S I U H SYSTEMS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
S I U H SYSTEMS INC (EIN 06-1074604)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349306288
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)
Timestamp2013-11-15T12:53:24-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061074604EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SIUH SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% THOMAS RECAInCareOfName
Name ControlSIUHNameControl
Phone7182261148Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1
Address Line2SuiteAddressLine2
CitySTATEN ISLANDCity
StateNYState
ZIP Code10305ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTOM RECAName
TitleCFOTitle
Phone9738989494Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAnthony J PanicoName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANTHONY C FERRERINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10305ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8374GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWWW.SIUH.EDUWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES ASSISTANCE IN THE PLANNING FOR AND COORDINATION OF HEALTHCARE SERVICES IN THE STATEN ISLAND COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body136NbrVotingMembersGoverningBody
Nbr Independent Voting Members128NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year10605InvestmentIncomePriorYear
Investment Income Current Year8374InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10605TotalRevenuePriorYear
Total Revenue Current Year8374TotalRevenueCurrentYear
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 Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year0OtherExpensePriorYear
Other Expenses Current Year0OtherExpensesCurrentYear
Total Expenses Prior Year0TotalExpensesPriorYear
Total Expenses Current Year0TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10605RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8374RevenuesLessExpensesCY
Total Assets BOY6542614TotalAssetsBOY
Total Assets EOY4264000TotalAssetsEOY
Total Liabilities BOY4173988TotalLiabilitiesBOY
Total Liabilities EOY1887000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2368626NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2377000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION PROVIDES ASSISTANCE IN THE PLANNING FOR AND COORDINATION OF HEALTHCARE SERVICES IN THE STATEN ISLAND COMMUNITY AND IS PART OF THE NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionEXPENSES AND GRANTS INCURRED IN SUPPORTING THE CHARITABLE PURPOSES OF STATEN ISLAND UNIVERSITY HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND AFFILIATES WHOSE HEALTHCARE SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY PAY.Description
Total Program Service Expense0TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
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
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 BodyfalseForm990ProvidedToGoverningBody
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS RECANamePerson
Telephone Number7182261148TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10305ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (136 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RICHARD D GOLDSTEIN
CHAIRMAN - TRUSTEE0.03.0XX000
JOHN W ALEXANDER
TREASURER - TRUSTEE2.0XX000
RICHARD S ABRAMSON
TRUSTEE2.0XX000
WILLIAM ACHENBAUM
TRUSTEE2.0X000
PHILIP S ALTHEIM
TRUSTEE2.0X000
STANLEY A APPLEBAUM
TRUSTEE2.0X000
MICHAEL L ASHNER
TRUSTEE2.0X000
BEVERLY BANKER
TRUSTEE2.0X000
RALPH M BARUCH
TRUSTEE2.0X000
FRANK J BESIGNANO
TRUSTEE2.0X000
ELISE M BLOOM
TRUSTEE2.0X000
ERIC S BLUMENCRANZ
TRUSTEE2.0X000
ROGER A BLUMENCRANZ
TRUSTEE2.0X000
DAVID BLUMENFELD
TRUSTEE2.0X000
EDWARD BLUMENFELD
TRUSTEE2.0X000
E STEVE BRAUN
TRUSTEE2.0X000
DAYTON T BROWN JR
TRUSTEE2.0X000
ALLEN E BUSCHING
TRUSTEE2.0X000
JONATHAN S CANNO
TRUSTEE2.0X000
MICHAEL CARIDI
TRUSTEE2.0X000
REV DEMETRIUS CAROLINA SR EDD
TRUSTEE2.0X000
RUDOLPH C CARRYL
TRUSTEE2.0X000
ROBERT W CHASANOFF
TRUSTEE2.0X000
ALAN CHOPP
TRUSTEE2.0X000
MARK CLASTER
TRUSTEE2.0X000
DIANA F COLGATE
TRUSTEE2.0X000
DANIEL M CROWN
TRUSTEE2.0X000
PHILIPPE P DAUMAN
TRUSTEE2.0X000
DANIEL C DE ROULET
TRUSTEE2.0X000
LORINDA DE ROULET
TRUSTEE2.0X000
THOMAS E DEWEY JR
TRUSTEE2.0X000
THOMAS E DOOLEY
TRUSTEE2.0X000
MICHAEL J DOWLING
TRUSTEE50.0X028233501128235
ROBERT N DOWNEY
TRUSTEE2.0X000
MELVIN DUBIN
TRUSTEE2.0X000
PATRICK R EDWARDS
TRUSTEE2.0X000
MICHAEL A EPSTEIN
TRUSTEE2.0X000
LEONARD FEINSTEIN
TRUSTEE2.0X000
MICHAEL E FELDMAN
TRUSTEE2.0X000
ANTHONY C FERRERI
PRESIDENT/CEO - TRUSTEE50.0XX01049046387210
ARLENE LANE FISHER
TRUSTEE2.0X000
CATHERINE C FOSTER
TRUSTEE2.0X000
WILLIAM H FRAZIER
TRUSTEE2.0X000
EUGENE B FRIEDMAN MD
TRUSTEE2.0X000
WILLIAM J FRITZ PHD
TRUSTEE2.0X000
SY GARFINKEL
TRUSTEE2.0X000
LLOYD MICHAEL GOLDMAN
TRUSTEE2.0X000
J JOAQUIN GONZALEZ
TRUSTEE2.0X000
MICHAEL GOULD
TRUSTEE2.0X000
ALBERT L GRANGER DDS
TRUSTEE2.0X000
ALAN I GREENE
TRUSTEE2.0X000
JAMES R GREENE
TRUSTEE2.0X000
STANLEY GREY
TRUSTEE2.0X000
RICHARD GUARASCI PHD
TRUSTEE2.0X000
PAUL B GUENTHER
TRUSTEE2.0X000
AMY M HAGEDORN
TRUSTEE2.0X000
IRA HAZAN
TRUSTEE2.0X000
LINDA W HEANEY
TRUSTEE2.0X000
MARLENE HESS
TRUSTEE2.0X000
WILLIAM O HILTZ
TRUSTEE2.0X000
GEDALE B HOROWITZ
TRUSTEE2.0X000
RICHARD A HOROWITZ
TRUSTEE2.0X000
M ALLAN HYMAN
TRUSTEE2.0X000
MARK JACOBSON
TRUSTEE2.0X000
JEFFREY JURICK
TRUSTEE2.0X000
DAVID M KATZ
TRUSTEE2.0X000
MICHAEL KATZ
TRUSTEE2.0X000
SAUL B KATZ
TRUSTEE2.0X000
LISA A KAUFMAN
TRUSTEE2.0X000
ROBERT KAUFMAN
TRUSTEE2.0X000
CARY KRAVET
TRUSTEE2.0X000
STANLEY KREITMAN
TRUSTEE2.0X000
SETH KUPFERBERG
TRUSTEE2.0X000
JEFFREY B LANE
TRUSTEE2.0X000
CURT N LAUNER
TRUSTEE2.0X000
LAURA LAURIA
TRUSTEE2.0X000
KEVIN F LAWLOR
TRUSTEE50.0X0799176280574
DAVID W LEHR
TRUSTEE2.0X000
JONATHAN W LEIGH
TRUSTEE2.0X000
SYLVIA LESTER
TRUSTEE2.0X000
ARTHUR S LEVINE
TRUSTEE2.0X000
STUART R LEVINE
TRUSTEE2.0X000
SETH LIPSAY
TRUSTEE2.0X000
DAVID S MACK
TRUSTEE2.0X000
WILLIAM L MACK
TRUSTEE2.0X000
LINDA MANFREDI
TRUSTEE2.0X000
JAMES S MARCUS
TRUSTEE2.0X000
BRADLEY MARSH DPM
TRUSTEE2.0X000
JEFFREY S MAURER
TRUSTEE2.0X000
RONALD J MAZZUCCO
TRUSTEE2.0X000
F J MCCARTHY
TRUSTEE2.0X000
PATRICK F MCDERMOTT
TRUSTEE2.0X000
JAMES MCMULLEN
TRUSTEE2.0X000
CHARLES MERINOFF
TRUSTEE2.0X000
RICHARD D MONTI
TRUSTEE2.0X000
RICHARD MURCOTT
TRUSTEE2.0X000
RALPH A NAPPI
TRUSTEE50.0X0227654660770
RICHARD B NYE
TRUSTEE2.0X000
CLYDE I PAYNE ED D
TRUSTEE2.0X000
ARNOLD S PENNER
TRUSTEE2.0X000
JOHN J RAGGIO
TRUSTEE2.0X000
LEWIS S RANIERI
TRUSTEE2.0X000
JAY R RAUBVOGEL
TRUSTEE2.0X000
DENNIS RIESE
TRUSTEE2.0X000
TERRY P RIFKIN MD
TRUSTEE2.0X000
ROBERT F ROSE
TRUSTEE2.0X000
ROBERT A ROSEN
TRUSTEE2.0X000
MARCIE ROSENBERG
TRUSTEE2.0X000
ROBERT D ROSENTHAL
TRUSTEE2.0X000
BERNARD M ROSOF MD
TRUSTEE2.0X000
JACK J ROSS
TRUSTEE2.0X000
BARRY RUBENSTEIN
TRUSTEE2.0X000
HERBERT RUBIN
TRUSTEE2.0X000
SCOTT RUDOLPH
TRUSTEE2.0X000
MICHAEL H SAHN
TRUSTEE2.0X000
FRANK W SCARANGELLO SR
TRUSTEE2.0X000
LOIS C SCHLISSEL
TRUSTEE2.0X000
JOHN M SHALL
TRUSTEE2.0X000
MARC V SHAW
TRUSTEE2.0X000
SEAN G SIMON
TRUSTEE2.0X000
RICHARD SIMS
TRUSTEE2.0X000
MICHAEL C SLADE
TRUSTEE2.0X000
PHYLLIS HILL SLATER
TRUSTEE2.0X000
HOWARD D STAVE
TRUSTEE2.0X000
RUSSELL STERN
TRUSTEE2.0X000
JOHN B THOMSON JR
TRUSTEE2.0X000
PETER TILLES
TRUSTEE2.0X000
SANDRA TYTEL
TRUSTEE2.0X000
FREDERICK A VOLK
TRUSTEE2.0X000
NANCY WALDBAUM
TRUSTEE2.0X000
EMMETT F WALKER JR
TRUSTEE2.0X000
GARY WALTER
TRUSTEE2.0X000
LEWIS M WESTON
TRUSTEE2.0X000
BARBARA HRBEK ZUCKER
TRUSTEE2.0X000
DONALD ZUCKER
TRUSTEE2.0X000
ROY J ZUCKERBERG
TRUSTEE2.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6948118TotalReportableCompFrmRltdOrgs
Total Other Compensation1856789TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Total Contributions0TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8374TotalRevenueColumn
Exclusion$8,374ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8374TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,374ExclusionAmount

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4255847BOY
EOY4264000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY2286767BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6542614BOY
EOY4264000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5190BOY
EOY5000EOY

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)
BOY0BOY
EOY0EOY

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)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4168798BOY
EOY1882000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4173988BOY
EOY1887000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2368626BOY
EOY2377000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2368626BOY
EOY2377000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6542614BOY
EOY4264000EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses8374ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND UNIVERSITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN112868878EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$1,882,000Amount
FieldValueIRS element (for citing)
Total Of Amounts1882000TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierTEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationCertain 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
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 (4 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 J DOWLING
TRUSTEE011729020162800002244800000282335000
ANTHONY C FERRERI
PRESIDENT/CEO - TRUSTEE0873896015500002015003721100151000143625600
KEVIN F LAWLOR
TRUSTEE066559601044000291800000079917600
RALPH A NAPPI
TRUSTEE067208701500000145445900000227654601389266

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONCORE FORM, PART VII and SCHEDULE J, PART II; QUESTION 4Bone individual participates in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SERP FOR WHICH AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN the INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RALPH A. NAPPI, $1,389,266. four individuals' participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individualS may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5, AS TAXABLE MEDICARE WAGES. These amounts are included in Schedule J-II, Column C for Michael J. DowlinG, $1,079,610; ANTHONY C. FERRERI, $344,610; KEVIN F. LAWLOR, $233,853 and Ralph A. Nappi, $14,495.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 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-1, PART I, B (II).
COMPENSATION INFORMATIONSCHEDULE J, PART II, COLUMN FTHE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDEs VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH AMOUNT is NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THis AMOUNT Was REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNT Was TREATED AS TAXABLE INCOME AND REPORTED ON the INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RALPH A. NAPPI, $1,389,266.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BUSINESS AND FAMILY RELATIONSHIPSCORE FORM, PART VI, SECTION A; QUESTION 2FORM 990 SCHEDULE A, PART III STATEMENT ABOUT ACTIVITY ====================================================== ALL TRANSACTIONS WITH NORTH SHORE-LIJ HEALTH SYSTEM ENTITIES ARE AS FOLLOWS: (1) NEGOTIATED AT ARM'S LENGTH; (2) ALL PURCHASES ARE AT FAIR MARKET VALUE; AND (3) ALL PRODUCTS OR SERVICES ARE RENDERED ON AN "AS NEEDED" BASIS. William Achenbaum ----------------- has a business relationship with Eric Blumencranz 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 Goldstein, Lloyd Goldman, Alan Greene, James Greene, Stanley Grey, Richard Guarasci, Richard Horowitz, M. Allen Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese and 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 Goldstein, Richard Horowitz, Jeffrey Jurick, Stuart Levine, David Mack, Ralph Nappi, 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 w. Chasanoff ------------------- has a business relationship with Michael h. Sahn. Alan Chopp ---------- has a business relationship with Patrick Mc Dermott. Mark Claster ------------ has a business relationship with Roger A. Blumencranz, Richard Goldstein, Saul Katz, robert d. rosenthal and Barry Rubenstein. Philippe Dauman --------------- has a business relationship with thomas dooley. Daniel de Roulet ---------------- has a family relationship with Lorinda de Roulet. Lorinda de Roulet ---------------- has a family relationship with Daniel de Roulet. 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 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 blumencranz and Roger Blumencranz. James R. Greene --------------- has a family relationship with Alan I. Green. He has a business relationship with Eric blumencranz and Roger Blumencranz. Stanley Grey ------------ has a business relationship with eric blumencranz 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 blumencranz, Roger Blumencranz and m. allen hyman. m. allen hyman -------------- has a business relationship with eric blumencranz, richard horowitz, saul katz and donald zucker. Jeffrey Jurick -------------- has a business relationship with Eric blumencranz 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, Michael Slade, m. allen hyman and david katz. 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 blumencranz and Roger blumencranz. 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. jeffrey maurer -------------- has a business relationship with william hiltz. Ronald Mazzucco --------------- has a business relationship with David Lehr. F.J. McCarthy ------------- has a business relationship with Robert Rosenthal. 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 Blumencranz 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 waldenbaum. Jack Ross --------- has a family relationship with Bradley Marsh. Barry Rubenstein ---------------- has a business relationship with mark claster, richard goldstein, william mack and Saul Katz. Scott Rudolph ------------- has a business relationship with michael ashner. 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. nancy waldenbaum ---------------- 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 and m. allen hyman. Roy Zuckerberg -------------- has a business relationship with William Mack.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTION 7North Shore-Long Island Jewish Health Care, Inc. ("HealthCare") is the sole corporate member of the organization. HealthCare 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 HealthCare are part of the North Shore-Long Island Jewish Health System, an integrated healthcare delivery system.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11BAll 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12The 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 filed 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION b; QUESTION 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
RELATED HOURS INFORMATIONCORE FORM, PART VII, SECTION AThis 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.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS from RELATED ORGANIZATIONs. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THose RELATED ORGANIZATIONs AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES STATEN ISLAND UNIVERSITY HOSPITAL. THE SYSTEM'S PARENT ENTITY IS NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTEM, INC. AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NORTH SHORE - LONG ISLAND JEWISH HEALTHCARE SYSTEM, INC. EXECUTIVE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

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
CHAPS Community Health Center Inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305113345477InactiveNY501(C)(3)9SIUHfalse
Feinstein Institute for Medical Research
972 Brush Hollow RdWestburyNY11590112673595ResearchNY501(C)(3)4NS-LIJ HSfalse
Forest Hills Hospital
972 Brush Hollow RdWestburyNY11590112163522HealthCareNY501(C)(3)3NS-LIJ HCfalse
Franklin Hospital
972 Brush Hollow RdWestburyNY11590112296824HealthCareNY501(C)(3)3NS-LIJ HCfalse
Glen Cove Hospital
972 Brush Hollow RdWestburyNY11590111633487HealthCareNY501(C)(3)3NS-LIJ HCfalse
Hillside Hospital Houses Inc
972 Brush Hollow RdWestburyNY11590112113949Housing CompNY501(C)(2)N/ANS-LIJ HSfalse
Hospice Care Network
99 Sunnyside BlvdWoodburyNY11797112925757HospiceNY501(C)(3)9NS-LIJ HSfalse
Huntington Hospital
270 Park AvenueHuntingtonNY11743111630914HealthCareNY501(C)(3)3NS-LIJ HCfalse
Huntington Hosp Dolan Family Health Ctr
284 Pulaski RdGreenlawnNY11740113368503HealthCareNY501(C)(3)3Huntingtonfalse
LIJ Foundation
972 Brush Hollow RdWestburyNY11590112661239support orgNY501(C)(3)11, TYPE INS-LIJ HSfalse
Long Island Jewish Medical Center
972 Brush Hollow RdWestburyNY11590112241326HealthCareNY501(C)(3)3NS-LIJ HCfalse
LIJ Medical Center at Home Pharmacy
972 Brush Hollow RdWestburyNY11590113251128support orgNY501(C)(3)11, TYPE INS-LIJ HSfalse
North Shore Community Services Inc
972 Brush Hollow RdWestburyNY11590237273200Housing CompNY501(C)(2)N/ANS-LIJ HSfalse
North Shore University Hospital
972 Brush Hollow RdWestburyNY11590111562701HealthCareNY501(C)(3)3NS-LIJ HCfalse
NS Univ Hospital at Glen Cove Housing
972 Brush Hollow RdWestburyNY11590237010468Housing CompNY501(C)(2)N/ANS-LIJ HSfalse
North Shore University Hospital Housing
972 Brush Hollow RdWestburyNY11590112171903Housing CompNY501(C)(2)N/ANS-LIJ HSfalse
NSLIJ STERN FAMILY CENTER FOR REHAB
972 Brush Hollow RdWestburyNY11590237007485Nursing HomeNY501(C)(3)9NS-LIJ HCfalse
North Shore-LIJ Health Care Inc
972 Brush Hollow RdWestburyNY11590112965586support orgNY501(C)(3)11, TYPE INS-LIJ HSfalse
North Shore-LIJ Health System
972 Brush Hollow RdWestburyNY11590113418133support orgNY501(C)(3)11, TYPE INAfalse
North Shore-LIJ Health System Foundation
972 Brush Hollow RdWestburyNY11590112965575FundraisingNY501(C)(3)7NS-LIJ HSfalse
North Shore-LIJ Health Sys Laboratories
972 Brush Hollow RdWestburyNY11590113412370Support OrgNY501(C)(3)11, TYPE INS-LIJ HSfalse
North Shore-LIJ Medical Care Centers
972 Brush Hollow RdWestburyNY11590113473923support orgNY501(C)(3)11, TYPE INS-LIJ HSfalse
Plainview Hospital
972 Brush Hollow RdWestburyNY11590113241243HealthCareNY501(C)(3)3NS-LIJ HCfalse
Southside Hospital
972 Brush Hollow RdWestburyNY11590111667761HealthCareNY501(C)(3)3NS-LIJ HCfalse
SSH Inc
972 Brush Hollow RdWestburyNY11590112774102support orgNY501(C)(3)11, TYPE ISOUTHSIDEfalse
Staten Island University Hospital
475 Seaview AvenueStaten IslandNY10305112868878HEALTH CARENY501(C)(3)3NS-LIJ HCfalse
STATEN ISLAND UNIV HOSPITAL FOUNDATION
360 SEAVIEW AVENUESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVENUESTATEN ISLANDNY10305311757254SUPPORT ORGNY501(C)(3)11, TYPE INAfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6th floorSTATEN ISLANDNY10305200096809HEALTHCARENYN/A11, TYPE ISIUHfalse
LENOX HILL HOSPITAL
100 EAST 77 STREETNEW YORKNY10021131624070HEALTHCARENY501(C)(3)3NS-LIJ HCfalse
LHH CORPORATION
100 EAST 77TH STREETNEW YORKNY10021133272016SUPPORT ORGNY501(C)(3)11, TYPE INS-LIJ HSfalse
THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED
972 BRUSH HOLLOW RDWESTBURYNY11590113284934GRADUATE SCHNY501(C)(3)2NS-LIJ HSfalse
SPORTS PHYSICAL THERAPY AND REHAB SVCS
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTHCARENY501(C)(3)9LIJfalse
NORTH SHORE - LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTHCARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTHCARENY501(c)(3)3LHH CORPfalse
THE LONG ISLAND HOME FOUNDATION
400 SUNRISE HIGHWAYAMITYVILLENY11701112049038HEALTHCARENY501(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/BusinessNameLine1Predominant Income TypePredominantIncomeType
KRASNOFF CONS SVCS
972 Brush Hollow ROADWESTBURYNY11590262838027CONSULTINGNYCARE MGT GROUPN/A
LONG ISL BEHAV HLTH
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYNS-LIJ HCRELATED

Form990 Schedule R Part IV Form990ScheduleRPartIV (64 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 CountryLegalDomicileForeignCountry
Adv Heart Phys & Surgeons Network PC
130 East 77th St 4th FloorNew YorkNY10021133853125Medical ServicesNYLENOX HILLc corporationfalse
Adv Imag & Rad of Lenox Hill Hosp PC
100 East 77th StNew YorkNY10021200719612Medical ServicesNYLENOX HILLC CORPORATIONfalse
Aletta Corporation
972 Brush Hollow RdWestburyNY11590112622371Physician svcs.NYSOUTHSIDEC CORPORATIONfalse
Autoimmune Research Therapeutics
972 Brush Hollow RdWestburyNY11590270701489InactiveNYRESEARCHC CORPORATIONfalse
Care Management Group of Greater NY
972 Brush Hollow RdWestburyNY11590113336381Business ServicesNYNSH ENTERPRISESC CORPORATIONfalse
Emergency Med Svcs of Staten Island PC
1 Edgewater Plaza 6th floorStaten IslandNY10305134200899Medical ServiCESNYSIUHC CORPORATIONfalse
Goethals Radiology PC
500 Seaview AveStaten IslandNY10305200010287Radiology SVCs.NYSIUHC CORPORATIONfalse
Lenox Hill Cardiology Associates PC
100 East 77th StNew YorkNY10021133385163Medical ServiCESNYLENOX HILLC CORPORATIONfalse
Lenox Hill Int Card & Vasc Svcs PC
130 East 77th St 9th floorNew YorkNY10021201435770Medical ServiCESNYLENOX HILLC CORPORATIONfalse
Lenox Hill Pathology PC
100 East 77th StNew YorkNY10021133644370Medical ServiCESNYLENOX HILLC CORPORATIONfalse
Lenox Hill Phy Hospital Org Inc
122 East 76th St suite 3-aNew YorkNY100212834133775996Managed CareNYLENOX HILLC CORPORATIONfalse
Lenox otolaryngology head & neck surgery
186 East 76th St 2nd floorNew YorkNY10021208784395Medical ServicesNYLENOX HILLC CORPORATIONfalse
Manhattan Min Inv and Bar Surgery PC
186 East 76th St 1st FloorNew YorkNY10021200250107Medical ServicesNYLENOX HILLC CORPORATIONfalse
North Shore Health Enterprises
972 Brush Hollow RdWestburyNY11590061605319Holding CompNYNSHS ENTERPRISEC CORPORATIONfalse
NS Health System Enterprises
972 Brush Hollow RdWestburyNY11590113316922Holding CompNYNS-LIJ HSC CORPORATIONfalse
North Shore IPA 5 Inc
972 Brush Hollow RdWestburyNY11590113383468Business ServicesNYNS-LIJ HCC CORPORATIONfalse
NS Radiology at Glen Cove PC
972 Brush Hollow RdWestburyNY11590113301179Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ Health System IPA #1
972 Brush Hollow RdWestburyNY11590113533659Health CareNYLIJC CORPORATIONfalse
NS-LIJ Health System IPA #2
972 Brush Hollow RdWestburyNY11590113533670Health CareNYLIJC CORPORATIONfalse
NS-LIJ Health System IPA #3
972 Brush Hollow RdWestburyNY11590113533678Health CareNYLIJC CORPORATIONfalse
NS-LIJ Health System IPA #4
972 Brush Hollow RdWestburyNY11590113533677Health CareNYLIJC CORPORATIONfalse
NS-LIJ Health System IPA #5
972 Brush Hollow RdWestburyNY11590113533675Health CareNYLIJC CORPORATIONfalse
NS-LIJ Medical Gr at Huntington PC
972 Brush Hollow RdWestburyNY11590274384049Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ Medical Gr at North Nassau PC
972 Brush Hollow RdWestburyNY11590274384146Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ Medical Gr at Syosset PC
972 Brush Hollow RdWestburyNY11590273957752Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ Medical Group PC
972 Brush Hollow RdWestburyNY11590274384249Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ Network Inc
972 Brush Hollow RdWestburyNY11590320257193Support ServicesNYNS-LIJ HSC CORPORATIONfalse
NS-LIJ Phys Insurance Co Risk Ret Group
100 Bank StBurlingtonVT05401261487515INSURANCEVTNS-LIJ HCC CORPORATIONfalse
North Shore-LIJ Physicians Group PC
972 Brush Hollow RdWestburyNY11590274384326Medical ServicesNYNSUHC CORPORATIONfalse
North Shore-LIJ Radiology Services PC
972 Brush Hollow RdWestburyNY11590223970667Medical ServicesNYNSUHC CORPORATIONfalse
North Shore-LIJ Service Alliance Inc
972 Brush Hollow RdWestburyNY11590263651575Support ServicesNYNAC CORPORATIONfalse
Ocean Breeze Home Care Agency
1 Edgewater Plaza 6th FloorStaten IslandNY10305133773601InactiveNYOVMC CORPORATIONfalse
Ocean View Management INC
1 Edgewater Plaza 6th FloorStaten IslandNY10305133138888Management Svcs.NYSIUHC CORPORATIONfalse
Palliative Care Medical Services PC
99 Sunnyside BlvdWoodburyNY11797273957835Medical ServicesNYHOSPICEC CORPORATIONfalse
Park Lenox Emergency Medicine PC
100 East 77th StNew YorkNY10021262661082Medical ServicesNYLENOX HILLC CORPORATIONfalse
Park Lenox Medical PC
100 East 77th StNew YorkNY10021133575380Medical ServicesNYLENOX HILLC CORPORATIONfalse
Park Lenox OBGYN PC
130 East 77th St 2nd FloorNew YorkNY10021133596988Medical ServicesNYLENOX HILLC CORPORATIONfalse
Park Lenox Orthopedics PC
100 East 77th StNew YorkNY10021264634966Medical ServicesNYLENOX HILLC CORPORATIONfalse
Park Lenox Pediatrics PC
100 East 77th StNew YorkNY10021133755683Medical ServicesNYLENOX HILLC CORPORATIONfalse
Park Lenox Surgical PC
130 East 77th St 13th FloorNew YorkNY10021133397814Medical ServicesNYLENOX HILLC CORPORATIONfalse
Regency Alliance Services Inc
1 Edgewater Plaza 6th FloorStaten IslandNY10305133277698inactiveNYOVMC CORPORATIONfalse
Regional Insurance Company LTD
insuranceNS-LIJ HCC CORPORATIONfalse41 Cedar AveHamiltonBERMUDABDHM 12BD
Regioncare Inc
972 Brush Hollow RdWestburyNY11590113052191HomecareNYNSHS ENTERPRISEC CORPORATIONfalse
Staten Island Hospitalists PC
475 Seaview AveStaten IslandNY10305331010283Medical ServicesNYSIUHC CORPORATIONfalse
Staten Island Imaging Corp
1 Edgewater Plaza 6th FloorStaten IslandNY10305133615474InactiveNYOVMC CORPORATIONfalse
Staten Island Medical Intensivist PC
501 Seaview Ave Suite 102Staten IslandNY10305043716494Medical ServicesNYSIUHC CORPORATIONfalse
Staten Island Neonatology PC
500 Seaview AveStaten IslandNY10305133375474Medical ServicesNYSIUHC CORPORATIONfalse
SIUH Perinatology PC
475 Seaview AveStaten IslandNY10305134107082Medical ServicesNYSIUHC CORPORATIONfalse
United Medical Surgical PC
256 Mason Ave BLDG B 2nd FLStaten IslandNY10305134038780Surgical ServicesNYSIUHC CORPORATIONfalse
Univ Ph OncHematology Gp PC
500 Seaview AveStaten IslandNY10305133642729Medical ServicesNYSIUHs CORPORATIONfalse
Verrazano Radiology Assoc PC
500 Seaview Ave Suite 200Staten IslandNY10305200011201Radiology Svcs.NYSIUHC CORPORATIONfalse
Vivohealth Inc
972 Brush Hollow RdWestburyNY11590264118016InactiveNYNSH ENTERPRISEC CORPORATIONfalse
PARK LENOX PSYCHIATRY PC
130 EAST 77TH STREETNEW YORKNY10021133424466Medical ServicesNYLENOX HILLc corporationfalse
NS-LIJ CARDIOVASCULAR MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078717Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ CARDIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078531Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078361Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ MEDICAL GROUP URGENT MED CARE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078426Medical ServicesNYNSUHC CORPORATIONfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ OB-GYN PC
972 Brush Hollow RdWestburyNY11590461382916Medical ServicesNYnsuhc corporationfalse
NS-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916Medical ServicesNYNSUHC CORPORATIONfalse
NS-LIJ HEALTH PLANS INC
972 Brush Hollow RdWestburyNY11590461382916Medical ServicesNYnsuhc corporationfalse
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
Dividends Related OrganizationfalseDividendsRelatedOrganization
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 EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE R, PART VReturnReference
ExplanationTHIS ORGANIZATION IS AN AFFILIATE OF North Shore - long Island Jewish Health System ("sYSTEM"). ORGANIZATIONS WITHIN THE SYSTEM ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.Explanation

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