BROOKHAVEN HEALTH CARE SERVICES CORPORATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BROOKHAVEN HEALTH CARE SERVICES CORPORATION (EIN 11-2950196)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349301492
Schema version
2016v3.1
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)
Return2017-11-15T09:05:37-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN112950196EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROOKHAVEN HEALTH CARE SERVICES CORPORATIONBusinessNameLine1Txt
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)
PersonRT MARGULISPersonNm
Person Titlepresident & ceoPersonTitleTxt
Phone6316547100PhoneNum
Signature2017-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngelo PirozziPreparerPersonNm
PTINP00446022PTIN
Phone2128858000PhoneNum
Preparation2017-11-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.249.80.3IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308920173195000014FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEE057800E4A178E9AC3AFE9F4334FD4004F4CA47AtSubmissionCreationDeviceId
At Submission Filing Device IdEE057800E4A178E9AC3AFE9F4334FD4004F4CA47AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BMH FOUNDATIONBusinessNameLine1Txt
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$17,674,762GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BROOKHAVENHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO SEEK PHILANTHROPIC SUPP. & GRANT FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER & OTHER NOT-FOR-PROFIT ORGS. UNDER THE DIRECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,560,068PYContributionsGrantsAmt
CY Contributions Grants$1,297,008CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,649,435PYInvestmentIncomeAmt
CY Investment Income$1,102,676CYInvestmentIncomeAmt
PY Other Revenue-$7,464PYOtherRevenueAmt
CY Other Revenue-$84,054CYOtherRevenueAmt
PY Total Revenue$3,202,039PYTotalRevenueAmt
CY Total Revenue$2,315,630CYTotalRevenueAmt
PY Grants And Similar Paid$11,994,626PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,184,717CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$444,389CYTotalFundraisingExpenseAmt
PY Other Expenses$1,128,873PYOtherExpensesAmt
CY Other Expenses$632,314CYOtherExpensesAmt
PY Total Expenses$13,123,499PYTotalExpensesAmt
CY Total Expenses$13,817,031CYTotalExpensesAmt
PY Revenues Less Expenses-$9,921,460PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$11,501,401CYRevenuesLessExpensesAmt
Total Assets BOY$34,796,936TotalAssetsBOYAmt
Total Assets EOY$23,675,174TotalAssetsEOYAmt
Total Liabilities BOY$10,782TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,538TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,786,154NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,624,636NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SEEK PHILANTHROPIC SUPPORT ON THE BEHALF OF BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS AND TO GRANT FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS UNDER THE DIRECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$771ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescFAMILY FUN DAY - TO EDUCATE THE COMMUNITY ABOUT HEALTH AWARENESS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,091,356ExpenseAmt
Grant$13,091,356GrantAmt
Revenue$0RevenueAmt
DescTHE ORGANIZATION SEEKS PHILANTHROPIC SUPPORT AND GRANTS FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL, PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$93,361ExpenseAmt
Grant$93,361GrantAmt
Revenue$0RevenueAmt
DescSPONSORSHIPS TO VARIOUS NOT-FOR-PROFIT ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,185,488TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
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 CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonB FARRELL VPCFOPersonNm
Phone6316547100PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
R T MARGULIS
PRESIDENT & CEO/DIRECTOR0.537.5Yes (X)Yes (X)$0$923,543$59,151
L ROSE
CHAIRWOMAN0.50.5Yes (X)Yes (X)$0$0$0
M MULHOLLAND
VICE CHAIRMAN0.50.5Yes (X)Yes (X)$0$0$0
E P SMITH
TREASURER0.50.5Yes (X)Yes (X)$0$0$0
P MOLONEY
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
F GRUCCI JR
DIRECTOR0.50.5Yes (X)$0$0$0
M KNAPP
DIRECTOR0.50.5Yes (X)$0$0$0
E KORMYLO DPM
DIRECTOR0.50.5Yes (X)$0$30,000$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
C PARKER
DIRECTOR0.50.5Yes (X)$0$0$0
S NORTON REMMER
DIRECTOR0.50.5Yes (X)$0$0$0
R RITTER MD
DIRECTOR/PRES. OF MED. STAFF0.50.5Yes (X)$0$0$0
F 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
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$953,543TotReportableCompRltdOrgAmt
Total Other Compensation$59,151TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$742,507FundraisingAmt
All Other Contributions$554,501AllOtherContributionsAmt
Noncash Contributions$100,780NoncashContributionsAmt
Total Contributions$1,297,008TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$705,014TotalRevenueColumnAmt
Exclusion$705,014ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,438,399SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,040,737SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$397,662SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$397,662TotalRevenueColumnAmt
Exclusion$397,662ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$234,341FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$742,507ContriRptFundraisingEventAmt
Fundraising Direct Expenses$318,395FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$84,054TotalRevenueColumnAmt
Exclusion-$84,054ExclusionAmt
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
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,315,630TotalRevenueColumnAmt
Exclusion$1,018,622ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,184,717TotalAmt
Program Services$13,184,717ProgramServicesAmt

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$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,500TotalAmt
Management And General$59,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$127,654TotalAmt
Management And General$127,654ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,665TotalAmt
Fundraising$9,665FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,939TotalAmt
Fundraising$1,939FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,201TotalAmt
Fundraising$20,201FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
LEASED EMPLOYEES$385,284$385,284
MISCELLANEOUS EXPENSES$28,071$27,300$771

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,817,031TotalAmt
Program Services$13,185,488ProgramServicesAmt
Management And General$187,154ManagementAndGeneralAmt
Fundraising$444,389FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,476,132BOYAmt
EOY$1,251,759EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,755,802BOYAmt
EOY$2,438,331EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,168,595BOYAmt
EOY$1,191,822EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,000BOYAmt
EOY$0EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,562BOYAmt
EOY$1,562EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,041,447BOYAmt
EOY$18,483,900EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$339,398BOYAmt
EOY$307,800EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$34,796,936BOYAmt
EOY$23,675,174EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,705BOYAmt
EOY$0EOYAmt

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$0BOYAmt
EOY$0EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,077BOYAmt
EOY$50,538EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,782BOYAmt
EOY$50,538EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,968,181BOYAmt
EOY$17,019,885EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,817,973BOYAmt
EOY$6,604,751EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,786,154BOYAmt
EOY$23,624,636EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,796,936BOYAmt
EOY$23,675,174EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$11,501,401ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$339,883NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,857,073CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,560,398CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,009,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,560,068CurrentTaxYearMinus1YearAmt
Current Tax Year$1,297,008CurrentTaxYearAmt
Total$19,283,562TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,857,073CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,560,398CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,009,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,560,068CurrentTaxYearMinus1YearAmt
Current Tax Year$1,297,008CurrentTaxYearAmt
Total$19,283,562TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$12,280,256SubstantialContributorsTotAmt
Public Support Total170$7,003,306PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$975,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,074,300CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,162,062CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$876,838CurrentTaxYearMinus1YearAmt
Current Tax Year$705,014CurrentTaxYearAmt
Total$4,793,586TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$204,229CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$255,068CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,814CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$7,464CurrentTaxYearMinus1YearAmt
Current Tax Year-$84,054CurrentTaxYearAmt
Total$373,593TotalAmt
FieldValueIRS element (for citing)
Total Support$24,450,741TotalSupportAmt
Public Support CY1700.28642PublicSupportCY170Pct
Public Support PY1700.27187PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 17:FormAndLineReferenceDesc
ExplanationBrookhaven Healthcare Services Corporation should qualify for public charity status under the facts and circumstances test (Reg. 1.170A-9(F)(3)) because: 1) Its public support is 10% or more of its total support. 2) It has a solicitation plan for attracting public support that includes an Annual Ball, Annual Golf Tournament, and other smaller events. 3) It has a broad representative governing body comprised of 25 members of the community. 4) It receives a large percentage of its support from the general public.ExplanationTxt

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescHOSPITAL, A RELATED ORG.Desc
Amt$50,538Amt
FieldValueIRS element (for citing)
Total Liability$50,538TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,973,908TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$339,883NetUnrealizedGainsInvstAmt
Other Revenue$318,395OtherRevenueAmt
Revenue Not Reported$658,278RevenueNotReportedAmt
Revenue Subtotal$2,315,630RevenueSubtotalAmt
Total Revenue Per Form990$2,315,630TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,135,426TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$318,395OtherExpensesIncludedAmt
Expenses Not Reported$318,395ExpensesNotReportedAmt
Expenses Subtotal$13,817,031ExpensesSubtotalAmt
Total Expenses Per Form990$13,817,031TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:Brookhaven Health Care Services Corporation has not taken an unsubstantiated tax position that would require provision of a liability under ASC 740, "Income Taxes". Under ASC 740, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained. The organization does not believe there are any material uncertain tax positions and, accordingly, has not recognized any liability for unrecognized tax benefits. The organization filed IRS Form 990, as required, and all other applicable returns in jurisdictions where it is required. For the year ended December 31, 2016, there were no interest or penalties recorded or included in the consolidated financial statements. The organization believes it is no longer subject to income tax examinations for the years prior to 2013, which is the statute of limitation look back period.
PART XI, LINE 2D AND PART XII, LINE 2D:SPECIAL EVENTS DIRECT EXPENSES

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL BALLEvent1Nm
Gross Receipts Event1$595,076GrossReceiptsEvent1Amt
Charitable Contri Event1$466,882CharitableContriEvent1Amt
Gross Revenue Event1$128,194GrossRevenueEvent1Amt
Other Direct Expenses Event1$209,124OtherDirectExpensesEvent1Amt
Event2TOURN OF TOURNEvent2Nm
Gross Receipts Event2$289,731GrossReceiptsEvent2Amt
Charitable Contri Event2$220,636CharitableContriEvent2Amt
Gross Revenue Event2$69,095GrossRevenueEvent2Amt
Other Direct Expenses Event2$79,899OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$92,041GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$54,989CharitableContriOtherEventsAmt
Gross Revenue Other Events$37,052GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$29,372OthDirectExpnssOtherEventsAmt
Gross Receipts Total$976,848GrossReceiptsTotalAmt
Charitable Contributions Tot$742,507CharitableContributionsTotAmt
Gross Revenue Total Events$234,341GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$318,395OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$318,395DirectExpenseSummaryEventsAmt
Net Income Summary-$84,054NetIncomeSummaryAmt

Persons With Books US Address PersonsWithBooksUSAddress

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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
101 HOSPITAL ROADPATCHOGUENY11772111704595501(C)(3)$13,091,356KNAPP CARDIAC CARE
LI BUSINESS NEWS
PO BOX 86MINNEAPOLISMN55486472578203$8,200JOURNAL AD AND
WINTHROP UNIVERSITY HOSPITAL
259 FIRST STREETMINEOLANY11501112904878501(C)(3)$8,000GENERAL SPONSORSHIP
THE SAYVILLE CHAMBER OF COMMERCE
PO BOX 235SAYVILLENY11782113389656501(C)(6)$7,710GENERAL SPONSORSHIP
KIWANIS CLUB OF PATCHOGUE
PO BOX 605PATCHOGUENY11772112774386501(C)(3)$6,000GENERAL SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationThe Executive Members review documentation provided by management to substantiate expenses and votes to approve release of funds.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
PersonR T MARGULISPersonNm
TitlePRESIDENT & CEO/DIRECTORTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$770,262CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$51,710BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$101,571OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$37,730DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$21,421NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$982,694TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3:FormAndLineReferenceDesc
ExplanationBrookhaven Memorial Hospital Medical Center, an affiliate of the reporting organization paid compensation to the reporting organization's top management official. Brookhaven Memorial Hospital Medical Center has established the compensation of the top management official using compensation committee, independent compensation consultant, compensation survey and study, and approval by the board or compensation committee.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$100,780NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET QUOTATIONMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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, LINES 12-14:All of the Directors, Officers and Employees of the Organization are also Directors, Officers and Employees of Brookhaven Memorial Hospital Medical Center ("Hospital"), a related organization. All of these individuals are governed by and subject to the policies of the Hospital including its Conflict of Interest and Whistle Blower polices. These and other Hospital policies are recognized by the Organization as applicable to it.
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 Brookhaven Memorial Hospital and its related parties, including but not limited to Brookhaven Health Care Services Corporation, dba BMH Foundation, are required to complete and sign the conflict of interest disclosure statement annually and whenever new information of 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 office 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 & 15B:OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE COMPENSATED BY BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, A RELATED 501(C)(3) ORGANIZATION.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line114 GLOVER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
EIN814169801EIN
Primary ActivitiesLEASINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BHCSCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1Txt
CityPATCHOGUECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11772ZIPCd
FieldValueIRS element (for citing)
EIN111704595EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BHCSCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

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 OFFICENYBHCSCC$4,798,571$966,290Yes (true)
Brookhaven Surgical Services PC
100 Hospital ROADPatchogueNY11772260885844PHYSICIAN OFFICENYBHCSCC$3,953,883$239,134Yes (true)
LI Orthopedic & Spine Specialist PC
100 Hospital ROADpatchogueNY11772274670754PHYSICIAN OFFICENYBHCSCC$2,495,434$162,444Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
B$13,091,356FMV
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
E$50,538FMV

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