2011-11-11T10:41:27-06:00 2010-12-31 990 2010-01-01 112965586 NORTH SHORE-LONG ISLAND JEWISH HEALTH CARE NORT 5168766061 972 BRUSH HOLLOW ROAD 5TH FLOOR WESTBURY NY 11590 ROBERT S SHAPIRO 2011-11-11 2010 2016-03-07 17:11:31Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 411060221 false X www.nslij.com X 1990 NY North Shore LIJ Health Care Inc. provides advisory and administrative support services to affiliated health care organizations within the North Shore-LIJ Health System. 153 145 1969 699915 0 0 349726312 409231269 1830742 1828952 0 0 351557054 411060221 0 0 0 0 177316187 179884573 0 0 0 176623700 227701524 353939887 407586097 -2382833 3474124 217720228 772467342 209492049 237208649 8228179 535258693 X NORTH SHORE LIJ HEALTH CARE INC. COORDINATES POLICY MAKING AND STRATEGIC PLANNING BY PROVIDING ADVISORY AND ADMINISTRATIVE SUPPORT SERVICES TO AFFILIATED HEALTH CARE ORGANIZATIONS WITHIN THE NORTH SHORE-LIJ HEALTH SYSTEM; WHOSE MISSION IS 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 COMMUNITY EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. false false 313192905 0 373903814 NORTH SHORE-LIJ HEALTH CARE, INC COORDINATES POLICY MAKING & LONG-RANGE STRATEGIC PLANNING. PROVIDES ADVISORY AND ADMINISTRATIVE SUPPORT SERVICES TO THOSE ENTITIES UNDER COMMON CONTROL. ESTABLISHES AND CONDUCTS COMMUNITY EDUCATIONAL PROGRAMS RELATING TO THE PROMOTION OF HEALTH AND GENERAL WELFARE. 10016179 0 18009241 REGIONAL CLAIMS RECOVERY SERVICE PROVIDES COLLECTION SERVICES TO AFFILIATED HEALTH CARE ORGANIZATIONS WITHIN THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM. THE EXPENSES WERE INCURRED IN PROVIDING SUCH SUPPORT. 13152281 0 15824431 HOMECARE CORP. PROVIDES MEDICAL SERVICES TO AFFILIATED HEALTH CARE ORGANIZATIONS WITHIN THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM. THE EXPENSES WERE INCURRED IN PROVIDING SUCH SUPPORT 2337804 0 1286095 338699169 true false false true 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 true true false false true 690 0 true 1969 true true true false false false false false false false false false false false false false false X 153 145 true false false false false true true true true false false true true true true true false true true false NY X X NORTH SHORE-LIJ HEALTH SYSTEM 5168766061 972 BRUSH HOLLOW RD WESTBURY NY 11590 X MICHAEL DOWLING 50.0 X X 2277050 0 718261 RALPH NAPPI 50.0 X 0 646577 503966 RICHARD D GOLDSTEIN 3.0 X X 0 0 0 WILLIAM L MACK 2.0 X X 0 0 0 BARRY RUBENSTEIN 2.0 X X 0 0 0 ALAN I GREENE 2.0 X X 0 0 0 DONALD ZUCKER 2.0 X X 0 0 0 MARK CLASTER 2.0 X X 0 0 0 ANTHONY C FERRERI 50.0 X 0 993016 35815 KEVIN F LAWLOR 50.0 X 0 1609464 32542 NON-COMPENSATED TRUSTEES 2.0 X 0 0 0 HOWARD GOLD 50.0 X 906189 0 37800 MARK J SOLAZZO 50.0 X 1182635 0 120627 ROBERT S SHAPIRO 50.0 X 904633 0 45500 LAWRENCE G SMITH 50.0 X 750233 0 43175 KEITH THOMPSON 50.0 X 764424 0 41477 JEFFREY KRAUT 50.0 X 703104 0 41925 KATHLEEN GALLO RN PHD 50.0 X 651962 0 40550 EUGENE TANGNEY 50.0 X 611394 0 37800 HARRY GINDI 50.0 X 284942 0 41650 MAURICE LABONNE 50.0 X 565741 0 37883 DENNIS DOWLING 50.0 X 732313 0 43750 KENNETH ABRAMS 50.0 X 723659 0 47125 JOSEPH CABRAL 50.0 X 614219 0 40850 DAVID BATTINELLI 50.0 X 601085 0 47996 12273583 3249057 1958692 373 false true false ECLIPSYS SOLUTIONS CORP PO BOX 8538-133 PHILADELPHIA PA 191710133 INFORMATION SERVICES 70541096 PHYSICIANS RECIPROCAL INSURERS PO BOX 3247 NEW YORK NY 10116 INSURANCE 28572834 THE NEW YORK STATE INSURANCE FUND 199 CHURCH STREET NEW YORK NY 10007 INSURANCE 4107088 ERNST YOUNG LLP PO BOX 5980 NEW YORK NY 10087 ACCOUNTING 2437654 PRICE WATERHOUSE COOPERS LLP PO BOX 75647 CHICAGO IL 60675 CONSULTING 2012627 38 0 COLLECTION SERVICE 900099 18009241 18009241 SERVICE TO AFFIL. 561000 373411587 373411587 HOMECARE 621610 15824431 15824431 SPECIALTY MED CENTER 621400 1286095 1286095 MISC PROGRAM SERVICE REVENUE 561000 699915 699915 409231269 1828952 1828952 0 0 0 0 0 0 0 411060221 408531354 699915 1828952 0 0 0 0 12273583 10604376 1669207 0 0 135117037 116741120 18375917 8154312 7045326 1108986 14981116 12943684 2037432 9358525 8085766 1272759 11091591 9583135 1508456 8010182 8010182 1650955 1650955 0 0 0 6498273 5614508 883765 11170584 9651385 1519199 45216669 39067202 6149467 0 0 14822558 12806690 2015868 995085 995085 0 2358123 2358123 5796155 5796155 0 34532978 29836493 4696485 93821 81061 12760 OTHER PURCHASED SERVICES 75581928 65302786 10279142 DATA PROCESSING 6047486 5225028 822458 DUES & SUBSCRIPTIONS 2159945 1866192 293753 CENTRALIZED ADMIN EXPENSE 643698 643698 INCOME TAX-STATE 3000 2592 408 1028493 888617 139876 407586097 338699169 68886928 0 500 500 21922167 22993296 2770296 3514960 255809082 91754844 148442635 164054238 44584630 581904348 217720228 772467342 88020827 92926754 76610210 75202911 44861012 69078984 209492049 237208649 X 8228179 463435367 0 48864326 0 22959000 8228179 535258693 217720228 772467342 X 3474124 523556390 X false true true X false X X X false false false NORTH SHORE UNIVERSITY HOSPITAL 111562701 03 true true true 162678515 GLEN COVE HOSPITAL 111633487 03 true true true 10693276 PLAINVIEW HOSPITAL 113241243 03 true true true 11400717 FOREST HILLS HOSPITAL 112163522 03 true true true 12539090 LONG ISLAND JEWISH MEDICAL CENTER 112241326 03 true true true 121445258 NSUH STERN FAMILY CENTER FOR EXTENDED CARE & REHABILITATION 237007485 04 true true true 728000 FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH 112673595 04 true true true 188000 NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION 112965575 03 true true true 556000 FRANKLIN HOSPITAL 112296824 03 false true true 14986012 SOUTHSIDE HOSPITAL 111667761 03 false true true 21795495 HUNTINGTON HOSPITAL ASSOCIATION 111630914 03 false true true 2000000 STATEN ISLAND UNIVERSITY HOSPITAL 112868878 03 false true true 7246000 12 366256363 false false false false false false false true 236606 236606 13879021 4377585 9501436 323348 214998 108350 176412760 75295423 101117337 65193953 11866838 53327115 164054238 INVESTMENT IN SUBSIDIARIES 568091884 SECURITY DEPOSITS 4605 OTHER ASSETS 685933 DUE FROM AFFILIATES 5812287 OTHER THIRD PARTY RECEIVABLES 4050313 INTEREST IN FOUNDATION 3259326 581904348 0 CURRENT PORTION LT DEBT 1413083 OTHER LT LIABILITIES 5647832 ACCRUED RETIREMENT BENEFITS 5135343 DUE TO AFFILIATES 56882726 69078984 411060221 407586097 3474124 523556390 523556390 527030514 866501898 455441677 455441677 411060221 411060221 413407390 5821293 5821293 407586097 407586097 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, 2010 and 2009, 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 carryforwards. The System has net operating loss carryforwards of approximately $79,581,000, which expire in varying amounts through 2030, and are available to offset future taxable income. OTHER CHANGES IN NET ASSETS PART