2021-10-25T11:49:11-05:00 2020-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2020-01-01 471001464 LONG ISLAND SELECT HEALTHCARE INC % EDGARDO UY LONG 6316502510 159 Carleton Avenue Central Islip NY 11722 JAMES R POWELL MD CEO 6316502160 2021-10-16 true JAMES R POWELL MD 999009999 Paul Hammerschmidt P01384178 2128858000 2021-10-16 2 2020 2022-09-23 18:48:47Z LISH INC JAMES R POWELL MD 159 Carleton Avenue Central Islip NY 11722 19474253 false X www.lishcare.org X 2014 NY TO PROVIDE PRIMARY AND PREVENTATIVE HEALTHCARE SRVCS TO RESIDENTS OF SPECIFIC AREAS OF SUFFOLK COUNTY WITH A FOCUS ON LOW INCOME, MEDICALLY UNSERVED & UNDERSERVED INDIVIDUALS. 11 11 157 51 0 0 419550 126447 17325582 19346006 0 0 68666 1800 17813798 19474253 0 0 0 0 8972348 9920013 0 0 0 7029575 7249328 16001923 17169341 1811875 2304912 4551540 6694026 1958319 1795893 2593221 4898133 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 13293505 0 18091498 ARTICLE 28 - LONG ISLAND SELECT HEALTHCARE PROVIDES DIAGNOSTIC AND TREATMENT SERVICES INCLUDING COMPREHENSIVE PRIMARY CARE, DENTAL, BEHAVIORAL HEALTH, MEDICAL SPECIALTIES, THERAPEUTIC SPECIALTIES, AND CHRONIC CARE MANAGEMENT SERVICES. TOTAL NUMBER OF PATIENTS: 6,605. LISH PARTICIPATES IN THE 340B PROGRAM WHICH REQUIRES DRUG MANUFACTURERS PARTICIPATING IN MEDICAID DRUG REPORTS PROGRAM 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. 1785322 0 1098805 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: 663 75210 0 155703 OTHER SERVICES - THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER SUBRECIPIENT OF SUN RIVER HEALTH CARE, INC. FEDERAL AWARD UNDER HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). SCOPE OF SERVICES INCLUDE COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTHCARE SERVICES FOCUSING ON LOW INCOME, MEDICALLY UNSERVED AND UNDERSERVED INDIVIDUALS; AND SUBRECIPIENT OF SUFFOLK CARE COLLABORATIVE/DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) - TO IMPROVE THE EFFECTIVENESS AND EFFICIENCY OF HEALTH CARE DELIVERY FOR MEDICAID BENEFICIARIES AND UNINSURED INDIVIDUALS IN SUFFOLK COUNTY. The DSRIP collaboration ended in March 2020. 15154037 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 83 0 true 157 true false false false false false false false false false false false false X 11 11 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 R POWELL MD Chief Executive Officer 37.5 0.0 X 329455 0 29135 SPIRO THEOHARAKIS MD Lead Psychiatrist 24.0 0.0 X 259005 0 17431 PARIS ARIANAS MD PSYCHIATRIST 22.5 0.0 X 260209 0 0 GAIL FRASER-FARMER MD PHYSICIAN 37.5 0.0 X 171538 0 29135 ALAN STEINBERG MD PSYCHIATRIST 14.0 0.0 X 186389 0 0 PEDRO L RIVERA CHIEF FINANCIAL OFFICER 37.5 0.0 X 152370 0 29135 ANDREA STENGEL NP NURSE PRACTITIONER-PSYCHIATRY 37.5 0.0 X 151738 0 10017 JANET PEPPER COO (eff. 11/8/20) 37.5 0.0 X 140941 0 823 Balvindar Sareen CMO (eff. 8/31/20) 37.5 0.0 X 91286 0 0 JOHN LESSARD PRESIDENT 3.0 0.0 X X 0 0 0 ROCCO CIRIGLIANO TREASURER 3.0 0.0 X X 0 0 0 ROBERT BUDD SECRETARY 3.0 0.0 X X 0 0 0 TINA ACEVEDO DIRECTOR 1.0 0.0 X 0 0 0 DOREEN BIONDOLILLO DIRECTOR 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 1.0 0.0 X 0 0 0 1742931 0 115676 21 false true false SOLUTIONS 4 COMMUNITY HEALTH 1200 BROWN STREET PEEKSKILL NY 10566 MEDICAL BILLING SVCS 799150 PATHWAY SYSTEMS DESIGN LLC 7100 NEW HORIZONS BOULEVARD NORTH AMITYVILLE NY 11701 IT SUPPORT 310409 Telehealth Associates Inc 11 Indian Field Road SETAUKET NY 11733 CARE MANAGEMENT SVCS 297374 Hudson Headwater 340B LLC 9 Carey Road QUEENSBURY NY 12804 340B Management SVCS 154147 eClinical Works PO Box 847950 BOSTON MA 02284 Clinical Info SVCS 132872 5 X 126447 40109 126447 NET PATIENT SERVICE REVENUE 624200 13564772 13564772 340B PHARMACY REVENUE 624200 3331790 3331790 GOVERNMENT CONTRACT REVENUE 624200 2438425 2438425 OTHER REVENUE 624200 11019 11019 19346006 0 0 0 1800 1800 0 1800 1800 0 0 0 0 0 0 0 0 0 0 0 19474253 19346006 1800 X 0 0 0 0 773145 773145 0 7527936 6946314 581622 0 907740 806125 101615 711192 592977 118215 0 78530 57871 20659 87594 64551 23043 0 0 0 2530846 2471823 59023 0 0 1070323 1042909 27414 133644 116664 16980 0 2223790 2022710 201080 0 0 18505 11825 6680 291 291 0 129767 120883 8884 180912 154932 25980 EQUIPMENT REPAIR/MAINTENANCE 636477 614328 22149 DUES AND SUBSCRIPTIONS 147968 119444 28524 MISCELLANEOUS EXPENSES 10681 10681 17169341 15154037 2015304 0 1570662 3077824 0 0 694318 904662 1735677 1908426 0 0 0 0 0 0 7537 5062 53381 61931 1145677 591210 399663 554467 0 0 0 0 0 0 0 0 90302 181654 4551540 6694026 1202071 1795893 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756248 0 1958319 1795893 X 2593221 4898133 0 0 2593221 4898133 4551540 6694026 2304912 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 180147 4567 175580 498920 326153 172767 466610 260490 206120 554467 0 0 X 19474253 19474253 19474253 17169341 17169341 17169341 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. X X X false false false false false false false false false JAMES R POWELL MD Chief Executive Officer 329455 0 0 0 0 0 0 0 29135 0 358590 0 0 0 PEDRO L RIVERA CHIEF FINANCIAL OFFICER 152370 0 0 0 0 0 0 0 29135 0 181505 0 0 0 PARIS ARIANAS MD PSYCHIATRIST 260209 0 0 0 0 0 0 0 0 0 260209 0 0 0 SPIRO THEOHARAKIS MD Lead Psychiatrist 259005 0 0 0 0 0 0 0 17431 0 276436 0 0 0 GAIL FRASER-FARMER MD PHYSICIAN 171538 0 0 0 0 0 0 0 29135 0 200673 0 0 0 ALAN STEINBERG MD PSYCHIATRIST 186389 0 0 0 0 0 0 0 0 0 186389 0 0 0 ANDREA STENGEL NP NURSE PRACTITIONER-PSYCHIATRY 151738 0 0 0 0 0 0 0 10017 0 161755 0 0 0 X 1 40109 CATALOG VALUE false false false PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. 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 organizations 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 SERVICES TOTAL FEES:2379704 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:151142