2022-10-26T10:17:29-05:00 2021-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2021-01-01 471001464 LONG ISLAND SELECT HEALTHCARE INC % EDGARDO UY LONG 6316502510 159 Carleton Avenue Central Islip NY 11722 John Lessard President 6316502160 2022-10-24 true John Lessard 999009999 Paul Hammerschmidt P01384178 2128858000 2 2021 2022-09-23 18:48:47Z LISH INC John Lessard 159 Carleton Avenue Central Islip NY 11722 21104638 false X www.lishcare.org X 2014 NY TO PROVIDE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS. 10 10 158 43 0 0 126447 35461 19346006 20962462 0 0 1800 64525 19474253 21062448 0 0 0 0 9920013 12162375 0 0 81880 7249328 7834882 17169341 19997257 2304912 1065191 6694026 8265975 1795893 2302651 4898133 5963324 X TO PROVIDE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS WHILE HELPING IMPROVE ACCESS TO CARE AND ENSURING THAT INABILITY TO PAY IS NOT A BARRIER. false false 15205856 0 18769323 ARTICLE 28 - LONG ISLAND SELECT HEALTHCARE PROVIDES DIAGNOSTIC AND TREATMENT SERVICES INCLUDING COMPREHENSIVE PRIMARY CARE, DENTAL, BEHAVIORAL HEALTH, MEDICAL SPECIALTIES, THERAPEUTIC SPECIALTIES, AND CHRONIC CARE MANAGEMENT SERVICES. TOTAL NUMBER OF PATIENTS: 7,081. LISH PARTICIPATES IN THE 340B PROGRAM (MEDICARE) WHICH REQUIRES DRUG PARTICIPATING DRUG MANUFACTURERS AND PHARMACIES TO SIGN A PHARMACEUTICAL PRICE AGREEMENT WITH THE SECRETARY OF HEALTH AND HUMAN SERVICES. THIS AGREEMENT LIMITS THE PRICE THAT MANUFACTURERS MAY CHARGE CERTAIN "COVERED ENTITIES' FOR COVERED OUTPATIENT DRUGS. NOTE: THE 340B PLAN IS CURRENTLY UNDER FEDERAL LITIGATION AS SEVERAL MANUFACTURERS HAVE CHALLENGED THE 340B CONTRACT PRICING REQUIREMENT. 1831557 0 1076529 ARTICLE 16 - THROUGH THE NEW YORK STATE OFFICE OF PEOPLE WITH DEVELOPMENTAL DISABILITIES, LONG ISLAND SELECT HEALTHCARE PROVIDES SPEECH THERAPY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY SERVICES. TOTAL NUMBER OF PATIENTS: 478. 604837 0 1116610 OTHER SERVICES - THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER SUB-RECIPIENT OF SUN RIVER HEALTH, INC.'S FEDERAL AWARD UNDER HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) BOTH FOR HEALTH CARE AND AMERICAN RESCUE PLAN ACT (ARPA) PROGRAMS. WE ALSO RECEIVED GRANT SUPPORT FROM NYS DOH FOR STATEWIDE HEALTH CARE FACILITY TRANSFORMATION PROGRAM II AND FCC FOR COVID-19 TELEHEALTH PROGRAM. SCOPE OF SERVICES INCLUDE COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS; AND SUB-RECIPIENT OF SUFFOLK CARE COLLABORATIVE/DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP): IN 2021, THE ORGANIZATION RECEIVED THE FINAL DISTRIBUTION; AND PARTICIPATES IN AN ACCOUNTABLE CARE ORGANIZATION - TO IMPROVE THE EFFECTIVENESS AND EFFICIENCY OF HEALTH CARE DELIVERY FOR MEDICAID BENEFICIARIES AND UNINSURED INDIVIDUALS IN LONG ISLAND. THE ORGANIZATON ALSO RECEIVED COVID VACCINES FROM NEW YORK STATE DEPARTMENT OF HEALTH AND GIVEN OUT TO STAFF AND PATIENTS. 17642250 true true false false false false false false false false true false false false false true true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false false true 91 0 true 158 true false false false false false true true false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false NY X EDGARDO UY 6316502160 159 CARLETON AVENUE Central Islip NY 11722 X James Powell MD CHIEF EXECUTIVE OFFICER 37.5 0.0 X 328823 0 42786 Paris Arianas MD Psychiatrist 22.5 0.0 X 309184 0 0 Balvindar Sareen Chief Medical Officer 37.5 0.0 X 307570 0 0 Spiro Theoharakis MD Lead Psychiatrist 25.0 0.0 X 262104 0 26405 Alan Steinberg MD Psychiatrist 14.0 0.0 X 220593 0 0 Gail Fraser-Farmer MD Physician 37.5 0.0 X 175186 0 38696 Pedro L Rivera Chief Financial Officer 37.5 0.0 X 166245 0 37948 Andrea Villalobos-MartinezPA Physician Assistant 37.5 0.0 X 153445 0 5442 Janet Pepper Chief OPERATING Officer 37.5 0.0 X 139796 0 6370 John Lessard President 3.0 0.0 X X 0 0 0 Rocco Cirigliano Treasurer 3.0 0.0 X X 0 0 0 Robert Budd Secretary 3.0 0.0 X X 0 0 0 Tina Acevedo Director 1.0 0.0 X 0 0 0 Doreen Biondolillo Director 1.0 0.0 X 0 0 0 Mark Crean Director 1.0 0.0 X 0 0 0 Judy Eisman Director 1.0 0.0 X 0 0 0 Lisa Meyer-Fertal Director 1.0 0.0 X 0 0 0 Roy Probeyahn Director 1.0 0.0 X 0 0 0 David Siskind MD Director 1.0 0.0 X 0 0 0 Adrienne Washington Director (THRU 10/13/21) 1.0 0.0 X 0 0 0 2062946 0 157647 25 false true false SOLUTIONS 4 COMMUNITY HEALTH 1200 BROWN STREET PEEKSKILL NY 10566 MEDICAL BILLING SVCS 937122 Rapid Reliable Testing NY LLC 35 West 35th Street NEW YORK NY 10001 TELEHEALTH SERVICES 436274 Hudson Headwater 340B LLC PO Box 896 GLEN FALLS NY 12801 340B Management SVCS 273839 Pathway Systems Design LLC 7100 New Horizons Boulevard NORTH AMITYVILLE NY 11701 IT Support 226322 eClinical Works PO Box 847950 BOSTON MA 02284 Clinical Info Srvcs 163885 7 X 5826 29635 24071 35461 NET PATIENT SERVICE REVENUE 624200 15957752 15957752 340B PHARMACY REVENUE 624200 3581091 3581091 GOVERNMENT CONTRACT REVENUE 624200 1367073 1367073 OTHER REVENUE 624200 56546 56546 20962462 0 0 0 1800 1800 0 1800 0 1800 0 104915 5826 42190 62725 62725 0 0 0 0 0 0 0 21062448 20962462 0 64525 X 0 0 0 0 1029538 1029538 0 9062942 8577016 420677 65249 202049 188566 11562 1921 1039227 924714 104795 9718 828619 694443 129184 4992 0 79396 53141 26255 77121 51618 25503 0 0 0 3141190 3071571 69619 0 0 1256599 1225671 30928 137195 119679 17516 0 2337460 2050888 286572 0 0 22664 18284 4380 0 0 138553 129080 9473 178087 142436 35651 EQUIPMENT REPAIR/MAINTENANCE 265005 237446 27559 0 DUES AND SUBSCRIPTIONS 104226 100754 3472 MISCELLANEOUS EXPENSES 97386 56943 40443 19997257 17642250 2273127 81880 3077824 4702040 0 0 904662 774259 1908426 2245603 0 0 0 0 0 0 5062 0 61931 52977 1171283 729767 554467 441516 0 0 0 0 0 0 0 0 181654 49580 6694026 8265975 1795893 2148089 0 0 0 154562 0 0 0 0 0 0 0 0 0 0 0 0 1795893 2302651 X 4898133 5963324 0 0 4898133 5963324 6694026 8265975 1065191 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 180147 21097 159050 520298 398717 121581 470838 309953 160885 441516 0 0 X 21104638 42190 42190 21062448 21062448 20039447 42190 42190 19997257 19997257 PART X, LINE 2: LONG ISLAND SELECT HEALTHCARE, INC. ("LISH") QUALIFIES AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE IRC, AND AS A NOT-FOR-PROFIT ORGANIZATION UNDER THE LAWS OF NEW YORK STATE. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS REQUIRED. LISH ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER ASC 740, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED. LISH DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT WILL RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. LISH HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. LISH IS SUBJECT TO ROUTINE AUDITS BY TAXING AUTHORITIES. PART XI, LINE 2D AND PART XII, LINE 2D: SPECIAL EVENT DIRECT EXPENSES RE-CLASSED FROM PART IX.........$42,190 GALA 110741 5826 104915 2838 1707 21817 9000 6828 0 110741 5826 104915 2838 1707 21817 9000 6828 42190 62725 X X X false false false false false false false false false James Powell MD CHIEF EXECUTIVE OFFICER 328823 0 0 0 0 0 11121 0 31665 0 371609 0 0 0 Balvindar Sareen Chief Medical Officer 307570 0 0 0 0 0 0 0 0 0 307570 0 0 0 Pedro L Rivera Chief Financial Officer 166245 0 0 0 0 0 6283 0 31665 0 204193 0 0 0 Paris Arianas MD Psychiatrist 309184 0 0 0 0 0 0 0 0 0 309184 0 0 0 Spiro Theoharakis MD Lead Psychiatrist 262104 0 0 0 0 0 10257 0 16148 0 288509 0 0 0 Alan Steinberg MD Psychiatrist 220593 0 0 0 0 0 0 0 0 0 220593 0 0 0 Gail Fraser-Farmer MD Physician 175186 0 0 0 0 0 7031 0 31665 0 213882 0 0 0 Andrea Villalobos-MartinezPA Physician Assistant 153445 0 0 0 0 0 5442 0 0 0 158887 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B: FORM 990 WAS PREPARED BY A NATIONALLY RENOWNED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. DRAFT FORM 990 WAS REVIEWED AND PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS IN DRAFT VIA ELECTRONIC MAIL, WITH AN OPPORTUNITY FOR THEM TO COMMENT OR MAKE INQUIRY BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12: OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PROVIDED WITH A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM TO REPORT SITUATIONS THAT POSE OR MAY GIVE THE APPEARANCE OF CONFLICT OF INTEREST. IN ADDITION, THIS PROCESS IS PERFORMED WITH OTHER STAFF AS THE CEO DEEMS APPROPRIATE. FORM 990, PART VI, SECTION B, LINES 15A AND 15B: THE ORGANIZATION UTILIZES A COMPENSATION REVIEW PROCESS THAT INCLUDES INDEPENDENT PEOPLE EVALUATING KEY STATISTICS INCLUDING BUT NOT LIMITED TO PERFORMANCE AND MARKET COMPENSATION DATA. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII, LINE 6: $1,800 RENTAL INCOME IS FROM A SUB-LEASE OF PARKING SPACE TO A NON-PROFIT ORGANIZATION THAT SERVES INDIVIDUALS WITH AUTISM, AND OTHER DEVELOPMENTAL DISABILITIES: PROVIDING EDUCATIONAL, HABILITATIVE, AND VOCATIONAL SERVICES TO THE LONG ISLAND COMMUNITY. AS A RESULT, LISH IS NOT SUBJECT TO UNRELATED BUSINESS TAXABLE INCOME UNDER SECTION 514(B)(1). FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED HEALTHCARE SVC TOTAL FEES:2994084 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:147106