JAMAICA HOSPITAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
JAMAICA HOSPITAL MEDICAL CENTER (EIN 11-3340969)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201403189349301575
Schema version
2013v3.0
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)
Return2014-11-14T09:00:00-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN113340969EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE JAMAICA HOSPITAL MEDICAL CENTERBusinessNameLine1
Business Name Line2DIAGNOSTIC AND TREATMENT CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlJAMABusinessNameControlTxt
Phone7182066891PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18900 VAN WYCK EXPRESSWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11418ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMOUNIR DOSSPersonNm
Person TitleEXEC VP & CFOPersonTitleTxt
Phone7182066891PhoneNum
Signature2014-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00851654PTIN
Phone2122970400PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MEDISYS FAMILY CAREBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerMOUNIR DOSSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18900 VAN WYCK EXPRESSWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11418ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$8,735,063GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE UNDERSERVED COMMUNITIES SERVED BY JAMAICA HOSPITAL MEDICAL CENTER WITH ACCESS TO QUALITY AMBULATORY MEDICAL CARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee105TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$148,361PYContributionsGrantsAmt
CY Contributions Grants$277,599CYContributionsGrantsAmt
PY Program Service Revenue$6,913,625PYProgramServiceRevenueAmt
CY Program Service Revenue$8,409,980CYProgramServiceRevenueAmt
PY Investment Income$1,103PYInvestmentIncomeAmt
CY Investment Income$3,219CYInvestmentIncomeAmt
PY Other Revenue$18,336PYOtherRevenueAmt
CY Other Revenue$44,265CYOtherRevenueAmt
PY Total Revenue$7,081,425PYTotalRevenueAmt
CY Total Revenue$8,735,063CYTotalRevenueAmt
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$7,146,864PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,137,908CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,841,616PYOtherExpensesAmt
CY Other Expenses$4,387,471CYOtherExpensesAmt
PY Total Expenses$11,988,480PYTotalExpensesAmt
CY Total Expenses$11,525,379CYTotalExpensesAmt
PY Revenues Less Expenses-$4,907,055PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,790,316CYRevenuesLessExpensesAmt
Total Assets BOY$9,346,785TotalAssetsBOYAmt
Total Assets EOY$8,805,361TotalAssetsEOYAmt
Total Liabilities BOY$64,115,115TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,371,892TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$54,768,330NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$57,566,531NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE UNDERSERVED COMMUNITIES SERVED BY JAMAICA HOSPITAL MEDICAL CENTER WITH ACCESS TO QUALITY AMBULATORY MEDICAL CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,488,093ExpenseAmt
Revenue$8,454,245RevenueAmt
DescPROVIDED 60,501 MEDICAL VISITS. PROVIDED 15,957 DENTAL VISITS. IMPLEMENTED AN ELECTRONIC MEDICAL RECORD SYSTEM.Desc
Total Program Service Expenses$10,488,093TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Document54IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee105EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
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 Line1MANZAR SASSANIBusinessNameLine1
FieldValueIRS element (for citing)
Phone7182066891PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18900 VAN WYCK EXPRESSWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11418ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANTHONY DIMARIA MD
SECRETARY1.0040.00Yes (X)Yes (X)$0$228,897$24,890
ANTONIETTA MORISCO
DIRECTOR1.002.00Yes (X)$0$0$0
ARCHIE SPIGNER
ASSISTANT SECRETARY1.002.00Yes (X)Yes (X)$0$0$0
DOUGLAS W SINGER
DIRECTOR1.002.00Yes (X)$0$0$0
GEOFFREY DOUGHLIN MD
SECOND VICE CHAIRMAN1.0041.00Yes (X)Yes (X)$0$399,018$26,751
GERALDINE M CHAPEY PHD
DIRECTOR1.002.00Yes (X)$0$0$0
HON TIMOTHY J DUFFICY
DIRECTOR1.002.00Yes (X)$0$0$0
JOSEPH FERRARA
ASSISTANT TREASURER1.002.00Yes (X)Yes (X)$0$0$0
JOSEPH LIANA
DIRECTOR1.002.00Yes (X)$0$0$0
NEIL FOSTER PHILLIPS
CHAIRMAN1.003.00Yes (X)Yes (X)$0$0$0
ROBERT W KOOP
1ST VICE CHAIR, TREASURER1.003.00Yes (X)Yes (X)$0$0$0
BRUCE FLANZ
PRESIDENT & CEO2.5062.50Yes (X)$0$1,372,384$25,590
MOUNIR DOSS
EXEC. VP & CFO2.5062.50Yes (X)$0$974,118$25,590
ERICA CARDONA
DIRECTOR40.00$163,529$0$9,157Yes (X)
ERLINDA CRUZ
PHYSICIAN40.00$121,683$0$20,868Yes (X)
FRED CLARKE
PHYSICIAN40.00$123,924$0$20,898Yes (X)
IRENE WONG
PHYSICIAN40.00$127,791$0$12,707Yes (X)
NICHOLAS PANTELO
PHYSICIAN40.00$168,697$0$22,045Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$705,624TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,974,417TotReportableCompRltdOrgAmt
Total Other Compensation$188,496TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
M&S DENTAL SUPPLY CO LLC
105-30 101ST AVEOZONE PARKNY11416MEDICAL SUPPLIES$143,229
DERIVE TECHNOLOGIES LLC
110 WILLIAM STREET 14TH FLOORNEW YORKNY10038IT$117,439
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$277,599AllOtherContributionsAmt
Total Contributions$277,599TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERV. REV.621400$5,206,385$5,206,385
CAPITATION REVENUE621400$3,203,595$3,203,595
FieldValueIRS element (for citing)
Total Program Service Revenue$8,409,980TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,219TotalRevenueColumnAmt
Exclusion$3,219ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RECOVERY OF BAD DEBT900099$26,151$26,151
OTHER REVENUE900099$18,114$18,114
FieldValueIRS element (for citing)
Other Revenue Total$44,265OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,735,063TotalRevenueColumnAmt
Related Or Exempt Func Income$8,454,245RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,219ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,426,596TotalAmt
Program Services$4,938,202ProgramServicesAmt
Management And General$488,394ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$377,469TotalAmt
Program Services$343,497ProgramServicesAmt
Management And General$33,972ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$855,269TotalAmt
Program Services$778,295ProgramServicesAmt
Management And General$76,974ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$478,574TotalAmt
Program Services$435,502ProgramServicesAmt
Management And General$43,072ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,762TotalAmt
Management And General$48,762ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$209,317TotalAmt
Program Services$190,477ProgramServicesAmt
Management And General$18,840ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$243,566TotalAmt
Program Services$221,646ProgramServicesAmt
Management And General$21,920ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$445,906TotalAmt
Program Services$405,774ProgramServicesAmt
Management And General$40,132ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$778,769TotalAmt
Program Services$708,680ProgramServicesAmt
Management And General$70,089ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CHARGE BACK$1,759,616$1,759,616
MEDICAL SUPPLIES$373,779$340,139$33,640
CONTRA REVENUE$240,753$219,085$21,668
LAB SERVICE$232,168$211,273$20,895

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$54,835TotalAmt
Program Services-$64,093ProgramServicesAmt
Management And General$118,928ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,525,379TotalAmt
Program Services$10,488,093ProgramServicesAmt
Management And General$1,037,286ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,656BOYAmt
EOY$1,658EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$281,488BOYAmt
EOY$270,285EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,812BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$684,693BOYAmt
EOY$707,274EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,253,764LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,083,185LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,260,856BOYAmt
EOY$6,170,579EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$656,990BOYAmt
EOY$545,949EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,428,290BOYAmt
EOY$1,109,616EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,346,785BOYAmt
EOY$8,805,361EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,095,127BOYAmt
EOY$1,120,191EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,344,840BOYAmt
EOY$9,413,473EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,675,148BOYAmt
EOY$55,838,228EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,115,115BOYAmt
EOY$66,371,892EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$54,768,330BOYAmt
EOY-$57,566,531EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$54,768,330BOYAmt
EOY-$57,566,531EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,346,785BOYAmt
EOY$8,805,361EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,790,316ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$7,885NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$700,150OtherCostOrOtherBasisAmt
Book Value$700,150BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,798,166OtherCostOrOtherBasisAmt
Depreciation$6,492,586DepreciationAmt
Book Value$4,305,580BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$215,179OtherCostOrOtherBasisAmt
Depreciation$215,179DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,512,706OtherCostOrOtherBasisAmt
Depreciation$3,375,420DepreciationAmt
Book Value$1,137,286BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,563OtherCostOrOtherBasisAmt
Book Value$27,563BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,170,579TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
PCDC DEBT SERVICE FUND$1,012,533
DUE FROM RELATED PARTY$15,458
HEALTHFIRST$81,625
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,109,616TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATED ENTITIES$55,507,196
ESTIMATED INSURANCE LIABILITY$316,127
MEDICAL REIMBURSEMENT SETTLEMENT$14,905
FieldValueIRS element (for citing)
Total Liability$55,838,228TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,727,177TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$7,886NetUnrealizedGainsInvstAmt
Revenue Not Reported-$7,886RevenueNotReportedAmt
Revenue Subtotal$8,735,063RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,735,063TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,525,379TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,525,379ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,525,379TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE D&TC QUALIFIES AS A TAX-EXEMPT, NON PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ITS INCOME IS GENERALLY NOT SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAXES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 (6 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
ANTHONY DIMARIA MD
SECRETARY$0$216,193$0$0$0$12,704$0$5,550$0$19,340$0$253,787$0$0
GEOFFREY DOUGHLIN MD
SECOND VICE CHAIRMAN$0$399,018$0$0$0$0$0$6,250$0$20,501$0$425,769$0$0
BRUCE FLANZ
PRESIDENT & CEO$0$1,247,508$0$0$0$124,876$0$6,250$0$19,340$0$1,397,974$0$0
MOUNIR DOSS
EXEC. VP & CFO$0$896,259$0$0$0$77,859$0$6,250$0$19,340$0$999,708$0$0
ERICA CARDONA
DIRECTOR$163,525$0$0$0$4$0$4,133$0$6,867$0$174,529$0$0$0
NICHOLAS PANTELO
PHYSICIAN$168,616$0$0$0$81$0$4,316$0$21,792$0$194,805$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationTHE FOLLOWING INDIVIDUAL RECEIVED SERP PAYMENTS DURING 2013: BRUCE FLANZ - 24,898ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 20:THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION.
FORM 990, PART VI, SECTION A, LINE 6MEDISYS HEALTH NETWORK IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AMEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION, IT IS FINALIZED AND SUBSEQUENTLY FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1B:FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10.0 HOURS PER WEEK
FORM 990, PART VII, SECTION A, LINE 1B:MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE". ANTHONY DIMARIA, M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR JAMAICA HOSPITAL NURSING HOME WORKING ABOUT 40 HOURS PER WEEK. ANTHONY DIMARIA, M.D. RECEIVED NO COMPENSATION AS A TRUSTEE FOR JAMAICA HOSPITAL DIAGNOSTIC AND TREATMENT CENTER CORP, MEDISYS HEALTH NETWORK, AND JAMAICA HOSPITAL MEDICAL CENTER, FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK. GEOFFREY DOUGHLIN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR JAMAICA HOSPITAL MEDICAL CENTER, FOR WHICH HE WORKED ON AVERAGE 40 HOURS PER WEEK. GEOFFREY DOUGHLIN M.D. RECEIVED NO COMPENSATION AS A TRUSTEE FOR JAMAICA HOSPITAL DIAGNOSTIC AND TREATMENT CENTER CORP. THE JAMAICA MEDICAL CENTER AND DIAGNOSTIC AND TREATMENT CENTER CORP, AND MEDISYS HEALTH NETWORK, FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK.
FORM 990, PART XII, 2C:THE SELECTION & OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVDFLUSHINGNY11355111631781HOSPITALNY501(C)(3)3MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL MEDICAL CENTER
8900 VAN WYCK EXPYJAMAICANY11418111631788HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPYJAMAICANY11418237216197HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(C)(3)11A0N/A
NEIGHBORHOOD HEALTH PROVIDERS INC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175943474115MANAGED CARE PLANNY501(C)(3)9JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
NHP HOLDINGS LLC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175203418837HOLDING COMPANYNYN/A
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVE 3RD FLOORNEW YORKNY10175133887900MANAGEMENT SERVICES ORG.NYN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
FRR RECOVERY SERVICES
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYN/AC0
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334DURABLE MEDICAL EQUIPMENT COMPANYNYN/AC0
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYN/AC0
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418030474027HOME CARE STAFFING/INACTIVENYN/AC0
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYN/AC0
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113479920HOLDING COMPANYNYN/AC0
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYN/AC0
MHN REALTY
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113458286REAL ESTATE/INACTIVENYN/AC0
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYN/AC0
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 OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FRR RECOVERY INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$3,359InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt

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