2025-11-14T10:05:59-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET STREET SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 113284066 OUR LADY OF CONSOLATION GERIATRIC CARE CENTER % CHS SERVICES INC OURL 6315871600 111 BEACH DRIVE WEST ISLIP NY 11795 THERESA ROSENTHAL CAO 5167057185 2025-11-12 true true ERIC M MCNEIL P00460263 2673303000 2025-11-10 2024 2025-03-06 01:10:19Z JAMES RYAN 111 BEACH DRIVE WEST ISLIP NY 11795 50030007 false 0928 X HTTP://OLC.CHSLI.ORG X 1894 NY WE, AT CH, HUMBLY JOIN TOGETHER TO BRING CHRISTS HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES. 5 5 525 34 0 0 5882690 1566866 45222400 47623945 3 0 918534 839196 52023627 50030007 12454 7511 0 0 33580209 33573602 0 0 0 15321809 17194998 48914472 50776111 3109155 -746104 49872901 52182891 60197592 63253686 -10324691 -11070795 X SEE SCHEDULE O false false 44363748 7511 47627740 THE FACILITY PROVIDES SKILLED CARE FOR UP TO 345 RESIDENTS ON A DAILY BASIS. THE FACILITY PROVIDED CARE FOR 98,238 DAYS FOR THE YEAR 2024. 44363748 true true false true false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 52 0 true 525 true false false false false false false false false false false false false X 5 5 false false false false true true true true true false false true true true true true true true true false X CHS SERVICES INC 5167053700 992 NORTH VILLAGE AVE ROCKVILLE CENTER NY 11570 X ROBERT CARLIN DIR MEDICAL SVCS THRU 9/1/2020 0.0 37.5 X 0 457465 24282 JAMES RYAN CAO 50.0 0.0 X 333516 0 75162 AEKYUNG LEE RN 50.0 0.0 X 351632 0 41771 THERESA ROSENTHAL VP CLINICAL SERVICES 50.0 0.0 X 277521 0 55642 JOHN HAIGHT VP FINANCE CONTINUING CARE 50.0 0.0 X 264121 0 37712 DEBORAH STUART HARDING RN 50.0 0.0 X 198226 0 58494 MELANIE SMITH RN 50.0 0.0 X 209732 0 27156 MARILYN COOK NCC 50.0 0.0 X 177357 0 11100 CHISTINE SMITH DIRECTOR HR 50.0 0.0 X 166931 0 15290 THOMAS CHRISTMAN CHAIRPERSON 2.0 0.0 X X 0 0 0 PETER DAGHER VICE CHAIRPERSON 2.0 0.0 X X 0 0 0 MICHAEL LAMBERT SECRETARY 2.0 0.0 X X 0 0 0 JOHN O'BRIEN TREASURER 2.0 0.0 X X 0 0 0 REV STEPHEN PIETROWSKI TRUSTEE 2.0 0.0 X 0 0 0 1979036 457465 346609 62 true true false STAFFING MANAGEMENT LLC PO BOX 560713 ROCKLEDGE FL 329560713 STAFFING AGENCY 1198086 SCHWARTZ SLADKUS REICH GREEBERG 444 MADISON AVENUE NEW YORK NY 10022 COLLECTIONS 252588 HEALTHPRO MANAGEMENT SERVICES LLC PO BOX 69268 BALTIMORE MD 212649268 REHABILITATION 157300 LONG ISLAND WASTE SVCS LLC 390 N BROADWAY SUITE 220 JERICHO NY 11753 SANITATION 100460 8 102268 1464598 1566866 PATIENT REVENUE 623000 47623945 47623945 47623945 0 0 0 696989 0 696989 0 696989 696989 0 0 0 0 0 0 0 0 0 0 CAFETERIA & COFFEE SHOP 722514 126205 126205 PURCHASE DISCOUNTS & REBATES 900099 12742 535 12207 MEDICAL TRANSCRIPT FEES 900099 2718 2718 542 542 142207 50030007 47627740 835401 7511 7511 0 0 0 1043674 333163 710511 0 25477961 23468039 2009922 1648533 1479436 169097 3368716 3023173 345543 2034718 1826009 208709 87414 47813 39601 0 0 14350 14350 0 0 2910546 1798423 1112123 750 750 2113551 1712908 400643 0 0 815323 802491 12832 2604 468 2136 0 0 0 282080 282080 1957791 1863917 93874 1327729 1327729 MEDICAL SUPPLIES 2174447 2174447 0 FINANCE AND TECHNOLOGY 1186253 541564 644689 HOME OFFICE 421726 0 421726 EQUIPMENT SERVICE CONTRACTS 132481 132481 0 3767953 3542096 225857 50776111 44363748 6412363 0 1100140 1057932 256114 245420 0 0 5335131 6726199 0 0 0 0 0 0 139554 324930 536676 506165 70888002 39685822 31864686 31202180 0 0 0 0 0 0 0 0 10640600 12120065 49872901 52182891 8280667 7954754 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51916925 55298932 60197592 63253686 X -10580805 -11316215 256114 245420 -10324691 -11070795 49872901 52182891 -746104 X false true X true true true X 11542510 1474817 4608881 5882690 1566866 25075764 39751778 36415771 36056887 45222400 47623945 205070781 0 0 0 51294288 37890588 40665768 51105090 49190811 230146545 309695 0 0 0 0 309695 0 309695 0 0 0 0 309695 229836850 675473 672085 688640 676379 696989 3409566 0 675473 672085 688640 676379 696989 3409566 0 97750 117395 87209 242158 142207 686719 52067511 38680068 41441617 52023627 50030007 234242830 0.98119 0.96886 0.01456 0.01425 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14350 14350 0 0 PART II-B, LINE 1 - LOBBYING ACTIVITIES OUR LADY OF CONSOLATION GERIATRIC CARE CENTER PAID DUES TO LEADINGAGE NY, A TRADE ASSOCIATE, WHO IS INVOLVED IN LOBBYING ACTIVITIES. THE TOTAL DUES PAID FOR 2024 WAS $16,500 WHICH 12.1% WAS USED FOR LOBBYING, AMOUNTING TO THE EXPENSE OF $1,997. OLC ALSO PAID DUES TO LEADINGAGE NATIONAL, A TRADE ASSOCIATE, WHO IS INVOLVED IN LOBBYING ACTIVITIES. THE TOTAL DUES PAID FOR 2024 WAS $9,625 WHICH 1.35% WAS USED FOR LOBBYING, AMOUNTING TO THE EXPENSE OF $130. OLC ALSO PAID DUES TO HANYS (HEATHCARE ASSOCIATION NYS), A TRADE ASSOCIATE, WHO IS INVOLVED IN LOBBYING ACTIVITIES. THE TOTAL DUES PAID FOR 2024 WAS $5,706 WHICH 10.08% WAS USED FOR LOBBYING, AMOUNTING TO THE EXPENSE OF $575. OLC ALSO PAID DUES TO GNYHA (GREATER NEW YORK HOSPITAL ASSOCIATION), A TRADE ASSOCIATE, WHO IS INVOLVED IN LOBBYING ACTIVITIES. THE TOTAL DUES PAID FOR 2024 WAS $18,200 WHICH 64% WAS USED FOR LOBBYING, AMOUNTING TO THE EXPENSE OF $11,648. 325000 325000 49496768 27444222 22052546 11883937 10658177 1225760 9182297 1583423 7598874 31202180 INSURANCE CLAIMS RECEIVABLE 11558687 DUE FROM RELATED PARTIES 367000 RESIDENT FUNDS 189618 OTHER ASSETS 4760 12120065 0 DUE TO RELATED PARTIES 44502457 GENERAL LIABILITY INSURANCE 10628825 RESIDENT FUNDS 189618 DEFERRED REVENUE 5383 PAYABLE DUE 3RD PARTY INSURERS -27351 55298932 X PART X, OTHER LIABILITIES, LINE 2, FIN 48 FOOTNOTE CH AND MOST OF ITS SUBSIDIARIES ARE 501(C)(3) ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. THESE ENTITIES ARE ALSO EXEMPT FROM NEW YORK STATE INCOME TAXES. THERE ARE VARIOUS SUBSIDIARIES OF CH THAT ARE FOR-PROFIT ENTITIES. TAXABLE OPERATIONS AND THE POTENTIAL FOR INCOME TAXES FROM THESE ENTITIES AND FROM UNRELATED BUSINESS ACTIVITIES OF THE TAX EXEMPT ENTITIES ARE NOT SIGNIFICANT TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true CATHOLIC HEALTH SERVICES OF LONG ISLAND 992 N VILLAGE AVEROCKVILLE CENTRE ROCKVILLE CENTRE NY 11570 113403968 501(C)(3) 7511 NONE NONE MISSION SPONSORSHIP 1 PART I, LINE 2 - PROCEDURE FOR MONITORING GRANT FUND USE CHS SERVICES, A RELATED ENTITY, MAINTAINS THE BOOKS AND RECORDS FOR OUR LADY OF CONSOLATION GERIATRIC CARE CENTER AND CATHOLIC HEALTH SERVICES OF LONG ISLAND AND IS THEREFORE ABLE TO MONITOR THAT CATHOLIC HEALTH SERVICES OF LONG ISLAND USES THE GRANT FUNDS FOR MISSION SPONSORSHIP, OUTPATIENT CENTERS, GRANTS FOR THE UNDERSERVED COMMUNITIES AND CAPITAL SUPPORT. PART II, LINE 1, COLUMN (H) NAME OF ORGANIZATION OR GOVERNMENT: CATHOLIC HEALTH SYSTEM OF LONG ISLAND (H) PURPOSE OF GRANT: 1) SUPPORT TO CATHOLIC HEALTH SYSTEM OF LONG ISLAND AS A PASS THROUGH TO PROVIDE GENERAL SUPPORT TO THE CATHOLIC MINISTRIES OF THE DIOCESE OF ROCKVILLE CENTRE IN CONNECTION WITH THE FORMATION OF YOUTH AND ADULTS IN THE FAITH, PROMOTION OF THE DIGNITY OF LIFE, PROMOTION OF QUALITY EDUCATION FOR YOUNG PEOPLE, AND FOSTERING OF VOCATIONS FOR THE PRIESTHOOD; AND 2) PROVIDE SUPPORT TO CATHOLIC HEALTH SYSTEM OF LONG ISLAND TO FUND OUTPATIENT CENTERS THAT PROVIDE CHARITY CARE TO THOSE CENTERS' COMMUNITIES. IN ADDITION THE GRANTS PROVIDED TO CATHOLIC HEALTH SYSTEM OF LONG ISLAND ARE USED TO FUND SUPPORT PROVIDED THROUGH THE CATHOLIC HEALTH CAREGIVERS FUND. THE CATHOLIC HEALTH CAREGIVERS FUND WAS FORMED WITH THE MISSION TO ASSIST OUR FELLOW CAREGIVERS ON THE FRONT LINES, HERE AND ABROAD, WHO STRUGGLE JUST TO OBTAIN BASIC RESOURCES TO PROVIDE CARE TO THOSE DESPERATELY IN NEED. THE CAREGIVERS FUND RECIPIENTS ARE MONITORED AND SELECTED BY A DESIGNATED COMMITTEE WHO REVIEWS THE APPLICATIONS, RELEVANT FINANCIAL STATEMENTS, TAX-EXEMPT STATUS AND SUPPORT FOR THE INTENDED USE OF THE FUNDS. IN RETURN, RECIPIENTS REPORT THE USE OF FUNDS TO CONFIRM ALIGNMENT WITH THE MISSION OF THE FUND AND THAT THEY WERE USED FOR THEIR INTENDED PURPOSE. X X X X X X false false false false false false false false false ROBERT CARLIN DIR MEDICAL SVCS THRU 9/1/2020 0 425533 0 22000 0 9932 0 22425 0 1857 0 481747 0 0 JAMES RYAN CAO 279899 0 50000 0 3617 0 25005 0 50157 0 408678 0 0 0 AEKYUNG LEE RN 121060 0 223903 0 6669 0 10731 0 31040 0 393403 0 0 0 THERESA ROSENTHAL VP CLINICAL SERVICES 242473 0 20000 0 15048 0 21518 0 34124 0 333163 0 0 0 JOHN HAIGHT VP FINANCE CONTINUING CARE 239211 0 20000 0 4910 0 20913 0 16799 0 301833 0 0 0 DEBORAH STUART HARDING RN 95770 0 100839 0 1617 0 8885 0 49609 0 256720 0 0 0 MELANIE SMITH RN 112460 0 96309 0 963 0 9950 0 17206 0 236888 0 0 0 MARILYN COOK NCC 119648 0 57315 0 394 0 10338 0 762 0 188457 0 0 0 CHISTINE SMITH DIRECTOR HR 151102 0 15000 0 829 0 13128 0 2162 0 182221 0 0 0 SCHEDULE J, PART II - FORMER OFFICERS & DIRECTORS EFFECTIVE 9/1/2020, ROBERT CARLIN BECAME AN EMPLOYEE OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER, A RELATED ENTITY. FORM 990, PART VI, LINE 6 - MEMBERS OF THE ORGANIZATION THE SOLE MEMBER OF OUR LADY OF CONSOLATION GERIATRIC CARE CENTER IS CATHOLIC HEALTH SYSTEM OF LONG ISLAND, (D/B/A/ CATHOLIC HEALTH) (CH). CH IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED TO SERVE AS THE COORDINATING BODY OF AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS. CH IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTER(DIOCESE). FORM 990, PART VI, LINE 7A - ELECTION OF THE GOVERNING BODY CH IS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF OUR LADY OF CONSOLATION GERIATRIC CARE CENTER, AND AS SUCH, HAS THE RIGHT TO APPOINT THE GOVERNING BODY OF OUR LADY OF CONSOLATION GERIATRIC CARE CENTER. FORM 990, PART VI, LINE 7B - DECISIONS OF THE GOVERNING BODY CH AS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF OUR LADY OF CONSOLATION GERIATRIC CARE CENTER, IS REQUIRED TO APPROVE CERTAIN DECISIONS MADE BY THE GOVERNING BODY OF OUR LADY OF CONSOLATION GERIATRIC CARE CENTER. FORM 990, PART VI, LINE 11B - REVIEW PROCESS OF FORM 990 THE FORM 990 AND APPROPRIATE SCHEDULES ARE COMPLETED BY OUTSIDE TAX ADVISORS AND REVIEWED INTERNALLY BY MANAGEMENT. THE FINAL DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF TRUSTEES (THE BOARD), WHICH HAS BEEN DELEGATED THE REVIEW FUNCTION BY THE BOARD. UPON APPROVAL OF THE COMMITTEE, THE FORM 990 IS THEN SENT TO ALL VOTING MEMBERS OF THE BOARD. ONCE APPROVED BY THE BOARD (OR THE EXECUTIVE COMMITTEE OF THE BOARD, AS APPROPRIATE), THE ORGANIZATION'S BOARD CHAIR AND CHIEF EXECUTIVE OFFICER COMMUNICATES, IN WRITING TO THE CH COMPLIANCE AND AUDIT COMMITTEE AND CH BOARD CHAIR. AFTER REVIEW OF ANY APPLICABLE COMMENTS FROM THE BOARD, THE COMPLIANCE AND AUDIT COMMITTEE WILL THEN RECOMMEND THE APPROVAL OF THE FORM 990 TO THE CH BOARD OF DIRECTORS WHO WILL THEN REVIEW THE RECOMMENDATIONS AND PROVIDE THE FINAL APPROVAL OF THE FORM 990. THE FORM 990 IS THEN SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY (THE POLICY) BY BOARD AND BOARD COMMITTEE MEMBERS, EMPLOYEES AND OTHERS THAT SATISFY THE CRITERIA TO BE CONSIDERED AN INTERESTED PERSON IS SUBMITTED UPON HIRE OR APPOINTMENT AND ANNUALLY THEREAFTER. SUCH INDIVIDUALS HAVE A CONTINUING OBLIGATION TO UPDATE THE INFORMATION PROVIDED DURING THE COURSE OF THE YEAR. A SUMMARY OF DISCLOSURES IS PROVIDED TO THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE BY THE ORGANIZATION'S COMPLIANCE OFFICER. ALL DISCLOSURES ARE INVESTIGATED AND INFORMATION RELATED TO THE DISCLOSURES SHALL BE GATHERED AND SUMMARIZED AND INCLUDED WITH THE SUMMARY OF DISCLOSURES. UPON REVIEW OF THE SUMMARY OF DISCLOSURES, THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE SHALL REPORT ITS FINDINGS TO THE BOARD OF TRUSTEES FOR REVIEW. THE BOARD SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS BASED ON THE CRITERIA CONTAINED IN THE POLICY. IF THE BOARD OR BOARD COMMITTEE DETERMINES THAT NO CONFLICT EXISTS, THE MATTER SHALL BE REFERRED FOR REVIEW BY THE CH COMPLIANCE AND AUDIT COMMITTEE BEFORE THE DETERMINATION BECOMES FINAL. IF A CONFLICT OF INTEREST IS IDENTIFIED AND IF A MAJORITY OF THE BOARD OR BOARD COMMITTEE AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CH AND WISHES TO GO FORWARD WITH IT, THE CHAIR OF THE ORGANIZATION'S BOARD OF TRUSTEES SHALL PROVIDE A WRITTEN REQUEST TO THE CHAIR OF CH COMPLIANCE AND AUDIT COMMITTEE, DELINEATING THE TRANSACTION AND CONFLICT AND PROVIDING REASONS WHY THE BOARD AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CH, CERTIFIES THAT CH CANNOT SECURE SIMILAR SERVICES FROM AN ORGANIZATION WITHOUT A CONFLICT, AND WISHES TO GO FORWARD WITH IT. PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST MUST RECUSE HIMSELF FROM ANY DECISION MAKING OR VOTING ON THE INTEREST THAT GAVE RISE TO THE CONFLICT. UPON RECEIPT OF THE WRITTEN REQUEST AND ANY SUPPORTING DOCUMENTS, THE CH COMPLIANCE AND AUDIT COMMITTEE SHALL MAKE THE FINAL DECISION AS TO WHETHER CH SHALL ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, LINE 15 - COMPENSATION POLICY THE CHIEF ADMINISTRATIVE OFFICER SUBMITS FOR APPROVAL TO THE SYSTEM CEO RECOMMENDATIONS FOR BASE SALARY ADJUSTMENTS AND INCENTIVE AWARDS FOR "DISQUALIFIED PERSONS" AS DEFINED IN THE POLICY. THE POLICY DEFINES A "DISQUALIFIED PERSON" AS A PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF CH OR AN OPERATING ENTITY, AND IS EITHER A) A VOTING MEMBER OF THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES; B) THE ENTITY'S PRESIDENT, CHIEF EXECUTIVE OFFICER, AND CHIEF OPERATING OFFICERS OR PERSONS HOLDING EQUIVALENT POSITIONS; C) THE ENTITY'S TREASURERS AND CHIEF FINANCIAL OFFICERS; D) THE PERSON'S COMPENSATION IS PRIMARILY BASED ON REVENUES DERIVED FROM ACTIVITIES OF CH OR AN OPERATING ENTITY, OR OF A PARTICULAR DEPARTMENT OR FUNCTION OF CH OR AN OPERATING ENTITY, THAT THE PERSON CONTROLS; E) THE PERSON HAS OR SHARES AUTHORITY TO CONTROL OR DETERMINE A SUBSTANTIAL PORTION OF CH OR AN OPERATING ENTITY'S CAPITAL EXPENDITURES, OPERATING BUDGET, OR COMPENSATION FOR OTHER EMPLOYEES; F) THE PERSON MANAGES A DEPARTMENT OR ACTIVITY OF CH OR AN OPERATING ENTITY THAT REPRESENTS A SUBSTANTIAL PORTION OF THE ACTIVITIES, ASSETS, INCOME, OR EXPENSES OF CH OR AN OPERATING ENTITY, COMPARED TO THE ORGANIZATION AS A WHOLE; OR G) FAMILY MEMBERS OF ANY OF THOSE DESCRIBED IN THE PRECEDING D, E, OR F. ONCE APPROVED BY THE CORPORATE CEO, THESE RECOMMENDATIONS ARE SENT TO THE EXECUTIVE COMPENSATION COMMITTEE FOR REVIEW. THE EXECUTIVE COMPENSATION COMMITTEE, WITH AN INDEPENDENT COMPENSATION CONSULTANT ENGAGED BY THE BOARD, WILL REVIEW PROPOSED SALARY ADJUSTMENTS AND INCENTIVE AWARDS TO ENSURE REASONABLENESS BY REVIEWING COMPARABLE TOTAL COMPENSATION DATA (INCLUDING INCENTIVES) PAID TO SIMILARLY SITUATED EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE WITH POSSIBLE ADJUSTMENT MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. REVIEWS ARE DONE BY AN INDEPENDENT CONSULTANT ANNUALLY. THE COMPENSATION COMMITTEE SETS STANDARDS TO ENSURE THAT THE CRITERIA USED TO DETERMINE INCENTIVE COMPENSATION ARE SPECIFIC, OBJECTIVE, MEASUREABLE AND RELATED TO INDICATORS OF PERFORMANCE. BASED ON THE INFORMATION, THE COMMITTEE WILL THEN MAKE ITS RECOMMENDATION TO THE BOARD OF TRUSTEES. FORM 990, PART VI, LINE 19 - DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE; CH CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE AT DAC BOND. FORM 990, PART VII, SECTION A - LINE 1A HOURS FOR TRUSTEES ARE THE ESTIMATED WEEKLY HOURS (2.0) TRUSTEES CONTRIBUTE TO THIS AND ALL OTHER RELATED ORGANIZATIONS, NOT NECESSARILY EQUALLY BUT IN THE PROPORTION NECESSARY, FOR WHICH THEY RECEIVE NO COMPENSATION. JAMES RYAN, CAO - THE TOTAL HOURS REPORTED REFLECTS TIME WORKED AS AN OFFICER FOR THE FOLLOWING RELATED ENTITIES: OLGCC (11-3284066) AND OUR LADY OF CONSOLATION FOUNDATION (45-0517566). JOHN HAIGHT, VP FIN CONTINUING CARE - THE TOTAL HOURS REPORTED REFLECTS TIME WORKED AS AN OFFICER FOR THE FOLLOWING RELATED ENTITIES: OLGCC (11-3284066) AND OUR LADY OF CONSOLATION FOUNDATION (45-0517566). ROBERT CARLIN, DIRECTOR MEDICAL SERVICES - THE TOTAL HOURS REPORTED REFLECTS TIME WORKED AS AN EMPLOYEE FOR THE FOLLOWING RELATED ENTITIES: OLGCC (11-3284066) AND GOOD SAMARITAN HOSPITAL MEDICAL CENTER (11-1888924). FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION OUR LADY OF CONSOLATION GERIATRIC CARE CENTER IS A MEMBER OF CATHOLIC HEALTH. WE, AT CATHOLIC HEALTH, HUMBLY JOIN TOGETHER TO BRING CHRIST'S HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES. I-CARE VALUES INTEGRITY: WE ARE WHO WE SAY WE ARE AND ACT IN ACCORDANCE WITH THE SPLENDOR OF TRUTH OF OUR CATHOLIC MORAL TEACHING AND OUR CATHOLIC VALUES. COMPASSION: WE HAVE COMPASSION FOR OUR PATIENTS, SEE THE SUFFERING CHRIST IN THEM, STRIVE TO ALLEVIATE SUFFERING AND SERVE THE SPIRITUAL, PHYSICAL AND EMOTIONAL NEEDS OF OUR PATIENTS. ACCOUNTABILITY: WE TAKE RESPONSIBILITY FOR OUR ACTIONS AND THEIR CONSEQUENCES. RESPECT: WE HONOR THE SANCTITY OF LIFE AT EVERY STAGE OF LIFE AND THE DIGNITY OF EVERY PERSON, AND INCORPORATE ALL THE PRINCIPLES OF CATHOLIC SOCIAL TEACHING IN OUR RELATIONSHIPS AND ADVOCACY. EXCELLENCE: WE SEEK THE GLORY OF GOD IN THE COMPASSIONATE SERVICE OF OUR PATIENTS, AND WE STRIVE TO DO THE BEST THAT CAN BE DONE, WHATEVER OUR ROLE. 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PC 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 208180263 HEALTHCARE SV NY GOOD SAMARITAN C-CORP false SAMARITAN MEDICAL SERVICES PC 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 208088453 HEALTHCARE SV NY GOOD SAMARITAN C-CORP false SOUTHWEST SUFFOLK MEDICAL PC 580 UNION BOULEVARD WEST ISLIP NY 11795 061603195 HEALTHCARE SV NY GOOD SAMARITAN C-CORP false CARDIAC EKG INTERPRETATION PC 992 N VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 112924518 HEALTHCARE SV NY GOOD SAMARITAN C-CORP false LI REGIONAL ARTHRITIS & OSTEOPOROSIS CAR 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 208964140 HEALTHCARE SV NY GOOD SAMARITAN C-CORP false SAMARITAN MANAGEMENT SERVICES 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 112838185 HEALTHCARE SV NY CHSLI C-CORP false ADVANCED REHABILIATION MEDICINE PLLC 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 113640709 HEALTHCARE SV NY STCHARLES HOSP C-CORP false ST FRANCIS CARDIAC PREVENTION SERVICES 100 PORT WASHINGTON BLVD ROSLYN NY 11576 113224885 HEALTHCARE SV NY STFRANCIS HOSP C-CORP false SOUTH SHORE PRACTICE MANAGEMENT 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 113307977 HEALTHCARE SV NY SAMARITAN MGMT C-CORP false SAMARITAN HOME CARE AMERICA 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 113319259 HEALTHCARE SV NY SAMARITAN MGMT C-CORP false MERCY INTERNAL MEDICINE PC 992 N VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 510639649 HEALTHCARE SV NY MERCY MED CTR C-CORP false LONG ISLAND EMERGENCY CARE PC 1000 N VILLAGE AVE ROCKVILLE NY 11571 113633515 PHYSICIAN SVC NY MERCY MED CTR S-CORP false MY CHS RX INC 992 N VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 842359236 PHARMACY NY CHSLI C-CORP false false true false true true false false false true false false true true false true true true true true SCHEDULE R, PART IV FOR ALL PROFESSIONAL CORPORATIONS REPORTED ON SCHEDULE R, PART IV, THE PHYSICIAN IS THE SOLE SHAREHOLDER OF THE ENTITY AND THE DIRECT CONTROLLING ENTITY REPORTED IN COLUMN (D) IS THE BENEFICIAL OWNER. THIS STRUCTURE IS CONSISTENT WITH THE NEW YORK CORPORATE PRACTICE OF MEDICINE.