2015-11-13T11:03:50-08:00 2014-12-31 990 2014-01-01 111639818 JOHN T MATHER MEMORIAL HOSPITAL JOHN 6314731320 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 11777 JOSEPH WISNOSKI CFO 2015-11-13 2014 2016-02-25 16:41:14Z 303519308 false false X MATHERHOSPITAL.ORG X 1928 NY John T. Mather Memorial Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of health care services of the highest quality, in a cost effective manner, to the residents of Suffolk County.As members of the Mather Hospital Family - Trustees, Medical Staff, Hospital Staff, Volunteers and Benefactors - we are commited to providing care to the best of our ability, showing compassion and respect, and treating each patient in the manner we would wish for our loved ones.We will meet or exceed each patient's expectations through the continued collaborative efforts of each and every member of the Mather Hospital Family.- 21 18 2784 326 386125 -113492 720774 583773 280107774 296432922 3010919 1697729 6527412 4311228 290366879 303025652 3000 219500 0 168458455 176388423 0 0 115816649 129009493 284278104 305617416 6088775 -2591764 230983205 239531098 137499546 173699227 93483659 65831871 John T. Mather Memorial Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of health care services of the highest quality, in a cost effective manner, to the residents of Suffolk County.As members of the Mather Hospital Family - Trustees, Medical Staff, Hospital Staff, Volunteers and Benefactors - we are commited to providing care to the best of our ability, showing compassion and respect, and treating each patient in the manner we would wish for our loved ones.We will meet or exceed each patient's expectations through the continued collaborative efforts of each and every member of the Mather Hospital Family.- false false 287787418 296703291 John T. Mather Memorial Hospital, a 248 bed community hospital, provides quality medical care regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the continued operation and stability of John T. Mather Memorial Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with the Hospital's commitment to serve all members of the community, free and or subsidized care is provided to the indigent, care is provided to persons covered by government programs at below cost and numerous health related education and support services are offered to the community at large. Please read our comprehensive, 39 page, "Report to the Community for the year 2014" which is attached or at our WEBSITE; matherhospital.org. 213000 The Hospital's Auxiliary volunteers generate funds through the Hospital's Thrift and Gift shops as well as other activities. These funds are presented to the JTM Health Facilities Foundation, Inc. annually. 6500 To promote and encourage community service, John T. Mather Memorial Hospital Inc. provides scholarship grants to college bound junior volunteers. 288006918 true true false true false false false false false true true false false true false false false true false false false false false false false false true true true true true true false false false false false false false true true true false false false false false true false false false false true 101 0 true 2784 true true true false false false false false false 0 false false false false false false false false false false X 21 18 true false false false true true true true true false false true true true true true true true true false NY X X JOSEPH WISNOSKI 6314731320 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 117772119 KENNETH A JACOPPI Esq Chairman 9.00 3.00 X X 0 0 0 BETSY NOYES BRITTON Vice Chairman 3.00 4.00 X X 0 0 0 KONRAD J KUHN Vice Chairman 3.00 1.00 X X 0 0 0 HAROLD TRANCHON Jr Vice Chairman 3.00 2.00 X X 0 0 0 JOHN R SINI Vice Chairman 3.00 4.00 X X 0 0 0 WAYNE RAMPONE Secretary 3.00 1.00 X X 0 0 0 RICHARD SAVINO MD Pres-Med Staff 3.00 1.00 X X 40000 0 0 AHMAD BHATTI MD VP-Med Staff 3.00 1.00 X X 20000 0 0 ALAN D BECK Board member 3.00 3.00 X 0 0 0 NICHOLAS CRAIG MD Board member 3.00 1.00 X 2500 0 0 JAMES DANOWSKI Board member 