2011-11-15T09:43:12-06:00 2010-12-31 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2010-01-01 134091675 STARNET EMERGENCY SERVICES INC STAR 9142735454 ONE NORTH GREENWICH ROAD ARMONK NY 10504 SHARON M LUCIAN 9142735454 2011-11-14 5169187000 2010 2016-02-24 21:20:13Z WESTCHESTER EMS ARTHUR A NIZZA ONE NORTH GREENWICH ROAD ARMONK NY 10504 4831059 0 X N/A X 1999 NY SEE SCHEDULE O 6 0 102 0 0 0 0 0 4667716 4829002 2143 2057 0 0 4669859 4831059 0 0 0 0 2925425 3065766 0 0 0 1583886 1702428 4509311 4768194 160548 62865 2406486 3061007 1266580 1858235 1139906 1202772 X SEE SCHEDULE O 0 0 2744570 3328481 SEE SCHEDULE O 1376546 1500521 SEE SCHEDULE O 4121116 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 10 0 1 102 1 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARC ORLICK 9142735454 ONE NORTH GREENWICH ROAD ARMONK NY 10504 ARTHUR NIZZA 2.00 X X 0 595765 84061 EDWARD DINAN 2.00 X 0 994542 420573 KEITH SAFIAN 2.00 X 0 889322 251724 JON SCHANDLER 2.00 X 0 1559576 45472 JOEL SELIGMAN 2.00 X 0 1137749 27306 SHARON LUCIAN 2.00 X X 0 335167 59555 ALFRED KIM 38.00 X 115493 0 27067 115493 5512121 915758 1 0 1 0 PROCLAIM ONE CENTRAL AVENUE SUITE 305 TARRYTOWN NY 10591 BILLING SERVICE 224039 MCNEIL & COMPANY PO BOX 28 ONEIDA NY 13421 INSURANCE 216502 PHYSIO CONTROL INC 11811 WILLOWS RD NE REDMOND WA 980739706 MEDICAL EQUIPMENT 173415 WRIGHT EXPRESS C/O FLEET FUELING PO BOX 6293 CAROL STREAM IL 601976293 FUEL SUPPLIER 150945 AMERICAN AMBULANCE & AMBULANCE REPAIR 1865 MAYFLOWER AVE BRONX NY 10461 VEHICLE REPAIR/MAINT. 137473 7 NET PATIENT SVCS REV 621910 3035885 3035885 FLY CAR/AMBULANCE 621910 1500521 1500521 SOMERS DISPATCH REV 621910 140608 140608 SOMERS FD AMBL COVERAG 621910 136988 136988 EMERGENCY SERVICES 621910 15000 15000 4829002 2057 2057 4831059 4829002 0 2057 2376148 2138533 237615 93017 83715 9302 596601 536941 59660 32249 32249 285586 285586 232983 209685 23298 58199 52379 5820 5216 4694 522 24354 24354 180034 180034 217937 217937 EQUIP. R&M 199353 199353 CONSULTING 185623 167061 18562 BAD DEBT EXPENSE 165794 165794 PHARMACEUTICALS 43740 43740 RECRUITMENT SERVICES 4228 4228 67132 60419 6713 4768194 4121116 647078 0 923792 798343 553716 670329 119314 157530 2137182 1569688 400587 567494 222250 201250 186827 666061 2406486 3061007 675550 876091 499912 471651 91118 510493 1266580 1858235 X 1139906 1202772 1139906 1202772 2406486 3061007 X 62865 1 X 0 1 1 X 0 X 4107400 4266178 4402213 4668527 4829002 22273320 4107400 4266178 4402213 4668527 4829002 22273320 0 0 0 22273320 20379 19115 6535 2143 2057 50229 20379 19115 6535 2143 2057 50229 4127779 4285293 4408748 4670670 4831059 22323549 0.99770 0.99730 0.00230 0.00270 X 2137182 1569688 567494 567494 AMBULANCE REPLACEMENT FUND 137006 SOMERS DISPATCH RECEIVABLE 11725 FLY CAR REPLACEMENT FUND 121835 FLY CAR RECEIVABLE 364153 SOMERS FD RECEIVABLE 30442 OTHER RECEIVABLES 900 666061 DUE TO HOSPITALS 45648 DUE TO HEALTHSTAR/STELLARIS 100694 DEFFERED FLY CAR REVENUE 364151 510493 0 1 0 0 0 0 0 0 0 ARTHUR NIZZA 0 408482 0 157320 0 29963 0 62560 0 21501 0 679826 0 0 EDWARD DINAN 0 789256 0 191340 0 13946 0 396946 0 23627 0 1415115 0 0 KEITH SAFIAN 0 512375 0 324754 0 52193 0 224996 0 26728 0 1141046 0 0 JON SCHANDLER 0 970033 0 575000 0 14543 0 22050 0 23422 0 1605048 0 0 JOEL SELIGMAN 0 567167 0 552090 0 18492 0 9800 0 17506 0 1165055 0 0 SHARON LUCIAN 0 250040 0 85127 0 0 0 42805 0 16750 0 394722 0 0 PART I, LINE 4B KEITH SAFIAN IS THE PRESIDENT AND CEO OF PHELPS MEMORIAL HOSPITAL ASSOCIATION. PHELPS MEMORIAL HOSPITAL MAKES CONTRIBUTIONS TO A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ON BEHALF OF ITS EXECUTIVES. THESE CONTRIBUTIONS ARE NON TAXABLE AND ARE REPORTED IN COLUMN (C) OF SCHEDULE J. FORM 990, SCHEDULE J, LINE 4B JOEL SELIGMAN, THE PRESIDENT AND CEO OF NORTHERN WESTCHESTER HOSPITAL ASSOCIATION, HAS RECEIVED PAYMENT FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN 2010. THIS AMOUNT OF $270,000 IS REFLECTED IN SCHEDULE J, PART II COLUMN (B)(II). FORM 990, SCHEDULE J, LINE 4B ED DINAN, PRESIDENT AND CEO OF LAWRENCE HOSPITAL CENTER, PARTICIPATES IN A DEFERRED COMPENSATION PLAN. THE AMOUNT DEFERRED IN 2010 IS $396,946 AND IS BEING REPORTED ON SCHEDULE J, COLUMN (C). FORM 990, SCHEDULE J, LINE 4B BOTH SHARON LUCIAN AND ARTHUR NLZZA PARTICIPATE IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR HEALTHSTAR NETWORK INC D/B/A STELLARLS HEALTH NETWORK. THIS IS A SECTION 457(F) PLAN DUE TO A SUBSTANTIAL RISK OF FORFEITURE, THERE IS NO GUARANTEE THAT MS LUCIAN AND MR NIZZA WILL EVER RECEIVE THE BENEFITS UNDER THE 457 PLAN. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, LINE 4 THE OFFICERS LISTED ON PART VII AND SCHEDULE J OF THE STARNET FORM 990 DO NOT RECEIVE COMPENSATION AS OFFICERS OF STARNET, BUT AS OFFICERS OF THEIR RELATED HOSPITAL ORGANIZATIONS. THIS COMPENSATION IS PAID SOLELY BY RELATED ORGANIZATIONS. EACH OFFICER, AS THE TOP MANAGEMENT OFFICIAL, OF HIS OR HER RESPECTIVE HOSPITAL MAY PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, LINE 7: BONUS COMPENSATION WAS PAID BY HEALTHSTAR NETWORK, INC. TO CERTAIN OFFICERS AND SENIOR STAFF IN 2010. SUCH COMPENSATION WAS AWARDED TO THOSE INDIVIDUALS BASED ON THE INDIVIDUAL'S RESPECTIVE JOB PERFORMANCE AND ACCOMPLISHMENTS ACHIEVED AS DETERMINED BY EITHER THE MANAGEMENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IN THE CASE OF THE OFFICERS OR BY EXECUTIVE LEADERSHIP IN THE CASE OF SENIOR STAFF. ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE 1 STARNET EMERGENCY SERVICE INC.'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE FIRST RESPONSE PARAMEDIC SERVICE, BASIC AND ADVANCED LIFE SUPPORT AMBULANCES, AND DISPATCHING SERVICES IN WESTCHESTER COUNTY, NEW YORK. ORGANIZATION MISSION STATEMENT FORM 990, PART III, LINE 1 STARNET EMERGENCY SERVICE INC.'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE FIRST RESPONSE PARAMEDIC SERVICE, BASIC AND ADVANCED LIFE SUPPORT AMBULANCES, AND DISPATCHING SERVICES IN WESTCHESTER COUNTY, NEW YORK. PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A STARNET'S PRIMARY PROGRAM SERVICE ACTIVITY IS THE OPERATION FLEET OF AMBULANCES TO PROVIDE TRANSPORTATION TO HOSPITALS IN THE WESTCHESTER COMMUNITY. ITS DISPATCH CENTER IS STAFFED 24-HOURS A DAY BY APCO TRAINED PUBLIC SAFETY DISPATCHERS; IT OPERATES A SECONDARY PUBLIC SERVICE ANSWERING POINT (PSAP) FOR THE WESTCHESTER 911 SYSTEM AND DISPATCHES EMERGENCY FIRE AND MEDICAL CALLS IN THE COMMUNITY. PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4B STARNET OPERATES FULL-TIME PARAMEDIC RESPONSE VEHICLES OR "FLYCARS" IN NORTHERN WESTCHESTER WHICH PROVIDE ADVANCED LIFE SUPPORT (ALS) CARE TO THE MUNICIPALITIES OF BEDFORD, LEWISBORO, MOUNT KISCO, NEW CASTLE, NORTH CASTLE, NORTH SALEM, POUND RIDGE, AND SOMERS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF STARNET EMERGENCY INC. CONSISTS SOLELY OF HEALTHSTAR NETWORK, INC., D/B/A STELLARIS HEALTH NETWORK (THE "MEMBER"). FORM 990, PART VI, SECTION A, LINE 7A STARNET EMERGENCY INC. IS AN AFFILIATE AND DIRECT SUBSIDIARY OF HEALTHSTAR NETWORK INC., D/B/A STELLARIS HEALTH NETWORK. EVERY MEMBER OF THE STARNET EMERGENCY INC.'S BOARD OF DIRECTORS (GOVERNING BODY) SERVES AT THE DETERMINATION OF THE HEALTHSTAR NETWORK, INC. AT IT'S DISCRETION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO EACH OF STARNET'S SIX BOARD OF DIRECTORS MEMBERS. THE FORM 990 WAS REVIEWED BY EACH INDIVIDUAL FOR COMPLETENESS AND ACCURACY AND COMMENTS WERE PROVIDED TO THE ORGANIZATION'S TAX PREPARER. A COPY OF THE FINAL 990 WAS DISTRIBUTED VIA PDF TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION OPERATES UNDER THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, HEALTHSTAR NETWORK INC D/B/A STELLARLS HEALTH NETWORK, INC. EACH BOARD MEMBER IS REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL SURVEY/QUESTIONNAIRE SUBMITTED TO THE NETWORK'S COMPLIANCE OFFICER. THE SUBMITTED QUESTIONNAIRE IS REVIEWED BY THE NETWORK'S COMPLIANCE OFFICER AND REFERRED TO THE BOARD WHEN APPROPRIATE TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, LINE 13 & 14 THE ORGANIZATION OPERATES UNDER THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION POLICY OF ITS PARENT ORGANIZATION, HEALTHSTAR NETWORK INC. D/B/A STELLARIS HEALTH NETWORK, INC. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION REPORTED ON SCHEDULE J TO THE OFFICERS LISTED IS PAID BY STARNET'S PARENT ORGANIZATION, HEALTHSTAR NETWORK, INC D/B/A STELLARIS HEALTH NETWORK, INC. AND RELATED ENTITIES OF STELLARIS HEALTH NETWORK, INC. THE PROCESS FOR DETERMINING COMPENSATION FOR THESE INDIVIDUALS HAS BEEN DISCLOSED ON THE PARENT ORGANIZATION'S FORM 990. FORM 990, PART VI, SECTION C, LINE 19 THE TAXPAYER MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: ROUNDING 1. TOTAL TO FORM 990, PART XI, LINE 5: 1. HEALTHSTAR NETWORK INC DBA STELLARIS ONE N GREENWHICH ROAD ARMONK NY 10504 133911773 HEALTHCARE NY 501(C)(3) LINE 11B, II N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0