2011-11-14T13:13:57-06:00 2010-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 10017 990 2010-01-01 112950196 BROOKHAVEN HEALTH CARE SERVICES CORPORATION BROO 6316547100 101 HOSPITAL ROAD PATCHOGUE NY 11772 RONALD GIRAULO 2010-11-10 true Paul Hammerschmidt 2128858000 2010 2016-03-07 17:11:31Z BMH FOUNDATION T OCKERS CEO 101 HOSPITAL ROAD PATCHOGUE NY 11772 11916887 false X WWW.BROOKHAVENHOSPITAL.ORG X 1984 NY TO SEEK PHILANTHROPIC SUPPORT AND GRANT FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS UNDER THE DIRECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS. 24 19 0 0 0 0 786498 941626 0 0 -289119 1109981 232658 224649 730037 2276256 0 1000000 0 0 0 0 43367 0 413959 690584 650733 733951 1650733 -3914 625523 27336836 28799589 8504 242773 27328332 28556816 X TO SEEK PHILANTHROPIC SUPPORT ON THE BEHALF OF BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS AND TO GRANT FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER AND OTHER NOT-FOR-PROFIT ORGANIZATIONS UNDER THE DIRECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS. false false 1000000 1000000 THE ORGANIZATION SEEKS PHILANTHROPIC SUPPORT AND GRANTS FUNDS TO BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, A NOT-FOR-PROFIT ACUTE CARE HOSPITAL, PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 9012 FAMILY FUN DAY - TO EDUCATE THE COMMUNITY ABOUT HEALTH AWARENESS. 1009012 true true false false false false false false false false false false false true false false true false false false false false false true true false true false true false false false false false false false false true false false false false true false false false false true X 6 1 true 0 false false false false false true true false false false false false X 24 19 true false false false false false false true true false true true true true true true true true false false false NY X R GIRAULO CFO 6316547175 FINANCE DEPT 101 HOSPITAL ROAD PATCHOGUE NY 11772 X THOMAS OCKERS CEO 37.5 X X 0 545159 47803 SHARON NORTON REMMER 1.0 X X 0 0 0 ROBERT W SCHWARZ 1.0 X X 0 0 0 LISA ROSE 1.0 X X 0 0 0 JEFFREY MAYER 1.0 X X 0 4413 0 DEAN BABICH MD 1.0 X 0 5000 7 RICHARD BERMAN MD 1.0 X 0 20100 27 FREDERICK C BRAUN III 1.0 X 0 0 0 GARY BROWN 1.0 X 0 0 0 THOMAS CULLEN 1.0 X 0 0 0 FELIX GRUCCI JR 1.0 X 0 0 0 EDWARD KORMYLO DPM 1.0 X 0 21600 29 WALTER LADICK 1.0 X 0 0 0 WILLIAM LEHMANN 1.0 X 0 0 0 LISA LOURIE 1.0 X 0 0 0 JAMES MAIORINO 1.0 X 0 0 0 YVES R MICHEL 1.0 X 0 0 0 JOSEPH MONTEITH 1.0 X 0 0 0 MARK MULHOLLAND 1.0 X 0 0 0 FREDERIC ROSE 1.0 X 0 0 0 ERIC RUSSO 1.0 X 0 0 0 ANNE SHYBUNKO-MOORE 1.0 X 0 0 0 ERNEST PATRICK SMITH 1.0 X 0 0 0 STEVEN TAITZ 1.0 X 0 0 0 0 596272 47866 0 false true false 0 734679 206947 27721 941626 0 981266 981266 0 0 9473450 9344735 128715 128715 128715 496754 734679 276385 220369 220369 23791 19511 4280 4280 0 0 2276256 1334630 1000000 1000000 0 0 0 0 0 0 0 0 0 0 0 56000 56000 0 0 151273 151273 52261 52261 0 5306 5306 9759 9759 0 36145 36145 0 0 0 0 0 0 0 LEASED EMPLOYEES 309149 309149 SPONSORSHIPS 20489 20489 RESERVE FOR UNCOLLECTIBLE 2758 2758 HEALTH AWARE./FAM FUN DAY 9012 9012 DISCOUNT PLEDGES -12310 -12310 10891 10891 1650733 1009012 227762 413959 1009349 894760 1908784 3355774 376158 288129 14000 14000 2513506 1195769 4893 0 21075951 22619015 434195 432142 27336836 28799589 8504 54818 0 187955 8504 242773 X 7126262 9247332 20202070 19309484 27328332 28556816 27336836 28799589 X 625523 602961 X false true true X false X 19633466 3090161 900455 786498 941626 25352206 19633466 3090161 900455 786498 941626 25352206 25352206 303380 906766 1034440 825632 981266 4051484 303380 906766 1034440 825632 981266 4051484 228366 215034 130368 232658 224649 1031075 20165212 4211961 2065263 1844788 2147541 30434765 0.83300 0.85923 0.13312 0.10982 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO BROOKHAVEN MEMORIAL HOSPITAL 187955 187955 2276256 1650733 625523 602961 602961 1228484 3175113 602961 295896 898857 2276256 2276256 1946629 295896 295896 1650733 1650733 PART XII, LINE 2D AND PART XIII, LINE 2D: SPECIAL EVENTS DIRECT EXPENSES. ANNUAL BALL 710482 454216 256266 118158 TOURNAMENTS 250351 135453 114898 62315 3 270600 145010 125590 95912 1231433 734679 496754 276385 276385 220369 23791 19511 23791 19511 19511 4280 NY true false true false 0.50000 0.50000 C BANKS 101 HOSPITAL ROAD PATCHOGUE NY 11772 false C BANKS X false PART III, LINE 16: MR. BANKS IS A LEASED EMPLOYEE OF THE ORGANIZATION. HE IS PAID BY BROOKHAVEN MEMORIAL HOSPITAL, AN AFFILIATE OF THE ORGANIZATION, AND THE COST OF HIS COMPENSATION AS VICE PRESIDENT OF DEVELOPMENT AND EXTERNAL AFFAIRS IS INCLUDED IN THE EXPENSES OF THE ORGANIZATION. MR. BANKS DOES NOT RECEIVE ANY ADDITIONAL COMPENSATION FOR GAMING ACTIVITIES AS PART OF HIS POSITION. true BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER 101 HOSPITAL ROAD PATCHOGUE NY 11772 111704595 501(C)(3) 1000000 CARDIAC CATH LAB EXPENSES 1 PART I, LINE 2: The board reviews documentation provided by management to substantiate expenses and votes to approve release of funds. false false false false false false false false false THOMAS OCKERS CEO 0 540000 0 0 0 5159 0 32417 0 15386 0 592962 PART I, LINE 3: Brookhaven Memorial Hospital Medical Center, an affiliate of the reporting organization paid compensation to the reporting organization's top management official. Brookhaven Memorial Hospital Medical Center has established the compensation of the top management official using compensation committee, independent compensation consultant, compensation survey and study, and approval by the board or compensation committee. X 1 13500 APPRAISAL X 2 14221 FAIR MARKET VALUE false false false FORM 990, PART V, LINE 7H: DUE TO ITS SEASONAL NATURE THE CONTRIBUTION COULD NOT BE SOLD BEFORE 12/31/2010. FORM 990, PART VI, SECTION A, LINE 2: LISA ROSE AND FREDERIC ROSE ARE BOARD MEMBERS AND HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B: a) FIRST DRAFT PROVIDED TO MANAGEMENT FROM BDO USA, LLP. B) FINAL DRAFT PRESENTED TO JOINT MEETING OF FINANCE AND AUDIT COMMITTEES FOR REVIEW. C) FINAL DRAFT POSTED ON BOARD PORTAL. D) FORM 990 REVIEWED AT BOARD MEETING. E) FORM 990 FILED TIMELY. FORM 990, PART VI, SECTION B, LINES 12-14: All of the Directors, Officers and Employees of the Organization are also Directors, Officers and Employees of Brookhaven Memorial Hospital Medical Center ("Hospital"), a related organization. All of these individuals are governed by and subject to the policies of the Hospital including its Conflict of Interest and Whistle Blower polices. These and other Hospital policies are recognized by the Organization as applicable to it. FORM 990, PART VI, SECTION B, LINE 12C: Members of the Board of Directors, Administrators, Department Heads and Medical Staff working for or on behalf of Brookhaven Memorial Hospital and its related parties, including but not limited to Brookhaven Health Care Services Corporation, dba BMH Foundation, are required to complete and sign the conflict of interest disclosure statement annually and whenever new information of changes arise that may require different responses from those included in the previous conflict of interest disclosure statement. Individuals are required to notify the compliance office when they believe changes in the responses may be necessary or when they believe a transaction may involve an actual or potential conflict of interest. The Hospital by-laws require that anyone with an actual or potential conflict of interest immediately disclose this fact to the Board of Directors or to a designated board committee for their review and evaluation. Further, the by-laws prohibit any individual or entity deemed to have an actual or potential conflict of interest from participating in any evaluation or decision making process regarding products or services provided by or through that individual or entity or from using this relationship to obtain goods or services on terms that are not available to individuals who are not affiliated with the hospital. The Board of Directors is responsible for enforcement of the aforementioned policy and report any conduct that it believes in good faith to be a violation of the conflict of interest policy. FORM 990, PART VI, SECTION B, LINES 15A AND 15B: THERE ARE NO EMPLOYEES ON THE ORGANIZATION'S PAYROLL. FORM 990, PART VI, SECTION C, LINE 19: GOVERNING DOCUMENTS - NOT AVAILABLE TO THE PUBLIC. CONFLICT OF INTEREST POLICY - NOT AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS - NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS OCKERS, CEO TITLE:PRESIDENT/CEO/DIRECTOR HOURS:38 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SHARON NORTON REMMER TITLE:CHAIRWOMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT W. SCHWARZ TITLE:VICE CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LISA ROSE TITLE:TREASURER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFFREY MAYER TITLE:SECRETARY HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEAN BABICH, MD TITLE:DIRECTOR/PRES. OF MED. STAFF HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD BERMAN, MD TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FREDERICK C. BRAUN III TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GARY BROWN TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS CULLEN TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FELIX GRUCCI, JR. TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWARD KORMYLO, DPM TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WALTER LADICK TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM LEHMANN TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LISA LOURIE TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES MAIORINO TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:YVES R. MICHEL TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH MONTEITH TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK MULHOLLAND TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FREDERIC ROSE TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ERIC RUSSO TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANNE SHYBUNKO-MOORE TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ERNEST PATRICK SMITH TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN TAITZ TITLE:DIRECTOR HOURS:1 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CTR 101 HOSPITAL ROAD PATCHOGUE NY 11772 111704595 HOSPITAL NY 501(C)(3) 3 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 false true false true true false false false false true true false true true true false false false