2011-11-15T12:32:19-08:00 2010-12-31 CHARLES A BARRAGATO & CO CPAS 950 Third Avenue New York NY 100222705 990 2010-01-01 131740119 NYACK Hospital NYAC 8453486522 160 North Midland Avenue Nyack NY 10960 John S 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 198793499 false false X NYACKHOSPITAL.ORG X 1895 NY 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. 23 18 1877 110 0 315106 289836 184566191 193022479 56998 51008 3495163 5430176 188433458 198793499 0 0 107636746 115489951 0 0 75151631 80108864 182788377 195598815 5645081 3194684 63868192 68536615 69466037 71373650 -5597845 -2837035 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. false false 173051423 195862983 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. 173051423 true true false true false false false false false true true false false true true false false true false false false false false false false false true false false false true false false false false false false false false false false false false false false false false true true true false false true 129 0 true 1877 true false false false false false false false false false false false 0 false false false false false false false false false false false X 23 18 false false false false true true true true true false false false true true true true true true true true false false NY X Ronald Ratigan 8453486522 160 N 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 MENITOVE MD 1.00 X 0 0 0 Ronald Ratigan 40.00 X 171543 0 32687 Rita L Kokkoris 1.00 X 0 0 0 Richard Kohlhausen 1.00 X X 0 0 0 PATRICIA JOSEPH MD 20.00 X 299611 0 27457 NOREEN BRENNAN RN 40.00 X 152392 0 24947 N Tsirkas 40.00 X 159436 0 27096 Mitchell D Cohn MD 1.00 X 0 0 0 Michael Rader MD 40.00 X 424747 0 31010 Mathai Mathai 0.00 X 137567 0 25849 MARY ANNE CLAY RN 40.00 X 149387 0 31233 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 M Shinick 40.00 X X 271076 0 28287 M Anderson RN 40.00 X 275031 0 21727 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 JOSEPH PINTO 40.00 X 152332 0 25504 Josefa Valdez RN 54.42 X 149868 0 21274 John Volanto 40.00 X 314439 0 28694 John S Burke 40.00 X 385697 0 29696 John Mecchella 1.00 X 0 0 0 J Vittorio 40.00 X 198539 0 23279 Fern Schwartz 40.00 X 154283 0 8776 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 40.00 X X 648351 0 25004 Corey M Turner 1.00 X 0 0 0 CELESTE BETHON RN 40.00 X 165544 0 11583 Cathy Shea 1.00 X X 0 0 0 C Pignatello RN 40.00 X 172209 0 25183 Bill Guerci 1.00 X 0 0 0 Arlene Heitzmann RN 40.00 X 153318 0 31537 Alan Feldstein 1.00 X 0 0 0 A Waldron 40.00 X 182192 0 25456 A Cronin RN 40.00 X 172126 0 26967 4889688 2084400 927350 160 false true false 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 16 213154 76682 289836 Patient Service Revenue 621300 193022479 193022479 193022479 25738 25738 0 0 1039142 1039142 1039142 1039142 25270 25270 25270 25270 0 0 0 Foundation Income 900099 1120368 1120368 Clinic Revenue 900099 1611974 1611974 Cafeteria 900099 732504 732504 926188 108162 818026 4391034 198793499 195862983 2640680 0 0 0 0 4395833 4395833 0 85330241 76797217 8533024 5127181 4614463 512718 13857542 12471788 1385754 6779154 6101239 677915 6004408 5403967 600441 1263712 1137341 126371 352763 317487 35276 66099 59489 6610 0 0 10253987 9228588 1025399 500972 450875 50097 23596747 21237072 2359675 1527487 1374738 152749 0 2974145 2676731 297414 302450 272205 30245 0 228729 205856 22873 1451248 1306123 145125 313589 282230 31359 5626950 5064255 562695 1112870 1001583 111287 Pharmaceutical 8526199 7673579 852620 Malpractice Expenses 2163452 1947107 216345 Maintenance & Repairs 4155673 3740106 415567 Bad Debt 9687384 9687384 0 195598815 173051423 22547392 0 0 6386277 3540896 0 19040241 20495976 0 0 0 2632604 3483193 278328 410470 147050620 110200172 32901380 36850448 0 0 0 0 2629362 3755632 63868192 68536615 28545236 32008292 361492 412157 15573212 14205529 24986097 24747672 69466037 71373650 X -5817344 -3056534 219499 219499 -5597845 -2837035 63868192 68536615 X 3194684 -433874 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 66100 66100 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 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. 219499 219499 219499 219499 219499 219499 1.00000 false false false 651548 651548 48582758 25518969 23063789 88859432 82338395 6521037 8956882 2342808 6614074 36850448 Other Receivable 2279070 Due from Related Parties 1021535 Deferred Financing Costs 191375 Assets limited as to use 263652 3755632 Third Party Liabilities 4316481 Pension Liability 7657579 Other Liabilities 4015912 Malpractice Liability 8061000 Accrued Post Retirement Benefits/AC 696700 24747672 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. true true true X 400.000000000 true X 400.000000000 true true true false true true 3700115 1413824 2286291 0.01170 36221498 29776415 6445083 0.03300 39921613 31190239 8731374 0.04470 250828 140146 110682 0.00060 18146872 15986228 2160644 0.01100 18397700 16126374 2271326 0.01160 58319313 47316613 11002700 0.05630 true 2345370 1413826 60576744 61633924 -1057180 X true true 1 0 Nyack Hospital

160 North Midland Avenue Nyack NY 10960

X X X Nyack Hospital 1 false false false false false false false false false true false false 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. X X X X X X false false false false false false false false false false 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 77504 56579 14700 16310 455757 Mathai Mathai 137567 5589 20260 163416 MARY ANNE CLAY RN 124060 25327 8950 22283 180620 M Shinick 169904 59458 41714 12685 15602 299363 M Anderson RN 179744 55964 39323 13131 8596 296758 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 61454 45191 14700 13994 343133 John S Burke 269209 76259 40229 7350 22346 415393 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 122516 81051 14700 10304 673355 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 17437 29039 9890 15566 207648 A Cronin RN 136836 17437 17853 4661 22306 199093 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. 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 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 15b 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 12c 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 11 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 7a 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 6 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. 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