FURP.ORG / PUBLIC DATA EXPLORER

LONG ISLAND SELECT HEALTHCARE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND SELECT HEALTHCARE INC (EIN 47-1001464)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-09-28
IRS object ID
202312719349300436
Schema version
2022v5.0
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)
Return2023-09-28T10:51:59-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 PARK AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100175001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN471001464EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND SELECT HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DOREEN KORONIOSInCareOfNm
Business Name ControlLONGBusinessNameControlTxt
Phone6316502510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1159 Carleton AvenueAddressLine1Txt
CityCentral IslipCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11722ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAudrey SmithPersonNm
Person TitleCEOPersonTitleTxt
Phone6316502160PhoneNum
Signature2023-09-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAudreyPersonFirstNm
Person LastSmithPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul HammerschmidtPreparerPersonNm
PTINP01384178PTIN
Phone2128858000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LISH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerAudrey SmithPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1159 Carleton AvenueAddressLine1Txt
CityCentral IslipCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11722ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,402,163GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lishcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee171TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$35,461PYContributionsGrantsAmt
CY Contributions Grants$14,457CYContributionsGrantsAmt
PY Program Service Revenue$20,962,462PYProgramServiceRevenueAmt
CY Program Service Revenue$19,322,743CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$64,525PYOtherRevenueAmt
CY Other Revenue$29,325CYOtherRevenueAmt
PY Total Revenue$21,062,448PYTotalRevenueAmt
CY Total Revenue$19,366,525CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,162,375PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,917,592CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$87,636CYTotalFundraisingExpenseAmt
PY Other Expenses$7,834,882PYOtherExpensesAmt
CY Other Expenses$7,813,365CYOtherExpensesAmt
PY Total Expenses$19,997,257PYTotalExpensesAmt
CY Total Expenses$19,730,957CYTotalExpensesAmt
PY Revenues Less Expenses$1,065,191PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$364,432CYRevenuesLessExpensesAmt
Total Assets BOY$8,265,975TotalAssetsBOYAmt
Total Assets EOY$16,474,562TotalAssetsEOYAmt
Total Liabilities BOY$2,302,651TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,875,670TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,963,324NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,598,892NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS WHILE HELPING IMPROVE ACCESS TO CARE AND ENSURING THAT INABILITY TO PAY IS NOT A BARRIER.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$15,141,457ExpenseAmt
Grant$0GrantAmt
Revenue$17,344,204RevenueAmt
DescARTICLE 28 - LONG ISLAND SELECT HEALTHCARE PROVIDES DIAGNOSTIC AND TREATMENT SERVICES INCLUDING COMPREHENSIVE PRIMARY CARE, DENTAL, BEHAVIORAL HEALTH, MEDICAL SPECIALTIES, THERAPEUTIC SPECIALTIES, AND CHRONIC CARE MANAGEMENT SERVICES. TOTAL NUMBER OF PATIENTS: 6,333. LISH PARTICIPATES IN THE 340B PROGRAM (MEDICARE) WHICH REQUIRES DRUG PARTICIPATING DRUG MANUFACTURERS AND PHARMACIES TO SIGN A PHARMACEUTICAL PRICE AGREEMENT WITH THE SECRETARY OF HEALTH AND HUMAN SERVICES. THIS AGREEMENT LIMITS THE PRICE THAT MANUFACTURERS MAY CHARGE CERTAIN "COVERED ENTITIES' FOR COVERED OUTPATIENT DRUGS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,851,811ExpenseAmt
Grant$0GrantAmt
Revenue$1,068,633RevenueAmt
DescARTICLE 16 - THROUGH THE NEW YORK STATE OFFICE OF PEOPLE WITH DEVELOPMENTAL DISABILITIES, LONG ISLAND SELECT HEALTHCARE PROVIDES SPEECH THERAPY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY SERVICES. TOTAL NUMBER OF PATIENTS: 598Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$577,994ExpenseAmt
Grant$0GrantAmt
Revenue$909,906RevenueAmt
DescOTHER SERVICES - THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER SUBRECIPIENT OF SUN RIVER HEALTH, INC.'S FEDERAL AWARD UNDER HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) BOTH FOR HEALTH CARE AND AMERICAN RESCUE PLAN ACT (ARPA) PROGRAMS. WE ALSO RECEIVED GRANT FROM NYS DOH FOR STATEWIDE HEALTH CARE FACILITY TRANSFORMATION PROGRAM II. SCOPE OF SERVICES INCLUDE COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS. WE ALSO RECEIVED FUND FROM HRSA PRF GRANT FOR THE PURPOSE OF STAFF RETENTION AND OTHER HEALTHCARE-RELATED CARE RELATED EXPENSES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$17,571,262TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee171EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDOREEN KORONIOSPersonNm
Phone6316502086PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1159 CARLETON AVENUEAddressLine1Txt
CityCentral IslipCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11722ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
PARIS ARIANAS MD
PSYCHIATRIST27.50.0Yes (X)$321,156$0$0
JAMES POWELL MD
CEO (thru 10/5/2022)37.50.0$276,118$0$27,482Yes (X)
SPIRO THEOHARAKIS MD
PSYCHIATRIST25.00.0Yes (X)$272,478$0$15,273
DEEPIKA SOOD MD
PSYCHIATRIST23.00.0Yes (X)$228,384$0$28,558
GAIL FRASER-FARMER MD
PHYSICIAN37.50.0Yes (X)$209,233$0$32,506
PEDRO L RIVERA
CHIEF FINANCIAL OFFICER37.50.0$174,159$0$32,506Yes (X)
ALAN WINIK DDS
DENTIST31.00.0Yes (X)$165,679$0$5,131
BALVINDAR SAREEN
CMO (THRU 4/25/2022)37.50.0$125,303$0$0Yes (X)
JANET PEPPER
COO (thru 9/9/2022)37.50.0$120,697$0$604Yes (X)
SCOTT KIM
CMO (as of 8/22/2022)37.50.0$92,548$0$0Yes (X)
JOHN LESSARD
PRESIDENT3.00.0$0$0$0Yes (X)Yes (X)
ROCCO CIRIGLIANO
TREASURER3.00.0$0$0$0Yes (X)Yes (X)
ROBERT BUDD
SECRETARY3.00.0$0$0$0Yes (X)Yes (X)
TINA ACEVEDO
DIRECTOR1.00.0$0$0$0Yes (X)
DOREEN BIONDOLILLO
DIRECTOR (THRU 3/31/2022)1.00.0$0$0$0Yes (X)
MARK CREAN
DIRECTOR1.00.0$0$0$0Yes (X)
JUDY EISMAN
DIRECTOR1.00.0$0$0$0Yes (X)
LISA MEYER-FERTAL
DIRECTOR1.00.0$0$0$0Yes (X)
ROY PROBEYAHN
DIRECTOR1.00.0$0$0$0Yes (X)
DAVID SISKIND MD
DIRECTOR1.00.0$0$0$0Yes (X)
ALLISON BERGMANN
INTERIM CEO (see Schedule O)37.50.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,985,755TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$142,060TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOLUTIONS 4 COMMUNITY HEALTH
1200 BROWN STREETPEEKSKILLNY10566MEDICAL BILLING SVCS$909,767
Hudson Headwater 340B LLC
PO Box 896GLEN FALLSNY12801340B Management SVCS$259,425
Rapid Reliable Testing NY LLC
35 West 35th Street 6th FloorNEW YORKNY10001TELEHEALTH SERVICES$194,880
Central Business Systems
1219 Walt Whitman RoadMELVILLENY11747IT Support$185,951
eClinical Works
PO Box 847950BOSTONMA02284CLINICAL INFO SRVCS$107,645
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$3,465FundraisingAmt
All Other Contributions$10,992AllOtherContributionsAmt
Noncash Contributions$13,648NoncashContributionsAmt
Total Contributions$14,457TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624200$14,278,727$14,278,727
340B PHARMACY REVENUE624200$3,904,428$3,904,428
GOVERNMENT CONTRACT REVENUE624200$1,040,767$1,040,767
OTHER REVENUE624200$98,821$98,821
FieldValueIRS element (for citing)
Total Program Service Revenue$19,322,743TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,800RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,800TotalRevenueColumnAmt
Exclusion$1,800ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$63,163FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$3,465ContriRptFundraisingEventAmt
Fundraising Direct Expenses$35,638FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,525TotalRevenueColumnAmt
Exclusion$27,525ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,366,525TotalRevenueColumnAmt
Related Or Exempt Func Income$19,322,743RelatedOrExemptFuncIncomeAmt
Exclusion$29,325ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$849,419TotalAmt
Management And General$849,419ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,023,181TotalAmt
Program Services$8,626,828ProgramServicesAmt
Management And General$334,213ManagementAndGeneralAmt
Fundraising$62,140FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,248,083TotalAmt
Program Services$1,105,276ProgramServicesAmt
Management And General$132,836ManagementAndGeneralAmt
Fundraising$9,971FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$796,909TotalAmt
Program Services$673,050ProgramServicesAmt
Management And General$117,787ManagementAndGeneralAmt
Fundraising$6,072FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$33,436TotalAmt
Management And General$33,436ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$70,350TotalAmt
Program Services$43,433ProgramServicesAmt
Management And General$26,889ManagementAndGeneralAmt
Fundraising$28FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,011TotalAmt
Program Services$79,032ProgramServicesAmt
Management And General$48,929ManagementAndGeneralAmt
Fundraising$50FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,834,117TotalAmt
Program Services$2,741,786ProgramServicesAmt
Management And General$91,539ManagementAndGeneralAmt
Fundraising$792FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,232,559TotalAmt
Program Services$1,202,982ProgramServicesAmt
Management And General$29,515ManagementAndGeneralAmt
Fundraising$62FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$179,871TotalAmt
Program Services$168,988ProgramServicesAmt
Management And General$10,780ManagementAndGeneralAmt
Fundraising$103FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,281,660TotalAmt
Program Services$2,076,071ProgramServicesAmt
Management And General$205,533ManagementAndGeneralAmt
Fundraising$56FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,510TotalAmt
Program Services$15,973ProgramServicesAmt
Management And General$8,273ManagementAndGeneralAmt
Fundraising$264FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$463TotalAmt
Management And General$463ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$91,856TotalAmt
Program Services$80,410ProgramServicesAmt
Management And General$11,446ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$192,775TotalAmt
Program Services$158,235ProgramServicesAmt
Management And General$34,540ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
EQUIPMENT REPAIR/MAINTENANCE$469,006$431,258$37,748
DUES AND SUBSCRIPTIONS$248,066$141,255$98,713$8,098
MISCELLANEOUS EXPENSES$26,685$26,685

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,730,957TotalAmt
Program Services$17,571,262ProgramServicesAmt
Management And General$2,072,059ManagementAndGeneralAmt
Fundraising$87,636FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,702,040BOYAmt
EOY$4,701,948EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$774,259BOYAmt
EOY$1,301,884EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,245,603BOYAmt
EOY$1,342,498EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$52,977BOYAmt
EOY$53,760EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,178,576LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$821,626LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$441,516BOYAmt
EOY$356,950EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$49,580BOYAmt
EOY$8,717,522EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,265,975BOYAmt
EOY$16,474,562EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,148,089BOYAmt
EOY$2,002,628EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$154,562BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$8,873,042EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,302,651BOYAmt
EOY$10,875,670EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,963,324BOYAmt
EOY$5,598,892EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,963,324BOYAmt
EOY$5,598,892EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,265,975BOYAmt
EOY$16,474,562EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$364,432ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$167,082OtherCostOrOtherBasisAmt
Depreciation$37,629DepreciationAmt
Book Value$129,453BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$540,656OtherCostOrOtherBasisAmt
Depreciation$441,548DepreciationAmt
Book Value$99,108BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$470,838OtherCostOrOtherBasisAmt
Depreciation$342,449DepreciationAmt
Book Value$128,389BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$356,950TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASE RIGHT OF USE$8,717,062
SECURITY DEPOSITS$460
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,717,522TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITIES$8,703,835
REFUNDABLE ADVANCES$169,207
FieldValueIRS element (for citing)
Total Liability$8,873,042TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,402,163TotalRevEtcAuditedFinclStmtAmt
Other Revenue$35,638OtherRevenueAmt
Revenue Not Reported$35,638RevenueNotReportedAmt
Revenue Subtotal$19,366,525RevenueSubtotalAmt
Total Revenue Per Form990$19,366,525TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,766,595TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$35,638OtherExpensesIncludedAmt
Expenses Not Reported$35,638ExpensesNotReportedAmt
Expenses Subtotal$19,730,957ExpensesSubtotalAmt
Total Expenses Per Form990$19,730,957TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2:LONG ISLAND SELECT HEALTHCARE, INC. ("LISH") QUALIFIES AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE IRC, AND AS A NOT-FOR-PROFIT ORGANIZATION UNDER THE LAWS OF NEW YORK STATE. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS REQUIRED. LISH ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER ASC 740, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED. LISH DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT WILL RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. LISH HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. LISH IS SUBJECT TO ROUTINE AUDITS BY TAXING AUTHORITIES.
SCHEDULE D, PART XI, LINE 2D AND PART XII, LINE 2D:SPECIAL EVENT DIRECT EXPENSES RE-CLASSED FROM PART IX.........$35,638

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf & Health FEvent1Nm
Gross Receipts Event1$66,628GrossReceiptsEvent1Amt
Charitable Contri Event1$3,465CharitableContriEvent1Amt
Gross Revenue Event1$63,163GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,964NonCashPrizesEvent1Amt
Rent Facility Costs Event1$8,529RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,621FoodAndBeverageEvent1Amt
Entertainment Event1$5,184EntertainmentEvent1Amt
Other Direct Expenses Event1$7,340OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$66,628GrossReceiptsTotalAmt
Charitable Contributions Tot$3,465CharitableContributionsTotAmt
Gross Revenue Total Events$63,163GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,964NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,529RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$12,621FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,184EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$7,340OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$35,638DirectExpenseSummaryEventsAmt
Net Income Summary$27,525NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES POWELL MD
CEO (thru 10/5/2022)$276,118$0$0$0$0$0$0$0$27,482$0$303,600$0$0$0
PEDRO L RIVERA
CHIEF FINANCIAL OFFICER$174,159$0$0$0$0$0$0$0$32,506$0$206,665$0$0$0
PARIS ARIANAS MD
PSYCHIATRIST$321,156$0$0$0$0$0$0$0$0$0$321,156$0$0$0
SPIRO THEOHARAKIS MD
PSYCHIATRIST$272,478$0$0$0$0$0$0$0$15,273$0$287,751$0$0$0
DEEPIKA SOOD MD
PSYCHIATRIST$228,384$0$0$0$0$0$0$0$28,558$0$256,942$0$0$0
GAIL FRASER-FARMER MD
PHYSICIAN$209,233$0$0$0$0$0$0$0$32,506$0$241,739$0$0$0
ALAN WINIK DDS
DENTIST$165,679$0$0$0$0$0$0$0$5,131$0$170,810$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Lines 3 and 9:ALLISON BERGMANN was hired as Interim CEO through Solutions 4 Community Health, Inc. by contractual agreement. Total compensation paid on contract was $33,436. Ms. Bergmann can be reached c/o Solutions 4 Community Health, Inc., 1037 Main St, Peekskill, NY 10566.
FORM 990, PART VI, SECTION A, LINE 9:James Powell 60 Buccaneer Lane E. Setauket, NY 11733 Janet Pepper 413 Barretta Street Sonora, CA 95370 Balvinder Sareen, MD 9 Arbor Road Roslyn Heights, NY 11577 Pedro Rivera One Attitash Dr #8 Vernon, NJ 07462
FORM 990, PART VI, SECTION B, LINE 11B:FORM 990 WAS PREPARED BY A NATIONALLY RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. DRAFT FORM 990 WAS REVIEWED AND PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS IN DRAFT VIA ELECTRONIC MAIL, WITH AN OPPORTUNITY FOR THEM TO COMMENT OR MAKE INQUIRY BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12:OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PROVIDED WITH A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM TO REPORT SITUATIONS THAT POSE OR MAY GIVE THE APPEARANCE OF CONFLICT OF INTEREST. IN ADDITION, THIS PROCESS IS PERFORMED WITH OTHER STAFF AS THE CEO DEEMS APPROPRIATE.
FORM 990, PART VI, SECTION B, LINES 15A:THE ORGANIZATION UTILIZES A COMPENSATION REVIEW PROCESS THAT INCLUDES INDEPENDENT PEOPLE EVALUATING KEY STATISTICS INCLUDING BUT NOT LIMITED TO PERFORMANCE AND MARKET COMPENSATION DATA.
FORM 990, PART VI, SECTION C, LINE 19:THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 21:ALLISON BERGMANN was hired as Interim CEO through Solutions 4 Community Health, Inc. by contractual agreement. Total compensation paid on contract was $33,436. Ms. Bergmann can be reached c/o Solutions 4 Community Health, Inc., 1037 Main St, Peekskill, NY 10566.
FORM 990, PART VIII, LINE 6:$1,800 RENTAL INCOME IS FROM A SUB-LEASE OF PARKING SPACE TO A NON-PROFIT ORGANIZATION THAT SERVES INDIVIDUALS WITH AUTISM, AND OTHER DEVELOPMENTAL DISABILITIES: PROVIDING EDUCATIONAL, HABILITATIVE, AND VOCATIONAL SERVICES TO THE LONG ISLAND COMMUNITY. AS A RESULT, LISH IS NOT SUBJECT TO UNRELATED BUSINESS TAXABLE INCOME UNDER SECTION 514(B)(1).
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED HEALTHCARE SVC TOTAL FEES:2667186
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:166931