SOUTH SHORE UNIVERSITY HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SOUTH SHORE UNIVERSITY HOSPITAL (EIN 11-1667761)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201503179349304315
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-13T11:49:57-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111667761EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE HOSPITALBusinessNameLine1Txt
Business Name Line2c/o NORTH SHORE-LIJ HEALTH SYSTEMBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% NORTH SHORE-LIJ HEALTH SYSTEInCareOfNm
Business Name ControlSOUTBusinessNameControlTxt
Phone5164658339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROADAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT S SHAPIROPersonNm
Person TitleEVP & CFOPersonTitleTxt
Signature2015-10-30SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J DOWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1145 COMMUNITY DRIVEAddressLine1Txt
CityGREAT NECKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$446,558,775GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHSHORELIJ.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSouthside 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.ActivityOrMissionDesc
Voting Members Governing Body118VotingMembersGoverningBodyCnt
Voting Members Independent108VotingMembersIndependentCnt
Total Employee3216TotalEmployeeCnt
Total Volunteers194TotalVolunteersCnt
Total Gross UBI$425,402TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$104,138NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$59,387PYContributionsGrantsAmt
CY Contributions Grants$153,767CYContributionsGrantsAmt
PY Program Service Revenue$424,407,695PYProgramServiceRevenueAmt
CY Program Service Revenue$439,235,361CYProgramServiceRevenueAmt
PY Investment Income$155,467PYInvestmentIncomeAmt
CY Investment Income$276,037CYInvestmentIncomeAmt
PY Other Revenue$2,911,978PYOtherRevenueAmt
CY Other Revenue$4,670,961CYOtherRevenueAmt
PY Total Revenue$427,534,527PYTotalRevenueAmt
CY Total Revenue$444,336,126CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$246,045,195PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$335,255,101CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$287,831CYTotalFundraisingExpenseAmt
PY Other Expenses$152,224,882PYOtherExpensesAmt
CY Other Expenses$165,539,119CYOtherExpensesAmt
PY Total Expenses$398,270,077PYTotalExpensesAmt
CY Total Expenses$500,794,220CYTotalExpensesAmt
PY Revenues Less Expenses$29,264,450PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,458,094CYRevenuesLessExpensesAmt
Total Assets BOY$232,301,225TotalAssetsBOYAmt
Total Assets EOY$243,593,220TotalAssetsEOYAmt
Total Liabilities BOY$255,023,523TotalLiabilitiesBOYAmt
Total Liabilities EOY$317,978,264TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$22,722,298NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$74,385,044NetAssetsOrFundBalancesEOYAmt
MissionSOUTHSIDE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$364,378,804ExpenseAmt
Revenue$376,473,312RevenueAmt
DescSouthside Hospital is a 341-bed tertiary hospital with the following inpatient services: medical/surgical, intensive and cardiac care unit, OB/GYN with a Level II Perinatal service, pediatrics, medical rehabilitation, brain injury and psychiatry. The Emergency Department is a designated Area Trauma Center and provides the Paramedic First Responder Program to the Town of Islip Residents. In 2014, Southside Hospital had 18,353 inpatient discharges, delivered 2,378 babies, provided 69,929 emergency department visits and performed 13,351 ambulatory surgeries, including endoscopies and cardiac catheterizations.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$81,118,408ExpenseAmt
Revenue$62,762,049RevenueAmt
DescNorth Shore-LIJ Medical Group is an affiliated member of the North Shore-LIJ Health System ("the System") and part of the System's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$445,497,212TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document130IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3216EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryUKForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members118GoverningBodyVotingMembersCnt
Independent Voting Member108IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNORTH SHORE-LIJ HEALTH SYSTEPersonNm
Phone5168766061PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROADAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL J DOWLING
PRESIDENT & CEO0.050.0Yes (X)Yes (X)$0$9,627,815$477,742
RALPH NAPPI
trustee & evc0.050.0Yes (X)$0$857,296$43,700
RICHARD D GOLDSTEIN
IMMEDIATE PAST CHAIRMAN0.02.0Yes (X)Yes (X)$0$0$0
WILLIAM L MACK
VICE CHAIRMAN0.02.0Yes (X)Yes (X)$0$0$0
BARRY RUBENSTEIN
VICE CHAIRMAN0.02.0Yes (X)$0$0$0
ALAN I GREENE
TREASURER0.02.0Yes (X)$0$0$0
DONALD ZUCKER
SECRETARY0.02.0Yes (X)$0$0$0
NON-COMPENATED TRUSTEES
SEE SCHEDULE O0.02.0Yes (X)$0$0$0
KEVIN F LAWLOR
PRESIDENT & CEO HUNTINGTON0.050.0Yes (X)$0$700,935$43,700
HOWARD GOLD
EVP CHF MANAGED CARE & BUS DEV0.050.0Yes (X)$0$1,848,050$43,700
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER0.050.0Yes (X)$0$1,900,416$353,288
ROBERT S SHAPIRO
EXEC VP & CFO0.050.0Yes (X)$0$1,193,192$294,070
LAWRENCE G SMITH MD
EVP/PHYSICIAN IN CHIEF0.050.0Yes (X)$0$2,975,330$624,823
JEFFREY KRAUT
SR VP, STRATEGIC PLANNING0.050.0Yes (X)$0$908,621$266,659
KATHLEEN GALLO RN PHD
SR VP, CHIEF LEARNING OFFICER0.050.0Yes (X)$0$748,558$43,700
DONNA DRUMMOND
SVP, shared services0.050.0Yes (X)$0$646,640$43,700
HARRY GINDI
ASSISTANT SECRETARY0.050.0Yes (X)$0$313,880$43,700
MARK CLASTER
CHAIRMAN0.03.0Yes (X)$0$0$0
LAURA PEABODY
SVP & CHIEF LEGAL OFFICER0.050.0Yes (X)$0$919,339$185,412
ANDREW SCHULZ
VP & GENERAL COUNSEL0.050.0Yes (X)$0$683,675$43,700
EUGENE S TANGNEY
SVP, CHIEF ADMIN OFFICER0.050.0Yes (X)$0$980,206$171,715
WINIFRED MACK
EXECUTIVE DIRECTOR0.050.0$0$2,859,179$218,325Yes (X)
DONNA MORAVICK
EXECUTIVE DIRECTOR50.00.0$664,560$0$43,700Yes (X)
MICHAEL NETT
PHYSICIAN50.00.0$963,055$0$43,700Yes (X)
BURAK ARKONAC
DIR, CARDIAC CATH LAB50.00.0$1,014,034$0$43,700Yes (X)
SCOTT WODICKA
DIR, SURGERY50.00.0$871,798$0$43,700Yes (X)
EDWARD HALLAL
PHYSICIAN50.00.0$923,333$0$43,700Yes (X)
JED POLLACK
PHYSICIAN50.00.0$907,417$0$43,700Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,344,197TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$27,163,132TotReportableCompRltdOrgAmt
Total Other Compensation$3,160,134TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K494IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NEW YORK PAIN CONSULTANTS LLC
500 W MAIN ST STE 116BABYLONNY11702PHYSICIAN SERVICES$2,852,790
MOBILE HEALTHCARE FACILITIES LLC
5601 MAXON MARSH DRIVEPOWDER SPRINGSGA30127CONSULTING SERVICES$1,373,000
UNITEX TEXTILE RENTAL
155 S TERRACE AVEMOUNT VERNONNY10550LINEN SERVICES$1,096,495
PHILIPS MEDICAL SYSTEMS
22100 BOTHELL EVERETT HWYBOTHELLWA98041CONSULTING SERVICES$811,672
EMERGENCY SURGICAL STAFFING LLC
1766 ELMIRA STREET 181SAYREPA18840PHYSICIAN SERVICES$711,511
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K44CntrctRcvdGreaterThan100KCnt
Related Organizations$69,746RelatedOrganizationsAmt
Government Grants$84,021GovernmentGrantsAmt
Total Contributions$153,767TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE621300$254,647,907$254,647,907
HEALTH CENTER621300$9,521,833$9,521,833
PHYSICIAN BILLING621300$55,128,016$55,128,016
MEDICARE/MEDICAID PAYMENTS621300$119,937,605$119,937,605
FieldValueIRS element (for citing)
Total Program Service Revenue$439,235,361TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$203,806TotalRevenueColumnAmt
Exclusion$203,806ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,294,880SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,222,649SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$72,231SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,231TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA900099$1,161,974$1,161,974
ELECTRONIC HEALTH RECORD INCOME900099$1,095,633$1,095,633
ROOF RENTAL561000$390,984$214,669$176,315

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,022,370TotalRevenueColumnAmt
Related Or Exempt Func Income$1,744,633RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$249,087UnrelatedBusinessRevenueAmt
Exclusion$28,650ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,670,961OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$444,336,126TotalRevenueColumnAmt
Related Or Exempt Func Income$442,290,296RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$425,402UnrelatedBusinessRevenueAmt
Exclusion$1,394,430ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$664,560TotalAmt
Program Services$664,560ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$226,390,092TotalAmt
Program Services$211,131,400ProgramServicesAmt
Management And General$15,106,105ManagementAndGeneralAmt
Fundraising$152,587FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$57,056,246TotalAmt
Program Services$53,210,655ProgramServicesAmt
Management And General$3,807,135ManagementAndGeneralAmt
Fundraising$38,456FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$36,852,011TotalAmt
Program Services$34,368,186ProgramServicesAmt
Management And General$2,458,987ManagementAndGeneralAmt
Fundraising$24,838FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,292,192TotalAmt
Program Services$13,328,898ProgramServicesAmt
Management And General$953,661ManagementAndGeneralAmt
Fundraising$9,633FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$536,506TotalAmt
Program Services$500,345ProgramServicesAmt
Management And General$35,799ManagementAndGeneralAmt
Fundraising$362FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$32,835TotalAmt
Management And General$32,835ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,058,558TotalAmt
Program Services$9,380,612ProgramServicesAmt
Management And General$671,167ManagementAndGeneralAmt
Fundraising$6,779FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$218,856TotalAmt
Program Services$204,105ProgramServicesAmt
Management And General$14,751ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$68,229,587TotalAmt
Program Services$63,107,614ProgramServicesAmt
Management And General$5,070,753ManagementAndGeneralAmt
Fundraising$51,220FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,207,267TotalAmt
Program Services$4,856,297ProgramServicesAmt
Management And General$347,460ManagementAndGeneralAmt
Fundraising$3,510FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$368,932TotalAmt
Program Services$368,932ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$846,862TotalAmt
Program Services$846,862ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,981,286TotalAmt
Management And General$1,981,286ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,074,502TotalAmt
Program Services$24,230,265ProgramServicesAmt
Management And General$844,237ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$7,731,832$7,731,832
OTHER PURCHASED SERVICES$17,977,965$17,977,965
BILLING & COLLECTION$2,750,090$2,564,734$185,356
DUES & SUBSCRIPTIONS$435,584$406,226$29,358

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,088,457TotalAmt
Program Services$617,724ProgramServicesAmt
Management And General$23,470,287ManagementAndGeneralAmt
Fundraising$446FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$500,794,220TotalAmt
Program Services$445,497,212ProgramServicesAmt
Management And General$55,009,177ManagementAndGeneralAmt
Fundraising$287,831FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,984BOYAmt
EOY$229,070EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,673,097BOYAmt
EOY$47,282,861EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,626,820BOYAmt
EOY$7,183,099EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$374,135BOYAmt
EOY$255,328EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$202,448,342LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$82,575,571LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$111,131,204BOYAmt
EOY$119,872,771EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,200,616BOYAmt
EOY$6,135,219EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$65,251,369BOYAmt
EOY$62,634,872EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$232,301,225BOYAmt
EOY$243,593,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,139,546BOYAmt
EOY$53,845,558EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,900,000BOYAmt
EOY$39,770,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$165,983,977BOYAmt
EOY$224,362,706EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$255,023,523BOYAmt
EOY$317,978,264EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$40,282,884BOYAmt
EOY-$94,860,838EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,560,586BOYAmt
EOY$20,475,794EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$22,722,298BOYAmt
EOY-$74,385,044EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$232,301,225BOYAmt
EOY$243,593,220EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$56,458,094ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$36,146NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,831,494OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$25,970RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$25,970TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationSOUTHSIDE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,040,341OtherCostOrOtherBasisAmt
Book Value$3,040,341BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,096,937OtherCostOrOtherBasisAmt
Depreciation$44,513,551DepreciationAmt
Book Value$49,583,387BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,726OtherCostOrOtherBasisAmt
Depreciation$43,352DepreciationAmt
Book Value$47,374BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,829,608OtherCostOrOtherBasisAmt
Depreciation$37,398,094DepreciationAmt
Book Value$49,431,513BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,309,729OtherCostOrOtherBasisAmt
Depreciation$620,573DepreciationAmt
Book Value$17,770,156BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$119,872,771TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$2,556,164
OTHER RECIEVABLES$7,424,799
INTEREST IN FOUNDATION$19,674,090
SECURITY DEPOSITS$18,835
INSURANCE CLAIMS RECEIVABLE$32,960,984
FieldValueIRS element (for citing)
Total Book Value Other Assets$62,634,872TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATES$38,751,494
DUE TO THIRD PARTY PAYORS$56,553,541
ACCRUED RETIREMENT BENEFITS$56,706,338
ESTIMATED MALPRACTICE LIABILIT$38,092,000
OTHER LONG-TERM LIABILITIES$549,834
BOND PREM/DISCOUNT$748,515
INSURANCE CLAIMS LIABILITY$32,960,984
FieldValueIRS element (for citing)
Total Liability$224,362,706TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$436,471,719TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$36,146NetUnrealizedGainsInvstAmt
Other Revenue-$7,674,494OtherRevenueAmt
Revenue Not Reported-$7,710,640RevenueNotReportedAmt
Revenue Subtotal$444,182,359RevenueSubtotalAmt
Other Revenues Not Included$153,767OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$153,767RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$444,336,126TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$448,788,864TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$448,788,864ExpensesSubtotalAmt
Other Expenses Not Included$52,005,356OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$52,005,356ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$500,794,220TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2 - FIN 48Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. 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, 2014 and 2013, 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. Certain entities have net operating loss carry forwards aggregating approximately $165,000,000, which expire in varying amounts through 2034, and are available to offset future taxable income.
PART XI, LINE 2D & 4B - RECONCILIATION OF REVENUEINCLUDED ON BOOKS NOT ON RETURN NET ASSETS RELEASED FROM RESTRICTION PROVISION FOR BAD DEBT (7,731,832) NET ASSETS RELEASED FROM RESTRICTIONS 57,338 TOTAL NOT INCLUDED ON 990 (7,674,494) INCLUDED ON RETURN NOT ON BOOKS TEMP RESTRICTED CONTRIBUTIONS 69,746 TEMP RESTRICTED GRANTS 84,021 TOTAL 153,767
PART XII, LINE 4B - RECONCILIATION OF EXPENSESPROVISION FOR BAD DEBTS 7,731,832 ADDITIONAL MINIMUM PENSION ADJUSTMENT 44,273,524 TOTAL 52,005,356

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanInvestments$261,865
Europe (Including Iceland and Greenland)Investments$40,860
FieldValueIRS element (for citing)
Subtotal Spent$302,725SubtotalSpentAmt
Total Spent$302,725TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served14857PersonsServedCnt
Total Community Benefit Expns$14,236,951TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,549,254DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,687,697NetCommunityBenefitExpnsAmt
Total Expense0.02160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served48712PersonsServedCnt
Total Community Benefit Expns$97,360,030TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,402,717DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,957,313NetCommunityBenefitExpnsAmt
Total Expense0.07340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served63569PersonsServedCnt
Total Community Benefit Expns$111,596,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,951,971DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,645,010NetCommunityBenefitExpnsAmt
Total Expense0.09500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs156ActivitiesOrProgramsCnt
Persons Served255747PersonsServedCnt
Total Community Benefit Expns$1,867,996TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,867,996NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs92ActivitiesOrProgramsCnt
Persons Served3921PersonsServedCnt
Total Community Benefit Expns$11,302,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,342,743DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,959,883NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,275TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,275NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$31,575TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,575NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs36ActivitiesOrProgramsCnt
Persons Served6941PersonsServedCnt
Total Community Benefit Expns$325,684TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$325,684NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs285ActivitiesOrProgramsCnt
Persons Served266609PersonsServedCnt
Total Community Benefit Expns$13,592,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,342,743DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,249,413NetCommunityBenefitExpnsAmt
Total Expense0.02510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs287ActivitiesOrProgramsCnt
Persons Served330178PersonsServedCnt
Total Community Benefit Expns$125,189,137TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,294,714DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,894,423NetCommunityBenefitExpnsAmt
Total Expense0.12010TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs140ActivitiesOrProgramsCnt
Persons Served835PersonsServedCnt
Total Community Benefit Expns$11,661TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,661NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs62ActivitiesOrProgramsCnt
Persons Served692PersonsServedCnt
Total Community Benefit Expns$66,282TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,282NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs42ActivitiesOrProgramsCnt
Persons Served5232PersonsServedCnt
Total Community Benefit Expns$40,066TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,066NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served277PersonsServedCnt
Total Community Benefit Expns$6,159TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,159NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served230PersonsServedCnt
Total Community Benefit Expns$2,769TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,769NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs43ActivitiesOrProgramsCnt
Persons Served238PersonsServedCnt
Total Community Benefit Expns$41,636TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,636NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served2818PersonsServedCnt
Total Community Benefit Expns$43,489TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$43,489NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served48PersonsServedCnt
Total Community Benefit Expns$6,787TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,787NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs333ActivitiesOrProgramsCnt
Persons Served10370PersonsServedCnt
Total Community Benefit Expns$218,849TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$218,849NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,994,651BadDebtExpenseAmt
Reimbursed By Medicare$100,574,407ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$106,022,698CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,448,291MedicareSurplusOrShortfallAmt
Costing Methodology UsedCostingMethodologyUsedGrp
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 EAST MAIN STREETAddressLine1Txt
CityBAY SHORECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11706ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NORTHSHORELIJ.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.northshorelij.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.northshorelij.com/sites/default/files/nslStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Section C, Supplemental InformationFormAndLineReferenceDesc
ExplanationPart V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each county served by NSLIJ and its hospitals. These were comprised of participants such as Departments of Health; community based organizations (CBOs); the NSLIJ Health System; local businesses; and faith-based organizations; and a "voice of the community" (i.e. the community's perception of need). Qualitative data was collected from diverse community organizations that serve the population-at-large, as well as those communities with significant health disparities. Community partners were invited to participate via surveys and key informant interviews. Emphasis was placed on the following populations: minorities/underserved communities, seniors, women and children, special populations, and individuals with disease-specific conditions. Primary data was obtained through qualitative analysis of CBO informant interviews, CBO surveys, individual community member surveys, and participation in the collaborative partner listening sessions. For further detail go to web link: http://www.northshorelij.com/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to web link: http://www.northshorelij.com/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 6b: For a detailed listing of other than hospital facilities go to web link: http://www.northshorelij.com/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 7d: N/A Part V, Section B, line 11: The hospital identified and addressed primary needs based on an assessment of the highest ranked health priorities of the community, regulatory input (I.E. the NYC Department of Health prevention priority agenda), and resources available. For further information go to web link: http://www.northshorelij.com/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 13b: N/A Part V, Section B, line 13h: The hospital also uses household size. Part V, Section B, line 15e: N/A Part V, Section B, line 16i: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 18d: N/A Part V, Section B, line 19d: N/A Part V, Section B, line 20e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 22d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid) Part V, Section B, line 23: N/A Part V, Section B, line 24: N/AExplanationTxt
