NORTH SHORE UNIVERSITY HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTH SHORE UNIVERSITY HOSPITAL (EIN 11-1562701)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-13
IRS object ID
201213489349300121
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-12-13T13:17:13-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111562701EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROADAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT S SHAPIROName
TitleEXEC VP & CFOTitle
Date Signed2012-12-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1145 COMMUNITY DRIVEAddressLine1
CityGREAT NECKCity
StateNYState
ZIP Code11021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1910614244GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nslij.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionNorth Shore strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community regardless of the ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body152NbrVotingMembersGoverningBody
Nbr Independent Voting Members144NbrIndependentVotingMembers
Total Nbr Employees9664TotalNbrEmployees
Total Nbr Volunteers849TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12005280ContributionsGrantsPriorYear
Contributions Grants Current Year17727430ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1541892267ProgramServiceRevenuePriorYear
Program Service Revenue CY1695742987ProgramServiceRevenueCY
Investment Income Prior Year19375346InvestmentIncomePriorYear
Investment Income Current Year18467354InvestmentIncomeCurrentYear
Other Revenue Prior Year24888672OtherRevenuePriorYear
Other Revenue Current Year25382365OtherRevenueCurrentYear
Total Revenue Prior Year1598161565TotalRevenuePriorYear
Total Revenue Current Year1757320136TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year893500909SalariesEtcPriorYear
Salaries Etc Current Year998751873SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1559295TotalFundrsngExpCurrentYear
Other Expense Prior Year619650578OtherExpensePriorYear
Other Expenses Current Year672038236OtherExpensesCurrentYear
Total Expenses Prior Year1513151487TotalExpensesPriorYear
Total Expenses Current Year1670790109TotalExpensesCurrentYear
Revenues Less Expenses Prior Year85010078RevenuesLessExpensesPriorYear
Revenues Less Expenses CY86530027RevenuesLessExpensesCY
Total Assets BOY1395560644TotalAssetsBOY
Total Assets EOY1678743557TotalAssetsEOY
Total Liabilities BOY829509838TotalLiabilitiesBOY
Total Liabilities EOY1078203825TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY566050806NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY600539732NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNORTH SHORE UNIVERSITY HOSPITAL IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense891382146Expense
Grants0Grants
Revenue1205704017Revenue
DescriptionNORTH SHORE UNIVERSITY HOSPITAL ("NSUH")IS AN 804-BED QUATERNARY CARE TEACHING HOSPITAL THAT SERVES AS THE CLINICAL CAMPUSFOR THE HOFSTRA NORTH SHORE-LIJ SCHOOL OF MEDICINE. NSUH is a major cardiac diagnostic, interventional and open heart surgical center. The hospital offers the largest cancer patient care, medical research and education network on Long Island. In 2011, NSUH had 49,032 inpatient discharges, delivered 5,926 babies, provided 83,976 emergency department visits and performed 20,161 ambulatory surgeries, including endoscopies and outpatient catheterizations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense329856203Expense
Grants0Grants
Revenue213494180Revenue
DescriptionThe 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 complete and comprehensive practice management infrastructure that enables the enterprise to achieve the financial status necessary to meet patient, physician and Health System needs.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense97693797Expense
Grants0Grants
Revenue106747452Revenue
DescriptionSyosset Hospital is a 103-bed community hospital that maintains a 911 response Emergency Department and inpatient services, including an intensive care unit, and telemetry unit, which serves as a surgical step-down unit. In 2011, the hospital had 4,156 inpatient discharges, provided 16,932 Emergency Department visits and performed 14,004 ambulatory surgeries.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense167512786Expense
Grants0Grants
Revenue169797338Revenue
DescriptionOTHERDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp167512786TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev169797338TotalOfOtherProgramServiceRev
Total Program Service Expense1486444932TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096212NumberFormsTransmittedWith1096
Number W2 G Included3NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9664NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryEINameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members152NbrVotingGoverningBodyMembers
Number Independent Voting Members144NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL DOWLING
PRESIDENT & CEO50.0XX02521221742813
RICHARD D GOLDSTEIN
CHAIRMAN3.0XX000
WILLIAM L MACK
VICE CHAIRMAN2.0XX000
BARRY RUBENSTEIN
VICE CHAIRMAN2.0XX000
ALAN I GREENE
TREASURER2.0XX000
DONALD ZUCKER
SECRETARY2.0XX000
MARK CLASTER
VICE CHAIRMAN2.0XX000
NON COMPENSATED TRUSTEES
SEE SCHEDULE O2.0X000
RALPH NAPPI
TRUSTEE AND PRES NSLIJ FOUND.50.0X0774818534580
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH50.0X01041142291142
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP50.0X0744807313444
HOWARD GOLD
SR VP REVENUE & BUSINESS DEV50.0X01039768351634
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER50.0X01312802138838
ROBERT S SHAPIRO
SR VP, CHIEF FINANCIAL OFFICER50.0X01047340262780
LAWRENCE G SMITH
EVP/PHYSICIAN IN CHIEF50.0X077472343937
KEITH THOMPSON
SR VP & GENERAL COUNSEL50.0X0856803356015
JEFFREY KRAUT
SR VP STRATEGIC PLANNING50.0X0767349221731
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER50.0X0712494347598
EUGENE TANGNEY
REGIONAL EXECUTIVE DIRECTOR50.0X070515193957
HARRY GINDI
ASSISTANT SECRETARY50.0X030433942050
SUSAN SOMERVILLE
EXECUTIVE DIRECTOR50.08976480221843X
ALAN HARTMAN
MED SCHOOL CHAIR50.01758564042050X
RAJ NARAYAN
MED SCHOOL CHAIR NEUROSURGERY50.01500325042050X
STANLEY KATZ
MED SCHOOL CHAIR CARDIOLOGY50.01493339046430X
LAURENCE SPIER
PHYSICIAN50.01488383034700X
RICK ESPOSITO
ASSOC CHAIRPERSON50.01450680042050X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8588939TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12602757TotalReportableCompFrmRltdOrgs
Total Other Compensation4169642TotalOtherCompensation
Number Individuals GT100 K1614NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AXIS CONSTRUCTION CO
125 LASER CTHAUPPAUGENY11788GENERAL CONTRACTOR18986063
TURNER CONSTRCUTION CO
375 HUDSON STNEW YORKNY10014GENERAL CONTRACTOR16901971
STANTEC ARCHITECTURE INC
2260 BRIGHTON HENRIETTA TL RDROCHESTERNY14623DESIGN CONSULTING7548620
MEDICAL LIABILITY MUTUAL INS CO
TWO PARK AVE RM 2500NEW YORKNY10016INSURANCE3765323
MICHAEL ANTHONY CONTRACTING
161 RAILROAD AVEGARDEN CITYNY11040GENERAL CONTRACTOR3200908
FieldValueIRS element (for citing)
Number Of Contractors GT100 K57NumberOfContractorsGT100K
Related Organizations7090188RelatedOrganizations
Government Grants10637242GovernmentGrants
Total Contributions17727430TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERV.62130011066948301106694830
FACULTY PRACTICE621300242671883242671883
MEDICARE/MEDICAID PAYMENTS621300346376274346376274
FieldValueIRS element (for citing)
Total Program Service Revenue1695742987TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11515385TotalRevenueColumn
Exclusion$11,515,385ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column580845TotalRevenueColumn
Exclusion$580,845ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities159643047Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities153251719Securities
Other20204Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6391328Securities
Other-20204Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6371124TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming60670GrossIncomeGaming
Gaming Direct Expenses22185GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column38485TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA INCOME9000993961880$3,961,880
CHARGEBACK REVENUE90009979631587963158
PHARMACY9000994423728$4,423,728

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8995114TotalRevenueColumn
Related Or Exempt Function Income77025RelatedOrExemptFunctionIncome
Exclusion$8,918,089ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue25343880TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1757320136TotalRevenueColumn
Related Or Exempt Function Income1703783170RelatedOrExemptFunctionIncome
Exclusion$29,399,927ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total897649Total
Program Services897649ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total782084674Total
Program Services736176304ProgramServices
Management And General44990203ManagementAndGeneral
Fundraising918167Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total45541978Total
Program Services42868665ProgramServices
Management And General2619847ManagementAndGeneral
Fundraising53466Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total125220426Total
Program Services117869987ProgramServices
Management And General7203430ManagementAndGeneral
Fundraising147009Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total45007146Total
Program Services42365227ProgramServices
Management And General2589081ManagementAndGeneral
Fundraising52838Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total135579Total
Management And General135579ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total30309702Total
Program Services28530522ProgramServices
Management And General1743596ManagementAndGeneral
Fundraising35584Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total797768Total
Program Services750939ProgramServices
Management And General45892ManagementAndGeneral
Fundraising937Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total247001645Total
Program Services232502648ProgramServices
Management And General14209017ManagementAndGeneral
Fundraising289980Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total44429791Total
