2011-11-17T10:30:23-05:00 2010-12-31 990 2010-01-01 112296824 FRANKLIN HOSPITAL C/O NORTH SHORE-LIJ HEALTH SYSTEM FRAN 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 205883983 false X www.northshorelij.com X 1964 NY Franklin 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 1672 210 0 0 2863 5049 190204164 198855429 119346 50477 2427801 4022929 192754174 202933884 0 0 0 0 117832359 119313115 0 0 0 77067199 83183125 194899558 202496240 -2145384 437644 64276500 68575940 115996562 122130359 -51720062 -53554419 X FRANKLIN HOSPITAL 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 128394984 0 143933029 FRANKLIN HOSPITAL IS 305-CERTIFIED BED COMMUNITY HOSPITAL WHICH OFFERS A WIDE RANGE OF ACUTE INPATIENT AND OUTPATIENT SERVICES INCLUDING EMERGENCY AND AMBULATORY SERVICES. Franklin's seven operating rooms offer state of the art technology to perform the most advanced surgeries including minimally invasive spine surgery, laparoscopic and bariatric surgery and orthopedics. In 2010, the hospital had 11,754 inpatient discharges, provided 42,850 emergency department visits and performed 4,714 ambulatory surgeries, including endoscopies. 19635676 0 19700291 HOME HEALTH AGENCY PROVIDES SERVICES UNDER THE AUSPICES OF TWO PROGRAMS - THE HOME CARE PROGRAM AND THE LOMBARDI PROGRAM "NURSING HOME WITHOUT WALLS". HOME CARE OFFERS A FULL SPECTRUM OF IN HOME HEALTHCARE, RANGING FROM ASSISTANCE WITH EVERYDAY HEALTH-RELATED NEEDS TO MORE COMPLEX CONCERNS SO THE PATIENT CAN RECOVER IN THE COMFORT OF THEIR OWN HOME. SCORED AT OR ABOVE THE STATE AND NATIONAL AVERAGES FOR 12 MEASURES THAT PROVIDE INFORMATION ABOUT A PATIENT'S PHYSICAL HEALTH AND WHETHER THEIR ABILITY TO PERFORM BASIC DAILY ACTIVITIES IMPROVED AS REPORTED BY MEDICARE AND THE NYSDOH. 18436283 0 23834893 ORZAC CENTER FOR EXTENDED CARE AND REHABILITATION IS A 120-BED SKILLED NURSING FACILITY WHICH ALSO PROVIDES ADULT DAY HEALT CARE. ORZAC PROVIDES LOVING, DIGNIFIED, SKILLED CARE TO ITS RESIDENTS. ORZAC'S PHILOSOPHY IS TO MAINTAIN THE RESIDENTS AT THEIR HIGHEST FUNCTIONING CAPACITY. STAFF IS SPECIALLY TRAINED IN LONG-TERM CARE, SHORT-TERM REHABILITATION AND HOSPICE CARE. PROGRAMS PROVIDE ASSISTANCE WITH DAY-TO-DAY LIVING NEEDS AS WELL AS FUN AND STIMULATING ACTIVITIES, NUTRITOUS MEALS AND PERSONAL ATTENTION. AWARDED THE HIGHEST FIVE STAR OVERALL RATING BY CMS IN DECEMBER 2008. 10757715 0 11387216 FPP FRANKLIN 10757715 0 11387216 177224658 true true false true false false false false false 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 false false false false false false false true false false false false true 46 0 true 1672 true false true EI CJ 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 0 2277050 718261 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 RICHARD D GOLDSTEIN 3.0 X X 0 0 0 RALPH NAPPI 50.0 X 0 646577 503966 NON-COMPENSATED TRUSTEES 2.0 X 0 0 0 ANTHONY C FERRERI 50.0 X 0 993016 35815 KEVIN F LAWLOR 50.0 X 0 1609464 32542 MARK CLASTER 2.0 X 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 JOSEPH MANOPELLA 50.0 X 416956 0 41312 DEBORAH TASCONE 50.0 X 0 853290 46900 W NORMAN SCOTT 50.0 X 1501736 0 41650 FRED CUSHNER 50.0 X 1271400 0 41650 GILES SCUDERI 50.0 X 882094 0 41650 TIMOTHY REISH 50.0 X 810170 0 41650 CRAIG RADNAY 50.0 X 738754 0 41650 5621110 13138913 2037550 121 false true false ABLE HEALTH CARE SERVICES 1240 BROADCAST PL MERRICK NY 11566 HOME CARE SERVICES 2160087 CARING PROFESSIONALS 70-20 AUSTIN ST FOREST HILLS NY 11375 HOME CARE SERVICES 1259050 ALLEN HEALTH CARE SERVICES 175-20 HILLSIDE AVE JAMAICA NY 11432 HOME CARE SERVICES 621869 BESTCARE INC PO BOX 9010 LEVITTOWN NY 11756 HOME HEALTH CARE