2013-01-28T10:34:52-06:00 2011-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2011-01-01 112164674 RUTLAND NURSING HOME INC % JOHN SCHMITT RUTL 7186045532 585 SCHENECTADY AVENUE BROOKLYN NY 11203 JOHN SCHMITT 2013-01-23 6464713000 2011 2016-02-25 16:41:14Z LINDA BRADY MD 585 SCHENECTADY AVENUE BROOKLYN NY 11203 74087169 false X WWW.KINGSBROOK.ORG X 1971 NY OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF. 9 6 0 129 0 0 557793 71238182 73386587 145757 142789 0 0 71383939 74087169 0 0 0 0 48860495 51605000 0 0 0 27521225 28309516 76381720 79914516 -4997781 -5827347 23598761 22084455 53025589 57338630 -29426828 -35254175 X OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF. false false 623000 68014089 73386587 RUTLAND NURSING HOME, LOCATED ON THE CAMPUS OF KINGBROOK JEWISH MEDICAL CENTER IS A 538-BED, LONG AND SHORT-TERM CARE FACILITY OFFERING SKILLED NURSING, PHYSICAL REHABILITATION, COMPREHENSIVE WOUND CARE, A SPECIALTY UNIT FOR VENTILATOR DEPENDENT RESIDENTS AND AN ARRAY OF OTHER SUB-ACUTE SERVICES. ALL THE RESOURCES OF THE MEDICAL CENTER, INCLUDING GENERAL MEDICAL AND SUB-SPECIALTIES, SURGICAL, ORTHOPAEDIC, PSYCHIATRIC AND DENTAL SERVICES, AND THE EMERGENCY ROOM, ARE IMMEDIATELY AVAILABLE TO THE RESIDENTS. NURSING HOME RESIDENTS ARE EASILY TRANSFERRED TO THE ACUTE SERVICES OF THE HOSPITAL IF MEDICAL NECESSITY REQUIRES, AND SUBSEQUENTLY RETURNED TO THE NURSING HOME. RUTLAND NURSING HOME HAS A DEDICATED 32-BED PAEDIATRIC LONG-TERM CARE UNIT FOR CHILDREN WITH SEVERE DEVELOPMENTAL AND METABOLIC DISORDERS. THE UNIT IS STAFFED WITH NURSES AND PAEDIATRICIANS 24 HOURS A DAY, SEVEN DAYS A WEEK. MEDICAL CARE IN THE RUTLAND NURSING HOME IS COORDINATED BY PHYSICIANS EXPERIENCED AND DEDICATED TO PAEDIATRICS AND GERIATRICS. ENCOURAGING THE RESIDENTS TO MAXIMIZE THEIR ABILITY TO LEAD ACTIVE AND FULFILLING LIVES, LICENSED NURSES AND THERAPISTS DELIVER STATE-OF-THE-ART PHYSICAL, OCCUPATIONAL, RECREATIONAL AND SPEECH THERAPIES. TO ENSURE COMPREHENSIVE CARE, DIETICIANS AND SOCIAL WORKERS AUGMENT THE TREATMENT TEAM. 68014089 true true false true false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 22 0 true 0 false false false false false false false false false false X 9 6 false false false false true true true true true false false false false false false false false false NY X JOHN SCHMITT 7186045532 585 SCHENECTADY AVENUE BROOKLYN NY 11203 X EDWARD LIEBERSTEIN 2.0 X 0 0 0 SEEMA GOLDSTEIN 1.5 X 0 0 0 LINDA BRADY MD 12.0 X X 0 1310813 47816 GWENDOLYN BRADHAM-LEWIS 1.0 X 0 0 0 HENNA WHITE 3.0 X 0 0 0 GEOFFREY PATRICE MD 1.0 X 0 4800 0 RAFIQUE CHAUDRHY MD 1.0 X 0 1100110 0 ROBERT REISS 1.5 X 0 0 0 VALERIE BYNOE-KASDEN ESQ 1.0 X 0 0 0 VICTOR AYALA PHD 2.0 X 0 0 0 WILLIAM LOIS MD 1.0 X 0 371523 47816 JOHN SCHMITT CPA 12.0 X 0 421678 47816 SUSAN ZINDER 12.0 X 0 43973 4177 MICHAEL MCDERMOTT 12.0 X 0 205769 37400 ROBERT DUBICKI 12.0 X 0 432986 47816 HAROLD MCDONALD 12.0 X 0 321432 23275 MARYANNE ROSE 40.0 X 0 232424 42971 0 4445508 299087 0 false true false EXCLUSIVE TRANSPORTATION PO BOX 476 LAWRENCE NY 11559 PATIENT TRANSPORT 133606 1 557793 557793 NET PATIENT SERVICE REVENUE 623000 71884654 71884654 MEDICARE DRUG BILLING 524114 1501933 1501933 73386587 142789 142789 0 0 0 0 0 0 0 74087169 73386587 142789 0 0 0 0 0 0 37626000 32759306 4866694 0 13979000 12170902 1808098 0 0 104290 82599 21691 0 66366 52563 13803 0 0 145206 115005 30201 1270 1006 264 18693425 14805418 3888007 0 0 0 933299 739184 194115 48227 38196 10031 0 0 249501 197608 51893 0 869372 688553 180819 0 PROVISION FOR BAD DEBT 3184812 3184812 NY STATE ASSESSMENT 4013748 3178937 834811 79914516 68014089 11900427 0 4727487 2759798 239035 240497 0 0 9112077 10022197 0 0 0 0 0 0 0 0 0 0 39616577 33240431 6093576 6376146 291889 312644 0 0 0 0 0 0 3134697 2373173 23598761 22084455 540866 850594 0 0 0 0 0 0 0 0 0 0 5099438 4114828 0 0 47385285 52373208 53025589 57338630 X -29426828 -35254175 0 0 0 0 -29426828 -35254175 23598761 22084455 -5827347 X false true true X false X 48999 557793 606792 65592253 66027895 67382695 71238182 73386587 343627612 65592253 66027895 67431694 71238182 73944380 344234404 344234404 320362 238712 158667 145757 142789 1006287 320362 238712 158667 145757 142789 1006287 65912615 66266607 67590361 71383939 74087169 345240691 0.99709 0.99650 0.00292 0.00330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 60000 false true 6366 66366 false false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES RUTLAND NURSING HOME PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLC). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY CCLC, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2011 CCLC DUES WAS $6,366. ADDITIONALLY, THE ORGANIZATION HAS A CONTRACT WITH A LOBBYIST WHO WAS ENGAGED TO LOBBY LEGISLATORS ON BEHALF OF THE ORGANIZATION REGARDING POLICIES WHICH IMPACT THE ORGANIZATION'S EXEMPT PURPOSE AND WHICH PERTAIN TO PUBLIC HEALTH CARE. DURING 2011 RUTLAND NURSING HOME PAID $60,000 IN CONNECTION WITH THESE SERVICES. 825000 825000 31428340 27849362 3578978 6502834 5391069 1111765 860403 860403 6376146 OTHER ASSETS 1548094 OPERATING ESCROW ACCOUNT 712800 INVESTM IN DEBT & EQUITY SECUR 110620 MORTGAGE REPAYMENT ESCROW 1659 2373173 0 DUE TO KINGSBROOK JEWISH MEDICAL CENTER 26714217 ESTIMATED THIRD PARTY SETTLEMENTS 24957221 OTHER CURRENT LIABILITIES - 3RD PARTY 368872 CASH FUNDS HELD IN TRUST FOR RESIDENTS 240498 FIN 47 LIABILITY 92400 52373208 74087169 79914516 -5827347 -5827347 74087169 74087169 74087169 79915131 615 615 79914516 79914516 false false false false false false false false false LINDA BRADY MD 0 750845 0 280007 0 279961 0 23275 0 24541 0 1358629 0 0 JOHN SCHMITT CPA 0 326386 0 74769 0 20523 0 23275 0 24541 0 469494 0 0 MICHAEL MCDERMOTT 0 205769 0 0 0 0 0 14547 0 22853 0 243169 0 0 RAFIQUE CHAUDRHY MD 0 0 0 0 0 1100110 0 0 0 0 0 1100110 0 0 WILLIAM LOIS MD 0 371523 0 0 0 0 0 23275 0 24541 0 419339 0 0 ROBERT DUBICKI 0 405892 0 0 0 27094 0 23275 0 24541 0 480802 0 0 HAROLD MCDONALD 0 304419 0 0 0 17013 0 23275 0 0 0 344707 0 0 MARYANNE ROSE 0 194001 0 38423 0 0 0 18430 0 24541 0 275395 0 0 SCHEDULE J, PART III, ADDITIONAL INFORMATION PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION THE DEFERRED COMPENSATION REPORTED FOR KINGSBROOK JEWISH MEDICAL CENTER EMPLOYEE, JOHN SCHMITT, INCLUDES ACCRUALS FOR THE TRANSITION STABILIZATION PLAN WHICH WAS IMPLEMENTED IN 2009. THE VALUE OF THE PLAN IS SUBJECT TO RISK OF FORFEITURE (PURSUANT TO IRS REGULATIONS) UNTIL THE EMPLOYEES MEET SPECIFIC AND DOCUMENTED FUTURE SERVICE REQUIREMENTS. THE PLAN WAS REVIEWED DISCUSSED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE JOINT BOARD OF TRUSTEES/DIRECTORS TO ENHANCE THE RETENTION OF KEY EXECUTIVES AND TO MAINTAIN LEADERSHIP STABILITY AS KINGSBROOK JEWISH MEDICAL CENTER PURSUES OPPORTUNITIES FOR SUSTAINED VIABILITY. THE PLAN IS CONSISTENT WITH TYPICAL MARKET PRACTICES AND REASONABLE IN THE CONTEXT OF THE EMPLOYEES' TOTAL REMUNERATION, BASED ON ADVICE PROVIDED BY INDEPENDENT EXECUTIVE COMPENSATION CONSULTANTS. THE AGREEMENT EXPIRED 12/31/2011 AND WAS PAID OUT IN JANUARY 2012. THE PAYMENT WAS REPORTED AS COMPENSATION IN 2012 AND IS SUBJECT TO ALL APPLICABLE WITHHOLDING AND EMPLOYMENT TAXES. SCHEDULE J, PART III GENERAL COMPENSATION NOTE: 1) WILLIAM LOIS - THE COMPENSATION WAS PAID FOR SALARY AS CHIEF OF SURGERY BY KINGSBROOK JEWISH MEDICAL CENTER. NO COMPENSATION WAS PAID FOR BOARD DIRECTOR POSITION 2) GEOFFREY PATRICE MD - THE COMPENSATION WAS PAID FOR SALARY AS ON-CALL PHYSICIAN BY KINGSBROOK JEWISH MEDICAL CENTER. NO COMPENSATION WAS PAID FOR BOARD DIRECTOR POSITION. 3) RAFUQUE CHAUDHAM-LEWIS - THE COMPENSATION WAS PAID FOR SALARY AS CHIEF OF ANAESTHESIOLOGY BY KINGSBROOK JEWISH MEDICAL CENTER. NO COMPENSATION WAS PAID FOR BOARD DIRECTOR POSITION. FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION KINGSBROOK HEALTHCARE SYSTEM ("KHS") IS THE SOLE MEMBER OF RUTLAND NURSING HOME, INC. FORM 990, PART VI, LINE 7A & 7B ELECTION & DECISIONS OF THE GOVERNING BODY KHS IS THE SOLE MEMBER OF RUTLAND NURSING HOME, INC. AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF RUTLAND NURSING HOME, INC. FORM 990, PART VI, LINE 11A REVIEW PROCESS FOR FORM 990 THE CFO HAS CONDUCTED A DETAILED REVIEW OF THE 990 WITH THE HOSPITALS TAX ACCOUNTANT AND ALL APPROPRIATE CHANGES HAVE BEEN MADE. THE 990 IS THEN REVIEWED BY THE CEO FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. THE 990 IS THEN REVIEWED BY THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. ONCE COMPLETED AND FILED, FORM 990 IS MADE AVAILABLE TO THE FULL BOARD BY THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY RUTLAND NURSING H0ME, INC FOLLOWS KINGSBROOK JEWISH MEDICAL CENTER'S CONFLICT OT INTEREST POLICY. AT KINGSBROOK JEWISH MEDICAL CENTER, ALL CONFLICTS OF INTEREST ARE REVIEWED BY THE COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS INVOLVING BOARD MEMBERS ARE REFERRED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND/OR ACTION, AS NECESSARY. FORM 990, PART VI, LINE 13 WHISTLEBLOWER POLICY KINGSBROOK JEWISH MEDICAL CENTER HAS A WRITTEN WHISTLEBLOWER POLICY WHICH APPLIES TO THE ACTIVITIES OF RUTLAND NURSING HOME, INC. FORM 990, PART VI, LINE 14 DOCUMENT RETENTION POLICY KINGSBROOK JEWISH MEDICAL CENTER'S DOCUMENT RETENTION AND DESTRUCTION POLICY APPLIES TO ALL BOOKS AND RECORDS HELD BY RUTLAND NURSING HOME, INC. FORM 990, PART VI, LINE 15A & 15B COMPENSATION POLICY AND REVIEW PROCESS RUTLAND NURSING HOME, INC. DID NOT PAY COMPENSATION DIRECTLY FOR ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE PAID THROUGH KINGSBROOK JEWISH MEDICAL CENTER'S PAYROLL SYSTEM AND ARE RECORDED ON THE FORM 941 FILED BY KINGSBROOK JEWISH MEDICAL CENTER UNDER THE EMPLOYER INDENTIFICATION NUMBER 11-1631759. THE COMPENSATION OF EXECUTIVE OFFICERS IS REVIEWED ANNUALLY BY KINGSBROOK JEWISH MEDICAL CENTER (KJMC), FOLLOWING BELOW PROCESS: CONSISTENT WITH BEST PRACTICES IN GOVERNANCE AND FIDUCIARY OVERSIGHT OF TAX-EXEMPT FUNDS, KINGSBROOK JEWISH MEDICAL CENTER (KJMC) HAS INSTITUTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. THE COMPENSATION COMMITTEE IS AUTHORIZED BY THE BOARD TO DEVELOP AND RECOMMEND FOR BOARD APPROVAL THE COMPENSATION OF THE PRESIDENT AND CEO AND MEMBERS OF SENIOR MANAGEMENT (SENIOR VICE PRESIDENTS, VICE PRESIDENTS AND VICE PRESIDENTS). ONLY INDEPENDENT MEMBERS OF THE BOARD SHALL PARTICIPATE IN COMPENSATION DELIBERATIONS AND DECISIONS (I.E., EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND CONSULTANTS ARE NOT DEEMED INDEPENDENT FOR THESE PURPOSES). ALL EXECUTIVE COMPENSATION DECISIONS ARE BASED ON COMPETITIVE MARKET DATA, ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE RESULTS, AND ALIGNMENT WITH KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY. THE BOARD'S COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION TO ENDURE LEGAL AND REGULATORY COMPLIANCE AND ADHERENCE TO GOVERNANCE BEST PRACTICES AND PROPER FIDUCIARY OVERSIGHT AS STEWARDS OF TAX EXEMPT ASSETS. THE EXECUTIVE COMPENSATION PHILOSOPHY STATES ITS INTENT IS TO MAINTAIN A COMPETITIVE EXECUTIVE COMPENSATION PROGRAM IN ORDER TO ATTRACT, RETAIN AND MOTIVATE QUALIFIED EMPLOYEES TO SUPPORT THE MISSION AND BUSINESS GOALS OF KJMC. THE COMPENSATION COMMITTEE RETAINS OUTSIDE LEGAL COUNSEL WHO REVIEWS COMPLIANCE WITH TAX AND REGULATORY REQUIREMENTS AS WELL AS THE SERVICES OF AN INDEPENDENT QUALIFIED COMPENSATION CONSULTANT WHO COMPILES AND ANALYZES PUBLISHED SURVEY-DATA FOR BASE SALARIES AND TOTAL COMPENSATION PROVIDED BY TAX EXEMPT HOSPITALS AND MEDICAL CENTERS SIMILAR TO KJMC IN SIZE, OPERATIONS AND LOCATION. THE COMMITTEE'S REVIEW OF COMPENSATION OCCURS ANNUALLY SUCH THAT EXECUTIVE COMPENSATION AND BENEFITS CONTINUE TO BE COMPETITIVE AND REASONABLE BY FOLLOWING THE PRECEDING GOVERNANCE AND FIDUCIARY PRACTICES, THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF THE INTERNAL REVENUE CODE SUCH THAT THE TOTAL COMPENSATION PROVIDED TO THE EXECUTIVES IS COMPARED TO WHAT IS "ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES," AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS. BASE PAY FOR EACH EXECUTIVE IS BASED ON FACTORS INCLUDING MARKET DATA, TENURE, EXPERIENCE, AND INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. EXECUTIVE BASE PAY IS REVIEWED AND SET ANNUALLY BY THE INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE OF THE INDEPENDENT DIRECTORS OF KINGSBROOK JEWISH MEDICAL CENTER (KJMC), BASED ON THE EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. AS DESCRIBED IN KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER, KJMC SUPPORTS PERFORMANCE BASED COMPENSATION AND THEREFORE HAS IMPLEMENTED AN ANNUAL INCENTIVE PAY PROGRAM (EXECUTIVE MANAGEMENT ANNUAL INCENTIVE PLAN) FOR THE EXECUTIVES AND A LONG-TERM INCENTIVE PAY PROGRAM (ANNUALIZED STRATEGIC PERFORMANCE INCENTIVE) FOR THE PRESIDENT AND CEO. THE ANNUAL AND LONG-TERM INCENTIVE PAY PROGRAMS ARE DESIGNED TO SUPPORT THE ATTAINMENT OF ANNUAL AND STRATEGIC PERFORMANCE OBJECTIVES AND REFLECT A COMBINATION OF FORMULAIC WEIGHTINGS PROVIDING FOR THRESHOLD, TARGET AND MAXIMUM BONUS LEVELS AND DISCRETIONARY JUDGMENT AS DETERMINED BY THE COMPENSATION COMMITTEE. THE PERFORMANCE MEASURES ARE SET PRIOR TO THE BEGINNING OF EACH PLAN YEAR AND PLAN PAYMENTS ARE DETERMINED BASED ON AUDITED FINANCIAL RESULTS AND OTHER MEASURES. THE PROCESS USED FOR DETERMINING THE COMPENSATION OF THE CEO ALSO APPLIES TO MEMBERS OF THE EXECUTIVE STAFF, DEPARTMENT CHAIRS AND OTHER HIGHLY COMPENSATED STAFF EXCEPT THAT THE PRESIDENT AND CEO MAKES COMPENSATION RECOMMENDATIONS TO THE COMPENSATION SUBCOMMITTEE FOR THOSE EMPLOYEES. FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. FORM 990, PART VII, LINE 2 RUTLAND NURSING HOME, INC. DOES NOT DIRECTLY PAY ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE ALLOCATED FROM KINGSBROOK JEWISH MEDICAL CENTER. THE COMPENSATION AND BENEFITS ARE RECORDED ON FORM 941 FILED BY KINGSBROOK JEWISH MEDICAL CENTER UNDER EMPLOYER IDENTIFICATION NUMBER 11-1631759. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWARD LIEBERSTEIN TITLE:CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SEEMA GOLDSTEIN TITLE:VICE CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDA BRADY MD TITLE:PRESIDENT & BOARD DIRECTOR HOURS:37 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GWENDOLYN BRADHAM-LEWIS TITLE:SECRETARY & BOARD DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HENNA WHITE TITLE:BOARD DIRECTOR HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEOFFREY PATRICE MD TITLE:BOARD DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAFIQUE CHAUDRHY MD TITLE:BOARD DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT REISS TITLE:BOARD DIRECTOR HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:VALERIE BYNOE-KASDEN ESQ TITLE:BOARD DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:VICTOR AYALA PHD TITLE:BOARD DIRECTOR HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM LOIS, MD TITLE:BOARD DIRECTOR HOURS:32 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN SCHMITT CPA TITLE:CFO HOURS:37 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN ZINDER TITLE:GENERAL COUNSEL, UNTIL 2/4/11 HOURS:35 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL MCDERMOTT TITLE:GENERAL COUNSEL, START 2/22/11 HOURS:37 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT DUBICKI TITLE:COO HOURS:35 KINGSBROOK HEALTHCARE SYSTEM 585 SCHENECTADY AVENUE BROOKLYN NY 11203 030464734 SUPPORT ORG NY 501(C)(3) 11A N/A false KINGSBROOK JEWISH MEDICAL CENTER 585 SCHENECTADY AVENUE BROOKLYN NY 11203 111631759 HOSPITAL NY 501(C)(3) 3 KHS false KINGSBROOK JEWISH MEDICAL CENTER AUXILIA 585 SCHENECTADY AVENUE BROOKLYN NY 11203 113016121 SUPPORT ORG NY 501(C)(3) 11A KJMC false KINGSBROOK JEWISH MEDICAL CTR FDN 585 SCHENECTADY AVENUE BROOKLYN NY 11203 112845058 SUPPORT ORG NY 501(C)(3) 11A KJMC false KSI INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 562327654 INACTIVE NY KHS INC C CORP 0 0 SINGULAB INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 562327669 INACTIVE DE KSI INC C CORP 0 0 ATM NURSE REGISTRY 585 SCHENECTADY AVENUE BROOKLYN NY 11203 562327649 INACTIVE NY KSI INC LLC 0 0 KINGSBROOK LTACH INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 800712226 INACTIVE NY KHS INC C CORP 0 0 false false false false false false false false false false false false true true true false true false