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EASTERN LONG ISLAND HOSPITAL ASSOC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EASTERN LONG ISLAND HOSPITAL ASSOC INC (EIN 11-1633563)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-02-01
IRS object ID
201340329349301209
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)
Timestamp2013-02-01T14:09:36-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 PARK AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100175001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111633563EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EASTERN LONG ISLAND HOSPITAL ASSOC INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% WILLIAM J MESSNERInCareOfName
Name ControlEASTNameControl
Phone6314771000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1
CityGREENPORTCity
StateNYState
ZIP Code119441222ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM MESSNERName
TitleCONTROLLERTitle
Date Signed2013-02-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePaul HammerschmidtName
Phone2128858000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL J CONNOR IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1
CityGREENPORTCity
StateNYState
ZIP Code11944ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43915838GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ELIH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees412TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2376271ContributionsGrantsPriorYear
Contributions Grants Current Year2532552ContributionsGrantsCurrentYear
Program Service Revenue Prior Year46067184ProgramServiceRevenuePriorYear
Program Service Revenue CY39793131ProgramServiceRevenueCY
Investment Income Prior Year107887InvestmentIncomePriorYear
Investment Income Current Year134808InvestmentIncomeCurrentYear
Other Revenue Prior Year1548275OtherRevenuePriorYear
Other Revenue Current Year1290039OtherRevenueCurrentYear
Total Revenue Prior Year50099617TotalRevenuePriorYear
Total Revenue Current Year43750530TotalRevenueCurrentYear
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 Year24141247SalariesEtcPriorYear
Salaries Etc Current Year25774524SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year510250TotalFundrsngExpCurrentYear
Other Expense Prior Year23398717OtherExpensePriorYear
Other Expenses Current Year17417335OtherExpensesCurrentYear
Total Expenses Prior Year47539964TotalExpensesPriorYear
Total Expenses Current Year43191859TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2559653RevenuesLessExpensesPriorYear
Revenues Less Expenses CY558671RevenuesLessExpensesCY
Total Assets BOY36016307TotalAssetsBOY
Total Assets EOY35460228TotalAssetsEOY
Total Liabilities BOY28698326TotalLiabilitiesBOY
Total Liabilities EOY27721104TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7317981NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7739124NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense38986489Expense
Grants0Grants
Revenue39793131Revenue
DescriptionTO PROVIDE ACUTE MEDICAL, SURGICAL, ALCOHOL, DETOX, REHAB AND EMERGENCY SERVICES AND CARE TO THE EAST END OF LONG ISLAND. THERE WERE 3,014 ADMISSIONS, 19,703 PATIENT DAYS AND 42,009 EMERGENCY AND AMBULATORY CARE VISITS DURING 2011.Description
Total Program Service Expense38986489TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
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 ContributionstrueDeductibleNonCashContributions
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 With109644NumberFormsTransmittedWith1096
Number W2 G Included19NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees412NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWILLIAM J MESSNERNamePerson
Telephone Number6314775313TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1
CityGREENPORTCity
StateNYState
ZIP Code11944ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS E MURRAY JR
CHAIRMAN15.0XX000
FRANK ADIPIETRO MD
VICE CHAIRMAN10.0XX000
CAROLE G DONLIN
VICE CHAIRMAN10.0XX000
ROBERT T GOLDMAN
VICE CHAIRMAN10.0XX000
JANICE CLAUDIO
TREASURER10.0XX000
VICKIE DEFRIEST
SECRETARY10.0XX000
NEBOYSHA R BRASHICH
GOV'T AFFAIRS REPRESENTATIVE10.0X000
SCOTT BENNETT
TRUSTEE10.0X000
DANIEL BRISOTTI
TRUSTEE10.0X000
MARGARET FLANAGAN
PRESIDENT OF AUXILIARY10.0X000
CAROLINE GATEWOOD MD FROM 111
TRUSTEE10.0X000
HAROLD D HANSEN
TRUSTEE10.0X000
JOEL D LAUBER THRU 211
TRUSTEE10.0X000
DOUGLAS R MATHIE FROM 411
TRUSTEE10.0X000
MAUREEN T MILLS
TRUSTEE10.0X000
ANTHONY J MITAROTONDO MD
TRUSTEE10.0X000
WILLIAM R POLLERT
TRUSTEE10.0X000
JAMES F PRESTON
TRUSTEE10.0X000
JOSEPH PUFAHL
TRUSTEE10.0X000
R KENMORE RUSHIN
TRUSTEE10.0X000
EUGENE YOURCH THRU 211
TRUSTEE10.0X000
PAUL J CONNOR III
PRESIDENT & CEO37.5X404441040982
ROBERT RAGONA
CFO37.5X214193038660
DELIA PISPISA
VP OF NURSING37.5192276037051X
WILLIAM J MESSNER
CONTROLLER37.5170305035541X
JEANNE RUTKOWSKI
OR RN37.5150438056474X
SUSAN APICELLO
VP OF ADMIN./LAB MANAGER37.5146837025455X
RAYMOND KRUPSKI
PHARMACY DIRECTOR37.5131387024648X
JOEL LAZARUS
DIR. OF RESPIRATORY THERAPY37.5127698032568X
DANIEL SCOTTO
DIRECTOR OF MIS37.5121086032174X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1658661TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation323553TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CARDINAL HEALTH
7000 CARDINAL DRIVEDUBLINOH43017MEDICAL SUPPLIES1124847
MEDTRONICS SD USA INC
4642 COLLECTION CENTER DRIVECHICAGOIL60693MEDICAL SUPPLIES567290
OWENS AND MINOR
PO BOX 8500-55182PHILADELPHIAPA19178MEDICAL SUPPLIES477122
STONY BROOK PSYCH ASSOCIATES
PO BOX 1554STONY BROOKNY11790PSYCHIATRIC SRVCS.413461
PARAGON EMERGENCY MEDICINE
5 RIVIERA COURTWADING RIVERNY11792MEDICAL SUPPLIES379381
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Fundraising Events196615FundraisingEvents
Related Organizations398254RelatedOrganizations
Government Grants260047GovernmentGrants
All Other Contributions1677636AllOtherContributions
Noncash Contributions31192NoncashContributions
Total Contributions2532552TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code624200BusinessCode
Total Revenue Column39793131TotalRevenueColumn
Related Or Exempt Function Income39793131RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue39793131TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column111994TotalRevenueColumn
Exclusion$111,994ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real75692Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real49589Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real26103Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column26103TotalRevenueColumn
Exclusion$26,103ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities22814Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities22814Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column22814TotalRevenueColumn
Exclusion$22,814ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events127367GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events196615CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses115719FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column11648TotalRevenueColumn
Exclusion$11,648ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column1252288TotalRevenueColumn
Exclusion$1,252,288ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1252288TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column43750530TotalRevenueColumn
Related Or Exempt Function Income39793131RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,424,847ExclusionAmount

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)
Total1133449Total
Management And General1133449ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17422881Total
Program Services16593133ProgramServices
Management And General612580ManagementAndGeneral
Fundraising217168Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1505744Total
Program Services1409025ProgramServices
Management And General78278ManagementAndGeneral
Fundraising18441Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4343786Total
Program Services4002165ProgramServices
Management And General289241ManagementAndGeneral
Fundraising52380Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1368664Total
Program Services1233988ProgramServices
Management And General118526ManagementAndGeneral
Fundraising16150Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total113111Total
Program Services101981ProgramServices
Management And General9795ManagementAndGeneral
Fundraising1335Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total105000Total
Program Services94668ProgramServices
Management And General9093ManagementAndGeneral
Fundraising1239Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total485671Total
Program Services437881ProgramServices
Management And General42059ManagementAndGeneral
Fundraising5731Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total75082Total
Program Services67694ProgramServices
Management And General6502ManagementAndGeneral
Fundraising886Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total316977Total
Program Services285787ProgramServices
Management And General27450ManagementAndGeneral
Fundraising3740Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1104776Total
Program Services1040775ProgramServices
Management And General50379ManagementAndGeneral
Fundraising13622Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total33261Total
Program Services29989ProgramServices
Management And General2880ManagementAndGeneral
Fundraising392Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total918444Total
Program Services828069ProgramServices
Management And General79537ManagementAndGeneral
Fundraising10838Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2031130Total
Program Services1831267ProgramServices
Management And General175896ManagementAndGeneral
Fundraising23967Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total536785Total
Program Services483965ProgramServices
Management And General46486ManagementAndGeneral
Fundraising6334Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES4535608408930439278453520
MEDICAL AND DEPT. SUPPLIES2589661233483822426530558
STAFF DEVELOPMENT1493189134625912931017620
PHARMACEUTICALS1165832105111410096113757

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1912808Total
Program Services1724587ProgramServices
Management And General165649ManagementAndGeneral
Fundraising22572Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total43191859Total
Program Services38986489ProgramServices
Management And General3695120ManagementAndGeneral
Fundraising510250Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1619067BOY
EOY763128EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7075424BOY
EOY6052243EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY112838BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8027233BOY
EOY8094731EOY

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)
BOY792091BOY
EOY1019822EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY392097BOY
EOY417302EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis43618218LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28153366LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14605464BOY
EOY15464852EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2312433BOY
EOY2600042EOY

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)
BOY1079660BOY
EOY1048108EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36016307BOY
EOY35460228EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6839647BOY
EOY7719839EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY141066BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16695000BOY
EOY16370000EOY

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)
BOY5022613BOY
EOY3631265EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28698326BOY
EOY27721104EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5946960BOY
EOY6368103EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50333BOY
EOY50333EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1320688BOY
EOY1320688EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7317981BOY
EOY7739124EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36016307BOY
EOY35460228EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses558671ReconcilationRevenueExpenses
Reconcilation Other Changes-137528ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1350044BeginningOfYearBalance
Investment Earnings Or Losses-3831InvestmentEarningsOrLosses
End Of Year Balance1346213EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1236416BeginningOfYearBalance
Investment Earnings Or Losses113628InvestmentEarningsOrLosses
End Of Year Balance1350044EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1089206BeginningOfYearBalance
Investment Earnings Or Losses147210InvestmentEarningsOrLosses
End Of Year Balance1236416EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1773452BeginningOfYearBalance
Investment Earnings Or Losses-684246InvestmentEarningsOrLosses
End Of Year Balance1089206EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis419756OtherCostOrOtherBasis
Book Value419756BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15840583OtherCostOrOtherBasis
Depreciation7929942Depreciation
Book Value7910641BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis27357879OtherCostOrOtherBasis
Depreciation20223424Depreciation
Book Value7134455BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings15464852TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$2,985,701
ACCRUED PENSION LIABILITY$645,564
FieldValueIRS element (for citing)
Total Of Amounts3631265TotalOfAmounts
Total Revenue43750530TotalRevenue
Total Expenses43191859TotalExpenses
Excess Or Deficit For Year558671ExcessOrDeficitForYear
Net Unrealized GL On Investments-25574NetUnrealizedGLOnInvestments
Other-$111,954OtherAmount
Total Adjustments-137528TotalAdjustments
Excess Or Deficit Per FS421143ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt43761552TotRevenueEtcAuditedFinclStmt
Other Revenues11022OtherRevenues
Revenue Not Rptd F99011022RevenueNotRptdF990
Revenue Subtotal43750530RevenueSubtotal
Total Revenue Per Form99043750530TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt43314712TotExpensesEtcAuditedFinclStmt
Other Expenses Included122853OtherExpensesIncluded
Expenses Not Rptd F990122853ExpensesNotRptdF990
Expenses Subtotal43191859ExpensesSubtotal
Total Expenses Per Form99043191859TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanation
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. THE IMPLEMENTATION OF ASC 740-10 HAD NO IMPACT ON EASTERN LONG ISLAND HOSPITAL ASSOC, INC'S (THE "REPORTING ORGANIZATION") FINANCIAL STATEMENTS. THE REPORTING ORGANIZATION DOES NOT BELIEVE IT HAS 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, 2011, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE COMBINED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS.
PART XI, LINE 8:CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY.
PART XII, LINE 2D:AFFILIATE INCOME AND ELIMINATIONS......$(38,567.) RENTAL EXPENSE.........................$49,589. TOTAL..................................$11,022.
PART XIII, LINE 2D:AFFILIATE EXPENSES AND ELIMINATIONS....$73,264. RENTAL EXPENSE.........................$49,589. TOTAL..................................$122,853.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1220687GrossReceiptsEvent1
Charitable Contributions Event1121665CharitableContributionsEvent1
Gross Revenue Event199022GrossRevenueEvent1
Food And Beverage Event129172FoodAndBeverageEvent1
Entertainment Event14700EntertainmentEvent1
Other Direct Expenses Event149292OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2103295GrossReceiptsEvent2
Charitable Contributions Event274950CharitableContributionsEvent2
Gross Revenue Event228345GrossRevenueEvent2
Food And Beverage Event222135FoodAndBeverageEvent2
Other Direct Expenses Event210420OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total323982GrossReceiptsTotal
Charitable Contributions Total196615CharitableContributionsTotal
Gross Revenue Total Events127367GrossRevenueTotalEvents
Food And Beverage Total Events51307FoodAndBeverageTotalEvents
Entertainment Total Events4700EntertainmentTotalEvents
Other Direct Expenses Total Events59712OtherDirectExpensesTotalEvents
Direct Expense Summary Events115719DirectExpenseSummaryEvents
Net Income Summary11648NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense384520TotalCommunityBenefitExpense
Net Community Benefit Expense384520NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense11384446TotalCommunityBenefitExpense
Direct Offsetting Revenue7144551DirectOffsettingRevenue
Net Community Benefit Expense4239895NetCommunityBenefitExpense
Percent Of Total Expense0.09790PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense711508TotalCommunityBenefitExpense
Net Community Benefit Expense711508NetCommunityBenefitExpense
Percent Of Total Expense0.01640PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12480474TotalCommunityBenefitExpense
Direct Offsetting Revenue7144551DirectOffsettingRevenue
Net Community Benefit Expense5335923NetCommunityBenefitExpense
Percent Of Total Expense0.12310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense29660TotalCommunityBenefitExpense
Net Community Benefit Expense29660NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense29660TotalCommunityBenefitExpense
Net Community Benefit Expense29660NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12510134TotalCommunityBenefitExpense
Direct Offsetting Revenue7144551DirectOffsettingRevenue
Net Community Benefit Expense5365583NetCommunityBenefitExpense
Percent Of Total Expense0.12380PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,700,126BadDebtExpenseAmount
Amount Attributable To1412636AmountAttributableTo
Amount Reimbursed By Medicare18662452AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20357915CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1695463MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1EASTERN LONG ISLAND HOSPITAL ASSOC INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1201 MANOR PLACEAddressLine1
CityGREENPORTCity
StateNYState
ZIP Code11944ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EASTERN LONG ISLAND HOSPITAL ASSOC INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanation
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 HOSPTIAL 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, 2011, TOTAL UNCOMPENSATED CARE, MEASURED AT CHARGES, WAS APPROXIMATELY $1,412,000.
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.
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

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

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
PAUL J CONNOR III
397309000713201715002383204454230
ROBERT RAGONA
212213000198001485502380502528530
DELIA PISPISA
189610000266601327302377802293270
WILLIAM J MESSNER
168329000197601178302375802058460
JEANNE RUTKOWSKI
150438000001378004269402069120
SUSAN APICELLO
14616800066901023201522301722920
RAYMOND KRUPSKI
13138700000912101552701560350
JOEL LAZARUS
12769800000882702374101602660
DANIEL SCOTTO
12108600000843902373501532600

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1SUFFOLK COUNTY INDUSTRIAL DEVELOPMENT AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN112584714IssuerEIN
Date Issued2007-06-27DateIssued
Issue Price17760000IssuePrice
Description Of PurposeIMPROVEMENTS OF HOSPITAL FACILITYDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds17760000TotalProceeds
Amount In Reserve Fund1187569AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow11793210RefundingEscrow
Issuance Costs From Proceeds765422IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures5939581CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
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 ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
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)
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
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART I, LINE (C):Identifier
Return Reference0ReturnReference
ExplanationCUSIP #: 864768 NTR 2027Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99031192NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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..................$43,493,257. LESS: PROVISION FOR UNCOLLECTIBLES, NET......$(3,700,126.) AMOUNT REPORTED ON LINE 2A, PART VIII........$39,793,131. 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 5:NET UNREALIZED LOSS ON INVESTMENTS.................$(25,574.) CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY.....$(111,954.) TOTAL..............................................$(137,528.)
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:THOMAS E. MURRAY, JR. TITLE:CHAIRMAN HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:FRANK ADIPIETRO, M.D. TITLE:VICE CHAIRMAN HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:CAROLE G. DONLIN TITLE:VICE CHAIRMAN HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ROBERT T. GOLDMAN TITLE:VICE CHAIRMAN HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:DANIEL BRISOTTI TITLE:TRUSTEE HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JAMES F. PRESTON TITLE:TRUSTEE HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:PAUL J. CONNOR, III TITLE:PRESIDENT & CEO HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ROBERT RAGONA TITLE:CFO HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:DELIA PISPISA TITLE:VP OF NURSING HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:WILLIAM J. MESSNER TITLE:CONTROLLER HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SUSAN APICELLO TITLE:VP OF ADMIN./LAB MANAGER HOURS:5FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
EASTERN LONG ISLAND HOSPITAL FOUNDATION
201 MANOR PLACEGREENPORTNY11944203851050FUNDRAISINGNY501(C)(3)11false
EAST END HEALTH ALLIANCE
201 MANOR PLACEGREENPORTNY11944113407476HOSPITALNY501(C)(3)11false
CENTRAL SUFFOLK HOSP dba PECONIC BAY MED
1300 ROANOKE AVENUERIVERHEADNY11901111661359HOSPITALNY501(C)(3)7false
SOUTHAMPTON HOSPITAL
240 MEETING HOUSE LANESOUTHAMPTONNY11968111667765HOSPITALNY501(C)(3)7false
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg