JOHN T MATHER MEMORIAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- JOHN T MATHER MEMORIAL HOSPITAL (EIN 11-1639818)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-17
- IRS object ID
- 201833219349300608
- Schema version
- 2017v2.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-17T11:36:00-08:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111639818 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN T MATHER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 6314731320 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 NORTH COUNTRY ROAD | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11777 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH WISNOSKI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2018-11-08 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $362,261,819 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MATHERHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1928 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | John T. Mather Memorial Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of health care services of the highest quality, in a cost effective manner, to the residents of Suffolk County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 2947 | TotalEmployeeCnt |
| Total Volunteers | 359 | TotalVolunteersCnt |
| Total Gross UBI | $1,287,718 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$407,691 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,771,012 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,742,007 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $350,890,544 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $352,919,245 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,494,333 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,654,450 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,696,068 | PYOtherRevenueAmt |
| CY Other Revenue | $3,507,159 | CYOtherRevenueAmt |
| PY Total Revenue | $358,851,957 | PYTotalRevenueAmt |
| CY Total Revenue | $361,822,861 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $224,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $193,126,268 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $203,799,743 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $161,510,355 | PYOtherExpensesAmt |
| CY Other Expenses | $156,748,041 | CYOtherExpensesAmt |
| PY Total Expenses | $354,861,123 | PYTotalExpensesAmt |
| CY Total Expenses | $360,549,784 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,990,834 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,273,077 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $237,406,506 | TotalAssetsBOYAmt |
| Total Assets EOY | $240,045,289 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $178,592,526 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $184,769,585 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,813,980 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,275,704 | NetAssetsOrFundBalancesEOYAmt |
| Mission | John T. Mather Memorial Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of health care services of the highest quality, in a cost effective manner, to the residents of Suffolk County. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $339,803,016 | ExpenseAmt |
| Revenue | $353,083,879 | RevenueAmt |
| Desc | John T. Mather Memorial Hospital, a 248 bed community hospital, provides quality medical care regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the continued operation and stability of John T. Mather Memorial Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with the Hospital's commitment to serve all members of the community, free and or subsidized care is provided to the indigent, care is provided to persons covered by government programs at below cost and numerous health related education and support services are offered to the community at large. Please read our comprehensive, 38 page, "Community Service Plan 2016-2018" which is attached or at our WEBSITE; matherhospital.org. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,000 | ExpenseAmt |
| Desc | To promote and encourage community service, John T. Mather Memorial Hospital Inc. provides scholarship grants to college bound junior volunteers. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $339,805,016 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 152 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2947 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH WISNOSKI | PersonNm |
| Phone | 6314731320 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 NORTH COUNTRY ROAD | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 117772119 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KENNETH A JACOPPI Esq | |||||||||
| Chairman | 9.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BETSY NOYES BRITTON | |||||||||
| Vice Chairman | 3.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KONRAD J KUHN | |||||||||
| Vice Chairman | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HAROLD TRANCHON Jr | |||||||||
| Vice Chairman | 3.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN R SINI | |||||||||
| Vice Chairman | 3.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WAYNE RAMPONE | |||||||||
| Secretary | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NICHOLAS CRAIG MD | |||||||||
| VP-Med Staff | 3.00 | 40.00 | Yes (X) | Yes (X) | $20,000 | $0 | $0 | ||
| DAVID SHENOUDA MD | |||||||||
| Pres-Med Staff | 3.00 | 40.00 | Yes (X) | Yes (X) | $40,000 | $0 | $0 | ||
| MOHAMMAD BILAL MD | |||||||||
| Board member | 3.00 | 40.00 | Yes (X) | $578,414 | $0 | $43,372 | |||
| PATRICIA ECKARDT | |||||||||
| Board member | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES DANOWSKI | |||||||||
| Board member | 3.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN K DIVINEY Esq | |||||||||
| Board member | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHRYN B FREY | |||||||||
| Board member | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY B GLYNN Esq | |||||||||
| Board member | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBRA L ENGELHARDT | |||||||||
| Board member | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD LUSAK | |||||||||
| Board member | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LEO STERNLICHT | |||||||||
| Treasurer | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD J WEISS | |||||||||
| Board member | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH D ROBERTS | |||||||||
| President & CEO | 50.00 | 4.00 | Yes (X) | Yes (X) | $1,029,071 | $0 | $72,172 | ||
| JOSEPH WISNOSKI | |||||||||
| Sr. VP & CFO | 45.00 | 1.00 | Yes (X) | $451,551 | $0 | $46,072 | |||
| JOAN C FARO | |||||||||
| Chief Medical Officer | 40.00 | 10.00 | $488,200 | $0 | $40,392 | Yes (X) | |||
| KEVIN J MURRAY | |||||||||
| Sr. Vice Pres-Administration | 40.00 | 0.00 | $298,132 | $0 | $74,911 | Yes (X) | |||
| WAYNE S SHATTES | |||||||||
| Vice President-Administration | 40.00 | 3.00 | $253,783 | $0 | $72,070 | Yes (X) | |||
| MARIE E MULLIGAN | |||||||||
| Vice President-Nursing | 40.00 | 0.00 | $306,875 | $0 | $51,382 | Yes (X) | |||
| YUVAL HILTZIK | |||||||||
| Physician | 40.00 | 0.00 | $737,330 | $0 | $61,372 | Yes (X) | |||
| NICK PATEL | |||||||||
| Physician | 40.00 | 0.00 | $638,374 | $0 | $64,072 | Yes (X) | |||
| SYED HUSSAINI | |||||||||
| Physician | 40.00 | 0.00 | $665,969 | $0 | $43,372 | Yes (X) | |||
| KEITH HARRIS | |||||||||
| Physician | 40.00 | 0.00 | $651,391 | $0 | $43,860 | Yes (X) | |||
| PETER OTTAVIO | |||||||||
| Physician | 40.00 | 0.00 | $634,999 | $0 | $61,372 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,794,089 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $674,419 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 396 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSCRIPTS - | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 60673 | INFOTECH CONSULTANTS | $2,628,541 |
| STONY BROOK MEDICINE - | |||||
| 31 RESEARCH WAY-STE 119 | E SETAUKET | NY | 11733 | MEDICAL SERVICES | $7,906,619 |
| EMERGENCY MEDICINE PHYSICIANS - | |||||
| 4535 DRESSLER RD NW | CANTON | OH | 44718 | MEDICAL SERVICES | $7,581,750 |
| UNITED WESTLABS INC | |||||
| 801 NORTH PARK CENTER DRIVE | SANTA ANA | CA | 92705 | LABORATORY SERVICES | $1,177,047 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| PO BOX 120001 DEPT 0733 | DALLAS | TX | 75312 | MEDICAL TECHNOLOGY | $1,022,974 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $111 | FederatedCampaignsAmt |
| Related Organizations | $640,560 | RelatedOrganizationsAmt |
| Government Grants | $335,271 | GovernmentGrantsAmt |
| All Other Contributions | $766,065 | AllOtherContributionsAmt |
| Total Contributions | $1,742,007 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $352,919,245 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $352,919,245 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $352,919,245 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,438,104 | TotalRevenueColumnAmt |
| Exclusion | $3,438,104 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $83,404 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $104,651 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$21,247 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,247 | TotalRevenueColumnAmt |
| Exclusion | -$21,247 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $216,346 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $216,346 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $216,346 | TotalRevenueColumnAmt |
| Exclusion | $216,346 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $498,941 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $334,307 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,634 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $164,634 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| COFFEE SHOP | 900099 | $441,705 | $441,705 | |
| Lab-private patient | 621500 | $913,747 | $913,747 | |
| PHARMACY-EMPLOYEES | 900099 | $427,184 | $427,184 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,581,136 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $373,971 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,207,165 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,363,772 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $361,822,861 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $353,083,879 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,287,718 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,709,257 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,806,397 | TotalAmt |
| Program Services | $1,607,675 | ProgramServicesAmt |
| Management And General | $2,198,722 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,513,096 | TotalAmt |
| Program Services | $147,441,516 | ProgramServicesAmt |
| Management And General | $7,071,580 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,509,535 | TotalAmt |
| Program Services | $7,058,963 | ProgramServicesAmt |
| Management And General | $450,572 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,411,173 | TotalAmt |
| Program Services | $24,826,503 | ProgramServicesAmt |
| Management And General | $1,584,670 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,559,542 | TotalAmt |
| Program Services | $10,865,969 | ProgramServicesAmt |
| Management And General | $693,573 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,246,941 | TotalAmt |
| Program Services | $1,246,941 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,561 | TotalAmt |
| Management And General | $721,561 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,110 | TotalAmt |
| Management And General | $201,110 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,012 | TotalAmt |
| Program Services | $20,012 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,881 | TotalAmt |
| Management And General | $221,881 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,480,388 | TotalAmt |
| Program Services | $32,480,388 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,286 | TotalAmt |
| Program Services | $692,286 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,446,261 | TotalAmt |
| Program Services | $77,499,576 | ProgramServicesAmt |
| Management And General | $4,946,685 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,828,227 | TotalAmt |
| Program Services | $3,828,227 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,776,135 | TotalAmt |
| Program Services | $4,298,838 | ProgramServicesAmt |
| Management And General | $477,297 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,210 | TotalAmt |
| Program Services | $221,407 | ProgramServicesAmt |
| Management And General | $73,803 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,518 | TotalAmt |
| Program Services | $94,888 | ProgramServicesAmt |
| Management And General | $31,630 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,802,163 | TotalAmt |
| Program Services | $1,621,947 | ProgramServicesAmt |
| Management And General | $180,216 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,425,410 | TotalAmt |
| Program Services | $13,882,869 | ProgramServicesAmt |
| Management And General | $1,542,541 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,489,267 | TotalAmt |
| Program Services | $3,140,340 | ProgramServicesAmt |
| Management And General | $348,927 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $5,088,260 | $5,088,260 |
| FREE CARE | $3,886,411 | $3,886,411 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,549,784 | TotalAmt |
| Program Services | $339,805,016 | ProgramServicesAmt |
| Management And General | $20,744,768 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,840 | BOYAmt |
| EOY | $5,490 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,025,940 | BOYAmt |
| EOY | $14,648,889 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,904,540 | BOYAmt |
| EOY | $44,804,114 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,129,088 | BOYAmt |
| EOY | $8,060,446 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,278,333 | BOYAmt |
| EOY | $10,517,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $304,600,931 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $219,260,614 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,388,669 | BOYAmt |
| EOY | $85,340,317 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,210,103 | BOYAmt |
| EOY | $52,201,211 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,463,993 | BOYAmt |
| EOY | $24,467,776 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,406,506 | BOYAmt |
| EOY | $240,045,289 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,005,597 | BOYAmt |
| EOY | $155,606,458 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,586,929 | BOYAmt |
| EOY | $29,163,127 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,592,526 | BOYAmt |
| EOY | $184,769,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,782,812 | BOYAmt |
| EOY | $52,034,356 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,007,836 | BOYAmt |
| EOY | $3,218,016 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,332 | BOYAmt |
| EOY | $23,332 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,813,980 | BOYAmt |
| EOY | $55,275,704 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,406,506 | BOYAmt |
| EOY | $240,045,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,273,077 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $460,158 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,271,511 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $20,012 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $20,012 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | The Hospital pays membership dues to four organizations; Long Island Health Network, Nassau-Suffolk Hospital Council, Healthcare Association of New York State, and the American Hospital Association. A portion of those dues have been allocated to lobbying expenditures. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,374,421 | BeginningYearBalanceAmt |
| Contributions | $257,325 | ContributionsAmt |
| Investment Earnings Or Losses | $515 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $695,347 | OtherExpendituresAmt |
| End Year Balance | $936,914 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,258,566 | BeginningYearBalanceAmt |
| Contributions | $321,235 | ContributionsAmt |
| Investment Earnings Or Losses | $32 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $205,412 | OtherExpendituresAmt |
| End Year Balance | $1,374,421 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,602,275 | BeginningYearBalanceAmt |
| Contributions | $138,886 | ContributionsAmt |
| Investment Earnings Or Losses | $8,443 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,491,038 | OtherExpendituresAmt |
| End Year Balance | $1,258,566 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,579,667 | BeginningYearBalanceAmt |
| Contributions | $96,805 | ContributionsAmt |
| Investment Earnings Or Losses | $42,744 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,116,941 | OtherExpendituresAmt |
| End Year Balance | $2,602,275 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,928,294 | BeginningYearBalanceAmt |
| Contributions | $98,929 | ContributionsAmt |
| Investment Earnings Or Losses | $41,402 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $488,958 | OtherExpendituresAmt |
| End Year Balance | $3,579,667 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.01000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.99000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,838 | OtherCostOrOtherBasisAmt |
| Book Value | $72,838 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $85,348,126 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,140,564 | DepreciationAmt |
| Book Value | $30,207,562 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,764,868 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,287,597 | DepreciationAmt |
| Book Value | $27,477,271 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,448,439 | OtherCostOrOtherBasisAmt |
| Depreciation | $106,106,655 | DepreciationAmt |
| Book Value | $25,341,784 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,966,660 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,725,798 | DepreciationAmt |
| Book Value | $2,240,862 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $85,340,317 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INSURANCE CLAIMS RECEIVABLE | $21,257,955 |
| INTEREST IN NET ASSETS JTMHFF | $2,304,629 |
| OTHER ASSETS | $905,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,467,776 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $361,822,861 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $361,822,861 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $361,822,861 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $360,549,784 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $360,549,784 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $360,549,784 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: Intended uses of the endowment fund. | FormAndLineReferenceDesc |
| Explanation | The endowment funds are used to improve the quality of the lives of those served by John T. Mather Memorial Hospital. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 450.000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,992,142 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,880,324 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $111,818 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,286,524 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,747,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$460,852 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,278,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,627,700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$349,034 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $942,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $235,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $706,869 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,028,477 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,597,850 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,430,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01780 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,450,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,696,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,754,262 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02150 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,400 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,438,227 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,530,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,908,158 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,716,893 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,157,769 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,559,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04160 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,060 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,060 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,088,260 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,370 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $108,371,150 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $134,312,752 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,941,602 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | J T MATHER MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 North Country Road | AddressLine1Txt |
| City | Port Jefferson | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11777 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.matherhospital.org | WebsiteAddressTxt |
| State License | operating cert. # 5149000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.matherhospital.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.matherhospital.org/matherhospital.org/cmsAdmin/uploadsX* | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 450.0000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.matherhospital.org | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.matherhospital.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | Yes. Mather Hospital contacted local civic groups, emergency medical services/ ambulance companies, fire departments, libraries, local school districts, service groups and other community-based organizations and e-mailed them the link to the CHNA online survey.- |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | Stony Brook University Medical Center, St. Charles Hospital, Brookhaven Hospital Medical Center, Peconic Bay Medical Center, Good Samaritan Hospital Medical Center, St. Catherine of Siena Medical Center, Southampton Hospital and the North-Shore-LIJ Health system.- |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) | The Hospital uses the Federal Poverty Guidelines (FPG) to determine eligibility for providing free/discounted care.Certain assets are also considered to determine eligibility. The following assets are excluded from consideration: patient's primary residence, tax-deferred or comparable retirement savings accounts, college savings accounts, and cars used by the patient or the patient's immediate family. The Hospital also uses Transunion credit scores to determine presumptive eligibility. |
| Part I, Line 6a - Related Organization Community Benefit Report | The Hospital prepares a Community Service Plan. The 2016-2018 Community Service Plan is available on the Hospital website.The web address is www.matherhospital.org/publications.php |
| Part I, Line 7 - Explanation of Costing Methodology | (Row a & b) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to the charges written off for patients qualifying for charity care under the hospital's financial assistance policy. The Medicaid cost was determined by utilizing the ratio of cost tocharges (RCC) calculated on Worksheet 2 applied to the Medicaidcharges. |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | The Hospital did include bad debt expense on Form 990, Part IX, line 24b. |
| Part I, Line 7g - Costs Associated With Physicans Clinics | The cost was obtained from the 2017 Institutional Cost Report Stepdown. Additionally, actual cost identification from salary reports was used. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Bad debt expense is reported by the Hospital for the uncollectible amounts due from patients that are determined to have the ability to pay but did not. The total bad debt expense for 2017 was $5,088,260. This was reported on line 2. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | This represents bad debt write-offs for patients that were also eligible for charity care under the Hospital's policy. |
| Part III, Line 4 - Bad Debt Expense | The cost of bad debt, as reported in the footnote 12 (page 32) of the certified financial statements, was $1,294,031. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | Medicare expenses reported in this section were obtained from the Medicare cost report. The Medicare cost report uses a stepdown methodology to determine a routine cost/day and a RCC for ancillary services. The routine cost/day is applied to the Medicare days and the RCC is applied to the Medicare ancillary charges. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | Application assistance is available for patients that are deemed to qualify for financial assistance based on prescreening. |
| Part VI, Line 2 - Needs Assessment | The following meetings, reports and documents play a major role in shaping Mather Hospital's community needs assessment: Reports from community, local, state and federal government agencies. Meetings and communication with Suffolk County Department of Health. Current industry journals, periodicals, newsletters and other literature. General health-related news reports Hospital-generated statistical reports Monthly Board of Directors meetings. Board of Directors' Long Range Planning Committee Reports generated by internal committees and task forces. Regular weekly administrative staff planning sessions. Patient questionnaire mailed to all medical/surgical patients. Questionnaires distributed to Emergency Department patients. Patient representative program. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | Please read the 2016 Report to the Community at our website,http:/www.matherhospital.org under "publications". |
| Part VI, Line 4 - Community Information | Please read 2016 Report to the Community at our website,http:/www.matherhospital.org "under "publications". |
| Part VI, Line 4 - Community Building Activities | Meals on Wheels provides vital nourishment to elderly or disabled community members who, due to immobility and isolation, are unable to prepare their own meals.The Hospital participates in training, planning and exercises in coordination with the State and County entities so it is prepared tp protect the health and safety of the community in the event of a terrorist event, natural disaster or other health emergency. |
| Part VI, Line 5 - Promotion of Community Health | Please read the Report to the Community at our website, http:/www.matherhospital.org under "publications. |
| Part VI, Line 7 - States Filing of Community Benefit Report | NY |
| Part V - Explanation of Number of Facility Type | One licensed hospital |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| JOAN C FARO | |||||
| Chief Medical Officer | $481,342 | $6,858 | $30,230 | $10,162 | $528,592 |
| JOSEPH WISNOSKI | |||||
| Sr. VP & CFO | $446,529 | $5,022 | $18,900 | $27,172 | $497,623 |
| KEITH HARRIS | |||||
| Physician | $651,391 | $33,698 | $10,162 | $695,251 | |
| KENNETH D ROBERTS | |||||
| President & CEO | $708,676 | $320,395 | $45,000 | $27,172 | $1,101,243 |
| KEVIN J MURRAY | |||||
| Sr. Vice Pres-Administration | $294,568 | $3,564 | $47,739 | $27,172 | $373,043 |
| MARIE E MULLIGAN | |||||
| Vice President-Nursing | $304,553 | $2,322 | $24,210 | $27,172 | $358,257 |
| MOHAMMAD BILAL MD | |||||
| Board member | $577,605 | $809 | $16,200 | $27,172 | $621,786 |
| NICK PATEL | |||||
| Physician | $638,374 | $36,900 | $27,172 | $702,446 | |
| PETER OTTAVIO | |||||
| Physician | $634,999 | $34,200 | $27,172 | $696,371 | |
| SYED HUSSAINI | |||||
| Physician | $663,701 | $2,268 | $16,200 | $27,172 | $709,341 |
| WAYNE S SHATTES | |||||
| Vice President-Administration | $250,219 | $3,564 | $44,898 | $27,172 | $325,853 |
| YUVAL HILTZIK | |||||
| Physician | $737,330 | $34,200 | $27,172 | $798,702 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a: Relevant information in regards to selections on 1a. | Travel for companionsAdministrative approval Board member's spouse, relative or significant other, may be reimbursed subject to the following; the nature of the conference, workshop or seminar contains a critical social element in the judgement of the President or the Chairman of the Board and warrants their attendance. The reimbursement is a non-taxable transaction and considered de minimis in the opinion of legal counsel. |
| Part III, Additional Information | Part II, Line 2(i), column (iii)Kenneth D. Roberts other reportable compensation, $320,395, includes the proceeds of a Supplemental Executive Retirement Plan ("SERP") in the amount of $307,326 which was paid out of a legacy KEYSOP plan set up to fund the SERP. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| TOWN of BROOKHAVEN LDC | |||||||
| A | 272768182 | 2012-11-30 | $20,105,000 | REFINANCE 1996 DASNY BONDS | false | false | false |
| TOWN of BROOKHAVEN LDC | |||||||
| B | 272768182 | 2013-08-15 | $23,000,000 | CONSTRUCT FACILITY ADDITION | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $20,105,000 | $323,740 | $19,781,260 | Yes (true) | false | Yes (true) | Yes (true) | ||
| B | $23,000,000 | $351,394 | false | false | Yes (true) | Yes (true) | $1,070,827 | $21,577,779 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | B | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEOPLES UNITED B | |||||||||||||
| A | false | Yes (true) | false | false | Yes (true) | 10.0000 | false | false | false | Not applicable | false | false | Yes (true) |
| PEOPLES UNITED B | |||||||||||||
| B | false | Yes (true) | false | false | Yes (true) | 10.0000 | false | false | false | Not applicable | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ANNE MARIE PENNEY | |||
| FM of CEO | $56,890 | EMPLOYEE WAGES | false |
| FRANK SINI | |||
| FM of DIRECTOR | $14,494 | CONSULTANT | false |
| KATHRYN B FREY | |||
| BOARD MEMBER | $1,577,842 | RENTS\COMMON CHARGES | false |
| SARAH ECKARDT | |||
| FM of DIRECTOR | $61,509 | EMPLOYEE WAGES | false |
| KIMBERLY JARETT | |||
| FM of DIRECTOR | $39,770 | EMPLOYEE WAGES | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | James Danowski has a business relationship with Richard Lusak. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Mather Health System Inc. is the sole member of John T. Mather Memorial Hospital. Mather Health System Inc. is organized as a not-for-profit corporation under federal and New York state laws. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | As the sole member of the Corporation, Mather Health System Inc. approves the election and removal of members of the board of directors.- |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | Mather Health System Inc. (MHS), pursuant to the New York not-for-profit corporation law, has the authority to (1) elect and remove members of the taxpayer's governing board, (2) approve amendments to the taxpayer's certificate of incorporation and bylaws, and (3) approve significant corporate transactions. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The policy of John T. Mather Memorial Hospital for reviewing and approving the IRS Form 990 is the following; The Hospital's Corporate Compliance & Audit Committee, a six member sub-committee of the Board of Directors, is assigned to review, make recommendations and ultimately approve the IRS Form 990. The Corporate Compliance & Audit Committee will notify the Board of Directors when the IRS Form 990 is approved. The entire Board of Directors will then have the documents made available through a secure online portal before it is filed with the Internal Revenue Service.- |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | CONFLICT OF INTEREST DICLOSURE STATEMENT FOR DIRECTORS and OFFICERS Each year all members of the board, officers and key employees must reaffirm that the conflict of interest form on file with the Hospital is accurate and complete. The sixteen question document is intended to identify business dealings that involve improper conflicts of interest and is prefaced with detailed definitions with regard to; immediate family, vendors, competitors, doing business or a business relationship and disclosable interests.The compliance and audit committee is charged with oversight of adherence to the conflict of interest policy. At the instruction of the compliance and audit committee, legal counsel conducts a review of each disclosure statement and submitsfindings to the audit committee. The audit committee notifies the board of directors of any potential or perceived conflicts of interest. Individuals that have disclosed a potential conflict of interest are asked to excuse themselves from deliberation or actions that may be construed as a conflict of interest.Employees are governed by the same principles and tenets by a written Code of Conduct and Conflict of Interest Policy.- |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The following compensation policy applies to the Hospital's President & CEO and the Hospital's CFO hereafter referred to as a "Covered Individual".The Compensation Committee shall determine and/or approve the amount of Compensation to be paid to any Covered Individual. In making such determination or approval, which shall be performed at least annually, the Compensation Committee shall consider all components of the Covered Individual's Compensation.In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee may, in it's discretion, consider and rely upon the following data, as well as other information or data that it deems relevant; (i) compensation paid for comparable positions by similarly situated non-profit and for-profit entities; (ii) availability of individuals possessing similar expertise or specialized training in the geographic area; (iii) independent compensation surveys compiled by independent firms; and (iv) written offers that the Covered Individual has received from other similar institutions competing for his or her services.In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee will evaluate, or review an evaluation of, the Covered Individual's job performance (if currently employed) and/or a description of the Covered Individual's qualifications (if being recruited by the Organization). Such evaluations and descriptions may include and/or consider a description of the duties and responsibilities of the Covered Individual's position and the results achieved by such individual; other executive's assessments of the importance of the Covered Individual to the Organization and the role of Compensation in retaining and incentivizing the performance of the Covered Individual; whether and to what extent the Covered Individual possesses unique talents and abilities that increase his or her value to the Organization; increases in the nature, scope, or extent of the Covered Individual's duties; and any other subjective factors or other information concerning the Covered Individual's contributions to the Organization that the Compensation Committee deems relevant in setting the Covered Individual's Compensation.- |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Form 1023 (Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code) the Hospital has a verification letter (dated 1/17/1996) from the Internal revenue service confirming that a determination or ruling letter was issued granting exemption on October 1933. A copy of this confirmation letter is available upon request.Form 990 is available at the WEBSITE: http://www.guidestar.org or available upon request.Form 990-T is available upon request.The Hospital's governing documents are available upon request.The Hospital's conflict of interest policies are available upon requestThe Hospital's audited financial statements are attached, available at the WEBSITE: http://www.dacbond.com or available upon request.All requests should be directed to:John T. Mather Memorial Hospital-Finance Department75 North Country RoadPort Jefferson, NY 11777-2119Please list the requested items and give a contact address, email address or phone contact number.A photocopy charge will be applicable as allowed by law. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Change in FMV of Interest rate swap = $49299 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Increase in interest Related Organization-JTMHFF = $82927 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Non-periodic pension changes = -$2581226 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Transfer from Affiliate-IRNC = $0 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Transfer to affiliate (INRC) = -$2822511 |
| SCHEDULE L, PART IV - SUPPLEMENTAL | The Hospital would like to disclose the following information;1) The Hospital maintains professional liability and general insurance policies with Medical Liability Mutual Insurance Company(MLMIC). As a mutual insurance company, MLMIC is required to have a majority of it's board of directors comprised of policyholders. Kenneth Roberts, President & CEO of John T. Mather Memorial Hospital, is a member of the board of directors of MLMIC and received remuneration for his services.2)Kathryn B. Frey, a board member, is a managing partner of North Shore Professional, LP and Harbor Properties Management LLC. North Shore Professional, LP contracts to Harbor Properties Management LLC, which leases office space to the Hospital. Kathryn B. Frey declared a conflict of interest when lease negotiations between the Hospital and Harbor Properties Management LLC were discussed by the Board and excused herself from the board meeting during these discussions. She did not participate in the voting on this decision.3)Dr. Mohammad Bilal, a board member, has a consulting agreement with Medtronic SD, USA a medical device distributor. Dr. Bilal will excuse himself from any discussions regarding the purchase of products from Medtronics or one of their competitors. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MATHER HEALTH SYSTEM INC | ||||||||||
| 75 NORTH COUNTRY ROAD | PORT JEFFERSON | NY | 117772119 | 113417615 | MEMBERSHIP CORP & SOLE MEMBER to J T MATHER MEMORIAL HOSP | NY | 501(c)(3) | 11a | NA | false |
| JT MATHER HEALTH FACILITIES FOUNDATION | ||||||||||
| 75 NORTH COUNTRY ROAD | PORT JEFFERSON | NY | 117772119 | 112714670 | RAISES FUNDS to BENEFIT J T MATHER MEMORIAL HOSPITAL | NY | 501(c)(3) | 7 | MATHER HEALTH SYSTEM INC | false |
| ISLAND NURSING & REHAB CENTER | ||||||||||
| 5536 EXPRESSWAY DRIVE NORTH | HOLTSVILLE | NY | 117421316 | 113570505 | NURSING & REHAB CARE IN A SKILLED NURSING FACILITY | NY | 501(c)(3) | 9 | MATHER HEALTH SYSTEM INC | false |
| INRC SERVICES CORP | ||||||||||
| 5537 EXPRESSWAY DRIVE | HOLTSVILLE | NY | 11742 | 202900978 | REAL ESTATE HOLDING COMPANY for a Non-Profit NURSING HOME | NY | 501(c)(3) | 11b | ISLAND NURSING & REHAB CENTER | false |
| MOUNT SINAI SENIOR SERVICES INC | ||||||||||
| ONE JEFFERSON FERRY DRIVE | SOUTH SETAUKET | NY | 11720 | 200493404 | HUMAN SERVICES/SENIOR CONTINUING CARE COMMUNITY | NY | 501(c)(3) | 9 | MATHER HEALTH SYSTEM INC | false |
| ACTIVE RETIREMENT COMMUNITY INC | ||||||||||
| ONE JEFFERSON FERRY DRIVE | SOUTH SETAUKET | NY | 11720 | 311631439 | HUMAN SERVICES/SENIOR CONTINUING CARE COMMUNITY | NY | 501(c)(3) | 9 | MATHER HEALTH SYSTEM INC | false |
| HARBOR VIEW MEDICAL SERVICES PC | ||||||||||
| 70 NORTH COUNTRY ROAD - SUITE 101 | PORT JEFFERSON | NY | 11777 | 264517010 | PHYSICIANS PRACTICES | NY | 501(c)(3) | 11a | MATHER HEALTH SYSTEM INC | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATHER MANAGEMENT SYSTEM INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 NORTH COUNTRY ROAD | AddressLine1Txt |
| City | PORT JEFFERSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 117772119 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113417553 | EIN |
| Primary Activities | FOR PROFIT | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C corp | EntityTypeTxt |
| Ownership | 0.00000 | OwnershipPct |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| JT MATHER HEALTH FACILITIES FOUNDATION | ||
| c | $640,560 | Cash |
| JT MATHER HEALTH FACILITIES FOUNDATION | ||
| o | $553,297 | Cash |
| JT MATHER HEALTH FACILITIES FOUNDATION | ||
| p | $553,297 | Cash |
| ISLAND NURSING & REHAB CENTER | ||
| r | $2,822,511 | Cash |