2013-10-25T12:19:39-05:00 2012-12-31 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2012-01-01 131624169 THE FLOATING HOSPITAL INC FLOA 7187842240 41-20 27TH STREET LONG ISLAND CITY NY 11101 SEAN T GRANAHAN 7187842240 2013-10-24 1 THOMAS LANNING P00851654 2122970400 2012 2016-03-07 17:11:31Z SEAN T GRANAHAN 41-20 27TH STREET LONG ISLAND CITY NY 11101 15326677 0 X WWW.THEFLOATINGHOSPITAL.ORG X 1866 NY THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW, LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. THF IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 9 9 176 12 0 0 8159182 8217154 6072358 6929384 1 1 69416 180138 14300957 15326677 0 0 0 0 9319693 10018614 0 0 0 4799601 4257934 14119294 14276548 181663 1050129 4461738 4496016 4458972 3443121 2766 1052895 X THE HOSPITAL IS A FREE STANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 AND ARTICLE 31 OF THE NYS HEALTH LAW, LOCATED IN LONG ISLAND CITY, NY. THE HOSPITAL PROVIDES A BROAD RANGE OF PRIMARY HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. THF IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER WITH ALL THREE URBAN DESIGNATIONS UNDER SECTION 330. 0 0 6263948 5828304 HCH PROGRAM - TFH IS A FEDERALLY QUALIFIED HEALTH CENTER, AND HAS HISTORICALLY SERVED NYC'S MOST UNDERSERVED POPULATIONS. THAT POPULATION TODAY IS HOMELESS FAMILIES, WHICH, AS A CATEGORY OF HOMELESSNESS, FAR EXCEEDS HOMELESS SINGLE MEN OR WOMEN. TFH PROVIDES EXTENSIVE HEATH CARE SERVICES TO THESE INDIVIDUALS REGARDLESS OF ABILITY TO PAY. IN ADDITION, IT PROVIDES NON-MEDICAID REIMBURSED SERVICES SUCH AS HEALTH EDUCATION AT NO COST TO ANY PATIENT. 3756320 ACS MEDICAL AND DENTAL PROGRAM - TFH IS THE MEDICAL PROVIDER TO THE NYC DEPARTMENT OF JUVENILE JUSTICE, WHICH HANDLES ALL ASPECTS OF YOUTH UNASSOCIATED WITH A SPECIFIC HOME LIFE AT A PARTICULAR TIME, I.E., FOSTER CHILDREN (BOTH TEMPORARY AND PERMANENT) DETAINED YOUTH, ETC. - TFH PROVIDES HEALTH CARE AND HEALTH EDUCATION TO THIS MEDICALLY FRAGILE AND INNER-CITY AT-RISK POPULATION AT SITES IN THE BRONX AND BROOKLYN. 2236940 1279054 CHC/PHPC PROGRAM - TFH ALSO FUNCTIONS AS A FEDERALLY QUALIFIED HEALTH CENTER TO THE NORTHWEST QUEENS COMMUNITY AND PROVIDES PRIMARY HEALTH CARE SERVICES TO THE UNDERSERVED OF THAT COMMUNITY AS WELL AS THE QUEENSBRIDGE AND RAVENSWOOD HOUSES, THE LARGEST PUBLIC HOUSING PROJECTS IN THE UNITED STATES. IT FOLLOWS THE SAME FORMULA AS ITS HOMELESS FAMILIES PROGRAM, PROVIDING PRIMARY HEALTHCARE SERVICES REGARDLESS OF ABILITY TO PAY. IN 2012 TFH PROVIDED 9,183 VISITS TO THESE UNDERSERVED CLIENTS. 12257208 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 15 0 1 176 1 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 NY X GLORIA CARNEY 7187842240 41-40 27TH STREET LONG ISLAND CITY NY 11101 ALLISON E SOKARIS 1.00 X 0 0 0 ANTHONY BROWNIE 1.00 1.00 X X 0 0 0 CAROL JACKSON 1.00 X 0 0 0 EDWARD W PRAGER 1.00 1.00 X X 0 0 0 EVELYN LORD 1.00 X 0 0 0 JANE MEROLLA 1.00 X 0 0 0 JUDITH FASKE 1.00 X 0 0 0 MAUDE ASKIN 1.00 1.00 X X 0 0 0 MICHAEL GEORGE 1.00 X 0 0 0 JOSEPHINE BREVOGAL 1.00 X 0 0 0 S STILES NYERERE 35.00 2.00 X 87207 0 11426 SEAN T GRANAHAN 35.00 5.00 X 164534 0 10020 SHANI ARMSTRONG ANDRE MD 35.00 X 209800 0 2591 FRANTZ CYRILLE 35.00 X 189189 0 1633 ICELINI GARCIA-SOSA 35.00 X 129939 0 13761 JANELLE ALEXANDER 35.00 X 135273 0 5961 MARK SETHNA 35.00 X 167595 0 6848 MELISSA WALLENTIN 35.00 X 175148 0 8095 1258685 0 60335 13 0 1 0 COHNREZNICK LLP 1212 AVE OF THE AMERICAS NEW YORK NY 10036 AUDIT & FINANCIAL CONSULTING 245495 TAILORED TECHNOLOGIES LLC 622 THIRD AVENUE 7TH FLOOR NEW YORK NY 10017 MIS CONSULTING 129290 2 100000 7208422 908732 591253 8217154 MANAGED CARE 621400 3097937 3097937 NYS UNCOMPENSATED CARE 621400 1854466 1854466 MEDICAID 621400 1842876 1842876 SELF PAY 621400 75557 75557 OTHER THIRD PARTY 621400 53497 53497 5051 5051 6929384 1 1 MEANINGFUL USE 621400 174250 174250 PASS-THROUGH TO CARE FOR HOMELESS 621400 2100 2100 COPYING FEES 900099 1624 1624 2164 2164 180138 15326677 7107358 0 2165 485578 423407 62171 7759505 6763896 995609 9917 8699 1218 965601 847046 118555 798013 700034 97979 60497 60497 25851 25851 125845 24090 101755 447914 341376 106538 36976 29541 7435 232446 187093 45353 19414 19147 267 482032 392073 89959 14315 6030 8285 25994 9518 16476 63452 63452 259684 233716 25968 431868 372182 59686 CONSUMABLE SUPPL & LAB 1362308 1348201 14107 REPAIRS & MAINTENANCE 183451 150856 32595 DATA PROCESSING 163535 118732 44803 PATIENT TRANSPORTATION 124797 124519 278 197555 157052 40503 14276548 12257208 2019340 0 9830 197373 1429 64 920330 601708 2235220 1955794 204327 92750 3994551 2375590 1061236 1618961 29366 29366 4461738 4496016 1959894 1283313 794459 709911 1262041 636596 442578 813301 4458972 3443121 X -530789 733700 533555 319195 2766 1052895 4461738 4496016 1050129 0 X X 0 1 X 1 1 1 X 7576453 10635287 9407756 8159182 8217154 43995832 7576453 10635287 9407756 8159182 8217154 43995832 43995832 1734 99 1 1 1835 348 103769 48836 69416 180138 402507 44400174 25148908 0.99090 0.99420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 533555 130734 345094 319195 607826 80000 154271 533555 324391 738524 455089 607826 326749 213950 216308 324391 87140 300000 60391 326749 1.00000 0 0 219568 138715 80853 1293995 635537 658458 247338 247338 0 2233650 1354000 879650 1618961 DUE THE FLOATING HOSPITAL FOUNDATION 813301 813301 X 15413545 86868 86868 15326677 0 15326677 14324132 47584 47584 14276548 0 14276548 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE OF ENDOWMENT FUND IS TO SUPPORT THE FLOATING HOSPITAL, INC. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FLOATING HOSPITAL, INC. WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE HOSPITAL HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2012. THE HOSPITAL'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM RELATED ORGAINIZATIONS 86,868. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM RELATED ORGAINIZATIONS 47,584. X X X 0 0 0 0 0 0 0 0 0 SEAN T GRANAHAN 163823 0 0 0 711 0 841 0 9179 0 174554 0 0 0 SHANI ARMSTRONG ANDRE MD 208959 0 0 0 841 0 1057 0 1534 0 212391 0 0 0 FRANTZ CYRILLE 188644 0 0 0 545 0 0 0 1633 0 190822 0 0 0 MARK SETHNA 167050 0 0 0 545 0 842 0 6006 0 174443 0 0 0 MELISSA WALLENTIN 174764 0 0 0 384 0 886 0 7209 0 183243 0 0 0 X 3 591253 FAIR MARKET VALUE 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THIS REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 2 EDWARD PRAGER, VICE CHAIR & TREASURER, AND JUDITH FASKE, TRUSTEE, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11 TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUTANT AND REVIEWED BY MANAGEMENT, A DRAFT OF THE FORM 990 IS REVIEWED WITH THE BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE PROHIBITED FROM RECRUITING BOARD MEMBERS WHO ARE TFH VENDORS, SO MONITORING BEGINS WITH THE BOARD ITSELF. BOARD ORIENTATION PACKETS CONTINUE THE PROCESS. VENDORS OVER A $100,000 REQUIRE BOARD NOTIFICATION. THE FORM 990 REINFORCES THIS NOTIFICATION. THE ANNUAL AUDIT SERVES AS AN INDEPENDENT FINAL CHECK OF CONFLICTS. EACH YEAR THE ORGANIZATION REVIEWS THE POLICIES IN A BOARD MEETING, AND REQUESTS THAT ALL MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS RE-SIGN THE CONFLICT OF INTEREST POLICY STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE FLOATING HOSPITAL, INC. FOLLOWS THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER GUIDELINES ON OFFICERS SALARIES, AS WELL AS FORM 990'S OF OTHER ORGANIZATIONS, EMPLOYMENT CONTRACTS, COMPENSATION SUREVEYS AND BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THE ORGANIZATION DOES NOT MEET THIS DEFINITION. THE FLOATING HOSPITAL FOUNDATION INC 41-40 27TH STREET LONG ISLAND CITY NY 11101 300102842 RAISES FUNDS AND SUPPORTS THE FLOATING HOSPITAL, INC. NY 501(C)(3) LINE 11A, I THE FLOATING HOSPITAL INC 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0