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CENTRAL SUFFOLK HOSPITAL

Company Details

Name: CENTRAL SUFFOLK HOSPITAL
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 07 Nov 1945 (79 years ago)
Entity Number: 46179
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: ATTENTION: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901

Contact Details

Phone +1 631-548-6000

Phone +1 631-245-6432

Phone +1 631-548-6101

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CG83RZZR2Q89 2025-04-08 1 HEROES WAY, RIVERHEAD, NY, 11901, 2058, USA PECONIC BAY MEDICAL CENTER - PT. ACCOUNTING, 1 HEROES WAY, RIVERHEAD, NY, 11901, USA

Business Information

Division Name CENTRAL SUFFOLK HOSPITAL D.B.A. PECONIC BAY MEDICAL CENTER
Division Number CENTRAL SU
Congressional District 01
State/Country of Incorporation NY, USA
Activation Date 2024-04-10
Initial Registration Date 2022-07-05
Entity Start Date 1951-01-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JACQUELINE MYRON
Role SENIOR MANAGER
Address 1 HEROES WAY, RIVERHEAD, NY, 11901, USA
Government Business
Title PRIMARY POC
Name DARRIAN GARAY
Role DIRECTOR
Address 1 HEROES WAY, RIVERHEAD, NY, 11901, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3HX15 Obsolete Non-Manufacturer 2003-09-17 2024-03-03 No data 2023-04-07

Contact Information

POC DARRIEN GARAY
Phone +1 631-548-6820
Fax +1 631-548-6048
Address 1300 ROANOKE AVE, RIVERHEAD, NY, 11901 2031, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL SUFFOLK HOSPITAL EMPLOYEE LIFE INSURANCE PLAN 2010 111661359 2011-10-17 CENTRAL SUFFOLK HOSPITAL 474
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 474
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE MEDICAL PLAN 2010 111661359 2011-10-17 CENTRAL SUFFOLK HOSPITAL 381
Three-digit plan number (PN) 502
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 410
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE DENTAL PLAN 2010 111661359 2011-10-17 CENTRAL SUFFOLK HOSPITAL 407
Three-digit plan number (PN) 503
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 432
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE LIFE INSURANCE PLAN 2010 111661359 2011-10-17 CENTRAL SUFFOLK HOSPITAL 474
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 474
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with authorized/valid electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE MEDICAL PLAN 2010 111661359 2011-10-17 CENTRAL SUFFOLK HOSPITAL 381
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 410
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with authorized/valid electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE DENTAL PLAN 2010 111661359 2011-10-17 CENTRAL SUFFOLK HOSPITAL 407
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 432
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing MONICA RAULS
Valid signature Filed with authorized/valid electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE DENTAL PLAN 2010 111661359 2011-10-14 CENTRAL SUFFOLK HOSPITAL 407
Three-digit plan number (PN) 503
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 432
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-14
Name of individual signing MONICA RAULS
Valid signature Filed with incorrect/unrecognized electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE DENTAL PLAN 2009 111661359 2010-10-06 CENTRAL SUFFOLK HOSPITAL 378
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 407
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing GARY O'CONNOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing GARY O'CONNOR
Valid signature Filed with authorized/valid electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE MEDICAL PLAN 2009 111661359 2010-10-06 CENTRAL SUFFOLK HOSPITAL 341
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 381
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing GARY O'CONNOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing GARY O'CONNOR
Valid signature Filed with authorized/valid electronic signature
CENTRAL SUFFOLK HOSPITAL EMPLOYEE LIFE INSURANCE PLAN 2009 111661359 2010-10-06 CENTRAL SUFFOLK HOSPITAL 503
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 6315486000
Plan sponsor’s mailing address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Plan sponsor’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031

Plan administrator’s name and address

Administrator’s EIN 111661359
Plan administrator’s name CENTRAL SUFFOLK HOSPITAL
Plan administrator’s address 1300 ROANOKE AVE, RIVERHEAD, NY, 119012031
Administrator’s telephone number 6315486000

Number of participants as of the end of the plan year

Active participants 474
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing GARY O'CONNOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing GARY O'CONNOR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CENTRAL SUFFOLK HOSPITAL ASSOCIATION Agent 1300 ROANOKE AVE., RIVERHEAD, NY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTENTION: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901

History

Start date End date Type Value
2015-12-10 2016-01-14 Address ATTENTION: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
2009-04-02 2015-12-10 Address 1300 ROANOKE AVENUE, ATTN: PRESIDENT, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
2006-06-09 2009-04-02 Address ATTN: PRESIDENT, 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
1998-12-14 2006-06-09 Address ATTN: PRESIDENT, 1300 ROANOKE AVE., RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
1982-12-31 1998-12-14 Address 1300 ROANOKE AVE., RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
1950-12-12 1975-04-04 Name CENTRAL SUFFOLK HOSPITAL ASSOCIATION
1945-11-07 1950-12-12 Name RIVERHEAD HOSPITAL ASSOCIATION

Filings

Filing Number Date Filed Type Effective Date
160114000327 2016-01-14 CERTIFICATE OF AMENDMENT 2016-01-14
151210000514 2015-12-10 CERTIFICATE OF AMENDMENT 2015-12-10
090402000709 2009-04-02 CERTIFICATE OF AMENDMENT 2009-04-02
060609000195 2006-06-09 CERTIFICATE OF AMENDMENT 2006-06-09
981214000289 1998-12-14 CERTIFICATE OF AMENDMENT 1998-12-14
C243610-2 1997-02-03 ASSUMED NAME CORP INITIAL FILING 1997-02-03
B533134-17 1987-08-13 CERTIFICATE OF MERGER 1987-08-13
A936448-7 1982-12-31 CERTIFICATE OF AMENDMENT 1982-12-31
A224670-5 1975-04-04 CERTIFICATE OF AMENDMENT 1975-04-04
A91650-3 1973-08-10 CERTIFICATE OF AMENDMENT 1973-08-10

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF21234 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-09-01 2011-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient CENTRAL SUFFOLK HOSPITAL
Recipient Name Raw CENTRAL SUFFOLK HOSPITAL ASSOCIATION
Recipient UEI F8SFKNMG5KF1
Recipient DUNS 068077197
Recipient Address 1300 ROANOKE AVENUE, RIVERHEAD, SUFFOLK, NEW YORK, 11901, UNITED STATES
Obligated Amount 99000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
112874136 0214700 1995-07-13 1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1995-07-20
Case Closed 1996-02-02

Related Activity

Type Complaint
Activity Nr 74764473
Health Yes
Type Referral
Activity Nr 902008135
Health Yes

Violation Items

Citation ID 01001A
Citaton Type Other
Standard Cited 19100132 D02
Issuance Date 1995-08-22
Abatement Due Date 1995-08-25
Nr Instances 1
Nr Exposed 23
Related Event Code (REC) Complaint
Gravity 01
Citation ID 01001B
Citaton Type Other
Standard Cited 19100132 F04
Issuance Date 1995-08-22
Abatement Due Date 1995-08-25
Nr Instances 1
Nr Exposed 23
Gravity 01
112877782 0214700 1994-10-27 1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Inspection Type FollowUp
Scope Partial
Safety/Health Health
Close Conference 1994-12-01
Case Closed 1995-02-23

Related Activity

Type Inspection
Activity Nr 107355190

Violation Items

Citation ID 01001
Citaton Type Other
Standard Cited 19101048 D06
Issuance Date 1994-12-09
Abatement Due Date 1995-01-30
Nr Instances 1
Nr Exposed 20
Gravity 00
Citation ID 01002
Citaton Type Other
Standard Cited 19101048 O01
Issuance Date 1994-12-09
Abatement Due Date 1995-01-30
Nr Instances 2
Gravity 00
107355190 0214700 1993-03-22 1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 1993-08-18
Case Closed 1994-01-11

Related Activity

Type Complaint
Activity Nr 74984485
Health Yes

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19100151 C
Issuance Date 1993-09-22
Abatement Due Date 1993-10-04
Current Penalty 850.0
Initial Penalty 1700.0
Nr Instances 1
Nr Exposed 30
Gravity 02
Citation ID 01002
Citaton Type Serious
Standard Cited 19101030 D02 VIIA
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Current Penalty 2125.0
Initial Penalty 4250.0
Nr Instances 1
Nr Exposed 1
Gravity 10
Citation ID 01003
Citaton Type Serious
Standard Cited 19101030 D02 VIIIB
Issuance Date 1993-09-22
Abatement Due Date 1993-10-04
Current Penalty 1062.5
Initial Penalty 2125.0
Nr Instances 1
Nr Exposed 20
Gravity 03
Citation ID 01004A
Citaton Type Serious
Standard Cited 19101030 D03 II
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Current Penalty 2125.0
Initial Penalty 4250.0
Nr Instances 1
Nr Exposed 1
Gravity 10
Citation ID 01004B
Citaton Type Serious
Standard Cited 19101030 G02 V
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Nr Instances 1
Nr Exposed 1
Gravity 10
Citation ID 01005
Citaton Type Serious
Standard Cited 19101030 D04 IIA
Issuance Date 1993-09-22
Abatement Due Date 1993-10-12
Current Penalty 2125.0
Initial Penalty 4250.0
Nr Instances 1
Nr Exposed 600
Gravity 10
Citation ID 01006
Citaton Type Serious
Standard Cited 19101030 G02 IIC
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Current Penalty 2125.0
Initial Penalty 4250.0
Nr Instances 1
Nr Exposed 100
Gravity 10
Citation ID 01007
Citaton Type Serious
Standard Cited 19101048 D02
Issuance Date 1993-09-22
Abatement Due Date 1993-12-01
Current Penalty 1062.5
Initial Penalty 2125.0
Nr Instances 1
Nr Exposed 20
Gravity 03
Citation ID 01008
Citaton Type Serious
Standard Cited 19101048 I02
Issuance Date 1993-09-22
Abatement Due Date 1993-10-19
Current Penalty 1062.5
Initial Penalty 2125.0
Nr Instances 1
Nr Exposed 20
Gravity 03
Citation ID 01009
Citaton Type Serious
Standard Cited 19101048 I03
Issuance Date 1993-09-22
Abatement Due Date 1993-10-19
Current Penalty 1062.5
Initial Penalty 2125.0
Nr Instances 1
Nr Exposed 20
Gravity 03
Citation ID 01010
Citaton Type Serious
Standard Cited 19101048 M03 I
Issuance Date 1993-09-22
Abatement Due Date 1993-10-19
Current Penalty 1062.5
Initial Penalty 2125.0
Nr Instances 3
Nr Exposed 40
Gravity 03
Citation ID 01011
Citaton Type Serious
Standard Cited 19101048 N01
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Current Penalty 1062.5
Initial Penalty 2125.0
Nr Instances 1
Nr Exposed 30
Gravity 03
Citation ID 01012A
Citaton Type Serious
Standard Cited 19101200 F05 I
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Current Penalty 1487.5
Initial Penalty 2975.0
Nr Instances 1
Nr Exposed 600
Gravity 05
Citation ID 01012B
Citaton Type Serious
Standard Cited 19101200 F05 II
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Nr Instances 1
Nr Exposed 600
Gravity 05
Citation ID 01013
Citaton Type Serious
Standard Cited 19101200 H02 II
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Current Penalty 1487.5
Initial Penalty 2975.0
Nr Instances 1
Nr Exposed 600
Gravity 05
Citation ID 01014
Citaton Type Serious
Standard Cited 19101030 G02 IIC
Issuance Date 1993-09-22
Abatement Due Date 1993-11-09
Current Penalty 4250.0
Initial Penalty 4250.0
Nr Instances 1
Nr Exposed 100
Gravity 10
Citation ID 02001
Citaton Type Other
Standard Cited 19101030 C01 IV
Issuance Date 1993-09-22
Abatement Due Date 1993-12-31
Nr Instances 1
Nr Exposed 600
Gravity 01
Citation ID 02002
Citaton Type Other
Standard Cited 19101200 E01 I
Issuance Date 1993-09-22
Abatement Due Date 1993-12-31
Nr Instances 1
Nr Exposed 600
Gravity 01
102885118 0214700 1990-08-29 1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1991-01-11
Emphasis N: BLOOD
Case Closed 1991-02-06

Related Activity

Type Complaint
Activity Nr 73063117
Health Yes

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19101048 I03
Issuance Date 1991-01-22
Abatement Due Date 1991-02-11
Current Penalty 280.0
Initial Penalty 280.0
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 04
101540003 0214700 1990-07-05 1300 ROANOKE AVE., RIVERHEAD, NY, 11901
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1990-07-05
Emphasis N: BLOOD
Case Closed 1990-08-16

Related Activity

Type Complaint
Activity Nr 72945611
Health Yes

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19100022 A01
Issuance Date 1990-07-24
Abatement Due Date 1990-08-13
Current Penalty 360.0
Initial Penalty 360.0
Nr Instances 1
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 06
Citation ID 01002
Citaton Type Serious
Standard Cited 19100147 C01
Issuance Date 1990-07-24
Abatement Due Date 1990-08-13
Current Penalty 490.0
Initial Penalty 490.0
Nr Instances 1
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 07
Citation ID 01003
Citaton Type Serious
Standard Cited 19100303 G02 II
Issuance Date 1990-07-24
Abatement Due Date 1990-08-13
Current Penalty 360.0
Initial Penalty 360.0
Nr Instances 1
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 06
Citation ID 01004
Citaton Type Serious
Standard Cited 19101200 E01 III
Issuance Date 1990-07-24
Abatement Due Date 1990-08-13
Current Penalty 360.0
Initial Penalty 360.0
Nr Instances 1
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 00
Citation ID 02001
Citaton Type Other
Standard Cited 19030002 A01
Issuance Date 1990-07-24
Abatement Due Date 1990-07-27
Current Penalty 60.0
Initial Penalty 60.0
Nr Instances 1
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 00
Citation ID 02002
Citaton Type Other
Standard Cited 19040002 A
Issuance Date 1990-07-24
Abatement Due Date 1990-08-13
Current Penalty 300.0
Initial Penalty 300.0
Nr Instances 5
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 05
Citation ID 02003
Citaton Type Other
Standard Cited 19100020 G02
Issuance Date 1990-07-24
Abatement Due Date 1990-08-13
Nr Instances 1
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 03

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-1661359 Corporation Unconditional Exemption 972 BRUSH HOLLOW RD 5TH FL, WESTBURY, NY, 11590-1740 1952-04
In Care of Name % NORTHWELL HEALTH INC
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 323030966
Income Amount 345745929
Form 990 Revenue Amount 339730741
National Taxonomy of Exempt Entities -
Sort Name PECONIC BAY MEDICAL CENTER

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CENTRAL SUFFOLK HOSPITAL
EIN 11-1661359
Tax Period 201512
Filing Type E
Return Type 990
File View File

Date of last update: 02 Mar 2025

Sources: New York Secretary of State