Program Services41821762ProgramServices
Management And General2555868ManagementAndGeneral
Fundraising52161Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2813308Total
Program Services2813308ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2050889Total
Program Services2050889ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total12952902Total
Management And General12952902ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total68005852Total
Program Services64013908ProgramServices
Management And General3991944ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total61776110Total
Program Services61776110ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES6256390762563907
DUES & SUBSCRIPTIONS24536212309593144028
CENTRALIZED ADMIN EXP8915598089155980
BAD DEBT EXPENSE3979445239794452

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7796730Total
Program Services7339062ProgramServices
Management And General448515ManagementAndGeneral
Fundraising9153Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1670790109Total
Program Services1486444932ProgramServices
Management And General182785882ManagementAndGeneral
Fundraising1559295Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY551985884BOY
EOY535913524EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3084240BOY
EOY6516684EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY148921919BOY
EOY171144706EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15054988BOY
EOY15352045EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1542364BOY
EOY4673429EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis811743454LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec332572785LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY398432963BOY
EOY479170669EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY108595133BOY
EOY203609706EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY167943153BOY
EOY262362794EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1395560644BOY
EOY1678743557EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY187219647BOY
EOY228984546EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY251463147BOY
EOY236477733EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY14786806BOY
EOY11657064EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY376040238BOY
EOY601084482EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY829509838BOY
EOY1078203825EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY507838226BOY
EOY543461402EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40550360BOY
EOY39177776EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17662220BOY
EOY17900554EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY566050806BOY
EOY600539732EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1395560644BOY
EOY1678743557EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses86530027ReconcilationRevenueExpenses
Reconcilation Other Changes-52041101ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$184,101RalliesDemonstrationsAmount
Total Lobbying Expenditures IIB184101TotalLobbyingExpendituresIIB

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4631276OtherCostOrOtherBasis
Book Value4631276BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis459018860OtherCostOrOtherBasis
Depreciation205208178Depreciation
Book Value253810682BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8456338OtherCostOrOtherBasis
Depreciation1928350Depreciation
Book Value6527988BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis246218644OtherCostOrOtherBasis
Depreciation116943029Depreciation
Book Value129275615BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis93418336OtherCostOrOtherBasis
Depreciation8493228Depreciation
Book Value84925108BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings479170669TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSITS320083
BOND FINANCING5990563
INTEREST IN FOUNDATION7162129
OTHER CURRENT ASSETS3647390
OTHER ASSETS2289943
AUXILIARY ASSETS364562
INSURANCE CLAIMS RECEIVABLE177937921
DUE FROM AFFILIATE36585841
OTHER THIRD PARTY RECEIVABLES28064362
FieldValueIRS element (for citing)
Total Book Value Other Assets262362794TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
EST. PAYABLE TO THIRD PARTY$181,155,673
ACCRUED RETIREMENT BENEFITS$91,275,187
MALPRACTICE SELF-INSUR. LIAB.$136,183,000
INSURANCE CLAIMS LIABILITY$177,937,921
OTHER LIABILITY$2,400,182
LEASE INCENTIVE OBLIGATION$6,397,212
OTHER SHORT TERM BORROWINGS$7,500,000
SWAP VALUATION ALLOWANCE$2,149,499
BOND PREM/DISC$4,377,807
GAAP ADJUSTMENT FOR TELP-$8,291,999
FieldValueIRS element (for citing)
Total Of Amounts601084482TotalOfAmounts
Total Revenue1757320136TotalRevenue
Total Expenses1670790109TotalExpenses
Excess Or Deficit For Year86530027ExcessOrDeficitForYear
Net Unrealized GL On Investments-21659563NetUnrealizedGLOnInvestments
Other-$30,381,538OtherAmount
Total Adjustments-52041101TotalAdjustments
Excess Or Deficit Per FS34488926ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1733372879TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-20496917NetUnrealizedGainsInvestments
Other Revenues14699713OtherRevenues
Revenue Not Rptd F990-5797204RevenueNotRptdF990
Revenue Subtotal1739170083RevenueSubtotal
Other Revenues Not Included18150053OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt18150053RevenueNotRptdOnFinStmt
Total Revenue Per Form9901757320136TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1663687957TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1663687957ExpensesSubtotal
Other Expenses Not Included7102152OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7102152ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901670790109TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48PART X, LINE 2Certain 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 ASSETSPART XI, LINE 8CHANGE IN FV SWAP AGREEMENT-CASH FLOW (335,885) DEFEASANCE OF LONG TERM DEBT (104,964) NET ASSETS RELEASED (131,822) MEDICAL RESIDENT TAX RECOVERY 97,819 TRANSFERS TO AFFILIATES (30,338,634) CHANGE IN EQUITY UNDER FAS 136 431,948 TOTAL OTHER CHANGES (30,381,538)
RECONCILIAITON OF REVENUEPART XII, LINE 2D AND LINE 4BREVENUE ON BOOKS NOT ON RETURN DEFEASANCE OF LONG TERM DEBT (104,964) MEDICAL RESIDENT TAX RECOVERY 97,819 NET ASSETS RELEASED FROM RESTRICTION 14,706,858 TOTAL 14,699,713 REVENUE ON RETURN NOT ON BOOKS NSUH AUXILIARY 126,124 RESTRICTED INVESTMENT INCOME 951,688 RESTRICTED CONTRIBUTIONS 17,072,241 TOTAL 18,150,053
RECONCILIATION OF EXPENSEPART XIII, LINE 4BADDITIONAL MINIMUM PENSION LIABILITY 7,102,152
INTENDED USE OF ENDOWMENTSPART V, LINE 4There are various components that encompass the Endowment Fund. In general, their intended use is for teaching, research and training, major modernization, and purchases of equipment.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments107085976
Europe (Including Iceland and Greenland)Investments59879095
FieldValueIRS element (for citing)
Subtotal Amount Spent166965071SubtotalAmountSpent
Total Amount Spent166965071TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming60670GrossRevenueOtherGaming
Cash Prizes Other Gaming2500CashPrizesOtherGaming
Non Cash Prizes Other Gaming17370NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming2315OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming60670GrossRevenueTotalGaming
Cash Prizes Total Gaming2500CashPrizesTotalGaming
Non Cash Prizes Total Gaming17370NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming2315OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming22185DirectExpenseSummaryGaming
Net Gaming Income Summary38485NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNYStatesWhereGamingConducted
LicensedtrueLicensed
Explanation If NoNYExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper PersonNORTH SHORE-LIJ HEALTH SYSTEMNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served23347PersonsServed
Total Community Benefit Expense26600000TotalCommunityBenefitExpense
Direct Offsetting Revenue10158000DirectOffsettingRevenue
Net Community Benefit Expense16442000NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served54824PersonsServed
Total Community Benefit Expense140883897TotalCommunityBenefitExpense
Direct Offsetting Revenue109238318DirectOffsettingRevenue
Net Community Benefit Expense31645579NetCommunityBenefitExpense
Percent Of Total Expense0.02060PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served78171PersonsServed
Total Community Benefit Expense167483897TotalCommunityBenefitExpense
Direct Offsetting Revenue119396318DirectOffsettingRevenue
Net Community Benefit Expense48087579NetCommunityBenefitExpense
Percent Of Total Expense0.03130PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs408NumberOfActivitiesOrPrograms
Persons Served319108PersonsServed
Total Community Benefit Expense6232281TotalCommunityBenefitExpense
Direct Offsetting Revenue427496DirectOffsettingRevenue
Net Community Benefit Expense5804785NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs75NumberOfActivitiesOrPrograms
Persons Served3115PersonsServed
Total Community Benefit Expense88385043TotalCommunityBenefitExpense
Direct Offsetting Revenue36462403DirectOffsettingRevenue
Net Community Benefit Expense51922640NetCommunityBenefitExpense
Percent Of Total Expense0.03380PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense21710000TotalCommunityBenefitExpense
Net Community Benefit Expense21710000NetCommunityBenefitExpense
Percent Of Total Expense0.01410PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served96PersonsServed
Total Community Benefit Expense376744TotalCommunityBenefitExpense
Net Community Benefit Expense376744NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs516NumberOfActivitiesOrPrograms
Persons Served322319PersonsServed
Total Community Benefit Expense116704068TotalCommunityBenefitExpense
Direct Offsetting Revenue36889899DirectOffsettingRevenue
Net Community Benefit Expense79814169NetCommunityBenefitExpense
Percent Of Total Expense0.05190PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs518NumberOfActivitiesOrPrograms
Persons Served400490PersonsServed
Total Community Benefit Expense284187965TotalCommunityBenefitExpense
Direct Offsetting Revenue156286217DirectOffsettingRevenue
Net Community Benefit Expense127901748NetCommunityBenefitExpense
Percent Of Total Expense0.08320PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served184PersonsServed
Total Community Building Expense595607TotalCommunityBuildingExpense
Net Community Building Expense595607NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served184PersonsServed
Total Community Building Expense595607TotalCommunityBuildingExpense
Net Community Building Expense595607NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$36,576,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare370413427AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare371001937CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-588510MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
NORTH SHORE UNIVERSITY HOSPITAL
1300 COMMUNITY DRIVEMANHASSETNY11030XXXX
SYOSSET HOSPITAL
2221 JERICHO TPKESYOSSETNY11791XXXX

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

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
NORTH SHORE UNIVERSITY HOSPITAL
1truetrue100true500.trueXXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsetrue
SYOSSET HOSPITAL
2truetrue100true500.trueXXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsetrue

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities41NumberOfOtherFacilities

Other Facilities OtherFacilities (41 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
UNIVERSITY ORTHOPEDICS ASSOCIATES & SPIN
611 NORTHERN BLVDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
THE SMITH INSTITUTE FOR UROLOGY
450 LAKEVILLE ROADNEW HYDE PARKNY11040OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
1999 MARCUS AVENUE STE 106LAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
225 COMMUNITY DRIVEGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
CENTER FOR ADVANCED IMAGING
450 LAKEVILLE ROADLAKE SUCCESSNY11042DIAGNOSTIC CENTER
STARS
801 MERRICK AVENUEEAST MEADOWNY11554OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE OB-GYN ASSOCIATES
825 NORTHER BLVD STE 301 301AGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
MASSAPEQUA HEART ASSOCIATES
850 HICKVILLE ROAD STE 104SEAFORDNY11783OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ IMAGING AT GREAT NECK
935 NORTHERN BLVDGREAT NECKNY10021OUTPATIENT PHYSICIAN CLINIC
NSLIJ MEDICAL GROUP - CARDIOLOGY CONSULT
43 CROSSWAYS PARK DRIVEWOODBURYNY11797OUTPATIENT PHYSICIAN CLINIC
INSTALL SCOTT KELLY INSTITUTE FOR ORTHO
210 EAST 64TH STREETNEW YORKNY10065OUTPATIENT PHYSICIAN CLINIC
COMMUNITY CARDIOLOGY PC
800 COMMUNITY DRIVEMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE SURGICAL SPECIALISTS PC
310 EAST SHORE ROADMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
600 NORTHERN BLVDGREAT NEKCNY11021OUTPATIENT PHYSICIAN CLINIC
CENTER FOR COLON & RECTAL DISEASE
900 NORTHERN BLVD STE 100GREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL CARE AT WHITESTO
150-51/55 14TH AVENUEWHITESTONENY11357OUTPATIENT PHYSICIAN CLINIC
URGENT CARE CENTER
121 WEST 20TH STREETNEW YORKNY10011OUTPATIENT PHYSICIAN CLINIC
NS-LIJ IMMEDIATE CARE CENTER BETHPAGE
4300 HEMPSTEAD TPKEBETHPAGENY11714OUTPATIENT PHYSICIAN CLINIC
NEW YORK HEAD AND NECK INSTITTUE
130 EAST 77TH STREETNEW YORKNY10075OUTPATIENT PHYSICIAN CLINIC
INSALL SCOTT KELLY INSTITUTE FOR ORTHO &
1001 FRANKLIN AVENUE STE 110GARDEN CITYNY11530OUTPATIENT PHYSICIAN CLINIC
HUNTINGTON BARIATRICS
224 WALL STREETHUNTINGTONNY11743OUTPATIENT PHYSICIAN CLINIC
GREAT NECK MEDICAL ASSOCIATES
2800 MARCUS AVENUELAKE SUCCESSNY11042OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE UNIVERSITY HOSPITAL TRANSPLA
1554 NORTHERN BLVD 1ST FLMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
600 COMMUNITY DRIVE 3RD FLMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
RSC CARDIOLOGY
1000 NORHTERN BLVD STE 120GREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
WHITESTONE INTERNAL MEDICINE
23-22 30TH AVENUEASTORIANY11102OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERIVCES
900 NORTHERN BLVD STE 260GREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
MASSAPEQUA INTERNAL MEDICINE ASSOCIATES
850 HICKSVILLE ROAD STE 110SEAFORDNY11783OUTPATIENT PHYSICIAN CLINIC
ALL ABOUT WOMEN GYNECOLOGY
200 OLD COUNTRY ROADMINELOANY11501OUTPATIENT PHYSICIAN CLINIC
SPINE CENTER AT LYNBROOK
306 BROADWAYLYNBROOKNY11563OUTPATIENT PHYSICIAN CLINIC
LI HYPERTENSION & NEPHROLOGY PLLC
50 SEAVIEW BLVDPORT WASHINGTONNY11050OUTPATIENT PHYSICIAN CLINIC
PROSANA HEALTH
800 COMMUNITY DRIVE STE 308MANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
PHYSICIAN AMBULATORY NETWORK SERVICES
410 LAKEVILLE ROAD STE 104NEW HYDE PARKNY11042OUTPATIENT PHYSICIAN CLINIC
MASSAPEQUA INTERNAL MEDICINE ASSOCIATES
896 NORTH BROADWAYMASSAPEQUANY11758OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE SURGICAL ONCOLOGY
1000 NORTHERN BLVDGREAT NECKNY11021OUTPATIENT PHYSICIAN CLINIC
STARS
1554 NORTHERN BLVDMANHASSETNY11030OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP
475 MAIN STREETFARMINGDALENY11735OUTPATIENT PHYSICIAN CLINIC
FAMILY PRACTICE OF PORT WASHINGTON
14 MAPLE STREET STE 103PORT WASHINGTONNY11050FAMILY HEALTH CENTER
PHYSICIAN AMBULATORY NETWORK SERVICES
801 MERRICK AVENUEEAST MEADOWNY11554OUTPATIENT PHYSICIAN CLINIC
HUNTINGTON MEDICAL GROUP
180 EAST PULASKI ROADHUNTINGTONNY11743OUTPATIENT PHYSICIAN CLINIC
NORTH SHORE-LIJ MEDICAL GROUP OF FLUSHIN
136-17 39TH AVENUE 4TH FLFLUSHINGNY11354OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART VI - SUPPLEMENTAL INFORMATIONIdentifier
ExplanationPart 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 ofExplanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL DOWLING
011730960132800002012507216380211750326403400
HOWARD GOLD
0870612014052002863603336050180290139140200
MARK J SOLAZZO
0975957030000003684501204130184250145164000
ROBERT S SHAPIRO
0869950015552002187002445600182200131012000
LAWRENCE G SMITH
0675150075780023793026950016987081866000
KEITH THOMPSON
0697420013000002938303404180155970121281800
JEFFREY KRAUT
062281701205200240120203691018040098908000
KATHLEEN GALLO RN PHD
0574034010978002868003324980151000106009200
EUGENE TANGNEY
0589571010578009800074095019862079910800
HARRY GINDI
027236502859103383026950015100034638900
SUSAN SOMERVILLE
742108015398001560020674301510001119491000
ALAN HARTMAN
17249940003357002695001510001800614000
RAJ NARAYAN
1174955024078008459002695001510001542375000
RALPH NAPPI
0649111010000002570705156550189250130939800
STANLEY KATZ
1486709000663002695001948001539769000
LAURENCE SPIER
1487153000123001960001510001523083000
ANTHONY C FERRERI
0880730014066001975202733350178070133228400
KEVIN F LAWLOR
0597817011900002799002961930172510105825100
RICK ESPOSITO
14241480002653202695001510001492730000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART I, LINE 4BCertain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($694,688), Mark Solazzo ($93,463), Robert Shapiro ($217,610), Howard Gold ($306,655), Keith Thompson ($313,468), Jeffery Kraut ($176,741), Kathleen Gallo ($305,548), Eugene Tangney ($47,145), Ralph Nappi ($488,705), Susan Sommerville ($179,793), Anthony Ferreri ($235,564) and Kevin Lawlor ($273,978).
COMPENSATION CONTINGENT ON REVENUESPART I, LINE 5APursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
BONUS AND INCENTIVE COMPENSATIONPART I, LINE 7On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
14600029364983USV32003-08-14402439532003 BONDS - CAPITAL EXPENDITUREStruefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
14600029364983q4r72006-10-15799108172005 BONDS - CAPITAL EXPENDITURESfalsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
146000293649903LC32007-05-31892717022007 A&B BONDS-FACILITY RENOVATIONtruefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
146000293649905QL32009-09-17266465002009 A&E BONDS-CAPITAL IMPROV & REfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
71109400415364651918444015095458023320023864171121969521046192008truefalsetruetrue
72665270681447134682010005975090023233026054189102010truefalsetruetrue
23192051088538824598384017441912766166788346900209624822044064445886165truetruefalsetrue
0026586179290587420605310431955001174579643655510truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruetruetruetrue0.003300.00330true
falsetruetruetruetruetrue0.000370.00037true
falsefalsefalsefalse0true
falsefalsefalsefalse0true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
falsefalsefalsetrueMBIA29.7truetruetrue
0
falsefalsefalsefalse0falsetrue
CITIBANK NA
falsefalsetruetrueMBIA18.1truetruetrue25.9falsefalse
0
falsefalsefalsetrueMBIA29.7truetruetrue
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY OF THE STATE OF NEW YORKBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number000000000CUSIPNumber
Date Issued2008-12-31DateIssued
Issue Price8578266IssuePrice
Description Of PurposeTELP-PURCHASE OF EQUIPMENTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired436849AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds8581141TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures8581141CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUEIdentifier
Return ReferencePRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS AND TRANSFERRED PROCEEDReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (29 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOARD MEMBER RELATIONSPART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Eric and Roger Blumencranz. John Alexander has a business relationship with John Shall 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 COMMITTEEPART VI, SECTION B - POLICIES, LINE 11All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
CONFLICTS OF INTERESTPART VI, SECTION B - POLICIES, LINE 12CThe North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
OFFICERS COMPENSATIONPART VI, SECTION B - POLICIES, LINE 15The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
DISCLOSURESPART VI, SECTION C - DISCLOSURES, LINE 19CURRTENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
NON-COMPENSATED TRUSTEESPART VII, SECTION A - LINE 1ARichard S. Abramson 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 HOURSPART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates.
GOVERNING BODYPART VI, LINE 7North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system.
RECONCILIATION OF NET ASSETSPART XI, LINE 5CHANGE IN NET UNREALIZED GAINS/LOSSES (21,659,563) CHANGE IN EQUITY UNDER FAS 136 431,948 DEFEASANCE OF LONG TERM DEBT (104,964) CHANGE IN FV SWAP AGREEMENT-CASH FLOW (335,885) MEDICAL RESIDENT TAX RECOVERY 97,819 TRANSFERS TO AFFILIATES (30,338,634) NET ASSETS RELEASED FROM RESTRICTION (131,822) TOTAL (52,041,101)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL DOWLING TITLE:PRESIDENT & CEO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM L MACK TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BARRY RUBENSTEIN TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALAN I GREENE TITLE:TREASURER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD ZUCKER TITLE:SECRETARY HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK CLASTER TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NON COMPENSATED TRUSTEES TITLE:SEE SCHEDULE O HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RALPH NAPPI TITLE:TRUSTEE AND PRES NSLIJ FOUND. HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANTHONY C FERRERI TITLE:TRUSTEE AND PRES/CEO SIUH HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEVIN F LAWLOR TITLE:TRUSTEE AND PRES/CEO HUNT HOSP HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HOWARD GOLD TITLE:SR VP REVENUE & BUSINESS DEV HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK J SOLAZZO TITLE:EVP, CHIEF OPERATING OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT S SHAPIRO TITLE:SR VP, CHIEF FINANCIAL OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LAWRENCE G SMITH TITLE:EVP/PHYSICIAN IN CHIEF HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEITH THOMPSON TITLE:SR VP & GENERAL COUNSEL HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFFREY KRAUT TITLE:SR VP STRATEGIC PLANNING HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KATHLEEN GALLO RN PHD TITLE:SR VP & CHF LEARNING OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EUGENE TANGNEY TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HARRY GINDI TITLE:ASSISTANT SECRETARY HOURS:50

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NORTH SHORE-LIJ HEALTH SYSTEM
972 BRUSH HOLLOW RDWESTBURYNY11590113418133SUPPORTNY501(C)(3)11, TYPE 1NAfalse
NORTH SHORE-LIJ HEALTH CARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590112965586SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112163522HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590113241243HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112296824HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111667761HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NS-LIJHSfalse
NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NS-LIJHSfalse
NSUH STERN FAMILY CECR
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NS-LIJ HCIfalse
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1SOUTHSIDEfalse
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
HILLSIDE HOSPITAL HOUSES
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(2)N/ANS-LIJHSfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254SUPPORTNY501(C)(3)11, TYPE 1NAfalse
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZASTATEN ISLANDNY10305113345477INACTIVENY501(C)(3)9SIUHfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NS-LIJHSfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE 1SIUHfalse
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3NS-LIJ HCIfalse
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHSfalse
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROADWESTBURYNY11590113284934GRADUATE SCHONY501(C)(3)2NS-LIJHSfalse
SPORTS PHYSICAL THERAPY & REHAB SERVICES
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)11, TYPE 1LIJfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYNA
POPULATION HEALTH MANAGEMENT LLC
972 BRUSH HOLLOW RDWESTBURYNY11590452409051ACONYHCI
LONG ISLAND BEHAVIORAL HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590453572263STATISTICSNYRELATED

Form990 Schedule R Part IV Form990ScheduleRPartIV (63 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPNYNS-LIJHSC
REGIONCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTC
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPNYNSHS ENTERPRISEC
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTERPRISESC
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENS-LIJ HCICC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SERVNYSOUTHSIDEC
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK STBURLINGTONVT05401261487515INSURANCEVTNS-LIJ HCIC
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORT SERVICESNYNS-LIJHSC
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RDWESTBURYNY11590113533659HEALTH CARENYLIJC
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJC
NORTH SHORE-LIJ HEALTH SYSTEM IPA #3
972 BRUSH HOLLOW RDWESTBURYNY11590113533678HEALTH CARENYLIJC
NORTH SHORE-LIJ HEALTH SYSTEM IPA #4
972 BRUSH HOLLOW RDWESTBURYNY11590113533677HEALTH CARENYLIJC
NORTH SHORE-LIJ HEALTH SYSTEM IPA #5
972 BRUSH HOLLOW RDWESTBURYNY11590113533675HEALTH CARENYLIJC
NORTH SHORE IPA 5
972 BRUSH HOLLOW RDWESTBURYNY11590113383468BUSINESS SERVNYNS-LIJ HCIC
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SERVICESNYNS-LIJHSC
LONG ISLAND MEDICAL CARE PC
972 BRUSH HOLLOW RDWESTBURYNY11590113217006MEDICAL SERVICESNYNSUHC001.00000
NORTH SHORE RADIOLOGY AT GLEN COVE PC
972 BRUSH HOLLOW RDWESTBURYNY11590113301179MEDICAL SERVICESNYNSUHC449160515375201.00000
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVICESNYNSUHC1042467414334541.00000
STATEN ISLAND IMAGING CORP
1 EDGEWATER PLAZASTATEN ISLANDNY10305133615474INACTIVENYOVMC
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZASTATEN ISLANDNY10305133138888MANAGEMENT SVNYSIUHC
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZASTATEN ISLANDNY10305133773601INACTIVENYOVMC
REGENCY ALLIANCE SERVICES INC
1 EDGEWATER PLAZASTATEN ISLANDNY10305133277698MANAGEMENT SVNYOVMC
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVESTATEN ISLANDNY10305200011201MEDICAL SERVICESNYSIUHC
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SERVICESNYSIUHC
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780MEDICAL SERVICESNYSIUHC
UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG
500 SEAVIEW AVESTATEN ISLANDNY10305133642729MEDICAL SERVICESNYSIUHS
EMERGENCY MEDICINE SERVICES OF SI PC
1 EDGEWATER PLAZASTATEN ISLANDNY10305134200899MEDICAL SERVICESNYSIUHC
GOETHALS RADIOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305200010287MEDICAL SERVICESNYSIUHC
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVESTATEN ISLANDNY10305331010283MEDICAL SERVICESNYSIUHC
STATEN ISLAND NEONATOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305133375474MEDICAL SERVICESNYSIUHC
STATEN ISLAND MEDICAL INTENSIVIST PC
501 SEAVIEW AVESTATEN ISLANDNY10305043716494MEDICAL SERVICESNYSIUHC
ACTIVITY WORKS LLC
972 BRUSH HOLLOW RDWESTBURYNY11590264708923MEDICAL SERVICESNYLIJLLC
PALLIATIVE CARE MEDICAL SERVICES PC
99 SUNNYSIDE BLVDWOODBURYNY11797273957835MEDICAL SERVICESNYHOSPICEC
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MEDICAL SERVICESNYNSUHC37960771313721.00000
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MEDICAL SERVICESNYNSUHC001.00000
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MEDICAL SERVICESNYNSUHC001.00000
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SERVICESNYNSUHC22575346682801.00000
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SERVICESNYNSUHC001.00000
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-ANEW YORKNY10021133775996MANAGED CARENYLENOX HILLC
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MEDICAL SERVICESNYLENOX HILLC
PARK LENOX OBGYN PC
130 EAST 77TH ST 2ND FLNEW YORKNY10021133596988MEDICAL SERVICESNYLENOX HILLC
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH STNEW YORKNY10021200719612MEDICAL SERVICESNYSIUHC
ADVANCED HEART PHYSICIANS & SURGEONS NET
130 EAST 77TH ST 4TH FLNEW YORKNY10021133853125MEDICAL SERVICESNYLENOX HILLS
LENOX HILL CARDIOLOGY ASSOCIATES PC
100 EAST 77TH STNEW YORKNY10021133385163MEDICAL SERVICESNYLENOX HILLC
LENOX HILL ICVS PC
130 EAST 77TH ST 9TH FLNEW YORKNY10021201435770MEDICAL SERVICESNYLENOX HILLC
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY10021133644370MEDICAL SERVICESNYLENOX HILLC
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77THNEW YORKNY10021262661082MEDICAL SERVICESNYLENOX HILLC
MANHATTAN MINIMALLY INVASIVE & BARIATRIC
186 EAST 76TH ST 1ST FLNEW YORKNY10021200250107MEDICAL SERVICESNYLENOX HILLC
PARK LENOX MEDICAL PC
100 EAST 77TH STNEW YORKNY10021133575380MEDICAL SERVICESNYLENOX HILLC
PARK LENOX ORTHOPEDICS PC
100 EAST 77TH STNEW YORKNY10021264634966MEDICAL SERVICESNYLENOX HILLC
PARK LENOX PEDIATRICS PC
100 EAST 77TH STNEW YORKNY10021133755863MEDICAL SERVICESNYLENOX HILLC
PARK LENOX SURGICAL PC
130 EAST 77TH ST 13TH FLNEW YORKNY10021133397814MEDICAL SERVICESNYLENOX HILLC
PARK LENOX PSYHCHIATRY PC
133424466MEDICAL SERVICESNYLENOX HILLC
VIVOHEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590264118016MEDICAL SERVICESNYNSH ENTERPRISESC
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RDWESTBURYNY11590270701489MEDICAL SERVICESNYRESEARCHC
NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SERVICESNYNSUHC61481275218031.00000
NORTH SHORE-LIJ CARDIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MEDICAL SERVICESNYNSUHC001.00000
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SERVICESNYNSUHC001.00000
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078361MEDICAL SERVICESNYNSUHC001.00000
NS-LIJ MEDICAL GROUP URGENT MEDICAL CARE
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MEDICAL SERVICESNYNSUHC001.00000
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MEDICAL SERVICESNYLENOX HILLC
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590453023019MEDICAL SERVICESNYNSUHC001.00000
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SERVICESNYNSUHC001.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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