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EASTERN LONG ISLAND HOSPITAL ASSOC INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
EASTERN LONG ISLAND HOSPITAL ASSOC INC (EIN 11-1633563)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201833199349313103
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-15T14:42:43-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 PARK AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100175001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111633563EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EASTERN LONG ISLAND HOSPITAL ASSOC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% WILLIAM J MESSNERInCareOfNm
Business Name ControlEASTBusinessNameControlTxt
Phone6314771000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1Txt
CityGREENPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP119441222ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL CONNOR IIIPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone6314771000PhoneNum
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAngelo PirozziPreparerPersonNm
PTINP00446022PTIN
Phone2128858000PhoneNum
Preparation2018-11-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.238.131.34IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308920183195000045FederalOriginalSubmissionId
Federal Original Submission Id2018-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1210560841ADC29080D5D665393427DBF2BE5B27AtSubmissionCreationDeviceId
At Submission Filing Device Id9C79E9A9669F6ACE2C319A1C04A34C88558E1FDAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL J CONNOR IIIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1Txt
CityGREENPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11944ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$53,961,994GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ELIH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1905FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee497TotalEmployeeCnt
Total Volunteers105TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,339,685PYContributionsGrantsAmt
CY Contributions Grants$2,793,151CYContributionsGrantsAmt
PY Program Service Revenue$41,141,531PYProgramServiceRevenueAmt
CY Program Service Revenue$43,114,867CYProgramServiceRevenueAmt
PY Investment Income$196,796PYInvestmentIncomeAmt
CY Investment Income$63,698CYInvestmentIncomeAmt
PY Other Revenue$3,668,219PYOtherRevenueAmt
CY Other Revenue$6,207,126CYOtherRevenueAmt
PY Total Revenue$46,346,231PYTotalRevenueAmt
CY Total Revenue$52,178,842CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$33,486,172PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,872,315CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$980,453CYTotalFundraisingExpenseAmt
PY Other Expenses$18,115,228PYOtherExpensesAmt
CY Other Expenses$17,818,815CYOtherExpensesAmt
PY Total Expenses$51,601,400PYTotalExpensesAmt
CY Total Expenses$52,691,130CYTotalExpensesAmt
PY Revenues Less Expenses-$5,255,169PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$512,288CYRevenuesLessExpensesAmt
Total Assets BOY$29,319,566TotalAssetsBOYAmt
Total Assets EOY$35,649,993TotalAssetsEOYAmt
Total Liabilities BOY$28,897,973TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,515,215TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$421,593NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$134,778NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$47,828,811ExpenseAmt
Grant$0GrantAmt
Revenue$44,411,919RevenueAmt
DescTO PROVIDE ACUTE MEDICAL, SURGICAL, ALCOHOL, DETOX, REHAB AND EMERGENCY SERVICES AND CARE TO THE EAST END OF LONG ISLAND. THERE WERE 2,840 ADMISSIONS, 18,450 PATIENT DAYS AND 47,352 EMERGENCY AND AMBULATORY CARE VISITS DURING 2017.Desc
Total Program Service Expenses$47,828,811TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountYes (true)EscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G22IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee497EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLIAM J MESSNERPersonNm
Phone6314775313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1Txt
CityGREENPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11944ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS E MURRAY JR
CHAIRMAN15.010.0Yes (X)Yes (X)$0$0$0
FRANK ADIPIETRO MD
VICE CHAIRMAN10.00.0Yes (X)Yes (X)$299,000$0$0
CAROLE G DONLIN
VICE CHAIRMAN10.010.0Yes (X)Yes (X)$0$0$0
ROBERT T GOLDMAN
VICE CHAIRMAN10.010.0Yes (X)Yes (X)$0$0$0
JANICE CLAUDIO
TREASURER10.00.0Yes (X)Yes (X)$0$0$0
VICKIE DEFRIEST
SECRETARY10.00.0Yes (X)Yes (X)$0$0$0
SCOTT BENNETT
TRUSTEE10.015.0Yes (X)$0$0$0
DANIEL BRISOTTI
TRUSTEE10.00.0Yes (X)$0$0$0
HELENE V FALL
TRUSTEE10.00.0Yes (X)$0$0$0
MARGARET FLANAGAN
TRUSTEE, thru 5/11/1710.00.0Yes (X)$0$0$0
DAVID M FUJITA
TRUSTEE10.00.0Yes (X)$0$0$0
Douglas R MATHIE
TRUSTEE10.00.0Yes (X)$0$0$0
MAUREEN T MILLS
TRUSTEE10.00.0Yes (X)$0$0$0
JAMES F PRESTON
TRUSTEE10.010.0Yes (X)$0$0$0
JOSEPH PUFAHL
TRUSTEE, thru 1/16/1710.00.0Yes (X)$0$0$0
JAY P QUARTARARO
TRUSTEE10.00.0Yes (X)$0$0$0
EDWARD SCHOTT
TRUSTEE10.00.0Yes (X)$0$0$0
ANTHONY MITAROTONDO
TRUSTEE, AS OF ?10.00.0Yes (X)$0$0$0
Paul J Connor iii
President & ceo37.510.0Yes (X)$502,708$0$45,978
Robert Ragona
VP FINANCE & CFO37.50.0Yes (X)$265,537$0$45,650
jarid pachter
physician37.50.0$427,510$0$59,336Yes (X)
Delia Pispisa
SVP Patient Care Services37.50.0$240,445$0$44,018Yes (X)
William Messner
VP Finance & Controller37.50.0$197,058$0$54,533Yes (X)
SUSAN APICELLO
VP Administration37.50.0$179,647$0$37,339Yes (X)
JOEL LAZARUS
RESPIRATORY THERAPY DIRECTOR37.50.0$164,023$0$25,421Yes (X)
Raymond Eble
Director of Support Services37.50.0$172,799$0$52,543Yes (X)
DANIEL SCOTTO
MIS DIRECTOR37.50.0$153,903$0$51,616Yes (X)
Theresa Glass
VP Clinical Services37.50.0$140,731$0$50,498Yes (X)
Raymond Krupski
Director of Prarmacy37.50.0$153,104$0$38,041Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,896,465TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$504,973TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K46IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH
5303 Collections Center DriveCHICAGOIL60693MEDICAL$1,042,579
Paragon Emergency Medicine
PO Box 284WADING RIVERNY11792Medical$746,378
OWENS AND MINOR
1950 N Stemmons Fwy STE 5010DALLASTX75201MEDICAL$556,401
Quality CRNA PC
PO Box 577ISLIPNY11751Medical Services$529,898
East End Physician Services PC
PO Box 1341SOUTHOLDNY11971Medical Services$644,431
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Fundraising$167,447FundraisingAmt
Related Organizations$170,012RelatedOrganizationsAmt
Government Grants$1,694,650GovernmentGrantsAmt
All Other Contributions$761,042AllOtherContributionsAmt
Noncash Contributions$47,935NoncashContributionsAmt
Total Contributions$2,793,151TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES624200$47,254,779$47,254,779
PROVISION FOR UNCOLLECTIBLES624200-$4,139,912-$4,139,912
FieldValueIRS element (for citing)
Total Program Service Revenue$43,114,867TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,888TotalRevenueColumnAmt
Exclusion$24,888ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$103,789RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$39,945RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$63,844RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,844TotalRevenueColumnAmt
Exclusion$63,844ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,326,963SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,288,153SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$38,810SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,810TotalRevenueColumnAmt
Exclusion$38,810ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$200,428FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$167,447ContriRptFundraisingEventAmt
Fundraising Direct Expenses$200,428FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$348,626GamingGrossIncomeAmt
Gaming Direct Expenses$254,626GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,000TotalRevenueColumnAmt
Exclusion$94,000ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSURANCE REFUND900099$1,297,052$1,297,052
PRIMARY CARE PHYSICIAN REVENUE900099$511,621$511,621
CRNA SERVICES INCOME900099$277,297$277,297

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,963,312TotalRevenueColumnAmt
Related Or Exempt Func Income$471,369RelatedOrExemptFuncIncomeAmt
Exclusion$3,491,943ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,049,282OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,178,842TotalRevenueColumnAmt
Related Or Exempt Func Income$44,375,154RelatedOrExemptFuncIncomeAmt
Exclusion$5,010,537ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,099,759TotalAmt
Program Services$1,889,783ProgramServicesAmt
Management And General$167,981ManagementAndGeneralAmt
Fundraising$41,995FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,234,169TotalAmt
Program Services$20,910,752ProgramServicesAmt
Management And General$1,858,734ManagementAndGeneralAmt
Fundraising$464,683FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,926,216TotalAmt
Program Services$1,733,595ProgramServicesAmt
Management And General$154,097ManagementAndGeneralAmt
Fundraising$38,524FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,355,043TotalAmt
Program Services$4,819,539ProgramServicesAmt
Management And General$428,403ManagementAndGeneralAmt
Fundraising$107,101FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,257,128TotalAmt
Program Services$2,031,415ProgramServicesAmt
Management And General$180,570ManagementAndGeneralAmt
Fundraising$45,143FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$185,401TotalAmt
Program Services$166,861ProgramServicesAmt
Management And General$14,832ManagementAndGeneralAmt
Fundraising$3,708FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$96,000TotalAmt
Program Services$86,400ProgramServicesAmt
Management And General$7,680ManagementAndGeneralAmt
Fundraising$1,920FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,972,869TotalAmt
Program Services$1,775,582ProgramServicesAmt
Management And General$157,830ManagementAndGeneralAmt
Fundraising$39,457FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$79,560TotalAmt
Program Services$71,604ProgramServicesAmt
Management And General$6,365ManagementAndGeneralAmt
Fundraising$1,591FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$361,860TotalAmt
Program Services$325,673ProgramServicesAmt
Management And General$28,949ManagementAndGeneralAmt
Fundraising$7,238FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,315,933TotalAmt
Program Services$1,220,290ProgramServicesAmt
Management And General$68,525ManagementAndGeneralAmt
Fundraising$27,118FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,644TotalAmt
Program Services$40,179ProgramServicesAmt
Management And General$3,572ManagementAndGeneralAmt
Fundraising$893FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$972,027TotalAmt
Program Services$874,824ProgramServicesAmt
Management And General$77,762ManagementAndGeneralAmt
Fundraising$19,441FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,769,452TotalAmt
Program Services$1,592,507ProgramServicesAmt
Management And General$141,556ManagementAndGeneralAmt
Fundraising$35,389FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$564,522TotalAmt
Program Services$508,070ProgramServicesAmt
Management And General$45,162ManagementAndGeneralAmt
Fundraising$11,290FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED SERVICES$4,997,354$4,497,619$399,788$99,947
MEDICAL AND DEPT. SUPPLIES$2,335,960$2,335,960$0$0
PHARMACEUTICALS$1,372,474$1,372,474$0$0
STAFF DEVELOPMENT$921,215$829,094$73,697$18,424

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$829,544TotalAmt
Program Services$746,590ProgramServicesAmt
Management And General$66,363ManagementAndGeneralAmt
Fundraising$16,591FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,691,130TotalAmt
Program Services$47,828,811ProgramServicesAmt
Management And General$3,881,866ManagementAndGeneralAmt
Fundraising$980,453FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$656,528BOYAmt
EOY$5,935,406EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,903,852BOYAmt
EOY$316,551EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,656,650EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,602,268BOYAmt
EOY$6,370,416EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$826,805BOYAmt
EOY$842,213EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$642,339BOYAmt
EOY$547,037EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$53,027,792LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,704,411LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,593,587BOYAmt
EOY$12,323,381EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,351,600BOYAmt
EOY$2,035,669EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$70,362EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,742,587BOYAmt
EOY$5,552,308EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,319,566BOYAmt
EOY$35,649,993EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,249,276BOYAmt
EOY$11,663,530EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$2,000,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,738,457BOYAmt
EOY$13,339,508EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,400,000BOYAmt
EOY$4,375,079EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,010,240BOYAmt
EOY$4,137,098EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,897,973BOYAmt
EOY$35,515,215EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$949,428BOYAmt
EOY$36,795EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,333BOYAmt
EOY$50,333EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,320,688BOYAmt
EOY$47,650EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$421,593BOYAmt
EOY$134,778EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,319,566BOYAmt
EOY$35,649,993EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$512,288ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$89PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$225,562OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,327,079BeginningYearBalanceAmt
Investment Earnings Or Losses$2,374InvestmentEarningsOrLossesAmt
Other Expenditures$1,281,803OtherExpendituresAmt
End Year Balance$47,650EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,239,939BeginningYearBalanceAmt
Investment Earnings Or Losses$87,140InvestmentEarningsOrLossesAmt
End Year Balance$1,327,079EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,314,299BeginningYearBalanceAmt
Investment Earnings Or Losses-$74,360InvestmentEarningsOrLossesAmt
End Year Balance$1,239,939EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,697,503BeginningYearBalanceAmt
Investment Earnings Or Losses-$383,204InvestmentEarningsOrLossesAmt
End Year Balance$1,314,299EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,469,606BeginningYearBalanceAmt
Investment Earnings Or Losses$227,897InvestmentEarningsOrLossesAmt
End Year Balance$1,697,503EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$419,756OtherCostOrOtherBasisAmt
Book Value$419,756BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,799,358OtherCostOrOtherBasisAmt
Depreciation$11,171,395DepreciationAmt
Book Value$7,627,963BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,808,678OtherCostOrOtherBasisAmt
Depreciation$29,533,016DepreciationAmt
Book Value$4,275,662BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$12,323,381TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$1,799,420
ESTIMATED MALPRACTICE RECOVERY$2,054,000
OTHER RECEIVABLES$1,605,750
SECURITY DEPOSITS$72,089
ACCURED PREPAID PENSION$21,049
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,552,308TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$244,641
DUE TO AFFILIATES$1,838,457
ESTIMATED MALPRACTICE RECOVERI$2,054,000
FieldValueIRS element (for citing)
Total Liability$4,137,098TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO PROVIDE AN ASSET BASE, AND ALLOW EARNINGS TO FUND GROWTH AND DEVELOPMENT OF THE HOSPITAL.
PART X, LINE 2:UNDER ASC 740-10, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES", AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. (THE "REPORTING ORGANIZATION") DOES NOT BELIEVE THEY HAVE TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE REPORTING ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEAR ENDED DECEMBER 31, 2017, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS. MANAGEMENT BELIEVES THAT THE REPORTING ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2014.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$229,250GrossReceiptsEvent1Amt
Charitable Contri Event1$74,339CharitableContriEvent1Amt
Gross Revenue Event1$154,911GrossRevenueEvent1Amt
Rent Facility Costs Event1$25,366RentFacilityCostsEvent1Amt
Food And Beverage Event1$71,590FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$65,153OtherDirectExpensesEvent1Amt
Event2gOLF OUTINGEvent2Nm
Gross Receipts Event2$115,571GrossReceiptsEvent2Amt
Charitable Contri Event2$81,807CharitableContriEvent2Amt
Gross Revenue Event2$33,764GrossRevenueEvent2Amt
Rent Facility Costs Event2$24,825RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$8,939OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$23,054GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$11,301CharitableContriOtherEventsAmt
Gross Revenue Other Events$11,753GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$4,555OthDirectExpnssOtherEventsAmt
Gross Receipts Total$367,875GrossReceiptsTotalAmt
Charitable Contributions Tot$167,447CharitableContributionsTotAmt
Gross Revenue Total Events$200,428GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$50,191RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$71,590FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$78,647OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$200,428DirectExpenseSummaryEventsAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$348,626GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$196,000CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$58,626OthDirectExpnssOtherGamingAmt
Gross Revenue Total Gaming$348,626GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$196,000CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$58,626OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$254,626DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$94,000NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNYStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksWilliam J MessnerIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1201 Manor PlaceAddressLine1Txt
CityGreenportCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11944ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonWilliam J MessnerGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,677,645TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,677,646NetCommunityBenefitExpnsAmt
Total Expense0.03180TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,865,860TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,065,699DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,433,896NetCommunityBenefitExpnsAmt
Total Expense0.14110TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$397,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$397,856NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,941,361TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,065,699DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,509,398NetCommunityBenefitExpnsAmt
Total Expense0.18050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,941,361TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,065,699DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,509,398NetCommunityBenefitExpnsAmt
Total Expense0.18050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,139,912BadDebtExpenseAmt
Bad Debt Expense Attributable$349,931BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,567,155ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,073,908CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,506,753MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1North Fork Surgery CBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMedical ServicesPrimaryActivitiesTxt
Org Profit Or Ownership0.2OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.4OfcrEtcProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EASTERN LONG ISLAND HOSPITAL ASSOCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1Txt
CityGREENPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11944ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EASTERN LONG ISLAND HOSPITAL ASSOCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.elih.org/community/overviewOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.ELIH.ORG/community/overviewStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.elih.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.elih.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.elih.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 5:As part of the assessment process, ELIH engages in periodic surveys, meets with advisory boards and collaborative committees and conducts a Community Health Needs Assessment (CHNA) in cooperation with Suffolk County Department of Health Services and the Nassau Suffolk Hospital Council members. ELIH continues its annual process with community partners and advisory boards to assess active programs and gaps identified through both solicited and unsolicited feedback. Notifications and requests to participate are mailed to over 200 clubs and organizations, including faith-based organizations as well as open invitations by email. Ongoing meetings and relationships through the following partnerships provide valuable perspectives and real-time evaluations of community healthcare needs. Within this collaboration, partnerships are forged, service gaps are indentified, and community outreach needs and programming efforts are coordinated. ELIH community partners and community-based organizations include: C.A.S.T. Community Action Southold Town Congregation Tifereth Israel Temple Cutchogue Homemakers Cutchogue-New Suffolk Library Cutchogue Presbyterian Church Earthrite Textile Recycling, Inc. Eastern Suffolk BOCES Floyd Memorial Library, Greenport The Guidance Center Services, Inc. Greenport and Southold Rotary Clubs Holy Trinity Episcopal Church, Greenport HUGS of America Island Gift of Life Foundation Long Island Blood Services Long Island Health Collaborative Mattituck Chamber of Commerce Mattituck Community Fund Mattituck Library Mattituck-Cutchogue School District Mattituck, Cutchogue, Southold, Greenport, East Marion, Orient and Shelter Island Emergency Medical Squads and Fire Departments Mattituck Presbyterian Church Maurer Foundation Mollie Biggane Foundation Mattituck Lyons Club Mental Health Association Suffolk New York Organ Donor Network North Fork Breast Coalition North Fork Chamber of Commerce North Fork Promotion Council North Fork Suicide Prevention Coalition Orient Congregational Church Peconic Retreat Peconic Landing The Retreat RSVP of Suffolk County San Simeon SNF Shelter Island Library Shelter Island School District Shelter Island Senior Services Southold First Presbyterian Church Southold School District Southold Town Senior Services Southold Mothers Club Southold-Mattituck-Greenport High School Business Advisory St. Agnes Roman Catholic Church St. Peters Lutheran Church Stony Brook Medicine Suffolk County Office for the Aging United Way of Long Island Utopia (Home Care) Winthrop University Hospital Physicians
Part V, Lines 6A AND 6B:In 2013, hospitals and both County Departments of Health on Long Island convened to work collaboratively on the community health needs assessment. Over time, this syndicate grew into an expansive membership of academic partners, community-based organizations, physicians and other community leaders who hold a vested interest in improving community health and supporting the NYS Department of Health Prevention Agenda. Designated "The Long Island Health Collaborative," this multi-disciplinary entity has been meeting monthly to work collectively toward improving health outcomes for Long Islanders. In 2015, the Long Island Health Collaborative was awarded the New York State Department of Health Population Health Improvement Program (PHIP) grant by the New York State Department of Health. The PHIP is a data-driven entity, pledged to pursue the New York State of Healths Prevention Agenda, making the program a natural driver for the Community Health Needs Assessment cycle.
Part V, Line 11:The 2016 findings from a community-wide survey conducted by Eastern Long Island Hospital (ELIH) in collaboration with Long Island Health Collaborative (LIHC) resulted in chronic disease health concerns in the following areas: - Drug and Alcohol Abuse - Cancer - Heart Disease and Stroke - Womens Health and Wellness - Obesity/Weight-loss Issues The goal of the assessment is to improve the health of the community as reflected in Eastern Long Island Hospitals mission and vision. ELIH will use and analyze the results of the health needs assessment for strategic decision-making purposes with the intention of addressing the most pressing health issues and current trends in the communities it serves. CHRONIC HEALTH GOAL #1 - Drug and Alcohol Abuse - Reduce prevalence and increase community awareness. OBJECTIVES: Increase access to preventive care through screening, education and the integration of Primary Care Services and Behavioral Health. ELIH Focus: Drug and Alcohol Abuse prevention and education - Screening Brief Intervention and Referral for Treatment (SBIRT). This program has been defined by SAMHSA as a comprehensive, integrated, public health approach to the delivery of early intervention for individuals with risky alcohol and drug use, and the timely referral to more intensive substance abuse treatment for those who have Substance Use Disorders (SUD). Substance Use Screening is incorporated in assessments for all clinical services within Eastern Long Island Hospital. Substance Use Disorder (SUD) treatment is provided at ELIH via the continuum of Quannacut Services. ELIH is in process of revising SUD Screening to include the evidence-based screening tools required for inclusion in the Suffolk Care Collaborative SBIRT Project - Provide community-based education to prevent Substance Abuse. CHRONIC HEALTH GOAL #2 - Cancer Provide workshops to the North Fork and Shelter Island residents providing ways to change lifestyle habits, increase and provide educational materials. OBJECTIVES: Increase access to early detection screening. ELIH Focus: Womens health and wellness, complete medical program (CMP) for colorectal and mammogram screening, skin cancer screening and smoking cessation. - Melanoma Awareness and free Skin Cancer Screening. - Host "Learn to Be --- Tobacco Free" program in collaboration with the Suffolk County Department of Health. - Host Early Detection & Prevention Program for Breast Health Awareness. CHRONIC HEALTH GOAL #3 - Heart Disease & Stroke - Targeting the North Fork and Shelter Island for heart disease and stroke by directly addressing programs that will speak to healthier objectives for heart disease and stroke prevention. OBJECTIVES: Increase programs throughout the area. ELIH Focus: Stroke screening and healthy heart seminars. - Host "Learn to Be --- Tobacco Free" program in collaboration with the Suffolk County Department of Health. - Actively participate in American Heart Association Walk-Run. - Create walk-run for the North Fork and Shelter Island communities. - Host healthy eating and heart disease prevention programs. CHRONIC HEALTH GOAL #4 - Womens Health & Wellness - Help women of all ages achieve better physical, emotional, social, and spiritual health by encouraging healthy practices. OBJECTIVES: Increase access to early detection screening and healthy living habits. ELIH Focus: Womens health and wellness, complete medical program (CMP) for colorectal and mammogram screening, smoking cessation, healthy eating and heart disease prevention and physical fitness. - Host "Learn to Be --- Tobacco Free" program in collaboration with the Suffolk County Department of Health. - Host Early Detection & Prevention Program for Breast Health Awareness - Host healthy eating and heart disease prevention programs Women and Heart Disease Campaign in February - Continue to operate ELIH Gym for ongoing weight reduction and fitness classes for North Fork and Shelter Island residents. CHRONIC HEALTH GOAL #5 - Obesity/Weight-loss Reduce incidence of obesity and related co-morbidities. OBJECTIVES: Provide tools and knowledge to positively impact food choices and activity levels. ELIH Focus: Promote weight reduction strategies through nutritional counseling and fitness coaching strategies. - Promotion and participation in the WALK Long Island Campaign through distribution of promotional materials at community events and through social media. - Continue to operate ELIH Gym for ongoing weight reduction and fitness classes for North Fork and Shelter Island residents, with special emphasis on Seniors; develop fitness class for seniors. - Coordinate Senior Wellness Education Series for Seniors & Caregivers. - Balance, Exercise & Aging Seminar The Community Health Needs Assessment and Implementation Plan is available on the Hospital's website at www.elih.org.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE, http://www.elih.org/SERVICES/COMMUNITYRESOURCES/ServicePlan/tabid/210/ Default.aspx. ADDITIONAL INFORMATION IN CONNECTION WITH SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CAN BE OBTAINED IN THE COMMUNITY BENEFIT REPORT.
PART I, LINE 7, COLUMN(F):THE HOSPITAL USED COST OF CHARGE RATIO.
PART I, LINE 7:THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. IN GENERAL, THE HOSPITAL ATTEMPTS TO BILL ALL PATIENTS UNTIL A DETERMINATION CAN BE MADE THAT THE PATIENT IS UNABLE TO PAY. THEREFORE, DISTINGUISHING BETWEEN CHARITY CARE AND OTHER UNCOMPENSATED CARE IS NOT PERFORMED. FOR THE YEAR ENDED DECEMBER 31, 2016, TOTAL UNCOMPENSATED CARE, MEASURED AT CHARGES, WAS APPROXIMATELY $204,000.
PART III, LINE 2:THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS SHOWN IN THE AUDITED FINANCIAL STATEMENTS. THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE (4)(F) ON PAGES 11 AND 12 AND FOOTNOTE 7 ON PAGE 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3:This is the actual bad debt expense for patients under financial assistance policy.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL AND AFFILIATE. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS.
PART III, LINE 8:THE COST OF CARE TO THE MEDICARE POPULATION IN THE HOSPITAL'S COMMUNITY EXCEEDS THE REIMBURSEMENT DUE TO SHORTFALLS IN MEDICARE METHODOLOGY.
PART III, LINE 9B:CONSISTENT WITH MEDICARE REGULATIONS, COLLECTION POLICIES ARE UNIVERSALLY APPLIED TO BALANCES RELATED TO PATIENT RESPONSIBILITIES.
PART VI, LINE 2 - NEEDS ASSESSMENT:EASTERN LONG ISLAND HOSPITAL HAS AN EXTENSIVE PROGRAM OF COMMUNITY OUTREACH. INPUT ON THE COMMUNITY SERVICE PLAN IS RECEIVED FROM BOTH INTERNAL AND EXTERNAL SOURCES. NEEDS ARE ASSESSED ON AN ANNUAL BASIS BY THE BOARD OF TRUSTEES, HOSPITAL MANAGEMENT AND STAFF, VOLUNTEERS, AND LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATION AND GOVERNMENTAL AGENCIES. IN ADDITION TO OUTREACH EFFORTS, THE HOSPITAL -- THROUGH ITS GERIATRIC ASSESSMENT PROGRAM -- CONDUCTED A COMMUNITY NEEDS SURVEY IN ORDER TO IDENTIFY THOSE SERVICES THAT THE COMMUNITY BELIEVED WOULD FOSTER INDEPENDENT LIVING FOR THE ELDERLY RESIDENTS OF THE SERVICE AREA. SURVEYS WERE SENT TO RESIDENTS OF PECONIC LANDING, MEMBERS OF SENIOR CITIZEN CENTERS, RECIPIENTS OF "MEALS ON WHEELSPARTICIPANTS IN CONGREGATE DINING PROGRAMS AND PROVIDED IN DOCTOR'S OFFICE'S, OTHER ALLIED PROFESSIONAL OFFICES AND THE HOSPITAL'S LOBBY.
Part VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:EASTERN LONG ISLAND HOSPITAL POSTS SUMMARY OF ITS CHARITY CARE POLICIES IN ALL POINT OF CONTACT AREAS AND PROVIDES ASSISTANCE IN SECURING ENTITLEMENTS THROUGH AN INFORMED AND PROACTIVE PATIENT STAFF.
PART VI, LINE 4 - COMMUNITY INFORMATION:EASTERN LONG ISLAND HOSPITAL HAS TWO DISTINCT SERVICE AREAS: ONE FOR THEIR MEDICAL SURGICAL SERVICES AND ONE FOR THEIR BEHAVIORAL HEALTH SERVICES. THE HOSPITAL'S MEDICAL SURGICAL SERVICE AREA EXTENDS EAST TO WEST FROM ORIENT TO MATTITUCK. THE POPULATION SERVED BY THE HOSPITAL IS SIGNIFICANTLY OLDER ON AVERAGE THAN SUFFOLK COUNTY, NEW YORK STATE AND NATIONALLY. MORE THAN THIRTY-NINE (39) PERCENT OF THE RESIDENTS IN THE SERVICE AREA ARE FIFTY-FIVE (55) AND OLDER WITH MORE THAN ONE IN FOUR RESIDENTS OVER THE AGE OF SIXTY-FIVE (65). THE HOSPITAL HAS DEVELOPED PROGRAMS THAT ARE SPECIFICALLY GEARED TOWARDS MEETING THE HEALTH CARE NEEDS OF THIS OLDER POPULATION, INCLUDING THE HOSPITAL'S GERIATRIC CENTER OF EXCELLENCE. THE PROGRAM WAS OPENED AT EASTERN LONG ISLAND HOSPITAL TO PROVIDE A TEAM APPROACH TO PROFESSIONAL CARE FOR THE GROWING ELDERLY POPULATION OF THE NORTH FORK AND SHELTER ISLAND.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH:ALL MEMBERS OF THE BOARD RESIDE IN THE COMMUNITY. THE HOSPITAL OFFERS MEDICAL PRIVILEGES TO QUALIFIED MEDICAL STAFF AND ACTIVELY SOLICITS PHYSICIANS TO JOIN THE COMMUNITY WHEN THERE IS AN UNFULFILLED NEED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRANK ADIPIETRO MD
VICE CHAIRMAN$299,000$0$0$0$0$0$0$0$0$0$299,000$0$0$0
Paul J Connor iii
President & ceo$502,708$0$0$0$0$0$18,500$0$27,478$0$548,686$0$0$0
Robert Ragona
VP FINANCE & CFO$265,537$0$0$0$0$0$18,425$0$27,225$0$311,187$0$0$0
jarid pachter
physician$427,510$0$0$0$0$0$18,500$0$40,836$0$486,846$0$0$0
Delia Pispisa
SVP Patient Care Services$240,445$0$0$0$0$0$16,819$0$27,199$0$284,463$0$0$0
William Messner
VP Finance & Controller$197,058$0$0$0$0$0$13,771$0$40,762$0$251,591$0$0$0
SUSAN APICELLO
VP Administration$179,647$0$0$0$0$0$12,599$0$24,740$0$216,986$0$0$0
JOEL LAZARUS
RESPIRATORY THERAPY DIRECTOR$164,023$0$0$0$0$0$11,412$0$14,009$0$189,444$0$0$0
Raymond Eble
Director of Support Services$172,799$0$0$0$0$0$12,033$0$40,510$0$225,342$0$0$0
DANIEL SCOTTO
MIS DIRECTOR$153,903$0$0$0$0$0$10,913$0$40,703$0$205,519$0$0$0
Theresa Glass
VP Clinical Services$140,731$0$0$0$0$0$9,833$0$40,665$0$191,229$0$0$0
Raymond Krupski
Director of Prarmacy$153,104$0$0$0$0$0$10,676$0$27,365$0$191,145$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1SUFFOLK COUNTY INDUSTRIAL DEVELOPMENT AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN112584714BondIssuerEIN
CUSIP864768NTRCUSIPNum
Bond Issued2007-06-27BondIssuedDt
Issue Price$17,760,000IssuePriceAmt
PurposeIMPROVEMENTS OF HOSPITAL FACILITYPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$17,760,000TotalProceedsAmt
In Reserve Fund$1,187,569InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$11,793,210RefundingEscrowAmt
Issuance Costs From Proceeds$765,422IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$5,939,581CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2009SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$47,935NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b)FormAndLineReferenceDesc
Explanationthe organization is reporting the number of contributions in Part I, Column (b).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B:FORM 990 IS REVIEWED BY THE FINANCE TEAM OF THE HOSPITAL, WHICH INCLUDES THE CEO, CFO AND CONTROLLER. ALSO, THE RETURNS ARE DISTRIBUTED TO THE MEMBERS OF THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. ANY CHANGES ARE IMPLEMENTED PRIOR TO FILING THE FINAL VERSION OF THE ANNUAL FORM 990. FORM 990, PART VI, SECTION B, LINE 12C: Each director, officer and member of a committee with board delegated powers is required to annaully file a conflict of interest disclosure statement to disclose any potential confilicts. All submisions are reviewed by board members to determine if a conflict exists. Once a Board member has disclosed a potential conflict of interest and the Board determines a conflict exists, the individual affected may make a presentation at the Board meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest.
FORM 990, PART VI, SECTION B, LINE 15A:AN INDEPENDENT HUMAN RESOURCES COMMITTEE CONSISTING OF INDEPENDENT BOARD MEMBERS MEET TO REVIEW AND DISCUSS THE CEO'S COMPENSATION PACKAGE. THE PROCESS INCLUDES A REVIEW OF THE CEO'S PERFORMANCE AND A COMPARISON OF THE CEO'S ROLE AND COMPENSATION TO OUR SISTER HOSPITALS (CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER & SOUTHAMPTON HOSPITAL) AS WELL AS OTHER HOSPITALS IN SIMILAR GEOGRAPHIC LOCATIONS. THEY ALSO COMPARE IT WITH PUBLISHED STANDARDS OF OTHER HOSPITALS. IN ADDITION THEY REACH OUT TO OTHER INDEPENDENT ORGANIZATIONS SUCH AS THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) TO COMPILE THIS DATA. AFTER THE HUMAN RESOURCES COMMITTEE COMPLETES THEIR DELIBERATION THEY MEET WITH THE FULL BOARD OF THE HOSPITAL TO DISCUSS THEIR FINDINGS AND MAKE SUGGESTIONS BEFORE THE FULL BOARD VOTES TO APPROVE THE COMPENSATION PACKAGE. THE DELIBERATION AND DECISION OF THE BOARD IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MINUTES.
FORM 990, PART VI, SECTION B, LINE 15B:THE PROCESS IS SIMILAR TO 15A ABOVE AND INCLUDES AN ANNUAL EVALUATION CONDUCTED BY THE CEO AND PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD WHO APPROVE THE COMPENSATION PACKAGE.
FORM 990, PART VI, SECTION C, LINE 19:Upon request, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
FORM 990, PART XI, LINE 9:CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY.....$225,562

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EASTERN LONG ISLAND HOSPITAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1Txt
CityGREENPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11944ZIPCd
FieldValueIRS element (for citing)
EIN203851050EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status12 TYPE 1PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ELIHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1EAST END PHYSICIAN SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1Txt
CityGREENPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11944ZIPCd
FieldValueIRS element (for citing)
EIN460852920EIN
Primary ActivitiesPRIMARY CAREPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$709,364ShareOfTotalIncomeAmt
Share Of EOY Assets$146,942ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EAST END PHYSICIAN SERVICES
D$1,799,420FMV
Eastern Long ISLAND Hospital Foundation
C$170,012cost