XI, LINE 8 ADDITIONAL MINIMUM PENSION LIABILITY 227,265 CONTRIBUTIONS RECEIVED IN ACQUISITION 517,253,000 CHANGE IN EQUITY UNDER FAS 136 6,076,125 TOTAL 523,556,390 REVENUE ON BOOKS NOT ON RETURN PART XII, LINE 2D RCR ELIMINATION ENTRY 3,333,508 AMOUNTS REPORTED ON SEPARATE ENTITIES 3,419,169 CONTRIBUTIONS RECEIVED IN ACQUISITION 448,689,000 TOTAL 455,441,677 EXPENSE ON BOOKS NOT ON RETURN PART XIII, LINE 2D AMOUNTS REPORTED ON SEPARATE ENTITIES 5,821,293 X X X X X false true false false false false false true false MICHAEL DOWLING 1164432 0 1078000 0 34618 0 698299 0 19962 0 2995311 0 0 0 HOWARD GOLD 678149 0 200000 0 28040 0 26950 0 10850 0 943989 0 0 0 MARK J SOLAZZO 970945 0 175000 0 36690 0 104027 0 16600 0 1303262 0 0 0 ROBERT S SHAPIRO 747293 0 137000 0 20340 0 26950 0 18550 0 950133 0 0 0 LAWRENCE G SMITH 676878 0 50000 0 23355 0 26950 0 16225 0 793408 0 0 0 KEITH THOMPSON 622171 0 113000 0 29253 0 26950 0 14527 0 805901 0 0 0 JEFFREY KRAUT 573789 0 106000 0 23315 0 26950 0 14975 0 745029 0 0 0 KATHLEEN GALLO RN PHD 523533 0 100000 0 28429 0 26950 0 13600 0 692512 0 0 0 EUGENE TANGNEY 515844 0 85000 0 10550 0 26950 0 10850 0 649194 0 0 0 HARRY GINDI 273216 0 8343 0 3383 0 26950 0 14700 0 326592 0 0 0 RALPH NAPPI 0 624061 0 0 0 22516 0 484085 0 19881 0 1150543 0 0 DENNIS DOWLING 604533 0 105000 0 22780 0 26950 0 16800 0 776063 0 0 0 KENNETH ABRAMS 571834 0 103950 0 47875 0 26950 0 20175 0 770784 0 0 0 JOSEPH CABRAL 503396 0 85000 0 25823 0 26950 0 13900 0 655069 0 0 0 DAVID BATTINELLI 465266 0 85650 0 50169 0 26950 0 21046 0 649081 0 0 0 ANTHONY C FERRERI 0 817361 0 115000 0 60655 0 26460 0 9355 0 1028831 0 0 KEVIN F LAWLOR 0 578489 0 110000 0 920975 0 24278 0 8264 0 1642006 0 0 MAURICE LABONNE 470434 0 83160 0 12147 0 26950 0 10933 0 603624 0 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 ($671,349), Ralph Nappi ($457,135) and Mark Solazzo ($77,077). 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 II, B (ii). OTHER PART II, LINE 1, B(III) In 2010, Kevin Lawlor received proceeds from a split dollar life insurance policy established in 1995, under IRC Section 457(f). The proceeds to Lawlor ($877,969) were included as income in Box 5 of Form W-2. 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. " 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. " Frank Besignano has a business relationship with Roger Blumencranz. " Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Arlene Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Robery Myers, Ralph Nappi, Dennis Riese, Donald Zucker and Barbara Zucker. " Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, Frank Besignano, Richard D. Goldstein, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, David Pernick, Mark Solazzo, Donald Zucker, Barbara Zucker, Michael Katz and Saul Katz. " 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, and Barry Rubenstein. " Philippe Dauman has a business relationship with William Hiltz. " 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 Michael Feldman and William Mack. " Michael Feldman has a business relationship with Leonard Feinstein. " Anthony Ferreri has a family and business relationship with John Shall. " Arlene Fisher has a business relationship with Eric Blumencranz. " Lloyd Goldman has a business relationship with William Mack, Barry Rubenstein and Richard Goldstein. " Richard D. Goldstein has a business relationship with Mark Claster, Lloyd Goldman, William Mack, Roger Blumencranz, Eric Blumencranz, and Barry Rubenstein. " Joaquin Gonzalez has a business relationship with John Shall. " Alan I. Greene has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. " James R. Greene has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. " Stanley Grey has a business relationship with Eric and Roger Blumencranz. " Paul Guenther has a business relationship with Michael Hoffman and William Hiltz. " William Hiltz has a business relationship with Philippe Dauman, Paul Guenther, Marlene Hess, Jeff Maurer and Richard Nye. " Michael Hoffman has a business relationship with Paul Guenther. (listed bc Paul lists him) " 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 Michael Slade and Roger Blumencranz. " Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with Donald Zucker, Mark Claster, Barry Rubenstein, Michael Slade and Roger Blumencranz. " Jeffrey Lane has a business relationship with William Mack. " Curt Launer has a business relationship with Michael Slade. " 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, Geoffrey Wharton and Roy Zuckerberg. " Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. " F.J. McCarthy has a business relationship with Robert Rosenthal. " Patrick McDermott has a business relationship with Alan Chopp and John Shall. " Richard Murcott has a business relationship with Barry Rubenstein. " Richard Nye has a business relationship with William Hiltz. " Clyde Payne has a business relationship with Scott Rudolph. " 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, Richard Murcott, Lloyd Goldman, and Mark Claster. " Scott Rudolph has a business relationship with Clyde Payne and 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 Saul Katz, Michael Katz and Curt Launer. " Geoffrey Wharton has a business relationship with William Mack. " Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. " Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Saul Katz, Eric Blumencranz and 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. OFFICER COMPENSATION PART VI, SECTION B - POLICIES, LINE 15 The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations. DISCLOSURES PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. NON-COMPENSATED TRUSTEES PART VII, SECTION A, LINE 1A Richard S. Abramson Albert L. Granger,DDS Charles Merinoff William Achenbaum Alan I. Greene Aimee Merszei John Alexander James R. Greene Marilyn B. Monter Ira I. Altfeder Stanley Grey Richard Don Monti Philip Altheim Paul B. Guenther Richard Murcott Stanley A. Applebaum Henry L. Hackmann Ralph A. Nappi Michael L. Ashner Amy M. Hagedorn Richard B. Nye Beverly VP. Banker Stephen L. Hammerman Clyde I. Payne, Ed.D. Ralph M. Baruch Ira Hazan Arnold S. Penner Morton M. Bass Linda W. Heaney John J. Raggio Frank J. Besignano Marlene Hess Lewis S. Ranieri Elise M. Bloom William O. Hiltz Jay R. Raubvogel Eric S. Blumencranz Michael Hoffman Angelo D. Reppucci, MD Roger A. Blumencranz Gedale B. Horowitz Corey Ribotsky David Blumenfeld Richard A. Horowitz Dennis Riese Edward Blumenfeld M. Allan Hyman Terry P. Rifkin, M.D. E. Steve Braun Mark Jacobson Robert A. Rosen Dayton T. Brown, Jr Jeffrey Jurick Alan S. Rosenberg, M.D. Allen E. Busching Lyn Jurick Marcie Rosenberg Jonathan S. Canno Arthur Kalish Robert D. Rosenthal Michael Caridi Steven L. Kantor Bernard M. Rosof, M.D. Rudolph C. Carryl David M. Katz Jack J. Ross Robert W. Chasanoff Michael Katz Barry Rubenstein Alan Chopp Saul B. Katz Herbert Rubin Mark Claster Lisa Kaufman Scott Rudolph Barry H. Cohen, MD Robert Kaufman Michael H. Sahn Diana F. Colgate Cary Kravet Frank W. Scarangello, Sr. Daniel M. Crown Stanley Kreitman Norman Schlanger Philippe P. Dauman Seth Kupferberg Lois C. Schlissel Daniel C. de Roulet Jeffrey B. Lane John M. Shall Lorinda de Roulet Curt Launer Robert F. Shapiro Thomas E. Dewey, Jr. Kevin F. Lawlor Marc V. Shaw Thomas E. Dooley Michale S. Leeds Sean G. Simon Michael J. Dowling David W. Lehr Richard Sims Robert N. Downey Jonathan W. Leigh Michael C. Slade Melvin Dubin Sylvia Lester Phyllis Hill Slater Patrick R. Edwards Arthur S. Levine Howard D. Stave Tony J. Elliott Stuart R. Levine Russell Stern Michael A. Epstein Seth Lipsay Maganlal Sutaria, M.D. Leonard Feinstein David S. Mack John B. Thomson, Jr. Michael E. Feldman William L. Mack Peter Tilles Anthony C. Ferreri Howard S. Maier Sandra Tytel Arlene Lane Fisher Linda Manfredi Gerard F. Vitale, M.D. Catherine C. Foster James S. Marcus Nancy Waldbaum Eugene B. Friedman, M.D. Bradley Marsh, D.P.M. Gary Walter Sy Garfinkel Jeffrey S. Maurer Howard Weingrow Anthony Giaccone Ronald J. Mazzucco Lewis M. Weston Lloyd Michael Goldman F.J. McCarthy Jon A. Wurtzburger Richard D. Goldstein Patrick F. McDermott Barbara Hrbek Zucker J. Joaquin Gonzalez Katherine McEnroe Donald Zucker Michael Gould Jim McMullen Roy Zuckerberg AVERAGE HOURS PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, 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 ADDITIONAL MINIMUM PENSION LIABILITY 227,265 CONTRIBUTIONS RECEIVED IN AQUISITION 517,253,000 CHANGE IN EQUITY UNDER FAS 136 6,076,125 TOTAL 517,253,000 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:TRUSTEE AND PRES FOUNDATION HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM L MACK 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:ALAN I GREENE TITLE:TREASURER HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONALD ZUCKER TITLE:SECRETARY HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK CLASTER 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 AND PRES/CEO HUNT HOSP HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE 0 HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HOWARD GOLD TITLE:SR VP, REVENUE & BUSINESS DEV HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK J SOLAZZO TITLE:SR VP, CHIEF OPERATING OFFICER HOURS:50 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:LAWRENCE G SMITH TITLE:CHF MEDICAL 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:JEFFREY KRAUT TITLE:SR VP, STRATEGIC PLANNING HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHLEEN GALLO RN PHD TITLE:SR VP & CHF LEARNING OFFICER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EUGENE TANGNEY TITLE:CHF ADMIN OFFICER 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 NORTH SHORE UNIVERSITY HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111562701 HEALTH CARE NY 501(c)(3) 3 NS-LIJHS LONG ISLAND JEWISH MEDICAL CENTER 972 BRUSH HOLLOW RD WESTBURY NY 11590 112241326 HEALTH CARE NY 501(c)(3) 3 NS-LIJHS GLEN COVE HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 111633487 HEALTH CARE NY 501(c)(3) 3 NS-LIJHS FOREST HILLS HOSPITAL 972 BRUSH HOLLOW RD WESTBURY NY 11590 112163522 HEALTH 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