2018-08-31T10:13:40-05:00 2017-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2017-01-01 131624169 THE FLOATING HOSPITAL INC FLOA 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 SEAN T GRANAHAN PRESIDENT & GENERAL COUNSEL 7187842240 2018-08-30 1 THOMAS LANNING P00851654 2122970400 2018-08-22 2017 2022-09-23 18:48:47Z SEAN T GRANAHAN 41-40 27TH STREET LONG ISLAND CITY NY 11101 19812591 0 X WWW.THEFLOATINGHOSPITAL.ORG X 1866 NY THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW, LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. THF IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 13 13 237 12 0 0 11418055 10881533 9594238 8774484 1 1 155648 156573 21167942 19812591 0 0 0 0 14118085 14482840 0 0 372393 6134302 6000684 20252387 20483524 915555 -670933 5475201 5115810 2369503 2681045 3105698 2434765 X THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. TFH IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 0 0 7788755 6160262 HCH PROGRAM - TFH IS A FEDERALLY QUALIFIED HEALTH CENTER, AND HAS HISTORICALLY SERVED NYC'S MOST UNDERSERVED POPULATIONS. THAT POPULATION TODAY IS HOMELESS FAMILIES, WHICH, AS A CATEGORY OF HOMELESSNESS, FAR EXCEEDS HOMELESS SINGLE MEN OR WOMEN. TFH PROVIDES EXTENSIVE HEALTH CARE SERVICES TO THESE INDIVIDUALS REGARDLESS OF ABILITY TO PAY. IN ADDITION, IT PROVIDES NON-MEDICAID REIMBURSED SERVICES SUCH AS HEALTH EDUCATION AT NO COST TO ANY PATIENT. 4986383 2770795 CHC/PHPC PROGRAM - TFH ALSO FUNCTIONS AS A FEDERALLY QUALIFIED HEALTH CENTER TO THE NORTHWEST QUEENS COMMUNITY AND PROVIDES PRIMARY HEALTH CARE SERVICES TO THE UNDERSERVED OF THAT COMMUNITY AS WELL AS THE QUEENSBRIDGE AND RAVENSWOOD HOUSES, THE LARGEST PUBLIC HOUSING PROJECTS IN THE UNITED STATES. IT FOLLOWS THE SAME FORMULA AS ITS HOMELESS FAMILIES PROGRAM, PROVIDING PRIMARY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. 4335207 DJJ MEDICAL AND DENTAL PROGRAM - TFH IS THE MEDICAL PROVIDER TO THE NYC DEPARTMENT OF JUVENILE JUSTICE, WHICH HANDLES ALL ASPECTS OF YOUTH UNASSOCIATED WITH A SPECIFIC HOME LIFE AT A PARTICULAR TIME, I.E., FOSTER CHILDREN (BOTH TEMPORARY AND PERMANENT), DETAINED YOUTH, ETC. TFH PROVIDES HEALTH CARE AND HEALTH EDUCATION TO THIS MEDICALLY FRAGILE AND INNER-CITY AT-RISK POPULATION AT SITES IN THE BRONX AND BROOKLYN. 17110345 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 15 0 1 237 1 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 NY X GLORIA CARNEY 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 ALLISON SOKARIS CHAIRMAN 1.00 1.00 X X 0 0 0 ANTHONY BROWNIE TRUSTEE 1.00 X 0 0 0 CAROL JACKSON TRUSTEE 1.00 X 0 0 0 DAVID KOCHANOWSKY TRUSTEE 1.00 X 0 0 0 DOMINICK DELORENZO TRUSTEE 1.00 X 0 0 0 EDWARD W PRAGER TRUSTEE 1.00 1.00 X 0 0 0 EVELYN LORD TRUSTEE 1.00 X 0 0 0 JUDITH FASKE TRUSTEE 1.00 1.00 X 0 0 0 KHADIJAH WATKINS TRUSTEE 1.00 X 0 0 0 MAUDE ASKIN VICE CHAIR & SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL GEORGE TRUSTEE 1.00 X 0 0 0 PRISCILLA BAYLEY TRUSTEE 1.00 X 0 0 0 REGINA JASLOW VICE CHAIR & TREASURER 1.00 1.00 X X 0 0 0 S STILES NYERERE EXECUTIVE VP & CFO 35.00 2.00 X 70909 0 23956 SEAN T GRANAHAN PRESIDENT/GENERAL COUNSEL 35.00 5.00 X 198790 0 21545 SHANI ANDRE MD VP & CHIEF MEDICAL OFFICER 35.00 X 225012 0 9048 ALEXANDRA ISAKOVA PHYSICIAN 35.00 X 163316 0 16366 ARACELIS LUBREA PSYCHIATRIST 35.00 X 162683 0 25447 MARK SETHNA PHYSICIAN 35.00 X 163190 0 13807 SHARI POTTER MID LEVEL PRACTITIONER 35.00 X 146224 0 26264 SHIRLEY OBIOHA MEDICAL DIRECTOR 35.00 X 154264 0 12677 1284388 0 149110 24 0 1 0 COHNREZNICK LLP 1301 AVE OF THE AMERICAS NEW YORK NY 10019 AUDIT AND FINANCIAL CONSULTING SERVICES 240463 NETWORK INFRASTRUCTURES TECH 90 JOHN STREET NEW YORK NY 10038 IT SERVICES 183904 DR KONATA STALLINGS 105 -05 69TH AVE FOREST HILLS NEW YORK NY 10011 PSYCHOLOGICAL SERVICES 119799 BRONX PSYCHOLOGY SERVICES 27 MELROSE AVE MOUNT VERNON NEW YORK NY 10552 PSYCHOLOGICAL SERVICES 108775 DR SHENELLE EVANS 4 PAGE AVENUE YONKERS NEW YORK NY 10704 PSYCHOLOGICAL SERVICES 107308 5 401435 9850165 629933 661607 10881533 MEDICAID 621400 6925090 6925090 NYS UNCOMPENSATED CARE 621400 1186127 1186127 MEDICARE 621400 331386 331386 OTHER THIRD PARTY 621400 243189 243189 SELF PAY 621400 88692 88692 8774484 1 1 MEANINGFUL USE INCENTIVES 621400 119500 119500 OTHER INCENTIVES 900099 17500 17500 MEDICAL RECORDS 900099 5280 5280 14293 14293 156573 19812591 8931057 0 1 549259 459494 79652 10113 10837439 9061721 1575641 200077 315087 264797 44631 5659 1599603 1344295 226576 28732 1181452 992884 167347 21221 101168 101168 144504 31500 113004 1543186 1235235 268500 39451 63409 39250 24159 213161 152718 49125 11318 668665 567327 101338 17401 8225 8882 294 24931 11784 12725 422 35376 35376 282371 282371 345417 263816 78238 3363 CONSUMABLE SUPPLIES 1553215 1500912 49126 3177 DATA PROCESSING 249736 199174 43754 6808 REPAIRS AND MAINTENANCE 240473 237477 0 2996 PATIENT TRANSPORTATION 111018 110970 36 12 406653 346395 45667 14591 20483524 17110345 3000786 372393 272126 12052 13222 469 966871 720593 2499054 2528628 86648 152899 5272964 3708852 1501903 1564112 135377 137057 5475201 5115810 1333652 1615789 800000 992984 235851 72272 2369503 2681045 X 2906517 2253876 199181 180889 3105698 2434765 5475201 5115810 -670933 0 X X 0 1 X 1 1 1 X 8570567 9703097 10664839 11417555 10881533 51237591 8570567 9703097 10664839 11417555 10881533 51237591 51237591 1 20 11 1 1 34 169120 216374 274863 256990 156573 1073920 52311545 44525897 0.97950 0.97790 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MEANINGFUL USE - 2013 AMOUNT: $ 153,000. 2014 AMOUNT: $ 195,500. 2015 AMOUNT: $ 212,500. 2016 AMOUNT: $ 187,000. 2017 AMOUNT: $ 119,500. MISCELLANEOUS - 2013 AMOUNT: $ 718. 2014 AMOUNT: $ 3,961. 2016 AMOUNT: $ 2,613. 2017 AMOUNT: $ 14,293. COPYING FEES - 2013 AMOUNT: $ 2,765. 2014 AMOUNT: $ 2,325. 2015 AMOUNT: $ 4,205. 2017 AMOUNT: $ 0. FUNDRAISING - 2013 AMOUNT: $ 10,237. 2014 AMOUNT: $ 14,588. 2015 AMOUNT: $ 58,158. 2016 AMOUNT: $ 62,065. 2017 AMOUNT: $ 0. PATH-THROUGH TO CARE OF HOMELESS - 2013 AMOUNT: $ 2,400. MEDICAL RECORDS - 2016 AMOUNT: $ 5,312. 2017 AMOUNT: $ 5,280. INCENTIVE INCOME - 2017 AMOUNT: $ 17,500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1624737 1236707 388030 405900 379782 26118 3242327 2092363 1149964 1564112 DUE TO THIRD PARTY PAYOR 72272 72272 X 20248734 436143 436143 19812591 0 19812591 20955294 471770 471770 20483524 0 20483524 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2017. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2014 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION'S REVENUE 837,578. INTERCOMPANY ELIMINATIONS -401,435. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGAINIZATION'S EXPENSES 873,205. INTERCOMPANY ELIMINATIONS -401,435. X X X X 0 0 0 0 0 0 0 1 0 SEAN T GRANAHAN PRESIDENT/GENERAL COUNSEL 191176 0 0 0 7614 0 8224 0 13321 0 220335 0 0 0 SHANI ANDRE MD VP & CHIEF MEDICAL OFFICER 220762 0 0 0 4250 0 9000 0 48 0 234060 0 0 0 ALEXANDRA ISAKOVA PHYSICIAN 109585 0 53731 0 0 0 6562 0 9804 0 179682 0 0 0 ARACELIS LUBREA PSYCHIATRIST 162683 0 0 0 0 0 6702 0 18745 0 188130 0 0 0 MARK SETHNA PHYSICIAN 112792 0 50398 0 0 0 6520 0 7287 0 176997 0 0 0 SHARI POTTER MID LEVEL PRACTITIONER 146224 0 0 0 0 0 6076 0 20188 0 172488 0 0 0 SHIRLEY OBIOHA MEDICAL DIRECTOR 149219 0 0 0 5045 0 3947 0 8730 0 166941 0 0 0 PART I, LINE 7 THE LISTED INDIVIDUALS RECEIVED BONUSES THAT WERE VOTED ON BY THE BOARD OF DIRECTORS AND WERE INCLUDED IN THEIR 2017 W-2. X 3 661607 CONFIRMATION AND INVOICE 0 0 0 PART I, COLUMN (B): COULMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 2 EDWARD PRAGER AND JUDITH FASKE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO SUBCOMMITTEES OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUTANT AND REVIEWED BY MANAGEMENT, A DRAFT OF THE FORM 990 IS REVIEWED WITH THE BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR THE ORGANIZATION REVIEWS THE POLICIES IN A BOARD MEETING AND REQUESTS THAT ALL MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS RE-SIGN THE CONFLICT OF INTEREST POLICY STATEMENT. BOARD MEMBERS ARE PROHIBITED FROM RECRUITING BOARD MEMBERS WHO ARE TFH VENDORS, SO MONITORING BEGINS WITH THE BOARD ITSELF. BOARD ORIENTATION PACKETS CONTINUE THE PROCESS. VENDORS OVER $100,000 REQUIRE BOARD NOTIFICATION WHICH IS PRIMARILY SUPPLIED BY THE FORM 990. THE ANNUAL AUDIT SERVES AS AN INDEPENDENT FINAL CHECK OF POSSIBLE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A TFH FOLLOWS THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER GUIDELINES ON OFFICERS AND KEY EMPLOYEE'S SALARIES. IN ADDITION OTHER AGENCIES FORM 990S ARE SOMETIMES REVIEWED. THE BOARD MEETS IN A CLOSED SESSION TO ADDRESS THE ISSUE OF CEO COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THE ORGANIZATION DOES NOT MEET THIS DEFINITION. TFH SERVICES LLC 41-40 27TH STREET LONG ISLAND CITY NY 11101 823212495 FINANCING NY 0 0 THE FLOATING HOSPITAL INC THE FLOATING HOSPITAL FOUNDATION INC 41-40 27TH STREET LONG ISLAND CITY NY 11101 300102842 RAISES FUNDS AND SUPPORTS THE FLOATING HOSPITAL, INC. NY 501(C)(3) LINE 12A, I THE FLOATING HOSPITAL INC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0