ST JOSEPH HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL (EIN 11-3438973)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201103199349302195
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T09:28:25-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JH COHN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 BECKER FARM ROAD | AddressLine1 |
| City | ROSELAND | City |
| State | NJ | State |
| ZIP Code | 070681739 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113438973 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WSNCHS NORTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WSNC | NameControl |
| Phone | 5165202250 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4295 HEMPSTEAD TURNPIKE | AddressLine1 |
| City | BETHPAGE | City |
| State | NY | State |
| ZIP Code | 117145713 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AARON GLATT MD | Name |
| Title | CEO | Title |
| Phone | 5165202250 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS LANNING | Name |
| Phone | 9732283500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | AARON GLATT MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4295 HEMPSTEAD TURNPIKE | AddressLine1 |
| City | BETHPAGE | City |
| State | NY | State |
| ZIP Code | 117145713 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 107305702 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NEWISLANDHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | ST JOSEPH HOSPITAL, A MEMBER OF CATHOLIC HEALTH SERVICES OF LONG ISLAND(CHS), AS A MINISTRY OF THE CATHOLIC CHURCH, CONTINUES CHRIST'S HEALING MISSION, PROMOTES EXCELLENCE IN CARE, AND COMMITS ITSELF TO THOSE IN NEED. CHS AFFIRMS THE SANCTITY OF LIFE, ADVOCATES FOR THE POOR AND UNDERSERVED. AND SERVES THE COMMON GOOD. CHS CONDUCTS ITS HEALTHCARE PRACTICE, BUSINESS, EDUCATION, AND INNOVATION WITH JUSTICE, INTEGRITY, AND RESPECT FOR THE DIGNITY OF EACH PERSON. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 997 | TotalNbrEmployees |
| Total Nbr Volunteers | 32 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 86658 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 229164 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 98037165 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 103916568 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 45526 | InvestmentIncomePriorYear |
| Investment Income Current Year | 39486 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3686286 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3004630 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 101855635 | TotalRevenuePriorYear |
| Total Revenue Current Year | 107189848 | 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 | 56137047 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 58113955 | 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 | 45290381 | OtherExpensePriorYear |
| Other Expenses Current Year | 47013277 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 101427428 | TotalExpensesPriorYear |
| Total Expenses Current Year | 105127232 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 428207 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2062616 | RevenuesLessExpensesCY |
| Total Assets BOY | 57806024 | TotalAssetsBOY |
| Total Assets EOY | 63721679 | TotalAssetsEOY |
| Total Liabilities BOY | 40472181 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 52275285 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17333843 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11446394 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ST JOSEPH HOSPITAL, A MEMBER OF CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHS), AS A MINISTRY OF THE CATHOLIC CHURCH, CONTINUES CHRIST'S HEALING MISSION, PROMOTES EXCELLENCE IN CARE, AND COMMITS ITSELF TO THOSE IN NEED. CHS AFFIRMS THE SANCTITY OF LIFE, ADVOCATES FOR THE POOR AND UNDERSERVED, AND SERVES THE COMMON GOOD. CHS CONDUCTS ITS HEALTHCARE PRACTICE, BUSINESS, EDUCATION, AND INNOVATION WITH JUSTICE, INTEGRITY, AND RESPECT FOR THE DIGNITY OF EACH PERSON. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 91540072 | Expense |
| Revenue | 103990921 | Revenue |
| Description | ST JOSEPH HOSPITAL IS A 203-BED, COMMUNITY HOSPITAL THAT PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL, CRITICAL CARE AND SURGICAL SERVICES. ITS EMERGENCY DEPARTMENT CARES FOR MORE THAN 36,000 PATIENTS A YEAR. OTHER VITAL SERVICES INCLUDE AN AMBULATORY SURGERY UNIT, THE CENTER FOR SLEEP MEDICINE, HYPERBARIC MEDICINE AND WOUND HEALING, A BALANCE CENTER, AN ENDOSCOPY UNIT, A DIABETES EDUCATION CENTER, A FULL SCOPE OF OUTPATIENT RADIOLOGY SERVICES, INCLUDING A NEW CT SCANNER, MRI, AND NUCLEAR CAMERA. | Description |
| Total Program Service Expense | 91540072 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | 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 | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| 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 | 73 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 997 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| 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 | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | 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 | CHS SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5167051926 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 992 NORTH VILLAGE AVENUE | AddressLine1 |
| City | ROCKVILLE CENTRE | City |
| State | NY | State |
| ZIP Code | 11570 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SISTER ELAINE CALLAHAN OP | ||||||||
| CHAIRPERSON | 2.00 | X | X | 0 | 0 | 0 | ||
| JOSEPH TANTILLO | ||||||||
| VICE CHAIR & TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| GARA EDELSTEIN | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 347808 | 134004 | ||
| WILLIAM ARMSTRONG | ||||||||
| DIRECTOR | 2.00 | X | 0 | 653102 | 245315 | |||
| LAWRENCE CHARITON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOSEPH CONTE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 581231 | 200321 | |||
| MARCY DUNN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 455697 | 173333 | |||
| EDMOND FARRELL | ||||||||
| DIRECTOR | 2.00 | X | 0 | 198033 | 44423 | |||
| JOAN FLAUMENBAUM | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RUTH HENNESSEY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 571993 | 108072 | |||
| JACK HOWLETT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| EDWARD MURPHY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ALAN PROTZELDDS | ||||||||
| DIRECTOR | 2.00 | X | 9167 | 0 | 0 | |||
| HONCHRISTOPHER G QUINN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| THOMAS RYAN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| FATHER JOHN TIZIO | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DENNIS VERZI | ||||||||
| DIRECTOR | 2.00 | X | 0 | 814872 | 189108 | |||
| JOEL YOHAI MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 885524 | 41611 | |||
| AARON GLATT MD | ||||||||
| PRESIDENT & CEO | 50.00 | X | X | 420167 | 0 | 28442 | ||
| DREW PALLAS | ||||||||
| CFO/COO | 50.00 | X | 268057 | 0 | 9215 | |||
| LAWRENCE REDUTO | ||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 213906 | 0 | 25879 | X | |||
| ROBERT LAMAGNA | ||||||||
| VP OPERATIONS | 50.00 | 163700 | 0 | 23061 | X | |||
| IHAB IBRAHIM | ||||||||
| VP PATIENT SAFETY & CLINICAL PROGRAM DEVELOPMENT | 50.00 | 161931 | 0 | 25276 | X | |||
| MARGARET MINNICK | ||||||||
| VP NURSING | 50.00 | 163764 | 0 | 25136 | X | |||
| BERNARD STARK | ||||||||
| PHYSICIAN | 37.50 | 199988 | 0 | 20841 | X | |||
| ANNE WILSON-RISK | ||||||||
| AVP NURSING | 50.00 | 146495 | 0 | 19051 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1747175 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4508260 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1313088 | TotalOtherCompensation |
| Number Individuals GT100 K | 66 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CANDESCENT HEALING LLC | |||||
| 32 ELM STREET SUITE 1 | RYE | NY | 11788 | HYPERBARIC SERVICES | 1413955 |
| SLEEPTECH LLC | |||||
| PO BOX 5833 | HICKSVILLE | NY | 11802 | SLEEP LAB SERVICES | 943330 |
| SODEXHO OPERATIONS LLC | |||||
| PO BOX 81049 | WOBURN | MA | 01803 | MANAGEMENT SERVICES | 518100 |
| ISLAND MEDICAL PHYSICIANS PC | |||||
| 88 ARKAY DRIVE | HAUPPAUGE | NY | 11788 | MEDICAL SERVICES | 240335 |
| ALLIED UROLOGICAL SVCS LLC | |||||
| PO BOX 847324 | DALLAS | TX | 75284 | MEDICAL SERVICES | 105000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Fundraising Events | 198067 | FundraisingEvents |
| All Other Contributions | 31097 | AllOtherContributions |
| Total Contributions | 229164 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SVC REV | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 103916568 | TotalRevenueColumn |
| Related Or Exempt Function Income | 103916568 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 103916568 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39486 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39486 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 34867 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 34867 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34867 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34867 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 211210 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 198067 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 115854 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 95356 | TotalRevenueColumn |
| Exclusion | $95,356 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| RADIOLOGY SERVICES | 900099 | 2395388 | 2395388 | |
| CAFETERIA REVENUE | 900099 | 186804 | $186,804 | |
| PURCHASE DISC/REFUNDS | 900099 | 77180 | $77,180 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 215035 | TotalRevenueColumn |
| Exclusion | $215,035 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2874407 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 107189848 | TotalRevenueColumn |
| Related Or Exempt Function Income | 106386309 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $574,375 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 879477 | Total |
| Management And General | 879477 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42947807 | Total |
| Program Services | 38174180 | ProgramServices |
| Management And General | 4773627 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2514760 | Total |
| Program Services | 2190391 | ProgramServices |
| Management And General | 324369 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8578405 | Total |
| Program Services | 7471911 | ProgramServices |
| Management And General | 1106494 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3193506 | Total |
| Program Services | 2781589 | ProgramServices |
| Management And General | 411917 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5554425 | Total |
| Program Services | 3934555 | ProgramServices |
| Management And General | 1619870 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185804 | Total |
| Management And General | 185804 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307461 | Total |
| Management And General | 307461 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80343 | Total |
| Management And General | 80343 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15383800 | Total |
| Program Services | 14934556 | ProgramServices |
| Management And General | 449244 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1823901 | Total |
| Program Services | 1823901 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 432687 | Total |
| Program Services | 85120 | ProgramServices |
| Management And General | 347567 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2045194 | Total |
| Program Services | 2045194 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2942485 | Total |
| Program Services | 2942485 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2584225 | Total |
| Program Services | 2584225 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 5430505 | 5430505 | |
| EQUIPMENT RENTAL | 1611825 | 1514146 | 97679 |
| EQUIPMENT SERVICE CONTR | 150680 | 150680 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8479942 | Total |
| Program Services | 5476634 | ProgramServices |
| Management And General | 3003308 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105127232 | Total |
| Program Services | 91540072 | ProgramServices |
| Management And General | 13587160 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1250991 | BOY |
| EOY | 11557970 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2093214 | BOY |
| EOY | 5104227 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11031081 | BOY |
| EOY | 10873728 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1438030 | BOY |
| EOY | 1404620 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 949537 | BOY |
| EOY | 1215192 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 33467275 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2943353 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36862789 | BOY |
| EOY | 30523922 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2410212 | BOY |
| EOY | 2419920 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1770170 | BOY |
| EOY | 622100 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57806024 | BOY |
| EOY | 63721679 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14337078 | BOY |
| EOY | 14222295 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15329172 | BOY |
| EOY | 24424085 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1820027 | BOY |
| EOY | 3171801 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8985904 | BOY |
| EOY | 10457104 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40472181 | BOY |
| EOY | 52275285 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17222144 | BOY |
| EOY | 11051610 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111699 | BOY |
| EOY | 394784 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17333843 | BOY |
| EOY | 11446394 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57806024 | BOY |
| EOY | 63721679 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2062616 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -7950065 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $12,390 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 12390 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | AMOUNT REFLECTS PORTION OF TRADE ASSOCIATION DUES WHICH WERE USED FOR LEGISLATIVE LOBBYING ON BEHALF OF THE HEALTHCARE INDUSTRY THOSE TRADE ORGANIZATIONS REPRESENT. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7390000 | OtherCostOrOtherBasis |
| Book Value | 7390000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17591478 | OtherCostOrOtherBasis |
| Depreciation | 1043829 | Depreciation |
| Book Value | 16547649 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8320179 | OtherCostOrOtherBasis |
| Depreciation | 1809712 | Depreciation |
| Book Value | 6510467 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 165618 | OtherCostOrOtherBasis |
| Depreciation | 89812 | Depreciation |
| Book Value | 75806 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30523922 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO CATHOLIC HEALTH SVCS | $3,004,970 |
| EST MALPRACTICE LIABILITY | $2,304,210 |
| EST THIRD PARTY PAYOR LIABILITY | $2,117,475 |
| OTHER LTD | $28,000 |
| DUE TO RELATED PARTIES | $3,002,449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10457104 | TotalOfAmounts |
| Total Revenue | 107189848 | TotalRevenue |
| Total Expenses | 105127232 | TotalExpenses |
| Excess Or Deficit For Year | 2062616 | ExcessOrDeficitForYear |
| Other | $9,384,720 | OtherAmount |
| Total Adjustments | 9384720 | TotalAdjustments |
| Excess Or Deficit Per FS | 11447336 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 106906764 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 106906764 | RevenueSubtotal |
| Other Revenues Not Included | 283084 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 283084 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 107189848 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 105127232 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 105127232 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 105127232 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART XI LINE 8 - ADJUSTMENTS DUE TO ACQUISITION ACCOUNTING 9,101,636 INCREASE IN RESTRICTED FUNDS 283,084 TOTAL PART XI LINE 8 9,384,720 PART XII LINE 4B - INCREASE IN RESTRICTED FUNDS 283,084 AS A PART OF THE ACQUISITION, THE ASSETS AND LIABILITIES OF THE HOSPITAL WERE ASSUMED BY CHS AT FAIR VALUE. THE FOLLOWING TABLE SUMMARIZES THE FAIR VALUES OF THE ASSETS AND LIABILITIES ASSUMED BY CHS EFFECTIVE JANUARY 1, 2010: TOTAL ASSETS $52,773 TOTAL LIABILITIES 46,472 NET ASSETS 6,301 THE ASSETS AND LIABILITIES ASSUMED BY CHS WERE TRANSFERRED TO THE HOSPITAL THROUGH AN EQUITY TRANSFER. ALL ASSETS AND LIABILITIES OF THE HOSPITAL WERE DEEMED TO BE AT FAIR VALUE AS OF JANUARY 1, 2010, WITH THE EXCEPTION OF PROPERTY AND EQUIPMENT WHICH WAS REDUCED BY $5,033 BASED UPON A VALUATION STUDY PERFORMED BY A THIRD PARTY. IN ADDITION, THE HOSPITAL HAD AN AGREEMENT WITH ITS FORMER SPONSORS CHS AND WINTHROP-SOUTH NASSAU UNVERSITY SYSTEM (WSN)IN WHICH EACH FORMER SPONSOR WOULD BE DUE $3,000 IN THE EVENT OF A CHANGE IN CONTROL OF THE HOSPITAL. THESE LIABILITIES, AS OF JANUARY 1,2010 TOTALED $6,000, AND WERE WERE REFLECTED IN ACCOUNTS PAYABLE AND ACCRUED EXPENSES AND DUE TO RELATED PARTIES. THE AMOUNT DUE TO WSN WAS PAID BY CHS, WHICH WAS REFLECTED THROUGH AN EQUITY TRANSFER OF $3,000. THE AMOUNT DUE TO CHS WAS REPAID BY THE HOSPITAL DURING 2010. ST JOSEPH HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501 (A) OF THE CODE. THERE ARE NO TRANSACTIONS WHICH MANAGEMENT HAS DEEMED TO BE "UNRELATED BUSINESS INCOME" AND THEREFORE NO TAX LIABILITY HAS BEEN RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 238489 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 81870 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 156619 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 34553 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 11293 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 151873 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 105857 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 46016 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 8065 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 32403 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 20965 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 18915 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 10340 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 8575 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 5487 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 3088 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 409277 | GrossReceiptsTotal |
| Charitable Contributions Total | 198067 | CharitableContributionsTotal |
| Gross Revenue Total Events | 211210 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 8065 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 72443 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 35346 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 115854 | DirectExpenseSummaryEvents |
| Net Income Summary | 95356 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1521177 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 864703 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 656474 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6173139 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6035317 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 137822 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 146564 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 172745 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -26181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7840880 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7072765 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 768115 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17848 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17848 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 106698 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 60588 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46110 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 124546 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 60588 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 63958 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7965426 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7133353 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 832073 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00850 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,779,366 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 42264242 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 47089561 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4825319 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4295 HEMPSTEAD TURNPIKE | AddressLine1 |
| City | BETHPAGE | City |
| State | NY | State |
| ZIP Code | 117145713 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: RATIO OF PATIENT CARE COST TO CHARGES WORKSHEET (WORKSHEET 2 ) AS PRESCRIBED BY THE IRS INSTRUCTIONS TO SCHEDULE H FORM 990 WAS THE METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN PART 1, LINE 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST LINES 7A,7B AND 7C AND 7D. ALL OTHER LINES INCLUDE COSTS THAT WERE DERIVED BASED ON THE RCC METHODOLOGY OR ACTUAL COSTS FOR THE SERVICES AS TRACKED BY HOSPITAL PERSONNEL UTILIZING DIRECT HOURLY LABOR COSTS, FRINGES AND SUPPLY COSTS.PART I, LINE 7A, COLUMN D: DIRECT OFFSETTING REVENUES REPRESENT DISTRIBUTIONS FROM THE NEW YORK STATE (NYS) INDIGENT CARE POOL (ICP) WHICH IS SHOWN NET OF HOSPITAL CONTRIBUTIONS TO THE STATEWIDE POOL. THE FORMULA EMPLOYED BY NYS TO DETERMINE DISTRIBUTIONS TO HOSPITALS FROM THE ICP IS COMPLEX AND IS DERIVED FROM A HOSPITAL'S "NEED" CALCULATION. THIS CALCULATION CONSIDERS 90% OF A HOSPITAL'S "NEED" IS BASED ON BAD DEBTS AND CHARITY CARE WRITE OFFS, AND 10% IS BASED ON A "UNITS OF SERVICE" METHODOLOGY FOR UNINSURED PATIENTS. THE HOSPITAL HAS APPORTIONED THE ICP REVENUE BETWEEN BAD DEBT AND CHARITY CARE FOR REPORTING ON LINE 7A BASED ON THE PROPORTION OF EACH TO THE TOTAL OF ACTUAL BAD DEBTS AND CHARITY CARE FOR 2010. IT IS IMPORTANT HOWEVER TO BE AWARE THAT THE COSTS OF BAD DEBTS ARE NOT INCLUDED IN LINE 7A, COLUMN C WHILE THE OFFSETTING REVENUE IS INCLUDED IN LINE 7A, COLUMN D. BAD DEBTS AT COST ARE EXCLUDED FROM LINE 7 AND REPORTED IN PART III, LINE 2 IN ACCORDANCE WITH THE INSTRUCTIONS. AS A RESULT, THE NET COST OF "FINANCIAL ASSISTANCE AT COST" ON LINE 7A, COLUMN F IS UNDERSTATED FOR NYS HOSPITALS WHO REPORT IN ACCORDANCE WITH THE INSTRUCTIONS AND IN SOME INSTANCES MAY SHOW A GAIN DUE TO THE MISMATCHING OF REVENUE AND EXPENSE. IT IS IMPORTANT TO CONSIDER THE BAD DEBTS AT COST AMOUNT IN PART III, LINE 2 WHEN EVALUATING THE NET COSTS OF UNCOMPENSATED CARE FOR HOSPITALS IN NYS. PART I, LINE 7,COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5.4 MILLION | ||
| PART III, LINE 4: -COSTING METHODOLOGY:RATIO OF PATIENT CARE COST TO CHARGES WORKSHEET (WORKSHEET 2 ) AS PRESCRIBED BY THE IRS INSTRUCTIONS TO SCHEDULE H FORM 990 WAS THE METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINE 2. PART III LINE 4 - BAD DEBT AS COMMUNITY BENEFIT:AS PART OF ITS TAX EXEMPT PURPOSE THE HOSPITAL PROVIDES ACCESS TO MEDICALLY NECESSARY CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, OR CULTURAL BACKGROUND. THE HOSPITAL TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF WHETHER THEY HAVE THIRD-PARTY COVERAGE OR THE ABILITY TO PAY. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE HOSPITAL IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. A PATIENTS PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE FROM THE HOSPITAL SHOULD BE CONSIDERED TO BE COMMUNITY BENEFIT SINCE CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR TAX EXEMPT PURPOSE, WHICH IS MEETING THE NEED FOR EMERGENCY AND NON-ELECTIVE MEDICAL CARE SERVICES IN THE COMMUNITY. | ||
| PART III, LINE 8: PART III SECTION B LINE 5 - COSTING METHODOLOGY:THE MEDICARE REVENUE AND ALLOWABLE COSTS SHOWN ON PART III SECTION B LINE 5 WERE DERIVED FROM THE AS FILED 2010 CMS-2552 (MEDICARE COST REPORT). MEDICARE REVENUE IS BASED ON THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT REPORT AND MEDICARE COSTS ARE DEVELOPED UTILIZING A RATIO OF MEDICARE ALLOWABLE COSTS TO CHARGES METHODOLOGY.PART III LINE 8 - MEDICARE SHORTFALL AS COMMUNITY BENEFIT:LOSSES ON TREATING MEDICARE BENEFICIARIES SHOULD BE INCLUDED AS ACOMMUNITY BENEFIT IN THEIR ENTIRETY. THIS REPRESENTS THE AMOUNT BY WHICH COSTS TO DELIVER CARE TO MEDICARE RECIPIENTS EXCEEDS THE LEVEL OF PAYMENT. ST. JOSEPH BEARS THE BURDEN OF NOT ONLY PROVIDING THE BEST AND MOST ADVANCED MEDICAL CARE POSSIBLE TO THE COMMUNITY, BUT DOING SO WITH NO RECOURSE TO OBTAIN PAYMENT FOR THE COST OF PROVIDING CARE IN EXCESS OF THE MEDICARE PAYMENT. AS MEDICARE REVENUE DECLINES AND THE COST TO PROVIDE CUTTING EDGE CARE TO THE COMMUNITY INCREASES, THE HOSPITAL WILL CARRY THE BURDEN. AS A PARTICIPATING PROVIDER AND A CHARITABLE ORGANIZATION, MEDICARE PATIENTS, THE MAJORITY OF WHOM ARE ELDERLY AND DISABLED ARE NOT TURNED AWAY, SO ST. JOSEPH WILL CONTINUE TO BEAR THE LOSS IN PROVIDING THE BEST CARE POSSIBLE TO THE LOCAL COMMUNITY. | ||
| PART III, LINE 9B: THE HOSPITAL'S CHARITY CARE POLICY DESCRIBES THE POLICIES AND PROCEDURES RELATING TO THE PROVISION OF CHARITY CARE TO PERSONS WHO ARE UNABLE TO PAY FOR ALL OR A PORTION OF THEIR BILL. NO INDIVIDUAL WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED ON A DEMONSTRATED INABILITY TO PAY FOR THOSE SERVICES. IN ADDITION, UPON APPLYING FOR CHARITY CARE, EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY WILL BE ASSESSED. ELIGIBILITY FOR ASSISTANCE: A REASONABLE REVIEW SHALL BE PERFORMED PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (I.E. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE CHS CHARITY CARE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO MEET THE CHARITY CARE CRITERIA SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT FOR APPROPRIATE FOLLOW-UP. THE THIRD-PARTY COLLECTION AGENT SHALL ADVISE THE PATIENT/GUARANTOR OF THE HOSPITAL'S CHARITY CARE POLICY AND RETURN THE ACCOUNT IMMEDIATELY IF IT IS DETERMINED THAT THE QUALIFICATIONS ARE MET. | ||
| PART VI, LINE 2: NEEDS ASSESSMENTTHE HOSPITAL WORKED WITH THE NASSAU COUNTY DEPARTMENT OF HEALTH, OTHER HOSPITAL FACILITIES AND OTHER HEALTHCARE PARTNERS IN THE NASSAU COUNTY REGION ON THE PREVENTION AGENDA PRIORITIES. PARTICIPATION OF THE COMMUNITY MEMBERS IN THE HOSPITAL'S SERVICE AREA WAS SOLICITED VIA MULTIPLE VENUES IN AN EFFORT TO ENGAGE COMMUNITY PARTICIPATION IN THE DEVELOPMENT OF THE COMMUNITY SERVICE PLAN.THE PUBLIC INPUT PROCESS WAS ANNOUNCED VIA THE HOSPITAL'S WEBSITE IN JUNE 2009 WHEREBY WE ENCOURAGED OUR COMMUNITY MEMBERS TO PROVIDE COMMENTS ON THEIR HEALTH CARE PRIORITIES AND HOW ST JOSEPH HOSPITAL COULD BEST SERVE THEIR NEEDS. WE ALSO DEDICATED A SECTION OF THE HOSPITALS COMMUNITY NEWSLETTER IN JULY 2009, DISTRIBUTED TO NEARLY 150,000 COMMUNITY RESIDENTS TO ENCOURAGE COMMUNITY MEMBERS TO PROVIDE INPUT ON THEIR HEALTH CARE PRIORITIES. THE HOSPITAL TYPICALLY HOLDS COMMUNITY LECTURES ON A MONTHLY BASIS, ON VARYING TOPICS IN HEALTHCARE, RANGING FROM STROKE PREVENTION TO SLEEP DISORDERS AS WELL AS NUMEROUS OTHER HEALTHCARE TOPICS OF INTEREST TO THE COMMUNITY. AT EACH OF THESE LECTURES, OFFERED FREE OF CHARGE AND NORMALLY WELL ATTENDED BY COMMUNITY MEMBERS, EACH INDIVIDUAL ATTENDEE IS REQUESTED TO COMPLETE A QUESTIONNAIRE NOT ONLY ABOUT HOW USEFUL THE LECTURE MATERIAL WAS FOR THEIR PERSONAL INTEREST AND USE BUT ALSO FOR OUR HOSPITAL TO LEARN OF OTHER HEALTHCARE TOPICS WHICH WOULD BE OF INTEREST TO THE PARTICIPANTS FOR FUTURE LECTURES. THE HOSPITAL ALSO TAKES THE OPPORTUNITY TO DISCUSS WITH HEALTH LECTURE AUDIENCES ANY SPECIAL NEEDS THEY BELIEVE SHOULD BE FULFILLED BY THEIR LOCAL HOSPITAL AND HEALTHCARE RESOURCE, NOT ONLY ON THE SPECIFIC LECTURE TOPIC BUT ALSO ON ANY OTHER SUBJECT MATTER REGARDING HEALTH AND WELLNESS. | ||
| PART VI, LINE 3: FINANCIAL ASSISTANCE POLICY COMMUNICATIONALL EMPLOYEES IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENTS ARE FULLY VERSED IN THE CHARITY CARE POLICY, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVES. THE HOSPITAL POSTS MULTILINGUAL NOTICES AS TO ANY POLICIES ON CHARITY CARE IN SEVERAL PROMINENT LOCATIONS WITHIN THE HOSPITAL INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, WAITING ROOMS FOR PURPOSES OF ADMISSIONS, AND THE INPATIENT AND OUTPATIENT REGISTRATION AREA. SAID NOTICES ARE PUBLISHED IN AT LEAST ENGLISH AND SPANISH, AND ARE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. THE HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS OF APPLYING FOR ASSISTANCE. THIS SUMMARY IS WRITTEN AT OR BELOW A SIXTH GRADE READING LEVEL. THE HOSPITAL POSTS ITS CHARITY CARE POLICY SUMMARY ON THEIR INTERNET WEBSITE. THE HOSPITAL PROVIDES ALL PATIENTS INTERPRETERS TO ASSIST THEM IN UNDERSTANDING ITS CHARITY CARE PROGRAM IN THE LANGUAGE SPOKEN BY THE PATIENT DURING ANY PRE-ADMISSION, ADMISSION, AND DISCHARGE PROCESS. ON ALL BILLS AND STATEMENTS SENT TO PATIENTS, A STATEMENT IS INCLUDED REGARDING THE AVAILABILITY OF VARIOUS FINANCIAL ASSISTANCE PROGRAMS, INCLUDING CHARITY CARE, AND A CONTACT NUMBER TO CALL TO OBTAIN FURTHER INFORMATION. THIS INFORMATION IS AVAILABLE AT OR BELOW A SIXTH GRADE READING LEVEL. | ||
| PART VI, LINE 4: PART VI, LINE 4: COMMUNITY INFORMATIONTHE HOSPITAL PRIMARILY SERVES PATIENTS FROM THE FOLLOWING SURROUNDING COMMUNITIES: MASSAPEQUA, FARMINGDALE, AMITYVILLE, LEVITTOWN, MASSAPEQUA PARK, WANTAGH, SEAFORD, BETHPAGE, BELLMORE, EAST MEADOW, LINDENHURST, COPIAGUE, BABYLON, HICKSVILLE, PLAINVIEW AND WOODBURY. APPROXIMATELY 90% OF HOSPITAL PATIENTS WHO ARE ADMITTED AND/OR PROVIDED CARE IN OUR EMERGENCY DEPARTMENT RESIDE IN THE AFOREMENTIONED SERVICE AREAS. THIS IS BASED ON ANNUAL 2008 DATA RELATIVE TO INPATIENT ADMISSIONS/EMERGENCY DEPARTMENT VISITS TO OUR HOSPITAL. | ||
| PART VI, LINE 6: PROMOTION OF COMMUNITY HEALTHWSNCHS NORTH,INC (THE HOSPITAL) IS A 501(C)(3)VOLUNTARY, NOT-FOR-PROFIT CORPORATION WITH CERTIFIED BED CAPACITY OF 203. ON JANUARY 26, 2010, THE HOSPITAL BECAME A MEMBER HOSPITAL OF CATHOLIC HEALTH SERVICES (CHS) OF LONG ISLAND AND THE HOSPITAL IS DOING BUSINESS AS (ST. JOSEPH). CHS SUPPORTS ST. JOSEPH'S MISSION TO DELIVER QUALITY HEALTH CARE AND REMAIN A COMMUNITY-BASED HOSPITAL. CHS IS COMMITTED TO CONTINUING AND EXPANDING THE IMPORTANT MEDICAL SERVICES PROVIDED BY ST. JOSEPH TO THE SURROUNDING COMMUNITIES THAT RELY UPON IT FOR QUALITY CARE. WITH THE ADDITION OF ST. JOSEPH, CHS IS NOW COMPRISED OF SIX HOSPITALS, THREE NURSING HOMES, A REGIONAL HOME CARE AND HOSPICE NETWORK AND A COMMUNITY-BASED AGENCY FOR PERSONS WITH DEVELOPMENTAL NEEDS. THE BOARD OF DIRECTORS IS COMPRISED OF NINETEEN MEMBERS, CONSISTING OF VOLUNTARY COMMUNITY MEMBERS, THE MEDICAL STAFF PRESIDENT, A PHYSICIAN REPRESENTATIVE, MEMBERS OF CHS'BOARD AND THE PRESIDENT & CHIEF EXECUTIVE OFFICER OF ST JOSEPH WHO IS DIRECTLY RESPONSIBLE TO THE BOARD OF DIRECTORS. THE BOARD PROVIDES STRATEGIC, VISIONARY GUIDANCE AND DIRECTION FOR THE HOSPITAL'S CURRENT PROGRAMS, FUTURE PROGRAMS, PATIENT QUALITY AND SAFETY, CAPITAL PROJECTS, SPECIAL INITIATIVES AND FOR ALL GOVERNANCE RESPONSIBILITIES. THERE ARE FOUR BOARD COMMITTEES: FINANCE, EXECUTIVE, PIPS (PERFORMANCE IMPROVEMENT PATIENT SATISFACTION) AND CORPORATE COMPLIANCE AND AUDIT. ONE OR MORE BOARD MEMBERS CHAIR, CO-CHAIR AND/OR ATTEND EACH OF THESE COMMITTEES AT THEIR SCHEDULED MEETINGS. THE BOARD IS VERY MUCH ENGAGED AND COMMITTED IN LISTENING TO AND ADDRESSING COMMUNITY NEEDS TO FURTHER ST JOSEPH'S MISSION OF PROVIDING HIGH QUALITY CARE TO OUR PATIENTS AND VERY SUPPORTIVE OF FORMER COMMISSIONER RICHARD DAINES' "PREVENTION AGENDA FOR THE HEALTHIEST STATE" INITIATIVE; AIMED TO IMPROVE THE HEALTH OF ALL NEW YORKERS. ST. JOSEPH HOSPITAL'S COMMUNITY OUTREACH PROGRAMS INCLUDE HEALTH WORKSHOPS, SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION LECTURES, "MEALS ON WHEELS", HEALTH FAIRS AND SCREENINGS, BLOOD DRIVES AND OTHER PATIENT-FOCUSED INITIATIVES. ST. JOSEPH IS SUPPORTIVE OF EDUCATIONAL INSTITUTIONS AND THEIR RESPECTIVE STUDENTS TO PROVIDE CLINICAL EXPERIENCE AND EDUCATION IN THE HOSPITAL ENVIRONMENT. ST JOSEPH HOLDS MULTIPLE AFFILIATION AGREEMENTS WITH EDUCATIONAL FACILITIES (E.G. HOFSTRA UNIVERSITY, LONG ISLAND UNIVERSITY, STATE UNIVERSITY AT FARMINGDALE, WESTERN SUFFOLK BOCES) FOR ONSITE STUDENT TRAINING / MENTORING IN NURSING, RADIOLOGY TECHNOLOGY, HEALTH ADMINISTRATION AND FOR OTHER HEALTH CARE PROFESSIONS AND IS A DESIGNATED SITE FOR TRAINING OF DOCTOR OF PHARMACY CANDIDATES THROUGH ST. JOHN'S UNIVERSITY. ST. JOSEPH HOSPITAL IS ALSO AN ACTIVE MEMBER OF FARMINGDALE, BETHPAGE, MASSAPEQUA AND AMITYVILLE CHAMBERS OF COMMERCE AND PARTICIPATES IN MANY OF THE CHAMBERS' ACTIVITIES, INCLUDING HEALTH FAIRS, STREET FAIRS AND COMMUNITY FESTIVAL DAYS. AT THESE FESTIVALS THE HOSPITAL PROVIDES FREE EDUCATIONAL HEALTH CARE MATERIAL AND TYPICALLY OFFERS FREE BLOOD PRESSURE SCREENINGS TO COMMUNITY RESIDENTS. ST JOSEPH ALSO HOLDS HEALTH FAIRS ON ITS PREMISES, WHERE IT INVITES ALL ITS COMMUNITY MEMBERS TO LEARN ABOUT HOSPITAL SERVICES AND SPECIAL PROGRAMS. ST JOSEPH HELD A FAIR TO PROVIDE CAROTID ARTERY ULTRASOUND, ABDOMINAL AORTIC SCREENING, LIPID PROFILE AND GLUCOSE SCREENING TESTS, BLOOD PRESSURES, DIETITIAN CONSULTATIONS AND DIABETES EDUCATOR CONSULTATIONS, AMONG OTHER FREE HEALTH SERVICES FOR COMMUNITY MEMBERS IN ATTENDANCE. ALSO, IN COLLABORATION WITH THE BETHPAGE LIBRARY, ST. JOSEPH SPONSORS SEASONAL FLU VACCINE CLINIC TO SENIORS IN THE NASSAU COUNTY AREA. IN LINE WITH THE FORMER NYSDOH COMMISSIONER RICHARD DAINES' "PREVENTION AGENDA FOR THE HEALTHIEST STATE", PRIORITIES WERE CHOSEN BY TAKING INTO CONSIDERATION THE 2-3 PRIORITIES (OF THE PUBLISHED LIST OF 10 PRIORITIES) THAT WOULD PROVIDE THE GREATEST HEALTH CARE BENEFIT TO THE HEALTH OF THE LARGEST NUMBER OF NEW YORKERS IN OUR STATE, DIRECTLY OR INDIRECTLY, AND SPECIFICALLY IN NASSAU COUNTY THROUGH COLLABORATION WITH OUR LOCAL HEALTH DEPARTMENT, OTHER HOSPITAL PROVIDERS IN THE COUNTY AND, WITH OTHER HEALTHCARE PARTNERS. COLLABORATION, FOCUS, ATTENTION AND ACTION BY THIS GROUP ON THE PRIORITIES SELECTED SHOULD ALLOW US TO ACHIEVE THE DESIRED OUTCOME; A HEALTHIER COUNTY WHICH WILL CONTRIBUTE TO THE GOAL OF A HEALTHIER NEW YORK STATE. THE CRITERIA USED INCLUDED: THE BENEFITS THAT THE PRIORITY HEALTH FOCUS WOULD YIELD TO BETTER THE QUALITY OF LIFE FOR COMMUNITY RESIDENTS, A REDUCED NEED FOR EXPENSIVE HEALTHCARE RESOURCES FOR HEALTH CONDITIONS THAT MIGHT HAVE OTHERWISE BEEN MITIGATED BEFORE THEIR MANIFESTATION TO A LEVEL REQUIRING THE USE OF EXTENSIVE AND EXPENSIVE HEALTH RESOURCES AND, ULTIMATELY PRIORITIES THAT WOULD, OVER THE COURSE OF TIME, FREE-UP SUFFICIENT GOVERNMENTAL AND OTHER HEALTH PAYER SPENDING TO HELP SUPPORT THE FUNDING OF HEALTH INSURANCE FOR THE UNINSURED / UNDER-INSURED AND TO BE ABLE TO REDUCE AND EVENTUALLY ELIMINATE ANY BARRIERS TO HIGH QUALITY HEALTH CARE FOR EVERYONE IN OUR COMMUNITIES IN NEED OF CARE. DATA USED TO HELP SELECT THESE PRIORITIES WAS DERIVED FROM THE NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA WEBSITE AND ASSOCIATED LINKS / DATA TOOLS, THE NASSAU COUNTY COMMUNITY HEALTH ASSESSMENT AND A COMPARISON OF ACTUAL MOST RECENT AVAILABLE PREVENTION AGENDA INDICATOR RATES FOR NASSAU COUNTY VERSUS PREVENTION AGENDA OBJECTIVES FOR 2013 AS TARGETED BY THE NYSDOH. IN SUMMARY, THE GROUP DEVELOPED A PRIORITY-SETTING PLAN TO HELP DETERMINE WHICH OF THE TEN PREVENTION AGENDA PRIORITIES WOULD BE REASONABLY PRACTICAL TO ADDRESS AND BEST MEET THE NEEDS OF OUR CATCHMENT AREAS. THE GROUP FOCUSED ON CONSIDERATION OF THE FOLLOWING CRITERIA FOR SELECTION OF THE PREVENTION AGENDA PRIORITY CHOICES: - COUNTY INDICATORS OFFERING THE GREATEST OPPORTUNITY FOR IMPACT - COMMUNITY NEED - ALIGNMENT AND SYNERGY WITH EXISTING HOSPITAL STRATEGY AND MISSION - AVAILABILITY OF OUTCOME MEASURES - AVAILABILITY OF BENCHMARKS ON PERFORMANCE QUALITY INDICATORS - POTENTIAL FOR GRANT / FUNDING - EXISTING GROUPS, PROGRAMS AND RESOURCES PURSUANT TO A SERIES OF MEETINGS HELD IN COLLABORATION WITH THE NASSAU COUNTY DEPARTMENT OF HEALTH (NCDOH), OTHER HOSPITAL FACILITIES IN THE COUNTY AND OTHER HEALTH CARE PARTNERS, IT WAS DECIDED BY THE GROUP THAT THE PREVENTION PRIORITIES THE COUNTY WOULD BE FOCUSED ON WERE THE FOLLOWING PUBLIC HEALTH PREVENTION AGENDA SELECTIONS: TOBACCO USE: PREVENTION AND CESSATION AND UNINTENTIONAL INJURY AND PREVENTION OF FALLS AMONG THOSE AGED 65+ YEARS OF AGE. WORK GROUPS, NAMED THE "THOUGHT LEADERS", WERE ESTABLISHED; ONE FOR EACH OF THESE PRIORITIES. THE THOUGHT LEADERS WORKGROUPS WERE COMPRISED OF A REPRESENTATIVE FROM EACH HOSPITAL, INCLUDING ST. JOSEPH HOSPITAL, AND THE NCDOH TO ASSESS THE CURRENT STATUS, PROGRAMMING, RESOURCES AND POTENTIAL PARTNERS FOR EACH PRIORITY AND TO FORMULATE A STRATEGIC PLAN TO ADDRESS EACH PRIORITY OVER THE NEXT THREE YEARS. ST. JOSEPH HOSPITAL HAS UNDERTAKEN THESE INITIATIVES FROM THE STANDPOINT OF PROVIDING EDUCATION FOR HOSPITALIZED PATIENTS DURING THEIR STAY AND UPON DISCHARGE, PUBLICIZING RELEVANT INFORMATION TO THE COMMUNITY AT LARGE AND IN PHYSICIAN AND EMPLOYEE NEWSLETTERS. THESE INITIATIVES WOULD BE CLASSIFIED AS "NEW" FROM THE STANDPOINT THAT THE STATE HEALTH DEPARTMENT, LOCAL HEALTH DEPARTMENT, AS WELL AS HOSPITAL PROVIDERS, INCLUDING HEALTH PRACTITIONERS AND OTHER COMMUNITY PARTNERS WOULD ALL BE WORKING COLLABORATIVELY TOWARD COMMON GOALS AND OBJECTIVES. WITH THIS MAGNITUDE AND BROAD SCALE LEVEL OF SUPPORT AND CHANNELED EFFORT, IT IS MORE LIKELY THAT WE CAN REALIZE GREATER AND MORE SIGNIFICANT IMPACT AND IMPROVEMENT IN AFFECTING POSITIVE CHANGE IN PREVENTATIVE CARE. WE BELIEVE THAT THE FIRST STEP NEEDS TO BE FOCUSED ON RAISING LEVEL OF AWARENESS AND WORKING ON DEVELOPING NEW AND STRENGTHENING EXISTING RELATIONSHIPS WITH OUR COMMUNITY PARTNERS. OTHER IMPORTANT SERVICES PROVIDED BY ST. JOSEPH HOSPITAL TO PROMOTE COMMUNITY HEALTH & WELLNESS ARE:- HYPERBARIC AND WOUND HEALING OUTPATIENT CENTER- THE CENTER FOR SLEEP MEDICINE: - OUTPATIENT BALANCE/VESTIBULAR TESTING AND PHYSICAL THERAPY- MRI SERVICE- SPEECH SWALLOWING AND VOICE DISORDERS | ||
| PART VI, LINE 7: AFFILIATED HEALTHCARE SYSTEM:ST. JOSEPH IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH IS LOCATED ON A SINGLE CAMPUSIN BETHPAGE, NEW YORK.ALONG WITH THE AFOREMNETIONED COMMUNITY PROGRAMS, ST. JOSEPH THROUGH ITSDAILY OPERATIONS, PROVIDES TO THE AREA ACUTE, EMERGENT AND OUTPATIENTCARE. ST. JOSEPH IS NEWLY A MEMBER OF CATHOLIC HEALTH SYSTEMS OF LONG ISLAND (D/B/A/ CATHOLIC HEALTH SERVICES OF LONG ISLAND)(CHS) WHICH IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED TO SERVE AS THE COORDINATING BODY OF AN INTEGRATED NETWORK OF PROVIDERS SERVING NASSAU AND SUFFOLK COUNTIES. CHS IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTRE.AS OF DECEMBER 31, 2010 CHS WAS COMPRISED OF SIX HOSPITALS (MERCY MEDICALCENTER, AND ST. FRANCIS HOSPITAL IN NASSAU COUNTY; GOOD SAMARITAN HOSPITAL MEDICAL CENTER, ST. CHARLES HOSPITAL AND ST. CATHERINE OF SIENA MEDICAL CENTER IN SUFFOLK COUNTY), THREE NURSING HOMES (ST. CATHERINE OF SIENA NURSING HOME; GOOD SAMARITAN NURSING HOME AND OUR LADY OF CONSOLATION RESIDENCE, ALL IN SUFFOLK COUNTY); A REGIONALHOME CARE AND HOSPICE NETWORK AND A COMMUNITY BASED AGENCY FOR PERSONSWITH SPECIAL NEEDS. WITH MORE THAN 17,000 STAFF AND 3,800 MEDICAL STAFFWORKING THROUGHOUT THE SYSTEM, CHS PROVIDES THE REGION'S FINEST HEALTH ANDHUMAN SERVICES.MEMBER ORGANIZATIONS OF CHS OFFER VIRTUALLY EVERY MEDICAL SPECIALTY ANDCLINICAL SERVICE, AND SHARE A DEDICATION TO CONTINUOUSLY UPGRADE THESCOPE, QUALITY AND ACCESSIBILITY OF CARE. EACH OF CHS MEMBER ORGANIZATIONS HAS RETAINED THEIR INDIVIDUAL LINKS TO THEIR HISTORY,THEIR DISTINCTIVE PERSONALITIES, AS WELL AS THE SERVICE SPECIALTIES WHICHTHEY ARE KNOWN FOR, THUS EMBEDDING THE ORGANIZATION IN THE COMMUNITY AND SERVING IT EFFECTIVELY. THE CHS SYSTEM PROVIDES AN ABUNDANCE OF EDUCATION AND SUPPORT GROUPS, PROVIDES FREE HEALTH SCREENINGS THROUGH THE HEALTHY SUNDAY PROGRAMS, HEALTH FAIRS AND OTHER PROGRAMS WHICH HELP THE COMMUNITIES SERVED BY CHS ACCESS CARE SINCE 1907, CATHOLIC HEALTHCARE ON LONG ISLAND HAS BUILT A DISTINGUISHED TRADITION OF OPERATING COMMUNITY BASED HOSPTIAL AND HUMAN SERVICE ORGANIZATIONS.WITH THE PRIMARY OBJECTIVE OF SERVING THE COMMUNITY. TO FURTHER THE MISSION OF BRINGING CARE TO THE COMMUNITY, CHS AND ITSMEMBER HOSPITALS, TOGETHER WITH A NUMBER OF OTHER HEALTHCARE PROVIDERS ONLONG ISLAND ENTERED INTO A PARTNERSHIP AGREEMENT WHICH OPERATES AS THELONG ISLAND HEALTH NETWORK ( LIHN). LIHN WAS CREATED TO ESTABLISH ACOMPREHENSIVE AND EFFICIENT HOSPITAL NETWORK IN NASSAU AND SUFFOLKCOUNTIES BY WORKING TO, AMONG OTHER THINGS, IMPROVE QUALITY OF CARE,FACILITATE CLINICAL INTEGRATION, BENCHMARK BEST PRACTICES AND REDUCELENGTH OF STAY COSTS. | ||
| NY | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARA EDELSTEIN | |||||||||||||
| 0 | 261040 | 0 | 75000 | 0 | 11768 | 0 | 123641 | 0 | 10363 | 0 | 481812 | 0 | 0 |
| WILLIAM ARMSTRONG | |||||||||||||
| 0 | 481076 | 0 | 160000 | 0 | 12026 | 0 | 220926 | 0 | 24389 | 0 | 898417 | 0 | 0 |
| JOSEPH CONTE | |||||||||||||
| 0 | 452102 | 0 | 113000 | 0 | 16129 | 0 | 174081 | 0 | 26240 | 0 | 781552 | 0 | 0 |
| MARCY DUNN | |||||||||||||
| 0 | 342770 | 0 | 100000 | 0 | 12927 | 0 | 149509 | 0 | 23824 | 0 | 629030 | 0 | 0 |
| EDMOND FARRELL | |||||||||||||
| 0 | 197395 | 0 | 0 | 0 | 638 | 0 | 15629 | 0 | 28794 | 0 | 242456 | 0 | 0 |
| RUTH HENNESSEY | |||||||||||||
| 0 | 419094 | 0 | 150000 | 0 | 2899 | 0 | 85109 | 0 | 22963 | 0 | 680065 | 0 | 0 |
| DENNIS VERZI | |||||||||||||
| 0 | 515178 | 0 | 281000 | 0 | 18694 | 0 | 180416 | 0 | 8692 | 0 | 1003980 | 0 | 0 |
| JOEL YOHAI MD | |||||||||||||
| 0 | 537911 | 0 | 186000 | 0 | 161613 | 0 | 24395 | 0 | 17216 | 0 | 927135 | 0 | 0 |
| AARON GLATT MD | |||||||||||||
| 351575 | 0 | 53040 | 0 | 15552 | 0 | 8600 | 0 | 19842 | 0 | 448609 | 0 | 0 | 0 |
| DREW PALLAS | |||||||||||||
| 248000 | 0 | 20000 | 0 | 57 | 0 | 8600 | 0 | 615 | 0 | 277272 | 0 | 0 | 0 |
| LAWRENCE REDUTO | |||||||||||||
| 213747 | 0 | 0 | 0 | 159 | 0 | 8388 | 0 | 17491 | 0 | 239785 | 0 | 0 | 0 |
| ROBERT LAMAGNA | |||||||||||||
| 163683 | 0 | 0 | 0 | 17 | 0 | 6400 | 0 | 16661 | 0 | 186761 | 0 | 0 | 0 |
| IHAB IBRAHIM | |||||||||||||
| 151905 | 0 | 10000 | 0 | 26 | 0 | 6200 | 0 | 19076 | 0 | 187207 | 0 | 0 | 0 |
| MARGARET MINNICK | |||||||||||||
| 153448 | 0 | 10000 | 0 | 316 | 0 | 6338 | 0 | 18798 | 0 | 188900 | 0 | 0 | 0 |
| BERNARD STARK | |||||||||||||
| 199823 | 0 | 0 | 0 | 165 | 0 | 0 | 0 | 20841 | 0 | 220829 | 0 | 0 | 0 |
| ANNE WILSON-RISK | |||||||||||||
| 146438 | 0 | 0 | 0 | 57 | 0 | 0 | 0 | 19051 | 0 | 165546 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | IN DECEMBER, 2009 THE PROPOSED SPONSORSHIP OF THE HOSPITAL BY CATHOLIC HEALTH SYSTEMS OF LONG ISLAND,INC. (D/B/A CATHOLIC HEALTH SERVICES OF LONG ISLAND)(CHS) WAS MEMORIALIZED IN A MEMORANDUM OF UNDERSTANDING DETAILING NEXT STEPS TO BE COMPLETED FOR THE HOSPITAL TO BECOME A FULLY SPONSORED MEMBER OF CHS. THESE INCLUDED, AMONG OTHER THINGS, AMENDMENT OF THE BY-LAWS AND OPERATING CERTIFICATE TO DESIGNATE CHS AS THE CORPORATE MEMBER OF THE HOSPITAL; SUBMISSION OF A CERTIFICATE OF NEED (CON) FOR APPROVAL OF CHS TO BECOME THE LICENSED CO-OPERATOR OF THE HOSPITAL; AND THE HOSPITAL ENTERING INTO AN ADMINISTRATIVE SERVICES AGREEMENT WITH CHS. ON JANUARY 21, 2010 CHS ACCEPTED DESIGNATION AS THE SOLE CORPORATE MEMBER OF THE HOSPITAL AND A SLATE OF DIRECTORS AND OFFICERS WAS APPOINTED BY CHS. FOR FINANCIAL REPORTING PURPOSES, THE ACQUISITION OF THE HOSPITAL IS PRESENTED TO HAVE OCCURED AS OF JANUARY 1, 2010, SINCE THE ACTIVITY OF THE HOSPITAL WAS DEEMED TO BE IMMATERIAL FROM JANUARY 1, 2010 THROUGH JANUARY 21, 2010. ON APRIL 22, 2010 THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH) APPROVED THE CHANGE IN ASSUMED NAME FROM NEW ISLAND HOSPITAL TO ST. JOSEPH HOSPITAL AND SHORTLY THEREAFTER DOH ISSUED A NEW OPERATING CERTIFICATE BEARING THE ST. JOSEPH HOSPITAL NAME. THE CON FOR CHS TO BE THE ESTABLISHED CO-OPERATOR OF SJH HAS BEEN SUBMITTED AND IS CURRENTLY PENDING APPROVAL FROM THE DOH. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF ST JOSEPH HOSPITAL IS CATHOLIC HEALTH SYSTEM OF LONG ISLAND (D/B/A/ CATHOLIC HEALTH SERVICES OF LONG ISLAND) (CHS). CHS IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED TO SERVE AS THE COORDINATING BODY OF AN INTEGRATED NETWORK OF PROVIDERS SERVING NASSAU AND SUFFOLK COUNTIES. CHS IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTER (DIOCESE). | |
| FORM 990, PART VI, SECTION A, LINE 7A | CHS IS THE SOLE MEMBER OF ST JOSEPH HOSPITAL AND AS SUCH, HAS THE RIGHT TO APPOINT THE GOVERNING BODY OF ST JOSEPH HOSPITAL. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CHS AS THE SOLE MEMBER OF ST JOSEPH HOSPITAL IS REQUIRED TO APPROVE CERTAIN DECISIONS MADE NY ST JOSEPH'S GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS COMPLETED BY THE ACCOUNTING AND FINANCE STAFF OF THE ORGANIZATION AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN REVIEWED BY OUTSIDE TAX ADVISORS AND ANY NECESSARY ADJUSTMENTS ARE MADE, AFTER WHICH TIME IT IS CONSIDERED AN INITIAL DRAFT. THE INITIAL DRAFT IS THEN PRESENTED TO EXECUTIVE MANAGEMENT OF THE ORGANIZATION BY TAX ADVISORS AND STAFF TO PROVIDE DETAIL AND GIVE LEADERSHIP AN OPPORTUNITY TO GIVE FEEDBACK RELATIVE TO THE INFORMATION INCLUDED IN THE FORM 990. ANY NECESSARY CHANGES ARE MADE AND A COMPLETE FORM 990 IS SENT TO EXECUTIVES FOR FINAL REVIEW. ATTESTATIONS ARE THEN PROVIDED BY EXECUTIVES INDICATING THEIR REVIEW AND SATISFACTION WITH THE CONTENT OF THE FORM 990. THE DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES (THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED REVIEW FUNCTION BY THE BOARD. ONCE THE COMMITTEE'S REVIEW IS COMPLETE, THE COMMITTEE RECOMMENDS THE APPROVAL OF THE FORM 990 TO THE BOARD (OR THE EXECUTIVE COMMITTEE OF THE ONCE THE COMMITTEE'S REVIEW IS COMPLETE, THE COMMITTEE RECOMMENDS THE APPROVAL OF THE FORM 990 TO THE BOARD (OR THE EXECUTIVE COMMITTEE OF THE BOARD, AS APPROPRIATE). THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD. UPON APPROVAL BY THE BOARD (OR THE EXECUTIVE COMMITTEE OF THE BOARD, AS APPROPRIATE), THE ORGANIZATION'S BOARD CHAIR AND CHIEF EXECUTIVE OFFICER COMMUNICATES, IN WRITING TO THE CHS COMPLIANCE AND AUDIT COMMITTEE AND CHS BOARD CHAIR, SUCH APPROVAL TO THE CHS BOARD, AND CERTIFIES THAT THE CHS BOARD APPROVED FORM 990 REVIEW PROCESS HAS BEEN FOLLOWED. THE CHS COMPLIANCE AND AUDIT COMMITTEE REVIEWS THE ORGANIZATION'S CORRESPONDENCE REGARDING THE FORM 990 RECOMMENDS APPROVAL AND REVIEW PROCESS. THE CHS COMPLIANCE AND AUDIT COMMITTEE IS PROVIDED WITH THE ORGANIZATION'S FORM 990 AND REVIEWS THE FORM TO THE EXTENT IT DEEMS APPROPRIATE IN THE LIGHT OF THE ORGANIZATIONAL CERTIFICATIONS AND OTHER FACTORS AS DETERMINED BY THE COMMITTEE. UPON THE CHS COMPLIANCE AND AUDIT COMMITTEE'S REVIEW OF THE ORGANIZATION'S RECOMMENDED APPROVAL AND SATISFACTION OF THE FORM 990 REVIEW PROCESS, IT RECOMMENDS THE APPROVAL OF THE FORM 990 TO THE CHS BOARD OF DIRECTORS (OR THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, AS APPROPRIATE). THE CHS BOARD OF DIRECTORS (OR THE EXECUTIVE COMMITEE OF THE BOARD OF DIRECTORS, AS APPROPRIATE) REVIEWS THE CHS COMPLIANCE AND AUDIT COMMITTEE'S RECOMMENDATION AND PROVIDES THE FINAL APPROVAL OF THE FORM 990. THE FORM 990 IS THEN SUBMITTED TO THE INTERNAL REVENUE SERVICE. | |
| DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY (THE POLICY) BY BOARD AND BOARD COMMITTEE MEMBERS, EMPLOYEES AND OTHERS THAT SATISFY THE CRITERIA TO BE CONSIDERED AN INTERESTED PERSON IS SUBMIITTED UPON HIRE OR APPOINTMENT AND ANNUALLY THEREAFTER, SUCH INDIVIDUALS HAVE A CONTINUING OBLIGATION TO UPDATE THE INFORMATION PROVIDED DURING THE COURSE OF THE YEAR. A SUMMARY OF DISCLOSURES IS PROVIDED TO THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE BY THE ORGANIZATION'S COMPLIANCE OFFICER. ALL DISCLOSURES ARE INVESTIGATED AND INFORMATION RELATED TO THE DISCLOSURE SHALL BE GATHERED AND SUMMARIZED AND INCLUDED WITH THE SUMMARY OF DISCLOSURES. UPON REVIEW OF THE SUMMARY OF DISCLOSURES, THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE SHALL REPORT ITS FINDINGS TO THE BOARD OF TRUSTEES FOR REVIEW. THE BOARD SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS BASED ON THE CRITERIA CONTAINED IN THE POLICY. IF THE BOARD COMMITTEE DETERMINES THAT NO CONFLICT EXISTS, THE MATTER SHALL BE REFERRED FOR REVIEW BY THE CHS COMPLIANCE AND AUDIT COMMITTEE BEFORE THE DETERMINATION BECOMES FINAL. IF A CONFLICT OF INTEREST IS IDENTIFIED AND A MAJORITY OF THE BOARD OR BOARD COMMITTEE AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CHS AND WISHES TO GO FORTH WITH IT, THE CHAIR OF THE ORGANIZATION'S BOARD OF TRUSTEES SHALL PROVIDE A WRITTEN REQUEST TO THE CHAIR OF THE CHS COMPLIANCE AND AUDIT COMMITTEE, DELINEATING THE TRANSACTION AND CONFLICT AND PROVIDING REASONS WHY THE BOARD AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CHS, CERTIFIES THAT CHS CANNOT SECURE SIMILAR SERVICES FROM AN ORGANIZATION WITHOUT CONFLICT, AND WISHES TO GO FORWARD WITH IT. UPON RECEIPT OF THE WRITTEN REQUEST AND ANY SUPPORTING DOCUMENTS, THE CHS COMPLIANCE AND AUDIT COMMITTEE SHALL MAKE THE FINAL DECISION AS TO WHETHER CHS SHALL ENTER INTO THE TRANSACTION OR ARRANGEMENT. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE EXECUTIVE COMPENSATION POLICY (THE "POLICY") APPLIES TO THOSE WHO ARE DEFINED AS "DISQUALIFIED PERSONS". THE POLICY DEFINES A "DISQUALIFIED PERSON" AS A PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF CHS OR AN OPERATING ENTITY, AND IS EITHER A) A VOTING MEMBER OF THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES; B) THE ENTITY'S PRESIDENT, CHIEF EXECUTIVE OFFICER, AND CHIEF OPERATING OFFICERS OR PERSONS HOLDING EQUIVALENT POSITIONS; C) THE ENTITY'S TREASURERS AND CHIEF FINANCIAL OFFICERS; D) THE PERSON'S COMPENSATION IS PRIMARILY BASED ON REVENUES DERIVED FROM ACTIVITES OF CHS OR AN OPERATING ENTITY, OR OF A PARTICULAR DEPARTMENT OR FUNCTION OF CHS OR AN OPERATING ENTITY THAT THE PERSON CONTROLS; E) THE PERSON HAS OR SHARES AUTHORITY TO CONTROL OR DETERMINE A SUBSTANTIAL PORTION OF CHS OR AN OPERATING ENTITY'S CAPITAL EXPENDITURES, OPERATING BUDGET, OR COMPENSATION FOR OTHER EMPLOYEES; F) THE PERSON MANAGES A DEPARTMENT OR ACTIVITY OF CHS OR AN OPERATING ENTITY THAT REPRESENTS A SUBSTANTIAL PORTION OF THE ACTIVITIES, ASSETS, INCOME, OR EXPENSES OF CHS OR AN OPERATING ENTITY, COMPARED TO THE ORGANIZATION AS A WHOLE; OR G) FAMILY MEMBERS OF ANY OF THOSE DESCRIBED IN THE PRECEDING D, E, OR F. THE CHIEF EXECUTIVE OFFICER SUBMITS FOR APROVAL TO THE CORPORATE CEO RECOMMENDATIONS FOR BASE SALARY ADJUSTMENTS AND INCENTIVE AWARDS FOR "DISQUALIFIED PERSONS" AS DEFINED IN THE POLICY. ONCE APPROVED BY THE CORPORATE CEO, THESE RECOMMENDATIONS ARE SENT TO THE EXECUTIVE COMPENSATION COMMITTEE FOR REVIEW, AND THE COMMITTEE MAKES RECOMMENDATION TO THE BOARD.OF TRUSTEES WITH RESPECT TO THE PROPOSED EXECUTIVE COMPENSATION. THE BOARD HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR "DISQUALIFIED PERSONS". IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF "DISQUALIFIED PERSONS" AT THE MEDIAN OF THE DEINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTION REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE BOARD REVIEWS BASE SALARIES FOR "DISQUALIFIED PERSONS" BASED UPON THE MEDIAN AMOUNTS (50TH PERCENTILE) 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. INCENTIVE COMPENSATION IS BASED ON A PERCENTAGE OF THE BASE SALARY AND AWARDED ONLY IF A "DISQUALIFIED PERSON" MEETS OBJECTIVE PERFORMANCE CRITERIA. THE COMPENSATION COMMITTEE SETS STANDARDS TO ENSURE THAT THE CRITERIA USED TO DETERMINE INCENTIVE COMPENSATION ARE SPECIFIC, OBJECTIVE, MEASURABLE AND RELATED TO INDICATORS OF PERFORMANCE, WHICH SHALL INCLUDE BOTH THE PERFORMANCE OF THE OPERATING ENTITY THAT EMPLOYS THE "DISQUALIFIED PERSON" AND THE PERFORMANCE OF THE CHS SYSTEM AS A WHOLE. USING SUCH CRITERIA, THE CHS CEO SHALL RECOMMEND TO THE CHS EXECUTIVE COMPENSATION COMMITTEE INCENTIVE COMPENSATION FOR SYSTEM-LEVEL EXECUTIVES WHO ARE "DISQUALIFIED PERSONS", AND THE CEO OF EACH OPERATING ENTITY SHALL RECOMMEND TO THE OPERATING ENTITY ECC INCENTIVE COMPENSATION FOR OPERATING ENTITY EXECUTIVES WHO ARE "DISQUALIFIED PERSONS", IF APPROVED BY THE CHS CEO. EXECUTIVES PARTICIPATE IN THE DIOCESAN PENSION PLAN AND OTHER BENEFIT PLANS AS APPROVED BY THE CHS CORPORATE BOARD OR CHS OPERATING ENTITY BOARD, AS THE CASE MAY BE. | FORM 990, PART VI, SECTION B, LINE 15 | |
| GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILIED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE; FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| REFLECTED IN PART REFLECTED IN PART VII, SECTION A, LINE 1A ARE THE ESTIMATED WEEKLY HOURS (2.0). TRUSTEES CONTRIBUTE TO THIS AND ALL OTHER RELATED ORGANIZATIONS, NOT NECESSARILY EQUALLY BUT IN THE PROPORTION NECESSARY, FOR WHICH THEY RECEIVE NO COMPENSATION. | FORM 990, PART VII, SECTION A LINE 1A | |
| ELECTION TO ALLOCATE BUSINESS ASSET EXPENSE | THE UNDERSIGNED CORPORATIONS, COMPONENT MEMBERS OF A CONTROLLED GROUP OF CORPORATIONS, AS DEFINED IN SECTION 179(D)(7), HEREBY CONSENT TO THE APPORTIONMENT PLAN LISTED BELOW WITH RESPECT TO THE TAXABLE YEAR OF EACH CORPORATION WHICH INCLUDES DECEMBER 31, 2010 ELECTION TO ALLOCATE $40,000 ALTERNATIVE MINIMUM TAX EXEMPTION THE UNDERSIGNED CORPORATIONS, COMPONENT MEMBERS OF A CONTROLLED GROUP OF CORPORATIONS(WITHIN THE MEANING OF SECTION 1563(A)), HEREBY CONSENT UNDER REGULATION 1.58-1(C)(3) TO THE APPORTIONMENT PLAN LISTED BELOW WITH RESPECT TO THE TAXABLE YEAR OF EACH CORPORATION WHICH INCLUDES DECEMBER 31, 2010. ELECTION TO ALLOCATE $150,000 ALTERNATIVE MINIMUM TAX PHASE-OUT THE UNDERSIGNED CORPORATIONS, COMPONENT MEMBERS OF A CONTROLLED GROUP OF CORPORATIONS (WITHIN THE MEANING OF SECTION 1563(A)), HEREBY CONSENT UNDER REGULATION 1.58-1(C(3) TO THE APPOINTMENT PLAN LISTED BELOW WITH RESPECT TO THE TAXABLE YEAR OF EACH CORPORATION WHICH INCLUDES DECEMBER 31, 2010. EMPLOYER ID NO. $128,00 $40,000 $150,000 11-3403968 NONE NONE NONE 14-1801961 NONE NONE NONE 11-3594561 NONE NONE NONE 11-3555766 NONE NONE NONE 11-1888924 NONE NONE NONE 77-0611240 NONE NONE NONE 11-2537396 NONE NONE NONE 11-2958438 NONE NONE NONE 11-3434776 NONE NONE NONE 11-2861698 NONE NONE NONE 11-2861690 NONE NONE NONE 11-3638367 NONE NONE NONE 11-1635088 NONE NONE NONE 11-2126736 NONE NONE NONE 11-3284066 NONE NONE NONE 20-8067039 NONE NONE NONE 11-2499790 NONE NONE NONE 06-1569129 NONE NONE NONE 06-1562701 NONE NONE NONE 11-1871039 NONE NONE NONE 41-2076312 NONE NONE NONE 11-3613997 NONE NONE NONE 11-2050523 NONE NONE NONE 11-2916033 NONE NONE NONE 11-3090867 NONE NONE NONE 11-2110488 NONE NONE NONE 11-2983148 NONE NONE NONE 11-2716640 NONE NONE NONE 11-3559713 NONE NONE NONE 11-1635088 NONE NONE NONE 55-0813603 NONE NONE NONE 27-1459941 NONE NONE NONE IN PROCESS NONE NONE NONE 26-3169427 NONE NONE NONE 45-0517566 NONE NONE NONE 27-1531084 NONE NONE NONE 11-2798383 NONE NONE NONE 11-2801136 NONE NONE NONE 11-2838185 $128,000 $40,000 $150,000 11-3319259 NONE NONE NONE 06-1568934 NONE NONE NONE 11-3307977 NONE NONE NONE 11-2126736 NONE NONE NONE | CONTROLLED GROUP ELECTION STATEMENT |
| CONTROLLED GROUP ELECTION - CONTINUED | EMPLOYER NAME, ADDRESS & TAX YEAR-END ID NO. 11-3403968 CATHOLIC HEALTH SERVICES OF LONG ISLAND 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 14-1801961 CHS AMBULANCE SERVICES 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-3594561 CHS HOME SUPPORT SERVICES, INC. 15 POWER DRIVE HAUPPAUGUE, NY 11788 TAX YEAR END: 12/31/10 11-3555761 CHS SERVICES, INC 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-1888924 GOOD SAMARITAN HOSPITAL MEDICAL CENTER 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 77-0611240 GOOD SAMARITAN HOSPITAL FOUNDATION 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 11-2537396 GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 11-2958438 GOOD SHEPHERD HOSPICE 245 OLD COUNTRY ROAD MELVILLE, NY 11747 TAX YEAR END: 12/31/10 11-3434776 MARYHAVEN TRANSPORTATION SERVICES 51 TERRYVILLE ROAD PORT JEFFERSON, NY 11776 TAX YEAR END: 12/31/10 11-2861698 MARYHAVEN CENTER OF HOPE 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 11-2861690 MARYHAVEN SCHOOL CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 11-3638367 THE CENTER OF HOPE FOUNDATION 51 TERRYVILLE ROAD PORT JEFFERSON, NY 11776 TAXABLE YEAR: 12/31/10 11-1635088 MERCY MEDICAL CENTER 1000 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-2126736 CATHOLIC HOME CARE 1150 PORTION BLVD. SUITE 1 HOLTSVILLE, NY 11742 TAX YEAR END: 12/31/10 11-3284066 OUR LADY OF CONSOLATION GERIATRIC CARE CENTER 111 BEACH DRIVE WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 20-8067039 RVC INSURANCE COMPANY, INC. 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-2499790 RIVERHEAD HOSTEL HOLDING CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 06-1569129 SIENA VILLAGE 50 ROUTE 25A SMITHTOWN, NY 11787 TAX YEAR END: 12/31/10 06-1562701 ST. CATHERINE OF SIENA MEDICAL CENTER 50 ROUTE 25A SMITHTOWN, NY 11787 TAX YEAR END: 12/31/10 11-1871039 ST. CHARLES HOSPITAL AND REHABILITATION CENTER 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAX YEAR END: 12/31/10 41-2076312 ST. CHARLES HOSPITAL FOUNDATION 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAX YEAR END: 12/31/10 11-3613997 ST. FRANCIS CARDIOVASCULAR PHYSICIANS PC 100 PORT WASHINGTON BLVD. ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-2050523 ST. FRANCIS HOSPITAL 100 PORT WASHINGTON BLVD. ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-2916033 ST. FRANCIS HOSPITAL FOUNDATION 100 PORT WASHINGTON BOULEVARD ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-3090867 ST. FRANCIS RESEARCH & EDUCATIONAL CORPORATION 100 PORT WASHINGTON BOULEVARD ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-2110488 SUFFOLK HEARING & SPEECH 369 EAST MAIN STREET EAST ISLIP, NY 11730 TAX YEAR END: 12/31/10 11-2983148 THE ST. CHARLES CORPORATION 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAX YEAR END: 12/31/10 11-2716640 THE SAMARITAN CORPORATION 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11795 TAX YEAR END: 12/31/10 11-3559713 WISDOM GARDENS HOUSING DEVELOPMENT CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 11-1635088 ST. FRANCIS-MERCY CORPORATION 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11795 TAX YEAR END: 12/31/10 55-0813603 MERCY MEDICAL CENTER FOUNDATION 1000 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11795 TAX YEAR END: 12/31/10 27-1459941 ST. CATHERINE OF SIENA MEDICAL CENTER FOUNDATION 50 ROUTE 25A SMITHTOWN, NY 11787 TAX YEAR END: 12/31/10 IN PROCESS CATHOLIC HOME CARE FOUNDATION 1150 PORTION ROAD, SUITE 1 HOLTSVILLE, NY 11742 TAX YEAR END: 12/31/10 26-3169427 CATHOLIC HOME CARE FOUNDATION 245 OLD COUNTRY ROAD MELVILLE, NY 11747 TAX YEAR END: 12/31/10 45-0517566 OUR LADY OF CONSOLATION FOUNDATION 111 BEACH DRIVE WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 27-1531084 OUR LADY OF CONSOLATION FOUNDATION 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-2798383 FAIRVIEW HILL MANAGEMENT CORP 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAXABLE YEAR: 12/31/10 11-2801136 HEALTHCARE TEMP SERVICES 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAXABLE YEAR: 12/31/10 11-2838185 SAMARITAN MANAGEMENT SERVICES 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAXABLE YEAR: 12/31/10 11-3319259 SAMARITAN HOME CARE AMERICA, INC. 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAXABLE YEAR: 12/31/10 06-1568934 SIENA MEDICAL REALTY 50 ROUTE 25A SMITHTOWN, NY 11787 TAXABLE YEAR: 12/31/10 11-3307977 SOUTH SHORE PRACTICE MANAGEMENT 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAXABLE YEAR: 12/31/10 11-2126736 NURSING SISTERS HOME CARE, INC 1150 PORTION ROAD, SUITE 1 HOLTSVILLE, NY 11742 TAXABLE YEAR: 12/31/10 | |
| TAX BRACKET ALLOCATION | THE AMOUNTS IN EACH TAXABLE INCOME BRACKET IN THE TAX TABLE IN SECTION 11(B) HAVE BEEN ALLOCATED TO THE CORPORATIONS LISTED BELOW PURSUANT TO REGULATION 1.1561-3(A). THE ORIGINAL COPY OF THIS STATEMENT IS FILED WITH THE INTERNAL REVENUE SERVICE CENTER IN OGDEN, UTAH. AUTHORIZATION CONSENT FOR ALLOCATION ON BEHALF OF MEMBER COMPANIES ____________________________________________ EMPLOYER ID NO. $50,000 $25,000 $9,925,000 BRACKET BRACKET BRACKET 11-3403968 NONE NONE NONE 14-1801961 NONE NONE NONE 11-3594561 NONE NONE NONE 11-3555766 NONE NONE NONE 11-1888924 NONE NONE NONE 77-0611240 NONE NONE NONE 11-2537396 NONE NONE NONE 11-2958438 NONE NONE NONE 11-3434776 NONE NONE NONE 11-2861698 NONE NONE NONE 11-2861690 NONE NONE NONE 11-3638367 NONE NONE NONE 11-1635088 NONE NONE NONE 11-2126736 NONE NONE NONE 11-3284066 NONE NONE NONE 20-8067039 NONE NONE NONE 11-2499790 NONE NONE NONE 06-1569129 NONE NONE NONE 06-1562701 NONE NONE NONE 11-1871039 NONE NONE NONE 41-2076312 NONE NONE NONE 11-3613997 NONE NONE NONE 11-2050523 NONE NONE NONE 11-2916033 NONE NONE NONE 11-3090867 NONE NONE NONE 11-2110488 NONE NONE NONE 11-2983148 NONE NONE NONE 11-2716640 NONE NONE NONE 11-3559713 NONE NONE NONE 11-1635088 NONE NONE NONE 55-0813603 NONE NONE NONE 27-1459941 NONE NONE NONE IN PROCESS NONE NONE NONE 26-3169427 NONE NONE NONE 45-0517566 NONE NONE NONE 27-1531084 NONE NONE NONE 11-2798383 NONE NONE NONE 11-2801136 NONE NONE NONE 11-2838185 $50,000 $25,000 $9,925,000 11-3319259 NONE NONE NONE 06-1568934 NONE NONE NONE 11-3307977 NONE NONE NONE 11-2126736 NONE NONE NONE | |
| TAX BRACKET ALLOCATION - CONTINUED | EMPLOYER NAME, ADDRESS & TAX YEAR-END ID NO. 11-3403968 CATHOLIC HEALTH SERVICES OF LONG ISLAND 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 14-1801961 CHS AMBULANCE SERVICES 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-3594561 CHS HOME SUPPORT SERVICES, INC. 15 POWER DRIVE HAUPPAUGUE, NY 11788 TAX YEAR END: 12/31/10 11-3555761 CHS SERVICES, INC 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-1888924 GOOD SAMARITAN HOSPITAL MEDICAL CENTER 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 77-0611240 GOOD SAMARITAN HOSPITAL FOUNDATION 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 11-2537396 GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 11-2958438 GOOD SHEPHERD HOSPICE 245 OLD COUNTRY ROAD MELVILLE, NY 11747 TAX YEAR END: 12/31/10 11-3434776 MARYHAVEN TRANSPORTATION SERVICES 51 TERRYVILLE ROAD PORT JEFFERSON, NY 11776 TAX YEAR END: 12/31/10 11-2861698 MARYHAVEN CENTER OF HOPE 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 11-2861690 MARYHAVEN SCHOOL CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 11-3638367 THE CENTER OF HOPE FOUNDATION 51 TERRYVILLE ROAD PORT JEFFERSON, NY 11776 TAXABLE YEAR: 12/31/10 11-1635088 MERCY MEDICAL CENTER 1000 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-2126736 CATHOLIC HOME CARE 1150 PORTION BLVD. SUITE 1 HOLTSVILLE, NY 11742 TAX YEAR END: 12/31/10 11-3284066 OUR LADY OF CONSOLATION GERIATRIC CARE CENTER 111 BEACH DRIVE WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 20-8067039 RVC INSURANCE COMPANY, INC. 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-2499790 RIVERHEAD HOSTEL HOLDING CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 06-1569129 SIENA VILLAGE 50 ROUTE 25A SMITHTOWN, NY 11787 TAX YEAR END: 12/31/10 06-1562701 ST. CATHERINE OF SIENA MEDICAL CENTER 50 ROUTE 25A SMITHTOWN, NY 11787 TAX YEAR END: 12/31/10 11-1871039 ST. CHARLES HOSPITAL AND REHABILITATION CENTER 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAX YEAR END: 12/31/10 41-2076312 ST. CHARLES HOSPITAL FOUNDATION 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAX YEAR END: 12/31/10 11-3613997 ST. FRANCIS CARDIOVASCULAR PHYSICIANS PC 100 PORT WASHINGTON BLVD. ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-2050523 ST. FRANCIS HOSPITAL 100 PORT WASHINGTON BLVD. ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-2916033 ST. FRANCIS HOSPITAL FOUNDATION 100 PORT WASHINGTON BOULEVARD ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-3090867 ST. FRANCIS RESEARCH & EDUCATIONAL CORPORATION 100 PORT WASHINGTON BOULEVARD ROSLYN, NY 11576 TAX YEAR END: 12/31/10 11-2110488 SUFFOLK HEARING & SPEECH 369 EAST MAIN STREET EAST ISLIP, NY 11730 TAX YEAR END: 12/31/10 11-2983148 THE ST. CHARLES CORPORATION 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAX YEAR END: 12/31/10 11-2716640 THE SAMARITAN CORPORATION 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11795 TAX YEAR END: 12/31/10 11-3559713 WISDOM GARDENS HOUSING DEVELOPMENT CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSON STATION, NY 11776 TAX YEAR END: 12/31/10 11-1635088 ST. FRANCIS-MERCY CORPORATION 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11795 TAX YEAR END: 12/31/10 55-0813603 MERCY MEDICAL CENTER FOUNDATION 1000 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11795 TAX YEAR END: 12/31/10 27-1459941 ST. CATHERINE OF SIENA MEDICAL CENTER FOUNDATION 50 ROUTE 25A SMITHTOWN, NY 11787 TAX YEAR END: 12/31/10 IN PROCESS CATHOLIC HOME CARE FOUNDATION 1150 PORTION ROAD, SUITE 1 HOLTSVILLE, NY 11742 TAX YEAR END: 12/31/10 26-3169427 CATHOLIC HOME CARE FOUNDATION 245 OLD COUNTRY ROAD MELVILLE, NY 11747 TAX YEAR END: 12/31/10 45-0517566 OUR LADY OF CONSOLATION FOUNDATION 111 BEACH DRIVE WEST ISLIP, NY 11795 TAX YEAR END: 12/31/10 27-1531084 OUR LADY OF CONSOLATION FOUNDATION 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE, NY 11570 TAX YEAR END: 12/31/10 11-2798383 FAIRVIEW HILL MANAGEMENT CORP 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAXABLE YEAR: 12/31/10 11-2801136 HEALTHCARE TEMP SERVICES 200 BELLE TERRE ROAD PORT JEFFERSON, NY 11777 TAXABLE YEAR: 12/31/10 11-2838185 SAMARITAN MANAGEMENT SERVICES 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAXABLE YEAR: 12/31/10 11-3319259 SAMARITAN HOME CARE AMERICA, INC. 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAXABLE YEAR: 12/31/10 06-1568934 SIENA MEDICAL REALTY 50 ROUTE 25A SMITHTOWN, NY 11787 TAXABLE YEAR: 12/31/10 11-3307977 SOUTH SHORE PRACTICE MANAGEMENT 1000 MONTAUK HIGHWAY WEST ISLIP, NY 11795 TAXABLE YEAR: 12/31/10 11-2126736 NURSING SISTERS HOME CARE, INC 1150 PORTION ROAD, SUITE 1 HOLTSVILLE, NY 11742 TAXABLE YEAR: 12/31/10 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (36 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |||||||||||
| 992 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 113403968 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| CHS SERVICES INC | |||||||||||
| 992 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 113555766 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| CHS AMBULANCE SERVICES INC | |||||||||||
| 992 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 141801961 | DORMANT | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER | |||||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 111888924 | HOSPITAL | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE | |||||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 112537396 | SELF INSURANCE | NY | 501(C)(3) | LINE 11A, I | 0 | GOOD SAMARITAN HOSPITAL | |
| MARYHAVEN TRANSPORTATION SERVICES | |||||||||||
| 51 TERRYVILLE ROAD | PORT JEFFERSON STATION | NY | 11776 | 113434776 | TRANSPORTATION SERVICES | NY | 501(C)(3) | LINE 9 | 0 | MARYHAVEN CENTER OF HOPE | |
| MARYHAVEN CENTER OF HOPE | |||||||||||
| 51 TERRYVILLE ROAD | PORT JEFFERSON STATION | NY | 11776 | 112861698 | PROGRAMS/HOUSING FOR THE DEVELOPMENTALLY DISABLED | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| MARYHAVEN SCHOOL CORPORATION | |||||||||||
| 51 TERRYVILLE ROAD | PORT JEFFERSON STATION | NY | 11776 | 112861690 | SCHOOL FOR DEVELOPMENTALLY DISABLED | NY | 501(C)(3) | LINE 9 | 0 | MARYHAVEN CENTER OF HOPE | |
| THE CENTER OF HOPE FOUNDATION | |||||||||||
| 51 TERRYVILLE ROAD | PORT JEFFERSON STATION | NY | 11776 | 113638367 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | MARYHAVEN CENTER OF HOPE | |
| MERCY MEDICAL CENTER | |||||||||||
| 1000 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 111635088 | HOSPITAL | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| CATHOLIC HOME CARE | |||||||||||
| 1150 PORTION ROAD SUITE 1 | HOLTSVILLE | NY | 11742 | 112126736 | HOME CARE | NY | 501(C)(3) | LINE 9 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| OUR LADY OF CONSOLATION GERIATRIC CARE CENTER | |||||||||||
| 111 BEACH DRIVE | WEST ISLIP | NY | 11795 | 113284066 | LT NURSING CARE | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| RIVERHEAD HOSTEL HOLDING CORPORATION | |||||||||||
| 51 TERRYVILLE ROAD | PORT JEFFERSON STATION | NY | 11776 | 112499790 | RENTING | NY | 501(C)(3) | LINE 9 | 0 | MARYHAVEN CENTER OF HOPE | |
| SIENA VILLAGE INC | |||||||||||
| 50 ROUTE 25A | SMITHTOWN | NY | 11787 | 061569129 | SENIOR HOUSING | NY | 501(C)(3) | LINE 9 | 0 | ST CATHERINE OF SIENA MEDICAL CENTER | |
| ST CATHERINE OF SIENA MEDICAL CENTER | |||||||||||
| 50 ROUTE 25A | SMITHTOWN | NY | 11787 | 061562701 | HOSPITAL | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| ST CHARLES HOSPITAL | |||||||||||
| 200 BELLE TERRE ROAD | PORT JEFFERSON STATION | NY | 11777 | 111871039 | HOSPITAL | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| CHS HOME SUPPORT SERVICES INC | |||||||||||
| 15 POWER DRIVE | HAUPPAUGE | NY | 11788 | 113594561 | RESPIRATORY THERAPY SVC/MED. EQUIP. | NY | 501(C)(3) | LINE 9 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| ST FRANCIS HOSPITAL | |||||||||||
| 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 112050523 | HOSPITAL | NY | 501(C)(3) | LINE 3 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| ST FRANCIS HOSPITAL FOUNDATION | |||||||||||
| 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 112916033 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | ST FRANCIS HOSPITAL | |
| ST FRANCIS HOSPITAL RESEARCH & EDUCATIONAL CORP | |||||||||||
| 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 113090867 | RESEARCH ORGANIZATION | NY | 501(C)(3) | LINE 9 | 0 | ST FRANCIS HOSPITAL | |
| SUFFOLK HEARING & SPEECH CENTER INC | |||||||||||
| 369 EAST MAIN STREET | EAST ISLIP | NY | 11730 | 112110488 | DIAGNOSTIC TESTING | NY | 501(C)(3) | LINE 3 | 0 | GOOD SAMARITAN HOSPITAL | |
| THE ST CHARLES CORPORATION | |||||||||||
| 200 BELLE TERRE ROAD | PORT JEFFERSON | NY | 11777 | 112983148 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| THE SAMARITAN CORPORATION | |||||||||||
| 992 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 112716640 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| WISDOM GARDENS HOUSING DEVELOPMENT FUND INC | |||||||||||
| 51 TERRYVILLE ROAD | PORT JEFFERSON STATION | NY | 11776 | 113559713 | SENIOR HOUSING | NY | 501(C)(3) | LINE 9 | 0 | MARYHAVEN CENTER OF HOPE | |
| GOOD SHEPHERD HOSPICE | |||||||||||
| 245 OLD COUNTRY ROAD | MELVILLE | NY | 11747 | 112958438 | HOSPICE SERVICES | NY | 501(C)(3) | LINE 9 | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| ST CHARLES HOSPITAL FOUNDATION | |||||||||||
| 200 BELLE TERRE ROAD | PORT JEFFERSON | NY | 11777 | 412076312 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | ST CHARLES HOSPITAL | |
| GOOD SAMARITAN HOSPITAL FOUNDATION | |||||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 770611240 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | GOOD SAMARITAN HOSPITAL | |
| ST FRANCIS-MERCY CORPORATION | |||||||||||
| 992 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 111635088 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| MERCY MEDICAL CENTER FOUNDATION | |||||||||||
| 1000 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 550813603 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | MERCY MEDICAL CENTER | |
| ST CATHERINE OF SIENA MEDICAL CENTER FOUNDATION | |||||||||||
| 50 ROUTE 25A | SMITHTOWN | NY | 11787 | 271459941 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | ST CATHERINE OF SIENA MEDICAL CENTER | |
| CATHOLIC HOME CARE FOUNDATION | |||||||||||
| 1150 PORTION ROAD SUITE 1 | HOLTSVILLE | NY | 11742 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | CATHOLIC HOME CARE | ||
| GOOD SHEPHERD HOSPICE FOUNDATION | |||||||||||
| 245 OLD COUNTRY ROAD | MELVILLE | NY | 11747 | 263169427 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | GOOD SHEPHERD HOSPICE | |
| OUR LADY OF CONSOLATION FOUNDATION | |||||||||||
| 111 BEACH DRIVE | WEST ISLIP | NY | 11795 | 450517566 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | OUR LADY OF CONSOLATION | |
| RVC SUPPORT | |||||||||||
| 992 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 271531084 | REAL ESTATE | NY | 501(C)(3) | LINE 11A, I | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
| ST FRANCIS CARDIOVASCULAR PHYSICIANS PC | |||||||||||
| 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 113613997 | HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 3 | 0 | ST FRANCIS HOSPITAL | |
| RVC INSURANCE COMPANYINC | |||||||||||
| 992 NORTH VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11570 | 208067039 | CAPTIVE INSURANCE COMPANY | NY | 501(C)(3) | LINE 11A, I | 0 | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| RADIOLOGY CONSULTING OF LONG ISLAND PLLC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 421646134 | HEALTHCARE SERVICES | NY | GOOD SAMARITAN HOSPITAL | C |
| SAMARITAN EMERGENCY MEDICAL SERVICES PC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 208243412 | DIAGNOSTIC TESTING | NY | GOOD SAMARITAN HOSPITAL | C |
| SAMARITAN PEDIATRIC SERVICES PC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 208180263 | HEALTHCARE SERVICES | NY | GOOD SAMARITAN HOSPITAL | C |
| SAMARITAN MEDICAL SERVICES PC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 208088453 | DIAGNOSTIC TESTING | NY | GOOD SAMARITAN HOSPITAL | C |
| SOUTHWEST SUFFOLK MEDICAL PC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 061603195 | HEALTHCARE SERVICES | NY | GOOD SAMARITAN HOSPITAL | C |
| CARDIAC EKG INTERPRETATION PC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 112924518 | HEALTHCARE SERVICES | NY | GOOD SAMARITAN HOSPITAL | C |
| LI REGIONAL ARTHRITIS & OSTEOPOROSIS CARE PC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 208964140 | HEALTHCARE SERVICES | NY | GOOD SAMARITAN HOSPITAL | C |
| SAMARITAN MANAGEMENT SERVICES INC | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 112838185 | HEALTHCARE SERVICES | NY | CATHOLIC HEALTH SYSTEM OF LONG ISLAND | C |
| FAIRVIEW HILL MANAGEMENT CO INC | ||||||||
| 200 BELLE TERRE ROAD | PORT JEFFERSON | NY | 11777 | 112798383 | SERVICES | NY | ST CHARLES CORPORATION | C |
| ADVANCED REHABILIATION MEDICINE PLLC | ||||||||
| 200 BELLE TERRE ROAD | PORT JEFFERSON | NY | 11777 | 113640709 | HEALTHCARE SERVICES | NY | ST CHARLES HOSPITAL | C |
| ST FRANCIS CARDIAC PREVENTION SERVICES PC | ||||||||
| 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 113224885 | HEALTHCARE SERVICES | NY | ST FRANCIS HOSPITAL | C |
| SOUTH SHORE PRACTICE MANAGEMENT | ||||||||
| 1000 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 113307977 | HEALTHCARE SERVICES | NY | GOOD SAMARITAN HOSPITAL | C |
| MERCY INTERNAL MEDICINE PC | ||||||||
| 992 N VILLAGE AVENUE | ROCKVILLE CENTRE | NY | 11710 | 510639649 | HEALTHCARE SERVICES | NY | MERCY MEDICAL CENTER | C |
| 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 | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CATHOLIC HEALTH SYSTEM OF LONG ISLAND | ||
| L | -61708 | COST |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER | ||
| O | -186479 | COST |
| CHS SERVICES INC | ||
| O | -2707335 | COST |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE R PART V, TRANSACTIONS WITH RELATED PARTIES | ReturnReference |
| Explanation | ST JOSEPH HOSPITAL HAS DISCLOSED IN SCHEDULE R THE PREDOMINANT TRANSACTION TYPE WITH EACH FACILITY WITH WHICH IT HAS CONDUCTED TRANSACTIONS. HOWEVER, THERE ARE ADDITIONAL TRANSACTION TYPES TO DESCRIBE THE ACTIVITIES ST JOSEPH HAS ENGAGED IN WITH ITS RELATED PARTY ORGANIZATIONS. THE FOLLOWING IS A LIST OF ADDITIONAL TRANSACTION TYPES BY FACILITY. NAME OF ORGANIZATION EIN ADDT'L TXN TYPE CATHOLIC HEALTH SYSTEM OF LONG ISLAND 11-3405968 L GOOD SAMARITAN HOSPITAL MEDICAL CENTER 11-1888924 O CATHOLIC HEALTH SERVICES INC 11-3555766 O | Explanation |