2015-11-12T15:09:16-06:00 2014-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2014-01-01 111352310 SOUTH NASSAU COMMUNITIES HOSPITAL INC SOUT 5166323000 ONE HEALTHY WAY OCEANSIDE NY 115721551 MARK BOGEN SVP/CFO 5166323000 2015-11-12 1 CHRISTINE KAWECKI P00743140 5169187000 2014 2016-02-25 16:41:14Z MARK BOGEN ONE HEALTHY WAY OCEANSIDE NY 115721551 517541119 0 5611 X WWW.SOUTHNASSAU.ORG X 1927 NY SOUTH NASSAU COMMUNITIES HOSPITAL IS COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE SERVICES TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER WHICH REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION. 28 26 3544 394 4626866 -69272 3857672 16895827 391702373 403051620 7184271 8153589 7811039 7690005 410555355 435791041 0 0 0 0 217230969 229394844 0 0 381053 162380791 160503721 379611760 389898565 30943595 45892476 476914260 499128821 267427432 317332458 209486828 181796363 X SOUTH NASSAU COMMUNITIES HOSPITAL'S ("SOUTH NASSAU") MISSION IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTHCARE TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER WHICH REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION. 0 0 246773814 264826559 SEE SCHEDULE O. 43612985 48126833 SEE SCHEDULE O. 28499549 28622471 SEE SCHEDULE O. 25616427 64469573 SEE SCHEDULE O. 25616427 64469573 344502775 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 1 304 0 1 3544 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 28 26 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MARK BOGEN - FINANCE DEPT 5166323965 ONE HEALTHY WAY OCEANSIDE NY 11572 RICHARD MURPHY PRESIDENT AND CEO 35.50 2.00 X X 1064077 0 157409 JOSEPH J FENNESSY CHAIRMAN 1.00 2.00 X 0 0 0 HAROLD MAHONY ESQ IMMEDIATE PAST CHAIRMAN 1.00 1.00 X 0 0 0 HARRY KASSEL VICE CHAIRMAN 1.00 1.00 X 0 0 0 HENRY R PUPKE VICE CHAIRMAN 1.00 1.00 X 0 0 0 GEORGE SCHIEREN VICE CHAIRMAN 1.00 1.00 X 0 0 0 ROBERT M WHYTE JR TREASURER 1.00 2.00 X 0 0 0 MICHAEL SCHAMROTH VICE CHAIRMAN 1.00 1.00 X 0 0 0 PETER C BREITSTONE SECRETARY 1.00 1.00 X 0 0 0 LOWELL FREY ASSISTANT SECRETARY 1.00 1.00 X 0 0 0 JOHN F ALOIA MD DIRECTOR 1.00 1.00 X 0 0 0 JAMES F CAMPBELL DIRECTOR 1.00 1.00 X 0 0 0 MARILYN COHEN DIRECTOR 1.00 1.00 X 0 0 0 MIHAI DIMANCESCU MD DIRECTOR 1.00 1.00 X 0 0 0 ABBEY DONEGER DIRECTOR 1.00 1.00 X 0 0 0 ADAM K GALEON DIRECTOR 1.00 1.00 X 0 0 0 STEVEN GOLD DIRECTOR 1.00 1.00 X 0 0 0 JOHN A VITALE DIRECTOR 1.00 1.00 X 0 0 0 WELQUIS RAIMUNDO LOPEZ DIRECTOR 1.00 1.00 X 0 0 0 STEVEN SAUER DIRECTOR 1.00 1.00 X 0 0 0 SALLY VALENTI DIRECTOR 1.00 1.00 X 0 0 0 RICHARD STREIM DIRECTOR 1.00 1.00 X 0 0 0 HARRIETTE P THAYER DIRECTOR 1.00 1.00 X 0 0 0 MARVIN WOLF DIRECTOR (THRU 7/1/14) 1.00 1.00 X 0 0 0 ANTHONY CANCELLIERI DIRECTOR 1.00 1.00 X 0 0 0 WAYNE LIPTON DIRECTOR 1.00 1.00 X 0 0 0 JOEL SCHNEIDER DIRECTOR 1.00 1.00 X 0 0 0 EDWARD SCOTT DIRECTOR 1.00 1.00 X 0 0 0 HELENA WILLIAMS DIRECTOR 1.00 1.00 X 0 0 0 REV HARALD K KUEHNE DIRECTOR (THRU 1/28/14) 1.00 1.00 X 0 0 0 JOSEPH LAMANTIA CHIEF OPERATING OFFICER 36.50 1.00 X 503435 0 32762 MARK BOGEN CHIEF FINANCIAL OFFICER 36.50 1.00 X 501175 0 42194 LINDA EFFEREN CHIEF MEDICAL OFFICER 36.50 1.00 X 410299 0 16660 SUSAN PENQUE CHIEF NURSING OFFICER 37.50 0.00 X 328820 0 39900 JOHN MERTZ CHIEF INFORMATION OFFICER 37.50 0.00 X 269884 0 43208 ALAN GARELY CLINICAL CHAIR OB/GYN 22.00 15.50 X 1128457 0 61720 ASIF REHMAN ASSOC DIR INTER CARDIO 37.50 0.00 X 1101101 0 36727 JASON FREEMAN DIR OF INTER CARDIO 37.50 0.00 X 1021478 0 35583 LAWRENCE KANNER DIR OF ELECTROPHYSIOLOGY 36.50 0.00 X 909707 0 34083 MATTHEW RIFKIN CHAIRMAN OF RADIOLOGY 18.80 18.70 X 590715 0 30770 JOSEPH A QUAGLIATA FORMER PRESIDENT AND CEO 16.00 2.00 X 375241 0 0 8204389 0 531016 362 1 1 0 WOMEN'S MSO LLC 440 MERRICK ROAD OCEANSIDE NY 115723005 RADIOLOGY 3923793 BARTLETT MCDONOUGHLLC 170 OLD COUNTRY ROAD MINEOLA NY 115012900 LEGAL SERVICE 1604301 PERSONAL WOMEN'S OBGYN CARE PC 2900 HEMPSTEAD TURNPIKE LEVITOWN NY 11756 PHYSICIANS SERVICE 1400000 PROSKAUER ROSE LLP 11 TIMES SQ NEW YORK NY 100368299 LEGAL SERVICE 1037684 CADUCEUS INC 30 MONTGOMERY SUITE 720 JERSEY CITY NJ 07302 COLLECTION SERVICE 1021485 61 971734 14576544 1347549 32687 16895827 NET PATIENT REVENUE 622110 397009277 397009277 REFERENCE LAB 621500 4629306 4629306 RENTAL INCOME-RELATED 532000 1413037 1413037 403051620 4174285 4174285 85203150 73683 80948964 348565 4254186 -274882 3979304 3979304 521871 971734 452549 69322 69322 INS REC (BI & OTHER) 900099 2072340 2072340 EMR INCENTIVES 900099 1960243 1960243 STORM REC (NON BI) 900099 1613875 1613875 1974225 1976665 -2440 7620683 435791041 406045437 4626866 8222911 3409822 3409822 187183774 164819026 22021440 343308 6898081 5975996 922085 17903395 15510201 2393194 13999772 12128385 1871387 707456 612888 94568 355000 355000 265953 265953 538480 538480 14861215 12819640 2041575 8572850 7426895 1145955 2318596 2008663 309933 5594320 4846514 747806 253340 219475 33865 504760 437287 67473 2879992 2495016 384976 1075157 1075157 23100063 19975472 3124591 4761561 4671076 90485 MEDICAL & SUPPLIES 66788663 66249759 538904 0 EQUIPMENTAL RENTAL & MA 24936783 21603417 3333366 0 POSTAGE & SHIPPING 1073905 930353 143552 0 LOSS ON LBMC TRANSACTIO 778901 778901 0 0 1136726 993811 105170 37745 389898565 344502775 45014737 381053 26045122 23273519 7382174 7640939 50981960 51361497 6422675 6209474 3110683 2950682 488374601 245043572 209142023 243331029 113752972 120567048 6529366 6354884 53547285 37439749 476914260 499128821 63306547 70285816 97045523 91895459 21000000 13000000 86075362 142151183 267427432 317332458 X 207859265 179785828 599487 982459 1028076 1028076 209486828 181796363 476914260 499128821 X 45892476 -1307604 -82511 -72192826 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 265953 265953 0 PART II-B, LINE 1 THE HOSPITAL IS A MEMBER OF MULTIPLE HEALTHCARE ASSOCIATIONS WHICH INCLUDE THE AMERICAN HOSPITAL ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK, THE NASSAU SUFFOLK HOSPITAL COUNCIL, AND THE HOME CARE ASSOCIATION OF NEW YORK STATE. THESE ORGANIZATIONS LOBBY ON BEHALF OF THE HEALTHCARE INDUSTRY. SOUTH NASSAU IS ALSO A MEMBER OF THE LONG ISLAND HEALTH NETWORK ("LIHN"), WHICH IS A NETWORK OF TEN HOSPITALS. LIHN LOBBIES ON BEHALF OF ITS HOSPITAL NETWORK MEMBERS. THE HOSPITAL ALSO EMPLOYS VARIOUS LOBBYING CONSULTING FIRMS ON HOSPITAL SPECIFIC ISSUES. 1627563 1719985 1337013 2010535 1506045 1838970 1717452 1627563 3054046 709949 2257950 1506045 1986741 1700414 633109 3054046 1958812 1452850 1424921 1986741 0.51130 0.48870 0 0 22122313 22122313 324307592 163453944 160853648 9840862 7066693 2774169 128410625 74522935 53887690 3693209 3693209 243331029 ASSETS WHOSE USE IS LIMITED 6182862 OTHER LONG TERM ASSETS 1563316 ACCRUED INTEREST RECEIVABLE 131295 DUE FROM AFFILIATES 27699910 OTHER CURRECT ASSETS, NET OF INVENTORY & PREPAID 1862366 37439749 DEFERRED GRANT REVENUE 8584028 ACCRUED PENSION 67731188 ACCRUED POSTRETIREMENT 4023000 PROFESSIONAL AND GENERAL LIABILITIES 40550000 PAYABLE TO THIRD PARTY 17550000 OTHER LIABILITIES 1692139 ASSET RETIREMENT OBLIGATION 2020828 142151183 PART V, LINE 4: USE OF ENDOWMENT FUNDS RESTRICTED NET ASSETS AND NET ASSETS RELEASED FROM RESTRICTION TWO FUNDS EXIST AT THE HOSPITAL, THE ANNUAL IMPROVEMENT FUND AND THE SPECIAL PURPOSE FUND. THESE FUNDS ARE RESTRICTED AS TO THEIR PURPOSE OR TIME AS IS STIPULATED BY THE DONOR'S REQUEST. THE MONEY IS KEPT IN SEPARATE INVESTMENT VEHICLES FOR EACH FUND. UNRESTRICTED DONATIONS ARE KEPT IN THESE TEMPORARY FUNDS ALSO. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS AND ARE TO BE MAINTAINED BY THE HOSPITAL IN PERPETUITY. THESE ASSETS CONSIST OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH MAY BE RESTRICTED FOR SPECIFIC HOSPITAL ACTIVITIES OR MAY BE UNRESTRICTED AS TO USE. IF A DONATION IS MADE FOR A SPECIAL PROGRAM, IT IS PLACED INTO A TEMPORARILY RESTRICTED CATEGORY. WHEN THE EXPENDITURE IS INCURRED TO FULFILL THE REQUIREMENTS OF THIS PROGRAM/DONATION, THE FUNDS ARE TRANSFERRED FROM TEMPORARILY RESTRICTED STATUS AND ARE EXPENDED. CARNATION BALL 708052 478512 229540 0 66211 8000 112513 GOLF OUTING 282193 200600 81593 66533 48558 3 503360 292622 210738 51883 98852 1493605 971734 521871 66533 118094 8000 259923 452550 69321 1 1 1 X 1 X 500.000000000000 1 1 0 1 1 1 3913 4674350 2092355 2581995 0.00660 1 63266 63718405 44670872 19047533 0.04890 0.00000 2 67179 68392755 46763227 21629528 0.05550 99 13657 469113 469113 0.00120 3 92 9657378 4595963 5061415 0.01300 4 45027 23559271 16409151 7150120 0.01830 0.00000 0.00000 106 58776 33685762 21005114 12680648 0.03250 108 125955 102078517 67768341 34310176 0.08800 0.00000 0.00000 0.00000 0.00000 0.00000 16 19566 75816 75816 0.00020 2 1904 333270 333270 0.00090 0.00000 0.00000 18 21470 409086 409086 0.00110 0 11106574 728484 131808519 140034628 -8226109 X 1 1 1 1 SOUTH NASSAU COMMUNITIES HOSPITAL ONE HEALTHY WAY OCEANSIDE NY 115721551 2950001H X X X SOUTH NASSAU COMMUNITIES HOSPITAL 1 0 0 1 X X X X X X X X 13 1 1 1 1 X WWW.SOUTHNASSAU.ORG X 1 14 1 HTTPS://WWW.SOUTHNASSAU.ORG/PDFS/CSP.PDF 0 0 1 X 200.000000000000 500.000000000000 X X X X 1 1 X X X 1 X X X X X X X 1 X 0 X 1 X 0 0 SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN A SERIES OF COLLABORATIVE CHNA PLANNING AND IMPLEMENTATION MEETINGS WITH REPRESENTATION AND INPUT FROM PUBLIC HEALTH EXPERTS FROM LOCAL ACADEMIC PARTNERS, THE NASSAU COUNTY DEPARTMENT OF HEALTH, HOSPITALS AND MULTIPLE COMMUNITY-BASED ORGANIZATIONS LOCATED THROUGHOUT NASSAU COUNTY. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA FOR SOUTH NASSAU COMMUNITIES HOSPITAL WAS CONDUCTED IN PARTNERSHIP WITH WINTHROP SOUTH NASSAU UNIVERSITY HEALTH SYSTEM, AS WELL AS THE LOCAL HEALTH DEPARTMENT LOCATED IN NASSAU COUNTY. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH BOTH HOSPITALS AS WELL AS THE LOCAL HEALTH DEPARTMENT LOCATED IN NASSAU COUNTY. SURVEY FINDINGS YIELDED CHRONIC DISEASE AS THE #1 HEALTH PRIORITY WITH SPECIFIC CONCERNS REGARDING DIABETES, HEART DISEASE AND CANCER. OBESITY WAS NOTED TO BE THE MOST IMPORTANT RISK FACTOR FOR CHRONIC CONDITIONS AND ALONG WITH IMPROVING ACCESS TO HIGH QUALITY, CHRONIC DISEASE PREVENTION AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS, THESE HAVE FORMED THE BASIS FOR THE PRIORITY AREAS THAT WILL BE ADDRESSED BY THE HOSPITAL.OTHER AREAS OF NEED THAT WERE IDENTIFIED BUT WILL NOT BE ADDRESSED INCLUDED ACCESS TO HEALTHY FOOD, AN INCREASE IN UNSAFE LIVING ENVIRONMENTS, LACK OF CHILDCARE FUNDING FOR LOW-INCOME WORKERS, CONCERNS REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE AND HIV/STD SCREENING AND PREVENTION. THE REASONS FOR NOT ADDRESSING THESE AREAS OF NEED INCLUDE LACK OF FUNDING, LACK OF QUALIFIED PERSONNEL AND/OR LIMITED ABILITY AS AN INSTITUTION TO IMPACT THE IDENTIFIED ISSUES. SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 22D: THE HOSPITAL'S LARGEST COMMERCIAL VOLUME PAYOR IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. IN MOST CASES THIS RATE IS THE LOWEST COMMERCIAL RATE. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: WWW.SOUTHNASSAU.ORG SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: WWW.SOUTHNASSAU.ORG SOUTH NASSAU COMMUNITIES HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: WWW.SOUTHNASSAU.ORG 9 SNCH - OUTPATIENT BEHAVIORAL HEALTH 2277 GRAND AVE BALDWIN NY 11510 OUTPATIENT SNCH - FAMILY PRACTICE CENTER 196 MERRICK ROAD OCEANSIDE NY 11572 OUTPATIENT SNCH - RADIATION ONCOLOGY THERAPY CNTR ONE SOUTH CENTERAL AVE VALLEY STREAM NY 11580 OUTPATIENT SNCH - OUTPATIENT DIALYSIS CENTER 3618 OCEANSIDE ROAD OCEANSIDE NY 11572 OUTPATIENT SNCH - OUTPATIENT ANNEX 440 MERRICK ROAD OCEANSIDE NY 11572 OUTPATIENT SNCH - SLEEP CENTER 1420 BROADWAY HEWLETT NY 11557 OUTPATIENT SNCH - HOMECARE AGENCY 2277 GRAND AVE BALDWIN NY 11510 OUTPATIENT SNCH - LONG TERM HOMECARE AGENCY 2277 GRAND AVE BALDWIN NY 11510 OUTPATIENT SNCH - FAMILY MEDICINE AT LONG BEACH 10 FRANKLIN BLVD LONG BEACH NY 11561 OUTPATIENT PART I, LINE 6A: THE HOSPITAL FILED A 2013-2015 COMMUNITY SERVICE PLAN ("CSP"), WHICH INCLUDED A COMMUNITY BENEFIT REPORT, WITH THE NYS DEPARTMENT OF HEALTH ("DOH") ON NOVEMBER 15, 2013. PART I, LINE 7: IN LIEU OF A COST ACCOUNTING SYSTEM, THE COST TO CHARGE RATIO WAS GENERATED FROM THE 2014 INSTITUTIONAL COST REPORT STEP-DOWN. THIS METHODOLOGY APPLIES COSTS TO EACH UNIT BY SERVICE. THE COST TO CHARGE RATIO WAS UTILIZED TO DERIVE THE COSTS. PART I, LINE 7G: INCLUDED IN THE TOTAL COMMUNITY BENEFIT EXPENSE ARE LOSSES RELATED TO THE SNCH FAMILY HEALTH CENTER, INPATIENT AND OUTPATIENT RENAL DIALYSIS, AND THE INPATIENT PEDIATRIC PROGRAM. PART I, LN 7 COL(F): DISTINGUISHING BAD DEBT EXPENSE FROM CHARITY CARE REQUIRES JUDGMENT; TOGETHER, THEY REPRESENT UNCOMPENSATED CARE. THE HOSPITAL'S POLICY REGARDING CHARITY CARE IS TO PROVIDE A SIGNIFICANT AMOUNT OF CARE WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY FOR SERVICES RENDERED; THIS INCLUDES FREE CARE AND A SLIDING FEE SCALE, BASED ON THE PATIENTS' ABILITY TO PAY WHICH IS DEFINED AS UP TO 300% OF THE POVERTY LEVEL.THE HOSPITAL UTILIZES A CREDIT VERIFICATION FIRM TO ASSIST IN DETERMINING IF UNINSURED PATIENTS MEET THE HOSPITAL'S CHARITY CRITERIA. THIS PROCESS IDENTIFIES UNINSURED PATIENTS THAT WERE UNDER THE POVERTY LEVEL BUT DID NOT APPLY FOR CHARITY CARE. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS FOR LINE 2 AND LINE 3 USES TOTAL GROSS BAD DEBT CHARGES MULTIPLIED BY THE AMOUNT OF THE HOSPITAL'S OVERALL RATIO OF COSTS TO CHARGES (CALCULATED USING THE INSTITUTIONAL COST REPORT). PART III, LINE 3: THE AMOUNT REPORTED IN PART III LINE 3 WAS RELATED TO THE EMERGENCY ROOM'S BAD DEBT AT COST. THE FIGURE WAS DERIVED USING THE EMERGENCY ROOM'S BAD DEBT GROSS CHARGES AND MULTIPLYING THIS AMOUNT BY THE EMERGENCY'S ROOMS SPECIFIC RCC TO COME UP WITH THE BAD DEBT EXPENSE AT COST FOR THE EMERGENCY ROOM. WE DID NOT INCLUDE ANY AMOUNTS OF BAD DEBT IN PART I LINE 7. WE BELIEVE THE ENTIRE AMOUNT SHOULD BE CONSIDERED CHARITY CARE. EMTALA AND OTHER REGULATIONS REQUIRE THAT THE HOSPITAL PROVIDE EMERGENCY SERVICES TO INDIVIDUALS BEFORE DISCUSSING FINANCIAL INFORMATION.CHARITY CARE IS UNUSUALLY RELATED TO PATIENTS WHO WE DEFINE AS LACKING THE ABILITY TO PAY. A HOSPITAL'S INABILITY TO COLLECT FROM A PATIENT WHO HAS THE MEANS TO PAY IS BAD DEBT EXPENSE. OUR REGISTRATION DEPARTMENT DOES NOT HAVE THE ABILITY TO DETERMINE THE EMERGENCY ROOM PATIENT FINANCIAL STATUS BEFORE CARE IS DELIVERED AND IN MANY CASES, THE INFORMATION PROVIDED BY THE PATIENTS IS INACCURATE. SINCE WE RENDERED CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY WE BELIEVE THAT THESE PATIENTS ARE SIMILAR TO CHARITY CARE AND NOT BAD DEBT. PART III, LINE 9B: UPON APPLYING FOR CHARITY CARE, THE PATIENT IS ADVISED TO DISREGARD ALL BILLS SENT BY THE HOSPITAL UNTIL A FINAL DECISION HAS BEEN MADE. A PATIENT THAT RECEIVES PARTIAL CHARITY CARE IS SUBJECT TO THE HOSPITAL COLLECTION POLICY EXCEPT THAT:1) THE PATIENT WILL BE PROVIDED WITH A WRITTEN NOTICE 30 DAYS PRIOR TO THE ACCOUNT GOING TO COLLECTION.2) THE HOSPITAL WILL NOT PLACE A LIEN ON THE PATIENT'S ASSETS. PART VI, LINE 2: IN AN EFFORT TO IDENTIFY THE NEEDS OF PATIENTS AND COMMUNITIES, SOUTH NASSAU UTILIZES TOOLS AND COLLABORATES WITH LOCAL AND STATE GOVERNMENTS, CIVIC ASSOCIATIONS AND OTHER COMMUNITY GROUPS TO ESTABLISH THE NEEDS OF THE COMMUNITY THE HOSPITAL SERVICES.- THE HOSPITAL PARTICIPATES IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES PATIENT SATISFACTION SURVEY (KNOWN AS HCAHPS) BY USING HEALTHSTREAM RESEARCH, WHICH CONDUCTS A PHONE SURVEY, CONTACTING A STATICALLY VALID SAMPLE OF INPATIENTS AFTER DISCHARGE. SURVEY QUESTIONS INQUIRE ABOUT PATIENTS' SATISFACTION WITH THE QUALITY OF CARE DURING THEIR STAY AND PERSONAL SATISFACTION WITH THE DOCTORS, NURSES AND HOSPITAL SERVICES. ONCE THE QUARTERLY SURVEY RESULTS ARE REVIEWED BY THE ADMINISTRATIVE TEAM, MANAGERIAL STAFF AND HOSPITAL STAFF, SOUTH NASSAU'S PATIENT SATISFACTION STEERING COMMITTEE PRIORITIZES AND DEVELOPS ACTION PLANS TO IMPROVE PATIENT SATISFACTION.- SOUTH NASSAU'S BOARD, WHICH IS COMPOSED OF LOCAL INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED BY THE HOSPITAL AND INCLUDES A CROSS-SECTION OF REPRESENTATIVES SUCH AS CLERGY, BUSINESS PEOPLE AND PHYSICIANS, MEETS REGULARLY. WHILE THE MEMBERS OF SOUTH NASSAU COMMUNITIES HOSPITAL'S BOARD OF DIRECTORS ACCEPT RESPONSIBILITY FOR GOVERNANCE OF THE HOSPITAL, THEY ARE ALSO COMMUNITY ADVOCATES. AS SUCH, THEY ARE ABLE TO SPEAK ON BEHALF OF THE COMMUNITY AND RAISE ISSUES WITH THE HOSPITAL OR CONSIDER ACTIONS THAT AFFECT HOSPITALS PLANS AND OPERATIONS. THE BOARD HAS ESTABLISHED A NUMBER OF COMMITTEES THAT ARE RESPONSIBLE FOR OVERSIGHT AND COORDINATION OF HOSPITAL ACTIVITIES IN REGARDS TO COMMUNITY ADVOCACY.- SOUTH NASSAU SOLICITS THE COMMUNITY'S FEEDBACK FOLLOWING FREE PUBLIC CONFERENCES IT SPONSORS EACH YEAR. SURVEYS YIELD VALUABLE INFORMATION SUCH AS COMMUNITY PREFERENCE FOR SEMINAR CONTENT AND FORMAT AND REQUESTS FOR EXPANDED PROGRAMS AND SERVICES.- DEPARTMENTS HOSPITAL-WIDE HAVE RELATIONSHIPS WITH INDIVIDUALS AND GROUPS WHO HAVE SPECIAL NEEDS, SUCH AS PHYSICAL HANDICAPS, LANGUAGE BARRIERS AND CULTURAL ISSUES. THESE DEPARTMENTS ENCOURAGE COMMENTS AND SUGGESTIONS FROM THESE POPULATIONS. THEIR FEEDBACK IS USED TO ASSESS THE EFFECTIVENESS OF EXISTING PROCEDURES AND PROGRAMS.- SOUTH NASSAU'S ADMINISTRATION MAINTAINS AN OPEN-DOOR POLICY AND ANY MEMBER OF THE COMMUNITY IS WELCOME TO COMMENT. ANY REASONABLE ISSUE RAISED IS ADDRESSED AND CARE IS TAKEN TO RESPOND IN A TIMELY AND SATISFACTORY FASHION.- SOUTH NASSAU MAINTAINS THREE WEBSITES: WWW.SOUTHNASSAU.ORG; WWW.LIGAMMA.ORG; AND WWW.SOUTHNASSAUBARIATRICS.ORG. THE WEBSITES OFFER AN AVENUE FOR PEOPLE TO E-MAIL QUESTIONS AND REQUESTS FOR INFORMATION TO THE HOSPITAL. THEY ALSO SERVE AS A COMPREHENSIVE SOURCE OF INFORMATION ON THE HOSPITAL'S SERVICES, SPECIALTY CENTERS, PHYSICIANS, NEW DEVELOPMENTS AND EMPLOYMENT OPPORTUNITIES. - SOUTH NASSAU'S ADMINISTRATION IS IN CONSTANT COMMUNICATION WITH LOCAL AND GOVERNMENT LEADERS IN DETERMINING THE NEEDS OF THE COMMUNITIES. THE ADMINISTRATIVE TEAMS ALSO ARE INVOLVED WITH HOSPITAL ASSOCIATIONS AND OTHER HEALTHCARE ASSOCIATES WHICH TARGET THE NEEDS OF THE COMMUNITIES THE HOSPITAL SERVES. NEW YORK STATE'S DEPARTMENT OF HEALTH ALSO WORKS VERY CLOSELY WITH THE HOSPITAL TO HELP ASSESS THE NEEDS OF THE COMMUNITY SERVED.- SOUTH NASSAU'S FOUR ACTIVE AUXILIARIES ACT AS LIAISONS BETWEEN THE HOSPITAL AND THE COMMUNITIES THEY REPRESENT.- THE HOSPITAL COLLECTS DATA WITH REGARDS TO ECONOMIC, SOCIAL, CULTURAL AND GEOGRAPHIC BARRIERS THAT EXIST. PART VI, LINE 3: THE HOSPITAL INFORMS AND EDUCATES PATIENTS ON A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS. IT HAS A FULLY STAFFED FINANCIAL ASSISTANCE SERVICES DEPARTMENT STAFFED WITH BI-LINGUAL EMPLOYEES THAT HELP EDUCATE AND PROVIDE ASSISTANCE IN APPLYING FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, CHARITY CARE AND DISCOUNTED CARE. THE HOSPITAL ALSO CONTRACTED WITH THE NASSAU COUNTY OFFICE OF MEDICAID TO SITUATE AN EMPLOYEE AT THE HOSPITAL WHO HELPS PATIENTS WITH THE MEDICAID APPLICATION PROCESS.LARGE POSTERS ARE DISPLAYED IN PROMINENT LOCATIONS (INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, ADMITTING, FAMILY PRACTICE CENTER, ACCOUNT SERVICES, MENTAL HEALTH CENTER, OUTPATIENT REGISTRATION, DIALYSIS CENTER, HOME CARE, CARDIAC REHABILITATION, PHYSICAL THERAPY, WOUND CARE) AND OTHER REGISTRATION AREAS SHOWING THE AVAILABILITY OF CHARITY CARE IN ENGLISH AND SPANISH.THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL AID INCLUDING CHARITY CARE ON ITS EXTERNAL WEBSITE: SOUTHNASSAU.ORG DIRECTING THEM TO THE FINANCIAL ASSISTANCE DEPARTMENT.THE HOSPITAL EDUCATES ALL EMPLOYEES THAT INTERACT WITH PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CHARITY CARE AND WHERE TO FIND INFORMATION ON THESE PROGRAMS.FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION IS INCLUDED IN PATIENT GUIDES AND SERVICE LINE GUIDES THAT ARE PROVIDED TO PATIENTS. PATIENT BILLS SENT OUT INCLUDE A NOTE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ON THE BACK OF THE BILL IS A CHARITY CARE APPLICATION.BILLING AND ACCOUNT SERVICES DEPARTMENTS ARE EDUCATED ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND INFORMS PATIENTS OF THIS POLICY.ANY PATIENT CAN REQUEST AN APPLICATION FOR CHARITY CARE FROM THE ABOVE REGISTRATION AREAS, BILLING OFFICE AND ACCOUNT SERVICES DURING REGULAR BUSINESS HOURS AND VIA TELEPHONE. PART VI, LINE 4: SOUTH NASSAU IS LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN NASSAU COUNTY, NEW YORK, IN THE TOWN OF OCEANSIDE. NASSAU COUNTY HAS A POPULATION OF APPROXIMATELY 1.35 MILLION (BASED ON 2013 ESTIMATE US CENSUS DATA) WITH APPROXIMATELY 800,000 PEOPLE FALLING INTO THE HOSPITAL'S SERVICE AREA. NASSAU COUNTY'S MEDIAN HOUSEHOLD INCOME IS $97,049 (ACCORDING TO 2008-2012 CENSUS DATA) AND $42,286 PER CAPITA (2008-2012 CENSUS ESTIMATES). ACCORDING TO THE 2008-2012 CENSUS ESTIMATES, NASSAU COUNTY'S POVERTY LEVEL WAS 5.8%, WITH MORE OF THE POORER AREAS LOCATED ON THE SOUTH SHORE OF NASSAU COUNTY AND FALLING INTO THE HOSPITAL'S SERVICE AREA. HISPANICS, ALONG WITH OTHER MINORITIES, ARE CONCENTRATED IN SOUTH SHORE COMMUNITIES SUCH AS BALDWIN, FREEPORT, HEMPSTEAD, ROOSEVELT AND INWOOD, WITH MANY OF THESE COMMUNITIES' MEMBERS BEING UNINSURED OR INSURED BY MEDICAID.BASED ON 2014 PATIENTS SERVED AT SOUTH NASSAU, PATIENT DEMOGRAPHICS BASED ON VISITS (OUTPATIENT) ARE MEDICARE 36% MEDICAID 22% SELF PAY 2% AND CHARITY CARE 2%.OTHER HOSPITALS THAT ALSO SERVICE THESE COMMUNITIES ARE FRANKLIN HOSPITAL-NORTH SHORE LIJ, AND MERCY MEDICAL CENTER. PART VI, LINE 5: THE HOSPITAL HAS ESTABLISHED A COMMUNITY ADVOCACY COMMITTEE THAT IS COMPOSED OF MEMBERS OF A NUMBER OF COMMUNITY ORGANIZATIONS, INCLUDING SECULAR AND RELIGIOUS ORGANIZATIONS; ETHNOCENTRIC GROUPS; ORGANIZATIONS REPRESENTING PERSONS OF SPECIFIC AGE GROUPS AND/OR WITH SPECIFIC DISABILITIES OR DISEASES; AND REPRESENTATIVES FROM HOSPITAL ADMINISTRATION, STAFF AND BOARD. THIS GROUP MEETS FOUR TIMES A YEAR TO IDENTIFY NEEDS OF THEIR RESPECTIVE COMMUNITIES AND TO DISCUSS ISSUES OR RECOMMEND ACTIONS IN THE INTEREST OF IMPROVED SERVICE TO THOSE COMMUNITIES. THIS INFORMATION IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR CONSIDERATION.IN ADDITION TO THE COMMUNITY ADVOCACY COMMITTEE, SOUTH NASSAU'S DEPARTMENT OF COMMUNITY EDUCATION IS THE REGION'S MOST COMPREHENSIVE COMMUNITY MEDICINE PROVIDER. ITS CORE SERVICES INCLUDE MULTIPLE SUPPORT AND DISEASE MANAGEMENT DISCUSSION GROUPS, 82 COMMUNITY-BASED HEALTH CARE LECTURES AND SEMINARS (SOME OFFERED IN SPANISH), CARDIOPULMONARY RESUSCITATION (CPR), BASIC LIFE SUPPORT (BLS) AND ADVANCED CARDIAC LIFE SUPPORT (ACLS) CLASSES, SPECIFIC HEALTH PROMOTION/IMPROVEMENT INTERVENTIONS, FREE BLOOD PRESSURE AND CANCER SCREENINGS AND FREE FLU VACCINATION PROGRAMS. THE STRUCTURE OF THESE PROGRAMS ENCOURAGES SIGNIFICANT AND MEANINGFUL INTERACTION BETWEEN SOUTH NASSAU AND THE COMMUNITIES IT SERVES.THE MISSION OF THE DEPARTMENT OF COMMUNITY EDUCATION IS TO IMPROVE THE HEALTH OF THE SURROUNDING COMMUNITIES THROUGH EDUCATION, PREVENTION, SCREENING, OUTREACH, AND COALITION BUILDING. BY USING SCIENTIFIC METHODOLOGIES, THE HEALTH CARE NEEDS OF THE COMMUNITY ARE IDENTIFIED AND ADDRESSED AND PROGRAMS THAT CAN DEMONSTRATE MEASURABLE HEALTH IMPROVEMENT OUTCOMES ARE DESIGNED TO MEET THESE NEEDS. ONCE IMPLEMENTED, THE DEPARTMENT OF COMMUNITY EDUCATION CONDUCTS ONGOING MONITORING AND EVALUATION OF THE INTERVENTION PROCESSES.ADDITIONALLY, THE DEPARTMENT OF COMMUNITY EDUCATION COORDINATES WITH COMMUNITY AGENCIES SUCH AS THE HISPANIC COUNSELING CENTER, THE DEPARTMENT OF HEALTH, THE AMERICAN CANCER SOCIETY, THE BELLMORE/MERRICK WELLNESS COUNCIL, THE AMERICAN HEART ASSOCIATION, THE AMERICAN DIABETES ASSOCIATION, HEALTHY WOMEN PARTNERSHIP TO CONDUCT EDUCATION, PREVENTION AND SCREENING PROGRAMS.THE DEPARTMENT OF COMMUNITY EDUCATION HAS INSTITUTED THE CATCH (CHECK-IN AND TAKE CHARGE OF YOUR HEALTH)PROGRAM WHICH OFFERS FREE HEALTH EDUCATION ON PREVENTION OF OBESITY AND WEIGHT-RELATED ISSUES, INCLUDING HEART DISEASE, STROKE AND DIABETES AND PROVIDES FREE SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL, WEIGHT/BMI AND CARDIAC/GENERAL HEALTH RISK ASSESSMENT TO MINORITY AND UNDERSERVED COMMUNITIES. BELOW IS A LISTING OF THE DEPARTMENT OUTREACH PROGRAMS FOR THE COMMUNITY:EDUCATION- COMMUNITY AND HOSPITAL-BASED LECTURES ON SPECIFIC HEALTH IMPROVEMENT TOPICS SUCH AS "WHAT YON NEED TO KNOW ABOUT COLORECTAL CANCER", "PREVENTING AND MANAGING DIABETES", AND "EAT HEALTHY, BE ACTIVE".- SPECIAL PROGRAMS DESIGNED TO TARGET SPECIFIC POPULATIONS SUCH AS "CERVICAL CANCER: IMPORTANCE OF SCREENING AND EARLY DETECTION"; "RELAXATION AND STRESS REDUCTION"; "STAYING PSYCHOLOGICALLY HEALTHY AS YOU AGE"; "HEALTHY FROM HEAD TO TOE"; "SUN SAFETY" AND "PROPERTY BODY MECHANICS".- PARENT-CHILD EDUCATION CLASSES- BASIC CARDIAC LIFE SUPPORT (CPR AND AED)- ADVANCED CARDIAC LIFE SUPPORT (ACLS)- TEDDY BEAR CLINIC TARGETING KINDERGARTEN CHILDREN- SUPPORT GROUPS PROVIDING EMOTIONAL SUPPORT AND EDUCATION (MONTHLY)- ANNUAL HEALTH FAIR (3,600 PEOPLE ATTENDED)- AMERICAN HEART ASSOCIATION'S "RED DRESS DAY," EDUCATIONAL PROGRAMS ONWOMEN'S HEART DISEASE AND BLOOD PRESSURE SCREENINGS. LITERATURE IN ENGLISHAND SPANISH WAS DISTRIBUTED.COLON CANCER AWARENESS DAYMELANOMA AWARENESSNATIONAL NUTRITION MONTHSTROKE AWARENESS DAYOBESITY AWARENESS WEEKDIABETES AWARENESS CHOKING PREVENTION CLASSBREAST CANCER AWARENESSSKIN CANCER AWARENESSBREAST CANCER FORUMCOMMUNITY BASED FREE SCREENINGS - ONGOING BLOOD PRESSURE SCREENING AND IDENTIFICATION OF INDIVIDUALS IN NEED OF REFERRAL OR FOLLOW-UP. - PROSTATE CANCER SCREENING- PSA SCREENING- SKIN CANCER SCREENING- COLORECTAL CANCER SCREENINGEDUCATIONAL PROGRAMSSOUTH NASSAU'S COMPREHENSIVE APPROACH TO THE TREATMENT OF PATIENTS IS GEARED TOWARD CARING FOR THE WHOLE INDIVIDUAL, BOTH EMOTIONALLY AND PHYSICALLY, BY HELPING THEM ADJUST AND COPE WITH THEIR ILLNESS THROUGH SUPPORT, EDUCATION AND COUNSELING SERVICES. SUPPORT GROUPS, FEATURING EXPERT SPEAKERS, ARE OFFERED FREE OF CHARGE TO PATIENTS AND THEIR FAMILIES AND MEMBERS OF THE COMMUNITY. THESE SUPPORT GROUPS INCLUDE: CAREGIVERSUPPORT; BARIATRIC; BEREAVEMENT; DIABETES; AND BREAST CANCER SUPPORT GROUPS, WHICH ARE HELD IN COOPERATION WITH 1 IN 9, HEWLETT HOUSEE. PART VI, LINE 6: THE HOSPITAL IS PART OF WINTHROP SOUTH NASSAU HEALTH SYSTEM WHICH IS A MEMBER OF THE LONG ISLAND HEALTH NETWORK ("LIHN"). THE LONG ISLAND HEALTH NETWORK CONSISTS OF 10 HOSPITALS JOINED TOGETHER IN 1998 TO IMPROVE THEIR CLINICAL QUALITY, ENHANCE THEIR OPERATIONAL EFFICIENCY, AND EXPAND ACCESS TO CARE FOR THE 2.8 MILLION RESIDENTS OF NASSAU AND SUFFOLK COUNTIES. THE GOAL OF THE LONG ISLAND HEALTH NETWORK IS TO PROVIDE A HIGH LEVEL OF MEDICAL CARE, NO MATTER WHICH HOSPITAL YOU CHOOSE IN THE NETWORK. THIS HAS BEEN ACCOMPLISHED THROUGH A SINGLE INTEGRATED APPROACH TO MEASURING AND IMPROVING THE QUALITY OF HEALTHCARE THROUGHOUT OUR 10 MEMBER HOSPITALS. IN AN ERA WHEN HEALTHCARE IS INCREASINGLY DOMINATED BY LARGE, CENTRALLY GOVERNED HOSPITAL SYSTEMS, LIHN HOSPITALS CONTINUE THEIR FOCUS ON DELIVERING COMMUNITY-BASED CARE AND COLLABORATING WITH INSURERS' EFFORTS TO EXPAND LOCAL ACCESS TO AFFORDABLE HEALTH INSURANCE PRODUCTS. PART VI, LINE 7, REPORTS FILED WITH STATES NY 1 X X X X X 0 1 0 0 0 0 0 1 1 1 RICHARD MURPHY PRESIDENT AND CEO 769121 0 217500 0 77456 0 124200 0 33209 0 1221486 0 0 0 JOSEPH LAMANTIA CHIEF OPERATING OFFICER 417260 0 81855 0 4320 0 13000 0 19762 0 536197 0 0 0 MARK BOGEN CHIEF FINANCIAL OFFICER 403187 0 93188 0 4800 0 15600 0 26594 0 543369 0 0 0 LINDA EFFEREN CHIEF MEDICAL OFFICER 383579 0 20000 0 6720 0 13000 0 3660 0 426959 0 0 0 SUSAN PENQUE CHIEF NURSING OFFICER 286900 0 40000 0 1920 0 13000 0 26900 0 368720 0 0 0 JOHN MERTZ CHIEF INFORMATION OFFICER 241884 0 25000 0 3000 0 19644 0 23564 0 313092 0 0 0 ALAN GARELY CLINICAL CHAIR OB/GYN 988215 0 135742 0 4500 0 42500 0 19220 0 1190177 0 0 0 ASIF REHMAN ASSOC DIR INTER CARDIO 596601 0 500000 0 4500 0 17500 0 19227 0 1137828 0 0 0 JASON FREEMAN DIR OF INTER CARDIO 546745 0 471233 0 3500 0 16500 0 19083 0 1057061 0 0 0 LAWRENCE KANNER DIR OF ELECTROPHYSIOLOGY 445246 0 463961 0 500 0 13500 0 20583 0 943790 0 0 0 MATTHEW RIFKIN CHAIRMAN OF RADIOLOGY 515715 0 75000 0 0 0 13000 0 17770 0 621485 0 0 0 JOSEPH A QUAGLIATA FORMER PRESIDENT AND CEO 375241 0 0 0 0 0 0 0 0 0 375241 0 0 0 PART I, LINE 4B SOUTH NASSAU COMMUNITIES HOSPITAL MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") FOR THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. THE SERP IS DESIGNED TO PROVIDE THE CHIEF EXECUTIVE OFFICER WITH SUPPLEMENTAL RETIREMENT INCOME THROUGH ANNUAL HOSPITAL FUNDED CONTRIBUTIONS OF $111,200 PART I, LINE 7 THE HOSPITAL MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE HOSPITAL AND THE EXECUTIVES OF PRE-ESTABLISHED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. SOME EMPLOYEES RECEIVE ADDITIONAL COMPENSATION BASED ON VARIOUS PRODUCTIVITY MEASURES. PART I, LINE 8 DURING 2014, THE HOSPITAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER WAS COMPENSATED AND PROVIDED WITH BENEFITS PURSUANT TO AN EMPLOYMENT AGREEMENT SATISFYING THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGS. SECTION 53.4958-4(A)(3). SCHEDULE J, ADDITIONAL DISCLOSURE INCLUDED IN THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS A BONUS OF $217,500 WHICH RELATES TO SERVICES PERFORMED BY HIM AS CHIEF EXECUTIVE OFFICER IN 2013. SCHEDULE J, ADDITIONAL DISCLOSURE THE COMPENSATION REPORTED ON BOTH PART VII AND SCHEDULE J OF THE FORM 990 FOR CERTAIN OFFICERS AND KEY PERSONNEL REPRESENTS AMOUNTS PAID FOR SERVICES RENDERED TO SOUTH NASSAU COMMUNITES HOSPITAL ("SNCH") AND ITS AFFILIATED ORGANIZATIONS. THE FORM 990 REQUIRES COMPENSATION TO BE REPORTED BASED ON THE ORGANIZATION THAT PROVIDES THE OFFICER HIS OR HER W-2, HOWEVER, REPORTING COMPENSATION IN THIS FASHION DOES NOT TAKE INTO ACCOUNT THE INTEGRATED RELATIONSHIPS WITHIN A HEALTH SYSTEM THAT REQUIRE OFFICERS AND EMPLOYEES TO ALLOCATE THEIR TIME AND SERVICES AMONG MANY ORGANIZATIONS. A NASSAU COUNTY LOCAL ECONOMIC ASSSISTANCE CORP 274291221 63166LBT7 2012-10-23 100932698 REFUND PRIOR BONDS ISSUED 8/22/01 & 8/7/03-C 0 0 0 A 6940000 100932698 1896892 1536516 1454576 22955974 70699662 4285970 1 1 0 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, BOND ISSUES (A) ISSUER NAME: NASSAU COUNTY LOCAL ECONOMIC ASSSISTANCE CORP (F) DESCRIPTION OF PURPOSE: REFUND BONDS ISSUED 8/22/2001 & 8/7/2003; CONSTRUCTION & EQUIPMENT PURCHASE PART II, LINE 4 THE AMOUNT SHOWN HERE CONSISTS OF DEPOSITS TO A BONA FIDE DEBT SERVICE FUND. PART III, LINE 2 CERTAIN PROPERTY FINANCED BY THE BONDS IS LEASED TO AFFILIATED 501(C)(3) ORGANIZATIONS; SUCH LEASES DO NOT GIVE RISE TO PRIVATE BUSINESS USE PART III, LINE 9 THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF DEVELOPING WRITTEN PROCEDURES AND EXPECT THEY WILL BE IN PLACE IN 2015. PART IV, LINE 6 THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD RESTRICTED REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. X 4 32687 COST OR SELLING PRICE 0 1 0 PART I, COLUMN (B): THERE WERE 4 CONTRIBUTORS WITH A TOTAL OF 12 CONTRIBUTIONS. FORM 990, PART III, LINE 4A MEDICAL AND SURGICAL INPATIENT SERVICES: THE HOSPITAL IS CERTIFIED FOR 329 MEDICAL SURGICAL BEDS. THESE BEDS INCLUDE A 40-BED ORTHOPEDIC SPECIALTY UNIT WITH AN ADJACENT AREA FOR REHABILITATION THERAPY, A 40-BED ONCOLOGY (CANCER) UNIT, A 36-BED STEP-DOWN PROGRESSIVE CARE UNIT INCLUDING AN 8-BED BARIATRIC SURGERY UNIT AND 76 BEDS FOR TELEMETRY OR OTHERS WITH LESS THAN ACUTE CORONARY PROBLEMS. THE HOSPITAL OPENED A 20 BED TRANSITIONAL CARE UNIT IN NOVEMBER 2014. THE HOSPITAL'S OPERATING ROOMS CONSISTS OF 15 SUITES WHICH ARE AVAILABLE FOR BOTH INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. A FULL RANGE OF SURGICAL SPECIALTIES ARE PERFORMED WHICH INCLUDE ORTHOPEDICS, SPINE SURGERY, PLASTIC SURGERY, NEUROSURGERY, GYNECOLOGIC SURGERY, GASTROINTESTINAL SURGERY, LAPAROSCOPIC BARIATRIC SURGERY (MINIMALLY INVASIVE SURGERY FOR WEIGHT LOSS), UROLOGY, OPHTHALMOLOGY, VASCULAR SURGERY, THORACIC SURGERY, PERMANENT PACEMAKERS, IMPLANTABLE DEFIBRILLATORS, PODIATRIC SURGERY, PEDIATRIC SURGERY, EAR, NOSE AND THROAT SURGERY, AND GENERAL SURGERY. THE HOSPITAL ADMITTED 14,876 MEDICAL SURGICAL PATIENTS IN 2014. PEDIATRICS SERVICES: THE HOSPITAL PROVIDES COMPREHENSIVE GENERAL AND SPECIALIZED PEDIATRIC CARE FOR CHILDREN AND TEENAGERS IN NEED OF SURGICAL OR PREVENTIVE SERVICES OR CARE FOR INFECTIOUS DISEASES, SERIOUS ILLNESSES OR COMPLEX MEDICAL CONDITIONS. THIS UNIT FEATURES SPECIALISTS IN PEDIATRIC CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENETICS, HEMATOLOGY-ONCOLOGY, NEUROLOGY, PULMONARY MEDICINE AS WELL AS A PEDIATRIC SURGEON, NEONATOLOGIST AND ANESTHESIOLOGIST. A SPECIAL CARE PEDIATRIC UNIT EQUIPPED WITH THE LATEST PEDIATRIC MEDICAL TECHNOLOGY AND MONITORING SYSTEM, CAN EFFECTIVELY MANAGE AND TREAT ALMOST ANY EMERGENCY OR SERIOUS ILLNESS. THE UNIT FEATURES A MULTI-PURPOSE TREATMENT ROOM TO PERFORM MINOR PROCEDURES, WHETHER SURGICAL OR NON-SURGICAL. A TEAM OF SPECIALLY TRAINED NURSING STAFF AND PEDIATRICIANS, INCLUDING NURSING STAFF TRAINED IN PEDIATRIC ADVANCE LIFE SUPPORT (PALS), WITH SPECIALISTS ON-CALL AROUND THE CLOCK. THE HOSPITAL ADMITTED 540 PEDIATRIC PATIENTS IN 2014. MATERNITY AND NURSERY SERVICES: THE HOSPITAL HAS STATE-OF-THE-ART LABOR/DELIVERY ROOMS WHICH CREATE A COMFORTING ENVIRONMENT WHILE PROVIDING ALL THE NECESSARY EQUIPMENT AND CLINICAL SUPPORT FOR MOTHER AND BABY. ALL 26 POSTPARTUM BEDS OFFER PRIVATE ACCOMMODATIONS. THE HOSPITAL PROVIDES SPECIALIZED SERVICES FOR WOMEN WITH HIGH-RISK PREGNANCIES. THE UNIT IS STAFFED BY SOME OF THE AREA'S LEADING SPECIALISTS IN HIGH-RISK PREGNANCIES. SOUTH NASSAU PROVIDES A COMPREHENSIVE PACKAGE OF SERVICES, INCLUDING PERINATOLOGY, FETAL MONITORING, GENETICS COUNSELING, AND DIAGNOSTIC CARE FOR ALL STAGES OF HIGH-RISK PREGNANCIES INCLUDING AMNIOCENTESIS AND ULTRASOUND. THE HOSPITAL ADMITTED 4,002 MATERNITY PATIENTS (INCLUDING NEWBORNS) IN 2014. NEONATAL SERVICES: THE HOSPITAL ALSO HAS A LEVEL II NEONATAL INTENSIVE CARE UNIT FOR PREMATURE BABIES. PREMATURE DELIVERIES AND NEWBORNS WITH DEVELOPMENTAL COMPLICATIONS OR CONDITIONS RECEIVE THE SPECIALIZED CARE THEY NEED IN THE NEONATAL INTENSIVE CARE UNIT. STAFFED BY HIGHLY TRAINED, BOARD-CERTIFIED NEONATOLOGISTS AND NURSES, THE NURSERY PROVIDES INTENSIVE ONE-TO-ONE CARE AND IS EQUIPPED WITH DEDICATED MEDICAL TECHNOLOGY FOR PREMATURE DELIVERIES AND NEWBORNS WITH SPECIAL NEEDS. THE NURSERY ALSO FEATURES A STATE-OF-THE-ART MONITORING SYSTEM. THE HOSPITAL ADMITTED 165 NEONATES IN 2014. IN-PATIENT PSYCHIATRIC SERVICES: IN OUR 36-BED SHORT-TERM INPATIENT BEHAVIORAL HEALTH UNIT, WE PROVIDE RAPID STABILIZATION FOR A WIDE RANGE OF ACUTE PSYCHIATRIC CONDITIONS. PATIENTS RECEIVE PSYCHIATRIC AND PSYCHOLOGICAL CONSULTATION DURING THEIR HOSPITAL STAY TO ALLEVIATE DISTRESS AND PAIN. THE HOSPITAL ADMITTED 1,107 PSYCHIATRIC PATIENTS IN 2014. TRANSITIONAL CARE UNIT: THIS 20 BED UNIT PROVIDES "TRANSITIONAL" CARE FOR PATIENTS WHO HAVE COMPLETED THEIR ACUTE STAY IN THE HOSPITAL YET STILL REQUIRE SKILLED NURSING AND OTHER SUPPORTIVE CARE BEFORE RETURNING TO HOME OR OTHER LIVING ARRANGEMENTS. THE HOSPITAL ADMITTED 61 PATIENTS IN 2014. SUMMARY: THE HOSPITAL ADMITTED A TOTAL OF 21,658 PATIENTS IN 2014 FOR INPATIENT SERVICES. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS OR EMERGENCY BASIS. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $4.5 MILLION (CHARGES) FOR INPATIENTS SERVED IN 2014. FORM 990, PART III, LINE 4B AMBULATORY SURGERY: SOUTH NASSAU AMBULATORY SURGERY SERVICE LINE CONSISTS OF OUTPATIENT SURGICAL, ENDOSCOPY, PAIN MANAGEMENT AND CARDIAC SERVICES. SEE DETAILS OF THE SERVICES THAT COMPRISE AMBULATORY SURGERY BELOW: OUTPATIENT SURGERIES: SOUTH NASSAU'S AMBULATORY SURGERY UNIT (ASU) FEATURES 10 SEMI-PRIVATE PRE-OPERATIVE PATIENT SUITES WHERE THE PATIENT IS ADMITTED PRIOR TO SURGERY AND 16 SEMI-PRIVATE POSTOPERATIVE ROOMS WHERE PATIENTS COMPLETE PHASE TWO OF THEIR RECOVERY, RECEIVE PAIN MEDICATION AND POST-OPERATIVE TEACHING PRIOR TO BEING DISCHARGED FROM THE HOSPITAL. THE ASU POST-OPERATIVE UNIT IS OPEN 24 HOURS A DAY. THE HOSPITAL PERFORMED 6,873 OUTPATIENT SURGICAL PROCEDURES IN 2014. ENDOSCOPY: SOUTH NASSAU COMMUNITIES HOSPITAL'S ENDOSCOPY UNIT PROVIDES STATE-OF-THE-ART PATIENT CARE FOR BOTH INPATIENTS AND OUTPATIENTS REQUIRING UPPER OR LOWER GASTROINTESTINAL STUDIES. THE SERVICE OFFERS E.R.C.P. (ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY) STUDIES OF THE GALL BLADDER, PANCREAS AND BILE DUCTS. ALSO OFFERED ARE ENDOSCOPIC ULTRASOUND, WHICH EXAMINES THE WALLS AND THE SURROUNDING STRUCTURES OF THE GI SYSTEM; GASTROSCOPY AND COLONOSCOPY, A MINIMALLY INVASIVE PROCEDURE TO VIEW THE GASTROINTESTINAL SYSTEM INCLUDING THE ESOPHAGUS, STOMACH AND COLON; AND LIVER BIOPSIES. THE ENDOSCOPY UNIT ALSO PERFORMS PH AND MOTILITY STUDIES USING THE "BRAVO" CAPSULE. THE HOSPITAL PERFORMED 2,680 OUTPATIENT ENDOSCOPY PROCEDURES IN 2014. PAIN MANAGEMENT: SOUTH NASSAU'S PAIN MANAGEMENT UNIT PROVIDES CARE TO BOTH INPATIENTS AND OUTPATIENTS REQUIRING INTERVENTIONAL PAIN MANAGEMENT PROCEDURES. THE PAIN MANAGEMENT ANESTHESIOLOGISTS, WHO ARE ASSISTED BY HIGHLY SKILLED REGISTERED NURSES, ARE TRAINED IN CUTTING-EDGE INTERVENTIONAL PAIN MANAGEMENT MODALITIES. THE HOSPITAL PERFORMED 2,581 OUTPATIENT PAIN MANAGEMENT PROCEDURES IN 2014. CARDIAC SERVICES: CARDIAC CATHETERIZATION LABORATORY: THE HOSPITAL'S CARDIAC CATHETERIZATION LABORATORIES IN THE CENTER FOR CARDIOVASCULAR HEALTH USE STATE-OF-THE-ART DIGITAL IMAGING CAMERAS FOR THE HIGHEST POSSIBLE RESOLUTION AND IMAGE QUALITY. THIS PROVIDES PRECISE RESULTS FOR CARDIAC PROCEDURES WHILE SIGNIFICANTLY REDUCING THE PATIENT'S EXPOSURE TO RADIATION. SOUTH NASSAU WAS APPROVED BY THE DEPARTMENT OF HEALTH TO PERFORM ELECTIVE ANGIOPLASTY. THIS ALLOWS SOUTH NASSAU TO PERFORM DIAGNOSTIC CARDIAC CATHETERIZATIONS AS WELL AS BOTH ELECTIVE AND EMERGENT CORONARY ANGIOPLASTY PROCEDURES. THE CARDIAC CATHETERIZATION LAB AND THE CARDIAC SERVICES ADMITTING/RECOVERY UNIT ARE STAFFED BY SPECIALLY TRAINED REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN'S ASSISTANTS AND EXPERIENCED INTERVENTIONAL CARDIOLOGISTS WHO RANK AMONG THE BEST IN THE STATE. THE HOSPITAL PERFORMED 872 OUTPATIENT CATHETERIZATION PROCEDURES IN 2014. ELECTROPHYSIOLOGY LABORATORY: THE HOSPITAL'S ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB SPECIALIZES IN THE DIAGNOSIS AND TREATMENT OF LIFE-THREATENING HEART RHYTHM DISORDERS. THE RECENTLY RENOVATED ELECTROPHYSIOLOGY LAB USES STATE-OF-THE-ART 3-D CARDIAC ANATOMIC MAPPING WHICH ALLOWS FOR THE PRECISE LOCATION OF IRREGULAR HEARTBEATS. THE ELECTROPHYSIOLOGY AND ARRHYTHMIAS LAB TEAM IS COMPOSED OF BOARD-CERTIFIED ELECTROPHYSIOLOGISTS TOGETHER WITH SPECIALLY TRAINED PHYSICIAN ASSISTANTS AND REGISTERED NURSES. THE LAB IMPLANTS PERMANENT PACEMAKERS, CARDIAC DEFIBRILLATORS, BIVENTRICULAR DEVICES AND LOOP RECORDERS AND PROVIDES ELECTROPHYSIOLOGY PROCEDURES SUCH AS TABLE TESTING, CARDIAC ABLATIONS, CARDIOVERSIONS, TRANSESOPHAGEAL ECHOCARDIOGRAMS AND DIAGNOSTIC ELECTROPHYSIOLOGY STUDIES. PATIENTS RECEIVING PERMANENT PACEMAKERS OR DEFIBRILLATORS HAVE THE DEVICE INTERROGATIONS PERFORMED IN THE ELECTROPHYSIOLOGY LAB FOLLOWING THE IMPLANTATION AND AT ROUTINE INTERVALS. THE HOSPITAL PERFORMED 475 OUTPATIENT EP STUDIES IN 2014. SUMMARY: AMBULATORY SURGERY SERVICES WERE PROVIDED TO 13,983 MEMBERS OF THE COMMUNITY ON AN ELECTIVE BASIS. THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $800 THOUSAND (CHARGES) FOR AMBULATORY PATIENTS SERVED IN 2014. FORM 990, PART III, LINE 4C EMERGENCY SERVICES: THE EMERGENCY ROOM IS OPERATED ON A FULL TIME BASIS (24 HOURS 365 DAYS A WEEK). OUR EMERGENCY ROOM IS ONE OF THE BUSIEST ON THE SOUTH SHORE OF NASSAU COUNTY. THE EMERGENCY ROOM IS THIS AREA'S LEADING CENTER OF SPECIALIZED EMERGENCY CARE, WITH A SOLID REPUTATION FOR DEVELOPING AND IMPLEMENTING INNOVATIONS IN EMERGENCY HEALTH CARE SERVICES. THE EMERGENCY ROOM IS STAFFED BY A TEAM OF DEDICATED PROFESSIONALS, INCLUDING BOARD-CERTIFIED, RESIDENCY-TRAINED EMERGENCY MEDICINE PHYSICIANS (ONE OF FEW HOSPITALS IN NEW YORK WITH SUCH STAFFING), AS WELL AS NURSES, NURSE PRACTITIONERS AND PHYSICIANS' ASSISTANTS WHO HAVE BEEN SPECIALLY-TRAINED IN EMERGENCY MEDICAL CARE. THE EMERGENCY ROOM IS ALSO A LEVEL II TRAUMA CENTER, EQUIPPED WITH THE ADVANCED MEDICAL TECHNOLOGY AND SKILLED SPECIALISTS REQUIRED TO PERFORM EMERGENCY TRAUMA PROCEDURES. IT HAS ALSO BEEN DESIGNATED AS A STROKE CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH BECAUSE WE OFFER THE RAPID ASSESSMENT AND ADVANCED THERAPIES AND PROCEDURES THAT CAN MAKE A DIFFERENCE FOR STROKE PATIENT. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS RECEIVING EMERGENCY ROOM SERVICES CONSISTENT WITH OUR POLICY. THE HOSPITAL EXPERIENCED 65,394 EMERGENCY ROOM VISITS IN 2014 OF WHICH 16,165 PATIENTS WERE ADMITTED. IN 2014, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $8.3 MILLION (CHARGES) TO INDIVIDUALS WHO RECEIVED EMERGENCY SERVICES. FORM 990, PART III, LINE 4D ADDITIONAL OUTPATIENT SERVICES OFFERED BY SOUTH NASSAU COMMUNITIES HOSPITAL ARE: WOUND CARE; FAMILY MEDICINE; SPORTS MEDICINE AND REHABILITATION THERAPY; BEHAVIORAL HEALTH SERVICES; OUTPATIENT DIALYSIS; PARENT-CHILD EDUCATION; PRIMARY MEDICAL CARE; CARDIAC REHABILITATION; WEIGHT & LIFE MANAGEMENT; HOME HEALTH CARE; LONG TERM HOME HEALTH CARE; CANCER SERVICES; GAMMA KNIFE SERVICES; BREAST/GYN HEALTH; OTHER CARDIOVASCULAR SERVICES; PAIN MANAGEMENT; RADIOLOGY SERVICES; WOMEN'S IMAGING; SLEEP MEDICINE; FAMILY MEDICINE AND URGENT CARE AT LONG BEACH. THE HOSPITAL PROVIDED OVER 270,000 SERVICES RELATED TO THE OTHER OUTPATIENT SERVICES IN 2014. THESE SERVICES WERE PROVIDED TO THE MEMBERS OF THE COMMUNITY ON AN ELECTIVE. THE HOSPITAL PROVIDES CHARITY CARE AND DISCOUNTS TO PATIENTS THAT ARE UNABLE TO A PAY FOR THESE SERVICES. IN 2014, THE HOSPITAL PROVIDED CHARITY CARE OF APPROXIMATELY $3.1 MILLION (CHARGES) FOR OTHER OUTPATIENT SERVICES. FORM 990, PART VI, SECTION A, LINE 2 TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES IN THE SNCH GROUP OF AFFILIATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 WINTHROP SOUTH NASSAU UNIVERSITY HEALTH SYSTEM IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL. THE SYSTEM IS ORGANIZED AS A NOT FOR PROFIT CORPORATION UNDER FEDERAL AND NEW YORK STATE LAWS. FORM 990, PART VI, SECTION A, LINE 7A WINTHROP SOUTH NASSAU UNIVERSITY HEALTH SYSTEM IS THE SOLE MEMBER OF SOUTH NASSAU COMMUNITIES HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO SUCH AUTHORITY RESERVED TO THE TAXPAYER'S SOLE MEMBER, WINTHROP SOUTH NASSAU UNIVERSITY HEALTH SYSTEM, INC. ("WSN"), PURSUANT TO THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW, SUCH AS THE AUTHORITY TO (I) ELECT AND REMOVE MEMBERS OF THE TAXPAYER'S GOVERNING BOARD, (II) APPROVE AMENDMENTS TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND (III) APPROVE SIGNIFICANT CORPORATE TRANSACTIONS SUCH AS MERGERS, CONSOLIDATIONS, THE DISSOLUTION OF THE TAXPAYER AND THE SALE, LEASE, MORTGAGE, PLEDGE OR OTHER TRANSFER OF SIGNIFICANT ASSETS OF THE TAXPAYER, THE APPROVAL OF THE FOLLOWING MATTERS HAVE BEEN SPECIFICALLY RESERVED TO WSN, IN ITS CAPACITY AS THE TAXPAYER'S SOLE MEMBER, PURSUANT TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS: (A) APPROVAL OF THE TAXPAYER'S MISSION AND PHILOSOPHY; (B) ESTABLISHING THE SIZE OF THE TAXPAYER'S GOVERNING BOARD; (C) SELECTION AND REMOVAL OF THE CHAIRPERSON OF THE TAXPAYER'S GOVERNING BOARD; (D) ESTABLISHING CRITERIA FOR EVALUATING PERFORMANCE OF THE TAXPAYER'S CHIEF EXECUTIVE OFFICER; (E) APPROVAL OF THE TAXPAYER'S OPERATING AND CAPITAL BUDGETS AND BUSINESS PLAN; (F) APPROVAL OF THE ESTABLISHMENT OF A HEALTH MAINTENANCE ORGANIZATION BY THE TAXPAYER; (G) APPROVAL OF THE INITIATION OF ANY JOINT VENTURE OR PARTNERSHIP BY THE TAXPAYER; (H) APPROVAL OF THE ESTABLISHMENT OF ANY MATERIAL NEW LINES OF BUSINESS BY THE TAXPAYER THAT IS NOT OTHERWISE CONTEMPLATED WITHIN A PREVIOUSLY APPROVED BUSINESS PLAN OF THE TAXPAYER; (I) APPROVAL OF ANY TRANSACTION THAT RESULTS IN THE TAXPAYER BECOMING THE SOLE MEMBER OR SHAREHOLDERS OF ANY OTHER CORPORATION THAT OWNS OR OPERATES A LICENSED HOSPITAL; (J) APPROVAL OF ANY TRANSACTION THAT RESULTS IN A THIRD PARTY BECOMING ENTITLED TO APPOINT MEMBERS OF THE TAXPAYER'S GOVERNING BOARD; (K) INITIATION BY THE TAXPAYER OF A BANKRUPTCY OR INSOLVENCY ACTION; (L) APPROVAL OF ANY ACTION THAT WOULD RESULT IN THE COMPLETE CLOSURE OR CONVERSION OF THE USE OF THE TAXPAYER'S FROM A GENERAL ACUTE CARE HOSPITAL; (M) APPROVAL OF THE ISSUANCE OF LONG-TERM DEBT IN EXCESS OF $2.0 MILLION BY THE TAXPAYER OR THE INCURRENCE OF ANY OTHER DEBT BY THE TAXPAYER THAT IS IN EXCESS OF $1.0 MILLION AND NOT PART OF THE TAXPAYER'S APPROVED BUDGETS AND THAT IS NOT NECESSARY TO FINANCE THE COST OF COMPLIANCE WITH OPERATIONAL OR PHYSICAL PLANT STANDARDS REQUIRED BY LAW; (N) APPROVAL OF LITIGATION SETTLEMENTS INVOLVING THE TAXPAYER THAT EXCEED APPLICABLE COMMERCIAL OR SELF-INSURANCE COVERAGE; (O) APPROVAL OF THE SUBMISSION OF ANY CERTIFICATE OF NEED APPLICATIONS BY OR ON BEHALF OF THE TAXPAYER WITH ANY REGULATORY AUTHORITY; (P) APPROVAL OF THE INITIATION BY THE TAXPAYER OF A NEW CLINICAL SERVICE OR THE DISCONTINUANCE OR SUBSTANTIAL CHANGE IN AN EXISTING CLINICAL SERVICE; AND (Q) APPROVAL OF THE EXPENDITURE BY THE TAXPAYERS OF MORE THAN $2.0 MILLION IN CONNECTION WITH A SINGLE TRANSACTION RELATED TO HEALTH SERVICE DELIVERY. NOTE THAT IN ACCORDANCE WITH THE TAXPAYER'S AND WSN'S CERTIFICATE OF INCORPORATION AND BYLAWS, WSN DOES NOT HAVE THE AUTHORITY TO EXERCISE CONTROL OVER CERTAIN OF THE FOREGOING MATTERS TO THE EXTENT THAT (I) AUTHORIZATION OF A PARTICULAR MATTER BY THE TAXPAYER IS NECESSARY TO ENSURE THAT ACTIONS TAKEN BY THE TAXPAYER CONFORM WITH THE TAXPAYER'S MISSION AND PHILOSOPHY, AND (II) WSN IS NOT THEN CURRENTLY ESTABLISHED OR LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW TO EXERCISE SUCH APPROVAL AUTHORITY. FORM 990, PART VI, SECTION B, LINE 11 THE POLICY OF SOUTH NASSAU COMMUNITIES HOSPITAL FOR REVIEWING AND APPROVING THE IRS FORM 990 IS THE FOLLOWING: THE AUDIT COMMITTEE, A SUB-COMMITTEE OF THE BOARD OF DIRECTORS, IS ASSIGNED TO REVIEW AND APPROVE THE IRS FORM 990 THAT IS FILED ON BEHALF OF THE ORGANIZATION, BEFORE IT IS FILED WITH THE IRS. THE AUDIT COMMITTEE WILL NOTIFY THE BOARD OF DIRECTORS WHEN THE IRS FORM 990 IS APPROVED BY THE AUDIT COMMITTEE. ONCE THE 990 IS APPROVED, THE BOARD OF DIRECTORS WILL RECEIVE A COPY (ELECTRONICALLY OR HARDCOPY) BEFORE IT IS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SOUTH NASSAU COMMUNITIES HOSPITAL HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS UPDATED ON AN ANNUAL BASIS WITH MEMBERS OF THE CORPORATE COMPLIANCE COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) AND WITH LEGAL COUNSEL. THE POLICY IS UPDATED FOR ANY NEW/UPDATED LEGAL AND GOVERNANCE ISSUES AND DISTRIBUTED TO BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT ON AN ANNUAL BASIS. ALONG WITH THE POLICY, A QUESTIONNAIRE IS PROVIDED TO ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND MANAGEMENT REQUESTING ACKNOWLEDGEMENT THAT THEY RECEIVED THE FORM, ASKING THEM TO DISCLOSE ALL KNOWN RELATIONSHIPS AND RETURN THE SIGNED FORM TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT FOLLOWS UP WITH ANY BOARD MEMBER, OFFICERS, KEY EMPLOYEES OR MANAGEMENT STAFF WHEN A POTENTIAL CONFLICT EXISTS. THIS INFORMATION IS THEN REPORTED BACK TO THE CORPORATE COMPLIANCE COMMITTEE WHICH THEN REPORTS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 15 (A) -SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE OFFICERS' COMPENSATION. THE COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF DISINTERESTED DIRECTORS, UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICERS OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT PERIODICALLY RENDERS AN OPINION THAT THE TOTAL PROPOSED COMPENSATION FOR THE OFFICERS ARE "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS AND THAT THE SAFE-HARBOR DESCRIBED THEREIN IS SATISFIED. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICERS' SALARY TO REACH ITS OPINION. 15 (B) -COMPENSATION FOR THE OTHER OFFICERS (NOT MENTIONED ABOVE) AND KEY EMPLOYERS IS BASED ON A VARIETY OF SOURCES WHICH INCLUDE THIRD PARTY COMPENSATION SURVEYS AND STUDIES, THE ORGANIZATION'S HISTORICAL SALARY RATES, OTHER COMPENSATION WITHIN THE ORGANIZATION FOR SIMILAR TITLES AND POSITIONS, AND THE CURRENT LABOR MARKET. ALL SALARIES FOR EMPLOYEES MUST BE APPROVED BY THE CHIEF EXECUTIVE OFFICER AND/OR THE CHIEF OPERATING OFFICER AND THE VICE PRESIDENT OF HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC CAN OBTAIN A COPY OF THE 990, 990T, AUDITED FINANCIAL STATEMENTS VIA A WRITTEN OR VERBAL REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. THE BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY OF THE HOSPITAL CAN BE OBTAINED AT MANAGEMENT'S DISCRETION VIA A WRITTEN REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. PHONE NUMBER: (516) 377-5370. THE HOSPITAL'S PREVIOUS YEARS' 990 CAN BE FOUND ON THE WEBSITE, WWW.GUIDESTAR.COM. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATES -20,065,302. PENSION AND POST RETIREMENT LIAB ADJUSTMENTS -52,129,964. PARTNERSHIP INCOME 2,440. FORM 990, PART XII, LINE 2C: SOUTH NASSAU COMMUNITIES HOSPITAL RECEIVED A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2014. THE CONSOLIDATED FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA ("GAAP"). THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF SOUTH NASSAU COMMUNITIES HOSPITAL AND ALL OF ITS AFFILIATED ORGANIZATIONS WHICH IN SOME CASES FILE SEPARATE RETURNS WITH THE IRS. FORM 990, PAGE 1, BOX H THE HOSPITAL AND AFFILIATED ORGANIZATIONS ARE SECTION 501(C)(3) ORGANIZATIONS, AND SOUTH NASSAU SELF-INSURANCE TRUST IS A SECTION 4947(A)(I) TRUST. THE ORGANIZATIONS ARE EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AND THEIR INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR NEW YORK STATE INCOME TAXES. SN HEALTHCARE AND SOUTH NASSAU SN, LLC ARE TAXABLE ENTITIES. THE EFFECTS OF INCOME TAXES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. AFFILIATES INCLUDED IN GROUP RETURN SUBORDINATE ORGANIZATIONS OF SOUTH NASSAU COMMUNITIES HOSPITAL (EIN: 27-2843521) GROUP EXEMPTION NUMBER 5611: - SOUTH NASSAU PRIMARY MEDICAL CARE, P.C. EIN: 11-3581988 - SOUTH NASSAU FAMILY MEDICINE, P.C. EIN: 11-3565450 - OCEANSIDE COUNSELING CENTER INC. EIN: 23-7062966 - S.N. SERVICES CORP EIN: 11-2727976 - SOUTH NASSAU NEONATAL SERVICES, P.C. EIN: 11-3319620 - SOUTH NASSAU PHYSICIAN PRACTICE, P.C. EIN: 26-2692377 - SOUTH NASSAU ONCOLOGY PRACTICE, P.C. EIN: 46-2905667 - SOUTH NASSAU CARDIOVASCULAR PRACTICE, P.C. EIN: 38-3843950 - 203 MERRICK ROAD EIN: 27-5368294 - SN RADIOLOGICAL PRACTICE, P.C. EIN: 27-4344388 - SOUTH NASSAU MEDICAL GROUP, P.C. EIN: 45-4799159 - SOUTH NASSAU OBSTETRICS AND GYNECOLOGY, P.C. EIN: 45-5272144 - RADIOLOGICAL ASSOCIATES OF LONG ISLAND, P.C. EIN: 11-2462030 - SOUTH NASSAU ONCOLOGY, P.C. EIN: 27-3857309 - SNCH COMMUNITY DEVELOPMENT CORPORATION EIN: 47-1303599 - SOUTH NASSAU PHYSICIANS, PC EIN: 47-1545515 SOUTH NASSAU MALPRACTICE TRUST ONE HEALTHY WAY OCEANSIDE NY 11572 136749767 INSURANCE NY 4797 (A) (1) SOUTH NASSAU COMMUNITIES HOSPITAL INC 1 WINTHROP UNIVERSITY HOSPITAL - 11-1633486 259 FIRST STREET MINEOLA NY 11501 111633486 HOSPITAL NY 501(C)(3) LINE 3: 170(B)(1)(A) WINTHROP SOUTH NASSAU UNIVERSITY HEALTH SYSTEM 0 WINTHROP SOUTH NASSAU UNIVERSITY HEALTH SYSTEM ONE HUNTINGTON QUADRANGLE MELVILLE NY 11747 066427908 DELIVER CARE NY 501(C)(3) LINE 11, TYPE I: 509 N/A 0 SOUTH NASSAU SN LLC ONE HEALTHY WAY OCEANSIDE NY 11572 450541270 INACTIVE NY N/A C 1.00000 0 SN HEALTHCARE SERVICES ONE HEALTHY WAY OCEANSIDE NY 11572 113571538 INACTIVE NY N/A C 5000 1.00000 0 SN HEALTHCARE REGISTRY ONE HEALTHY WAY OCEANSIDE NY 11572 260228658 INACTIVE NY N/A C 1.00000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 SOUTH NASSAU FAMILY MEDICINE PC S 943000 SOUTH NASSAU FAMILY MEDICINE PC N 502044 SOUTH NASSAU FAMILY MEDICINE PC B 701130 SN NEONATAL PC R 550000 SN NEONATAL PC N 54480 SN NEONATAL PC B 111927 SN OBGYN PC R 1549200 SN OBGYN PC N 172422 SN ONCOLOGY PC S 500000 SN ONCOLOGY PC N 73368 SN ONCOLOGY PC B 868590 SN PHYSICIAN PRACTICE PC S 1241000 SN PHYSICIAN PRACTICE PC N 478596 SN PHYSICIAN PRACTICE PC B 2017824 SN RADIOLOGY PC R 1772000 SN RADIOLOGY PC N 89136 SN RADIOLOGY PC B 470194 RADIOLOGICAL ASSOCIATES OF LONG ISLAND S 2642000 RADIOLOGICAL ASSOCIATES OF LONG ISLAND N 211662 RADIOLOGICAL ASSOCIATES OF LONG ISLAND B 4084866 SOUTH NASSAU PRIMARY MEDICAL PC R 524500 SOUTH NASSAU PRIMARY MEDICAL PC N 69030 SOUTH NASSAU PRIMARY MEDICAL PC B 621961 SN CARDIOVASCULAR PC S 491000 SN CARDIOVASCULAR PC B 752489 SN MEDICAL GROUP PC S 1404000 SN MEDICAL GROUP PC B 2461021 SN ONCOLOGY PRACTICE PC S 516000 SN ONCOLOGY PRACTICE PC B 654309 203 MERRICK ROAD R 265000 SN SERVICES B 1286711 OCEANSIDE COUNSELING CENTER INC Q 121416 FORM 990, SCHEDULE R, PART V, LINE 2 VALUE OF THE SERVICES ARE DONE ON A CASH BASIS.