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        <Description>DUE TO AFFILIATED ORGANIZATION</Description>
        <Amount>4613553</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ROYALTY PAYABLE</Description>
        <Amount>112222</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INSURANCE CLAIMS LIABILITY</Description>
        <Amount>1142913</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED RETIREMENT BENEFITS</Description>
        <Amount>52772</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5921460</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>60813227</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-14048</NetUnrealizedGainsInvestments>
      <OtherRevenues>14741001</OtherRevenues>
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      <RevenueSubtotal>46086274</RevenueSubtotal>
      <OtherRevenuesNotIncluded>37399504</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>37399504</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>83485778</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>85071967</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>996282</OtherExpensesIncluded>
      <ExpensesNotRptdF990>996282</ExpensesNotRptdF990>
      <ExpensesSubtotal>84075685</ExpensesSubtotal>
      <TotalExpensesPerForm990>84075685</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48</Identifier>
        <ReturnReference>PART X, LINE 2</ReturnReference>
        <Explanation>Certain entities included in the System's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2012 and 2011, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $149,000,000, which expire in varying amounts through 2032, and are available to offset future taxable income.</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>RECONCILIATION OF REVENUE</Identifier>
        <ReturnReference>PART XI, LINES 2D AND 4B</ReturnReference>
        <Explanation>NET ASSETS RELEASED FROM RESTRICTION 14,726,211 ALLOCATED RENT EXPENSE 4,772 ALLOCATED OCCUPANCY 5,863 DEEMED TRANSFER TO AFFILIATE 4,155 TOTAL REVENUE ON BOOKS NOT RETURN 14,741,001 REVENUE FROM NSUH-FPP 21,985,922 REVENUE FROM GRANTS-RESTRICTED 2,168,647 REVENUE FROM FOUNDATION-RESTRICTED 12,677,555 INTEREST TEMP RESTRICTED FUND 567,380 TOTAL REVENUE ON RETURN NOT BOOKS 37,399,504</Explanation>
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      <Form990ScheduleDPartXIII>
        <Identifier>RECONCILIATION OF EXPENSES</Identifier>
        <ReturnReference>PART XII, LINE 2D</ReturnReference>
        <Explanation>ALLOCATED RENT EXPENSE 4,772 ALLOCATED OCCUPANCY 5,863 DEEMED TRANSFER TO AFFILIATE 985,647 TOTAL ON BOOKS NOT RETURN 996,282</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>INTENDED USE OF ENDOWMENTS</Identifier>
        <ReturnReference>PART V, LINE 4</ReturnReference>
        <Explanation>There 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.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
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      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>297604</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalAmountSpent>1558396</SubtotalAmountSpent>
      <TotalAmountSpent>1558396</TotalAmountSpent>
      <TransferToForeignCorp>false</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>false</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL J DOWLING</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
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        <NamePerson>LAWRENCE G SMITH MD</NamePerson>
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        <NamePerson>KEITH THOMPSON</NamePerson>
        <Title>SR VP &amp; GENERAL COUNSEL</Title>
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        <CompBasedOnRelatedOrgs>724853</CompBasedOnRelatedOrgs>
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        <OtherCompensationRelatedOrgs>2030969</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>511950</DeferredCompRelatedOrgs>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>3401853</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>313468</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>RALPH NAPPI</NamePerson>
        <Title>CHAIRMAN &amp; PRES NSLIJ FOUND.</Title>
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        <CompBasedOnRelatedOrgs>672088</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>1454459</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>41995</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18775</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>2337317</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>1389266</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>LAURENCE A KRAEMER</NamePerson>
        <Title>ASSISTANT SECRETARY</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>413711</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>509257</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEVIN TRACEY MD</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>747526</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>112665</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS MILHORAT</NamePerson>
        <Title>NEUROLOGIST</Title>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BETTIE M STEINBERG PHD</NamePerson>
        <Title>DIR, CHF SCIENTIFIC OFF</Title>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19425</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NICHOLAS CHIORAZZI</NamePerson>
        <Title>INVESTIGATOR</Title>
        <BaseCompensationFilingOrg>477648</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BETTY DIAMOND</NamePerson>
        <Title>CHF, AUTOIMMUNE DISEASE CTR</Title>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER CZURA</NamePerson>
        <Title>VP SCIENTIFIC AFFAIRS</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>DAVID EIDELBERG</NamePerson>
        <Title>CHF, NEUROSCIENCES</Title>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>DAVID BATTINELLI MD</NamePerson>
        <Title>DIRECTOR, CHF ACADEMIC AFFAIRS</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($1,079,610), Robert S Shapiro ($182,019), Keith Thompson ($484,450), Kevin Tracey ($243,776), Lawrence Smith ($639,534) and Ralph Nappi ($14,495).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>BONUS AND INCENTIVE COMPENSATION</Identifier>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J-1, Part I, B (ii).</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>BOARD MEMBER RELATIONS</Identifier>
        <ReturnReference>PART VI, SECTION A - GOVERNING BODY, LINE 10</ReturnReference>
        <Explanation>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. Leonard Feinstein has a business relationship with William Mack. 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. Ralph Nappi has a business relationship with Eric Blumencranz. Jack Ross has a family relationship with Bradley Marsh. Michael Slade has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Roger Blumencranz.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXECUTIVE COMMITTEE</Identifier>
        <ReturnReference>PART VI, SECTION B - POLICIES, LINE 11</ReturnReference>
        <Explanation>All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>PART VI, SECTION B - POLICIES, LINE 12C</ReturnReference>
        <Explanation>The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICERS COMPENSATION</Identifier>
        <ReturnReference>PART VI, SECTION B - POLICIES, LINE 15</ReturnReference>
        <Explanation>The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DISCLOSURES</Identifier>
        <ReturnReference>PART VI, SECTION C - DISCLOSURES, LINE 19</ReturnReference>
        <Explanation>CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVERAGE HOURS</Identifier>
        <ReturnReference>PART VII, SECTION A - LINE 1A, COLUMN (B)</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING BODY</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>This organization is a member of the North Shore Long Island Jewish Health System ("the System"). The System is the sole corporate member of this organization. The System 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>PART XI, LINE 9</ReturnReference>
        <Explanation>DEEMED TRANSFER TO AFFILIATE (981,492) CHANGE IN EQUITY UNDER FAS 136 14,517,781 NET ASSETS RELEASED FROM RESTRICTION (233,660) TOTAL 13,302,629</Explanation>
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