NASSAU-SUFFOLK HOSPITAL SHARED SERVICES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NASSAU-SUFFOLK HOSPITAL SHARED SERVICES INC (EIN 11-2587515)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-09-17
- IRS object ID
- 201212619349300941
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-09-17T15:07:19-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112355064 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLTZ RUBENSTEIN REMINICK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 BAYLIS ROAD | AddressLine1 |
| City | MELVILLE | City |
| State | NY | State |
| ZIP Code | 117473823 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112587515 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NASSAU-SUFFOLK HOSPITAL SHARED SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NASS | NameControl |
| Phone | 6314353000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1383 VETERANS MEMORIAL HIGHWAY | AddressLine1 |
| City | HAUPPAUGE | City |
| State | NY | State |
| ZIP Code | 11788 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARIA GALLINA | Name |
| Title | CFO | Title |
| Phone | 6314353000 | Phone |
| Date Signed | 2012-09-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELLEN M LABITA | Name |
| PTIN | P00140777 | PTIN |
| Phone | 6317527400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARIA GALLINA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1383 VETERANS MEMORIAL HIGHWAY | AddressLine1 |
| City | HAUPPAUGE | City |
| State | NY | State |
| ZIP Code | 11788 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 131440 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP:/WWW.NSHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE GROUP PURCHASING CONTRACTS ON VARIOUS HOSPITAL PRODUCTS, SERVICES AND EQUIPMENT TO ITS MEMBER HOSPITALS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 24 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 145805 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 131000 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 130 | InvestmentIncomePriorYear |
| Investment Income Current Year | 440 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 145935 | TotalRevenuePriorYear |
| Total Revenue Current Year | 131440 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 51914 | OtherExpensePriorYear |
| Other Expenses Current Year | 49642 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 51914 | TotalExpensesPriorYear |
| Total Expenses Current Year | 49642 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 94021 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 81798 | RevenuesLessExpensesCY |
| Total Assets BOY | 754085 | TotalAssetsBOY |
| Total Assets EOY | 835883 | TotalAssetsEOY |
| Total Liabilities BOY | 34593 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34593 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 719492 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 801290 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE GROUP PURCHASING CONTRACTS ON VARIOUS HOSPITAL PRODUCTS, SERVICES AND EQUIPMENT TO ITS MEMBER HOSPITALS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 49642 | Expense |
| Revenue | 131000 | Revenue |
| Description | NASSAU SUFFOLK HOSPITAL SHARED SERVICES PROVIDES COOPERATIVE HOSPITAL SERVICES FOR MEMBER HOSPITALS. | Description |
| Total Program Service Expense | 49642 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 24 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIA GALLINA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6314353000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1383 VETERANS MEMORIAL HIGHWAY | AddressLine1 |
| City | HAUPPAUGE | City |
| State | NY | State |
| ZIP Code | 11788 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| MR THOMAS OCKERS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR ANDREW MITCHELL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR PAUL J CONNOR III | ||||||
| PRES ELECT SECRETARY/TREAS | 1.00 | X | 0 | 0 | 0 | X |
| MS DEBORAH TASCONE RN MS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR JAMES CALDAS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR KEVIN LAWLOR | ||||||
| PAST PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| MR KENNETH D ROBERTS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR DOUGLAS L MELZER | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X |
| MR BRIAN CURRIE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR ARTHUR GIANELLI | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR AARON GLATT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR MICHAEL DOWLING | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR JEFFREY KRAUT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR DENNIS CONNORS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR MICHAEL FENER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR ALAN GUERCI | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR JOSEPH QUAGLIATA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR ROBERT CHALONER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MS WINNIE MACK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR DENNIS VERZI | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR JAMES O'CONNOR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR JOSEPH CONTE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR STEVEN STRONGWATER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR JOHN COLLINS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MS SUSAN SOMERVILLE RN MA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR PHIL MOSCHITTA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR JOSEPH MANOPELLA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MR KEVIN DAHILL | ||||||
| CHIEF EXECUTIVE OFFICER | 1.30 | 8938 | 169821 | 19882 | X | |
| MS MARIA GALLINA | ||||||
| CHIEF FINANCIAL OFFICER | 2.50 | 5881 | 111746 | 31890 | X | |
| MS WENDY DARWELL | ||||||
| CHIEF OPERATING OFFICER | 2.50 | 8940 | 169865 | 18122 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 23759 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 451432 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 69894 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GROUP PURCH COMMISSION | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 131000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 131000 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 131000 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 440 | TotalRevenueColumn |
| Exclusion | $440 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 131440 | TotalRevenueColumn |
| Related Or Exempt Function Income | 131000 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $440 | ExclusionAmount |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49642 | Total |
| Program Services | 49642 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49642 | Total |
| Program Services | 49642 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77491 | BOY |
| EOY | 230257 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91950 | BOY |
| EOY | 70624 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 409 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 409 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 584644 | BOY |
| EOY | 535002 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 754085 | BOY |
| EOY | 835883 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34593 | BOY |
| EOY | 34593 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34593 | BOY |
| EOY | 34593 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 719492 | BOY |
| EOY | 801290 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 719492 | BOY |
| EOY | 801290 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 754085 | BOY |
| EOY | 835883 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 81798 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 409 | OtherCostOrOtherBasis |
| Depreciation | 409 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM AFFILIATES | Description |
| Book Value | 535002 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 535002 | TotalBookValueOtherAssets |
| Total Revenue | 131440 | TotalRevenue |
| Total Expenses | 49642 | TotalExpenses |
| Excess Or Deficit For Year | 81798 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 81798 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 131440 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 131440 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 131440 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 49642 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 49642 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 49642 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY UNITED STATES FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2008, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR KEVIN DAHILL | |||||||||||||
| 8458 | 160699 | 375 | 7125 | 105 | 1997 | 613 | 11638 | 382 | 7249 | 9933 | 188708 | 0 | 0 |
| MS MARIA GALLINA | |||||||||||||
| 5715 | 108580 | 107 | 2037 | 59 | 1129 | 571 | 10858 | 1023 | 19438 | 7475 | 142042 | 0 | 0 |
| MS WENDY DARWELL | |||||||||||||
| 8428 | 160136 | 461 | 8756 | 51 | 973 | 843 | 16013 | 63 | 1203 | 9846 | 187081 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 3 | ReturnReference |
| Explanation | THE ORGANIZATION RELIED ON THE COMPANY IT CONTRACTS WITH FOR MANAGEMENT AND STAFFING SERVICES TO DETERMINE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIAL. SEE SCHEDULE O FOR A DESCRIPTION OF THE PROCESS USED TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIRMAN OF NSHC CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND CHIEF OPERATING OFFICER (OFFICER) IS SET BY THE PRESIDENT IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE ORGANIZATION'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY TO ACT ON ITS BEHALF TO AN EXECUTIVE COMMITTEE IN ACCORDANCE WITH THE ORGANIZATION'S BY-LAWS. THE EXECUTIVE COMMITTEE CONSISTS OF THE FOLLOWING MEMBERS OF THE BOARD OF DIRECTORS: PRESIDENT, PRESIDENT-ELECT/TREASURER, AND OTHER DIRECTORS APPOINTED BY THE BOARD. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY, BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, TO EXERCISE AND MAINTAIN ON BEHALF OF THE ORGANIZATION ALL POWERS OF THE BOARD TO THE EXTENT PERMITTED BY LAW. THE EXECUTIVE COMMITTEE'S RESPONSIBILITIES INCLUDE PREPARING AND SUBMITTING AN ANNUAL BUDGET TO THE BOARD, ACTING UPON OTHER FISCAL MATTERS AS THEY OCCUR, AND REVIEWING AND EVALUATING THE ORGANIZATION'S ACTIVITIES AND PROGRESS IN CARRYING OUT THE POLICIES AND PROGRAMS AUTHORIZED BY THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE REPORTED TO THE BOARD AT THE FIRST MEETING THEREAFTER. |
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT SERVICES ARE CONTRACTED THROUGH HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S BY LAWS ALLOW FOR TWO CLASSES OF MEMBERS, ACTIVE AND ASSOCIATE. EACH ACTIVE MEMBER IS ENTITLED TO ONE REPRESENTATIVE ON THE BOARD OF DIRECTORS, WHICH HAS RESPONSIBILITY FOR THE GOVERNANCE OF THE ORGANIZATION. ASSOCIATE MEMBERS HAVE NO RIGHTS RELATED TO VOTING OR GOVERNANCE. THE ORGANIZATION DOES NOT CURRENTLY HAVE ASSOCIATE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE COMPLETED FORM 990 IS REVIEWED IN THREE STAGES PRIOR TO ITS FILING. THE FIRST REVIEW IS CONDUCTED BY THE CHIEF FINANCIAL OFFICER OF NSHC. THE SECOND REVIEW IS PERFORMED BY THE CHIEF FINANCIAL OFFICER OF HANYS. THE FINAL REVIEW IS PERFORMED BY THE PRESIDENT OF NSHC. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS WRITTEN CONFLICT OF INTEREST POLICIES COVERING ALL EMPLOYEES AND MEMBERS OF THE BOARD OF TRUSTEES. THE POLICIES REQUIRE EMPLOYEES AND BOARD MEMBERS TO DISCLOSE ACTUAL AND POTENTIAL CONFLICTS AND REFRAIN FROM PARTICIPATING IN MATTERS RELATED TO THE CONFLICT. ON AN ANNUAL BASIS, ALL EMPLOYEES ARE REQUIRED TO COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENTS ARE REVIEWED BY EXECUTIVE MANAGEMENT. THE POLICIES CONTAIN ESCALATION PROCEDURES FOR REVIEWING POTENTIAL CONFLICTS THAT INVOLVE INDEPENDENT LEGAL COUNSEL, BOARD LEADERSHIP, AND THE AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15A | A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIRMAN OF NSHC CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND CHIEF OPERATING OFFICER (OFFICER) IS SET BY THE PRESIDENT IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT TO THE EXTENT INFORMATION FROM THESE DOCUMENTS IS PROVIDED IN FORM 990. |
| FORM 990, PART VII, SECTION A, LINE 5 | THE ORGANIZATION'S STAFF, INCLUDING ITS PRESIDENT, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT AND CHIEF OPERATING OFFICER ARE EMPLOYED BY THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). HANYS PROVIDES EMPLOYEES AND MANAGEMENT STAFF TO THE ORGANIZATION PURSUANT TO A MANAGEMENT AND STAFFING AGREEMENT BETWEEN THE ORGANIZATION AND HANYS. HANYS PAYS ALL COMPENSATION AND FRINGE BENEFIT COSTS FOR THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED TO THE ORGANIZATION. AS COMPENSATION FOR THE MANAGEMENT AND STAFFING SERVICES, THE ORGANIZATION PAYS HANYS FOR THE COST OF THE SALARY AND FRINGE BENEFITS OF THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED BY HANYS TO THE ORGANIZATION. THE AMOUNTS PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO THE ORGANIZATION'S PRESIDENT, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT AND CHIEF OPERATING OFFICER FOR SERVICES RENDERED TO THE ORGANIZATION ARE PROVIDED IN SCHEDULE J, PART II. THE AMOUNT PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO ALL OF THE ORGANIZATION'S STAFF FOR SERVICES RENDERED TO THE ORGANIZATION IS PROVIDED IN FORM 990, PART VII, SECTION A, LINE 1. |
| FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B | AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEVIN DAHILL - 23.8 MARIA GALLINA - 47.50 WENDY DARWELL - 47.50 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| NASSAU SUFFOLK HOSPITAL COUNCIL FOUNDATION INC | ||||||||||
| 1383 VETERANS MEMORIAL HGWY | HAUPPAUGE | NY | 11788 | 111805346 | TO STUDY AND EVALUATE ISSUES IN THE HEALTH CARE INDUSTRY. | NY | 501(C)(3) | LINE 11A | N/A | 0 |
| NASSAU SUFFOLK HOSPITAL COUNCIL INC | ||||||||||
| 1383 VETERANS MEMORIAL HGWY | HAUPPAUGE | NY | 11788 | 113434265 | PROVIDE A FORUM FOR IDEAS REGARDING THE DEVELOPMENT OF HEALTH POLICY. | NY | 501(C)(6) | N/A | 0 | |
| RESOURCE MANAGEMENT COUNCIL INC | ||||||||||
| 1383 VETERANS MEMORIAL HGWY | HAUPPAUGE | NY | 11788 | 113064981 | TO PROVIDE REGIONAL MEDICAL WASTE DISPOSAL SERVICE FOR ITS MEMBER HOSPITALS. | NY | 501(E) | LINE 3 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NSH NETWORK INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1383 VETERANS MEMORIAL HGWY | AddressLine1 |
| City | HAUPPAUGE | City |
| State | NY | State |
| ZIP Code | 11788 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112884653 | EIN |
| Primary Activity | WASTE MANAGMENT | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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