2011-11-14T14:18:16-06:00 2010-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2010-01-01 131740115 THE MOUNT VERNON HOSPITAL MOUN 9143653500 12 NORTH SEVENTH AVE MOUNT VERNON NY 10550 ALBERT FARINA 9146325000 2011-11-10 6464713000 2010 2016-03-07 17:11:31Z JOHN R SPICER PRESIDENT CEO 16 GUION PLACE NEW ROCHELLE NY 10801 93090742 false X www.sshsw.org X 1937 NY THE MOUNT VERNON HOSPITAL PROVIDES QUALITY HEALTHCARE SERVICES TO MOUNT VERNON AND SURROUNDING COMMUNITIES BY DELIVERING EFICIENT AND EFECTIVE HEALTHCARE PROGRAMS TO THOSE WHO ARE SICK AND DISABLED. 11 8 695 45 0 1904259 7376738 91838501 84998366 24122 14200 748871 654563 94515753 93043867 0 0 0 0 60643790 50124182 0 0 0 38389042 37199367 99032832 87323549 -4517079 5720318 28241349 30722675 44829841 42226554 -16588492 -11503879 X THE MOUNT VERNON HOSPITAL AND SOUND SHORE HEALTH SYSTEM DEDICATE THEMSELVES TO PROVIDING QUALITY HEALTHCARE SERVICES TO MOUNT VERNON AND SURROUNDING COMMUNITIES BY DELIVERING EFFICIENT, EFFECTIVE, AND COLLABORATIVE HEALTHCARE PROGRAMS THAT PROMOTE THE HEALTH OF EVERY COMMUNITY MEMBER, ESPECIALLY THOSE WHO ARE SICK AND DISABLED. THIS IS ACCOMPLISHED BY DETERMINING, DEVELOPING, AND IMPLEMENTING HEALTHCARE PROGRAMS DESIGNED TO: OPTIMIZE THE USE OF ALL AVAILABLE HEALTHCARE, HOSPITAL, HEALTH SYSTEM, AND COMMUNITY SERVICES THROUGH THE COLLABORATIVE EFFORTS OF HEALTH SYSTEM AND HOSPITAL STAFF, COMMUNITY LEADERS, AND LOCAL AND REGIONAL ORGANIZATIONS. PROVIDE A CLIMATE IN WHICH PATIENTS' PAIN IS REGULARLY ASSESSED AND PROMPTLY AND EFFICIENTLY MANAGED. PROVIDE HEALTH EDUCATION TO COMMUNITY MEMBERS AND HEALTHCARE WORKERS AND TRAINING PROGRAMS FOR PHYSICIANS AND NURSES. IDENTIFY AND CARRY OUT QUALITY IMPROVEMENT EFFORTS THAT INCLUDE COMMUNITY AND COMMUNITY MEMBERS' VIEWS OF HOSPITAL AND HEALTH SYS false false 50441036 81708360 THE MOUNT VERNON HOSPITAL IS A NON PROFIT GENERAL HOSPITAL. PROGRAM EXPENSES ARE FOR PATIENT CARE. THE HOSPITAL HAS 245 CERTIFIED BEDS. 11635723 1501603 EMERGENCY, THE HOSPITAL HAD A TOTAL OF 20,896 AND 21,659 EMERGENCY ROOM VISITS FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009, RESPECTIVELY. 4872707 1788403 CLINICS, THE HOSPITAL HAD A TOTAL OF 26,589 AND 28,099 CLINICAL VISITS FOR THE YEAR ENDED DECEMBER 31, 2010 AND 2009, RESPECTIVELY. 