FURP.ORG / PUBLIC DATA EXPLORER

LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201403219349304510
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-17T20:17:54-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 PARK AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111704595EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% B FARRELL VP/CFOInCareOfNm
Business Name ControlBROOBusinessNameControlTxt
Phone6316547100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1
Address Line2SuiteAddressLine2
CityPATCHOGUECity
StateNYState
ZIP Code11772ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRENDA FARELLPersonNm
Person TitleCDOPersonTitleTxt
Phone6316547100PhoneNum
Signature2014-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul HammerschmidtPreparerPersonNm
PTINP01384178PTIN
Phone6316547100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerR T MARGULIS CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1
CityPATCHOGUECity
StateNYState
ZIP Code11772ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$284,751,751GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BROOKHAVENHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionDELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee2540TotalEmployeeCnt
Total Volunteers297TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,971,737PYContributionsGrantsAmt
CY Contributions Grants$14,342,956CYContributionsGrantsAmt
PY Program Service Revenue$277,370,686PYProgramServiceRevenueAmt
CY Program Service Revenue$266,217,141CYProgramServiceRevenueAmt
PY Investment Income$203,783PYInvestmentIncomeAmt
CY Investment Income$210,739CYInvestmentIncomeAmt
PY Other Revenue$3,312,785PYOtherRevenueAmt
CY Other Revenue$3,980,915CYOtherRevenueAmt
PY Total Revenue$282,858,991PYTotalRevenueAmt
CY Total Revenue$284,751,751CYTotalRevenueAmt
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$173,375,609PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$175,033,782CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$25,267CYTotalFundraisingExpenseAmt
PY Other Expenses$108,562,790PYOtherExpensesAmt
CY Other Expenses$96,133,226CYOtherExpensesAmt
PY Total Expenses$281,938,399PYTotalExpensesAmt
CY Total Expenses$271,167,008CYTotalExpensesAmt
PY Revenues Less Expenses$920,592PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,584,743CYRevenuesLessExpensesAmt
Total Assets BOY$161,906,400TotalAssetsBOYAmt
Total Assets EOY$174,779,370TotalAssetsEOYAmt
Total Liabilities BOY$145,964,392TotalLiabilitiesBOYAmt
Total Liabilities EOY$137,069,077TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,942,008NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,710,293NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$154,430,885ExpenseAmt
Grant$0GrantAmt
Revenue$164,264,221RevenueAmt
DescINPATIENT CARE SERVICES - INCLUDES MEDICAL/SURGICAL PROCEDURES, PEDIATRICS, ICU, CCU, ROUTINE AND PSYCHIATRIC CARE. TOTAL 2013 INPATIENT DAYS: 86,384Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$32,747,163ExpenseAmt
Grant$0GrantAmt
Revenue$33,405,999RevenueAmt
DescEMERGENCY ROOM SERVICES - AVAILABLE TO THE COMMUNITY 24 HOURS, 7 DAYS A WEEK. TOTAL 2013 TREAT AND RELEASE VISITS: 69,630Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$17,877,587ExpenseAmt
Grant$0GrantAmt
Revenue$18,497,909RevenueAmt
DescAMBULATORY SURGERY SERVICES - AVAILABLE TO THE COMMUNITY. TOTAL 2013 CASES: 7,133Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$35,544,465TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$51,930,241TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$240,600,100TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document256IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2540EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonB FARRELL VPCFOPersonNm
Phone6316547100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1
CityPATCHOGUECity
StateNYState
ZIP Code11772ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
R T MARGULIS
PRESIDENT & CEO/DIRECTOR37.50.5Yes (X)Yes (X)$522,860$0$67,632
T OCKERS CEO THRU 413
SR DEV OFF AT FDN (FROM 4/13)37.50.5Yes (X)Yes (X)$494,363$0$53,196
R W SCHWARZ
CHAIRMAN0.50.5Yes (X)Yes (X)$0$0$0
L ROSE
VICE CHAIRMAN0.50.5Yes (X)Yes (X)$0$0$0
M MULHOLLAND
TREASURER0.50.5Yes (X)Yes (X)$0$0$0
E P SMITH
SECRETARY0.50.5Yes (X)Yes (X)$0$0$0
R BERMAN MD
DIRECTOR0.50.5Yes (X)$0$0$0
F C BRAUN III
DIRECTOR0.50.5Yes (X)$0$0$0
G BROWN
DIRECTOR0.50.5Yes (X)$0$0$0
T CULLEN
DIRECTOR0.50.5Yes (X)$0$0$0
S GILLERAN FROM 113
DIRECTOR/PRES. OF MED. STAFF0.50.5Yes (X)$0$0$0
