LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201603199349303670
Schema version
2015v2.1
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)
Return2016-11-14T10:34:15-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Phone6316547175PhoneNum
Signature2016-11-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul HammerschmidtPreparerPersonNm
PTINP01384178PTIN
Phone2128858000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

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$275,073,253GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BROOKHAVENHOSPITAL.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 Body25VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee2669TotalEmployeeCnt
Total Volunteers202TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$10,492,813PYContributionsGrantsAmt
CY Contributions Grants$16,240,630CYContributionsGrantsAmt
PY Program Service Revenue$256,716,497PYProgramServiceRevenueAmt
CY Program Service Revenue$255,975,262CYProgramServiceRevenueAmt
PY Investment Income$190,069PYInvestmentIncomeAmt
CY Investment Income$217,701CYInvestmentIncomeAmt
PY Other Revenue$2,811,137PYOtherRevenueAmt
CY Other Revenue$2,639,660CYOtherRevenueAmt
PY Total Revenue$270,210,516PYTotalRevenueAmt
CY Total Revenue$275,073,253CYTotalRevenueAmt
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$178,991,002PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$164,369,685CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$35,345CYTotalFundraisingExpenseAmt
PY Other Expenses$94,222,851PYOtherExpensesAmt
CY Other Expenses$97,678,023CYOtherExpensesAmt
PY Total Expenses$273,213,853PYTotalExpensesAmt
CY Total Expenses$262,047,708CYTotalExpensesAmt
PY Revenues Less Expenses-$3,003,337PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,025,545CYRevenuesLessExpensesAmt
Total Assets BOY$178,250,492TotalAssetsBOYAmt
Total Assets EOY$188,045,511TotalAssetsEOYAmt
Total Liabilities BOY$140,258,489TotalLiabilitiesBOYAmt
Total Liabilities EOY$136,340,395TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$37,992,003NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$51,705,116NetAssetsOrFundBalancesEOYAmt
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$145,986,662ExpenseAmt
Grant$0GrantAmt
Revenue$153,046,967RevenueAmt
DescINPATIENT CARE SERVICES - INCLUDES MEDICAL/SURGICAL PROCEDURES, PEDIATRICS, ICU, CCU, ROUTINE AND PSYCHIATRIC CARE. TOTAL 2015 INPATIENT DAYS: 74,084Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$38,951,221ExpenseAmt
Grant$0GrantAmt
Revenue$40,960,900RevenueAmt
DescEMERGENCY ROOM SERVICES - AVAILABLE TO THE COMMUNITY 24 HOURS, 7 DAYS A WEEK. TOTAL 2015 TREAT AND RELEASE VISITS: 68,841Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$18,678,986ExpenseAmt
Grant$0GrantAmt
Revenue$20,580,112RevenueAmt
DescAMBULATORY SURGERY SERVICES - AVAILABLE TO THE COMMUNITY. TOTAL 2015 PROCEDURES: 6,134Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$41,670,003TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$43,427,701TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$245,286,872TotalProgramServiceExpensesAmt
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 SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 Document289IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2669EmployeeCnt
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
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 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 ProcedureYes (true)WrittenPolicyOrProcedureInd
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 (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
R T MARGULIS
PRESIDENT & CEO/DIRECTOR37.50.5Yes (X)Yes (X)$713,525$0$53,129
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)$29,000$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
J MONTEITH THRU 115
DIRECTOR0.50.5Yes (X)$0$0$0
CPARKER FROM 915
DIRECTOR0.50.5Yes (X)$0$0$0
S NORTON REMMER
DIRECTOR0.50.5Yes (X)$0$0$0
R RITTER MD FROM 115
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
B FARRELL
VP FINANCE, CFO37.50.0Yes (X)$383,793$0$31,056
N ZEYNELOGLU
VP, CQMO37.50.0$361,341$0$16,106Yes (X)
A PALLAS
VP, COO37.50.0$289,763$0$1,485Yes (X)
K WISDOM
VP, CNO37.50.0$189,324$0$26,930Yes (X)
M THOMAS MD
PHYSICIAN37.50.0$336,112$0$39,101Yes (X)
A ALCASABAS
PHYSICIAN37.50.0$250,392$0$31,921Yes (X)
V Z IZGUR
PHYSICIAN37.50.0$245,566$0$23,986Yes (X)
FC DESORMEAUX
PHYSICIAN37.50.0$231,073$0$21,574Yes (X)
S BERDIA
PHYSICIAN37.50.0$228,469$0$40,950Yes (X)
T OCKERS
SENIOR DEVELOPMENT OFFICER0.022.5$0$448,689$10,762Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,258,358TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$448,689TotReportableCompRltdOrgAmt
Total Other Compensation$297,000TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K263IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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$3,938,364
ALLIANCE HEALTHCARE
PO BOX 96485CHICAGOIL60693RADIOLOGY SERVICES$3,490,924
DIVERSIFIED CLINICAL
28525 NETWORK PLACECHICAGOIL60673MANAGEMENT SERVICES$1,113,177
ST CHARLES HOSPITAL
200 BELLE TERRE ROADPORT JEFFERSONNY11777PHYSICAL THERAPY$768,899
MILLER MILONE PC
100 QUENTIN ROOSEVELT BLVD STE 2GARDEN CITYNY11530INSURANCE APPEALS$765,858
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K33CntrctRcvdGreaterThan100KCnt
Federated Campaigns$1,577FederatedCampaignsAmt
Related Organizations$11,909,035RelatedOrganizationsAmt
Government Grants$3,759,993GovernmentGrantsAmt
All Other Contributions$570,025AllOtherContributionsAmt
Total Contributions$16,240,630TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business624200BusinessCd
Total Revenue Column$255,975,262TotalRevenueColumnAmt
Related Or Exempt Func Income$255,975,262RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$255,975,262TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$215,751TotalRevenueColumnAmt
Exclusion$215,751ExclusionAmt

