2011-11-11T10:41:26-06:00 2010-12-31 990 2010-01-01 113241243 PLAINVIEW HOSPITAL C/O NORTH SHORE-LIJ HEALTH SYSTEM PLAI 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 182857154 false X www.nslij.com X 1959 NY Plainview hospital 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 ability to pay. 153 145 1424 200 0 434859 83509 173066589 181116631 1174116 56807 1486006 1412083 176161570 182669030 0 0 0 0 111164582 116327457 0 0 32832 65043970 64776356 176208552 181103813 -46982 1565217 63564685 81179401 80496816 98108485 -16932131 -16929084 PLAINVIEW 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 153946833 0 173278576 Plainview Hospital is a 204-bed community hospital that provides an array of medical services, with emphases on cardiac, neurosciences and pulmonary disease. It provides a broad range of maternal and new born health services, which include designation as a Level II Perinatal Center. The Hospital's cardiac services include state of the art cardiac diagnostic services and an innovative program of Early Heart Attach Care. In 2010, the Hospital had 13,845 inpatient discharges, including the delivery of 1,415 babies, provided 34,159 emergency department visits and performed 5,400 ambulatory surgeries, including endoscopies. 5912152 0 7838055 The Physician and Ambulatory Network Services (formerly Faculty Practice Plan) strive to make a measurable difference in the health status of communities it serves by providing a complete and comprehensive practice management infrastructure that enables the enterprise to achieve the financial status necessary to meet patient, physician and Health System needs. 159858985 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 25 0 true 1424 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 ROAD WESTBURY NY 11590 X MICHAEL J DOWLING 50.0 X X 0 2277050 718261 RALPH NAPPI 50.0 X 0 646577 503966 RICHARD D GOLDSTEIN 3.0 X X 0 0 0 MARK CLASTER 2.0 X X 0 0 0 BARRY RUBENSTEIN 2.0 X X 0 0 0 WILLIAM L MACK 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 ANTHONY C FERRERI 50.0 X 0 993016 35815 KEVIN F LAWLOR 50.0 X 0 1609464 32542 NON-COMPENSATED TRUSTEES 2.0 X 0 0 0 HOWARD GOLD 50.0 X 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 37.5 X 0 284942 41650 MICHAEL FENER 37.5 X 539153 0 43025 DEBORAH TASCONE 37.5 X 0 853290 46900 JAN DAUER 37.5 X 411565 0 41650 MEHRAN MANSOURI 37.5 X 375050 0 40850 HAMID NOOROLLAH 37.5 X 334561 0 41650 FRANCESCO TENTI 37.5 X 315359 0 41650 SALVATORE FIORENTI 37.5 X 310615 0 41650 2286303 13138913 2038463 208 false true false SITRON-HAMMEL RADIOLOGY GROUP PC 4277 HEMPSTEAD TPKE BETHPAGE NY 11714 MEDICAL SERVICES 2899143 URVASHI KAPOOR MD 26 STEPPING STONE CRESCENT DIX HILLS NY 11746 PHYSICIAN SERVICES 969789 ANGELICA TEXTILE SERVICES 44 NEWMANS COURT HEMPSTEAD NY 11550 CLEANING 740896 AXIS CONSTRUCTION CO 125 LASER COURT HAUPPAUGE NY 11788 GENERAL CONTRACTOR 582759 THE NEW YORK STATE INSURANCE FUND 199 CHURCH ST NEW YORK NY 10007 INSURANCE 560263 11 83509 83509 PATIENT SERVICE REVENUE 621300 109763109 109763109 PHYSICIANS PRACTICE REVENUE 621300 12527071 12527071 MEDICARE/MEDICAID PAYMENTS 621300 58826451 58826451 181116631 18713 18713 26884 26884 0 199334 188124 11210 11210 0 0 0 CAFETERIA SHOP 900099 773785 773785 MEALS ON WHEELS 900099 110981 110981 TELEPHONE & TELEV. 900099 55000 55000 472317 469535 2782 1412083 182669030 181586166 988145 0 0 0 0 539153 539153 0 86467991 79152799 7296904 18288 5170024 4732640 436291 1093 18291079 16743653 1543557 3869 5859210 5363521 494450 1239 0 11300 11300 0 0 0 0 6323636 5788657 533642 1337 13748 12585 1160 3 30363153 27794430 2562301 6422 0 0 1806490 1653661 152447 382 59562 59562 0 121012 121012 1252253 1252253 0 4254886 3894923 359963 4510783 4510783 BAD DEBT 1119677 1119677 MEDICAL & OTHER PURCHASED SVCS 7511885 7511885 DUES & SUBSCRIPTIONS 172271 157697 14538 36 CENTRALIZED ADMIN EXP 6488443 6488443 BILLING & COLLECTIONS 499287 457047 42134 106 267970 245300 22613 57 181103813 159858985 21211996 32832 26294 75636 9016529 12041150 2746849 2702903 94258 84785 64117552 29399533 34424618 34718019 1993679 1994407 15262458 29562501 63564685 81179401 21866801 24743161 22997771 21880761 35632244 51484563 80496816 98108485 X -17326649 -17338714 394518 409630 -16932131 -16929084 63564685 81179401 X 1565217 -1562170 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 21844 false 21844 false false 7865080 7865080 30465710 14464338 16001372 25151569 14422333 10729236 635193 512862 122331 34718019 INTEREST IN FOUNDATION 545225 DEFERRED FINANCING COSTS 471146 DUE FROM AFFILIATES 27317414 DEPOSITS ON EQUIPMENT 12831 MALPRACTICE ASSETS 1112712 OTHER ASSETS 103173 29562501 0 BOND PREM/DISC 145309 DUE TO THIRD PARTY PAYORS 9430736 MALPRACTICE INSURANCE 7822628 OTHER LIABILITIES 17230728 PENSION 16855162 51484563 182669030 181103813 1565217 824 -1562994 -1562170 3047 182669854 824 824 182669030 182669030 181103813 181103813 181103813 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 EQUITY UNDER FAS 136 15,112 ADDITIONAL MINIMUM PENSION LIABILITY (1,578,106) TOTAL (1,562,994) 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 6027 2277000 73183 2203817 0.01220 1 4413 9652176 6793085 2859091 0.01590 2 10440 11929176 6866268 5062908 0.02810 56 17045 491915 491915 0.00270 18 688 5021248 3183406 1837842 0.01020 3 874 682 682 67 457 93030 93030 0.00050 144 19064 5606875 3183406 2423469 0.01340 146 29504 17536051 10049674 7486377 0.04150 4 1044 18155 0 18155 0.00000 4 1044 18155 0 18155 0.00000 false 240000 0 61896763 71962705 -10065942 X true true 1 1 PLAINVIEW HOSPITAL

888 OLD COUNTRY RD PLAINVIEW NY 11803

X X X X PLAINVIEW HOSPITAL 1 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: Lenox Hill Hospital (LHH) is a 652-bed acute care teaching hospital located on Manhattan's Upper East Side, has a tradition of providing outstanding patient care and innovative medical and surgical treatment. The Hospital serves the residents of its surrounding Manhattan communities and also attracts patients from the Greater New York area, throughout the nation and abroad. LHH, an acute, tertiary care facility is well known for excellence in a variety of specialty services including cardiovascular disease, orthopedic surgery, sports medicine, total joint replacement, maternal-child health, neurology and neurosurgery, ophthalmology, otolaryngology, digestive disorders, psychiatry and bariatric surgery. LHH is a New York State-designated Stroke Center, Level III Prenatal Center and AIDS Center, and an American Society for Metabolic and Bariatric Surgery-Designated Bariatric Surgery Center of Excellence. LHH is committed to the highest standards of medical education, cutting-edge clinical research and innovative community outreach programs. In May, 2010 it became a member of the North Shore-LIJ Health System, further strengthening its commitment to the provision of state-of-the-art patient care and innovative programming. The Manhattan Eye, Ear and Throat Hospital (MEETH) campus on 64th Street, operated by LHH, provides ambulatory surgery and a variety of outpatient medical specialty services. MEETH has earned an outstanding reputation in otolaryngology, ophthalmology, and plastic surgery. 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 r X X X X X false true false true false false false true false MICHAEL J 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 MICHAEL FENER 443728 0 74000 0 21425 0 26950 0 16075 0 582178 0 0 0 JAN DAUER 231682 0 8557 0 171326 0 26950 0 14700 0 453215 0 0 0 MEHRAN MANSOURI 362658 0 1102 0 11290 0 26950 0 13900 0 415900 0 0 0 HAMID NOOROLLAH 104756 0 0 0 229805 0 26950 0 14700 0 376211 0 0 0 FRANCESCO TENTI 313080 0 989 0 1290 0 26950 0 14700 0 357009 0 0 0 SALVATORE FIORENTI 240715 0 8567 0 61333 0 26950 0 14700 0 352265 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 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 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 NEW YORK STATE 146000293 64983Q4R7 2006-10-18 2390704 2005 BONDS - CAPITAL IMPROVEME false false false DORMITORY AUTHORITY OF NEW YORK STATE 146000293 649903LC3 2007-05-31 6570025 2007 A&B BONDS - CAP IMPROV & REFU true false false DORMITORY AUTHORITY OF NEW YORK STATE 146000293 649905QL3 2009-09-17 3245437 2009 A&E BONDS - CAP IMPROV & REFI false false false 272055 3220939 221783 28237 109796 2861122 2010 true false true true 1814306 6915566 487406 127934 2780672 71886 1705670 1663210 true true false true 3230774 354043 132695 52610 1247887 531707 true false false true false false false false true true false false false false true true false false false false 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 A, COLUMN (D) THE 2005 BONDS WERE REISSUED AND ACCORDINGLY THE RESISSUE DATE OF OCTOBER 16, 2006 APPEARS AS THE ISSUE DATE. BOARD MEMBER RELATIONS PART VI, SECTION A-GOVERNING BODY, LINE 2 All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. " William Achenbaum has a business relationship with Eric and Roger Blumencranz. " John Alexander has a business relationship with John Shall and Stanley Applebaum. " Stanley Applebaum has a business relationship with John Alexander and John Shall. " Michael Ashner has a business relationship with William Mack. " Morton Bass has a family relationship with Sandra Atlas Bass. " Frank Besignano has a business relationship with Roger Blumencranz. " Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Arlene Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Robery Myers, Ralph Nappi, Dennis Riese, Donald Zucker and Barbara Zucker. " Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, Frank Besignano, Richard D. Goldstein, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, David Pernick, Mark Solazzo, Donald Zucker, Barbara Zucker, Michael Katz and Saul Katz. " David Blumenfeld has a family relationship with Edward Blumenfeld. " Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with William Mack. " Steve Braun has a family relationship with Richard Sims. " Alan Chopp has a business relationship with Patrick McDermott. " Mark Claster has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz, and Barry Rubenstein. " Philippe Dauman has a business relationship with William Hiltz. " Daniel deRoulet has a family relationship with Lorinda deRoulet. " Lorinda deRoulet has a family relationship with Daniel deRoulet. " Leonard Feinstein has a business relationship with Michael Feldman and William Mack. " Michael Feldman has a business relationship with Leonard Feinstein. " Anthony Ferreri has a family and business relationship with John Shall. " Arlene Fisher has a business relationship with Eric Blumencranz. " Lloyd Goldman has a business relationship with William Mack, Barry Rubenstein and Richard Goldstein. " Richard D. Goldstein has a business relationship with Mark Claster, Lloyd Goldman, William Mack, Roger Blumencranz, Eric Blumencranz, and Barry Rubenstein. " Joaquin Gonzalez has a business relationship with John Shall. " Alan I. Greene has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. " James R. Greene has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. " Stanley Grey has a business relationship with Eric and Roger Blumencranz. " Paul Guenther has a business relationship with Michael Hoffman and William Hiltz. " William Hiltz has a business relationship with Philippe Dauman, Paul Guenther, Marlene Hess, Jeff Maurer and Richard Nye. " Michael Hoffman has a business relationship with Paul Guenther. (listed bc Paul lists him) " Richard Horowitz has a business relationship with Eric and Roger Blumencranz. " Jeffrey Jurick has a family relationship with Lynn Jurick. He has a business relationship with Eric and Roger Blumencranz. " Lynn Jurick has a family relationship with Jeffrey Jurick. She has a business relationship with Eric and Roger Blumencranz. " David Katz has a family relationship with Saul Katz and Michael Katz. " Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with Michael Slade and Roger Blumencranz. " Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with Donald Zucker, Mark Claster, Barry Rubenstein, Michael Slade and Roger Blumencranz. " Jeffrey Lane has a business relationship with William Mack. " Curt Launer has a business relationship with Michael Slade. " Stuart Levine has a business relationship with Eric and Roger Blumencranz. " David Mack has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. " William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein, Scott Rudolph, Richard Goldstein, Geoffrey Wharton and Roy Zuckerberg. " Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. " F.J. McCarthy has a business relationship with Robert Rosenthal. " Patrick McDermott has a business relationship with Alan Chopp and John Shall. " Richard Murcott has a business relationship with Barry Rubenstein. " Richard Nye has a business relationship with William Hiltz. " Clyde Payne has a business relationship with Scott Rudolph. " Dennis Riese has a business relationship with Eric Blumencranz. " Robert Rosenthal has a business relationship with Mark Claster and F.J. McCarthy. " Dr Bernard Rosof has a business relationship with Huntington Hospital Trustees. " Jack Ross has a family relationship with Bradley Marsh. " Barry Rubenstein has a business relationship with Saul Katz, Richard Goldstein, William Mack, Richard Murcott, Lloyd Goldman, and Mark Claster. " Scott Rudolph has a business relationship with Clyde Payne and William Mack. " John Shall has a family relationship with Anthony Ferreri. He has a business relationship with Anthony Ferreri, Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. " Richard Sims has a family relationship with Steve Braun. " Michael Slade has a business relationship with Saul Katz, Michael Katz and Curt Launer. " Geoffrey Wharton has a business relationship with William Mack. " Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. " Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Saul Katz, Eric Blumencranz and Roger Blumencranz. " Roy Zuckerberg has a business relationship with William Mack. EXECUTIVE COMMITTEE PART VI, SECTION B-POLICIES, LINE 11 All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. CONFLICTS OF INTEREST PART VI, SECTION B-POLICIES, LINE 12C The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. 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 others 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 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 POLICY 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 824 ADDITIONAL MINIMUM PENSION LIABILITY (1,578,106) CHANGE IN EQUITY UNDER FAS 136 15,112 TOTAL (1,562,170) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL J DOWLING TITLE:PRESIDENT & CEO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RALPH NAPPI TITLE:TRUSTEE AND PRES. FOUNDATION HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK CLASTER 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:WILLIAM L MACK 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:ANTHONY C FERRERI TITLE:TRUSTEE AND PRES/CEO SIUH HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN F LAWLOR TITLE:TRUSTEE AND PRES/CEO HUNT HOSP HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE 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 DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LAWRENCE G SMITH MD TITLE:SR VP & CHF MEDICAL OFFICER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEITH THOMPSON TITLE:SR VP & GENERAL COUNSEL HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFFREY KRAUT TITLE:SR VP, STRATEGIC PLANNING HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHLEEN GALLO RN PHD TITLE:SR VP & CHF LEARNING OFFICER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EUGENE TANGNEY TITLE:CHIEF ADMIN OFFICER HOURS:50 HOURS DEVOTED FOR RELATED 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