2013-11-15T11:14:52-06:00 2012-12-31 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2012-01-01 131740117 SOUND SHORE MEDICAL CENTER OF WESTCHESTER SOUN 9143653500 16 GUION PLACE NEW ROCHELLE NY 10801 STANLEY M BUTURLA 9143653500 2013-11-14 1 THOMAS LANNING P00851654 2122970400 2012 2016-02-25 16:41:14Z JOHN R SPICER 16 GUION PLACE NEW ROCHELLE NY 10801 175835203 0 X WWW.SSHSW.ORG X 1940 NY SOUND SHORE MEDICAL CENTER OF WESTCHESTER HAS FORMED AN INTEGRATED HEALTH SYSTEM WHICH IS THE CENTER OF HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE THROUGHOUT OUR REGION. 27 25 1613 283 0 0 5631767 9675945 159619933 160637629 555262 669849 1342594 1782682 167149556 172766105 0 0 0 0 114409997 118642165 0 0 0 69685868 86547243 184095865 205189408 -16946309 -32423303 113573740 103050895 136128516 157079902 -22554776 -54029007 SOUND SHORE MEDICAL CENTER OF WESTCHESTER HAS FORMED AN INTEGRATED HEALTH SYSTEM WHICH IS THE CENTER OF HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE THROUGHOUT OUR REGION. 0 0 138628780 150953615 VOLUNTARY NOT FOR PROFIT HOSPITAL PROVIDING ACUTE CARE TO INDIVIDUALS REGARDLESS OF ABILITY TO PAY. 14703753 7180146 EMERGENCY: THE MEDICAL CENTER HAD A TOTAL 35,895 AND 37,382 EMERGENCY ROOM VISITS FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011 RESPECTIVELY. 6870678 3159029 CLINICS: THE MEDICAL ENTER HAD A TOTAL OF 35,817 AND 38,092 CLINIC VISITS FOR THE YEAR ENTERED DECEMBER 31, 2012 AND 2011 RESPECTIVELY. 160203211 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 132 0 1 1613 1 0 0 0 0 0 0 0 0 0 0 X 27 25 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X STANLEY M BUTURLA 9143653500 16 GUION PLACE NEW ROCHELLE NY 10801 X ALBERT FARINA 23.60 16.40 X X 213262 0 9092 ANDREW STILLMAN 1.00 X 0 0 0 BARBARA A LANGEBEIN 40.00 1.00 X X 131213 0 9387 CAROL A PETRILLO 1.00 X X 0 0 0 CHARLES H MCCABE 1.00 X 0 0 0 DANIEL F CREMINS 1.00 X 0 0 0 FRANCIS H LUDINGTON 1.00 X 0 0 0 GEORGE T ERBE 1.00 X X 0 0 0 HON STEPHEN P TENORE 1.00 X 0 0 0 HON TIMOTHY C IDONI 1.00 X 0 0 0 JEFFREY R POWERS 1.00 X X 0 0 0 JOHN A GEOGHEGAN 1.00 X 0 0 0 JOHN J DOONER 1.00 X 0 0 0 KATHIE E DAVIDSON 1.00 X 0 0 0 KATHRYN C CHENAULT 1.00 X 0 0 0 KATHWARI M FAROOQ 1.00 X 0 0 0 LAWRENCE R RUISI 1.00 X X 0 0 0 LORRI S GORMAN 1.00 X 0 0 0 LOUIS B FROST 1.00 X 0 0 0 MARY M SAVAGE 1.00 X 0 0 0 MARYELLEN JOHNSTON 1.00 X 0 0 0 MAURO C ROMITA 1.00 X X 0 0 0 RICHARD C GAY 1.00 X 0 0 0 ROBERT F BALACHANDRAN 1.00 X 0 0 0 STANLEY BUTURLA 23.60 16.40 X X 0 144317 1875 STEWART J MCMILLAN 1.00 X 0 0 0 THOMAS M MCEVOY 1.00 X 0 0 0 JOHN R SPICER 23.60 16.40 X 858790 0 9092 CLARK WALTER 40.00 X 328675 0 9092 MADHU RANGRAJ 40.00 X 495423 0 9092 PATRICIA DEVINE 40.00 X 386669 0 9093 SETH GENDLER 40.00 X 521991 0 9093 STEVEN ZELICOF 40.00 X 563593 0 9093 3499616 144317 74909 24 0 1 0 PRICEWATERHOUSECOOPER LLP PO BOX 7247-8001 PHILADELPHIA PA 19170 ACCOUNTING SERVICES 394347 NIXON PEABODY LLP 50 JERICHO QUADRANGLE SUITE 300 JERICHO NJ 11753 LEGAL SERVICES 337945 CLIFTON BUDD & DEMARIA LLP 420 LEXINGTON AVE NEW YORK NY 10010 LEGAL SERVICES 256013 ENTERPRISE SYSTEM SOFTWARE 5191 MONROE ST SUITE 101 TOLEDO OH 43623 SOFTWARE SERVICES 242177 SLEEP SERVICES OF AMERICA 890 AIRPORT DRIVE SUITE 119 GLEN BERNIE MD 21061 MEDICAL SERVICES 223389 21 8958938 717007 9675945 NET PATIENT REVENUE 621110 142926847 142926847 MANAGEMENT FEES 900099 13067426 13067426 PART B DEPOSIT 621110 3723848 3723848 OTHER MEDICAL REVENUE 621110 919508 919508 160637629 669849 669849 3388111 3069098 319013 319013 319013 DISCOUNTS AND REBATES 900099 459942 459942 PARKING FEES 812930 119019 119019 TENANT CHARGES 900099 76200 76200 808508 808508 1463669 172766105 161292790 0 1797370 1230836 939361 291475 88834587 67795569 21039018 4087629 3123784 963845 18483948 14125514 4358434 6005165 4589173 1415992 1109262 847615 261647 391850 299423 92427 9575982 7317254 2258728 160017 122273 37744 36960642 27704233 9256409 77998 59601 18397 609640 311018 298622 192174 146845 45329 4281397 3271525 1009872 6731870 5143995 1587875 7639616 5837627 1801989 BAD DEBT 14396000 14396000 MEDICAL SUPPLIES 1979483 1979483 LAB SUPPLIES 1379661 1379661 COLLECTION FEES 1027242 784942 242300 34409 28315 6094 205189408 160203211 44986197 0 1644540 4256797 215910 216229 20102136 16655106 5283605 3726885 4546601 1483924 181673623 141470960 39785279 40202663 418583 447483 41577086 36061808 113573740 103050895 42156461 61599445 57090518 60023233 36881537 35457224 136128516 157079902 X -37003545 -69422990 361752 374259 14087017 15019724 -22554776 -54029007 113573740 103050895 X -32423303 949072 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14087017 932707 15019724 13548159 538858 14087017 13061243 486916 13548159 11338500 1722743 13061243 15800000 -4461500 11338500 1.00000 0 0 2643777 2643777 46510668 32994153 13516515 31734674 28686947 3047727 99262439 78267795 20994644 1522065 1522065 0 40202663 DUE FROM AFFILIATES 4518930 DEFERRED FINANCING COSTS 11687402 BENEFICIAL INTEREST IN TRUSTS 15019724 DUE FROM THIRD PARTY PAYORS 3220849 MORTGAGE COSTS 1412969 SECURITY DEPOSITS 201934 36061808 ACCRUED POST RETIREMENT BENEFITS 4948094 CAPITAL LEASE OBLIGATIONS 2774411 ESTIMATED SELF INSURANCE LOSS 19730000 DUE TO THIRD PARTY PAYORS 7421040 OTHER LONG-TERM LIABILITIES 378050 SECURITY DEPOSITS 201934 PREPAID RENT 3695 35457224 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION ENDOWMENT FUND PRINCIPAL IS RESTRICTED, HOWEVER ANY INTEREST EARNED ON THE PRINCIPAL CAN BE USED FOR OPERATIONS. 1 1 X 1 X 1 X 1 1 1 0 1 1 10456056 5561125 4894931 0.02570 36074619 27497394 8577225 0.04500 46530675 33058519 13472156 0.07070 180706 180706 0.00090 15622638 8007281 7615357 0.03990 10176875 13520840 -3343965 0.00000 4338975 2703526 1635449 0.00860 30319194 24231647 6087547 0.04940 76849869 57290166 19559703 0.12010 1 14396000 3374950 42078573 48006121 -5927548 X 1 1 1 1 SOUND SHORE MEDICAL CENTER

16 GUION PLACE NEW ROCHELLE NY 10801

X X X X VOLUNTARY ACUTE CARE MEDICAL CENTER SOUND SHORE MEDICAL CENTER OF WESTCHESTE 1 1 1 100.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X 1 X X 1 X X X X X X 1 X 0 0 1 MOBILE MAMMOGRAPHY SERVICE

16 GUION PLACE NEW ROCHELLE NY 10801

