYP SYS INC	true
THE BROOKLYN HOSPITAL CENTER
121 DEKALB AVENUE	BROOKLYN	NY	11201	111630755	HEALTHCARE	NY	501(C)(3)	3	NYP SYS INC	true
THE NEW YORK GRACIE SQUARE HOSPITAL
420 EAST 76TH ST	NEW YORK	NY	10021	133746997	PSYCHIATRIC	NY	501(C)(3)	3	NYP SYS INC	true
THE NEW YORK METHODIST HOSPITAL
506 SIXTH ST	BROOKLYN	NY	11215	111631796	HEALTHCARE	NY	501(C)(3)	3	NYP SYS INC	true
NEW YORK HOSPITAL MEDICAL CTR OF QUEENS
56-45 MAIN ST	FLUSHING	NY	11355	111839362	HEALTHCARE	NY	501(C)(3)	3	NYP SYS INC	true
The New York and Presbyterian Hospital
525 East 68trh St Box 156	New York	NY	10065	133957095	Healthcare	NY	501(C)(3)	3	NYP FDN	true
NYP HEALTHCARE SYSTEM INC
525 E 68th Street Box 156	New York	NY	10065	133792361	Sponsor	NY	501(c)(3)	11 Type III	NYP FDN	true
Nyack Hospital Foundation
160 N Midland Avenue	Nyack	NY	10960	133245804	SUPPORT	NY	501(c)(3)	7	NYACK HOSPITAL	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	NYP SYS SEL HLTH LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	525 EAST 68 ST	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10065	ZIPCode

Field	Value	IRS element (for citing)
EIN	134197527	EIN
Primary Activity	MEDICAD HMO	PrimaryActivity
Legal Domicile State	NY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeType
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (23 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Primary ActivityPrimaryActivity	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileState
NETWORK INSURANCE COMPANY LTD
PO BOX HM 1760 HAMILTON	HM HX BERMUDA BD	BD	REINSURANCE	NYP SYSTEM INC	FOREIGN C-CORP
BMA PC
			MEDICAL SERVICES	NYHQ	C-CORP	56-45 MAIN STREET	FLUSHING	NY	11358	112747259	NY
NYHQ OBGYN PC
			MEDICAL SERVICES	NYHQ	C-CORP	56-45 MAIN STREET	FLUSHING	NY	11358	113395424	NY
MAIN STREET MEDICAL PC
			MEDICAL SERVICES	NYHQ	C-CORP	56-45 MAIN STREET	FLUSHING	NY	11358	061205476	NY
TBHC RADIATION ONCOLOGY PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	270174805	NY
TBHC PHYSICIAN SERVICES PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	270174589	NY
TBHC MEDICAL TESTING SERVICES PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	270174413	NY
TBHC PEDIATRICS PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	270174684	NY
TBHC ANESTHESIOLOGY SERVICES PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	112833049	NY
TBHC EMERGENCY MEDICINE PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	112833587	NY
BROOKLYN HOSPITAL RADIOLOGY PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	112833588	NY
TBHC MEDICAL SERVICES PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	112833590	NY
BROOKLYN HOSPITAL NUCLEAR MEDICINE PC
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	112833589	NY
BROOKLYN HOSPITAL ECG MEDICAL SERVICES
			MEDICAL SERVICES	BROOKLYN HOSP CTR	C-CORP	121 DEKALB AVE	BROOKLYN	NY	11201	112833052	NY
NY PRESBYTERIAN GLOBAL SERVICES INC
			INACTIVE	NYP FUND INC	C-CORP	525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133845935	NY
COLUMBIA PRESBYTERIAN HEALTH SYSTEM INC
			REAL ESTATE	NYP FUND INC	C-CORP	525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133053885	NY
HARKNESS HALL CLUB
			LIQUOR LICENSE	NYP HOSPITAL	C-CORP	525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133170488	NY
NY PRESBYTERIAN GLOBAL INC
			INACTIVE	NYP FOUNDATION	C-CORP	525 EAST 68 ST BOX 156	NEW YORK	NY	10065	800336716	NY
NYP SERVICES INC
			INACTIVE	NYP FOUNDATION	C-CORP	525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	061830524	NY
NYH-SHP IPA INC
			INACTIVE	NYP SYSTEM INC	C-CORP	525 EAST 68TH ST BOX 156	NEW YORK	NY	10065	133919980	NY
Highland Medical PC
			Medical Services	NYACK HOSPITAL	C-Corp	160 NORTH MIDLAND AVE	Nyack	NY	10960	134034481	NY
NH Management Inc
			Practice Management Services	NYACK HOSPITAL	C-Corp	160 NORTH MIDLAND AVE	Nyack	NY	10960	134026486	NY
Oak Management Inc
			Real Estate	Nyack Hospital Fdn	C-Corp	160 NORTH MIDLAND AVE	Nyack	NY	10960	133258122	NY

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	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	false	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	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	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

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	Nyack Hospital Foundation	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	c	TransactionType
Amount Involved	1120368	AmountInvolved
Method Of Amt Determination	Cost	MethodOfAmtDetermination