LONG BEACH MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LONG BEACH MEDICAL CENTER (EIN 11-1635084)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349303542
- Schema version
- 2010v3.4
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T11:47:01-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOEB & TROPER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 THIRD AVENUE 12TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111635084 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG BEACH MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LONG | NameControl |
| Phone | 5168971000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 EAST BAY DRIVE | AddressLine1 |
| City | LONG BEACH | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARRY STERN | Name |
| Title | CFO | Title |
| Phone | 5168971000 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FREDERICK H ROTHMAN | Name |
| Phone | 2128674000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARRY STERN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 EAST BAY DRIVE | AddressLine1 |
| City | LONG BEACH | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 68500752 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | LBMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1922 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | LONG BEACH MEDICAL CENTER IS A 162 BED HOSPITAL WITH A RANGE OF SERVICES INCLUDING ROUTINE FAMILY HEALTH CARE EMERGENCY SERVICES, MEDICAL SURGICAL SERVICES AND EXTENSIVE REHABILITATION FACILITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1059 | TotalNbrEmployees |
| Total Nbr Volunteers | 125 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9103139 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2267651 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 66017302 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 65313332 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 390056 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9388 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4165447 | OtherRevenuePriorYear |
| Other Revenue Current Year | 373615 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 79675944 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67963986 | 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 | 44241283 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 44852900 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 8887 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26292727 | OtherExpensePriorYear |
| Other Expenses Current Year | 26225788 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 70534010 | TotalExpensesPriorYear |
| Total Expenses Current Year | 71078688 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9141934 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3114702 | RevenuesLessExpensesCY |
| Total Assets BOY | 36897822 | TotalAssetsBOY |
| Total Assets EOY | 36696007 | TotalAssetsEOY |
| Total Liabilities BOY | 42752966 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 45665853 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -5855144 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -8969846 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE FUNDAMENTAL MISSION OF LONG BEACH MEDICAL CENTER IS TO PROVIDE HIGH QUALITY SERVICES TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES OF LONG BEACH, LIDO BEACH, POINT LOOKOUT, ATLANTIC BEACH, ISLAND PARK AND OTHER NEIGHBORING COMMUNITIES. TO THE RESIDENTS OF THESE COMMUNITIES, AND TO OTHERS NEEDING HEALTH SERVICES, LONG BEACH MEDICAL CENTER PROVIDES A BROAD RANGE OF SERVICES, INCLUDING ACUTE CARE, LONG TERM CARE, HOME CARE AND AMBULATORY CARE CONSISTENT WITH THE NEEDS OF THE COMMUNITY AND THE CAPACITY OF THE INSTITUTION TO MEET THOSE NEEDS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 56524676 | Expense |
| Revenue | 65313332 | Revenue |
| Description | LONG BEACH MEDICAL CENTER IS A 162-BED HOSPITAL WITH A RANGE OF SERVICES INCLUDING ROUTINE FAMILY HEALTH CARE EMERGENCY SERVICES, MEDICAL SURGICAL SERVICES AND EXTENSIVE REHABILITATION FACILITIES. THE MEDICAL CENTER ALSO HAS A PSYCHIATRIC INPATIENT PROGRAM AS WELL AS HOME CARE PROGRAMS, OUTPATIENT SERVICES FOR THE TREATMENT OF ALCOHOLISM, SUBSTANCE ABUSE AND MENTAL HEALTH PROBLEMS. TOTAL INPATIENT DAYS WERE 32,068. TOTAL OUTPATIENT VISITS WERE 111,311. | Description |
| Total Program Service Expense | 56524676 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 47 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1059 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN DAVIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5168971075 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 249 EAST PARK AVENUE | AddressLine1 |
| City | LONG BEACH | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ALFRED I OSTERLAND | |||||||
| CHAIRMAN OF THE BOARD | 8.00 | X | X | 0 | 0 | 0 | |
| BERNARD KENNEDY | |||||||
| PRESIDENT | 5.00 | X | X | 0 | 0 | 0 | |
| JAMES PORTNOFF | |||||||
| SENIOR VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| RONALD CONKLIN | |||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| THEODORE HOMMEL | |||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| MICHAEL TRIBUSH | |||||||
