2014-10-31T10:39:27-07:00 2013-12-31 990 2013-01-01 111639818 JOHN T MATHER MEMORIAL HOSPITAL JOHN 6314731320 75 NORTH COUNTRY ROAD PORT JEFFERSON NY 11777 JOSEPH WISNOSKI CFO 2014-10-31 2013 2015-11-30 17:44:51Z 291009899 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.- 20 16 2691 294 1480668 445094 1545105 720774 276724430 280107774 2188302 3010919 6806768 6527412 287264605 290366879 7000 3000 0 180502640 168458455 0 0 107416630 115816649 287926270 284278104 -661665 6088775 210906430 230983205 177901327 137499546 33005103 93483659 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 267255262 280263708 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, 40 page, "Report to the Community for the year 2012" which is attached or at our WEBSITE; matherhospital.org. 3000 To promote and encourage community service, John T. Mather Memorial Hospital Inc. provides scholarship grants to college bound junior volunteers. 267258262 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 false false true false false false false false false false false true true true false false false false false true false false false false true 81 0 true 2691 true true false false false false false false 0 false false false false false false false false false false X 20 16 true false false false true true true true true false false true true true true true true true true false 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 F TRANCHON JR Vice Chairman 3.00 2.00 X X 0 0 0 JOHN R SINI Treasurer 3.00 4.00 X X 0 0 0 TIMOTHY B GLYNN ESQ Board member 3.00 1.00 X 0 0 0 ALAN D BECK Board member 3.00 3.00 X 0 0 0 SANJAY SANGWAN MD Board member 5.00 1.00 X 5000 0 0 JAMES DANOWSKI Board member 3.00 6.00 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 FREDERICK C JOHS ESQ Board member 3.00 1.00 X 0 0 0 THOMAS KOHLMANN Board member 3.00 3.00 X 0 0 0 RICHARD LUSAK Board member 3.00 2.00 X 0 0 0 WAYNE RAMPONE Secretary 3.00 1.00 X 0 0 0 LEO STERNLICHT Board member 3.00 1.00 X 0 0 0 EDWARD J WEISS Board member 3.00 1.00 X 0 0 0 RICHARD SAVINO MD Pres-Med Staff 5.00 1.00 X 40000 0 0 AHMAD BHATTI MD VP-Med Staff 5.00 1.00 X 20000 0 0 KENNETH D ROBERTS President & CEO 50.00 4.00 X 593047 0 23208 JOSEPH WISNOSKI CFO 45.00 1.00 X 371987 0 23208 JOAN C FARO Chief Medical Officer 40.00 10.00 X 384066 0 23208 KEVIN J MURRAY Senior Vice Pres-Administration 40.00 0.00 X 267566 0 23208 WAYNE S SHATTES Vice President-Administration 40.00 3.00 X 216143 0 23208 MARIE E MULLIGAN Vice President-Administration 40.00 0.00 X 255653 0 23208 JULIET NICHOLS Physician 40.00 0.00 X 529217 0 23208 KEITH HARRIS Physician 40.00 0.00 X 521671 0 23208 MOHAMMAD A BILAL Physician 40.00 0.00 X 500563 0 23208 YUVAL HILTZIK Physician 40.00 0.00 X 489013 0 23208 MARIO SOLOMITA Physician 40.00 0.00 X 467869 0 23208 4661795 255288 266 false true false JJR ASSOCIATES INC 100-41 SOUTH JERSEY AVENUE SETAUKET NY 11733 GENERAL CONSTRUCTION 316146 INTNL RECOVERY ASSOCIATES 195 SMITHTOWN BLVD NESCONSET NY 11767 A\R COLLECTIONS 777265 CANNON DESIGN 2170 WHITEHAVEN ROAD GRAND ISLAND NY 14072 ARCHITECTURE & ENGIN 827956 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PARKWAY MALVERN PA 19355 IT SERVICES 2968833 UNITED WEST LABS INC 801 N PARKCTR DR SUITE 202 SANTA ANA CA 92705 LABORATORY SERVICES 1107173 27 2428 63591 548148 106607 3936 720774 PATIENT SERVICE REVENUE 622110 280107774 280107774 280107774 2962143 2962143 0 0 99138 113329 -14191 -14191 -14191 48776 48776 48776 48776 0 0 486652 529691 -43039 -43039 Lab-private patient 621500 1480668 1480668 LEASED EMPLOYEES-HRBRVIEW 900099 960448 960448 MEDICARE STIMULUS REVENUE 900099 2117449 2117449 2026077 198973 1827104 6584642 290366879 280263708 1480668 7901729 0 3000 3000 0 0 2292710 850173 1442537 0 133473811 126908403 6565408 435964 409806 26158 21884921 20571826 1313095 10371049 9748786 622263 1135492 1135492 848826 848826 165166 165166 30802 30802 0 281162 281162 12374689 12374689 332169 332169 57222643 53789375 3433268 3314084 3314084 0 4198162 3778662 419500 228394 171295 57099 0 97194 72895 24299 702250 632025 70225 0 13899389 12509450 1389939 3608970 3248073 360897 FREE CARE 13647445 13647445 BAD DEBT 3729812 3729812 0 284278104 267258262 17019842 0 5550 5550 6876519 10006564 0 39383856 37422728 0 0 0 5721521 6246769 5773515 4572793 245166891 170326027 75527514 74840864 61044092 76375186 0 0 0 16573863 21512751 210906430 230983205 157796327 98034546 20105000 39465000 177901327 137499546 X 30234235 88129506 2747536 5330821 23332 23332 33005103 93483659 210906430 230983205 X 6088775 54389781 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 30802 30802 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. 3928294 98929 41402 488958 3579667 4350113 383308 60673 865800 3928294 4672637 967509 117937 1407970 4350113 4549467 754725 82378 713933 4672637 3941928 783326 95829 271616 4549467 0.01000 0.99000 false false false 72838 72838 62259145 47349097 14910048 68503564 41728475 26775089 108784124 79015048 29769076 5547220 2233407 3313813 74840864 INSURANCE CLAIMS RECEIVABLE 13892325 INTEREST IN NET ASSETS JTMHFF 3306850 OTHER ASSETS 4313576 21512751 276700009 5790091 5790091 270909918 19456961 19456961 290366879 271049383 5318355 5318355 265731028 18547076 18547076 284278104 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 Purchase discounts $471736 Harbor View Medical Sevices P.C. $5318355 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Investment fees $281162 Free care $13647445 Bad debt $3729812 Contributions-Future Plans $26277 Interest income-Restricted & Future Plan $290436 Contributions-JTM Trust $43484 Coffee shop income $436070 Rental income $99138 Unrestricted contributions $0 Temporarily Restricted contributions $98929 Temporarily Restricted released to opera $-29976 Rental expenses $-113329 TGA-Thrift, Gift & Auxilary-Income $486652 TGA - Thrift, Gift & Auxiliary-Expense $-529691 UBIT costs $990554 xRounding $-2 Part XII, Line 2d: Other expenses and losses per audited F/S Harbor View Medical Services P.C. $5318355 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Purchase discounts $-471736 Investment fees $281162 Free care $13647445 Bad debt $3729812 Coffee shop expenses $369841 UBIT costs $990554 xRounding $-2 true true true X 300.000000000 true X 500.000000000 true true true false true true 7583284 2599814 4983470 0.01750 17245884 10982347 6263537 0.02200 24829168 13582161 11247007 0.03950 286671 136176 150495 0.00050 221644 35518 186126 0.00070 22880086 18137703 4742383 0.01670 14361 945 13416 23402762 18310342 5092420 0.01790 48231930 31892503 16339427 0.05740 117703 75000 42703 0.00020 117703 75000 42703 0.00020 true 3729812 1098 77301557 100066643 -22765086 X true true 1 1 J T Mather Memorial Hospital 75 North Country Road Port Jefferson NY 11777 http://www.matherhospital.org operating cert. # 5149000H X X X J T Mather Memorial Hospital 1 true X X X X X X X 13 true true false X http://www.matherhospital.org X X X X X X true false false true true 300.0000 true 500.0000 true X X X X X X X X true true X X X X X X false X X X X false X X X X X true X false false Part V, Line 3 - Account Input from Person Who Represent the Community Mather Hospital contacted local civic groups, emergency medical services/ambulance companies, fire departments, libraries, school districts, service groups and other community-based organizations and emailed them the link to the CHNA online survey. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Mather Hospital worked with the Nassau-Suffolk Hospital council, Nassau and Suffolk County Departments of Health, Long Island Hospitals and community-based organizations in a collaborative known as the Long Island Health Collaborative (LIHC). The LIHC, in May 2013, undertook a CHNA survey of local organizations, businesses, schools, libraries, civic groups and other community-based organizations to determine the health needs of the community. The CHNA was a county-wide process that included Mather Hospital, Suffolk County Department of Health Services, the Nassau Suffolk Hospital Council, 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. A work group met on Feb 14, Feb 22, April 11, Apr 29, June 25 and July 30, 2013. Mather Hospital distributed the link for the survey on Survey Monkey to local civic groups, Emergency medical services/ambulance companies and fire departments, libraries, local school districts, service groups and other community-based organizations. Part V, Line 12h - Other Factors Used in Determing Amounts Charged Patients Please refer to the attached 2013 Report to the Community or at our website. Part V, Line 16e - Other Collection Actions Against a Patient Income executions / bank restraining orders. Part V, Line 18e - Other Actions Took Before Any Collection Actions Using credit data, the Hospital makes a Charity Care determination, referred to as "Presumptive Eligibility Decision", for patients who were non-compliant with the charity care application process. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance Financial assistance and the amounts charged are determined by the individual's score as it relates to the Federal Poverty Guidelines (FPG). 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 2013 Report to the Community is available on the Hospital website under "Publications".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 2013 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 2013 was $3,729,812. 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 29) of the certified financial statements, was $1,437,843. 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 RRC for ancillary services. The routine cost/day is applied to the Medicare days and the RRC is applied to the Medicare ancillary charges. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Application assistance is available for patient's 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 Director's 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 2013 Report to the Community or at our website,http:/www.matherhospital.org Part VI - Community Information Please read the attached 2013 Report to the Community or at our website,http:/www.matherhospital.org Part VI - Community Building Activities Solar energy and energy efficient projects have reduced the Hospital's carbon footprint, protecting the health of the community by decreasing the negative effects of pollution in the environment. Go Green commuting program - employees car pooled, biked or walked to work instead of driving their cars, reducing emissions detrimental to the environment, protecting the health of community members. Bonus and income guarantee to help recruit/retain an Emergency Department Physician and a Child & Adolescent Psychiatrist through the Doctors Across NY program, ensuring access to timely medical care for under served populations. 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 to 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 2013 Report to the Community or at our website,http:/www.matherhospital.org Part VI - States Where Community Benefit Report Filed NY Part V - Explanation of Number of Facility Type One licensed hospital X true true X X X X X false false false false false false false false false false JOAN C FARO Chief Medical Officer 380502 3564 23208 407274 JOSEPH WISNOSKI CFO 367229 4758 23208 395195 JULIET NICHOLS Physician 526895 2322 23208 552425 KEITH HARRIS Physician 521369 302 23208 544879 KENNETH D ROBERTS President & CEO 581295 11752 23208 616255 KEVIN J MURRAY Senior Vice Pres-Administration 264002 3564 23208 290774 MARIE E MULLIGAN Vice President-Administration 253378 2275 23208 278861 MARIO SOLOMITA Physician 467653 216 23208 491077 MOHAMMAD A BILAL Physician 500047 516 23208 523771 WAYNE S SHATTES Vice President-Administration 214110 2033 23208 239351 YUVAL HILTZIK Physician 488797 216 23208 512221 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. ANNE MARIE PENNEY FM of CEO 60967 EMPLOYEE WAGES false FRANK SINI FM of DIRECTOR 167747 EMPLOYEE WAGES false KIMBERLY JARETT FM of DIRECTOR 19037 EMPLOYEE WAGES false KATHRYN B FREY BOARD MEMBER 924824 RENTS\COMMON CHARGES false GENE GERRARD FORMER BOARD 42468 VENDOR\SUPPLIER 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.- 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 compliance & audit committee, a sub-committee of the Board of Directors, is assigned to review, make recommendation and ultimately approve the IRS Form 990. The compliance & audit committee will notify the Board of Directors when the IRS Form 990 is approved. The Board of Directors will then receive a copy of the Form 990 (electronically or paper copy) before it is finally 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 but is not limited 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://www.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 Increases Change in FMV of interest rate swap = $41786 Other Changes In Net Assets Or Fund Balances - Other Increases Increase in Interest in Related Organization-JTMHFF = $2633733 Other Changes In Net Assets Or Fund Balances - Other Decreases Net unrealized losses on investments = -$63763 Other Changes In Net Assets Or Fund Balances - Other Increases Pension related changes other than net periodic pension cost = $51699989 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from affiliate-IN&RC = $78036 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 PHYSICIAN PRACTICE NY 509(a)(3) 11 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 false true false false false false false false false false false false false true true false true false JT MATHER HEALTH FACILITIES FOUNDATION c 63591 Cash JT MATHER HEALTH FACILITIES FOUNDATION o 625542 Cash JT MATHER HEALTH FACILITIES FOUNDATION p 625542 Cash ISLAND NURSING & REHAB CENTER a 304464 Cash ISLAND NURSING & REHAB CENTER r 78036 Cash