LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
Tax period
2022-01-01 to 2022-08-31
Filed
2023-06-30
IRS object ID
202321819349300007
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-06-30T08:29:33-05:00ReturnTs
Tax Period End2022-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE MANHATTAN WESTAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111704595EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COMMUNITY HOSPITAL ATBusinessNameLine1Txt
Business Name Line2NYU LANGONE HEALTHBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLONGBusinessNameControlTxt
Phone6316547100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD T MARGULIS CEOPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6316547100PhoneNum
Signature2023-06-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHARDPersonFirstNm
Person LastMARGULIS CEOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE SOKOLOWSKIPreparerPersonNm
PTINP01693199PTIN
Phone2127733000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRICHARD T MARGULISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$157,912,322GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LICOMMUNITYHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionLONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH (D/B/A LONG ISLAND COMMUNITY HOSPITAL) ("LICH"), WAS ESTABLISHED TO DELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE. EFFECTIVE MARCH 1, 2022, PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT (THE "AFFILIATION AGREEMENT"), NYU LANGONE HEALTH SYSTEM ("NYULHS") FORMALLY ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF LICH.ActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,605,026PYContributionsGrantsAmt
CY Contributions Grants$4,309,320CYContributionsGrantsAmt
PY Program Service Revenue$238,390,202PYProgramServiceRevenueAmt
CY Program Service Revenue$152,227,614CYProgramServiceRevenueAmt
PY Investment Income$232,876PYInvestmentIncomeAmt
CY Investment Income$201,380CYInvestmentIncomeAmt
PY Other Revenue$2,734,954PYOtherRevenueAmt
CY Other Revenue$1,092,557CYOtherRevenueAmt
PY Total Revenue$253,963,058PYTotalRevenueAmt
CY Total Revenue$157,830,871CYTotalRevenueAmt
PY Grants And Similar Paid$1,504,611PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$159,621,134PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$108,245,132CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$94,979,681PYOtherExpensesAmt
CY Other Expenses$71,216,445CYOtherExpensesAmt
PY Total Expenses$256,105,426PYTotalExpensesAmt
CY Total Expenses$179,461,577CYTotalExpensesAmt
PY Revenues Less Expenses-$2,142,368PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,630,706CYRevenuesLessExpensesAmt
Total Assets BOY$308,356,377TotalAssetsBOYAmt
Total Assets EOY$330,133,165TotalAssetsEOYAmt
Total Liabilities BOY$209,765,280TotalLiabilitiesBOYAmt
Total Liabilities EOY$257,600,263TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$98,591,097NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$72,532,902NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE GOALS AND OBJECTIVES OF THE CORPORATION ARE AS FOLLOWS:(A) TO OPERATE AND MAINTAIN A NONSECTARIAN, GENERAL HOSPITAL AT ONE OR MORE LOCATIONS FOR THE FURNISHING OF INPATIENT, AMBULATORY, RESTORATIVE, PREVENTATIVE AND EMERGENCY MEDICAL CARE AND TREATMENT WITHOUT REGARD TO RACE, CREED, COLOR, SEX, SEXUAL ORIENTATION, AGE, NATIONAL ORIGIN, SOURCE OF PAYMENT FOR CARE, OR OTHER CRITERIA NOT RELATED TO MEDICAL INDICATIONS FOR ADMISSION AND TREATMENT.(B) TO CARRY OUT EDUCATIONAL AND TRAINING ACTIVITIES TO ADVANCE KNOWLEDGE IN THE SCIENCE OF MEDICINE.(C) TO PROMOTE AND CARRY ON SCIENTIFIC AND TECHNOLOGICAL RESEARCH RELATED TO THE PRACTICE OF MEDICINE OR THE PREVENTION OF DISEASE.(D) TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY, INCLUDING OUTREACH PROGRAMS, HEALTH EDUCATION AND REFERRAL SERVICES.(E) TO SUPPORT THE MISSION AND CHARITABLE PURPOSES OF NYULHS, NYU LANGONE HOSPITALS ("NYULH") AND THE RELATED MEDICAL SCHOOLS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$160,768,859ExpenseAmt
Revenue$153,252,401RevenueAmt
DescLICH, LOCATED IN PATCHOGUE, NEW YORK, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LICENSED TO OPERATE 306 BEDS. LICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES PRIMARILY TO RESIDENTS OF SUFFOLK COUNTY. DURING THE 8-MONTH PERIOD FROM JANUARY THROUGH AUGUST 2022, LICH HAD 5,466 DISCHARGES (INCLUDING PSYCHIATRIC DISCHARGES) RESULTING IN 30,700 PATIENT DAYS AND PROVIDED 33,335 OUTPATIENT VISITS (EMERGENCY ROOM VISITS - 24,257, 2,708 OUTPATIENT SURGERY PROCEDURES AND 1,498 PRIMARY CARE VISITS).Desc
Total Program Service Expenses$160,768,859TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHARD T MARGULIS CEOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6316547100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RICHARD T MARGULIS
PRESIDENT & CEO40.000.50Yes (X)Yes (X)$0$0$0
ERNEST PATRICK SMITH
CHAIRMAN0.500.50Yes (X)Yes (X)$0$0$0
FELIX GRUCCI JR
VICE CHAIRMAN0.500.50Yes (X)Yes (X)$0$0$0
MICHELE KNAPP
TREASURER0.500.50Yes (X)Yes (X)$0$0$0
EDWARD KORMYLO DPM
SECRETARY7.500.50Yes (X)Yes (X)$0$0$0
RAVI SINGH MD
PRESIDENT OF MEDICAL STAFF0.500.50Yes (X)$0$0$0
FREDERICK C BRAUN III
DIRECTOR0.500.50Yes (X)$0$0$0
ANDREW BROTMAN MD
DIRECTOR0.5060.00Yes (X)$0$0$0
GARY BROWN
DIRECTOR0.500.50Yes (X)$0$0$0
JOSEPH GRECO MD
DIRECTOR0.5060.00Yes (X)$0$0$0
GARY KALKUT MD
DIRECTOR0.500.50Yes (X)$0$0$0
NABIL KIRIDLY MD
DIRECTOR0.500.50Yes (X)$0$0$0
JOSEPH LHOTA
DIRECTOR0.5060.00Yes (X)$0$0$0
JAMES MAIORINO
DIRECTOR0.500.50Yes (X)$0$0$0
VICKI MATCH SUNA
DIRECTOR0.5060.00Yes (X)$0$0$0
JEFF MAYER
DIRECTOR0.500.50Yes (X)$0$0$0
MAUREEN MENNELLA
DIRECTOR0.500.50Yes (X)$0$0$0
MARK MULHOLLAND
DIRECTOR0.500.50Yes (X)$0$0$0
CLYDE PARKER
DIRECTOR0.500.50Yes (X)$0$0$0
SHARON NORTON REMMER
DIRECTOR0.500.50Yes (X)$0$0$0
ROBERT ROCHE MD
DIRECTOR0.500.50Yes (X)$0$0$0
LISA ROSE
DIRECTOR0.500.50Yes (X)$0$0$0
ERIC RUSSO
DIRECTOR0.500.50Yes (X)$0$0$0
ROBERT SCHWARZ
DIRECTOR0.500.50Yes (X)$0$0$0
JOHN SULLIVAN
DIRECTOR0.500.50Yes (X)$0$0$0
STEVEN TAITZ
DIRECTOR0.500.50Yes (X)$0$0$0
BRENDA FARRELL THROUGH 8222
FORMER CFO39.500.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$3,699,983GovernmentGrantsAmt
All Other Contributions$609,337AllOtherContributionsAmt
Total Contributions$4,309,320TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Total Revenue Column$152,227,614TotalRevenueColumnAmt
Related Or Exempt Func Income$152,227,614RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$152,227,614TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$151,669TotalRevenueColumnAmt
Exclusion$151,669ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,343TotalRevenueColumnAmt
Exclusion$48,343ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$67,770RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$67,770RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,770TotalRevenueColumnAmt
Exclusion$67,770ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$82,819SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$81,451SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,368SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,368TotalRevenueColumnAmt
Exclusion$1,368ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DISASTER RECOVERY$419,681$419,681
CAFETERIA REVENUE$163,770$163,770
AUXILIARY SERVICES$81,488$81,488

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$359,848TotalRevenueColumnAmt
Related Or Exempt Func Income$359,848RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,024,787OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$157,830,871TotalRevenueColumnAmt
Related Or Exempt Func Income$153,252,401RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$269,150ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,186,411TotalAmt
Program Services$1,958,674ProgramServicesAmt
Management And General$227,737ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,151,777TotalAmt
Program Services$69,115,648ProgramServicesAmt
Management And General$8,036,129ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,649,796TotalAmt
Program Services$5,061,313ProgramServicesAmt
Management And General$588,483ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,935,729TotalAmt
Program Services$16,067,544ProgramServicesAmt
Management And General$1,868,185ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,321,419TotalAmt
Program Services$4,767,140ProgramServicesAmt
Management And General$554,279ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$347,607TotalAmt
Program Services$311,400ProgramServicesAmt
Management And General$36,207ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$286,136TotalAmt
Management And General$286,136ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$64,784TotalAmt
Management And General$64,784ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,877,275TotalAmt
Program Services$12,486,987ProgramServicesAmt
Management And General$1,390,288ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$299,450TotalAmt
Program Services$268,259ProgramServicesAmt
Management And General$31,191ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,472,050TotalAmt
Program Services$5,017,887ProgramServicesAmt
Management And General$454,163ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$178,169TotalAmt
Program Services$159,611ProgramServicesAmt
Management And General$18,558ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,933,204TotalAmt
Program Services$7,106,881ProgramServicesAmt
Management And General$826,323ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$40,475TotalAmt
Program Services$36,259ProgramServicesAmt
Management And General$4,216ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$331,605TotalAmt
Program Services$297,065ProgramServicesAmt
Management And General$34,540ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,632,327TotalAmt
Program Services$2,358,144ProgramServicesAmt
Management And General$274,183ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,649,655TotalAmt
Program Services$6,852,867ProgramServicesAmt
Management And General$796,788ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,006,039TotalAmt
Program Services$8,963,810ProgramServicesAmt
Management And General$1,042,229ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$20,176,871$18,075,248$2,101,623
BAD DEBT$1,376,658$1,376,658

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$544,140TotalAmt
Program Services$487,464ProgramServicesAmt
Management And General$56,676ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$179,461,577TotalAmt
Program Services$160,768,859ProgramServicesAmt
Management And General$18,692,718ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,530,676BOYAmt
EOY$13,757,971EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$47,065,415BOYAmt
EOY$34,466,771EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,419,045BOYAmt
EOY$22,849,015EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,197,094BOYAmt
EOY$5,103,486EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,181,390BOYAmt
EOY$3,312,845EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$394,647,895LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$202,249,469LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$130,165,406BOYAmt
EOY$192,398,426EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,444,904BOYAmt
EOY$3,576,067EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$29,305,422BOYAmt
EOY$27,132,805EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,047,025BOYAmt
EOY$27,535,779EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$308,356,377BOYAmt
EOY$330,133,165EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$55,628,246BOYAmt
EOY$41,929,450EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$31,400,427EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,622,517BOYAmt
EOY$66,515,941EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,927,602BOYAmt
EOY$29,221,525EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,586,915BOYAmt
EOY$88,532,920EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$209,765,280BOYAmt
EOY$257,600,263EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$93,818,389BOYAmt
EOY$68,671,517EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,772,708BOYAmt
EOY$3,861,385EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$98,591,097BOYAmt
EOY$72,532,902EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$308,356,377BOYAmt
EOY$330,133,165EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$21,630,706ReconcilationRevenueExpnssAmt
Prior Period Adjustments$3,742,839PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$8,170,328OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$56,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,784OtherActivitiesAmt
Total Lobbying Expenditures$64,784TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II, LINE 1G: LICH PAID TWO LOBBYISTS WITH RESPECT TO FEDERAL, STATE, AND LOCAL AFFAIRS. THE LOBBYISTS ENGAGED IN DIRECT CONTACT WITH ELECTED OFFICIALS ON BEHALF OF LICH. THE TOTAL AMOUNT OF FEES PAID TO THE CONSULTANTS FOR LOBBYING PURPOSES WAS $56,000. SCHEDULE C, PART II, LINE 1I: LICH PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, NASSAU-SUFFOLK HOSPITAL ASSOCIATION, HOME CARE ASSOCIATION OF NEW YORK STATE, AND HOSPITAL ASSOCIATION OF NEW YORK STATE, A PERCENTAGE OF WHICH WERE ALLOCATED TO LOBBYING FOR A TOTAL OF $8,784.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,000,000BeginningYearBalanceAmt
Investment Earnings Or Losses$135,883InvestmentEarningsOrLossesAmt
Other Expenditures$135,883OtherExpendituresAmt
End Year Balance$1,000,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,000,000BeginningYearBalanceAmt
Investment Earnings Or Losses$188,417InvestmentEarningsOrLossesAmt
Other Expenditures$188,417OtherExpendituresAmt
End Year Balance$1,000,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,000,000BeginningYearBalanceAmt
Investment Earnings Or Losses$187,749InvestmentEarningsOrLossesAmt
Other Expenditures$187,749OtherExpendituresAmt
End Year Balance$1,000,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
Investment Earnings Or Losses$585,327InvestmentEarningsOrLossesAmt
Other Expenditures$485,327OtherExpendituresAmt
End Year Balance$1,000,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
Investment Earnings Or Losses$184,393InvestmentEarningsOrLossesAmt
Other Expenditures$184,393OtherExpendituresAmt
End Year Balance$900,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,673,529OtherCostOrOtherBasisAmt
Book Value$22,673,529BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,866,171OtherCostOrOtherBasisAmt
Depreciation$97,998,828DepreciationAmt
Book Value$95,867,343BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$137,328,018OtherCostOrOtherBasisAmt
Depreciation$104,250,641DepreciationAmt
Book Value$33,077,377BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,780,177OtherCostOrOtherBasisAmt
Book Value$40,780,177BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$192,398,426TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN LICH HEALTH CARE SERVICES FOUNDATION$25,032,805F
INVESTMENT IN BROOKHAVEN FAMILY MEDICINE$2,100,000F
FieldValueIRS element (for citing)
Total Book Value Securities$27,132,805TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$15,494,180
THIRD PARTY RATE ACCOUNT$969,808
OPERATING LEASE RIGHT OF USE ASSETS$6,282,719
DUE FROM RELATED ORGANIZATIONS$4,789,072
FieldValueIRS element (for citing)
Total Book Value Other Assets$27,535,779TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED PENSION COSTS$9,974,505
OPERATING LEASE LIABILITY$9,701,680
NET DUE TO THIRD PARTY PAYORS$11,024,713
DUE TO RELATED ORGANIZATIONS$43,260,790
OTHER PAYABLES$14,571,232
FieldValueIRS element (for citing)
Total Liability$88,532,920TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:LICH'S ENDOWMENT FUND CONSISTS OF A DONOR-RESTRICTED ENDOWMENT FUND THAT HAS BEEN INITIALLY ESTABLISHED BY A DONOR IN 1969 FOR VARIOUS PURPOSES AND HAS BEEN CLASSIFIED WITHIN NET ASSETS WITH DONOR RESTRICTIONS. THE ORGANIZATION IS ENTITLED TO THE INCOME EARNED ON THE TRUST, AS PER THE DONOR AGREEMENT, AND IS ALLOWED TO SPEND 5% OF THE PRIOR THREE YEARS' TOTAL VALUE, AS MANDATED BY A PAST COURT DECISION.
PART X, LINE 2:FASB ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES DIRECTION ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. UNCERTAIN INCOME TAX POSITIONS DID NOT HAVE A SIGNIFICANT IMPACT ON LI COMMUNITY HOSPITAL'S FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other425.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,903,024TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,036,884DirectOffsettingRevenueAmt
Net Community Benefit Expns$866,140NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,024,041TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,920,420DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,103,621NetCommunityBenefitExpnsAmt
Total Expense0.03430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,927,065TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,957,304DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,969,761NetCommunityBenefitExpnsAmt
Total Expense0.03920TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$208,396TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$208,396NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,546,295TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,917,200DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,629,095NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,308,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,308,496NetCommunityBenefitExpnsAmt
Total Expense0.01860TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,063,187TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,917,200DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,145,987NetCommunityBenefitExpnsAmt
Total Expense0.02890TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,990,252TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,874,504DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,115,748NetCommunityBenefitExpnsAmt
Total Expense0.06810TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,092,599BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$48,038,749ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$62,011,129CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,972,380MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.LICOMMUNITYHOSPITAL.ORGWebsiteAddressTxt
State License5123000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C FOR URL LISTINGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C FOR URL LISTINGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care425.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION C FOR URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION C FOR URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION C FOR URLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LONG ISLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 5: LICH HAS ESTABLISHED A LEADERSHIP POSITION IN HEALTH PROMOTION, PREVENTION AND EDUCATION THROUGHOUT THE COMMUNITY. REGIONAL HEALTH PLANNING IS ACCOMPLISHED THROUGH A NUMBER OF AGENCY CONTACTS INCLUDING THE SUFFOLK COUNTY DEPARTMENT OF HEALTH, MENTAL HEALTH AGENCIES AND THE NEW YORK STATE DEPARTMENT OF HEALTH. IN ADDITION, THE HOSPITAL WORKS CLOSELY WITH THE SUFFOLK COUNTY POLICE DEPARTMENT. LICH IS DEDICATED TO COMMUNICATING WITH KEY STAFF AND COMMUNITY MEMBERS, AS THE HOSPITAL PREPARES TO PLAN FOR THE FUTURE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE. FOCUS GROUPS ARE HELD PERIODICALLY, WHICH INCLUDE MEETING WITH THE MEDICAL STAFF, MEMBERS OF THE BOARD OF DIRECTORS, COMMUNITY MEMBERS, THE WEST ISLIP BREAST CANCER COALITION, THE SOUTHAMPTON BREAST CANCER COALITION, HOSPITAL ADVISORY COUNCIL, WHO ARE THE VOICE OF THE COMMUNITY AND HOLD POSITIONS ON VARIOUS COMMUNITY BASED SERVICE GROUPS. THESE CONSTITUENTS HAVE THE ABILITY TO COLLECT INFORMATION FROM VARIED PERSPECTIVES. THE HOSPITAL'S ABILITY TO COLLECT INFORMATION FROM THESE GROUPS AND TRANSLATE THE DIALOG INTO A NEEDS ASSESSMENT IS A VALUABLE RESOURCE TO THE HOSPITAL AS WELL AS THECOMMUNITY.
LONG ISLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 6A: LICH'S 2019-2021 CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:- STONY BROOK UNIVERSITY HOSPITAL - NYU LANGONE HOSPITAL LONG ISLAND FKA WINTHROP UNIVERSITY HOSPITAL
LONG ISLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 6B: IN 2016, LICH ALONG WITH ALL LONG ISLAND HOSPITALS AND BOTH COUNTY DEPARTMENTS OF HEALTH ON LONG ISLAND CONVENED TO WORK COLLABORATIVELY ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OVER TIME, THIS SYNDICATE GREW INTO AN EXPANSIVE MEMBERSHIP OF ACADEMIC PARTNERS, COMMUNITY-BASED ORGANIZATIONS, PHYSICIANS AND OTHER COMMUNITY LEADERS WHO HOLD A VESTED INTEREST IN IMPROVING COMMUNITY HEALTH AND SUPPORTING THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA. DESIGNATED THE LONG ISLAND HEALTH COLLABORATIVE, THIS MULTI-DISCIPLINARY ENTITY HAS BEEN MEETING MONTHLY TO WORK COLLECTIVELY TOWARD IMPROVING HEALTH OUTCOMES FOR LONG ISLANDERS.THE LONG ISLAND HEALTH COLLABORATIVE WAS AWARDED THE POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) GRANT BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE PHIP IS A DATA-DRIVEN ENTITY, PLEDGED TO PURSUE THE NEW YORK STATE OF HEALTH'S PREVENTION AGENDA, MAKING THE PROGRAM A NATURAL DRIVER FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE POPULATION HEALTH IMPROVEMENT PROGRAM, WITH THE PHIP SERVING AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB.
LONG ISLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 7D: HARD COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY SERVICE PLAN AND PROGRESS REPORTS ARE AVAILABLE WITHOUT CHARGE TO ANYONE UPON REQUEST AND ARE REGULARLY DISTRIBUTED TO COMMUNITY BOARD MEMBERS, POLICYMAKERS, LOCAL HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, COMMUNITY MEMBERS, AND OTHER INTERESTED STAKEHOLDERS. THROUGH OUR OUTREACH AND ENGAGEMENT ACTIVITIES, WE CONTINUALLY SEEK TO KEEP THE COMMUNITY INFORMED ABOUT OUR ACTIVITIES AND TO GET FEEDBACK AND INPUT.
LONG ISLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 11: THE FOCUS OF LICH IS TO DELIVER ACCESSIBLE, HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE SERVED. DURING THE REPORTING PERIOD THESE NEEDS WERE ADDRESSED THROUGH VARIOUS HOSPITAL INITIATIVES AND COMMUNITY EVENTS.DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LONG ISLAND HEALTH COLLABORATIVE, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED: 1. PREVENT CHRONIC DISEASE FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT LICH SPECIFICALLY ADDRESSES THE SELECTED PRIORITIES THROUGH EDUCATION AND INTERVENTIONS. FOR THE CONDITION OF DIABETES, WE OFFER THE NEW YORK STATE NATIONAL DIABETES PREVENTION PROGRAM (NYS NDPP) TO HELP INDIVIDUALS SCREENED AS BORDERLINE TO PREVENT FULL-BLOWN DIABETES, AND FOR THOSE ALREADY DIAGNOSED WE OFFER THE AMERICAN DIABETES ASSOCIATION PROGRAM AT LICH.ADDITIONALLY, DIABETES PREVENTION, EDUCATION, AND TREATMENT ARE OFFERED AT THE LICH - BELLPORT PRIMARY CARE CENTER. THIS IS A CONVENIENT LOCATION FOR AREA RESIDENTS TO OBTAIN PRIMARY CARE NOT ONLY FOR DIABETES, BUT FOR HYPERTENSION, TOBACCO CESSATION, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE, WOMEN'S HEALTH AND CARDIOVASCULAR.2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION THE HEALTH DISPARITY IN WHICH PARTNERS ARE FOCUSING THEIR EFFORTS RESTS ON THE INEQUITIES EXPERIENCED BY THOSE IN LOW-INCOME NEIGHBORHOODS. AS SUCH, LOW-INCOME - ONE SOCIAL DETERMINANT OF HEALTH - PRECLUDES MEMBERS FROM LOW-INCOME COMMUNITIES FROM ACCESSING PREVENTIVE AND/OR MEDICAL CARE DUE TO THEIR DIFFICULTY TO AFFORD CO-PAYMENTS/DEDUCTIBLES (IF INSURED) OR CARE AT ALL IF THEY ARE UNINSURED. ADDITIONALLY, FINANCIALLY-STRESSED INDIVIDUALS HAVE DIFFICULTY AFFORDING NUTRITIOUS FOODS, LEAVING THEM MORE VULNERABLE TO POORER CHRONIC DISEASE MANAGEMENT OUTCOMES, SINCE NUTRITION AND DIET PLAY A PIVOTAL ROLE IN ALMOST EVERY CHRONIC DISEASE.A SPECIFIC PRIORITY REGARDING MENTAL HEALTH AND SUBSTANCE USE WAS SELECTED, AS OPPOSED TO PLACING AN OVERARCHING EMPHASIS ON THESE TWO ISSUES AS WAS DONE IN THE PREVIOUS CYCLE. THIS IS IN RESPONSE TO THE RAGING OPIOID CRISIS IN BOTH COUNTIES. NEW YORK STATE DEPARTMENT OF HEALTH STATISTICS REPORT THAT FOR 2016 IN SUFFOLK COUNTY THERE WERE 344 DEATHS FROM ANY OPIOID, 129 HEROIN OVERDOSE DEATHS, AND 192 DEATHS FROM SYNTHETIC OPIOIDS (OTHER THAN METHADONE). THERE IS ALSO A SURGE IN MENTAL HEALTH ISSUES AND SUICIDES, PARTICULARLY AMONG THE YOUTH POPULATION.LICH OFFERS MENTAL HEALTH FAMILY EDUCATION; FOR FAMILY AND FRIENDS OF PEOPLE STRUGGLING WITH MENTAL ILLNESS AND OR SUBSTANCE ABUSE MEETS TWICE A MONTH. LICH HAS SIX PRIMARY CARE CENTERS RECOGNIZED AS NCQA (NATIONAL COMMITTEE FOR QUALITY ASSURANCE) AS A PATIENT CENTERED MEDICAL HOME, WHICH IS A PATIENT CENTERED APPROACH TO CARE WHICH ARE ABLE TO PROVIDE ASSESSMENTS TO PATIENTS WITH BEHAVIORAL HEALTH ISSUES AND OR SUBSTANCE ABUSE. LICH ALSO PROVIDES "MAT" SERVICES (MEDICAL ASSISTED TREATMENT FOR SUBSTANCE ABUSE) FOR THOSE WILLING TO ACCEPT TREATMENT. IN ADDITION OUR OUT PATIENT CHEMICAL DEPENDENCY PROGRAM IS LICENSED UNDER THE NYS OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES (NYS OASAS). THEY PROVIDE ASSESSMENT, TREATMENT, EDUCATION, AND LINKAGE TO OTHER COMMUNITY SERVICES FOR PATIENT 18 YEARS AND OLDER
LONG ISLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 16J: INFORMATION ABOUT FINANCIAL ASSISTANCE IS MADE AVAILABLE IN THE HOSPITAL'S ADMISSION BROCHURE. ADDITIONALLY, ALL HOSPITAL BILLS AND STATEMENTS INCLUDE A STATEMENT THAT IF THE PATIENT IS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION.APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH AND SPANISH, AND TRANSLATION SERVICES ARE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES.
FORM 990, PART V, SECT. B, LINE 7A & 10ATHE ORGANIZATION'S CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT THE FOLLOWING WEBSITE ADDRESS:LICOMMUNITYHOSPITAL.ORG/ABOUT-LONG-ISLAND-COMMUNITY-HOSPITAL/COMMUNITY-SERVICE-PLAN/
FORM 990, PART V, SECT. B, LINES 16A-CTHE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILBLE AT THE FOLLOWING WEBSITE:LICOMMUNITYHOSPITAL.ORG/FOR-PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE-POLICY/

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART I, LINE 3C:LICH'S CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S ("NYS DOH") GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. THE SLIDING SCALE PROVIDES FOR DISCOUNTED CARE OF 90% STARTING AT 200% OF FPG.
PART I, LINE 7:THE COST-TO-CHARGES RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED ON PART I, LINES 7A AND B.THE CALCULATION OF THE RATIO WAS DERIVED FROM THE OPTIONAL WORKSHEET, RATIO OF PATIENT CARE COST-TO-CHARGES. THE RATIO REPRESENTS THE PERCENTAGE OF NET COMMUNITY BENEFIT EXPENSES AS A PERCENTAGE OF TOTAL HOSPITAL EXPENSES EXCLUDING BAD DEBT EXPENSES.THE AMOUNT REPORTED ON LINE 7A INCLUDES CHARITY CARE AT THE ORGANIZATION'S FULL GROSS CHARGES AS REPORTED ON INSTITUTIONAL COST REPORTING (ICR S-10)WHICH IS REDUCED TO COST USING THE RATIO OF COST-TO-CHARGES METHOD DESCRIBED ABOVE. HISTORICALLY, THIS AMOUNT WAS REPORTED AS THE DISCOUNT PROVIDED FROM THE AMOUNTS GENERALLY BILLED REDUCED BY THE RATIO OF COST-TO-CHARGES.THE AMOUNT REPORTED ON LINE 7F INCLUDES AMOUNTS FROM THE INSTITUTIONALCOST REPORT AND THE ORGANIZATION'S ACTUAL EXPENSE.THE AMOUNTS REPORTED ON LINES 7E & 7G REPRESENT THE ORGANIZATION'S ACTUALEXPENSE.
PART I, LN 7 COL(F):LICH ANALYZES ITS HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCES AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 2:CHANGES IN LICH'S ESTIMATES TO IMPLICIT PRICE CONCESSIONS, DISCOUNTS, CONTRACTUAL ADJUSTMENTS, OR OTHER REDUCTIONS TO EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS ARE ASSESSED AS A PORTFOLIO COLLECTION WHICH ARE UPDATED MONTHLY BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD-DEBT EXPENSE.
PART III, LINE 3:BAD DEBT EXPENSE DOES NOT INCLUDE AMOUNTS FOR FINANCIAL ASSISTANCE POLICYELIGIBLE PATIENTS.
PART III, LINE 4:FOLLOWING IS LICH'S AUDITED FINANCIAL STATEMENT FOOTNOTE ON UNCOMPENSATED CARE (FOOTNOTE 1, PAGE 16):AS A MATTER OF POLICY, LI COMMUNITY HOSPITAL PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE UNDER ITS CHARITY CARE POLICY OR THROUGH ITS FINANCIAL AID PROGRAM. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. IN ACCORDANCE WITH THESE LAWS, LI COMMUNITY HOSPITAL HAS IMPLEMENTED A DISCOUNT POLICY AND FINANCIAL AID PROGRAM THAT IS CONSISTENT WITH THE MISSION, VALUES, AND CAPACITY OF LI COMMUNITY HOSPITAL, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THEIR CARE. UNDER THIS POLICY, THE DISCOUNT OFFERED TO UNINSURED PATIENTS IS REFLECTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE AT THE TIME THE UNINSURED BILLINGS ARE RECORDED. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW LI COMMUNITY HOSPITAL TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. NET PATIENT SERVICE REVENUE RELATED TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR EITHER MEDICAID ASSISTANCE OR LI COMMUNITY HOSPITAL'S FINANCIAL AID PROGRAM IS RECOGNIZED FOR THE AMOUNT OF CONSIDERATION TO WHICH LI COMMUNITY HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE, NET OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTIONS. IMPLICIT PRICE CONCESSION RATES FOR UNINSURED PATIENTS ARE REFINED ON AN ANNUAL BASIS. LI COMMUNITY HOSPITAL'S CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S ("NYS DOH") GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. PATIENTS ARE ELIGIBLE FOR THE CHARITY CARE FEE SCHEDULE IF THEY MEET CERTAIN INCOME TESTS. SINCE PAYMENT OF THE DIFFERENCE BETWEEN LI COMMUNITY HOSPITAL'S STANDARD CHARGES AND THE CHARITY CARE FEE SCHEDULES IS NOT SOUGHT, THESE FORGONE CHARGES FOR CHARITY CARE ARE NOT REPORTED AS REVENUE.
PART III, LINE 8:MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED ON PART III, SECTION B,LINES 5 AND 6 ARE DERIVED FROM THE MEDICARE COST REPORT FILED FOR THESHORT-PERIOD ENDED AUGUST 31, 2022.
PART III, LINE 9B:LICH'S FINANCIAL ASSISTANCE POLICY IS TO PROVIDE CARE TO UNINSURED/UNDERINSURED PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN CURRENT ESTABLISHED RATES. PATIENT ELIGIBILITY FOR PARTIAL CHARITY CARE IS CALCULATED BASED ON A SLIDING FEE SCALE OF FAMILY INCOME ADJUSTED FOR THE SIZE OF THE FAMILY.LICH'S PATIENT FINANCIAL SERVICES DEPARTMENT MAKES A WRITTEN DETERMINATION OF ELIGIBILITY AFTER REVIEWING APPLICATIONS AND INFORMATION SUBMITTED TO SUPPORT FAMILY INCOME REPORTED. BASED UPON INCOME AND FAMILY SIZE, THE HOSPITAL MAY DETERMINE THAT PATIENTS MAY QUALIFY FOR MEDICAID BENEFITS, AND MAY FIRST NEED TO APPLY FOR MEDICAID OR CHILD HEALTH PLUS PROGRAM FOR THE UNINSURED BEFORE A DETERMINATION WILL BE MADE UNDER OUR CHARITY CARE POLICY.LICH'S CHARITY CARE POLICY IS TO PROVIDE FREE OR DISCOUNTED EMERGENT AND NON EMERGENT NECESSARY CARE FOR UNINSURED AND UNDERINSURED PATIENTS RESIDING IN SUFFOLK AND NASSAU COUNTIES, AS WELL AS EMERGENT CARE TO PATIENTS RESIDING IN ALL OTHER AREAS OF NEW YORK STATE. IF FINANCIAL ASSISTANCE IS APPROVED FOLLOWING THE APPLICATION PROCESS, A CLEAR EXPLANATION OF BALANCE DUE AND HOW THE DECISION WAS DERIVED IS SUPPLIED. MONTHLY PAYMENT PLANS CAN BE ARRANGED, NOT TO EXCEED 10% OF THEAPPLICANT'S MONTHLY GROSS INCOME. IF THE APPLICANT DEFAULTS ON A FINANCIAL AGREEMENT WITH THE HOSPITAL, THE ACCOUNT IN QUESTION WILL BE CONSIDERED DELINQUENT AND MAY BE REFERRED TO A COLLECTION AGENCY/LEGAL ACTION. APPLICANT HAS THE RIGHT TO APPEAL THE HOSPITAL'S DECISION ON ELIGIBILITY OF CHARITY CARE WITHIN 30 DAYS OF NOTIFICATION OF NONELIGIBILITY.PURSUANT TO LICH'S FINANCIAL ASSISTANCE AND DEBT COLLECTION POLICIES, EXTERNAL PROFESSIONAL COLLECTION AGENCIES ARE ONLY USED AS A LAST RESORT TO SETTLE DELINQUENT PATIENT ACCOUNTS.
PART VI, LINE 2:LICH WORKED WITH THE LONG ISLAND HEALTH COLLABORATIVE (LIHC), ITS NEARLY 200 MEMBER ORGANIZATIONS, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (SCDOHS), AND DOZENS OF COMMUNITY-BASED ORGANIZATIONS, LIBRARIES, SCHOOLS AND UNIVERSITIES, LOCAL MUNICIPALITIES, AND OTHER COMMUNITY STAKEHOLDERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. SCDOHS REPRESENTATIVES OFFERED INPUT AND CONSULTATION, WHEN APPROPRIATE, REGARDING THE DATA ANALYSES CONDUCTED BY LIHC AND DATAGEN. TOP, HIGH-LEVEL FINDINGS INCLUDE A CONTINUED PREVALENCE OF CHRONIC DISEASE INCIDENCE, PARTICULARLY HEART DISEASE, DIABETES, OBESITY AND CANCER. FURTHER, SURGING RATES OF MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES AMONG ALL DEMOGRAPHIC CATEGORIES WAS FOUND, WITH DISPARITY SEEN AMONG YOUTH, AND LOW-INCOME COMMUNITIES OF COLOR CONTINUING TO EXPERIENCE A HIGHER BURDEN OF DISEASE OVERALL.AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED CHRONIC DISEASE AS THE PRIORITY AREA WITH A FOCUS ON (1) OBESITY AND (2) PREVENTIVE CARE AND MANAGEMENT. THE GROUP ALSO AGREED THAT MENTAL HEALTH SHOULD BE HIGHLIGHTED AS AN AREA OF OVERLAY WITHIN ALL INTERVENTION STRATEGIES. COMMUNITY OUTREACH HAS LONG BEEN A MAINSTAY FOR LICH. LICH'S OUTREACH PROGRAM PARTICIPATES IN COMMUNITY HEALTH FAIRS, WITH SENIOR AND COMMUNITY CENTERS, AS WELL AS CIVIC ASSOCIATIONS THROUGHOUT THE REGION. LICH IS ALSO AN ACTIVE MEMBER OF EIGHT CHAMBERS OF COMMERCE IN THE COMMUNITY. MEMBERSHIP WITH THESE CHAMBERS AFFORDS LICH THE OPPORTUNITY TO LEARN OF THE NEEDS OF THE WORKFORCE AND BUSINESS LEADERS IN THE COMMUNITY. LICH HAS A STRONG PRESENCE IN THE CIVIC AND SERVICE CLUBS,(E.G. KIWANIS, ROTARY CLUB, LIONS,) HOUSES OF WORSHIP, THE YMCA AND BOYS AND GIRLS CLUB, LOCAL GOVERNMENT HEALTH AND SOCIAL SERVICE PROGRAMS, THE SOCIAL SERVICE AGENCIES, SENIOR LIVING COMMUNITIES AND PUBLIC LIBRARIES. THE ENGAGEMENT OF THE BROADER COMMUNITY, FOR ASSESSMENT PROCESSES, IS ACHIEVED THROUGH THE LIHC'S AND ITS PARTNERS' ONGOING DISTRIBUTION OF THE LONG ISLAND AND EASTERN QUEENS COMMUNITY HEALTH NEEDS ASSESSMENT. THIS SURVEY IS OFFERED ONLINE VIA A SURVEY MONKEY LINK AND IS AVAILABLE TO RESIDENTS AT PUBLIC EVENTS, WORKSHOPS, EDUCATIONAL PROGRAMS, INTERVENTIONS, ETC., WHICH ARE OFFERED BY LIHC PARTNERS. IT IS ALSO DISTRIBUTED AMONG PHYSICIAN OFFICES, HOSPITAL WAITING AREAS, LIBRARIES, SCHOOLS, FEDERALLY-QUALIFIED HEALTH CLINICS, INSURANCE ENROLLMENT SITES, AMONG OTHER PUBLIC VENUES. THE LIHC AGGRESSIVELY PROMOTES THE SURVEY THROUGH SOCIAL MEDIA AND ASKS LIHC PARTICIPATES TO POST THE SURVEY LINK ON EACH OF THEIR WEBSITES. RESULTS FROM THE COMMUNITY HEALTH ASSESSMENT SURVEY ARE ANALYZED TWICE A YEAR. FINDINGS ARE SHARED WITH ALL LIHC PARTICIPANTS, WITH THE MEDIA, AND POSTED ON THE LIHC WEBSITE.
PART VI, LINE 3:PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY BY APPROPRIATE SIGNAGE IN THE REGISTRATION AND INTAKE AREAS; INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE; AND RESPONSES TO DIRECT INQUIRIES. ALL HOSPITAL BILLS AND STATEMENTS WILL INCLUDE A STATEMENT THAT IF THE PATIENT WAS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH AND SPANISH, AND TRANSLATION SERVICES WILL BE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES.
PART VI, LINE 4:SUFFOLK COUNTY'S SERVICE AREA IS SITUATED EAST OF THE NASSAU COUNTY BORDER, EXTENDING THROUGH THE EASTERN FORKS OF LONG ISLAND. IT COMPRISES TEN TOWNS: BABYLON, HUNTINGTON, ISLIP, SMITHTOWN, BROOKHAVEN, SOUTHAMPTON, RIVERHEAD, EAST HAMPTON, SHELTER ISLAND AND SOUTHOLD. SUFFOLK COUNTY IS AN AREA OF GROWING DIVERSITY, CULTURES AND POPULATION CHARACTERISTICS. TOTAL POPULATION: 1,497,595 (49.2% MALE; 50.8% FEMALE) THOSE AGED 65+ COMPRISE 15.6% OF THE POPULATION AND THOSE AGED 35 TO 64 COMPRISE41.8% OF THE POPULATION. IN TERMS OF INCOME, 40.7% OF THE POPULATION EARNS LESS THAN $74, 999 WITH NEARLY HALF OF THAT GROUP EARNING LESS THAN $34,999 ANNUALLY. THE REGION IS PREDOMINATELY WHITE AT 80.5% WITH 7.8% BLACK/AFRICAN AMERICAN, AND 3.9% ASIAN. HISPANIC OR LATINO REPRESENTS 18.6% OF THE POPULATION. THE PERCENTAGE OF THE POPULATION (5 YEARS AND OVER) THAT SPEAKS A LANGUAGE OTHER THAN ENGLISH IS 22.7%. OF THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH, 40.3% REPORT THEY SPEAK ENGLISH "LESS THAN VERY WELL." IN TERMS OF EDUCATION, FOR THOSE AGE 25 AND OVER, 28.4% ARE HIGH SCHOOL GRADUATES, 19.1% HOLD A BACHELOR DEGREE, AND 15.8% HOLD A GRADUATE PROFESSIONAL DIPLOMA. THE PERCENTAGE OF PEOPLE WITH HEALTH INSURANCE IS 93%.DATA INDICATES THE REALITY OF THE LINKAGE OF HEALTH DISPARITIES TO A VARIETY OF SOCIAL FACTORS INCLUDING RACE, ETHNICITY, GENDER, LANGUAGE/HEALTH LITERACY, AGE, DISABILITIES, AND FINANCIAL SECURITY AMONG OTHERS. ELIMINATION OF SUCH DISPARITIES IS A PRIORITY THROUGHOUT THE LONG ISLAND REGION AS BRIDGING OF GAPS AND SERVICES WILL ULTIMATELY IMPROVE HEALTH OUTCOMES AND QUALITY OF LIFE FOR COMMUNITY MEMBERS. THERE ARE 17 SELECT COMMUNITIES IN WHICH A VARIETY OF SOCIOECONOMIC FACTORS LEAD TO VAST HEALTH DISPARITIES. THESE COMMUNITIES ARE: WYANDANCH, CENTRAL ISLIP, BRENTWOOD, RIVERHEAD, BAY SHORE, COPIAGUE, MASTIC, MASTIC BEACH, BELLPORT, AMITYVILLE, CALVERTON, PATCHOGUE, SHIRLEY, GREENPORT, LINDENHURST, WEST BABYLON, AND RIDGE.LICH SERVES THE NEEDS OF 28 TOWNS AND VILLAGES IN SUFFOLK COUNTY. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA CENSUS IS 400,000 PERSONS. IT INCLUDES BROOKHAVEN (ONE OF THE FASTEST GROWING TOWNS IN NEW YORK), AND EXPANDS FROM WEST TO EAST FROM SAYVILLE TO MORICHES AND NORTH TO CORAM AND SELDEN. CURRENTLY THE HIGHEST NUMBER OF HOSPITAL VISITS ORIGINATES FROM THE TOWN OF PATCHOGUE, WHICH IS ETHNICALLY DIVERSE AND INCLUDES A HIGH NUMBER OF MINORITIES. THE INDIVIDUAL MEDIAN INCOME THAT ON AVERAGE IS 25 PERCENT LESS THAN OTHER SUFFOLK COUNTY RESIDENTS. CENSUS DATA NOTES AN UNEMPLOYMENT RATE FOR THE 28 COMMUNITIES OF 6.73% WITH SEVERAL AREAS OVER 10% INCLUDING BROOKHAVEN, WEST SAYVILLE, AND MASTIC BEACH. THE POVERTY RATE FOR OUR COMMUNITY IS AT 7.69% WHICH IS WELL ABOVE STATE AND COUNTY AVERAGES WITH SEVERAL COMMUNITIES WITH RATES IN EXCESS OF 10 PERCENT INCLUDING BELLPORT AT 16.9%, MASTIC BEACH AT 17.5%, AND MASTIC AT 13.2%, AND PATCHOGUE AT 12.4% AND YAPHANK AT 11.1%. WHILE THE COUNTY HAS AREAS OF WEALTH, THE POPULATION SERVED BY THE HOSPITAL CONTAINS 7 OUT OF 10 COMMUNITIES WITH THE LOWEST MEDIAN INCOME IN SUFFOLK COUNTY. APPROXIMATELY 102,000 INDIVIDUALS IN SUFFOLK COUNTY LIVE BELOW THE FEDERAL POVERTY LEVEL. WITH 28,800 LIVING IN OUR CATCHMENT AREA THAT APPROXIMATES 28% OF THE TOTAL.
PART VI, LINE 5:LICH HAS ESTABLISHED A LEADERSHIP POSITION IN HEALTH PROMOTION, PREVENTION AND EDUCATION THROUGHOUT THE COMMUNITY. REGIONAL HEALTH PLANNING IS ACCOMPLISHED THROUGH A NUMBER OF AGENCY CONTACTS INCLUDING THE SUFFOLK COUNTY DEPARTMENT OF HEALTH, MENTAL HEALTH AGENCIES AND THE NEW YORK STATE DEPARTMENT OF HEALTH. IN ADDITION, THE HOSPITAL WORKS CLOSELY WITH THE SUFFOLK COUNTY POLICE DEPARTMENT. LICH IS DEDICATED TO COMMUNICATING WITH KEY STAFF AND COMMUNITY MEMBERS, AS THE HOSPITAL PREPARES TO PLAN FOR THE FUTURE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE. FOCUS GROUPS ARE HELD PERIODICALLY, WHICH INCLUDE MEETING WITH THE MEDICAL STAFF, MEMBERS OF THE BOARD OF DIRECTORS, COMMUNITY MEMBERS, THE WEST ISLIP BREAST CANCER COALITION, THE SOUTHAMPTON BREAST CANCER COALITION, HOSPITAL ADVISORY COUNCIL, WHO ARE THE VOICE OF THE COMMUNITY AND HOLD POSITIONS ON VARIOUS COMMUNITY BASED SERVICE GROUPS. THESE CONSTITUENTS HAVE THE ABILITY TO COLLECT INFORMATION FROM VARIED PERSPECTIVES. THE HOSPITAL'S ABILITY TO COLLECT INFORMATION FROM THESE GROUPS AND TRANSLATE THE DIALOG INTO A NEEDS ASSESSMENT IS A VALUABLE RESOURCE TO THE HOSPITAL AS WELL AS THECOMMUNITY.LICH PROVIDES CARE THROUGH A 306-BED ACUTE-CARE HOSPITAL THAT IS PART OF AMULTIDISCIPLINARY, MULTI-CAMPUS, STATE-OF-THE-ART HEALTH CARE COMPLEX,DESIGNED TO MEET THE EVOLVING NEEDS OF THE 28 SUFFOLK COUNTY COMMUNITIESSERVED. LICH IS IN THE PROCESS OPENING A STATE-OF-THE-ART CARDIAC CARECENTER (KNAPP CARDIAC CARE CENTER) THAT WILL FURTHER ENHANCE THE SERVICESAND MEET THE NEEDS OF OUR COMMUNITY.WHILE MUCH HAS CHANGED SINCE LICH FIRST OPENED ITS DOORS TO THE COMMUNITYIN 1956, THE PATIENT-CENTERED APPROACH TO HEALTHCARE REMAINS AS STRONG ASEVER. TODAY, LICH IS HOME TO SOME OF THE FINEST CENTERS FOR SPECIALIZEDCARE ALONG WITH A LEVEL III TRAUMA CENTER/EMERGENCY ROOM, TWO COMMUNITYBEHAVIORAL/CHEMICAL DEPENDENCY HEALTH CENTERS IN COOPERATION WITH HUDSONRIVER HEALTH, AND MORE. THE MEDICAL CENTER ALSO WAS THE FIRST IN THECOUNTY TO ESTABLISH A CERTIFIED HOME HEALTH CARE DEPARTMENT, A HOSPICEAND AN OUTPATIENT HEMODIALYSIS UNIT AND IS A LEADER IN HEALTH EDUCATIONTHROUGHOUT THE COMMUNITY.LICH WAS FOUNDED BY A COMMUNITY FOCUSED BOARD OF DIRECTORS AND CONTINUES WITH MORE THAN 23 MEMBERS FROM THE COMMUNITY WHO SERVE ON THE GOVERNING BOARD. ADDITIONALLY, THE HOSPITAL ESTABLISHED AN ADVISORY COUNCIL TO RECEIVE FURTHER INPUT TO THE NEEDS OF THE COMMUNITY'S RESIDENTS. THERE ARE MORE THAN 24 MEMBERS ON THE ADVISORY COUNCIL. MEMBERS ARE TYPICALLY ACTIVE IN OTHER AREAS OF THE COMMUNITY AND INCLUDING: CIVIC LEADERS, MEMBERS OF THE CLERGY, SCHOOL REPRESENTATIVES, PUBLIC HEALTH ADVOCATES, BUSINESS LEADERS AND SERVICE CLUB MEMBERS.IN 2013, LICH ALONG WITH ALL LONG ISLAND HOSPITALS AND BOTH COUNTY DEPARTMENTS OF HEALTH ON LONG ISLAND CONVENED TO WORK COLLABORATIVELY ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OVER TIME, THIS SYNDICATE GREW INTO AN EXPANSIVE MEMBERSHIP OF ACADEMIC PARTNERS, COMMUNITY-BASED ORGANIZATIONS, PHYSICIANS AND OTHER COMMUNITY LEADERS WHO HOLD A VESTED INTEREST IN IMPROVING COMMUNITY HEALTH AND SUPPORTING THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA. DESIGNATED THE LONG ISLAND HEALTH COLLABORATIVE, THIS MULTI-DISCIPLINARY ENTITY HAS BEEN MEETING MONTHLY TO WORK COLLECTIVELY TOWARD IMPROVING HEALTH OUTCOMES FOR LONG ISLANDERS.THE LONG ISLAND HEALTH COLLABORATIVE WAS AWARDED THE POPULATION HEALTHIMPROVEMENT PROGRAM (PHIP) GRANT BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE PHIP IS A DATA-DRIVEN ENTITY, PLEDGED TO PURSUE THE NEW YORK STATE OF HEALTH'S PREVENTION AGENDA, MAKING THE PROGRAM A NATURAL DRIVER FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE POPULATION HEALTH IMPROVEMENT PROGRAM, WITH THE PHIP SERVING AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED CHRONIC DISEASE AS THE PRIORITY AREA WITH A FOCUS ON (1) OBESITY AND (2) PREVENTIVE CARE AND MANAGEMENT FOR THE 2016-2018 CYCLE. IN 2019, MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM PREVENTION AGENDA PRIORITIES FOR THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LONG ISLAND HEALTH COLLABORATIVE, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED:1. PREVENT CHRONIC DISEASEFOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION.THE HEALTH DISPARITY IN WHICH PARTNERS ARE FOCUSING THEIR EFFORTS RESTS ON THE INEQUITIES EXPERIENCED BY THOSE IN LOW-INCOME NEIGHBORHOODS. AS SUCH, LOW-INCOME - ONE SOCIAL DETERMINANT OF HEALTH - PRECLUDES MEMBERS FROM LOW-INCOME COMMUNITIES FROM ACCESSING PREVENTIVE AND/OR MEDICAL CARE DUE TO THEIR DIFFICULTY TO AFFORD CO-PAYMENTS/DEDUCTIBLES (IF INSURED) OR CARE AT ALL IF THEY ARE UNINSURED. ADDITIONALLY, FINANCIALLY-STRESSED INDIVIDUALS HAVE DIFFICULTY AFFORDING NUTRITIOUS FOODS, LEAVING THEM MORE VULNERABLE TO POORER CHRONIC DISEASE MANAGEMENT OUTCOMES, SINCE NUTRITION AND DIET PLAY A PIVOTAL ROLE IN ALMOST EVERY CHRONIC DISEASE.PRIORITIES SELECTED IN 2019 REMAIN UNCHANGED FROM THE 2016 SELECTION; HOWEVER, FOR 2019, A SPECIFIC PRIORITY REGARDING MENTAL HEALTH AND SUBSTANCE USE WAS SELECTED, AS OPPOSED TO PLACING AN OVERARCHING EMPHASIS ON THESE TWO ISSUES AS WAS DONE IN THE PREVIOUS CYCLE. THIS IS IN RESPONSE TO THE RAGING OPIOID CRISIS IN BOTH COUNTIES. NEW YORK STATE DEPARTMENT OF HEALTH STATISTICS REPORT THAT FOR 2016 IN SUFFOLK COUNTY THERE WERE 344 DEATHS FROM ANY OPIOID, 129 HEROIN OVERDOSE DEATHS, AND 192 DEATHS FROM SYNTHETIC OPIOIDS (OTHER THAN METHADONE). THERE IS ALSO A SURGE IN MENTAL HEALTH ISSUES AND SUICIDES, PARTICULARLY AMONG THE YOUTH POPULATION.PRIMARY DATA SOURCES COLLECTED AND ANALYZED INCLUDE THE LICH ASSESSMENT SURVEY, QUALITATIVE DATA FROM COMMUNITY-BASED ORGANIZATION SUMMIT EVENTS AND THE LIHC WELLNESS SURVEY. SECONDARY, PUBLICALLY-AVAILABLE DATA SETS HAVE BEEN REVIEWED TO DETERMINE CHANGE IN HEALTH STATUS AND EMERGING ISSUES WITHIN SUFFOLK COUNTY. SOURCES OF SECONDARY DATA INCLUDE: STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), NEW YORK STATE PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), EXTENDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (EBRFSS) AND NEW YORK STATE VITAL STATISTICS.THE FOLLOWING ENTITIES WILL COLLABORATE WITH LICH TO ASSIST WITH ATTAINMENT OF GOALS AND OBJECTIVES OF THE PUBLIC HEALTH PRIORITIES:LICH - DIABETES WELLNESS CENTER: IN PARTNERSHIP WITH THE NEW YORK STATE DIABETES PREVENTION PROGRAM (NYS DPP), LICH HOSTS FREE EDUCATION PROGRAMS PROVIDED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. PRE-DIABETES IS A SERIOUS HEALTH CONDITION THAT CAN LEAD TO DIABETES, HEART DISEASE, AND STROKE. MOST PEOPLE WITH PRE-DIABETES DON'T KNOW THAT THEY HAVE THE CONDITION. IN 2006, LICH DEVELOPED THE DIABETES WELLNESS CENTER WITH THE SUPPORT OF THE SUFFOLK COUNTY LIONS DIABETES EDUCATION FOUNDATIONSCLIONSDIABETES.ORG AND LIONS INTERNATIONAL. THE CENTER HAS A DIABETES SELF-MANAGEMENT EDUCATION PROGRAM AND OFFERS A SERIES OF EDUCATIONAL PROGRAMS "LIVING WELL WHILE MANAGING YOUR DIABETES" FOR THOSE LEARNING TO MANAGE WITH DIABETES IN THEIR LIFE. THE CLASSES ARE HELD AT LI COMMUNITY HOSPITAL DIABETES WELLNESS CENTER LOCATED 109 W. MAIN STREET, PATCHOGUE, NY 11772. FOR MORE INFORMATION PLEASE CALL 631.687.4188.LICH - BELLPORT PRIMARY CARE CENTER:LICH HAS OPENED A PRIMARY CARE CENTER IN BELLPORT WHICH IS CLOSE TO THE MAIN HOSPITAL. THIS PRIMARY CARE CENTER HAS A STRONG FOCUS ON PREVENTION AND EDUCATION, ESPECIALLY IN THE AREAS OF DIABETES, HYPERTENSION, TOBACCO CESSATION, OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE, WOMEN'S HEALTH AND CARDIOVASCULAR EDUCATION. LOCATED IN CLOSE PROXIMITY TO THE BELLPORT PRIMARY CARE CENTER IS THE BOYS AND GIRLS CLUB OF BELLPORT AREA FACILITY. BPPC AND THE CLUB COLLABORATE TO PROVIDE BETTER HEALTH AND LIFESTYLE CHOICES FOR THE RESIDENTS OF THE COMMUNITY.COMMUNITY-BASED PATIENT ADVISORY COUNCIL:LICH REALIZES THE TREMENDOUS VALUE OF HAVING A COMMUNITY-BASED PATIENT ADVISORY COUNCIL (PAC). IN 2014, LICH SELECTED A DIVERSE GROUP OF COMMUNITY MEMBERS WHO CAN PROVIDE US INFORMATION AND FEEDBACK ABOUT THE PROGRAMS AND SERVICES OFFERED.LICH BREAST CANCER SURVIVORSHIP COALITION:LICH RECOGNIZES THE IMPACT THAT BREAST CANCER CAN HAVE ON NOT JUST THE PATIENT BUT THE FAMILY AND IS WORKING WITH COMMUNITY MEMBERS TO SUPPORTTHOSE IN NEED AND TO EDUCATE THE PUBLIC ON THE IMPACT AND ISSUES OF BREAST CANCER.(CONTINUED ON PG 64)
PART VI, LINE 6:NYU LANGONE HEALTH SYSTEM (THE "HEALTH SYSTEM") IS THE SOLE CORPORATE MEMBER OF LICH AND NYU LANGONE HOSPITALS ("NYULH").NYULH IS A QUATERNARY TEACHING HOSPITAL THAT OPERATES FIVE INPATIENT ACUTE CARE FACILITIES AND OVER 40 AMBULATORY FACILITIES IN MANHATTAN, BROOKLYN, AND LONG ISLAND. THE MANHATTAN 813-BED INPATIENT FACILITIES ARE COMPRISED OF THE KIMMEL PAVILION (WHICH ALSO HOUSES THE HASSENFELD CHILDREN'S HOSPITAL) AND TISCH HOSPITAL. NYU LANGONE ORTHOPEDIC HOSPITAL ("NYU ORTHOPEDICS"), ALSO LOCATED IN MANHATTAN, IS A 225-BED FACILITY SPECIALIZING IN ORTHOPEDIC, NEUROLOGIC, AND RHEUMATOLOGIC SERVICES. NYU LANGONE HOSPITAL-BROOKLYN ("NYU BROOKLYN") IS A 444-BED FACILITY IN THE SUNSET PARK SECTION OF BROOKLYN; AND NYU LANGONE - LONG ISLAND ("NYU LONG ISLAND") IS A 591-BED FACILITY LOCATED IN MINEOLA, NEW YORK. AMBULATORY FACILITIES INCLUDE THE LAURA AND ISAAC PERLMUTTER CANCER CENTER ("CANCER CENTER"), A COMPREHENSIVE CANCER AND AMBULATORY CARE CENTER, AS WELL AS A FREE-STANDING EMERGENCY DEPARTMENT IN THE COBBLE HILL SECTION OF BROOKLYN AMONGST OTHERS.NYU BROOKLYN HAD AN EXISTING AFFILIATION AGREEMENT WITH SUNSET PARK HEALTH COUNCIL, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, D/B/A FAMILY HEALTH CENTER AT NYU LANGONE ("FHC"). FHC IS A DESIGNATED LEVEL 3 MEDICAL HOME AND A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC") WHICH WAS ESTABLISHED AS A "CO-OPERATOR" WITH BROOKLYN. A NEW AFFILIATION AGREEMENT WAS EXECUTED IN FISCAL YEAR 2017 BETWEEN NYULH AND FHC WHICH WILL REMAIN IN EFFECT FOR AS LONG AS NYULH REMAINS A CO-OPERATOR OF THE FQHC.
PART VI, LINE 7, REPORTS FILED WITH STATESNY
FORM 990, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED)(CONTINUED FROM PG 62)MENTAL HEALTH FAMILY EDUCATION: FOR FAMILY AND FRIENDS OF PEOPLE STRUGGLING WITH MENTAL ILLNESS AND ORSUBSTANCE ABUSE MEETS TWICE A MONTH.OTHER PROGRAMS:ANNUALLY, LICH OFFERS A FREE OF CHARGE WELLNESSEVENT FOR THE COMMUNITY. THIS YEAR LICH COLLABORATED WITH THE PATCHOGUE YMCA AND THE BOYS & GIRLS CLUB OF BELLPORT TO PROVIDE MORE THAN 300 PEOPLE AN INTERACTIVE EXPERIENCE. UTILIZING EDUCATIONAL GAMES AND CREATIVE STATIONS INCLUDING CPR AND AED DEMONSTRATIONS WE WERE ABLE TO EDUCATE AND INFORM THE COMMUNITY ABOUT HEALTHY LIFESTYLE CHOICES. ALSO INCLUDED WERE PHYSICAL ACTIVITIES FOR ADULTS AND CHILDREN INCLUDING BOUNCE HOUSES AND OBSTACLE COURSES ALONG WITH ZUMBA INSTRUCTION, ALL PROMOTING MOVEMENT TO IMPROVE HEALTH. LICH OFFERS A VARIETY OF MEDICAL LECTURES THROUGH, BREAST CANCER SURVIVORSHIP COALITION AND DIABETES WELLNESS CENTER ON A MONTHLY BASIS. TOPICS HAVE INCLUDED HEALTHY LIFESTYLES, COOKING DEMONSTRATIONS WITH HEALTHY RECIPES PROVIDED, DEPRESSION SCREENING AND TREATMENT, DIABETES WELLNESS AND PREVENTION OF DIABETES, TO NAME A FEW. MOST OF THE PRESENTERS ARE MEMBERS OF THE LICH MEDICAL STAFF, OR CLOSELY AFFILIATED WITH IT. ADDITIONAL RESOURCES ABOUT ALL LICHPROGRAMS, SUPPORT GROUPS AND COMMUNITY EVENTS ARE ALWAYS MADE AVAILABLETO THE COMMUNITY AT THE SAME TIME. THE LECTURES ARE FREE TO THE PUBLIC.ADDITIONAL COMMUNITY HEALTH PROGRAMS:IN ADDITION TO THE MANY PROGRAMS AND SERVICES OFFERED BY LICH, THERE AREMANY OTHER COMMUNITY PROGRAMS TO HELP ACHIEVE BETTER HEALTH. SOMEORGANIZATIONS THAT WE CURRENTLY WORK WITH ARE:- BOYS & GIRLS CLUB OF BELLPORT- THE DIABETES RESOURCE COALITION OF LONG ISLAND- YMCA OF PATCHOGUE- BOCES- CORNELL UNIVERSITY COOPERATIVE EXTENSION OF SUFFOLK COUNTY- ST. JOSEPH COLLEGE- BELLPORT AND PATCHOGUE HEAD START- BELLPORT- HUDSON RIVER HEALTH CENTER PATCHOGUE AND SHIRLEY- BELLPORT HAGERMAN EAST PATCHOGUE ALLIANCE- SCHOOL DISTRICTS- SERVICE CLUBS- HOUSE OF WORSHIP- LOCAL LIBRARIES- NPF ORGANIZATIONS- MENTAL HEALTH AGENCIES- SUBSTANCE ABUSE AGENCIES- NURSING HOMES AND ASSISTED LIVINGLICH ALSO PARTNERS WITH THE LIHC, LOCAL HEALTH DEPARTMENT PERSONNEL, REPRESENTATIVES FROM SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTH SPECIALISTS FROM COLLEGES, AND OTHERS WHO FORM THE CORE OF HEALTH AND HUMAN SERVICE FOR ALL LONG ISLANDERS. IN ADDITION, WE ARE WORKING WITH THE SUFFOLK CARE COLLABORATIVE TO IMPACT POPULATION HEALTH THROUGH OUR PARTICIPATION IN THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM, DSRIP.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TOWN OF BROOKHAVEN LOCAL DEVELOPMENT CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN272768182BondIssuerEIN
CUSIP113168BG2CUSIPNum
Bond Issued2020-10-29BondIssuedDt
Issue Price$64,520,669IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$64,569,395TotalProceedsAmt
In Reserve Fund$3,840,058InReserveFundAmt
Capitalized Interest$610,005CapitalizedInterestAmt
Issuance Costs From Proceeds$1,150,076IssuanceCostsFromProceedsAmt
Capital Expenditures$8,626,813CapitalExpendituresAmt
Other Spent Proceeds$38,668,117OtherSpentProceedsAmt
Unspent$11,674,325UnspentAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCH. K. PART I, LINE B, COL. (F):1) REFUND PRIOR ISSUES (3/27/14, 8/4/17, 6/1/18, 9/26/18, 10/1/18, 2/9/17, 5/16/18, 11/14/19); 2) PURCHASE EQUIPMENT INCLUDING: PYXIS (PHARMACY); BEDS, STRETCHERS, CHAIRS; LABORATORY AND CHEMISTRY EQUIPMENT; BLOOD BANK SYSTEMS; RESPIRATORY VENTILATORS; AIR PURIFICATION SYSTEMS; AND CENTRAL STERILIZERS; 3) FACILITY MAINTENANCE INCLUDING: HVAC; COOLING TOWER REPLACEMENT; ELECTRICAL; GENERATOR; SICU NURSE CALL SYSTEM REPLACEMENT; SEWAGE TREATMENT PLANT; CHILLER; BOILER PLANT; AND FLOORING; 4) CONSTRUCTION OF PHARMACY FOR CHEMO REQUIREMENTS; 5) RENOVATIONS TO PATIENT ROOMS AND KITCHEN; 6) MODERNIZE: INFORMATION TECHNOLOGY AND ENTERPRISE IMAGING NEEDS.
FORM 990, SCH. K. PART II, LINE 3:THE TOTAL PROCEEDS OF THE BOND ISSUE INCLUDES THE ORIGINAL BOND ISSUE PRICE AND THE INVESTMENT EARNINGS THEREON.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
FELIX GRUCCI III
FAMILY MEMBER OF OFFICER$37,146FELIX GRUCCI, III HAS A FAMILY RELATIONSHIP WITH FELIX GRUCCI, JR., VICE CHAIRMAN, AND IS AN EMPLOYEE OF THE ORGANIZATION.0
LAURA BETH MCDOWELL
FAMILY MEMBER OF DIRECTOR$85,855LAURA BETH MCDOWELL HAS A FAMILY RELATIONSHIP WITH ROBERT W. SCHWARZ, DIRECTOR, AND IS AN EMPLOYEE OF THE ORGANIZATION.0
JOY DUDEK
FAMILY MEMBER OF DIRECTOR$19,486JOY DUDEK HAS A FAMILY RELATIONSHIP WITH JEFF MAYER, DIRECTOR, AND IS AN EMPLOYEE OF THE ORGANIZATION.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4EFFECTIVE MARCH 1, 2022, PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT, NYULHS FORMALLY ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF LICH. AT THAT TIME LICH ADOPTED AMENDED BYLAWS TO REFLECT THE CHANGE. PURSUANT TO ARTICLE I, THE ORGANIZATION CHANGED ITS NAME FROM BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC. TO LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH. ARTICLE III - MEMBER HAS BEEN ADDED AND INCLUDES THE POWERS OF NYULHS AS SOLE MEMBER OF THE FOUNDATION. PURSUANT TO ARTICLE IV, THE BOARD OF DIRECTORS HAS ADOPTED NYULHS' CONFLICT OF INTEREST POLICY. THE FORMER ARTICLE IV IS NOW INCLUDED IN ARTICLES IV AND V. THE FORMER ARTICLES V THROUGH XI ARE NOW INCORPORATED IN ARTICLES VI THROUGH XII. PURSUANT TO ARTICLE XIII, LICH HAS CHANGED ITS FISCAL YEAR-END FROM DECEMBER 31ST TO AUGUST 31ST TO MATCH THE FISCAL YEAR END OF NYULHS.
FORM 990, PART VI, SECTION A, LINE 6NYU LANGONE HEALTH SYSTEM IS THE SOLE MEMBER OF LICH.
FORM 990, PART VI, SECTION A, LINE 7ANYU LANGONE HEALTH SYSTEM (THE "MEMBER") AS THE SOLE MEMBER, HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS (IN ACCORDANCE WITH OTHER PROVISIONS OF THE BYLAWS): (A) ELECTING THE CORPORATION'S BOARD OF DIRECTORS; (B) REMOVING THE CORPORATION'S BOARD OF DIRECTOR; (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS;
FORM 990, PART VI, SECTION A, LINE 7BWITH RESPECT TO THE DECISIONS OF THE BOARD OF TRUSTEES OF THE FOUNDATION, NYU LANGONE HEALTH SYSTEM (THE "MEMBER") AS THE SOLE MEMBER, HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS (IN ACCORDANCE WITH OTHER PROVISIONS OF THE BYLAWS): (A) ELECTING THE CORPORATION'S BOARD OF DIRECTORS; (B) REMOVING THE CORPORATION'S BOARD OF DIRECTOR; (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS; (D) AMENDING OR REPEALING THE BYLAWS OR ADOPTING NEW BYLAWS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (E) APPROVING THE CORPORATION'S MERGER OR CONSOLIDATION WITH ANOTHER ENTITY, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; PROVIDED THAT WITH RESPECT TO THE MERGER OF THE CORPORATION WITH AND INTO NYULH, THE APPROVAL OF THE CORPORATION'S BOARD OF DIRECTORS SHALL BE LIMITED SOLELY TO THOSE ACTIONS REQUIRED BY THE NPCL; (F) APPROVING THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (G) REVIEWING THE VISION, MISSION AND STRATEGIC AND FINANCIAL PLANS OF THE CORPORATION; (H) APPROVING THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (I) APPROVING THE INCURRENCE OF ANY INDEBTEDNESS OF $5 MILLION OR MORE IN ANY GIVEN FISCAL YEAR, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (J) APPROVING ANY TRANSACTION HAVING A VALUE OF $25 MILLION OR MORE, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (K) APPROVING THE CREATION, ACQUISITION AND/OR DISSOLUTION OF AN ENTITY IN WHICH THE CORPORATION IS PROPOSED TO BE, OR IS, THE CONTROLLING MEMBER, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (L) APPROVING ANY CHANGES IN USE OF RESTRICTED FUNDS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; AND (M) THE EXERCISE OF ANY POWERS BY THE CORPORATION ACTING IN ITS CAPACITY AS DIRECT OR INDIRECT MEMBER, SHAREHOLDER OR PARTNER OF ANY AFFILIATE, SUBSIDIARY OR JOINT VENTURE, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS. THE ABOVE-REFERENCED POWERS (OTHER THAN THOSE PROHIBITED TO A PASSIVE PARENT UNDER ARTICLE 28 OF THE NEW YORK PUBLIC HEALTH LAW) ARE SUBJECT TO REACH-THROUGH APPROVAL RIGHTS IN FAVOR OF NEW YORK UNIVERSITY AS SOLE CORPORATE MEMBER OF THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BDESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. NYU LANGONE HEALTH'S ("NYULH") FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULES BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY. 2. THE DRAFT IS REVIEWED BY THE VICE PRESIDENT OF FINANCE AND CHIEF EXECUTIVE OFFICER FOR COMPLETENESS AND ACCURACY. 3. THE REVIEWED DRAFT IS PRESENTED TO THE CORPORATION'S FINANCE COMMITTEE AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 4. ONCE APPROVED BY THE FINANCE COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARDED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CLICH HAS FORMALLY ADOPTED THE CONFLICTS OF INTEREST POLICY OF ITS SOLE MEMBER, NYULHS. THIS POLICY IS MONITORED ON AN ANNUAL BASIS AND REQUIRES OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE ANY CONFLICTS OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY NYULHS ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND SELECTED MEMBERS OF THE BOARD OF DIRECTORS. AN EXECUTIVE COMPENSATION CONSULTANT IS INVITED TO PRESENT DATA AND TRENDS TO THIS COMMITTEE EVERY TWO TO THREE YEARS FOR THEIR REVIEW AND EVALUATION OF THE CURRENT SALARIES AND FRINGE BENEFITS OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF LICH AS COMPARED TO OTHER LIKE ORGANIZATIONS. IN SETTING COMPENSATION LEVELS FOR EACH EXECUTIVE, THE COMMITTEE COMPARES EACH BASE SALARY AND TOTAL CASH COMPENSATION LEVEL TO MARKET COMPARISON DATA (BASED ON HEALTHCARE SYSTEMS WITH COMPARABLY SIZED OPERATIONAL BUDGETS), ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS. THE CEO, WILL BE EXCUSED FROM THE MEETING OF THE EXECUTIVE COMPENSATION COMMITTEE, FOR A REVIEW OF THE CEO'S COMPENSATION. AGAIN, THE COMMITTEE WILL USE INDUSTRY STANDARDS FROM COMPARABLY SIZED OPERATIONAL BUDGETS, ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS, TO ESTABLISH THE CEO'S COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE WILL MAKE RECOMMENDATIONS FOR ALL COMPENSATION. THE INFORMATION IS PRESENTED TO THE OVERALL LONG ISLAND COMMUNITY HOSPITAL BOARD, SUBJECT TO RATIFICATION OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE NYU LANGONE HEALTH SYSTEM OFFICE OF GENERAL COUNSEL MAINTAINS COPIES OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES MAY BE OBTAININED BY CONTACTING: NYU LANGONE HEALTH SYSTEM OFFICE OF THE GENERAL COUNSEL 550 FIRST AVENUE NEW YORK, NEW YORK 10016 TELEPHONE NUMBER: (212) 263-7300
FORM 990, PART XI, LINE 9:CHANGE IN NETS ASSETS OF LICH FDN -4,217,000. CHANGE IN PENSION & POSTRETIREMENT OBLIGATIONS -3,953,328.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NEW YORK UNIVERSITY
726 BROADWAYNEW YORKNY10003135562308UNIVERSITYNY501(C)(3)LINE 2N/A0
NYU LANGONE HEALTH SYSTEM
550 FIRST AVENUE MSB 153NEW YORKNY10016472613531SUPPORTING ORG.NY501(C)(3)LINE 12B, IIYes (1)NEW YORK UNIVERSITY
34TH STREET CANCER CENTER INC
C/O NYULH 550 FIRST AVENUENEW YORKNY10016300262470CANCER CARENY501(C)(3)LINE 12C, III-FIYes (1)NYU LANGONE HEALTH SYSTEM
HAROLD ACTON TRUST
105 EAST 17TH STREET 2ND FLNEW YORKNY10003137050560SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALYNY501(C)(3)LINE 12A, IYes (1)NEW YORK UNIVERSITY
HORTENSE ACTON TRUST
PO BOX 1802PROVIDENCERI02901367110976SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALYIL501(C)(3)PFYes (1)NEW YORK UNIVERSITY
KJC (REY JUAN CARLOS I DE ESPANA DE LA UNIVERSIDAD DE NUEVA YORK)
SUPPORT NYU'S PROGRAM IN SPAINYes (1)NEW YORK UNIVERSITYCALLE SEGRE 8MADRIDSP28002SP
NATIONAL CENTER ON PHILANTHROPY AND THE LAW
139 MACDOUGAL STREET 1ST FLNEW YORKNY10012133954405STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAWNY501(C)(3)LINE 12A, IYes (1)NEW YORK UNIVERSITY
NYU IN ABU DHABI CORP
105 EAST 17TH STREET 2ND FLNEW YORKNY10003262652713SUPPORT NYU COLLEGE IN ABU DHABINY501(C)(3)LINE 2Yes (1)NEW YORK UNIVERSITY
NYU IMAGING INC
545 FIRST AVENUENEW YORKNY10016134000622SUPPORT NYU SCHOOL OF MEDICINENY501(C)(3)LINE 12A, IYes (1)NEW YORK UNIVERSITY
NYU SCHOOL OF LAW FOUNDATION
110 WEST 3RD ST 2ND FLNEW YORKNY10012136161036SUPPORT NYU'S SCHOOL OF LAWNY501(C)(3)LINE 10Yes (1)NEW YORK UNIVERSITY
WASHINGTON SQUARE LEGAL SERVICES INC
110 WEST 3RD ST 2ND FLNEW YORKNY10012237392120CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAWNY501(C)(3)LINE 12A, IYes (1)NEW YORK UNIVERSITY
NYU IN LONDON
981074101SUPPORT NYU'S PROGRAM IN LONDONYes (1)NEW YORK UNIVERSITY6 BEDFORD SQUARELONDONUKWC1B 3RAUK
NYU IN TEL-AVIV LTD
981058326SUPPORT NYU'S PROGRAM IN TEL-AVIVYes (1)NEW YORK UNIVERSITYTUVAL 13TEL AVIVIS52522IS
NEW YORK UNIVERSITY IN FRANCE
981058568SUPPORT NYU'S PROGRAM IN FRANCEYes (1)NEW YORK UNIVERSITY56 RUE DE PASSYPARISFR75016FR
NEW YORK UNIVERSITY IN AFGHANISTAN
SUPPORT NYU'S ACTIVITIES IN AFGHANISTANYes (1)NEW YORK UNIVERSITY150 MASJID E HAJI ABDURRAHIM ST CHAKABULAFAF
NYU LANGONE IPA INC
550 FIRST AVENUENEW YORKNY10016364841069IPA OPERATING A MEDICAID SHARED SAVINGS PROGRAMNY501(C)(3)LINE 12A, IYes (1)NYU LANGONE HEALTH SYSTEM
NYU LANGONE HOSPITALS
550 FIRST AVENUENEW YORKNY10016133971298HOSPITALNY501(C)(3)LINE 3Yes (1)NYU LANGONE HEALTH SYSTEM
NYU LANGONE MSO INC
550 FIRST AVENUENEW YORKNY10016824528600CONTRACT FOR DELIVERY/PROVISION OF HEALTH SERVICESNY501(C)(3)LINE 12A, IYes (1)NEW YORK UNIVERSITY
BROOKHAVEN HEALTH CARE SERVICES CORPORATION
101 HOSPITAL ROADPATCHOGUENY11772112950196SUPPORT LONG ISLAND COMMUNITY HOSPITALNY501(C)(3)LINE 7Yes (1)NYU LANGONE HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NYU LANGONE DIAGNOSTICS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1550 FIRST AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10016ZIPCd
FieldValueIRS element (for citing)
EIN301001205EIN
Primary ActivitiesOUTREACH TESTINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdProvince Or StateForeignAddress/ProvinceOrStateNmEINEINLegal Domicile StateLegalDomicileStateCd
CCC 550 INSURANCE SCC
550 FIRST AVENUENEW YORKNY10016SELF-INSURANCEBBN/AC0
LA PIETRA SRL
HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUSITN/AC0VIA BOLOGNESE 120FLORENCEIT50139
NIU DA ED INFOR CONSULTING CO LTD
SUPPORT NYU'S PROGRAM IN CHINACHN/AC01555 CENTURY AVENUE ROOM 1063PUDONG NEW AREACH200062SHANGHAI
NYU PLUS PARIS
CONTINUING AND EXECUTIVE EDUCATIONFRN/AC057BD SAINT GERMAINPARISFR75005
SHORE HILL HOUSING ASSOCIATES GP INC
550 FIRST AVENUE HCC 15NEW YORKNY10016HOUSINGN/AC0262243695NY
WINTHROP CLINICAL PARTNERS INC (THROUGH 12312021)
259 FIRST STREETMINEOLANY11501HEALTHCAREN/AC0454088169NY
BROOKHAVEN PHYSICIAN SERVICES PC
100 HOSPITAL ROADPATCHOGUENY11772HEALTHCAREN/AC0260628913NY
BROOKHAVEN SURGICAL SERVICES PC
100 HOSPITAL ROADPATCHOGUENY11772HEALTHCAREN/AC0260885844NY
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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