2016-11-15T15:10:30-06:00 2015-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2015-01-01 111633563 EASTERN LONG ISLAND HOSPITAL ASSOC INC % WILLIAM J MESSNER EAST 6314771000 201 MANOR PLACE GREENPORT NY 119441222 ROBERT RAGONA CFO 6314771000 2016-11-15 true Paul Hammerschmidt P01384178 2128858000 2015 2017-02-10 21:41:12Z PAUL J CONNOR III 201 MANOR PLACE GREENPORT NY 11944 48051272 false X WWW.ELIH.ORG X 1905 NY TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. 19 19 459 259 0 0 2914216 1801748 42080521 42898133 215611 683034 2773764 2332915 47984112 47715830 0 0 0 0 30131189 30700576 0 0 981883 17727528 18343909 47858717 49044485 125395 -1328655 32738785 31079273 24998014 25612027 7740771 5467246 TO PROVIDE INPATIENT, AMBULATORY, PSYCHIATRIC, PREVENTIVE AND EMERGENCY MEDICAL CARE TO THE SURROUNDING COMMUNITY OF THE EAST END OF LONG ISLAND. false false 44184752 0 42898133 TO PROVIDE ACUTE MEDICAL, SURGICAL, ALCOHOL, DETOX, REHAB AND EMERGENCY SERVICES AND CARE TO THE EAST END OF LONG ISLAND. THERE WERE 2,585 ADMISSIONS, 17,596 PATIENT DAYS AND 43,397 EMERGENCY AND AMBULATORY CARE VISITS DURING 2015. 44184752 true true false false false false false false false true true false false true true true false true false false false false false false true true true true false false true true false true false false false false false false false false false false false false false true true true false false true 86 27 true 459 true false false false false false true true false false false false X 19 19 false false true false true true false true true false false false true true true true true true true false NY X WILLIAM J MESSNER 6314775313 201 MANOR PLACE GREENPORT NY 11944 X THOMAS E MURRAY JR CHAIRMAN 15.0 25.0 X X 0 0 0 FRANK ADIPIETRO MD VICE CHAIRMAN 10.0 0.0 X X 0 0 0 CAROLE G DONLIN VICE CHAIRMAN 10.0 7.0 X X 0 0 0 ROBERT T GOLDMAN VICE CHAIRMAN 10.0 20.0 X X 0 0 0 JANICE CLAUDIO TREASURER 10.0 0.0 X X 0 0 0 VICKIE DEFRIEST SECRETARY 10.0 0.0 X X 0 0 0 NEBOYSHA R BRASHICH GOV'T AFFAIRS REPRESENTATIVE 10.0 0.0 X 0 0 0 SCOTT BENNETT TRUSTEE 10.0 15.0 X 0 0 0 DANIEL BRISOTTI TRUSTEE 10.0 2.0 X 0 0 0 MARGARET FLANAGAN TRUSTEE 10.0 0.0 X 0 0 0 DAVID M FUJITA TRUSTEE 10.0 0.0 X 0 0 0 CAROLINE GATEWOOD MD TRUSTEE 10.0 0.0 X 0 0 0 HELEN LATHAM PRESIDENT OF AUXILIARY 10.0 0.0 X 0 0 0 MAUREEN T MILLS TRUSTEE 10.0 0.0 X 0 0 0 WILLIAM R POLLERT TRUSTEE 10.0 0.0 X 0 0 0 JAMES F PRESTON TRUSTEE 10.0 5.0 X 0 0 0 JOSEPH PUFAHL TRUSTEE 10.0 0.0 X 0 0 0 JAY P QUARTARARO TRUSTEE 10.0 0.0 X 0 0 0 EDWARD SCHOTT TRUSTEE 10.0 0.0 X 0 0 0 PAUL J CONNOR III PRESIDENT & CEO 37.5 20.0 X 508962 0 47288 ROBERT RAGONA VP FINANCE & CFO 37.5 7.0 X 271502 0 37360 DELIA PISPISA VP OF NURSING 37.5 0.0 X 247186 0 42420 WILLIAM J MESSNER CONTROLLER 37.5 10.0 X 204818 0 43485 JARID PACHTER PHYSICIAN 37.5 0.0 X 398973 0 47288 JOHN COSGROVE SURGEON 37.5 0.0 X 355627 0 47288 SUSAN APICELLO VP OF ADMIN./LAB MANAGER 37.5 0.0 X 187668 0 31275 RAYMOND KRUPSKI PHARMACY DIRECTOR 37.5 0.0 X 153253 0 30719 DANIEL SCOTTO MIS DIRECTOR 37.5 0.0 X 148006 0 40298 JOEL LAZARUS Respiratory Therapy DIRECTOR 37.5 0.0 X 145382 0 21202 Helene de Reeder VP Behavioral Health SERVICES 37.5 0.0 X 137395 0 39238 Lloyd Simon Medical Director 10.0 0.0 X 136919 0 29380 2895691 0 457241 37 false true false CARDINAL HEALTH 7000 CARDINAL DRIVE DUBLIN OH 43017 MEDICAL 1000624 OWENS AND MINOR PO BOX 8500-55182 PHILADELPHIA PA 19178 MEDICAL 773015 East End Physician Services PC 44210 CR 48 SOUTHOLD NY 11971 MEDICAL 502611 Medtronics USA Inc 4642 Collections Center Drive CHICAGO IL 60693 MEDICAL 494024 STRYKER INSTRUMENTS PO BOX 70119 CHICAGO IL 60673 MEDICAL 461909 50 X 264478 956000 21000 560270 1801748 NET PATIENT SERVICES 624200 42898133 42898133 42898133 63969 63969 0 0 82623 49684 32939 0 32939 32939 619065 619065 619065 619065 123900 264478 123900 0 290000 161858 128142 128142 0 MISCELLANEOUS REVENUE 900099 2171834 2171834 2171834 47715830 42898133 0 3015949 0 0 0 0 2471140 1113415 1357725 0 19687516 18690745 559526 437245 1822647 1694362 89537 38748 5036815 4617785 314661 104369 1682458 1514212 134597 33649 0 281232 253109 22498 5625 105000 94500 8400 2100 0 0 0 1375947 1238352 110076 27519 75175 67657 6014 1504 319687 287718 25575 6394 0 0 1189601 1115356 49459 24786 47714 42943 3817 954 0 0 889493 800544 71159 17790 0 2215202 1993682 177216 44304 688702 619832 55096 13774 PURCHASED SERVICES 4512121 4060909 360970 90242 MEDICAL AND DEPT. SUPPLIES 2742364 2468128 219389 54847 PHARMACEUTICALS 1213872 1092485 97110 24277 STAFF DEVELOPMENT 966476 869828 77318 19330 1721323 1549190 137707 34426 49044485 44184752 3877850 981883 1145299 590644 2170343 3569731 0 0 5006525 4981956 0 0 0 0 0 0 865395 899255 601991 638567 51595750 36972783 15991409 14622967 5211691 3742847 0 0 0 0 0 0 1746132 2033306 32738785 31079273 8670667 9205085 0 0 0 0 15295000 14900000 0 0 0 0 600000 600000 0 0 432347 906942 24998014 25612027 X 6369750 4096225 50333 50333 1320688 1320688 7740771 5467246 32738785 31079273 X -1328655 -757528 -187342 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1314299 -74360 1239939 1697503 -383204 1314299 1469606 227897 1697503 1346213 123393 1469606 1350044 -3831 1346213 1.00000 false false 419756 419756 18252219 9694879 8557340 32923775 27277904 5645871 14622967 DUE FROM AFFILIATES 1204504 DEFERRED BOND ISSUANCE COSTS 775095 SECURITY DEPOSITS 53707 2033306 0 DUE TO THIRD PARTY PAYORS 685130 ACCRUED PENSION LIABILITY 221812 906942 X 48706190 990360 990360 47715830 47715830 50265520 1221035 1221035 49044485 49044485 PART V, LINE 4: TO PROVIDE AN ASSET BASE, AND ALLOW EARNINGS TO FUND GROWTH AND DEVELOPMENT OF THE HOSPITAL. PART X, LINE 2: UNDER ASC 740-10, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES", AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. (THE "REPORTING ORGANIZATION") DOES NOT BELIEVE THEY HAVE TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE REPORTING ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEAR ENDED DECEMBER 31, 2015, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF REVENUES, EXPENSES AND CHANGES IN NET ASSETS. MANAGEMENT BELIEVES THAT THE REPORTING ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. PART XI, LINE 2D: AFFILIATE INCOME AND ELIMINATIONS......$940,676. RENTAL EXPENSE.........................$49,684. TOTAL..................................$990,360. PART XII, LINE 2D: AFFILIATE EXPENSES AND ELIMINATIONS....$1,171,351. RENTAL EXPENSE.........................$49,684. TOTAL..................................$1,221,035. GALA 267372 180205 87167 30250 34307 850 21760 GOLF OUTING 121006 84273 36733 1945 29508 5280 0 388378 264478 123900 32195 63815 850 27040 123900 290000 145000 16858 290000 145000 16858 161858 128142 NY true false false false 1.00000 false false true true true X true X true false true true 1274360 1274360 0.02530 18213759 11580478 6633281 0.13200 158873 158873 0.00320 19646992 11580478 8066514 0.16050 19646992 11580478 8066514 0.16050 true 3519924 205761 6928456 13309108 -6380652 X true true 1 1 EASTERN LONG ISLAND HOSPITAL ASSOC 201 MANOR PLACE GREENPORT NY 11944 X X X EASTERN LONG ISLAND HOSPITAL ASSOC 1 false false true X X X X X X X X 13 true false false true X www.elih.org X true 14 true WWW.ELIH.ORG false false true X 200. 200. X X true true X X true X www.elih.org X X true X X true X X X X X X true X false false PART V, LINE 22D: THE HOSPITAL FACILITY USED ITS LARGEST & MOST UTILIZED COMMERCIAL INSURANCE RATE WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. IN MOST CASES, THIS IS THE HOSPITAL'S EMPIRE B/C RATE. PART I, LINE 6A: EASTERN LONG ISLAND HOSPITAL ASSOCIATION, INC. PREPARES A COMMUNITY BENEFIT REPORT, IT IS AVAILABLE ON THE HOSPITALS WEBSITE, http://www.elih.org/SERVICES/COMMUNITYRESOURCES/ServicePlan/tabid/210/ Default.aspx. ADDITIONAL INFORMATION IN CONNECTION WITH SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CAN BE OBTAINED IN THE COMMUNITY BENEFIT REPORT. PART I, LINE 7, COLUMN(F): THE HOSPITAL USED COST OF CHARGE RATIO. PART I, LINE 7: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. IN GENERAL, THE HOSPITAL ATTEMPTS TO BILL ALL PATIENTS UNTIL A DETERMINATION CAN BE MADE THAT THE PATIENT IS UNABLE TO PAY. THEREFORE, DISTINGUISHING BETWEEN CHARITY CARE AND OTHER UNCOMPENSATED CARE IS NOT PERFORMED. FOR THE YEAR ENDED DECEMBER 31, 2015, TOTAL UNCOMPENSATED CARE, MEASURED AT CHARGES, WAS APPROXIMATELY $205,000. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL AND AFFILIATE. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PART III, LINE 8: THE COST OF CARE TO THE MEDICARE POPULATION IN THE HOSPITAL'S COMMUNITY EXCEEDS THE REIMBURSEMENT DUE TO SHORTFALLS IN MEDICARE METHODOLOGY. PART III, LINE 9B: CONSISTENT WITH MEDICARE REGULATIONS, COLLECTION POLICIES ARE UNIVERSALLY APPLIED TO BALANCES RELATED TO PATIENT RESPONSIBILITIES. NEEDS ASSESSMENT: EASTERN LONG ISLAND HOSPITAL HAS AN EXTENSIVE PROGRAM OF COMMUNITY OUTREACH THAT IS COMPLEMENTED BY THE EFFORTS OF THE EAST END HEALTH ALLIANCE, THE HOSPITAL'S ACTIVE PARENT. INPUT ON THE COMMUNITY SERVICE PLAN IS RECEIVED FROM BOTH INTERNAL AND EXTERNAL SOURCES. NEEDS ARE ASSESSED ON AN ANNUAL BASIS BY THE BOARD OF TRUSTEES, HOSPITAL MANAGEMENT AND STAFF, VOLUNTEERS, AND LEADERS OF LOCAL NOT-FOR-PROFIT ORGANIZATION AND GOVERNMENTAL AGENCIES. IN ADDITION TO OUTREACH EFFORTS, THE HOSPITAL -- THROUGH ITS GERIATRIC ASSESSMENT PROGRAM -- CONDUCTED A COMMUNITY NEEDS SURVEY IN ORDER TO IDENTIFY THOSE SERVICES THAT THE COMMUNITY BELIEVED WOULD FOSTER INDEPENDENT LIVING FOR THE ELDERLY RESIDENTS OF THE SERVICE AREA. SURVEYS WERE SENT TO MEMBERS OF THE HOSPITAL'S AUXILIARY, RESIDENTS OF PECONIC LANDING, MEMBERS OF SENIOR CITIZEN CENTERS, RECIPIENTS OF "MEALS ON WHEELSPARTICIPANTS IN CONGREGATE DINING PROGRAMS AND PROVIDED IN DOCTOR'S OFFICE'S, OTHER ALLIED PROFESSIONAL OFFICES AND THE HOSPITAL'S LOBBY. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: EASTERN LONG ISLAND HOSPITAL POSTS SUMMARY OF ITS CHARITY CARE POLICIES IN ALL POINT OF CONTACT AREAS AND PROVIDES ASSISTANCE IN SECURING ENTITLEMENTS THROUGH AN INFORMED AND PROACTIVE PATIENT STAFF. COMMUNITY INFORMATION: EASTERN LONG ISLAND HOSPITAL HAS TWO DISTINCT SERVICE AREAS: ONE FOR THEIR MEDICAL SURGICAL SERVICES AND ONE FOR THEIR BEHAVIORAL HEALTH SERVICES. THE HOSPITAL'S MEDICAL SURGICAL SERVICE AREA EXTENDS EAST TO WEST FROM ORIENT TO MATTITUCK. THE POPULATION SERVED BY THE HOSPITAL IS SIGNIFICANTLY OLDER ON AVERAGE THAN SUFFOLK COUNTY, NEW YORK STATE AND NATIONALLY. MORE THAN THIRTY-NINE (39) PERCENT OF THE RESIDENTS IN THE SERVICE AREA ARE FIFTY-FIVE (55) AND OLDER WITH MORE THAN ONE IN FOUR RESIDENTS OVER THE AGE OF SIXTY-FIVE (65). THE HOSPITAL HAS DEVELOPED PROGRAMS THAT ARE SPECIFICALLY GEARED TOWARDS MEETING THE HEALTH CARE NEEDS OF THIS OLDER POPULATION, INCLUDING THE HOSPITAL'S GERIATRIC CENTER OF EXCELLENCE. THE PROGRAM WAS OPENED AT EASTERN LONG ISLAND HOSPITAL TO PROVIDE A TEAM APPROACH TO PROFESSIONAL CARE FOR THE GROWING ELDERLY POPULATION OF THE NORTH FORK AND SHELTER ISLAND. OTHER INFORMATION: ALL MEMBERS OF THE BOARD RESIDE IN THE COMMUNITY. THE HOSPITAL OFFERS MEDICAL PRIVILEGES TO QUALIFIED MEDICAL STAFF AND ACTIVELY SOLICITS PHYSICIANS TO JOIN THE COMMUNITY WHEN THERE IS AN UNFULFILLED NEED. AFFILIATED HEALTH CARE SYSTEM ROLES: THE HOSPITAL IS A MEMBER OF THE EAST END HEALTH ALLIANCE. THE EAST END HEALTH ALLIANCE, THE ARTICLE 28 PARENT OF EASTERN LONG ISLAND HOSPITAL, CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER AND SOUTHAMPTON HOSPITAL, WAS CREATED IN RESPONSE TO THE RECOMMENDATIONS OF THE COMMISSION ON HEALTH CARE FACILITIES IN THE 21ST CENTURY. CONSISTENT WITH THE MISSION OF EASTERN LONG ISLAND HOSPITAL, THE GOALS OF THE ALLIANCE ARE AS FOLLOWS: A) TO COLLABORATIVELY DEVELOP HIGH QUALITY, COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITY SERVED; B) TO RATIONALIZE HEALTH CARE SERVICES ACROSS THE SYSTEM; AND C) TO REALIZE MANAGEMENT EFFICIENCIES. ROLES OF AFFILIATES: A) PECONIC BAY MEDICAL CENTER PROVIDES ACUTE AND CRITICAL INPATIENT SERVICES, OUTPATIENT SERVICES INCLUDING EMERGENCY MEDICINE, DIALYSIS, PHYSICAL THERAPY, RADIOLOGY, RESPIRATORY THERAPY AND LABORATORY SERVICES. PECONIC BAY MEDICAL CENTER ALSO OPERATES A SIXTY (60) BED SKILLED NURSING AND REHABILITATION FACILITY THAT PROVIDES BOTH SHORT TERM AND SUBACUTE CARE AND LONG-TERM SKILLED NURSING CARE. THE MEDICAL CENTER ALSO OPERATES A CERTIFIED HOME CARE AGENCY, PECONIC BAY HOME HEALTH SERVICES. B) SOUTHAMPTON HOSPITAL IS A 125-BED, VOLUNTARY, NOT-FOR-PROFIT FACILITY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE HOSPITAL OFFERS A FULL CONTINUUM OF AMBULATORY AND INPATIENT SERVICES RANGING FROM PRIMARY MEDICAL CARE TO SPECIALIZED SURGICAL PROCEDURES, AND IS STAFFED BY MORE THAN 230 PHYSICIANS, DENTISTS AND ALLIED HEALTH PROFESSIONALS REPRESENTING 44 MEDICAL SPECIALTIES. X X X false false false false false false false false false PAUL J CONNOR III PRESIDENT & CEO 390430 0 97000 0 21532 0 17500 0 29788 0 556250 0 0 0 ROBERT RAGONA VP FINANCE & CFO 270017 0 0 0 1485 0 17500 0 19860 0 308862 0 0 0 DELIA PISPISA VP OF NURSING 246671 0 0 0 515 0 17292 0 25128 0 289606 0 0 0 WILLIAM J MESSNER CONTROLLER 204054 0 0 0 764 0 14311 0 29174 0 248303 0 0 0 JARID PACHTER PHYSICIAN 391603 0 0 0 7370 0 17500 0 29788 0 446261 0 0 0 JOHN COSGROVE SURGEON 355627 0 0 0 0 0 17500 0 29788 0 402915 0 0 0 SUSAN APICELLO VP OF ADMIN./LAB MANAGER 187668 0 0 0 0 0 13164 0 18111 0 218943 0 0 0 RAYMOND KRUPSKI PHARMACY DIRECTOR 153253 0 0 0 0 0 10719 0 20000 0 183972 0 0 0 DANIEL SCOTTO MIS DIRECTOR 148006 0 0 0 0 0 10643 0 29655 0 188304 0 0 0 JOEL LAZARUS Respiratory Therapy DIRECTOR 145382 0 0 0 0 0 10126 0 11076 0 166584 0 0 0 Helene de Reeder VP Behavioral Health SERVICES 137395 0 0 0 0 0 9621 0 29617 0 176633 0 0 0 Lloyd Simon Medical Director 136919 0 0 0 0 0 9584 0 19796 0 166299 0 0 0 A SUFFOLK COUNTY INDUSTRIAL DEVELOPMENT AGENCY 112584714 2007-06-27 17760000 IMPROVEMENTS OF HOSPITAL FACILITY false false false A 0 0 17760000 1187569 0 11793210 765422 0 0 5939581 0 0 2009 true false false true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true PART I, LINE (C): CUSIP #: 864768 NTR 2027 FORM 990, PART VI, SECTION A, LINE 4: THE ORGANIZATIONS BY-LAWS WERE REVISED TO REMOVE EAST END HEALTH ALLIANCE AS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINES 6 AND 7A: THE ORGANIZATION'S SOLE MEMBER was EAST END HEALTH ALLIANCE, A NOT-FOR-PROFIT CORPORATION THAT CAN ELECT ONE OR MORE MEMBERS OF THE HOSPITAL'S GOVERNING BODY. AT THE HOSPITALS BOARD OF TRUSTEES MEETING ON MAY 28, 2015, THE TRUSTEES OF THE HOSPITAL PASSED A RESOLUTION REMOVING THE ALLIANCE AS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. SOLE CORPORATE MEMBER OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B: FORM 990 IS REVIEWED BY THE FINANCE TEAM OF THE HOSPITAL, WHICH INCLUDES THE CEO, CFO AND CONTROLLER. ALSO, THE RETURNS ARE DISTRIBUTED TO THE MEMBERS OF THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. ANY CHANGES ARE IMPLEMENTED PRIOR TO FILING THE FINAL VERSION OF THE ANNUAL FORM 990. FORM 990, PART VI, SECTION B, LINE 12C: H.R. POLICIES ARE REVIEWED ANNUALLY BY THE AUDIT COMMITTEE AND DISCUSSED AT THE QUARTERLY MEETINGS. FORM 990, PART VI, SECTION B, LINE 15A: AN INDEPENDENT HUMAN RESOURCES COMMITTEE CONSISTING OF INDEPENDENT BOARD MEMBERS MEET TO REVIEW AND DISCUSS THE CEO'S COMPENSATION PACKAGE. THE PROCESS INCLUDES A REVIEW OF THE CEO'S PERFORMANCE AND A COMPARISON OF THE CEO'S ROLE AND COMPENSATION TO OUR SISTER HOSPITALS (CENTRAL SUFFOLK HOSPITAL, D/B/A PECONIC BAY MEDICAL CENTER & SOUTHAMPTON HOSPITAL) AS WELL AS OTHER HOSPITALS IN SIMILAR GEOGRAPHIC LOCATIONS. THEY ALSO COMPARE IT WITH PUBLISHED STANDARDS OF OTHER HOSPITALS. IN ADDITION THEY REACH OUT TO OTHER INDEPENDENT ORGANIZATIONS SUCH AS THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) TO COMPILE THIS DATA. AFTER THE HUMAN RESOURCES COMMITTEE COMPLETES THEIR DELIBERATION THEY MEET WITH THE FULL BOARD OF THE HOSPITAL TO DISCUSS THEIR FINDINGS AND MAKE SUGGESTIONS BEFORE THE FULL BOARD VOTES TO APPROVE THE COMPENSATION PACKAGE. THE DELIBERATION AND DECISION OF THE BOARD IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15B: THE PROCESS IS SIMILAR TO 15A ABOVE AND INCLUDES AN ANNUAL EVALUATION CONDUCTED BY THE CEO AND PRESENTED TO INDEPENDENT MEMBERS OF THE BOARD WHO APPROVE THE COMPENSATION PACKAGE. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY.....$(187,342.) 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