2013-11-14T17:12:47-06:00 2012-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2012-01-01 111018985 THE LONG ISLAND COLLEGE HOSPITAL % KRISTINA GILLAN LONG 2125233617 555 WEST 57TH STREET 5TH FLOOR Suite NEW YORK NY 10019 MICHAEL BRUNO 2125233617 2013-11-14 6464713000 2012 2016-02-24 21:20:13Z STANLEY BREZENOFF 555 WEST 57TH STREET NEW YORK NY 10019 2628159 false X www.chpnyc.org X 1858 NY IN MAY 2011,THE ORGANIZATION CEASED HOSPITAL OPERATIONS WHEN IT CLOSED ON AN ASSET PURCHASE AGREEMENT WITH THE STATE UNIV OF NY. PRIOR TO THIS,IT OPERATED IN ACCORDANCE WITH ITS MISSION AS A HOSPITAL 3 0 86 0 0 0 22000000 0 123519276 0 7600890 29954 83073350 2598205 236193516 2628159 0 0 0 0 92854379 413719 0 0 0 49645732 1719068 142500111 2132787 93693405 495372 42281726 38272319 42281726 38272319 0 0 ON MAY 29, 2011, THE ORGANIZATION CEASED HOSPITAL OPERATIONS WHEN IT CLOSED ON AN ASSET PURCHASE AGREEMENT ("APA") WITH THE STATE UNIVERSITY OF NY. IN ACCORDANCE WITH THE APA, LICH RETAINED CASH AND PATIENT RECEIVABLES IN ORDER TO PAY DOWN CERTAIN ACCOUNTS PAYABLE AND ACCRUED EXPENSES, WHICH REMAINED AT LICH. UPON SATISFACTION OF THE REMAINING LIABILITIES, THE RESIDUAL ASSETS, IF ANY, ARE TO BE TRANSFERRED TO SUNY. false false 0 0 0 none 0 true 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 false true false false false false false false false false false false false false false true true false false false true 27 0 86 true false false false false false false false false false false X 3 0 false false true false true true true true true false false true true true true true true true true false NY X KRISTINA GILLAN 2125233617 555 WEST 57TH STREET NEW YORK NY 10019 X STANLEY BREZENOFF 1.0 43.0 X X 0 2102339 43644 JOHN COLLURA 1.0 48.0 X X 0 1243141 39408 GAIL DONOVAN 1.0 47.0 X X 0 1502260 63924 JILL CLAYTON 1.0 42.0 X 0 421084 68368 0 5268824 215344 0 false true false PRICEWATERHOUSECOOPERS LLP PO BOX 7247-8001 PHILADELPHIA PA 191708001 ACCOUNTING SERVICES 1517463 PROSKAUER ROSE LLP ELEVEN TIMES SQUARE NEW YORK NY 100368299 LEGAL SERVICES 131419 EDWARDS WILDMAN PALMER 750 LEXINGTON AVENUE NEW YORK NY 10022 LEGAL SERVICES 110096 3 0 0 29954 29954 0 0 0 0 0 0 0 0 0 WRITEOFF PY PATIENT REC/COLLECTN RESRVE 900099 1671446 1671446 WRITE OF PAYABLES 900099 719691 719691 OTHER REVENUE 900099 207068 207068 2598205 2628159 2628159 0 0 0 0 0 0 126941 126941 41110 41110 227411 227411 18257 18257 0 229279 229279 15000 15000 0 0 0 558091 558091 0 64937 0 64937 0 110636 110636 0 210727 210727 2955 2955 0 4820 4820 0 0 0 522623 522623 2132787 0 2132787 0 42256731 36703456 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24995 0 0 0 0 0 0 0 0 0 1568863 42281726 38272319 19601924 25997869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22679802 12274450 42281726 38272319 X 0 0 0 0 0 0 0 0 42281726 38272319 X 495372 -495372 X false false false X 0 DUE TO SUNY DOWNSTATE 12063114 OTHER LIABILITIES 211336 12274450 X X X X X false false false false false false false false false STANLEY BREZENOFF 0 1491305 0 578000 0 33034 0 21000 0 22644 0 2145983 0 0 JILL CLAYTON 0 355120 0 50000 0 15964 0 21000 0 47368 0 489452 0 0 JOHN COLLURA 0 977500 0 244000 0 21641 0 21000 0 18408 0 1282549 0 0 GAIL DONOVAN 0 1205000 0 263000 0 34260 0 21000 0 42924 0 1566184 0 0 FORM 990, PART VI, LINE 4 CHANGES TO GOVERNING DOCUMENTS ON OR ABOUT MAY 29, 2011, THE LONG ISLAND COLLEGE HOSPITAL (LICH) TRANSFERRED SUBSTANTIALLY ALL OF ITS ASSETS TO THE STATE UNIVERSITY OF NEW YORK (SUNY) AND A SUNY AFFILIATE. FOLLOWING THE CLOSING OF THE ASSET TRANSFER TRANSACTION, IN THE FALL OF 2011 LICH FILED AN AMENDMENT TO ITS CERTIFICATE OF INCORPORATION, AND LICH'S SOLE CORPORATE MEMBER (CONTINUUM HEALTH PARTNERS, INC.) ADOPTED REVISED BYLAWS FOR THE ORGANIZATION. AMONG OTHER CHANGES, THE REVISED LICH BYLAWS REDUCED THE SIZE OF THE ORGANIZATION'S GOVERNING BODY AND OTHERWISE SIMPLIFIED ITS GOVERNANCE STRUCTURE. THE CHANGES TO THE ORGANIZATION'S GOVERNANCE STRUCTURE REFLECT THE FACT THAT THE ORGANIZATION IS WINDING UP ITS AFFAIRS, AND INTENDS TO DISSOLVE. FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, CONTINUUM HEALTH PARTNERS, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, LINE 7A ELECTION OF THE GOVERNING BODY THE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY THE MEMBER MUST APPROVE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, LINE 11B FORM 990 PROVIDED TO GOVERNING BODY THE FINANCE STAFF WHO PROVIDE SERVICES, SUPPORT AND OVERSIGHT OF FINANCIAL MATTERS FOR THE HOSPITALS AFFILIATED WITH CONTINUUM HEALTH PARTNERS, INC. GATHER THE RELEVANT INFORMATION AND PREPARE THE FORM 990 FOR THE LONG ISLAND COLLEGE HOSPITAL. THE ORGANIZATION'S OUTSIDE AUDITORS, PRICEWATERHOUSECOOPERS, PARTICIPATE IN THE PREPARATION OF, AND REVIEW THE FORM. A DRAFT OF THE FORM 990 RETURN IS PROVIDED FOR REVIEW TO THE CENTRALIZED MANAGEMENT TEAM WHICH SERVES THE HOSPITALS AFFILIATED WITH CONTINUUM HEALTH PARTNERS, INC. UPON APPROVAL OF THE CENTRALIZED MANAGEMENT TEAM AND PRIOR TO FILING, THE DRAFT FORM 990 IS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR REVIEW. THE MEMBERS OF THE GOVERNING BODY CONDUCT A REVIEW OF THE ENTIRE TAX RETURN WITH THE PARTICIPATION OF FINANCE STAFF AND ONE OR MORE ATTORNEYS FROM THE GENERAL COUNSEL'S OFFICE. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ANNUALLY, EACH TRUSTEE, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER ALONG WITH GENERAL COUNSEL AND A DETERMINATION IS MADE AS TO WHETHER A CONFLICT EXISTS. THE PRESIDENT OF THE ORGANIZATION AND THE CHAIR OF THE CENTRALIZED FINANCE/AUDIT COMMITTEE PARTICIPATE IN REVIEW OF CONFLICTS. CONFLICTS DISCLOSED BY TRUSTEES ARE REVIEWED WITH THE CHAIRMAN OF THE BOARD. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST MUST RECUSE HIMSELF FROM ANY DECISION MAKING OR VOTING ON THE INTEREST THAT GAVE RISE TO THE CONFLICT. FORM 990, PART VI, LINE 15A & 15B COMPENSATION POLICY THE EXECUTIVE COMPENSATION POLICY OF THE HEALTH SYSTEM REQUIRES THAT COMPENSATION FOR THE FOLLOWING INDIVIDUALS BE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES AT LEAST ANNUALLY: ANY PERSON WITH THE TITLE OF CEO, PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, EXECUTIVE VICE PRESIDENT OR SENIOR VICE PRESIDENT; ANY PERSON WITH THE TITLE OF CORPORATE VICE PRESIDENT WHOSE TOTAL COMPENSATION IS IN EXCESS OF $300,000; ANY PHYSICIAN WITH THE TITLE OF CHAIRMAN; ANY PHYSICIAN WITH THE TITLE OF CHIEF WHOSE BASE SALARY PLUS GUARANTEE TOGETHER ARE IN EXCESS OF $750,000 AND ANY PERSON WHO IS A FAMILY MEMBER OF ANY OF THE ABOVE INDIVIDUALS. FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII AVERAGE HOURS AVERAGE HOURS PER WEEK REPORTED ON PART VII REPRESENT TOTAL AVERAGE HOURS FOR THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS DUE TO SUNY : ($495,372) FORM 990, PART XII, LINE 2B AUDITED FINANCIAL STATEMENTS THE ORGANIZATION CEASED OPERATIONS AS A HOSPITAL ON MAY 28, 2011. THE SUBSEQUENT ACTIVITIES ARE TO WIND DOWN THE ORGANIZATION, AND ARE STILL ONGOING. ONCE THE WINDING UP HAS BEEN FINISHED, ANY REMAINING ASSETS WILL BE TRANSFERRED TO SUNY. 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