| FORM 990, PART V, LINE 2 |
THE SALARY AND BENEFIT EXPENSES REPORTED ON FORM 990, PARTS VII AND IX FOR THE ORGANIZATION'S employees including the EXECUTIVE DIRECTOR ARE THE LONG ISLAND FQHC'S ALLOCATED PAYROLL COSTS. |
| Form 990, Part VI, Section B, line 11b |
The Form 990 is sent via email to all board members for comments. Comments are sent back and incorporated into the 990 prior to issuance. AFTER ANY BOARD CHANGES ARE MADE, THE EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER REVIEW THE 990 BEFORE FILING WITH THE IRS. |
| Form 990, Part VI, Section B, line 12c |
Each Board Member and officer is required to complete a Conflict of Interest Attestation annually. THE EXECUTIVE DIRECTOR AND CORPORATE COMPLIANCE OFFICER REVIEW THE completed CONFLICT STATEMENTS and DETERMINE WHETHER A CONFLICT EXISTS. IF A CONFLICT ARISES, IT WILL BE INVESTIGATED ON AN INDIVIDUAL BASIS. THE OUTCOME OF THE INVESTIGATION WILL DETERMINE WHAT ACTION WILL BE REQUIRED. IF IT IS DETERMINED THAT A CONFLICT DOES EXIST, THEN THE INDIVIDUAL WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON ANY RELATED ISSUES AND RECUSE HIMSELF FROM ALL DISCUSSIONS. |
| Form 990, Part VI, Section B, line 15 |
The Long Island FQHC purchased industry-specific compensation data and used this data to determine compensation for the Executive Director. Final approval was provided by the Long Island FQHC Board of Directors and documented in personnel files and board minutes LIFQHC reviews internal and external market data using information available. The organization uses external data available through 990s of other comparably sized non-profits as well as data and reports from local staffing companies including Robert Half Associates, Allied Health Group and Execu-Search. THE COMPENSATION OF ALL OTHER OFFICERS IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE HR DIRECTOR. |
| Form 990, Part VI, Section C, line 19 |
The governing documents, conflict of interest policy and financial statements are available on request. |
| Form 990, Part IX, line 11g |
PURCHASED SERVICES: Program service expenses 283,404. Management and general expenses 0. Fundraising expenses 0. Total expenses 283,404. PROFESSIONAL FEES: Program service expenses 588,774. Management and general expenses 0. Fundraising expenses 0. Total expenses 588,774. Purchased maintenance & Security Services: Program service expenses 638,498. Management and general expenses 0. Fundraising expenses 0. Total expenses 638,498. CONTRACTED hrhc SERVICES: Program service expenses 1,222,026. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,222,026. LABORATORY & RADIOLOGY FEES: Program service expenses 861,895. Management and general expenses 0. Fundraising expenses 0. Total expenses 861,895. NUMC SHARED SERVICES: Program service expenses 125,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 125,000. NUMC LEASED MEDICAL SERVICES: Program service expenses 8,061,098. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,061,098. PROFESSIONAL PENSION FEES: Program service expenses 2,040. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,040. |
Attach to Form 990 or 990-EZ.