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Victory Memorial Hospital (Bankrupt): Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
Victory Memorial Hospital (Bankrupt) (EIN 11-1630911)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-06-15
IRS object ID
201531669349300648
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

FieldValueIRS element (for citing)
Return2015-06-15T14:44:12-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222978848PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BEDERSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1347 MT PLEASANT AVENUEAddressLine1Txt
CityWEST ORANGECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07052ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111630911EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Victory Memorial Hospital (Bankrupt)BusinessNameLine1Txt
Business Name Line2c/o Francis G Conrad Plan AdministratoBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlVICTBusinessNameControlTxt
Phone7185671006PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 80AddressLine1Txt
CityPoint LookoutCityNm
State AbbreviationNYStateAbbreviationCd
ZIP115690080ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFrancis G ConradPersonNm
Person TitlePlan AdministratorPersonTitleTxt
Phone7185671006PhoneNum
Signature2015-05-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW SCHWARTZPreparerPersonNm
PTINP00139156PTIN
Phone9735309190PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFrancis G ConradPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 80AddressLine1Txt
CityPoint LookoutCityNm
State AbbreviationNYStateAbbreviationCd
ZIP115690080ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$87,541GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.vmhny.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1904FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionMandated by the Department of Health to close the Medical & Surgical Units, the Emergency Room Services, Long Term Nursing Services for the Elderly and Long Term Home Health Care Services.ActivityOrMissionDesc
Voting Members Governing Body0VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5,304PYInvestmentIncomeAmt
CY Investment Income$2,495CYInvestmentIncomeAmt
PY Other Revenue$2,762PYOtherRevenueAmt
CY Other Revenue$85,046CYOtherRevenueAmt
PY Total Revenue$8,066PYTotalRevenueAmt
CY Total Revenue$87,541CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$815,964PYOtherExpensesAmt
CY Other Expenses$3,352,359CYOtherExpensesAmt
PY Total Expenses$815,964PYTotalExpensesAmt
CY Total Expenses$3,352,359CYTotalExpensesAmt
PY Revenues Less Expenses-$807,898PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,264,818CYRevenuesLessExpensesAmt
Total Assets BOY$7,175,364TotalAssetsBOYAmt
Total Assets EOY$462,016TotalAssetsEOYAmt
Total Liabilities BOY$36,009,675TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,561,145TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$28,834,311NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$32,099,129NetAssetsOrFundBalancesEOYAmt
MissionWind Down OperationsMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescNot Applicable - The hospital ceased all operations.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescNot Applicable - The hospital ceased all operations.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescNot Applicable - The hospital ceased all operations.Desc
FieldValueIRS element (for citing)
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members0GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing Body0MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7185671006PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 80AddressLine1Txt
CityPoint LookoutCityNm
State AbbreviationNYStateAbbreviationCd
ZIP115690080ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Bill Guarinello
Chairman0.10Yes (X)Yes (X)$0$0$0
William Girasole
Vice Chairman0.10Yes (X)Yes (X)$0$0$0
Donald Cordano
Treasurer0.10Yes (X)Yes (X)$0$0$0
Craig Eaton
Secretary0.10Yes (X)Yes (X)$0$0$0
Ben Barber
Director0.10Yes (X)$0$0$0
David Cassato
Director0.10Yes (X)$0$0$0
Patrick Colabella
Director0.10Yes (X)$0$0$0
Richard Conti
Director0.10Yes (X)$0$0$0
Frank Corigliano
Director0.10Yes (X)$0$0$0
Joseph Cunnigham MD
Director0.10Yes (X)$0$0$0
John Demic
Director0.10Yes (X)$0$0$0
Joan Durante
Director0.10Yes (X)$0$0$0
Salvatore Ferrera Phd
Director0.10Yes (X)$0$0$0
Aldo Girasole
Director0.10Yes (X)$0$0$0
Samuel Hagan
Director0.10Yes (X)$0$0$0
Gerard Kassar
Director0.10Yes (X)$0$0$0
Frank Lacqua MD
Director0.10Yes (X)$0$0$0
Ann Pennacchio
Director0.10Yes (X)$0$0$0
Joseph Perri
Director0.10Yes (X)$0$0$0
Michael Phillips
Director0.10Yes (X)$0$0$0
Dennis Quirk
Director0.10Yes (X)$0$0$0
Veronica Santilli MD
Director0.10Yes (X)$0$0$0
Joseph Sessa II
Director0.10Yes (X)$0$0$0
Joseph Shelala
Director0.10Yes (X)$0$0$0
Dr Vincent Calamia
President0.10Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Alston & Bird LLPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line190 Park AvenueAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10016ZIPCd
FieldValueIRS element (for citing)
ServicesLegalServicesDesc
Compensation$140,126CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,495TotalRevenueColumnAmt
Related Or Exempt Func Income$2,495RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneousDesc
Business900099BusinessCd
Total Revenue Column$85,046TotalRevenueColumnAmt
Related Or Exempt Func Income$85,046RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$85,046OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,541TotalRevenueColumnAmt
Related Or Exempt Func Income$87,541RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$408,338TotalAmt
Management And General$408,338ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$61,797TotalAmt
Management And General$61,797ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$191,038TotalAmt
Management And General$191,038ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,519TotalAmt
Management And General$1,519ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
Uncollectable Receivabl$2,688,327$2,688,327
U.S. Trustee Fees$1,340$1,340

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,352,359TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,352,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,487,036BOYAmt
EOY$462,016EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,688,328BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,175,364BOYAmt
EOY$462,016EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,552,077BOYAmt
EOY$24,153,384EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,457,598BOYAmt
EOY$8,407,761EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,009,675BOYAmt
EOY$32,561,145EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$28,834,311BOYAmt
EOY-$32,099,129EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$28,834,311BOYAmt
EOY-$32,099,129EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,175,364BOYAmt
EOY$462,016EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,264,818ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Third Party Payors$1,187,598
Estimated Liability for Medical Malpractice$7,220,163
FieldValueIRS element (for citing)
Total Liability$8,407,761TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Plan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section A, line 8aPlan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section A, line 8bPlan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section B, line 11Plan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section B, line 11Plan Administrator reviews Form 990 prior to filing.
Form 990, Part VI, Section C, line 18Form 990 is available upon request.
Form 990, Part VI, Section C, line 19Organization documents are available upon request.
ADDENDUM TO FORM 990VICTORY MEMORIAL HOSPITAL (BANKRUPT) FEDERAL IDENTIFICATION NUMBER: 11-1630911 ADDENDUM TO FORM 990 FOR THE YEAR ENDED DECEMBER 31, 2014 We are the Court Appointed Accountants for the Chapter 11 Plan Administrator of Victory Memorial Hospital (Bankrupt), which filed bankruptcy on November 15, 2006. Due to the bankruptcy certain key financial records, account analysis, reconciliations, and supporting information that would normally be present were missing or unavailable. We prepared this tax return from the best information available; that is, the Debtor's prior tax return and the available Debtor's financial records. The Plan Administrator, by his signature on the face of this tax return has relied on our expertise in preparing the 2014 return from the available records. Neither the Plan Administrator, nor our firm has any personal knowledge of any transaction that occurred prior to the Plan Administrator's or our appointment. However, it is our qualified opinion that this is a complete return based on the financial information available. The absence of complete information was caused by the bankrupt status of the corporation. BEDERSON LLP MAY 2015