LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-09
IRS object ID: 202033149349303583
Schema version: 2019v5.1
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-09T15:05:41-06:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	111704595	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% B FARRELL VP/CFO	InCareOfNm
Business Name Control	BROO	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	BRENDA FARRELL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6316547100	PhoneNum
Signature	2020-10-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristin Ruffini	PreparerPersonNm
PTIN	P00741491	PTIN
Phone	2128858000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	71.249.96.48	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308920203145000018	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-09	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	39C0125CC38244DCDF9016B1ED97A2DB16F09D4F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	39C0125CC38244DCDF9016B1ED97A2DB16F09D4F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$273,055,433	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	24	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	2586	TotalEmployeeCnt
Total Volunteers	102	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,596,868	PYContributionsGrantsAmt
CY Contributions Grants	$1,744,487	CYContributionsGrantsAmt
PY Program Service Revenue	$267,827,731	PYProgramServiceRevenueAmt
CY Program Service Revenue	$267,567,973	CYProgramServiceRevenueAmt
PY Investment Income	$3,192,490	PYInvestmentIncomeAmt
CY Investment Income	$957,758	CYInvestmentIncomeAmt
PY Other Revenue	$3,024,149	PYOtherRevenueAmt
CY Other Revenue	$2,785,215	CYOtherRevenueAmt
PY Total Revenue	$276,641,238	PYTotalRevenueAmt
CY Total Revenue	$273,055,433	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$168,832,287	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$170,052,658	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$23,506	CYTotalFundraisingExpenseAmt
PY Other Expenses	$102,446,713	PYOtherExpensesAmt
CY Other Expenses	$101,415,620	CYOtherExpensesAmt
PY Total Expenses	$271,279,000	PYTotalExpensesAmt
CY Total Expenses	$271,468,278	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,362,238	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,587,155	CYRevenuesLessExpensesAmt
Total Assets BOY	$228,133,137	TotalAssetsBOYAmt
Total Assets EOY	$240,864,197	TotalAssetsEOYAmt
Total Liabilities BOY	$135,939,115	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$143,837,719	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$92,194,022	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$97,026,478	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	$140,167,868	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$152,922,766	RevenueAmt
Desc	INPATIENT CARE SERVICES - INCLUDES MEDICAL/SURGICAL PROCEDURES, ICU, CCU, ROUTINE AND PSYCHIATRIC CARE. TOTAL 2019 INPATIENT DAYS: 63,842	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$43,687,468	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$51,631,401	RevenueAmt
Desc	EMERGENCY ROOM SERVICES - AVAILABLE TO THE COMMUNITY 24 HOURS, 7 DAYS A WEEK. TOTAL 2019 TREAT AND RELEASE VISITS: 54,812	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$23,941,471	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$25,220,330	RevenueAmt
Desc	AMBULATORY SURGERY SERVICES - AVAILABLE TO THE COMMUNITY. TOTAL 2019 PROCEDURES: 6,224	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$46,755,492	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$40,001,451	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$254,552,299	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	false	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	241	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2586	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	24	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
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	B FARRELL VPCFO	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)	$856,629	$0	$55,086
F SCONZO
PHYSICIAN	40.0	0.0			$726,574	$0	$31,375	Yes (X)
B FARRELL
VP FINANCE, CFO	39.5	0.5		Yes (X)	$474,078	$0	$43,986
W WEHBEH
VP, CQMO	40.0	0.0			$446,091	$0	$27,032		Yes (X)
M HAGGAG
PHYSICIAN	40.0	0.0			$341,000	$0	$29,255	Yes (X)
R GUPTA
PHYSICIAN	40.0	0.0			$302,792	$0	$26,244	Yes (X)
M PEDDIE
VP, CIO	40.0	0.0			$294,019	$0	$26,196		Yes (X)
D GRIMM
VP, CNO	40.0	0.0			$304,280	$0	$9,657		Yes (X)
F DESORMEAUX MD
PHYSICIAN	40.0	0.0			$267,010	$0	$28,447	Yes (X)
A PALLAS
VP, COO	40.0	0.0			$271,511	$0	$3,193		Yes (X)
T DEKHYAR
PHYSICIAN ASSISTANT	40.0	0.0			$259,814	$0	$11,390	Yes (X)
E KORMYLO DPM
DIRECTOR	0.5	0.5	Yes (X)		$37,000	$0	$0
M MULHOLLAND
CHAIRMAN	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
E P SMITH
VICE CHAIRMAN	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
P MOLONEY
2ND VICE CHAIRMAN	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
F GRUCCI JR
TREASURER	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
M KNAPP
SECRETARY	0.5	0.5	Yes (X)	Yes (X)	$0	$0	$0
R BERMAN MD
DIRECTOR	0.5	0.5	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	0.5	0.5	Yes (X)		$0	$0	$0
W LADICK
DIRECTOR	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
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
L ROSE
DIRECTOR	0.5	0.5	Yes (X)		$0	$0	$0
C ROTHBERG FROM 012
PRESIDENT OF MEDICAL STAFF	0.5	0.5	Yes (X)		$0	$0	$0
E RUSSO
DIRECTOR	0.5	0.5	Yes (X)		$0	$0	$0
K SCHWARTZ MD
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	$4,580,798	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$291,861	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	297	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	COLLECTION SERVICES	$2,777,988
PROGRESSIVE EMERGENCY PHYSICIANS
1236 RXR PLAZA	UNIONDALE	NY	11556	MANAGEMENT SERVICES	$1,853,799
AMITYVILLE PULMONOLOGY
317 BROADWAY SUITE A	AMITYVILLE	NY	11701	ON CALL PHYSICIANS	$894,992
ST CHARLES HOSPITAL
200 BELLE TERRE ROAD	PORT JEFFERSON	NY	11777	PHYSICAL THERAPY	$830,150
MEDICAL SOLUTIONS
1010 N 102ND STREET SUITE 300	OMAHA	NE	68114	TEMPORARY STAFFING	$751,193

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Related Organizations	$733,362	RelatedOrganizationsAmt
Government Grants	$62,878	GovernmentGrantsAmt
All Other Contributions	$948,247	AllOtherContributionsAmt
Total Contributions	$1,744,487	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	624200	$269,483,253	$269,483,253
PROVISION FOR UNCOLLECTIBLES, NET	624200	-$1,915,280	-$1,915,280

Field	Value	IRS element (for citing)
Total Program Service Revenue	$267,567,973	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$944,318	TotalRevenueColumnAmt
Exclusion	$944,318	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	$150,774	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$150,774	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,774	TotalRevenueColumnAmt
Exclusion	$150,774	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$13,440	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$13,440	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,440	TotalRevenueColumnAmt
Exclusion	$13,440	ExclusionAmt

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	$1,124,945	$1,124,945
AMBULANCE SUPPLY REVENUE	900099	$1,083,030	$1,083,030
CAFETERIA INCOME	722514	$263,234		$263,234

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$163,232	TotalRevenueColumnAmt
Exclusion	$163,232	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,634,441	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$273,055,433	TotalRevenueColumnAmt
Related Or Exempt Func Income	$269,775,948	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,534,998	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$2,848,758	TotalAmt
Management And General	$2,848,758	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$523,799	TotalAmt
Management And General	$523,799	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$119,164,823	TotalAmt
Program Services	$113,627,666	ProgramServicesAmt
Management And General	$5,520,124	ManagementAndGeneralAmt
Fundraising	$17,033	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,669,007	TotalAmt
Program Services	$9,141,281	ProgramServicesAmt
Management And General	$524,884	ManagementAndGeneralAmt
Fundraising	$2,842	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,436,760	TotalAmt
Program Services	$26,859,313	ProgramServicesAmt
Management And General	$1,575,119	ManagementAndGeneralAmt
Fundraising	$2,328	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,409,511	TotalAmt
Program Services	$8,874,289	ProgramServicesAmt
Management And General	$533,919	ManagementAndGeneralAmt
Fundraising	$1,303	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,333,380	TotalAmt
Program Services	$4,086,893	ProgramServicesAmt
Management And General	$246,487	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,706,490	TotalAmt
Management And General	$1,706,490	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$103,500	TotalAmt
Management And General	$103,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$111,582	TotalAmt
Management And General	$111,582	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	$17,741,609	TotalAmt
Program Services	$16,750,968	ProgramServicesAmt
Management And General	$990,641	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$845,859	TotalAmt
Program Services	$797,746	ProgramServicesAmt
Management And General	$48,113	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,073,787	TotalAmt
Program Services	$1,012,709	ProgramServicesAmt
Management And General	$61,078	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$405,565	TotalAmt
Program Services	$382,496	ProgramServicesAmt
Management And General	$23,069	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,749,791	TotalAmt
Program Services	$5,422,737	ProgramServicesAmt
Management And General	$327,054	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$54,565	TotalAmt
Program Services	$51,461	ProgramServicesAmt
Management And General	$3,104	ManagementAndGeneralAmt

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	$82,332	TotalAmt
Program Services	$77,649	ProgramServicesAmt
Management And General	$4,683	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,481,879	TotalAmt
Program Services	$2,340,707	ProgramServicesAmt
Management And General	$141,172	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,629,985	TotalAmt
Program Services	$10,968,460	ProgramServicesAmt
Management And General	$661,525	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,337,830	TotalAmt
Program Services	$3,147,971	ProgramServicesAmt
Management And General	$189,859	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$32,397,944	$32,397,944
PROV FOR PRACTICE UNCOLLECT	$6,217,812	$6,217,812
REPAIRS AND MAINTENANCE	$5,161,956	$4,868,339	$293,617
OTHER SERVICES	$3,942,868	$3,718,594	$224,274

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,036,886	TotalAmt
Program Services	$3,807,264	ProgramServicesAmt
Management And General	$229,622	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$271,468,278	TotalAmt
Program Services	$254,552,299	ProgramServicesAmt
Management And General	$16,892,473	ManagementAndGeneralAmt
Fundraising	$23,506	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$106,943	BOYAmt
EOY	$6,418,697	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,672,168	BOYAmt
EOY	$25,775,260	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	$38,631,545	BOYAmt
EOY	$33,534,024	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	$4,772,120	BOYAmt
EOY	$5,387,457	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,810,167	BOYAmt
EOY	$1,425,266	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$310,500,223	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$172,051,186	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$134,578,926	BOYAmt
EOY	$138,449,037	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$21,356,363	BOYAmt
EOY	$23,803,045	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	$49,987	BOYAmt
EOY	$33,319	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,154,918	BOYAmt
EOY	$6,038,092	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$228,133,137	BOYAmt
EOY	$240,864,197	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$49,056,398	BOYAmt
EOY	$49,275,719	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	$44,507,030	BOYAmt
EOY	$42,483,828	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	$424,160	BOYAmt
EOY	$326,314	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	$41,951,527	BOYAmt
EOY	$51,751,858	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$135,939,115	BOYAmt
EOY	$143,837,719	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	$85,987,230	BOYAmt
EOY	$90,790,739	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,206,792	BOYAmt
EOY	$6,235,739	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$92,194,022	BOYAmt
EOY	$97,026,478	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$228,133,137	BOYAmt
EOY	$240,864,197	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,587,155	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$356,832	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,888,469	OtherChangesInNetAssetsAmt
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	false	FederalGrantAuditRequiredInd

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	$111,582	OtherActivitiesAmt
Total Lobbying Expenditures	$111,582	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 2019 WERE: AHA................$10,304 NSHC...............$ 3,492 HCA................$ 2,060 HANYS..............$11,726 During 2019 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	$900,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$100,000	InvestmentEarningsOrLossesAmt
End Year Balance	$1,000,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$900,000	BeginningYearBalanceAmt
End Year Balance	$900,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$900,000	BeginningYearBalanceAmt
End Year Balance	$900,000	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	$117,357,407	OtherCostOrOtherBasisAmt
Depreciation	$41,937,609	DepreciationAmt
Book Value	$75,419,798	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,282,758	OtherCostOrOtherBasisAmt
Depreciation	$2,291,764	DepreciationAmt
Book Value	$990,994	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,868,344	OtherCostOrOtherBasisAmt
Depreciation	$123,847,950	DepreciationAmt
Book Value	$53,020,394	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,460,227	OtherCostOrOtherBasisAmt
Depreciation	$3,973,863	DepreciationAmt
Book Value	$7,486,364	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$138,449,037	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN LICH-HCS FOUND.	$21,803,045	F
INVESTMENTS IN GSB ENDOSCOPY	$2,000,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$23,803,045	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$11,041,470
ACCRUED PENSION COSTS	$10,145,236
ESTIMATED MALPRACTICE LIABILITY	$23,094,649
CHANGE IN VALUATION OF SWAP	$1,983,743
NET	$3,728,118
ASBESTOS ABATEMENT	$1,758,642

Field	Value	IRS element (for citing)
Total Liability	$51,751,858	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$276,300,734	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$356,832	NetUnrealizedGainsInvstAmt
Other Revenue	$2,888,469	OtherRevenueAmt
Revenue Not Reported	$3,245,301	RevenueNotReportedAmt
Revenue Subtotal	$273,055,433	RevenueSubtotalAmt
Total Revenue Per Form990	$273,055,433	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$271,468,278	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$271,468,278	ExpensesSubtotalAmt
Total Expenses Per Form990	$271,468,278	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, 2019, 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 2016, which is the statute of limitation look-back period.
PART XI, LINE 2D:	change in minimum pension liability.....................$1,027,114. change in net assets of LICH-HCS Foundation............$2,446,682. appropriation of temporary restricted net assets for operations..............................................$ (585,327.) Total...................................................$2,888,469.

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	8043	PersonsServedCnt
Total Community Benefit Expns	$5,942,717	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,942,717	NetCommunityBenefitExpnsAmt
Total Expense	0.02190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	28598	PersonsServedCnt
Total Community Benefit Expns	$23,541,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,736,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,804,930	NetCommunityBenefitExpnsAmt
Total Expense	0.05820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	36641	PersonsServedCnt
Total Community Benefit Expns	$29,484,295	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,736,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,747,647	NetCommunityBenefitExpnsAmt
Total Expense	0.08010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$297,482	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$297,482	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,196,747	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,196,747	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,494,229	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,494,229	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	36641	PersonsServedCnt
Total Community Benefit Expns	$33,978,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,736,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,241,876	NetCommunityBenefitExpnsAmt
Total Expense	0.09670	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,669,197	BadDebtExpenseAmt
Reimbursed By Medicare	$68,137,102	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$74,532,311	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,395,209	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	12	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	Facility Reporting GroupFacilityReportingGroupCd	General Medical And SurgicalGeneralMedicalAndSurgicalInd
BROOKHAVEN MEMORIAL HOSPITAL MED CTR
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)
OUTPATIENT CHEM DEPEND SRVCS WEST
12	365 EAST MAIN STREET	PATCHOGUE	NY	11772		A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BROOKHAVEN MEMORIAL HOSPITAL MEDICAL	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's 2019 Community Service Plan 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 2019 these needs were addressed through various hospital initiatives and community events, including but not limited to: - THE HOSPITAL PARTICIPATED IN VARIOUS COMMUNITY HEALTH FAIRS INCLUDING: Live Well Play Well Medical Lecture Series Several free to the community lectures held throughout the year on topics such as: Nutrition, Diabetes, Bariatric Surgery, and Heart Health. - Coat Drive 2019 donated to Lighthouse Mission - Food Drive 2019 donated collected nonperishable food for the Lighthouse mission. - Salvation Army Angel Program- collected toys and clothing for the 59 children donated to the Salvation Army - National Day of Dance held in July at the Boys and Girls Club of Bellport promoted Heart Health through movement of dance. Collaborated with local dance companies and provided health education and health cooking demo. CPR & AED emergency training provided. - Community First Aid Emergency Training Night held at the Bayport Fire House open to community members and collaborated with Bayport Blue Point Chamber of commerce. Provided emergency training in CPR & AED, Stop the Bleed, stroke awareness, Bicycle helmet safety through the Patchogue Pilot club. - NY Blood Bank- Blood Drives Arranged and facilitated three at LI Community Hospital for 2019 - Brookhaven Senior Picnic Wellness Fair educational material provided - Retired Senior Volunteer Program Luncheon and Fair educational material - Sayville Summerfest B/P screening provided and educational material offered - Patchogue YMCA Wellness fair - Live Well Play Well -2019 Community Wellness Event at Patchogue YMCA - Patchogue Wellness Walk- participated with other health aligned facilities - Bellport National Night Out- B/P Screening and health education provided - Bellport Day Festival B/P screening and educational material provided - Patchogue St. Patricks Day parade LI Community Hospital Team participated - Patchogue New Village Fair-B/P screening provided along with educational material - Sayville Rotary -Veterans Luncheon- Donated to Veterans General Needs Program - Hosted Several Rotary, Chamber & Brookhaven Fire Place Literary Club Meetings at LI Community Hospital with demonstrations of Life saving CPR instruction - Brookhaven Senior Clubs- Several free presentations arranged offering classes such as: Life Saving CPR & AED instruction, Nutrition on a budget and Cooking demos. - TOPs senior weight watching club Diabetes and Cardiac focused cooking demos and lectures provided to the club members A)DIABETES PREVENTION PROGRAM is on going and included 9 classes a year are held and ongoing. The classes are American Diabetes Association recognized. It is an insurance based program and needs a physician referral. 10 hours of education time broken down as follows: 1 hour consult 8 hours classes: held 3 consecutive Tuesdays --- First 2 classes are 3 hours and last class is 2 hours 1 hour follow up 3-4 months after classes are done - Support group for Type 1 and Type 2 Diabetes - Lectures for Type 1 and type 2 Diabetes - Walking Club - Diabetes Prevention Program (sponsored by the SCDOH) B)BROOKHAVEN BREAST CANCER SURVIVORSHIP COALITION - PARTNERSHIP WITH MONDAY AND RACINES- A HAIR SALON IN ISLIP WHICH OFFERS FREE SERVICES TO WOMEN CURRENTLY UNDERGOING CANCER TREATMENT. PARTNERSHIP WITH "STRENGTH FOR LIFEEIGHT WEEK EXERCISE PROGRAM FOR FIGHTING CANCER. SUPPORT GROUP FOR PEOPLE DIAGNOSED, GOING THROUGH TREATMENT, AND SURVIVORSHIP. LECTURES: BREAST CANCER AWARENESS & STATE OF THE ART PROCEDURES, BREAST HEALTH & NATURAL MEDICINE, INTEGRATIVE HEALING THROUGH SOUND, COPING WITH LIFE LESSONS THROUGH MEDITATION. WOMEN'S SYMPOSIUM HELD WITH A PANEL OF PHYSICIANS was heled at the Mastic Beach Fire Department in October 2019. C)HIA TRADE SHOW PROVIDING WOUND CARE INFORMATION AND EDUCATION. D)LEARN TO BE TOBACCO FREE PROGRAM. E)VETERANS SUPPORT GROUP. F)ONGOING SBIRT (SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT) PROGRAM, AN EVIDENCE-BASED APPROACH TO IDENTIFYING PATIENTS WHO USE ALCOHOL AND OTHER DRUGS WHO ARE AT RISK FOR HEALTH CONSEQUENCES, ACCIDENTS OR INJURIES. THE GOAL IS TO SCREEN PATIENTS IN HOSPITAL EMERGENCY ROOMS AND OTHER MEDICAL FACILITIES IN ORDER TO PROVIDE OPPORTUNITY FOR EARLY INTERVENTION BEFORE MORE SERIOUS CONSEQUENCES OCCUR. G)LONG ISLAND COMMUNITY HOSPITAL PARTICIPATES IN DSRIP AND CONTINUES TO WORK ON AN 'OUTREACH' PLAN TARGETING EDUCATION AND PREVENTION FOR YOUTH IN THE SURROUNDING 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	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 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
SCHOOL BASED HOSPITAL EXTEN CLINIC
350 MAPLE AVENUE	BELLPORT	NY	11713	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 201% (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 (2) on page 13 and footnote 4 on pages 21 through 23 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 13 and footnote 4 on pages 21 through 23 of the attached Audited financial statements.
PART III, LINE 8:	1) All of the shortfall on Part III, Line 7 Section B, Line 8 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 quotations indicated 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 Hospitals 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. Bel!port 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 25 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 30 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 support
Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM	Not applicable.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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 (11 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	$849,922	$0	$0	$0	$6,707	$0	$33,096	$0	$21,990	$0	$911,715	$0	$0	$0
B FARRELL
VP FINANCE, CFO	$470,079	$0	$0	$0	$3,999	$0	$24,100	$0	$19,886	$0	$518,064	$0	$0	$0
A PALLAS
VP, COO	$271,511	$0	$0	$0	$0	$0	$1,700	$0	$1,493	$0	$274,704	$0	$0	$0
W WEHBEH
VP, CQMO	$446,091	$0	$0	$0	$0	$0	$7,300	$0	$19,732	$0	$473,123	$0	$0	$0
F SCONZO
PHYSICIAN	$726,574	$0	$0	$0	$0	$0	$10,100	$0	$21,275	$0	$757,949	$0	$0	$0
R GUPTA
PHYSICIAN	$302,792	$0	$0	$0	$0	$0	$7,300	$0	$18,944	$0	$329,036	$0	$0	$0
D GRIMM
VP, CNO	$304,280	$0	$0	$0	$0	$0	$7,300	$0	$2,357	$0	$313,937	$0	$0	$0
M PEDDIE
VP, CIO	$294,019	$0	$0	$0	$0	$0	$7,300	$0	$18,896	$0	$320,215	$0	$0	$0
F DESORMEAUX MD
PHYSICIAN	$267,010	$0	$0	$0	$0	$0	$9,699	$0	$18,748	$0	$295,457	$0	$0	$0
M HAGGAG
PHYSICIAN	$341,000	$0	$0	$0	$0	$0	$10,100	$0	$19,155	$0	$370,255	$0	$0	$0
T DEKHYAR
PHYSICIAN ASSISTANT	$259,814	$0	$0	$0	$0	$0	$9,961	$0	$1,429	$0	$271,204	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TOWN OF BROOKHAVEN INDUSTRIAL DEVELOPMENT AGENCY
A	521299559	2006-12-21	$20,000,000	REFINANCE SERIES 2000 BONDS	false	false	false
TOWN OF BROOKHAVEN LOCAL DEVELOPMENT CORPORATION
B	272768182	2014-03-27	$35,000,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,625,000	$0	$23,290,341	$0	$0	$0	$0	$0	$0	$117,836	$23,172,505	$0	2006	false	Yes (true)	Yes (true)	Yes (true)
B	$3,917,134	$0	$35,029,860	$0	$1,931,390	$0	$800,451	$0	$0	$19,818,920	$12,479,100	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Commerce Bank
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	23.9	Yes (true)	false	false	0	false	false
0
B	false	false	Yes (true)	Yes (true)	Yes (true)	false				false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE B, COLUMN (F):	REFUND PRIOR LOANS 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.
PART IV, ARBITRAGE, COLUMN(A), LINE 2C:	THE REBATE COMPUTATION WAS LAST PERFORMED ON 6/21/2007. AS NO REBATABLE ARBITRAGE WAS EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE ANALYSIS IS NECESSARY.
PART IV, ARBITRAGE, COLUMN(B), LINE 2C:	The rebate computation was last performed on 5/1/2017. Since the bond proceeds have been spent and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
T CULLEN
SEE PART V	$21,327	VENDOR	false
F GRUCCI III
SEE PART V	$202,454	EMPLOYMENT	false
J DUDEK
SEE PART V	$183,098	EMPLOYMENT	false
L B MCDOWELL
SEE PART V	$138,247	EMPLOYMENT	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV:	FormAndLineReferenceDesc
Explanation	1) T. CULLEN, DIRECTOR, IS OWNER & PRESIDENT OF CROWN ADVERTISING & MARKETING, INC. WHICH PROVIDED ADVERTISING SERVICES TO THE ORGANIZATION. 2) F. GRUCCI, III IS THE SON OF F. GRUCCI, JR. TREASURER. 3) J. DUDEK IS THE SISTER OF J. MAYER, DIRECTOR. 4) L. B. MCDOWELL IS THE DAUGHTER OF R. W. SCHWARZ, DIRECTOR.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D:	1) RENAL DIALYSIS - TOTAL VISITS: 32,795. TOTAL EXPENSES: $14,582,823. TOTAL REVENUE: $10,719,246. 2) HOME HEALTH AGENCY - PROVIDES CERTIFIED HOME HEALTH AND LONG TERM CARE TO THE COMMUNITY. TOTAL VISITS: 17,666. TOTAL EXPENSES: $5,523,540. TOTAL REVENUE: $2,982,474. 3) MENTAL HEALTH AND CHEMICAL DEPENDENCY OUTPATIENT CLINICS - TOTAL VISITS: 5,548. TOTAL EXPENSES: $2,429,721. TOTAL REVENUE: $511,011. 4) REFERRED AMBULATORY - SERVICES AVAILABLE TO THE COMMUNITY. TOTAL VISITS: 15,025. TOTAL EXPENSES: $2,113,318. TOTAL REVENUE: $3,736,876. 5) HOSPICE - TOTAL DAYS: 7,514. TOTAL EXPENSES: $1,875,705. TOTAL REVENUE: $1,583,191. 6) HOME PROGRAM DIALYSIS (CAPD) - TOTAL VISITS: 576. TOTAL EXPENSES: $575,792. TOTAL REVENUE: $365,686. 7) ALL OTHER CLINICS (WOUND CARE, HYPERBARIC, SLEEP, CARDIAC CATH, CARDIAC REHAB, PULMONARY REHAB, AND BELLPORT PRIMARY). TOTAL VISITS: 21,982. TOTAL EXPENSES: $19,654,593. TOTAL REVENUE: $20,102,967.
FORM 990, PART VI, SECTION A, LINE 2:	L. ROSE AND F. ROSE ARE BOARD MEMBERS AND HAVE A FAMILY RELATIONSHIP.
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:	DRAFT FORM 990 WAS PROVIDED TO MANAGEMENT FROM BDO. A FINAL DRAFT WAS PRESENTED TO JOINT MEETING OF FINANCE AND AUDIT COMMITTEES FOR REVIEW, AND THEN PROVIDED TO ALL BOARD MEMBERS, VIA THE BOARD PORTAL, 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 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 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, as well as the data provided by the Consultant. 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:	change in minimum pension liability.....................$1,027,114. changes in net assets of LICH-HCS Foundation............$2,446,682. appropriation of temporary restricted net assets for operations..............................................$ (585,327.) Total...................................................$2,888,469.

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 (3 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	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Brookhaven Physician Services
100 HOSPITAL ROAD	PATCHOGUE	NY	11772	260628913	PHYSICIAN OFFICE	NY	NA	C	$0	$0	0.00000	false
Brookhaven Surgical Services PC
100 Hospital ROAD	Patchogue	NY	11772	260885844	PHYSICIAN OFFICE	NY	NA	C	$0	$0	0.00000	false
LI Orthopedic & Spine Specialist PC
100 Hospital ROAD	patchogue	NY	11772	274670754	PHYSICIAN OFFICE	NY	NA	C	$0	$0	0.00000	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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