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LONG ISLAND COLLEGE HOSP: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LONG ISLAND COLLEGE HOSP (EIN 11-1018985)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349308135
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T17:12:47-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 Madison AvenueAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111018985EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE LONG ISLAND COLLEGE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% KRISTINA GILLANInCareOfName
Name ControlLONGNameControl
Phone2125233617Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 WEST 57TH STREET 5TH FLOORAddressLine1
Address Line2SuiteAddressLine2
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL BRUNOName
TitleSVP FINANCETitle
Phone2125233617Phone
Date Signed2013-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6464713000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTANLEY BREZENOFFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 WEST 57TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2628159GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.chpnyc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1858YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionIN MAY 2011,THE ORGANIZATION CEASED HOSPITAL OPERATIONS WHEN IT CLOSED ON AN ASSET PURCHASE AGREEMENT WITH THE STATE UNIV OF NY. PRIOR TO THIS,IT OPERATED IN ACCORDANCE WITH ITS MISSION AS A HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees86TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year22000000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year123519276ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year7600890InvestmentIncomePriorYear
Investment Income Current Year29954InvestmentIncomeCurrentYear
Other Revenue Prior Year83073350OtherRevenuePriorYear
Other Revenue Current Year2598205OtherRevenueCurrentYear
Total Revenue Prior Year236193516TotalRevenuePriorYear
Total Revenue Current Year2628159TotalRevenueCurrentYear
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 Year92854379SalariesEtcPriorYear
Salaries Etc Current Year413719SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year49645732OtherExpensePriorYear
Other Expenses Current Year1719068OtherExpensesCurrentYear
Total Expenses Prior Year142500111TotalExpensesPriorYear
Total Expenses Current Year2132787TotalExpensesCurrentYear
Revenues Less Expenses Prior Year93693405RevenuesLessExpensesPriorYear
Revenues Less Expenses CY495372RevenuesLessExpensesCY
Total Assets BOY42281726TotalAssetsBOY
Total Assets EOY38272319TotalAssetsEOY
Total Liabilities BOY42281726TotalLiabilitiesBOY
Total Liabilities EOY38272319TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionON MAY 29, 2011, THE ORGANIZATION CEASED HOSPITAL OPERATIONS WHEN IT CLOSED ON AN ASSET PURCHASE AGREEMENT ("APA") WITH THE STATE UNIVERSITY OF NY. IN ACCORDANCE WITH THE APA, LICH RETAINED CASH AND PATIENT RECEIVABLES IN ORDER TO PAY DOWN CERTAIN ACCOUNTS PAYABLE AND ACCRUED EXPENSES, WHICH REMAINED AT LICH. UPON SATISFACTION OF THE REMAINING LIABILITIES, THE RESIDUAL ASSETS, IF ANY, ARE TO BE TRANSFERRED TO SUNY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionnoneDescription
Total Program Service Expense0TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees86NumberOfEmployees
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 Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKRISTINA GILLANNamePerson
Telephone Number2125233617TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 WEST 57TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10019ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
STANLEY BREZENOFF
CHAIRMAN & BOARD MEMBER1.043.0XX0210233943644
JOHN COLLURA
VICE CHRMN,TREASURER&BOARD MBR1.048.0XX0124314139408
GAIL DONOVAN
VICE CHAIR AND BOARD MEMBER1.047.0XX0150226063924
JILL CLAYTON
SECRETARY1.042.0X042108468368
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5268824TotalReportableCompFrmRltdOrgs
Total Other Compensation215344TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PRICEWATERHOUSECOOPERS LLP
PO BOX 7247-8001PHILADELPHIAPA191708001ACCOUNTING SERVICES1517463
PROSKAUER ROSE LLP
ELEVEN TIMES SQUARENEW YORKNY100368299LEGAL SERVICES131419
EDWARDS WILDMAN PALMER
750 LEXINGTON AVENUENEW YORKNY10022LEGAL SERVICES110096
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29954TotalRevenueColumn
Exclusion$29,954ExclusionAmount

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
WRITEOFF PY PATIENT REC/COLLECTN RESRVE9000991671446$1,671,446
WRITE OF PAYABLES900099719691$719,691
OTHER REVENUE900099207068$207,068
FieldValueIRS element (for citing)
Total Other Revenue2598205TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2628159TotalRevenueColumn
Exclusion$2,628,159ExclusionAmount

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total126941Total
Management And General126941ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total41110Total
Management And General41110ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total227411Total
Management And General227411ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18257Total
