Neighborhood Health Providers Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Neighborhood Health Providers Inc (EIN 94-3474115)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201313169349301626
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T09:33:54-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN943474115EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEIGHBORHOOD HEALTH PROVIDERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEIGNameControl
Phone2128084775Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 FIFTH AVENUE 3RD FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10175ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONALD R ARFINName
TitleCFOTitle
Phone2128084775Phone
Date Signed2013-11-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN J BORYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1521 FIFTH AVENUE 3RD FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10175ZIPCode
FieldValueIRS element (for citing)
Gross Receipts976301066GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF A PREPAID HEALTH SERVICES PLAN THAT PROVIDES HEALTH CARE BENEFITS TO BENEFICIARIES UNDER MEDICAID, FAMILY HEALTH PLUS, CHILD HEALTH PLUS PROGRAMSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees4TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year687698801ProgramServiceRevenuePriorYear
Program Service Revenue CY921538254ProgramServiceRevenueCY
Investment Income Prior Year3405560InvestmentIncomePriorYear
Investment Income Current Year2571937InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year691104361TotalRevenuePriorYear
Total Revenue Current Year924110191TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year256569SalariesEtcPriorYear
Salaries Etc Current Year418344SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year713507885OtherExpensePriorYear
Other Expenses Current Year913606353OtherExpensesCurrentYear
Total Expenses Prior Year713764454TotalExpensesPriorYear
Total Expenses Current Year914024697TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-22660093RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10085494RevenuesLessExpensesCY
Total Assets BOY169856976TotalAssetsBOY
Total Assets EOY212263274TotalAssetsEOY
Total Liabilities BOY134008585TotalLiabilitiesBOY
Total Liabilities EOY166395669TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY35848391NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY45867605NetAssetsOrFundBalancesEOY
Mission DescriptionOPERATION OF A PREPAID HEALTH SERVICES PLAN THAT PROVIDES HEALTH CARE BENEFITS TO BENEFICIARIES UNDER MEDICAID, FAMILY HEALTH PLUS, AND CHILD HEALTH PLUS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense756918907Expense
Revenue822149495Revenue
DescriptionMEDICAIDDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense72428485Expense
Revenue74872653Revenue
DescriptionFAMILY HEALTH PLUSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20956606Expense
Revenue24516106Revenue
DescriptionCHILD HEALTH PLUSDescription
FieldValueIRS element (for citing)
Total Program Service Expense850303998TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RONALD R ARFINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2128084775TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1521 FIFTH AVENUE 3RD FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10175ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
ALVIN KAHN MD
DIRECTOR5.0035.00X02307696737
BRUCE FLANZ
DIR, PRESIDENT & CEO5.0035.00X0138305224107
FRED BEEKMAN
DIRECTOR5.0035.00X032380025607
MOUNIR DOSS
DIR, EXECUTIVE VP & CFO5.0035.00X099235524107
STEVEN J BORY
PRESIDENT & CEO25.0015.00X185378150665942950X
VITO BUCCELLATO
DIRECTOR5.00X000
RONALD R ARFIN
CHIEF FINANCIAL OFFICER25.0015.007636764507138879X
AUDREY BRAHAMSHA
VP COMPLIANCE OFFICER25.0015.005283913723726562X
H KENNETH LAMPERT MD
CHIEF MEDICAL OFFICER25.0015.007107017781937139X
FieldValueIRS element (for citing)
Total Reportable Comp From Org385654TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5396762TotalReportableCompFrmRltdOrgs
Total Other Compensation226088TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ROYAL HEALTH CARE OF LONG ISLAND LLC
521 FIFTH AVENUE 3RD FLOORNEW YORKNY10175ADMINISTRATIVE AND MARKETING SERVICES54192373
MEDREVIEW
199 WATER STREET 27TH FLOORNEW YORKNY10038MEDICAL CLAIMS REVIEW SERVICES296234
ERNST & YOUNG LLP
5 TIMES SQUARENEW YORKNY10036CONSULTING179142
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID624100822149495822149495
FAMILY HEALTH PLAN6241007487265374872653
CHILD HEALTH PLUS6241002451610624516106
FieldValueIRS element (for citing)
Total Program Service Revenue921538254TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3456439TotalRevenueColumn
Exclusion$3,456,439ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities51306373Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities52190875Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-884502Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-884502TotalRevenueColumn
Exclusion-$884,502ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column924110191TotalRevenueColumn
Related Or Exempt Function Income921538254RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,571,937ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total385654Total
Management And General385654ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total32690Total
Management And General32690ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total44299563Total
Management And General44299563ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19957Total
Management And General19957ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56338Total
Management And General56338ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total184376Total
Management And General184376ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total190495Total
Management And General190495ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10052186Total
Management And General10052186ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1436426Total
Management And General1436426ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20023Total
Management And General20023ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6167Total
Management And General6167ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total115814Total
Management And General115814ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total94978Total
Management And General94978ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FEE FOR SERVICE COSTS696330743696330743
CAPITATED & OTHER MEDIC125859603125859603
HEALTH ASSESSMENTS2811365228113652
VENDOR ADMINISTRATION67558676755867

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total70165Total
Management And General70165ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total914024697Total
Program Services850303998ProgramServices
Management And General63720699ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY41919274BOY
EOY2512288EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7021371BOY
EOY53906050EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39643735BOY
EOY81058692EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2773111BOY
EOY91233EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY70435570BOY
EOY66444857EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2200000BOY
EOY2200000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5863915BOY
EOY6050154EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY169856976BOY
EOY212263274EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1080197BOY
EOY4726338EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY30000000BOY
EOY30000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY102928388BOY
EOY131669331EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY134008585BOY
EOY166395669EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY35848391BOY
EOY45867605EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35848391BOY
EOY45867605EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY169856976BOY
EOY212263274EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses10085494ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-66280ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years376606861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years617690730CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year687698801CurrentTaxYearMinus1Year
Current Tax Year921538354CurrentTaxYear
Total2603534746Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years376606861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years617690730CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year687698801CurrentTaxYearMinus1Year
Current Tax Year921538354CurrentTaxYear
Total2603534746Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5092603534746PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years637124CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4301370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4014902CurrentTaxYearMinus1Year
Current Tax Year3456439CurrentTaxYear
Total12409835Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years637124CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4301370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4014902CurrentTaxYearMinus1Year
Current Tax Year3456439CurrentTaxYear
Total12409835Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years377243985CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years621992100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year691713703CurrentTaxYearMinus1Year
Current Tax Year924994793CurrentTaxYear
Total2615944581Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMEDICAL SERVICES PAYABLEDescription
Amount$131,669,331Amount
FieldValueIRS element (for citing)
Total Of Amounts131669331TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt924043911TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-66280NetUnrealizedGainsInvestments
Revenue Not Rptd F990-66280RevenueNotRptdF990
Revenue Subtotal924110191RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990924110191TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt914024697TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal914024697ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990914024697TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE PLAN IS A TAX EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER THE LAWS OF NEW YORK STATE. THE PLAN QUALIFIES AS A TAX EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. THE PLAN IS CURRENT WITH RESPECT TO ITS FEDERAL AND STATE INCOME TAX FILING REQUIREMENTS. MANAGEMENT HAS DETERMINED THAT IT HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION. THE PLAN IS NO LONGER SUBJECT TO AUDITS BY THE APPLICABLE TAXING JURISDICTIONS FOR THE PERIOD PRIOR TO 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALVIN KAHN MD
DIRECTOR023076900000007066023783500
BRUCE FLANZ
DIR, PRESIDENT & CEO01240398000142654062500180740140737600
FRED BEEKMAN
DIRECTOR0321478000232206250019574034962400
MOUNIR DOSS
DIR, EXECUTIVE VP & CFO091451300077842062500180740101667900
STEVEN J BORY
PRESIDENT & CEO1853784538860959423093350013987028963185378154960900
RONALD R ARFIN
CHIEF FINANCIAL OFFICER7636718071603803930839620139870248927636768395000
AUDREY BRAHAMSHA
VP COMPLIANCE OFFICER52839125375010441014210130310135315283916379900
H KENNETH LAMPERT MD
CHIEF MEDICAL OFFICER71070160211016225013830139870231527107021495800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationINCENTIVE COMPENSATIONS PAID BY RELATED ORGANIZATION ROYAL HEALTH CARE OF LONG ISLAND, LLC ARE BASED UPON NET EARNINGS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6MEDISYS HEALTH NETWORK AND LINROC COMMUNITY SERVICE CORPORATION ARE EACH 50% MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AMEDISYS HEALTH NETWORK AND LINROC COMMUNITY SERVICE CORPORATION AS THE SOLE MEMBERS, CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCE
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION POLICY - THE BOARD OF MEDISYS HEALTH NETWORK HAS CREATED AN INDEPENDENT COMPENSATION COMMITTEE WHOSE CHARGE IS TO REVIEW AND APPROVE THE COMPENSATION OF ALL INDIVIDUALS WHO MEET THE REQUIREMENTS OF A DISQUALIFIED PERSON FOR INTERMEDIATE SANCTIONS. THIS COMMITTEE IS EMPOWERED TO APPROVE COMPENSATION FOR ALL ENTITIES WITHIN THE MEDISYS HEALTH NETWORK SYSTEM. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR EXECUTIVES. IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTIONS REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE COMMITTEE SHALL APPROVE BASE SALARIES FOR EXECUTIVES AND ANY DISQUALIFIED INDIVIDUALS BASED UPON THE AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES WITHIN THE RELEVANT MARKETPLACE, WITH POSSIBLE ADJUSTMENTS MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. THE CEO SHALL RECOMMEND TO THE COMPENSATION COMMITTEE ANY ADJUSTMENTS TO THE BASE SALARIES OF EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1B:FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 10 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 10 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10 HOURS PER WEEK ALVIN I. KAHN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR BROOKDALE HOSPITAL MEDICAL CENTER. ALVIN I. KAHN M.D. DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR NEIGHBORHOOD HEALTH PROVIDERS INC.
FORM 990, PART XII, LINE 2C:THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
AMBOY PROPERTIES CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814707PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0
BROOKDALE FAMILY CARE CENTER
101-10 AVENUE DBROOKLYNNY11236113237483HEALTHCARENY501(C)(3)LINE 3MEDISYS HEALTH NETWORK0
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-10 AVENUE DBROOKLYNNY11236237082540HOUSINGNY501(C)(2)N/ABROOKDALE HOSPITAL MEDICAL CENTER0
BROOKDALE HOSPITAL MEDICAL CENTER
ONE BROOKDALE PLAZABROOKLYNNY11212111631746HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212311634638INACTIVENY501(C)(3)3MEDISYS HEALTH NETWORK0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVDFLUSHINGNY11355111631781HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL MEDICAL CENTER
8900 VAN WYCK EXPYJAMAICANY11418111631788HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPYJAMAICANY11418237216197HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
LINROC COMMUNITY SERVICE CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814765SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(C)(3)11A0N/A
ROCKREAL CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814705SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-10 AVENUE DBROOKLYNNY11236237270262HEALTHCARENY501(C)(3)7SCHULMAN SCHACHNE INSTITUTE FOR NURSING0
SCHLANG PAVILION DBA BROOKDALE RESIDENCE HOUSING DEVELOPMENT
101-10 AVENUE DBROOKLYNNY11236113324040HOUSINGNY501(C)(3)9MEDISYS HEALTH NETWORK0
SCHULMAN SCHACHNE INSTITUTE FOR NURSING
101-10 AVENUE DBROOKLYNNY11236237085986HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPYJAMAICANY11418113340969HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212112814704INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
URBAN STRATEGIES
101-10 AVENUE DBROOKLYNNY11236113237480HEALTHCARENY501(C)(3)3LINROC COMMUNITY SERVICE CORP0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
NHP HOLDINGS LLC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175203418837HOLDING COMPANYNYN/A
ROYAL HEALTH CARE OF LONG ISLAND
521 FIFTH AVE 3RD FLOORNEW YORKNY10175133887900MANAGEMENT SERVICES ORG.NYN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
BHMC ENTERPRISES
101-01 AVENUE DBROOKLYNNY11236112855200LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVENYN/AC0
BROOKDALE RX
101-01 AVENUE DBROOKLYNNY11236202041821RETAIL PHARMACYNYN/AC0
FRR RECOVERY SERVICES
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYN/AC0
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334DURABLE MEDICAL EQUIPMENT COMPANYNYN/AC0
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYN/AC0
LCSC HOLDINGS
101-01 AVENUE DBROOKLYNNY11236113357198HOLDING COMPANYNYN/AC0
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418030474027HOME CARE STAFFING/INACTIVENYN/AC0
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYN/AC0
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113479920HOLDING COMPANYNYN/AC0
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYN/AC0
MHN REALTY
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113458286REAL ESTATE/INACTIVENYN/AC0
RAINBOW PHARMACY DBA FLUSHING RX
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYN/AC0
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ROYAL HEALTH CARE OF LONG ISLAND LLC
L44299563FMV
ROYAL HEALTH CARE OF LONG ISLAND LLC
L9892437COST + 10%

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