2014-11-19T08:47:58-06:00 2013-12-31 990 2013-01-01 131624070 Lenox Hill Hospital C/O NORTH SHORE-LIJ HEALTH SYSTEM % NORTH SHORE- LIJ HEALTH SYST LENO 5168766061 972 BRUSH HOLLOW ROAD Suite 5TH FL WESTBURY NY 11590 ROBERT S SHAPIRO EXEC VP & CFO 2014-10-28 2013 2015-11-30 17:44:51Z MICHAEL J DOWLING 145 COMMUNITY DRIVE GREAT NECK NY 11021 910952045 false X www.lenoxhillhospital.org X 1861 NY LENOX HILL STRIVES TO IMPROVE THE HEALTH of the communities it serves and is committed to providing the highest quality of care for the COMMUNITY REGARDLESS OF ABILITY TO PAY. 124 115 4354 650 0 -64741 5185522 8485922 724732057 775859010 5301978 8445619 9617610 10102229 744837167 802892780 0 0 0 0 438101466 351086638 0 0 399520 314827062 312118299 752928528 663204937 -8091361 139687843 1169996690 1235702954 658609912 578513240 511386778 657189714 LENOX HILL 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. false false 515944119 0 714979421 LENOX HILL HOSPITAL ("LHH") IS A 632-BED ACUTE CARE TEACHING HOSPITAL THAT HAS A TRADITION OF PROVIDING OUTSTANDING PATIENT CARE AND INNOVATIVE MEDICAL AND SURGICAL TREATMENT. IN 2013, LHH HAD 29,506 DISCHARGES, DELIVERED 3,674 BABIES, PROVIDED 56,034 EMERGENCY DEPARTMENT VISITS AND PERFORMED 26,113 AMBULATORY SURGERIES. 51374770 0 60879589 MANHATTAN EYE, EAR & THROAT HOSPITAL (MEETH) WAS ESTABLISHED IN 1869 AND IS INTERNATIONALLY RECOGNIZED FOR ITS ACCOMPLISHMENTS IN OPHTHALMOLOGY, OTOLARYNGOLOGY, ORTHOPEDICS, PLASTIC SURGERY AND MANY OTHER SERVICES. 567318889 true true false true false false false false true true false false true true true false true false false true false false false false false true true false false true true false false false false false false false false false false false false false false false true true false false false true 164 0 true 4354 true true true true CJ UK false false false false false false false false false X 124 115 true false false false false true true true true false false true true true true true true true true true true NY X X NORTH SHORE- LIJ HEALTH SYST 5168766061 972 BRUSH HOLLOW RD Westbury NY 11590 Richard D Goldstein Chairman 3.0 X X 0 0 0 Michael J Dowling President & CEO 50.0 X X 0 3117843 1222774 Mark Claster CHAIRMAN ELECT 2.0 X X 0 0 0 William L Mack Vice Chairman 2.0 X X 0 0 0 Barry Rubenstein Vice Chairman 2.0 X X 0 0 0 Paul B Guenther Vice Chairman of Exec Com 2.0 X X 0 0 0 Marlene Hess Vice Chairman of Exec Com 2.0 X X 0 0 0 RICHARD B NYE Treasurer 2.0 X X 0 0 0 Michael Gould Assistant Treasurer 2.0 X X 0 0 0 Catherine C Foster Secretary 2.0 X X 0 0 0 Jim McMullen Assistant Secretary 2.0 X X 0 0 0 Ralph Nappi TRUSTEE AND PRES. FOUNDATION 50.0 X 0 856799 48881 Kevin F Lawlor TRUSTEE AND PRES/CEO HUNT HOSP 50.0 X 0 713588 289059 NON-COMPENSATED TRUSTEES SEE SCHEDULE O 2.0 X 0 0 0 WILLIAM O HILTZ CHAIRMAN OF EXEC COMMITTEE 2.0 X X 0 0 0 Lawrence G Smith MD EVP, PHYSICIAN IN CHIEF 50.0 X 0 913047 707681 Mark J Solazzo EVP & COO 50.0 X 0 1894904 325554 Howard B Gold EVP, Managed Care 50.0 X 0 3456217 327498 Jeffrey A Kraut SVP, Planning 50.0 X 0 924283 213431 Robert S Shapiro EVP/CFO 50.0 X 0 1199086 243156 DONNA DRUMMOND SVP, CHIEF ADMIN OFFICER 50.0 X 0 645712 43150 Keith C Thompson SVP & General Counsel 50.0 X 0 876784 50350 Harry E Gindi Assistant Secretary 50.0 X 0 314462 43150 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 50.0 X 0 261869 43150 ANDREW SCHULZ ASST SECRETARY, GEN COUNSEL 50.0 X 0 522928 43150 Anthony C Ferreri REGIONAL EXECUTIVE DIRECTOR 50.0 X 0 989403 335897 DENNIS CONNORS EXECUTIVE DIRECTOR 50.0 X 704417 0 385828 Arthur Klein Regional Executive Officer 50.0 X 0 291816 307262 GREGORY FONTANA CHAIRPERSON 50.0 X 2968363 0 43150 DAVID SAMADI CHAIRPERSON 50.0 X 2734406 0 43150 Peter Constantino Dir. NY Head & Neck Institute 50.0 X 2744109 0 43150 Milton Waner Dir Vascular Birthmark Inst 50.0 X 2439737 0 43150 Varinder Singh Interim Chair 50.0 X 2291911 0 43150 Philip Rosenthal X 500000 0 0 GARY ROUBIN X 433654 0 0 14816597 16978741 4845721 630 true true false NYU LANGONE MEDICAL CENTER 550 1ST AVE NEW YORK NY 10016 STAFFING SERVICES 5379640 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 30384 STAFFING SERVICES 3726943 APOLLO SECURITY 50 BROAD ST NEW YORK NY 10004 SECURITY SERVICES 2936015 UNITEX TEXTILE 155 SOUTH TERRACE AVE MOUNT VERNON NY 10550 LINEN SERVICES 2078062 PHILIPS MEDICAL SYSTEMS 22100 BOTHELL EVERTT HWY BOTHELL WA 98041 EQUIPMENT SERVICE 1971381 55 8249121 17641 219160 8485922 NET PATIENT SERVICE REVENUE 900099 608277466 608277466 PHYSICIAN REVENUE 900099 2106765 2106765 MEDICARE/MEDICAID PAYMENTS 900099 165474779 165474779 775859010 3349478 3349478 0 0 5887299 8186556 -2299257 0 -2299257 104960160 8690 99872709 5087451 8690 5096141 0 0 0 INCOME FROM SURGICARE 900099 2564242 2564242 CAFETERIA REVENUE 900099 1568330 1568330 RESIDENCY ROTATION 900099 241103 241103 8027811 7645573 382238 12401486 802892780 786309928 5300046 0 0 0 0 704417 704417 0 360139549 333417194 26455131 267224 -69839423 -64657338 -5130264 -51821 40618779 37604866 2983774 30139 19463316 18019138 1429736 14442 0 28407 28407 0 0 0 0 13915974 12883408 1022240 10326 694330 642811 51004 515 159279625 147461077 11700363 118185 0 0 12190468 11285936 895487 9045 690900 690900 0 936715 936715 5500549 5500549 0 31017147 28715675 2301472 13195013 13195013 BAD DEBT 11608755 11608755 PURCHASED SERVICES 12521314 12521314 CENTRALIZED ADMIN EXPENSE 48066637 48066637 DUES & SUBSCRIPTIONS 497846 460906 36940 1974619 1828102 145052 1465 663204937 567318889 95486528 399520 1929054 332181 120593440 136707848 66504 66505 99991284 107002814 0 0 0 0 497975 439968 14394022 14618080 1149906 1381788 901760561 91400380 780165520 810360181 48155792 51288558 0 0 0 0 0 0 103053193 113505031 1169996690 1235702954 88823411 91715836 0 0 0 0 106065000 103440000 0 0 0 0 31083721 29264186 0 0 432637780 354093218 658609912 578513240 X 416125929 558898812 71997904 75016957 23262945 23273945 511386778 657189714 1169996690 1235702954 X 139687843 9283519 -3168426 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 72549 false 72549 false false PART II-B, LINE 1H LENOX HILL HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. 95260849 3570999 4402342 4943288 98290902 89858030 8392702 3543964 6533847 95260849 67453000 19774644 2829820 199434 89858030 65677000 2077000 1374000 1675000 67453000 69518000 4448000 1819000 10108000 65677000 0.68000 0.32000 false false 529808545 529808545 194257254 36207188 158050066 26219 10861 15358 139655039 49357981 90297058 38013504 5824350 32189154 810360181 INTEREST IN FOUNDATION 17469791 SECURITY DEPOSITS 269719 INVESTMENT IN OTHER 8037429 NET BOND ISSUANCE COSTS 2882559 INTANGIBLE ASSETS 11000000 INSURANCE CLAIMS RECEIVABLE 68317895 OTHER ASSETS 5527638 113505031 0 DUE TO AFFILIATES 53168473 DUE TO THIRD PARTY PAYORS 111604813 INSURANCE CLAIMS LIABILITY 68317895 OTHER LIABILITY 1514089 MALPRACTICE INSURANCE 51805155 ACCRUED PENSION LIABILITY 60506033 BOND PREMIUM/DISCOUNT 3480923 CAPITAL LEASE PAYABLE 3695837 354093218 X 801604515 6884028 -7616572 -732544 802337059 555721 555721 802892780 755423797 8186556 8186556 747237241 -84032304 -84032304 663204937 SCHEDULE D, SUPPLEMENTAL INFORMATION Part V, Line 4 The Hospital has adopted an investment policy for endowment assets that attempts to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets. The Hospital's endowment includes donor-restricted endowment funds. Net assets associated with endowment funds are classified and reported based on the existence or absence of door-imposed restrictions. PART X, LINE 2 Certain entities included in the System's 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. 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, 2013 and 2012, the System has a deferred income tax asset which has been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion, or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts receivable and net operating loss carry forwards. Certain entities have net operating loss carry forwards aggregating approximately $167,000,000, which expire in varying amounts through 2033, and are available to offset future taxable income. PART XI, LINE 2D & 4B REVENUE ON BOOKS NOT ON RETURN PROVISION FOR BAD DEBT (11,608,755) NET ASSETS RELEASED 3,992,183 TOTAL ( 7,616,572) REVENUE ON RETURN NOT ON BOOKS Restricted Investment 2,002,852 Restricted Contributions 6,269,653 Book/Tax Adjustment 469,772 Rental Expense (8,186,556) Total 555,721 PART XII, LINE 2D & LINE 4B EXPENSE ON BOOKS NOT ON RETURN RENT EXPENSE ALLOCATION 8,186,556 TOTAL 8,186,556 EXPENSE ON RETURN NOT ON BOOK PROVISION FOR BAD DEBTS 11,608,755 Additional Minimum Pension Liability (95,641,059) TOTAL (84,032,304) Central America and the Caribbean Investments 19913294 Europe (Including Iceland and Greenland) Investments 2980356 22893650 22893650 false false false false false false true true X true X true X 500. true true true false true true 1 14365 8923449 2684664 6238785 0.00840 1 23791 120065672 72206943 47858729 0.06410 2 38156 128989121 74891607 54097514 0.07250 149 84934 1661186 1561 1659625 0.00220 64 1837 79193957 20928326 58265631 0.07810 1 29439 8381694 6193300 2188394 0.00290 1 913000 913000 0.00120 40 1392 525630 6888 518742 0.00070 255 117602 90675467 27130075 63545392 0.08510 257 155758 219664588 102021682 117642906 0.15760 1 271 3268 3268 2 80 391 391 1 110 32750 32750 4 290 13150 13150 7 111 32548 32548 16 862 82107 82107 false 8170396 164337224 174234485 -9897261 X true true SURGICARE OF MANHATT MEDICAL SERVICES 0.25000 0.00000 0.75000 1 1 LENOX HILL HOSPITAL 100 EAST 77TH STREET NEW YORK NY 10075 WWW.LENOXHILLHOSPITAL.ORG 7002017H X X X X LENOX HILL HOSPITAL 1 true X X X X X X X X X 13 true true true X WWW.NORTHSHORELIJ.COM X X X X X X X X X false false true true 100 true 500. true X X X X X X X true true X X X X X X X true false X X X X X true X false false PART V, SECTION C - SUPPLEMENTAL INFORMATION Part V, Section B, line 1j: N/A Part V, Section B, line 3: The CHNA was facilitated by committees established within each county served by NSLIJ and its hospitals. These were comprised of participants such as Departments of Health; community based organizations (CBOs); the NSLIJ Health System; local businesses; and faith-based organizations; and a "voice of the community" (i.e. the community's perception of need). Qualitative data was collected from diverse community organizations that serve the population-at-large, as well as those communities with significant health disparities. Community partners were invited to participate via surveys and key informant interviews. Emphasis was placed on the following populations: minorities/underserved communities, seniors, women and children, special populations, and individuals with disease-specific conditions. Primary data was obtained through qualitative analysis of CBO informant interviews, CBO surveys, individual community member surveys, and participation in the collaborative partner listening sessions. For further detail go to web link: http://www.northshorelij.com/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 4: For a detailed listing of other hospital facilities go to web link: http://www.northshorelij.com/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 5d: N/A Part V, Section B, line 6i: N/A Part V, Section B, line 7: The hospital identified and addressed primary needs based on an assessment of the highest ranked health priorities of the community, regulatory input (I.E. the NYC Department of Health prevention priority agenda), and resources available. For further information go to web link: http://www.northshorelij.com/hospitals/about-us/about-us-community-service -plans-benefit-report Part V, Section B, line 10: N/A Part V, Section B, line 11: N/A Part V, Section B, line 12i: The hospital also uses household size. Part V, Section B, line 14g: The policy is included in the hospital's Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 16e: N/A Part V, Section B, line 17e: N/A Part V, Section B, line 18e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 19c: N/A Part V, Section B, line 19d: N/A Part V, Section B, line 20d: The hospital used a blended Medicaid rate as a criterion during the tax year to determine the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care. Under NYS Health Law Section 2807-k (9a) indigent care pool requires a sliding fee scale from qualifying patients. A reduction from gross charges must result in an expected payment that does not exceed the amount paid for the same services by the hospital's highest volume payer (i.e. Medicare or Medicaid). Part V, Section B, line 21: N/A 13 PHYSICIAN AMBULATORY NETWORK SERVICES 130 EAST 77TH STREET NEW YORK NY 10075 OUTPATIENT PHYSICIAN CLINIC MANHATTAN EYE EAR AND THROAT 210 EAST 64TH STREET NEW YORK NY 10065 OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES 100 EAST 59TH STREET NEW YORK NY 10022 OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBUALTORY NETWORK SERVICES 186 EAST 76TH STREET NEW YORK NY 10021 OUTPATIENT PHYSICIAN CLINIC PARK EAST CARDIOVASCULAR 158 EAST 84TH STREET NEW YORK NY 10028 OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES 178 EAST 85TH STREET NEW YORK NY 10028 OUTPATIENT PHYSICIAN CLINIC LENOX HILL HEART AND VASCULAR AT YORKTOW 2649 STRANG BOULEVARD YORKTOWN HEIGHTS NY 10598 OUTPATIENT PHYSICIAN CLINIC NORTH SHORE-LIJ PROGRESSIVE MEDICAL ASSO 90 EAST END AVENUE NEW YORK NY 10028 OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES 927 PARK AVENUE NEW YORK NY 10028 OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES 30-16 30TH DRIVE ASTORIA NY 11102 OUTPATIENT PHYSICIAN CLINIC PHYSICIAN AMBULATORY NETWORK SERVICES 1085 PARK AVENUE NEW YORK NY 10028 OUTPATIENT PHYSICIAN CLINIC NORTH SHORE-LIJ PROGRESSIVE MEDICAL ASSO 161 MADISION AVENUE NEW YORK NY 10016 OUTPATIENT PHYSICIAN CLINIC LENOX HILL HOSPITAL CTR FOR MENTAL HEALT 1420 2ND AVENUE NEW YORK NY 10021 OUTPATIENT PHYSICIAN CLINIC PART VI - SUPPLEMENTAL INFORMATION Question 1: Part I, Line 3c: This hospital is an affiliated entity of the North Shore-LIJ Health System ("North Shore-LIJ" or "the System"). North Shore-LIJ uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to "upgrade" a patient's level of obligation, up to the legal maximum permitted under the financial assistance law. 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 on the North Shore-LIJ website: http://www.northshorelij.com. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospital's financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average hospital facility hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), 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 (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 11.5% as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. The System's bioterrorism & disaster preparedness includes Center for Emergency Medical Services, which is a state and federal planning resource on weapons of mass destruction, and a designated a Bioterrorism Resource Center. The System has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes, (i.e. Super storm Sandy), North Shore-LIJ provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. North Shore-LIJ ambulances assists with the transport of patients throughout the metropolitan area and stand ready to contribute food, medicine and blankets to numerous individuals who may lose power in their homes, and assist both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: 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 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. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by the System to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The 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. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. North Shore-LIJ conducts and participates in population, demographic, and health status evaluations of our respective hospitals' service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities' needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; E-BRFSS; 2010 US Census data and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern North Shore-LIJ's community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention, women and children's health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS X X X X X true true false false false false false true false Michael J Dowling President & CEO 0 1366853 0 1700000 0 50990 0 1201724 0 21050 0 4340617 0 0 Lawrence G Smith MD EVP, PHYSICIAN IN CHIEF 0 735582 0 150000 0 27465 0 691006 0 16675 0 1620728 0 0 Mark J Solazzo EVP & COO 0 1166663 0 700000 0 28241 0 310664 0 14890 0 2220458 0 0 Howard B Gold EVP, Managed Care 0 1032469 0 392000 0 2031748 0 312398 0 15100 0 3783715 0 562264 Jeffrey A Kraut SVP, Planning 0 720655 0 158000 0 45628 0 198331 0 15100 0 1137714 0 0 Robert S Shapiro EVP/CFO 0 926327 0 242000 0 30759 0 220856 0 22300 0 1442242 0 0 DONNA DRUMMOND SVP, CHIEF ADMIN OFFICER 0 510278 0 76000 0 59434 0 28050 0 15100 0 688862 0 0 Keith C Thompson SVP & General Counsel 0 726199 0 112000 0 38585 0 28050 0 22300 0 927134 0 0 Harry E Gindi Assistant Secretary 0 288687 0 21382 0 4393 0 28050 0 15100 0 357612 0 0 Philip Rosenthal 0 0 0 0 500000 0 0 0 0 0 500000 0 0 0 Ralph Nappi TRUSTEE AND PRES. FOUNDATION 0 675942 0 150000 0 30857 0 28050 0 20831 0 905680 0 0 Anthony C Ferreri REGIONAL EXECUTIVE DIRECTOR 0 876715 0 85000 0 27688 0 320797 0 15100 0 1325300 0 0 Kevin F Lawlor TRUSTEE AND PRES/CEO HUNT HOSP 0 593009 0 71000 0 49579 0 271866 0 17193 0 1002647 0 0 GREGORY FONTANA CHAIRPERSON 2492688 0 368650 0 107025 0 28050 0 15100 0 3011513 0 0 0 GARY ROUBIN 0 0 0 0 433654 0 0 0 0 0 433654 0 0 0 DENNIS CONNORS EXECUTIVE DIRECTOR 599399 0 72000 0 33018 0 370728 0 15100 0 1090245 0 0 0 LAURA PEABODY SVP & CHIEF LEGAL OFFICER 0 161148 0 100000 0 721 0 28050 0 15100 0 305019 0 0 ANDREW SCHULZ ASST SECRETARY, GEN COUNSEL 0 468164 0 33897 0 20867 0 28050 0 15100 0 566078 0 0 DAVID SAMADI CHAIRPERSON 2733942 0 0 0 464 0 28050 0 15100 0 2777556 0 0 0 Peter Constantino Dir. NY Head & Neck Institute 2741057 0 0 0 3052 0 28050 0 15100 0 2787259 0 0 0 Milton Waner Dir Vascular Birthmark Inst 2189107 0 250000 0 630 0 28050 0 15100 0 2482887 0 0 0 Varinder Singh Interim Chair 1969305 0 226945 0 95661 0 28050 0 15100 0 2335061 0 0 0 Arthur Klein Regional Executive Officer 0 168586 0 100000 0 23230 0 292562 0 14700 0 599078 0 0 PART I, LINE 4A Certain individuals were terminated with pay. These amounts were properly reported in each individual's Form W-2, Box 5. Philip Rosenthal ($500,000) and Gary Roubin ($444,231). PART I, LINE 4B Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Michael J Dowling ($1,173,674), Mark J Solazzo ($282,614), Robert S Shapiro ($192,806), Howard B Gold ($284,348), Lawrence G Smith ($662,956), Jeffrey Kraut ($170,281), Anthony C Ferreri ($292,747), Dennis Connors($342,678),Arthur Klein ($264,512), and Kevin F Lawlor ($243,816). PART I, LINE7 On Form 990, Part VII, Section A, line 1A, the organization may provide non-fixed payments, not described on lines 5 and 6, to certain listed persons. The organization bases such payments on many performance based factors. Payments of this type appear on Schedule J, Part II, B (ii). A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906JT2 2011-10-06 108475000 2011 BONDS - CONSTRUCT FACILITY & false false false A 3341096 0 110321739 8877247 915118 0 1952765 0 0 20335883 63721411 0 2013 true true false true A false false false false 0 false false false true A false true true false false false 0 false 0 false true A true PART II, LINE 3 - PROCEEDS, THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVEST EARNINGS & TRANSFERRED PROCEEDS PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2 All transactions with North Shore-LIJ Health System entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. William Achenbaum has a business relationship with Elise Bloom and Eric and Roger Blumencranz. John Alexander has a business relationship with Laura Lauria and John Shall. Philip Altheim has a business relationship with Eric Blumencranz. Stanley Applebaum has a business relationship with John Shall. Michael Ashner has a business relationship with William Mack and Scott Rudolph. Frank Besignano has a business relationship with Laura Lauria. Elise Bloom has a business relationship with William Achenbaum and Leonard Feinstein. Eric Blumencranz has as a family relationship with Roger Blumencranz. He has a business relationship with Roger Blumencranz, William Achenbaum, Philip Altheim, Arlene Lane Fisher, Richard D. Goldstein, Lloyd Goldman, Alan Greene, Stanley Grey, Richard Guarasci, Richard Horowitz, M. Allan Hyman, Jeffrey Jurick, Arthur Levine, Stuart Levine, David Mack, Bradley Marsh, Charles Merinoff, Ralph Nappi, Dennis Riese, Michael Slade, Nancy Waldbaum, Barbara Hrbek Zucker and Donald Zucker. Roger Blumencranz has a family relationship with Eric Blumencranz. He has a business relationship with Eric Blumencranz, William Achenbaum, Alan Greene, Stanley Grey, Richard D. Goldstein, Richard Horowitz, Jeffrey Jurick, David Mack, Bradley Marsh, Michael Slade, Ralph Nappi, Mark Solazzo, Barbara Hrbek Zucker. David Blumenfeld has a family relationship with Edward Blumenfeld. Edward Blumenfeld has a family relationship with David Blumenfeld. He has a business relationship with William Mack. Steve Braun has a family relationship with Richard Sims. He has a business relationship with Cary Kravet. Robert Chasanoff has a business relationship with Michael Sahn. Alan Chopp has a business relationship with Patrick McDermott. Mark Claster has a business relationship with Richard Goldstein and Robert Rosenthal. Philippe Dauman has a business relationship with Thomas Dooley. Thomas Dooley has a business relationship with Philippe Dauman. Leonard Feinstein has a business relationship with Elise Bloom and William Mack. Arlene Lane Fisher has a business relationship with Eric Blumencranz. Lloyd Goldman has a business relationship with Eric Blumencranz, Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Eric Blumencranz, Mark Claster, Lloyd Goldman and Barry Rubenstein. Joaquin Gonzalez has a business relationship with John Shall. Alan I. Greene has a business relationship with Eric and Roger Blumencranz. Stanley Grey has a business relationship with Eric and Roger Blumencranz. Richard Guarasci has a business relationship with Eric Blumencranz. William Hiltz has a business relationship with Jeff Maurer. Gedale Horowitz has a family relationship with Richard and Seth Horowitz. Richard Horowitz has a family relationship with Gedale and Seth Horowitz. He has a business relationship with Eric and Roger Blumencranz and M. Allan Hyman. Seth Horowitz has a family relationship with Gedale and Richard Horowitz. M. Allan Hyman has a business relationship with Eric Blumencranz, M. Allan Hyman, Richard Horowitz, Saul Katz and Donald Zucker. Jeffrey Jurick has a business relationship with Eric and Roger Blumencranz. David Katz has a family relationship with Saul Katz and Michael Katz. He has a business relationship with Michael Katz, Saul Katz and Seth Lipsay. Michael Katz has a family relationship with Saul Katz and David Katz. He has a business relationship with David Katz, Saul Katz, Curt Launer and Michael Slade. Saul Katz has a family relationship with Michael Katz and David Katz. He has a business relationship with M. Allan Hyman, David Katz, Michael Katz, Curt Launer and Michael Slade. Cary Kravet has a business relationship with Steve Braun. Jeffrey Lane has a business relationship with William Mack. Curt Launer has a business relationship with Michael Katz and Saul Katz. Laura Lauria has a business relationship with John Alexander and Frank Besignano. David Lehr has a business relationship with Ronald Mazzuco. Arthur Levine has a business relationship with Eric Blumencranz. Stuart Levine has a business relationship with Eric Blumencranz. Seth Lipsay has a business relationship with David Katz. 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 and Roy Zuckerberg. Bradley Marsh has a family relationship with Jack Ross. He has a business relationship with Eric and Roger Blumencranz. Jeff Maurer has a business relationship with William Hiltz. Ronald Mazzucco has a business relationship with David Lehr. F.J. McCarthy has a business relationship with Robert Rosenthal and Emmett Walker. Patrick McDermott has a business relationship with Alan Chopp and John Shall. Charles Merinoff has a business relationship with Eric Blumencranz. Richard Murcott has a business relationship with Barry Rubenstein. Ralph Nappi has a business relationship with Eric and Roger Blumencranz. Dennis Riese has a business relationship with Eric Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, F.J. McCarthy and Nancy Waldbaum. Jack Ross has a family relationship with Bradley Marsh. Barry Rubenstein has a business relationship with Richard Goldstein, William Mack and Richard Murcott. Scott Rudolph has a business relationship with Michael Ashner. Michael Sahn has a business relationship with Robert Chasanoff. John Shall has a business relationship with Patrick McDermott, John Alexander, Stanley Applebaum, and Joaquin Gonzalez. Richard Sims has a family relationship with Steve Braun. Michael Slade has a business relationship with Eric Blumencranz, Saul Katz and Michael Katz. Mark Solazzo has a business relationship with Roger Blumencranz. Nancy Waldbaum has a business relationship with Eric Blumencranz and Robert Rosenthal. Emmett Walker has a business relationship with F.J. McCarthy. Barbara Hrbek Zucker has a family relationship with Donald Zucker. She has a business relationship with Eric and Roger Blumencranz. Donald Zucker has a family relationship with Barbara Hrbek Zucker. He has a business relationship with Eric Blumencranz and M. Allan Hyman. Roy Zuckerberg has a business relationship with William Mack. PART VI, SECTION B - POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for North Shore-LIJ Health System 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 12C The North Shore-Long Island Jewish Health System ("Health System") has several control mechanisms to mitigate conflicts of interest. The Health System's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Health System business in a manner that places the interests of the Health System ahead of their personal interests. In addition, the Health System has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of the Health System are required to 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 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. PART VI, SECTION B - POLICIES, LINE 15 The by-laws of the Health System create a committee of the Board with full powers of the Board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to the System except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons 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 19 CURRTENTLY 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 Richard S. Abramson J. Joaquin Gonzalez F.J. McCarthy William Achenbaum Michael Gould Patrick F. McDermott John W. Alexander Albert L. Granger,DDS James McMullen Philip S. Altheim Alan I. Greene Charles Merinoff Stanley A. Applebaum Stanley Grey Richard D. Monti Michael L. Ashner Richard Guarasci, PhD Richard Murcott Beverly VP. Banker Paul B. Guenther Ralph A. Nappi Ralph M. Baruch Amy M. Hagedorn Richard B. Nye Frank J. Besignano Ira Hazan Clyde I. Payne, Ed.D. Elise M. Bloom Linda W. Heaney Arnold S. Penner Eric S. Blumencranz Marlene Hess John J. Raggio Roger A. Blumencranz William O. Hiltz Lewis S. Ranieri David Blumenfeld Gedale B. Horowitz Dennis Riese Edward Blumenfeld Richard A. Horowitz Terry P. Rifkin, M.D. E. Steve Braun Seth R. Horowitz Robert F. Rose Dayton T. Brown, Jr M. Allan Hyman Robert A. Rosen Jonathan S. Canno Mark Jacobson Marcie Rosenberg Michael Caridi Jeffrey Jurick Robert D. Rosenthal Rev. Carolina Sr, Ed.D David M. Katz Bernard M. Rosof, M.D. Robert W. Chasanoff Michael Katz Jack J. Ross Alan Chopp Saul B. Katz Barry Rubenstein Mark Claster Lisa A. Kaufman Herbert Rubin Diana F. Colgate Robert Kaufman Scott Rudolph Daniel M. Crown Cary Kravet Michael H. Sahn Philippe P. Dauman Stanley Kreitman Lois C. Schlissel Daniel C. de Roulet Seth Kupferberg John M. Shall Thomas E. Dewey, Jr. Jeffrey B. Lane Marc V. Shaw Thomas E. Dooley Curt N. Launer Sean G. Simon Michael J. Dowling Laura Lauria Richard Sims Robert N. Downey Kevin F. Lawlor Michael C. Slade Patrick R. Edwards David W. Lehr Phyllis Hill Slater Michael A. Epstein Jonathan W. Leigh Howard D. Stave Leonard Feinstein Arthur S. Levine Peter Tilles Michael E. Feldman Stuart R. Levine Sandra Tytel Arlene Lane Fisher Seth Lipsay Frederick A. Volk Catherine C. Foster David S. Mack Nancy Waldbaum William H. Frazier William L. Mack Emmett F. Walker, Jr Eugene B. Friedman,MD Linda Manfredi Gary Walter William J. Fritz, PhD Bradley Marsh, D.P.M. Barbara Hrbek Zucker Sy Garfinkel Jeffrey S. Maurer Donald Zucker Lloyd M. Goldman Ronald J. Mazzucco Roy J. Zuckerberg Richard D. Goldstein PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with the North Shore Long Island Jewish Health System (the "Health System"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of the Health System, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to the entire Health System and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to the Health System and its affiliates. PART VI, LINE 7 North Shore Long Island Jewish Health Care, Inc. ("Health Care") is the sole corporate member of the organization. Health Care has the right to elect or appoint members of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Health Care are part of the North Shore Long Island Jewish Health System, an integrated health care delivery system. PART XI, LINE 9 CHANGE IN EQUITY UNDER FAS 136 (2,698,654) Book /Tax Adjustment (469,772) TOTAL (3,168,426) LHH Corporation 100 East 77th Street New York NY 10021 133272016 SUPPORT NY 501(C)(3) 11, Type 1 NS-LIJHS false North Shore-LIJ Health System 972 Brush Hollow Road Westbury NY 11590 113418133 SUPPORT NY 501(C)(3) 11, Type 1 NA false North Shore-LIJ Health Care Inc 972 Brush Hollow Road Westbury NY 11590 112965586 SUPPORT NY 501(C)(3) 11, Type I NS-LIJHS false North Shore University Hospital 972 Brush Hollow Road Westbury NY 11590 111562701 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Long Island Jewish Medical Center 972 Brush Hollow Road Westbury NY 11590 112241326 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Glen Cove Hospital 972 Brush Hollow Road Westbury NY 11590 111633487 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Forest Hill Hospital 972 Brush Hollow Road Westbury NY 11590 112163522 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Plainview Hosptial 972 Brush Hollow Road Westbury NY 11590 113241243 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Franklin Hospital 972 Brush Hollow Road Westbury NY 11590 112296824 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Southside Hospital 972 Brush Hollow Road Westbury NY 11590 111667761 Health Care NY 501(C)(3) 3 NS-LIJ HCI false North Shore-LIJ Health System Laboratori 972 Brush Hollow Road Westbury NY 11590 113412370 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false Feinstein Institute for Medical Research 972 Brush Hollow Road Westbury NY 11590 112673595 Research NY 501(C)(3) 4 NS-LIJHS false North Shore-LIJ Health System Foundation 972 Brush Hollow Road Westbury NY 11590 112965575 Fundraising NY 501(C)(3) 7 NS-LIJHS false NSLIJ STERN FAMILY CENTER FOR REHAB 972 Brush Hollow Road Westbury NY 11590 237007485 Nursing Home NY 501(C)(3) 9 NS-LIJ HCI false LIJ AT HOME PHARMACY 972 Brush Hollow Road Westbury NY 11590 113251128 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false LIJ Foundation 972 Brush Hollow Road Westbury NY 11590 112661239 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false North Shore-LIJ Medical Care Centers 972 Brush Hollow Road Westbury NY 11590 113473923 SUPPORT NY 501(C)(3) 11, TYPE 1 NS-LIJHS false SSH Inc 972 Brush Hollow Road Westbury NY 11590 112774102 SUPPORT NY 501(C)(3) 11, TYPE 1 SOUTHSIDE false North Shore Community Services Inc 972 Brush Hollow Road Westbury NY 11590 237273200 Housing Comp NY 501(C)(2) N/A NS-LIJHS false North Shore University Hospital Housing 972 Brush Hollow Road Westbury NY 11590 112171903 Housing Comp NY 501(C)(2) N/A NS-LIJHS false North Shore University Hospital at Glen 972 Brush Hollow Road Westbury NY 11590 237010468 Housing Comp NY 501(C)(2) N/A NS-LIJHS false Hillside Hospital Houses Inc 972 Brush Hollow Road Westbury NY 11590 112113949 Housing Comp NY 501(C)(2) N/A NS-LIJHS false SIUH Systems Inc 475 Seaview Avenue Staten Island NY 10305 061074604 Fundraising NY 501(C)(3) 7 NS-LIJ HCI false Staten Island University Hospital 475 Seaview Avenue Staten Island NY 10305 112868878 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Staten Island University Hospital Founda 360 Seaview Avenue Staten Island NY 10305 870765787 Fundraising NY 501(C)(3) 7 SIUH false The Heart Institute 475 Seaview Avenue Staten Island NY 10305 311757254 INACTIVE NY 501(C)(3) 11, TYPE 1 NA false CHAPS Community Health Center Inc 1 Edgewater Plaza 6th Floor Staten Island NY 10305 113345477 Inactive NY 501(C)(3) 9 SIUH false Hospice Care Network 99 Sunnyside Blvd Woodbury NY 11797 112925757 Hospice NY 501(C)(3) 9 NA false Huntington Hospital 270 Park Avenue Huntington NY 11743 111630914 Health Care NY 501(C)(3) 3 NS-LIJ HCI false Huntington Hospital Dolan Family Health 284 Pulaski Road Greenlawn NY 11740 113368503 Health Care NY 501(C)(3) 3 Huntington false Physicians of University Hospital PC 1 Edgewater Plaza 6th Floor Staten Island NY 10305 200096809 Health Care NY 501(C)(3) 11, Type 1 SIUH false THE ELMEZZI GRADUATE SCHOOL OF MOLECULAR 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 113284934 GRADUATE SCHO NY 501(C)(3) 2 RESEARCH false SPORTS PHYSICAL THERAPY & REHAB SERVICES 972 BRUSH HOLLOW RD WESTBURY NY 11590 061655704 HEALTH CARE NY 501(C)(3) 11, TYPE 1 LIJ false NORTH SHORE-LIJ ALLIANCE 972 BRUSH HOLLOW RD WESTBURY NY 11590 263727582 HEALTH CARE NY 501(C)(3) 3 NA false THE LONG ISLAND HOME 400 SUNRISE HGHWY AMITYVILLE NY 11701 112837244 HEALTH CARE NY 501(C)(3) 3 LHH CORP false CLNY ALLIANCE INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 463146870 LABORATORY NY APPLIED FOR NLIJ LABS false NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078717 MEDICAL SVCS NY 501(C)(3) 11, type 1 NSUH false NORTH SHORE-LIJ HEART SURGERY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078838 MEDICAL SVCS NY 501(C)(3) 11, type 1 NSUH false NORTH SHORE-LIJ INTERNAL MEDICINE PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078631 MEDICAL SVCS NY 501(C)(3) 11, type 1 NSUH false NSLIJ MEDICAL GROUP URGENT MEDICAL CARE 972 BRUSH HOLLOW RD WESTBURY NY 11590 275078426 MEDICAL SVCS NY 501(C)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 453023019 MEDICAL SVCS NY 501(C)(3) 11, TYPE 1 NSUH false NORTH SHORE-LIJ HEALTH PLAN INC 972 BRUSH HOLLOW RD WESTBURY NY 11590 461617516 INSURANCE NY APPLIED FOR NSLIJ HCI false North Shore-LIJ Cardiology at Deer Park 972 Brush Hollow Road Westbury NY 11590 275078531 Medical Servi NY 501(C)(3) 11, Type 1 NSUH false Krasnoff Consultative Services LLC 972 Brush Hollow Road Westbury NY 11590 262838027 Consulting NY NSH Enterprises LONG ISLAND BEHAVIORAL HEALTH LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 453572263 STATISTICS NY HCI ENDOSCOPY CENTER OF LONG ISLAND 972 BRUSH HOLLOW RD WESTBURY NY 11590 260000980 MEDICAL SVCS NY NSLIJ VENTURES TRUE NORTH URGENT CARE LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 464113494 URGENT CARE NY NSLIJ URGENT TRUE NORTH DC LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 464601950 DIALYSIS NY RENAL VENTURES SYNERGY HEALTH TRUE NORTH LLC 972 BRUSH HOLLOW RD WESTBURY NY 11590 464106483 MEDICAL SVCS NY CENTRAL STERILE NORTH SHORE-LIJ MEDICAL AIR TRANSPORT 972 BRUSH HOLLOW RD WESTBURY NY 11590 464858222 AIR TRANSPORT NY NSUH Lenox Hill Physician Hospital Organizati 122 East 76th Street Suite 3A New York NY 10021 133775996 Managed Care NY LENOX C 1013149 2900000 1.00000 true Advanced Imaging & Radiology of Lenox Hi 100 East 77th Street New York NY 10075 200719612 Medical Servi NY LENOX C 5380 0 1.00000 true Park Lenox Surgical PC 130 East 77th Street 13th Floor New York NY 10075 133397814 Medical Servi NY LENOX C 80322 0 1.00000 true Lenox Otolyn Head & Neck Surgery 186 East 76th Street 2nd Floor New York NY 10021 208784395 Medical Servi NY LENOX C 1082794 72436 1.00000 true Park Lenox Medical PC 100 East 77th Street New York NY 10075 133575380 Medical Servi NY LENOX C 54795 0 1.00000 true Park Lenox Pediatric PC 100 East 77th Street New York NY 10075 133755683 Medical Servi NY LENOX C 73101 0 1.00000 true Lenox Hill Cardiology Assoc PC 100 East 77th Street New York NY 10075 133385163 Medical Servi NY LENOX C 78176 0 1.00000 true Lenox Hill Pathology PC 100 East 77th Street New York NY 10075 133644370 Medical Servi NY LENOX C 3733811 85907 1.00000 true Lenox Hill Interventional Cardiac & Vasc 130 East 77th Street 9th Floor New York NY 10075 201435770 Medical Servi NY LENOX C 22567 2061 1.00000 true Park Lenox Emergency Medicine PC 100 EAST 77TH STREET New York NY 10075 262661082 Medical Servi NY LENOX C 637419 24452 1.00000 true North Shore Health System Enterprises 972 Brush Hollow Road Westbury NY 11590 113316922 Holding Comp NY NS-LIJHS C false Regioncare Inc 972 Brush Hollow Road Westbury NY 11590 113052191 Homecare NY NSHS Enterprise C false North Shore Health Enterprises 972 Brush Hollow Road Westbury NY 11590 061605319 Holding Comp NY NSHS ENTERPRISE C false Care Management Group of Greater NY 972 Brush Hollow Road Westbury NY 11590 113336381 Business Serv NY NSH Enterprises C false Regional Insurance Company LTD c/o Cedar House 41 Cedar Avenue HM 12 Hamilton BD 000000000 Insurance BD NS-LIJ HC C false Aletta Corporation 972 Brush Hollow Road Westbury NY 11590 112622371 Physician Ser NY Southside C false North Shore-LIJ Physician Insurance Comp 100 Bank Street Burlington VT 05401 261487515 Insurance NY NS-LIJ HC PC false North Shore-LIJ Services Alliance Inc 972 Brush Hollow Road Westbury NY 11590 263651575 Support Servi NY NA C false North Shore-LIJ Health System IPA#1 972 Brush Hollow Road Westbury NY 11590 113533659 Health Care NY LIJ C false North Shore-LIJ Health System IPA #2 972 Brush Hollow Road Westbury NY 11590 113533670 Health Care NY LIJ C false North Shore-LIJ Health System IPA#3 972 Brush Hollow Road Westbury NY 11590 113533678 Health Care NY LIJ C false North Shore-LIJ Health System IPA #4 972 Brush Hollow Road Westbury NY 11590 113533677 Home Care NY LIJ C false North Shore-LIJ Health System IPA #5 972 Brush Hollow Road Westbury NY 11590 113533675 Health Care NY LIJ C false North Shore IPA 5 Inc 972 Brush Hollow Road Westbury NY 11590 113383468 Business Serv NY NS-LIJ HC C false North Shore-LIJ Network Inc 972 Brush Hollow Road Westbury NY 11590 320257193 Support Servi NY NS-LIJ HS C false Vivohealth Inc 972 Brush Hollow Road Westbury NY 11590 264118016 Inactive NY NSH Enterprise C false Autoimmune Research Therapeutics 972 Brush Hollow Road Westbury NY 11590 270701489 Inactive NY Research C false North Shore Radiology at Glen Cove PC 972 Brush Hollow Road Westbury NY 11590 113301179 Medical Servi NY NSUH C false North Shore-LIJ Radiology Services PC 972 Brush Hollow Road Westbury NY 11590 223970667 Medical Servi NY NSUH C false Staten Island Imaging Corp 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133615474 Inactive NY OVM C false Ocean View Management 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133138888 Management Sv NY SIUH C false Ocean Breeze Home Care Agency 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133773601 Inactive NY OVM C false Regency Alliance Services Inc 1 Edgewater Plaza 6th Floor Staten Island NY 10305 133277698 Management Se NY OVM C false Verrazano Radiology Associates PC 500 Seaview Avenue Staten Island NY 10305 200011201 Radiology Ser NY SIUH C false Staten Island University Hospital Perina 475 Seaview Avenue Staten Island NY 10305 134107082 Medical Servi NY SIUH C false United Medical Surgical PC 256 Madison Ave Bldg B 2nd Fl Staten Island NY 10305 134038780 Surgical Serv NY SIUH C false University Physicians OncologyHematol 500 Seaview Avenue Staten Island NY 10305 133642729 Medical Servi NY SIUH S false Emergency Medicine Services of Staten Is 1 Edgewater Plaza 6th Floor Staten Island NY 10305 134200899 Medical Servi NY SIUH C false Goethals Radiology PC 500 Seaview Avenue Staten Island NY 10305 200010287 Radiology Ser NY SIUH C false Staten Island Hospitalists PC 475 Seaview Avenue Staten Island NY 10305 331010283 Medical Servi NY SIUH C false Staten Island Neonatology PC 500 Seaview Avenue Staten Island NY 10305 133375474 Medical Servi NY SIUH C false Staten Island Medical Intensivist PC 501 Seaview Avenue Ste 102 Staten Island NY 10305 043716494 Medical Servi NY SIUH C false North Shore-LIJ Medical Group at Syosset 972 Brush Hollow Road Westbury NY 11590 273957752 Medical Servi NY NSUH C false Palliative Care Medical Services PC 99 Sunnyside Blvd Woodbury NY 11797 273957835 Medical Servi NY HOSPICE C false North-Shore LIJ Medical Group PC 972 Brush Hollow Road Westbury NY 11590 274384249 Medical Servi NY NSUH C false North Shore-LIJ Medical Group at Hunting 972 Brush Hollow Road Westbury NY 11590 274384049 Medical Servi NY NSUH C false North Shore-LIJ Medical Group at North N 972 Brush Hollow Road Westbury NY 11590 274384146 Medical Servi NY NSUH C false North Shore-LIJ Physicians Group PC 972 Brush Hollow Road Westbury NY 11590 274384326 Medical Servi NY NSUH C false NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 463475908 MEDICAL SERVI NY NSUH C false NSLIJ INTERNAL MEDICINE AT NEW HYDE PARK 972 BRUSH HOLLOW RD WESTBURY NY 11590 462822879 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ OB-GYN AT GARDEN CITY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 462886776 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ HEALTH PLAN HOLDING 972 BRUSH HOLLOW RD WESTBURY NY 11590 462478147 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ CARECONNECT INSURANCE CO 972 BRUSH HOLLOW RD WESTBURY NY 11590 462270382 INSURANCE NY HEALTH PLN HLD C false LENOX HILL HOSPITAL MEDICAL PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 452661543 MEDICAL SERVI NY LENOX C 10760501 884120 1.00000 true NS-LIJ OCCUPATIONAL MEDICINE PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 451004103 MEDICAL SERVI NY NSUH C false NORTH SHORE-LIJ OB-GYN PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 461382916 MED SERVICES NY LIJ C false NORTH SHORE-LIJ ANESTHESIOLOGY PC 972 BRUSH HOLLOW RD WESTBURY NY 11590 461617561 MED SERVICES NY SOUTHSIDE C false NORTH SHORE MEDICAL ACCELERATOR PC 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 112945979 MEDICAL SERVICES NY NSUH S false true false false false false false false false false false false false false false true false false false LENOX HILL HOSPITAL MEDICAL PC A (IV 337840 AT COST