BROOKHAVEN HEALTH CARE SERVICES CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BROOKHAVEN HEALTH CARE SERVICES CORPORATION (EIN 11-2950196)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201643199349303389
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)
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)
PersonBRENDA FARRELLPersonNm
Person TitleCFOPersonTitleTxt
Phone6316547100PhoneNum
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

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$21,559,473GrossReceiptsAmt
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 Volunteers23TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,009,015PYContributionsGrantsAmt
CY Contributions Grants$1,560,068CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,003,154PYInvestmentIncomeAmt
CY Investment Income$1,649,435CYInvestmentIncomeAmt
PY Other Revenue$5,814PYOtherRevenueAmt
CY Other Revenue-$7,464CYOtherRevenueAmt
PY Total Revenue$7,017,983PYTotalRevenueAmt
CY Total Revenue$3,202,039CYTotalRevenueAmt
PY Grants And Similar Paid$6,253,812PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$11,994,626CYGrantsAndSimilarPaidAmt
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$762,116CYTotalFundraisingExpenseAmt
PY Other Expenses$1,539,693PYOtherExpensesAmt
CY Other Expenses$1,128,873CYOtherExpensesAmt
PY Total Expenses$7,793,505PYTotalExpensesAmt
CY Total Expenses$13,123,499CYTotalExpensesAmt
PY Revenues Less Expenses-$775,522PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,921,460CYRevenuesLessExpensesAmt
Total Assets BOY$46,788,117TotalAssetsBOYAmt
Total Assets EOY$34,796,936TotalAssetsEOYAmt
Total Liabilities BOY$203,552TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,782TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$46,584,565NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,786,154NetAssetsOrFundBalancesEOYAmt
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$9,900ExpenseAmt
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$11,909,035ExpenseAmt
Grant$11,909,035GrantAmt
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$85,591ExpenseAmt
Grant$85,591GrantAmt
Revenue$0RevenueAmt
DescSPONSORSHIPS TO VARIOUS NOT-FOR-PROFIT ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$12,004,526TotalProgramServiceExpensesAmt
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 EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
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 OtherYes (true)CompensationProcessOtherInd
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 (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
R T MARGULIS
PRESIDENT & CEO/DIRECTOR0.537.5Yes (X)Yes (X)$0$713,525$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)$0$29,000$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
J MONTEITH THRU 115
DIRECTOR0.50.5Yes (X)$0$0$0
C PARKER 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
T OCKERS
SENIOR DEVELOPMENT OFFICER22.50.0$448,689$0$10,762Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$448,689TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$742,525TotReportableCompRltdOrgAmt
Total Other Compensation$63,891TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$722,682FundraisingAmt
All Other Contributions$837,386AllOtherContributionsAmt
Noncash Contributions$100,636NoncashContributionsAmt
Total Contributions$1,560,068TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$876,838TotalRevenueColumnAmt
Exclusion$876,838ExclusionAmt

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$18,842,050SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,069,453SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$772,597SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$772,597TotalRevenueColumnAmt
Exclusion$772,597ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$271,542FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$722,682ContriRptFundraisingEventAmt
Fundraising Direct Expenses$282,981FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,439TotalRevenueColumnAmt
Exclusion-$11,439ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$8,975GamingGrossIncomeAmt
Gaming Direct Expenses$5,000GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,975TotalRevenueColumnAmt
Exclusion$3,975ExclusionAmt

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$3,202,039TotalRevenueColumnAmt
Exclusion$1,641,971ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$11,994,626TotalAmt
Program Services$11,994,626ProgramServicesAmt

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$297,357TotalAmt
Management And General$297,357ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,374TotalAmt
Fundraising$23,374FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,502TotalAmt
Fundraising$5,502FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,930TotalAmt
Fundraising$17,930FundraisingAmt

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 (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
LEASED EMPLOYEES$559,806$559,806
RESV FOR NON-PTNT UNCOLLECT$13,098$13,098
HEALTH AWARE./FAM FUN DAY$9,900$9,900
DISCOUNT PLEDGES-$28,327-$28,327

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$170,733TotalAmt
Fundraising$170,733FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,123,499TotalAmt
Program Services$12,004,526ProgramServicesAmt
Management And General$356,857ManagementAndGeneralAmt
Fundraising$762,116FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,286,839BOYAmt
EOY$1,476,132EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,539,023BOYAmt
EOY$4,755,802EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,242,511BOYAmt
EOY$2,168,595EOYAmt

Accounts Receivable AccountsReceivableGrp

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

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$1,688BOYAmt
EOY$1,562EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$30,337,764BOYAmt
EOY$26,041,447EOYAmt

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$366,292BOYAmt
EOY$339,398EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,788,117BOYAmt
EOY$34,796,936EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

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

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$203,552BOYAmt
EOY$9,077EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$203,552BOYAmt
EOY$10,782EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,750,442BOYAmt
EOY$15,968,181EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,834,123BOYAmt
EOY$18,817,973EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,584,565BOYAmt
EOY$34,786,154EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,788,117BOYAmt
EOY$34,796,936EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$9,921,460ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,876,951NetUnrlzdGainsLossesInvstAmt
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$2,336,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,857,073CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,560,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,009,015CurrentTaxYearMinus1YearAmt
Current Tax Year$1,560,068CurrentTaxYearAmt
Total$20,323,228TotalAmt

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$2,336,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,857,073CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,560,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,009,015CurrentTaxYearMinus1YearAmt
Current Tax Year$1,560,068CurrentTaxYearAmt
Total$20,323,228TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$13,242,808SubstantialContributorsTotAmt
Public Support Total170$7,080,420PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$922,614CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$975,372CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,074,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,162,062CurrentTaxYearMinus1YearAmt
Current Tax Year$876,838CurrentTaxYearAmt
Total$5,011,186TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$251,417CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$204,229CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$255,068CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,814CurrentTaxYearMinus1YearAmt
Current Tax Year-$7,464CurrentTaxYearAmt
Total$709,064TotalAmt
FieldValueIRS element (for citing)
Total Support$26,043,478TotalSupportAmt
Public Support CY1700.27187PublicSupportCY170Pct
Public Support PY1700.25807PublicSupportPY170Pct
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, Summer Celebration 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$9,077Amt
FieldValueIRS element (for citing)
Total Liability$9,077TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,613,069TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,876,951NetUnrealizedGainsInvstAmt
Other Revenue$287,981OtherRevenueAmt
Revenue Not Reported-$1,588,970RevenueNotReportedAmt
Revenue Subtotal$3,202,039RevenueSubtotalAmt
Total Revenue Per Form990$3,202,039TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,411,480TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$287,981OtherExpensesIncludedAmt
Expenses Not Reported$287,981ExpensesNotReportedAmt
Expenses Subtotal$13,123,499ExpensesSubtotalAmt
Total Expenses Per Form990$13,123,499TotalExpensesPerForm990Amt

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, 2015, 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 2012, which is the statute of limitation look back period.
PART XI, LINE 2D AND PART XII, LINE 2D:SPECIAL EVENTS DIRECT EXPENSES..........$282,981. GAMING ACTIVITIES DIRECT EXPENSES.......$ 5,000. TOTAL...................................$287,981.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL BALLEvent1Nm
Gross Receipts Event1$509,279GrossReceiptsEvent1Amt
Charitable Contri Event1$401,279CharitableContriEvent1Amt
Gross Revenue Event1$108,000GrossRevenueEvent1Amt
Other Direct Expenses Event1$144,171OtherDirectExpensesEvent1Amt
Event2TOURN OF TOURNEvent2Nm
Gross Receipts Event2$260,550GrossReceiptsEvent2Amt
Charitable Contri Event2$177,202CharitableContriEvent2Amt
Gross Revenue Event2$83,348GrossRevenueEvent2Amt
Other Direct Expenses Event2$66,666OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$224,395GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$144,201CharitableContriOtherEventsAmt
Gross Revenue Other Events$80,194GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$72,144OthDirectExpnssOtherEventsAmt
Gross Receipts Total$994,224GrossReceiptsTotalAmt
Charitable Contributions Tot$722,682CharitableContributionsTotAmt
Gross Revenue Total Events$271,542GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$282,981OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$282,981DirectExpenseSummaryEventsAmt
Net Income Summary-$11,439NetIncomeSummaryAmt

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)$11,909,035KNAPP CARDIAC CARE
MONDAYS AT RACINES
341 MAIN STREETISLIPNY11751463264193501(C)(3)$15,000GENERAL SPONSORSHIP
LI BUSINESS NEWS
PO BOX 86MINNEAPOLISMN55486472578203$8,500JOURNAL AD AND
THE SAYVILLE CHAMBER OF COMMERCE
PO BOX 235SAYVILLENY11782113389656501(C)(6)$8,200GENERAL SPONSORSHIP
PATCHOGUE COMMUNITY SERVICE FOUNDATION
4250 VETERANS HIGHWAYHOLBROOKNY11741113474111501(C)(3)$5,400ANNUAL STEAK AND
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 (2 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$0$627,692$0$57,604$0$28,229$0$37,023$0$16,106$0$766,654$0$0
T OCKERS
SENIOR DEVELOPMENT OFFICER$159,131$0$0$0$289,558$0$2,712$0$8,050$0$459,451$0$0$0

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$100,636NoncashContributionsRptF990Amt
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 (7 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:A) FIRST DRAFT PROVIDED TO MANAGEMENT FROM BDO USA, LLP. 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, 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:THE ORGANIZATION DOES NOT COMPENSATE ITS TOP MANAGEMENT OFFICIAL.
FORM 990, PART VI, SECTION B, LINES 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 AS COMPARED TO OTHER ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE WILL MAKE THE FINAL APPROVAL OF ALL COMPENSATION. THE INFORMATION IS PRESENTED TO THE OVERALL 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.

Schedule R IRS990ScheduleR

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
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Brookhaven Physician Services
100 HOSPITAL ROADPATCHOGUENY11772260628913PHYSICIAN OFFICENYC$0$00.00000false
Brookhaven Surgical Services PC
100 Hospital ROADPatchogueNY11772260885844PHYSICIAN OFFICENYC$0$00.00000false
LI Orthopedic & Spine Specialist PC
100 Hospital ROADpatchogueNY11772274670754PHYSICIAN OFFICENYC$0$00.00000false
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

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