STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTH SHORE-LIJ MEDICAL PC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTH SHORE-LIJ MEDICAL PC (EIN 45-3023019)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349301805
Schema version
2016v3.1
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)
Return2017-11-14T10:15:08-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453023019EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH SHORE-LIJ MEDICAL PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% NORTHWELL HEALTH INCInCareOfNm
Business Name ControlNORTBusinessNameControlTxt
Phone5163216025PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT S SHAPIROPersonNm
Person TitleEVP & CFOPersonTitleTxt
Signature2017-11-03SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.27.229.129IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id12949820173185000000FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id64888C196846E503F90B13161ED1827B039267C6AtSubmissionCreationDeviceId
At Submission Filing Device Id08A1259C5F1059ABDC7B7C0B44F2F73D70A20910AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL DOWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 MARCUS AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$0GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHWELL.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionNorth Shore-LIJ Medical PC strives to improve the health of the communities it serves and is committed to providing the highest quality of care regardless of the ability to payActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
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PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
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CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$0CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$0CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$0CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$0TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionNORTH SHORE-LIJ MEDICAL, PC IS PART OF NORTHWELL HEALTH ("NORTHWELL"), 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$0ExpenseAmt
DescNorth Shore-LIJ Medical Group is an affiliated member of Northwell Health ("Northwell"). It acts as a billing conduit for affiliated members of the Northwell's medical group and ambulatory lines of service so that these affiliates can provide comprehensive health care to the communities they serve regardless of ability to pay. In 2016, North Shore-LIJ Medical, PC collected and distributed $800,328,597 on behalf of Northwell.Desc
Total Program Service Expenses$0TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNORTHWELL HEALTH INCPersonNm
Phone5168766061PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVID BATTINELLI MD
PRESIDENT0.050.0Yes (X)Yes (X)$0$1,167,819$269,376
MICHAEL J DOWLING
PRESIDENT & CEO NORTHWELL0.050.0Yes (X)$0$4,026,026$51,426
ROBERT S SHAPIRO
EVP & CFO NORTHWELL0.050.0Yes (X)$0$3,571,801$373,568
DENNIS DOWLING
SVP NORTHWELL HLTH AMB SVCS0.050.0Yes (X)$0$1,631,311$30,098
LAURENCE KRAEMER
SVP GENCOUNSEL NORTHWELL VNTRS0.050.0Yes (X)$0$799,843$53,304
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,196,800TotReportableCompRltdOrgAmt
Total Other Compensation$777,772TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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Royalties Revenue RoyaltiesRevenueGrp

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Rental Income Or Loss RentalIncomeOrLossGrp

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Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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Total Revenue Column$0TotalRevenueColumnAmt
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Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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Total Revenue Column$0TotalRevenueColumnAmt
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Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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Total Revenue Column$0TotalRevenueColumnAmt
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Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

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Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

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Benefits To Members BenefitsToMembersGrp

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Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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Comp Disqual Persons CompDisqualPersonsGrp

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Other Salaries And Wages OtherSalariesAndWagesGrp

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Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
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Other Employee Benefits OtherEmployeeBenefitsGrp

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Payroll Taxes PayrollTaxesGrp

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Fees For Services Management FeesForServicesManagementGrp

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Fees For Services Legal FeesForServicesLegalGrp

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Fees For Services Accounting FeesForServicesAccountingGrp

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Fees For Services Lobbying FeesForServicesLobbyingGrp

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Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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Fees For Services Other FeesForServicesOtherGrp

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Advertising AdvertisingGrp

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Office Expenses OfficeExpensesGrp

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Information Technology InformationTechnologyGrp

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Royalties RoyaltiesGrp

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Occupancy OccupancyGrp

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Travel TravelGrp

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Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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Conferences Meetings ConferencesMeetingsGrp

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Interest InterestGrp

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Payments To Affiliates PaymentsToAffiliatesGrp

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Depreciation Depletion DepreciationDepletionGrp

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Insurance InsuranceGrp

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Total Functional Expenses TotalFunctionalExpensesGrp

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Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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Investments Program Related InvestmentsProgramRelatedGrp

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Intangible Assets IntangibleAssetsGrp

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Other Assets Total OtherAssetsTotalGrp

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Total Assets TotalAssetsGrp

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Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

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Grants Payable GrantsPayableGrp

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Deferred Revenue DeferredRevenueGrp

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Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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Escrow Account Liability EscrowAccountLiabilityGrp

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Loans From Officers Directors LoansFromOfficersDirectorsGrp

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Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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Other Liabilities OtherLiabilitiesGrp

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Total Liabilities TotalLiabilitiesGrp

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BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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BOY$0BOYAmt
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Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTH SHORE UNIVERSITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN111562701EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, SECTION A - LINE 1FormAndLineReferenceDesc
ExplanationNORTH SHORE-LIJ MEDICAL PC IS A PROFESSIONAL MEDICAL CORPORATION SPONSORED AND CONTROLLED BY NORTH SHORE UNIVERSITY HOSPTIAL (NSUH). SUPPORTED ORGANIZATIONS NOT LISTED IN THE GOVERNING DOCUEMNTS ARE AFFILIATED WITH NSUH.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2 - FIN 48FormAndLineReferenceDesc
ExplanationCertain entities included in Northwells consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities for the tax-exempt entities. 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, 2016 and 2015, Northwell 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 and net operating loss carryforwards. Certain entities have net operating loss carryforwards aggregating approximately $408,000,000, which expire in varying amounts through 2036, and are available to offset future taxable income.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID BATTINELLI MD
PRESIDENT$0$854,992$0$239,063$0$73,764$0$247,014$0$22,362$0$1,437,195$0$0
MICHAEL J DOWLING
PRESIDENT & CEO NORTHWELL$0$1,474,510$0$2,528,000$0$23,516$0$29,150$0$22,276$0$4,077,452$0$0
ROBERT S SHAPIRO
EVP & CFO NORTHWELL$0$1,167,747$0$371,250$0$2,032,804$0$357,265$0$16,303$0$3,945,369$0$1,195,740
DENNIS DOWLING
SVP NORTHWELL HLTH AMB SVCS$0$859,814$0$739,063$0$32,434$0$29,150$0$948$0$1,661,409$0$0
LAURENCE KRAEMER
SVP GENCOUNSEL NORTHWELL VNTRS$0$535,380$0$172,656$0$91,807$0$29,150$0$24,154$0$853,147$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANCertain 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 Robert S. Shapiro ($328,115) and David Battinelli ($217,864).
PART II, COLUMN (F) - SERP PAYOUTThe amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION B - POLICIES, LINE 11The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. 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.
PART VI, SECTION B - POLICIES, LINE 12CNorthwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwells 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 Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell 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 Northwell are required to fill 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 Northwells Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell 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.
PART VI, SECTION B - POLICIES, LINE 15The by-laws of Northwell Health, Inc. ("Northwell") 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 Northwell 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.
PART VI, SECTION C - DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with Northwell Health ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, 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 all of Northwell 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.
PART VI, LINE 7Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
The Long Island Home
400 Sunrise HighwayAmityvilleNY11701112837244Health CareNY501(c)(3)3LHH Corpfalse
NORTHWELL HEALTH
972 BRUSH HOLLOW RDWESTBURYNY11590113418133SUPPORTNY501(C)(3)11, TYPE INAfalse
NORTHWELL HEALTH CARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590112965586SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
NORTH SHORE UNIVERSITY HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111562701HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
LONG ISLAND JEWISH MEDICAL CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590112241326HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
GLEN COVE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111633487HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
PLAINVIEW HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590113241243HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
SOUTHSIDE HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590111667761HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
NORTHWELL HEALTH LABORATORIES
972 BRUSH HOLLOW RDWESTBURYNY11590113412370SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
972 BRUSH HOLLOW RDWESTBURYNY11590112673595RESEARCHNY501(C)(3)4NORTHWELL HEfalse
NORTHWELL HEALTH FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112965575FUNDRAISINGNY501(C)(3)7NORTHWELL HEfalse
NORTHWELL HEALTH STERN FAMILY CENTER FOR
972 BRUSH HOLLOW RDWESTBURYNY11590237007485NURSING HOMENY501(C)(3)9NORTHWELL HCfalse
LIJMC AT HOME PHARMACY
972 BRUSH HOLLOW RDWESTBURYNY11590113251128SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
LIJ FOUNDATION
972 BRUSH HOLLOW RDWESTBURYNY11590112661239SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
NORTH SHORE-LIJ MEDICAL CARE CENTERS
972 BRUSH HOLLOW RDWESTBURYNY11590113473923SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
SSH INC
972 BRUSH HOLLOW RDWESTBURYNY11590112774102SUPPORTNY501(C)(3)11, TYPE ISOUTHSIDEfalse
NORTH SHORE COMMUNITY SERVICES INC
972 BRUSH HOLLOW RDWESTBURYNY11590237273200HOUSINGNY501(C)(2)N/ANORTHWELL HEfalse
NORTH SHORE UNIVERSITY HOSPITAL HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590112171903HOUSINGNY501(C)(2)N/ANORTHWELL HEfalse
NSUH AT GLEN COVE HOUSING
972 BRUSH HOLLOW RDWESTBURYNY11590237010468HOUSINGNY501(C)(2)N/ANORTHWELL HEfalse
HILLSIDE HOSPITAL HOUSES INC
972 BRUSH HOLLOW RDWESTBURYNY11590112113949HOUSINGNY501(C)(2)N/ANORTHWELL HEfalse
SIUH SYSTEMS INC
475 SEAVIEW AVESTATEN ISLANDNY10305061074604FUNDRAISINGNY501(C)(3)7NORTHWELL HCfalse
STATEN ISLAND UNIVERSITY HOSPITAL
475 SEAVIEW AVESTATEN ISLANDNY10305112868878HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
STATEN ISLAND UNIVERSITY HOSPITAL FDN
360 SEAVIEW AVESTATEN ISLANDNY10305870765787FUNDRAISINGNY501(C)(3)7SIUHfalse
THE HEART INSTITUTE
475 SEAVIEW AVESTATEN ISLANDNY10305311757254INACTIVENY501(C)(3)11, TYPE INAfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZASTATEN ISLANDNY10305200096809HEALTH CARENY501(C)(3)11, TYPE ISIUHfalse
HOSPICE CARE NETWORK
99 SUNNYSIDE BLVDWOODBURYNY11797112925757HOSPICENY501(C)(3)9NORTHWELL HEfalse
HUNTINGTON HOSPITAL
270 PARK AVENUEHUNTINGTONNY11743111630914HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
HUNTINGTON HOSPITAL DOLAN FAMILY HLTH CT
284 PULASKI RDGREENLAWNNY11740113368503HEALTH CARENY501(C)(3)3HUNTINGTONfalse
LENOX HILL HOSPITAL
972 BRUSH HOLLOW RDWESTBURYNY11590131624070HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
LHH CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590133272016SUPPORTNY501(C)(3)11, TYPE INORTHWELL HEfalse
ELMEZZI GRADUATE SCHOOL OF MOLECULAR MED
972 BRUSH HOLLOW RDWESTBURYNY11590113284934GRAD SCHOOLNY501(C)(3)2RESEARCHfalse
SPORTS PHYSICAL THERAPY OCCUPATIONAL TH
972 BRUSH HOLLOW RDWESTBURYNY11590061655704HEALTH CARENY501(C)(3)9LIJfalse
NORTH SHORE-LIJ ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263727582HEALTH CARENY501(C)(3)3NAfalse
CLNY ALLIANCE INC
972 BRUSH HOLLOW RDWESTBURYNY11590463146870LABORATORYNY501(C)(3)3NWH LABfalse
NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE
972 BRUSH HOLLOW RDWESTBURYNY11590275078717MEDICAL SERVINY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ CARDIOLOGY AT DEER PARK
972 BRUSH HOLLOW RDWESTBURYNY11590275078531MEDICAL SERVINY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078838MEDICAL SERVINY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590275078631MEDICAL SERVINY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ MEDICAL GROUP URGENT MED
972 BRUSH HOLLOW RDWESTBURYNY11590275078426MEDICAL SERIVNY501(C)(3)11, TYPE INSUHfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW RDWESTBURYNY11590461617516INSURANCENY501(C)(3)9HP HOLDINGfalse
ADVOCATE COMMUNITY PROVIDERS
972 BRUSH HOLLOW ROADWESTBURYNY11590472528627DSRIPNY501(C)(3)7NAfalse
NORTH SHORE-LIJ HEALTH PLAN HOLDING COMP
972 BRUSH HOLLOW ROADWESTBURYNY11590462478147HOLDING COMPANY501(C)(3)11, TYPE IINORTHWELL HCfalse
PHELPS MEMORIAL HOSPITAL ASSOCIATION
701 NORTH BROADWAYSLEEPY HOLLOWNY10591131725076HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
PHELPS MEDICAL SERVICES PC
701 NORTH BROADWAYSLEEPY HOLLOWNY10591274416017MEDICAL SERVINY501(C)(3)11, TYPE IPHELPS MEMORfalse
NORTHERN WESTCHESTER HOSPITAL ASSOCIATIO
400 EAST MAIN STREETMOUNT KISCONY10549131740118HEALTH CARENY501(C)(3)3NORTHWELL HCfalse
NORTHERN WESTCHESTER HOSPITAL FOUNDATION
400 EAST MAIN STREETMOUNT KISCONY10549134067064FOUNDATIONNY501(C)(3)9NWHAfalse
NORCORP INC
400 EAST MAIN STREETMOUNT KISCONY10549133366748SUPPORT ORGNY501(C)(3)11, TYPE INWHAfalse
NORTHERN WESTCHESTER REALTY HOLDING COMP
400 EAST MAIN STREETMOUNT KISCONY10549912134215HOLDING COMPANY501(C)(2)N/ANWHAfalse
CENTRAL SUFFOLK HOSPITAL ASSOCIATION
1300 ROANOKE AVERIVERHEADNY11901111661359HEALTH CARENY501(C)(3)3NW HEALTHCARfalse
STATEN ISLAND PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544659DSRIPNYAPPLIED FORfalseN/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KRASNOFF CONSULTATIVE SERVICES LLC
972 BRUSH HOLLOW RDWESTBURYNY11590262838027CONSULTINGNYCARE MGMT GROUP
ENDOSCOPY CENTER OF LONG ISLAND
972 BRUSH HOLLOW RDWESTBURYNY11590260000980MEDICAL SERVINYNS-LIJ VENTURES
TRUE NORTH URGENT CARE LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464113494MEDICAL SERVINYNSLIJ URGENT CA
TRUE NORTH DC LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464601950MEDICAL SERVINYRENAL VENTURES
SYNERGY HEALTH TRUE NORTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590464106483MEDICAL SERVINYCENTRAL STERILE
NORTH SHORE-LIJ & YALE NEW HAVEN MEDICAL
972 BRUSH HOLLOW RDWESTBURYNY11590464858222AIR TRANSPORTNYNSUH
NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI
972 BRUSH HOLLOW ROADWESTBURYNY11590464469806RESEARCHNYHEALTH CARE
NORTH SHORE-LIJ RENAL VENTURES LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590463869336MEDICAL SVCSNYNSUH
NASSAU QUEENS PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544821INACTIVENYNSUH
ENDO GROUP PC
972 BRUSH HOLLOW ROADWESTBURYNY11590200248148MEDICAL SVCNYVENTURES GCSC
HOSPITAL CITY LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590474091780INACTIVEDENORTHWELL HEALT
NORTHWELL GENOMIC ALLIANCE LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590810826710INACTIVENYNWH LABS
HEALTH CONNECT TECHNOLOGIES LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590810967200INACTIVENYNEWPORT HEALTH
PHELPS PROFESSIONAL BUILDING CORP LP
777 NORTH BROADWAYSLEEPY HOLLOWNY10591133645137REAL ESTATENYREAL ESTATE
OPTUM 360 LLC
11000 OPTUM CIRCLEEDEN PRAIRIEMN55344463328307BILLINGMNOPTUM
BROOKLYN MANAGEMENT SERVICES ORGANIZATIO
972 BRUSH HOLLOW ROADWESTBURYNY11590812910850MEDICAL SVCSNYNW HEALTHCARE
SOUTH SHORE SURGERY CENTER LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590341997077MEDICAL SVCSNYMULTISPECIALTY
FORMATIV HEALTH LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590813121231HOLDING CODEMAGNITUDE HOLD
FORMATIV HEALTH INTERMEDIATE LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590814614788HOLDING CODEFORMATIV HEALTH
SUFFOLK SURGERY CENTER
972 BRUSH HOLLOW ROADWESTBURYNY11590200080609MEDICAL SVCSNYMULTISPECIALTY

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (61 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTH SHORE HEALTH SYSTEM ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590113316922HOLDING COMPNYNORTHWELL HEALTCfalse
REGIONARE INC
972 BRUSH HOLLOW RDWESTBURYNY11590113052191HOMECARENYNSHS ENTERPRISECfalse
NORTH SHORE HEALTH ENTERPRISES
972 BRUSH HOLLOW RDWESTBURYNY11590061605319HOLDING COMPNYNSHS ENTERPRISECfalse
CARE MANAGEMENT GROUP OF GREATER NY
972 BRUSH HOLLOW RDWESTBURYNY11590113336381BUSINESS SERVNYNSH ENTERPRISECfalse
REGIONAL INSURANCE COMPANY LTD
000000000INSURANCENORTHWELL HCCfalseC/O CEDAR HOUSE 41 CEDARE AVEHAMILTONBERMUDABDHM 12BD
ALETTA CORPORATION
972 BRUSH HOLLOW RDWESTBURYNY11590112622371PHYSICIAN SVCNYSOUTHSIDECfalse
NORTH SHORE-LIJ SERVICE ALLIANCE
972 BRUSH HOLLOW RDWESTBURYNY11590263651575SUPPORTNYNACfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #1
972 BRUSH HOLLOW RDWESTBURYNY11590113533659HEALTH CARENYLIJCfalse
NORTH SHORE-LIJ HEALTH SYSTEM IPA #2
972 BRUSH HOLLOW RDWESTBURYNY11590113533670HEALTH CARENYLIJCfalse
NORTH SHORE IPA 5 INC
972 BRUSH HOLLOW RDWESTBURYNY11590113383468BUSINESS SERVNYNORTHWELL HCCfalse
NORTH SHORE-LIJ NETWORK
972 BRUSH HOLLOW RDWESTBURYNY11590320257193SUPPORTNYNORTHWELL HEALTCfalse
VIVOHEALTH INC
972 BRUSH HOLLOW RDWESTBURYNY11590264118016INACTIVENYNSH ENTPERPRISECfalse
AUTOIMMUNE RESEARCH THERAPEUTICS
972 BRUSH HOLLOW RDWESTBURYNY11590270701489INACTIVENYRESEARCHCfalse
NORTH SHORE-LIJ RADIOLOGY SERVICES PC
972 BRUSH HOLLOW RDWESTBURYNY11590223970667MEDICAL SVCSNYNSUHCfalse
NORTH SHORE-LIJ MEDICAL GROUP AT SYOSSET
972 BRUSH HOLLOW RDWESTBURYNY11590273957752MEDICAL SVCSNYNSUHCfalse
NORTH SHORE-LIJ MEDICAL GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384249MEDICAL SVCSNYNSUHCfalse
NSLIJ MEDICAL GROUP AT HUNTINGTON PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384049MEDICAL SVCSNYNSUHCfalse
NSLIJ MEDICAL GROUP AT NORTH NASSAU PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384146MEDICAL SVCSNYNSUHCfalse
NORTH SHORE-LIJ PHYSICIANS GROUP PC
972 BRUSH HOLLOW RDWESTBURYNY11590274384326MEDICAL SVCSNYNSUHCfalse
LENOX HILL HOSPITAL MEDICAL PC
972 BRUSH HOLLOW RDWESTBURYNY11590452661543MEDICAL SVCSNYLENOXCfalse
NORTH SHORE-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RDWESTBURYNY11590451004103MEDICAL SVCSNYNSUHCfalse
NORTH SHORE-LIJ OB-GYN PC
972 BRUSH HOLLOW RDWESTBURYNY11590461382916MEDICAL SVCSNYLIJCfalse
NORTH SHORE-LIJ ANESTHESIOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590461617561MEDICAL SVCSNYSOUTHSIDECfalse
SIUH PERINATOLOGY PC
475 SEAVIEW AVESTATEN ISLANDNY10305134107082MEDICAL SVCSNYSIUHCfalse
UNITED MEDICAL SURGICAL PC
256 MASON AVESTATEN ISLANDNY10305134038780SURGICAL SVCSNYSIUHCfalse
LENOX OTOLARYNGOLOGY HEAD & NECK
972 BRUSH HOLLOW RDWESTBURYNY11590208784395MEDICAL SVCSNYLENOX HILLCfalse
LENOX HILL PATHOLOGY PC
972 BRUSH HOLLOW RDWESTBURYNY11590133644370MEDICAL SVCSNYLENOX HILLCfalse
NORTH SHORE-LIJ INTERNAL MEDICINE AT LYN
972 BRUSH HOLLOW RDWESTBURYNY11590463475908MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ INTERNAL MEDICINE AT NEW
972 BRUSH HOLLOW RDWESTBURYNY11590462822879MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OB-GYN AT GARDEN CITY P
972 BRUSH HOLLOW RDWESTBURYNY11590462886776MEDICAL SERVINYNSUHCfalse
CARECONECT INSURANCE CO
972 BRUSH HOLLOW RDWESTBURYNY11590462270382INSURANCENYGROUP HOLDINGCfalse
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW RDWESTBURYNY11590112945979MEDICAL SERVINYNSUHSfalse
TRUE NORTH HEALTH PHARMACY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590471020508INACTIVENYNSUHCfalse
NORTH SHORE-LIJ CARECONNECT INSURANCE AG
972 BRUSH HOLLOW ROADWESTBURYNY11590471994548INSURANCE AGENYGROUP HOLDINGCfalse
CARECONNECT GROUP HOLDING COMPANY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590472478692HOLDING CONYHPLAN HOLDINGCfalse
NORTH SHORE-LIJ PEDIATRICS OF SUFFOLK CO
972 BRUSH HOLLOW ROADWESTBURYNY11590465746956MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ URGENT CARE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590471758444MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ MATERNAL FETAL MEDICINE
972 BRUSH HOLLOW ROADWESTBURYNY11590465495054MEDICAL SERVINYNSUHCfalse
NORTH SHORE-LIJ OPHTHALMOLOGY INSTITUTE
972 BRUSH HOLLOW ROADWESTBURYNY11590300930851INACTIVENYNSUHCfalse
PHELPS REALTY CORP
701 NORTH BROADWAYSLEEPY HOLLOWNY10591133645135REAL ESTATENYPHLEPS MEMORIALCfalse
NORTHERN WESTCHESTER ONCOLOGY MANAGMENT
400 EAST MAIN STREETMOUNT KISCONY10549133697507MEDICAL SVCSNYNORCORPCfalse
NWHC HEALTH MANAGEMENT SERVICES INC
400 EAST MAIN STREETMOUNT KISCONY10549133697510HEALTH MGMTNYNORCORPCfalse
NORTHERN WESTCHESTER SURGICAL SERVICES
400 EAST MAIN STREETMOUNT KISCONY10549274550915MEDICAL SVCSNYNWHACfalse
NORTH SHORE-LIJ OB-GYN AT NEW HYDE PARK
972 BRUSH HOLLOW ROADWESTBURYNY11590473722278MEDICAL SVCSNYNSUHCfalse
LAKEVILLE SURGERY PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377760MEDICAL SVCSNYLENOX HILLCfalse
MARCUS EMERGENCY MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377679MEDICAL SVCSNYLENOX HILLCfalse
CARNEGIE CARDIOVASCULAR PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377825MEDICAL SVCSNYLENOX HILLCfalse
MADISON IMAGING PC
972 BRUSH HOLLOW ROADWESTBURYNY11590821672429MEDICAL SVCSNYNSUHCfalse
COMMUNITY DRIVE MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474447289MEDICAL SVCSNYNSUHCfalse
WESTCHESTER HEALTH MEDICAL PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474539584MEDICAL SVCSNYNSUHCfalse
MARCUS AVENUE MEDICAL PC
972 BRUSH HOLLOW ROADWESTBURYNY11590300930577MEDICAL SVCSNYNSUHCfalse
CARECONNECT ADMINISTRATIVE SERVICES INC
972 BRUSH HOLLOW ROADWESTBURYNY11590475182974ADMINNYGROUP HOLDINGCfalse
NORTHWELL FLEXSTAFF INC
972 BRUSH HOLLOW ROADWESTBURYNY11590810836815INACTIVENYHCICfalse
FEINSTEIN CENTER FOR BIOELECTRONIC MEDIC
972 BRUSH HOLLOW ROADWESTBURYNY11590812885700INACTIVENYFEINSTEINCfalse
TRUE NORTH HEALTH MANAGEMENT INC
972 BRUSH HOLLOW ROADWESTBURYNY11590813428274INACTIVENYNW HEALTHCARECfalse
PECONIC CARDIOLOGY PC
972 BRUSH HOLLOW ROADWESTBURYNY11590813149464MEDICAL SVCSNYNSUHCfalse
NARROWS IPA INC
972 BRUSH HOLLOW ROADWESTBURYNY11590133978565BUSINESS SERVICESNYNSUHCfalse
VIVOHEALTH PLANS INC
972 BRUSH HOLLOW ROADWESTBURYNY11590461164689INACTIVENYNW HEALTHCARECfalse
FORMATIV HEALTH MANAGEMENT INC
972 BRUSH HOLLOW ROADWESTBURYNY11590813454243HOLDING CODEFORM HLTH INTERCfalse
FORMATIV HEALTH NEWCO INC
972 BRUSH HOLLOW ROADWESTBURYNY11590813928889HOLDING CODEFORM HLTH HOLDCfalse
FORMATIV HEALTH HOLDCO INC
972 BRUSH HOLLOW ROADWESTBURYNY11590813928672HOLDING CODEFORMATIV HEALTHCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd