FURP.ORG / PUBLIC DATA EXPLORER

Victory Memorial Hospital (Bankrupt): Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Victory Memorial Hospital (Bankrupt) (EIN 11-1630911)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313229349300511
Schema version
2012v2.1
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)
Timestamp2013-11-15T08:12:18-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN222978848EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Bederson LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1347 Mt Pleasant Avenue - Suite 200AddressLine1
CityWest OrangeCity
StateNJState
ZIP Code07052ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111630911EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Victory Memorial Hospital (Bankrupt)BusinessNameLine1
Business Name Line2c/o Frank Conrad Plan AdministratorBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlVICTNameControl
Phone7185671006Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 80AddressLine1
CityPoint LookoutCity
StateNYState
ZIP Code115690080ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFrank ConradName
TitlePlan AdministratorTitle
Phone7185671006Phone
Date Signed2013-10-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMATTHEW SCHWARTZName
PTINP00139156PTIN
Phone9735309190Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonFrank ConradNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 80AddressLine1
CityPoint LookoutCity
StateNYState
ZIP Code115690080ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1769725GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.vmhny.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionMandated by the Department of Health to close the Medical & Surgical Units, the Emergency Room Services, Long Term Nursing Services for the Elderly and Long Term Home Health Care Services.ActivityOrMissionDescription
Nbr Voting Members Governing Body0NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year26574InvestmentIncomePriorYear
Investment Income Current Year8297InvestmentIncomeCurrentYear
Other Revenue Prior Year18000510OtherRevenuePriorYear
Other Revenue Current Year1761428OtherRevenueCurrentYear
Total Revenue Prior Year18027084TotalRevenuePriorYear
Total Revenue Current Year1769725TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3971907OtherExpensePriorYear
Other Expenses Current Year2312168OtherExpensesCurrentYear
Total Expenses Prior Year3971907TotalExpensesPriorYear
Total Expenses Current Year2312168TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14055177RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-542443RevenuesLessExpensesCY
Total Assets BOY8690804TotalAssetsBOY
Total Assets EOY8038512TotalAssetsEOY
Total Liabilities BOY36174774TotalLiabilitiesBOY
Total Liabilities EOY36064925TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-27483970NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-28026413NetAssetsOrFundBalancesEOY
Mission DescriptionWind Down OperationsMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionNot Applicable - The hospital ceased all operations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionNot Applicable - The hospital ceased all operations.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionNot Applicable - The hospital ceased all operations.Description
FieldValueIRS element (for citing)
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members0NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body0MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7185671006TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 80AddressLine1
CityPoint LookoutCity
StateNYState
ZIP Code115690080ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Bill Guarinello
Chairman0.10XX000
William Girasole
Vice Chairman0.10XX000
Donald Cordano
Treasurer0.10XX000
Craig Eaton
Secretary0.10XX000
Ben Barber
Director0.10X000
David Cassato
Director0.10X000
Patrick Colabella
Director0.10X000
Richard Conti
Director0.10X000
Frank Corigliano
Director0.10X000
Joseph Cunnigham MD
Director0.10X000
John Demic
Director0.10X000
Joan Durante
Director0.10X000
Salvatore Ferrera Phd
Director0.10X000
Aldo Girasole
Director0.10X000
Samuel Hagan
Director0.10X000
Gerard Kassar
Director0.10X000
Frank Lacqua MD
Director0.10X000
Ann Pennacchio
Director0.10X000
Joseph Perri
Director0.10X000
Michael Phillips
Director0.10X000
Dennis Quirk
Director0.10X000
Veronica Santilli MD
Director0.10X000
Joseph Sessa II
Director0.10X000
Joseph Shelala
Director0.10X000
Dr Vincent Calamia
President0.10X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Alston & Byrd LLP
90 Park AvenueNew YorkNY10016Legal636698
Bederson LLP
347 Mt Prospect Ave Suite 200West OrangeNJ07052Financial228172
Donlon & Rocano
419 Park Avenue SouthNew YorkNY10016Claims Agent177865
DLA Piper LLP
1251 Avenue of the AmericasNew YorkNY100201104Legal102499
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8297TotalRevenueColumn
Related Or Exempt Function Income8297RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Receivables Collected90009917522341752234
Equipment Surplus90009983008300
Medical Transcript & O900099894894
FieldValueIRS element (for citing)
Total Other Revenue1761428TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1769725TotalRevenueColumn
Related Or Exempt Function Income1769725RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1107568Total
Management And General1107568ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total141365Total
Management And General141365ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1037350Total
Management And General1037350ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8569Total
Management And General8569ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
U.S. Trustee Fees1300313003
Outside Contracted Serv43134313

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2312168Total
Program Services0ProgramServices
Management And General2312168ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY907567BOY
EOY656755EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5094909BOY
EOY4693429EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2688328BOY
EOY2688328EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8690804BOY
EOY8038512EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27667176BOY
EOY27557327EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8507598BOY
EOY8507598EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36174774BOY
EOY36064925EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-27483970BOY
EOY-28026413EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-27483970BOY
EOY-28026413EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8690804BOY
EOY8038512EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-542443ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Rent Receivable2131225
Due from Third Party Payors557103
FieldValueIRS element (for citing)
Total Book Value Other Assets2688328TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Third Party Payors$1,187,598
Estimated Liability for Medical Malpractice$7,320,000
FieldValueIRS element (for citing)
Total Of Amounts8507598TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 3Plan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section A, line 8aPlan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section A, line 8bPlan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section B, line 11Plan Administrator has been appointed to administer the remaining assets for the payment of allowed claims per the Bankruptcy Court.
Form 990, Part VI, Section B, line 11Plan Administrator reviews Form 990 prior to filing.
Form 990, Part VI, Section C, line 18Form 990 is available upon request.
Form 990, Part VI, Section C, line 19Organization documents are available upon request.
Form 990, Part IX, line 11gOther: Program service expenses 0. Management and general expenses 1,037,350. Fundraising expenses 0. Total expenses 1,037,350.Other Fees