LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201943189349312449
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-14T16:23:45-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 PARK AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100175001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111704595EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% B FARRELL VP/CFOInCareOfNm
Business Name ControlBROOBusinessNameControlTxt
Phone6316547100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRENDA FARRELLPersonNm
Person TitleCFOPersonTitleTxt
Phone6316547100PhoneNum
Signature2019-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngelo PirozziPreparerPersonNm
PTINP00446022PTIN
Phone2128858000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.98.146.212IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308920193185000091FederalOriginalSubmissionId
Federal Original Submission Id2019-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9C79E9A9669F6ACE2C319A1C04A34C88558E1FDAAtSubmissionCreationDeviceId
At Submission Filing Device Id7650403D266B766C333176AE000A8E3E9E2A92DEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerR T MARGULIS CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$278,715,849GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LICOMMUNITYHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionDELIVER 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 Body26VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee2492TotalEmployeeCnt
Total Volunteers126TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,665,689PYContributionsGrantsAmt
CY Contributions Grants$2,596,868CYContributionsGrantsAmt
PY Program Service Revenue$265,694,634PYProgramServiceRevenueAmt
CY Program Service Revenue$267,827,731CYProgramServiceRevenueAmt
PY Investment Income$208,171PYInvestmentIncomeAmt
CY Investment Income$3,192,490CYInvestmentIncomeAmt
PY Other Revenue$3,832,180PYOtherRevenueAmt
CY Other Revenue$3,024,149CYOtherRevenueAmt
PY Total Revenue$271,400,674PYTotalRevenueAmt
CY Total Revenue$276,641,238CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$175,215,973PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$168,832,287CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$50,311CYTotalFundraisingExpenseAmt
PY Other Expenses$103,095,772PYOtherExpensesAmt
CY Other Expenses$102,446,713CYOtherExpensesAmt
PY Total Expenses$278,311,745PYTotalExpensesAmt
CY Total Expenses$271,279,000CYTotalExpensesAmt
PY Revenues Less Expenses-$6,911,071PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,362,238CYRevenuesLessExpensesAmt
Total Assets BOY$231,934,665TotalAssetsBOYAmt
Total Assets EOY$228,133,137TotalAssetsEOYAmt
Total Liabilities BOY$142,272,608TotalLiabilitiesBOYAmt
Total Liabilities EOY$135,939,115TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$89,662,057NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$92,194,022NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDELIVER 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$142,023,673ExpenseAmt
Grant$0GrantAmt
Revenue$163,159,266RevenueAmt
DescINPATIENT CARE SERVICES - INCLUDES MEDICAL/SURGICAL PROCEDURES, PEDIATRICS, MATERNITY, ICU, CCU, NURSERY, ROUTINE AND PSYCHIATRIC CARE. TOTAL 2018 INPATIENT DAYS: 69,983Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$40,846,339ExpenseAmt
Grant$0GrantAmt
Revenue$39,817,407RevenueAmt
DescEMERGENCY ROOM SERVICES - AVAILABLE TO THE COMMUNITY 24 HOURS, 7 DAYS A WEEK. TOTAL 2018 TREAT AND RELEASE VISITS: 60,477Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$23,543,230ExpenseAmt
Grant$0GrantAmt
Revenue$25,275,514RevenueAmt
DescAMBULATORY SURGERY SERVICES - AVAILABLE TO THE COMMUNITY. TOTAL 2018 PROCEDURES: 6,436Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$46,966,816TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$42,013,982TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$253,380,058TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document262IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2492EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonB FARRELL VPCFOPersonNm
Phone6316547175PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
R T MARGULIS
PRESIDENT & CEO/DIRECTOR40.00.5Yes (X)Yes (X)$847,284$0$61,825
M MULHOLLAND
CHAIRMAN0.50.5Yes (X)Yes (X)$0$0$0
E P SMITH
VICE CHAIRMAN0.50.5Yes (X)Yes (X)$0$0$0
P MOLONEY
2ND VICE CHAIRMAN0.50.5Yes (X)Yes (X)$0$0$0
F GRUCCI JR
TREASURER0.50.5Yes (X)Yes (X)$0$0$0
M KNAPP
SECRETARY0.50.5Yes (X)Yes (X)$0$0$0
R BERMAN MD
DIRECTOR0.50.5Yes (X)$0$0$0
F C BRAUN III
DIRECTOR0.50.5Yes (X)$0$0$0
G BROWN
DIRECTOR0.50.5Yes (X)$0$0$0
T CULLEN
DIRECTOR0.50.5Yes (X)$0$0$0
N KIRIDLY
DIRECTOR/PRES. OF MED. STAFF0.50.5Yes (X)$0$0$0
E KORMYLO DPM
DIRECTOR0.50.5Yes (X)$30,000$0$0
W LADICK
DIRECTOR0.50.5Yes (X)$0$0$0
W LEHMANN
DIRECTOR0.50.5Yes (X)$0$0$0
J MAIORINO
DIRECTOR0.50.5Yes (X)$0$0$0
J MAYER
DIRECTOR0.50.5Yes (X)$0$0$0
M MENNELLA
DIRECTOR0.50.5Yes (X)$0$0$0
C PARKER
DIRECTOR0.50.5Yes (X)$0$0$0
S NORTON REMMER
DIRECTOR0.50.5Yes (X)$0$0$0
F ROSE
DIRECTOR0.50.5Yes (X)$0$0$0
L ROSE
DIRECTOR0.50.5Yes (X)$0$0$0
E RUSSO
DIRECTOR0.50.5Yes (X)$0$0$0
K SCHWARTZ MD
DIRECTOR0.50.5Yes (X)$0$0$0
R W SCHWARZ
DIRECTOR0.50.5Yes (X)$0$0$0
J SULLIVAN
DIRECTOR0.50.5Yes (X)$0$0$0
S TAITZ
DIRECTOR0.50.5Yes (X)$0$0$0
B FARRELL
VP FINANCE, CFO39.50.5Yes (X)$451,030$0$45,304
A PALLAS
VP, COO40.00.0$322,569$0$30,860Yes (X)
W WEHBEH
VP, CQMO40.00.0$439,998$0$28,744Yes (X)
D GRIMM 418 THRU 1218
VP, CNO40.00.0$174,599$0$943Yes (X)
C LINDER 118 THRU 418
ACTING VP, CNO40.00.0$194,001$0$25,209Yes (X)
M PEDDIE
VP, CIO40.00.0$290,004$0$29,515Yes (X)
F SCONZO
PHYSICIAN40.00.0$622,710$0$28,031Yes (X)
R GUPTA
PHYSICIAN40.00.0$295,952$0$27,966Yes (X)
F GRUCCI III
PHYSICIAN40.00.0$270,472$0$8,570Yes (X)
F DESORMEAUX MD
PHYSICIAN40.00.0$251,982$0$29,310Yes (X)
P WHITE
VP, HR40.00.0$250,010$0$27,218Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,440,611TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$343,495TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K263IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUND PHYSICIANS OF NY PLLC
1123 PACIFIC AVENUETACOMAWA98402COLLECTION SERVICES$4,277,935
ALLIANCE HEALTHCARE
PO BOX 96485CHICAGOIL60693RADIOLOGY SERVICES$1,954,650
MEDICAL SOLUTIONS
1010 N 102nd Street Suite 300OMAHANE68114TEMPORARY STAFFING$1,263,662
DIVERSIFIED CLINICAL
28525 Network PlaceCHICAGOIL60673MANAGEMENT SERVICES$1,183,285
ST CHARLES HOSPITAL
200 BELLE TERRE ROADPORT JEFFERSONNY11777PHYSICAL THERAPY$816,505
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Related Organizations$2,000,000RelatedOrganizationsAmt
Government Grants$32,500GovernmentGrantsAmt
All Other Contributions$564,368AllOtherContributionsAmt
Total Contributions$2,596,868TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624200$273,774,277$273,774,277
PROVISION FOR UNCOLLECTIBLES, NET624200-$5,946,546-$5,946,546
FieldValueIRS element (for citing)
Total Program Service Revenue$267,827,731TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$517,101TotalRevenueColumnAmt
Exclusion$517,101ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$115,749RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$115,749RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,749TotalRevenueColumnAmt
Exclusion$115,749ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,750,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,074,611OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,675,389OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,675,389TotalRevenueColumnAmt
Exclusion$2,675,389ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PURCHASE DISCOUNTS AND VENDORS REBATES900099$1,296,222$1,296,222
ANESTHESIOLOGY REVENUE900099$1,142,216$1,142,216
CAFETERIA INCOME722514$271,517$271,517

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$198,445TotalRevenueColumnAmt
Exclusion$198,445ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,908,400OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$276,641,238TotalRevenueColumnAmt
Related Or Exempt Func Income$270,266,169RelatedOrExemptFuncIncomeAmt
Exclusion$3,778,201ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,971,885TotalAmt
Management And General$2,971,885ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$674,492TotalAmt
Management And General$674,492ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$119,825,104TotalAmt
Program Services$112,974,725ProgramServicesAmt
Management And General$6,813,678ManagementAndGeneralAmt
Fundraising$36,701FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,415,208TotalAmt
Program Services$7,931,104ProgramServicesAmt
Management And General$478,337ManagementAndGeneralAmt
Fundraising$5,767FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,981,961TotalAmt
Program Services$26,385,572ProgramServicesAmt
Management And General$1,591,354ManagementAndGeneralAmt
Fundraising$5,035FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,963,637TotalAmt
Program Services$8,451,129ProgramServicesAmt
Management And General$509,700ManagementAndGeneralAmt
Fundraising$2,808FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,715,507TotalAmt
Program Services$4,447,284ProgramServicesAmt
Management And General$268,223ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$944,561TotalAmt
Management And General$944,561ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$139,520TotalAmt
Management And General$139,520ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$120,036TotalAmt
Management And General$120,036ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,765,069TotalAmt
Program Services$15,804,638ProgramServicesAmt
Management And General$960,431ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,994,145TotalAmt
Program Services$1,880,716ProgramServicesAmt
Management And General$113,429ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,120,729TotalAmt
Program Services$1,056,981ProgramServicesAmt
Management And General$63,748ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$517,997TotalAmt
Program Services$488,533ProgramServicesAmt
Management And General$29,464ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,668,936TotalAmt
Program Services$5,346,482ProgramServicesAmt
Management And General$322,454ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$61,911TotalAmt
Program Services$58,389ProgramServicesAmt
Management And General$3,522ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$73,140TotalAmt
Program Services$68,980ProgramServicesAmt
Management And General$4,160ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,441,168TotalAmt
Program Services$2,302,312ProgramServicesAmt
Management And General$138,856ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,932,932TotalAmt
Program Services$11,254,175ProgramServicesAmt
Management And General$678,757ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,826,993TotalAmt
Program Services$3,609,310ProgramServicesAmt
Management And General$217,683ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$33,053,304$33,053,304
REPAIRS AND MAINTENANCE$5,156,682$4,863,365$293,317
PROV FOR PRACTICE UNCOLLECT$4,929,645$4,929,645
OTHER SERVICES$4,395,443$4,145,426$250,017

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,588,995TotalAmt
Program Services$4,327,988ProgramServicesAmt
Management And General$261,007ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$271,279,000TotalAmt
Program Services$253,380,058ProgramServicesAmt
Management And General$17,848,631ManagementAndGeneralAmt
Fundraising$50,311FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$260,013BOYAmt
EOY$106,943EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,643,567BOYAmt
EOY$17,672,168EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,809,611BOYAmt
EOY$38,631,545EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,680,569BOYAmt
EOY$4,772,120EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,244,508BOYAmt
EOY$1,810,167EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$296,034,278LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$161,455,352LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$138,957,775BOYAmt
EOY$134,578,926EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$22,189,405BOYAmt
EOY$21,356,363EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$66,655BOYAmt
EOY$49,987EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,082,562BOYAmt
EOY$9,154,918EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$231,934,665BOYAmt
EOY$228,133,137EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$51,736,904BOYAmt
EOY$49,056,398EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,435,449BOYAmt
EOY$44,507,030EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$259,076BOYAmt
EOY$424,160EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,841,179BOYAmt
EOY$41,951,527EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$142,272,608BOYAmt
EOY$135,939,115EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$82,632,197BOYAmt
EOY$85,987,230EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,129,860BOYAmt
EOY$5,306,792EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$900,000BOYAmt
EOY$900,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,662,057BOYAmt
EOY$92,194,022EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$231,934,665BOYAmt
EOY$228,133,137EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,362,238ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$222,229NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,052,502OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$120,036OtherActivitiesAmt
Total Lobbying Expenditures$120,036TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1I:FormAndLineReferenceDesc
ExplanationLONG ISLAND COMMUNITY HOSPITAL PAYS DUES TO AMERICAN HOSPITAL ASSOCIATION (AHA), LONG ISLAND HEALTH NETWORK (LIHN), 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, LIHN, HCA AND HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2018 WERE: AHA................$ 9,751 LIHN...............$ 1,799 NSHC...............$ 3,543 HCA................$ 1,624 HANYS..............$11,319 During 2018 The Medical Center also paid Desmond Ryan $60,000 and Envision Strategy $32,000 for consulting services for political people and powers.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
End Year Balance$900,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
End Year Balance$900,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
End Year Balance$900,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
End Year Balance$900,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
End Year Balance$900,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,531,487OtherCostOrOtherBasisAmt
Book Value$1,531,487BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,449,745OtherCostOrOtherBasisAmt
Depreciation$38,899,715DepreciationAmt
Book Value$72,550,030BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,137,152OtherCostOrOtherBasisAmt
Depreciation$2,651,837DepreciationAmt
Book Value$1,485,315BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,967,498OtherCostOrOtherBasisAmt
Depreciation$116,024,151DepreciationAmt
Book Value$53,943,347BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,948,396OtherCostOrOtherBasisAmt
Depreciation$3,879,649DepreciationAmt
Book Value$5,068,747BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$134,578,926TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS IN LICH-HCS FOUND.$19,356,363F
INVESTMENTS IN GSB ENDOSCOPY$2,000,000F
FieldValueIRS element (for citing)
Total Book Value Securities$21,356,363TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$4,464,103
ACCRUED PENSION COSTS$9,375,607
ESTIMATED MALPRACTICE LIABILITY$23,050,031
CHANGE IN VALUATION OF SWAP$1,620,551
NET$1,626,276
ASBESTOS ABATEMENT$1,814,959
FieldValueIRS element (for citing)
Total Liability$41,951,527TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$273,810,965TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$222,229NetUnrealizedGainsInvstAmt
Other Revenue-$3,052,502OtherRevenueAmt
Revenue Not Reported-$2,830,273RevenueNotReportedAmt
Revenue Subtotal$276,641,238RevenueSubtotalAmt
Total Revenue Per Form990$276,641,238TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$271,279,000TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$271,279,000ExpensesSubtotalAmt
Total Expenses Per Form990$271,279,000TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINES 1 AND 4:A $1,000,000 trust was initially established by a donor in 1969. LONG ISLAND COMMUNITY HOSPITAL had classified the original value of the gift along with the allocable compounded earnings as permanently restricted net assets to be held in perpetuity. In order to comply with the donor agreement and to fairly represent the classification of restricted net assets, the organization reclassified $2,195,067 from permanently restricted net assets to temporarily restricted net assets during 2012, as this amount represents the 10% interest in the principal amount of the trust the organization will become entitled to in 2019 ($100,000) and the income earned on the fund since inception less amounts appropriated for general purposes. 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. The amount that is reported in permanently restricted net assets of $900,000 represents the portion of the trust to be held in perpetuity.
PART X, LINE 2:The HOSPITAL has not taken an unsubstantiated tax position that would require provision of a liability under ASC 740, "income taxes". Under ASC 740, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained. The Hospital does not believe there are any material uncertain tax positions and, accordingly, has not recognized any liability for unrecognized tax benefits. The Hospital has filed Internal Revenue Service ("IRS") Form 990, as required, and all other applicable returns in jurisdictions where it is required. For the years ended December 31, 2018 and 2017, there were no interest or penalties recorded or included in the financial statements. The hospital believes it is no longer subject to income tax examinations for the years prior to 2015, which is the statute of limitation look back period.
PART XI, LINE 2D:change in minimum pension liability.....................$ (510,711). changes in net assets of LICH-HCS Foundation............$ (2,357,398). appropriation of temporary restricted net assets for operations..............................................$ (184,393). Total...................................................$ (3,052,502).

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other425.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served3583PersonsServedCnt
Total Community Benefit Expns$5,401,567TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,401,567NetCommunityBenefitExpnsAmt
Total Expense0.01990TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served31268PersonsServedCnt
Total Community Benefit Expns$22,894,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,895,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,998,919NetCommunityBenefitExpnsAmt
Total Expense0.05900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served34851PersonsServedCnt
Total Community Benefit Expns$28,295,809TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,895,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,400,486NetCommunityBenefitExpnsAmt
Total Expense0.07890TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$319,247TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$319,247NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,369,657TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,369,657NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,688,904TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,688,904NetCommunityBenefitExpnsAmt
Total Expense0.01730TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served34851PersonsServedCnt
Total Community Benefit Expns$32,984,713TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,895,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,089,390NetCommunityBenefitExpnsAmt
Total Expense0.09620TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,946,546BadDebtExpenseAmt
Reimbursed By Medicare$69,514,887ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$75,465,235CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,950,348MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities12HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndFacility Reporting GroupFacilityReportingGroupCdGeneral Medical And SurgicalGeneralMedicalAndSurgicalInd
BROOKHAVEN MEMORIAL HOSPITAL MED CTR
1101 HOSPITAL ROADEAST PATCHOGUENY11772Yes (X)A
HOME HEALTH CARE
2103 WEST MAIN STREETPATCHOGUENY11772AYes (X)
BROOKHAVEN MEMORIAL HOSP DIALYSIS CTR
3109 WEST MAIN STREETPATCHOGUENY11772AYes (X)
CTR FOR WOUND CARE & HYPERBARIC MEDIC
433 MEDFORD AVENUEPATCHOGUENY11772AYes (X)
HOSPICE
5105 WEST MAIN STREETPATCHOGUENY11772AYes (X)
OUT PATIENT IMAGING
6100 HOSPITAL ROADPATCHOGUENY11772AYes (X)
WOMEN'S IMAGING SERVICES CENTER
7100 HOSPITAL ROADPATCHOGUENY11772AYes (X)
CARDIO REHABILITATION CENTER
8100 HOSPITAL ROADPATCHOGUENY11772AYes (X)
BROOKHAVEN BELLPORT PRIMARY CARE CTR
9515 BELLPORT AVENUEBELLPORTNY11713AYes (X)
CTR FOR WOUND CARE & HYPERBARIC MED
10300 KENNEDY DRIVEHAUPPAUGENY11788AYes (X)
OUTPATIENT CHEM DEPEND SRVCS EAST
11550 MONTAUK HIGHWAYSHIRLEYNY11967AYes (X)
OUTPATIENT CHEM DEPEND SRVCS WEST
12365 EAST MAIN STREETPATCHOGUENY11772AYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BROOKHAVEN MEMORIAL HOSPITAL MEDICALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.LICOMMUNITYHOSPITAL.ORGOwnWebsiteURLTxt
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V FOR URLStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care425.FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.LICOMMUNITYHOSPITAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.LICOMMUNITYHOSPITAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.LICOMMUNITYHOSPITAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5:THE MEDICAL CENTER 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, EMPLOYEES AND THE EMPLOYEE COUNCIL, COMMUNITY MEMBERS, THE LI2DAY ORGANIZATION, 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, AS WELL AS THE HEALTH CENTER ADVISORY COUNCIL MEMBERS. 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 2016 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 2016 these needs were addressed through various hospital initiatives and community events, including but not limited to: A) THE HOSPITAL PARTICIPATED IN VARIOUS COMMUNITY HEALTH FAIRS INCLUDING: BOYS & GIRLS CLUB, BOCES WELLNESS, BROOKHAVEN SENIOR PICNIC, RSVP, ST. JOSEPH COLLEGE HEALTH FAIR, SAYVILLE WELLVILLE, PATCHOGUE YMCA WELLNESS FAIR, HIA TRADE SHOW (WOUND CARE), SUFFOLK MARATHON, BELLPORT NATIONAL NIGHT OUT- HOSPICE LECTURE SERIES. B) PARTNERED WITH THE PATCHOGUE YMCA WELLNESS FAIR PROVIDING B/P SCREENINGS, DIABETES RISK ASSESSMENT SCREENING, BMI SCREENINGS, AND NUTRITIONAL EDUCATION WERE JUST SOME OF THE EDUCATION AND SCREENINGS MADE AVAILABLE TO THE COMMUNITY. PARTNERSHIP WITH DIABETES PREVENTION PROGRAM AND KNAPP CARDIAC CARE WALKING PROGRAM ON GOING. C) 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. BREAST CANCER AWARENESS TO ACTION LECTURE HELD IN COLLABORATION WITH MONDAYS AT RACINE AT THE BOYS & GIRLS CLUB OF BELLPORT ON JUNE 26. WOMEN'S SYMPOSIUM HELD WITH A PANEL OF PHYSICIANS. D) KNAPP CARDIAC CARE OUTREACH-ART THERAPY WORKSHOPS, AFFILIATED WITH MENDED HEART SUPPORT GROUP DIVISION HOSTED HERE AT LONG ISLAND COMMUNITY HOSPITAL, LECTURE SERIES TOPICS INCLUDED: HYPERTENSION, SLEEP APNEA, NUTRITIONAL EDUCATION, CARDIAC TESTING, STROKE & HEART HEALTH, EMOTIONAL IMPACT ON HEART DISEASE, TAI CHI & HEART HEALTH, ANTICOAGULANT & ANTIPLATELET AND THE IMPORTANCE OF MEDICATION COMPLIANCE. FEBRUARY CARDIAC AWARENESS - B/P CHECK STATION IN THE MAIN HOSPITAL LOBBY FOR FOUR CONSECUTIVE FRIDAYS FOR BOTH EMPLOYEES AND VISITORS TO THE HOSPITAL IN RECOGNITION OF CARDIOVASCULAR AWARENESS MONTH. E) HIA TRADE SHOW PROVIDING WOUND CARE INFORMATION AND EDUCATION. F) LEARN TO BE TOBACCO FREE PROGRAM. G) VETERANS SUPPORT GROUP. H) 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. I) 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.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
HOME HEALTH CARE
103 WEST MAIN STREETPATCHOGUENY11772OUTPATIENT
BROOKHAVEN MEMORIAL HOSP DIALYSIS CTR
109 WEST MAIN STREETPATCHOGUENY11772OUTPATIENT
CENTER FOR WOUND CARE & HYPERBARIC MEDIC
33 MEDFORD AVENUEPATCHOGUENY11772OUTPATIENT
HOSPICE
105 WEST MAIN STREETPATCHOGUENY11772HOSPICE
OUT PATIENT IMAGING
100 HOSPITAL ROADPATCHOGUENY11772OUTPATIENT
WOMEN'S IMAGING SERVICES CENTER
285 SILLS ROAD BUILDING 5-6BELLPORTNY11772OUTPATIENT
CARDIO REHABILITATION CENTER
100 HOSPITAL ROADPATCHOGUENY11772OUTPATIENT
BROOKHAVEN BELLPORT PRIMARY CARE CTR
515 BELLPORT AVENUEBELLPORTNY11713OUTPATIENT
CTR FOR WOUND CARE & HYPERBARIC MED
300 KENNEDY DRIVEHAUPPAUGENY11788OUTPATIENT
SCHOOL BASED HOSPITAL EXTEN CLINIC
350 MAPLE AVENUEBELLPORTNY11713OUTPATIENT

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS SHOWN IN THE AUDITED FINANCIAL STATEMENTS ("AFS"). The explanation of the methodology used to estimate this amount can be found in footnote (2) on page 11 and footnote 4 on pages 19 through 20 of the attached Audited financial statements.
PART III, LINE 4:The text of the footnote that describe bad debt expense can be found on pages 11 and 19 through 20 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 AssessmentIn 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, Health fairs and other consumer-oriented events. 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. LICH 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 men
Part VI, Line 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFinancial 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 INFORMATIONThe 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. BHMC's primary and secondary service area census is 375,000 persons. It includes Brookhaven (one of the fastest growing towns in New York), and expands from west to east from Sayville to Moriches and north to Coram and Selden. Currently the highest number of hospital visits originate from the town of Patchogue, which is ethnically diverse and includes a high number of minorities. The individual median income that on average is 25 percent less than other Suffolk County residents. Census data notes an unemployment rate for the 28 communities of 6.73% with several areas over 10% including Brookhaven, West Sayville, and Mastic Beach. The poverty rate for our community is at 7.69% which is well above State and County averages with several communities with rates in excess of 10 percent including Bellport at 16.9%, Mastic Beach at 17.5%, Mastic at 13.2%, Patchogue at 12.4% and Yaphank at 11.1%. While the County has areas of wealth, the population served by the Medical Center contains 7 out of 10 communities with the lowest median income in Suffolk County. Approximately 102,000 individuals in Suffolk County live below the federal poverty level. With 28,800 living in our catchment area that approximates 28% of the total. Data presented within CHNA report demonstrates the existence of vast health disparities stemming from a wide range of socioeconomic factors. Our findings indicate the reality of the linkage of health disparities to a variety of social factors including race, ethnicity, gender, language, age, disabilities, and financial security among others. Elimination of such disparities is a priority throughout the Long Island region as bridging of gaps and services will ultimately improve health outcomes and quality of life for community members. As noted previously the socioeconomic environment of our catchment area shows unemployment and poverty rates well above the Long Island and Suffolk County averages. The Mastic beach area has an unemployment rate of 10.8%, Poverty rate of 17.5% and 17.8% of their residence are receiving cash public assistance and or food stamps. 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 HEALTHLONG 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 2016-18 Community Service Plan will provide an overview of the Medical Center, 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. In addition, Long Island Community Hospital has recently acquired the former John J. Foley Nursing Rehabilitation Center from the County of Suffolk. Renovation work and enhancements are planned for 2017. The center will operate much needed services to the 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 Medical Center 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. 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 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 the Brookhaven Diabetes Wellness Center located at 33 Medford Ave, Patchogue, NY 11772. For more information please call 631.687.4188. The BOCES - Bellport Academic Center is located within the LICH services area. LICH has a contractual relationship to provide health care services to the students at the Center. Educational material about diabetes, obesity, mental health and substance abuse will be distributed to the students as a component of LICH's outreach program and this Community Service Plan. LICH - Bellport Primary Care Center: LICH has opened a primary care center in Bellport which is close to the main hospital. This new primary care center will have 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 BPPC is a new Boys and Girls Club facility. BPPC and the Club intend to 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. Brookhaven 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 those in need and to educate the public on the impact and issues of Breast Cancer Knapp Cardiac Care Wellness program: This program offers free blood pressure screenings, art classes, walking and exercise classes, and educational seminars to support heart health Mental Health Family Education: For Family and Friends of people struggling with mental illness and or substance abuse meets twice a month. Other Programs: Annually, Long Island Community Hospital offers a free of charge wellness event for the community. This year LICH collaborated with the Patchogue YMCA and the Boys & Girls Club of Bellport to provide more than 300 people an interactive experience. Utilizing educational games and creative stations including CPR and AED demonstrations we were able to educate and inform the community about healthy lifestyle choices. Also included were physical activities for adults and children including bounce houses and obstacle courses along with Zumba instruction, all promoting movement to improve health. Long Island Community Hospital offers a variety
Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEMNot applicable.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
R T MARGULIS
PRESIDENT & CEO/DIRECTOR$839,484$0$0$0$7,800$0$38,082$0$23,743$0$909,109$0$0$0
B FARRELL
VP FINANCE, CFO$450,002$0$0$0$1,028$0$23,700$0$21,604$0$496,334$0$0$0
A PALLAS
VP, COO$322,569$0$0$0$0$0$9,950$0$20,910$0$353,429$0$0$0
W WEHBEH
VP, CQMO$439,998$0$0$0$0$0$7,200$0$21,544$0$468,742$0$0$0
D GRIMM 418 THRU 1218
VP, CNO$174,599$0$0$0$0$0$0$0$943$0$175,542$0$0$0
C LINDER 118 THRU 418
ACTING VP, CNO$170,001$0$0$0$24,000$0$4,993$0$20,216$0$219,210$0$0$0
F SCONZO
PHYSICIAN$622,710$0$0$0$0$0$5,500$0$22,531$0$650,741$0$0$0
R GUPTA
PHYSICIAN$295,952$0$0$0$0$0$7,200$0$20,766$0$323,918$0$0$0
M PEDDIE
VP, CIO$290,004$0$0$0$0$0$8,781$0$20,734$0$319,519$0$0$0
F GRUCCI III
PHYSICIAN$270,472$0$0$0$0$0$7,109$0$1,461$0$279,042$0$0$0
F DESORMEAUX MD
PHYSICIAN$251,982$0$0$0$0$0$8,781$0$20,529$0$281,292$0$0$0
P WHITE
VP, HR$250,010$0$0$0$0$0$6,700$0$20,518$0$277,228$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TOWN OF BROOKHAVEN INDUSTRIAL DEVELOPMENT AGENCY
A5212995592006-12-21$20,000,000REFINANCE SERIES 2000 BONDSfalsefalsefalse
TOWN OF BROOKHAVEN LOCAL DEVELOPMENT CORPORATION
B2727681822014-03-27$35,000,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$6,800,000$0$23,290,341$0$0$0$0$0$0$117,836$23,172,505$02006falseYes (true)Yes (true)Yes (true)
B$2,655,683$0$35,029,860$0$1,931,390$0$800,451$0$0$19,818,920$12,479,100$02017Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Commerce Bank
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)23.9Yes (true)falsefalse0falsefalse
0
BfalsefalseYes (true)Yes (true)Yes (true)falsefalse0falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
T CULLEN
SEE PART V$277,931VENDORfalse
F GRUCCI III
SEE PART V$279,042EMPLOYMENTfalse
J DUDEK
SEE PART V$143,666EMPLOYMENTfalse
L B MCDOWELL
SEE PART V$127,855EMPLOYMENTfalse
M GRUCCI
SEE PART V$107,809EMPLOYMENTfalse
D KNAPP
SEE PART V$13,736EMPLOYMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV:FormAndLineReferenceDesc
Explanation1) 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, TREASURER. 3) J. DUDEK IS THE SISTER OF J. MAYER, DIRECTOR. 4) L. B. MCDOWELL IS THE DAUGHTER OF R. W. SCHWARZ, DIRECTOR. 5) M. GRUCCI IS THE NIECE OF F. GRUCCI, TREASURER. 6) D. KNAPP IS THE STEP-DAUGHTER OF M. KNAPP, SECRETARY.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4D:1) RENAL DIALYSIS - TOTAL VISITS: 31,866. TOTAL EXPENSES: $13,078,707. TOTAL REVENUE: $13,000,523. 2) HOME HEALTH AGENCY - PROVIDES CERTIFIED HOME HEALTH AND LONG TERM CARE TO THE COMMUNITY. TOTAL VISITS: 29,737. TOTAL EXPENSES: $6,056,939. TOTAL REVENUE: $2,863,042. 3) HOME PROGRAM DIALYSIS (CAPD) - TOTAL VISITS: 588. TOTAL EXPENSES: $4,895,521. TOTAL REVENUE: $546,064. 4) MENTAL HEALTH AND CHEMICAL DEPENDENCY OUTPATIENT CLINICS - TOTAL VISITS: 14,519. TOTAL EXPENSES: $2,429,721. TOTAL REVENUE: $1,803,298. 5) REFERRED AMBULATORY - TOTAL VISITS: 16,380. TOTAL EXPENSES: $2,371,896. TOTAL REVENUE: $4,859,051. 6) HOSPICE - TOTAL DAYS: 8,354. TOTAL EXPENSES: $2,070,130. TOTAL REVENUE: $1,626,066. 7) ALL OTHER CLINICS (WOUND CARE, HYPERBARIC, SLEEP, CARDIAC CATH, CARDIAC REHAB, PULMONARY REHAB, AND BELLPORT PRIMARY). TOTAL VISITS: 21,192. TOTAL EXPENSES: $16,063,902. TOTAL REVENUE: $17,315,938.
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 other organizations. 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 unfunded benefit obligation...................$ (510,711). changes in net assets of LICH-HCS Foundation............$ (2,357,398). appropriation of temporary restricted net assets for operations..............................................$ (184,393). Total...................................................$ (3,052,502).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BROOKHAVEN HEALTH CARE SERVICES CORPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
EIN112950196EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
Brookhaven Physician Services
100 HOSPITAL ROADPATCHOGUENY11772260628913PHYSICIAN OFFICENYNAC$0$0false
Brookhaven Surgical Services PC
100 Hospital ROADPatchogueNY11772260885844PHYSICIAN OFFICENYNAC$0$0false
LI Orthopedic & Spine Specialist PC
100 Hospital ROADpatchogueNY11772274670754PHYSICIAN OFFICENYNAC$0$0false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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