STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-20
IRS object ID: 201533249349300303
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-20T08:15:48-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	112868878	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STATEN ISLAND UNIVERSITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% NORTH SHORE-LIJ HEALTH SYSTE	InCareOfNm
Business Name Control	STAT	BusinessNameControlTxt
Phone	5164658339	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW ROAD	AddressLine1Txt
City	WESTBURY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11590	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS RECA	PersonNm
Person Title	EVP & CFO	PersonTitleTxt
Signature	2015-10-30	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	MICHAEL J DOWLING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	145 COMMUNITY DRIVE	AddressLine1Txt
City	GREAT NECK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11021	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,198,515,453	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTHSHORELIJ.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1869	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Staten Island strives to improve the health of the communities it serves and is committed to providing the highest quality of care for the community regardless of ability to pay	ActivityOrMissionDesc
Voting Members Governing Body	118	VotingMembersGoverningBodyCnt
Voting Members Independent	108	VotingMembersIndependentCnt
Total Employee	6531	TotalEmployeeCnt
Total Volunteers	712	TotalVolunteersCnt
Total Gross UBI	$6,921,845	TotalGrossUBIAmt
PY Contributions Grants	$5,544,739	PYContributionsGrantsAmt
CY Contributions Grants	$4,472,923	CYContributionsGrantsAmt
PY Program Service Revenue	$857,524,021	PYProgramServiceRevenueAmt
CY Program Service Revenue	$820,103,550	CYProgramServiceRevenueAmt
PY Investment Income	$12,961,548	PYInvestmentIncomeAmt
CY Investment Income	$13,885,600	CYInvestmentIncomeAmt
PY Other Revenue	$4,961,401	PYOtherRevenueAmt
CY Other Revenue	$16,422,704	CYOtherRevenueAmt
PY Total Revenue	$880,991,709	PYTotalRevenueAmt
CY Total Revenue	$854,884,777	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$557,971,944	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$474,997,435	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$337,102	CYTotalFundraisingExpenseAmt
PY Other Expenses	$280,867,253	PYOtherExpensesAmt
CY Other Expenses	$322,940,372	CYOtherExpensesAmt
PY Total Expenses	$838,839,197	PYTotalExpensesAmt
CY Total Expenses	$797,937,807	CYTotalExpensesAmt
PY Revenues Less Expenses	$42,152,512	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$56,946,970	CYRevenuesLessExpensesAmt
Total Assets BOY	$807,490,165	TotalAssetsBOYAmt
Total Assets EOY	$867,495,490	TotalAssetsEOYAmt
Total Liabilities BOY	$506,282,959	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$513,772,422	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$301,207,206	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$353,723,068	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	STATEN ISLAND UNIVERSITY HOSPITAL IS AN AFFILIATE WITHIN NORTH SHORE-LONG ISLAND JEWISH 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$553,033,769	ExpenseAmt
Revenue	$690,682,253	RevenueAmt
Desc	STATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2014 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 40,252 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES); 2,738 DELIVERIES; 121,999 EMERGENCY DEPARTMENT VISITS (includes 30,592 admits); AND 17,006 AMBULATORY SURGERY CASES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$63,514,358	ExpenseAmt
Revenue	$64,562,422	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$50,743,418	ExpenseAmt
Revenue	$48,285,863	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING AMBULATORY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$38,975,230	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$24,455,442	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$706,266,775	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	274	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6531	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	UK	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	118	GoverningBodyVotingMembersCnt
Independent Voting Member	108	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NORTH SHORE-LIJ HEALTH SYSTE	PersonNm
Phone	6318766061	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW RD	AddressLine1Txt
City	WESTBURY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11590	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL J DOWLING
PRESIDENT & CEO - NSLIJ	0.0	50.0	Yes (X)	$0	$9,627,815	$477,742
RALPH NAPPI
TRUSTEE & EVC	0.0	50.0	Yes (X)	$0	$857,296	$43,700
KEVIN LAWLOR
PRES/CEO - HUNTINGTON	0.0	50.0	Yes (X)	$0	$700,935	$43,700
MARK CLASTER
CHAIRMAN OF THE BOARD	0.0	3.0	Yes (X)	$0	$0	$0	Yes (X)
FRANK BESIGNANO
CHAIRMAN OF EXEC COMMITTEE	0.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN ALEXANDER
VICE CHAIRMAN EXEC COMMITTEE	0.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
NON-COMPENSATED TRUSTEES
SEE SCHEDULE 0	0.0	2.0	Yes (X)	$0	$0	$0
ANTHONY FERRERI
PRES/CEO, REG EXEC DIR	0.0	50.0		$0	$1,088,789	$289,204	Yes (X)
LAURA PEABODY
SVP & CHIEF LEGAL OFFICER	0.0	50.0		$0	$919,339	$185,412	Yes (X)
ANDREW SCHULZ
SVP & GENERAL COUNSEL	0.0	50.0		$0	$683,675	$43,700	Yes (X)
HARRY GINDI
ASST SEC, VP LEGAL AFFAIRS	0.0	50.0		$0	$313,880	$43,700	Yes (X)
ROBERT S SHAPIRO
evp & cfo	0.0	50.0		$0	$1,193,192	$294,070	Yes (X)
GREGORY RADINSKY
VP/CHF COMPLIANCE OFF NSLIJ	0.0	50.0		$0	$409,214	$43,700		Yes (X)
THOMAS RECA
EXEC VP/FINANCE & CFO	50.0	0.0		$638,352	$0	$43,700		Yes (X)
DONNA PROSKE
EXECUTIVE DIRECTOR	50.0	0.0		$761,054	$0	$43,700		Yes (X)
JOSEPH MCGINN
CHAIR, SURGERY	50.0	0.0		$1,497,162	$0	$43,700			Yes (X)
JONATHAN DEITCH
DIR, VAS/ENDO SURGERY	50.0	0.0		$1,306,702	$0	$43,700			Yes (X)
MICHAEL COOPER
DIR, BURN UNIT	50.0	0.0		$990,561	$0	$43,700			Yes (X)
CYNARA COOMER
DIR, COMP BREAST CTR	50.0	0.0		$969,865	$0	$43,700			Yes (X)
RUBEN KANDOV
PHYSICIAN	50.0	0.0		$897,104	$0	$43,700			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,060,800	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$15,794,135	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,770,828	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	884	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY PHYSICIANS GROUP PC
1 EDGEWATER STREET SUITE 10305	STATEN ISLAND	NY	10305	PHSYCIAN FEES	$2,317,898
STATEN ISLAND PULMONARY
501 SEAVIEW AVE 102	STATEN ISLAND	NY	10305	PHYSICIAN FESS	$1,563,020
STATEN ISLAND REHAB MEDICINE PC
3453 RICHMOND AVENYE	COLTS NECK	NJ	07722	PHYSICIAN FEES	$1,405,887
UNITEX TEXTILE RENTAL
155 SOUTH TERRACE AVENUE	MOUNT VERNON	NY	10550	LINEN SERVICES	$1,333,987
CENTRAL JERSEY ROOFING INC
1420 PINEWOOD STREET	RAHWAY	NJ	07065	GENERAL CONTRACTOR	$1,251,721

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Related Organizations	$78,530	RelatedOrganizationsAmt
Government Grants	$3,473,258	GovernmentGrantsAmt
All Other Contributions	$921,135	AllOtherContributionsAmt
Total Contributions	$4,472,923	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621300	$592,598,106	$585,676,261	$6,921,845
MEDICARE/MEDICAID PAYMENTS	621300	$227,505,444	$227,505,444

Field	Value	IRS element (for citing)
Total Program Service Revenue	$820,103,550	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,169,414	TotalRevenueColumnAmt
Exclusion	$3,169,414	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,522,429	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,522,429	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,522,429	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$354,346,862	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$343,630,676	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,716,186	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,716,186	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAPITATION INCOME	900099	$3,333,545	$3,333,545
ELECTRONIC HEALTH RECORD INC	900099	$2,888,376	$2,888,376
CAFETERIA	900099	$2,766,247	$2,766,247

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,912,107	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,816,107	RelatedOrExemptFuncIncomeAmt
Exclusion	$96,000	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,900,275	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$854,884,777	TotalRevenueColumnAmt
Related Or Exempt Func Income	$827,985,980	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,921,845	UnrelatedBusinessRevenueAmt
Exclusion	$3,265,414	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,399,406	TotalAmt
Program Services	$1,399,406	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$353,662,598	TotalAmt
Program Services	$321,223,305	ProgramServicesAmt
Management And General	$32,269,564	ManagementAndGeneralAmt
Fundraising	$169,729	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,734,822	TotalAmt
Program Services	$23,374,325	ProgramServicesAmt
Management And General	$2,348,146	ManagementAndGeneralAmt
Fundraising	$12,351	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$69,364,780	TotalAmt
Program Services	$63,002,376	ProgramServicesAmt
Management And General	$6,329,115	ManagementAndGeneralAmt
Fundraising	$33,289	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,835,829	TotalAmt
Program Services	$22,557,791	ProgramServicesAmt
Management And General	$2,266,119	ManagementAndGeneralAmt
Fundraising	$11,919	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,038,238	TotalAmt
Program Services	$943,007	ProgramServicesAmt
Management And General	$95,231	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$547,428	TotalAmt
Management And General	$547,428	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$716,694	TotalAmt
Management And General	$716,694	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$68,830,070	TotalAmt
Program Services	$62,516,711	ProgramServicesAmt
Management And General	$6,280,326	ManagementAndGeneralAmt
Fundraising	$33,033	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$721,688	TotalAmt
Program Services	$655,492	ProgramServicesAmt
Management And General	$65,850	ManagementAndGeneralAmt
Fundraising	$346	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$157,803,197	TotalAmt
Program Services	$143,328,882	ProgramServicesAmt
Management And General	$14,398,583	ManagementAndGeneralAmt
Fundraising	$75,732	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,454,608	TotalAmt
Program Services	$8,587,395	ProgramServicesAmt
Management And General	$867,213	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$353,957	TotalAmt
Program Services	$353,957	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,074,169	TotalAmt
Program Services	$1,074,169	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,259,942	TotalAmt
Management And General	$6,259,942	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,386,366	TotalAmt
Program Services	$25,782,659	ProgramServicesAmt
Management And General	$2,603,707	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,496,771	TotalAmt
Program Services	$14,496,771	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
CENTRALIZED ADMIN. SVCS.	$16,070,076	$16,070,076
BAD DEBT EXPENSE	$10,163,692		$10,163,692
PURCHASED SERVICES	$4,661,610		$4,661,610
DUES & SUBSCRIPTIONS	$896,073	$82,191	$813,882

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,465,793	TotalAmt
Program Services	$1,331,345	ProgramServicesAmt
Management And General	$133,745	ManagementAndGeneralAmt
Fundraising	$703	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$797,937,807	TotalAmt
Program Services	$706,266,775	ProgramServicesAmt
Management And General	$91,333,930	ManagementAndGeneralAmt
Fundraising	$337,102	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$60,346	BOYAmt
EOY	$61,100	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$27,359,874	BOYAmt
EOY	$34,311,386	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,751,211	BOYAmt
EOY	$1,234,129	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$80,972,577	BOYAmt
EOY	$89,392,093	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,913,022	BOYAmt
EOY	$9,139,310	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,463,057	BOYAmt
EOY	$1,261,414	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$406,502,267	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$181,620,034	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$233,670,591	BOYAmt
EOY	$224,882,233	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$401,991,737	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$347,480,230	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,522,440	BOYAmt
EOY	$10,852,642	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$89,296,817	BOYAmt
EOY	$94,369,446	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$807,490,165	BOYAmt
EOY	$867,495,490	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$103,730,560	BOYAmt
EOY	$108,308,683	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,037,706	BOYAmt
EOY	$62,109,692	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$48,860,569	BOYAmt
EOY	$43,186,849	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$12,200,000	BOYAmt
EOY	$6,100,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$281,454,124	BOYAmt
EOY	$294,067,198	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$506,282,959	BOYAmt
EOY	$513,772,422	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$287,544,606	BOYAmt
EOY	$340,124,555	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,178,411	BOYAmt
EOY	$12,114,334	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,484,189	BOYAmt
EOY	$1,484,179	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$301,207,206	BOYAmt
EOY	$353,723,068	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$807,490,165	BOYAmt
EOY	$867,495,490	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$56,946,970	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,894,050	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$537,058	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$11,366	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$11,366	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART 11-B, line 1 h	FormAndLineReferenceDesc
Explanation	Staten Island University 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,189	BeginningYearBalanceAmt
Other Expenditures	$10	OtherExpendituresAmt
End Year Balance	$1,484,179	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,189	BeginningYearBalanceAmt
End Year Balance	$1,484,189	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,189	BeginningYearBalanceAmt
End Year Balance	$1,484,189	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,189	BeginningYearBalanceAmt
End Year Balance	$1,484,189	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,484,189	BeginningYearBalanceAmt
End Year Balance	$1,484,189	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,107,673	OtherCostOrOtherBasisAmt
Book Value	$4,107,673	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$241,711,379	OtherCostOrOtherBasisAmt
Depreciation	$109,205,708	DepreciationAmt
Book Value	$132,505,671	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$295,998	OtherCostOrOtherBasisAmt
Depreciation	$48,855	DepreciationAmt
Book Value	$247,143	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$152,040,620	OtherCostOrOtherBasisAmt
Depreciation	$68,562,227	DepreciationAmt
Book Value	$83,478,393	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,346,597	OtherCostOrOtherBasisAmt
Depreciation	$3,803,244	DepreciationAmt
Book Value	$4,543,353	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$224,882,233	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$122,605
OTHER RECEIVABLES	$3,317,686
DEPOSITS	$130,297
INSURANCE RECEIVABLE	$78,005,281
INVESTMENT IN HEALTHFIRST	$12,783,434
INVESTMENT IN VERIZON	$10,143

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$94,369,446	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PAYABLE TO THIRD PARTY PAYERS	$53,430,808
MALPRACTICE LIABILITIES	$90,733,079
INSURANCE CLAIMS LIABILITY	$78,005,281
DUE TO RELATED PARTIES	$30,031,660
OTHER LIABILITIES	$39,187,023
ASSET RETIREMENT BENEFITS	$1,553,721
BOND PREMIUM DISCOUNT	$1,125,626

Field	Value	IRS element (for citing)
Total Liability	$294,067,198	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$840,229,817	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$3,894,050	NetUnrealizedGainsInvstAmt
Other Revenue	-$10,760,910	OtherRevenueAmt
Revenue Not Reported	-$14,654,960	RevenueNotReportedAmt
Revenue Subtotal	$854,884,777	RevenueSubtotalAmt
Total Revenue Per Form990	$854,884,777	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$786,188,633	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$786,188,633	ExpensesSubtotalAmt
Other Expenses Not Included	$11,749,174	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$11,749,174	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$797,937,807	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V - Line 4
Part X, LINE 2	Certain 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	NET ASSETS RELEASED FROM RESTRICTIONS 725,000 NONOPERATING GAIN/LOSS (1,377,660) PROVISION FOR BAD DEBTS (10,163,692) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGMT 840,602 TEMPORARY RESTRICTED CONTRIBUTIONS (730,934) TEMPORARY RESTRICTED INVESTMENT INCOME (54,226) TOTAL (10,760,910) PART XII - LINE 4B Additional Minimum Pension Adjustment 1,585,482 PROVISION FOR BAD DEBTS 10,163,692 Total 11,749,174

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)	Investments	$6,609,933
Central America and the Caribbean	Investments	$37,269,914

Field	Value	IRS element (for citing)
Subtotal Spent	$43,879,847	SubtotalSpentAmt
Total Spent	$43,879,847	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	25296	PersonsServedCnt
Total Community Benefit Expns	$20,067,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,692,408	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,375,216	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	363940	PersonsServedCnt
Total Community Benefit Expns	$190,856,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,427,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,429,501	NetCommunityBenefitExpnsAmt
Total Expense	0.06580	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	389236	PersonsServedCnt
Total Community Benefit Expns	$210,924,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$151,119,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,804,717	NetCommunityBenefitExpnsAmt
Total Expense	0.07650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	274	ActivitiesOrProgramsCnt
Persons Served	153382	PersonsServedCnt
Total Community Benefit Expns	$8,712,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,327,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,384,977	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	1692	PersonsServedCnt
Total Community Benefit Expns	$44,230,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,235,399	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,994,625	NetCommunityBenefitExpnsAmt
Total Expense	0.03450	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	14398	PersonsServedCnt
Total Community Benefit Expns	$5,744,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,447,446	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,296,848	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,271,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,271,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	3433	PersonsServedCnt
Total Community Benefit Expns	$280,430	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$280,430	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	368	ActivitiesOrProgramsCnt
Persons Served	172905	PersonsServedCnt
Total Community Benefit Expns	$60,238,583	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,009,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,228,708	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	370	ActivitiesOrProgramsCnt
Persons Served	562141	PersonsServedCnt
Total Community Benefit Expns	$271,163,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$176,129,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,033,425	NetCommunityBenefitExpnsAmt
Total Expense	0.12150	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	291	PersonsServedCnt
Total Community Benefit Expns	$1,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,077	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	91	ActivitiesOrProgramsCnt
Persons Served	1303	PersonsServedCnt
Total Community Benefit Expns	$10,327	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,327	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	115	PersonsServedCnt
Total Community Benefit Expns	$1,441	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,441	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	33	PersonsServedCnt
Total Community Benefit Expns	$4,656	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,656	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	127	ActivitiesOrProgramsCnt
Persons Served	1932	PersonsServedCnt
Total Community Benefit Expns	$17,501	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,501	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,842,666	BadDebtExpenseAmt
Reimbursed By Medicare	$170,255,095	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$166,052,934	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,202,161	MedicareSurplusOrShortfallAmt
Costing Methodology Used		CostingMethodologyUsedGrp
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
STATEN ISLAND UNIV HOSPITAL - NORTH
1	475 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	WWW.northshorelij.com	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
STATEN ISLAND UNIV HOSPITAL - SOUTH
2	475 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	WWW.northshorelij.com	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	STATEN ISLAND UNIV HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.northshorelij.com	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.northshorelij.com/site/default/files/nsl	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Section C, Supplemental Information	FormAndLineReferenceDesc
Explanation	Part 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/A	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SANFORD R NALITT INSTITUTE FOR CANCER
256 A MASON AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
501 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
450 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
256 C MASON AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
BAY STREET HEALTH CENTER
57 BAY STREET	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
256 B MASON AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
CENTER FOR WOMEN'S HEALTH
440 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
BURN CARE CENTER
500 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
PEDIATRIC SUBSPECIALTY CENTER
584 FOREST AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
WIC PROGRAM
57 BAY STREET	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
MMTPHIV PRIMARY CARE SERVICES
111 WATER STREET	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
MMTPHIV PRIMARY CARE SERVICES
375 SEGUINE AVE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
STATEN ISLAND UNIVERSITY HOSPITAL DIVISI
4287 RICHMOND AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
4855 HYLANE BOULEVARD	STATEN ISLAND	NY	10305	outpatient physician clinic
BREAST IMAGING CENTER
256 B MASON AVENUE	STATEN ISLAND	NY	10305	DIAGNOSTIC CENTER
PHYSICIAN AMBULATORY NETWORK SERVICES
242 MASON AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
78 CROMWELL AVENUE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
CENTER FOR THYROID & PARATHYROID DISCORD
1460 VICTORY BOULEVARD	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
METRO OBGYN PC
2285 VICTORY BOULEVARD	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC
NEW DORP HIGH SCHOOL (SCHOOL-BASED CLINI
465 NEW DORP LANE	STATEN ISLAND	NY	10305	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART VI - SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	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 immunizations. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Departme	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANTHONY FERRERI
PRES/CEO, REG EXEC DIR	$0	$890,130	$0	$177,000	$0	$21,659	$0	$274,104	$0	$15,100	$0	$1,377,993	$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	$0
ANDREW SCHULZ
SVP & GENERAL COUNSEL	$0	$570,660	$0	$84,320	$0	$28,695	$0	$28,600	$0	$15,100	$0	$727,375	$0	$0
HARRY GINDI
ASST SEC, VP LEGAL AFFAIRS	$0	$288,540	$0	$21,136	$0	$4,204	$0	$28,600	$0	$15,100	$0	$357,580	$0	$0
MICHAEL J DOWLING
PRESIDENT & CEO - NSLIJ	$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
GREGORY RADINSKY
VP/CHF COMPLIANCE OFF NSLIJ	$0	$365,149	$0	$25,025	$0	$19,040	$0	$28,600	$0	$15,100	$0	$452,914	$0	$0
THOMAS RECA
EXEC VP/FINANCE & CFO	$480,572	$0	$130,640	$0	$27,140	$0	$28,600	$0	$15,100	$0	$682,052	$0	$0	$0
DONNA PROSKE
EXECUTIVE DIRECTOR	$655,219	$0	$76,000	$0	$29,835	$0	$28,600	$0	$15,100	$0	$804,754	$0	$0	$0
JOSEPH MCGINN
CHAIR, SURGERY	$1,495,424	$0	$0	$0	$1,738	$0	$28,600	$0	$15,100	$0	$1,540,862	$0	$0	$0
JONATHAN DEITCH
DIR, VAS/ENDO SURGERY	$1,195,300	$0	$110,000	$0	$1,402	$0	$28,600	$0	$15,100	$0	$1,350,402	$0	$0	$0
MICHAEL COOPER
DIR, BURN UNIT	$971,659	$0	$0	$0	$18,902	$0	$28,600	$0	$15,100	$0	$1,034,261	$0	$0	$0
CYNARA COOMER
DIR, COMP BREAST CTR	$893,688	$0	$75,000	$0	$1,177	$0	$28,600	$0	$15,100	$0	$1,013,565	$0	$0	$0
RUBEN KANDOV
PHYSICIAN	$417,193	$0	$411,934	$0	$67,977	$0	$28,600	$0	$15,100	$0	$940,804	$0	$0	$0
ROBERT S SHAPIRO
evp & cfo	$0	$925,430	$0	$236,000	$0	$31,762	$0	$278,970	$0	$15,100	$0	$1,487,262	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($428,117), robert s shapiro ($250,370), ANTHONY FERRERI (245,504), AND LAURA PEABODY (141,712).
PART 1, LINE 5A	Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
PART I, LINE 7	ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART I, B (II).
Part II, Column (F)	The amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY - STATE OF NEW YORK
A	146000293	649906JT2	2011-10-06	$62,381,682	2011 BONDS - CAPITAL IMPROVEMENT	false	false	false
DORMITORY AUTHORITY - STATE OF NEW YORK
B	146000293		2009-08-19	$4,744,692	MASTER LEASE/SUBLEASE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,541,312	$0	$62,425,124	$3,333,248	$517,772	$0	$1,104,871	$0	$0	$15,156,418	$37,741,674	$2,356,923	2013	Yes (true)	Yes (true)	false	Yes (true)
B	$1,579,549	$0	$4,744,692	$0	$0	$0	$83,250	$0	$0	$4,661,442	$0	$0	2010	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K	SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS & TRANSFERRED PROCEEDS.
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 2/19/2011 FOR TELP, SINCE	BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
TARA MAZZUCCO
Family Member: R Mazzucco	$41,375	EMPLOYEE	false
DONNA FERRERI
FAMILY MEMBER: A Ferreri	$14,830	EMPLOYEE	false
JAMES R WELLER
FAMILY MEMBER: D Proske	$86,144	EMPLOYEE	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2	All 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 11	The 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 12C	As a member of the North Shore-Long Island Jewish Health System, the Hospital has several control mechanisms to mitigate conflicts of interest. The Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, the Code of Ethical Conduct requires individuals to conduct Hospital business in a manner that places the interests of the Hospital ahead of personal interests. In Addition, the Hospital 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 Hospital are required to fill out a conflicts of interest disclosure form on a regular basis. The system's 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 Hospital's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Hospital 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 15	The 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.
PART VI, SECTION C - DISCLOSURES, LINE 19	CURRENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE 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 7	North 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, RECONCILIATION OF NET ASSETS, LINE 9	NON OPERATING GAIN/LOSS (1,377,660) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 840,602 TOTAL CHANGE IN NET ASSETS (537,058)
PART VII, SECTION A - LINE 1A	Richard 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, Ph.D. 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

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CASTLETON AVENUE ASSOCIATES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	475 SEAVIEW AVENUE	AddressLine1Txt
City	STATEN ISLAND	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10305	ZIPCd

Field	Value	IRS element (for citing)
EIN	133943199	EIN
Primary Activities	INACTIVE	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SIUH	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHAPS Community Health Center Inc
1 Edgewater Plaza 6th Floor	Staten Island	NY	10305	113345477	Inactive	NY	501(C)(3)	9	SIUH	Yes (true)
Feinstein Institute for Medical Research
972 Brush Hollow Road	Westbury	NY	11590	112673595	Research	NY	501(C)(3)	4	NS-LIJ HS	false
Forest Hills Hospital
972 Brush Hollow Road	Westbury	NY	11590	112163522	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
Franklin Hospital
972 Brush Hollow Road	Westbury	NY	11590	112296824	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
Glen Cove Hospital
972 Brush Hollow Road	Westbury	NY	11590	111633487	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
Hillside Hospital Houses Inc
972 Brush Hollow Road	Westbury	NY	11590	112113949	Housing Comp	NY	501(C)(2)	N/A	NS-LIJ HS	false
Hospice Care Network
99 Sunnyside Boulevard	Woodbury	NY	11797	112925757	Hospice	NY	501(C)(3)	9	NS-LIJ HS	false
Huntington Hospital
270 Park Avenue	Huntington	NY	11743	111630914	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
Huntington Hosp Dolan Family Health Ctr
284 Pulaski Road	Greenlawn	NY	11740	113368503	HealthCare	NY	501(C)(3)	3	Huntington	false
LIJ Foundation
972 Brush Hollow Road	Westbury	NY	11590	112661239	support org	NY	501(C)(3)	11, TYPE I	NS-LIJ HS	false
Long Island Jewish Medical Center
972 Brush Hollow Road	Westbury	NY	11590	112241326	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
LIJ Medical Center at Home Pharmacy
972 Brush Hollow Road	Westbury	NY	11590	113251128	support org	NY	501(C)(3)	11, TYPE I	NS-LIJ HS	false
North Shore Community Services Inc
972 Brush Hollow Road	Westbury	NY	11590	237273200	Housing Comp	NY	501(C)(2)	N/A	NS-LIJ HS	false
North Shore University Hospital
972 Brush Hollow Road	Westbury	NY	11590	111562701	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
NS Univ Hospital at Glen Cove Housing
972 Brush Hollow Road	Westbury	NY	11590	237010468	Housing Comp	NY	501(C)(2)	N/A	NS-LIJ HS	false
North Shore University Hospital Housing
972 Brush Hollow Road	Westbury	NY	11590	112171903	Housing Comp	NY	501(C)(2)	N/A	NS-LIJ HS	false
NSLIJ STERN FAMILY CENTER FOR REHAB
972 Brush Hollow Road	Westbury	NY	11590	237007485	Nursing Home	NY	501(C)(3)	9	NS-LIJ HC	false
North Shore-LIJ Health Care Inc
972 Brush Hollow Road	Westbury	NY	11590	112965586	support org	NY	501(C)(3)	11, TYPE I	NS-LIJ HS	false
North Shore-LIJ Health System
972 Brush Hollow Road	Westbury	NY	11590	113418133	support org	NY	501(C)(3)	11, TYPE I	NA	false
North Shore-LIJ Health System Foundation
972 Brush Hollow Road	Westbury	NY	11590	112965575	Fundraising	NY	501(C)(3)	7	NS-LIJ HS	false
North Shore-LIJ Health Sys Laboratories
972 Brush Hollow Road	Westbury	NY	11590	113412370	Support Org	NY	501(C)(3)	11, TYPE I	NS-LIJ HS	false
North Shore-LIJ Medical Care Centers
972 Brush Hollow Road	Westbury	NY	11590	113473923	support org	NY	501(C)(3)	11, TYPE I	NS-LIJ HS	false
Plainview Hospital
972 Brush Hollow Road	Westbury	NY	11590	113241243	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
SIUH Systems Inc
475 Seaview Avenue	Staten Island	NY	10305	061074604	Fundraising	NY	501(C)(3)	7	NS-LIJ HC	false
Southside Hospital
972 Brush Hollow Road	Westbury	NY	11590	111667761	HealthCare	NY	501(C)(3)	3	NS-LIJ HC	false
SSH Inc
972 Brush Hollow Road	Westbury	NY	11590	112774102	support org	NY	501(C)(3)	11, TYPE I	SOUTHSIDE	false
Staten Island Univ Hospital Foundation
360 Seaview Avenue	Staten Island	NY	10305	870765787	Fundraising	NY	501(C)(3)	7	SIUH	Yes (true)
THE HEART INSTITUTE
475 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	311757254	inactive	NY	501(C)(3)	11, TYPE I	NA	false
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6th floor	STATEN ISLAND	NY	10305	200096809	HEALTHCARE	NY	501(C)(3)	11, TYPE I	SIUH	Yes (true)
LENOX HILL HOSPITAL
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	131624070	HEALTHCARE	NY	501(C)(3)	3	NS-LIJ HC	false
LHH CORPORATION
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	133272016	SUPPORT ORG	NY	501(C)(3)	11, TYPE I	NS-LIJ HS	false
THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED
972 BRUSH HOLLOW Road	WESTBURY	NY	11590	113284934	GRADUATE SCH	NY	501(C)(3)	2	NS-LIJ HS	false
SPORTS PHYSICAL THERAPY AND REHAB SVCS
972 BRUSH HOLLOW Road	WESTBURY	NY	11590	061655704	HEALTHCARE	NY	501(C)(3)	9	LIJ	false
NORTH SHORE - LIJ ALLIANCE
972 BRUSH HOLLOW Road	WESTBURY	NY	11590	263727582	HEALTHCARE	NY	501(C)(3)	3	NA	false
THE LONG ISLAND HOME
400 SUNRISE HIGHWAY	AMITYVILLE	NY	11701	112837244	HEALTHCARE	NY	501(c)(3)	3	LHH CORP	false
CLNY ALLIANCE INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	463146870	LABORATORY	NY	APPLIED FOR		NJ-LIJ LABS	false
NORTH SHORE-LIJ CARDIO MEDICINE PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	275078717	MEDICAL SVCS.	NY	501(C)(3)	11, TYPE 1	NSUH	false
NORTH SHORE-LIJ CARDIO AT DEER PARK PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	275078531	MEDICAL SVCS.	NY	501(C)(3)	11, TYPE 1	NSUH	false
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	275078838	MEDICAL SVCS.	NY	501(c)(3)	11, TYPE 1	NSUH	false
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	275078631	MEDICAL SVCS.	NY	501(c)(3)	11, TYPE 1	NSUH	false
NORTH SHORE-LIJ MED GROUP URG MED CARE
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	275078426	MEDICAL SVCS.	NY	501(c)(3)	11, TYPE 1	NSUH	false
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	453023019	MEDICAL SVCS.	NY	501(c)(3)	11, TYPE 1	NSUH	false
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	461617516	INSURANCE	NY	APPLIED FOR		NJ-LIJ HC	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
KRASNOFF CONS SVCS
972 Brush Hollow ROAD	WESTBURY	NY	11590	262838027	CONSULTING	NY	CARE MGT GROUP
LONG ISL BEHAV HLTH
972 BRUSH HOLLOW Road	WESTBURY	NY	11590	453572263	STATISTICS	NY	NS-LIJ HC
ENDOSCOPY CTR OF LI
972 BRUSH HOLLoW ROAD	WESTBURY	NY	11590	260000980	MEDICAL SVCS.	NY	NS-LIJ VENTURES
TRUE NORTH URG CARE
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	464113494	MEDICAL SVCS.	NY	NS-LIJ URG CARE
TRUE NORTH DC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	464601950	MEDICAL SVCS.	NY	RENAL VENTURES
SYN HLTH TRUE NORTH
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	464106483	MEDICAL SVCS.	NY	CENTRAL STERILE
NS-LIJ MED AIR TRAN
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	464858222	AIR TRANSPORT	NY	NSUH
NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	464469806	RESEARCH	NY	HEALTH CARE
NORTH SHORE-LIJ RENAL VENTURES LLC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	463869336	MEDICAL SVCS	NY	NSUH
STATEN ISLAND PERFOMRING PROVIDER SYSTEM
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	472544659	INACTIVE	NY	SIUH	NONE	$0	$0	false	false	0.50000
NASSAU QUEENS PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	472544821	INACTIVE	NY	NSUH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Aletta Corporation
972 Brush Hollow Road	Westbury	NY	11590	112622371	Physician SVC	NY	SOUTHSIDE	C CORPORATION	false
Autoimmune Research Therapeutics
972 Brush Hollow Road	Westbury	NY	11590	270701489	INACTIVE	NY	RESEARCH	C CORPORATION	false
Care Management Group of Greater NY
972 Brush Hollow Road	Westbury	NY	11590	113336381	Business Serv	NY	NSH ENTERPRISES	C CORPORATION	false
Goethals Radiology PC
500 Seaview AveNUE	Staten Island	NY	10305	200010287	Radiology SVC	NY	SIUH	C CORPORATION	Yes (true)	$586	$0	1.00000
Lenox Hill Int Card & Vasc Svcs PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	201435770	Medical Servi	NY	LENOX HILL	C CORPORATION	false
Lenox Hill Pathology PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	133644370	Medical Servi	NY	LENOX HILL	C CORPORATION	false
Lenox Hill Phy Hospital Org Inc
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	133775996	Managed Care	NY	LENOX HILL	C CORPORATION	false
Lenox otolaryngology head & neck surgery
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	208784395	Medical Servi	NY	LENOX HILL	C CORPORATION	false
North Shore Health Enterprises
972 Brush Hollow Road	Westbury	NY	11590	061605319	Holding Comp	NY	NSHS ENTERPRISE	C CORPORATION	false
NS Health System Enterprises
972 Brush Hollow Road	Westbury	NY	11590	113316922	Holding Comp	NY	NS-LIJ HS	C CORPORATION	false
North Shore IPA 5 Inc
972 Brush Hollow Road	Westbury	NY	11590	113383468	Business Serv	NY	NS-LIJ HC	C CORPORATION	false
NS Radiology at Glen Cove PC
972 Brush Hollow Road	Westbury	NY	11590	113301179	Medical Servi	NY	NSUH	C CORPORATION	false
NS-LIJ Health System IPA #1
972 Brush Hollow Road	Westbury	NY	11590	113533659	HealthCare	NY	LIJ	C CORPORATION	false
NS-LIJ Health System IPA #2
972 Brush Hollow Road	Westbury	NY	11590	113533670	HealthCare	NY	LIJ	C CORPORATION	false
NS-LIJ Medical Gr at Huntington PC
972 Brush Hollow Road	Westbury	NY	11590	274384049	Medical Servi	NY	NSUH	C CORPORATION	false
NS-LIJ Medical Gr at North Nassau PC
972 Brush Hollow Road	Westbury	NY	11590	274384146	Medical Servi	NY	NSUH	C CORPORATION	false
NS-LIJ Medical Group at Syosset PC
972 Brush Hollow Road	Westbury	NY	11590	273957752	Medical Servi	NY	NSUH	C CORPORATION	false
NS-LIJ Medical Group PC
972 Brush Hollow Road	Westbury	NY	11590	274384249	Medical Servi	NY	NSUH	C CORPORATION	false
NS-LIJ Network Inc
972 Brush Hollow Road	Westbury	NY	11590	320257193	Support Servi	NY	NS-LIJ HS	C CORPORATION	false
NS-LIJ Phys Insurance Co Risk Ret Group
100 Bank Street	Burlington	VT	05401	261487515	INSURANCE	VT	NS-LIJ HC	C CORPORATION	false
North Shore-LIJ Physicians Group PC
972 Brush Hollow Road	Westbury	NY	11590	274384326	Medical Servi	NY	NSUH	C CORPORATION	false
North Shore-LIJ Radiology Services PC
972 Brush Hollow Road	Westbury	NY	11590	223970667	Medical Servi	NY	NSUH	C CORPORATION	false
North Shore-LIJ Service Alliance Inc
972 Brush Hollow Road	Westbury	NY	11590	263651575	Support Servi	NY	NA	C CORPORATION	false
Ocean Breeze Home Care Agency
1 Edgewater Plaza 6th Floor	Staten Island	NY	10305	133773601	Inactive	NY	OVM	C CORPORATION	false
Ocean View Management inc
1 Edgewater Plaza 6th Floor	Staten Island	NY	10305	133138888	Management Sv	NY	SIUH	C CORPORATION	Yes (true)	$1,615	$26,119	1.00000
Park Lenox Emergency Medicine PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	262661082	Medical Servi	NY	LENOX HILL	C CORPORATION	false
Regency Alliance Services Inc
1 Edgewater Plaza 6th Floor	Staten Island	NY	10305	133277698	inactive	NY	OVM	C CORPORATION	false
Regional Insurance Company LTD
					insurance		NS-LIJ HC	C CORPORATION	false				41 Cedar Ave	Hamilton	BERMUDA	BD	HM 12	BD
Regioncare Inc
972 Brush Hollow Road	Westbury	NY	11590	113052191	Homecare	NY	NSHS ENTERPRISE	C CORPORATION	false
Staten Island Hospitalists PC
475 Seaview Avenue	Staten Island	NY	10305	331010283	Medical Servi	NY	SIUH	C CORPORATION	Yes (true)	$2,668	$0	1.00000
SIUH Perinatology PC
475 Seaview Avenue	Staten Island	NY	10305	134107082	Medical Servi	NY	SIUH	C CORPORATION	Yes (true)	$0	$0	1.00000
United Medical Surgical PC
256 Mason Avenue BLDG B 2nd FL	Staten Island	NY	10305	134038780	Surgical Serv	NY	SIUH	S CORPORATION	Yes (true)	$13,420,779	$570,732	1.00000
Verrazano Radiology Associates PC
500 Seaview Avenue Suite 200	Staten Island	NY	10305	200011201	Radiology Svc	NY	SIUH	C CORPORATION	Yes (true)	$5,894	$0	1.00000
Vivohealth Inc
972 Brush Hollow Road	Westbury	NY	11590	264118016	Inactive	NY	NSH ENTERPRISE	C CORPORATION	false
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW Road	WESTBURY	NY	11590	452661543	Medical Servi	NY	lenox	C CORPORATION	false
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW Road	WESTBURY	NY	11590	451004103	Medical Servi	NY	NSUH	C CORPORATION	false
NS-LIJ OB-GYN PC
972 Brush Hollow Road	Westbury	NY	11590	461382916	Medical Servi	NY	lij	c corporation	false
NS-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW Road	WESTBURY	NY	11590	461617561	Medical Servi	NY	SOUTHSIDE	C CORPORATION	false
NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	463475908	MEDICAL SERVI	NY	NSUH	C CORPORATION	false
NS-LIJ INTERNAL MEDICINE NEW HYDE PARK
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	462822879	MEDICAL SERVI	NY	NSUH	C CORPORATION	false
NS-LIJ OB-GYN AT GARDEN CITY PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	462886776	MEDICAL SERVI	NY	NSUH	C CORPORATION	false
NS-LIJ HEALTH PLAN HOLDING INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	462478147	INSURANCE	NY	NJ-LIJ HC	C CORPORATION	false
NS-LIJ CARECONNECT INSURANCE COMPANY
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	462270382	INSURANCE	NY	NJ-LIJ HTH PLAN	C CORPORATION	false
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	112945979	MEDICAL SERVI	NY	NSUH	S CORPORATION	false
TRUE NORTH HEALTH PHARMACY INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	471020508	INACTIVE	NY	NSUH	C CORPORATION	false
NORTH SHORE-LIJ CARECONNECT INSURANCE AG
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	471994548	INSURANCE AGENCY	NY	GROUP HOLDING	C CORPORATION	false
CARECONNECT GROUP HOLDING COMPANY INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	472478692	HOLDING CO	NY	HPLAN HOLDING	C CORPORATION	false
NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK CO
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	465746956	MEDICAL SERVICES	NY	NSUH	C CORPORATION	false
NORTH SHORE-LIJ URGENT CARE PC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	471758444	MEDICAL SERVICES	NY	NSUH	C CORPORATION	false
NORTH SHORE-LIJ MATERNAL FETAL MEDICINE
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	465495054	MEDICAL SERVICES	NY	NSUH	C COPPORATION	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THIS ORGANIZATION IS AN AFFILIATE OF North Shore - long Island Jewish Health System ("sYSTEM"). ORGANIZATIONS WITHIN THE SYSTEM ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	ExplanationTxt