FURP.ORG / PUBLIC DATA EXPLORER

LONG ISLAND COLLEGE HOSP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND COLLEGE HOSP (EIN 11-1018985)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-31
IRS object ID
201320319349301457
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-01-31T13:37:14-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 Madison AvenueAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111018985EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COLLEGE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% KRISTINA GILLANInCareOfName
Name ControlLONGNameControl
Phone2125233617Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 WEST 57TH STREET 5TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN COLLURAName
TitleCFOTitle
Phone2125238777Phone
Date Signed2013-01-25DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6464713000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonSTANLEY BREZENOFFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 WEST 57TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode
FieldValueIRS element (for citing)
Gross Receipts236193516GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.chpnyc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1858YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionIN MAY 2011,THE ORGANIZATION CEASED HOSPITAL OPERATIONS WHEN IT CLOSED ON AN ASSET PURCHASE AGREEMENT WITH THE STATE UNIV OF NY AT DOWNSTATE. PRIOR TO THIS,IT OPERATED IN ACCORDANCE WITH ITS MISSION AS A HOSPITALActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees2470TotalNbrEmployees
Total Nbr Volunteers273TotalNbrVolunteers
Total Gross UBI260182TotalGrossUBI
Net Unrelated Business Txbl Income-103086NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year678144ContributionsGrantsPriorYear
Contributions Grants Current Year22000000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year344913186ProgramServiceRevenuePriorYear
Program Service Revenue CY123519276ProgramServiceRevenueCY
Investment Income Prior Year1344354InvestmentIncomePriorYear
Investment Income Current Year7600890InvestmentIncomeCurrentYear
Other Revenue Prior Year20795176OtherRevenuePriorYear
Other Revenue Current Year83073350OtherRevenueCurrentYear
Total Revenue Prior Year367730860TotalRevenuePriorYear
Total Revenue Current Year236193516TotalRevenueCurrentYear
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 Year226160103SalariesEtcPriorYear
Salaries Etc Current Year92854379SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year7356TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year164315541OtherExpensePriorYear
Other Expenses Current Year49645732OtherExpensesCurrentYear
Total Expenses Prior Year390483000TotalExpensesPriorYear
Total Expenses Current Year142500111TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-22752140RevenuesLessExpensesPriorYear
Revenues Less Expenses CY93693405RevenuesLessExpensesCY
Total Assets BOY308003529TotalAssetsBOY
Total Assets EOY42281726TotalAssetsEOY
Total Liabilities BOY386403078TotalLiabilitiesBOY
Total Liabilities EOY42281726TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-78399549NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionON MAY 29, 2011, THE ORGANIZATION CEASED HOSPITAL OPERATIONS WHEN IT CLOSED ON AN ASSET PURCHASE AGREEMENT ("APA") WITH THE STATE UNIVERSITY OF NY AT DOWNSTATE. IN ACCORDANCE WITH THE APA, LICH RETAINED CASH AND PATIENT RECEIVABLES IN ORDER TO PAY DOWN ACCOUNTS PAYABLE AND ACCRUED EXPENSES, WHICH ALSO REMAINED AT LICH. UPON SATISFACTION OF THE REMAINING LIABILITIES, THE RESIDUAL ASSETS, IF ANY, ARE TO BE TRANSFERRED TO SUNY. PRIOR TO THE CLOSING OF THE APA, THE ORGANIZATION UPHELD THE FOLLOWING MISSION: LONG ISLAND COLLEGE HOSPITAL (LICH), WHICH CELEBRATED ITS 150TH ANNIVERSARY IN 2008, IS AN ACUTE CARE GENERAL HOSPITAL AND TEACHING HOSPITAL LOCATED BETWEEN THE HISTORIC BROWNSTONE DISTRICTS OF BROOKLYN HEIGHTS AND COBBLE HILL ON THE BROOKLYN WATERFRONT. IT IS THE PRIMARY CLINICAL TEACHING AFFILIATE OF THE STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER AT BROOKLYN (SUNY-DOWNSTATE MEDICAL CENTER). FOUNDED IN 1858 AS A MEDICAL SCHOOL AS WELL AS A HOSPITAL, LICH HAS MADE EXCEPTIONAL COMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense127999672Expense
Revenue125859782Revenue
DescriptionPATIENT CARE: THROUGH MAY 29, 2011, LONG ISLAND COLLEGE HOSPITAL (LICH) PROVIDED QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER, THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THROUGH MAY 29, 2011, LICH PROVIDED CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AND THE UNINSURED BELOW COST. TO THE EXTENT REIMBURSEMENT IS BELOW COST, OR A PATIENT IS UNABLE TO PAY, LICH RECOGNIZED THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE COMMUNITY. FOR THE YEAR ENDED MAY 28, 2011, THIS AMOUNTED TO $1,300,000. IN ADDITION, CHARITY CARE IS ALSO PROVIDED THROUGH MANY FREE SERVICES AND PROGRAMS OFFERED THROUGH THE YEAR WHICH LICH BELIEVES SERVE A BONAFIDE COMMUNITY HEALTH NEED. LICH BRINGS TOGETHER THE OUTSTANDING RESOURCES OF A MAJOR TEACHING HOSPITAL AND THE SPIRIT OF A COMMUNITY HOSPITAL. LICH IS LOCATED IN THE BROOKLYN HEIGHT/COBBIE HILL AREA, IS NATIONALLY RECOGNIZED FOR CLINICAL EXCELLENCE IN NEPHROLOGY, UROLOGY AND ALLERGIES AND ASTHMA, AS WELL AS FOR ITS NEW YORK CENTER FOR BLOODLESS MEDICINE AND SURGERY, OTHER CANCER CENTER AND THE STANLEY S. LAMM INSTITUTE FOR CHILD NEUROLOGY AND DEVELOPMENTAL MEDICINE.Description
Total Program Service Expense127999672TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedtrueTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096127NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2470NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 PersonKRISTINA GILLANNamePerson
Telephone Number2125233617TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 WEST 57TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (98 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BOBBIE ABRAMS
BOARD MEMBER1.0X000
THOMAS ACOSTA
BOARD MEMBER1.0X000
MORRELL AVRAM MD
BOARD MEMBER1.0X000
ALAN R BATKIN
BOARD MEMBER1.0X000
PHILIP BERNEY
BOARD MEMBER1.0X000
HOWARD BLITMAN
BOARD MEMBER1.0X000
DAVID BOIES
BOARD MEMBER1.0X000
PATRICK BURNS
BOARD MEMBER1.0X000
MILTON S COHN
BOARD MEMBER1.0X000
STEVEN COHN
BOARD MEMBER1.0X000
FRANK J CRACOLICI
BOARD MEMBER40.0X088846238725
MICHAEL CRAMES
BOARD MEMBER1.0X000
MARY DEBARE
BOARD MEMBER1.0X000
FRANK DIPILLO MD
BOARD MEMBER40.0X210977011456
FRED FARKOUH
BOARD MEMBER1.0X000
OSCAR GARFEIN MD
BOARD MEMBER1.0X000
JAMES E FLYNN
BOARD MEMBER1.0X000
PETER FRELINGHUYSEN
BOARD MEMBER1.0X000
DAVID A GOLDBERG
BOARD MEMBER1.0X000
JEROME R GOLDSTEIN
BOARD MEMBER1.0X000
RICHARD A GOLDSTEIN
BOARD MEMBER1.0X000
JANET GREEN
BOARD MEMBER1.0X000
DANIEL HEBERT
BOARD MEMBER1.0X000
LENORE HECHT
BOARD MEMBER1.0X000
ELIE HIRSCHFELD
BOARD MEMBER1.0X000
STEPHEN A HOCHMAN ESQ
BOARD MEMBER1.0X000
DAVID HOLBROOK
BOARD MEMBER1.0X000
MORTON P HYMAN
BOARD MEMBER1.0X000
SUZANNE T KARPAS
BOARD MEMBER1.0X000
DONALD KESSLER
BOARD MEMBER1.0X000
RICHARD W KIMBALL
BOARD MEMBER1.0X000
BRADFORD KLATT
BOARD MEMBER1.0X000
KENNETH C KNUCKLES
BOARD MEMBER1.0X000
ANDREW S KOMAROFF
BOARD MEMBER1.0X000
STANLEY KOMAROFF ESQ
BOARD MEMBER1.0X000
WILLIAM LERNER
BOARD MEMBER1.0X000
EDWIN LEVY
BOARD MEMBER1.0X000
W BRIAN MAILLIAN
BOARD MEMBER1.0X000
MARTIN MARCUS
BOARD MEMBER1.0X000
CAROL MASLOW
BOARD MEMBER1.0X000
EUGENE MERCY
BOARD MEMBER1.0X000
FAY MILEA
BOARD MEMBER1.0X000
MORGAN MILLER
BOARD MEMBER1.0X000
ALAN MIRKEN
BOARD MEMBER1.0X000
BRUCE MOSLER
BOARD MEMBER1.0X000
HARRIS NAGLER MD
BOARD MEMBER40.0X0107309359021
JAMES NEARY
BOARD MEMBER1.0X000
CLIVE NEIL REV DR
BOARD MEMBER1.0X000
RUTH NERKEN
BOARD MEMBER1.0X000
ALICE NETTER
BOARD MEMBER1.0X000
LEW PELL
BOARD MEMBER1.0X000
DIANE PERSON MD
BOARD MEMBER1.0X000
DAVID PICKET
BOARD MEMBER1.0X000
RUSSELL PORTENOY MD
BOARD MEMBER40.0X058550446985
BURTON P RESNICK
BOARD MEMBER1.0X000
IRA S RIMERMAN
BOARD MEMBER1.0X000
JOHN ROMANELLI MD
BOARD MEMBER1.0X0148080
ARTHUR SARNOFF
BOARD MEMBER1.0X000
WILLIAM SARNOFF
BOARD MEMBER1.0X000
DONALD SCHNABEL
BOARD MEMBER1.0X000
PAUL SMITH REV DR
BOARD MEMBER1.0X000
MAURY L SPANIER
BOARD MEMBER1.0X000
WHITNEY STEVENS
BOARD MEMBER1.0X000
IAN L TAYLOR MD PhD
BOARD MEMBER1.0X000
ELGIN WATKINS REV DR
BOARD MEMBER1.0X000
DANIEL WIENER MD
BOARD MEMBER40.0X062369142129
WILLIAM H WRIGHT II
BOARD MEMBER1.0X000
BETTY YARMON
BOARD MEMBER1.0X000
MICHAEL ZIMMERMAN
BOARD MEMBER1.0X000
STANLEY BREZENOFF
CEO,CHAIRMAN & BOARD MEMBER40.0X0205798342131X
JOSEPH BROADWIN ESQ
IMMED PAST CHAIRMN/BOARD MEMB1.0X000X
DOMINIC STANZIONE
INTERIM PRESIDENT,BOARD MEMBER40.0X538885032738X
MERRIL M HALPERN
VICE CHAIRMAN, BOARD MEMBER1.0X000X
LAWRENCE S HUNTINGTON
CHAIRMAN,ACTING CHAIR,BRD MEM1.0X000X
JOEL I PICKET
VICE CHAIRMAN, BOARD MEMBER1.0X000X
STEVEN HOCHBERG
V CHAIRMAN,TREASURER,BRD MEMBR1.0X000X
JOAN G SARNOFF
SECRETARY, BOARD MEMBER1.0X000X
JOHN COLLURA
EVP,CFO,V CHAIR,TREAS,BRD MEM40.0X0124197139194X
GAIL DONOVAN
VICE CHAIR,SR EVP SYST AFFAIRS40.0X0107882552432X
KATHRYN C MEYER ESQ
EVP/GEN COUNSEL,SECR,ASST SECR40.0048617031577X
JILL CLAYTON
SECRETARY, AST SECRETARY40.0036791356309X
JOHN BYRNE
COO40.0143078020060X
KATHLEEN MCGOVERN-KEARNS
SVP DEVELOPMENT40.0062522946823X
MICHAEL BRUNO
SVP, FINANCE40.0068222051498X
MICHELLE LEONE
SVP, REVENUE CYCLE MANAGEMENT40.0071309041451X
RUTH LEVIN
SVP, MANAGED CARE40.0016060225029X
BRENDAN LOUGHLIN
SVP,STRATEGIC FINANCE PLANNING40.0072563456217X
DENISE PELLE
SVP, CORPORATE INITIATIVES40.0034306537457X
ADAM LAWRENCE HENICK
SVP, MEDICAL ENTERPRISE40.0056210258702X
KENNETH HOLDEN
SVP, REAL ESTATE40.0050756250928X
CATHERINE GALLOGLY
VP NURSING40.092305014925X
DAVID WLODY
CHIEF MEDICAL OFFICER40.010070103162X
ADNAN KHDAIR
PHYSICIAN40.0349454013471X
MILLICENT COMRIE
PHYSICIAN40.0400952011984X
AFSHIN PARHISCAR
PHYSICIAN40.032329206708X
ARI GOLDSMITH
PHYSICIAN40.043776408529X
SCOTT POSTELL
PHYSICIAN40.0353418011978X
MARVIN A RUSSELL
SVP HUMAN RESOURCES0.002076920X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2950826TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12945616TotalReportableCompFrmRltdOrgs
Total Other Compensation911619TotalOtherCompensation
Number Individuals GT100 K86NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SIEMENS MEDICAL SOLUTIONS
PO BOX 7777 W3580PHILADELPHIAPA19175IT SERVICES1583647
PROSKAUER ROSE LLP
1585 BROADWAYNEW YORKNY10036LEGAL SERVICES1211453
NATIONAL GOVERNMENT SERVICES
PO BOX 809366CHICAGOIL606809366HEALTH CARE/IT SVCS599545
PRICEWATERHOUSECOOPERS LLP
PO BOX 7247-8001PHILADELPHIAPA191708001ACCOUNTING SERVICES568906
CRITICARE INC
573 VALLEY ROAD SUITE 6WAYNENJ07470NURSING SERVICES541551
FieldValueIRS element (for citing)
Number Of Contractors GT100 K50NumberOfContractorsGT100K
Government Grants22000000GovernmentGrants
Total Contributions22000000TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE621400106035981106035981
FACULTY PRACTICE REVENUE6213001379921613799216
PATHOLOGY LAB62130021107711850589260182
TUITION61160015733081573308
FieldValueIRS element (for citing)
Total Program Service Revenue123519276TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5564340TotalRevenueColumn
Exclusion$5,564,340ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1554056Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1554056Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1554056TotalRevenueColumn
Exclusion$1,554,056ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2036550Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2036550Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2036550TotalRevenueColumn
Exclusion$2,036,550ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
DRUG STUDIES & RESEARCH, NIH GRANTS90009923405062340506
W/O PROF LIABILITY INSURANCE90009970481076$70,481,076
OTHER REVENUE9000998697712$8,697,712
