SOUTH SHORE UNIVERSITY HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH SHORE UNIVERSITY HOSPITAL (EIN 11-1667761)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-19
- IRS object ID
- 201433239349300308
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-19T08:47:58-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111667761 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHSIDE HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | c/o NORTH SHORE-LIJ HEALTH SYSTEM | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % NORTH SHORE-LIJ HEALTH SYSTE | InCareOfNm |
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 5168766061 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 BRUSH HOLLOW ROAD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | WESTBURY | City |
| State | NY | State |
| ZIP Code | 11590 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT S SHAPIRO | PersonNm |
| Person Title | EXEC VP & CFO | PersonTitleTxt |
| Signature | 2014-10-28 | SignatureDt |
| 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 | MICHAEL J DOWLING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 COMMUNITY DRIVE | AddressLine1 |
| City | GREAT NECK | City |
| State | NY | State |
| ZIP Code | 11590 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $429,123,918 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORTHSHORELIJ.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | Southside strives to improve the health of the communities it serves and is committed to providing the highest quality of care for the community regardless of ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 124 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 115 | VotingMembersIndependentCnt |
| Total Employee | 2993 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $403,968 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,028,376 | PYContributionsGrantsAmt |
| CY Contributions Grants | $59,387 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $375,329,223 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $424,407,695 | CYProgramServiceRevenueAmt |
| PY Investment Income | $72,938 | PYInvestmentIncomeAmt |
| CY Investment Income | $155,467 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,093,324 | PYOtherRevenueAmt |
| CY Other Revenue | $2,911,978 | CYOtherRevenueAmt |
| PY Total Revenue | $381,523,861 | PYTotalRevenueAmt |
| CY Total Revenue | $427,534,527 | 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 | $267,261,970 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $246,045,195 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $609,168 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $134,593,840 | PYOtherExpensesAmt |
| CY Other Expenses | $152,224,882 | CYOtherExpensesAmt |
| PY Total Expenses | $401,855,810 | PYTotalExpensesAmt |
| CY Total Expenses | $398,270,077 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$20,331,949 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,264,450 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $171,377,933 | TotalAssetsBOYAmt |
| Total Assets EOY | $232,301,225 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $224,102,449 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $255,023,523 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$52,724,516 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$22,722,298 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SOUTHSIDE HOSPITAL IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $285,618,672 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $367,317,844 | RevenueAmt |
| Desc | Southside Hospital is a 341-bed tertiary hospital with the following inpatient services: medical/surgical, intensive and cardiac care unit, OB/GYN with a Level II Perinatal service, pediatrics, medical rehabilitation, brain injury and psychiatry. The Emergency Department is a designated Area Trauma Center and provides the Paramedic First Responder Program to the Town of Islip Residents. In 2013, Southside Hospital had 18,727 inpatient discharges, delivered 2,340 babies, provided 69,700 emergency department visits and performed 13,047 ambulatory surgeries, including endoscopies and cardiac catheterizations. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $69,481,392 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $57,089,851 | RevenueAmt |
| Desc | North Shore-LIJ Medical Group is an affiliated member of the North Shore-LIJ Health System ("the System") and part of the System's medical group and ambulatory lines of service. It strives to make a measurable difference in the health status of the communities it serves by providing comprehensive health care regardless of ability to pay. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $355,100,064 | 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 | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 133 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2993 | 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 | CJ | ForeignCountryCd |
| Foreign Country | UK | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| 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 | NORTH SHORE-LIJ HEALTH SYSTE | PersonNm |
| Phone | 5168766061 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 BRUSH HOLLOW ROAD | AddressLine1 |
| City | WESTBURY | City |
| State | NY | State |
| ZIP Code | 11590 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL J DOWLING | |||||||||
| PRESIDENT & CEO | 50.0 | Yes (X) | Yes (X) | $0 | $3,117,843 | $1,222,774 | |||
| RALPH NAPPI | |||||||||
| PRESIDENT, FOUNDATIONS | 50.0 | Yes (X) | $0 | $856,799 | $48,881 | ||||
| RICHARD D GOLDSTEIN | |||||||||
| CHAIRMAN | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM L MACK | |||||||||
| VICE CHAIRMAN | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BARRY RUBENSTEIN | |||||||||
| VICE CHAIRMAN | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN I GREENE | |||||||||
| TREASURER | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DONALD ZUCKER | |||||||||
| SECRETARY | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| NON-COMPENATED TRUSTEES | |||||||||
| SEE SCHEDULE O | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN F LAWLOR | |||||||||
| PRESIDENT & CEO HUNTINGTON | 50.0 | Yes (X) | $0 | $713,588 | $286,966 | ||||
| HOWARD GOLD | |||||||||
| EVP, REVENUE & BUSINESS DEV | 50.0 | Yes (X) | $0 | $3,456,217 | $327,498 | ||||
| MARK J SOLAZZO | |||||||||
| EVP, CHIEF OPERATING OFFICER | 50.0 | Yes (X) | $0 | $1,894,904 | $325,554 | ||||
| ROBERT S SHAPIRO | |||||||||
| EXEC VP & CFO | 50.0 | Yes (X) | $0 | $1,199,086 | $243,156 | ||||
| LAWRENCE G SMITH MD | |||||||||
| EVP/PHYSICIAN IN CHIEF | 50.0 | Yes (X) | $0 | $913,047 | $707,681 | ||||
| KEITH THOMPSON | |||||||||
| SR VP & GENERAL COUNSEL | 50.0 | Yes (X) | $0 | $876,784 | $50,350 | ||||
| JEFFREY KRAUT | |||||||||
| SR VP, STRATEGIC PLANNING | 50.0 | Yes (X) | $0 | $924,283 | $213,431 | ||||
| KATHLEEN GALLO RN PHD | |||||||||
| CHIEF LEARNING OFFICER | 50.0 | Yes (X) | $0 | $2,753,320 | $294,275 | ||||
| DONNA DRUMMOND | |||||||||
| SVP, CHIEF ADMIN OFFICER | 50.0 | Yes (X) | $0 | $645,712 | $43,150 | ||||
| HARRY GINDI | |||||||||
| ASSISTANT SECRETARY | 50.0 | Yes (X) | $0 | $314,462 | $43,150 | ||||
| MARK CLASTER | |||||||||
| CHAIRMAN ELECT | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| LAURA PEABODY | |||||||||
| SVP & CHIEF LEGAL OFFICER | 50.0 | Yes (X) | $0 | $261,869 | $43,150 | ||||
| ANDREW SCHULZ | |||||||||
| VP & GENERAL COUNSEL | 50.0 | Yes (X) | $0 | $522,928 | $43,150 | ||||
| WINIFRED MACK | |||||||||
| EXECUTIVE DIRECTOR | 50.0 | $0 | $867,939 | $383,505 | Yes (X) | ||||
| DEBORAH TASCONE | |||||||||
| REGIONAL EXECUTIVE DIRECTOR | 50.0 | $0 | $462,300 | $43,150 | Yes (X) | ||||
| DONNA MORAVICK | |||||||||
| EXECUTIVE DIRECTOR | $563,037 | $0 | $43,150 | Yes (X) | 50.0 | ||||
| MICHAEL NETT | |||||||||
| PHYSICIAN | $757,592 | $0 | $43,150 | 50.0 | Yes (X) | ||||
| FRANK MANETTA | |||||||||
| SURGEON | $817,876 | $0 | $43,150 | 50.0 | Yes (X) | ||||
| PAUL DICPINIGAITIS | |||||||||
| PHYSICIAN | $709,363 | $0 | $43,150 | 50.0 | Yes (X) | ||||
| BURAK ARKONAC | |||||||||
| DIR, CARDIAC CATH LAB | $1,011,795 | $0 | $43,150 | 50.0 | Yes (X) | ||||
| SCOTT WODICKA | |||||||||
| DIR, SURGERY | $761,979 | $0 | $43,150 | 50.0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,621,642 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $19,781,081 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,578,721 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 431 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NEW YORK PAIN CONSULTANTS LLC | |||||
| 500 W MAIN ST STE 116 | BABYLON | NY | 11702 | PHSYCIAN SERVICES | $3,649,140 |
| GE HEALTHCARE | |||||
| 80 E SEAVIEW BLVD | PORT WASHINGTON | NY | 11050 | EQUIPMENT SERVICE | $983,943 |
| NORTH AMERICAN PARTNERS IN ANESTHES | |||||
| PO BOX 108 | GLEN HEAD | NY | 11545 | PHYSICIAN SERVICES | $924,378 |
| UNITEX TEXTILE RENTAL | |||||
| 155 S TERRACE AVE | MOUNT VERNON | NY | 10550 | LINEN SERVICES | $876,702 |
| SLEEP DIAGNOSTIC GROUP LLC | |||||
| 41 MAIN ST | STONY BROOK | NY | 11790 | MEDICAL SERVICES | $565,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $56,106 | RelatedOrganizationsAmt |
| Government Grants | $3,281 | GovernmentGrantsAmt |
| Total Contributions | $59,387 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 621300 | $253,693,991 | $253,693,991 |
| HEALTH CENTER | 621300 | $10,187,243 | $10,187,243 |
| PHYSICIAN BILLING | 621300 | $49,005,522 | $49,005,522 |
| MEDICARE/MEDICAID PAYMENTS | 621300 | $111,520,939 | $111,520,939 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $424,407,695 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,751 | TotalRevenueColumnAmt |
| Exclusion | $84,751 | 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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,660,107 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,589,391 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $70,716 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,716 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA | 900099 | $1,182,492 | $1,182,492 | ||
| ROOF RENTAL | 531390 | $323,537 | $158,777 | $164,760 | |
| ANSWERING SERVICE | 561000 | $239,208 | $239,208 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,166,741 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,099,467 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $67,274 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,911,978 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $427,534,527 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $425,665,939 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $403,968 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,334,517 | 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 | $563,037 | TotalAmt |
| Program Services | $563,037 | 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 | $204,139,312 | TotalAmt |
| Program Services | $189,339,212 | ProgramServicesAmt |
| Management And General | $14,652,099 | ManagementAndGeneralAmt |
| Fundraising | $148,001 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$8,258,837 | TotalAmt |
| Program Services | -$7,660,071 | ProgramServicesAmt |
| Management And General | -$592,778 | ManagementAndGeneralAmt |
| Fundraising | -$5,988 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,021,091 | TotalAmt |
| Program Services | $34,337,062 | ProgramServicesAmt |
| Management And General | $2,657,189 | ManagementAndGeneralAmt |
| Fundraising | $26,840 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,580,592 | TotalAmt |
| Program Services | $11,668,499 | ProgramServicesAmt |
| Management And General | $855,452 | ManagementAndGeneralAmt |
| Fundraising | $56,641 | FundraisingAmt |
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 | $10,280 | TotalAmt |
| Management And General | $10,280 | 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 | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,984,846 | TotalAmt |
| Program Services | $10,188,445 | ProgramServicesAmt |
| Management And General | $743,674 | ManagementAndGeneralAmt |
| Fundraising | $52,727 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,416 | TotalAmt |
| Program Services | $140,438 | ProgramServicesAmt |
| Management And General | $10,978 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,658,198 | TotalAmt |
| Program Services | $59,704,213 | ProgramServicesAmt |
| Management And General | $4,646,343 | ManagementAndGeneralAmt |
| Fundraising | $307,642 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,059,066 | TotalAmt |
| Program Services | $4,692,284 | ProgramServicesAmt |
| Management And General | $344,005 | ManagementAndGeneralAmt |
| Fundraising | $22,777 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,304 | TotalAmt |
| Program Services | $339,304 | 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 | $860,625 | TotalAmt |
| Program Services | $860,625 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,021,794 | TotalAmt |
| Management And General | $2,021,794 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,265,276 | TotalAmt |
| Program Services | $11,376,043 | ProgramServicesAmt |
| Management And General | $889,233 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,509,215 | TotalAmt |
| Program Services | $13,509,215 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $4,036,759 | $4,036,759 | |
| OTHER PURCHASED SERVICES | $17,769,895 | $17,769,895 | |
| BILLING & COLLECTION | $2,484,712 | $2,304,570 | $180,142 |
| DUES & SUBSCRIPTIONS | $447,157 | $414,738 | $32,419 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,626,339 | TotalAmt |
| Program Services | $1,515,796 | ProgramServicesAmt |
| Management And General | $16,110,015 | ManagementAndGeneralAmt |
| Fundraising | $528 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,270,077 | TotalAmt |
| Program Services | $355,100,064 | ProgramServicesAmt |
| Management And General | $42,560,845 | ManagementAndGeneralAmt |
| Fundraising | $609,168 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,248 | BOYAmt |
| EOY | $43,984 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,793,086 | BOYAmt |
| EOY | $41,673,097 | 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 | $4,579,804 | BOYAmt |
| EOY | $6,626,820 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,063 | BOYAmt |
| EOY | $374,135 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $189,126,727 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $77,995,523 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,287,208 | BOYAmt |
| EOY | $111,131,204 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,838,510 | BOYAmt |
| EOY | $7,200,616 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,683,014 | BOYAmt |
| EOY | $65,251,369 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,377,933 | BOYAmt |
| EOY | $232,301,225 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,132,618 | BOYAmt |
| EOY | $48,139,546 | 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 | $41,860,000 | BOYAmt |
| EOY | $40,900,000 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,109,831 | BOYAmt |
| EOY | $165,983,977 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,102,449 | BOYAmt |
| EOY | $255,023,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$69,685,426 | BOYAmt |
| EOY | -$40,282,884 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,960,910 | BOYAmt |
| EOY | $17,560,586 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$52,724,516 | BOYAmt |
| EOY | -$22,722,298 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,377,933 | BOYAmt |
| EOY | $232,301,225 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $29,264,450 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $108,267 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $629,501 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (true) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $27,711 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $27,711 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1H | FormAndLineReferenceDesc |
| Explanation | SOUTHSIDE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,533,488 | OtherCostOrOtherBasisAmt |
| Book Value | $2,533,488 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,231,766 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,865,705 | DepreciationAmt |
| Book Value | $49,366,061 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,002 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,545 | DepreciationAmt |
| Book Value | $50,457 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,770,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,620,459 | DepreciationAmt |
| Book Value | $51,150,478 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,517,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,813 | DepreciationAmt |
| Book Value | $8,030,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $111,131,205 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $2,581,566 |
| OTHER RECIEVABLES | $4,857,154 |
| INTEREST IN FOUNDATION | $16,855,311 |
| SECURITY DEPOSITS | $14,776 |
| INSURANCE CLAIMS RECEIVABLE | $40,942,562 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $65,251,369 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $22,380,019 |
| DUE TO THIRD PARTY PAYORS | $48,220,529 |
| ACCRUED RETIREMENT BENEFITS | $19,631,793 |
| ESTIMATED MALPRACTICE LIABILIT | $33,449,000 |
| OTHER LONG-TERM LIABILITIES | $549,833 |
| BOND PREM/DISCOUNT | $810,241 |
| INSURANCE CLAIMS LIABILITY | $40,942,562 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $165,983,977 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $423,562,608 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $108,267 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$4,021,834 | OtherRevenueAmt |
| Revenue Not Reported | -$3,913,567 | RevenueNotReportedAmt |
| Revenue Subtotal | $427,476,175 | RevenueSubtotalAmt |
| Other Revenues Not Included | $58,352 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $58,352 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $427,534,527 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $418,805,141 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $418,805,141 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$20,535,064 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$20,535,064 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $398,270,077 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2 - FIN 48 | 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. |
| Part XII, LINE 2D AND Line 4b - RECONCILIATION OF REVENUE | INCLUDED ON BOOKS NOT ON RETURN NET ASSETS RELEASED FROM RESTRICTION 14,925 PROVISION FOR BAD DEBT (4,036,759) TOTAL NOT INCLUDED ON 990 (4,021,834) INCLUDED ON RETURN NOT ON BOOKS TEMP RESTRICTED CONTRIBUTIONS 56,997 TEMP RESTRICTED GRANTS 1,355 TOTAL 58,352 |
| PART XIII, LINE 4B - RECONCILIATION OF EXPENSE | PROVISION FOR BAD DEBTS 4,036,759 ADDITIONAL MINIMUM PENSION ADJUSTMENT (24,571,823) TOTAL (20,535,064) |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|
| Central America and the Caribbean | Investments | 261865 | $261,865 |
| Europe (Including Iceland and Greenland) | Investments | 40860 | $40,860 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $302,725 | SubtotalSpentAmt |
| Total Spent | $302,725 | 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 | 15717 | PersonsServedCnt |
| Total Community Benefit Expns | $14,942,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,754,540 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,188,404 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 42136 | PersonsServedCnt |
| Total Community Benefit Expns | $78,955,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $56,157,949 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,797,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05450 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 57853 | PersonsServedCnt |
| Total Community Benefit Expns | $93,898,292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,912,489 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,985,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07890 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 152 | ActivitiesOrProgramsCnt |
| Persons Served | 94464 | PersonsServedCnt |
| Total Community Benefit Expns | $1,684,798 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,681,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 151 | ActivitiesOrProgramsCnt |
| Persons Served | 4696 | PersonsServedCnt |
| Total Community Benefit Expns | $8,951,304 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,447,262 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,504,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $240,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $240,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 52 | ActivitiesOrProgramsCnt |
| Persons Served | 3763 | PersonsServedCnt |
| Total Community Benefit Expns | $232,062 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $232,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 356 | ActivitiesOrProgramsCnt |
| Persons Served | 102923 | PersonsServedCnt |
| Total Community Benefit Expns | $11,108,164 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,450,137 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,658,027 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 358 | ActivitiesOrProgramsCnt |
| Persons Served | 160776 | PersonsServedCnt |
| Total Community Benefit Expns | $105,006,456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,362,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,643,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09970 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 550 | PersonsServedCnt |
| Total Community Benefit Expns | $345 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $345 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $20,801 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,693 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108 | NetCommunityBenefitExpnsAmt |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 85 | PersonsServedCnt |
| Total Community Benefit Expns | $539 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $539 | NetCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $9,404 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,404 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 60 | PersonsServedCnt |
| Total Community Benefit Expns | $19,863 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,863 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 30 | PersonsServedCnt |
| Total Community Benefit Expns | $17,492 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,492 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 10 | PersonsServedCnt |
| Total Community Benefit Expns | $535 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $535 | NetCommunityBenefitExpnsAmt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 38 | PersonsServedCnt |
| Total Community Benefit Expns | $11,142 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,142 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 34 | ActivitiesOrProgramsCnt |
| Persons Served | 774 | PersonsServedCnt |
| Total Community Benefit Expns | $80,121 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,693 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,428 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,206,369 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $108,295,094 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $107,595,525 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $699,569 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHSIDE HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 EAST MAIN STREET | AddressLine1 |
| City | BAY SHORE | City |
| State | NY | State |
| ZIP Code | 11706 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NORTHSHORELIJ.COM | WebsiteAddressTxt |
| State License | 5154000H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHSIDE HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, SECTION C - SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | Part V, Section B, line 1j: N/A Part V, Section B, line 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 Part V, Section B, line 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 Part V, Section B, line 5d: N/A Part V, Section B, line 6i: N/A Part V, Section B, line 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 Part V, Section B, line 10: N/A Part V, Section B, line 11: N/A Part V, Section B, line 12i: The hospital also uses household size. Part V, Section B, line 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. Part V, Section B, line 16e: N/A Part V, Section B, line 17e: N/A Part V, Section B, line 18e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 19c: N/A Part V, Section B, line 19d: N/A Part V, Section B, line 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) Part V, Section B, line 21: N/A | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| SUFFOLK COUNTY BRENTWOOD FAMILY HEALTH C | ||||
| 1869 BRENTWOOD ROAD | BRENTWOOD | NY | 11717 | FAMILY HEALTH CENTER |
| PHYSICIAN AMBULATORY NETWORK SERVICES | ||||
| 270 EAST MAIN STREET | BAY SHORE | NY | 11706 | OUTPATIENT PHYSICIAN CLINIC |
| SOUTHSIDE HOSPITAL CENTER FOR ADVANCED S | ||||
| 217 EAST MAIN STREET | BAY SHORE | NY | 11706 | OUTPATIENT PHYSICIAN CLINIC |
| SOUTHSIDE CARDIOLOGY | ||||
| 280 EAST MAIN STREET | BAY SHORE | NY | 11706 | OUTPATIENT PHYSICIAN CLINIC |
| NASSAU SUFFOLK FAMILY PRACTICE | ||||
| 120 ROUTE 109 | WEST BABYLON | NY | 11704 | OUTPATIENT PHYSICIAN CLINIC |
| OAKDALE OBGYN | ||||
| 971 MONTAUK HIGHWAY | OAKDALE | NY | 11769 | OUTPATIENT PHYSICIAN CLINIC |
| PHYSICIAN AMBULATORY NETWORK SERVICES | ||||
| 180 EAST MAIN STREET | BAY SHORE | NY | 11706 | OUTPATIENT PHYSICIAN CLINIC |
| CARDIOLOGY AT RIVERHEAD | ||||
| 31 MAIN ROAD | RIVERHEAD | NY | 11901 | OUTPATIENT PHYSICIAN CLINIC |
| WESTERN SUFFOLK GASTRO | ||||
| 375 EAST MAIN STREET | BAY SHORE | NY | 11706 | OUTPATIENT PHYSICIAN CLINIC |
| ISLIP TERRACE FAMILY PRACTICE | ||||
| 2915 SUNRISE HIGHWAY | ISLIP TERRACE | NY | 11752 | OUTPATIENT PHYSICIANS CLINIC |
| BRIGHTWATERS INTERNAL MEDICINE | ||||
| 200 HOWELLS ROAD | BAY SHORE | NY | 11706 | OUTPATIENT PHYSICIAN CLINIC |
| ISLIP MEDICINE | ||||
| 260 MAIN STREET | ISLIP | NY | 11751 | OUTPATIENT PHYSICIAN CLINIC |
| PHYSICIAN AMBULATORY NETWORK SERVICES | ||||
| 32 EAST MAIN STREET | BAY SHORE | NY | 11706 | OUTPATIENT PHYSICIAN CLINIC |
| BERLIN 0BGYN | ||||
| 2330 UNION BOULEVARD | ISLIP | NY | 11751 | OUTPATIENT PHYSICIANS CLINIC |
| PHYSICIAN AMBULATORY NETWORK SERVICES | ||||
| 1554 NORTHERN BOULEVARD | MANHASSET | NY | 11030 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART VI - SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | Question 1: Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the North Shore-LIJ website: http://www.northshorelij.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7a-k, column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 11.5% as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. The System's bioterrorism & disaster preparedness includes Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and a designated a Bioterrorism Resource Center. The System has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes, (i.e. Super storm Sandy), North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances assists with the transport of patients throughout the metropolitan area and stand ready to contribute food, medicine and blankets to numerous individuals who may lose power in their homes, and assist both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. North Shore-LIJ conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities' needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; 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 | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 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 | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,366,853 | $0 | $1,700,000 | $0 | $50,990 | $0 | $1,201,724 | $0 | $21,050 | $0 | $4,340,617 | $0 | $0 |
