MOUNT VERNON HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT VERNON HOSPITAL (EIN 13-1740115)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-11-01
- IRS object ID
- 201343059349301269
- Schema version
- 2011v1.5
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-01T15:27:01-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221478099 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 6TH AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740115 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 9143653500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVE | AddressLine1 |
| City | MOUNT VERNON | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STANLEY M BUTURLA | Name |
| Title | INTERM CFO | Title |
| Phone | 9143653500 | Phone |
| Date Signed | 2013-11-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LANNING | Name |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STANLEY M BUTURLA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVE | AddressLine1 |
| City | MOUNT VERNON | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 83107185 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SSHSW.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1937 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | THE MOUNT VERNON HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES TO MOUNT VERNON AND SURROUNDING COMMUNITIES BY DELIVERING EFFICIENT AND EFFECTIVE HEALTHCARE PROGRAMS TO THOSE WHO ARE SICK AND OR DISABLED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 692 | TotalNbrEmployees |
| Total Nbr Volunteers | 55 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7376738 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7700684 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 84998366 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 75001360 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 14200 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12915 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 654563 | OtherRevenuePriorYear |
| Other Revenue Current Year | 392226 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 93043867 | TotalRevenuePriorYear |
| Total Revenue Current Year | 83107185 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 50124182 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 49377899 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 37199367 | OtherExpensePriorYear |
| Other Expenses Current Year | 36135666 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 87323549 | TotalExpensesPriorYear |
| Total Expenses Current Year | 85513565 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5720318 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2406380 | RevenuesLessExpensesCY |
| Total Assets BOY | 30722675 | TotalAssetsBOY |
| Total Assets EOY | 32728981 | TotalAssetsEOY |
| Total Liabilities BOY | 42226554 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 47275538 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -11503879 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -14546557 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MOUNT VERNON HOSPITAL AND SOUND SHORE HEALTH SYSTEM DEDICATE THEMSELVES TO PROVIDING QUALITY HEALTHCARE SERVICES TO MOUNT VERNON AND SURROUNDING COMMUNITIES BY DELIVERING EFFICIENT, EFFECTIVE, AND COLLABORATIVE HEALTHCARE PROGRAMS THAT PROMOTE THE HEALTH OF EVERY 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 ORGANZIATIONS. 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 ANDNURSES. IDENTIFY AND CARRY OUT QUALITY IMPROVEMENT EFFORTS THAT INCLUDE COMMUNITY AND COMMUNITY MEMBERS' VIEWS OF HOSPITAL AND | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 51234981 | Expense |
| Revenue | 63152744 | Revenue |
| Description | THE MOUNT VERNON HOSPITAL IS A NON PROFIT GENERAL HOSPITAL. PROGRAM EXPENSES ARE FOR PATIENT CARE. THE HOSPITAL HAS 245 CERTIFIED BEDS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10079285 | Expense |
| Revenue | 1180339 | Revenue |
| Description | EMERGENCY, THE HOSPITAL HAD A TOTAL OF 20,233 AND 20,896 EMERGENCY ROOM VISITS FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4220916 | Expense |
| Revenue | 1405779 | Revenue |
| Description | CLINICS, THE HOSPITAL HAD A TOTAL OF 21,214 AND 26,589 CLINICAL VISITS FOR THE YEAR ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 768399 | Expense |
