BROOKHAVEN HEALTH CARE SERVICES CORPORATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BROOKHAVEN HEALTH CARE SERVICES CORPORATION (EIN 11-2950196)
- Tax period
- 2022-01-01 to 2022-08-31
- Filed
- 2023-06-30
- IRS object ID
- 202341819349300214
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-06-30T08:29:33-05:00 | ReturnTs |
| Tax Period End | 2022-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MANHATTAN WEST | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112950196 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN HEALTH CARE SERVICES CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BROO | BusinessNameControlTxt |
| Phone | 6316547100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD T MARGULIS CEO | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 6316547100 | PhoneNum |
| Signature | 2023-06-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RICHARD | PersonFirstNm |
| Person Last | MARGULIS CEO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE SOKOLOWSKI | PreparerPersonNm |
| PTIN | P01693199 | PTIN |
| Phone | 2127733000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LI COMM HOSP HLTH CARE SVC FNDTN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD T MARGULIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,217,551 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | BROOKHAVEN HEALTH CARE SERVICES CORPORATION (D/B/A LONG ISLAND COMMUNITY HOSPITAL HEALTH CARE SERVICES FOUNDATION) (THE "FOUNDATION"), WAS ESTABLISHED TO SEEK PHILANTHROPIC SUPPORT AND TO GRANT FUNDS TO LONG ISLAND COMMUNITY HOSPITAL ("LICH") AND OTHER NOT-FOR-PROFIT ORGANIZATIONS UNDER THE DIRECTION OF THE FOUNDATION'S BOARD OF DIRECTORS. 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 EACH OF LICH AND THE FOUNDATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 26 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,942,352 | PYContributionsGrantsAmt |
| CY Contributions Grants | $526,275 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,208,482 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,151,567 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,666 | PYOtherRevenueAmt |
| CY Other Revenue | -$9,232 | CYOtherRevenueAmt |
| PY Total Revenue | $4,161,500 | PYTotalRevenueAmt |
| CY Total Revenue | $1,668,610 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,925 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,700 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $329,430 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,076,929 | PYOtherExpensesAmt |
| CY Other Expenses | $713,342 | CYOtherExpensesAmt |
| PY Total Expenses | $1,087,854 | PYTotalExpensesAmt |
| CY Total Expenses | $1,055,472 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,073,646 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $613,138 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $51,123,644 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,268,037 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,818,218 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,600,912 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $46,305,426 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,667,125 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE GOALS AND OBJECTIVES OF THE FOUNDATION ARE AS FOLLOWS:TO SUPPORT THE MISSION AND CHARITABLE PURPOSES OF NYULHS, NYU LANGONE HOSPITALS ("NYULH"), LICH AND THE MEDICAL SCHOOLS OWNED AND OPERATED BY NEW YORK UNIVERSITY (COLLECTIVELY, "NYU LANGONE"); ANDTO FOSTER AND PROMOTE HEALTH CARE EDUCATION, RESEARCH AND ADVANCES IN THE HEALTH FIELD AND THE GROWTH AND AVAILABILITY OF QUALITY HEALTH CARE SERVICES THROUGH DIRECT GRANTS, GIFTS, LOANS OR OTHERWISE TO SUCH PERSON OR PERSONS, CORPORATIONS OR OTHER ORGANIZATIONS OR ENTITIES DETERMINED BY THE FOUNDATION TO BE ENGAGED IN ACTIVITIES OR PROJECTS WHOSE GOALS AND PURPOSES ARE CONSISTENT WITH THOSE OF THE FOUNDATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $932,834 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | SUPPORT THE MISSION AND CHARITABLE PURPOSES OF LICH, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL, PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,700 | ExpenseAmt |
| Grant | $12,700 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | GRANTS TO COMMUNITY ORGANIZATIONS THAT PROMOTE HEALTH CARE EDUCATION, RESEARCH AND ADVANCES IN THE HEALTH FIELD AND THE GROWTH AND AVAILABILITY OF QUALITY HEALTH CARE SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $945,534 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 26 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD T MARGULIS CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6316547100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| RICHARD T MARGULIS | |||||||
| PRESIDENT & CEO | 0.50 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ERNEST PATRICK SMITH | |||||||
| CHAIRMAN | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| FELIX GRUCCI JR | |||||||
| VICE CHAIRMAN | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHELE KNAPP | |||||||
| TREASURER | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| EDWARD KORMYLO DPM | |||||||
| SECRETARY | 0.50 | 7.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RAVI SINGH MD | |||||||
| PRESIDENT OF MEDICAL STAFF | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| FREDERICK C BRAUN III | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| ANDREW BROTMAN MD | |||||||
| DIRECTOR | 0.50 | 60.00 | Yes (X) | $0 | $0 | $0 | |
| GARY BROWN | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH GRECO MD | |||||||
| DIRECTOR | 0.50 | 60.00 | Yes (X) | $0 | $0 | $0 | |
| GARY KALKUT MD | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| NABIL KIRIDLY MD | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH LHOTA | |||||||
| DIRECTOR | 0.50 | 60.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES MAIORINO | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| VICKI MATCH SUNA | |||||||
| DIRECTOR | 0.50 | 60.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF MAYER | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| MAUREEN MENNELLA | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| MARK MULHOLLAND | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| CLYDE PARKER | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| SHARON NORTON REMMER | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| ROBERT ROCHE MD | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| LISA ROSE | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| ERIC RUSSO | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| ROBERT SCHWARZ | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JOHN SULLIVAN | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| STEVEN TAITZ | |||||||
| DIRECTOR | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $67,174 | FundraisingAmt |
| All Other Contributions | $459,101 | AllOtherContributionsAmt |
| Total Contributions | $526,275 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $737,554 | TotalRevenueColumnAmt |
| Exclusion | $737,554 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,881,201 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,467,188 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $414,013 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $414,013 | TotalRevenueColumnAmt |
| Exclusion | $414,013 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $72,521 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $67,174 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $81,753 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,232 | TotalRevenueColumnAmt |
| Exclusion | -$9,232 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,668,610 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,142,335 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,700 | TotalAmt |
| Program Services | $12,700 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,341 | TotalAmt |
| Program Services | $222,474 | ProgramServicesAmt |
| Management And General | $25,867 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,089 | TotalAmt |
| Program Services | $72,643 | ProgramServicesAmt |
| Management And General | $8,446 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,000 | TotalAmt |
| Management And General | $40,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,047 | TotalAmt |
| Program Services | $86,106 | ProgramServicesAmt |
| Management And General | $33,941 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,604 | TotalAmt |
| Program Services | $32,604 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,519 | TotalAmt |
| Program Services | $504,519 | ProgramServicesAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,172 | TotalAmt |
| Program Services | $14,488 | ProgramServicesAmt |
| Management And General | $1,684 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,055,472 | TotalAmt |
| Program Services | $945,534 | ProgramServicesAmt |
| Management And General | $109,938 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,024,287 | BOYAmt |
| EOY | $565,155 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,058,938 | BOYAmt |
| EOY | $2,224,089 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,413 | BOYAmt |
| EOY | $19,035 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,862 | BOYAmt |
| EOY | $43,687 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,562 | BOYAmt |
| EOY | $2,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,160,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,525,680 | BOYAmt |
| EOY | $12,160,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,456,902 | BOYAmt |
| EOY | $20,253,934 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000,000 | BOYAmt |
| EOY | $2,000,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,123,644 | BOYAmt |
| EOY | $37,268,037 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,818,218 | BOYAmt |
| EOY | $4,600,912 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,818,218 | BOYAmt |
| EOY | $4,600,912 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,227,872 | BOYAmt |
| EOY | $32,645,090 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,554 | BOYAmt |
| EOY | $22,035 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,305,426 | BOYAmt |
| EOY | $32,667,125 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,123,644 | BOYAmt |
| EOY | $37,268,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $613,138 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,830,236 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$9,421,203 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,014,196 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $696,445 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $477,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,942,352 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $526,275 | CurrentTaxYearAmt |
| Total | $4,656,448 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,014,196 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $696,445 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $477,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,942,352 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $526,275 | CurrentTaxYearAmt |
| Total | $4,656,448 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,656,448 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $522,087 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $532,120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $708,932 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $897,630 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $737,554 | CurrentTaxYearAmt |
| Total | $3,398,323 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $88 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,764 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,666 | CurrentTaxYearMinus1YearAmt |
| Total | $106,984 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $8,161,755 | TotalSupportAmt |
| Public Support CY170 | 0.57050 | PublicSupportCY170Pct |
| Public Support PY170 | 0.60760 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS INCOME - 2017 AMOUNT: $ 88. 2018 AMOUNT: $ 88,764. 2019 AMOUNT: $ 7,466. 2020 AMOUNT: $ 10,666. 2021 AMOUNT: $ 0. |
| FORM 990, SCH. A, PART II, SECTION A - PUBLIC SUPPORT | THE ORGANIZATION HAS CHANGED ITS ACCOUNTING PERIOD TO A FISCAL YEAR ENDING AUGUST 31. AS SUCH, THE INFORMATION REPORTED IN COL. (E) REPRESENTS THE ACTIVITY REPORTED FOR THE 8-MONTH SHORT PERIOD FROM JANAURY 1, 2022 - AUGUST 31, 2022. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,160,000 | OtherCostOrOtherBasisAmt |
| Book Value | $12,160,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,160,000 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GREAT SOUTH BAY ENDOSCOPY | Desc |
| Book Value | $2,000,000 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,000,000 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO LONG ISLAND COMMUNITY HOSPITAL | Desc |
| Amt | $4,600,912 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,600,912 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $139,695 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $67,174 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $72,521 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $28,520 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $53,233 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $139,695 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $67,174 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $72,521 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $28,520 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $53,233 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $81,753 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$9,232 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PATCHOGUE COMMUNITY SERVICE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 821 | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 113474111 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $6,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | SUPPORT OF LOCAL COMMUNITY ORGANIZAION PROGRAMS TO IMPROVE HEALTH IN THE COMMUNITY. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FOUNDATION ENSURES THAT GRANTS ARE AWARDED TO IRC SECTION 501(C)(3) ORGANIZATIONS AND REQUIRES PERIODIC REPORTING FROM THE GRANTEE ORGANIZATIONS ON THE STATUS OF FUNDED PROJECTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE MARCH 1, 2022, PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT, NYULHS FORMALLY ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF EACH OF LICH AND THE FOUNDATION. AT THAT TIME FOUNDATION ADOPTED AMENDED BYLAWS TO REFLECT THE CHANGE. FOUNDATION HAS CHANGED ITS FISCAL YEAR-END FROM DECEMBER 31ST TO AUGUST 31ST TO MATCH THE FISCAL YEAR END OF NYULHS. THE FORMER ARTICLE 1 - PURPOSE - HAS BEEN INCORPORATED INTO THE CURRENT ARTICLE II - GOALS AND OBJECTIVES OF THE ORGANIZATION. ARTICLE III - MEMBER - HAS BEEN ADDED AND INCLUDES THE POWERS OF THE NYULHS AS SOLE MEMBER OF THE FOUNDATION. THE FORMER ARTICLE 2 - BOARD OF DIRECTORS - HAS BEEN INCORPORATED INTO THE CURRENT ARTICLES IV, V AND VI. THE FORMER ARTICLE 5 - COMMITTEES OF THE BOARD OF DIRECTORS - HAS BEEN INCORPORATED INTO THE CURRENT ARTICLE VII. |
| FORM 990, PART VI, SECTION A, LINE 6 | NYU LANGONE HEALTH SYSTEM IS THE SOLE MEMBER OF FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER, NYULHS HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS SUBJECT TO THE REQUIREMENTS SET FORTH IN ARTICLE IV OF THE BYLAWS: (A) ELECTING THE CORPORATION'S BOARD OF DIRECTORS; (B) REMOVING THE CORPORATION'S BOARD OF DIRECTORS; AND (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS |
| FORM 990, PART VI, SECTION A, LINE 7B | WITH 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 THE MEMBER OR ANY AFFILIATE OF THE MEMBER, 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 $1 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 $2.5 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 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 11B | DESCRIPTION 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 FOUNDATION'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, LINES 12A-B: | FOUNDATION 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, LINES 13-14: | FOUNDATION HAS FORMALLY ADOPTED THE WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES OF ITS SOLE MEMBER, NYULHS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 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 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 14 GLOVER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814169801 | EIN |
| Primary Activities | LEASING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $12,162,000 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN HEALTH CARE SERVICES CORP | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEW YORK UNIVERSITY | ||||||||||||||||
| 726 BROADWAY | NEW YORK | NY | 10003 | 135562308 | UNIVERSITY | NY | 501(C)(3) | LINE 2 | N/A | 0 | ||||||
| NYU LANGONE HEALTH SYSTEM | ||||||||||||||||
| 550 FIRST AVENUE MSB 153 | NEW YORK | NY | 10016 | 472613531 | SUPPORTING ORG. | NY | 501(C)(3) | LINE 12B, II | Yes (1) | NEW YORK UNIVERSITY | ||||||
| 34TH STREET CANCER CENTER INC | ||||||||||||||||
| C/O NYULH 550 FIRST AVENUE | NEW YORK | NY | 10016 | 300262470 | CANCER CARE | NY | 501(C)(3) | LINE 12C, III-FI | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| HAROLD ACTON TRUST | ||||||||||||||||
| 105 EAST 17TH STREET 2ND FL | NEW YORK | NY | 10003 | 137050560 | SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| HORTENSE ACTON TRUST | ||||||||||||||||
| PO BOX 1802 | PROVIDENCE | RI | 02901 | 367110976 | SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY | IL | 501(C)(3) | PF | Yes (1) | NEW YORK UNIVERSITY | ||||||
| KJC (REY JUAN CARLOS I DE ESPANA DE LA UNIVERSIDAD DE NUEVA YORK) | ||||||||||||||||
| SUPPORT NYU'S PROGRAM IN SPAIN | Yes (1) | NEW YORK UNIVERSITY | CALLE SEGRE 8 | MADRID | SP | 28002 | SP | |||||||||
| NATIONAL CENTER ON PHILANTHROPY AND THE LAW | ||||||||||||||||
| 139 MACDOUGAL STREET 1ST FL | NEW YORK | NY | 10012 | 133954405 | STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU IN ABU DHABI CORP | ||||||||||||||||
| 105 EAST 17TH STREET 2ND FL | NEW YORK | NY | 10003 | 262652713 | SUPPORT NYU COLLEGE IN ABU DHABI | NY | 501(C)(3) | LINE 2 | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU IMAGING INC | ||||||||||||||||
| 545 FIRST AVENUE | NEW YORK | NY | 10016 | 134000622 | SUPPORT NYU SCHOOL OF MEDICINE | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU SCHOOL OF LAW FOUNDATION | ||||||||||||||||
| 110 WEST 3RD ST 2ND FL | NEW YORK | NY | 10012 | 136161036 | SUPPORT NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 10 | Yes (1) | NEW YORK UNIVERSITY | ||||||
| WASHINGTON SQUARE LEGAL SERVICES INC | ||||||||||||||||
| 110 WEST 3RD ST 2ND FL | NEW YORK | NY | 10012 | 237392120 | CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU IN LONDON | ||||||||||||||||
| 981074101 | SUPPORT NYU'S PROGRAM IN LONDON | Yes (1) | NEW YORK UNIVERSITY | 6 BEDFORD SQUARE | LONDON | UK | WC1B 3RA | UK | ||||||||
| NYU IN TEL-AVIV LTD | ||||||||||||||||
| 981058326 | SUPPORT NYU'S PROGRAM IN TEL-AVIV | Yes (1) | NEW YORK UNIVERSITY | TUVAL 13 | TEL AVIV | IS | 52522 | IS | ||||||||
| NEW YORK UNIVERSITY IN FRANCE | ||||||||||||||||
| 981058568 | SUPPORT NYU'S PROGRAM IN FRANCE | Yes (1) | NEW YORK UNIVERSITY | 56 RUE DE PASSY | PARIS | FR | 75016 | FR | ||||||||
| NEW YORK UNIVERSITY IN AFGHANISTAN | ||||||||||||||||
| SUPPORT NYU'S ACTIVITIES IN AFGHANISTAN | Yes (1) | NEW YORK UNIVERSITY | 150 MASJID E HAJI ABDURRAHIM ST CHA | KABUL | AF | AF | ||||||||||
| NYU LANGONE IPA INC | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 364841069 | IPA OPERATING A MEDICAID SHARED SAVINGS PROGRAM | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| NYU LANGONE HOSPITALS | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 133971298 | HOSPITAL | NY | 501(C)(3) | LINE 3 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| NYU LANGONE MSO INC | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 824528600 | CONTRACT FOR DELIVERY/PROVISION OF HEALTH SERVICES | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH | ||||||||||||||||
| 101 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | 111704595 | HOSPITAL | NY | 501(C)(3) | LINE 3 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NYU LANGONE DIAGNOSTICS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 FIRST AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 301001205 | EIN |
| Primary Activities | OUTREACH TESTING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Province Or StateForeignAddress/ProvinceOrStateNm | EINEIN | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CCC 550 INSURANCE SCC | |||||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | SELF-INSURANCE | BB | N/A | C | 0 | |||||||||||
| LA PIETRA SRL | |||||||||||||||||||
| HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUS | IT | N/A | C | 0 | VIA BOLOGNESE 120 | FLORENCE | IT | 50139 | |||||||||||
| NIU DA ED INFOR CONSULTING CO LTD | |||||||||||||||||||
| SUPPORT NYU'S PROGRAM IN CHINA | CH | N/A | C | 0 | 1555 CENTURY AVENUE ROOM 1063 | PUDONG NEW AREA | CH | 200062 | SHANGHAI | ||||||||||
| NYU PLUS PARIS | |||||||||||||||||||
| CONTINUING AND EXECUTIVE EDUCATION | FR | N/A | C | 0 | 57BD SAINT GERMAIN | PARIS | FR | 75005 | |||||||||||
| SHORE HILL HOUSING ASSOCIATES GP INC | |||||||||||||||||||
| 550 FIRST AVENUE HCC 15 | NEW YORK | NY | 10016 | HOUSING | N/A | C | 0 | 262243695 | NY | ||||||||||
| BROOKHAVEN PHYSICIAN SERVICES PC | |||||||||||||||||||
| 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | HEALTHCARE | C | Yes (1) | 260628913 | NY | BROOKHAVEN HEALTH CARE SVCS CORP | -$1,058,000 | $288,000 | 1.00000 | |||||||
| BROOKHAVEN SURGICAL SERVICES PC | |||||||||||||||||||
| 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | HEALTHCARE | C | Yes (1) | 260885844 | NY | BROOKHAVEN HEALTH CARE SVCS CORP | -$268,000 | $49,000 | 1.00000 | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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