2012-12-13T12:12:54-06:00 2011-12-31 990 2011-01-01 061655704 SPORTS PHYSCIAL THERAPY AND REHABILITATION SERVICES OF NORTH SHORE PLLC % NORTH SHORE-LIJ HEALTH SYSTE SPOR 5168766061 972 BRUSH HOLLOW RD WESTBURY NY 11590 NINA DEPAOLA 2012-12-12 2011 2016-02-24 21:20:13Z X MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 6598090 false X WWW.NSLIJ.COM X 2002 NY STARS IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING CURRENT AND FUTURE GENERATIONS OF REHAB PROFESSIONALS AND PROMOTING HEALTH ED TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY 152 144 90 0 0 0 0 6440564 0 0 0 157526 0 6598090 0 0 0 0 0 4089758 0 0 0 0 1480805 0 5570563 0 1027527 599717 1681000 655732 707472 -56015 973528 SPORTS PHYSICAL THEREAPY & REHABILITATION SERVICES ("STARS") IS PART OF THE NORTH SHORE-LIJ 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 REHABILITATION PROFESSIONALS; KEEPING PACE WITH THE LATEST ADVANCES IN REHABILITATION SERVICES AND PROMOTING HEALTH EDUCTION TO THE COMMUNITY AT LARGE REGARDLESS OF ABILITY TO PAY. false false 4188455 0 6440564 Sports Physical Therapy and Rehabilitation Services ("STARS") strives to help patients find relief from pain and get moving again after an accident, injury, illness, or surgery. 4188455 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 3 0 true 90 true 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 RD WESTBURY NY 11590 X MICHAEL J DOWLING 50.0 X X 0 2521221 742813 RALPH NAPPI 50.0 X 0 774818 534580 ANTHONY FERRERI 50.0 X 0 1041142 291142 KEVIN LAWLOR 50.0 X 0 744807 313444 NON COMPENSATED TRUSTEES 2.0 X 0 0 0 NINA DEPAOLA 50.0 X 272435 0 42050 DARICE BRODSKY 50.0 X 103385 0 34700 ROBERT S SHAPIRO 50.0 X 0 1047340 262780 375820 6129328 2221509 2 false true false 0 0 PHYSICIAN BILLING 621300 6440564 6440564 6440564 0 0 0 107423 107423 107423 0 0 0 0 OTHER 900099 50103 50103 50103 6598090 6490667 0 0 0 0 375820 375820 0 2911643 2097839 813804 0 163524 117819 45705 404737 291613 113124 234034 168621 65413 0 0 0 0 0 0 63248 45570 17678 34908 25151 9757 152648 109983 42665 0 0 431329 310773 120556 8060 8060 0 52840 52840 0 0 92315 66513 25802 0 BAD DEBT 30000 30000 OTHER PURCHASED SERVICES 212656 212656 CENTRALIZED ADMIN EXP 79037 79037 DUES & SUBSCRIPTIONS 45127 32514 12613 278637 242683 35954 5570563 4188455 1382108 0 0 0 0 0 0 0 130131 257861 0 0 0 0 0 0 0 0 0 0 555352 253340 345460 302012 0 0 0 0 0 0 0 0 124126 1121127 599717 1681000 655732 537129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170343 655732 707472 X -56015 973528 0 0 0 0 -56015 973528 599717 1681000 X 1027527 2016 X false true true X false X 6440564 6440564 6440564 6440564 6440564 157526 157526 6598090 6598090 X 143340 17667 125673 374762 228638 146124 37250 7035 30215 302012 DUE FROM AFFILIATES 984263 SECURITY DEPOSITS 13301 INSURANCE CLAIMS RECEIVABLE 123563 1121127 46780 INSURANCE CLAIMS LIABILITY 123563 170343 6598090 5570563 1027527 2016 2016 1029543 6598090 6598090 6598090 5568547 5568547 2016 2016 5570563 FIN 48 Footnote 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. RECONCILIATION OF NET ASSETS PART XI, LINE 8 MACRS DEPRECIATION ADJUSTMENT 2,016 RECONCILIATION OF EXPENSES PART XIII, LINE 4B MACRS DEPRECIATION ADJUSTMENT 2,016 X X X X X false true false false false false false true false NINA DEPAOLA 215241 0 20122 0 37072 0 26950 0 15100 0 314485 0 0 0 ROBERT S SHAPIRO 0 869950 0 155520 0 21870 0 244560 0 18220 0 1310120 0 0 MICHAEL J DOWLING 0 1173096 0 1328000 0 20125 0 721638 0 21175 0 3264034 0 0 RALPH NAPPI 0 649111 0 100000 0 25707 0 515655 0 18925 0 1309398 0 0 ANTHONY FERRERI 0 880730 0 140660 0 19752 0 273335 0 17807 0 1332284 0 0 KEVIN 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), Robert Shapiro ($217,610), Ralph Nappi ($488,705), Anthony Ferreri ($235,564) and Kevin Lawlor ($273,978). 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). FEDERAL TAX EXEMPTION THE INTERNAL REVENUE SERVICE DETERMINED THAT SPORTS PHYSICAL THERAPY AND REHABILITATION SERVICES OF NORTH SHORE, PLLC IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE FOR YEARS AFTER 12/31/2010. BOARD MEMBER RELATIONS PART VI, SECTION A - GOVERNING BODY, LINE 2 All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Eric and Roger Blumencranz. John Alexander has a business relationship with John Shall 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. ble 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. 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 fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible 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. AVERAGE HOURS PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, 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 North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. NON COMPENSATED TRUSTEES PART VII, SECTION A - LINE 1A NON-COMPENSATED TRUSTEES 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 RECONCILIATION OF NET ASSETS PART XI, LINE 5 MACRS DEPRECIATION ADJUSTMENT 2,016 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL J DOWLING TITLE:PRES & CEO NSLIJ HEALTH SYSTEM HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RALPH NAPPI TITLE:PRES, FOUNDATION HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY FERRERI TITLE:PRES & CEO/ SIUH HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN LAWLOR TITLE:PRES & CEO/HUNTINGTON 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:ROBERT S SHAPIRO TITLE:SR VICE PRES & CFO 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, 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