2012-12-13T13:17:13-06:00 2011-12-31 990 2011-01-01 131624070 Lenox Hill Hospital C/O NORTH SHORE-LIJ HEALTH SYSTEM % NORTH SHORE- LIJ HEALTH SYST LENO 5168766061 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 ROBERT S SHAPIRO 2012-12-12 2011 2016-02-24 21:20:13Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 715713817 false X www.lenoxhillhospital.org X 1861 NY LENOX HILL STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. 152 144 4562 650 2420 10872000 9512852 600614972 627551168 7508235 8872376 5852550 3216238 624847757 649152634 0 0 0 0 315726724 432128874 0 0 184737 314108095 281028534 629834819 713157408 -4987062 -64004774 1113995087 1167036827 575776253 624406016 538218834 542630811 LENOX HILL HOSPITAL IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. false false 621274437 0 592512326 LENOX HILL HOSPITAL ("LHH") IS A 632-BED ACUTE CARE TEACHING HOSPITAL THAT HAS A TRADITION OF PROVIDING OUTSTANDING PATIENT CARE AND INNOVATIVE MEDICAL AND SURGICAL TREATMENT. IN 2011, LHH HAD 31,633 DISCHARGES, DELIVERED 4,130 BABIES, PROVIDED 39,253 EMERGENCY DEPARTMENT VISITS AND PERFORMED 25,850 AMBULATORY SURGERIES. 34710043 0 35038842 MANHATTAN EYE, EAR & THROAT HOSPITAL (MEETH) WAS ESTABLISHED IN 1869 AND IS INTERNATIONALLY RECOGNIZED FOR ITS ACCOMPLISHMENTS I OPHTHALMOLOGY, OTOLARYNGOLOGY, ORTHOPEDICS, PLASTIC SURGERY AND MANY OTHER SERVICES. 655984480 true true false true false false false false true true false false true true true false true false false true false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 9 0 true 4562 true true true true CJ EI BF false false false false false false false false false X 152 144 true false true false false true true true true false false true true true true true true true true true true NY X X NORTH SHORE- LIJ HEALTH SYST 5168766061 972 BRUSH HOLLOW RD Westbury NY 11590 X Richard D Goldstein 3.0 X 0 0 0 William O Hiltz 3.0 X 0 0 0 Michael J Dowling 50.0 X X 0 2521221 742813 Mark Claster 2.0 X 0 0 0 William L Mack 2.0 X 0 0 0 Barry Rubenstein 2.0 X 0 0 0 Paul B Guenther 2.0 X 0 0 0 Marlene Hess 2.0 X 0 0 0 Michael Hoffman 2.0 X 0 0 0 Michael Gould 2.0 X 0 0 0 Catherine C Foster 2.0 X 0 0 0 Jim McMullen 2.0 X 0 0 0 Lawrence G Smith MD 50.0 X X 0 774723 43937 Mark J Solazzo 50.0 X X 0 1312802 138838 Howard B Gold 50.0 X X 0 1039768 351634 Jeffrey A Kraut 50.0 X X 0 767349 221731 Robert S Shapiro 50.0 X X 0 1047340 262780 Eugene S Tangney 50.0 X X 0 705151 93957 Keith C Thompson 50.0 X X 0 856803 356015 Harry E Gindi 37.5 X X 0 304339 42050 Ralph Nappi 50.0 X 0 774818 534580 Anthony C Ferreri 50.0 X 0 1041142 289942 Kevin F Lawlor 50.0 X 0 744807 313444 NON-COMPENSATED TRUSTEES 2.0 X 0 0 0 Philip Rosenthal 50.0 X 921727 0 12604 FRANK DANZA 50.0 X 0 731183 40850 ARTHUR KLEIN 50.0 X 0 860780 40850 Mitchell Roslin MD 50.0 X 1368223 0 9441 Paresh Shah MD 50.0 X 949128 0 9441 Richard Green MD 50.0 X 1089539 161426 45229 Vicken Pamoukian MD 50.0 X 871020 150750 58441 JACK ANSELL 50.0 X 773794 5769 9885 5973431 13800171 3618462 587 false true false CAESAR NAPOLI ATTORNEYS AT LAW 350 BROADWAY 10TH FL NEW YORK NY 10013 LEGAL SERVICES 862058 APOLLO SECURITY 2150 BOSTON-PROVIDENCE HIGHWAY WALPOLE MA 02081 SECURITY SERVICES 216896 ACCESS PRIVATE DUTY SERVICES 411 MANVILLE RD PLEASANTVILLE NY 10570 NURSING SERVICES 170695 MANHATTAN'S PHYSICIAN GROUP 499 WASHINGTON BLVD 14TH FL JERSEY CITY NJ 07310 PHYSICIAN SERVICES 166677 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 STAFFING SERVICES 131471 8 9053515 49381 409956 9512852 NET PATIENT SERVICE REVENUE 900099 449592522 449592522 MEDICARE/MEDICAID PAYMENTS 900099 177958646 177958646 627551168 6110637 2420 6108217 76418 76418 0 7119803 7025712 94091 94091 62045921 174871 59535471 2510450 174871 2685321 0 0 0 CAFETERIA REVENUE 900099 1556778 1556778 TELEPHONE 900099 143223 143223 X-RAY DUPLICATION 900099 19615 19615 1402531 1402531 3122147 649152634 627570783 2420 9287167 0 0 0 0 921727 921727 0 297864068 288749428 9023494 91146 76822630 74471857 2327265 23508 38353984 37180352 1161896 11736 18166465 17610571 550335 5559 11050 11050 68638 68638 0 0 0 0 10061999 9754102 304818 3079 295702 286654 8958 90 142892336 138519831 4328780 43725 0 0 15279949 14812382 462891 4676 429799 429799 0 490031 490031 8704043 8704043 0 30574556 29638975 935581 8783906 8783906 BAD DEBT 13973217 13973217 PURCHASED SERVICES 15859287 15859287 CENTRALIZED ADMIN EXPENSE 28959538 28959538 DUES & SUBSCRIPTIONS 667074 646662 20412 3977409 3855699 120492 1218 713157408 655984480 56988191 184737 0 2307083 49271203 164742510 3057309 373783 76518963 68843307 0 0 0 0 590962 7260752 12891694 12002035 5979642 1519119 811529261 44272999 697041324 767256262 209778470 47582495 0 0 0 0 0 0 58865520 95149481 1113995087 1167036827 100131012 88063304 0 0 0 0 123494448 108475000 0 0 0 0 32600000 32600000 0 0 319550793 395267712 575776253 624406016 X 470765834 452772781 44453000 66725499 23000000 23132531 538218834 542630811 1113995087 1167036827 X -64004774 68416751 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 65760 false 65760 false false 67453000 19774644 2829820 199434 89858030 65677000 2077000 1374000 1675000 67453000 69518000 4448000 1819000 10108000 65677000 74363000 55000 -3782000 1118000 69518000 0.68000 0.32000 false false 526100000 526100000 163034771 153499687 147684803 103860760 26060520 77800240 18533730 2862511 15671219 767256262 INTEREST IN FOUNDATION 15233001 SECURITY DEPOSITS 253134 INVESTMENT IN OTHER 6930596 NET BOND ISSUANCE COSTS 3332822 INTANGIBLE ASSETS 11133337 INSURANCE CLAIMS RECEIVABLE 52694996 OTHER ASSETS 5571595 95149481 0 DUE TO AFFILIATES 603185 DUE TO THIRD PARTY PAYORS 107748369 PROESSIONAL SELF - INSURANCE 52694996 OTHER LIABILITY 415174 MALPRACTICE INSURANCE 62108704 ACCRUED PENSION LIABILITY 162820436 BOND PREMIUM/DISCOUNT 4024652 CAPITAL LEASE PAYABLE 4852196 395267712 649152634 713157408 -64004774 -5407624 73824375 68416751 4411977 637608423 -3747903 -4150948 -7898851 645507274 3645360 3645360 649152634 657734192 7025712 7025712 650708480 62448928 62448928 713157408 SCHEDULE D, SUPPLEMENTAL INFORMATION Part V, Line 4 The Hospital has adopted an investment policy for endowment assets that attempts to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets. The Hospital's endowment includes donor-restricted endowment funds. Net assets associated with endowment funds are classified and reported based on the existence or absence of door-imposed restrictions. FIN 48 PART X, LINE 2 Certain organizations included in the System's consolidated financial statements are taxable entities under Federal or state laws. 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, 2011 and 2010, 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. The System has net operating loss carry forwards of approximately $113,555,000, which expire in varying amounts through 2031, and are available to offset future taxable income. OTHER CHANGES IN NET ASSETS PART XI, LINE 8 DEFEASANCE OF LONG TERM DEBT (4,167,184) MEDICAL TAX RECOVERY 16,236 OTHER CHANGES IN NET ASSETS 54,000,000 CHANGE IN EQUITY UNDER FAS 136 13,593,113 NET ASSETS RELEASED (9,411) ADJ TO ACCRUAL OF AFFILIATES 10,391,621 TOTAL 73,824,375 REVENUE ON BOOKS NOT ON RETURN PART XII, LINE 2D MEDICAL TAX RECOVERY 16,236 DEFEASANCE OF LONG TERM DEBT (4,167,184) TOTAL (4,150,948) REVENUE ON RETURN BUT NOT ON BOOKS PART XII, LINE 4B RESTRICTED INVESTMENT 4,489,541 RESTRICTED CONTRIBUTIONS 6,181,531 RENTAL EXPENSE ALLOCATION (7,025,712) TOTAL 3,645,360 EXPENSES RECONCILIATION PART XIII, LINE 2D & LINE 4B EXPENSE ON BOOKS NOT ON RETURN RENT EXPENSE ALLOCATION 7,025,712 TOTAL 7,025,712 EXPENSE ON RETURN NOT ON BOOK ADDITIONAL MINIMUM PENSION LIABILITY 62,448,928 TOTAL 62,448,928 Central America and the Caribbean Investments 44302745 Europe (Including Iceland and Greenland) Investments 29329564 73632309 73632309 false false false false false false true true X true X true X 500. true true true false true true 1 15328 5646000 2354000 3292000 0.00510 1 21262 71335553 45894845 25440708 0.03950 2 36590 76981553 48248845 28732708 0.04460 83 10812 1119213 230301 888912 0.00140 13 1952 49567330 20221660 29345670 0.04560 3 1076 105541 105541 0.00020 99 13840 50792084 20451961 30340123 0.04720 101 50430 127773637 68700806 59072831 0.09180 false 13174000 0 155774086 157583324 -1809238 X true true 1 1 LENOX HILL HOSPITAL

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OUTPATIENT PHYSICIAN CLINIC PART VI - SUPPLEMENTAL INFORMATION Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System, Inc. ("North Shore-LIJ") or ("the System"). North Shore-LIJ uses Federal Poverty Guidelines ("FPG') to determine eligibility. North Shore-LIJ utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets and will only review a patient's assets if they fall within the family size and income levels approved by New York State. 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. In the consideration of assets, the following assets will not be included: primary residence, tax-deferred or comparable retirement accounts, college savings accounts and cars used by the patient or patient's family. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-LIJ Health System, Inc.) 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/NSLIJ/About+Us+Community+Service+Plans 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 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) is not included for purposes of calculating the percent of total expense in column (f). 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 hospital 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 7 (a)-(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 programs. Column (f) for Rows (a)-(k) Theses percentages are calculated using Net Community Benefit Expenses divided by Total Expenses, excluding bad debt, for the hospital. Note: For the entire North Shore-LIJ Health System, Part I, Line 7 Row (k), Column (f) is approximately 10.5% 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 are open to the public. These activities 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 the Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and is a designated 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 North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances will assist with the transport of patients throughout the metropolitan area, stand ready to distribute food, medicine, and blankets to numerous individuals who may lose power in their homes. 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. The bad debt expense is multiplied by the ratio of cost to charges for purposes of inclusion in the total uncompensated care amount identified. 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. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. As a result of the fulfillment of the exemption under 501(c)(3) of the Internal Revenue Code, a portion of the bad debt is derived from the hospital's obligation not to turn away the community it serves, regardless of ability to pay. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings to arrive at the routine costs of services provided for each patient type, and a 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 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 hospital'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 9: The hospital used the federal poverty guidelines (FPG) limit of 100% to determine eligibility for providing free care although in practice that percentage can be higher based on the facts and circumstances on a case by case basis. Part V, Section B, line 10: The hospital used the FPG limit of 500% to determine eligibility for providing discounted care. The amount of discounted care is based on the facts and circumstances on a case by case basis. Part V, Section B, line 11h: The hospital used the following factors to determine the basis for calculating amounts charged to patients: (a) income level, (b) asset level, (d) insurance status, (e) uninsured discount, (f) Medicaid/Medicare, (g) state regulation, and (h) other - household size. Part V, Section B, line 13g: The hospital used the following measures to publicize the policy within the community served by the hospital facility: (a) the policy is posted on the hospital facility's website, (b) the policy is attached to billing invoices, (c) the policy is posted in the hospital facility's emergency rooms or waiting rooms, (d) the policy is posted in the hospital facility's admissions offices, (e) the policy is provided, in writing, to patients on admission to the hospital facility, (f) the policy is available on request, (g) the policy is included in the hospital's Community Service Plan and (h) other - the policy is provided at health fairs and presentations open to the community at no cost, in addition to the mailing of STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI NY, X true true X X X X X X false true false false false false false false false Michael J Dowling 0 1173096 0 1328000 0 20125 0 721638 0 21175 0 3264034 0 0 Lawrence G Smith MD 0 675150 0 75780 0 23793 0 26950 0 16987 0 818660 0 0 Mark J Solazzo 0 975957 0 300000 0 36845 0 120413 0 18425 0 1451640 0 0 Howard B Gold 0 870612 0 146405 0 22751 0 333605 0 18029 0 1391402 0 0 Jeffrey A Kraut 0 622817 0 122482 0 22050 0 203691 0 18040 0 989080 0 0 Robert S Shapiro 0 869950 0 155520 0 21870 0 244560 0 18220 0 1310120 0 0 Eugene S Tangney 0 589571 0 112842 0 2738 0 74095 0 19862 0 799108 0 0 Keith C Thompson 0 697420 0 130000 0 29383 0 340418 0 15597 0 1212818 0 0 Harry E Gindi 0 272365 0 28591 0 3383 0 26950 0 15100 0 346389 0 0 Philip Rosenthal 648777 0 250000 0 22950 0 0 0 12604 0 934331 0 0 0 Ralph Nappi 0 649111 0 100000 0 25707 0 515655 0 18925 0 1309398 0 0 Anthony C Ferreri 0 880730 0 140660 0 19752 0 273335 0 16607 0 1331084 0 0 Kevin F Lawlor 0 597817 0 119000 0 27990 0 296193 0 17251 0 1058251 0 0 Mitchell Roslin MD 738513 0 629440 0 270 0 0 0 9441 0 1377664 0 0 0 Paresh Shah MD 738513 0 210435 0 180 0 0 0 9441 0 958569 0 0 0 Richard Green MD 972857 161426 97632 0 19050 0 0 36583 8646 0 1098185 198009 0 0 Vicken Pamoukian MD 481597 150750 389243 0 180 0 0 49000 9441 0 880461 199750 0 0 JACK ANSELL 625834 5769 128910 0 19050 0 0 0 9885 0 783679 5769 0 0 FRANK DANZA 0 557621 0 143112 0 30450 0 26950 0 13900 0 772033 0 0 ARTHUR KLEIN 0 678320 0 163980 0 18480 0 26950 0 13900 0 901630 0 0 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). 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 Michael J Dowling ($694,688), Mark Solazzo ($93,463), Robert Shapiro ($217,610), Howard Gold ($306,655), Keith Thompson ($313,468), Jeffrey Kraut ($176,741), Eugene Tangney ($47,145), Ralph Nappi ($488,705), Anthony Ferreri ($235,564) and Kevin Lawlor ($273,978). DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906JT2 2011-09-01 110254143 2011 BONDS false false false 0 0 110232654 8866342 0 20060405 1952765 0 0 8574564 43653008 0 true true false true false false false false 0 true false false false 0 false 0 false X 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 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. William Achenbaum has a business relationship with Eric and Roger Blumencranz. John Alexander has a business relationship with John Shall and Stanley Applebaum. Philip Altheim has a business relationship with Eric Blumencranz. Stanley Applebaum has a business relationship with John Alexander and John Shall. Michael Ashner has a business relationship with William Mack. Morton Bass has a family relationship with Sandra Atlas Bass. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Richard Guarasci, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Seth Kupferberg, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Mark Solazzo, Donald Zucker, Barbara Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with William Mack. Steve Braun has a family relationship with Richard Sims. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz. Philippe Dauman has a business relationship with Michael Hoffman. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. Leonard Feinstein has a business relationship with William Mack. Anthony Ferreri has a family and business relationship with John Shall. Lloyd Goldman has a business relationship with Eric Blumencranz, Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman, William Mack, and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. James R. Greene has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. Stanley Grey has a business relationship with Roger Blumencranz. Richard Guarasci has a business relationship with Eric Blumencranz. Paul Guenther has a business relationship with Michael Hoffman. William Hiltz has a business relationship with Michael Hoffman and Jeff Maurer. Michael Hoffman has a business relationship with Phillipe Dauman, Paul Guenther, Marlene Hess, William Hiltz and Richard Nye. Richard Horowitz has a business relationship with Eric and Roger Blumencranz. Jeffrey Jurick has a family relationship with Lynn Jurick. He has a business relationship with Eric and Roger Blumencranz. Lynn Jurick has a family relationship with Jeffrey Jurick. She has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with Saul Katz, Curt Launer and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with Mark Claster, Michael Katz, Curt Launer and Michael Slade. Seth Kupferberg has a business relationship with Eric Blumencranz. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz. David Lehr has a business relationship with Ronald Mazzucco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric and Roger Blumencranz. David Mack has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein, Scott Rudolph, Richard Goldstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric Blumencranz. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster and F.J. McCarthy. Dr Bernard Rosof has a business relationship with Huntington Hospital Trustees. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein, William Mack and Mark Claster. Scott Rudolph has a business relationship with William Mack. John Shall has a family relationship with Anthony Ferreri. He has a business relationship with Anthony Ferreri, Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack. 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 The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System 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 Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The 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 Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System 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 CURRTENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. NON-COMPENSATED TRUSTEES PART VII, SECTION A - LINE 1A Richard S. Abramson Albert L. Granger, DDS Katherine McEnroe William Achenbaum Alan I. Greene James McMullen John W. Alexander James R. Greene Charles Merinoff Ira I. Altfeder Stanley Grey Aimee Merszei Philip S. Altheim Richard Guarasci, PhD Richard D. Monti Stanley A. Applebaum Paul B. Guenther Tomas D. Morales, PhD Michael L. Ashner Henry L. Hackmann Richard Murcott Beverly VP. Banker Amy M. Hagedorn Ralph A. Nappi Ralph M. Baruch Stephen L. Hammerman Richard B. Nye Morton M. Bass Ira Hazan Clyde I. Payne, Ed.D. Frank J. Besignano Linda W. Heaney Arnold S. Penner Elise M. Bloom Marlene Hess John J. Raggio Eric S. Blumencranz William O. Hiltz Lewis S. Ranieri Roger A. Blumencranz Michael Hoffman Jay R. Raubvogel David Blumenfeld Gedale B. Horowitz Corey Ribotsky Edward Blumenfeld Richard A. Horowitz Dennis Riese E. Steve Braun M. Allan Hyman Terry P. Rifkin, M.D. Dayton T. Brown, Jr Mark Jacobson Robert A. Rosen Allen E. Busching Jeffrey Jurick Marcie Rosenberg Jonathan S. Canno Lyn Jurick Robert D. Rosenthal Michael Caridi Arthur Kalish Bernard M. Rosof, M.D. Rev. Carolina Sr, Ed.D Steven L. Kantor Jack J. Ross Rudolph C. Carryl David M. Katz Barry Rubenstein Robert W. Chasanoff Michael Katz Herbert Rubin Alan Chopp Saul B. Katz Scott Rudolph Mark Claster Lisa A. Kaufman Michael H. Sahn Diana F. Colgate Robert Kaufman Frank W. Scarangello, Sr. Daniel M. Crown Cary Kravet Norman Schlanger Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Robert F. Shapiro Thomas E. Dewey, Jr. Curt N. Launer Marc V. Shaw Thomas E. Dooley Laura Lauria Sean G. Simon Michael J. Dowling Kevin F. Lawlor Richard Sims Robert N. Downey Michale S. Leeds Michael C. Slade Melvin Dubin David W. Lehr Phyllis Hill Slater Patrick R. Edwards Jonathan W. Leigh Howard D. Stave Toni J. Elliott Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine Maganlal Sutaria, M.D. Leonard Feinstein Stuart R. Levine John B. Thomson, Jr. Michael E. Feldman Seth Lipsay Peter Tilles Anthony C. Ferreri David S. Mack Sandra Tytel Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Howard S. Maier Gary Walter William H. Frazier Linda Manfredi Howard Weingrow Eugene B. Friedman, M.D.James S. Marcus Lewis M. Weston Sy Garfinkel Bradley Marsh, D.P.M. Jon A. Wurtzburger Lloyd Michael Goldman Jeffrey S. Maurer Barbara Hrbek Zucker Richard D. Goldstein Ronald J. Mazzucco Donald Zucker J. Joaquin Gonzalez F.J. McCarthy Roy J. Zuckerberg Michael Gould Patrick F. McDermott 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 5 CHANGE IN NET UNREALIZED GAINS/LOSSES (5,407,624) DEFEASANCE OF LONG TERM DEBT (4,167,184) MEDICAL RESIDENT TAX RECOVERY 16,236 OTHER CHANGES IN NET ASSETS 54,000,000 CHANGE IN EQUITY UNDER FAS 136 13,593,113 NET ASSETS RELEASED (9,411) ADJ TO ACCRUAL OF AFFILIATES 10,391,621 TOTAL 68,416,751 BY-LAW CHANGES PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 4 The By-Law changes makes the corporation a member of an obligated group for financing purposes, with other member-hospitals of the North Shore-Long Island Jewish Health System. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard D. Goldstein TITLE:Chairman HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William O. Hiltz TITLE:Chairman of Exec Committe HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael J. Dowling TITLE:President & CEO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mark Claster TITLE:Vice Chairman HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William L. Mack TITLE:Vice Chairman HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Barry Rubenstein TITLE:Vice Chairman HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Paul B. Guenther TITLE:Vice Chairman of Exec Com HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Marlene Hess TITLE:Vice Chairman of Exec Com HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael Hoffman TITLE:Treasurer HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael Gould TITLE:Assistant Treasurer HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Catherine C. Foster TITLE:Secretary HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jim McMullen TITLE:Assistant Treasurer HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Lawrence G. Smith, MD TITLE:EVP, PHYSICIAN IN CHIEF HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mark J. Solazzo TITLE:EVP & COO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Howard B. Gold TITLE:SVP, Revenue & Business Dev HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jeffrey A. Kraut TITLE:SVP, Planning HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert S. Shapiro TITLE:SVP/CFO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Eugene S. Tangney TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Keith C. Thompson TITLE:SVP & General Counsel HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Harry E. Gindi TITLE:Assistant Secretary HOURS:38 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ralph Nappi TITLE:TRUSTEE AND PRES. FOUNDATION HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Anthony C. Ferreri TITLE:TRUSTEE AND PRES/CEO SIUH HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kevin F. Lawlor TITLE:TRUSTEE AND PRES/CEO HUNT HOSP HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE O HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Philip Rosenthal TITLE:Executive Director HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FRANK DANZA TITLE:EXECUTIVE DIRECTOR HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR KLEIN TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mitchell Roslin MD TITLE:Director - Obesity Surgery HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Paresh Shah MD TITLE:Chief Laparoscopic Surgery HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard Green MD TITLE:Chairman - Dept of Surgery HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Vicken Pamoukian MD TITLE:Director - Endovascular Surg HOURS:50 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