2014-11-13T18:21:52-06:00 2013-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2013-01-01 111635088 MERCY MEDICAL CENTER % CHS SERVICES INC MERC 5167052525 1000 NORTH VILLAGE AVENUE Suite ROCKVILLE CENTRE NY 11570 AARON GLATT EXECUTIVE VP, CAO 5167052525 2014-11-10 2013 2015-11-30 17:44:51Z ALAN D GUERCI MD 1000 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 224774659 false 0928 X HTTP://MERCYMEDICALCENTER.CHSLI.ORG X 1913 NY CHSLI AND ITS MEMBERS, AS A MINISTRY OF THE CATHOLIC CHURCH, CONTINUE CHRIST'S HEALING MISSION, BY PROMOTING EXCELLENCE IN CARE AND COMMITTING ITSELF TO THOSE IN NEED. 19 18 1711 703 78661 61068 3240816 777033 196351902 196229014 748070 159493 6264964 6180880 206605752 203346420 337026 1786852 0 0 119263685 118539607 0 0 0 77836258 86617247 197436969 206943706 9168783 -3597286 193602315 185386941 146940031 142002722 46662284 43384219 X MERCY MEDICAL CENTER, A MEMBER OF CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHS), AS A MINISTRY OF THE CATHOLIC CHURCH, CONTINUES CHRIST'S HEALING MISSION, PROMOTES EXCELLENCE IN CARE, AND COMMITS ITSELF TO THOSE IN NEED. CHS AFFIRMS THE SANCTITY OF LIFE, AND ADVOCATES FOR THE POOR AND UNDERSERVED, AND SERVES THE COMMON GOOD. IT CONDUCTS ITS HEALTHCARE PRACTICE, BUSINESS, EDUCATION AND INNOVATION WITH JUSTICE, INTEGRITY AND RESPECT FOR THE DIGNITY OF EACH PERSON. false false 188229212 1786852 199291974 MERCY MEDICAL CENTER IS A 375 BED, NOT-FOR-PROFIT ACUTE CARE HOSPITAL SERVING THE HEALTHCARE NEEDS OF NASSAU COUNTY AND ITS SURROUNDING AREA. FOUNDED IN 1913 BY THE NURSING SISTERS OF THE CONGREGATION OF THE INFANT JESUS, MERCY MEDICAL CENTER HAS GROWN FROM A THREE FLOOR WOODEN STRUCTURE TO AN EXTENSIVE INSTITUTION OCCUPYING A 42-ACRE CAMPUS THAT HOUSES SOME OF THE MOST ADVANCED MEDICAL TECHNOLOGIES. ACCORDING TO INTERNAL DATA, OVER 38% OF MMC'S TOTAL INPATIENT DISCHARGES IN 2013 CAME FROM HEMPSTEAD, UNIONDALE, FREEPORT, AND ROOSEVELT. THESE FOUR COMMUNITIES HAVE BEEN REFERRED TO AS "COMMUNITIES AT RISK", MANY OF THE RESIDENTS LIVING IN POVERTY AND HAVING POOR HEALTH OUTCOMES. OF THE 31,804 ER TREATED & RELEASED VISITS MMC HAD IN 2013, 14,433 OR NEARLY 45% CAME FROM THESE SAME FOUR ZIP CODES. 188229212 true true false true false false false false false true true false false true true true false true false false false false false false true false true true true false true false false false false false false false false false false false false false true true true false false true 115 0 true 1711 true true true false false false false true true false false false false X 19 18 false false false false true true true true true false false true true true true true true true true false X CHS SERVICES INC 5167051926 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 X PETER QUICK CHAIRMAN 2.0 X X 0 0 0 REV MSGR FRANCIS J CALDWELL SECRETARY 2.0 X X 0 0 0 PETER D'ANGELO TREASURER 2.0 X X 0 0 0 KEVIN J CONWAY TRUSTEE 2.0 X 0 0 0 THOMAS J FANNING TRUSTEE 2.0 X 0 0 0 JOSEPH GRIMALDI TRUSTEE 2.0 X 0 0 0 BRIAN P HEHIR TRUSTEE 2.0 X 0 0 0 SR BETTY KEEGAN TRUSTEE 2.0 X 0 0 0 STEPHEN MCLOUGHLIN TRUSTEE 2.0 X 0 0 0 EUGENE F MURPHY TRUSTEE 2.0 X 0 0 0 SUSAN POWERS SCHOTT TRUSTEE 2.0 X 0 0 0 RABBI BARRY DOV SCHWARTZ PHD TRUSTEE 2.0 X 0 0 0 SR DOLORES WISNIEWSKI CIJ TRUSTEE 2.0 X 0 0 0 HERBERT J MCCOOEY JR TRUSTEE 2.0 X 0 0 0 REV PETER DUGANDZIC TRUSTEE 2.0 X 0 0 0 BRIAN POISSANT ESQ TRUSTEE 2.0 X 0 0 0 THOMAS CHRISTMAN TRUSTEE 2.0 X 0 0 0 MICHAEL VITTORIO TRUSTEE 2.0 X 0 0 0 ALAN D GUERCI MD PRESIDENT & CEO 50.0 X X 0 1320796 53241 WILLIAM C ARMSTRONG SVP & CHIEF FINANCIAL OFFICER 50.0 X 0 821991 125611 AARON GLATT EVP & CAO 50.0 X 609442 0 210582 JOHN REILLY CMO 50.0 X 443920 0 46671 RONALD W STEIMEL COO/VP OF FINANCE 50.0 X 411076 0 148835 ALAN WONG MD SECTION CHIEF ICU 38.0 X 428318 0 42451 ALEXANDER TELIS MD CLINICAL ATTENDING CRIT CARE 38.0 X 366260 0 46904 CHINWE OFFOR MD CLINICAL ASST/ATTENDING NEONAT 38.0 X 275976 0 32590 SWAENA DEVARAJAN MD DIR OF PEDIATRICS 38.0 X 335146 0 46925 2870138 2142787 753810 187 false true false MADONNA PHYSICIANS SERVICES PC 375 N BROADWAY LLS JERICHO NY 11753 PROFESSIONAL FEES 441667 DAWSON HOLDING CO PO BOX 6 HICKSVILLE NY 11802 RENT 288434 VIRTUAL RADIOLOGIC PROF OF NY 11995 SINGLETREE LN SUITE 500 MINNEAPOLIS MN 55344 RADIOLOGY SERVICES 233333 PROSKAUER ROSE LLP 1585 BROADWAY NEW YORK NY 10036 LEGAL SERVICES 212939 LIZARDOS ENGINEERING ASSOC PC 200 OLD COUNTRY ROAD MINEOLA NY 11501 PROFESSIONAL FEES 199568 14 298775 371620 106638 777033 NET PATIENT SERVICE REVENUE - 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LOBBYING ACTIVITIES AMOUNT REFLECTS PORTION OF TRADE ASSOCIATION DUES WHICH WERE USED FOR LEGISLATIVE LOBBYING ON BEHALF OF THE HEALTHCARE INDUSTRY THOSE TRADE ASSOCIATIONS REPRESENT. 301958 1430 2650 8421 292317 321872 1106 3500 17520 301958 329471 18230 2750 23079 321872 341486 2030 2000 12045 329471 350792 1860 2000 9166 341486 1.00000 false false 8529460 8529460 169028313 90027722 79000591 397287 332945 64342 101039963 85498555 15541408 6176820 4482017 1694803 104830604 OTHER RECEIVABLES - CURRENT 1995623 457B FUNDS 285371 INSURANCE CLAIMS RECEIVABLE 27703347 29984341 0 THIRD PARTY PAYOR LIABILITIES 10605562 AMOUNTS DUE TO RELATED PARTIES 25397021 ESTIMATED MALPRACTICE LIABILITY 30285002 OTHER SELF INSURANCE LIABILITY 15821925 82109510 X PART V, LINE 4 - ENDOWMENT FUNDS MERCY MEDICAL CENTER'S MAGOVERN FUND IS RESTRICTED FOR THE PURPOSE OF FUNDING EXPENDITURES RELATING TO THE HOSPITAL'S RADIOLOGY TRAINING PROGRAM. PART X, OTHER LIABILITIES - LINE 2, FIN 48 FOOTNOTE CHS AND MOST OF ITS SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CHS ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE CODIFICATION TOPIC 740, INCOME TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS, USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. 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KEY REPRESENTATIVES FROM THE NASSAU COUNTY DEPARTMENT OF HEALTH WERE INVOLVED, SHARING THEIR RESEARCH AND DATA COLLECTION FINDINGS, AS WELL AS THE USE OF THEIR FACILITY AND COORDINATION OF MEETINGS. THE NASSAU COUNTY HEALTH NEEDS ASSESSMENT WAS SUPPLEMENTED BY MERCY'S OWN COMMUNITY SURVEY, WHICH INCLUDED INPUT FROM MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WHO ATTENDED PROGRAMS AT THE HISPANIC BROTHERHOOD, MARTIN LUTHER KING, JR., CENTER OR EQUAL OPPORTUNITY COUNCIL (EOC). INFORMATION FROM A VARIETY OF DATA SOURCES SPECIFIC TO THE MERCY SERVICE AREA WAS ALSO USED TO SUPPLEMENT THE NEEDS ASSESSMENT. THE QUALITATIVE ASSESSMENT IS BASED ON KEY-INFORMANT INTERVIEWS WITH HEALTH ORGANIZATION LEADERS (PARTICIPATING ORGANIZATIONS INCLUDED: AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION, CATHOLIC CHARITIES, CIRCULO DE LA HISPANIDAD, FEGS, HEALTH AND WELFARE COUNCIL OF LONG ISLAND, ISLAND HARVEST, JEWISH ASSOCIATION SERVING THE AGING, LONG ISLAND COUNCIL OF CHURCHES, MENTAL HEALTH ASSOCIATION OF NASSAU COUNTY, PERINATAL SERVICES NETWORK, PROJECT INDEPENDENCE, SUSTAINABLE LONG ISLAND AND UNITED WAY) TO IDENTIFY PRESSING HEALTH NEEDS IN THE COMMUNITY. THE QUANTITATIVE ASSESSMENT IS BASED ON A COMMUNITY SURVEY THAT WAS WIDELY DISTRIBUTED DURING THE SECOND QUARTER OF 2013 IN BOTH SPANISH AND ENGLISH, ELICITING MORE THAN 1,000 COMPLETED SURVEYS. IN ADDITION TO PROVIDING COUNTY-WIDE DATA, IT REPORTED RESULTS SPECIFICALLY FOR ELMONT, INWOOD, FREEPORT, GLEN COVE, HEMPSTEAD, UNIONDALE, LONG BEACH, ROOSEVELT AND WESTBURY. THESE "SELECT COMMUNITIES" CONSTITUTE ZIP CODES IDENTIFIED TO HAVE DISPROPORTIONATELY HIGHER RATES FOR MANY DISEASES, AS WELL AS ADVERSE SOCIAL AND ECONOMIC INDICATORS. THE "SELECT COMMUNITIES" RESULTS ARE PARTICULARLY IMPORTANT FOR MERCY, BECAUSE FIVE OF THOSE COMMUNITIES ARE LOCATED IN MERCY'S PRIMARY SERVICE AREA. ALSO, A SURVEY WAS DISTRIBUTED THROUGH A VARIETY OF SOURCES-PHYSICIAN OFFICES, MARTIN LUTHER KING, JR., CENTER, HISPANIC BROTHERHOOD, EQUAL OPPORTUNITY COUNCIL (EOC), HEALTH AND WELFARE COUNCIL, MERCY EMPLOYEES AND VOLUNTEERS, MERCY WEBSITE, MERCY PATIENTS IN THE OUTPATIENT CLINIC, HOMEMAKER'S CLUB, SANDEL SENIOR CENTER AND OTHERS. OTHER SOURCES OF DATA INCLUDE: -ZIP CODE-LEVEL DATA FROM THE U.S. CENSUS AND FROM THE NEW YORK STATE PREVENTION QUALITY INDICATORS WEBSITE -COUNTY DATA SOURCES SUCH AS THE NASSAU COUNTY DIABETES REPORT AND THE 2010 UPDATE OF THE NASSAU COUNTY COMMUNITY HEALTH ASSESSMENT (A 3-VOLUME REPORT NOT TO BE CONFUSED WITH THE NASSAU COUNTY HEALTH NEEDS ASSESSMENT DESCRIBED ABOVE) -NYSDOH HOSPITALIZATION DATA THROUGH SPARCS (STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM), A COMPREHENSIVE DATA REPORTING SYSTEM BETWEEN THE HEALTH CARE INDUSTRY AND GOVERNMENT -MERCY INTERNAL RECORDS AND THE FIRST-HAND EXPERIENCE OF MERCY'S OUTPATIENT CLINICIANS PART V, SECTION B, LINE 4 ST. FRANCIS HOSPITAL, ST. JOSEPH HOSPITAL, LONG BEACH MEMORIAL HOSPITAL, THE NORTH SHORE-LIJ SYSTEM, SOUTH NASSAU COMMUNITIES HOSPITAL AND WINTHROP-UNIVERSITY HOSPITAL. PART V, SECTION B, LINE 5B - OTHER WEBSITE NSHC.ORG/LONG-ISLAND-HEALTH-COLLABORATIVE/ PART V, SECTION B, LINE 7 MENTAL HEALTH (AND RELATED SUBSTANCE ABUSE) WAS NOT SELECTED, DESPITE THE FACT THAT THIS IS AN AREA OF PARTICULAR STRENGTH AT MERCY. IN PART, THIS IS BECAUSE THIS HAS ALREADY BEEN A PRIORITY FOR THE PAST TWO YEARS, WITH THE ADDITION OF AN INTEGRATED HEALTH CARE CAPABILITY IN 2011 AND PARTNERSHIP WITH THE SOUTH SHORE ASSOCIATION FOR INDEPENDENT LIVING (SAIL) IN FEBRUARY TO MANAGE A CONTRACT FROM THE NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES (OASAS) TO ASSIST THE HOMELESS IN THE AREA. IT IS ALSO BECAUSE MERCY'S OUTPATIENT MENTAL HEALTH CLINIC IS RELOCATING THIS YEAR TO THE SAME FACILITY OCCUPIED BY THE MARYHAVEN CENTER OF HOPE (NASSAU DIVISION), A MEMBER OF THE CATHOLIC HEALTH SERVICES OF LONG ISLAND NETWORK, WHICH OPERATES A PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) PROGRAM. IT WAS FELT THAT NEEDS WERE ALREADY BEING MET WITH THE ABOVE NEW PARTNERSHIPS, AND OVER THE YEAR, WITH ADDITIONAL GRANT FUNDING AVAILABLE, THEY WOULD CONTINUE TO BE MET. ALSO NOT SELECTED WAS CANCER, CHIEFLY BECAUSE THERE ARE ALREADY MANY PROGRAMS AT MERCY (E.G., THE LUNG CANCER DETECTION STUDY, BREAST CANCER SCREENING PROGRAMS, THE RELATIONSHIP WITH MEMORIAL SLOAN-KETTERING AT ROCKVILLE CENTRE, ETC.) AND ELSEWHERE, WHICH FOCUS ON CANCER SCREENING AND PREVENTION. MERCY WILL CONTINUE TO PROVIDE EXCELLENT CARE FOR ITS CANCER PATIENTS, BY FURTHER DEVELOPING THE CANCER CARE UNIT AND ITS STAFF, WORKING TOWARD THE RENEWAL OF ITS COMMISSION ON CANCER RECOGNITION STATUS, PROVIDING STATE-OF-THE-ART TECHNOLOGY (SUCH AS THE NEW CT, MRI AND PET RADIOLOGY MODALITIES), EXPANDING THE ROLE OF THE PATIENT NAVIGATOR AND WORKING CLOSELY WITH MEMORIAL SLOAN-KETTERING CANCER CENTER. PART I, LINE 4 WHEN ESTABLISHED, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY'S FACTOR IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE WAS SPECIFICALLY SET HIGHER THAN FEDERALLY REQUIRED GUIDELINES IN ORDER TO CAPTURE POTENTIALLY MEDICALLY INDIGENT PATIENTS WHO MAY PRESENT THEMSELVES AT THE HOSPITAL FOR CARE. THE POLICY OF THE HOSPITAL WAS REVISED IN 2014 TO SPECIFICALLY DISCUSS CARE TO THE MEDICALLY INDIGENT. PART I, LINE 7 - RATIO OF PATIENT CARE COST TO CHARGES WORKSHEET (WORKSHEET 2) AS PRESCRIBED BY THE IRS INSTRUCTIONS TO SCHEDULE H FORM 990 THE METHODOLOGY WAS USED TO CALCULATE THE AMOUNTS REPORTED IN PART I, LINE 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST LINES 7A,7B AND 7C AND 7D. ALL OTHER LINES INCLUDE COSTS THAT WERE DERIVED BASED ON THE RCC METHODOLOGY OR ACTUAL COSTS FOR THE SERVICES AS TRACKED BY HOSPITAL PERSONNEL UTILIZING DIRECT HOURLY LABOR COSTS, FRINGES AND SUPPLY COSTS. PART I, LINE 7A, COLUMN D DIRECT OFFSETTING REVENUES REPRESENT DISTRIBUTIONS FROM THE NEW YORK STATE (NYS) INDIGENT CARE POOL (ICP) WHICH IS SHOWN NET OF HOSPITAL CONTRIBUTIONS TO THE STATEWIDE POOL. THE FORMULA EMPLOYED BY NYS TO DETERMINE DISTRIBUTIONS TO HOSPITALS FROM THE ICP IS COMPLEX AND IS DERIVED FROM A HOSPITAL'S "NEED" CALCULATION. THIS CALCULATION CONSIDERS 100% OF A HOSPITAL'S "NEED" BASED ON A "UNITS OF SERVICE" METHODOLOGY FOR UNINSURED PATIENTS. THE CALCULATION ALSO MAKES ADJUSTMENTS BASED ON THE PROPORTION OF MEDICAID ELIGIBLE PATIENTS TREATED AT THE FACILITY. THE HOSPITAL HAS APPORTIONED THE ICP REVENUE BETWEEN BAD DEBT AND CHARITY CARE FOR REPORTING ON LINE 7A BASED ON THE PROPORTION OF EACH TO THE TOTAL OF ACTUAL BAD DEBT AND CHARITY CARE FOR 2013. PART III, LINE 2,3 - BAD DEBT AS COMMUNITY BENEFIT AS PART OF ITS TAX EXEMPT PURPOSE MERCY MEDICAL CENTER PROVIDES ACCESS TO MEDICALLY NECESSARY CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, OR CULTURAL BACKGROUND. MERCY TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF WHETHER THEY HAVE THIRD-PARTY COVERAGE OR THE ABILITY TO PAY. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, MERCY IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE FROM THE HOSPITAL SHOULD BE CONSIDERED TO BE COMMUNITY BENEFIT SINCE CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR TAX EXEMPT PURPOSE, WHICH IS MEETING THE NEED FOR EMERGENCY AND NON-ELECTIVE MEDICAL CARE SERVICES IN THE COMMUNITY. PART III, LINES 2 AND 4 - TEXT OF FOOTNOTE DISCUSSING BAD DEBT THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THIS ALLOWANCE BASED UPON HISTORICAL COLLECTION AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHS FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. CHS DOES NOT HAVE ANY OFF-BALANCE-SHEET CREDIT EXPOSURE RELATED TO ITS PATIENT ACCOUNTS RECEIVABLE. . PART III, LINE 8 - COSTING METHODOLOGY THE MEDICARE REVENUE AND ALLOWABLE COSTS SHOWN ON PART III, SECTION B LINE 5 WERE DERIVED FROM THE AS FILED 2013 CMS-2552 (MEDICARE COST REPORT). MEDICARE REVENUE IS BASED ON THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT REPORT AND MEDICARE COSTS ARE DEVELOPED UTILIZING A RATIO OF MEDICARE ALLOWABLE COSTS TO CHARGES METHODOLOGY. PART III, LINE 8 - MEDICARE SHORTFALL AS COMMUNITY BENEFIT LOSSES ON TREATING MEDICARE BENEFICIARIES SHOULD BE INCLUDED AS A COMMUNITY BENEFIT IN THEIR ENTIRETY. MERCY INCURRED A LOSS OF APPROXIMATELY $7.2 MILLION TO DELIVER CARE TO MEDICARE PATIENTS. THIS REPRESENTS THE AMOUNT BY WHICH COSTS TO DELIVER CARE TO MEDICARE RECIPIENTS EXCEEDS THE LEVEL OF PAYMENT. MERCY BEARS THE BURDEN OF NOT ONLY PROVIDING THE BEST AND MOST ADVANCED MEDICAL CARE POSSIBLE TO THE COMMUNITY, BUT ALSO DOING SO WITH NO RECOURSE TO OBTAIN PAYMENT FOR THE COST OF PROVIDING CARE IN EXCESS OF THE MEDICARE PAYMENT. AS MEDICARE REVENUE DECLINES AND THE COST TO PROVIDE CUTTING EDGE CARE TO THE COMMUNITY INCREASES, THE HOSPITAL WILL CARRY THE BURDEN. AS A PARTICIPATING PROVIDER AND A CHARITABLE ORGANIZATION, MEDICARE PATIENTS, THE MAJORITY OF WHOM ARE ELDERLY AND DISABLED, ARE NOT TURNED AWAY, SO MERCY WILL CONTINUE TO BEAR THE LOSS IN PROVIDING THE BEST CARE POSSIBLE TO THE LOCAL COMMUNITY. PART III, LINE 9B THE HOSPITAL'S CHARITY CARE POLICY DESCRIBES THE POLICIES AND PROCEDURES RELATING TO THE PROVISION OF CHARITY CARE TO PERSONS WHO ARE UNABLE TO PAY FOR ALL OR A PORTION OF THEIR BILL. NO INDIVIDUAL WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED ON A DEMONSTRATED INABILITY TO PAY FOR THOSE SERVICES. IN ADDITION, UPON APPLYING FOR CHARITY CARE, EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY WILL BE ASSESSED. ELIGIBILITY FOR ASSISTANCE: A REASONABLE REVIEW SHALL BE PERFORMED PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (I.E. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE CHS CHARITY CARE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO MEET THE CHARITY CARE CRITERIA SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT FOR APPROPRIATE FOLLOW-UP. THE THIRD-PARTY COLLECTION AGENT SHALL ADVISE THE PATIENT/GUARANTOR OF THE HOSPITAL'S CHARITY CARE POLICY AND RETURN THE ACCOUNT IMMEDIATELY IF IT IS DETERMINED THAT THE QUALIFICATIONS ARE MET. PART VI, LINE 2 - NEEDS ASSESSMENT MERCY MEDICAL CENTER WORKS WITH MANY OUTSIDE PARTICIPANTS IN THE COMMUNITY IN ONGOING IDENTIFICATION OF COMMUNITY HEALTH NEEDS, INCLUDING NEIGHBORING SCHOOLS, PARISHES, BUSINESSES, COMMUNITY CENTERS, AND LOCAL CHAPTERS OF ORGANIZATIONS. MERCY STRIVES TO REACH INDIVIDUALS OF ALL AGES AND BACKGROUNDS TO PROVIDE QUALITY CARE AND HEALTH EDUCATION. MERCY WORKS WITH MANY ORGANIZATIONS TO DEVELOP HEALTH CARE PROGRAMS FOR RESIDENTS IN THE AREA: AMERICAN CANCER ASSOCIATION, AMERICAN HEART ASSOCIATION, CATHOLIC CHARITIES; DOWNSTATE NEW YORK HEALTHY START PROGRAM; ECONOMIC OPPORTUNITY CENTER; NASSAU COUNTY DEPARTMENT OF DRUG & ALCOHOL; NASSAU COUNTY DEPARTMENT OF MENTAL HEALTH; NASSAU COUNTY DEPARTMENT OF HEALTH, ROCKVILLE CENTRE CHAMBER OF COMMERCE, ROCKVILLE CENTRE LIONS CLUB AND DIOCESE OF ROCKVILLE CENTRE. THE HEALTHY SUNDAYS PROGRAM, WHICH PROVIDES FREE HEALTH SCREENINGS AND EDUCATION TO THE UNDERSERVED FOLLOWING WORSHIP SERVICES, SERVES AS A PRIMARY SOURCE OF PUBLIC PARTICIPATION, AS COMMUNITY NEEDS SURVEYS (AVAILABLE IN ENGLISH AND SPANISH) ARE OFTEN DISTRIBUTED AT THESE SCREENING SITES. THUS EVERY POINT OF CONTACT DOUBLES AS AN OPPORTUNITY TO REQUEST FEEDBACK ON HOW THE HOSPITAL CAN BETTER MEET THE NEEDS OF THE COMMUNITY. THESE EVENTS ARE PROMOTED VIA CALENDAR LISTINGS IN PARISH BULLETINS AND FLYERS POSTED IN PLACES OF BUSINESS AND WORSHIP IN THE COMMUNITY SURROUNDING THE OUTREACH SITE AND ON CHS'S WEBSITE. MERCY HAS CONTINUED TO WORK WITH THE TOWN OF HEMPSTEAD DEPARTMENT OF SENIOR ENRICHMENT AND THE NASSAU COUNTY DEPARTMENT OF SENIOR AFFAIRS ON THE FALLS INITIATIVE. IN WORKING WITH THE AMERICAN DIABETES ASSOCIATION, AMERICAN ASSOCIATION OF DIABETES EDUCATORS, HOSPITAL MEDICAL STAFF AND OTHER CHS HOSPITALS, MERCY HOPES TO REDUCE INPATIENT HOSPITALIZATIONS BY PROMOTING DIABETES AWARENESS AND EDUCATION THROUGH COMMUNITY LECTURES, SUPPORT GROUPS AND SELF-MANAGEMENT CLASSES. COMMUNITY HEALTH NEEDS ARE DISCUSSED AND ASSESSED ON A CONTINUAL BASIS AMONG THE MISSION AND MINISTRY COMMITTEE AND THE PLANNING COMMITTEE OF THE BOARD, AS WELL AS THE BOARD OF TRUSTEES, MERCY SENIOR LEADERSHIP, AND VARIOUS COMMITTEES WITHIN THE HOSPITAL SUCH AS THE COMMUNITY OUTREACH COMMITTEE AND THE CANCER COMMITTEE, BOTH OF WHICH HAVE MULTI DISCIPLINARY REPRESENTATION OF HOSPITAL STAFF. MERCY SOLICITS INPUT FROM ITS AUXILIARY ORGANIZATIONS AT THE HOSPITAL - THE FRIENDS OF MERCY MEDICAL CENTER AND THE COUNCIL OF LEAGUES, REPRESENTING MORE THAN 1,000 VOICES. COMMUNITY HEALTH NEEDS ARE ALSO ASSESSED BY THE ADMINISTRATIVE STAFF AND BOARD OF DIRECTORS OF OUR PARENT CORPORATION, CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHS). MERCY DISTRIBUTED A COMMUNITY NEEDS SURVEY AT MANY OF ITS OUTREACH PROGRAMS. THROUGH PATIENT SATISFACTION SURVEYS, INPATIENTS AND EMERGENCY DEPARTMENT PATIENTS HAVE THE OPPORTUNITY TO MAKE COMMENTS ABOUT THEIR ONGOING AND FUTURE HEALTH CARE NEEDS. THROUGH A JOINT COMMUNITY NEEDS ASSESSMENT BY MERCY ADMINISTRATION, THE PASTORAL CARE DEPARTMENT, CHS OUTREACH COORDINATOR AND THE PARISH COMMUNITY, MERCY IS ABLE TO IDENTIFY THOSE POPULATIONS AT GREATEST RISK AND PROVIDE APPROPRIATE SERVICES (HEALTHY SUNDAYS WAS A RESULT OF THIS ASSESSMENT). PART VI, LINE 4 - COMMUNITY INFORMATION LOCATED IN SOUTH CENTRAL NASSAU COUNTY, MERCY'S PRIMARY SERVICE AREA (COMPRISING 75% OF ALL INPATIENTS) HAS A POPULATION OF ABOUT 435,000. THE POPULATION IS ETHNICALLY QUITE DIVERSE, MORE THAN HALF OF IT AFRICAN-AMERICAN, HISPANIC OR ASIAN. NEARLY A THIRD OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME, AND MORE THAN A QUARTER ARE FOREIGN BORN. MERCY'S PRIMARY SERVICE AREA ALSO COMPRISES SOME OF THE POOREST POPULATIONS IN NASSAU COUNTY, INCLUDING FOUR OF THE EIGHT HIGHEST POVERTY ZIP CODES IN THE COUNTY. THESE ZIP CODES ALONE ACCOUNT FOR 30% OF MERCY'S TOTAL DISCHARGES AND 48% OF THE HOSPITAL'S EMERGENCY DEPARTMENT DISCHARGES. FULLY 45% OF ALL INDIVIDUALS IN THE COUNTY BELOW THE POVERTY LINE LEVEL LIVE IN MERCY'S PRIMARY SERVICE AREA. WHILE A THIRD OF THE RESIDENTS IN THIS SERVICE AREA HAVE A BACHELOR'S DEGREE, NEARLY A QUARTER FROM THESE HIGH-POVERTY ZIP CODES DO NOT HAVE A HIGH SCHOOL DIPLOMA. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH OVER THE YEAR, MERCY PROVIDED MANY OPPORTUNITIES TO EDUCATE THE COMMUNITY ON GOOD HEALTHY LIFESTYLE ISSUES. MONTHLY FREE PROGRAMS WERE GIVEN ON BREASTFEEDING, CHILDBIRTH PREPARATION, AND INFANT AND CHILD CPR. A PARTNERSHIP WAS FORMED WITH CATHOLIC CHARITIES TO OFFER WOMAN, INFANT AND CHILD SERVICES TO OUR PATIENTS IN THE OUTPATIENT OB/GYN/PEDI CLINIC. MERCY PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS ALL AROUND LONG ISLAND, IN TOWNS INCLUDING GARDEN CITY, ROCKVILLE CENTRE, LYNBROOK, BELLMORE, FREEPORT, AND UNIONDALE. AT EACH FAIR EDUCATIONAL MATERIAL WAS DISTRIBUTED, EMPHASIZING WELLNESS - NUTRITION AND EXERCISE, UNDERSTANDING RISK FACTORS AND DISEASE PREVENTION WAYS TO STAY HEALTHY. EDUCATIONAL MATERIALS WERE DISTRIBUTED AT VARIOUS EVENTS FOR MOST OF THE NATIONAL HEALTH AWARENESS DAYS - BREAST CANCER, PROSTATE CANCER, SKIN CANCER, DIABETES, AND HEART. AT MANY OF THESE EVENTS, FREE SCREENINGS WERE GIVEN TO THOSE WHO ATTENDED. A PATIENT NAVIGATION PROGRAM PROVIDES AN RN NAVIGATOR TO HELP THOSE PATIENTS DIAGNOSED WITH CANCER TO NAVIGATE THE SYSTEM AND GET THE HEALTH CARE THEY NEED AND DESERVE. FREE COMMUNITY LECTURES WERE CONDUCTED THROUGHOUT THE YEAR AT VARIOUS PLACES THROUGHOUT THE ISLAND - FAIRS, LIBRARIES, SENIOR CENTERS, CHURCHES, ETC. FREE SUPPORT GROUPS WERE AGAIN OFFERED IN 2013, OPEN TO EVERYONE. THEY WERE AVAILABLE FOR BREAST CANCER AND BREAST HEALTH, DIABETES, OSTOMY CARE, STROKE, SUBSTANCE AND ALCOHOL ABUSE AND BREAST FEEDING. MERCY, IN CONJUNCTION WITH OTHER CATHOLIC HEALTH SERVICES OF LONG ISLAND HOSPITALS, PARTICIPATED IN THE HEALTHY SUNDAYS PROGRAM, A COMMUNITY OUTREACH PROGRAM HELD IN PARISHES AND OTHER COMMUNITY CENTERS DESIGNED TO PROMOTE EDUCATION ON MANY IMPORTANT HEALTH SUBJECTS SUCH AS CANCER AWARENESS, DIABETES, BLOOD PRESSURE, HEALTHY EATING, FITNESS, CHOLESTEROL, AND SMOKING CESSATION. MERCY PARTICIPATED BY OFFERING FREE HEALTH SCREENINGS IN WESTBURY, LONG BEACH, UNIONDALE, ROOSEVELT, HICKSVILLE AND ROCKVILLE CENTRE. IN 2013, MERCY OFFERED COMMUNITY OUTREACH PROGRAMS AT SENIOR CENTERS, COMMUNITY HEALTH FAIRS AND LIBRARIES, AS WELL AS WITHIN THE HOSPITAL FOR MANY OF ITS INPATIENTS AND OUTPATIENTS. THROUGH MERCY'S RISK ASSESSMENT FORM, HOSPITAL EMPLOYEES EDUCATED INPATIENTS ON RISK FACTORS AND WAYS TO AVOID FUTURE FALLS. NURSING CONTINUED TO REVIEW POTENTIAL CHANGES IN INPATIENT PROCEDURES TO REDUCE INPATIENT FALLS, SUCH AS RISK ADMISSION ASSESSMENTS, DEVELOPING A FALL PLAN OF CARE, PATIENT AND FAMILY EDUCATION, USING SPECIALTY BEDS WITH EXIT ALARMS, INITIATING SAFETY WATCHES AND OFFERING FREQUENT TOILETING IN ORDER TO AVOID A POTENTIAL FALL, WITH THE GOAL OF ENCOURAGING PATIENTS TO FOLLOW THESE PROCEDURES AT HOME. MERCY IS A SMOKE FREE CAMPUS (EXCEPT FOR THE PSYCHIATRIC INPATIENT UNIT WHICH HAS A CLEARLY DEFINED POLICY WHEN ITS PATIENTS MAY SMOKE). ALL PATIENTS ARE SCREENED UPON ADMISSION AND THOSE IDENTIFIED AS SMOKERS ARE ENTERED INTO A DATA BASE, SO NURSING STAFF CAN EDUCATE PATIENTS MOST IN NEED. MERCY INCLUDES SMOKING CESSATION DRUGS TO ITS FORMULARY. MERCY USES PHARMACY MEDICATION RECORDS TO TRACK THE NUMBER OF PATIENTS WITH PRESCRIPTIONS WRITTEN FOR A SMOKING CESSATION MEDICATION. MERCY EMPLOYEES OFFER SMOKING CESSATION INFORMATION, REFERRALS TO SMOKING CESSATION PROGRAMS AND NY-QUIT LINE CARDS AT ALL COMMUNITY OUTREACH EVENTS. MERCY OFFERS SMOKING CESSATION PROGRAMS TO EMPLOYEES THROUGH ITS EMPLOYEE ASSISTANCE PROGRAM AND TO PHYSICIANS THROUGH THE CENTER FOR TOBACCO CONTROL. IN 2013, TO BETTER IDENTIFY AND ADDRESS THE REGION'S PREVALENT HEALTH NEEDS, MERCY MEDICAL CENTER JOINED FORCES WITH OTHER HOSPITALS, LOCAL HEALTH DEPARTMENTS, HEALTH CARE PROVIDERS, PUBLIC HEALTH SPECIALISTS FROM ACADEMIC INSTITUTIONS AND COMMUNITY-BASED ORGANIZATIONS TO FORM THE LONG ISLAND HEALTH COLLABORATIVE (LIHC), ONE OF THE FIRST BI-COUNTY INITIATIVES OF ITS KIND IN NEW YORK. LIHC'S WEBSITE OFFERS COMPREHENSIVE INFORMATION TO PROMOTE GOOD HEALTH AND PREVENT CHRONIC DISEASE. IN ADDITION TO PROVIDING NUMEROUS RESOURCES SUCH AS HEALTH PROGRAM INVENTORIES, HEALTH INSURANCE INFORMATION AND EDUCATIONAL VIDEOS, LIHC AND ITS MEMBERS HAVE ORGANIZED WALKING PROGRAMS AND DEVELOPED A UNIVERSAL SCREENING TOOL TO HELP MEASURE THE EFFECTIVENESS OF COMMUNITY HEALTH EFFORTS. MORE INFORMATION CAN BE FOUND AT NSHC.ORG/LONG-ISLAND-HEALTH-COLLABORATIVE. PART VI, LINE 6 - AFFILIATED HEALTHCARE SYSTEM MERCY MEDICAL CENTER IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH IS LOCATED ON A SINGLE CAMPUS IN ROCKVILLE CENTRE, NEW YORK. ALONG WITH THE AFOREMENTIONED COMMUNITY PROGRAMS, MERCY, THROUGH ITS DAILY OPERATION, PROVIDES TO THE AREA ACUTE, PSYCHIATRIC, REHABILITATIVE, EMERGENT AND OUTPATIENT CARE. MERCY IS A MEMBER OF CATHOLIC HEALTH SYSTEM OF LONG ISLAND (D/B/A CATHOLIC HEALTH SERVICES OF LONG ISLAND) (CHS) WHICH IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED TO SERVE AS THE COORDINATING BODY OF AN INTEGRATED NETWORK OF PROVIDERS SERVING NASSAU AND SUFFOLK COUNTIES. CHS IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTRE. AS OF DECEMBER 31, 2013, CHS COMPRISED SIX HOSPITALS (MERCY MEDICAL CENTER, ST. FRANCIS HOSPITAL AND ST. JOSEPH HOSPITAL IN NASSAU COUNTY, AND GOOD SAMARITAN HOSPITAL MEDICAL CENTER, ST. CHARLES HOSPITAL AND REHABILITATION CENTER AND ST. CATHERINE OF SIENA MEDICAL CENTER IN SUFFOLK COUNTY), AS WELL AS THREE NURSING HOMES (ST. CATHERINE OF SIENA NURSING AND REHABILITATION CARE CENTER, GOOD SAMARITAN NURSING HOME AND OUR LADY OF CONSOLATION NURSING AND REHABILITATIVE CARE CENTER, ALL IN SUFFOLK COUNTY), A REGIONAL HOME CARE AND HOSPICE NETWORK, AND A COMMUNITY-BASED AGENCY FOR PERSONS WITH SPECIAL NEEDS. WITH APPROXIMATELY 17,000 STAFF AND 4,600 MEDICAL STAFF WORKING THROUGHOUT THE SYSTEM, CHS PROVIDES THE REGION'S FINEST HEALTH AND HUMAN SERVICES. OUR MISSION STATES: CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHS), AS A MINISTRY OF THE CATHOLIC CHURCH, CONTINUES CHRIST'S HEALING MISSION, PROMOTES EXCELLENCE IN CARE AND COMMITS ITSELF TO THOSE IN NEED. CHS AFFIRMS THE SANCTITY OF LIFE, ADVOCATES FOR THE POOR AND UNDERSERVED, AND SERVES THE COMMON GOOD. IT CONDUCTS ITS HEALTH CARE PRACTICE, BUSINESS, EDUCATION AND INNOVATION WITH JUSTICE INTEGRITY AND RESPECT FOR THE DIGNITY OF EACH PERSON. MEMBER ORGANIZATIONS OF CHS OFFER VIRTUALLY EVERY MEDICAL SPECIALTY AND CLINICAL SERVICE, AND SHARE A DEDICATION TO CONTINUOUSLY UPGRADE THE SCOPE, QUALITY AND ACCESSIBILITY OF CARE. ALL OF CHS'S MEMBER ORGANIZATIONS HAVE RETAINED THEIR INDIVIDUAL LINKS TO HISTORY AND A DISTINCTIVE PERSONALITY, AS WELL AS THE SERVICE SPECIALTIES WHICH THEY ARE KNOWN FOR, THUS EMBEDDING THE ORGANIZATION IN THE COMMUNITY AND SERVING IT EFFECTIVELY. THE CHS SYSTEM PROVIDES AN ABUNDANCE OF EDUCATION AND SUPPORT GROUPS, FREE HEALTH SCREENINGS THROUGH THE HEALTHY SUNDAYS PROGRAM, HEALTH FAIRS AND OTHER PROGRAMS, WHICH HELP THE COMMUNITIES SERVED BY CHS ACCESS CARE. SINCE 1907, CATHOLIC HEALTH CARE ON LONG ISLAND HAS BUILT A DISTINGUISHED TRADITION OF OPERATING COMMUNITY-BASED HOSPITALS AND HUMAN SERVICE ORGANIZATIONS, WITH THE PRIMARY OBJECTIVE OF SERVING THE COMMUNITY. TO FURTHER THE MISSION OF BRINGING CARE TO THE COMMUNITY, CHS AND ITS MEMBER HOSPITALS, TOGETHER WITH A NUMBER OF OTHER HEALTH CARE PROVIDERS ON LONG ISLAND, ENTERED INTO A PARTNERSHIP AGREEMENT, WHICH OPERATES AS THE LONG ISLAND HEALTH NETWORK (LIHN). LIHN WAS CREATED TO ESTABLISH A COMPREHENSIVE AND EFFICIENT HOSPITAL NETWORK IN NASSAU AND SUFFOLK COUNTIES WORKING TO, AMONG OTHER THINGS, IMPROVE QUALITY OF CARE, FACILITATE CLINICAL INTEGRATION, BENCHMARK BEST PRACTICES, AND REDUCE LENGTH OF STAY AND COSTS. true ST FRANCIS CARDIOVASCULAR PHYSICIANS PC 100 PORT WASHINGTON BLVD ROSLYN NY 11576 113613997 501(C)(3) 1511012 NONE NONE WORKING CAPITAL SUBSIDY CATHOLIC HEALTH SERVICES OF LONG ISLAND 992 N VILLAGE AVE ROCKVILLE CENTRE NY 11570 113403968 501(C)(3) 275840 NONE NONE OUTPATIENT CENTERS 2 PART I, LINE 2 - PROCEDURE FOR MONITORING GRANT FUND USE CHS SERVICES, A RELATED ENTITY, MAINTAINS THE BOOKS AND RECORDS FOR MERCY MEDICAL CENTER AND ST. FRANCIS CARDIOVASCULAR PHYSICIANS P.C. AND IS THEREFORE ABLE TO MONITOR THAT ST. FRANCIS CARDIOVASCULAR PHYSICIANS P.C. USES THE GRANT FUNDS AS A WORKING CAPITAL SUBSIDY. CHS SERVICES, A RELATED ENTITY, MAINTAINS THE BOOKS AND RECORDS FOR MERCY MEDICAL CENTER AND CATHOLIC HEALTH SERVICES OF LONG ISLAND AND IS THEREFORE ABLE TO MONITOR THAT CATHOLIC HEALTH SERVICES OF LONG ISLAND USES THE GRANT FUNDS FOR OUTPATIENT CENTERS. PART II, LINE 1, COLUMN (H) NAME OF ORGANIZATION OR GOVERNMENT: CATHOLIC HEALTH SYSTEM OF LONG ISLAND (H) PURPOSE OF GRANT: 1) SUPPORT TO CATHOLIC HEALTH SYSTEM OF LONG ISLAND AS A PASS THROUGH TO PROVIDE GENERAL SUPPORT TO THE CATHOLIC MINISTRIES OF THE DIOCESE OF ROCKVILLE CENTRE IN CONNECTION WITH THE FORMATION OF YOUTH AND ADULTS IN THE FAITH, PROMOTION OF THE DIGNITY OF LIFE, PROMOTION OF QUALITY EDUCATION FOR YOUNG PEOPLE, AND FOSTERING OF VOCATIONS FOR THE PRIESTHOOD; AND 2) PROVIDE SUPPORT TO CATHOLIC HEALTH SYSTEM OF LONG ISLAND TO FUND OUTPATIENT CENTERS THAT PROVIDE CHARITY CARE TO THOSE CENTERS COMMUNITIES. X X X X X X false true false false false false false false false WILLIAM C ARMSTRONG SVP & CHIEF FINANCIAL OFFICER 0 589925 0 75000 0 157066 0 97349 0 28262 0 947602 0 0 AARON GLATT EVP & CAO 502415 0 90000 0 17027 0 182774 0 27808 0 820024 0 0 0 RONALD W STEIMEL COO/VP OF FINANCE 350230 0 50000 0 10846 0 120774 0 28061 0 559911 0 0 0 JOHN REILLY CMO 401517 0 40000 0 2403 0 17774 0 28897 0 490591 0 0 0 ALAN WONG MD SECTION CHIEF ICU 428074 0 0 244 0 17774 0 24677 0 470769 0 0 0 ALEXANDER TELIS MD CLINICAL ATTENDING CRIT CARE 366050 0 0 210 0 15641 0 31263 0 413164 0 0 0 CHINWE OFFOR MD CLINICAL ASST/ATTENDING NEONAT 275315 0 0 661 0 14633 0 17957 0 308566 0 0 0 SWAENA DEVARAJAN MD DIR OF PEDIATRICS 309298 0 0 25848 0 17774 0 29151 0 382071 0 0 0 ALAN D GUERCI MD PRESIDENT & CEO 0 1002487 0 170000 0 148309 0 23027 0 30214 0 1374037 0 105347 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WILLIAM C ARMSTRONG $77,000 PARTICIPATION IN PLAN AARON GLATT $165,000 PARTICIPATION IN PLAN RONALD STEIMEL $103,000 PARTICIPATION IN PLAN ALAN D. GUERCI, MD $105,347 VESTED IN PLAN THE AMOUNTS REFLECTED IN COLUMN B(III) AND COLUMN C FOR THE INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP"). THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2 BOX, 5 AS TAXABLE WAGES BECAUSE THEY ARE VESTED, BUT ARE NOT DISTRIBUTED UNTIL RETIREMENT. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE INDIVIDUALS INCLUDES BOTH QUALIFIED AND NONQUALIFIED RETIREMENT PLANS. PART II, COLUMN B(III) - WILLIAM C ARMSTRONG WILLIAM C ARMSTRONG RECEIVED APPROXIMATELY $141,591 OF VACATION PAYOUT, WHICH IS REPORTED IN COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. FORM 990, PART VI, LINE 6 - MEMBERS OF THE ORGANIZATION THE SOLE MEMBER OF MERCY MEDICAL CENTER IS CATHOLIC HEALTH SYSTEM OF LONG ISLAND (D/B/A/ CATHOLIC HEALTH SERVICES OF LONG ISLAND) (CHS). CHS IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED TO SERVE AS THE COORDINATING BODY OF AN INTEGRATED NETWORK OF PROVIDERS. CHS IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTER (DIOCESE). FORM 990, PART VI, LINE 7A - ELECTION OF THE GOVERNING BODY CHS IS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF MERCY MEDICAL CENTER AND AS SUCH, HAS THE RIGHT TO APPOINT THE GOVERNING BODY OF MERCY MEDICAL CENTER. FORM 990, PART VI, LINE 7B - DECISIONS OF THE GOVERNING BODY CHS AS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF MERCY MEDICAL CENTER IS REQUIRED TO APPROVE CERTAIN DECISIONS MADE BY THE GOVERING BODY OF MERCY MEDICAL CENTER. FORM 990, PART VI, LINE 11B - REVIEW PROCESS FOR FORM 990 THE FORM 990 AND APPROPRIATE SCHEDULES ARE COMPLETED BY OUTSIDE TAX ADVISORS AND REVIEWED INTERNALLY BY MANAGEMENT. THE FINAL DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE COMPLIANCE AND AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF DIRECTORS (THE BOARD) OF CHS, WHICH HAS BEEN DELEGATED THE REVIEW FUNCTION BY THE BOARD. UPON APPROVAL OF THE COMMITTEE, THE FORM 990 IS THEN SENT TO ALL VOTING MEMBERS OF THE BOARD OR THE EXECUTIVE COMMITTEE OF THE BOARD, AS APPROPRIATE. THE FORM 990 IS THEN SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY (THE POLICY) BY BOARD AND BOARD COMMITTEE MEMBERS, EMPLOYEES AND OTHERS THAT SATISFY THE CRITERIA TO BE CONSIDERED AN INTERESTED PERSON IS SUBMITTED UPON HIRE OR APPOINTMENT AND ANNUALLY THEREAFTER. SUCH INDIVIDUALS HAVE A CONTINUING OBLIGATION TO UPDATE THE INFORMATION PROVIDED DURING THE COURSE OF THE YEAR. A SUMMARY OF DISCLOSURES IS PROVIDED TO THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE BY THE ORGANIZATION'S COMPLIANCE OFFICER. ALL DISCLOSURES ARE INVESTIGATED AND INFORMATION RELATED TO THE DISCLOSURE SHALL BE GATHERED AND SUMMARIZED AND INCLUDED WITH THE SUMMARY OF DISCLOSURES. UPON REVIEW OF THE SUMMARY OF DISCLOSURES, THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE SHALL REPORT ITS FINDINGS TO THE BOARD OF TRUSTEES FOR REVIEW. THE BOARD SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS BASED ON THE CRITERIA CONTAINED IN THE POLICY. IF THE BOARD OR BOARD COMMITTEE DETERMINES THAT NO CONFLICT EXISTS, THE MATTER SHALL BE REFERRED FOR REVIEW BY THE CHS COMPLIANCE AND AUDIT COMMITTEE BEFORE THE DETERMINATION BECOMES FINAL. IF A CONFLICT OF INTEREST IS IDENTIFIED AND A MAJORITY OF THE BOARD OR BOARD COMMITTEE AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CHS AND WISHES TO GO FORWARD WITH IT, THE CHAIR OF THE ORGANIZATION'S BOARD OF TRUSTEES SHALL PROVIDE A WRITTEN REQUEST TO THE CHAIR OF THE CHS COMPLIANCE AND AUDIT COMMITTEE, DELINEATING THE TRANSACTION AND CONFLICT AND PROVIDING REASONS WHY THE BOARD AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CHS, CERTIFIES THAT CHS CANNOT SECURE SIMILAR SERVICES FROM AN ORGANIZATION WITHOUT A CONFLICT, AND WISHES TO GO FORWARD WITH IT. PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST MUST RECUSE HIMSELF FROM ANY DECISION MAKING OR VOTING ON THE INTEREST THAT GAVE RISE TO THE CONFLICT. UPON RECEIPT OF THE WRITTEN REQUEST AND ANY SUPPORTING DOCUMENTS, THE CHS COMPLIANCE AND AUDIT COMMITTEE SHALL MAKE THE FINAL DECISION AS TO WHETHER CHS SHALL ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, LINE 15 - COMPENSATION POLICY THE CHIEF EXECUTIVE OFFICER SUBMITS FOR APPROVAL TO THE SYSTEM CEO RECOMMENDATIONS FOR BASE SALARY ADJUSTMENTS AND INCENTIVE AWARDS FOR "DISQUALIFIED PERSONS" AS DEFINED IN THE POLICY. THE POLICY DEFINES A "DISQUALIFIED PERSON" AS A PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF CHS OR AN OPERATING ENTITY, AND IS EITHER A) A VOTING MEMBER OF THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES; B) THE ENTITY'S PRESIDENT, CHIEF EXECUTIVE OFFICER, AND CHIEF OPERATING OFFICERS OR PERSONS HOLDING EQUIVALENT POSITIONS; C) THE ENTITY'S TREASURERS AND CHIEF FINANCIAL OFFICERS; D) THE PERSON'S COMPENSATION IS PRIMARILY BASED ON REVENUES DERIVED FROM ACTIVITIES OF CHS OR AN OPERATING ENTITY, OR OF A PARTICULAR DEPARTMENT OR FUNCTION OF CHS OR AN OPERATING ENTITY, THAT THE PERSON CONTROLS; E) THE PERSON HAS OR SHARES AUTHORITY TO CONTROL OR DETERMINE A SUBSTANTIAL PORTION OF CHS OR AN OPERATING ENTITY'S CAPITAL EXPENDITURES, OPERATING BUDGET, OR COMPENSATION FOR OTHER EMPLOYEES; F) THE PERSON MANAGES A DEPARTMENT OR ACTIVITY OF CHS OR AN OPERATING ENTITY THAT REPRESENTS A SUBSTANTIAL PORTION OF THE ACTIVITIES, ASSETS, INCOME, OR EXPENSES OF CHS OR AN OPERATING ENTITY, COMPARED TO THE ORGANIZATION AS A WHOLE; OR G) FAMILY MEMBERS OF ANY OF THOSE DESCRIBED IN THE PRECEDING D, E, OR F. ONCE APPROVED BY THE CORPORATE CEO, THESE RECOMMENDATIONS ARE SENT TO THE EXECUTIVE COMPENSATION COMMITTEE FOR REVIEW. THE EXECUTIVE COMPENSATION COMMITTEE, WITH AN INDEPENDENT COMPENSATION CONSULTANT ENGAGED BY THE BOARD, WILL REVIEW PROPOSED SALARY ADJUSTMENTS AND INCENTIVE AWARDS TO ENSURE REASONABLENESS BY REVIEWING COMPARABLE TOTAL COMPENSATION DATA (INCLUDING INCENTIVES) PAID TO SIMILARLY SITUATED EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE WITH POSSIBLE ADJUSTMENT MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. REVIEWS ARE DONE BY AN INDEPENDENT CONSULTANT ANNUALLY. THE COMPENSATION COMMITTEE SETS STANDARDS TO ENSURE THAT THE CRITERIA USED TO DETERMINE INCENTIVE COMPENSATION ARE SPECIFIC, OBJECTIVE, MEASUREABLE AND RELATED TO INDICATORS OF PERFORMANCE. BASED ON THE INFORMATION, THE COMMITTEE WILL THEN MAKE ITS RECOMMENDATION TO THE BOARD OF TRUSTEES. FORM 990, PART VI, LINE 19 - DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE; CHS CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE AT DAC BOND. FORM 990, PART VII, SECTION A - LINE 1A HOURS FOR TRUSTEES ARE THE ESTIMATED WEEKLY HOURS (2.0) TRUSTEES CONTRIBUTE TO THIS AND ALL OTHER RELATED ORGANIZATIONS, NOT NECESSARILY EQUALLY BUT IN THE PROPORTION NECESSARY, FOR WHICH THEY RECEIVE NO COMPENSATION. ALAN GUERCI, M.D. PRESIDENT AND CEO - THE TOTAL HOURS WORKED REPORTED REFLECTS TIME WORKED AS AN OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: CHS SERVICES, INC. (11-3555766); RVC INSURANCE COMPANY,INC. (20-8067039); CATHOLIC HEALTH SYSTEMS OF LONG ISLAND (11-3403968); ST FRANCIS HOSPITAL (11-2050523); ST FRANCIS HOSPITAL RESEARCH & EDUCATION CORPORATION, INC. (11-3090867); ST FRANCIS CARDIOVASCULAR PHYSICIANS PC (11-3613997); ST FRANCIS HOSPITAL FOUNDATION (11-2916033); MERCY MEDICAL CENTER (11-1635088); WSNCHS NORTH, INC. (11-3438973); GOOD SAMARITAN HOSPITAL MEDICAL CENTER (11-1888924); ST. CATHERINE OF SIENA MEDICAL CENTER (06-1562701); ST. CHARLES HOSPITAL (11-1871039). WILLIAM ARMSTRONG, SENIOR VICE PRESIDENT AND CFO - THE TOTAL HOURS WORKED REPORTED REFLECTS TIME WORKED AS AN OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: ST. FRANCIS HOSPITAL (11-2050523); ST. FRANCIS HOSPITAL FOUNDATION (11-2916033); ST. FRANCIS RESEARCH AND EDUCATIONAL CORPORATION INC. (11-3090867); MERCY MEDICAL CENTER (11-1635088); ST. JOSEPH HOSPITAL (11-3438973). FORM 990, PART X, LINE 20 - TAX-EXEMPT BOND LIABILITIES THE TAX-EXEMPT BOND ISSUANCES REFLECTED ON PART X, LINE 20 ARE ISSUED ON BEHALF OF THE CATHOLIC HEALTH SERVICES OF LONG ISLAND OBLIGATED GROUP PROJECT WHICH INCLUDES THE FILING ENTITY AND RELATED ENTITIES. TWO BONDS WERE ISSUED TO THE OBLIGATED GROUP, SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION (SERIES 2011 SUFFOLK BONDS) AND NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE AND FINANCING CORPORATION (SERIES 2011 NASSAU BONDS). THE BONDS ARE REPORTED ON SCHEDULE K OF THE PARENT ORGANIZATION, CATHOLIC HEALTH SERVICES OF LONG ISLAND. FORM 990, PART XI, LINE 9 - CHANGES IN NET ASSETS DEFINED BENEFIT PLAN: $232,832 TOTAL TO FORM 990, PART XI, LINE 9: $232,832 CATHOLIC HEALTH SYSTEM OF LONG ISLAND 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 113403968 SUPPORT ORG NY 501(C)(3) 11A- I NA false CHS SERVICES INC 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 113555766 SUPPORT ORG NY 501(C)(3) 11A- II CHSLI false CHS AMBULANCE SERVICES INC 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 141801961 DORMANT NY 501(C)(3) 3 CHSLI false GOOD SAMARITAN HOSPITAL MEDICAL CENTER 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 111888924 HOSPITAL NY 501(C)(3) 3 CHSLI false GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 112537396 SELF INSURANC NY 501(C)(3) 11A- I GOOD SAMARTN false MARYHAVEN TRANSPORTATION SERVICES 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 113434776 TRANSPORTATIO NY 501(C)(3) 11A- I MARYHAVENCTR false MARYHAVEN CENTER OF HOPE 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 112861698 Prgm-disabled NY 501(C)(3) 9 CHSLI false MARYHAVEN SCHOOL CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 112861690 Schl-disabled NY 501(C)(3) 2 MARYHAVENCTR false THE CENTER OF HOPE FOUNDATION 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 113638367 SUPPORT ORG NY 501(C)(3) 11A- I MARYHAVENCTR false CATHOLIC HOME CARE 110 Bi-County Blvd Suite 114 FARMINGDALE NY 11735 112126736 HOME CARE NY 501(C)(3) 9 CHSLI false OUR LADY OF CONSOLATION GERIATRIC CARE 111 BEACH DRIVE WEST ISLIP NY 11795 113284066 LT NURSE CARE NY 501(C)(3) 9 CHSLI false RIVERHEAD HOSTEL HOLDING CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 112499790 RENTING NY 501(C)(2) MARYHAVENCTR false SIENA VILLAGE INC 2000 BISHOPS ROAD SMITHTOWN NY 11787 061569129 SR HOUSING NY 501(C)(3) 9 STCATHERINE false ST CATHERINE OF SIENA MEDICAL CENTER 50 ROUTE 25A SMITHTOWN NY 11787 061562701 HOSPITAL NY 501(C)(3) 3 CHSLI false ST CHARLES HOSPITAL 200 BELLE TERRE ROAD PORT JEFFERSN ST NY 11777 111871039 HOSPITAL NY 501(C)(3) 3 CHSLI false CHS HOME SUPPORT SERVICES INC 15 POWER DRIVE HAUPPAUGE NY 11788 113594561 RESP THERAPY NY 501(C)(3) 9 CATHHOMECARE false ST FRANCIS HOSPITAL 100 PORT WASHINGTON BLVD ROSLYN NY 11576 112050523 HOSPITAL NY 501(C)(3) 3 CHSLI true ST FRANCIS HOSPITAL FOUNDATION 100 PORT WASHINGTON BLVD ROSLYN NY 11576 112916033 SUPPORT ORG NY 501(C)(3) 11A- I ST FRANCIS true ST FRANCIS HOSPITAL RESEARCH & EDUCATIO 100 PORT WASHINGTON BLVD ROSLYN NY 11576 113090867 RESEARCH ORG NY 501(C)(3) 11A- I ST FRANCIS true WSNCHS NORTH INC 4295 HEMPSTEAD TURNPIKE BETHPAGE NY 11714 113438973 HOSPITAL NY 501(C)(3) 3 CHSLI false THE ST CHARLES CORPORATION 200 BELLE TERRE ROAD PORT JEFFERSN ST NY 11777 112983148 SUPPORT ORG NY 501(C)(3) 11A- I CHSLI false THE SAMARITAN CORPORATION 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 112716640 SUPPORT ORG NY 501(C)(3) 11A- I CHSLI false WISDOM GARDENS HOUSING DEVELOPMENT FUND 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 113559713 SR HOUSING NY 501(C)(3) 9 MARYHAVENCTR false GOOD SHEPHERD HOSPICE 110 Bi-County Blvd Suite 114 FARMINGDALE NY 11735 112958438 HOSPICE SVC NY 501(C)(3) 9 CHSLI false ST CHARLES HOSPITAL FOUNDATION 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 412076312 SUPPORT ORG NY 501(C)(3) 11A- I ST CHARLES false GOOD SAMARITAN HOSPITAL FOUNDATION 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 770611240 SUPPORT ORG NY 501(C)(3) 11A- I GOOD SAMARTN false MERCY MEDICAL CENTER FOUNDATION 1000 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 550813603 SUPPORT ORG NY 501(C)(3) 11A- I MERCY MEDCTR true ST CATHERINE OF SIENA MEDICAL CTR FDN 50 ROUTE 25A SMITHTOWN NY 11787 271459941 SUPPORT ORG NY 501(C)(3) 11A- I STCATHERINE false CATHOLIC HOME CARE FOUNDATION 110 Bi-County Blvd Suite 114 FARMINGDALE NY 11735 452907761 SUPPORT ORG NY 501(C)(3) 11A- I CATHHOMECARE false GOOD SHEPHERD HOSPICE FOUNDATION 110 Bi-County Blvd Suite 114 FARMINGDALE NY 11735 263169427 SUPPORT ORG NY 501(C)(3) 11A- I GOODSHEPHERD false OUR LADY OF CONSOLATION FOUNDATION 111 BEACH DRIVE WEST ISLIP NY 11795 450517566 SUPPORT ORG NY 501(C)(3) 11A- I OURLADYOFC false RVC SUPPORT 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 271531084 REAL ESTATE NY 501(C)(3) 11A- I CHSLI false ST FRANCIS CARDIOVASCULAR PHYSICIANS P 100 PORT WASHINGTON BLVD ROSLYN NY 11576 113613997 HEALTHCARESVC NY 501(C)(3) 11A- I ST FRANCIS false RVC INSURANCE COMPANYINC 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 208067039 CAPTIVE INS NY 501(C)(3) 11A- II CHSLI false SAMARITAN EMERGENCY MEDICAL SERVICES PC 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 208243412 HEALTHCARESVC NY 501(C)(4) GOOD SAMARTN false RADIOLOGY CONSULTING OF LONG ISLANDPLLC 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 421646134 HEALTHCARE SVC NY GOOD SAMARITAN C-CORP false SAMARITAN PEDIATRIC SERVICES PC 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 208180263 HEALTHCARE SVC NY GOOD SAMARITAN C-CORP false SAMARITAN MEDICAL SERVICES PC 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 208088453 HEALTHCARE SVC NY GOOD SAMARITAN C-CORP false SOUTHWEST SUFFOLK MEDICAL PC 580 UNION BOULEVARD WEST ISLIP NY 11795 061603195 HEALTHCARE SVC NY GOOD SAMARITAN C-CORP false CARDIAC EKG INTERPRETATION PC 992 N VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 112924518 HEALTHCARE SVC NY GOOD SAMARITAN C-CORP false LI REGIONAL ARTHRITIS & OSTEOPOROSIS CAR 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 208964140 HEALTHCARE SVC NY GOOD SAMARITAN C-CORP false SAMARITAN MANAGEMENT SERVICES 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 112838185 HEALTHCARE SVC NY CHSLI C-CORP false FAIRVIEW HILL MANAGEMENT CO INC 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 112798383 HOLDING CO NY CHSLI C-CORP false ADVANCED REHABILIATION MEDICINE PLLC 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 113640709 HEALTHCARE SVC NY STCHARLES HOSP C-CORP false ST FRANCIS CARDIAC PREVENTION SERVICES 100 PORT WASHINGTON BLVD ROSLYN NY 11576 113224885 HEALTHCARE SVC NY STFRANCIS HOSP C-CORP false SOUTH SHORE PRACTICE MANAGEMENT 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 113307977 HEALTHCARE SVC NY SAMARITAN MGMT C-CORP false SAMARITAN HOME CARE AMERICA 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 113319259 HEALTHCARE SVC NY SAMARITAN MGMT C-CORP false HEALTH CARE TEMP SERVICES INC 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 112801136 EMPLOYMENT AGENCY NY FAIRVIEW HILL C-CORP false MERCY INTERNAL MEDICINE PC 992 N VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 510639649 HEALTHCARE SVC NY MERCY MED CTR C-CORP false LONG ISLAND EMERGENCY CARE PC 1000 N VILLAGE AVE ROCKVILLE NY 11571 113633515 PHYSICIAN SVC NY MERCY MED CTR S-CORP false false true true false true false false false false true false false true false true true true true true ST FRANCIS HOSPITAL M, P 62999 COST