2020-10-30T10:31:41-05:00 2019-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2019-01-01 131624169 THE FLOATING HOSPITAL INC FLOA 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 SEAN T GRANAHAN PRESIDENT & GENERAL COUNSEL 7187842240 2020-10-07 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2020-10-04 209.59.243.22 2020-10-07 09:52:47 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2019 2021-01-29 14:40:06Z SEAN T GRANAHAN 41-40 27TH STREET LONG ISLAND CITY NY 11101 21463067 0 X WWW.THEFLOATINGHOSPITAL.ORG X 1866 NY THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW, LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. THF IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 14 14 261 12 162599 -177169 12582047 11525458 9106376 9927843 6 308 84410 9458 21772839 21463067 0 0 0 0 14494716 14367375 0 0 0 6188746 7113177 20683462 21480552 1089377 -17485 5954027 9632056 2429885 6125899 3524142 3506157 X THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. TFH IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 0 0 10095594 5864821 HOMELESS PROGRAM - TFH IS A FEDERALLY QUALIFIED HEALTH CENTER, AND HAS HISTORICALLY SERVED NYC'S MOST UNDERSERVED POPULATIONS. THAT POPULATION TODAY IS HOMELESS FAMILIES, WHICH, AS A CATEGORY OF HOMELESSNESS, FAR EXCEEDS HOMELESS SINGLE MEN OR WOMEN. TFH PROVIDES EXTENSIVE HEALTH CARE SERVICES TO THESE INDIVIDUALS REGARDLESS OF ABILITY TO PAY. IN ADDITION, IT PROVIDES NON-MEDICAID REIMBURSED SERVICES SUCH AS HEALTH EDUCATION AT NO COST TO ANY PATIENT. 5200760 3909881 COMMUNITY AND PUBLIC HOUSING PROGRAM - TFH ALSO FUNCTIONS AS A FEDERALLY QUALIFIED HEALTH CENTER TO THE NORTHWEST QUEENS COMMUNITY AND PROVIDES PRIMARY HEALTH CARE SERVICES TO THE UNDERSERVED OF THAT COMMUNITY AS WELL AS THE QUEENSBRIDGE AND RAVENSWOOD HOUSES, THE LARGEST PUBLIC HOUSING PROJECTS IN THE UNITED STATES. IT FOLLOWS THE SAME FORMULA AS ITS HOMELESS FAMILIES PROGRAM, PROVIDING PRIMARY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. 3169675 ACS MEDICAL AND DENTAL PROGRAM - TFH IS THE MEDICAL PROVIDER TO THE NYC ADMINISTRATION FOR CHILDREN'S SERVICES, WHICH HANDLES ALL ASPECTS OF YOUTH UNASSOCIATED WITH A SPECIFIC HOME LIFE AT A PARTICULAR TIME, I.E., FOSTER CHILDREN (BOTH TEMPORARY AND PERMANENT), DETAINED YOUTH, ETC. TFH PROVIDES HEALTH CARE AND HEALTH EDUCATION TO THIS MEDICALLY FRAGILE AND INNER-CITY AT-RISK POPULATION AT SITES IN THE BRONX AND BROOKLYN. 18466029 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 11 0 1 261 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 NY X S STILES NYERERE 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 ALLISON SOKARIS TRUSTEE 1.00 X 0 0 0 ANTHONY BROWNIE TRUSTEE 1.00 X 0 0 0 BARBARA LIINDER TRUSTEE 1.00 X 0 0 0 CAROL JACKSON TRUSTEE 1.00 X 0 0 0 DAVID KOCHANOWSKY TRUSTEE 1.00 X 0 0 0 DOMINICK DELORENZO CHAIR 1.00 1.00 X X 0 0 0 EVELYN LORD TRUSTEE 1.00 X 0 0 0 HAYWARD GILL TRUSTEE 1.00 X 0 0 0 KHADIJAH WATKINS TRUSTEE 1.00 X 0 0 0 MADELINE NAEGLE TRUSTEE 1.00 X 0 0 0 MAUDE ASKIN VICE CHAIR & SECRETARY 1.00 X X 0 0 0 MICHAEL GEORGE TRUSTEE 1.00 X 0 0 0 PRISCILLA BAYLEY TRUSTEE 1.00 X 0 0 0 REGINA JASLOW VICE CHAIR & TREASURER 1.00 1.00 X X 0 0 0 S STILES NYERERE EXECUTIVE VP & CFO 8.75 2.00 X 58773 0 11802 SEAN T GRANAHAN PRESIDENT/GENERAL COUNSEL 35.00 5.00 X 200959 0 37291 SHANI ANDRE MD VP & CHIEF MEDICAL OFFICER 35.00 X 227306 0 10739 ALEXANDRA ISAKOVA PHYSICIAN 35.00 X 136666 0 19530 JANICE CRISTOBAL PHYSICIAN 35.00 X 186543 0 8344 JOE BREWSTER CLINICAL DIR. OF BH 35.00 X 149200 0 6882 KATIE O'GRADY PHYSICIAN 35.00 X 159622 0 35005 MARK SETHNA PHYSICIAN 35.00 X 193792 0 16785 1312861 0 146378 25 0 1 0 THE EXECUTIVE SEARCH GROUP LLC 675 THIRD AVENUE NEW YORK NY 10017 IT SERVICES 309795 COHNREZNICK LLP 1301 AVE OF THE AMERICAS NEW YORK NY 10019 AUDIT AND FINANCIAL CONSULTING SERVICES 225387 BRONX PSYCHOLOGY SERVICES 27 MELROSE AVE MOUNT VERNON NEW YORK NY 10552 PSYCHOLOGICAL SERVICES 202800 EPSTEIN BECKER & GREEN PC 875 THIRD AVENUE NEW YORK NY 10022 LEGAL SERVICES 164211 ECHO LOCUM TENENS 1301 SOLANA BLVD WESTLAKE TX 76262 TEMP SERVICE 154875 6 1024419 9651280 849759 1109846 11525458 MEDICAID 621400 8346262 8346262 NYS UNCOMPENSATED CARE 621400 660523 660523 OTHER THIRD PARTY 621400 426242 426242 PHARMACY REVENUE 621400 190224 27625 162599 SELF PAY 621400 174208 174208 130384 130384 9927843 308 308 MISCELLANEOUS 900099 9458 9458 9458 21463067 9774702 162599 308 546870 469269 77601 10484541 8979692 1504849 255431 222576 32855 1918206 1671477 246729 1162327 1012823 149504 92583 92583 174129 29625 144504 1634320 1399139 235181 57277 46594 10683 210237 178700 31537 259039 224695 34344 676670 565170 111500 22902 13646 9256 27686 12798 14888 20630 4815 15815 340418 306292 34126 465133 380382 84751 CONSUMABLE SUPPLIES 2038010 1977351 60659 REPAIRS AND MAINTENANCE 454393 392312 62081 PATIENT TRANSPORTATION 141942 141350 592 DUES & SUBSCRIPTIONS 67500 47142 20358 430308 390181 40127 21480552 18466029 3014523 0 46701 23829 4968 6785 818064 910591 2080857 1493641 4971400 174577 52971 15564 5400307 4367262 2845454 1033045 16856 105012 985768 5954027 9632056 1676539 1425899 500000 4700000 253346 0 2429885 6125899 X 3405226 3478557 118916 27600 3524142 3506157 5954027 9632056 -17485 -500 0 X X 0 1 X 1 1 1 X 10664839 11417555 10881533 12582047 11525458 57071432 10664839 11417555 10881533 12582047 11525458 57071432 57071432 11 1 1 6 308 327 162599 162599 274863 256990 156573 83910 12094 784430 58018788 46315344 0.98370 0.98240 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MEANINGFUL USE - 2015 AMOUNT: $ 212,500. 2016 AMOUNT: $ 187,000. 2017 AMOUNT: $ 119,500. 2018 AMOUNT: $ 59,500. MISCELLANEOUS - 2016 AMOUNT: $ 2,613. 2017 AMOUNT: $ 14,293. 2018 AMOUNT: $ 18,934. 2019 AMOUNT: $ 9,458. COPYING FEES - 2015 AMOUNT: $ 4,205. FUNDRAISING - 2015 AMOUNT: $ 58,158. 2016 AMOUNT: $ 62,065. MEDICAL RECORDS - 2016 AMOUNT: $ 5,312. 2017 AMOUNT: $ 5,280. 2018 AMOUNT: $ 5,476. 2019 AMOUNT: $ 2,636. INCENTIVE INCOME - 2017 AMOUNT: $ 17,500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1871774 1415222 456552 3067546 2565256 502290 460987 386784 74203 1033045 SECURITY DEPOSITS 105422 DUE FROM AFFILIATES 880346 985768 X 23007801 1544734 1544734 21463067 0 21463067 23709344 2228792 2228792 21480552 0 21480552 PART X, LINE 2: THE COMPANY HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2019. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE COMPANY IS SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE AND LOCAL TAX AUTHORITIES. IF APPLICABLE, THE ORGANIZATION WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF OPERATING EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION'S REVENUE 1,544,734. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGAINIZATION'S EXPENSES 2,228,792. X X X X 0 0 0 0 0 0 0 0 0 SEAN T GRANAHAN PRESIDENT/GENERAL COUNSEL 189537 0 0 0 11422 0 8376 0 28915 0 238250 0 0 0 SHANI ANDRE MD VP & CHIEF MEDICAL OFFICER 227306 0 0 0 0 0 9092 0 1647 0 238045 0 0 0 ALEXANDRA ISAKOVA PHYSICIAN 114996 0 12800 0 8870 0 5224 0 14306 0 156196 0 0 0 JANICE CRISTOBAL PHYSICIAN 148493 0 38050 0 0 0 5642 0 2702 0 194887 0 0 0 JOE BREWSTER CLINICAL DIR. OF BH 149200 0 0 0 0 0 3462 0 3420 0 156082 0 0 0 KATIE O'GRADY PHYSICIAN 143372 0 16250 0 0 0 1372 0 33633 0 194627 0 0 0 MARK SETHNA PHYSICIAN 166142 0 27650 0 0 0 7783 0 9002 0 210577 0 0 0 X 3 1104996 CONFIRMATION AND INVOICE X HEALTH EDUCATION SUPPLIES 1 4850 INVOICE 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO SUBCOMMITTEES OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED BY MANAGEMENT, A DRAFT OF THE FORM 990 IS REVIEWED WITH THE BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR THE ORGANIZATION REVIEWS THE POLICIES IN A BOARD MEETING AND REQUESTS THAT ALL MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS RE-SIGN THE CONFLICT OF INTEREST POLICY STATEMENT. BOARD MEMBERS ARE PROHIBITED FROM RECRUITING BOARD MEMBERS WHO ARE TFH VENDORS, SO MONITORING BEGINS WITH THE BOARD ITSELF. BOARD ORIENTATION PACKETS CONTINUE THE PROCESS. VENDORS OVER $100,000 REQUIRE BOARD NOTIFICATION WHICH IS PRIMARILY SUPPLIED BY THE FORM 990. THE ANNUAL AUDIT SERVES AS AN INDEPENDENT FINAL CHECK OF POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A TFH FOLLOWS THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER GUIDELINES ON OFFICERS AND KEY EMPLOYEE'S SALARIES. IN ADDITION OTHER AGENCIES FORM 990S ARE SOMETIMES REVIEWED. THE BOARD MEETS IN A CLOSED SESSION TO ADDRESS THE ISSUE OF CEO COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THE ORGANIZATION DOES NOT MEET THIS DEFINITION. THE FLOATING HOSPITAL FOUNDATION INC 41-40 27TH STREET LONG ISLAND CITY NY 11101 300102842 RAISES FUNDS AND SUPPORTS THE FLOATING HOSPITAL, INC. NY 501(C)(3) LINE 12A, I THE FLOATING HOSPITAL INC 1 TFH SERVICES LLC 41-40 27TH STREET LONG ISLAND CITY NY 11101 823212495 FINANCING NY RELATED 381304 0 0 0.05000 0 1 1 1 0 0 0 0 1 0 0 0 1 1 0 1 1 1 1