EASTERN LONG ISLAND HOSPITAL ASSOC INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN LONG ISLAND HOSPITAL ASSOC INC (EIN 11-1633563)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201713189349310031
- Schema version
- 2016v3.1
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T16:02:25-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100175001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111633563 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM J MESSNER | InCareOfNm |
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 6314771000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 119441222 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANICE CLAUDIO | PersonNm |
| Person Title | treasurer | PersonTitleTxt |
| Phone | 6314771000 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Angelo Pirozzi | PreparerPersonNm |
| PTIN | P00446022 | PTIN |
| Phone | 2128858000 | PhoneNum |
| Preparation | 2017-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 162.249.80.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 26308920173185000039 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | EE057800E4A178E9AC3AFE9F4334FD4004F4CA47 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EE057800E4A178E9AC3AFE9F4334FD4004F4CA47 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL J CONNOR III | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,703,459 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ELIH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 480 | TotalEmployeeCnt |
| Total Volunteers | 106 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,801,748 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,339,685 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,898,133 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $41,141,531 | CYProgramServiceRevenueAmt |
| PY Investment Income | $683,034 | PYInvestmentIncomeAmt |
| CY Investment Income | $196,796 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,332,915 | PYOtherRevenueAmt |
| CY Other Revenue | $3,668,219 | CYOtherRevenueAmt |
| PY Total Revenue | $47,715,830 | PYTotalRevenueAmt |
| CY Total Revenue | $46,346,231 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,700,576 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,486,172 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $959,415 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,343,909 | PYOtherExpensesAmt |
| CY Other Expenses | $18,115,228 | CYOtherExpensesAmt |
| PY Total Expenses | $49,044,485 | PYTotalExpensesAmt |
| CY Total Expenses | $51,601,400 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,328,655 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,255,169 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,358,273 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,319,566 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,891,027 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,897,973 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,467,246 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $421,593 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $46,841,281 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $42,449,387 | RevenueAmt |
| Desc | TO PROVIDE ACUTE MEDICAL, SURGICAL, ALCOHOL, DETOX, REHAB AND EMERGENCY SERVICES AND CARE TO THE EAST END OF LONG ISLAND. THERE WERE 2,583 ADMISSIONS, 17,240 PATIENT DAYS AND 43,682 EMERGENCY AND AMBULATORY CARE VISITS DURING 2016. | Desc |
| Total Program Service Expenses | $46,841,281 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 93 | IRPDocumentCnt |
| IRP Document W2 G | 23 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 480 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 | false | 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM J MESSNER | PersonNm |
| Phone | 6314775313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS E MURRAY JR | |||||||||
| CHAIRMAN | 15.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK ADIPIETRO MD | |||||||||
| VICE CHAIRMAN | 10.0 | 0.0 | Yes (X) | Yes (X) | $299,000 | $0 | $0 | ||
| CAROLE G DONLIN | |||||||||
| VICE CHAIRMAN | 10.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT T GOLDMAN | |||||||||
| VICE CHAIRMAN | 10.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANICE CLAUDIO | |||||||||
| TREASURER | 10.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VICKIE DEFRIEST | |||||||||
| SECRETARY | 10.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NEBOYSHA BRASHICH thru 716 | |||||||||
| GOV'T AFFAIRS REPRESENTATIVE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT BENNETT | |||||||||
| TRUSTEE | 10.0 | 15.0 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL BRISOTTI | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| HELENE V FALL FROM 416 | |||||||||
| President of Auxiliary | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET FLANAGAN | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID M FUJITA | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CAROLINE GATEWOOD MD | |||||||||
| TRUSTEE (thru 1/16) | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| HELEN LATHAM thru 116 | |||||||||
| PRESIDENT OF AUXILIARY | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Douglas R MATHIE | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MAUREEN T MILLS | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES F PRESTON | |||||||||
| TRUSTEE | 10.0 | 15.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH PUFAHL | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAY P QUARTARARO | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD SCHOTT | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL J CONNOR III | |||||||||
| PRESIDENT & CEO | 37.5 | 10.0 | Yes (X) | $520,452 | $0 | $44,098 | |||
| ROBERT RAGONA | |||||||||
| VP FINANCE & CFO | 37.5 | 0.0 | Yes (X) | $269,544 | $0 | $43,845 | |||
| JARID PACHTER | |||||||||
| PHYSICIAN | 37.5 | 0.0 | $399,775 | $0 | $56,515 | Yes (X) | |||
| DELIA PISPISA | |||||||||
| VP OF NURSING | 37.5 | 0.0 | $245,478 | $0 | $42,497 | Yes (X) | |||
| WILLIAM J MESSNER | |||||||||
| CONTROLLER | 37.5 | 0.0 | $201,359 | $0 | $52,013 | Yes (X) | |||
| SUSAN APICELLO | |||||||||
| VP OF ADMIN./LAB MANAGER | 37.5 | 0.0 | $184,503 | $0 | $35,987 | Yes (X) | |||
| JOEL LAZARUS | |||||||||
| RESPIRATORY THERAPY DIRECTOR | 37.5 | 0.0 | $150,583 | $0 | $24,299 | Yes (X) | |||
| RAYMOND KRUPSKI | |||||||||
| PHARMACY DIRECTOR | 37.5 | 0.0 | $148,430 | $0 | $35,854 | Yes (X) | |||
| DANIEL SCOTTO | |||||||||
| MIS DIRECTOR | 37.5 | 0.0 | $148,172 | $0 | $48,478 | Yes (X) | |||
| Theresa Glass | |||||||||
| VP Clinical Services | 37.5 | 0.0 | $141,432 | $0 | $47,736 | Yes (X) | |||
| FRANK DUMONT | |||||||||
| HUMAN RESOURCES DIRECTOR | 37.5 | 0.0 | $137,991 | $0 | $47,494 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,846,719 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $478,816 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | 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 |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 5303 Collections Center Drive | CHICAGO | IL | 60693 | MEDICAL | $1,238,296 |
| Paragon Emergency Medicine | |||||
| PO Box 284 | WADING RIVER | NY | 11792 | Medical | $964,593 |
| OWENS AND MINOR | |||||
| 1950 N Stemmons Fwy STE 5010 | DALLAS | TX | 19178 | MEDICAL | $612,994 |
| Island Builders | |||||
| 950 Johnson Avenue | RONKONKOMA | NY | 11779 | CONSTRUCTION | $552,850 |
| East End Physician Services PC | |||||
| PO Box 1341 | SOUTHOLD | NY | 11971 | MEDICAL | $545,536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $281,183 | FundraisingAmt |
| Related Organizations | $527,248 | RelatedOrganizationsAmt |
| Government Grants | $36,000 | GovernmentGrantsAmt |
| All Other Contributions | $495,254 | AllOtherContributionsAmt |
| Noncash Contributions | $24,054 | NoncashContributionsAmt |
| Total Contributions | $1,339,685 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICES | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $41,141,531 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,141,531 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $41,141,531 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,354 | TotalRevenueColumnAmt |
| Exclusion | $109,354 | 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 | $80,442 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,959 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $43,483 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,483 | TotalRevenueColumnAmt |
| Exclusion | $43,483 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $87,442 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $87,442 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,442 | TotalRevenueColumnAmt |
| Exclusion | $87,442 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $148,269 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $281,183 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $148,269 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $290,000 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $172,000 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,000 | TotalRevenueColumnAmt |
| Exclusion | $118,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,506,736 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,307,856 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,198,880 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,506,736 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,346,231 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,449,387 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,557,159 | 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 | $0 | TotalAmt |
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 | $2,096,066 | TotalAmt |
| Program Services | $1,131,311 | ProgramServicesAmt |
| Management And General | $964,755 | 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 | $22,196,389 | TotalAmt |
| Program Services | $20,624,395 | ProgramServicesAmt |
| Management And General | $1,091,644 | ManagementAndGeneralAmt |
| Fundraising | $480,350 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,046,755 | TotalAmt |
| Program Services | $1,880,728 | ProgramServicesAmt |
| Management And General | $123,098 | ManagementAndGeneralAmt |
| Fundraising | $42,929 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,392,232 | TotalAmt |
| Program Services | $4,921,864 | ProgramServicesAmt |
| Management And General | $359,018 | ManagementAndGeneralAmt |
| Fundraising | $111,350 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,754,730 | TotalAmt |
| Program Services | $1,579,257 | ProgramServicesAmt |
| Management And General | $140,378 | ManagementAndGeneralAmt |
| Fundraising | $35,095 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,731 | TotalAmt |
| Program Services | $155,458 | ProgramServicesAmt |
| Management And General | $13,818 | ManagementAndGeneralAmt |
| Fundraising | $3,455 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,400 | TotalAmt |
| Program Services | $84,060 | ProgramServicesAmt |
| Management And General | $7,472 | ManagementAndGeneralAmt |
| Fundraising | $1,868 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448,746 | TotalAmt |
| Program Services | $1,303,871 | ProgramServicesAmt |
| Management And General | $115,900 | ManagementAndGeneralAmt |
| Fundraising | $28,975 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,070 | TotalAmt |
| Program Services | $56,763 | ProgramServicesAmt |
| Management And General | $5,046 | ManagementAndGeneralAmt |
| Fundraising | $1,261 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,649 | TotalAmt |
| Program Services | $323,684 | ProgramServicesAmt |
| Management And General | $28,772 | ManagementAndGeneralAmt |
| Fundraising | $7,193 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,317 | TotalAmt |
| Program Services | $974,049 | ProgramServicesAmt |
| Management And General | $49,623 | ManagementAndGeneralAmt |
| Fundraising | $21,645 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,658 | TotalAmt |
| Program Services | $42,892 | ProgramServicesAmt |
| Management And General | $3,813 | ManagementAndGeneralAmt |
| Fundraising | $953 | FundraisingAmt |
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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $904,871 | TotalAmt |
| Program Services | $814,384 | ProgramServicesAmt |
| Management And General | $72,390 | ManagementAndGeneralAmt |
| Fundraising | $18,097 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,966,670 | TotalAmt |
| Program Services | $1,770,003 | ProgramServicesAmt |
| Management And General | $157,334 | ManagementAndGeneralAmt |
| Fundraising | $39,333 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,404 | TotalAmt |
