2014-11-14T08:21:20-06:00 2013-12-31 990 2013-01-01 113473923 NORTH SHORE-LONG ISLAND JEWISH MEDICAL CARE CENTERS INC % NORTH SHORE-LIJ HEALTH SYSTE NORT 5168766061 972 BRUSH HOLLOW ROAD 5TH FLOOR Suite WESTBURY NY 11590 ROBERT S SHAPIRO EXEC VP & CFO 2014-10-28 2013 2015-11-30 17:44:51Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 0 false X northshorelij.com X 1998 NY TO OWN AND OPERATE DIAGNOSTIC AND TREATMENT CENTERS IN LONG ISLAND WHICH PROVIDE PRIMARY MEDICAL CARE SERVICES TO THE COMMUNITY 8 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TO OWN AND OPERATE DIAGNOSTIC AND TREATMENT CENTERS IN LONG ISLAND WHICH PROVIDE PRIMARY MEDICAL CARE SERVICES TO THE COMMUNITY false false 0 N/A 0 true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false X 8 5 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 RD WESTBURY NY 11590 MICHAEL J DOWLING PRESIDENT & CEO 0.0 50.0 X X 0 3117843 1222774 RICHARD D GOLDSTEIN CHAIRMAN 0.0 3.0 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 MARK CLASTER CHAIRMAN ELECT 0.0 2.0 X X 0 0 0 RICHARD ABRAMSON DIRECTOR 0.0 2.0 X 0 0 0 ROY J ZUCKERBERG DIRECTOR 0.0 2.0 X 0 0 0 SAUL B KATZ DIRECTOR 0.0 2.0 X 0 0 0 HOWARD B GOLD EVP, REVENUE & BUSINESS DEV 0.0 50.0 X 0 3456217 327498 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0.0 50.0 X 0 1894904 325554 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0.0 50.0 X 0 1199086 243156 KEITH THOMPSON SR VP & GENERAL COUNSEL 0.0 50.0 X 0 876784 50350 DONNA DRUMMOND SVP, CHIEF ADMIN OFFICER 0.0 50.0 X 0 645712 43150 HARRY GINDI ASSISTANT SECRETARY 0.0 50.0 X 0 314462 43150 ALAN I GREENE TREASURER 0.0 2.0 X 0 0 0 DONALD ZUCKER SECRETARY 0.0 2.0 X 0 0 0 LAURA PEABODY SVP, CHIEF LEGAL COUNSEL 0.0 50.0 X 0 261869 43150 ANDREW SCHULZ Gen Counsel & Asst. Secretary 0.0 50.0 X 0 522928 43150 0 12289805 2341932 0 false true false NONE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 X false true X true false X X X NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM 113418133 03 true true true 0 1 0 X X X X X false true false false false false false true false MICHAEL J DOWLING PRESIDENT & CEO 0 1366853 0 1700000 0 50990 0 1201724 0 21050 0 4340617 0 0 HOWARD B GOLD EVP, REVENUE & BUSINESS DEV 0 1032469 0 392000 0 2031748 0 312398 0 15100 0 3783715 0 562264 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0 1166663 0 700000 0 28241 0 310664 0 14890 0 2220458 0 0 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0 926327 0 242000 0 30759 0 220856 0 22300 0 1442242 0 0 KEITH THOMPSON SR VP & GENERAL COUNSEL 0 726199 0 112000 0 38585 0 28050 0 22300 0 927134 0 0 DONNA DRUMMOND SVP, CHIEF ADMIN OFFICER 0 510278 0 76000 0 59434 0 28050 0 15100 0 688862 0 0 HARRY GINDI ASSISTANT SECRETARY 0 288687 0 21382 0 4393 0 28050 0 15100 0 357612 0 0 LAURA PEABODY SVP, CHIEF LEGAL COUNSEL 0 161148 0 100000 0 721 0 28050 0 15100 0 305019 0 0 ANDREW SCHULZ Gen Counsel & Asst. Secretary 0 468164 0 33897 0 20867 0 28050 0 15100 0 566078 0 0 PART I, LINE 4B 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 ($1,173,674), Mark J Solazzo ($282,614), Robert S Shapiro ($192,806) and Howard B Gold ($284,348). PART I, LINE 7 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-1, Part II, B (ii). PART II, COLUMN (F) 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. 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. Mark Claster has a business relationship with Richard Goldstein. Richard D. Goldstein has a business relationship with Mark Claster and Barry Rubenstein. William Mack has business relationships with Barry Rubenstein and Roy Zuckerberg. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Roy Zuckerberg has a business relationship with William Mack. 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, COLUMN (B) This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The persons listed 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, Key Employees and Highest Compensated 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 VI, 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. 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