SOUND SHORE MEDICAL CENTER OF WESTCHESTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SOUND SHORE MEDICAL CENTER OF WESTCHESTER (EIN 13-1740117)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2015-07-01
- IRS object ID
- 201501829349300200
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-07-01T06:45:08-04:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134098505 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOW INCOME TAX | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 LAMARTINE TERRACE | AddressLine1 |
| City | Yonkers | City |
| State | NY | State |
| ZIP Code | 10701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740117 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUND SHORE MEDICAL CENTER OF WESTCHESTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUN | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 GUION PLACE | AddressLine1 |
| City | New Rochelle | City |
| State | NY | State |
| ZIP Code | 10801 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA TERRANO | PersonNm |
| Person Title | CHIEF WIND DOWN | PersonTitleTxt |
| Phone | 9143653500 | PhoneNum |
| Signature | 2014-12-26 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Louis Wharton | PreparerPersonNm |
| PTIN | P00966402 | PTIN |
| Preparation | 2015-07-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $155,605,545 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SSHSW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SOUND SHORE MEDICAL CENTER OF WESCHESTER HAS FORMED AN INTEGRATED HEALTH SYSTEM WHICH IS THE CENTER OF HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE THROUGHOUT OUR REGION. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 27 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 25 | VotingMembersIndependentCnt |
| Total Employee | 1556 | TotalEmployeeCnt |
| Total Volunteers | 283 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,979,878 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,216,275 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $139,779,152 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $123,488,102 | CYProgramServiceRevenueAmt |
| PY Investment Income | $859,098 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,544,209 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,812,951 | PYOtherRevenueAmt |
| CY Other Revenue | $474,098 | CYOtherRevenueAmt |
| PY Total Revenue | $151,431,079 | PYTotalRevenueAmt |
| CY Total Revenue | $143,722,684 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $95,259,086 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $88,853,711 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $71,558,034 | PYOtherExpensesAmt |
| CY Other Expenses | $68,263,947 | CYOtherExpensesAmt |
| PY Total Expenses | $166,817,120 | PYTotalExpensesAmt |
| CY Total Expenses | $157,117,658 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$15,386,041 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$13,394,974 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $100,865,028 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,892,336 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $152,918,716 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $121,046,633 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$52,053,688 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$64,154,297 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SOUND SHORE MEDICAL CENTER OF WESCHESTER HAS FORMED AN INTEGRATED HEALTH SYSTEM WHICH IS THE CENTER OF HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE THROUGHOUT OUR REGION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $102,924,485 | ExpenseAmt |
| Revenue | $115,216,358 | RevenueAmt |
| Desc | VOLUNTARY NOT FOR PROFIT HOSPITAL PROVIDING ACUTE CARE TO INDIVIDUALS REGARDLESS OF ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,032,998 | ExpenseAmt |
| Revenue | $6,028,304 | RevenueAmt |
| Desc | EMERGENCY: THE MEDICAL CENTER HAD A TOTAL 35,895 AND 35,895 EMERGENCY ROOM VISITS FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012 RESPECTIVELY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,089,978 | ExpenseAmt |
| Revenue | $2,652,256 | RevenueAmt |
| Desc | CLINICS: THE MEDICAL CENTER HAD A TOTAL OF 35,817 AND 35,817 CLINIC VISITS FOR THE YEAR ENDED DECEMBER 31, 2013 AND 2012 RESPECTIVELY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $122,047,461 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 132 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1556 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 27 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 25 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA TERRANO | PersonNm |
| Phone | 9178163561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 GUION PLACE | AddressLine1 |
| City | New Rochelle | City |
| State | NY | State |
| ZIP Code | 10801 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ANDREW STILLMAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA LANGEBEIN | ||||||||
| ASST SECRETARY & EXECUTIVE AS | 39.00 | 1.00 | Yes (X) | $111,894 | $0 | $0 | Yes (X) | |
| CAROL A PETRILLO | ||||||||
| VICE CHAIRMAN | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES H MCCABE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL F CREMINS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANCIS H LUDINGTON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE T ERBE | ||||||||
| VICE CHAIRMAN | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| HON STEPHEN P TENORE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HON TIMOTHY C IDONI | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY R POWERS | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN A GEORGHEGAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN J DOONER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHIE E DAVIDSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHRYN C CHENAULT | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHWARI M FAROOQ | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LAWRENCE R RUISI | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LORRI S GORMAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LOUIS B FROST | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY M SAVAGE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARYELLEN JOHNSTON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MAURO C ROMITA | ||||||||
| CHAIRMAN | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RICHARD C GAY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT F BALACHANDRAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STANLEY BUTURLA | ||||||||
| INTERIM CFO | 24.00 | 16.00 | Yes (X) | $0 | $222,308 | $0 | Yes (X) | |
| STEWART J MCMILLAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS MCEVOY | ||||||||
| ASSISTANT TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN R SPICER | ||||||||
| PRESIDENT & CEO | 24.00 | 16.00 | $821,136 | $0 | $0 | Yes (X) | ||
| CLARK E WALTER | ||||||||
| SV VP GENERAL COUNCIL | 40.00 | 0.00 | $281,704 | $0 | $0 | Yes (X) | ||
| MADHU RANGRAJ | ||||||||
| MEDICAL DIRECTOR OR SURGERY | 40.00 | 0.00 | $442,308 | $0 | $0 | Yes (X) | ||
| PATRICIA DEVINE | ||||||||
| CHIEF OF MATERNAL MEDICINE | 40.00 | 0.00 | $346,477 | $0 | $0 | Yes (X) | ||
| SETH GENDLER | ||||||||
| CHIEF OF GASTROENTEROLOGY | 40.00 | 0.00 | $372,083 | $0 | $0 | Yes (X) | ||
| STEVEN ZELICOF | ||||||||
| CHIEF OF ORTHOPEDIC SURGERY | 40.00 | 0.00 | $503,307 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,878,909 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $222,308 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STRYKER ORTHOPEDICS | |||||
| 131 SOUTH DEARBORN | Chicago | IL | 60603 | MEDICAL SPECIALIST | $2,527,662 |
| ALVAREZ MARSAL LLC | |||||
| 600 LEXINGTON AVENUE | New York | NY | 10022 | MANAGEMENT SERVICE | $2,081,402 |
| GARUNKEL WILD PC | |||||
| 111 GREAT NECK ROAD | Great Neck | NY | 11021 | LEGAL SERVICES | $1,438,348 |
| NUTRITIONAL MANAGEMENT SERVICES | |||||
| POBOX 715 2071 KIMBERTON ROAD | Kimberton | PA | 19442 | FOOD SERVICE | $1,276,390 |
| ALLSCRIPTS | |||||
| POBOX 8538-0133 | Philadelphia | PA | 19171 | PRESCRIPTIONS | $860,206 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,213,459 | GovernmentGrantsAmt |
| All Other Contributions | $2,816 | AllOtherContributionsAmt |
| Total Contributions | $11,216,275 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $118,889,328 | $118,889,328 |
| PART B DEPOSIT | 621110 | $3,061,533 | $3,061,533 |
| OTHER MEDICAL REVENUE | 621110 | $1,036,056 | $1,036,056 |
| OTHER MISC MEDICAL REV | 621110 | $501,185 | $501,185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $123,488,102 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $400,656 | TotalRevenueColumnAmt |
| Exclusion | $400,656 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,720,571 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,832,010 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$111,439 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$111,439 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$111,439 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,194,404 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,050,851 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,143,553 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,143,553 | TotalRevenueColumnAmt |
| Exclusion | $8,143,553 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DISCOUNT & REBATES | 900099 | $277,041 | $277,041 |
| PARKING FEES | 812930 | $81,719 | $81,719 |
| TENANT CHARGES | 900099 | $161,494 | $161,494 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,283 | TotalRevenueColumnAmt |
| Exclusion | $65,283 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $585,537 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,722,684 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $123,896,917 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,609,492 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,030 | TotalAmt |
| Program Services | $699,773 | ProgramServicesAmt |
| Management And General | $233,257 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,288,278 | TotalAmt |
| Program Services | $46,716,208 | ProgramServicesAmt |
| Management And General | $15,572,070 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,320,220 | TotalAmt |
| Program Services | $2,490,165 | ProgramServicesAmt |
| Management And General | $830,055 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,970,291 | TotalAmt |
| Program Services | $12,727,718 | ProgramServicesAmt |
| Management And General | $4,242,573 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,341,892 | TotalAmt |
| Program Services | $4,006,419 | ProgramServicesAmt |
| Management And General | $1,335,473 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,223,402 | TotalAmt |
| Program Services | $4,667,551 | ProgramServicesAmt |
| Management And General | $1,555,851 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,056,453 | TotalAmt |
| Program Services | $1,542,340 | ProgramServicesAmt |
| Management And General | $514,113 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,751 | TotalAmt |
| Program Services | $379,313 | ProgramServicesAmt |
| Management And General | $126,438 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,922,973 | TotalAmt |
| Program Services | $5,942,230 | ProgramServicesAmt |
| Management And General | $1,980,743 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,979 | TotalAmt |
| Program Services | $32,235 | ProgramServicesAmt |
| Management And General | $10,744 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,380,629 | TotalAmt |
| Program Services | $10,035,472 | ProgramServicesAmt |
| Management And General | $3,345,157 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,413 | TotalAmt |
| Program Services | $5,560 | ProgramServicesAmt |
| Management And General | $1,853 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,728,245 | TotalAmt |
| Program Services | $2,046,184 | ProgramServicesAmt |
| Management And General | $682,061 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,535 | TotalAmt |
| Program Services | $68,651 | ProgramServicesAmt |
| Management And General | $22,884 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,020,887 | TotalAmt |
| Program Services | $3,015,665 | ProgramServicesAmt |
| Management And General | $1,005,222 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,394,295 | TotalAmt |
| Program Services | $4,045,721 | ProgramServicesAmt |
| Management And General | $1,348,574 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,395,749 | TotalAmt |
| Program Services | $4,796,812 | ProgramServicesAmt |
| Management And General | $1,598,937 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $8,080,000 | $8,080,000 | |
| MEDICAL SUPPLIES | $4,986,602 | $4,986,602 | |
| LAB SUPPLIES | $3,770,268 | $3,770,268 | |
| COLLECTION FEES | $2,497,471 | $1,873,103 | $624,368 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,295 | TotalAmt |
| Program Services | $119,471 | ProgramServicesAmt |
| Management And General | $39,824 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,117,658 | TotalAmt |
| Program Services | $122,047,461 | ProgramServicesAmt |
| Management And General | $35,070,197 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,662,801 | BOYAmt |
| EOY | $15,300,182 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,229 | BOYAmt |
| EOY | $216,336 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,525,144 | BOYAmt |
| EOY | $7,408,372 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,726,885 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,106 | BOYAmt |
| EOY | $175,321 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,161,823 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,483 | BOYAmt |
| EOY | $479,263 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,505,557 | BOYAmt |
| EOY | $33,312,862 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,865,028 | BOYAmt |
| EOY | $56,892,336 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,849,001 | BOYAmt |
| EOY | $52,448,836 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,464,405 | BOYAmt |
| EOY | $18,966,458 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,605,310 | BOYAmt |
| EOY | $49,631,339 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,918,716 | BOYAmt |
| EOY | $121,046,633 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$67,447,671 | BOYAmt |
| EOY | -$80,843,058 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,259 | BOYAmt |
| EOY | $374,264 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,019,724 | BOYAmt |
| EOY | $16,314,497 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$52,053,688 | BOYAmt |
| EOY | -$64,154,297 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,865,028 | BOYAmt |
| EOY | $56,892,336 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$13,394,974 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,294,365 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,019,725 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,294,772 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $16,314,497 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,087,017 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $932,707 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $15,019,724 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,548,159 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $538,858 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,087,017 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,061,243 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $486,916 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,548,159 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,338,500 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,722,743 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,061,243 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTIES | $3,937,143 |
| OTHER RECEIVABLES | $2,371,222 |
| MALPRACTICE INSURANCE | $10,690,000 |
| PERMANENTLY RESTRICTED ASSESTS | $16,314,497 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $33,312,862 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED PENSION COSTS | $1,258,400 |
| DUE TO THIRD PARTY PAYORS | $9,889,465 |
| CAPITAL LEASES | $2,028,764 |
| DEFERRED POST RETIREMENT | $4,983,448 |
| MALPRACTICE INSURANCE PAYABLE | $4,873,643 |
| ASSET RETIREMENT OBLIGATION | $378,050 |
| INVESTMENT FUND BALANCE | $36,000 |
| DUE TO AFFILIATES | $15,488,197 |
| MALPRACTICE SELF INSURANCE ESTIMATE | $10,690,000 |
| OTHER LIABILITIES | $5,372 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $49,631,339 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,647,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,240,592 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,406,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08720 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,047,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,871,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,175,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,694,793 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,112,307 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,582,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10140 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,671 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $84,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,144,458 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,942,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,201,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03390 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,755,364 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,169,939 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$8,414,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,338,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,703,528 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,635,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,323,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,816,149 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,492,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,018,261 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,928,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,089,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,451,224 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,309,709 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $36,336,730 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $38,260,075 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,923,345 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUND SHORE MEDICAL CENTER OF WESTC | BusinessNameLine1 |
US Address USAddress
| 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) |
|---|---|---|
| Website Address | WWW.SSHSW.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | VOLUNTARY ACUTE CARE MEDICAL CENTER | OtherDesc |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUND SHORE MEDICAL CENTER OF WESTC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | false | CHNAConductedInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 1.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 4.0000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOBILE MAMMOGRAPHY SERVICE | BusinessNameLine1 |
US Address USAddress
| 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) |
|---|---|---|
| Facility | HOSPITAL EXTENSION CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 01. Additional Information for Schedule H | PART 1, LINE 6A:COMMUNITY BENEFIT PLAN WAS PREPARED BY SOUND SHORE MEDICAL CENTER OF WESTCHESTER.PART 1, LINE 7: THE PERCENTAGE WAS CALCULATED BASED ON RCC COST ACCOUNTING METHOD.PART 1, LINE 7G: SUBSIDIZED HEALTH SERVICES - CLINIC & EMERGENCY ROOM. |
| 02. Debt expense included (Part I, line 7, col(f)) | PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS, BASED ON A STANDARDIZED APPROACH TO REVIEWING THE COLLECTABILITY OF RECEIVABLES ACCORDING TO PAYER CLASS AND AGE. UNINSURED ACCOUNTS ARE SUBJECTED TO FINANCIAL REVIEW, BASED ON FEDERAL POVERTY GUIDELINES, TO DETERMINE A PATIENT'S FINANCIAL RESPONSIBILITY. AFTER REASONABLE EFFORTS TO COLLECT AMOUNTS DUE FROM THE PATIENT, INCLUDING COINSURANCE AMOUNTS, HAVE BEEN EXHAUSTED THE MEDICAL ENTER AND NURSING HOME FOLLOW ESTABLISHED GUIDELINES FOR PLACING CERTAIN ACCOUNTS WITH COLLECTION AGENCIES. ACCOUNTS RECEIVABLE ARE WRITTEN OFF THE ACTIVE ACCOUNTS RECEIVABLE FILE AFTER ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. |
| 03. Bad debt description footnote (Part III, line 4) | 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 QULAIFIED FOR OUR FINANCIAL ASSISTANCE PROGRAM HAD THEY BEEN SCREENED ON ENTRY TO THE SYSTEM. |
| 04. Collection practices (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. ACCOUNTAS ARE REFERRED 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 COLLECTIONS AGENCIES A 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 GROM 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. |
| 05. Needs assessment (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 THESE MEETINGS, SSMC'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 POSITIVELY IMPACT OUR CITIZENS' HEALTH THROUGH CHOOSING SALT REDUCTION AND INCREASED PHYSICAL ACTIVITY WAS PROVIDED. THROUGH PUBLIC EDCUATION AND WITH A MULTI-PRONGED APPROACH, THE FOLLOWING ARE SSMC'S SELECTED PREVENTION AGENDA PRIORITIES ACTIVITIES. THE GOAL IS TO ENHANCE AWAARENESS 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 REDCUTION WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PROIRITY INDICATORS IN THE FOLLOWING AREASl: 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 FIT WIC PROGRAM WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: PERCENTAGE OF OBESE CHILDREN 2-5 YEARS ENROLLED IN WIC AND THE PERCENTAGE OF SSMC'S FIT WIC GRADUATES WHO HAVE A REDUCTION IN THEIR BMI. IN ADDITION, OUR 5K WALK & RUN - THE STRIDE, 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. DIABETES EDUCATION - SOUND SHORE MEDICAL CENTER CHOSE TO INCLUDE OUR OUTPATIENT DIABETES EDUCATION PROGRAM AS OUR THIRD PRIORITY AGENDA ITEM. OUR PROGRAM'S PATIENTS' AIC LEVELS ARE TRACKED AND AVERAGED TO DETERMINE EAGCH GROUP'S BLOOD GLUCOSE MANAGEMENT SUCCESS. IN ADDITION, WESTCHESTER COUNTY'S DIABETES PREVALENCE IN ADULTS AND SHORT-TERM COMPLICATION HOSPITALIZATION RATE FOR 18+ YEARS WILL BE USED. THE SCOPE OF OUR THREE YEAR PLAN IS UNCHANGED. |
| 06. Patient education (Part VI, line 3) | SSMC 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. SSMC POSTS THE POLICY IN PROMINENT LOCATIONS WITHIN THE MEDICAL CENTER 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 HIHG QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE THROUGHOUT OUR REGION. TO HELP WITH THIS WE HAVE TWO FINANCIAL COUNSELORS TO HELP PATIENTS APPLYING FOR ASSISTANCE. MAINTAINING SENSITIVITY AND CONCEN 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. IN AN EFFORT TO HIGHLIGHT FINANCIAL AID, A CALLOUT IN OUR NEW PATIENT HANDBOOK (AVAILABLE IN ENGLISH AND SPANISH), SPECIFIES THE PROCESS AND INCLUDES TWO CONTACT TELEPHONE NUMBERS - ADMINISTRATOR OF CREDIT AND PATIENT ACCESS (ADMITTING), FOR MORE INFORMATION. OUR PATIENT HANDBOOK IS ALSO AVAILABLE ON OUR WEBSITE. |
| 07. Community information (Part VI, line 4) | SOUND SHORE MEDICAL CENTER IS COMMITTED TO MEETING THE NEEDS OF THE MORE THAN TWENTY TOWNS, VILLAGES AND COMMUNITIES IN THE SOUND SHORE REGION OF SOUTHERN WESTCHESTER AND NORTHERN WESTCHESTER AND NORTHERN BRONX. THE COMMUNITIES SERVED BY THE MEDICAL CENTER ARE EXTREMELY DIVERSE. THEY CONTAIN POCKETS OF GREAT WEALTH AS WELL AS POOR NEIGHBORHOODS WITH DIFFICULTY IN ACCESSING PRIMARY CARE. THERE IS A LARGE AND GROWING ELDERLY POPULATION IN THE REGION, BUT THERE ARE ALSO A SIGNIFICANT NUMBER OF WOMEN OF CHILDBEARING AGE IN THE HIGH RISK CATEGORY. A SUMMARY PROFILE AND ASSESSMENT OF SSMC'S COMMUNITIES ARE PROVIDED BELOW. THE NATIONAL PLANNING DATA CORPORATION ESTIMATES THAT APPROXIMATELY 250,000 PEOPLE LIVE IN SOUND SHORE MEDICAL CENTER'S FIFTEEN ZIP CODE PRIMARY SERVICE AREAS. AN ADDITIONAL 450,000 INDIVIDUALS RESIDE IN SOUND SHORE'S SECONDARY SERVICE AREA WHICH IS COMPRISED OF SIX ZIP CODES IN WESTCHESTER AND SIX IN THE NORTHER BRONX ALONG THE SOUND SHORE. |
| 08. Promoting community health (Part VI, line 5) | WOMEN, INFANTS AND CHILDREN'S (WIC) PROGRAM PROVIDED 106,625 VISITS. COAT AND TOY DRIVE DISTRIBUTED 775 NEW COATS, 1200 TOYS AND 300 BAGS OF FOOD TO THE LOCAL NEEDY. PROVIDED 19 EDUCATION PRESENTATIONS. PARTICIPATED IN 19 HEALTH FAIRS, MEALS ON WHEELS PROVIDED 8,086 MEALS AND 3,850 SANDWICHES IN NEW ROCHELLE AND 2,200 MEALS IN PELHAM. SCREENINGS PERFORMED: MAMOGRAMS TO THE UNINSURED 64, CARDIAC EXAMS 596, PROSTATE CANCER SCREENINGS 7 AND DIABETES RISK ASSESSMENTS 801. |
| 09. Affiliated health care system (Part VI, line 6) | THE ORGANIZATION IS AFFILIATED WITH SOUND SHORE HEALTH SYSTEM. |
| 10. State filings (Part VI, line 7) | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NEW YORK. |
| 11. Other charity care criteria description (Part I, line 3c) | THE ORGANIZATION HAS A FINANCIAL ASSISTANCE POLICY IN PLACE DURING THE YEAR. THIS POLICY IS WRITTEN AND MADE AVAILABLE TO ALL PATIENTS REQUIRING ASSITANCE. |
| 12. Related organization annual community benefit report (Part I, line 6a) | THE ORGANIZATION PREPARES ITS OWN ANNUAL COMMUNITY BENEFIT REPORT THAT IS AVAILABLE TO THE PUBLIC UNPON REQUEST. |
| 13. Allowable Medicare costing methodology (Part III, line 8) | THE ORGANIZATION USES THE RCC COST ACCOUNTING METHOD. |
| 14. Subsidized health services costs (Part I, line 7g) | THE ORGANIZATION PROVIDE SUBSIDIZED HEALTH CARE SERVICES - CLINICS & EMERGENCY ROOMS. |
| 15. Costing methodology explanation (Part I, line 7) | THE ORGANIZATION USES THE RATIO OF COST TO CHARGES METHOLDOGY PLUS AN ESTIMATE OF THE SELF PAY/UNINSURED BAD DEBT PATIENT WRITE-OFFS THAT WOULD HAVE QUALIFIED FOR OUR FINANCIAL ASSISTANCE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| STANLEY BUTURLA | ||||
| INTERIM CFO | $222,308 | $222,308 | ||
| JOHN R SPICER | ||||
| PRESIDENT & CEO | $821,136 | $821,136 | ||
| CLARK E WALTER | ||||
| SV VP GENERAL COUNCIL | $281,704 | $281,704 | ||
| MADHU RANGRAJ | ||||
| MEDICAL DIRECTOR OR SURGERY | $442,308 | $442,308 | ||
| PATRICIA DEVINE | ||||
| CHIEF OF MATERNAL MEDICINE | $346,477 | $346,477 | ||
| SETH GENDLER | ||||
| CHIEF OF GASTROENTEROLOGY | $372,083 | $372,083 | ||
| STEVEN ZELICOF | ||||
| CHIEF OF ORTHOPEDIC SURGERY | $503,307 | $503,307 | ||
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW ROCHELLE MUNICIPAL HOUSI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 136007019 | BondIssuerEIN |
| CUSIP | 64853QAA4 | CUSIPNum |
| Bond Issued | 2005-11-21 | BondIssuedDt |
| Issue Price | $4,935,000 | IssuePriceAmt |
| Purpose | REFINANCING | PurposeDesc |
| Defeased | Yes (true) | DefeasedInd |
| On Behalf Of Issuer | Yes (true) | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $4,935,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $74,025 | IssuanceCostsFromProceedsAmt |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | Yes (true) | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERMUDA COMMERCIAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 30 | TermOfHedgePct |
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | FILED BANKRUPTCY 5292013 CLOSED ITS BUSINESS ON 11052013 ASSETS SOLD | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2013-11-05 | DistributionDt |
| Person | MONTEFIORE | PersonNm |
| IRC Section | 501C3 | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Organizational document changes Part VI line 4 | THE ORGANIZATION CEASED HEALTHCARE SERVICES ON NOVEMBER 05, 2013 AND SOLD ITS REAL ESTATE ASSETS. |
| Members or stockholder classes and rights Part VI line 6 | THE ORGANIZATION HAS A SINGLE MEMBER, SOUND SHORE HEALTH SYSTEM, INC., HEREIN TO REFERRED SSHS, WHICH IS A NOT-FOR-PROFIT CORPORATION. |
| Member election for additional members Part VI line 7a | THE ORGANIZATION HAS A SINGLE MEMBER, SSHS, WHICH IS A NOT-FOR-PROFIT CORPORATION THAT CAN APPOINT THE BOARD. |
| Form 990 governing body review Part VI line 11 | THE TAX RETURN WAS PREPARED BY AN IDENPENDENT ACCOUNTANT. THE TAX RETURN WAS THEN REVEIWED BY THE PLAN ADMINISTRATOR WHICH WAS APPROVED BY THE BANKRUPTCY COURT PRIOR TO FILING WITH THE IRS. |
