2024-11-13T15:26:02-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1500 RXR PLAZA WEST TOWER UNIONDALE NY 11556 990 2023-01-01 141568253 NORTHERN METROPOLITAN HOSPITAL ASSOCIATION NORT 6314353000 800 VETERANS MEMORIAL HWY 150 HAUPPAUGE NY 11788 MARIA GALLINA CFO 6314353000 2024-11-13 1 0 X ELLEN M LABITA CPA P00140777 6317527400 2024-11-13 2023 2024-10-15 13:58:12Z X WENDY DARWELL 800 VETERANS MEMORIAL HWY 150 HAUPPAUGE NY 11788 841912 0 X WWW.NORMET.ORG X 1975 NY NORTHERN METROPOLITAN HOSPITAL ASSOCIATION REPRESENTS AND SUPPORTS EFFORTS OF THE HOSPITALS IN THE HUDSON VALLEY REGION TO ACHIEVE THEIR COLLECTIVE GOAL OF SUSTAINING EXCELLENCE IN HOSPITAL SERVICES, THROUGH THE PROVISION OF A RANGE OF SERVICES, PRIMARILY FOCUSING ON ADVOCACY, THAT FULLY MEETS THE NEEDS OF THE PEOPLE AND BUSINESSES THAT LIVE AND WORK IN THE REGION. 22 22 0 23 0 0 153009 140484 0 0 362973 17920 18990 2433 534972 160837 0 0 0 0 0 0 0 0 0 673455 696717 673455 696717 -138483 -535880 2814857 2274688 581519 476452 2233338 1798236 X NORTHERN METROPOLITAN HOSPITAL ASSOCIATION REPRESENTS AND SUPPORTS EFFORTS OF THE HOSPITALS IN THE HUDSON VALLEY REGION TO ACHIEVE THEIR COLLECTIVE GOAL OF SUSTAINING EXCELLENCE IN HOSPITAL SERVICES, THROUGH THE PROVISION OF A RANGE OF SERVICES, PRIMARILY FOCUSING ON ADVOCACY, THAT FULLY MEETS THE NEEDS OF THE PEOPLE AND BUSINESSES THAT LIVE AND WORK IN THE REGION. 0 0 STATE: THE NORTHERN METROPOLITAN HOSPITAL ASSOCIATION (NORMET) AND ITS MEMBER HOSPITALS WORKED WITH THE HEALTHCARE ASSOCIATION OF NEW YORK STATE AND NEW YORK'S ALLIED REGIONAL HOSPITAL ASSOCIATIONS THROUGHOUT 2023 TO ENSURE MEMBER HOSPITALS CONCERNS ABOUT WORKFORCE SHORTAGES, UNFAIR MANAGED CARE PRACTICES, AND HOSPITALS' FINANCIAL STRUGGLES WERE FRONT AND CENTER BEFORE LAWMAKERS. ACHIEVING A STATE BUDGET REASONABLE TO NORMET MEMBER HOSPITALS WAS A MAJOR FOCUS IN THE EARLY MONTHS OF 2023. EFFORTS RESULTED IN INPATIENT AND OUTPATIENT MEDICAID RATE INCREASES, CONTINUED SUPPORTIVE FUNDING FOR FINANCIALLY DISTRESSED HOSPITALS, AND INVESTMENT IN HEALTHCARE FACILITY MODERNIZATION. ADVOCACY EFFORTS WERE UNSUCCESSFUL IN SECURING A MANAGED REFORM KNOWN AS "PAY AND REVIEW AND A REPEAL OF THE MEDICAID PHARMACY BENEFIT THAT SHIFTED FROM MANAGED CARE PLANS TO THE STATE'S PHARMACY PLAN. DURING THE POST BUDGET SEASON, NORMET CONTINUED ITS WORK WITH LEGISLATORS, KEY REGULATORS, AND DEPARTMENT OF HEALTH LEADERSHIP TO RETAIN A FAVORABLE ENVIRONMENT FOR HOSPITALS. ACHIEVEMENTS INCLUDED A VETO, FOR THE SECOND YEAR IN A ROW, OF AN EXPANSION OF THE WRONGFUL DEATH STATUTE AND HELPING MEMBERS UNDERSTAND AND COMPLY WITH THE HEALTH EQUITY IMPACT ASSESSMENT LAW THAT TOOK EFFECT IN JUNE 2023. NORMET CONTINUED ITS PRESENCE AND LEADERSHIP IN THE REGION REGARDING COORDINATED EMERGENCY PREPAREDNESS. FEDERAL: NORMET AND ITS MEMBER HOSPITALS, ALONG WITH THE HEALTHCARE ASSOCIATION OF NEW YORK STATE AND NEW YORK'S ALLIED REGIONAL HOSPITAL ASSOCIATIONS AND THE AMERICAN HOSPITAL ASSOCIATION, CONTINUED TO URGE THE CONGRESSIONAL DELEGATION'S ASSISTANCE WITH WORKFORCE SHORTAGES AND FLEXIBILITIES, BETTER MEDICARE REIMBURSEMENT, AND ELIMINATION OF ANY HARMFUL CUTS TO THE 340B DRUG PRICING PROGRAM. ADVOCACY EFFORTS RESULTED AT YEAR'S END IN A DELAY OF THE HARMFUL MEDICAID DISPROPORTIONATE SHARE HOSPITAL (DSH) CUT FOR TWO YEARS. HOWEVER, THAT LEGISLATION CAME WITH A MEDICARE SITE-NEUTRAL PAYMENT CUT RELATED TO PHYSICIAN ADMINISTRATION OF DRUGS IN OFF-CAMPUS HOSPITAL OUTPATIENT DEPARTMENTS. THIS WAS JUST ONE OF SEVERAL SITE NEUTRAL THREATS THAT THE ASSOCIATION FACED IN 2023. DUE TO ADVOCACY EFFORTS, TELEHEALTH FLEXIBILITIES AND MEDICARE'S ACUTE HOSPITAL CARE AT HOME PROGRAM WILL CONTINUE THROUGH 2024, DESPITE THE COVID 19 NATIONAL EMERGENCY AND THE PUBLIC HEALTH EMERGENCY DECLARATIONS ENDING IN MAY 2023. THE END OF THESE EMERGENCY DECLARATIONS BROUGHT A STOP TO MANY WORKFORCE FLEXIBILITIES AND OTHER POLICIES THAT EASED HOSPITALS' REPORTING BURDENS DURING THE PANDEMIC. 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X MARIA GALLINA 6314353000 800 VETERANS MEMORIAL HWY 150 HAUPPAUGE NY 11788 DR MARY LEAHY MD CHAIRPERSON 2.00 0.10 X X 0 0 0 LARRY LEVINE DIRECTOR 2.00 0.10 X 0 0 0 SCOTT EDELMAN DIRECTOR 2.00 0.10 X 0 0 0 STEVEN L KELLEY DIRECTOR 2.00 0.10 X 0 0 0 JERRY DUNLAVEY DIRECTOR 2.00 0.10 X 0 0 0 JONATHAN SCHILLER DIRECTOR 2.00 0.10 X 0 0 0 DR MICHAEL DOYLE MD DIRECTOR (TO 7/13/23) 2.00 0.10 X 0 0 0 EDMUND J COLETTI DIRECTOR 2.00 0.10 X 0 0 0 JACCEL KOUNS DIRECTOR (TO 8/2/23) 2.00 0.10 X 0 0 0 ANTHONY J ALFANO DIRECTOR 2.00 0.10 X 0 0 0 DR MARK GELLER MD DIRECTOR 2.00 0.10 X 0 0 0 DANIEL MAUGHAN DIRECTOR 2.00 0.10 X 0 0 0 DENISE GEORGE DIRECTOR 2.00 0.10 X 0 0 0 DEREK ANDERSON DIRECTOR 2.00 0.10 X 0 0 0 EILEEN EGAN DIRECTOR 2.00 0.10 X 0 0 0 DR MARK HIRKO MD DIRECTOR 2.00 0.10 X 0 0 0 MICHAEL J SPICER DIRECTOR 2.00 0.10 X 0 0 0 PETER KELLY DIRECTOR (AS OF 2/6/23) 2.00 0.10 X 0 0 0 SUSAN FOX DIRECTOR 2.00 0.10 X 0 0 0 MICHAEL D ISRAEL DIRECTOR 2.00 0.10 X 0 0 0 JOSHUA RATNER DIRECTOR (AS OF 7/13/23) 2.00 0.10 X 0 0 0 REGGINALD JORDAN DIRECTOR (AS OF 8/2/23) 2.00 0.10 X 0 0 0 SUSAN BROWNING DIRECTOR (AS OF 2/6/23) 2.00 0.10 X 0 0 0 WENDY DARWELL PRESIDENT/CHIEF EXECUTIVE 18.80 0.10 X 204382 0 34757 MARIA GALLINA CHIEF FINANCIAL OFFICER 13.12 0.10 X 70389 0 23174 STACY VILLAGRAN VP/CHIEF OPERATING OFFICER 9.38 0.10 X 53877 0 10137 328648 0 68068 1 0 0 1 HEALTHCARE ASSOCIATION OF NEW YORK STATE ONE EMPIRE DRIVE RENSSELAER NY 12144 MANAGEMENT FEES 542418 1 110000 30484 140484 48995 48995 650000 681075 -31075 -31075 -31075 MISCELLANEOUS 900099 15000 15000 EQUITY IN TRUSTEE EARN 900099 -12567 -12567 2433 160837 0 0 20353 564736 50000 43845 29263 1355 1599 1030 1674 DUES & SUBSCRIPTIONS 2089 MISCELLANEOUS 1126 696717 44897 28371 102359 102415 22095 33259 1863485 1332127 782021 778516 2814857 2274688 282192 176275 299327 300177 581519 476452 X 2233338 1798236 2233338 1798236 2814857 2274688 -535880 100778 0 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 DUE FROM GOVERNMENT 2585 DUE FROM AFFILIATES 757684 OTHER ASSETS 18247 778516 DUE TO AFFILIATES 38687 LONG-TERM LIABILITY 33542 NET DEFICIT IN SUBSIDIARY 227948 300177 X 306615 100778 45000 145778 160837 0 160837 741717 45000 45000 696717 0 696717 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. X X X 0 0 0 WENDY DARWELL PRESIDENT/CHIEF EXECUTIVE 177870 0 26512 0 0 0 16500 0 18257 0 239139 0 0 0 PART I, LINE 3 BEGINNING IN JULY, 2010, THE ORGANIZATION RELIED ON THE COMPANY IT CONTRACTS WITH FOR MANAGEMENT AND STAFFING SERVICES TO DETERMINE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIAL. A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT/CEO (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIR OF NORMET CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT/CEO AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND VP/CHIEF OPERATING OFFICER (OFFICER) IS SET BY THE PRESIDENT/CEO IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT. FORM 990, PART VII, SECTION A, LINE 5 THE ORGANIZATION'S STAFF, INCLUDING ITS PRESIDENT/CEO, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT/COO ARE EMPLOYED BY THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). HANYS PROVIDES EMPLOYEES AND MANAGEMENT STAFF TO THE ORGANIZATION PURSUANT TO A MANAGEMENT AND STAFFING AGREEMENT BETWEEN THE ORGANIZATION AND HANYS. HANYS PAYS ALL COMPENSATION AND FRINGE BENEFIT COSTS FOR THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED TO THE ORGANIZATION. AS COMPENSATION FOR THE MANAGEMENT AND STAFFING SERVICES, THE ORGANIZATION PAYS HANYS FOR THE COST OF THE SALARY AND FRINGE BENEFITS OF THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED BY HANYS TO THE ORGANIZATION. THE AMOUNTS PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO THE ORGANIZATION'S PRESIDENT/CEO FOR SERVICES RENDERED TO THE ORGANIZATION ARE PROVIDED IN SCHEDULE J, PART II. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT SERVICES ARE CONTRACTED THROUGH HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS WHICH ARE NONPROFIT ACUTE CARE AND NONPROFIT SPECIALTY HOSPITALS LOCATED IN THE NEW YORK STATE COUNTIES OF DUTCHESS, ORANGE, PUTNAM, ROCKLAND, SULLIVAN, ULSTER AND WESTCHESTER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S BOARD OF DIRECTORS IS COMPRISED OF THE CEOS OF MEMBER HOSPITALS. EACH DIRECTOR HAS ONE VOTE REGARDING ANY CORPORATE ACTION TO BE TAKEN BY THE BOARD. THE BOARD HAS DELEGATED AUTHORITY TO THE BOARD OFFICERS TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE FULL BOARD. THE BOARD OFFICERS CONSIST OF THE CHAIR AND VICE CHAIR OF THE BOARD OF DIRECTORS, THE OFFICERS OF THE CORPORATION AND TWO AT-LARGE MEMBERS ALL ELECTED ON A BIENNIAL BASIS BY THE BOARD OF DIRECTORS. ALL ACTIONS TAKEN BY BOARD OFFICERS ARE REPORTED TO THE FULL BOARD AT THE FIRST MEETING THEREAFTER. FORM 990, PART VI, SECTION A, LINE 7B THE FOCUS AND PRIORITIES OF THE GOVERNING BODY ARE REVIEWED ON A YEARLY BASIS WITH THE BOARD OFFICERS AND THEN APPROVED BY THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE COMPLETED FORM 990 IS REVIEWED IN THREE STAGES PRIOR TO ITS FILING. THE FIRST REVIEW IS CONDUCTED BY THE CHIEF FINANCIAL OFFICER OF NORMET. THE SECOND REVIEW IS PERFORMED BY THE PRESIDENT/CEO OF NORMET WHO FORWARDS IT TO THE BOARD OF DIRECTORS SUBCOMMITTEE FOR THE THIRD REVIEW AND COMMENT. A FINAL REVIEW BY A SUBCOMMITTEE WITH SPECIAL KNOWLEDGE OF FORM 990 IS PERFORMED. A RECEIPT OF FILING IS THEN SENT TO THIS BOARD SUBCOMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY COVERING ALL EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS. THE POLICIES REQUIRE EMPLOYEES AND BOARD MEMBERS TO DISCLOSE ACTUAL AND POTENTIAL CONFLICTS AND REFRAIN FROM PARTICIPATING IN MATTERS RELATED TO THE CONFLICT. ALL EMPLOYEES AND DIRECTORS ARE REQUIRED TO COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS. THE EMPLOYEE DISCLOSURE STATEMENTS ARE REVIEWED BY HANYS. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT/CEO (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIR OF NORMET CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT/CEO AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND VICE PRESIDENT/COO (OFFICER) IS SET BY THE PRESIDENT/CEO IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND ANNUAL FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: WENDY DARWELL - .10 HOUR MARIA GALLINA - .10 HOUR STACY VILLAGRAN - .10 HOUR AVERAGE HOURS PER WEEK DEVOTED TO NONRELATED ORGANIZATIONS: WENDY DARWELL - 18.75 HOURS MARIA GALLINA - 24.375 HOURS STACY VILLAGRAN - 28.125 HOURS FORM 990, PART VII, SECTION A, LINE 5 THE ORGANIZATION'S STAFF, INCLUDING ITS PRESIDENT/CEO, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT/COO ARE EMPLOYED BY THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). HANYS PROVIDES EMPLOYEES AND MANAGEMENT STAFF TO THE ORGANIZATION PURSUANT TO A MANAGEMENT AND STAFFING AGREEMENT BETWEEN THE ORGANIZATION AND HANYS. HANYS PAYS ALL COMPENSATION AND FRINGE BENEFIT COSTS FOR THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED TO THE ORGANIZATION. AS COMPENSATION FOR THE MANAGEMENT AND STAFFING SERVICES, THE ORGANIZATION PAYS HANYS FOR THE COST OF THE SALARY AND FRINGE BENEFITS OF THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED BY HANYS TO THE ORGANIZATION. THE AMOUNTS PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO ALL OF THE ORGANIZATION'S OFFICERS FOR SERVICES RENDERED TO THE ORGANIZATION IS PROVIDED IN FORM 990, PART VII, SECTION A, LINE 1 AND SCHEDULE J, PART II. NORTHERN METROPOLITAN HEALTH CARE FOUNDATION INC 800 VETERANS MEMORIAL HWY STE 150 HAUPPAUGE NY 11788 222552847 DEVELOPMENT OF EDUCATIONAL PROGRAMS NY 501(C)(3) LINE 7 N/A 0 NORMET ENTERPRISES INC 800 VETERANS MEMORIAL HWY STE 150 HAUPPAUGE NY 11788 141707236 HOLDING COMPANY NY N/A C 0 NMHA SHARED SERVICES CORP 800 VETERANS MEMORIAL HWY STE 150 HAUPPAUGE NY 11788 141652600 PURCHASING COMPANY NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0