| HOWARD GOLD | ||||||||||||||
| EVP, REVENUE & BUSINESS DEV | $0 | $1,032,469 | $0 | $392,000 | $0 | $2,031,748 | $0 | $312,398 | $0 | $15,100 | $0 | $3,783,715 | $0 | $562,264 |
| MARK J SOLAZZO | ||||||||||||||
| EVP, CHIEF OPERATING OFFICER | $0 | $1,166,663 | $0 | $700,000 | $0 | $28,241 | $0 | $310,664 | $0 | $14,890 | $0 | $2,220,458 | $0 | $0 |
| ROBERT S SHAPIRO | ||||||||||||||
| EXEC VP & CFO | $0 | $926,327 | $0 | $242,000 | $0 | $30,759 | $0 | $220,856 | $0 | $22,300 | $0 | $1,442,242 | $0 | $0 |
| LAWRENCE G SMITH MD | ||||||||||||||
| EVP/PHYSICIAN IN CHIEF | $0 | $735,582 | $0 | $150,000 | $0 | $27,465 | $0 | $691,006 | $0 | $16,675 | $0 | $1,620,728 | $0 | $0 |
| KEITH THOMPSON | ||||||||||||||
| SR VP & GENERAL COUNSEL | $0 | $726,199 | $0 | $112,000 | $0 | $38,585 | $0 | $28,050 | $0 | $22,300 | $0 | $927,134 | $0 | $0 |
| JEFFREY KRAUT | ||||||||||||||
| SR VP, STRATEGIC PLANNING | $0 | $720,655 | $0 | $158,000 | $0 | $45,628 | $0 | $198,331 | $0 | $15,100 | $0 | $1,137,714 | $0 | $0 |
| KATHLEEN GALLO RN PHD | ||||||||||||||
| CHIEF LEARNING OFFICER | $0 | $624,064 | $0 | $97,000 | $0 | $2,032,256 | $0 | $279,175 | $0 | $15,100 | $0 | $3,047,595 | $0 | $534,246 |
| DONNA DRUMMOND | ||||||||||||||
| SVP, CHIEF ADMIN OFFICER | $0 | $510,278 | $0 | $76,000 | $0 | $59,434 | $0 | $28,050 | $0 | $15,100 | $0 | $688,862 | $0 | $0 |
| HARRY GINDI | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $288,687 | $0 | $21,382 | $0 | $4,393 | $0 | $28,050 | $0 | $15,100 | $0 | $357,612 | $0 | $0 |
| RALPH NAPPI | ||||||||||||||
| PRESIDENT, FOUNDATIONS | $0 | $675,942 | $0 | $150,000 | $0 | $30,857 | $0 | $28,050 | $0 | $20,831 | $0 | $905,680 | $0 | $0 |
| WINIFRED MACK | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $726,486 | $0 | $107,000 | $0 | $34,453 | $0 | $368,405 | $0 | $15,100 | $0 | $1,251,444 | $0 | $0 |
| MICHAEL NETT | ||||||||||||||
| PHYSICIAN | $739,869 | $0 | $0 | $0 | $17,723 | $0 | $28,050 | $0 | $15,100 | $0 | $800,742 | $0 | $0 | $0 |
| FRANK MANETTA | ||||||||||||||
| SURGEON | $798,776 | $0 | $0 | $0 | $19,100 | $0 | $28,050 | $0 | $15,100 | $0 | $861,026 | $0 | $0 | $0 |
| PAUL DICPINIGAITIS | ||||||||||||||
| PHYSICIAN | $690,760 | $0 | $0 | $0 | $18,603 | $0 | $28,050 | $0 | $15,100 | $0 | $752,513 | $0 | $0 | $0 |
| BURAK ARKONAC | ||||||||||||||
| DIR, CARDIAC CATH LAB | $990,543 | $0 | $0 | $0 | $21,252 | $0 | $28,050 | $0 | $15,100 | $0 | $1,054,945 | $0 | $0 | $0 |
| DEBORAH TASCONE | ||||||||||||||
| REGIONAL EXECUTIVE DIRECTOR | $0 | $430,542 | $0 | $0 | $0 | $31,758 | $0 | $28,050 | $0 | $15,100 | $0 | $505,450 | $0 | $0 |
| SCOTT WODICKA | ||||||||||||||
| DIR, SURGERY | $544,026 | $0 | $55,000 | $0 | $162,953 | $0 | $28,050 | $0 | $15,100 | $0 | $805,129 | $0 | $0 | $0 |
| LAURA PEABODY | ||||||||||||||
| SVP & CHIEF LEGAL OFFICER | $0 | $161,148 | $0 | $100,000 | $0 | $721 | $0 | $28,050 | $0 | $15,100 | $0 | $305,019 | $0 | $0 |
| KEVIN F LAWLOR | ||||||||||||||
| PRESIDENT & CEO HUNTINGTON | $0 | $593,009 | $0 | $71,000 | $0 | $49,579 | $0 | $271,866 | $0 | $15,100 | $0 | $1,000,554 | $0 | $0 |
| DONNA MORAVICK | ||||||||||||||
| EXECUTIVE DIRECTOR | $488,922 | $0 | $62,000 | $0 | $12,115 | $0 | $28,050 | $0 | $15,100 | $0 | $606,187 | $0 | $0 | $0 |
| ANDREW SCHULZ | ||||||||||||||
| VP & GENERAL COUNSEL | $0 | $468,164 | $0 | $33,897 | $0 | $20,867 | $0 | $28,050 | $0 | $15,100 | $0 | $566,078 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($1,173,674), Mark J Solazzo ($282,614), Robert S Shapiro ($192,806), Howard Gold ($284,348), Lawrence G Smith ($662,956), Jeffrey Kraut ($170,281), Kathleen Gallo ($251,125), Winifred Mack ($340,355) and Kevin F Lawlor ($243,816). |
| PART I, LINE 5A - COMPENSATION CONTINGENT ON REVENUES | Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee. |
| PART I, LINE 7 - BONUS AND INCENTIVE COMPENSATION | On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORMITORY AUTHORITY OF THE STATE OF NEW YORK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 146000293 | BondIssuerEIN |
| CUSIP | 649906JT2 | CUSIPNum |
| Bond Issued | 2011-10-06 | BondIssuedDt |
| Issue Price | $43,487,805 | IssuePriceAmt |
| Purpose | 2011 BONDS - CONSTRUCT FACILITY & | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,318,112 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $43,523,566 | TotalProceedsAmt |
| In Reserve Fund | $3,502,206 | InReserveFundAmt |
| Capitalized Interest | $361,028 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $770,395 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $8,022,808 | CapitalExpendituresAmt |
| Other Spent Proceeds | $25,139,044 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | Yes (true) | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE | FormAndLineReferenceDesc |
| Explanation | price in Part I, Column (E) due to Invest earning & transferred proceeds. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, SECTION A - GOVERNING BODY, LINE 2 | All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Elise Bloom and Eric and Roger Blumencranz. John Alexander has a business relationship with Laura Lauria and John Shall. Philip Altheim has a business relationship with Eric Blumencranz. Stanley Applebaum has a business relationship with John Shall. Michael Ashner has a business relationship with William Mack and Scott Rudolph. Frank Besignano has a business relationship with Laura Lauria. Elise Bloom has a business relationship with William Achenbaum and Leonard Feinstein. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Arlene Lane Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, Stanley Grey, Richard Guarasci, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade, Nancy Waldbaum, Barbara Hrbek Zucker and Donald Zucker. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Alan Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, David Mack, Bradley Marsh, Michael Slade, Ralph Nappi, Mark Solazzo, 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 Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Robert Chasanoff has a business relationship with Michael Sahn. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Richard Goldstein and Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with Elise Bloom and William Mack. Arlene Lane Fisher has a business relationship with Eric Blumencranz. Lloyd Goldman has a business relationship with Eric Blumencranz, Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a business relationship with Eric and Roger Blumencranz. Stanley Grey has a business relationship with Eric and Roger Blumencranz. Richard Guarasci has a business relationship with Eric Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Gedale Horowitz has a family relationship with Richard and Seth Horowitz. Richard Horowitz has a family relationship with Gedale and Seth Horowitz. He has a business relationship with Eric and Roger Blumencranz and M. Allan Hyman. Seth Horowitz has a family relationship with Gedale and Richard Horowitz. M. Allan Hyman has a business relationship with Eric Blumencranz, M. Allan Hyman, Richard Horowitz, Saul Katz and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with Michael Katz, Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with David Katz, Saul Katz, Curt Launer and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Michael Katz, Curt Launer and Michael Slade. Cary Kravet has a business relationship with Steve Braun. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz and Saul Katz. Laura Lauria has a business relationship with John Alexander and Frank Besignano. David Lehr has a business relationship with Ronald Mazzuco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric Blumencranz. Seth Lipsay has a business relationship with David Katz. David Mack has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. Jeff Maurer has a business relationship with William Hiltz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal and Emmett Walker. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric and Roger Blumencranz. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein, William Mack and Richard Murcott. Scott Rudolph has a business relationship with Michael Ashner. Michael Sahn has a business relationship with Robert Chasanoff. John Shall has a business relationship with Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Roger Blumencranz. Nancy Waldbaum has a business relationship with Eric Blumencranz and Robert Rosenthal. Emmett Walker has a business relationship with F.J. McCarthy. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric and Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric Blumencranz and M. Allan Hyman. Roy Zuckerberg has a business relationship with William Mack. |
| PART VI, SECTION B - POLICIES, LINE 11 | The annual Return of Organization Exempt From Income Tax (Form 990) for North Shore-LIJ Health System Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. |
| PART VI, SECTION B - POLICIES, LINE 12C | 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 Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. |
| PART VI, SECTION B - POLICIES, LINE 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 others than the ceo. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations. |
| PART VI, SECTION C - DISCLOSURES, LINE 19 | CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| PART VII, SECTION A - LINE 1(A) | Richard S. Abramson J. Joaquin Gonzalez F.J. McCarthy William Achenbaum Michael Gould Patrick F. McDermott John W. Alexander Albert L. Granger,DDS James McMullen Philip S. Altheim Alan I. Greene Charles Merinoff Stanley A. Applebaum Stanley Grey Richard D. Monti Michael L. Ashner Richard Guarasci, PhD Richard Murcott Beverly VP. Banker Paul B. Guenther Ralph A. Nappi Ralph M. Baruch Amy M. Hagedorn Richard B. Nye Frank J. Besignano Ira Hazan Clyde I. Payne, Ed.D. Elise M. Bloom Linda W. Heaney Arnold S. Penner Eric S. Blumencranz Marlene Hess John J. Raggio Roger A. Blumencranz William O. Hiltz Lewis S. Ranieri David Blumenfeld Gedale B. Horowitz Dennis Riese Edward Blumenfeld Richard A. Horowitz Terry P. Rifkin, M.D. E. Steve Braun Seth R. Horowitz Robert F. Rose Dayton T. Brown, Jr M. Allan Hyman Robert A. Rosen Jonathan S. Canno Mark Jacobson Marcie Rosenberg Michael Caridi Jeffrey Jurick Robert D. Rosenthal Rev. Carolina Sr, Ed.D David M. Katz Bernard M. Rosof, M.D. Robert W. Chasanoff Michael Katz Jack J. Ross Alan Chopp Saul B. Katz Barry Rubenstein Mark Claster Lisa A. Kaufman Herbert Rubin Diana F. Colgate Robert Kaufman Scott Rudolph Daniel M. Crown Cary Kravet Michael H. Sahn Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Thomas E. Dewey, Jr. Jeffrey B. Lane Marc V. Shaw Thomas E. Dooley Curt N. Launer Sean G. Simon Michael J. Dowling Laura Lauria Richard Sims Robert N. Downey Kevin F. Lawlor Michael C. Slade Patrick R. Edwards David W. Lehr Phyllis Hill Slater Michael A. Epstein Jonathan W. Leigh Howard D. Stave Leonard Feinstein Arthur S. Levine Peter Tilles Michael E. Feldman Stuart R. Levine Sandra Tytel Arlene Lane Fisher Seth Lipsay Frederick A. Volk Catherine C. Foster David S. Mack Nancy Waldbaum William H. Frazier William L. Mack Emmett F. Walker, Jr Eugene B. Friedman, MD Linda Manfredi Gary Walter William J. Fritz, PhD Bradley Marsh, D.P.M. Barbara Hrbek Zucker Sy Garfinkel Jeffrey S. Maurer Donald Zucker Lloyd M. Goldman Ronald J. Mazzucco Roy J. Zuckerberg Richard D. Goldstein |
| PART VII, SECTION A - LINE 1A, COLUMN (B) | This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. |
| PART VI, LINE 7 | North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. |
| PART XI, LINE 9 | Change in Equity Under FAS 136 629,501 Additional Minimum Pension Liability 24,571,823 Total 25,201,324 |
Schedule R IRS990ScheduleR
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SHORE-LIJ HEALTH SYSTEM | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113418133 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NA | false |
| NORTH SHORE-LIJ HEALTH CARE INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112965586 | SUPPORT | NY | 501(C)(3) | 11, TPYE 1 | NS-LIJHS | false |
| NORTH SHORE UNIVERSITY HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111562701 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| LONG ISLAND JEWISH MEDICAL CENTER | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112241326 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| GLEN COVE HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111633487 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| FOREST HILLS HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112163522 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| PLAINVIEW HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113241243 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| FRANKLIN HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112296824 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| NORTH SHORE-LIJ HEALTH SYSTEM LABS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113412370 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJHS | false |
| FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112673595 | RESEARCH | NY | 501(C)(3) | 4 | NS-LIJHS | false |
| NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112965575 | FUNDRAISING | NY | 501(C)(3) | 7 | NS-LIJHS | false |
| NSLIJ STERN FAMILY CENTER FOR REHAB | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237007485 | NURSING HOME | NY | 501(C)(3) | 9 | NS-LIJ HCI | false |
| LIJ MEDICAL CENTER AT HOME PHARMACY | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113251128 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| LIJ FOUNDATION | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112661239 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| NORTH SHORE-LIJ MEDICAL CARE CENTERS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113473923 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| SSH INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112774102 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | SOUTHSIDE | Yes (true) |
| NORTH SHORE COMMUNITY SERVICES INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237273200 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| NORTH SHORE UNIVERSITY HOSPITAL HOUSING | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112171903 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| NSUH AT GLEN COVE HOUSING | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237010468 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| HILLSIDE HOSPITAL HOUSES | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112113949 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJHS | false |
| SIUH SYSTEMS INC | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 061074604 | FUNDRAISING | NY | 501(C)(3) | 7 | NS-LIJ HCI | false |
| STATEN ISLAND UNIVERSITY HOSPITAL | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 112868878 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| STATEN ISLAND UNIVERSITY HOSPITAL FDN | ||||||||||
| 360 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 870765787 | FUNDRAISING | NY | 501(C)(3) | 7 | SIUH | false |
| THE HEART INSTITUTE | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 311757254 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NA | false |
| CHAPS COMMUNITY HEALTH CENTER | ||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 113345477 | INACTIVE | NY | 501(C)(3) | 9 | SIUH | false |
| HOSPICE CARE NETWORK | ||||||||||
| 99 SUNNYSIDE BLV | WOODBURY | NY | 11797 | 112925757 | HOSPICE | NY | 501(C)(3) | 9 | NS-LIJHS | false |
| HUNTINGTON HOSPITAL | ||||||||||
| 270 PARK AVENUE | HUNTINGTON | NY | 11743 | 111630914 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH | ||||||||||
| 284 PULASKI RD | GREENLAWN | NY | 11740 | 113368503 | HEALTH CARE | NY | 501(C)(3) | 3 | HUNTINGTON | false |
| PHYSICIANS OF UNIVERSITY HOSPITAL PC | ||||||||||
| 1 EDGEWATER PLAZA STE 6TH FL | STATEN ISLAND | NY | 10305 | 200096809 | HEALTH CARE | NY | 501(C)(3) | 11, TYPE 1 | SIUH | false |
| LENOX HILL HOSPITAL | ||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 131624070 | HEALTH CARE | NY | 501(C)(3) | 3 | NS-LIJ HCI | false |
| LHH CORPORATION | ||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133272016 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJHS | false |
| THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR | ||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 113284934 | GRADUATE SCHO | NY | 501(C)(3) | 2 | NS-LIJHS | false |
| SPORTS PHYSICAL THERAPY & REHAB SVCS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 061655704 | HEALTH CARE | NY | 501(C)(3) | 9 | LIJ | false |
| NORTH SHORE-LIJ ALLIANCE | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 263727582 | HEALTH CARE | NY | 501(C)(3) | 3 | NA | false |
| THE LONG ISLAND HOME | ||||||||||
| 400 SUNRISE HIGHWAY | AMITYVILLY | NY | 11701 | 112837244 | HEALTH CARE | NY | 501(C)(3) | 3 | LHH CORP | false |
| CLNY ALLIANCE INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 463146870 | LABORATORY | NY | APPLIED FOR | NSLIJ LABS | false | |
| NS-LIJ CARDIOVASCULAR MEDICINE PC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078717 | MEDICAL SVCS | NY | 501(C)(3) | 11, TYPE 1 | NSUH | false |
| NS-LIJ CARDIOLOGY AT DEER PARK PC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078531 | MEDICAL SVCS | NY | 501(C)(3) | 11, TYPE 1 | NSUH | false |
| NORTH SHORE-LIJ HEART SURGERY PC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078838 | MEDICAL SVCS | NY | 501(C)(3) | 11, TYPE 1 | NSUH | false |
| NORTH SHORE-LIJ INTERNAL MEDICINE PC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078631 | MEDICAL SVCS | NY | 501(C)(3) | 11, TYPE 1 | NSUH | false |
| NSLIJ MEDICAL GROUP URGENT MEDICAL CARE | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078426 | MEDICAL SVCS | NY | 501(C)(3) | 11, TYPE 1 | NSUH | false |
| NORTH SHORE-LIJ MEDICAL CARE PC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453023019 | MEDICAL SVCS | NY | 501(C)(3) | 11, TYPE 1 | NSUH | false |
| NORTH SHORE-LIJ HEALTH PLAN INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461617516 | INSURANCE | NY | APPLIED FOR | NSLIJ HCI | 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 |
|---|---|---|---|---|---|---|---|
| KRASNOFF CONSULTATIVE SERVICES LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 262838027 | CONSULTING | NY | NA |
| LONG ISLAND BEHAVIORAL HEALTH LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453572263 | STATISTICS | NY | NS-LIJ HCI |
| ENDOSCOPY CENTER OF LONG ISLAND | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 260000980 | MEDICAL SVCS | NY | NSLIJ VENTURES |
| TRUE NORTH URGENT CARE LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 464113494 | URGENT CARE | NY | NSLIJ URGENT |
| TRUE NORTH DC LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 464601950 | DIALYSIS | NY | RENAL VENTURES |
| SYNERGY HEALTH TRUE NORTH LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 464106483 | MEDICAL SVCS | NY | CENTRAL STERILE |
| NORTH SHORE-LIJ MEDICAL AIR TRANSPORT | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 464858222 | AIR TRANSPORT | NY | NSUH |
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 | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SHORE HEALTH SYSTEM ENTERPRISES | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113316922 | HOLDING COMPA | NY | NS-LIJHS | C | false | |||||||||
| REGIONCARE INC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113052191 | HOMECARE | NY | NSHS ENTERPRISE | C | false | |||||||||
| NORTH SHORE HEALTH ENTERPRISES | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 061605319 | HOLDING COMPA | NY | NSHS ENTERPRISE | C | false | |||||||||
| CARE MANAGEMENT GROUP OF GREATER NY | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113336381 | BUSINESS SERV | NY | NSH ENTERPRISES | C | false | |||||||||
| REGIONAL INSURANCE COMPANY LTD | ||||||||||||||||||
| 000000000 | INSURANCE | NS-LIJ HCI | C | false | C/O CEDAR HOUSE 41 CEDAR AVE | HAMILTON | BERMUDA | BD | HM 12 | BD | ||||||||
| ALETTA CORPORATION | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112622371 | PHYSICIAN SER | NY | SOUTHSIDE | C | Yes (true) | $0 | $130,680 | 1.00000 | ||||||
| NS-LIJ PHYSICIAN INSURANCE COMPANY RRG | ||||||||||||||||||
| 100 BANK ST | BURLINGTON | VT | 05401 | 261487515 | INSURANCE | VT | NS-LIJ HCI | C | false | |||||||||
| NORTH SHORE-LIJ SERVICE ALLIANCE | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 263651575 | SUPPORT SERVI | NY | NA | C | false | |||||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #1 | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533659 | HEALTH CARE | NY | LIJ | C | false | |||||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #2 | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533670 | HEALTH CARE | NY | LIJ | C | false | |||||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #3 | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533678 | HEALTH CARE | NY | LIJ | C | false | |||||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #4 | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533677 | HEALTH CARE | NY | LIJ | C | false | |||||||||
| NORTH SHORE-LIJ HEALTH SYSTEM IPA #5 | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113533675 | HEALTH CARE | NY | LIJ | C | false | |||||||||
| NORTH SHORE IPA 5 | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113383468 | BUSINESS SERV | NY | NS-LIJ HCI | C | false | |||||||||
| NORTH SHORE-LIJ NETWORK INC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 320257193 | SUPPORT SERVI | NY | NS-LIJHS | C | false | |||||||||
| NORTH SHORE RADIOLOGY AT GLEN COVE PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113301179 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NORTH SHORE-LIJ RADIOLOGY SERVICES PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 223970667 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| STATEN ISLAND IMAGING CORP | ||||||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133615474 | INACTIVE | NY | OVM | C | false | |||||||||
| OCEAN VIEW MANAGEMENT | ||||||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133138888 | MANAGEMENT SV | NY | SIUH | C | false | |||||||||
| OCEAN BREEZE HOME CARE AGENCY | ||||||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133773601 | INACTIVE | NY | OVM | C | false | |||||||||
| REGENCY ALLIANCE SERVICES INC | ||||||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 133277698 | MANAGEMENT SV | NY | OVM | C | false | |||||||||
| VERRAZANO RADIOLOGY ASSOCIATES PC | ||||||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 200011201 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| SIUH PERINATOLOGY PC | ||||||||||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 134107082 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| UNITED MEDICAL SURGICAL PC | ||||||||||||||||||
| 256 MASON AVE | STATEN ISLAND | NY | 10305 | 134038780 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG | ||||||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 133642729 | MEDICAL SERVI | NY | SIUH | S | false | |||||||||
| EMERGENCY MEDICINE SERVICES OF SI PC | ||||||||||||||||||
| 1 EDGEWATER PLAZA | STATEN ISLAND | NY | 10305 | 134200899 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| GOETHALS RADIOLOGY PC | ||||||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 200010287 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| STATEN ISLAND HOSPITALISTS PC | ||||||||||||||||||
| 475 SEAVIEW AVENUE | STATEN ISLAND | NY | 10305 | 331010283 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| STATEN ISLAND NEONATOLOGY PC | ||||||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 133375474 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| STATEN ISLAND MEDICAL INTENSIVIST PC | ||||||||||||||||||
| 501 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 043716494 | MEDICAL SERVI | NY | SIUH | C | false | |||||||||
| NS-LIJ MEDICAL GROUP AT SYOSSET PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 273957752 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| PALLIATIVE CARE MEDICAL SERVICES PC | ||||||||||||||||||
| 99 SUNNYSIDE BLVD | WOODBURY | NY | 11797 | 273957835 | MEDICAL SERVI | NY | HOSPICE | C | false | |||||||||
| NORTH SHORE-LIJ MEDICAL GROUP PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384249 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NS-LIJ MEDICAL GROUP AT HUNTINGTON PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384049 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384146 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NORTH SHORE-LIJ PHYSICIANS GROUP PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384326 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| LENOX HILL PHYSICIAN HOSPITAL ORG | ||||||||||||||||||
| 122 EAST 76TH ST STE 3-A | NEW YORK | NY | 10021 | 133775996 | MANAGED CARE | NY | LENOX | C | false | |||||||||
| LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY | ||||||||||||||||||
| 186 EAST 76TH ST 2ND FL | NEW YORK | NY | 10021 | 208784395 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| ADVANCED IMAGING & RADIOLOGY OF LHH PC | ||||||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 200719612 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| LENOX HILL CARDIOLOGY ASSOCIATES PC | ||||||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133385163 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| LENOX HILL ICV SERVICES PC | ||||||||||||||||||
| 130 EAST 77TH ST 9TH FL | NEW YORK | NY | 10021 | 201435770 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| LENOX HILL PATHOLOGY PC | ||||||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133644370 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| PARK LENOX EMERGENCY MEDICINE PC | ||||||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 262661082 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| PARK LENOX MEDICAL PC | ||||||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133575380 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| PARK LENOX PEDIATRICS PC | ||||||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133755683 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| PARK LENOX SURGICAL PC | ||||||||||||||||||
| 130 EAST 77TH ST 13TH FL | NEW YORK | NY | 10021 | 133397814 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| VIVOHEALTH INC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 264118016 | INACTIVE | NY | NSH ENTERPRISE | C | false | |||||||||
| AUTOIMMUNE RESEARCH THERAPEUTICS | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 270701489 | INACTIVE | NY | RESEARCH | C | false | |||||||||
| NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 463475908 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 462822879 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NS-LIJ OB-GYN AT GARDEN CITY PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 462886776 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NS-LIJ HEALTH PLAN HOLDING INC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 462478147 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NS-LIJ CARECONNECT INSURANCE COMPANY | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 462270382 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| LENOX HILL HOSPITAL MEDICAL PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 452661543 | MEDICAL SERVI | NY | LENOX | C | false | |||||||||
| NS-LIJ OCCUPATIONAL MEDICINE PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 451004103 | MEDICAL SERVI | NY | NSUH | C | false | |||||||||
| NORTH SHORE-LIJ OB-GYN PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461382916 | MEDICAL SERVI | NY | LIJ | C | false | |||||||||
| NORTH SHORE-LIJ ANESTHESIOLOGY PC | ||||||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461617561 | MEDICAL SERVI | NY | SOUTHSIDE | C | Yes (true) | $0 | $0 | 1.00000 | ||||||
| NORTH SHORE MEDICAL ACCELERATOR PC | ||||||||||||||||||
| 972 BRUSH HOLLOW ROAD | WESTBURY | NY | 11590 | 112945979 | MEDICAL SERVICES | NY | NSUH | S | 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Comments