2023-09-28T10:51:59-05:00 2022-12-31 BDO USA 100 PARK AVENUE NEW YORK NY 100175001 990 2022-01-01 471001464 LONG ISLAND SELECT HEALTHCARE INC % DOREEN KORONIOS LONG 6316502510 159 Carleton Avenue Central Islip NY 11722 Audrey Smith CEO 6316502160 2023-09-27 true Audrey Smith 999009999 Paul Hammerschmidt P01384178 2128858000 2 2022 2023-04-26 12:10:37Z LISH INC Audrey Smith 159 Carleton Avenue Central Islip NY 11722 19402163 false X www.lishcare.org X 2014 NY TO PROVIDE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS. 9 9 171 10 0 0 35461 14457 20962462 19322743 0 0 64525 29325 21062448 19366525 0 0 0 0 12162375 11917592 0 0 87636 7834882 7813365 19997257 19730957 1065191 -364432 8265975 16474562 2302651 10875670 5963324 5598892 X TO 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. false false 15141457 0 17344204 ARTICLE 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. 1851811 0 1068633 ARTICLE 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: 598 577994 0 909906 OTHER 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. 17571262 true true false false false false false false false false true false false true true true true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false false true 27 0 true 171 true false false false false false true true false false false false false false X 9 9 false true false false false false false true true true false true true true true true true true false false NY X DOREEN KORONIOS 6316502086 159 CARLETON AVENUE Central Islip NY 11722 X PARIS ARIANAS MD PSYCHIATRIST 27.5 0.0 X 321156 0 0 JAMES POWELL MD CEO (thru 10/5/2022) 37.5 0.0 X 276118 0 27482 SPIRO THEOHARAKIS MD PSYCHIATRIST 25.0 0.0 X 272478 0 15273 DEEPIKA SOOD MD PSYCHIATRIST 23.0 0.0 X 228384 0 28558 GAIL FRASER-FARMER MD PHYSICIAN 37.5 0.0 X 209233 0 32506 PEDRO L RIVERA CHIEF FINANCIAL OFFICER 37.5 0.0 X 174159 0 32506 ALAN WINIK DDS DENTIST 31.0 0.0 X 165679 0 5131 BALVINDAR SAREEN CMO (THRU 4/25/2022) 37.5 0.0 X 125303 0 0 JANET PEPPER COO (thru 9/9/2022) 37.5 0.0 X 120697 0 604 SCOTT KIM CMO (as of 8/22/2022) 37.5 0.0 X 92548 0 0 JOHN LESSARD PRESIDENT 3.0 0.0 X X 0 0 0 ROCCO CIRIGLIANO TREASURER 3.0 0.0 X X 0 0 0 ROBERT BUDD SECRETARY 3.0 0.0 X X 0 0 0 TINA ACEVEDO DIRECTOR 1.0 0.0 X 0 0 0 DOREEN BIONDOLILLO DIRECTOR (THRU 3/31/2022) 1.0 0.0 X 0 0 0 MARK CREAN DIRECTOR 1.0 0.0 X 0 0 0 JUDY EISMAN DIRECTOR 1.0 0.0 X 0 0 0 LISA MEYER-FERTAL DIRECTOR 1.0 0.0 X 0 0 0 ROY PROBEYAHN DIRECTOR 1.0 0.0 X 0 0 0 DAVID SISKIND MD DIRECTOR 1.0 0.0 X 0 0 0 ALLISON BERGMANN INTERIM CEO (see Schedule O) 37.5 0.0 X 0 0 0 1985755 0 142060 32 false true false SOLUTIONS 4 COMMUNITY HEALTH 1200 BROWN STREET PEEKSKILL NY 10566 MEDICAL BILLING SVCS 909767 Hudson Headwater 340B LLC PO Box 896 GLEN FALLS NY 12801 340B Management SVCS 259425 Rapid Reliable Testing NY LLC 35 West 35th Street 6th Floor NEW YORK NY 10001 TELEHEALTH SERVICES 194880 Central Business Systems 1219 Walt Whitman Road MELVILLE NY 11747 IT Support 185951 eClinical Works PO Box 847950 BOSTON MA 02284 CLINICAL INFO SRVCS 107645 5 X 3465 10992 13648 14457 NET PATIENT SERVICE REVENUE 624200 14278727 14278727 340B PHARMACY REVENUE 624200 3904428 3904428 GOVERNMENT CONTRACT REVENUE 624200 1040767 1040767 OTHER REVENUE 624200 98821 98821 19322743 0 0 0 1800 1800 0 1800 1800 0 63163 3465 35638 27525 27525 0 0 0 0 0 0 0 19366525 19322743 29325 X 0 0 0 0 849419 849419 0 9023181 8626828 334213 62140 0 1248083 1105276 132836 9971 796909 673050 117787 6072 33436 33436 70350 43433 26889 28 128011 79032 48929 50 0 0 0 2834117 2741786 91539 792 0 1232559 1202982 29515 62 179871 168988 10780 103 0 2281660 2076071 205533 56 0 0 24510 15973 8273 264 463 463 0 91856 80410 11446 192775 158235 34540 EQUIPMENT REPAIR/MAINTENANCE 469006 431258 37748 DUES AND SUBSCRIPTIONS 248066 141255 98713 8098 MISCELLANEOUS EXPENSES 26685 26685 19730957 17571262 2072059 87636 4702040 4701948 0 0 774259 1301884 2245603 1342498 0 0 0 0 0 0 0 0 52977 53760 1178576 821626 441516 356950 0 0 0 0 0 0 0 0 49580 8717522 8265975 16474562 2148089 2002628 0 0 154562 0 0 0 0 0 0 0 0 0 0 0 0 8873042 2302651 10875670 X 5963324 5598892 0 0 5963324 5598892 8265975 16474562 -364432 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 167082 37629 129453 540656 441548 99108 470838 342449 128389 356950 OPERATING LEASE RIGHT OF USE 8717062 SECURITY DEPOSITS 460 8717522 0 OPERATING LEASE LIABILITIES 8703835 REFUNDABLE ADVANCES 169207 8873042 X 19402163 35638 35638 19366525 19366525 19766595 35638 35638 19730957 19730957 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 Golf & Health F 66628 3465 63163 1964 8529 12621 5184 7340 0 66628 3465 63163 1964 8529 12621 5184 7340 35638 27525 X X X false false false false false false false false false JAMES POWELL MD CEO (thru 10/5/2022) 276118 0 0 0 0 0 0 0 27482 0 303600 0 0 0 PEDRO L RIVERA CHIEF FINANCIAL OFFICER 174159 0 0 0 0 0 0 0 32506 0 206665 0 0 0 PARIS ARIANAS MD PSYCHIATRIST 321156 0 0 0 0 0 0 0 0 0 321156 0 0 0 SPIRO THEOHARAKIS MD PSYCHIATRIST 272478 0 0 0 0 0 0 0 15273 0 287751 0 0 0 DEEPIKA SOOD MD PSYCHIATRIST 228384 0 0 0 0 0 0 0 28558 0 256942 0 0 0 GAIL FRASER-FARMER MD PHYSICIAN 209233 0 0 0 0 0 0 0 32506 0 241739 0 0 0 ALAN WINIK DDS DENTIST 165679 0 0 0 0 0 0 0 5131 0 170810 0 0 0 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 11G DESCRIPTION:CONTRACTED HEALTHCARE SVC TOTAL FEES:2667186 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:166931