3.00 6.00 X 0 0 0 JOHN K DIVINEY Esq Board member 3.00 1.00 X 0 0 0 JUDITH A FORTUNATO Board member 3.00 1.00 X 0 0 0 KATHRYN B FREY Board member 3.00 3.00 X 0 0 0 TIMOTHY B GLYNN Esq Board member 3.00 1.00 X 0 0 0 FREDERICK C JOHS Esq Board member 3.00 1.00 X 0 0 0 RICHARD LUSAK Board member 3.00 2.00 X 0 0 0 DANIEL C OPINANTE Board member 3.00 1.00 X 0 0 0 LEO STERNLICHT Treasurer 3.00 1.00 X 0 0 0 EDWARD J WEISS Board member 3.00 1.00 X 0 0 0 KENNETH D ROBERTS President & CEO 50.00 4.00 X X 678938 0 50754 JOSEPH WISNOSKI Sr. VP & CFO 45.00 1.00 X 409190 0 40354 JOAN C FARO Chief Medical Officer 40.00 10.00 X 436595 0 42954 KEVIN J MURRAY Sr. Vice Pres-Administration 40.00 0.00 X 283957 0 50754 WAYNE S SHATTES Vice President-Administration 40.00 3.00 X 231970 0 48959 MARIE E MULLIGAN Vice President-Administration 40.00 0.00 X 273348 0 48154 KEITH HARRIS Physician 40.00 0.00 X 593283 0 40354 JULIET NICHOLS Physician 40.00 0.00 X 530532 0 42954 MOHAMMAD A BILAL Physician 40.00 0.00 X 526480 0 37754 YUVAL HILTZIK Physician 40.00 0.00 X 521186 0 37133 MARIO SOLOMITA Physician 40.00 0.00 X 503588 0 39526 5051567 479650 341 false true false ALLSCRIPTS - 24630 NETWORK PLACE CHICAGO IL 60673 INFOTECH CONSULTANTS 2040591 SIEMENS MEDICAL SOLUTIONS - 51 VALLEY STREAM PKWY MALVERN PA 19355 IT SERVICES 1550908 UNITED WEST LABS - 801 N PARKCTR DR SUITE 202 SANTA ANA CA 92705 LABORATORY SERVICES 1103650 INTNL RECOVERY ASSOCIATES - 195 SMITHTOWN BLVD NESCONSET NY 11767 A\R COLLECTIONS 828223 J PETROCELLI CONTRACTING - 100 COMAC STREET RONKONKOMA NY 11779 BLDG. CONSTRUCTION 816986 29 1105 47716 332438 202514 583773 PATIENT SERVICE REVENUE 622110 296432922 296432922 296432922 1755274 1755274 0 0 108888 106104 2784 2784 2784 57545 -57545 -57545 -57545 0 0 531592 330007 201585 201585 LEASED EMPLOYEES-HRBRVIEW 900099 617977 617977 MEDICARE STIMULUS REVENUE 900099 1263898 1263898 PHARMACY-EMPLOYEES 900099 465564 465564 1759420 68784 386125 1304511 4106859 303025652 296703291 386125 5352463 213000 213000 6500 6500 0 0 2658427 979543 1678884 0 135152956 128723146 6429810 5357164 5035734 321430 23015212 21634299 1380913 10204664 9592384 612280 1391646 1391646 506015 506015 105754 105754 29381 29381 0 323249 323249 16083685 16083685 432411 432411 63812608 59983942 3828666 3469864 3469864 0 4524713 4072558 452155 313809 235357 78452 0 134490 100867 33623 781051 702946 78105 0 14985328 13486795 1498533 2826294 2543665 282629 FREE CARE 13461133 13461133 BAD DEBT 3694345 3694345 RETIREMENT INCENTIVE PROGRAM 2133717 2133717 0 305617416 288006918 17610498 0 5550 5400 10006564 12922720 0 37422728 38149694 0 0 0 6246769 7888417 4572793 5639871 270981505 182964377 74840864 88017128 76375186 61908820 0 0 0 21512751 24999048 230983205 239531098 98034546 136479227 39465000 37220000 137499546 173699227 X 88129506 59279827 5330821 6528712 23332 23332 93483659 65831871 230983205 239531098 X -2591764 440527 -25500551 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 29381 29381 false false Part II-B, Line 1i - Other Activities Description The Hospital pays membership dues to four organizations; Long Island Health Network, Nassau-Suffolk Hospital Council, Healthcare Association of New York State, and the American Hospital Association. A portion of those dues have been allocated to lobbying expenditures. 3579667 96805 42744 1116941 2602275 3928294 98929 41402 488958 3579667 4350113 383308 60673 865800 3928294 4672637 967509 117937 1407970 4350113 4549467 754725 82378 713933 250 0.01000 0.99000 false false false 72838 72838 62259145 48985907 13273238 69764712 44376584 25388128 119651048 87142175 32508873 19233762 2459711 16774051 88017128 INSURANCE CLAIMS RECEIVABLE 15940215 INTEREST IN NET ASSETS JTMHFF 4686903 OTHER ASSETS 4371930 24999048 292339908 8352284 8352284 283987624 19038028 19038028 303025652 291960844 7794262 7794262 284166582 21450834 21450834 305617416 Part V, Line 4: Intended uses of the endowment fund. The endowment funds are used to improve the quality of the lives of those served by John T. Mather Memorial Hospital. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Harbor View Medical Services P.C. $7794262 Purchase discounts $558022 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Bad debt $3694345 Coffee shop income $412025 Contributions-Future Plans $1341 Contributions-JTM Trust $153189 Free care $13461133 Interest income-Restricted & Future Plan $258356 Investment fees $323249 Rental income $108888 Rental expenses $-106104 Temporarily Restricted contributions $96805 Temp Rest released to oper net of CAA $-66149 TGA - Thrift, Gift & Auxiliary-Expense $-330007 TGA - Thrift, Gift & Auxiliary-Income $531593 UBIT costs $499367 xRounding $-3 Part XII, Line 2d: Other expenses and losses per audited F/S Harbor View Medical Services P.C. $7794262 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Thrift, Gift & Auxilary Grant $213000 Bad debt $3694345 Coffee shop expenses $311438 Free care $13461133 Investment fees $323249 Purchase discounts $-558022 UBIT costs $499367 Retirement Incentive Program $2133717 Interest rate swap-Phase 2 $1372442 Post closing equity adj HVMS P.C. $165 xRounding $0 true true true X true X 500.000000000 true true false false true true 6583595 2432291 4151304 0.01360 18938067 8725423 10212644 0.03340 25521662 11157714 14363948 0.04700 570413 93080 477333 0.00160 3722062 1106328 2615734 0.00860 22404214 17854630 4549584 0.01490 11200 11200 26707889 19054038 7653851 0.02510 52229551 30211752 22017799 0.07210 13092 13092 13092 13092 true 3694345 -236 81872029 96788458 -14916429 X true true 1 1 J T MATHER MEMORIAL HOSPITAL 75 North Country Road Port Jefferson NY 117772119 http://www.matherhospital.org operating cert. # 5149000H X X X X J T MATHER MEMORIAL HOSPITAL 1 false false true X X X X X X X X 13 true true true true X www.matherhospital.org X true 13 true www.matherhospital.org/matherhospital.org/cmsAdmin/uploads/* false false true X 200.0000 500.0000 X X X X true true X X X true X X X X X X X false X X false X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Mather Hospital contacted local civic groups, emergency medical services/ambulance companies, fire departments, libraries, local school districts, service groups and other community-based organizations. This included e-mailing a link to our CHNA online survey.Mather worked the Nassau-Suffolk Hospital Council, the Nassau and Suffolk County Departments of Health, Long island hospitals and community-based organizations in a collaboration known as the Long Island Health Collaborative (LIHC). The LIHC , in May of 2013, undertook a Community Needs Health Assessment (CHNA) survey of local organizations, busineeses, schools, libraries, civic groups and other community based organizations to determine the health needs of the community.- Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Stony Brook University Medical Center, St. Charles Hospital, Brookhaven Hospital Medical Center, Peconic Bay Medical Center, Good Samaritan Hospital Medical Center, St. Catherine of Siena Medical Center, Southampton Hospital and the North-Shore-LIJ Health system. - Part V, Line 22d - Other Billing Determination of Individuals Without Insurance The charges remain as gross charges and then, once an individual is determined to be charity care eligible, the charity care policy is applied and the charges are either written off or significantly reduced based on Federal Poverty guidelines. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) The Hospital uses the Federal Poverty Guidelines (FPG) to determine eligibility for providing free/discounted care.Certain assets are also considered to determine eligibility. The following assets are excluded from consideration: patient's primary residence, tax-deferred or comparable retirement savings accounts, college savings accounts, and cars used by the patient or the patient's immediate family. The Hospital also uses Transunion credit scores to determine presumptive eligibility. Part I, Line 6a - Related Organization Community Benefit Report The Hospital prepares a Report to the Community. The 2014 Report to the Community is available on the Hospital website.The web address is http://www.matherhospital.org Part I, Line 7 - Explanation of Costing Methodology (Row a & b) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to the charges written off for patients qualifying for charity care under the hospital's financial assistance policy. The Medicaid cost was determined by utilizing the ratio of cost tocharges (RCC) calculated on Worksheet 2 applied to the Medicaidcharges. Part I, Line 7, Column F - Explanation of Bad Debt Expense The Hospital did include bad debt expense on Form 990, Part IX, line 24b. Part I, Line 7g - Costs Associated With Physicans Clinics The cost was obtained from the 2014 Institutional Cost Report Stepdown. Additionally, actual cost identification from salary reports was used. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Bad debt expense is reported by the Hospital for the uncollectible amounts due from patients that are determined to have the ability to pay but did not. The total bad debt expense for 2014 was $3,694,345. This was reported on line 2. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit This represents bad debt write-offs for patients that were also eligible for charity care under the Hospital's policy. Part III, Line 4 - Bad Debt Expense The cost of bad debt, as reported in the footnote 12 (page 30) of the certified financial statements, was $1,142,291. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare expenses reported in this section were obtained from the Medicare cost report. The Medicare cost report uses a stepdown methodology to determine a routine cost/day and a RCC for ancillary services. The routine cost/day is applied to the Medicare days and the RCC is applied to the Medicare ancillary charges. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Application assistance is available for patients that are deemed to qualify for financial assistance based on prescreening. Part VI - Needs Assessment The following meetings, reports and documents play a major role in shaping Mather Hospital's community needs assessment: Reports from community, local, state and federal government agencies. Meetings and communication with Suffolk County Department of Health. Current industry journals, periodicals, newsletters and other literature. General health-related news reports Hospital-generated statistical reports Monthly Board of Directors meetings. Board of Directors' Long Range Planning Committee Reports generated by internal committees and task forces. Regular weekly administrative staff planning sessions. Patient questionnaire mailed to all medical/surgical patients. Questionnaires distributed to Emergency Department patients. Patient representative program. Part VI - Patient Education of Eligibility for Assistance Please read the attached 2014 Report to the Community or at our website,http:/www.matherhospital.org Part VI - Community Information Please read the attached 2014 Report to the Community or at our website,http:/www.matherhospital.org Part VI - Community Building Activities Meals on Wheels provides vital nourishment to elderly or disabled community members who, due to immobility and isolation, are unable to prepare their own meals.The Hospital participates in training, planning and exercises in coordination with the State and County entities so it is prepared tp protect the health and safety of the community in the event of a terrorist event, natural disaster or other health emergency. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Please read the attached 2014 Report to the Community, or, at our website, http:/www.matherhospital.org under "publications. Part VI - States Where Community Benefit Report Filed NY Part V - Explanation of Number of Facility Type One licensed hospital true JTM HEALTH FACILITIES FOUND 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 11777 112714670 503(C)(3) 213000 0 CASH na To further JTMHFF's mission 1 0 SCHOLARSHIPS 6 6500 Grantmaker's Description of How Grants are Used PERIODIC STATUS MEETINGS ARE HELD TO MONITOR PROGRESS AND OUTCOMES. X true true X X X X X false false false false false false false false false false JOAN C FARO Chief Medical Officer 432894 3701 18200 24754 479549 JOSEPH WISNOSKI Sr. VP & CFO 404209 4981 15600 24754 449544 JULIET NICHOLS Physician 528121 2411 18200 24754 573486 KEITH HARRIS Physician 593027 256 15600 24754 633637 KENNETH D ROBERTS President & CEO 663260 15678 26000 24754 729692 KEVIN J MURRAY Sr. Vice Pres-Administration 280256 3701 26000 24754 334711 MARIE E MULLIGAN Vice President-Administration 270948 2400 23400 24754 321502 MARIO SOLOMITA Physician 503405 183 14772 24754 543114 MOHAMMAD A BILAL Physician 525941 539 13000 24754 564234 WAYNE S SHATTES Vice President-Administration 229781 2189 24205 24754 280929 YUVAL HILTZIK Physician 521003 183 12379 24754 558319 Part I, Line 1a: Relevant information in regards to selections on 1a. Travel for companionsAdministrative approval Board member's spouse, relative or significant other, may be reimbursed subject to the following; the nature of the conference, workshop or seminar contains a critical social element in the judgement of the President or the Chairman of the Board and warrants their attendance. The reimbursement is a non-taxable transaction and considered de minimis in the opinion of legal counsel. A TOWN of BROOKHAVEN LDC 272768182 2012-11-30 20105000 REFINANCE 1996 DASNY BONDS false false false B TOWN of BROOKHAVEN LDC 272768182 2013-08-15 23000000 CONSTRUCT FACILITY ADDITION false false false A 3640000 20105000 323740 19781260 2012 true false true true B 23000000 1070827 351394 16294712 5283067 2015 false false false true B false false false false 0.00000 0.00000 0.00000 false false true A false true false false true PEOPLES UNITED B 10.0000 false false false Not applicable false false true B false true false false true PEOPLES UNITED B 10.0000 false false false Not applicable false false true A true B true ANNE MARIE PENNEY FM of CEO 46279 EMPLOYEE WAGES false FRANK SINI FM of DIRECTOR 181384 EMPLOYEE WAGES false KIMBERLY JARETT FM of DIRECTOR 19581 EMPLOYEE WAGES false KATHRYN B FREY BOARD MEMBER 1599819 RENTS\COMMON CHARGES false Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Harold F. Tranchon has a business relationship with John Sini.James Danowski has a business relationship with Richard Lusak. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Mather Health System Inc. is the sole member of John T. Mather Memorial Hospital. Mather Health System Inc. is organized as a not-for-profit corporation under federal and New York state laws. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body As the sole member of the Corporation, Mather Health System Inc. approves the election and removal of members of the board of directors.- Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Mather Health System Inc. (MHS), pursuant to the New York not-for-profit corporation law, has the authority to (1) elect and remove members of the taxpayer's governing board, (2) approve amendments to the taxpayer's certificate of incorporation and bylaws, and (3) approve significant corporate transactions. Form 990, Part VI, Line 11b: Form 990 Review Process The policy of John T. Mather Memorial Hospital for reviewing and approving the IRS Form 990 is the following; The Hospital's Corporate Compliance & Audit Committee, a six member sub-committee of the Board of Directors, is assigned to review, make recommendations and ultimately approve the IRS Form 990. The Corporate Compliance & Audit Committee will notify the Board of Directors when the IRS Form 990 is approved. The entire Board of Directors will then have the documents made available through a secure online portal before it is filed with the Internal Revenue Service.- Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts CONFLICT OF INTEREST DICLOSURE STATEMENT FOR DIRECTORS and OFFICERS Each year all members of the board, officers and key employees must reaffirm that the conflict of interest form on file with the Hospital is accurate and complete. The sixteen question document is intended to identify business dealings that involve improper conflicts of interest and is prefaced with detailed definitions with regard to; immediate family, vendors, competitors, doing business or a business relationship and disclosable interests.The compliance and audit committee is charged with oversight of adherence to the conflict of interest policy. At the instruction of the compliance and audit committee, legal counsel conducts a review of each disclosure statement and submitsfindings to the audit committee. The audit committee notifies the board of directors of any potential or perceived conflicts of interest. Individuals that have disclosed a potential conflict of interest are asked to excuse themselves from deliberation or actions that may be construed as a conflict of interest.Employees are governed by the same principles and tenets by a written Code of Conduct and Conflict of Interest Policy.- Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The following compensation policy applies to the Hospital's President & CEO and the Hospital's CFO hereafter referred to as a "Covered Individual".The Compensation Committee shall determine and/or approve the amount of Compensation to be paid to any Covered Individual. In making such determination or approval, which shall be performed at least annually, the Compensation Committee shall consider all components of the Covered Individual's Compensation.In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee may, in it's discretion, consider and rely upon the following data, as well as other information or data that it deems relevant; (i) compensation paid for comparable positions by similarly situated non-profit and for-profit entities; (ii) availability of individuals possessing similar expertise or specialized training in the geographic area; (iii) independent compensation surveys compiled by independent firms; and (iv) written offers that the Covered Individual has received from other similar institutions competing for his or her services.In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee will evaluate, or review an evaluation of, the Covered Individual's job performance (if currently employed) and/or a description of the Covered Individual's qualifications (if being recruited by the Organization). Such evaluations and descriptions may include and/or consider a description of the duties and responsibilities of the Covered Individual's position and the results achieved by such individual; other executive's assessments of the importance of the Covered Individual to the Organization and the role of Compensation in retaining and incentivizing the performance of the Covered Individual; whether and to what extent the Covered Individual possesses unique talents and abilities that increase his or her value to the Organization; increases in the nature, scope, or extent of the Covered Individual's duties; and any other subjective factors or other information concerning the Covered Individual's contributions to the Organization that the Compensation Committee deems relevant in setting the Covered Individual's Compensation.- Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Form 1023 (Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code) the Hospital has a verification letter (dated 1/17/1996) from the Internal revenue service confirming that a determination or ruling letter was issued granting exemption on October 1933. A copy of this confirmation letter is available upon request.Form 990 is available at the WEBSITE: http://www2.guidestar.org or available upon request.Form 990-T is available upon request.The Hospital's governing documents are available upon request.The Hospital's conflict of interest policies are available upon requestThe Hospital's audited financial statements are attached, available at the WEBSITE: http://www.dacbond.com or available upon request.All requests should be directed to:John T. Mather Memorial Hospital-Finance Department75 North Country RoadPort Jefferson, NY 11777-2119Please list the requested items and give a contact address, email address or phone contact number.A photocopy charge will be applicable as allowed by law. Other Changes In Net Assets Or Fund Balances - Other Decreases Change in FMV of Interest rate swap = -$239745 Other Changes In Net Assets Or Fund Balances - Other Increases Increase in Interest in Related Organization-JTMHFF = $1380053 Other Changes In Net Assets Or Fund Balances - Other Decreases Non-periodic pension changes = -$26687839 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Affiliate-IRNC = $46980 SCHEDULE L, PART IV - SUPPLEMENTAL The Hospital would like to disclose the following information;1) The Hospital has purchased certificates of deposit of various denominations and maturities and maintains several bank accounts with Suffolk County National Bank of which a board member, James Danowski, is a Hospital board member. Mr. Danowski does not participate in the selection of banks chosen by the Hospital. 2) The Hospital maintains professional liability and general insurance policies with Medical Liability Mutual Insurance Company(MLMIC). As a mutual insurance company, MLMIC is required to have a majority of it's board of directors comprised of policyholders. Kenneth Roberts, President & CEO of John T. Mather Memorial Hospital, is a member of the board of directors of MLMIC and received remuneration for his services.3) Frederick C. Johs, a board member, is a partner in the law firm Lewis, Johs, Avallon, Aviles, LLP. The "firm" has been assigned the defense of the Hospital in various malpractice suits. These assignments are made and the fees are paid by MLMIC, the Hospital's insurance carrier.4)Kathryn B. Frey, a board member, is a managing partner of North Shore Professional, LP and Harbor Properties Management LLC. North Shore Professional, LP contracts to Harbor Properties Management LLC, which leases office space to the Hospital. Kathryn B. Frey declared a conflict of interest when lease negotiations between the Hospital and Harbor Properties Management LLC were discussed by the Board and excused herself from the board meeting during these discussions. She did not participate in the voting on this decision. MATHER HEALTH SYSTEM INC 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 117772119 113417615 MEMBERSHIP CORP & SOLE MEMBER to J T MATHER MEMORIAL HOSP NY 501(c)(3) 11a NA false JT MATHER HEALTH FACILITIES FOUNDATION 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 117772119 112714670 RAISES FUNDS to BENEFIT J T MATHER MEMORIAL HOSPITAL NY 501(c)(3) 7 MATHER HEALTH SYSTEM INC false ISLAND NURSING & REHAB CENTER 5536 EXPRESSWAY DRIVE NORTH HOLTSVILLE NY 117421316 113570505 NURSING & REHAB CARE IN A SKILLED NURSING FACILITY NY 501(c)(3) 9 MATHER HEALTH SYSTEM INC false INRC SERVICES CORP 5537 EXPRESSWAY DRIVE HOLTSVILLE NY 11742 202900978 REAL ESTATE HOLDING COMPANY for a Non-Profit NURSING HOME NY 501(c)(3) 11b ISLAND NURSING & REHAB CENTER false MOUNT SINAI SENIOR SERVICES INC ONE JEFFERSON FERRY DRIVE SOUTH SETAUKET NY 11720 200493404 HUMAN SERVICES/SENIOR CONTINUING CARE COMMUNITY NY 501(c)(3) 9 MATHER HEALTH SYSTEM INC false ACTIVE RETIREMENT COMMUNITY INC ONE JEFFERSON FERRY DRIVE SOUTH SETAUKET NY 11720 311631439 HUMAN SERVICES/SENIOR CONTINUING CARE COMMUNITY NY 501(c)(3) 9 MATHER HEALTH SYSTEM INC false HARBOR VIEW MEDICAL SERVICES PC 70 NORTH COUNTRY ROAD - SUITE 101 PORT JEFFERSON NY 11777 264517010 PHYSICIANS PRACTICES NY 501(c)(3) 11a MATHER HEALTH SYSTEM INC false MATHER MANAGEMENT SYSTEM INC 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 117772119 113417553 FOR PROFIT NY N/A C corp 0.00000 false true true true false false false false false false false false false false false true true false true false JT MATHER HEALTH FACILITIES FOUNDATION b 213000 Cash JT MATHER HEALTH FACILITIES FOUNDATION c 47716 Cash JT MATHER HEALTH FACILITIES FOUNDATION o 615905 Cash JT MATHER HEALTH FACILITIES FOUNDATION p 615905 Cash ISLAND NURSING & REHAB CENTER a 175170 Cash ISLAND NURSING & REHAB CENTER r 46980 Cash