CENTRAL SUFFOLK HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL SUFFOLK HOSPITAL (EIN 11-1661359)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201613209349305706
- Schema version
- 2015v2.1
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T16:05:57-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 131517563 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOEB & TROPER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 THIRD AVENUE 12TH FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111661359 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL SUFFOLK HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 6315486064 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 ROANOKE AVENUE | AddressLine1Txt |
| City | RIVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW MITCHELL | PersonNm |
| Person Title | CEO / PRESIDENT | PersonTitleTxt |
| Phone | 6315486064 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIC GOLDFARB | PreparerPersonNm |
| PTIN | P01277125 | PTIN |
| Phone | 2128674000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PECONIC BAY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREW MITCHELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 ROANOKE AVENUE | AddressLine1Txt |
| City | RIVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $165,446,724 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PBMEDICALCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1951 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CSH IS A NOT-FOR-PROFIT HOSPITAL, A SKILLED NURSING FACILITY, AND A CERTIFIED HOME CARE AGENCY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 1391 | TotalEmployeeCnt |
| Total Volunteers | 148 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,499,909 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,978,117 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $145,152,717 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $157,038,154 | CYProgramServiceRevenueAmt |
| PY Investment Income | $323,110 | PYInvestmentIncomeAmt |
| CY Investment Income | $155,383 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,135,784 | PYOtherRevenueAmt |
| CY Other Revenue | $2,706,564 | CYOtherRevenueAmt |
| PY Total Revenue | $153,111,520 | PYTotalRevenueAmt |
| CY Total Revenue | $163,878,218 | 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 | $80,157,059 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $84,994,439 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $165,497 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,365,286 | PYOtherExpensesAmt |
| CY Other Expenses | $76,894,175 | CYOtherExpensesAmt |
| PY Total Expenses | $149,522,345 | PYTotalExpensesAmt |
| CY Total Expenses | $161,888,614 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,589,175 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,989,604 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $125,161,617 | TotalAssetsBOYAmt |
| Total Assets EOY | $129,946,015 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $101,560,210 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $105,482,981 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,601,407 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,463,034 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CENTRAL SUFFOLK HOSPITAL (CSH) D/B/A PECONIC BAY MEDICAL CENTER (PBMC) IS A NOT-FOR-PROFIT HOSPITAL CONSISTING OF 122 ACUTE CARE BEDS, A 60-BED SKILLED NURSING FACILITY AND A CERTIFIED HOME CARE AGENCY. CSH PROVIDES A FULL RANGE OF HEALTH CARE SERVICES TO THE LOCAL COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $124,577,320 | ExpenseAmt |
| Revenue | $157,038,154 | RevenueAmt |
| Desc | COMPREHENSIVE HEALTHCARE SERVICES INCLUDING EMERGENCY, SURGICAL, MEDICAL, ICU AND OBSTETRICS/GYNECOLOGICAL. TOTAL PATIENT DAYS FOR ALL INPATIENT SERVICES WERE 51,411. TOTAL OUTPATIENT VISITS WERE 90,986. | Desc |
| Total Program Service Expenses | $124,577,320 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 51 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1391 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL F O'DONNELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6315486074 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 ROANOKE AVENUE | AddressLine1Txt |
| City | RIVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 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 |
|---|---|---|---|---|---|---|---|---|---|
| ANDREW J MITCHELL | |||||||||
| CEO / PRESIDENT | 22.50 | 15.00 | Yes (X) | Yes (X) | $850,873 | $0 | $58,582 | ||
| GERARD ZUNNO RN | |||||||||
| COO / SVP OF PATIENT CARE | 37.50 | Yes (X) | Yes (X) | $337,174 | $0 | $35,941 | |||
| SHERRY PATTERSON | |||||||||
| BOARD CHAIR | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ANDREW S MENDELSON | |||||||||
| VICE CHAIR | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| J GORDON HUSZAGH | |||||||||
| VICE CHAIR | 15.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES MASSOUD | |||||||||
| TREASURER | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| REV GEORGE SUMMERS | |||||||||
| SECRETARY | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARC ALESSI ESQ | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| THELMA BOOKER | |||||||||
| PRESIDENT OF AUXILIARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL DEMPSEY MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FATHER LARRY DUNCKLEE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES R FARRELL | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT GAFFNEY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD ISRAEL | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOAN LEVAN | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD V MUSTO MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN OUZOUNIAN MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD RUBENSTEIN MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE RUGGIERO DO | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT B SHEREN MD | |||||||||
| BOARD MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD L WINSLOW | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STANLEY ZINBERG MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL O'DONNELL | |||||||||
| CHIEF FINANCIAL OFFICER | 37.50 | Yes (X) | $373,925 | $0 | $38,213 | ||||
| DEMETRIOS KADENAS | |||||||||
| CHIEF DEV. OFFICER (UNTIL MAY 2015) | 37.50 | Yes (X) | $94,221 | $0 | $9,188 | ||||
| RONALD MCMANUS | |||||||||
| SVP OF PECONIC BAY MEDICAL | 37.50 | $298,728 | $0 | $33,944 | Yes (X) | ||||
| RICHARD KUBIAK | |||||||||
| CHIEF MEDICAL OFFICER | 37.50 | $334,068 | $0 | $42,868 | Yes (X) | ||||
| ARTHUR CROWE | |||||||||
| CIO / VP OF HOSPITAL SERVI | 37.50 | $193,580 | $0 | $38,587 | Yes (X) | ||||
| MONICA RAULS | |||||||||
| VP OF HUMAN RESOURCES | 37.50 | $186,139 | $0 | $11,057 | Yes (X) | ||||
| CHERYL MAKOSKE | |||||||||
| VP FINANCE | 37.50 | $195,972 | $0 | $27,828 | Yes (X) | ||||
| PETER SULTAN MD | |||||||||
| PHYSICIAN | 37.50 | $854,296 | $0 | $45,926 | Yes (X) | ||||
| DAVID PRENTISS MD | |||||||||
| PHYSICIAN | 37.50 | $246,009 | $0 | $44,446 | Yes (X) | ||||
| MAHMOOD AFGHANI MD | |||||||||
| PHYSICIAN | 37.50 | $269,624 | $0 | $6,186 | Yes (X) | ||||
| STEPHEN JOHN MD | |||||||||
| PHYSICIAN | 37.50 | $328,057 | $0 | $22,062 | Yes (X) | ||||
| MARIE DORVAL-DORCELY MD | |||||||||
| PHYSICIAN | 37.50 | $220,439 | $0 | $39,952 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,783,105 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $454,780 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 116 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO | |||||
| PO BOX 81049 | WOBURN | MA | 01813 | CAFETERIA SERVICES | $1,746,575 |
| CERNER HEALTH | |||||
| PO BOX 959167 | ST LOUIS | MO | 63195 | INFORMATION TECHNOLOGY | $1,184,550 |
| KRAUSS EUGENE | |||||
| 833 NORTHERN BOULEVARD | GREAT NECK | NY | 11021 | PROFESSIONAL MEDICAL SERVICES | $918,412 |
| GREEN PEAK GROUP | |||||
| 490 WHEELER AVENUE 108 | HAUPPAUGE | NY | 11788 | CONSTRUCTION SERVICES | $702,611 |
| CROTHALL FACILITIES | |||||
| 955 CHESTERBROOK BOULEVARD | WAYNE | PA | 19087 | HOUSEKEEPING SERVICES | $531,464 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $209,829 | FundraisingAmt |
| Government Grants | $2,427,606 | GovernmentGrantsAmt |
| All Other Contributions | $1,340,682 | AllOtherContributionsAmt |
| Total Contributions | $3,978,117 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE | 621400 | $156,880,874 | $156,880,874 |
| PROVISION OF MEDICAL SERVICES BY | 621110 | $157,280 | $157,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $157,038,154 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,113 | TotalRevenueColumnAmt |
| Exclusion | $66,113 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,452,350 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,363,080 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $89,270 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,270 | TotalRevenueColumnAmt |
| Exclusion | $89,270 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $305,700 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $209,829 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $205,426 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,274 | TotalRevenueColumnAmt |
| Exclusion | $100,274 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CLINIC REVENUE | 621110 | $1,040,334 | $1,040,334 |
| NASSAU SUFFOLK WAGE INDEX | 900099 | $706,155 | $706,155 |
| MISCELLANEOUS | 900099 | $432,057 | $432,057 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $427,744 | TotalRevenueColumnAmt |
| Exclusion | $427,744 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,606,290 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163,878,218 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $157,038,154 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,861,947 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,160,888 | TotalAmt |
| Management And General | $3,160,888 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,617,039 | TotalAmt |
| Program Services | $46,943,991 | ProgramServicesAmt |
| Management And General | $13,673,048 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,663,208 | TotalAmt |
| Program Services | $3,588,455 | ProgramServicesAmt |
| Management And General | $1,074,753 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,136,544 | TotalAmt |
| Program Services | $9,339,373 | ProgramServicesAmt |
| Management And General | $2,797,171 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,416,760 | TotalAmt |
| Program Services | $3,398,807 | ProgramServicesAmt |
| Management And General | $1,017,953 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $960,503 | TotalAmt |
| Management And General | $960,503 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,374 | TotalAmt |
| Management And General | $385,374 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,084 | TotalAmt |
| Management And General | $11,084 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,010 | TotalAmt |
| Management And General | $72,010 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,301,564 | TotalAmt |
| Program Services | $12,544,460 | ProgramServicesAmt |
| Management And General | $3,757,104 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $754,113 | TotalAmt |
| Program Services | $588,616 | ProgramServicesAmt |
| Fundraising | $165,497 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,477,573 | TotalAmt |
| Program Services | $23,003,251 | ProgramServicesAmt |
| Management And General | $7,474,322 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,637 | TotalAmt |
| Management And General | $376,637 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,798,540 | TotalAmt |
| Program Services | $1,798,540 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,904 | TotalAmt |
| Program Services | $88,421 | ProgramServicesAmt |
| Management And General | $26,483 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,805,430 | TotalAmt |
| Program Services | $2,805,430 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,389,824 | TotalAmt |
| Program Services | $6,389,824 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,451,318 | TotalAmt |
| Program Services | $4,451,318 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| TEMPORARY AGENCIES | $1,183,838 | $1,183,838 |
| NEW YORK STATE ASSESSME | $861,890 | $861,890 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,949,573 | TotalAmt |
| Program Services | $7,591,106 | ProgramServicesAmt |
| Management And General | $2,358,467 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,888,614 | TotalAmt |
| Program Services | $124,577,320 | ProgramServicesAmt |
| Management And General | $37,145,797 | ManagementAndGeneralAmt |
| Fundraising | $165,497 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,421,672 | BOYAmt |
| EOY | $19,099,939 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,240,837 | BOYAmt |
| EOY | $6,440,565 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968,523 | BOYAmt |
| EOY | $1,000,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,731,954 | BOYAmt |
| EOY | $13,774,061 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,439,206 | BOYAmt |
| EOY | $4,155,951 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,245,879 | BOYAmt |
| EOY | $3,299,772 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,550,440 | BOYAmt |
| EOY | $1,563,089 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $156,125,584 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $90,352,041 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,660,723 | BOYAmt |
| EOY | $65,773,543 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,213,855 | BOYAmt |
| EOY | $3,986,461 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,361,704 | BOYAmt |
| EOY | $1,352,452 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,326,824 | BOYAmt |
| EOY | $9,500,182 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,161,617 | BOYAmt |
| EOY | $129,946,015 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,039,513 | BOYAmt |
| EOY | $25,646,835 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,070,000 | BOYAmt |
| EOY | $31,765,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,461,738 | BOYAmt |
| EOY | $9,907,562 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,988,959 | BOYAmt |
| EOY | $38,163,584 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,560,210 | BOYAmt |
| EOY | $105,482,981 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,510,644 | BOYAmt |
| EOY | $21,177,844 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,303,855 | BOYAmt |
| EOY | $2,498,282 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $786,908 | BOYAmt |
| EOY | $786,908 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,601,407 | BOYAmt |
| EOY | $24,463,034 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,161,617 | BOYAmt |
| EOY | $129,946,015 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,989,604 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$151,703 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$976,274 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $11,084 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,084 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE PORTION OF MEMBERSHIP DUES TO TRADE ASSOCIATIONS THAT ARE ASSOCIATED WITH LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10,306 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,306 | OtherExpendituresAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $100,483 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $100,483 | OtherExpendituresAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $36,084 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $36,084 | OtherExpendituresAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,908 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,368 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,368 | OtherExpendituresAmt |
| End Year Balance | $786,908 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $380,654 | OtherCostOrOtherBasisAmt |
| Book Value | $380,654 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,616,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,413,945 | DepreciationAmt |
| Book Value | $202,982 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,394,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,399,230 | DepreciationAmt |
| Book Value | $61,994,845 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,733,928 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,538,866 | DepreciationAmt |
| Book Value | $3,195,062 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $65,773,543 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EQUITY INTEREST IN THE CENTRAL SUFFOLK HOSPITAL FOUNDATION/ DBA PECONIC BAY | $3,649,122 |
| DEFERRED EXPENSES | $2,832,707 |
| ESTIMATED DUE FROM THIRD PARTY PAYORS | $3,018,353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,500,182 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED MALPRACTICE COSTS | $9,934,872 |
| ESTIMATED DUE TO THIRD-PARTY PAYORS | $7,710,600 |
| DUE TO AFFILIATE | $9,000,000 |
| SWAP LIABILTY | $7,245,097 |
| ACCRUED PENSION COSTS | $4,273,015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,163,584 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $162,678,231 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$151,703 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$976,274 | OtherRevenueAmt |
| Revenue Not Reported | -$1,127,977 | RevenueNotReportedAmt |
| Revenue Subtotal | $163,806,208 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $72,010 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $72,010 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $163,878,218 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $161,888,614 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $161,888,614 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $161,888,614 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | THE DONATED ARTWORK PROVIDES A SOOTHING AND CALMING ENVIRONMENT TO THE PATIENTS AND THEIR FAMILIES WHEN THEY ATTEND CSH FOR MEDICAL SERVICES. CSH HOPES THAT WITH A GOOD EXPERIENCE, THEIR PATIENTS CONTINUE TO UTILIZE CSH TO PROVIDE MEDICAL SERVICES. |
| PART V, LINE 4: | ENDOWMENT FUNDS HAVE BEEN RESTRICED BY DONORS TO BE MAINTAINED BY CSH IN PERPETUITY, THE INCOME FROM WHICH IS AVAILABLE FOR GENERAL PURPOSES. |
| PART X, LINE 2: | CSH HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2012 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PENSION ADJUSTMENTS 273,622. CHANGE IN EQUITY INTEREST IN CENTRAL SUFFOLK HOSPITAL FOUNDATION -339,339. NET ASSETS RELEASED FROM RESTRICTIONS -1,000,000. GAIN ON SWAP 89,443. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPRING GALA | Event1Nm |
| Gross Receipts Event1 | $515,529 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $209,829 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $305,700 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $20,000 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $7,824 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $35,400 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $15,100 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $127,102 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $515,529 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $209,829 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $305,700 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $20,000 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $7,824 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $35,400 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $15,100 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $127,102 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $205,426 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $100,274 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,684,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,135,132 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,548,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,085,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,474,064 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,611,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,769,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,609,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,160,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,035,281 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,507,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,527,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,000,009 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,869,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,131,008 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,035,290 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,376,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,658,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,804,629 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,986,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,818,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,131,751 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $186,216 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,820,926 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $54,781,884 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,960,958 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | PECONIC BAY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 ROANOKE AVENUE | AddressLine1Txt |
| City | RIVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.PBMCHEALTH.ORG | WebsiteAddressTxt |
| 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
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PECONIC BAY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PBMCHEALTH.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.PBMCHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.PBMCHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.PBMCHEALTH.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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PECONIC BAY MEDICAL CENTER | PART V, SECTION B, LINE 5: THE PRIMARY ORGANIZATIONAL APPROACH THAT CSH USES FOR COMMUNITY INVOLVEMENT AND PERSPECTIVE IS THROUGH VARIOUS COMMITTEES AND PARTNERSHIPS. THE NEEDS OF THE COMMUNITY ARE CONTINUALLY ASSESSED BY THE CSH HEALTH BOARD OF DIRECTORS, CSH HEALTH AND THE MEDICAL CENTER MANAGEMENT AND STAFF, VOLUNTEERS, AND LOCAL LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND GOVERNMENTAL AGENCIES. CSH INFORMS THE PUBLIC ABOUT COMMUNITY PROGRAMS IN A NUMBER OF WAYS: DIRECT MAIL, FLYERS, NEWSLETTERS, SEMINARS, CALENDAR LISTINGS, E-MAIL COMMUNICATIONS, TELEPHONE INFORMATION LINES,NEWSPRINT ADVERTISING, AND LOCAL CABLE TELEVISION. COMMUNITY MEMBERS ARE ENCOURAGED TO GIVE THEIR PERSPECTIVE ON CSH'S COMMUNITY PROGRAMS VIA E-MAIL AND SURVEYS THAT ARE COLLECTED AT MANY OF ITS PUBLIC EVENTS. |
| PECONIC BAY MEDICAL CENTER | PART V, SECTION B, LINE 22D: RATES OF THE HIGHEST VOLUME PAYOR. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - RIVERHEAD MANAGEMENT CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 ROANOKE AVENUE | AddressLine1Txt |
| City | REVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | MANAGEMENT SERVICE ORGANIZATION | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | BAD DEBT EXPENSES ON ACCOUNTS RECEIVABLE AND CONTRIBUTIONS RECEIVABLE ARE CHARGED IF THE RECEIVABLE IS DETERMINED TO BE UNCOLLECTIBLE BASED ON PERIODIC REVIEW BY MANAGEMENT. FACTORS USED TO DETERMINE WHETHER AN ALLOWANCE SHOULD BE RECORDED INCLUDE THE AGE OF THE RECEIVABLE AND A REVIEW OF PAYMENTS SUBSEQUENT TO YEAR END. |
| PART III, LINE 9B: | PBMC TAKES THE DISCOUNTED AMOUNT AFTER CHARITY (SELF PAY BALANCE) AND FOLLOWS THE SAME GUIDELINES AS SELF PAY. |
| PART VI, LINE 2: | COMMUNITY SERVICE PLANADDRESSING THE HEALTH AND WELLNESS NEEDS OF THE COMMUNITYPBMC'S 2013 COMMUNITY SERVICE PLAN (CSP) IS DESIGNED TO INTEGRATE TRADITIONAL MEDICAL SERVICES WITH PUBLIC HEALTH INTERVENTIONS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THE CSP DEFINES THE MISSION OF THE CONTINUUM OF CARE, ITS POPULATION AND THE PROGRAMS THAT ADDRESS THE HEALTH CARE NEEDS OF ITS COMMUNITIES. THIS CSP ADDRESSES THE PUBLIC HEALTH PRIORITIES THAT WERE IDENTIFIED BY SUFFOLK COUNTY COMMISSIONER, DR. JAMES TOMARKEN. THE TWO HEALTH PRIORITIES THAT WERE CHOSEN FOR THE PURPOSES OF THIS CSP ARE OBESITY AND CHRONIC DISEASE MANAGEMENT. THE MAIN FOCUS OF THE CSP IS TO PROMOTE ACCESS TO QUALITY HEALTH CARE AND ELIMINATE ANY HEALTH DISPARITIES WITHIN THE COMMUNITY. A FULL PLAN IS SUBMITTED TO THE NEW YORK STATE DEPARTMENT OF HEALTH EVERY THREE YEARS.MISSIONSINCE 1951, PECONIC BAY MEDICAL CENTER (PBMC) AND NOW THE PBMC HEALTH CONTINUUM OF CARE HAVE PROVIDED EXCELLENT AND COMPASSIONATE HEALTH CARE TO THE COMMUNITIES ON LONG ISLAND'S EAST END.PBMC'S REPUTATION IN THE COMMUNITY IS BASED ON THE QUALITY OF ITS HEALTH CARE SERVICES AND ITS EXPERIENCED CLINICAL STAFF. PBMC IS FULLY ACCREDITED BY THE JOINT COMMISSION OF ACCREDITATION OF HEALTH CARE ORGANIZATIONS AND LICENSED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. PBMC IS A 140-BED NOT-FOR-PROFIT MEDICAL FACILITY THAT PROVIDES ACUTE AND CRITICAL INPATIENT SERVICES, OUTPATIENT SERVICES INCLUDING EMERGENCY MEDICINE, DIALYSIS, PHYSICAL THERAPY, RADIOLOGY, RESPIRATORY THERAPY AND LABORATORY SERVICES. OUR TEAM OF MORE THAN 1,300 CARING PROFESSIONALS WORKS COLLABORATIVELY TO ADDRESS THE FULL RANGE OF HEALTH AND WELLNESS OUR SURROUNDING COMMUNITIES ALL OF SUFFOLK COUNTY. PBMC HEALTH PROVIDES HEALTHCARE THAT FOCUSES ON EVERY STAGE OF LIFE. OUR MEDICAL CENTER IS AFFILIATED WITH FAMILY AND SPECIALTY PRACTICE PHYSICIANS THAT PROVIDE TIMELY AND ACCESSIBLE CARE AT CONVENIENT LOCATIONS. THE BOARD CERTIFIED SURGICAL SPECIALISTS WORK AS PART OF OUR TEAM TO PROVIDE EXPERT CARE IN ADVANCED MINIMALLY INVASIVE TECHNIQUES. THESE SURGEONS HAVE HELPED TO IMPROVE THE QUALITY OF LIFE OF PATIENTS BY REDUCING PAIN AND SPEEDING THEIR RECOVERY. PBMC HEALTH ALSO HAS A 60-BED HOSPITAL-BASED SKILLED NURSING FACILITY THAT PROVIDES SHORT TERM SUB-ACUTE CARE AND LONG-TERM SKILLED NURSING CARE; A PALLIATIVE CARE CENTER; A CERTIFIED HOME CARE AGENCY; PROFESSIONAL EDUCATION PROGRAMS THAT ARE TRAINING NEW GENERATIONS OF PHYSICIANS AND RADIOLOGIC TECHNICIANS; AND A NEW CAMPUS FOR ADVANCED AMBULATORY AND PREVENTIVE CARE, WHICH WILL PROVIDE PRIMARY CARE, PEDIATRICS AND OB-GYN SERVICES STARTING IN AUGUST 2013, FOLLOWED BY AN EXPANDING RANGE OF ADVANCED SPECIALTY SERVICES. PBMC HEALTH OFFERS CENTERS OF EXCELLENCE IN BARIATRIC AND JOINT REPLACEMENT, AND IS A RECIPIENT OF THE PRESTIGIOUS JOINT COMMISSION GOLD SEAL OF APPROVAL FOR TOTAL JOINT REPLACEMENT FOR HIP AND KNEE. OUR KANAS CENTER FOR ADVANCED SURGERY, WHICH IS ONE OF THE MOST ADVANCED SURGICAL FACILITIES ON LONG ISLAND, RANKS IN THE TOP 10 PERCENT IN THE NATION FOR GENERAL SURGERY. PBMC HEALTH IS ALSO A DESIGNATED STROKE CENTER FOCUSED ON IMPROVING THE STANDARD AND ACCESS TO QUALITY OF CARE FOR STROKE PATIENTS. AS PART OF OUR OVERALL MISSION, PBMC HEALTH IS COMMITTED TO CONTINUOUS IMPROVEMENT IN OUR QUALITY AND OUR CAPABILITIES FOR SERVING ALL THE HEALTH AND WELLNESS NEEDS OF THE MEMBERS OF OUR COMMUNITY. WE CONTINUALLY WORK TO PROMOTE ONGOING COMMUNICATION AND EDUCATIONAL PROGRAMS THROUGHOUT OUR COMMUNITY AND THE REST OF OUR REGION. AS THE DEMANDS FOR HEALTH CARE ARE CONSTANTLY CHANGING, WE WORK TO TAILOR PROGRAMS, SERVICES, AND POLICIES TO FIT THE NEEDS OF THE COMMUNITY. PBMC HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY BY PROVIDING QUALITY, COMPREHENSIVE AND COMPASSIONATE CARE AS THE LEADING PROVIDER OF HEALTH CARE TO THE COMMUNITIES WE SERVE.THE STATED MISSION OF PBMC HEALTH IS AS FOLLOWS: "PBMC HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES BY PROVIDING QUALITY, COMPREHENSIVE AND COMPASSIONATE CARE." THIS MISSION IS EMBODIED IN OUR VISION: "TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR OUR COMMUNITIES."SERVICE AREA PBMC HEALTH SERVES ALL OF SUFFOLK COUNTY, INCLUDING THE NORTH AND SOUTH FORKS TO ORIENT POINT AND MONTAUK. PBMC HEALTH PRIMARY AND SECONDARY SERVICE AREAS CONSIST OF FOUR TOWNS, LOCATED ON THE EASTERN END OF LONG ISLAND. DEMOGRAPHICS WERE DETERMINED USING THE 2011 AMERICAN COMMUNITY SURVEY (ACS), WHICH IS CONDUCTED BY THE UNITED STATES CENSUS BUREAU. THE TOWN OF RIVERHEAD IS PBMC HEALTH'S PRIMARY SERVICE AREA AND CONSISTS OF 33,401 INDIVIDUALS. THE TOWN OF BROOKHAVEN, LOCATED IN CENTRAL SUFFOLK COUNTY, HAS A POPULATION OF 485,854 INDIVIDUALS AND ALSO HAS AREAS CONSISTING OF PBMC HEALTH'S PRIMARY SERVICE AREA. THE TOWN OF SOUTHAMPTON, LOCATED ON THE SOUTH FORK OF SUFFOLK COUNTY, HAS A POPULATION OF 56,826 INDIVIDUALS. THE FOURTH SERVICE AREA IS THE TOWN OF SOUTHOLD, LOCATED ON THE NORTH FORK OF SUFFOLK COUNTY, WHICH CONSISTS OF 21,963 INDIVIDUALS. ACCORDING TO THE U.S CENSUS DATA, THE POPULATION IN THE TOWN OF RIVERHEAD GREW BY 21 PERCENT IN THE LAST DECADE, WHICH ACCOUNTS FOR THE LARGEST PERCENTAGE INCREASE THAN ANY OTHER TOWN IN SUFFOLK COUNTY. THE BIGGEST INCREASE IN POPULATION WITHIN THE TOWN OF RIVERHEAD WAS IN THE HISPANIC POPULATION. THE HISPANIC POPULATION GREW BY 77 PERCENT IN THE LAST DECADE AND ACCOUNTS FOR 14 PERCENT OF THE TOWN'S POPULATION. THE BIGGEST INCREASE IN ACTUAL POPULATION ALSO OCCURRED WITHIN ONE OF PBMC HEALTH'S SERVICE AREAS, THE TOWN OF BROOKHAVEN. THESE FIGURES ARE VERY IMPORTANT IN ORDER TO MAINTAIN AND IMPROVE A HEALTH CARE SYSTEM THAT SATISFIES THE NEEDS ALL THOSE IN THE COMMUNITY. PBMC HEALTH HAS TAKEN INTO ACCOUNT THESE FIGURES WHEN PLANNING STRATEGIES TO REDUCE HEALTH PROBLEMS AMONG OUR TARGET POPULATION. OUR PRIMARY SERVICE AREA CONTINUES TO HAVE A SIGNIFICANTLY HIGHER PERCENTAGE OF ELDERLY THAN THE AVERAGE OF SUFFOLK COUNTY, NASSAU COUNTY AND NEW YORK STATE. SIMILARLY TO THE LAST CSP, APPROXIMATELY ONE IN FIVE RESIDENTS OF PBMC HEALTH'S SERVICE AREA ARE OVER THE AGE OF FIFTY-FIVE (55). THIS STATISTICS REMAINS OF SIGNIFICANT IMPORTANCE BECAUSE THE ELDERLY TEND TO HAVE A HIGHER NEED FOR HEALTH CARE SERVICES THAN THE YOUNGER POPULATION. WHEN COMPARED TO THE REST OF NEW YORK STATE, THE TOWN OF RIVERHEAD AND SURROUNDING SERVICE AREAS DIFFER IN THE PERCENTAGE OF INDIVIDUALS WORKING IN SPECIFIC OCCUPATIONS. EASTERN LONG ISLAND HAS A HIGHER PERCENTAGE OF WORKERS IN NATURAL RESOURCES, CONSTRUCTION, AND MAINTENANCE; AGRICULTURE, FORESTRY, FISHING AND HUNTING, AND MINING; CONSTRUCTION; RETAIL TRADE; ARTS; ENTERTAINING, RECREATIONS, AND ACCOMMODATION; AND PUBLIC ADMINISTRATION. THIS DATA REMAINS OF IMPORTANCE BECAUSE OCCUPATIONS TEND TO HAVE AN EFFECT ON AN INDIVIDUAL'S PHYSICAL AND MENTAL HEALTH. IN ADDITION, SOME JOBS, SUCH ARE AGRICULTURE AND ARTS, ARE LESS LIKELY TO OFFER HEALTH INSURANCE BENEFITS THAN OTHER JOBS. THE TOWN OF RIVERHEAD HAS A HIGHER PERCENTAGE OF INDIVIDUALS WITHOUT HEALTH INSURANCE WHO WERE FOREIGN BORN (48.6%) THAN THE NEW YORK STATE AVERAGE (23.8%). PBMC IS AWARE THAT CULTURAL FACTORS MAY PLAY A ROLE IN THE LACK OF FOREIGN BORN CITIZENS AND IMMIGRANTS WITHOUT HEALTH INSURANCE. WHEN NOT ADDRESSED, LACK OF HEALTH INSURANCE CAN ULTIMATELY HAVE A BURDEN ON PBMC AND THE COUNTY. PBMC IS CONTINUALLY WORKING TO INCREASE ACCESS TO HEALTHCARE FOR INDIVIDUALS THAT DO NOT REAP THE SAME BENEFITS AS OTHERS WITHIN THE COMMUNITY. HERE AT PBMC WE EMPHASIZE THE IMPORTANCE OF CULTURAL COMPETENCE IN AN EFFORT TO CREATE AFFORDABLE AND ACCESSIBLE HEALTH CARE TO ALL INDIVIDUALS WITHIN THE COMMUNITY.ASSESSMENT OF PUBLIC HEALTH PRIORITIESTHE PREVENTION AGENDA 2013-2017 IS THE BLUEPRINT FOR IMPROVING THE HEALTH OF THE COMMUNITIES THAT WE SERVE. OF THE FIVE PRIORITY AREAS THAT THE NEW YORK STATE DEPARTMENT OF HEALTH HAS CHOSEN, PBMC HEALTH HAS SELECTED TWO PRIORITY AREAS OF NEED TO FOCUS ON. PBMC HEALTH WAS AN ACTIVE PARTICIPANT IN THE COLLABORATIVE PLANNING PROCESS WITH THE SUFFOLK COUNTY DEPARTMENT OF HEALTH AND COMMUNITY PARTNERS TO ASSESS COMMUNITY HEALTH NEEDS, IDENTIFY HEALTH PRIORITIES AND DEVELOP PUBLIC HEALTH PROGRAMS TO MEET THE IDENTIFIED NEEDS. THIS COLLABORATIVE GROUP MET FROM THE FALL OF 2008 THROUGH AUGUST OF 2009, AND SELECTED TOBACCO USE AND UNINTENTIONAL INJURY AS THE TWO HEALTH PRIORITIES IDENTIFIED IN THE NEW YORK STATE PREVENTION AGENDA TOWARD THE HEALTHIEST STATE.SMOKING CESSATION WAS SELECTED BECAUSE THE USE OF TOBACCO IS THE NUMBER ONE UNDERLYING RISK FACTOR FOR MULTIPLE DISEASES. MOREOVER, NASSAU AND SUFFOLK COUNTIES SUFFER FROM SOME OF THE HIGHEST MORTALITY RATES FROM HEART DISEASE IN NEW YORK STATE.REDUCING INCIDENCE OF UNINTENTIONAL INJURIES WAS SELECTED AS A PRIORITY GIVEN THE FACT THAT SUFFOLK COUNTY HAS A RELATIVELY HIGH MORTALITY RATE FOR UNINTENTIONAL INJURIES WHEN COMPARED TO NEW YORK STATE AND NATIONALLY. THE GROUP ALSO AGREED THAT GIVEN THE SHORTAGE OF RESOURCES AVAILABLE TO ADVANCE PUB |
| PART VI, LINE 4: | THE MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES: RIVERHEAD (11901); CALVERTON (11933): MANORVILLE (11949). THESE ZIP CODES ACCOUNT FOR FIFTY PERCENT OF THE MEDICAL CENTER'S TOTAL DISCHARGES.THE MEDICAL CENTER'S SECONDARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES: HAMPTON BAYS (1946); EAST QUOGUE (11942); MATTITUCK (11952); WESTHAMPTON BEACH (11978); EASTPORT (11941); CENTER MORICHES (11934); EAST MORICHES (11940); WESTHAMPTON (11977); CUTCHOGUE (11935); SHIRLEY (11967); WADING RIVER (11792): SOUTHOLD (11971); RIDGE (11961); MASTIC (11950); GREENPORT (11944); AND LAUREL (11948). THESE ZIP CODES ACCOUNT FOR THIRTY-FIVE PERCENT OF THE MEDICAL CENTER'S TOTAL DISCHARGES.THE SERVICE HAS MORE THAN 191,000 RESIDENTS AND THE POPULATION IS EXPECTED TO GROW BY FIVE PERCENT FROM 2008 TO 2013. AS THE POPULATION OF THIS REGION CONTINUES TO GROW AND IS DRIVING INCREASED DEMAND FOR HEALTH CARE SERVICES, THE MEDICAL CENTER HAS RESPONDED BY MAKING CAPITAL INVESTMENTS IN EMERGENCY ROOM AND SURGICAL SERVICES, AND THE RECRUITMENT OF PHYSICIANS TO BE ABLE TO MEET THESE NEEDS.THE SERVICE AREA HAS A SIGNIFICANTLY HIGHER PERCENTAGE OF ELDERLY THAN SUFFOLK COUNTY, NASSAU COUNTY AND NEW YORK STATE. APPROXIMATELY ONE IN FIVE RESIDENTS OF THE MEDICAL CENTER'S SERVICE AREA ARE OVER THE AGE OF FIFTY-FIVE,THE POPULATION THAT DRIVES HIGHER DEMAND FOR HEALTH CARE SERVICES. MOREOVER, THIS AGE COHORT IS EXPECTED TO INCREASE AS A PERCENTAGE OF THE TOTAL POPULATION OVER THE NEXT FIVE YEARS.THE HOSPITAL HAS DEVELOPED PROGRAMS, ENHANCED ORTHOPEDICS AND NEUROSURGICAL SERVICES, ENHANCED HOME HEALTH CARE AND SKILLED NURSING SERVICES THAT ARE SPECIFICALLY GEARED TOWARDS MEETING THE UNIQUE HEALTH CARE NEEDS OF THIS POPULATION.TO THE EXTENT THAT THERE ARE HEALTH CARE DISPARITIES BASED ON RACE AND ETHNICITY, THE EAST END OF SUFFOLK COUNTY FACES A CHALLENGE WITH A HIGH PROPORTION OF MINORITY RESIDENTS -- AN AVERAGE OF TWENTY PERCENT -- BUT AS HIGH AS THIRTY-THREE PERCENT IN SOME OF THE PRIMARY AND SECONDARY SERVICE AREAS.THERE ARE NO FIRM ESTIMATES OF THE NUMBER OF MIGRANT AGRICULTURAL WORKERS THAT COME INTO THIS AREA. AGRICULTURE IS ONE OF SUFFOLK COUNTY'S LEADING INDUSTRIES. ITS SUCCESS RELIES ON WORKERS WHO MOVE THROUGH THE EASTERN UNITED STATES IN RESPONSE TO THE AVAILABILITY OF SEASONAL WORK. PECONIC BAY MEDICAL CENTER RECOGNIZES THAT THIS POPULATION PRESENTS SERIOUS HEALTH PROBLEMS AND IS COMMITTED TO PROVIDING CARE FOR ITS CULTURALLY DIVERSE PATIENT POPULATION. MANY OF THESE INDIVIDUALS ARE UNINSURED AND UNABLE TO SPEAK ENGLISH. THEY RELY ON THE MEDICAL CENTER'S EMERGENCY DEPARTMENT, AS WELL AS THE SUFFOLK COUNTY HEALTH CLINIC, LOCATED IN RIVERHEAD, FOR HEALTH CARE. THE HOSPITAL PROVIDES BI-LINGUAL PUBLICATIONS AND SIGNAGE AND ACTIVELY ASSISTS THE CULTURALLY DIVERSE COMMUNITIES THAT ARE CARED FOR AT THE MEDICAL CENTER.PUBLIC PARTICIPATION:PECONIC BAY MEDICAL CENTER HAS AN EXTENSIVE PROGRAM OF COMMUNITY OUTREACH THAT IS COMPLEMENTED BY THE EFFORTS OF THE EAST END HEALTH ALLIANCE, THE MEDICAL CENTER'S ACTIVE PARENT. 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, MEDICAL CENTER MANAGEMENT AND STAFF, VOLUNTEERS, AND LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND GOVERNMENTAL AGENCIES.COMMUNITY PROGRAMS ARE PUBLICIZED IN A VARIETY OF WAYS: DIRECT MAIL, FLYERS, CALENDAR LISTINGS, E-MAIL COMMUNICATIONS, TELEPHONE INFORMATION LINES, NEWSPRINT ADVERTISING, AND LOCAL CABLE TELEVISION. COMMUNITY MEMBERS ARE ENCOURAGED TO OFFER INPUT ON PECONIC BAY MEDICAL CENTER'S COMMUNITY PROGRAMS BY E-MAIL AND VIA SURVEYS COLLECTED AT PUBLIC EVENTS. THE MEDICAL CENTER'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND OTHER SENIOR STAFF REGULARLY MEET WITH COMMUNITY GROUPS FROM THE EAST END REGION OF LONG ISLAND TO KEEP AREA RESIDENTS INFORMED ABOUT MEDICAL CENTER PROGRAMS AND TO RECEIVE FEEDBACK AND FIELD QUESTIONS FROM THE COMMUNITY.THE MEDICAL CENTER'S WEB SITE WWW.PBMEDICALCENTER.ORG OFFERS A USER-FRIENDLY FORMAT AND EASY ACCESS TO INFORMATION ON MEDICAL CENTER SERVICES AND PROGRAMS. IN ADDITION, THE SITE ALLOWS FOR PHYSICIAN SEARCHES, ON-LINE INQUIRIES AND ON-LINE JOB APPLICATIONS.SERVICES FOR SHORT-TERM AND LONG-TERM CARE FOR CHRONIC AND ACUTE ILLNESS ARE CONTINUALLY EVALUATED THROUGH STATISTICAL DATA THAT INCLUDE QUALITY INDICATORS AND PATIENT OUTCOMES. THIS DATA IS COMPARED NATIONALLY WITH OTHER HEALTH FACILITIES AND INFORMS THE HOSPITAL'S STRATEGIC PLAN AND COMMUNITY SERVICE PLAN. THE MEDICAL CENTER'S STRATEGIC PLANNING COMMITTEE INCLUDES COMMUNITY MEMBERS, MEDICAL CENTER STAFF AND MEDICAL CENTER AND FOUNDATION BOARD MEMBERS WHO WORK COLLABORATIVELY TO ASSESS COMMUNITY NEEDS AND DEVELOP STRATEGIES TO MEET THESE NEEDS. THE EXTERNAL AFFAIRS COMMITTEE WAS ESTABLISHED TO ENHANCE COMMUNICATION BETWEEN THE MEDICAL CENTER AND THE COMMUNITIES IT SERVES. MEMBERS OF THE COMMITTEE INCLUDE A CROSS-SECTION OF PHYSICIANS, NURSES, MEDICAL CENTER MANAGEMENT, MEDICAL CENTER EMPLOYEES AND COMMUNITY VOLUNTEERS.THE MEDICAL CENTER HAS A LONGSTANDING COMMITMENT AND EXPERIENCE IN OUTREACH HAVING ADMINISTERED THE SUFFOLK COUNTY DEPARTMENT OF HEALTH'S WOMEN'S HEALTH PARTNERSHIP FOR THE PAST FIVE YEARS. THIS PROGRAM PROVIDES NO-COST BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES TO WOMEN WHO ARE UNINSURED, AS WELL AS SCREENING FOR PROSTATE, COLORECTAL AND GYNECOLOGIC ONCOLOGY FOR BOTH MEN AND WOMEN. IT ALSO PROVIDES PATIENT NAVIGATION AND COORDINATION OF SERVICES FOR WOMEN DIAGNOSED WITH BREAST AND CERVICAL CANCER THROUGH THE SCREENING PROGRAM. THE MEDICAL CENTER PROVIDES INFORMATION AND SUPPORT SERVICES IN SPANISH TO ACCOMMODATE THOSE WOMEN WHO ARE NOT PROFICIENT IN ENGLISH. THE PARTNERSHIP MODEL WAS CONCEIVED AND IMPLEMENTED BASED ON THE PRINCIPLE THAT COMMUNITY MEMBERS ARE THE BEST PEOPLE TO IDENTIFY THE NEEDS OF THEIR COMMUNITY AND TO CARRY OUT A PLAY OF ACTION THAT ADDRESSES THOSE NEEDS.RESPONDING TO THE NEEDS OF THE COMMUNITY FOR OBSTETRICAL CARE, INCLUDING THOSE WHO ARE UNDER OR UNINSURED, PECONIC BAY MEDICAL CENTER PROVIDES OBSTETRICAL AND GYNECOLOGICAL SERVICES TO THE SUFFOLK COUNTY HEALTH CENTER. IN ADDITION, A SEPARATE GROUP OF PRIMARY CARE PHYSICIANS PROVIDE CARE TO ANY RIVERHEAD HEALTH CENTER PATIENT WHO NEEDS TO BE ADMITTED TO THE MEDICAL CENTER. IN CONJUNCTION WITH SUFFOLK COUNTY, THE MEDICAL CENTER OPERATES A SECURED FORENSIC UNIT FOR INMATES OF THE SUFFOLK COUNTY JAIL WHO REQUIRE HOSPITALIZATION. THE MEDICAL CENTER PROVIDES FREE FLU SHOTS TO RESIDENTS OF THE COMMUNITY WHO ARE AT HIGH RISK FOR INFLUENZA. THE MEDICAL CENTER ALSO HAS RESPONDED TO COMMUNITY NEEDS BY SPONSORING A NUMBER OF COMMUNITY HEALTH FAIRS OFFERING FREE BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS AS WELL AS PROVIDING IMPORTANT HEALTH AND WELLNESS INFORMATION. THESE HEALTH FAIRS ALSO CREATE THE OPPORTUNITY FOR MEDICAL CENTER STAFF TO OBTAIN IMPORTANT COMMUNITY FEEDBACK, INFORMATION THAT IS SHARED WITH MEDICAL CENTER LEADERSHIP AND CONSIDERED IN FUTURE COMMUNITY OUTREACH.SUPPORTING THIS EDUCATIONAL OUTREACH AND OPPORTUNITY FOR COMMUNITY INPUT, THE MEDICAL CENTER HAS A SPEAKERS BUREAU THAT PROVIDES PROFESSIONAL INPUT RELATED TO HEALTH AND WELLNESS TOPICS, HEALTH HEART DIET, TREATING OVARIAN CANCER, ETC.BASED ON COMMUNITY INPUT, THE MEDICAL CENTER HAS ALSO LAUNCHED PROJECT CARE IN CONJUNCTION WITH STONY BROOK UNIVERSITY'S SCHOOL OF HEALTH MANAGEMENT AND TECHNOLOGY. THIS PROGRAM PROVIDES IN-HOME MONITORING FOR HIGH-RISK PATIENTS THAT WOULD OTHERWISE HAVE DIFFICULTY ACCESSING CARE. THE MEDICAL CENTER HAS ALSO RESPONDED TO COMMUNITY INPUT FROM THE REGIONS AMBULANCE CORPS AND WITH THE SUPPORT OF STONY BROOK PROVIDES THREE FIRST RESPONDER VEHICLES THAT AUGMENT THE LOCAL EMS DURING PEAK HOURS.PBMC WAS SUCCESSFUL IN OBTAINING FUNDING FOR A PATIENT TRANSPORTATION VAN THAT PROVIDES TRANSPORT ROOM OUR SKILLED NURSING FACILITY FOR MEDICAL SERVICES, AS WELL AS PATIENTS FROM OTHER COMMUNITY NURSING HOMES THAT MAY NEED RADIOLOGY OR LABORATORY TESTING.COMMUNITY ORGANIZATION PARTICIPATION: THE HOSPITAL ALSO ROUTINELY SEEKS FEEDBACK FROM COMMUNITY MEMBERS WHO PARTICIPATE IN OUR COMMUNITY OUTREACH PROGRAMS. PECONIC BAY MEDICAL CENTER HAS SIGNIFICANT REPRESENTATION ON A WIDE-RANGE OF COMMUNITY ORGANIZATIONS THAT FACILITATE INPUT FROM RESIDENTS, CORPORATE AND COMMUNITY LEADERS, PATIENTS AND ALLIED HEALTH PROFESSIONS. THIS PARTICIPATION SUPPORTS EFFECTIVE INPUT FROM THE COMMUNITY THROUGH MEDICAL CENTER STAFF AND MEDICAL CENTER TRUSTEE PARTICIPATION COMPLEMENTED BY A CONTINUAL AND OPEN DIALOGUE WITH RESPECTED COMMUNITY LEADERS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREW J MITCHELL | ||||||||||||||
| CEO / PRESIDENT | $734,513 | $0 | $100,000 | $0 | $16,360 | $0 | $33,900 | $0 | $24,682 | $0 | $909,455 | $0 | $0 | $0 |
| GERARD ZUNNO RN | ||||||||||||||
| COO / SVP OF PATIENT CARE | $283,810 | $0 | $50,000 | $0 | $3,364 | $0 | $15,900 | $0 | $20,041 | $0 | $373,115 | $0 | $0 | $0 |
| MICHAEL O'DONNELL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $310,911 | $0 | $50,000 | $0 | $13,014 | $0 | $15,900 | $0 | $22,313 | $0 | $412,138 | $0 | $0 | $0 |
| RONALD MCMANUS | ||||||||||||||
| SVP OF PECONIC BAY MEDICAL | $267,985 | $0 | $25,000 | $0 | $5,743 | $0 | $15,900 | $0 | $18,044 | $0 | $332,672 | $0 | $0 | $0 |
| RICHARD KUBIAK | ||||||||||||||
| CHIEF MEDICAL OFFICER | $328,425 | $0 | $0 | $0 | $5,643 | $0 | $15,900 | $0 | $26,968 | $0 | $376,936 | $0 | $0 | $0 |
| ARTHUR CROWE | ||||||||||||||
| CIO / VP OF HOSPITAL SERVI | $193,166 | $0 | $0 | $0 | $414 | $0 | $11,619 | $0 | $26,968 | $0 | $232,167 | $0 | $0 | $0 |
| MONICA RAULS | ||||||||||||||
| VP OF HUMAN RESOURCES | $182,432 | $0 | $0 | $0 | $3,707 | $0 | $10,986 | $0 | $71 | $0 | $197,196 | $0 | $0 | $0 |
| CHERYL MAKOSKE | ||||||||||||||
| VP FINANCE | $193,385 | $0 | $0 | $0 | $2,587 | $0 | $11,619 | $0 | $16,209 | $0 | $223,800 | $0 | $0 | $0 |
| PETER SULTAN MD | ||||||||||||||
| PHYSICIAN | $413,929 | $0 | $440,187 | $0 | $180 | $0 | $15,900 | $0 | $30,026 | $0 | $900,222 | $0 | $0 | $0 |
| DAVID PRENTISS MD | ||||||||||||||
| PHYSICIAN | $245,595 | $0 | $0 | $0 | $414 | $0 | $14,420 | $0 | $30,026 | $0 | $290,455 | $0 | $0 | $0 |
| MAHMOOD AFGHANI MD | ||||||||||||||
| PHYSICIAN | $269,480 | $0 | $0 | $0 | $144 | $0 | $6,115 | $0 | $71 | $0 | $275,810 | $0 | $0 | $0 |
| STEPHEN JOHN MD | ||||||||||||||
| PHYSICIAN | $274,568 | $0 | $50,800 | $0 | $2,689 | $0 | $5,853 | $0 | $16,209 | $0 | $350,119 | $0 | $0 | $0 |
| MARIE DORVAL-DORCELY MD | ||||||||||||||
| PHYSICIAN | $220,169 | $0 | $0 | $0 | $270 | $0 | $12,984 | $0 | $26,968 | $0 | $260,391 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | CSH UTILIZES SALARY SURVEYS AND REVIEWS THEM WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS WAS LAST PERFORMED IN 2015. |
| PART I, LINE 4B | ANDREW MITCHELL (NON-QUALIFIED RETIREMENT PLAN) - $18,000 |
| PART I, LINE 5 | CSH HAS A CONTRACTUAL ARRANGEMENT FOR A PHYSICIAN ENTITLING THE PHYSICIAN TO ADDITIONAL COMPENSATION BASED UPON CASH COLLECTIONS. |
| PART I, LINE 7 | PERFORMANCE BASED ON BOARD DISCRETION. AN EMPLOYMENT AGREEMENT IS IN PLACE WITH THE HOSPITAL WITH THE CEO. |
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 | TOWN OF RIVERHEAD INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 112560077 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2015-05-06 | BondIssuedDt |
| Issue Price | $34,070,000 | IssuePriceAmt |
| Purpose | REFUND BONDS (06/23/06 & 06/27/07) | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,305,000 | RetiredAmt |
| Total Proceeds | $34,070,000 | TotalProceedsAmt |
| In Reserve Fund | $5,008,572 | InReserveFundAmt |
| Other Spent Proceeds | $34,070,000 | OtherSpentProceedsAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HSBC BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 17.200000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 3: | FormAndLineReferenceDesc |
| Explanation | THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RICHARD ISRAEL | |||
| BOARD MEMBER | $409,478 | RENTAL OF PROPERTY | 0 |
| STEVEN OUZOUNIAN MD | |||
| BOARD MEMBER | $75,000 | AGREEMENT FOR DIRECTORSHIP | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CEO / PRESIDENT, COO AND CHIEF FINANCIAL OFFICER REVIEW THE FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. IN THE EVENT OF ANY ISSUES WITH THE FORM 990, THE MATTERS ARE BROUGHT TO THE ATTENTION OF THE CHIEF FINANCIAL OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICTS OF INTEREST POLICY APPLIES TO MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, VICE PRESIDENTS, ASSISTANT VICE PRESIDENTS, DEPARTMENT HEADS, CLINICAL DIRECTORS OF DEPARTMENTS, AND OTHER EMPLOYEES (INCLUDING PHYSICIANS) WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BETWEEN CSH AND A VENDOR. THE DIRECTOR OF CORPORATE COMPLIANCE CONTINUOUSLY MONITORS ALL TRANSACTIONS TO DETERMINE IF ANY POTENTIAL CONFLICT EXISTS. IF IT IS DETERMINED THAT A POTENTIAL CONFLICT EXISTS, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE DECISIONS OF THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | CSH UTILIZES SALARY SURVEYS AND REVIEWS THEM WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS WAS LAST PERFORMED IN 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | CSH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,289,591. MANAGEMENT AND GENERAL EXPENSES 386,236. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,675,827. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,799,947. MANAGEMENT AND GENERAL EXPENSES 2,635,611. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,435,558. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 2,454,922. MANAGEMENT AND GENERAL EXPENSES 735,257. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,190,179. |
| FORM 990, PART XI, LINE 9: | PENSION ADJUSTMENT TO REFLECT FUNDED STATUS 273,622. CHANGE IN EQUITY INTEREST IN CENTRAL SUFFOLK HOSPITAL FOUNDATION -339,339. NET ASSETS RELEASED FROM RESTRICTIONS -1,000,000. GAIN ON SWAP 89,443. |
| FORM 990, PART XI, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PECONIC BAY MEDICAL CENTER FOUNDATION | |||||||||||
| 1300 ROANOKE AVENUE | RIVERHEAD | NY | 11901 | 200714587 | FUNDRAISING/PHILANTHROPIC | NY | 501(C)(3) | 7 | PECONIC BAY HEALTH SYSTEM | 0 | |
| EAST END HEALTH ALLIANCE | |||||||||||
| 201 MANOR PLACE | GREENPORT | NY | 11944 | 113407476 | PARENT COMPANY OF PBMC, SOUTHAMPTON HOSPITAL, EASTERN LONG ISLAND HOSPITAL | NY | 501(C)(3) | 11, TYPE I | 0 | N/A | |
| PECONIC BAY HEALTH SYSTEMS | |||||||||||
| 1300 ROANOKE AVENUE | RIVERHEAD | NY | 11901 | 112761795 | PARENT COMPANY OF PBMC | NY | 0 | N/A | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERHEAD MANAGEMENT CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 ROANOKE AVENUE | AddressLine1Txt |
| City | RIVERHEAD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112800287 | EIN |
| Primary Activities | MANAGEMENT SERVICE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |