STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JOHN T MATHER MEMORIAL HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
JOHN T MATHER MEMORIAL HOSPITAL (EIN 11-1639818)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201513179349305576
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-13T11:03:50-08:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111639818EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN T MATHER MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone6314731320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11777ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH WISNOSKIPersonNm
Person TitleCFOPersonTitleTxt
Signature2015-11-13SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$303,519,308GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMATHERHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionJohn T. Mather Memorial Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of health care services of the highest quality, in a cost effective manner, to the residents of Suffolk County.As members of the Mather Hospital Family - Trustees, Medical Staff, Hospital Staff, Volunteers and Benefactors - we are commited to providing care to the best of our ability, showing compassion and respect, and treating each patient in the manner we would wish for our loved ones.We will meet or exceed each patient's expectations through the continued collaborative efforts of each and every member of the Mather Hospital Family.-ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee2784TotalEmployeeCnt
Total Volunteers326TotalVolunteersCnt
Total Gross UBI$386,125TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$113,492NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$720,774PYContributionsGrantsAmt
CY Contributions Grants$583,773CYContributionsGrantsAmt
PY Program Service Revenue$280,107,774PYProgramServiceRevenueAmt
CY Program Service Revenue$296,432,922CYProgramServiceRevenueAmt
PY Investment Income$3,010,919PYInvestmentIncomeAmt
CY Investment Income$1,697,729CYInvestmentIncomeAmt
PY Other Revenue$6,527,412PYOtherRevenueAmt
CY Other Revenue$4,311,228CYOtherRevenueAmt
PY Total Revenue$290,366,879PYTotalRevenueAmt
CY Total Revenue$303,025,652CYTotalRevenueAmt
PY Grants And Similar Paid$3,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$219,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$168,458,455PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$176,388,423CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$115,816,649PYOtherExpensesAmt
CY Other Expenses$129,009,493CYOtherExpensesAmt
PY Total Expenses$284,278,104PYTotalExpensesAmt
CY Total Expenses$305,617,416CYTotalExpensesAmt
PY Revenues Less Expenses$6,088,775PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,591,764CYRevenuesLessExpensesAmt
Total Assets BOY$230,983,205TotalAssetsBOYAmt
Total Assets EOY$239,531,098TotalAssetsEOYAmt
Total Liabilities BOY$137,499,546TotalLiabilitiesBOYAmt
Total Liabilities EOY$173,699,227TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$93,483,659NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$65,831,871NetAssetsOrFundBalancesEOYAmt
MissionJohn T. Mather Memorial Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of health care services of the highest quality, in a cost effective manner, to the residents of Suffolk County.As members of the Mather Hospital Family - Trustees, Medical Staff, Hospital Staff, Volunteers and Benefactors - we are commited to providing care to the best of our ability, showing compassion and respect, and treating each patient in the manner we would wish for our loved ones.We will meet or exceed each patient's expectations through the continued collaborative efforts of each and every member of the Mather Hospital Family.-MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$287,787,418ExpenseAmt
Revenue$296,703,291RevenueAmt
DescJohn T. Mather Memorial Hospital, a 248 bed community hospital, provides quality medical care regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the continued operation and stability of John T. Mather Memorial Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with the Hospital's commitment to serve all members of the community, free and or subsidized care is provided to the indigent, care is provided to persons covered by government programs at below cost and numerous health related education and support services are offered to the community at large. Please read our comprehensive, 39 page, "Report to the Community for the year 2014" which is attached or at our WEBSITE; matherhospital.org.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$213,000ExpenseAmt
DescThe Hospital's Auxiliary volunteers generate funds through the Hospital's Thrift and Gift shops as well as other activities. These funds are presented to the JTM Health Facilities Foundation, Inc. annually.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,500ExpenseAmt
DescTo promote and encourage community service, John T. Mather Memorial Hospital Inc. provides scholarship grants to college bound junior volunteers.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$288,006,918TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document101IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2784EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOSEPH WISNOSKIPersonNm
Phone6314731320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP117772119ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KENNETH A JACOPPI Esq
Chairman9.003.00Yes (X)Yes (X)$0$0$0
BETSY NOYES BRITTON
Vice Chairman3.004.00Yes (X)Yes (X)$0$0$0
KONRAD J KUHN
Vice Chairman3.001.00Yes (X)Yes (X)$0$0$0
HAROLD TRANCHON Jr
Vice Chairman3.002.00Yes (X)Yes (X)$0$0$0
JOHN R SINI
Vice Chairman3.004.00Yes (X)Yes (X)$0$0$0
WAYNE RAMPONE
Secretary3.001.00Yes (X)Yes (X)$0$0$0
RICHARD SAVINO MD
Pres-Med Staff3.001.00Yes (X)Yes (X)$40,000$0$0
AHMAD BHATTI MD
VP-Med Staff3.001.00Yes (X)Yes (X)$20,000$0$0
ALAN D BECK
Board member3.003.00Yes (X)$0$0$0
NICHOLAS CRAIG MD
Board member3.001.00Yes (X)$2,500$0$0
JAMES DANOWSKI
Board member3.006.00Yes (X)$0$0$0
JOHN K DIVINEY Esq
Board member3.001.00Yes (X)$0$0$0
JUDITH A FORTUNATO
Board member3.001.00Yes (X)$0$0$0
KATHRYN B FREY
Board member3.003.00Yes (X)$0$0$0
TIMOTHY B GLYNN Esq
Board member3.001.00Yes (X)$0$0$0
FREDERICK C JOHS Esq
Board member3.001.00Yes (X)$0$0$0
RICHARD LUSAK
Board member3.002.00Yes (X)$0$0$0
DANIEL C OPINANTE
Board member3.001.00Yes (X)$0$0$0
LEO STERNLICHT
Treasurer3.001.00Yes (X)$0$0$0
EDWARD J WEISS
Board member3.001.00Yes (X)$0$0$0
KENNETH D ROBERTS
President & CEO50.004.00Yes (X)Yes (X)$678,938$0$50,754
JOSEPH WISNOSKI
Sr. VP & CFO45.001.00Yes (X)$409,190$0$40,354
JOAN C FARO
Chief Medical Officer40.0010.00$436,595$0$42,954Yes (X)
KEVIN J MURRAY
Sr. Vice Pres-Administration40.000.00$283,957$0$50,754Yes (X)
WAYNE S SHATTES
Vice President-Administration40.003.00$231,970$0$48,959Yes (X)
MARIE E MULLIGAN
Vice President-Administration40.000.00$273,348$0$48,154Yes (X)
KEITH HARRIS
Physician40.000.00$593,283$0$40,354Yes (X)
JULIET NICHOLS
Physician40.000.00$530,532$0$42,954Yes (X)
MOHAMMAD A BILAL
Physician40.000.00$526,480$0$37,754Yes (X)
YUVAL HILTZIK
Physician40.000.00$521,186$0$37,133Yes (X)
MARIO SOLOMITA
Physician40.000.00$503,588$0$39,526Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,051,567TotalReportableCompFromOrgAmt
Total Other Compensation$479,650TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K341IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS -
24630 NETWORK PLACECHICAGOIL60673INFOTECH CONSULTANTS$2,040,591
SIEMENS MEDICAL SOLUTIONS -
51 VALLEY STREAM PKWYMALVERNPA19355IT SERVICES$1,550,908
UNITED WEST LABS -
801 N PARKCTR DR SUITE 202SANTA ANACA92705LABORATORY SERVICES$1,103,650
INTNL RECOVERY ASSOCIATES -
195 SMITHTOWN BLVDNESCONSETNY11767A\R COLLECTIONS$828,223
J PETROCELLI CONTRACTING -
100 COMAC STREETRONKONKOMANY11779BLDG. CONSTRUCTION$816,986
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Federated Campaigns$1,105FederatedCampaignsAmt
Related Organizations$47,716RelatedOrganizationsAmt
Government Grants$332,438GovernmentGrantsAmt
All Other Contributions$202,514AllOtherContributionsAmt
Total Contributions$583,773TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business622110BusinessCd
Total Revenue Column$296,432,922TotalRevenueColumnAmt
Related Or Exempt Func Income$296,432,922RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$296,432,922TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,755,274TotalRevenueColumnAmt
Exclusion$1,755,274ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$108,888RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$106,104RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,784RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,784TotalRevenueColumnAmt
Exclusion$2,784ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$57,545OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$57,545OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$57,545TotalRevenueColumnAmt
Exclusion-$57,545ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$531,592GrossSalesOfInventoryAmt
Cost Of Goods Sold$330,007CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,585TotalRevenueColumnAmt
Related Or Exempt Func Income$201,585RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
LEASED EMPLOYEES-HRBRVIEW900099$617,977$617,977
MEDICARE STIMULUS REVENUE900099$1,263,898$1,263,898
PHARMACY-EMPLOYEES900099$465,564$465,564

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,759,420TotalRevenueColumnAmt
Related Or Exempt Func Income$68,784RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$386,125UnrelatedBusinessRevenueAmt
Exclusion$1,304,511ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,106,859OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,025,652TotalRevenueColumnAmt
Related Or Exempt Func Income$296,703,291RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$386,125UnrelatedBusinessRevenueAmt
Exclusion$5,352,463ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$213,000TotalAmt
Program Services$213,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,500TotalAmt
Program Services$6,500ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,658,427TotalAmt
Program Services$979,543ProgramServicesAmt
Management And General$1,678,884ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,152,956TotalAmt
Program Services$128,723,146ProgramServicesAmt
Management And General$6,429,810ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,357,164TotalAmt
Program Services$5,035,734ProgramServicesAmt
Management And General$321,430ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,015,212TotalAmt
Program Services$21,634,299ProgramServicesAmt
Management And General$1,380,913ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,204,664TotalAmt
Program Services$9,592,384ProgramServicesAmt
Management And General$612,280ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,391,646TotalAmt
Program Services$1,391,646ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$506,015TotalAmt
Management And General$506,015ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$105,754TotalAmt
Management And General$105,754ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,381TotalAmt
Program Services$29,381ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$323,249TotalAmt
Management And General$323,249ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,083,685TotalAmt
Program Services$16,083,685ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$432,411TotalAmt
Program Services$432,411ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$63,812,608TotalAmt
Program Services$59,983,942ProgramServicesAmt
Management And General$3,828,666ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,469,864TotalAmt
Program Services$3,469,864ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,524,713TotalAmt
Program Services$4,072,558ProgramServicesAmt
Management And General$452,155ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$313,809TotalAmt
Program Services$235,357ProgramServicesAmt
Management And General$78,452ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,490TotalAmt
Program Services$100,867ProgramServicesAmt
Management And General$33,623ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$781,051TotalAmt
Program Services$702,946ProgramServicesAmt
Management And General$78,105ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,985,328TotalAmt
Program Services$13,486,795ProgramServicesAmt
Management And General$1,498,533ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,826,294TotalAmt
Program Services$2,543,665ProgramServicesAmt
Management And General$282,629ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FREE CARE$13,461,133$13,461,133
BAD DEBT$3,694,345$3,694,345
RETIREMENT INCENTIVE PROGRAM$2,133,717$2,133,717

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$305,617,416TotalAmt
Program Services$288,006,918ProgramServicesAmt
Management And General$17,610,498ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,550BOYAmt
EOY$5,400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,006,564BOYAmt
EOY$12,922,720EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$37,422,728BOYAmt
EOY$38,149,694EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,246,769BOYAmt
EOY$7,888,417EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,572,793BOYAmt
EOY$5,639,871EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$270,981,505LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$182,964,377LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,840,864BOYAmt
EOY$88,017,128EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$76,375,186BOYAmt
EOY$61,908,820EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,512,751BOYAmt
EOY$24,999,048EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$230,983,205BOYAmt
EOY$239,531,098EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$98,034,546BOYAmt
EOY$136,479,227EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,465,000BOYAmt
EOY$37,220,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,499,546BOYAmt
EOY$173,699,227EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$88,129,506BOYAmt
EOY$59,279,827EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,330,821BOYAmt
EOY$6,528,712EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,332BOYAmt
EOY$23,332EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$93,483,659BOYAmt
EOY$65,831,871EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$230,983,205BOYAmt
EOY$239,531,098EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,591,764ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$440,527NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$25,500,551OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$29,381OtherActivitiesAmt
Total Lobbying Expenditures$29,381TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationThe Hospital pays membership dues to four organizations; Long Island Health Network, Nassau-Suffolk Hospital Council, Healthcare Association of New York State, and the American Hospital Association. A portion of those dues have been allocated to lobbying expenditures.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,579,667BeginningYearBalanceAmt
Contributions$96,805ContributionsAmt
Investment Earnings Or Losses$42,744InvestmentEarningsOrLossesAmt
Other Expenditures$1,116,941OtherExpendituresAmt
End Year Balance$2,602,275EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,928,294BeginningYearBalanceAmt
Contributions$98,929ContributionsAmt
Investment Earnings Or Losses$41,402InvestmentEarningsOrLossesAmt
Other Expenditures$488,958OtherExpendituresAmt
End Year Balance$3,579,667EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,350,113BeginningYearBalanceAmt
Contributions$383,308ContributionsAmt
Investment Earnings Or Losses$60,673InvestmentEarningsOrLossesAmt
Other Expenditures$865,800OtherExpendituresAmt
End Year Balance$3,928,294EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,672,637BeginningYearBalanceAmt
Contributions$967,509ContributionsAmt
Investment Earnings Or Losses$117,937InvestmentEarningsOrLossesAmt
Other Expenditures$1,407,970OtherExpendituresAmt
End Year Balance$4,350,113EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,549,467BeginningYearBalanceAmt
Contributions$754,725ContributionsAmt
Investment Earnings Or Losses$82,378InvestmentEarningsOrLossesAmt
Other Expenditures$713,933OtherExpendituresAmt
End Year Balance$250EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.01000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.99000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,838OtherCostOrOtherBasisAmt
Book Value$72,838BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,259,145OtherCostOrOtherBasisAmt
Depreciation$48,985,907DepreciationAmt
Book Value$13,273,238BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,764,712OtherCostOrOtherBasisAmt
Depreciation$44,376,584DepreciationAmt
Book Value$25,388,128BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,651,048OtherCostOrOtherBasisAmt
Depreciation$87,142,175DepreciationAmt
Book Value$32,508,873BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,233,762OtherCostOrOtherBasisAmt
Depreciation$2,459,711DepreciationAmt
Book Value$16,774,051BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$88,017,128TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INSURANCE CLAIMS RECEIVABLE$15,940,215
INTEREST IN NET ASSETS JTMHFF$4,686,903
OTHER ASSETS$4,371,930
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,999,048TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$292,339,908TotalRevEtcAuditedFinclStmtAmt
Other Revenue$8,352,284OtherRevenueAmt
Revenue Not Reported$8,352,284RevenueNotReportedAmt
Revenue Subtotal$283,987,624RevenueSubtotalAmt
Other Revenues Not Included$19,038,028OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$19,038,028RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$303,025,652TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$291,960,844TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$7,794,262OtherExpensesIncludedAmt
Expenses Not Reported$7,794,262ExpensesNotReportedAmt
Expenses Subtotal$284,166,582ExpensesSubtotalAmt
Other Expenses Not Included$21,450,834OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$21,450,834ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$305,617,416TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.The endowment funds are used to improve the quality of the lives of those served by John T. Mather Memorial Hospital.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Harbor View Medical Services P.C. $7794262 Purchase discounts $558022
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SBad debt $3694345 Coffee shop income $412025 Contributions-Future Plans $1341 Contributions-JTM Trust $153189 Free care $13461133 Interest income-Restricted & Future Plan $258356 Investment fees $323249 Rental income $108888 Rental expenses $-106104 Temporarily Restricted contributions $96805 Temp Rest released to oper net of CAA $-66149 TGA - Thrift, Gift & Auxiliary-Expense $-330007 TGA - Thrift, Gift & Auxiliary-Income $531593 UBIT costs $499367 xRounding $-3
Part XII, Line 2d: Other expenses and losses per audited F/SHarbor View Medical Services P.C. $7794262
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SThrift, Gift & Auxilary Grant $213000 Bad debt $3694345 Coffee shop expenses $311438 Free care $13461133 Investment fees $323249 Purchase discounts $-558022 UBIT costs $499367 Retirement Incentive Program $2133717 Interest rate swap-Phase 2 $1372442 Post closing equity adj HVMS P.C. $165 xRounding $0

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,583,595TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,432,291DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,151,304NetCommunityBenefitExpnsAmt
Total Expense0.01360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,938,067TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,725,423DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,212,644NetCommunityBenefitExpnsAmt
Total Expense0.03340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,521,662TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,157,714DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,363,948NetCommunityBenefitExpnsAmt
Total Expense0.04700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$570,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,080DirectOffsettingRevenueAmt
Net Community Benefit Expns$477,333NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,722,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,106,328DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,615,734NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,404,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,854,630DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,549,584NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,200NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,707,889TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,054,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,653,851NetCommunityBenefitExpnsAmt
Total Expense0.02510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,229,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,211,752DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,017,799NetCommunityBenefitExpnsAmt
Total Expense0.07210TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,092TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,092NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,092TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,092NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,694,345BadDebtExpenseAmt
Bad Debt Expense Attributable-$236BadDebtExpenseAttributableAmt
Reimbursed By Medicare$81,872,029ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$96,788,458CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,916,429MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1J T MATHER MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 North Country RoadAddressLine1Txt
CityPort JeffersonCityNm
State AbbreviationNYStateAbbreviationCd
ZIP117772119ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.matherhospital.orgWebsiteAddressTxt
State Licenseoperating cert. # 5149000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1J T MATHER MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.matherhospital.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.matherhospital.org/matherhospital.org/cmsAdmin/uploads/*StrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentfalseFAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityMather Hospital contacted local civic groups, emergency medical services/ambulance companies, fire departments, libraries, local school districts, service groups and other community-based organizations. This included e-mailing a link to our CHNA online survey.Mather worked the Nassau-Suffolk Hospital Council, the Nassau and Suffolk County Departments of Health, Long island hospitals and community-based organizations in a collaboration known as the Long Island Health Collaborative (LIHC). The LIHC , in May of 2013, undertook a Community Needs Health Assessment (CHNA) survey of local organizations, busineeses, schools, libraries, civic groups and other community based organizations to determine the health needs of the community.-
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs AssessmentStony Brook University Medical Center, St. Charles Hospital, Brookhaven Hospital Medical Center, Peconic Bay Medical Center, Good Samaritan Hospital Medical Center, St. Catherine of Siena Medical Center, Southampton Hospital and the North-Shore-LIJ Health system. -
Part V, Line 22d - Other Billing Determination of Individuals Without InsuranceThe charges remain as gross charges and then, once an individual is determined to be charity care eligible, the charity care policy is applied and the charges are either written off or significantly reduced based on Federal Poverty guidelines.

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)The Hospital uses the Federal Poverty Guidelines (FPG) to determine eligibility for providing free/discounted care.Certain assets are also considered to determine eligibility. The following assets are excluded from consideration: patient's primary residence, tax-deferred or comparable retirement savings accounts, college savings accounts, and cars used by the patient or the patient's immediate family. The Hospital also uses Transunion credit scores to determine presumptive eligibility.
Part I, Line 6a - Related Organization Community Benefit ReportThe Hospital prepares a Report to the Community. The 2014 Report to the Community is available on the Hospital website.The web address is http://www.matherhospital.org
Part I, Line 7 - Explanation of Costing Methodology(Row a & b) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to the charges written off for patients qualifying for charity care under the hospital's financial assistance policy. The Medicaid cost was determined by utilizing the ratio of cost tocharges (RCC) calculated on Worksheet 2 applied to the Medicaidcharges.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseThe Hospital did include bad debt expense on Form 990, Part IX, line 24b.
Part I, Line 7g - Costs Associated With Physicans ClinicsThe cost was obtained from the 2014 Institutional Cost Report Stepdown. Additionally, actual cost identification from salary reports was used.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseBad debt expense is reported by the Hospital for the uncollectible amounts due from patients that are determined to have the ability to pay but did not. The total bad debt expense for 2014 was $3,694,345. This was reported on line 2.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThis represents bad debt write-offs for patients that were also eligible for charity care under the Hospital's policy.
Part III, Line 4 - Bad Debt ExpenseThe cost of bad debt, as reported in the footnote 12 (page 30) of the certified financial statements, was $1,142,291.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare expenses reported in this section were obtained from the Medicare cost report. The Medicare cost report uses a stepdown methodology to determine a routine cost/day and a RCC for ancillary services. The routine cost/day is applied to the Medicare days and the RCC is applied to the Medicare ancillary charges.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsApplication assistance is available for patients that are deemed to qualify for financial assistance based on prescreening.
Part VI - Needs AssessmentThe following meetings, reports and documents play a major role in shaping Mather Hospital's community needs assessment: Reports from community, local, state and federal government agencies. Meetings and communication with Suffolk County Department of Health. Current industry journals, periodicals, newsletters and other literature. General health-related news reports Hospital-generated statistical reports Monthly Board of Directors meetings. Board of Directors' Long Range Planning Committee Reports generated by internal committees and task forces. Regular weekly administrative staff planning sessions. Patient questionnaire mailed to all medical/surgical patients. Questionnaires distributed to Emergency Department patients. Patient representative program.
Part VI - Patient Education of Eligibility for AssistancePlease read the attached 2014 Report to the Community or at our website,http:/www.matherhospital.org
Part VI - Community InformationPlease read the attached 2014 Report to the Community or at our website,http:/www.matherhospital.org
Part VI - Community Building ActivitiesMeals on Wheels provides vital nourishment to elderly or disabled community members who, due to immobility and isolation, are unable to prepare their own meals.The Hospital participates in training, planning and exercises in coordination with the State and County entities so it is prepared tp protect the health and safety of the community in the event of a terrorist event, natural disaster or other health emergency.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposePlease read the attached 2014 Report to the Community, or, at our website, http:/www.matherhospital.org under "publications.
Part VI - States Where Community Benefit Report FiledNY
Part V - Explanation of Number of Facility TypeOne licensed hospital

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1JTM HEALTH FACILITIES FOUNDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11777ZIPCd
FieldValueIRS element (for citing)
Recipient EIN112714670RecipientEIN
IRC Section503(C)(3)IRCSectionDesc
Cash Grant$213,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedCASHValuationMethodUsedDesc
Non Cash AssistancenaNonCashAssistanceDesc
Purpose Of GrantTo further JTMHFF's missionPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient6RecipientCnt
Cash Grant$6,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationPERIODIC STATUS MEETINGS ARE HELD TO MONITOR PROGRESS AND OUTCOMES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
JOAN C FARO
Chief Medical Officer$432,894$3,701$18,200$24,754$479,549
JOSEPH WISNOSKI
Sr. VP & CFO$404,209$4,981$15,600$24,754$449,544
JULIET NICHOLS
Physician$528,121$2,411$18,200$24,754$573,486
KEITH HARRIS
Physician$593,027$256$15,600$24,754$633,637
KENNETH D ROBERTS
President & CEO$663,260$15,678$26,000$24,754$729,692
KEVIN J MURRAY
Sr. Vice Pres-Administration$280,256$3,701$26,000$24,754$334,711
MARIE E MULLIGAN
Vice President-Administration$270,948$2,400$23,400$24,754$321,502
MARIO SOLOMITA
Physician$503,405$183$14,772$24,754$543,114
MOHAMMAD A BILAL
Physician$525,941$539$13,000$24,754$564,234
WAYNE S SHATTES
Vice President-Administration$229,781$2,189$24,205$24,754$280,929
YUVAL HILTZIK
Physician$521,003$183$12,379$24,754$558,319

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationTravel for companionsAdministrative approval Board member's spouse, relative or significant other, may be reimbursed subject to the following; the nature of the conference, workshop or seminar contains a critical social element in the judgement of the President or the Chairman of the Board and warrants their attendance. The reimbursement is a non-taxable transaction and considered de minimis in the opinion of legal counsel.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TOWN of BROOKHAVEN LDC
A2727681822012-11-30$20,105,000REFINANCE 1996 DASNY BONDSfalsefalsefalse
TOWN of BROOKHAVEN LDC
B2727681822013-08-15$23,000,000CONSTRUCT FACILITY ADDITIONfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$3,640,000$20,105,000$323,740$19,781,2602012Yes (true)falseYes (true)Yes (true)
B$23,000,000$351,3942015falsefalsefalseYes (true)$1,070,827$16,294,712$5,283,067

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceBBondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
PEOPLES UNITED B
AfalseYes (true)falsefalseYes (true)10.0000falsefalsefalseNot applicablefalsefalseYes (true)
PEOPLES UNITED B
BfalseYes (true)falsefalseYes (true)10.0000falsefalsefalseNot applicablefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ANNE MARIE PENNEY
FM of CEO$46,279EMPLOYEE WAGESfalse
FRANK SINI
FM of DIRECTOR$181,384EMPLOYEE WAGESfalse
KIMBERLY JARETT
FM of DIRECTOR$19,581EMPLOYEE WAGESfalse
KATHRYN B FREY
BOARD MEMBER$1,599,819RENTS\COMMON CHARGESfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtHarold F. Tranchon has a business relationship with John Sini.James Danowski has a business relationship with Richard Lusak.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderMather Health System Inc. is the sole member of John T. Mather Memorial Hospital. Mather Health System Inc. is organized as a not-for-profit corporation under federal and New York state laws.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyAs the sole member of the Corporation, Mather Health System Inc. approves the election and removal of members of the board of directors.-
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersMather Health System Inc. (MHS), pursuant to the New York not-for-profit corporation law, has the authority to (1) elect and remove members of the taxpayer's governing board, (2) approve amendments to the taxpayer's certificate of incorporation and bylaws, and (3) approve significant corporate transactions.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe policy of John T. Mather Memorial Hospital for reviewing and approving the IRS Form 990 is the following; The Hospital's Corporate Compliance & Audit Committee, a six member sub-committee of the Board of Directors, is assigned to review, make recommendations and ultimately approve the IRS Form 990. The Corporate Compliance & Audit Committee will notify the Board of Directors when the IRS Form 990 is approved. The entire Board of Directors will then have the documents made available through a secure online portal before it is filed with the Internal Revenue Service.-
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCONFLICT OF INTEREST DICLOSURE STATEMENT FOR DIRECTORS and OFFICERS Each year all members of the board, officers and key employees must reaffirm that the conflict of interest form on file with the Hospital is accurate and complete. The sixteen question document is intended to identify business dealings that involve improper conflicts of interest and is prefaced with detailed definitions with regard to; immediate family, vendors, competitors, doing business or a business relationship and disclosable interests.The compliance and audit committee is charged with oversight of adherence to the conflict of interest policy. At the instruction of the compliance and audit committee, legal counsel conducts a review of each disclosure statement and submitsfindings to the audit committee. The audit committee notifies the board of directors of any potential or perceived conflicts of interest. Individuals that have disclosed a potential conflict of interest are asked to excuse themselves from deliberation or actions that may be construed as a conflict of interest.Employees are governed by the same principles and tenets by a written Code of Conduct and Conflict of Interest Policy.-
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe following compensation policy applies to the Hospital's President & CEO and the Hospital's CFO hereafter referred to as a "Covered Individual".The Compensation Committee shall determine and/or approve the amount of Compensation to be paid to any Covered Individual. In making such determination or approval, which shall be performed at least annually, the Compensation Committee shall consider all components of the Covered Individual's Compensation.In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee may, in it's discretion, consider and rely upon the following data, as well as other information or data that it deems relevant; (i) compensation paid for comparable positions by similarly situated non-profit and for-profit entities; (ii) availability of individuals possessing similar expertise or specialized training in the geographic area; (iii) independent compensation surveys compiled by independent firms; and (iv) written offers that the Covered Individual has received from other similar institutions competing for his or her services.In determining the appropriate Compensation to be paid to a Covered Individual, the Compensation Committee will evaluate, or review an evaluation of, the Covered Individual's job performance (if currently employed) and/or a description of the Covered Individual's qualifications (if being recruited by the Organization). Such evaluations and descriptions may include and/or consider a description of the duties and responsibilities of the Covered Individual's position and the results achieved by such individual; other executive's assessments of the importance of the Covered Individual to the Organization and the role of Compensation in retaining and incentivizing the performance of the Covered Individual; whether and to what extent the Covered Individual possesses unique talents and abilities that increase his or her value to the Organization; increases in the nature, scope, or extent of the Covered Individual's duties; and any other subjective factors or other information concerning the Covered Individual's contributions to the Organization that the Compensation Committee deems relevant in setting the Covered Individual's Compensation.-
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableForm 1023 (Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code) the Hospital has a verification letter (dated 1/17/1996) from the Internal revenue service confirming that a determination or ruling letter was issued granting exemption on October 1933. A copy of this confirmation letter is available upon request.Form 990 is available at the WEBSITE: http://www2.guidestar.org or available upon request.Form 990-T is available upon request.The Hospital's governing documents are available upon request.The Hospital's conflict of interest policies are available upon requestThe Hospital's audited financial statements are attached, available at the WEBSITE: http://www.dacbond.com or available upon request.All requests should be directed to:John T. Mather Memorial Hospital-Finance Department75 North Country RoadPort Jefferson, NY 11777-2119Please list the requested items and give a contact address, email address or phone contact number.A photocopy charge will be applicable as allowed by law.
Other Changes In Net Assets Or Fund Balances - Other DecreasesChange in FMV of Interest rate swap = -$239745
Other Changes In Net Assets Or Fund Balances - Other IncreasesIncrease in Interest in Related Organization-JTMHFF = $1380053
Other Changes In Net Assets Or Fund Balances - Other DecreasesNon-periodic pension changes = -$26687839
Other Changes In Net Assets Or Fund Balances - Other IncreasesTransfer from Affiliate-IRNC = $46980
SCHEDULE L, PART IV - SUPPLEMENTALThe Hospital would like to disclose the following information;1) The Hospital has purchased certificates of deposit of various denominations and maturities and maintains several bank accounts with Suffolk County National Bank of which a board member, James Danowski, is a Hospital board member. Mr. Danowski does not participate in the selection of banks chosen by the Hospital. 2) The Hospital maintains professional liability and general insurance policies with Medical Liability Mutual Insurance Company(MLMIC). As a mutual insurance company, MLMIC is required to have a majority of it's board of directors comprised of policyholders. Kenneth Roberts, President & CEO of John T. Mather Memorial Hospital, is a member of the board of directors of MLMIC and received remuneration for his services.3) Frederick C. Johs, a board member, is a partner in the law firm Lewis, Johs, Avallon, Aviles, LLP. The "firm" has been assigned the defense of the Hospital in various malpractice suits. These assignments are made and the fees are paid by MLMIC, the Hospital's insurance carrier.4)Kathryn B. Frey, a board member, is a managing partner of North Shore Professional, LP and Harbor Properties Management LLC. North Shore Professional, LP contracts to Harbor Properties Management LLC, which leases office space to the Hospital. Kathryn B. Frey declared a conflict of interest when lease negotiations between the Hospital and Harbor Properties Management LLC were discussed by the Board and excused herself from the board meeting during these discussions. She did not participate in the voting on this decision.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MATHER HEALTH SYSTEM INC
75 NORTH COUNTRY ROADPORT JEFFERSONNY117772119113417615MEMBERSHIP CORP & SOLE MEMBER to J T MATHER MEMORIAL HOSPNY501(c)(3)11aNAfalse
JT MATHER HEALTH FACILITIES FOUNDATION
75 NORTH COUNTRY ROADPORT JEFFERSONNY117772119112714670RAISES FUNDS to BENEFIT J T MATHER MEMORIAL HOSPITALNY501(c)(3)7MATHER HEALTH SYSTEM INCfalse
ISLAND NURSING & REHAB CENTER
5536 EXPRESSWAY DRIVE NORTHHOLTSVILLENY117421316113570505NURSING & REHAB CARE IN A SKILLED NURSING FACILITYNY501(c)(3)9MATHER HEALTH SYSTEM INCfalse
INRC SERVICES CORP
5537 EXPRESSWAY DRIVEHOLTSVILLENY11742202900978REAL ESTATE HOLDING COMPANY for a Non-Profit NURSING HOMENY501(c)(3)11bISLAND NURSING & REHAB CENTERfalse
MOUNT SINAI SENIOR SERVICES INC
ONE JEFFERSON FERRY DRIVESOUTH SETAUKETNY11720200493404HUMAN SERVICES/SENIOR CONTINUING CARE COMMUNITYNY501(c)(3)9MATHER HEALTH SYSTEM INCfalse
ACTIVE RETIREMENT COMMUNITY INC
ONE JEFFERSON FERRY DRIVESOUTH SETAUKETNY11720311631439HUMAN SERVICES/SENIOR CONTINUING CARE COMMUNITYNY501(c)(3)9MATHER HEALTH SYSTEM INCfalse
HARBOR VIEW MEDICAL SERVICES PC
70 NORTH COUNTRY ROAD - SUITE 101PORT JEFFERSONNY11777264517010PHYSICIANS PRACTICESNY501(c)(3)11aMATHER HEALTH SYSTEM INCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MATHER MANAGEMENT SYSTEM INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH COUNTRY ROADAddressLine1Txt
CityPORT JEFFERSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP117772119ZIPCd
FieldValueIRS element (for citing)
EIN113417553EIN
Primary ActivitiesFOR PROFITPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeC corpEntityTypeTxt
Ownership0.00000OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JT MATHER HEALTH FACILITIES FOUNDATION
b$213,000Cash
JT MATHER HEALTH FACILITIES FOUNDATION
c$47,716Cash
JT MATHER HEALTH FACILITIES FOUNDATION
o$615,905Cash
JT MATHER HEALTH FACILITIES FOUNDATION
p$615,905Cash
ISLAND NURSING & REHAB CENTER
a$175,170Cash
ISLAND NURSING & REHAB CENTER
r$46,980Cash