2013-11-01T15:27:01-05:00 2011-12-31 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2011-01-01 131740115 THE MOUNT VERNON HOSPITAL MOUN 9143653500 12 NORTH SEVENTH AVE MOUNT VERNON NY 10550 STANLEY M BUTURLA 9143653500 2013-11-01 1 THOMAS LANNING P00851654 2122970400 2011 2016-02-24 21:20:13Z STANLEY M BUTURLA 12 NORTH SEVENTH AVE MOUNT VERNON NY 10550 83107185 0 X WWW.SSHSW.ORG X 1937 NY 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. 11 9 692 55 0 0 7376738 7700684 84998366 75001360 14200 12915 654563 392226 93043867 83107185 0 0 0 0 50124182 49377899 0 0 0 37199367 36135666 87323549 85513565 5720318 -2406380 30722675 32728981 42226554 47275538 -11503879 -14546557 X 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 0 0 51234981 63152744 THE MOUNT VERNON HOSPITAL IS A NON PROFIT GENERAL HOSPITAL. PROGRAM EXPENSES ARE FOR PATIENT CARE. THE HOSPITAL HAS 245 CERTIFIED BEDS. 10079285 1180339 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. 4220916 1405779 CLINICS, THE HOSPITAL HAD A TOTAL OF 21,214 AND 26,589 CLINICAL VISITS FOR THE YEAR ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. 768399 1074339 THE HOSPITAL ALSO OPERATES THE DOROTHEA HOPFER SCHOOL OF NURSING ("SCHOOL OF NURSING"), CHARTERED BY NEW YORK STATE SINCE 1901. 768399 1074339 66303581 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 1 59 0 1 692 1 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 1 0 NY X STANLEY M BUTURLA 9143653500 12 NORTH SEVENTH AVE MOUNT VERNON NY 10550 X ALAIE DARIUSH 40.00 X 202071 0 9071 BAISDEN WENDELL ELLIOTT 1.00 X 0 0 0 BUFANO VINCENT M 1.00 X 0 0 0 CAPASSO PAT 1.00 X 0 0 0 CONSOLZAIO SAMUEL 1.00 X 0 0 0 DEBELLIS ANTHONY 1.00 X 0 0 0 DECOHEN TROY PRESTON 1.00 X 0 0 0 DEVERNA DARREN 1.00 X 0 0 0 NACLERIO RICHARD J 1.00 X X 0 0 0 PETRILLO RICHARD L 40.00 X X 247208 0 0 WOOD DANNA 1.00 X X 0 0 0 D'ADDESIO NICK 40.00 X 165202 0 11071 FARINA ALBERT 13.60 X 0 327023 9093 SPICER JOHN R 13.60 X 0 856508 9093 CHUNG KUN YOUNG 40.00 X 234255 0 11061 AGNANT GUIRLAINE 40.00 X 258971 0 11071 BORKER PRITI 40.00 X 313093 0 11071 CHANG CHIH TANG 40.00 X 318639 0 13320 KOLTVICH PAUL 40.00 X 262464 0 13071 OGOKE BENTLEY 40.00 X 324872 0 9071 2326775 1183531 106993 103 0 1 0 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 5 7691285 9399 7700684 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 75001360 12915 12915 128527 0 128527 128527 128527 CAFETARIA & COFFEE SHO 722210 34021 34021 DISCOUNTS & REBATES 900099 31737 31737 VENDING 722210 8400 8400 189541 189541 263699 83107185 75222638 0 183863 870939 653204 217735 37720749 28290563 9430186 7960663 5970498 1990165 2825548 2119161 706387 477724 358293 119431 404496 303372 101124 1994202 1495651 498551 1530 1148 382 14680954 10273680 4407274 28883 21662 7221 1173281 879961 293320 31952 23964 7988 4779 3584 1195 458894 344171 114723 2549386 1912040 637346 1627667 1220750 406917 BAD DEBT 8188159 8188159 MEDICAL SUPPLIES 2133355 2133355 LAB SUPPLIES 1300249 1300249 COLLECTION FEES - BAD D 1080155 810116 270039 85513565 66303581 19209984 0 1753538 2147044 9898388 9232509 206105 280817 211620 127932 88601071 73603088 13763204 14997983 4889820 5942696 30722675 32728981 14308744 18201250 4363493 4130536 23554317 24943752 42226554 47275538 X -12311941 -15407492 165899 165899 642163 695036 -11503879 -14546557 30722675 32728981 X -2406380 -636298 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52497 52497 52960 -913 -450 52497 934690 -885000 3270 52960 934690 934690 1.00000 0 0 772145 772145 49960477 38302922 11657555 401766 344489 57277 37466683 34955677 2511006 14997983 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 5942696 EST LIAB FOR SELF-INS. LOSS 9652370 DUE TO THIRD-PARTY PAYORS 5995903 DUE TO AFFILIATE 1647687 ACCRUED PENSION LIABILITY 7084310 ASSET RETIREMENT OBLIGATION 563482 24943752 83107185 85513565 -2406380 -636298 -636298 -3042678 74919026 -8188159 -8188159 83107185 0 83107185 77325406 0 77325406 8188159 8188159 85513565 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. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 THE ORGANIZATION PUBLISHES ITS NONDISCRIMINATORY POLICY IN ITS SCHOOL BROCHURES, OTHER MATERIALS, AS WELL AS, ON ITS WEBSITE. 1 1 X 1 X 1 X 1 1 1 0 1 1 11799809 5719693 6080116 0.07970 26428029 16761277 9666752 0.12680 38227838 22480970 15746868 0.20650 28041 0 28041 0.00040 5210245 4326185 884060 0.01160 2949875 2629752 320123 0.00420 8188161 6955937 1232224 0.01620 46415999 29436907 16979092 0.22270 1 4351778 2122157 14391050 16031174 -1640124 X 1 1 1 1 THE MOUNT VERNON HOSPITAL

12 NORTH AVENUE MT VERNON NY 10550

X X X X VOLUNTARY ACUTE CARE HOSPITAL THE MOUNT VERNON HOSPITAL 1 1 1 100.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X 1 X X 1 X X X X X X 1 X 0 0 3 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 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. THE MOUNT VERNON HOSPITAL PART V, SECTION B, LINE 19D: THE PERSONS ARE BILLED AT THE MEDICAID RATE. 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. REPORTS FILED WITH STATES PART VI, LINE 7 NY X X X X X 0 0 0 0 0 0 0 0 0 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 JOY NACLERIO WIFE OF RICHARD J. NACLERIO, VP 49275 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. 0 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. 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 THE MOUNT VERON HOSPITAL 0 SOUND SHORE MEDICAL CENTER OF WESTCHESTER 16 GUION PLACE NEW ROCHELLE NY 10801 131740117 HOSPITAL NY 501(C)(3) LINE 3 SOUND SHORE HEALTH SYSTEM 0 HOWE AVENUE NURSING HOME 16 GUION PLACE NEW ROCHELLE NY 10801 237000781 NURSING HOME NY 501(C)(3) LINE 9 SOUND SHORE MEDICAL CENTER OF WESTCHESTER 0 GUION PLACE HOUSING COMPANY 16 GUION PLACE NEW ROCHELLE NY 10801 136179280 HOUSING CORP NY 501(C)(2) SOUND SHORE MEDICAL CENTER OF WESTCHESTER 0 LOCKWOOD AVE HOUSING COMPANY 16 GUION PLACE NEW ROCHELLE NY 10801 237003479 HOUSING CORP NY 501(C)(2) SOUND SHORE MEDICAL CENTER OF WESTCHESTER 0 NRHMC INC 16 GUION PLACE NEW ROCHELLE NY 10801 133272830 SUPPORTING NY 501(C)(3) LINE 11B, II SOUND SHORE MEDICAL CENTER OF WESTCHESTER 0 SOUND SHORE MEDICAL CENTER OF WESTCHESTER FOUNDATION 16 GUION PLACE NEW ROCHELLE NY 10801 133593049 FUNDRAISING NY 501(C)(3) LINE 9 NRHMC INC 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1