NORTH GENERAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NORTH GENERAL HOSPITAL (EIN 13-2996345)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-08
- IRS object ID
- 201142239349301359
- Schema version
- 2010v3.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-08T15:10:52-07:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 132996345 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 5164664110 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Lori L Jones Liquidation Trustee | AddressLine1 |
| Address Line2 | 98 Cutter Mill Road-Suite 201 N | AddressLine2 |
| City | Great Neck | City |
| State | NY | State |
| ZIP Code | 11021 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lori L Jones Liquidation Trustee | Name |
| Title | * See Sch O, Line 11A | Title |
| Phone | 5164664110 | Phone |
| Date Signed | 2011-08-08 | DateSigned |
| 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) |
|---|---|---|
| Name Of Principal Officer Person | Lori L Jones Liquidation Trustee | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 Cutter Mill Road | AddressLine1 |
| City | Great Neck | City |
| State | NY | State |
| ZIP Code | 11021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53271998 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.northgeneral.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | North General Hospital is committed to quality in health care delivery, the provision of primary, secondary and tertiary care services, and the creation of a broader health care delivery system. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 298 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2764347 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2113186 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 100676268 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 47609800 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 53045 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5167 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4573506 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3543845 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 108067166 | TotalRevenuePriorYear |
| Total Revenue Current Year | 53271998 | 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 | 74961671 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 45251198 | 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 | 47078174 | OtherExpensePriorYear |
| Other Expenses Current Year | 46183146 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 122039845 | TotalExpensesPriorYear |
| Total Expenses Current Year | 91434344 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -13972679 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -38162346 | RevenuesLessExpensesCY |
| Total Assets BOY | 87868524 | TotalAssetsBOY |
| Total Assets EOY | 74127538 | TotalAssetsEOY |
| Total Liabilities BOY | 287315415 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 311736778 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -199446891 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -237609240 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | North General Hospital is committed to quality in health care delivery, the provision of primary, secondary and tertiary care services, and the creation of a broader health care delivery system. In addition, the Hospital is committed to the economic development of the Harlem Communities we serve. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 65457847 | Expense |
| Grants | 0 | Grants |
| Revenue | 47609800 | Revenue |
| Description | North General Hospital is committed to quality in health care delivery, the provision of primary, secondary and tertiary care services, and the creation of a broader health care delivery system. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 65457847 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 1 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | 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 | 1 | 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 | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | 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 | 157 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 298 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | 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 | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Lori L Jones Liquidation Trustee | NamePerson |
| Telephone Number | 5164664110 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 Cutter Mill Road | AddressLine1 |
| Address Line2 | Suite 201 North | AddressLine2 |
| City | Great Neck | City |
| State | NY | State |
| ZIP Code | 11021 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Calvin Butts III | ||||||||
| Chairman | 2 | X | 0 | 0 | 0 | |||
| Eugene Giscombe | ||||||||
| Vice Chairman | 2 | X | 0 | 0 | 0 | |||
| Livingston S Francis | ||||||||
| Trustee | 2 | X | 0 | 0 | 0 | |||
| Mark Jeziorski | ||||||||
| Trustee | 2 | X | 0 | 0 | 0 | |||
| Gene A Norman | ||||||||
| Trustee | 2 | X | 0 | 0 | 0 | |||
| Samuel Daniel | ||||||||
| President & CEO | 35 | 317564 | 0 | 9568 | X | X | ||
| John P Maher | ||||||||
| Exec Vice President & CFO | 35 | 359808 | 0 | 7647 | X | X | ||
| Michele Prisco | ||||||||
| VP Information Technology | 35 | 165000 | 0 | 5507 | X | |||
| Anne Goonan | ||||||||
| VP Quality & Patient Services | 35 | 228005 | 0 | 3336 | X | |||
| Myo Maw | ||||||||
| Chief Cardiologist | 35 | 264655 | 0 | 2930 | X | |||
| Stacie Pinderhughes | ||||||||
| Chief of Medicine | 35 | 197789 | 0 | 3579 | X | |||
| Samuel Kim | ||||||||
| Radiologist | 35 | 239958 | 0 | 5659 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1772779 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 38226 | TotalOtherCompensation |
| Number Individuals GT100 K | 27 | 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 |
|---|---|---|---|---|---|
| Madison Avenue Emergency Medicine | |||||
| 1720 Hutchinson River Parkway | Bronx | NY | 10461 | Professional Emergency Services | 1562518 |
| Burns Int'l Security Services | |||||
| PO Box 99477 | Chicago | IL | 60693 | Security Personnel | 1844906 |
| Windels Marx Lane & Mittendorf LLC | |||||
| 156 West 56th St | New York | NY | 10019 | Legal Services | 3150356 |
| Alvarez and Marsal | |||||
| 600 Lexington Ave | New York | NY | 10022 | Professional Consulting Services | 1825000 |
| Healthcare Management Solutions LLC | |||||
| PO Box 56 | Vails Gate | NY | 12584 | Financial & Reimbursement Consultants | 1080561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 31 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 34244 | RelatedOrganizations |
| Government Grants | 2078942 | GovernmentGrants |
| All Other Contributions | 0 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 2113186 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Program Service Revenue | Description |
| Business Code | 622000 | BusinessCode |
| Total Revenue Column | 47609800 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47609800 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 47609800 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18115 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $18,115 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 46023 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 46023 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46023 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $46,023 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -12948 | Securities |
| Other | 0 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -12948 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -12948 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$12,948 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Ancillary Medical Services | 900099 | 882180 | 882180 | 0 | $0 |
| Vendor Settlements | 900099 | 1557119 | 0 | 0 | $1,557,119 |
| Cafetaria Revenue | 900099 | 100744 | 0 | 0 | $100,744 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 957779 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15150 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $942,629 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3497822 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53271998 | TotalRevenueColumn |
| Related Or Exempt Function Income | 48507130 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,651,682 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32140771 | Total |
| Program Services | 23009578 | ProgramServices |
| Management And General | 9131193 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1485006 | Total |
| Program Services | 1063116 | ProgramServices |
| Management And General | 421890 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8927475 | Total |
| Program Services | 6391180 | ProgramServices |
| Management And General | 2536295 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2697946 | Total |
| Program Services | 1931459 | ProgramServices |
| Management And General | 766487 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5122454 | Total |
| Program Services | 3667165 | ProgramServices |
| Management And General | 1455289 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316567 | Total |
| Program Services | 226630 | ProgramServices |
| Management And General | 89937 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14154368 | Total |
| Program Services | 10133112 | ProgramServices |
| Management And General | 4021256 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162250 | Total |
| Program Services | 116155 | ProgramServices |
| Management And General | 46095 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1861341 | Total |
| Program Services | 1332534 | ProgramServices |
| Management And General | 528807 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48036 | Total |
| Program Services | 34389 | ProgramServices |
| Management And General | 13647 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6662982 | Total |
| Program Services | 4770029 | ProgramServices |
| Management And General | 1892953 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4297540 | Total |
| Program Services | 3076609 | ProgramServices |
| Management And General | 1220931 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1458494 | Total |
| Program Services | 1044136 | ProgramServices |
| Management And General | 414358 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Telephone | 260112 | 186214 | 73898 | 0 |
| Postage & Shipping | 55929 | 40040 | 15889 | 0 |
| Printing | 24353 | 17434 | 6919 | 0 |
| Prov for Bad Debt | 9462752 | 6774384 | 2688368 | 0 |
| Dues, Licenses & Permits | 246682 | 176600 | 70082 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2049286 | Total |
| Program Services | 1467083 | ProgramServices |
| Management And General | 582203 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91434344 | Total |
| Program Services | 65457847 | ProgramServices |
| Management And General | 25976497 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 465503 | BOY |
| EOY | 846904 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2576487 | BOY |
| EOY | 1733258 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9057646 | BOY |
| EOY | 928712 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 175461 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 504291 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 144165741 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 116051737 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31618709 | BOY |
| EOY | 28114004 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43645888 | BOY |
| EOY | 42329199 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87868524 | BOY |
| EOY | 74127538 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61816167 | BOY |
| EOY | 64468299 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135103468 | BOY |
| EOY | 134912272 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43783537 | BOY |
| EOY | 66143537 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46612243 | BOY |
| EOY | 46212670 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 287315415 | BOY |
| EOY | 311736778 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -199932792 | BOY |
| EOY | -238073425 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 485901 | BOY |
| EOY | 464185 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -199446891 | BOY |
| EOY | -237609240 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87868524 | BOY |
| EOY | 74127538 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -38162346 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3 | 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Held Works Of Art Amts HeldWorksOfArtAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | 0 | RevenuesIncluded |
| Assets In Part X | 0 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Solicited Assets For Sale | 0 | SolicitedAssetsForSale |
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 9372676 | BeginningBalance |
| Additions During Year | 0 | AdditionsDuringYear |
| Distributions During Year | 253223 | DistributionsDuringYear |
| Ending Balance | 9119453 | EndingBalance |
| Included On FS | 0 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 679211 | OtherCostOrOtherBasis |
| Book Value | 679211 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 58034749 | OtherCostOrOtherBasis |
| Depreciation | 36931746 | Depreciation |
| Book Value | 21103003 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 873882 | OtherCostOrOtherBasis |
| Depreciation | 365143 | Depreciation |
| Book Value | 508739 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 83409068 | OtherCostOrOtherBasis |
| Depreciation | 78754848 | Depreciation |
| Book Value | 4654220 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1168831 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 1168831 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 28114004 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Assets Limited to use-Debt Srv Reserve Fund | 11827336 |
| Misc Receivables & Prepaids | 855159 |
| Due from Related Party | 398227 |
| Other Assets | 1731629 |
| Due from DT&C | 27516848 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 42329199 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third Party Settlement Payable | $24,993,570 |
| Accrued Benefit Liability | $543,085 |
| Estimated Loss Reserve | $7,065,000 |
| Due to NGH Foundation | $204,811 |
| Due to Related Party | $203,169 |
| Pension Liability | $13,203,035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 46212670 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P03_S00_L01 | Schedule D, Part III, Line 1 | The organization owns various pieces of art at its hospital location. These assets were appraised several years ago, but no recent appraisal has been performed. The historical artwork was has not been reported in its revenue statement or balance sheet and there is no footnote within its financial statements describing these items. NGH is the custodian of pension plan assets. These assets are not reported on the balance sheet or income statement but the 2010 internal financial statements. |
| SchD_P03_S00_L04 | Schedule D, Part III, Line 4 | The organization owns various pieces of art at its location. These assets were appraised several years ago but no recent appraisal has been performed. The historical art work has not been reported in its revenue statement or balance sheet and there is no footnote within its financial statements. |
| SchD_P04_S00_L01b | Schedule D, Part IV, Line 1b | North General Hospital is the custodian of the pension plan assets. These assets are not reported on the balance sheet or income statement of the hospital internal financial statements. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | Captive Insurance | SpecificServicesProvided |
| Total Expenditures | 0 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Total Amount Spent | 0 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchF_P04_S00_L00 | Identifier |
| Return Reference | Schedule F, Part IV | ReturnReference |
| Explanation | North General Hospital formed a wholly-owned captive insurance company, North General Insurance, LTD, (Captive) which was incorporated and licensed in Bermuda to write general and professional insurance. The captive insured the professional liability exposures of the hospital on a claims made basis. The captive insured the general liability exposures of the hospital on an occurrence basis. The captive was dissolved in the year 2010. The remaining assets of approximately $223,000 was transferred back to North General Hospital upon dissolution. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2419552 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 589470 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1830082 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 55457084 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27711047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27746037 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.3035 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 57876636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28300517 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29576119 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.3235 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22356349 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9572827 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12783522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1398 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 22356349 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9572827 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12783522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1398 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 80232985 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37873344 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 42359641 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.4633 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $11,320,169 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11102426 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10897710 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 204716 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North General Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1879 Madison Ave | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | Hospital used a ratio of cost to charges to develop cost by payer |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | Provision of bad debt for hospital was $9,462,752 |
| SchH_P01_S00_L07g | Schedule H, Part I, Line 7g | No physician services were included on line 7g |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | No audit was done for 2010 since hospital closed. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | No Medicare shortfall was included in line 7 |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | Hospital had a collection/write off policy. If patient qualified for financial assistance, their account was not considered bad debt |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | The communities of East and Central Harlem are economically underprivileged-working class communities populated primarily by Latinos and African-Americans. Relative to the rest of New York City, East and Central Harlem are inhabited by traditionally under-served populations, living at the higher levels of povery and who suffer disproportionately from increased rates of mortality due to common illnesses and treatable diseases. Residents in these communities rank among the bottom of New York City neighborhoods and have below average scores in areas such as general health, maternal and child health, infectious disease (including pneumonia, influenza and HIV/AIDS) and chronic disease (including heart disease, diabetes and lung diseases). The Hospital's existence has been essential to providing the residents of East and Central Harlem with the health services they critically require. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | Hospital had financial counselors meet with patients and discuss Medicaid and financial assistance opportunities. In addition, signage explaining financial assistance was provided in patient access areas. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | The patients served by North General are largely made up of traditionally under-served, undocumented populations. The population surrounding North General consists primarily of groups with lower levels of education living at higher levels of poverty compared to the greater New York City population. As a result, the standard of living in Harlem is relatively low, death rates are relatively high for both adults and infants, and the unemployment rates are significantly higher in Harlem than in surrounding areas. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Samuel Daniel | |||||||||||||
| 317564 | 0 | 0 | 0 | 0 | 0 | 3049 | 0 | 6519 | 0 | 327132 | 0 | 523712 | 0 |
| John P Maher | |||||||||||||
| 359808 | 0 | 0 | 0 | 0 | 0 | 5500 | 0 | 2147 | 0 | 367455 | 0 | 295330 | 0 |
| Michele Prisco | |||||||||||||
| 165000 | 0 | 0 | 0 | 0 | 0 | 3875 | 0 | 1632 | 0 | 170507 | 0 | 180209 | 0 |
| Stacie Pinderhughes | |||||||||||||
| 197789 | 0 | 0 | 0 | 0 | 0 | 1300 | 0 | 2279 | 0 | 201368 | 0 | 317800 | 0 |
| Anne Goonan | |||||||||||||
| 228005 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3336 | 0 | 231341 | 0 | 224873 | 0 |
| Myo Maw | |||||||||||||
| 264655 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2930 | 0 | 267585 | 0 | 331385 | 0 |
| Samuel Kim | |||||||||||||
| 239958 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5659 | 0 | 245617 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchJ_P01_S00_L04 | Identifier |
| Return Reference | Schedule J, Part I, Line 4 | ReturnReference |
| Explanation | The facility paid severance to S. Pinderhughes, M. Maw and S. Kim. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dormitory Authority of New York State | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Issued | 2003-01-23 | DateIssued |
| Issue Price | 138135000 | IssuePrice |
| Description Of Purpose | Refinancing of 1998 Bond | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 138135000 | TotalProceeds |
| Amount In Reserve Fund | 11827336 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 0 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P03_S00_L02 | Form 990, Part III, Line 2 | Hospital filed for bankruptcy on July 2, 2010 and closed on July 9, 2010 |
| F990_P03_S00_L03 | Form 990, Part III, Line 3 | Hospital filed for bankruptcy on July 2, 2010 and closed on July 9, 2010 |
| F990_P06_S0A_L04 | Form 990, Part VI, Section A, Line 4 | Hospital filed bankruptcy on July 2, 2010 and closed on July 9, 2010. Effective June 30, 2011, the United States Bankruptcy Court Southern District of New York approved a Chapter 11 Plan of liquidation for North General Hospital and its Affiliated Debtors. Pursuant to the Plan, a Liquidation Trustee was appointed and the assets of North General Hospital were sold, and/or transferred back to the Dormitory Authority of the State of New York. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | North General Service Corporation (NGSC) is the sole corporate member (and parent entity) of North General Hospital |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | North General Service Corporation (NGSC) is the sole corporate member (and parent entity) of North General Hospital (NGH). NGSC has the sole authority to appoint and remove trustees to the North General Hospital Board of Trustees. This power has been specifically enumerated in both the NGSC and NGH Bylaws. |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | North General Service Corporation (NGSC) is the sole corporate member (and parent entity) of North General Hospital (NGH). NGSC does not have the authority to approve every-day decisions of the North General Hospital Board of Trustees regarding the hospital's operations, however, NGSC must approve the Board of Director's decisions with regard to certain corporate transactions (such as dissolution, creation of new entities, etc.) |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | The books and records were maintained by hospital staff. Hospital financial statements were prepared internally for 2010 and not audited by an independent accounting firm due to the bankruptcy. The Form 990 was reviewed in detail by North General Hospital's President & CRO, as well as the Liquidation Trustee prior to filing. Lori Lapin Jones executed this Form 990 solely in her capacity as Liquidation Trustee of North General Hospital. The information contained in this Form 990 is based on transactions and events that precede the appointment of the Liquidation Trustee on June 30, 2011. The Liquidation Trustee does not have complete knowledge of the information in this Form 990, but has no reason to believe the information contained in this return is not fairly presented. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Each Officer, Director, Trustee and key employee of North General Hospital (NGH) is required to annually disclose any conflicts of interest that arise by virtue of their employment and position with NGH. The Hospital monitors compliance with its conflict of interest policy through an annual questionnaire submitted to these individuals. Potential conflicts are investigated immediately. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Pursuant to hospital by-laws, the compensation committee of the hospital Board of Trustees evaluates executive compensation and makes recommendations to the Board based on comparative studies and industry practice specific to tax-exempt, not-for-profit, charitable organizations |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The organization's Form 990 is available for public inspection on WWW.Guidestar.org |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | Rounding adjustment |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| North General Hospital Home Attendent Corp | ||||||||||
| 205 East 122nd St | New York | NY | 10035 | 133047556 | Home Care | NY | 501 C 3 | 11A | N/A | 0 |
| North General Housing Develop Fund Co | ||||||||||
| 1879 Madison Ave | New York | NY | 10035 | 133552466 | Inactive | NY | 501 C 3 | 11A | N/A | 0 |
| North General Service Corp | ||||||||||
| 1879 Madison Ave | New York | NY | 10035 | 133696783 | Sole Member/Parent | NY | 501 C 3 | 11A | N/A | 0 |
| North Gen Aids Housing Develop Fund Corp | ||||||||||
| 1879 Madison Ave | New York | NY | 10035 | 133737001 | Housing | NY | 501 C 3 | 11A | N/A | 0 |
| North General Hospital Foundation | ||||||||||
| 1879 Madison Ave | New York | NY | 10035 | 133700925 | Fundraising | NY | 501 C 3 | 11A | N/A | 0 |
| North General Diagnostic & Treatment Ctr | ||||||||||
| 1879 Madison Ave | New York | NY | 10035 | 200561166 | Healthcare | NY | 501 C 3 | 3 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NGSC Insurance Limited | BusinessNameLine1 |
Address Foreign AddressForeign
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Craig Appin House | AddressLine1 |
| Address Line2 | 8 Wesely Street | AddressLine2 |
| City | Hamilton | City |
| Country | BD | Country |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activity | Captive Insurance | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 1 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| North General Diagnostic & Treatment Ctr | |
| a-i | 793488 |
| North General Diagnostic & Treatment Ctr | |
| n | 3099848 |
| North General Diagnostic & Treatment Ctr | |
| b | 7063927 |
| North General Diagnostic & Treatment Ctr | |
| p | 27516849 |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Pursuant to Announcement 2011-20, the IRS has granted an automatic three-month extension of time to file the Form 990 to hospital organizations with original tax year filing due dates before August 15, 2011. | Explanation |
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