MOUNT VERNON HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT VERNON HOSPITAL (EIN 13-1740115)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-11
- IRS object ID
- 201503159349304095
- Schema version
- 2014v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-11T20:25:43-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134098505 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOW INCOME TAX | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 LAMARTINE TERRACE | AddressLine1Txt |
| City | Yonkers | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740115 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVENUE | AddressLine1Txt |
| City | Mount Vernon | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10550 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA TERRANO | PersonNm |
| Person Title | PLAN ADMINISTRA | PersonTitleTxt |
| Phone | 9178163561 | PhoneNum |
| Signature | 2015-11-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Louis Wharton | PreparerPersonNm |
| PTIN | P00966402 | PTIN |
| Preparation | 2015-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MONICA TERRANO | PrincipalOfficerNm |
| Gross Receipts | $1,701,269 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SSHSW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1937 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | The Mount Vernon Hospital provides quality healthcare services to Mount Vernon and surrounding community. The organization is in the process of winding up operations. The Mount Vernon Hospital assets were sold on November 5, 2013, and service operations closed as of that date. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,498,267 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,765,347 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $500,000 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,897,012 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $257,702 | PYOtherRevenueAmt |
| CY Other Revenue | $1,201,269 | CYOtherRevenueAmt |
| PY Total Revenue | $72,418,328 | PYTotalRevenueAmt |
| CY Total Revenue | $1,701,269 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,858,746 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $583,080 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,805,959 | PYOtherExpensesAmt |
| CY Other Expenses | $641,360 | CYOtherExpensesAmt |
| PY Total Expenses | $74,664,705 | PYTotalExpensesAmt |
| CY Total Expenses | $1,224,440 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,246,377 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $476,829 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,144,048 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,527,035 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,273,545 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $48,195,985 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$27,129,497 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$26,668,950 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Mount Vernon Hospital provides quality healthcare services to Mount Vernon and surrounding community. The organization is in the process of winding up operations. The Mount Vernon Hospital assets were sold on November 5, 2013, and service operations closed as of that date. | MissionDesc |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $1,224,440 | ExpenseAmt |
| Desc | The organization is in the process of winding up operations. The Mount Vernon Hospital assets were sold on November 5, 2013, and service operations closed as of that date. | Desc |
| Total Program Service Expenses | $1,224,440 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA TERRANO | PersonNm |
| Phone | 9178163561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVENUE | AddressLine1Txt |
| City | Mount Vernon | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10550 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| MONICA TERRANO | ||||||||
| PLAN ADMINISTRATOR | 20.00 | 20.00 | Yes (X) | Yes (X) | $261,950 | $0 | $0 | |
| STAN BUTURLA | ||||||||
| INTERIM CFO | 20.00 | 20.00 | Yes (X) | $240,000 | $0 | $0 | ||
| DARIUSH ALAIE | ||||||||
| FORMER TRUSTEEPHYSICAN | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| WENDELL ELLIOTT BAISDEN | ||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| VINCENT M BUFANO | ||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| PAT CAPASSO | ||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| SAMUEL CONSOLZAIO | ||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ANTHONY DEBELLIS | ||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| TROY PRESTON DECOHEN | ||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DARREN DEVERNA | ||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| RICHARD J NACLERIO | ||||||||
| FORMER VICE PRESIDENT | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| RICHARD L PETRILLO | ||||||||
| FORMER ASST TREASURERPHYSIC | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| STANLEY M BUTURLA | ||||||||
| FORMER INTERIM CFO | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| NICK DADDESIO | ||||||||
| FORMER VICE PRESIDENT OPERATI | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JOHN R SPICER | ||||||||
| FORMER PRESIDENT & CEO | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| KUN YOUNG CHUNG | ||||||||
| FORMER MEDICAL DIRECTOR - PAT | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| PRITI BORKER | ||||||||
| FORMER PHYSICAN | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CHIH TANG CHANG | ||||||||
| FORMER ANESTHESIOLOGIST | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| RAOUF HANNA | ||||||||
| FORMER PHYSICAN | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| PAUL KOLTVICH | ||||||||
| FORMER PHYSICAN | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| BENTLY OGOKE | ||||||||
| PHYSICAN | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DARYL GRAVES | ||||||||
| PHYSICAN | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CLAUS P VON SCHORN | ||||||||
| PHYSICAN | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $501,950 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALLSCRIPTS HEALTHCARE LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8538-0133 LOCKBOX 077133 | AddressLine1Txt |
| City | Philadelphia | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19171 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | COMPUTER SOFTWARE | ServicesDesc |
| Compensation | $335,038 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | IP NET PATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $500,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $500,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $500,000 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Vendor Refunds | 900099 | $140,714 | $140,714 |
| Resident Revenue | 900099 | $1,060,000 | $1,060,000 |
| Other Revenue | 900099 | $555 | $555 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,201,269 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,701,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,701,269 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,329 | TotalAmt |
| Program Services | $480,329 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,678 | TotalAmt |
| Program Services | $79,678 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,073 | TotalAmt |
| Program Services | $23,073 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,139 | TotalAmt |
| Program Services | $665,139 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,475 | TotalAmt |
| Program Services | $33,475 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,448 | TotalAmt |
| Program Services | $78,448 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,100 | TotalAmt |
| Program Services | $2,100 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,433 | TotalAmt |
| Program Services | $18,433 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,765 | TotalAmt |
| Program Services | $93,765 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BAD DEBT RECOVERY | Desc |
| Total | -$250,000 | TotalAmt |
| Program Services | -$250,000 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,224,440 | TotalAmt |
| Program Services | $1,224,440 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,702,279 | BOYAmt |
| EOY | $522,432 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,191,218 | BOYAmt |
| EOY | $125,123 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,400 | BOYAmt |
| EOY | $278,400 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,972,151 | BOYAmt |
| EOY | $20,601,080 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,144,048 | BOYAmt |
| EOY | $21,527,035 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,787,904 | BOYAmt |
| EOY | $24,532,421 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,618,570 | BOYAmt |
