MOUNT VERNON HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT VERNON HOSPITAL (EIN 13-1740115)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2015-09-09
- IRS object ID
- 201542529349300934
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule E
- Schedule H
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-09-09T23:41:45-04:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 LAMARTINE TERRACE | AddressLine1 |
| City | Yonkers | City |
| State | NY | State |
| ZIP Code | 10701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Mount Vernon | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA TERRANO | PersonNm |
| Person Title | CHIEF WIND DOWN | PersonTitleTxt |
| Phone | 9143653500 | PhoneNum |
| Signature | 2014-12-26 | 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 | 2015-09-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $72,418,328 | 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. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 665 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,278,768 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,498,267 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,767,290 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,765,347 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,610 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,897,012 | CYInvestmentIncomeAmt |
| PY Other Revenue | $491,285 | PYOtherRevenueAmt |
| CY Other Revenue | $257,702 | CYOtherRevenueAmt |
| PY Total Revenue | $72,540,953 | PYTotalRevenueAmt |
| CY Total Revenue | $72,418,328 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $44,164,634 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,858,746 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,708,448 | PYOtherExpensesAmt |
| CY Other Expenses | $33,805,959 | CYOtherExpensesAmt |
| PY Total Expenses | $74,873,082 | PYTotalExpensesAmt |
| CY Total Expenses | $74,664,705 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,332,129 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,246,377 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,771,393 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,944,797 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,572,828 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,994,355 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$24,801,435 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$27,049,558 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MOUNT VERNON HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES TO MOUNT VERNON AND SURROUNDING COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $46,882,484 | ExpenseAmt |
| Revenue | $55,820,082 | RevenueAmt |
| Desc | THE MOUNT VERNON HOSPITAL IS A NON-PROFIT GENERAL HOSPITAL. PROGRAM EXPENSES ARE FOR PATIENT CARE. THE HOSPITAL HAS 245 CERTIFIED BEDS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,119,860 | ExpenseAmt |
| Revenue | $894,006 | RevenueAmt |
| Desc | EMERGENCY, THE HOSPITAL HAD A TOTAL OF 19,114 AND 20,233 EMERGENCY ROOM VISITS FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012, RESPECTFULLY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,819,633 | ExpenseAmt |
| Revenue | $1,064,748 | RevenueAmt |
| Desc | CLINICS, THE HOSPITAL HAD A TOTAL OF 21,708 AND 21,214 CLINICAL VISITS FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012 RESPECTIVELY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $59,821,977 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| 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 | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | 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 | Yes (true) | 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 | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 665 | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (true) | 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 | AddressLine1 |
| City | Mount Vernon | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DARIUSH ALAIE | |||||||||
| TRUSTEEPHYSICAN | 40.00 | 0.00 | Yes (X) | $201,762 | $0 | $0 | |||
| WENDELL ELLIOTT BAISDEN | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| VINCENT M BUFANO | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PAT CAPASSO | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL CONSOLZAIO | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY DEBELLIS | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TROY PRESTON DECOHEN | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DARREN DEVERNA | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD J NACLERIO | |||||||||
| VICE PRESIDENT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RICHARD L PETRILLO | |||||||||
| ASST TREASURERPHYSICAN | 40.00 | 0.00 | Yes (X) | $218,684 | $0 | $0 | Yes (X) | ||
| STANLEY M BUTURLA | |||||||||
| INTERIM CFO | 14.00 | 0.00 | $0 | $222,308 | $0 | Yes (X) | |||
| NICK DADDESIO | |||||||||
| VICE PRESIDENT OPERATIONS | 40.00 | 0.00 | $156,403 | $0 | $0 | Yes (X) | |||
| JOHN R SPICER | |||||||||
| PRESIDENT & CEO | 14.00 | 0.00 | $0 | $821,136 | $0 | Yes (X) | |||
| KUN YOUNG CHUNG | |||||||||
| MEDICAL DIRECTOR - PATHOLOGY | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| PRITI BORKER | |||||||||
| PHYSICAN | 40.00 | 0.00 | $322,690 | $0 | $0 | Yes (X) | |||
| CHIH TANG CHANG | |||||||||
| ANESTHESIOLOGIST | 40.00 | 0.00 | $293,340 | $0 | $0 | Yes (X) | |||
| RAOUF HANNA | |||||||||
| PHYSICAN | 40.00 | 0.00 | $236,555 | $0 | $0 | Yes (X) | |||
| PAUL KOLTVICH | |||||||||
| PHYSICAN | 40.00 | 0.00 | $221,064 | $0 | $0 | Yes (X) | |||
| BENTLY OGOKE | |||||||||
| PHYSICAN | 40.00 | 0.00 | $338,329 | $0 | $0 | Yes (X) | |||
| DARYL GRAVES | |||||||||
| PHYSICAN | 40.00 | 0.00 | $260,993 | $0 | $0 | Yes (X) | |||
| CLAUS P VON SCHORN | |||||||||
| PHYSICAN | 40.00 | 0.00 | $256,210 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,506,030 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,043,444 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RENAL CARE | |||||
| 19 DEMAREST AVENUE | Nanuet | NY | 10954 | HOSPITAL SERVICES | $390,414 |
| MADDELENA CONSULTING GROUP LLC | |||||
| 7028 MANDARIN DRIVE | Boca Raton | FL | 33433 | CONSULTING | $206,250 |
| WOMENS MEDICAL WELLNES OF WEST LLC | |||||
| 100 STEVENS AVENUE | Mount Vernon | NY | 10550 | CLINICAL | $159,143 |
| PRICEWATERHOUSE COOPERS LLP | |||||
| PO BOX 7247-8001 | Philadelphia | PA | 19170 | ACCOUNTING | $150,000 |
| ALLSCRIPTS HEALTHCARE LLC | |||||
| PO BOX 8538-0133 LOCKBOX 077133 | Philadelphia | PA | 19171 | PRESCRIPTION | $148,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,498,267 | GovernmentGrantsAmt |
| Total Contributions | $7,498,267 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REV | 621110 | $54,208,398 | $54,208,398 |
| SCHOOL OF NURSING & MRI | 611710 | $834,043 | $834,043 |
| PHYSICAN BILLING | 621110 | $1,629,915 | $1,629,915 |
| PART A ANESTHESIA | 621110 | $746,432 | $746,432 |
| INCOME METH CLINIC | 621110 | $87,955 | $87,955 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $258,604 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $258,604 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,765,347 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,460 | TotalRevenueColumnAmt |
| Exclusion | $1,460 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $162,424 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $162,424 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,424 | TotalRevenueColumnAmt |
| Exclusion | $162,424 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,883,203 | SecuritiesAmt |
| Other | $12,349 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,883,203 | SecuritiesAmt |
| Other | $12,349 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,895,552 | TotalRevenueColumnAmt |
| Exclusion | $6,895,552 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| PARKING | 900099 | $41,846 | $41,846 | |
| PHARMACY | 900099 | $13,462 | $13,462 | |
| CAFETARIA & COFFEE SHOP | 722210 | $30,770 | $30,770 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $9,173 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $95,278 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,418,328 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,778,836 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,141,225 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,632,535 | TotalAmt |
| Program Services | $23,724,401 | ProgramServicesAmt |
| Management And General | $7,908,134 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,067,128 | TotalAmt |
| Program Services | $1,550,347 | ProgramServicesAmt |
| Management And General | $516,781 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,866,075 | TotalAmt |
| Program Services | $3,649,556 | ProgramServicesAmt |
| Management And General | $1,216,519 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,293,008 | TotalAmt |
| Program Services | $1,719,756 | ProgramServicesAmt |
| Management And General | $573,252 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,709,868 | TotalAmt |
| Program Services | $2,032,401 | ProgramServicesAmt |
| Management And General | $677,467 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,853 | TotalAmt |
| Program Services | $359,140 | ProgramServicesAmt |
| Management And General | $119,713 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,641,844 | TotalAmt |
| Program Services | $1,231,383 | ProgramServicesAmt |
| Management And General | $410,461 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896 | TotalAmt |
| Program Services | $672 | ProgramServicesAmt |
| Management And General | $224 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,804,025 | TotalAmt |
| Program Services | $1,353,019 | ProgramServicesAmt |
| Management And General | $451,006 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,028,353 | TotalAmt |
| Program Services | $5,271,265 | ProgramServicesAmt |
| Management And General | $1,757,088 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,208 | TotalAmt |
| Program Services | $21,906 | ProgramServicesAmt |
| Management And General | $7,302 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,084 | TotalAmt |
| Program Services | $317,313 | ProgramServicesAmt |
| Management And General | $105,771 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,155,841 | TotalAmt |
| Program Services | $1,616,881 | ProgramServicesAmt |
| Management And General | $538,960 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,576,450 | TotalAmt |
| Program Services | $1,182,338 | ProgramServicesAmt |
| Management And General | $394,112 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $9,626,098 | $9,626,098 | |
| MEDICAL SUPPLIES | $2,404,540 | $2,404,540 | |
| LAB SUPPLIES | $3,263,148 | $3,263,148 | |
| COLLECTION FEES | $663,751 | $497,813 | $165,938 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,664,705 | TotalAmt |
| Program Services | $59,821,977 | ProgramServicesAmt |
| Management And General | $14,842,728 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,793,539 | BOYAmt |
| EOY | $1,702,280 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,753,780 | BOYAmt |
| EOY | $1,191,219 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,731 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,331 | BOYAmt |
| EOY | $372,165 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,918,318 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,472,694 | BOYAmt |
| EOY | $21,679,133 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,771,393 | BOYAmt |
| EOY | $24,944,797 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,891,534 | BOYAmt |
| EOY | $24,905,461 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,302,342 | BOYAmt |
| EOY | $2,618,570 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,378,952 | BOYAmt |
| EOY | $24,470,324 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,572,828 | BOYAmt |
| EOY | $51,994,355 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$25,662,371 | BOYAmt |
| EOY | -$27,910,494 | 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 | -$24,801,435 | BOYAmt |
| EOY | -$27,049,558 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,771,393 | BOYAmt |
| EOY | $24,944,797 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,246,377 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,746 | 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) |
|---|---|---|
| School | Yes (X) | SchoolInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $52,497 | BeginningYearBalanceAmt |
| Other Expenditures | $4,996 | OtherExpendituresAmt |
| Administrative Expenses | $222 | AdministrativeExpensesAmt |
| End Year Balance | $47,279 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $52,497 | BeginningYearBalanceAmt |
| End Year Balance | $52,497 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $934,690 | BeginningYearBalanceAmt |
| Contributions | -$885,000 | ContributionsAmt |
| Investment Earnings Or Losses | $3,270 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $52,960 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTIES | $765,385 |
| OTHER RECEIVABLES | $1,136,173 |
| LIMITED USE ASSETS | $857,203 |
| DUE FROM AFFILIATES | $18,918,374 |
| OTHER ASSETS | $1,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $21,679,133 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTIES | $3,672,314 |
| DUE TO AFFILIATES | $3,603,253 |
| MALPRACTICE SELF INSURANCE | $12,861,395 |
| DEFERRED PENSION | $4,333,362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,470,324 | TotalLiabilityAmt |
Schedule E IRS990ScheduleE
| Field | Value | IRS element (for citing) |
|---|---|---|
| Nondiscriminatory Policy Stmt | Yes (true) | NondiscriminatoryPolicyStmtInd |
| Policy Stmt In Brochures Etc | Yes (true) | PolicyStmtInBrochuresEtcInd |
| Plcy Pblczd Via Broadcast Media | Yes (true) | PlcyPblczdViaBroadcastMediaInd |
| Maintain Racial Comp Recs | Yes (true) | MaintainRacialCompRecsInd |
| Maintain Scholarships Recs | Yes (true) | MaintainScholarshipsRecsInd |
| Maintain Cpy Of Brochures Etc | Yes (true) | MaintainCpyOfBrochuresEtcInd |
| Maintain Cpy Of All Sol | Yes (true) | MaintainCpyOfAllSolInd |
| Discriminate Race Stdnts Rghts | false | DiscriminateRaceStdntsRghtsInd |
| Discriminate Race Admiss Plcy | false | DiscriminateRaceAdmissPlcyInd |
| Discriminate Race Emplm Fculty | false | DiscriminateRaceEmplmFcultyInd |
| Discriminate Race Schs | false | DiscriminateRaceSchsInd |
| Discriminate Race Educ Plcy | false | DiscriminateRaceEducPlcyInd |
| Discriminate Race Use Of Fclts | false | DiscriminateRaceUseOfFcltsInd |
| Discriminate Race Athlt Prog | false | DiscriminateRaceAthltProgInd |
| Discriminate Race Other Acty | false | DiscriminateRaceOtherActyInd |
| Government Financial Aid Rcvd | false | GovernmentFinancialAidRcvdInd |
| Government Financial Aid Rvkd | false | GovernmentFinancialAidRvkdInd |
| Compliance With Rev Proc7550 | Yes (true) | ComplianceWithRevProc7550Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Description of nondiscriminatory policy (Question 3) | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PUBLISHES ITS NONDISCRIMINATORY POLICY IN ITS SCHOOL BROCHURES, OTHER MATERIALS, AS WELL AS, ON ITS WEBSITE. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,864,974 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,155,727 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,709,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03850 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,392,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,308,807 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,083,507 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07230 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,257,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,464,534 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,792,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,376 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,376 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,808,589 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,680,688 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,127,901 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,354,079 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,328,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$3,974,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,185,044 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,009,068 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$2,824,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,442,332 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,473,602 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,968,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,324,184 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,783,886 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,732,525 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,558,152 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$825,627 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVENUE | AddressLine1 |
| City | Mount Vernon | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | VOLUNTARY ACUTE CARE HOSPITAL | OtherDesc |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | false | CHNAConductedInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 1.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 4.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| INFECTIOUS DISEASE CENTER | ||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | HOSPITAL EXTENSION CLINIC |
| MVH PARTIAL HOSPITALIZATION PR | ||||
| 105 STEVENS AVENUE | Mount Vernon | NY | 10550 | HOSPITAL EXTENSION CLINIC |
| METHADONE MAINTENANCE CLINIC | ||||
| 3 SOUTH 6TH AVENUE | Mount Vernon | NY | 10551 | HOSPITAL EXTENSION CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 01. Related organization annual community benefit report (Part I, line 6a) | THE ANNUAL COMMUNITY BENEFIT REPORT WAS MADE AVAILABLE TO THE PUBLIC. |
| 02. Debt expense included (Part I, line 7, col(f)) | BAD DEBT EXPENSES OF $4,324,184 WAS SUBSTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.THE PERCENTAGE WAS CALCULATED BASED ON RCC COST ACCOUNTING SYSTEM. |
| 03. Bad debt description footnote (Part III, line 4) | THE COST OF BAD DEBTS HAS BEEN QUANTITIED USING THE RATIO OF COST TO CHARGES METHOD LESS MEDICARE REIMBURSABLE BAD DEBTS. THE RATIO OF COST TO CHARGES METHODOLOGY HAS BEEN USED PLUS AN ESTIMATE OF THE SELF PAY/UNINSURED BAD DEBT PATIENT WRITE-OFFS THAT WOULD HAVE QUALIFIED FOR OUR FINANCIAL ASSISTANCE. |
| 04. Allowable Medicare costing methodology (Part III, line 8) | THE SHORTFALL REPORTED ON PART III, LIME 7 WAS NOT TREATED AS COMMUNITY BENEFIT. |
| 05. Collection practices (Part III, line 9b) | FINANCIAL ASSISTANCE IS PROVIDED TO THOSE INDIVIDUALS WHO ARE UNABLE TO PAY IN FULL FOR THEIR HEALTHCARE AND DO NOT QULAIFY FOR MEDICAID OR OTHER INSURANCE PROGRAMS. THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES 120 DAYS AFTER THE FIRST BILL HAS BEEN MAILED TO THE PATIENT/GUARANTOR AND NO PAYMENT HAS BEEN RECEIVED. ONCE AN ACCOUNT IS REFERRED TO COLLECTION IT IS REMOVED FROM THE REGULAR ACCOUNTS RECEIVABLE AND PLACED INTO THE BAD DEBT RECEIVABLE. AFTER THE FIVE MONTHS, IF THE COLLECTION AGENCY IS UNABLE TO COLLECT THE ACCOUNT, THE ACCOUNT IS THEN WRITTEN OFF. |
| 06. Needs assessment (Part VI, line 2) | THE MOUNT VERNON HOSPITAL WORKS COLLABORATIVELY WITH WESTCHESTER COUNTY DEPARTMENT OF HEALTH AND SEVERAL OTHER HOSPITALS IN THE COUNTY IN JOINT MEETINGS TO IDENTIFY COMMUNITY HEALTH NEEDS. DURING THE MEETINGS, HOSPITAL'S REPRESENTATIVE SHARED THE PREVALENCE OF OBESITY, CARDIOVASCULAR DISEASE AND DIABETES IN OUR SERVICE AREA. IN ADDITION INFORMATION ON CURRENT PROGRAMS AND POSSIBLE FUTURE REPORTS THAT COULD POSSIBLY IMPACT OUR CITIZENS' HEALTH THROUGH CHOOSING SALT REDUCTION ADN INCREASED PHYSICAL ACTIVITY WAS PROVIDED. THROUGH PUBLIC EDUCATION AND WITH A MULTI-PRONGED APPROACH, THE FOLLOWING ARE THE MOUNT VERNON HOSPITAL'S SELECTED PREVENTION AGENDA PRIORITIES ACTIVITIES. THE GOAL IS TO ENHANCE AWARENESS THAT LEADS TO IMPROVEMENT IN THE MEASUREMEMT DATA OR OUTCOMES. SALT REDUCTION:OUR HEALTH IMPROVEMENT GOALS ARE TO INCREASE EDUCATION THAT WILL TRANSLATE INTO POSITIVE MOVEMENT IN STATISTICAL INDICATORS. THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR SALT REDUCTION WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS N THE FOLLOWING AREAS: CORONARY HEART DISEASE HOSPITALIZATIONS, CONGESTIVE HEART FAILURE HOSPITALIZATIONS ADN CEREBROVASCULAR (STROKE) DISEASE MORTALITY. INCREASED PHYSICAL ACTIVITY - THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR INCREASED PHYSICAL ACTIVITY FOR OUR WAIST WATCHERS PROGRAM WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: PERCENTAGE OF OBESE ADULTS 25-65 YEARS ENROLLED IN WAIST WATCHERS AND THE PERCENTAGE OF THE MOUNT VERNON HOSPITAL WAIST WATCHERS GRADUATES WHO HAVE A REDCUTION IN THEIR BMI. IN ADDITION, OUR MAKING STRIDES AGAINST BREAST CANCER 5K WALK WILL USE WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS TO TRACK THE PERCENTAGE OF ADULTS WHO ARE OBESE AND PERCENTAGE OF ADULTS ENGAGED IN SOME TYPE OF LEISURE TIME PHYSICAL ACTIVITIES. ALSO, ATTENDANCE, SPONSORS AND COMMUNITY SUPPORTERS WILL BE A BAROMETER OF SUCCESS. H.I.I.P EDUCATION - THE MOUNT VERNON HOSPITAL CHOSE TO INCLUDE OUR OUTPATIENT H.I.I.P EDUCATION PROGRAM AS OUR THIRD PRIORITY AGENDA ITEM. OUR PROGRAM CONDUCTS HIV OUTREACH MOSTLY BY CO-LOCATING STAFF AT PARTNER SITES AS OPPOSED TO STAGING OUTREACH EVENTS. OUR PROGRAM GOALS AND OBJECTIVES WERE CHANGED FROM WE WILL LINK PARTICIPANTS TO HIV MEDICAL CARE, TO WE WILL LINK PARTICIPANTS TO HIV OR HCV MEDICAL CARE. |
| 07. Patient education (Part VI, line 3) | THE MOUNT VERNON HOSPITAL HAS ADDED OUR FINANCIAL AID POLICY TO OUR WEBSITE, AND ANNUALLY WE REMIND STAFF OF OUR POLICY AND THE CONTACTS NECESSARY SHOULD A PATIENT REQUIRE INFORMATION. TMVH POSTS THE POLICY IN PROMINENT LOCATIONS WITHIN THE HOSPITAL INCLUDING THE CLINIC, EMERGENCY DEPARTMENT AND OUTPATIENT AREAS. NEW HIRES LEARN OF THE POLICY DURING ORIENTATION AND THERE ARE ANNUAL TRAINING SESSIONS AND REFRESHERS ANYTIME THERE IS A CHANGE TO THE POLICY. OUR POLICY PROVIDES CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY, WHICH SUPPORTS OUR MISSION OF PROVIDING HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE THROUGHOUT OUR REGION. TO HELP WITH THIS WE HAVE ONE FINANCIAL COUNSELOR TO HELP PATIENTS APPLYING FOR ASSISTANCE. MAINTAINING SENSIBILITY AND CONCERN TO ALLEVIATE THE PATIENTS' FEARS ABOUT FINANCIAL ASSISTANCE, MAINTAINING EFFECTIVE COMMUNICATION WITH PATIENTS AND ENSURING ALL PATIENTS HAVE THE OPPORTUNITY TO APPLY FOR FINANCIAL AID ARE SOME OF THE ONGOING CHALLENGES EXPERIENCED. THE MOUNT VERNON HOSPITAL WILL ASSIST PATIENTS AND FAMILIES WITH APPLICATIONS FOR MEDICAID DURING THEIR INPATIENT STAY. PATIENTS ADMITTED TO THE HOSPITAL WILL BE VISITED BY A FINANCIAL COUNSELOR WHO WILL PROVIDE NECESSARY CONSULTATION. FOLLOW-UP APPOINTMENTS WITH FINANCIAL COUNSELORS CAN ALSO BE SCHEDULED AFTER DISCHARGE. OUR STAFF WILL WORK ON YOUR BEHALF TO OBTAIN THE NECESSARY BENEFITS. ANY QUESTIONS REGARDING THE ABOVE, PLEASE CONTACT THE PATIENT ADVOCATE AT (914)361-6158. THERE ARE NO FINANCIAL AID CHANGES PLANNED FOR THIS YEAR. WE WILL CONTINUE EDUCATING PATIENTS AND PROVIDING INFORMATION ABOUT THE PROCESS. |
| 08. Community information (Part VI, line 4) | THE MOUNT VERNON HOSPITAL'S PRIMARY SERVICE AREA (PSA) HAS BEEN DETERMINED BY THE NYS DEPARTMENT OF HEALTH AS THE FOLLOWING: BRONX, ORGANGE, PUTNAM, ROCKLAND, AND WESTCHESTER COUNTIES. |
| 09. Promoting community health (Part VI, line 5) | THE MOUNT VERNON HOSPITAL PARTICIPATES IN COMMUNITY OUTREACH EFFORTS THOUGHOUT THE YEAR. IN ADDITION TO OUR SUPPORT FOR THE COMMUNITY SOUP KITCHEN, MANY STAFF MEMBERS REPRESENT SOUND SHORE MEDICAL CENTER AT HEALTH FAIRS AS WELL AS PROVIDE EDUCATIONAL PRESENTATIONS, SEMINARS AND SCREENINGS ALONG WITH MONTHLY SUPPORT GROUPS INCLUDING: 1) ANNUAL TOY & COAT DRIVE DISTRIBUTED 950 TOYS AND 875 COATS.2) THE COMMUNITY SOUP KITCHEN FED OVER 1,000 PERSONS.3) FREE SCREENINGS PERFORMED FOR THE INDIGENT - 27 BLOOD PRESSURE, 27 GLUCOSE, AND 27 CHOLESTEROL.4) SUPPORT GROUP MEETINGS, HEALTH FAIR PRESENTATIONS AND EDUCATIONAL PRESENTATIONS PLUS 229 COUNSELING/TESTING. |
| 10. Affiliated health care system (Part VI, line 6) | SOUND SHORE HEALTHCARE SYSTEM, INC. |
| 11. State filings (Part VI, line 7) | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NEW YORK STATE. |
| 12. Other charity care criteria description (Part I, line 3c) | THE ORGANIZATION HAS A FINANCIAL ASSISTANCE POLICY IN PLACE DURING THE YEAR. THIS POLICY IS WRITTEN AND MADE AVAILABLE TO ALL PATIENTS REQUIRING ASSISTANCE. |
| 13. Subsidized health services costs (Part I, line 7g) | THE ORGANIZATION PROVIDE SUBSIDIZED HEALTH CARE SERVICES - CLINICS & EMERGENCY ROOMS. |
| 14. Costing methodology explanation (Part I, line 7) | THE ORGANIZATION USES THE RATIO OF COST TO CHARGES METHODOLGY PLUS AN ESTIMATE OF THE SELF PAY/UNINSURED BAD DEBT PATIENT WRITE-OFFS THAT WOULD HAVE QUALIFIED FOR OUR FINANCIAL ASSISTANCE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|
| DARIUSH ALAIE | ||||
| TRUSTEEPHYSICAN | $201,762 | $201,762 | ||
| RICHARD L PETRILLO | ||||
| ASST TREASURERPHYSICAN | $218,684 | $218,684 | ||
| STANLEY M BUTURLA | ||||
| INTERIM CFO | $222,308 | $222,308 | ||
| NICK DADDESIO | ||||
| VICE PRESIDENT OPERATIONS | $156,403 | $156,403 | ||
| JOHN R SPICER | ||||
| PRESIDENT & CEO | $821,136 | $821,136 | ||
| PRITI BORKER | ||||
| PHYSICAN | $322,690 | $322,690 | ||
| CHIH TANG CHANG | ||||
| ANESTHESIOLOGIST | $293,340 | $293,340 | ||
| RAOUF HANNA | ||||
| PHYSICAN | $236,555 | $236,555 | ||
| PAUL KOLTVICH | ||||
| PHYSICAN | $221,064 | $221,064 | ||
| BENTLY OGOKE | ||||
| PHYSICAN | $338,329 | $338,329 | ||
| DARYL GRAVES | ||||
| PHYSICAN | $260,993 | $260,993 | ||
| CLAUS P VON SCHORN | ||||
| PHYSICAN | $256,210 | $256,210 | ||
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOY NACLERIO | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | WIFE OF RICHARD J NACLERIO VP | RelationshipDescriptionTxt |
| Transaction | $45,557 | TransactionAmt |
| Transaction | SALARY PAID TO JOY NACLERIO FULLTIME EMPLOYEE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | FILED BANKRUPTCY 52913 CLOSED ITS BUSINESS 11513 ASSETS SOLD | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2013-11-05 | DistributionDt |
| Person | MONTEFIORE | PersonNm |
| IRC Section | 501C3 | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 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. |
| 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 WHICH WAS APPROVED BY THE BANKRUPTCY COURT PRIOR TO FILING WITH THE IRS. |
| 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 | FOR JOHN SPICER, PRESIDENT & CEO, STANLEY BUTURLA, INTERIM CFO THE BREAKDOWN OF TIME BETWEEN RELATED ORGANIZATIONS IS AS FOLLOWS:SOUND SHORE MEDICAL CENTER OF WESTCHESTER 24 HRS/WEEKMOUNT VERNON HOSPITAL 13 HRS/WEEKHOWE AVENUE NURSING HOME 3 HRS/WEEK |
| Other officer or key employee compensation Part VI line 15b | THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW OF OFFICERS' COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERENAL EQUITY CONSIDERATIONS, AND IT UTILIZES AN ANALYSIS OF OFFICER SALARIES PREPARED BY AN INDEPENDENT EXTERNAL ADVISOR USING INDUSTRY BENCHMARKING DATA. THE REVIEW PROCESS COVERS ALL OFFICERS AND THE LAST TIME IT WAS DONE WAS JANUARY 2013. |
| Form 990 availability to public Part VI line 18 | FINANCIAL STATEMENTS ADN 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. |
| Explanation of other changes in net assets or fund balances Part XI line 9 | FORM 990, PART X1, LINE 9:THE CHANGE IN THE VALUE OF INVESTMENT ACCOUNT IS: -$1,746.00. |
| 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.FORM 990, PART III, LINE I, DESCRIPTION OF ORGANIZATION MISSION:COMMUNITY MEMBER, ESPECIALLY THOSE WHO ARE SICK AND DISABLED. THIS IS ACCOMPLISHED BY DETERMINING, DEVELOPING, AND IMPLEMENTING HEALTHCARE PROGRAMS DESIGNED TO: OPTIMIZE THE USE OF ALL AVAILABLE HEALTHCARE, HOSPITAL, HEALTH SYSTEM, AND COMMUNITY SERVICES THROUGH THE COLLABORATIVE EFFORTS OF HEALTH SYSTEM AND HOSPITAL STAFF, COMMUNITY LEADERS, AND LOCAL AND REGIONAL ORGANIZATIONS. PROVIDE A CLIMATE IN WHICH PATIENTS' PAIN IS REGULARLY ASSESSED AND PROMPTLY AND EFFICIENTLY MANAGED. PROVIDE HEALTH EDUCATION TO COMMUNITY MEMBERS AND HEALTHCARE WORKERS AND TRAINING PROGRAMS FOR PHYSICIANS AND NURSES. IDENTIFY AND CARRY OUT QUALITY IMPORVEMENT EFFORTS THAT INCLUDE COMMUNITY AND COMMUNITY MEMBERS' VIEWS OF HOSPITAL AND HEALTH SYSTEM PROGRAMS.VISION STATEMENT: IN THE CONTEXT OF DEVELOPING AFFILIATION STRATEGIES THAT PROMOTE THE LONG-TERM WELL-BEING OF BOTH THE HEALTH SYSTEM AND THE HOSPITAL, EXPLORE FOR THE MOUNT VERNON HOSPITAL ITS ROLE AND PROGRAMS FOR THE COMING DECADE. WHILE PURSING THIS PLANNING INITIATIVE, MAINTAIN THE FINANCIAL STABILITY OF THE HOSPITAL IN ORDER TO PROVIDE NEEDED AND APPROPRIATE ACUTE MEDICAL, BEHAVIORAL HEALTH, AND AMBULATORY CARE SERVICES. CORE VALUES STATEMENT:THE HOSPITAL DEDICATES ITSELF TO PROVIDING QUALITY HEALTHCARE TO THE COMMUNITIES IT SERVES. IT BELIEVES THAT THE CORE VALUES OF CARING, COMPASSION, RESPECT, RESPONSIBILITY, INTEGRITY, AND CONFIDENTIALITY FORM THE BUILDING BLOCKS UPONS WHICH ALL EMPLOYEE INTERACTIONS ARE BASED.HOSPITAL STAFF IS EXPECTED TO COMMIT TO THESE CORE VALUES AND TO USE THEM TO GUIDE THEIR INTERACTIONS WITH PATIENTS, FAMILIES, VISITORS, FELLOW EMPLOYEES, PHYSICIANS, VENDORS, AND ANY OTHER INDIVIDUAL SEEKING SERVICES OR DOING BUSINESS WITH THE HOSPITAL. 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 OON UNAUDIED FINANCIAL STATEMENTS. IF ANY SIGNIFICANT DIFFERENCES ARISE AFTER THIS FILING, THIS RETURN WILL BE AMENDED TO PROPERLY REFLECT THE ADDITIONAL INFORMATION. FORM 990, PART VII:DAIUSH ALAIE, WAS PAID FOR SERVICES PERFORMED AS A PHYSICIAN AND NOT FOR SERVICES AS A TRUSTEE OR OFFICER.RICHARD L. PETRILLO, WAS PAID FOR SERVICES PERFORMED AS A PHYSICIAN AND NOT FOR SERVICES AS A TRUSTEE OR OFFICER. 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| NRHMC SERVICES CORPORATION | |||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133769137 | SPACE RENTAL | NY | N/A | C Corp | false |
| SOUND SHORE PHARMACY INC | |||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133916523 | PHARMACY | NY | N/A | C Corp | false |
| 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 | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |