2015-11-13T11:49:58-06:00 2014-12-31 990 2014-01-01 237007485 NORTH SHORE-LIJ STERN FAMILY CENTER FOR REHABILITATION % NORTH SHORE-LIJ HEALTH SYSTE NORT 5164658339 972 BRUSH HOLLOW RD WESTBURY NY 11590 ROBERT S SHAPIRO EXEC VP & CFO 2015-10-30 2014 2016-04-25 22:37:26Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 70606994 false X WWW.NORTHSHORELIJ.COM X 1968 NY THE MISSION IS TO ENABLE RESIDENTS TO BE independent through SHORT-TERM REHABILITATION, AND TO PROVIDE EXTENDED care to those who NEED IT REGARDLESS OF ABILITY TO PAY. 118 108 595 25 0 0 0 54474305 56266291 103694 85858 572044 554142 55150043 56906291 0 0 0 0 35250882 41190491 0 0 0 11896366 12789010 47147248 53979501 8002795 2926790 56253228 59859095 20675603 21364345 35577625 38494750 THE MISSION IS TO ENABLE RESIDENTS TO BE INDEPENDENT THROUGH SHORT-TERM REHABILITATION, AND TO PROVIDE EXTENDED CARE TO THOSE WHO NEED IT REGARDLESS OF ABILITY TO PAY. false false 47736293 0 56266291 NORTH SHORE-LIJ STERN FAMILY CENTER FOR REHABILITATION IS A 256 BED SKILLED NURSING FACILITY THAT SPECIALIZES IN SHORT TERM REHABILITATION AND EXTENDED CARE SERVICES. 47736293 true false false true false false false false false false true false false true true true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 26 0 true 595 true false false false false false false false false false false false false false false false X 118 108 true false false false false true true true true false false true true true true true true true true false NY X X NORTH SHORE-LIJ HEALTH SYSTE 5168766061 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 MICHAEL J DOWLING PRESIDENT & CEO 0.0 50.0 X X 0 9627815 477742 RALPH NAPPI TRUSTEE, EVC 0.0 50.0 X 0 857296 43700 RICHARD D GOLDSTEIN IMMEDIATE PAST PRESIDENT 0.0 2.0 X X 0 0 0 WILLIAM L MACK VICE CHAIRMAN 0.0 2.0 X X 0 0 0 BARRY RUBENSTEIN VICE CHAIRMAN 0.0 2.0 X X 0 0 0 ALAN I GREENE TREASURER 0.0 2.0 X X 0 0 0 DONALD ZUCKER SECRETARY 0.0 2.0 X X 0 0 0 MARK CLASTER CHAIRMAN 0.0 3.0 X X 0 0 0 NON COMPENSATED TRUSTEES TRUSTEES 0.0 2.0 X 0 0 0 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0.0 50.0 X 0 919339 185412 KEVIN F LAWLOR TRUSTEE, PRES & CEO HUNTINGTON 0.0 50.0 X 0 700935 43700 HOWARD GOLD EVP, MANAGED CARE, BUS DEV 0.0 50.0 X 0 1848050 43700 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0.0 50.0 X 0 1900416 353288 ROBERT S SHAPIRO EXEC VICE PRES & CFO 0.0 50.0 X 0 1193192 294070 LAWRENCE G SMITH MD EVP/PHYSICIAN IN CHIEF 0.0 50.0 X 0 2975330 624823 JEFFREY KRAUT SR VP STRATEGIC PLAN 0.0 50.0 X 0 908621 266659 KATHLEEN GALLO MD PHD CHF LEARNING OFFICER 0.0 50.0 X 0 748558 43700 DONNA DRUMMOND SVP, SHARED SERVICES 0.0 50.0 X 0 646640 43700 HARRY GINDI ASSISTANT SECRETARY 0.0 50.0 X 0 313880 43700 ANDREW SCHULZ ASST SECRETARY, GEN COUNSEL 0.0 50.0 X 0 683675 43700 EUGENE TANGNEY SVP, CHF ADMIN OFFICER 0.0 50.0 X 0 980206 171715 MAUREEN MCCLUSKY EXECUTIVE DIRECTOR 50.0 0.0 X 360201 0 43700 JAMES LOLIS PHYSICIAN 50.0 0.0 X 239536 0 43700 PETER CACIOPPO DIR, REHABILITATION SVCS 50.0 0.0 X 131349 0 28220 YAKOV IOFEL PHYSICIAN 50.0 0.0 X 177644 0 30980 NANCY O'CONNOR ASSOC EXEC DIRECTOR, FIN 50.0 0.0 X 183103 0 31340 BARBARA GERAGHTY ASSOC EXEC DIR, PCS 50.0 0.0 X 170582 0 30560 1262415 24303953 2888109 14 false true false NORTH SHORE CENTER FOR SPEECH LANGU 585 STEWART AVE GARDEN CITY NY 11530 MEDICAL SERVICES 299947 UNITEX TEXTILE RENTAL 155 SOUTH TERRACE AVE MOUNT VERNON NY 10550 LINEN SERVICE 168522 HEALTHPRO MANAGEMENT SERVICES LLC 10600 YORK RD COCKEYESVILLE MD 21030 CONSULTING 157500 GUARDIAN CONSULTING 3333 NEW HYDE PARK RD ST202 NEW HYDE PARK NY 11042 CONSULTING 134780 4 0 NET PATIENT SERVICE REVENUE 621300 25627936 25627936 PHYSICIAN SERVICE REVENUE 621300 841951 841951 MEDICARE/MEDICAID PAYMENTS 621300 29796404 29796404 56266291 181487 181487 4142 4142 0 0 0 0 13600932 13700703 -99771 -99771 0 0 0 SALARY RECOVERY 900099 164568 164568 EMPLOYEE CAFETERIA 900099 95668 95668 MEALS ON WHEELS 900099 75466 75466 218440 179058 39382 554142 56906291 56609917 396145 0 0 0 0 360201 360201 0 29062787 27135924 1926863 0 3316194 3096330 219864 6337095 5916946 420149 2114214 1974042 140172 342151 342151 88038 88038 0 0 0 0 1309005 1222218 86787 13814 12898 916 4603991 4298746 305245 0 0 617212 576291 40921 19929 19929 0 19304 19304 253436 253436 0 1559045 1455680 103365 373265 373265 BAD DEBT 370040 370040 PURCHASED SERVICES 774189 774189 DUES & SUBSCRIPTIONS 35605 33244 2361 CENTRALIZED ADMIN EXP 2306050 2306050 103936 97046 6890 53979501 47736293 6243208 0 681363 36867 0 0 0 0 5588411 9434163 0 0 0 0 0 0 14498 11319 1000 3469 23429011 10762137 13613363 12666874 14272293 14668980 0 0 0 0 0 0 22082300 23037423 56253228 59859095 5217943 5046455 0 0 0 0 6312091 6211189 0 0 0 0 0 0 0 0 9145569 10106701 20675603 21364345 X 34693881 37639143 883744 855607 0 0 35577625 38494750 56253228 59859095 X 2926790 -44268 34603 X false true X true true true X 0 0 0 0 0 0 35868208 47946562 51926302 55046349 56820433 247607854 0 0 0 35868208 47946562 51926302 55046349 56820433 247607854 0 0 0 247607854 224972 290249 127440 103694 85858 832213 0 224972 290249 127440 103694 85858 832213 0 0 36093180 48236811 52053742 55150043 56906291 248440067 0.99665 0.99161 0.00335 0.00839 X false false false false false false false true 2349 false 2349 false false PART II-B, LINE 1H - LOBBYING ACTIVITY NORTH SHORE-LIJ STERN FAMILY CENTER FOR REHABILITATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. 575000 575000 16353826 7908830 8444996 6160978 2564032 3596946 339207 289275 49932 12666874 AMORTIZED BOND FINANCING COSTS 122533 PATIENT SECURITY DEPOSIT 19108 DUE FROM AFFILIATES 20873316 INTEREST IN FOUNDATION 261255 INSURANCE CLAIMS RECEIVABLE 1709930 OTHER ASSETS 51281 23037423 0 DUE TO THIRD-PARTY PAYORS 3782488 ACCRUED RETIREMENT BENEFITS 3499013 OTHER LIABILITIES 796533 INSURANCE CLAIMS LIABILITY 1709930 BOND PREM/DISC 318737 10106701 X 56531546 -44268 -330477 -374745 56906291 56906291 51673984 51673984 2305517 2305517 53979501 PART C, LINE 2 - FIN 48 Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2014 and 2013, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $165,000,000, which expire in varying amounts through 2034, and are available to offset future taxable income. PART XI, LINE 2D - RECONCILIATION OF REVENUE PROVISION OF BAD DEBT (370,040) NET ASSETS RELEASED 39,563 TOTAL (330,477) PART XII, LINE 4B - RECONCILIATION OF EXPENSE ADDITIONAL MINIMUM PENSION ADJUSTMENT 1,935,477 PROVISION FOR BAD DEBT 370,040 TOTAL 2,305,517 X X X X X false true false false false false false true false MICHAEL J DOWLING PRESIDENT & CEO 0 1373402 0 1728000 0 6526413 0 456717 0 21025 0 10105557 0 5095760 HOWARD GOLD EVP, MANAGED CARE, BUS DEV 0 1079764 0 737000 0 31286 0 28600 0 15100 0 1891750 0 0 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0 1172927 0 700000 0 27489 0 338188 0 15100 0 2253704 0 0 ROBERT S SHAPIRO EXEC VICE PRES & CFO 0 925430 0 236000 0 31762 0 278970 0 15100 0 1487262 0 0 LAWRENCE G SMITH MD EVP/PHYSICIAN IN CHIEF 0 735253 0 309000 0 1931077 0 608710 0 16113 0 3600153 0 1302490 JEFFREY KRAUT SR VP STRATEGIC PLAN 0 720927 0 157000 0 30694 0 251559 0 15100 0 1175280 0 0 KATHLEEN GALLO MD PHD CHF LEARNING OFFICER 0 623254 0 93000 0 32304 0 28600 0 15100 0 792258 0 0 DONNA DRUMMOND SVP, SHARED SERVICES 0 510427 0 77000 0 59213 0 28600 0 15100 0 690340 0 0 RALPH NAPPI TRUSTEE, EVC 0 673335 0 150000 0 33961 0 28600 0 15100 0 900996 0 0 HARRY GINDI ASSISTANT SECRETARY 0 288540 0 21136 0 4204 0 28600 0 15100 0 357580 0 0 MAUREEN MCCLUSKY EXECUTIVE DIRECTOR 302608 0 26920 0 30673 0 28600 0 15100 0 403901 0 0 0 JAMES LOLIS PHYSICIAN 211589 0 12178 0 15769 0 28600 0 15100 0 283236 0 0 0 PETER CACIOPPO DIR, REHABILITATION SVCS 121847 0 7560 0 1942 0 13120 0 15100 0 159569 0 0 0 YAKOV IOFEL PHYSICIAN 166707 0 9379 0 1558 0 15880 0 15100 0 208624 0 0 0 NANCY O'CONNOR ASSOC EXEC DIRECTOR, FIN 170927 0 10980 0 1196 0 16240 0 15100 0 214443 0 0 0 BARBARA GERAGHTY ASSOC EXEC DIR, PCS 158544 0 9450 0 2588 0 15460 0 15100 0 201142 0 0 0 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0 763150 0 111000 0 45189 0 170312 0 15100 0 1104751 0 0 KEVIN F LAWLOR TRUSTEE, PRES & CEO HUNTINGTON 0 594131 0 57000 0 49804 0 28600 0 15100 0 744635 0 0 ANDREW SCHULZ ASST SECRETARY, GEN COUNSEL 0 570660 0 84320 0 28695 0 28600 0 15100 0 727375 0 0 EUGENE TANGNEY SVP, CHF ADMIN OFFICER 0 840427 0 128000 0 11779 0 156615 0 15100 0 1151921 0 0 PART I, LINE 4B - SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($428,117), Mark J Solazzo ($309,588), Robert S Shapiro ($250,370), Lawrence G Smith ($580,110), Jeffrey Kraut ($222,959), Laura Peabody ($141,712), and Eugene Tangney ($128,015). PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part I, B (ii). PART II, COLUMN (F) - SERP PAYOUT The amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS Instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903LC3 2007-05-31 3093951 2007 A&B BONDS-CAP IMPROV & REFUND true false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905QL3 2009-09-17 1528339 2009 A&E BONDS-CAP IMPROV & REFI 2 false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906UY8 2012-05-03 3568410 2012 A BONDS REFUND 1998 BONDS false false false A 619851 0 1949900 131366 28962 0 19424 0 0 460880 1287801 0 2009 true true false true B 5155 0 1516495 23853 118184 0 24775 0 55664 1067481 250391 0 2012 true false true true C 0 0 4088059 0 0 0 77041 0 0 0 4011018 0 2012 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false true true false true CITIBANK NA 25.9 true false true MBIA 18.1 true true true B false false true true false false 0 false 0 true true C false true true false false false 0 false 0 false true A true B true C true PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS PART IV, ARBITRAGE, LINE 2C - REBATE CALCULATION WAS PERFORMED 5/31/2012 PART IV, ARBITRAGE, LINE 2C - REBATE CALCULATION WAS PERFORMED 8/31/2014 PART VI, SECTION A - GOVERNING BODY, LINE 2 All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Elise Bloom and Eric and Roger Blumencranz. John Alexander has a business relationship with Laura Lauria and John Shall. Philip Altheim has a business relationship with Eric Blumencranz. Michael Ashner has a business relationship with William Mack. Frank Besignano has a business relationship with Laura Lauria. Elise Bloom has a business relationship with William Achenbaum, Leonard Feinstein and Lewis Ranieri. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Arlene Lane Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade, Nancy Waldbaum, Barbara Hrbek Zucker and Donald Zucker. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Arlene Lane Fisher, Richard D. Goldstein, Alan Greene, Stanley Grey, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Stuart Levine, David Mack, Bradley Marsh, Ralph Nappi, Michael Slade, Mark Solazzo, Barbara Hrbek Zucker and Donald Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Robert Chasanoff has a business relationship with Michael Sahn. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Richard Goldstein and Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with Elise Bloom and William Mack. Arlene Lane Fisher has a business relationship with Eric Blumencranz and Roger Blumencranz. Lloyd Goldman has a business relationship with Eric Blumencranz, Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman, William Mack and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a business relationship with Eric Blumencranz and Roger Blumencranz. Stanley Grey has a business relationship with Roger Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Gedale Horowitz has a family relationship with Richard and Seth Horowitz. Richard Horowitz has a family relationship with Gedale and Seth Horowitz. He has a business relationship with Eric Blumencranz and Roger Blumencranz. Seth Horowitz has a family relationship with Gedale and Richard Horowitz. M. Allan Hyman has a business relationship with Eric Blumencranz, Roger Blumencranz, David Blumenfeld, Edward Blumenfeld, David Katz, Michael Katz, Saul Katz, Stanely Kreitman and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with M. Allan Hyman, Michael Katz, Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Saul Katz, Curt Launer and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Michael Katz, Curt Launer, F.J. McCarthy and Michael Slade. Cary Kravet has a business relationship with Steve Braun. Stanley Kreitman has a business relationship with Allan Hyman. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz and Saul Katz. Laura Lauria has a business relationship with John Alexander and Frank Besignano. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric Blumencranz and Roger Blumencranz. Seth Lipsay has a business relationship with David Katz. David Mack has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward and David Blumenfeld, Leonard Feinstein, Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz and Roger Blumencranz. Jeff Maurer has a business relationship with William Hiltz. F.J. McCarthy has a business relationship with Saul Katz, Robert Rosenthal and Emmett Walker. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Ralph Nappi has a business relationship with Eric Blumencranz and Roger Blumencranz. John J. Raggio has a family relationship with John V. Raggio. John V. Raggio has a family relationship with John J. Raggio. Lewis Ranieri has a business relationship with Elise Bloom. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Michael Sahn has a business relationship with Robert Chasanoff. John Shall has a business relationship with Patrick McDermott, John Alexander, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz and Roger Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Roger Blumencranz. Nancy Waldbaum has a business relationship with Eric Blumencranz and Robert Rosenthal. Emmett Walker has a business relationship with F.J. McCarthy. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric Blumencranz, Roger Blumencranz and M. Allan Hyman. Roy Zuckerberg has a business relationship with William Mack. PART VI, SECTION A - GOVERNING BODY, LINE 7 North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. PART VI, SECTION B - POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for North Shore-LIJ Health System Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. PART VI, SECTION B - POLICIES, LINE 12C The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. PART VI, SECTION B - POLICIES, LINE 15 The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the ceo for all persons other than the ceo. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations. PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A Richard S. Abramson Michael Gould F.J. McCarthy William Achenbaum Albert L. Granger,DDS Patrick F. McDermott John W. Alexander Alan I. Greene James McMullen Philip S. Altheim Stanley Grey Charles Merinoff Michael L. Ashner Paul B. Guenther Richard D. Monti Ralph M. Baruch Amy M. Hagedorn Richard Murcott Frank J. Besignano Ira Hazan Ralph A. Nappi Elise M. Bloom Linda W. Heaney Raffiq A. Nathoo Eric S. Blumencranz Marlene Hess Richard B. Nye Roger A. Blumencranz William O. Hiltz Clyde I. Payne, Ed.D. David Blumenfeld Gedale B. Horowitz Arnold S. Penner Edward Blumenfeld Richard A. Horowitz John J. Raggio E. Steve Braun Seth R. Horowitz John V. Raggio Dayton T. Brown, Jr M. Allan Hyman Lewis S. Ranieri Jonathan S. Canno Mark Jacobson Dennis Riese Michael Caridi Jeffrey Jurick Terry P. Rifkin, M.D. Robert W. Chasanoff David M. Katz Robert A. Rosen Alan Chopp Michael Katz Marcie Rosenberg Mark Claster Saul B. Katz Robert D. Rosenthal Diana F. Colgate Lisa A. Kaufman Bernard M. Rosof, M.D. Daniel M. Crown Robert Kaufman Jack J. Ross Philippe P. Dauman Cary Kravet Barry Rubenstein Thomas E. Dewey, Jr. Stanley Kreitman Herbert Rubin Thomas E. Dooley Seth Kupferberg Michael H. Sahn Michael J. Dowling Jeffrey B. Lane Lois C. Schlissel Robert N. Downey Curt N. Launer John M. Shall Patrick R. Edwards Laura Lauria Marc V. Shaw Michael A. Epstein Kevin F. Lawlor Richard Sims Leonard Feinstein David W. Lehr Michael C. Slade Michael E. Feldman Jonathan W. Leigh Phyllis Hill Slater Arlene Lane Fisher Arthur S. Levine Howard D. Stave Catherine C. Foster Stuart R. Levine Peter Tilles William H. Frazier Seth Lipsay Paula Dunn Tropello,EdD Eugene B. Friedman,MD David S. Mack Sandra Tytel William J. Fritz,PhD William L. Mack Frederick A. Volk Sy Garfinkel Linda Manfredi Nancy Waldbaum Lloyd M. Goldman Bradley Marsh, D.P.M. Emmett F. Walker, Jr Richard D. Goldstein Jeffrey S. Maurer Barbara Hrbek Zucker J. Joaquin Gonzalez Ronald J. Mazzucco Donald Zucker Roy J. Zuckerberg PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The officers, directors and trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers and Key Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. PART XI, LINE 9 CHANGE IN EQUITY UNDER FAS 136 34,603 NORTH SHORE-LIJ HEALTH SYSTEM 972 BRUSH HOLLOW RD WESTBURY NY 11590 113418133 SUPPORT NY 501(C)(3) 11, TYPE 1 NA false NORTH SHORE-LIJ HEALTH CARE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112965586 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false NORTH SHORE UNIVERSITY HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111562701 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false LONG ISLAND JEWISH MEDICAL CENTER 972 BRUSH HOLLOW RD WESTBURY NY 11590 112241326 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false GLEN COVE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111633487 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false FOREST HILLS HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112163522 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false PLAINVIEW HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 113241243 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false FRANKLIN HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112296824 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false SOUTHSIDE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111667761 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false NORTH SHORE-LIJ HEALTH SYSTEM LABS 972 BRUSH HOLLOW RD WESTBURY NY 11590 113412370 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 972 BRUSH HOLLOW RD WESTBURY NY 11590 112673595 RESEARCH NY 501(C)(3) 4 NS-LIJHS false NORTH SHORE-LIJ HEALTH SYSTEM FDN 972 BRUSH HOLLOW RD WESTBURY NY 11590 112965575 FUNDRAISING NY 501(C)(3) 7 NS-LIJHS false LIJ AT HOME PHARMACY 972 BRUSH HOLLOW RD WESTBURY NY 11590 113251128 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false LIJ FOUNDATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 112661239 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false NORTH SHORE MEDICAL CARE CENTERS 972 BRUSH HOLLOW RD WESTBURY NY 11590 113473923 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false SSH INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112774102 SUPPORT NY 501(C)(3) 11, TYPE 1 SOUTHSIDE false NORTH SHORE COMMUNITY SERVICES INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 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