2013-10-25T09:09:53-05:00 2012-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 125 BAYLIS ROAD MELVILLE NY 117473823 990 2012-01-01 112587515 NASSAU-SUFFOLK HOSPITAL SHARED SERVICES INC NASS 6314353000 1383 VETERANS MEMORIAL HIGHWAY HAUPPAUGE NY 11788 MARIA GALLINA 6314353000 2013-10-21 1 ELLEN M LABITA CPA PARTNER P00140777 6317527400 2012 2016-03-07 17:11:31Z MARIA GALLINA 1383 VETERANS MEMORIAL HIGHWAY HAUPPAUGE NY 11788 38355 0 X HTTP:/WWW.NSHC.ORG X 1981 NY TO PROVIDE GROUP PURCHASING CONTRACTS ON VARIOUS HOSPITAL PRODUCTS, SERVICES AND EQUIPMENT TO ITS MEMBER HOSPITALS. 24 24 0 0 0 0 0 0 131000 37706 440 649 0 0 131440 38355 0 0 0 0 0 0 0 0 0 49642 51013 49642 51013 81798 -12658 835883 823225 34593 34593 801290 788632 TO PROVIDE GROUP PURCHASING CONTRACTS ON VARIOUS HOSPITAL PRODUCTS, SERVICES AND EQUIPMENT TO ITS MEMBER HOSPITALS. 0 0 51013 37706 NASSAU SUFFOLK HOSPITAL SHARED SERVICES PROVIDES COOPERATIVE HOSPITAL SERVICES FOR MEMBER HOSPITALS. 51013 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 24 24 0 1 0 0 1 0 0 1 1 0 0 0 1 1 1 0 0 1 0 0 NY X MARIA GALLINA 6314353000 1383 VETERANS MEMORIAL HIGHWAY HAUPPAUGE NY 11788 X MR RICHARD MARGULIES 1.00 2.00 X 0 0 0 MR ANDREW MITCHELL 1.00 2.00 X 0 0 0 MR PAUL J CONNOR III 1.00 2.00 X X 0 0 0 MS DEBORAH TASCONE RN MS 1.00 2.00 X 0 0 0 MR JAMES CALDAS 1.00 2.00 X 0 0 0 MR KEVIN LAWLOR 1.00 2.00 X 0 0 0 MR KENNETH D ROBERTS 1.00 2.00 X 0 0 0 MR DOUGLAS L MELZER 1.00 2.00 X 0 0 0 MR BRIAN CURRIE 1.00 2.00 X 0 0 0 MR ARTHUR GIANELLI 1.00 2.00 X 0 0 0 DR AARON GLATT 1.00 2.00 X 0 0 0 MR MICHAEL DOWLING 1.00 2.00 X 0 0 0 MR JEFFREY KRAUT 1.00 2.00 X 0 0 0 MR DENNIS CONNORS 1.00 2.00 X 0 0 0 MR MICHAEL FENER 1.00 2.00 X 0 0 0 DR ALAN GUERCI 1.00 2.00 X X 0 0 0 MR RICHARD MURPHY 1.00 2.00 X 0 0 0 MR ROBERT CHALONER 1.00 2.00 X 0 0 0 MS WINNIE MACK 1.00 2.00 X 0 0 0 MR DENNIS VERZI 1.00 2.00 X 0 0 0 MR JAMES O'CONNOR 1.00 2.00 X 0 0 0 DR REUVEN PASTERNAK 1.00 2.00 X 0 0 0 MR JOHN COLLINS 1.00 2.00 X 0 0 0 MS SUSAN SOMERVILLE RN MA 1.00 2.00 X 0 0 0 MR PHIL MOSCHITTA 1.00 2.00 X 0 0 0 MR KEVIN DAHILL 1.30 23.80 X 9116 173203 23369 MS MARIA GALLINA 2.50 47.50 X 5978 113564 33396 MS WENDY DARWELL 2.50 47.50 X 9180 174424 18515 24274 461191 75280 0 0 0 1 0 GROUP PURCH COMMISSION 561000 37706 37706 37706 649 649 38355 37706 0 649 51013 51013 51013 51013 0 0 230257 317834 70624 21402 409 409 0 0 535002 483989 835883 823225 34593 34593 34593 34593 X 801290 788632 801290 788632 835883 823225 -12658 0 X 0 1 X 1 0 X 409 409 0 0 DUE FROM AFFILIATES 483989 483989 X 38355 0 38355 0 38355 51013 0 51013 0 51013 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY UNITED STATES FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. X X X X 0 0 0 0 0 0 0 0 0 MR KEVIN DAHILL 8636 164081 375 7125 105 1997 625 11875 543 10326 10284 195404 0 0 MS MARIA GALLINA 5829 110746 88 1663 61 1155 583 11075 1087 20651 7648 145290 0 0 MS WENDY DARWELL 8597 163345 531 10095 52 984 860 16334 66 1255 10106 192013 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON THE COMPANY IT CONTRACTS WITH FOR MANAGEMENT AND STAFFING SERVICES TO DETERMINE COMPENSATION FOR ITS TOP MANAGEMENT OFFICIAL. SEE SCHEDULE O FOR A DESCRIPTION OF THE PROCESS USED TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIRMAN OF NSHC CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND CHIEF OPERATING OFFICER (OFFICER) IS SET BY THE PRESIDENT IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT. FORM 990, PART VI, SECTION A, LINE 1 THE ORGANIZATION'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY TO ACT ON ITS BEHALF TO AN EXECUTIVE COMMITTEE IN ACCORDANCE WITH THE ORGANIZATION'S BY-LAWS. THE EXECUTIVE COMMITTEE CONSISTS OF THE FOLLOWING MEMBERS OF THE BOARD OF DIRECTORS: PRESIDENT, PRESIDENT-ELECT/TREASURER, AND OTHER DIRECTORS APPOINTED BY THE BOARD. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY, BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, TO EXERCISE AND MAINTAIN ON BEHALF OF THE ORGANIZATION ALL POWERS OF THE BOARD TO THE EXTENT PERMITTED BY LAW. THE EXECUTIVE COMMITTEE'S RESPONSIBILITIES INCLUDE PREPARING AND SUBMITTING AN ANNUAL BUDGET TO THE BOARD, ACTING UPON OTHER FISCAL MATTERS AS THEY OCCUR, AND REVIEWING AND EVALUATING THE ORGANIZATION'S ACTIVITIES AND PROGRESS IN CARRYING OUT THE POLICIES AND PROGRAMS AUTHORIZED BY THE BOARD. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE REPORTED TO THE BOARD AT THE FIRST MEETING THEREAFTER. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT SERVICES ARE CONTRACTED THROUGH HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S BY LAWS ALLOW FOR TWO CLASSES OF MEMBERS, ACTIVE AND ASSOCIATE. EACH ACTIVE MEMBER IS ENTITLED TO ONE REPRESENTATIVE ON THE BOARD OF DIRECTORS, WHICH HAS RESPONSIBILITY FOR THE GOVERNANCE OF THE ORGANIZATION. ASSOCIATE MEMBERS HAVE NO RIGHTS RELATED TO VOTING OR GOVERNANCE. THE ORGANIZATION DOES NOT CURRENTLY HAVE ASSOCIATE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE COMPLETED FORM 990 IS REVIEWED IN THREE STAGES PRIOR TO ITS FILING. THE FIRST REVIEW IS CONDUCTED BY THE CHIEF FINANCIAL OFFICER OF NSHC. THE SECOND REVIEW IS PERFORMED BY THE CHIEF FINANCIAL OFFICER OF HANYS. THE FINAL REVIEW IS PERFORMED BY THE PRESIDENT OF NSHC. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS WRITTEN CONFLICT OF INTEREST POLICIES COVERING ALL EMPLOYEES AND MEMBERS OF THE BOARD OF TRUSTEES. THE POLICIES REQUIRE EMPLOYEES AND BOARD MEMBERS TO DISCLOSE ACTUAL AND POTENTIAL CONFLICTS AND REFRAIN FROM PARTICIPATING IN MATTERS RELATED TO THE CONFLICT. ON AN ANNUAL BASIS, ALL EMPLOYEES ARE REQUIRED TO COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENTS ARE REVIEWED BY EXECUTIVE MANAGEMENT. THE POLICIES CONTAIN ESCALATION PROCEDURES FOR REVIEWING POTENTIAL CONFLICTS THAT INVOLVE INDEPENDENT LEGAL COUNSEL, BOARD LEADERSHIP, AND THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION COMMITTEE MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF HANYS OVERSEES AND DETERMINES COMPENSATION FOR THE PRESIDENT (OFFICER) USING THE FOLLOWING PROCESS. THE COMPENSATION COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IT IN DEVELOPING AND MAINTAINING THE COMPENSATION PHILOSOPHY AND TO DETERMINE THE APPROPRIATE BENCHMARKS FOR TOTAL COMPENSATION. ON AN ANNUAL BASIS, THE COMPENSATION CONSULTANT OBTAINS COMPARATIVE COMPENSATION DATA BASED ON THE COMPENSATION PHILOSOPHY AND ESTABLISHED BENCHMARKS. THE PRESIDENT OF HANYS AND THE BOARD CHAIRMAN OF NSHC CONDUCT AN ANNUAL PERFORMANCE REVIEW FOR THE PRESIDENT AND PROVIDE A RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS THE RECOMMENDATION AND UTILIZES THE COMPARATIVE COMPENSATION DATA PROVIDED BY THE COMPENSATION CONSULTANT TO MAKE A FINAL DETERMINATION ON COMPENSATION. DECISIONS AFFECTING COMPENSATION AND THE BASIS FOR THOSE DECISIONS ARE DOCUMENTED BY THE COMPENSATION COMMITTEE AT THE CONCLUSION OF ITS MEETING. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER (OFFICER) AND CHIEF OPERATING OFFICER (OFFICER) IS SET BY THE PRESIDENT IN ACCORDANCE WITH BENCHMARKS ESTABLISHED WITH ASSISTANCE FROM AN INDEPENDENT COMPENSATION CONSULTANT AND USING COMPARABLE COMPENSATION DATA OBTAINED FROM THE INDEPENDENT COMPENSATION CONSULTANT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT TO THE EXTENT INFORMATION FROM THESE DOCUMENTS IS PROVIDED IN FORM 990. FORM 990, PART VII, SECTION A, LINE 5 THE ORGANIZATION'S STAFF, INCLUDING ITS PRESIDENT, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT AND CHIEF OPERATING OFFICER ARE EMPLOYED BY THE HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC. (HANYS). HANYS PROVIDES EMPLOYEES AND MANAGEMENT STAFF TO THE ORGANIZATION PURSUANT TO A MANAGEMENT AND STAFFING AGREEMENT BETWEEN THE ORGANIZATION AND HANYS. HANYS PAYS ALL COMPENSATION AND FRINGE BENEFIT COSTS FOR THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED TO THE ORGANIZATION. AS COMPENSATION FOR THE MANAGEMENT AND STAFFING SERVICES, THE ORGANIZATION PAYS HANYS FOR THE COST OF THE SALARY AND FRINGE BENEFITS OF THE EMPLOYEES AND MANAGEMENT STAFF PROVIDED BY HANYS TO THE ORGANIZATION. THE AMOUNTS PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO THE ORGANIZATION'S PRESIDENT, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT AND CHIEF OPERATING OFFICER FOR SERVICES RENDERED TO THE ORGANIZATION ARE PROVIDED IN SCHEDULE J, PART II. THE AMOUNT PAID BY THE ORGANIZATION TO HANYS FOR THE COST OF THE COMPENSATION PAID TO ALL OF THE ORGANIZATION'S STAFF FOR SERVICES RENDERED TO THE ORGANIZATION IS PROVIDED IN FORM 990, PART VII, SECTION A, LINE 1. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEVIN DAHILL - 23.8 MARIA GALLINA - 47.5 WENDY DARWELL - 47.5 NASSAU SUFFOLK HOSPITAL COUNCIL FOUNDATION INC 1383 VETERANS MEMORIAL HGWY HAUPPAUGE NY 11788 111805346 TO STUDY AND EVALUATE ISSUES IN THE HEALTH CARE INDUSTRY. NY 501(C)(3) LINE 11A N/A 0 NASSAU SUFFOLK HOSPITAL COUNCIL INC 1383 VETERANS MEMORIAL HGWY HAUPPAUGE NY 11788 113434265 PROVIDE A FORUM FOR IDEAS REGARDING THE DEVELOPMENT OF HEALTH POLICY. NY 501(C)(6) N/A 0 RESOURCE MANAGEMENT COUNCIL INC 1383 VETERANS MEMORIAL HGWY HAUPPAUGE NY 11788 113064981 TO PROVIDE REGIONAL MEDICAL WASTE DISPOSAL SERVICE FOR ITS MEMBER HOSPITALS. NY 501(E) LINE 3 N/A 0 NSH NETWORK INC 1383 VETERANS MEMORIAL HGWY HAUPPAUGE NY 11788 112884653 WASTE MANAGMENT NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0