NASSAU-SUFFOLK HOSPITAL SHARED SERVICES INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
NASSAU-SUFFOLK HOSPITAL SHARED SERVICES INC (EIN 11-2587515)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-28
IRS object ID
201533019349300108
Schema version
2014v5.0
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)
Return2015-10-28T08:46:36-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1125 BAYLIS ROADAddressLine1Txt
CityMELVILLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP117473823ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN112587515EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NASSAU-SUFFOLK HOSPITAL SHARED SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNASSBusinessNameControlTxt
Phone6314353000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11383 VETERANS MEMORIAL HIGHWAYAddressLine1Txt
CityHAUPPAUGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11788ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARIA GALLINAPersonNm
Person TitleCFOPersonTitleTxt
Phone6314353000PhoneNum
Signature2015-10-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonELLEN M LABITA CPA PARTNERPreparerPersonNm
PTINP00140777PTIN
Phone6317527400PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARIA GALLINAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11383 VETERANS MEMORIAL HIGHWAYAddressLine1Txt
CityHAUPPAUGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11788ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$133,297GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP:/WWW.NSHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE GROUP PURCHASING CONTRACTS ON VARIOUS HOSPITAL PRODUCTS, SERVICES AND EQUIPMENT TO ITS MEMBER HOSPITALS.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$97,754PYProgramServiceRevenueAmt
CY Program Service Revenue$132,401CYProgramServiceRevenueAmt
PY Investment Income$780PYInvestmentIncomeAmt
CY Investment Income$896CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$98,534PYTotalRevenueAmt
CY Total Revenue$133,297CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$48,636PYOtherExpensesAmt
CY Other Expenses$54,167CYOtherExpensesAmt
PY Total Expenses$48,636PYTotalExpensesAmt
CY Total Expenses$54,167CYTotalExpensesAmt
PY Revenues Less Expenses$49,898PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$79,130CYRevenuesLessExpensesAmt
Total Assets BOY$873,123TotalAssetsBOYAmt
Total Assets EOY$952,253TotalAssetsEOYAmt
Total Liabilities BOY$34,593TotalLiabilitiesBOYAmt
Total Liabilities EOY$34,593TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$838,530NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$917,660NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE GROUP PURCHASING CONTRACTS ON VARIOUS HOSPITAL PRODUCTS, SERVICES AND EQUIPMENT TO ITS MEMBER HOSPITALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$54,167ExpenseAmt
Revenue$132,401RevenueAmt
DescNASSAU SUFFOLK HOSPITAL SHARED SERVICES PROVIDES COOPERATIVE HOSPITAL SERVICES FOR MEMBER HOSPITALS.Desc
Total Program Service Expenses$54,167TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARIA GALLINABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6314353000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11383 VETERANS MEMORIAL HIGHWAYAddressLine1Txt
CityHAUPPAUGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11788ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MR RICHARD MARGULIES
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR ANDREW MITCHELL
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR PAUL CONNOR III
PAST CHAIRMAN1.002.00Yes (X)$0$0$0
MS DONNA MORAVICK
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR PAUL ROWLAND
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR GERARD BROGAN
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR KENNETH ROBERTS
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR MICHAEL LYNCH
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR VICTOR POLITI
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR AARON GLATT
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR MICHAEL DOWLING
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR JEFFREY KRAUT
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR MICHAEL FENER
BOARD MEMBER1.002.00Yes (X)$0$0$0
DR ALAN GUERCI
CHAIRMAN1.002.00Yes (X)$0$0$0Yes (X)
MR RICHARD MURPHY
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR ROBERT CHALONER
BOARD MEMBER1.002.00Yes (X)$0$0$0
MS WINNIE MACK
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR JAMES O'CONNOR
BOARD MEMBER1.002.00Yes (X)$0$0$0
DR REUVEN PASTERNAK
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR JOHN COLLINS
BOARD MEMBER1.002.00Yes (X)$0$0$0
MS ALESSANDRO BELLUCCI
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR PHIL MOSCHITTA
BOARD MEMBER1.002.00Yes (X)$0$0$0
MS CAROLYN FORCINA
BOARD MEMBER1.002.00Yes (X)$0$0$0
MS CATHERINE HOTTENDORF
BOARD MEMBER1.002.00Yes (X)$0$0$0
MS SUSAN KWATEK
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR WILLIAM CUNNINGHAM
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR DENNIS WHALEN
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR MARK THOMAS
BOARD MEMBER1.002.00Yes (X)$0$0$0
MR KEVIN DAHILL
CHIEF EXECUTIVE OFFICER0.9017.80$19,455$175,099$30,555Yes (X)
MS MARIA GALLINA
CHIEF FINANCIAL OFFICER1.9035.60$6,238$118,530$40,946Yes (X)
MS WENDY DARWELL
CHIEF OPERATING OFFICER1.4026.70$9,505$133,067$15,353Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$35,198TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$426,696TotReportableCompRltdOrgAmt
Total Other Compensation$86,854TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescGROUP PURCH COMMISSIONDesc
Business561000BusinessCd
Total Revenue Column$132,401TotalRevenueColumnAmt
Related Or Exempt Func Income$132,401RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$132,401TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$896TotalRevenueColumnAmt
Exclusion$896ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,297TotalRevenueColumnAmt
Related Or Exempt Func Income$132,401RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$896ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$54,167TotalAmt
Program Services$54,167ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$54,167TotalAmt
Program Services$54,167ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$413,476BOYAmt
EOY$534,151EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,294BOYAmt
EOY$36,916EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$409LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$409LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$435,353BOYAmt
EOY$381,186EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$873,123BOYAmt
EOY$952,253EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,593BOYAmt
EOY$34,593EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,593BOYAmt
EOY$34,593EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$838,530BOYAmt
EOY$917,660EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$838,530BOYAmt
EOY$917,660EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$873,123BOYAmt
EOY$952,253EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$79,130ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$409OtherCostOrOtherBasisAmt
Depreciation$409DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$381,186BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$381,186TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$133,297TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$133,297RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$133,297TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$54,167TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$54,167ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$54,167TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY UNITED STATES FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2010, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD.ExplanationTxt

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 Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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
MR KEVIN DAHILL
CHIEF EXECUTIVE OFFICER$19,455$175,099$0$0$0$0$1,946$17,510$1,057$10,042$22,458$202,651$0$0
MS MARIA GALLINA
CHIEF FINANCIAL OFFICER$6,238$118,530$0$0$0$0$624$11,853$1,423$27,046$8,285$157,429$0$0
MS WENDY DARWELL
CHIEF OPERATING OFFICER$9,505$133,067$0$0$0$0$950$13,307$72$1,024$10,527$147,398$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RELIED ON THE COMPANY IT CONTRACTS WITH FOR MANAGEMENT AND STAFFING SERVICES TO DETERMINE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIAL. SEE SCHEDULE O FOR A DESCRIPTION OF THE PROCESS USED TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIRMAN OF NSHC CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND CHIEF OPERATING OFFICER (OFFICER) IS SET BY THE PRESIDENT IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE ORGANIZATION'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY TO ACT ON ITS BEHALF TO AN EXECUTIVE COMMITTEE IN ACCORDANCE WITH THE ORGANIZATION'S BY-LAWS. THE EXECUTIVE COMMITTEE CONSISTS OF THE FOLLOWING MEMBERS OF THE BOARD OF DIRECTORS: PRESIDENT, PRESIDENT-ELECT/TREASURER, AND OTHER DIRECTORS APPOINTED BY THE BOARD. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY, BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, TO EXERCISE AND MAINTAIN ON BEHALF OF THE ORGANIZATION ALL POWERS OF THE BOARD TO THE EXTENT PERMITTED BY LAW. THE EXECUTIVE COMMITTEE'S RESPONSIBILITIES INCLUDE PREPARING AND SUBMITTING AN ANNUAL BUDGET TO THE BOARD, ACTING UPON OTHER FISCAL MATTERS AS THEY OCCUR, AND REVIEWING AND EVALUATING THE ORGANIZATION'S ACTIVITIES AND PROGRESS IN CARRYING OUT THE POLICIES AND PROGRAMS AUTHORIZED BY THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE REPORTED TO THE BOARD AT THE FIRST MEETING THEREAFTER.
FORM 990, PART VI, SECTION A, LINE 3MANAGEMENT SERVICES ARE CONTRACTED THROUGH HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS).
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S BY LAWS ALLOW FOR TWO CLASSES OF MEMBERS, ACTIVE AND ASSOCIATE. EACH ACTIVE MEMBER IS ENTITLED TO ONE REPRESENTATIVE ON THE BOARD OF DIRECTORS, WHICH HAS RESPONSIBILITY FOR THE GOVERNANCE OF THE ORGANIZATION. ASSOCIATE MEMBERS HAVE NO RIGHTS RELATED TO VOTING OR GOVERNANCE. THE ORGANIZATION DOES NOT CURRENTLY HAVE ASSOCIATE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE COMPLETED FORM 990 IS REVIEWED IN THREE STAGES PRIOR TO ITS FILING. THE FIRST REVIEW IS CONDUCTED BY THE CHIEF FINANCIAL OFFICER OF NSHC. THE SECOND REVIEW IS PERFORMED BY THE CHIEF OPERATIONS OFFICER OF NSHC. THE FINAL REVIEW IS PERFORMED BY THE PRESIDENT OF NSHC.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS WRITTEN CONFLICT OF INTEREST POLICIES COVERING ALL EMPLOYEES AND MEMBERS OF THE BOARD OF TRUSTEES. THE POLICIES REQUIRE EMPLOYEES AND BOARD MEMBERS TO DISCLOSE ACTUAL AND POTENTIAL CONFLICTS AND REFRAIN FROM PARTICIPATING IN MATTERS RELATED TO THE CONFLICT. ON AN ANNUAL BASIS, ALL EMPLOYEES ARE REQUIRED TO COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENTS ARE REVIEWED BY EXECUTIVE MANAGEMENT. THE POLICIES CONTAIN ESCALATION PROCEDURES FOR REVIEWING POTENTIAL CONFLICTS THAT INVOLVE INDEPENDENT LEGAL COUNSEL, BOARD LEADERSHIP, AND THE AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15AA COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIRMAN OF NSHC CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND CHIEF OPERATING OFFICER (OFFICER) IS SET BY THE PRESIDENT IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT TO THE EXTENT INFORMATION FROM THESE DOCUMENTS IS PROVIDED IN FORM 990.
FORM 990, PART VII, SECTION A, LINE 5THE ORGANIZATION'S STAFF, INCLUDING ITS PRESIDENT, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT AND CHIEF OPERATING OFFICER ARE EMPLOYED BY THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). HANYS PROVIDES EMPLOYEES AND MANAGEMENT STAFF TO THE ORGANIZATION PURSUANT TO A MANAGEMENT AND STAFFING AGREEMENT BETWEEN THE ORGANIZATION AND HANYS. HANYS PAYS ALL COMPENSATION AND FRINGE BENEFIT COSTS FOR THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED TO THE ORGANIZATION. AS COMPENSATION FOR THE MANAGEMENT AND STAFFING SERVICES, THE ORGANIZATION PAYS HANYS FOR THE COST OF THE SALARY AND FRINGE BENEFITS OF THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED BY HANYS TO THE ORGANIZATION. THE AMOUNTS PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO THE ORGANIZATION'S PRESIDENT, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT AND CHIEF OPERATING OFFICER FOR SERVICES RENDERED TO THE ORGANIZATION ARE PROVIDED IN SCHEDULE J, PART II. THE AMOUNT PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO ALL OF THE ORGANIZATION'S OFFICERS FOR SERVICES RENDERED TO THE ORGANIZATION IS PROVIDED IN FORM 990, PART VII, SECTION A, LINE 1.
FORM 990, PART VII, SECTION A, LINE 1A, COLUMN BAVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEVIN DAHILL - 17.82 MARIA GALLINA - 35.63 WENDY DARWELL - 26.72

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
NASSAU SUFFOLK HOSPITAL COUNCIL FOUNDATION INC
1383 VETERANS MEMORIAL HGWYHAUPPAUGENY11788111805346TO STUDY AND EVALUATE ISSUES IN THE HEALTH CARE INDUSTRY.NY501(C)(3)LINE 11AN/A0
NASSAU SUFFOLK HOSPITAL COUNCIL INC
1383 VETERANS MEMORIAL HGWYHAUPPAUGENY11788113434265PROVIDE A FORUM FOR IDEAS REGARDING THE DEVELOPMENT OF HEALTH POLICY.NY501(C)(6)N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NSH NETWORK INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11383 VETERANS MEMORIAL HGWYAddressLine1Txt
CityHAUPPAUGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11788ZIPCd
FieldValueIRS element (for citing)
EIN112884653EIN
Primary ActivitiesWASTE MANAGMENTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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