2015-11-11T20:25:43-05:00 2014-12-31 134098505 LOW INCOME TAX 5 LAMARTINE TERRACE Yonkers NY 10701 990 2014-01-01 131740115 THE MOUNT VERNON HOSPITAL MOUN 12 NORTH SEVENTH AVENUE Mount Vernon NY 10550 MONICA TERRANO PLAN ADMINISTRA 9178163561 2015-11-10 false Louis Wharton P00966402 2015-11-11 2014 2016-02-25 16:41:14Z MONICA TERRANO 1701269 false X WWW.SSHSW.ORG X 1937 NY 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. 1 1 2 0 0 7498267 0 57765347 500000 6897012 0 257702 1201269 72418328 1701269 0 0 40858746 583080 0 0 33805959 641360 74664705 1224440 -2246377 476829 22144048 21527035 49273545 48195985 -27129497 -26668950 X 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. true 1224440 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. 1224440 true false false false false false false false false true false false false true true false false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 23 0 true 2 true false false false false false false X 1 1 false false true false true true false true true false false false false false false false true false NY X MONICA TERRANO 9178163561 12 NORTH SEVENTH AVENUE Mount Vernon NY 10550 MONICA TERRANO PLAN ADMINISTRATOR 20.00 20.00 X X 261950 0 0 STAN BUTURLA INTERIM CFO 20.00 20.00 X 240000 0 0 DARIUSH ALAIE FORMER TRUSTEEPHYSICAN 0.00 0.00 X 0 0 0 WENDELL ELLIOTT BAISDEN FORMER TRUSTEE 0.00 0.00 X 0 0 0 VINCENT M BUFANO FORMER TRUSTEE 0.00 0.00 X 0 0 0 PAT CAPASSO FORMER TRUSTEE 0.00 0.00 X 0 0 0 SAMUEL CONSOLZAIO FORMER TRUSTEE 0.00 0.00 X 0 0 0 ANTHONY DEBELLIS FORMER TRUSTEE 0.00 0.00 X 0 0 0 TROY PRESTON DECOHEN FORMER TRUSTEE 0.00 0.00 X 0 0 0 DARREN DEVERNA FORMER TRUSTEE 0.00 0.00 X 0 0 0 RICHARD J NACLERIO FORMER VICE PRESIDENT 0.00 0.00 X 0 0 0 RICHARD L PETRILLO FORMER ASST TREASURERPHYSIC 0.00 0.00 X 0 0 0 STANLEY M BUTURLA FORMER INTERIM CFO 0.00 0.00 X 0 0 0 NICK DADDESIO FORMER VICE PRESIDENT OPERATI 0.00 0.00 X 0 0 0 JOHN R SPICER FORMER PRESIDENT & CEO 0.00 0.00 X 0 0 0 KUN YOUNG CHUNG FORMER MEDICAL DIRECTOR - PAT 0.00 0.00 X 0 0 0 PRITI BORKER FORMER PHYSICAN 0.00 0.00 X 0 0 0 CHIH TANG CHANG FORMER ANESTHESIOLOGIST 0.00 0.00 X 0 0 0 RAOUF HANNA FORMER PHYSICAN 0.00 0.00 X 0 0 0 PAUL KOLTVICH FORMER PHYSICAN 0.00 0.00 X 0 0 0 BENTLY OGOKE PHYSICAN 0.00 0.00 X 0 0 0 DARYL GRAVES PHYSICAN 0.00 0.00 X 0 0 0 CLAUS P VON SCHORN PHYSICAN 0.00 0.00 X 0 0 0 501950 0 0 2 true true false ALLSCRIPTS HEALTHCARE LLC PO BOX 8538-0133 LOCKBOX 077133 Philadelphia PA 19171 COMPUTER SOFTWARE 335038 1 IP NET PATIENT REVENUE 621110 500000 500000 500000 Vendor Refunds 900099 140714 140714 Resident Revenue 900099 1060000 1060000 Other Revenue 900099 555 555 1201269 1701269 1701269 0 0 480329 480329 79678 79678 23073 23073 665139 665139 33475 33475 78448 78448 2100 2100 18433 18433 93765 93765 BAD DEBT RECOVERY -250000 -250000 1224440 1224440 0 0 1702279 522432 1191218 125123 278400 278400 18972151 20601080 22144048 21527035 25787904 24532421 2618570 2501950 20867071 21161614 49273545 48195985 X -27990433 -27529886 165900 165900 695036 695036 -27129497 -26668950 22144048 21527035 X 476829 -16282 X false false false X 47279 47279 47279 47279 52497 4996 222 47279 52497 52497 52960 -913 -450 52497 false false ACT ICM RECEIVABLES 352816 DUE FROM THIRD PARTIES 76516 MED CASE MGMT RECEIVABLES 133413 DUE FROM AFFILIATES 19655503 RESTRICTED INVESTMENT ASSETS 382832 20601080 DUE TO THIRD PARTIES 3966857 DEFERRED PENSION COSTS 4333362 MALPRACTICE SELF INSURANCE 12861395 21161614 X false false false false false false false false false MONICA TERRANO PLAN ADMINISTRATOR 261950 261950 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 240000 240000 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. 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