2011-11-15T13:42:22-06:00 2010-12-31 O'CONNOR DAVIES MUNNS & DOBBINS LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2010-01-01 133593049 SOUND SHORE MEDICAL CENTER OF WESTCHESTER FOUNDATION INC SOUN 9143653500 16 GUION PLACE NEW ROCHELLE NY 10802 ALBERT M FARINA 9143653500 2011-11-15 1 GARRETT HIGGINS 9143818900 2011-11-14 2010 2016-03-07 17:11:31Z JOHN SPICER 16 GUION PLACE NEW ROCHELLE NY 10802 1982626 0 X WWW.SSHSW.ORG X 1985 NY THE SOLICITATION, RECEIPT, HOLDING, AND ADMINISTRATION OF CONTRIBUTIONS ON BEHALF OF SOUND SHORE MEDICAL CENTER OF WESTCHESTER & OTHER SEC. 501(C)(3) ORGANIZATIONS AFFILIATED WITH SOUND SHORE MEDICAL OF WESTCHESTER. 10 7 0 330 0 0 885539 1203040 0 0 -12905 4394 -394483 78263 478151 1285697 0 695966 0 0 347130 0 0 0 834327 582521 1101515 929651 1797481 -451500 -511784 2771053 2363356 951886 2578789 1819167 -215433 X THE FOUNDATION WAS CREATED BY THE BOARD OF GOVERNORS OF SOUND SHORE MEDICAL CENTER OF WESTCHESTER TO MAXIMIZE THE CRITICAL ROLE OF PHILANTHROPY FOR OPERATING AND CRITICAL SUPPORT. THE FOUNDATION'S MISSION IS TO PLAN, ORGANIZE AND IMPLEMENT A PROFESSIONALLY MANAGED, COMPREHENSIVE FUND RAISING PROGRAM IN SUPPORT OF THE MEDICAL CENTER'S LONG RANGE AND STRATEGIC OBJECTIVES. THE FOUNDATION FOCUSES ON THE EXPANSION OF THE ANNUAL FUND RAISING DRIVE THROUGH INDIVIDUAL, CORPORATE AND FOUNDATION GIVING, IN CONJUNCTION WITH A MAJOR CAPITAL FUND RAISING CAMPAIGN. THE RESULTS OF SUCCESSFUL FUND RAISING WILL PROVIDE BUILDING EXPANSION, EQUIPMENT ACQUISITION AND PROGRAM DEVELOPMENT. 0 0 695966 695966 SOUND SHORE MEDICAL CENTER OF WESTCHESTER FOUNDATION (FOUNDATION) WAS ESTABLISHED TO SUPPORT SOUND SHORE MEDICAL CENTER OF WESTCHESTER (SSMC) HEALTHCARE INITIATIVES AND PATIENT CARE. DURING 2010, THE FOUNDATION PROVIDED SUPPORT THROUGH VARIOUS FUNDRAISING ACTIVITIES, INCLUDING ITS ANNUAL GOLF TOURNAMENT AND ANNUAL CENTENNIAL GALA, IN WHICH THE ADVANCED ORTHOPEDICS, MEDICINE AND GASTROENTEROLOGY DEPARTMENTS WERE BENEFICIARIES OF NET PROCEEDS.ALSO, THE FOUNDATION SOLICITS CONTRIBUTIONS EXCLUSIVELY FOR SOUND SHORE MEDICAL CENTER FOR CAPITAL PROJECTS. FUNDS ARE TRANSFERRED TO THE MEDICAL CENTER AS THEY INCUR EXPENSES AND PROCEEDS WITH THE PROJECTS AND OUTLAY OF CASH ALTHOUGH FOUNDATION MAY NOT HAVE COLLECTED ACTUAL CASH. 695966 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X ALBERT M FARINA 9146325000 16 GUION PLACE NEW ROCHELLE NY 10802 X GEORGE T ERBE 0.10 X X 0 0 0 ALBERT M FARINA 0.10 X X 0 309086 7746 JOHN SPICER 0.10 X X 0 848544 5092 LOUIS B FROST 0.10 X X 0 0 0 BARBARA LANGBEIN 0.10 X X 0 126489 7217 JEFFREY R POWERS 0.10 X 0 0 0 THOMAS M MCEVOY 0.10 X 0 0 0 CAROL A PETRILLO 0.10 X X 0 0 0 LAWRENCE J RUISI 0.10 X X 0 0 0 PETER GRIFFIN 0.10 X 0 0 0 AMY CASSIDY 40.00 X 0 172794 5092 ANGELA TURCO 40.00 X 0 104999 6749 0 1561912 31896 0 0 1 0 HYATT REGENCY GREENWICH 1800 E PUTNAM AVENUE OLD GREENWICH CT 06870 HOSPITALITY 186720 WINGED FOOT GOLF CLUB PO BOX 2 FENIMORE RD MAMARONECK NY 10543 HOSPITALITY 131670 2 413445 789595 1203040 3573 3573 39337 38516 821 821 821 374036 413445 658413 -284377 -284377 AUXILLARY INCOME 900099 356724 356724 OTHER INCOME 900099 5916 5916 362640 1285697 0 0 82657 695966 695966 15275 15275 351962 17598 334364 8133 407 7726 42343 2117 40226 90500 4525 85975 1025 51 974 2754 138 2616 BAD DEBTS 275421 275421 AUXILLARY EXPENSES 225926 225926 SPECIAL FUNCTIONS 65159 65159 MISCELLANEOUS EXPENSE 23017 1151 21866 1797481 695966 267188 834327 610285 84224 19937 18263 1383629 1130314 88778 104962 668424 1025593 2771053 2363356 122170 110385 829716 2468404 951886 2578789 X -1035199 -1439446 2854366 1224013 1819167 -215433 2771053 2363356 X -511784 -1522816 X X 0 1 1 X 0 X 1679229 2331510 697769 885539 1203040 6797087 1679229 2331510 697769 885539 1203040 6797087 355792 6441295 5180 26235 2553 1663 3573 39204 4184 7278 362640 374102 7210393 4407696 0.89330 0.98510 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME AUXILLARY INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 CONTRIBUTIONS RECEIVABLE 21247 DUE FROM AFFILIATES 897829 CHARITABLE GIFT ANNUITY 106517 1025593 DUE TO AFFILIATES 2434834 GIFT ANNUITY PAYABLE 33570 2468404 1285697 1797481 -511784 13823 -1545938 9299 -1522816 -2034600 1073594 13823 13823 1059771 225926 225926 1285697 1571555 0 1571555 225926 225926 1797481 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION'S ACCOUNTING POLICY IS TO PROVIDE LIABILITIES FOR UNCERTAIN TAX POSITIONS WHEN A LIABILITY IS PROBABLE OR ESTIMABLE. MANAGEMENT IS NOT AWARE OF ANY VIOLATION OF ITS TAX STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES, NOR OF ANY EXPOSURE TO UNRELATED BUSINESS INCOME. THE FOUNDATION IS NO LONGER SUBJECT TO AUDITS APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2007. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF CHARITABLE GIFT ANNUITY 9,299. PART XII, LINE 4B - OTHER ADJUSTMENTS: AUXILLARY EXPENSES NETTED AGAINST REVENUE PART XIII, LINE 4B - OTHER ADJUSTMENTS: AUXILLARY EXPENSES NETTED AGAINST REVENUE GOLF EVENT 321465 125923 195542 310918 9739 CENTENIAL GALA 391375 237577 153798 186720 11844 70803 3 74641 49945 24696 28000 40389 787481 413445 374036 525638 11844 120931 658413 -284377 1 SOUND SHORE MEDICAL CENTER OF WESTCHESTER 16 GUION PLACE NEW ROCHELLE NY 10802 131740117 501(C)3 695966 GENERAL OPERATING SUPPORT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FOUNDATION SOLICITS CONTRIBUTIONS EXCLUSIVELY FOR SOUND SHORE MEDICAL CENTER FOR CAPITAL PROJECTS. FUNDS ARE TRANSFERRED TO THE MEDICAL CENTER AS THEY INCUR EXPENSES AND PROCEEDS WITH THE PROJECTS AND OUTLAY OF CASH ALTHOUGH FOUNDATION MAY NOT HAVE COLLECTED ACTUAL CASH. THE ORGANIZATIONS ARE GOVERNED BY THE SAME MANAGEMENT AND HAVE SIMILAR BOARDS; MANAGEMENT OVERSEES THE PROCESS TO ENSURE FUNDS ARE USED FOR THEIR INTENDED PURPOSE. 0 0 0 0 0 0 0 0 0 ALBERT M FARINA 0 309086 0 0 0 0 0 0 0 7746 0 316832 0 0 JOHN SPICER 0 848544 0 0 0 0 0 0 0 5092 0 853636 0 0 AMY CASSIDY 0 172794 0 0 0 0 0 0 0 5092 0 177886 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, NRHMC, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO APPROVE DECISIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 SOUND SHORE MEDICAL CENTER OF WESTCHESTER FOUNDATION, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, IT IS REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE OF THE BOARD, ANY COMMENTS OR CONCERNS ARE ADDRESSED, AND IS THEN READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ADOPTED THE CONFLICT OF INTEREST POLICY ESTABLISHED BY ITS RELATED ORGANIZATION, SOUND SHORE MEDICAL CENTER. THE POLICY APPLIES TO THE GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. THE GOVERNING BOARD AND ITS CORPORATE OFFICERS MUST 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 THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 SOUND SHORE MEDICAL CENTER OF WESTCHESTER FOUNDATION, INC. MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR WEBSITES. IN ADDITION, THE FORM 990, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A EACH OF THE BOARD MEMBERS SPEND ON AVERAGE 12 - 15 HOURS PER MONTH WORKING ON THE BOARDS OF THE RELATED ENTITIES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 13,823. PRIOR PERIOD ADJUSTMENTS: -1,545,938. CHANGE IN FAIR VALUE OF CHARITABLE GIFT ANNUITY 9,299. TOTAL TO FORM 990, PART XI, LINE 5: -1,522,816. COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT: FORM 990, PART XII, LINE 2C THE DIRECTORS OF SOUND SHORE MEDICAL CENTER OF WESTCHESTER, ON BEHALF OF THE OFFICERS AND DIRECTORS OF THE FOUNDATION, PERFORM THE TASKS IN THE OVERSIGHT OF THE AUDIT AND IN THE SELECTION OF AN INDEPENDANT ACCOUNTANT. THE BOARD REVIEWS THE FINANCIAL STATEMENTS AND MEETS WITH THE AUDITORS 12-15 HOURS ANNUALLY TO DISCUSS THE AUDIT RESULTS AND TO ADDRESS ANY COMMENTS OR CONCERNS. HOWE AVENUE NURSING HOME INC 16 GUION PLACE NEW ROCHELLE NY 10801 237000781 NURSING HOME THAT PROVIDES LONG-TERM RESIDENTIAL CARE NY 501(C)(3) 9 N/A 0 NRHMC INC 16 GUION PLACE NEW ROCHELLE NY 10801 133272830 SUPPORTING ORGANIZATION FOR SOUND SHORE MEDICAL CENTER OF WESTCHESTER NY 501(C)(3) 11 N/A 0 THE MOUNT VERNON HOSPITAL 12 NORTH SEVENTH AVENUE NEW ROCHELLE NY 10550 131740115 OPERATE A TAX-EXEMPT HOSPITAL NY 501(C)(3) 3 N/A 0 MVH CORPORTATION 12 NORTH SEVENTH AVENUE NEW ROCHELLE NY 10550 133281514 OPERATE A TAX-EXEMPT HOSPITAL NY 501(C)(3) 3 N/A 0 SOUND SHORE HEALTH SYSTEM 16 GUION PLACE NEW ROCHELLE NY 10801 134011398 MANAGE SOUND SHORE ENTITIES NY 501(C)(3) 3 N/A 0 SOUND SHORE MEDICAL CENTER OF WESTCHESTER 16 GUION PLACE NEW ROCHELLE NY 10801 131740117 OPERATE A TAX-EXEMPT HOSPITAL NY 501(C)(3) 3 N/A 0 PINNACLE HEALTHCARE INC 500 SUMMIT LAKE DR STE 190 VALHALLA NY 10595 133997857 SUPPORTING ORGANIZATION FOR HEALTHCARE SYSTEMS NY 501(C)(3) 11 N/A 0 NRHMC SERVICES CORPORATION 16 GUION PLACE NEW ROCHELLE NY 10801 133769137 SPACE RENTALS TO BUSINESSES IN THE HEALTHCARE INDUSTRY NY N/A C SOUND SHORE PHARMACY INC 16 GUION PLACE NEW ROCHELLE NY 10801 133916523 PROVIDE PHARMACEUTICALS TO SOUND SHORE ENTITIES NY N/A C 0.20000 0 1 0 1 0 0 0 0 1 0 0 0 1 1 1 1 0 0