HOSPITAL EXTENSION CLINIC PART I, LINE 6A: COMMUNITY BENEFIT PLAN WAS PREPARED BY SOUND SHORE MEDICAL CENTER OF WESTCHESTER. PART I, LINE 7: THE PERCENTAGE WAS CALCULATED BASED ON RCC COST ACCOUNTING METHOD. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES - CLINIC & EMERGENCY ROOM. PART I, L7 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 CENTER 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. PART III, LINE 4: THE RATIO OF COST TO CHARGES METHODOLOGY HAS BEEN USED PLUS AN ESTIMATED OF THE SELF PAY/UNINSURED BAD DEBT PATIENT WRITE-OFFS THAT WOULD HAVE QUALIFIED FOR OUR FINANCIAL ASSISTANCE PROGRAM HAD THEY BEEN SCREENED ON ENTRY TO THE SYSTEM. PART III, LINE 9B: FINANCIAL ASSISTANCE IS PROVIDED TO THOSE INDIVIDUALS WHO ARE UNABLE TO PAY IN FULL FOR THEIR HEALTHCARE AND DO NOT QUALIFY FOR MEDICAID OR OTHER INSURANCE PROGRAMS. THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR NON-PAYMENT WITHIN THE GUIDE LINES 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 FROM THE REGULAR ACCOUNTS RECEIVABLE AND PLACED INTO THE BAD DEBT RECEIVABLE. AFTER THE FIVE MONTHS IF THE COLLECTION AGENCY IS UNABLE TO COLLECT THE ACCOUNT, THE ACCOUNT IS THEN WRITTEN OFF TO BAD DEBT EXPENSE. SOUND SHORE MEDICAL CENTER OF WESTCHESTE PART V, SECTION B, LINE 20D: THE MEDICAID RATE WAS USED. 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 EDUCATION AND WITH A MULTI-PRONGED APPROACH, THE FOLLOWING ARE SOUND SHOURE MEDICAL CENTER'S SELECTED PREVENTION AGENDA PRIORITIES ACTIVITIES. THE GOAL IS TO ENHANCE AWARENESS THAT LEADS TO IMPROVEMENT IN THE MEASUREMENT DATA OR OUTCOMES. SALT REDUCTION - OUR HEALTH IMPROVEMENT GOALS ARE TO INCREASE EDUCATION THAT WILL TRANSLATE INTO POSITIVE MOVEMENT IN STATISTICAL INDICATORS. THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR SALT REDUCTION WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: CORONARY HEART DISEASE HOSPITALIZATIONS, CONGESTIVE HEART FAILURE HOSPITALIZATIONS AND CEREBROVASCULAR (STROKE) DISEASE MORTALITY.INCREASED PHYSICAL ACTIVITY - THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR INCREASED PHYSICAL ACTIVITY FOR OUR 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 TRACHED AND AVERAGED TO DETERMINE EACH GROUP'S BLOOD GLUCOSE MANAGEMENT SUCCESS. IN ADDITION, WESTCHESTER COUNTY'S DIABETES PREVALENCE IN ADULTS ADN SHORT-TERM COMPLICATION HOSPITALIZATION RATE FOR 18+ YEARS WILL BE USED. THE SCOPE OF OUR THREE YEAR PLAN IS UNCHANGED. 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 HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE THROUGHOUT OUR REGION". TO HELP WITH THIS, WE HAVE TWO FINACIAL COUNSELORS TO HELP PATIENTS APPLYING FOR ASSISTANCE. MAINTAINING SENSITIVITY AND CONCERN TO ALLEVIATE THE PATIENTS' FEARS ABOUT FINANCIAL ASSISTANCE, MAINTAINING EFFECTIVE COMMUNICATION WITH PATIENTS AND ENSURING ALL PATIENTS HAVE THE OPPORTUNITY TO APPLY FOR FINANCIAL AID ARE SOME OF THE ONGOING CHALLENGES EXPERIENCED. IN AN EFFORT TO HIGHLIGHT FINANCIAL AID, A CALLOUT IN OUR NEW PATIENT HANDBOOK (AVAILABLE IN ENGLISH AND SPANISH), SPECIFICIES 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. PART VI, LINE 4: SOUND SHORE MEDICAL ENTER OF WESTCHESTER IS COMMITTED TO MEETING THE NEEDS OF THE MORE THAN TWENTY TOWNS, VILLAGES ADN COMMUNITIES IN THE SOUND SHORE REGION OF SOUTHERN WESTCHESTER AND NORTHSOUTHERN 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 HOUSEHOLDS WITH GROWING FAMILIES AND AN INCREASING NUMBER OF WOMEN OF CHILDBEARING AGE IN THE HIGH RISK CATEGORY. A SUMMARY PROFILE AND ASSESSMENT OF SOUND SHORE MEDICAL CENTER'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 NORTHERN BRONX ALONG THE SOUND SHORE. PART VI, LINE 5: WOMEN, INFANTS AND CHILDREN'S (WIC) PROGRAM PROVIDED 111,918 VISITS. - COAT AND TOY DRIVE DISTRIBUTED 892 NEW COATS, 1,200 TOYS AND 300 BAGS OF FOOD TO THE LOCAL NEEDY. - PROVIDED 22 EDUCATION PRESENTATIONS. - PARTICIPATED IN 27 HEALTH FAIRS. - MEALS ON WHEELS PROVIDED 7,778 MEALS AND 3,569 SANDWICHES IN NEW ROCHELLE ADN 2,681 MEALS IN PELHAM. - SCREENINGS PERFORMED: MAMOGRAMS TO THE UNINSURED 84, CARDIAC EXAMS 590, PROSTATE CANCER SCREENINGS 9 AND DIABETES RISK ASSESSMENTS 422. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH SOUND SHORE HEALTH SYSTEM. REPORTS FILED WITH STATES PART VI, LINE 7 NY X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 ALBERT FARINA 209231 0 0 0 4031 0 0 0 9092 0 222354 0 0 0 JOHN R SPICER 848890 0 0 0 9900 0 0 0 9092 0 867882 0 0 0 CLARK WALTER 310280 0 0 0 18395 0 0 0 9092 0 337767 0 0 0 MADHU RANGRAJ 495423 0 0 0 0 0 0 0 9092 0 504515 0 0 0 PATRICIA DEVINE 386669 0 0 0 0 0 0 0 9093 0 395762 0 0 0 SETH GENDLER 521853 0 0 0 138 0 0 0 9093 0 531084 0 0 0 STEVEN ZELICOF 563179 0 0 0 414 0 0 0 9093 0 572686 0 0 0 A NEW ROCHELLE MUNICIPAL HOUSING AUTHORITY 136007019 64853QAA4 2005-11-21 4935000 REFINANCING 1 1 0 A 4935000 74025 1 0 1 1 A 1 0 0 0 0.00010 0.00000 0.00010 0 0 0 A 0 0 0 1 1 1 BERKADIA COMMERICAL 30.000000000000 0 0 0 0 0 A 1 ELIZABETH MCCABE RELATED TO CHARLES MCCABE, BOARD MEMEBER 42372 2012 COMPENSATION PAID 0 JONATHAN RUISI RELATED TO LAWRENCE R. RUISI, TREASURER 16935 2012 COMPENSATION PAID 0 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 VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SINGLE MEMBER, SOUND SHORE HEALTH SYSTEM, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A SINGLE MEMBER, SOUND SHORE HELATH SYSTEM, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION WHICH CAN APPOINT THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN WAS PREPARED BY FINANCE DEPARTMENT. IT WAS REVIEWED BY AN INDPENDENT ACCOUNTANT. THE TAX RETURN WAS THEN REVIEWED BY THE EXECUTIVE MANAGEMENT AND PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C SOUND SHORE MEDICAL CENTER'S CONFLICT OF INTEREST POLICES APPLY TO ITS GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. SOUND SHORE MEDICAL CENTER'S BYLAWS REQUIRE THAT MEMBERS OF ITS GOVERNING BOARD AND ITS CORPORATE OFFICERS DISCLOSE ALL CONFLICTS OF INTEREST PROMPTLY AT THE TIME THEY ARISE, AND ANNUALLY VIA A WRITTEN DISCLOSURE PROCESS. THE GOVERNING BOARD IS CHARGED WITH REVIEWING CONFLICT OF INTEREST TRANSACTIONS AND ASSOCIATED DECISIONS, AND MAKING A DETERMINATION REGARDING ANY RESTRICTIONS TO BE IMPOSED ON THE TRANSACTION. THEIR DETERMINATION AND ALL MATERIAL FACTS ARE RECORDED IN MEETING MINUTES. SOUND SHORE MEDICAL CENTER'S EMPLOYEES ARE LIKEWISE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS PROMPTLY, AND IN WRITING, ALL CONFLICTS OF INTEREST THAT ARISE AND UPPER-LEVEL MANAGERS ADDITIONALLY COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. AN EMPLOYEE'S SUPERVISOR IS CHARGED WITH REVIEWING A REPORTED CONFLICT OF INTEREST AND ENSURING THAT THE EMPLOYEE IS NOT INVOLVED IN DECISIONS RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW OF OFFICERS' COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERNAL EQUITY CONSIDERATIONS. AND IT UTILIZES AN ANALYSIS OF OFFICER SALARIES PREPARED BY AN INDEPENDENT EXTERNAL ADVISOR USING INDUSTRY BENCHMARKING DATA. THE REVIEW PROCESS CONVERS ALL OFFICERS AND THE LAST TIME IT WAS DONE WAS JANUARY 2013. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE BY REQUEST FORM 990, PART VII, SECTION A: FOR JOHN SPICER, PRESIDENT & CEO, STANLEY BUTURLA, INTERIM CFO, AND ALBERT FARINA, FORMER ASSTISTANT TREASURER AND FORMER CFO, THE BREAKDOWN OF TIME BETWEEN RELATED ORGANIZATIONS IS AS FOLLOWS: SOUND SHORE MEDICAL CENTER OF WESTCHESTER 23.6 HRS/WEEK MOUNT VERNON HOSPITAL 13.6 HRS/WEEK HOWE AVENUE NURSING HOME 2.8 HRS/WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN POSTRETIREMENT BENEFITS OTHER CHANGES IN NET ASSETS 949,072. FORM 990: THE HOSPITAL FILED FOR CHAPTER 11 BANKRUPTCY PROTECTION IN U.S. BANKRUPTCY COURT IN THE SOUTHERN DISTRICT OF NY ON MAY 29, 2013. THE HOSPITAL COMPLETED THE ASSET SALE TO MONTERIORE MONTEFIORE EFFECTIVE NOVEMBER 5, 2013 AND MONTIFIORE ASSUMED FULL CONTROL OF THE HOSPITAL'S OPERATIONS FROM THAT DATE. NEW ROCHELLE SOUND SHORE HOUSING LLC 16 HUION PLACE NEW ROCHELLE NY 10801 131740117 HOUSING CO. NY 3466427 5413873 SOUND SHORE MEDICAL CENTER SOUND SHORE HEALTH SYSTEM 16 GUION PLACE NEW ROCHELLE NY 10801 134011398 MANAGEMENT NY 501(C)(3) LINE 3 N/A 0 MVH CORPORATION 12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550 133281514 HOSPITAL NY 501(C)(3) LINE 3 THE MOUNT VERNON HOSPITAL 0 HOWE AVENUE NURSING HOME INC 16 GUION PLACE NEW ROCHELLE NY 10801 237000781 NURSING HOME NY 501(C)(3) LINE 9 SOUND SHORE MEDICAL CENTER 0 GUION PLACE HOUSING COMPANY 16 GUION PLACE NEW ROCHELLE NY 10801 136179280 HOUSING COMPANY NY 501(C)(2) SOUND SHORE MEDICAL CENTER 0 LOCKWOOD AVE HOUSING COMPANY 16 GUION PLACE NEW ROCHELLE NY 10801 237003479 HOUSING COMPANY NY 501(C)(2) SOUND SHORE MEDICAL CENTER 0 NRHMC INC 16 GUION PLACE NEW ROCHELLE NY 10801 133272830 SUPPORTING NY 501(C)(3) LINE 11A, I SOUND SHORE MEDICAL CENTER 0 SOUND SHORE MEDICAL CENTER OF WESTCHESTER FOUNDATION 16 GUION PLACE NEW ROCHELLE NY 10801 133593049 FUNDRAISING NY 501(C)(3) LINE 9 NRHMC INC 0 THE MOUNT VERNON HOSPITAL 16 GUION PLACE NEW ROCHELLE NY 10801 131740115 HOSPITAL NY 501(C)(3) LINE 3 SOUND SHORE HEALTH SYSTEM 0 NRHMC SERVICES CORPORATION 16 GUION PLACE NEW ROCHELLE NY 10801 133769137 SPACE RENTAL NY N/A C 0 SOUND SHORE PHARMACY INC 16 GUION PLACE NEW ROCHELLE NY 10801 133916523 PHARMACY NY N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 NRHMC SERVICES CORP R 754262 FMV SOUND SHORE PHARMACY INC R 248403 FMV