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MEMORIAL HOSPITAL: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HOSPITAL (EIN 23-1265004)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-23
IRS object ID
201601449349200500
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-23T08:01:36-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231265004EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone7178438623PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1325 SOUTH BELMONT STREETAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17403ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACK KAYPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone7178438623PhoneNum
Signature2016-05-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIUS C GREEN CPA JDPreparerPersonNm
PTINP00350393PTIN
Phone2159720701PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.MHYORK.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$0GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Total Revenue$0TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$0ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$16,631,381NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$16,631,381OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,748,017BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,636BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$16,631,381BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeMEMORIAL HOSPITAL IS COMMITTED TO PROMOTING, IMPROVING, AND ENHANCING THE HEALTH AND WELL-BEING OF THE COMMUNITY WE SERVE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomMEMORIAL HEALTH SYSTEMS CORPORATION, PARENT COMPANY OF MEMORIAL HOSPITAL, ENTERED INTO AN ASSET PURCHASE AGREEMENT DATED JANUARY 24, 2012 WITH COMMUNITY HEALTH SYSTEMS, INC. TO SELL SUBSTANTIALLY ALL OF THE ASSETS OF THE SYSTEM. THE SALE CLOSED ON JULY 1, 2012. THE HOSPITAL TERMINATED ITS BUSINESS ACTIVITIES ON THAT DATE AND DISSOLVED AS OF JUNE 30, 2015. UPON DISSOLUTION, ANY ASSETS REMAINING WERE TRANSFERRED TO THE MEMORIAL HEALTH SYSTEMS CORPORATION ("MHSC"). MHSC WILL REMAIN ACTIVE IN THE YORK COMMUNITY PROVIDING FUNDS TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JACK KAY
CHAIR0.10$0$0$0
RICHARD D POOLE
VICE CHAIR0.10$0$0$0
CHLOE EICHELBERGER
TREASURER0.10$0$0$0
TERRY YORK
DIRECTOR0.10$0$0$0
SALLY DIXON
PRESIDENT0.10$0$0$0
RANDALL GROS
DIRECTOR0.10$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved EtcYes (1)OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SALLY J DIXONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1325 SOUTH BELMONT STREETAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17403ZIPCd
FieldValueIRS element (for citing)
Phone7178438623PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCASH AND INVESTMENTSAssetsDistriOrExpnssPaidDesc
Distribution2015-06-30DistributionDt
Fair Market Value Of Asset$422,778FairMarketValueOfAssetAmt
Method Of FMV DeterminationCOSTMethodOfFMVDeterminationTxt
EIN222546051EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH SYSTEMS CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1325 SOUTH BELMONT STREETAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17403ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2E:FormAndLineReferenceDesc
ExplanationPERSON(S) INVOLVED: ALL DIRECTORS OF THE HOSPITAL WERE ALSO DIRECTORS OF THE MEMORIAL HEALTH SYSTEMS CORPORATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETSFormAndLineReferenceDesc
ExplanationDESCRIPTION: TRANSFER OF ASSETS TO AFFILIATE. AMOUNT: -90,737. DESCRIPTION: TRANSFER OF MEDICARE APPEALS REVENUE TO AFFILIATE. AMOUNT: -332,041. DESCRIPTION: FORGIVENESS OF DUE FROM MHSC UPON DISSOLUTION OF HOSPITAL. AMOUNT: -5,556,345. DESCRIPTION: ADJ-FORGIVENESS OF DUE FROM AFFILIATES UPON THEIR DISSOLUTION IN PRIOR YEARS. AMOUNT: -10,652,258. TOTAL TO FORM 990-EZ, LINE 20: -16,631,381.ExplanationTxt

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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