2011-11-20T19:49:25-06:00 2010-12-31 990 2010-01-01 112241326 LONG ISLAND JEWISH MEDICAL CENTER C/O NORTH SHORE-LIJ HEALTH SYSTEM LONG 5168766061 972 BRUSH HOLLOW ROAD 5TH FL WESTBURY NY 11590 ROBERT S SHAPIRO 2011-11-11 2010 2016-02-24 21:20:13Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 1394041456 false X www.nslij.com X 1955 NY LIJMC strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community regardless of the ability to pay. 153 145 6990 860 266261 238131 15994315 20457307 1172961470 1290026880 30579790 8944462 7914662 12591804 1227450237 1332020453 0 0 0 0 739847055 790483809 0 0 1024665 442473605 493165589 1182320660 1283649398 45129577 48371055 1445176513 1709585074 1045379114 1151517237 399797399 558067837 X LONG ISLAND JEWISH MEDICAL CENTER 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 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 589464242 0 749562330 Long Island Jewish Hospital ("LIJ"),is a 452-bed tertiary adult care hospital with advanced diagnostic and treatment technology and modern facilities for medical, surgical, dental and obstetrical care. U.S. News & World Report ranked LIJ as one of the Nation's top 50 hospitals in neurology and neurosurgery. In 2009, ground was broken for the Katz Women's Hospital at LIJ Medical Center in Queens, which will be a specialized facility dedicated to women's health. In 2010, LIJMC had 51,182 inpatient discharges, including the delivery of 4,821 babies, provided 97,585 Emergency Department visits and performed 23,004 ambulatory surgeries. 172184477 0 204353071 Cohen Children's MEdical Center ("CCMC"; Formerly Schneider Children's Hospital), is a 154-bed pediatric hospital. CCMC provides primary, secondary, tertiary and quarternary care through a continuum of medical, surgical, psychiatric and dental programs and services, on an inpatient and ambulatory basis. For the third year in a row, CCMC has been ranked among the top 30 in the nation in U.S. News & World Report's "America' Children's Hospitals" issue. CCMC was honored by the prestigious Jeffrey Modell Center Network as a center of excellence for the diagnosis and treatment of patients with PI disorders. 98461152 0 94983180 The Zucker Hillside Hospital ("ZHH"), is a 223-bed behavioral health hospital providing inpatient and outpatient psychiatric care. ZHH is known for its pioneering work in the diagnosis, treatment and research of mental illness; the hospital provides a comprehensive continuum of behavioral health services to all age groups. 284854927 0 241128299 1144964798 true true false true false false false false true true false false true true true false true false false true false false false false false true true false false true true false false false false false false false false true false false false false false false true false false false false true 121 0 true 6990 true true true true CJ EI 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 RD5TH FL WESTBURY NY 11590 X MICHAEL DOWLING 50.0 X X 0 2277050 718261 RALPH NAPPI 50.0 X 0 646577 503966 ANTHONY C FERRERI 50.0 X 0 993016 35815 KEVIN F LAWLOR 50.0 X 0 1609464 32542 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 MARK CLASTER 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 NON-COMPENSATED TRUSTEES 2.0 X 0 0 0 HOWARD GOLD 50.0 X 0 906189 37800 MARK J SOLAZZO 50.0 X 0 1182635 120627 ROBERT S SHAPIRO 50.0 X 0 904633 45500 LAWRENCE G SMITH MD 50.0 X 0 750233 43175 KEITH THOMPSON 50.0 X 0 764424 41477 JEFFREY KRAUT 50.0 X 0 703104 41925 KATHLEEN GALLO RN PHD 50.0 X 0 651962 40550 EUGENE TANGNEY 50.0 X 0 611394 37800 HARRY GINDI 50.0 X 0 284942 41650 CHANTAL WEINHOLD 50.0 X 687733 0 46679 LYLE LEIPZIGER 50.0 X 2404994 0 40850 MICHAEL GRAVER 50.0 X 1397895 0 36800 SAMUEL SCHEINERMAN 50.0 X 1507978 0 48070 BARRY KAPLAN 50.0 X 1328258 0 41650 LOUIS POTTERS 50.0 X 1319687 0 40725 8646545 12285623 1995862 1158 false true false THE NEW YORK STATE INSURANCE FUND 199 CHURCH ST NEW YORK NY 10007 INSURANCE 3045061 SKIDMORE OWINGS AND MERRILL 14 WALL ST NEW YORK NY 10005 ARCHITECTURE 2536819 MICHAEL ANTHONY CONTRACTING CORP 161 RAILROAD AVE GARDEN CITY NY 11040 GENERAL CONTRACTOR 1721376 JSK CONSTRUCTION 1 EXECUTIVE BLVD YONKERS NY 10701 GENERAL CONTRACTOR 1529090 TRITECH COMMUNICATIONS 625 LOCUST ST GARDEN CITY NY 11530 COMMUNICATION 1279134 36 8759460 11166521 531326 20457307 PATIENT SERVICE REVENUE 621300 776946388 776946388 PHYSICIAN PRACTIVE REVENUE 621300 156913414 156913414 MEDICARE/MEDICAID PAYMENTS 621300 356167078 356167078 1290026880 5507466 5507466 683233 683233 0 64774766 62021003 2753763 2753763 0 0 0 ROTATION OF INTERN 900099 7476248 7476248 OVERHEAD RECOVERY 900099 1985915 1985915 PARKING GARAGE 900099 1427100 1427100 1702541 266261 1436280 12591804 1332020453 1299489043 266261 9054079 0 0 0 0 687733 687733 0 620435698 590282524 29550111 603063 30596935 29109924 1457271 29740 102667889 97678230 4889866 99793 36095554 34341310 1719159 35085 2877654 2737800 137057 2797 186048 186048 0 0 0 0 10267192 9768206 489006 9980 81420 77463 3878 79 216122695 205619132 10293492 210071 0 0 24144928 22971484 1149975 23469 1510896 1510896 0 1557846 1557846 17210668 17210668 0 41436685 39422862 2013823 62665607 62665607 DIRECT PURCHASED SERVICES 19400457 19400457 DUES & SUBSCRIPTIONS 1837246 1747956 89290 CENTRALIZED ADMIN EXPENSE 67951511 67951511 BAD DEBT EXPENSES 15022396 15022396 OTHER EXPENSES 10892340 10362972 518780 10588 1283649398 1144964798 137659935 1024665 258433839 317230675 4469850 3291233 124969591 144744368 16798437 17541418 874397 653587 937326325 239970197 557377914 697356128 326996397 249197143 155256088 279570522 1445176513 1709585074 152724209 174646861 578988636 587698343 36048969 34169781 277617300 355002252 1045379114 1151517237 X 271895816 389655797 119543833 160054290 8357750 8357750 399797399 558067837 1445176513 1709585074 X 48371055 109899383 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 149807 149807 11492396 702322 317634 11877084 9826944 1985189 319737 11492396 12169871 -2177857 165070 9826944 1.00000 false false 4431067 4431067 532694026 178201907 354492119 368791 353712 15079 121519756 56638401 64881355 278312685 4776177 273536508 697356128 MALPRACTICE SELF-INSURANCE 45834201 OTHER CURRENT ASSETS 2717729 DEFERRED FINANCE COSTS, NET 16327205 ANNUITY CONTRACTS 2106758 OTHER THIRD PARTY RECEIVABLES 40939333 DUE FROM AFFILIATES 4965773 INTEREST IN FOUNDATION 124794843 INVESTMENT IN HANYS INS. CO. 27895434 INVEST IN HEALTH FIRST 11006367 INVEST IN OTHER COMPANIES 2982879 279570522 0 MALPRACTICE TRUST 112896979 RETIREMENT BENEFITS 77321108 DUE TO THIRD PARTY PAYORS 119096832 SHORT TERM BORROWINGS 3640000 OTHER LIABILITIES 22095676 SWAP VALUATION ALLOWANCE 19951657 355002252 1332020453 1283649398 48371055 25842552 84056831 109899383 158270438 1366703004 24961088 21604012 46565100 1320137904 11882549 11882549 1332020453 1283649398 1283649398 1283649398 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 CHANGE IN FV SWAP AGREEMENT-CASH FLOW (899,495) CHANGE IN FV SWAP AGREEMENT-DERIVATIVE (5,251,176) NET ASSETS RELEASED FROM RESTRICED FUN (64) TRANSFER TO AFFILIATES 2,011,878 MEDICAL RESIDENT TAX RECOVERY 22,589,526 ADDITIONAL MINIMUM PENSION LIABILITY (107,928) CHANGE IN EQUITY UNDER FAS 136 65,714,090 TOTAL OTHER CHANGES IN NET ASSETS 84,056,831 RECONCILIATION OF REVENUE PART XII, LINE 2D AND LINE 4B REVENUE ON BOOKS NOT ON RETURN CHANGE IN FV SWAP AGREEMENT-DERIVATIVE (5,251,176) MEDICAL RESIDENT TAX RECOVERY 22,589,526 NET ASSETS RELEASED FROM RESTRICTION 4,265,662 TOTAL 21,604,012 REVENUE ON RETURN NOT ON BOOKS RESTRICTED CONTRIBUTIONS 11,654,198 RESTRICTED INVESTMENTS 228,351 TOTAL 11,882,549 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. Central America and the Caribbean Investments false false true false false false true true X true X true X 500. true true true false true true 1 29670 21697000 4125984 17571016 0.01410 1 165821 247459856 186783376 60676480 0.04860 2 195491 269156856 190909360 78247496 0.06270 447 253130 17374303 5189037 12185266 0.00980 94 11413 115129366 45268489 69860877 0.05600 9 11171 148584 148584 0.00010 870000 870000 0.00070 92 3368 280038 280038 0.00020 642 279082 133802291 50457526 83344765 0.06680 644 474573 402959147 241366886 161592261 0.12950 10 184 50949 0 50949 0.00000 10 184 50949 0 50949 0.00000 false 2925000 0 241237877 211836976 29400901 X true true 3 1 LONG ISLAND JEWISH MEDICAL CENTER

270-05 76TH AVENUE NEW HYDE PARK NY 11040

X X X X 2 COHEN CHILDRENS MEDICAL CENTER OF NY

269-01 76TH AVENUE NEW HYDE PARK NY 11040

X X PEDIATRIC TRAUMA CENTER 3 THE ZUCKER HILLSIDE HOSPITAL

75-59 263RD ST GLEN OAKS NY 11040

X LONG ISLAND JEWISH MEDICAL CENTER 1 COHEN CHILDRENS MEDICAL CENTER OF NY 2 THE ZUCKER HILLSIDE HOSPITAL 3 7 SPECIALTY MEDICAL CENTER

68-60 AUSTIN ST STE 502 FOREST HILLS NY 11375

OUTPATIENT FACILITY MONTER CANCER CENTER

450 LAKEVILLE ROAD LAKE SUCCESS NY 11042

OUTPATIENT FACILITY ANN & JULES GOTTLIEB WOMEN'S HEALTH CENT

1554 NORTHERN BLVD MANHASSET NY 11030

OUTPATIENT FACILITY TRANSITIONS OF LONG ISLAND

1554 NORTHERN BLVD MANHASSET NY 11030

OUTPATIENT FACILITY HAGEDORN CLEFT PALATE AND CRANIOFACIAL

225 COMMUNITY DRIVE MANHASSET NY 11030

OUTPATIENT FACILITY SPORTS THERAPY & REHABILITATION SERVICES

801 MERRICK AVE EAST MEADOW NY 11554

OUTPATIENT - REHABILITATION STARS LIJ

1554 NORTHERN BLVD MANHASSET NY 11030

OUTPATIENT - REHABILITATION PART VI - SUPPLEMENTAL INFORMATION Part I, Line 3c: This hospital is an affiliated organization of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses 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 the New York State. Asset tests can not 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. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore - Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed by clicking onto the link: http://www.northshorelij.com/NSLIJ/About+Us+Community+Service+Plans Part I, 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 of 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 (or RCC) is used to determine the cost of ancillary service. 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 departmental 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), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (g) Costs associated with Subsidized Health 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 departmental hourly rates, and were adjusted to include fringe benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. The organization does not include as Subsidized Health Services any costs attributed to a physician clinic. Such costs are reported as organization costs. Programs included in Subsidized Health Services include but not limited to services related to emergency medicine. 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 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 7a-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 program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 11.91% as a percentage of expenses. Part III, Section A, Line 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. A portion of the bad debt is derived from the hospitals obligation not to turn away the community it serves, regardless of ability to pay. Part III, Section B Line 8: Medicare expenses in this section were obtained from the Medicare Cost Report. 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. The Ratio of cost to Charges (RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs and RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. This method excludes revenue and expenses related to Skilled Nursing Facilities, Home Health Care agencies, professional medical education, subsidized health services, community health improvement services and patient enrolled in Medicare managed care plans. The cost finding methodology utilized in the Medicare Cost Reports differ from the ratio of cost to charge (RCC) method used elsewhere in the Schedule H. If the RCC cost finding method had been utilized, and revenue and expenses from these activities been included in the report data, the Medicare surplus would be significantly reduced or eliminated. Part III, Section C, Line 9b: The organization'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. Part V. Facility Information Long Island Jewish Medical Center (LIJMC) is an 888-certified bed, tertiary care teaching medical center serving the greater metropolitan New York area, Queens and Long Island. LIJMC has three divisions: (1) a 488-bed tertiary hospital, Long Island Jewish Hospital (LIJ), (2) a 164-bed children's hospital, Cohen Children's Medical Center (CCMC), and (3) a 236-bed psychiatric hospital, the Zucker Hillside Hospital (ZHH). LIJMC, serving as a clinical campus for the Hofstra North Shore-LIJ School of Medicine and as the Long Island Campus for the Albert Einstein College of Medicine, has one of the largest graduate medical education programs in NYS. Its specialty programs include the a cardiology center, a major cardiac diagnostic, interventional and open heart surgical center; an oncology center, a women's comprehensive health center, and a major center for the advanced treatment of hearing loss disorders. Other major clinical centers include a hearing and speech center, epilepsy center, stroke center, comprehensive hemophilia treatment center, pain and headache treatment center, sleep/wake disorders center and an ambulatory care unit. LIJ is a NYSDOH designated Stroke Center. Cohen Children's Medical Center (CCMC) - is one of four acute care children's hospitals in downstate New York and one of the two children's hospitals on Long Island. CCMC provides primary, secondary, tertiary and quaternary care through a continuum of medical, surgical, psychiatric and dental programs and services, on an inpatient and ambulatory basis. Subspecialty areas include 35 pediatric medical subspecialties, nine pediatric surgical subspecialties, child and adolescent psychiatry, pediatric anesthesia, radiology, pathology, and physical medicine. CCMC also maintai X X X X X true true false true false false false true false MICHAEL DOWLING 0 1164432 0 1078000 0 34618 0 698299 0 19962 0 2995311 0 0 HOWARD GOLD 0 678149 0 200000 0 28040 0 26950 0 10850 0 943989 0 0 MARK J SOLAZZO 0 970945 0 175000 0 36690 0 104027 0 16600 0 1303262 0 0 ROBERT S SHAPIRO 0 747293 0 137000 0 20340 0 26950 0 18550 0 950133 0 0 LAWRENCE G SMITH MD 0 676878 0 50000 0 23355 0 26950 0 16225 0 793408 0 0 KEITH THOMPSON 0 622171 0 113000 0 29253 0 26950 0 14527 0 805901 0 0 JEFFREY KRAUT 0 573789 0 106000 0 23315 0 26950 0 14975 0 745029 0 0 KATHLEEN GALLO RN PHD 0 523533 0 100000 0 28429 0 26950 0 13600 0 692512 0 0 EUGENE TANGNEY 0 515844 0 85000 0 10550 0 26950 0 10850 0 649194 0 0 HARRY GINDI 0 273216 0 8343 0 3383 0 26950 0 14700 0 326592 0 0 RALPH NAPPI 0 624061 0 0 0 22516 0 484085 0 19881 0 1150543 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 LYLE LEIPZIGER 2371956 0 169 0 32869 0 26950 0 13900 0 2445844 0 0 0 MICHAEL GRAVER 1367707 0 1148 0 29040 0 26950 0 9850 0 1434695 0 0 0 SAMUEL SCHEINERMAN 1477441 0 716 0 29821 0 26950 0 21120 0 1556048 0 0 0 BARRY KAPLAN 1193961 0 102489 0 31808 0 26950 0 14700 0 1369908 0 0 0 LOUIS POTTERS 1249248 0 13947 0 56492 0 26950 0 13775 0 1360412 0 0 0 CHANTAL WEINHOLD 550687 0 112000 0 25046 0 26950 0 19729 0 734412 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). COMPENSATION CONTINGENT ON REVENUES PART 1, LINE 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 LIJ 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. 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 13, B(III) In 2010, Kevin Lawlor received proceeds from a split dollar life insurance policy established in 1995, under Section 457(f) of the Internal Revenue Code. The proceeds to Lawlor ($877,969) were included as income in Box 5 of Form W-2. DORMITORY AUTHORITY OF NEW YORK STATE 146000293 64983USV3 2003-08-14 40986047 2003 BONDS - CAPITAL IMPROVEME true false false DORMITORY AUTHORITY OF NEW YORK STATE 146000293 64983Q4R7 2006-10-18 44108094 2005 BONDS - CAPITAL IMPROVEME false false false DORMITORY AUTHORITY OF NEW YORK STATE 146000293 649903LC3 2007-05-31 170047662 2007 A&B BONDS-CAPITAL IMPROV & RE true false false DORMITORY AUTHORITY OF NEW YORK STATE 146000293 649905QL3 2009-09-17 259501111 2009 A&E BONDS-CAPITAL IMPROV & RE false false false 6186237 42373021 1957123 1539980 818508 24345316 12442865 2408769 2008 true false true true 3862685 45731514 3148920 400921 1558904 40622770 2010 true false true true 46958494 178991088 12615225 3311226 71970318 1860576 44146759 43047774 true true false true 258328685 28308806 10610122 4206658 99779525 42514602 87933066 true false false true false false true true true 0.00653 0.00001 0.00654 true false true true true true 0.00420 0.00001 0.00421 true false true true true true 0.00340 0.00000 0.00340 true false false false false false true false false false true MBIA 29.7 true true true false false false false false true false false true CITIBANK NA 25.9 false false true MBIA 18.1 true false true false false false false false true PROCEEDS PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN(E) DUE TO INVESTMENT EARNINGS AND TRANSFERRED PROCEEDS. 2005 BONDS Part I, Line B, column (d) The 2005 bonds were reissued and accordingly, the reissue date of October 18, 2006 appears as the issue date. ALAN ABRAMSON FAMILY MEMB: R. ABRAMSON 715099 EMPLOYEE false BOARD MEMBER RELATIONSHIPS 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. 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, 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, DDSCharles 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 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. RECONCILIATION OF NET ASSETS PART XI, LINE 5 CHANGE IN NET UNREALIZED GAINS/LOSSES 25,842,552 CHANGE IN FV SWAP AGREEMENT-CASH FLOW (899,495) CHANGE IN FV SWAP AGREEMENT-DERIVATIVE (5,251,176) NET ASSETS RELEASED FROM RESTRICED FUN (64) TRANSFER TO AFFILIATES 2,011,878 MEDICAL RESIDENT TAX RECOVERY 22,589,526 ADDITIONAL MINIMUM PENSION LIABILITY (107,928) CHANGE IN EQUITY UNDER FAS 136 65,714,090 TOTAL 109,899,383 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: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: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:MARK CLASTER 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:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE O 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 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