EPISCOPAL HEALTH SERVICES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- EPISCOPAL HEALTH SERVICES INC (EIN 11-1665825)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201413219349301661
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T08:22:41-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Charles A Barragato & Co LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 Third Avenue - 20th FL | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10022 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111665825 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Episcopal Health Services Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % EPISCOPAL HEALTH SERVICES | InCareOfNm |
| Business Name Control | EPIS | BusinessNameControlTxt |
| Phone | 5163494643 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 Hicksville Road 210 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Bethpage | City |
| State | NY | State |
| ZIP Code | 11714 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM MOORE CFO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2123714446 | PhoneNum |
| Signature | 2014-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Angelo Pirozzi CPA | PreparerPersonNm |
| PTIN | P00446022 | PTIN |
| Phone | 2123714446 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 Hicksville RD Suite 210 | AddressLine1 |
| City | Bethpage | City |
| State | NY | State |
| ZIP Code | 11714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $188,397,000 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1852 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTH CARE THROUGH ITS HOSPITAL, AMBULATORY CARE HOSPITAL, AMBULATORY CARE FACILITIES, NURSING HOMES AND EDUCATION, RECOGNIZING THE EMERGING LIFE-CARE NEEDS OF THE COMMUNITIES SERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1818 | TotalEmployeeCnt |
| Total Volunteers | 69 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,585,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,668,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $178,900,000 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $171,274,000 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,242,000 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,349,000 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,869,000 | PYOtherRevenueAmt |
| CY Other Revenue | $8,106,000 | CYOtherRevenueAmt |
| PY Total Revenue | $197,596,000 | PYTotalRevenueAmt |
| CY Total Revenue | $188,397,000 | 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 | $125,695,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $127,900,000 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,643,000 | PYOtherExpensesAmt |
| CY Other Expenses | $69,667,000 | CYOtherExpensesAmt |
| PY Total Expenses | $194,338,000 | PYTotalExpensesAmt |
| CY Total Expenses | $197,567,000 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,258,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,170,000 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $142,636,000 | TotalAssetsBOYAmt |
| Total Assets EOY | $139,831,000 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $118,366,000 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $124,271,000 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,270,000 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,560,000 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF EPISCOPAL HEALTH SERVICES INC. OF THE DIOCESE OF LONG ISLAND IS TO PROVIDE QUALITY HEALTH CARE WITH AN EMPHASIS ON PATIENT SAFETY THROUGH ITS HOSPITAL, AMBULATORY CARE FACILITIES, NURSING HOMES AND CONTINUING MEDICAL EDUCATION, RECOGNIZING THE EMERGING LIFE-CARE NEEDS OF THE COMMUNITIES SERVED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $176,875,000 | ExpenseAmt |
| Revenue | $173,986,000 | RevenueAmt |
| Desc | ST.JOHN'S EPISCOPAL HOSPITAL PROVIDED THE FOLLOWING SERVICES TO RESIDENTS OF ITS LOCAL COMMUNITY IN 2013: 10,500 DISCHARGES 49,300 ADULT AND PEDIATRIC MEDICAL AND SURGICAL DAYS OF CARE TO 7,800 PATIENTS. 114,800 DAYS OF BEHAVIORAL HEALTHCARE TO 750 PATIENTS. 720 BABIES WERE DELIVERED. 29,800 PATIENTS WERE TREATED AND RELEASED FROM THE 24 HR EMERGENCY ROOM. 15,200 VISITS TO THE CHRONIC DIALYSIS SERVICE. 76,300 VISITS TO THE AMBULATORY AND BEHAVIORAL HEALTH CLINICS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BISHOP CHARLES WALDO MACLEAN NURSING HOME PROVIDED THE FOLLOWING EXEMPT PURPOSE SERVICES IN 2013: 55,400 DAYS OF LONG TERM NURSING HOME CARE WERE FURNISHED TO PATIENTS. In August 2012, EHS entered into asset purchase agreements with unrelated parties to sell Bishop MacLean Nursing Home (the Home) and believes the sale will close in 2014 after the completion of regulatory approvals and other matters. As a result, EHS determined that the criteria for held for sale classification of certain of the Home assets and liabilities were met in August 2012. Under the agreements, assets and liabilities to be transferred or assigned to the buyers include those used in operations and personal properties of the Home facilities. Effective July 1, 2012 the buyers began operating the Homes under an employment agreement intended to capitalize on their specific expertise regarding long term care operation. Managerial oversight by the Board of Trustees has continued from the inception of the employment agreement, and will continue to effective through final closing of the sale. Subsequent to initiation of the employment agreement, the aforementioned asset purchase agreement was entered into shortly afterward, outlining the fundamentals of the proposed transaction. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $176,875,000 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | 213 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1818 | 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 | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EPISCOPAL HEALTH SERVICES | PersonNm |
| Phone | 5163494643 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 HICKSVILLE ROAD - SUITE 210 | AddressLine1 |
| City | BETHPAGE | City |
| State | NY | State |
| ZIP Code | 11714 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 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 |
|---|---|---|---|---|---|---|---|---|---|
| REVEREND LAWRENCE C PROVENZANO | |||||||||
| PRESIDENT & CHAIRMAN | 10.0 | 1.0 | Yes (X) | Yes (X) | $60,000 | $0 | $0 | ||
| MARGARET O CARPENTER | |||||||||
| SECOND VP | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| REVEREND JOHN E WALKER III | |||||||||
| SECRETARY | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RONALD O COLE | |||||||||
| TREASURER | 1.0 | Yes (X) | Yes (X) | $25,081 | $0 | $0 | |||
| KATHLEEN E LECADRE | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| VENERABLE JEROME J NEDELKA | |||||||||
| CHAIRMAN - PASTORAL CARE | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| REVEREND J MASTINE NISBETT | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| REVEREND DARRYL F JAMES | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| REVEREND THEODORE W BEAN JR | |||||||||
| BOARD MEMBER - TERMED 8/2013 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL A KASLE | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| OWEN C THOMPSON | |||||||||
| BOARD MEMBER - TERMED 7/2013 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| NELSON TOEBBE | |||||||||
| CEO - PITTS MGMT -TERMED 11/13 | 40.0 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD BROWN | |||||||||
| CEO EFFECTIVE 12/1/2013 | 37.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| WILL MOORE | |||||||||
| CFO EFFECTIVE 12/1/2013 | 37.0 | Yes (X) | $0 | $0 | $0 | ||||
| CHERIAN T PALATHRA | |||||||||
| CONTROLLER - TERM 9/13 | 40.0 | Yes (X) | $130,394 | $30,192 | |||||
| ROBERT BLAKE | |||||||||
| PHYSICIAN | 26.0 | 14.0 | $189,010 | $74,098 | $18,873 | Yes (X) | |||
| SHELDON MARKOWITZ | |||||||||
| CHAIR - DEPT OF MEDICINE | 40.0 | $261,428 | $42,580 | Yes (X) | |||||
| MANMOHN MAHADKAR | |||||||||
| CHAIR- OB/GYN-TERM 11/13 | 40.0 | $333,463 | $42,563 | Yes (X) | |||||
| RAJIV PRASAD | |||||||||
| CHAIR - EMERGENCY SERVICES | 32.0 | $346,324 | $5,952 | Yes (X) | |||||
| RAYMOND PASTORE MD | |||||||||
| CHIEF MEDICAL OFFICER | 38.0 | 2.0 | $275,659 | $6,725 | Yes (X) | ||||
| LOKESH REDDY MD | |||||||||
| CHIEF OF PSYCHIATRY | 40.0 | $289,316 | $30,162 | Yes (X) | |||||
| Kelly Barland | |||||||||
| Chief Information Officer | 38.0 | $223,668 | $0 | Yes (X) | |||||
| Krishna Kishore Bezwada | |||||||||
| Chief - Psychiatry | 40.0 | $259,751 | $29,755 | Yes (X) | |||||
| Richard Sarli | |||||||||
| VP Finance | 37.0 | 3.0 | $273,190 | $2,500 | Yes (X) | ||||
| Natalie Schwartz | |||||||||
| VP Reglatory Affairs | 40.0 | $257,379 | $42,478 | Yes (X) | |||||
| SHAKIRA GORDON | |||||||||
| VP HUMAN RESOURCES | 40.0 | $144,417 | $25,269 | Yes (X) | |||||
| GWENDOLYN SEYMORE-PINCKNEY | |||||||||
| VP REGULATORY AFFAIRS | 40.0 | $145,855 | $27,275 | Yes (X) | |||||
| GILBERT MAKABALI MD | |||||||||
| CHAIRMAN - SURGERY | 40.0 | $261,769 | $44,848 | Yes (X) | |||||
| ALAN STEINBERG MD | |||||||||
| CHAIRMAN - PEDIATRICS | 40.0 | $267,742 | $31,401 | Yes (X) | |||||
| James Henry MD | |||||||||
| CHIEF OF ORTHOPEDICS | 40.0 | $328,365 | $25,432 | Yes (X) | |||||
| Ronald Brenner | |||||||||
| Chair-Psychiatry | 64.0 | $232,082 | $29,616 | Yes (X) | |||||
| Imelda Canlas | |||||||||
| Anesthesiologist | 40.0 | $248,532 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,553,425 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $74,098 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $435,621 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 194 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PITTS MANAGEMENT ASSOCIATES INC | |||||
| 7946 GOODWOOD BLVD | BATON ROUGE | LA | 70806 | DAILY MANAGEMENT SVC | $2,501,210 |
| Advanced Care Staffing | |||||
| 545 Broadway | BROOKLYN | NY | 11206 | Temporary Staffing | $2,111,322 |
| NSLIJHS Laboratory | |||||
| 10 Nevada Drive | LAKE SUCCESS | NY | 11042 | Laboratory Services | $2,100,097 |
| Queens County Medical Serivces LLC | |||||
| 5665 New Northside Drive STE 320 | ATLANTA | GA | 30328 | Physician Services | $1,782,000 |
| Morrison Management Specialist Inc | |||||
| PO Box 102289 | ATLANTA | GA | 303682289 | Dietary Management | $1,560,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,141,000 | GovernmentGrantsAmt |
| All Other Contributions | $527,000 | AllOtherContributionsAmt |
| Total Contributions | $2,668,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REV | 621300 | $172,275,000 | $172,275,000 |
| PHYSICIAN BILLING REVENUE | 621110 | $1,640,000 | $1,640,000 |
| PROVISION FOR BAD DEBTS | 621300 | -$2,641,000 | -$2,641,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $171,274,000 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,347,000 | TotalRevenueColumnAmt |
| Exclusion | $6,347,000 | 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 | $86,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,000 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,000 | TotalRevenueColumnAmt |
| Exclusion | $86,000 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,000 | TotalRevenueColumnAmt |
| Exclusion | $2,000 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| HEALTHFIRST INVEST INCOME | 523000 | $4,627,000 | $4,627,000 | |
| I&R AND NON I&R ROTATION INCOME | 900099 | $2,712,000 | $2,712,000 | |
| ALL OTHER REVENUE | 900099 | $681,000 | $681,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,020,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,397,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $173,986,000 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $11,743,000 | 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 | $3,555,139 | TotalAmt |
| Management And General | $3,555,139 | 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 | $89,215,986 | TotalAmt |
| Program Services | $84,579,000 | ProgramServicesAmt |
| Management And General | $4,636,986 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,512,762 | TotalAmt |
| Program Services | $6,944,000 | ProgramServicesAmt |
| Management And General | $568,762 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,685,113 | TotalAmt |
| Program Services | $19,139,000 | ProgramServicesAmt |
| Management And General | $1,546,113 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,931,000 | TotalAmt |
| Program Services | $6,340,000 | ProgramServicesAmt |
| Management And General | $591,000 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,753,000 | TotalAmt |
| Management And General | $3,753,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $840,000 | TotalAmt |
| Program Services | $768,000 | ProgramServicesAmt |
| Management And General | $72,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,000 | TotalAmt |
| Management And General | $466,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,000 | TotalAmt |
| Program Services | $17,000 | ProgramServicesAmt |
| Management And General | $2,000 | ManagementAndGeneralAmt |
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 | $11,284,000 | TotalAmt |
| Program Services | $10,323,000 | ProgramServicesAmt |
| Management And General | $961,000 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,000 | TotalAmt |
| Program Services | $140,000 | ProgramServicesAmt |
| Management And General | $13,000 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,000 | TotalAmt |
| Program Services | $317,000 | ProgramServicesAmt |
| Management And General | $29,000 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,000 | TotalAmt |
| Program Services | $642,000 | ProgramServicesAmt |
| Management And General | $60,000 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,958,000 | TotalAmt |
| Program Services | $3,621,000 | ProgramServicesAmt |
| Management And General | $337,000 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,000 | TotalAmt |
| Program Services | $87,000 | ProgramServicesAmt |
| Management And General | $8,000 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,000 | TotalAmt |
| Program Services | $102,000 | ProgramServicesAmt |
| Management And General | $9,000 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,000 | TotalAmt |
| Program Services | $218,000 | ProgramServicesAmt |
| Management And General | $20,000 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,020,000 | TotalAmt |
| Program Services | $6,422,000 | ProgramServicesAmt |
| Management And General | $598,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,618,000 | TotalAmt |
| Program Services | $8,799,000 | ProgramServicesAmt |
| Management And General | $819,000 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $8,580,000 | $7,849,000 | $731,000 |
| OTHER MATERIALS & EXPENSES | $10,113,000 | $9,251,000 | $862,000 |
| PURCHASE SERVICE EXPENSE | $8,327,000 | $7,618,000 | $709,000 |
| DRUGS | $4,044,000 | $3,699,000 | $345,000 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,567,000 | TotalAmt |
| Program Services | $176,875,000 | ProgramServicesAmt |
| Management And General | $20,692,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,390,000 | BOYAmt |
| EOY | $7,239,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,000 | BOYAmt |
| EOY | $677,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,549,000 | BOYAmt |
| EOY | $14,121,000 | 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 | $349,000 | BOYAmt |
| EOY | $749,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,393,000 | BOYAmt |
| EOY | $5,340,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $159,407,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $120,605,000 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,530,000 | BOYAmt |
| EOY | $38,802,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $66,999,000 | BOYAmt |
| EOY | $72,903,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,636,000 | BOYAmt |
| EOY | $139,831,000 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,649,000 | BOYAmt |
| EOY | $38,907,000 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $5,290,000 | BOYAmt |
| EOY | $5,267,000 | 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 | $77,427,000 | BOYAmt |
| EOY | $80,097,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,366,000 | BOYAmt |
| EOY | $124,271,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,396,000 | BOYAmt |
| EOY | $13,311,000 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,000 | BOYAmt |
| EOY | $841,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,408,000 | BOYAmt |
| EOY | $1,408,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,270,000 | BOYAmt |
| EOY | $15,560,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,636,000 | BOYAmt |
| EOY | $139,831,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$9,170,000 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $252,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $208,000 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $19,502 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,502 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1(i) | FormAndLineReferenceDesc |
| Explanation | Episcopal Health Services Inc. pays dues to The Healthcare Association of New York State (HANYS) and The Greater New York Hospital Association (GNYHA). In accordance with section 6033 (e) of the Internal Revenue Code, and as reported by HANYS and GNYHA a portion of these dues payments are attributable to lobbying activities. The lobbying activity costs attributable in 2013 to HANYS and GNYHA annual dues payments was $16,742, and $2,760 respectively. | ExplanationTxt |
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 | $1,408,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $91 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $91 | OtherExpendituresAmt |
| End Year Balance | $1,408,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,408,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5 | OtherExpendituresAmt |
| End Year Balance | $1,408,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,408,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8 | OtherExpendituresAmt |
| End Year Balance | $1,408,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,408,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8 | OtherExpendituresAmt |
| End Year Balance | $1,408,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,408,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11 | OtherExpendituresAmt |
| End Year Balance | $1,408,000 | 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) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $929,000 | OtherCostOrOtherBasisAmt |
| Book Value | $929,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,136,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,314,000 | DepreciationAmt |
| Book Value | $14,822,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,997,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,447,000 | DepreciationAmt |
| Book Value | $550,000 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,477,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,844,000 | DepreciationAmt |
| Book Value | $18,633,000 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,868,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,868,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,802,000 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS WHOSE USE IS LIMITED | $8,924,000 |
| DUE FROM THIRD-PARTY PAYORS | $5,502,000 |
| HEALTHFIRST INVESTMENT | $12,024,000 |
| INV IN & HLD BY CAPTIVE INS CO | $24,062,000 |
| OTHER ASSETS | $1,575,000 |
| PHSP INVESTMENT - COST | $5,642,000 |
| INSURANCE RECOVERABLE | $4,806,000 |
| MACLEAN ASSETS HELD FOR SALE | $5,301,000 |
| DUE FROM RELATED ORGANIZATIONS | $5,067,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $72,903,000 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $33,795,000 |
| OTHER LIABILITIES | $0 |
| PROFESSIONAL & SELF INSURED LI | $43,199,000 |
| MACLEAN LIABILITIES HELD FOR S | $3,103,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $80,097,000 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND | FormAndLineReferenceDesc |
| Explanation | INCOME FROM ENDOWMENT FUNDS ARE TO BE USED TO FURTHER SUPPORT THE MISSION OF THE ORGANIZATION. ENDOWMENT FUND ASSETS ARE REQUIRED TO BE HELD IN PERPETUITY BY DONOR RESTRICTION. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Specific Services Provided | CAPTIVE INSURANCE CO. | SpecificServicesProvidedTxt |
| Region Total Expenditures | $28,869,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $28,869,000 | SubtotalSpentAmt |
| Total Spent | $28,869,000 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | ACTIVITIES PER REGION | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS A PARTIAL OWNER OF CAPTIVE FOREIGN INSURANCE COMPANIES. THE HOSPITAL'S INVESTMENTS IN THE FOREIGN INSURANCE COMPANIES ARE REPORTED AT FAIR MARKET VALUE OR COST. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| 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 | $1,613,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,253,366 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $360,506 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,057,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,509,433 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,548,127 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,671,432 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,762,799 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,908,633 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $780,287 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $780,287 | NetCommunityBenefitExpnsAmt |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,478,672 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,165,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,313,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03700 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,643,370 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,228,722 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,414,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07800 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,902,329 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,393,874 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,508,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $126,573,761 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,156,673 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,417,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.25620 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,609 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,609 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,641,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $402,699 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $69,391,992 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $50,392,665 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $18,999,327 | 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 | St John's Episcopal Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 327 Beach 19th Street | AddressLine1 |
| City | Far Rockaway | City |
| State | NY | State |
| ZIP Code | 11691 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Johns Episcopal Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.EHS.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| 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 (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H. Part V SEC B, Line 7 | THE HOSPITAL RECOGNIZES THERE IS A NEED TO ADDRESS ALL IDENTIFIED HEALTH CONCERNS. DUE TO LIMITATIONS IN STAFFING AND RESOURCES, THE HOSPITAL FOCUSED ITS EFFORTS ON THOSE PRIORITIES THAT APPEARED TO BE OF THE MOST NEED AND HAD THE STAFFING AND RESOURCES TO COMMIT TO A THREE-YEAR PLAN OF IMPLEMENTATION. HIV AND AIDS SERVICES ARE CURRENTLY OFFERED AT THE JOSEPH P ADDABO FAMILY HEALTH CENTER THE COMMUNITY HEALTH PRIORITIES THAT THE HOSPTAL IDENTIFIED IN ITS HEALTH NEEDS ASSESSMENT BUT DOES NOT INTEND TO MEET ARE: CANCER; RESPIRATORY DISEASE; HIV AND AIDS; MATERNAL CHILD HEALTH. |
| Schedule H, Part V SEC B, Line 20D | DURING 2013, THE HOSPITAL DETERMINED THAT THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS WAS A FLAT FEE PLUS A PERCENTAGE OF ANCILLARY CHARGES BASED ON FEDERAL POVERTY LEVEL THE INDIVIDUAL QUALIFIED FOR. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BISHOP WALDO MACLEAN NURSING HOME | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1711 BROOKHAVEN AVENUE | AddressLine1 |
| City | FAR ROCKAWAY | City |
| State | NY | State |
| ZIP Code | 11691 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | SKILLED NURSING FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | ST. JOHN'S EPISCOPAL HOSPITAL COSTING METHODOLOGY WAS BASED UPON THE 2013 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2013 MEDICARE (FORM 2552) COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE #7. |
| SCHEDULE H, PART III, LINE 3 | St. John's Hospital utilizes the estimated percentage of patients living at or below the federal poverty level 20.4% and the self pay percentage 85.1646% to arrive at the amount of bad debt that is potentially attributable to patients eligible under the organization's financial assistance policy. |
| SCHEDULE H, PART III, LINE 4 | THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS SHOWN IN THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE IS EXCERPTED BELOW: Accounts receivable are also reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Corporation analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Corporation analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients, which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, the Corporation records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between discounted rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged to the allowance for doubtful accounts. |
| SCHEDULE H, PART III, LINE 5 | Included in the calculation of the Medicare revenue of $69,391,992 is $12,257,485 of Disproportionate Share (DSH) payments and $11,005,092 of Indirect Medical Education (IME) payments which total $23,262,577 Resulting in true patient service revenue of $46,129,415. |
| SCHEDULE H, PART III, LINE 5 & 6 | Pursuant to the instructions included in Medicare Revenue Received on Part III Section B Line 5 is Reimbursement for Indirect Medical Education (IME) of $10.1 million. There are $0 cost included in Part III Line 6 Medicare Allowable Cost related to IME. |
| SCHEDULE H, PART III, LINE 7 | The Medicare surplus shown of $18,999,327 includes the additional items of Medicare revenue detailed in the explanation for Line 5 above without inclusion of additional costs related to them. Had these amounts not been received the operating Medicare shortfall would have been $4,263,250. Losses on treating Medicare beneficiaries should be included as a community benefit in their entirety. St. John's Episcopal Hospital incurred this operating Medicare loss of $4.3 million to deliver care to Medicare patients. This represents the amount by which costs to deliver care to Medicare recipients exceeds the level of payment. St. John's Episcopal Hospital bears the burden of not only providing the best and most advanced medical care possible to the community, but also doing so with no recourse to obtain payment for the cost of providing care in excess of the Medicare payment. As Medicare revenue declines and the cost to provide cutting edge care to the community increases, the Hospital will carry the burden as a participating provider and a charitable organization. Like all patients those on Medicare, the majority of whom are elderly OR disabled, are not turned away, so St. John's Episcopal Hospital will continue to bear the loss in providing the best care possible to the local community. |
| SCHEDULE H, PART III, LINE 8 | the Medicare revenue and allowable costs shown in Part III Section B Lines 5 and 6, respectively, were derived from the as-filed 2013 CMS-2552 (Medicare Cost Report). Medicare revenue is based on the Medicare Provider Statistical and Reimbursement Report and Medicare costs were developed utilizing a ratio of Medicare allowable costs to charges methodology. |
| FINANCIAL ASSISTANCE - SCHEDULE H, PART III, LINE 9B | The charity care and financial assistance policies of St. John's Episcopal Hospital (which are further summarized in Schedule H Part VI Line 3) ensure that every effort is made to identify patients that are eligible for financial assistance and/or charity care. Included below is a summary of the billing and collection procedures followed by St. John's Episcopal Hospital: - The forced sale of or foreclosure on the patient's primary residence is prohibited - Sending an account to collection if the patient has submitted a completed application for financial assistance, including any required documentation, while the application is pending is prohibited - Provide written notification to a patient at least 30 days before an account is sent to collection (written notice can be included on a bill). - Require the collection agency to have the hospital's written consent prior to starting a legal action for collection. - Require all hospital staff that interacts with patients or have responsibility for billing and collection to be trained in the hospital's policies. - Have a way of measuring the hospital's compliance with its policies. - Require any collection agency under contract with the hospital to follow the hospital's financial assistance policy and provide information to patients on how to apply, where appropriate. - Prohibit collection activity if the patient is determined eligible for Medicaid for the services that were rendered and the hospital is able to collect Medicaid payment. |
| SCHEDULE H, PART VI LINE 2 | St. John's Episcopal Hospital (the "Hospital" or "St. John's") is a 257 licensed bed acute care hospital located in Far Rockaway, New York. St. John's, together with the Bishop Henry B. Hucles Nursing Home, Inc.; the Bishop Waldo MacLean Nursing Home; St. John's Emergency Services PC; St. John's Medical Services PC, form the patient care services of Episcopal Health Services, Inc., which is sponsored by the Episcopal Diocese of Long Island. This discussion relates to the Hospital only as required in Form 990 Schedule H. As the result of several meetings with community groups, a comprehensive Community Health Needs Assessment (CHNA) for the Hospital community was developed. The document addresses only St. John's, as the aforementioned nursing homes are currently involved in a transaction that will ultimately transfer ownership to an unrelated third party. The report fulfills the requirements of the new Federal statute established within the Patient Protection and Affordable Care Act (PPACA) requiring non-profit hospitals to conduct CHNAs every three years. The CHNA process undertaken by the Hospital utilized extensive input from persons who represent the broad interests of the community. In addition, this document satisfies the requirements set forth by the New York State Department of Health (DOH) relative to the preparation of a three year Community Service Plan (CSP). The overlapping nature of these requirements enabled the Hospital to complete one comprehensive document. New York's relevant statute, Section 2803-1 of the Public Health Law, requires voluntary non-profit hospitals to submit a comprehensive CSP to the State Department of Health (DOH) every three years that includes a solicitation of the views of the communities served by the Hospital on service priorities; demonstrates the Hospital's operational and financial commitment to meet community health needs; provision of charity care; and improving access by the underserved, among other elements. In submitting their CSPs, hospitals are required to take steps that include: - Reaffirming organizational mission statements; - Defining the service area used for community and local health planning and describing the methods used to determine such service area; - Identifying all participants involved in assessing community health needs and describing and summarizing the hospital's public input sessions; - Discussing the identified public health priorities, including the criteria used to select priorities and the status of priorities; - Establishing an evolving plan of action; and - Disseminating a written summary of the CSP to the public through various channels. The statutory CSP requirements were recently enhanced by DOH's Prevention Agenda initiative, a process that asks hospitals to work with local public health departments and community partners to assess community health needs, jointly develop plans to address two or three of the identified needs, and include this collaborative work in the hospital's CSP update submitted to DOH. St. John's has incorporated the Prevention Agenda into its three year plan. To advance the goals of the New York State Prevention Agenda 2013-2017 and Healthy People 2020 in its Service Area, St. John's reached out and partnered with numerous community-based organizations and other stakeholders to identify community health needs and develop plans to address these needs. The participating organizations included: -St. John's Episcopal Hospital Community Advisory Board -Joseph P. Addabbo Family Health Center -NAACP of Rockaway -Rockaway Beach Channel Long Term Recovery -Rockaway United -Community Board 14 -Deerfield Area Civic Association -Rockaway Development and Revitalization Corp. -Visiting Nurse Service of New York -Rockaway Manor Home Care -Queens County Perinatal Council -Doctors of the World -SCO Family of Services -Met Council -Queens Public Library -Lucille Rose Day Care -Safe Space -Rockaway Beach Civic Association -New York State Assemblyman Phillip Goldfeder Two initial community meetings were held to gather input from the public on the health concerns of the community, the application of the New York State Department of Health Prevention Agenda 2013-2017 to their community and their views of health data gathered by the Hospital. At those meetings participants were then asked to give their opinion on the two highest priorities in the Rockaways. In this manner a sampling of the community opinion was conducted. The meetings were held on July 9, 2013 at 6 pm at the Peninsula Preparatory Charter School (34 attendees); and July 16, 2013 at 6 pm at the Knights of Columbus Rockaway Council #2672 (55 attendees). The meetings were publicized through a variety of ways including four full-page color advertisements in the local newspapers, the "Wave", the "Rockaway Pointer", and the "Five Towns Jewish Press"; a community email blast; social media; and the St. John's website. |
| SCHEDULE H, PART VI, LINE 3 | St. John's Hospital is committed to providing access to quality health care services with compassion, dignity and respect for all patients, particularly the poor and the underserved in our community. Accordingly, St. John's Hospital has implemented a Charity Care and Financial Assistance Process to help facilitate the provision of much needed care. This process includes: - Providing patient care regardless of the ability to pay for services; - Assisting patients who cannot pay for part or all of the care they receive; - Financial counselors will confidentially review the situation to see if patients quality for some form of government or other financial assistance; - Balancing needed financial assistance for some patients with the broader fiscal responsibilities in order to sustain viability and provide the quality and quantity of services residents in the community need; and - Offer installment plans to allow patients to pay over time without the imposition of interest charges. |
| SCHEDULE H, PART VI, LINE 4 | The Rockaway Peninsula is a narrow strip of land bordered by the Atlantic Ocean and Jamaica Bay and is a part of Queens County, New York City and also borders Nassau County on Long Island. Superstorm Sandy had a devastating impact on the Rockaway Peninsula. Much of the community was without gas and electric for weeks following the storm. Homes and businesses were in ruin, some claimed by the sea, others by fire, entire blocks in Belle Harbor and Rockaway Park were engulfed in flames, a considerable portion of Breezy Point literally burned to the ground. Debris and sand were everywhere, including the inside of homes. Cars that had been flooded were scattered throughout the streets of the community. The rebuilding has been extremely slow, and is an ongoing process, with many displaced residents having still not returned to their homes. Many nursing homes and adult homes - sources of admissions to the Hospital, as well as other local businesses never reopened. Transportation between the peninsula and the mainland is a long time commitment for residents as the peninsula is connected to New York City by two toll bridges, the Marine Park Bridge and the Cross Bay Bridge, and by the "A" subway line of the New York City Metropolitan Transit Authority, which was out of commission until late Summer 2013. Throughout the two weeks after the storm St. John's was like a beacon in the darkness for Far Rockaway and the surrounding communities. Running on generator power for 12 days, the Hospital was a place where shelter, warmth, light and food could be found. People stopped in to charge cell phones, and found electricity to power much needed medical devices. Many residents lost everything they had, carrying what they could of their prized possessions. Ongoing recovery assistance was also provided by the Hospital. Collections were made to help employees defray some of the costs of recovery, and clothing drives put much needed clothes on the backs of local residents. ST. JOHN'S HAS SERVED THE COMMUNITY FOR MORE THAN 100 YEARS. AS A NOT-FOR-PROFIT FAITH-BASED INSTITUTION THAT IS DEEPLY AWARE OF THE COMMUNITY'S GEOGRAPHIC ISOLATION AND VULNERABILITIES, IT IS DEEPLY COMMITTED TO CONTINUING TO SERVE THE COMMUNITY WELL INTO THE FUTURE. IT IS ALSO COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY AND CONTINUING TO OFFER A WIDE RANGE OF SERVICES, AS WELL AS COMMUNITY OUTREACH AND HEALTH. While "community" can be defined in many ways, the Hospital defined its Service Area as the 6 zip codes from which approximately 70% discharges came, namely Far Rockaway; Inwood; Arverne; Rockaway Beach; Belle Harbor; and Breezy Point. In 2013 the Rockaways had a population totaling over 123,000 with almost 30% of the Service Area's population under the age of 20, and almost 13% over the age of 65. More than 20% live under the federal poverty level, while the overall Queens county rate is just below 14%. The percentage of the Service Area population who are deemed to be minorities is 65.4%, with African Americans comprising 38% of the population. A large population of Hispanics resides in Inwood, which is the most northeast boundary of the Service Area. population. A large population of Hispanics resides in Inwood, which is the most northeast boundary of the Service Area. |
| SCHEDULE H, PART VI, LINE 5 | Overall health status continues to be lacking, with 25% of residents of the Rockaways considering themselves to be in poor or fair health. In addition, 21% of Queens County residents do not have health insurance coverage, which is higher than the statewide rate of 14%. Lack of health insurance is also a significant barrier to accessing health care. Due to these existing demographic factors, St. John's is constantly working to educate and improve the overall health and well being of those that live in the communities we serve. In preparation of the attached Community Health Needs Assessment (CHNA) the Hospital met with community members over the course of several meetings in an effort to determine the health needs and concerns of the areas served. The following are the areas the Hospital has determined to require primary attention: -PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE -Prevention of chronic diseases -Community based diabetes program; -Increase cardiovascular screening rates; -Obesity - Creating a community environment that promotes healthy food and beverage choices In addition to the initiatives outlined in the CHNA, the Hospital has undertaken numerous community focused initiatives. Opened just weeks before Superstorm Sandy, the Belle Harbor Family Practice office was established to service the residents on the western end of the peninsula. The storm effectively wiped out the office, and fortunately it was rebuilt and reopened again on May 1, 2013. Over two dozen health fairs and other events were either sponsored by the Hospital or were participated in throughout 2013. Blood pressure, cholesterol and glucose screenings were among the tests provided to community members attending these events. In addition, presentations were given to further educate residents in the area on health issues affecting them. While health care is the primary service delivered by St. John's it is also important to assist the community in other ways. Annually the Hospital sponsors a children's holiday party where community children meet Santa and are provided toys for the holiday. A community baby shower allows new mothers to receive baskets filled with necessary items for a newborn. Also, Thanksgiving food baskets have been distributed to local families in need allowing them to enjoy a full traditional holiday meal thanks to the generosity of the hospital staff. |
| SCHEDULE H, PART VI, LINE 5 | St. John's Episcopal Hospital plays an important role in the local community as a provider of needed medical services. St. John's is the only hospital on the peninsula and is also the largest non-governmental employer in the local community. In addition to providing high quality medical services, St. John's is also an active member of the local community, participating in various health fairs, screenings, and educational sessions and events to local residents at no cost. Many of the various programs and initiatives that St. John's Hospital has identified to demonstrate our commitment to further its exempt purpose and promote the health care of the local community have been highlighted previously in this form. St. John's Hospital has an active Community Advisory Board comprised of local residents and business people who meet with Hospital leadership quarterly to discuss at a high level the overall operations of the Hospital, demographics and health needs of the Rockaway community. St. John's extends medical staff privileges to all qualified physicians in its community for the various services provided by the Hospital. The Hospital's medical staff is a large diverse group of highly trained professionals numbering approximately 450 members. In addition, St. John's overall responsiveness to the needs of our community is evidenced by our willingness to participate in a range of coalitions, panels, advisory groups, commissions and boards, including Ready Rockaway, which is a coalition of community based organizations that recognize the need for planning for emergencies such as Superstorm Sandy which severely impacted the Rockaway peninsula in October. In addition, St. John's has internal emergency and disaster drills throughout the year to ensure the Hospital is prepared to meet the needs of its local community and the surrounding areas. |
| SCHEDULE H, PART VI, LINE 6 | NOT APPLICABLE |
| SCHEDULE H, PART VI, LINE 7 | NEW YORK. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | 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 (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|
| CHERIAN T PALATHRA | ||||||||||
| CONTROLLER - TERM 9/13 | $97,354 | $33,040 | $5,095 | $0 | $25,097 | $0 | $160,586 | $0 | ||
| ROBERT BLAKE | ||||||||||
| PHYSICIAN | $188,794 | $216 | $6,338 | $0 | $12,535 | $0 | $207,883 | $74,098 | $74,098 | |
| SHELDON MARKOWITZ | ||||||||||
| CHAIR - DEPT OF MEDICINE | $257,618 | $3,810 | $6,931 | $0 | $35,649 | $0 | $304,008 | $0 | ||
| MANMOHN MAHADKAR | ||||||||||
| CHAIR- OB/GYN-TERM 11/13 | $279,894 | $28,569 | $6,923 | $0 | $35,640 | $0 | $376,026 | $0 | $25,000 | |
| RAJIV PRASAD | ||||||||||
| CHAIR - EMERGENCY SERVICES | $342,048 | $4,276 | $5,952 | $0 | $0 | $0 | $352,276 | $0 | ||
| GILBERT MAKABALI MD | ||||||||||
| CHAIRMAN - SURGERY | $259,297 | $2,472 | $6,699 | $0 | $38,149 | $0 | $306,617 | $0 | ||
| ALAN STEINBERG MD | ||||||||||
| CHAIRMAN - PEDIATRICS | $265,762 | $1,980 | $5,533 | $0 | $25,868 | $0 | $299,143 | $0 | ||
| RAYMOND PASTORE MD | ||||||||||
| CHIEF MEDICAL OFFICER | $273,187 | $2,472 | $6,725 | $0 | $0 | $0 | $282,384 | $0 | ||
| LOKESH REDDY MD | ||||||||||
| CHIEF OF PSYCHIATRY | $286,164 | $3,152 | $4,302 | $0 | $25,860 | $0 | $319,478 | $0 | ||
| James Henry MD | ||||||||||
| CHIEF OF ORTHOPEDICS | $327,675 | $690 | $6,680 | $0 | $18,752 | $0 | $353,797 | $0 | ||
| Kelly Barland | ||||||||||
| Chief Information Officer | $222,978 | $690 | $0 | $0 | $0 | $0 | $223,668 | $0 | ||
| Krishna Kishore Bezwada | ||||||||||
| Chief - Psychiatry | $259,481 | $270 | $7,494 | $0 | $22,261 | $0 | $289,506 | $0 | ||
| Richard Sarli | ||||||||||
| VP Finance | $272,500 | $690 | $0 | $0 | $2,500 | $0 | $275,690 | $0 | ||
| Natalie Schwartz | ||||||||||
| VP Reglatory Affairs | $256,089 | $1,290 | $6,829 | $0 | $35,649 | $0 | $299,857 | $0 | ||
| Ronald Brenner | ||||||||||
| Chair-Psychiatry | $230,102 | $1,980 | $6,247 | $0 | $23,369 | $0 | $261,698 | $0 | ||
| Imelda Canlas | ||||||||||
| Anesthesiologist | $248,532 | $0 | $0 | $0 | $0 | $0 | $248,532 | $0 | $0 | |
| SHAKIRA GORDON | ||||||||||
| VP HUMAN RESOURCES | $144,117 | $300 | $5,538 | $0 | $19,731 | $0 | $169,686 | $0 | ||
| GWENDOLYN SEYMORE-PINCKNEY | ||||||||||
| VP REGULATORY AFFAIRS | $145,275 | $580 | $5,310 | $0 | $21,965 | $0 | $173,130 | $0 | ||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4A | CHERIAN PALATHRA, CORPORATE CONTROLLER, RECEIVED SEVERANCE PAYMENTS TOTALLING $31,847 IN 2013. UPON MR. PALATHRA'S SEPERATION OF EMPLOYMENT WITH EHS, HE WAS PROVIDED A ONE-YEAR SEVERANCE AGREEMENT IN RECOGNITION OF HIS 30 YEAR EMPLOYMENT HISTORY WITH THE ORGANIZATION. |
| SCHEDULE J, PART II | THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER WAS PROVIDED THROUGH A MANAGEMENT CONTRACT WITH PITTS MANAGEMENT ASSOCIATES (PMA) THROUGH NOVEMBER 30, 2013. EFFECTIVE DECEMBER 1, 2013, THE CHIEF OPERATING OFFICER WAS NAMED THE CHIEF EXECUTIVE OFFICER AND MADE AN EMPLOYEE OF THE ORGANIZATION ON DECEMBER 1, 2013, THE CHIEF FINANCIAL OFFICER WAS ALSO MADE AN EMPLOYEE OF THE ORGANIZATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 3 | EPISCOPAL HEALTH SERVICES INC. ENGAGED THE SERVICES OF PITTS MANAGEMENT ASSOCIATES INC. (PMA), AN UNRELATED COMPANY, TO PROVIDE DAY-TO-DAY MANAGEMENT CONSULTING SERVICES. REMUNERATION PAID TO PMA DURING 2013 ARE REPORTED IN PART VII, SECTION B - INDEPENDENT CONTRACTORS. THE APPLICABLE NAMES AND TITLES OF PMA PERSONNEL ARE DISCLOSED ON PART VII - SECTION A - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. THE CONTRACT WITH PMA TERMINATED 11/30/13 AND THE COO AND THE CFO WERE MADE EMPLOYEES OF EHS. |
| FORM 990, PART VI, LINE 8B | THERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, LINE 11B | THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS COMPLETED BY THE ACCOUNTING AND FINANCE STAFF OF THE ORGANIZATION AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN REVIEWED BY OUTSIDE TAX ADVISORS AND ANY NECESSARY ADJUSTMENTS ARE MADE, AFTER WHICH TIME IT IS CONSIDERED AN initial DRAFT. THE DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE EPISCOPAL HEALTH SERVICES AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES(THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED REVIEW FUNCTION BY THE BOARD. ONCE THE Committee'S REVIEW IS COMPLETE THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD. |
| FORM 990, PART VI, LINE 12C | THE HR DEPARTMENT GATHERS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES AND FORWARDS THEM TO THE CORPORATE COMPLIANCE DEPARTMENT WHERE THEY ARE REVIEWED. WHERE POSITIVE RESPONSES ARE INDICATED ADDITIONAL INFORMATION IS GATHERED TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. IF A CONFLICT EXISTS, APPROPRIATE ACTION IS TAKEN TO ELIMINATE THE CONFLICT, INCLUDING SUCH STEPS AS NOTIFYING THE BOARD, REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE AGREEMENTS. IF A MATTER INVOLVES A BOARD MEMBER OR OFFICER, APPROPRIATE ACTION, INCLUDING RECUSAL AND ADDITIONAL DISCLOSURES, WILL BE DETERMINED BY THE BOARD. |
| FORM 990, PART VI, LINE 15A | THE CHIEF EXECUTIVE OFFICER AND OTHER KEY MANAGEMENT OFFICIALS WERE PROVIDED THROUGH A MANAGEMENT CONTRACT WITH PITTS MANAGEMENT ASSOCIATES INC.(PMA) THROUGH 11/30/2013. EFFECTIVE 12/1/2013 THE CEO AND CFO WERE MADE EMPLOYEES OF THE ORGANIZATION AND THE COMPENSATION REVIEW & APPROVAL PROCESS INCLUDED A COMPARISON OF COMPENSATION RATES PAID THROUGH THE MANAGEMENT COMPANY AS WELL AS COMPARABLE POSITIONS IN THE ORGANIZATION'S REGION. COMPENSATION WAS REVIEWED AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES. |
| FORM 990, PART VI, LINE 15B | THE COMPENSATION OF KEY EMPLOYEES IS DETERMINED AND/OR APPROVED AFTER COMPARISON TO CURRENT COMPENSATION RATES PAID FOR COMPARABLE POSITIONS IN THE ORGANIZATION'S REGION. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN BOARD MINUTES. |
| FORM 990, PART VI, LINE 19 | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. |
| FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS | CHANGE IN PENSION LIABILITY. . . . . . . . . . . . . . . $1,808,000 DISCONTINUED OPERATIONS . . . . . . . . . . . . . . . . 297,000 Net Assets Transferred to Related Party . . . . . . . . -1,897,000 TOTAL $ 208,000 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BISHOP HENRY B HUCLES NURSING HOME | ||||||||||
| 700 HICKSVILLE ROAD SUITE 210 | Bethpage | NY | 11714 | 113277961 | Nursing/Rehab | NY | 501(C)(3) | LINE 9 | NA | Yes (true) |
| CHURCH CHARITY CORPORATION AND SUB | ||||||||||
| 700 HICKSVILLE ROAD SUITE 210 | BETHPAGE | NY | 11714 | 112797706 | CHARITY | NY | 501(C)(3) | NA | Yes (true) | |
| ST JOHN'S EMERGENCY MEDICAL SERVICE | ||||||||||
| 700 HICKSVILLE ROAD SUITE 210 | BETHPAGE | NY | 11714 | 262884115 | ER SERVICES | NY | 501(C)(3) | LINE 11A | NA | Yes (true) |
| ST JOHN'S MEDICAL SERVICE PC | ||||||||||
| 700 HICKSVILLE ROAD SUITE 210 | BETHPAGE | NY | 11714 | 542164621 | MEDICAL SVCS | NY | 501(C)(3) | LINE 11A | NA | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEACH REINSURANCE CORP | BusinessNameLine1 |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1109 | AddressLine1 |
| City | GRAND CAYMAN | City |
| Country | CJ | Country |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BISHOP HENRY B HUCLES NURSING HOME INC | ||
| O | $388,672 | COST |
| BISHOP HENRY B HUCLES NURSING HOME INC | ||
| N | $1,413,895 | COST |
| ST JOHN'S EMERGENCY MEDICAL SERVICES PC | ||
| R | $274,676 | COST |
| ST JOHN'S MEDICAL SERVICES PC | ||
| S | $1,658,407 | COST |
| Bishop Henry B Hucles Bursing Home Inc | ||
| B | $1,896,782 | Cost |