2013-11-15T08:01:02-06:00 2012-12-31 990 2012-01-01 237007485 NORTH SHORE-LIJ STERN FAMILY CENTER FOR REHABILITATION % NORTH SHORE-LIJ HEALTH SYSTE NORT 5168766061 972 BRUSH HOLLOW RD Suite 5TH FL WESTBURY NY 11590 ROBERT S SHAPIRO 2013-11-08 2012 2016-02-25 16:41:14Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 56991716 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. 136 128 561 25 0 0 0 47447838 51331980 290249 127440 498724 594322 48236811 52053742 0 0 0 0 33001986 36957197 0 0 0 10247259 11110346 43249245 48067543 4987566 3986199 46084198 49314942 22625897 21724856 23458301 27590086 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 44454572 0 51331980 NORTH SHORE UNIVERSITY HOSPITAL STERN FAMILY CENTER FOR EXTENDED CARE AND REHABILITATION IS A 256 BED SKILLED NURSING FACILITY THAT SPECIALIZES IN SHORT TERM REHABILITATION AND EXTENDED CARE SERVICES. 44454572 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 33 0 true 561 true false false false false false false false false false false false false false false false X 136 128 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 DOWLING 50.0 X X 0 2823350 1128235 RALPH NAPPI 50.0 X 0 2276547 60770 RICHARD D GOLDSTEIN 3.0 X X 0 0 0 WILLIAM L MACK 2.0 X X 0 0 0 BARRY RUBENSTEIN 2.0 X X 0 0 0 ALAN I GREENE 2.0 X X 0 0 0 DONALD ZUCKER 2.0 X X 0 0 0 MARK CLASTER 2.0 X X 0 0 0 NON COMPENSATED TRUSTEES 2.0 X 0 0 0 ANTHONY C FERRERI 50.0 X 0 1049046 387210 KEVIN F LAWLOR 50.0 X 0 799176 280574 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 LAWRENCE G SMITH MD 50.0 X 0 848130 683709 KEITH THOMPSON 50.0 X 0 2868822 533031 JEFFREY KRAUT 50.0 X 0 826861 201661 KATHLEEN GALLO MD PHD 50.0 X 0 747445 271298 DONNA DRUMMOND 50.0 X 0 571767 42600 HARRY GINDI 50.0 X 0 284559 42600 MAUREEN MCCLUSKY 50.0 X 306101 0 42600 JAMES LOLIS 50.0 X 217034 0 42600 PETER CACIOPPO 50.0 X 119810 0 42600 YAKOV IOFEL 50.0 X 152747 0 42600 AMANSHAH BABWAH 50.0 X 130382 0 42600 BARBARA GERAGHTY 50.0 X 137634 0 42600 1063708 17233400 4633429 17 false true false CIRRUS HOLDINGS USA LLC 4651 CHARLOTTE PARK DR CHARLOTTE NC 28217 STAFFING 468842 PREFERRED THERAPY SOLUTIONS 850 SILAS DEANE HWY WHETHERSFIELD CT 06109 STAFFING 323450 UNITEX TEXTILE RENTAL 155 SOUTH TERRACE MOUNT VERNON NY 10550 LINEN SERVICES 147876 NORTH SHORE CENTER FOR SPEECH LANGU 585 STEWART AVE GARDEN CITY NY 11530 MEDICAL SERVICES 136318 GUARDIAN CONSULTING INC 3333 NEW HYDE PARK RD NEW HYDE PARK NY 11042 CONSULTING 109586 6 0 NET PATIENT SERVICE REVENUE 621300 25140098 25140098 MEDICARE/MEDICAID PAYMENTS 621300 26191882 26191882 51331980 177700 177700 2395 2395 0 0 0 0 4885319 4937974 -52655 -52655 0 0 0 SALARY RECOVERY 900099 162460 162460 MEELS ON WHEELS 900099 95916 95916 EMPLOYEE CAFETERIA 900099 82520 82520 253426 186174 67252 594322 52053742 51680614 425783 0 0 0 0 306101 306101 0 26442351 24861098 1581253 0 3200491 3009102 191389 5007586 4708132 299454 2000668 1881028 119640 0 2500 2500 0 0 0 0 2200597 2069001 131596 890 837 53 4547572 4275627 271945 0 0 625415 588015 37400 23807 23807 0 15106 15106 327434 327434 0 1273600 1197439 76161 142711 142711 BAD DEBT 342310 342310 PURCHASED SERVICES 864540 864540 DUES & SUBSCRIPTIONS 55130 51833 3297 CENTRALIZED ADMIN EXP 563352 563352 125382 117885 7497 48067543 44454572 3612971 0 318200 552898 0 0 0 0 6861267 7606362 0 0 0 0 0 0 34889 24194 8535 0 21794462 8405343 12809636 13389119 15085094 14224665 0 0 0 0 0 0 10966577 13517704 46084198 49314942 4537394 5071164 0 0 0 0 8066340 6408726 0 0 0 0 0 0 0 0 10022163 10244966 22625897 21724856 X 22702007 26623014 756294 967072 0 0 23458301 27590086 46084198 49314942 X 3986199 48826 96760 X false true X true true true X 0 0 0 0 0 0 34815225 36304443 35868208 47946562 51926302 206860740 0 0 0 34815225 36304443 35868208 47946562 51926302 206860740 0 0 0 206860740 2170105 1175475 224972 290249 127440 3988241 0 2170105 1175475 224972 290249 127440 3988241 0 0 36985330 37479918 36093180 48236811 52053742 210848981 0.98108 0.97574 0.01892 0.02426 X false false false false false false false true 6918 false 6918 false false LOBBYING ACTIVITY PARAT II-B, LINE 1H 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 14942353 6324648 8617705 5395614 1868581 3527033 881495 212114 669381 13389119 AMORTIZED BOND FINANCING COSTS 185495 PATIENT SECURITY DEPOSIT 19659 DUE FROM AFFILIATES 11906445 INTEREST IN FOUNDATION 372720 INSURANCE CLAIMS RECEIVABLE 963817 OTHER ASSETS 69568 13517704 0 DUE TO THIRD-PARTY PAYORS 4249447 ACCRUED RETIREMENT BENEFITS 3748512 OTHER LIABILITIES 789453 INSURANCE CLAIMS LIABILITY 963817 BOND PREM/DISC 493737 10244966 X 51573737 48826 -528831 -480005 52053742 52053742 46076507 46076507 1991036 1991036 48067543 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. RECONCILIATION OF REVENUE PART XI, LINE 2D GAIN/LOSS ON REFINANCING OF LTD (186,521) PROVISION OF BAD DEBT (342,310) TOTAL (528,831) RECONCILIATION OF EXPENSE PART XII, LINE 4B ADDITIONAL MINIMUM PENSION LIABILITY 1,648,726 PROVISION FOR BAD DEBT 342,310 TOTAL 1,991,036 X X X X X false true false false false false false true false MICHAEL 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 LAWRENCE G SMITH MD 0 720972 0 100000 0 27158 0 667034 0 16675 0 1531839 0 0 KEITH THOMPSON 0 724853 0 113000 0 2030969 0 511950 0 21081 0 3401853 0 313468 JEFFREY KRAUT 0 695349 0 101010 0 30502 0 186561 0 15100 0 1028522 0 0 KATHLEEN GALLO MD PHD 0 622472 0 93240 0 31733 0 256198 0 15100 0 1018743 0 0 DONNA DRUMMOND 0 479026 0 35742 0 56999 0 27500 0 15100 0 614367 0 0 RALPH NAPPI 0 672088 0 150000 0 1454459 0 41995 0 18775 0 2337317 0 1389266 HARRY GINDI 0 280028 0 0 0 4531 0 27500 0 15100 0 327159 0 0 MAUREEN MCCLUSKY 260259 0 15687 0 30155 0 27500 0 15100 0 348701 0 0 0 JAMES LOLIS 195152 0 10149 0 11733 0 27500 0 15100 0 259634 0 0 0 PETER CACIOPPO 112050 0 6000 0 1760 0 27500 0 15100 0 162410 0 0 0 YAKOV IOFEL 152384 0 0 0 363 0 27500 0 15100 0 195347 0 0 0 AMANSHAH BABWAH 115979 0 3125 0 11278 0 27500 0 15100 0 172982 0 0 0 BARBARA GERAGHTY 128889 0 6944 0 1801 0 27500 0 15100 0 180234 0 0 0 ANTHONY C FERRERI 0 873895 0 155000 0 20151 0 372110 0 15100 0 1436256 0 0 KEVIN F LAWLOR 0 665596 0 104400 0 29180 0 263381 0 17193 0 1079750 0 0 SUPPLEMENTAL NON QUALIFIED 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 ($171,010), Robert Shapiro ($182,019), Howard Gold ($255,609), Keith Thompson ($484,450), Lawrence Smith ($639,534), Jeffrey Kraut ($159,061), Kathleen Gallo ($228,698), Ralph Nappi ($14,495), Anthony Ferreri ($344,610) and Kevin Lawlor ($233,853). 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, Part I, B (ii). 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 530406 0 1959741 133300 40232 215368 19424 0 0 460880 1069167 0 true true false true B 0 0 1524879 166670 118184 0 24775 0 0 673693 250391 0 2012 true false false 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 true true false false false 0 false 0 true true C false true true false false false 0 true MBIA 18.1 true true 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 0 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. William Achenbaum has a business relationship with Eric and Roger Blumencranz. John Alexander has a business relationship with John Shall. Philip Altheim has a business relationship with Eric Blumencranz. Stanley Applebaum has a business relationship with John Shall. Michael Ashner has a business relationship with William Mack and Scott Rudolph. 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, James Greene, Stanley Grey, Richard Guarasci, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Mark Claster, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, Mark Solazzo, Donald Zucker, Barbara Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with 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 Roger Blumencranz, Richard Goldstein, Saul Katz, Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with William Mack. Anthony Ferreri has a family and business relationship with John Shall. Arlene Lane Fisher has a business relationship with Eric 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 family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. James R. Greene has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. Stanley Grey has a business relationship with Eric and Roger Blumencranz. Richard Guarasci has a business relationship with Eric Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Richard Horowitz has a business relationship with Eric and Roger Blumencranz and M. Allan Hyman. M. Allan Hyman has a business relationship with Eric Blumencranz, Richard Horowitz, Saul Katz 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 Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with 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 Mark Claster, Michael Katz, Curt Launer and Michael Slade. Cary Kravet has a business relationship with Steve Braun. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz and Saul Katz. David Lehr has a business relationship with Ronald Mazzucco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric 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 Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein, Richard Goldstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric and Roger Blumencranz. 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 Mark Claster , Richard Goldstein, William Mack and Richard Murcott. Scott Rudolph has a business relationship with Michael Ashner. Michael Sahn has a business relationship with Robert Chasanoff. John Shall has a family relationship with Anthony Ferreri. He has a business relationship with Anthony Ferreri, Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Roger Blumencranz. Nancy Waldbaum has a business relationship with Robert Rosenthal. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Roger Blumencranz. 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 POLICY 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. OFFICER 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 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. NON-COMPENSATED TRUSTEES PART VII, SECTION A - LINE 1A Richard S. Abramson Lloyd M. Goldman F.J. McCarthy William Achenbaum Richard D. Goldstein Patrick F. McDermott John W. Alexander J. Joaquin Gonzalez James McMullen Philip S. Altheim Michael Gould Charles Merinoff Stanley A. Applebaum Albert L. Granger,DDS Richard D. Monti Michael L. Ashner Alan I. Greene Richard Murcott Beverly VP. Banker James R. Greene Ralph A. Nappi Ralph M. Baruch Stanley Grey Richard B. Nye Frank J. Besignano Richard Guarasci, PhD Clyde I. Payne, Ed.D. Elise M. Bloom Paul B. Guenther Arnold S. Penner Eric S. Blumencranz Amy M. Hagedorn John J. Raggio Roger A. Blumencranz Ira Hazan Lewis S. Ranieri David Blumenfeld Linda W. Heaney Jay R. Raubvogel Edward Blumenfeld Marlene Hess Dennis Riese E. Steve Braun William O. Hiltz Terry P. Rifkin, M.D. Dayton T. Brown, Jr Gedale B. Horowitz Robert F. Rose Allen E. Busching Richard A. Horowitz Robert A. Rosen Jonathan S. Canno M. Allan Hyman Marcie Rosenberg Michael Caridi Mark Jacobson Robert D. Rosenthal Rev.Carolina Sr, Ed.D Jeffrey Jurick Bernard M. Rosof, M.D. Rudolph C. Carryl David M. Katz Jack J. Ross Robert W. Chasanoff Michael Katz Barry Rubenstein Alan Chopp Saul B. Katz Herbert Rubin Mark Claster Lisa A. Kaufman Scott Rudolph Diana F. Colgate Robert Kaufman Michael H. Sahn Daniel M. Crown Cary Kravet Frank W. Scarangello, Sr. Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Marc V. Shaw Thomas E. Dewey, Jr. Curt N. Launer Sean G. Simon Thomas E. Dooley Laura Lauria Richard Sims Michael J. Dowling Kevin F. Lawlor Michael C. Slade Robert N. Downey David W. Lehr Phyllis Hill Slater Melvin Dubin Jonathan W. Leigh Howard D. Stave Patrick R. Edwards Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine John B. Thomson, Jr. Leonard Feinstein Stuart R. Levine Peter Tilles Michael E. Feldman Seth Lipsay Sandra Tytel Anthony C. Ferreri David S. Mack Frederick A. Volk Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Linda Manfredi Emmett F. Walker, Jr William H. Frazier James S. Marcus Gary Walter Eugene B. Friedman,MD Bradley Marsh, D.P.M. Lewis M. Weston William J. Fritz,PhD Jeffrey S. Maurer Barbara Hrbek Zucker Sy Garfinkel Ronald J. Mazzucco Donald Zucker Roy J. Zuckerberg AVERAGE HOURS 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. 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. RECONCILIATION OF NET ASSETS PART XI, LINE 9 GAIN/LOSS REFINANCING OF LTD (186,521) CHANGE IN EQUITY UNDER FAS 136 283,281 TOTAL 96,760 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 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SOUTHSIDE false NORTH SHORE COMMUNITY SERVICES INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 237273200 HOUSING NY 501(C)(2) N/A NS-LIJHS false NORTH SHORE UNIVERSITY HOSPITAL HOUSING 972 BRUSH HOLLOW RD WESTBURY NY 11590 112171903 HOUSING NY 501(C)(2) N/A NS-LIJHS false NSUH GLEN COVE HOUSING 972 BRUSH HOLLOW RD WESTBURY NY 11590 237010468 HOUSING NY 501(C)(2) N/A NS-LIJHS false HILLSIDE HOSPITAL HOUSES INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112113949 HOUSING NY 501(C)(2) N/A NS-LIJHS false SIUH SYSTEMS INC 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 061074604 FUNDRAISING NY 501(C)(3) 7 NS-LIJ HCI false STATEN ISLAND UNIVERSITY HOSPITAL 475 SEAVIEW AVE STATEN ISLAND NY 10305 112868878 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false STATEN ISLAND UNIVERSITY HOSPITAL FDN 360 SEAVIEW AVE STATEN ISLAND NY 10305 870765787 FUNDRAISING NY 501(C)(3) 7 SIUH false THE HEART INSTITUTE 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 311757254 INACTIVE NY 501(C)(3) 11, TYPE 1 NS-LIJHS false CHAPS COMMUNITY HEALTH 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