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BISHOP HUCLES NURSING HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BISHOP HUCLES NURSING HOME INC (EIN 11-3277961)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-31
IRS object ID
201310319349301211
Schema version
2011v1.5
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)
Timestamp2013-01-31T21:17:51-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Disaster ReliefHUR SANDY FEMA 4085-DRDisasterRelief

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Charles A Barragato & Co LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1950 Third Avenue - 20th FLAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN113277961EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BISHOP HUCLES NURSING HOME INCBusinessNameLine1
Business Name Line2C/O EPISCOPAL HEALTH SERVICES INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% EPISCOPAL HEALTH SERVICESInCareOfName
Name ControlBISHNameControl
Phone5163494643Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 HICKSVILLE ROAD SUITE 210AddressLine1
CityBETHPAGECity
StateNYState
ZIP Code117143471ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam MooreName
TitleCFOTitle
Date Signed2013-01-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAngelo Pirozzi CPAName
Phone2123714446Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNELSON TOEBBE CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 HICKSVILLE ROAD SUITE 210AddressLine1
CityHICKSVILLECity
StateNYState
ZIP Code11714ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23923000GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.EHS.ORG/BISHOPHUCLES.HTMLWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY HEALTH CARE THROUGH ITS HOSPITAL, AMBULATORY CARE FACILITIES, NURSING HOMES AND CONTINUING MEDICAL EDUCATION, RECOGNIZING THE EMERGING LIFE-CARE NEEDS OF THE COMMUNITIES SERVED.ActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees307TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year27000ContributionsGrantsPriorYear
Contributions Grants Current Year78000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21633000ProgramServiceRevenuePriorYear
Program Service Revenue CY23692000ProgramServiceRevenueCY
Investment Income Prior Year67000InvestmentIncomePriorYear
Investment Income Current Year47000InvestmentIncomeCurrentYear
Other Revenue Prior Year93000OtherRevenuePriorYear
Other Revenue Current Year106000OtherRevenueCurrentYear
Total Revenue Prior Year21820000TotalRevenuePriorYear
Total Revenue Current Year23923000TotalRevenueCurrentYear
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 Year13603393SalariesEtcPriorYear
Salaries Etc Current Year15470140SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10114607OtherExpensePriorYear
Other Expenses Current Year10917860OtherExpensesCurrentYear
Total Expenses Prior Year23718000TotalExpensesPriorYear
Total Expenses Current Year26388000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1898000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2465000RevenuesLessExpensesCY
Total Assets BOY34040000TotalAssetsBOY
Total Assets EOY29221000TotalAssetsEOY
Total Liabilities BOY33949000TotalLiabilitiesBOY
Total Liabilities EOY31595000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY91000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2374000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF BISHOP HUCLES NURSING HOME, INC., A MEMBER 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense24136737Expense
Revenue22632000Revenue
DescriptionTHE ORGANIZATION OWNS AND OPERATES A 240 BED NURSING HOME WHICH PROVIDES NURSING AND HEALTH RELATED SERVICES TO SICK, DISABLED AND CONVALESCENT INDIVIDUALS. BISHOP HUCLES PROVIDED 80,379 DAYS OF NURSING SERVICE AND PATIENT CARE IN 2011 OPERATING AT 91.8% OCCUPANCY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense724000Expense
Revenue1060000Revenue
DescriptionTHE ORGANIZATION OPERATES AN ADULT DAY CARE PROGRAM LICENSED TO PROVIDE DAILY CARE PROGRAMS TO THIRTY SENIOR ADULTS. THE PROGRAM PROVIDED 8,068 DAYS OF CARE IN 2011.Description
FieldValueIRS element (for citing)
Total Program Service Expense24860737TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 StmttrueIndependentAuditFinancialStmt
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 RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees307NumberOfEmployees
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 Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEPISCOPAL HEALTH SERVICESNamePerson
Telephone Number5163494643TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 HICKSVILLE ROAD SUITE 210AddressLine1
CityBETHPAGECity
StateNYState
ZIP Code11714ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganization
REVERAND LAWRENCE C PROVENZANO
PRESIDENT & CEO1.0XX6000010451
MARGARET CARPENTER
OFFICER1.0XX
KYLE CAHILL
ADMINISTRATOR40.0X
WILL MOORE
CFO - PMA3.0X
ROBIN THOMPSON
DIRECTOR OF PT40.020208X100846
MARIA APPAVOO
DIRECTOR OF NURSING40.05511X127801
MARICHU MONTES
ASSISTANT DIRECTOR OF NURSING40.0416X102135
FieldValueIRS element (for citing)
Total Reportable Comp From Org330782TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs60000TotalReportableCompFrmRltdOrgs
Total Other Compensation36586TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MERIDIAN NURSE RECRUITERS
471 NORTH BROADWAY 349JERICHONY11753AGENCY NURSE SERVICE366711
EXCLUSIVE AMBULETTE SERVICES INC
PO BOX 476LAWRENCENY11599AMBULETTE SERVICE281019
THERAPEUTIC RESOURCES PT
36 33RD ST SUITE 500LONG ISLAND CITYNY11106PHYSICAL THERAPY232911
ANGELICA TEXTILE SERVICES
PO BOX 823382PHILADELPHIAPA19182LAUNDRY SERVICE229298
US SECURITY ASSOCIATES INC
PO BOX 931703ATLANTAGA31193SECURITY SERVICE215233
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
All Other Contributions78000AllOtherContributions
Total Contributions78000TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6230002263200022632000
ADULT DAY CARE REVENUE62300010600001060000
FieldValueIRS element (for citing)
Total Program Service Revenue23692000TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column47000TotalRevenueColumn
Exclusion$47,000ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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
ADULT DAY CARE62300041000$41,000
UTILITY REBATES90009930000$30,000
CELLULAR ANTENNA90009925000$25,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column10000TotalRevenueColumn
Exclusion$10,000ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue106000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23923000TotalRevenueColumn
Related Or Exempt Function Income23692000RelatedOrExemptFunctionIncome
Exclusion$153,000ExclusionAmount

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)
Total11134557Total
Program Services10466484ProgramServices
Management And General668073ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total693436Total
Program Services651830ProgramServices
Management And General41606ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2794472Total
Program Services2626804ProgramServices
Management And General167668ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total847675Total
Program Services796815ProgramServices
Management And General50860ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11543Total
Program Services10850ProgramServices
Management And General693ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total98000Total
Management And General98000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total4440Total
Management And General4440ManagementAndGeneral

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)
Total1536389Total
Program Services1444206ProgramServices
Management And General92183ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9156Total
Program Services9156ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total612745Total
Program Services589342ProgramServices
Management And General23403ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1907142Total
Program Services1792713ProgramServices
Management And General114429ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12333Total
Program Services11593ProgramServices
Management And General740ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total276008Total
Program Services259448ProgramServices
Management And General16560ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1730155Total
Program Services1626346ProgramServices
Management And General103809ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total169668Total
Program Services159488ProgramServices
Management And General10180ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PURCHASE SERVICES17290621625318103744
FOOD COST719752719752
PROVISION FOR BAD DEBT547000547000
MEDICAL SUPPLIES490000490000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1064467Total
Program Services1033592ProgramServices
Management And General30875ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26388000Total
Program Services24860737ProgramServices
Management And General1527263ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13000BOY
EOY35000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5823000BOY
EOY2179000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3189000BOY
EOY3244000EOY

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)
BOY680000BOY
EOY603000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45545000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31575000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15603000BOY
EOY13970000EOY

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)
BOY8732000BOY
EOY9190000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34040000BOY
EOY29221000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2910000BOY
EOY3222000EOY

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)
BOY25080000BOY
EOY23733000EOY

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)
BOY5959000BOY
EOY4640000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33949000BOY
EOY31595000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY91000BOY
EOY-2374000EOY

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)
BOY91000BOY
EOY-2374000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34040000BOY
EOY29221000EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2465000ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years31000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27000CurrentTaxYearMinus1Year
Current Tax Year78000CurrentTaxYear
Total180000Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23667000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23615000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22615000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21633000CurrentTaxYearMinus1Year
Current Tax Year23692000CurrentTaxYear
Total115222000Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23698000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23641000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22633000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21660000CurrentTaxYearMinus1Year
Current Tax Year23770000CurrentTaxYear
Total115402000Total
FieldValueIRS element (for citing)
Public Support Total509115402000PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years270000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years202000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67000CurrentTaxYearMinus1Year
Current Tax Year47000CurrentTaxYear
Total698000Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years270000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years202000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67000CurrentTaxYearMinus1Year
Current Tax Year47000CurrentTaxYear
Total698000Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years101000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93000CurrentTaxYearMinus1Year
Current Tax Year106000CurrentTaxYear
Total475000Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24069000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23930000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22833000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21820000CurrentTaxYearMinus1Year
Current Tax Year23923000CurrentTaxYear
Total116575000Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98994PublicSupportPercentage509
Prior Year Support Percentage0.99200PriorYearSupportPercentage
Investment Income Percentage0.00599InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00800PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,440OtherActivitiesAmount
Total Lobbying Expenditures IIB4440TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceFORM 990, SCHEDULE C, PART II-B LINE IReturnReference
ExplanationBISHOP HUCLES NURSING HOME, INC. PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLS) AND THE NEW YORK ASSOCIATION OF HOMES & SERVICES FOR THE AGING(NYAHSA). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY CCLC AND NYASHA, A PORTION OF THESE DUES' PAYMENTS ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTABLE TO LOBBYING ACTIVITY IN 2011 FOR CCLS WAS $2,175 AND NYAHSA WAS $2,265, RESPECTIVELY.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis685000OtherCostOrOtherBasis
Book Value685000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22351000OtherCostOrOtherBasis
Depreciation13481000Depreciation
Book Value8870000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1229000OtherCostOrOtherBasis
Depreciation969000Depreciation
Book Value260000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21280000OtherCostOrOtherBasis
Depreciation17125000Depreciation
Book Value4155000BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings13970000TotalOfBookValueLandBuildings

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
DEBT SERVICE FUND3000
CONSTRUCTION FUND290000
DEBT SERVICE RESERVE FUND829000
BOND ESCROW FUND22000
OPERATING ESCROW - CHECKING79000
OPERATING ESCROW - MM5582000
RESIDENTS SURETY BOND170000
FUNDS HELD IN TRUSTS FOR RESID282000
LOAN TO RELATED PARTY542000
ASSETS LIMITED TO USE1236000
INSURANCE RECOVERABLE REC155000
FieldValueIRS element (for citing)
Total Book Value Other Assets9190000TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
FUNDS HELD IN TRUST FOR RESIDENTS$282,000
DUE TO THIRD PARTY PAYORS$4,041,000
PROFESSIONAL & SELF INSURANCE LIABILITIES$317,000
FieldValueIRS element (for citing)
Total Of Amounts4640000TotalOfAmounts
Total Revenue23923000TotalRevenue
Total Expenses26388000TotalExpenses
Excess Or Deficit For Year-2465000ExcessOrDeficitForYear
Excess Or Deficit Per FS-2465000ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23923000TotRevenueEtcAuditedFinclStmt
Revenue Subtotal23923000RevenueSubtotal
Total Revenue Per Form99023923000TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26388000TotExpensesEtcAuditedFinclStmt
Expenses Subtotal26388000ExpensesSubtotal
Total Expenses Per Form99026388000TotalExpensesPerForm990

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY OF THE STATE OF NYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number64983QQ28CUSIPNumber
Date Issued2006-05-24DateIssued
Issue Price29895099IssuePrice
Description Of PurposeBUILDING MORTGAGEDescriptionOfPurpose
DefeasedtrueDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired5905000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds29895099TotalProceeds
Amount In Reserve Fund2067283AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds597558IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures27854991CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent311387AmountUnspent
Year Of Subst Completion1997YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00360PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00380PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00740TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return Reference0ReturnReference
ExplanationBISHOP HUCLES PAYS A FEE TO THE DORMITORY AUTHORITY OF NEW YORK STATE WHICH COVERS VARIOUS ADMINISTRATIVE AND OTHER SERVICES, INCLUSIVE OF THEExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, LINE 3DESCRIPTION OF DELEGATED DUTIES TO MANAGEMENT COMPANYEPISCOPAL HEALTH SERVICES INC. ENGAGED THE SERVICES OF PITTS MANAGEMENT ASSOCIATES INC. (PMA), AN UNRELATED COMPANY TO PROVIDE DAY-TO-DAY MANAGEMENT CONSULTING SERVICES. REMUNERATION IS PAID TO PMA DURING 2011 BY EPISCOPAL HEALTH SERVICES, A RELATED ORGANIZATION. THE APPLICABLE NAMES AND TITLES OF PMA PERSONNEL ARE DISCLOSED ON THE EPISCOPAL HEALTH SERVICE 990 ON PART VII - SECTION A - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES.
FORM 990, PART VI, LINE 6EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERSEPISCOPAL HEALTH SERVICES INC. IS THE SOLE MEMBER.
FORM 990, PART VI, LINE 8BTHERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, LINE 11BFORM 990 REVIEW PROCESSTHE 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 ORGANIZATION'S AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF MANAGERS (THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED REVIEW FUNCTION BY THE BOARD. ONCE THE COMMITTEE'S REVIEW IS COMPLETE, THE COMMITTEE RECOMMENDS THE APPROVAL OF THE FORM 990 TO THE BOARD. THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD. UPON APPROVAL BY THE BOARD THE FORM 990 IS THEN UPDATED AS REQUIRED AND THEN SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, LINE 12CEXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTSTHE BOARD REVIEWS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES. POSITIVE RESPONSES ARE REVIEWED AND ADDITIONAL INFORMATION IS GATHERED TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, APPROPRIATE ACTION IS TAKEN TO ELIMINATE THE CONFLICT, INCLUDING SUCH STEPS AS 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 15ACOMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC DIR, OR TOP MGMTTHE ADMINISTRATOR AND THE KEY MANAGEMENT OFFICIALS ARE PROVIDED THROUGH A MANAGEMENT CONTRACT WITH PITTS MANAGEMENT ASSOCIATES INC (PMA). EPISCOPAL HEALTH SERVICES ENGAGED AN INDEPENDENT VALUATION FIRM TO REVIEW THE MANAGEMENT AGREEMENT AND CONFIRM THE FEES FOR MANAGEMENT SERVICES AS WITHIN THE FAIR MARKET VALUE.
FORM 990, PART VI, LINE 15BCOMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEESTHE COMPENSATION OF KEY EMPLOYEES IS DETERMINED AND/OR APPROVED AFTER COMPARISON OF COMPENSATION PAID FOR COMPARABLE POSITIONS IN THE ORGANIZATION'S REGION.
FORM 990, PART VI, LINE 19OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEUPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
FORM 990 PART VIICOMPENSATION EXPLANATION - WILL MOOREEPISCOPAL HEALTH SERVICES INC. ENGAGED THE SERVICES OF PITTS MANAGEMENT ASSOCIATES INC. (PMA), AN UNRELATED COMPANY, TO PROVIDE DAY-TO-DAY AND CONSULTING SERVICES. remuneration PAID TO PMA DURING 2011 IS REPORTED ON EPISCOPAL HEALTH SERVICE FORM 990 IN PART VII, SECTION B - INDEPENDENT CONTRACTORS.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:REVERAND LAWRENCE C. PROVENZANO TITLE:PRESIDENT & CEO HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARGARET CARPENTER TITLE:OFFICER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILL MOORE TITLE:CFO - PMA HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
EPISCOPAL HEALTH SERVICES INC
700 HICKSVILLE RD - SUITE 210BETHPAGENY11714111665825HLTHCARE SVCSNY501(C)(3)LINE 3NAfalse
ST JOHNS MEDICAL SERVICES PC
700 HICKSVILLE RD - SUITE 210BETHPAGENY11714542164621MEDICAL SVCSNY501(C)(3)LINE 11AEHS Incfalse
ST JOHNS EMERGENCY MEDICAL SVCS
700 HICKSVILLE RD - SUITE 210BETHPAGENY11714262884115ER SERVICESNY501(C)(3)LINE 11AEHS INCfalse
CHURCH CHARITY CORPORATION
700 HICKSVILLE RD - SUITE 210BETHPAGENY11714112797706CHARITYNY501(C)(3)NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BEACH REINSURANCE CORPBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1109AddressLine1
CityGRAND CAYMANCity
CountryCJCountry
FieldValueIRS element (for citing)
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1cccBusinessNameLine1
FieldValueIRS element (for citing)
Type Of Entityc CORPTypeOfEntity
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
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 FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
EPISCOPAL HEALTH SERVICES INC
N369743COST
EPISCOPAL HEALTH SERVICES INC
M1026579COST