FOREST HILLS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: FOREST HILLS HOSPITAL (EIN 11-2163522)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201103159349300240
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T10:41:23-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	112163522	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FOREST HILLS HOSPITAL	BusinessNameLine1
Business Name Line2	C/O NORTH SHORE-LIJ HEALTH SYSTEM	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	FORE	NameControl
Phone	5168766061	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW ROAD 5TH FLOOR	AddressLine1
City	WESTBURY	City
State	NY	State
ZIP Code	11590	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROBERT S SHAPIRO	Name
Title	SR VICE PRES & CFO	Title
Date Signed	2011-11-11	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	145 COMMUNITY DRIVE	AddressLine1
City	GREAT NECK	City
State	NY	State
ZIP Code	11021	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	207364560	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.nslij.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	Forest Hills strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care and caring for the entire community regardless of the ability to pay.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	153	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	145	NbrIndependentVotingMembers
Total Nbr Employees	1417	TotalNbrEmployees
Total Nbr Volunteers	70	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	3271501	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	187827362	ProgramServiceRevenuePriorYear
Program Service Revenue CY	202575089	ProgramServiceRevenueCY
Investment Income Prior Year	1556897	InvestmentIncomePriorYear
Investment Income Current Year	110043	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1057827	OtherRevenuePriorYear
Other Revenue Current Year	944195	OtherRevenueCurrentYear
Total Revenue Prior Year	190442086	TotalRevenuePriorYear
Total Revenue Current Year	206900828	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	110071524	SalariesEtcPriorYear
Salaries Etc Current Year	120141125	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	152117	TotalFundrsngExpCurrentYear
Other Expense Prior Year	70350699	OtherExpensePriorYear
Other Expenses Current Year	71565937	OtherExpensesCurrentYear
Total Expenses Prior Year	180422223	TotalExpensesPriorYear
Total Expenses Current Year	191707062	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10019863	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	15193766	RevenuesLessExpensesCY
Total Assets BOY	76459864	TotalAssetsBOY
Total Assets EOY	79477997	TotalAssetsEOY
Total Liabilities BOY	109093939	TotalLiabilitiesBOY
Total Liabilities EOY	128425394	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-32634075	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-48947397	NetAssetsOrFundBalancesEOY
Mission Description	FOREST HILLS HOSPITAL IS PART OF THE NORTH SHORE-LIJ HEALTH SYSTEM ("THE SYSTEM"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	157412767	Expense
Grants	0	Grants
Revenue	192336665	Revenue
Description	Forest Hills Hospital is a 312-bed community hospital that provides inpatient medical and surgical care, intensive care, and obstetrics and gynecology services. It provides a broad range of maternal and new born health services, which include designation as a Level II Perinatal Center. The Emergency Department is a 911 receiving site and a certified heart station. In 2010, the hospital had 18,821 inpatient discharges, including the delivery of 2,294 babies, provided 45,625 Emergency Department visits, and performed 4,076 ambulatory surgeries, including endoscopies.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	9453650	Expense
Grants	0	Grants
Revenue	10238424	Revenue
Description	The Physician and Ambulatory Network Services (formerly Faculty Practice Plan) strive to make a measurable difference in the health status of communities it serves by providing a 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

Field	Value	IRS element (for citing)
Total Program Service Expense	166866417	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	28	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1417	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	EI	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	153	NbrVotingGoverningBodyMembers
Number Independent Voting Members	145	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	972 BRUSH HOLLOW ROAD 5TH FL	AddressLine1
City	WESTBURY	City
State	NY	State
ZIP Code	11590	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
MICHAEL DOWLING
PRESIDENT & CEO	50.0	X	X	0	2277050	718261
RICHARD D GOLDSTEIN
CHAIRMAN	3.0	X	X	0	0	0
WILLIAM L MACK
VICE CHAIRMAN	2.0	X	X	0	0	0
BARRY RUBENSTEIN
VICE CHAIRMAN	2.0	X	X	0	0	0
ALAN I GREENE
TREASURER	2.0	X	X	0	0	0
DONALD ZUCKER
SECRETARY	2.0	X	X	0	0	0
MARK CLASTER
VICE CHAIRMAN	2.0	X	X	0	0	0
RALPH NAPPI
TRUSTEE AND PRES FOUNDATION	50.0	X		0	646577	503966
NON-COMPENSATED TRUSTEES
SEE SCHEDULE 0	2.0	X		0	0	0
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH	50.0	X		0	993016	35815
KEVIN F LAWLOR
TRUSTEE & PRES/CEO HUNT. HOSP.	50.0	X		0	1609464	32542
HOWARD GOLD
SR VP MANAGED CARE	50.0		X	0	906189	37800
MARK J SOLAZZO
SR VP, CHIEF OPERATING OFFICER	50.0		X	0	1182635	120627
ROBERT S SHAPIRO
SR VP, CHIEF FINANCIAL OFFICER	50.0		X	0	904633	45500
LAWRENCE G SMITH
CHIEF MEDICAL OFFICER	50.0		X	0	750233	43175
KEITH THOMPSON
SR VP & GENERAL COUNSEL	50.0		X	0	764424	41477
JEFFREY KRAUT
SR VP, STRATEGIC PLANNING	50.0		X	0	703104	41925
KATHLEEN GALLO RN PHD
CHIEF LEARNING OFFICER	50.0		X	0	651962	40550
EUGENE TANGNEY
SR VP & CHF ADMIN OFFICER	50.0		X	0	611394	37800
HARRY GINDI
ASSISTANT SECRETARY	50.0		X	0	284942	41650
GERALYN RANDAZZO
EXECUTIVE DIRECTOR	50.0			457354	0	48262	X
DEBORAH TASCONE
REGIONAL EXECUTIVE DIRECTOR	50.0			0	853290	46900	X
GERARD BROGAN
CHIEF MEDICINE	50.0			611233	0	47437		X
MOISES TENEMBAUM
DIR, SURGERY	50.0			849410	0	41650		X
MICHAEL DREW
DIR, AMB SVC & RESIDENCY TRNG	50.0			530343	0	41650		X
MIRIAM SMITH
DIR, MEDICINE	50.0			298797	0	41650		X
SHYAMBHAI RAO
PHYSICIAN	50.0			284553	0	41650		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3031690	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	13138913	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2050287	TotalOtherCompensation
Number Individuals GT100 K	208	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
AXIS CONSTRUCTION cO
125 LASER CT	HAUPPAUGE	NY	11788	GENERAL CONTRACTOR	2526394
S AND D MEDICAL LLP
52 MAIN ST	BEDFORD HILLS	NY	10507	MEDICAL SERVICES	740504
RAVECO PC
20 GLENNDALE DR	OYSTER BAY	NY	11771	MEDICAL SERVICES	688861
THE NEW YORK STATE INSURANCE FUND
199 CHURCH ST	NEW YORK	NY	10007	INSURANCE	593360
KRAMER DILLOF LIVINGSTON AND MOORE
217 BROADWAY	NEW YORK	NY	10007	LEGAL SERVICES