| EOY | $2,501,950 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,867,071 | BOYAmt |
| EOY | $21,161,614 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,273,545 | BOYAmt |
| EOY | $48,195,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,990,433 | BOYAmt |
| EOY | -$27,529,886 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,900 | BOYAmt |
| EOY | $165,900 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,036 | BOYAmt |
| EOY | $695,036 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,129,497 | BOYAmt |
| EOY | -$26,668,950 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,144,048 | BOYAmt |
| EOY | $21,527,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $476,829 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$16,282 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,279 | BeginningYearBalanceAmt |
| End Year Balance | $47,279 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,279 | BeginningYearBalanceAmt |
| End Year Balance | $47,279 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $52,497 | BeginningYearBalanceAmt |
| Other Expenditures | $4,996 | OtherExpendituresAmt |
| Administrative Expenses | $222 | AdministrativeExpensesAmt |
| End Year Balance | $47,279 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $52,497 | BeginningYearBalanceAmt |
| End Year Balance | $52,497 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $52,960 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$913 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$450 | AdministrativeExpensesAmt |
| End Year Balance | $52,497 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACT ICM RECEIVABLES | $352,816 |
| DUE FROM THIRD PARTIES | $76,516 |
| MED CASE MGMT RECEIVABLES | $133,413 |
| DUE FROM AFFILIATES | $19,655,503 |
| RESTRICTED INVESTMENT ASSETS | $382,832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $20,601,080 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTIES | $3,966,857 |
| DEFERRED PENSION COSTS | $4,333,362 |
| MALPRACTICE SELF INSURANCE | $12,861,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,161,614 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| MONICA TERRANO | ||
| PLAN ADMINISTRATOR | $261,950 | $261,950 |
| DARIUSH ALAIE | ||
| FORMER TRUSTEEPHYSICAN | ||
| WENDELL ELLIOTT BAISDEN | ||
| FORMER TRUSTEE | ||
| VINCENT M BUFANO | ||
| FORMER TRUSTEE | ||
| PAT CAPASSO | ||
| FORMER TRUSTEE | ||
| SAMUEL CONSOLZAIO | ||
| FORMER TRUSTEE | ||
| ANTHONY DEBELLIS | ||
| FORMER TRUSTEE | ||
| TROY PRESTON DECOHEN | ||
| FORMER TRUSTEE | ||
| DARREN DEVERNA | ||
| FORMER TRUSTEE | ||
| RICHARD J NACLERIO | ||
| FORMER VICE PRESIDENT | ||
| RICHARD L PETRILLO | ||
| FORMER ASST TREASURERPHYSICAN | ||
| STANLEY M BUTURLA | ||
| FORMER INTERIM CFO | ||
| NICK DADDESIO | ||
| FORMER VICE PRESIDENT OPERATIONS | ||
| JOHN R SPICER | ||
| FORMER PRESIDENT & CEO | ||
| KUN YOUNG CHUNG | ||
| FORMER MEDICAL DIRECTOR - PATHOLOGY | ||
| PRITI BORKER | ||
| FORMER PHYSICAN | ||
| CHIH TANG CHANG | ||
| FORMER ANESTHESIOLOGIST | ||
| RAOUF HANNA | ||
| FORMER PHYSICAN | ||
| PAUL KOLTVICH | ||
| FORMER PHYSICAN | ||
| BENTLY OGOKE | ||
| PHYSICAN | ||
| DARYL GRAVES | ||
| PHYSICAN | ||
| CLAUS P VON SCHORN | ||
| PHYSICAN | ||
| STAN BUTURLA | ||
| INTERIM CFO | $240,000 | $240,000 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Organizational document changes Part VI line 4 | THE ORGANIZATION CEASED HEALTHCARE SERVICES ON NOVEMBER 05, 2013 AND SOLD ITS REAL ESTATE ASSETS. IN NOVEMBER 2014, MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR IN THE U.S BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY. |
| Members or stockholder classes and rights Part VI line 6 | THE ORGANZATION HAS A SINGLE MEMBER, SOUND SHORE HEALTH SYSTEM, INC., WHICH IS A NOT FOR PROFIT CORPORATION AND A PARENT ORGANIZATION. |
| Member election for additional members Part VI line 7a | THE SOLE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. |
| Form 990 governing body review Part VI line 11 | THE TAX RETURN WAS PREPARED BY AN IDENPENDENT ACCOUNTANT. THE TAX RETURN WAS THEN REVEIWED BY THE PLAN ADMINISTRATOR. IN NOVEMBER 2014, MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR IN THE U.S BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY. |
| Conflict of interest policy compliance Part VI line 12c | THE ORGANIZATION FOLLOWS THE POLICIES OF ITS PARENT ORGANIZATION. |
