WESTCHESTER PUTNAM HEALTH MANAGEMENT SYSTEM INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WESTCHESTER PUTNAM HEALTH MANAGEMENT SYSTEM INC (EIN 13-3420263)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349301026
Schema version
2013v3.1
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)
Return2014-11-14T07:29:00-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN141604297PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VANACOREDEBENEDICTUSDIGOVANNI&WEDDELLBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111 RACQUET RDAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133420263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER PUTNAM HEALTHBusinessNameLine1
Business Name Line2MANAGEMENT SYSTEMS INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone9147343277PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11980 CROMPOND ROADAddressLine1
CityCORTLANDT MANORCity
StateNYState
ZIP Code10567ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK WEBSTERPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone9147343277PhoneNum
Signature2014-11-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN L STAPLES CPAPreparerPersonNm
PTINP00109614PTIN
Phone8455679000PhoneNum
Preparation2014-11-04PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK WEBSTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11980 CROMPOND ROADAddressLine1
CityCORTLANDT MANORCity
StateNYState
ZIP Code10567ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$304,992GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionBENEFITING AND SUPPORTING HUDSON VALLEY HOSPITAL CENTER WHICH SERVICES THE NEEDS OF THE COMMUNITY AND PROVIDES QUALITY, COMPREHENSIVE MEDICAL CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL MANNER WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN OR DISEASE CATEGORY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$62,890PYOtherRevenueAmt
CY Other Revenue$63,729CYOtherRevenueAmt
PY Total Revenue$62,891PYTotalRevenueAmt
CY Total Revenue$63,729CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,047PYOtherExpensesAmt
CY Other Expenses$12,325CYOtherExpensesAmt
PY Total Expenses$29,047PYTotalExpensesAmt
CY Total Expenses$12,325CYTotalExpensesAmt
PY Revenues Less Expenses$33,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,404CYRevenuesLessExpensesAmt
Total Assets BOY$12,616,280TotalAssetsBOYAmt
Total Assets EOY$12,392,830TotalAssetsEOYAmt
Total Liabilities BOY$9,767,833TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,492,979TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,848,447NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,899,851NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBENEFITING AND SUPPORTING HUDSON VALLEY HOSPITAL CENTER WHICH SERVICES THE NEEDS OF THE COMMUNITY AND PROVIDES QUALITY, COMPREHENSIVE MEDICAL CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL MANNER WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN OR DISEASE CATEGORY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescBENEFITING AND SUPPORTING HUDSON VALLEY HOSPITAL CENTER WHICH SERVICES THE NEEDS OF THE COMMUNITY AND PROVIDES QUALITY, COMPREHENSIVE MEDICAL CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL MANNER WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN OR DISEASE CATEGORY.Desc
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARGI QUAILPersonNm
Phone9147343277PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11980 CROMPOND ROADAddressLine1
CityCORTLANDT MANORCity
StateNYState
ZIP Code10567ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOHN FEDERSPIEL
SECRETARY &1.0040.00Yes (X)Yes (X)$0$1,800,841$243,358
MARK WEBSTER
DIRECTOR1.0040.00Yes (X)$0$757,225$119,211
JAMES KANE
DIRECTOR1.00Yes (X)$0$0$0
EDWARD B MACDONALD JR
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JOHN TESTA
VICE CHAIRMA1.00Yes (X)Yes (X)$0$0$0
JEFFERY SWEET
DIRECTOR1.00Yes (X)$0$0$0
JOHN MCGURTY JR MD
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL DELFINO
DIRECTOR1.00Yes (X)$0$0$0
JAMES MARTIN
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$2,558,066TotReportableCompRltdOrgAmt
Total Other Compensation$362,569TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$304,992RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$241,263RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$63,729RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,729TotalRevenueColumnAmt
Exclusion$63,729ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,729TotalRevenueColumnAmt
Exclusion$63,729ExclusionAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Management And General$10,000ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescFILING FEEDesc
Total$2,325TotalAmt
Management And General$2,325ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,325TotalAmt
Program Services$0ProgramServicesAmt
Management And General$12,325ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,518BOYAmt
EOY$14,518EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,696,264LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$670,185LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,249,529BOYAmt
EOY$9,026,079EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,255,052BOYAmt
EOY$2,255,052EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,097,181BOYAmt
EOY$1,097,181EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,616,280BOYAmt
EOY$12,392,830EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,767,833BOYAmt
EOY$9,492,979EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,767,833BOYAmt
EOY$9,492,979EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,848,447BOYAmt
EOY$2,899,851EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,848,447BOYAmt
EOY$2,899,851EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,616,280BOYAmt
EOY$12,392,830EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$51,404ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HUDSON VALLEY HOSPITAL CENTERBusinessNameLine1
Business Name Line2HUDSON VALLEY HOSPITAL CENTERBusinessNameLine2
FieldValueIRS element (for citing)
EIN131740120EIN
Organization Type3OrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Supported Org NotifiedfalseSupportedOrgNotifiedInd
US OrganizedfalseUSOrganizedInd
Support$0SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$758,262OtherCostOrOtherBasisAmt
Book Value$758,262BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,938,002OtherCostOrOtherBasisAmt
Depreciation$670,185DepreciationAmt
Book Value$8,267,817BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,026,079TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$2,255,052BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,255,052TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$1,097,181BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,097,181TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$9,492,979Amt
FieldValueIRS element (for citing)
Total Liability$9,492,979TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN FEDERSPIEL
SECRETARY & TREAS.$1,244,542$306,299$250,000$220,037$23,321$2,044,199$479,689
MARK WEBSTER
DIRECTOR$617,992$139,233$96,501$22,710$876,436$206,071

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4JOHN FEDERSPIEL 0 220,037 0 MARK WEBSTER 0 96,501 0
SCHEDULE J, PART IIIHUDSON VALLEY HOSPITAL CENTER IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTH CARE IN THE HUDSON VALLEY. TO ACHIEVE THIS GOAL, THE BOARD OF THE HOSPITAL HAS RECOGNIZED THAT THE ADMINISTRATIVE TALENT DIRECTING THE OPERATIONS OF THE HOSPITAL IS A KEY INGREDIENT OF THIS GOAL. THE BOARD DEFINES THE MISSION OF THE HOSPITAL AND THE GOALS TO HELP ACHIEVE THAT MISSION AND THEN FULFILLS THE MISSION OF THE HOSPITAL UTILIZING THE TALENTS OF THE ADMINISTRATIVE TEAM. TO THAT END, THE BOARD HAS ESTABLISHED AN OBJECTIVE, PERFORMANCE BASED COMPENSATION STRUCTURE FOR THE MEMBERS OF THE ADMINISTRATIVE TEAM OF THE HOSPITAL IN RECOGNITION OF OBJECTIVE PERFORMANCE ATTAINMENT. THE BASE SALARIES OF THE ADMINISTRATORS ARE DETERMINED THROUGH BOARD ACTION UTILIZING EXTERNAL MEASURE OF THE REASONABLENESS AND COMPETITIVENESS OF THE SALARIES. THESE EXTERNAL RESOURCES ARE RETAINED BY AND REPORT DIRECTLY TO THE BOARD TO PROVIDE FOR AN OBJECTIVE MEASURE OF THESE SALARIES. THIS PROCESS IS REPEATED YEARLY FOR THE ESTABLISHMENT OF THE SALARIES. ANNUAL BONUSES ARE DETERMINED BY THE BOARD USING A FIVE CATEGORY STRUCTURE WITH QUANTIFIABLE MEASURES ESTABLISHED FOR THE YEAR DURING THE BUDGET SETTING PROCESSES. THE GOALS ARE ESTABLISHED PROACTIVELY AND THEN ACHIEVEMENT IS MEASURED AGAINST THOSE GOALS. BONUSES ARE AWARDED BASED ON THE DEGREE OF ATTAINMENT OF THOSE GOALS. IN COLUMN C, THERE IS A LISTING OF DEFERRED COMPENSATION FOR MEMBERS OF THE ADMINISTRATIVE TEAM. THESE AMOUNTS SHOWN ARE FOR DEPOSITS MADE INTO A TRUST ACCOUNT WHICH IS A HOSPITAL ACCOUNT, AND WHICH AMOUNTS ARE TO BE POTENTIALLY DISTRIBUTED. IF THE INDIVIDUAL MEMBER OF THE ADMINISTRATIVE TEAM MEETS VESTING REQUIREMENTS AND REMAINS IN GOOD STANDING WITH THE HOSPITAL, THESE AMOUNTS COULD BE PAID TO THE ADMINISTRATOR IF THE HOSPITAL IS FINANCIALLY VIABLE AT THE TIME OF THE PAYOUT. THERE IS ABSOLUTELY NO GUARANTEE OF THE PAYOUT OF THESE AMOUNTS. THESE FUNDS ARE NOT RESTRICTED AND ARE SUBJECT TO ATTACHMENT BY CREDITORS. THIS MEANS THAT THERE IS A VERY SUBSTANTIAL RISK OF FORFEITURE OF THIS MONEY AND THAT THE PAYOUT IS BY NO MEANS ASSURED. IT IS AN IRS REGULATION THAT CONTRIBUTIONS MADE TO THIS ACCOUNT FOR THE POSSIBLE BENEFIT OF THE ADMINISTRATOR BE SHOWN AS IF THE ADMINISTRATOR HAS ALREADY RECEIVED THE MONEY EVEN THOUGH THAT IS NOT THE CASE. THE SUMMARY OF THIS COMPENSATION POLICY IS THAT IT IS CONTROLLED AND ADMINISTRATED BY THE BOARD OF THE HOSPITAL, RELYING ON EXTERNAL PROFESSIONALS TO MAKE CERTAIN THAT THE AMOUNTS PAID ARE APPROPRIATE IN THE INDUSTRY AND CIRCUMSTANCES. THE PROCESS IS CLEARLY DEFINED BEFORE THE YEAR BEGINS, RELIES ON GOALS ESTABLISHED BY THE BOARD AND IS COMMUNICATED TO MEMBERS OF ADMINISTRATION, IS FAIRLY ADMINISTRATED AND IS CLEARLY COMMUNICATED. THE NUMBERS SHOWN ARE THE PRODUCT OF THAT PROCESS. COLUMN B(III) OF SCHEDULE J, PART II SHOWS 250,000 FOR ONE INDIVIDUAL. THIS AMOUNT WAS PAID PURSUANT TO BOARD ACTION UPON RECOMMENDATION OF EXTERNAL CONSULTANTS SO THAT THE INDIVIDUAL COULD SELF FUND A RETIREMENT FUND. THE AMOUNT IS CONSISTENT WITH INDUSTRY STANDARDS AND IS FULLY TAXABLE TO THE INDIVIDUAL. IN COLUMN F, AMOUNTS ARE SHOWN THAT ARE INCLUDED IN THE CURRENT YEAR BASE COMPENSATION. THIS IS NOT SALARY, BUT RATHER COMPENSATION DEFERRED FROM PRIOR YEARS AND PAID AS ORDINARY INCOME IN 2013 AND IT IS INCLUDED IN COLUMN B(I)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONBENEFITING AND SUPPORTING HUDSON VALLEY HOSPITAL CENTER WHICH SERVICES THE NEEDS OF THE COMMUNITY AND PROVIDES QUALITY, COMPREHENSIVE MEDICAL CARE IN A COMPASSIONATE, PROFESSIONAL, RESPECTFUL MANNER WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN OR DISEASE CATEGORY.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE ORGANIZATON'S FEDERAL FORM 990 WILL BE PROVIDED TO BOARD MEMBERS AT A MEETING OF THE BOARD. THE BOARD WILL REVIEW AND APPROVE THE FEDERAL FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES THAT ALL BOARD MEMBERS FILL OUT AN ANNUAL CONFLICT OF INTEREST STATEMENT.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Business Name Line2DisregardedEntityName/BusinessNameLine2Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Controlled OrganizationControlledOrganizationInd
HUDSON VALLEY HOSPITAL CENTER
HUDSON VALLEY HOSPITAL CENTER1980 CROMPOND ROADCORTLANDT MANORNY10567131740120HOSPITALNY501C33WPHMSWESTCHESTER PUTNAM HEALTH MNGT SYSYes (true)
THE FOUNDATION OF HUDSON VALLEY HOS
THE FOUNDATION OF HUDSON VALLEY HOS1980 CROMPOND ROADCORTLANDT MANORNY10567133307781SUPPORTNY501C311AHVHCHUDSON VALLEY HOSPITAL CENTERYes (true)
GI VENTURES INC
GI VENTURES INC1980 CROMPOND ROADCORTLANDT MANORNY10567454644781SUPPORTNY501C33WPHMSWESTCHER PUTNAM HEALTH MNGT SYSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
HUDSON VALLEY VENTURES INC
1980 CROMPOND ROADCORTLANDT MANORNY10567133611982RENTALNYN/AYes (true)
AC VENTURES INC
1980 CROMPOND ROADCORTLANDT MANORNY10567133758209RENTALNYN/AYes (true)
KNOWA VENTURES INC
1980 CROMPOND ROADCORTLANDT MANORNY10567133845922RENTALNYN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Business Name Line2OtherOrganizationName/BusinessNameLine2Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HUDSON VALLEY HOSPITAL CENTER
HUDSON VALLEY HOSPITAL CENTERA$240,000FMV
HUDSON VALLEY HOSPITAL CENTER
HUDSON VALLEY HOSPITAL CENTERE$274,854FMV

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