NORTH SHORE UNIVERSITY HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTH SHORE UNIVERSITY HOSPITAL (EIN 11-1562701)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201103159349301540
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-11T10:41:27-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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)
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
TitleSR VICE PRES & CFOTitle
Date Signed2011-11-11DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts1695397248GrossReceipts
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 Body153NbrVotingMembersGoverningBody
Nbr Independent Voting Members145NbrIndependentVotingMembers
Total Nbr Employees9187TotalNbrEmployees
Total Nbr Volunteers849TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year24509510ContributionsGrantsPriorYear
Contributions Grants Current Year12005280ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1492252014ProgramServiceRevenuePriorYear
Program Service Revenue CY1541892267ProgramServiceRevenueCY
Investment Income Prior Year19922114InvestmentIncomePriorYear
Investment Income Current Year19375346InvestmentIncomeCurrentYear
Other Revenue Prior Year11233963OtherRevenuePriorYear
Other Revenue Current Year24888672OtherRevenueCurrentYear
Total Revenue Prior Year1547917601TotalRevenuePriorYear
Total Revenue Current Year1598161565TotalRevenueCurrentYear
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 Year874228370SalariesEtcPriorYear
Salaries Etc Current Year893500909SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1256828TotalFundrsngExpCurrentYear
Other Expense Prior Year586514383OtherExpensePriorYear
Other Expenses Current Year619650578OtherExpensesCurrentYear
Total Expenses Prior Year1460742753TotalExpensesPriorYear
Total Expenses Current Year1513151487TotalExpensesCurrentYear
Revenues Less Expenses Prior Year87174848RevenuesLessExpensesPriorYear
Revenues Less Expenses CY85010078RevenuesLessExpensesCY
Total Assets BOY1242626879TotalAssetsBOY
Total Assets EOY1395560644TotalAssetsEOY
Total Liabilities BOY817000053TotalLiabilitiesBOY
Total Liabilities EOY829509838TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY425626826NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY566050806NetAssetsOrFundBalancesEOY
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
Expense840903524Expense
Grants0Grants
Revenue1118887372Revenue
DescriptionNORTH SHORE UNIVERSITY HOSPITAL ("NSUH")IS A 812-CERTIFIED BED TERTIARY CARE TEACHING HOSPITAL. 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 2010, NSUH had 55,124 inpatient discharges, including the delivery of 5,828 babies. NSUH provided 80,807 emergency department visits and performed 19,009 ambulatory surgeries, including endoscopies and outpatient catheterizations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense273677246Expense
Grants0Grants
Revenue192229733Revenue
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)
Expense92280631Expense
Grants0Grants
Revenue101555217Revenue
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 2010, the hospital had 4,495 inpatient discharges, provided 16,549 Emergency Department visits and performed 13,883 ambulatory surgeries.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense135870389Expense
Grants0Grants
Revenue129219945Revenue
DescriptionOTHERDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp135870389TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev129219945TotalOfOtherProgramServiceRev
Total Program Service Expense1342731790TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096407NumberFormsTransmittedWith1096
Number W2 G Included4NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9187NumberOfEmployees
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 Members153NbrVotingGoverningBodyMembers
Number Independent Voting Members145NumberIndependentVotingMembers
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 PolicyfalseDocumentRetentionPolicy
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 SYSTEMNamePerson
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 & CEO50.0XX02277050718261
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.50.0X0646577503966
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH50.0X099301635815
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP50.0X0160946432542
HOWARD GOLD
SR VP REVENUE & BUSINESS DEV50.0X090618937800
MARK J SOLAZZO
SR VP, CHIEF OPERATING OFFICER50.0X01182635120627
ROBERT S SHAPIRO
SR VP, CHIEF FINANCIAL OFFICER50.0X090463345500
LAWRENCE G SMITH
CHF MEDICAL OFFICER50.0X075023343175
KEITH THOMPSON
SR VP & GENERAL COUNSEL50.0X076442441477
JEFFREY KRAUT
SR VP STRATEGIC PLANNING50.0X070310441925
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER50.0X065196240550
EUGENE TANGNEY
SR VP & CHF ADMIN OFFICER50.0X061139437800
HARRY GINDI
ASSISTANT SECRETARY50.0X028494241650
SUSAN SOMERVILLE
EXECUTIVE DIRECTOR50.0798884040850X
ALAN HARTMAN
MED SCHOOL CHAIR50.01611805047487X
DAVID CHALIF
DIR, NEUROVASCULAR50.01585860040850X
STANLEY KATZ
SVP CARDIOLOGY SVCS50.01478867045700X
RICK ESPOSITO
ASSOC CHAIRPERSON50.01315950040850X
RAJ NARAYAN
MED SCHOOL CHAIR, NEUROSURGERY50.01287033040850X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8078399TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12285623TotalReportableCompFrmRltdOrgs
Total Other Compensation1997675TotalOtherCompensation
Number Individuals GT100 K1478NumberIndividualsGT100K
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 CONTRACTOR19639538
THE NEW YORK STATE INSURANCE FUND
199 CHURCH STNEW YORKNY10007INSURANCE4697015
RACANELLI CONSTRUCTION COMPANY
1895 WALT WHITMAN RD STE 1MELVILLENY11747GENERAL CONTRACTOR3135462
PHYSICIANS RECIPRICAL INSURERS
PO BOX 3247NEW YORKNY10016INSURANCE3082226
MEDICAL LIABILITY MUTUAL INS CO
TWO PARK AVE RM 2500NEW YORKNY10016INSURANCE2411649
FieldValueIRS element (for citing)
Number Of Contractors GT100 K44NumberOfContractorsGT100K
Related Organizations7990526RelatedOrganizations
Government Grants4014754GovernmentGrants
Total Contributions12005280TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERV.621300966633372966633372
FACULTY PRACTICE621300212067994212067994
MEDICARE/MEDICAID PAYMENTS621300363190901363190901
FieldValueIRS element (for citing)
Total Program Service Revenue1541892267TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12935968TotalRevenueColumn
Exclusion$12,935,968ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column656839TotalRevenueColumn
Exclusion$656,839ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities102987808Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities97205269Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5782539Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5782539TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming51559GrossIncomeGaming
Gaming Direct Expenses30414GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column21145TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA INCOME9000994166692$4,166,692
CHARGEBACK REVENUE9000996629137$6,629,137
PARKING LOT9000992116163$2,116,163

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11955535TotalRevenueColumn
Related Or Exempt Function Income63777RelatedOrExemptFunctionIncome
Exclusion$11,891,758ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue24867527TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1598161565TotalRevenueColumn
Related Or Exempt Function Income1541956044RelatedOrExemptFunctionIncome
Exclusion$38,396,557ExclusionAmount

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)
Total798885Total
Program Services798885ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total706726904Total
Program Services670118450ProgramServices
Management And General35876285ManagementAndGeneral
Fundraising732169Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36669314Total
Program Services34769844ProgramServices
Management And General1861481ManagementAndGeneral
Fundraising37989Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total108321228Total
Program Services102710188ProgramServices
Management And General5498819ManagementAndGeneral
Fundraising112221Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total40984578Total
Program Services38861577ProgramServices
Management And General2080541ManagementAndGeneral
Fundraising42460Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total309604Total
Management And General309604ManagementAndGeneral

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)
Total18444461Total
Program Services17489038ProgramServices
Management And General936315ManagementAndGeneral
Fundraising19108Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total777964Total
Program Services737665ProgramServices
Management And General39493ManagementAndGeneral
Fundraising806Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total250852490Total
Program Services237858331ProgramServices
Management And General12734276ManagementAndGeneral
Fundraising259883Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total39753388Total
Program Services37694162ProgramServices
Management And General2018041ManagementAndGeneral
Fundraising41185Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2078413Total
Program Services2078413ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1606755Total
Program Services1606755ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total14456703Total
Management And General14456703ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total48175523Total
Program Services45680031ProgramServices
Management And General2495492ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total68972074Total
Program Services68972074ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES3821568838215688
DUES & SUBSCRIPTIONS1624614154045984155
CENTRALIZED ADMIN EXP9023233990232339
BAD DEBT EXPENSE3352637633526376
OTHER DIRECT COSTS106241861007385453932511007

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1513151487Total
Program Services1342731790ProgramServices
Management And General169162869ManagementAndGeneral
Fundraising1256828Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY492155739BOY
EOY551985884EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7469094BOY
EOY3084240EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY143692712BOY
EOY148921919EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY18472465BOY
EOY15054988EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1621165BOY
EOY1542364EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis706665224LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec308232261LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY380434919BOY
EOY398432963EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY95718393BOY
EOY108595133EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY103062392BOY
EOY167943153EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1242626879BOY
EOY1395560644EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY169294155BOY
EOY187219647EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY268740698BOY
EOY251463147EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY18467505BOY
EOY14786806EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY360497695BOY
EOY376040238EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY817000053BOY
EOY829509838EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY351492179BOY
EOY507838226EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY56990574BOY
EOY40550360EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17144073BOY
EOY17662220EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY425626826BOY
EOY566050806EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1242626879BOY
EOY1395560644EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses85010078ReconcilationRevenueExpenses
Reconcilation Other Changes55413902ReconcilationOtherChanges
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$157,275RalliesDemonstrationsAmount
Total Lobbying Expenditures IIB157275TotalLobbyingExpendituresIIB

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 Balance16999619BeginningOfYearBalance
Contributions518147Contributions
Investment Earnings Or Losses2263679InvestmentEarningsOrLosses
Other Expenditures624353OtherExpenditures
End Of Year Balance19157092EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis417272659OtherCostOrOtherBasis
Depreciation191590180Depreciation
Book Value225682479BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8456506OtherCostOrOtherBasis
Depreciation1582153Depreciation
Book Value6874353BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis195385907OtherCostOrOtherBasis
Depreciation107546108Depreciation
Book Value87839799BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis80918877OtherCostOrOtherBasis
Depreciation7513820Depreciation
Book Value73405057BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings398432964TotalOfBookValueLandBuildings

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSITS235987
MALPRACTICE VALUATION95659780
BOND FINANCING6561755
INTEREST IN FOUNDATION9972134
OTHER CURRENT ASSETS3667377
OTHER ASSETS3919816
AUXILIARY ASSETS238438
DEFERRED COMPENSATION ASSETS2561708
DUE FROM AFFILIATE811245
OTHER THIRD PARTY RECEIVABLES27249254
ST VINCENTS LEASE17065659
FieldValueIRS element (for citing)
Total Book Value Other Assets167943153TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
EST. PAYABLE TO THIRD PARTY$153,348,451
ACCRUED RETIREMENT BENEFITS$77,679,370
MALPRACTICE SELF-INSUR. LIAB.$113,617,309
OTHER LIABILITY$14,122,990
LEASE INCENTIVE OBLIGATION$6,725,274
OTHER SHORT TERM BORROWINGS$11,900,000
SWAP VALUATION ALLOWANCE$1,864,021
BOND PREM/DISC$4,574,700
GAAP ADJUSTMENT FOR TELP-$7,791,877
FieldValueIRS element (for citing)
Total Of Amounts376040238TotalOfAmounts
Total Revenue1598161565TotalRevenue
Total Expenses1513151487TotalExpenses
Excess Or Deficit For Year85010078ExcessOrDeficitForYear
Net Unrealized GL On Investments36538580NetUnrealizedGLOnInvestments
Other$18,875,322OtherAmount
Total Adjustments55413902TotalAdjustments
Excess Or Deficit Per FS140423980ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1646519221TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments34718854NetUnrealizedGainsInvestments
Other Revenues25400341OtherRevenues
Revenue Not Rptd F99060119195RevenueNotRptdF990
Revenue Subtotal1586400026RevenueSubtotal
Other Revenues Not Included11761539OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt11761539RevenueNotRptdOnFinStmt
Total Revenue Per Form9901598161565TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1513151487TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1513151487ExpensesSubtotal
Total Expenses Per Form9901513151487TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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, 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 ASSETSPART XI, LINE 8CHANGE IN FV SWAP AGREEMENT-CASH FLOW ( 505,966) CHANGE IN FV SWAP AGREEMENT-DERIVATIVE 20 NET ASSETS RELEASED 65 MEDICAL RESIDENT TAX RECOVERY 15,390,591 TRANSFERS TO AFFILIATES 2,689,506 ADDITIONAL MINIMUM PENSION LIABILITY 4,542,022 CHANGE IN EQUITY UNDER FAS 136 (3,240,916) TOTAL OTHER CHANGES 18,875,322
RECONCILIAITON OF REVENUEPART XII, LINE 2D AND LINE 4BREVENUE ON BOOKS NOT ON RETURN CHANGE IN FV SWAP AGREEMENT-DERIVATIVE 20 MEDICAL RESIDENT TAX RECOVERY 15,390,591 NET ASSETS RELEASED FROM RESTRICTION 10,009,730 TOTAL 25,400,341 REVENUE ON RETURN NOT ON BOOKS NSUH AUXILIARY (138,229) RESTRICTED INVESTMENT INCOME 678,718 PRIOR YEAR ADJUSTMENT 2,870 RESTRICTED CONTRIBUTIONS 11,218,180 TOTAL 11,761,539
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

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
FieldValueIRS element (for citing)
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 Gaming51559GrossRevenueOtherGaming
Cash Prizes Other Gaming16000CashPrizesOtherGaming
Non Cash Prizes Other Gaming12000NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming2414OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming51559GrossRevenueTotalGaming
Cash Prizes Total Gaming16000CashPrizesTotalGaming
Non Cash Prizes Total Gaming12000NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming2414OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming30414DirectExpenseSummaryGaming
Net Gaming Income Summary21145NetGamingIncomeSummary
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 Served36866PersonsServed
Total Community Benefit Expense30353000TotalCommunityBenefitExpense
Direct Offsetting Revenue12833979DirectOffsettingRevenue
Net Community Benefit Expense17519021NetCommunityBenefitExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served48748PersonsServed
Total Community Benefit Expense143607423TotalCommunityBenefitExpense
Direct Offsetting Revenue97616019DirectOffsettingRevenue
Net Community Benefit Expense45991404NetCommunityBenefitExpense
Percent Of Total Expense0.03240PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served85614PersonsServed
Total Community Benefit Expense173960423TotalCommunityBenefitExpense
Direct Offsetting Revenue110449998DirectOffsettingRevenue
Net Community Benefit Expense63510425NetCommunityBenefitExpense
Percent Of Total Expense0.04480PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs180NumberOfActivitiesOrPrograms
Persons Served217447PersonsServed
Total Community Benefit Expense5890158TotalCommunityBenefitExpense
Direct Offsetting Revenue248146DirectOffsettingRevenue
Net Community Benefit Expense5642012NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs85NumberOfActivitiesOrPrograms
Persons Served7287PersonsServed
Total Community Benefit Expense92859481TotalCommunityBenefitExpense
Direct Offsetting Revenue34524211DirectOffsettingRevenue
Net Community Benefit Expense58335270NetCommunityBenefitExpense
Percent Of Total Expense0.04120PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served13198PersonsServed
Total Community Benefit Expense96763TotalCommunityBenefitExpense
Net Community Benefit Expense96763NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense15464639TotalCommunityBenefitExpense
Net Community Benefit Expense15464639NetCommunityBenefitExpense
Percent Of Total Expense0.01090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs87NumberOfActivitiesOrPrograms
Persons Served422PersonsServed
Total Community Benefit Expense340246TotalCommunityBenefitExpense
Net Community Benefit Expense340246NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs362NumberOfActivitiesOrPrograms
Persons Served238354PersonsServed
Total Community Benefit Expense114651287TotalCommunityBenefitExpense
Direct Offsetting Revenue34772357DirectOffsettingRevenue
Net Community Benefit Expense79878930NetCommunityBenefitExpense
Percent Of Total Expense0.05640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs364NumberOfActivitiesOrPrograms
Persons Served323968PersonsServed
Total Community Benefit Expense288611710TotalCommunityBenefitExpense
Direct Offsetting Revenue145222355DirectOffsettingRevenue
Net Community Benefit Expense143389355NetCommunityBenefitExpense
Percent Of Total Expense0.10120PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served2493PersonsServed
Total Community Building Expense692262TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense692262NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served2493PersonsServed
Total Community Building Expense692262TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense692262NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$5,483,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare360159156AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare349553927CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall10605229MedicareSurplusOrShortfall

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 NumberHospitalFacilityNumber
NORTH SHORE UNIVERSITY HOSPITAL
1
SYOSSET HOSPITAL
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities13NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CENTER FOR ADVANCED MEDICINE
450 LAKEVILLE ROADLAKE SUCCESSNY11042OUTPATIENT FACILITY DIAGNOSTIC IMAGING CANCER CENTER
NSLIJ IMAGING AT ISLIP
620 MAIN STREETISLIPNY11751DIAGNOSTIC IMAGING
CENTER FOR COLON AND RECTAL DISEASE
900 NORTHERN BLVDGREAT NECKNY10021OUTPATIENT FACILITY
NORTH SHORE-LIJ IMAGING AT GREAT NECK
935 NORTHERN BLVDGREAT NECKNY10021DIAGNOSTIC IMAGING
SPECIALTY MEDICAL CENTER
68-60 AUSTIN STREET STE 502FOREST HILLSNY11375OUTPATIENT FACILITY
NS-LIJ MEDICAL GROUP AT FLUSHING
136-17 39TH AVENUE 4TH FL STE CF-FLUSHINGNY11354OUTPATIENT FACILITY
NS-LIJ MEDICAL GROUP AT GARDEN CITY
1001 FRANKLIN AVENUE STE 106GARDEN CITYNY11530OUTPATIENT FACILITY
NS-LIJ MEDICAL GROUP AT WHITESTONE
10-55 14TH AVENUE 2ND FLWHITESTONENY11357OUTPATIENT FACILITY
NS-LIJ IMMEDIATE CARE CENTER-BETHPAGE
4300 HEMPSTEAD TURNPIKEBETHPAGENY11714OUTPATIENT FACILITY
NSUH OB-GYN ASSOCIATES
825 NORTHERN BLVD STE 301GREAT NECKNY11021OUTPATIENT FACILITY
HAGEDORN CLEFT PALATE AND CRANIOFACIAL
225 COMMUNITY DRIVEMANHASSETNY11030OUTPATIENT FACILITY
SPORTS THERAPY & REHABILITATION SERVICES
801 MERRICK AVENUEEAST MEADOWNY11554OUTPATIENT - REHABILITATION
STARS MANHASSET
1554 NORTHERN BLVDMANHASSETNY11030OUTPATIENT - REHABILITATION

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierPART VI - SUPPLEMENTAL INFORMATIONIdentifier
ExplanationPart 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: North Shore University Hospital (NSUH) is an 804-bed quaternary care teaching hospital that serves as the clinical campus for the Hofstra North Shore - LIJ School of Medicine and as an academic affiliate of Albert Einstein College of Medicine of Yeshiva University. NSUH provides a comprehensive continuum of inpatient and outpatient services for adults and children, providing medical, surgical, obstetrics/gynecology, dental and psychiatric services. NSUH offers a wide range of specialty and subspecialty residency and post-graduate training programs and various clinical fellowships. In addition to the main tertiary hospital, its facilities include ambulatory surgical centers, community health center with dental and psychiatric clinics, an eye center, a dialysis center, and an autism center. NSUH is also 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. NSUH is home to The Stern Family Center for Extended Care & Rehabilitation (CECR), a 256 bed rehabilitation and care center. Syosset 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 also serves as a surgical step-down unit. The hospital's state-of-the-art Center for Surgical Specialties focuses on ambulatory surgery or other surgeries requiring only a short-term hospital stay such as laparoscopy, endoscopy, laser, bariatric and other advanced procedures. The Davis eye center and ambulatory care at Syosset Hospital offers the most up-to-date care for patients. Syosset Hospital is a NYS DOH-Designated Stroke Center and a Bariatric SurgerExplanation

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
011644320107800003461806982990199620299531100
HOWARD GOLD
06781490200000028040026950010850094398900
MARK J SOLAZZO
0970945017500003669001040270166000130326200
ROBERT S SHAPIRO
07472930137000020340026950018550095013300
LAWRENCE G SMITH
0676878050000023355026950016225079340800
KEITH THOMPSON
06221710113000029253026950014527080590100
JEFFREY KRAUT
05737890106000023315026950014975074502900
KATHLEEN GALLO RN PHD
05235330100000028429026950013600069251200
EUGENE TANGNEY
0515844085000010550026950010850064919400
HARRY GINDI
02732160834303383026950014700032659200
SUSAN SOMERVILLE
66600501220000108790269500139000839734000
ALAN HARTMAN
1477304010114803335302695002053701659292000
DAVID CHALIF
15645700002129002695001390001626710000
RALPH NAPPI
06240610002251604840850198810115054300
STANLEY KATZ
137088101036560433002695001875001524567000
RICK ESPOSITO
1280728093203429002695001390001356800000
ANTHONY C FERRERI
08173610115000060655026460093550102883100
KEVIN F LAWLOR
057848901100000920975024278082640164200600
RAJ NARAYAN
117722700010980602695001390001327883000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 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 ($671,349), Mark Solazzo ($77,077) and Ralph Nappi ($457,135).
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).
OTHERPART II, LINE 2, 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 (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF NEW YORK STATE
14600029364983USV32003-08-14402439532003 BONDS - CAPITAL EXPENDITUtruefalsefalse
DORMITORY AUTHORITY OF NEW YORK STATE
14600029364983Q4R72006-10-18799108172005 BONDS - CAPITAL EXPENDITUfalsefalsefalse
DORMITORY AUTHORITY OF NEW YORK STATE
146000293649903LC32007-05-31892717022007 A&B BONDS-FACILITY RENOVATIONtruefalsefalse
DORMITORY AUTHORITY OF NEW YORK STATE
146000293649905QL32009-09-17266465002009 A&E BONDS-CAPITAL IMPROV & REfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
6063763415341261918377150949280230423863331121965221045602008truefalsetruetrue
69980448285198457049137263502824273735964492010truefalsetruetrue
246522929396682566227471738329976766231761862259924010986347truetruefalsetrue37783011
2652611129068491089485431955102457184365551truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruetruetrue0.003300.00330true
falsetruetruetruetrue0.003700.00370true
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
MBIA
falsefalsefalsetrue29.7truetruetrue
(no name)
falsefalsefalsefalsefalsetrue
CITIBANK NA
falsefalsetruetrue18.1truefalsetrue25.9falsefalse
(no name)
falsefalsefalsefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCEEDSPART II, LINE 3THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN(E) DUE TO INVESTMENT EARNINGS AND TRANSFERRED PROCEEDS.
2005 BONDSPART I, LINE B, 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 (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. " 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 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, DDS Charles 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 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 36,538,580 ADDITIONAL MINIMUM PENSION LIABILITY 4,542,022 CHANGE IN EQUITY UNDER FAS 136 (3,240,916) CHANGE IN FV SWAP AGREEMENT-DERIVATIVE 20 CHANGE IN FV SWAP AGREEMENT-CASH FLOW (505,966) MEDICAL RESIDENT TAX RECOVERY 15,390,591 TRANSFERS TO AFFILIATES 2,689,506 NET ASSETS RELEASED FROM RESTRICTION 65 TOTAL 55,413,902
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:SR VP, 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:CHF MEDICAL OFFICER 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:SR VP & CHF ADMIN OFFICER 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 (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTH SHORE-LIJ HEALTH SYSTEM
972 BRUSH HOLLOW RDWESTBURYNY11590113418133SUPPORTNY501(C)(3)11, TYPE 1NA
NORTH SHORE-LIJ HEALTH CARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590112965586SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHS
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3NS-LIJHS
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3NS-LIJHS
FOREST HILLS HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112163522HEALTH CARENY501(C)(3)3NS-LIJHS
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590113241243HEALTH CARENY501(C)(3)3NS-LIJHS
FRANKLIN HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590112296824HEALTH CARENY501(C)(3)3NS-LIJHS
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111667761HEALTH CARENY501(C)(3)3NS-LIJHS
NORTH SHORE-LIJ HEALTH SYSTEM LABS
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHS
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NS-LIJHS
NORTH SHORE-LIJ HEALTH SYSTEM FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NS-LIJHS
NSUH STERN FAMILY CECR
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NS-LIJHS
LIJ MEDICAL CENTER AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHS
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHS
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHS
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE 1NS-LIJHS
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(3)N/ANS-LIJHS
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(3)N/ANS-LIJHS
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(3)N/ANS-LIJHS
HILLSIDE HOSPITAL HOUSES
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(3)N/ANS-LIJHS
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NS-LIJHS
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NS-LIJHS
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUH
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254SUPPORTNY501(C)(3)11, TYPE 1NA
CHAPS COMMUNITY HEALTH CENTER
1 EDGEWATER PLAZASTATEN ISLANDNY10305113345477INACTIVENY501(C)(3)9SIUH
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NA
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NA
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTON
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6TH FLSTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE 1NA
LENOX HILL HOSPITAL
100 EAST 77TH STNEW YORKNY10021131624070HEALTH CARENY501(C)(3)3NS-LIJHS
LHH CORPORATION
100 EAST 77TH STNEW YORKNY10021133272016SUPPORTNY501(C)(3)11, TYPE 1NA
THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR
972 BRUSH HOLLOW ROADWESTBURYNY11590113284934GRADUATE SCHONY501(C)(3)2NS-LIJHS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1KRASNOFF CONSULTATIVE SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
EIN262838027EIN
Primary ActivityCONSULTINGPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (57 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 COMPANYNS-LIJHCC
REGIONCARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTC
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPANYNS-LIJHCC
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTERPRISESC
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENS-LIJHCCC/O CEDAR HOUSE 41 CEDAR AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SERNYSOUTHSIDEC
NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
100 BANK STBURLINGTONVT05401261487515INSURANCEVTNS-LIJHCC
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORT SERVINYNS-LIJHSC
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582SUPPORT SERVINYNSUHC001.00000
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-LIJHCC
NORTH SHORE-LIJ NETWORK INC
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORT SERVINYNS-LIJHSC
LONG ISLAND MEDICAL CARE PC
972 BRUSH HOLLOW RDWESTBURYNY11590113217006MEDICAL SERVINYNAC
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVINYNAC
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SERVINYNAC
SPORTS PHYSICAL THERAPY & REHABILITATION
972 BRUSH HOLLOW RDWESTBURYNY11590061655704MEDICAL SERVINYNAC
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 SERVINYNAC
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SERVINYNAC
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780MEDICAL SERVINYNAC
UNIVERSITY PHYSICIANS ONCOLOGYHEMATOLOG
500 SEAVIEW AVESTATEN ISLANDNY10305133642729MEDICAL SERVINYNAS
EMERGENCY MEDICINE SERVICES OF SI PC
1 EDGEWATER PLAZASTATEN ISLANDNY10305134200899MEDICAL SERVINYNAC
GOETHALS RADIOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305200010287MEDICAL SERVINYNAC
STATEN ISLAND HOSPITALISTS PC
475 SEAVIEW AVESTATEN ISLANDNY10305331010283MEDICAL SERVINYNAC
STATEN ISLAND NEONATOLOGY PC
500 SEAVIEW AVESTATEN ISLANDNY10305133375474MEDICAL SERVINYNAC
STATEN ISLAND MEDICAL INTENSIVIST PC
501 SEAVIEW AVESTATEN ISLANDNY10305043716494MEDICAL SERVINYNAC
ACTIVITY WORKS LLC
972 BRUSH HOLLOW RDWESTBURYNY11590264708923MEDICAL SERVICESNYLIJLLC
PALLIATIVE CARE MEDICAL SERVICES PC
99 SUNNYSIDE BLVDWOODBURYNY11797273957835MEDICAL SERVICESNYNAC
NS-LIJ MEDICAL GROUP AT SYOSSET PC
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MEDICAL SERVICESNYNAC
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MEDICAL SERVICESNYNAC
NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MEDICAL SERVICESNYNAC
NS-LIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SERVICESNYNAC
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SERVICESNYNAC
LENOX HILL PHYSICIAN HOSPITAL ORG
122 EAST 76TH ST STE 3-ANEW YORKNY10021133775996MANAGED CARENYNAC
LENOX OTOLARYNGOLOGY HEAD & NECK SURGERY
186 EAST 76TH ST 2ND FLNEW YORKNY10021208784395MEDICAL SERVICESNYNAC
PARK LENOX OBGYN PC
130 EAST 77TH ST 2ND FLNEW YORKNY10021133596988MEDICAL SERVICESNYNAC
ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH STNEW YORKNY10021200719612MEDICAL SERVICESNYNAC
ADVANCED HEART PHYSICIANS & SURGEONS NET
130 EAST 77TH ST 4TH FLNEW YORKNY10021133853125MEDICAL SERVICESNYNAS
LENOX HILL CARDIOLOGY ASSOCIATES PC
100 EAST 77TH STNEW YORKNY10021133385163MEDICAL SERVICESNYNAC
LENOX HILL ICVS PC
130 EAST 77TH ST 9TH FLNEW YORKNY10021201435770MEDICAL SERVICESNYNAC
LENOX HILL PATHOLOGY PC
100 EAST 77TH STNEW YORKNY10021133644370MEDICAL SERVICESNYNAC
PARK LENOX EMERGENCY MEDICINE PC
100 EAST 77THNEW YORKNY10021262661082MEDICAL SERVICESNYNAC
MANHATTAN MINIMALLY INVASIVE & BARIATRIC
186 EAST 76TH ST 1ST FLNEW YORKNY10021200250107MEDICAL SERVICESNYNAC
PARK LENOX MEDICAL PC
100 EAST 77TH STNEW YORKNY10021133575380MEDICAL SERVICESNYNAC
PARK LENOX ORTHOPEDICS PC
100 EAST 77TH STNEW YORKNY10021264634966MEDICAL SERVICESNYNAC
PARK LENOX PEDIATRICS PC
100 EAST 77TH STNEW YORKNY10021133755863MEDICAL SERVICESNYNAC
PARK LENOX SURGICAL PC
130 EAST 77TH ST 13TH FLNEW YORKNY10021133397814MEDICAL SERVICESNYNAC
PARK LENOX PSYHCHIATRY PC
133424466MEDICAL SERVICESNYNAC
VIVOHEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590264118016MEDICAL SERVICESNYNAC
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RDWESTBURYNY11590270701489MEDICAL SERVICESNYNAC
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

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NORTH SHORE-LIJ HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Amount Involved162678515AmountInvolved

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