2012-12-13T12:12:56-06:00 2011-12-31 990 2011-01-01 112965575 NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM FOUNDATION % NORTH SHORE-LIJ HEALTH SYSTE NORT 5168766061 972 BRUSH HOLLOW ROAD 5TH FLOOR WESTBURY NY 11590 ROBERT S SHAPIRO 2012-12-12 2011 2016-02-24 21:20:13Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 156131283 false X NORTHSHORELIJ.COM X 1988 NY Foundation's mission is to solicit, receive, and administer funds to be used for major modernization, capital acquisitions, special programs and other health care related services for the System. 152 144 56 0 94013123 133628932 0 0 1768937 1336320 -359195 -1276685 95422865 133688567 63577510 117068717 0 0 5596126 8391826 68601 74400 8648416 3210302 4346232 72452539 129881175 22970326 3807392 243326125 248163617 13873031 17300306 229453094 230863311 NORTH SHORE LIJ HEALTH SYSTEM FOUNDATION INC. IS DEDICATED TOWARD HELPING DONORS, PATIENTS, AND LEADERS LINK THEIR VISION AND PHILANTHROPIC SUPPORT TOWARD HELPING THE UNDERSERVED AND UNINSURED, ADVANCING THE LATEST FRONTIERS IN MEDICAL TECHNOLOGY AND RESEARCH, OR PROVIDING CRITICAL FINANCIAL SUPPORT FOR NEW FACILITIES AND PROGRAMS WITHIN THE NORTH SHORE LIJ HEALTH SYSTEM. false false 117068717 117068717 133628932 The Foundation raises funds for the expansion, modernization, and medical care for the affiliated health care organizations within the North Shore-Long Island Jewish Health System. 117068717 true true false false false false false false false true true false false false true true true true false false true false false true true false false true false true false false false false false false true false true false false false false true false false false false true 42 17 true 56 true false true CJ EI false false false true true false false false false false false false false false X 152 144 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 X MICHAEL DOWLING 50.0 X 0 2521221 742813 RALPH NAPPI 50.0 X X 774818 0 534580 RICHARD D GOLDSTEIN 3.0 X X 0 0 0 WILLIAM L MACK 3.0 X X 0 0 0 ALAN I GREENE 2.0 X X 0 0 0 DONALD ZUCKER 2.0 X X 0 0 0 ROBERT D ROSENTHAL 2.0 X X 0 0 0 ROGER A BLUMENCRANZ 2.0 X X 0 0 ROY J ZUCKERBERG 2.0 X X 0 0 0 LLOYD M GOLDMAN 2.0 X X 0 0 0 BARRY RUBENSTEIN 2.0 X X 0 0 0 ANTHONY C FERRERI 50.0 X 0 1041142 291142 KEVIN F LAWLOR 50.0 X 0 744807 313444 NON-COMPENSATED TRUSTEES 2.0 X 0 0 0 SAUL KATZ 2.0 X X 0 0 0 ROBERT S SHAPIRO 50.0 X 0 1047340 262780 KEITH THOMPSON 50.0 X 0 856803 356015 HARRY GINDI 50.0 X 0 304339 42050 KEVIN DWYER 50.0 X 510884 0 42050 CECELIA FULLAM 50.0 X 470464 0 42050 ROBERT CASTANO 50.0 X 292024 0 42050 KEVIN CARRACCIO 50.0 X 247565 0 42050 KENNETH MCMILLAN 50.0 X 185719 0 34700 2481474 6515652 2745724 13 false true false MITCHELL ASSOCIATES INC ONE AVENUE OF THE ARTS WILMINGTON DE 19801 DESIGN CONSULTANT 214517 SHADOWBOX DESIGN MANAGEMENT 100 TEC ST UNIT F HICKSVILLE NY 11801 GRAPHIC DESIGN 212558 LAWRENCE SCOTT EVENTS LTD 35 BETHPAGE RD HICKSVILLE NY 11801 CATERING 165849 THE ANGELETTI GROUP LLC 17 VILLAGE RD NEW VERNON NJ 07976 CONSULTING 144000 CROWN ADVERTISING 245 NEWTOWN RD STE 103 PLAINVIEW NY 11803 ADVERTISING 132480 5 5280243 128348689 54697447 133628932 0 327380 327380 0 0 21087502 20078562 1008940 1008940 1087469 5280243 2364154 -1276685 0 0 0 133688567 327380 117068717 117068717 0 0 0 774818 215767 559051 0 6268447 1745605 4522842 326058 90799 235259 715114 199141 515973 307389 85600 221789 0 0 0 0 74400 74400 0 463374 129038 334336 10546 2937 7609 911633 253867 657766 0 0 243379 67775 175604 84164 23438 60726 0 395006 109999 285007 0 0 135560 135560 0 DUES & SUBCRIPTIONS 42192 11749 30443 OTHER PURCHASED SERVICES 578382 161065 417317 INCOME TAX-FEDERAL 500 500 CENTRALIZED ADMIN EXP 718814 718814 762682 212388 550294 129881175 117068717 4164042 8648416 0 0 34193984 39760767 154339531 156871722 0 0 0 0 0 0 0 0 0 0 0 0 2215910 599964 557124 1615946 54235223 49686502 0 0 0 0 0 0 263 228680 243326125 248163617 932298 5814263 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12940733 11486043 13873031 17300306 X 29414262 24737133 155096222 157416976 44942610 48709202 229453094 230863311 243326125 248163617 X 3807392 -2397175 X false true true X false X 88770178 69922500 42948280 94013123 133628932 429283013 88770178 69922500 42948280 94013123 133628932 429283013 79835360 349447653 1460861 -1161482 4847783 1291484 1336320 7774966 437057979 -1206332 0.79954 0.89275 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32428614 3772695 -608115 467680 35125514 25243877 4857889 2750934 424086 32428614 21085403 215461 4406686 463673 25243877 25147421 1668786 -5188007 542797 21085403 1.00000 false false 89619 89619 770310 229168 541142 1342173 364811 977362 13808 5985 7823 1615946 0 DUE TO AFFLIATES 7030511 INSURANCE CLAIMS PAYABLE 224562 OTHER LIABILITIES 4230970 11486043 133688567 129881175 3807392 -2397174 -2397174 1410218 133655547 -2397174 2364154 -33020 133688567 133688567 132245329 2364154 2364154 129881175 129881175 FIN 48 PART X, LINE 2 Certain organizations included in the System's consolidated financial statements are taxable entities under Federal or state laws. 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, 2011 and 2010, 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. The System has net operating loss carry forwards of approximately $113,555,000, which expire in varying amounts through 2031, and are available to offset future taxable income. INTENDED USE OF ENDOWMENTS PART V, LINE 4 There are various components that encompass the Endowment Fund. In general, their intended use is for teaching, research and training, major modernization, and purchases of equipment. OTHER REVENUE AND EXPENSE PT XII & PT XIII, LINE 2D RECLASS OF DIRECT EXPENSE RELATED TO SPECIAL EVENTS. Central America and the Caribbean Investments 5792726 Europe (Including Iceland and Greenland) Investments 4412428 10205154 10205154 false false false false false false X X X X true ROBIN ROSS MAJOR GIFTS OFFICER false 74400 74400 FL NY AUTUMN BALL 2112676 2029006 83670 0 307629 0 130139 CONCERT 1109205 1039155 70050 10229 142762 295300 255056 19 3145831 2212082 933749 168803 364808 104426 585002 6367712 5280243 1087469 179032 815199 399726 970197 2364154 -1276685 true LONG ISLAND JEWISH MEDICAL CENTER 972 BRUSH HOLLOW RD WESTBURY NY 11590 112241326 501(C)(3) 10947397 GENERAL SUPPORT NORTH SHORE UNIVERSITY HOSPITAL 972 BRUSH HOLLOW ORD WESTBURY NY 11590 111562701 501(C)(3) 6903781 GENERAL SUPPORT SOUTHSIDE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111667761 501(C)(3) 11325245 GENERAL SUPPORT FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 972 BRUSH HOLLOW RD WESTBURY NY 11590 112673595 501(C)(3) 19958578 GENERAL SUPPORT GLEN COVE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111633487 501(C)(3) 3702271 GENERAL SUPPORT LENOX HILL HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 131624070 501(C)(3) 62646294 GENERAL SUPPORT FRANKLIN HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112296824 501(C)(3) 1262950 GENERAL SUPPORT NSUH STERN FAMILY CECR 972 BRUSH HOLLOW RD WESTBURY NY 11590 237007485 501(C)(3) 61608 GENERAL SUPPORT FOREST HILLS HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112163522 501(c)(3) 71035 GENERAL SUPPORT PLAINVIEW HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 113241243 501(C)(3) 189558 GENERAL SUPPORT 10 GENERAL INFORMATION ON GRANTS AND ASSISTANCE PART I, LINE 2 ON A MONTHLY BASIS THE FOUNDATION DISTRIBUTES THE COLLECTIONS OF SPECIAL PURPOSY FUNDS ("SPF"), RESEARCH AND A BUDGETED AMOUNT OF SUPPORT FOR RESEARCH OPERATIONS. THE SPF IS THEN ALLOCATED TO EACH GRANT AND SPENDING OF THESE GRANTS WOULD BE BASED ON CHECK REQUESTS WITH PROPER APPROVAL. ENDOWMENT COLLECTIONS ARE DISTRIBUTED TO THE APPROPRIATE SITE AS COLLECTED AND THERE WOULD BE NO SPENDING OF THE PRINCIPAL. CAPITAL DISTRIBUTIONS ARE BASED ON SPECIFIC REQUESTS AND ARE DISTRIBUTED AFTER THE FUNDS HAVE BEEN SPENT. X X X X X false true false false false false false true false MICHAEL DOWLING 0 1173096 0 1328000 0 20125 0 721638 0 21175 0 3264034 0 0 RALPH NAPPI 649111 0 100000 0 25707 0 515655 0 18925 0 1309398 0 0 0 ROBERT S SHAPIRO 0 869950 0 155520 0 21870 0 244560 0 18220 0 1310120 0 0 KEITH THOMPSON 0 697420 0 130000 0 29383 0 340418 0 15597 0 1212818 0 0 HARRY GINDI 0 272365 0 28591 0 3383 0 26950 0 15100 0 346389 0 0 KEVIN DWYER 426514 0 72880 0 11490 0 26950 0 15100 0 552934 0 0 0 CECELIA FULLAM 373284 0 73084 0 24096 0 26950 0 15100 0 512514 0 0 0 ROBERT CASTANO 291054 0 0 0 970 0 26950 0 15100 0 334074 0 0 0 KEVIN CARRACCIO 246757 0 0 0 808 0 26950 0 15100 0 289615 0 0 0 KENNETH MCMILLAN 185447 0 0 0 272 0 19600 0 15100 0 220419 0 0 0 ANTHONY C FERRERI 0 880730 0 140660 0 19752 0 273335 0 17807 0 1332284 0 0 KEVIN F LAWLOR 0 597817 0 119000 0 27990 0 296193 0 17251 0 1058251 0 0 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, LINE 4B Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($694,688), Anthony Ferreri ($235,564), Kevin Lawlor ($273,978), Robert Shapiro ($217,610), Keith Thompson ($313,468) and Ralph Nappi ($488,705). 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). ROBIN ROSS FAMILY MEMBER: JACK ROSS 74400 INDEPENDENT CONTRACTOR false X 33 697447 MMV Date of Gift X 1 54000000 3rd Party Valuation false true true Stock Sales Schedule M, Part I, Line 32b Brokereage Firms are used to sell stocks that are donated BOARD MEMBER RELATIONS PART VI, SECTION A - GOVERNING BODY, LINE 2 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. Morton Bass has a family relationship with Sandra Atlas Bass. 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. 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, 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. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz. Philippe Dauman has a business relationship with Michael Hoffman. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. 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. William Hiltz has a business relationship with Michael Hoffman and Jeff Maurer. 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 Lynn Jurick. He has a business relationship with Eric and Roger Blumencranz. Lynn 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. 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 Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric Blumencranz. 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 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. EXECUTIVE COMMITTEE PART VI, SECTION B - POLICIES, LINE 11 All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. CONFLICTS OF INTEREST PART VI, SECTION B - POLICIES, LINE 12C The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. OFFICERS COMPENSATION PART VI, SECTION B - POLICIES, LINE 15 The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations. DISCLOSURES PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. NON-COMPENSATED TRUSTEES PART VII, SECTION A - LINE 1A Richard S. Abramson Albert L. Granger, DDSKatherine McEnroe William Achenbaum Alan I. Greene James McMullen John W. Alexander James R. Greene Charles Merinoff Ira I. Altfeder Stanley Grey Aimee Merszei Philip S. Altheim Richard Guarasci, PhD Richard D. Monti Stanley A. Applebaum Paul B. Guenther Tomas D. Morales, PhD Michael L. Ashner Henry L. Hackmann Richard Murcott Beverly VP. Banker Amy M. Hagedorn Ralph A. Nappi Ralph M. Baruch Stephen L. Hammerman Richard B. Nye Morton M. Bass Ira Hazan Clyde I. Payne, Ed.D. Frank J. Besignano Linda W. Heaney Arnold S. Penner Elise M. Bloom Marlene Hess John J. Raggio Eric S. Blumencranz William O. Hiltz Lewis S. Ranieri Roger A. Blumencranz Michael Hoffman Jay R. Raubvogel David Blumenfeld Gedale B. Horowitz Corey Ribotsky Edward Blumenfeld Richard A. Horowitz Dennis Riese E. Steve Braun M. Allan Hyman Terry P. Rifkin, M.D. Dayton T. Brown, Jr Mark Jacobson Robert A. Rosen Allen E. Busching Jeffrey Jurick Marcie Rosenberg Jonathan S. Canno Lyn Jurick Robert D. Rosenthal Michael Caridi Arthur Kalish Bernard M. Rosof, M.D. Rev. Carolina Sr, Ed.D Steven L. Kantor Jack J. Ross Rudolph C. Carryl David M. Katz Barry Rubenstein Robert W. Chasanoff Michael Katz Herbert Rubin Alan Chopp Saul B. Katz Scott Rudolph Mark Claster Lisa A. Kaufman Michael H. Sahn Diana F. Colgate Robert Kaufman Frank W. Scarangello, Sr. Daniel M. Crown Cary Kravet Norman Schlanger Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Robert F. Shapiro Thomas E. Dewey, Jr. Curt N. Launer Marc V. Shaw Thomas E. Dooley Laura Lauria Sean G. Simon Michael J. Dowling Kevin F. Lawlor Richard Sims Robert N. Downey Michale S. Leeds Michael C. Slade Melvin Dubin David W. Lehr Phyllis Hill Slater Patrick R. Edwards Jonathan W. Leigh Howard D. Stave Toni J. Elliott Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine Maganlal Sutaria, M.D. Leonard Feinstein Stuart R. Levine John B. Thomson, Jr. Michael E. Feldman Seth Lipsay Peter Tilles Anthony C. Ferreri David S. Mack Sandra Tytel Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Howard S. Maier Gary Walter William H. Frazier Linda Manfredi Howard Weingrow Eugene B. Friedman, M.D. James S. Marcus Lewis M. Weston Sy Garfinkel Bradley Marsh, D.P.M. Jon A. Wurtzburger Lloyd Michael Goldman Jeffrey S. Maurer Barbara Hrbek Zucker Richard D. Goldstein Ronald J. Mazzucco Donald Zucker J. Joaquin Gonzalez F.J. McCarthy Roy J. Zuckerberg Michael Gould Patrick F. McDermott 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 persons listed hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. GOVERNING BODY PART VI, LINE 7 This organization is a member of the North Shore Long Island Jewish Health System (the "System"). The System is the sole corporate member of this organization. The System 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. RECONCILIATION OF NET ASSETS PART XI, LINE 5 CHANGE IN NET UNREALIZED GAINS/LOSSES (2,397,174) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL DOWLING TITLE:PRESIDENT & CEO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RALPH NAPPI TITLE:PRESIDENT, FOUNDATION HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD D GOLDSTEIN TITLE:CO-CHAIRMAN HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM L MACK TITLE:CO-CHAIRMAN HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALAN I GREENE TITLE:TREASURER HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONALD ZUCKER TITLE:SR VICE CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT D ROSENTHAL TITLE:VICE CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROGER A BLUMENCRANZ TITLE:SECRETARY HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROY J ZUCKERBERG TITLE:SR VICE CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LLOYD M GOLDMAN TITLE:VICE CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BARRY RUBENSTEIN TITLE:VICE CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY C FERRERI TITLE:TRUSTEE AND PRES/CEO SIUH HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN F LAWLOR TITLE:TRUSTEE & PRES/CEO HUNT HOSP HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE O HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SAUL KATZ TITLE:SR VICE CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT S SHAPIRO TITLE:SR VP, CHIEF FINANCIAL OFFICER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEITH THOMPSON TITLE:SR VP & GENERAL COUNSEL HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HARRY GINDI TITLE:ASSISTANT SECRETARY HOURS:50 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 NY 11590 112296824 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false SOUTHSIDE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111667761 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false NORTH SHORE-LIJ HEALTH SYSTEM LABS 972 BRUSH HOLLOW RD WESTBURY NY 11590 113412370 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 972 BRUSH HOLLOW RD WESTBURY NY 11590 112673595 RESEARCH NY 501(C)(3) 4 NS-LIJHS false NSUH STERN FAMILY CECR 972 BRUSH HOLLOW RD WESTBURY NY 11590 237007485 NURSING HOME NY 501(C)(3) 9 NS-LIJ HCI false LIJ MEDICAL CENTER AT HOME PHARMACY 972 BRUSH HOLLOW RD WESTBURY NY 11590 113251128 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false LIJ FOUNDATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 112661239 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false NORTH SHORE-LIJ MEDICAL CARE CENTERS 972 BRUSH HOLLOW RD WESTBURY NY 11590 113473923 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false SSH INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 112774102 SUPPORT NY 501(C)(3) 11, TYPE 1 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 AT GLEN COVE HOUSING 972 BRUSH HOLLOW RD WESTBURY NY 11590 237010468 HOUSING NY 501(C)(2) N/A NS-LIJHS false HILLSIDE HOSPITAL HOUSES 972 BRUSH HOLLOW RD WESTBURY NY 11590 112113949 HOUSING NY 501(C)(2) N/A NS-LIJHS false SIUH SYSTEMS INC 475 SEAVIEW AVE 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 AVE STATEN ISLAND NY 10305 311757254 SUPPORT NY 501(C)(3) 11, TYPE 1 NA false CHAPS COMMUNITY HEALTH CENTER INC 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 113345477 INACTIVE NY 501(C)(3) 9 SIUH false HOSPICE CARE NETWORK 99 SUNNYSIDE BLVD WOODBURY NY 11797 112925757 HOSPICE NY 501(C)(3) 9 NS-LIJHS false HUNTINGTON HOSPITAL 270 PARK AVENUE HUNTINGTON NY 11743 111630914 HOSPITAL NY 501(C)(3) 3 NS-LIJ HCI false HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH 284 PARK AVENUE GREENLAWN NY 11740 113368503 HEALTH CARE NY 501(C)(3) 3 HUNTINGTON false PHYSICIANS OF UNIVERSITY HOSPITAL PC 1 EDGEWATER PLAZA 6TH FL STATEN ISLAND NY 10305 200096809 HEALTH CARE NY 501(C)(3) 11, TYPE 1 NA false LENOX HILL HOSPITAL 100 EAST 77TH ST NEW YORK NY 10021 131624070 HEALTH CARE NY 501(C)(3) 3 NS-LIJ HCI false LHH CORPORATION 100 EAST 77TH ST NEW YORK NY 10021 133272016 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 113284934 GRADUATE SCHO NY 501(C)(3) 2 NS-LIJHS false SPORTS PHYSICAL THERAPY AND REHAB SVCS 972 BRUSH HOLLOW RD WESTBURY NY 11590 061655704 HEALTH CARE NY 501(C)(3) 11, TYPE 1 LIJ false NORTH SHORE-LIJ ALLIANCE 972 BRUSH HOLLOW RD WESTBURY NY 11590 263727582 HEALTH CARE NY 501(C)(3) 3 NS-LIJHS false KRASNOFF CONSULTATIVE SERVICES LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 262838027 CONSULTING NY CMG POPULATION HEALTH MANAGEMENT LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 452409051 ACO NY HEALTH CARE INC LONG ISLAND BEHAVIORAL HEALTH LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 453572263 STATISTICS NY HEALTH CARE INC NORTH SHORE HEALTH SYSTEM ENTERPRISES 972 BRUSH HOLLOW RD WESTBURY NY 11590 113316922 HOLDING COMPA NY NS-LIJHS C REGIONCARE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 113052191 HOMECARE NY NSHS ENT C NORTH SHORE HEALTH ENTERPRISES 972 BRUSH HOLLOW RD WESTBURY NY 11590 061605319 HOLDING COMPA NY NSHS ENT C CARE MANAGEMENT GROUP OF GREATER NY 972 BRUSH HOLLOW RD WESTBURY NY 11590 113336381 BUSINESS SERV NY NSH ENT C REGIONAL INSURANCE COMPANY LTD C/O CEDAR HOUSE 41 CEDAR AVE HAMILTON BERMUDA BD HM 12 000000000 INSURANCE BD NS-LIJ HC C ALETTA CORPORATION 972 BRUSH HOLLOW RD WESTBURY NY 11590 112622371 PHSYICIAN SVC NY SOUTHSIDE C NS-LIJ PHSYCIAN INSURANCE COMPANY RRG 100 BANK ST BURLINGTON VT 05401 261487515 INSURANCE VT NS-LIJ HC C NORTH SHORE-LIJ SERVICE ALLIANCE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 263651575 SUPPORT SERVI NY NS-LIJHS C NORTH SHORE-LIJ HEALTH SYSTEM IPA #1 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533659 HEALTH CARE NY LIJ C NORTH SHORE-LIJ HEALTH SYSTEM IPA #2 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533670 HEALTH CARE NY LIJ C NORTH SHORE-LIJ HEALTH SYSTEM IPA #3 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533678 HEALTH CARE NY LIJ C NORTH SHORE-LIJ HEALTH SYSTEM IPA #4 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533677 HEALTH CARE NY LIJ C NORTH SHORE-LIJ HEALTH SYSTEM IPA #5 972 BRUSH HOLLOW RD WESTBURY NY 11590 113533675 HEALTH CARE NY LIJ C NORTH SHORE IPA 5 972 BRUSH HOLLOW RD WESTBURY NY 11590 113383468 BUSINESS SERV NY NS-LIJ HC C NORTH SHORE-LIJ NETWORK INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 320257193 SUPPORT NY 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SERVI NY NA C UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG 500 SEAVIEW AVE STATEN ISLAND NY 10305 133642729 MEDICAL SERVI NY NA S EMERGENCY MEDICINE SERVICES OF SI PC 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 134200899 MEDICAL SERVI NY NA C GOETHALS RADIOLOGY PC 500 SEAVIEW AVE STATEN ISLAND NY 10305 200010287 RADIOLOGY SER NY NA C STATEN ISLAND HOSPITALISTS 475 SEAVIEW AVE STATEN ISLAND NY 10305 331010283 MEDICAL SERVI NY NA C STATEN ISLAND NEONATOLOGY PC 500 SEAVIEW AVE STATEN ISLAND NY 10305 133375474 MEDICAL SERVI NY NA C STATEN ISLAND MEDICAL INTENSIVIST PC 501 SEAVIEW AVE STATEN ISLAND NY 10305 043716494 MEDICAL SERVI NY NA C NS-LIJ MEDICAL GROUP AT SYOSSET PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 273957752 MEDICAL SERVI NY NA C ACTIVITY WORKS LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 264708923 MEDICAL SERVI NY NA C PALLIATIVE CARE MEDICAL SERVICES PC 99 SUNNYSIDE BLVD WOODBURY NY 11797 273957835 MEDICAL SERVI NY NA C NS-LIJ MEDICAL GROUP PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 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