| Revenue | 1074339 | Revenue |
| Description | THE HOSPITAL ALSO OPERATES THE DOROTHEA HOPFER SCHOOL OF NURSING ("SCHOOL OF NURSING"), CHARTERED BY NEW YORK STATE SINCE 1901. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 768399 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1074339 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 66303581 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 1 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 59 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 692 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANLEY M BUTURLA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9143653500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVE | AddressLine1 |
| City | MOUNT VERNON | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ALAIE DARIUSH | ||||||||
| TRUSTEE/PHYSICAN | 40.00 | X | 202071 | 0 | 9071 | |||
| BAISDEN WENDELL ELLIOTT | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BUFANO VINCENT M | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CAPASSO PAT | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CONSOLZAIO SAMUEL | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DEBELLIS ANTHONY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DECOHEN TROY PRESTON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DEVERNA DARREN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| NACLERIO RICHARD J | ||||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | X | ||
| PETRILLO RICHARD L | ||||||||
| ASST. TREASURER/PHYSICAN | 40.00 | X | 247208 | 0 | 0 | X | ||
| WOOD DANNA | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| D'ADDESIO NICK | ||||||||
| VICE PRESIDENT OPERATIONS | 40.00 | 165202 | 0 | 11071 | X | |||
| FARINA ALBERT | ||||||||
| CFO | 13.60 | 0 | 327023 | 9093 | X | |||
| SPICER JOHN R | ||||||||
| PRESIDENT & CEO | 13.60 | 0 | 856508 | 9093 | X | |||
| CHUNG KUN YOUNG | ||||||||
| MEDICAL DIRECTOR, PAHTOLOGY | 40.00 | 234255 | 0 | 11061 | X | |||
| AGNANT GUIRLAINE | ||||||||
| PHYSICAN | 40.00 | 258971 | 0 | 11071 | X | |||
| BORKER PRITI | ||||||||
| PHYSICAN | 40.00 | 313093 | 0 | 11071 | X | |||
| CHANG CHIH TANG | ||||||||
| ANESTHESIOLOGIST | 40.00 | 318639 | 0 | 13320 | X | |||
| KOLTVICH PAUL | ||||||||
| PHYSICAN | 40.00 | 262464 | 0 | 13071 | X | |||
| OGOKE BENTLEY | ||||||||
| PHYSICAN | 40.00 | 324872 | 0 | 9071 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2326775 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1183531 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 106993 | TotalOtherCompensation |
| Number Individuals GT100 K | 103 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PRICEWATERHOUSE COOPER | |||||
| 2001 MARKET STREET | PHILADELPHIA | PA | 19170 | ACCOUNTING SERVICES | 335538 |
| MILLER & MALLONE PC | |||||
| 100 QUENTIN ROOSEVELT BLVD | GARDEN CITY | NY | 11530 | LEGAL SERVICES | 274140 |
| WHITAKER MEDICAL LLC | |||||
| DEPT 105 PO BOX 4346 | HOUSTON | TX | 77210 | MEDICAL SERVICES | 203728 |
| DELOITTE & TOUCHE LLP | |||||
| PO BOX 7247 | PHILADELPHIA | PA | 19170 | ACCOUNTING SERVICES | 149973 |
| SAL M SCHILIRO | |||||
| 373 PACKMAN AVE | MOUNT VERNON | NY | 10550 | LEGAL SERVICES | 127992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 7691285 | GovernmentGrants |
| All Other Contributions | 9399 | AllOtherContributions |
| Total Contributions | 7700684 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621110 | 70517657 | 70517657 |
| PHYSICAN BILLING | 621110 | 3197726 | 3197726 |
| SCHOOL OF NURSING & MR | 611710 | 1074339 | 1074339 |
| PART A ANESTHESIA | 621110 | 107743 | 107743 |
| INCOME METH CLINIC | 621400 | 103895 | 103895 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 75001360 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12915 | TotalRevenueColumn |
| Exclusion | $12,915 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 128527 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 128527 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 128527 | TotalRevenueColumn |
| Exclusion | $128,527 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETARIA & COFFEE SHO | 722210 | 34021 | $34,021 | |
| DISCOUNTS & REBATES | 900099 | 31737 | 31737 | |
| VENDING | 722210 | 8400 | $8,400 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 189541 | TotalRevenueColumn |
| Related Or Exempt Function Income | 189541 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 263699 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 83107185 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75222638 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $183,863 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 870939 | Total |
| Program Services | 653204 | ProgramServices |
| Management And General | 217735 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37720749 | Total |
| Program Services | 28290563 | ProgramServices |
| Management And General | 9430186 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7960663 | Total |
| Program Services | 5970498 | ProgramServices |
| Management And General | 1990165 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2825548 | Total |
| Program Services | 2119161 | ProgramServices |
| Management And General | 706387 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 477724 | Total |
| Program Services | 358293 | ProgramServices |
| Management And General | 119431 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 404496 | Total |
| Program Services | 303372 | ProgramServices |
| Management And General | 101124 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1994202 | Total |
| Program Services | 1495651 | ProgramServices |
| Management And General | 498551 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1530 | Total |
| Program Services | 1148 | ProgramServices |
| Management And General | 382 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14680954 | Total |
| Program Services | 10273680 | ProgramServices |
| Management And General | 4407274 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28883 | Total |
| Program Services | 21662 | ProgramServices |
| Management And General | 7221 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1173281 | Total |
| Program Services | 879961 | ProgramServices |
| Management And General | 293320 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31952 | Total |
| Program Services | 23964 | ProgramServices |
| Management And General | 7988 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4779 | Total |
| Program Services | 3584 | ProgramServices |
| Management And General | 1195 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 458894 | Total |
| Program Services | 344171 | ProgramServices |
| Management And General | 114723 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2549386 | Total |
| Program Services | 1912040 | ProgramServices |
| Management And General | 637346 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1627667 | Total |
| Program Services | 1220750 | ProgramServices |
| Management And General | 406917 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 8188159 | 8188159 | |
| MEDICAL SUPPLIES | 2133355 | 2133355 | |
| LAB SUPPLIES | 1300249 | 1300249 | |
| COLLECTION FEES - BAD D | 1080155 | 810116 | 270039 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85513565 | Total |
| Program Services | 66303581 | ProgramServices |
| Management And General | 19209984 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1753538 | BOY |
| EOY | 2147044 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9898388 | BOY |
| EOY | 9232509 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206105 | BOY |
| EOY | 280817 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211620 | BOY |
| EOY | 127932 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 88601071 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 73603088 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13763204 | BOY |
| EOY | 14997983 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4889820 | BOY |
| EOY | 5942696 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30722675 | BOY |
| EOY | 32728981 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14308744 | BOY |
| EOY | 18201250 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4363493 | BOY |
| EOY | 4130536 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23554317 | BOY |
| EOY | 24943752 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42226554 | BOY |
| EOY | 47275538 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -12311941 | BOY |
| EOY | -15407492 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165899 | BOY |
| EOY | 165899 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 642163 | BOY |
| EOY | 695036 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -11503879 | BOY |
| EOY | -14546557 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30722675 | BOY |
| EOY | 32728981 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2406380 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -636298 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 52497 | BeginningOfYearBalance |
| End Of Year Balance | 52497 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 52960 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -913 | InvestmentEarningsOrLosses |
| Administrative Expenses | -450 | AdministrativeExpenses |
| End Of Year Balance | 52497 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 934690 | BeginningOfYearBalance |
| Contributions | -885000 | Contributions |
| Investment Earnings Or Losses | 3270 | InvestmentEarningsOrLosses |
| End Of Year Balance | 52960 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 934690 | BeginningOfYearBalance |
| End Of Year Balance | 934690 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 772145 | OtherCostOrOtherBasis |
| Book Value | 772145 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 49960477 | OtherCostOrOtherBasis |
| Depreciation | 38302922 | Depreciation |
| Book Value | 11657555 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 401766 | OtherCostOrOtherBasis |
| Depreciation | 344489 | Depreciation |
| Book Value | 57277 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37466683 | OtherCostOrOtherBasis |
| Depreciation | 34955677 | Depreciation |
| Book Value | 2511006 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14997983 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM THIRD PARTY PAYORS | 3194340 |
| DUE FROM AFFILIATES | 427535 |
| ASSETS LIMITED TO USE | 4996 |
| SUPPLIES AND OTHER CURRENT ASSETS | 1459856 |
| ASSETS LIMITED TO USE LESS CURRENT PORTION | 855969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5942696 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST LIAB FOR SELF-INS. LOSS | $9,652,370 |
| DUE TO THIRD-PARTY PAYORS | $5,995,903 |
| DUE TO AFFILIATE | $1,647,687 |
| ACCRUED PENSION LIABILITY | $7,084,310 |
| ASSET RETIREMENT OBLIGATION | $563,482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 24943752 | TotalOfAmounts |
| Total Revenue | 83107185 | TotalRevenue |
| Total Expenses | 85513565 | TotalExpenses |
| Excess Or Deficit For Year | -2406380 | ExcessOrDeficitForYear |
| Other | -$636,298 | OtherAmount |
| Total Adjustments | -636298 | TotalAdjustments |
| Excess Or Deficit Per FS | -3042678 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 74919026 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -8188159 | OtherRevenues |
| Revenue Not Rptd F990 | -8188159 | RevenueNotRptdF990 |
| Revenue Subtotal | 83107185 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 83107185 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 77325406 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 77325406 | ExpensesSubtotal |
| Other Expenses Not Included | 8188159 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 8188159 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 85513565 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE DONOR RESTRICTED FUNDS ARE FOR SPECIFIC PROGRAMS AS ADVISED BY THE DONORS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | INCREASE IN MINIMUM PENSION LIABILITY -689,171. OTHER CHANGES IN PERMANENT NET ASSETS 52,873. TOTAL TO SCHEDULE D, PART XI, LINE 8: -636,298. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT -8,188,159. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT 8,188,159. |
Schedule E IRS990ScheduleE
| Field | Value | IRS element (for citing) |
|---|---|---|
| Nondiscriminatory Policy Stmt | 1 | NondiscriminatoryPolicyStmt |
| Policy Statement In Brochures Etc | 1 | PolicyStatementInBrochuresEtc |
| Policy Publ Via Broadcast Media | 1 | PolicyPublViaBroadcastMedia |
| Maint Racial Composition Records | 1 | MaintRacialCompositionRecords |
| Maint Scholarships Records | 1 | MaintScholarshipsRecords |
| Maint Copies Of Brochures Etc | 1 | MaintCopiesOfBrochuresEtc |
| Maint Copies Of All Solicitations | 1 | MaintCopiesOfAllSolicitations |
| Discriminate Race Students Rights | 0 | DiscriminateRaceStudentsRights |
| Discriminate Race Admiss Policies | 0 | DiscriminateRaceAdmissPolicies |
| Discriminate Race Emplmn Faculty | 0 | DiscriminateRaceEmplmnFaculty |
| Discriminate Race Scholarships | 0 | DiscriminateRaceScholarships |
| Discriminate Race Educ Policies | 0 | DiscriminateRaceEducPolicies |
| Discriminate Race Use Of Fclts | 0 | DiscriminateRaceUseOfFclts |
| Discriminate Race Athletic Prog | 0 | DiscriminateRaceAthleticProg |
| Discriminate Race Other Acty | 0 | DiscriminateRaceOtherActy |
| Government Financial Aid Received | 0 | GovernmentFinancialAidReceived |
| Government Financial Aid Revoked | 0 | GovernmentFinancialAidRevoked |
| Compliance With Rev Proc7550 | 1 | ComplianceWithRevProc7550 |
Form990 Schedule E Part II Form990ScheduleEPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION | Identifier |
| Return Reference | SCHEDULE E, PART I, LINE 3 | ReturnReference |
| Explanation | THE ORGANIZATION PUBLISHES ITS NONDISCRIMINATORY POLICY IN ITS SCHOOL BROCHURES, OTHER MATERIALS, AS WELL AS, ON ITS WEBSITE. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11799809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5719693 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6080116 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07970 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26428029 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16761277 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9666752 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12680 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 38227838 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22480970 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15746868 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.20650 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28041 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28041 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5210245 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4326185 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 884060 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01160 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2949875 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2629752 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 320123 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8188161 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6955937 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1232224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01620 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46415999 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29436907 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16979092 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.22270 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,351,778 | BadDebtExpenseAmount |
| Amount Attributable To | 2122157 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14391050 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16031174 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1640124 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH AVENUE | AddressLine1 |
| City | MT VERNON | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | VOLUNTARY ACUTE CARE HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| METHADONE MAINTENANCE OP CLINIC | ||||
| 3 SOUTH 6TH AVENUE | MT VERNON | NY | 10551 | HOSPITAL EXTENSION CLINIC |
| MVH PARTIAL HOSPITALIZATION PROGRAM | ||||
| 105 STEVENS AVENUE | MT VERNON | NY | 10550 | HOSPITAL EXTENSION CLINIC |
| INFECTIOUS DISEASE CENTER | ||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10802 | HOSPITAL EXTENSION CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 6A: THE ANNUAL COMMUNITY BENEFIT REPORT WAS MADE AVAILABLE TO THE PUBLIC. | ||
| PART I, L7 COL(F): BAD EXPENSES OF $9,268,314 WAS SUBSTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.THE PERCENTAGE WAS CALCULATED BASED ON RCC COST ACCOUNTING SYSTEM. | ||
| PART III, LINE 4: THE COST OF BAD DEBTS HAS BEEN QUANTIFIED 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/UNISURED BAD DEBT PATIENT WRITE-OFFS THAT WOULD HAVE QUALIFIED FOR OUR FINANCIAL ASSISTANCE. | ||
| PART III, LINE 8: THE SHORTFALL REPORTED ON PART III, LINE 7 WAS NOT TREATED AS COMMUNITY BENEFIT. | ||
| PART III, LINE 9B: FINANCIAL ASSISTANCE IS PROVIDED TO THOSE INDIVIDUIALS WHO ARE UNABLE TO PAY IN FULL FOR THEIR HEALTHCARE AND DO NOT QUALITY 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 FOR NON-PAYMENT WITHIN THE GUIDELINES SET FORTH BY FEDERAL REGULATION. 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 REFRRED 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. | ||
| PART V, SECTION B, LINE 19D: THE PERSONS ARE BILLED AT THE MEDICAID RATE. | THE MOUNT VERNON HOSPITAL | |
| PART VI, LINE 2: NEEDS ASSESSMENT - THE 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 AND 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 MEASUREMENT DATA OR OUTCOMES. SALT REDUCTION - OUR HEALTH IMPROVEMENT GOALS ARE TO INCRESAE EDUCATION THAT WILL TRANSLATE INTO POSITIVE MOVEMENT IN STATISTICAL INDICATORS. THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR SALT REDCUTION WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: CORONARY HEART DISEASE HOSPITALIZATIONS, CONGESTIVE HEART FAILURE HOSPITALIZATIONS AND CERBROVASCULAR (STROKE) DISEASE MORTALITY.INCREASED PHYSICAL ACTIVITY - THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR INCREASED PHYSICAL ACTIVITY FOR OUR WAIST WATCHERS PROGRAM WILL BE DERTERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING | ||
| PART VI, LINE 3: TMVH 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 REFRESTHERS ANYTHIME THERE IS A CHANGE TO THE POLICY.OUR POLCY PROVIDES CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY, WHICH SUPPORTS OUR MISSION OF "PROVIDING HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE THROUGOUT OUR REGION". TO HELP WITH THIS, WE HAVE ONE FINANCIAL COUNSELOR TO HELP PATIENTS APPLYING FOR ASSISTANCE. MAINTAING SENSIBILILTY 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 APPORTIONTMENTS WITH FINANCIAL COUNSELORS CAN ALSO BE SECHEDULED 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 INFORMAITON ABOUT THE PROCESS. | ||
| PART VI, LINE 4: TMVH'S PRIMARY SERVICE AREA (PSA) HAS BEEN DETERMINDED BY THE NYS DEPARTMENT OF HEALTH AS BRONX, ORANGE, PUTNAM, ROCKLAND AND WESTCHESTER COUNTIES. | ||
| PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH - THE MOUNT VERNON HOSPITAL PARTICIPATES IN COMMUNITY OUTREACH EFFORTS THROUGHOUT THE YEAR. IN ADDITION TO OUR SUPPORT FOR THE COMMUNITY SOUP KITCHEN, MANY STAFF MEMBERS REPRESENT SSMC AT HEALTH FAIRS AS WELL AS PROVIDE EDUCATIONAL PRESENTATIONS, SEMINARS AND SCREENINGS ALONG WITH MONTHLY SUPPORT GROUPS INCLUDING: 1) ANNUAL TOY & COAT DRIVE 2) THE COMMUNITY SOUP KITCHEN 3) FREE SCREENINGS PEFORMED FOR THE INDIGENT 4) SUPPORT GROUP MEETINGS, HEALTH FAIR PRESENTATIONS AND EDUCATIONAL PRESENTATIONS. | ||
| PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM IS SOUND SHORE HEALTHCARE SYSTEM, INC. | ||
| NY | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAIE DARIUSH | |||||||||||||
| 201700 | 0 | 0 | 0 | 371 | 0 | 0 | 0 | 9071 | 0 | 211142 | 0 | 0 | 0 |
| PETRILLO RICHARD L | |||||||||||||
| 247208 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 247208 | 0 | 0 | 0 |
| D'ADDESIO NICK | |||||||||||||
| 162023 | 0 | 0 | 0 | 3179 | 0 | 0 | 0 | 11071 | 0 | 176273 | 0 | 0 | 0 |
| FARINA ALBERT | |||||||||||||
| 0 | 320573 | 0 | 0 | 0 | 6450 | 0 | 0 | 0 | 9093 | 0 | 336116 | 0 | 0 |
| SPICER JOHN R | |||||||||||||
| 0 | 846608 | 0 | 0 | 0 | 9900 | 0 | 0 | 0 | 9093 | 0 | 865601 | 0 | 0 |
| CHUNG KUN YOUNG | |||||||||||||
| 227991 | 0 | 0 | 0 | 6264 | 0 | 0 | 0 | 11061 | 0 | 245316 | 0 | 0 | 0 |
| AGNANT GUIRLAINE | |||||||||||||
| 258971 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11071 | 0 | 270042 | 0 | 0 | 0 |
| BORKER PRITI | |||||||||||||
| 309695 | 0 | 0 | 0 | 3398 | 0 | 0 | 0 | 11071 | 0 | 324164 | 0 | 0 | 0 |
| CHANG CHIH TANG | |||||||||||||
| 315075 | 0 | 0 | 0 | 3564 | 0 | 0 | 0 | 13320 | 0 | 331959 | 0 | 0 | 0 |
| KOLTVICH PAUL | |||||||||||||
| 261222 | 0 | 0 | 0 | 1242 | 0 | 0 | 0 | 13071 | 0 | 275535 | 0 | 0 | 0 |
| OGOKE BENTLEY | |||||||||||||
| 324872 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9071 | 0 | 333943 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOY NACLERIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | WIFE OF RICHARD J. NACLERIO, VP | Relationship |
| Amount Of Transaction | 49275 | AmountOfTransaction |
| Description Of Transaction | JOY NACLERIO, THE WIFE OF RICHARD J. NACLERIO, A VICE PRESIDENT OF THE MOUNT VERNON HOSPITAL, IS A FULL TIME EMPLOYEE OF THE MOUNT VERNON HOSPITAL. IN 2011, $49,275 WAS PAID FOR MS. NACLERIO'S SERVICES AS A PATIENT NAVIGATOR. MR. NACLERIO DID NOT PARTICIPATE IN THE MOUNT VERNON HOSPITAL'S APPROVAL TO ENGAGE IN THE DECISION OF EMPLOYMENT. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION MISSION STATEMENT | FORM 990, PART III, LINE 1 | 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 PURSUING 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 UPON 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 VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A SINGLE MEMBER, SOUND SHORE HEALTH SYSTEM, INC., WHICH IS A NOT FOR PROFIT CORPORATION AND A PARTENT ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE TAX RETURN WAS PREPARED BY FINANICE DEPARTMENT. IT WAS REVIEWED BY AN INDPENDENT ACCOUNTANT. THE TAX RETURN WAS THEN REVIEWED BY THE EXECUTIVE MANAGEMENT AND PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 15B | THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUALREVIEW OF OFFICERS' COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES VAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERNAL 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 2012. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON GUIDESTAR. OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART VII, SECTION A: | FOR JOHN SPICER, PRESIDENT & CEO, AND ALBERT FARINA, ASSTISTANT TREASURER AND CFO, THE BREAKDOWN OF TIME BETWEEN RELATED ORGANIZATIONS IS AS FOLLOWS: SOUND SHORE MEDICAL CENTER OF WESTCHESTER 23.6 HRS/WEEK MOUNT VERNON HOSPITAL 13.6 HRS/WEEK HOWE AVENUE NURSING HOME 2.8 HRS/WEEK | |
| FORM 990, PART VII: | DARIUSH ALAIE, WAS WAS PAID FOR SERVICES PREFORMED AS PHYSICIAN AND NOT FOR TRUSTEE OR OFFICER. RICHARD L PETRILLO, WAS WAS PAID FOR SERVICES PREFORMED AS PHYSICIAN AND NOT FOR TRUSTEE OR OFFICER. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | INCREASE IN MINIMUM PENSION LIABILITY -689,171. OTHER CHANGES IN PERMANENT NET ASSETS 52,873. TOTAL TO FORM 990, PART XI, LINE 5: -636,298. |
| FORM 990, PART XII, LINE 2C: | THE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | |
| FORM 990, PART VI, LINE 12,13,14: | THE ORGANZIATION FOLLOWS THE POLICIES OF ITS PARENT ORGANIZATION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUND SHORE HEALTH SYSTEM | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 134011398 | MANAGEMENT | NY | 501(C)(3) | LINE 3 | N/A | 0 | |
| MVH CORPORATION | |||||||||||
| 12 NORTH SEVENTH AVENUE | MOUNT VERNON | NY | 10550 | 133281514 | INACTIVE | NY | 501(C)(3) | LINE 3 | 0 | THE MOUNT VERON HOSPITAL | |
| SOUND SHORE MEDICAL CENTER OF WESTCHESTER | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 131740117 | HOSPITAL | NY | 501(C)(3) | LINE 3 | 0 | SOUND SHORE HEALTH SYSTEM | |
| HOWE AVENUE NURSING HOME | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 237000781 | NURSING HOME | NY | 501(C)(3) | LINE 9 | 0 | SOUND SHORE MEDICAL CENTER OF WESTCHESTER | |
| GUION PLACE HOUSING COMPANY | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 136179280 | HOUSING CORP | NY | 501(C)(2) | 0 | SOUND SHORE MEDICAL CENTER OF WESTCHESTER | ||
| LOCKWOOD AVE HOUSING COMPANY | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 237003479 | HOUSING CORP | NY | 501(C)(2) | 0 | SOUND SHORE MEDICAL CENTER OF WESTCHESTER | ||
| NRHMC INC | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133272830 | SUPPORTING | NY | 501(C)(3) | LINE 11B, II | 0 | SOUND SHORE MEDICAL CENTER OF WESTCHESTER | |
| SOUND SHORE MEDICAL CENTER OF WESTCHESTER FOUNDATION | |||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133593049 | FUNDRAISING | NY | 501(C)(3) | LINE 9 | 0 | NRHMC INC | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| NRHMC SERVICES CORPORATION | ||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133769137 | SPACE RENTAL | NY | N/A | C |
| SOUND SHORE PHARMACY INC | ||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133916523 | PHARMACY | NY | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |