2013-11-14T09:59:19-06:00 2012-12-31 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2012-01-01 113316802 MEDISYS HEALTH NETWORK INC MEDI 7182066291 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 MOUNIR DOSS 7182066291 2013-11-13 1 THOMAS LANNING P00851654 2122970400 2012 2016-02-25 16:41:14Z MOUNIR DOSS 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 5132080 0 X WWW.JAMAICAHOSPITAL.ORG X 1996 NY TO SUPPORT THE OPERATIONS OF THE JAMAICA HOSPITAL MEDICAL CENTER, FLUSHING HOSPITAL MEDICAL CENTER AND OTHER ORGANIZATIONS LISTED IN SCHEDULE R, PART II, WHICH ARE HOSPITAL TAX EXEMPT UNDER IRC SECTION 501(C)(3). 13 11 2 0 0 0 0 0 6499997 3833330 191820 193623 1175491 1105127 7867308 5132080 0 0 0 0 1778837 1122858 0 0 0 3119842 18588890 4898679 19711748 2968629 -14579668 112321917 90730205 73296681 69450500 39025236 21279705 TO SUPPORT THE OPERATIONS OF THE JAMAICA HOSPITAL MEDICAL CENTER, FLUSHING HOSPITAL MEDICAL CENTER, AND OTHER ORGANIZATIONS LISTED IN SCHEDULE R, PART II, WHICH ARE HOSPITAL TAX EXEMPT UNDER IRC SECTION 501(C)(3). 0 0 19223315 3833330 MEDISYS HEALTH NETWORK PROVIDES SERVICES TO SUPPORT AND BENEFIT JAMAICA HOSPITAL MEDICAL CENTER, FLUSHING HOSPITAL MEDICAL CENTER, BROOKDALE HOSPITAL MEDICAL CENTER AND IT'S RELATED HEALTHCARE ORGANIZATIONS. 19223315 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 146 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MANZAR SASSANI 7182066291 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 X ANTHONY DIMARIA MD 1.00 40.00 X X 0 227505 23394 ANTONIETTA MORISCO MD 1.00 2.00 X 0 0 0 DOUGLAS W SINGER 1.00 3.00 X 0 0 0 GEOFFREY DOUGHLIN MD 1.00 41.00 X X 0 400044 25268 GERALDINE M CHAPEY PHD 1.00 2.00 X 0 0 0 HECTOR ESTEPAN MD 1.00 1.00 X 0 0 0 HON ARCHIE SPIGNER 1.00 2.00 X X 0 0 0 HON TIMOTHY J DUFFICY 1.00 2.00 X 0 0 0 JOHN MARUS 1.00 1.00 X X 0 0 0 JOSEPH FERRARA 1.00 3.00 X X 0 0 0 NEIL FOSTER PHILLIPS 1.00 3.00 X X 0 0 0 ROBERT W KOOP 1.00 3.00 X X 0 0 0 JOSEPH LIANA 1.00 2.00 X 0 0 0 BRUCE FLANZ 10.00 55.00 X 546364 836688 24107 MOUNIR DOSS 10.00 55.00 X 546364 627991 24107 1092728 2092228 96876 2 0 1 0 FOLEY AND LARDNER LLP 90 PARK AVE NEW YORK NY 10016 LEGAL 515100 EBS MASTERS LLC 3055 LEBANON PIKE 1000 NASHVILLE TN 37214 DATA PROCESSING 490224 SOFT COMPUTER CONSULTANTS 5400 TECH DATA DRIVE CLEARWATER FL 33760 COMPUTER SERVICES 457476 FARREL FRITZ PC 1320 RXR PLAZA UNIONDALE NY 11556 LEGAL 429494 SEYFARTH SHAW LLP 131 SOTH DEARBORN ST SUITE 2400 CHICAGO IL 60603 LEGAL 417896 35 MGMT FEES-FHMC 900099 2499996 2499996 MGMT FEES-BHMC 900099 1333334 1333334 3833330 193623 193623 1056072 0 1056072 1056072 1056072 MISCELLANEOUS REVENUE 900099 40198 40198 PAPER/RECYCLE 900099 8857 8857 49055 5132080 4889402 0 242678 1092728 966088 126640 30130 26638 3492 554305 490066 64239 9500 8399 1101 20995 18561 2434 104689 92556 12133 403035 356326 46709 214999 190082 24917 573028 506618 66410 1090936 964504 126432 BAD DEBT EXPENSE 15497238 15497238 ASSESSMENTS 75000 66308 8692 MAINT. & REPAIRS 24353 21531 2822 EQUIPMENT LEASES & RENT 5175 4575 600 15637 13825 1812 19711748 19223315 488433 0 68899 1371 106935 84535 37406363 21529305 16312057 15877058 3643340 4077313 92259585 70621029 112321917 90730205 7990686 5793369 17347322 14550204 47958673 49106927 73296681 69450500 X 39025236 21279705 39025236 21279705 112321917 90730205 X -14579668 250532 -3416395 X 0 0 0 X X 0 0 0 JAMAICA HOSPITAL MEDICAL CENTER 111631788 3 0 0 BROOKDALE HOSPITAL MEDICAL CENTER 111631746 3 0 0 FLUSHING HOSPITAL MEDICAL CENTER 111631781 3 0 0 3 0 1619400 1619400 18372705 9265815 9106890 7398653 4020336 3378317 6264808 5897422 367386 3750797 2345732 1405065 15877058 SECURITY DEPOSITS 39989 DUE FROM RELATED PARTIES 70581040 70621029 ACCRUAL PENSION PAYABLE 4525420 DUE TO RELATED PARTY 44094789 CASH OVERDRAFT 327383 EXCHANGE 159335 49106927 X X X X 0 0 0 0 0 0 0 0 0 ANTHONY DIMARIA MD 0 214801 0 0 0 12704 0 5537 0 17857 0 250899 0 0 GEOFFREY DOUGHLIN MD 0 396480 0 0 0 3564 0 6250 0 19235 0 425529 0 0 BRUCE FLANZ 546364 694034 0 0 0 142654 0 6250 0 18074 546364 861012 0 0 MOUNIR DOSS 546364 550149 0 0 0 77842 0 6250 0 18074 546364 652315 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION POLICY - THE BOARD OF MEDISYS HEALTH NETWORK HAS CREATED AN INDEPENDENT COMPENSATION COMMITTEE WHOSE CHARGE IS TO REVIEW AND APPROVE THE COMPENSATION OF ALL INDIVIDUALS WHO MEET THE REQUIREMENTS OF A DISQUALIFIED PERSON FOR INTERMEDIATE SANCTIONS. THIS COMMITTEE IS EMPOWERED TO APPROVE COMPENSATION FOR ALL ENTITIES WITHIN THE MEDISYS HEALTH NETWORK SYSTEM. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR EXECUTIVES. IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTIONS REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE COMMITTEE SHALL APPROVE BASE SALARIES FOR EXECUTIVES AND ANY DISQUALIFIED INDIVIDUALS BASED UPON THE AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES WITHIN THE RELEVANT MARKETPLACE, WITH POSSIBLE ADJUSTMENTS MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. THE CEO SHALL RECOMMEND TO THE COMPENSATION COMMITTEE ANY ADJUSTMENTS TO THE BASE SALARIES OF EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1B: FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITYS FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK BROOKDALE HOSPITAL MEDICAL CENTER(THROUGH SEPTEMBER 2012) - 3.4 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R INCLUDING BROOKDALE RELATED ENTITIES THROUGH SEPTEMBER 2012 - 6.6 HOURS PER WEEK ANTHONY DIMARIA, M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL NURSING HOME WORKING ABOUT 40 HOURS PER WEEK. ANTHONY DIMARIA, M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR JAMAICA HOSPITAL MEDICAL CENTER, MEDISYS HEALTH NETWORK, OR THE JAMAICA HOSPITAL MEDICAL CENTER DIAGNOSTIC AND TREATMENT CENTER FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK. GEOFFREY DOUGHLIN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL NURSING HOME WORKING ABOUT 40 HOURS PER GEOFFREY DOUGHLIN M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR THE JAMAICA HOSPITAL MEDICAL CENTER DIAGNOSTIC AND TREATMENT CENTER OR MEDISYS HEALTH NETWORK FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK. FORM 990, PART VII, COLUMN C: MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE". CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION ACTUARIAL LOSSES -3,416,395. 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NY N/A BHMC ENTERPRISES 101-01 AVENUE D BROOKLYN NY 11236 112855200 LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVE NY N/A C 0 BROOKDALE RX 101-01 AVENUE D BROOKLYN NY 11236 202041821 RETAIL PHARMACY NY N/A C 0 FRR RECOVERY SERVICES 80 MARCUS DRIVE MELVILLE NY 11747 113454555 COLLECTION AGENCY NY N/A C 0 HI TECH MEDICAL EQUIPMENT 103-51 101 ST OZONE PARK NY 11416 113313334 DURABLE MEDICAL EQUIPMENT COMPANY NY N/A C 0 JAMAICA RX 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 205292781 RETAIL PHARMACY NY N/A C 0 LCSC HOLDINGS 101-01 AVENUE D BROOKLYN NY 11236 113357198 HOLDING COMPANY NY N/A C 0 MEDISYS HOME CARE SERVICE INC 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 030474027 HOME CARE STAFFING/INACTIVE NY N/A C 0 MEDISYS IPA 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113452476 PHYSICIAN CONTRACTING/INACTIVE NY N/A C 0 MEDISYS SERVICE CORPORATION 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113479920 HOLDING COMPANY NY N/A C 0 MEDISYS VENTURES 111 STEWART AVE HICKSVILLE NY 11801 113431792 HOLDING COMPANY NY N/A C 0 MHN REALTY 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113458286 REAL ESTATE/INACTIVE NY N/A C 0 RAINBOW PHARMACY DBA FLUSHING RX 4500 PARSONS BLVD FLUSHING NY 11355 112843101 RETAIL PHARMACY NY N/A C 0 SECOND CENTURY SERVICE CORPORATION 4500 PARSONS BLVD FLUSHING NY 11355 112843101 RETAIL PHARMACY NY N/A C 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 MEDISYS VENTURES P 93000 COST MEDISYS VENTURES Q 140000 COST FRR RECOVERY Q 98351 COST FRR RECOVERY N 348036 COST HITECH Q 104861 COST