EASTERN LONG ISLAND HOSPITAL ASSOC INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN LONG ISLAND HOSPITAL ASSOC INC (EIN 11-1633563)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201523209349312997
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T16:05:39-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100175001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111633563 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM J MESSNER | InCareOfNm |
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 6314771000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 119441222 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL J CONNOR III | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6314771000 | PhoneNum |
| Signature | 2015-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Paul Hammerschmidt | PreparerPersonNm |
| PTIN | P01384178 | PTIN |
| Phone | 2128858000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL J CONNOR III | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,316,427 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ELIH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 436 | TotalEmployeeCnt |
| Total Volunteers | 102 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,494,084 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,914,216 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $40,059,415 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $42,080,521 | CYProgramServiceRevenueAmt |
| PY Investment Income | $63,845 | PYInvestmentIncomeAmt |
| CY Investment Income | $215,611 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,462,611 | PYOtherRevenueAmt |
| CY Other Revenue | $2,773,764 | CYOtherRevenueAmt |
| PY Total Revenue | $47,079,955 | PYTotalRevenueAmt |
| CY Total Revenue | $47,984,112 | 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 | $29,702,925 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,131,189 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $958,125 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,830,274 | PYOtherExpensesAmt |
| CY Other Expenses | $17,727,528 | CYOtherExpensesAmt |
| PY Total Expenses | $47,533,199 | PYTotalExpensesAmt |
| CY Total Expenses | $47,858,717 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$453,244 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $125,395 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,601,591 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,738,785 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,982,093 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,998,014 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,619,498 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,740,771 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $43,115,630 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $42,080,521 | RevenueAmt |
| Desc | TO PROVIDE ACUTE MEDICAL, SURGICAL, ALCOHOL, DETOX, REHAB AND EMERGENCY SERVICES AND CARE TO THE EAST END OF LONG ISLAND. THERE WERE 2,695 ADMISSIONS, 18,279 PATIENT DAYS AND 43,351 EMERGENCY AND AMBULATORY CARE VISITS DURING 2014. | Desc |
| Total Program Service Expenses | $43,115,630 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | Yes (true) | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 50 | IRPDocumentCnt |
| IRP Document W2 G | 27 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 436 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM J MESSNER | PersonNm |
| Phone | 6314775313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS E MURRAY JR | |||||||||
| CHAIRMAN | 15.0 | 25.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK ADIPIETRO MD | |||||||||
| VICE CHAIRMAN | 10.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CAROLE G DONLIN | |||||||||
| VICE CHAIRMAN | 10.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT T GOLDMAN | |||||||||
| VICE CHAIRMAN | 10.0 | 25.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANICE CLAUDIO | |||||||||
| TREASURER | 10.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VICKIE DEFRIEST | |||||||||
| SECRETARY | 10.0 | 10.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NEBOYSHA R BRASHICH | |||||||||
| GOV'T AFFAIRS REPRESENTATIVE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT BENNETT | |||||||||
| TRUSTEE | 10.0 | 15.0 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL BRISOTTI | |||||||||
| TRUSTEE | 10.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET FLANAGAN | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID M FUJITA | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CAROLINE GATEWOOD MD | |||||||||
| TRUSTEE | 10.0 | 10.0 | Yes (X) | $0 | $0 | $0 | |||
| HELEN LATHAM | |||||||||
| PRESIDENT OF AUXILIARY | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MAUREEN T MILLS | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM R POLLERT | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES F PRESTON | |||||||||
| TRUSTEE | 10.0 | 30.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH PUFAHL | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAY P QUARTARARO | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD SCHOTT | |||||||||
| TRUSTEE | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL J CONNOR III | |||||||||
| PRESIDENT & CEO | 37.5 | 30.0 | Yes (X) | $482,488 | $0 | $44,758 | |||
| ROBERT RAGONA | |||||||||
| VP FINANCE & CFO | 37.5 | 7.0 | Yes (X) | $256,932 | $0 | $45,710 | |||
| DELIA PISPISA | |||||||||
| VP OF NURSING | 37.5 | 0.0 | $220,924 | $0 | $43,534 | Yes (X) | |||
| WILLIAM J MESSNER | |||||||||
| CONTROLLER | 37.5 | 10.0 | $205,803 | $0 | $42,613 | Yes (X) | |||
| JARID PACHTER | |||||||||
| PHYSICIAN | 37.5 | 0.0 | $387,729 | $0 | $45,710 | Yes (X) | |||
| SUSAN APICELLO | |||||||||
| VP OF ADMIN./LAB MANAGER | 37.5 | 0.0 | $176,183 | $0 | $32,485 | Yes (X) | |||
| JOHN COSGROVE | |||||||||
| SURGEON | 37.5 | 0.0 | $378,425 | $0 | $45,710 | Yes (X) | |||
| NANCY JOHNSON | |||||||||
| OR RN | 37.5 | 0.0 | $183,750 | $0 | $78 | Yes (X) | |||
| RAYMOND KRUPSKI | |||||||||
| PHARMACY DIRECTOR | 37.5 | 0.0 | $139,689 | $0 | $28,785 | Yes (X) | |||
| JOEL LAZARUS | |||||||||
| Respiratory Therapy DIRECTOR | 37.5 | 0.0 | $137,556 | $0 | $28,147 | Yes (X) | |||
| DANIEL SCOTTO | |||||||||
| MIS DIRECTOR | 37.5 | 0.0 | $135,970 | $0 | $37,945 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,705,449 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $395,475 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OWENS AND MINOR | |||||
| PO BOX 8500-55182 | PHILADELPHIA | PA | 19178 | MEDICAL | $842,185 |
| CARDINAL HEALTH | |||||
| 7000 CARDINAL DRIVE | DUBLIN | OH | 43017 | MEDICAL | $808,330 |
| Stryker Instruments | |||||
| PO Box 70119 | CHICAGO | IL | 60673 | MEDICAL | $590,223 |
| STONY BROOK PSYCH ASSOCIATES | |||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | PSYCHIATRIC SRVCS. | $511,448 |
| Frank J Adipietro MD PC | |||||
| 201 Manor Place | GREENPORT | NY | 11944 | MEDICAL | $464,512 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 36 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $171,161 | FundraisingAmt |
| Related Organizations | $1,268,451 | RelatedOrganizationsAmt |
| Government Grants | $658,780 | GovernmentGrantsAmt |
| All Other Contributions | $815,824 | AllOtherContributionsAmt |
| Total Contributions | $2,914,216 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICES | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $42,080,521 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,080,521 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,080,521 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,305 | TotalRevenueColumnAmt |
| Exclusion | $95,305 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,668 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $47,538 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $130 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $130 | TotalRevenueColumnAmt |
| Exclusion | $130 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $120,306 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $120,306 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120,306 | TotalRevenueColumnAmt |
| Exclusion | $120,306 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $121,377 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $171,161 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $121,377 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $290,400 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $163,400 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,000 | TotalRevenueColumnAmt |
| Exclusion | $127,000 | ExclusionAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,646,634 | TotalRevenueColumnAmt |
| Exclusion | $2,646,634 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,646,634 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,984,112 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,080,521 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,989,375 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,984,869 | TotalAmt |
| Management And General | $1,984,869 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,630,914 | TotalAmt |
| Program Services | $19,204,155 | ProgramServicesAmt |
| Fundraising | $426,759 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,943,614 | TotalAmt |
| Program Services | $1,834,381 | ProgramServicesAmt |
| Management And General | $68,469 | ManagementAndGeneralAmt |
| Fundraising | $40,764 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,031,993 | TotalAmt |
| Program Services | $4,693,715 | ProgramServicesAmt |
| Management And General | $233,973 | ManagementAndGeneralAmt |
| Fundraising | $104,305 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,539,799 | TotalAmt |
| Program Services | $1,385,819 | ProgramServicesAmt |
| Management And General | $123,184 | ManagementAndGeneralAmt |
| Fundraising | $30,796 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,908 | TotalAmt |
| Program Services | $118,717 | ProgramServicesAmt |
| Management And General | $10,553 | ManagementAndGeneralAmt |
| Fundraising | $2,638 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,000 | TotalAmt |
| Program Services | $75,600 | ProgramServicesAmt |
| Management And General | $6,720 | ManagementAndGeneralAmt |
| Fundraising | $1,680 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,015,128 | TotalAmt |
| Program Services | $1,813,615 | ProgramServicesAmt |
| Management And General | $161,210 | ManagementAndGeneralAmt |
| Fundraising | $40,303 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,152 | TotalAmt |
| Program Services | $56,837 | ProgramServicesAmt |
| Management And General | $5,052 | ManagementAndGeneralAmt |
| Fundraising | $1,263 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,191 | TotalAmt |
| Program Services | $313,372 | ProgramServicesAmt |
| Management And General | $27,855 | ManagementAndGeneralAmt |
| Fundraising | $6,964 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,204,246 | TotalAmt |
| Program Services | $1,126,605 | ProgramServicesAmt |
| Management And General | $52,605 | ManagementAndGeneralAmt |
| Fundraising | $25,036 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,630 | TotalAmt |
| Program Services | $52,767 | ProgramServicesAmt |
| Management And General | $4,690 | ManagementAndGeneralAmt |
| Fundraising | $1,173 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,060 | TotalAmt |
| Program Services | $805,554 | ProgramServicesAmt |
| Management And General | $71,605 | ManagementAndGeneralAmt |
| Fundraising | $17,901 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,227,059 | TotalAmt |
| Program Services | $2,004,353 | ProgramServicesAmt |
| Management And General | $178,165 | ManagementAndGeneralAmt |
| Fundraising | $44,541 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,959 | TotalAmt |
| Program Services | $565,163 | ProgramServicesAmt |
| Management And General | $50,237 | ManagementAndGeneralAmt |
| Fundraising | $12,559 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PURCHASED SERVICES | $4,164,089 | $3,747,680 | $333,127 | $83,282 |
| MEDICAL AND DEPT. SUPPLIES | $2,546,753 | $2,292,078 | $203,740 | $50,935 |
| PHARMACEUTICALS | $994,084 | $894,675 | $79,527 | $19,882 |
| STAFF DEVELOPMENT | $717,959 | $646,163 | $57,437 | $14,359 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,649,310 | TotalAmt |
| Program Services | $1,484,381 | ProgramServicesAmt |
| Management And General | $131,944 | ManagementAndGeneralAmt |
| Fundraising | $32,985 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,858,717 | TotalAmt |
| Program Services | $43,115,630 | ProgramServicesAmt |
| Management And General | $3,784,962 | ManagementAndGeneralAmt |
| Fundraising | $958,125 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,037,008 | BOYAmt |
| EOY | $1,145,299 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,333,643 | BOYAmt |
| EOY | $2,170,343 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,441 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000,742 | BOYAmt |
| EOY | $5,006,525 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $871,350 | BOYAmt |
| EOY | $865,395 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,873 | BOYAmt |
| EOY | $601,991 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,748,990 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,757,581 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,437,081 | BOYAmt |
| EOY | $15,991,409 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,462,684 | BOYAmt |
| EOY | $5,211,691 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,425,769 | BOYAmt |
| EOY | $1,746,132 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,601,591 | BOYAmt |
| EOY | $32,738,785 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,107,154 | BOYAmt |
| EOY | $8,670,667 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,670,000 | BOYAmt |
| EOY | $15,295,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $600,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,204,939 | BOYAmt |
| EOY | $432,347 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,982,093 | BOYAmt |
| EOY | $24,998,014 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,248,477 | BOYAmt |
| EOY | $6,369,750 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,333 | BOYAmt |
| EOY | $50,333 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,320,688 | BOYAmt |
| EOY | $1,320,688 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,619,498 | BOYAmt |
| EOY | $7,740,771 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,601,591 | BOYAmt |
| EOY | $32,738,785 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $125,395 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$34,727 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $30,605 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,697,503 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$383,204 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,314,299 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,469,606 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $227,897 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,697,503 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,346,213 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $123,393 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,469,606 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,350,044 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,831 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,346,213 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,236,416 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $113,628 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,350,044 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $419,756 | OtherCostOrOtherBasisAmt |
| Book Value | $419,756 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,203,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,145,283 | DepreciationAmt |
| Book Value | $9,057,743 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,126,208 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,612,298 | DepreciationAmt |
| Book Value | $6,513,910 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $15,991,409 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $881,279 |
| DEFERRED BOND ISSUANCE COSTS | $811,146 |
| SECURITY DEPOSITS | $53,707 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,746,132 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $401,506 |
| ACCRUED PENSION LIABILITY | $30,841 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $432,347 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $49,121,604 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,137,492 | OtherRevenueAmt |
| Revenue Not Reported | $1,137,492 | RevenueNotReportedAmt |
| Revenue Subtotal | $47,984,112 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $47,984,112 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $49,240,090 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,381,373 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,381,373 | ExpensesNotReportedAmt |
| Expenses Subtotal | $47,858,717 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $47,858,717 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO PROVIDE AN ASSET BASE, AND ALLOW EARNINGS TO FUND GROWTH AND DEVELOPMENT OF THE HOSPITAL. |
| PART X, LINE 2: | UNDER ASC 740-10, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES", AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. (THE "REPORTING ORGANIZATION") DOES NOT BELIEVE THEY HAVE TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE REPORTING ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEAR ENDED DECEMBER 31, 2014, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS. MANAGEMENT BELIEVES THAT THE REPORTING ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. |
| PART XI, LINE 2D: | AFFILIATE INCOME AND ELIMINATIONS......$1,089,954. RENTAL EXPENSE.........................$47,538. TOTAL..................................$1,137,492. |
| PART XII, LINE 2D: | AFFILIATE EXPENSES AND ELIMINATIONS....$1,333,835. RENTAL EXPENSE.........................$47,538. TOTAL..................................$1,381,373. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $178,478 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $96,747 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $81,731 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $41,503 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $6,250 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $33,978 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $114,060 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $74,414 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $39,646 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $1,670 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $29,535 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $8,441 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $292,538 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $171,161 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $121,377 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,670 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $71,038 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $6,250 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $42,419 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $121,377 | DirectExpenseSummaryEventsAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $290,400 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $147,500 | CashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $15,900 | OthDirectExpnssOtherGamingAmt |
| Gross Revenue Total Gaming | $290,400 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $147,500 | CashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $15,900 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $163,400 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $127,000 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NY | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | false | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | false | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,447,143 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,447,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,508,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,717,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,791,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $113,520 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $113,520 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,069,466 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,717,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,352,183 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,069,466 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,717,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,352,183 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,373,528 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $200,503 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,556,926 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,994,034 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,437,108 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.elih.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.elih.org | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | X | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (true) | 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 (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 22D: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL FACILITY USED ITS LARGEST & MOST UTILIZED COMMERCIAL INSURANCE RATE WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. IN MOST CASES, THIS IS THE HOSPITAL'S EMPIRE B/C RATE. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE, http://www.elih.org/SERVICES/COMMUNITYRESOURCES/ServicePlan/tabid/210/ Default.aspx. ADDITIONAL INFORMATION IN CONNECTION WITH SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CAN BE OBTAINED IN THE COMMUNITY BENEFIT REPORT. |
| PART I, LINE 7, COLUMN(F): | THE HOSPITAL USED COST OF CHARGE RATIO. |
| PART I, LINE 7: | THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. IN GENERAL, THE HOSPITAL ATTEMPTS TO BILL ALL PATIENTS UNTIL A DETERMINATION CAN BE MADE THAT THE PATIENT IS UNABLE TO PAY. THEREFORE, DISTINGUISHING BETWEEN CHARITY CARE AND OTHER UNCOMPENSATED CARE IS NOT PERFORMED. FOR THE YEAR ENDED DECEMBER 31, 2014, TOTAL UNCOMPENSATED CARE, MEASURED AT CHARGES, WAS APPROXIMATELY $200,000. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL AND AFFILIATE. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. |
| PART III, LINE 8: | THE COST OF CARE TO THE MEDICARE POPULATION IN THE HOSPITAL'S COMMUNITY EXCEEDS THE REIMBURSEMENT DUE TO SHORTFALLS IN MEDICARE METHODOLOGY. |
| PART III, LINE 9B: | CONSISTENT WITH MEDICARE REGULATIONS, COLLECTION POLICIES ARE UNIVERSALLY APPLIED TO BALANCES RELATED TO PATIENT RESPONSIBILITIES. |
| NEEDS ASSESSMENT: | EASTERN LONG ISLAND HOSPITAL HAS AN EXTENSIVE PROGRAM OF COMMUNITY OUTREACH THAT IS COMPLEMENTED BY THE EFFORTS OF THE EAST END HEALTH ALLIANCE, THE HOSPITAL'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, HOSPITAL MANAGEMENT AND STAFF, VOLUNTEERS, AND LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATION AND GOVERNMENTAL AGENCIES. IN ADDITION TO OUTREACH EFFORTS, THE HOSPITAL -- THROUGH ITS GERIATRIC ASSESSMENT PROGRAM -- CONDUCTED A COMMUNITY NEEDS SURVEY IN ORDER TO IDENTIFY THOSE SERVICES THAT THE COMMUNITY BELIEVED WOULD FOSTER INDEPENDENT LIVING FOR THE ELDERLY RESIDENTS OF THE SERVICE AREA. SURVEYS WERE SENT TO MEMBERS OF THE HOSPITAL'S AUXILIARY, RESIDENTS OF PECONIC LANDING, MEMBERS OF SENIOR CITIZEN CENTERS, RECIPIENTS OF "MEALS ON WHEELS" AND PARTICIPANTS IN CONGREGATE DINING PROGRAMS AND PROVIDED IN DOCTOR'S OFFICE'S, OTHER ALLIED PROFESSIONAL OFFICES AND THE HOSPITAL'S LOBBY. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | EASTERN LONG ISLAND HOSPITAL POSTS SUMMARY OF ITS CHARITY CARE POLICIES IN ALL POINT OF CONTACT AREAS AND PROVIDES ASSISTANCE IN SECURING ENTITLEMENTS THROUGH AN INFORMED AND PROACTIVE PATIENT STAFF. |
| COMMUNITY INFORMATION: | EASTERN LONG ISLAND HOSPITAL HAS TWO DISTINCT SERVICE AREAS: ONE FOR THEIR MEDICAL SURGICAL SERVICES AND ONE FOR THEIR BEHAVIORAL HEALTH SERVICES. THE HOSPITAL'S MEDICAL SURGICAL SERVICE AREA EXTENDS EAST TO WEST FROM ORIENT TO MATTITUCK. THE POPULATION SERVED BY THE HOSPITAL IS SIGNIFICANTLY OLDER ON AVERAGE THAN SUFFOLK COUNTY, NEW YORK STATE AND NATIONALLY. MORE THAN THIRTY-NINE (39) PERCENT OF THE RESIDENTS IN THE SERVICE AREA ARE FIFTY-FIVE (55) AND OLDER WITH MORE THAN ONE IN FOUR RESIDENTS OVER THE AGE OF SIXTY-FIVE (65). THE HOSPITAL HAS DEVELOPED PROGRAMS THAT ARE SPECIFICALLY GEARED TOWARDS MEETING THE HEALTH CARE NEEDS OF THIS OLDER POPULATION, INCLUDING THE HOSPITAL'S GERIATRIC CENTER OF EXCELLENCE. THE PROGRAM WAS OPENED AT EASTERN LONG ISLAND HOSPITAL TO PROVIDE A TEAM APPROACH TO PROFESSIONAL CARE FOR THE GROWING ELDERLY POPULATION OF THE NORTH FORK AND SHELTER ISLAND. |
| OTHER INFORMATION: | ALL MEMBERS OF THE BOARD RESIDE IN THE COMMUNITY. THE HOSPITAL OFFERS MEDICAL PRIVILEGES TO QUALIFIED MEDICAL STAFF AND ACTIVELY SOLICITS PHYSICIANS TO JOIN THE COMMUNITY WHEN THERE IS AN UNFULFILLED NEED. |
| AFFILIATED HEALTH CARE SYSTEM ROLES: | THE HOSPITAL IS A MEMBER OF THE EAST END HEALTH ALLIANCE. THE EAST END HEALTH ALLIANCE, THE ARTICLE 28 PARENT OF EASTERN LONG ISLAND HOSPITAL, CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER AND SOUTHAMPTON HOSPITAL, WAS CREATED IN RESPONSE TO THE RECOMMENDATIONS OF THE COMMISSION ON HEALTH CARE FACILITIES IN THE 21ST CENTURY. CONSISTENT WITH THE MISSION OF EASTERN LONG ISLAND HOSPITAL, THE GOALS OF THE ALLIANCE ARE AS FOLLOWS: A) TO COLLABORATIVELY DEVELOP HIGH QUALITY, COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITY SERVED; B) TO RATIONALIZE HEALTH CARE SERVICES ACROSS THE SYSTEM; AND C) TO REALIZE MANAGEMENT EFFICIENCIES. ROLES OF AFFILIATES: A) PECONIC BAY MEDICAL CENTER PROVIDES ACUTE AND CRITICAL INPATIENT SERVICES, OUTPATIENT SERVICES INCLUDING EMERGENCY MEDICINE, DIALYSIS, PHYSICAL THERAPY, RADIOLOGY, RESPIRATORY THERAPY AND LABORATORY SERVICES. PECONIC BAY MEDICAL CENTER ALSO OPERATES A SIXTY (60) BED SKILLED NURSING AND REHABILITATION FACILITY THAT PROVIDES BOTH SHORT TERM AND SUBACUTE CARE AND LONG-TERM SKILLED NURSING CARE. THE MEDICAL CENTER ALSO OPERATES A CERTIFIED HOME CARE AGENCY, PECONIC BAY HOME HEALTH SERVICES. B) SOUTHAMPTON HOSPITAL IS A 125-BED, VOLUNTARY, NOT-FOR-PROFIT FACILITY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE HOSPITAL OFFERS A FULL CONTINUUM OF AMBULATORY AND INPATIENT SERVICES RANGING FROM PRIMARY MEDICAL CARE TO SPECIALIZED SURGICAL PROCEDURES, AND IS STAFFED BY MORE THAN 230 PHYSICIANS, DENTISTS AND ALLIED HEALTH PROFESSIONALS REPRESENTING 44 MEDICAL SPECIALTIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL J CONNOR III | ||||||||||||||
| PRESIDENT & CEO | $371,315 | $0 | $90,000 | $0 | $21,173 | $0 | $17,500 | $0 | $27,258 | $0 | $527,246 | $0 | $0 | $0 |
| ROBERT RAGONA | ||||||||||||||
| VP FINANCE & CFO | $244,932 | $0 | $12,000 | $0 | $0 | $0 | $17,500 | $0 | $28,210 | $0 | $302,642 | $0 | $0 | $0 |
| DELIA PISPISA | ||||||||||||||
| VP OF NURSING | $220,924 | $0 | $0 | $0 | $0 | $0 | $15,324 | $0 | $28,210 | $0 | $264,458 | $0 | $0 | $0 |
| WILLIAM J MESSNER | ||||||||||||||
| CONTROLLER | $180,000 | $0 | $15,000 | $0 | $10,803 | $0 | $14,403 | $0 | $28,210 | $0 | $248,416 | $0 | $0 | $0 |
| JARID PACHTER | ||||||||||||||
| PHYSICIAN | $365,999 | $0 | $12,000 | $0 | $9,730 | $0 | $17,500 | $0 | $28,210 | $0 | $433,439 | $0 | $0 | $0 |
| JOHN COSGROVE | ||||||||||||||
| SURGEON | $348,425 | $0 | $30,000 | $0 | $0 | $0 | $17,500 | $0 | $28,210 | $0 | $424,135 | $0 | $0 | $0 |
| NANCY JOHNSON | ||||||||||||||
| OR RN | $183,750 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $78 | $0 | $183,828 | $0 | $0 | $0 |
| SUSAN APICELLO | ||||||||||||||
| VP OF ADMIN./LAB MANAGER | $161,183 | $0 | $15,000 | $0 | $0 | $0 | $12,360 | $0 | $20,125 | $0 | $208,668 | $0 | $0 | $0 |
| RAYMOND KRUPSKI | ||||||||||||||
| PHARMACY DIRECTOR | $139,689 | $0 | $0 | $0 | $0 | $0 | $9,765 | $0 | $19,020 | $0 | $168,474 | $0 | $0 | $0 |
| JOEL LAZARUS | ||||||||||||||
| Respiratory Therapy DIRECTOR | $137,556 | $0 | $0 | $0 | $0 | $0 | $9,438 | $0 | $18,709 | $0 | $165,703 | $0 | $0 | |
| DANIEL SCOTTO | ||||||||||||||
| MIS DIRECTOR | $135,970 | $0 | $0 | $0 | $0 | $0 | $9,783 | $0 | $28,162 | $0 | $173,915 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUFFOLK COUNTY INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 112584714 | BondIssuerEIN |
| Bond Issued | 2007-06-27 | BondIssuedDt |
| Issue Price | $17,760,000 | IssuePriceAmt |
| Purpose | IMPROVEMENTS OF HOSPITAL FACILITY | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $17,760,000 | TotalProceedsAmt |
| In Reserve Fund | $1,187,569 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $11,793,210 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $765,422 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $5,939,581 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE (C): | FormAndLineReferenceDesc |
| Explanation | CUSIP #: 864768 NTR 2027 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINES 6 AND 7A: | THE ORGANIZATION'S SOLE MEMBER IS EAST END HEALTH ALLIANCE, A NOT-FOR-PROFIT CORPORATION THAT CAN ELECT ONE OR MORE MEMBERS OF THE HOSPITAL'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B: | FORM 990 IS REVIEWED BY THE FINANCE TEAM OF THE HOSPITAL, WHICH INCLUDES THE CEO, CFO AND CONTROLLER. ALSO, THE RETURNS ARE DISTRIBUTED TO THE MEMBERS OF THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. ANY CHANGES ARE IMPLEMENTED PRIOR TO FILING THE FINAL VERSION OF THE ANNUAL FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C: | H.R. POLICIES ARE REVIEWED ANNUALLY BY THE AUDIT COMMITTEE AND DISCUSSED AT THE QUARTERLY MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 15A: | AN INDEPENDENT HUMAN RESOURCES COMMITTEE CONSISTING OF INDEPENDENT BOARD MEMBERS MEET TO REVIEW AND DISCUSS THE CEO'S COMPENSATION PACKAGE. THE PROCESS INCLUDES A REVIEW OF THE CEO'S PERFORMANCE AND A COMPARISON OF THE CEO'S ROLE AND COMPENSATION TO OUR SISTER HOSPITALS (CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER & SOUTHAMPTON HOSPITAL) AS WELL AS OTHER HOSPITALS IN SIMILAR GEOGRAPHIC LOCATIONS. THEY ALSO COMPARE IT WITH PUBLISHED STANDARDS OF OTHER HOSPITALS. IN ADDITION THEY REACH OUT TO OTHER INDEPENDENT ORGANIZATIONS SUCH AS THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) TO COMPILE THIS DATA. AFTER THE HUMAN RESOURCES COMMITTEE COMPLETES THEIR DELIBERATION THEY MEET WITH THE FULL BOARD OF THE HOSPITAL TO DISCUSS THEIR FINDINGS AND MAKE SUGGESTIONS BEFORE THE FULL BOARD VOTES TO APPROVE THE COMPENSATION PACKAGE. THE DELIBERATION AND DECISION OF THE BOARD IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15B: | THE PROCESS IS SIMILAR TO 15A ABOVE AND INCLUDES AN ANNUAL EVALUATION CONDUCTED BY THE CEO AND PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD WHO APPROVE THE COMPENSATION PACKAGE. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY.....$30,605. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| EASTERN LONG ISLAND HOSPITAL FOUNDATION | |||||||||
| 201 MANOR PLACE | GREENPORT | NY | 11944 | 203851050 | FUNDRAISING | NY | 501(C)(3) | 11 | false |
| EAST END HEALTH ALLIANCE | |||||||||
| 201 MANOR PLACE | GREENPORT | NY | 11944 | 113407476 | HOSPITAL | NY | 501(C)(3) | 11 | false |
| CENTRAL SUFFOLK HOSP dba PECONIC BAY MED | |||||||||
| 1300 ROANOKE AVENUE | RIVERHEAD | NY | 11901 | 111661359 | HOSPITAL | NY | 501(C)(3) | 7 | false |
| SOUTHAMPTON HOSPITAL | |||||||||
| 240 MEETING HOUSE LANE | SOUTHAMPTON | NY | 11968 | 111667765 | HOSPITAL | NY | 501(C)(3) | 7 | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST END PHYSICIAN SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1Txt |
| City | GREENPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460852920 | EIN |
| Primary Activities | PRIMARY CARE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORPORATION | EntityTypeTxt |
| Share Of Total Income | $955,054 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $208,101 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST END PHYSICIAN SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $803,178 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |