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UNITED HOME HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNITED HOME HEALTH SERVICES INC (EIN 38-2453621)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201442269349301409
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T09:24:16-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1
CityFort WayneCity
StateINState
ZIP Code46802ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382453621EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED HOME HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% TIM JODWAYInCareOfName
Name ControlUNITNameControl
Phone7344584649Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 CANTON CENTER ROADAddressLine1
Address Line2Suite 250AddressLine2
CityCANTONCity
StateMIState
ZIP Code48187ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY JODWAYName
TitleVP & CFOTitle
Phone7344584649Phone
Date Signed2014-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJoyce A DulworthName
Phone2604604000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY LEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16245 INKSTER ROADAddressLine1
CityGARDEN CITYCity
StateMIState
ZIP Code48135ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3246276GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.uhhs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE QUALITY HOME HEALTH SERVICES WHICH ARE COMPREHENSIVE, WELL- COORDINATED & COST EFFECTIVE THROUGH PATIENT MANAGEMENT, THERAPEUTIC SERVICES & PERSONAL ASSISTANCE DELIVERED BY A CARING TEAM.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees119TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16005ContributionsGrantsPriorYear
Contributions Grants Current Year10167ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3648280ProgramServiceRevenuePriorYear
Program Service Revenue CY3223824ProgramServiceRevenueCY
Investment Income Prior Year11582InvestmentIncomePriorYear
Investment Income Current Year12166InvestmentIncomeCurrentYear
Other Revenue Prior Year23OtherRevenuePriorYear
Other Revenue Current Year119OtherRevenueCurrentYear
Total Revenue Prior Year3675890TotalRevenuePriorYear
Total Revenue Current Year3246276TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2960933SalariesEtcPriorYear
Salaries Etc Current Year2600777SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year3070TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY2778TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2778TotalFundrsngExpCurrentYear
Other Expense Prior Year798311OtherExpensePriorYear
Other Expenses Current Year787167OtherExpensesCurrentYear
Total Expenses Prior Year3762314TotalExpensesPriorYear
Total Expenses Current Year3390722TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-86424RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-144446RevenuesLessExpensesCY
Total Assets BOY936999TotalAssetsBOY
Total Assets EOY779379TotalAssetsEOY
Total Liabilities BOY279133TotalLiabilitiesBOY
Total Liabilities EOY265959TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY657866NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY513420NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE QUALITY HOME HEALTH SERVICES WHICH ARE COMPREHENSIVE, WELL-COORDINATED & COST EFFECTIVE THROUGH PATIENT MANAGEMENTT, THERAPEUTIC SERVICES & PERSONAL ASSISTANCE DELIVERED BY A CARING TEAM.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2718340Expense
Revenue3223943Revenue
DescriptionTO PROVIDE NECESSARY SKILLED SERVICES TO HOME BOUND PATIENTS IN THEIR PLACE OF RESIDENCE UNDER THE PLAN OF CARE OF A LICENSED PHYSICIAN IN MICHIGAN. SERVICES INCLUDE SKILLED NURSING, CERTIFIED HOME HEALTH AIDES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL SOCIAL WORK, REGISTERED DIETITIAN/NUTRITIONAL COUNSELING, WOUND AND OSTOMY THERAPY, CAREGIVERS AND COMPANIONS, AND GERIATRIC CARE MANAGEMENT.Description
Total Program Service Expense2718340TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees119NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTIM JODWAYNamePerson
Telephone Number7344584642TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16245 INKSTER ROADAddressLine1
CityGARDEN CITYCity
StateMIState
ZIP Code48135ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
GARY LEY
CHAIRMAN OF THE BOARD1.040.0X035271235468
DR ROSEMARIE TOLSON
PHYSICIAN1.0X000
LINDA BREAKIE
TRUSTEE1.0X000
ANTHONY MAROCCO
TRUSTEE1.0X000
SAM KENNEDY
TRUSTEE1.0X000
HERB SCOTT
TRUSTEE1.0X000
KAREN MAROLD
TRUSTEE1.0X000
DR JUDITH EDGE
MEDICAL DIRECTOR FOR UHH1.040.0X500020585921207
HELEN P RHEIN
PRESIDENT40.091406016448X
TIM JODWAY
CFO0.040.0021638433076X
FieldValueIRS element (for citing)
Total Reportable Comp From Org96406TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs774955TotalReportableCompFrmRltdOrgs
Total Other Compensation106199TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions10167AllOtherContributions
Total Contributions10167TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICEDescription
Business Code621610BusinessCode
Total Revenue Column3223824TotalRevenueColumn
Related Or Exempt Function Income3223824RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3223824TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12166TotalRevenueColumn
Exclusion$12,166ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column119TotalRevenueColumn
Related Or Exempt Function Income119RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue119TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3246276TotalRevenueColumn
Related Or Exempt Function Income3223943RelatedOrExemptFunctionIncome
Exclusion$12,166ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total106768Total
Management And General106768ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2046359Total
Program Services1693232ProgramServices
Management And General353127ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total285471Total
Program Services236209ProgramServices
Management And General49262ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total162179Total
Program Services131016ProgramServices
Management And General31163ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15800Total
Program Services12640ProgramServices
Management And General3160ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45180Total
Program Services36144ProgramServices
Management And General9036ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total2778Total
Fundraising2778Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total52353Total
Program Services42528ProgramServices
Management And General9825ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total33683Total
Program Services26946ProgramServices
Management And General6737ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total43771Total
Program Services34689ProgramServices
Management And General9082ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total33000Total
Program Services26153ProgramServices
Management And General6847ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total239242Total
Program Services189602ProgramServices
Management And General49640ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total124375Total
Program Services117848ProgramServices
Management And General6527ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9489Total
Program Services7520ProgramServices
Management And General1969ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23297Total
Program Services23297ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total79191Total
Program Services63353ProgramServices
Management And General15838ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES3559935599
OTHER EXPENSES521874156410623

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3390722Total
Program Services2718340ProgramServices
Management And General669604ManagementAndGeneral
Fundraising2778Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY700BOY
EOY700EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY91562BOY
EOY87698EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY539974BOY
EOY396951EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY36393BOY
EOY39087EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis651897LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec631691LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40253BOY
EOY20206EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY228117BOY
EOY234737EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY936999BOY
EOY779379EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY255444BOY
EOY211750EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23689BOY
EOY54209EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY279133BOY
EOY265959EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY657866BOY
EOY513420EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY657866BOY
EOY513420EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY936999BOY
EOY779379EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-144446ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16143CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15012CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11962CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16005CurrentTaxYearMinus1Year
Current Tax Year10167CurrentTaxYear
Total69289Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4114277CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3815078CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3758163CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3648280CurrentTaxYearMinus1Year
Current Tax Year3223824CurrentTaxYear
Total18559622Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4130420CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3830090CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3770125CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3664285CurrentTaxYearMinus1Year
Current Tax Year3233991CurrentTaxYear
Total18628911Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50918628911PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years204CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11582CurrentTaxYearMinus1Year
Current Tax Year12066CurrentTaxYear
Total24935Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years204CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11582CurrentTaxYearMinus1Year
Current Tax Year12066CurrentTaxYear
Total24935Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years328CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23CurrentTaxYearMinus1Year
Current Tax Year119CurrentTaxYear
Total949Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4131831CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3830708CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3770190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3675890CurrentTaxYearMinus1Year
Current Tax Year3246176CurrentTaxYear
Total18654795Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99861PublicSupportPercentage509
Prior Year Support Percentage0.99926PriorYearSupportPercentage
Investment Income Percentage0.00134InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00068PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8826OtherCostOrOtherBasis
Depreciation8826Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis643071OtherCostOrOtherBasis
Depreciation622865Depreciation
Book Value20206BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings20206TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS10989
OTHER ASSETS223748
FieldValueIRS element (for citing)
Total Book Value Other Assets234737TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$54,209Amount
FieldValueIRS element (for citing)
Total Of Amounts54209TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt3246276TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3246276RevenueSubtotal
Total Revenue Per Form9903246276TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3390722TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3390722ExpensesSubtotal
Total Expenses Per Form9903390722TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE DIdentifier
Return ReferenceASC 740ReturnReference
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY LEY
CHAIRMAN OF THE BOARD0352712000007500027968038818000
DR JUDITH EDGE
MEDICAL DIRECTOR FOR UHH5000205859000000021207500022706600
TIM JODWAY
CFO0216384000006600026476024946000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierPART VIIdentifier
Return ReferenceSECTION AReturnReference
ExplanationLINE 1B GARY LEY IS COMPENSATED AS A PAID EMPLOYEE OF GARDEN CITY HOSPITAL, A RELATED ORGANIZATION. DR. JUDITH EDGE IS COMPENSATED AS A PAID EMPLOYEE OF A RELATED ORGANIZATION. LINE 11B THE ORGANIZATION'S FINANCE DEPARTMENT ACCUMULATES INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL DATA AND BOARD APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE FORM. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT OUTSIDE ACCOUNTANTS. AFTER THE REVIEW PROCESS IS COMPLETED BY THE INDEPENDENT OUTSIDE ACCOUNTANTS, THE FINANCE STAFF REVIEWS THE FINAL FORM 990 AND PROVIDES A COPY TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. LINE 12C THE ORGANIZATION'S BOARD HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT ENTITY, GARDEN CITY HOSPITAL. ALL OFFICERS, DIRECTORS, AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THIS IS MONITORED BY THE BOARD THROUGH QUARTERLY BOARD MEETING DISCUSSIONS. ALL POTENTIAL CONFLICTS ARE ADDRESSED BY THE BOARD ANY ISSUES ARE DEALT WITH AS APPROPRIATE. LINES 15A & 15B THE BOARD OF TRUSTEES ENGAGES AN OUTSIDE CONSULTING FIRM TO SURVEY THE MARKET FOR APPROPRIATE PLANS AND LEVELS OF COMPENSATION. APPROPRIATE PLANS AND COMPENSATION ARE THEN NEGOTIATED WITH TOP MANAGEMENT PERSONNEL. ONCE THIS IS DONE, THE COMPENSATION PLAN IS SENT TO THE COMPLIANCE ATTORNEY FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL. ALL BOARD MEMBERS INVOLVED IN THIS PROCESS ARE INDEPENDENT MEMBERS. LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GARDEN CITY HOSPITAL
6245 INKSTER ROADGARDEN CITYMI48135381358390HOSPITALMI501(c)(3)3NAfalse
GARDEN CITY HOSPITAL FOUNDATION
6245 INKSTER ROADGARDEN CITYMI48136382645157SUPPORT ORGMI501(c)(3)11ANAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
PULSE EMS LLC
6245 INKSTER ROADGARDEN CITYMI48135300691829EMERGENCY SVCSMIN/A
GC HOME MED EQUIP
6245 INKSTER ROADGARDEN CITYMI48135262052696MEDICAL EQUIPMENTMIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
AMERIGARD DEVELOPMENT
6245 INKSTER ROADGARDEN CITYMI48135382695779PHYSICIAN OFFICESMINAC CORPfalse
AMERIGARD DIAGNOSTIC CENTRE
6245 INKSTER ROADGARDEN CITYMI48135383160292DIAGNOSTIC TESTNGMINAC CORPfalse
GCH ASSURANCE COMPANY LTD
980608598MALPRACTICE INSAPGCHC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg