Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
PLAINVIEW HOSPITAL
C/O NORTH SHORE-LIJ HEALTH SYSTEM
Employer identification number

11-3241243
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
Yes
 
b
Any related organization?
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014
Page 2

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1MICHAEL J DOWLINGPRESIDENT & CEO (i)
(ii)		 0
.................
1,373,402 		0
.................
1,728,000 		0
.................
6,526,413 		0
.................
456,717 		0
.................
21,025 		0
.................
10,105,557 		0
.................
5,095,760
2HOWARD B GOLDEVP & CHF MGD CARE BS DVLP OFF (i)
(ii)		 0
.................
1,079,764 		0
.................
737,000 		0
.................
31,286 		0
.................
28,600 		0
.................
15,100 		0
.................
1,891,750 		0
.................
0
3MARK J SOLAZZOEVP, CHIEF OPERATING OFFICER (i)
(ii)		 0
.................
1,172,927 		0
.................
700,000 		0
.................
27,489 		0
.................
338,188 		0
.................
15,100 		0
.................
2,253,704 		0
.................
0
4ROBERT S SHAPIROEVP, CHIEF FINANCIAL OFFICER (i)
(ii)		 0
.................
925,430 		0
.................
236,000 		0
.................
31,762 		0
.................
278,970 		0
.................
15,100 		0
.................
1,487,262 		0
.................
0
5LAWRENCE G SMITH MDEVP & PHYSICIAN IN CHIEF (i)
(ii)		 0
.................
735,253 		0
.................
309,000 		0
.................
1,931,077 		0
.................
608,710 		0
.................
16,113 		0
.................
3,600,153 		0
.................
1,302,490
6JEFFREY KRAUTSVP, STRATEGIC PLANNING & BUS (i)
(ii)		 0
.................
720,927 		0
.................
157,000 		0
.................
30,694 		0
.................
251,559 		0
.................
15,100 		0
.................
1,175,280 		0
.................
0
7KATHLEEN GALLO RN PHDSR VP & CHF LEARNING OFFICER (i)
(ii)		 0
.................
623,254 		0
.................
93,000 		0
.................
32,304 		0
.................
28,600 		0
.................
15,100 		0
.................
792,258 		0
.................
0
8DONNA DRUMMONDSVP, SHARED SERVICES (i)
(ii)		 0
.................
510,427 		0
.................
77,000 		0
.................
59,213 		0
.................
28,600 		0
.................
15,100 		0
.................
690,340 		0
.................
0
9HARRY GINDIASSISTANT SECRETARY (i)
(ii)		 0
.................
288,540 		0
.................
21,136 		0
.................
4,204 		0
.................
28,600 		0
.................
15,100 		0
.................
357,580 		0
.................
0
10RALPH NAPPItrustee and evc (i)
(ii)		 0
.................
673,335 		0
.................
150,000 		0
.................
33,961 		0
.................
28,600 		0
.................
15,100 		0
.................
900,996 		0
.................
0
11Michael FenerExecutive Director (i)
(ii)		 570,427
.................
0 		81,000
.................
0 		29,290
.................
0 		183,358
.................
0 		15,100
.................
0 		879,175
.................
0 		0
.................
0
12JAN DAUERASSOC MEDICAL DIRECTOR (ED) (i)
(ii)		 322,471
.................
0 		0
.................
0 		253,570
.................
0 		28,600
.................
0 		15,100
.................
0 		619,741
.................
0 		0
.................
0
13WILLIAM FORMANRADIOLOGIST (i)
(ii)		 401,071
.................
0 		0
.................
0 		67,665
.................
0 		28,600
.................
0 		15,100
.................
0 		512,436
.................
0 		0
.................
0
14RICHARD SIEGMANNCHIEF, RADIOLOGY (i)
(ii)		 412,082
.................
0 		0
.................
0 		36,046
.................
0 		28,600
.................
0 		15,100
.................
0 		491,828
.................
0 		0
.................
0
15Chanchal SahaCHF, THORACIC SURGERY (i)
(ii)		 441,725
.................
0 		0
.................
0 		69,847
.................
0 		28,600
.................
0 		15,100
.................
0 		555,272
.................
0 		0
.................
0
16Lawrence KatzPhysician (i)
(ii)		 520,732
.................
0 		0
.................
0 		65,589
.................
0 		28,600
.................
0 		15,100
.................
0 		630,021
.................
0 		0
.................
0
17KEVIN F LAWLORTRUSTEE AND PRES/CEO HUNT HOSP (i)
(ii)		 0
.................
594,131 		0
.................
57,000 		0
.................
49,804 		0
.................
28,600 		0
.................
15,100 		0
.................
744,635 		0
.................
0
18Laura PeabodySVP & Chief Legal Officer (i)
(ii)		 0
.................
763,150 		0
.................
111,000 		0
.................
45,189 		0
.................
170,312 		0
.................
15,100 		0
.................
1,104,751 		0
.................
0
19Andrew SchulzGEN COUNSEL & ASST SECRETARY (i)
(ii)		 0
.................
570,660 		0
.................
84,320 		0
.................
28,695 		0
.................
28,600 		0
.................
15,100 		0
.................
727,375 		0
.................
0
20WINIFRED MACKREGIONAL EXECUTIVE DIRECTOR (i)
(ii)		 0
.................
728,079 		0
.................
96,000 		0
.................
2,035,100 		0
.................
203,225 		0
.................
15,100 		0
.................
3,077,504 		0
.................
910,842
21EUGENE S TANGNEYSR. VICE PRES. & CAO (i)
(ii)		 0
.................
840,427 		0
.................
128,000 		0
.................
11,779 		0
.................
156,615 		0
.................
15,100 		0
.................
1,151,921 		0
.................
0
Schedule J (Form 990) 2014
Page 3

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
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 ($428,117), Mark J Solazzo ($309,588), Robert S Shapiro ($250,370), Lawrence G Smith ($580,110) Jeffery Kraut ($222,959), Michael Fener ($154,758), Winifred Mack ($174,625), Laura Peabody ($141,712), and Eugene S. Tangney ($128,015).
PART 1, LINE 5A Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
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).
Part II, Column (F) The amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan.
Schedule J (Form 990) 2014

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