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	12	NumberOfContractorsGT100K
Government Grants	3271501	GovernmentGrants
Total Contributions	3271501	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	621300	122412200	122412200
PHYSICIAN PRACTICE REVENUE	621300	10238424	10238424
MEDICARE/MEDICAID PAYMENTS	621300	69924465	69924465

Field	Value	IRS element (for citing)
Total Program Service Revenue	202575089	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	21426	TotalRevenueColumn
Exclusion	$21,426	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	52284	TotalRevenueColumn
Exclusion	$52,284	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	491365	Securities
Other	8700	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	463732	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	27633	Securities
Other	8700	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	36333	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	900099	646966	$646,966
RESIDENCY ROTATION	900099	130903		130903
TELEPHONE	900099	39051	$39,051

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	127275	TotalRevenueColumn
Related Or Exempt Function Income	9740	RelatedOrExemptFunctionIncome
Exclusion	$117,535	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	944195	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	206900828	TotalRevenueColumn
Related Or Exempt Function Income	202715732	RelatedOrExemptFunctionIncome
Exclusion	$877,262	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	457354	Total
Program Services	457354	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	89452264	Total
Program Services	80676997	ProgramServices
Management And General	8687514	ManagementAndGeneral
Fundraising	87753	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5550717	Total
Program Services	5006192	ProgramServices
Management And General	539080	ManagementAndGeneral
Fundraising	5445	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18714403	Total
Program Services	16878520	ProgramServices
Management And General	1817524	ManagementAndGeneral
Fundraising	18359	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5966387	Total
Program Services	5381084	ProgramServices
Management And General	579450	ManagementAndGeneral
Fundraising	5853	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	16930	Total
Management And General	16930	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4175588	Total
Program Services	3765963	ProgramServices
Management And General	405529	ManagementAndGeneral
Fundraising	4096	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	45631	Total
Program Services	41154	ProgramServices
Management And General	4432	ManagementAndGeneral
Fundraising	45	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	28467074	Total
Program Services	25674454	ProgramServices
Management And General	2764694	ManagementAndGeneral
Fundraising	27926	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2468993	Total
Program Services	2226785	ProgramServices
Management And General	239786	ManagementAndGeneral
Fundraising	2422	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	59161	Total
Program Services	59161	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	208288	Total
Program Services	208288	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	1915519	Total
Management And General	1915519	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5934414	Total
Program Services	5352248	ProgramServices
Management And General	582166	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	11536186	Total
Program Services	11536186	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	2834164	2834164
OTHER PURCHASED SERVICES	5895577	5895577
CENTRALIZED ADMIN EXP	7101712		7101712
DUES & SUBSCRIPTIONS	128910	116264	12646
BILLING AND COLLECTION	555931	555931

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	221859	Total
Program Services	200095	ProgramServices
Management And General	21546	ManagementAndGeneral
Fundraising	218	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	191707062	Total
Program Services	166866417	ProgramServices
Management And General	24688528	ManagementAndGeneral
Fundraising	152117	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	79994	BOY
EOY	109108	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	19813634	BOY
EOY	19233143	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1585341	BOY
EOY	1489433	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	58026	BOY
EOY	93417	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	99710659	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	48817839	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	50255960	BOY
EOY	50892820	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	3571493	BOY
EOY	3561674	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1095416	BOY
EOY	4098402	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	76459864	BOY
EOY	79477997	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	22643380	BOY
EOY	23923277	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	36286139	BOY
EOY	33933562	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	50164420	BOY
EOY	70568555	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	109093939	BOY
EOY	128425394	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-32809318	BOY
EOY	-49123957	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	175243	BOY
EOY	176560	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-32634075	BOY
EOY	-48947397	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	76459864	BOY
EOY	79477997	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	15193766	ReconcilationRevenueExpenses
Reconcilation Other Changes	-31507088	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	true	RalliesDemonstrations
Rallies Demonstrations	$17,856	RalliesDemonstrationsAmount
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	17856	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1013175	OtherCostOrOtherBasis
Book Value	1013175	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70632191	OtherCostOrOtherBasis
Depreciation	33772911	Depreciation
Book Value	36859280	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25217292	OtherCostOrOtherBasis
Depreciation	14807640	Depreciation
Book Value	10409652	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2848001	OtherCostOrOtherBasis
Depreciation	237288	Depreciation
Book Value	2610713	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	50892820	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
BOND FINANCING	1062320
INTEREST IN FOUNDATION	247595
OTHER ASSETS	45619
MALPRACTICE ASSETS	2742868

Field	Value	IRS element (for citing)
Total Book Value Other Assets	4098402	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ESTIMATED PAYABLE TO 3RD PARTY	$12,713,135
DUE TO AFFILIATES	$23,144,197
OTHER LIABILITIES	$15,765,495
MALPRACTICE SELF-INSURANCE	$17,124,652
ACCRUED RETIREMENT BENEFITS	$1,521,487
BOND PREM/DISC	$299,589

Field	Value	IRS element (for citing)
Total Of Amounts	70568555	TotalOfAmounts
Total Revenue	206900828	TotalRevenue
Total Expenses	191707062	TotalExpenses
Excess Or Deficit For Year	15193766	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1554	NetUnrealizedGLOnInvestments
Other	-$31,508,641	OtherAmount
Total Adjustments	-31507087	TotalAdjustments
Excess Or Deficit Per FS	-16313321	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	203904013	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1554	NetUnrealizedGainsInvestments
Other Revenues	273042	OtherRevenues
Revenue Not Rptd F990	274596	RevenueNotRptdF990
Revenue Subtotal	203629417	RevenueSubtotal
Other Revenues Not Included	3271411	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	3271411	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	206900828	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	191468804	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	191468804	ExpensesSubtotal
Other Expenses Not Included	238258	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	238258	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	191707062	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48	PART X, LINE 2	Certain organizations included in the System's consolidated financial statements are taxable entities under Federal or state laws. Generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2010 and 2009, 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 carryforwards. The System has net operating loss carryforwards of approximately $79,581,000, which expire in varying amounts through 2030, and are available to offset future taxable income.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 8	CHANGE IN EQUITY UNDER FAS 136 1,317 MEDICAL RESIDENT TAX RECOVERY 273,042 TRANSFERS TO AFFILIATES (31,783,000) TOTAL (31,508,641)
RECONCILIATION OF REVENUE	PART XII, LINE 2D AND LINE 4B	REVENUE ON BOOK NOT ON RETURN MEDICAL RESIDENT TAX RECOVERY 273,042 REVENUE ON RETURN NOT ON BOOK RESTRICTED CONTRIBUTIONS AND GRANTS 3,271,411
OTHER EXPENSE ON RETURN	PART XIII, LINE 4B	ADDITIONAL MINIMUM PENSION LIABILITY 238,258

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Type Of Activities Conducted	Investments	TypeOfActivitiesConducted

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

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	9835	PersonsServed
Total Community Benefit Expense	4834000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4575	DirectOffsettingRevenue
Net Community Benefit Expense	4829425	NetCommunityBenefitExpense
Percent Of Total Expense	0.02560	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	30676	PersonsServed
Total Community Benefit Expense	45646442	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35001808	DirectOffsettingRevenue
Net Community Benefit Expense	10644634	NetCommunityBenefitExpense
Percent Of Total Expense	0.05640	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	40511	PersonsServed
Total Community Benefit Expense	50480442	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35006383	DirectOffsettingRevenue
Net Community Benefit Expense	15474059	NetCommunityBenefitExpense
Percent Of Total Expense	0.08200	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	18621	PersonsServed
Total Community Benefit Expense	389755	TotalCommunityBenefitExpense
Net Community Benefit Expense	389755	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	368	PersonsServed
Total Community Benefit Expense	6665785	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3029709	DirectOffsettingRevenue
Net Community Benefit Expense	3636076	NetCommunityBenefitExpense
Percent Of Total Expense	0.01930	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	962	PersonsServed
Total Community Benefit Expense	21095	TotalCommunityBenefitExpense
Net Community Benefit Expense	21095	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Persons Served	80	PersonsServed
Total Community Benefit Expense	54758	TotalCommunityBenefitExpense
Net Community Benefit Expense	54758	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	66	NumberOfActivitiesOrPrograms
Persons Served	20031	PersonsServed
Total Community Benefit Expense	7131393	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3029709	DirectOffsettingRevenue
Net Community Benefit Expense	4101684	NetCommunityBenefitExpense
Percent Of Total Expense	0.02180	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	68	NumberOfActivitiesOrPrograms
Persons Served	60542	PersonsServed
Total Community Benefit Expense	57611835	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38036092	DirectOffsettingRevenue
Net Community Benefit Expense	19575743	NetCommunityBenefitExpense
Percent Of Total Expense	0.10380	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4	PersonsServed
Total Community Building Expense	4525	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4525	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4	PersonsServed
Total Community Building Expense	4525	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4525	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$717,300	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	58656579	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	45368720	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	13287859	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	102-01 66TH RD	AddressLine1
City	FOREST HILLS	City
State	NY	State
ZIP Code	11375	ZIPCode

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Identifier	PART VI - SUPPLEMENTAL INFORMATION	Identifier
Explanation	Part I, Line 3c: This hospital is an affiliated organization of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses 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 the New York State. Asset tests can not 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 - Long Island Jewish Health System) of the hospital. The Community Benefit Report is accessible to the public and can be accessed by clicking onto the link: 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 of for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary service. 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 departmental hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (g) Costs associated with Subsidized Health 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 departmental hourly rates, and were adjusted to include fringe benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. The organization does not include as Subsidized Health Services any costs attributed to a physician clinic. Such costs are reported as organization costs. Programs included in Subsidized Health Services include but not limited to services related to emergency medicine. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (a) The number of activities or programs was determined by counting unique community benefit activities or programs conducted throughout the year. Each activity or program may include multiple occurrences. In Part I line 7a-k, column (a) represents the total number of unique community benefit activities and programs; not the number of occurrences for each activity and program. Column (b) Persons served were determined by the unique number of community members that encountered a specific community benefit activity or program. Persons were reported multiple times when engaged in services in different categories of activity or program. Column (f) for Rows (a)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire North Shore-LIJ Health System, Part I, Line 7 (Row K, Column F) is approximately 11.91% as a percentage of expenses. Part III, Section A, 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. A portion of the bad debt is derived from the hospitals obligation not to turn away the community it serves, regardless of ability to pay. Part III, Section B Line 8: Medicare expenses in this section were obtained from the Medicare Cost Report. 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. The Ratio of cost to Charges (RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs and RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. This method excludes revenue and expenses related to Skilled Nursing Facilities, Home Health Care agencies, professional medical education, subsidized health services, community health improvement services and patient enrolled in Medicare managed care plans. The cost finding methodology utilized in the Medicare Cost Reports differ from the ratio of cost to charge (RCC) method used elsewhere in the Schedule H. If the RCC cost finding method had been utilized, and revenue and expenses from these activities been included in the report data, the Medicare surplus would be significantly reduced or eliminated. Part III, Section C, Line 9b: The organization's collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospital's collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Part V. Facility Information: Forest Hills Hospital (FHH) is a 312-bed community hospital that provides inpatient medical and surgical care, intensive care, and obstetrics and gynecology services. The hospital is designated as a Level II Perinatal service. The Emergency Department is a 911 receiving site and a certified heart station, as well as a New York State designated Stroke Center. Other Hospital programs include lithotripsy, brachytherapy for prostate cancer, and advanced wound healing. FHH is an accredited cancer program by the American College of Surgeons Commission on Cancer and is also a designated Bariatric Center of Excellence. Surgical services include: bloodless, bariatric, vascular, endovascular, laparoscopic, breast, pediatric, orthopedic, spine, and podiatry. A new Orthopedic Center of Excellence has been established, which includes a full spectrum of joint replacement, and supportive services. FHH offers a newly developed Adult Primary Care Clinic, surgical specialty clinics, and programs in Men's and Women's health. Part VI, line 2. NEEDS ASSESSMENT: Community Needs Assessment Strategies is done on an ongoing basis, North Shore-LIJ conducts and participates in population, demographic and health status evaluations of our respective hospitals' service areas and the regions we serve. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Ongoing input concerning our communities' needs is also obtained through: (1) Our Board of Trustees/Directors who are all area residents and leaders in their respective communities, (2) Facility based Advisory Boards and Councils, (3) The feedback received by our facility administrators and clinicians that serve on local community agency boa	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL DOWLING
0	1164432	0	1078000	0	34618	0	698299	0	19962	0	2995311	0	0
HOWARD GOLD
0	678149	0	200000	0	28040	0	26950	0	10850	0	943989	0	0
MARK J SOLAZZO
0	970945	0	175000	0	36690	0	104027	0	16600	0	1303262	0	0
ROBERT S SHAPIRO
0	747293	0	137000	0	20340	0	26950	0	18550	0	950133	0	0
LAWRENCE G SMITH
0	676878	0	50000	0	23355	0	26950	0	16225	0	793408	0	0
KEITH THOMPSON
0	622171	0	113000	0	29253	0	26950	0	14527	0	805901	0	0
JEFFREY KRAUT
0	573789	0	106000	0	23315	0	26950	0	14975	0	745029	0	0
KATHLEEN GALLO RN PHD
0	523533	0	100000	0	28429	0	26950	0	13600	0	692512	0	0
EUGENE TANGNEY
0	515844	0	85000	0	10550	0	26950	0	10850	0	649194	0	0
HARRY GINDI
0	273216	0	8343	0	3383	0	26950	0	14700	0	326592	0	0
RALPH NAPPI
0	624061	0	0	0	22516	0	484085	0	19881	0	1150543	0	0
GERALYN RANDAZZO
359576	0	65000	0	32778	0	26950	0	21312	0	505616	0	0	0
GERARD BROGAN
516728	0	93202	0	1303	0	26950	0	20487	0	658670	0	0	0
MOISES TENEMBAUM
830930	0	0	0	18480	0	26950	0	14700	0	891060	0	0	0
MICHAEL DREW
511863	0	0	0	18480	0	26950	0	14700	0	571993	0	0	0
MIRIAM SMITH
266149	0	0	0	32648	0	26950	0	14700	0	340447	0	0	0
SHYAMBHAI RAO
260563	0	12455	0	11535	0	26950	0	14700	0	326203	0	0	0
ANTHONY C FERRERI
0	817361	0	115000	0	60655	0	26460	0	9355	0	1028831	0	0
KEVIN F LAWLOR
0	578489	0	110000	0	920975	0	24278	0	8264	0	1642006	0	0
DEBORAH TASCONE
0	718050	0	132000	0	3240	0	26950	0	19950	0	900190	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	PART I, LINE 4B	Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($671,349), Ralph Nappi ($457,135) and Mark Solazzo ($77,077).
COMPENSATION CONTINGENT ON REVENUES	PART I, LINE 5A	Pursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the North Shore LIJ Health System based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
BONUS AND INCENTIVE COMPENSATION	PART I, LINE 7	On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii).
OTHER	PART II, LINE 3, B(III)	In 2010, Kevin Lawlor received proceeds from a split dollar life insurance policy established in 1995, under IRC Section 457(f). The proceeds to Lawlor ($877,969) were included as income in Box 5 of Form W-2.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
DORMITORY AUTHORITY OF NEW YORK STATE
146000293	64983Q4R7	2006-10-18	3106550	2005 BONDS-CAPITAL IMPROVEMENT	false	false	false
DORMITORY AUTHORITY OF NEW YORK STATE
146000293	649903LC3	2007-05-31	11222226	2007 A&B BONDS-CAP IMPROV & REFUND	true	false	false
DORMITORY AUTHORITY OF NEW YORK STATE
146000293	649905QL3	2009-09-17	4170965	2009 A&E BONDS-CAP IMPROV & REFI 2	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow
209361	2478691	170674	21730	84494	2201792	2010	true	false	true	true
3099007	11812445	832537	122788	2913448	2840920		true	true	false	true	218523	4749652
	4152121	455008	67614	1603758	683338		true	false	false	true	170537

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	true
false	false	false	false	true	true
false	false	false	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
false	false	false	false	false	true
CITIBANK NA
false	false	true	true	false	true	25.9	false	false	MBIA	18.1	true
(no name)
false	false	false	false	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEEDS	PART II, LINE 3	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS AND TRANSFERRED PROCEEDS.
2005 BONDS	SCHEDULE K, PART I, LINE A, COLUMN (D)	THE 2005 BONDS WERE REISSUED AND ACCORDINGLY THE RESISSUE DATE OF OCTOBER 16, 2006 APPEARS AS THE ISSUE DATE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (30 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BOARD MEMBER RELATIONS	PART VI, SECTION A - GOVERNING BODY, LINE 2	All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. " William Achenbaum has a business relationship with Eric and Roger Blumencranz. " John Alexander has a business relationship with John Shall and Stanley Applebaum. " 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. " Frank Besignano has a business relationship with Roger Blumencranz. " Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Arlene Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Robery Myers, Ralph Nappi, Dennis Riese, Donald Zucker and Barbara Zucker. " Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, Frank Besignano, Richard D. Goldstein, William Achenbaum, Alan Greene, James Greene, Stanley Grey, Richard Horowitz, Jeffrey Jurick, Lyn Jurick, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, David Pernick, Mark Solazzo, Donald Zucker, Barbara Zucker, Michael Katz and Saul Katz. " 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, and Barry Rubenstein. " Philippe Dauman has a business relationship with William Hiltz. " 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 Michael Feldman and William Mack. " Michael Feldman has a business relationship with Leonard Feinstein. " Anthony Ferreri has a family and business relationship with John Shall. " Arlene Fisher has a business relationship with Eric Blumencranz. " Lloyd Goldman has a business relationship with William Mack, Barry Rubenstein and Richard Goldstein. " Richard D. Goldstein has a business relationship with Mark Claster, Lloyd Goldman, William Mack, Roger Blumencranz, Eric Blumencranz, and Barry Rubenstein. " Joaquin Gonzalez has a business relationship with John Shall. " Alan I. Greene has a family relationship with James R. Greene. He has a business relationship with Eric and Roger Blumencranz. " James R. Greene has a family relationship with Alan I. Green. He has a business relationship with Eric and Roger Blumencranz. " Stanley Grey has a business relationship with Eric and Roger Blumencranz. " Paul Guenther has a business relationship with Michael Hoffman and William Hiltz. " William Hiltz has a business relationship with Philippe Dauman, Paul Guenther, Marlene Hess, Jeff Maurer and Richard Nye. " Michael Hoffman has a business relationship with Paul Guenther. (listed bc Paul lists him) " 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 Michael Slade and Roger Blumencranz. " Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with Donald Zucker, Mark Claster, Barry Rubenstein, Michael Slade and Roger Blumencranz. " Jeffrey Lane has a business relationship with William Mack. " Curt Launer has a business relationship with Michael Slade. " 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, Geoffrey Wharton and Roy Zuckerberg. " Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. " F.J. McCarthy has a business relationship with Robert Rosenthal. " Patrick McDermott has a business relationship with Alan Chopp and John Shall. " Richard Murcott has a business relationship with Barry Rubenstein. " Richard Nye has a business relationship with William Hiltz. " Clyde Payne has a business relationship with Scott Rudolph. " 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 Saul Katz, Richard Goldstein, William Mack, Richard Murcott, Lloyd Goldman, and Mark Claster. " Scott Rudolph has a business relationship with Clyde Payne and 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 Saul Katz, Michael Katz and Curt Launer. " Geoffrey Wharton has a business relationship with William Mack. " Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric Blumencranz and Roger Blumencranz. " Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Saul Katz, Eric Blumencranz and Roger Blumencranz. " Roy Zuckerberg has a business relationship with William Mack.
EXECUTIVE COMMITTEE	PART VI, SECTION B - POLICIES, LINE 11	All North Shore-LIJ Health System Inc. and affiliated entities prepare the annual Return of Organization Exempt Form Income Tax (Form 990) with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available for review to members of the Executive Committee. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
CONFLICTS OF INTEREST	PART VI, SECTION B-POLICIES, LINE 12C	The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to filled out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to the Health System's Audit and Corporate Compliance Committee and other applicable committees. In addition, the Health System provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
