2012-12-13T13:17:13-06:00 2011-12-31 990 2011-01-01 111630914 Huntington Hospital Association % MICHAEL FAGAN HUNT 6313512000 270 Park Avenue Huntington NY 11743 KEVIN LAWLOR 2012-12-12 2011 2016-02-24 21:20:13Z Kevin Lawlor CEO 270 PARK AVENUE Huntington NY 11743 289369256 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. 37 29 2297 527 0 1550297 1907708 273611222 283143234 7191528 2065049 3002689 1991176 285355736 289107167 4500 0 0 0 161888938 214282842 0 0 512697 103762798 103240551 265656236 317523393 19699500 -28416226 288838896 325714051 189073931 256929924 99764965 68784127 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 291244409 0 283143234 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 2011, the Hospital had 15,920 inpatient discharges, including the delivery of 1,456 babies. Huntington Hospital provided 50,625 Emergency Department visits and performed 8,691 ambulatory surgeries, including endoscopies and outpatient cardiac catheterizations. 291244409 true true false true false false false false true true false false true true true false true false false false false false false true true true true false false true true false false false false false false false false true true false false false false false true false false false false true 150 1 true 2297 true false false false false false true true false false false true false X 37 29 true false true 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 X KEVIN LAWLOR 50.0 X X 744807 0 313444 MICHAEL GROSSO MD 50.0 X X 442520 0 48226 MICHAEL ABOFF 1.0 X 0 0 0 CARMELA ANGLIM 1.0 X 0 0 0 MICHAEL ALESANDRO 1.0 X 0 0 0 CHRISTOPHER BARBER 1.0 X 0 0 0 MICHAEL BROWN 1.0 X 0 0 0 FRED BUCKHOLTZ 1.0 X 0 0 0 MICHAEL DOWLING 50.0 X 0 2521221 742813 EDNA FETKOWITZ 1.0 X 0 0 0 NICK FITTERMAN MD 50.0 X 438364 0 48226 WILLIAM H FRAZIER 1.0 X 0 0 0 LKEITH FRIEDLANDER ESQ 1.0 X 0 0 0 CLIFFORD FRIEDMAN 1.0 X 0 0 0 J RONALD GAUDREAULT 1.0 X 0 0 0 ANTHONY GIACCONE 1.0 X 0 0 0 ROSALYN C GORDON 1.0 X 0 0 0 JOHN KEAN 1.0 X 0 0 0 THOMAS G LEDERER 1.0 X 0 0 0 EUGENE J LEVITT ESQ 1.0 X 0 0 0 SHIRLEY LEVITT 1.0 X 0 0 0 HARRY F MARIANI 1.0 X 0 0 0 JOHN MCCUSKER 1.0 X 0 0 0 BRIAN MCNALLY 1.0 X 0 0 0 LEWIS MELTZER ESQ 1.0 X 0 0 0 RICHARD MURCOTT 1.0 X 0 0 0 ROBERT MYERS 1.0 X 0 0 0 MARTHA OSTERHAUS CARLSTROM 1.0 X 0 0 0 PATRICIA PETERSEN 1.0 X 0 0 0 BERNARD M ROSOF MD 2.0 X 0 0 0 ROBERT W STACKLER 1.0 X 0 0 0 DOLORES THOMPSON 1.0 X 0 0 0 DOUGLAS BYRNES MD 1.0 X 0 0 0 NOAH FINKEL MD 1.0 X 0 0 0 CARY KRAVET 1.0 X 0 0 0 JOHN R RICONDA 1.0 X 0 0 0 RICHARD KLEINKNECHT 1.0 X 0 0 0 THOMAS HOEFT 50.0 X 1503166 0 39466 MICHAEL FAGAN 50.0 X 385752 0 48226 MICHAEL QUARTIER 50.0 X 337800 0 48226 MYRNA MYERS 50.0 X 295362 0 30868 PAUL MACCARO MD 50.0 X 509218 0 48226 GARY STONE MD 50.0 X 382410 0 47771 MICHAEL BISHAI MD 50.0 X 418036 0 47771 KENT STEPHENSON 50.0 X 396620 0 47771 VIVEKA SAREEN 50.0 X 335748 0 47771 6189803 2521221 1558805 319 false true false CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 NURSING AGENCY 883354 HUNTINGTON MEDICAL GROUP 180 E PULASKI RD HUNTINGTON STATION NY 11746 MEDICAL SERVICES 675199 TRITECH HEALTHCARE MGT LLC 125 NEWTON RD PLAINVIEW NY 11803 BILLING SERVICES 473642 INTENSIVIST CO FKA PHYSICIAN TECH PO BOX 82638 PITTSBURGH PA 15218 BILLING SERVICES 437542 MULLOOLY JEFF ROONEY FLYNN LLP 4 BRIDGE STREET GLEN COVE NY 11542 COLLECTION AGENCY 413110 16 399203 1508505 1907708 PATIENT SVC - HOSPITAL 621300 269802383 269802383 PATIENT SVC-PHYS INC 621300 13340851 13340851 283143234 1840479 1840479 112587 112587 0 433293 433293 433293 105228 19343 12588 105228 6755 111983 236568 399203 225265 11303 90425 24236 66189 0 CAFETERIA INCOME 900099 886251 886251 TELEVISION FEES 900099 159674 159674 GIFT SHOP 900099 139019 139019 295447 295447 1480391 289107167 283143234 3433457 0 0 0 0 4147771 4147771 0 125312187 116054407 8786059 471721 55957088 51955554 3986953 14581 19412951 18024717 1383176 5058 9452845 8776865 673517 2463 0 75236 75236 215305 215305 0 0 0 18490396 17168134 1317444 4818 356075 330612 25370 93 46762987 43418930 3331872 12185 0 0 4933982 4581149 351547 1286 3525 3525 0 363886 337864 25927 95 2182325 2182325 0 13047195 12114180 933015 7012140 7012140 BAD DEBT EXPENSES 5904122 5904122 CENTRALIZED ADMIN EXPENSE 2370000 2370000 DUES & SUBSCRIPTIONS 303441 281742 21620 79 ALL OTHER EXPENSES 1219936 1132697 86921 318 317523393 291244409 25766287 512697 15688644 2617068 23506516 112063289 766565 623083 28578285 27659093 0 0 0 0 0 0 3848500 3719985 4051370 2088563 198747942 77414626 110313386 121333316 84134561 24101239 9775397 0 0 0 0 0 8175672 31508415 288838896 325714051 37103610 41867069 0 0 0 0 41271815 43410000 0 0 0 0 0 0 0 0 110698506 171652855 189073931 256929924 X 95643706 64196127 2961311 3425000 1159948 1163000 99764965 68784127 288838896 325714051 X -28416226 -2564612 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 43030 false 43030 false false 1159948 3427 22421 22421 1163375 1159948 1159948 1159948 1159948 1159948 1159948 1.00000 false false 1255030 1255030 99521873 37958414 61563459 88439112 38874387 49564725 9531927 581825 8950102 121333316 DUE FROM AFFILIATE 8023766 INSURANCE CLAIMS RECEIVABLE 21982745 BOND FINANCING 1340709 OTHER ASSETS 161195 31508415 0 ACCRUED PENSION LIABILITY 105991974 EST THIRD PARTY PAYOR LIBILITE 27140945 ACCRUED MALPRACTICE LIAB 15172000 INSURANCE CLAIMS PAYABLE 21983285 ACCRUED ASSET RETIREMENT OBLIG 136530 BOND PREM/DISCOUNT 1228121 171652855 289107167 317523393 -28416226 -94804 -2469808 -2564612 -30980838 287354632 -94804 -240513 -335317 287689949 1417218 1417218 289107167 275960515 249501 249501 275711014 41812379 41812379 317523393 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 8, PART XII-LINE 2D AND 4B, PART XIII, LINE 2D AND 4B PART XI, LINE 8 TRANSFER FROM AFFILIATES 1,599,333 DEFEASANCE OF LONG TERM DEBT (3,199,443) NONOPERATING CONTRIBUTIONS ( 869,698) TOTAL (2,469,808) PART XII - LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 379,684 SPECIAL EVENT EXP NET AGAINST REVENUE 225,265 GAMING EVENT EXP NET AGAINST REVENUE 24,236 NONOPERATING CONTRIBUTIONS (869,698) TOTAL (240,513) PART XII - LINE 4B TEMP AND PERM RESTRICTED CONTRIBUTIONS 1,417,218 PART XIII - LINE 2D SPECIAL EVENT EXP NET AGAINST REVENUE 225,265 GAMING EVENT EXP NET AGAINST REVENUE 24,236 TOTAL 249,501 PART XIII - LINE 4B ADDITIONAL MINIMUM PENSION LIABILITY 41,812,379 FIN 48 FOOTNOTE Part X, LINE 2: FIN 48 FOOTNOTE 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. GALA 2011 70291 210799 -140508 5166 60525 5500 8140 GOLF CLASSIC 76838 123512 -46674 1790 11092 39761 20574 1706 3 89439 64892 24547 6150 2120 9682 35406 3618 14035 236568 399203 -162635 7940 18378 49443 116505 9118 23881 225265 -387900 90425 24236 false 90425 24236 24236 66189 false NYS LICENSE IS PENDING false true false 1.00000 ROBERT MOTTOLA 270 PARK AVENUE HUNTINGTON NY 11743 false ROBERT MOTTOLA OVBRALL SUPERVISION OF ANNUAL RAFFLE X false true true X true X true X 500. true true true false true true 1 6892 5925000 1084000 4841000 0.01790 1 15829 28058512 18647459 9411053 0.03480 2 22721 33983512 19731459 14252053 0.05270 50 73715 1048405 55003 993402 0.00370 19 468 828445 386771 441674 0.00160 8 166 16198 16198 0.00010 77 74349 1893048 441774 1451274 0.00540 79 97070 35876560 20173233 15703327 0.05810 1 3 2006 2006 1 50 50 2 3 2056 2056 false 5585000 0 91856503 111679179 -19822676 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 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 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 X X X X false true false false false false false true false KEVIN LAWLOR 597817 0 119000 0 27990 0 296193 0 17251 0 1058251 0 0 0 MICHAEL GROSSO MD 378718 0 38212 0 25590 0 22215 0 26011 0 490746 0 0 0 MICHAEL DOWLING 1173096 0 1328000 0 20125 0 721638 0 21175 0 3264034 0 0 NICK FITTERMAN MD 418319 0 20000 0 45 0 22215 0 26011 0 486590 0 0 0 THOMAS HOEFT 1443551 0 36292 0 23323 0 22215 0 17251 0 1542632 0 0 0 MICHAEL FAGAN 330776 0 33411 0 21565 0 22215 0 26011 0 433978 0 0 0 MICHAEL QUARTIER 291261 0 28749 0 17790 0 22215 0 26011 0 386026 0 0 0 MYRNA MYERS 263354 0 25828 0 6180 0 22215 0 8653 0 326230 0 0 0 PAUL MACCARO MD 494404 0 0 0 14814 0 22215 0 26011 0 557444 0 0 0 GARY STONE MD 318224 0 0 0 64186 0 22215 0 25556 0 430181 0 0 0 MICHAEL BISHAI MD 377759 0 40250 0 27 0 22215 0 25556 0 465807 0 0 0 KENT STEPHENSON 385190 0 0 0 11430 0 22215 0 25556 0 444391 0 0 0 VIVEKA SAREEN 302678 0 33040 0 30 0 22215 0 25556 0 383519 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 ($273,978) and Michael Dowling ($694,688). 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). DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906JT2 2011-10-06 44125573 2011 BONDS - CAPITAL IMPROVEMENTS false false false 0 0 44113386 3548171 0 8027861 781466 0 0 3431407 17469252 0 true true false true false false false false 0 true false false false 0 false 0 false true 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 Contemporary Computer Services J Riconda, BD Member 538481 Purchased Computer Services false Patrice Piretti Daughter of BD Member 126666 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. Ron Gaudreault has a business relationship with Bernard Rosof, MD. 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 5 NET UNREALIZED GAINS/(LOSSES) ( 94,804) TRANSFERS TO/FROM AFFILIATES 1,599,333 DEFEASANCE OF LONG TERM DEBT (3,199,443) NON OPERATING CONTRIBUTIONS ( 477,592) TOTAL CHANGE IN NET ASSETS (2,172,506) 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:KEVIN LAWLOR TITLE:PRESIDENT/CEO HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL GROSSO MD TITLE:SR VP MEDICAL AFFAIRS HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL DOWLING TITLE:BOARD MEMBER/CEO NSLIJ HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NICK FITTERMAN, MD TITLE:Medical Dir - Hosp SVC HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL FAGAN TITLE:VP FINANCE/CFO HOURS:50 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 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