2013-01-18T11:20:22-06:00 2011-12-31 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2011-01-01 131624169 THE FLOATING HOSPITAL INC FLOA 7187842240 41-20 27TH STREET LONG ISLAND CITY NY 11101 SEAN T GRANAHAN 7187842240 2013-01-07 1 THOMAS LANNING P00851654 2122970400 2011 2016-02-25 16:41:14Z SEAN T GRANAHAN 41-20 27TH STREET LONG ISLAND CITY NY 11101 14300957 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. 7 7 171 12 0 0 9407756 8159182 4395442 6072358 0 1 48836 69416 13852034 14300957 0 0 0 0 10431248 9319693 0 0 0 4478104 4799601 14909352 14119294 -1057318 181663 4814288 4461738 4993185 4458972 -178897 2766 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 6942046 3983547 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. IN 2011 TFH PROVIDED 71,465 VISITS AND SCREENINGS TO THESE UNDERSERVED CLIENTS. 3804114 0 ACS MEDICAL PROGRAM - TFH IS THE MEDICAL PROVIDER TO THE NYC DEPARTMENT OF CHILDRENS 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 HEALTH CARE AND HEALTH EDUCATION TO THIS MEDICALLY FRAGILE AND INNER-CITY AT-RISK POPULATION AT SITES IN THE BRONX AND BROOKLYN. 1929552 1481683 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. IN 2011 TFH PROVIDED 7,128 VISITS TO THESE UNDERSERVED CLIENTS. 12675712 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 13 0 1 171 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 NY X GLORIA CARNEY 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 X ANTHONY BROWNIE 1.00 X 0 0 0 CAROL JACKSON 1.00 X 0 0 0 EVELYN LORD 1.00 X 0 0 0 JANE MEROLLA 1.00 X 0 0 0 JOSEPHINE BREVOGEL 1.00 X 0 0 0 MAUDE ASKIN 1.00 X X 0 0 0 MICHAEL GEORGE 1.00 X 0 0 0 TERENCE BLACKWELL 1.00 X X 0 0 0 DEAN LABATE 1.00 X X 0 0 0 S STILES NYERERE 35.00 X 90369 0 9765 SEAN T GRANAHAN 35.00 X 161686 0 7668 SHANI ARMSTRONG ANDRE 35.00 X 203602 0 6441 DAVID EAGLE 35.00 X 128440 0 15967 FRANTZ CYRILLE 35.00 X 131181 0 16602 MARK SETHNA 35.00 X 127368 0 7389 MELISSA PEEDE 35.00 X 143432 0 7455 TANYA DUVIVIER 35.00 X 120668 0 8168 1106746 0 79455 17 0 1 0 FALIDAS ASSOCIATES 25-15 QUEENS PLAZA NO LONG ISLAND CITY NY 11101 RENT 369700 TAILORED TECHNOLOGIES LLC 622 THIRD AVENUE 7TH FLOOR NEW YORK NY 10017 MIS CONSULTING 236046 161 ST PHARMACY 275 E 161ST STREET BRONX NY 10451 MEDICINE 149526 HENRY SCHEIN BOX 382023 NEW YORK NY 10017 MEDICAL SUPPLIES 129955 ATRIUM STAFFING LLC 71 FIFTH AVENUE NEW YORK NY 10003 STAFFING 100542 5 7301804 857378 634170 8159182 MEDICAID 621400 3549802 3549802 NYS UNCOMPENSATED CARE 621400 1649224 1649224 MANAGED CARE PLANS 621400 716648 716648 OTHER THIRD PARTY 621400 94985 94985 SELF PAY 621400 55425 55425 6274 6274 6072358 1 1 MEANINGFUL USE 621400 63750 63750 PATH-TROUGH TO CARE FO 621400 2490 2490 COPYING FEES 900099 1723 1723 1453 1453 69416 14300957 6141774 0 1 479531 429651 49880 7084429 6342224 742205 9210 8383 827 978474 890642 87832 768049 699105 68944 6432 4807 1625 19417 485 18932 149655 23626 126029 586420 586420 10192 7135 3057 169562 155553 14009 207691 155074 52617 411093 367588 43505 12822 8752 4070 22096 15007 7089 112239 112239 234844 211360 23484 491750 447145 44605 CONSUMABLE SUPPL & LAB 1684610 1674403 10207 PROVISION FOR BAD DEBT 330490 330490 0 REPAIRS & MAINTENANCE 128270 108341 19929 EQUIPMENT RENTAL 115102 102605 12497 106916 106916 14119294 12675712 1443582 0 204463 9830 167995 1429 1910722 920330 1182951 2235220 277758 204327 3175484 2114248 1041033 1061236 29366 29366 4814288 4461738 1571982 1959894 1342895 794459 1609080 1262041 469228 442578 4993185 4458972 X -786724 -530789 607827 533555 -178897 2766 4814288 4461738 181663 0 X X 0 1 1 X 1 1 X 2941402 7576453 10635287 9407756 8159182 38720080 2941402 7576453 10635287 9407756 8159182 38720080 38720080 25 1734 99 1 1859 348 103769 48836 69416 222369 38944308 21942421 0.99420 0.99560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 607826 80000 154271 533555 324391 738524 455089 607826 326749 213950 216308 324391 87140 300000 60391 326749 1.00000 0 0 184632 98588 86044 743289 394349 348940 2247563 1621311 626252 1061236 DUE/FROM TFH FOUNDATION 442578 442578 14300957 14119294 181663 181663 14422718 121761 121761 14300957 0 14300957 14287726 168432 168432 14119294 0 14119294 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUND IS SUPPORTING THE FLOATING HOSPITAL, INC. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011. THE HOSPITAL'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2008 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM RELATED ORGAINIZATIONS 121,761. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM RELATED ORGAINIZATIONS 168,432. X X X 0 0 0 0 0 0 0 0 0 SEAN T GRANAHAN 161686 0 0 0 0 0 808 0 6860 0 169354 0 0 0 SHANI ARMSTRONG ANDRE 203602 0 0 0 0 0 1018 0 5423 0 210043 0 0 0 MELISSA PEEDE 143432 0 0 0 0 0 717 0 6738 0 150887 0 0 0 X 2 634170 FAIR MARKET VALUE 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): REPRESENTS NUMBER OF CONTRIBUTIONS AT THE END OF THE YEAR. 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 COHNREZNICK AND REVIEWED BY MANAGEMENT, A DRAFT OF THE FORM 990 IS REVIEWED WITH THE BOARD BEFORE FILING. 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. FORM 990, PART VI, SECTION B, LINE 15 THE FLOATING HOSPITAL, INC. FOLLOWS THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER GUIDELINES ON OFFICERS AND KEY EMPLOYEE'S SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE FLOATING HOSPITAL, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TIME SPENT FOR RELATED ORGANIZATION: MAUDE ASKIN, VICE CHAIR & SECRETARY SPENT ADDITIONALLY 1 HR FOR THE RELATED ORGANIZATION - FLOATING HOSPITAL FOUNDATION, INC. SEAN T. GRANAHAN, PRESIDENT & GENERAL COUNSEL SPENT ADDITIONALLY 5 HRS FOR THE RELATED ORGANIZATION - FLOATING HOSPITAL FOUNDATION, INC. S. STILES NYERERE, EXECUTIVE VP & CFO SPENT ADDITIONALLY 2 HRS FOR THE RELATED ORGANIZATION - FLOATING HOSPITAL FOUNDATION, INC. FORM 990, PART VII, SECTION A: BOTH CHAIRMAN AND VICE CHAIR & TREASURER RESIGNED BEFORE THE END OF THE YEAR. THEREFORE, BOTH POSITIONS WERE VACANT AT THE END OF THE YEAR. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0