| TREASURER/VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| LAWRENCE E ELOVICH | |||||||
| SECRETARY/VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| JOSEPH BROWN | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| RAYMOND ELLMER | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| MARTIN KAMINSKY | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ED LEVIE | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| IRWIN LETTERER | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| GERALDINE MCGANN | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| WILLIAM POLIGNANI | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| DONALD PRESS | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| ANDREW SLOANE | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| JOHN VITALE | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| JOEL BENEWITZ MD | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| PAUL SCHULSTER MD | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| LEE WEITZMAN MD | |||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||
| DOUGLAS L MELZER | |||||||
| EVP/CEO | 20.50 | X | 255730 | 193765 | 31230 | ||
| BARRY STERN | |||||||
| CFO | 22.50 | X | 171390 | 103500 | 14028 | ||
| PERICLES HADJIYANE MD | |||||||
| PMR DIRECTOR | 37.50 | 203993 | 0 | 17623 | X | ||
| KUMUDINI SHAH MD | |||||||
| DIRECTOR OF LAB | 37.50 | 198394 | 0 | 16997 | X | ||
| CHERYL CARRAO DO | |||||||
| MEDICAL EDUCATION DIRECTOR | 37.50 | 151904 | 0 | 20679 | X | ||
| GARY RUBIN | |||||||
| ENGINEERING DIRECTOR | 37.50 | 140271 | 0 | 16261 | X | ||
| CHERYL CHAPMAN | |||||||
| ASSISTANT ADMINISTRATOR | 37.50 | 138993 | 0 | 11054 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1260675 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 297265 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 127872 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LI PSYCHIATRIC | |||||
| 871 EAST PARK AVENUE | LONG BEACH | NY | 11561 | PSYCHIATRIC SERVICES | 390000 |
| LONG BEACH ANESTHESIA | |||||
| 455 EAST BAY DRIVE | LONG BEACH | NY | 11561 | ANESTHESIA SERVICES | 208333 |
| GARFUNKEL WILD PC | |||||
| 111 GREAT NECK ROAD | GREAT NECK | NY | 11021 | LEGAL SERVICES | 183598 |
| FORD & HARRISON LLP | |||||
| 100 PARK AVENUE | NEW YORK | NY | 10017 | LEGAL SERVICES | 158461 |
| NATIONAL EMERGENCY SERVICES | |||||
| 3724 NATIONAL DRIVE | RALEIGH | NC | 27612 | PHYSICIAN ER SERVICES | 120824 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Federated Campaigns | 2016 | FederatedCampaigns |
| Fundraising Events | 62500 | FundraisingEvents |
| Related Organizations | 10000 | RelatedOrganizations |
| Government Grants | 1976692 | GovernmentGrants |
| All Other Contributions | 216443 | AllOtherContributions |
| Total Contributions | 2267651 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 623000 | 47025520 | 47025520 |
| PRIVATE AND OTHER | 623000 | 15146213 | 15146213 |
| ADMINISTRATIVE AND ANC | 900000 | 3141599 | 3141599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 65313332 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9388 | TotalRevenueColumn |
| Exclusion | $9,388 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 169176 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 408538 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -239362 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -239362 | TotalRevenueColumn |
| Exclusion | -$239,362 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 410475 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 62500 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 128228 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 282247 | TotalRevenueColumn |
| Exclusion | $282,247 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| DISCOUNTS AND REBATES | 900099 | 179841 | $179,841 |
| CAFETERIA AND COFFEE S | 623000 | 81535 | $81,535 |
| MISCELLANEOUS | 900099 | 59676 | $59,676 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9678 | TotalRevenueColumn |
| Exclusion | $9,678 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 330730 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67963986 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65313332 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $383,003 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450921 | Total |
| Management And General | 450921 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36371184 | Total |
| Program Services | 30408474 | ProgramServices |
| Management And General | 5961030 | ManagementAndGeneral |
| Fundraising | 1680 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412159 | Total |
| Program Services | 331268 | ProgramServices |
| Management And General | 80872 | ManagementAndGeneral |
| Fundraising | 19 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4774332 | Total |
| Program Services | 3784862 | ProgramServices |
| Management And General | 989249 | ManagementAndGeneral |
| Fundraising | 221 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2844304 | Total |
| Program Services | 2376606 | ProgramServices |
| Management And General | 467569 | ManagementAndGeneral |
| Fundraising | 129 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331586 | Total |
| Management And General | 331586 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72904 | Total |