SVC 548698 SELFHELP COMMUNITY SERVICES INC 50 CLINTON ST 514 HEMPSTEAD NY 11550 HOME CARE SERVICES 489925 20 5049 5049 NET PATIENT SERVICE REVENUE 621300 114899502 114899502 NURSING HOME CARE 621300 23834893 23834893 PHYSICIAN PRACTICE REVENUE 621300 12238104 12238104 MEDICARE/MEDICAID PAYMENTS 621300 47882930 47882930 198855429 44536 44536 0 0 173848 45857 127991 127991 2910183 2904242 5941 5941 0 0 0 REIMBURSEMENT FLOOD EXPENSE 900099 1670453 1670453 CAFETERIA 900099 402935 402935 HOMECARE CHARGEBACK REVENUE 900099 75330 75330 1746220 1650657 95563 3894938 202933884 202251869 543034 0 0 0 0 416956 416956 0 92119828 83580320 8539508 0 5234382 4749155 485227 15574543 14130783 1443760 5967406 5414227 553179 823440 823440 10197 10197 0 0 0 0 14065907 12761997 1303910 160288 145429 14859 33015640 29955090 3060550 0 0 2066562 1874992 191570 88489 88489 0 123158 123158 1139750 1139750 0 4152903 3767929 384974 8451092 8451092 BAD DEBT 4739494 4739494 PURCHASED SERVICES 6003147 6003147 CENTRALIZED ADMIN EXP 7285439 7285439 DUES & SUBSCRIPTIONS 120267 109118 11149 BILLING & COLLECTION 677689 677689 259663 235593 24070 202496240 177224658 25271582 0 6458 106495 19707842 19500718 1695152 1831087 131710 62521 63763309 24285674 37542994 39477635 2851270 3584816 2341074 4012668 64276500 68575940 25617860 27797048 16710000 16824395 73668702 77508916 115996562 122130359 X -53799400 -55719482 2066091 2151816 13247 13247 -51720062 -53554419 64276500 68575940 X 437644 -2272001 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 25096 25096 2108331 2108331 37042821 15288418 21754403 23432032 8836290 14595742 1180125 160966 1019159 39477635 INVESTMENT IN FOUNDATION 1729170 SECURITY DEPOSITS 4475 OTHER CURRENT ASSETS 234791 BOND FINANCING 474274 MALPRACTICE ASSETS 1569958 4012668 0 DUE TO AFFILIATES 41283982 MALPRACTICE INSURANCE LIAB 14407422 OTHER LT LIABILITIES 161675 ESTIMATED 3RD PARTY PAYABLE 20550987 ACCRUED RETIREMENT BENEFITS 2339245 SHORT TERM BORROWINGS 0 GAAP ADJUSTMENT FOR TELP -1234395 77508916 202933884 202496240 437644 9573 -2281574 -2272001 -1834357 202989314 9573 45857 55430 202933884 202933884 202542097 45857 45857 202496240 202496240 OTHER CHANGES IN NET ASSETS PART XI, LINE 8 CHANGE IN EQUITY UNDER FAS 136 85,725 ADDITIONAL MINIMUM PENSION LIABILITY (2,367,299) TOTAL OTHER CHANGES IN NET ASSETS (2,281,574) OTHER REVENUE ON BOOKS BUT NOT ON RETURN PART XII, LINE 2D RENTAL EXPENSE NETTED AGAINST REVENUE FOR RETURN PURPOSES 45,857 OTHER EXPENSE ON BOOKS BUT NOT ON RETURN PART XIII, LINE 2D RENTAL EXPENSE, NETTED AGAINST REVENUE FOR RETURN PURPOSES 45,857 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. Central America and the Caribbean Investments false false false false false false true true X true X true X 500. true true true false true true 1 11407 7021000 2186271 4834729 0.03120 1 10099 24522867 14462594 10060273 0.06500 2 21506 31543867 16648865 14895002 0.09620 57 17996 378807 378807 0.00240 15 274 1505574 585072 920502 0.00590 3 704 8178 8178 0.00010 19 80 69879 69879 0.00050 94 19054 1962438 585072 1377366 0.00890 96 40560 33506305 17233937 16272368 0.10510 2 102 7965 0 7965 0.00000 2 102 7965 0 7965 0.00000 false 864000 0 42655533 49489655 -6834122 X true true 2 1 FRANKLIN HOSPITAL

900 FRANKLIN AVENUE VALLEY STREAM NY 11580

X X X X 2 ORZAC CENTER FOR EXTENDED CARE & REHAB

900 FRANKLIN AVE VALLEY STREAM NY 11580

LONG TERM CARE FRANKLIN HOSPITAL 1 ORZAC CENTER FOR EXTENDED CARE & REHAB 2 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: Franklin Hospital is a 305-bed community hospital located in Valley Stream. Inpatient services include general adult and geriatric care, a coronary care and intensive care unit, a telemetry unit, a surgical step down unit, a psychiatry unit and a hospice unit. Franklin's seven operating rooms offer state-of-the-art technology to perform the most advanced surgeries including minimally invasive spine surgery, laparoscopic and bariatric surgery and orthopedics. Franklin's outpatient services include an emergency department, ambulatory surgery, pain management and a center for wound care and hyperbaric medicine. Part VI, line 2. NEEDS ASSESSMENT: Community Needs Assessment Strategies is done on an ongoing basis, North Shore-LIJ conducts and participates in population, demographic and health status evaluations of our respective hospitals' service areas and the regions we serve. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Ongoing input concerning our communities' needs is also obtained through: (1) Our Board of Trustees/Directors who are all area residents and leaders in their respective communities, (2) Facility based Advisory Boards and Councils, (3) The feedback received by our facility administrators and clinicians that serve on local community agency boards, (4) Internal hospital data, including Prevention Quality Indicators (PQI), (5) Department of Health Community Health Assessments, (6) Community Health Assessments (Volume One, Two, and Three), (7) Local Public Meetings, (8) Local Regional New York State Prevention Agenda Meetings, (9) Community Based Prevention Agenda Needs Surveys, (10) 2010 E-BRFSS, and (11) Statewide Planning and Research System X X X X X false 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 RALPH NAPPI 0 624061 0 0 0 22516 0 484085 0 19881 0 1150543 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 JOSEPH MANOPELLA 337948 0 72000 0 7008 0 26950 0 14362 0 458268 0 0 0 W NORMAN SCOTT 583113 0 174 0 918449 0 26950 0 14700 0 1543386 0 0 0 FRED CUSHNER 1235734 0 35233 0 433 0 26950 0 14700 0 1313050 0 0 0 GILES SCUDERI 815956 0 56138 0 10000 0 26950 0 14700 0 923744 0 0 0 TIMOTHY REISH 785937 0 233 0 24000 0 26950 0 14700 0 851820 0 0 0 CRAIG RADNAY 696193 0 301 0 42260 0 26950 0 14700 0 780404 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 DEBORAH TASCONE 0 718050 0 132000 0 3240 0 26950 0 19950 0 900190 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 I, 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 3, 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. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2010-06-28 1234395 TELP- LEASE OF EQUIPMENT false false false 1234395 9100 1225295 2010 false false true true false false false false false false false false false false false true BOARD MEMBER RELATIONS PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, 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 in 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 9,573 ADDITIONAL MINIMUM PENSION LIABILITY (2,367,299) CHANGE IN EQUITY UNDER FAS 136 85,725 TOTAL (2,272,001) 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: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:RICHARD D GOLDSTEIN TITLE:CHAIRMAN HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RALPH NAPPI TITLE:PRESIDENT, FOUNDATIONS 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: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:MARK CLASTER TITLE:VICE CHAIRMAN 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 MD 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 PLAN HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHLEEN GALLO RN PHD TITLE:CHF LEARNING OFFICER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII 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