2023-11-13T14:23:18-06:00 2022-12-31 FORVIS LLP 1155 Avenue of the Americas 1200 New York NY 10036 990 2022-01-01 200714587 CENTRAL SUFFOLK HOSPITAL FOUNDATION % MICHAEL F O'DONNELL CENT 6315486152 889 Harrison Avenue 3rd Floor RIVERHEAD NY 11901 AMY LEOB President of Foundat 6315486064 2023-11-15 true Amy Loeb 999009999 P01333816 2128674000 3 2022 2023-04-26 12:10:37Z X PECONIC BAY MEDICAL CENTER FOUNDATIO AMY LOEB 1 HEROES WAY RIVERHEAD NY 11901 13236164 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. 11 10 0 10 0 8641643 11326781 0 0 41574 60084 547102 248183 9230319 11635048 1250765 1000000 0 0 0 0 0 0 0 1706364 1674889 2957129 2674889 6273190 8960159 45698459 53707722 18593625 17695859 27104834 36011863 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 2668670 1000000 TO SUPPORT THE SERVICES PROVIDED AT PECONIC BAY MEDICAL CENTER. 2668670 true true false 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 11 10 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 X Andrew Mitchell President (THROUGH 6/30/2022) 22.5 15.0 X X 0 1383385 61459 Amy Loeb President of Foundation 10.0 27.5 X 0 697296 75052 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 Richard Israel Vice Chair 0.5 1.0 X X 0 0 0 Judith A Jedlicka Vice Chair 4.0 0.0 X X 0 0 0 Mary Ann Alexander Member 0.5 0.0 X 0 0 0 Karen Massoud Member 0.5 1.0 X 0 0 0 J Gordon Huszagh Member 0.5 0.0 X 0 0 0 Sherry Patterson Member 0.5 1.0 X 0 0 0 Michael Schwenk Member 0.5 0.0 X 0 0 0 Richard Winslow Member 0.5 0.0 X 0 0 0 Stanley Zinberg Member 0.5 1.0 X 0 0 0 0 2080681 136511 0 false true false central suffolk hospital 1 HEROES WAY RIVERHEAD NY 11901 Administrative 904024 1 1108910 200973 10016898 11326781 0 60084 60084 0 0 1756749 1269318 487431 0 487431 487431 0 92550 1108910 331798 -239248 -239248 0 0 0 0 0 0 0 11635048 308267 1000000 1000000 0 0 0 0 0 0 0 0 0 904024 904024 5450 5450 0 0 0 6219 6219 97641 97641 0 234228 234228 0 0 149678 149678 0 0 8176 8176 0 0 0 0 STEWARDSHIP 147342 147342 EDUCATION REIMBURSEMENT 20000 20000 COMMUNITY OUTREACH 10082 10082 MISCELLANEOUS 92049 92049 2674889 2668670 6219 0 14503918 20771242 0 0 4829873 7145884 690107 646057 0 0 0 0 0 0 0 0 0 0 25894427 2104334 24283229 23790093 1210466 1174654 0 0 0 0 0 0 180866 179792 45698459 53707722 69025 83918 0 0 0 0 0 0 0 0 0 0 17734861 17160457 0 0 789739 451484 18593625 17695859 X 21501766 22151134 5603068 13860729 27104834 36011863 45698459 53707722 8960159 -53130 X false true X true false X 2832846 6285524 6267036 8641643 11326781 35353830 0 0 2832846 6285524 6267036 8641643 11326781 35353830 12212631 23141199 1084375 1028094 1060235 2035759 1816833 7025296 0 0 42379126 0.54605 0.61330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 1740500 1740500 24153927 2104334 22049593 23790093 0 DUE TO PECONIC BAY MEDICAL CENTER 416554 OTHER 34930 451484 12845017 -53130 1269318 1216188 11628829 6219 6219 11635048 3937988 1269318 1269318 2668670 6219 6219 2674889 PART X, LINE 2 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. PART XI, LINE 2D RENT EXPENSE: $1,269,318. PART XII, LINE 2D RENT EXPENSE: $1,269,318. Gala 912282 850032 62250 56575 9685 217819 Golf 107719 77419 30300 1641 3 181459 181459 46078 1201460 1108910 92550 56575 9685 265538 331798 -239248 true Peconic Bay Medical Center 1 Heroes Way Riverhead New York NY 11901 111661359 501(C)(3) 1000000 Hospital care 1 PART I DESCRIPTION OF PROCEDURE FOR MONITORING USE OF FUNDS THIS GRANT WAS BETWEEN RELATED ORGANIZATIONS AND ALL SUCH TRANSACTIONS ARE CLOSELY MONITORED BY THE BOARD OF DIRECTORS TO ENSURE COMPLIANCE WITH THE GRANT PURPOSE. false false false false false false false false false Amy Loeb President of Foundation 0 567405 0 115938 0 13953 0 33550 0 41502 0 772348 Andrew Mitchell President (THROUGH 6/30/2022) 0 469018 0 196907 0 717460 0 33550 0 27909 0 1444844 FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12 THE FOUNDATION FOLLOWS CSH'S CONFLICT OF INTEREST POLICY. FORM 990 , PART VI, SECTION B, LINE 15A CSH UTILIZES SALARY SURVEYS AND REVIEWS THEM WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS WAS LAST PERFORMED IN MARCH 2022 AND SUBSEQUENTLY IN MARCH 2023. FORM 990, PART VI, SECTION C, LINE 19 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