F GRUCCI JR
DIRECTOR0.50.5Yes (X)$0$0$0
M KNAPP FROM 1013
DIRECTOR0.50.5Yes (X)$0$0$0
E KORMYLO DPM
DIRECTOR0.50.5Yes (X)$21,600$0$0
W LADICK
DIRECTOR0.50.5Yes (X)$0$0$0
W LEHMANN
DIRECTOR0.50.5Yes (X)$0$0$0
L LOURIE
DIRECTOR0.50.5Yes (X)$0$0$0
J MAIORINO
DIRECTOR0.50.5Yes (X)$0$0$0
J MAYER
DIRECTOR0.50.5Yes (X)$2,870$0$0
Y MICHEL THRU 1013
DIRECTOR0.50.5Yes (X)$0$0$0
P MOLONEY
DIRECTOR0.50.5Yes (X)$0$0$0
J MONTEITH
DIRECTOR0.50.5Yes (X)$0$0$0
S NORTON REMMER
DIRECTOR0.50.5Yes (X)$0$0$0
F ROSE
DIRECTOR0.50.5Yes (X)$0$0$0
E RUSSO
DIRECTOR0.50.5Yes (X)$0$0$0
K SCHWARTZ MD FROM 313
DIRECTOR0.50.5Yes (X)$0$0$0
J SULLIVAN
DIRECTOR0.50.5Yes (X)$0$0$0
S TAITZ
DIRECTOR0.50.5Yes (X)$0$0$0
B FARRELL
VP FINANCE, CFO37.50.0Yes (X)$327,345$0$39,003
R STEPHENSON
COO37.50.0$278,260$0$3,585Yes (X)
K MENDEZ
VP CHIEF NURSING OFFICER37.50.0$264,038$0$57,199Yes (X)
S WALKER MD
PHYSICIAN37.50.0$303,306$0$74,848Yes (X)
S KLAUSNER MD
DIR. MED DEV & PHYS PRACTICES37.50.0$270,648$0$22,450Yes (X)
F QURESHI MD
PHYSICIAN37.50.0$225,924$0$34,577Yes (X)
V IZGUR MD
PHYSICIAN37.50.0$217,284$0$34,507Yes (X)
S BERDIA MD
PHYSICIAN37.50.0$209,284$0$50,194Yes (X)
R A GIRAULO CFO THRU 712
SR. VICE PRESIDENT/CFO37.50.0$180,577$0$2,648Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,318,359TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$439,839TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K209IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ALLIANCE HEALTHCARE
PO BOX 96485CHICAGOIL60693HOME HEALTH SERVICES$2,802,665
VRP OF NY PA
52 MAIN STREETBEDFORD HILLSNY10507RADIOLOGY$2,181,660
WIEDERSUM ASSOCIATES
140 ADAMS AVENUE SUITE B-14HAUPPAUGENY11788ARCHITECT SERVICES$1,349,600
MILLER MILONE PC
100 QUENTIN ROOSEVELT BLVD SUITEGARDEN CITYNY11530COLLECTIONS$967,333
HURON CONSULTING SERVICES LLC
3005 MOMENTUM PLACECHICAGOIL60689CONSULTING$767,788
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Federated Campaigns$1,850FederatedCampaignsAmt
Related Organizations$10,000RelatedOrganizationsAmt
Government Grants$13,107,760GovernmentGrantsAmt
All Other Contributions$1,223,346AllOtherContributionsAmt
Total Contributions$14,342,956TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624200$254,288,431$254,288,431
FEES AND CONTRACTS FROM GOV'T AGENCIES624200$11,928,710$11,928,710
FieldValueIRS element (for citing)
Total Program Service Revenue$266,217,141TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,689TotalRevenueColumnAmt
Exclusion$186,689ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$24,050OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$24,050OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,050TotalRevenueColumnAmt
Exclusion$24,050ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PURCHASE DISCOUNTS AND VENDORS REBATES900099$618,433$618,433
COFFEE SHOP REVENUE900099$594,420$594,420
CAFETERIA INCOME722514$209,019$209,019

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,559,043TotalRevenueColumnAmt
Related Or Exempt Func Income$1,262,796RelatedOrExemptFuncIncomeAmt
Exclusion$1,296,247ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,980,915OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$284,751,751TotalRevenueColumnAmt
Related Or Exempt Func Income$268,098,370RelatedOrExemptFuncIncomeAmt
Exclusion$2,310,425ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,131,951TotalAmt
Management And General$2,131,951ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$486,989TotalAmt
Management And General$486,989ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$124,094,780TotalAmt
Program Services$113,770,041ProgramServicesAmt
Management And General$10,310,417ManagementAndGeneralAmt
Fundraising$14,322FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,054,018TotalAmt
Program Services$8,279,474ProgramServicesAmt
Management And General$773,075ManagementAndGeneralAmt
Fundraising$1,469FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,090,738TotalAmt
Program Services$27,191,943ProgramServicesAmt
Management And General$2,895,855ManagementAndGeneralAmt
Fundraising$2,940FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,175,306TotalAmt
Program Services$8,256,051ProgramServicesAmt
Management And General$918,159ManagementAndGeneralAmt
Fundraising$1,096FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,107,923TotalAmt
Program Services$3,696,359ProgramServicesAmt
Management And General$411,564ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$739,319TotalAmt
