2013-01-31T16:44:38-06:00 2011-12-31 221478099 COHNREZNICK LLP 1212 6TH AVENUE NEW YORK NY 10036 990 2011-01-01 113316802 MEDISYS HEALTH NETWORK INC MEDI 7182066291 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 MOUNIR DOSS 7182066291 2013-01-28 1 THOMAS LANNING P00851654 2122970400 2011 2016-02-25 16:41:14Z MOUNIR DOSS 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 7867308 0 X WWW.JAMAICAHOSPITAL.ORG X 1996 NY TO SUPPORT THE OPERATIONS OF THE JAMAICA HOSPITAL MEDICAL CENTER, BROOKDALE 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). 12 10 2 0 0 0 0 0 6499997 6499997 198088 191820 1414590 1175491 8112675 7867308 0 0 0 0 2411048 1778837 0 0 0 3300223 3119842 5711271 4898679 2401404 2968629 103065617 112321917 68357285 73296681 34708332 39025236 TO SUPPORT THE OPERATIONS OF THE JAMAICA HOSPITAL MEDICAL CENTER, BROOKDALE 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 4408810 6499997 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. 4408810 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 0 1 145 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 12 10 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 40.00 X X 0 228100 63777 ANTONIETTA MORISCO MD 1.00 X 0 0 0 DOUGLAS W SINGER 1.00 X 0 0 0 GEOFFREY DOUGHLIN MD 40.00 X X 0 400436 79756 GERALDINE M CHAPEY PHD 1.00 X 0 0 0 HECTOR ESTEPAN MD 1.00 X 0 0 0 HON ARCHIE SPIGNER 1.00 X X 0 0 0 HON TIMOTHY J DUFFICY 1.00 X 0 0 0 JOHN MARUS 1.00 X X 0 0 0 JOSEPH FERRARA 1.00 X X 0 0 0 NEIL FOSTER PHILLIPS 1.00 X X 0 0 0 ROBERT W KOOP 1.00 X X 0 0 0 BRUCE FLANZ 10.00 X 808178 717943 78449 DAVID ROSEN 10.00 X 147098 208179 5846 MOUNIR DOSS 10.00 X 777767 588979 18384 1733043 2143637 246212 3 0 1 0 HAFETZ NECHELES & ROCCO 500 FIFTH AVENUE 29TH FLOOR NEW YORK NY 10110 LEGAL 1554654 PRICEWATERHOUSECOOPERS LLP 300 MADISON AVENUE NEW YORK NY 10017 ACCOUNTING 1500290 OHRENSTEIN & BROWN 1 PENN PLAZA NEW YORK NY 10119 LEGAL 994406 SEYFARTH SHAW LLP 131 SOTH DEARBORN STREET SUITE 2400 CHICAGO IL 60603 LEGAL 700000 JOHN LAVAN 149 WINDSOR AVENUE ROCKVILLE CENTER NY 11570 CONSULTING 669258 17 MGMT FEES-BHMC 900099 4000001 4000001 MGMT FEES-FHMC 900099 2499996 2499996 6499997 191820 191820 1070072 0 1070072 1070072 1070072 MISCELLANEOUS REVENUE 900099 79053 79053 PAPER/RECYCLE 900099 20966 20966 DONATED REVENUE 900099 5400 5400 105419 7867308 7675488 0 191820 1585944 1427350 158594 148357 133521 14836 780 702 78 43756 39380 4376 15000 13500 1500 673935 606541 67394 75241 67718 7523 60524 54472 6052 249737 224763 24974 1033 930 103 635970 572373 63597 1245672 1121105 124567 7290 6561 729 MAINT. & REPAIRS 122223 110001 12222 GENERAL & ADMIN 27424 24681 2743 EQUIPMENT RENTAL 4086 3677 409 DUES & SUBSCRIPTIONS 1157 1041 116 550 494 56 4898679 4408810 489869 0 37803 106935 36750426 20438369 17720725 16312057 3592531 3643340 81714558 92259585 103065617 112321917 6229920 7990686 17559087 17347322 44568278 47958673 68357285 73296681 X 34708332 39025236 34708332 39025236 103065617 112321917 X 2968629 1348275 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 17919112 8809897 9109215 7384653 3678531 3706122 6254189 5831122 423067 3573072 2118819 1454253 16312057 SECURITY DEPOSITS 39989 DUE FROM RELATED PARTIES 92219596 92259585 DUE TO JAMAICA HOSPITAL 28285791 ACCRUAL PENSION PAYABLE 14664735 DUE TO RELATED CO. 4448408 DUE TO JAMAICA RX, INC. 230000 CASH OVERDRAFT 187447 DUE TO HI TECH MED EQUIPMENT 123981 EXCHANGE 18311 47958673 X X X X 0 0 0 0 0 0 0 0 0 ANTHONY DIMARIA MD 0 215396 0 0 0 12704 0 42666 0 21111 0 291877 0 0 GEOFFREY DOUGHLIN MD 0 396872 0 0 0 3564 0 56753 0 23003 0 480192 0 0 BRUCE FLANZ 546364 663146 0 0 261814 54797 0 60091 0 18358 808178 796392 0 0 DAVID ROSEN 147098 208179 0 0 0 0 0 0 0 5846 147098 214025 0 0 MOUNIR DOSS 546364 551013 0 0 231403 37966 0 0 0 18384 777767 607363 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 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, AND DAVID ROSEN, PRIOR PRESIDENT & CEO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: - JAMAICA HOSPITAL MEDICAL CENTER - 25 HOURS PER WEEK - FLUSHING HOSPITAL MEDICAL CENTER - 10 HOURS PER WEEK - BROOKDALE HOSPITAL MEDICAL CENTER - 10 HOURS PER WEEK - OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10 HOURS PER WEEK AS OF MARCH 12, 2011, DAVID ROSEN, PRIOR PRESIDENT & CEO, IS NO LONGER AN EMPLOYEE OF MEDISYS HEALTH NETWORK. ANTHONY DIMARIA, M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR JAMAICA HOSPITAL NURSING HOME. ANTHONY DIMARIA, M.D. RECEIVED NO COMPENSATION AS A TRUSTEE FOR MEDISYS HEALTH NETWORK, INC. GEOFFREY DOUGHLIN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR JAMAICA HOSPITAL MEDICAL CENTER. GEOFFREY DOUGHLIN M.D. RECEIVED NO COMPENSATION AS A TRUSTEE FOR MEDISYS HEALTH NETWORK, INC. 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 5: NET UNREALIZED LOSSES ON INVESTMENTS: -134,596. PENSION ACTUARIAL LOSSES 1,482,871. TOTAL TO FORM 990, PART XI, LINE 5: 1,348,275. MEDISYS MANAGEMENT LLC 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113396829 BILLING AND ADMIN SERVICE COMPANY NY 0 0 MEDISYS VENTURES NHP OF INDIANA 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 030572979 MANAGED CARE PLAN NY 0 0 NHP HOLDINGS LLC ROYAL HEALTH CARE DATA CENER LLC 5051 JOURNAL CENTER BLVD NE 410 ALBUQUERQUE NM 87109 201939732 DATA PROCESSING NM 0 0 ROYAL HEALTHCARE OF LONG ISLAND ADVANCED CENTER FOR PSYCHOTHERAPY 89-06 135TH STREET JAMAICA NY 11418 111864871 HEALTHCARE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 ALLIED HEALTH FOUNDATION OF QUEENS INC 4500 PARSONS BLVD FLUSHING NY 11355 112813535 INACTIVE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 AMBOY PROPERTIES CORPORATION 101-10 AVENUE D BROOKLYN NY 11236 112814707 PARKING GARAGE NY 501(C)(3) 11A MEDISYS HEALTH NETWORK 0 BROOKDALE FAMILY CARE CENTER 101-10 AVENUE D BROOKLYN NY 11236 113237483 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY 101-10 AVENUE D BROOKLYN NY 11236 237082540 HOUSING NY 501(C)(2) N/A BROOKDALE HOSPITAL MEDICAL CENTER 0 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11212 111631746 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 BROOKDALE RESEARCH FOUNDATION INC ONE BROOKDALE PLAZA BROOKLYN NY 11212 311634638 INACTIVE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 FLUSHING HOSPITAL MEDICAL CENTER 4500 PARSONS BLVD FLUSHING NY 11355 111631781 HOSPITAL NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC 8900 VAN WYCK EXPY JAMAICA NY 11418 113483140 INACTIVE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 JAMAICA HOSPITAL MEDICAL CENTER 8900 VAN WYCK EXPY JAMAICA NY 11418 111631788 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 JAMAICA HOSPITAL NURSING HOME 90-28 VAN WYCK EXPY JAMAICA NY 11418 237216197 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 LINROC COMMUNITY SERVICE CORPORATION 101-10 AVENUE D BROOKLYN NY 11236 112814765 SUPPORT NY 501(C)(3) 11A MEDISYS HEALTH NETWORK 0 MEDISYS AMBULANCE SERVICE 8900 VAN WYCK EXPY JAMAICA NY 11418 542124788 HEALTHCARE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 NEIGHBORHOOD HEALTH PROVIDERS INC 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 943474115 MANAGED CARE PLAN NY 501(C)(3) 9 JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP 0 ROCKREAL CORPORATION 101-10 AVENUE D BROOKLYN NY 11236 112814705 SUPPORT NY 501(C)(3) 11A MEDISYS HEALTH NETWORK 0 SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC 101-10 AVENUE D BROOKLYN NY 11236 237270262 HEALTHCARE NY 501(C)(3) 7 SCHULMAN SCHACHNE INSTITUTE FOR NURSING 0 SCHLANG PAVILION DBA BROOKDALE RESIDENCE HOUSING DEVELOPMENT 101-10 AVENUE D BROOKLYN NY 11236 113324040 HOUSING NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 SCHULMAN SCHACHNE INSTITUTE FOR NURSING 101-10 AVENUE D BROOKLYN NY 11236 237085986 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 THE JAMAICA HOSPITAL DIAG AND TREAT CTR 8900 VAN WYCK EXPY JAMAICA NY 11418 113340969 HEALTHCARE NY 501(C)(3) 3 MEDISYS HEALTH NETWORK 0 THE LINDEN FOUNDATION INC ONE BROOKDALE PLAZA BROOKLYN NY 11212 112814704 INACTIVE NY 501(C)(3) 9 MEDISYS HEALTH NETWORK 0 URBAN STRATEGIES 101-10 AVENUE D BROOKLYN NY 11236 113237480 HEALTHCARE NY 501(C)(3) 3 LINROC COMMUNITY SERVICE CORP 0 VWE PROPERTIES CORPORATION 8900 VAN WYCK EXPY JAMAICA NY 11418 113485165 PARKING GARAGE NY 501(C)(3) 11A MEDISYS HEALTH NETWORK 0 NHP HOLDINGS LLC 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 203418837 HOLDING COMPANY NY N/A ROYAL HEALTHCARE OF LONG ISLAND 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 133887900 MANAGEMENT SERVICES ORG. NY N/A BHMC ENTERPRISES 101-01 AVENUE D BROOKLYN NY 11236 112855200 LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVE NY N/A C BROOKDALE RX 101-01 AVENUE D BROOKLYN NY 11236 202041821 RETAIL PHARMACY NY N/A C FRR RECOVERY SERVICES 80 MARCUS DRIVE MELVILLE NY 11747 113454555 COLLECTION AGENCY NY N/A C HI TECH MEDICAL EQUIPMENT 103-51 101 ST OZONE PARK NY 11416 113313334 DURABLE MEDICAL EQUIPMENT COMPANY NY N/A C JAMAICA RX 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 205292781 RETAIL PHARMACY NY N/A C LCSC HOLDINGS 101-01 AVENUE D BROOKLYN NY 11236 113357198 HOLDING COMPANY NY N/A C MEDISYS HOME CARE SERVICE INC 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 030474027 HOME CARE STAFFING/INACTIVE NY N/A C MEDISYS IPA 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113452476 PHYSICIAN CONTRACTING/INACTIVE NY N/A C MEDISYS SERVICE CORPORATION 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113479920 HOLDING COMPANY NY N/A C MEDISYS VENTURES 111 STEWART AVE HICKSVILLE NY 11801 113431792 HOLDING COMPANY NY N/A C MHN REALTY 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113458286 REAL ESTATE/INACTIVE NY N/A C RAINBOW PHARMACY DBA FLUSHING RX 4500 PARSONS BLVD FLUSHING NY 11355 112843101 RETAIL PHARMACY NY N/A C SECOND CENTURY SERVICE CORPORATION 4500 PARSONS BLVD FLUSHING NY 11355 112843101 RETAIL PHARMACY NY N/A C 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0