2012-12-14T10:28:04-06:00 2011-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2011-01-01 112868878 STATEN ISLAND UNIVERSITY HOSPITAL % THOMAS RECA STAT 7182261148 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 THOMAS RECA 2012-12-12 true 9738989494 2011 2016-02-24 21:20:13Z ANTHONY C FERRERI 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 810208767 false X www.siuh.edu X 1869 NY Staten Island University Hospital is part of the North Shore-LIJ Health System, WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITies IT SERVES. SEE PART III. 152 144 6617 890 10382410 4580924 3676168 747224860 783155014 2679414 1987289 5986695 5267929 760471893 794086400 0 0 0 0 472344760 502034828 0 0 0 261087391 265494006 733432151 767528834 27039742 26557566 548865872 676230590 388588775 487447058 160277097 188783532 X STATEN ISLAND UNIVERSITY HOSPITAL IS PART OF THE NORTH SHORE-Long Island Jewish HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. false false 512905294 0 656730000 STATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2011 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 42,105 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES), 3,069 DELIVERIES, 117,838 EMERGENCY DEPARTMENT VISITS, AND 16,264 AMBULATORY SURGERY CASES. 55892864 0 48358000 EXPENSES INCURRED IN PROVIDING EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 48823213 0 38310000 EXPENSES INCURRED IN PROVIDING AMBULATORY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 37939143 0 39757014 655560514 true true false true true false false false false true true false true true true false false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false true true true true false false true 481 0 true 6617 true true true false false false false false false false false false X 152 144 true false true false false true true true true false false true true true true true true true true false NY X X THOMAS RECA 7182261148 ONE EDGEWATER PLAZA STATEN ISLAND NY 10305 X RICHARD D GOLDSTEIN 3.0 X X 0 0 0 JOHN ALEXANDER 2.0 X X 0 0 0 RICHARD S ABRAMSON 2.0 X 0 0 0 WILLIAM ACHENBAUM 2.0 X 0 0 0 IRA I ALTFEDER 2.0 X 0 0 0 PHILIP S ALTHEIM 2.0 X 0 0 0 STANLEY A APPLEBAUM 2.0 X 0 0 0 MICHAEL L ASHNER 2.0 X 0 0 0 BEVERLY BANKER 2.0 X 0 0 0 RALPH M BARUCH 2.0 X 0 0 0 MORTON M BASS 2.0 X 0 0 0 FRANK J BESIGNANO 2.0 X 0 0 0 ELISE M BLOOM 2.0 X 0 0 0 ERIC S BLUMENCRANZ 2.0 X 0 0 0 ROGER A BLUMENCRANZ 2.0 X 0 0 0 DAVID BLUMENFELD 2.0 X 0 0 0 EDWARD BLUMENFELD 2.0 X 0 0 0 E STEVE BRAUN 2.0 X 0 0 0 DAYTON T BROWN JR 2.0 X 0 0 0 ALLEN E BUSCHING 2.0 X 0 0 0 JONATHAN S CANNO 2.0 X 0 0 0 MICHAEL CARIDI 2.0 X 0 0 0 REVEREND DEMETRIUS S CAROLINA SR 2.0 X 0 0 0 RUDOLPH C CARRYL 2.0 X 0 0 0 ROBERT W CHASANOFF 2.0 X 0 0 0 ALAN CHOPP 2.0 X 0 0 0 MARK CLASTER 2.0 X 0 0 0 DIANA F COLGATE 2.0 X 0 0 0 DANIEL M CROWN 2.0 X 0 0 0 PHILIPPE P DAUMAN 2.0 X 0 0 0 DANIEL C DE ROULET 2.0 X 0 0 0 LORINDA DE ROULET 2.0 X 0 0 0 THOMAS E DEWEY JR 2.0 X 0 0 0 THOMAS E DOOLEY 2.0 X 0 0 0 MICHAEL J DOWLING 50.0 X 0 2521221 742813 ROBERT N DOWNEY 2.0 X 0 0 0 MELVIN DUBIN 2.0 X 0 0 PATRICK R EDWARDS 2.0 X 0 0 0 TONI J ELLIOTT 2.0 X 0 0 0 MICHAEL A EPSTEIN 2.0 X LEONARD FEINSTEIN 2.0 X 0 0 0 MICHAEL E FELDMAN 2.0 X 0 0 0 ANTHONY C FERRERI 50.0 X X 119268 921874 291142 ARLENE LANE FISHER 2.0 X 0 0 0 CATHERINE C FOSTER 2.0 X 0 0 0 WILLIAM H FRAZIER 2.0 X 0 0 0 EUGENE B FRIEDMAN MD 2.0 X 0 0 0 SY GARFINKEL 2.0 X 0 0 0 LLOYD MICHAEL GOLDMAN 2.0 X 0 0 0 J JOAQUIN GONZALEZ 2.0 X 0 0 0 MICHAEL GOULD 2.0 X 0 0 0 ALBERT L GRANGER DDS 2.0 X 0 0 0 ALAN I GREENE 2.0 X 0 0 0 JAMES R GREENE 2.0 X 0 0 0 STANLEY GREY 2.0 X 0 0 0 RICHARD GUARASCI PHD 2.0 X 0 0 0 PAUL B GUENTHER 2.0 X 0 0 0 HENRY L HACKMANN 2.0 X 0 0 0 AMY M HAGEDORN 2.0 X 0 0 0 STEPHEN L HAMMERMAN 2.0 X 0 0 0 IRA HAZAN 2.0 X 0 0 0 LINDA W HEANEY 2.0 X 0 0 0 MARLENE HESS 2.0 X 0 0 0 WILLIAM O HILTZ 2.0 X 0 0 0 MICHAEL HOFFMAN 2.0 X 0 0 0 GEDALE B HOROWITZ 2.0 X 0 0 0 RICHARD A HOROWITZ 2.0 X 0 0 0 M ALLAN HYMAN 2.0 X 0 0 0 MARK JACOBSON 2.0 X 0 0 0 JEFFREY JURICK 2.0 X 0 0 0 LYN JURICK 2.0 X 0 0 0 ARTHUR KALISH 2.0 X 0 0 0 STEVEN L KANTOR 2.0 X 0 0 0 DAVID M KATZ 2.0 X 0 0 0 MICHAEL KATZ 2.0 X 0 0 0 SAUL B KATZ 2.0 X 0 0 0 LISA A KAUFMAN 2.0 X 0 0 0 ROBERT KAUFMAN 2.0 X 0 0 0 CARY KRAVET 2.0 X 0 0 0 STANLEY KREITMAN 2.0 X 0 0 0 SETH KUPFERBERG 2.0 X 0 0 0 JEFFREY B LANE 2.0 X 0 0 0 CURT N LAUNER 2.0 X 0 0 0 LAURA LAURIA 2.0 X 0 0 0 KEVIN F LAWLOR 50.0 X 0 744807 313444 MICHAEL S LEEDS 2.0 X 0 0 0 DAVID W LEHR 2.0 X 0 0 0 JONATHAN W LEIGH 2.0 X 0 0 0 SYLVIA LESTER 2.0 X 0 0 0 ARTHUR S LEVINE 2.0 X 0 0 0 STUART R LEVINE 2.0 X 0 0 0 SETH LIPSAY 2.0 X 0 0 0 DAVID S MACK 2.0 X 0 0 0 WILLIAM L MACK 2.0 X 0 0 0 HOWARD S MAIER 2.0 X 0 0 0 LINDA MANFREDI 2.0 X 0 0 0 JAMES S MARCUS 2.0 X 0 0 0 BRADLEY MARSH DPM 2.0 X 0 0 0 JEFFREY S MAURER 2.0 X 0 0 0 RONALD J MAZZUCCO 2.0 X 0 0 0 F J MCCARTHY 2.0 X 0 0 0 PATRICK F MCDERMOTT 2.0 X 0 0 0 KATHERINE MCENROE 2.0 X 0 0 0 JAMES MCMULLEN 2.0 X 0 0 0 CHARLES MERINOFF 2.0 X 0 0 0 AIMEE MERSZEI 2.0 X 0 0 0 RICHARD D MONTI 2.0 X 0 0 0 TOMAS D MORALES PHD 2.0 X 0 0 0 RICHARD MURCOTT 2.0 X 0 0 0 RALPH A NAPPI 50.0 X 0 774818 534580 RICHARD B NYE 2.0 X 0 0 0 CLYDE I PAYNE ED D 2.0 X 0 0 0 ARNOLD S PENNER 2.0 X 0 0 0 JOHN J RAGGIO 2.0 X 0 0 0 LEWIS S RANIERI 2.0 X 0 0 0 JAY R RAUBVOGEL 2.0 X 0 0 0 COREY RIBOTSKY 2.0 X 0 0 0 DENNIS RIESE 2.0 X 0 0 0 TERRY P RIFKIN MD 2.0 X 0 0 0 ROBERT A ROSEN 2.0 X 0 0 0 MARCIE ROSENBERG 2.0 X 0 0 0 ROBERT D ROSENTHAL 2.0 X 0 0 0 BERNARD M ROSOF MD 2.0 X 0 0 0 JACK J ROSS 2.0 X 0 0 0 BARRY RUBENSTEIN 2.0 X 0 0 0 HERBERT RUBIN 2.0 X 0 0 0 SCOTT RUDOLPH 2.0 X 0 0 0 MICHAEL H SAHN 2.0 X 0 0 0 FRANK W SCARANGELLO SR 2.0 X 0 0 0 NORMAN SCHLANGER 2.0 X 0 0 0 LOIS C SCHLISSSEL 2.0 X 0 0 0 JOHN M SHALL 2.0 X 0 0 0 ROBERT F SHAPIRO 2.0 X 0 0 0 MARC V SHAW 2.0 X 0 0 0 SEAN G SIMON 2.0 X 0 0 0 RICHARD SIMS 2.0 X 0 0 0 MICHAEL C SLADE 2.0 X 0 0 0 PHYLLIS HILL SLATER 2.0 X 0 0 0 HOWARD D STAVE 2.0 X 0 0 0 RUSSELL STERN 2.0 X 0 0 0 MAGANLAL SUTARIA MD 2.0 X 0 0 0 JOHN B THOMSON JR 2.0 X 0 0 0 PETER TILLES 2.0 X 0 0 0 SANDRA TYTEL 2.0 X 0 0 0 NANCY WALDBAUM 2.0 X 0 0 0 GARY WALTER 2.0 X 0 0 0 HOWARD WEINGROW 2.0 X 0 0 0 LEWIS M WESTON 2.0 X 0 0 0 JON A WURTZBURGER 2.0 X 0 0 0 BARBARA HRBEK ZUCKER 2.0 X 0 0 0 DONALD ZUCKER 2.0 X 0 0 0 ROY J ZUCKERBERG 2.0 X 0 0 0 ARTHUR J FRIED ESQ 50.0 X 0 276046 44700 KEITH C THOMPSON 50.0 X 0 856803 356015 HARRY E GINDI 50.0 X 0 304339 42050 ROBERT S SHAPIRO 50.0 X 0 1047340 262780 THOMAS RECA 50.0 X 519533 100000 39156 MARK P JARRETT MD 50.0 X 503417 0 35980 DONNA PROSKE 50.0 X 537697 0 39708 NICHOLAS CARUSELLE 50.0 X 406417 0 16688 GREGORY RADINSKY 50.0 X 0 295321 41650 JOSEPH T MCGINN MD 50.0 X 1497218 0 32801 MICHAEL L COOPER MD 50.0 X 1005545 0 32801 JONATHON DEITCH MD 50.0 X 998808 0 6106 CHRISTOPHER DEMAS MD 50.0 X 893107 0 19116 PHILLIP M VIGNERI MD 50.0 X 870275 0 35640 7351285 7842569 2887170 692 false true false MORRISON MANAGEMENT SPECIALISTS 12975 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 FOOD 6881615 UNIVERSITY PHYSICIANS GROUP PC ONE EDGEWATER PLAZA STATEN ISLAND NY 10305 MEDICAL 3260622 MCKESSON INFORMATION SOLUTIONS INC 5995 WINDWARD PARKWAY ALPHARETTA GA 30005 IT CONSULTANTS 2977470 QUEST DIAGNOSTICS INC 1 MALCOLM AVENUE TETERBORO NJ 07608 LABORATORY 2739239 OCEANSIDE INSTITUTIONAL INDUSTRIES 2325 LONG BEACH ROAD OCEANSIDE NY 11572 LAUNDRY 2357067 87 98260 3577908 3676168 NET PATIENT SERVICE REVENUE 621500 745356637 734974227 10382410 PROFESSIONAL SERVICES REVENUE 621110 2573226 2573226 OTHER HEALTHCARE RELATED REVENUE 621990 35225151 35225151 783155014 2110868 2110868 835 835 0 1543876 1543876 1543876 1543876 15980036 17917 16122367 0 -142331 17917 -124414 -124414 0 0 0 CAFETERIA AND DIETARY 722100 2337827 2337827 PARKING REVENUE 812930 562270 562270 REBATES 812900 317215 317215 506741 506741 3724053 794086400 772772604 10382410 7255218 0 0 0 0 2231392 0 2231392 101490 101490 383413511 346836944 36576567 24117541 22356194 1761347 64214217 59524538 4689679 27956677 25914951 2041726 0 1006020 1006020 964781 964781 247981 247981 0 0 16121943 16121943 1510180 1510180 98257351 73356519 24900832 3459594 2582848 876746 0 8919467 2992802 5926665 631707 471617 160090 0 515318 384724 130594 9174792 6849674 2325118 0 27420872 20471748 6949124 30958596 30240543 718053 CONTRACTED SERVICES 39292914 29335122 9957792 0 UTILITIES 9760759 9331475 429284 0 CENTRALIZED ADMIN. SVCS. 7591361 66498 7524863 0 OTHER EXPENSES 9660370 7212194 2448176 0 767528834 655560514 111968320 0 59755 60201 85121616 108844454 1862888 1906377 89529445 88732941 0 0 0 0 4269815 615547 7711768 7975381 1148465 1378627 396919108 170327272 228295550 226591836 0 0 0 0 124592658 122727420 0 27870431 6273912 89527375 548865872 676230590 89587345 94261683 0 0 0 0 62239585 62626865 0 0 0 0 80995254 52396935 0 25902787 155766591 252258788 388588775 487447058 X 150162927 178518820 8629981 8780523 1484189 1484189 160277097 188783532 548865872 676230590 X 26557566 1948869 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 247981 false 247981 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINES 1G AND 1H THE ORGANIZATION IS A MEMBER OF THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. IS A MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION ("GNYHA"), THE HEALTH CARE ASSOCIATION OF NEW YORK STATE and THE AMERICAN HOSPITAL ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. PAYS DUES TO THESE ASSOCIATIONS ON BEHALF OF THIS ORGANIZATION. ADDITIONALLY, THROUGH GNYHA, THE ORGANIZATION PAYS DUES TO THE 1199 JOB SECURITY FUND. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $247,981. 1484189 1484189 1484189 1484189 1484189 1484189 1484189 1484189 0.00000 1.00000 0.00000 false false 4107673 4107673 236142914 93796356 142346558 68855 10596 58259 94488301 54437913 40050388 62111365 22082407 40028958 226591836 INVESTMENT IN HEALTHFIRST 8226227 F INVESTMENT IN VERIZON - AT&T 10143 F U.S. GOVERNMENT OBLIGATIONS 17470000 F CORPORATE BONDS 11247000 F ACCRUED INTEREST RECEIVABLE 183000 F LIMITED USE 0 F LIMITED USE 51649050 F CASH AND CASH EQUIVALENTS 33942000 F MUNICIPAL BONDS 0 F 122727420 OTHER ASSETS, NET 201254 DEPOSITS 139417 ASU 2010-04 89186704 89527375 0 PARTY PAYERS; CURRENT 24533604 LIABILITIES; CURRENT 5575931 INTEREST PAYABLE 1089378 OTHER LONG TERM LIABILITIES 42247594 LIABILITIES; NON-CURRENT 56844069 LIABILITIES; CURRENT 5438260 LIABILITIES; NON-CURRENT 29248095 INSURANCE PAYABLE 87281857 252258788 794086400 767528834 26557566 1710848 88479 1799327 28356893 793181993 1064965 1064965 792117028 1969372 1969372 794086400 762907622 762907622 4621212 4621212 767528834 ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. REC. OF CHANGE IN NET ASSETS FROM 990 TO AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XI; LINE 8 OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION AND OTHER POSTRETIREMENT LIABILITY ADJUSTMENTS - ($33,398) - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS DESIGNATED AS DERIVATIVE INSTRUMENTS - ($1,091,789) - MEDICAL RESIDENT TAX RECOVERY - $1,305,546 - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ASSET ACQUISITIONS - $1,912,222 - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - $1,064,965 - DEFEASEMENT OF LONG-TERM DEBT - ($3,070,067) RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XII; LINE 2D OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS - $1,064,965 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XIII; LINE 4B OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1 INCLUDE: - INVESTMENT INCOME - $1,969,372 RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XIII; LINE 4B OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1 INCLUDE: - AMORTIZATION OF INTANGIBLE ASSET - $4,621,212 true true X true X true X 500. true true true false true true 1 6753 18414000 5030000 13384000 0.01760 1 365216 171178132 119242824 51935308 0.06810 2 371969 189592132 124272824 65319308 0.08570 207 86512 4484596 183 4484413 0.00590 17 2045 45607081 15339193 30267888 0.03970 7 1 339877 339877 0.00040 231 88558 50431554 15339376 35092178 0.04600 233 460527 240023686 139612200 100411486 0.13170 1 91 10654 10654 2 4050 2584 2584 3 4141 13238 13238 false 5238000 176906621 175352519 1554102 X true true 2 1 STATEN ISLAND UNIVERSITY HOSPITAL-NORTH

475 SEAVIEW AVENUE STATEN ISLAND NY 10305

X X X X 2 STATEN ISLAND UNIVERSITY HOSPITAL-SOUTH

375 SEGUINE AVENUE STATEN ISLAND NJ 10309

X X X X STATEN ISLAND UNIVERSITY HOSPITAL-NORTH 1 true true 100 true 500. true X X X X X X X true true X X X X X X X true false X X X X X true X false true STATEN ISLAND UNIVERSITY HOSPITAL-SOUTH 2 true true 100 true 500. true X X X X X X X true true X X X X X X X true false X X X X X true X false true 10 SOUTH BEACH PSYCHIATRIC CENTER

777 SEAVIEW AVENUE STATEN ISLAND NY 10305

CLINIC NEW DORP HIGH SCHOOL

465 NEW DORP LANE STATEN ISLAND NY 10306

CLINIC AUDIOSPEECH PATHOLOGY CENTER

500 SEAVIEW AVENUE STATEN ISLAND NY 10305

CLINIC CHEMICAL DEPENDENCE TREATMENT PROGRAM

111 WATER STREET STATEN ISLAND NY 10304

CLINIC THE BAY STREET HEALTH CENTER

57 BAY STREET STATEN ISLAND NY 10301

CLINIC PSYCHALCOHOLISM TREATMENT PROGRAM

450 SEAVIEW AVENUE STATEN ISLAND NY 10305

CLINIC CANARSIE MULTI SERVICE CENTER

567 E 10TH STREET BROOKLYN NY 11218

CLINIC SANFORD R NALITT INSTITUTUE FOR CANCER

256 MASON AVENUE STATEN ISLAND NY 10305

CLINIC CONEY ISLAND MULTIPLE SERVICE CENTER

425-427 CONEY ISLAND AVENUE BROOKYLN NY 11218

CLINIC CENTER FOR WOMENS HEALTH

440 SEAVIEW AVENUE STATEN ISLAND NY 10305

CLINIC ELIGIBILITY FOR DISCOUNTED CARE PART I, LINE 3C This hospital is an affiliated entity of the North Shore-LIJ Health System, Inc. ("North Shore-LIJ") or ("the System"). North Shore-LIJ uses Federal Poverty Guidelines ("FPG') to determine eligibility. North Shore-LIJ utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets and will only review a patient's assets if they fall within the family size and income levels approved by New York State. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. In the consideration of assets, the following assets will not be included: primary residence, tax-deferred or comparable retirement accounts, college savings accounts and cars used by the patient or patient's family. COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-LIJ Health System, Inc.) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the North Shore-LIJ website: http://www.northshorelij.com/NSLIJ/About+Us+Community+Service+Plans SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I; QUESTION 7 Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written-off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A) is not included for purposes of calculating the percent of total expense in column (f). The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose hospital compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7 (a)-(k), column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or programs. Column (f) for Rows (a)-(k) Theses percentages are calculated using Net Community Benefit Expenses divided by Total Expenses, excluding bad debt, for the hospital. Note: For the entire North Shore-LIJ Health System, Part I, Line 7 Row (k), Column (f) is approximately 10.5% as a percentage of expenses. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and are open to the public. These activities include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. The System's bioterrorism & disaster preparedness includes the Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and is a designated Bioterrorism Resource Center. The System has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances will assist with the transport of patients throughout the metropolitan area, stand ready to distribute food, medicine, and blankets to numerous individuals who may lose power in their homes. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The bad debt expense is multiplied by the ratio of cost to charges for purposes of inclusion in the total uncompensated care amount identified. Bad debt expenses are determined by applying the ratio of cost to charges from Worksheet 2 to gross patient charges written-off to bad debt. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. As a result of the fulfillment of the exemption under 501(c)(3) of the Internal Revenue Code, a portion of the bad debt is derived from the hospital's obligation not to turn away the community it serves, regardless of ability to pay. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 Medicare costs are determined utilizing a combination of the step down method of cost findings to arrive at the routine costs of services provided for each patient type, and a cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. COLLECTION POLICY SCHEDULE H, PART III, SECTION B; QUESTION 9B The hospital's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 9 The hospital used the federal poverty guidelines (FPG) limit of 100% to determine eligibility for providing free care although in practice that percentage can be higher based on the facts and circumstances on a case by case basis. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 10 The hospital used the FPG limit of 500% to determine eligibility for providing discounted care. The amount of discounted care is based on the facts and circumstances on a case by case basis. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 11H The hospital used the following factors to determine the basis for calculating amounts charged to patients: (a) income level, (b) asset level, (d) insurance status, (e) uninsured discount, (f) Medicaid/Medicare, (g) state regulation, and (h) other - household size. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 13G The hospital used the following measures to publicize the policy within the community served by the hospital facility: (a) the policy is posted on the hospital facility's website, (b) the policy is attached to billing invoices, (c) the policy is posted in the hospital facility's emergency rooms or waiting rooms, (d) the policy is posted in the hospital facility's admissions offices, (e) the policy is provided, in writing, to patients on admission to the hospital facility, (f) the policy is available on request, (g) the policy is included in the hospital's Community Service Plan and (h) other - the policy is provided at health fairs and presentations open to the community at no cost, in addition to the mailing of financial policy summary brochures. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 15E NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 16E NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 17E Before initiating any of the actions checked in line 16, the hospital facility made the following efforts: (a) notified patients of the financial assistance policy on admission, (b) notified patients of the financial assistance policy prior to discharge, (c) notified patients of the financial assistance policy in communications with the patients regarding the patients' bills, (d) documented its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy, and (e) other - letters and telephone calls and presumptive eligibility. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 18D The hospital facility had in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility's financial assistance policy. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 19D The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid). FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 20 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 21 In general, the hospital facility does not charge its FAP-eligible patients an amount equal to the gross charge for any service provided. The hospital may charge an amount equal to the gross charge when it is less than the Medicaid rate. NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 Community Needs Assessment Strategies are done on an ongoing basis, North Shore-LIJ conducts and participates in population, demographic and health status evaluations of its respective hospitals' service areas and the regions they serve. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Ongoing input concerning the communities' needs is also obtained through: (1) the System's Board of Trustees/Directors who are all area residents and leaders in their respective communities, (2) Facility based Advisory Boards and Councils, (3) The feedback received by the facility administrators and clinicians that serve on local community agency boards, (4) Internal hospital data, including Prevention Quality Indicators (PQI), (5) Department of Health Community Health Assessments, (6) Community Health Assessments (Volume One, Two, and Three), (7) Local Public Meetings, (8) Local Regional New York State Prevention Agenda Meetings, (9) Community Based Prevention Agenda Needs Surveys, (10) 2010 E-BRFSS, and (11) Statewide Planning and Research System (SPARCS) data. The Committee on Community Health ("the Committee"), a committee of the Board of Trustees, serves as a forum for the identification and discussion of the health needs of the community. The Committee makes recommendations concerning community health interventions to be provided by the System independently or in cooperation with community based organizations and government. The Committee is staffed by the Office of Community and Public Health ("OCPH'). In fulfilling its charge, the Committee also seeks input from local Community Advisory Boards ("CABs") of the constituent hospitals within the System. Throughout the spring, at all scheduled meetings of the Committee and CABs, the Prevention Agenda was discussed and feedback was solicited regarding community needs. Access to care was frequently cited as a concern and staff was able to provide detailed information on the unique work that is underway within the Healthcare Access Center, in collaboration with finance. In addition, specific feedback on the priorities identified for the Prevention Agenda programs was also solicited. Regional Department of Health Community Health Assessments ("CHAs") - Regional stakeholders include: Nassau County Department of Health (NCDOH), Suffolk County Department of Health Services (SCDHS), and New York City Department of Health and Mental Hygiene (NYCDHMH). These regional partners implemented a community survey to solicit additional information on community need as part of the preparation of their CHAs. Public meetings were held to solicit information on the needs and concerns of local community residents. These events were open to the general public and were advertised through local media and posting on the regional DOHs' web sites. Additionally, each regional department of health organizations convened a series of meetings for regional providers to discuss the shared responsibility for public health planning within the New York State Prevention Agenda. Staff from the Office of Community Health of North Shore-LIJ participated in these meetings. These meetings were open to all area hospitals and provided an opportunity for general discussion regarding the public health goals of the Prevention Agenda and the selection of shared priorities for collaborative regional planning. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 North Shore-LIJ is a regional leader in the development of financial assistance programs for the uninsured. The North Shore-LIJ financial assistance policy provides a uniformly-administered system of reduced fees for the uninsured residents of its service area. The current fee schedule includes patients with household incomes up to 500% of the FPG. While the fee schedule serves as a guide, all hardship cases are evaluated on a case-by-case basis, taking into account the individual's financial and personal circumstances. All medically necessary services are covered under the financial assistance program and the public is notified of the availability of the program through: (1) Multilingual signage throughout facilities (i.e. patient access & registration areas), (2) Multilingual educational brochures at key points of patient contact, (3) Centralized program administration accessible via phone (1-888-214-4065), (4) Staff outreach, and (5) Patient bills - all bills include a notice about the financial assistance program. North Shore-LIJ's FAP is streamlined to 1-page. Staff members use soft credit scoring software to reduce the administrative burden of compiling documentation for the application. This information is used to facilitate the application process, but is not used to deny an applicant. The Healthcare Access Center (HAC), staffed by bilingual employees, assists community residents' with referrals for enrollment into government-subsidized insurance programs such as Medicaid, Child Health Plus and Family Health Plus. In addition, the HAC staff refers patients to the Medicaid Prenatal Care Program and to the Senior Navigator Program within North Shore-LIJ for assistance with Medicaid for pregnant women and Medicare enrollment for seniors. COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 The North Shore-LIJ has a service area of more than approximately 7.2 million people covering Long Island (Nassau and Suffolk counties) and the Metropolitan area covering the boroughs of Manhattan, Queens, and Staten Island. The demographics of the community show a broad range of cultural and ethnic diversity, particularly in Queens, the most multi-ethnic county in the country. Overall the area has shown an increase in the number of uninsured and underinsured. The other counties in the service area continue to show trends of increasing diversity, as well. By 2017, the service area population 65 and older will grow by 13.5%, while residents under 65 will decline less than 1% (Thomson Reuters, Market Planner Plus). The service area has also shown high rates of obesity, diabetes, asthma and heart/cerebrovascular disease mortality. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 North Shore-LIJ's community outreach strategies identify health needs through education, community advocacy, partnerships and programs that result in improved access to care and health outcomes. The strategies and tactics for achieving this goal include: (A) Expand community representation on committees for educational events. (B) Provide cultural competence in-service training programs to outreach staff. (C) Inventory and quantify community benefit activities annually for all its facilities. (D) Educate and involve employees and medical staff in the provision of community benefit activities. (E) Assure compliance with New York State Limited English Proficiency standards. (F) Support community partnerships with sustainability strategies via identification of external funding streams. (G) Improve the effectiveness of the North Shore-LIJ Health Care Access Center by targeting outreach programs toward community and staff. (H) Collaborate with community partners to provide locations for community health prevention screenings. North Shore-LIJ recognizes that, to have an impact on community health status, it must collaborate, to the extent possible, with multiple partners who can address different components of program design, including: providing trust and "reach" into a community; access to capital and funding; policy guidance; and, best practices for program development. With thousands of community programs, the System's partners are many and varied. A representative sample of these partners includes: government, national/professional associations, area businesses, other area health care provider, philanthropies, civic organizations and CBOs. North Shore-LIJ provides community residents with a broad array of community benefit programs, such as: improving access to healthcare services and caring for the medically underserved, free screenings and health fairs, community education and outreach programs, support groups, and emergency medical services. The comprehensive list of these programs can be found in the Community Service Plans located on the North Shore-LIJ web site: Http://www.northshorelij.com/NSLIJ/About+Us+Community+Service+Plans. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 The hospital is an affiliate of the North Shore-LIJ Health System Inc., a NYS not-for-profit corporation. All North Shore-LIJ entities are considered to be under common control for antitrust and other legal purposes. Each hospital facility shares a common board and management in the System and as such is referred to as being commonly managed. As a not-for-profit hospital, the hospital facility: (i) Operates emergency rooms that are open to all persons regardless of ability to pay, (ii) Extends medical staff privileges to all qualified physicians in its community for some or all of its departments, (iii) Has a governing body in which independent persons representative of the community comprise a majority, (iv) Engages in medical or scientific research programs, (v) Engages in the training and education of health care professionals, (vi) Participates in government-sponsored health insurance programs including: Medicaid, Medicare, S-Child Health Plus, Family Health Plus, Cancer Services Program, and the Prenatal Program. The Committee on Community Health, a committee of the Board of Trustees, is charged with the overall health of the population served by the System through oversight of coordinated links between North Shore-LIJ's clinical services and the larger public health arena. Staffed by the System's Office of Community and Public Health, the objectives of the committee include: (a) Promote a dialogue about the obligations of a large health system to address the critical issues for the health of the public. (b) Review information which assesses the health status of the communities served. (c) Promote activities which have been shown to positively impact health. (d) Identify demographic studies regarding population disparities in morbidity and mortality. (e) Study and recommend community health interventions to be provided by the System either independently or as a collaborative effort. (f) Propose policy recommendations to guide current programs or develop new programs. (g) Identify opportunities to meet health care needs through improved delivery of health care. (h) Review North Shore-LIJ's service lines and evaluate them within the context of the Strategic Plan and national best practices (i) Make recommendations about resources based on program evaluation results. OCHP provides an infrastructure for the System to organize and promote existing and new community health activities. The office, whose leadership reports to the Community Health Committee, organizes, implements, and reports activities that promote this goal. The scope of OCHP encompasses programs and partnerships that: (1) Facilitate access to primary and specialty care, (2) Educate the public and professionals about health and mental health issues, (3) Promote prevention and screening for common conditions, (4) Reach out to special and vulnerable populations, and (5) Advocate for public policies that support healthier communities. North Shore-LIJ is an integrated health care delivery system which includes 15 hospitals, two long-term care facilities, a world renowned children's medical center, a hospice network, a major research center and many other related entities. With a service area of 7 million persons, encompassing the New York metropolitan, the System has become the nation's second-largest nonprofit, secular health care system and one of the largest clinically integrated health care networks in the country. The System's 15 hospitals contain more than 5,600 beds and include five tertiary, two specialty and eight community hospitals as well as affiliated and clinical relationships with a number of area hospitals. The System's five major tertiary teaching hospitals include North Shore University Hospital (NSUH) in Manhasset (804 beds), Staten Island University Hospital's North Campus on Staten Island (SIUH) (714 beds), Lenox Hill Hospital in Manhattan (652 beds), Southside Hospital in Suffolk (341 beds), and Long Island Jewish Medical Center (LIJMC) in New Hyde Park (888 beds). The LIJMC campus is also home to two free-standing specialty hospitals: Steven and Alexandra Cohen Children's Medical Center (488 beds), and The Zucker Hillside Hospital (236 beds), a psychiatric hospital. As a market share leader, the System, headquartered in Great Neck, New York, provided the following continuum of services in 2011: 283,700 inpatient discharges; 133,400 ambulatory care surgeries; 25,600 deliveries; 640,000 emergency department visits (including emergency admits); and 503,600 home health visits. The System has more than 9,430 physicians and 10,000 nurses, and has a total workforce of more than 43,000 employees. It is the largest employer on Long Island and the third-largest private employer in New York City. Additionally, it has the nation's sixth-largest physician group practice with more than 2,400 full-time physicians in the North Shore-LIJ Medical Group. Clinical programs that are currently coordinated across the health system include: Behavioral Health, Cancer Services, Cardiovascular Services, Children's Health Services, Home Care, Hospice, Rehabilitation, Skilled Nursing, Diagnostic Imaging Services, Emergency Services, Laboratory Services, Physical Medicine and Rehabilitation, Radiation Oncology, Research, Neurosciences, Orthopedics, Urology, and Women's Health Services. North Shore-LIJ is currently expanding centers of excellence system-wide in neurosciences, women's health and orthopedics. North Shore-LIJ has established a free-standing research institute, The Feinstein Institute for Medical Research ("the Institute'), which is comprised of more than 1,500 scientists who work in their laboratories on clinical reasarch programs and closely with clinicians and patients throughout the health system. The Institute ranks in the top 5 percent of all research institutions that receive NIH support and is also chartered to confer doctoral (PhD) degrees through its Elmezzi Graduate School of Molecular Medicine. Hofstra University and North Shore-LIJ entered into a joint academic partnership to develop an allopathic medical school, known as the Hofstra North Shore-LIJ School of Medicine which is the first new allopathic medical school in the New York metropolitan area in more than 35 years. The academic partnership enhanced recruitment of faculty, leadership, and researchers; furthered the expansions of residencies and fellowships; increased North Shore-LIJ's competitiveness for grants and referrals for patient care; and enhanced integration of clinical and translational science. Hofstra North Shore-LIJ School of Medicine welcomed its inaugural class of 40 students in the summer of 2011. The System's hospitals, programs and services support one of the largest resident and fellowship training programs in the United States. It directly sponsors approximately 115 accredited graduate medical education (GME) programs and trains more than 1,500 medical residents and fellows annually. The hospitals and facilities collectively serve as teaching sites for more than 1,200 rotations for medical students from five medical schools. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 New York. X X X X false true false true false false false true false MICHAEL J DOWLING 0 1173096 0 1328520 0 19605 0 721638 0 21175 0 3264034 0 0 ANTHONY C FERRERI 107373 773357 0 140660 11895 7857 10821 262514 2707 15100 132796 1199488 0 0 KEVIN F LAWLOR 0 597817 0 119000 0 27990 0 296193 0 17251 0 1058251 0 0 RALPH A NAPPI 0 649111 0 100000 0 25707 0 515655 0 18925 0 1309398 0 0 ARTHUR J FRIED ESQ 0 225429 0 25863 0 24754 0 26950 0 17750 0 320746 0 0 KEITH C THOMPSON 0 697420 0 130000 0 29383 0 340418 0 15597 0 1212818 0 0 HARRY E GINDI 0 272365 0 28591 0 3383 0 26950 0 15100 0 346389 0 0 ROBERT S SHAPIRO 0 869950 0 155520 0 21870 0 244560 0 18220 0 1310120 0 0 THOMAS RECA 486112 0 32233 0 1188 100000 26460 0 12696 0 558689 100000 0 0 MARK P JARRETT MD 470712 0 31517 0 1188 0 24500 0 11480 0 539397 0 0 0 DONNA PROSKE 505215 0 31294 0 1188 0 26460 0 13248 0 577405 0 0 0 NICHOLAS CARUSELLE 379912 0 25731 0 774 0 16688 0 0 0 423105 0 0 0 GREGORY RADINSKY 0 251571 0 26980 0 16770 0 26950 0 14700 0 336971 0 0 JOSEPH T MCGINN MD 1496444 0 0 0 774 0 14700 0 18101 0 1530019 0 0 0 MICHAEL L COOPER MD 953623 0 0 0 51922 0 14700 0 18101 0 1038346 0 0 0 JONATHON DEITCH MD 898808 0 100000 0 0 0 0 0 6106 0 1004914 0 0 0 CHRISTOPHER DEMAS MD 797482 0 95625 0 0 0 0 0 19116 0 912223 0 0 0 PHILLIP M VIGNERI MD 745275 0 125000 0 0 0 24500 0 11140 0 905915 0 0 0 COMPENSATION INFORMATION CORE FORM, PART VII and SCHEDULE J, PART II; QUESTION 4B SIX individuals' participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individualS 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-II, Column C for Michael J. DowlinG, $694,688; ANTHONY C. FERRERI, $235,564; KEVIN F. LAWLOR, $273,978; Ralph A. Nappi, $488,705; KEITH C. THOMPSON, $313,468 AND ROBERT S. SHAPIRO, $217,610. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 5A PURSUANT TO THE PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A, THERE IS NO CONTRACTUAL OBLIGATION TO PAY OR ACCRUE ANY COMPENSATION TO OFFICERS OF THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM BASED ON THE REVENUE OF THE ORGANIZATION. A LISTED PERSON(S) THAT MAY QUALIFY UNDER THIS CONDITION COULD BE ONE OR MORE OF THE PHYSICIANS LISTED AS A HIGHLY COMPENSATED EMPLOYEE. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 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). DORMITORY AUTHORITY - STATE OF NEW YORK 146000293 2006-11-09 7750186 LEASE OF EQUIPMENT false false false DORMITORY AUTHORITY - STATE OF NEW YORK 126000293 2009-08-19 4744692 LEASE OF EQUIPMENT false false false 6429115 0 8074242 0 0 0 40524 0 0 8033718 0 0 2009 false false true true 422979 0 4744692 0 0 0 83250 0 0 4661442 0 0 2010 false false true true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false 0 false 0 false false false false false 0 false 0 false true TONI A SPINELLA DAUGHTER OF OFFICER 44195 EMPLOYEE false TARA MAZZUCCO DAUGHTER OF TRUSTEE 38983 EMPLOYEE false SCARAN OIL COMPANY/FAMILY OF TRUSTEE 403711 OIL/UTILITY PRODUCT false JAMES R WELLER SON OF OFFICER 42115 EMPLOYEE false DONNA FERRERI FAMILY MEMBER of officer 44299 EMPLOYEE false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV FRANK W. SCARANGELLO, SR. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, SCARAN OIL, DURING 2011. TOTAL FEES PAID TO SCARAN OIL WERE $403,711. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. BUSINESS AND FAMILY RELATIONSHIPS CORE FORM, PART VI, SECTION A; QUESTION 2 FORM 990 SCHEDULE A, PART III STATEMENT ABOUT ACTIVITY ====================================================== 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 and Stanley Applebaum. Philip Altheim -------------- has a business relationship with Eric Blumencranz. Stanley Applebaum ----------------- has a business relationship with John Alexander and John Shall. Michael Ashner -------------- has a business relationship with William Mack. Eric Blumencranz ---------------- has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Richard Guarasci, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Seth Kupferberg, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese and Michael Slade. Roger Blumencranz ----------------- has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, 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. Alan Chopp ---------- has a business relationship with Patrick Mc Dermott. Mark Claster ------------ has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz and Barry Rubenstein. Philippe Dauman --------------- has a business relationship with Michael Hoffman. Daniel de Roulet --------------- has a family relationship with Lorinda de Roulet. Lorinda de Roulet ---------------- has a family relationship with Daniel de Roulet. Leonard Feinstein ----------------- has a business relationship with William Mack. Anthony Ferreri --------------- has a family and business relationship with John Shall. 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 Roger Blumencranz. Richard Guarasci ---------------- has a business relationship with Eric Blumencranz. Paul Guenther ------------- has a business relationship with Michael Hoffman. MARLENE HESS ------------ HAS A BUSINESS RELATIONSHIP WITH michael hoffman. William Hiltz ------------- has a business relationship with Michael Hoffman. Michael Hoffman --------------- has a business relationship with Phillipe Dauman, Paul Guenther, Marlene Hess, William Hiltz and Richard Nye. Richard Horowitz ---------------- has a business relationship with Eric and Roger Blumencranz. Jeffrey Jurick -------------- has a family relationship with Lyn Jurick. He has a business relationship with Eric and Roger Blumencranz. Lyn Jurick ----------- has a family relationship with Jeffrey Jurick. She has a business relationship with Eric and Roger Blumencranz. David Katz ---------- has a family relationship with Saul Katz and Michael Katz. 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. Seth Kupferberg --------------- has a business relationship with Eric Blumencranz. 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. 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, Scott Rudolph, Richard Goldstein and Roy Zuckerberg. Bradley Marsh ------------- has a family relationship with Jack Ross. He has a business relationship with Eric and Roger 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 and Roger Blumencranz. Ralph Nappi ----------- has a business relationship with Eric Blumencranz. Richard Nye ----------- has a busienss relationship with Michael Hoffman. Dennis Riese ------------ has a business relationship with Eric Blumencranz. Robert Rosenthal ---------------- has a business relationship with Mark Claster and F.J. McCarthy. Dr Bernard Rosof ---------------- has a business relationship with Huntington Hospital Trustees. Jack Ross --------- has a family relationship with Bradley Marsh. Barry Rubenstein ---------------- has a business relationship with Saul Katz, Richard Goldstein, William Mack and Mark Claster. Scott Rudolph ------------- has a business relationship with William Mack. 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. 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. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 4 The By-Law changes makes the corporation a member of an obligated group for financing purposes, with other member-hospitals of the North Shore-Long Island Jewish Health System. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 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 healthcare delivery system. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION b; QUESTION 11b All North Shore-LONG ISLAND JEWISH 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. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 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 filed 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. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 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. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. RELATED HOURS INFORMATION CORE FORM, PART VII, SECTION A 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, 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. RECONCILIATION OF NET ASSETS CORE FORM, PART XI; QUESTION 5 OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION AND OTHER POSTRETIREMENT LIABILITY ADJUSTMENTS - ($33,398) - CHANGE IN NET UNREALIZED GAINS/(LOSSES) AND CHANGE IN VALUE ON EQUITY METHOD INVESTMENTS - $1,710,848 - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS DESIGNATED AS DERIVATIVE INSTRUMENTS - ($1,091,789) - MEDICAL RESIDENT TAX RECOVERY - $1,305,546 - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ASSET ACQUISITIONS - $1,912,222 - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - $1,064,965 - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $150,542 - DEFEASEMENT OF LONG-TERM DEBT - ($3,070,067) AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES STATEN ISLAND UNIVERSITY HOSPITAL. THE SYSTEM'S PARENT ENTITY IS NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTHCARE SYSTEM, INC. EXECUTIVE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN - TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN ALEXANDER TITLE:TREASURER - TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD S ABRAMSON TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM ACHENBAUM TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:IRA I ALTFEDER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILIP S ALTHEIM TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STANLEY A APPLEBAUM TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL L ASHNER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BEVERLY BANKER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RALPH M BARUCH TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MORTON M BASS TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FRANK J BESIGNANO TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ELISE M BLOOM TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ERIC S BLUMENCRANZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROGER A BLUMENCRANZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID BLUMENFELD TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWARD BLUMENFELD TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:E STEVE BRAUN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAYTON T BROWN JR TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALLEN E BUSCHING TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JONATHAN S CANNO TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL CARIDI TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:REVEREND DEMETRIUS S CAROLINA SR TITLE:TRUSTE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RUDOLPH C CARRYL TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT W CHASANOFF TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALAN CHOPP TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK CLASTER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DIANA F COLGATE TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL M CROWN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILIPPE P DAUMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL C DE ROULET TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LORINDA DE ROULET TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS E DEWEY JR TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS E DOOLEY TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL J DOWLING TITLE:TRUSTEE HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT N DOWNEY TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MELVIN DUBIN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICK R EDWARDS TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TONI J ELLIOTT TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL A EPSTEIN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LEONARD FEINSTEIN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL E FELDMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARLENE LANE FISHER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CATHERINE C FOSTER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM H FRAZIER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EUGENE B FRIEDMAN MD TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SY GARFINKEL TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LLOYD MICHAEL GOLDMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J JOAQUIN GONZALEZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL GOULD TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALBERT L GRANGER DDS TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALAN I GREENE TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES R GREENE TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STANLEY GREY TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD GUARASCI PHD TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL B GUENTHER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HENRY L HACKMANN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:AMY M HAGEDORN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEPHEN L HAMMERMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:IRA HAZAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDA W HEANEY TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARLENE HESS TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM O HILTZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL HOFFMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEDALE B HOROWITZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD A HOROWITZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:M ALLAN HYMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK JACOBSON TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFFREY JURICK TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LYN JURICK TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR KALISH TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN L KANTOR TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID M KATZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL KATZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SAUL B KATZ TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LISA A KAUFMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT KAUFMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CARY KRAVET TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STANLEY KREITMAN TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SETH KUPFERBERG TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFFREY B LANE TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CURT N LAUNER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LAURA LAURIA TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN F LAWLOR TITLE:TRUSTEE HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL S LEEDS TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID W LEHR TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JONATHAN W LEIGH TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SYLVIA LESTER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR S LEVINE TITLE:TRUSTEE HOURS:2 HOURS 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HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD B NYE TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CLYDE I PAYNE ED D TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARNOLD S PENNER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN J RAGGIO TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LEWIS S RANIERI TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAY R RAUBVOGEL TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:COREY RIBOTSKY TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DENNIS RIESE TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TERRY P RIFKIN MD TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT A ROSEN TITLE:TRUSTEE HOURS:2 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