STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201433189349302273
- Schema version
- 2013v3.1
- 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 | 2014-11-14T09:35:37-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THOMAS RECA | InCareOfNm |
| Business Name Control | STAT | BusinessNameControlTxt |
| Phone | 7182261148 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS RECA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7182261148 | PhoneNum |
| Signature | 2014-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Anthony J Panico | PreparerPersonNm |
| PTIN | P00365556 | PTIN |
| Phone | 7182261148 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANTHONY C FERRERI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $880,991,709 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.siuh.edu | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1869 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | Staten Island University Hospital is part OF THE NORTH SHORE-LIJ HEALTH SYSTEM WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. SEE PART III. | ActivityOrMissionDesc |
| Voting Members Governing Body | 124 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 115 | VotingMembersIndependentCnt |
| Total Employee | 6875 | TotalEmployeeCnt |
| Total Volunteers | 916 | TotalVolunteersCnt |
| Total Gross UBI | $8,338,551 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,971,783 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,544,739 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $825,262,856 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $857,524,021 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,083,113 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,961,548 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,563,511 | PYOtherRevenueAmt |
| CY Other Revenue | $4,961,401 | CYOtherRevenueAmt |
| PY Total Revenue | $838,881,263 | PYTotalRevenueAmt |
| CY Total Revenue | $880,991,709 | 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 | $525,486,600 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $557,971,944 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $270,285,594 | PYOtherExpensesAmt |
| CY Other Expenses | $280,867,253 | CYOtherExpensesAmt |
| PY Total Expenses | $795,772,194 | PYTotalExpensesAmt |
| CY Total Expenses | $838,839,197 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,109,069 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $42,152,512 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $744,558,374 | TotalAssetsBOYAmt |
| Total Assets EOY | $807,490,165 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $498,952,883 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $506,282,959 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $245,605,491 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $301,207,206 | 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 | $589,897,325 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $673,306,645 | 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 2013 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 40,705 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES); 2,992 DELIVERIES; 123,586 EMERGENCY DEPARTMENT VISITS (includes 30,654 admits); AND 27,415 AMBULATORY SURGERY CASES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $61,252,247 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $64,199,112 | 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 | $49,478,861 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $49,335,680 | 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 | $42,615,208 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $70,682,584 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $743,243,641 | 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 | Yes (true) | 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 | 395 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 6875 | 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 | 124 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 115 | 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 | THOMAS RECA | PersonNm |
| Phone | 7182261148 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE EDGEWATER PLAZA | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (140 entries)
| TitleTitleTxt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD D GOLDSTEIN | ||||||||||
| CHAIRMAN | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| MARK CLASTER | ||||||||||
| CHAIRMAN ELECT | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| FRANK J BESIGNANO | ||||||||||
| CHAIRMAN EXECUTIVE COMMITTEE | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| JOHN W ALEXANDER | ||||||||||
| VICE CHAIR EXEC COMM/TREASURER | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD S ABRAMSON | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| WILLIAM ACHENBAUM | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| PHILIP S ALTHEIM | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| STANLEY A APPLEBAUM | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL L ASHNER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| BEVERLY VP BANKER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RALPH M BARUCH | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ELISE M BLOOM | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ERIC S BLUMENCRANZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROGER A BLUMENCRANZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DAVID BLUMENFELD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| EDWARD BLUMENFELD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| E STEVE BRAUN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DAYTON T BROWN JR | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JONATHAN S CANNO | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL CARIDI | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| REV DEMETRIUS CAROLINA SR EDD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT W CHASANOFF | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ALAN CHOPP | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DIANA F COLGATE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DANIEL M CROWN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| PHILIPPE P DAUMAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DANIEL C DE ROULET | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| THOMAS E DEWEY JR | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| THOMAS E DOOLEY | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL J DOWLING | ||||||||||
| TRUSTEE - PRESIDENT/CEO NS-LIJ | 50.0 | Yes (X) | $0 | $3,117,843 | $1,222,774 | |||||
| ROBERT N DOWNEY | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| PATRICK R EDWARDS | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL A EPSTEIN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LEONARD FEINSTEIN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL E FELDMAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ARLENE LANE FISHER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| CATHERINE C FOSTER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| WILLIAM H FRAZIER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| EUGENE B FRIEDMAN MD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| WILLIAM J FRITZ PHD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SY GARFINKEL | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LLOYD MICHAEL GOLDMAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| J JOAQUIN GONZALEZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL GOULD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ALBERT L GRANGER DDS | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ALAN I GREENE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| STANLEY GREY | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD GUARASCI PHD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| PAUL B GUENTHER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| AMY M HAGEDORN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| IRA HAZAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LINDA W HEANEY | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MARLENE HESS | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| WILLIAM O HILTZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| GEDALE B HOROWITZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD A HOROWITZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SETH R HOROWITZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| M ALLAN HYMAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MARK JACOBSON | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JEFFREY JURICK | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DAVID M KATZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL KATZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SAUL B KATZ | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LISA A KAUFMAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT KAUFMAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| CARY KRAVET | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| STANLEY KREITMAN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SETH KUPFERBERG | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JEFFREY B LANE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| CURT N LAUNER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LAURA LAURIA | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| KEVIN F LAWLOR | ||||||||||
| TRUSTEE-PRES/CEO HUNT HOSPITAL | 50.0 | Yes (X) | $0 | $713,588 | $290,537 | |||||
| DAVID W LEHR | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JONATHAN W LEIGH | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ARTHUR S LEVINE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| STUART R LEVINE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SETH LIPSAY | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DAVID S MACK | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| WILLIAM L MACK | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LINDA MANFREDI | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| BRADLEY MARSH DPM | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JEFFREY S MAURER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RONALD J MAZZUCCO | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| F J MCCARTHY | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| PATRICK F MCDERMOTT | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JAMES MCMULLEN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| CHARLES MERINOFF | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD D MONTI | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD MURCOTT | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RALPH A NAPPI | ||||||||||
| TRUSTEE - PRESIDENT NS-LIJ FDN | 50.0 | Yes (X) | $0 | $856,799 | $48,881 | |||||
| RICHARD B NYE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| CLYDE I PAYNE ED D | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ARNOLD S PENNER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JOHN J RAGGIO | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LEWIS S RANIERI | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DENNIS RIESE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| TERRY P RIFKIN MD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT F ROSE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT A ROSEN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MARCIE ROSENBERG | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT D ROSENTHAL | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| BERNARD M ROSOF MD | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JACK J ROSS | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| BARRY RUBENSTEIN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| HERBERT RUBIN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SCOTT RUDOLPH | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL H SAHN | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| LOIS C SCHLISSEL | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| JOHN M SHALL | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MARC V SHAW | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SEAN G SIMON | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD SIMS | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| MICHAEL C SLADE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| PHYLLIS HILL SLATER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| HOWARD D STAVE | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| PETER TILLES | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| SANDRA TYTEL | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| FREDERICK A VOLK | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| NANCY WALDBAUM | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| EMMETT F WALKER JR | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| GARY WALTER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| BARBARA HRBEK ZUCKER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| DONALD ZUCKER | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ROY J ZUCKERBERG | ||||||||||
| TRUSTEE | 2.0 | Yes (X) | $0 | $0 | $0 | |||||
| ANTHONY C FERRERI | ||||||||||
| PRES/CEO, REGIONAL EXEC DIR | 50.0 | Yes (X) | $0 | $989,403 | $335,897 | |||||
| ROBERT S SHAPIRO | ||||||||||
| EVP/CFO NS-LIJ | 50.0 | Yes (X) | $0 | $1,199,087 | $243,156 | |||||
| KEITH C THOMPSON | ||||||||||
| SVP/GENERAL COUNSEL NS-LIJ | 50.0 | Yes (X) | $0 | $876,784 | $50,350 | |||||
| LAURA PEABODY EFF 102913 | ||||||||||
| SVP/CHIEF LEGAL OFFICER NS-LIJ | 50.0 | Yes (X) | $0 | $261,869 | $43,150 | |||||
| THOMAS RECA | ||||||||||
| CHIEF FINANCIAL OFFICER | 50.0 | Yes (X) | $624,908 | $0 | $43,285 | |||||
| HARRY E GINDI | ||||||||||
| ASST SEC, VP/LEGAL AFFAIRS | 50.0 | Yes (X) | $0 | $314,462 | $43,150 | |||||
| ANDREW SCHULZ EFF 102913 | ||||||||||
| VP/GENERAL COUNSEL NS-LIJ | 50.0 | Yes (X) | $0 | $522,928 | $43,150 | |||||
| ARTHUR KLEIN TERM 3113 | ||||||||||
| REGIONAL EXECUTIVE DIRECTOR | 50.0 | $0 | $291,817 | $307,262 | Yes (X) | |||||
| DONNA PROSKE | ||||||||||
| EXECUTIVE DIRECTOR | $594,357 | $0 | $35,260 | Yes (X) | 50.0 | |||||
| GREGORY RADINSKY | ||||||||||
| VP/CHIEF COMPLIANCE OFF NS-LIJ | 50.0 | $0 | $358,900 | $42,750 | Yes (X) | |||||
| JOSEPH T MCGINN MD | ||||||||||
| PHYSICIAN | $1,491,783 | $0 | $35,241 | 50.0 | Yes (X) | |||||
| JONATHON DEITCH MD | ||||||||||
| PHYSICIAN | $999,064 | $0 | $23,288 | 50.0 | Yes (X) | |||||
| MICHAEL L COOPER MD | ||||||||||
| PHYSICIAN | $974,455 | $0 | $35,241 | 50.0 | Yes (X) | |||||
| PHILIP M VIGNERI MD | ||||||||||
| PHYSICIAN | $897,097 | $0 | $38,603 | 50.0 | Yes (X) | |||||
| RUBEN KANDOV MD | ||||||||||
| PHYSICIAN | $825,579 | $0 | $35,597 | 50.0 | Yes (X) | |||||
| MARK P JARRETT MD | ||||||||||
| SVP/CHIEF QUALITY OFFICER | 50.0 | $0 | $672,408 | $42,750 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,407,243 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,175,888 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,960,322 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 838 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALISTS | |||||
| 12975 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | FOOD/MANAGEMENT | $7,047,204 |
| MCKESSON INFORMATION SOLUTIONS INC | |||||
| 5995 WINDWARD PARKWAY | ALPHARETTA | GA | 30005 | IT CONSULTANTS | $6,341,397 |
| QUEST DIAGNOSTICS INC | |||||
| 1 MALCOLM AVENUE | TETERBORO | NJ | 07608 | LABORATORY | $4,913,189 |
| ADVANTEDGE HEALTHCARE SOLUTIONS IN | |||||
| 30 TECHNOLOGY DRIVE | WARREN | NJ | 07059 | BILLING | $3,538,821 |
| UNIVERSITY PHYSICIANS GROUP PC | |||||
| ONE EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | MEDICAL | $3,059,386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 83 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $808,995 | RelatedOrganizationsAmt |
| Government Grants | $3,895,579 | GovernmentGrantsAmt |
| All Other Contributions | $840,165 | AllOtherContributionsAmt |
| Total Contributions | $5,544,739 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621500 | $803,870,509 | $795,531,958 | $8,338,551 |
| PROFESSIONAL SERVICES REVENUE | 621110 | $290,277 | $290,277 | |
| OTHER HEALTHCARE RELATED REVENUE | 621990 | $53,363,235 | $53,363,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $857,524,021 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,956,948 | TotalRevenueColumnAmt |
| Exclusion | $12,956,948 | 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 | $1,455,687 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,455,687 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,455,687 | TotalRevenueColumnAmt |
| Exclusion | $1,455,687 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,600 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,600 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,600 | TotalRevenueColumnAmt |
| Exclusion | $4,600 | ExclusionAmt |
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 | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA AND DIETARY | 722320 | $2,708,208 | $2,708,208 |
| PARKING | 812930 | $520,692 | $520,692 |
| TELEVISION | 515100 | $184,237 | $184,237 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,577 | TotalRevenueColumnAmt |
| Exclusion | $92,577 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,505,714 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $880,991,709 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $849,185,470 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,338,551 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,922,949 | 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 | $1,219,265 | TotalAmt |
| Program Services | $1,219,265 | 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 | $423,347,032 | TotalAmt |
| Program Services | $382,935,690 | ProgramServicesAmt |
| Management And General | $40,411,342 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,115,776 | TotalAmt |
| Program Services | $25,431,935 | ProgramServicesAmt |
| Management And General | $2,683,841 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,959,544 | TotalAmt |
| Program Services | $68,708,691 | ProgramServicesAmt |
| Management And General | $7,250,853 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,330,327 | TotalAmt |
| Program Services | $26,530,549 | ProgramServicesAmt |
| Management And General | $2,799,778 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $694,236 | TotalAmt |
| Management And General | $694,236 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,183 | TotalAmt |
| Management And General | $36,183 | ManagementAndGeneralAmt |
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 | $17,065,236 | TotalAmt |
| Program Services | $15,436,244 | ProgramServicesAmt |
| Management And General | $1,628,992 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,025,567 | TotalAmt |
| Program Services | $927,670 | ProgramServicesAmt |
| Management And General | $97,897 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,589,767 | TotalAmt |
| Program Services | $66,565,125 | ProgramServicesAmt |
| Management And General | $7,024,642 | ManagementAndGeneralAmt |
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 | $8,361,000 | TotalAmt |
| Program Services | $7,562,886 | ProgramServicesAmt |
| Management And General | $798,114 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $484,627 | TotalAmt |
| Program Services | $484,627 | 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 | $626,567 | TotalAmt |
| Program Services | $626,567 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,945,060 | TotalAmt |
| Management And General | $6,945,060 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,652,810 | TotalAmt |
| Program Services | $28,631,335 | ProgramServicesAmt |
| Management And General | $3,021,475 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,577,328 | TotalAmt |
| Program Services | $24,577,328 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $84,535,888 | $76,466,365 | $8,069,523 |
| CENTRALIZED ADMIN. SVCS. | $13,987,859 | $13,987,859 | |
| BAD DEBT EXPENSE | $8,992,225 | $8,992,225 | |
| PURCHASED SERVICES | $6,423,064 | $6,423,064 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,869,836 | TotalAmt |
| Program Services | $1,724,075 | ProgramServicesAmt |
| Management And General | $145,761 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,839,197 | TotalAmt |
| Program Services | $743,243,641 | ProgramServicesAmt |
| Management And General | $95,595,556 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,984 | BOYAmt |
| EOY | $60,346 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,565,305 | BOYAmt |
| EOY | $27,359,874 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,522,765 | BOYAmt |
| EOY | $1,751,211 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,763,758 | BOYAmt |
| EOY | $80,972,577 | 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 | $9,156,502 | BOYAmt |
| EOY | $8,913,022 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,041 | BOYAmt |
| EOY | $1,463,057 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $412,174,085 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $178,503,494 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,127,341 | BOYAmt |
| EOY | $233,670,591 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $267,590,947 | BOYAmt |
| EOY | $347,480,230 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,195,105 | BOYAmt |
| EOY | $16,522,440 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,522,626 | BOYAmt |
| EOY | $89,296,817 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,558,374 | BOYAmt |
| EOY | $807,490,165 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,378,036 | BOYAmt |
| EOY | $103,730,560 | 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 | $61,359,786 | BOYAmt |
| EOY | $60,037,706 | 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 | $54,861,388 | BOYAmt |
| EOY | $48,860,569 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,300,000 | BOYAmt |
| EOY | $12,200,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,053,673 | BOYAmt |
| EOY | $281,454,124 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,952,883 | BOYAmt |
| EOY | $506,282,959 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,262,508 | BOYAmt |
| EOY | $287,544,606 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,858,794 | BOYAmt |
| EOY | $12,178,411 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,484,189 | BOYAmt |
| EOY | $1,484,189 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,605,491 | BOYAmt |
| EOY | $301,207,206 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,558,374 | BOYAmt |
| EOY | $807,490,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $42,152,512 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,448,538 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,000,665 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $36,183 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $36,183 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B; LINES 1G AND 1H | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. IS A MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION ("GNYHA"), THE HEALTH CARE ASSOCIATION OF NEW YORK STATE and THE AMERICAN HOSPITAL ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. PAYS DUES TO THESE ASSOCIATIONS ON BEHALF OF THIS ORGANIZATION. ADDITIONALLY, THROUGH GNYHA, THE ORGANIZATION PAYS DUES TO THE 1199 JOB SECURITY FUND. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $36,183 in 2013. | 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 |
| End Year Balance | $1,484,189 | 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 | $268,878,804 | OtherCostOrOtherBasisAmt |
| Depreciation | $120,086,602 | DepreciationAmt |
| Book Value | $148,792,202 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $290,350 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,851 | DepreciationAmt |
| Book Value | $257,499 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $117,281,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,776,995 | DepreciationAmt |
| Book Value | $61,504,226 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,616,037 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,607,046 | DepreciationAmt |
| Book Value | $19,008,991 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $233,670,591 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (13 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN HEALTHFIRST | $11,959,124 | F |
| INVESTMENT IN VERIZON - AT&T | $10,143 | F |
| U.S. GOVERNMENT OBLIGATIONS | $16,767,000 | F |
| CORPORATE BONDS | $38,377,000 | F |
| ACCRUED INTEREST RECEIVABLE | $8,000 | F |
| FIXED INCOME MUTUAL FUNDS | $7,044,000 | F |
| COMMINGLED FIXED INCOME FUNDS | $3,292,000 | F |
| EQUITY SECURITIES | $7,317,000 | F |
| EQUITY MUTUAL FUNDS | $3,894,000 | F |
| FUNDS OF HEDGE FUNDS | $3,369,000 | F |
| RISK PARITY FUNDS | $2,068,000 | F |
| LIMITED USE | $32,914,745 | F |
| CASH AND CASH EQUIVALENTS | $220,460,218 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $347,480,230 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $172,657 |
| OTHER RECEIVABLES | $3,474,529 |
| DEPOSITS | $133,417 |
| ASU 2010-04 | $85,516,214 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $89,296,817 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| PARTY PAYERS; CURRENT | $24,821,240 |
| LIABILITIES; CURRENT | $8,296,688 |
| INTEREST PAYABLE; CURRENT | $809,714 |
| INSURANCE CLAIMS LIABILITY; CURRENT | $17,878,393 |
| LIABILITIES; CURRENT | $5,438,260 |
| DUE TO RELATED PARTIES; CURRENT | $18,694,099 |
| LIABILITIES; NON-CURRENT | $74,484,930 |
| NON-CURRENT | $67,637,823 |
| LIABILITIES; NON-CURRENT | $18,288,165 |
| OTHER LIABILITIES | $45,104,812 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $281,454,124 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $858,538,008 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$7,999,604 | OtherRevenueAmt |
| Revenue Not Reported | -$7,999,604 | RevenueNotReportedAmt |
| Revenue Subtotal | $866,537,612 | RevenueSubtotalAmt |
| Other Revenues Not Included | $14,454,097 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $14,454,097 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $880,991,709 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $820,534,688 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $820,534,688 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $18,304,509 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $18,304,509 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $838,839,197 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, QUESTION 4 | ENDOWMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. |
| SCHEDULE D, PART X | 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, 2013 and 2012, 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 $167,000,000, which expire in varying amounts through 2033, and are available to offset future taxable income. |
| SCHEDULE D, PART XI; LINE 2D | OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS - $992,621; AND - PROVISION FOR BAD DEBT - ($8,992,225). |
| SCHEDULE D, PART XI; LINE 4B | OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1 INCLUDE: - INVESTMENT INCOME - $12,780,337; - GAIN ON SALE OF FIXED ASSETS - $4,600; AND - TEMPORARILY RESTRICTED CONTRIBUTIONS - $1,669,160. |
| SCHEDULE D, PART XII; LINE 4B | OTHER RECONCILIATION ITEMS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1 INCLUDE: - PROVISION FOR BAD DEBT - $8,992,225; - PENSION & POST RETIREMENT LIABILITIES - ($1,121,251); - EARLY RETIREMENT OF TERMINATION COSTS - $4,888,080; AND - AMORTIZATION OF INTANGIBLE ASSET - $5,545,455. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| Europe (Including Iceland and Greenland) | 0 | 1 | Investments | $4,735,785 |
| Central America and the Caribbean | 0 | 1 | Investments | $25,844,146 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 2 | SubtotalEmployeesCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Subtotal Spent | $30,579,931 | SubtotalSpentAmt |
| Total Spent | $30,579,931 | 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 | 26649 | PersonsServedCnt |
| Total Community Benefit Expns | $21,139,304 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,595,983 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,543,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 366272 | PersonsServedCnt |
| Total Community Benefit Expns | $178,669,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $134,512,578 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,157,256 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 392921 | PersonsServedCnt |
| Total Community Benefit Expns | $199,809,138 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $144,108,561 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,700,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06820 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 295 | ActivitiesOrProgramsCnt |
| Persons Served | 142451 | PersonsServedCnt |
| Total Community Benefit Expns | $5,968,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,007,544 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,960,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 2135 | PersonsServedCnt |
| Total Community Benefit Expns | $50,652,757 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,698,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,954,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 13855 | PersonsServedCnt |
| Total Community Benefit Expns | $5,792,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,973,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,819,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 34 | ActivitiesOrProgramsCnt |
| Persons Served | 902 | PersonsServedCnt |
| Total Community Benefit Expns | $312,862 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $312,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 342 | ActivitiesOrProgramsCnt |
| Persons Served | 159343 | PersonsServedCnt |
| Total Community Benefit Expns | $62,725,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,678,798 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,046,889 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04790 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 344 | ActivitiesOrProgramsCnt |
| Persons Served | 552264 | PersonsServedCnt |
| Total Community Benefit Expns | $262,534,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $167,787,359 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $94,747,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11610 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 420 | PersonsServedCnt |
| Total Community Benefit Expns | $1,532 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,532 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1391 | PersonsServedCnt |
| Total Community Benefit Expns | $2,725 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,725 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 185 | PersonsServedCnt |
| Total Community Benefit Expns | $908 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $908 | 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 | $9,746 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,746 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 2029 | PersonsServedCnt |
| Total Community Benefit Expns | $14,911 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,911 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,010,075 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $186,127,489 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $171,964,798 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $14,162,691 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | 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 | 7004003H | 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 | 7004003H | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.northshorelij.com | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| 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 (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, QUESTION 1J | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 3 | 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 |
| SCHEDULE H, PART V, SECTION B, QUESTION 4 | 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 |
| SCHEDULE H, PART V, SECTION B, QUESTION 5d | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 6i | Not applicable. |
| SCHEDULE H, PART V, SECTION B, QUESTION 7 | 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 |
| SCHEDULE H, PART V, SECTION B, QUESTION 10 | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 11 | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 12i | The hospital also uses household size. |
| SCHEDULE H, PART V, SECTION B, QUESTION 14g | 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. |
| SCHEDULE H, PART V, SECTION B, QUESTION 16e | not applicable. |
| SCHEDULE H, PART V, SECTION B, QUESTION 17e | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 18e | not applicable. |
| SCHEDULE H, PART V, SECTION B, QUESTION 19C | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 19D | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 20D | 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). |
| SCHEDULE H, PART V, SECTION B, QUESTION 21 | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 22 | NOT APPLICABLE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 |
| VERRAZANO RADIOLOGY PC | ||||
| 256 A MASON AVENUE | STATEN ISLAND | NY | 10305 | DIAGNOSTIC CENTER |
| 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 |
| PHYSICIAN AMBULATORY NETWORK SERVICES | ||||
| 256 B MASON AVENUE | STATEN ISLAND | NY | 10305 | OUTPATIENT PHYSICIAN CLINIC |
| BAY STREET HEALTH CENTER | ||||
| 57 BAY STREET | 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 | 10310 | OUTPATIENT PHYSICIAN CLINIC |
| WIC PROGRAM | ||||
| 57 BAY STREET | STATEN ISLAND | NY | 10301 | OUTPATIENT PHYSICIAN CLINIC |
| MMTPHIV PRIMARY CARE SERVICES | ||||
| 111 WATER STREET | STATEN ISLAND | NY | 10304 | OUTPATIENT PHYSICIAN CLINIC |
| STATEN ISLAND UNIVERSITY HOSPITAL DIV | ||||
| 4287 RICHMOND AVENUE | STATEN ISLAND | NY | 10312 | OUTPATIENT PHYSICIAN CLINIC |
| PHYSICIAN AMBULATORY NETWORK SERVICES | ||||
| 4855 HYLANE BOULEVARD | STATEN ISLAND | NY | 10312 | 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 | 10304 | OUTPATIENT PHYSICIAN CLINIC |
| CENTER FOR THYROID & PARATHYROID DISORD | ||||
| 1460 VICTORY BOULEVARD | STATEN ISLAND | NY | 10301 | OUTPATIENT PHYSICIAN CLINIC |
| METRO OBGYN PC | ||||
| 2285 VICTORY BOULEVARD | STATEN ISLAND | NY | 10314 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C | This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. |
| SCHEDULE H, PART I; QUESTION 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. |
| SCHEDULE H, PART I; QUESTION 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 11.5% as a percentage of expenses. |
| SCHEDULE H, 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. |
| SCHEDULE H, PART III, SECTION A; QUESTION 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. |
| SCHEDULE H, PART III, SECTION A; QUESTION 3 | NOT APPLICABLE. |
| SCHEDULE H, PART III, SECTION A; QUESTION 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. |
| SCHEDULE H, PART III, SECTION B; QUESTION 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. |
| SCHEDULE H, PART III, SECTION B; QUESTION 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. |
| SCHEDULE H, PART VI; QUESTION 2 | 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; E-BRFSS; 2010 US Census data 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 Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit information on community needs. Together with other healthcare organizations and CBOs, North Shore-LIJ participates in meetings organized by these regional departments of health academic organizations to discuss the shared responsibility of public health planning within the NYS Prevention Agenda. These meetings provide an opportunity for general discussion regarding the public health goals of the NYS Prevention Agenda and the selection of shared priorities for collaborative regional planning. The partnership among local health departments, hospitals and CBOs, enables region wide leveraging of resources, consensus on health priorities and collaboration on health promotion strategies. |
| SCHEDULE H, PART VI; QUESTION 3 | North Shore-LIJ is a regional leader in the development of financial assistance programs for the uninsured. The System's financial assistance policy provides a uniformly-administered system of reduced fees for the uninsured residents of our service area. The current fee schedule includes patients with household incomes up to 500% of the FPL. While the fee schedule serves as a guide, all hardship cases are evaluated on a case-by-case basis, taking into account the individual's financial and personal circumstances. All medically necessary services are covered under the financial assistance program and the public is notified of the availability of the program through: multilingual signage and educational brochures; centralized program administration accessible via phone; staff outreach, and all bills include a notice about the financial assistance program. Soft credit scoring software is used to facilitate the application process, but is not used to deny an applicant. The Healthcare Access Center (HAC), staffed by bilingual employees, assists community residents' with referrals for enrollment into government-subsidized insurance programs such as Medicaid, Child Health Plus and Family Health Plus. In addition, the HAC staff refers patients to the Medicaid Prenatal Care Program and to the Senior Navigator Program within North Shore-LIJ for assistance with Medicaid for pregnant women and Medicare enrollment for seniors. |
| SCHEDULE H, PART VI; QUESTION 4 | The North Shore-LIJ has a service area of more than approximately 7.2 million people covering Long Island (Nassau and Suffolk counties) and the Metropolitan area covering the boroughs of Manhattan, Queens, and Staten Island. The demographics of the community show a broad range of cultural and ethnic diversity, particularly in Queens, the most multi-ethnic county in the country. Overall the area has shown an increase in the number of uninsured and underinsured. The other counties in the service area continue to show trends of increasing diversity, as well. By 2018, our service area population 65 and older will grow by 14.5%, while residents under 65 will decline less than 1% (Thomson Reuters, Market Planner Plus). The service area has also shown high rates of obesity, diabetes, asthma and heart/cerebrovascular disease mortality. |
| SCHEDULE H, PART VI; QUESTION 5 | North Shore-LIJ works to promote community health through education, community advocacy, partnerships, and programs that result in improved access to care and health outcomes. The activities and strategies for achieving this goal include: establishing collaborative partnerships with local CBOs, health-related organizations, business, and government to identify and address community health needs; advocating for policies that benefit the broader community at state and local levels; providing community health programs and services based on identified community health needs/priorities; delivering preventive care services and education; conducting community outreach and engagement activities and expanding community member representation and involvement on committees/boards for programming and educational events. North Shore-LIJ provides community residents with a broad array of community health programs, such as: access to healthcare services and caring for the medically underserved; screenings and immunizations; health forums and health fairs; community education and outreach programs; support groups and counseling and emergency medical services. A comprehensive list of programs can be found in the Community Service Plans located on the North Shore-LIJ public website. North Shore-LIJ recognizes that, to have an impact on community health status, it must collaborate, to the extent possible, with multiple partners who can address different components of program design, including: providing trust and "reach" into a community; access to capital and funding; policy guidance and best practices for program development. With thousands of community programs, our partners are many and varied; some of our partners include: government, national/professional associations, area businesses, other area health care providers, philanthropies, civic organizations and CBOs. |
| SCHEDULE H, PART VI; QUESTION 6 | The organization is an affiliate of the North Shore-LIJ Health System Inc., an integrated health care delivery system which includes 16 hospitals, 3 skilled nursing facilities, a world renowned children's hospital, post-acute services, ambulatory network, rehabilitation network and a freestanding research institute, which is chartered to confer doctoral (PhD) degrees through its Elmezzi Graduate School of Molecular Medicine. All North Shore-LIJ entities are considered to be under common control for antitrust and other legal purposes. Each hospital facility shares a common board and management in the North Shore-LIJ Health System and as such is referred to as being commonly managed. Also, in a joint venture, the Hofstra North Shore-LIJ School of Medicine at Hofstra University provides an allopathic medical school for the benefit of the community. In keeping with its mission to improve the health and caring for the communities it serves, regardless of the ability to pay, North Shore-LIJ established the Office of Community and Public Health (OCPH) to promote health and wellness. The OCPH plays a key role in leading many of the mission-critical initiatives of the System and operates in alignment with the National Prevention Strategy and NYS Prevention Agenda. The OCPH is guided by the Committee on Community Health, a committee composed of the Board of Trustees, which is charged with identifying the overall health needs of the community and making recommendations for the population the System serves. The objectives of the Committee include: promoting a dialogue about the obligations of a large health system in addressing critical health issues of the public; reviewing information which assesses the health status of the communities served; promoting activities which have been shown to positively impact health; proposing policy recommendations to guide current programs or develop new ones; identifying opportunities to meet health care needs through improved delivery of health care; and recommending community health interventions to be provided by the System. North Shore-LIJ has established comprehensive and coordinated clinical programs that span across the enterprise. These programs not only provide a full continuum of services and seamless delivery of care, but offer community health activities, outreach and education as well; they include: Behavioral Health, Cancer, Cardiovascular Services, Dental Medicine, Emergency Medicine, Family Medicine, Hospice Care, Imaging/Radiology, Laboratory Medicine and Pathology, Medicine, Neurology, Neurosurgery, Obstetrics/Gynecology, Ophthalmology, Orthopedic Surgery, Otolaryngology, Pediatrics, Physical Medicine & Rehabilitation, Population Health, Senior Services, Surgery, Urology, and Women's Health. In 2013 North Shore-LIJ CareConnect Insurance Company, Inc. ("CareConnect") began enrolling individuals, families, and small and large businesses in a range of commercial insurance plans. As the first fully integrated provider-owned Article 42 insurance company in New York, CareConnect offers access to inpatient and emergency care, post-acute care, thousands of affiliated community physicians, nurses, and other caregivers. The System's hospitals, programs and services support one of the largest resident and fellowship training programs in the United States. It directly sponsors approximately 120 accredited graduate medical education (GME) programs and trains more than 1,500 medical residents and fellows annually. Our hospitals and facilities collectively serve as teaching sites for more than 1,200 rotations for medical students from five medical schools. |
| SCHEDULE H, PART VI; QUESTION 7 | New York. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL J DOWLING | ||||||||||||||
| TRUSTEE - PRESIDENT/CEO NS-LIJ | $0 | $1,366,853 | $0 | $1,700,000 | $0 | $50,990 | $0 | $1,201,724 | $0 | $21,050 | $0 | $4,340,617 | $0 | $0 |
| KEVIN F LAWLOR | ||||||||||||||
| TRUSTEE-PRES/CEO HUNT HOSPITAL | $0 | $593,009 | $0 | $71,000 | $0 | $49,579 | $0 | $273,344 | $0 | $17,193 | $0 | $1,004,125 | $0 | $0 |
| RALPH A NAPPI | ||||||||||||||
| TRUSTEE - PRESIDENT NS-LIJ FDN | $0 | $675,942 | $0 | $150,000 | $0 | $30,857 | $0 | $28,050 | $0 | $20,831 | $0 | $905,680 | $0 | $0 |
| ANTHONY C FERRERI | ||||||||||||||
| PRES/CEO, REGIONAL EXEC DIR | $0 | $876,715 | $0 | $85,000 | $0 | $27,688 | $0 | $320,797 | $0 | $15,100 | $0 | $1,325,300 | $0 | $0 |
| ROBERT S SHAPIRO | ||||||||||||||
| EVP/CFO NS-LIJ | $0 | $926,328 | $0 | $242,000 | $0 | $30,759 | $0 | $220,856 | $0 | $22,300 | $0 | $1,442,243 | $0 | $0 |
| KEITH C THOMPSON | ||||||||||||||
| SVP/GENERAL COUNSEL NS-LIJ | $0 | $726,199 | $0 | $112,000 | $0 | $38,585 | $0 | $28,050 | $0 | $22,300 | $0 | $927,134 | $0 | $0 |
| LAURA PEABODY EFF 102913 | ||||||||||||||
| SVP/CHIEF LEGAL OFFICER NS-LIJ | $0 | $161,148 | $0 | $100,000 | $0 | $721 | $0 | $28,050 | $0 | $15,100 | $0 | $305,019 | $0 | $0 |
| THOMAS RECA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $481,027 | $0 | $118,003 | $0 | $25,878 | $0 | $27,540 | $0 | $15,745 | $0 | $668,193 | $0 | $0 | $0 |
| HARRY E GINDI | ||||||||||||||
| ASST SEC, VP/LEGAL AFFAIRS | $0 | $288,687 | $0 | $21,382 | $0 | $4,393 | $0 | $28,050 | $0 | $15,100 | $0 | $357,612 | $0 | $0 |
| ANDREW SCHULZ EFF 102913 | ||||||||||||||
| VP/GENERAL COUNSEL NS-LIJ | $0 | $468,164 | $0 | $33,897 | $0 | $20,867 | $0 | $28,050 | $0 | $15,100 | $0 | $566,078 | $0 | $0 |
| ARTHUR KLEIN TERM 3113 | ||||||||||||||
| REGIONAL EXECUTIVE DIRECTOR | $0 | $168,587 | $0 | $100,000 | $0 | $23,230 | $0 | $292,562 | $0 | $14,700 | $0 | $599,079 | $0 | $0 |
| DONNA PROSKE | ||||||||||||||
| EXECUTIVE DIRECTOR | $547,898 | $0 | $19,417 | $0 | $27,042 | $0 | $27,540 | $0 | $7,720 | $0 | $629,617 | $0 | $0 | $0 |
| GREGORY RADINSKY | ||||||||||||||
| VP/CHIEF COMPLIANCE OFF NS-LIJ | $0 | $317,477 | $0 | $22,350 | $0 | $19,073 | $0 | $28,050 | $0 | $14,700 | $0 | $401,650 | $0 | $0 |
| JOSEPH T MCGINN MD | ||||||||||||||
| PHYSICIAN | $1,491,009 | $0 | $0 | $0 | $774 | $0 | $15,300 | $0 | $19,941 | $0 | $1,527,024 | $0 | $0 | $0 |
| JONATHON DEITCH MD | ||||||||||||||
| PHYSICIAN | $899,064 | $0 | $100,000 | $0 | $0 | $0 | $15,300 | $0 | $7,988 | $0 | $1,022,352 | $0 | $0 | $0 |
| MICHAEL L COOPER MD | ||||||||||||||
| PHYSICIAN | $958,955 | $0 | $0 | $0 | $15,500 | $0 | $15,300 | $0 | $19,941 | $0 | $1,009,696 | $0 | $0 | $0 |
| PHILIP M VIGNERI MD | ||||||||||||||
| PHYSICIAN | $728,054 | $0 | $152,000 | $0 | $17,043 | $0 | $25,500 | $0 | $13,103 | $0 | $935,700 | $0 | $0 | $0 |
| RUBEN KANDOV MD | ||||||||||||||
| PHYSICIAN | $485,829 | $0 | $256,300 | $0 | $83,450 | $0 | $15,300 | $0 | $20,297 | $0 | $861,176 | $0 | $0 | $0 |
| MARK P JARRETT MD | ||||||||||||||
| SVP/CHIEF QUALITY OFFICER | $0 | $603,093 | $0 | $44,700 | $0 | $24,615 | $0 | $28,050 | $0 | $14,700 | $0 | $715,158 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART VII and SCHEDULE J, PART II; QUESTION 4B | Five individuals' participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individualS 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, AS TAXABLE MEDICARE WAGES. These amounts are included in Schedule J-II, Column C for Michael J. DowlinG, $1,173,674; KEVIN F. LAWLOR, $243,816; Anthony C. Ferreri, $292,747; ROBERT S. SHAPIRO, $192,806 and Arthur Klein, $264,512. |
| SCHEDULE J, PART I; QUESTION 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-LONG ISLAND JEWISH 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. |
| SCHEDULE J, PART I; QUESTION 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). |
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 | $1,890,388 | $0 | $62,419,882 | $5,022,733 | $517,772 | $0 | $1,104,871 | $0 | $0 | $11,506,014 | $36,053,483 | $5,072,519 | 2013 | Yes (true) | Yes (true) | false | Yes (true) |
| B | $1,155,450 | $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/BusinessNameLine1 | 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 | Yes (true) | Yes (true) | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| TARA MAZZUCCO | |||
| DAUGHTER OF TRUSTEE | $40,763 | EMPLOYEE | false |
| DONNA FERRERI | |||
| FAMILY MEMBER of officer | $24,959 | EMPLOYEE | false |
| JAMES R WELLER | |||
| SON OF OFFICER | $83,888 | EMPLOYEE | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | FORM 990 SCHEDULE A, PART III STATEMENT ABOUT ACTIVITY ====================================================== 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 M. Bloom, Eric S. Blumencranz and Roger A. Blumencranz. John W. Alexander ----------------- has a business relationship with Laura Lauria and John M. Shall. Philip S. Altheim ------------------ has a business relationship with Eric S. Blumencranz. Stanley A. Applebaum --------------------- has a business relationship with John M. Shall. Michael L. Ashner ----------------- has a business relationship with William L. Mack and Scott Rudolph. Frank J. Besignano ------------------ has a business relationship with Laura Lauria. Elise M. Bloom -------------- has a business relationship with William Achenbaum and Leonard Feinstein. Eric S. Blumencranz ------------------- has as a family relationship with Roger A. Blumencranz. He has a business relationship with Roger A. Blumencranz, William Achenbaum, Philip S. Altheim, Arlene Lane Fisher, Richard D. Goldstein, Lloyd Michael Goldman, Alan I. Greene, Stanley Grey, Richard Guarasci, PH.D., Richard A. Horowitz, M. Allen Hyman, Jeffrey Jurick, Arthur S. Levine, Stuart R. Levine, David S. Mack, Bradley Marsh, DPM, Charles Merinoff, Ralph A. Nappi, Dennis Riese Michael C. Slade, Nancy Waldbaum, Barbara Hrbek Zucker and Donald Zucker. Roger A. Blumencranz -------------------- has a family relationship with Eric S. Blumencranz. He has a business relationship with Eric S. Blumencranz, William Achenbaum, Alan I. Greene, Stanley Grey, Richard D. Goldstein, Richard A. Horowitz, Jeffrey Jurick, David S. Mack, Bradley Marsh, DPM, Michael C. Slade, Ralph A. Nappi, Barbara Hrbek Zucker. David Blumenfeld ---------------- has a family relationship with Edward Blumenfeld. Edward Blumenfeld ----------------- has a family relationship with David Blumenfeld. He has a business relationship with William L. Mack. E. Steve Braun -------------- has a family relationship with Richard Sims. he has a business relationship with Cary Kravet. Robert w. Chasanoff ------------------- has a business relationship with Michael H. Sahn. Alan Chopp ---------- has a business relationship with Patrick F. Mc Dermott. Mark Claster ------------ has a business relationship with Richard D. Goldstein and Robert D. Rosenthal. Philippe P. Dauman ------------------ has a business relationship with Thomas E. Dooley. Thomas E. Dooley ---------------- has a business relationship with Philippe P. Dauman. Leonard Feinstein ----------------- has a business relationship with Elise M. Bloom and William L. Mack. Arlene Lane Fisher ------------------ has a business relationship with Eric S. Blumencranz. Lloyd Michael Goldman --------------------- has a business relationship with Eric S. Blumencranz, Richard D. Goldstein and William L. Mack. Richard D. Goldstein -------------------- has a business relationship with Roger A. Blumencranz, Eric S. Blumencranz, Mark Claster, Lloyd Michael Goldman and Barry Rubenstein. J. Joaquin Gonzalez ------------------- has a business relationship with John M. Shall. Alan I. Greene -------------- has a business relationship with Eric S. Blumencranz and Roger A. Blumencranz. Stanley Grey ------------ has a business relationship with Eric S. Blumencranz and Roger A. Blumencranz. Richard Guarasci, PH.D. ----------------------- has a business relationship with Eric S. Blumencranz. William O. Hiltz ---------------- has a business relationship with Jeffrey S. Maurer. Gedale B. Horowitz ------------------ has a family relationship with Richard A. Horowitz and Seth R. Horowitz. Richard A. Horowitz ------------------- has a famile relationship with Gedale B. Horowitz and Seth R. Horowitz. He has a business relationship with Eric S. Blumencranz, Roger A. Blumencranz and M. Allen Hyman. Seth R. Horowitz ------------------ has a family relationship with Gedale B. Horowitz and Richard A. Horowitz. M. Allen Hyman -------------- has a business relationship with Eric S. Blumencranz, Richard A. Horowitz, Saul B. Katz and Donald Zucker. Jeffrey Jurick -------------- has a business relationship with Eric S. Blumencranz and Roger A. Blumencranz. David M. Katz ------------- has a family relationship with Saul B. Katz and Michael Katz. He has a business relationship with Saul B. Katz and Seth Lipsay. Michael Katz ------------ has a family relationship with Saul B. Katz and David M. Katz. He has a business relationship with Saul Katz, Curt Launer and Michael Slade. Saul B. Katz ------------ has a family relationship with Michael Katz and David M. Katz. He has a business relationship with M. Allen Hyman, David M. Katz, Michael Katz, Curt N. Launer and Michael C. Slade. Cary Kravet ----------- has a business relationship with E. Steve Braun. Jeffrey B. Lane --------------- has a business relationship with William L. Mack. Curt N. Launer -------------- has a business relationship with Michael Katz and Saul B. Katz. David W. Lehr ------------- has a business relationship with Ronald J. Mazzucco. Arthur S. Levine ---------------- has a business relationship with Eric S. Blumencranz. Stuart R. Levine ---------------- has a business relationship with Eric S. Blumencranz. David S. Mack ------------- has a family relationship with William L. Mack. He has a business relationship with William L. Mack, Eric S. Blumencranz, and Roger A. Blumencranz. William L. Mack --------------- has a family relationship with David S. Mack. He has business relationships with David S. Mack, Michael L. Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Michael Goldman, Jeffrey B. Lane, Barry Rubenstein and Roy J. Zuckerberg. Bradley Marsh, DPM ------------------ has a family relationship with Jack J. Ross. He has a business relationship with Eric S. Blumencranz and Roger A. Blumencranz. Jeffrey S. Maurer ----------------- has a business relationship with William O. Hiltz. Ronald J. Mazzucco ------------------ has a business relationship with David W. Lehr. F.J. McCarthy ------------- has a business relationship with Robert D. Rosenthal and Emmett F. Walkerm Jr. Patrick F. McDermott -------------------- has a business relationship with Alan Chopp and John M. Shall. Charles Merinoff ---------------- has a business relationship with Eric S. Blumencranz. Richard Murcott --------------- has a business relationship with Barry Rubenstein. Ralph A. Nappi -------------- has a business relationship with Eric S. Blumencranz and Roger A. Blumencranz. Dennis Riese ------------ has a business relationship with Eric S. Blumencranz. Robert D. Rosenthal ---------------- has a business relationship with Mark Claster, F.J. McCarthy and Nancy Waldenbaum. Jack J. Ross ------------ has a family relationship with Bradley Marsh, DPM. Barry Rubenstein ---------------- has a business relationship with Richard D. Goldstein, William Mack and Richard Murcott. Scott Rudolph ------------- has a business relationship with Michael L. Ashner. John M. Shall ------------- has a business relationship with Patrick F. McDermott, John W. Alexander, Stanley A. Applebaum, and J. Joaquin Gonzalez. Richard Sims ------------ has a family relationship with E. Steve Braun. Michael C. Slade ---------------- has a business relationship with Eric S. Blumencranz, Roger A. Blumencranz, Saul B. Katz and Michael Katz. Nancy Waldenbaum ---------------- has a business relationship with Eric S. Blumencranz and Roger A. Blumencranz. Emmett F. Walker, Jr -------------------- 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 S. Blumencranz and Roger A. Blumencranz. Donald Zucker ------------- has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric S. Blumencranz and M. Allen Hyman. Roy J. Zuckerberg ----------------- has a business relationship with William L. Mack. |
| CORE FORM, PART VI, SECTION A; QUESTION 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 healthcare delivery system. |
| CORE FORM, PART VI, SECTION b; QUESTION 11b | 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. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflict of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filL out a conflict of interest disclosure form on a regular basis. The Corporate Compliance OfficeR reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflict of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflict of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. |
| CORE FORM, PART VI, SECTION B; QUESTION 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. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| CORE FORM, PART VII, SECTION A | 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. |
| CORE FORM, PART VII, SECTION A | MARK P. JARRETT, FORMER CHIEF MEDICAL OFFICER/VP CHIEF QUALITY OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM AS THE SVP/CHIEF QUALITY OFFICER. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS - $992,621; - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS DESIGNATED AS DERIVATIVE INSTRUMENTS - $964,977; - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ASSET ACQUISITIONS - $392,610; and - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (Less: Temporarily Restricted Contributions) - ($1,349,543). |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES STATEN ISLAND UNIVERSITY HOSPITAL. THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASTLETON AVENUE ASSOCIATES LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SEAVIEW AVENUE | AddressLine1 |
| City | STATEN ISLAND | City |
| State | NY | State |
| ZIP Code | 10305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133943199 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIUH | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (43 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KRASNOFF CONS SVCS | ||||||||||
| 972 Brush Hollow ROAD | WESTBURY | NY | 11590 | 262838027 | CONSULTING | NY | CARE MGT GROUP | N/A | ||
| LONG ISL BEHAV HLTH | ||||||||||
| 972 BRUSH HOLLOW Road | WESTBURY | NY | 11590 | 453572263 | STATISTICS | NY | NS-LIJ HC | RELATED | false | false |
| ENDOSCOPY CTR OF LI | ||||||||||
| 972 BRUSH HOLLoW ROAD | WESTBURY | NY | 11590 | 260000980 | MEDICAL SVCS. | NY | NS-LIJ VENTURES | N/A | ||
| TRUE NORTH URG CARE | ||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 464113494 | MEDICAL SVCS. | NY | NS-LIJ URG CARE | N/A | ||
| TRUE NORTH DC | ||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 464601950 | MEDICAL SVCS. | NY | RENAL VENTURES | N/A | ||
| SYN HLTH TRUE NORTH | ||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 464106483 | MEDICAL SVCS. | NY | CENTRAL STERILE | N/A | ||
| NS-LIJ MED AIR TRAN | ||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 464858222 | AIR TRANSPORT | NY | NSUH | RELATED | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (58 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adv Imag & Rad of Lenox Hill Hosp PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 200719612 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Aletta Corporation | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 112622371 | Physician SVCS. | 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 ServICES | NY | NSH ENTERPRISES | C CORPORATION | false | |||||||||
| Emergency Med Svcs of Staten Island PC | ||||||||||||||||||
| 1 Edgewater Plaza 6th floor | Staten Island | NY | 10305 | 134200899 | Medical ServiCES | NY | SIUH | C CORPORATION | Yes (true) | $48,861 | $0 | 1.00000 | ||||||
| Goethals Radiology PC | ||||||||||||||||||
| 500 Seaview AveNUE | Staten Island | NY | 10305 | 200010287 | Radiology SVCS. | NY | SIUH | C CORPORATION | Yes (true) | $8,071 | $8,283 | 1.00000 | ||||||
| Lenox Hill Cardiology Associates PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 133385163 | Medical ServiCES | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Lenox Hill Int Card & Vasc Svcs PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 201435770 | Medical ServiES | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Lenox Hill Pathology PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 133644370 | Medical ServiCES | 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 ServiES | 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 ServICES | NY | NS-LIJ HC | C CORPORATION | false | |||||||||
| NS Radiology at Glen Cove PC | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113301179 | Medical Services | 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 Health System IPA #3 | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533678 | HealthCare | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Health System IPA #4 | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533677 | HealthCare | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Health System IPA #5 | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 113533675 | HealthCare | NY | LIJ | C CORPORATION | false | |||||||||
| NS-LIJ Medical Gr at Huntington PC | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 274384049 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Medical Gr at North Nassau PC | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 274384146 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Medical Group at Syosset PC | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 273957752 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Medical Group PC | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 274384249 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ Network Inc | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 320257193 | Support Services | 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 Services | NY | NSUH | C CORPORATION | false | |||||||||
| North Shore-LIJ Radiology Services PC | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 223970667 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| North Shore-LIJ Service Alliance Inc | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 263651575 | Support Services | 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 Svcs. | NY | SIUH | C CORPORATION | Yes (true) | $412,038 | $233,108 | 1.00000 | ||||||
| Palliative Care Medical Services PC | ||||||||||||||||||
| 99 Sunnyside Boulevard | Woodbury | NY | 11797 | 273957835 | Medical Services | NY | HOSPICE | C CORPORATION | false | |||||||||
| Park Lenox Emergency Medicine PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 262661082 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox Medical PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 133575380 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox Pediatrics PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 133755683 | Medical Services | NY | LENOX HILL | C CORPORATION | false | |||||||||
| Park Lenox Surgical PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 133397814 | Medical Services | 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 Services | NY | SIUH | C CORPORATION | Yes (true) | $4,833 | $162,775 | 1.00000 | ||||||
| Staten Island Imaging Corp | ||||||||||||||||||
| 1 Edgewater Plaza 6th Floor | Staten Island | NY | 10305 | 133615474 | Inactive | NY | OVM | C CORPORATION | false | |||||||||
| Staten Island Medical Intensivist PC | ||||||||||||||||||
| 501 Seaview Avenue Suite 102 | Staten Island | NY | 10305 | 043716494 | Medical Services | NY | SIUH | C CORPORATION | Yes (true) | $963 | $0 | 1.00000 | ||||||
| Staten Island Neonatology PC | ||||||||||||||||||
| 500 Seaview Avenue | Staten Island | NY | 10305 | 133375474 | Medical Services | NY | SIUH | C CORPORATION | Yes (true) | $5,837 | $0 | 1.00000 | ||||||
| SIUH Perinatology PC | ||||||||||||||||||
| 475 Seaview Avenue | Staten Island | NY | 10305 | 134107082 | Medical Services | NY | SIUH | C CORPORATION | Yes (true) | |||||||||
| United Medical Surgical PC | ||||||||||||||||||
| 256 Mason Avenue BLDG B 2nd FL | Staten Island | NY | 10305 | 134038780 | Surgical Services | NY | SIUH | S CORPORATION | Yes (true) | $11,087,900 | $474,007 | 1.00000 | ||||||
| Univ Ph OncHematology Gp PC | ||||||||||||||||||
| 500 Seaview Avenue | Staten Island | NY | 10305 | 133642729 | Medical Services | NY | SIUH | C CORPORATION | Yes (true) | $1,461 | $0 | 1.00000 | ||||||
| Verrazano Radiology Associates PC | ||||||||||||||||||
| 500 Seaview Avenue Suite 200 | Staten Island | NY | 10305 | 200011201 | Radiology Svcs. | NY | SIUH | C CORPORATION | Yes (true) | $0 | $1,464,783 | 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 Services | NY | lenox | C CORPORATION | false | |||||||||
| NS-LIJ OCCUPATIONAL MEDICINE PC | ||||||||||||||||||
| 972 BRUSH HOLLOW Road | WESTBURY | NY | 11590 | 451004103 | Medical Services | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ OB-GYN PC | ||||||||||||||||||
| 972 Brush Hollow Road | Westbury | NY | 11590 | 461382916 | Medical Services | NY | lij | c corporation | false | |||||||||
| NS-LIJ ANESTHESIOLOGY PC | ||||||||||||||||||
| 972 BRUSH HOLLOW Road | WESTBURY | NY | 11590 | 461617561 | Medical ServiCES | NY | SOUTHSIDE | C CORPORATION | false | |||||||||
| NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 463475908 | MEDICAL SERVICES | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ INTERNAL MEDICINE NEW HYDE PARK | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 462822879 | MEDICAL SERVICES | NY | NSUH | C CORPORATION | false | |||||||||
| NS-LIJ OB-GYN AT GARDEN CITY PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 462886776 | MEDICAL SERVICES | 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 SERVICES | NY | NSUH | S CORPORATION | 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 |
| Div Related Organization | false | DivRelatedOrganizationInd |
| 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 |
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