Management And General$739,319ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$167,809TotalAmt
Management And General$167,809ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$246,182TotalAmt
Program Services$246,182ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,158,683TotalAmt
Program Services$14,177,022ProgramServicesAmt
Management And General$976,221ManagementAndGeneralAmt
Fundraising$5,440FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$637,204TotalAmt
Program Services$573,364ProgramServicesAmt
Management And General$63,840ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,131,498TotalAmt
Program Services$1,018,136ProgramServicesAmt
Management And General$113,362ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,289,929TotalAmt
Program Services$1,160,694ProgramServicesAmt
Management And General$129,235ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,280,354TotalAmt
Program Services$3,851,514ProgramServicesAmt
Management And General$428,840ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$102,894TotalAmt
Program Services$92,585ProgramServicesAmt
Management And General$10,309ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$107,073TotalAmt
Program Services$96,346ProgramServicesAmt
Management And General$10,727ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,973,154TotalAmt
Program Services$1,775,468ProgramServicesAmt
Management And General$197,686ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,563,598TotalAmt
Program Services$9,505,253ProgramServicesAmt
Management And General$1,058,345ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,931,354TotalAmt
Program Services$2,637,668ProgramServicesAmt
Management And General$293,686ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$31,597,417$31,597,417
PROVISION FOR UNCOLLECTIBLE$5,955,891$5,955,891
OTHER SERVICES$4,473,686$4,025,477$448,209
REPAIRS AND MAINTENANCE$3,883,423$3,494,351$389,072

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,785,835TotalAmt
Program Services$5,154,755ProgramServicesAmt
Management And General$1,631,080ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$271,167,008TotalAmt
Program Services$240,600,100ProgramServicesAmt
Management And General$30,541,641ManagementAndGeneralAmt
Fundraising$25,267FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,080,118BOYAmt
EOY$345,737EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,199,888BOYAmt
EOY$16,361,778EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,133,148BOYAmt
EOY$56,282,812EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,126,110BOYAmt
EOY$4,326,057EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,054,120BOYAmt
EOY$1,259,520EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$203,548,314LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$116,205,453LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$79,430,321BOYAmt
EOY$87,342,861EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$149,995BOYAmt
EOY$133,327EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,732,700BOYAmt
EOY$8,727,278EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$161,906,400BOYAmt
EOY$174,779,370EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$50,426,701BOYAmt
EOY$55,919,789EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,365,000BOYAmt
EOY$16,755,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,673,820BOYAmt
EOY$13,348,332EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,498,871BOYAmt
EOY$51,045,956EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$145,964,392BOYAmt
EOY$137,069,077EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,067,991BOYAmt
EOY$33,467,310EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,974,017BOYAmt
EOY$3,342,983EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$900,000BOYAmt
EOY$900,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,942,008BOYAmt
EOY$37,710,293EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$161,906,400BOYAmt
EOY$174,779,370EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,584,743ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$368,966NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$7,814,576OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$210,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$36,182OtherActivitiesAmt
Total Lobbying Expenditures$246,182TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II-B, LINE 1G:INCLUDES ALLOCABLE MEMBERSHIP FEES OF 5 ORGANIZATIONS THAT ADVOCATE THE INTERESTS OF ITS MEMBER HOSPITALS BEFORE THE STATE AND FEDERAL LEGISLATURES AND EXECUTIVE BRANCHES.
PART II-B, LINE 1I:OTHER (NOT RELATED TO POLITICAL CONSULTING)

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$900,000BeginningYearBalanceAmt
End Year Balance$900,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,319,139BeginningYearBalanceAmt
Other Expenditures$2,419,139OtherExpendituresAmt
End Year Balance$900,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,648,621BeginningYearBalanceAmt
Investment Earnings Or Losses-$171,300InvestmentEarningsOrLossesAmt
Other Expenditures$158,182OtherExpendituresAmt
End Year Balance$3,319,139EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,404,768BeginningYearBalanceAmt
Investment Earnings Or Losses$414,991InvestmentEarningsOrLossesAmt
Other Expenditures$171,138OtherExpendituresAmt
End Year Balance$3,648,621EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,066,722BeginningYearBalanceAmt
Investment Earnings Or Losses$512,384InvestmentEarningsOrLossesAmt
Other Expenditures$174,338OtherExpendituresAmt
End Year Balance$3,404,768EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,531,487OtherCostOrOtherBasisAmt
Book Value$1,531,487BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,378,182OtherCostOrOtherBasisAmt
Depreciation$30,914,010DepreciationAmt
Book Value$20,464,172BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,182,837OtherCostOrOtherBasisAmt
Depreciation$595,043DepreciationAmt
Book Value$587,794BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$135,290,780OtherCostOrOtherBasisAmt
Depreciation$80,729,609DepreciationAmt
Book Value$54,561,171BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,165,028OtherCostOrOtherBasisAmt
Depreciation$3,966,791DepreciationAmt
Book Value$10,198,237BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$87,342,861TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$5,877,992
ACCRUED PENSION COSTS$7,129,742
ESTIMATED MALPRACTICE LIABILITIES$27,766,701
CHANGE IN VALUATION OF SWAP$2,400,492
ASBESTOS ABATEMENT$1,636,531
SETTLEMENT WITH US DEPT. OF JUSTICE$1,432,210
NET$4,802,288
FieldValueIRS element (for citing)
Total Liability$51,045,956TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$292,935,293TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$368,966NetUnrealizedGainsInvstAmt
Other Revenue$7,814,576OtherRevenueAmt
Revenue Not Reported$8,183,542RevenueNotReportedAmt
Revenue Subtotal$284,751,751RevenueSubtotalAmt
Total Revenue Per Form990$284,751,751TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$271,167,008TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$271,167,008ExpensesSubtotalAmt
Total Expenses Per Form990$271,167,008TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINES 1 AND 4:A $1,000,000 trust was initially established by a donor in 1969. Brookhaven Memorial Hospital Medical Center had classified the original value of the gift along with the allocable compounded earnings as permanently restricted net assets to be held in perpetuity. In order to comply with the donor agreement and to fairly represent the classification of restricted net assets, the organization reclassified $2,195,067 from permanently restricted net assets to temporarily restricted net assets during 2012, as this amount represents the 10% interest in the principal amount of the trust the organization will become entitled to in 2019 ($100,000) and the income earned on the fund since inception less amounts appropriated for general purposes. The organization is entitled to the income earned on the trust, as per the donor agreement, and is allowed to spend 5% of the prior three years' total value as mandated by a past court decision. The amount that is reported in permanently restricted net assets of $900,000 represents the portion of the trust to be held in perpetuity.
PART X, LINE 2:Brookhaven Memorial Hospital Medical Center has not taken an unsubstantiated tax position that would require provision of a liability under ASC 740, "Income Taxes". Under ASC 740, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained. The organization does not believe there are any material uncertain tax positions and, accordingly, has not recognized any liability for unrecognized tax benefits. The organization has filed Internal Revenue Service ("IRS") Form 990, as required, and all other applicable returns in jurisdictions where it is required. For the years ended December 31, 2013 and 2012, there were no interest or penalties recorded or included in the financial statements.
PART XI, LINE 2D:change in minimum pension liability.......................$6,112,618 change in valuation of interest rate swap agreement.......$1,701,958 Total.....................................................$7,814,576

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other425.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served2459PersonsServedCnt
Total Community Benefit Expns$11,233,904TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,233,904NetCommunityBenefitExpnsAmt
Total Expense0.04140TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served32361PersonsServedCnt
Total Community Benefit Expns$24,825,233TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,825,233NetCommunityBenefitExpnsAmt
Total Expense0.09160TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served34820PersonsServedCnt
Total Community Benefit Expns$36,059,137TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,059,137NetCommunityBenefitExpnsAmt
Total Expense0.13300TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served100000PersonsServedCnt
Total Community Benefit Expns$82,815TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,815NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1759PersonsServedCnt
Total Community Benefit Expns$39,798TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39,798NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served2439PersonsServedCnt
Total Community Benefit Expns$3,481,816TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,481,816NetCommunityBenefitExpnsAmt
Total Expense0.01280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served104198PersonsServedCnt
Total Community Benefit Expns$3,604,429TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,604,429NetCommunityBenefitExpnsAmt
Total Expense0.01320TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served139018PersonsServedCnt
Total Community Benefit Expns$39,663,566TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39,663,566NetCommunityBenefitExpnsAmt
Total Expense0.14620TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,584,661BadDebtExpenseAmt
Reimbursed By Medicare$63,299,314ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$69,699,270CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,399,956MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities8HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLicensed HospitalLicensedHospitalIndFacility Reporting GroupFacilityReportingGroupCdGeneral Medical And SurgicalGeneralMedicalAndSurgicalInd
BROOKHAVEN MEMORIAL HOSPITAL MED CTR
1101 HOSPITAL ROADEAST PATCHOGUENY11772Yes (X)A
HOME HEALTH CARE
2103 WEST MAIN STREETPATCHOGUENY11772BYes (X)
BROOKHAVEN MEMORIAL HOSP DIALYSIS CTR
3109 WEST MAIN STREETPATCHOGUENY11772BYes (X)
CTR FOR WOUND CARE & HYPERBARIC MEDIC
433 MEDFORD AVENUEPATCHOGUENY11772BYes (X)
HOSPICE
5105 WEST MAIN STREETPATCHOGUENY11772BYes (X)
OUT PATIENT IMAGING
6100 HOSPITAL ROADPATCHOGUENY11772BYes (X)
WOMEN'S IMAGING SERVICES CENTER
7285 SILLS ROAD BUILDING 5-6PATCHOGUENY11772BYes (X)
CARDIO REHABILITATION CENTER
8100 HOSPITAL ROADPATCHOGUENY11772BYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndCommunity Health NeedsCommunityHealthNeedsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Thru Other MethodRptAvailableThruOtherMethodIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndPrioritize Health NeedsPrioritizeHealthNeedsIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndInsurance StatusInsuranceStatusIndUninsured DiscountUninsuredDiscountIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndAttached To InvoiceAttachedToInvoiceIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndReporting To Credit AgencyReportingToCreditAgencyIndLawsuitLawsuitIndLiens On ResidencesLiensOnResidencesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
A
1Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (X)http://www.brookhavenhospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (true)Yes (true)200.Yes (true)425.Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)falseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (true)
B
falseYes (true)Yes (true)200.Yes (true)425.Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)falseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (true)

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3:The Medical Center has established a leadership position in health promotion, prevention and education throughout the community. Regional health planning is accomplished through a number of Agency contacts including the Suffolk County Department of Health, Mental Health Agencies and the New York State Department of Health. In addition, the Hospital works closely with the Suffolk County Police Department. Brookhaven Memorial Hospital Medical Center is dedicated to communicating with key staff and community members, as the Hospital prepares to plan for the future health care needs of the people we serve. Focus groups are held periodically, which include meeting with the medical staff, members of the Board of Directors, employees and the Employee Council, community members, the LI2Day Organization, the West Islip Breast Cancer Coalition, the Southampton Breast Cancer Coalition, Hospital Advisory Council, who are the voice of the community and hold positions on various community based service groups, as well as the Health Center Advisory Council members. These constituents have the ability to collect information from varied perspectives. The Hospital's ability to collect information from these groups and translate the dialog into a needs assessment is a valuable resource to the Hospital as well as the community.
PART V, SECTION B, LINE 4:HOME HEALTH CARE; BROOKHAVEN MEMORIAL HOSPITAL DIALYSIS CENTER; CENTER FOR WOUND CARE AND HYPERBARIC MEDIC; HOSPICE; OUT PATIENT IMAGING; WOMEN'S IMAGING SERVICES CENTER; AND CARDIO REHABILITATION CENTER.
PART V, SECTION B, LINE 5D:OUR COMMUNITY AGENCIES AND PARTNERS WILL ALSO DISTRIBUTE OUR CSP TO THEIR PARTICIPANTS.
PART V, SECTION B, LINE 20D:All accounts are billed at gross charges. Gross charges are adjusted , if applicable, for any negotiated rates with insurance providers or agencies. If it is determined that a patient is eligible for free or discounted care under the Hospital's financial assistance policy , adjustments will be made to their account.
PART V, SECTION B, LINE 21:THE HOSPITAL DID NOT CHARGE PATIENTS IF THEY WERE ELIGIBLE FOR CARE.
PART V, SECTION B, LINE 22:THROUGH ALL FISCAL YEARS THERE WILL BE PATIENTS WHO WERE CHARGED AND WHO PAID FACILITY CHARGES FOR THE MEDICALLY NECESSARY CARE PROVIDED TO THE PATIENT.

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3B:The percent of FPG used by BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER to calculate discounted care starts at 201% (90% discount) and goes to 425% (10% discount).
PART I, LINE 6A:BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE.
PART II, LINE 7:Brookhaven Memorial Hospital Medical Center is proud to be a member of Spirit of Women, a network of more than 75+ premier hospitals and health systems nationwide dedicated to educating women about their health and the health of their loved ones. Brookhaven offers a wide variety of Spirit of Women programs including educational programs, community wellness events, membership programs, health fairs, and other creative outreach events to the women of our community.
PART III, LINE 4:1) Patient accounts receivable are recorded at the reimbursable or contracted amount and do not bear interest. The allowance for doubtful accounts is the Hospital's best estimate of the amount of probable credit losses in the Hospital's existing accounts receivable. The Hospital determines the allowance based on historical write-off experience. The Hospital reviews its allowance for doubtful accounts monthly. Past due balances are reviewed individually for collectibility. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. 2) The costing methodology used in determining bad debt at cost is a ratio of patient care costs to charges per IRS schedule H instructions, worksheet 2.
PART III, LINE 8:1) All of the shortfall on Part III, Line 7 Section B, Line 8 should be considered a community benefit. 2) Medicare allowable costs are calculated on the HCFA 2552 Medicare cost report worksheet E, Part A.
PART III, LINE 9B:Brookhaven Memorial Hospital Medical Center has a financial assistance policy and a charity care policy. The hospital further maintains a collection policy to use outside professional collection agencies only as a last resort to settle delinquent patient accounts. Brookhaven financial assistance policy is to provide care to uninsured patients who meet certain criteria under the Hospital's Charity Care Policy without charge or at amounts less than current established rates. Patient eligibility for partial charity care is calculated based on a sliding fee scale of family income adjusted for the size of the family. Brookhaven's Patient Financial Services Department makes a written determination of eligibility after reviewing applications and information submitted to support family income reported. Based upon income and family size, Brookhaven may determine that patients may qualify for Medicaid benefits, and may first need to apply for Medicaid or NY State's Family Health Plus or Child Health Plus programs for the uninsured before a determination will be made under our charity care policy. Brookhaven charity care policy is to provide free or discounted emergent and non-emergent necessary care for uninsured and underinsured patients residing in Suffolk and Nassau Counties, as well as emergent care to patients residing in all other areas of New York State. If financial assistance is approved following the application process, a clear explanation of balance due and how the decision was derived is supplied. Monthly payment plans can be arranged, not to exceed 10% of the applicant's monthly gross income. If the applicant defaults on a financial agreement with the hospital, the account in question will be considered delinquent and may be referred to a collection agency/legal action. Applicant has the right to appeal the hospital's decision on eligibility of Charity Care within 30 days of notification of noneligibility.

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 PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
R T MARGULIS
PRESIDENT & CEO/DIRECTOR$485,192$0$33,888$0$3,780$0$42,515$0$25,117$0$590,492$0$0$0
T OCKERS CEO THRU 413
SR DEV OFF AT FDN (FROM 4/13)$428,782$0$57,512$0$8,069$0$35,531$0$17,665$0$547,559$0$0$0
B FARRELL
VP FINANCE, CFO$302,769$0$21,785$0$2,791$0$14,450$0$24,553$0$366,348$0$0$0
R A GIRAULO CFO THRU 712
SR. VICE PRESIDENT/CFO$0$0$0$0$180,577$0$2,648$0$0$0$183,225$0$180,577$0
R STEPHENSON
COO$278,260$0$0$0$0$0$1,700$0$1,885$0$281,845$0$0$0
K MENDEZ
VP CHIEF NURSING OFFICER$247,196$0$16,842$0$0$0$32,821$0$24,378$0$321,237$0$0$0
S WALKER MD
PHYSICIAN$303,306$0$0$0$0$0$43,516$0$31,332$0$378,154$0$0$0
S KLAUSNER MD
DIR. MED DEV & PHYS PRACTICES$270,648$0$0$0$0$0$14,450$0$8,000$0$293,098$0$0$0
F QURESHI MD
PHYSICIAN$225,924$0$0$0$0$0$5,532$0$29,045$0$260,501$0$0$0
V IZGUR MD
PHYSICIAN$217,284$0$0$0$0$0$5,551$0$28,956$0$251,791$0$0$0
S BERDIA MD
PHYSICIAN$209,284$0$0$0$0$0$21,641$0$28,553$0$259,478$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, COLUMN F:FormAndLineReferenceDesc
ExplanationR. A. GIRAULO, SR. VICE PRESIDENT/CFO, RECEIVED PAYMENTS FROM HIS DEFERRED COMPENSATION PLAN IN THE AMOUNT OF $180,577 REPORTED IN SCHEDULE J, PART II, COLUMNS (B)(III) AND (F).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TOWN OF BROOKHAVEN INDUSTRIAL DEVELOPMENT AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN521299559BondIssuerEIN
Bond Issued2006-12-21BondIssuedDt
Issue Price$20,000,000IssuePriceAmt
PurposeREFINANCE SERIES 2000 BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$17,945,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$0TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$117,836IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Current RefundingfalseCurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2C:FormAndLineReferenceDesc
Explanation12/21/2011ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
J DUDEK
SEE PART V$125,538EMPLOYMENTfalse
A SINKOFF
SEE PART V$60,526EMPLOYMENTfalse
L B SCHWARZ
SEE PART V$48,169EMPLOYMENTfalse
P MAYER-RIVETTA
SEE PART V$37,734EMPLOYMENTfalse
D KNAPP
SEE PART V$31,797EMPLOYMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV:FormAndLineReferenceDesc
Explanation1) J. DUDECK IS THE SISTER OF J. MAYER, DIRECTOR. 2) A. SINKOFF IS THE SISTER OF S. NORTON REMMER, DIRECTOR. 3) L. B. SCHWARZ IS THE DAUGHTER OF R. W. SCHWARZ, CHAIRMAN. 4) P. MAYER-RIVETTA IS THE SISTER OF J. MAYER, DIRECTOR. 5) D. KNAPP IS THE DAUGHTER OF M. KNAPP, DIRECTOR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4D:1) RENAL DIALYSIS - TOTAL VISITS: 26,944 EXPENSES: $9,662,387. REVENUE: $8,811,772. 2) HOME HEALTH AGENCY - PROVIDES CERTIFIED HOME HEALTH AND LONG TERM CARE TO THE COMMUNITY. TOTAL VISITS: 56,774. EXPENSES: $8,657,145. REVENUE: $8,207,001. 3) HOME PROGRAM DIALYSIS (CAPD) - TOTAL VISITS: 974. EXPENSES: $4,907,478. REVENUE: $469,027. 4) REFERRED AMBULATORY - TOTAL VISITS: 27,432. EXPENSES: $3,308,451. REVENUE: $9,393,032. 5) MENTAL HEALTH AND CHEMICAL DEPENDENCY OUTPATIENT CLINICS - TOTAL VISITS: 18,451. EXPENSES: $2,650,882. REVENUE: $1,549,468. 6) HOSPICE - TOTAL DAYS: 11,054. EXPENSES: $1,869,513. REVENUE: $2,490,463. 7) ALL OTHER CLINICS (WOUND CARE, HYPERBARIC, SLEEP, CARDIAC, CATH, AND CARDIAC REHAB). TOTAL VISITS: 11,732. EXPENSES: $4,488,609. REVENUE: $21,009,478.
FORM 990, PART VI, SECTION A, LINE 2:L. ROSE AND F. ROSE ARE BOARD MEMBERS AND HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B:A) FIRST DRAFT PROVIDED TO MANAGEMENT FROM BDO. B) FINAL DRAFT PRESENTED TO JOINT MEETING OF FINANCE AND AUDIT COMMITTEES FOR REVIEW. C) FINAL DRAFT POSTED ON BOARD PORTAL. D) FORM 990 REVIEWED AT BOARD MEETING. E) FORM 990 FILED TIMELY.
FORM 990, PART VI, SECTION B, LINE 12C:Members of the Board of Directors, Administrators, Department Heads and medical staff working for or on behalf of Brookhaven MEMORIAL HOSPITAL MEDICAL CENTER are required to complete and sign the Conflict of Interest Disclosure Statement annually and whenever new information or changes arise that may require different responses from those included in the previous Conflict of Interest Disclosure Statement. Individuals are required to notify the Compliance Officer when they believe changes in the responses may be necessary or when they believe a transaction may involve an actual or potential conflict of interest. The Hospital By-Laws require that anyone with an actual or potential conflict of interest immediately disclose this fact to the Board of Directors or to a designated board committee for their review and evaluation. Further, the by-laws prohibit any individual or entity deemed to have an actual or potential conflict of interest from participating in any evaluation or decision making process regarding products or services provided by or through that individual or entity or from using this relationship to obtain goods or services on terms that are not available to individuals who are not affiliated with the hospital. The Board of Directors is responsible for enforcement of the aforementioned policy and report any conduct that it believes in good faith to be a violation of the Conflict of Interest Policy.
FORM 990, PART VI, SECTION B, LINES 15A AND 15B:The Executive Compensation Committee is comprised of the Chief Executive Officer, the Chairperson of the Board of Directors and selected Members of the Board of Directors. An Executive Compensation Consultant is invited to present data and trends to this Committee for their review and evaluation of the current salaries and fringe benefits of the Executive Team of BMHMC as compared to other "like" organizations. In setting compensation levels for each executive, the Committee compares each base salary and total cash compensation level to market comparison data (based on healthcare systems with comparably sized operational budgets), organizational success against predetermined objectives, and individual performance against predetermined operational goals, as well as the data provided by the Consultant. The CEO, will be excused from the meeting of the Executive Compensation Committee, for a review of the CEO's compensation. Again, the Committee will use Industry Standards from comparably sized operational budgets, organizational success against predetermined objectives, and individual performance against predetermined operational goals, to establish the CEO's compensation. The Executive Compensation Committee will make the final approval of all compensation. The information is presented to the Overall brookhaven memorial hospital medical center Board, subject to ratification of the Board of Directors.
FORM 990, PART VI, SECTION C, LINE 19:GOVERNING DOCUMENTS - NOT AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY - NOT AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS - NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:change in minimum pension liability.......................$6,112,618 change in valuation of interest rate swap agreement.......$1,701,958 Total.....................................................$7,814,576

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BROOKHAVEN HEALTH CARE SERVICES CORPBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL ROADAddressLine1
CityPATCHOGUECity
StateNYState
ZIP Code11772ZIPCode
FieldValueIRS element (for citing)
EIN112950196EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status9PublicCharityStatusTxt
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Brookhaven Physician Services
100 HOSPITAL ROADPATCHOGUENY11772260628913HOSPITALNYNAC$0$00.00000false
Brookhaven Surgical Services PC
100 Hospital ROADPatchogueNY11772260885844HOSPITALNYNAC$0$00.00000false
LI Orthopedic & Spine Specialist PC
100 Hospital ROADpatchogueNY11772274670754hospitalNYNAc$0$00.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd