LONG ISLAND COMMUNITY HOSPITAL AT: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LONG ISLAND COMMUNITY HOSPITAL AT (EIN 11-1704595)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201113189349303591
- 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 H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T13:13:57-06:00 | 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 | BDO USA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111704595 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BROO | NameControl |
| Phone | 6316547100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD GIRAULO | Name |
| Title | SR. VP - FINANCE | Title |
| Date Signed | 2010-11-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Paul Hammerschmidt | Name |
| Phone | 2128858000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | T OCKERS CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 310423889 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BROOKHAVENHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1947 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | DELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2675 | TotalNbrEmployees |
| Total Nbr Volunteers | 181 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1424761 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2302456 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 294018697 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 304337011 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 253559 | InvestmentIncomePriorYear |
| Investment Income Current Year | 270165 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2860616 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3514257 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 298557633 | TotalRevenuePriorYear |
| Total Revenue Current Year | 310423889 | 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 | 171004022 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 171305071 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 40535 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 129848733 | OtherExpensePriorYear |
| Other Expenses Current Year | 137150609 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 300852755 | TotalExpensesPriorYear |
| Total Expenses Current Year | 308455680 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2295122 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1968209 | RevenuesLessExpensesCY |
| Total Assets BOY | 140004112 | TotalAssetsBOY |
| Total Assets EOY | 134988650 | TotalAssetsEOY |
| Total Liabilities BOY | 139113908 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 123397477 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 890204 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11591173 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | DELIVER ACCESSIBLE HIGH-QUALITY HEALTH SERVICES IN A FOCUSED CARING AND TEACHING ENVIRONMENT WHILE PROVIDING HEALTH ADVOCACY FOR THE COMMUNITY AND PEOPLE WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 168978000 | Expense |
| Revenue | 172742000 | Revenue |
| Description | INPATIENT CARE SERVICES - INCLUDES MEDICAL/SURGICAL PROCEDURES, PEDIATRICS, ICU, CCU, ROUTINE AND PSYCHIATRIC CARE. TOTAL 2010 INPATIENT DAYS: 90,037. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 50040000 | Expense |
| Revenue | 46232000 | Revenue |
| Description | EMERGENCY ROOM SERVICES - AVAILABLE TO THE COMMUNITY 24 HOURS, 7 DAYS A WEEK. TOTAL 2010 TREAT AND RELEASE VISITS: 50,142. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22415000 | Expense |
| Revenue | 21195000 | Revenue |
| Description | AMBULATORY SURGERY SERVICES - AVAILABLE TO THE COMMUNITY. TOTAL 2010 CASES: 9,052. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 38841000 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 66494811 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 280274000 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 224 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2675 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | R GIRAULO CFO | NamePerson |
| Telephone Number | 6316547175 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | FINANCE DEPT 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (33 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 |
|---|---|---|---|---|---|---|---|---|
| THOMAS OCKERS CEO | ||||||||
| PRESIDENT/CEO/DIRECTOR | 37.5 | X | X | 545159 | 0 | 47803 | ||
| SHARON NORTON REMMER | ||||||||
| CHAIRWOMAN | 1.0 | X | X | 0 | 0 | 0 | ||
| ROBERT W SCHWARZ | ||||||||
| VICE CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | ||
| LISA ROSE | ||||||||
| TREASURER | 1.0 | X | X | 0 | 0 | 0 | ||
| JEFFREY MAYER | ||||||||
| SECRETARY | 1.0 | X | X | 4413 | 0 | 0 | ||
| DEAN BABICH MD | ||||||||
| DIRECTOR/PRES. OF MED. STAFF | 1.0 | X | 5000 | 0 | 7 | |||
| RICHARD BERMAN MD | ||||||||
| DIRECTOR | 1.0 | X | 20100 | 0 | 27 | |||
| FREDERICK C BRAUN III | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| GARY BROWN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| THOMAS CULLEN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| FELIX GRUCCI JR | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| EDWARD KORMYLO DPM | ||||||||
| DIRECTOR | 1.0 | X | 21600 | 0 | 29 | |||
| WALTER LADICK | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| WILLIAM LEHMANN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| LISA LOURIE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JAMES MAIORINO | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| YVES R MICHEL | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JOSEPH MONTEITH | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MARK MULHOLLAND | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| FREDERIC ROSE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ERIC RUSSO | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ANNE SHYBUNKO-MOORE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ERNEST PATRICK SMITH | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| STEVEN TAITZ | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RONALD A GIRAULO CFO | ||||||||
| SR. VICE PRESIDENT/CFO | 37.5 | X | 313920 | 0 | 58439 | |||
| RONALD KLEIN MD CMO | ||||||||
| VP/MEDICAL AFFAIRS & CREDENT. | 37.5 | 337000 | 0 | 27981 | X | |||
| RICHARD T MARGULIS COO | ||||||||
| SR. VICE PRESIDENT/COO | 37.5 | 296649 | 0 | 57920 | X | |||
| KAI STURMAN MD | ||||||||
| CHAIRMAN OF D.E.M. | 37.5 | 207219 | 0 | 12684 | X | |||
| HORATIO PREVAL MD | ||||||||
| CHAIRMAN OF PSYCHIATRY | 37.5 | 386173 | 0 | 27167 | X | |||
| JAMES BOPP MD | ||||||||
| CO MEDICAL DIRECTOR | 37.5 | 304333 | 0 | 34066 | X | |||
| STANFORD WALKER MD | ||||||||
| PHYSICIAN | 37.5 | 288234 | 0 | 50810 | X | |||
| CARL GOODMAN DO | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 37.5 | 253721 | 0 | 12097 | X | |||
| JOSEPH EMMANUEL MD | ||||||||
| PHYSICIAN | 37.5 | 249648 | 0 | 18465 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3233169 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 347495 | TotalOtherCompensation |
| Number Individuals GT100 K | 197 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SD MEDICAL | |||||
| 52 MAIN STREET | BEDFORD HILLS | NY | 10507 | RADIOLOGY | 4117667 |
| ALLIANCE IMAGING | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | RADIOLOGY | 2086573 |
| MZL HOME CARE | |||||
| 111 BEAVER DAM ROAD | BROOKHAVEN | NY | 11719 | HOME HEALTH SERVICES | 657760 |
| ST CHARLES HOSPITAL | |||||
| 200 BELLE TERRE ROAD | PORT JEFFERSON | NY | 11777 | PHYSICAL THERAPY | 626582 |
| PERSONAL TOUCH HOME CARE | |||||
| PO BOX 5248 | NEW YORK | NY | 10087 | HOME HEALTH SERVICES | 553036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 41 | NumberOfContractorsGT100K |
| Federated Campaigns | 564 | FederatedCampaigns |
| Related Organizations | 1000000 | RelatedOrganizations |
| Government Grants | 413146 | GovernmentGrants |
| All Other Contributions | 888746 | AllOtherContributions |
| Total Contributions | 2302456 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624200 | 290173562 | 290173562 |
| FEES AND CONTRACTS FROM GOV'T AGENCIES | 624200 | 14163449 | 14163449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 304337011 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 227465 | TotalRevenueColumn |
| Exclusion | $227,465 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 42700 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 42700 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42700 | TotalRevenueColumn |
| Exclusion | $42,700 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PURCHASE DISCOUNTS AND VENDORS REBATES | 900099 | 584139 | 584139 | |
| COFFEE SHOP REVENUE | 900099 | 713717 | $713,717 | |
| CAFETERIA INCOME | 722100 | 189716 | $189,716 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2026685 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1742661 | RelatedOrExemptFunctionIncome |
| Exclusion | $284,024 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3514257 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 310423889 | TotalRevenueColumn |
| Related Or Exempt Function Income | 306663811 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,457,622 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1955950 | Total |
| Management And General | 1955950 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222995 | Total |
| Management And General | 222995 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124681280 | Total |
| Program Services | 115067767 | ProgramServices |
| Management And General | 9602276 | ManagementAndGeneral |
| Fundraising | 11237 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9585542 | Total |
| Program Services | 8844471 | ProgramServices |
| Management And General | 739701 | ManagementAndGeneral |
| Fundraising | 1370 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25671316 | Total |
| Program Services | 23435844 | ProgramServices |
| Management And General | 2233734 | ManagementAndGeneral |
| Fundraising | 1738 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9187988 | Total |
| Program Services | 8350954 | ProgramServices |
| Management And General | 836174 | ManagementAndGeneral |
| Fundraising | 860 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3237889 | Total |
| Program Services | 2942915 | ProgramServices |
| Management And General | 294974 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 752205 | Total |
| Management And General | 752205 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170000 | Total |
| Management And General | 170000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132185 | Total |
| Program Services | 132185 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17016486 | Total |
| Program Services | 15586413 | ProgramServices |
| Management And General | 1404743 | ManagementAndGeneral |
| Fundraising | 25330 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 752205 | Total |
| Program Services | 683679 | ProgramServices |
| Management And General | 68526 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1258184 | Total |
| Program Services | 1143562 | ProgramServices |
| Management And General | 114622 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2467325 | Total |
| Program Services | 2242550 | ProgramServices |
| Management And General | 224775 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4516947 | Total |
| Program Services | 4105449 | ProgramServices |
| Management And General | 411498 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118618 | Total |
| Program Services | 107812 | ProgramServices |
| Management And General | 10806 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102823 | Total |
| Program Services | 93456 | ProgramServices |
| Management And General | 9367 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1796799 | Total |
| Program Services | 1633109 | ProgramServices |
| Management And General | 163690 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9905396 | Total |
| Program Services | 9086406 | ProgramServices |
| Management And General | 818990 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7816332 | Total |
| Program Services | 7104258 | ProgramServices |
| Management And General | 712074 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 37299457 | 37299457 | |
| MEDICAL SUPPLIES | 29515334 | 29515334 | |
| OTHER SERVICES | 5568518 | 5061221 | 507297 |
| REPAIRS AND MAINTENANCE | 4585079 | 4167375 | 417704 |
| PROVISION FOR UNCOLLECTIBLE | 4092600 | 4092600 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6046227 | Total |
| Program Services | 3669783 | ProgramServices |
| Management And General | 2376444 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308455680 | Total |
| Program Services | 280274000 | ProgramServices |
| Management And General | 28141145 | ManagementAndGeneral |
| Fundraising | 40535 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12445464 | BOY |
| EOY | 3844843 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6542931 | BOY |
| EOY | 10792712 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43788918 | BOY |
| EOY | 42036200 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3960102 | BOY |
| EOY | 3561663 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1702701 | BOY |
| EOY | 1483459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 172825084 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 106531636 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66342492 | BOY |
| EOY | 66293448 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199999 | BOY |
| EOY | 183331 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5021505 | BOY |
| EOY | 6792994 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140004112 | BOY |
| EOY | 134988650 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41749909 | BOY |
| EOY | 42408174 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19025000 | BOY |
| EOY | 18500000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13424174 | BOY |
| EOY | 11478098 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64914825 | BOY |
| EOY | 51011205 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139113908 | BOY |
| EOY | 123397477 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3057006 | BOY |
| EOY | 7274541 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 753866 | BOY |
| EOY | 894577 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3193344 | BOY |
| EOY | 3422055 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 890204 | BOY |
| EOY | 11591173 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140004112 | BOY |
| EOY | 134988650 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1968209 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 8732760 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $36,185 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $96,000 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 132185 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART II-B, LINE 1G: | INCLUDES ALLOCABLE MEMBERSHIP FEES OF 5 ORGANIZATIONS THAT ADVOCATE THE INTERESTS OF ITS MEMBER HOSPITALS BEFORE THE STATE AND FEDERAL LEGISLATURES AND EXECUTIVE BRANCHES. |
| PART II-B, LINE 1I: | OTHER (NOT RELATED TO POLITICAL CONSULTING) |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3404768 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 414991 | InvestmentEarningsOrLosses |
| Other Expenditures | 171138 | OtherExpenditures |
| End Of Year Balance | 3648621 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3066722 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 512384 | InvestmentEarningsOrLosses |
| Other Expenditures | 174338 | OtherExpenditures |
| End Of Year Balance | 3404768 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4463791 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1197034 | InvestmentEarningsOrLosses |
| Other Expenditures | 200035 | OtherExpenditures |
| End Of Year Balance | 3066722 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.93790 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.06210 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1531487 | OtherCostOrOtherBasis |
| Book Value | 1531487 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44414644 | OtherCostOrOtherBasis |
| Depreciation | 27769249 | Depreciation |
| Book Value | 16645395 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 887549 | OtherCostOrOtherBasis |
| Depreciation | 220721 | Depreciation |
| Book Value | 666828 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 114877323 | OtherCostOrOtherBasis |
| Depreciation | 74482622 | Depreciation |
| Book Value | 40394701 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11114081 | OtherCostOrOtherBasis |
| Depreciation | 4059044 | Depreciation |
| Book Value | 7055037 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 66293448 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SECURITY DEPOSITS | 247458 |
| ASSETS LIMITED TO USE | 4316632 |
| DEFERRED FINANCING FEES | 598289 |
| NET | 1448353 |
| ABATEMENT | 182262 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6792994 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $2,932,322 |
| ACCRUED PENSION COSTS | $16,062,223 |
| ESTIMATED MALPRACTICE LIABILITY | $25,550,374 |
| CHANGE IN VALUATION OF SWAP | $2,366,313 |
| ASBESTOS ABATEMENT | $1,476,284 |
| SETTLEMENT WITH US DEPT. OF JUSTICE | $2,623,689 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 51011205 | TotalOfAmounts |
| Total Revenue | 310423889 | TotalRevenue |
| Total Expenses | 308455680 | TotalExpenses |
| Excess Or Deficit For Year | 1968209 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 369422 | NetUnrealizedGLOnInvestments |
| Other | $8,363,338 | OtherAmount |
| Total Adjustments | 8732760 | TotalAdjustments |
| Excess Or Deficit Per FS | 10700969 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 319156649 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 369422 | NetUnrealizedGainsInvestments |
| Other Revenues | 8363338 | OtherRevenues |
| Revenue Not Rptd F990 | 8732760 | RevenueNotRptdF990 |
| Revenue Subtotal | 310423889 | RevenueSubtotal |
| Total Revenue Per Form990 | 310423889 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 308455680 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 308455680 | ExpensesSubtotal |
| Total Expenses Per Form990 | 308455680 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART V, LINE 4: | A $1,000,000 trust was initially established by a donor in 1969 from which the investment income generated is paid to the Hospital in perpetuity and can be used for general purposes. In addition, upon the fiftieth anniversary of the date of the donor's death, the Hospital is entitled to a 10% interest of the then value of the trust. Since the investment income and the Hospital's interest in the value of the trust will benefit future periods, the Hospital uses the lower of the market value or the present value of the estimated future cash flows which is determined annually using a discount rate (3.67% and 3.68% at December 31, 2010 and 2009, respectively), and is recorded as a permanently restricted net asset. The present value of the 10% entitlement to be received in 2019 is recorded as temporarily restricted net assets. The income paid to the Hospital each year is reflected as investment income in the accompanying statements of operations. |
| PART XI, LINE 8 and PART XII, LINE 2D: | change in minimum pension liability.......................$9,030,984 change in valuation of interest rate swap agreement........$(667,646) Total.....................................................$8,363,338 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2630 | PersonsServed |
| Total Community Benefit Expense | 11979681 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11979681 | NetCommunityBenefitExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 27217 | PersonsServed |
| Total Community Benefit Expense | 21594704 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21594704 | NetCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 29847 | PersonsServed |
| Total Community Benefit Expense | 33574385 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33574385 | NetCommunityBenefitExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 100000 | PersonsServed |
| Total Community Benefit Expense | 231611 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 231611 | NetCommunityBenefitExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1806 | PersonsServed |
| Total Community Benefit Expense | 53954 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 53954 | NetCommunityBenefitExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2504 | PersonsServed |
| Total Community Benefit Expense | 2637187 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2637187 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 104310 | PersonsServed |
| Total Community Benefit Expense | 2922752 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2922752 | NetCommunityBenefitExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 134157 | PersonsServed |
| Total Community Benefit Expense | 36497137 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36497137 | NetCommunityBenefitExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 43750 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 43750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 1.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 43750 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 43750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 1.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $9,794,837 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 65288391 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 70634150 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5345759 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 8 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (8 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical |
|---|---|---|---|---|---|---|
| BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CTR | ||||||
| 1 | 101 HOSPITAL ROAD | EAST PATCHOGUE | NY | 11772 | X | |
| HOME HEALTH CARE | ||||||
| 2 | 103 WEST MAIN STREET | PATCHOGUE | NY | 11772 | X | |
| BROOKHAVEN MEMORIAL HOSP DIALYSIS CNTR | ||||||
| 3 | 109 WEST MAIN STREET | PATCHOGUE | NY | 11772 | X | |
| CENTER FOR WOUND CARE & HYPERBARIC MEDIC | ||||||
| 4 | 33 MEDFORD AVENUE | PATCHOGUE | NY | 11772 | X | |
| HOSPICE | ||||||
| 5 | 105 WEST MAIN STREET | PATCHOGUE | NY | 11772 | X | |
| OUT PATIENT IMAGING | ||||||
| 6 | 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | X | |
| WOMEN'S IMAGING SERVICES CENTER | ||||||
| 7 | 285 SILLS ROAD BUILDING 5-6 | PATCHOGUE | NY | 11772 | X | |
| CARDIO REHABILITATION CENTER | ||||||
| 8 | 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | X | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (8 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Prioritize Health NeedsPrioritizeHealthNeeds | All Needs AddressedAllNeedsAddressed | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | LawsuitLawsuit | Lien On ResidenceLienOnResidence | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CTR | ||||||||||||||||||||||||||||||||||||||||||||
| 1 | true | X | X | X | 10 | true | false | false | X | X | X | X | X | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true |
| HOME HEALTH CARE | ||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true | |||||||||||||
| BROOKHAVEN MEMORIAL HOSP DIALYSIS CNTR | ||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true | |||||||||||||
| CENTER FOR WOUND CARE & HYPERBARIC MEDIC | ||||||||||||||||||||||||||||||||||||||||||||
| 4 | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true | |||||||||||||
| HOSPICE | ||||||||||||||||||||||||||||||||||||||||||||
| 5 | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true | |||||||||||||
| OUT PATIENT IMAGING | ||||||||||||||||||||||||||||||||||||||||||||
| 6 | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true | |||||||||||||
| WOMEN'S IMAGING SERVICES CENTER | ||||||||||||||||||||||||||||||||||||||||||||
| 7 | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true | |||||||||||||
| CARDIO REHABILITATION CENTER | ||||||||||||||||||||||||||||||||||||||||||||
| 8 | false | true | true | 200. | true | 200. | true | X | X | X | true | true | X | X | X | X | X | X | false | true | X | X | X | X | X | X | X | true | X | false | true | |||||||||||||
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 6A: | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE. |
| PART II, LINE 7: | Brookhaven Memorial Hospital Medical Center is proud to be a member of Spirit of Women, a network of more than 75+ premier hospitals and health systems nationwide dedicated to educating women about their health and the health of their loved ones. Brookhaven offers a wide variety of Spirit of Women programs including educational programs, community wellness events, membership programs, health fairs, and other creative outreach events to the women of our community. |
| PART III, LINE 4: | 1) Patient accounts receivable are recorded at the reimbursable or contracted amount and do not bear interest. The allowance for doubtful accounts is the Hospital's best estimate of the amount of probable credit losses in the Hospital's existing accounts receivable. The Hospital determines the allowance based on historical write-off experience. The Hospital reviews its allowance for doubtful accounts monthly. Past due balances are reviewed individually for collectibility. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. 2) The costing methodology used in determining bad debt at cost is a ratio of patient care costs to charges per IRS schedule H instructions, worksheet 2. |
| PART III, LINE 8: | 1) All of the shortfall on Part III, Line 7 Section B, Line 8 should be considered a community benefit. 2) Medicare allowable costs are calculated on the HCFA Medicare report worksheet E, Part A. |
| PART V, SECTION B, LINE 3: | The Medical Center has established a leadership position in health promotion, prevention and education throughout the community. Regional health planning is accomplished through a number of Agency contacts including the Suffolk County Department of Health, Mental Health Agencies and the New York State Department of Health. In addition, the Hospital works closely with the Suffolk County Police Department and Southside Hospital in regard to mental health issues. Brookhaven Memorial Hospital Medical Center is dedicated to communicating with key staff and community members, as the Hospital prepares to plan for the future health care needs of the people we serve. Focus groups are held periodically, which include meeting with the medical staff, members of the Board of Directors, employees and the Employee Council, community members, the LI2Day Organization, the West Islip Breast Cancer Coalition, the Southampton Breast Cancer Coalition, Hospital Advisory Council, who are the voice of the community and hold positions on various community based service groups, as well as the Health Center Advisory Council members. These constituents have the ability to collect information from varied perspectives. The Hospital's ability to collect information from these groups and translate the dialog into a needs assessment is a valuable resource to the Hospital as well as the community. |
| PART V, SECTION B, LINE 7: | At this time Brookhaven Memorial Hospital Medical Center has not been able to meet all the behavioral health needs because construction of the access center and the Family Medicine practice has not been completed. |
| PART V, SECTION B, LINE 19: | All accounts are billed at gross charges. Gross charges are adjusted , if applicable, for any negotiated rates with insurance providers or agencies. If it is determined that a patient is eligible for free or discounted care under the Hospital's financial assistance policy , adjustments will be made to their account. |
| PART V, SECTION B, LINE 20: | THE HOSPITAL DID NOT CHARGE PATIENTS IF THEY WERE ELIGIBLE FOR CARE. |
| PART V, SECTION B, LINE 21: | THROUGH ALL FISCAL YEARS THERE WILL BE PATIENTS WHO WERE CHARGED AND WHO PAID FACILITY CHARGES FOR THE MEDICALLY NECESSARY CARE PROVIDED TO THE PATIENT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS OCKERS CEO | |||||||||||
| 540000 | 0 | 0 | 0 | 5159 | 0 | 32417 | 0 | 15386 | 0 | 592962 | 0 |
| RONALD A GIRAULO CFO | |||||||||||
| 309000 | 0 | 0 | 0 | 4920 | 0 | 44314 | 0 | 14125 | 0 | 372359 | 0 |
| RONALD KLEIN MD CMO | |||||||||||
| 315000 | 0 | 0 | 0 | 22000 | 0 | 7580 | 0 | 20401 | 0 | 364981 | 0 |
| RICHARD T MARGULIS COO | |||||||||||
| 280000 | 0 | 0 | 0 | 16649 | 0 | 35163 | 0 | 22757 | 0 | 354569 | 0 |
| KAI STURMAN MD | |||||||||||
| 207219 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12684 | 0 | 219903 | 0 |
| HORATIO PREVAL MD | |||||||||||
| 386173 | 0 | 0 | 0 | 0 | 0 | 6593 | 0 | 20574 | 0 | 413340 | 0 |
| JAMES BOPP MD | |||||||||||
| 304333 | 0 | 0 | 0 | 0 | 0 | 24650 | 0 | 9416 | 0 | 338399 | 0 |
| STANFORD WALKER MD | |||||||||||
| 288234 | 0 | 0 | 0 | 0 | 0 | 29885 | 0 | 20925 | 0 | 339044 | 0 |
| CARL GOODMAN DO | |||||||||||
| 253721 | 0 | 0 | 0 | 0 | 0 | 2472 | 0 | 9625 | 0 | 265818 | 0 |
| JOSEPH EMMANUEL MD | |||||||||||
| 249648 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18465 | 0 | 268113 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWN OF BROOKHAVEN INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521299559 | IssuerEIN |
| Date Issued | 2006-12-21 | DateIssued |
| Issue Price | 20000000 | IssuePrice |
| Description Of Purpose | REFINANCE SERIES 2000 BONDS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 18500000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 0 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 117836 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2003 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | true | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | true | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MADELINE GRUCCI | |||
| WIFE OF GRUCCI, DIRECTOR | 39325 | EMPLOYMENT | false |
| ELLEN GIRAULO | |||
| SISTER-IN-LAW OF R.G.,CFO | 65409 | EMPLOYMENT | false |
| JOY DUDEK | |||
| SISTER OF MAYER, DIRECTOR | 118261 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (32 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART III, LINE 4D: | 1) HOME HEALTH AGENCY - PROVIDES CERTIFIED HOME HEALTH AND LONG TERM CARE TO THE COMMUNITY. TOTAL VISITS: 87,324. EXPENSES: $10,850,000. REVENUE: $12,140,000. 2) RENAL DIALYSIS - TOTAL VISITS: 25,926. EXPENSES: $9,584,000. REVENUE: $8,969,000. 3) REFERRED AMBULATORY - SERVICES AVAILABLE TO THE COMMUNITY. TOTAL VISITS: 19,009. EXPENSES: $4,219,000. REVENUE: $6,518,000. 4) HOSPICE - TOTAL DAYS: 16,055. EXPENSES: $3,813,000. REVENUE: $3,161,000. 5) MENTAL AND ALCOHOL CLINICS - TOTAL VISITS: 17,710. EXPENSES: $3,014,000. REVENUE: $2,879,000. 6) WOUND CARE - TOTAL VISITS: 6,521. EXPENSES: $1,937,000. REVENUE: $4,497,000. 7) WOMENS IMAGING - TOTAL VISITS: 9,120. EXPENSES: $1,762,000. REVENUE: $2,061,000. 8) SLEEP PROGRAM - TOTAL VISITS: 376. EXPENSES: $390,000. REVENUE: $1,076,000. 9) SUFFOLK COUNTY HEALTH CENTERS EXPENSES: NONE. REVENUE: $14,163,449. (INCURRED $13,866,095 OF OPERATING EXPENSES) 10) PROFESSIONAL COMPONENT EXPENSES: NONE. REVENUE: $5,749,586. (INCURRED $751,419 OF OPERATING EXPENSES EXCLUSIVE OF SALARIES AND BENEFITS) 11) OTHER PROGRAM SERVICES EXPENSES: $3,272,000. REVENUE: $5,280,776. | |
| FORM 990, PART VI, SECTION A, LINE 2: | BOARD MEMBERS LISA AND FREDERIC ROSE ARE DAUGHTER AND FATHER. | |
| FORM 990, PART VI, SECTION B, LINE 11B: | A) FIRST DRAFT PROVIDED TO MANAGEMENT FROM BDO. B) FINAL DRAFT PRESENTED TO JOINT MEETING OF FINANCE AND AUDIT COMMITTEES FOR REVIEW. C) FINAL DRAFT POSTED ON BOARD PORTAL. D) FORM 990 REVIEWED AT BOARD MEETING. E) FORM 990 FILED TIMELY. | |
| FORM 990, PART VI, SECTION B, LINE 12C: | Members of the Board of Directors, Administrators, Department Heads and medical staff working for or on behalf of Brookhaven MEMORIAL HOSPITAL MEDICAL CENTER are required to complete and sign the Conflict of Interest Disclosure Statement annually and whenever new information or changes arise that may require different responses from those included in the previous Conflict of Interest Disclosure Statement. Individuals are required to notify the Compliance Officer when they believe changes in the responses may be necessary or when they believe a transaction may involve an actual or potential conflict of interest. The Hospital By-Laws require that anyone with an actual or potential conflict of interest immediately disclose this fact to the Board of Directors or to a designated board committee for their review and evaluation. Further, the by-laws prohibit any individual or entity deemed to have an actual or potential conflict of interest from participating in any evaluation or decision making process regarding products or services provided by or through that individual or entity or from using this relationship to obtain goods or services on terms that are not available to individuals who are not affiliated with the hospital. The Board of Directors is responsible for enforcement of the aforementioned policy and report any conduct that it believes in good faith to be a violation of the Conflict of Interest Policy. | |
| FORM 990, PART VI, SECTION B, LINES 15A AND 15B: | The Executive Compensation Committee is comprised of the Chief Executive Officer, the Chairperson of the Board of Directors and selected Members of the Board of Directors. An Executive Compensation Consultant is invited to present data and trends to this Committee for their review and evaluation of the current salaries and fringe benefits of the Executive Team of BMHMC as compared to other "like" organizations. In setting compensation levels for each executive, the Committee compares each base salary and total cash compensation level to market comparison data (based on healthcare systems with comparably sized operational budgets), organizational success against predetermined objectives, and individual performance against predetermined operational goals, as well as the data provided by the Consultant. The CEO, will be excused from the meeting of the Executive Compensation Committee, for a review of the CEO's compensation. Again, the Committee will use Industry Standards from comparably sized operational budgets, organizational success against predetermined objectives, and individual performance against predetermined operational goals, to establish the CEO's compensation. The Executive Compensation Committee will make the final approval of all compensation. The information is presented to the Overall brookhaven memorial hospital medical center Board, subject to ratification of the Board of Directors. | |
| FORM 990, PART VI, SECTION B, LINE 16B: | brookhaven memorial hospital medical center does not have a policy specific to joint venture arrangements, however the written scope of work filed by the hospital with and approved by DNV Healthcare, Inc., a Medicare approved accrediting entity for hospitals, for the Office of General Counsel and Corporate Compliance requires that all proposed contracts and agreements including but not limited to joint venture arrangements, as well as all related renewals and addendums, be reviewed and approved by the Office of General Counsel and Corporate Compliance of the Medical Center prior to execution. A joint venture review policy will be implemented in calendar year 2011. | |
| FORM 990, PART VI, SECTION C, LINE 19: | GOVERNING DOCUMENTS - NOT AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY - NOT AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS - NOT AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART XI, LINE 5: | change in minimum pension liability.......................$9,030,984 change in valuation of interest rate swap agreement........$(667,646) net unrealized gains on investments.........................$369,422 Total.....................................................$8,732,760 | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:THOMAS OCKERS, CEO TITLE:PRESIDENT/CEO/DIRECTOR HOURS:38 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:SHARON NORTON REMMER TITLE:CHAIRWOMAN HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:ROBERT W. SCHWARZ TITLE:VICE CHAIRMAN HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:LISA ROSE TITLE:TREASURER HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:JEFFREY MAYER TITLE:SECRETARY HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:DEAN BABICH, MD TITLE:DIRECTOR/PRES. OF MED. STAFF HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:RICHARD BERMAN, MD TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:FREDERICK C. BRAUN, III TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:GARY BROWN TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:THOMAS CULLEN TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:FELIX GRUCCI, JR. TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:EDWARD KORMYLO, DPM TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:WALTER LADICK TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:WILLIAM LEHMANN TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:LISA LOURIE TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:JAMES MAIORINO TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:YVES R. MICHEL TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:JOSEPH MONTEITH TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:MARK MULHOLLAND TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:FREDERIC ROSE TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:ERIC RUSSO TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:ANNE SHYBUNKO-MOORE TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:ERNEST PATRICK SMITH TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:STEVEN TAITZ TITLE:DIRECTOR HOURS:1 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKHAVEN HEALTH CARE SERVICES CORP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL ROAD | AddressLine1 |
| City | PATCHOGUE | City |
| State | NY | State |
| ZIP Code | 11772 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112950196 | EIN |
| Primary Activities | SUPPORT | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|
| Brookhaven Physician Services | |||||||
| 100 HOSPITAL ROAD | PATCHOGUE | NY | 11772 | 260628913 | HOSPITAL | NY | CORPORATION |
| Brookhaven Surgical Services | |||||||
| 100 Hospital ROAD | Patchogue | NY | 11772 | 260885844 | HOSPITAL | NY | CORPORATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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