PHELPS MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PHELPS MEMORIAL HOSPITAL ASSOCIATION (EIN 13-1725076)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201123159349302692
- Schema version
- 2010v3.4
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T15:19:27-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JH COHN 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 | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131725076 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PHEL | NameControl |
| Phone | 9143663000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1 |
| City | SLEEPY HOLLOW | City |
| State | NY | State |
| ZIP Code | 105911020 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEITH F SAFIAN | Name |
| Title | PRESIDENT | Title |
| Phone | 9143663000 | Phone |
| Date Signed | 2011-11-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LANNING | Name |
| Phone | 2122970400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEITH F SAFIAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1 |
| City | SLEEPY HOLLOW | City |
| State | NY | State |
| ZIP Code | 105911020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 191649068 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | PHELPSHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1952 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TAX EXEMPT HOSPITAL PROVIDING A FULL RANGE OF COMPREHENSIVE CARE IN A SAFE MODERN ENVIRONMENT TO IMPROVE THE HEALTH OF OUR SURROUNDING COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1782 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 388963 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2149582 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1711337 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 174195389 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 181970030 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 398986 | InvestmentIncomePriorYear |
| Investment Income Current Year | 530808 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5997524 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6015921 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 182741481 | TotalRevenuePriorYear |
| Total Revenue Current Year | 190228096 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 30000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 48000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 109214442 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 115219052 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 34677 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 36754 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1212362 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 67560355 | OtherExpensePriorYear |
| Other Expenses Current Year | 68724970 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 176839474 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184028776 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5902007 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6199320 | RevenuesLessExpensesCY |
| Total Assets BOY | 153941393 | TotalAssetsBOY |
| Total Assets EOY | 164017197 | TotalAssetsEOY |
| Total Liabilities BOY | 64039519 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 67271871 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 89901874 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 96745326 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | IMPROVE THE HEALTH OF OUR SURROUNDING COMMUNITY, BY PROVIDING COMPREHENSIVE CARE IN A SAFE MODERN ENVIROMENT WHERE ADVANCED MEDICAL TECHNIQUES ARE COUPLED WITH A STRONG TRADITION OF COURTESY AND CARING. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 81865745 | Expense |
| Revenue | 73933938 | Revenue |
| Description | PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDES ACUTE AND REHABILITATION INPATIENT HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF AN ABILITY TO PAY. THE HOSPITAL HAD 7,886 ACUTE CARE ADMISSIONS AND 162 REHABILITATION ADMISSIONS. PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDED $3,584,498 IN CHARITY CARE FOR ACUTE AND REHABILIATION INPATIENT HEALTH CARE SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 63260362 | Expense |
| Revenue | 90171722 | Revenue |
| Description | PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDES OUTPATIENT HEALTH CARE SERVICES TO MEMBERS OT THE COMMUNTIY REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PROVIDED $4,880,720 IN CHARITY CARE FOR OUTPATIENT HEALTH SERVICES. PHELPS MEMORIAL HOSPITAL ASSOCIATION'S LARGER OUPATIENT PROGRAMS INCLUDE THE FOLLOWING SERVICES:EMERGENCY SERVICES 25,070 VISITSRADIOLOGY SERVICES 41,224 PROCEDURESWOUND AND DIABETIC CARE 6,770 VISITSPHYSICAL THERAPY, ACQUA THERAPY AND OCCUPATIONAL THERAPY 66,899 PROCEDURES HYPERBARIC TREATMENTS 9,296 PROCEDURESHOSPICE HOME CARE 12,496 VISITS | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22583460 | Expense |
| Revenue | 17864370 | Revenue |
| Description | PHELPS MEMORIAL HOSPITAL ASSOCIATION PROVIDES INPATIENT AND OUTPATIENT BEHAVORIAL HEALTH SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PROVIDED $1,126,862 IN CHARITY CARE FOR BEHAVORIAL HEALTH SERVICES. PHELPS MEMORIAL HOSPITAL ASSOCIATION HAD 1,342 BEHAVORIAL HEALTH ADMISSIONS AND 50,332 OUTPATIENT BEHAVORIAL HEALTH VISITS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 167709567 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | 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 | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | 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 | 108 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1782 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| 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 | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | 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 | 1 | 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 | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | 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 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9143663000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1 |
| City | SLEEPY HOLLOW | City |
| State | NY | State |
| ZIP Code | 10591 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ANDREW C MERRYMAN | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| BARD BUNAES | |||||||
| ASSISTANT TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| BRUCE HECKMAN MD | |||||||
| SECRETARY | 1.00 | X | X | 67008 | 0 | 0 | |
| DAVID COULAM | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| ELIO IPPOLITO MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| FRANKLIN H ZIMMERMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GAY BERGER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GLENN D KAUFMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| HSIN CHENG CHAO MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES GOLDSMITH | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN CURRAN PHD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOSE A CHEVERE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KATHERINE MACKIE | |||||||
| ASSISTANT SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| KEITH F SAFIAN | |||||||
| PRESIDENT | 37.50 | X | X | 889322 | 0 | 251724 | |
| LINDA MARTIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LOUIS J POULIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD SINNI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT A GOLDSCHMIDT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SALEEM MIR MD | |||||||
| DIRECTOR | 1.00 | X | 38800 | 0 | 0 | ||
| SEAN F X DUGAN | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| WILLIAM O MELVIN JR | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| BARBARA ALLAR | |||||||
| VP STRATEGY & DEVELOPMENT | 37.50 | X | 352519 | 0 | 57011 | ||
| BRUCE DAVIDOW | |||||||
| SR VP AND COO | 37.50 | X | 576620 | 0 | 78193 | ||
| DANIEL BLUM | |||||||
| SR VP | 37.50 | X | 310685 | 0 | 53030 | ||
| JOANNE STURANS | |||||||
| VP FOR HUMAN RESOURCES | 37.50 | X | 206645 | 0 | 44121 | ||
| KERRY PISANO | |||||||
| VP FOR SUPPORT SERVICES | 37.50 | X | 336081 | 0 | 33577 | ||
| LAWRENCE FALTZ | |||||||
| SR VP FOR MED AFFAIRS | 37.50 | X | 656574 | 0 | 72952 | ||
| LEONARD FOGEL | |||||||
| VP MANAGED CARE & BUS. | 37.50 | X | 471967 | 0 | 65216 | ||
| LUCY ENGELHARDT | |||||||
| VP FOR NURSING | 37.50 | X | 453494 | 0 | 61825 | ||
| VINCENT DESANTIS | |||||||
| VP FINANCE AND CFO | 37.50 | X | 607987 | 0 | 78129 | ||
| EMIL NIGRO | |||||||
| PHYSICIAN | 37.50 | 661126 | 0 | 37695 | X | ||
| GASPAR PARRINO | |||||||
| PHYSICIAN | 37.50 | 474166 | 0 | 41178 | X | ||
| MICHAEL KYI | |||||||
| PHYSICIAN | 37.50 | 472291 | 0 | 33516 | X | ||
| STEPHEN HEIER | |||||||
| PHYSICIAN | 37.50 | 952470 | 0 | 47846 | X | ||
| VARGHESE MATTHEW | |||||||
| PHYSICIAN | 37.50 | 427334 | 0 | 39115 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7955089 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 995128 | TotalOtherCompensation |
| Number Individuals GT100 K | 145 | 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 |
|---|---|---|---|---|---|
| ENT AND ALLERGY ASSOCIATES | |||||
| 560 WHITE PLAINS ROAD | TARRYTOWN | NY | 10591 | SLEEP DIAGNOSTICS | 638560 |
| CHILDREN & WOMAN'S PHYSICIANS OF WESTCHE | |||||
| NY MEDICAL COLLEGE | VALHALLA | NY | 10595 | PHYSICIANS | 439603 |
| GARFUNKEL WILD & TRAVIS PC | |||||
| 111 GREAT NECK ROAD | GREAT NECK | NY | 11021 | ATTORNEYS | 393172 |
| HEALTH CAROUSEL LLC | |||||
| 4500 COOPER RD SUITE101 | CINCINNATI | OH | 45242 | NURSE RECRUITMENT | 289350 |
| TRITECH HEALTHCARE MANAGEMENT LLC | |||||
| 125 NEWTOWN RD SUITE 200 | PLAINVIEW | NY | 11803 | RECEIVABLE COLLECTION | 248966 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Fundraising Events | 391265 | FundraisingEvents |
| Related Organizations | 6500 | RelatedOrganizations |
| Government Grants | 128964 | GovernmentGrants |
| All Other Contributions | 1184608 | AllOtherContributions |
| Noncash Contributions | 57076 | NoncashContributions |
| Total Contributions | 1711337 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENU | 623000 | 181581067 | 181581067 | |
| LAB OUTREACH INCOME | 621500 | 388963 | 388963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 181970030 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 530808 | TotalRevenueColumn |
| Exclusion | $530,808 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1928221 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1184921 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 743300 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 743300 | TotalRevenueColumn |
| Exclusion | $743,300 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 139096 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 391265 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 236051 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -96955 | TotalRevenueColumn |
| Exclusion | -$96,955 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| COMMUNITY PHARMACY | 446110 | 2591016 | 2591016 | |
| CAFETERIA INCOME | 722210 | 563283 | $563,283 | |
| OMH & OASIS | 623000 | 385460 | 385460 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1829817 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1431157 | RelatedOrExemptFunctionIncome |
| Exclusion | $398,660 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5369576 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 190228096 | TotalRevenueColumn |
| Related Or Exempt Function Income | 185988700 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 388963 | UnrelatedBusinessRevenue |
| Exclusion | $2,139,096 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48000 | Total |
| Program Services | 48000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5763481 | Total |
| Program Services | 2676976 | ProgramServices |
| Management And General | 2676975 | ManagementAndGeneral |
| Fundraising | 409530 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86870495 | Total |
| Program Services | 79453542 | ProgramServices |
| Management And General | 6931814 | ManagementAndGeneral |
| Fundraising | 485139 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3876175 | Total |
| Program Services | 3444580 | ProgramServices |
| Management And General | 409567 | ManagementAndGeneral |
| Fundraising | 22028 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12753023 | Total |
| Program Services | 11331032 | ProgramServices |
| Management And General | 1347280 | ManagementAndGeneral |
| Fundraising | 74711 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5955878 | Total |
| Program Services | 5283169 | ProgramServices |
| Management And General | 628180 | ManagementAndGeneral |
| Fundraising | 44529 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 471474 | Total |
| Program Services | 447900 | ProgramServices |
| Management And General | 23574 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195886 | Total |
| Program Services | 195886 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82718 | Total |
| Program Services | 82718 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36754 | Total |
| Fundraising | 36754 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11519458 | Total |
| Program Services | 10798582 | ProgramServices |
| Management And General | 720876 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2683954 | Total |
| Program Services | 2286253 | ProgramServices |
| Management And General | 258030 | ManagementAndGeneral |
| Fundraising | 139671 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2490525 | Total |
| Program Services | 2368369 | ProgramServices |
| Management And General | 122156 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4220589 | Total |
| Program Services | 3540313 | ProgramServices |
| Management And General | 680276 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 208878 | Total |
| Program Services | 154302 | ProgramServices |
| Management And General | 54576 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7025 | Total |
| Program Services | 3512 | ProgramServices |
| Management And General | 3513 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1268596 | Total |
| Program Services | 1141736 | ProgramServices |
| Management And General | 126860 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10272487 | Total |
| Program Services | 10272487 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5519684 | Total |
| Program Services | 5519684 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHARMACEUTICALS | 8666676 | 8666676 | |
| MEDICAL SUPPLIES | 7181974 | 7181974 | |
| PROSTHESIS | 6266877 | 6266877 | |
| EQUIP RENTAL & MAINT | 3604079 | 2738030 | 866049 |
| BAD DEBT | 1672923 | 1672923 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2391167 | Total |
| Program Services | 2134046 | ProgramServices |
| Management And General | 257121 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184028776 | Total |
| Program Services | 167709567 | ProgramServices |
| Management And General | 15106847 | ManagementAndGeneral |
| Fundraising | 1212362 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8976361 | BOY |
| EOY | 419817 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4700848 | BOY |
| EOY | 23166505 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 919015 | BOY |
| EOY | 588530 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21621365 | BOY |
| EOY | 22226010 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36318 | BOY |
| EOY | 17926 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1709117 | BOY |
| EOY | 1844824 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915094 | BOY |
| EOY | 1181602 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 230755842 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 128714090 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104212883 | BOY |
| EOY | 102041752 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10200391 | BOY |
| EOY | 11770537 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 650001 | BOY |
| EOY | 759694 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153941393 | BOY |
| EOY | 164017197 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14238204 | BOY |
| EOY | 15559723 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25290000 | BOY |
| EOY | 24510000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5121275 | BOY |
| EOY | 3949422 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19390040 | BOY |
| EOY | 23252726 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64039519 | BOY |
| EOY | 67271871 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85170204 | BOY |
| EOY | 91897249 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2823974 | BOY |
| EOY | 2945247 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1907696 | BOY |
| EOY | 1902830 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89901874 | BOY |
| EOY | 96745326 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153941393 | BOY |
| EOY | 164017197 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6199320 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 644132 | 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 Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $82,718 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 82718 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | PHELPS MEMORIAL HOSPITAL ASSOCIATION COMPENSATED ITS LOBBYIST FOR BUDGET, REGULATORY AND LEGISLATIVE ISSUES PERTAINING TO HEALTHCARE AND HOSPITALS. NY STATE EXECUTIVE AND LEGISLATIVE BRANCHES WERE LOBBIED. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2969273 | BeginningOfYearBalance |
| Contributions | 7746 | Contributions |
| Investment Earnings Or Losses | 386175 | InvestmentEarningsOrLosses |
| Other Expenditures | 2301 | OtherExpenditures |
| End Of Year Balance | 3360893 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2479718 | BeginningOfYearBalance |
| Contributions | 76638 | Contributions |
| Investment Earnings Or Losses | 427708 | InvestmentEarningsOrLosses |
| Other Expenditures | 14791 | OtherExpenditures |
| End Of Year Balance | 2969273 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3480267 | BeginningOfYearBalance |
| Contributions | 10000 | Contributions |
| Investment Earnings Or Losses | -566216 | InvestmentEarningsOrLosses |
| Other Expenditures | 444333 | OtherExpenditures |
| End Of Year Balance | 2479718 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.37520 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.62480 | PermanentEndowmentEOYBalance |
| 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 | 579734 | OtherCostOrOtherBasis |
| Book Value | 579734 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 134646660 | OtherCostOrOtherBasis |
| Depreciation | 59583304 | Depreciation |
| Book Value | 75063356 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 132536 | OtherCostOrOtherBasis |
| Depreciation | 26761 | Depreciation |
| Book Value | 105775 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 81688804 | OtherCostOrOtherBasis |
| Depreciation | 65008970 | Depreciation |
| Book Value | 16679834 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13708108 | OtherCostOrOtherBasis |
| Depreciation | 4095055 | Depreciation |
| Book Value | 9613053 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 102041752 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| OTHER ALTERNATIVE INVESTMENTS | 700322 | F |
| OTHER INVT IN MEDICAL OFFICE BUILDING | 1610882 | C |
| OTHER INVESTMENTS | 9459333 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 11770537 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY LIABILITY | $7,059,628 |
| ACCRUED PAYROLL AND RELATED EXPENSES | $10,555,236 |
| OTHER LIABILITIES | $1,900,000 |
| DEFERRED COMPENSATION PLANS | $2,987,862 |
| MALPRACTICE CONTINGENCY | $750,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 23252726 | TotalOfAmounts |
| Total Revenue | 190228096 | TotalRevenue |
| Total Expenses | 184028776 | TotalExpenses |
| Excess Or Deficit For Year | 6199320 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 607976 | NetUnrealizedGLOnInvestments |
| Other | $36,156 | OtherAmount |
| Total Adjustments | 644132 | TotalAdjustments |
| Excess Or Deficit Per FS | 6843452 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 191892423 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 607979 | NetUnrealizedGainsInvestments |
| Other Revenues | -13000 | OtherRevenues |
| Revenue Not Rptd F990 | 594979 | RevenueNotRptdF990 |
| Revenue Subtotal | 191297444 | RevenueSubtotal |
| Other Revenues Not Included | -1069348 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -1069348 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 190228096 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 185029026 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1184921 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1184921 | ExpensesNotRptdF990 |
| Expenses Subtotal | 183844105 | ExpensesSubtotal |
| Other Expenses Not Included | 184671 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 184671 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 184028776 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ALL INTEREST EARNED ON THE ENDOWMENT SUPPORT THE GENERAL OPERATION OF THE HOSPITAL. BOARD DESIGNATED FUNDS SUPPORT THE HOSPICE PROGRAM. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | PMHA, IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND IS EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR THE PARTNERSHIP SINCE SUCH LIABILITY IS THE RESPONSIBILITY OF THE INDIVIDUAL PARTNERS. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME" AND WOULD RESULT IN A TAX LIABILITY. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES, WHICH NEED TO BE RECORDED. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN VALUATION OF PLEDGES 17,000. ELIMINATIONS 15,000. ROUNDING 4,156. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUATION OF PLEDGES 17,000. INVESTMENT INCOME ELIMINATIONS -30,000. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -1,184,921. AUXILIARY REVENUE 115,573. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 1,184,921. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 136,671. NURSING SCHOLARSHIPS 48,000. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation (2 entries)
| Name Of IndividualNameOfIndividual | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | ActivityActivity | Fundraiser Control Of FundsFundraiserControlOfFunds | Gross ReceiptsGrossReceipts | Amount Retained By ContractorAmountRetainedByContractor | Net To OrganizationNetToOrganization |
|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||
| ARLENE JOHNSON | 7 HEATON LANE | WAPPINGERS FALL | NY | 12570 | GOLF CLASSIC | 0 | 131121 | 7829 | 123292 |
| KETCHUM INC | |||||||||
| 5151 BELR LINE ROAD | DALLAS | TX | 75254 | STRATEGY | 0 | 0 | 28925 | -28925 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 131121 | TotalGrossReceipts |
| Total Retained By Contractors | 36754 | TotalRetainedByContractors |
| Total Net To Organization | 94367 | TotalNetToOrganization |
| Licensed States | NY | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CHAMPAGNE BALL | NameOfEvent1 |
| Gross Receipts Event1 | 389190 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 304954 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 84236 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 67914 | RentFacilityCostsEvent1 |
| Entertainment Event1 | 20500 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 55417 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF CLASSIC | NameOfEvent2 |
| Gross Receipts Event2 | 131121 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 83261 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 47860 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 9812 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 55043 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 8427 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 10050 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 3050 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 7000 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 9150 | RentFacilityCostsOtherEvents |
| Entertainment Other Events | 4886 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 4902 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 530361 | GrossReceiptsTotal |
| Charitable Contributions Total | 391265 | CharitableContributionsTotal |
| Gross Revenue Total Events | 139096 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 9812 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 132107 | RentFacilityCostsTotalEvents |
| Entertainment Total Events | 25386 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 68746 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 236051 | DirectExpenseSummaryEvents |
| Net Income Summary | -96955 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| 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 | 5247837 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5247837 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02850 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32109374 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22585791 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9523583 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05180 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37357211 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22585791 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14771420 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08030 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1364959 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1364959 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 801043 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 211666 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 589377 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2166002 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 211666 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1954336 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39523213 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22797457 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16725756 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09090 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $600,272 | BadDebtExpenseAmount |
| Amount Attributable To | 300136 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 64381687 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 80405794 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -16024107 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 PHELPS PROFESSIONAL | ||
| CONSTRUCT, DEVELOP, OWN, | 0.62140 | 0.37860 |
| 2 BUILDING CO LP | ||
| OPERATE AND MAINTAIN A | ||
| 3 | ||
| MEDICAL OFFICE BUILDING | ||
| 4 | ||
| ON THE CAMPUS OF PHELPS | ||
| 5 | ||
| MEMORIAL HOSPITAL ASSOCIATION. | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 NORTH BROADWAY | AddressLine1 |
| City | SLEEPY HOLLOW | City |
| State | NY | State |
| ZIP Code | 10591 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHELPS MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| PHELPS - ATS | ||||
| 22 ROCKLEDGE AVE | OSSINING | NY | 10562 | INTENSIVE OUTPATIENT AND SUBSTANCE ABUSE CLINIC |
| PHELPS- CDT | ||||
| 315 SOUTH HIGHLAND AVE | BRIARCLIFF MANOR | NY | 10510 | SEVERLY AND PERSISTENT MENTALLY ILL OUTPATIENT CLINIC (SPMI) |
| PHELPS - SCMICM | ||||
| 315 SOUTH HIGHLAND AVE | BRIARCLIFF MANOR | NY | 10510 | OUTPATIENT CLINIC FOR THE SPMI POPULATION LIVING IN THE COMMUNITY |
| PHELPS COUNSELING | ||||
| 755 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | MENTAL HEALTH OUTPATIENT CLINIC |
| OSSINING COUNSELING | ||||
| 22 ROCKLEDGE AVE | OSSINING | NY | 10562 | MENTAL HEALTH OUTPATIENT CLINIC |
| PHELPS - THRESHOLD | ||||
| 155 WHITEPLAINS ROAD - SUITE 210 | TARRYTOWN | NY | 10591 | SUBSTANCE ABUSE OUTPATIENT CLINIC |
| ECHO HILLS | ||||
| 457 BROADWAY | HASTINGSONHUDSON | NY | 10706 | MENTAL HEALTH OUTPATIENT CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7G: THE HOSPTIAL PROVIDES PRE-NATAL CARE TO UNINSURED PATIENTS AND UNDOCUMENTED IMMIGRANTS. THIS SERVICE HAS BEEN IDENTIFIED AS A COMMUNITY NEED SERVICE. | ||
| PART I, L7 COL(F): PHELPS MEMORIAL HOSPITAL HAS INCLUDED BAD DEBT EXPENSE IN THE AMOUNT OF $1,672,923 ON THE FORM 990, PART IX, LINE 25. THIS AMOUNT IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7 COLUMN F AS PER THE INSTRUCTIONS. | ||
| PART III, LINE 4: PATIENTS' ACCOUNTS RECEIVABLEPATIENTS' ACCOUNTS RECEIVABLE ARE RECORDED AT THE CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS PMHC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN PMHC'S EXISTING ACCOUNTS RECEIVABLE. PMHC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. PMHC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST-DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. AMOUNTS REPORTED ON LINES 2 AND 3 WERE BASED UPON THE HOSPITAL'S COST TO CHARGE RATIO AS CALCULATED IN ACCORDANCE WITH WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS. | ||
| PART III, LINE 8: THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF INDEPENDENT PERSONS REPRESENTING THE COMMUNITY THE HOSPITAL SERVES. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24/7 TO ALL PEOPLE REGARDLESS OF ONE'S ABILITY TO PAY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. FINALLY, THE HOSPITAL PARTICIPANTS IN THE MEDICARE, MEDICAID AND ALL OTHER APPLICABLE GOVERNMENT-SPONSORED HEALTH PROGRAMS.TO PROVIDE READILY ACCESSIBLE, STATE-OF-THE-ART AND HIGHEST QUALITY CARE POSSIBLE TO ALL PATIENTS, THE BOARD OF DIRECTORS HAS EMBRACED THE NEED TO SUBSIDIZE THE COST OF CARE PROVIDED TO INDIVIDUALS COVERED BY GOVERNMENT-SPONSORED HEALTH PROGRAMS, SINCE IN MANY CASES THE REIMBURSEMENT DOES NOT COVER THE COST OF SERVICES. THEREFORE, SIMILAR TO THE UNREIMBURSED COST OF CARE PROVIDED TO MEDICAID COVERED PATIENTS, THE SHORTFALL ATTRIBUTABLE TO MEDICARE COVERED PATIENTS IS A MEASURE OF THE BENEFIT THE HOSPITAL PROVIDES TO ITS COMMUNITY. | ||
| PART III, LINE 9B: THE HOSPITAL HAS ESTABLISHED A FINANCIAL COUNSELING GROUP THAT ASSISTS PATIENTS IN COMPLETING FORMS AND PROVIDING FINANCIAL DATA IN SUPPORT OF CHARITY CARE REQUESTS. THE GROUP FOLLOWS THE POLICIES AND PROCEDURES ESTABLISHED BY THE HOSPITAL IN PROVIDING THIS COMMUNITY BENEFIT. | ||
| PART VI, LINE 2: NEEDS ASSESSMENT:PHELPS MEMORIAL HOSPITAL CENTER (PHMC) IS A 238-BED ACUTE CARE COMMUNITY HOSPITAL, LOCATED IN CENTRAL WESTCHESTER COUNTY. SINCE ITS BEGINNING IN 1956, PHELPS MEMORIAL HAS STRIVED TO PROVIDE ITS COMMUNITY WITH THE FINEST QUALITY HEALTHCARE. THE EXTENT OF SERVICES MADE AVAILABLE TO THOSE WE SERVE RANGES FROM EMERGENCY SERVICES TO ACUTE CARE INPATIENT SERVICES, AS WELL AS A HOST OF OUTPATIENT SERVICES DESIGNED TO ADDRESS THE NEEDS OF THOSE WHO MAKE UP THE PHELPS SERVICE AREA.OUR STRUCTURE:PHELPS MEMORIAL HOSPITAL CENTER IS ONE OF THE FOUR MEMBERS OF THE STELLARIS HEALTH NETWORK. PHELPS WORKS COLLABORATIVELY WITH OPEN DOOR FAMILY HEALTH CENTERS TO PROVIDE PRENATAL CARE AND HAS AN AGREEMENT WITH WESTCHESTER MEDICAL CENTER TO PROVIDE CARE FOR HIGH-RISK MOTHERS AND NEONATES. CANCER CARE IS PROVIDED BY MEMORIAL SLOAN-KETTERING CANCER CENTER ON PHELPS' CAMPUS. THROUGH OUR CLINIC AFFILIATION WITH THE MOUNT SINAI MEDICAL CENTER, EXPERT SENIOR HEALTH SERVICES ARE ACCESSIBLE IN THE LOCAL COMMUNITY. THE HOSPITAL MAINTAINS AN EXTENSIVE NETWORK OF OUTPATIENT MENTAL HEALTH SERVICES, OUTPATIENT MEDICAL DIAGNOSTIC AND TREATMENT FACILITIES, AS WELL AS A HOME-BASED HOSPICE PROGRAM. OVERSIGHT IS PROVIDED BY A 22-MEMBER BOARD OF DIRECTORS, ALL OF WHOM VOLUNTEER THEIR TIME AND EXPERTISE.OUR MISSION:THE MISSION OF PHELPS IS TO:- IMPROVE THE HEALTH OF THE COMMUNITY- OFFER PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES- EDUCATE THE COMMUNITY TO ACHIEVE OPTIMAL QUALITY OF LIFE- PROVIDE COMPREHENSIVE CARE IN A SAFE, MODERN ENVIRONMENTOUR ASSESSMENT:PHELPS MEMORIAL HOSPITAL CENTER ASSESSES COMMUNITY HEALTH NEEDS BY ANALYZING DATA COLLECTED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, THE WESTCHESTER COUNTY DEPARTMENT OF COMMUNITY MENTAL HEALTH, AND THE NEW YORK OFFICE OF ALCOHOLISM AND SUSBTANCE ABUSE SERVICES.RECOGNIZING THAT PEOPLE WHO LIVE AND WORK IN OUR COMMUNITY PROVIDE VALUABLE INFORMATION, PHELPS SOLICITS FEEDBACK FROM PRE-HOSPITAL AND POST-HOSPITAL CARE PROVIDERS, INCLUDING PHYSICIANS, AMBULANCE CORPS, CLINICS, NURSING HOMES AND HOME HEALTH AGENCIES. THROUGH ONGOING DIALOGUE WITH SCHOOLS AND CHURCHES, COMMUNITY COALITIONS AND KEY COMMUNITY LEADERS, WE HAVE BEEN ABLE TO RECOGNIZE GAPS IN COMMUNITY HEALTH EDUCATION. MOST IMPORTANTLY, THE RESPONSE OF INDIVIDUALS TO SURVEYS AND FOCUS GROUPS HAS BROUGHT TO LIGHT THE NEED FOR NEW SERVICES OR IMPROVED ACCESS.BASED ON OUR ASSESSMENT, WE DEFINED THE FOLLOWING PRIORITIES: CRISIS RESPONSE, BEHAVIORAL HEALTH, WELLNESS PROMOTION AND FAMILY HEALTH. OUR GOALS ARE IN CONCERT WITH THE VISION OF THE NEW YORK STATE HEALTHIEST STATE INITIATIVE; NAMELY,- TO INCREASE QUALITY AND YEARS OF HEALTHY LIFE- TO ELIMINATE HEALTH DISPARITIES, INCREASING ACCESS TO PREVENTION AND EARLY DETECTION | ||
| PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL IS A LEADER IN THE DEVELOPMENT OF FINANCIAL ASSISTANCE PROGRAMS FOR THE UNINSURED. THE PROGRAM PROVIDES FOR REDUCED FEES FOR THE UNINSURED RESIDENTS OF ITS SERVICE AREA. THE CURRENT FEE SCHEDULE INCLUDES PATIENTS WITH HOUSEHOLD INCOMES UPTO 500% OF THE FPL. WHILE THE FEE SCHEDULE SERVES AS A GUIDE, ALL HARDSHIP CASES ARE EVALUATED ON A CASE-BY-CASE BASIS, TAKING INTO ACCOUNT THE INDIVIDUAL'S FINANCIAL AND PERSONAL CIRCUMSTANCES.ALL MEDICALLY NECESSARY SERVICES ARE COVERED UNDER THE FINANCIAL ASSISTANCE PROGRAM AND THE PUBLIC IS NOTIFIED OF THE AVAILABILITY OF THE PROGRAM THROUGH:"MULTILINGUAL EDUCATIONAL BROCHURES AT KEY POINTS OF PATIENT CONTACT SPECIFICALLY IN THE ADMITTING OFFICE AND EMERGENCY DEPARTMENT"CENTRALIZED PROGRAM ADMINISTRATION ACCESSIBLE VIA PHONE (914-366-3133)"STAFF OUTREACH"PATIENT BILLS - ALL BILLS INCLUDE A NOTICE ABOUT THE FNANCIAL ASSISTANCE PROGRAM.THE HOSPITAL INFORMS AND EDUCATES PATIENTS ON A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS. IT HAS A FULLY STAFFED FINANCIAL ASSISTANCE SERVICES DEPARTMENT STAFFED WITH BI-LINGUAL FINANCIAL COUNSELORS (DEPUTIZED MEDICAID WORKERS) THAT HELP EDUCATE AND PROVIDE ASSISTANCE IN APPLYING FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, CHARITY CARE AND DISCOUNTED CARE. | ||
| PART VI, LINE 4: COMMUNITY INFORMATION:THE PHELPS SERVICE AREA BY ZIP CODE INCLUDES THE FOLLOWING:10562 OSSINING 10548 MONTROSE 10591 TARRYTOWN10522 DOBBS FERRY 10510 BRIARCLIFF MANOR 10520 CROTON ON HUDSON10511 BUCHANAN 10566 PEEKSKILL 10706 HASTINGS ON HUDSON10596 VERPLANCK 10570 PLEASANTVILLE 10546 MILLWOOD10596 IRVINGTON 10545 MARYKNOLL 10503 ARDSLEY ON HUDSON10517 CROMPOND 10523 ELMSFORD 10521 CRUGERSFOR COMMUNITY HEALTH PLANNING, PHELPS HAS DEFINED A PRIMARY SERVICE AREA BASED UPON ZIP CODES OF RESIDENCE OF THE HIGHEST VOLUME OF MEDICAL-SURGICAL,PSYCHIATRIC AND OBSTETRICAL/GYNECOLOGICAL HOSPITAL DISCHARGES. THIS PRIMARY SERVICE AREA INCLUDES:10562 OSSINING 22.5% OF DISCHARGES POPULATION 29,52410591 TARRYTOWN 16.8% OF DISCHARGES POPULATION 20,30210520 CROTON 10.9% OF DISCHARGES POPULATION 7,60610510 BRIARCLIFF 7.5% OF DISCHARGES POPULATION 7,696WE HAVE ALSO INCLUDED 10545 MARYKNOLL, BECAUSE 82% OF THE RESIDENTS UTILIZE PHELPS FOR BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. UNIQUE TO PHELPS, IS THE COLLABORATION WITH OPEN DOOR FAMILY MEDICAL CENTER FOR PERINATAL CARE. IN ADDITION TO SERVING THE OSSINING AND TARRYTOWN/SLEEPY HOLLOW COMMUNITY, WE HAVE INCORPORATED THE PORTCHESTER COMMUNITY FORMERLY SERVED BY UNITED HOSPITAL. WE ALSO SUPPORT PLANNED PARENTHOOD, WHICH BRINGS RESIDENTS OF GREENBERG. BEHAVIORAL REHABILITATION PATIENT ORIGIN IS WIDELY DISPERSED ACROSS THE TRI-STATE AREA, WITH NO ZIP CODE CONTRIBUTING MORE THAN 3% OF THE ANNUAL 700 DISCHARGES.COMMUNITY HEALTH PLANNINGANALYSIS OF DEMOGRAPHICS1. WESTCHESTER FACTS:- 1.8% INCREASE IN POPULATION- 14% > 65 YEARS OLD- 52.2% FEMALE- 71.3% WHITE- 14.2% BLACK- 4.5% ASIAN- 15.6% LATINO- 41% PERSONS > 25 YEARS OLD HAVE B.S. DEGREE OR HIGHER2. CHANGES:- LARGEST % CHANGE IN GROWTH OF THOSE > 60 YEARS OLD IS AMONG ASIANS- 75-85 YEARS OLD AND 85+ COHORTS INCREASED FROM 1990 TO 20003. OUR SERVICE AREA FACTS:- 75% BELONG TO A RELIGIOUS ORGANIZATION- 20-34 YEARDS OLD MOVE OUT OF COUNTY; THOSE HERE, GOT OLDER- ELDERLY ARE MOSTLY WHITE FEMALES; 36-40% OF FEMALES ARE LIVING ALONE- 55-59 YEARDS OLD ARE OUR LARGEST COHORT4. 1990 TO 2000 % CHANGE OF THOSE > 85+ (NOTE: ELDERLY STAY; YOUNG MOVING OUT):- BRIARCLIFF 63%- CROTON 25%- DOBBS FERRY 31%- IRVINGTON 46%- OSSINING 5%- PLEASANTVILLE 74%- SLEEPY HOLLOW 44%- TARRYTOWN 14% | ||
| NY | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | NURSING TUITION ASSISTANCE | TypeOfGrant |
| Number Of Recipients | 6 | NumberOfRecipients |
| Amount Of Cash Grant | 48000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE NURSING PROMISE PROGRAM AWARDS FINANCIAL ASSISTANCE IN THE FORM OF A FORGIVABLE LOAN TO COVER LIVING EXPENSES FOR ELIGIBLE EMPLOYEES WHO ARE ACCEPTED AND ENROLLED IN AN ACCREDITED REGISTERED NURSING SCHOOL. CONTINUED ELIGIBILITY IN THE PROGRAM IS SUBJECT TO THE NURSING PROMISE STUDENT SUCCESSFULLY COMPLETING EACH SEMESTER'S NURSING COURSE WORK AND MAINTAINING SATISFACTORY WORK PERFORMANCE AT PHELPS MEMORIAL HOSPITAL. NURSING PROMISE STUDENTS WHO START WORK AT PHELPS MEMORIAL HOSPITAL AS A GRADUATE NURSE OR R.N. WITH IN TWO MONTHS OF GRADUATION ARE ELIGIBLE TO EARN LOAN FORGIVENESS. THE NURSING PROMISE COORDINATOR AND NURSE EDUCATOR SERVE AS MENTORS TO THE NURSING PROMISE STUDENTS AND ARE RESPONSIBLE TO MONITOR EACH STUDENT'S COMPLIANCE WITH THE PROGRAM. MENTORS MEET WITH THE STUDENTS ON A REGULAR BASIS AND DISCUSS THE STUDENTS WORK PERFORMANCE WITH THE STUDENT'S SUPERVISOR. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEITH F SAFIAN | |||||||||||||
| 512375 | 0 | 324754 | 0 | 52193 | 0 | 224996 | 0 | 26728 | 0 | 1141046 | 0 | 0 | 0 |
| BARBARA ALLAR | |||||||||||||
| 252280 | 0 | 77102 | 0 | 23137 | 0 | 33350 | 0 | 23661 | 0 | 409530 | 0 | 0 | 0 |
| BRUCE DAVIDOW | |||||||||||||
| 405763 | 0 | 140144 | 0 | 30713 | 0 | 39512 | 0 | 38681 | 0 | 654813 | 0 | 0 | 0 |
| DANIEL BLUM | |||||||||||||
| 268097 | 0 | 22917 | 0 | 19671 | 0 | 29820 | 0 | 23210 | 0 | 363715 | 0 | 0 | 0 |
| JOANNE STURANS | |||||||||||||
| 166745 | 0 | 34552 | 0 | 5348 | 0 | 19114 | 0 | 25007 | 0 | 250766 | 0 | 0 | 0 |
| KERRY PISANO | |||||||||||||
| 244478 | 0 | 69648 | 0 | 21955 | 0 | 32077 | 0 | 1500 | 0 | 369658 | 0 | 0 | 0 |
| LAWRENCE FALTZ | |||||||||||||
| 483488 | 0 | 135854 | 0 | 37232 | 0 | 45767 | 0 | 27185 | 0 | 729526 | 0 | 0 | 0 |
| LEONARD FOGEL | |||||||||||||
| 341196 | 0 | 100718 | 0 | 30053 | 0 | 38425 | 0 | 26791 | 0 | 537183 | 0 | 0 | 0 |
| LUCY ENGELHARDT | |||||||||||||
| 333084 | 0 | 91875 | 0 | 28535 | 0 | 37606 | 0 | 24219 | 0 | 515319 | 0 | 0 | 0 |
| VINCENT DESANTIS | |||||||||||||
| 443940 | 0 | 130018 | 0 | 34029 | 0 | 44330 | 0 | 33799 | 0 | 686116 | 0 | 0 | 0 |
| EMIL NIGRO | |||||||||||||
| 477605 | 0 | 149742 | 0 | 33779 | 0 | 17464 | 0 | 20231 | 0 | 698821 | 0 | 0 | 0 |
| GASPAR PARRINO | |||||||||||||
| 442998 | 0 | 17200 | 0 | 13968 | 0 | 17464 | 0 | 23714 | 0 | 515344 | 0 | 0 | 0 |
| MICHAEL KYI | |||||||||||||
| 395464 | 0 | 66597 | 0 | 10230 | 0 | 17464 | 0 | 16052 | 0 | 505807 | 0 | 0 | 0 |
| STEPHEN HEIER | |||||||||||||
| 765639 | 0 | 153000 | 0 | 33831 | 0 | 16266 | 0 | 31580 | 0 | 1000316 | 0 | 0 | 0 |
| VARGHESE MATTHEW | |||||||||||||
| 358435 | 0 | 60296 | 0 | 8603 | 0 | 17464 | 0 | 21651 | 0 | 466449 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | PART I, LINE 4B: PHELPS MEMORIAL HOSPITAL MAKES CONTRIBUTIONS TO A 457(F)SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ON BEHALF OF ITS EXECUTIVES. THESE CONTRIBUTIONS ARE NON TAXABLE AND REPORTED IN "RETIREMENT AND OTHER DEFERRED COMPENSATION". | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWN OF MOUNT PLEASANT INDUSTRIAL DEV AGENCY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 136019835 | IssuerEIN |
| Date Issued | 2005-06-30 | DateIssued |
| Issue Price | 27440000 | IssuePrice |
| Description Of Purpose | CONST & REN OF HOSP FACILITIES | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 27440000 | TotalProceeds |
| Issuance Costs From Proceeds | 478960 | IssuanceCostsFromProceeds |
| Capital Expenditures | 26961040 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHAEL MCCORMICKMD | NamePerson |
| Purpose Of Loan | WORKING CAPITAL | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $25,000 | OriginalPrincipalAmount |
| Balance Due | 17926 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 17926 | TotalBalanceDue |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 7 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 46461 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | HOST PARTY | 1 | 5161 | COST |
| X | COMPUTERS | 1 | 5454 | COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | CALCULATED BY HOW MANY PEOPLE MADE A NONCASH CONTRIBUTION. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PHELPS MEMORIAL HOSPITAL ASSOCIATION (PMHA) APPROVED AND EXECUTED AN AFFILIATION AGREEMENT WITH HEALTHSTAR NETWORK, INC D/B/A STELLARIS HEALTH NETWORK, INC (STELLARIS), A NEW YORK STATE NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES. THE AFFILIATION AGREEMENT RESULTED IN ESTABLISHING STELLARIS AS THE SOLE MEMBER OF PMHA. ALL APPOINTMENTS TO THE BOARD OF DIRECTORS ON PMHA ARE SUBJECT TO APPROVAL BY STELLARIS. STELLARIS IS QUALIFIED TO ORIGINATE AND TAKE PART IN THE DISCUSSION OF ANY SUBJECT THAT MAY PROPERLY COME BEFORE IT AND SHALL HAVE SUCH OTHER AND ADDITIONAL RIGHTS AND PRIVILEGES AND BE SUBJECT TO SUCH OTHER DUTIES AND RESTRICTIONS AS ARE SET FORTH IN THE NOT-FOR-PROFIT CORPORATION LAW OF THE STATE OF NEW YORK, THE CERTIFICATE OF INCORPORATION OF THE ASSOCIATION OR ITS BYLAWS. A VOTE OF AT LEAST EIGHTY PERCENT(80%) OF THE ENTIRE BOARD OF DIRECTORS THEN IN OFFICE SHALL BE REQUIRED TO APPROVE CERTAIN ACTIONS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE EXPLANATION FOR LINE 6 | |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE EXPLANATION FOR LINE 6 | |
| FORM 990, PART VI, SECTION B, LINE 11 | FOR THE YEAR ENDED DECEMBER 31, 2010 THE FORM 990 WAS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM (PAID PREPARERS) BASED ON THE INFORMATION PROVIDED BY THE HOSPITAL'S MANAGEMENT. THE RETURN WAS THEN REVIEWED BY HOSPITAL'S MANAGEMENT PRIOR TO ITS FILING, A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. | |
| ALL GOVERNING BOARD MEMBERS, SENIOR MANAGEMENT AND OTHER PERSONNEL WHO MIGHT FIND THEMSELVES IN A POSITION WHERE THEIR PERSONAL INTERESTS CONFLICT WITH THE INTERESTS OF PHELPS MEMORIAL HOSPITAL ARE REQUIRED TO FILE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE COMPLIANCE OFFICER AND IMMEDIATELY DISCLOSE TO THE COMPLIANCE OFFICER ANY POSSIBLE CONFLICTS OF INTERESTS AS THEY ARISE. IT IS THE RESPONSIBILITY OF THE COMPLIANCE OFFICER TO OBTAIN AND REVIEW CONFLICT OF INTEREST DISCLOSURE STATEMENTS AT LEAST ANNUALLY. THE COMPLIANCE OFFICER AS NECESSARY WILL CONSULT WITH OUTSIDE COUNSEL AND REPORT TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE CHAIRMAN OF THE BOARD APPOINTS AN EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT, IE, ASTRON SOLUTIONS, TO PROVIDE CURRENT MARKET COMPENSATION DATA FOR EACH SENIOR EXECUTIVE POSITION. THIS IS UPDATED ON AN ANNUAL BASIS. THE COMMITTEE REVIEWS WRITTEN BOARD-APPROVED MANAGEMENT GOALS, WRITTEN DOCUMENTATION OF PROGRESS TOWARDS EACH GOAL, AND AN EXECUTIVE COMPENSATION SCORECARD THAT HAS PRE-DETERMINED WEIGHTS. THE COMMITTEE DELIBERATES IN AN EXECUTIVE SESSION WHEN THEY REVIEW THE PRESIDENT'S PERFORMANCE TOWARDS THE APPROVED GOALS AND THEN MAKES RECOMMENDATIONS DIRECTLY TO THE FULL BOARD OF DIRECTORS. THE PRESIDENT PRESENTS TO THE FULL BOARD OF DIRECTORS THE RECOMMENDED COMPENSATION FOR EACH SENIOR EXECUTIVE AND THE BOARD REVIEWS THEM. ONCE THE BOARD ENDORSES THE RECOMMENDATIONS, THEY ARE GRANTED TO THE INDIVIDUAL. THE PRESIDENT'S PERFORMANCE AND COMPENSATION IS REVIEWED IN AN EXECUTIVE SESSION OF THE FULL BOARD OF DIRECTORS, FROM WHICH THE PRESIDENT IS EXCUSED. THE FULL BOARD VOTES ON THE PRESIDENT'S COMPENSATION EACH YEAR. | FORM 990, PART VI, SECTION B, LINE 15 | |
| GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE CONSIDERED PUBLIC INFORMATION. THEREFORE, THESE DOCUMENTS ARE ATTAINABLE BY THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 607,976. CHANGE IN VALUATION OF PLEDGES 17,000. ELIMINATIONS 15,000. ROUNDING 4,156. TOTAL TO FORM 990, PART XI, LINE 5: 644,132. | FORM 990, PART XI, LINE 5: |
| THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM PRIOR YEAR. | FORM 990, PART XI, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PHELPS CHILD CARE CENTER | ||||||||||
| 3 PHELPS LANE | SLEEPY HOLLOW | NY | 10591 | 133467714 | CHILD CARE | NY | 501(C)(3) | 2 | N/A | 0 |
| PHELPS COMMUNITY CORPORATION | ||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 133263295 | FOUNDATION | NY | 501(C)(3) | 11A | N/A | 0 |
| HEALTHSTAR NETWORK DBA STELLARIS HEALTH | ||||||||||
| 1 NORTH GREENWICH ROAD | ARMONK | NY | 10504 | 133911773 | HEALTHCARE | NY | 501(C)(3) | 11B | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHELPS PROFESSIONAL BLDB CO LP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 NORTH BROADWAY | AddressLine1 |
| City | SLEEPY HOLLOW | City |
| State | NY | State |
| ZIP Code | 10591 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133645137 | EIN |
| Primary Activity | REAL ESTATE | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 281596 | ShareOfTotalIncome |
| Share Of EOY Assets | 3198466 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.62142 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PMHC REALTY CORP | |||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 133645135 | REAL ESTATE | NY | N/A | C | 4078 | 14832 | 1.00000 |
| HEALTH DELIVERY ANALYSIS INC | |||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 133352327 | INACTIVE | NY | N/A | C | -29 | 1.00000 | |
| PHELPS MANAGEMENT SERVICES INC | |||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 131726635 | INACTIVE | NY | N/A | C | -29 | 1.00000 | |
| PHELPS SERVICES INC | |||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 131742995 | INACTIVE | NY | N/A | C | -29 | 1.00000 | |
| PHELPS MEDICAL SERVICES PC | |||||||||||
| 701 NORTH BROADWAY | SLEEPY HOLLOW | NY | 10591 | 274416017 | HEALTHCARE | NY | N/A | C | -15 | 1.00000 | |
| 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| PHELPS PROFESSIONAL BUILDING | |
| N | 114239 |
| PHELPS PROFESSIONAL BUILDING | |
| J | 1384863 |
| PHELPS PROFESSIONAL BUILDING | |
| R | 187111 |
| PHELPS PROFESSIONAL BUILDING | |
| R | 246573 |
| PHELPS PROFESSIONAL BUILDING | |
| I | 51771 |