SOUTH SHORE UNIVERSITY HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SOUTH SHORE UNIVERSITY HOSPITAL (EIN 11-1667761)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-12-19
IRS object ID: 201203549349300605
Schema version: 2011v1.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-12-19T08:54:43-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	111667761	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHSIDE HOSPITAL	BusinessNameLine1
Business Name Line2	c/o NORTH SHORE-LIJ HEALTH SYSTEM	BusinessNameLine2

Field	Value	IRS element (for citing)
In Care Of Name	% NORTH SHORE-LIJ HEALTH SYSTE	InCareOfName
Name Control	SOUT	NameControl
Phone	5168766061	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW ROAD	AddressLine1
City	WESTBURY	City
State	NY	State
ZIP Code	11590	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROBERT S SHAPIRO	Name
Title	EXEC VP & CFO	Title
Date Signed	2012-12-12	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL J DOWLING	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	145 COMMUNITY DRIVE	AddressLine1
City	GREAT NECK	City
State	NY	State
ZIP Code	11590	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	359902261	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.NSLIJ.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1975	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	Southside 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 Body	152	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	144	NbrIndependentVotingMembers
Total Nbr Employees	2626	TotalNbrEmployees
Total Nbr Volunteers	200	TotalNbrVolunteers
Total Gross UBI	372360	TotalGrossUBI
Net Unrelated Business Txbl Income	-23760	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1381246	ContributionsGrantsPriorYear
Contributions Grants Current Year	8617547	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	303469682	ProgramServiceRevenuePriorYear
Program Service Revenue CY	346552055	ProgramServiceRevenueCY
Investment Income Prior Year	406487	InvestmentIncomePriorYear
Investment Income Current Year	551996	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2477053	OtherRevenuePriorYear
Other Revenue Current Year	3100822	OtherRevenueCurrentYear
Total Revenue Prior Year	307734468	TotalRevenuePriorYear
Total Revenue Current Year	358822420	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	188588243	SalariesEtcPriorYear
Salaries Etc Current Year	227182300	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	563451	TotalFundrsngExpCurrentYear
Other Expense Prior Year	109717291	OtherExpensePriorYear
Other Expenses Current Year	131064939	OtherExpensesCurrentYear
Total Expenses Prior Year	298305534	TotalExpensesPriorYear
Total Expenses Current Year	358247239	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9428934	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	575181	RevenuesLessExpensesCY
Total Assets BOY	157214715	TotalAssetsBOY
Total Assets EOY	177864393	TotalAssetsEOY
Total Liabilities BOY	206197415	TotalLiabilitiesBOY
Total Liabilities EOY	216871768	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-48982700	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-39007375	NetAssetsOrFundBalancesEOY
Mission Description	SOUTHSIDE HOSPITAL IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	271883972	Expense
Grants	0	Grants
Revenue	308982723	Revenue
Description	Southside Hospital is a 341-bed tertiary hospital with the following inpatient services: medical/surgical, intensive and cardiac care unit, OB/GYN with a Level II Perinatal service, pediatrics, medical rehabilitation, brain injury and psychiatry. The Emergency Department is a designated Area Trauma Center and provides the Paramedic First Responder Program to the Town of Islip Residents. In 2011, Southside Hospital had 17,297 inpatient discharges, delivered 2,403 babies, provided 68,300 emergency department visits and performed 6,505 ambulatory surgeries, including endoscopies and cardiac catheterizations.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	41417933	Expense
Grants	0	Grants
Revenue	37569332	Revenue
Description	The Physician and Ambulatory Network Services (formerly Faculty Practice Plan) strive to make a measurable difference in the health status of communities it serves by providing a comple comprehensive practice management infrastructure that enable enterprise to achieve the financial status necessary to meet patient, physician and Health System needs.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	313301905	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	23	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2626	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	EI	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	152	NbrVotingGoverningBodyMembers
Number Independent Voting Members	144	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	NORTH SHORE-LIJ HEALTH SYSTE	NamePerson
Telephone Number	5168766061	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW ROAD	AddressLine1
City	WESTBURY	City
State	NY	State
ZIP Code	11590	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
MICHAEL J DOWLING
PRESIDENT & CEO	50.0	X	X	0	2521221	742813
RALPH NAPPI
PRESIDENT, FOUNDATIONS	50.0	X		0	774818	534580
RICHARD D GOLDSTEIN
CHAIRMAN	3.0	X	X	0	0	0
WILLIAM L MACK
VICE CHAIRMAN	2.0	X	X	0	0	0
BARRY RUBENSTEIN
VICE CHAIRMAN	2.0	X		0	0	0
ALAN I GREENE
TREASURER	2.0	X		0	0	0
DONALD ZUCKER
SECRETARY	2.0	X		0	0	0
NON-COMPENATED TRUSTEES
SEE SCHEDULE O	2.0	X		0	0	0
ANTHONY FERRERI
PRESIDENT & CEO SIUH	50.0	X		0	1041142	291142
KEVIN LAWLOR
PRESIDENT & CEO HUNTINGTON	50.0	X		0	744807	313444
HOWARD GOLD
SR VP, REVENUE & BUSINESS DEV	50.0		X	0	1039768	351634
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER	50.0		X	0	1312802	138838
ROBERT S SHAPIRO
SR VP, CHIEF FINANCIAL OFFICER	50.0		X	0	1047340	262780
LAWRENCE G SMITH MD
EVP/PHYSICIAN IN CHIEF	50.0		X	0	774723	43937
KEITH THOMPSON
SR VP & GENERAL COUNSEL	50.0		X	0	856803	356015
JEFFREY KRAUT
SR VP, STRATEGIC PLANNING	50.0		X	0	767349	221731
KATHLEEN GALLO RN PHD
CHIEF LEARNING OFFICER	50.0		X	0	712494	347598
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR	50.0		X	0	705151	93957
HARRY GINDI
ASSISTANT SECRETARY	50.0		X	0	304339	42050
MARK CLASTER
VICE CHAIRMAN			X
WINIFRED MACK
EXECUTIVE DIRECTOR	50.0			646714	0	300580	X
DEBORAH TASCONE
REGIONAL EXECUTIVE DIRECTOR	50.0			0	924646	285841	X
SALIL BAKSHI
PHYSICIAN	50.0			670045	0	34700		X
DANIEL BRANDENSTEIN
PHYSICIAN	50.0			659367	0	34700		X
PATRICIA O'SULLIVAN
PHYSICIAN	50.0			583341	0	34700		X
KANGMIN LEE
PHYSICIAN	50.0			544457	0	34700		X
DONALD FAGELMAN
CHIEF, RADIOLOGY	50.0			527649	0	42050		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3631573	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	13527403	TotalReportableCompFrmRltdOrgs
Total Other Compensation	4507790	TotalOtherCompensation
Number Individuals GT100 K	309	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
AXIS CONSTRUCTION CO
125 LASER CT	HAUPPAUGE	NY	11788	GENERAL CONTRACTOR	5404552
MICHAEL ANTHONY CONTRACTING CORP
161 RAILROAD AVE	GARDEN CITY	NY	11040	GENERAL CONTRACTOR	2564610
FRANCIS CAUFFMAN LLP
2120 ARCH ST	PHILADELPHIA	PA	19103	ARCHITECTURE	2504387
STANTEC CONSULTING SERVICES INC
50 WEST 23RD ST	NEW YORK	NY	10010	CONSULTING SERVICES	1481698
SLEEP DIAGNOSTIC GROUP LLC
41 MAIN ST	STONY BROOK	NY	11790	MEDICAL SERVICES	706800

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	26	NumberOfContractorsGT100K
Related Organizations	8614173	RelatedOrganizations
Government Grants	3374	GovernmentGrants
Total Contributions	8617547	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE	621300	209890929	209890929
HEALTH CENTER	621300	10717164	10717164
PHYSICIAN BILLING	621300	27909692	27909692
MEDICARE/MEDICAID PAYMENTS	621300	98034270	98034270

Field	Value	IRS element (for citing)
Total Program Service Revenue	346552055	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	165554	TotalRevenueColumn
Exclusion	$165,554	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	341912	TotalRevenueColumn
Exclusion	$341,912	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1124371	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1079841	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	44530	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	44530	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	900099	1069436	$1,069,436
ANSWERING SERVICE	561000	214623		214623
ROOF RENTAL	531390	264566	$106,829	157737

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1552197	TotalRevenueColumn
Related Or Exempt Function Income	1398819	RelatedOrExemptFunctionIncome
Exclusion	$153,378	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3100822	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	358822420	TotalRevenueColumn
Related Or Exempt Function Income	347950874	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	372360	UnrelatedBusinessRevenue
Exclusion	$1,837,109	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	646715	Total
Program Services	646715	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	164368295	Total
Program Services	150758600	ProgramServices
Management And General	13473598	ManagementAndGeneral
Fundraising	136097	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	19243364	Total
Program Services	17650013	ProgramServices
Management And General	1577417	ManagementAndGeneral
Fundraising	15934	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	32449070	Total
Program Services	29762287	ProgramServices
Management And General	2659915	ManagementAndGeneral
Fundraising	26868	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10474856	Total
Program Services	9607538	ProgramServices
Management And General	813458	ManagementAndGeneral
Fundraising	53860	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	32020	Total
Management And General	32020	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	10517580	Total
Program Services	9646724	ProgramServices
Management And General	820372	ManagementAndGeneral
Fundraising	50484	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	175430	Total
Program Services	160904	ProgramServices
Management And General	14526	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	50047440	Total
Program Services	45880205	ProgramServices
Management And General	3908450	ManagementAndGeneral
Fundraising	258785	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4166304	Total
Program Services	3821334	ProgramServices
Management And General	323547	ManagementAndGeneral
Fundraising	21423	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	222542	Total
Program Services	222542	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	545746	Total
Program Services	545746	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	2866522	Total
Management And General	2866522	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11186246	Total
Program Services	10260025	ProgramServices
Management And General	926221	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9345979	Total
Program Services	9345979	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	6903809	6903809
OTHER PURCHASED SERVICES	15662547	15662547
BILLING & COLLECTION	1527191	1400740	126451
DUES & SUBSCRIPTIONS	251173	230376	20797

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	17614410	Total
Program Services	795821	ProgramServices
Management And General	16818589	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	358247239	Total
Program Services	313301905	ProgramServices
Management And General	44381883	ManagementAndGeneral
Fundraising	563451	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	61443	BOY
EOY	17445	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	35529822	BOY
EOY	34385892	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3400920	BOY
EOY	3828626	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	279056	BOY
EOY	362269	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	177236120	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	67255969	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	90441618	BOY
EOY	109980151	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	16105437	BOY
EOY	8500340	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11396419	BOY
EOY	20789670	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	157214715	BOY
EOY	177864393	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	41491182	BOY
EOY	48796272	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	50665000	BOY
EOY	42795000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	114041233	BOY
EOY	125280496	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	206197415	BOY
EOY	216871768	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-54340207	BOY
EOY	-54715375	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5357507	BOY
EOY	15708000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-48982700	BOY
EOY	-39007375	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	157214715	BOY
EOY	177864393	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	575181	ReconcilationRevenueExpenses
Reconcilation Other Changes	9400144	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	true	RalliesDemonstrations
Rallies Demonstrations	$36,884	RalliesDemonstrationsAmount
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	36884	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1061568	OtherCostOrOtherBasis
Book Value	1061568	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	90923165	OtherCostOrOtherBasis
Depreciation	37104492	Depreciation
Book Value	53818673	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	76665625	OtherCostOrOtherBasis
Depreciation	29296971	Depreciation
Book Value	47368654	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8585762	OtherCostOrOtherBasis
Depreciation	854506	Depreciation
Book Value	7731256	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	109980151	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
OTHER ASSETS	1501213
OTHER RECIEVABLES	5085219
INTEREST IN FOUNDATION	14203238

Field	Value	IRS element (for citing)
Total Book Value Other Assets	20789670	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$30,355,283
DUE TO THIRD PARTY PAYORS	$40,023,626
ACCRUED RETIREMENT BENEFITS	$31,972,231
ESTIMATED MALPRACTICE LIABILIT	$21,473,000
OTHER LONG-TERM LIABILITIES	$518,187
BOND PREM/DISCOUNT	$938,169

Field	Value	IRS element (for citing)
Total Of Amounts	125280496	TotalOfAmounts
Total Revenue	358822420	TotalRevenue
Total Expenses	358247239	TotalExpenses
Excess Or Deficit For Year	575181	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-168631	NetUnrealizedGLOnInvestments
Other	$9,568,775	OtherAmount
Total Adjustments	9400144	TotalAdjustments
Excess Or Deficit Per FS	9975325	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	357520419	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-168631	NetUnrealizedGainsInvestments
Other Revenues	-1091442	OtherRevenues
Revenue Not Rptd F990	-1260073	RevenueNotRptdF990
Revenue Subtotal	358780492	RevenueSubtotal
Other Revenues Not Included	41928	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	41928	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	358822420	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	350623342	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	350623342	ExpensesSubtotal
Other Expenses Not Included	7623897	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	7623897	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	358247239	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48	Part X, Line 2	Certain organizations included in the System's consolidated financial statements are taxable entities under Federal or state laws. 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, 2011 and 2010, 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. The System has net operating loss carry forwards of approximately $113,555,000, which expire in varying amounts through 2031, and are available to offset future taxable income.
Other Changes in Net Assets	Part XI, Line 8	Change in Equity Under FAS 136 10,668,125 Defeasance of Long Term Debt (1,300,182) Medical Resident Tac Recovery 196,052 Net Assets Released from Restriction 4,780 Total Other 9,568,775
RECONCILIATION OF REVENUE	Part XII, LINE 2D AND Line 4b	INCLUDED ON BOOKS NOT ON RETURN NET ASSETS RELEASED FROM RESTRICTION 12,688 MEDICAL RESIDENT TAX RECOVERY 196,052 DEFEASANCE OF LONG TERM DEBT (1,300,182) TOTAL NOT INCLUDED ON 990 (1,091,442) INCLUDED ON RETURN NOT ON BOOKS TEMP RESTRICTED CONTRIBUTIONS 38,554 TEMP RESTRICTED GRANTS 3,374 TOTAL 41,928
RECONCILIATION OF EXPENSE	PART XIII, LINE 4B	ADDITIONAL MINIMUM PENSION LIABILITY 7,623,897

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures
Central America and the Caribbean	Investments	330738
Europe (Including Iceland and Greenland)	Investments	330221

Field	Value	IRS element (for citing)
Subtotal Amount Spent	660959	SubtotalAmountSpent
Total Amount Spent	660959	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	16339	PersonsServed
Total Community Benefit Expense	14734000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2207000	DirectOffsettingRevenue
Net Community Benefit Expense	12527000	NetCommunityBenefitExpense
Percent Of Total Expense	0.03640	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	38550	PersonsServed
Total Community Benefit Expense	63785856	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50060790	DirectOffsettingRevenue
Net Community Benefit Expense	13725066	NetCommunityBenefitExpense
Percent Of Total Expense	0.03990	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	54889	PersonsServed
Total Community Benefit Expense	78519856	TotalCommunityBenefitExpense
Direct Offsetting Revenue	52267790	DirectOffsettingRevenue
Net Community Benefit Expense	26252066	NetCommunityBenefitExpense
Percent Of Total Expense	0.07630	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	95	NumberOfActivitiesOrPrograms
Persons Served	73679	PersonsServed
Total Community Benefit Expense	2277806	TotalCommunityBenefitExpense
Direct Offsetting Revenue	601	DirectOffsettingRevenue
Net Community Benefit Expense	2277204	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	52	NumberOfActivitiesOrPrograms
Persons Served	1560	PersonsServed
Total Community Benefit Expense	6626115	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2275181	DirectOffsettingRevenue
Net Community Benefit Expense	4350935	NetCommunityBenefitExpense
Percent Of Total Expense	0.01270	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	55	NumberOfActivitiesOrPrograms
Persons Served	1763	PersonsServed
Total Community Benefit Expense	176084	TotalCommunityBenefitExpense
Net Community Benefit Expense	176084	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	202	NumberOfActivitiesOrPrograms
Persons Served	77002	PersonsServed
Total Community Benefit Expense	9080005	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2275782	DirectOffsettingRevenue
Net Community Benefit Expense	6804223	NetCommunityBenefitExpense
Percent Of Total Expense	0.01980	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	204	NumberOfActivitiesOrPrograms
Persons Served	131891	PersonsServed
Total Community Benefit Expense	87599861	TotalCommunityBenefitExpense
Direct Offsetting Revenue	54543572	DirectOffsettingRevenue
Net Community Benefit Expense	33056289	NetCommunityBenefitExpense
Percent Of Total Expense	0.09610	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	35	PersonsServed
Total Community Building Expense	54194	TotalCommunityBuildingExpense
Net Community Building Expense	54194	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	334	PersonsServed
Total Community Building Expense	20015	TotalCommunityBuildingExpense
Net Community Building Expense	20015	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	369	PersonsServed
Total Community Building Expense	74209	TotalCommunityBuildingExpense
Net Community Building Expense	74209	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$6,568,000	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	89400053	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	89996224	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-596171	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHSIDE HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	301 EAST MAIN ST	AddressLine1
City	BAYSHORE	City
State	NY	State
ZIP Code	11706	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHSIDE HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	500.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	8	NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SUFFOLK COUNTY BRENTWOOD FAMILY HEALTH C
1869 BRENTWOOD ROAD	BRENTWOOD	NY	11717	FAMILY HEALTH CENTER
NSLIJ IMAGING AT GREAT SOUTH BAY
620 MAIN STREET	ISLIP	NY	11751	DIAGNOSTIC CENTER
PSYCHIATRY VA PROGRAM
132 EAST MAIN STREET	BAY SHORE	NY	11706	OUTPATIENT PHYSICIAN CLINIC
OAKDALE OBGYN
971 MONTAUK HWY	OAKDALE	NY	11769	OUTPATIENT PHYSICIAN CLINIC
BRIGHTWATER MEDICINE
200 HOWELLS ROAD	BAY SHORE	NY	11706	OUTPATIENT PHYSICIAN CLINIC
ISLIP INTERNAL MEDICINE
260 MAIN STREET	ISLIP	NY	11751	OUTPATIENT PHYSICIAN CLINIC
BERLIN OBGYN
2330 UNION BLVD	ISLIP	NY	11751	OUTPATIENT PHYSICIAN CLINIC
SOUTHSIDE PRIMARY CARE
375 E MAIN STREET	BAY SHORE	NY	11706	OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Identifier	PART VI - SUPPLEMENTAL INFORMATION	Identifier
Explanation	Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System, Inc. ("North Shore-LIJ") or ("the System"). North Shore-LIJ uses Federal Poverty Guidelines ("FPG') to determine eligibility. North Shore-LIJ utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets and will only review a patient's assets if they fall within the family size and income levels approved by New York State. 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. In the consideration of assets, the following assets will not be included: primary residence, tax-deferred or comparable retirement accounts, college savings accounts and cars used by the patient or patient's family. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (North Shore-LIJ Health System, Inc.) 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/NSLIJ/About+Us+Community+Service+Plans 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 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) is not included for purposes of calculating the percent of total expense in column (f). 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 hospital 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 7 (a)-(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 programs. Column (f) for Rows (a)-(k) Theses percentages are calculated using Net Community Benefit Expenses divided by Total Expenses, excluding bad debt, for the hospital. Note: For the entire North Shore-LIJ Health System, Part I, Line 7 Row (k), Column (f) is approximately 10.5% as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and are open to the public. These activities 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 the Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and is a designated 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 North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances will assist with the transport of patients throughout the metropolitan area, stand ready to distribute food, medicine, and blankets to numerous individuals who may lose power in their homes. 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. The bad debt expense is multiplied by the ratio of cost to charges for purposes of inclusion in the total uncompensated care amount identified. 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. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. As a result of the fulfillment of the exemption under 501(c)(3) of the Internal Revenue Code, a portion of the bad debt is derived from the hospital's obligation not to turn away the community it serves, regardless of ability to pay. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings to arrive at the routine costs of services provided for each patient type, and a 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 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 hospital'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 9: The hospital used the federal poverty guidelines (FPG) limit of 100% to determine eligibility for providing free care although in practice that percentage can be higher based on the facts and circumstances on a case by case basis. Part V, Section B, line 10: The hospital used the FPG limit of 500% to determine eligibility for providing discounted care. The amount of discounted care is based on the facts and circumstances on a case by case basis. Part V, Section B, line 11h: The hospital used the following factors to determine the basis for calculating amounts charged to patients: (a) income level, (b) asset level, (d) insurance status, (e) uninsured discount, (f) Medicaid/Medicare, (g) state regulation, and (h) other - household size. Part V, Section B, line 13g: The hospital used the following measures to publicize the policy within the community served by the hospital facility: (a) the policy is posted on the hospital facility's website, (b) the policy is attached to billing invoices, (c) the policy is posted in the hospital facility's emergency rooms or waiting rooms, (d) the policy is posted in the hospital facility's admissions offices, (e) the policy is provided, in writing, to patients on admission to the hospital facility, (f) the policy is available on request, (g) the policy is included in the hospital's Community Service Plan and (h) other - the policy is provided at health fairs and presentations open to the community at no cost, in addition to the mailing of	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL J DOWLING
0	1173096	0	1328000	0	20125	0	721638	0	21175	0	3264034	0	0
HOWARD GOLD
0	870612	0	140520	0	28636	0	333605	0	18029	0	1391402	0	0
MARK J SOLAZZO
0	975957	0	300000	0	36845	0	120413	0	18425	0	1451640	0	0
ROBERT S SHAPIRO
0	869950	0	155520	0	21870	0	244560	0	18220	0	1310120	0	0
LAWRENCE G SMITH MD
0	675150	0	75780	0	23793	0	26950	0	16987	0	818660	0	0
KEITH THOMPSON
0	697420	0	130000	0	29383	0	340418	0	15597	0	1212818	0	0
JEFFREY KRAUT
0	622817	0	120520	0	24012	0	203691	0	18040	0	989080	0	0
KATHLEEN GALLO RN PHD
0	574034	0	109780	0	28680	0	332498	0	15100	0	1060092	0	0
EUGENE TANGNEY
0	589571	0	105780	0	9800	0	74095	0	19862	0	799108	0	0
HARRY GINDI
0	272365	0	28591	0	3383	0	26950	0	15100	0	346389	0	0
RALPH NAPPI
0	649111	0	100000	0	25707	0	515655	0	18925	0	1309398	0	0
WINIFRED MACK
525841	0	93780	0	27093	0	278655	0	21925	0	947294	0	0	0
SALIL BAKSHI
487700	0	0	0	182345	0	19600	0	15100	0	704745	0	0	0
DANIEL BRANDENSTEIN
592537	0	0	0	66830	0	19600	0	15100	0	694067	0	0	0
PATRICIA O'SULLIVAN
417846	0	0	0	165495	0	19600	0	15100	0	618041	0	0	0
KANGMIN LEE
444077	0	0	0	100380	0	19600	0	15100	0	579157	0	0	0
DEBORAH TASCONE
0	777550	0	125260	0	21836	0	264841	0	21000	0	1210487	0	0
DONALD FAGELMAN
508889	0	0	0	18760	0	26950	0	15100	0	569699	0	0	0
ANTHONY FERRERI
0	880730	0	140660	0	19752	0	273335	0	17807	0	1332284	0	0
KEVIN LAWLOR
0	597817	0	119000	0	27990	0	296193	0	17251	0	1058251	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	PART I, LINE 4B	Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($694,688), Mark Solazzo ($93,463), Robert Shapiro ($217,610), Howard Gold ($306,655), Keith Thompson ($313,468), Jeffrey Kraut ($176,741), Kathleen Gallo ($305,548), Eugene Tangney ($47,145), Ralph Nappi ($488,705), Deborah Tascone ($237,891), Winifred Mack ($251,705), Anthony Ferreri ($235,564) and Kevin Lawlor ($273,978).
COMPENSATION CONTINGENT ON REVENUES	PART I, LINE 5A	Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
BONUS AND INCENTIVE COMPENSATION	PART I, LINE 7	On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	146000293	IssuerEIN
CUSIP Number	649906JT2	CUSIPNumber
Date Issued	2011-10-06	DateIssued
Issue Price	43487805	IssuePrice
Description Of Purpose	2011 BONDS	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	43488421	TotalProceeds
Amount In Reserve Fund	3497904	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	7914128	RefundingEscrow
Issuance Costs From Proceeds	770395	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	3382793	CapitalExpenditures
Other Spent Proceeds	17221761	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Current Refunding	true	CurrentRefunding
Advance Refunding	true	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE	Identifier
Return Reference	PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS	ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (30 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BOARD MEMBER RELATIONS	PART VI, SECTION A - GOVERNING BODY, LINE 2	All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Eric and Roger Blumencranz. John Alexander has a business relationship with John Shall and Stanley Applebaum. Philip Altheim has a business relationship with Eric Blumencranz. Stanley Applebaum has a business relationship with John Alexander and John Shall. Michael Ashner has a business relationship with William Mack. Morton Bass has a family relationship with Sandra Atlas Bass. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Richard Guarasci, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Seth Kupferberg, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, 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. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Robert Rosenthal, Richard Goldstein, Saul Katz. Philippe Dauman has a business relationship with Michael Hoffman. Daniel deRoulet has a family relationship with Lorinda deRoulet. Lorinda deRoulet has a family relationship with Daniel deRoulet. Leonard Feinstein has a business relationship with William Mack. Anthony Ferreri has a family and business relationship with John Shall. 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 Roger Blumencranz. Richard Guarasci has a business relationship with Eric Blumencranz. Paul Guenther has a business relationship with Michael Hoffman. William Hiltz has a business relationship with Michael Hoffman and Jeff Maurer. Michael Hoffman has a business relationship with Phillipe Dauman, Paul Guenther, Marlene Hess, William Hiltz and Richard Nye. Richard Horowitz has a business relationship with Eric and Roger Blumencranz. Jeffrey Jurick has a family relationship with Lynn Jurick. He has a business relationship with Eric and Roger Blumencranz. Lynn Jurick has a family relationship with Jeffrey Jurick. She has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. 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. Seth Kupferberg has a business relationship with Eric Blumencranz. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael 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. 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, Scott Rudolph, Richard Goldstein and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger 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 Blumencranz. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster and F.J. McCarthy. Dr Bernard Rosof has a business relationship with Huntington Hospital Trustees. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein, William Mack and Mark Claster. Scott Rudolph has a business relationship with William Mack. 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. 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 COMMITTEE	PART VI, SECTION B - POLICIES, LINE 11	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.
CONFLICTS OF INTEREST	PART VI, SECTION B - POLICIES, LINE 12C	The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
OFFICERS COMPENSATION	PART VI, SECTION B - POLICIES, LINE 15	The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the ceo for all persons others than the ceo. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
DISCLOSURES	PART VI, SECTION C - DISCLOSURES, LINE 19	CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
NON-COMPENSATED TRUSTEES	PART VII, SECTION A - LINE 1(A)	Richard S. Abramson Albert L. Granger,DDSKatherine McEnroe William Achenbaum Alan I. Greene James McMullen John W. Alexander James R. Greene Charles Merinoff Ira I. Altfeder Stanley Grey Aimee Merszei Philip S. Altheim Richard Guarasci,PhD Richard D. Monti Stanley A. Applebaum Paul B. Guenther Tomas D. Morales, PhD Michael L. Ashner Henry L. Hackmann Richard Murcott Beverly VP. Banker Amy M. Hagedorn Ralph A. Nappi Ralph M. Baruch Stephen L. Hammerman Richard B. Nye Morton M. Bass Ira Hazan Clyde I. Payne, Ed.D. Frank J. Besignano Linda W. Heaney Arnold S. Penner Elise M. Bloom Marlene Hess John J. Raggio Eric S. Blumencranz William O. Hiltz Lewis S. Ranieri Roger A. Blumencranz Michael Hoffman Jay R. Raubvogel David Blumenfeld Gedale B. Horowitz Corey Ribotsky Edward Blumenfeld Richard A. Horowitz Dennis Riese E. Steve Braun M. Allan Hyman Terry P. Rifkin, M.D. Dayton T. Brown, Jr Mark Jacobson Robert A. Rosen Allen E. Busching Jeffrey Jurick Marcie Rosenberg Jonathan S. Canno Lyn Jurick Robert D. Rosenthal Michael Caridi Arthur Kalish Bernard M. Rosof, M.D. Rev. Carolina Sr, Ed.D Steven L. Kantor Jack J. Ross Rudolph C. Carryl David M. Katz Barry Rubenstein Robert W. Chasanoff Michael Katz Herbert Rubin Alan Chopp Saul B. Katz Scott Rudolph Mark Claster Lisa A. Kaufman Michael H. Sahn Diana F. Colgate Robert Kaufman Frank W. Scarangello, Sr. Daniel M. Crown Cary Kravet Norman Schlanger Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Lorinda de Roulet Jeffrey B. Lane Robert F. Shapiro Thomas E. Dewey, Jr. Curt N. Launer Marc V. Shaw Thomas E. Dooley Laura Lauria Sean G. Simon Michael J. Dowling Kevin F. Lawlor Richard Sims Robert N. Downey Michale S. Leeds Michael C. Slade Melvin Dubin David W. Lehr Phyllis Hill Slater Patrick R. Edwards Jonathan W. Leigh Howard D. Stave Toni J. Elliott Sylvia Lester Russell Stern Michael A. Epstein Arthur S. Levine Maganlal Sutaria, M.D Leonard Feinstein Stuart R. Levine John B. Thomson, Jr. Michael E. Feldman Seth Lipsay Peter Tilles Anthony C. Ferreri David S. Mack Sandra Tytel Arlene Lane Fisher William L. Mack Nancy Waldbaum Catherine C. Foster Howard S. Maier Gary Walter William H. Frazier Linda Manfredi Howard Weingrow Eugene B. Friedman, M.D. James S. Marcus Lewis M. Weston Sy Garfinkel Bradley Marsh, D.P.M.Jon A. Wurtzburger Lloyd Michael Goldman Jeffrey S. Maurer Barbara Hrbek Zucker Richard D. Goldstein Ronald J. Mazzucco Donald Zucker J. Joaquin Gonzalez F.J. McCarthy Roy J. Zuckerberg Michael Gould Patrick F. McDermott
AVERAGE HOURS	PART VII, SECTION A - LINE 1A, COLUMN (B)	This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates.
GOVERNING BODY	PART VI, LINE 7	North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system.
RECONCILIATION OF NET ASSETS	PART XI, LINE 5	CHANGE IN NET UNREALIZED GAINS/LOSS (168,631) Change in Equity Under FAS 136 10,688,125 Defeasance of Long Term Debt (1,300,182) Medical Resident Tax Recovery 196,052 Net Assets Released 4,780 TOTAL 9,400,144
BY-LAW CHANGES	PART VI, SECTION A - GOVERNING BODY, LINE 4	The By-Law changes makes the corporation a member of an obligated group for financing purposes, with other member-hospitals of the North Shore-Long Island Jewish Health System.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MICHAEL J DOWLING TITLE:PRESIDENT & CEO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RALPH NAPPI TITLE:PRESIDENT, FOUNDATIONS HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM L MACK TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BARRY RUBENSTEIN TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ALAN I GREENE TITLE:TREASURER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DONALD ZUCKER TITLE:SECRETARY HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:NON-COMPENATED TRUSTEES TITLE:SEE SCHEDULE O HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ANTHONY FERRERI TITLE:PRESIDENT & CEO SIUH HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN LAWLOR TITLE:PRESIDENT & CEO HUNTINGTON HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HOWARD GOLD TITLE:SR VP, REVENUE & BUSINESS DEV HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK J SOLAZZO TITLE:EVP, CHIEF OPERATING OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ROBERT S SHAPIRO TITLE:SR VP, CHIEF FINANCIAL OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LAWRENCE G SMITH MD TITLE:EVP/PHYSICIAN IN CHIEF HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEITH THOMPSON TITLE:SR VP & GENERAL COUNSEL HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFFREY KRAUT TITLE:SR VP, STRATEGIC PLANNING HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KATHLEEN GALLO RN PHD TITLE:CHIEF LEARNING OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:EUGENE TANGNEY TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HARRY GINDI TITLE:ASSISTANT SECRETARY HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DEBORAH TASCONE TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (34 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
NORTH SHORE-LIJ HEALTH SYSTEM
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113418133	SUPPORT	NY	501(c)(3)	11, TYPE 1	NA	false
NORTH SHORE-LIJ HEALTH CARE INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112965586	SUPPORT	NY	501(c)(3)	11, TPYE 1	NS-LIJHS	false
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111562701	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112241326	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111633487	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112163522	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113241243	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112296824	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113412370	HEALTH CARE	NY	501(c)(3)	3	NS-LIJHS	false
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112673595	RESEARCH	NY	501(c)(3)	4	NS-LIJHS	false
NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112965575	FUNDRAISING	NY	501(c)(3)	7	NS-LIJHS	false
NSUH STERN FAMILY CECR
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237007485	NURSING HOME	NY	501(c)(3)	9	NS-LIJ HCI	false
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113251128	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS	false
LIJ FOUNDATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112661239	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS	false
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113473923	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS	false
SSH INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112774102	SUPPORT	NY	501(c)(3)	11, TYPE 1	SOUTHSIDE	false
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237273200	HOUSING	NY	501(c)(2)	N/A	NS-LIJHS	false
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112171903	HOUSING	NY	501(c)(2)	N/A	NS-LIJHS	false
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237010468	HOUSING	NY	501(c)(2)	N/A	NS-LIJHS	false
HILLSIDE HOSPITAL HOUSES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112113949	HOUSING	NY	501(c)(2)	N/A	NS-LIJHS	false
SIUH SYSTEMS INC
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	061074604	FUNDRAISING	NY	501(c)(3)	7	NS-LIJ HCI	false
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	112868878	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVE	STATEN ISLAND	NY	10305	870765787	FUNDRAISING	NY	501(c)(3)	7	SIUH	false
THE HEART INSTITUTE
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	311757254	SUPPORT	NY	501(c)(3)	11, TYPE 1	NA	false
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	113345477	INACTIVE	NY	501(c)(3)	9	SIUH	false
HOSPICE CARE NETWORK
99 SUNNYSIDE BLV	WOODBURY	NY	11797	112925757	HOSPICE	NY	501(c)(3)	9	NS-LIJHS	false
HUNTINGTON HOSPITAL
270 PARK AVENUE	HUNTINGTON	NY	11743	111630914	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RD	GREENLAWN	NY	11740	113368503	HEALTH CARE	NY	501(c)(3)	3	HUNTINGTON	false
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA STE 6TH FL	STATEN ISLAND	NY	10305	200096809	HEALTH CARE	NY	501(c)(3)	11, TYPE 1	SIUH	false
LENOX HILL HOSPITAL
100 EAST 77TH ST	NEW YORK	NY	10021	131624070	HEALTH CARE	NY	501(c)(3)	3	NS-LIJ HCI	false
LHH CORPORATION
100 EAST 77TH ST	NEW YORK	NY	10021	133272016	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS	false
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	113284934	GRADUATE SCHO	NY	501(c)(3)	2	NS-LIJHS	false
SPORTS PHYSICAL THERAPY & REHAB SVCS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	061655704	HEALTH CARE	NY	501(c)(3)	9	LIJ	false
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	263727582	HEALTH CARE	NY	501(c)(3)	3	NA	false

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	262838027	CONSULTING	NY	NA
POPULATION HEALTH MANAGEMENT LLC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	452409051	ACO	NY	NS-LIJ HCI
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	453572263	STATISTICS	NY	NS-LIJ HCI

Form990 Schedule R Part IV Form990ScheduleRPartIV (63 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113316922	HOLDING COMPANY	NY	NS-LIJHS	C
REGIONCARE INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113052191	HOMECARE	NY	NSHS ENTERPRISE	C
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	061605319	HOLDING COMPANY	NY	NSHS ENTERPRISE	C
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113336381	BUSINESS SERV	NY	NSH ENTERPRISES	C
REGIONAL INSURANCE COMPANY LTD
				000000000	INSURANCE		NS-LIJ HCI	C	C/O CEDAR HOUSE 41 CEDAR AVE	HAMILTON	BERMUDA	BD	HM 12	BD
ALETTA CORPORATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112622371	PHYSICIAN SER	NY	SOUTHSIDE	C
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK ST	BURLINGTON	VT	05401	261487515	INSURANCE	VT	NS-LIJ HCI	C
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	263651575	SUPPORT SERVI	NY	NA	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533659	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533670	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #3
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533678	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #4
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533677	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #5
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533675	HEALTH CARE	NY	LIJ	C
NORTH SHORE IPA 5
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113383468	BUSINESS SERV	NY	NS-LIJ HCI	C
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	320257193	SUPPORT SERVICE	NY	NS-LIJHS	C
LONG ISLAND MEDICAL CARE PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113217006	MEDICAL SERVICE	NY	NSUH	C
NORTH SHORE RADIOLOGY AT GLEN COVE PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113301179	MEDICAL SERVICE	NY	NSUH	C
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	223970667	MEDICAL SERVICE	NY	NSUH	C
STATEN ISLAND IMAGING CORP
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133615474	INACTIVE	NY	OVM	C
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133138888	MANAGEMENT SV	NY	SIUH	C
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133773601	INACTIVE	NY	OVM	C
REGENCY ALLIANCE SERVICES INC
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133277698	MANAGEMENT SV	NY	OVM	C
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	200011201	MEDICAL SERVICE	NY	SIUH	C
SIUH PERINATOLOGY PC
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	134107082	MEDICAL SERVICE	NY	SIUH	C
UNITED MEDICAL SURGICAL PC
256 MASON AVE	STATEN ISLAND	NY	10305	134038780	MEDICAL SERVICE	NY	SIUH	C
UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	133642729	MEDICAL SERVICE	NY	SIUH	S
EMERGENCY MEDICINE SERVICES OF SI PC
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	134200899	MEDICAL SERVICE	NY	SIUH	C
GOETHALS RADIOLOGY PC
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	200010287	MEDICAL SERVICE	NY	SIUH	C
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVENUE	STATEN ISLAND	NY	10305	331010283	MEDICAL SERVICE	NY	SIUH	C
STATEN ISLAND NEONATOLOGY PC
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	133375474	MEDICAL SERVICE	NY	SIUH	C
STATEN ISLAND MEDICAL INTENSIVIST PC
501 SEAVIEW AVE	STATEN ISLAND	NY	10305	043716494	MEDICAL SERVICE	NY	SIUH	C
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	273957752	MEDICAL SERVICE	NY	NSUH	C
ACTIVITY WORKS LLC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	264708923	MEDICAL SERVICE	NY	LIJ	LLC
PALLIATIVE CARE MEDICAL SERVICES PC
99 SUNNYSIDE BLVD	WOODBURY	NY	11797	273957835	MEDICAL SERVICE	NY	HOSPICE	C
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384249	MEDICAL SERVICE	NY	NSUH	C
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384049	MEDICAL SERVICE	NY	NSUH	C
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384146	MEDICAL SERVICE	NY	NSUH	C
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384326	MEDICAL SERVICE	NY	NSUH	C
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-A	NEW YORK	NY	10021	133775996	MANAGED CARE	NY	LENOX	C
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FL	NEW YORK	NY	10021	208784395	MEDICAL SERVICE	NY	LENOX	C
PARK LENOX OBGYN PC
130 EAST 77TH ST 2ND FL	NEW YORK	NY	10021	133596988	MEDICAL SERVICE	NY	LENOX	C
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH ST	NEW YORK	NY	10021	200719612	MEDICAL SERVICE	NY	LENOX	C
ADVANCED HEART PHYSICIANS & SURGEONS NET
130 EAST 77TH ST 4TH FL	NEW YORK	NY	10021	133853125	MEDICAL SERVICE	NY	LENOX	S
LENOX HILL CARDIOLOGY ASSOCIATES PC
100 EAST 77TH ST	NEW YORK	NY	10021	133385163	MEDICAL SERVICE	NY	LENOX	C
LENOX HILL ICV SERVICES PC
130 EAST 77TH ST 9TH FL	NEW YORK	NY	10021	201435770	MEDICAL SERVICE	NY	LENOX	C
LENOX HILL PATHOLOGY PC
100 EAST 77TH ST	NEW YORK	NY	10021	133644370	MEDICAL SERVICE	NY	LENOX	C
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77TH ST	NEW YORK	NY	10021	262661082	MEDICAL SERVICE	NY	LENOX	C
MANHATTAN MINIMALLY INVASIVE & BARIATRIC
186 EAST 76TH ST 1ST FL	NEW YORK	NY	10021	200250107	MEDICAL SERVICE	NY	LENOX	C
PARK LENOX MEDICAL PC
100 EAST 77TH ST	NEW YORK	NY	10021	133575380	MEDICAL SERVICE	NY	LENOX	C
PARK LENOX ORTHOPEDICS PC
100 EAST 77TH ST	NEW YORK	NY	10021	264634966	MEDICAL SERVICE	NY	LENOX	C
PARK LENOX PEDIATRICS PC
100 EAST 77TH ST	NEW YORK	NY	10021	133755683	MEDICAL SERVICE	NY	LENOX	C
PARK LENOX SURGICAL PC
130 EAST 77TH ST 13TH FL	NEW YORK	NY	10021	133397814	MEDICAL SERVICE	NY	LENOX	C
PARK LENOX PSYCHIATRY PC
130 EAST 77TH STREET	NEW YORK	NY	10021	133424466	MEDICAL SERVICE	NY	LENOX	C
VIVOHEALTH INC
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	264118016	INACTIVE	NY	NSH ENTERPRISE	C
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW ROAD	WESTBURY	NY	11590	270701489	INACTIVE	NY	RESEARCH	C
NORTH SHORE-LIJ CARDIOVASCULAR SERVICES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	275078717	MEDICAL SERVICE	NY	NSUH	C
NORTH SHORE-LIJ CARDIOLOGY PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	275078531	MEDICAL SERVICE	NY	NSUH	C
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	275078838	MEDICAL SERVICE	NY	NSUH	C
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	275078361	MEDICAL SERVICE	NY	NSUH	C
NS-LIJ MEDICAL GROUP URGENT MEDICAL CARE
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	275078426	MEDICAL SERVICE	NY	NSUH	C
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	452661543	MEDICAL SERVICE	NY	LENOX	C
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	453023019	MEDICAL SERVICE	NY	NSUH	C
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	451004103	MEDICAL SERVICE	NY	NSUH	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg