2016-11-09T11:35:34-06:00 2015-12-31 221478099 COHNREZNICK LLP 1212 Avenue of the Americas New York NY 10036 990 2015-01-01 131624169 THE FLOATING HOSPITAL INC FLOA 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 SEAN T GRANAHAN president & GENERAL COUNSEL 7187842240 2016-10-31 1 THOMAS LANNING P00851654 2122970400 2015 2017-02-10 21:41:12Z X SEAN T GRANAHAN 41-40 27TH STREET LONG ISLAND CITY NY 11101 20017731 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. 12 12 235 12 0 0 9703097 10664839 8482715 9075002 20 3027 168872 185490 18354704 19928358 0 0 0 0 12836920 13873140 0 0 321440 5119442 6416304 17956362 20289444 398342 -361086 4695411 4403804 2144182 2213661 2551229 2190143 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. THF IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 0 0 8393717 6220445 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. 4943085 3070073 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. 4172243 DJJ Medical 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. 17509045 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 17 0 1 235 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 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 Trustee 1.00 X 0 0 0 Anthony Brownie Trustee 1.00 X 0 0 0 Carol Jackson 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 Jane Merolla outgoing Trustee 1.00 X 0 0 0 Judith Faske Chair 1.00 1.00 X X 0 0 0 khadijah watkins trustee 1.00 X 0 0 0 Loren Pomerantz 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 William Kelley outgoing Trustee 1.00 X 0 0 0 S Stiles Nyerere Executive VP & CFO 35.00 2.00 X 74005 0 24511 Sean T Granahan President/General Counsel 35.00 5.00 X 207926 0 20072 Shani Andre MD VP & Chief Medical Officer 35.00 X 231461 0 10571 alexandra isakova physician 35.00 X 167939 0 19190 Amy Patel Physician 35.00 X 210018 0 18241 Bettina Fliegel Medical Director 35.00 X 153737 0 10855 Icelini Garcia-Sosa Psychiatrist 35.00 X 157309 0 20323 Mark Sethna Physician 35.00 X 180405 0 14396 1382800 0 138159 20 0 1 0 COHNREZNICK LLP 1212 avenue of the americas new YORK NY 10036 Audit & financial consulting 151200 DR ELAINE HALL 2 fifth avenue apt 5P new YORK NY 10011 psychological services 114495 Sarajane Brittis 12 Plateau Cricle Bronxville NY 10708 Management Counsulting 102796 3 64663 50000 8850080 1700096 1636771 10664839 Medicaid 621400 8315186 8315186 NYS Uncompensated care 621400 401431 401431 Medicare 621400 121078 121078 Other Third Party 621400 120023 120023 Self Pay 621400 117284 117284 9075002 11 11 3016 0 3016 3016 3016 58158 64663 89373 -31215 -31215 Meaningful Use 621400 212500 212500 medical records 900099 4205 4205 216705 19928358 9290518 0 -26999 568547 492318 67971 8258 10169282 8807562 1213242 148478 274040 236863 33392 3785 1762932 1523769 214816 24347 1098339 949335 133835 15169 174074 109276 43113 21685 12305 45 12260 146480 146480 68291 39665 28626 1138899 954682 129284 54933 421242 281652 121322 18268 39742 39742 616013 554365 61448 200 17869 13597 4259 13 95822 72915 22839 68 32176 7029 25147 267941 241147 26794 216781 192088 21797 2896 CONSUMABLE SUPPLies 2327432 2327432 Repairs & Maintenance 207805 173485 32369 1951 Laboratory fees 206729 206729 Patient Transportation 121924 121924 304779 163425 119965 21389 20289444 17509045 2458959 321440 559516 186493 276 15153 1177077 635291 1387973 2025384 200262 273624 4362129 3179282 1288053 1182847 82254 85012 4695411 4403804 1122142 1085091 1022040 1128570 2144182 2213661 X 2543729 2137943 7500 52200 2551229 2190143 4695411 4403804 -361086 0 X X 0 1 X 1 1 1 X 8159182 8217154 8570567 9703097 10664839 45314839 8159182 8217154 8570567 9703097 10664839 45314839 45314839 1 1 1 20 11 34 69416 180138 169120 216374 274863 909911 46224784 39158917 0.98030 0.98470 X Schedule A, Part II, Line 10, Explanation of Other Income: Meaningful USE - 2011 Amount: $ 63,750. 2012 Amount: $ 174,250. 2013 Amount: $ 153,000. 2014 Amount: $ 195,500. 2015 Amount: $ 212,500. MISCELLANEOUS - 2011 Amount: $ 1,453. 2012 Amount: $ 2,164. 2013 Amount: $ 718. 2014 Amount: $ 3,961. Copying Fees - 2011 Amount: $ 1,723. 2012 Amount: $ 1,624. 2013 Amount: $ 2,765. 2014 Amount: $ 2,325. 2015 Amount: $ 4,205. Fundraising - 2013 Amount: $ 10,237. 2014 Amount: $ 14,588. 2015 Amount: $ 58,158. Path-Through to Care of Homeless - 2011 Amount: $ 2,490. 2012 Amount: $ 2,100. 2013 Amount: $ 2,400. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 68291 0 0 68291 0 Part II-B, Line 1: fees paid to a law firm to perform lobbying on hospital's behalf. 1523311 1063228 460083 2403865 1775615 628250 434953 340439 94514 1182847 DUE The Floating Hospital FOUNDATION 764882 line of credit 350000 refundable advances 13688 1128570 X 20036342 18611 18611 20017731 -89373 -89373 19928358 20384295 94851 94851 20289444 0 20289444 Part X, Line 2: THE HOSPITAL HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2015. THE HOSPITAL'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2011 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 orgainization revenue 68,611. intercompany eliminations -50,000. Part XI, Line 4b - Other Adjustments: FUNDRISING EXPENSES -89,373. Part XII, Line 2d - Other Adjustments: related orgainization expenses 55,478. intercompany eliminations -50,000. FUNDRISING expense 89,373. ANNUAL BENEFIT 122821 64663 58158 31988 2530 54855 122821 64663 58158 31988 2530 54855 89373 -31215 X X X X 0 0 0 0 0 0 0 1 0 Sean T Granahan President/General Counsel 177849 0 3000 0 27077 0 8123 0 11949 0 227998 0 0 0 Shani Andre MD VP & Chief Medical Officer 228461 0 3000 0 0 0 8800 0 1771 0 242032 0 0 0 alexandra isakova physician 130876 0 37063 0 0 0 6512 0 12678 0 187129 0 0 0 Amy Patel Physician 130948 0 79070 0 0 0 5635 0 12606 0 228259 0 0 0 Bettina Fliegel Medical Director 148872 0 1500 0 3365 0 1157 0 9698 0 164592 0 0 0 Icelini Garcia-Sosa Psychiatrist 155409 0 1500 0 400 0 6216 0 14107 0 177632 0 0 0 Mark Sethna Physician 134190 0 46215 0 0 0 6937 0 7459 0 194801 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 2015 W-2. X 3 1636771 fmv 0 0 0 Part I, Column (b): Schedule M represents the number of contributors. Form 990, Part VI, Section A, line 2 Edward w. Prager, trustee, and Judith Faske, chairman, have a family relationship. Form 990, Part VI, Section A, line 8b the organization has no committees. Form 990, Part VI, Section B, line 11 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 BOARD MEMBERS ARE PROHIBITED FROM RECRUITING BOARD MEMBERS WHO ARE The Floating Hospital VENDORS, SO MONITORING BEGINS WITH THE BOARD ITSELF. BOARD ORIENTATION PACKETS CONTINUE THE PROCESS. VENDORS OVER A $100,000 REQUIRE BOARD NOTIFICATION. THE FORM 990 REINFORCES THIS NOTIFICATION. THE ANNUAL AUDIT SERVES AS AN INDEPENDENT FINAL CHECK OF CONFLICTS. 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. Form 990, Part VI, Section B, line 15a THE FLOATING HOSPITAL, INC. FOLLOWS THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER GUIDELINES ON OFFICERS SALARIES, AS WELL AS FORM 990'S OF OTHER ORGANIZATIONS, EMPLOYMENT CONTRACTS, COMPENSATION SUREVEYS AND BOARD APPROVAL. Form 990, Part VI, Section C, line 19 the documents are available UPON REQUEST. Form 990, Part XII, Line 2C: The Process did not change from the prior year. Form 990, Part IV, Question 20a: The organization is licensed under article 28 of New York State Public Health Law. However, subsection 10 of Article 28 excludes certain healthcare facilities from the definition of general hospital. Therefore, the organization is not including schedule h in the current year Form 990 as the organization does not meet this definition. THE FLOATING HOSPITAL FOUNDATION INC 41-40 27TH STREET LONG ISLAND CITY NY 11101 300102842 RAISES FUNDS AND SUPPORTS THE FLOATING HOSPITAL, INC. NY 501(C)(3) Line 11a, I The Floating Hospital Inc 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0