2014-11-13T10:58:21-06:00 2013-12-31 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2013-01-01 131624169 THE FLOATING HOSPITAL INC FLOA 7187842240 41-20 27TH STREET LONG ISLAND CITY NY 11101 SEAN T GRANAHAN PRESIDENT & GENERAL COUNSEL 7187842240 2014-10-30 1 THOMAS LANNING P00851654 2122970400 2013 2015-11-30 17:44:51Z SEAN T GRANAHAN 41-20 27TH STREET LONG ISLAND CITY NY 11101 17339146 0 X WWW.THEFLOATINGHOSPITAL.ORG X 1866 NY THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW, LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. THF IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 13 13 200 12 0 0 8217154 8570567 6929384 8599458 1 1 180138 128651 15326677 17298677 0 0 0 0 10018614 10823297 0 0 177021 4257934 5375388 14276548 16198685 1050129 1099992 4496016 4901352 3443121 2748465 1052895 2152887 X THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW, LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. THF IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 0 0 7792602 6826612 HCH PROGRAM - TFH IS A FEDERALLY QUALIFIED HEALTH CENTER, AND HAS HISTORICALLY SERVED NYC'S MOST UNDERSERVED POPULATIONS. THAT POPULATION TODAY IS HOMELESS FAMILIES, WHICH, AS A CATEGORY OF HOMELESSNESS, FAR EXCEEDS HOMELESS SINGLE MEN OR WOMEN. TFH PROVIDES EXTENSIVE HEATH CARE SERVICES TO THESE INDIVIDUALS REGARDLESS OF ABILITY TO PAY. IN ADDITION, IT PROVIDES NON-MEDICAID REIMBURSED SERVICES SUCH AS HEALTH EDUCATION AT NO COST TO ANY PATIENT. 3725168 0 ACS MEDICAL AND DENTAL PROGRAM - TFH IS THE MEDICAL AND DENTAL PROVIDER TO THE NYC ADMINISTRATION FOR CHILDREN'S SERVICES, WHICH HANDLES ALL ASPECTS OF YOUTH UNASSOCIATED WITH A SPECIFIC HOME LIFE AT A PARTICULAR TIME, I.E., FOSTER CHILDREN (BOTH TEMPORARY AND PERMANENT), DETAINED YOUTH, ETC. TFH PROVIDES MEDICAL AND DENTAL CARE PRIMARILY TO DETAINED YOUTH. 2490890 1931011 CHC/PHPC PROGRAM - TFH ALSO FUNCTIONS AS A FEDERALLY QUALIFIED HEALTH CENTER TO THE NORTHWEST QUEENS COMMUNITY AND PROVIDES PRIMARY HEALTH CARE SERVICES TO THE UNDERSERVED OF THAT COMMUNITY AS WELL AS THE QUEENSBRIDGE AND RAVENSWOOD HOUSES, THE LARGEST PUBLIC HOUSING PROJECTS IN THE UNITED STATES. IT FOLLOWS THE SAME FORMULA AS ITS HOMELESS FAMILIES PROGRAM, PROVIDING PRIMARY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. 14008660 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 14 0 1 200 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 NY X GLORIA CARNEY 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 ALLISON E SOKARIS TRUSTEE 1.00 X 0 0 0 ANTHONY BROWNIE CHAIRMAN 1.00 1.00 X X 0 0 0 CAROL JACKSON TRUSTEE 1.00 X 0 0 0 EDWARD W PRAGER VICE CHAIR & TREASURER 1.00 1.00 X X 0 0 0 EVELYN LORD TRUSTEE 1.00 X 0 0 0 JANE MEROLLA TRUSTEE 1.00 X 0 0 0 JUDITH FASKE TRUSTEE 1.00 X 0 0 0 MAUDE ASKIN VICE CHAIR & SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL GEORGE TRUSTEE 1.00 X 0 0 0 LOREN POMERANTZ TRUSTEE 1.00 X 0 0 0 PRISCILLA BAYLEY TRUSTEE 1.00 X 0 0 0 REGINA JASLOW TRUSTEE 1.00 X 0 0 0 WILLIAM KELLEY TRUSTEE 1.00 X 0 0 0 S STILES NYERERE EXECUTIVE VP & CFO 35.00 2.00 X 78471 0 9844 SEAN T GRANAHAN PRESIDENT/GENERAL COUNSEL 35.00 5.00 X 184971 0 13582 SHANI ARMSTRONG ANDRE MD VP & CMO 35.00 X 214774 0 5640 FRANTZ CYRILLE PHYSICIAN 35.00 X 185907 0 3570 ICELINI GARCIA-SOSA PSYCHIATRIST 35.00 X 142540 0 15358 MARK SETHNA PHYSICIAN 35.00 X 191067 0 9134 DAVID EAGLE PHYSICIAN 35.00 X 133460 0 17836 TANYA DUVIVIER PHYSICIAN 35.00 X 132388 0 11458 1263578 0 86422 15 0 1 0 FALIDAS ASSOCIATES 25-15 QUEENS PLAZA LONG ISLAND CITY NY 11101 RENT 489715 COHNREZNICK LLP 1212 AVE OF THE AMERICAS NEW YORK NY 10036 AUDIT & FINANCIAL CONSULTING 183650 DR ELAINE HALL 2 FIFTH AVENUE APT 5P NEW YORK NY 10011 PSYCHOLOGICAL SERVICES 121995 US MEDICAL STAFFING LLC 115 BROAD HOLLOW RD SUITE 375 ME NEW YORK NY 11747 TEMPORARY STAFFING SERVICES 114327 TAILORED TECHNOLOGIES LLC 622 THIRD AVENUE 7TH FLOOR NEW YORK NY 10017 MIS CONSULTING 110000 6 74462 50000 7359678 1086427 1044635 8570567 MANAGED CARE 621400 6242168 6242168 NYS UNCOMPENSATED CARE 621400 1251040 1251040 MEDICAID 621400 869929 869929 OTHER THIRD PARTY 621400 94559 94559 SELF PAY 621400 83284 83284 58478 58478 8599458 1 1 10237 74462 40469 -30232 -30232 MEANINGFUL USE 621400 153000 153000 COPYING FEES 900099 2765 2765 PASS-THROUGH TO CARE FOR HOMELESS 621400 2400 2400 718 718 158883 17298677 8757623 0 -29513 507281 442483 58895 5903 8330921 7263270 971802 95849 35031 30797 3750 484 1138307 1000716 121855 15736 811757 713636 86900 11221 75000 75000 40652 40652 140500 140500 21200 14458 5959 783 615608 578039 24876 12693 149903 129650 8513 11740 226202 183554 39327 3321 19399 18861 525 13 505131 441268 63863 15340 11338 4002 29884 18710 4687 6487 19968 19968 279197 251277 27920 700207 562112 130947 7148 CONSUMABLE SUPPL & LAB 1766409 1722274 43082 1053 REPAIRS & MAINTENANCE 230007 185545 42540 1922 DATA PROCESSING 202742 143385 59357 PATIENT TRANSPORTATION 148294 147767 527 189745 149520 37557 2668 16198685 14008660 2013004 177021 197373 553992 64 277 601708 1215611 1955794 1524707 92750 153920 4078266 2654787 1618961 1423479 29366 29366 4496016 4901352 1283313 1224679 709911 727851 636596 0 813301 795935 3443121 2748465 X 733700 2122887 319195 30000 1052895 2152887 4496016 4901352 1099992 0 X X 0 1 X 1 1 1 X 10635287 9407756 8159182 8217154 8570567 44989946 10635287 9407756 8159182 8217154 8570567 44989946 44989946 99 1 1 1 102 103769 48836 69416 180138 169120 571279 45561327 30035545 0.98750 0.99090 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2009 AMOUNT: $ 103,769. 2010 AMOUNT: $ 48,836. 2011 AMOUNT: $ 69,416. 2012 AMOUNT: $ 180,138. 2013 AMOUNT: $ 169,120. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 21200 0 0 21200 0 PART II-B, LINE 1: FEES PAID TO A LEGAL FIRM TO PERFORM LOBBYING ON HOSPITAL'S BEHALF. 319195 37500 326695 30000 533555 130734 345094 319195 607826 80000 154271 533555 324391 738524 455089 607826 326749 213950 216308 324391 1.00000 0 0 1523311 881686 641625 321305 274800 46505 2233650 1498301 735349 1423479 DUE THE FLOATING HOSPITAL FOUNDATION 795935 795935 X 17344008 45331 45331 17298677 0 17298677 16243710 45025 45025 16198685 0 16198685 PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUND IS TO SUPPORT THE FLOATING HOSPITAL, INC. PART X, LINE 2: THE FLOATING HOSPITAL, INC. WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE HOSPITAL HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2013. THE HOSPITAL'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2010 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM RELATED ORGAINIZATIONS 54,862. FUNDRISING 40,469. ELIMINATIONS -50,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM RELATED ORGAINIZATIONS 54,556. FUNDRISING 40,469. ELIMINATIONS -50,000. ANNUAL BENEFIT 84699 74462 10237 5000 23652 4335 7482 84699 74462 10237 5000 23652 4335 7482 40469 -30232 X X X 0 0 0 0 0 0 0 1 0 SEAN T GRANAHAN PRESIDENT/GENERAL COUNSEL 169311 0 15660 0 0 0 1755 0 11827 0 198553 0 0 0 SHANI ARMSTRONG ANDRE MD VP & CMO 202967 0 11807 0 0 0 3585 0 2055 0 220414 0 0 0 FRANTZ CYRILLE PHYSICIAN 183207 0 2700 0 0 0 3076 0 494 0 189477 0 0 0 ICELINI GARCIA-SOSA PSYCHIATRIST 139840 0 2700 0 0 0 2437 0 12921 0 157898 0 0 0 MARK SETHNA PHYSICIAN 181224 0 9843 0 0 0 3172 0 5962 0 200201 0 0 0 DAVID EAGLE PHYSICIAN 130760 0 2700 0 0 0 2233 0 15603 0 151296 0 0 0 PART I, LINE 7 THE LISTED INDIVIDUALS RECEIVED BONUS THAT WERE VOTED ON BY THE BOARD OF DIRECTORS. X 3 1044635 COST 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 2 EDWARD PRAGER, VICE CHAIR & TREASURER, AND JUDITH FASKE, TRUSTEE, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11 TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUTANT AND REVIEWED BY MANAGEMENT, A DRAFT OF THE FORM 990 IS REVIEWED WITH THE BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE PROHIBITED FROM RECRUITING BOARD MEMBERS WHO ARE TFH VENDORS, SO MONITORING BEGINS WITH THE BOARD ITSELF. BOARD ORIENTATION PACKETS CONTINUE THE PROCESS. VENDORS OVER A $100,000 REQUIRE BOARD NOTIFICATION. THE FORM 990 REINFORCES THIS NOTIFICATION. THE ANNUAL AUDIT SERVES AS AN INDEPENDENT FINAL CHECK OF CONFLICTS. EACH YEAR THE ORGANIZATION REVIEWS THE POLICIES IN A BOARD MEETING, AND REQUESTS THAT ALL MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS RE-SIGN THE CONFLICT OF INTEREST POLICY STATEMENT. FORM 990, PART VI, SECTION B, LINE 15A THE FLOATING HOSPITAL, INC. FOLLOWS THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER GUIDELINES ON OFFICERS SALARIES, AS WELL AS FORM 990'S OF OTHER ORGANIZATIONS, EMPLOYMENT CONTRACTS, COMPENSATION SUREVEYS AND BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. FORM 990, PART IV, QUESTION 20A: 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 THE ORGANIZATION DOES NOT MEET THIS DEFINITION. THE FLOATING HOSPITAL FOUNDATION INC 41-40 27TH STREET LONG ISLAND CITY NY 11101 300102842 RAISES FUNDS AND SUPPORTS THE FLOATING HOSPITAL, INC. NY 501(C)(3) LINE 11A, I THE FLOATING HOSPITAL INC 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0