| CEO executive director top management comp Part VI line 15a | IN NOVEMBER 2014, MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR IN THE U.S BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY. THE ORGANIZATION'S OTHER OFFICER IS STANLEY BUTURLA, INTERIM CFO. |
| Other officer or key employee compensation Part VI line 15b | ON NOVEMBER 2014, MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR IN THE U.S BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY. ON NOVEMBER 2014 MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR AND COMPENSATION WAS APPROVED BY THE BANKRUPTCY COURT IN THE SOUTHERN DISTRICT. |
| Form 990 availability to public Part VI line 18 | FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON GUIDESTAR. OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAIALABLE UPON REQUEST. |
| Governing documents etc available to public Part VI line 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Cessation of or significant change to any program service Part III line 3 | THE ORGANIZATION IS IN THE PROCESS OF WINDING UP OPERATIONS. THE MOUNT VERNON HOSPITAL ASSETS WERE SOLD ON NOVEMBER 5, 2013, AND SERVICE OPERATIONS CLOSED AS OF THAT DATE. |
| Explanation of other changes in net assets or fund balances Part XI line 9 | FORM 990, PART X1, LINE 9:THE CHANGE IN THE EMPLOYEE BENEFIT EXPENSES BY INSURANCE PROVIDERS: -$16,281.59. |
| General explanation attachment | FORM 990, PART I, LINE I, DESCRIPTION OF ORGANIZATION MISSION:COMMUNITIES BY DELIVERING EFFICIENT AND EFFECTIVE HEALTHCARE PROGRAMS TO THOSE WHO ARE SICK AND OR DISABLED. IN NOVEMBER 2014, MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR IN THE U.S BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY.FORM 990, PART III, LINE I, DESCRIPTION OF ORGANIZATION MISSION:COMMUNITY MEMBER, ESPECIALLY TO THOSE WHO ARE SICK AND DISABLED. PROVIDE A CLIMATE IN WHICH PATIENTS' PAIN IS REGULARLY ASSESSED AND PROMPTLY AND EFFICIENTLY MANAGED.IN NOVEMBER 2014, MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR IN THE U.S BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY. FORM 990, PART IV, LINE 12A:THIS RETURN HAS BEEN PREPARED BASED ON ALL AVAILABLE INFORMATION AT THE TIME OF FILING. IT IS ALSO BASED ON UNAUDIED FINANCIAL STATEMENTS. IF ANY SIGNIFICANT DIFFERENCES ARISE AFTER THIS FILING, THIS RETURN WILL BE AMENDED TO PROPERLY REFLECT THE ADDITIONAL INFORMATION. FORM 990:THE HOSPITAL FILED FOR CHAPTER 11 BANKRUPTCY PROTECTION IN U.S. BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY ON MAY 29, 2013. THE HOSPITAL COMPLETED THE ASSET SALE TO MONTEFIORE EFFECTIVE NOVEMBER 5, 2013. IN NOVEMBER 2014, MONICA TERRANO WAS APPOINTED PLAN ADMINISTRATOR IN THE U.S BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUND SHORE HEALTH SYSTEM | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 134011398 | MANAGEMENT | NY | 501C3 | III-O | N/A | false | |
| MVH CORPORATION | |||||||||||
| 12 NORTH SEVENTH AVENUE | Mount Vernon | NY | 10550 | 133281514 | INACTIVE | NY | 501C3 | III-O | false | THE MOUNT VERNON HOSPITAL | |
| SOUND SHORE MEDICAL CENTER OF WEST | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 131740117 | HOSPITAL | NY | 501C3 | III-O | false | SOUND SHORE HEALTH SYSTEM | |
| HOWE AVENUE NURSING HOME | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 237000781 | NURSING HOME | NY | 501C3 | III-F1 | false | SOUND SHORE MEDICAL CENTER WESTCHESTER | |
| GUION PLACE HOUSING COMPANY | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 136179280 | HOUSING CORP | NY | 501C2 | false | SOUND SHORE MEDICAL CENTER WESTCHESTER | ||
| LOCKWOOD AVE HOUSING COMPANY | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 237003479 | HOUSING CORP | NY | 501C3 | II | false | SOUND SHORE MEDICAL CENTER WESTCHESTER | |
| SOUND SHORE MEDICAL CENTER OF WEST | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133593049 | FUNDRAISING | NY | 501C3 | III-O | false | SOUND SHORE MEDICAL CENTER WESTCHESTER | |
| NRHMC INC | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133272830 | SUPPORTING | NY | 501C3 | II | false | SOUND SHORE MEDICAL CENTER OF WESTCHESTE | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt |
|---|---|---|---|---|---|---|---|---|
| NRHMC SERVICES CORPORATION | ||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133769137 | SPACE RENTAL | NY | N/A | C Corp |
| SOUND SHORE PHARMACY INC | ||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133916523 | PHARMACY | NY | N/A | C Corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |