WESTCHESTER PUTNAM HEALTH MANAGEMENT SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WESTCHESTER PUTNAM HEALTH MANAGEMENT SYSTEM INC (EIN 13-3420263)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201203189349304390
Schema version
2011v1.2
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)
Timestamp2012-11-13T16:00:30-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VANACOREDEBENEDICTUSDIGOVANNI&WEDDELLBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line111 RACQUET RDAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133420263EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER PUTNAM HEALTHBusinessNameLine1
Business Name Line2MANAGEMENT SYSTEMS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone9147343277Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMARK WEBSTERName
TitleVP FINANCETitle
Phone9147343277Phone
Date Signed2012-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN L STAPLES CPAName
Phone8455679000Phone
Date Prepared2012-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK WEBSTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11980 CROMPOND ROADAddressLine1
CityCORTLANDT MANORCity
StateNYState
ZIP Code10567ZIPCode
FieldValueIRS element (for citing)
Gross Receipts256000GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionBENEFITING 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year5InvestmentIncomePriorYear
Investment Income Current Year4InvestmentIncomeCurrentYear
Other Revenue Current Year15797OtherRevenueCurrentYear
Total Revenue Prior Year5TotalRevenuePriorYear
Total Revenue Current Year15801TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year26845OtherExpensePriorYear
Other Expenses Current Year26774OtherExpensesCurrentYear
Total Expenses Prior Year26845TotalExpensesPriorYear
Total Expenses Current Year26774TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-26840RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10973RevenuesLessExpensesCY
Total Assets BOY13056446TotalAssetsBOY
Total Assets EOY12839776TotalAssetsEOY
Total Liabilities BOY10230870TotalLiabilitiesBOY
Total Liabilities EOY10025173TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2825576NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2814603NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBENEFITING 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionBENEFITING 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.Description
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARGI QUAILNamePerson
Telephone Number9147343277TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JOHN C FEDERSPIEL
DIRECTOR1.00X01237256214201
MARK WEBSTER
DIRECTOR1.00X0522338100749
PHILIP AMBROSINO
CHAIRMAN1.00X000X
EDWARD B MACDONALD JR
VICE CHAIR &1.00X000X
ARAM CASPARIAN
SECRETARY1.00X000X
JAMES KANE
DIRECTOR1.00X000
JOHN MCGURTY JR MD
DIRECTOR1.00X000
JEFFREY SWEET
DIRECTOR1.00X000
JOHN TESTA
2ND VICE CHA1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1759594TotalReportableCompFrmRltdOrgs
Total Other Compensation314950TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4TotalRevenueColumn
Exclusion$4ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real255996Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real240199Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real15797Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15797TotalRevenueColumn
Exclusion$15,797ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15801TotalRevenueColumn
Exclusion$15,801ExclusionAmount

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24999Total
Management And General24999ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionFILING FEEDescription
Total1775Total
Management And General1775ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26774Total
Program Services0ProgramServices
Management And General26774ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14560BOY
EOY14564EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9696264LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec223285LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9689653BOY
EOY9472979EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2255052BOY
EOY2255052EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1097181BOY
EOY1097181EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13056446BOY
EOY12839776EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10230870BOY
EOY10025173EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10230870BOY
EOY10025173EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2825576BOY
EOY2814603EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2825576BOY
EOY2814603EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13056446BOY
EOY12839776EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-10973ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1HUDSON VALLEY HOSPITAL CENTERBusinessNameLine1
Business Name Line2HUDSON VALLEY HOSPITAL CENTERBusinessNameLine2
FieldValueIRS element (for citing)
EIN131740120EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedfalseSupportedOrganizationNotified
Organized In USfalseOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis758262OtherCostOrOtherBasis
Book Value758262BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8938002OtherCostOrOtherBasis
Depreciation223285Depreciation
Book Value8714717BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9472979TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value2255052BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2255052TotalOfBookValueSecurities

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value1097181BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1097181TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$10,025,173Amount
FieldValueIRS element (for citing)
Total Of Amounts10025173TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN C FEDERSPIEL
754756295000187500191563226381451457216678
MARK WEBSTER
387338135000807801996962308791471

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4JOHN C. FEDERSPIEL 0 191,563 0 MARK WEBSTER 0 80,780 0
OTHER ADDITIONAL INFORMATIONSCHEDULE 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 187,500 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES THAT ALL BOARD MEMBERS FILL OUT AN ANNUAL CONFLICT OF INTEREST STATEMENT.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 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

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Business Name Line2NameOfDisregardedEntity/BusinessNameLine2Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Controlled OrgControlledOrg
HUDSON VALLEY HOSPITAL CENTER
HUDSON VALLEY HOSPITAL CENTER1980 CROMPOND ROADCORTLANDT MANORNY10567131740120HOSPITALNY501C33WPHMSWESTCHESTER PUTNAM HEALTH MNGT SYStrue
THE FOUNDATION OF HUDSON VALLEY HOS
THE FOUNDATION OF HUDSON VALLEY HOS1980 CROMPOND ROADCORTLANDT MANORNY10567133307781SUPPORTNY501C311AHVHCHUDSON VALLEY HOSPITAL CENTERtrue
GI VENTURES INC
GI VENTURES INC1980 CROMPOND ROADCORTLANDT MANORNY10567454644781SUPPORTNY501C33WPHMSWESTCHER PUTNAM HEALTH MNGT SYStrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
HUDSON VALLEY VENTURES INC
1980 CROMPOND ROADCORTLANDT MANORNY10567133611982RENTALNYNAHUDSON VALLEY VENTURES INCC CORP-38827023787351.00000
AC VENTURES INC
1980 CROMPOND ROADCORTLANDT MANORNY10567133758209RENTALNYNAAC VENTURES INCC CORP-17905319950201.00000
KNOWA VENTURES INC
1980 CROMPOND ROADCORTLANDT MANORNY10567133845922RENTALNYNAKNOWA VENTURES INCC CORP-225582453861.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Business Name Line2NameOfOtherOrganization/BusinessNameLine2Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HUDSON VALLEY HOSPITAL CENTER
HUDSON VALLEY HOSPITAL CENTERA240000
HUDSON VALLEY HOSPITAL CENTER
HUDSON VALLEY HOSPITAL CENTERE205697

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