EASTERN LONG ISLAND HOSPITAL ASSOC INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN LONG ISLAND HOSPITAL ASSOC INC (EIN 11-1633563)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349308857
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T15:01:37-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100175001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111633563 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % WILLIAM J MESSNER | InCareOfName |
| Name Control | EAST | NameControl |
| Phone | 6314771000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | GREENPORT | City |
| State | NY | State |
| ZIP Code | 119441222 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT RAGONA | Name |
| Title | CFO | Title |
| Phone | 6314771000 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Paul Hammerschmidt | Name |
| Phone | 2128858000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAUL J CONNOR III | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1 |
| City | GREENPORT | City |
| State | NY | State |
| ZIP Code | 11944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 44829893 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ELIH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1905 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 21 | NbrIndependentVotingMembers |
| Total Nbr Employees | 435 | TotalNbrEmployees |
| Total Nbr Volunteers | 148 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2532552 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2785960 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 39793131 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 38524195 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 134808 | InvestmentIncomePriorYear |
| Investment Income Current Year | 116154 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1290039 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3086596 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43750530 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44512905 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 25774524 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 28051341 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 915510 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17417335 | OtherExpensePriorYear |
| Other Expenses Current Year | 17679119 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 43191859 | TotalExpensesPriorYear |
| Total Expenses Current Year | 45730460 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 558671 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1217555 | RevenuesLessExpensesCY |
| Total Assets BOY | 35460228 | TotalAssetsBOY |
| Total Assets EOY | 34193127 | TotalAssetsEOY |
| Total Liabilities BOY | 27721104 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 27258855 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7739124 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6934272 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 41197955 | Expense |
| Grants | 0 | Grants |
| Revenue | 38524195 | Revenue |
| Description | TO PROVIDE ACUTE MEDICAL, SURGICAL, ALCOHOL, DETOX, REHAB AND EMERGENCY SERVICES AND CARE TO THE EAST END OF LONG ISLAND. THERE WERE 3,162 ADMISSIONS, 18,963 PATIENT DAYS AND 43,006 EMERGENCY AND AMBULATORY CARE VISITS DURING 2012. | Description |
| Total Program Service Expense | 41197955 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | true | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | true | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 58 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 23 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 435 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 21 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WILLIAM J MESSNER | NamePerson |
| Telephone Number | 6314775313 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1 |
| City | GREENPORT | City |
| State | NY | State |
| ZIP Code | 11944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS E MURRAY JR | |||||||||
| CHAIRMAN | 15.0 | 25.0 | X | X | 0 | 0 | 0 | ||
| FRANK ADIPIETRO MD | |||||||||
| VICE CHAIRMAN | 10.0 | X | X | 0 | 0 | 0 | |||
| CAROLE G DONLIN | |||||||||
| VICE CHAIRMAN | 10.0 | 10.0 | X | X | 0 | 0 | 0 | ||
| ROBERT T GOLDMAN | |||||||||
| VICE CHAIRMAN | 10.0 | 25.0 | X | X | 0 | 0 | 0 | ||
| JANICE CLAUDIO | |||||||||
| TREASURER | 10.0 | X | X | 0 | 0 | 0 | |||
| VICKIE DEFRIEST | |||||||||
| SECRETARY | 10.0 | 10.0 | X | X | 0 | 0 | 0 | ||
| NEBOYSHA R BRASHICH | |||||||||
| GOV'T AFFAIRS REPRESENTATIVE | 10.0 | X | 0 | 0 | 0 | ||||
| SCOTT BENNETT | |||||||||
| TRUSTEE | 10.0 | 15.0 | X | 0 | 0 | 0 | |||
| DANIEL BRISOTTI | |||||||||
| TRUSTEE | 10.0 | 2.0 | X | ||||||
| MARGARET FLANAGAN | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| DAVID M FUJITA FROM 812 | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| CAROLINE GATEWOOD MD | |||||||||
| TRUSTEE | 10.0 | 10.0 | X | 0 | 0 | 0 | |||
| HAROLD D HANSEN THRU 212 | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| HELEN LATHAM FROM 412 | |||||||||
| PRESIDENT OF AUXILIARY | 10.0 | X | 0 | 0 | 0 | ||||
| DOUGLAS R MATHIE | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| MAUREEN T MILLS | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| ANTHONY MITAROTONDO THRU 212 | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| WILLIAM R POLLERT | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| JAMES F PRESTON | |||||||||
| TRUSTEE | 10.0 | 30.0 | X | 0 | 0 | 0 | |||
| JOSEPH PUFAHL | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| JAY P QUARTARARO FROM 112 | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| R KENMORE RUSHIN | |||||||||
| TRUSTEE | 10.0 | 15.0 | X | 0 | 0 | 0 | |||
| EDWARD SCHOTT FROM 112 | |||||||||
| TRUSTEE | 10.0 | X | 0 | 0 | 0 | ||||
| PAUL J CONNOR III | |||||||||
| PRESIDENT & CEO | 37.5 | 30.0 | X | 451532 | 0 | 41975 | |||
| ROBERT RAGONA | |||||||||
| CFO | 37.5 | 7.0 | X | 224518 | 0 | 40541 | |||
| DELIA PISPISA | |||||||||
| VP OF NURSING | 37.5 | 196730 | 0 | 38596 | X | ||||
| WILLIAM J MESSNER | |||||||||
| CONTROLLER | 37.5 | 10.0 | 184663 | 0 | 37751 | X | |||
| JARID PACHTER | |||||||||
| PHYSICIAN | 37.5 | 356336 | 0 | 18078 | X | ||||
| SUSAN APICELLO | |||||||||
| VP OF ADMIN./LAB MANAGER | 37.5 | 159182 | 0 | 25756 | X | ||||
| RAYMOND KRUPSKI | |||||||||
| PHARMACY DIRECTOR | 37.5 | 131841 | 0 | 26192 | X | ||||
| JEANNE RUTKOWSKI | |||||||||
| OR RN | 37.5 | 129719 | 0 | 48696 | X | ||||
| HELENE DE REEDER | |||||||||
| SUPERVISOR | 37.5 | 128803 | 0 | 33827 | X | ||||
| THERESA GLASS | |||||||||
| P.I. | 37.5 | 128325 | 0 | 33834 | X | ||||
| DANIEL SCOTTO | |||||||||
| DIRECTOR OF MIS | 37.5 | 125349 | 0 | 33747 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2216998 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 378993 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 7000 CARDINAL DRIVE | DUBLIN | OH | 43017 | MEDICAL SUPPLIES | 968883 |
| OWENS AND MINOR | |||||
| PO BOX 8500-55182 | PHILADELPHIA | PA | 19178 | MEDICAL SUPPLIES | 591578 |
| STONY BROOK PSYCH ASSOCIATES | |||||
| PO BOX 1554 | STONY BROOK | NY | 11790 | PSYCHIATRIC SRVCS. | 491472 |
| MEDTRONICS SD USA INC | |||||
| 4642 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | MEDICAL SUPPLIES | 396041 |
| PARAGON EMERGENCY MEDICINE | |||||
| 5 RIVIERA COURT | WADING RIVER | NY | 11792 | MEDICAL SUPPLIES | 316229 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 47 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
| Fundraising Events | 163924 | FundraisingEvents |
| Related Organizations | 127450 | RelatedOrganizations |
| Government Grants | 1259038 | GovernmentGrants |
| All Other Contributions | 1235548 | AllOtherContributions |
| Noncash Contributions | 19140 | NoncashContributions |
| Total Contributions | 2785960 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 624200 | BusinessCode |
| Total Revenue Column | 38524195 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38524195 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 38524195 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 104528 | TotalRevenueColumn |
| Exclusion | $104,528 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 73325 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 45045 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28280 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28280 | TotalRevenueColumn |
| Exclusion | $28,280 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11626 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11626 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11626 | TotalRevenueColumn |
| Exclusion | $11,626 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 124443 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 163924 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 124443 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 274500 | GrossIncomeGaming |
| Gaming Direct Expenses | 147500 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 127000 | TotalRevenueColumn |
| Exclusion | $127,000 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 2931316 | TotalRevenueColumn |
| Exclusion | $2,931,316 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2931316 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44512905 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38524195 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,202,750 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1775658 | Total |
| Management And General | 1775658 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18510112 | Total |
| Program Services | 18074766 | ProgramServices |
| Management And General | 33685 | ManagementAndGeneral |
| Fundraising | 401661 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1619228 | Total |
| Program Services | 1520985 | ProgramServices |
| Management And General | 64443 | ManagementAndGeneral |
| Fundraising | 33800 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4676383 | Total |
| Program Services | 4327493 | ProgramServices |
| Management And General | 252723 | ManagementAndGeneral |
| Fundraising | 96167 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1469960 | Total |
| Program Services | 1322964 | ProgramServices |
| Management And General | 117597 | ManagementAndGeneral |
| Fundraising | 29399 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169375 | Total |
| Program Services | 152438 | ProgramServices |
| Management And General | 13550 | ManagementAndGeneral |
| Fundraising | 3387 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89000 | Total |
| Program Services | 80100 | ProgramServices |
| Management And General | 7120 | ManagementAndGeneral |
| Fundraising | 1780 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 704384 | Total |
| Program Services | 633945 | ProgramServices |
| Management And General | 56351 | ManagementAndGeneral |
| Fundraising | 14088 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77920 | Total |
| Program Services | 70128 | ProgramServices |
| Management And General | 6234 | ManagementAndGeneral |
| Fundraising | 1558 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331760 | Total |
| Program Services | 298584 | ProgramServices |
| Management And General | 26541 | ManagementAndGeneral |
| Fundraising | 6635 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1193222 | Total |
| Program Services | 1114440 | ProgramServices |
| Management And General | 54017 | ManagementAndGeneral |
| Fundraising | 24765 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49296 | Total |
| Program Services | 44366 | ProgramServices |
| Management And General | 3944 | ManagementAndGeneral |
| Fundraising | 986 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 899124 | Total |
| Program Services | 809212 | ProgramServices |
| Management And General | 71930 | ManagementAndGeneral |
| Fundraising | 17982 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2134660 | Total |
| Program Services | 1921194 | ProgramServices |
| Management And General | 170773 | ManagementAndGeneral |
| Fundraising | 42693 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 535774 | Total |
| Program Services | 482197 | ProgramServices |
| Management And General | 42862 | ManagementAndGeneral |
| Fundraising | 10715 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PURCHASED SERVICES | 4408986 | 3968087 | 352719 | 88180 |
| MEDICAL AND DEPT. SUPPLIES | 2380971 | 2142874 | 190478 | 47619 |
| STAFF DEVELOPMENT | 1429620 | 1286658 | 114370 | 28592 |
| PHARMACEUTICALS | 1038196 | 934376 | 83056 | 20764 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2236831 | Total |
| Program Services | 2013148 | ProgramServices |
| Management And General | 178944 | ManagementAndGeneral |
| Fundraising | 44739 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45730460 | Total |
| Program Services | 41197955 | ProgramServices |
| Management And General | 3616995 | ManagementAndGeneral |
| Fundraising | 915510 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 763128 | BOY |
| EOY | 1847219 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6052243 | BOY |
| EOY | 2087898 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 384458 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8094731 | BOY |
| EOY | 6562677 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1019822 | BOY |
| EOY | 1003795 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417302 | BOY |
| EOY | 457826 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 46094210 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 30287454 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15464852 | BOY |
| EOY | 15806756 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2600042 | BOY |
| EOY | 4861770 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1048108 | BOY |
| EOY | 1180728 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35460228 | BOY |
| EOY | 34193127 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7719839 | BOY |
| EOY | 7998972 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16370000 | BOY |
| EOY | 16030000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3631265 | BOY |
| EOY | 3229883 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27721104 | BOY |
| EOY | 27258855 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6368103 | BOY |
| EOY | 5563251 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50333 | BOY |
| EOY | 50333 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1320688 | BOY |
| EOY | 1320688 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7739124 | BOY |
| EOY | 6934272 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35460228 | BOY |
| EOY | 34193127 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1217555 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 146579 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 266124 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1346213 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 123393 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1469606 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1350044 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -3831 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1346213 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1236416 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 113628 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1350044 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1089206 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 147210 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1236416 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1773452 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -684246 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1089206 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 419756 | OtherCostOrOtherBasis |
| Book Value | 419756 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17015506 | OtherCostOrOtherBasis |
| Depreciation | 8205058 | Depreciation |
| Book Value | 8810448 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28658948 | OtherCostOrOtherBasis |
| Depreciation | 22082396 | Depreciation |
| Book Value | 6576552 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 15806756 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PAYORS | $2,708,681 |
| ACCRUED PENSION LIABILITY | $521,202 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3229883 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 45943852 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1430947 | OtherRevenues |
| Revenue Not Rptd F990 | 1430947 | RevenueNotRptdF990 |
| Revenue Subtotal | 44512905 | RevenueSubtotal |
| Total Revenue Per Form990 | 44512905 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 46070221 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 339761 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 339761 | ExpensesNotRptdF990 |
| Expenses Subtotal | 45730460 | ExpensesSubtotal |
| Total Expenses Per Form990 | 45730460 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART V, LINE 4: | TO PROVIDE AN ASSET BASE, AND ALLOW EARNINGS TO FUND GROWTH AND DEVELOPMENT OF THE HOSPITAL. |
| PART X, LINE 2: | UNDER ASC 740-10, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES", AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. EASTERN LONG ISLAND HOSPITAL ASSOC, INC. (THE "REPORTING ORGANIZATION") DOES NOT BELIEVE THEY HAVE TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE REPORTING ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEAR ENDED DECEMBER 31, 2012, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS. MANAGEMENT BELIEVES THAT THE REPORTING ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. |
| PART XII, LINE 2D: | AFFILIATE INCOME AND ELIMINATIONS......$1,385,902. RENTAL EXPENSE.........................$45,045. TOTAL..................................$1,430,947. |
| PART XIII, LINE 2D: | AFFILIATE EXPENSES AND ELIMINATIONS....$294,716. RENTAL EXPENSE.........................$45,045. TOTAL..................................$339,761. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 194660 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 99277 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 95383 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 23345 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 32856 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 39182 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 93707 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 64647 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 29060 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 19406 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 9654 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 288367 | GrossReceiptsTotal |
| Charitable Contributions Total | 163924 | CharitableContributionsTotal |
| Gross Revenue Total Events | 124443 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 23345 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 52262 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 48836 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 124443 | DirectExpenseSummaryEvents |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 274500 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 147500 | CashPrizesOtherGaming |
| Gross Revenue Total Gaming | 274500 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 147500 | CashPrizesTotalGaming |
| Direct Expense Summary Gaming | 147500 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 127000 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NY | StatesWhereGamingConducted |
| Licensed | true | Licensed |
| License Suspended Etc | false | LicenseSuspendedEtc |
| Gaming With Nonmembers | false | GamingWithNonmembers |
| Member Of Other Entity | false | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Contract With3rd Party For Gam Rev | false | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | false | CharitableDistribRequired |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 117729 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 117729 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12627007 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8663252 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3963755 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08600 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 286971 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 286971 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13031707 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8663252 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4368455 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09480 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43592 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 43592 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43592 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 43592 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13075299 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8663252 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4412047 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09570 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $5,270,537 | BadDebtExpenseAmount |
| Amount Attributable To | 412362 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12231877 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16991873 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4759996 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1 |
| City | GREENPORT | City |
| State | NY | State |
| ZIP Code | 11944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EASTERN LONG ISLAND HOSPITAL ASSOC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 6A: | EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE, http://www.elih.org/SERVICES/COMMUNITYRESOURCES/ServicePlan/tabid/210/ Default.aspx. ADDITIONAL INFORMATION IN CONNECTION WITH SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CAN BE OBTAINED IN THE COMMUNITY BENEFIT REPORT. |
| PART I, LINE 7, COLUMN(F): | THE HOSPITAL USED COST OF CHARGE RATIO. |
| PART I, LINE 7: | THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. IN GENERAL, THE HOSPITAL ATTEMPTS TO BILL ALL PATIENTS UNTIL A DETERMINATION CAN BE MADE THAT THE PATIENT IS UNABLE TO PAY. THEREFORE, DISTINGUISHING BETWEEN CHARITY CARE AND OTHER UNCOMPENSATED CARE IS NOT PERFORMED. FOR THE YEAR ENDED DECEMBER 31, 2012, TOTAL UNCOMPENSATED CARE, MEASURED AT CHARGES, WAS APPROXIMATELY $412,000. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL AND AFFILIATE. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. |
| PART III, LINE 8: | THE COST OF CARE TO THE MEDICARE POPULATION IN THE HOSPITAL'S COMMUNITY EXCEEDS THE REIMBURSEMENT DUE TO SHORTFALLS IN MEDICARE METHODOLOGY. |
| PART III, LINE 9B: | CONSISTENT WITH MEDICARE REGULATIONS, COLLECTION POLICIES ARE UNIVERSALLY APPLIED TO BALANCES RELATED TO PATIENT RESPONSIBILITIES. PART V, LINE 20D: THE HOSPITAL FACILITY USED ITS LARGEST & MOST UTILIZED COMMERCIAL INSURANCE RATE WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. IN MOST CASES, THIS IS THE HOSPITAL'S EMPIRE B/C RATE. |
| NEEDS ASSESSMENT: | EASTERN LONG ISLAND HOSPITAL HAS AN EXTENSIVE PROGRAM OF COMMUNITY OUTREACH THAT IS COMPLEMENTED BY THE EFFORTS OF THE EAST END HEALTH ALLIANCE, THE HOSPITAL'S ACTIVE PARENT. INPUT ON THE COMMUNITY SERVICE PLAN IS RECEIVED FROM BOTH INTERNAL AND EXTERNAL SOURCES. NEEDS ARE ASSESSED ON AN ANNUAL BASIS BY THE BOARD OF TRUSTEES, HOSPITAL MANAGEMENT AND STAFF, VOLUNTEERS, AND LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATION AND GOVERNMENTAL AGENCIES. IN ADDITION TO OUTREACH EFFORTS, THE HOSPITAL -- THROUGH ITS GERIATRIC ASSESSMENT PROGRAM -- CONDUCTED A COMMUNITY NEEDS SURVEY IN ORDER TO IDENTIFY THOSE SERVICES THAT THE COMMUNITY BELIEVED WOULD FOSTER INDEPENDENT LIVING FOR THE ELDERLY RESIDENTS OF THE SERVICE AREA. SURVEYS WERE SENT TO MEMBERS OF THE HOSPITAL'S AUXILIARY, RESIDENTS OF PECONIC LANDING, MEMBERS OF SENIOR CITIZEN CENTERS, RECIPIENTS OF "MEALS ON WHEELS" AND PARTICIPANTS IN CONGREGATE DINING PROGRAMS AND PROVIDED IN DOCTOR'S OFFICE'S, OTHER ALLIED PROFESSIONAL OFFICES AND THE HOSPITAL'S LOBBY. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | EASTERN LONG ISLAND HOSPITAL POSTS SUMMARY OF ITS CHARITY CARE POLICIES IN ALL POINT OF CONTACT AREAS AND PROVIDES ASSISTANCE IN SECURING ENTITLEMENTS THROUGH AN INFORMED AND PROACTIVE PATIENT STAFF. |
| COMMUNITY INFORMATION: | EASTERN LONG ISLAND HOSPITAL HAS TWO DISTINCT SERVICE AREAS: ONE FOR THEIR MEDICAL SURGICAL SERVICES AND ONE FOR THEIR BEHAVIORAL HEALTH SERVICES. THE HOSPITAL'S MEDICAL SURGICAL SERVICE AREA EXTENDS EAST TO WEST FROM ORIENT TO MATTITUCK. THE POPULATION SERVED BY THE HOSPITAL IS SIGNIFICANTLY OLDER ON AVERAGE THAN SUFFOLK COUNTY, NEW YORK STATE AND NATIONALLY. MORE THAN THIRTY-NINE (39) PERCENT OF THE RESIDENTS IN THE SERVICE AREA ARE FIFTY-FIVE (55) AND OLDER WITH MORE THAN ONE IN FOUR RESIDENTS OVER THE AGE OF SIXTY-FIVE (65). THE HOSPITAL HAS DEVELOPED PROGRAMS THAT ARE SPECIFICALLY GEARED TOWARDS MEETING THE HEALTH CARE NEEDS OF THIS OLDER POPULATION, INCLUDING THE HOSPITAL'S GERIATRIC CENTER OF EXCELLENCE. THE PROGRAM WAS OPENED AT EASTERN LONG ISLAND HOSPITAL TO PROVIDE A TEAM APPROACH TO PROFESSIONAL CARE FOR THE GROWING ELDERLY POPULATION OF THE NORTH FORK AND SHELTER ISLAND. |
| OTHER INFORMATION: | ALL MEMBERS OF THE BOARD RESIDE IN THE COMMUNITY. THE HOSPITAL OFFERS MEDICAL PRIVILEGES TO QUALIFIED MEDICAL STAFF AND ACTIVELY SOLICITS PHYSICIANS TO JOIN THE COMMUNITY WHEN THERE IS AN UNFULFILLED NEED. |
| AFFILIATED HEALTH CARE SYSTEM ROLES: | THE HOSPITAL IS A MEMBER OF THE EAST END HEALTH ALLIANCE. THE EAST END HEALTH ALLIANCE, THE ARTICLE 28 PARENT OF EASTERN LONG ISLAND HOSPITAL, CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER AND SOUTHAMPTON HOSPITAL, WAS CREATED IN RESPONSE TO THE RECOMMENDATIONS OF THE COMMISSION ON HEALTH CARE FACILITIES IN THE 21ST CENTURY. CONSISTENT WITH THE MISSION OF EASTERN LONG ISLAND HOSPITAL, THE GOALS OF THE ALLIANCE ARE AS FOLLOWS: A) TO COLLABORATIVELY DEVELOP HIGH QUALITY, COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITY SERVED; B) TO RATIONALIZE HEALTH CARE SERVICES ACROSS THE SYSTEM; AND C) TO REALIZE MANAGEMENT EFFICIENCIES. ROLES OF AFFILIATES: A) PECONIC BAY MEDICAL CENTER PROVIDES ACUTE AND CRITICAL INPATIENT SERVICES, OUTPATIENT SERVICES INCLUDING EMERGENCY MEDICINE, DIALYSIS, PHYSICAL THERAPY, RADIOLOGY, RESPIRATORY THERAPY AND LABORATORY SERVICES. PECONIC BAY MEDICAL CENTER ALSO OPERATES A SIXTY (60) BED SKILLED NURSING AND REHABILITATION FACILITY THAT PROVIDES BOTH SHORT TERM AND SUBACUTE CARE AND LONG-TERM SKILLED NURSING CARE. THE MEDICAL CENTER ALSO OPERATES A CERTIFIED HOME CARE AGENCY, PECONIC BAY HOME HEALTH SERVICES. B) SOUTHAMPTON HOSPITAL IS A 125-BED, VOLUNTARY, NOT-FOR-PROFIT FACILITY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE HOSPITAL OFFERS A FULL CONTINUUM OF AMBULATORY AND INPATIENT SERVICES RANGING FROM PRIMARY MEDICAL CARE TO SPECIALIZED SURGICAL PROCEDURES, AND IS STAFFED BY MORE THAN 230 PHYSICIANS, DENTISTS AND ALLIED HEALTH PROFESSIONALS REPRESENTING 44 MEDICAL SPECIALTIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL J CONNOR III | ||||||||||||||
| PRESIDENT & CEO | 336870 | 0 | 110000 | 0 | 4662 | 0 | 17150 | 0 | 24825 | 0 | 493507 | 0 | 0 | 0 |
| ROBERT RAGONA | ||||||||||||||
| CFO | 224518 | 0 | 0 | 0 | 0 | 0 | 15716 | 0 | 24825 | 0 | 265059 | 0 | 0 | 0 |
| DELIA PISPISA | ||||||||||||||
| VP OF NURSING | 196730 | 0 | 0 | 0 | 0 | 0 | 13771 | 0 | 24825 | 0 | 235326 | 0 | 0 | 0 |
| WILLIAM J MESSNER | ||||||||||||||
| CONTROLLER | 184663 | 0 | 0 | 0 | 0 | 0 | 12926 | 0 | 24825 | 0 | 222414 | 0 | 0 | 0 |
| JARID PACHTER | ||||||||||||||
| PHYSICIAN | 356336 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18078 | 0 | 374414 | 0 | 0 | 0 |
| SUSAN APICELLO | ||||||||||||||
| VP OF ADMIN./LAB MANAGER | 159182 | 0 | 0 | 0 | 0 | 0 | 11192 | 0 | 14564 | 0 | 184938 | 0 | 0 | 0 |
| RAYMOND KRUPSKI | ||||||||||||||
| PHARMACY DIRECTOR | 131841 | 0 | 0 | 0 | 0 | 0 | 9212 | 0 | 16980 | 0 | 158033 | 0 | 0 | |
| JEANNE RUTKOWSKI | ||||||||||||||
| OR RN | 129719 | 0 | 0 | 0 | 0 | 0 | 11882 | 0 | 36814 | 0 | 178415 | 0 | 0 | 0 |
| HELENE DE REEDER | ||||||||||||||
| SUPERVISOR | 128803 | 0 | 0 | 0 | 0 | 0 | 9002 | 0 | 24825 | 0 | 162630 | 0 | 0 | 0 |
| THERESA GLASS | ||||||||||||||
| P.I. | 128325 | 0 | 0 | 0 | 0 | 0 | 9009 | 0 | 24825 | 0 | 162159 | 0 | 0 | 0 |
| DANIEL SCOTTO | ||||||||||||||
| DIRECTOR OF MIS | 125349 | 0 | 0 | 0 | 0 | 0 | 8922 | 0 | 24825 | 0 | 159096 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUFFOLK COUNTY INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 112584714 | IssuerEIN |
| Date Issued | 2007-06-27 | DateIssued |
| Issue Price | 17760000 | IssuePrice |
| Description Of Purpose | IMPROVEMENTS OF HOSPITAL FACILITY | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 17760000 | TotalProceeds |
| Amount In Reserve Fund | 1187569 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 11793210 | RefundingEscrow |
| Issuance Costs From Proceeds | 765422 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 5939581 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | true | RebateNotDueYet |
| Exception To Rebate | false | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | true | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE (C): | Identifier |
| Return Reference | 0 | ReturnReference |
| Explanation | CUSIP #: 864768 NTR 2027 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, PART I, LINE 9 AND PART VIII, LINE 2A: | IN JULY 2011, THE FASB ISSUED ASU 2011-07, "PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES". ASU 2011-07 REQUIRES CERTAIN HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED WITHOUT ASSESSING THE PATIENT'S ABILITY TO PAY TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE STATEMENT OF OPERATIONS RATHER THAN AS AN OPERATING EXPENSE. ADDITIONAL DISCLOSURES RELATING TO SOURCES OF PATIENT SERVICE REVENUE AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WILL ALSO BE REQUIRED. THIS NEW GUIDANCE IS EFFECTIVE FOR FISCAL YEARS AND INTERIM PERIODS WITHIN THOSE FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2011, WITH EARLY ADOPTION PERMITTED. THE HOSPITAL'S MANAGEMENT HAS ADOPTED THE PROVISIONS OF ASU 2011-07 AND RETROSPECTIVELY APPLIED THE PRESENTATION REQUIREMENTS. NET PATIENT SERVICE REVENUE..................$43,794,732. LESS: PROVISION FOR UNCOLLECTIBLES, NET......$(5,270,537.) AMOUNT REPORTED ON LINE 2A, PART VIII........$38,524,195. FORM 990, PART VI, SECTION A, LINES 6 AND 7A: THE ORGANIZATION'S SOLE MEMBER IS EAST END HEALTH ALLIANCE, A NOT-FOR-PROFIT CORPORATION THAT CAN ELECT ONE OR MORE MEMBERS OF THE HOSPITAL'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B: | FORM 990 IS REVIEWED BY THE FINANCE TEAM OF THE HOSPITAL, WHICH INCLUDES THE CEO, CFO AND CONTROLLER. ALSO, THE RETURNS ARE DISTRIBUTED TO THE MEMBERS OF THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. ANY CHANGES ARE IMPLEMENTED PRIOR TO FILING THE FINAL VERSION OF THE ANNUAL FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C: | H.R. POLICIES ARE REVIEWED BY THE AUDIT COMMITTEE ON A ROUTINE BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15A: | AN INDEPENDENT HUMAN RESOURCES COMMITTEE CONSISTING OF INDEPENDENT BOARD MEMBERS MEET TO REVIEW AND DISCUSS THE CEO'S COMPENSATION PACKAGE. THE PROCESS INCLUDES A REVIEW OF THE CEO'S PERFORMANCE AND A COMPARISON OF THE CEO'S ROLE AND COMPENSATION TO OUR SISTER HOSPITALS (CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER & SOUTHAMPTON HOSPITAL) AS WELL AS OTHER HOSPITALS IN SIMILAR GEOGRAPHIC LOCATIONS. THEY ALSO COMPARE IT WITH PUBLISHED STANDARDS OF OTHER HOSPITALS. IN ADDITION THEY REACH OUT TO OTHER INDEPENDENT ORGANIZATIONS SUCH AS THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) TO COMPILE THIS DATA. AFTER THE HUMAN RESOURCES COMMITTEE COMPLETES THEIR DELIBERATION THEY MEET WITH THE FULL BOARD OF THE HOSPITAL TO DISCUSS THEIR FINDINGS AND MAKE SUGGESTIONS BEFORE THE FULL BOARD VOTES TO APPROVE THE COMPENSATION PACKAGE. THE DELIBERATION AND DECISION OF THE BOARD IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15B: | THE PROCESS IS SIMILAR TO 15A ABOVE AND INCLUDES AN ANNUAL EVALUATION CONDUCTED BY THE CEO AND PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD WHO APPROVE THE COMPENSATION PACKAGE. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY.....$266,124. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| EASTERN LONG ISLAND HOSPITAL FOUNDATION | |||||||||
| 201 MANOR PLACE | GREENPORT | NY | 11944 | 203851050 | FUNDRAISING | NY | 501(C)(3) | 11 | false |
| EAST END HEALTH ALLIANCE | |||||||||
| 201 MANOR PLACE | GREENPORT | NY | 11944 | 113407476 | HOSPITAL | NY | 501(C)(3) | 11 | false |
| CENTRAL SUFFOLK HOSP dba PECONIC BAY MED | |||||||||
| 1300 ROANOKE AVENUE | RIVERHEAD | NY | 11901 | 111661359 | HOSPITAL | NY | 501(C)(3) | 7 | false |
| SOUTHAMPTON HOSPITAL | |||||||||
| 240 MEETING HOUSE LANE | SOUTHAMPTON | NY | 11968 | 111667765 | HOSPITAL | NY | 501(C)(3) | 7 | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST END PHYSICIAN SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MANOR PLACE | AddressLine1 |
| City | GREENPORT | City |
| State | NY | State |
| ZIP Code | 11944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460852920 | EIN |
| Primary Activity | PRIMARY CARE PHYS | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Share Of Total Income | 125277 | ShareOfTotalIncome |
| Share Of EOY Assets | 195034 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST END PHYSICIAN SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionType |
| Amount Involved | 179232 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |