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← HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER INC

Form 990 for tax year 2023

Filed by HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER INC.

Totals

Total revenue
$8,172,450
Total expenses
$9,908,684
Contributions and grants received
$116,600
Grants paid
$0
Program service revenue
$4,537,160
Investment income
$402,026
Other revenue
$3,116,664
Total assets, end of year
$17,928,230
Total liabilities, end of year
$26,376,831
Net assets or fund balances, end of year
-$8,448,601
Program services expenses (Part IX)
$9,199,681
Management and general expenses
$709,003
Fundraising expenses
$0
Program service expenses (Part III)
$9,199,681

Program services were 92.8% 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.

  • 1e · Government grants (contributions)

    $116,600

  • 2a · Program service revenue: PATIENT REVENUE

    total $4,047,160 · related or exempt $4,047,160 · unrelated business $0

  • 2b · Program service revenue: DSRIP REVENUE

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

  • 3 · Investment income

    total $140,991 · excluded $140,991

  • 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 $5,842,942

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

    securities $5,581,906

  • 7c · Gain or loss

    securities $261,036

  • 7d · Net gain or loss

    total $261,035 · excluded $261,035

  • 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 $2,320,393 · related or exempt $2,320,393

  • 11b · Other revenue: HEALTH HOME - DOWNSTREAM

    total $630,647 · related or exempt $630,647

  • 11c · Other revenue: RESIDENCY ROTATION

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

  • 11d · All other revenue

    total $115,624 · related or exempt $115,624

  • 11e · Other revenue, total

    $3,116,664

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 $254,472 · program services $254,472

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $5,230,444 · program services $4,929,170 · management and general $301,274

  • 8 · Pension plan contributions

    total $465,884 · program services $439,049 · management and general $26,835

  • 9 · Other employee benefits

    total $1,417,909 · program services $1,336,237 · management and general $81,672

  • 10 · Payroll taxes

    total $383,916 · program services $361,802 · management and general $22,114

  • 11a · Fees: management

    total $6,765 · management and general $6,765

  • 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 $21,624 · program services $20,378 · management and general $1,246

  • 12 · Advertising and promotion

    total $3,173 · program services $2,990 · management and general $183

  • 13 · Office expenses

    total $652,656 · program services $615,063 · management and general $37,593

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $146,366 · program services $137,935 · management and general $8,431

  • 17 · Travel

    total $1,012 · program services $1,012

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $4,432 · program services $4,432

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $66,646 · program services $62,807 · management and general $3,839

  • 23 · Insurance

    total $476,591 · program services $476,591

  • 24a · Other expenses: PURCHASED SERVICES

    total $548,826 · program services $548,826

  • 24b · Other expenses: CENTRALIZED ADMIN EXP

    total $218,769 · management and general $218,769

  • 24c · Other expenses: BAD DEBT

    total $4,300 · program services $4,300

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $2,595 · program services $2,446 · management and general $149

  • 24e · All other expenses

    total $2,304 · program services $2,171 · management and general $133

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $22,174 · end of year $0

  • 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 $492,954 · end of year $893,091

  • 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 $3,711

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

    $6,030,302

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

    $746,948

  • 10c · Land, buildings and equipment, net

    beginning of year $282,250 · end of year $5,283,354

  • 11 · Investments: publicly traded securities

    beginning of year $8,286,058 · end of year $9,712,505

  • 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 $907,043 · end of year $1,071,982

  • 17 · Accounts payable and accrued expenses

    beginning of year $753,037 · end of year $2,228,180

  • 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 $18,036,099 · end of year $24,148,651

  • 27 · Net assets without donor restrictions

    beginning of year -$15,358,829 · end of year -$17,145,120

  • 28 · Net assets with donor restrictions

    beginning of year $7,523,759 · end of year $8,696,519

Mission and programs · 2023

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 30,565 PATIENT VISITS IN 2023.

    Expenses $9,199,681 · Revenue $4,537,160

As filed on the 2023 return.

Listed in Part VII

  • Gerard Brogan

    Trustee/SVP, Chf Rev Off

    Total calculated
    $1,318,461
    From this org
    $0
    From related orgs
    $1,242,233
    Other
    $76,228
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $969,676 related
    Bonus
    $0 + $222,556 related
    Other
    $0 + $50,001 related
    Deferred
    $0 + $36,300 related
    Nontaxable benefits
    $0 + $39,928 related
    Filer's total
    $0 + $1,318,461 related

  • Nick Fitterman

    Executive Director

    Total calculated
    $933,698
    From this org
    $0
    From related orgs
    $855,191
    Other
    $78,507
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $687,426 related
    Bonus
    $0 + $147,764 related
    Other
    $0 + $20,001 related
    Deferred
    $0 + $36,300 related
    Nontaxable benefits
    $0 + $42,207 related
    Filer's total
    $0 + $933,698 related

  • Martin Karpeh Jr

    Trustee/Dir

    Total calculated
    $672,956
    From this org
    $0
    From related orgs
    $601,905
    Other
    $71,051
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $515,318 related
    Bonus
    $0 + $55,000 related
    Other
    $0 + $31,587 related
    Deferred
    $0 + $42,714 related
    Nontaxable benefits
    $0 + $28,337 related
    Filer's total
    $0 + $672,956 related

  • Lee Raifman

    AVP, Operations

    Total calculated
    $313,793
    From this org
    $249,928
    From related orgs
    $0
    Other
    $63,865
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $232,724
    Bonus
    $7,121
    Other
    $10,083
    Deferred
    $21,596
    Nontaxable benefits
    $42,269
    Filer's total
    $313,793

  • William Gehrhardt

    Trustee/Med Dir

    Total calculated
    $304,677
    From this org
    $254,472
    From related orgs
    $0
    Other
    $50,205
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $230,021
    Bonus
    $0
    Other
    $24,451
    Deferred
    $21,868
    Nontaxable benefits
    $28,337
    Filer's total
    $304,677

  • Lisa Rolon

    Physician

    Total calculated
    $281,820
    From this org
    $234,216
    From related orgs
    $0
    Other
    $47,604
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $229,413
    Bonus
    $0
    Other
    $4,803
    Deferred
    $20,653
    Nontaxable benefits
    $26,951
    Filer's total
    $281,820

  • Habib Aminy

    Physician

    Total calculated
    $253,867
    From this org
    $206,538
    From related orgs
    $0
    Other
    $47,329
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $204,218
    Bonus
    $0
    Other
    $2,320
    Deferred
    $18,992
    Nontaxable benefits
    $28,337
    Filer's total
    $253,867

  • Roberto Blando

    Physician

    Total calculated
    $246,825
    From this org
    $226,061
    From related orgs
    $0
    Other
    $20,764
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $221,234
    Bonus
    $0
    Other
    $4,827
    Deferred
    $20,164
    Nontaxable benefits
    $600
    Filer's total
    $246,825

  • Saili Desai

    Physician

    Total calculated
    $207,678
    From this org
    $189,130
    From related orgs
    $0
    Other
    $18,548
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $188,061
    Bonus
    $0
    Other
    $1,069
    Deferred
    $17,948
    Nontaxable benefits
    $600
    Filer's total
    $207,678

  • Saadia Yunus

    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
2023
Filed
6 November 2024
IRS schema version
2023v5.1
Source object
202433169349302108

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