NORTHERN METROPOLITAN HOSPITAL ASS… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1975

Legal Domicile

Principal Officer

WENDY DARWELL

Phone

6314353000

Tax Period

2023-01-01 to 2023-12-31

NORTHERN METROPOLITAN HOSPITAL ASSOCIATION, founded in 1975, is a small nonprofit that reported $161K in total revenue in fiscal year 2023. Revenue fell 70% from the prior year — a significant decline worth monitoring. Expenses of $697K exceeded revenue, resulting in a 333% operating deficit.

Mission

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.

Program Service Accomplishments

Program 1

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.

Program 2

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $140,484

Program Service Revenue $0

Investment Income $17,920

Other Revenue $2,433

TOTAL REVENUE $160,837

Expense Breakdown

Grants Paid $0

Salaries & Benefits $0

Fundraising Expenses $0

Other Expenses $696,717

TOTAL EXPENSES $696,717

Year-over-Year Comparison

	2023	2022	Change
Revenue	$160,837	$534,972	-0.7%
Expenses	$696,717	$673,455	+0.0%
Net Income	$-535,880	$-138,483	+2.9%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$396,716

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DR MARY LEAHY MD	CHAIRPERSON	2.00	Officer Director	$0	$0	$0
LARRY LEVINE	DIRECTOR	2.00	Director	$0	$0	$0
SCOTT EDELMAN	DIRECTOR	2.00	Director	$0	$0	$0
STEVEN L KELLEY	DIRECTOR	2.00	Director	$0	$0	$0
JERRY DUNLAVEY	DIRECTOR	2.00	Director	$0	$0	$0
JONATHAN SCHILLER	DIRECTOR	2.00	Director	$0	$0	$0
DR MICHAEL DOYLE MD	DIRECTOR (TO 7/13/23)	2.00	Director	$0	$0	$0
EDMUND J COLETTI	DIRECTOR	2.00	Director	$0	$0	$0
JACCEL KOUNS	DIRECTOR (TO 8/2/23)	2.00	Director	$0	$0	$0
ANTHONY J ALFANO	DIRECTOR	2.00	Director	$0	$0	$0
DR MARK GELLER MD	DIRECTOR	2.00	Director	$0	$0	$0
DANIEL MAUGHAN	DIRECTOR	2.00	Director	$0	$0	$0
DENISE GEORGE	DIRECTOR	2.00	Director	$0	$0	$0
DEREK ANDERSON	DIRECTOR	2.00	Director	$0	$0	$0
EILEEN EGAN	DIRECTOR	2.00	Director	$0	$0	$0
DR MARK HIRKO MD	DIRECTOR	2.00	Director	$0	$0	$0
MICHAEL J SPICER	DIRECTOR	2.00	Director	$0	$0	$0
PETER KELLY	DIRECTOR (AS OF 2/6/23)	2.00	Director	$0	$0	$0
SUSAN FOX	DIRECTOR	2.00	Director	$0	$0	$0
MICHAEL D ISRAEL	DIRECTOR	2.00	Director	$0	$0	$0
JOSHUA RATNER	DIRECTOR (AS OF 7/13/23)	2.00	Director	$0	$0	$0
REGGINALD JORDAN	DIRECTOR (AS OF 8/2/23)	2.00	Director	$0	$0	$0
SUSAN BROWNING	DIRECTOR (AS OF 2/6/23)	2.00	Director	$0	$0	$0
WENDY DARWELL	PRESIDENT/CHIEF EXECUTIVE	18.80	Officer	$204,382	$34,757	$239,139
MARIA GALLINA	CHIEF FINANCIAL OFFICER	13.12	Officer	$70,389	$23,174	$93,563
STACY VILLAGRAN	VP/CHIEF OPERATING OFFICER	9.38	Officer	$53,877	$10,137	$64,014

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$160,837	$696,717	$2,274,688	$-535,880
2022	$534,972	$673,455	$2,814,857	$-138,483
2021	$575,147	$663,195	$3,687,280	$-88,048
2020	$591,895	$749,648	$3,915,650	$-157,753
2019	$554,805	$755,941	$4,059,699	$-201,136
2018	$496,603	$788,567	$4,059,492	$-291,964

NORTHERN METROPOLITAN HOSPITAL ASSOCIATION