OFFICERS COMPENSATION	PART VI, SECTION B-POLICIES, LINE 15	The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the ceo for all persons others than the ceo. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. .All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
DISCLOSURE	PART VI, SECTION C - DISCLOSURE, LINE 19	CURRENTLY THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
NON-COMPENSATED TRUSTEES	PART VII, SECTION A - LINE 1A	Richard S. Abramson Albert L. Granger, DDSCharles Merinoff William Achenbaum Alan I. Greene Aimee Merszei John Alexander James R. Greene Marilyn B. Monter Ira I. Altfeder Stanley Grey Richard Don Monti Philip Altheim Paul B. Guenther Richard Murcott Stanley A. Applebaum Henry L. Hackmann Ralph A. Nappi Michael L. Ashner Amy M. Hagedorn Richard B. Nye Beverly VP. Banker Stephen L. Hammerman Clyde I. Payne, Ed.D. Ralph M. Baruch Ira Hazan Arnold S. Penner Morton M. Bass Linda W. Heaney John J. Raggio Frank J. Besignano Marlene Hess Lewis S. Ranieri Elise M. Bloom William O. Hiltz Jay R. Raubvogel Eric S. Blumencranz Michael Hoffman Angelo D. Reppucci, MD Roger A. Blumencranz Gedale B. Horowitz Corey Ribotsky David Blumenfeld Richard A. Horowitz Dennis Riese Edward Blumenfeld M. Allan Hyman Terry P. Rifkin, M.D. E. Steve Braun Mark Jacobson Robert A. Rosen Dayton T. Brown, Jr Jeffrey Jurick Alan S. Rosenberg, M.D. Allen E. Busching Lyn Jurick Marcie Rosenberg Jonathan S. Canno Arthur Kalish Robert D. Rosenthal Michael Caridi Steven L. Kantor Bernard M. Rosof, M.D. Rudolph C. Carryl David M. Katz Jack J. Ross Robert W. Chasanoff Michael Katz Barry Rubenstein Alan Chopp Saul B. Katz Herbert Rubin Mark Claster Lisa Kaufman Scott Rudolph Barry H. Cohen, MD Robert Kaufman Michael H. Sahn Diana F. Colgate Cary Kravet Frank W. Scarangello, Sr. Daniel M. Crown Stanley Kreitman Norman Schlanger Philippe P. Dauman Seth Kupferberg Lois C. Schlissel Daniel C. de Roulet Jeffrey B. Lane John M. Shall Lorinda de Roulet Curt Launer Robert F. Shapiro Thomas E. Dewey, Jr. Kevin F. Lawlor Marc V. Shaw Thomas E. Dooley Michale S. Leeds Sean G. Simon Michael J. Dowling David W. Lehr Richard Sims Robert N. Downey Jonathan W. Leigh Michael C. Slade Melvin Dubin Sylvia Lester Phyllis Hill Slater Patrick R. Edwards Arthur S. Levine Howard D. Stave Tony J. Elliott Stuart R. Levine Russell Stern Michael A. Epstein Seth Lipsay Maganlal Sutaria, M.D. Leonard Feinstein David S. Mack John B. Thomson, Jr. Michael E. Feldman William L. Mack Peter Tilles Anthony C. Ferreri Howard S. Maier Sandra Tytel Arlene Lane Fisher Linda Manfredi Gerard F. Vitale, M.D. Catherine C. Foster James S. Marcus Nancy Waldbaum Eugene B. Friedman, M.D.Bradley Marsh, D.P.M. Gary Walter Sy Garfinkel Jeffrey S. Maurer Howard Weingrow Anthony Giaccone Ronald J. Mazzucco Lewis M. Weston Lloyd Michael Goldman F.J. McCarthy Jon A. Wurtzburger Richard D. Goldstein Patrick F. McDermott Barbara Hrbek Zucker J. Joaquin Gonzalez Katherine McEnroe Donald Zucker Michael Gould Jim McMullen Roy Zuckerberg
AVERAGE HOURS	PART VII, SECTION A - LINE 1A, COLUMN (B)	This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates.
GOVERNING BODY	PART VI, LINE 7	North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system.
RECONCILIATION OF NET ASSETS	PART XI, LINE 5	CHANGE IN NET UNREALIZED GAINS/LOSSES 1,554 CHANGE IN EQUITY UNDER FAS 136 1,317 MEDICAL RESIDENT TAX RECOVERY 273,042 TRANSFERS TO AFFILIATES (31,783,000) TOTAL OTHER CHANGES IN NET ASSETS (31,5017,088)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MICHAEL DOWLING TITLE:PRESIDENT & CEO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RICHARD D GOLDSTEIN TITLE:CHAIRMAN HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM L MACK TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BARRY RUBENSTEIN TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ALAN I GREENE TITLE:TREASURER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DONALD ZUCKER TITLE:SECRETARY HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK CLASTER TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RALPH NAPPI TITLE:TRUSTEE AND PRES FOUNDATION HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE 0 HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ANTHONY C FERRERI TITLE:TRUSTEE AND PRES/CEO SIUH HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN F LAWLOR TITLE:TRUSTEE & PRES/CEO HUNT. HOSP. HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HOWARD GOLD TITLE:SR VP MANAGED CARE HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK J SOLAZZO TITLE:SR VP, CHIEF OPERATING OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ROBERT S SHAPIRO TITLE:SR VP, CHIEF FINANCIAL OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LAWRENCE G. SMITH TITLE:CHIEF MEDICAL OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEITH THOMPSON TITLE:SR VP & GENERAL COUNSEL HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFFREY KRAUT TITLE:SR VP, STRATEGIC PLANNING HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KATHLEEN GALLO RN PHD TITLE:CHIEF LEARNING OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:EUGENE TANGNEY TITLE:SR VP & CHF ADMIN OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HARRY GINDI TITLE:ASSISTANT SECRETARY HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DEBORAH TASCONE TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:50

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (32 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
NORTH SHORE-LIJ HEALTH SYSTEM
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113418133	SUPPORT	NY	501(c)(3)	11, TYPE 1	NA
NORTH SHORE-LIJ HEALTH CARE INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112965586	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111562701	HOSPITAL	NY	501(c)(3)	3	NS-LIJHS
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112241326	HOSPITAL	NY	501(c)(3)	3	NS-LIJHS
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111633487	HOSPITAL	NY	501(c)(3)	3	NS-LIJHS
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113241243	HOSPITAL	NY	501(c)(3)	3	NS-LIJHS
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112296824	HOSPITAL	NY	501(c)(3)	3	NS-LIJHS
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	111667761	HOSPITAL	NY	501(c)(3)	3	NS-LIJHS
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113412370	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112673595	RESEARCH	NY	501(c)(3)	4	NS-LIJHS
NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112965575	FUNDRAISING	NY	501(c)(3)	7	NS-LIJHS
NSUH STERN FAMILY CECR
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237007485	NURSING HOME	NY	501(c)(3)	9	NS-LIJHS
LIJ AT HOME PHARMACY
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113251128	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS
LIJ FOUNDATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112661239	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113473923	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS
SSH INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112774102	SUPPORT	NY	501(c)(3)	11, TYPE 1	NS-LIJHS
NORTH SHORE COMMUNITY SERVICES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237273200	HOUSING COMP	NY	501(c)(2)	N/A	NS-LIJHS
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112171903	HOUSING COMP	NY	501(c)(2)	N/A	NS-LIJHS
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	237010468	HOUSING COMP	NY	501(c)(2)	N/A	NS-LIJHS
HILLSIDE HOSPITAL HOUSES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112113949	HOUSING COMP	NY	501(c)(2)	N/A	NS-LIJHS
SIUH SYSTEMS INC
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	061074604	FUNDRAISING	NY	501(c)(3)	7	NS-LIJHS
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	112868878	HOSPITAL	NY	501(c)(3)	3	NS-LIJHS
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVE	STATEN ISLAND	NY	10305	870765787	FUNDRAISING	NY	501(c)(3)	7	SIUH
THE HEART INSTITUTE
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	311757254	SUPPORT	NY	501(c)(3)	11, TYPE 1	NA
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	113345477	INACTIVE	NY	501(c)(3)	9	SIUH
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVD	WOODBURY	NY	11797	112925757	HOSPICE	NY	501(c)(3)	9	NA
HUNTINGTON HOSPITAL
270 PARK AVENUE	HUNTINGTON	NY	11743	111630914	HOSPITAL	NY	501(c)(3)	3	NA
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RD	GREENLAWN	NY	11740	113368503	HEALTH CARE	NY	501(c)(3)	3	HUNTINGTON
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FL	STATEN ISLAND	NY	10305	200096809	HEALTH CARE	NY	501(c)(3)	11, TYPE 1	NA
LENOX HILL HOSPITAL
100 EAST 77TH ST	NEW YORK	NY	10021	131624070	HEALTH CARE	NY	501(c)(3)	3	NS-LIJHS
LHH CORPORATION
100 EAST 77TH ST	NEW YORK	NY	10021	133272016	SUPPORT	NY	501(c)(3)	11, TYPE 1	NA
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113284934	SCHOOL	NY	501(C)(3)	2	NS-LIJHS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	KRASNOFF CONSULTATIVE SERVICES LLC	BusinessNameLine1

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	262838027	EIN
Primary Activity	CONSULTING	PrimaryActivity
Legal Domicile State	NY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (57 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RD	WESTBURY	NY	10305	113316922	HOLDING COMPA	NY	NS-LIJ HC	C
REGIONCARE INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113052191	HOMECARE	NY	NS-LIJ HC	C
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	061605319	HOLDING COMPA	NY	NS-LIJ HC	C
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113336381	BUSINESS SERV	NY	NS-LIJ HC	C
REGIONAL INSURANCE COMPANY LTD
				000000000	INSURANCE		NS-LIJ HC	C	C/O CEDAR HOUSE 41 CEDAR AVE	HAMILTON	BERMUDA	BD	HM 12	BD
ALETTA CORPORATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	112622371	PHYSICIAN SER	NY	SOUTHSIDE	C
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK ST	BURLINGTON	VT	05401	261487515	INSURANCE	VA	NS-LIJ HC	C
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	263651575	SUPPORT SERVI	NY	NS-LIJHS	C
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	263727582	SUPPORT SERVI	NY	NSUH	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533659	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533670	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #3
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533678	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #4
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533677	HEALTH CARE	NY	LIJ	C
NORTH SHORE-LIJ HEALTH SYSTEM IPA #5
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113533675	HEALTH CARE	NY	LIJ	C
NORTH SHORE IPA 5 INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113383468			NS-LIJ HC	C
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	320257193	SUPPORT SERVI	NY	NS-LIJHS	C
LONG ISLAND MEDICAL CARE PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113217006	MEDICAL SERVI	NY	NA	C
NORTH SHORE RADIOLOGY AT GLEN COVE PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	113301179	MEDICAL SERVI	NY	NA	C
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	223970667	MEDICAL SERVI	NY	NA	C
SPORTS PHYSICAL THERAPY & REHABILITATION
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	061655704	MEDICAL SERVI	NY	NA	C
STATEN ISLAND IMAGING CORP
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133615474	INACTIVE	NY	OVM	C
OCEAN VIEW MANAGEMENT
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133138888	MANAGEMENT SV	NY	NA	C
OCEAN BREEZE HOME CARE AGENCY
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133773601	INACTIVE	NY	OVM	C
REGENCY ALLIANCE SERVICES INC
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	133277698	MANAGEMENT SV	NY	OVM	C
VERRAZANO RADIOLOGY ASSOCIATES PC
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	200011201	RADIOLOGY	NY	NA	C
SIUH PERINATOLOGY PC
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	134107082	MEDICAL SERVI	NY	NA	C
UNITED MEDICAL SURGICAL PC
256 MASON AVE	STATEN ISLAND	NY	10305	134038780	MEDICAL SERVI	NY	NA	C
UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	133642729	MEDICAL SERVI	NY	NA	S
EMERGENCY MEDICINE SERVICES OF SI PC
1 EDGEWATER PLAZA	STATEN ISLAND	NY	10305	134200899	MEDICAL SERVI	NY	NA	C
GOETHALS RADIOLOGY PC
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	200010287	RADIOLOGY SER	NY	NA	C
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVE	STATEN ISLAND	NY	10305	331010283	MEDICAL SERVI	NY	NA	C
STATEN ISLAND NEONATOLOGY PC
500 SEAVIEW AVE	STATEN ISLAND	NY	10305	133375474	MEDICAL SERVI	NY	NA	C
STATEN ISLAND MEDICAL INTENSIVITS PC
501 SEAVIEW AVE	STATEN ISLAND	NY	10305	043716494	MEDICAL SERVI	NY	NA	C
NS-LIJ MEDICCAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	273957752	MEDICAL SERVICES	NY	NA	C
ACTIVITY WORKS LLC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	264708923	MEDICAL SERVICES	NY	LIJ	LLC
PALLIATIVE CARE MEDICAL SERVICES PC
99 SUNNYSIDE BLVD	WOODBURY	NY	11797	273957835	MEDICAL SERVICES	NY	NA	C
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384249	MEDICAL SERVICES	NY	NA	C
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384049	MEDICAL SERVICES	NY	NA	C
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384146	MEDICAL SERVICES	NY	NA	C
NORTH SHORE-LIJ PHSYCIANS GROUP PC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	274384326	MEDICAL SERVICES	NY	NA	C
LENOX HILL PHYSICIANS HOSPITAL ORG
122 EAST 76TH ST STE 3-A	NEW YORK	NY	10021	133775996	MANAGED CARE	NY	NA	C
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH 2ND FL	NEW YORK	NY	10021	208784395	MEDICAL SERVICES	NY	NA	C
PARK LENOX OBGYN PC
130 EAST 77TH ST 2ND FL	NEW YORK	NY	10021	133596988	MEDICAL SERVICES	NY	NA	C
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH ST	NEW YORK	NY	10021	200719612	MEDICAL SERVICES	NY	NA	C
ADVANCED HEART PHYSICIANS & SURGEONS NET
130 EAST 77TH ST 4TH FL	NEW YORK	NY	10021	133853125	MEDICAL SERVICES	NY	NA	S
LENOX HILL CARDIOLOGY ASSOCIATES PC
100 EAST 77TH ST	NEW YORK	NY	10021	133385163	MEDICAL SERVICES	NY	NA	C
LENOX HILL ICV SERVICES PC
130 EAST 77TH 9TH FL	NEW YORK	NY	10021	201435770	MEDICAL SERVICES	NY	NA	C
LENOX HILL PATHOLOGY PC
100 EAST 77TH ST	NEW YORK	NY	10021	133644370	MEDICAL SERVICES	NY	NA	C
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77TH ST	NEW YORK	NY	10021	262661082	MEDICAL SERVICES	NY	NA	C
MANHATTAN MINIMALLY INVASIVE & BARIATRIC
186 EAST 76TH ST 1ST FL	NEW YORK	NY	10021	200250107	MEDICAL SERVICES	NY	NA	C
PARK LENOX MEDICAL PC
100 EAST 77TH ST	NEW YORK	NY	10021	133575380	MEDICAL SERVICES	NY	NA	C
PARK LENOX ORTHOPEDICS PC
100 EAST 77TH ST	NEW YORK	NY	10021	264634966	MEDICAL SERVICES	NY	NA	C
PARK LENOX PEDIATRICS PC
100 EAST 77TH ST	NEW YORK	NY	10021	133755683	MEDICAL SERVICES	NY	NA	C
PARK LENOX SURGICAL PC
130 EAST 77TH ST 13TH FL	NEW YORK	NY	10021	133397814	MEDICAL SERVICES	NY	NA	C
PARK LENOX PSYCHIATRY PC
130 EAST 77TH ST	NEW YORK	NY	10021	133424466	MEDICAL SERVICES	NY	NA	C
VIVOHEALTH INC
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	264118016	MEDICAL SERVICES	NY	NA	C
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RD	WESTBURY	NY	11590	270701489	MEDICAL SERVICES	NY	NA	C

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	NORTH SHORE-LIJ HEALTH CARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	O	TransactionType
Amount Involved	7101712	AmountInvolved