66949466 true true false false false false false false true true false false true true false true false false false false false false false true false true false false false true false false false false false false true false false false false false false true true true false false true 32 0 695 true false false false false false true true false false false false X 11 8 false false false false true true true true true false false false true true true true true true true false NY X THE MOUNT VERNON HOSPITAL 9143653500 16 GUION PLACE NEW ROCHELLE NY 10801 X PETRILLO RICHARD L SCH J PART III 40.0 X X 248939 0 0 ALAIE DARIUSH SEE SCH J PART III 40.0 X 203700 0 7071 BUFANO VINCENT M 1.0 X 0 0 0 NACLERIO RICHARD J 1.0 X X 0 0 0 CAPASSO PAT 1.0 X 0 0 0 CONSOLAZIO SAMUEL 1.0 X 0 0 0 DEVERNA DARREN 1.0 X X 0 0 0 DEBELLIS ANTHONY 1.0 X 0 0 0 WOOD DANNA 1.0 X X 0 0 0 BAISDEN WENDELL ELLIOTT 1.0 X 0 0 0 DECOHEN TROY PRESTON 1.0 X 0 0 0 SPICER JOHN SEE SCH J PART III 40.0 X 0 869985 5092 FARINA ALBERT SEE SCH J PART III 40.0 X 0 309086 7746 D'ADDESIO NICK 40.0 X 157243 0 6071 CHUNG KUN YOUNG 40.0 X 223399 0 7061 PRASAD BALASA 40.0 X 457762 0 0 ISHKANIAN GARY 40.0 X 159423 0 6383 KAPLAN SIDNEY 40.0 X 213885 0 0 AGNANT GUIRLAINE 40.0 X 318131 0 0 BORKER PRITI 40.0 X 310443 0 9686 KIM CHUNG 40.0 X 290376 0 0 CHANG CHIH TANG 40.0 X 294083 0 6071 PARKER FREDERICK 40.0 X 291972 0 6071 HASKINS GEORGE 0.0 X 0 244969 7631 3169356 1424040 68883 103 true true true DELOITE CONSULTING PO BOX 7247-6447 PHILADELPHIA PA 19170 CONSULTING SERVICES 231289 PRICEWATERHOUSECOOPERS LLP PO BOX 7247-8001 PHILADELPHIA PA 191708001 AUDITING SERVICES 203000 DAY PITNEY PO BOX 33300 HARTFORD CT 06150 CONSULTING SERVICES 149043 THERAPEUTICS ASSOCIATES 111 GREAT NECK ROAD GREAT NECK NY 11021 RADIOLOGY 128752 SAL SCHILIRO 373 PACKMAN AVENUE MOUNT VERNON NY 10552 CONSULTING SERVICES 127992 7 40100 7285966 50672 7376738 NET PATIENT SERVICE REVENUE 621110 81276606 81276606 INCOME METH CLINIC 621400 103895 103895 SCHOOL OF NURSING 611710 1021231 1021231 PHYSICIAN BILLING 621110 1569303 1569303 PART B ANESTHESIA 621110 999101 999101 28230 28230 84998366 14200 14200 0 0 194592 194592 194592 194592 0 0 40100 46875 -46875 -46875 0 0 MRI INCOME 611710 84404 84404 CAFETERIA, COFFEE SHOP & VENDING 722210 166422 166422 DISCOUNTS & REBATES 900099 2312 2312 253708 253708 506846 93043867 85082770 584359 0 0 0 0 914645 687378 227267 0 40413325 30371578 10041747 0 8796212 6610563 2185649 0 0 335066 335066 350200 350200 0 0 0 3857473 2898983 958490 6210 4667 1543 19003282 14281420 4721862 0 23249 17472 5777 0 2144211 1611426 532785 5642 4240 1402 0 10370 7793 2577 635198 477366 157832 0 2276419 1710783 565636 1152023 865773 286250 PROVISION FOR BAD DEBTS 7400024 7400024 87323549 66949466 20374083 0 1923077 1753538 10600062 9898388 315056 206105 211620 84816905 71053701 13881829 13763204 1521325 4889820 28241349 30722675 17544042 14308744 1999101 1302513 25286698 26615297 44829841 42226554 X -17434034 -12311941 203379 165899 642163 642163 -16588492 -11503879 28241349 30722675 X 5720318 -635705 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52960 -913 -450 52497 934690 -885000 3270 52960 1.00000 false false 772145 772145 47957494 37091948 10865546 35685500 33617264 2068236 401766 344489 57277 13763204 DUE FROM THIRD PARTY PAYORS 3705529 OTHER RECEIVABLES 789441 DUE FROM AFFILIATES 179369 OTHER CURRENT ASSETS 215481 4889820 0 EST LIAB FOR SELF-INS. LOSS 8767181 DUE TO THIRD-PARTY PAYORS 7395761 DUE TO AFFILIATE 1017353 ACCRUED PENSION LIABILITY 5869005 ASSET RETIREMENT OBLIGATION 505017 CURRENT INSTALLMENTS LONG TERM DEBT 3060980 26615297 93043867 87323549 5720318 -635705 -635705 5084613 93090742 46875 46875 93043867 93043867 87370424 46875 46875 87323549 87323549 SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS -PLANT REPLACEMENT (17.9K) FOR PURCHASE OF NEW PLANT EQUIPMENT. -SELF-INSURANCE (5.0K) FOR CASH TO PAY MALPRACTICE CLAIMS. -TEMPORARILY RESTRICTED (166K) FOR MEDICAL EDUCATION. -PERMANENTLY RESTRICTED (642K) FOR MEDICAL EDUCATION. SCHEDULE D, PART XI, LINE 8, RECONCILIATION OF NET ASSETS OTHER CHANGES IN NET ASSETS INCREASE IN MINIMUM PENSION LIABILITY: ($635,705) SCHEDULE D, PART XII, LINE 2D OTHER ADJUSTMENT TO REVENUE SPECIAL EVENTS: $46,875 SCHEDULE D, PART XIII, LINE 2D OTHER ADJUSTMENT TO EXPENSE SPECIAL EVENTS: $46,875 GOLF OUTING 40100 40100 46875 0 40100 40100 46875 46875 -46875 true true X true X true X true true true false true true 2487162 3447636 -960475 0.01200 23625494 16876020 6749474 0.08440 0 0 0 0.00000 26112656 20323656 5788999 0.07240 25046 0 25046 0.00030 5210245 3821369 1388876 0.01740 5942325 1466698 4475627 0.05600 0 0 0 0.00000 0 0 0 0.00000 11177616 5288067 5889549 0.07370 37290272 25611723 11678548 0.14610 true 4647336 2350617 17556525 18828096 -1271571 X true true 1 1 THE MOUNT VERNON HOSPITAL

12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550

X X X X VOLUNTARY ACUTE CARE HOSPITAL THE MOUNT VERNON HOSPITAL 1 3 METHADONE MAINTENANCE OP CLINIC

3 SOUTH 6TH AVENUE MOUNT VERNON NY 10551

HOSPITAL EXTENSION CLINIC MVH PARTIAL HOSPITALIZATION PROGRAM

105 STEVENS AVENUE MOUNT VERNON NY 10550

HOSPITAL EXTENSION CLINIC INFECTIOUS DISEASE CENTER

16 GUION PLACE NEW ROCHELLE NY 10802

HOSPITAL EXTENSION CLINIC SCHEDULE H, PART I, LINE 3C: NOT APPLICABLE SCHEDULE H, PART I, LINE 6A: ANNUAL COMMUNITY BENEFIT REPORT COMMUNITY SERVICE PLAN NOT PREPARED BY A RELATED ORGANIZATION. SCHEDULE H, PART I, LINE 7 COLUMN(F) BAD DEBT EXPENSE OF $7,400,024 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. SCHEDULE H, PART I, LINE 7: THE PERCENTAGE WAS CALCULATED BASED ON RCC COST ACCOUNTING SYSTEM. SCHEDULE H, PART III, LINE 4: LINE 2 - THE COST OF BAD DEBTS HAS BEEN QUANTIFIED USING THE RATIO OF COST TO CHARGES METHOD LESS MEDICARE REIMBURSABLE BAD DEBTS. LINE 3 - THE RATIO OF COST TO CHARGES METHODOLOGY HAS BEEN USED PLUS AN ESTIMATE OF THE SELF PAY/UNINSURED BAD DEBT PATIENT WRITE-OFFS THAT WOULD HAVE QUALIFIED FOR OUR FINANCIAL ASSISTANCE PROGRAM HAD THEY BEEN SCREENED ON ENTRY TO THE SYSTEM. SCHEDULE H, PART III, LINE 8: THE SHORTFALL REPORTED ON PART III, LINE 7 WAS NOT TREATED AS COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B: FINANCIAL ASSISTANCE IS PROVIDED TO THOSE INDIVIDUALS WHO ARE UNABLE TO PAY IN FULL FOR THEIR HEALTHCARE AND DO NOT QUALIFY FOR MEDICAID OR OTHER INSURANCE PROGRAMS. THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR NON-PAYMENT WITHIN THE GUIDELINES SET FORTH BY FEDERAL REGULATIONS. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES 120 DAYS AFTER THE FIRST BILL HAS BEEN MAILED TO THE PATIENT/GUARANTOR AND NO PAYMENT HAS BEEN RECEIVED. ONCE AN ACCOUNT IS REFERRED TO COLLECTION IT IS REMOVED FROM THE REGULAR ACCOUNTS RECEIVABLE AND PLACED INTO THE BAD DEBT RECEIVABLE. AFTER THE FIVE MONTHS, IF THE COLLECTION AGENCY IS UNABLE TO COLLECT THE ACCOUNT, THE ACCOUNT IS THEN WRITTEN OFF TO BAD DEBT EXPENSE. SCHEDULE H, PART V: NOT APPLICABLE SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE HOSPITAL WORKS COLLABORATIVELY WITH WESTCHESTER COUNTY DEPARTMENT OF HEALTH AND SEVERAL OTHER HOSPITALS IN THE COUNTY IN JOINT MEETINGS TO IDENTIFY COMMUNITY HEALTH NEEDS. DURING THE MEETINGS, THE HOSPITAL'S REPRESENTATIVE SHARED THE PREVALENCE OF OBESITY, CARDIOVASCULAR DISEASE AND DIABETES IN OUR SERVICE AREA. IN ADDITION INFORMATION ON CURRENT PROGRAMS AND POSSIBLE FUTURE EFFORTS THAT COULD POSSIBLY IMPACT OUR CITIZENS' HEALTH THROUGH CHOOSING SALT REDUCTION AND INCREASED PHYSICAL ACTIVITY WAS PROVIDED. THROUGH PUBLIC EDUCATION AND WITH A MULTI-PRONGED APPROACH, THE FOLLOWING ARE THE MOUNT VERNON HOSPITAL'S SELECTED PREVENTION AGENDA PRIORITIES ACTIVITIES. THE GOAL IS TO ENHANCE AWARENESS THAT LEADS TO IMPROVEMENT IN THE MEASUREMENT DATA OR OUTCOMES. SALT REDUCTION - OUR HEALTH IMPROVEMENT GOALS ARE TO INCREASE EDUCATION THAT WILL TRANSLATE INTO POSITIVE MOVEMENT IN STATISTICAL INDICATORS. THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR SALT REDUCTION WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: CORONARY HEART DISEASE HOSPITALIZATIONS, CONGESTIVE HEART FAILURE HOSPITALIZATIONS AND CEREBROVASCULAR (STROKE) DISEASE MORTALITY. INCREASED PHYSICAL