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SUFFOLK COUNTY BRENTWOOD FAMILY HEALTH C
1869 BRENTWOOD ROADBRENTWOODNY11717FAMILY HEALTH CENTER
RADIOLOGY
301 EAST MAIN STREETBAY SHORENY11706DIAGNOSTIC CENTER
NSLIJ IMAGING AT GREAT SOUTH BAY
620 MAIN STREETISLIPNY11751DIAGNOSTIC CENTER
SURGICAL SERVICES AT SOUTHSIDE
270 EAST MAIN STREETBAY SHORENY11706OUTPATIENT PHYSICIAN CLINIC
SOUTHSIDE HOSPITAL CENTER FOR ADVANCED S
217 EAST MAIN STREETBAY SHORENY11706OUTPATIENT PHYSICIAN CLINIC
SOUTHSIDE CARDIOLOGY
280 EAST MAIN STREETBAY SHORENY11706OUTPATIENT PHYSICIAN CLINIC
CARDIOVASCULAR AND THORACIC SURGERY AT S
301 EAST MAIN STREETBAY SHORENY11706OUTPATIENT PHYSICIAN CLINIC
NASSAU SUFFOLK FAMILY MEDICINE
120 ROUTE 109WEST BABYLONNY11704FAMILY HEALTH CENTER
OAKDALE OBGYN
971 MONTAUK HIGHWAYOAKDALENY11769OUTPATIENT PHYSICIAN CLINIC
UROGYNECOLOGY AT SUFFOLK
200 MOTOR PARKWAYHAUPPAUGENY11788OUTPATIENT PHYSICIANS CLINIC
WOMEN'S HEALTHCARE OF SUFFOLK
3001 EXPRESSWAY DRIVEISLANDIANY11749OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
180 EAST MAIN STREETBAY SHORENY11706OUTPATIENT PHYSICIAN CLINIC
BAY SHORE FAMILY MEDICAL CARE
2915 SUNRISE HIGHWAYISLIP TERRACENY11752FAMILY HEALTH CENTER
BRIGHTWATERS MEDICINE
200 HOWELLS ROADBAY SHORENY11706OUTPATIENT PHYSICIANS CLINIC
ISLIP INTERNAL MEDICINE
260 MAIN STREETISLIPNY11751OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
32 EAST MAIN STREETBAY SHORENY11706OUTPATIENT PHYSICIAN CLINIC
BERLIN OBGYN
2330 UNION BOULEVARDISLIPNY11751OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1554 NORTHER BOULEVARDMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
31 MAIN ROADRIVERHEADNY11901OUTPATIENT PHYSICIAN CLINIC
WESTERN SUFFOLK GASTROENTEROLOGY
375 E MAIN STREETBAY SHORENY11706OUTPATIENT PHYSICIAN CLINIC
DIABETES AND ENDOCRINOLOGY CENTER OF SUF
1723 NORTH OCEAN AVENUEMEDFORDNY11763OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VI - SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationQuestion 1: Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. 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. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-Long Island Jewish Health System) 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. 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 (or RCC) 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), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. 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 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 7a-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 program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 12.08 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 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 Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and a designated a 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, (i.e. Super storm Sandy), North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances assists with the transport of patients throughout the metropolitan area and stand ready to contribute food, medicine and blankets to numerous individuals who may lose power in their homes, and assist both affiliated and non-affiliated hospital patients. 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 2: 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 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. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A 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. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. 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 (or RCC) 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 organization'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. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. North Shore-LIJ conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities' needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern North Shore-LIJ's community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention, women and children's health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS/STDs and community immunizatExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL J DOWLING
PRESIDENT & CEO$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
HOWARD GOLD
EVP CHF MANAGED CARE & BUS DEV$0$1,079,764$0$737,000$0$31,286$0$28,600$0$15,100$0$1,891,750$0
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER$0$1,172,927$0$700,000$0$27,489$0$338,188$0$15,100$0$2,253,704$0
ROBERT S SHAPIRO
EXEC VP & CFO$0$925,430$0$236,000$0$31,762$0$278,970$0$15,100$0$1,487,262$0
LAWRENCE G SMITH MD
EVP/PHYSICIAN IN CHIEF$0$735,253$0$309,000$0$1,931,077$0$608,710$0$16,113$0$3,600,153$0$1,302,490
JEFFREY KRAUT
SR VP, STRATEGIC PLANNING$0$720,927$0$157,000$0$30,694$0$251,559$0$15,100$0$1,175,280$0
KATHLEEN GALLO RN PHD
SR VP, CHIEF LEARNING OFFICER$0$623,254$0$93,000$0$32,304$0$28,600$0$15,100$0$792,258$0
DONNA DRUMMOND
SVP, shared services$0$510,427$0$77,000$0$59,213$0$28,600$0$15,100$0$690,340$0
HARRY GINDI
ASSISTANT SECRETARY$0$288,540$0$21,136$0$4,204$0$28,600$0$15,100$0$357,580$0
RALPH NAPPI
trustee & evc$0$673,335$0$150,000$0$33,961$0$28,600$0$15,100$0$900,996$0
WINIFRED MACK
EXECUTIVE DIRECTOR$0$728,079$0$96,000$0$2,035,100$0$203,225$0$15,100$0$3,077,504$0$910,842
MICHAEL NETT
PHYSICIAN$944,329$0$0$18,726$0$28,600$0$15,100$0$1,006,755$0$0
BURAK ARKONAC
DIR, CARDIAC CATH LAB$992,532$0$0$21,502$0$28,600$0$15,100$0$1,057,734$0$0
SCOTT WODICKA
DIR, SURGERY$501,980$0$55,000$0$314,818$0$28,600$0$15,100$0$915,498$0$0
LAURA PEABODY
SVP & CHIEF LEGAL OFFICER$0$763,150$0$111,000$0$45,189$0$170,312$0$15,100$0$1,104,751$0
KEVIN F LAWLOR
PRESIDENT & CEO HUNTINGTON$0$594,131$0$57,000$0$49,804$0$28,600$0$15,100$0$744,635$0
DONNA MORAVICK
EXECUTIVE DIRECTOR$587,587$0$65,000$0$11,973$0$28,600$0$15,100$0$708,260$0$0
ANDREW SCHULZ
VP & GENERAL COUNSEL$0$570,660$0$84,320$0$28,695$0$28,600$0$15,100$0$727,375$0
EDWARD HALLAL
PHYSICIAN$867,062$0$0$56,271$0$28,600$0$15,100$0$967,033$0$0
JED POLLACK
PHYSICIAN$890,401$0$13,452$0$3,564$0$28,600$0$15,100$0$951,117$0$0
EUGENE S TANGNEY
SVP, CHIEF ADMIN OFFICER$0$840,427$0$128,000$0$11,779$0$156,615$0$15,100$0$1,151,921$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANCertain 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), Jeffrey Kraut ($222,959), Laura Peabody ($141,712), Eugene Tangney ($128,015) and Winifred Mack ($174,625).
PART I, LINE 5A - COMPENSATION CONTINGENT ON REVENUESPursuant 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 - BONUS AND INCENTIVE COMPENSATIONOn 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) - SERP PAYOUTThe 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY OF THE STATE OF NEW YORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN146000293BondIssuerEIN
CUSIP649906jt2CUSIPNum
Bond Issued2011-10-06BondIssuedDt
Issue Price$43,487,805IssuePriceAmt
Purpose2011 BONDS - CONSTRUCT FACILITY &PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$3,166,524RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$43,527,221TotalProceedsAmt
In Reserve Fund$2,324,176InReserveFundAmt
Capitalized Interest$361,028CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$770,395IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$10,568,129CapitalExpendituresAmt
Other Spent Proceeds$26,316,170OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUEFormAndLineReferenceDesc
Explanationprice in Part I, Column (E) due to Invest earning & transferred proceeds.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY, LINE 2All 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 Elise Bloom and Eric and Roger Blumencranz. John Alexander has a business relationship with Laura Lauria and John Shall. Philip Altheim has a business relationship with Eric Blumencranz. Michael Ashner has a business relationship with William Mack. Frank Besignano has a business relationship with Laura Lauria. Elise Bloom has a business relationship with William Achenbaum, Leonard Feinstein and Lewis Ranieri. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Arlene Lane Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade, Nancy Waldbaum, Barbara Hrbek Zucker and Donald Zucker. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Arlene Lane Fisher, Richard D. Goldstein, Alan Greene, Stanley Grey, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Stuart Levine, David Mack, Bradley Marsh, Ralph Nappi, Michael Slade, Mark Solazzo, Barbara Hrbek Zucker and Donald Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with M. Allan Hyman and William Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Robert Chasanoff has a business relationship with Michael Sahn. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Richard Goldstein and Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with Elise Bloom and William Mack. Arlene Lane Fisher has a business relationship with Eric Blumencranz and Roger Blumencranz. 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 business relationship with Eric Blumencranz and Roger Blumencranz. Stanley Grey has a business relationship with Roger Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Gedale Horowitz has a family relationship with Richard and Seth Horowitz. Richard Horowitz has a family relationship with Gedale and Seth Horowitz. He has a business relationship with Eric Blumencranz and Roger Blumencranz. Seth Horowitz has a family relationship with Gedale and Richard Horowitz. M. Allan Hyman has a business relationship with Eric Blumencranz, Roger Blumencranz, David Blumenfeld, Edward Blumenfeld, David Katz, Michael Katz, Saul Katz, Stanely Kreitman and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with M. Allan Hyman, Michael Katz, Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, 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 M. Allan Hyman, David Katz, Michael Katz, Curt Launer, F.J. McCarthy and Michael Slade. Cary Kravet has a business relationship with Steve Braun. Stanley Kreitman has a business relationship with Allan Hyman. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz and Saul Katz. Laura Lauria has a business relationship with John Alexander and Frank Besignano. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric Blumencranz and Roger Blumencranz. Seth Lipsay has a business relationship with David Katz. 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 and David Blumenfeld, Leonard Feinstein, Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz and Roger Blumencranz. Jeff Maurer has a business relationship with William Hiltz. F.J. McCarthy has a business relationship with Saul Katz, Robert Rosenthal and Emmett Walker. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Ralph Nappi has a business relationship with Eric Blumencranz and Roger Blumencranz. John J. Raggio has a family relationship with John V. Raggio. John V. Raggio has a family relationship with John J. Raggio. Lewis Ranieri has a business relationship with Elise Bloom. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Michael Sahn has a business relationship with Robert Chasanoff. John Shall has a business relationship with Patrick McDermott, John Alexander, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz and Roger Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Roger Blumencranz. Nancy Waldbaum has a business relationship with Eric Blumencranz and Robert Rosenthal. Emmett Walker has a business relationship with F.J. McCarthy. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric Blumencranz, Roger Blumencranz and M. Allan Hyman. Roy Zuckerberg has a business relationship with William Mack.
PART VI, SECTION B - POLICIES, LINE 11The annual Return of Organization Exempt From Income Tax (Form 990) for North Shore-LIJ Health System Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. 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.
PART VI, SECTION B - POLICIES, LINE 12CThe 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 fill 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
PART VI, SECTION B - POLICIES, LINE 15The 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 others 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 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.
PART VI, SECTION C - DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1ARichard S. Abramson Michael Gould F.J. McCarthy William Achenbaum Albert L. Granger,DDS Patrick F. McDermott John W. Alexander Alan I. Greene James McMullen Philip S. Altheim Stanley Grey Charles Merinoff Michael L. Ashner Paul B. Guenther Richard D. Monti Ralph M. Baruch Amy M. Hagedorn Richard Murcott Frank J. Besignano Ira Hazan Ralph A. Nappi Elise M. Bloom Linda W. Heaney Raffiq A. Nathoo Eric S. Blumencranz Marlene Hess Richard B. Nye Roger A. Blumencranz William O. Hiltz Clyde I. Payne, Ed.D. David Blumenfeld Gedale B. Horowitz Arnold S. Penner Edward Blumenfeld Richard A. Horowitz John J. Raggio E. Steve Braun Seth R. Horowitz John V. Raggio Dayton T. Brown, Jr M. Allan Hyman Lewis S. Ranieri Jonathan S. Canno Mark Jacobson Dennis Riese Michael Caridi Jeffrey Jurick Terry P. Rifkin, M.D. Robert W. Chasanoff David M. Katz Robert A. Rosen Alan Chopp Michael Katz Marcie Rosenberg Mark Claster Saul B. Katz Robert D. Rosenthal Diana F. Colgate Lisa A. Kaufman Bernard M. Rosof, M.D. Daniel M. Crown Robert Kaufman Jack J. Ross Philippe P. Dauman Cary Kravet Barry Rubenstein Thomas E. Dewey, Jr. Stanley Kreitman Herbert Rubin Thomas E. Dooley Seth Kupferberg Michael H. Sahn Michael J. Dowling Jeffrey B. Lane Lois C. Schlissel Robert N. Downey Curt N. Launer John M. Shall Patrick R. Edwards Laura Lauria Marc V. Shaw Michael A. Epstein Kevin F. Lawlor Richard Sims Leonard Feinstein David W. Lehr Michael C. Slade Michael E. Feldman Jonathan W. Leigh Phyllis Hill Slater Arlene Lane Fisher Arthur S. Levine Howard D. Stave Catherine C. Foster Stuart R. Levine Peter Tilles William H. Frazier Seth Lipsay Paula Dunn Tropello,EdD Eugene B. Friedman, MD David S. Mack Sandra Tytel William J. Fritz, PhD William L. Mack Frederick A. Volk Sy Garfinkel Linda Manfredi Nancy Waldbaum Lloyd M. Goldman Bradley Marsh, D.P.M. Emmett F. Walker, Jr Richard D. Goldstein Jeffrey S. Maurer Barbara Hrbek Zucker J. Joaquin Gonzalez Ronald J. Mazzucco Donald Zucker Roy J. Zuckerberg
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.
PART VI, SECTION A - GOVERNING BODY, LINE 7North 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.
PART XI, LINE 9 - RECONCILIATION OF NET ASSETSChange in Equity Under FAS 136 2,818,779 Non-Operating Gains/Loss 2,012,715 Total 4,831,494

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (43 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORTH SHORE-LIJ HEALTH SYSTEM
972 BRUSH HOLLOW RDWESTBURYNY11590113418133SUPPORTNY501(C)(3)11, TYPE 1NAfalse
NORTH SHORE-LIJ HEALTH CARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590112965586SUPPORTNY501(C)(3)11, TPYE 1NS-LIJHSfalse
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111562701HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112163522HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590113241243HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112296824HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RDWESTBURYNY11590113412370HEALTH CARENY501(C)(3)3NS-LIJHSfalse
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NS-LIJHSfalse
NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NS-LIJHSfalse
NSLIJ STERN FAMILY CENTER FOR REHAB
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NS-LIJ HCIfalse
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1SOUTHSIDEYes (true)
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
HILLSIDE HOSPITAL HOUSES
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254SUPPORTNY501(C)(3)11, TYPE 1NAfalse
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZASTATEN ISLANDNY10305113345477INACTIVENY501(C)(3)9SIUHfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVWOODBURYNY11797112925757HOSPICENY501(C)(3)9NS-LIJHSfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA STE 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE 1SIUHfalse
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROADWESTBURYNY11590113284934GRADUATE SCHONY501(C)(3)2NS-LIJHSfalse
SPORTS PHYSICAL THERAPY & REHAB SVCS
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)9LIJfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLYNY11701112837244HEALTH CARENY501(C)(3)3LHH CORPfalse
CLNY ALLIANCE INC
972 BRUSH HOLLOW RDWESTBURYNY11590463146870LABORATORYNYAPPLIED FORNSLIJ LABSfalse
NS-LIJ CARDIOVASCULAR MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NS-LIJ CARDIOLOGY AT DEER PARK PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078631MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NSLIJ MEDICAL GROUP URGENT MEDICAL CARE
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NORTH SHORE-LIJ MEDICAL CARE PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW RDWESTBURYNY11590461617516INSURANCENYAPPLIED FORNSLIJ HCIfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYNA
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYNS-LIJ HCI
ENDOSCOPY CENTER OF LONG ISLAND
972 BRUSH HOLLOW RDWESTBURYNY11590260000980MEDICAL SVCSNYNSLIJ VENTURES
TRUE NORTH URGENT CARE LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464113494URGENT CARENYNSLIJ URGENT
TRUE NORTH DC LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464601950DIALYSISNYRENAL VENTURES
SYNERGY HEALTH TRUE NORTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464106483MEDICAL SVCSNYCENTRAL STERILE
NORTH SHORE-LIJ MEDICAL AIR TRANSPORT
972 BRUSH HOLLOW RDWESTBURYNY11590464858222AIR TRANSPORTNYNSUH
NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI
972 BRUSH HOLLOW ROADWESTBURYNY11590464469806RESEARCHNYHEALTH CARE
NORTH SHORE-LIJ RENAL VENTURES LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590463869336MEDICAL SVCSNYNSUH
STATEN ISLAND PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544659INACTIVENYSIUH
NASSAU QUEENS PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544821INACTIVENYNSUH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPANYNS-LIJHSCfalse
REGIONCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTERPRISECfalse
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPANYNSHS ENTERPRISECfalse
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTERPRISESCfalse
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENS-LIJ HCICfalseC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SERNYSOUTHSIDECYes (true)$0$130,6801.00000
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK STBURLINGTONVT05401261487515INSURANCEVTNS-LIJ HCICfalse
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORT SERVINYNACfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RDWESTBURYNY11590113533659HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJCfalse
NORTH SHORE IPA 5
972 BRUSH HOLLOW RDWESTBURYNY11590113383468BUSINESS SERVNYNS-LIJ HCICfalse
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SERVINYNS-LIJHSCfalse
NORTH SHORE RADIOLOGY AT GLEN COVE PC
972 BRUSH HOLLOW RDWESTBURYNY11590113301179MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVINYNSUHCfalse
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZASTATEN ISLANDNY10305133138888MANAGEMENT SVNYSIUHCfalse
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZASTATEN ISLANDNY10305133773601INACTIVENYOVMCfalse
REGENCY ALLIANCE SERVICES INC
1 EDGEWATER PLAZASTATEN ISLANDNY10305133277698MANAGEMENT SVNYOVMCfalse
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVESTATEN ISLANDNY10305200011201MEDICAL SERVINYSIUHCfalse
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SERVINYSIUHCfalse
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780MEDICAL SERVINYSIUHCfalse
GOETHALS RADIOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305200010287MEDICAL SERVINYSIUHCfalse
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVENUESTATEN ISLANDNY10305331010283MEDICAL SERVINYSIUHCfalse
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MEDICAL SERVINYNSUHCfalse
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MEDICAL SERVINYNSUHCfalse
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SERVINYNSUHCfalse
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-ANEW YORKNY10021133775996MANAGED CARENYLENOXCfalse
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MEDICAL SERVINYLENOXCfalse
LENOX HILL ICV SERVICES PC
130 EAST 77TH ST 9TH FLNEW YORKNY10021201435770MEDICAL SERVINYLENOXCfalse
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY10021133644370MEDICAL SERVINYLENOXCfalse
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77TH STNEW YORKNY10021262661082MEDICAL SERVINYLENOXCfalse
VIVOHEALTH INC
972 BRUSH HOLLOW ROADWESTBURYNY11590264118016INACTIVENYNSH ENTERPRISECfalse
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW ROADWESTBURYNY11590270701489INACTIVENYRESEARCHCfalse
NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC
972 BRUSH HOLLOW RDWESTBURYNY11590463475908MEDICAL SERVINYNSUHCfalse
NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK
972 BRUSH HOLLOW RDWESTBURYNY11590462822879MEDICAL SERVINYNSUHCfalse
NS-LIJ OB-GYN AT GARDEN CITY PC
972 BRUSH HOLLOW RDWESTBURYNY11590462886776MEDICAL SERVINYNSUHCfalse
NS-LIJ HEALTH PLAN HOLDING INC
972 BRUSH HOLLOW RDWESTBURYNY11590462478147MEDICAL SERVINYNSUHCfalse
NS-LIJ CARECONNECT INSURANCE COMPANY
972 BRUSH HOLLOW RDWESTBURYNY11590462270382MEDICAL SERVINYNSUHCfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MEDICAL SERVINYLENOXCfalse
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MEDICAL SERVINYLIJCfalse
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MEDICAL SERVINYSOUTHSIDECYes (true)$1,095,355$45,9151.00000
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW ROADWESTBURYNY11590112945979MEDICAL SERVINYNSUHSfalse
TRUE NORTH HEALTH PHARMACY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590471020508INACTIVENYNSUHCfalse
NORTH SHORE-LIJ CARECONNECT INSURANCE AG
972 BRUSH HOLLOW ROADWESTBURYNY11590471994548INSURANCE AGENCYNYGROUP HOLDINGCfalse
CARECONNECT GROUP HOLDING COMPANY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590472478692HOLDING CONYHPLAN HOLDINGCfalse
NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK CO
972 BRUSH HOLLOW ROADWESTBURYNY11590465746956MEDICAL SERVICESNYNSUHCfalse
NORTH SHORE-LIJ URGENT CARE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590471758444MEDICAL SERVICESNYNSUHCfalse
NORTH SHORE-LIJ MATERNAL FETAL MEDICINE
972 BRUSH HOLLOW ROADWESTBURYNY11590465495054MEDICAL SERVICESNYNSUHCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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