2011-11-11T10:41:24-06:00 2010-12-31 990 2010-01-01 111630914 Huntington Hospital Association HUNT 6313512000 270 Park Avenue Huntington NY 11743 MICHAEL FAGAN 2011-11-04 2010 2016-03-07 17:11:31Z Kevin Lawlor CEO 270 PARK AVENUE Huntington NY 11743 285683261 false X WWW.HUNTHOSP.ORG X 1916 NY The primary mission of Huntington Hospital Association is to provide a full range of inpatient, outpatient, and specialized healthcare services within an environment nurtured by respect and safety. 41 34 2226 497 0 1585664 1550297 264777037 273611222 6672442 7191528 2110921 3002689 275146064 285355736 4500 4500 0 0 159956925 161888938 0 0 1026405 98426242 103762798 258387667 265656236 16758397 19699500 257989728 288838896 177701880 189073931 80287848 99764965 THE HUNTINGTON HOSPITAL ASSOCIATION'S (THE "HOSPITAL") MISSION IS TO PROVIDE A FULL RANGE OF INPATIENT, OUTPATIENT AND SPECIALIZED HEALTHCARE SERVICES, REGARDLESS OF A PATIENT'S ABILITY TO PAY, WITHIN AN ENVIRONMENT NURTURED BY RESPECT AND SAFETY. THE HOSPITAL IS COMMITTED TO GIVING ITS PATIENTS HIGH QUALITY AND TECHNOLOGICALLY ADVANCED CARE BY COMPETENT PROFESSIONALS IN ORDER TO MAINTAIN AND IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. false false 242173880 4500 273611222 A member of the North Shore-LIJ Health System, Huntington Hospital is a 408 bed full-service, not-for-profit, community hospital, serving Huntington Township and the surrounding communities since 1916. It is staffed by more than 2,000 employees and affords privileges to more than 600 local physicians. Recently it became Long Island's first hospital to be awarded Magnet status two consecutive times by the American Nurses Credentialing Center, a recognition of nursing excellence reserved for only a small percentage of hospitals nationwide. Huntington was the first hospital in the New York Metropolitan region to be awarded Joint Commission Certification in hip and knee replacement surgery. The hospital has also received designation by the New York State Department of Health as a Stroke Center and has been given the 2009 American Heart Association/American Stroke Association's Get With The Guidelines Stroke Gold Plus Performance Achievement Award. Its cancer program has earned certification as a Comprehensive Community Cancer Center by the American College of Surgeons' Commission on Cancer. It is a State-designated Level II Trauma Center. In 2010, the Hospital had 18,154 inpatient discharges, including the delivery of 1,571 babies. Huntington Hospital provided 49,659 Emergency Department visits, performed 8,891 outpatient Ambulatory Surgery procedures and had 35,086 other outpatient visits. 242173880 true true false true false false false false true true false false false true true false true false false false false false false true true true true false false true true false false false false false false false false true true false false false false false true false false false false true 145 1 true 2226 true false false false false false true true false false false true false X 41 34 true false false false true true true true true false false true true true true true true true true false NY X X MICHAEL FAGAN 6314254262 270 PARK AVENUE Huntington NY 11743 X KEVIN LAWLOR 50.0 X X 1609464 0 32542 MICHAEL GROSSO MD 50.0 X X 441540 0 57770 MICHAEL ABOFF 1.0 X 0 0 0 CARMELA ANGLIM 1.0 X 0 0 0 MICHAEL ALESANDRO 1.0 X 0 0 0 CHRISTOPHER BARBER 1.0 X 0 0 0 MICHAEL BROWN 1.0 X 0 0 0 G MORGAN BROWNE 1.0 X 0 0 0 FRED BUCKHOLTZ 1.0 X 0 0 0 MICHAEL DOWLING 1.0 X 0 2277050 718261 EDNA FETKOWITZ 1.0 X 0 0 0 NICK FITTERMAN MD 1.0 X 422009 0 43464 WILLIAM H FRAZIER 1.0 X 0 0 0 LKEITH FRIEDLANDER ESQ 1.0 X 0 0 0 CLIFFORD FRIEDMAN 1.0 X 0 0 0 ANTHONY GIACCONE 1.0 X 0 0 0 ROSALYN C GORDON 1.0 X 0 0 0 JOHN KEAN 1.0 X 0 0 0 IRVING KLEIN 1.0 X 0 0 0 RICHARD P KLEINKNECHT 1.0 X 0 0 0 THOMAS G LEDERER 1.0 X 0 0 0 EUGENE J LEVITT ESQ 1.0 X 0 0 0 SHIRLEY LEVITT 1.0 X 0 0 0 HARRY F MARIANI 1.0 X 0 0 0 JOHN MCCUSKER 1.0 X 0 0 0 BRIAN MCNALLY 1.0 X 0 0 0 LEWIS MELTZER ESQ 1.0 X 0 0 0 RICHARD MURCOTT 1.0 X 0 0 0 ROBERT MYERS 1.0 X 0 0 0 MARTHA OSTERHAUS CARLSTROM 1.0 X 0 0 0 VIRGINIA PATRICK 1.0 X 0 0 0 PATRICIA PETERSON 1.0 X 0 0 0 JOHN R RICONDA 1.0 X 0 0 0 BERNARD M ROSOF MD 1.0 X 0 0 0 ROBERT W STACKLER 1.0 X 0 0 0 DOLORES THOMPSON 1.0 X 0 0 0 DOUGLAS BYRNES 1.0 X 0 0 0 NOAH FINKEL MD 1.0 X 0 0 0 CARY KRAVET 1.0 X 0 0 0 THOMAS HOEFT 50.0 X 453948 0 82896 MICHAEL FAGAN 50.0 X 368478 0 82091 MICHAEL QUARTIER 50.0 X 338423 0 62248 MYRNA MYERS 50.0 X 288727 0 32542 PAUL MACCARO MD 50.0 X 484136 0 49121 GARY STONE MD 50.0 X 402632 0 48679 MICHAEL BISHAI MD 50.0 X 372618 0 48679 KENT STEPHENSON 50.0 X 371667 0 48679 VIVEKA SAREEN 50.0 X 326394 0 48679 J RONALD GAUDREAULT 1.0 X 782039 0 0 6662075 2277050 1355651 224 true true false HUNTINGTON MEDICAL GROUP 180 E PULASKI RD HUNTINGTON STATION NY 11746 MEDICAL SERVICES 652020 MULLOOLY JEFF ROONEY FLYNN LLP 4 BRIDGE STREET GLEN COVE NY 11542 COLLECTION AGENCY 577088 TRITECH HEALTHCARE MGT LLC 125 NEWTON RD PLAINVIEW NY 11803 BILLING SERVICES 504120 BRAVO REIMBURSEMENT SPECIALISTS 651 MT PLEASANT AVE LIVINGSTON NJ 07039 BILLING SERVICES 434562 S AND D MEDICAL LLP 52 MAIN ST BEDFORD HILLS NY 10507 RADIOLOGY SERVICES 422804 16 412087 165000 973210 5625 1550297 PATIENT SVC - HOSPITAL 621300 255304355 255304355 PATIENT SVC-PHYS INC 621300 18306867 18306867 273611222 1888081 1888081 0 0 411972 0 411972 411972 411972 5290722 22600 0 9875 5290722 12725 5303447 5303447 249454 223461 25993 25993 75901 25143 50758 50758 139641 69046 70595 70595 CAFETERIA INCOME 900099 845318 845318 TELEVISION FEES 900099 151354 151354 PATIENT TELEPHONE INCOME 900099 140161 140161 1306538 1306538 2443371 285355736 273611222 10194217 0 4500 4500 0 0 4316145 465474 3850671 0 116606145 111409003 4747772 449370 13964177 12862121 1047313 54743 18075500 16654716 1355663 65121 8926971 8223108 669523 34340 0 102742 102742 218502 218502 39220 39220 0 273887 273887 17483753 16377026 1101056 5671 399509 167057 232452 42099043 40275052 1688750 135241 2527782 2319383 189584 18815 0 10711090 9638671 1071109 1310 0 0 293822 282751 9294 1777 2282871 2282871 2000268 2000268 11995309 10795778 1199531 7436165 7436165 BAD DEBT EXPENSES 5129817 5129817 ALL OTHER EXPENSES 769018 300315 441138 27565 265656236 242173880 22455951 1026405 10131227 15688644 34163075 23506516 880526 766565 27178694 28578285 3482915 3848500 2741890 4051370 183845346 73531960 100351076 110313386 48834953 84134561 21367885 9775397 8857487 8175672 257989728 288838896 32076246 37103610 44363456 41271815 101262178 110698506 177701880 189073931 X 75720266 95643706 3407634 2961311 1159948 1159948 80287848 99764965 257989728 288838896 X 19699500 -222383 X X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 39220 false 39220 false false 1159948 1159948 1159948 1159948 1159948 1159948 1.00000 false false 1255030 1255030 99714179 33975618 65738561 74593696 39024096 35569600 8282440 532245 7750195 110313386 0 ACCRUED PENSION LIABILITY 73422014 EST THIRD PARTY PAYOR LIBILITE 25587014 ACCRUED MALPRACTICE LIAB 11178000 DUE TO AFFILIATES 374948 ACCRUED ASSET RETIREMENT OBLIG 136530 110698506 285355736 265656236 19699500 -1458928 1682869 223941 19923441 283063169 -1458928 136960 -1321968 284385137 970599 970599 285355736 265699999 317650 317650 265382349 273887 273887 265656236 Schedule D - Supplemental Information Part V - Line 4 The investment income on the permanently restricted endowment funds are unrestricted and used to help support the operations of the Hospital. Schedule D - Supplemental Information Part XI - LINE 8 TOTAL $1,682,869 WHICH IS COMPRISED OF THE FOLLOWING: NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS ($410,847), LESS TEMPORARILY RESTRICTED CONTRIBUTIONS ($1,288,249), LESS TRANSFER TO PERMANENTLY RESTRICTED NET ASSETS ($815) PLUS NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ($1,323,725), PLUS PENSION AND OTHER POST RETIREMENT PLAN LIABILITY ADJUSTMENTS ($903,853) PLUS TRANSFER FROM AFFILIATES ($333,508). PART XII - LINE 2D TOTAL $136,960 WHICH IS COMPRISED OF THE FOLLOWING: NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS ($410,847), LESS INVESTMENT FEES NETTED WITH REVENUE IN AUDITED FINANCIAL STATEMENTS ($273,877). PART XII - LINE 4B TOTAL $970,599 WHICH IS COMPRISED OF THE FOLLOWING: TEMPORARILY RESTRICTED CONTRIBUTIONS ($1,288,249) LESS COST OF GOODS SOLD DEDUCTED FROM REVENUE ON 990 ($69,046), LESS SPECIAL EVENTS EXPENSES NETTED IN REVENUE ON 990 ($248,604). PART XIII - LINE 2D TOTAL $317,650 WHICH IS COMPRISED OF THE FOLLOWING: COST OF GOODS SOLD DEDUCTED FROM REVENUE ON 990 ($69,046), PLUS SPECIAL EVENTS EXPENSES NETTED IN REVENUE ON 990 ($248,604). PART XIII - LINE 4A TOTAL $274,887 INVESTMENTS FEES NETTED IN REVENUE ON AUDITED FINANCIAL STATEMENTS. Schedule D - Supplemental Information Part X, LINE 2: FIN 48 FOOTNOTE A Fin 48 Footnote was included in the 2008 Consolidated Financial Statements of Huntington Hospital Association as part of the disclosure related to Recent Accounting Pronouncements. Included in the disclosure was the statement that Management has evaluated the implications of FIN 48 and determined that its impact on the consolidated financial statements is not significant since such disclosure was deemed to not be needed in the 2009 consolidated financial statements as there has been no change in Management's evaluation. GALA 2010 270221 191912 78309 4677 66388 3545 2333 GOLF CLASSIS'10 259690 172360 87330 1230 11176 41382 23280 3608 0 131630 47815 83815 7030 796 8460 33914 2430 13212 661541 412087 249454 8260 16649 49842 123582 5975 19153 223461 25993 75901 25143 false 75901 25143 25143 50758 NY false NYS LICENSE IS PENDING false true false 1.00000 ROBERT MOTTOLA 270 PARK AVENUE HUNTINGTON NY 11743 false ROBERT MOTTOLA OVBRALL SUPERVISION OF ANNUAL RAFFLE X false true true X true X true X 500. true true true false true true 1 7044 8213000 1370941 6842059 0.02570 1 13756 26169270 17928655 8240615 0.03090 2 20800 34382270 19299596 15082674 0.05660 33 27919 459010 33317 425693 0.00160 31 757 811023 330563 480460 0.00180 3 171 134 134 29 41 35829 35829 0.00010 96 28888 1305996 363880 942116 0.00350 98 49688 35688266 19663476 16024790 0.06010 2 2 80951 0 80951 0.00000 2 2 80951 0 80951 0.00000 false 2357824 0 89162302 100220605 -11058303 X 1 1 Huntington Hospital

270 Park Avenue Huntington NY 11743

X X X X Huntington Hospital 1 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: Forest Hills Hospital (FHH) is a 312-bed community hospital that provides inpatient medical and surgical care, intensive care, and obstetrics and gynecology services. The hospital is designated as a Level II Perinatal service. The Emergency Department is a 911 receiving site and a certified heart station, as well as a New York State designated Stroke Center. Other Hospital programs include lithotripsy, brachytherapy for prostate cancer, and advanced wound healing. FHH is an accredited cancer program by the American College of Surgeons Commission on Cancer and is also a designated Bariatric Center of Excellence. Surgical services include: bloodless, bariatric, vascular, endovascular, laparoscopic, breast, pediatric, orthopedic, spine, and podiatry. A new Orthopedic Center of Excellence has been established, which includes a full spectrum of joint replacement, and supportive services. FHH offers a newly developed Adult Primary Care Clinic, surgical specialty clinics, and programs in Men's and Women's health. 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 boa X X X X X false true false false false false false true false KEVIN LAWLOR 578489 0 110000 0 920975 0 24278 0 8264 0 1642006 0 0 0 MICHAEL GROSSO MD 373562 0 31617 0 36361 0 32927 0 24843 0 499310 0 0 0 MICHAEL DOWLING 0 1164432 0 1078000 0 34618 0 698299 0 19962 0 2995311 0 0 NICK FITTERMAN MD 421964 0 0 0 45 0 24278 0 19186 0 465473 0 0 0 J RONALD GAUDREAULT 0 0 0 0 782039 0 0 0 0 0 782039 0 0 0 THOMAS HOEFT 385812 0 32108 0 36028 0 66423 0 16473 0 536844 0 0 0 MICHAEL FAGAN 310634 0 26866 0 30978 0 57248 0 24843 0 450569 0 0 0 MICHAEL QUARTIER 289209 0 23118 0 26096 0 37405 0 24843 0 400671 0 0 0 MYRNA MYERS 256377 0 21371 0 10979 0 24278 0 8264 0 321269 0 0 0 PAUL MACCARO MD 470662 0 0 0 13474 0 24278 0 24843 0 533257 0 0 0 GARY STONE MD 345460 0 0 0 57172 0 24278 0 24401 0 451311 0 0 0 MICHAEL BISHAI MD 339701 0 32890 0 27 0 24278 0 24401 0 421297 0 0 0 KENT STEPHENSON 365507 0 0 0 6160 0 24278 0 24401 0 420346 0 0 0 VIVEKA SAREEN 300797 0 25570 0 27 0 24278 0 24401 0 375073 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 Kevin Lawlor - 457(b) ($16,500), Michael Dowling - 457(f) ($671,349), Thomas Hoeft - 457(b) ($16,500)/457(f) ($42,145), Michael Fagan - 457(f) ($32,970), Michael Quartier - 457(b) ($16,500)/457(f) ($13,127) and Michael Grosso - 457(b) ($16,500)/457(f) ($8,649). 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 INCENTIVE COMPENSATION PART III, LINE 1, COLUMN B (iii) In 2010, Kevin Lawler and J. Ronald Gaudreault (currently a Board member and former President and CEO of Huntington Hospital) received proceeds from a split dollar life insurance policy established in 1995 under IRC Section 457(f). The proceeds to Lawler ($877,969) and to Gaudreault ($792,039) were included as income in Box 5 of Form W-2. SUFFOLK COUNTY IND DEVELOPMENT AGENCY 112584714 864768FW1 2006-10-04 10540000 Conversion of Series 2002A Bonds false false false 4860000 10540000 10540000 true false true true false false false false 0.00070 0.00070 true false true false false false true 2002A BONDS PART I, COLUMN F, LINE A CONVERSION OF 2002A BONDS ISSUES ON 6/14/02 FROM TAXABLE TO TAX-EXEMPT. Contemporary Computer Services J Riconda, BD Member 340244 Purchased Computer Services false Patrice Piretti Daughter of BD Member 114602 Hospital Employee false GOVERNING BODY AND MANAGEMENT Form 990 Part VI, Line 2 Board Members Eugene Levitt and Shirley Levitt are related. Board Members J. Ronald Gaudreault and Bernard Rosof, MD have a business relationship. Board Members Michael Brown and Thomas Lederer have a business relationship. Form 990 Part VI-Lines 6, and 7a/b The Hospital is part of the North Shore Long Island Jewish Health System, Inc. (the "System"). The System and its member organizations and other affiliated entities are an integrated health delivery system in the NY metro area. The System is the sole member of North Shore Long Island Jewish Health Care, Inc. ("Health Care, Inc."). Health Care, Inc. is the sole member of the Hospital and the sole member of other health care organizations that are not part of the Hospital. The System has the right to elect the members of the Hospital's Board of Directors, including the right to appoint 3 persons to the Board who are trustees or employed corporate officers of the System. The majority of the Hospital's Board of Directors must be residents of the primary service area served by the Hospital. Certain decisions of the Board require the approval of the System as outlined in the Corporate By-Laws. EXECUTIVE COMMITTEE Form 990 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 Form 990 Part VII-Policies, Line 12C As a member of the North Shore-Long Island Jewish Health System, the Hospital has several control mechanisms to mitigate conflicts of interest. The Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, the Code of Ethical Conduct requires individuals to conduct Hospital business in a manner that places the interests of the Hospital ahead of personal interests. In Addition, the Hospital 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 Hospital are required to fill out a conflicts of interest disclosure form on a regular basis. The system's 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 Hospital's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Hospital 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 Form 990 Part VI, Section B-Policies, Line 15A The Board of Directors at the Hospital appoint a compensation committee with the responsibility for reviewing and approving the wages and benefits of the organization's officers and key employees. The Committee consists of at least three individuals, who themselves are members of the board of directors. The Committee developed an executive compensation policy that includes the use of independent compensation surveys compiled by independent firms. The committee meets at least annually. Minutes of those meetings are maintained by Human Resources. DISCLOSURES Form 990 Part VI, Section C-Disclosures, Line 19 The Hospital makes its governing documents, conflict of interest policy and consolidated audited financial statements available upon request. The consolidated audited financial statements are also available online. COMPENSATION OF OFFICERS Form 990 Part VII, Section A Line 1A(1) The 2010 W-2 compensation for Kevin Lawlor and J. Ronald Gaudreault includes a one-time retirement payment in lieu of retirment plan payments that were originally planned to be made from a split dollar life insurance policy. Actual results from the split dollar policy fell well short of original expectations and the policy was terminated in 2010. OTHER CHANGES IN NET ASSETS PART XI, LINE 5 PENSION AND OTHER POST RETIREMENT PLAN LIABILITY ADJ 903,853 TRANSFER TO PERMANENTLY RESTRICTED NET ASSETS (815) TRANSFER FROM AFFILIATES 333,508 CHANGE IN NET UNREALIZED LOSSES (1,458,929) TOTAL (222,383) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN LAWLOR TITLE:PRESIDENT/CEO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL DOWLING TITLE:BOARD MEMBER/CEO NSLIJ 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 LIJ Health Care Inc 972 Brush Hollow RD Westbury NY 11590 112965586 SUPPORT NY 501(c)(3) 11, Type 1 NS-LIJHS North Shore LIJ Health Sys Laboratories 972 Brush Hollow Rd Westbury NY 11590 113412370 SUPPORT NY 501(c)(3) 11, Type 1 NS-LIJHS Huntington Hosp Dolan Family HLTH Center 284 Pulaski Road Greenlawn NY 11740 113368503 Health Care NY 501(c)(3) 3 Huntington 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 Care NY 501(c)(3) 3 NS-LIJHS Plainview Hospital 972 Brush Hollow Rd Westbury NY 11590 113241243 Health Care NY 501(c)(3) 3 NS-LIJHS Franklin Hospital 972 Brush Hollow Rd Westbury NY 11590 112296824 Health Care NY 501(c)(3) 3 NS-LIJHS Southside Hospital 972 Brush Hollow Rd Westbury NY 11590 111667761 Health Care NY 501(c)(3) 3 NS-LIJHS North Shore Univ Hosp Stern Family CECR 972 Brush Hollow Rd Westbury NY 11590 237007485 Nursing Home NY 501(c)(3) 9 NS-LIJHS North Shore Community Services Inc 972 Brush Hollow Rd Westbury NY 11590 237273200 Housing Comp NY 501(c)(2) N/A NS-LIJHS Feinstein Institute for Medical Research 972 BRUSH HOLLOW RD Westbury NY 11590 112673595 RESEARCH NY 501(c)(3) 4 NS-LIJHS North Shore-LIJ Health System Foundation 972 BRUSH HOLLOW RD Westbury NY 11590 112965575 FUNDRAISING NY 501(c)(3) 7 NS-LIJHS LIJ Medical Center at Home Pharmacy 972 Brush Hollow Road Westbury NY 11590 113251128 SUPPORT NY 501(c)(3) 11, TYPE 1 NS-LIJHS LIJ Foundation 972 Brush Hollow Road Westbury NY 11590 112661239 SUPPORT NY 501(c)(3) 11, TYPE 1 NS-LIJHS North Shore-LIJ Medical Care Centers 972 Brush Hollow Road Westbury NY 11590 113473923 SUPPORT NY 501(c)(3) 11, TYPE 1 NS-LIJHS SSH Inc 972 Brush Hollow Road Westbury NY 11590 112774102 SUPPORT NY 501(c)(3) 11, TYPE 1 NS-LIJHS North Shore University Hospital Housing 972 Brush Hollow Road Westbury NY 11590 112171903 Housing Comp NY 501(c)(2) N/A NS-LIJHS NSUH at Glen Cove Housing 972 Brush Hollow Road Westbury NY 11590 237010468 Housing Comp NY 501(c)(2) N/A NS-LIJHS Hillside Hospital Houses Inc 972 Brush Hollow Road Westbury NY 11590 112113949 Housing Comp NY 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