| Management And General | 72904 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29151 | Total |
| Management And General | 29151 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6258553 | Total |
| Program Services | 2538047 | ProgramServices |
| Management And General | 3720240 | ManagementAndGeneral |
| Fundraising | 266 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5131504 | Total |
| Program Services | 4477574 | ProgramServices |
| Management And General | 650358 | ManagementAndGeneral |
| Fundraising | 3572 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3242317 | Total |
| Program Services | 2265412 | ProgramServices |
| Management And General | 973905 | ManagementAndGeneral |
| Fundraising | 3000 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77409 | Total |
| Program Services | 59327 | ProgramServices |
| Management And General | 18082 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94685 | Total |
| Program Services | 75748 | ProgramServices |
| Management And General | 18937 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2666139 | Total |
| Program Services | 2132911 | ProgramServices |
| Management And General | 533228 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2154290 | Total |
| Program Services | 2046576 | ProgramServices |
| Management And General | 107714 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 3974901 | 3974901 | |
| DRUGS | 1461126 | 1461126 | |
| FOOD | 657604 | 591844 | 65760 |
| MISCELLANEOUS | 73619 | 73619 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71078688 | Total |
| Program Services | 56524676 | ProgramServices |
| Management And General | 14545125 | ManagementAndGeneral |
| Fundraising | 8887 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7294 | BOY |
| EOY | 7294 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1349154 | BOY |
| EOY | 1334482 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8643044 | BOY |
| EOY | 8348332 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2294250 | BOY |
| EOY | 926152 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1381416 | BOY |
| EOY | 1889403 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 292280 | BOY |
| EOY | 248120 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 89961978 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 71334724 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19119779 | BOY |
| EOY | 18627254 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3810605 | BOY |
| EOY | 5314970 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36897822 | BOY |
| EOY | 36696007 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12149481 | BOY |
| EOY | 14872311 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4808871 | BOY |
| EOY | 4365136 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25794614 | BOY |
| EOY | 26428406 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42752966 | BOY |
| EOY | 45665853 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5990681 | BOY |
| EOY | -8975582 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135537 | BOY |
| EOY | 5736 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5855144 | BOY |
| EOY | -8969846 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36897822 | BOY |
| EOY | 36696007 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -3114702 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | 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 C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 29151 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 29151 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 71049537 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 71078688 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 21945 | CurrentYearMinus3 |
| Current Year Minus2 | 14070 | CurrentYearMinus2 |
| Current Year Minus1 | 22805 | CurrentYearMinus1 |
| Current Year | 29151 | CurrentYear |
| Total | 87971 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 431575 | OtherCostOrOtherBasis |
| Book Value | 431575 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 500000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 43086604 | OtherCostOrOtherBasis |
| Depreciation | 32414345 | Depreciation |
| Book Value | 11172259 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44166234 | OtherCostOrOtherBasis |
| Depreciation | 38468967 | Depreciation |
| Book Value | 5697267 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1777565 | OtherCostOrOtherBasis |
| Depreciation | 451412 | Depreciation |
| Book Value | 1326153 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18627254 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM THE KOMANOFF CENTER FOR GERIATRIC AND REHABILITATIVE MEDICINE | 3661739 |
| ESTIMATED DUE FROM THIRD-PARTY PARTIES | 1639808 |
| SECURITY DEPOSITS RENTALS | 13423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5314970 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| BULKHEAD ASSESSMENT PAYABLE | $344,900 |
| ESTIMATED DUE TO THIRD-PARTY PARTIES | $3,619,315 |
| CAPITAL LEASES PAYABLE | $362,072 |
| ESTIMATED SELF-INSURANCE COSTS | $1,600,999 |
| DUE TO PENSION BENEFIT GUARANTY CORPORATION | $20,501,120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 26428406 | TotalOfAmounts |
| Total Revenue | 67963986 | TotalRevenue |
| Total Expenses | 71078688 | TotalExpenses |
| Excess Or Deficit For Year | -3114702 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -3114702 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 68500752 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 536766 | OtherRevenues |
| Revenue Not Rptd F990 | 536766 | RevenueNotRptdF990 |
| Revenue Subtotal | 67963986 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 67963986 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 71615454 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 536766 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 536766 | ExpensesNotRptdF990 |
| Expenses Subtotal | 71078688 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 71078688 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | UNCERTAINTY IN INCOME TAXES - THE MEDICAL CENTER ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS, ASC TOPIC 740, AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TAX RETURNS FOR THE YEARS DECEMBER 31, 2007 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT COST OF SPECIAL EVENT 128,228. RENT EXPENSE 408,538. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT COST OF SPECIAL EVENT 128,228. RENT EXPENSE 408,538. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | MARTIN SPERLING MEM. GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 197535 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 26250 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 171285 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 30179 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 15090 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 750 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 20591 | OtherDirectExpensesEvent1 |
| Name Of Event2 | 2010 AUTUMN BALL | NameOfEvent2 |
| Gross Receipts Event2 | 275440 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 36250 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 239190 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 23533 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 11767 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 5200 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 21118 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 472975 | GrossReceiptsTotal |
| Charitable Contributions Total | 62500 | CharitableContributionsTotal |
| Gross Revenue Total Events | 410475 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 53712 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 26857 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 5950 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 41709 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 128228 | DirectExpenseSummaryEvents |
| Net Income Summary | 282247 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 0 | FPGReferenceFreeCare |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1168418 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1065707 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 102711 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14562232 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12487820 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2074412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02920 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15730650 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13553527 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2177123 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 305156 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4441 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 300715 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 305156 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4441 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 300715 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16035806 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13557968 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2477838 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03480 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,578,120 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 32849441 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 41188883 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8339442 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | 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 | LONG BEACH MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 EAST BAY DRIVE | AddressLine1 |
| City | LONG BEACH | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| 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 | LONG BEACH MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | 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 | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | 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 | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG BEACH MEMORIAL NURSING | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 EAST BAY DRIVE | AddressLine1 |
| City | LONG BEACH | City |
| State | NY | State |
| ZIP Code | 11561 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | NURSING HOME | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART III, LINE 4: BAD DEBT EXPENSE IS CHARGED IF THE RECEIVABLE IS DETERMINED TO BE UNCOLLECTIBLE BASED ON PERIODIC REVIEW BY MANAGEMENT.FACTORS USED TO DETERMINE WHETHER AN ALLOWANCE SHOULD BE RECORDED INCLUDE AGE OF THE RECEIVABLE AND A REVIEW OF PAYMENTS SUBSEQUENT TO YEAR END.BAD DEBTS ARE WRITTEN OFF AT GROSS CHARGES. COST IS DERIVED BY CONVERTING CHARGES USING INPATIENT AND OUTPATIENT COST TO CHARGE RATIO.THE HOSPITAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. | |
| PART III, LINE 8: SOURCE USED IN CALCULATING THE AMOUNT ON LINE 6 IS THE MEDICARE COST REPORT. | |
| PART III, LINE 9B: PATIENTS ARE INTERVIEWED AND EVALUATED FOR ABILITY TO PAY. REGISTRARS CONDUCT PERIODIC RE-EVALUATION OF A PATIENT'S ABILITY TO PAY BASED ON THE FINANCIAL AID CHARITY CARE POLICY. BILLS ARE MAILED TO PATIENTS AS PART OF THE MONTHLY CYCLE. A SECOND MAILING IS DONE AFTER 30 DAYS OF THE FIRST MAILING. A THIRD MAILING, AFTER ANOTHER 30 DAYS, ADVISES THE PATIENT THAT THE ACCOUNT WILL BE SUBJECT TO LEGAL ACTION OR COLLECTION. PATIENTS DETERMINED TO BE INDIGENT MAY NOT RECEIVE COLLECTION MAILINGS. | |
| PART V, SECTION B, LINE 19D: GROSS CHARGES | LONG BEACH MEDICAL CENTER |
| PART V, SECTION B, LINE 21: THE HOSPITAL CHARGES ALL PATIENTS GROSS CHARGES REGARDLESS OF ABILITY TO PAY. HOWEVER, THE REIMBURSEMENT RECEIVED FROM MEDICARE AND MEDICAID IS BASED UPON A PUBLISHED RATE. THE REIMBURSEMENT RECEIVED FROM HMO AND COMMERCIAL INSURANCES ARE BASED UPON AN AGREES-UPON RATE. FOR THOSE PATIENTS WHO ARE UNABLE TO PAY, WE USED THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR DISCOUNTED OR FREE CARE. ANY PATIENT WHO DOES NOT FIT INTO THE ABOVE CATEGORIES ARE CHARGED GROSS CHARGES. | LONG BEACH MEDICAL CENTER |
| PART I,LINE 7:DURING 2009, THE MEDICAL CENTER HOSTED NUMEROUS FREE SCREENINGS, SUPPORT GROUPS AND HEALTH EDUCATION PROGRAMS FOR THE COMMUNITY. THE ACTIVITIES INCLUDED: PROVIDED 23 BLOOD PRESSURE SCREENINGS AT LONG BEACH LIBRARY AND OCEANSIDE SENIOR CENTER PROVIDED OVER 1,000 FREE HEALTH SCREENINGS AT LBMCS ANNUAL BOARDWALK HEALTH FAIR PROVIDED OVER 300 FREE HEALTH SCREENINGS AT THE TOWN OF HEMPSTEADS SENIOR HEALTH FAIRANNUAL STROKE SCREENINGWEEKLY SCREENINGS FOR ANXIETY & DEPRESSION 13 HEALTH LECTURES FOR COMMUNITY GROUPSHEALTH SUPPORT GROUPS FOR BEREAVEMENT AND DIABETESADDED TWO NEW SUPPORT GROUPS: GAMBLING ANONYMOUS AND GAM-ANONPROVIDED STAFF FOR HEALTH CAREER DAY AT LONG BEACH HIGH SCHOOLSAFE SITTER PROGRAMS FOR YOUTHPROVIDED NYS INFECTION CONTROL COURSE FOR HEALTH WORKERS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS L MELZER | |||||||||||||
| 242167 | 193765 | 0 | 0 | 13563 | 0 | 4319 | 13578 | 13020 | 313 | 273069 | 207656 | 0 | 0 |
| BARRY STERN | |||||||||||||
| 161529 | 103500 | 0 | 0 | 9861 | 0 | 2849 | 7253 | 3613 | 313 | 177852 | 111066 | 0 | 0 |
| PERICLES HADJIYANE MD | |||||||||||||
| 203993 | 0 | 0 | 0 | 0 | 0 | 3622 | 0 | 14001 | 0 | 221616 | 0 | 0 | 0 |
| KUMUDINI SHAH MD | |||||||||||||
| 198394 | 0 | 0 | 0 | 0 | 0 | 3545 | 0 | 13452 | 0 | 215391 | 0 | 0 | 0 |
| CHERYL CARRAO DO | |||||||||||||
| 151904 | 0 | 0 | 0 | 0 | 0 | 2743 | 0 | 17936 | 0 | 172583 | 0 | 0 | 0 |
| GARY RUBIN | |||||||||||||
| 140271 | 0 | 0 | 0 | 0 | 0 | 2496 | 0 | 13765 | 0 | 156532 | 0 | 0 | 0 |
| CHERYL CHAPMAN | |||||||||||||
| 138993 | 0 | 0 | 0 | 0 | 0 | 2478 | 0 | 8576 | 0 | 150047 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE PROCESS USED TO REVIEW THE 990 RETURN IS THE CFO, CEO, CONTROLLER AND BOARD OF DIRECTORS REVIEWED THE RETURN BEFORE IT WAS FILED. | |
| ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE IS GENERATED BY THE COMPLIANCE OFFICER. HE SENDS IT TO BOARD MEMBERS, MANAGERS, AND PHYSICIANS AT THE MEDICAL CENTER. HE MAINTAINS AND FOLLOWS UP IF THERE ARE ANY CONFLICTS. IF A CONFLICT IS DISCLOSED, THAT INDIVIDUAL WILL BE RECUSED FROM THE DECISION AT HAND. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE ORGANIZATION HAS A COMPENSATION COMMITTEE COMPRISED OF THE BOARD. THIS COMMITTEE REVIEWS AND DETERMINES SALARY COMPENSATION FOR THE OFFICERS. THE COMMITTEE OBTAINS THE EXECUTIVE COMPENSATION OF SIMILAR HEALTHCARE ORGANIZATIONS IN NEW YORK AND LONG ISLAND. DUE TO FINANCIAL PRESSURES, THIS COMMITTEE HAS NOT MET OR GRANTED SALARY INCREASES SINCE DECEMBER 5, 2007. AT THAT TIME INCREASES WERE GRANTED EFFECTIVE JANUARY 1, 2008. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IT DISTRIBUTES THE ITEMS REQUESTED ELECTRONICALLY. | FORM 990, PART VI, SECTION C, LINE 19 | |
| THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. | FORM 990, PART XII, LINE 2C: | |
| HOURS WORKED FOR RELATED ORGANIZATION | DOUGLAS L. MELZER - 17 BARRY STERN - 15 | FORM 990, PART VII: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONG BEACH MEMORIAL NURSING HOME | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 EAST BAY DRIVE | AddressLine1 |
| City | LONG BEACH | City |
| State | NY | State |
| ZIP Code | 11516 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237233422 | EIN |
| Primary Activities | NURSING HOME CARE | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| LONG BEACH MEMORIAL NURSING HOME | ||
| D | 3661739 | FMV |
| LONG BEACH MEMORIAL NURSING HOME | ||
| O | 99996 | FMV |
| LONG BEACH MEMORIAL NURSING HOME | ||
| P | 3141599 | FMV |