SPORTS PHYSICALTHERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVICE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SPORTS PHYSICALTHERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVICE (EIN 06-1655704)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-20
IRS object ID
201513249349300701
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)
Return2015-11-20T08:15:48-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN061655704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPYBusinessNameLine1Txt
Business Name Line2AND REHAB SERVICES OF NORTH SHORE PLLCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% NORTH SHORE-LIJ HEALTH SYSTEInCareOfNm
Business Name ControlSPORBusinessNameControlTxt
Phone5164658339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNINA DEPAOLAPersonNm
Person TitlePRESDIENTPersonTitleTxt
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
ZIP11021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,363,539GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NSLIJ.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSTARS IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE AND PROMOTING HEALTH ED TO THE COMMUNITY REGARDLESS OF ABILITY TO PAYActivityOrMissionDesc
Voting Members Governing Body118VotingMembersGoverningBodyCnt
Voting Members Independent108VotingMembersIndependentCnt
Total Employee149TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,546,112PYProgramServiceRevenueAmt
CY Program Service Revenue$9,010,402CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$262,105PYOtherRevenueAmt
CY Other Revenue$353,137CYOtherRevenueAmt
PY Total Revenue$7,808,217PYTotalRevenueAmt
CY Total Revenue$9,363,539CYTotalRevenueAmt
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$6,113,541PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,142,906CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,156,686PYOtherExpensesAmt
CY Other Expenses$1,113,518CYOtherExpensesAmt
PY Total Expenses$7,270,227PYTotalExpensesAmt
CY Total Expenses$8,256,424CYTotalExpensesAmt
PY Revenues Less Expenses$537,990PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,107,115CYRevenuesLessExpensesAmt
Total Assets BOY$3,698,392TotalAssetsBOYAmt
Total Assets EOY$4,332,169TotalAssetsEOYAmt
Total Liabilities BOY$1,108,280TotalLiabilitiesBOYAmt
Total Liabilities EOY$623,407TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,590,112NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,708,762NetAssetsOrFundBalancesEOYAmt
MissionSPORTS PHYSICAL THEREAPY & REHABILITATION SERVICES ("STARS") 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 REHABILITATION PROFESSIONALS; KEEPING PACE WITH THE LATEST ADVANCES IN REHABILITATION SERVICES AND PROMOTING HEALTH EDUCTION TO THE COMMUNITY AT LARGE REGARDLESS OF ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,186,830ExpenseAmt
Revenue$9,010,402RevenueAmt
DescSports Physical Therapy and Rehabilitation Services ("STARS") strives to help patients find relief from pain and get moving again after an accident, injury, illness, or surgery.Desc
Total Program Service Expenses$6,186,830TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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 EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee149EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 RDAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MICHAEL J DOWLING
PRES & CEO NSLIJ HEALTH SYSTEM0.050.0Yes (X)Yes (X)$0$9,627,815$477,742
RALPH NAPPI
TRUSTEE & EVC0.050.0Yes (X)$0$857,296$43,700
KEVIN LAWLOR
PRES & CEO/HUNTINGTON0.050.0Yes (X)$0$700,935$43,700
NON COMPENSATED TRUSTEES
SEE SCHEDULE O0.02.0Yes (X)$0$0$0
MARK CLASTER
CHAIRMAN OF BOARD OF TRUSTEES0.02.0Yes (X)$0$0$0
NINA DEPAOLA
PRESIDENT & TREASURER50.00.0Yes (X)$317,960$0$43,700
DARICE BRODSKY
SECRETARY50.00.0Yes (X)$108,660$0$43,700
ROBERT S SHAPIRO
EXEC VICE PRES & CFO0.050.0Yes (X)$0$1,193,192$294,070
FieldValueIRS element (for citing)
Total Reportable Comp From Org$426,620TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,379,238TotReportableCompRltdOrgAmt
Total Other Compensation$946,612TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPHYSICIAN BILLINGDesc
Business621300BusinessCd
Total Revenue Column$9,010,402TotalRevenueColumnAmt
Related Or Exempt Func Income$9,010,402RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,010,402TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$106,848RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$106,848RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,848TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

FieldValueIRS element (for citing)
DescOTHERDesc
Business900099BusinessCd
Total Revenue Column$246,289TotalRevenueColumnAmt
Related Or Exempt Func Income$246,289RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$246,289OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,363,539TotalRevenueColumnAmt
Related Or Exempt Func Income$9,256,691RelatedOrExemptFuncIncomeAmt

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$426,620TotalAmt
Program Services$426,620ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,128,868TotalAmt
Program Services$3,734,329ProgramServicesAmt
Management And General$1,394,539ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$231,643TotalAmt
Program Services$168,659ProgramServicesAmt
Management And General$62,984ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$926,856TotalAmt
Program Services$674,844ProgramServicesAmt
Management And General$252,012ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$428,919TotalAmt
Program Services$312,296ProgramServicesAmt
Management And General$116,623ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$18,389TotalAmt
Program Services$13,389ProgramServicesAmt
Management And General$5,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$959TotalAmt
Program Services$698ProgramServicesAmt
Management And General$261ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$242,325TotalAmt
Program Services$176,436ProgramServicesAmt
Management And General$65,889ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$321,062TotalAmt
Program Services$233,765ProgramServicesAmt
Management And General$87,297ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,844TotalAmt
Program Services$10,844ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$94,292TotalAmt
Program Services$94,292ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$96,573TotalAmt
Program Services$70,315ProgramServicesAmt
Management And General$26,258ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$60,000$60,000
OTHER PURCHASED SERVICES$96,705$96,705
CENTRALIZED ADMIN EXP$16,296$16,296
DUES & SUBSCRIPTIONS$36,989$26,932$10,057

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$119,084TotalAmt
Program Services$86,706ProgramServicesAmt
Management And General$32,378ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,256,424TotalAmt
Program Services$6,186,830ProgramServicesAmt
Management And General$2,069,594ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

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$305,638BOYAmt
EOY$518,328EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,588,029LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$235,203LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,619,341BOYAmt
EOY$1,352,826EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

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$1,773,413BOYAmt
EOY$2,461,015EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,698,392BOYAmt
EOY$4,332,169EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$992,699BOYAmt
EOY$623,407EOYAmt

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$0BOYAmt
EOY$0EOYAmt

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$115,581BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,108,280BOYAmt
EOY$623,407EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,590,112BOYAmt
EOY$3,708,762EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,590,112BOYAmt
EOY$3,708,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,698,392BOYAmt
EOY$4,332,169EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,107,115ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$11,535OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
FS Audited BasisFSAuditedBasisGrp
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$6,440,564CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,812,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,546,112CurrentTaxYearMinus1YearAmt
Current Tax Year$9,010,402CurrentTaxYearAmt
Total$29,809,666TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,440,564CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,812,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,546,112CurrentTaxYearMinus1YearAmt
Current Tax Year$9,010,402CurrentTaxYearAmt
Total$29,809,666TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,809,666PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$104,403CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,686CurrentTaxYearMinus1YearAmt
Current Tax Year$106,848CurrentTaxYearAmt
Total$312,937TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$104,403CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,686CurrentTaxYearMinus1YearAmt
Current Tax Year$106,848CurrentTaxYearAmt
Total$312,937TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$157,526CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$377,841CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$160,419CurrentTaxYearMinus1YearAmt
Current Tax Year$246,289CurrentTaxYearAmt
Total$942,075TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,598,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,294,832CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,808,217CurrentTaxYearMinus1YearAmt
Current Tax Year$9,363,539CurrentTaxYearAmt
Total$31,064,678TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Public Support CY5090.00000PublicSupportCY509Pct

Schedule D IRS990ScheduleD

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$987,427OtherCostOrOtherBasisAmt
Depreciation$103,830DepreciationAmt
Book Value$883,597BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$563,054OtherCostOrOtherBasisAmt
Depreciation$131,374DepreciationAmt
Book Value$431,680BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,549OtherCostOrOtherBasisAmt
Book Value$37,549BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,352,826TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$2,437,593
SECURITY DEPOSITS$13,301
OTHER ASSETS$10,121
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,461,015TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,303,539TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$60,000OtherRevenueAmt
Revenue Not Reported-$60,000RevenueNotReportedAmt
Revenue Subtotal$9,363,539RevenueSubtotalAmt
Total Revenue Per Form990$9,363,539TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,184,889TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,184,889ExpensesSubtotalAmt
Other Expenses Not Included$71,535OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$71,535ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,256,424TotalExpensesPerForm990Amt

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 REVENUEAMOUNTS ON BOOK NOT ON RETURN PROVISION FOR BAD DEBTS (60,000)
PART XII, LINE 4B - RECONCILIATION OF EXPENSESAMOUNT ON RETURN NOT ON BOOK PROVISION FOR BAD DEBT 60,000 MACRS DEPRECIATION ADJUSTMENT 11,535 TOTAL 71,535

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 OrgfalseCompBasedOnRevenueOfFlngOrgInd
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 (6 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
NINA DEPAOLA
PRESIDENT & TREASURER$283,261$0$12,631$0$22,068$0$28,600$0$15,100$0$361,660$0$0$0
DARICE BRODSKY
SECRETARY$103,562$0$3,375$0$1,723$0$28,600$0$15,100$0$152,360$0$0$0
ROBERT S SHAPIRO
EXEC VICE PRES & CFO$0$925,430$0$236,000$0$31,762$0$278,970$0$15,100$0$1,487,262$0$0
MICHAEL J DOWLING
PRES & CEO NSLIJ HEALTH SYSTEM$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
RALPH NAPPI
TRUSTEE & EVC$0$673,335$0$150,000$0$33,961$0$28,600$0$15,100$0$900,996$0$0
KEVIN LAWLOR
PRES & CEO/HUNTINGTON$0$594,131$0$57,000$0$49,804$0$28,600$0$15,100$0$744,635$0$0

Supplemental Information Detail SupplementalInformationDetail (3 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) and Robert S Shapiro ($250,370).
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 I, 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 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 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 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 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 XI, LINE 9 - RECONCILIATION OF NET ASSETSMACRS DEPRECIATION ADJUSTMENT 11,535
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 other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.

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, TYPE 1NS-LIJ HSfalse
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111562701HEALTH CARENY501(C)(3)3HEALTH CAREfalse
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3HEALTH CAREfalse
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3HEALTH CAREfalse
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112163522HEALTH CARENY501(C)(3)3HEALTH CAREfalse
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590113241243HEALTH CARENY501(C)(3)3HEALTH CAREfalse
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112296824HEALTH CARENY501(C)(3)3HEALTH CAREfalse
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111667761HEALTH CARENY501(C)(3)3HEALTH CAREfalse
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)11, TYPE 1NS-LIJ HSfalse
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NS-LIJ HSfalse
NS-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NS-LIJ HSfalse
NSLIJ STERN FAMILY CENTER FOR REHAB
975 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9HEALTH CAREfalse
LIJ AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJ HSfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJ HSfalse
NS-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPORTNY501(C)(3)11, TYPE 1NS-LIJ HSfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1SOUTHSIDEfalse
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(2)N/ANS-LIJ HSfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(2)N/ANS-LIJ HSfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(2)N/ANS-LIJ HSfalse
HILLSIDE HOSPITAL HOUSES INC
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(2)N/ANS-LIJ HSfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7HEALTH CAREfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3HEALTH CAREfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254INACTIVENY501(C)(3)11, TYPE 1NAfalse
CHAPS COMMUNITY HEALTH CENTER INC
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305113345477INACTIVENY501(C)(3)9SIUHfalse
PHYSICIANS UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE 1SIUHfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NS-LIJ HSfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3HEALTH CAREfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3HEALTH CAREfalse
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NS-LIJ HSfalse
ELMEZZI GRADUATE SCHOOL OF MOLECULAR MED
972 BRUSH HOLLOW RDWESTBURYNY11590113284934GRADUATE SCHNY501(C)(3)2NS-LIJ HSfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTH CARENY501(C)(3)3LHH CORPfalse
CLNY ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590463146870LABORATORYNYAPPLIED FORNSLIJ LABSfalse
NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SVCSNY501(C)(3)11, TYPE 1NSUHfalse
NORTH SHORE-LIJ CARDIOLOGY AT DEER PARK
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 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 RDWESTBURYNY11590262838027CONSULTINGNYCMG
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYHEALTH CARE INC
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 RDWESTBURYNY11590464106483CENTRAL STERINYNSLIJ CENTRAL
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 ROADWESBURYNY11590463869336MEDICAL 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 CountryLegalDomicileForeignCountryCd
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPANYNS-LIJ HSCfalse
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 SVCNYNSH ENTERPRISECfalse
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCEHEALTH CARE INCCfalseC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SVCNYSOUTHSIDECfalse
NS-LIJ PHYSICIAN INSURANCE COMP RRG
100 BANK STBURLINGTONVT05401261487515INSURANCEVTHEALTH CARE INCPCfalse
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORTNYNACfalse
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 SVCNYHEALTH CARE INCCfalse
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SVCSNYNS-LIJ HSCfalse
VIVOHEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590264118016INACTIVENYNSH ENTERPRISESCfalse
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RDWESTBURYNY11590270701489INACTIVENYRESEARCHCfalse
NORTH SHORE RADIOLOGY AT GLEN COVE PC
972 BRUSH HOLLOW RDWESTBURYNY11590113301179MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET
972 BRUSH HOLLOW RDWESTUBURYNY11590273957752MEDICAL 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
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SERVINYNSUHCfalse
NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC
972 BRUSH HOLLOW RDWESTBURYNY11590463475908MEDICAL SERVINYNSUHCfalse
NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK
972 BRUSH HOLLOW RDWESTBURYNY11590462822879MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN AT GARDEN CITY PC
972 BRUSH HOLLOW RDWESTBURYNY11590462886776MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ HEALTH PLAN HOLDING INC
972 BRUSH HOLLOW RDWESTBURYNY11590462478147INSURANCENYNSLIJ HCICfalse
NORTH SHORE-LIJ CARECONNECT INSURANCE CO
972 BRUSH HOLLOW RDWESTBURYNY11590462270382INSURANCENYHEALTH PLAN HLDCfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MEDICAL SERVINYLENOXCfalse
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SERVINYNSUHCfalse
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305133138888MANAGEMENT SVNYSIUHCfalse
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305133773601INACTIVENYOVMCfalse
REGENCY ALLIANCE SERVICES
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305133277698MANAGEMENT SVNYOVMCfalse
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVE STE 200STATEN ISLANDNY10305200011201RADIOLOGY SVCNYSIUHCfalse
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SERVINYSIUHCfalse
UNITED MEDICAL SURGICAL PC
256 MASON AVE BLDG B 2ND FLSTATEN ISLANDNY10305134038780SURGICAL SERVNYSIUHCfalse
GOETHALS RADIOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305200010287RADIOLOGYNYSIUHCfalse
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVESTATEN ISLANDNY10305331010283MEDICAL SERVINYSIUHCfalse
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH STM STE 3-ANEW YORKNY10021133775996MANAGED CARENYLENOXCfalse
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MEDICAL SERVINYLENOXCfalse
LENOX HILL ICVS PC
130 EAST 77TH ST 9TH FLNEW YORKNY10021201435770MEDICAL SERVINYLENOXCfalse
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY11021133644370MEDICAL SERVINYLENOXCfalse
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77TH STNEW YORKNY10021262661082MEDICAL SERVINYLENOXCfalse
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MED SERVICESNYLIJCfalse
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MED SERVICESNYSOUTHSIDECfalse
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 PEDIATIRCS 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 SERVICESNYCfalse
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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