ACTIVITY - THE BENEFITS OF OUR HEALTH IMPROVEMENT GOALS FOR INCREASED PHYSICAL ACTIVITY FOR OUR WAIST WATCHERS PROGRAM WILL BE DETERMINED BY WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS IN THE FOLLOWING AREAS: PERCENTAGE OF OBESE ADULTS 25-65 YEARS ENROLLED IN WAIST WATCHERS AND THE PERCENTAGE OF TMVH'S WAIST WATCHERS GRADUATES WHO HAVE A REDUCTION IN THEIR BMI. IN ADDITION, OUR MAKING STRIDES AGAINST BREAST CANCER 5K WALK, WILL USE WESTCHESTER COUNTY PUBLIC HEALTH PRIORITY INDICATORS TO TRACK THE PERCENTAGE OF ADULTS WHO ARE OBESE AND PERCENTAGE OF ADULTS ENGAGED IN SOME TYPE OF LEISURE TIME PHYSICAL ACTIVITIES. ALSO, ATTENDANCE, SPONSORS AND COMMUNITY SUPPORTERS WILL BE A BAROMETER OF SUCCESS. H.I.I.P. EDUCATION - THE MOUNT VERNON HOSPITAL CHOSE TO INCLUDE OUR OUTPATIENT H.I.I.P EDUCATION PROGRAM AS OUR THIRD PRIORITY AGENDA ITEM. OUR PROGRAM CONDUCTS HIV OUTREACH MOSTLY BY CO-LOCATING STAFF AT PARTNER SITES AS OPPOSED TO STAGING OUTREACH EVENTS. OUR PROGRAM GOALS AND OBJECTIVES WERE CHANGED FROM WE WILL LINK PARTICIPANTS TO HIV MEDICAL CARE, TO WE WILL "LINK PARTICIPANTS TO HIV OR HCV MEDICAL CARE." SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION TMVH HAS ADDED OUR FINANCIAL AID POLICY TO OUR WEBSITE, AND ANNUALLY WE REMIND STAFF OF OUR POLICY AND THE CONTACTS NECESSARY SHOULD A PATIENT REQUIRE INFORMATION. TMVH POSTS THE POLICY IN PROMINENT LOCATIONS WITHIN THE HOSPITAL INCLUDING THE CLINIC, EMERGENCY DEPARTMENT AND OUTPATIENT AREAS. NEW HIRES LEARN OF THE POLICY DURING ORIENTATION AND THERE ARE ANNUAL TRAINING SESSIONS AND REFRESHERS ANYTIME THERE IS A CHANGE TO THE POLICY. OUR POLICY PROVIDES CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY, WHICH SUPPORTS OUR MISSION OF "PROVIDING HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE THROUGHOUT OUR REGION". TO HELP WITH THIS, WE HAVE ONE FINANCIAL COUNSELOR TO HELP PATIENTS APPLYING FOR ASSISTANCE. MAINTAINING SENSITIVITY AND CONCERN TO ALLEVIATE THE PATIENTS' FEARS ABOUT FINANCIAL ASSISTANCE, MAINTAINING EFFECTIVE COMMUNICATION WITH PATIENTS AND ENSURING ALL PATIENTS HAVE THE OPPORTUNITY TO APPLY FOR FINANCIAL AID ARE SOME OF THE ONGOING CHALLENGES EXPERIENCED. THE MOUNT VERNON HOSPITAL WILL ASSIST PATIENTS AND FAMILIES WITH APPLICATIONS FOR MEDICAID DURING THEIR INPATIENT STAY. PATIENTS ADMITTED TO THE HOSPITAL WILL BE VISITED BY A FINANCIAL COUNSELOR WHO WILL PROVIDE NECESSARY CONSULTATION. FOLLOW-UP APPOINTMENTS WITH FINANCIAL COUNSELORS CAN ALSO BE SCHEDULED AFTER DISCHARGE. OUR STAFF WILL WORK ON YOUR BEHALF TO OBTAIN THE NECESSARY BENEFITS. ANY QUESTIONS REGARDING THE ABOVE, PLEASE CONTACT THE PATIENT ADVOCATE AT 914.361.6158. THERE ARE NO FINANCIAL AID CHANGES PLANNED FOR THIS YEAR. WE WILL CONTINUE EDUCATING PATIENTS AND PROVIDING INFORMATION ABOUT THE PROCESS. SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION TMVH'S PRIMARY SERVICE AREA (PSA) HAS BEEN DETERMINED BY THE NYS DEPARTMENT OF HEALTH AS BRONX, ORANGE, PUTNAM, ROCKLAND AND WESTCHESTER COUNTIES. SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH THE MOUNT VERNON HOSPITAL PARTICIPATES IN COMMUNITY OUTREACH EFFORTS THROUGHOUT THE YEAR. IN ADDITION TO OUR SUPPORT FOR THE COMMUNITY SOUP KITCHEN, MANY STAFF MEMBERS REPRESENT SSMC AT HEALTH FAIRS AS WELL AS PROVIDE EDUCATIONAL PRESENTATIONS, SEMINARS AND SCREENINGS ALONG WITH MONTHLY SUPPORT GROUPS INCLUDING: 1) ANNUAL TOY & COAT DRIVE 2) THE COMMUNITY SOUP KITCHEN 3) FREE SCREENINGS PERFORMED FOR THE INDIGENT 4) SUPPORT GROUP MEETINGS, HEALTH FAIR PRESENTATIONS AND EDUCATIONAL PRESENTATIONS. -SUPPORT GROUP MEETINGS, HEALTH FAIR PRESENTATIONS AND EDUCATIONAL PRESENTATIONS. SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT NEW YORK X X X X X true false false false false false false false false PETRILLO RICHARD L SCH J PART II 248939 0 0 0 0 0 0 0 0 0 248939 0 0 0 SPICER JOHN SEE SCH J PART III 0 848544 0 0 0 21441 0 0 0 5092 0 875077 0 0 HASKINS GEORGE 0 0 0 0 0 244969 0 0 0 7631 0 252600 0 0 FARINA ALBERT SEE SCH J PART III 0 309086 0 0 0 0 0 0 0 7746 0 316832 0 0 ALAIE DARIUSH SEE SCH J PART III 203700 0 0 0 0 0 0 0 7071 0 210771 0 0 0 AGNANT GUIRLAINE 318131 0 0 0 0 0 0 0 0 0 318131 0 0 0 BORKER PRITI 310443 0 0 0 0 0 0 0 9686 0 320129 0 0 0 KIM CHUNG 290376 0 0 0 0 0 0 0 0 0 290376 0 0 0 CHANG CHIH TANG 294083 0 0 0 0 0 0 0 6071 0 300154 0 0 0 D'ADDESIO NICK 157243 0 0 0 0 0 0 0 6071 0 163314 0 0 0 PARKER FREDERICK 291972 0 0 0 0 0 0 0 6071 0 298043 0 0 0 CHUNG KUN YOUNG 223399 0 0 0 0 0 0 0 7061 0 230460 0 0 0 PRASAD BALASA 37962 0 0 0 419800 0 0 0 0 0 457762 0 0 0 ISHKANIAN GARY 159423 0 0 0 0 0 0 0 6383 0 165806 0 0 0 KAPLAN SIDNEY 213885 0 0 0 0 0 0 0 0 0 213885 0 0 0 SCHEDULE J, PART I GENERAL COMPENSATION NOTE 1) ALAIE, DARIUSH - THE COMPENSATION WAS PAID FOR SALARY AS PHYSICIAN NOT FOR TRUSTEE OR OFFICER. 2) PETRILLO, RICHARD L - THE COMPENSATION WAS PAID FOR SALARY AS PHYSICIAN NOT FOR TRUSTEE OR OFFICER. 3) SPICER, JOHN - THE COMPENSATION WAS PAID FOR SALARY AS CEO, BY RELATED ENTITY SOUND SHORE MEDICAL CENTER.THE ALLOCABLE PORTION TO MOUNT VERNON HOSPITAL IS $288,505. 4) FARINA, ALBERT - THE COMPENSATION WAS PAID FOR SALARY AS CFO, BY RELATED ENTITY SOUND SHORE MEDICAL CENTER. THE ALLOCABLE PORTION TO THE MOUNT VERNON HOSPITAL IS $105,089. 5) HASKINS, GEORGE - THE FORMER COO OF THE MOUNT VERNON HOSPITAL RECEIVED HIS SEVERANCE FOR 2010 FROM SOUND SHORE MEDICAL CENTER. THE AMOUNT WAS REPORTED ON PART VII AND SCHEDULE J ACCORDINGLY. 6) PACE, MAUREEN - THE FORMER SR VICE PRESIDENT & COO OF THE MOUNT VERNON HOSPITAL RECEIVED HER SEVERANCE FOR 2010. THE AMOUNT WAS REPORTED ON PART VII AND SCHEDULE J ACCORDINGLY. JOY NACLERIO WIFE OF BOARD MEMBER 50000 FULL TIME EMPOYEE false SCHEDULE L, PART IV, LINE 1 BUSINESS TRANSACTIONS WITH INTERESTED PERSONS JOY NACLERIO, THE WIFE OF RICHARD J NACLERIO, A BOARD MEMBER OF THE MOUNT VERNON HOSPITAL, IS A FULL TIME EMPLOYEE OF THE MOUNT VERNON HOSPITAL. IN 2010, $50,000 OF COMPENSATION WAS PAID FOR MS. NACLERIO'S SERVICES AS A PATIENT NAVIGATOR. MR. NACLERIO DID NOT PARTICIPATE IN THE MOUNT VERNON HOSPITAL'S APPROVAL TO ENGAGE IN THE DECISION OF EMPLOYMENT. FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, SOUND SHORE HEALTH SYSTEM, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, LINE 7A & 7B ELECTION OF THE GOVERNING BODY THE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, LINE 11A REVIEW PROCESS FOR FORM 990 THE TAX RETURN WAS REVIEWED BY THE MANAGEMENT OF THE HOSPITAL PRIOR TO THE NOVEMBER 15TH FILING DATE. FORM 990 ALSO IS AVAILABLE FOR BOARD REVIEW UPON REQUEST. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE MOUNT VERNON HOSPITAL'S CONFLICT OF INTEREST POLICIES APPLY TO ITS GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. THE MOUNT VERNON HOSPITAL'S BYLAWS REQUIRE THAT MEMBERS OF ITS GOVERNING BOARD AND ITS CORPORATE OFFICERS DISCLOSE ALL CONFLICTS OF INTEREST PROMPTLY AT THE TIME THEY ARISE, AND ANNUALLY VIA A WRITTEN DISCLOSURE PROCESS. THE GOVERNING BOARD IS CHARGED WITH REVIEWING CONFLICT OF INTEREST TRANSACTIONS AND ASSOCIATED DECISIONS, AND MAKING A DETERMINATION REGARDING ANY RESTRICTIONS TO BE IMPOSED ON THE TRANSACTION. THEIR DETERMINATION AND ALL MATERIAL FACTS ARE RECORDED IN MEETING MINUTES. THE MOUNT VERNON HOSPITAL'S EMPLOYEES ARE LIKEWISE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS PROMPTLY, AND IN WRITING, ALL CONFLICTS OF INTEREST THAT ARISE AND UPPER-LEVEL MANAGERS ADDITIONALLY COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. AN EMPLOYEE'S SUPERVISOR IS CHARGED WITH REVIEWING A REPORTED CONFLICT OF INTEREST AND ENSURING THAT THE EMPLOYEE IS NOT INVOLVED IN DECISIONS RELATED TO THE CONFLICT. FORM 990, PART VI, LINE 15A & 15B COMPENSATION POLICY THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW OF OFFICERS' COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERNAL EQUITY CONSIDERATIONS, AND IT UTILIZES AN ANALYSIS OF OFFICER SALARIES PREPARED BY AN INDEPENDENT EXTERNAL ADVISOR USING INDUSTRY BENCHMARKING DATA. THE REVIEW PROCESS COVERS ALL OFFICERS AND THE LAST TIME IT WAS DONE WAS JANUARY 2011. FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON GUIDESTAR. OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART VII AVERAGE HOURS THE AVERAGE HOURS DEVOTED TO THE MOUNT VERNON HOSPITAL AND RELATED ORGANIZATIONS IS 40 HOURS PER WEEK. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS INCREASE IN MINIMUM PENSION LIABILITY: ($635,705) PINNACLE HEALTHCARE INC 16 GUION PLACE NEW ROCHELLE NY 10801 133997857 HEALTH CARE NY 501(C)(3) 3 NA SOUND SHORE HEALTH SYSTEM 16 GUION PLACE NEW ROCHELLE NY 10801 134011398 MANAGEMENT NY 501(C)(3) 3 PINNACLE HC MVH CORPORATION 12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550 133281514 HOSPITAL NY 501(C)(3) 3 TMVH SOUND SHORE MEDICAL CENTR OF WESTCHESTER 16 GUION PLACE NEW ROCHELLE NY 10801 131740117 HOSPITAL NY 501(C)(3) 3 SSHS HOWE AVENUE NURSING HOME INC 16 GUION PLACE NEW ROCHELLE NY 10801 237000781 NURSING HOME NY 501(C)(3) 9 SSMC GUION PLACE HOUSING COMPANY 16 GUION PLACE NEW ROCHELLE NY 10801 136179280 HOUSING COMP NY 501(C)(2) NA SSMC LOCKWOOD AVENUE HOUSING COMPANY 16 GUION PLACE NEW ROCHELLE NY 10801 237003479 HOUSING COMP NY 501(C)(2) NA SSMC NEW ROCHELLE EMERGENCY SERVICES PC 16 GUION PLACE NEW ROCHELLE NY 10801 133593361 HEALTH CARE NY 501(C)(3) 11 TYPE I SSMC NEW ROCHELLE PATHOLOGY SERVICES PC 16 GUION PLACE NEW ROCHELLE NY 10801 133576545 HEALTH CARE NY 501(C)(3) 11 TYPE I SSMC NEW ROCHELLE MEDICAL SERVICES PC 16 GUION PLACE NEW ROCHELLE NY 10801 133739582 HEALTH CARE NY 501(C)(3) 11 TYPE I SSMC HOWE AVENUE MEDICAL SERVICES INC 16 GUION PLACE NEW ROCHELLE NY 10801 133698467 HEALTH CARE NY 501(C)(3) 11 TYPE I SSMC NRHMC INC 16 GUION PLACE NEW ROCHELLE NY 10801 133272830 SUPPORTING NY 501(C)(3) 11 TYPE I SSMC SOUND SHORE MEDICAL CNTR OF WESTCH FDN 16 GUION PLACE NEW ROCHELLE NY 10801 133593049 FUNDRAISING NY 501(C)(3) 9 NRHMC INC NRHMC SERVICES CORPORATION 16 GUION PLACE NEW ROCHELLE NY 10801 133769137 SPACE RENTAL NY NRHMC INC C SOUND SHORE PHARMACY INC 16 GUION PLACE NEW ROCHELLE NY 10801 133916523 PHARMACY NY NRHMC INC C SOUND SHORE PHYSICIAN SERVICES PC 16 GUION PLACE NEW ROCHELLE NY 10801 753239926 PHYSICIAN BILLING NY SSMC C false false false false false false false false false false false false false true true true true true SOUND SHORE MEDICAL CENTER OF WESTCHESTER R 431282 HOWE AVENUE NURSING HOME R 1585 NRHMC SERVICES CORP Q 43386 SOUND SHORE MEDICAL CENTER OF WESTCHESTER FDN Q 310496 SOUND SHORE PHARMACY R 4020