2024-11-09T12:32:14-06:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 371562427 ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC ELLE 8452103033 10 HEALTHY WAY ELLENVILLE NY 12428 BOB RUE DIRECTOR OF FINANCE 8452103033 2024-11-09 1 1 GARRETT M HIGGINS P00543209 9143818900 2024-11-04 2023 2024-10-15 13:58:12Z DEBORAH BRIGGS 10 HEALTHY WAY ELLENVILLE NY 12428 376212 0 X ERHNY.ORG/THE-FOUNDATION X 2008 NY TO HELP ADVANCE ELLENVILLE REGIONAL HOSPITAL'S MISSION OF PROVIDING EXCEPTIONAL HEALTHCARE TO ITS LOCAL COMMUNITIES SERVED BY HELPING TO RAISE AWARENESS AND DONATIONS FOR THE HOSPITAL. 23 22 0 23 0 0 103419 280630 5621 8321 15944 34611 3237 16313 128221 339875 9846 0 0 0 0 0 0 0 0 33851 33033 43697 33033 84524 306842 1421730 1760050 22324 32 1399406 1760018 ELLENVILLE REGIONAL HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE AS STATED IN OUR MISSION STATEMENT IS "TO SOLICIT, RECEIVE, ACCEPT, HOLD, INVEST, REINVEST AND ADMINISTER CONTRIBUTIONS AND FUNDS FOR THE EXCLUSIVE BENEFIT AND SUPPORT OF WESTCHESTER-ELLENVILLE HOSPITAL INC. 0 0 24775 0 8321 ELLENVILLE REGIONAL HOSPITAL FOUNDATION PROVIDES AFFORDABLE HOUSING FOR MEDICAL STUDENTS BEING EDUCATED ON THE ELLENVILLE REGIONAL HOSPITAL CAMPUS. ELLENVILLE REGIONAL HOSPITAL IS A TEACHING HOSPITAL AS WELL AS A CRITICAL ACCESS HOSPITAL. 24775 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 23 22 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 NY X X BOB RUE FINANCE DIRECTOR 8452103033 10 HEALTHY WAY ELLENVILLE NY 12428 X STEVEN L KELLEY DIRECTOR 5.00 36.00 X 0 514683 22500 WILLIAM D BROWN CHAIRMAN 8.00 3.00 X X 0 0 0 RICHARD BRADFORD VICE-CHAIRMAN 6.00 2.00 X X 0 0 0 MYRNA JARGOWSKY TREASURER 6.00 2.00 X X 0 0 0 CARL ROSENSTOCK SECRETARY 6.00 0.00 X X 0 0 0 BARBARA CALDWELL DIRECTOR 5.00 0.00 X 0 0 0 SCOTT CARLSEN DIRECTOR 5.00 0.00 X 0 0 0 WILLIAM H COLLIER III DIRECTOR THRU 05/17/2023 5.00 0.00 X 0 0 0 ALAN COOMBE DIRECTOR 5.00 0.00 X 0 0 0 PHILLIP COOMBE III DIRECTOR 5.00 2.00 X 0 0 0 DR MARK CRAFT DIRECTOR 5.00 0.00 X 0 0 0 SUE CUSACK DIRECTOR 5.00 0.00 X 0 0 0 CHUCK DAVIDSON DIRECTOR 5.00 0.00 X 0 0 0 BOB DONALDSON DIRECTOR 5.00 0.00 X 0 0 0 DAVID EIKSZTA DIRECTOR 5.00 2.00 X 0 0 0 HAZE GAL DIRECTOR 5.00 0.00 X 0 0 0 LILLIAN GREEN DIRECTOR 5.00 0.00 X 0 0 0 ALEXANDER LONSTEIN DIRECTOR 5.00 0.00 X 0 0 0 DR HERBERT LONSTEIN DIRECTOR 5.00 0.00 X 0 0 0 CRAIG LOPEZ DIRECTOR 5.00 2.00 X 0 0 0 KAREN OSTERHOUDT DIRECTOR 5.00 0.00 X 0 0 0 ROGER ROSS DIRECTOR 5.00 0.00 X 0 0 0 LAURA SHANK DIRECTOR 5.00 0.00 X 0 0 0 JONATHAN VILLEGAS DIRECTOR 5.00 0.00 X 0 0 0 BOB RUE FINANCE DIRECTOR 5.00 36.00 X 0 238095 41336 DEBORAH BRIGGS EXECUTIVE DIRECTOR 9.00 9.00 X 0 33928 0 0 786706 63836 0 0 1 0 0 94279 186351 280630 MED. STUDENT RENTAL 532000 8321 8321 8321 32324 32324 2287 0 2287 2287 2287 52650 94279 36337 16313 16313 339875 8321 0 50924 5408 4057 1351 15356 11517 3839 4107 3080 1027 REPAIR AND MAINTENANCE 5162 3871 1291 MISCELLANEOUS EXPENSES 3000 2250 750 33033 24775 8258 0 57014 24261 671278 984255 7228 5650 7074 1853 164297 30806 137598 133491 541538 610540 1421730 1760050 22324 32 22324 32 X 1399406 1059724 0 700294 1399406 1760018 1421730 1760050 306842 53770 0 X 0 1 X 0 0 X 127297 57624 316212 103419 280630 885182 127297 57624 316212 103419 280630 885182 307972 577210 4622 6461 7934 11433 32324 62774 1336 16313 17649 5249 1401 1549 1901 10100 975705 40761 0.59160 0.64710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REIMBURSEMENT - 2019 AMOUNT: $ 5,249. 2020 AMOUNT: $ 1,401. REFUND - MISCELLANEOUS INCOME - 2021 AMOUNT: $ 1,549. 2022 AMOUNT: $ 1,901. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 164297 30806 133491 133491 X 32607809 53770 9209 32205526 32268505 339304 571 571 339875 27171183 9209 27129512 27138721 32462 571 571 33033 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY APPLICABLE TAXING JURISDICTIONS FOR YEARS PRIOR TO 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ATTRIBUTED TO CONSOLIDATED ENTITIES 32,160,635. SPECIAL EVENTS EXPENSE 36,337. ELIMINATING ENTRIES 8,554. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 571. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTED TO CONSOLIDATED ENTITIES 27,093,175. SPECIAL EVENTS EXPENSE 36,337. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED AGAINST REVENUE ON FINANCIAL STATEMENTS 571. GALA 102124 81304 20820 21908 3573 GOLF TOURNAMENT 34180 4550 29630 7730 2 10625 8425 2200 3126 146929 94279 52650 21908 14429 36337 16313 0 0 0 0 0 0 0 0 0 STEVEN L KELLEY DIRECTOR 0 366295 0 140000 0 8388 0 22500 0 0 0 537183 0 140000 BOB RUE FINANCE DIRECTOR 0 180657 0 44000 0 13438 0 10198 0 31138 0 279431 0 0 PART I, LINE 3 THE EXECUTIVE DIRECTOR IS COMPENSATED BY THE RELATED PARENT ORGANIZATION, WESTCHESTER-ELLENVILLE HOSPITAL WHICH USES COMPARABILITY DATA, BOARD CHAIR APPROVAL, AND CONTEMPORANEOUS DOCUMENTATION IN ITS COMPENSATION DETERMINATION PROCESS. THE PROCESS WAS LAST UNDERTAKEN IN 2022. FORM 990, PART VI, SECTION A, LINE 2 PHILIP COOMBE, III, TREASURER, AND ALAN COOMBE, DIRECTOR, HAVE A FAMILY RELATIONSHIP. ALEXANDER LONSTEIN, DIRECTOR, AND DR. HERBERT LONSTEIN, DIRECTOR, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FOUNDATION IS WESTCHESTER-ELLENVILLE HOSPITAL, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC.'S PARENT ORGANIZATION, WESTCHESTER-ELLENVILLE HOSPITAL, INC. HAS THE RIGHT TO ELECT OR APPOINT OFFICERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC.'S PARENT ORGANIZATION, WESTCHESTER-ELLENVILLE HOSPITAL, INC.- AMENDMENT OR REPEAL OF THE BY-LAWS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES, WHICH ACTS ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. ONCE DRAFTED THE FORM 990 IS REVIEWED BY THE FINANCE DIRECTOR/ERH CFO, EXECUTIVE DIRECTOR, ERH CONTROLLER, AND FOUNDATION CHAIRMAN. ONCE REVIEW IS CONCLUDED AN ELECTRONIC COPY IS SENT TO BOARD MEMBERS FOR FINAL REVIEW. ONCE REVIEW PROCESS CONCLUDES FORM 990 IS APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO THE FOLLOWING "PERSONNEL" OF THE FOUNDATION: MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BETWEEN THE FOUNDATION AND A VENDOR. SUCH BUSINESS DECISIONS INCLUDE, BUT ARE NOT LIMITED TO, THE DECISION TO PURCHASE GOODS OR SERVICES FOR THE FOUNDATION AND ANY OTHER DECISION AFFECTING THE COURSE OF A BUSINESS TRANSACTION BEING CONSIDERED OR ENTERED INTO BY THE FOUNDATION. THIS POLICY APPLIES TO "IMMEDIATE FAMILY" MEMBERS OF SUCH PERSONNEL. THE EXECUTIVE DIRECTOR MONITORS THE POLICY. A DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY THE APPLICABLE PERSONNEL STATING IF THEY ARE AWARE OF ANY ACTUAL OR POTENTIAL CONFLICTS. EXECUTED DISCLOSURE STATEMENTS ARE KEPT IN THE EXECUTIVE DIRECTOR'S OFFICE. IF DURING THE YEAR, THE APPLICABLE PERSONNEL BECAME AWARE OF A CONFLICT, THEY PROMPTLY DISCLOSE IN WRITING TO THE BOARD OF TRUSTEES OF ANY ACTUAL OR CONTEMPLATED TRANSACTION WHICH POSES A CONFLICT OF INTEREST. THE REPORT CONTAINS A STATEMENT OF ALL MATERIAL FACTS AS TO THE RELATIONSHIP OR INTEREST WHICH CREATES THE POSSIBLE CONFLICT OF INTEREST. THE DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD OF TRUSTEES, WHICH DETERMINE WHETHER THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST HAS AN ADVERSE EFFECT ON THE FOUNDATION. THE BOARD OF TRUSTEES CAUSE NOTICE TO BE GIVEN TO THE DISCLOSING PERSON, IN WRITING, OF THE DETERMINATION AND WHETHER THE SITUATION MAY BE ALLOWED TO CONTINUE OR SHOULD BE TERMINATED, AND OF ANY OTHER ACTION THAT WILL BE TAKEN BY THE BOARD OF TRUSTEES OR SHOULD BE TAKEN BY THE DISCLOSING PERSON. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION'S OFFICERS ARE COMPENSATED BY THE RELATED PARENT ORGANIZATION, WESTCHESTER-ELLENVILLE HOSPITAL, WHICH BEARS THE COMPENSATION EXPENSE. NO COMPENSATION OF FOUNDATION OFFICERS IS PAID OUT OF THE ORGANIZATION'S CONTRIBUTION PROCEEDS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VII, SECTION A, REPORTABLE COMPENSATION DISCLOSURE: ALL REPORTABLE COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A ARE EXPENSED FROM A RELATED ORGANIZATION AND NOT FROM THE FOUNDATION'S PROCEEDS. 6 JEAN STREET ELLENVILLE LLC 10 HEALTHY WAY ELLENVILLE NY 12428 371562427 REAL ESTATE HOLDING CO. NY 8334 146063 ELLENVILLE REGIONAL HOSPITAL FOUNDATION INC WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC 10 HEALTHY WAY ELLENVILLE NY 12428 134111638 INPATIENT, OUTPATIENT AND EMERGENCY MEDICAL SERVICES NY 501(C)(3) LINE 3 N/A 0 ELLENVILLE REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC 10 HEALTHY WAY ELLENVILLE NY 124285612 261411484 LOW INCOME HOUSING (INACTIVE) NY WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC C 0 ELLENVILLE II REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC 10 HEALTHY WAY ELLENVILLE NY 124285612 270754224 LOW INCOME HOUSING (INACTIVE) NY WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC C 0 ELLENVILLE III REGIONAL SENIOR HOUSING DEVELOPMENT FUND COMPANY INC 10 HEALTHY WAY ELLENVILLE NY 124285612 300649484 LOW INCOME HOUSING (INACTIVE) NY WESTCHESTER-ELLENVILLE REGIONAL HOSPITAL INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0