| FORM 990, PART VI, SECTION A, LINE 6 |
MEDISYS HEALTH NETWORK IS THE SOLE MEMBER IN THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A |
MEDISYS HEALTH NETWORK, AS THE SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B |
THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION, IT IS FINALIZED AND SUBSEQUENTLY FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C |
DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 |
GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, SECTION A, LINE 1B: |
FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10.0 HOURS PER WEEK |
| FORM 990, PART IX, LINE 11G |
HOSPITAL SUPPORT: PROGRAM SERVICE EXPENSES 4,208,040. MANAGEMENT AND GENERAL EXPENSES 3,391,090. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,599,130. PHYSICIAN AND THERAPY : PROGRAM SERVICE EXPENSES 870,824. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 870,824. LINEN SERVICE: PROGRAM SERVICE EXPENSES 257,660. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 257,660. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 222,362. MANAGEMENT AND GENERAL EXPENSES 24,707. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,069. OTHER CONSULTING FEES: PROGRAM SERVICE EXPENSES 152,623. MANAGEMENT AND GENERAL EXPENSES 56,117. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 208,740. WASTE REMOVAL: PROGRAM SERVICE EXPENSES 28,962. MANAGEMENT AND GENERAL EXPENSES 3,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,180. |
| FORM 990, PART XII, LINE 2C: |
THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM THE PRIOR YEAR. |
| FORM 990, PART IV, LINE 20: |
THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION. |
Attach to Form 990 or 990-EZ.