2011-11-15T14:53:57-08:00 2010-12-31 CHARLES A BARRAGATO & CO CPAS 950 Third Avenue New York NY 100222705 990 2010-01-01 111631837 Wyckoff Heights Medical Center WYCK 7182401844 374 Stockholm Street Brooklyn NY 11237 Leon Kozlowski 2011-11-15 Angelo Pirozzi CPA 2123714446 2010 2016-03-07 17:11:31Z RAJIV GARG 860 United Nations Plaza New York NY 10017 304737230 false false X WWW.WyCKOFFHOSPITAL.ORG X 1889 NY THE MISSION OF WYCKOFF HEIGHTS MEDICAL CENTER IS TO PROVIDE EXCELLENCE IN CARE THROUGH PREVENTION, EDUCATION, AND TREATMENT IN A SAFE ENVIRONMENT. 21 14 2261 440 7382 3311796 6347135 255673866 260692659 468018 17513 26729766 26561967 286183446 293619274 0 0 147089692 159077557 0 0 130536996 136580112 277626688 295657669 8556758 -2038395 144549845 142929719 231930236 232354294 -87380391 -89424575 THE MISSION OF WYCKOFF HEIGHTS MEDICAL CENTER IS TO PROVIDE EXCELLENCE IN CARE THROUGH PREVENTION, EDUCATION, AND TREATMENT IN A SAFE ENVIRONMENT. false false 208659846 284805053 WYCKOFF HEIGHTS MEDICAL CENTER PROVIDES INPATIENT MEDICAL, SURGICAL, OBSTETRIC, PEDIATRIC CARE AND OFFERS EMERGENCY, AMBULATORY SURGERY AND OUTPATIENT CLINICAL SERVICES. WYCKOFF HAS BEEN PROVIDING MEDICAL CARE TO THE COMMUNITY SINCE 1889. WYCKOFF SEES AN APPROXIMATE 65,197 VISITS ANNUALLY IN ITS PEDIATRIC/ADULT EMERGENCY DEPARTMENTS, DELIVERS 1,381 BABIES, OFFERS OUTPATIENT SERVICES TO THOUSANDS AT ITS NETWORK OF COMMUNITY AMBULATORY CARE CENTERS AND PRESENTS EXTENSIVE COMMUNITY HEALTH EDUCATION AND SCREENING PROGRAMS. WYCKOFF DISCHARGED 19,839 PATIENTS IN 2010. FOR FURTHER INFORMATION, PLEASE VISIT THE WEBSITE AT WWW.WYCKOFFHOSPITAL.ORG. 208659846 true true false true false false false false false false true false false true true true false true false false false false false false false false true false false false true false false false false false false true false true false true false false false false false true true true false false true 172 0 true 2261 true true true false false false false false false false false false 0 false false false false false false false false false false false X 21 14 true false false false false false false true true false false false true true true true true true true true false false NY X Leon Kozlowski 7182401844 374 STOCKHOLM STREET Brooklyn NY 11237 X WILLIAM L THELMO 35.00 X 570913 0 0 VITO J DALESSANDRO MD 24.00 X 115000 0 0 VINCENT ARCURI 1.00 X X 0 0 0 VICTORIA COOK ESQ 1.00 X 0 0 0 RAJIV GARG 33.00 X X 661004 0 0 Nisha Agarwal 1.00 X 0 0 0 Marcia Maxwell 1.00 X 0 0 0 Leon Kozlowski 35.00 X X 223982 0 0 John H Cook Jr ESQ 1.00 X 0 0 0 JOHN D RUCIGAY ESQ 1.00 X 0 0 0 HERMAN HOCHBERG 1.00 X 0 0 0 GARY GOFFNER 1.00 X 0 0 0 FRED T HALLER III ESQ 1.00 X X 0 0 0 FRANK CHIARELLO 1.00 X 0 0 0 Frances Purcell 1.00 X 0 0 0 Fran Heaney 35.00 X 205185 0 0 FARAMARZ ZARGHAMI 35.00 X 388386 0 0 ESWAR SOUNDER 0.00 X 322106 0 0 EMIL J RUCIGAY ESQ 1.00 X X 0 0 0 EDMONDO MODICA MD 1.00 X 0 0 0 Dominick Gio 0.00 X 925224 0 0 DAVID HOFFMAN 35.00 X 351757 0 0 CHARLENE VISCONTI 1.00 X 0 0 0 BUSHAN KHASHU 35.00 X 335897 0 0 ANDREW BOISSELLE 1.00 X 0 0 0 ALBERT WILTSHIRE 1.00 X 0 0 0 ADAM FIGUEROA 1.00 X 0 0 0 AC RAO MD 33.00 X 269285 0 0 4368739 243 true true false Xtend Healthcare LLC 500 West Main Street Hendersonville TN 37075 Acct Collection SVCS 1239119 SODEXHO INC & AFFILIATES BOX 81049 WOBURN MA 018131049 MANAGEMENT SERVICES 1477036 MATTOO & BHAT DIALYSIS SERVICE 23-14 COLLEGE POINT BLVD COLLEGE POINT NY 11356 DIALYSIS SERVICE 779616 ERICO CARDOSO 249 DEGRAW STREET BROOKLYN NY 11231 MEDICAL Consult SVCS 963920 Arshack Hajek & Lehrman PLLC 1790 Broadway New York NY 10019 LEGAL Services 894746 186 6284140 62995 6347135 Net Patient Serv Rev 621300 260692659 260692659 260692659 6469 6469 0 0 130557 130557 130557 130557 11129000 11117956 11044 11044 11044 0 0 0 Student Training 900099 7202722 7202722 Physician Billings 900099 16424866 16424866 Miscellaneous 900099 1829662 1829662 974160 484806 7382 481972 26431410 293619274 284805053 7382 2459704 0 0 0 0 1474455 1017374 457081 925970 638919 287051 118103068 81491117 36611951 5092120 3513563 1578557 24463147 16879571 7583576 9018797 6222970 2795827 0 1792254 1236655 555599 231310 159604 71706 0 0 0 40784900 28141581 12643319 125555 86633 38922 40609083 28020267 12588816 0 0 11907544 7445195 4462349 83984 57949 26035 0 86274 59529 26745 1645927 1135690 510237 0 9444084 6516418 2927666 7847585 5414834 2432751 Repairs and Maintenance 4351305 3002400 1348905 Recruitment Expense 155777 107486 48291 Miscellaneous Expense 7867 5428 2439 Bad Debt 17506663 17506663 0 295657669 208659846 86997823 0 4636369 10988298 167844 1351659 1403443 37646330 24265391 0 0 0 3849685 3678885 2193669 2313285 265504845 201418972 67397142 64085873 134313 0 0 0 0 27340678 36026700 144549845 142929719 60490465 36722371 2042232 4974576 99165000 109034597 1400000 1000000 4683480 3482607 64149059 77140143 231930236 232354294 X -87380391 -89424575 -87380391 -89424575 144549845 142929719 X -2038395 -5789 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 46323 46323 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description WYCKOFF HEIGHTS MEDICAL CENTER PAYS DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA AND HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2010 GNYHA AND HANYS ANNUAL DUES WAS $34,884 AND $11,439, RESPECTIVELY. 6075373 6075373 92816413 60188708 32627705 1706176 1235800 470376 161389471 139994464 21395007 3517412 3517412 64085873 Other Receivables 1314557 Other Long Term Assets 125000 Due from Third Party Payors 14574929 Due from Related Parties 4839000 Deferred Financing Fees 418957 Assets limited as to use 14754257 36026700 Estimated Professional Liabilities 36797433 Due to Third Party Payors 32246977 Due to related organizations 6262000 Accrued Interest Payable 1833733 77140143 Part X Part X : FIN48 Footnote The Medical Center adopted the provisions of FASB ASC Topic 740, Uncertainty in Income Taxes, on January 1, 2009. Under FASB ASC Topic 740, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained. The implementation of FASB ASC Topic 740 had no impact on the Medical Center's consolidated financial statements. The Medical Center does not believe there are any material uncertain tax positions and, accordingly, it will not recognize any liability for unrecognized tax benefits. The Medical Center has filed for and received income tax exemptions in the jurisdictions where it is required to do so. Additionally, the Medical Center has filed Internal Revenue Service Form 990 tax returns, as required, and all other applicable returns in jurisdictions when it is required. No interest or penalties were accrued at January 1, 2009 as a result of the adoption of FASB ASC Topic 740. For the years ended December 31, 2010 and 2009, there was no interest or penalties recorded or included in the consolidated statements of operations and net asset deficiency. true true true X 300.000000000 true X true true true false true true 2396052 2396052 0.00810 119345909 97049998 22295911 0.07540 121741961 97049998 24691963 0.08350 6810019 6810019 0.02300 24939713 21914245 3025468 0.01020 31749732 21914245 9835487 0.03320 153491693 118964243 34527450 0.11670 2060475 1434636 625839 0.00210 197999 197999 0.00070 2258474 1434636 823838 0.00280 true 7913594 67641582 50258031 17383551 X true true 1 0 WYCKOFF HEIGHTS MEDICAL CENTER

374 STOCKHOLM STREET BROOKLYN NY 11237

X X X X WYCKOFF HEIGHTS MEDICAL CENTER 1 false false false false false false false false false true false false Part VI - States Where Community Benefit Report Filed NY Part VI - Explanation Of How Organization Furthers Its Exempt Purpose The mission of Wyckoff Heights Medical Center is to provide excellence in care through prevention, education and treatment in a safe environment. Wyckoff provides comprehensive primary and secondary level inpatient and outpatient medical, surgical, obstetric/gynecologic and pediatric care services. Wyckoff provides tertiary healthcare services, including renal dialysis, medical oncology services, neurosurgery, genetics, nuclear medicine and radiation oncology. Ambulatory podiatric and dental services are also available. In our commitment to patient-centered care, Wyckoff policy emphasizes ambulatory alternatives to inpatient care when feasible to promote responsibility and patient independence. Expanded community outreach programs and ambulatory centers facilitate patient access, while promoting our many allopathic and osteopathic educational and teaching programs.Wyckoff Heights Medical Center has created the following objectives to help us meet our mission and vision:*Provides the highest level of care for all patients, recognizing the worth and dignity of each individual*Improves the health status of the community by actively participating in an organized, innovative, integrated health care system, using a focus on managed care*Promotes and supports all efforts to provide a safe environment for our patient, employees and visitors*Works in partnership with physicians and all health care providers and employees to encourage professional growth and development, in order to better serve the community and to understand and meet the needs of our culturally diverse population*Is committed to the ongoing employability of our employees through their growth and development, despite the inability to guarantee individual jobs in a changing health care environment, by working together responsibly and respecting each role here.*Fosters a scholarly atmosphere, supporting educational programs and endowments that enhance the competency of all individuals within the system, to promote delivery of health care that is safe, effective, patient-centered, timely, efficient and equitable*Is creating health information systems and networks dedicated to monitoring, streamlining and improving the quality of clinical and service functions, while maintaining patient confidentiality and yet responding to the health care market growth, optimal financial development and wise use of financial assets*Provides modern, progressive health care technologies that improve the quality of care*Provides outreach to members of the community with special needs, including infants, young children and adolescents, persons with disabilities, chronic conditions and life-threatening disorders such as HIV/AIDS and senior citizens*Promotes and supports preventive medicine programs that reduce occurrence of disease through education and proactive measures*Measures success by how well we meet or exceed the expectations of our community and patients*Strives to create a culture of service excellence in every aspect of patient care. By providing outstanding service consistently, we seek to establish lifelong relationship with patients, emphasizing that care for the patient always come firstWyckoff Heights Medical Center's mission and commitment to quality service enables the hospital to become the premier health care provider for the culturally diverse community we serve. Part VI - Community Information Wyckoff Heights Medical Center is a 324-bed acute care academic medical center committed to the complex mission of patient care, teaching and community service. The hospital has ensured continued Brooklyn and Queens county community participation and outreach activities through linkages with community based organizations, local physician practices, D&T centers, home care agencies and nursing homes. Wyckoff Heights Medical Center's primary and secondary service areas include five primary care Health Professional Shortage Areas (HPSAs); Bushwick, Williamsburg, Bedford-Stuyvesant, East New York and Long Island City. The Hospital is located in Brooklyn near the Brooklyn/Queens border, and serves the Bushwick, Bedford-Stuyvesant, East New York and Greenpoint communities of Brooklyn, as well as the Ridgewood, Glendale, Maspeth and Middle Village communities of Queens. The hospital service areas have a total population of 430,000. 177,000 residents or 41% of the population is Latino and 47,400 residents or 11% of the population is African American. The hospital is located in the 11237 ZIP Code which has a population that is 75% Latino. The service areas also include recent immigrant populations from Latin America, the Caribbean, Eastern/Southern Europe and Asia. More than 100,000 residents are under 18 years of age. In the Bushwick community 33% are 18 or younger. More than 50% of the residents have incomes below the poverty line. Part VI - Patient Education of Eligibility for Assistance Wyckoff Heights Medical Center is committed to provide access to the highest level of care with compassion, dignity and respect. We are also committed to care all persons regardless of their ability to pay. We not only provide various assistances to patients who can't pay for part or all of the care they receive but also help patients with broader fiscal responsibilities to balance the needed financial assistance.Wyckoff Heights Medical Center currently has the following principals when handling the billing, collection and financial support functions for our patients:*Provide effective communications with patients regarding hospital bills*Make affirmative efforts to help patients apply for public and private financial support programs*Offer financial support to patients with limited resources*Implement policies for assisting low-income patients in a consistent manner*Implement fair and consistent billing and collection practices for all patients with payment obligationsWyckoff Heights Medical Center provides financial counseling to patients about their obligations and hospital bills. Information on hospital policies on financial support and Federal, State and local programs that provide coverage for services is available to patients through hospital's website, hospital posters and flyers. Information is also available in Spanish which is the main language spoken in the community and posted in the waiting areas for the emergency room, the Women's Health, the second floor main clinic area and the offsite clinics. Financial counselors make every effort to help patients apply fro public and private programs for which they may qualify and that may help them obtain and pay for healthcare services. The hospital has onsite Medicaid eligibility representatives and they make bedside visits to determine a patient's eligibility prior to the patient's discharge.Wyckoff Heights Medical Center has developed a written policy for the billing, collection on charity care and is committed to implementing and applying the policy for assisting patients in need in a professional, consistent manner. Wyckoff educates staff members who work closely with patients (including patient registrars, financial investigators, customer service representatives, and billing and collection representatives) about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance status or ability to pay for services. Part VI - Needs Assessment Pursuant to New York State Public Health Law Section 2803-L, Wyckoff Heights Medical Center ("WHMC") is required to file a comprehensive community service plan ("CSP") with The New York State Department of Health ("DOH") every 3 years. The text of New York State Public Health Law Section 2803-L is as follows:Community service plans. (1) The governing body of a voluntary non-profit general hospital must issue an organizational mission statement identifying at a minimum the populations and communities served by the hospital and the hospital's commitment to meeting the health care needs of the community. (2) The governing body must at least every three years: (i) review and amend as necessary the hospital mission statement; (ii) solicit the views of the communities served by the hospital on such issues as the hospital's performance and service priorities; (iii) demonstrate the hospital's operational and financial commitment to meeting community health care needs, to provide charity care services and to improve access to health care services by the underserved; and (iv) prepare and make available to the public a statement showing on a combined basis a summary of the financial resources of the hospital and related corporations and the allocation of available resources to hospital purposes including the provision of free or reduced charge services. (3) The governing body must at least annually prepare and make available to the public an implementation report regarding the hospital's performance in meeting the health care needs of the community, providing charity care services, and improving access to health care services by the underserved. (4) The governing body shall file with the commissioner its mission statement, its annual implementation report, and at least every three years a report detailing amendments to the statement and reflecting changes in the hospital's operational and financial commitment to meeting the health care needs of the community, providing charity care services, and improving access to health care services by the underserved.The above-referenced CSP requirement was enhanced by the DOH's Prevention Agenda initiative. This initiative is a process that asks hospitals such as WHMC to work with local health departments and community partners to assess community health needs, jointly develop plans to address two or three of the identified needs and include this collaborative work in the WHMC's CSP update submitted to DOH. Information on the New York State DOH Prevention Agenda can be found at www.health.state.ny.us/prevention/prevention_agenda.WHMC lies in culturally diverse Queens and Kings County of New York City. WHMC determines its community health needs by participating with community groups and local health department activities.The hospital analyzes internal patient survey, utilization data and bulletins and reports from NYS Department of Health, NYS Vital Statistics, GNYHA and HANYS to understand the demographics and unmet needs within the community.WHMC works closely with the local health department and community groups. The hospital is able to constantly meet the emerging health care needs from the community. The hospital identifies the following needs within the community: The need to access advanced quality health care; the need to receive quality care for the underserved by open enrollment of Medicaid and Medicaid Managed Care programs; the need to obtain health education, disease prevention and disease management to improve the health status of the community.In summary, the hospital focus primarily on positively impacting the health of our community with programs that are culturally and linguistically tailored to meet the unmet needs of women, infants, seniors and minorities in our community. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Wyckoff Heights Medical Center's ("WHMC") collection policy follows the guidelines established by New York State law. WHMC's collection policy, in conjunction with the hospital's Charity Care and Financial Assistance Policy, ensures that every effort is made to identify patients who are eligible for charity care. WHMC has a written debt collection policy - All self-pay balances are outsourced to a designated self-pay agency for collection. True self-pays will be forwarded on day one from final bill. Self-pay after insurance payment or final insurance denial will be transferred to the outsource company as soon as the account is identified as having a self-pay balance. Accounts will be worked by the outsource (early out) company for one hundred twenty (120) days. The early out agency will also identify accounts that qualify for charity care based on New York guidelines. If unpaid at the end of the cycle the account will be transferred to a designated bad debt collection agency. The Bad Debt agencies will work the accounts for six (6) months. If the agency fails in their collection effort, the account will be returned to the hospital as uncollectible with the exception of accounts with active payment arrangements.Itemized bills will be available to patients upon request.PROCEDURE:1.All patients with a self-pay balance (true self-pay or self-pay balance after insurance) will be transferred to a designated self-pay agency for processing. The agency will:a.Identify and return accounts that qualify for charity care per New York guidelines.b.Process a letter series (three letters) within one hundred twenty (120) days. In addition to written statements, patients will receive a minimum of three (3) phone calls in an attempt to collect upon their open account. c.Identify accounts with return mail/no current phone number that can not be located and return the account to be placed in bad debt.d.After the one hundred twenty (120) day period and there has been no payment received, the account will be returned to the hospital to be reviewed for bad debt placement.Note: Accounts with payment arrangements will remain at the agency until they are paid-in-full. Agency will close and return accounts that have broken payment arrangements.2.A bad debt pre-list will be reviewed weekly and accounts placed with a designated bad debt agency for a period of six (6) months will be changed to BDCLOSED - Bad debt Closed Account identifies the account as having all collection efforts exhausted. The exceptions for returning accounts at six months are accounts with active payment arrangements.3.Accounts returned from the Bad Debt agencies will be reviewed:a.Medicare copay/deductible amounts will be documented. b.Accounts claimed as uncollectible will be coded as 'Bad Debt Returns' (BDCLOSED), which identifies the accounts as having all collection efforts exhausted. 4.Monthly-The Patient Accounts Manager who oversees outsourcing will:a.Reconcile the inventoryb.Conduct an audit on compliance to this policy and report those results to the Associate Vice-President Part III, Line 8 - Explanation Of Shortfall As Community Benefit The amount reported on Line 6 was derived by using the Medicare allowable costs as reported on the Hospital's New York State Institutional Cost Report and the applicable adjustments from Worksheet B. Part III, Line 4 - Bad Debt Expense Receivables for Patient Care/Allowance for Doubtful Accounts:The process for estimating the ultimate collection of receivables involves significant assumptions and judgments. Patient accounts receivable are recorded at the reimbursement or contracted amount, and are based upon management's assessmentof historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Accounts deemed uncollectible, and written off, are deducted from the allowance for doubtful accounts. Revisions in reserve for doubtful accounts estimates are recorded as an adjustment to bad debt expense.For patients who were determined by Wyckoff Heights Medical Center to have the ability to pay but did not, the uncollected amounts are bad debt expense. The bad debt expense was determined based on actual collection through April for services rendered in the prior year. Wyckoff Heights Medical Center uses Worksheet A to estimate the bad debt expense at cost.Bad debt expense at cost is $7,913,594. Bad debt expense per the audited financial statements is $17,506,663. Part I, Line 7 - Explanation of Costing Methodology Wyckoff Heights Medical Center's costing methodology was based upon the 2010 New York State Institutional Cost Report and the 2010 Medicare (Form 2552) Cost Report. These cost reports are filed with the New York State Department of Health and the applicable CMS intermediary, respectively. The cost-to-charge ratio derived from The New York State Institutional Cost Report was used for the various sub-line items of line #7. X X X X true false false false false false false false false false WILLIAM L THELMO 569941 972 570913 RAJIV GARG 660049 955 661004 Leon Kozlowski 223721 261 223982 Fran Heaney 204165 1020 205185 FARAMARZ ZARGHAMI 387529 857 388386 ESWAR SOUNDER 321168 938 322106 Dominick Gio 925224 925224 DAVID HOFFMAN 351092 665 351757 BUSHAN KHASHU 335340 557 335897 AC RAO MD 267783 1502 269285 Wyckoff Funding Associates X 2400000 1000000 false true true 1000000 Andrew Boisselle Trustee 46678 Independent contractor false Gary Goffner Trustee 484806 Independent contractor false Schedule H, Part V, Section B PURSUANT TO IRS ANNOUNCEMENT 2011-37 DATED JUNE 9, 2011, SCHEDULE H PART V SECTION B WAS MADE OPTIONAL FOR 2010. ACCORDINGLY WYCKOFF HEIGHTS MEDICAL CENTER HAS ELECTED NOT TO COMPLETE THIS SECTION. HOWEVER, DUE TO LACERTE SOFTWARE DESIGN LIMITATIONS THE PROGRAM ERRONEOUSLY COMPLETED SECTION B AND COULD NOT BE OVERRIDDEN. ACCORDINGLY SECTION B SHOULD BE DISREGARDED AS WYCKOFF HEIGHTS MEDICAL CENTER HAS ELECTED NOT TO COMPLETE THIS SECTION. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Execitive Compensation is reviewed by the Board Executive Compensation Committee which has only outside Board members. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Board of Trustees Audit and Compliance committee reviews all annual conflict of interest questionnaires and makes recommendations, if necessary, to the full board. Positive responses are reviewed and additional information is gathered to determine if a conflict exists. If a conflict exists, appropriate action is taken to eliminate the conflict, including such steps as reassignment of responsibilities or establishment of protective agreements. If a matter involves a board member or officer, appropriate action, including recusal and additional disclosures, will be determined by the board. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The finance director and CFO undertake a detailed review of the 990. In addition, board members undertake a review of the organization's Form 990 and then review with the CFO any commentary, observations, and recommendations, as appropriate. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Emil Rucigay and John Rucigay have a family relationship.Victoria Cook and John H. Cook, Jr. have a family relationship. Wyckoff Heights Hospital Self Insurance 374 Stockholm Street Brooklyn NY 11237 112513146 inactive NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Orthopaedic PC 374 Stockholm Street Brooklyn NY 11237 113437602 Provide medical services in area of orthopedics NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Neonatal Services PC 374 Stockholm Street Brooklyn NY 11237 113401138 Provide neonatal medical services NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Medical Services PC 374 Stockholm Street Brooklyn NY 11237 113459881 Provide medical services NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Imaging Service PC 374 Stockholm Street Brooklyn NY 11237 861061721 Provide medical imaging services NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Heights Medical Center Foundatio 374 Stockholm Street Brooklyn NY 11237 113626419 Provide support for WHMC and its affiliates NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Heights Dental Services PC 374 Stockholm Street Brooklyn NY 11237 113440088 Provide medical services in area of dentistry NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Family Medical Services PC 374 Stockholm Street Brooklyn NY 11237 113503139 Provide medical services NY 501(C)(3) 11a Wyckoff Heights Medical Center true Wyckoff Anesthesia Medical Services PC 374 Stockholm Street Brooklyn NY 11237 113519417 Provide medical services in area of anesthesia NY 501(C)(3) 11a Wyckoff Heights Medical Center true Stockholm Obstetrics & Gynecological Svc 374 Stockholm Street Brooklyn NY 11237 113318298 Provide medical services in area of OB/GYN NY 501(C)(3) 11a Wyckoff Heights Medical Center true Brooklyn Queens Health Care 374 Stockholm Street Brooklyn NY 11237 311650965 Provide support for WHMC NY 501(C)(3) 11a N/A true Wyckoff Surgical Services PC 374 Stockholm Street Brooklyn NY 11237 270837125 Provide surgical services NY N/A C corp 14852 14818 1.00000 Wyckoff Practice Management Corp 374 Stockholm Street Brooklyn NY 11237 113463990 Management NY N/A C CORP 370967 44472 1.00000 Wyckoff Emergency Medicine Services PC 374 Stockholm Street Brooklyn NY 11237 113495935 Medical SVCS NY N/A C CORP 6043944 133460 1.00000 Preferred Health Properties inc 374 Stockholm Street Brooklyn NY 11237 112974963 Inactive NY See Part VII C CORP 2900 1.00000 Preferred Health Ventures Placement 374 Stockholm Street Brooklyn NY 11237 112973953 Inactive NY See Part VII C CORP 167665 1.00000 Preferred Health Ventures Pharmacy 374 Stockholm Street Brooklyn NY 11237 112974935 Inactive NY See Part VII C CORP 49259 1.00000 Preferred Health Ventures Inc 374 Stockholm Street Brooklyn NY 11237 112974960 Inactive NY N/A C CORP 497200 1.00000 false false false false false false false false false false false false false false true false false false Wyckoff Emergency Medicine Services PC o 2620200 cost Wyckoff Neonatal Services PC o 389930 Cost Wyckoff Medical Services PC o 404676 Cost Wyckoff Imaging Service PC o 1677200 Cost Wyckoff Heights Dental Services PC o 461800 Cost Wyckoff Family Medical Services PC o 511600 Cost Wyckoff Anesthesia Medical Services PC o 3204154 Cost Stockholm Obstetrics & Gynecological Svc o 1214000 Cost Part IV, Column (D) - Direct Controlling Entity Name of Related Organizations Direct Controlling EntityPreferred Health Ventures Pharmacy: Preferred Health Ventures IncPreferred Health Ventures Placement: Preferred Health Ventures IncPreferred Health Ventures Properties: Preferred Health Ventures Inc