2014-11-13T18:58:47-06:00 2013-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2013-01-01 113555766 CHS SERVICES INC % CHS SERVICES INC CHSS 5167053700 992 NORTH VILLAGE AVENUE Suite ROCKVILLE CENTRE NY 11570 ALAN D GUERCI PRESIDENT & CEO 5167053700 2014-11-10 2013 2015-11-30 17:44:51Z ALAN D GUERCI MD 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 163310601 false 0928 X N/A X 2000 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 18 987 0 381256 0 0 420 103414762 163308626 516 1555 0 0 103415278 163310601 0 10000000 0 0 74734624 88794084 0 0 0 38741385 48017507 113476009 146811591 -10060731 16499010 202209719 205879679 136182773 123353723 66026946 82525956 X CHS SERVICES,INC, 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 146811591 10000000 162824777 CHS SERVICES INC. PROVIDES ADMINISTRATIVE SUPPORT TO THE CHS ENTITIES INCLUDING, BUT NOT LIMITED TO ACCOUNTING, REVENUE CYCLE, SUPPLY CHAIN AND INFORMATION TECHNOLOGY. CHS SERVICES PROMOTES EFFICIENT MANAGEMENT, COOPERATIVE PLANNING AND EFFICIENT USE OF RESOURCES BY ALL SUPPORTED ORGANIZATIONS. 146811591 true false false false false false false false false false true false true true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true X 47 0 true 987 true true true false false false false false false false false false X 19 18 false false false false true true true true true false false true true true true true true false false false X CHS SERVICES INC 5167053700 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 X Richard JJ Sullivan Jr CHAIR 2.0 X X 0 0 0 Sister Elaine Callahan OP Vice Chair 2.0 X X 0 0 0 Thomas E Christman Treasurer 2.0 X X 0 0 0 Eugene Murphy Secretary 2.0 X X 0 0 0 VIRGINIA EWEN TRUSTEE SINCE JAN 2013 2.0 X 0 0 0 Barbara Ellen Black Trustee 2.0 X 0 0 0 Thomas Dowling Jr MD Trustee 2.0 X 0 0 0 Sister Audrey Harsen Trustee 2.0 X 0 0 0 Sister Margaret John Kelly DC Trustee 2.0 X 0 0 0 Rev Msgr Robert Morrissey Trustee 2.0 X 0 0 0 Patricia Nazemetz Trustee 2.0 X 0 0 0 Joseph Tantillo Trustee 2.0 X 0 0 0 Rev Msgr James Vlaun Trustee 1.0 X 0 0 0 John J Wagner Trustee 1.0 X 0 0 0 Brian McGuire Trustee 2.0 X 0 0 0 FRANK L KURRE TRUSTEE SINCE JAN 2013 2.0 X 0 0 0 CHRIS PASCUCCI TRUSTEE SINCE APRIL 2013 2.0 X 0 0 0 DANIEL T ROWE TRUSTEE SINCE JAN 2013 2.0 X 0 0 0 ALAN GUERCI MD PRESIDENT&CEO SINCE JULY 2013 50.0 X X 0 1320796 53241 COLLEEN BLYE EXECUTIVE VP & CFO 50.0 X 0 1054087 418912 Marcy Dunn SVP & CIO 50.0 X 682903 0 112880 Lynn Jennings Taylor Sr VP Risk Mgt 50.0 X 376026 0 250224 Alan Katz MD VP Medical Informatics 50.0 X 454331 0 50456 Pegeen McGowan SVP Corp Compliance/Int AUDIT 50.0 X 402916 0 94463 DAN MACKSOOD SVP FINANCE/CFO E. DIV. 50.0 X 15259 536641 668066 LAWRENCE MCMANUS FORMER PRESIDENT/CEO 0.0 X 0 1525911 26128 RICHARD SARLI FORMER VP FINANCE 0.0 X 106927 0 4289 2038362 4437435 1678659 214 true true false HARVEST 245 OLD COUNTRY ROAD 131 JERICHO TPKE JERICHO NY 11753 RENT 3423394 MILLER MILONE PC 100 QUENTIN ROOSEVELT BLVD GARDEN CITY NY 11530 LEGAL SERVICES 1085604 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 60673 CONSULTING SERVICES 1016023 TERRENCE OBRIEN 199 JOHNSON ROAD SCARSDALE NY 10583 CONSULTING SERVICES 526750 STRATEGIC PRODUCTS SVC LLC 300 LITTLETON RD PARSIPPANY NJ 07054 CONSULTING SERVICES 344749 13 420 420 ASSESSMENT REVENUE 900099 162824777 162824777 MANAGEMENT SERV REV 900099 381256 381256 PHYSICIAN AFFILIATE SUBSIDY 900099 102593 102593 163308626 1555 1555 0 0 0 0 0 0 0 0 0 0 163310601 162824777 381256 104148 10000000 10000000 0 0 0 0 0 0 0 67912593 67912593 5760415 5760415 10460719 10460719 4660357 4660357 0 1620604 1620604 0 0 0 0 0 2066006 2066006 246749 246749 0 0 12994104 12994104 0 4744278 4744278 234852 234852 0 238464 238464 1308100 1308100 0 15859999 15859999 11956 11956 COLLECTION SERVICES 702463 702463 OTHER 7989932 7989932 146811591 146811591 0 0 0 27161703 660365 1062903 0 0 182611 241780 0 0 0 0 0 0 0 0 3580601 3584579 124736327 45888279 77039924 78848048 0 0 0 0 55917639 25516019 0 0 64828579 69464647 202209719 205879679 24906548 27268481 0 0 314161 381275 0 0 0 0 0 0 74729725 60342135 21160035 18612334 15072304 16749498 136182773 123353723 X 66026946 82525956 0 0 0 0 66026946 82525956 202209719 205879679 16499010 X false true X true true true X X X false false false MERCY MEDICAL CENTER 111635088 03 false true true 0 GOOD SAMARITAN HOSPITAL MEDICAL CENTER 111888924 03 false true true 0 ST FRANCIS HOSPITAL 112050523 03 false true true 0 ST CATHERINE OF SIENA MEDICAL CENTER 061562701 03 false true true 0 ST CHARLES HOSPITAL 111871039 03 false true true 0 WSNCHS NORTH LLC 113438973 03 false true true 0 SIENA VILLAGE INC 061569129 09 false true true 0 OUR LADY OF CONSOLATION GERIATRIC CARE CENTER 113284066 09 false true true 0 CATHOLIC HOME CARE 112126736 09 false true true 0 GOOD SHEPHERD HOSPICE 112958438 09 false true true 0 CHS HOME SUPPORT SERVICES INC 113594561 09 false true true 0 MARYHAVEN CENTER OF HOPE 112861698 09 false true true 0 MARYHAVEN SCHOOL CORPORATION 112861690 02 false true true 0 13 0 0 17685073 4694925 12990148 0 107051254 41193354 65857900 78848048 TRUSTEE HELD FUNDS RESTRICTED 25516019 F 25516019 DUE FROM RELATED ORGANIZATIONS 69464647 69464647 0 DUE TO RELATED ORGANIZATIONS 12649873 DEFERRED RENT 2864559 SELF INSURED LIABILIIES 1093211 DUE TO AFFILIATES 141855 16749498 X 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. true CATHOLIC HEALTH SERVICES OF LONG ISLAND 992 N VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 113403968 501(c)(3) 10000000 NONE NONE WORKING CAP. SUBSIDY 1 PART I, LINE 2 - PROCEDURE FOR MONITORING GRANT FUND USE CHS SERVICES INC. MAINTAINS THE BOOKS AND RECORDS FOR CHS SERVICES INC. AND CATHOLIC HEALTH SERVICES OF LONG ISLAND AND IS THEREFORE ABLE TO MONITOR THAT CATHOLIC HEALTH SERVICES OF LONG ISLAND USES THE GRANT FUNDS TO PROVIDE WORKING CAPITAL SUPPORT TO THE OPERATING ENTITIES. true true false false false false false false false LAWRENCE MCMANUS FORMER PRESIDENT/CEO 0 0 0 0 0 1525911 0 0 0 26128 0 1552039 0 1525911 Marcy Dunn SVP & CIO 402480 0 150000 0 130423 0 85426 0 27454 0 795783 0 112085 0 Lynn Jennings Taylor Sr VP Risk Mgt 295698 0 60180 0 20148 0 223426 0 26798 0 626250 0 0 0 Alan Katz MD VP Medical Informatics 452215 0 0 2116 0 20426 0 30030 0 504787 0 0 0 William Mead SR VP & CFO Physician Strategy 310500 0 78000 0 11137 0 68426 0 25437 0 493500 0 0 0 Pegeen McGowan SVP Corp Compliance/Int AUDIT 285790 0 95000 0 22126 0 64426 0 30037 0 497379 0 0 0 RICHARD SARLI FORMER VP FINANCE 0 0 0 0 106927 0 0 0 4289 0 111216 0 106927 0 ALAN GUERCI MD PRESIDENT&CEO SINCE JULY 2013 0 1002487 0 170000 0 148309 0 23027 0 30214 0 1374037 0 0 COLLEEN BLYE EXECUTIVE VP & CFO 0 766598 0 250000 0 37489 0 391027 0 27885 0 1472999 0 0 DAN MACKSOOD SVP FINANCE/CFO E. DIV. 0 370182 0 120000 15259 46459 628309 21012 555 18190 644123 575843 0 0 PART I, LINE 3 - METHODS TO ESTABLISH COMPENSATION BY RELATED ORGANIZATION THE FOLLOWING METHODS ARE USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, FORM 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A - SEVERANCE PAYMENT LAWRENCE MCMANUS, FORMER PRESIDENT/CEO RECEIVED PAYMENT OF SEVERANCE OF $1,164,618. RICHARD SARLI, FORMER VP FINANCE RECEIVED PAYMENT OF SEVERANCE OF $106,927. DAN MACKSOOD, SVP FINANCE/CFO E. DIV. IS ENTITLED TO SEVERANCE OF $643,568. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COLLEEN BLYE $368,000 PARTICIPATION IN THE PLAN LAWRENCE MCMANUS $321,015 VESTED IN PLAN MARCY DUNN $65,000 PARTICIPATION IN THE PLAN; $112,085 VESTED IN PLAN LYNN JENNINGS TAYLOR $203,000 PARTICIPATION IN PLAN WILLIAM MEAD $48,000 PARTICIPATION IN PLAN PEGEEN MCGOWAN $44,000 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 (F) - COMPENSATION REPORTED AS DEFERRED ON PRIOR FORM 990 ALAN D. GUERCI, MD BECAME AN OFFICER OF CHS SERVICES INC. AS OF JULY 2013. HIS SERP PAYMENT OF $105,347 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ON THE PRIOR YEAR 990 OF ST. FRANCIS HOSPITAL, A RELATED ORGANIZATION. FORM 990, PART VI, LINE 6 - MEMBERS OF THE ORGANIZATION THE SOLE MEMBER OF CHS SERVICES, INC. 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 CENTRE (DIOCESE). FORM 990, PART VI, LINE 7A - ELECTION OF THE GOVERNING BODY CHS IS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF CHS SERVICES, INC. AND AS SUCH, HAS THE RIGHT TO APPOINT THE GOVERNING BODY OF CHS SERVICES, INC. FORM 990, PART VI, LINE 7B - DECISIONS OF THE GOVERNING BODY CHS AS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF CHS SERVICES, INC., IS REQUIRED TO APPROVE CERTAIN DECISIONS MADE BY THE GOVERING BODY OF CHS SERVICES, INC. FORM 990, PART VI, LINE 11B - REVIEW PROCESS OF 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 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 DISCLOSURES 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 IF 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 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 ORGANZIATION 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 (OF CHS, A RELATED ORG) 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. COLLEEN BLYE, EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER - 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) AND CATHOLIC HEALTH SYSTEMS OF LONG ISLAND (11-3403968) ALAN D. GUERCI, PRESIDENT & 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). 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 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 MERCY MEDICAL CENTER 1000 NORTH VILLAGE AVENUE ROCKVILLE CTR NY 11570 111635088 HOSPITAL NY 501(C)(3) 3 CHSLI 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 false ST FRANCIS HOSPITAL FOUNDATION 100 PORT WASHINGTON BLVD ROSLYN NY 11576 112916033 SUPPORT ORG NY 501(C)(3) 11A- I ST FRANCIS false ST FRANCIS HOSPITAL RESEARCH & EDUCATIO 100 PORT WASHINGTON BLVD ROSLYN NY 11576 113090867 RESEARCH ORG NY 501(C)(3) 11A- I ST FRANCIS false 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 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