LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
- Tax period
- 2024-09-01 to 2025-02-28
- Filed
- 2026-01-15
- IRS object ID
- 202620159349300207
- Schema version
- 2024v5.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-01-15T07:04:39-06:00 | ReturnTs |
| Tax Period End | 2025-02-28 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MANHATTAN WEST | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111704595 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG ISLAND COMMUNITY HOSPITAL AT | BusinessNameLine1Txt |
| Business Name Line2 | NYU LANGONE HEALTH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LONG | BusinessNameControlTxt |
| Phone | 6316547100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC S ADLER MD MBA | PersonNm |
| Person Title | SVP/CHIEF OF HOSP OPS | PersonTitleTxt |
| Phone | 6316547100 | PhoneNum |
| Signature | 2026-01-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA MAYO | PreparerPersonNm |
| PTIN | P01962945 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG ISLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARC S ADLER MD MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $231,035,921 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O (PG 92) | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH (D/B/A LONG ISLAND COMMUNITY HOSPITAL) ("LICH"), WAS ESTABLISHED TO DELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE. EFFECTIVE MARCH 1, 2025, LICH MERGED WITH AND INTO NYU LANGONE HOSPITALS ("NYULH") PURSUANT TO THE TERMS OF AN AFFILIATION AGREEMENT (THE "AFFILIATION AGREEMENT") ENTERED INTO ON MARCH 1, 2022 WHEREBY NYU LANGONE HEALTH SYSTEM ("NYULHS") FORMALLY ACQUIRED AND BECAME THE SOLE CORPORATE MEMBER OF LICH. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 2219 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,407,730 | PYContributionsGrantsAmt |
| CY Contributions Grants | $509,726 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $360,234,224 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $200,255,299 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,691,578 | PYInvestmentIncomeAmt |
| CY Investment Income | $854,267 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,675,269 | PYOtherRevenueAmt |
| CY Other Revenue | $6,202,121 | CYOtherRevenueAmt |
| PY Total Revenue | $370,008,801 | PYTotalRevenueAmt |
| CY Total Revenue | $207,821,413 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $29,605,678 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $28,960,175 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $180,211,477 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $101,571,078 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,811 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $177,990,225 | PYOtherExpensesAmt |
| CY Other Expenses | $74,244,595 | CYOtherExpensesAmt |
| PY Total Expenses | $387,807,380 | PYTotalExpensesAmt |
| CY Total Expenses | $204,775,848 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$17,798,579 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,045,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $398,146,880 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $387,960,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,186,880 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE GOALS AND OBJECTIVES OF THE CORPORATION ARE AS FOLLOWS:(A) TO OPERATE AND MAINTAIN A NONSECTARIAN, GENERAL HOSPITAL AT ONE OR MORE LOCATIONS FOR THE FURNISHING OF INPATIENT, AMBULATORY, RESTORATIVE, PREVENTATIVE AND EMERGENCY MEDICAL CARE AND TREATMENT WITHOUT REGARD TO RACE, CREED, COLOR, SEX, SEXUAL ORIENTATION, AGE, NATIONAL ORIGIN, SOURCE OF PAYMENT FOR CARE, OR OTHER CRITERIA NOT RELATED TO MEDICAL INDICATIONS FOR ADMISSION AND TREATMENT.(B) TO CARRY OUT EDUCATIONAL AND TRAINING ACTIVITIES TO ADVANCE KNOWLEDGE IN THE SCIENCE OF MEDICINE.(C) TO PROMOTE AND CARRY ON SCIENTIFIC AND TECHNOLOGICAL RESEARCH RELATED TO THE PRACTICE OF MEDICINE OR THE PREVENTION OF DISEASE.(D) TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY, INCLUDING OUTREACH PROGRAMS, HEALTH EDUCATION AND REFERRAL SERVICES.(E) TO SUPPORT THE MISSION AND CHARITABLE PURPOSES OF NYULHS, NYULH AND THE RELATED MEDICAL SCHOOLS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $178,947,076 | ExpenseAmt |
| Grant | $28,960,175 | GrantAmt |
| Revenue | $206,275,387 | RevenueAmt |
| Desc | LICH, LOCATED IN PATCHOGUE, NEW YORK, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LICENSED TO OPERATE 306 BEDS. LICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES PRIMARILY TO RESIDENTS OF SUFFOLK COUNTY. DURING THE 6-MONTH PERIOD ENDED FEBRUARY 28, 2025, LICH HAD 5,814 DISCHARGES (INCLUDING PSYCHIATRIC DISCHARGES) RESULTING IN 28,698 PATIENT DAYS AND PROVIDED 44,906 OUTPATIENT VISITS (EMERGENCY ROOM VISITS - 18,088 AND 3,452 OUTPATIENT SURGERY PROCEDURES). | Desc |
| Total Program Service Expenses | $178,947,076 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 133 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2219 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARC S ADLER MD MBA SVPCHIEF OF HOSP OPS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6316547100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ERNEST PATRICK SMITH | ||||||||||
| CHAIRMAN | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FELIX GRUCCI JR | ||||||||||
| VICE CHAIRMAN | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FREDERICK C BRAUN III | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| ANDREW W BROTMAN MD | ||||||||||
| TRUSTEE | 0.50 | 60.00 | Yes (X) | $0 | $9,138,805 | $1,820,575 | ||||
| GARY BROWN | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH GRECO MD | ||||||||||
| TRUSTEE | 0.50 | 60.00 | Yes (X) | $0 | $5,116,653 | $496,224 | ||||
| GARY KALKUT MD | ||||||||||
| TRUSTEE | 0.50 | 60.00 | Yes (X) | $0 | $1,763,382 | $83,369 | ||||
| NABIL KIRIDLY MD | ||||||||||
| TRUSTEE | 0.50 | 60.00 | Yes (X) | $0 | $396,801 | $5,927 | ||||
| JOSEPH J LHOTA | ||||||||||
| TRUSTEE | 0.50 | 60.00 | Yes (X) | $0 | $13,258,555 | $782,544 | ||||
| VICKI MATCH SUNA AIA | ||||||||||
| TRUSTEE | 0.50 | 60.00 | Yes (X) | $0 | $6,446,692 | $776,912 | ||||
| JEFF MAYER | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| MAUREEN MENNELLA | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| MARK S MULHOLLAND | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| CLYDE PARKER | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| SHARON NORTON REMMER | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| LISA ROSE | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| ERIC RUSSO | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT W SCHWARZ | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| TRICHY ARUMUGAM MD | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN SULLIVAN | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN TAITZ | ||||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| MARC S ADLER MD MBA | ||||||||||
| SVP / CHIEF OF HOSPITAL OP | 60.00 | 0.50 | Yes (X) | Yes (X) | $0 | $1,910,039 | $50,424 | |||
| MICHELE KNAPP | ||||||||||
| TREASURER | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| EDWARD KORMYLO DPM | ||||||||||
| SECRETARY | 7.50 | 0.50 | Yes (X) | Yes (X) | $330,061 | $0 | $0 | |||
| MATTHEW B PEDDIE | ||||||||||
| VP, CHIEF OPERATING OFFICE | 40.00 | $459,623 | $0 | $57,127 | Yes (X) | |||||
| RAVI GUPTA MD | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $837,622 | $0 | $55,751 | Yes (X) | |||||
| KATHRYN LANG DNP RN NE-BC | ||||||||||
| MEDICAL DIR, PALLIATIVE CA | 40.00 | $441,320 | $0 | $27,337 | Yes (X) | |||||
| SARA HALSTENSEN | ||||||||||
| PERIOP SURGICAL SERVICES | 40.00 | $261,276 | $0 | $5,021 | Yes (X) | |||||
| POL T GAMMAD | ||||||||||
| BSN, REGISTERED NURSE | 40.00 | $251,761 | $0 | $65,385 | Yes (X) | |||||
| OKSANA RYBAK | ||||||||||
| PERIOP SURGICAL SERVICES | 40.00 | $248,487 | $0 | $11,182 | Yes (X) | |||||
| RICHARD T MARGULIS | ||||||||||
| FRMR PRESIDENT & CEO (UNTIL 7/1/23) | 0.00 | $913,503 | $0 | $78,863 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,743,653 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $38,030,927 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,316,641 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 517 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VAYA WORKFORCE SOLUTIONS INC | |||||
| 5930 CORNERSTONE CT W STE 300 | SAN DIEGO | CA | 92121 | STAFFING | $34,837,541 |
| BARTON & ASSOCIATES INC | |||||
| 1001 DAY HILL ROAD | WINDSOR | CT | 06095 | STAFFING | $4,098,743 |
| PROGRESSIVE EMERGENCY | |||||
| 1236 RXR PLAZA | UNIONDALE | NY | 11556 | STAFFING | $1,507,315 |
| SAV-MOR MECHANICAL SERVICES INC | |||||
| 30 HOWARD PLACE STE B | RONKONKOMA | NY | 11779 | CONTRACTOR | $920,680 |
| X-CELL INSULATION CORPORATION | |||||
| 110 KEYLAND COURT | BOHEMIA | NY | 11716 | CONTRACTOR | $870,136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 72 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $458,231 | GovernmentGrantsAmt |
| All Other Contributions | $51,495 | AllOtherContributionsAmt |
| Total Contributions | $509,726 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $200,255,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $200,255,299 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $200,255,299 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $690,609 | TotalRevenueColumnAmt |
| Exclusion | $690,609 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $97,933 | TotalRevenueColumnAmt |
| Exclusion | $97,933 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $182,033 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $182,033 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,033 | TotalRevenueColumnAmt |
| Exclusion | $182,033 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,280,233 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,214,508 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,725 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,725 | TotalRevenueColumnAmt |
| Exclusion | $65,725 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DISASTER RECOVERY | 900099 | $5,695,054 | $5,695,054 |
| CAFETERIA REVENUE | 722514 | $208,639 | $208,639 |
