NORTH SHORE UNIVERSITY HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTH SHORE UNIVERSITY HOSPITAL (EIN 11-1562701)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349301688
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

FieldValueIRS element (for citing)
Timestamp2013-11-14T08:50:47-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111562701EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH SHORE UNIVERSITY HOSPITALBusinessNameLine1
Business Name Line2C/O NORTH SHORE-LIJ HEALTH SYSTEMBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% NORTH SHORE-LIJ HEALTH SYSTEInCareOfName
Name ControlNORTNameControl
Phone5168766061Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROADAddressLine1
Address Line2Suite 5TH FLAddressLine2
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT S SHAPIROName
TitleEXEC VP & CFOTitle
Date Signed2013-11-08DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL J DOWLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1145 COMMUNITY DRIVEAddressLine1
CityGREAT NECKCity
StateNYState
ZIP Code11021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2069499534GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nslij.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionNorth Shore strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community regardless of the ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body136NbrVotingMembersGoverningBody
Nbr Independent Voting Members128NbrIndependentVotingMembers
Total Nbr Employees10218TotalNbrEmployees
Total Nbr Volunteers1113TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year17727430ContributionsGrantsPriorYear
Contributions Grants Current Year20362702ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1695742987ProgramServiceRevenuePriorYear
Program Service Revenue CY1750318137ProgramServiceRevenueCY
Investment Income Prior Year18467354InvestmentIncomePriorYear
Investment Income Current Year16773713InvestmentIncomeCurrentYear
Other Revenue Prior Year25382365OtherRevenuePriorYear
Other Revenue Current Year25669176OtherRevenueCurrentYear
Total Revenue Prior Year1757320136TotalRevenuePriorYear
Total Revenue Current Year1813123728TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year998751873SalariesEtcPriorYear
Salaries Etc Current Year1076075952SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1738970TotalFundrsngExpCurrentYear
Other Expense Prior Year672038236OtherExpensePriorYear
Other Expenses Current Year659575504OtherExpensesCurrentYear
Total Expenses Prior Year1670790109TotalExpensesPriorYear
Total Expenses Current Year1735651456TotalExpensesCurrentYear
Revenues Less Expenses Prior Year86530027RevenuesLessExpensesPriorYear
Revenues Less Expenses CY77472272RevenuesLessExpensesCY
Total Assets BOY1678743557TotalAssetsBOY
Total Assets EOY1860557321TotalAssetsEOY
Total Liabilities BOY1078203825TotalLiabilitiesBOY
Total Liabilities EOY1126727875TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY600539732NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY733829446NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNORTH SHORE UNIVERSITY 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense921293650Expense
Grants0Grants
Revenue1204940507Revenue
DescriptionNORTH SHORE UNIVERSITY HOSPITAL ("NSUH")IS AN 804-BED QUATERNARY CARE TEACHING HOSPITAL THAT SERVES AS THE CLINICAL CAMPUSFOR THE HOFSTRA NORTH SHORE-LIJ SCHOOL OF MEDICINE. NSUH is a major cardiac diagnostic, interventional and open heart surgical center. The hospital offers the largest cancer patient care, medical research and education network on Long Island. In 2012, NSUH had 47,247 inpatient discharges, delivered 5,754 babies, provided 88,341 emergency department visits and performed 20,964 ambulatory surgeries, including endoscopies and outpatient catheterizations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense340409791Expense
Grants0Grants
Revenue242873806Revenue
DescriptionThe Physician and Ambulatory Network Services strive to make a measurable difference in the health status of communities it serves by providing a complete and comprehensive practice management infrastructure that enables the enterprise to achieve the financial status necessary to meet patient, physician and Health System needs.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense95208488Expense
Grants0Grants
Revenue109492537Revenue
DescriptionSyosset Hospital is a 103-bed community hospital that maintains a 911 response Emergency Department and inpatient services, including an intensive care unit, and telemetry unit, which serves as a surgical step-down unit. In 2012, the hospital had 3,763 inpatient discharges, provided 17,291 Emergency Department visits and performed 13,918 ambulatory surgeries.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense167777054Expense
Grants0Grants
Revenue193011287Revenue
DescriptionOTHERDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp167777054TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev193011287TotalOfOtherProgramServiceRev
Total Program Service Expense1524688983TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096475NumberFormsTransmittedWith1096
Number W2 G Included2NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees10218NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryUKNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members136NbrVotingGoverningBodyMembers
Number Independent Voting Members128NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNORTH SHORE-LIJ HEALTH SYSTENamePerson
Telephone Number5168766061TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL DOWLING
PRESIDENT & CEO50.0XX028233501128235
RICHARD D GOLDSTEIN
CHAIRMAN3.0XX000
WILLIAM L MACK
VICE CHAIRMAN2.0XX000
BARRY RUBENSTEIN
VICE CHAIRMAN2.0XX000
ALAN I GREENE
TREASURER2.0XX000
DONALD ZUCKER
SECRETARY2.0XX000
MARK CLASTER
VICE CHAIRMAN2.0XX000
NON COMPENSATED TRUSTEES
SEE SCHEDULE O2.0X000
RALPH NAPPI
TRUSTEE AND PRES NSLIJ FOUND.50.0X0227654760770
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH50.0X01049046387210
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP50.0X0799176280574
HOWARD GOLD
SR VP REVENUE & BUSINESS DEV50.0X01299856298209
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER50.0X01698389216113
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER50.0X01139452231819
LAWRENCE G SMITH
EVP/PHYSICIAN IN CHIEF50.0X0848130683709
KEITH THOMPSON
SR VP & GENERAL COUNSEL50.0X02868822533031
JEFFREY KRAUT
SR VP STRATEGIC PLANNING50.0X0826861201661
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER50.0X0747445271298
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER50.0X057176742600
HARRY GINDI
ASSISTANT SECRETARY50.0X028455942600
SUSAN SOMERVILLE
EXECUTIVE DIRECTOR931232029376850.0X
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR50.00888508134286X
FRANK RIZZO
CFO TERTIARY HOSPITAL53490104260050.0X
ALAN HARTMAN
MED SCHOOL CHAIR CTS201346904260050.0X
RAJ NARAYAN
MED SCHOOL CHAIR NEUROSURGERY145294104260050.0X
STANLEY KATZ
MED SCHOOL CHAIR CARDIOLOGY176177204245050.0X
LAURENCE SPIER
DIR MIN INV & ROBOTIC THC SRGY181007104260050.0X
RICK ESPOSITO
ASSOC CHAIRPERSON164399104260050.0X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10148377TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs18121908TotalReportableCompFrmRltdOrgs
Total Other Compensation5061333TotalOtherCompensation
Number Individuals GT100 K1789NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TURNER CONSTRUCTION CO
375 HUDSON STNEW YORKNY10014GENERAL CONTRACTOR18689926
SKANSKA USA BUILDING INC
1633 LITTLETON RDPARSIPPANYNJ07054GENERAL CONTRACTOR8366948
AXIS CONSTRUCTION CO
125 LASER CTHAUPPAUGENY11788GENERAL CONTRACTOR5812074
STANTEC ARCHITECTURE
2260 BRIGHTON HENRIETTA RDROCHESTERNY14623DESIGN CONSULTING5775664
ETS CONTRACTING INC
160 CLAY STBROOKLYNNY11222GENERAL CONTRACTOR4750844
FieldValueIRS element (for citing)
Number Of Contractors GT100 K117NumberOfContractorsGT100K
Related Organizations10738526RelatedOrganizations
Government Grants9596768GovernmentGrants
All Other Contributions27408AllOtherContributions
Total Contributions20362702TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERV.62130011653268241165326824
FACULTY PRACTICE621300270683316270683316
MEDICARE/MEDICAID PAYMENTS621300314307997314307997
FieldValueIRS element (for citing)
Total Program Service Revenue1750318137TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13316819TotalRevenueColumn
Exclusion$13,316,819ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column462856TotalRevenueColumn
Exclusion$462,856ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1049645Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1049645Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1049645TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities259341375Securities
Other6052Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities256353389Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2987986Securities
Other6052Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2994038TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming58395GrossIncomeGaming
Gaming Direct Expenses22417GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column35978TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA INCOME9000992434437$2,434,437
CHARGEBACK REVENUE90009977715897771589
PHARMACY9000996069552$6,069,552

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8307975TotalRevenueColumn
Related Or Exempt Function Income6149447RelatedOrExemptFunctionIncome
Exclusion$2,158,528ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue24583553TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1813123728TotalRevenueColumn
Related Or Exempt Function Income1764239173RelatedOrExemptFunctionIncome
Exclusion$24,442,192ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1466133Total
Program Services1466133ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total843539120Total
Program Services791070986ProgramServices
Management And General51418771ManagementAndGeneral
Fundraising1049363Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total52669710Total
Program Services49393654ProgramServices
Management And General3210535ManagementAndGeneral
Fundraising65521Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total133393842Total
Program Services125096745ProgramServices
Management And General8131155ManagementAndGeneral
Fundraising165942Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total45007147Total
Program Services42207702ProgramServices
Management And General2743456ManagementAndGeneral
Fundraising55989Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total203133Total
Management And General203133ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total29174087Total
Program Services27359458ProgramServices
Management And General1778336ManagementAndGeneral
Fundraising36293Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total639287Total
Program Services599524ProgramServices
Management And General38968ManagementAndGeneral
Fundraising795Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total245295865Total
Program Services230038462ProgramServices
Management And General14952255ManagementAndGeneral
Fundraising305148Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total46847685Total
Program Services43933759ProgramServices
Management And General2855647ManagementAndGeneral
Fundraising58279Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3303297Total
Program Services3303297ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2234073Total
Program Services2234073ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total11974300Total
Management And General11974300ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total56903413Total
Program Services53364021ProgramServices
Management And General3539392ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total54287393Total
Program Services54287393ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES6179792661797926
DUES & SUBSCRIPTIONS25799162419445160471
CENTRALIZED ADMIN EXP108136676108136676
BAD DEBT EXPENSE3487933134879331

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1319122Total
Program Services1237074ProgramServices
Management And General80408ManagementAndGeneral
Fundraising1640Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1735651456Total
Program Services1524688983ProgramServices
Management And General209223503ManagementAndGeneral
Fundraising1738970Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY535913524BOY
EOY710874838EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6516684BOY
EOY6908950EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY171144706BOY
EOY194939422EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15352045BOY
EOY15928017EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4673429BOY
EOY3809992EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis823718483LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec337082804LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY479170669BOY
EOY486635679EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY203609706BOY
EOY180758430EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY262362794BOY
EOY260701993EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1678743557BOY
EOY1860557321EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY228984546BOY
EOY215610749EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY236477733BOY
EOY209589968EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11657064BOY
EOY9170792EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY601084482BOY
EOY692356366EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1078203825BOY
EOY1126727875EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY543461402BOY
EOY656434035EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY39177776BOY
EOY57748346EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17900554BOY
EOY19647065EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY600539732BOY
EOY733829446EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1678743557BOY
EOY1860557321EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses77472272ReconcilationRevenueExpenses
Reconciliation Unrealized Invest53466066ReconciliationUnrealizedInvest
Reconcilation Other Changes2351376ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$684,654RalliesDemonstrationsAmount
Total Lobbying Expenditures IIB684654TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITYIdentifier
Return ReferencePART II-B, LINE 1hReturnReference
ExplanationNORTH SHORE UNIVERSITY HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance18070718BeginningOfYearBalance
Contributions1396511Contributions
Investment Earnings Or Losses2776026InvestmentEarningsOrLosses
Other Expenditures422100OtherExpenditures
End Of Year Balance21821155EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance19157092BeginningOfYearBalance
Contributions38333Contributions
Investment Earnings Or Losses-458520InvestmentEarningsOrLosses
Other Expenditures665787OtherExpenditures
End Of Year Balance18071118EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16999619BeginningOfYearBalance
Contributions518147Contributions
Investment Earnings Or Losses2263679InvestmentEarningsOrLosses
Other Expenditures624353OtherExpenditures
End Of Year Balance19157092EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13001962BeginningOfYearBalance
Contributions219149Contributions
Investment Earnings Or Losses4132842InvestmentEarningsOrLosses
Other Expenditures354335OtherExpenditures
End Of Year Balance16999618EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15955913BeginningOfYearBalance
Contributions1478500Contributions
Investment Earnings Or Losses-4313771InvestmentEarningsOrLosses
Other Expenditures118680OtherExpenditures
End Of Year Balance13001962EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5621276OtherCostOrOtherBasis
Book Value5621276BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis482618999OtherCostOrOtherBasis
Depreciation222826996Depreciation
Book Value259792003BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8448203OtherCostOrOtherBasis
Depreciation2265737Depreciation
Book Value6182466BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis228188754OtherCostOrOtherBasis
Depreciation104646048Depreciation
Book Value123542706BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis98841251OtherCostOrOtherBasis
Depreciation7344023Depreciation
Book Value91497228BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings486635679TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSITS201204
BOND FINANCING5326196
INTEREST IN FOUNDATION19177305
OTHER CURRENT ASSETS4446062
OTHER ASSETS2850756
AUXILIARY ASSETS142018
INSURANCE CLAIMS RECEIVABLE171501854
DUE FROM AFFILIATE52099342
OTHER THIRD PARTY RECEIVABLES4957256
FieldValueIRS element (for citing)
Total Book Value Other Assets260701993TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
EST. PAYABLE TO THIRD PARTY$201,678,384
ACCRUED RETIREMENT BENEFITS$150,953,943
MALPRACTICE SELF-INSUR. LIAB.$150,641,000
INSURANCE CLAIMS LIABILITY$171,501,854
OTHER LIABILITY$2,571,536
LEASE INCENTIVE OBLIGATION$6,069,150
OTHER SHORT TERM BORROWINGS$7,500,000
SWAP VALUATION ALLOWANCE$1,949,216
BOND PREM/DISC$7,122,877
GAAP ADJUSTMENT FOR TELP-$7,631,594
FieldValueIRS element (for citing)
Total Of Amounts692356366TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1819874595TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments51152647NetUnrealizedGainsInvestments
Other Revenues-23913470OtherRevenues
Revenue Not Rptd F99027239177RevenueNotRptdF990
Revenue Subtotal1792635418RevenueSubtotal
Other Revenues Not Included20488310OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt20488310RevenueNotRptdOnFinStmt
Total Revenue Per Form9901813123728TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1686542242TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1686542242ExpensesSubtotal
Other Expenses Not Included49109214OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt49109214ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901735651456TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48PART X, LINE 2Certain 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.
RECONCILIAITON OF REVENUEPART XI, LINE 2D AND LINE 4BREVENUE ON BOOKS NOT ON RETURN GAIN/LOSS ON REFUNDING OF LTD (641,434) PROVISION FOR BAD DEBTS (34,879,331) NET ASSETS RELEASED FROM RESTRICTION 11,607,295 TOTAL (23,913,470) REVENUE ON RETURN NOT ON BOOKS NSUH AUXILIARY (222,544) RESTRICTED INVESTMENT INCOME 693,998 RESTRICTED CONTRIBUTIONS 20,016,856 TOTAL 20,488,310
RECONCILIATION OF EXPENSEPART XII, LINE 4BADDITIONAL MINIMUM PENSION LIABILITY 14,229,883 PROVISION FOR BAD DEBTS 34,879,331 TOTAL 49,109,214
INTENDED USE OF ENDOWMENTSPART V, LINE 4There are various components that encompass the Endowment Fund. In general, their intended use is for teaching, research and training, major modernization, and purchases of equipment.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments141632944
Europe (Including Iceland and Greenland)Investments33543337
FieldValueIRS element (for citing)
Subtotal Amount Spent175176281SubtotalAmountSpent
Total Amount Spent175176281TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming58395GrossRevenueOtherGaming
Cash Prizes Other Gaming1500CashPrizesOtherGaming
Non Cash Prizes Other Gaming18275NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming2642OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming58395GrossRevenueTotalGaming
Cash Prizes Total Gaming1500CashPrizesTotalGaming
Non Cash Prizes Total Gaming18275NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming2642OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming22417DirectExpenseSummaryGaming
Net Gaming Income Summary35978NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNYStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper PersonNORTH SHORE-LIJ HEALTH SYSTEMNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served27610PersonsServed
Total Community Benefit Expense26030000TotalCommunityBenefitExpense
Direct Offsetting Revenue11825000DirectOffsettingRevenue
Net Community Benefit Expense14205000NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served68061PersonsServed
Total Community Benefit Expense150345797TotalCommunityBenefitExpense
Direct Offsetting Revenue109756692DirectOffsettingRevenue
Net Community Benefit Expense40589105NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served95671PersonsServed
Total Community Benefit Expense176375797TotalCommunityBenefitExpense
Direct Offsetting Revenue121581692DirectOffsettingRevenue
Net Community Benefit Expense54794105NetCommunityBenefitExpense
Percent Of Total Expense0.03420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs309NumberOfActivitiesOrPrograms
Persons Served173121PersonsServed
Total Community Benefit Expense7619598TotalCommunityBenefitExpense
Direct Offsetting Revenue272276DirectOffsettingRevenue
Net Community Benefit Expense7347322NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs85NumberOfActivitiesOrPrograms
Persons Served4529PersonsServed
Total Community Benefit Expense91305009TotalCommunityBenefitExpense
Direct Offsetting Revenue34656595DirectOffsettingRevenue
Net Community Benefit Expense56648414NetCommunityBenefitExpense
Percent Of Total Expense0.03540PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served10168PersonsServed
Total Community Benefit Expense3423552TotalCommunityBenefitExpense
Direct Offsetting Revenue2392480DirectOffsettingRevenue
Net Community Benefit Expense1031072NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense12066087TotalCommunityBenefitExpense
Net Community Benefit Expense12066087NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served371PersonsServed
Total Community Benefit Expense385078TotalCommunityBenefitExpense
Net Community Benefit Expense385078NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs434NumberOfActivitiesOrPrograms
Persons Served188189PersonsServed
Total Community Benefit Expense114799324TotalCommunityBenefitExpense
Direct Offsetting Revenue37321351DirectOffsettingRevenue
Net Community Benefit Expense77477973NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs436NumberOfActivitiesOrPrograms
Persons Served283860PersonsServed
Total Community Benefit Expense291175121TotalCommunityBenefitExpense
Direct Offsetting Revenue158903043DirectOffsettingRevenue
Net Community Benefit Expense132272078NetCommunityBenefitExpense
Percent Of Total Expense0.08250PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense61TotalCommunityBuildingExpense
Net Community Building Expense61NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served155PersonsServed
Total Community Building Expense382156TotalCommunityBuildingExpense
Net Community Building Expense382156NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense180TotalCommunityBuildingExpense
Net Community Building Expense180NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs19NumberOfActivitiesOrPrograms
Persons Served327PersonsServed
Total Community Building Expense382397TotalCommunityBuildingExpense
Net Community Building Expense382397NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$23,316,000BadDebtExpenseAmount
Amount Reimbursed By Medicare364203568AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare389351823CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-25148255MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
NORTH SHORE UNIVERSITY HOSPITAL
1300 COMMUNITY DRIVEMANHASSETNY11030XXXX
SYOSSET HOSPITAL
2221 JERICHO TURNPIKESYOSSETNY11791XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Eligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
NORTH SHORE UNIVERSITY HOSPITAL
truetrue100true500.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsetrue
SYOSSET HOSPITAL
truetrue100true500.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsetrue

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities50NumberOfOtherFacilities

Other Facilities OtherFacilities (50 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PHYSICIAN AMBULATORY NETWORK SERVICES
100 COMMUNITY DRIVEGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
UNIVERSITY ORTHOPEDICS ASSOCIATES & SPIN
611 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
THE SMITH INSTITUTE FOR UROLOGY
450 LAKEVILLE ROADNEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1999 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
600 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
255 COMMUNITY DRIVEEAST MEADOWNY11021OUTPATIENT PHYSICIAN CLINIC
CENTER FOR ADVANCED IMAGING
450 LAKEVILLE ROADLAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
825 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
850 HICKVILLE ROADSEAFORDNY11783OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ IMAGING AT GREAT NECK
935 NORTHERN BOULEVARDGREAT NECKNY11021DIAGNOSTIC CENTER
NSLIJ MEDICAL GROUP CARDIOLOGY CONSULTAN
43 CROSSWAYS PARK DRIVEWOODBURYNY11797OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1554 NORTHERN BOULEVARDMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
INSALL SCOTT KELLY INSTITUTE FOR ORTH &
210 EAST 64TH STREETNEW YORKNY10065OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
800 COMMUNITY DRIVEMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
GREAT NECK MEDICAL ASSOCIATES
1165 NORHTERN BOULEVARDMANHASSETNY11021OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
2001 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE SURGICAL SPECIATLIST PC
310 EAST SHORE ROADMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
CENTER FOR COLON & RECTAL DISEASE
900 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP AT WHITEST
150-51/55 14TH AVENUEWHITESTONENY11357OUTPATIENT PHYSICIAN CLINIC
URGENT CARE CENTER
121 WEST 20TH STREETNEW YORKNY10011OUTPATIENT PHYSICIAN CLINIC
NS-LIJ IMMEDIATE CARE CENTER BETHPAGE
4300 HEMPSTEAD TURNPIKEBETHPAGENY00714OUTPATIENT PHYSICIAN CLINIC
NEW YORK HEAD & NECK INSTITUTE
130 EAST 77TH STREETNEW YORKNY10075OUTPATIENT PHYSICIAN CLINIC
INSALL SCOTT KELLY INSTITUTE FOR ORTHO &
1001 FRANKLIN AVENUEGARDEN CITYNY11530OUTPATIENT PHYSICIAN CLINIC
RSC CARDIOLOGY
1000 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
HUNTINGTON BARIATRICS
224 WALL STREETHUNTINGTONNY11743OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
600 COMMUNITY DRIVEMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
SMITHTOWN FAMILY MEDICINE
9 BROOKSITE DRIVESMITHTOWNNY11787FAMILY HEALTH CENTER
PHYSICIAN AMBULATORY NETWORK SERVICES
1991 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
INTERNAL MEDICINE ASSOCIATES OF EAST HIL
70 GLEN COVE ROADEAST HILLSNY11577OUTPATIENT PHYSICIAN CLINIC
BREAST SURGERY ASSOCIATES PC
270 PULASKI ROADGREENLAWNNY11740OUTPATIENT PHYSICIAN CLINIC
WHITESTONE INTERNAL MEDICINE
23-22 30TH AVENUEASTORIANY11102OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
900 NORTHERN BOULEVARDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
96 EAST MAIN STREETHUNTINGTONNY11706OUTPATIENT PHYSICIAN CLINIC
INTERNAL MEDICINE LYNBROOK
185 MERRICK ROADLYNBROOKNY11563OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK
31 MAIN STREETRIVERHEADNY11901OUTPATIENT PHYSICIAN CLINIC
NORTHERN PULMONARY MEDICAL ASSOCIATES
58-06 FRANCIS LEWIS BOULEVARDBAYSIDENY11364OUTPATIENT PHYSICIAN CLINIC
ALL ABOUT WOMEN GYNECOLOGY
200 OLD COUNTRY ROADMINEOLANY11501OUTPATIENT PHYSICIAN CLINIC
SPINE CENTER AT LYNBROOK
306 BROADWAYLYNBROOKNY11563FAMILY HEALTH CENTER
LI HYPERTENSION & NEPHROLOGY
50 SEAVIEW BLVDPORT WASHINGTONNY11050OUTPATIENT PHYSICIAN CLINIC
PHYSICIANS AMBULATORY NETWORK SERVICES
1979 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
PHYSICIANS AMBULATORY NETWORK SERVICES
300 OLD COUNTRY ROADMINEOLANY11501OUTPATIENT PHYSICIAN CLINIC
PHYSICAN AMBULATORY NETWORK SERVICES
410 LAKEVILLE ROADWESTBURYNY11042OUTPATIENT PHYSICIAN CLINIC
MASSAPEQUA HEART GROUP
896 NORTH BROADWAYMASSAPEQUANY11758OUTPATIENT PHYSICIAN CLINIC
LONG ISLAND GASTROENTEROLOGY & LIVER
1181 OLD COUNTRY ROADPLAINVIEWNY11803OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP
475 MAIN STREETFARMINGDALENY11735OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP
170-03 NORTHER BOULEVARDFLUSHINGNY11358OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
801 MERRICK AVENUEEAST MEADOWNY11554OUTPATIENT PHYSICIAN CLINIC
HUNTINGTON MEDICAL GROUP
180 EAST PULASKI ROADHUNTINGTONNY11743OUTPATIENT PHYSICIANS CLINIC
NORTH SHORE-LIJ MEDICAL GROUP AT FLUSHIN
136-17 39TH AVENUEFLUSHINGNY11364OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
2201 HEMPSTEAD TURNPIKEEAST MEADOWNY11554OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART VI - SUPPLEMENTAL INFORMATIONIdentifier
ExplanationQuestion 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 10.9% 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 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. Bad debt expenses are determined by applying the ratio of cost to charges from Worksheet 2 to gross patient charges written off to bad debt. 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. Part V, Section B, line 8: N/A Part V, Section B, line 9b: The organization's financial assistance policy will review a patient's assets if they fall within the family size and income levels approved by the New York State to provide free or discounted care. Asset test 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 V, Section B, line 10: N/A Part V, Section B, line 11: N/A Part V, Section B, line 12h: 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 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 Part V, Section B, line 22: In general, the hospital facility does not charge its FAP-eligible patients an amount equal to the gross charge for any service provided. The hospital may charge an amount equal to the gross charge when it is less than the Medicaid rate. 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. MExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL DOWLING
PRESIDENT & CEO0117290201628000022448011071100211250395158500
HOWARD GOLD
SR VP REVENUE & BUSINESS DEV0928383034000003147302831090151000159806500
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER0974451070000002393801985000176130191450200
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER0921946019000002750602095190223000137127100
LAWRENCE G SMITH
EVP/PHYSICIAN IN CHIEF0720972010000002715806670340166750153183900
KEITH THOMPSON
SR VP & GENERAL COUNSEL07248530113000020309690511950021081034018530313468
JEFFREY KRAUT
SR VP STRATEGIC PLANNING0695349010101003050201865610151000102852200
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER062247209324003173302561980151000101874300
DONNA DRUMMOND
SVP, CHIEF ADMIN OFFICER0479026035742056999027500015100061436700
HARRY GINDI
ASSISTANT SECRETARY02800280004531027500015100032715900
SUSAN SOMERVILLE
EXECUTIVE DIRECTOR7827000135000013532027866801510001225000000
ALAN HARTMAN
MED SCHOOL CHAIR CTS19744490003902002750001510002056069000
RAJ NARAYAN
MED SCHOOL CHAIR NEUROSURGERY1173448019116008833302750001510001495541000
RALPH NAPPI
TRUSTEE AND PRES NSLIJ FOUND.06720880150000014544590419950187750233731701389266
STANLEY KATZ
MED SCHOOL CHAIR CARDIOLOGY17458610001591102750001495001804222000
LAURENCE SPIER
DIR MIN INV & ROBOTIC THC SRGY1808221000185002750001510001852671000
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH0873895015500002015103721100151000143625600
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP0665596010440002918002633810171930107975000
RICK ESPOSITO
ASSOC CHAIRPERSON16249090001908202750001510001686591000
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR078375709324001151101191860151000102279400
FRANK RIZZO
CFO TERTIARY HOSPITAL473103052172096260275000151000577501000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART I, LINE 4BCertain 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), Mark Solazzo ($171,000), Robert Shapiro ($182,019), Howard Gold ($255,609), Keith Thompson ($484,450), Lawrence Smith ($639,534) Jeffery Kraut ($159,061), Kathleen Gallo ($228,698), Ralph Nappi ($14,495), Eugene Tangney ($91,686), Susan Sommerville ($251,168), Anthony Ferreri ($344,610) and Kevin Lawlor ($233,853).
COMPENSATION CONTINGENT ON REVENUESPART I, LINE 5APursuant 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.
BONUS AND INCENTIVE COMPENSATIONPART I, LINE 7On 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

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A14600029364983USV32003-08-14402439532003 BONDS - CAPITAL EXPENDITUREStruefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B14600029364893Q4R72006-10-15799108172005 BONDS - CAPITAL EXPENDITURESfalsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
C146000293649903LC32007-05-31892717022007 A&B BONDS-FACILITY RENOVATIONtruefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
D146000293649905QL32009-09-17266465002009 A&E BONDS-CAPITAL IMPROV & REfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A90811140415371171918444150954508023320023864171121969521046752008truefalsetruetrue
B89038070681383124675609005975090023233026054189102010truefalsetruetrue
C2412478008913612060629701829913979573488346900209624824862959610999268truetruefalsetrue
D00265861792905874206053104319550011745796436555102012truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty
Afalsefalsetruetruetrue0.003300.00330falsefalsefalsetrue
Bfalsefalsetruetruetrue0.000370.00037falsefalsefalsetruetrue
Cfalsefalsefalse0falsefalsefalsetruefalse
Dfalsefalsefalse0falsefalsefalsetruefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
AfalsefalsetruetruefalsefalsetrueMBIA29.7truetruetrue
0
Bfalsefalsetruetruefalsefalsefalse0falsetrue
CITIBANK NA
CfalsefalsetruetruefalsetruetrueMBIA18.1truetruetrue25.9truefalse
0
Dfalsetruetruefalsefalsefalsefalse0truetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReference
PART II, LINE 3-TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I,COLUMN (E) DUE TO INVESTMENT EARNINGS.
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 7/31/2008 FOR 2003 BONDS0
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 9/30/2011 FOR 2005 BONDS0
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 5/31/2012 FOR 2007 BONDS0
PART IV, LINE 2C-REBATE CALCULATION PERFORMED ON 6/30/2010 FOR TELP, SINCEBOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTIONS WAS MET

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A146000293649906UY82012-05-03290741012012 A BONDS - REFUNDING OF 1998 Bfalsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B1460002930000000002008-12-318578266TELP-PURCHASE OF EQUIPMENTfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A00333080140006277010003268031302012truefalsetruetrue
B1085259085811410000008581141002010falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalse0falsefalsefalsetrue
Bfalsefalsefalsefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsetruetruefalsefalsefalsefalse0falsetrue
0
Bfalsefalsetruetruefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOARD MEMBER RELATIONSPART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with 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.
EXECUTIVE COMMITTEEPART VI, SECTION B - POLICIES, LINE 11All 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.
CONFLICTS OF INTERESTPART VI, SECTION B - POLICIES, LINE 12CThe North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to 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.
OFFICERS COMPENSATIONPART VI, SECTION B - POLICIES, LINE 15The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
DISCLOSURESPART VI, SECTION C - DISCLOSURES, LINE 19CURRTENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
NON-COMPENSATED TRUSTEESPART VII, SECTION A - LINE 1ARichard 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
AVERAGE HOURSPART 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.
GOVERNING BODYPART VI, LINE 7North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system.
RECONCILIATION OF NET ASSETSPART XI, LINE 9CHANGE IN EQUITY UNDER FAS 136 13,875,408 GAIN/LOSS ON REFINANCING OF LTD (641,434) CHANGE IN FV SWAP AGREEMENT-CASH FLOW 200,281 TRANSFERS TO AFFILIATES (10,327,611) NET ASSETS RELEASED FROM RESTRICTION (755,268) TOTAL 2,351,376

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NORTH SHORE-LIJ HEALTH SYSTEM
972 BRUSH HOLLOW RDWESTBURYNY11590113418133SUPPORTNY501(C)(3)11, TYPE 1NAfalse
NORTH SHORE-LIJ HEALTH CARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590112965586SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112163522HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590113241243HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112296824HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111667761HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NS-LIJHSfalse
NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NS-LIJHSfalse
NSLIJ STERN FAMILY CENTER FOR REHAB
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NS-LIJ HCIfalse
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1SOUTHSIDEfalse
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
HILLSIDE HOSPITAL HOUSES
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254INACTIVENY501(C)(3)11, TYPE 1NAfalse
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZASTATEN ISLANDNY10305113345477INACTIVENY501(C)(3)9SIUHfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NS-LIJHSfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE 1SIUHfalse
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROADWESTBURYNY11590113284934GRADUATE SCHONY501(C)(3)2NS-LIJHSfalse
SPORTS PHYSICAL THERAPY & REHAB SERVICES
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)11, TYPE 1LIJfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTH CARENY501(C)(3)3LHH CORPfalse
THE LONG ISLAND HOME FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112049038SUPPORTNY501(C)(3)11, TYPE 1LHH CORPfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYNA
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYRELATED

Form990 Schedule R Part IV Form990ScheduleRPartIV (63 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPNYNS-LIJHSCfalse
REGIONCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTCfalse
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPNYNSHS ENTERPRISECfalse
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTERPRISESCfalse
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENS-LIJ HCICfalseC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SERNYSOUTHSIDECfalse
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK STBURLINGTONVT05401261487515INSURANCEVTNS-LIJ HCICfalse
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORT SERVINYNS-LIJHSCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RDWESTBURYNY11590113533659HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #3
972 BRUSH HOLLOW RDWESTBURYNY11590113533678HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #4
972 BRUSH HOLLOW RDWESTBURYNY11590113533677HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #5
972 BRUSH HOLLOW RDWESTBURYNY11590113533675HEALTH CARENYLIJCfalse
NORTH SHORE IPA 5
972 BRUSH HOLLOW RDWESTBURYNY11590113383468BUSINESS SERVNYNS-LIJ HCICfalse
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SERVINYNS-LIJHSCfalse
NORTH SHORE RADIOLOGY AT GLEN COVE PC
972 BRUSH HOLLOW RDWESTBURYNY11590113301179MEDICAL SERVINYNSUHCtrue2421435376201.00000
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVINYNSUHCtrue699800015405731.00000
STATEN ISLAND IMAGING CORP
1 EDGEWATER PLAZASTATEN ISLANDNY10305133615474INACTIVENYOVMCfalse
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZASTATEN ISLANDNY10305133138888MANAGEMENT SVNYSIUHCfalse
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZASTATEN ISLANDNY10305133773601INACTIVENYOVMCfalse
REGENCY ALLIANCE SERVICES INC
1 EDGEWATER PLAZASTATEN ISLANDNY10305133277698MANAGEMENT SVNYOVMCfalse
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVESTATEN ISLANDNY10305200011201MEDICAL SERVINYSIUHCfalse
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SERVINYSIUHCfalse
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780MEDICAL SERVINYSIUHCfalse
UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG
500 SEAVIEW AVESTATEN ISLANDNY10305133642729MEDICAL SERVINYSIUHSfalse
EMERGENCY MEDICINE SERVICES OF SI PC
1 EDGEWATER PLAZASTATEN ISLANDNY10305134200899MEDICAL SERVINYSIUHCfalse
GOETHALS RADIOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305200010287MEDICAL SERVINYSIUHCfalse
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVESTATEN ISLANDNY10305331010283MEDICAL SERVINYSIUHCfalse
STATEN ISLAND NEONATOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305133375474MEDICAL SERVINYSIUHCfalse
STATEN ISLAND MEDICAL INTENSIVIST PC
501 SEAVIEW AVESTATEN ISLANDNY10305043716494MEDICAL SERVINYSIUHCfalse
PALLIATIVE CARE MEDICAL SERVICES PC
99 SUNNYSIDE BLVDWOODBURYNY11797273957835MEDICAL SERVINYHOSPICECfalse
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MEDICAL SERVINYNSUHCtrue5885519919801.00000
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MEDICAL SERVINYNSUHCtrue001.00000
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MEDICAL SERVINYNSUHCtrue001.00000
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SERVINYNSUHCtrue43409896512691.00000
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SERVINYNSUHCtrue001.00000
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-ANEW YORKNY10021133775996MANAGED CARENYLENOX HILLCfalse
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MEDICAL SERVINYLENOX HILLCfalse
PARK LENOX OBGYN PC
130 EAST 77TH ST 2ND FLNEW YORKNY10021133596988MEDICAL SERVINYLENOX HILLCfalse
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH STNEW YORKNY10021200719612MEDICAL SERVINYSIUHCfalse
ADVANCED HEART PHYSICIANS & SURGEONS NET
130 EAST 77TH ST 4TH FLNEW YORKNY10021133853125MEDICAL SERVINYLENOX HILLCfalse
LENOX HILL CARDIOLOGY ASSOCIATES PC
100 EAST 77TH STNEW YORKNY10021133385163MEDICAL SERVINYLENOX HILLCfalse
LENOX HILL ICVS PC
130 EAST 77TH ST 9TH FLNEW YORKNY10021201435770MEDICAL SERVINYLENOX HILLCfalse
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY10021133644370MEDICAL SERVINYLENOX HILLCfalse
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77THNEW YORKNY10021262661082MEDICAL SERVINYLENOX HILLCfalse
MANHATTAN MINIMALLY INVASIVE & BARIATRIC
186 EAST 76TH ST 1ST FLNEW YORKNY10021200250107MEDICAL SERVINYLENOX HILLCfalse
PARK LENOX MEDICAL PC
100 EAST 77TH STNEW YORKNY10021133575380MEDICAL SERVINYLENOX HILLCfalse
PARK LENOX ORTHOPEDICS PC
100 EAST 77TH STNEW YORKNY10021264634966MEDICAL SERVINYLENOX HILLCfalse
PARK LENOX PEDIATRICS PC
100 EAST 77TH STNEW YORKNY10021133755863MEDICAL SERVINYLENOX HILLCfalse
PARK LENOX SURGICAL PC
130 EAST 77TH ST 13TH FLNEW YORKNY10021133397814MEDICAL SERVINYLENOX HILLCfalse
VIVOHEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590264118016MEDICAL SERVINYNSH ENTERPRISESCfalse
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RDWESTBURYNY11590270701489MEDICAL SERVINYRESEARCHCfalse
NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SERVINYNSUHCtrue102857062143891.00000
NORTH SHORE-LIJ CARDIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MEDICAL SERVINYNSUHCtrue001.00000
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SERVINYNSUHCtrue001.00000
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078361MEDICAL SERVINYNSUHCtrue49031051461881.00000
NS-LIJ MEDICAL GROUP URGENT MEDICAL CARE
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MEDICAL SERVINYNSUHCtrue001.00000
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MEDICAL SERVINYLENOX HILLCfalse
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019MEDICAL SERVINYNSUHCtrue8492856412981141.00000
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SERVINYNSUHCtrue001.00000
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MED SERVICENYLIJCfalse
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MED SERVICESNYSOUTHSIDECfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW RDWESTBURYNY11590461617516MED SERVICESNYNSLIJ HCICfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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