Management And General18257ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total229279Total
Management And General229279ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15000Total
Management And General15000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total558091Total
Management And General558091ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total64937Total
Program Services0ProgramServices
Management And General64937ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total110636Total
Management And General110636ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total210727Total
Management And General210727ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2955Total
Management And General2955ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4820Total
Management And General4820ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total522623Total
Management And General522623ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2132787Total
Program Services0ProgramServices
Management And General2132787ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY42256731BOY
EOY36703456EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24995BOY

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)
BOY0BOY
EOY1568863EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42281726BOY
EOY38272319EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19601924BOY
EOY25997869EOY

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)
BOY22679802BOY
EOY12274450EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY42281726BOY
EOY38272319EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY0BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42281726BOY
EOY38272319EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses495372ReconcilationRevenueExpenses
Reconcilation Other Changes-495372ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO SUNY DOWNSTATE$12,063,114
OTHER LIABILITIES$211,336
FieldValueIRS element (for citing)
Total Of Amounts12274450TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (4 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
STANLEY BREZENOFF
CHAIRMAN & BOARD MEMBER0149130505780000330340210000226440214598300
JILL CLAYTON
SECRETARY0355120050000015964021000047368048945200
JOHN COLLURA
VICE CHRMN,TREASURER&BOARD MBR097750002440000216410210000184080128254900
GAIL DONOVAN
VICE CHAIR AND BOARD MEMBER0120500002630000342600210000429240156618400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, LINE 4CHANGES TO GOVERNING DOCUMENTSON OR ABOUT MAY 29, 2011, THE LONG ISLAND COLLEGE HOSPITAL (LICH) TRANSFERRED SUBSTANTIALLY ALL OF ITS ASSETS TO THE STATE UNIVERSITY OF NEW YORK (SUNY) AND A SUNY AFFILIATE. FOLLOWING THE CLOSING OF THE ASSET TRANSFER TRANSACTION, IN THE FALL OF 2011 LICH FILED AN AMENDMENT TO ITS CERTIFICATE OF INCORPORATION, AND LICH'S SOLE CORPORATE MEMBER (CONTINUUM HEALTH PARTNERS, INC.) ADOPTED REVISED BYLAWS FOR THE ORGANIZATION. AMONG OTHER CHANGES, THE REVISED LICH BYLAWS REDUCED THE SIZE OF THE ORGANIZATION'S GOVERNING BODY AND OTHERWISE SIMPLIFIED ITS GOVERNANCE STRUCTURE. THE CHANGES TO THE ORGANIZATION'S GOVERNANCE STRUCTURE REFLECT THE FACT THAT THE ORGANIZATION IS WINDING UP ITS AFFAIRS, AND INTENDS TO DISSOLVE.
FORM 990, PART VI, LINE 6MEMBERS OF THE ORGANIZATIONTHE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, CONTINUUM HEALTH PARTNERS, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION.
FORM 990, PART VI, LINE 7AELECTION OF THE GOVERNING BODYTHE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7BDECISIONS OF THE GOVERNING BODYTHE MEMBER MUST APPROVE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION.
FORM 990, PART VI, LINE 11BFORM 990 PROVIDED TO GOVERNING BODYTHE FINANCE STAFF WHO PROVIDE SERVICES, SUPPORT AND OVERSIGHT OF FINANCIAL MATTERS FOR THE HOSPITALS AFFILIATED WITH CONTINUUM HEALTH PARTNERS, INC. GATHER THE RELEVANT INFORMATION AND PREPARE THE FORM 990 FOR THE LONG ISLAND COLLEGE HOSPITAL. THE ORGANIZATION'S OUTSIDE AUDITORS, PRICEWATERHOUSECOOPERS, PARTICIPATE IN THE PREPARATION OF, AND REVIEW THE FORM. A DRAFT OF THE FORM 990 RETURN IS PROVIDED FOR REVIEW TO THE CENTRALIZED MANAGEMENT TEAM WHICH SERVES THE HOSPITALS AFFILIATED WITH CONTINUUM HEALTH PARTNERS, INC. UPON APPROVAL OF THE CENTRALIZED MANAGEMENT TEAM AND PRIOR TO FILING, THE DRAFT FORM 990 IS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR REVIEW. THE MEMBERS OF THE GOVERNING BODY CONDUCT A REVIEW OF THE ENTIRE TAX RETURN WITH THE PARTICIPATION OF FINANCE STAFF AND ONE OR MORE ATTORNEYS FROM THE GENERAL COUNSEL'S OFFICE.
FORM 990, PART VI, LINE 12CCONFLICT OF INTEREST POLICYANNUALLY, EACH TRUSTEE, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER ALONG WITH GENERAL COUNSEL AND A DETERMINATION IS MADE AS TO WHETHER A CONFLICT EXISTS. THE PRESIDENT OF THE ORGANIZATION AND THE CHAIR OF THE CENTRALIZED FINANCE/AUDIT COMMITTEE PARTICIPATE IN REVIEW OF CONFLICTS. CONFLICTS DISCLOSED BY TRUSTEES ARE REVIEWED WITH THE CHAIRMAN OF THE BOARD. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST MUST RECUSE HIMSELF FROM ANY DECISION MAKING OR VOTING ON THE INTEREST THAT GAVE RISE TO THE CONFLICT.
FORM 990, PART VI, LINE 15A & 15BCOMPENSATION POLICYTHE EXECUTIVE COMPENSATION POLICY OF THE HEALTH SYSTEM REQUIRES THAT COMPENSATION FOR THE FOLLOWING INDIVIDUALS BE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES AT LEAST ANNUALLY: ANY PERSON WITH THE TITLE OF CEO, PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, EXECUTIVE VICE PRESIDENT OR SENIOR VICE PRESIDENT; ANY PERSON WITH THE TITLE OF CORPORATE VICE PRESIDENT WHOSE TOTAL COMPENSATION IS IN EXCESS OF $300,000; ANY PHYSICIAN WITH THE TITLE OF CHAIRMAN; ANY PHYSICIAN WITH THE TITLE OF CHIEF WHOSE BASE SALARY PLUS GUARANTEE TOGETHER ARE IN EXCESS OF $750,000 AND ANY PERSON WHO IS A FAMILY MEMBER OF ANY OF THE ABOVE INDIVIDUALS.
FORM 990, PART VI, LINE 19DOCUMENTS AVAILABLE FOR PUBLIC INSPECTIONTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VIIAVERAGE HOURSAVERAGE HOURS PER WEEK REPORTED ON PART VII REPRESENT TOTAL AVERAGE HOURS FOR THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETSDUE TO SUNY : ($495,372)
FORM 990, PART XII, LINE 2BAUDITED FINANCIAL STATEMENTSTHE ORGANIZATION CEASED OPERATIONS AS A HOSPITAL ON MAY 28, 2011. THE SUBSEQUENT ACTIVITIES ARE TO WIND DOWN THE ORGANIZATION, AND ARE STILL ONGOING. ONCE THE WINDING UP HAS BEEN FINISHED, ANY REMAINING ASSETS WILL BE TRANSFERRED TO SUNY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CONTINUUM HEALTH PARTNERS INC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133939476HOLDING CONY501(c)(3)11A - INAtrue
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREETNEW YORKNY10003135564934HOSPITALNY501(C)(3)3CHPtrue
BIMC FOUNDATION INC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133255377FUNDRAISINGDE501(C)(3)11A - IBIMCtrue
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREETNEW YORKNY10003133444730HOLDING CONY501(C)(3)11A - IBIMCtrue
BETH ISRAEL AMBULATORY CARE SERVICES
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133838460SURGICENTERNY501(C)(3)3BIMC HOLDCOtrue
BI NURSING HOME COMPANY
327 EAST 17TH STREETNEW YORKNY10003133627753NURSING HOMENY501(C)(3)3BIMC HOLDCOtrue
EAST 17TH STREET PROPERTIES INC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133547502REAL ESTATENY501(C)(3)9BIMC HOLDCOtrue
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUENEW YORKNY10025132997301HOSPITALNY501(C)(3)3CHPtrue
AUGUSTUS & JAMES CORPORATION
555 WEST 57TH STREETNEW YORKNY10019133392851REAL ESTATENY501(C)(3)11B - IISLRtrue
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUENEW YORKNY10025132914343RESEARCHNY501(C)(3)4SLRtrue
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREETNEW YORKNY10003135562304HOSPITALNY501(C)(3)3CHPtrue
NEW YORK EYE & EAR INFIRMARY FOUNDATION
310 EAST 14TH STREETNEW YORKNY10003134012469PRIVATE FDNNY501(C)(3)PFNYEEtrue
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREETNEW YORKNY10003311696826REAL ESTATENY501(C)(2)N/ANYEEtrue
BETH ISRAEL MEDICAL CENTER FDN INC
555 WEST 57TH STREETNEW YORKNY10019300571387FUNDRAISINGNY501(C)(3)7BIMCtrue
ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
555 WEST 57TH STREETNEW YORKNY10019300571390FUNDRAISINGNY501(C)(3)7SLRtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CONTINUUM PROVIDER PARTNERS IPA LLCBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
GREATER METROPOLITAN IPA II
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133977019INACTIVENYBIMCSLRCfalse
GREATER METROPOLITAN IPA V
555 WEST 57TH STREET 5TH FLNEW YORKNY10019134141695INACTIVENYBIMCSLRCfalse
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY 7TH FLNEW YORKNY10019133618543MGMT SERVICESNYSLRCfalse
SLR MANAGEMENT SERVICES
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133853145MGMT SERVICESNYSLRCfalse
WEST CARE MEDICAL PC
555 WEST 57TH STREET 5TH FLNEW YORKNY10019133811203INACTIVENYSLRCfalse
CHP VENTURES INC
555 WEST 57TH STREETNEW YORKNY10019460953126HEALTH CARE MGTNYBIMC HOLDCOCfalse
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 EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSCHEDULE R, PART III, LINE (1), COLUMN (A)Identifier
Return ReferenceNAME OF RELATED ORGANIZATIONReturnReference
ExplanationCONTINUUM PROVIDER PARTNERS IPA, LLCExplanation