| AUXILIARY SERVICES | 621990 | $59,549 | $59,549 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,846 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,846 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,020,088 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207,821,413 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $206,275,387 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,036,300 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,960,175 | TotalAmt |
| Program Services | $28,960,175 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $726,991 | TotalAmt |
| Program Services | $635,294 | ProgramServicesAmt |
| Management And General | $91,697 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,060,064 | TotalAmt |
| Program Services | $926,356 | ProgramServicesAmt |
| Management And General | $133,708 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,264,280 | TotalAmt |
| Program Services | $64,897,183 | ProgramServicesAmt |
| Management And General | $9,367,097 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,861,197 | TotalAmt |
| Program Services | $3,374,177 | ProgramServicesAmt |
| Management And General | $487,020 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,643,905 | TotalAmt |
| Program Services | $13,670,709 | ProgramServicesAmt |
| Management And General | $1,973,196 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,014,641 | TotalAmt |
| Program Services | $5,256,003 | ProgramServicesAmt |
| Management And General | $758,638 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,746 | TotalAmt |
| Program Services | $102,021 | ProgramServicesAmt |
| Management And General | $14,725 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,114 | TotalAmt |
| Management And General | $51,114 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,436 | TotalAmt |
| Management And General | $18,436 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,164,209 | TotalAmt |
| Program Services | $11,320,649 | ProgramServicesAmt |
| Management And General | $5,836,435 | ManagementAndGeneralAmt |
| Fundraising | $7,125 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,743 | TotalAmt |
| Program Services | $136,099 | ProgramServicesAmt |
| Management And General | $19,644 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,588,728 | TotalAmt |
| Program Services | $2,262,207 | ProgramServicesAmt |
| Management And General | $301,469 | ManagementAndGeneralAmt |
| Fundraising | $25,052 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,584 | TotalAmt |
| Program Services | $276,653 | ProgramServicesAmt |
| Management And General | $39,931 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,365,039 | TotalAmt |
| Program Services | $5,562,204 | ProgramServicesAmt |
| Management And General | $802,835 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,753 | TotalAmt |
| Program Services | $19,009 | ProgramServicesAmt |
| Management And General | $2,744 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,673 | TotalAmt |
| Program Services | $16,318 | ProgramServicesAmt |
| Management And General | $721 | ManagementAndGeneralAmt |
| Fundraising | $1,634 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,963,116 | TotalAmt |
| Program Services | $1,715,504 | ProgramServicesAmt |
| Management And General | $247,612 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,863,135 | TotalAmt |
| Program Services | $11,240,683 | ProgramServicesAmt |
| Management And General | $1,622,452 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,375,701 | TotalAmt |
| Program Services | $2,076,049 | ProgramServicesAmt |
| Management And General | $299,652 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $28,931,067 | $25,281,936 | $3,649,131 |
| SUB-AWARDS | $650,493 | $650,493 | |
| TAXES & FEES | $272,080 | $237,762 | $34,318 |
| TRAINEES & STUDENTS | $35,931 | $35,931 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,047 | TotalAmt |
| Program Services | $293,661 | ProgramServicesAmt |
| Management And General | $42,386 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,775,848 | TotalAmt |
| Program Services | $178,947,076 | ProgramServicesAmt |
| Management And General | $25,794,961 | ManagementAndGeneralAmt |
| Fundraising | $33,811 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,141,498 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,373,875 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,799,748 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,059,455 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,864 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,755,764 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,309,464 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,032,805 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,100,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,122,407 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,146,880 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,140,032 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,991,851 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,188,005 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,640,112 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,960,000 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,843,147 | BOYAmt |
| EOY | $0 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,343,733 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,186,880 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,146,880 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,045,565 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,349 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$13,230,096 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $32,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,114 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $51,114 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE C, PART II, LINE 1G: LICH PAID TWO LOBBYISTS WITH RESPECT TO FEDERAL, STATE, AND LOCAL AFFAIRS. THE LOBBYISTS ENGAGED IN DIRECT CONTACT WITH ELECTED OFFICIALS ON BEHALF OF LICH. THE TOTAL AMOUNT OF FEES PAID TO THE CONSULTANTS FOR LOBBYING PURPOSES WAS $32,000. SCHEDULE C, PART II, LINE 1I: LICH PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION A PERCENTAGE OF WHICH WERE ALLOCATED TO LOBBYING FOR A TOTAL OF $19,114. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $103,141 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $103,141 | OtherExpendituresAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $196,961 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $196,961 | OtherExpendituresAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $202,380 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $202,380 | OtherExpendituresAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $135,883 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $135,883 | OtherExpendituresAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,000,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $188,417 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $188,417 | OtherExpendituresAmt |
| End Year Balance | $1,000,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | LICH'S ENDOWMENT FUND CONSISTS OF A DONOR-RESTRICTED ENDOWMENT FUND THAT HAS BEEN INITIALLY ESTABLISHED BY A DONOR IN 1969 FOR VARIOUS PURPOSES AND HAS BEEN CLASSIFIED WITHIN NET ASSETS WITH DONOR RESTRICTIONS. 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. |
| PART X, LINE 2: | FINANCIAL ACCOUNTING STANDARDS BOARD'S ASC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES DIRECTION ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNCERTAIN INCOME TAX POSITIONS DID NOT HAVE A SIGNIFICANT IMPACT ON NYU LANGONE HEALTH'S COMBINED FINANCIAL STATEMENTS DURING THE YEARS ENDED AUGUST 31, 2025 AND 2024. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 600.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 800.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,123,618 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,282,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,995,658 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,038,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,957,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08770 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,119,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,320,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,957,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $828,010 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $828,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,850,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,721 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,789,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08690 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,678,199 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,721 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,617,478 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,797,475 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,380,921 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,575,136 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17860 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $80,102,000 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $106,222,116 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$26,120,116 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1Txt |
| City | PATCHOGUE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SEE PART V, PAGE 53 | WebsiteAddressTxt |
| State License | 5123000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG ISLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 47 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 47 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 600.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 800.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 48 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 48 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 48 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LONG ISLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: LICH 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 HAS WORKED CLOSELY WITH THE SUFFOLK COUNTY POLICE DEPARTMENT. LICH 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, COMMUNITY MEMBERS, THE HOSPITAL OUTREACH COMMITTEE, WHO ARE THE VOICE OF THE COMMUNITY AND HOLD POSITIONS ON VARIOUS COMMUNITY BASED SERVICE GROUPS. 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.LICH COLLABORATED WITH THE LONG ISLAND HEALTH COLLABORATIVE (LIHC) AND ITS NEARLY 200 MEMBER ORGANIZATIONS, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (SCDOHS) AND PATIENT/RESIDENTS SERVED BY OUR HOSPITAL. WE DEFINED THE HEALTH NEEDS AND BARRIERS EXPRESSED BY COMMUNITY MEMBERS AND THE LOCAL COMMUNITY-BASED ORGANIZATIONS THAT SERVE THIS REGION. OUR MOST RECENT CHNA REFLECTS DATA COLLECTED DURING THE PERIOD FROM JANUARY 2021 THROUGH AUGUST 2022. WE ALSO EXAMINED DATA FROM THE 2018-2021 CHNA TO SERVE AS A BLUEPRINT FOR OUR HOSPITAL AND COLLABORATING PARTNERS TO ENSURE THAT INTERVENTIONS AND STRATEGIES ADDRESS THE HEALTH NEEDS AND ACHIEVE HEALTH EQUITY.LICH WORKED WITH THE LIHC AND THE SCDOHS, AND DOZENS OF COMMUNITY-BASED ORGANIZATIONS, LIBRARIES, SCHOOLS AND UNIVERSITIES, LOCAL MUNICIPALITIES, AND OTHER COMMUNITY STAKEHOLDERS TO PRODUCE ITS MOST RECENT CHNA. SCDOHS REPRESENTATIVES OFFERED INPUT AND CONSULTATION, WHEN APPROPRIATE, REGARDING THE DATA ANALYSES CONDUCTED BY THE LIHC AND DATAGEN. TOP, HIGH-LEVEL FINDINGS INCLUDE A CONTINUED PREVALENCE OF CHRONIC DISEASE INCIDENCE, PARTICULARLY HEART DISEASE, DIABETES, OBESITY AND CANCER. FURTHER, SURGING RATES OF MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES AMONG ALL DEMOGRAPHIC CATEGORIES WAS FOUND, WITH DISPARITY SEEN AMONG YOUTH, AND LOW-INCOME COMMUNITIES OF COLOR CONTINUING TO EXPERIENCE A HIGHER BURDEN OF DISEASE OVERALL. IN 2022, MEMBERS OF THE LIHC REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM NEW YORK STATE PREVENTION AGENDA PRIORITIES FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LIHC, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB.PRIMARY DATA WAS OBTAINED FROM A COMMUNITY HEALTH NEEDS ASSESSMENT SENT TO INDIVIDUALS AND A SIMILAR SURVEY TO COMMUNITY-BASED ORGANIZATION LEADERS. ADDITIONALLY, WE LOOKED AT RESULTS FROM TWO QUALITATIVE STUDIES TO ROUND OUT OUR PRIMARY DATA. SECONDARY DATA WAS DERIVED FROM PUBLICLY-AVAILABLE DATA SETS CURATED BY DATAGEN INTO ITS PROPRIETARY DATA ANALYTICS PLATFORM, CHNA ADVANTAGE, OFFERING 200 PLUS METRICS TO DETERMINE HEALTH ISSUES WITHIN SUFFOLK COUNTY. AS SUCH, PRIORITIES SELECTED FOR THE 2022-2024 CYCLE REMAIN UNCHANGED FROM THE 2019-2021 CYCLE SELECTION, AND THE SELECTED HEALTH DISPARITIES IN WHICH PARTNERS ARE FOCUSING THEIR EFFORTS RESTS ON THE INEQUITIES EXPERIENCED BY THOSE IN HISTORICALLY UNDERSERVED COMMUNITIES AND COMMUNITIES OF COLOR. ADDITIONAL PREVENTION AGENDA PRIORITIES/DISPARITIES BEING ADDRESSED BY LICH ARE OUTLINED IN THE 2022-2024 WORK PLAN. LICH HAS WORKED WITH A BROAD RANGE OF PARTNERS TO CONNECT WITH THE COMMUNITY, TO ASSESS THEIR NEEDS THROUGH DISTRIBUTION AND PROMOTION OF DATA COLLECTION TOOLS, AND TO PROVIDE INTERVENTIONS IN COLLABORATIVE SETTINGS, WHEN APPROPRIATE. WE ALSO RELIED ON THE LIHC AND ITS ROLE AS NEUTRAL CONVENER AND REGIONAL LEADER, ESPOUSING THE COLLECTIVE IMPACT MODEL AND FRAMEWORK. AS SUCH, THE LIHC SERVES AS A BACKBONE ORGANIZATION, PROVIDING ITS DIVERSE PARTNERS WITH DATA ANALYTICS AND ADMINISTRATIVE SUPPORT IN THE AREAS OF COMMUNITY OUTREACH AND EDUCATION, AND MEDIA RELATIONS SUPPORT. LIHC'S NETWORKING CAPABILITIES, ITS PROGRAMS AROUND WALKING AND CHRONIC HOSPITALS AND COUNTY HEALTH DEPARTMENTS WORKED COLLABORATIVELY ON THE CHNA. INCOME - ONE SOCIAL DETERMINANT OF HEALTH - PRECLUDES INDIVIDUALS FROM LOW- INCOME COMMUNITIES FROM ACCESSING PREVENTIVE AND/OR MEDICAL CARE DUE TO THEIR DIFFICULTY TO AFFORD CO-PAYMENTS/DEDUCTIBLES (IF INSURED} OR CARE AT ALL IF THEY ARE UNINSURED. THE INABILITY TO AFFORD CO-PAYS AND DEDUCTIBLES CONSISTENTLY RISES TO THE TOP AS A BARRIER TO HEALTHCARE ON LIHC'S COMMUNITY HEALTH ASSESSMENT SURVEY YEAR AND AFTER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS BY RACE IS $107,422 (WHITE}, $85,840 (BLACK}, $91,711 (HISPANIC/LATINO}. MEAN INCOME IN THE PAST 12 MONTHS, PER CAPITA BY RACE IS $50,352, $33,170 AND $28,414, RESPECTIVELY. ACCORDING TO RESEARCH CONDUCTED BY THE UNITED WAY OF NEW YORK'S ALICE REPORT, LONG ISLAND RESIDENTS ARE EARNING WAGES THAT DO NOT COVER LIFE'S BASIC COSTS. AS OF 2020, 31.5% OF LONG ISLAND HOUSEHOLDS FALL BELOW THE SET INCOME THRESHOLD NEEDED TO LIVE AND WORK, WHICH EQUATES TO 171,921 HOUSEHOLDS IN SUFFOLK COUNTY AND 130,599 HOUSEHOLDS IN NASSAU COUNTY AND THAT ARE STRUGGLING TO AFFORD THESE BASIC NEEDS. MUNICIPALITIES IN TARGET COMMUNITY LICH ATTENDS TO PATIENTS AND RESIDENTS THROUGHOUT SUFFOLK COUNTY'S 10 TOWN SHIPS. THROUGHOUT SUFFOLK COUNTY, THERE ARE 17 IDENTIFIED COMMUNITIES IN WHICH A VARIETY OF SOCIOECONOMIC FACTORS LEAD TO VAST HEALTH DISPARITIES. THESE IDENTIFIED COMMUNITIES WERE DETERMINED BY THE SCDOHS WITH CONCURRENCE FROM HOSPITAL PARTNERS. THESE COMMUNITIES ARE: WYANDANCH, CENTRAL ISLIP, BRENTWOOD, RIVERHEAD, BAY SHORE, COPIAGUE, MASTIC, MASTIC BEACH, BELLPORT, AMITYVILLE, CALVERTON, PATCHOGUE, SHIRLEY, GREENPORT, LINDENHURST, WEST BABYLON, AND RIDGE.HEALTHCARE AND OTHER KEY INSTITUTIONS LICH IS DEDICATED TO THE DIVERSE NEEDS OF ITS MANY COMMUNITIES, WITH A SPECIAL EMPHASIS ON DIABETES MANAGEMENT AND MENTAL HEALTH/SUBSTANCE MISUSE NEEDS. WE COLLABORATED WITH A VARIETY OF COMMUNITY-BASED ORGANIZATIONS, OUR LOCAL CHAMBERS OF COMMERCE, LIBRARIES AND SCHOOLS, AND THE SCDOHS, AMONG MANY OTHERS. THE ORGANIZATIONS LISTED BELOW HAVE PARTNERED WITH US TO REDUCE THE INCIDENCE OF CHRONIC DISEASE, MENTAL HEALTH, AND SUBSTANCE MISUSE IN OUR COMMUNITIES.- BELLPORT AND PATCHOGUE HEAD START- BELLPORT HAGERMAN EAST PATCHOGUE ALLIANCE- BELLPORT OUTREACH- BOYS AND GIRLS CLUB OF BELLPORT- CORNELL COOPERATIVE EXTENSION OF SUFFOLK COUNTY- FAMILY AND CHILDREN'S ASSOCIATION- FAMILY SERVICE LEAGUE- HAGERMAN FIRE DEPARTMENT- HUNTER BUSINESS SCHOOL- BAYPORT BLUEPOINT LIBRARY- LIGHTHOUSE MISSION- LIONS CLUB OF SUFFOLK COUNTY- PATCHOGUE YMCA- PATCHOGUE-MEDFORD LIBRARY- PATCHOGUE-MEDFORD UNION FREE SCHOOL DISTRICT- SACHEM HIGH SCHOOL NORTH- SACHEM LIBRARY- SAYVILLE PANTRY- SAYVILLE UNION FREE SCHOOL DISTRICT- SEAFIELD RECOVERY CENTER- ST. JOSEPH'S UNIVERSITY- SUBSTANCE ABUSE AGENCIES- SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMSHA)- SUN RIVER HEALTH CENTER SHIRLEY- THE DIABETES RESOURCE COALITION OF LONG ISLAND- VICTORY RECOVERY CENTER- VILLAGE WALK AT PATCHOGUE (ASSISTED LIVING)- WILLIAM FLOYD SCHOOL DISTRICT |
| LONG ISLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6A: LICH'S 2022-2024 CHNA WAS CONDUCTED WITH THE LONG ISLAND HEALTH COLLABORATIVE ("LIHC") WHICH INCLUDES THE FOLLOWING HOSPITAL FACILITIES:- CATHOLIC HEALTH - GOOD SAMARITAN UNIVERSITY HOSPITAL, ST. CATHERINE OF SIENA HOSPITAL, AND ST. CHARLES HOSPITAL- NORTHWELL HEALTH SYSTEM - HUNTINGTON HOSPITAL, MATHER HOSPITAL, PECONIC BAY MEDICAL CENTER, AND SOUTH SHORE UNIVERSITY HOSPITAL- STONY BROOK MEDICINE - STONY BROOK SOUTHAMPTON HOSPITAL, STONY BROOK UNIVERSITY HOSPITAL, AND STONY BROOK EASTERN LONG ISLAND HOSPITAL- VETERANS AFFAIRS MEDICAL CENTER - NORTHPORT, NY- NYU LANGONE HOSPITAL LONG ISLAND |
| LONG ISLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: THE CHNA REPRESENTS A COLLABORATION BETWEEN LICH, THE LIHC AND ITS NEARLY 200 MEMBER ORGANIZATIONS, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES, AND PATIENTS/RESIDENTS SERVED BY OUR HOSPITAL. IT DEFINES THE HEALTH NEEDS AND BARRIERS EXPRESSED BY COMMUNITY MEMBERS AND THE LOCAL COMMUNITY-BASED ORGANIZATIONS THAT SERVE THIS REGION. IT REFLECTS PRIMARY DATA COLLECTED DURING JANUARY 2021 THROUGH AUGUST 2022. SECONDARY DATA FROM 2018 - 2021 WAS ALSO EXAMINED. IT IS INTENDED TO SERVE AS A BLUEPRINT FOR OUR HOSPITAL AND COLLABORATING PARTNERS TO ENSURE THAT INTERVENTIONS AND STRATEGIES ADDRESS HEALTH NEEDS AND ACHIEVE HEALTH EQUITY. |
| LONG ISLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: HARD COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY SERVICE PLAN AND PROGRESS REPORTS ARE AVAILABLE WITHOUT CHARGE TO ANYONE UPON REQUEST AND ARE REGULARLY DISTRIBUTED TO COMMUNITY BOARD MEMBERS, POLICYMAKERS, LOCAL HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, COMMUNITY MEMBERS, AND OTHER INTERESTED STAKEHOLDERS. THROUGH OUR OUTREACH AND ENGAGEMENT ACTIVITIES, WE CONTINUALLY SEEK TO KEEP THE COMMUNITY INFORMED ABOUT OUR ACTIVITIES AND TO GET FEEDBACK AND INPUT. |
| LONG ISLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: LICH, WORKED WITH THE LIHC, THE SCDOHS, AND DOZENS OF COMMUNITY-BASED ORGANIZATIONS, LIBRARIES, SCHOOLS AND UNIVERSITIES, LOCAL MUNICIPALITIES, AND OTHER COMMUNITY STAKEHOLDERS TO PRODUCE THIS CHNA. SCDOHS REPRESENTATIVES OFFERED INPUT AND CONSULTATION, WHEN APPROPRIATE, REGARDING THE DATA ANALYSES CONDUCTED BY THE LIHC AND DATAGEN. USING DATA FROM BOTH THE PRIMARY AND SECONDARY DATA SOURCES, THE FOLLOWING KEY THEMES WERE REVEALED. PRIMARY DATA SURVEY RESULTS FROM HUNDREDS OF SUFFOLK COUNTY RESIDENTS REVEAL CANCER, SAFETY ISSUES, DIABETES, MENTAL HEALTH, DRUG AND ALCOHOL USAGE, AND OBESITY/WEIGHT LOSS ISSUES ARE SOME OF THE TOP CONCERNS FOR 2022 ALONG WITH A CONTINUED PREVALENCE OF CHRONIC DISEASE INCIDENCE, PARTICULARLY HEART DISEASE, DIABETES, AND CANCER.FURTHER, SURGING RATES OF MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES AMONG ALL DEMOGRAPHIC CATEGORIES WAS FOUND, WITH DISPARITY SEEN AMONG YOUTH, AND LOW-INCOME COMMUNITIES OF COLOR CONTINUING TO EXPERIENCE A HIGHER BURDEN OF DISEASE OVERALL. IN 2022, MEMBERS OF THE LIHC REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM NEW YORK STATE PREVENTION AGENDA PRIORITIES FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LIHC, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED: 1. PREVENT CHRONIC DISEASE FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT 2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION REDUCING CHRONIC DISEASES AND MENTAL HEALTH ILLNESS/SUBSTANCE MISUSE HAVE BEEN IDENTIFIED AS THE TOP TWO PRIORITIES IN OUR COMMUNITIES. A LONG ISLAND COMMUNITY HOSPITAL REPRESENTATIVE WAS A MEMBER OF THE 2022 CHNA WORKGROUP CONVENED BY THE LONG ISLAND HEALTH COLLABORATIVE. THE PREVAILING HEALTH/SOCIAL SUPPORT NEEDS UNCOVERED THROUGH PRIMARY AND SECONDARY DATA RESEARCH WERE DISCUSSED WITH OTHER WORKGROUP MEMBERS, ONE OF WHOM WAS A LOCAL COUNTY HEALTH DEPARTMENT EXECUTIVE, AS PART OF THE NINE-MONTH CHNA PROCESS. MEMBERS OF THE WORKGROUP BROUGHT INSIGHT LEARNED FROM THE PREVIOUS CHNA REPORT CYCLE TO THE TABLE, INCLUDING RELEVANT COMMENTS FROM COMMUNITY MEMBERS. WE THEN CONFIDENTLY AND UNANIMOUSLY SELECTED THE PRIORITIES NOTED. EMBEDDED WITHIN THESE PRIORITIES ARE AREAS OF NEED, AS REVEALED BY THE PRIMARY AND SECONDARY RESEARCH.PRIMARY DATA AND SECONDARY DATA DEMONSTRATE THAT RESIDENTS LIVING IN SUFFOLK COUNTY ARE EXPERIENCING POOR MENTAL HEALTH STATUS. MENTAL HEALTH ISSUES HAVE SOARED IN THE PAST SEVERAL YEARS SPURRED, IN PART, BY THE EFFECTS OF THE PANDEMIC. THE TOWN OF BROOKHAVEN HAS AN ESPECIALLY HIGH INCIDENCE OF OPIOID USE, OVERDOSE, AND DEATH AND THIS IS WHY THE NATIONAL INSTITUTES OF HEALTH SELECTED THE 27 ZIP CODES WITHIN THE TOWNSHIP OF BROOKHAVEN TO PARTICIPATE IN A TWO-YEAR NATIONAL STUDY AND EFFORT TO REDUCE OPIOID-RELATED OVERDOSE DEATHS BY 40 PERCENT. OTHER GOALS OF THE STUDY INCLUDED INCREASING ACCESS TO NALOXONE, EXPANDING USE OF MEDICATIONS FOR OPIOID USE DISORDER, SUCH AS BUPRENORPHINE, METHADONE, AND NALTREXONE, AS WELL AS REDUCING HIGH-RISK OPIOID PRESCRIBING. A LONG ISLAND COMMUNITY HOSPITAL REPRESENTATIVE SERVED ON THE STUDY'S LOCAL ADVISORY BOARD AND PARTICIPATED IN A TREATMENT WORKGROUP. DURING THE STUDY PERIOD, LONG ISLAND COMMUNITY HOSPITAL EXPANDED ITS SUBOXONE INDUCTIONS GIVEN IN THE EMERGENCY ROOM TO INCLUDE MEDICAL UNITS. THESE INTERVENTIONS CONTINUE TO THIS DAY. ALSO IN LINE WITH THE STUDY GOALS AND IN SYNC WITH THEIR WORK TO REDUCE OPIOID USE, THE HOSPITAL PROVIDES NARCAN KITS AND TRAINING TO COMMUNITY MEMBERS AND HOSPITAL STAFF ON AN ONGOING BASIS. ALIGNED WITH THE HEALING COMMUNITIES STUDY GOALS IS OUR HOSPITAL'S INVOLVEMENT IN A SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) GRANT. WE ARE IN THE FINAL YEAR OF A FIVE-YEAR GRANT DESIGNED TO INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT FOR PATIENTS IN THE EMERGENCY ROOM, INPATIENT UNITS, AND OUTPATIENT CHEMICAL DEPENDENCY PROGRAM.PRIMARY DATA WAS OBTAINED FROM A COMMUNITY HEALTH NEEDS ASSESSMENT SENT TO INDIVIDUALS AND A SIMILAR SURVEY TO COMMUNITY-BASED ORGANIZATION LEADERS. ADDITIONALLY, WE LOOKED AT RESULTS FROM TWO QUALITATIVE STUDIES TO ROUND OUT OUR PRIMARY DATA. SECONDARY DATA WAS DERIVED FROM PUBLICLY-AVAILABLE DATA SETS CURATED BY DATAGEN INTO ITS PROPRIETARY DATA ANALYTICS PLATFORM, CHNA ADVANTAGE, OFFERING 200 PLUS METRICS TO DETERMINE HEALTH ISSUES WITHIN SUFFOLK COUNTY. AS SUCH, PRIORITIES SELECTED FOR THE 2022-2024 CYCLE REMAIN UNCHANGED FROM THE 2019-2021 CYCLE SELECTION, AND THE SELECTED HEALTH DISPARITIES IN WHICH PARTNERS ARE FOCUSING THEIR EFFORTS RESTS ON THE INEQUITIES EXPERIENCED BY THOSE IN HISTORICALLY UNDERSERVED COMMUNITIES AND COMMUNITIES OF COLOR. ADDITIONAL PREVENTION AGENDA PRIORITIES/DISPARITIES BEING ADDRESSED BY LONG ISLAND COMMUNITY HOSPITAL ARE OUTLINED IN THE 2022-2024 WORK PLAN.IN SUPPORT OF OUR COMMUNITY SERVICE PLAN, DURING THE PAST THREE YEARS, LICH PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS IN MULTIPLE COMMUNITIES TO HOLD DIABETES AND OTHER CHRONIC DISEASE MANAGEMENT EDUCATIONAL PROGRAMS, NARCAN TRAINING, SUPPORT GROUPS, HEALTH SCREENINGS, AND FOOD DRIVES, AMONG OTHER OUTREACH ACTIVITIES. |
| LONG ISLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 13H: DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE FOLLOWING ADDITIONAL CRITERIA:1. FOR NON-NEW YORK RESIDENTS, THE NATURE OF THE MEDICAL SERVICE (E.G., TREATMENT IN THE EMERGENCY DEPARTMENT, INPATIENT ADMISSION, ELECTIVE PROCEDURE, ETC.);2. FAMILY SIZE, WHICH IS CALCULATED FOR ADULT PATIENTS, BY ADDING THE PATIENT, AND IF APPLICABLE, THE LEGAL GUARDIAN WITH WHOM THE PATIENT RESIDES. A PREGNANT WOMAN IS COUNTED AS TWO FAMILY MEMBERS.FOR PATIENTS WITH UNPAID BALANCES WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE OR ASSIST IN THE APPLICATION PROCESS, THE HOSPITAL MAY SUBMIT THE PATIENT'S DEMOGRAPHICS TO A CREDIT BUREAU TO UTILIZE CREDIT SCORING SOFTWARE FOR PURPOSES OF ESTABLISHING INCOME ELIGIBILITY. THE SCORING WILL NOT NEGATIVELY IMPACT THE PATIENT'S FICO. |
| LONG ISLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 16J: INFORMATION ABOUT FINANCIAL ASSISTANCE IS MADE AVAILABLE IN THE HOSPITAL'S ADMISSION BROCHURE. ADDITIONALLY, ALL HOSPITAL BILLS AND STATEMENTS INCLUDE A STATEMENT THAT IF THE PATIENT IS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION.APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, ARABIC, BENGALI, CHINESE, FARSI, GREEK, HAITIAN-CREOLE, ITALIAN, KOREAN, POLISH, PORTUGUESE, RUSSIAN AND SPANISH, AND TRANSLATION SERVICES ARE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES. |
| FORM 990, SCH. H, PART V, SECTION B, LINE 7A: | LICH CHNA WEBSITE:PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S CHNA WAS AVAILABLE AT HTTPS://LICOMMUNITYHOSPITAL.ORG/ABOUT-LONG-ISLAND-COMMUNITY-HOSPITAL/COMMUNITY-SERVICE-PLAN/AS OF MARCH 1, 2025 THE CHNA IS AVAILABLE AT: HTTPS://NYULANGONE.ORG/OUR-STORY/COMMUNITY-HEALTH-NEEDS-ASSETS-ASSESSMENT-COMMUNITY-SERVICE-PLAN |
| FORM 990, SCH. H, PART V, SECTION B, LINE 10A: | LICH IMPLEMENTATION PLAN WEBSITE:PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S IMPLEMENTATION PLAN WAS AVAILABLE AT HTTPS://LICOMMUNITYHOSPITAL.ORG/ABOUT-LONG-ISLAND-COMMUNITY-HOSPITAL/COMMUNITY-SERVICE-PLAN/AS OF MARCH 1, 2025 THE CHNA IS AVAILABLE AT: HTTPS://NYULANGONE.ORG/OUR-STORY/COMMUNITY-HEALTH-NEEDS-ASSETS-ASSESSMENT-COMMUNITY-SERVICE-PLAN |
| FORM 990, SCH. H, PART V, SECTION B, LINES 16A-C: | LICH FAP WEBSITE:PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT: HTTPS://LICOMMUNITYHOSPITAL.ORG/FOR-PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE-POLICY/AS OF MARCH 1, 2025 THE HOSPITAL'S FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT: HTTPS://NYULANGONE.ORG/INSURANCE-BILLING-FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART I, LINE 3C: | LICH'S CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S ("NYS DOH") GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. THE SLIDING SCALE PROVIDES FOR DISCOUNTED CARE STARTING AT 800% OF FPG AND FREE CARE AT 600% OF FPG. LICH MAY UTILIZE CREDIT SCORING SOFTWARE FOR PURPOSES OF ESTABLISHING INCOME AND FINANCIAL ASSISTANCE ELIGIBILITY. THE SCORING WILL NOT NEGATIVELY IMPACT THE PATIENT'S FICO. |
| PART I, LINE 7: | THE COST-TO-CHARGES RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNTS INCLUDED ON PART I, LINES 7A AND B.THE RATIO OF COST TO CHARGES ("RCC") WAS CALCULATED BY DIVIDING TOTAL PATIENT CARE EXPENSE BY GROSS PATIENT CHARGES. GIVEN THE DIFFERENCES IN THE PATIENT POPULATIONS OF MEDICARE AND MEDICAID, LICH CALCULATES A SEPARATE COST OF CARE FOR THESE DISCRETE PAYORS. AN OVERALL RATIO OF COST TO CHARGE WAS USED FOR THE REMAINING PATIENT POPULATION.TO DETERMINE AN OVERALL RCC, PATIENT CARE EXPENSE IS DETERMINED BY TAKINGTOTAL OPERATING EXPENSE OF THE STATEMENT OF OPERATIONS AND ADJUSTING FOR CERTAIN EXPENSES THAT ARE UNRELATED TO PATIENT CARE.THE RATIO REPRESENTS THE PERCENTAGE OF NET COMMUNITY BENEFIT EXPENSES AS APERCENTAGE OF TOTAL HOSPITAL EXPENSES EXCLUDING BAD DEBT EXPENSES.THE AMOUNT REPORTED ON LINE 7A INCLUDES CHARITY CARE AT THE ORGANIZATION'S FULL GROSS CHARGES AS REPORTED ON THE FINAL SHORT-PEROD FINANCIAL STATEMENT WHICH IS REDUCED TO COST USING THE RATIO OF COST-TO-CHARGES METHOD DESCRIBED ABOVE. HISTORICALLY, THIS AMOUNT WAS REPORTED AS THE DISCOUNT PROVIDED FROM THE AMOUNTS GENERALLY BILLED REDUCED BY THE RATIO OF COST-TO-CHARGES.THE AMOUNTS REPORTED ON LINES 7E & 7G REPRESENT THE ORGANIZATION'S ACTUALEXPENSE. |
| PART I, LINE 7G: | THE ORGANIZATION PROVIDES SUPPORT FOR HEALTHCARE IN THE COMMUNITY BY PROVIDING VARIOUS SERVICES AT A LOSS. SUBSIDIZED HEALTH SERVICES INCLUDE: CHEMICAL DEPENDENCY, PEDIATRICS, INFUSION, VASCULAR SURGERY, CARDIAC AND PULMONARY REHABILITATION. THE LOSS IS MEASURED BY THE EXCESS OF THE ORGANIZATION'S COSTS FOR THESE SERVICES OVER THE REVENUE GENERATED. THESE LOSSES EXCLUDE SERVICES THAT ARE OTHERWISE REPORTED AS CHARITY CARE, MEDICARE, OR MEDICAID ACTIVITIES. ADDITIONALLY, THE ORGANIZATION SUPPLEMENTS THE ADDITIONAL UNCOMPENSATED CARE PROVIDED BY THE FACULTY GROUP PRACTICE OFFICES OF THE NYU GROSSMAN SCHOOL OF MEDICINE WHICH ARE LOCATED THROUGHOUT THE ORGANIZATION'S SERVICE AREA. |
| PART III, LINE 2: | THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS IS REPORTED AS THE EXPENSE AT COST USING THE RATIO OF PATIENT CARE COST TO CHARGES. |
| PART III, LINE 3: | BAD DEBT EXPENSE DOES NOT INCLUDE AMOUNTS FOR FINANCIAL ASSISTANCE POLICYELIGIBLE PATIENTS. |
| PART III, LINE 4: | FOLLOWING IS NYU LANGONE HEALTH'S COMBINED AUDITED FINANCIAL STATEMENT FOOTNOTE ON UNCOMPENSATED CARE (FOOTNOTE 1, PAGE 14):NYU LANGONE HEALTH IS COMMITTED TO ENSURING THAT ITS CARE IS NOT LIMITED TO THOSE WHO HAVE INSURANCE COVERAGE OR THE MEANS TO PAY FOR CARE. NYU LANGONE HEALTH RECOGNIZES THAT THERE ARE TIMES WHEN PATIENTS IN NEED OF CARE WILL HAVE DIFFICULTY PAYING FOR THE SERVICES PROVIDED. ACCORDINGLY, NYU LANGONE HEALTH HAS IMPLEMENTED A DISCOUNT POLICY AND FINANCIAL AID PROGRAM THAT IS CONSISTENT WITH THE MISSION, VALUES, AND CAPACITY OF NYU LANGONE HEALTH, WHILE CONSIDERING AN INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THEIR CARE. AS A MATTER OF POLICY, NYU LANGONE HEALTH PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE UNDER ITS CHARITY CARE POLICY OR THROUGH ITS FINANCIAL AID PROGRAM. FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNDER NYU LANGONE HEALTH'S CHARITY CARE POLICY, THE DISCOUNT OFFERED TO UNINSURED PATIENTS IS REFLECTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE AT THE TIME THE UNINSURED BILLINGS ARE RECORDED. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW NYU LANGONE HEALTH TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. NET PATIENT SERVICE REVENUE RELATED TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR EITHER MEDICAID ASSISTANCE OR NYU LANGONE HEALTH'S FINANCIAL AID PROGRAM IS RECOGNIZED FOR THE AMOUNT OF CONSIDERATION TO WHICH NYU LANGONE HEALTH EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE, NET OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTIONS. IMPLICIT PRICE CONCESSION RATES FOR UNINSURED PATIENTS ARE REFINED ON AN ANNUAL BASIS. NYU LANGONE HEALTH'S CHARITY CARE POLICY, IN ACCORDANCE WITH THE NEW YORK STATE DEPARTMENT OF HEALTH'S ("NYS DOH") GUIDELINES, ENSURES THE PROVISION OF QUALITY HEALTH CARE TO THE COMMUNITY SERVED WHILE CAREFULLY CONSIDERING THE ABILITY OF THE PATIENT TO PAY. THE POLICY HAS SLIDING FEE SCHEDULES FOR INPATIENT, AMBULATORY AND EMERGENCY SERVICES PROVIDED TO THE UNINSURED AND UNDER-INSURED PATIENTS THAT QUALIFY. PATIENTS ARE ELIGIBLE FOR THE CHARITY CARE FEE SCHEDULE IF THEY MEET CERTAIN INCOME TESTS. SINCE PAYMENT OF THE DIFFERENCE BETWEEN NYU LANGONE HEALTH'S STANDARD CHARGES AND THE CHARITY CARE FEE SCHEDULES IS NOT SOUGHT, THESE FORGONE CHARGES FOR CHARITY CARE ARE NOT REPORTED AS REVENUE. |
| PART III, LINE 8: | MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED ON PART III, SECTION B,LINES 5 AND 6 ARE DERIVED FROM THE FINAL SHORT PERIOD FINANCIAL STATEMENT FOR THE PERIOD ENDED FEBRUARY 28, 2025. |
| PART III, LINE 9B: | LICH'S DEBT COLLECTION POLICY IS TO ENSURE COMPLIANCE FOR REGULATORY, NON-REGULATORY AND FISCALLY SOUND PRACTICES FOR BILLING AND COLLECTION OF PATIENT ACCOUNTS RECEIVABLE THAT MAXIMIZE COLLECTIONS OF AMOUNTS DUE THE ORGANIZATION IN A MANNER CONSISTENT WITH THE GOAL OF PROVIDING HIGH CALIBER PATIENT- CENTERED CARE.THE HOSPITAL IS COMMITTED TO FAIR BILLING AND COLLECTION PRACTICES AND TO COMPLIANCE WITH NEW YORK STATE AND FEDERAL REGULATIONS. ACCORDINGLY, THE HOSPITAL AND/OR ITS EMPLOYEES, REPRESENTATIVES, AGENTS AND CONTRACTORS ARE NOT PERMITTED TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. FILE SUITS FOR BALANCES DUE LESS THAN $5,000.002. DEFER, DENY, OR REQUIRE PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE DUE TO NONPAYMENT OF A PREVIOUS BILL;3. SEND AN ACCOUNT TO COLLECTION WHILE AN APPLICATION FOR MEDICAID OR FINANCIAL ASSISTANCE (WHICH IS COMPLETE AND WITH ALL REQUIRED DOCUMENTATION) IS PENDING;4. SEND AN ACCOUNT TO COLLECTION FOR A PATIENT WHO IS DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED AND FOR WHICH SERVICES MEDICAID PAYMENT IS AVAILABLE;5. SEEK PAYMENT WHILE A FINANCIAL ASSISTANCE OR MEDICAID APPLICATION IS PENDING;6. SEEK FORECLOSURE OR A FORCED SALE OF THE PATIENT'S PRIMARY RESIDENCE;7. FILE PROPERTY LIENS ABSENT EXTRAORDINARY CIRCUMSTANCES;8. FREEZE A PATIENT'S BANK ACCOUNT OR GARNISH A PATIENT'S PAYROLL CHECK ABSENT EXTRAORDINARY CIRCUMSTANCES;9. PURSUE ANY ACTION WHICH WOULD CAUSE OR PREVENT THE PATIENT FROM PAYING HIS/HER NORMAL MONTHLY RENT, UTILITY OR FOOD EXPENSES;10. REPORT TO CREDIT BUREAUS OR CREDIT AGENCIES;11. SELL A PATIENT'S DEBT TO ANOTHER PARTY.ALL COLLECTION AGENTS ENGAGED BY THE HOSPITAL WILL BE REQUIRED: TO COMPLY WITH THIS POLICY; SEEK THE HOSPITAL'S WRITTEN CONSENT PRIOR TO INSTITUTING A LEGAL ACTION FOR COLLECTION; AND PROVIDE PATIENTS INFORMATION, WHERE APPROPRIATE, ON HOW TO APPLY FOR FINANCIAL ASSISTANCE.ALL COLLECTION AGENTS ENGAGED BY THE HOSPITAL WILL PROVIDE MONTHLY REPORTS OF THEIR COLLECTION EFFORTS.ALL COLLECTION AGENTS ENGAGED BY THE HOSPITAL WILL ATTEST TO THEIR COMPLIANCE TO THIS POLICY ON ANNUAL BASIS. |
| FORM 990, SCH. H, PART V, SECTION A, LINE 1: | LICH WEBSITE:PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S WEBSITE WAS WWW.LICOMMUNITYHOSPITAL.ORG.AS OF MARCH 1, 2025 THE WEBSITE IS: HTTPS://NYULANGONE.ORG/LOCATIONS/NYU-LANGONE-HOSPITAL-SUFFOLK |
| PART VI, LINE 2: | LICH WORKED WITH THE LIHC, ITS NEARLY 200 MEMBER ORGANIZATIONS, THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (SCDOHS), AND DOZENS OF COMMUNITY-BASED ORGANIZATIONS, LIBRARIES, SCHOOLS AND UNIVERSITIES, LOCAL MUNICIPALITIES, AND OTHER COMMUNITY STAKEHOLDERS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. SCDOHS REPRESENTATIVES OFFERED INPUT AND CONSULTATION, WHEN APPROPRIATE, REGARDING THE DATA ANALYSES CONDUCTED BY LIHC AND DATAGEN. TOP, HIGH-LEVEL FINDINGS INCLUDE A CONTINUED PREVALENCE OF CHRONIC DISEASE INCIDENCE, PARTICULARLY HEART DISEASE, DIABETES, OBESITY AND CANCER. FURTHER, SURGING RATES OF MENTAL HEALTH AND SUBSTANCE MISUSE ISSUES AMONG ALL DEMOGRAPHIC CATEGORIES WAS FOUND, WITH DISPARITY SEEN AMONG YOUTH, AND LOW-INCOME COMMUNITIES OF COLOR CONTINUING TO EXPERIENCE A HIGHER BURDEN OF DISEASE OVERALL.AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED CHRONIC DISEASE AS THE PRIORITY AREA WITH A FOCUS ON (1) OBESITY AND (2) PREVENTIVE CARE AND MANAGEMENT. THE GROUP ALSO AGREED THAT MENTAL HEALTH SHOULD BE HIGHLIGHTED AS AN AREA OF OVERLAY WITHIN ALL INTERVENTION STRATEGIES. COMMUNITY OUTREACH HAS LONG BEEN A MAINSTAY FOR LICH. LICH'S OUTREACH PROGRAM PARTICIPATED IN COMMUNITY HEALTH FAIRS, WITH SENIOR AND COMMUNITY CENTERS, AS WELL AS CIVIC ASSOCIATIONS THROUGHOUT THE REGION. LICH IS ALSO AN ACTIVE MEMBER OF THE PATCHOGUE CHAMBER OF COMMERCE IN THE COMMUNITY. MEMBERSHIP WITH THE CHAMBER AFFORDS LICH THE OPPORTUNITY TO LEARN OF THE NEEDS OF THE WORKFORCE AND BUSINESS LEADERS IN THE COMMUNITY. LICH HAS SOUGHT TO MAINTAIN A STRONG PRESENCE IN THE CIVIC AND SERVICE CLUBS,(E.G. KIWANIS, ROTARY CLUB, LIONS,) HOUSES OF WORSHIP, THE YMCA AND BOYS AND GIRLS CLUB, LOCAL GOVERNMENT HEALTH AND SOCIAL SERVICE PROGRAMS, THE SOCIAL SERVICE AGENCIES, SENIOR LIVING COMMUNITIES AND PUBLIC LIBRARIES. GUIDED BY THE LIHC, LICH AND ALL REGIONAL PARTNERS REVIEWED RESULTS FROM THE TWO QUALITATIVE ANALYSES AND TWO QUANTITATIVE ANALYSES, OUR SOURCES OF PRIMARY DATA, AND A VARIETY OF SECONDARY DATA ANALYSES PROVIDED BY DATAGEN, WHICH WERE DRAWN FROM NATIONAL, STATE, AND COUNTY PUBLICLY AVAILABLE DATA SETS. THE ENGAGEMENT PROCESS WE USED TO SELECT THE TWO PRIORITIES WAS PURPOSEFUL AND COLLABORATIVE. ON APRIL 5, 2022, AT 8 A.M., THE LIHC POSTED RESULTS OF ALL ITS DATA ANALYSES. THE MEMBERS OF THE 2022 CHNA WORKGROUP WERE ASKED TO REVIEW THE RESULTS IN ADVANCE OF THE PRIORITY SELECTION MEETING, WHICH OCCURRED ON APRIL 5, 2022, AT 1 P.M. VIA ZOOM. THE DATA ANALYST WALKED PARTICIPANTS THROUGH SCREENSHOTS OF THE RELEVANT FINDINGS. PARTICIPANTS ALSO VIEWED THE PREVENTION AGENDA DASHBOARD, DIVING DEEP INTO THE GOALS, OBJECTIVES, AND RECOMMENDED INTERVENTIONS FOR EACH PRIORITY. PRESENT AT THE MEETING WERE REPRESENTATIVES FROM LONG ISLAND'S TWO HEALTH DEPARTMENTS AND REPRESENTATIVES FROM LONG ISLAND'S HOSPITALS/HEALTH SYSTEMS, AS WELL AS STAFF OF THE LIHC. ATTENDEES DISCUSSED PRIMARY AND SECONDARY DATA RESULTS AND BASED THE SELECTION OF PRIORITIES ON THE FOLLOWING CRITERIA:- THE OVERWHELMING EVIDENCE PRESENTED BY THE DATA, ESPECIALLY THE FIRST TWO QUESTIONS OF THE COMMUNITY HEALTH ASSESSMENT SURVEY- THE ACTIVITIES/STRATEGIES/INTERVENTIONS CURRENTLY IN PLACE THROUGHOUT THE REGION- THE FEASIBILITY OF ACHIEVING MOMENTUM AND SUCCESS WITH A CHOSEN PRIORITY, TAKING INTO ACCOUNT THE DIVERSITY OF PARTNERS AND COMMUNITY MEMBERS SERVED- COMMENTS FROM COMMUNITY MEMBERS AND OTHERS REGARDING THE PREVIOUS CHNAAFTER AN OFFICIAL VOTE, THE PRIORITIES WERE SELECTED UNANIMOUSLY. THE APRIL MEETING WAS A CULMINATION OF SEVEN LIHC WORK GROUP MEETINGS HELD EACH MONTH, BEGINNING IN SEPTEMBER 2021 AND CONCLUDING IN APRIL 2022. AT THESE MEETINGS, IN ADDITION TO REPRESENTATIVES NOTED ABOVE, COMMUNITY-BASED ORGANIZATION LEADERS FROM A RANGE OF SECTORS OFFERED INPUT.ENGAGEMENT OF THE BROADER COMMUNITY, FOR ASSESSMENT PURPOSES, IS ACHIEVED THROUGH THE LIHC'S AND ITS PARTNERS' ONGOING DISTRIBUTION OF THE CHNA - THE MAIN PRIMARY RESEARCH TOOL USED TO GAUGE COMMUNITY HEALTH NEEDS, SOCIAL SUPPORT NEEDS, AND BARRIERS TO HEALTHCARE ON AN ONGOING BASIS. THIS SURVEY IS OFFERED ONLINE VIA A SURVEYMONKEY LINK AND IS AVAILABLE IN PAPER FORMAT TO RESIDENTS AT PUBLIC EVENTS, WORKSHOPS, EDUCATIONAL PROGRAMS, AND INTERVENTIONS WHICH ARE OFFERED BY LICH AND OTHER LIHC PARTNERS. A PAPER VERSION IS ALSO DISTRIBUTED AMONG PHYSICIAN OFFICES, HOSPITAL WAITING AREAS, LIBRARIES, SCHOOLS, FEDERALLY QUALIFIED HEALTH CLINICS, INSURANCE ENROLLMENT SITES, AND OTHER PUBLIC VENUES. THE LIHC VIGILANTLY PROMOTES THE SURVEY THROUGH SOCIAL MEDIA AND ASKS LIHC PARTICIPANTS TO POST THE SURVEY LINK ON EACH OF THEIR WEBSITES. THE LIHC PROVIDES A SOCIAL MEDIA TOOLKIT WITH AN OPPORTUNITY FOR CO-BRANDING TO FACILITATE PARTICIPATION AND LICH HAS AVAILED ITSELF OF THIS SERVICE. LICH POSTS THIS SURVEY AND THE SURVEYMONKEY LINK ON ITS WEBSITE AND IN ELECTRONIC AND PRINT COMMUNITY NEWSLETTERS. THE SURVEY CAN ALSO BE ACCESSED VIA A QR CODE. RESULTS FROM THE COMMUNITY HEALTH ASSESSMENT SURVEY ARE ANALYZED YEARLY. FINDINGS ARE SHARED WITH ALL LIHC PARTICIPANTS, WITH THE MEDIA, AND POSTED ON THE LIHC WEBSITE. A CERTIFIED TRANSLATION OF THE SURVEY IS AVAILABLE IN THE FOLLOWING LANGUAGES: SPANISH, POLISH, AND HAITIAN CREOLE. LARGE PRINT COPIES ARE ALSO AVAILABLE TO THOSE LIVING WITH VISION IMPAIRMENT. ENGAGEMENT OF THE BROADER COMMUNITY, FOR IMPLEMENTATION PURPOSES, IS ASSISTED BY THE LIHC'S ENCOURAGEMENT OF COMMUNITY MEMBERS TO PARTICIPATE IN PROGRAMS, WORKSHOPS, SUPPORT GROUPS AND EDUCATIONAL PROGRAMS OFFERED BY LICH AND ALL LIHC PARTNERS. IN ADDITION, THE LIHC OFFERS LIMITED PROGRAMMING ITSELF, SUCH AS THE WALK SAFE WITH A DOC EVENTS AND TALK WITH A DOC EVENTS (PRESENTED IN COLLABORATION WITH AARP-LI). ALL LIHC QUARTERLY MEETINGS ARE OPEN TO THE PUBLIC AND RECORDINGS OF THE MEETINGS ARE HOUSED ON ITS WEBSITE. THE LIHC, ON BEHALF OF ALL ITS PARTICIPANTS AND THE COMMUNITY MEMBERS EACH PARTICIPANT SERVES, SUPPORTS THE FOLLOWING EVIDENCE-BASED ACTIVITIES AND PROGRAMS:- AWARENESS CAMPAIGN (LIVE BETTER) ABOUT CHRONIC DISEASE VIA SOCIAL MEDIA AND TRADITIONAL MEDIA PLATFORMS (THIS CAMPAIGN CAPTURES ANY MENTIONS ABOUT CHRONIC DISEASES AND RELEVANT PROGRAMS/EDUCATION EFFORTS)- AWARENESS CAMPAIGN ABOUT MENTAL HEALTH PREVENTION AND TREATMENT PROGRAMS/EDUCATION, AS WELL AS RELEVANT TREATMENT AND PREVENTION PROGRAMMING RELATIVE TO SUBSTANCE MISUSE VIA SOCIAL MEDIA AND TRADITIONAL MEDIA PLATFORMS (THIS CAMPAIGN CAPTURES ANY MENTIONS ABOUT MENTAL HEALTH/SUBSTANCE MISUSE PROGRAMS/EVENTS/WORKSHOPS, ETC.)- WALK SAFE WITH A DOC ARE COMMUNITY WALKING EVENTS THAT COMBINE PEDESTRIAN SAFETY EDUCATION WITH CHRONIC DISEASE EDUCATION ALL WHILE WALKING. THE LIHC MAINTAINS AN ACTIVE WALK WITH A DOC CHAPTER FOR THE REGION.- TALK WITH A DOC ARE ZOOM-DELIVERED EDUCATIONAL PROGRAMS LED BY PHYSICIANS FROM THE REGION'S HOSPITALS COVERING A VARIETY OF CHRONIC DISEASES. |
| PART VI, LINE 3: | PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY BY APPROPRIATE SIGNAGE IN THE REGISTRATION AND INTAKE AREAS; INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE; AND RESPONSES TO DIRECT INQUIRIES. ALL HOSPITAL BILLS AND STATEMENTS WILL INCLUDE A STATEMENT THAT IF THE PATIENT WAS UNABLE TO PAY THE BILL, HE OR SHE MIGHT BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN ENGLISH, ARABIC, BENGALI, CHINESE, GREEK, FARSI, GREEK, HAITIAN-CREOLE, ITALIAN, KOREAN, POLISH, PORTUGUESE, RUSSIAN, AND SPANISH, AND TRANSLATION SERVICES WILL BE MADE AVAILABLE FOR PATIENTS NEEDING SUCH SERVICES. |
| PART VI, LINE 4: | SUFFOLK COUNTY IS 2,373 SQUARE MILES AND IS THE SECOND LARGEST COUNTY IN NEW YORK. LONG ISLAND COMMUNITY HOSPITAL SERVICES THIS EASTERNMOST COUNTY IN NEW YOK STATE. THE COUNTY IS DIVIDED INTO 10 TOWNS: BABYLON, HUNTINGTON, ISLIP, SMITHTOWN, BROOKHAVEN, SOUTHAMPTON, RIVERHEAD, EAST HAMPTON, SHELTER ISLAND AND SOUTHOLD. SUFFOLK COUNTY IS AN AREA OF GROWING DIVERSITY, CULTURES, AND POPULATION CHARACTERISTICS.SUFFOLK COUNTY'S TOTAL POPULATION AS OF 2020 IS 1,481,362 (47.2% MALE; 50.8% FEMALE). THOSE AGES 15-44 REPRESENT 35.4% OF FEMALES; 36.7% OF MALES; AGES 60 PLUS REPRESENT 23.7% OF MALES AND 25.6% OF FEMALES; THOSE 18 YEARS AND OLDER REPRESENT 78.8% OF MALES AND 79.8% FEMALES. THE REGION IS PREDOMINATELY WHITE AT 65.3% WITH 7.7% BLACK/AFRICAN AMERICAN AND 4.4% ASIAN. HISPANIC OR LATINO REPRESENT 22.4% OF THE POPULATION, ABOUT A FOUR PERCENT INCREASE FROM THE LAST REPORT.IN TERMS OF HOUSEHOLD INCOME, 35.2% OF THE POPULATION EARN LESS THAN $74, 999 WITH 15% OF THAT GROUP EARNING LESS THAN $34,999 ANNUALLY. OF THE POPULATION, 8% OF THOSE UNDER 18 YEARS OF AGE LIVE IN POVERTY, WHILE 6% OF THOSE AGES 18 TO 64 LIVE IN POVERTY AND FOR THOSE AGES 18-34, 6.7% LIVE IN POVERTY. THE PERCENTAGE OF THE POPULATION (5 YEARS AND OVER) THAT SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME IS 30.3%, WITH SPANISH THE DOMINANT OTHER LANGUAGE SPOKEN 14.7% FOLLOWED BY OTHER INDO/EUROPEAN LANGUAGES 8.7% AND ASIAN LANGUAGES 5.1%. IN TERMS OF EDUCATION, FOR THOSE AGE 25 AND OVER, 89.4% ARE HIGH SCHOOL GRADUATES OR HIGHER, 31.9% HOLD A BACHELOR'S DEGREE OR HIGHER. THE PERCENT OF THE TOTAL POPULATION UNINSURED IS 4.2%. OF THAT PERCENT, NON-CITIZENS REPRESENT 32% OF THE UNINSURED. HISPANIC/LATINO REPRESENT 42.1% OF THE UNINSURED FOLLOWED BY BLACK/AFRICAN AMERICAN 10%, WHITE 63.9%, ASIAN 6.5%. OF THE UNINSURED, 37.6% EARN LESS THAN $74,999 HOUSEHOLD INCOME AND 9.1% EARN UNDER $25,000 HOUSEHOLD INCOME. APPROXIMATELY 9.6% OF THE TOTAL NON-INSTITUTIONALIZED POPULATION IS DISABLED. BY RACE/ETHNICITY, 10.6% OF THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION IS DISABLED, 13.6% OF THE AMERICAN INDIAN/ALASKA NATIVE POPULATION IS DISABLED, 10% OF THE WHITE POPULATION IS DISABLED, 9.6% OF THE BLACK/AFRICAN AMERICAN POPULATION IS DISABLED, AND 7.2% HISPANIC/LATINO POPULATION IS DISABLED. INTERESTINGLY, NATIVE AMERICAN/PACIFIC ISLANDERS ACCOUNT FOR LESS THAN ONE PERCENT OF THE COUNTY'S POPULATION. INCOME - ONE SOCIAL DETERMINANT OF HEALTH - PRECLUDES INDIVIDUALS FROM LOW-INCOME COMMUNITIES FROM ACCESSING PREVENTIVE AND/OR MEDICAL CARE DUE TO THEIR DIFFICULTY TO AFFORD CO-PAYMENTS/DEDUCTIBLES (IF INSURED) OR CARE AT ALL IF THEY ARE UNINSURED. THE INABILITY TO AFFORD CO-PAYS AND DEDUCTIBLES CONSISTENTLY RISES TO THE TOP AS A BARRIER TO HEALTHCARE ON LIHC'S COMMUNITY HEALTH ASSESSMENT SURVEY YEAR AND AFTER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS BY RACE IS $107,422 (WHITE), $85,840 (BLACK), $91,711 (HISPANIC/LATINO). MEAN INCOME IN THE PAST 12MONTHS, PER CAPITA BY RACE IS $50,352, $33,170 AND $28,414, RESPECTIVELY. ACCORDING TO RESEARCH CONDUCTED BY THE UNITED WAY OF NEW YORK'S ALICE REPORT, LONG ISLAND RESIDENTS ARE EARNING WAGES THAT DO NOT COVER LIFE'S BASIC COSTS. AS OF 2020, 31.5% OF LONG ISLAND HOUSEHOLDS FALL BELOW THE SET INCOME THRESHOLD NEEDED TO LIVE AND WORK, WHICH EQUATES TO 171,921 HOUSEHOLDS IN SUFFOLK COUNTY AND 130,599 HOUSEHOLDS IN NASSAU COUNTY AND THAT ARE STRUGGLING TO AFFORD THESE BASIC NEEDS.THROUGHOUT SUFFOLK COUNTY, THERE ARE 17 IDENTIFIED COMMUNITIES IN WHICH A VARIETY OF SOCIOECONOMIC FACTORS LEAD TO VAST HEALTH DISPARITIES. THESE IDENTIFIED COMMUNITIES WERE DETERMINED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WITH CONCURRENCE FROM HOSPITAL PARTNERS. THESE COMMUNITIES ARE: WYANDANCH, CENTRAL ISLIP, BRENTWOOD, RIVERHEAD, BAY SHORE, COPIAGUE, MASTIC, MASTIC BEACH, BELLPORT, AMITYVILLE, CALVERTON, PATCHOGUE, SHIRLEY, GREENPORT, LINDENHURST, WEST BABYLON, AND RIDGE. |
| PART VI, LINE 5: | LICH 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. LICH 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, COMMUNITY MEMBERS, THE HOSPITAL ADVISORY COUNCIL, WHO ARE THE VOICE OF THE COMMUNITY AND HOLD POSITIONS ON VARIOUS COMMUNITY BASED SERVICE GROUPS. 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 THECOMMUNITY.LICH PROVIDES CARE THROUGH A 306-BED ACUTE-CARE HOSPITAL THAT IS PART OF AMULTIDISCIPLINARY, MULTI-CAMPUS, STATE-OF-THE-ART HEALTH CARE COMPLEX,DESIGNED TO MEET THE EVOLVING NEEDS OF THE 28 SUFFOLK COUNTY ZIP CODESSERVED.WHILE MUCH HAS CHANGED SINCE LICH FIRST OPENED ITS DOORS TO THE COMMUNITYIN 1956, THE PATIENT-CENTERED APPROACH TO HEALTHCARE REMAINS AS STRONG ASEVER. TODAY, LICH IS HOME TO SOME OF THE FINEST CENTERS FOR SPECIALIZEDCARE ALONG WITH A LEVEL II TRAUMA CENTER/EMERGENCY ROOM, A COMMUNITYCHEMICAL DEPENDENCY HEALTH CENTER IN COOPERATION WITH HUDSON RIVER HEALTH, AND MORE. THE MEDICAL CENTER ALSO WAS THE FIRST IN THE COUNTY TO ESTABLISH A CERTIFIED HOME HEALTH CARE DEPARTMENT, A HOSPICE AND AN OUTPATIENT HEMODIALYSIS UNIT AND IS A LEADER IN HEALTH EDUCATION THROUGHOUT THE COMMUNITY.IN 2013, LICH ALONG WITH ALL LONG ISLAND HOSPITALS AND BOTH COUNTY DEPARTMENTS OF HEALTH ON LONG ISLAND CONVENED TO WORK COLLABORATIVELY ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OVER TIME, THIS SYNDICATE GREW INTO AN EXPANSIVE MEMBERSHIP OF ACADEMIC PARTNERS, COMMUNITY-BASED ORGANIZATIONS, PHYSICIANS AND OTHER COMMUNITY LEADERS WHO HOLD A VESTED INTEREST IN IMPROVING COMMUNITY HEALTH AND SUPPORTING THE NYS DEPARTMENT OF HEALTH PREVENTION AGENDA. DESIGNATED THE LONG ISLAND HEALTH COLLABORATIVE, THIS MULTI-DISCIPLINARY ENTITY HAS BEEN MEETING QUARTERLY TO WORK COLLECTIVELY TOWARD IMPROVING HEALTH OUTCOMES FOR LONG ISLANDERS.IN 2022, MEMBERS OF THE LIHC REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM NEW YORK STATE PREVENTION AGENDA PRIORITIES FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LIHC, WHICH SERVED AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED: 1. PREVENT CHRONIC DISEASE FOCUS AREA 4: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT DURING THE PERIOD, LICH CONDUCTED CHRONIC DISEASE SELF-MANAGEMENT EDUCATION PROGRAMS TO INCREASE THE PERCENTAGE OF ADULTS WITH CHRONIC CONDUCTIONS THAT HAVE TAKEN A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION. PROGRAM TOPICS SEEK TO PROVIDE PREVENTION / MANAGEMENT GUIDANCE WITH RESPECT TO DIABETES AND CONGESTIVE HEART FAILURE.2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2: MENTAL AND SUBSTANCE USE DISORDERS PREVENTION DURING THE PERIOD, LICH DISTRIBUTED KITS AND CONDUCTED PROGRAMS FOR AT RISK PATIENTS AND FAMILY MEMBERS TO COMBAT OVERDOSE DEATHS AND SUBSTANCE ABUSE ISSUES IN THE COMMUNITY. REDUCING CHRONIC DISEASES AND MENTAL HEALTH ILLNESS/SUBSTANCE MISUSE HAVE BEEN IDENTIFIED AS THE TOP TWO PRIORITIES IN OUR COMMUNITIES. A LONG ISLAND COMMUNITY HOSPITAL REPRESENTATIVE WAS A MEMBER OF THE 2022 CHNA WORKGROUP CONVENED BY THE LONG ISLAND HEALTH COLLABORATIVE. THE PREVAILING HEALTH/SOCIAL SUPPORT NEEDS UNCOVERED THROUGH PRIMARY AND SECONDARY DATA RESEARCH WERE DISCUSSED WITH OTHER WORKGROUP MEMBERS, ONE OF WHOM WAS A LOCAL COUNTY HEALTH DEPARTMENT EXECUTIVE, AS PART OF THE NINE-MONTH CHNA PROCESS. MEMBERS OF THE WORKGROUP BROUGHT INSIGHT LEARNED FROM THE PREVIOUS CHNA REPORT CYCLE TO THE TABLE, INCLUDING RELEVANT COMMENTS FROM COMMUNITY MEMBERS. WE THEN CONFIDENTLY AND UNANIMOUSLY SELECTED THE PRIORITIES NOTED. EMBEDDED WITHIN THESE PRIORITIES ARE AREAS OF NEED, AS REVEALED BY THE PRIMARY AND SECONDARY RESEARCH.THE FOLLOWING ENTITIES CONTINUE TO COLLABORATE WITH LICH TO ASSIST WITH ATTAINMENT OF GOALS AND OBJECTIVES OF THE PUBLIC HEALTH PRIORITIES:COMMUNITY-BASED PATIENT ADVISORY COUNCIL:LICH REALIZES THE TREMENDOUS VALUE OF HAVING A COMMUNITY-BASED PATIENT ADVISORY COUNCIL (PAC). IN 2014, LICH SELECTED A DIVERSE GROUP OF COMMUNITY MEMBERS WHO CAN PROVIDE US INFORMATION AND FEEDBACK ABOUT THE PROGRAMS AND SERVICES OFFERED.OTHER PROGRAMS:LICH OFFERED A VARIETY OF MEDICAL LECTURES ON A MONTHLY BASIS. TOPICS HAVE INCLUDED HEALTHY LIFESTYLES, COOKING DEMONSTRATIONS WITH HEALTHY RECIPES PROVIDED, DEPRESSION SCREENING AND TREATMENT, DIABETES WELLNESS AND PREVENTION OF DIABETES, TO NAME A FEW. MOST OF THE PRESENTERS ARE MEMBERS OF THE LICH MEDICAL STAFF, OR CLOSELY AFFILIATED WITH IT. ADDITIONAL RESOURCES ABOUT ALL LICH PROGRAMS, SUPPORT GROUPS AND COMMUNITY EVENTS ARE ALWAYS MADE AVAILABLE TO THE COMMUNITY AT THE SAME TIME. THE LECTURES ARE FREE TO THE PUBLIC.ADDITIONAL COMMUNITY HEALTH PROGRAMS:IN ADDITION TO THE MANY PROGRAMS AND SERVICES OFFERED BY LICH, THERE AREMANY OTHER COMMUNITY PROGRAMS TO HELP ACHIEVE BETTER HEALTH. SOMEORGANIZATIONS THAT WE HAVE WORKED WITH ARE:- BOYS & GIRLS CLUB OF BELLPORT- THE DIABETES RESOURCE COALITION OF LONG ISLAND- YMCA OF PATCHOGUE- BOCES- CORNELL UNIVERSITY COOPERATIVE EXTENSION OF SUFFOLK COUNTY- ST. JOSEPH COLLEGE- BELLPORT AND PATCHOGUE HEAD START- HUDSON RIVER HEALTH CENTER PATCHOGUE AND SHIRLEY- BELLPORT HAGERMAN EAST PATCHOGUE ALLIANCE- SCHOOL DISTRICTS- SERVICE CLUBS- HOUSE OF WORSHIP- LOCAL LIBRARIES- NPF ORGANIZATIONS- MENTAL HEALTH AGENCIES- SUBSTANCE ABUSE AGENCIES- NURSING HOMES AND ASSISTED LIVINGLICH PARTNERED WITH THE LIHC, LOCAL HEALTH DEPARTMENT PERSONNEL,REPRESENTATIVES FROM SOCIAL SERVICE ORGANIZATIONS, PUBLIC HEALTHSPECIALISTS FROM COLLEGES, AND OTHERS WHO FORM THE CORE OF HEALTH ANDHUMAN SERVICE FOR ALL LONG ISLANDERS. IN ADDITION, WE ARE WORKING WITHTHE SUFFOLK CARE COLLABORATIVE TO IMPACT POPULATION HEALTH. |
| PART VI, LINE 6: | NYU LANGONE HEALTH SYSTEM (THE "HEALTH SYSTEM") IS THE SOLE CORPORATE MEMBER LICH AND NYULH. NYULH IS A QUATERNARY TEACHING HOSPITAL THAT OPERATES FIVE INPATIENT ACUTE CARE FACILITIES AND OVER 40 ARTICLE 28-LICENSED FACILITIES IN MANHATTAN, BROOKLYN, QUEENS AND LONG ISLAND. THE MANHATTAN 813-BED INPATIENT FACILITIES ARE COMPRISED OF THE KIMMEL PAVILION (WHICH ALSO HOUSES THE HASSENFELD CHILDREN'S HOSPITAL) AND TISCH HOSPITAL. NYU LANGONE ORTHOPEDIC HOSPITAL ("NYU ORTHOPEDICS"), ALSO LOCATED IN MANHATTAN, IS A 225-BED FACILITY SPECIALIZING IN ORTHOPEDIC, NEUROLOGIC, AND RHEUMATOLOGIC SERVICES. NYU LANGONE HOSPITAL-BROOKLYN ("NYU BROOKLYN") IS A 444-BED FACILITY IN THE SUNSET PARK SECTION OF BROOKLYN; AND NYU LANGONE - LONG ISLAND ("NYU LONG ISLAND") IS A 591-BED FACILITY LOCATED IN MINEOLA, NEW YORK. AMBULATORY FACILITIES INCLUDE THE LAURA AND ISAAC PERLMUTTER CANCER CENTER ("CANCER CENTER"), A COMPREHENSIVE CANCER AND AMBULATORY CARE CENTER, THE JOSEPH S. AND DIANE H. STEINBERG AMBULATORY CARE CENTER, IN THE COBBLE HILL NEIGHBORHOOD OF BROOKLYN, WHICH INCLUDES A FREE-STANDING EMERGENCY DEPARTMENT, AMONGST OTHERS.NYU BROOKLYN HAD AN EXISTING AFFILIATION AGREEMENT WITH SUNSET PARK HEALTH COUNCIL, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, D/B/A FAMILY HEALTH CENTER AT NYU LANGONE ("FHC"). FHC IS A DESIGNATED LEVEL 3 MEDICAL HOME AND A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC") WHICH WAS ESTABLISHED AS A "CO-OPERATOR" WITH BROOKLYN. A NEW AFFILIATION AGREEMENT WAS EXECUTED IN FISCAL YEAR 2017 BETWEEN NYULH AND FHC WHICH WILL REMAIN IN EFFECT FOR AS LONG AS NYULH REMAINS A CO-OPERATOR OF THE FQHC.ON MARCH 1, 2025, LICH MERGED WITH AND INTO NYULH AND HAS SINCE BEEN OPERATING AS NYU LANGONE HOSPITAL - SUFFOLK. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW YORK UNIVERSITY - GROSSMAN SCHOOL OF MEDICINE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 EAST 17TH STREET 2ND FL | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 135562308 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $28,960,175 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | SUPPORT CLINICAL, EDUCATIONAL, AND RESEARCH ACTIVITIES OF NYU GROSSMAN SCHOOL OF MEDICINE. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ORGANIZATION'S PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS TO OTHER 501(C)(3) ORGANIZATIONS IN THE UNITED STATES: THE GRANTEE ORGANIZATION IS A 501(C)(3) ENTITY THAT IS RELATED TO THE REPORTING ORGANIZATION AND PROVIDES PERIODIC REPORTING OF ITS PROGRAMMATIC ACTIVITIES AND FINANCIAL NEEDS. NYU GROSSMAN SCHOOL OF MEDICINE ("SOM") IS AN ADMINISTRATIVE UNIT OF NEW YORK UNIVERSITY WHICH IS THE SOLE MEMBER OF NYULHS WHICH IN TURN IS THE SOLE MEMBER OF LICH. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH J LHOTA | ||||||||||||||
| TRUSTEE | $0 | $2,904,802 | $0 | $10,316,167 | $0 | $37,586 | $0 | $745,524 | $0 | $37,020 | $0 | $14,041,099 | $0 | $1,078,090 |
| ANDREW W BROTMAN MD | ||||||||||||||
| TRUSTEE | $0 | $2,116,000 | $0 | $7,000,000 | $0 | $22,805 | $0 | $1,814,216 | $0 | $6,359 | $0 | $10,959,380 | $0 | $1,870,712 |
| VICKI MATCH SUNA AIA | ||||||||||||||
| TRUSTEE | $0 | $1,169,568 | $0 | $5,250,000 | $0 | $27,124 | $0 | $755,030 | $0 | $21,882 | $0 | $7,223,604 | $0 | $764,791 |
| JOSEPH GRECO MD | ||||||||||||||
| TRUSTEE | $0 | $1,102,567 | $0 | $4,000,000 | $0 | $14,086 | $0 | $478,138 | $0 | $18,086 | $0 | $5,612,877 | $0 | $473,475 |
| MARC S ADLER MD MBA | ||||||||||||||
| SVP / CHIEF OF HOSPITAL OP | $0 | $906,618 | $0 | $1,000,000 | $0 | $3,421 | $0 | $33,000 | $0 | $17,424 | $0 | $1,960,463 | $0 | $0 |
| GARY KALKUT MD | ||||||||||||||
| TRUSTEE | $0 | $991,507 | $0 | $750,000 | $0 | $21,875 | $0 | $33,000 | $0 | $50,369 | $0 | $1,846,751 | $0 | $0 |
| RICHARD T MARGULIS | ||||||||||||||
| FRMR PRESIDENT & CEO (UNTIL 7/1/23) | $0 | $0 | $0 | $0 | $913,503 | $0 | $51,150 | $0 | $27,713 | $0 | $992,366 | $0 | $0 | $0 |
| RAVI GUPTA MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $436,812 | $0 | $400,000 | $0 | $810 | $0 | $11,600 | $0 | $44,151 | $0 | $893,373 | $0 | $0 | $0 |
| MATTHEW B PEDDIE | ||||||||||||||
| VP, CHIEF OPERATING OFFICE | $397,301 | $0 | $60,000 | $0 | $2,322 | $0 | $11,600 | $0 | $45,527 | $0 | $516,750 | $0 | $0 | $0 |
| KATHRYN LANG DNP RN NE-BC | ||||||||||||||
| MEDICAL DIR, PALLIATIVE CA | $354,462 | $0 | $80,000 | $0 | $6,858 | $0 | $11,256 | $0 | $16,081 | $0 | $468,657 | $0 | $0 | $0 |
| NABIL KIRIDLY MD | ||||||||||||||
| TRUSTEE | $0 | $361,549 | $0 | $33,750 | $0 | $1,502 | $0 | $0 | $0 | $5,927 | $0 | $402,728 | $0 | $0 |
| EDWARD KORMYLO DPM | ||||||||||||||
| SECRETARY | $320,173 | $0 | $0 | $0 | $9,888 | $0 | $0 | $0 | $0 | $0 | $330,061 | $0 | $0 | $0 |
| POL T GAMMAD | ||||||||||||||
| BSN, REGISTERED NURSE | $251,374 | $0 | $0 | $0 | $387 | $0 | $22,755 | $0 | $42,630 | $0 | $317,146 | $0 | $0 | $0 |
| SARA HALSTENSEN | ||||||||||||||
| PERIOP SURGICAL SERVICES | $259,812 | $0 | $1,350 | $0 | $114 | $0 | $4,854 | $0 | $167 | $0 | $266,297 | $0 | $0 | $0 |
| OKSANA RYBAK | ||||||||||||||
| PERIOP SURGICAL SERVICES | $246,852 | $0 | $1,500 | $0 | $135 | $0 | $7,166 | $0 | $4,016 | $0 | $259,669 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | 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 EVERY TWO TO THREE YEARS FOR THEIR REVIEW AND EVALUATION OF THE CURRENT SALARIES AND FRINGE BENEFITS OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF LICH 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. 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 RECOMMENDATIONS FOR ALL COMPENSATION. THE INFORMATION IS PRESENTED TO THE OVERALL LONG ISLAND COMMUNITY HOSPITAL BOARD, SUBJECT TO RATIFICATION OF THE BOARD OF DIRECTORS. |
| PART I, LINES 4A-B | PART I, LINE 4A: RICHARD T. MARGULIS, FORMER PRESIDENT & CHIEF EXECUTIVE OFFICER RECEIVED A SEVERANCE PAYMENT OF $913,503 FOLLOWING HIS RETIREMENT ON JULY 1, 2023. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SERP DURING CALENDAR YEAR 2024. THE AMOUNTS LISTED BELOW REPRESENT THE EMPLOYER CONTRIBUTIONS TO THESE PLANS FOR CALENDAR YEAR 2024. THESE AMOUNTS ARE REPORTED AS SHARED COSTS BETWEEN NYU LANGONE HOSPITALS ("NYULH") AND NYU GROSSMAN SCHOOL OF MEDICINE ("SOM"). ANDREW W. BROTMAN, MD - $1,779,716; JOSEPH J. GRECO, MD - $445,138; JOSEPH J. LHOTA - $711,024; AND VICKI MATCH SUNA, AIA - $732,030. THE SERP CONTRIBUTIONS WERE MADE PURSUANT TO NEGOTIATED AGREEMENTS WITH THE LISTED INDIVIDUALS. |
| FORM 990, SCHEDULE J, PART II, COL. (F) | THE FOLLOWING INDIVIDUALS' OTHER REPORTABLE COMPENSATION (COL. (B)(III)) INCLUDES A TAXABLE SERP DURING CALENDAR YEAR 2024. THIS AMOUNT INCLUDES SERP CONTRIBUTIONS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION. THIS AMOUNT IS REPORTED AS A SHARED COST BETWEEN NYULH AND SOM. ANDREW W. BROTMAN, MD - $1,870,712; JOSEPH J. LHOTA - $1,078,090; VICKI MATCH SUNA, AIA - $764,791; AND JOSEPH J. GRECO, MD - $473,475. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWN OF BROOKHAVEN LOCAL DEVELOPMENT CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 272768182 | BondIssuerEIN |
| CUSIP | 113168BG2 | CUSIPNum |
| Bond Issued | 2020-10-29 | BondIssuedDt |
| Issue Price | $64,520,669 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $65,337,316 | TotalProceedsAmt |
| In Reserve Fund | $4,189,330 | InReserveFundAmt |
| Capitalized Interest | $610,005 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,150,076 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $20,719,787 | CapitalExpendituresAmt |
| Other Spent Proceeds | $38,668,118 | OtherSpentProceedsAmt |
| Substantial Completion | 2023 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE B, COLUMN (F): | 1) REFUND PRIOR ISSUES (3/27/14, 8/4/17, 6/1/18, 9/26/18, 10/1/18, 2/9/17, 5/16/18, 11/14/19); 2) PURCHASE EQUIPMENT INCLUDING: PYXIS (PHARMACY); BEDS, STRETCHERS, CHAIRS; LABORATORY AND CHEMISTRY EQUIPMENT; BLOOD BANK SYSTEMS; RESPIRATORY VENTILATORS; AIR PURIFICATION SYSTEMS; CENTRAL STERILIZERS; AND BLOOD BANK SYSTEM; 3) FACILITY MAINTENANCE INCLUDING: HVAC; COOLING TOWER REPLACEMENT; ELECTRICAL; GENERATOR; SICU NURSE CALL SYSTEM REPLACEMENT; SEWAGE TREATMENT PLANT; CHILLER; BOILER PLANT; AND FLOORING; 4) CONSTRUCTION OF PHARMACY FOR CHEMO REQUIREMENTS; 5) RENOVATIONS TO PATIENT ROOMS AND KITCHEN; 6) MODERNIZE: INFORMATION TECHNOLOGY AND ENTERPRISE IMAGING NEEDS. |
| PART II, LINE 3 | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA BETH MCDOWELL | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $69,034 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATIONLAURA BETH MCDOWELL HAS A FAMILY RELATIONSHIP WITH ROBERT W. SCHWARZ, TRUSTEE, AND IS AN EMPLOYEE OF THE ORGANIZATION. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (8 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| NYU LANGONE HOSPITALS | |||||||||
| CASH | 2025-02-28 | $4,377,715 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| NYU LANGONE HOSPITALS | |||||||||
| SAVINGS AND TEMPORARY INVESTMENTS | 2025-02-28 | $40,808,890 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| NYU LANGONE HOSPITALS | |||||||||
| ACCOUNTS RECEIVABLE, NET | 2025-02-28 | $62,736,975 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| NYU LANGONE HOSPITALS | |||||||||
| INVENTORIES | 2025-02-28 | $9,825,017 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| NYU LANGONE HOSPITALS | |||||||||
| OTHER ASSETS | 2025-02-28 | $60,163,537 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| NYU LANGONE HOSPITALS | |||||||||
| INVESTMENTS | 2025-02-28 | $10,257,478 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| NYU LANGONE HOSPITALS | |||||||||
| PROPERTY, PLANT, AND EQUIPMENT, NET | 2025-02-28 | $230,118,919 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| NYU LANGONE HOSPITALS | |||||||||
| RIGHT OF USE ASSETS - OPERATING | 2025-02-28 | $861,440 | FMV | 133971298 | 550 FIRST AVENUE | NEW YORK | NY | 10016 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (1) | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | Yes (1) | BondsOutstandingInd |
| Bond Liabilities Discharged | 0 | BondLiabilitiesDischargedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 6C: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE N, PART 1, LINE 6CTHE OUTSTANDING TAX-EXEMPT BOND ISSUE DISCLOSED IN SCHEDULE K OF THIS FORM 990 WAS TRANSFERRED TO NYU LANGONE HOSPITALS ON FEBRUARY 28, 2025.SCHEDULE N, PART 1, LINE 2ATRUSTEES ANDREW W. BROTMAN, MD, JOSEPH J. LHOTA, AND VICKI MATCH SUNA, AIA, LISTED IN PART VII OF THIS FORM 990, ARE OFFICERS OF THE TRANSFEREE ORGANIZATION. SCHEDULE N, PART 1, LINE 2BALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES LISTED IN PART VII OF THIS FORM 990 BECAME EMPLOYEES OF THE TRANSFEREE ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, WEBSITE ADDRESS: | LICH WEBSITE: PRIOR TO THE MERGER OF LICH WITH AND INTO NYULH ON MARCH 1, 2025, THE HOSPITAL'S WEBSITE WAS WWW.LICOMMUNITYHOSPITAL.ORG. AS OF MARCH 1, 2025, THE WEBSITE IS: HTTPS:/NYULANGONE.ORG/LOCATIONS/NYU-LANGONE-HOSPITAL-SUFFOLK |
| FORM 990, PART VI, SECTION A, LINE 6 | NYULHS IS THE SOLE MEMBER OF LICH. |
| FORM 990, PART VI, SECTION A, LINE 7A | NYULHS (THE "MEMBER") AS THE SOLE MEMBER, HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS (IN ACCORDANCE WITH OTHER PROVISIONS OF THE BYLAWS): (A) ELECTING THE CORPORATION'S BOARD OF DIRECTORS; (B) REMOVING THE CORPORATION'S BOARD OF DIRECTOR; AND (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | WITH RESPECT TO THE DECISIONS OF THE BOARD OF TRUSTEES OF THE HOSPITAL, NYULHS (THE "MEMBER") AS THE SOLE MEMBER, HAS THE POWER AND AUTHORITY OVER THE FOLLOWING MATTERS (IN ACCORDANCE WITH OTHER PROVISIONS OF THE BYLAWS): (A) ELECTING THE CORPORATION'S BOARD OF DIRECTORS; (B) REMOVING THE CORPORATION'S BOARD OF DIRECTOR; (C) FILLING ANY VACANCIES IN THE CORPORATION'S BOARD OF DIRECTORS; (D) AMENDING OR REPEALING THE BYLAWS OR ADOPTING NEW BYLAWS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (E) APPROVING THE CORPORATION'S MERGER OR CONSOLIDATION WITH ANOTHER ENTITY, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; PROVIDED THAT WITH RESPECT TO THE MERGER OF THE CORPORATION WITH AND INTO NYULH, THE APPROVAL OF THE CORPORATION'S BOARD OF DIRECTORS SHALL BE LIMITED SOLELY TO THOSE ACTIONS REQUIRED BY THE NPCL; (F) APPROVING THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (G) REVIEWING THE VISION, MISSION AND STRATEGIC AND FINANCIAL PLANS OF THE CORPORATION; (H) APPROVING THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (I) APPROVING THE INCURRENCE OF ANY INDEBTEDNESS OF $5 MILLION OR MORE IN ANY GIVEN FISCAL YEAR, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (J) APPROVING ANY TRANSACTION HAVING A VALUE OF $25 MILLION OR MORE, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (K) APPROVING THE CREATION, ACQUISITION AND/OR DISSOLUTION OF AN ENTITY IN WHICH THE CORPORATION IS PROPOSED TO BE, OR IS, THE CONTROLLING MEMBER, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; (L) APPROVING ANY CHANGES IN USE OF RESTRICTED FUNDS, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS; AND (M) THE EXERCISE OF ANY POWERS BY THE CORPORATION ACTING IN ITS CAPACITY AS DIRECT OR INDIRECT MEMBER, SHAREHOLDER OR PARTNER OF ANY AFFILIATE, SUBSIDIARY OR JOINT VENTURE, WHICH SHALL FIRST BE APPROVED BY THE CORPORATION'S BOARD OF DIRECTORS. THE ABOVE-REFERENCED POWERS (OTHER THAN THOSE PROHIBITED TO A PASSIVE PARENT UNDER ARTICLE 28 OF THE NEW YORK PUBLIC HEALTH LAW) ARE SUBJECT TO REACH-THROUGH APPROVAL RIGHTS IN FAVOR OF NEW YORK UNIVERSITY AS SOLE CORPORATE MEMBER OF THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. NYU LANGONE HEALTH'S ("HEALTH") FINANCE DEPARTMENT DRAFTS THE FORM 990 AND THE ACCOMPANYING SCHEDULE BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY. 2. THE DRAFT IS REVIEWED BY THE SENIOR VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER, AND LICH'S SENIOR VICE PRESIDENT / CHIEF OF HOSPITAL OPERATIONS, FOR COMPLETENESS AND ACCURACY. 3. THE REVIEWED DRAFT IS PRESENTED TO HEALTH'S BOARD OF TRUSTEES' AUDIT COMMITTEE AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 4. ONCE APPROVED BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARDED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | LICH HAS FORMALLY ADOPTED THE CONFLICTS OF INTEREST POLICY OF ITS SOLE MEMBER, NYULHS. THIS POLICY IS MONITORED ON AN ANNUAL BASIS AND REQUIRES OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE ANY CONFLICTS OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY NYULHS ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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 EVERY TWO TO THREE YEARS FOR THEIR REVIEW AND EVALUATION OF THE CURRENT SALARIES AND FRINGE BENEFITS OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF LICH 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. 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 RECOMMENDATIONS FOR ALL COMPENSATION. THE INFORMATION IS PRESENTED TO THE OVERALL LONG ISLAND COMMUNITY HOSPITAL BOARD, SUBJECT TO RATIFICATION OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 18 | AVAILABILITY OF FORMS 1023 AND 990 TO THE GENERAL PUBLIC: THE ORGANIZATION'S FORMS 1023 AND 990 ARE MADE AVAILABLE UPON REQUEST BY E-MAIL AT TAXSERVICES@NYULANGONE.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS AVAILABLE ON ITS WEBSITE AT: HTTP://NYULANGONE.ORG/POLICIES-DISCLAIMERS/CONFLICTS-INTEREST. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT MADE PUBLICLY AVAILABLE. THE ORGANIZATION'S FINANCIAL STATEMENT IS MADE AVAILABLE TO THE PUBLIC AS PART OF ITS ANNUAL FILING WITH THE NYS ATTORNEY GENERAL'S OFFICE AND IS AVAILABLE THROUGH THEIR WEBSITE. |
| FORM 990, PART XI, LINE 9: | NET ASSET TRANSFER TO NYU LANGONE HOSPITALS ON MERGER -13,230,096. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEW YORK UNIVERSITY | ||||||||||||||||
| 105 EAST 17TH STREET 4TH FL | NEW YORK | NY | 10003 | 135562308 | UNIVERSITY | NY | 501(C)(3) | LINE 2 | N/A | 0 | ||||||
| NYU LANGONE HEALTH SYSTEM | ||||||||||||||||
| 550 FIRST AVENUE MSB 153 | NEW YORK | NY | 10016 | 472613531 | SUPPORTING ORG. | NY | 501(C)(3) | LINE 12B, II | Yes (1) | NEW YORK UNIVERSITY | ||||||
| 34TH STREET CANCER CENTER INC | ||||||||||||||||
| C/O NYULH 550 FIRST AVENUE | NEW YORK | NY | 10016 | 300262470 | CANCER CARE | NY | 501(C)(3) | LINE 12C, III-FI | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| SIR HAROLD ACTON CHARITABLE TRUST | ||||||||||||||||
| 105 EAST 17TH STREET 4TH FL | NEW YORK | NY | 10003 | 137050560 | SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| HORTENSE ACTON CHARITABLE TRUST | ||||||||||||||||
| PO BOX 1802 | PROVIDENCE | RI | 02901 | 367110976 | SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY | IL | 501(C)(3) | PF | Yes (1) | NEW YORK UNIVERSITY | ||||||
| KJC (REY JUAN CARLOS I DE ESPANA DE LA UNIVERSIDAD DE NUEVA YORK) | ||||||||||||||||
| SUPPORT NYU'S PROGRAM IN SPAIN | Yes (1) | NEW YORK UNIVERSITY | CALLE SEGRE 8 | MADRID | SP | 28002 | SP | |||||||||
| NATIONAL CENTER ON PHILANTHROPY AND THE LAW | ||||||||||||||||
| 139 MACDOUGAL STREET 1ST FL | NEW YORK | NY | 10012 | 133954405 | STUDY, RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY SCHOOL OF LAW FOUNDATION | ||||||
| NYU IN ABU DHABI CORP | ||||||||||||||||
| 105 EAST 17TH STREET 4TH FL | NEW YORK | NY | 10003 | 262652713 | SUPPORT NYU'S CAMPUS IN ABU DHABI | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU IMAGING INC | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 134000622 | SUPPORT NYU SCHOOL OF MEDICINE | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NEW YORK UNVERSITY SCHOOL OF LAW FOUNDATION | ||||||||||||||||
| 110 WEST 3RD ST 2ND FL | NEW YORK | NY | 10012 | 136161036 | SUPPORT NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 10 | Yes (1) | NEW YORK UNIVERSITY | ||||||
| WASHINGTON SQUARE LEGAL SERVICES INC | ||||||||||||||||
| 110 WEST 3RD ST 4TH FL | NEW YORK | NY | 10012 | 237392120 | CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU'S SCHOOL OF LAW | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| NYU IN LONDON | ||||||||||||||||
| 981074101 | SUPPORT NYU'S PROGRAM IN LONDON | Yes (1) | NEW YORK UNIVERSITY | 6 BEDFORD SQUARE | LONDON | UK | WC1B 3RA | UK | ||||||||
| NYU HONG KONG FOUNDATION LTD | ||||||||||||||||
| SUPPORT NYU'S PROGRAM IN HONG KONG | Yes (1) | NEW YORK UNIVERSITY | RM 804 THE TESBURY CENTRE 28 QUEE | WAN CHAI | HK | HK | ||||||||||
| NYU IN TEL-AVIV LTD | ||||||||||||||||
| 981058326 | SUPPORT NYU'S PROGRAM IN TEL-AVIV | Yes (1) | NEW YORK UNIVERSITY | TUVAL 13 | RAMAT GAN | IS | 52522 | IS | ||||||||
| NEW YORK UNIVERSITY IN FRANCE | ||||||||||||||||
| 981058568 | SUPPORT NYU'S PROGRAM IN FRANCE | Yes (1) | NEW YORK UNIVERSITY | 56 RUE DE PASSY | PARIS | FR | 75016 | FR | ||||||||
| NEW YORK UNIVERSITY IN AFGHANISTAN | ||||||||||||||||
| SUPPORT NYU'S ACTIVITIES IN AFGHANISTAN | Yes (1) | NEW YORK UNIVERSITY | 150 MASJID E HAJI ABDURRAHIM ST CHA | KABUL | AF | AF | ||||||||||
| NYU LANGONE IPA INC | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 364841069 | IPA OPERATING A MEDICAID SHARED SAVINGS PROGRAM | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| NYU LANGONE HOSPITALS | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 133971298 | HOSPITAL | NY | 501(C)(3) | LINE 3 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
| NYU LANGONE MSO INC | ||||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | 824528600 | CONTRACT FOR DELIVERY/PROVISION OF HEALTH SERVICES | NY | 501(C)(3) | LINE 12A, I | Yes (1) | NEW YORK UNIVERSITY | ||||||
| BROOKHAVEN HEALTH CARE SERVICES CORPORATION | ||||||||||||||||
| 101 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | 112950196 | SUPPORT LONG ISLAND COMMUNITY HOSPITAL | NY | 501(C)(3) | LINE 7 | Yes (1) | NYU LANGONE HEALTH SYSTEM | ||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NYU LANGONE DIAGNOSTICS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 FIRST AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 301001205 | EIN |
| Primary Activities | OUTREACH TESTING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Province Or StateForeignAddress/ProvinceOrStateNm | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CCC 550 INSURANCE SCC | |||||||||||||||
| 550 FIRST AVENUE | NEW YORK | NY | 10016 | SELF-INSURANCE | BB | N/A | C | 0 | |||||||
| LA PIETRA SRL | |||||||||||||||
| HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUS | IT | N/A | C | 0 | VIA BOLOGNESE 120 | FIRENZE | IT | 50139 | |||||||
| NIU DA ED INFOR CONSULTING CO LTD | |||||||||||||||
| SUPPORT NYU'S PROGRAM IN CHINA | CH | N/A | C | 0 | 1555 CENTURY AVENUE ROOM 1063 | PUDONG NEW AREA | CH | 200062 | SHANGHAI | ||||||
| NYU PLUS PARIS | |||||||||||||||
| CONTINUING AND EXECUTIVE EDUCATION | FR | N/A | C | 0 | 57 BD SAINT GERMAIN | PARIS | FR | 75005 | |||||||
| SHORE HILL HOUSING ASSOCIATES GP INC | |||||||||||||||
| 550 FIRST AVENUE HCC 15 | NEW YORK | NY | 10016 | HOUSING | N/A | C | 0 | 262243695 | NY | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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