Victory Memorial Hospital (Bankrupt): Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Victory Memorial Hospital (Bankrupt) (EIN 11-1630911)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201113149349303506
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T15:58:24-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bederson & Company LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 347 Mt Pleasant Avenue - Suite 200 | AddressLine1 |
| City | West Orange | City |
| State | NJ | State |
| ZIP Code | 07052 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111630911 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Victory Memorial Hospital (Bankrupt) | BusinessNameLine1 |
| Business Name Line2 | c/o Frank Conrad Plan Administrator | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VICT | NameControl |
| Phone | 7185671006 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 Dalton Street No One | AddressLine1 |
| City | Long Beach | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Frank Conrad | Name |
| Title | Plan Administrator | Title |
| Phone | 7185671006 | Phone |
| Date Signed | 2011-11-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY J KING | Name |
| Phone | 9737363333 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Frank Conrad | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 Dalton Street | AddressLine1 |
| City | Long Branch | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4554763 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.vmhny.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1904 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Mandated 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 Body | 0 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20071206 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4000000 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 226095 | InvestmentIncomePriorYear |
| Investment Income Current Year | 498913 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8594972 | OtherRevenuePriorYear |
| Other Revenue Current Year | 55850 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 28892273 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4554763 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13109090 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 134757 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 15799404 | OtherExpensePriorYear |
| Other Expenses Current Year | 2628973 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 28908494 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2763730 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -16221 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1791033 | RevenuesLessExpensesCY |
| Total Assets BOY | 49503874 | TotalAssetsBOY |
| Total Assets EOY | 31078089 | TotalAssetsEOY |
| Total Liabilities BOY | 92834054 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 72617236 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -43330180 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -41539147 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Wind Down Operations | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 0 | Expense |
| Revenue | 0 | Revenue |
| Description | Not Applicable - The hospital ceased all operations. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 0 | Expense |
| Revenue | 0 | Revenue |
| Description | Not Applicable - The hospital ceased all operations. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 0 | Expense |
| Revenue | 0 | Revenue |
| Description | Not Applicable - The hospital ceased all operations. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 0 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 0 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7185671006 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 Dalton Street No One | AddressLine1 |
| City | Long Beach | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Bill Guarinello | |||||||
| Chairman | 0.10 | X | X | 0 | 0 | 0 | |
| William Girasole | |||||||
| Vice Chairman | 0.10 | X | X | 0 | 0 | 0 | |
| Donald Cordano | |||||||
| Treasurer | 0.10 | X | X | 0 | 0 | 0 | |
| Craig Eaton | |||||||
| Secretary | 0.10 | X | X | 0 | 0 | 0 | |
| Ben Barber | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| David Cassato | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Patrick Colabella | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Richard Conti | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Frank Corigliano | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Joseph Cunnigham MD | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| John Demic | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Joan Durante | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Salvatore Ferrera Phd | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Aldo Girasole | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Samuel Hagan | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Gerard Kassar | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Frank Lacqua MD | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Ann Pennacchio | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Joseph Perri | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Michael Phillips | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Dennis Quirk | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Veronica Santilli MD | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Joseph Sessa II | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Joseph Shelala | |||||||
| Director | 0.10 | X | 0 | 0 | 0 | ||
| Dr Vincent Calamia | |||||||
| President | 40.00 | X | 134757 | 0 | 0 | ||
| Eufracia Baltazar | |||||||
| Controller | 40.00 | 153942 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 288699 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DLA Piper LLP | |||||
| 1251 Avenue of the Americas | New York | NY | 100201104 | Legal | 862659 |
| Bederson & Company LLP | |||||
| 347 Mt Prospect Ave Suite 200 | West Orange | NJ | 07052 | Accounting | 201315 |
| Alston & Byrd LLP | |||||
| 90 Park Avenue | New York | NY | 10016 | Legal | 166779 |
| Eufracia Baltazar | |||||
| 699 92nd Street | Brooklyn | NY | 11228 | Financial | 153942 |
| Dr Vincent Calamia | |||||
| 699 92nd Street | Brooklyn | NY | 11228 | Administration | 134757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HEAL Grant | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 4000000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4000000 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4000000 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 498913 | TotalRevenueColumn |
| Related Or Exempt Function Income | 498913 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Equipment Surplus | 900099 | 50381 | 50381 |
| Medical Transcript & O | 900099 | 5469 | 5469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 55850 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4554763 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4554763 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134757 | Total |
| Management And General | 134757 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18763 | Total |
| Management And General | 18763 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 397313 | Total |
| Management And General | 397313 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 459328 | Total |
| Management And General | 459328 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 855666 | Total |
| Management And General | 855666 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34499 | Total |
| Management And General | 34499 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126595 | Total |
| Management And General | 126595 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187875 | Total |
| Management And General | 187875 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 286216 | Total |
| Management And General | 286216 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| Outside Contracted Serv | 193643 | 193643 |
| U.S. Trustee Fees | 69075 | 69075 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2763730 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2763730 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1463871 | BOY |
| EOY | 3972694 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32918625 | BOY |
| EOY | 14224667 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1492424 | BOY |
| EOY | 5492400 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203485 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5000000 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62500 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8362969 | BOY |
| EOY | 7388328 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49503874 | BOY |
| EOY | 31078089 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52867370 | BOY |
| EOY | 52766740 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27325085 | BOY |
| EOY | 8025085 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12641599 | BOY |
| EOY | 11825411 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92834054 | BOY |
| EOY | 72617236 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -43330180 | BOY |
| EOY | -41539147 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -43330180 | BOY |
| EOY | -41539147 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49503874 | BOY |
| EOY | 31078089 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1791033 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Assets Held - Ancillary Properties | 4700000 |
| Rent Receivable | 2131225 |
| Due from Third Party Payors | 557103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7388328 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Third Party Payors | $4,505,411 |
| Estimated Liability for Medical Malpractice | $7,320,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11825411 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Eufracia Baltazar | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 153942 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 153942 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Changes in Program Services | Form 990, Part III, line 3 | Hospital ceased all operations and is in the process of liquidating all assets. |
| Form 990, Part VI, Section A, line 1 | Plan 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 3 | Plan 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 8a | Plan 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 8b | Plan 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 11 | Plan 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 11 | Plan Administrator reviews Form 990 prior to filing. | |
| Form 990, Part VI, Section C, line 18 | Form 990 is available upon request. | |
| Form 990, Part VI, Section C, line 19 | Organization documents are available upon request. |