2024-11-15T13:17:20+00:00 2023-12-31 440160260 Forvis Mazars LLP 135 West 50th Street New York NY 10020 990 2023-01-01 200714587 CENTRAL SUFFOLK HOSPITAL FOUNDATION CENT 6315486152 889 HARRISON AVENUE 3RD FLOOR RIVERHEAD NY 11901 AMY LOEB PRESIDENT OF FOUNDATION 6315486152 2024-11-15 true Aaron Shapiro P01333816 2128127000 2023-11-13 2023 2024-10-15 13:58:12Z Peconic Bay Medical Center Foundation AMY LOEB 1 HEROES WAY RIVERHEAD NY 11901 31449678 false X WWW.PBMCHEALTH.ORG X 2004 NY THE MISSION OF CENTRAL SUFFOLK HOSPITAL FOUNDATION IS TO SEEK PHILANTHROPIC SUPPORT ON BEHALF OF CENTRAL SUFFOLK HOSPITAL D/B/A PECONIC BAY MEDICAL CENTER. 12 12 0 12 0 0 11326781 10250695 0 0 60084 10986831 248183 -670627 11635048 20566899 1000000 10000000 0 0 0 0 0 0 0 1674889 1919694 2674889 11919694 8960159 8647205 53707722 55316259 17695859 10627870 36011863 44688389 THE FOUNDATIONS MISSION IS TO DEVELOP AND CULTIVATE PHILANTHROPIC AND COLLABORATIVE RELATIONSHIPS THAT FOSTER PROGRAMS AND SERVICES OFFERED THROUGH CENTRAL SUFFOLK HOSPITAL WHICH IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. false false 11913376 10000000 0 TO SUPPORT THE SERVICES PROVIDED AT PECONIC BAY MEDICAL CENTER. 11913376 true true false false false false false false false true false false false true false true true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 1 1 true 0 false false false false false true true false false false false false false X 12 12 false false false false false false false true true false false true false true true false false false NY X MICHAEL F O'DONNELL 6315486074 1 HEROES WAY RIVERHEAD NY 11901 EMILIE ROY COREY BOARD CHAIR 10.0 1.0 X X 0 0 0 JOAN LEVAN SECRETARY/TREASURER 0.5 1.0 X X 0 0 0 JUDITH A JEDLICKA VICE CHAIR 4.0 0.0 X X 0 0 0 RICHARD ISRAEL VICE CHAIR 0.5 1.0 X X 0 0 0 KAREN MASSOUD MEMBER 0.5 1.0 X 0 0 0 MARY ANN ALEXANDER MEMBER 0.5 0.0 X 0 0 0 MICHAEL SCHWENK MEMBER 0.5 0.0 X 0 0 0 Peri Hoffer Hinden Member 0.5 0.0 X 0 0 0 RICHARD WINSLOW MEMBER 0.5 0.0 X 0 0 0 SHERRY PATTERSON MEMBER 0.5 1.0 X 0 0 0 STANLEY ZINBERG MEMBER 0.5 1.0 X 0 0 0 W Brian Stark Member 0.5 0.0 X 0 0 0 AMY LOEB PRESIDENT OF FOUNDATION 10.0 27.5 X 0 745592 78507 Andrew J Mitchell FORMER PRESIDENT & CEO 0.0 0.0 X 0 693735 51947 0 1439327 130454 0 false true false CENTRAL SUFFOLK HOSPITAL 1 HEROES WAY RIVERHEAD NY 11901 ADMINISTRATIVE 1007299 1 1789374 8461321 10250695 0 0 0 0 0 1068407 1068407 109709 711761 -602052 0 -602052 -602052 6318 19925449 6318 10007025 0 9918424 9918424 9918424 89100 1789374 157675 -68575 -68575 0 0 0 0 0 20566899 0 0 10316204 10000000 10000000 1007299 1007299 53537 53537 6318 6318 131745 131745 0 0 354357 354357 151847 151847 8825 8825 MISCELLANEOUS 111981 111981 STEWARDSHIP 82038 82038 EDUCATION REIMBURSEMENT 10000 10000 COMMUNITY OUTREACH 1747 1747 0 0 0 0 11919694 11913376 6318 0 20771242 28561658 0 7145884 11212447 646057 0 0 0 0 0 0 0 14735318 1169748 23790093 13565570 1174654 1249077 0 0 0 179792 727507 53707722 55316259 83918 110218 0 0 0 0 0 0 17160457 9494689 0 451484 1022963 17695859 10627870 X 22151134 32735910 13860729 11952479 36011863 44688389 53707722 55316259 8647205 29321 0 X false true X true false X 6285524 6267036 8641643 11326781 10250695 42771679 0 0 0 0 0 0 0 0 0 0 0 0 6285524 6267036 8641643 11326781 10250695 42771679 16807171 25964508 1028094 1060235 2035759 1816833 1178116 7119037 0 0 0 0 0 0 0 0 0 0 0 0 49890716 0 0.5204 0.5461 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1500000 1500000 13162915 1169748 11993167 72403 72403 13565570 Due to Peconic Bay Medical Center 462544 Other liabilities 6344 Operating lease liability 554075 1022963 21301663 29321 711761 741082 20560581 6318 0 6318 20566899 12625137 711761 711761 11913376 6318 0 6318 11919694 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTITFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 RENT EXPENSES - 711761 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENT EXPENSES - 711761 Gala 1559502 1501302 58200 15000 60471 1375 7878 Golf 93263 62363 30900 10000 37832 428 3 225709 225709 0 24691 1878474 1789374 89100 15000 10000 98303 1375 32997 157675 -68575 true Peconic Bay Medical Center 1 Heroes Way Riverhead NY 11901 111661359 501(C)(3) 10000000 HOSPITAL CARE 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Based on funds raised in a calendar year, we provide those funds to the related party based on capital efforts or operational need. true false false false false false false false false Andrew J Mitchell FORMER PRESIDENT & CEO 0 0 0 0 0 693735 0 36300 0 15647 0 745682 0 0 AMY LOEB PRESIDENT OF FOUNDATION 0 578145 0 132034 0 35413 0 36300 0 42207 0 824099 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CSH utilizes salary surveys and reviews them with the compensation committee of the Board of Directors. The process was last performed in March 2023. Schedule J, Part I, Line 4a Severance or change-of-control payment ANDREW MITCHELL SERVED AS THE PRESIDENT THROUGH 6/30/2022. HE RECEIVED A SEVEREANCE PAYMENT OF $693,735 IN REPORTABLE COMPENSATION FROM A RELATED ORGANIZATION IN 2023. Form 990, Part VI, Line 12a written conflict of interest policy THE FOUNDATION FOLLOWS CSH'S CONFLICT OF INTEREST POLICY. Form 990, Part VI, Line 15 COMPENSATION REVIEW CSH UTILIZES SALARY SURVEYS AND REVIEWS THEM WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS WAS LAST PERFORMED IN MARCH 2023 AND SUBSEQUENTLY IN MARCH 2024. Form 990, Part VI, Line 11b Review of form 990 by governing body THE CEO AND CFO OF CENTRAL SUFFOLK HOSPITAL (CSH), A RELATED ORGANIZATION, REVIEW THE 990. A COPY OF THE 990 IS ALSO PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD REVIEWS THE DOCUMENT AND REACHES OUT TO CSH SHOULD THEY HAVE ANY QUESTIONS. IF NO QUESTIONS ARE RAISED THE 990 IS SUBMITTED FOR FILING. Form 990, Part VI, Line 19 Required documents available to the public THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. CENTRAL SUFFOLK HOSPITAL DBA PECONIC BAY 1 HEROES WAY RIVERHEAD NY 11901 111661359 HOSPITAL CARE NY 501(c)(3) 3 NORTHWELL false false true false false true false false false false false true true false false true true false false false