2013-11-14T09:16:22-06:00 2012-12-31 990 2012-01-01 111630914 Huntington Hospital Association % MICHAEL FAGAN HUNT 6313512000 270 Park Avenue Suite Huntington NY 11743 KEVIN LAWLOR 2013-11-13 2012 2016-02-25 16:41:14Z Kevin Lawlor CEO 270 PARK AVENUE Huntington NY 11743 297293767 false X WWW.HUNTHOSP.ORG X 1916 NY The primary mission of Huntington Hospital Association is to provide a full range of inpatient, outpatient, and specialized healthcare services within an environment nurtured by respect and safety. 34 30 2245 530 0 1907708 1556759 283143234 287172034 2065049 2733593 1991176 5831381 289107167 297293767 0 0 0 0 214282842 196920161 0 0 540807 103240551 102403688 317523393 299323849 -28416226 -2030082 325714051 340932601 256929924 266565010 68784127 74367591 THE HUNTINGTON HOSPITAL ASSOCIATION'S (THE "HOSPITAL") MISSION IS TO PROVIDE A FULL RANGE OF INPATIENT, OUTPATIENT AND SPECIALIZED HEALTHCARE SERVICES, REGARDLESS OF A PATIENT'S ABILITY TO PAY, WITHIN AN ENVIRONMENT NURTURED BY RESPECT AND SAFETY. THE HOSPITAL IS COMMITTED TO GIVING ITS PATIENTS HIGH QUALITY AND TECHNOLOGICALLY ADVANCED CARE BY COMPETENT PROFESSIONALS IN ORDER TO MAINTAIN AND IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. false false 264136751 0 287172034 A member of the North Shore-LIJ Health System, Huntington Hospital is a 408 bed community hospital, with the following inpatient services; medical/surgical, pediatrics, intensive and critical care, maternity, Level II Perinatal service and psychiatry. The Hospital is a NYS Dept of Health Designated Stroke Center and a recipient of the American Heart Association Get With The Guidelines Stroke Gold Plus Award in 2011 In 2012, the Hospital had 15,843 inpatient discharges, including the delivery of 1,398 babies. Huntington Hospital provided 51,754 Emergency Department visits and performed 8,682 ambulatory surgeries, including endoscopies and outpatient cardiac catheterizations. 264136751 true true false true false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false false true true false false false true 150 1 true 2245 true false false false false false true true false false false true false X 34 30 true false false false true true true true true false false true true true true true true true true false NY X X MICHAEL FAGAN 6314254262 270 PARK AVENUE Huntington NY 11743 KEVIN LAWLOR 50.0 X X 799176 0 280574 MICHAEL GROSSO MD 50.0 X X 454528 0 45025 MICHAEL ABOFF 2.0 X 0 0 0 CARMELA ANGLIM 2.0 X 0 0 0 MICHAEL ALESANDRO 2.0 X 0 0 0 CHRISTOPHER BARBER 2.0 X 0 0 0 MICHAEL BROWN 2.0 X 0 0 0 FRED BUCKHOLTZ 2.0 X 0 0 0 MICHAEL DOWLING 50.0 X 0 2823350 1128235 MICHAEL BUCKHOLTZ 2.0 X 0 0 0 WILLIAM H FRAZIER 2.0 X X 0 0 0 LKEITH FRIEDLANDER ESQ 2.0 X X 0 0 0 CLIFFORD FRIEDMAN 2.0 X X 0 0 0 J RONALD GAUDREAULT 2.0 X 0 0 0 ANTHONY GIACCONE 2.0 X 0 0 0 ROSALYN C GORDON 2.0 X 0 0 0 JOHN KEAN 2.0 X 0 0 0 THOMAS G LEDERER 2.0 X 0 0 0 SHIRLEY LEVITT 2.0 X 0 0 0 PATRICIA MARCIN ESQ 2.0 X 0 0 0 ANNE MARIE MIELE 2.0 X 0 0 0 BRIAN MCNALLY 2.0 X 0 0 0 LEWIS MELTZER ESQ 2.0 X 0 0 0 RICHARD MURCOTT 2.0 X 0 0 0 ROBERT MYERS 2.0 X 0 0 0 MARTHA CARLSTROM 2.0 X 0 0 0 PATRICIA PETERSEN 2.0 X 0 0 0 BERNARD M ROSOF MD 3.0 X 0 0 0 JAMES ROMANELLI MD 2.0 X 0 0 0 DOLORES THOMPSON 2.0 X 0 0 0 NOAH FINKEL MD 2.0 X 0 0 0 CARY KRAVET 2.0 X 0 0 0 JOHN R RICONDA 2.0 X 0 0 0 RICHARD KLEINKNECHT 2.0 X 0 0 0 MICHAEL FAGAN 50.0 X 393133 0 55452 MICHAEL QUARTIER 50.0 X 429243 0 49077 PAUL MACCARO MD 50.0 X 552622 0 55452 NICK FITTERMAN MD 50.0 X 470344 0 52028 GARY STONE 50.0 X 443047 0 54981 RUSSELL SCHIFF 50.0 X 440219 0 23681 3982312 2823350 1744505 312 false true false CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 NURSING AGENCY 1089653 HUNTINGTON MEDICAL GROUP 180 E PULASKI RD HUNTINGTON STATION NY 11746 MEDICAL SERVICES 653576 TRITECH HEALTHCARE MGT LLC 125 NEWTON RD PLAINVIEW NY 11803 BILLING SERVICES 404483 INTENSIVIST CO FKA PHYSICIAN TECH PO BOX 82638 PITTSBURGH PA 15218 BILLING SERVICES 459704 MULLOOLY JEFF ROONEY FLYNN LLP 4 BRIDGE STREET GLEN COVE NY 11542 COLLECTION AGENCY 432271 16 1556759 1556759 PATIENT SVC - HOSPITAL 621300 274128952 274128952 PATIENT SVC-PHYS INC 621300 13043082 13043082 287172034 1775371 1775371 0 0 389805 389805 0 389805 932579 25643 932579 25643 958222 0 0 0 ELECTRONIC HEALTH RECORD INCOME 900099 3619434 3619434 CAFETERIA INCOME 900099 931549 931549 GIFT SHOP 900099 152236 152236 738357 738357 5441576 297293767 290791468 3597513 0 0 0 0 1646837 1646837 0 132921118 123663338 8786059 471721 30275355 25625061 4633993 16301 22568244 19101761 3454331 12152 9508607 8048085 1455402 5120 0 185159 185159 0 0 0 0 8959200 7583067 1371309 4824 269029 227706 41178 145 51652322 43718525 7905985 27812 0 0 3993763 3380321 611292 2150 1569 1569 0 301051 254810 46079 162 2040244 2040244 0 14386809 12176995 2209814 6596001 6596001 BAD DEBT EXPENSES 5065310 5065310 OTHER PURCHASED SERVICES 3985913 3985913 CENTRALIZED ADMIN EXPENSE 1786059 1786059 DUES & SUBSCRIPTIONS 312893 264833 47892 168 2868366 2796619 71495 252 299323849 264136751 34646291 540807 2617068 16212620 112063289 104452307 623083 398445 27659093 30900479 0 0 0 0 0 0 3719985 3514382 2088563 2295000 209199618 81847263 121333316 127352355 24101239 26451915 0 0 0 0 0 0 31508415 29355098 325714051 340932601 41867069 35735202 0 0 0 0 43410000 42510000 0 0 0 0 0 0 0 0 171652855 188319808 256929924 266565010 X 64196127 69960191 3425000 3244025 1163000 1163375 68784127 74367591 325714051 340932601 X -2030082 5825641 1787905 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 42698 false 42698 false false LOBBYING ACTIVITY PART II-B, LINE 1H HUNTINGTON HOSPITAL ASSOCIATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. 1163375 1163375 1159948 3427 22421 22421 1163375 1159948 1159948 1159948 1159948 1159948 1159948 1.00000 false false 2991936 2991936 103796444 39275941 64520503 97221 29957 67264 93116903 42029322 51087581 9197114 512043 8685071 127352355 DUE FROM AFFILIATE 4687591 INSURANCE CLAIMS RECEIVABLE 23272198 BOND FINANCING 1251162 OTHER ASSETS 144147 29355098 0 ACCRUED PENSION LIABILITY 116306090 EST THIRD PARTY PAYOR LIBILITE 29372418 ACCRUED MALPRACTICE LIAB 18088000 INSURANCE CLAIMS PAYABLE 23272198 ACCRUED ASSET RETIREMENT OBLIG 136528 BOND PREM/DISCOUNT 1144574 188319808 X 296608663 5825641 -5321910 503731 296104932 1188835 1188835 297293767 283769075 283769075 15554774 15554774 299323849 Schedule D - Supplemental Information Part V - Line 4 The investment income on the permanently restricted endowment funds are unrestricted and used to help support the operations of the Hospital. RECONCILIATIONS PART XI-LINE 2D AND 4B, PART XII, LINE 2D AND 4B PART XI - LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 403,106 SPECIAL EVENT EXP NET AGAINST REVENUE GAMING EVENT EXP NET AGAINST REVENUE NONOPERATING GAIN/LOSS (659,706) PROVISION FOR BAD DEBTS (5,065,310) TOTAL (5,321,910) PART XI - LINE 4B TEMP AND PERM RESTRICTED CONTRIBUTIONS 1,188,835 PART XII - LINE 4B ADDITIONAL MINIMUM PENSION LIABILITY 10,489,464 PROVISION FOR BAD DEBTS 5,065,310 TOTAL 15,554,774 FIN 48 FOOTNOTE Part X, LINE 2 Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2012 and 2011, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $149,000,000, which expire in varying amounts through 2032, and are available to offset future taxable income. true true X true X true X 500. true true true false true true 1 10129 7773000 -143000 7916000 0.02790 1 16300 33595904 23099867 10496036 0.03700 2 26429 41368904 22956867 18412036 0.06490 44 67192 908117 8850 899267 0.00320 18 206 912635 408338 504297 0.00180 8 254 27683 100 27583 0.00010 70 67652 1848435 417288 1431147 0.00510 72 94081 43217339 23374155 19843183 0.07000 1 75 233 233 1 3 546 546 3 138 779 779 false 5092000 91722455 118282024 -26559569 X true true 1 1 HUNTINGTON HOSPITAL

270 PARK AVENUE HUNTINGTON NY 11743

X X X X HUNTINGTON HOSPITAL 1 true true 100 true 500. true X X X X X X true true X X X X X X X true false X X X X X true X false true 1 DOLAN FAMILY HEALTH CENTER

284 PULASKI ROAD GREENLAWN NY 11740

FAMILY HEALTH CENTER PART VI SUPPLEMENTAL INFORMATION Question 1. Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the North Shore-LIJ website: http://www.northshorelij.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7a-k, column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 10.9% as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. The System's bioterrorism & disaster preparedness includes Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and a designated a Bioterrorism Resource Center. The System has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes, (i.e. Super storm Sandy), North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances assists with the transport of patients throughout the metropolitan area and stand ready to contribute food, medicine and blankets to numerous individuals who may lose power in their homes, and assist both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 4: For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Bad debt expenses are determined by applying the ratio of cost to charges from Worksheet 2 to gross patient charges written off to bad debt. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Part V, Section B, line 8: N/A Part V, Section B, line 9b: The organization's financial assistance policy will review a patient's assets if they fall within the family size and income levels approved by the New York State to provide free or discounted care. Asset test cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part V, Section B, line 10: N/A Part V, Section B, line 11: N/A Part V, Section B, line 12h: The hospital also uses household size. Part V, Section B, line 14g: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 16e: N/A Part V, Section B, line 17e: N/A Part V, Section B, line 18e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 19d: N/A Part V, Section B, line 20d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid) Part V, Section B, line 21: N/A Part V, Section B, line 22: In general, the hospital facility does not charge its FAP-eligible patients an amount equal to the gross charge for any service provided. The hospital may charge an amount equal to the gross charge when it is less than the Medicaid rate. Question 2. NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. North Shore-LIJ conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. M X X X X X false true false false false false false true false KEVIN LAWLOR 665596 0 104400 0 29180 0 263381 0 17193 0 1079750 0 0 0 MICHAEL GROSSO MD 393360 0 35078 0 26090 0 29528 0 15497 0 499553 0 0 0 MICHAEL DOWLING 0 1172902 0 1628000 0 22448 0 1107110 0 21125 0 3951585 0 0 MICHAEL FAGAN 339118 0 31950 0 22065 0 29528 0 25924 0 448585 0 0 0 MICHAEL QUARTIER 384303 0 26650 0 18290 0 29528 0 19549 0 478320 0 0 0 PAUL MACCARO MD 536331 0 0 0 16291 0 29528 0 25924 0 608074 0 0 0 NICK FITTERMAN MD 470275 0 0 0 69 0 29528 0 22500 0 522372 0 0 0 GARY STONE 374946 0 0 0 68101 0 29528 0 25453 0 498028 0 0 0 RUSSELL SCHIFF 440150 0 0 0 69 0 23681 0 0 0 463900 0 0 0 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, LINE 4B Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Kevin Lawlor ($233,853) and Michael Dowling ($1,079,610). BONUS AND INCENTIVE COMPENSATION PART I, LINE 7 On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906JT2 2011-10-06 44125573 2011 BONDS - CAPITAL IMPROVEMENTS false false false A 643624 0 44162975 3551472 366216 0 718466 0 0 7269068 25500313 1451588 true true false true A false false false false 0 false false false true A false true true false false false 0 false 0 false true A true PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS Contemporary Computer Services J Riconda, BD Member 356081 Purchased Computer Services false Patrice Piretti Daughter of BD Member 132326 Hospital Employee false BOARD MEMBER RELATIONS PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2 All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. Michael Brown has a business relationship with Thomas Lederer. Ron Gaudreault has a business relationship with Bernard Rosof, MD. Thomas Lederer has a business relationship with Michael Brown. Lewis Meltzer, Esq has a business relationship with John Riconda and Bernard Rosof, MD. John Riconda has a business relationship with Lewis Meltzer, Esq. Bernard Rosof, MD has a business relationship with Ron Gaudreault and Lewis Meltzer, Esq. EXECUTIVE COMMITTEE PART VI, SECTION B - POLICIES, LINE 11 All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. CONFLICTS OF INTEREST PART VI, SECTION B - POLICIES, LINE 12C As a member of the North Shore-Long Island Jewish Health System, the Hospital has several control mechanisms to mitigate conflicts of interest. The Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, the Code of Ethical Conduct requires individuals to conduct Hospital business in a manner that places the interests of the Hospital ahead of personal interests. In Addition, the Hospital has a Conflicts of Interest Policy statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Hospital are required to fill out a conflicts of interest disclosure form on a regular basis. The system's Corporate compliance office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Hospital's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Hospital provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the code of ethical conduct or any related policy such as the conflicts of interest policy statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. OFFICERS COMPENSATION PART VI, SECTION B - POLICIES, LINE 15 The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations. DISCLOSURES PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. AVERAGE HOURS PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. GOVERNING BODY PART VI, LINE 7 North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. RECONCILIATION OF NET ASSETS PART XI, LINE 9 TRANSFERS TO/FROM AFFILIATES 2,450,000 NON OPERATING GAIN/LOSS (659,706) NET ASSETS RELEASED (399) PY ROUNDING ADJUSTMENT (1,990) TOTAL CHANGE IN NET ASSETS 1,787,905 North Shore LIJ Health System 972 Brush Hollow Rd Westbury NY 11590 113418133 SUPPORT NY 501(C)(3) 11, Type 1 NA false North Shore LIJ Health Care Inc 972 Brush Hollow RD Westbury NY 11590 112965586 SUPPORT NY 501(C)(3) 11, Type 1 NS-LIJHS false North Shore LIJ Health Sys Laboratories 972 Brush Hollow Rd Westbury NY 11590 113412370 SUPPORT NY 501(C)(3) 11, Type 1 NS-LIJHS false Huntington Hosp Dolan Family HLTH Center 284 Pulaski Road Greenlawn NY 11740 113368503 Health Care NY 501(C)(3) 3 Huntington true North Shore University Hospital 972 Brush Hollow Rd Westbury NY 11590 111562701 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Long Island Jewish Medical Center 972 Brush Hollow Rd Westbury NY 11590 112241326 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Glen Cove Hospital 972 Brush Hollow Rd Westbury NY 11590 111633487 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Forest Hills Hospital 972 Brush Hollow Rd Westbury NY 11590 112163522 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Plainview Hospital 972 Brush Hollow Rd Westbury NY 11590 113241243 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Franklin Hospital 972 Brush Hollow Rd Westbury NY 11590 112296824 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Southside Hospital 972 Brush Hollow Rd Westbury NY 11590 111667761 Health Care NY 501(C)(3) 3 NS-LIJ HCI false North Shore Univ Hosp Stern Family CECR 972 Brush Hollow Rd Westbury NY 11590 237007485 Nursing Home NY 501(C)(3) 9 NS-LIJ HCI false North Shore Community Services Inc 972 Brush Hollow Rd Westbury NY 11590 237273200 Housing Comp NY 501(C)(2) N/A NS-LIJHS false Feinstein Institute for Medical Research 972 BRUSH HOLLOW RD Westbury NY 11590 112673595 RESEARCH NY 501(C)(3) 4 NS-LIJHS false North Shore-LIJ Health System Foundation 972 BRUSH HOLLOW RD Westbury NY 11590 112965575 FUNDRAISING NY 501(C)(3) 7 NS-LIJHS false LIJ Medical Center at Home Pharmacy 972 Brush Hollow Road Westbury NY 11590 113251128 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false LIJ Foundation 972 Brush Hollow Road Westbury NY 11590 112661239 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false North Shore-LIJ Medical Care Centers 972 Brush Hollow Road Westbury NY 11590 113473923 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false SSH Inc 972 Brush Hollow Road Westbury NY 11590 112774102 SUPPORT NY 501(C)(3) 11, TYPE 1 SOUTHSIDE false North Shore University Hospital Housing 972 Brush Hollow Road Westbury NY 11590 112171903 Housing Comp NY 501(C)(2) N/A NS-LIJHS false NSUH at Glen Cove Housing 972 Brush Hollow Road Westbury NY 11590 237010468 Housing Comp NY 501(C)(2) N/A NS-LIJHS false Hillside Hospital Houses Inc 972 Brush Hollow Road Westbury NY 11590 112113949 Housing Comp NY 501(C)(2) N/A NS-LIJHS false SIUH Systems Inc 475 Seaview Avenue Staten Island NY 10305 061074604 Fundraising NY 501(C)(3) 7 NS-LIJ HCI false Staten Island University Hospital 475 Seaview Avenue Staten Island NY 10305 112868878 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Staten Island University Hospital Founda 360 Seaview Avenue Staten Island NY 10305 870765787 Fundraising NY 501(C)(3) 7 SIUH false The Heart Institute 475 Seaview Avenue Staten Island NY 10305 311757254 INACTIVE NY 501(C)(3) 11, TYPE 1 NA false CHAPS Community Health Center Inc 1 Edgewater Plaza 6th Floor Staten Island NY 10305 113345477 Inactive NY 501(C)(3) 9 SIUH false Physicians of University Hospital PC 1 Edgewater Plaza 6th Floor Staten Island NY 10305 200096809 Health Care NY 501(C)(3) 11, TYPE 1 SIUH false Hospice Care Network 99 Sunnyside Blvd Woodbury NY 11797 112925757 Hospice NY 501(C)(3) 9 NS-LIJHS false Lenox Hill Hospital 100 East 77th Street New York NY 10021 131624070 Health Care NY 501(C)(3) 3 NS-LIJ HCI false LHH Corporation 100 East 77th Street New York NY 10021 133272016 SUPPORT NY 501(C)(3) 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