2014-11-13T16:49:50-06:00 2013-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2013-01-01 112861698 MARYHAVEN CENTER OF HOPE % LAURA PEPPER MARY 6314744120 51 TERRYVILLE RD Suite PORT JEFFERSON NY 117763097 LEWIS GROSSMAN PRESIDENT/CEO 6314744120 2014-11-10 2013 2015-11-30 17:44:51Z LEWIS GROSSMAN 51 TERRYVILLE ROAD PORT JEFFERSON NY 117763097 58325021 false 0928 X WWW.MARYHAVEN.CHSLI.ORG/ X 1987 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. 12 11 1832 13 0 0 227035 246700 56918186 57970518 90035 49489 1110 27324 57236366 58294031 16026 45146 0 0 46663042 47393108 0 0 47011 12387587 12543705 59066655 59981959 -1830289 -1687928 25591676 29941150 19970108 26062800 5621568 3878350 X MARYHAVEN CENTER OF HOPE, A MEMBER OF CATHOLIC HEALTH SERVICES OF LONG ISLAND, AS A MINISTRY OF THE CATHOLIC CHURCH, CONTINUES CHRIST'S HEALING MISSION, PROMOTES EXCELLENCE IN CARE, AND COMMITS ITSELF TO THOSE IN NEED. THE ORGANIZATION 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 30202979 44819 31563223 RESIDENTIAL CARE PROGRAMS: RESIDENTIAL AND HOME BASED SERVICES FOR ADULTS AND CHILDREN WITH DISABILITIES. (477 INDIVIDUALS) 20535774 0 20923317 DAY PROGRAMS FOR THE DEVELOPMENTALLY DISABLED: PROVIDES COMMUNITY INTEGRATED EDUCATIONAL, RECREATIONAL, AND CLINICAL SERVICES TO ADULTS WITH DISABILITIES. (965 INDIVIDUALS) 4164897 0 4358897 VOCATIONAL REHABILITATION PROGRAMS: JOB PLACEMENT, TRAINING, AND WORKSHOP FOR ADULTS WITH DISABLILTIES. (445 INDIVIDUALS) 1143673 0 1125081 56047323 true true false false false false false false false false true false false true true true false true false false false false false false true false false true false true false false false false false false false false false false false false false true true true false false true 74 0 true 1832 true false false false false false true true false false false false X 12 11 false false false false true true true true true false false true true true true true true true true false X LAURA PEPPER 6314744120 51 TERRYVILLE ROAD PORT JEFFERSON NY 117763097 X HON ANGIE CARPENTER CHAIRPERSON 2.0 X X 0 0 0 BERNADETTE CURRY PHD RN VICE CHAIRPERSON 2.0 X X 0 0 0 ROBERT DOYLE ESQ TREASURER 2.0 X X 0 0 0 SISTER DOLORES WISNIEWSKI CIJ SECRETARY 2.0 X X 0 0 0 DONATO BALSAMO BOARD MEMBER 2.0 X 0 0 0 DOUGLAS CELIBERTI BOARD MEMBER 2.0 X 0 0 0 JENNIFER HOFFMAN BOARD MEMBER 2.0 X 0 0 0 BRIAN P KERLY ESQ BOARD MEMBER 2.0 X 0 0 0 REV MSGR THOMAS MULVANERTY BOARD MEMBER 2.0 X 0 0 0 DIANE SWEENEY BOARD MEMBER 2.0 X 0 0 0 PETER WRIGHT BOARD MEMBER 2.0 X 0 0 0 JOSEPH TOMAINO EVP CONTINUING CARE 35.0 X X 0 698389 414909 LEWIS GROSSMAN CHIEF EXECUTIVE OFFICER 50.0 X 464976 0 38805 KAREN ESTRADA SVP/CFO 50.0 X 0 377353 50368 ROBIN DWYER DIR EDUC & RESIDENTIAL 35.0 X 148042 0 37028 EVA TARANTINO DIR HUMAN RESOURCES 35.0 X 142084 0 35459 PATRICIA FOGARTY EXEC DIR SUPPORT SERVICES 35.0 X 135029 0 34414 CHARLES VANEK III ASST DIV DIRECTOR 35.0 X 115199 0 33251 1005330 1075742 644234 13 false true false SINKOFF REALTY CO PO BOX 309 YAPHANK NY 11980 RENT 393055 PLAINVIEW PROPERTIES SPE LLC 1600 OLD COUNTRY RD SUITE 101 PLAINVIEW NY 11803 RENT 236667 MEDFORD HAMLET LLC 1529 N OCEAN AVENUE MEDFORD NY 11763 RENT 203895 ACCESS STAFFING LLC 360 LEXINGTON AVENUE NEW YORK NY 10017 STAFFING 199466 KURUVILLA MANJUMMELKUDIYIL PC 15 CEDAR RIDGE LANE DIX HILLS NY 11746 PSYCHIATRY 182216 12 16357 230343 14632 246700 COMMUNITY RESIDENTIAL SERVICES 623000 31563223 31563223 DAY PROGRAMS 624100 20923317 20923317 VOCATIONAL 624310 4358897 4358897 CARE MANAGEMENT 624100 1125081 1125081 57970518 24888 24888 0 0 28171 28171 0 28171 28171 24601 24601 24601 24601 30143 16357 30990 -847 -847 0 0 0 58294031 57970518 76813 45146 45146 0 0 0 503781 190258 313523 0 31319284 29908182 1408213 2889 1783328 1717698 65299 331 11406984 10987184 417684 2116 2379731 2292152 87137 442 0 7984 7984 83346 83346 0 0 0 1320086 1161250 156759 2077 2275 663 1612 225887 145774 80113 56876 50687 6189 0 5477739 5302713 175026 706298 699112 7186 0 66737 42665 24072 182328 172572 9756 901261 901261 1215549 1097910 117639 203091 202700 391 PROGRAM SUPPLIES 701669 701535 134 CLIENT CARE 763277 763044 233 SPECIAL EVENTS 26917 1300 25617 FOOD/MISCELLANEOUS 599061 564778 20744 13539 3324 3324 59981959 56047323 3887625 47011 2039700 2984128 1030829 1024823 0 0 9229530 9604481 0 0 0 0 0 0 222011 185374 375402 954690 33233742 22087107 10185835 11146635 0 0 2508369 855206 0 0 0 0 0 3185813 25591676 29941150 8062059 7907197 0 0 3566859 6087852 404775 336675 0 0 0 0 583003 562278 0 0 7353412 11168798 19970108 26062800 X 5621568 3878350 0 0 0 0 5621568 3878350 25591676 29941150 X -1687928 -3021 -52269 X false true X true true true X 288540 316428 301936 227035 246700 1380639 48797446 56174030 56828279 56907891 60059987 278767633 0 0 0 49085986 56490458 57130215 57134926 60306687 280148272 0 0 0 280148272 87521 78585 70024 80302 77660 394092 21875 14879 2201 0 38955 87521 100460 84903 82503 77660 433047 0 0 49173507 56590918 57215118 57217429 60384347 280581319 0.99846 0.99817 0.00154 0.00183 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1953364 1953364 14639983 10921283 3718700 1598919 1249034 349885 2587519 2182810 404709 12453957 7733980 4719977 11146635 DUE FROM RELATED COMPANIES 3185813 3185813 0 DUE TO RELATED COMPANIES 7314730 RELATED PARTY LOAN 3854068 11168798 X PART X, OTHER LIABILITIES - LINE 2, FIN 48 FOOTNOTE THE CENTER, THE SCHOOL, WISDOM GARDENS, MARYHAVEN TRANSPORTATION, AND THE FOUNDATION QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; RIVERHEAD HOSTEL QUALIFIES UNDER 501(C)(2). ALL COMPANIES QUALIFY AS NONPROFIT ORGANIZATIONS UNDER NEW YORK STATE LAW. ACCORDINGLY, THE INCOME OF THE ORGANIZATION IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE 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. DINNER DANCE 34500 12357 22143 2450 16240 DINNER/SHOW 12000 4000 8000 12300 0 46500 16357 30143 2450 28540 30990 -847 true CATHOLIC HEALTH SERVICE OF LONG ISLAND 992 N VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 113403968 501(C)(3) 45146 NONE NONE OUTPATIENT CENTERS 1 0 PART I, LINE 2 - PROCEDURE FOR MONITORING GRANT FUND USE CHS SERVICES, A RELATED ENTITY, MAINTAINS THE BOOKS AND RECORDS FOR MARYHAVEN CENTER OF HOPE 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 OR ASSISTANCE: 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 LEWIS GROSSMAN CHIEF EXECUTIVE OFFICER 405601 0 35000 0 24375 0 20298 0 18507 0 503781 0 0 0 KAREN ESTRADA SVP/CFO 0 293468 0 45000 0 38885 0 22517 0 27851 0 427721 0 0 JOSEPH TOMAINO EVP CONTINUING CARE 0 581586 0 100000 0 16803 0 393027 0 21882 0 1113298 0 0 ROBIN DWYER DIR EDUC & RESIDENTIAL 136250 0 5000 0 6792 0 11169 0 25859 0 185070 0 0 0 EVA TARANTINO DIR HUMAN RESOURCES 134635 0 0 0 7449 0 10783 0 24676 0 177543 0 0 0 PATRICIA FOGARTY EXEC DIR SUPPORT SERVICES 121449 0 7000 0 6580 0 9749 0 24665 0 169443 0 0 0 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN JOSEPH TOMAINO $370,000 PARTICIPATION 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. FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES CASE MANAGEMENT PROGRAMS: PROVIDES INDIVIDUAL SERVICE COORDINATION AND PASTORAL CARE TO INDIVIDUALS WITH SPECIAL NEEDS. (475 INDIVIDUALS) FORM 990, PART VI, LINE 6 - MEMBERS OF THE ORGANIZATION THE SOLE MEMBER OF MARYHAVEN CENTER OF HOPE IS CATHOLIC HEALTH SYSTEM OF LONG ISLAND DBA CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHS). CHS IS A NY NON-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 MARYHAVEN CENTER OF HOPE AND AS SUCH, HAS THE RIGHT TO APPOINT THE GOVERNING BODY OF MARYHAVEN CENTER OF HOPE. FORM 990, PART VI, LINE 7B - DECISIONS OF THE GOVERNING BODY CHS AS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF MARYHAVEN CENTER OF HOPE IS REQUIRED TO APPROVE CERTAIN DECISIONS MADE BY MARYHAVEN'S GOVERNING BODY. 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 ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES (THE BOARD), 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. ONCE APPROVED BY THE BOARD (OR THE EXECUTIVE COMMITTEE OF THE BOARD, AS APPROPRIATE), THE ORGANIZATION'S BOARD CHAIR AND CHIEF EXECUTIVE OFFICER COMMUNICATES, IN WRITING TO THE CHS COMPLIANCE AND AUDIT COMMITTEE AND CHS BOARD CHAIR. AFTER REVIEW OF ANY APPLICABLE COMMENTS FROM THE BOARD, THE COMPLIANCE AND AUDIT COMMITTEE WILL THEN RECOMMEND THE APPROVAL OF THE FORM 990 TO THE CHS BOARD OF DIRECTORS WHO WILL THEN REVIEW THE RECOMMENDATIONS AND PROVIDE THE FINAL APPROVAL OF THE FORM 990. 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 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 SIMILIAR 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 CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE; FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. 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. LEWIS GROSSMAN, CHIEF EXECUTIVE OFFICER - THE TOTAL HOURS WORKED REPORTED (50.0) REFLECTS TIME WORKED AS OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: MARYHAVEN CENTER OF HOPE (11-2861698); MARYHAVEN SCHOOL (11-2861690); MARYHAVEN TRANSPORTATION SERVICES INC (11-3434776); RIVERHEAD HOSTEL HOLDING CORP (11-2499790); CENTER OF HOPE FOUNDATION INC (11-3638367) JOSEPH TOMAINO, EVP CONTINUING CARE - THE TOTAL HOURS WORKED REPORTED (50.0) REFLECTS TIME WORKED AS OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: CENTER OF HOPE FOUNDATION (11-3638367); RIVERHEAD HOSTEL HOLDING CORP (11-2499790); OLGCC (11-3284066); MARYHAVEN TRANSPORTATION SERVICES (11-3434776); MARYHAVEN SCHOOL (11-2861690); MARYHAVEN CENTER OF HOPE (11-2861698); GOOD SHEPHERD HOSPICE (11-2958438); CHS HOME SUPPORT SERVICES (11-3594561); CATHOLIC HOME CARE (11-2126736); OUR LADY OF CONSOLATION FOUNDATION (45-0517566) KAREN ESTRADA, SVP/CFO - THE TOTAL HOURS WORKED REPORTED (50.0) REFLECTS TIME WORKED AS OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: CENTER OF HOPE FOUNDATION (11-3638367); RIVERHEAD HOSTEL HOLDING CORP (11-2499790); OLGCC (11-3284066); MARYHAVEN TRANSPORTATION SERVICES (11-3434776); MARYHAVEN SCHOOL (11-2861690); MARYHAVEN CENTER OF HOPE (11-2861698); GOOD SHEPHERD HOSPICE (11-2958438); CHS HOME SUPPORT SERVICES (11-3594561); CATHOLIC HOME CARE (11-2126736); OUR LADY OF CONSOLATION FOUNDATION (45-0517566) FORM 990, PART XI, LINE 9 - CHANGES IN NET ASSETS LOSS ON DEBT EXTINQUISHMENT CONTRIBUTABLE TO MCH: ($52,269) TOTAL TO FORM 990, PART XI, LINE 9: ($52,269) 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 true MARYHAVEN SCHOOL CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 112861690 Schl-disabled NY 501(C)(3) 2 MARYHAVENCTR true THE CENTER OF HOPE FOUNDATION 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 113638367 SUPPORT ORG NY 501(C)(3) 11A- I MARYHAVENCTR true 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 true OUR LADY OF CONSOLATION GERIATRIC CARE 111 BEACH DRIVE WEST ISLIP NY 11795 113284066 LT NURSE CARE NY 501(C)(3) 9 CHSLI true RIVERHEAD HOSTEL HOLDING CORPORATION 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 112499790 RENTING NY 501(C)(2) MARYHAVENCTR true 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 true 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 true GOOD SHEPHERD HOSPICE 110 Bi-County Blvd Suite 114 FARMINGDALE NY 11735 112958438 HOSPICE SVC NY 501(C)(3) 9 CHSLI true 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 false 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 true 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 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