2013-11-13T13:59:27-06:00 2012-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2012-01-01 113403968 CATHOLIC HEALTH SYSTEM OF LONG ISLAND % CATHOLIC HEALTH SERVICES OF CATH 5167053700 992 NORTH VILLAGE AVENUE Suite ROCKVILLE CENTER NY 11570 ALAN D GUERCI 5167053700 2013-11-05 true 6464713000 2012 2016-03-07 17:11:31Z CATHOLIC HEALTH SERVICES OF LI RICHARD JJ SULLIVAN JR 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 22438280 false 0928 X HTTP://WWW.CHSLI.ORG X 1997 NY CATHOLIC HEALTH SERVICES OF LONG ISLAND 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. 15 15 13 0 0 1600000 1740000 19092117 19563012 289984 1135268 0 0 20982101 22438280 1600000 1850000 0 0 11592606 9059360 0 0 0 8709606 10822360 21902212 21731720 -920111 706560 137673108 147160189 138933513 146749168 -1260405 411021 X CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHSLI), 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 18599265 0 19563012 CATHOLIC HEALTH SERVICES OF LONG ISLAND PROMOTES THE EFFICIENT GOVERNANCE AND MANAGEMENT OF THE SUPPORTED ORGANIZATIONS. IN ADDITION, CHSLI'S COOPERATIVE PLANNING AND EFFICIENT USE OF RESOURCES ASSISTS THE SUPPORTED ORGANIZATION TO ACHIEVE THEIR RESPECTIVE AND COLLABORATIVE GOALS. 1740000 1740000 0 SUPPORTING AND STRENGTHENING THE MINISTRIES OF THE DIOCESE OF ROCKVILLE CENTRE AND OTHER MINISTRIES SPONSORED BY THE ROMAN CATHOLIC CHURCH. 20339265 true true 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 true false false false false false false false false false false false false false false true true true true false false true 34 0 true 13 true false false false false false false false false false false X 15 15 false false false false true true true true true false false true true true true true true true true false X CATHOLIC HEALTH SERVICES OF 5167051938 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 X RICHARD JJ SULLIVAN JR 2.0 X X 0 0 0 Sister Elaine Callahan OP 2.0 X X 0 0 0 Thomas E Christman 2.0 X X 0 0 0 Eugene Murphy 2.0 X X 0 0 0 VIRGINIA EWEN 2.0 X 0 0 0 Barbara Ellen Black 2.0 X 0 0 0 Thomas Dowling Jr MD 2.0 X 0 0 0 Sister Audrey Harsen 2.0 X 0 0 0 Sister Margaret John Kelly DC 2.0 X 0 0 0 Rev Msgr Robert Morrissey 2.0 X 0 0 0 Patricia Nazemetz 2.0 X 0 0 0 Joseph Tantillo 2.0 X 0 0 0 Rev Msgr James Vlaun 2.0 X 0 0 0 John J Wagner 2.0 X 0 0 0 Brian McGuire 2.0 X 0 0 0 Lawrence McManus 50.0 X X 823990 0 2290953 COLLEEN BLYE 50.0 X 1148296 0 394104 David Decerbo 50.0 X 792432 0 222544 Joel Yohai MD 50.0 X 845557 0 169658 Anthony Pellicano 50.0 X 573220 0 141685 Maryann Cudahy 50.0 X 198225 0 40617 James Harden 0.0 X 1529262 0 22864 Joseph Conte 0.0 X 583615 0 17099 JAMES CALDAS 0.0 X 0 1161743 195991 6494597 1161743 3495515 8 true true false ISEMAN CUNNINGHAM RIESTER HYDE 9 THURLOW TERRACE ALBANY NY 12203 LEGAL SERVICES 944561 DELOITTE TOUCHE LLP 4152 COLLECTIONS CENTER DR CHICAGO IL 60693 CONSULTING SERVICES 805260 PARK STRATEGIES LLC 101 PARK AVE SUITE 2506 NEW YORK NY 10178 CONSULTING SERVICES 240000 PROSKAUER ROSE LLP 1585 BROADWAY NEW YORK NY 10036 LEGAL SERVICES 196979 KORN FERRY INTL COLLECTION CENTER DR FILE 5966 CHICAGO IL 60693 CONSULTING SERVICES 186858 9 1740000 1740000 MANAGEMENT SERVICES REVENUE 900099 19563012 19563012 19563012 1135268 1135268 0 0 0 0 0 0 0 0 0 0 22438280 19563012 1135268 X 1850000 1850000 0 0 0 0 0 0 1972286 1972286 0 0 0 0 0 0 5804896 5804896 0 0 1207843 1207843 0 0 74335 74335 0 0 0 0 0 0 0 0 0 0 942101 0 942101 0 169740 0 169740 0 0 0 0 0 0 0 0 0 0 0 2835622 2835622 0 0 182800 182800 0 0 27705 27705 0 0 0 0 0 0 0 0 0 0 127927 0 127927 0 53724 53724 0 0 0 0 0 0 0 0 0 0 3921590 3921590 0 0 0 0 0 0 116089 116089 0 0 33713 0 33713 0 MEMBERSHIP DUES 1786902 1786902 0 0 CONTRIBUTIONS 454263 454263 0 0 OTHER 170184 51210 118974 0 21731720 20339265 1392455 0 4723936 16199956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2113275 1624605 2505412 2364565 218828 140847 0 0 0 0 61092115 64500274 0 0 69524954 64694507 137673108 147160189 7163786 13628873 0 0 0 0 81463414 80876197 0 0 0 0 37694612 36651192 0 0 12611701 15592906 138933513 146749168 X -1518464 238108 258059 172913 0 0 -1260405 411021 137673108 147160189 X 706560 964866 X X false true X true false X X X false false false GOOD SAMARITAN HOSPITAL MEDICAL CENTER 111888924 03 false true true 0 MERCY MEDICAL CENTER 111635088 03 false true true 0 ST CHARLES HOSPITAL 111871039 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 WSNCHS NORTH LLC 113438973 03 false true true 0 SIENA VILLAGE INC 061569129 09 false true true 0 SUFFOLK HEARING & SPEECH CENTER INC 112110488 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 TRANSPORTATION SERVICES 113434776 09 false true true 0 MARYHAVEN SCHOOL CORPORATION 112861690 09 false true true 0 THE CENTER OF HOPE FOUNDATION 113638367 09 false true true 0 16 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 106444 95288 11155 146704 141957 4746 0 2250733 2127062 123671 1532 257 1275 140847 TRUSTEE HELD ASSETS 64500274 C 64500274 DUE FROM RELATED ORGANIZATIONS 58235203 INVESTMENT IN SUBSIDIARIES 3082800 EXECUTIVE RETIREMENT ASSETS 663812 AWUL FREECARE 2712692 64694507 0 DUE TO RELATED ORGANIZATIONS 850000 EXECUTIVE RETIREMENT LIABILITY 14742906 15592906 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 (THE CODE), AS AMENDED. CHS ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (THE CODIFICATION) TOPIC 740. INCOME TAX EXPENSE OF CHS' FOR-PROFIT SUBSIDIARIES IN THE AMOUNT OF $303 AND $2,567 HAVE BEEN RECORDED AS SUPPLY AND OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS AS OF DECEMBER 31, 2012 AND 2011, RESPECTIVELY. 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. THERE ARE CERTAIN TRANSACTIONS THAT COULD BE DEEMED "UNRELATED BUSINESS INCOME." IT IS MANAGEMENT'S ESTIMATE THAT NO MATERIAL TAX LIABILITIES NEED TO BE RECORDED. true DIOCESE OF ROCKVILLE CENTRE - CATHOLIC MINISTRIES 50 N PARK AVE ROCKVILLE CTR NY 11570 111837437 501(c)(3) 1850000 N/A N/A GENERAL SUPPORT 1 SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING GRANT FUND USE THE DIOCESE OF ROCKVILLE CENTRE PROVIDES ANNUAL UPDATES TO ALL CONTRIBUTORS TO THE CATHOLIC MINISTRIES APPEAL; WHETHER PARISHIONERS OR CORPORATE CONTRIBUTORS LIKE CHSLI. SCHEDULE I, PART II, LINE 1 COLUMN (H) NAME OF ORGANIZATION OR GOVERNMENT DIOCESE OF ROCKVILLE CENTRE - CATHOLIC MINISTRIES APPEAL (H) PURPOSE OF GRANT OR ASSISTANCE: TO PROVIDE GENERAL SUPPORT OF 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. X X X X X true true false false false false false false false COLLEEN BLYE 815640 0 316000 0 16656 0 367171 0 26933 0 1542400 0 0 0 James Harden 0 0 306579 0 1222683 0 0 0 22864 0 1552126 0 1529626 0 Lawrence McManus 757700 0 0 0 66290 0 481523 0 1809430 0 3114943 0 0 0 Joseph Conte 0 0 111763 0 471852 0 0 0 17099 0 600714 0 583615 0 David Decerbo 623005 0 150000 0 19427 0 191201 0 31343 0 1014976 0 0 0 Joel Yohai MD 650979 0 150000 0 44578 0 150641 0 19017 0 1015215 0 16934 0 Anthony Pellicano 504351 0 50000 0 18869 0 140125 0 1560 0 714905 0 0 0 Maryann Cudahy 162903 0 35000 0 322 0 0 0 0 0 198225 0 0 0 JAMES CALDAS 0 840675 0 300000 0 21068 0 168700 0 27291 0 1357734 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE JAMES HARDEN FORMER PRESIDENT & CEO RECEIVED PAYMENT OF SEVERANCE OF $1,015,098. JOSEPH CONTE FORMER EXEC VP CORP SVCS RECEIVED PAYMENT OF SEVERANCE OF $371,603. LAWRENCE MCMANUS PRESIDENT & CEO RECEIVED $1,809,430 OF SEVERANCE. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN COLLEEN BLYE $344,596 PARTICIPATION IN PLAN DAVID DECERBO $168,626 PARTICIPATION IN PLAN JOEL YOHAI, MD $128,066 PARTICIPATION IN PLAN; $16,934 PAYMENT FROM PLAN ANTHONY PELLICANO $117,550 PARTICIPATION IN PLAN SCHEDULE J, PART II COMPENSATION 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 2012 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. A SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORP 273722095 86476RAU8 2011-12-14 192616434 CAPITAL EXPEN, REFUNDING 1999,2000 false false false B NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORP 274291221 63165BAK0 2011-12-14 65350479 CAPITAL EXPEN, REFUNDING 1999,2000 false false false A 0 0 192616434 0 0 0 3077681 0 0 165022227 839835 23676691 false false false true B 0 0 65530479 0 0 0 1093112 0 0 44528620 386277 19522470 false false false true A false false false false 0 true false false true B false false false false 0 true false false true A false false false false false false 0 false 0 false true B false false false false false false 0 false 0 false true A true B true FORM 990, SCHEDULE K 0 THE TAX-EXEMPT BOND ISSUANCES REFLECTED IN SCHEDULE K, PART I ARE ISSUED ON BEHALF OF CATHOLIC HEALTH SYSTEM OF LONG ISLAND'S RELATED OPERATING ENTITIES. PLEASE NOTE THAT SCHEDULE K, PARTS II, III AND IV HAVE BEEN COMPLETED BASED ON THE TOTAL AMOUNT OF THE TAX-EXEMPT BOND ISSUANCES FOR THE GROUP, NOT BY EACH INDIVIDUAL ENTITY, AS THE OFFERING WAS ON BEHALF OF THE GROUP AS A WHOLE. FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHSLI)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. CHSLI IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTRE. FORM 990, PART VI, LINE 7A ELECTION OF THE GOVERNING BODY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTRE,AS THE SPONSOR OF CATHOLIC HEALTH SERVICES OF LONG ISLAND HAS THE ABILITY TO NOMINATE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY AS OUTLINED IN THE BY-LAWS OF CATHOLIC HEALTH SERVICES OF LONG ISLAND, CERTAIN BOARD DECISIONS ALSO REQUIRE THE APPROVAL OF THE ORGANIZATION'S MEMBERS. FORM 990, PART VI, LINE 11A 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 ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES (THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED 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 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 FORTH 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 THE CHIEF EXECUTIVE OFFICER SUBMITS FOR APPROVAL TO THE CORPORATE 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 - COMPENSATION OF OFFICERS 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) LAWRENCE MCMANUS, 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) AND CATHOLIC HEALTH SYSTEMS OF LONG ISLAND (11-3403968) FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS TRANSFERS FROM RELATED PARTIES 1,050,012 CONTRIBUTION ADJUSTMENT CAREGIVERS FUND (85,146) RELEASED FROM RESTRICTION TOTAL TO FORM 990, PART XI, LINE 9 964,866 PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING & MANAGEMENT SVCS TOTAL FEES:2797622 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:BOND EVALUATION FEE TOTAL FEES:38000 CHS ACCOUNTABLE CARE ORGANIZATION LLC 992 N VILLAGE AVE ROCKVILLE CENTRE NY 11570 ACCNTBLE CARE NY 0 0 CHSLI CHS PHYSICIAN HOSPITAL ORGANIZATION LLC 992 N VILLAGE AVE ROCKVILLE CENTRE NY 11570 PHYSICIAN ORG NY 0 840000 CHSLI CHS SERVICES INC 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 113555766 SUPPORT ORG NY 501(C)(3) 11A- II CHSLI true CHS AMBULANCE SERVICES INC 992 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 141801961 DORMANT NY 501(C)(3) 3 CHSLI true GOOD SAMARITAN HOSPITAL MEDICAL CENTER 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 111888924 HOSPITAL NY 501(C)(3) 3 CHSLI true GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 112537396 SELF INSURANC NY 501(C)(3) 11A- I GOOD SAMARTN true MARYHAVEN TRANSPORTATION SERVICES 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 113434776 TRANSPORTATIO NY 501(C)(3) 9 MARYHAVENCTR true MARYHAVEN CENTER OF HOPE 51 TERRYVILLE ROAD PORT JEFFERSN ST NY 11776 112861698 Prgm-disabled NY 501(C)(3) 9 CHSLI 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) 9 MARYHAVENCTR true MERCY MEDICAL CENTER 1000 NORTH VILLAGE AVENUE ROCKVILLE CTR NY 11570 111635088 HOSPITAL NY 501(C)(3) 3 CHSLI true 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 true ST CATHERINE OF SIENA MEDICAL CENTER 50 ROUTE 25A SMITHTOWN NY 11787 061562701 HOSPITAL NY 501(C)(3) 3 CHSLI true ST CHARLES HOSPITAL 200 BELLE TERRE ROAD PORT JEFFERSN ST NY 11777 111871039 HOSPITAL NY 501(C)(3) 3 CHSLI true CHS HOME SUPPORT SERVICES INC 110 BI-COUNTY BLVD SUITE 114 FARMINGDALE NY 11735 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 true ST FRANCIS HOSPITAL FOUNDATION 100 PORT WASHINGTON BLVD ROSLYN NY 11576 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