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Nonprofiteer
← HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER INC

Form 990 for tax year 2022

Filed by HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER INC.

Totals

Total revenue
$7,825,700
Total expenses
$9,654,973
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$4,405,966
Investment income
$255,798
Other revenue
$3,163,936
Total assets, end of year
$10,954,066
Total liabilities, end of year
$18,789,136
Net assets or fund balances, end of year
-$7,835,070
Program services expenses (Part IX)
$8,954,339
Management and general expenses
$700,634
Fundraising expenses
$0
Program service expenses (Part III)
$8,954,339

Program services were 92.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PATIENT REVENUE

    total $3,915,966 · related or exempt $3,915,966 · unrelated business $0

  • 2b · Program service revenue: DSRIP REVENUE

    total $490,000 · related or exempt $490,000

  • 3 · Investment income

    total $48,149 · excluded $48,149

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    securities $2,887,777

  • 7b · Less cost or other basis and sales expenses

    securities $2,680,128

  • 7c · Gain or loss

    securities $207,649

  • 7d · Net gain or loss

    total $207,649 · excluded $207,649

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: CAPITATION INCOME

    total $2,170,009 · related or exempt $2,170,009

  • 11b · Other revenue: HEALTH HOME - DOWNSTREAM

    total $835,530 · related or exempt $835,530

  • 11c · Other revenue: RESIDENCY ROTATION

    total $50,000 · related or exempt $50,000

  • 11d · All other revenue

    total $108,397 · related or exempt $108,397

  • 11e · Other revenue, total

    $3,163,936

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $1,017,555 · program services $1,017,555

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $4,386,509 · program services $4,133,846 · management and general $252,663

  • 8 · Pension plan contributions

    total $356,972 · program services $336,410 · management and general $20,562

  • 9 · Other employee benefits

    total $1,259,263 · program services $1,186,729 · management and general $72,534

  • 10 · Payroll taxes

    total $383,648 · program services $361,550 · management and general $22,098

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $183,577 · program services $173,003 · management and general $10,574

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $470,768 · program services $443,652 · management and general $27,116

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $179,214 · program services $168,891 · management and general $10,323

  • 17 · Travel

    total $4,564 · program services $4,564

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $5,274 · program services $5,274

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $66,470 · program services $62,641 · management and general $3,829

  • 23 · Insurance

    total $487,328 · program services $487,328

  • 24a · Other expenses: BAD DEBT

    total $4,306 · program services $4,306

  • 24b · Other expenses: PURCHASED SERVICES

    total $564,049 · program services $564,049

  • 24c · Other expenses: CENTRALIZED ADMIN EXP

    total $280,658 · management and general $280,658

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $4,502 · program services $4,243 · management and general $259

  • 24e · All other expenses

    total $316 · program services $298 · management and general $18

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $64,844 · end of year $22,174

  • 2 · Savings and temporary cash investments

    beginning of year $963,587 · end of year $963,587

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $493,606 · end of year $492,954

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $968,396

  • 10b · Land, buildings and equipment: accumulated depreciation

    $686,146

  • 10c · Land, buildings and equipment, net

    beginning of year $289,368 · end of year $282,250

  • 11 · Investments: publicly traded securities

    beginning of year $9,879,879 · end of year $8,286,058

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $496,070 · end of year $907,043

  • 17 · Accounts payable and accrued expenses

    beginning of year $740,953 · end of year $753,037

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $15,985,679 · end of year $18,036,099

  • 27 · Net assets without donor restrictions

    beginning of year -$13,623,758 · end of year -$15,358,829

  • 28 · Net assets with donor restrictions

    beginning of year $9,084,480 · end of year $7,523,759

Mission and programs · 2022

Mission

THE MISSION OF THE HEALTH CENTER IS TO PROVIDE COMPREHENSIVE CARE & OB SERVICES TO THE MEDICALLY INDIGENT AND UNDERSERVED RESIDENTS FROM NORTHWESTERN SUFFOLK COUNTY. THE CENTER SERVES AS THE ENTRY POINT INTO THE HEALTH SYSTEM FOR INDIVIDUALS AND FAMILIES SEEKING SUCH CARE. EVERY PATIENT WILL BE PROVIDED COMPREHENSIVE AND CONTINUOUS PREVENTIVE CARE, PRIMARY DIAGNOSTIC AND TREATMENT SERVICES AND EFFECTIVE COORDINATION OF CARE WITH SPECIALISTS AND SERVICES IN THE LARGER HEALTHCARE SYSTEM.

Activities or mission (Part I)

THE HUNTINGTON HOSPITAL DOLAN FAMILY Health CENTER IS A FREE-STANDING HOSPITAL-OWNED FACILITY DEDICATED TO PROVIDING MEDICAL CARE TO THE UNINSURED AND UNDER INSURED.

  • THE HEALTH CENTER IS A COMPREHENSIVE COMMUNITY HEALTH CENTER WHICH PROVIDES PRIMARY, PEDIATRIC, PRENATAL, AND OBSTETRICAL CARE SERVICES TO THE POOR AND UNDERSERVED RESIDENTS IN THE COMMUNITY. IT IS THE ONLY SUCH CENTER BOTH OWNED AND OPERATED BY A HOSPITAL ON LONG ISLAND. ALL PATIENTS HAVE ACCESS TO A SUFFOLK COUNTY FACILITATED ENROLLER FOR MEDICAID MANAGED CARE, CHILD HEALTH PLUS, AND FAMILY HEALTH PLUS THROUGH A PARTNERSHIP WITH THE NASSAU SUFFOLK HOSPITAL COUNCIL. IN ADDITION, THE DOLAN CENTER'S SOCIAL WORK DEPARTMENT ASSISTS PATIENTS WITH ACCESS TO INSURANCE FOR PREGNANT WOMEN THROUGH NEW YORK STATE'S PRENATAL CARE ASSISTANCE PROGRAM. THE DOLAN FAMILY HEALTH CENTER PROVIDED 30,369 PATIENT VISITS IN 2022.

    Expenses $8,954,339 · Revenue $4,405,966

As filed on the 2022 return.

Listed in Part VII

  • GERARD BROGAN

    Trustee/SVP, Chf Rev Off

    Total calculated
    $1,322,621
    From this org
    $0
    From related orgs
    $1,247,507
    Other
    $75,114
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $939,924 related
    Bonus
    $0 + $257,583 related
    Other
    $0 + $50,000 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,564 related
    Filer's total
    $0 + $1,322,621 related

  • NICK FITTERMAN

    Executive Director

    Total calculated
    $937,802
    From this org
    $0
    From related orgs
    $862,750
    Other
    $75,052
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $669,791 related
    Bonus
    $0 + $172,958 related
    Other
    $0 + $20,001 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $41,502 related
    Filer's total
    $0 + $937,802 related

  • MARTIN KARPEH JR

    Trustee/Dir

    Total calculated
    $672,155
    From this org
    $602,063
    From related orgs
    $0
    Other
    $70,092
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $517,589
    Bonus
    $55,000
    Other
    $29,474
    Deferred
    $42,224
    Nontaxable benefits
    $27,868
    Filer's total
    $672,155

  • WILLIAM GEHRHARDT

    Trustee/Med Dir

    Total calculated
    $291,908
    From this org
    $243,340
    From related orgs
    $0
    Other
    $48,568
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $222,903
    Bonus
    $0
    Other
    $20,437
    Deferred
    $20,700
    Nontaxable benefits
    $27,868
    Filer's total
    $291,908

  • LISA ROLON

    Physician

    Total calculated
    $281,181
    From this org
    $234,506
    From related orgs
    $0
    Other
    $46,675
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $228,673
    Bonus
    $0
    Other
    $5,833
    Deferred
    $20,170
    Nontaxable benefits
    $26,505
    Filer's total
    $281,181

  • YOUNGMEE LEE

    Nurse Midwife

    Total calculated
    $219,694
    From this org
    $162,350
    From related orgs
    $0
    Other
    $57,344
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $143,955
    Bonus
    $0
    Other
    $18,395
    Deferred
    $15,841
    Nontaxable benefits
    $41,503
    Filer's total
    $219,694

  • DEBORAH HERNANDEZ

    Nurse Practitioner

    Total calculated
    $218,892
    From this org
    $161,594
    From related orgs
    $0
    Other
    $57,298
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $145,997
    Bonus
    $0
    Other
    $15,597
    Deferred
    $15,796
    Nontaxable benefits
    $41,502
    Filer's total
    $218,892

  • ROBERTO BLANDO

    Physician

    Total calculated
    $217,094
    From this org
    $198,485
    From related orgs
    $0
    Other
    $18,609
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $190,501
    Bonus
    $0
    Other
    $7,984
    Deferred
    $18,009
    Nontaxable benefits
    $600
    Filer's total
    $217,094

  • KATHY GIFFUNI

    Trustee/Sr Mgr Patient

    Total calculated
    $216,490
    From this org
    $172,152
    From related orgs
    $0
    Other
    $44,338
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $146,431
    Bonus
    $13,939
    Other
    $11,782
    Deferred
    $16,429
    Nontaxable benefits
    $27,909
    Filer's total
    $216,490

  • SAILI DESAI

    Physician

    Total calculated
    $175,378
    From this org
    $159,130
    From related orgs
    $0
    Other
    $16,248
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $158,061
    Bonus
    $0
    Other
    $1,069
    Deferred
    $15,648
    Nontaxable benefits
    $600
    Filer's total
    $175,378

  • DOLORES THOMPSON

    Chairman

    Total calculated
    $0
    Hours/week
    0 + 3 related

  • NON COMPENSATED TRUSTEES

    SEE SCHEDULE O

    Total calculated
    $0
    Hours/week
    0 + 2 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION
On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (II).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
6 November 2023
IRS schema version
2022v5.0
Source object
202303149349304200

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