LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-03
- IRS object ID
- 202203079349301025
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-03T10:19:25-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100175001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111704595 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG ISLAND COMM HOSPITAL AT NYU LANGONE | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % R T MARGULIS CEO | InCareOfNm |
| Business Name Control | LONG | 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 MARGULIS | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 6316547100 | PhoneNum |
| Signature | 2022-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Richard | PersonFirstNm |
| Person Last | MARGULIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kristin Ruffini | PreparerPersonNm |
| PTIN | P00741491 | PTIN |
| Phone | 2128858000 | PhoneNum |
| Preparation | 2022-11-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG ISLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | R T MARGULIS CEO | 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 | $253,963,058 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LICOMMUNITYHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2084 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $40,362,271 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,605,026 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $224,387,866 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $238,390,202 | CYProgramServiceRevenueAmt |
| PY Investment Income | $515,213 | PYInvestmentIncomeAmt |
| CY Investment Income | $232,876 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,148,043 | PYOtherRevenueAmt |
| CY Other Revenue | $2,734,954 | CYOtherRevenueAmt |
| PY Total Revenue | $267,413,393 | PYTotalRevenueAmt |
| CY Total Revenue | $253,963,058 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,504,611 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $165,751,045 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $159,621,134 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $101,551,053 | PYOtherExpensesAmt |
| CY Other Expenses | $94,979,681 | CYOtherExpensesAmt |
| PY Total Expenses | $267,302,098 | PYTotalExpensesAmt |
| CY Total Expenses | $256,105,426 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $111,295 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,142,368 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $344,314,525 | TotalAssetsBOYAmt |
| Total Assets EOY | $308,356,377 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $248,409,297 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $209,765,280 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $95,905,228 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $98,591,097 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO DELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $130,516,247 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $137,723,378 | RevenueAmt |
| Desc | INPATIENT CARE SERVICES - INCLUDES MEDICAL/SURGICAL PROCEDURES, PEDIATRICS, MATERNITY, ICU, CCU, NURSERY, ROUTINE AND PSYCHIATRIC CARE. TOTAL 2021 INPATIENT DAYS: 52,689 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $47,249,336 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $46,243,989 | RevenueAmt |
| Desc | EMERGENCY ROOM SERVICES - AVAILABLE TO THE COMMUNITY 24 HOURS, 7 DAYS A WEEK. TOTAL 2021 TREAT AND RELEASE VISITS: 43,536 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,629,159 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $22,506,133 | RevenueAmt |
| Desc | AMBULATORY SURGERY SERVICES - AVAILABLE TO THE COMMUNITY. TOTAL 2021 PROCEDURES: 4,742 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $37,164,774 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,504,611 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $34,009,890 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $236,559,516 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 234 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2084 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | R T MARGULIS CEO | PersonNm |
| Phone | 6316547175 | 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) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| R T MARGULIS | |||||||||
| PRESIDENT & CEO/DIRECTOR | 40.0 | 0.5 | Yes (X) | Yes (X) | $842,974 | $0 | $64,276 | ||
| F SCONZO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $722,855 | $0 | $40,929 | Yes (X) | |||
| B FARRELL | |||||||||
| VP FINANCE, CFO | 39.5 | 0.5 | Yes (X) | $598,897 | $0 | $54,826 | |||
| W WEHBEH | |||||||||
| VP, CQMO | 40.0 | 0.0 | $489,615 | $0 | $34,526 | Yes (X) | |||
| M PEDDIE | |||||||||
| VP, COO | 40.0 | 0.0 | $412,343 | $0 | $34,526 | Yes (X) | |||
| D BABICH | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $397,335 | $0 | $41,076 | Yes (X) | |||
| D GRIMM | |||||||||
| VP, CNO | 40.0 | 0.0 | $342,629 | $0 | $31,626 | Yes (X) | |||
| R GUPTA | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $310,936 | $0 | $44,212 | Yes (X) | |||
| M HAGGAG | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $287,540 | $0 | $33,495 | Yes (X) | |||
| T Dekhtyar | |||||||||
| Physician Assistant | 40.0 | 0.0 | $259,762 | $0 | $15,049 | Yes (X) | |||
| N Kiridly MD | |||||||||
| DIRECTOR AS OF 6/24/21 | 0.5 | 0.5 | Yes (X) | $18,333 | $0 | $0 | |||
| E KORMYLO DPM | |||||||||
| Director, Secretary | 7.5 | 0.5 | Yes (X) | Yes (X) | $13,785 | $0 | $0 | ||
| W Kruger MD as of 51121 | |||||||||
| DIRECTOR/PRES. OF MED. STAFF | 0.5 | 0.5 | Yes (X) | $5,833 | $0 | $0 | |||
| E P SMITH | |||||||||
| CHAIRMAN | 0.5 | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| P MOLONEY | |||||||||
| 1ST VICE CHAIR | 0.5 | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| F GRUCCI JR | |||||||||
| 2ND VICE CHAIR | 0.5 | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| M KNAPP | |||||||||
| TREASURER | 0.5 | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| F C BRAUN III | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| G BROWN | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| T CULLEN | |||||||||
| DIRECTOR THRU 1/28/21 | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| W LADICK | |||||||||
| DIRECTOR THRU 1/28/21 | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| J MAIORINO | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| J MAYER | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| M MENNELLA | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| M MULHOLLAND | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| C PARKER | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| S NORTON REMMER | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| R ROCHE MD | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| L ROSE | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| C ROTHBERG MD thru 052021 | |||||||||
| DIRECTOR/PRES. OF MED. STAFF | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| E RUSSO | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| R W SCHWARZ | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| J SULLIVAN | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| S TAITZ | |||||||||
| DIRECTOR | 0.5 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,702,837 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $394,541 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 269 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUND PHYSICIANS OF NY PLLC | |||||
| 1498 PACIFIC AVENUE SUITE 400 | TACOMA | WA | 98402 | HOSPITALISTS | $2,859,360 |
| PROGRESSIVE EMERGENCY PHYSICIANS | |||||
| 1236 RXR PLAZA | UNIONDALE | NY | 11556 | Management SERVICES | $2,055,481 |
| RIVKIN RADLER | |||||
| 926 RXR PLAZA ACCOUNTING | UNIONDALE | NY | 115560926 | LEGAL SERVICES | $1,242,725 |
| Sunrise Medical Laboratories | |||||
| 250 Miller Place | HICKSVILLE | NY | 11801 | Lab Services | $1,227,841 |
| St Charles Hospital | |||||
| 200 Belle Terre Road | PORT JEFFERSON | NY | 11777 | physical therapy | $864,124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,923,042 | GovernmentGrantsAmt |
| All Other Contributions | $681,984 | AllOtherContributionsAmt |
| Total Contributions | $12,605,026 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $238,390,202 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $238,390,202 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $238,390,202 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $232,876 | TotalRevenueColumnAmt |
| Exclusion | $232,876 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $269,234 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $269,234 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $269,234 | TotalRevenueColumnAmt |
| Exclusion | $269,234 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PURCHASE DISCOUNTS AND VENDORS REBATES | 900099 | $1,441,625 | $1,441,625 | |
| CAFETERIA INCOME | 722514 | $221,136 | $221,136 | |
| AMBULANCE SUPPLY REVENUE | 900099 | $112,447 | $112,447 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $690,512 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $539,116 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $151,396 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,465,720 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $253,963,058 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $240,483,390 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $874,642 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,504,611 | TotalAmt |
| Program Services | $1,504,611 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,944,190 | TotalAmt |
| Program Services | $936,348 | ProgramServicesAmt |
| Management And General | $2,007,842 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,649 | TotalAmt |
| Program Services | $292,649 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,116,013 | TotalAmt |
| Program Services | $106,973,513 | ProgramServicesAmt |
| Management And General | $8,142,500 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,194,451 | TotalAmt |
| Program Services | $7,545,398 | ProgramServicesAmt |
| Management And General | $649,053 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,902,132 | TotalAmt |
| Program Services | $22,770,843 | ProgramServicesAmt |
| Management And General | $2,131,289 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,171,699 | TotalAmt |
| Program Services | $7,452,550 | ProgramServicesAmt |
| Management And General | $719,149 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,151,566 | TotalAmt |
| Program Services | $4,151,566 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,484,428 | TotalAmt |
| Program Services | $4,383 | ProgramServicesAmt |
| Management And General | $1,480,045 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,912 | TotalAmt |
| Management And General | $102,912 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,731 | TotalAmt |
| Management And General | $110,731 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,696,733 | TotalAmt |
| Program Services | $13,680,866 | ProgramServicesAmt |
| Management And General | $15,867 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,172 | TotalAmt |
| Program Services | $2,073 | ProgramServicesAmt |
| Management And General | $256,099 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,080,585 | TotalAmt |
| Program Services | $770,126 | ProgramServicesAmt |
| Management And General | $310,459 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,391 | TotalAmt |
| Program Services | $285,391 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,901,602 | TotalAmt |
| Program Services | $3,526,147 | ProgramServicesAmt |
| Management And General | $375,455 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,534 | TotalAmt |
| Program Services | $55,534 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,966 | TotalAmt |
| Program Services | $8,414 | ProgramServicesAmt |
| Management And General | $3,552 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,900,825 | TotalAmt |
| Program Services | $3,857,013 | ProgramServicesAmt |
| Management And General | $43,812 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,036,378 | TotalAmt |
| Program Services | $12,558,170 | ProgramServicesAmt |
| Management And General | $478,208 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,492,887 | TotalAmt |
| Program Services | $3,212,079 | ProgramServicesAmt |
| Management And General | $280,808 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $31,009,326 | $31,007,506 | $1,820 | |
| REPAIRS AND MAINTENANCE | $5,651,820 | $5,461,844 | $189,976 | |
| BAD DEBT EXPENSE | $5,142,930 | $5,142,930 | $0 | $0 |
| OTHER SERVICES | $3,612,959 | $1,819,292 | $1,793,667 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,992,936 | TotalAmt |
| Program Services | $3,540,270 | ProgramServicesAmt |
| Management And General | $452,666 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,105,426 | TotalAmt |
| Program Services | $236,559,516 | ProgramServicesAmt |
| Management And General | $19,545,910 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,968,181 | BOYAmt |
| EOY | $44,530,676 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,292,735 | BOYAmt |
| EOY | $47,065,415 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,692,479 | BOYAmt |
| EOY | $32,419,045 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,429,723 | BOYAmt |
| EOY | $5,197,094 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,653,964 | BOYAmt |
| EOY | $1,181,390 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $325,144,704 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $194,979,298 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,547,601 | BOYAmt |
| EOY | $130,165,406 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,947,618 | BOYAmt |
| EOY | $4,444,904 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,847,015 | BOYAmt |
| EOY | $29,305,422 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,935,209 | BOYAmt |
| EOY | $14,047,025 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,314,525 | BOYAmt |
| EOY | $308,356,377 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,670,794 | BOYAmt |
| EOY | $55,628,246 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,578,705 | BOYAmt |
| EOY | $62,622,517 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,020,003 | BOYAmt |
| EOY | $15,927,602 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,139,795 | BOYAmt |
| EOY | $75,586,915 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,409,297 | BOYAmt |
| EOY | $209,765,280 | 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 | $91,295,625 | BOYAmt |
| EOY | $93,818,389 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,609,603 | BOYAmt |
| EOY | $4,772,708 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,905,228 | BOYAmt |
| EOY | $98,591,097 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,314,525 | BOYAmt |
| EOY | $308,356,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,142,368 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $480,450 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,347,787 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $110,731 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $110,731 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1I: | FormAndLineReferenceDesc |
| Explanation | LONG ISLAND COMMUNITY HOSPITAL PAYS DUES TO AMERICAN HOSPITAL ASSOCIATION (AHA), NASSAU-SUFFOLK HOSPITAL COUNCIL (NSHC), HEALTH CARE ASSOCIATION (HCA), AND HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY AHA, NSHC, HCA, AND HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2021 WERE: AHA................$ 12,047 NSHC...............$ 3,376 HCA................$ 2,216 HANYS..............$ 9,092 DURING 2021 THE MEDICAL CENTER ALSO PAID DESMOND RYAN $60,000 AND MCB CONSULTING $24,000 FOR CONSULTING SERVICES FOR POLITICAL PEOPLE AND POWERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $900,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $100,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $900,000 | BeginningYearBalanceAmt |
| End Year Balance | $900,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $900,000 | BeginningYearBalanceAmt |
| End Year Balance | $900,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,531,487 | OtherCostOrOtherBasisAmt |
| Book Value | $1,531,487 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,479,403 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,222,874 | DepreciationAmt |
| Book Value | $72,256,529 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,286,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,825,613 | DepreciationAmt |
| Book Value | $460,639 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,760,507 | OtherCostOrOtherBasisAmt |
| Depreciation | $139,745,589 | DepreciationAmt |
| Book Value | $52,014,918 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,087,055 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,185,222 | DepreciationAmt |
| Book Value | $3,901,833 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $130,165,406 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS IN LICH-BHCS FOUND | Desc |
| Book Value | $29,305,422 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $29,305,422 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $5,173,415 |
| ACCRUED PENSION COSTS | $457,266 |
| ESTIMATED MALPRACTICE LIABILIT | $23,698,970 |
| OPERATING LEASE LIABILITY | $9,062,779 |
| NET | $33,511,295 |
| ASBESTOS ABATEMENT | $3,683,190 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $75,586,915 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $258,791,295 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $480,450 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $4,347,787 | OtherRevenueAmt |
| Revenue Not Reported | $4,828,237 | RevenueNotReportedAmt |
| Revenue Subtotal | $253,963,058 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $253,963,058 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $256,105,426 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $256,105,426 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $256,105,426 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINES 1 AND 4: | LONG ISLAND COMMUNITY HOSPITAL'S ENDOWMENT FUND CONSISTS OF A DONOR-RESTRICTED ENDOWMENT FUND THAT HAS BEEN INITIALLY ESTABLISHED BY A DONOR IN 1969 FOR VARIOUS PURPOSES AND HAS BEEN CLASSIFIED WITHIN NET ASSETS WITH DONOR RESTRICTIONS. THE ORGANIZATION IS ENTITLED TO THE INCOME EARNED ON THE TRUST, AS PER THE DONOR AGREEMENT, AND IS ALLOWED TO SPEND 5% OF THE PRIOR THREE YEARS' TOTAL VALUE, AS MANDATED BY A PAST COURT DECISION. |
| PART X, LINE 2: | LONG ISLAND COMMUNITY HOSPITAL HAS NOT TAKEN AN UNSUBSTANTIATED TAX POSITION THAT WOULD REQUIRE PROVISION OF A LIABILITY UNDER ASC 740, 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 BE SUSTAINED. THE ORGANIZATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS FILED IRS FORM 990, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE IT IS REQUIRED. FOR THE YEAR ENDED DECEMBER 31, 2021, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2018, WHICH IS THE STATUTE OF LIMITATION LOOK-BACK PERIOD. |
| PART XI, LINE 2D: | APPROPRIATION OF NET ASSETS WITH DONOR CHANGE IN UNFUNDED BENEFIT OBLIGATION..............872,729 CHANGE IN NET ASSETS WITHOUT DONOR RESTRICTIONS OF LI COMM. HOSP.-BHCS FOUNDATION.........................................3,475,058 TOTAL..............................................4,347,787 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 425. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13439 | PersonsServedCnt |
| Total Community Benefit Expns | $6,320,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,985,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,334,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 26561 | PersonsServedCnt |
| Total Community Benefit Expns | $46,661,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,385,107 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,276,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05180 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 40000 | PersonsServedCnt |
| Total Community Benefit Expns | $52,982,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,371,050 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,611,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $236,070 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $236,070 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,980,898 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,673,777 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,307,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00900 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,096,667 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,096,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,313,635 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,673,777 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,639,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02590 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 40000 | PersonsServedCnt |
| Total Community Benefit Expns | $62,296,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,044,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,251,233 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,142,930 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $66,742,287 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $86,971,839 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$20,229,552 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 11 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (11 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | Facility Reporting GroupFacilityReportingGroupCd | General Medical And SurgicalGeneralMedicalAndSurgicalInd |
|---|---|---|---|---|---|---|---|
| LONG ISLAND COMM HOSP AT NYU LANGON | |||||||
| 1 | 101 HOSPITAL ROAD | EAST PATCHOGUE | NY | 11772 | Yes (X) | A | |
| HOME HEALTH CARE | |||||||
| 2 | 103 WEST MAIN STREET | PATCHOGUE | NY | 11772 | A | Yes (X) | |
| BROOKHAVEN MEMORIAL HOSP DIALYSIS CTR | |||||||
| 3 | 109 WEST MAIN STREET | PATCHOGUE | NY | 11772 | A | Yes (X) | |
| CTR FOR WOUND CARE & HYPERBARIC MEDIC | |||||||
| 4 | 33 MEDFORD AVENUE | PATCHOGUE | NY | 11772 | A | Yes (X) | |
| HOSPICE | |||||||
| 5 | 105 WEST MAIN STREET | PATCHOGUE | NY | 11772 | A | Yes (X) | |
| OUT PATIENT IMAGING | |||||||
| 6 | 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | A | Yes (X) | |
| WOMEN'S IMAGING SERVICES CENTER | |||||||
| 7 | 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | A | Yes (X) | |
| CARDIO REHABILITATION CENTER | |||||||
| 8 | 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | A | Yes (X) | |
| BROOKHAVEN BELLPORT PRIMARY CARE CTR | |||||||
| 9 | 515 BELLPORT AVENUE | BELLPORT | NY | 11713 | A | Yes (X) | |
| CTR FOR WOUND CARE & HYPERBARIC MED | |||||||
| 10 | 300 KENNEDY DRIVE | HAUPPAUGE | NY | 11788 | A | Yes (X) | |
| OUTPATIENT CHEM DEPEND SRVCS EAST | |||||||
| 11 | 550 MONTAUK HIGHWAY | SHIRLEY | NY | 11967 | A | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG ISLAND COMM HOSP AT NYU LANGON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.LICOMMUNITYHOSPITAL.ORG | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V FOR URL | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 425. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.LICOMMUNITYHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.LICOMMUNITYHOSPITAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.LICOMMUNITYHOSPITAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5: | THE HOSPITAL HAS ESTABLISHED A LEADERSHIP POSITION IN HEALTH PROMOTION, PREVENTION AND EDUCATION THROUGHOUT THE COMMUNITY. REGIONAL HEALTH PLANNING IS ACCOMPLISHED THROUGH A NUMBER OF AGENCY CONTACTS INCLUDING THE SUFFOLK COUNTY DEPARTMENT OF HEALTH, MENTAL HEALTH AGENCIES AND THE NEW YORK STATE DEPARTMENT OF HEALTH. IN ADDITION, THE HOSPITAL WORKS CLOSELY WITH THE SUFFOLK COUNTY POLICE DEPARTMENT. LONG ISLAND COMMUNITY HOSPITAL IS DEDICATED TO COMMUNICATING WITH KEY STAFF AND COMMUNITY MEMBERS, AS THE HOSPITAL PREPARES TO PLAN FOR THE FUTURE HEALTH CARE NEEDS OF THE PEOPLE WE SERVE. FOCUS GROUPS ARE HELD PERIODICALLY, WHICH INCLUDE MEETING WITH THE MEDICAL STAFF, MEMBERS OF THE BOARD OF DIRECTORS, COMMUNITY MEMBERS, THE WEST ISLIP BREAST CANCER COALITION, THE SOUTHAMPTON BREAST CANCER COALITION, HOSPITAL ADVISORY COUNCIL, WHO ARE THE VOICE OF THE COMMUNITY AND HOLD POSITIONS ON VARIOUS COMMUNITY BASED SERVICE GROUPS. THESE CONSTITUENTS HAVE THE ABILITY TO COLLECT INFORMATION FROM VARIED PERSPECTIVES. THE HOSPITAL'S ABILITY TO COLLECT INFORMATION FROM THESE GROUPS AND TRANSLATE THE DIALOG INTO A NEEDS ASSESSMENT IS A VALUABLE RESOURCE TO THE HOSPITAL AS WELL AS THE COMMUNITY. |
| PART V, SECTION B, LINE 6A & 6B: | IN 2016, LONG ISLAND COMMUNITY HOSPITAL ALONG WITH ALL LONG ISLAND HOSPITALS AND BOTH COUNTY DEPARTMENTS OF HEALTH ON LONG ISLAND CONVENED TO WORK COLLABORATIVELY ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OVER TIME, THIS SYNDICATE GREW INTO AN EXPANSIVE MEMBERSHIP OF ACADEMIC PARTNERS, COMMUNITY-BASED ORGANIZATIONS, PHYSICIANS AND OTHER COMMUNITY LEADERS WHO HOLD A VESTED INTEREST IN IMPROVING COMMUNITY HEALTH AND SUPPORTING THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA. DESIGNATED THE LONG ISLAND HEALTH COLLABORATIVE, THIS MULTI-DISCIPLINARY ENTITY HAS BEEN MEETING MONTHLY TO WORK COLLECTIVELY TOWARD IMPROVING HEALTH OUTCOMES FOR LONG ISLANDERS. THE LONG ISLAND HEALTH COLLABORATIVE WAS AWARDED THE POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) GRANT BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE PHIP IS A DATA-DRIVEN ENTITY, PLEDGED TO PURSUE THE NEW YORK STATE OF HEALTH'S PREVENTION AGENDA, MAKING THE PROGRAM A NATURAL DRIVER FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE POPULATION HEALTH IMPROVEMENT PROGRAM, WITH THE PHIP SERVING AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. THE COMMUNITY SERVICE PLAN IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTPS://LICOMMUNITYHOSPITAL.ORG/ABOUT-LONG-ISLAND-COMMUNITY-HOSPITAL/COMMU NITY-SERVICE-PLAN/ |
| PART V, SECTION B, LINE 7D: | OUR COMMUNITY AGENCIES AND PARTNERS WILL ALSO DISTRIBUTE OUR COMMUNITY SERVICE PLAN TO THEIR PARTICIPANTS. |
| PART V, SECTION B, LINE 10A: | The Community Service Plan is available on the hospital's website at https://licommunityhospital.org/about-long-island-community-hospital/commu nity-service-plan/ |
| PART V, SECTION B, LINE 11: | THE FOCUS OF LONG ISLAND COMMUNITY HOSPITAL IS TO DELIVER ACCESSIBLE, HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE SERVED. IN 2020 THESE NEEDS WERE ADDRESSED THROUGH VARIOUS HOSPITAL INITIATIVES AND COMMUNITY EVENTS. LI COMMUNITY HOSPITAL REPRESENTATIVES ATTENDED IN PERSON OPPORTUNITIES AT VARIOUS SERVICE AND FRATERNAL ORGANIZATIONS, SCHOOLS, AND BUSINESSES. THESE EVENTS WERE OFFERED TO PROVIDE AWARENESS AND EDUCATIONAL MATERIAL ON A VARIETY OF DIFFERENT TOPICS AS WELL AS SERVICES OFFERED BY THE HOSPITAL, AND INCLUDED BUT WERE NOT LIMITED TO: A) ADDRESSING STUDENTS AND STAFF AT THE WILLIAM FLOYD SCHOOL DISTRICT REGARDING VARIOUS RADIOLOGY AND CARDIOLOGY PROCEDURES AND CAREERS, STOP THE BLEED TRAINING, AND ZOOM MEETINGS FOR LUNG CANCER AWARENESS. B) PARTICIPATING IN VARIOUS FOOD, TOY, AND CLOTHING DRIVES IN ASSOCIATION WITH ISLAND OUTREACH AND THE SALVATION ARMY. C) PARTNERING WITH VARIOUS LIBRARIES TO PRESENT CPR & AED TRAINING, STOP THE BLEED TRAINING, DIABETES, AND NUTRITION EDUCATION, AND COPING WITH ANXIETY & STRESS DURING THE PANDEMIC. D) HOLDING DIABETES SELF-MANAGEMENT CLASSES, DIABETES SUPPORT GROUP MEETINGS, AND DIABETES PREVENTION PROGRAM SESSIONS. E) HOSTING A COMMUNITY BLOOD DRIVE AND SEVERAL INSTALLATION DINNERS FOR LOCAL CHAMBERS OF COMMERCE. F) PRESENTED COVID-19 PANDEMIC UPDATES TO THE COMMUNITY. |
| PART V, SECTION B, LINE 23: | THE HOSPITAL WILL BILL ALL UNINSURED PATIENTS AT GROSS CHARGES. ALL UNINSURED PATIENTS ARE GIVEN THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. PRIOR TO ANY EXTENUATING COLLECTION EFFORTS, PATIENTS WHO HAVE NOT APPLIED FOR FINANCIAL ASSISTANCE ARE SCREENED FOR PRESUMPTIVE CHARITY CARE. |
| PART V, SECTION B, LINE 24: | NO, ALL INDIVIDUALS DEEMED ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ARE BILLED AT MEDICARE PROSPECTIVE RATES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| HOME HEALTH CARE | ||||
| 103 WEST MAIN STREET | PATCHOGUE | NY | 11772 | OUTPATIENT |
| BROOKHAVEN MEMORIAL HOSP DIALYSIS CTR | ||||
| 109 WEST MAIN STREET | PATCHOGUE | NY | 11772 | OUTPATIENT |
| CENTER FOR WOUND CARE & HYPERBARIC MEDIC | ||||
| 33 MEDFORD AVENUE | PATCHOGUE | NY | 11772 | OUTPATIENT |
| HOSPICE | ||||
| 105 WEST MAIN STREET | PATCHOGUE | NY | 11772 | HOSPICE |
| OUT PATIENT IMAGING | ||||
| 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | OUTPATIENT |
| WOMEN'S IMAGING SERVICES CENTER | ||||
| 285 SILLS ROAD BUILDING 5-6 | BELLPORT | NY | 11772 | OUTPATIENT |
| CARDIO REHABILITATION CENTER | ||||
| 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | OUTPATIENT |
| BROOKHAVEN BELLPORT PRIMARY CARE CTR | ||||
| 515 BELLPORT AVENUE | BELLPORT | NY | 11713 | OUTPATIENT |
| CTR FOR WOUND CARE & HYPERBARIC MED | ||||
| 300 KENNEDY DRIVE | HAUPPAUGE | NY | 11788 | OUTPATIENT |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3B: | THE PERCENT OF FPG USED BY LONG ISLAND COMMUNITY HOSPITAL TO CALCULATE DISCOUNTED CARE STARTS AT 200% (90% DISCOUNT) AND GOES TO 425% (10% DISCOUNT). |
| PART III, LINE 2: | THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THE PROVISION FOR BAD DEBTS CAN BE FOUND IN FOOTNOTE (3) ON PAGE 15 AND FOOTNOTE 5 ON PAGES 24 THROUGH 27 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 4: | THE TEXT OF THE FOOTNOTE THAT DESCRIBE BAD DEBT EXPENSE CAN BE FOUND ON PAGE 14 AND FOOTNOTE 5 ON PAGES 22 THROUGH 25 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | 1) ALL OF THE SHORTFALL ON PART III, SECTION B, LINE 7 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. 2) MEDICARE ALLOWABLE COSTS ARE CALCULATED ON THE HCFA 2552 MEDICARE COST REPORT WORKSHEET E, PART A. |
| PART III, LINE 9B: | LONG ISLAND COMMUNITY HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FURTHER MAINTAINS A COLLECTION POLICY TO USE OUTSIDE PROFESSIONAL COLLECTION AGENCIES ONLY AS A LAST RESORT TO SETTLE DELINQUENT PATIENT ACCOUNTS. THE HOSPITAL FINANCIAL ASSISTANCE POLICY IS TO PROVIDE CARE TO UNINSURED/UNDERINSURED PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN CURRENT ESTABLISHED RATES. PATIENT ELIGIBILITY FOR PARTIAL CHARITY CARE IS CALCULATED BASED ON A SLIDING FEE SCALE OF FAMILY INCOME ADJUSTED FOR THE SIZE OF THE FAMILY. THE HOSPITAL'S PATIENT FINANCIAL SERVICES DEPARTMENT MAKES A WRITTEN DETERMINATION OF ELIGIBILITY AFTER REVIEWING APPLICATIONS AND INFORMATION SUBMITTED TO SUPPORT FAMILY INCOME REPORTED. BASED UPON INCOME AND FAMILY SIZE, THE HOSPITAL MAY DETERMINE THAT PATIENTS MAY QUALIFY FOR MEDICAID BENEFITS, AND MAY FIRST NEED TO APPLY FOR MEDICAID OR CHILD HEALTH PLUS PROGRAM FOR THE UNINSURED BEFORE A DETERMINATION WILL BE MADE UNDER OUR CHARITY CARE POLICY. THE HOSPITAL'S CHARITY CARE POLICY IS TO PROVIDE FREE OR DISCOUNTED EMERGENT AND NON EMERGENT NECESSARY CARE FOR UNINSURED AND UNDERINSURED PATIENTS RESIDING IN SUFFOLK AND NASSAU COUNTIES, AS WELL AS EMERGENTCARE TO PATIENTS RESIDING IN ALL OTHER AREAS OF NEW YORK STATE. IF FINANCIAL ASSISTANCE IS APPROVED FOLLOWING THE APPLICATION PROCESS, A CLEAR EXPLANATION OF BALANCE DUE AND HOW THE DECISION WAS DERIVED IS SUPPLIED. MONTHLY PAYMENT PLANS CAN BE ARRANGED, NOT TO EXCEED 10% OF THE APPLICANT'S MONTHLY GROSS INCOME. IF THE APPLICANT DEFAULTS ON A FINANCIAL AGREEMENT WITH THE HOSPITAL, THE ACCOUNT IN QUESTION WILL BE CONSIDERED DELINQUENT AND MAY BE REFERRED TO A COLLECTION AGENCY/LEGAL ACTION. APPLICANT HAS THE RIGHT TO APPEAL THE HOSPITAL'S DECISION ON ELIGIBILITY OF CHARITY CARE WITHIN 30 DAYS OF NOTIFICATION OF NONELIGIBILITY. |
| Part VI, Line 2: Needs Assessment | IN 2013, LONG ISLAND COMMUNITY HOSPITAL ALONG WITH ALL LONG ISLAND HOSPITALS AND BOTH COUNTY DEPARTMENTS OF HEALTH ON LONG ISLAND CONVENED TO WORK COLLABORATIVELY ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OVER TIME, THIS SYNDICATE GREW INTO AN EXPANSIVE MEMBERSHIP OF ACADEMIC PARTNERS, COMMUNITY-BASED ORGANIZATIONS, PHYSICIANS AND OTHER COMMUNITY LEADERS WHO HOLD A VESTED INTEREST IN IMPROVING COMMUNITY HEALTH AND SUPPORTING THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA. DESIGNATED THE LONG ISLAND HEALTH COLLABORATIVE, THIS MULTI-DISCIPLINARY ENTITY HAS BEEN MEETING MONTHLY TO WORK COLLECTIVELY TOWARD IMPROVING HEALTH OUTCOMES FOR LONG ISLANDERS. THE LONG ISLAND HEALTH COLLABORATIVE WAS AWARDED THE POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP) GRANT BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE PHIP IS A DATA-DRIVEN ENTITY, PLEDGED TO PURSUE THE NEW YORK STATE OF HEALTH'S PREVENTION AGENDA, MAKING THE PROGRAM A NATURAL DRIVER FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE POPULATION HEALTH IMPROVEMENT PROGRAM, WITH THE PHIP SERVING AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED CHRONIC DISEASE AS THE PRIORITY AREA WITH A FOCUS ON (1) OBESITY AND (2) PREVENTIVE CARE AND MANAGEMENT FOR THE 2016-2018 CYCLE. THE GROUP ALSO AGREED THAT MENTAL HEALTH SHOULD BE HIGHLIGHTED AS AN AREA OF OVERLAY WITHIN ALL INTERVENTION STRATEGIES. THIS AREA, MENTAL HEALTH, IS BEING ADDRESSED THROUGH ATTESTATION AND VISIBLE COMMITMENT TO THE DSRIP. THERE ARE FOUR PPS DOMAIN PROJECTS (4.A.I, 4.A.II, 4.A.III) ALIGNED WITH ADDRESSING THESE ISSUES. PRIORITIES SELECTED IN 2016 REMAIN UNCHANGED FROM THE 2016 SELECTION; HOWEVER, A STRONGER EMPHASIS HAS BEEN PLACED ON THE NEED TO INTEGRATE MENTAL HEALTH THROUGHOUT INTERVENTION STRATEGIES. MENTAL HEALTH HAS BEEN HIGHLIGHTED AS A FOCUS AREA OF GROWING NEED, WHICH WILL BE ADDRESSED BY THE NASSAU QUEENS PERFORMING PROVIDER SYSTEM AND SUFFOLK CARE COLLABORATIVE, DSRIP PERFORMING PROVIDER SYSTEMS AS THEY INTEGRATE DOMAIN 4 PROJECTS. PRIMARY DATA SOURCES COLLECTED AND ANALYZED INCLUDE THE LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEY, QUALITATIVE DATA FROM COMMUNITY-BASED ORGANIZATION SUMMIT EVENTS AND THE LIHC WELLNESS SURVEY. SECONDARY, PUBLICALLY-AVAILABLE DATA SETS HAVE BEEN REVIEWED TO DETERMINE CHANGE IN HEALTH STATUS AND EMERGING ISSUES WITHIN SUFFOLK COUNTY. SOURCES OF SECONDARY DATA INCLUDE: STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS), NEW YORK STATE PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), EXTENDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (EBRFSS) AND NEW YORK STATE VITAL STATISTICS. THE BROAD COMMUNITY WAS ENGAGED IN ASSESSMENT EFFORTS THROUGH DISTRIBUTION AND COMPLETION OF THE PREVENTION AGENDA COMMUNITY-MEMBER SURVEY (APPENDIX). THIS TOOL WAS DEVELOPED IN CONSENSUS BY COMMUNITY PARTNERS FROM THE LONG ISLAND HEALTH COLLABORATIVE AND DESIGNED USING THE PREVENTION AGENDA FRAMEWORK. AVAILABLE IN BOTH ONLINE AND HARDCOPY FORMAT, THIS SURVEY WAS TRANSLATED INTO CERTIFIED LATIN AMERICAN-SPANISH LANGUAGE. LIHC COMMUNITY PARTNERS HAVE DISPLAYED AN EXEMPLARY COMMITMENT TO DISTRIBUTING AND PROMOTING THE SURVEY TO A DIVERSE-RANGE OF COMMUNITY MEMBERS AT A VARIETY OF LOCATIONS. DISTRIBUTION AND PROMOTION OF THIS SURVEY IS OCCURRING THROUGHOUT A WIDE-RANGE OF SOCIAL SERVICE LOCATIONS INCLUDING HOSPITALS, DOCTOR'S OFFICES, HEALTH DEPARTMENTS, LIBRARIES, SCHOOLS, INSURANCE ENROLLMENT SITES, COMMUNITY-BASED ORGANIZATIONS AND BEYOND. LONG ISLAND HEALTH COLLABORATIVE MEMBER ORGANIZATIONS ARE SPEARHEADING COMMUNITY ENGAGEMENT STRATEGIES BY ENSURING THAT THEIR FRONT-LINE SERVICE DEPARTMENTS ARE HANDING SURVEYS OUT TO COMMUNITY MEMBERS. IN ADDITION, LONG ISLAND COMMUNITY HOSPITAL PROMOTED THE SURVEY THROUGH SOCIAL MEDIA EFFORTS, POSTED LINKS ON THEIR WEBSITE AND DISTRIBUTED SURVEYS AT HEALTH CENTER, COMMUNITY OUTREACH HAS LONG BEEN A MAINSTAY FOR LONG ISLAND COMMUNITY HOSPITAL. LICH'S OUTREACH PROGRAM PARTICIPATES IN COMMUNITY HEALTH FAIRS, WITH SENIOR AND COMMUNITY CENTERS, AS WELL AS CIVIC ASSOCIATIONS THROUGHOUT THE REGION. LONG ISLAND COMMUNITY HOSPITAL IS ALSO AN ACTIVE MEMBER OF EIGHT CHAMBERS OF COMMERCE IN THE COMMUNITY. MEMBERSHIP WITH THESE CHAMBERS AFFORDS LICH THE OPPORTUNITY TO LEARN OF THE NEEDS OF THE WORKFORCE AND BUSINESS LEADERS IN THE COMMUNITY. LI COMMUNITY HOSPITAL HAS A STRONG PRESENCE IN THE CIVIC AND SERVICE CLUBS, (E.G. KIWANIS, ROTARY CLUB, LIONS,) HOUSES OF WORSHIP, THE YMCA AND BOYS AND GIRLS CLUB, LOCAL GOVERNMENT HEALTH AND SOCIAL SERVICE PROGRAMS, THE SOCIAL SERVICE AGENCIES, SENIOR LIVING COMMUNITIES AND PUBLIC LIBRARIES. THROUGH ITS EMERGENCY MANAGEMENT PROGRAM, LONG ISLAND COMMUNITY HOSPITAL COMMUNICATES ON A REGULAR BASIS WITH THE 28 VOLUNTARY EMS, EMT AND FIRE DEPARTMENTS IN ITS SERVICE AREA. THESE VOLUNTEER DEPARTMENTS PROVIDE AN INVALUABLE SERVICE TO THE COMMUNITY. AS THE 911 RESPONDERS IN THE COMMUNITY, THEY ARE INTIMATELY FAMILIAR WITH THE NEEDS OF THE COMMUNITY. THROUGH REGULAR DIALOGUE, LONG ISLAND COMMUNITY HOSPITAL LEARNS OF THE UNMET NEEDS IN THE COMMUNITY AND IS ABLE TO ASSESS ITS ABILITY TO MEET THOSE NEEDS OR PROVIDE CONNECTIONS TO AVAILABLE SERVICES. TO COLLECT INPUT FROM COMMUNITY MEMBERS AND MEASURE THE COMMUNITY-PERSPECTIVE AS TO THE BIGGEST HEALTH ISSUES IN SUFFOLK COUNTY, THE LIHC DEVELOPED A REGIONAL SURVEY CALLED THE LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEY. THIS SURVEY WAS DISTRIBUTED VIA SURVEY MONKEY AND HARD COPY FORMATS. THE SURVEY WAS WRITTEN WITH ADHERENCE TO CULTURALLY AND LINGUISTICALLY APPROPRIATE STANDARDS (CLAS). IT WAS TRANSLATED INTO CERTIFIED SPANISH LANGUAGE AND LARGE PRINT COPIES WERE AVAILABLE TO THOSE LIVING WITH VISION IMPAIRMENT. SURVEY DISTRIBUTION BEGAN AMONG LIHC MEMBERS IN JANUARY 2016, WITH 3,910 SURVEYS COLLECTED FROM SUFFOLK COUNTY RESIDENTS. BASED UPON THE TOTAL POPULATION OF SUFFOLK COUNTY, SURVEY TOTALS ASSUME A CONFIDENCE LEVEL OF 95% AND CONFIDENCE INTERVAL OF 1.57. INITIAL ANALYSIS TOOK PLACE IN MARCH 2016, A SECONDARY ANALYSIS TOOK PLACE IN JUNE 2016, AND A THIRD ANALYSIS TOOK PLACE IN NOVEMBER 2016. LIHC MEMBERS HAVE PLAYED AN INTEGRAL ROLE IN ENSURING SURVEYS ARE DISTRIBUTED WHILE MAINTAINING VALIDITY AND RELIABILITY AMONG RESPONSES. LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEYS WERE DISTRIBUTED BOTH BY PAPER, AND ELECTRONICALLY THROUGH SURVEY MONKEY, TO COMMUNITY MEMBERS. ON MARCH 21ST 2016, JUNE 2ND 2016, AND NOVEMBER 1ST 2016, THE PHI P DATA ANALYST DOWNLOADED RESULTS FROM EACH OF THE SURVEY MONKEY COLLECTORS. DATA FINDINGS BY SURVEY QUESTION: WHEN ASKED WHAT THE BIGGEST ONGOING HEALTH CONCERNS IN THE COMMUNITY WHERE YOU LIVE ARE: 1. SUFFOLK COUNTY RESPONDENTS FELT THAT DRUGS AND ALCOHOL ABUSE, CANCER, AND OBESITY/WEIGHT LOSS WERE THE TOP THREE CONCERNS. THESE THREE CHOICES REPRESENTED ROUGHLY 46% OF THE TOTAL RESPONSES 2. WHEN ASKED WHAT THE BIGGEST ONGOING HEALTH CONCERNS FOR YOURSELF ARE: SUFFOLK COUNTY RESPONDENTS FELT THAT OBESITY/WEIGHT LOSS, WOMEN'S HEALTH AND WELLNESS, AND CANCER WERE THE TOP THREE CONCERNS. THESE THREE CHOICES REPRESENTED ROUGHLY 40% OF THE TOTAL RESPONSES. FINDINGS FROM QUESTIONS 1 AND 2 OF THE LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEY SERVED AS ONE DATA-DRIVER FOR SELECTION OF THE PRIORITY AREAS FOR THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENTS. AN ADDITIONAL FOCUS OF THIS SURVEY TOOL EXPLORED BARRIERS TO CARE, COMMUNITY NEEDS AND EDUCATION OR HEALTH SERVICES. THE NEXT QUESTION SOUGHT TO IDENTIFY POTENTIAL BARRIERS THAT PEOPLE FACE WHEN GETTING MEDICAL TREATMENT: 3. SUFFOLK COUNTY RESPONDENTS FELT THAT NO INSURANCE, INABILITY TO PAY CO-PAYS OR DEDUCTIBLES, AND FEAR WERE THE MOST SIGNIFICANT BARRIERS. THESE CHOICES RECEIVED ROUGHLY 55% OF THE TOTAL RESPONSES. 4. WHEN ASKED WHAT WAS MOST NEEDED TO IMPROVE THE HEALTH OF YOUR COMMUNITY: SUFFOLK COUNTY RESPONDENTS FELT THAT DRUG AND ALCOHOL REHABILITATION SERVICES, HEALTHIER FOOD CHOICES, AND JOB OPPORTUNITIES WERE MOST NEEDED. THESE CHOICES ACCOUNTED FOR 40% OF THE TOTAL RESPONSES. 5. WHEN ASKED WHAT HEALTH SCREENINGS OR EDUCATION SERVICES ARE NEEDED IN YOUR COMMUNITY: SUFFOLK COUNTY RESPONDENTS FELT THAT DRUG AND ALCOHOL, MENTAL HEALTH/DEPRESSION, AND EXERCISE/PHYSICAL ACTIVITY SERVICES WERE MOST NEEDED. SUMMARY OF FINDINGS: THE DISTINCT AND CUMULATIVE PREVENTION AREAS BY RANKING TABLES, DISPLAYED BELOW, OUTLINE THE NEW YORK STATE PREVENTION AGENDA PRIORITY AREAS RANKED IN ORDER FROM HIGHEST TO LOWEST RATE OF MARKED SIGNIFICANCE OF CONCERN AMONG PARTICIPANTS. SUMMIT PARTICIPANTS REPORTED CHRONIC DISEASE AS THE MOST SIGNIFICANT HEALTH PROBLEM SEEN WITHIN THE COMMUNITIES, THEY SERVE IN SUFFOLK COUNTY. IN LOOKING AT DISTINCT PREVENTION AGENDA CATEGORIES, 30.9% OF QUOTATIONSINDICATED CHRONIC DISEASE BEING A PRIORITY AREA. DISTINCT PREVENTION AREAS BY RANKING REFLECTS THE NUMBER OF QUOTATIONS WHERE THE FOCUS AREA IS MENTIONED AT LEAST ONCE AND COUNTED |
| Part VI, Line 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | FINANCIAL ASSISTANCE SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH IN PATIENT FINANCIAL SERVICES, THE EMERGENCY ROOM, AND OUTPATIENT REGISTRATION AREAS. APPLICATIONS AND FINANCIAL ASSISTANCE POLICY ARE PART OF THE ADMISSION/DISCHARGE PACKETS FOR UNINSURED PATIENTS, SUPPLIED IN DIRECT RESPONSE TO INQUIRIES MADE TO PATIENT FINANCIAL SERVICE DEPARTMENT, IS REFERENCED ON BILLS SENT TO ALL SELF-PAY PATIENTS/GUARANTORS. |
| Part VI, Line 4: COMMUNITY INFORMATION | THE COMMUNITY HEALTH ASSESSMENT COVERS SUFFOLK COUNTY, NEW YORK. SUFFOLK COUNTY'S SERVICE AREA IS SITUATED EAST OF THE NASSAU COUNTY BORDER, EXTENDING THROUGH THE EASTERN FORKS OF LONG ISLAND. IT COMPRISES TEN TOWNS: BABYLON, HUNTINGTON, ISLIP, SMITHTOWN, BROOKHAVEN, SOUTHAMPTON, RIVERHEAD, EAST HAMPTON, SHELTER ISLAND AND SOUTHOLD. SUFFOLK COUNTY IS AN AREA OF GROWING DIVERSITY, CULTURES AND POPULATION CHARACTERISTICS. LONG ISLAND COMMUNITY HOSPITAL SERVES THE NEEDS OF 28 TOWNS AND VILLAGES IN SUFFOLK COUNTY. LI COMMUNITY HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA CENSUS IS 375,000 PERSONS. IT INCLUDES BROOKHAVEN (ONE OF THE FASTEST GROWING TOWNS IN NEW YORK), AND EXPANDS FROM WEST TO EAST FROM SAYVILLE TO MORICHES AND NORTH TO CORAM AND SELDEN. CURRENTLY THE HIGHEST NUMBER OF HOSPITAL VISITS ORIGINATE FROM THE TOWN OF PATCHOGUE, WHICH IS ETHNICALLY DIVERSE AND INCLUDES A HIGH NUMBER OF MINORITIES. THE INDIVIDUAL MEDIAN INCOME THAT ON AVERAGE IS 25 PERCENT LESS THAN OTHER SUFFOLK COUNTY RESIDENTS. CENSUS DATA NOTES AN UNEMPLOYMENT RATE FOR THE 28 COMMUNITIES OF 6.73% WITH SEVERAL AREAS OVER 10% INCLUDING BROOKHAVEN, WEST SAYVILLE, AND MASTIC BEACH. THE POVERTY RATE FOR OUR COMMUNITY IS AT 7.69% WHICH IS WELL ABOVE STATE AND COUNTY AVERAGES WITH SEVERAL COMMUNITIES WITH RATES IN EXCESS OF 10 PERCENT INCLUDING BELLPORT AT 16.9%, MASTIC BEACH AT 17.5%, MASTIC AT 13.2%, PATCHOGUE AT 12.4% AND YAPHANK AT 11.1%. WHILE THE COUNTY HAS AREAS OF WEALTH, THE POPULATION SERVED BY THE MEDICAL CENTER CONTAINS 7 OUT OF 10 COMMUNITIES WITH THE LOWEST MEDIAN INCOME IN SUFFOLK COUNTY. APPROXIMATELY 102,000 INDIVIDUALS IN SUFFOLK COUNTY LIVE BELOW THE FEDERAL POVERTY LEVEL. WITH 28,800 LIVING IN OUR CATCHMENT AREA THAT APPROXIMATES 28% OF THE TOTAL. DATA PRESENTED WITHIN CHNA REPORT DEMONSTRATES THE EXISTENCE OF VAST HEALTH DISPARITIES STEMMING FROM A WIDE RANGE OF SOCIOECONOMIC FACTORS. OUR FINDINGS INDICATE THE REALITY OF THE LINKAGE OF HEALTH DISPARITIES TO A VARIETY OF SOCIAL FACTORS INCLUDING RACE, ETHNICITY, GENDER, LANGUAGE, AGE, DISABILITIES, AND FINANCIAL SECURITY AMONG OTHERS. ELIMINATION OF SUCH DISPARITIES IS A PRIORITY THROUGHOUT THE LONG ISLAND REGION AS BRIDGING OF GAPS AND SERVICES WILL ULTIMATELY IMPROVE HEALTH OUTCOMES AND QUALITY OF LIFE FOR COMMUNITY MEMBERS. AS NOTED PREVIOUSLY THE SOCIOECONOMIC ENVIRONMENT OF OUR CATCHMENT AREA SHOWS UNEMPLOYMENT AND POVERTY RATES WELL ABOVE THE LONG ISLAND AND SUFFOLK COUNTY AVERAGES. THE MASTIC BEACH AREA HAS AN UNEMPLOYMENT RATE OF 10.8%, POVERTY RATE OF 17.5% AND 17.8% OF THEIR RESIDENCE ARE RECEIVING CASH PUBLIC ASSISTANCE AND OR FOOD STAMPS. BELLPORT IS ANOTHER COMMUNITY IN NEED WITH UNEMPLOYMENT AT 6.1% BUT THE POVERTY LEVEL IS AT 16.9% AND HOUSEHOLD ASSISTANCE NEED IS AT 11.64%. THE BROOKHAVEN BELLPORT PRIMARY CARE CENTER WAS OPENED TO SUPPORT THE NEEDS OF THIS COMMUNITY AND WE ARE WORKING WITH COMMUNITY GROUPS, THE BOYS AND GIRLS CLUB AS WELL AS MANY AREA CHURCHES AND ORGANIZATIONS TO PUBLICIZE OUR PRESENCE. PLANS ARE BEING DEVELOPED TO ESTABLISH A SIMILAR FACILITY IN THE SHIRLEY/MASTIC AREA. SOURCE U.S. CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. DATA DERIVED FROM POPULATION ESTIMATES, AMERICAN COMMUNITY SURVEY, CENSUS OF POPULATION AND HOUSING, STATE AND COUNTY HOUSING UNIT ESTIMATES, COUNTY BUSINESS PATTERNS, NON-EMPLOYER STATISTICS, ECONOMIC CENSUS, SURVEY OF BUSINESS OWNERS, BUILDING PERMITS. |
| Part VI, Line 5: PROMOTION OF COMMUNITY HEALTH | LONG ISLAND COMMUNITY HOSPITAL (LICH) is a voluntary, not-for-profit community hospital in Patchogue, Suffolk County, New York. Long Island Community Hospital has maintained a commitment to providing access to quality health care since its founding in 1956. Long Island Community Hospital has grown from a 100-bed hospital founded to meet the needs of the Village of Patchogue, to a Medical Center with an operating license for 306 beds that serves the lives of more than 375,000 people living in 28 different communities. The 2019-2021 Community Service Plan will provide an overview of the hospital, its cooperation with the Long Island Health Collaborative, Suffolk County Department of Health, Nassau Suffolk Hospital Council and the hospitals of Suffolk County to develop a systematic approach to developing plans for providing access to care for the community for the upcoming years. We provide care through a 306-bed acute-care hospital that's part of a multidisciplinary, multi-campus, state-of-the-art healthcare complex, designed to meet the evolving needs of the 28 Suffolk County communities we serve. LICH is in the process opening a state-of-the-art cardiac care center (Knapp Cardiac Care Center) that will further enhance the services and meet the needs of our community. While much has changed since we first opened our doors to the community in 1956, our patient-centered approach to healthcare remains as strong as ever. Today, we are home to some of the finest centers for specialized care along with a Level III Trauma Center/Emergency Room, two Community Behavioral/Chemical Dependency Health Centers in cooperation with Hudson River Health, and more. The Medical Center also was the first in the county to establish a Certified Home Health Care Department, a Hospice and an outpatient Hemodialysis unit and is a leader in health education throughout the community. LONG ISLAND COMMUNITY HOSPITAL was founded by a community focused Board of Directors and continues with more than 23 members from the community who serve on the governing Board. In addition, the hospital established an Advisory Council to receive further input to the needs of the community's residents. There are more than 24 members on the Advisory Council. Members are typically active in other areas of the community and including: civic leaders, members of the clergy, school representatives, public health advocates, business leaders and service club members. In 2013, Long Island Community Hospital along with all Long Island Hospitals and both County Departments of Health on Long Island convened to work collaboratively on the community health needs assessment. Over time, this syndicate grew into an expansive membership of academic partners, community-based organizations, physicians and other community leaders who hold a vested interest in improving community health and supporting the NYS Department of Health Prevention Agenda. Designated The Long Island Health Collaborative, this multi-disciplinary entity has been meeting monthly to work collectively toward improving health outcomes for Long Islanders. The Long Island Health Collaborative was awarded the Population Health Improvement Program (PHIP) grant by the New York State Department of Health. The PHIP is a data-driven entity, pledged to pursue the New York State of Health's Prevention Agenda, making the program a natural driver for the Community Health Needs Assessment cycle. Data analysis efforts were coordinated through the Population Health Improvement Program, with the PHIP serving as the centralized data return and analysis hub. As directed by the data results, community partners selected Chronic Disease as the Priority Area with a focus on (1) Obesity and (2) Preventive Care and Management for the 2016-2018 cycle. In 2019, members of the Long Island Health Collaborative reviewed extensive data sets selected from both primary and secondary data sources to identify and confirm Prevention Agenda priorities for the 2019-2021 Community Health Needs Assessment cycle. Data analysis efforts were coordinated through the Long Island Health Collaborative, which served as the centralized data return and analysis hub. As directed by the data results, community partners selected: 1. Prevent Chronic Disease Focus Area 4: Chronic Disease Preventive Care and Management 2. Promote Well-Being and Prevent Mental and Substance Use Disorders Focus Area 2: Mental and Substance Use Disorders Prevention The health disparity in which partners are focusing their efforts rests on the inequities experienced by those in low-income neighborhoods. As such, low-income - one social determinant of health - precludes members from low-income communities from accessing preventive and/or medical care due to their difficulty to afford co-payments/deductibles (if insured) or care at all if they are uninsured. Additionally, financially-stressed individuals have difficulty affording nutritious foods, leaving them more vulnerable to poorer chronic disease management outcomes, since nutrition and diet play a pivotal role in almost every chronic disease. Priorities selected in 2019 remain unchanged from the 2016 selection; however, for 2019, a specific priority regarding mental health and substance use was selected, as opposed to placing an overarching emphasis on these two issues as was done in the previous cycle. This is in response to the raging opioid crisis in both counties. New York State Department of Health statistics report that for 2016 in Suffolk County there were 344 deaths from any opioid, 129 heroin overdose deaths, and 192 deaths from synthetic opioids (other than methadone). There is also a surge in mental health issues and suicides, particularly among the youth population. Priorities selected in 2013 remain unchanged from the 2016 selection; however, a stronger emphasis has been placed on the need to integrate Mental Health throughout Intervention Strategies. Mental health has been highlighted as a focus area of growing need, which will be addressed by the Nassau Queens Performing Provider System and Suffolk Care Collaborative, DSRIP Performing Provider Systems as they integrate Domain 4 projects. Primary data sources collected and analyzed include the Long Island Community Health Assessment Survey, Qualitative Data from Community-Based Organization Summit events and the LIHC Wellness survey. Secondary, publically-available data sets have been reviewed to determine change in health status and emerging issues within Suffolk County. Sources of secondary data include: Statewide Planning and Research Cooperative System (SPARCS), New York State Prevention Agenda dashboard, County Health Rankings, Behavioral Risk Factor Surveillance System (BRFSS), Extended Behavioral Risk Factor Surveillance System (eBRFSS) and New York State Vital Statistics. The following entities will collaborate with LICH to assist with attainment of goals and objectives of the public health priorities: LICH - Diabetes Wellness Center: In partnership with The New York State Diabetes Prevention Program (NYS DPP), LICH hosts free education programs provided by the Suffolk County Department of Health Services. Pre-diabetes is a serious health condition that can lead to diabetes, heart disease, and stroke. Most people with pre-diabetes don't know that they have the condition. In 2006, LICH developed the Diabetes Wellness Center with the support of the Suffolk County Lions Diabetes Education Foundation sclionsdiabetes.org and Lions International. The Center has a Diabetes Self-Management Education Program and offers a series of educational programs "Living Well While Managing Your Diabetes" for those learning to manage with diabetes in their life. The classes are held at LI Community Hospital Diabetes Wellness Center located 109 W. Main Street, Patchogue, NY 11772. For more information please call 631.687.4188. Long Island Conmmunity Hospital - Bellport Primary Care Center: LICH has opened a primary care center in Bellport which is close to the main hospital. This primary care center has a strong focus on prevention and education, especially in the areas of diabetes, hypertension, tobacco cessation, obesity, mental health and substance abuse, women's health and cardiovascular education. Located in close proximity to the Bellport Primary Care Center is the Boys and Girls Club of Bellport Area facility. BPPC and the Club collaborate to provide better health and lifestyle choices for the residents of the community. Community-Based Patient Advisory Council: LICH realizes the tremendous value of having a community-based Patient Advisory Council (PAC). In 2014, LICH selected a diverse group of community members who can provide us information and feedback about the programs and services offered. LI Community Hospital Breast Cancer Survivorship Coalition: LICH recognizes the impact that Breast cancer can have on not just the patient but the family and is working with community members to supp |
| Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM | Not applicable. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN HEALTH CARE SERVICES CORPORATION | 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) |
|---|---|---|
| Recipient EIN | 112950196 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $1,504,611 | CashGrantAmt |
| Purpose Of Grant | To support development at 14 Glover | 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 | The grantee organization is a 501(c)(3) entity that is the corporate parent of the reporting organization. The reported activity is a board approved grant to the corporate parent in support of the organization's mission. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R T MARGULIS | ||||||||||||||
| PRESIDENT & CEO/DIRECTOR | $830,386 | $0 | $0 | $0 | $12,588 | $0 | $40,150 | $0 | $24,126 | $0 | $907,250 | $0 | $0 | $0 |
| B FARRELL | ||||||||||||||
| VP FINANCE, CFO | $596,575 | $0 | $0 | $0 | $2,322 | $0 | $30,700 | $0 | $24,126 | $0 | $653,723 | $0 | $0 | $0 |
| M PEDDIE | ||||||||||||||
| VP, COO | $411,101 | $0 | $0 | $0 | $1,242 | $0 | $10,400 | $0 | $24,126 | $0 | $446,869 | $0 | $0 | $0 |
| W WEHBEH | ||||||||||||||
| VP, CQMO | $487,293 | $0 | $0 | $0 | $2,322 | $0 | $10,400 | $0 | $24,126 | $0 | $524,141 | $0 | $0 | $0 |
| D GRIMM | ||||||||||||||
| VP, CNO | $335,771 | $0 | $0 | $0 | $6,858 | $0 | $7,500 | $0 | $24,126 | $0 | $374,255 | $0 | $0 | $0 |
| F SCONZO | ||||||||||||||
| PHYSICIAN | $721,271 | $0 | $0 | $0 | $1,584 | $0 | $7,500 | $0 | $33,429 | $0 | $763,784 | $0 | $0 | $0 |
| D BABICH | ||||||||||||||
| PHYSICIAN | $396,303 | $0 | $0 | $0 | $1,032 | $0 | $7,500 | $0 | $33,576 | $0 | $438,411 | $0 | $0 | $0 |
| M HAGGAG | ||||||||||||||
| PHYSICIAN | $285,120 | $0 | $0 | $0 | $2,420 | $0 | $7,054 | $0 | $26,441 | $0 | $321,035 | $0 | $0 | $0 |
| T Dekhtyar | ||||||||||||||
| Physician Assistant | $259,627 | $0 | $0 | $0 | $135 | $0 | $14,989 | $0 | $60 | $0 | $274,811 | $0 | $0 | $0 |
| R GUPTA | ||||||||||||||
| PHYSICIAN | $310,696 | $0 | $0 | $0 | $240 | $0 | $10,400 | $0 | $33,812 | $0 | $355,148 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWN OF BROOKHAVEN LOCAL DEVELOPMENT CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 272768182 | BondIssuerEIN |
| CUSIP | 113168BG2 | CUSIPNum |
| Bond Issued | 2020-10-29 | BondIssuedDt |
| Issue Price | $64,520,669 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $64,525,583 | TotalProceedsAmt |
| In Reserve Fund | $3,831,380 | InReserveFundAmt |
| Capitalized Interest | $608,506 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $1,150,076 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $6,897,597 | CapitalExpendituresAmt |
| Other Spent Proceeds | $38,668,117 | OtherSpentProceedsAmt |
| Unspent | $13,369,907 | UnspentAmt |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (true) | RefundingTaxableBondsInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A, COLUMN (F): | REFUND PRIOR ISSUES (3/27/14, 2/9/17, 8/4/17, 5/16/18, 6/1/18, 9/26/18, 10/1/18, 11/14/19) AND CONSTRUCT AND RENOVATE FACILITIES. |
| PART II, LINE 3: | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| F GRUCCI III | |||
| SEE PART V | $119,266 | EMPLOYMENT | false |
| L B MCDOWELL | |||
| SEE PART V | $142,033 | EMPLOYMENT | false |
| J DUDEK | |||
| SEE PART V | $31,351 | EMPLOYMENT | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV: | FormAndLineReferenceDesc |
| Explanation | 1) F. GRUCCI, III IS THE SON OF F. GRUCCI, JR., 2ND VICE CHAIRMAN. 2) L. B. MCDOWELL IS THE DAUGHTER OF R. W. SCHWARZ, DIRECTOR. 3) J. DUDEK IS THE SISTER OF J. MAYER, DIRECTOR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, Box C: | Effective March 1, 2022, Brookhaven Memorial Hospital Medical Center, Inc. dba Long Island Community Hospital entered into an affiliation agreement with NYU Langone Health System. As such, the organization changed its legal name to Long Island Community Hospital at NYU Langone Health dba Long Island Community Hospital. |
| FORM 990, PART III, LINE 4D | 1) RENAL DIALYSIS - TOTAL VISITS: 28,035. TOTAL EXPENSES: $15,118,381. TOTAL REVENUE: $ 7,939,513. 2) HOME HEALTH AGENCY - PROVIDES CERTIFIED HOME HEALTH AND LONG TERM CARE TO THE COMMUNITY. TOTAL VISITS: 12,195. TOTAL EXPENSES: $ 4,243,353. TOTAL REVENUE: $ 2,765,822. 3) REFERRED AMBULATORY - SERVICES AVAILABLE TO THE COMMUNITY. TOTAL VISITS: 22,110. TOTAL EXPENSES: $ 1,685,120. TOTAL REVENUE: $ 2,533,205. 4) HOSPICE - TOTAL DAYS: 5,838. TOTAL EXPENSES: $ 1,439,374. TOTAL REVENUE: $ 1,350,286. 5) MENTAL HEALTH AND CHEMICAL DEPENDENCY OUTPATIENT CLINICS - TOTAL VISITS: 4,899. TOTAL EXPENSES: $724,584. TOTAL REVENUE: $468,576. 6) HOME PROGRAM DIALYSIS (CAPD) - TOTAL VISITS: 1,068. TOTAL EXPENSES: $621,233. TOTAL REVENUE: $1,270,081. 7) ALL OTHER CLINICS (WOUND CARE, HYPERBARIC, SLEEP, CARDIAC CATH, CARDIAC REHAB, PULMONARY REHAB, AND BELLPORT PRIMARY). TOTAL VISITS: 18,724. TOTAL EXPENSES: $ 11,828,118. INCLUDING GRANTS OF: $1,504,611. TOTAL REVENUE: $ 17,682,407. |
| FORM 990, PART VI, SECTION A, LINES 6 AND 7A: | LONG ISLAND COMMUNITY HOSPITAL HEALTH CARE SERVICES FOUNDATION (BROOKHAVEN HEALTH CARE SERVICES CORPORATION) IS THE SOLE MEMBER OF LONG ISLAND COMMUNITY HOSPITAL (BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER). LONG ISLAND COMMUNITY HOSPITAL HEALTH CARE SERVICES FOUNDATION ELECTS THE BOARD OF LONG ISLAND COMMUNITY HOSPITAL AND APPOINTS THE PRESIDENT OF LONG ISLAND COMMUNITY HOSPITAL. |
| 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. THE FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULES BASED ON THE CALENDAR YEAR'S FINANCIAL ACTIVITY. 2. THE DRAFT IS PROVIDED TO THE ORGANIZATION'S EXTERNAL TAX ADVISOR FOR REVIEW. 3. THE DRAFT IS THEN REVIEWED BY MANAGEMENT FOR COMPLETENESS AND ACCURACY. THIS IS AN ITERATIVE PROCESS WHICH MAY INVOLVE MORE THAN ONE REVIEW BY THE ORGANIZATION'S EXTERNAL TAX ADVISOR. 4. THE REVIEWED DRAFT IS PRESENTED TO THE BOARD OF TRUSTEES' FNANCE AND AUDIT COMMITTEE FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C: | MEMBERS OF THE BOARD OF DIRECTORS, ADMINISTRATORS, DEPARTMENT HEADS AND MEDICAL STAFF WORKING FOR OR ON BEHALF OF LONG ISLAND COMMUNITY HOSPITAL ARE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND WHENEVER NEW INFORMATION OR CHANGES ARISE THAT MAY REQUIRE DIFFERENT RESPONSES FROM THOSE INCLUDED IN THE PREVIOUS CONFLICT OF INTEREST DISCLOSURE STATEMENT. INDIVIDUALS ARE REQUIRED TO NOTIFY THE COMPLIANCE OFFICER WHEN THEY BELIEVE CHANGES IN THE RESPONSES MAY BE NECESSARY OR WHEN THEY BELIEVE A TRANSACTION MAY INVOLVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE HOSPITAL BY-LAWS REQUIRE THAT ANYONE WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IMMEDIATELY DISCLOSE THIS FACT TO THE BOARD OF DIRECTORS OR TO A DESIGNATED BOARD COMMITTEE FOR THEIR REVIEW AND EVALUATION. FURTHER, THE BY-LAWS PROHIBIT ANY INDIVIDUAL OR ENTITY DEEMED TO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST FROM PARTICIPATING IN ANY EVALUATION OR DECISION MAKING PROCESS REGARDING PRODUCTS OR SERVICES PROVIDED BY OR THROUGH THAT INDIVIDUAL OR ENTITY OR FROM USING THIS RELATIONSHIP TO OBTAIN GOODS OR SERVICES ON TERMS THAT ARE NOT AVAILABLE TO INDIVIDUALS WHO ARE NOT AFFILIATED WITH THE HOSPITAL. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE AFOREMENTIONED POLICY AND REPORT ANY CONDUCT THAT IT BELIEVES IN GOOD FAITH TO BE A VIOLATION OF THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINES 15A AND 15B: | THE EXECUTIVE COMPENSATION COMMITTEE IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND SELECTED MEMBERS OF THE BOARD OF DIRECTORS. AN EXECUTIVE COMPENSATION CONSULTANT IS INVITED TO PRESENT DATA AND TRENDS TO THIS COMMITTEE EVERY TWO TO THREE YEARS FOR THEIR REVIEW AND EVALUATION OF THE CURRENT SALARIES AND FRINGE BENEFITS OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF LICH AS COMPARED TO OTHERORGANIZATIONS. IN SETTING COMPENSATION LEVELS FOR EACH EXECUTIVE, THE COMMITTEE COMPARES EACH BASE SALARY AND TOTAL CASH COMPENSATION LEVEL TO MARKET COMPARISON DATA (BASED ON HEALTHCARE SYSTEMS WITH COMPARABLY SIZED OPERATIONAL BUDGETS), ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS. THE CEO, WILL BE EXCUSED FROM THE MEETING OF THE EXECUTIVE COMPENSATION COMMITTEE, FOR A REVIEW OF THE CEO'S COMPENSATION. AGAIN, THE COMMITTEE WILL USE INDUSTRY STANDARDS FROM COMPARABLY SIZED OPERATIONAL BUDGETS, ORGANIZATIONAL SUCCESS AGAINST PREDETERMINED OBJECTIVES, AND INDIVIDUAL PERFORMANCE AGAINST PREDETERMINED OPERATIONAL GOALS, TO ESTABLISH THE CEO'S COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE WILL MAKE RECOMMENDATIONS FOR ALL COMPENSATION. THE INFORMATION IS PRESENTED TO THE OVERALL LONG ISLAND COMMUNITY HOSPITAL BOARD, SUBJECT TO RATIFICATION OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19: | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. |
| FORM 990, Part XI, LINE 9: | APPROPRIATION OF NET ASSETS WITH DONOR CHANGE IN UNFUNDED BENEFIT OBLIGATION..............872,729 CHANGE IN NET ASSETS WITHOUT DONOR RESTRICTIONS OF LI COMM. HOSP.-BHCS FOUNDATION.........................................3,475,058 TOTAL..............................................4,347,787 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN HEALTH CARE SERVICES CORP | 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 | 112950196 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Brookhaven Physician Services | |||||||||||
| 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | 260628913 | PHYSICIAN OFF | NY | BHCSC | C | $0 | $0 | false |
| Brookhaven Surgical Services PC | |||||||||||
| 100 Hospital ROAD | Patchogue | NY | 11772 | 260885844 | PHYSICIAN OFF | NY | BHCSC | C | $0 | $0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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