2013-11-11T12:13:55-06:00 2012-12-31 990 2012-01-01 112774102 SSH INC C/O NORTH SHORE-LIJ HEALTH SYSTEM % NORTH SHORE-LIJ HEALTH SYSTE SSHI 5168766061 972 BRUSH HOLLOW RD 5TH FL Suite WESTBURY NY 11590 ROBERT S SHAPIRO 2013-11-08 2012 2016-02-24 21:20:13Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 0 false X www.northshorelij.com X 1984 NY AS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM, ITS MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. SSH, INC. PROVIDES SUPPORT TO SOUTHSIDE HOSPITAL THROUGH THE RENTAL OF REAL PROPERTY. 8 6 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 799985 799985 16746 16746 783239 783239 AS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM, ITS MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. SSH, INC. PROVIDES SUPPORT TO SOUTHSIDE HOSPITAL THROUGH THE RENTAL OF REAL PROPERTY. false false 0 OWNS AND OPERATES A MEDICAL BUILDING FOR THE BENEFIT OF SOUTHSIDE HOSPITAL. 0 true false false false 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 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 false false false false false false X 8 6 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 X MICHAEL J DOWLING 50.0 X X 0 2823350 1128235 RICHARD D GOLDSTEIN 3.0 X X 0 0 0 MARK CLASTER 2.0 X X 0 0 0 WILLIAM L MACK 2.0 X X 0 0 0 BARRY RUBENSTEIN 2.0 X X 0 0 0 HOWARD GOLD 50.0 X 0 1299856 298209 MARK J SOLAZZO 50.0 X 0 1698389 216113 ROBERT S SHAPIRO 50.0 X 0 1139452 231819 KEITH THOMPSON 50.0 X 0 2868822 533031 DONNA DRUMMOND 50.0 X 0 571767 42600 HARRY GINDI 0.0 50.0 X 0 284559 42600 ALAN I GREENE 2.0 X 0 0 0 DONALD ZUCKER 2.0 X 0 0 0 0 10686195 2492607 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 332908 216194 116714 116714 0 0 0 0 0 0 0 0 683271 683271 799985 799985 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16746 16746 16746 16746 X 783239 783239 0 0 0 0 783239 783239 799985 799985 0 X false true X true false X X false false false SOUTHSIDE HOSITAL 111667761 03 true true true 0 1 116714 116714 134545 134545 18213 18213 63436 63436 116714 DUE FROM SOUTHSIDE HOSPITAL 683271 683271 0 DUE TO ALETTA 16746 16746 X FIN 48 PART X, LINE 2 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, 2012 and 2011, 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 $149,000,000, which expire in varying amounts through 2032, and are available to offset future taxable income. X X X X X false true false false false false false true false MICHAEL J DOWLING 0 1172902 0 1628000 0 22448 0 1107110 0 21125 0 3951585 0 0 HOWARD GOLD 0 928383 0 340000 0 31473 0 283109 0 15100 0 1598065 0 0 MARK J SOLAZZO 0 974451 0 700000 0 23938 0 198500 0 17613 0 1914502 0 0 ROBERT S SHAPIRO 0 921946 0 190000 0 27506 0 209519 0 22300 0 1371271 0 0 KEITH THOMPSON 0 724853 0 113000 0 2030969 0 511950 0 21081 0 3401853 0 313468 DONNA DRUMMOND 0 479026 0 35742 0 56999 0 27500 0 15100 0 614367 0 0 HARRY GINDI 0 280028 0 0 0 4531 0 27500 0 15100 0 327159 0 0 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 ($1,079,610), Mark Solazzo ($171,000), Robert Shapiro ($182,019), Howard Gold ($255,609) and Keith Thompson ($484,450). BONUS AND INCENTIVE COMPENSATION 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 I, B (ii). BOARD MEMBER RELATIONS 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 and Saul Katz. Richard D. Goldstein has a business relationship with Mark Claster, William Mack, and Barry Rubenstein. Saul Katz has a business relationship with Mark Claster. William Mack has a business relationship with Barry Rubenstein, Richard Goldstein and Roy Zuckerberg. Barry Rubenstein has a business relationship with Mark Claster, Richard Goldstein and William Mack. Roy Zuckerberg has a business relationship with William Mack. EXECUTIVE COMMITTEE PART VI, SECTION B - POLICIES, LINE 11 All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. 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. CONFLICTS OF INTEREST 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 filled 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. OFFICERS COMPENSATION 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. DISCLOSURES 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. AVERAGE HOURS PART VII, SECTION A - LINE 1A This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Form 990, Part VII 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. GOVERNING BODY 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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