PLAINVIEW HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PLAINVIEW HOSPITAL (EIN 11-3241243)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349300239
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)
Timestamp2011-11-11T10:41:26-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN113241243EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLAINVIEW HOSPITALBusinessNameLine1
Business Name Line2C/O NORTH SHORE-LIJ HEALTH SYSTEMBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPLAINameControl
Phone5168766061Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROAD 5TH FLAddressLine1
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 TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1145 COMMUNITY DRIVEAddressLine1
CityGREAT NECKCity
StateNYState
ZIP Code11021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts182857154GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.nslij.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1959YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPlainview hospital 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 ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body153NbrVotingMembersGoverningBody
Nbr Independent Voting Members145NbrIndependentVotingMembers
Total Nbr Employees1424TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year434859ContributionsGrantsPriorYear
Contributions Grants Current Year83509ContributionsGrantsCurrentYear
Program Service Revenue Prior Year173066589ProgramServiceRevenuePriorYear
Program Service Revenue CY181116631ProgramServiceRevenueCY
Investment Income Prior Year1174116InvestmentIncomePriorYear
Investment Income Current Year56807InvestmentIncomeCurrentYear
Other Revenue Prior Year1486006OtherRevenuePriorYear
Other Revenue Current Year1412083OtherRevenueCurrentYear
Total Revenue Prior Year176161570TotalRevenuePriorYear
Total Revenue Current Year182669030TotalRevenueCurrentYear
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 Year111164582SalariesEtcPriorYear
Salaries Etc Current Year116327457SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year32832TotalFundrsngExpCurrentYear
Other Expense Prior Year65043970OtherExpensePriorYear
Other Expenses Current Year64776356OtherExpensesCurrentYear
Total Expenses Prior Year176208552TotalExpensesPriorYear
Total Expenses Current Year181103813TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-46982RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1565217RevenuesLessExpensesCY
Total Assets BOY63564685TotalAssetsBOY
Total Assets EOY81179401TotalAssetsEOY
Total Liabilities BOY80496816TotalLiabilitiesBOY
Total Liabilities EOY98108485TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-16932131NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-16929084NetAssetsOrFundBalancesEOY
Mission DescriptionPLAINVIEW 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
Expense153946833Expense
Grants0Grants
Revenue173278576Revenue
DescriptionPlainview Hospital is a 204-bed community hospital that provides an array of medical services, with emphases on cardiac, neurosciences and pulmonary disease. It provides a broad range of maternal and new born health services, which include designation as a Level II Perinatal Center. The Hospital's cardiac services include state of the art cardiac diagnostic services and an innovative program of Early Heart Attach Care. In 2010, the Hospital had 13,845 inpatient discharges, including the delivery of 1,415 babies, provided 34,159 emergency department visits and performed 5,400 ambulatory surgeries, including endoscopies.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5912152Expense
Grants0Grants
Revenue7838055Revenue
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
FieldValueIRS element (for citing)
Total Program Service Expense159858985TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1424NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryEINameOfForeignCountry
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
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 ROADAddressLine1
CityWESTBURYCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL J DOWLING
PRESIDENT & CEO50.0XX02277050718261
RALPH NAPPI
TRUSTEE AND PRES. FOUNDATION50.0X0646577503966
RICHARD D GOLDSTEIN
CHAIRMAN3.0XX000
MARK CLASTER
VICE CHAIRMAN2.0XX000
BARRY RUBENSTEIN
VICE CHAIRMAN2.0XX000
WILLIAM L MACK
VICE CHAIRMAN2.0XX000
ALAN I GREENE
TREASURER2.0XX000
DONALD ZUCKER
SECRETARY2.0XX000
ANTHONY C FERRERI
TRUSTEE AND PRES/CEO SIUH50.0X099301635815
KEVIN F LAWLOR
TRUSTEE AND PRES/CEO HUNT HOSP50.0X0160946432542
NON-COMPENSATED TRUSTEES
SEE SCHEDULE O2.0X000
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 MD
SR VP & 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
CHIEF ADMIN OFFICER50.0X061139437800
HARRY GINDI
ASSISTANT SECRETARY37.5X028494241650
MICHAEL FENER
EXECUTIVE DIRECTOR37.5539153043025X
DEBORAH TASCONE
REGIONAL EXECUTIVE DIRECTOR37.5085329046900X
JAN DAUER
PHYSICIAN37.5411565041650X
MEHRAN MANSOURI
DIR, SURGERY37.5375050040850X
HAMID NOOROLLAH
PHYSICIAN ASSISTANT37.5334561041650X
FRANCESCO TENTI
PHYSICIAN37.5315359041650X
SALVATORE FIORENTI
PHYSICIAN37.5310615041650X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2286303TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs13138913TotalReportableCompFrmRltdOrgs
Total Other Compensation2038463TotalOtherCompensation
Number Individuals GT100 K208NumberIndividualsGT100K
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
SITRON-HAMMEL RADIOLOGY GROUP PC
4277 HEMPSTEAD TPKEBETHPAGENY11714MEDICAL SERVICES2899143
URVASHI KAPOOR MD
26 STEPPING STONE CRESCENTDIX HILLSNY11746PHYSICIAN SERVICES969789
ANGELICA TEXTILE SERVICES
44 NEWMANS COURTHEMPSTEADNY11550CLEANING740896
AXIS CONSTRUCTION CO
125 LASER COURTHAUPPAUGENY11788GENERAL CONTRACTOR582759
THE NEW YORK STATE INSURANCE FUND
199 CHURCH STNEW YORKNY10007INSURANCE560263
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations83509RelatedOrganizations
Total Contributions83509TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE621300109763109109763109
PHYSICIANS PRACTICE REVENUE6213001252707112527071
MEDICARE/MEDICAID PAYMENTS6213005882645158826451
FieldValueIRS element (for citing)
Total Program Service Revenue181116631TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18713TotalRevenueColumn
Exclusion$18,713ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column26884TotalRevenueColumn
Exclusion$26,884ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities199334Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities188124Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities11210Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column11210TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA SHOP900099773785$773,785
MEALS ON WHEELS900099110981$110,981
TELEPHONE & TELEV.90009955000$55,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column472317TotalRevenueColumn
Related Or Exempt Function Income469535RelatedOrExemptFunctionIncome
Exclusion$2,782ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1412083TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column182669030TotalRevenueColumn
Related Or Exempt Function Income181586166RelatedOrExemptFunctionIncome
Exclusion$988,145ExclusionAmount

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)
Total539153Total
Program Services539153ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total86467991Total
Program Services79152799ProgramServices
Management And General7296904ManagementAndGeneral
Fundraising18288Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5170024Total
Program Services4732640ProgramServices
Management And General436291ManagementAndGeneral
Fundraising1093Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18291079Total
Program Services16743653ProgramServices
Management And General1543557ManagementAndGeneral
Fundraising3869Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5859210Total
Program Services5363521ProgramServices
Management And General494450ManagementAndGeneral
Fundraising1239Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11300Total
Management And General11300ManagementAndGeneral

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)
Total6323636Total
Program Services5788657ProgramServices
Management And General533642ManagementAndGeneral
Fundraising1337Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total13748Total
Program Services12585ProgramServices
Management And General1160ManagementAndGeneral
Fundraising3Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total30363153Total
Program Services27794430ProgramServices
Management And General2562301ManagementAndGeneral
Fundraising6422Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1806490Total
Program Services1653661ProgramServices
Management And General152447ManagementAndGeneral
Fundraising382Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total59562Total
Program Services59562ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total121012Total
Program Services121012ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1252253Total
Management And General1252253ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4254886Total
Program Services3894923ProgramServices
Management And General359963ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4510783Total
Program Services4510783ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT11196771119677
MEDICAL & OTHER PURCHASED SVCS75118857511885
DUES & SUBSCRIPTIONS1722711576971453836
CENTRALIZED ADMIN EXP64884436488443
BILLING & COLLECTIONS49928745704742134106

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total267970Total
Program Services245300ProgramServices
Management And General22613ManagementAndGeneral
Fundraising57Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total181103813Total
Program Services159858985ProgramServices
Management And General21211996ManagementAndGeneral
Fundraising32832Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26294BOY
EOY75636EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9016529BOY
EOY12041150EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2746849BOY
EOY2702903EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY94258BOY
EOY84785EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis64117552LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29399533LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34424618BOY
EOY34718019EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1993679BOY
EOY1994407EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15262458BOY
EOY29562501EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY63564685BOY
EOY81179401EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21866801BOY
EOY24743161EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY22997771BOY
EOY21880761EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY35632244BOY
EOY51484563EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80496816BOY
EOY98108485EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-17326649BOY
EOY-17338714EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY394518BOY
EOY409630EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-16932131BOY
EOY-16929084EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63564685BOY
EOY81179401EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1565217ReconcilationRevenueExpenses
Reconcilation Other Changes-1562170ReconcilationOtherChanges
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$21,844RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB21844TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7865080OtherCostOrOtherBasis
Book Value7865080BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30465710OtherCostOrOtherBasis
Depreciation14464338Depreciation
Book Value16001372BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis25151569OtherCostOrOtherBasis
Depreciation14422333Depreciation
Book Value10729236BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis635193OtherCostOrOtherBasis
Depreciation512862Depreciation
Book Value122331BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34718019TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST IN FOUNDATION545225
DEFERRED FINANCING COSTS471146
DUE FROM AFFILIATES27317414
DEPOSITS ON EQUIPMENT12831
MALPRACTICE ASSETS1112712
OTHER ASSETS103173
FieldValueIRS element (for citing)
Total Book Value Other Assets29562501TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
BOND PREM/DISC$145,309
DUE TO THIRD PARTY PAYORS$9,430,736
MALPRACTICE INSURANCE$7,822,628
OTHER LIABILITIES$17,230,728
PENSION$16,855,162
FieldValueIRS element (for citing)
Total Of Amounts51484563TotalOfAmounts
Total Revenue182669030TotalRevenue
Total Expenses181103813TotalExpenses
Excess Or Deficit For Year1565217ExcessOrDeficitForYear
Net Unrealized GL On Investments824NetUnrealizedGLOnInvestments
Other-$1,562,994OtherAmount
Total Adjustments-1562170TotalAdjustments
Excess Or Deficit Per FS3047ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt182669854TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments824NetUnrealizedGainsInvestments
Revenue Not Rptd F990824RevenueNotRptdF990
Revenue Subtotal182669030RevenueSubtotal
Total Revenue Per Form990182669030TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt181103813TotExpensesEtcAuditedFinclStmt
Expenses Subtotal181103813ExpensesSubtotal
Total Expenses Per Form990181103813TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 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 EQUITY UNDER FAS 136 15,112 ADDITIONAL MINIMUM PENSION LIABILITY (1,578,106) TOTAL (1,562,994)

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 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 Served6027PersonsServed
Total Community Benefit Expense2277000TotalCommunityBenefitExpense
Direct Offsetting Revenue73183DirectOffsettingRevenue
Net Community Benefit Expense2203817NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4413PersonsServed
Total Community Benefit Expense9652176TotalCommunityBenefitExpense
Direct Offsetting Revenue6793085DirectOffsettingRevenue
Net Community Benefit Expense2859091NetCommunityBenefitExpense
Percent Of Total Expense0.01590PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served10440PersonsServed
Total Community Benefit Expense11929176TotalCommunityBenefitExpense
Direct Offsetting Revenue6866268DirectOffsettingRevenue
Net Community Benefit Expense5062908NetCommunityBenefitExpense
Percent Of Total Expense0.02810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served17045PersonsServed
Total Community Benefit Expense491915TotalCommunityBenefitExpense
Net Community Benefit Expense491915NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served688PersonsServed
Total Community Benefit Expense5021248TotalCommunityBenefitExpense
Direct Offsetting Revenue3183406DirectOffsettingRevenue
Net Community Benefit Expense1837842NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served874PersonsServed
Total Community Benefit Expense682TotalCommunityBenefitExpense
Net Community Benefit Expense682NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs67NumberOfActivitiesOrPrograms
Persons Served457PersonsServed
Total Community Benefit Expense93030TotalCommunityBenefitExpense
Net Community Benefit Expense93030NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs144NumberOfActivitiesOrPrograms
Persons Served19064PersonsServed
Total Community Benefit Expense5606875TotalCommunityBenefitExpense
Direct Offsetting Revenue3183406DirectOffsettingRevenue
Net Community Benefit Expense2423469NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs146NumberOfActivitiesOrPrograms
Persons Served29504PersonsServed
Total Community Benefit Expense17536051TotalCommunityBenefitExpense
Direct Offsetting Revenue10049674DirectOffsettingRevenue
Net Community Benefit Expense7486377NetCommunityBenefitExpense
Percent Of Total Expense0.04150PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served1044PersonsServed
Total Community Building Expense18155TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense18155NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served1044PersonsServed
Total Community Building Expense18155TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense18155NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$240,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare61896763AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare71962705CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10065942MedicareSurplusOrShortfall

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 Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLAINVIEW HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1888 OLD COUNTRY RDAddressLine1
CityPLAINVIEWCity
StateNYState
ZIP Code11803ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PLAINVIEW HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

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: Lenox Hill Hospital (LHH) is a 652-bed acute care teaching hospital located on Manhattan's Upper East Side, has a tradition of providing outstanding patient care and innovative medical and surgical treatment. The Hospital serves the residents of its surrounding Manhattan communities and also attracts patients from the Greater New York area, throughout the nation and abroad. LHH, an acute, tertiary care facility is well known for excellence in a variety of specialty services including cardiovascular disease, orthopedic surgery, sports medicine, total joint replacement, maternal-child health, neurology and neurosurgery, ophthalmology, otolaryngology, digestive disorders, psychiatry and bariatric surgery. LHH is a New York State-designated Stroke Center, Level III Prenatal Center and AIDS Center, and an American Society for Metabolic and Bariatric Surgery-Designated Bariatric Surgery Center of Excellence. LHH is committed to the highest standards of medical education, cutting-edge clinical research and innovative community outreach programs. In May, 2010 it became a member of the North Shore-LIJ Health System, further strengthening its commitment to the provision of state-of-the-art patient care and innovative programming. The Manhattan Eye, Ear and Throat Hospital (MEETH) campus on 64th Street, operated by LHH, provides ambulatory surgery and a variety of outpatient medical specialty services. MEETH has earned an outstanding reputation in otolaryngology, ophthalmology, and plastic surgery. 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 rExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 (20 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 J DOWLING
011644320107800003461806982990199620299531100
HOWARD GOLD
06781490200000028040026950010850094398900
MARK J SOLAZZO
0970945017500003669001040270166000130326200
ROBERT S SHAPIRO
07472930137000020340026950018550095013300
LAWRENCE G SMITH MD
0676878050000023355026950016225079340800
KEITH THOMPSON
06221710113000029253026950014527080590100
JEFFREY KRAUT
05737890106000023315026950014975074502900
KATHLEEN GALLO RN PHD
05235330100000028429026950013600069251200
EUGENE TANGNEY
0515844085000010550026950010850064919400
HARRY GINDI
02732160834303383026950014700032659200
RALPH NAPPI
06240610002251604840850198810115054300
MICHAEL FENER
4437280740000214250269500160750582178000
JAN DAUER
2316820855701713260269500147000453215000
MEHRAN MANSOURI
362658011020112900269500139000415900000
HAMID NOOROLLAH
1047560002298050269500147000376211000
FRANCESCO TENTI
3130800989012900269500147000357009000
SALVATORE FIORENTI
240715085670613330269500147000352265000
ANTHONY C FERRERI
08173610115000060655026460093550102883100
KEVIN F LAWLOR
057848901100000920975024278082640164200600
DEBORAH TASCONE
0718050013200003240026950019950090019000

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), Ralph Nappi ($457,135) and Mark Solazzo ($77,077).
COMPENSATION CONTINGENT ON REVENUESPART 1, 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 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 EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DORMITORY AUTHORITY OF NEW YORK STATE
14600029364983Q4R72006-10-1823907042005 BONDS - CAPITAL IMPROVEMEfalsefalsefalse
DORMITORY AUTHORITY OF NEW YORK STATE
146000293649903LC32007-05-3165700252007 A&B BONDS - CAP IMPROV & REFUtruefalsefalse
DORMITORY AUTHORITY OF NEW YORK STATE
146000293649905QL32009-09-1732454372009 A&E BONDS - CAP IMPROV & REFIfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrow
27205532209392217832823710979628611222010truefalsetruetrue
181430669155664874067188617056701663210truetruefalsetrue1279342780672
3230774354043526101247887531707truefalsefalsetrue132695

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
falsefalsefalsefalsefalsetrue
CITIBANK NA
falsefalsetruetruefalsetrue25.9falsefalseMBIA18.1true
(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 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BOARD MEMBER RELATIONSPART VI, SECTION A-GOVERNING BODY, 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 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.
DISCLOSURESPART VI, SECTION C-DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
NON-COMPENSATED TRUSTEESPART VII, SECTION A - LINE 1ARichard 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 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 824 ADDITIONAL MINIMUM PENSION LIABILITY (1,578,106) CHANGE IN EQUITY UNDER FAS 136 15,112 TOTAL (1,562,170)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL J DOWLING TITLE:PRESIDENT & CEO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RALPH NAPPI TITLE:TRUSTEE AND PRES. FOUNDATION 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:MARK CLASTER 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:WILLIAM L MACK 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: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:NON-COMPENSATED TRUSTEES TITLE:SEE SCHEDULE O HOURS:2
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 MD TITLE:SR VP & 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:CHIEF ADMIN OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HARRY GINDI TITLE:ASSISTANT SECRETARY HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEBORAH TASCONE TITLE:REGIONAL EXECUTIVE DIRECTOR HOURS:38

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (32 entries)

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FOREST HILLS HOSPITAL
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FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
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NSUH STERN FAMILY CECR
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LIJ MEDICAL CENTER AT HOME PHARMACY
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LIJ FOUNDATION
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SSH INC
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HILLSIDE HOSPITAL HOUSES
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SIUH SYSTEMS INC
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STATEN ISLAND UNIVERSITY HOSPITAL
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STATEN ISLAND UNIVERSITY HOSPITAL FDN
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THE HEART INSTITUTE
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CHAPS COMMUNITY HEALTH CENTER
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HOSPICE CARE NETWORK
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HUNTINGTON HOSPITAL
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HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(c)(3)3HUNTINGTON
PHYSICIANS OF UNIVERSITY HOSPITAL PC
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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

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Form990 Schedule R Part IV Form990ScheduleRPartIV (57 entries)

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NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPANYNS-LIJ HCC
REGIONCARE INC
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CARE MANAGEMENT GROUP OF GREATER NY
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REGIONAL INSURANCE COMPANY LTD
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ALETTA CORPORATION
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NS-LIJ PHYSICIAN INSURANCE COMPANY RRG
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NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
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NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
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LONG ISLAND MEDICAL CARE PC
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NORTH SHORE RADIOLOGY AT GLEN COVE PC
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OCEAN BREEZE HOME CARE AGENCY
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REGENCY ALLIANCE SERVICES
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VERRAZANO RADIOLOGY ASSOCIATES PC
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SIUH PERINATOLOGY PC
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UNITED MEDICAL SURGICAL PC
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ACTIVITY WORKS LLC
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PALLIATIVE CARE MEDICAL SERVICES PC
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NS-LIJ MEDICAL GROUP AT SYOSSET PC
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NS-LIJ MEDICAL GROUP AT HUNTINGTON PC
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PARK LENOX OBGYN PC
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ADVANCED IMAGING & RADIOLOGY OF LHH PC
100 EAST 77TH STNEW YORKNY10021200719612MEDICAL SERVICESNYNAC
ADVANCED HEART PHYSICIANS & SRUGEONS NET
130 EAST 77TH ST 4TH FLNEW YORKNY10021133853125MEDICAL SERVICESNYNAS
LENOX HILL CARDIOLOGY ASSOCIATES PC
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MANHATTAN MINIMALLY INVASIVE & BARIATRIC
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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 Involved11400717AmountInvolved

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