BROOKLYN QUEENS HEALTH CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BROOKLYN QUEENS HEALTH CARE INC (EIN 31-1650965)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349306286
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)
Timestamp2013-11-15T13:07:29-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Charles A Barragato & Co LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1950 Third Avenue - 20th FLAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311650965EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Brooklyn-Queens Health Care IncBusinessNameLine1
Business Name Line2F/K/A WHMC Properties IncBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% FRANK VUTRANOInCareOfName
Name ControlBROONameControl
Phone7189636702Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1374 Stockholm StreetAddressLine1
Address Line2SuiteAddressLine2
CityBrooklynCity
StateNYState
ZIP Code11237ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFrank VutranoName
TitleCFOTitle
Phone7189636702Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAngelo Pirozzi CPAName
Phone2123714446Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAMON RODRIGUEZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1374 Stockholm StreetAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11237ZIPCode
FieldValueIRS element (for citing)
Gross Receipts309856GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.WYCKOFFHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF WYCKOFF HEIGHTS MEDICAL CENTER AND ITS AFFILIATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year345086ProgramServiceRevenuePriorYear
Program Service Revenue CY309856ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year345086TotalRevenuePriorYear
Total Revenue Current Year309856TotalRevenueCurrentYear
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 Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year101595OtherExpensePriorYear
Other Expenses Current Year303398OtherExpensesCurrentYear
Total Expenses Prior Year101595TotalExpensesPriorYear
Total Expenses Current Year303398TotalExpensesCurrentYear
Revenues Less Expenses Prior Year243491RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6458RevenuesLessExpensesCY
Total Assets BOY173726TotalAssetsBOY
Total Assets EOY185034TotalAssetsEOY
Total Liabilities BOY29961TotalLiabilitiesBOY
Total Liabilities EOY29961TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY143765NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY155073NetAssetsOrFundBalancesEOY
Mission DescriptionTO SUPPORT THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF WYCKOFF HEIGHTS MEDICAL CENTER AND ITS AFFILIATES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense270126Expense
Revenue309856Revenue
DescriptionTO SUPPORT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF WYCKOFF HEIGHTS MEDICAL CENTER AND ITS AFFILIATES.Description
Total Program Service Expense270126TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFRANK VUTRANONamePerson
Telephone Number7189636702TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1374 STOCKHOLM STREETAddressLine1
CityBrooklynCity
StateNYState
ZIP Code11237ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationReportable Comp From Related OrgsReportableCompFromRelatedOrgsFormerFormer
GARY GOFFNER
CHAIRMAN1.03.0XX00
VINCENT ARCURI
VICE CO-CHAIRMAN1.03.0XX
HERMAN HOCHBERG
VICE CO-CHAIRMAN1.03.0XX
FRED T HALLER III ESQ
SECRETARY1.03.0XX
JOHN H COOK JR ESQ
TRUSTEE1.03.0X
VITO J D'ALESSANDRO MD
TRUSTEE1.03.0X024035325
ADAM FIGUEROA
TRUSTEE1.03.0X
EDMONDO MODICA MD
TRUSTEE1.03.0X
ANDREW BOISSELLE
TRUSTEE1.03.0X
AGNIESZKA POSLEDNIK ESQ
TRUSTEE1.03.0X
ALBERT WILTSHIRE
TRUSTEE1.03.0X
FRANCES PURCELL
TRUSTEE1.03.0X
RAMON RODRIGUEZ ESQ
PRESIDENT & CEO1.034.0XX09056763957
FRANK VUTRANO
TREASURER, CFO1.034.0XX02122219468
AC RAO MD
TRUSTEE THROUGH 3/31/121.034.0X075846527
EMIL J RUCIGAY ESQ
CHAIRPERSON THROUGH 3/3/121.03.0XX
CHARLENE VISCONTI
TRUSTEE THROUGH 6/30/121.03.0X
JOHN D RUCIGAY ESQ
TRUSTEE THROUGH 1/31/121.03.0X
NISHA AGARWAL
TRUSTEE THROUGH 6/30/121.03.0X
FRANK CHIARELLO
TRUSTEE THROUGH 1/31/121.03.0X
VICTORIA COOK ESQ
TRUSTEE THROUGH 4/1/121.03.0X
MARCIA MAXWELL
TRUSTEE THROUGH 3/31/121.03.0X
LEON KOZLOWSKI
TREASURER, CFO THROUGH 6/16/121.034.0X02997273333
RAJIV GARG
FORMER CEO/PRESIDENT0.00.00066117X
WAH-CHUNG HSU
FORMER TREASURER & CFO0.00.000425000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1829727TotalReportableCompFrmRltdOrgs
Total Other Compensation15173TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPARKING LOT INCOMEDescription
Business Code812930BusinessCode
Total Revenue Column309856TotalRevenueColumn
Related Or Exempt Function Income309856RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue309856TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column309856TotalRevenueColumn
Related Or Exempt Function Income309856RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total248926Total
Program Services248926ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SALES TAXES2120021200
PENALTIES AND FINES3327233272

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total303398Total
Program Services270126ProgramServices
Management And General33272ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY173726BOY
EOY185034EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY173726BOY
EOY185034EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29961BOY
EOY29961EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29961BOY
EOY29961EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY143765BOY
EOY155073EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY143765BOY
EOY155073EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY173726BOY
EOY185034EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6458ReconcilationRevenueExpenses
Reconcilation Prior Adjustment4850ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1WYCKOFF HEIGHTS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN111631837EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM WYCKOFF HEIGHTS MED.Description
Book Value185034BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets185034TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO PHV PHARMACYDescription
Amount$29,961Amount
FieldValueIRS element (for citing)
Total Of Amounts29961TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 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
RAMON RODRIGUEZ ESQ
PRESIDENT & CEO07632430007140009056077301300
FRANK VUTRANO
TREASURER, CFO021814600013220002122022159000
LEON KOZLOWSKI
TREASURER, CFO THROUGH 6/16/120148044000125289002997027633000
RAJIV GARG
FORMER CEO/PRESIDENT0661170000000006611700
WAH-CHUNG HSU
FORMER TREASURER & CFO000004250000000042500000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3BQHC'S TOP MANAGEMENT OFFICIALS RECEIVED THEIR COMPENSATION FROM RELATED ORGANIZATIONS, WHICH USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE R.
PART I, LINE 4 - RECEIVED SEVERANCELEON KOZLOWSKI RECEIVED SEVERANCE PAYMENTS OF $125,003 IN 2012. WAH-CHUNG HSU RECEIVED SEVERANCE PAYMENTS OF $425,000 IN 2012.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC.FORM 990, PART VI, LINE 2EMIL RUCIGAY AND JOHN RUCIGAY HAVE A FAMILY RELATIONSHIP. VICTORIA COOK AND JOHN H. COOK, JR. HAVE A FAMILY RELATIONSHIP.
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11BTHE FINANCE DIRECTOR AND CFO UNDERTAKE A DETAILED REVIEW OF THE 990. IN ADDITION, BOARD MEMBERS UNDERTAKE A REVIEW OF THE ORGANIZATION'S FORM 990 AND THEN REVIEW WITH THE CFO ANY COMMENTARY, OBSERVATIONS, AND RECOMMENDATIONS, AS APPROPRIATE.
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CBOARD OF TRUSTEES AUDIT AND COMPLIANCE COMMITTEE REVIEWS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES AND MAKES RECOMMENDATIONS, IF NECESSARY, TO THE FULL BOARD. POSITIVE RESPONSES ARE REVIEWED AND ADDITIONAL INFORMATION IS GATHERED TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, APPROPRIATE ACTION IS TAKEN TO ELIMINATE THE CONFLICT, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE AGREEMENTS. IF A MATTER INVOLVES A BOARD MEMBER OR OFFICER, APPROPRIATE ACTION, INCLUDING RECUSAL AND ADDITIONAL DISCLOSURES, WILL BE DETERMINED BY THE BOARD.
PROCESS OF DETERMINING COMPENSATIONFORM 990, PART VI, LINES 15A AND 15BTHE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS RECEIVED THEIR COMPENSATION FROM RELATED ORGANIZATIONS.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEFORM 990, PART VI, LINE 19UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WYCKOFF HEIGHTS HOSP SELF INSURANCE
374 STOCKHOLM STREETBROOKLYNNY11237112513146INACTIVENY501(c)(3)11AWHMCfalse
STOCKHOLM OBSTETRICS AND GYNECOLOGAL SVC
374 STOCKHOLM STREETBROOKLYNNY11237113318298OB/GYNNY501(c)(3)11AWHMCfalse
WYCKOFF ANESTHESIA MEDICAL SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237113519417ANESTHESIANY501(c)(3)11AWHMCfalse
WYCKOFF HEIGHTS DENTAL SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237113440088DENTISTRYNY501(c)(3)11AWHMCfalse
WYCKOFF HEIGHTS MEDICAL CENTER
374 STOCKHOLM STREETBROOKLYNNY11237111631837HOSPITALNY501(c)(3)3BQHC INCfalse
WYCKOFF HEIGHTS MEDICAL CENTER FNDN
374 STOCKHOLM STREETBROOKLYNNY11237113626419SUPPORTNY501(c)(3)11AWHMCfalse
WYCKOFF MEDICAL SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237113459881MED SERVICESNY501(c)(3)11AWHMCfalse
WYCKOFF NEONATAL SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237113401138NEONATAL SVCNY501(c)(3)11AWHMCfalse
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237113437602ORTHOPEDIC SVNY501(c)(3)11AWHMCfalse
WYCKOFF FAMILY MEDICAL SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237113503139MED SERVICESNY501(c)(3)11AWHMCfalse
WYCKOFF IMAGING SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237861061721MED IMAGINGNY501(c)(3)11AWHMCfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
PREFERRED HEALTH VENTURES PHARMACY INC
374 STOCKHOLM STREETBROOKLYNNY11237112974935INACTIVENYSEE PART VIIC CORPfalse
PREFERRED HEALTH PLACEMENT INC
374 STOCKHOLM STREETBROOKLYNNY11237112973953INACTIVENYSEE PART VIIC CORPfalse
PREFERRED HEALTH PROPERTIES INC
374 STOCKHOLM STREETBROOKLYNNY11237112974963INACTIVENYSEE PART VIIC CORPfalse
WYCKOFF EMERGENCY MEDICINE SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237113495935MED SERVICESNYSEE PART VIIC CORPfalse
WYCKOFF PRACTICE MANAGEMENT CORP
374 STOCKHOLM STREETBROOKLYNNY11237113463990MANAGEMENTNYSEE PART VIIC CORPfalse
PREFERRED HEALTH VENTURES INC
374 STOCKHOLM STREETBROOKLYNNY11237112974960INACTIVENYSEE PART VIIC CORPfalse
WYCKOFF SURGICAL SERVICES PC
374 STOCKHOLM STREETBROOKLYNNY11237270837125SURGICAL SVCSNYSEE PART VIIC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierPART IV, COLUMN (D)Identifier
ExplanationNAME OF RELATED ORGANIZATIONS DIRECT CONTROLLING ENTITY PREFERRED HEALTH VENTURES PHARMACY: PREFERRED HEALTH VENTURES INC PREFERRED HEALTH VENTURES PLACEMENT: PREFERRED HEALTH VENTURES INC PREFERRED HEALTH VENTURES PROPERTIES: PREFERRED HEALTH VENTURES INC PREFERRED HEALTH VENTURES INC: WYCKOFF HEIGHTS MEDICAL CENTER WYCKOFF EMERGENCY MEDICINE SERVICES PC: WYCKOFF HEIGHTS MEDICAL CENTER WYCKOFF PRACTICE MANAGEMENT CORP: WYCKOFF HEIGHTS MEDICAL CENTER WYCKOFF SURGICAL SERVICES PC: WYCKOFF HEIGHTS MEDICAL CENTERExplanation

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