FieldValueIRS element (for citing)
Total Other Revenue81519294TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column236193516TotalRevenueColumn
Related Or Exempt Function Income125599600RelatedOrExemptFunctionIncome
Unrelated Business Revenue260182UnrelatedBusinessRevenue
Exclusion$88,333,734ExclusionAmount

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)
Total1064424Total
Program Services926049ProgramServices
Management And General138375ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total71274261Total
Program Services62063122ProgramServices
Management And General9211139ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3995719Total
Program Services3479287ProgramServices
Management And General516432ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11160963Total
Program Services9718449ProgramServices
Management And General1442514ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5359012Total
Program Services4666379ProgramServices
Management And General692633ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1840362Total
Management And General1840362ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total415482Total
Management And General415482ManagementAndGeneral

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)
Total43088Total
Program Services43088ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7867206Total
Program Services7867206ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total24033Total
Program Services24033ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9210791Total
Program Services8994959ProgramServices
Management And General215832ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total868515Total
Program Services868515ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4557904Total
Program Services4530234ProgramServices
Management And General27670ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total38195Total
Program Services38195ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total86234Total
Program Services86234ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2313429Total
Program Services2313429ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6056128Total
Program Services6056128ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1088170Total
Program Services1088170ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES1466031214660312
OTHER575883575883

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total142500111Total
Program Services127999672ProgramServices
Management And General14500439ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8841157BOY
EOY42256731EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY225962BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44322330BOY
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)
BOY1438023BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10721750BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24995LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY114608014BOY
EOY24995EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY102453257BOY
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)
BOY25393036BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY308003529BOY
EOY42281726EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY51921254BOY
EOY19601924EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY140758BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY54247706BOY
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)
BOY81833077BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY198260283BOY
EOY22679802EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY386403078BOY
EOY42281726EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-226069252BOY
EOY0EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1144831BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY146524872BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-78399549BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY308003529BOY
EOY42281726EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses93693405ReconcilationRevenueExpenses
Reconcilation Other Changes-15293856ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance146524856BeginningOfYearBalance
End Of Year Balance146524856EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance146524856BeginningOfYearBalance
End Of Year Balance146524856EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance146524856BeginningOfYearBalance
End Of Year Balance146524856EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24995OtherCostOrOtherBasis
Book Value24995BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24995TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO SUNY DOWNSTATE$20,081,132
OTHER LIABILITIES$2,598,670
FieldValueIRS element (for citing)
Total Of Amounts22679802TotalOfAmounts
Total Revenue236193516TotalRevenue
Total Expenses142500111TotalExpenses
Excess Or Deficit For Year93693405ExcessOrDeficitForYear
Net Unrealized GL On Investments-6039500NetUnrealizedGLOnInvestments
Other-$9,254,356OtherAmount
Total Adjustments-15293856TotalAdjustments
Excess Or Deficit Per FS78399549ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt230154016TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-6039500NetUnrealizedGainsInvestments
Revenue Not Rptd F990-6039500RevenueNotRptdF990
Revenue Subtotal236193516RevenueSubtotal
Total Revenue Per Form990236193516TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt142500111TotExpensesEtcAuditedFinclStmt
Expenses Subtotal142500111ExpensesSubtotal
Total Expenses Per Form990142500111TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D, PART V, LINE 1EOTHER ADJUSTMENTSIN CONJUCTION WITH THE ASSET PURCHASE AGREEMENT WITH SUNY DOWNSTATE, A TRUST WAS ESTABLISHED (BY COURT ORDER) TO SATISFY MEDICAL AND PROFESSIONAL LIABILITIES OF THE ORGANIZATION. $85,699,910 WAS TRANSFERRED TO THIS TRUST. THE REMAINDER TRANSFERRED TO SUNY DOWNSTATE AS PART OF THE ASSET PURCHASE AGREEMENT.
SCHEDULE D, PART XI, LINE 8OTHER ADJUSTMENTSTRANSFER TO SUNY DOWNSTATE : ($9,254,356)

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1967794TotalCommunityBenefitExpense
Direct Offsetting Revenue949359DirectOffsettingRevenue
Net Community Benefit Expense1018434NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense35710859TotalCommunityBenefitExpense
Direct Offsetting Revenue20792241DirectOffsettingRevenue
Net Community Benefit Expense14918618NetCommunityBenefitExpense
Percent Of Total Expense0.09690PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense37678653TotalCommunityBenefitExpense
Direct Offsetting Revenue21741600DirectOffsettingRevenue
Net Community Benefit Expense15937052NetCommunityBenefitExpense
Percent Of Total Expense0.10350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense44555TotalCommunityBenefitExpense
Direct Offsetting Revenue25555DirectOffsettingRevenue
Net Community Benefit Expense19000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8873527TotalCommunityBenefitExpense
Direct Offsetting Revenue6888071DirectOffsettingRevenue
Net Community Benefit Expense1985456NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense63037464TotalCommunityBenefitExpense
Direct Offsetting Revenue56303769DirectOffsettingRevenue
Net Community Benefit Expense6733695NetCommunityBenefitExpense
Percent Of Total Expense0.04370PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense21500TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense21500NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense71977046TotalCommunityBenefitExpense
Direct Offsetting Revenue63217395DirectOffsettingRevenue
Net Community Benefit Expense8759651NetCommunityBenefitExpense
Percent Of Total Expense0.05680PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense109655699TotalCommunityBenefitExpense
Direct Offsetting Revenue84958995DirectOffsettingRevenue
Net Community Benefit Expense24696703NetCommunityBenefitExpense
Percent Of Total Expense0.16030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$685,486BadDebtExpenseAmount
Amount Attributable To441234AmountAttributableTo
Amount Reimbursed By Medicare2940551AmountReimbursedByMedicare
Medicare Surplus Or Shortfall2940551MedicareSurplusOrShortfall
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COLLEGE HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1339 HICKS STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11201ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LONG ISLAND COLLEGE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medicaid MedicareXMedicaidMedicare
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
M S 51-WILLIAM ALEXANDER SCHOOL
350 5TH AVENUEBROOKLYNNY11215SCHOOL BASED HOSPITAL EXTENSION CLINIC
PS 38 HEALTH EXT CLINIC
450 PACIFIC STREETBROOKLYNNY11231SCHOOL BASED HOSPITAL EXTENSION CLINIC
INTERMEDIATE SCHOOL 293 HEALTH EXT
CLINIC 163 BUTLER STREETBROOKLYNNY11231SCHOOL BASED HOSPITAL EXTENSION CLINIC
JHS 142 HEALTH EXT CLINIC
610 HENRY STREETBROOKLYNNY11231SCHOOL BASED HOSPITAL EXTENSION CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
THE COMMUNITY BENEFIT INFORMATION BEING REPORTED IS THROUGH MAY 28, 2011.ON THIS DATE, THE ORGANIZATION CEASED ITS OPERATION OF THE HOSPITALSCHEDULE H, PART I, LINE 3C: NOT APPLICABLE - ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE NYS DEPARTMENT OF HEALTH BY THE HOSPITALS THAT COMPRISE THE CONTINUUM HEALTH PARTNERS, INC. NETWORK: BETH ISRAEL MEDICAL CENTER, ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, AND LONG ISLAND COLLEGE HOSPITAL. THE REPORT DESCRIBES THE ROLE OF EACH CONTINUUM HOSPITAL INDIVIDUALLY, AND ALSO REFLECTS THEIR UNIFIED ACTIVITIES AND STRATEGY AS AN INTEGRATED HEALTH CARE SYSTEM.
SCHEDULE H, PART I, LINE 7G:ALL CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE CLINICS OF THE HOSPITAL.
SCHEDULE H, PART I, LINE 7, COLUMN F:BAD DEBT EXPENSE OF $685,486 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
SCHEDULE H, PART I, LINE 7:THE AMOUNTS REPORTED IN PART I, LINES 7A, 7B AND 7G WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS.
SCHEDULE H, PART III, LINE 4:A PORTION OF BAD DEBTS COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR SOME FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. IN ORDER TO MAKE AN ESTIMATION OF THIS AMOUNT, THE BAD DEBTS ASSOCIATED WITH SELF PAY PATIENTS, AS THEY RELATE TO BAD DEBTS FOR ALL PAY CLASSES, WERE ANALYZED. WHEN A DISCOUNT IS PROVIDED ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS A CHARITY ALLOWANCE. CONVERSELY, WHEN NO PAYMENT OR ONLY PARTIAL PAYMENT IS MADE ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS BAD DEBT EXPENSE. BILLINGS RELATING TO SERVICES RENDERED ARE RECORDED AS NET PATIENT SERVICE REVENUE IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED, NET OF CONTRACTUAL AND OTHER ALLOWANCES WHICH REPRESENT DIFFERENCES BETWEEN GROSS CHARGES AND THE ESTIMATED RECEIPTS UNDER SUCH PROGRAMS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE ALSO REDUCED FOR ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT DETERMINES IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. THE USE OF HISTORICAL COLLECTION AND PAYER REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION OF RESERVES FOR UNCOLLECTIBLE ACCOUNTS. REVISIONS IN RESERVE FOR UNCOLLECTIBLE ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO THE PROVISION FOR BAD DEBTS. Medicare Costs are zero so as to not double count those costs included in the computation of subsidized health services.
SCHEDULE H, PART III, LINE 8:TOTAL ALLOWABLE COSTS AS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT WERE REDUCED FOR COSTS INCLUDED ELSEWHERE ON SCHEDULE H. THESE COSTS INCLUDED THE COST OF DIRECT GME AND THOSE COSTS REPORTED AS COSTS OF SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART III, LINE 9B:DEBT COLLECTION POLICY THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. HOWEVER, PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE OFFERED PROMPT PAY DISCOUNTS FOR FULL PAYMENT OF THE DISCOUNTED CHARGES AND EXTENDED INTEREST FREE PAYMENT PLANS. NO LEGAL ACTION MAY BE TAKEN UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT HAS THE MEANS TO PAY OUTSTANDING BALANCES. IN NO SITUATION WILL THE HOSPITAL AUTHORIZE FORECLOSURE ON A PATIENT OR RESPONSIBLE PARTY'S PRIMARY RESIDENCE.
SCHEDULE H, PART V, LINE 11FACILITY INFORMATION:THE DISCOUNT UNDER THE FINANCIAL ASSISTANCE POLICY STARTS WITH GROSS CHARGES OF THE SERVICES TO BE PERFORMED REDUCED TO THE MEDICAID RATE OF REIMBURSEMENT AND THEN PROVIDES FOR ADDITIONAL DISCOUNTS BASED UPON THE PATIENT'S ELIGIBILITY. PATIENT'S ELIGIBILITY IS DETERMINED USING A MEANS TEST BASED ON HOUSEHOLD GROSS INCOME. THE HOSPITAL MAY EVALUATE ANY PATIENT'S ELIGIBILITY ON A CASY-BY-CASE BASIS, ESPECIALLY WHERE COMPLEX MEDICAL, SCIENTIFIC, OR FINANCIAL SITUATIONS EXIST.
SCHEDULE H, PART V, LINE 13FACILITY INFORMATION:THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS NOTED ON THE PATIENT'S BILL. PATIENTS ARE ALERTED TO THE POLICY BY MULTI-LINGUAL SIGNAGE AND BROCHURES AT POINTS OF PATIENT SERVICE, INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE, THE HOSPITAL WEB SITE, AND RESPONSES TO DIRECT INQUIRIES MADE TO THE HOSPITAL. ALL RELATED INQUIRIES ARE DIRECTED TO THE HOSPITAL'S DEPARTMENT OF FINANCIAL COUNSELING.
SCHEDULE H, PART V, LINE 19FACILITY INFORMATION:THE HOSPITAL USED MEDICAID RATES WHEN DETERMINING THE AMOUNTS TO BE CHARGED TO FAP ELIGIBLE PATIENTS.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT:THE HOSPITAL WORKS COLLABORATIVELY WITH A NUMBER OF COMMUNITY BASED ORGANIZATIONS, HEALTH FACILITIES, LOCAL ELECTED OFFICIALS, AND NEW YORK CITY COMMUNITY ADVISORY BOARDS. THE HOSPITAL ALSO HAS ITS OWN INTERNAL ADVISORY BOARD/COUNCIL THAT IS MADE UP OF REPRESENTATIVES OF THESE COMMUNITY PARTNERS AND INTERESTED LOCAL RESIDENTS. THROUGH THEIR PARTICIPATION, THE HOSPITAL SOLICITS COMMENT ON THE HEALTH CARE NEEDS OF THE COMMUNITY, STRENGTHS AND WEAKNESSES OF THE HOSPITAL, AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENTS. THESE COUNCILS ALSO PARTICIPATE IN CHOOSING THE HEALTH PRIORITIES OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:THE INSTITUTION RECOGNIZES THAT MANY OF THE PATIENTS IT SERVES MAY NOT HAVE HEALTH INSURANCE OR THE FINANCIAL RESOURCES TO ACCESS QUALITY HEALTH CARE SERVICES WITHOUT FINANCIAL ASSISTANCE. ACCORDINGLY, THE INSTITUTION ADHERES TO ITS FINANCIAL ASSISTANCE POLICY, WHICH EXISTS IN ORDER TO ASSIST PATIENTS WITH GAINING ACCESS TO FINANCIAL ASSISTANCE. PATIENTS CAN OBTAIN INFORMATION ON HOSPITAL CHARGES AND ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS PRIMARILY FROM THE HOSPITALS DEPARTMENT OF FINANCIAL COUNSELING. THE AVAILABILITY OF THE INSTITUTIONS FINANCIAL ASSISTANCE IS NOTED ON THE PATIENT'S BILL. ALSO, PATIENTS ARE ALERTED TO THE POLICY BY MULTI-LINGUAL SIGNAGE AND BROCHURES AT POINTS OF PATIENT SERVICE, INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE, AND THE INSTITUTION'S WEB SITE. ALL HOSPITAL STAFF ARE DIRECTED TO DISTRIBUTE STANDARD INFORMATION OR REFER INQUIRIES TO THE DEPARTMENT OF FINANCIAL COUNSELING OR WEBSITE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION:THE HOSPITAL'S PRIMARY SERVICE AREA IS BROOKLYN, NY, WITH A MAJORITY OF PATIENTS FROM DOWNTOWN BROOKLYN/PARK SLOPE AND STUYVESANT/CROWN HEIGHTS. THE RACIAL AND ETHNIC BACKGROUNDS ARE DIVERSE HOWEVER THE PRIMARY SERVICE AREA OF THE HOSPITAL IS MORE LARGELY AFRICAN-AMERICAN. BOTH THE MEDIAN AGE AND HOUSEHOLD INCOMES ARE LOWER THAN THE CITYWIDE AVERAGES.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH:QUANTIFIABLE EXPENSES ASSOCIATED WITH IMPROVING THE GENERAL HEALTH OF THE COMMUNITY HAVE BEEN REPORTED IN PART I. THESE INCLUDED ACTIVITIES ASSOCIATED WITH INFECTIOUS DISEASE CONTROL, PATIENT RECREATION, PATIENT TRANSPORTATION, AND PATIENT EDUCATION. THE ORGANIZATION PARTAKES IN SEVERAL COMMUNITY BUILDING ACTIVITIES FOR WHICH THE COST TO THE ORGANIZATION HAS NOT BEEN CLEARLY QUANTIFIED. TWO OF THESE MAJOR ACTIVITIES ARE COMMUNITY/EMERGENCY PREPAREDNESS AND TOBACCO USE/SMOKING CESSATION.
SCHEDULE H, PART VI, LINE 5OTHER INFORMATION:THE ORGANIZATION OFFERS A WIDE ARRAY OF HOSPITAL-SPONSORED COMMUNITY HEALTH EDUCATION AND SCREENING EVENTS. THE COMMUNITY IS NOTIFIED OF THESE EVENTS AND SCREENINGS BY VARIOUS MEANS - MAILINGS, ADVERTISING IN LOCAL NEWSPAPERS, FLYERS, AND THROUGH MAILINGS OF VARIOUS NYC COMMUNITY BOARDS, ETC. IN ADDITION, ON-LINE HEALTH EDUCATION AND PHYSICIAN REFERRAL CAN BE ACCESSED ON THE CONTINUUM WEBSITE - WWW.CHPNYC.ORG. THIS HAS BECOME AN EXTRAORDINARILY WELL-USED HEALTH WEBSITE. IN 2011, 3,057,084 VISITORS BROWSED THE CONTINUUM WEBSITE. THE HOSPITAL ALSO PROVIDES MULTI-LINGUAL EDUCATIONAL MATERIALS FOR ITS PATIENTS AND COMMUNITIES AND MARKETS ITS SERVICES IN NEW YORK'S DIVERSE ETHNIC COMMUNITIES.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM:THE ORGANIZATION WORKS CLOSELY WITH ITS AFFILIATED HOSPITALS AS AN INTEGRATED HEALTH CARE PARTNERSHIP. LEADERSHIP IS COMMITTED TO WORKING WITH THE COMMUNITY AND WILL REMAIN COMMITTED TO ALLOCATING SUFFICIENT RESOURCES TO ENSURE THAT THE CLINICAL AND OUTREACH SERVICES OF EACH OF THE AFFILIATED HOSPITALS IS RESPONSIVE TO THE COMMUNITY HEALTH NEEDS BY PROVIDING HIGH QUALITY, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO THE MAXIMUM EXTENT POSSIBLE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (26 entries)

Base 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
FRANK J CRACOLICI
06980570175000015405020580018145092718700
FRANK DIPILLO MD
2109530002408707027490222433000
HARRIS NAGLER MD
089513901630000149540205800384410113211400
RUSSELL PORTENOY MD
057204300013461020580026405063248900
DANIEL WIENER MD
061102500012666020580021549066582000
STANLEY BREZENOFF
0149185805250000411250205800215510210011400
DOMINIC STANZIONE
3494540172500169310165860161520571623000
KATHRYN C MEYER ESQ
0352727070477062966020580010997051774700
JOHN COLLURA
097750002443750200960205800186140128116500
JILL CLAYTON
029273407200003179020580035729042422200
JOHN BYRNE
1125150300780485069810130790163138000
GAIL DONOVAN
078230102625000340240205800318520113125700
KATHLEEN MCGOVERN-KEARNS
051436401100000865020580026243067205200
MARVIN A RUSSELL
00002076920000020769200
MICHAEL BRUNO
05247800145000012440020580030918073371800
MICHELLE LEONE
05517480150000011342020580020871075454100
RUTH LEVIN
013324000027362012566012463018563100
BRENDAN LOUGHLIN
05473800140000038254020580035637078185100
DENISE PELLE
027922906200001836020580016877038052200
ADAM LAWRENCE HENICK
0448162097000016940020580038122062080400
KENNETH HOLDEN
040586509300008697020580030348055849000
ADNAN KHDAIR
34929600015803909095620362925000
MILLICENT COMRIE
40062600032606054059300412936000
AFSHIN PARHISCAR
3232320006004265024430330000000
ARI GOLDSMITH
43761500014905597029320446293000
SCOTT POSTELL
35329500012303935080430365396000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART I, LINE 4AIdentifier
Return ReferenceSEVERANCE PAYMENTReturnReference
ExplanationMARVIN RUSSELL: $207,692Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonHEIGHTS NEPHROLOGY MEDICAL GROUP PCNamePerson
FieldValueIRS element (for citing)
RelationshipTRUSTEE AN OWNER MED GRPRelationship
Amount Of Transaction250000AmountOfTransaction
Description Of TransactionSERVICE AGREEMENTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail

FieldValueIRS element (for citing)
Description Of AssetPLANT & OTHER ASSETS NET OF LIABILITIESDescriptionOfAsset
Date Of Distribution2011-05-28DateOfDistribution
FMV Of Asset9254356FMVOfAsset
Method Of FMV DeterminationBOOKMethodOfFMVDetermination
Name PersonSUNY DOWNSTATENamePerson
IRC SectionGOVERNMENT HOSPIRCSection
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessor
Employee Of SuccessortrueEmployeeOfSuccessor
Owner Of SuccessorfalseOwnerOfSuccessor
Receive CompensationfalseReceiveCompensation
Assets DistributedtrueAssetsDistributed
Required To Notify AGtrueRequiredToNotifyAG
AG NotifiedtrueAGNotified
Liabilities PaidfalseLiabilitiesPaid
Bonds OutstandingtrueBondsOutstanding
Bond Liabilities DischargedfalseBondLiabilitiesDischarged

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE N, PART I, LIQUIDATION, TERMINATION OR DISSOLUTIONIdentifier
ExplanationON MAY 29, 2011, LICH CLOSED ON AN ASSET PURCHASE AGREEMENT ("APA") WITH THE STATE UNIVERSITY OF NY AT DOWNSTATE ("SUNY"). UNDER THE TERMS OF THE APA, SUNY ACQUIRED ESSENTIALLY ALL OF THE PHYSICAL PLANT ASSETS OF LICH AS WELL AS THE PREPAID ASSETS, INVENTORY, OTHER ASSETS AND TEMPORARY RESTRICTED FUNDS OF LICH. IN ADDITION, SUNY ASSUMED ALL THE LONG TERM DEBT AND OTHER NON-CURRENT LIABILITIES OF LICH EXCLUDING THOSE LIABILITIES RELATED TO MEDICAL AND PROFESSIONAL LIABILITIES. APPROXIMATELY $85,700 OF ASSETS LIMITED AS TO USE, PRIMARILY FROM THE OTHMER ENDOWMENT, WAS TRANSFERRED TO A TRUST CREATED BY AN ORDER OF THE NYS SURROGATE COURT. THE TRUST IS ESTABLISHED TO SATISFY ALL MEDICAL AND PROFESSIONAL LIABILITIES OF LICH, WHICH WERE ALSO TRANSFERRED TO THE TRUST AS PART OF THE APA. CASH AND PATIENT CARE RECEIVABLES WERE RETAINED BY LICH TO BE USED TO PAY DOWN ACCOUNTS PAYABLE AND CERTAIN ACCRUED EXPENSES, WHICH ALSO REMAIN WITH LICH. UPON SATISFACTION OF THE REMAINING LIABILITIES OF LICH, THE RESIDUAL ASSETS, IF ANY, ARE TO BE TRANSFERRED TO SUNY BY MAY 28, 2013 IN ACCORDANCE WITH THE TERMS OF THE APA. ON MAY 28, 2011, ESSENTIALLY ALL THE STAFF OF LICH WERE TERMINATED FROM LICH AND WERE HIRED BY SUNY AND ITS AFFILIATES. BIMC HAS ENTERED INTO A TRANSITION SERVICES AGREEMENT ("TSA") WITH SUNY TO PROVIDE CERTAIN BUSINESS SERVICES TO SUNY AS THEY RELATE TO THE OPERATIONS OF THE HOSPITAL BY SUNY UNDER THE APA FOR AN INITIAL PERIOD OF THREE YEARS. SOME OF THE SERVICES PROVIDED UNDER THE TSA ARE IT AND TELECOM, PAYROLL PROCESSING, PATIENT REVENUE CYCLE AND PROFESSIONAL BILLING AND GENERAL ACCOUNTING AND GENERAL LEDGER SYSTEMS. LICH HAS PERFORMED AN EVALUATION OF SUBSEQUENT EVENTS THROUGH OCTOBER 31, 2011, WHICH IS THE DATE THE FINANCIAL STATEMENTS WERE ISSUED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART III, LINE 3SIGNIFICANT CHANGESON MAY 29, 2011, THE ORGANIZATION CEASED HOSPITAL OPERATIONS WHEN IT CLOSED ON AN ASSET PURCHASE AGREEMENT ("APA") WITH THE STATE UNIVERSITY OF NY AT DOWNSTATE. IN ACCORDANCE WITH THE APA, LICH RETAINED CASH AND PATIENT RECEIVABLES IN ORDER TO PAY DOWN ACCOUNTS PAYABLE AND ACCRUED EXPENSES, WHICH ALSO REMAINED AT LICH. UPON SATISFACTION OF THE REMAINING LIABILITIES, THE RESIDUAL ASSETS, IF ANY, ARE TO BE TRANSFERRED TO SUNY.
FORM 990, PART VI, LINE 1EXECUTIVE COMMITTEETHE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE GOVERNING BODY. IT IS AUTHORIZED TO ACT ON BEHALF OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD AND TO TAKE ANY ACTION OTHER THAN THOSE ITEMS SPECIFICALLY PROHIBITED BY NEW YORK LAW.
FORM 990, PART VI, LINE 2BUSINESS & FAMILY RELATIONSHIPS1. JOAN G SARNOFF, ARTHUR SARNOFF & WILLIAM SARNOFF: FAMILY RELATIONSHIP 2. ANDREW S KOMAROFF AND STANLEY KOMAROFF: FAMILY RELATIONSHIP 3. DAVID PICKET AND JOEL PICKET: BUSINESS AND FAMILY RELATIONSHIP
FORM 990, PART VI, LINE 6MEMBERS OF THE ORGANIZATIONTHE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, CONTINUUM HEALTH PARTNERS, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION.
FORM 990, PART VI, LINE 7AELECTION OF THE GOVERNING BODYTHE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. IN ADDITION, THREE MEMBERS OF THE GOVERNING BODY ARE DESIGNATED BY THE NEW YORK EYE AND EAR INFIRMARY, A NOT-FOR-PROFIT AFFILIATE OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7BDECISIONS OF THE GOVERNING BODYTHE MEMBER MUST APPROVE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION.
FORM 990, PART VI, LINE 11AREVIEW PROCESS FOR FORM 990PRIOR TO FILING, A DRAFT OF FORM 990 IS PROVIDED FOR REVIEW TO THE CENTRALIZED MANAGEMENT TEAM OF CONTINUUM HEALTH PARTNERS, INC. WHICH INCLUDES THE SENIOR VICE PRESIDENT OF FINANCIAL REPORTING, IN-HOUSE GENERAL LEGAL COUNSEL, AND THE CHIEF FINANCIAL OFFICER. UPON APPROVAL OF THE CENTRALIZED MANAGEMENT TEAM AND PRIOR TO FILING, THE DRAFT FORM 990 IS PROVIDED FOR REVIEW TO THE CENTRALIZED AUDIT COMMITTEE AND EACH MEMBER OF THE GOVERNING BODY.
FORM 990, PART VI, LINE 12CCONFLICT OF INTEREST POLICYANNUALLY, EACH TRUSTEE, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER ALONG WITH GENERAL COUNSEL AND A DETERMINATION IS MADE AS TO WHETHER A CONFLICT EXISTS. THE PRESIDENT OF THE ORGANIZATION AND THE CHAIR OF THE CENTRALIZED FINANCE/AUDIT COMMITTEE PARTICIPATE IN REVIEW OF CONFLICTS. CONFLICTS DISCLOSED BY TRUSTEES ARE REVIEWED WITH THE CHAIRMAN OF THE BOARD. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST MUST RECUSE HIMSELF FROM ANY DECISION MAKING OR VOTING ON THE INTEREST THAT GAVE RISE TO THE CONFLICT.
FORM 990, PART VI, LINE 15A & 15BCOMPENSATION POLICYTHE EXECUTIVE COMPENSATION POLICY OF THE HEALTH SYSTEM REQUIRES THAT COMPENSATION FOR THE FOLLOWING INDIVIDUALS BE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES AT LEAST ANNUALLY: ANY PERSON WITH THE TITLE OF CEO, PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, EXECUTIVE VICE PRESIDENT OR SENIOR VICE PRESIDENT; ANY PERSON WITH THE TITLE OF CORPORATE VICE PRESIDENT WHOSE TOTAL COMPENSATION IS IN EXCESS OF $300,000; ANY PHYSICIAN WITH THE TITLE OF CHAIRMAN; ANY PHYSICIAN WITH THE TITLE OF CHIEF WHOSE BASE SALARY PLUS GUARANTEE TOGETHER ARE IN EXCESS OF $750,000 AND ANY PERSON WHO IS A FAMILY MEMBER OF ANY OF THE ABOVE INDIVIDUALS.
FORM 990, PART VI, LINE 19DOCUMENTS AVAILABLE FOR PUBLIC INSPECTIONTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VIIAVERAGE HOURSAVERAGE HOURS PER WEEK REPORTED ON PART VII REPRESENT TOTAL AVERAGE HOURS FOR THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETSNET UNREALIZED LOSSES ON INVESTMENTS : ($ 6,039,500) TRANSFER TO SUNY DOWNSTATE : ($ 9,254,356) TOTAL : ($15,293,856)
FORM 990, PART XII, LINE 2BAUDITED FINANCIAL STATEMENTSTHE ORGANIZATION CEASED OPERATIONS AS A HOSPITAL ON MAY 28, 2011. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE THROUGH THIS DATE. SUBSEQUENT ACTIVITIES ARE TO WIND DOWN THE ORGANIZATION, AND WILL NOT CONTINUE BEYOND MAY 28, 2013. AT SUCH TIME, ANY REMAINING ASSETS/LIABILITIES WILL BE TRANSFERRED TO SUNY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CONTINUUM HEALTH PARTNERS INC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133939476HOLDING CONY501(C)(3)11A - INAtrue
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREETNEW YORKNY10003135564934HOSPITALNY501(C)(3)3CHPtrue
BETH ISRAEL FOUNDATION INC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133255377FUNDRAISINGDE501(C)(3)11A - IBIMCtrue
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREETNEW YORKNY10003133444730HOLDING CONY501(C)(3)11A - IBIMCtrue
BETH ISRAEL AMBULATORY CARE SERVICES
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133838460SURGICENTERNY501(C)(3)3BIMC HOLDCOtrue
BI NURSING HOME COMPANY
327 EAST 17TH STREETNEW YORKNY10003133627753NURSING HOMENY501(C)(3)3BIMC HOLDCOtrue
EAST 17TH STREET PROPERTIES INC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133547502REAL ESTATENY501(C)(3)9BIMC HOLDCOtrue
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUENEW YORKNY10025132997301HOSPITALNY501(C)(3)3CHPtrue
AUGUSTUS & JAMES CORPORATION
555 WEST 57TH STREETNEW YORKNY10019133392851REAL ESTATENY501(C)(3)11B - IISLRtrue
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUENEW YORKNY10025132914343RESEARCHNY501(C)(3)4SLRtrue
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREETNEW YORKNY10003135562304HOSPITALNY501(C)(3)3CHPtrue
NEW YORK EYE & EAR INFIRMARY FOUNDATION
310 EAST 14TH STREETNEW YORKNY10003134012469PRIVATE FDNNY501(C)(3)PFNYEEtrue
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREETNEW YORKNY10003311696826REAL ESTATENY501(C)(2)N/ANYEEtrue
BETH ISRAEL MEDICAL CENTER FDN INC
555 WEST 57TH STREETNEW YORKNY10019300571387FUNDRAISINGNY501(C)(3)7BIMCtrue
ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
555 WEST 57TH STREETNEW YORKNY10019300571390FUNDRAISINGNY501(C)(3)7SLRtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
ATLANTIC HEIGHTS PHARMACY
339 HICKS STREETBROOKLYNNY11201112738539PHARMACYNYNAC
GREATER METROPOLITAN IPA II
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133977019INACTIVENYBIMCSLRC
GREATER METROPOLITAN IPA V
555 WEST 57TH STREET 5TH FLNEW YORKNY10019134141695INACTIVENYBIMCSLRC
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY 7TH FLNEW YORKNY10019133618543MGMT SERVICESNYSLRC
SLR MANAGEMENT SERVICES
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133853145MGMT SERVICESNYSLRC
WEST CARE MEDICAL PC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133811203INACTIVENYSLRC
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BETH ISRAEL MEDICAL CENTER
J1811060FMV
AUGUSTUS AND JAMES CORPORATION
J17615FMV