MOUNT VERNON HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT VERNON HOSPITAL (EIN 13-1740115)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201143189349305159
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T14:18:16-06:00 | 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 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Madison Avenue | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10017 | 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 | 131740115 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 9143653500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVE | AddressLine1 |
| City | MOUNT VERNON | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALBERT FARINA | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 9146325000 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6464713000 | 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 | JOHN R SPICER PRESIDENT CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 GUION PLACE | AddressLine1 |
| City | NEW ROCHELLE | City |
| State | NY | State |
| ZIP Code | 10801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 93090742 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.sshsw.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1937 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | THE MOUNT VERNON HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES TO MOUNT VERNON AND SURROUNDING COMMUNITIES BY DELIVERING EFICIENT AND EFECTIVE HEALTHCARE PROGRAMS TO THOSE WHO ARE SICK AND DISABLED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 695 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1904259 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7376738 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 91838501 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 84998366 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 24122 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14200 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 748871 | OtherRevenuePriorYear |
| Other Revenue Current Year | 654563 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 94515753 | TotalRevenuePriorYear |
| Total Revenue Current Year | 93043867 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 60643790 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 50124182 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 38389042 | OtherExpensePriorYear |
| Other Expenses Current Year | 37199367 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 99032832 | TotalExpensesPriorYear |
| Total Expenses Current Year | 87323549 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4517079 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5720318 | RevenuesLessExpensesCY |
| Total Assets BOY | 28241349 | TotalAssetsBOY |
| Total Assets EOY | 30722675 | TotalAssetsEOY |
| Total Liabilities BOY | 44829841 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 42226554 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -16588492 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -11503879 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MOUNT VERNON HOSPITAL AND SOUND SHORE HEALTH SYSTEM DEDICATE THEMSELVES TO PROVIDING QUALITY HEALTHCARE SERVICES TO MOUNT VERNON AND SURROUNDING COMMUNITIES BY DELIVERING EFFICIENT, EFFECTIVE, AND COLLABORATIVE HEALTHCARE PROGRAMS THAT PROMOTE THE HEALTH OF EVERY COMMUNITY MEMBER, ESPECIALLY THOSE WHO ARE SICK AND DISABLED. THIS IS ACCOMPLISHED BY DETERMINING, DEVELOPING, AND IMPLEMENTING HEALTHCARE PROGRAMS DESIGNED TO: OPTIMIZE THE USE OF ALL AVAILABLE HEALTHCARE, HOSPITAL, HEALTH SYSTEM, AND COMMUNITY SERVICES THROUGH THE COLLABORATIVE EFFORTS OF HEALTH SYSTEM AND HOSPITAL STAFF, COMMUNITY LEADERS, AND LOCAL AND REGIONAL ORGANIZATIONS. PROVIDE A CLIMATE IN WHICH PATIENTS' PAIN IS REGULARLY ASSESSED AND PROMPTLY AND EFFICIENTLY MANAGED. PROVIDE HEALTH EDUCATION TO COMMUNITY MEMBERS AND HEALTHCARE WORKERS AND TRAINING PROGRAMS FOR PHYSICIANS AND NURSES. IDENTIFY AND CARRY OUT QUALITY IMPROVEMENT EFFORTS THAT INCLUDE COMMUNITY AND COMMUNITY MEMBERS' VIEWS OF HOSPITAL AND HEALTH SYS | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 50441036 | Expense |
| Revenue | 81708360 | Revenue |
| Description | THE MOUNT VERNON HOSPITAL IS A NON PROFIT GENERAL HOSPITAL. PROGRAM EXPENSES ARE FOR PATIENT CARE. THE HOSPITAL HAS 245 CERTIFIED BEDS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11635723 | Expense |
| Revenue | 1501603 | Revenue |
| Description | EMERGENCY, THE HOSPITAL HAD A TOTAL OF 20,896 AND 21,659 EMERGENCY ROOM VISITS FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009, RESPECTIVELY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4872707 | Expense |
| Revenue | 1788403 | Revenue |
| Description | CLINICS, THE HOSPITAL HAD A TOTAL OF 26,589 AND 28,099 CLINICAL VISITS FOR THE YEAR ENDED DECEMBER 31, 2010 AND 2009, RESPECTIVELY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 66949466 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 695 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THE MOUNT VERNON HOSPITAL | NamePerson |
| Telephone Number | 9143653500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 GUION PLACE | AddressLine1 |
| City | NEW ROCHELLE | City |
| State | NY | State |
| ZIP Code | 10801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| PETRILLO RICHARD L SCH J PART III | |||||||||
| ASST TREASURER/PHYSICIAN | 40.0 | X | X | 248939 | 0 | 0 | |||
| ALAIE DARIUSH SEE SCH J PART III | |||||||||
| TRUSTEE/PHYSICIAN | 40.0 | X | 203700 | 0 | 7071 | ||||
| BUFANO VINCENT M | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| NACLERIO RICHARD J | |||||||||
| VICE PRESIDENT | 1.0 | X | X | 0 | 0 | 0 | |||
| CAPASSO PAT | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| CONSOLAZIO SAMUEL | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| DEVERNA DARREN | |||||||||
| PRESIDENT & TREASURER | 1.0 | X | X | 0 | 0 | 0 | |||
| DEBELLIS ANTHONY | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| WOOD DANNA | |||||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 | |||
| BAISDEN WENDELL ELLIOTT | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| DECOHEN TROY PRESTON | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| SPICER JOHN SEE SCH J PART III | |||||||||
| PRESIDENT & CEO | 40.0 | X | 0 | 869985 | 5092 | ||||
| FARINA ALBERT SEE SCH J PART III | |||||||||
| CFO | 40.0 | X | 0 | 309086 | 7746 | ||||
| D'ADDESIO NICK | |||||||||
| VICE PRESIDENT OPERATIONS | 40.0 | X | 157243 | 0 | 6071 | ||||
| CHUNG KUN YOUNG | |||||||||
| MEDICAL DIRECTOR, PATHOLOGY | 40.0 | 223399 | 0 | 7061 | X | ||||
| PRASAD BALASA | |||||||||
| CHAIR, ANESTHESIOLOGY | 40.0 | 457762 | 0 | 0 | X | ||||
| ISHKANIAN GARY | |||||||||
| MEDICAL DIRECTOR | 40.0 | 159423 | 0 | 6383 | X | ||||
| KAPLAN SIDNEY | |||||||||
| CHAIRMAN, SURGERY | 40.0 | 213885 | 0 | 0 | X | ||||
| AGNANT GUIRLAINE | |||||||||
| PHYSICIAN | 40.0 | 318131 | 0 | 0 | X | ||||
| BORKER PRITI | |||||||||
| PHYSICIAN | 40.0 | 310443 | 0 | 9686 | X | ||||
| KIM CHUNG | |||||||||
| PHYSICIAN | 40.0 | 290376 | 0 | 0 | X | ||||
| CHANG CHIH TANG | |||||||||
| ANESTHESIOLOGIST | 40.0 | 294083 | 0 | 6071 | X | ||||
| PARKER FREDERICK | |||||||||
| PHYSICIAN | 40.0 | 291972 | 0 | 6071 | X | ||||
| HASKINS GEORGE | |||||||||
| FORMER COO | 0.0 | 0 | 244969 | 7631 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3169356 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1424040 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 68883 | TotalOtherCompensation |
| Number Individuals GT100 K | 103 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DELOITE CONSULTING | |||||
| PO BOX 7247-6447 | PHILADELPHIA | PA | 19170 | CONSULTING SERVICES | 231289 |
| PRICEWATERHOUSECOOPERS LLP | |||||
| PO BOX 7247-8001 | PHILADELPHIA | PA | 191708001 | AUDITING SERVICES | 203000 |
| DAY PITNEY | |||||
| PO BOX 33300 | HARTFORD | CT | 06150 | CONSULTING SERVICES | 149043 |
| THERAPEUTICS ASSOCIATES | |||||
| 111 GREAT NECK ROAD | GREAT NECK | NY | 11021 | RADIOLOGY | 128752 |
| SAL SCHILIRO | |||||
| 373 PACKMAN AVENUE | MOUNT VERNON | NY | 10552 | CONSULTING SERVICES | 127992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Fundraising Events | 40100 | FundraisingEvents |
| Government Grants | 7285966 | GovernmentGrants |
| All Other Contributions | 50672 | AllOtherContributions |
| Total Contributions | 7376738 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | 81276606 | 81276606 |
| INCOME METH CLINIC | 621400 | 103895 | 103895 |
| SCHOOL OF NURSING | 611710 | 1021231 | 1021231 |
| PHYSICIAN BILLING | 621110 | 1569303 | 1569303 |
| PART B ANESTHESIA | 621110 | 999101 | 999101 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28230 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28230 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 84998366 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14200 | TotalRevenueColumn |
| Exclusion | $14,200 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 194592 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 194592 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 194592 | TotalRevenueColumn |
| Exclusion | $194,592 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 40100 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 46875 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -46875 | TotalRevenueColumn |
| Exclusion | -$46,875 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| MRI INCOME | 611710 | 84404 | 84404 | |
| CAFETERIA, COFFEE SHOP & VENDING | 722210 | 166422 | $166,422 | |
| DISCOUNTS & REBATES | 900099 | 2312 | $2,312 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 253708 | TotalRevenueColumn |
| Exclusion | $253,708 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 506846 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 93043867 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85082770 | RelatedOrExemptFunctionIncome |
| Exclusion | $584,359 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 914645 | Total |
| Program Services | 687378 | ProgramServices |
| Management And General | 227267 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40413325 | Total |
| Program Services | 30371578 | ProgramServices |
| Management And General | 10041747 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8796212 | Total |
| Program Services | 6610563 | ProgramServices |
| Management And General | 2185649 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335066 | Total |
| Management And General | 335066 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350200 | Total |
| Management And General | 350200 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3857473 | Total |
| Program Services | 2898983 | ProgramServices |
| Management And General | 958490 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6210 | Total |
| Program Services | 4667 | ProgramServices |
| Management And General | 1543 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19003282 | Total |
| Program Services | 14281420 | ProgramServices |
| Management And General | 4721862 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23249 | Total |
| Program Services | 17472 | ProgramServices |
| Management And General | 5777 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2144211 | Total |
| Program Services | 1611426 | ProgramServices |
| Management And General | 532785 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5642 | Total |
| Program Services | 4240 | ProgramServices |
| Management And General | 1402 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10370 | Total |
| Program Services | 7793 | ProgramServices |
| Management And General | 2577 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 635198 | Total |
| Program Services | 477366 | ProgramServices |
| Management And General | 157832 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2276419 | Total |
| Program Services | 1710783 | ProgramServices |
| Management And General | 565636 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1152023 | Total |
| Program Services | 865773 | ProgramServices |
| Management And General | 286250 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROVISION FOR BAD DEBTS | Description |
| Total | 7400024 | Total |
| Program Services | 7400024 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87323549 | Total |
| Program Services | 66949466 | ProgramServices |
| Management And General | 20374083 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1923077 | BOY |
| EOY | 1753538 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10600062 | BOY |
| EOY | 9898388 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315056 | BOY |
| EOY | 206105 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 211620 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 84816905 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 71053701 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13881829 | BOY |
| EOY | 13763204 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1521325 | BOY |
| EOY | 4889820 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28241349 | BOY |
| EOY | 30722675 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17544042 | BOY |
| EOY | 14308744 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1999101 | BOY |
| EOY | 1302513 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25286698 | BOY |
| EOY | 26615297 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44829841 | BOY |
| EOY | 42226554 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -17434034 | BOY |
| EOY | -12311941 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203379 | BOY |
| EOY | 165899 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 642163 | BOY |
| EOY | 642163 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -16588492 | BOY |
| EOY | -11503879 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28241349 | BOY |
| EOY | 30722675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5720318 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -635705 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 52960 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -913 | InvestmentEarningsOrLosses |
| Administrative Expenses | -450 | AdministrativeExpenses |
| End Of Year Balance | 52497 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 934690 | BeginningOfYearBalance |
| Contributions | -885000 | Contributions |
| Investment Earnings Or Losses | 3270 | InvestmentEarningsOrLosses |
| End Of Year Balance | 52960 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 Years | CurrentYearMinus2Years | |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 772145 | OtherCostOrOtherBasis |
| Book Value | 772145 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47957494 | OtherCostOrOtherBasis |
| Depreciation | 37091948 | Depreciation |
| Book Value | 10865546 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35685500 | OtherCostOrOtherBasis |
| Depreciation | 33617264 | Depreciation |
| Book Value | 2068236 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 401766 | OtherCostOrOtherBasis |
| Depreciation | 344489 | Depreciation |
| Book Value | 57277 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13763204 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM THIRD PARTY PAYORS | 3705529 |
| OTHER RECEIVABLES | 789441 |
| DUE FROM AFFILIATES | 179369 |
| OTHER CURRENT ASSETS | 215481 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4889820 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST LIAB FOR SELF-INS. LOSS | $8,767,181 |
| DUE TO THIRD-PARTY PAYORS | $7,395,761 |
| DUE TO AFFILIATE | $1,017,353 |
| ACCRUED PENSION LIABILITY | $5,869,005 |
| ASSET RETIREMENT OBLIGATION | $505,017 |
| CURRENT INSTALLMENTS LONG TERM DEBT | $3,060,980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 26615297 | TotalOfAmounts |
| Total Revenue | 93043867 | TotalRevenue |
| Total Expenses | 87323549 | TotalExpenses |
| Excess Or Deficit For Year | 5720318 | ExcessOrDeficitForYear |
| Other | -$635,705 | OtherAmount |
| Total Adjustments | -635705 | TotalAdjustments |
| Excess Or Deficit Per FS | 5084613 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 93090742 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 46875 | OtherRevenues |
| Revenue Not Rptd F990 | 46875 | RevenueNotRptdF990 |
| Revenue Subtotal | 93043867 | RevenueSubtotal |
| Total Revenue Per Form990 | 93043867 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 87370424 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 46875 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 46875 | ExpensesNotRptdF990 |
| Expenses Subtotal | 87323549 | ExpensesSubtotal |
| Total Expenses Per Form990 | 87323549 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART V, LINE 4 | INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS | -PLANT REPLACEMENT (17.9K) FOR PURCHASE OF NEW PLANT EQUIPMENT. -SELF-INSURANCE (5.0K) FOR CASH TO PAY MALPRACTICE CLAIMS. -TEMPORARILY RESTRICTED (166K) FOR MEDICAL EDUCATION. -PERMANENTLY RESTRICTED (642K) FOR MEDICAL EDUCATION. |
| SCHEDULE D, PART XI, LINE 8, RECONCILIATION OF NET ASSETS | OTHER CHANGES IN NET ASSETS | INCREASE IN MINIMUM PENSION LIABILITY: ($635,705) |
| SCHEDULE D, PART XII, LINE 2D | OTHER ADJUSTMENT TO REVENUE | SPECIAL EVENTS: $46,875 |
| SCHEDULE D, PART XIII, LINE 2D | OTHER ADJUSTMENT TO EXPENSE | SPECIAL EVENTS: $46,875 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 40100 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 40100 | CharitableContributionsEvent1 |
| Other Direct Expenses Event1 | 46875 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 40100 | GrossReceiptsTotal |
| Charitable Contributions Total | 40100 | CharitableContributionsTotal |
| Other Direct Expenses Total Events | 46875 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 46875 | DirectExpenseSummaryEvents |
| Net Income Summary | -46875 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2487162 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3447636 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -960475 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01200 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23625494 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16876020 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6749474 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08440 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26112656 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20323656 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5788999 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07240 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25046 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25046 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5210245 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3821369 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1388876 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01740 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5942325 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1466698 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4475627 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11177616 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5288067 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5889549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07370 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37290272 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25611723 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11678548 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14610 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,647,336 | BadDebtExpenseAmount |
| Amount Attributable To | 2350617 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 17556525 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18828096 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1271571 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVENUE | AddressLine1 |
| City | MOUNT VERNON | City |
| State | NY | State |
| ZIP Code | 10550 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | VOLUNTARY ACUTE CARE HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MOUNT VERNON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| METHADONE MAINTENANCE OP CLINIC | ||||
| 3 SOUTH 6TH AVENUE | MOUNT VERNON | NY | 10551 | HOSPITAL EXTENSION CLINIC |
| MVH PARTIAL HOSPITALIZATION PROGRAM | ||||
| 105 STEVENS AVENUE | MOUNT VERNON | NY | 10550 | HOSPITAL EXTENSION CLINIC |
| INFECTIOUS DISEASE CENTER | ||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10802 | HOSPITAL EXTENSION CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H, PART I, LINE 3C: | NOT APPLICABLE | |
| SCHEDULE H, PART I, LINE 6A: | COMMUNITY SERVICE PLAN NOT PREPARED BY A RELATED ORGANIZATION. | ANNUAL COMMUNITY BENEFIT REPORT |
| SCHEDULE H, PART I, LINE 7 COLUMN(F) | BAD DEBT EXPENSE OF $7,400,024 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. | |
| SCHEDULE H, PART I, LINE 7: | THE PERCENTAGE WAS CALCULATED BASED ON RCC COST ACCOUNTING SYSTEM. | |
| SCHEDULE H, PART III, LINE 4: | LINE 2 - THE COST OF BAD DEBTS HAS BEEN QUANTIFIED USING THE RATIO OF COST TO CHARGES METHOD LESS MEDICARE REIMBURSABLE BAD DEBTS. LINE 3 - THE RATIO OF COST TO CHARGES METHODOLOGY HAS BEEN USED PLUS AN ESTIMATE OF THE SELF PAY/UNINSURED BAD DEBT PATIENT WRITE-OFFS THAT WOULD HAVE QUALIFIED FOR OUR FINANCIAL ASSISTANCE PROGRAM HAD THEY BEEN SCREENED ON ENTRY TO THE SYSTEM. | |
| SCHEDULE H, PART III, LINE 8: | THE SHORTFALL REPORTED ON PART III, LINE 7 WAS NOT TREATED AS COMMUNITY BENEFIT. | |
| SCHEDULE H, PART III, LINE 9B: | FINANCIAL ASSISTANCE IS PROVIDED TO THOSE INDIVIDUALS WHO ARE UNABLE TO PAY IN FULL FOR THEIR HEALTHCARE AND DO NOT QUALIFY 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 REGULATIONS. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES 120 DAYS AFTER THE FIRST BILL HAS BEEN MAILED TO THE PATIENT/GUARANTOR AND NO PAYMENT HAS BEEN RECEIVED. ONCE AN ACCOUNT IS REFERRED TO COLLECTION IT IS REMOVED FROM THE REGULAR ACCOUNTS RECEIVABLE AND PLACED INTO THE BAD DEBT RECEIVABLE. AFTER THE FIVE MONTHS, IF THE COLLECTION AGENCY IS UNABLE TO COLLECT THE ACCOUNT, THE ACCOUNT IS THEN WRITTEN OFF TO BAD DEBT EXPENSE. | |
| SCHEDULE H, PART V: | NOT APPLICABLE | |
| SCHEDULE H, PART VI, LINE 2 | 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, THE 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 EFFORTS 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 INCREASE EDUCATION THAT WILL TRANSLATE INTO POSITIVE MOVEMENT IN STATISTICAL INDICATORS. THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR SALT REDUCTION WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: CORONARY HEART DISEASE HOSPITALIZATIONS, CONGESTIVE HEART FAILURE HOSPITALIZATIONS AND CEREBROVASCULAR (STROKE) DISEASE MORTALITY. INCREASED PHYSICAL ACTIVITY - THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR INCREASED PHYSICAL ACTIVITY FOR OUR WAIST WATCHERS PROGRAM WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: PERCENTAGE OF OBESE ADULTS 25-65 YEARS ENROLLED IN WAIST WATCHERS AND THE PERCENTAGE OF TMVH'S WAIST WATCHERS GRADUATES WHO HAVE A REDUCTION IN THEIR BMI. IN ADDITION, OUR MAKING STRIDES AGAINST BREAST CANCER 5K WALK, WILL USE WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS TO TRACK THE PERCENTAGE OF ADULTS WHO ARE OBESE AND PERCENTAGE OF ADULTS ENGAGED IN SOME TYPE OF LEISURE TIME PHYSICAL ACTIVITIES. ALSO, ATTENDANCE, SPONSORS AND COMMUNITY SUPPORTERS WILL BE A BAROMETER OF SUCCESS. H.I.I.P. EDUCATION - THE MOUNT VERNON HOSPITAL CHOSE TO INCLUDE OUR OUTPATIENT H.I.I.P EDUCATION PROGRAM AS OUR THIRD PRIORITY AGENDA ITEM. OUR PROGRAM CONDUCTS HIV OUTREACH MOSTLY BY CO-LOCATING STAFF AT PARTNER SITES AS OPPOSED TO STAGING OUTREACH EVENTS. OUR PROGRAM GOALS AND OBJECTIVES WERE CHANGED FROM WE WILL LINK PARTICIPANTS TO HIV MEDICAL CARE, TO WE WILL "LINK PARTICIPANTS TO HIV OR HCV MEDICAL CARE." | NEEDS ASSESSMENT |
| SCHEDULE H, 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 REFRESHERS ANYTIME THERE IS A CHANGE TO THE POLICY. OUR POLICY PROVIDES CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY, WHICH SUPPORTS OUR MISSION OF "PROVIDING HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE THROUGHOUT OUR REGION". TO HELP WITH THIS, WE HAVE ONE FINANCIAL COUNSELOR TO HELP PATIENTS APPLYING FOR ASSISTANCE. MAINTAINING SENSITIVITY AND CONCERN TO ALLEVIATE THE PATIENTS' FEARS ABOUT FINANCIAL ASSISTANCE, MAINTAINING EFFECTIVE COMMUNICATION WITH PATIENTS AND ENSURING ALL PATIENTS HAVE THE OPPORTUNITY TO APPLY FOR FINANCIAL AID ARE SOME OF THE ONGOING CHALLENGES EXPERIENCED. THE MOUNT VERNON HOSPITAL WILL ASSIST PATIENTS AND FAMILIES WITH APPLICATIONS FOR MEDICAID DURING THEIR INPATIENT STAY. PATIENTS ADMITTED TO THE HOSPITAL WILL BE VISITED BY A FINANCIAL COUNSELOR WHO WILL PROVIDE NECESSARY CONSULTATION. FOLLOW-UP APPOINTMENTS WITH FINANCIAL COUNSELORS CAN ALSO BE SCHEDULED AFTER DISCHARGE. OUR STAFF WILL WORK ON YOUR BEHALF TO OBTAIN THE NECESSARY BENEFITS. ANY QUESTIONS REGARDING THE ABOVE, PLEASE CONTACT THE PATIENT ADVOCATE AT 914.361.6158. THERE ARE NO FINANCIAL AID CHANGES PLANNED FOR THIS YEAR. WE WILL CONTINUE EDUCATING PATIENTS AND PROVIDING INFORMATION ABOUT THE PROCESS. | PATIENT EDUCATION |
| SCHEDULE H, PART VI, LINE 4: | TMVH'S PRIMARY SERVICE AREA (PSA) HAS BEEN DETERMINED BY THE NYS DEPARTMENT OF HEALTH AS BRONX, ORANGE, PUTNAM, ROCKLAND AND WESTCHESTER COUNTIES. | COMMUNITY INFORMATION |
| SCHEDULE H, PART VI, LINE 5: | 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 PERFORMED FOR THE INDIGENT 4) SUPPORT GROUP MEETINGS, HEALTH FAIR PRESENTATIONS AND EDUCATIONAL PRESENTATIONS. -SUPPORT GROUP MEETINGS, HEALTH FAIR PRESENTATIONS AND EDUCATIONAL PRESENTATIONS. | PROMOTION OF COMMUNITY HEALTH |
| SCHEDULE H, PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM | |
| SCHEDULE H, PART VI, LINE 7: | NEW YORK | STATE FILING OF COMMUNITY BENEFIT REPORT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETRILLO RICHARD L SCH J PART II | |||||||||||||
| 248939 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 248939 | 0 | 0 | 0 |
| SPICER JOHN SEE SCH J PART III | |||||||||||||
| 0 | 848544 | 0 | 0 | 0 | 21441 | 0 | 0 | 0 | 5092 | 0 | 875077 | 0 | 0 |
| HASKINS GEORGE | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 244969 | 0 | 0 | 0 | 7631 | 0 | 252600 | 0 | 0 |
| FARINA ALBERT SEE SCH J PART III | |||||||||||||
| 0 | 309086 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7746 | 0 | 316832 | 0 | 0 |
| ALAIE DARIUSH SEE SCH J PART III | |||||||||||||
| 203700 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7071 | 0 | 210771 | 0 | 0 | 0 |
| AGNANT GUIRLAINE | |||||||||||||
| 318131 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 318131 | 0 | 0 | 0 |
| BORKER PRITI | |||||||||||||
| 310443 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9686 | 0 | 320129 | 0 | 0 | 0 |
| KIM CHUNG | |||||||||||||
| 290376 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 290376 | 0 | 0 | 0 |
| CHANG CHIH TANG | |||||||||||||
| 294083 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6071 | 0 | 300154 | 0 | 0 | 0 |
| D'ADDESIO NICK | |||||||||||||
| 157243 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6071 | 0 | 163314 | 0 | 0 | 0 |
| PARKER FREDERICK | |||||||||||||
| 291972 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6071 | 0 | 298043 | 0 | 0 | 0 |
| CHUNG KUN YOUNG | |||||||||||||
| 223399 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7061 | 0 | 230460 | 0 | 0 | 0 |
| PRASAD BALASA | |||||||||||||
| 37962 | 0 | 0 | 0 | 419800 | 0 | 0 | 0 | 0 | 0 | 457762 | 0 | 0 | 0 |
| ISHKANIAN GARY | |||||||||||||
| 159423 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6383 | 0 | 165806 | 0 | 0 | 0 |
| KAPLAN SIDNEY | |||||||||||||
| 213885 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 213885 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J, PART I | Identifier |
| Return Reference | GENERAL COMPENSATION NOTE | ReturnReference |
| Explanation | 1) ALAIE, DARIUSH - THE COMPENSATION WAS PAID FOR SALARY AS PHYSICIAN NOT FOR TRUSTEE OR OFFICER. 2) PETRILLO, RICHARD L - THE COMPENSATION WAS PAID FOR SALARY AS PHYSICIAN NOT FOR TRUSTEE OR OFFICER. 3) SPICER, JOHN - THE COMPENSATION WAS PAID FOR SALARY AS CEO, BY RELATED ENTITY SOUND SHORE MEDICAL CENTER.THE ALLOCABLE PORTION TO MOUNT VERNON HOSPITAL IS $288,505. 4) FARINA, ALBERT - THE COMPENSATION WAS PAID FOR SALARY AS CFO, BY RELATED ENTITY SOUND SHORE MEDICAL CENTER. THE ALLOCABLE PORTION TO THE MOUNT VERNON HOSPITAL IS $105,089. 5) HASKINS, GEORGE - THE FORMER COO OF THE MOUNT VERNON HOSPITAL RECEIVED HIS SEVERANCE FOR 2010 FROM SOUND SHORE MEDICAL CENTER. THE AMOUNT WAS REPORTED ON PART VII AND SCHEDULE J ACCORDINGLY. 6) PACE, MAUREEN - THE FORMER SR VICE PRESIDENT & COO OF THE MOUNT VERNON HOSPITAL RECEIVED HER SEVERANCE FOR 2010. THE AMOUNT WAS REPORTED ON PART VII AND SCHEDULE J ACCORDINGLY. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOY NACLERIO | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | WIFE OF BOARD MEMBER | Relationship |
| Amount Of Transaction | 50000 | AmountOfTransaction |
| Description Of Transaction | FULL TIME EMPOYEE | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV, LINE 1 | Identifier |
| Return Reference | BUSINESS TRANSACTIONS WITH INTERESTED PERSONS | ReturnReference |
| Explanation | JOY NACLERIO, THE WIFE OF RICHARD J NACLERIO, A BOARD MEMBER OF THE MOUNT VERNON HOSPITAL, IS A FULL TIME EMPLOYEE OF THE MOUNT VERNON HOSPITAL. IN 2010, $50,000 OF COMPENSATION 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990, PART VI, LINE 6 | MEMBERS OF THE ORGANIZATION | THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, SOUND SHORE HEALTH SYSTEM, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION. |
| FORM 990, PART VI, LINE 7A & 7B | ELECTION OF THE GOVERNING BODY | THE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. |
| FORM 990, PART VI, LINE 11A | REVIEW PROCESS FOR FORM 990 | THE TAX RETURN WAS REVIEWED BY THE MANAGEMENT OF THE HOSPITAL PRIOR TO THE NOVEMBER 15TH FILING DATE. FORM 990 ALSO IS AVAILABLE FOR BOARD REVIEW UPON REQUEST. |
| FORM 990, PART VI, LINE 12C | CONFLICT OF INTEREST POLICY | THE MOUNT VERNON HOSPITAL'S CONFLICT OF INTEREST POLICIES APPLY TO ITS GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. THE MOUNT VERNON HOSPITAL'S BYLAWS REQUIRE THAT MEMBERS OF ITS GOVERNING BOARD AND ITS CORPORATE OFFICERS DISCLOSE ALL CONFLICTS OF INTEREST PROMPTLY AT THE TIME THEY ARISE, AND ANNUALLY VIA A WRITTEN DISCLOSURE PROCESS. THE GOVERNING BOARD IS CHARGED WITH REVIEWING CONFLICT OF INTEREST TRANSACTIONS AND ASSOCIATED DECISIONS, AND MAKING A DETERMINATION REGARDING ANY RESTRICTIONS TO BE IMPOSED ON THE TRANSACTION. THEIR DETERMINATION AND ALL MATERIAL FACTS ARE RECORDED IN MEETING MINUTES. THE MOUNT VERNON HOSPITAL'S EMPLOYEES ARE LIKEWISE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS PROMPTLY, AND IN WRITING, ALL CONFLICTS OF INTEREST THAT ARISE AND UPPER-LEVEL MANAGERS ADDITIONALLY COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. AN EMPLOYEE'S SUPERVISOR IS CHARGED WITH REVIEWING A REPORTED CONFLICT OF INTEREST AND ENSURING THAT THE EMPLOYEE IS NOT INVOLVED IN DECISIONS RELATED TO THE CONFLICT. |
| FORM 990, PART VI, LINE 15A & 15B | COMPENSATION POLICY | THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW OF OFFICERS' COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND 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 2011. |
| FORM 990, PART VI, LINE 19 | DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION | 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 | AVERAGE HOURS | THE AVERAGE HOURS DEVOTED TO THE MOUNT VERNON HOSPITAL AND RELATED ORGANIZATIONS IS 40 HOURS PER WEEK. |
| FORM 990, PART XI, LINE 5 | OTHER CHANGES IN NET ASSETS | INCREASE IN MINIMUM PENSION LIABILITY: ($635,705) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| PINNACLE HEALTHCARE INC | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133997857 | HEALTH CARE | NY | 501(C)(3) | 3 | NA |
| SOUND SHORE HEALTH SYSTEM | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 134011398 | MANAGEMENT | NY | 501(C)(3) | 3 | PINNACLE HC |
| MVH CORPORATION | |||||||||
| 12 NORTH SEVENTH AVENUE | MOUNT VERNON | NY | 10550 | 133281514 | HOSPITAL | NY | 501(C)(3) | 3 | TMVH |
| SOUND SHORE MEDICAL CENTR OF WESTCHESTER | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 131740117 | HOSPITAL | NY | 501(C)(3) | 3 | SSHS |
| HOWE AVENUE NURSING HOME INC | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 237000781 | NURSING HOME | NY | 501(C)(3) | 9 | SSMC |
| GUION PLACE HOUSING COMPANY | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 136179280 | HOUSING COMP | NY | 501(C)(2) | NA | SSMC |
| LOCKWOOD AVENUE HOUSING COMPANY | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 237003479 | HOUSING COMP | NY | 501(C)(2) | NA | SSMC |
| NEW ROCHELLE EMERGENCY SERVICES PC | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133593361 | HEALTH CARE | NY | 501(C)(3) | 11 TYPE I | SSMC |
| NEW ROCHELLE PATHOLOGY SERVICES PC | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133576545 | HEALTH CARE | NY | 501(C)(3) | 11 TYPE I | SSMC |
| NEW ROCHELLE MEDICAL SERVICES PC | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133739582 | HEALTH CARE | NY | 501(C)(3) | 11 TYPE I | SSMC |
| HOWE AVENUE MEDICAL SERVICES INC | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133698467 | HEALTH CARE | NY | 501(C)(3) | 11 TYPE I | SSMC |
| NRHMC INC | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133272830 | SUPPORTING | NY | 501(C)(3) | 11 TYPE I | SSMC |
| SOUND SHORE MEDICAL CNTR OF WESTCH FDN | |||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133593049 | FUNDRAISING | NY | 501(C)(3) | 9 | NRHMC INC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| NRHMC SERVICES CORPORATION | ||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133769137 | SPACE RENTAL | NY | NRHMC INC | C |
| SOUND SHORE PHARMACY INC | ||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 133916523 | PHARMACY | NY | NRHMC INC | C |
| SOUND SHORE PHYSICIAN SERVICES PC | ||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 753239926 | PHYSICIAN BILLING | NY | SSMC | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| SOUND SHORE MEDICAL CENTER OF WESTCHESTER | |
| R | 431282 |
| HOWE AVENUE NURSING HOME | |
| R | 1585 |
| NRHMC SERVICES CORP | |
| Q | 43386 |
| SOUND SHORE MEDICAL CENTER OF WESTCHESTER FDN | |
| Q | 310496 |
| SOUND SHORE PHARMACY | |
| R | 4020 |