| Program Services | $612,364 | ProgramServicesAmt |
| Management And General | $54,432 | ManagementAndGeneralAmt |
| Fundraising | $13,608 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PURCHASED SERVICES | $5,105,009 | $4,594,508 | $408,401 | $102,100 |
| MEDICAL AND DEPT. SUPPLIES | $2,207,714 | $2,207,714 | $0 | $0 |
| PHARMACEUTICALS | $1,459,897 | $1,459,897 | $0 | $0 |
| STAFF DEVELOPMENT | $828,405 | $745,565 | $66,272 | $16,568 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,731,687 | TotalAmt |
| Program Services | $1,558,514 | ProgramServicesAmt |
| Management And General | $138,538 | ManagementAndGeneralAmt |
| Fundraising | $34,635 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,601,400 | TotalAmt |
| Program Services | $46,841,281 | ProgramServicesAmt |
| Management And General | $3,800,704 | ManagementAndGeneralAmt |
| Fundraising | $959,415 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,644 | BOYAmt |
| EOY | $656,528 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,569,731 | BOYAmt |
| EOY | $1,903,852 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,981,956 | BOYAmt |
| EOY | $4,602,268 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $899,255 | BOYAmt |
| EOY | $826,805 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $638,567 | BOYAmt |
| EOY | $642,339 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,532,534 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $38,938,947 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,622,967 | BOYAmt |
| EOY | $13,593,587 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,742,847 | BOYAmt |
| EOY | $3,351,600 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,312,306 | BOYAmt |
| EOY | $3,742,587 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,358,273 | BOYAmt |
| EOY | $29,319,566 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,205,085 | BOYAmt |
| EOY | $9,249,276 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,900,000 | BOYAmt |
| EOY | $13,738,457 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,000 | BOYAmt |
| EOY | $2,400,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,185,942 | BOYAmt |
| EOY | $3,010,240 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,891,027 | BOYAmt |
| EOY | $28,897,973 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,096,225 | BOYAmt |
| EOY | -$949,428 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,333 | BOYAmt |
| EOY | $50,333 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,320,688 | BOYAmt |
| EOY | $1,320,688 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,467,246 | BOYAmt |
| EOY | $421,593 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,358,273 | BOYAmt |
| EOY | $29,319,566 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,255,169 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $63,215 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $146,301 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,239,939 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $87,140 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,327,079 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,314,299 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$74,360 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,239,939 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,697,503 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$383,204 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,314,299 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,469,606 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $227,897 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,697,503 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,346,213 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $123,393 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,469,606 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $419,756 | OtherCostOrOtherBasisAmt |
| Book Value | $419,756 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,715,472 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,383,299 | DepreciationAmt |
| Book Value | $6,332,173 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,397,306 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,555,648 | DepreciationAmt |
| Book Value | $6,841,658 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $13,593,587 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $1,474,490 |
| ESTIMATED MALPRACTICE RECOVERY | $2,125,000 |
| DUE FROM STONY BROOK | $71,008 |
| SECURITY DEPOSITS | $72,089 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,742,587 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $737,803 |
| ACCRUED PENSION LIABILITY | $147,437 |
| ESTIMATED MALPRACTICE RECOVERIES | $2,125,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,010,240 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2016, 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 2013. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $297,750 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $185,230 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $112,520 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $35,121 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $51,310 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $26,089 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $131,702 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $95,953 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $35,749 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $2,085 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $29,726 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $3,938 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $429,452 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $281,183 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $148,269 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $37,206 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $81,036 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $30,027 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $148,269 | DirectExpenseSummaryEventsAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $290,000 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $145,000 | CashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $27,000 | OthDirectExpnssOtherGamingAmt |
| Gross Revenue Total Gaming | $290,000 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $145,000 | CashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $27,000 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $172,000 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $118,000 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NY | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | false | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | false | CharitableDistributionRqrInd |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| 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 | $1,131,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,131,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,533,709 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,218,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,315,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14550 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $167,943 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $167,943 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,832,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,218,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,614,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,832,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,218,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,614,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,000,410 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $204,610 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,560,263 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,356,426 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,796,163 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Fork Surgery C | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Medical Services | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.2 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.4 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.0 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | EASTERN LONG ISLAND HOSPITAL ASSOC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| 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.elih.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.ELIH.ORG | StrategyWebsiteURLTxt |
| 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 | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.elih.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.elih.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.elih.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 Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| 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 Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL J CONNOR III | ||||||||||||||
| PRESIDENT & CEO | $409,048 | $0 | $97,000 | $0 | $14,404 | $0 | $18,500 | $0 | $25,598 | $0 | $564,550 | $0 | $0 | $0 |
| ROBERT RAGONA | ||||||||||||||
| VP FINANCE & CFO | $268,285 | $0 | $0 | $0 | $1,259 | $0 | $18,500 | $0 | $25,345 | $313,389 | $0 | $0 | $0 | |
| JARID PACHTER | ||||||||||||||
| PHYSICIAN | $391,659 | $0 | $0 | $0 | $8,116 | $0 | $18,500 | $0 | $38,015 | $0 | $456,290 | $0 | $0 | $0 |
| DELIA PISPISA | ||||||||||||||
| VP OF NURSING | $245,129 | $0 | $0 | $0 | $349 | $0 | $17,178 | $0 | $25,319 | $0 | $287,975 | $0 | $0 | $0 |
| WILLIAM J MESSNER | ||||||||||||||
| CONTROLLER | $200,595 | $0 | $0 | $0 | $764 | $0 | $14,071 | $0 | $37,942 | $0 | $253,372 | $0 | $0 | $0 |
| FRANK ADIPIETRO MD | ||||||||||||||
| VICE CHAIRMAN | $299,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $299,000 | $0 | $0 | $0 |
| SUSAN APICELLO | ||||||||||||||
| VP OF ADMIN./LAB MANAGER | $184,503 | $0 | $0 | $0 | $0 | $0 | $12,939 | $0 | $23,048 | $0 | $220,490 | $0 | $0 | $0 |
| JOEL LAZARUS | ||||||||||||||
| RESPIRATORY THERAPY DIRECTOR | $150,583 | $0 | $0 | $0 | $0 | $0 | $10,480 | $0 | $13,819 | $0 | $174,882 | $0 | $0 | $0 |
| RAYMOND KRUPSKI | ||||||||||||||
| PHARMACY DIRECTOR | $148,430 | $0 | $0 | $0 | $0 | $0 | $10,368 | $0 | $25,486 | $0 | $184,284 | $0 | $0 | $0 |
| DANIEL SCOTTO | ||||||||||||||
| MIS DIRECTOR | $148,172 | $0 | $0 | $0 | $0 | $0 | $10,595 | $0 | $37,883 | $0 | $196,650 | $0 | $0 | $0 |
| Theresa Glass | ||||||||||||||
| VP Clinical Services | $141,432 | $0 | $0 | $0 | $0 | $0 | $9,891 | $0 | $37,845 | $0 | $189,168 | $0 | $0 | $0 |
| FRANK DUMONT | ||||||||||||||
| HUMAN RESOURCES DIRECTOR | $135,240 | $0 | $0 | $0 | $2,751 | $0 | $9,540 | $0 | $37,954 | $0 | $185,485 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUFFOLK COUNTY INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 112584714 | BondIssuerEIN |
| CUSIP | 864768NTR | CUSIPNum |
| Bond Issued | 2007-06-27 | BondIssuedDt |
| Issue Price | $17,760,000 | IssuePriceAmt |
| Purpose | IMPROVEMENTS OF HOSPITAL FACILITY | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $17,760,000 | TotalProceedsAmt |
| In Reserve Fund | $1,187,569 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $11,793,210 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $765,422 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $5,939,581 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | 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 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: H.R. POLICIES ARE REVIEWED ANNUALLY BY THE AUDIT COMMITTEE AND DISCUSSED AT THE QUARTERLY MEETINGS. |
| 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.....$146,301. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203851050 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12 TYPE 1 | PublicCharityStatusTxt |
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST END PHYSICIAN SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460852920 | EIN |
| Primary Activities | PRIMARY CARE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORPORATION | EntityTypeTxt |
| Share Of Total Income | $713,100 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $159,500 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | 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 | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| 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 | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST END PHYSICIAN SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $1,426,498 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |