BROOKHAVEN HEALTH CARE SERVICES CORPORATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BROOKHAVEN HEALTH CARE SERVICES CORPORATION (EIN 11-2950196)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201243209349305559
- Schema version
- 2011v1.3
- 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 | 2012-11-15T13:23:36-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | 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 | 112950196 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN HEALTH CARE SERVICES CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % B FARRELL VP/CFO | InCareOfName |
| Name Control | BROO | NameControl |
| Phone | 6316547100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENDA FARRELL | Name |
| Title | CFO | Title |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Paul Hammerschmidt | Name |
| Phone | 2128858000 | 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 | T OCKERS CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7978857 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BROOKHAVENHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO SEEK PHILANTHROPIC SUPPORT AND GRANT FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS UNDER THE DIRECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 941626 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2336674 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1109981 | InvestmentIncomePriorYear |
| Investment Income Current Year | 871290 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 224649 | OtherRevenuePriorYear |
| Other Revenue Current Year | 251417 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2276256 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3459381 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1000000 | 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 | 426354 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 650733 | OtherExpensePriorYear |
| Other Expenses Current Year | 706176 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1650733 | TotalExpensesPriorYear |
| Total Expenses Current Year | 706176 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 625523 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2753205 | RevenuesLessExpensesCY |
| Total Assets BOY | 28799589 | TotalAssetsBOY |
| Total Assets EOY | 31857459 | TotalAssetsEOY |
| Total Liabilities BOY | 242773 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2097 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 28556816 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31855362 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO SEEK PHILANTHROPIC SUPPORT ON THE BEHALF OF BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS AND TO GRANT FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS UNDER THE DIRECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9858 | Expense |
| Description | FAMILY FUN DAY - TO EDUCATE THE COMMUNITY ABOUT HEALTH AWARENESS. | Description |
| Total Program Service Expense | 9858 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | true | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 5 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | B FARRELL VPCFO | NamePerson |
| Telephone Number | 6316547100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | FINANCE DEPT 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| T OCKERS CEO | ||||||
| PRESIDENT & CEO/DIRECTOR | 37.5 | X | X | 0 | 708306 | 48057 |
| R W SCHWARZ | ||||||
| CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 |
| L ROSE | ||||||
| VICE CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 |
| J MAYER | ||||||
| TREASURER | 1.0 | X | X | 0 | 0 | 0 |
| M MULHOLLAND | ||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 |
| R BERMAN MD | ||||||
| DIRECTOR/PRES. OF MED. STAFF | 1.0 | X | 0 | 20100 | 0 | |
| F C BRAUN III | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| G BROWN | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| T CULLEN | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| F GRUCCI JR | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| E KORMYLO DPM | ||||||
| DIRECTOR | 1.0 | X | 0 | 21600 | 0 | |
| W LADICK | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| W LEHMANN | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| L LOURIE | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| J MAIORINO | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| J MONTEITH | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| B NATH FROM 32011 | ||||||
| DIRECTOR | 1.0 | X | 0 | 22790 | 0 | |
| S NORTON REMMER | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| F ROSE | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| E RUSSO | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| E PATRICK SMITH | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| S TAITZ | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 772796 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 48057 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 741877 | FundraisingEvents |
| All Other Contributions | 1594797 | AllOtherContributions |
| Total Contributions | 2336674 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 922614 | TotalRevenueColumn |
| Exclusion | $922,614 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4194146 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4245470 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -51324 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -51324 | TotalRevenueColumn |
| Exclusion | -$51,324 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 495668 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 741877 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 259006 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 236662 | TotalRevenueColumn |
| Exclusion | $236,662 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 29755 | GrossIncomeGaming |
| Gaming Direct Expenses | 15000 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14755 | TotalRevenueColumn |
| Exclusion | $14,755 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3459381 | TotalRevenueColumn |
| Exclusion | $1,122,707 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58292 | Total |
| Management And General | 58292 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180722 | Total |
| Management And General | 180722 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55681 | Total |
| Fundraising | 55681 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4227 | Total |
| Fundraising | 4227 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9279 | Total |
| Fundraising | 9279 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17475 | Total |
| Fundraising | 17475 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | FundraisingFundraising | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|---|
| LEASED EMPLOYEES | 327596 | 327596 | ||
| SPONSORSHIPS | 30950 | 30950 | ||
| RESERVE FOR UNCOLLECTIBLE | 16473 | 16473 | ||
| HEALTH AWARE./FAM FUN DAY | 9858 | 9858 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -4377 | Total |
| Fundraising | -4377 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 706176 | Total |
| Program Services | 9858 | ProgramServices |
| Management And General | 269964 | ManagementAndGeneral |
| Fundraising | 426354 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 894760 | BOY |
| EOY | 192138 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3355774 | BOY |
| EOY | 5024313 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 288129 | BOY |
| EOY | 1373612 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14000 | BOY |
| EOY | 14000 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1195769 | BOY |
| EOY | 683884 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 1560 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22619015 | BOY |
| EOY | 24124908 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432142 | BOY |
| EOY | 443044 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28799589 | BOY |
| EOY | 31857459 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54818 | BOY |
| EOY | 2097 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187955 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242773 | BOY |
| EOY | 2097 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9247332 | BOY |
| EOY | 10474761 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19309484 | BOY |
| EOY | 21380601 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28556816 | BOY |
| EOY | 31855362 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28799589 | BOY |
| EOY | 31857459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2753205 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 545341 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3090161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 900455 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 786498 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 941626 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2336674 | CurrentTaxYear |
| Total | 8055414 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3090161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 900455 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 786498 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 941626 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2336674 | CurrentTaxYear |
| Total | 8055414 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 8055414 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 906766 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1034440 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 825632 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 981266 | CurrentTaxYearMinus1Year |
| Current Tax Year | 922614 | CurrentTaxYear |
| Total | 4670718 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 906766 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1034440 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 825632 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 981266 | CurrentTaxYearMinus1Year |
| Current Tax Year | 922614 | CurrentTaxYear |
| Total | 4670718 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 215034 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 130368 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 232658 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 224649 | CurrentTaxYearMinus1Year |
| Current Tax Year | 251417 | CurrentTaxYear |
| Total | 1054126 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4211961 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2065263 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1844788 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2147541 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3510705 | CurrentTaxYear |
| Total | 13780258 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.58456 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.83300 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.33894 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.13312 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests PY509 | X | ThirtyThreePercntTestsPY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Total Revenue | 3459381 | TotalRevenue |
| Total Expenses | 706176 | TotalExpenses |
| Excess Or Deficit For Year | 2753205 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 545341 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 545341 | TotalAdjustments |
| Excess Or Deficit Per FS | 3298546 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4278728 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 545341 | NetUnrealizedGainsInvestments |
| Other Revenues | 274006 | OtherRevenues |
| Revenue Not Rptd F990 | 819347 | RevenueNotRptdF990 |
| Revenue Subtotal | 3459381 | RevenueSubtotal |
| Total Revenue Per Form990 | 3459381 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 980182 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 274006 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 274006 | ExpensesNotRptdF990 |
| Expenses Subtotal | 706176 | ExpensesSubtotal |
| Total Expenses Per Form990 | 706176 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART X, LINE 2: | Brookhaven Health Care Services Corporation has not taken an uncertain tax position that would require provision of a liability under ASC 740, "income taxes". Under ASC 740, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained. The organization does not believe there are any material uncertain tax positions and, accordingly, has not recognized any liability for unrecognized tax benefits. The organization filed IRS Form 990, as required, and all other applicable returns in jurisdictions where it is required. For the years ended December 31, 2011 and 2010, there were no interest or penalties recorded or included in the consolidated financial statements. |
| PART XII, LINE 2D AND PART XIII, LINE 2D: | SPECIAL EVENTS DIRECT EXPENSES. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL BALL | NameOfEvent1 |
| Gross Receipts Event1 | 716651 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 477792 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 238859 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 134340 | OtherDirectExpensesEvent1 |
| Name Of Event2 | TOURNAMENTS | NameOfEvent2 |
| Gross Receipts Event2 | 215817 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 105387 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 110430 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 35224 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 305077 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 158698 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 146379 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 89442 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1237545 | GrossReceiptsTotal |
| Charitable Contributions Total | 741877 | CharitableContributionsTotal |
| Gross Revenue Total Events | 495668 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 259006 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 259006 | DirectExpenseSummaryEvents |
| Net Income Summary | 236662 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 29755 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 15000 | CashPrizesOtherGaming |
| Gross Revenue Total Gaming | 29755 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 15000 | CashPrizesTotalGaming |
| Direct Expense Summary Gaming | 15000 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 14755 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NY | StatesWhereGamingConducted |
| Licensed | true | Licensed |
| License Suspended Etc | false | LicenseSuspendedEtc |
| Gaming With Nonmembers | true | GamingWithNonmembers |
| Member Of Other Entity | false | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.50000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 0.50000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | C BANKS | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | false | ContractWith3rdPartyForGamRev |
| Gaming Manager Name Person | C BANKS | GamingManagerNamePerson |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | false | CharitableDistribRequired |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART III, LINE 16: | Identifier |
| Explanation | MR. BANKS IS A LEASED EMPLOYEE OF THE ORGANIZATION. HE IS PAID BY BROOKHAVEN MEMORIAL HOSPITAL, AN AFFILIATE OF THE ORGANIZATION, AND THE COST OF HIS COMPENSATION AS VICE PRESIDENT OF DEVELOPMENT AND EXTERNAL AFFAIRS IS INCLUDED IN THE EXPENSES OF THE ORGANIZATION. MR. BANKS DOES NOT RECEIVE ANY ADDITIONAL COMPENSATION FOR GAMING ACTIVITIES AS PART OF HIS POSITION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | T OCKERS CEO | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 578631 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 123120 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 6555 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 33626 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 14431 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 756363 | TotalCompensationRelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 3: | Identifier |
| Explanation | Brookhaven Memorial Hospital Medical Center, an affiliate of the reporting organization paid compensation to the reporting organization's top management official. Brookhaven Memorial Hospital Medical Center has established the compensation of the top management official using compensation committee, independent compensation consultant, compensation survey and study, and approval by the board or compensation committee. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (29 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2: | L. ROSE AND F. ROSE ARE BOARD MEMBERS AND HAVE A FAMILY RELATIONSHIP. | |
| FORM 990, PART VI, SECTION B, LINE 11B: | A) FIRST DRAFT PROVIDED TO MANAGEMENT FROM BDO USA, LLP. B) FINAL DRAFT PRESENTED TO JOINT MEETING OF FINANCE AND AUDIT COMMITTEES FOR REVIEW. C) FINAL DRAFT POSTED ON BOARD PORTAL. D) FORM 990 REVIEWED AT BOARD MEETING. E) FORM 990 FILED TIMELY. | |
| FORM 990, PART VI, SECTION B, LINES 12-14: | All of the Directors, Officers and Employees of the Organization are also Directors, Officers and Employees of Brookhaven Memorial Hospital Medical Center ("Hospital"), a related organization. All of these individuals are governed by and subject to the policies of the Hospital including its Conflict of Interest and Whistle Blower polices. These and other Hospital policies are recognized by the Organization as applicable to it. | |
| FORM 990, PART VI, SECTION B, LINE 12C: | Members of the Board of Directors, Administrators, Department Heads and Medical Staff working for or on behalf of Brookhaven Memorial Hospital and its related parties, including but not limited to Brookhaven Health Care Services Corporation, dba BMH Foundation, are required to complete and sign the conflict of interest disclosure statement annually and whenever new information of changes arise that may require different responses from those included in the previous conflict of interest disclosure statement. Individuals are required to notify the compliance office when they believe changes in the responses may be necessary or when they believe a transaction may involve an actual or potential conflict of interest. The Hospital by-laws require that anyone with an actual or potential conflict of interest immediately disclose this fact to the Board of Directors or to a designated board committee for their review and evaluation. Further, the by-laws prohibit any individual or entity deemed to have an actual or potential conflict of interest from participating in any evaluation or decision making process regarding products or services provided by or through that individual or entity or from using this relationship to obtain goods or services on terms that are not available to individuals who are not affiliated with the hospital. The Board of Directors is responsible for enforcement of the aforementioned policy and report any conduct that it believes in good faith to be a violation of the conflict of interest policy. | |
| FORM 990, PART VI, SECTION B, LINES 15A AND 15B: | THERE ARE NO EMPLOYEES ON THE ORGANIZATION'S PAYROLL. | |
| FORM 990, PART VI, SECTION C, LINE 19: | GOVERNING DOCUMENTS - NOT AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY - NOT AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS - NOT AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:T. OCKERS, CEO TITLE:PRESIDENT & CEO/DIRECTOR HOURS:38 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:R. W. SCHWARZ TITLE:CHAIRMAN HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:L. ROSE TITLE:VICE CHAIRMAN HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:J. MAYER TITLE:TREASURER HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:M. MULHOLLAND TITLE:SECRETARY HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:R. BERMAN, MD TITLE:DIRECTOR/PRES. OF MED. STAFF HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:F. C. BRAUN III TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:G. BROWN TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:T. CULLEN TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:F. GRUCCI, JR. TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:E. KORMYLO, DPM TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:W. LADICK TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:W. LEHMANN TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:L. LOURIE TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:J. MAIORINO TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:J. MONTEITH TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:B. NATH (FROM 3/2011) TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:S. NORTON REMMER TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:F. ROSE TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:E. RUSSO TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:E. PATRICK SMITH TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:S. TAITZ TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CTR | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111704595 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|
| Brookhaven Physician Services | |||||||
| 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | 260628913 | HOSPITAL | NY | CORPORATION |
| Brookhaven Surgical Services PC | |||||||
| 100 Hospital ROAD | Patchogue | NY | 11772 | 260885844 | HOSPITAL | NY | CORPORATION |
| LI Orthopedic & Spine Specialist PC | |||||||
| 100 Hospital ROAD | patchogue | NY | 11772 | 274670754 | hospital | NY | corporation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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