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)
Other$1,950OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,950OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,950TotalRevenueColumnAmt
Exclusion$1,950ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$662,315$662,315
CAFETERIA INCOME722514$331,076$331,076
COFFEE SHOP REVENUE900099$20,824$20,824

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,625,445TotalRevenueColumnAmt
Related Or Exempt Func Income$1,378,103RelatedOrExemptFuncIncomeAmt
Exclusion$247,342ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,639,660OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,073,253TotalRevenueColumnAmt
Related Or Exempt Func Income$258,015,680RelatedOrExemptFuncIncomeAmt
Exclusion$816,943ExclusionAmt

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$2,098,387TotalAmt
Management And General$2,098,387ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$410,791TotalAmt
Management And General$410,791ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$117,920,314TotalAmt
Program Services$117,633,691ProgramServicesAmt
Management And General$265,053ManagementAndGeneralAmt
Fundraising$21,570FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,220,256TotalAmt
Program Services$9,111,523ProgramServicesAmt
Management And General$104,851ManagementAndGeneralAmt
Fundraising$3,882FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$25,969,220TotalAmt
Program Services$25,541,214ProgramServicesAmt
Management And General$425,613ManagementAndGeneralAmt
Fundraising$2,393FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,750,717TotalAmt
Program Services$8,565,080ProgramServicesAmt
Management And General$183,987ManagementAndGeneralAmt
Fundraising$1,650FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,414,988TotalAmt
Program Services$4,321,329ProgramServicesAmt
Management And General$93,659ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$429,595TotalAmt
Management And General$429,595ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$158,500TotalAmt
Management And General$158,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$127,789TotalAmt
Program Services$127,789ProgramServicesAmt

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$16,532,544TotalAmt
Program Services$16,335,287ProgramServicesAmt
Management And General$191,407ManagementAndGeneralAmt
Fundraising$5,850FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$820,567TotalAmt
Program Services$803,160ProgramServicesAmt
Management And General$17,407ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,007,919TotalAmt
Program Services$986,537ProgramServicesAmt
Management And General$21,382ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$898,402TotalAmt
Program Services$879,343ProgramServicesAmt
Management And General$19,059ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,519,786TotalAmt
Program Services$3,445,118ProgramServicesAmt
Management And General$74,668ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$98,097TotalAmt
Program Services$96,016ProgramServicesAmt
Management And General$2,081ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$64,562TotalAmt
Program Services$63,192ProgramServicesAmt
Management And General$1,370ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,376,107TotalAmt
Program Services$1,346,914ProgramServicesAmt
Management And General$29,193ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,601,760TotalAmt
Program Services$10,376,856ProgramServicesAmt
Management And General$224,904ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,575,733TotalAmt
Program Services$3,499,878ProgramServicesAmt
Management And General$75,855ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$31,167,580$31,167,580
PROV FOR NON PTNT UNCOLLECT$7,724,502$7,724,502
REPAIRS AND MAINTENANCE$4,284,682$4,193,787$90,895
OTHER SERVICES$4,056,748$3,970,689$86,059

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,818,162TotalAmt
Program Services$2,821,889ProgramServicesAmt
Management And General$3,996,273ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$262,047,708TotalAmt
Program Services$245,286,872ProgramServicesAmt
Management And General$16,725,491ManagementAndGeneralAmt
Fundraising$35,345FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$788,379BOYAmt
EOY$213,799EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$13,249,820BOYAmt
EOY$16,621,568EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,845,786BOYAmt
EOY$39,420,790EOYAmt

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$4,378,828BOYAmt
EOY$4,633,401EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,525,363BOYAmt
EOY$1,623,725EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$243,353,087LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$133,871,612LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$95,905,891BOYAmt
EOY$109,481,475EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

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$116,659BOYAmt
EOY$99,991EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,439,766BOYAmt
EOY$15,950,762EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$178,250,492BOYAmt
EOY$188,045,511EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,780,362BOYAmt
EOY$36,430,062EOYAmt

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$51,115,000BOYAmt
EOY$50,440,000EOYAmt

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$493,822BOYAmt
EOY$316,203EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,869,305BOYAmt
EOY$49,154,130EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,258,489BOYAmt
EOY$136,340,395EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,575,347BOYAmt
EOY$47,520,207EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,516,656BOYAmt
EOY$3,284,909EOYAmt

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$37,992,003BOYAmt
EOY$51,705,116EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$178,250,492BOYAmt
EOY$188,045,511EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,025,545ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$231,747NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$919,315OtherChangesInNetAssetsAmt
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 LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$97,500DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$30,289OtherActivitiesAmt
Total Lobbying Expenditures$127,789TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II-B, LINE 1G:INCLUDES ALLOCABLE MEMBERSHIP FEES OF 5 ORGANIZATIONS THAT ADVOCATE THE INTERESTS OF ITS MEMBER HOSPITALS BEFORE THE STATE AND FEDERAL LEGISLATURES AND EXECUTIVE BRANCHES.
PART II-B, LINE 1I:OTHER (NOT RELATED TO POLITICAL CONSULTING)

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$3,319,139BeginningYearBalanceAmt
Other Expenditures$2,419,139OtherExpendituresAmt
End Year Balance$900,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,648,621BeginningYearBalanceAmt
Investment Earnings Or Losses-$171,300InvestmentEarningsOrLossesAmt
Other Expenditures$158,182OtherExpendituresAmt
End Year Balance$3,319,139EndYearBalanceAmt
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$57,660,501OtherCostOrOtherBasisAmt
Depreciation$34,453,555DepreciationAmt
Book Value$23,206,946BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,219,386OtherCostOrOtherBasisAmt
Depreciation$908,055DepreciationAmt
Book Value$1,311,331BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,611,430OtherCostOrOtherBasisAmt
Depreciation$94,311,534DepreciationAmt
Book Value$46,299,896BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,330,283OtherCostOrOtherBasisAmt
Depreciation$4,198,468DepreciationAmt
Book Value$37,131,815BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$109,481,475TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
SECURITY DEPOSITS$354,082
ASSETS LIMITED TO USE$12,246,846
ESTIMATED MALPRACTICE REC.$2,075,000
DEFERRED FINANCING FEES$1,149,527
ABATEMENT$125,307
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,950,762TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$3,405,480
ACCRUED PENSION COSTS$8,654,416
ESTIMATED MALPRACTICE LIABILITIES$22,476,388
CHANGE IN VALUATION OF SWAP$2,887,062
ASBESTOS ABATEMENT$1,834,554
SETTLEMENT WITH US DEPT. OF JUSTICE$491,143
NET$9,405,087
FieldValueIRS element (for citing)
Total Liability$49,154,130TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$275,760,821TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$231,747NetUnrealizedGainsInvstAmt
Other Revenue$919,315OtherRevenueAmt
Revenue Not Reported$687,568RevenueNotReportedAmt
Revenue Subtotal$275,073,253RevenueSubtotalAmt
Total Revenue Per Form990$275,073,253TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$262,047,708TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$262,047,708ExpensesSubtotalAmt
Total Expenses Per Form990$262,047,708TotalExpensesPerForm990Amt

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. Brookhaven Memorial Hospital Medical Center 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:Brookhaven Memorial Hospital Medical Center 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 not be sustained. The organization does not believe there are any material uncertain tax positions and, accordingly, has not recognized any liability for unrecognized tax benefits. The organization has filed Internal Revenue Service ("IRS") Form 990, as required, and all other applicable returns in jurisdictions where it is required. For the year ended December 31, 2015, there were no interest or penalties recorded or included in the financial statements. The organization believes it is no longer subject to income tax examinations for the years prior to 2012, which is the statute of limitation look back period.
PART XI, LINE 2D:change in unfunded benefit obligation.....................$732,522 change in valuation of interest rate swap agreement.......$186,793 Total.....................................................$919,315

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 ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served12863PersonsServedCnt
Total Community Benefit Expns$5,288,856TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,288,856NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served43402PersonsServedCnt
Total Community Benefit Expns$25,221,823TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,221,823NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served56265PersonsServedCnt
Total Community Benefit Expns$30,510,679TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,510,679NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served100000PersonsServedCnt
Total Community Benefit Expns$137,923TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$137,923NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1737PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served2134PersonsServedCnt
Total Community Benefit Expns$3,188,836TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,188,836NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served103871PersonsServedCnt
Total Community Benefit Expns$3,326,759TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,326,759NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served160136PersonsServedCnt
Total Community Benefit Expns$33,837,438TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,837,438NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,026,886BadDebtExpenseAmt
Reimbursed By Medicare$64,691,990ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$70,726,410CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,034,420MedicareSurplusOrShortfallAmt

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 Facilities11HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (11 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 STREETPATCHOGUENY11772BYes (X)
BROOKHAVEN MEMORIAL HOSP DIALYSIS CTR
3109 WEST MAIN STREETPATCHOGUENY11772BYes (X)
CTR FOR WOUND CARE & HYPERBARIC MEDIC
433 MEDFORD AVENUEPATCHOGUENY11772BYes (X)
HOSPICE
5105 WEST MAIN STREETPATCHOGUENY11772BYes (X)
OUT PATIENT IMAGING
6100 HOSPITAL ROADPATCHOGUENY11772BYes (X)
WOMEN'S IMAGING SERVICES CENTER
7285 SILLS ROAD BUILDING 5-6PATCHOGUENY11772BYes (X)
CARDIO REHABILITATION CENTER
8100 HOSPITAL ROADPATCHOGUENY11772BYes (X)
BROOKHAVEN BELLPORT PRIMARY CARE CTR
9515 BELLPORT AVENUEBELLPORTNY11713BYes (X)
CTR FOR WOUND CARE & HYPERBARIC MED
10300 KENNEDY DRIVEHAUPPAUGENY11788BYes (X)
SCHOOL BASED HOSPITAL EXTEN CLINIC
11350 MAPLE AVENUEBELLPORTNY11713BYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndCommunity Health NeedsCommunityHealthNeedsIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit Report To Credit AgencyPermitReportToCreditAgencyIndPermit Legal Judicial ProcessPermitLegalJudicialProcessIndCollection ActivitiesCollectionActivitiesIndReporting To Credit AgencyReportingToCreditAgencyIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
A
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)HTTP://WWW.BROOKHAVENHOSPITAL.ORGYes (X)Yes (true)15Yes (true)HTTP://WWW.BROOKHAVENHOSPITAL.ORGfalsefalseYes (true)Yes (X)200.425.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (true)Yes (X)HTTP://WWW.BROOKHAVENHOSPITAL.ORGYes (true)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (true)
B
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)HTTP://WWW.BROOKHAVENHOSPITAL.ORGYes (X)Yes (true)15Yes (true)HTTP://WWW.BROOKHAVENHOSPITAL.ORGfalsefalseYes (true)Yes (X)200.425.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (true)Yes (X)HTTP://WWW.BROOKHAVENHOSPITAL.ORGYes (true)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (true)

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. BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER 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:HOME HEALTH CARE; BROOKHAVEN MEMORIAL HOSPITAL DIALYSIS CENTER; CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE; HOSPICE; OUT PATIENT IMAGING; WOMEN'S IMAGING SERVICES CENTER; CARDIO REHABILITATION CENTER; BROOKHAVEN BELLPORT PRIMARY CARE CENTER; AND SCHOOL BASED HOSPITAL EXTENSION CLINIC.
PART V, SECTION B, LINE 7D:OUR COMMUNITY AGENCIES AND PARTNERS WILL ALSO DISTRIBUTE OUR CSP TO THEIR PARTICIPANTS.
PART V, SECTION B, LINE 11:The focus of BMHMC's 2015 Community Service Plan is to provide resources and services to at-risk members of the community who are dealing with obesity, diabetes, mental health, substance abuse and other health related issues. In 2015 these needs were addressed through hospital initiatives and various hospital 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) Hospital Based Family Fun Day (over 2,000 community members attended) 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. 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. Womens Symposium held with a panel of physicians. d) Knapp Cardiac Care OutreachArt Therapy Workshops, affiliated with Mended Heart support group division hosted here at BMH, 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) "Wednesday Wellness - Living Well Series" which consists of educational events free for the community) such as a Support group for Type 1 and Type 2 Diabetes, Grocery Tour Series, Lectures for Type 1 and type 2 Diabetes, Yoga, Walking Club, Diabetes Prevention Program (sponsored by the SCDOH), 2 Free Cooking Demonstrations with nutrition lecture, and the Diabetes Garden ClubF). f) ONGOING SBIRT (SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT) PROGRAM, AN EVIDENCE-BASED APPROACH TO IDENTIFYING PATIENTS WHO USE ALCOHOL AND OTHER DRUGS WHO ARE AT RISK FOR HEALTH CONSEQUENCES, ACCIDENTS OR INJURIES. THE GOAL IS TO SCREEN PATIENTS IN HOSPITAL EMERGENCY ROOMS AND OTHER MEDICAL FACILITIES IN ORDER TO PROVIDE OPPORTUNITY FOR EARLY INTERVENTION BEFORE MORE SERIOUS CONSEQUENCES OCCUR. g) BMH 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 22D:ALL ACCOUNTS ARE BILLED AT GROSS CHARGES. GROSS CHARGES ARE ADJUSTED, IF APPLICABLE, FOR ANY NEGOTIATED RATES WITH INSURANCE PROVIDERS OR AGENCIES. IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, ADJUSTMENTS WILL BE MADE TO THEIR ACCOUNT.
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.

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3B:The percent of FPG used by BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER to calculate discounted care starts at 201% (90% discount) and goes to 425% (10% discount).
PART III, LINE 4:1) Patient accounts receivable are recorded at the reimbursable or contracted amount and do not bear interest. The allowance for doubtful accounts is the hospital's best estimate of the amount of probably credit losses in the hospital's existing accounts receivable. The hospital determines the allowance based on historical write-off experience. The hospital reviews its allowance for doubtful accounts reserve monthly. Past due balances are reviewed individually for collectability. After all means of internal collections have been exhausted and scrubbing for presumptive eligibility for financial assistance has been completed; the potential for recovery is considered remote and accounts are then written off against the allowance for doubtful accounts. 2) The costing methodology used in determining bad debt at cost is a ratio of patient care costs to charges per IRS schedule H instructions, worksheet 2.
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:Brookhaven Memorial Hospital Medical Center 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. Brookhaven 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. Brookhaven'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, Brookhaven 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. Brookhaven 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 emergent care 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.

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 (11 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$627,692$0$57,604$0$28,229$0$37,023$0$16,106$0$766,654$0$0$0
T OCKERS
SENIOR DEVELOPMENT OFFICER$0$159,131$0$0$0$289,558$0$2,712$0$8,050$0$459,451$0$0
B FARRELL
VP FINANCE, CFO$355,696$0$24,482$0$3,615$0$14,950$0$16,106$0$414,849$0$0$0
N ZEYNELOGLU
VP, CQMO$361,157$0$184$0$0$0$0$0$16,106$0$377,447$0$0$0
A PALLAS
VP, COO$288,993$0$135$0$635$0$0$0$1,485$0$291,248$0$0$0
K WISDOM
VP, CNO$189,246$0$78$0$0$0$11,166$0$15,764$0$216,254$0$0$0
M THOMAS MD
PHYSICIAN$335,943$0$0$0$169$0$22,900$0$16,201$0$375,213$0$0$0
A ALCASABAS
PHYSICIAN$225,055$0$0$0$25,337$0$16,123$0$15,798$0$282,313$0$0$0
V Z IZGUR
PHYSICIAN$244,285$0$1,200$0$81$0$8,211$0$15,775$0$269,552$0$0$0
FC DESORMEAUX
PHYSICIAN$214,292$0$0$0$16,781$0$5,867$0$15,707$0$252,647$0$0$0
S BERDIA
PHYSICIAN$215,688$0$0$0$12,781$0$25,255$0$15,695$0$269,419$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 INDUSTRIAL DEVELOPMENT AGENCY
B5212995592014-03-01$35,000,000refinance/addl funds for capfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$17,945,000$0$0$0$0$0$117,836$0$0$0$0$0falseYes (true)Yes (true)Yes (true)
B$0$0$34,199,017$0$0$0$800,983$0$0$0$0$0falseYes (true)Yes (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 RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)
0
BfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, COLUMN A, LINE 2C:FormAndLineReferenceDesc
Explanation12/21/2011ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
T CULLEN
SEE PART V$600,069VENDORfalse
J DUDEK
SEE PART V$139,006EMPLOYMENTfalse
L B SCHWARZ
SEE PART V$118,191EMPLOYMENTfalse
A SINKOFF
SEE PART V$65,619EMPLOYMENTfalse
P MAYER-RIVETTA
SEE PART V$52,646EMPLOYMENTfalse
D KNAPP
SEE PART V$35,329EMPLOYMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV:FormAndLineReferenceDesc
Explanation1) T. CULLEN, DIRECTOR, IS THE PRESIDENT & CEO OF CROWN ADVERTISING, INC. WHICH PROVIDED ADVERTISING SERVICES TO THE ORGANIZATION. 2) J. DUDEK IS THE SISTER OF J. MAYER, DIRECTOR. 3) L. B. SCHWARZ IS THE DAUGHTER OF R. W. SCHWARZ, DIRECTOR. 4) A. SINKOFF IS THE SISTER OF S. NORTON REMMER, DIRECTOR. 5) P. MAYER-RIVETTA IS THE SISTER OF J. MAYER, DIRECTOR. 6) D. KNAPP IS THE STEP-DAUGHTER OF M. KNAPP, DIRECTOR.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: 31,508 TOTAL EXPENSES: $11,649,347. TOTAL REVENUE: $9,558,094. 2) HOME HEALTH AGENCY - PROVIDES CERTIFIED HOME HEALTH AND LONG TERM CARE TO THE COMMUNITY. TOTAL VISITS: 50,583. TOTAL EXPENSES: $8,254,245. TOTAL REVENUE: $8,251,586. 3) HOME PROGRAM DIALYSIS (CAPD) - TOTAL VISITS: 620. TOTAL EXPENSES: $4,164,572. TOTAL REVENUE: $310,687. 4) REFERRED AMBULATORY - TOTAL VISITS: 24,578. TOTAL EXPENSES: $3,332,661. TOTAL REVENUE: $9,121,619. 5) MENTAL HEALTH AND CHEMICAL DEPENDENCY OUTPATIENT CLINICS - TOTAL VISITS: 17,128. TOTAL EXPENSES: $2,533,787. TOTAL REVENUE: $1,651,071. 6) HOSPICE - TOTAL DAYS: 9,349. TOTAL EXPENSES: $2,493,422. TOTAL REVENUE: $1,993,725. 7) ALL OTHER CLINICS (WOUND CARE, HYPERBARIC, SLEEP, CARDIAC, CATH, AND CARDIAC REHAB). TOTAL VISITS: 18,210. TOTAL EXPENSES: $9,241,969. TOTAL REVENUE: $12,540,919.
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:The Foundation (Brookhaven Health Care Services Corporation) is the sole member of Brookhaven Memorial Hospital Medical Center. The Foundation elects the board of Brookhaven Memorial Hospital Medical Center and appoints the President of Brookhaven Memorial Hospital Medical Center.
FORM 990, PART VI, SECTION B, LINE 11B:A) FIRST DRAFT PROVIDED TO MANAGEMENT FROM BDO. B) FINAL DRAFT PRESENTED TO JOINT MEETING OF FINANCE AND AUDIT COMMITTEES FOR REVIEW. C) FINAL DRAFT POSTED ON BOARD PORTAL. D) FORM 990 REVIEWED AT BOARD MEETING. E) FORM 990 FILED TIMELY.
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 MEDICAL CENTER 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 Executive Team of BMHMC 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 the final approval of all compensation. The information is presented to the Overall brookhaven memorial hospital medical center Board, subject to ratification of the Board of Directors.
FORM 990, PART VI, SECTION C, LINE 19:GOVERNING DOCUMENTS - NOT AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY - NOT AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS - NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:change in unfunded benefit obligation..........$732,522 change in valuation of interest rate swap agreement...............................$186,793 Total..........................................$919,315

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 Status9PublicCharityStatusTxt
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 AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Brookhaven Physician Services
100 HOSPITAL ROADPATCHOGUENY11772260628913PHYSICIAN OFFICENYNAC$0$00.00000false
Brookhaven Surgical Services PC
100 Hospital ROADPatchogueNY11772260885844PHYSICIAN OFFICENYNAC$0$00.00000false
LI Orthopedic & Spine Specialist PC
100 Hospital ROADpatchogueNY11772274670754PHYSICIAN OFFICENYNAc$0$00.00000false
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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