SPORTS PHYSICALTHERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVICE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SPORTS PHYSICALTHERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVICE (EIN 06-1655704)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201313169349300046
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-11T12:13:55-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061655704 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPORTS PHYSCIAL THERAPY AND REHABILITATION | BusinessNameLine1 |
| Business Name Line2 | SERVICES OF NORTH SHORE PLLC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % NORTH SHORE-LIJ HEALTH SYSTE | InCareOfName |
| Name Control | SPOR | NameControl |
| Phone | 5168766061 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 BRUSH HOLLOW RD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | WESTBURY | City |
| State | NY | State |
| ZIP Code | 11590 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NINA DEPAOLA | Name |
| Title | PRESIDENT | Title |
| Date Signed | 2013-11-08 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL J DOWLING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 COMMUNITY DRIVE | AddressLine1 |
| City | GREAT NECK | City |
| State | NY | State |
| ZIP Code | 11021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7294832 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NSLIJ.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | STARS IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING CURRENT AND FUTURE GENERATIONS OF REHAB PROFESSIONALS AND PROMOTING HEALTH ED TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 136 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 128 | NbrIndependentVotingMembers |
| Total Nbr Employees | 108 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6440564 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6812588 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 157526 | OtherRevenuePriorYear |
| Other Revenue Current Year | 482244 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6598090 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7294832 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4089758 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5158682 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1480805 | OtherExpensePriorYear |
| Other Expenses Current Year | 1047139 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5570563 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6205821 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1027527 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1089011 | RevenuesLessExpensesCY |
| Total Assets BOY | 1681000 | TotalAssetsBOY |
| Total Assets EOY | 2664188 | TotalAssetsEOY |
| Total Liabilities BOY | 707472 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 612810 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 973528 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2051378 | NetAssetsOrFundBalancesEOY |
| Mission Description | SPORTS PHYSICAL THEREAPY & REHABILITATION SERVICES ("STARS") IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF REHABILITATION PROFESSIONALS; KEEPING PACE WITH THE LATEST ADVANCES IN REHABILITATION SERVICES AND PROMOTING HEALTH EDUCTION TO THE COMMUNITY AT LARGE REGARDLESS OF ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 4677799 | Expense |
| Grants | 0 | Grants |
| Revenue | 6812588 | Revenue |
| Description | Sports Physical Therapy and Rehabilitation Services ("STARS") strives to help patients find relief from pain and get moving again after an accident, injury, illness, or surgery. | Description |
| Total Program Service Expense | 4677799 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 108 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 136 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 128 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NORTH SHORE-LIJ HEALTH SYSTE | NamePerson |
| Telephone Number | 5168766061 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 BRUSH HOLLOW RD | AddressLine1 |
| City | WESTBURY | City |
| State | NY | State |
| ZIP Code | 11590 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per WeekAverageHoursPerWeek |
|---|---|---|---|---|---|---|---|
| MICHAEL J DOWLING | |||||||
| PRES & CEO NSLIJ HEALTH SYSTEM | 50.0 | X | X | 0 | 2823350 | 1128235 | |
| RALPH NAPPI | |||||||
| PRES, FOUNDATION | 50.0 | X | 0 | 2276547 | 60770 | ||
| ANTHONY FERRERI | |||||||
| PRES & CEO/ SIUH | 50.0 | X | 0 | 1049046 | 386010 | ||
| KEVIN LAWLOR | |||||||
| PRES & CEO/HUNTINGTON | 50.0 | X | 0 | 799176 | 280574 | ||
| NON COMPENSATED TRUSTEES | |||||||
| SEE SCHEDULE O | 2.0 | X | 0 | 0 | 0 | ||
| NINA DEPAOLA | |||||||
| PRESIDENT | X | 284367 | 0 | 42600 | 50.0 | ||
| DARICE BRODSKY | |||||||
| SECRETARY | X | 102603 | 0 | 42600 | 50.0 | ||
| ROBERT S SHAPIRO | |||||||
| EXEC VICE PRES & CFO | 50.0 | X | 0 | 1139452 | 231819 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 386970 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8087571 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2172608 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PHYSICIAN BILLING | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 6812588 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6812588 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6812588 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 104403 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 104403 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 104403 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER | 900099 | 21724 | 21724 | |
| TAX REFUNDS | 356117 | $356,117 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 377841 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7294832 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6834312 | RelatedOrExemptFunctionIncome |
| Exclusion | $356,117 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386970 | Total |
| Program Services | 386970 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3729885 | Total |
| Program Services | 2750417 | ProgramServices |
| Management And General | 979468 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203174 | Total |
| Program Services | 149821 | ProgramServices |
| Management And General | 53353 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 546469 | Total |
| Program Services | 402966 | ProgramServices |
| Management And General | 143503 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292184 | Total |
| Program Services | 215456 | ProgramServices |
| Management And General | 76728 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24753 | Total |
| Program Services | 18253 | ProgramServices |
| Management And General | 6500 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20050 | Total |
| Program Services | 14785 | ProgramServices |
| Management And General | 5265 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195755 | Total |
| Program Services | 144350 | ProgramServices |
| Management And General | 51405 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189651 | Total |
| Program Services | 139849 | ProgramServices |
| Management And General | 49802 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18136 | Total |
| Program Services | 18136 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54125 | Total |
| Program Services | 54125 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62439 | Total |
| Program Services | 46043 | ProgramServices |
| Management And General | 16396 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 30000 | 30000 | |
| OTHER PURCHASED SERVICES | 139905 | 139905 | |
| CENTRALIZED ADMIN EXP | 86228 | 86228 | |
| DUES & SUBSCRIPTIONS | 98506 | 72638 | 25868 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127591 | Total |
| Program Services | 94085 | ProgramServices |
| Management And General | 33506 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6205821 | Total |
| Program Services | 4677799 | ProgramServices |
| Management And General | 1528022 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257861 | BOY |
| EOY | 242272 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 9321 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 517127 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 211179 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302012 | BOY |
| EOY | 305948 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1121127 | BOY |
| EOY | 2106647 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1681000 | BOY |
| EOY | 2664188 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 537129 | BOY |
| EOY | 481576 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170343 | BOY |
| EOY | 131234 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 707472 | BOY |
| EOY | 612810 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 973528 | BOY |
| EOY | 2051378 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 973528 | BOY |
| EOY | 2051378 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1681000 | BOY |
| EOY | 2664188 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1089011 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -11161 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 6440564 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6812588 | CurrentTaxYear |
| Total | 13253152 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6440564 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6812588 | CurrentTaxYear |
| Total | 13253152 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 13253152 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 104403 | CurrentTaxYear |
| Total | 104403 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 104403 | CurrentTaxYear |
| Total | 104403 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 157526 | CurrentTaxYearMinus1Year |
| Current Tax Year | 377841 | CurrentTaxYear |
| Total | 535367 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6598090 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7294832 | CurrentTaxYear |
| Total | 13892922 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 143340 | OtherCostOrOtherBasis |
| Depreciation | 29078 | Depreciation |
| Book Value | 114262 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 329010 | OtherCostOrOtherBasis |
| Depreciation | 182101 | Depreciation |
| Book Value | 146909 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44777 | OtherCostOrOtherBasis |
| Book Value | 44777 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 305948 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 1962112 |
| SECURITY DEPOSITS | 13301 |
| INSURANCE CLAIMS RECEIVABLE | 131234 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2106647 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INSURANCE CLAIMS LIABILITY | Description |
| Amount | $131,234 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 131234 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 6908715 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -30000 | OtherRevenues |
| Revenue Not Rptd F990 | -30000 | RevenueNotRptdF990 |
| Revenue Subtotal | 6938715 | RevenueSubtotal |
| Other Revenues Not Included | 356117 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 356117 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7294832 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5830865 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -356117 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -356117 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6186982 | ExpensesSubtotal |
| Other Expenses Not Included | 18839 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 18839 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6205821 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIN 48 Footnote | PART X, LINE 2 | Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2012 and 2011, 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 $149,000,000, which expire in varying amounts through 2032, and are available to offset future taxable income. |
| RECONCILIATION OF REVENUE | PART XII, LINE 2D AND 4B | AMOUNTS ON BOOK NOT ON RETURN PROVISION FOR BAD DEBTS (30,000) AMOUNTS ON RETURN NOT ON BOOK TAX REFUNDS 356,117 |
| RECONCILIATION OF EXPENSES | PART XIII, LINE 2D AND LINE 4B | AMOUNT ON BOOK NOT ON RETURN TAX REFUND (356,117) AMOUNT ON RETURN NOT ON BOOK PROVISION FOR BAD DEBT 30,000 MACRS DEPRECIATION ADJUSTMENT (11,161) TOTAL 18,839 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NINA DEPAOLA | ||||||||||||||
| PRESIDENT | 245536 | 0 | 20419 | 0 | 18412 | 0 | 27500 | 0 | 15100 | 0 | 326967 | 0 | 0 | 0 |
| ROBERT S SHAPIRO | ||||||||||||||
| EXEC VICE PRES & CFO | 0 | 921946 | 0 | 190000 | 0 | 27506 | 0 | 209519 | 0 | 22300 | 0 | 1371271 | 0 | 0 |
| MICHAEL J DOWLING | ||||||||||||||
| PRES & CEO NSLIJ HEALTH SYSTEM | 0 | 1172902 | 0 | 1628000 | 0 | 22448 | 0 | 1107110 | 0 | 21125 | 0 | 3951585 | 0 | 0 |
| RALPH NAPPI | ||||||||||||||
| PRES, FOUNDATION | 0 | 672088 | 0 | 150000 | 0 | 1454459 | 0 | 41995 | 0 | 18775 | 0 | 2337317 | 0 | 1389266 |
| ANTHONY FERRERI | ||||||||||||||
| PRES & CEO/ SIUH | 0 | 873895 | 0 | 155000 | 0 | 20151 | 0 | 372110 | 0 | 13900 | 0 | 1435056 | 0 | 0 |
| KEVIN LAWLOR | ||||||||||||||
| PRES & CEO/HUNTINGTON | 0 | 665596 | 0 | 104400 | 0 | 29180 | 0 | 263381 | 0 | 17193 | 0 | 1079750 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | PART I, LINE 4B | Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($1,079,610), Robert Shapiro ($182,019), Ralph Nappi ($14,495), Anthony Ferreri ($344,610) and Kevin Lawlor ($233,853). |
| BONUS AND INCENTIVE COMPENSATION | PART I, LINE 7 | On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part I, B (ii). |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FEDERAL TAX EXEMPTION | THE INTERNAL REVENUE SERVICE DETERMINED THAT SPORTS PHYSICAL THERAPY AND REHABILITATION SERVICES OF NORTH SHORE, PLLC IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE FOR YEARS AFTER 12/31/2010. | |
| BOARD MEMBER RELATIONS | 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 Eric and Roger Blumencranz. John Alexander has a business relationship with 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. 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, James 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. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Mark Claster, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, Mark Solazzo, Donald Zucker, Barbara 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 Roger Blumencranz, Richard Goldstein, Saul Katz, Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with William Mack. Anthony Ferreri has a family and business relationship with John Shall. 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, William Mack, and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. James R. Greene has a family relationship with Alan I. Green. He 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. Richard Horowitz has a business relationship with Eric and Roger Blumencranz and M. Allan Hyman. M. Allan Hyman has a business relationship with Eric Blumencranz, 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 Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with 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 Mark Claster, 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. David Lehr has a business relationship with Ronald Mazzucco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric and Roger Blumencranz. Seth Lipsay has a business relationship with David Katz. David Mack has a family relationship with William Mack. He has a business relationship with William Mack, Eric Blumencranz, and Roger Blumencranz. William Mack has a family relationship with David Mack. He has business relationships with David Mack, Michael Ashner, Edward Blumenfeld, Leonard Feinstein, Lloyd Goldman, Jeffrey Lane, Barry Rubenstein, Richard Goldstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric Blumencranz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal. 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 Mark Claster , 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 family relationship with Anthony Ferreri. He has a business relationship with Anthony Ferreri, 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 Robert Rosenthal. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack. | PART VI, SECTION A - GOVERNING BODY, LINE 2 |
| EXECUTIVE COMMITTEE | All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. 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. ble 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 11 |
| CONFLICTS OF INTEREST | 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 fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible | PART VI, SECTION B - POLICIES, LINE 12C |
| DISCLOSURES | CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. | PART VI, SECTION C - DISCLOSURES, LINE 19 |
| AVERAGE HOURS | 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 VII, SECTION A - LINE 1A, COLUMN (B) |
| GOVERNING BODY | 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 VI, LINE 7 |
| NON COMPENSATED TRUSTEES | Richard S. Abramson Lloyd M. Goldman F.J. McCarthy William Achenbaum Richard D. Goldstein Patrick F. McDermott John W. Alexander J. Joaquin Gonzalez James McMullen Philip S. Altheim Michael Gould Charles Merinoff Stanley A. Applebaum Albert L. Granger, DDS Richard D. Monti Michael L. Ashner Alan I. Greene Richard Murcott Beverly VP. Banker James R. Greene Ralph A. Nappi Ralph M. Baruch Stanley Grey Richard B. Nye Frank J. Besignano Richard Guarasci, PhD Clyde I. Payne, Ed.D. Elise M. Bloom Paul B. Guenther Arnold S. Penner Eric S. Blumencranz Amy M. Hagedorn John J. Raggio Roger A. Blumencranz Ira Hazan Lewis S. Ranieri David Blumenfeld Linda W. Heaney Jay R. Raubvogel Edward Blumenfeld Marlene Hess Dennis Riese E. Steve Braun William O. Hiltz Terry P. Rifkin, M.D. Dayton T. Brown, Jr Gedale B. Horowitz Robert F. Rose Allen E. Busching Richard A. Horowitz Robert A. Rosen Jonathan S. Canno M. Allan Hyman Marcie Rosenberg Michael Caridi Mark Jacobson Robert D. Rosenthal Rev.Carolina Sr, Ed.D Jeffrey Jurick Bernard M. Rosof, M.D. Rudolph C. Carryl David M. Katz Jack J. Ross Robert W. Chasanoff Michael Katz Barry Rubenstein Alan Chopp Saul B. Katz Herbert Rubin Mark Claster Lisa A. Kaufman Scott Rudolph Diana F. Colgate Robert Kaufman Michael H. Sahn Daniel M. Crown Cary Kravet Frank W. Scarangello, Sr. Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Marc V. Shaw Thomas E. Dewey, Jr. Curt N. Launer Sean G. Simon Thomas E. Dooley Laura Lauria Richard Sims Michael J. Dowling Kevin F. Lawlor Michael C. Slade Robert N. Downey David W. Lehr Phyllis Hill Slater Melvin Dubin Jonathan W. Leigh Howard D. Stave Patrick R. Edwards Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine John B. Thomson, Jr. Leonard Feinstein Stuart R. Levine Peter Tilles Michael E. Feldman Seth Lipsay Sandra Tytel Anthony C. Ferreri David S. Mack Frederick A. Volk Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Linda Manfredi Emmett F. Walker, Jr William H. Frazier James S. Marcus Gary Walter Eugene B. Friedman,MD Bradley Marsh, D.P.M. Lewis M. Weston William J. Fritz,PhD Jeffrey S. Maurer Barbara Hrbek Zucker Sy Garfinkel Ronald J. Mazzucco Donald Zucker Roy J. Zuckerberg | PART VII, SECTION A - LINE 1A NON-COMPENSATED TRUSTEES |
| RECONCILIATION OF NET ASSETS | MACRS DEPRECIATION ADJUSTMENT (11,161) | PART XI, LINE 9 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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, TYPE 1 | NS-LIJ HS | false |
| NORTH SHORE UNIVERSITY HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111562701 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| LONG ISLAND JEWISH MEDICAL CENTER | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112241326 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| GLEN COVE HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111633487 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| FOREST HILLS HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112163522 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| PLAINVIEW HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113241243 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| FRANKLIN HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112296824 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| SOUTHSIDE HOSPITAL | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 111667761 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| NORTH SHORE-LIJ HEALTH SYSTEM LABS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113412370 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJ HS | false |
| FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112673595 | RESEARCH | NY | 501(C)(3) | 4 | NS-LIJ HS | false |
| NS-LIJ HEALTH SYSTEM FOUNDATION | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112965575 | FUNDRAISING | NY | 501(C)(3) | 7 | NS-LIJ HS | false |
| NSLIJ STERN FAMILY CENTER FOR REHAB | ||||||||||
| 975 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237007485 | NURSING HOME | NY | 501(C)(3) | 9 | HEALTH CARE | false |
| LIJ AT HOME PHARMACY | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113251128 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJ HS | false |
| LIJ FOUNDATION | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112661239 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJ HS | false |
| NS-LIJ MEDICAL CARE CENTERS | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113473923 | SUPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJ HS | false |
| SSH INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112774102 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | SOUTHSIDE | |
| NORTH SHORE COMMUNITY SERVICES INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237273200 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| NORTH SHORE UNIVERSITY HOSPITAL HOUSING | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112171903 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| NSUH AT GLEN COVE HOUSING | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 237010468 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| HILLSIDE HOSPITAL HOUSES INC | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 112113949 | HOUSING | NY | 501(C)(2) | N/A | NS-LIJ HS | false |
| SIUH SYSTEMS INC | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 061074604 | FUNDRAISING | NY | 501(C)(3) | 7 | HEALTH CARE | false |
| STATEN ISLAND UNIVERSITY HOSPITAL | ||||||||||
| 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 112868878 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | 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 | INACTIVE | NY | 501(C)(3) | 11, TYPE 1 | NA | false |
| CHAPS COMMUNITY HEALTH CENTER INC | ||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 113345477 | INACTIVE | NY | 501(C)(3) | 9 | SIUH | false |
| PHYSICIANS UNIVERSITY HOSPITAL PC | ||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 200096809 | HEALTH CARE | NY | 501(C)(3) | 11, TYPE 1 | SIUH | false |
| HOSPICE CARE NETWORK | ||||||||||
| 99 SUNNYSIDE BLVD | WOODBURY | NY | 11797 | 112925757 | HOSPICE | NY | 501(C)(3) | 9 | NS-LIJ HS | false |
| HUNTINGTON HOSPITAL | ||||||||||
| 270 PARK AVENUE | HUNTINGTON | NY | 11743 | 111630914 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH | ||||||||||
| 284 PULASKI RD | GREENLAWN | NY | 11740 | 113368503 | HEALTH CARE | NY | 501(C)(3) | 3 | HUNTINGTON | false |
| LENOX HILL HOSPITAL | ||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 131624070 | HEALTH CARE | NY | 501(C)(3) | 3 | HEALTH CARE | false |
| LHH CORPORATION | ||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133272016 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | NS-LIJ HS | false |
| ELMEZZI GRADUATE SCHOOL OF MOLECULAR MED | ||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113284934 | GRADUATE SCH | NY | 501(C)(3) | 2 | NS-LIJ HS | 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 | AMITYVILLE | NY | 11701 | 112837244 | HEALTH CARE | NY | 501(C)(3) | 3 | LHH CORP | false |
| THE LONG ISLAND HOME FOUNDATION | ||||||||||
| 400 SUNRISE HIGHWAY | AMITYVILLE | NY | 11701 | 112049038 | SUPPORT | NY | 501(C)(3) | 11, TYPE 1 | LHH CORP | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| KRASNOFF CONSULTATIVE SERVICES LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 262838027 | CONSULTING | NY | CMG |
| LONG ISLAND BEHAVIORAL HEALTH LLC | |||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453572263 | STATISTICS | NY | HEALTH CARE INC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (63 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SHORE HEALTH SYSTEM ENTERPRISES | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 113316922 | HOLDING COMPA | NY | NS-LIJ HS | 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 SVC | NY | NSH ENTERPRISE | C | false | ||||||
| REGIONAL INSURANCE COMPANY LTD | |||||||||||||||
| 000000000 | INSURANCE | HEALTH CARE INC | 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 SVC | NY | SOUTHSIDE | C | false | ||||||
| NS-LIJ PHYSICIAN INSURANCE COMP RRG | |||||||||||||||
| 100 BANK ST | BURLINGTON | VT | 05401 | 261487515 | INSURANCE | VT | HEALTH CARE INC | PC | false | ||||||
| NORTH SHORE-LIJ SERVICE ALLIANCE | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 263651575 | SUPPORT | 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 SVC | NY | HEALTH CARE INC | C | false | ||||||
| NORTH SHORE-LIJ NETWORK INC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 320257193 | SUPPORT SVCS | NY | NS-LIJ HS | C | false | ||||||
| VIVOHEALTH INC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 264118016 | INACTIVE | NY | NSH ENTERPRISES | C | false | ||||||
| AUTOIMMUNE RESEARCH THERAPEUTICS | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 270701489 | INACTIVE | NY | RESEARCH | 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 | ||||||
| NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTUBURY | 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 | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384146 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078717 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| NORTH SHORE-LIJ CARDIOLOGY PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078531 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| NORTH SHORE-LIJ HEART SURGERY PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078838 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| NORTH SHORE-LIJ INTERNAL MEDICINE PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078361 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| NS-LIJ MEDICAL GROUP URGENT MED CARE PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 275078426 | 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 | ||||||
| NORTH SHORE-LIJ MEDICAL PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 453023019 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| NS-LIJ OCCUPATIONAL MEDICINE PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 451004103 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| STATEN ISLAND IMAGING CORP | |||||||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 133615474 | INACTIVE | NY | OVM | C | false | ||||||
| OCEAN VIEW MANAGEMENT | |||||||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 133138888 | MANAGEMENT SV | NY | SIUH | C | false | ||||||
| OCEAN BREEZE HOME CARE AGENCY | |||||||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 133773601 | INACTIVE | NY | OVM | C | false | ||||||
| REGENCY ALLIANCE SERVICES | |||||||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 133277698 | MANAGEMENT SV | NY | OVM | C | false | ||||||
| VERRAZANO RADIOLOGY ASSOCIATES PC | |||||||||||||||
| 500 SEAVIEW AVE STE 200 | STATEN ISLAND | NY | 10305 | 200011201 | RADIOLOGY SVC | 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 BLDG B 2ND FL | STATEN ISLAND | NY | 10305 | 134038780 | SURGICAL SERV | NY | SIUH | C | false | ||||||
| UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG | |||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 133642729 | MEDICAL SERVI | NY | SIUH | S | false | ||||||
| EMERGENCY MEDICINE SVCS OF SI PC | |||||||||||||||
| 1 EDGEWATER PLAZA 6TH FL | STATEN ISLAND | NY | 10305 | 134200899 | MEDICAL SERVI | NY | SIUH | C | false | ||||||
| GOETHALS RADIOLOGY PC | |||||||||||||||
| 500 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 200010287 | RADIOLOGY | NY | SIUH | C | false | ||||||
| STATEN ISLAND HOSPITALISTS PC | |||||||||||||||
| 475 SEAVIEW AVE | 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 STE 102 | STATEN ISLAND | NY | 10305 | 043716494 | MEDICAL SERVI | NY | SIUH | C | false | ||||||
| LENOX HILL PHYSICIAN HOSPITAL ORG | |||||||||||||||
| 122 EAST 76TH STM 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 | ||||||
| PARK LENOX OBGYN PC | |||||||||||||||
| 130 EAST 77TH ST 2ND FL | NEW YORK | NY | 10021 | 133596988 | MEDICAL SERVI | NY | LENOX | C | false | ||||||
| ADVANCED IMAGING & RADIOLOGY OF LHH | |||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 200719612 | MEDICAL SERVI | NY | LENOX | C | false | ||||||
| ADVANCED HEART PHYSICIANS & SURGEONS | |||||||||||||||
| 130 EAST 77TH ST 4TH FL | NEW YORK | NY | 10021 | 133853125 | MEDICAL SERVI | NY | LENOX | S | false | ||||||
| LENOX HILL CARDIOLOGY ASSOCIATES PC | |||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 133385163 | MEDICAL SERVI | NY | LENOX | C | false | ||||||
| LENOX HILL ICVS 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 | 11021 | 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 | ||||||
| MANHATTAN MINIMALLY INVASIVE AND BARIATR | |||||||||||||||
| 186 EAST 76TH ST 1ST FL | NEW YORK | NY | 10021 | 200250107 | 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 ORTHOPEDICS PC | |||||||||||||||
| 100 EAST 77TH ST | NEW YORK | NY | 10021 | 264634966 | 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 | ||||||
| NORTH SHORE-LIJ PHYSICIANS GROUP PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 274384326 | MEDICAL SERVI | NY | NSUH | C | false | ||||||
| NORTH SHORE-LIJ OB-GYN PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461382916 | MED SERVICES | NY | LIJ | C | false | ||||||
| NORTH SHORE-LIJ ANESTHESIOLOGY PC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461617561 | MED SERVICES | NY | SOUTHSIDE | C | false | ||||||
| NORTH SHORE-LIJ HEALTH PLAN INC | |||||||||||||||
| 972 BRUSH HOLLOW RD | WESTBURY | NY | 11590 | 461617516 | MED SERVICES | NY | NSLIJ HCI | C | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Comments