| Conflict of interest policy compliance Part VI line 12c | SOUND SHORE MEDICAL CENTER'S HEREIN TO REFERRED AS SSMC CONFLICT OF INTEREST POLICES APPLY TO ITS GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. SSMC 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. SSMC'S EMPLOYEES ARE LIKEWISE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS PROMPTLY, AND IN WRITING, ALL CONFLICTS OF INTEREST THAT ARISE AND UPPER-LEVEL MANAGERS ADDITIONLY COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. AN EMPLOYEE'S SUPERVISOR IS CHARGED WITH REVEIWING A REPORTED CONFLICT OF INTEREST AND ENSURING THAT THE EMPLOYEE IS NOT INVOLVED IN DECISIONS RELATED TO THE CONFLICT. |
| CEO executive director top management comp Part VI line 15a | THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERNAL EQUITY CONSIDERATIONS. AND IT UTILIZES AN ANALYSIS OF SALARIES PREPARED BY AN INDEPENDENT EXTERNAL ADVISOR USING INDUSTRY BENCHMARKING DATA. THE REVEIW PROCESS COVERS ALL OFFICERS AND THE LAST TIME IT WAS DONE WAS JANUARY 2013. |
| Other officer or key employee compensation Part VI line 15b | 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 REVEIW PROCESS COVERS ALL OFFICERS AND THE LAST TIME IT WAS DONE WAS JANUARY 2013. |
| Governing documents etc available to public Part VI line 19 | THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Explanation of other changes in net assets or fund balances Part XI line 9 | FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:CHANGES IN VALUE OF PERMANENT RESTRICTED FUNDS 1,294,772OTHER CHANGES IN NET ASSETS -407TOTAL OF FORM 990, PART XI, LINE 9 1,294,365 |
| General explanation attachment | FORM 990, PART IV, LINE 12B:THIS RETURN HAS BEEN PREPARED BASED ON ALL AVAILABLE INFORMATION AT THE TIME OF FILING. IT IS ALSO BASED ON UNAUDITED FINANCIAL STATEMENTS. IF ANY SIGNIFICANT DIFFERENCES ARISE AFTER THIS FILING, THIS RETURN WILL BE AMENDED TO PROPERLY REFLECT THE ADDITIONAL INFORMATION. FORM 990, PART VII, SECTION A:FOR JOHN SPICER, PRESIDENT & CEO, AND STANLEY BUTURLA, INTERIM CFO, THE BREAKDOWN OF TIME BETWEEN RELATED ORGANIZATIONS IS AS FOLLOWS:SOUND SHORE MEDICAL CENTER OF WESTCHESTER 24 HOURS PER WEEKMOUNT VERNON HOSPITAL 13 HOURS PER WEEKHOWE AVENUE NURSING HOME 3 HOURS PER WEEK |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW ROCHELLE SOUNDSHORE HOUSING LLC | BusinessNameLine1 |
US Address USAddress
| 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) |
|---|---|---|
| EIN | 131740117 | EIN |
| Primary Activities | HOUSING CO | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $19,933,918 | TotalIncomeAmt |
| End Of Year Assets | $6,802,220 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUND SHORE MEDICAL CENTER | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUND SHORE HEALTH SYSTEM INC | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 134011398 | MANAGEMENT | NY | 501C3 | III-F1 | N/A | false | |
| MVH CORPORATION | |||||||||||
| 12 NORTH SEVENTH AVENUE | Mount Vernon | NY | 10550 | 133281514 | HOSPITAL | NY | 501C3 | III-O | false | THE MOUNT VERNON HOSPITAL | |
| HOWE AVENUE NURSING HOME INC | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 237000781 | NURSING HOME | NY | 501C3 | III-F1 | false | SOUND SHORE MEDICAL CENTER | |
| GUION PLACE HOUSING COMPANY | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 136179280 | HOUSING COMPANY | NY | 501C2 | III-O | false | SOUND SHORE MEDICAL CENTER | |
| LOCKWOOD AVENUE HOUSING COMPANY | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 237003479 | HOUSING COMPANY | NY | 501C2 | III-O | SOUND SHORE MEDICAL CENTER | ||
| NRHMC INC | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133272830 | SUPPORTING | NY | 501C3 | II | false | SOUND SHORE MEDICAL CENTER | |
| SOUND SHORE MEDICAL CENTER WEST FDN | |||||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133593049 | FUNDRAISING | NY | 501C3 | III-O | false | NRHMC INC | |
| THE MOUNT VERNON HOSPITAL | |||||||||||
| 12 NORTH SEVENTH AVENUE | Mount Vernon | NY | 10550 | 131740115 | HOSPITAL | NY | 501C3 | III-F1 | false | SOUND SHORE HEALTH SYSTEM INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| NRHMC SERVICES CORPORATION | |||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133769137 | SPACE RENTAL | NY | N/A | C Corp | false |
| SOUND SHORE PHARMACY INC | |||||||||
| 16 GUION PLACE | New Rochelle | NY | 10801 | 133916523 | PHARMACY | NY | N/A | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NRHMC SERVICES CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | r | TransactionTypeTxt |
| Involved | $32,979 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |